WEBVTT

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in the anticipate ate special

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committee on the covid-19 with

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us is step tore sharon
murray-watkey

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online with us is chair of the

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committee senator dela cruz.
They still have not received

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their test results.

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And I am senator michelle

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kydon I understand that we

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have U.S. Accept hat on the
line.

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Senator schatz, are you
there?
>> yes, I'm here.

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Can you hear me okay?
>> yes, thank you.

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Senator schatz, thank you for
joining us this morning.

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I think it's important that we
here, as well as the public,

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you are being live streamed,

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would like to add on olelo

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channel 55 -- 56.
Thank you.

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Senator schatz, again, thank
you for joining us this

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morning and wee are looking

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forward to the previousing

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that you have wanted to do

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with us as to what happening
what's happening in
washington.

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And I know that the house has

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not yet met on this special
package.

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But can you please let us know

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what the senate has done, what

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the senate passed out?
>> I think they paned out this

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morning

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>> the house did? Oh, okay.

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Senator hat is, please?
>> Senator Schatz: well, thank
you for doing.
This and I just want to thank

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all of you for being so

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consistent in your leadership
in terms of making sure that

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we're working together that

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cured natured fashion.
And within a to thank the

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staff for putting together the
technology that allow us folks

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to continue meeting in a safe
way.
I appreciate the people tuning

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in on the live extreme.

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We know this is a really
difficult period for all of us

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in the state of hawai'I.

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But we will get through if
we hang together and work

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together.

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The bill that the senate
passed about 36 hours ago, the

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house passed this morning, and

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the President Has enacted in
the last hour or two.

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So, it is law.

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It is the largest slim plus in

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american history by at least
twice.

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It's about $2 trillion.
And what I thought I would do

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is just to give you the
context, my staff has been

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working literally 24-7 to try

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to digest all aspects of the
bill and especially how they

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will be implemented in the

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state of hawai'I.

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Because it is, as you know, to

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pass public policy, it's
entirely different enter

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price, to make shower that

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that public policy reaches the
people that we're trying to

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help.
So, just in terms of

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structure, I spoke with
lieutenant governor and with

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his permission and with your
permission, what I'd like do

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is give you a sort of top-line

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summary of the bill as we know

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it now.
And then let this be the

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beginning of a series of
conversations in which we can

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flesh out the details of how

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we're going to make sure that

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to maximize the impact of this
bill in hawai'I.

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And so after I summarize the
bilker I'd like to take your

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questions, as I said, for the
record.
And then get back to you in

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writing on monday.
The reason for that is that

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there are just too many

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unanswered questions about
implementation.

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And I don't want to propose
publicly about something that

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I haven't totally digested.

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This is my first meeting, so I
don't want to ruminate or

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guess or suppose.

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I want to get you solid
information.

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And we anticipate being able
to do that by monday or

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sooner.
So, a few of the ton line

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summary n my view the most

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aspect of this economically is

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to allow people to continue to

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survive during this period of
sheltering in place.

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The up upemployment insurance

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piece is about $250 billion

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and for a lot of people who

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roughly $55,000 or less, there

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will be a ui benefit of 13

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weeks fully federally funds
ed.

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And the additional dollar

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amount is going to be $600 per
month on top of what you

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normally would have gotten.

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So, the idea is full income
replacement for that period

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for people who make 675 or
less -- 65 or less.

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And it will also take pressure

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off the states, because at

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least for 13 weeks it will be
philly federally paid for.

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the other temporary common in

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the law is to allow workers,
contractors to access this ui

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program, not just to include

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people who are employees.

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The second piece is a what
we're calling a plan for the

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public health systems.

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It this has do with ppe, which
we all know, there's a little

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more shortage of, potentially

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ventilator, but also the kind

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of cash subsidies at our

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clinics and hospital systems,
that they will need and some

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of their revenue-generating

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elective processes and other

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procedures are being postponed

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t their fiscal situation is

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getting quite dire, so,
that's $150 billion.

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And most of this is not -- you
know, like grant applications;

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most of this is a per cap

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capita or per ratta share in
order to get the money out as

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soon as possible.
Have a small business rescue

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plan, including $377 billion

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in total subsidy.

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And the most important piece

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of this is a loan program for
businesses that have 500 or

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fewer employees.
To essentially cover all of

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the costs of payroll and
operations for eight months.

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So it's a loan program, but it
is 100 percent forgivable at

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the end of that eight-week
period in order to keep people

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on payrolla lot of small
businesses don't want to do

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the layoffs because it will be
difficult to get back up and

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running if they have actually

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separated from their
employees.

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Both on the ui side and on the
small business side, a

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strategy is execution.

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I think we be going to have
dream challenges with our

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banks and the fta and the ftec

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and the chamber and other
business organizations in

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terms of the capacity to get

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these loans executed.

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And so, I don't want to
overpromise about the ability
of this.

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This is a new program.
And we're work as hard as we

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can to make sure that this is

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actually availabling not just
theoretically available.

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And we hope to have some
announcements next week about

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the fraction call aspects of

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how a small business person

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can access that credit.
And it's technically a credit,

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but then again it's a loan

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that ends up being wai, aved

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after two months f and on the

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ui side, I spoke with the

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governor's team about fyr.

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I know they quadrupled their
server capacity.

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And that sounds like a lot.

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I don't know if that's even
enough because what we're

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zeroing unprecedented in terms
of unemployment grants.

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And think it will get worse

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before it gets better.
So, these are programs and

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there are real dollars coming.
But I think the next step for

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all of us is to make sure that

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we help our executive branch
agent saint the broader

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community to execute on that.

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We also have a cash payment
program which I think is

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helpful but not the main
thing.
The media has sort of covered

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this because it's the most
easy to understand.

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but it's essentially $1,200

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checks to anyone making 75

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grand or less or 115 and $500
her per child.

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That's a one time cash
payment.

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So it will not sustain people

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for very long, but at this
point, every little bit

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helps.
And then there will be money

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for states and counties.

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And we are going through the
statutory language and trying

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to calculate on a formula
basis how much our states and

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counties are going to get.
'91 thing -- the one thing is

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that this money, as a matter

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of federal law s to be spent
on covid-19 response.

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This is not for planning
budget polls.
This is for dealing with

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either the economic or

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healthcare aspects of
covid-19.
And we will let you know as
soon as we have those dollar

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amounts nailed down.

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But I don't want to make an
announcement and have it be

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wrong.

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And then on the consumer side

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there will be some student
loan relief and mortgage and

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rent forebearance for

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categories of individuals that
qualify.
It's still being sorted out.

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It has to do with whether or

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not you're in a unit what has
(Away from microphone) And so

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it gets rather complex.

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So, we achieved something on
mortgage and rent forebearers

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but not as much as we would
would have.

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But there will be some
relief.

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i just want to make sure that

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when we describe all of these
benefits that we do so in a

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way that everything is
actually true.

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And so, I apologize for not

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being able to flesh out in
greater detail how all of this

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is going to work.

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But the bill has just gone

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back about an hour ago.
With that and with the

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permission of the chair, maybe
we could just take these

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questions verbally for the
record.
If I have an easy answer, I

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will give t but for the most

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part f hopefully monday, I'll
get you answers.

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And if there are more complex
questions it May take a little

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longer but I'd like to sort of

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measure twice, cut once.

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>> thank you for that input
senator.

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I will start with a question.

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You mentioned some sort of
mortgage relief.

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What about rent relief?
>> Senator Schatz: we do think

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there's rent relief for
certain renters.

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But we want to make sure we
pore through the statutory

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language and talk with the

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federal housing agency and

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just to make sure that we
accurately describe who's
eligible for it.

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And

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and this is again lay
forebearance for rent.

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But we'll get you better
details soon.

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>> thank you.

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Senator, questions? Senator
kim.

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Thank you, senator schatz.
I've been getting calls from

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constituents and small
business owners.

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And I understand with bills
like this, it's very hard to

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know all the details and how

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it's going to be implemented.
So we'll appreciate whatever

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you can help us with.
The first question from small

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businesses is: for the loans,

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if they keep their employees,

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what if they let one or two go

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and keep the majority of it?

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Is it the entirety of
100 percent ever all the

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employees in order to
qualify?

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That's the first question.

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And the second question is:
how would they know if they're

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going to be able to just turn
into a grant or be stuck with

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a loan at the end of the
period? So, that's the two

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small business questions.
>> Senator Schatz: senator
kim, these are exactly the

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questions that my staff is

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trying to get the answers to.

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And we do anticipate having a
pretty good clarity on a

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couple of those questions and

00:14:56.689 --> 00:14:58.689
others, just sort of the basic

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mechanic am it was who I call

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and how do I access this, what

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ever the record-keeping
requirements.

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What happens if one of my

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employees separates? Am I

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then ineligible for the loan
forgiveness? All of those

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questions we hope to have a
greater clarity by monday.

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And we're we're working with
the banks and credit unions

00:15:19.878 --> 00:15:21.878
and others to make sure they

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know how this works.
They're going to be the ones

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extending the credit.
So, we will get you answers

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i'm hoping monday.

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But I want to give my staff -- 
well, here's the thing: it

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will be as soon as possible,

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but not before we're sure
because we don't want to give

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you any bad information.
Appreciate that, just that

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businesses are anxious because
they're carrying the load

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right now unknowingly.

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So the sooner as possible

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would be appreciated
the other question are people

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that have contacted me, saying

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you know, people are making up

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to $75,000 and they're still
employed and they still have

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their health benefits why are

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they going to get the $1,200
credits and so forth, when

00:16:10.797 --> 00:16:12.797
others who have lost their

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jobs or unemployed, you know,

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get the same amount?
>> Senator Schatz: yeah.

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I meane

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, that's part of the public
policy that happened in

00:16:26.647 --> 00:16:28.470
congress.
And I think

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I understand it, because some
people are able to work from

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home and maintain their
salary.

00:16:36.560 --> 00:16:38.458
And they May not be in as such
needs a someone else who's

00:16:38.959 --> 00:16:41.494
been laid off or is being
forced to care for a family

00:16:42.496 --> 00:16:44.496
member or whatever it May be.

00:16:45.990 --> 00:16:46.999
So, your point is a legitimate
one.
>> yeah.

00:16:47.901 --> 00:16:50.203
Well, constituents are
calling.
And a lot of them don't

00:16:50.203 --> 00:16:52.305
understand the difference
between the federal laws and

00:16:53.307 --> 00:16:55.307
the state laws.

00:16:55.977 --> 00:16:57.977
So, they want us to fix it.

00:16:58.646 --> 00:17:00.646
So, thank you for that

00:17:00.848 --> 00:17:03.150
clarification.
>> thank you,

00:17:07.655 --> 00:17:10.356
>> aloha.
My questions are more

00:17:11.250 --> 00:17:13.250
execution questions because we

00:17:13.428 --> 00:17:15.428
are seeing people really

00:17:15.563 --> 00:17:18.980
hurting and running to have
the money now.

00:17:18.633 --> 00:17:20.633
So whether the cash payment -- 

00:17:21.102 --> 00:17:23.570
you I think you or I, we have
it pretty much square aid way

00:17:23.871 --> 00:17:26.506
because it's a system with the
department of labor.

00:17:27.141 --> 00:17:29.509
But some of these other
supports for small business

00:17:31.413 --> 00:17:33.581
and mortgage relief or
forebearance, those kinds of

00:17:34.583 --> 00:17:36.643
program, is there a way to say
it is it coming from the

00:17:36.643 --> 00:17:39.190
feds?
Is it coming from the state?

00:17:40.880 --> 00:17:41.655
Is it going directly to
individuals?

00:17:42.357 --> 00:17:44.591
It would be nice to know so
that people have some

00:17:44.926 --> 00:17:46.926
assurance that they with have

00:17:48.897 --> 00:17:51.320
a place to go if they have
questions.

00:17:51.934 --> 00:17:53.934
So we will have a series of

00:17:54.136 --> 00:17:55.636
fact sheets on each of these
barriers.

00:17:58.106 --> 00:18:00.374
And like I said, I told my
staff, fire when ready, but

00:18:02.577 --> 00:18:04.577
not before.

00:18:06.115 --> 00:18:08.115
In other words, any aspect of

00:18:08.517 --> 00:18:10.385
this program execution will be
nailed down.

00:18:12.521 --> 00:18:15.560
And we will transmit and
publicize sort of one sheet

00:18:17.920 --> 00:18:19.920
about how it works and how it

00:18:21.196 --> 00:18:24.990
happens for an individual or
even government or
non-profit.

00:18:25.468 --> 00:18:27.468
And so, we will get that out

00:18:28.538 --> 00:18:30.538
as soon as we can.

00:18:32.410 --> 00:18:34.676
Senator marie wattkin, your
point is a good one about

00:18:35.678 --> 00:18:38.213
using existing platforms.
Hawai'I has to make sure it

00:18:39.480 --> 00:18:41.480
doesn't get overwhelmed

00:18:42.485 --> 00:18:45.220
the small business piece, it's
the lenders who will be on the

00:18:45.555 --> 00:18:47.722
front lines pushing these
resources out.

00:18:48.924 --> 00:18:51.493
But now they're figuring out
their execution plans.

00:18:52.428 --> 00:18:54.428
And then the cash payment also

00:18:59.136 --> 00:19:02.104
come right from the irs. So,
continue wasn't perfect but

00:19:02.138 --> 00:19:04.138
there was definitely a need

00:19:05.208 --> 00:19:07.509
for speed and not having to
establish a brand-new

00:19:07.577 --> 00:19:09.745
government agency, using
existing infrastructure to

00:19:10.713 --> 00:19:13.548
push the money out.
Under normal circumstances

00:19:15.519 --> 00:19:18.120
federal money comes in say 90
days would be fast.

00:19:19.256 --> 00:19:21.256
Now we're thinking in terms of

00:19:21.691 --> 00:19:23.691
days, as fast as we can fish

00:19:24.761 --> 00:19:26.161
it out, days, weeks, maximum.
>> m'hm.

00:19:26.763 --> 00:19:28.763
So just on the question of the

00:19:28.999 --> 00:19:31.600
irs sending out the checks to
individuals, a number of these

00:19:32.680 --> 00:19:34.680
individuals May be not working

00:19:35.172 --> 00:19:37.172
to the level of paying taxes.

00:19:40.477 --> 00:19:42.477
Is that being handled from the

00:19:42.512 --> 00:19:44.512
dhhs connection? Or how will

00:19:44.815 --> 00:19:47.483
those who don't have a salary
or something where they would

00:19:51.689 --> 00:19:54.190
be paying taxes?
>> Senator Schatz: I don't
know the answer to that.

00:19:55.590 --> 00:19:56.793
I will take that one for the
record.

00:19:57.127 --> 00:19:59.127
>> okay, thank you so much and

00:20:00.798 --> 00:20:02.565
thanks for your help with
this.

00:20:03.734 --> 00:20:06.536
Senator kim has a follow-up
question.
Senator hat is, following up

00:20:07.505 --> 00:20:10.273
on the small business, I just
got a detective message asking

00:20:10.742 --> 00:20:12.742
you what happens after the

00:20:13.745 --> 00:20:16.514
eight weeks if we are still in
this situation and businesses

00:20:16.514 --> 00:20:18.514
still don't

00:20:20.251 --> 00:20:22.885
aren't able to get back
operating? There any idea,

00:20:23.754 --> 00:20:26.523
you know, and if they have to
lay off people amp the one

00:20:27.250 --> 00:20:29.250
weeks, what happens to their

00:20:35.333 --> 00:20:37.509
loan or what happens to that?
>> Senator Schatz: it's a good
question.

00:20:39.670 --> 00:20:41.706
And in a lot of ways it's the
question
what happens in a couple of

00:20:41.706 --> 00:20:44.675
month?
What happens in several
months?

00:20:47.179 --> 00:20:49.179
We don't know beyond the next

00:20:49.180 --> 00:20:51.180
couple of months in terms of

00:20:51.182 --> 00:20:53.784
the spread of the virus,
activities economic impact, in

00:20:54.850 --> 00:20:56.321
terms of public u-vic
political scientist and
lansdowne professor of social
policy.

00:20:56.321 --> 00:20:58.722
So, I think it's really
important to level with the

00:20:59.123 --> 00:21:01.123
public about the level of

00:21:01.860 --> 00:21:03.860
uncertainty here.

00:21:06.159 --> 00:21:08.400
You know, as I said a couple
of days ago, we're not going
to reopen the country around

00:21:08.400 --> 00:21:10.367
easter.
That's untenable.

00:21:12.371 --> 00:21:15.306
So I wish I could give more
reassures and clarifyity about

00:21:15.841 --> 00:21:17.841
what happens eight weeks amp

00:21:17.877 --> 00:21:19.877
the government essentially

00:21:20.790 --> 00:21:22.147
powers the payroll for a small
business.

00:21:24.116 --> 00:21:25.516
I wish I could give a more
reassuring answer.

00:21:27.386 --> 00:21:30.254
But the only thing worse than
what's I'm giving out now is

00:21:30.255 --> 00:21:32.255
to make something up.

00:21:35.194 --> 00:21:37.194
So the answer is we don't

00:21:37.330 --> 00:21:40.198
know.
And there May be a piece of

00:21:41.200 --> 00:21:43.335
legislation to come in to
provide more support.

00:21:43.335 --> 00:21:45.335
>> thank you.

00:21:45.638 --> 00:21:47.638
I think what the question is

00:21:48.441 --> 00:21:50.441
more like for this one bill,

00:21:51.610 --> 00:21:53.610
if they qualify and they get

00:21:54.748 --> 00:21:57.116
the loan t will they are
penalized if it's after the

00:21:57.918 --> 00:22:00.685
eight weeks and they have to
lay off, would they then be

00:22:02.622 --> 00:22:05.357
disqualified from the first
part?
>> Senator Schatz: oh, I see.

00:22:05.858 --> 00:22:07.858
No, I think as long as you

00:22:07.860 --> 00:22:10.295
keep your payroll for that
eight-week period f you won't

00:22:12.465 --> 00:22:14.465
be penalized if six weeks

00:22:17.170 --> 00:22:18.470
later -- this is just for the
time being.

00:22:20.440 --> 00:22:22.440
>> okay, thank you for that

00:22:22.976 --> 00:22:24.976
clarification.

00:22:25.444 --> 00:22:28.247
>> four for those listening
online and on old oh, lisa

00:22:30.951 --> 00:22:32.951
that I am aware that some of

00:22:34.454 --> 00:22:36.454
our residents are still having

00:22:37.958 --> 00:22:40.893
difficulty filing claims or
just getting online.

00:22:45.232 --> 00:22:47.232
And so, I will be speaking

00:22:49.369 --> 00:22:51.369
with the direct or of dlar

00:22:52.390 --> 00:22:54.390
later today to see how we can

00:22:54.410 --> 00:22:56.410
further make sure that the

00:22:57.377 --> 00:22:59.245
online access becomes more
readily available.

00:23:00.814 --> 00:23:03.483
And I know that those who are
now unemployed or know they

00:23:05.886 --> 00:23:08.388
will be shortly unemployed are
getting very anxious to want

00:23:10.358 --> 00:23:13.226
to make sure that their claims
are being filed.

00:23:14.895 --> 00:23:16.895
I would like to ask a

00:23:17.264 --> 00:23:20.330
follow-up question also in
talking about how the irs

00:23:21.350 --> 00:23:23.350
will, you know, second out

00:23:24.720 --> 00:23:26.406
some of these payments
directly.

00:23:26.407 --> 00:23:28.775
Do you know whether or not all
of this will be handled

00:23:31.345 --> 00:23:33.345
through the irs? Or will the

00:23:34.782 --> 00:23:36.782
states be getting some lump

00:23:36.884 --> 00:23:38.884
sums to take care of some of

00:23:41.756 --> 00:23:43.857
the distribution of these
funds?.

00:23:45.994 --> 00:23:47.994
My understanding cash payments

00:23:54.536 --> 00:23:56.536
are working through the irs,

00:24:04.913 --> 00:24:06.914
exclusively.
>> Senator Schatz: any state

00:24:07.415 --> 00:24:09.415
agency, I'm not 100 percent

00:24:09.918 --> 00:24:12.553
sure that the only way people
are getting their check is

00:24:14.489 --> 00:24:16.489
through theism rs.

00:24:16.592 --> 00:24:19.428
And I have a conference call
in four minutes which I must

00:24:19.428 --> 00:24:21.630
get on.
So I have just a few more

00:24:21.630 --> 00:24:23.564
minutes.
>> okay, well, thank you.

00:24:24.399 --> 00:24:25.900
That's all the questions I
have.

00:24:26.635 --> 00:24:29.690
And senator kim has a
follow-up question.

00:24:33.760 --> 00:24:34.909
>> real quickly, is it $12,000
and $75,000 threshhold based

00:24:38.547 --> 00:24:40.215
on the 2018 tax return?
>> Senator Schatz: yes, I

00:24:42.484 --> 00:24:45.353
think it's 2018 tax returns.
But again, let me -- I'm going

00:24:46.923 --> 00:24:48.657
to take that one for the
record, as well.

00:24:50.426 --> 00:24:51.926
But I do think that's what it
is.

00:24:52.662 --> 00:24:55.564
>> are any of the senators
online, do you have questions

00:25:02.538 --> 00:25:04.538
for senator schatz? F

00:25:08.678 --> 00:25:10.913
thank you, senator.
>> yeah.

00:25:12.482 --> 00:25:14.482
The more we can get these

00:25:17.119 --> 00:25:19.119
questions to sort of -- to be

00:25:20.122 --> 00:25:23.590
in one document and to be -- 
if several members have the

00:25:25.610 --> 00:25:27.610
same questions, so that we can

00:25:27.898 --> 00:25:30.650
just kind of use my staff's
resources and time as

00:25:31.201 --> 00:25:33.502
efficiently as possible.
>> yes.
That would be great.

00:25:34.700 --> 00:25:36.705
And I think the other thing I
just wanted to say in wrapping

00:25:37.273 --> 00:25:39.273
up is that we really want to

00:25:40.577 --> 00:25:43.212
be a resource to you and by
extension the broader public

00:25:43.947 --> 00:25:46.150
in terms of making sure people
understand what's being made

00:25:47.170 --> 00:25:49.170
available here.

00:25:49.190 --> 00:25:51.254
Of so this should be the
beginning of our

00:25:51.254 --> 00:25:53.254
conversation.

00:25:53.490 --> 00:25:55.424
>> thank you, senator schatz.
>> thank you very much.

00:25:56.920 --> 00:25:58.796
>> our plan is to put the
questions all in one letter

00:25:58.796 --> 00:26:00.930
for you.
Thank you again very much,

00:26:01.732 --> 00:26:03.732
senator schatz.

00:26:05.269 --> 00:26:07.269
We will number recess.

00:56:44.840 --> 00:56:46.268
 -- we will be in recess.
>>>

00:56:46.943 --> 00:56:49.444
thank you and I apologize for
the 30-minute recess.

00:56:52.482 --> 00:56:54.482
We were expecting the

00:56:55.986 --> 00:56:58.921
governor's chief of staff,
takayama.
But apparently she did not see

00:57:00.357 --> 00:57:02.357
the envytation to attend.

00:57:02.559 --> 00:57:05.327
And the purpose of her
attendance was to request

00:57:06.129 --> 00:57:08.129
information that we had asked

00:57:08.565 --> 00:57:10.565
of all the departments over

00:57:11.435 --> 00:57:13.435
two weeks ago and have not

00:57:13.537 --> 00:57:15.938
received because of
departments were instruct bid

00:57:16.573 --> 00:57:18.374
her to give the reports to
her.

00:57:19.643 --> 00:57:21.944
And we are still awaiting for
those reports.

00:57:23.547 --> 00:57:25.547
And that was the purpose of

00:57:25.650 --> 00:57:27.517
having her attend the session
this morning.

00:57:33.157 --> 00:57:35.859
We are hoping that she will be
available this afternoon.

00:57:38.280 --> 00:57:40.280
We are now at our top of our

00:57:40.397 --> 00:57:41.798
agenda, with the department of
transportation.

00:57:44.402 --> 00:57:46.404
We have here our deputy direct
or derrick choice of the

00:57:46.404 --> 00:57:48.404
harbors division.

00:57:49.907 --> 00:57:52.542
And online we have ross
higashi of the airports

00:57:52.677 --> 00:57:54.444
division.
Deputy, thank you for being

00:57:55.646 --> 00:57:58.181
with us this afternoon.
And I guess we could start

00:58:00.180 --> 00:58:02.520
with an update with the
harbors division.

00:58:03.154 --> 00:58:04.521
>> yes, ma'am, thank you very
much.

00:58:05.190 --> 00:58:07.190
Derrick choice, deputy direct

00:58:07.659 --> 00:58:09.659
or for harbors division.

00:58:09.861 --> 00:58:11.895
senators I will provide you
anup date of what's happening

00:58:13.640 --> 00:58:14.865
in the harbors in general,
specifically what's happening

00:58:15.966 --> 00:58:17.966
with the cruise lines but also

00:58:19.604 --> 00:58:20.905
with the cargo shipping as
well.

00:58:21.707 --> 00:58:24.109
The cargo shipping is the
easier and quicker of the

00:58:24.109 --> 00:58:26.477
two.
So let me just tell you that

00:58:27.450 --> 00:58:29.450
the cargo operations

00:58:30.415 --> 00:58:32.616
throughout all harboring
honolulu and the outer islands

00:58:33.884 --> 00:58:36.200
are all open for business.
And the only thing that of

00:58:36.221 --> 00:58:37.622
courses a business is the
value.

00:58:38.490 --> 00:58:40.892
But whatever comes in to the
harbors normally scheduled

00:58:41.160 --> 00:58:43.160
will continue to be processed

00:58:44.129 --> 00:58:46.129
through the harbors.

00:58:46.431 --> 00:58:48.431
At this point, we do have some

00:58:49.501 --> 00:58:51.501
reports, although they can't

00:58:51.503 --> 00:58:53.503
specify the actual numbers, of

00:58:54.140 --> 00:58:56.140
some decline in considering ao

00:58:57.109 --> 00:58:59.944
that's being received in
hawai'I.

00:59:01.680 --> 00:59:04.582
Partly, in part due to the
tariff situation, but maybe

00:59:05.451 --> 00:59:07.518
also with the manufacturing
problems that are being

00:59:07.953 --> 00:59:09.953
experienced throughout the

00:59:11.570 --> 00:59:13.124
world because of the covid-19
crisis.

00:59:14.930 --> 00:59:16.916
You can repeat that? I think
that's important for the
viewers.

00:59:17.129 --> 00:59:19.197
>> yes, ma'am.
>> online -- 

00:59:20.466 --> 00:59:23.340
>> so, there May be a slight
key decline in the cargo
volume.

00:59:23.135 --> 00:59:25.603
But at this point, we don't
have any figures.

00:59:29.142 --> 00:59:31.760
And we can't right now
differentiate between the

00:59:31.978 --> 00:59:33.978
different decline in cargo

00:59:35.515 --> 00:59:37.149
volume because of the tariffs
dispute between the united

00:59:39.485 --> 00:59:41.485
states and china and other

00:59:41.687 --> 00:59:43.989
areas, from the amount of
volume that's being affected

00:59:48.528 --> 00:59:50.528
by the covid-19 crisis.

00:59:54.167 --> 00:59:56.167
In addition to that, we do put

00:59:58.604 --> 01:00:00.604
out a notice to the media to

01:00:02.410 --> 01:00:03.743
dispel the rumors that are
circulated -- so, there May be

01:00:05.112 --> 01:00:07.112
a slight decline in the

01:00:07.214 --> 01:00:09.214
schedule of the shipping -- of

01:00:10.183 --> 01:00:12.183
the shipping able to cargo -- 

01:00:13.860 --> 01:00:15.254
shipping and the cargo that
are making their routes do you

01:00:18.591 --> 01:00:21.270
want islands.
Moving on to talk about the

01:00:22.830 --> 01:00:24.830
cruise ships, last time I was

01:00:25.532 --> 01:00:27.333
here was on thursday, March
19th.

01:00:28.669 --> 01:00:30.669
Since then, on March 20th, we

01:00:32.139 --> 01:00:34.139
had the cruise shipm asdan,

01:00:34.441 --> 01:00:36.441
which is a holland america

01:00:36.743 --> 01:00:38.311
line call the port here in
honolulu.

01:00:41.716 --> 01:00:43.716
Now, that ship did receive

01:00:44.652 --> 01:00:47.530
supplies and fuel p and only
hawai'I residents and a

01:00:48.189 --> 01:00:50.189
passenger that needed acute

01:00:51.625 --> 01:00:54.610
medical attention and her
husband disembarked from the

01:00:54.610 --> 01:00:56.610
ship.

01:00:57.359 --> 01:00:59.533
The ship, once it was refueled
and resupplied, continued on
her way.

01:01:00.535 --> 01:01:02.535
And I believe she ended up

01:01:03.170 --> 01:01:05.720
going san diego with the over
800 passengers that remained

01:01:05.840 --> 01:01:07.840
on the ship after they arrived

01:01:08.776 --> 01:01:10.776
in hawai'I.

01:01:11.712 --> 01:01:13.712
Prior to the masdan arriving

01:01:14.583 --> 01:01:16.650
we were told that none of the
passengers on the ship had

01:01:19.187 --> 01:01:21.187
been tested positive for covid

01:01:21.623 --> 01:01:23.623
for at least 14 days since

01:01:26.828 --> 01:01:29.960
they were at their last port.
During -- after that time, we

01:01:30.899 --> 01:01:32.899
were aware that the region

01:01:33.768 --> 01:01:35.768
jewel, which is a nor week

01:01:36.605 --> 01:01:38.773
cruise liner ship, wanted -- 
that ship was originally

01:01:40.909 --> 01:01:42.909
scheduled to sail? The french

01:01:43.211 --> 01:01:45.211
polynes ian area and dischad

01:01:47.215 --> 01:01:49.317
all the passengers in french
polynesia.

01:01:50.352 --> 01:01:52.887
It had over 2,000
passengers -- over 1700

01:01:53.388 --> 01:01:56.357
passenger, none of which were
showing anies him comes of
covid-19.

01:02:00.362 --> 01:02:03.164
They requested a port cold
call -- port call to refuel

01:02:04.834 --> 01:02:06.834
to, resupply, also to

01:02:07.870 --> 01:02:09.870
disembark the passenger.

01:02:10.906 --> 01:02:13.308
To to disembark the
passenger.

01:02:13.809 --> 01:02:15.810
However, we informed later
that the free shipping and

01:02:16.945 --> 01:02:19.847
handling was experiencing
propulsion problems within its

01:02:20.349 --> 01:02:22.349
engine system and that is

01:02:22.952 --> 01:02:25.887
needed to offload its
passengerthat they could
continue to work on the

01:02:26.756 --> 01:02:29.358
problems and if needed, to
continue on their way to the

01:02:29.392 --> 01:02:31.960
mainland without having to
worry about their passengers.

01:02:33.329 --> 01:02:35.329
On the 21st of March,

01:02:35.898 --> 01:02:37.898
norwegian cruise lines

01:02:39.335 --> 01:02:40.627
submitted a passenger transfer
plan.

01:02:41.771 --> 01:02:44.174
They assured us that none of
the passengers with the

01:02:44.174 --> 01:02:46.174
exceptions of hawai'I

01:02:46.976 --> 01:02:48.976
residents would be discharged

01:02:49.312 --> 01:02:51.179
into the general population in
hawai'I.

01:02:54.484 --> 01:02:56.818
That plan included
disembarking passengers going

01:02:57.253 --> 01:02:59.253
through a health screening,

01:03:01.391 --> 01:03:03.391
going through the terminal,

01:03:03.927 --> 01:03:06.896
being placed on chartered bus,
and then being placed on

01:03:08.431 --> 01:03:09.999
chartered airplanes of
honolulu.

01:03:13.803 --> 01:03:16.206
We gave the approval for if
the transfer plan in the early

01:03:18.976 --> 01:03:20.710
morning of March 22nd,
sunday.

01:03:23.847 --> 01:03:25.847
The ship arrived in honolulu

01:03:26.783 --> 01:03:28.783
in the afternoon of march

01:03:30.854 --> 01:03:32.854
22nd, sunday.

01:03:33.891 --> 01:03:35.491
The ship was docked but no
actions were taken at that

01:03:36.460 --> 01:03:38.527
time for the ship or on the
ship.

01:03:40.397 --> 01:03:42.397
Starting on monday, March

01:03:45.235 --> 01:03:47.235
23rd, cbp inspected the

01:03:48.238 --> 01:03:51.410
ship, processed all her
passengers and crew.

01:03:52.430 --> 01:03:54.378
There were eight flights
scheduled, chartered flights

01:03:56.247 --> 01:03:58.247
scheduled to depart hawai'I,

01:03:58.482 --> 01:04:00.482
with crews cruise passengers.

01:04:02.386 --> 01:04:04.554
Of that, only five planes
actually day departed

01:04:05.322 --> 01:04:07.392
there were airline problems in
getting those charter planes

01:04:07.392 --> 01:04:09.392
to hawai'I.

01:04:09.494 --> 01:04:11.494
And in doing so, it backed up

01:04:11.563 --> 01:04:13.563
the ability for us to transfer

01:04:13.831 --> 01:04:15.831
passengers on to the planes.

01:04:17.468 --> 01:04:20.300
So, passengers were held
overnight.
It the passengers that

01:04:20.971 --> 01:04:22.971
remained were held overnight.

01:04:23.574 --> 01:04:25.574
Often tour, March he fourth,

01:04:26.178 --> 01:04:28.178
passengers -- 24th,

01:04:28.546 --> 01:04:30.546
continued to depart the ship.

01:04:30.782 --> 01:04:32.820
Again, they were held,
screened.

01:04:32.917 --> 01:04:35.520
They were placed on the
chartered bins and they were

01:04:36.521 --> 01:04:37.888
placed on the chartered
planes.

01:04:38.790 --> 01:04:40.790
Of the flights that were

01:04:41.359 --> 01:04:43.894
scheduled, only four were
actually able to (Away from

01:04:44.496 --> 01:04:46.496
microphone) And ones a hell

01:04:46.931 --> 01:04:49.000
over until wednesday, March
25th.

01:04:52.470 --> 01:04:55.720
On March 25th, the last
interval of breaks dischad off

01:04:57.876 --> 01:05:00.812
the ship; went through health
screening; were placed on

01:05:00.813 --> 01:05:02.813
chartered bins and were placed

01:05:03.515 --> 01:05:05.515
on chartered planes and exited

01:05:10.322 --> 01:05:12.322
or flew out to los angeles.

01:05:13.592 --> 01:05:15.826
The eight hawai'I residents
were discharged from the ship

01:05:17.597 --> 01:05:19.597
on March 22nd.

01:05:20.833 --> 01:05:22.833
and they were placed in

01:05:23.436 --> 01:05:25.837
chartered limousines and taken
directly to either their homes

01:05:28.730 --> 01:05:30.730
on awahu or directly to the

01:05:30.750 --> 01:05:32.510
airport and placed on small
chartered planes to

01:05:34.113 --> 01:05:35.546
neighboring islands, kona, m
awful

01:05:37.350 --> 01:05:39.350
I and gordy.

01:05:39.419 --> 01:05:41.520
So, not at any time were those
passengers dischad into the

01:05:42.355 --> 01:05:44.355
general population.

01:05:44.357 --> 01:05:46.357
We believe that the norwegian

01:05:47.560 --> 01:05:50.129
cruise lines had an air-tight
plan to keep their passengers

01:05:50.129 --> 01:05:51.696
out of the general
population.

01:05:52.399 --> 01:05:54.399
And while that plan did have.

01:05:54.534 --> 01:05:57.135
So hiccups, they were able to
address those as they occurred

01:05:57.938 --> 01:05:59.938
and were successful in getting

01:06:01.374 --> 01:06:03.374
all passengers on to their

01:06:04.977 --> 01:06:06.977
homes.

01:06:07.447 --> 01:06:09.614
The norwegian jewel ship
remains in port.

01:06:10.551 --> 01:06:12.551
I just verified that on my way

01:06:13.687 --> 01:06:16.880
in here.
They continue to making

01:06:16.389 --> 01:06:18.389
repairs to engine.

01:06:18.992 --> 01:06:21.561
I don't have an eta on when
the engine problems will be

01:06:21.561 --> 01:06:23.162
fixed and when it might be
sailing on.

01:06:24.300 --> 01:06:26.198
The plan is once the engines
are fixed, the ship will

01:06:29.203 --> 01:06:31.203
continue on to florida t where

01:06:32.172 --> 01:06:34.941
it will be hell up until the
cruise operation suspension is

01:06:36.176 --> 01:06:38.579
lifted.
No crew are allowed to leave

01:06:38.579 --> 01:06:41.413
the ship.
All crews are restricted to

01:06:44.417 --> 01:06:46.417
the cruise ship at this time.

01:06:47.488 --> 01:06:50.423
The morning of March 25th,
the norwegian cruise ship was

01:06:52.426 --> 01:06:54.426
shipped to port into pier two

01:06:54.628 --> 01:06:56.628
and another norwegian ship,

01:06:57.598 --> 01:06:59.598
the norwegian regatta which

01:07:00.670 --> 01:07:03.300
only came in for resupply and
refuel and no passengers, came

01:07:03.604 --> 01:07:05.604
into the port and left the

01:07:05.740 --> 01:07:07.740
port this morning at

01:07:08.175 --> 01:07:10.143
about 8:30 with supplies and
annual -- fuel.

01:07:12.580 --> 01:07:15.810
No breaks on that ship and no
crew were allowed to depart

01:07:15.616 --> 01:07:17.616
that ship.

01:07:18.185 --> 01:07:20.521
As of today, we understand
that there's another cruise

01:07:22.590 --> 01:07:24.590
ship without passengers that

01:07:24.959 --> 01:07:27.161
wants to enter honolulu in the
near future called the

01:07:27.161 --> 01:07:29.161
mariner.

01:07:29.664 --> 01:07:31.664
And we were also informed that

01:07:32.100 --> 01:07:34.100
the princess cruise line

01:07:34.702 --> 01:07:37.604
paradise princess with about
100 passengers would like to

01:07:38.140 --> 01:07:40.140
enter honolulu also to refuel

01:07:42.413 --> 01:07:44.745
and resupply.
That ship, the princess -- 

01:07:45.246 --> 01:07:47.681
paradise princess did have
passengers that had been let

01:07:49.160 --> 01:07:51.285
off at various locations
throughout this route.

01:07:52.253 --> 01:07:54.253
On the ship we understand that

01:07:54.288 --> 01:07:57.250
there are four hawai'I
residents requesting

01:07:57.559 --> 01:07:59.727
departing, while ported in
honolulu.

01:08:02.264 --> 01:08:04.999
At this time, until the
princess cruise line can get

01:08:06.701 --> 01:08:09.637
us an air-tylenol tight plan
on how they're going safely

01:08:10.705 --> 01:08:12.706
and orderly discharge the four
hawai'in residents from the

01:08:14.510 --> 01:08:16.510
ship, we have not approved

01:08:21.830 --> 01:08:23.830
allowing them off the ship.

01:08:23.850 --> 01:08:25.753
Passengers that are taken
enoff the ship were informed

01:08:27.155 --> 01:08:29.155
of the need for a 4-1 day

01:08:29.659 --> 01:08:31.659
quarantine, the hawai'I

01:08:32.995 --> 01:08:35.163
passengers, which -- which
rebelieve they are doing

01:08:35.297 --> 01:08:37.297
because they were taken

01:08:39.735 --> 01:08:41.735
directly to their homes.

01:08:42.271 --> 01:08:45.730
And at this time, we are not
aware of any other ships

01:08:46.141 --> 01:08:48.677
wishing to call port into
honolulu.
The last thing I'd like

01:08:50.460 --> 01:08:52.460
tonight, form you on is that

01:08:52.248 --> 01:08:54.248
sinces suspension of cruise

01:08:54.384 --> 01:08:57.185
operations, there's at least
11 ships that have canceled

01:08:58.688 --> 01:09:01.590
their ports of call to
honolulu.

01:09:02.224 --> 01:09:04.826
And through May ninth, other
ships have also canceled their

01:09:05.128 --> 01:09:07.830
ports of call.
So it looks like about 25 or

01:09:08.765 --> 01:09:10.765
so ships have canceled calling

01:09:13.103 --> 01:09:15.838
on the port of honolulu at
this time.
>>> penning your question,

01:09:15.838 --> 01:09:17.272
that's the conclusion of my
report.

01:09:21.277 --> 01:09:24.114
>> thank you, deputy chow.
I'd like to start with a

01:09:24.114 --> 01:09:26.114
question.

01:09:26.850 --> 01:09:29.719
Of those ships, cruise lines,
et cetera, that ever coming

01:09:34.724 --> 01:09:36.724
into our harbors to refuel and

01:09:39.863 --> 01:09:41.863
resupply unplanned, are we

01:09:43.868 --> 01:09:45.868
prepared for the refueling and

01:09:46.770 --> 01:09:48.770
resupplying without depriving

01:09:48.806 --> 01:09:50.806
our state from that fuel and

01:09:52.743 --> 01:09:54.688
those supply?
>> Deputy Director Chow: yes,
ma'am.

01:09:55.312 --> 01:09:57.613
As I was earlier saying with
regards to the harbors

01:09:58.849 --> 01:10:00.849
operation, I forgot to mention

01:10:01.118 --> 01:10:03.401
that oiler supplies and
refinery operations still

01:10:04.789 --> 01:10:06.789
continue as normal although

01:10:07.891 --> 01:10:09.759
the consumption has been
reduced.

01:10:11.695 --> 01:10:13.931
So, the ships are scheduled to
bring in fuel -- crude oil

01:10:13.931 --> 01:10:15.931
into hawai'I.

01:10:17.201 --> 01:10:18.869
Those ships are received by
our hawai'I.

01:10:20.638 --> 01:10:22.906
And hawai'I is producing the
fuel that is required to meet

01:10:23.140 --> 01:10:25.642
the demands.
So, there is no problem with

01:10:26.143 --> 01:10:28.143
meeting depend hand force the

01:10:29.213 --> 01:10:31.213
fuel of these ships.

01:10:33.482 --> 01:10:35.652
Slowly, cargo continues to
come into hawaii and the
supplies that are going on to

01:10:40.825 --> 01:10:42.659
these cruise ships are
quantities (Away from
microphone)

01:10:45.830 --> 01:10:47.830
>> but you also stated that

01:10:50.802 --> 01:10:52.802
you don't know yet the volume

01:10:53.271 --> 01:10:54.939
of sometime decline of goods
coming in.

01:10:56.241 --> 01:10:58.876
So, is there any way that you
guys are going to look at that

01:11:03.381 --> 01:11:06.283
and make sure that we're not
supplying ships that that is

01:11:07.252 --> 01:11:09.252
going to take away from what

01:11:09.821 --> 01:11:11.823
we need locally?
>> Deputy Director Chow: yes,

01:11:13.258 --> 01:11:15.258
ma'am.

01:11:16.461 --> 01:11:19.196
So, cargo will give me
specific -- s decline has been

01:11:20.765 --> 01:11:23.200
the amount, but they assure me
right now that it's small and

01:11:24.770 --> 01:11:26.770
it's not affecting our local

01:11:27.740 --> 01:11:29.742
supply, for the rest of the
population.
But we will continue to

01:11:29.742 --> 01:11:31.742
monitor that.

01:11:33.378 --> 01:11:35.513
>> thank you, deputy chow.
Senator, question?

01:11:36.348 --> 01:11:38.348
Senator congresswomen kim?

01:11:38.450 --> 01:11:40.450
>> so, some of these supplies

01:11:40.953 --> 01:11:42.953
are there any of them that we

01:11:43.489 --> 01:11:45.489
have a a short A.M. In

01:11:45.758 --> 01:11:47.758
hawai'I, like toilet paper,

01:11:48.327 --> 01:11:51.196
wipe, disinfectant, stuff like
that that would take away

01:11:51.931 --> 01:11:54.255
supplies from our local
residents?
>> Deputy Director Chow: yes,
ma'am.

01:11:54.333 --> 01:11:56.368
Specifically, I'll have to ask
that question about those

01:11:56.368 --> 01:11:58.636
supplies.
At this point, I don't know.

01:11:59.380 --> 01:12:01.400
>> okay, I think that's
important because already we

01:12:01.474 --> 01:12:03.575
have a shortage of some of
these things.

01:12:04.811 --> 01:12:06.811
I can see that fuel May not be

01:12:09.150 --> 01:12:10.415
a shortage, and manpower to
repair.

01:12:11.250 --> 01:12:13.752
But certainly some of these
supplies that our own

01:12:14.253 --> 01:12:16.253
residents can't get their

01:12:18.858 --> 01:12:21.760
hands on, and honda make it
even worse.
>> Deputy Director Chow: I'll

01:12:21.995 --> 01:12:24.530
get back to you.
Okay I've heard from our

01:12:25.650 --> 01:12:27.650
neighbor island

01:12:27.567 --> 01:12:29.567
representatives that while

01:12:30.770 --> 01:12:32.571
particularly for some areas
right now they are could I

01:12:33.573 --> 01:12:36.129
have could I have-free.
>> Deputy Director Chow: yes,
ma'am.

01:12:36.510 --> 01:12:39.110
And they want to keep it that
way.
But they're saying that small

01:12:39.446 --> 01:12:41.780
boats are coming in and there
is no monitoring.

01:12:43.417 --> 01:12:46.850
And no one is -- you know,
they're letting them come in

01:12:46.286 --> 01:12:48.954
and people offer and so
forth.
And they're concerned.

01:12:49.122 --> 01:12:51.122
They're also concerned and of

01:12:52.526 --> 01:12:55.495
course it's not you, because
certainly, local flights are

01:12:56.497 --> 01:12:59.298
being allowed in and out and
they're being quarantined.

01:13:01.340 --> 01:13:03.340
And they're very concerned

01:13:03.700 --> 01:13:05.605
because we do not super the
resource, if something is

01:13:05.839 --> 01:13:07.839
positive, they would have to

01:13:08.375 --> 01:13:10.577
be medivaced out of the
neighborhood, taxing our

01:13:11.112 --> 01:13:13.113
resources here in honolulu, as
well.

01:13:13.814 --> 01:13:16.349
So, they're very concerned and
they they want to make sure

01:13:17.510 --> 01:13:19.819
that their islandser kept
free.
And the only way they're going

01:13:21.880 --> 01:13:23.880
to do that is these people get

01:13:24.158 --> 01:13:26.158
restricted or there's a lot

01:13:28.129 --> 01:13:30.864
more screening as well as
quarantines.
>> Deputy Director Chow: ly

01:13:33.100 --> 01:13:35.135
retros answer about people
visiting or entering n with

01:13:37.371 --> 01:13:39.371
regards to small boats, we

01:13:41.800 --> 01:13:43.543
don't manage or monitor small
boats f but I will certainly

01:13:45.413 --> 01:13:47.413
pass your question on.

01:13:48.490 --> 01:13:50.170
>> appreciate that, thank you,
derek.

01:13:50.850 --> 01:13:52.850
>> thank you.

01:13:52.153 --> 01:13:54.153
>> just funnel up from that,

01:13:55.356 --> 01:13:56.957
hi, derek, thank you for all
york work.

01:13:57.558 --> 01:13:59.859
I know you had mentioned
earlier that you work with the

01:14:00.495 --> 01:14:02.495
custom, and border patrol.

01:14:02.598 --> 01:14:05.670
And do they monitor all the
waters and they would also be

01:14:05.670 --> 01:14:07.501
monitoring small boats that
come in? I think the concern

01:14:08.136 --> 01:14:10.171
is all, all the ports should
be monitored.

01:14:11.720 --> 01:14:13.720
And we just wondered whether

01:14:13.208 --> 01:14:16.110
you could coordinate with
natural resources as well as

01:14:17.112 --> 01:14:19.847
with cbb?
>> Deputy Director Chow: I
certainly will bring that up

01:14:19.949 --> 01:14:21.949
with natural resources.

01:14:22.384 --> 01:14:25.870
I know the U.S. Coast guard
does monitor and require

01:14:25.870 --> 01:14:27.656
reporting from all ships
coming into the commercial

01:14:27.656 --> 01:14:29.656
port.

01:14:31.260 --> 01:14:33.260
I'm not sure what their exact

01:14:33.929 --> 01:14:36.897
rules are with the small boat
harbors.

01:14:38.601 --> 01:14:41.569
The small boats are just from
harbor to harbor, there May be

01:14:42.138 --> 01:14:45.106
less requirements than those
that are coming from the
outside.

01:14:45.207 --> 01:14:47.676
Coming in and trying to
protect all our borders.

01:14:47.676 --> 01:14:48.967
>> Deputy Director Chow: yes,
ma'am.

01:14:50.646 --> 01:14:53.810
Yeah.
Also, in terms of the cruise

01:14:53.982 --> 01:14:56.518
lines that are coming in, you
many had mentioned earlier and

01:14:58.588 --> 01:15:01.556
I think the last time we met,
that ncl was very good,
maybe.

01:15:02.910 --> 01:15:04.250
So other cruise lines weren't
so cooperative.

01:15:04.727 --> 01:15:07.228
What is the status of that?
And how are we monitoring all

01:15:08.431 --> 01:15:10.431
of that in terms of the next

01:15:12.202 --> 01:15:14.300
month or two?
>> Deputy Director Chow: so,dy

01:15:14.938 --> 01:15:16.938
say that -- and that ncl

01:15:16.940 --> 01:15:19.241
definitely was a better
partner.

01:15:19.709 --> 01:15:22.444
Ncl of course also operates
the private america, which is

01:15:24.113 --> 01:15:27.150
an inter island, hawai'I inter
island cruise activity.

01:15:31.254 --> 01:15:33.556
So, they have obviously more
commitment to being here and

01:15:33.657 --> 01:15:35.657
working with us.

01:15:36.250 --> 01:15:38.250
And they put a lot of time and

01:15:38.962 --> 01:15:40.962
effort and definitely expense

01:15:41.631 --> 01:15:43.631
in seeing that their passenger

01:15:43.666 --> 01:15:46.168
transfer plan was successful.
The other cruise lines as you

01:15:47.204 --> 01:15:50.730
stated senator, they have not
been as forthcoming which is

01:15:50.607 --> 01:15:52.607
why we have taken the hard

01:15:52.976 --> 01:15:55.244
line with the mazdan that was
here and only allow the

01:15:55.645 --> 01:15:58.280
hawai'I residents off.
And we're taking storm other

01:15:59.182 --> 01:16:01.182
hard lines with the paradise

01:16:01.284 --> 01:16:03.284
princess, which is scheduled

01:16:03.653 --> 01:16:05.653
to come in here on April 9th.

01:16:07.240 --> 01:16:09.240
We have not heard that they

01:16:09.793 --> 01:16:12.662
will provide any kind of plan
that's going to show how

01:16:12.662 --> 01:16:14.731
they're going control even
just the hawai'I passengers

01:16:15.532 --> 01:16:17.767
from getting off.
It's unfortunate because those

01:16:18.635 --> 01:16:20.736
hawai'I passengers will then
have to go to the next

01:16:21.400 --> 01:16:22.739
location and fly back to
hawai'I.

01:16:24.208 --> 01:16:26.710
So, if there was a way they
could come back-up plan, we'd

01:16:26.811 --> 01:16:29.112
definitely like to get the
hawai'I passengers off.

01:16:29.546 --> 01:16:31.546
>> so, it in terms of a health

01:16:32.683 --> 01:16:34.617
screen, is that a port of call
that you -- protocol that you

01:16:35.520 --> 01:16:37.520
had that you require of all

01:16:37.755 --> 01:16:39.755
the cruise lines when they

01:16:40.224 --> 01:16:41.505
come in? You said ncl has
one.

01:16:42.627 --> 01:16:44.627
If the princess is coming in,

01:16:45.530 --> 01:16:48.165
would they have that stringent
requirement as well in terms

01:16:48.599 --> 01:16:51.368
of the health screening for
all the passenger?
>> yes, ma'am.

01:16:52.360 --> 01:16:54.604
So the cruise line itself does
the health screening on the
ship.

01:16:55.573 --> 01:16:57.842
And they do that during the
course of the cruise, but

01:16:57.843 --> 01:17:00.311
certainly before entering
monday lyle, because they're

01:17:01.790 --> 01:17:03.247
required to report to the cdc
and the coast guard, what the

01:17:04.249 --> 01:17:06.249
health is of that ship.

01:17:06.818 --> 01:17:08.818
Even so, when they debark from

01:17:09.554 --> 01:17:11.554
the ship, yes, the state of

01:17:14.193 --> 01:17:16.193
hawai'I have contracted with

01:17:16.728 --> 01:17:19.630
american medical response if
he and his team are doing

01:17:21.133 --> 01:17:23.134
health screening as the
passengers get right off the

01:17:23.235 --> 01:17:25.235
gang way.

01:17:28.640 --> 01:17:31.241
And then there's any sign or
temperature, they are then put

01:17:31.309 --> 01:17:34.212
immediately to contract or
they're sent to the
emergency.

01:17:35.781 --> 01:17:38.382
But we do that second-level
screening even after the ship

01:17:39.318 --> 01:17:41.719
does their own screening.
And it's only until they pass

01:17:42.120 --> 01:17:44.889
that level of screening are
they allowed into the port and

01:17:45.390 --> 01:17:46.757
then on to the chartered
buses.

01:17:48.626 --> 01:17:50.896
>> and you have a protocol in
instructing them on what the

01:17:52.632 --> 01:17:54.799
quarantine looked like and
something about the end.

01:17:55.301 --> 01:17:58.203
Quarantine period so, that we
know that these people are

01:17:59.605 --> 01:18:02.340
really clean of covid-19?
>> Deputy Director Chow: so
the passengers that are
staying in hawai'I are given

01:18:02.608 --> 01:18:05.109
an piece of paper that
describes the requirement for

01:18:05.210 --> 01:18:06.844
quarantine and what they're
supposed to be doing.

01:18:08.347 --> 01:18:10.347
The passengers that are then

01:18:11.851 --> 01:18:14.619
passed on to the mainland on
chartered flights, they are

01:18:14.821 --> 01:18:17.689
given that same paper.
Because it depends on how

01:18:18.824 --> 01:18:21.459
their destination handles the
quarantine requirements.

01:18:24.331 --> 01:18:26.765
>> just a funnel up: on the
requirements for quarantine.

01:18:29.736 --> 01:18:31.736
The hawai'I resident?

01:18:32.205 --> 01:18:34.373
Well, prior to the
proclaimation t was voluntary

01:18:34.674 --> 01:18:36.674
so, now we're developing

01:18:36.676 --> 01:18:39.100
procedures of how we verify.
So we have their contact

01:18:39.445 --> 01:18:41.445
information because obviously

01:18:42.282 --> 01:18:45.217
we schedule charter limousines
to that's correct them to
their homes.

01:18:45.952 --> 01:18:47.952
So, we will be working with

01:18:48.788 --> 01:18:50.788
ncl to get that information

01:18:51.358 --> 01:18:52.791
and get this done with the
passengers.

01:18:55.462 --> 01:18:57.964
>> so, you're not following
them as of right now?

01:18:57.964 --> 01:19:00.467
No
>> but you intend to?

01:19:00.467 --> 01:19:02.467
>> Deputy Director Chow: we l

01:19:02.469 --> 01:19:04.270
>> at the end of the 14 day?
>> Deputy Director Chow: well,

01:19:04.471 --> 01:19:06.973
I'd like to do it throughout
to make sure they understand

01:19:07.507 --> 01:19:09.507
the proclaimation is in effect

01:19:09.709 --> 01:19:12.511
and remind them of how long
the quarantine lasts.

01:19:13.213 --> 01:19:15.814
On the employee claimation
>> sorry, I understand that

01:19:16.750 --> 01:19:18.750
korea has an app.

01:19:19.487 --> 01:19:21.988
I heard it this morning, for
people they're quarantined

01:19:23.724 --> 01:19:25.724
than they can in fact get on

01:19:26.600 --> 01:19:28.270
the app or they have to get on
to the app.

01:19:29.496 --> 01:19:31.496
And then they have to check in

01:19:32.366 --> 01:19:34.502
with certain things.
>> Deputy Director Chow: oh,
okay.

01:19:34.502 --> 01:19:37.304
>> so maybe that's something
you could look into, as to how

01:19:38.873 --> 01:19:40.574
we could get that app?
>> Deputy Director Chow: sure

01:19:41.375 --> 01:19:43.375
>> but the question becomes at

01:19:43.477 --> 01:19:46.246
what point do we know that
people who aren't quarantined

01:19:47.140 --> 01:19:49.140
and those who are positive are

01:19:49.917 --> 01:19:52.464
then safe to go back into the
public
>> Deputy Director Chow: yes,
ma'am
>> thank you.

01:19:54.989 --> 01:19:56.989
We have a question from

01:19:58.793 --> 01:20:01.528
senator yarded online?
>> I understand that -- turk

01:20:03.831 --> 01:20:05.831
director, for being here and

01:20:06.534 --> 01:20:08.935
appreciate the initiative
that -- the work that you've

01:20:12.240 --> 01:20:14.208
put in to get a handle on the
recent situation.

01:20:15.510 --> 01:20:17.544
You can just help me
understand as to the different

01:20:18.313 --> 01:20:21.248
entities that you have had 20
coordinate with, in order to

01:20:21.749 --> 01:20:23.749
come though to these decisions

01:20:25.386 --> 01:20:26.987
and roll out this plan for the
cruise ship?

01:20:36.352 --> 01:20:38.500
Because you mentioned last
time, is the U.S. Coast
guard?
>> Deputy Director Chow: yes,
sir.
And customs and border
patrol?

01:20:38.500 --> 01:20:40.500
>> Deputy Director Chow: yes,

01:20:41.200 --> 01:20:43.400
sir.
>> so -- 
>> Deputy Director Chow: sir,

01:20:43.400 --> 01:20:45.807
let me talk about the process
that we went through, both for

01:20:46.420 --> 01:20:48.420
allowing a ship to come in

01:20:50.479 --> 01:20:52.479
just to refuel, resupply, the

01:20:53.348 --> 01:20:55.348
norwegian jewel that came in

01:20:55.851 --> 01:20:58.419
and disembarking passengers.
For all ships they have to do

01:20:58.687 --> 01:21:01.289
the on ship monitor.
And that information is then

01:21:01.290 --> 01:21:03.290
provided to the U.S. Coast

01:21:04.260 --> 01:21:06.528
guard and the cdc
if at any time the ship

01:21:09.980 --> 01:21:11.980
reports that they have

01:21:11.333 --> 01:21:14.680
positive covid passengers or
possibly positive covid

01:21:14.537 --> 01:21:16.537
passenger, those ships are

01:21:17.473 --> 01:21:19.306
refused entry into our
harbors.

01:21:19.909 --> 01:21:22.544
If those passengers are
healthy and they don't have

01:21:23.346 --> 01:21:25.346
any positive or suspected

01:21:25.548 --> 01:21:27.548
positive cases, then the coast

01:21:28.818 --> 01:21:31.486
guard will allow them into our
harbors.

01:21:33.550 --> 01:21:35.389
At that point, if we are going
off-load any passengers like

01:21:36.125 --> 01:21:38.125
the hawai'I passengers, in the

01:21:39.362 --> 01:21:41.497
case of the mazdam, we did let
the hawai'I passenger, hawai'I

01:21:42.665 --> 01:21:44.665
residents off the mazdam.

01:21:46.536 --> 01:21:49.371
They were screened by our
health professionals.
And once they cleared the

01:21:49.939 --> 01:21:51.939
health screening, were they

01:21:54.445 --> 01:21:57.130
then processed in terminal by
cdp so, that they then could

01:21:58.649 --> 01:22:01.451
be allowed to be released to
their homes or taken to their

01:22:01.451 --> 01:22:03.451
homes.

01:22:04.120 --> 01:22:06.588
For those passengers on -- and
let me just finish, then -- 

01:22:08.491 --> 01:22:11.260
with the nazdam, once those
hawai'I residents were dischad

01:22:12.663 --> 01:22:14.697
and once they refueled and
resupplied, the ship was close

01:22:16.533 --> 01:22:18.101
the up and the was sent back
on its way.

01:22:20.604 --> 01:22:22.972
And I think the mazdam went to
san diego like I said.

01:22:24.641 --> 01:22:26.641
For the norwegian jewel, they

01:22:27.110 --> 01:22:29.411
were again cleared by the
coast guard.

01:22:32.149 --> 01:22:34.149
They presented a plan that we

01:22:34.618 --> 01:22:36.920
believe was very rigorous, in
that they were going to

01:22:37.922 --> 01:22:40.570
control the passenger
discharge or transfer without

01:22:40.570 --> 01:22:42.570
allowing passengers to enter

01:22:44.270 --> 01:22:46.270
the general population.

01:22:48.320 --> 01:22:50.320
They were given the approval

01:22:50.501 --> 01:22:52.501
to use -- to keep that plan,

01:22:54.380 --> 01:22:56.380
and the ship docked t it

01:22:56.400 --> 01:22:58.400
wasn't until the next morning

01:22:58.943 --> 01:23:01.444
that cbp boarded the ship and
did the ship's inspection and

01:23:03.130 --> 01:23:05.130
then started processing first

01:23:05.717 --> 01:23:08.218
all of the almost 2,000
passengers including the

01:23:08.420 --> 01:23:11.210
hawai'I residents.
And after that was completed,

01:23:13.691 --> 01:23:15.960
they processed the crew.
And a lot of them were foreign

01:23:15.960 --> 01:23:17.960
crew.

01:23:19.630 --> 01:23:21.665
Amp the cbp processing, those
passengers were let off the

01:23:22.534 --> 01:23:24.769
ship in accordance with the
groups that were boarding each

01:23:26.471 --> 01:23:28.471
of the chartered planes.

01:23:28.740 --> 01:23:30.740
So there was total control

01:23:33.440 --> 01:23:35.180
over how the passengers were
disembarked, by their flight

01:23:35.180 --> 01:23:37.447
schedule.
And then they were placed

01:23:38.483 --> 01:23:39.771
directly on buses.
If

01:23:40.486 --> 01:23:43.187
they did not have a flight
schedule that day or there was

01:23:43.555 --> 01:23:45.624
some delay with the flight or
the bus, they were held on the

01:23:45.624 --> 01:23:47.759
ship.
They were not released from

01:23:47.759 --> 01:23:50.610
the ship.
Only until the buses and the

01:23:50.562 --> 01:23:52.562
planes were ready, were they

01:23:52.664 --> 01:23:54.664
allowed to leave the slip.

01:23:54.699 --> 01:23:56.699
But once they vince lecavalier

01:23:58.504 --> 01:24:01.105
the ship, cbt processed them,
they went through health

01:24:02.410 --> 01:24:04.410
screening, and placed directly

01:24:04.643 --> 01:24:06.643
on the chartered buss to the

01:24:06.711 --> 01:24:08.711
chartered flight planes.

01:24:08.713 --> 01:24:10.713
Once at passengers were dise

01:24:10.782 --> 01:24:12.782
mbarked and the norwegian

01:24:12.784 --> 01:24:14.784
jewel received its supplies

01:24:17.900 --> 01:24:19.900
and refueling, fixed in this

01:24:19.325 --> 01:24:22.930
case for propulsion problem,
it will continue on its way to

01:24:23.329 --> 01:24:25.830
florida, where it will be home
ported until the cruise

01:24:27.566 --> 01:24:29.566
operation suspension is lifted

01:24:30.636 --> 01:24:31.918
so that's generally the
process.

01:24:34.400 --> 01:24:36.400
If we receive a ship but it

01:24:37.577 --> 01:24:39.577
has no passengers or if we

01:24:39.645 --> 01:24:42.280
receive a ship, we disembark
the passengers.
>> thank you.

01:24:43.490 --> 01:24:45.490
We have about 15 more minutes

01:24:47.352 --> 01:24:49.555
to hear also from deposit sit
higashi of airports division.

01:24:51.725 --> 01:24:54.360
Is there any other questions
for the harbors division?

01:24:58.765 --> 01:25:00.765
>> ten senator, just one

01:25:04.270 --> 01:25:06.270
follow-up.

01:25:06.740 --> 01:25:08.740
You're in contact with the

01:25:08.875 --> 01:25:11.760
coast guard and the cdc?
Greenhouse gas emissions yes,
sir.

01:25:11.578 --> 01:25:13.578
>> and theft department of

01:25:14.281 --> 01:25:16.281
health and the customs and cee

01:25:18.118 --> 01:25:20.653
do the screen and the
disembarking?
>> Deputy Director Chow: we
think the department health

01:25:20.654 --> 01:25:22.121
prior to accepting the plan,
yes, sir.

01:25:23.123 --> 01:25:25.123
>> okay.

01:25:25.326 --> 01:25:27.326
And then so, the department

01:25:30.970 --> 01:25:32.732
health is involved in general
harbor as well?
Greenhouse gas emissions yes,

01:25:34.201 --> 01:25:36.201
sir, general howinvolved.

01:25:38.572 --> 01:25:40.572
And then as a part of that

01:25:42.760 --> 01:25:44.760
phase, there was some

01:25:44.612 --> 01:25:46.279
interface with disembarking?
>> Deputy Director Chow: yes,

01:25:47.348 --> 01:25:49.817
sir.
>> and then greenhouse gas
emissions yes, that's

01:25:49.817 --> 01:25:51.418
correct.
>> okay, thank you

01:25:51.852 --> 01:25:53.820
thank you, senator.
>> thank you.

01:25:53.921 --> 01:25:56.189
Without further question,
thank you, deputy.

01:25:56.924 --> 01:25:59.200
We are now going to go to
deposit the extra ross higas

01:25:59.200 --> 01:26:01.929
hit
with the airports division of

01:26:05.212 --> 01:26:07.234
transportation.
ross, are you still there?
>> Deputy Dir. Higashi: yes, I
am.

01:26:07.234 --> 01:26:09.234
>> okay.

01:26:11.806 --> 01:26:14.526
Good afternoon.
Apologize for not being there
in person.

01:26:15.443 --> 01:26:17.244
I think you guys know why I'm
not there.

01:26:17.646 --> 01:26:20.147
I'm quarantining myself.
Just wanted to be sure that

01:26:24.151 --> 01:26:26.151
you guys -- ed to is my time,

01:26:28.155 --> 01:26:29.444
awaiting my daughter's
results.

01:26:39.234 --> 01:26:41.234
We're waiting for the results.

01:26:41.937 --> 01:26:44.838
(Indiscernible) For the
airports division, I wanted to

01:26:46.874 --> 01:26:48.976
start off by saying that we
rolled out the policies and

01:26:50.445 --> 01:26:52.445
procedures for arriving

01:26:54.450 --> 01:26:56.250
passengers into the ports,
self-quarantined effective

01:26:57.486 --> 01:26:59.486
yesterday at 12:01 A.M.

01:27:02.757 --> 01:27:04.757
Through April 30th, that May

01:27:06.695 --> 01:27:08.695
be further extended.

01:27:08.998 --> 01:27:10.998
(Indiscernible) For managers

01:27:11.767 --> 01:27:14.200
at airports, they're working
tirelessly to the first flight

01:27:14.403 --> 01:27:16.403
that comes in to the last

01:27:17.339 --> 01:27:19.774
flight that arrives as well,
that yesterday, I wanted to

01:27:23.979 --> 01:27:26.264
report that there have been no
issues. With the flight

01:27:26.264 --> 01:27:28.717
crew.
They were taking information

01:27:29.819 --> 01:27:32.787
from all passengers of
airlines, our own staff is
helping out.

01:27:34.356 --> 01:27:36.424
The hda is also supporting the
situation, where we have to

01:27:37.293 --> 01:27:39.293
collect all of the agriculture

01:27:40.863 --> 01:27:42.863
forms that are put

01:27:44.901 --> 01:27:47.503
(Indiscernible) And shared
with emergency management

01:27:49.939 --> 01:27:51.939
agencies.

01:27:52.740 --> 01:27:54.810
So, they maintain all the
information on passengers that

01:27:55.778 --> 01:27:57.778
ranges from the date that they

01:27:57.980 --> 01:27:59.881
arrived, their accommodations
and so forth.

01:28:02.520 --> 01:28:04.520
so, there's a lot of it

01:28:06.456 --> 01:28:08.757
screening for the passengers.
We heard questions earlier

01:28:12.896 --> 01:28:15.831
about the islands, again, if
you follow the procedure and

01:28:17.500 --> 01:28:19.500
policy, it does say that all

01:28:19.770 --> 01:28:21.770
inter island passengers will

01:28:23.273 --> 01:28:25.273
be exempted from the 4-1 day

01:28:26.900 --> 01:28:28.277
itself-quarantine protocols.
Is that thing that again, we

01:28:28.345 --> 01:28:30.345
understand that there could be

01:28:31.481 --> 01:28:34.160
passengers going back and
forth coming in from the

01:28:34.284 --> 01:28:36.284
mainland, taking a flight off

01:28:36.387 --> 01:28:38.888
to the neighboring islands.
That could pose a problem.

01:28:38.956 --> 01:28:41.157
But generic that's the
protocol that we are following

01:28:43.994 --> 01:28:46.463
at this time.
Just wanted to assure you of

01:28:46.463 --> 01:28:48.297
that as well.
Let's see.

01:28:49.399 --> 01:28:51.399
There's a lot of statistics,

01:28:53.437 --> 01:28:54.805
if you look at the data on
flights.

01:28:55.873 --> 01:28:58.141
Also the airport's website has
the most up-to-date

01:28:59.476 --> 01:29:02.780
information on flights.
And I wanted to share with you

01:29:03.800 --> 01:29:05.800
folks some statistics.

01:29:06.884 --> 01:29:09.318
Yesterday we had a little less
than 1600 passengers that came

01:29:12.557 --> 01:29:14.557
to our island.

01:29:16.594 --> 01:29:18.395
The average to 35,000 per
day.

01:29:20.398 --> 01:29:22.332
(Indiscernible) The number has
decreaseed.

01:29:31.543 --> 01:29:33.543
Let's see.

01:29:34.512 --> 01:29:37.140
Year with the fighter jet,, it
has come n they're given the

01:29:40.585 --> 01:29:43.453
same procedures fork 14-day
quarantine and also every

01:29:44.455 --> 01:29:46.455
pilot, all the flight crews

01:29:47.159 --> 01:29:48.592
are tested for their
temperature.

01:29:49.628 --> 01:29:51.628
So far, no flight crews have

01:29:52.364 --> 01:29:54.364
tested where we had a fever

01:29:57.680 --> 01:29:59.470
so, that's good news.
Let's see.

01:30:02.607 --> 01:30:05.418
You guy has questions? You're
supposed to ask questions at
this time?

01:30:08.480 --> 01:30:10.482
>> thank you, deputy ross
higashi.

01:30:10.482 --> 01:30:12.482
Senator marie?

01:30:12.651 --> 01:30:15.553
>> just, you were online
before.
What is your protocol in terms

01:30:15.954 --> 01:30:17.954
of the medical screening when

01:30:18.490 --> 01:30:20.490
they come off the plane? And

01:30:20.659 --> 01:30:22.659
instructions that they're

01:30:22.695 --> 01:30:24.695
given in terms of quarantine?

01:30:29.468 --> 01:30:31.468
Are you monitoring them after

01:30:31.704 --> 01:30:34.405
 -- hda gives them the right to
the hotel? What is the

01:30:35.407 --> 01:30:37.407
protocol after the 14 days to

01:30:37.409 --> 01:30:39.611
insure they are free of
covid-19? There any protocol

01:30:44.830 --> 01:30:46.618
that have you for that?
>> Deputy Dir. Higashi: there
are a couple of questions in

01:30:46.953 --> 01:30:48.953
your question.

01:30:49.722 --> 01:30:51.722
The first thing, the

01:30:55.494 --> 01:30:57.696
passengers are taken to the
hotel.

01:30:57.931 --> 01:31:00.733
Again, there are information
or on the website.

01:31:06.739 --> 01:31:09.574
The hotels are able to finish
form their staff about the
passenger that will be

01:31:09.642 --> 01:31:11.642
arriving at the hotel.

01:31:11.944 --> 01:31:13.944
As far as getting information

01:31:14.114 --> 01:31:16.114
from that website, again, the

01:31:18.218 --> 01:31:20.218
emergency management teams is

01:31:23.230 --> 01:31:24.523
privy to that information.
They

01:31:28.228 --> 01:31:30.228
so, we're taking strict

01:31:31.650 --> 01:31:33.700
enforcement as far as the
community.

01:31:35.202 --> 01:31:36.869
But again, the airports
division, not any passenger

01:31:38.272 --> 01:31:40.640
that leaves the airport is
under the jurisdiction of the

01:31:40.640 --> 01:31:42.640
congress.

01:31:43.760 --> 01:31:45.978
>> I guess I was wanting to
know what you to at the
airport.

01:31:46.613 --> 01:31:48.613
So, this medical screening as

01:31:49.283 --> 01:31:51.618
we heard from harbor, they did
have medical screening once

01:31:54.188 --> 01:31:56.890
they disembarked from the
ship.
Do you have that kind of

01:31:56.523 --> 01:31:58.523
protocol for the airports?

01:32:00.194 --> 01:32:02.795
And then they also give
instructions on the 4-1 day

01:32:03.300 --> 01:32:05.300
quarantine, that what that

01:32:07.350 --> 01:32:08.735
would entail?
>> Deputy Dir. Higashi: right.

01:32:12.506 --> 01:32:14.641
So we give the 4-1 day
quarter tier teen document.

01:32:14.641 --> 01:32:17.177
So that document has
everything to do, once you

01:32:17.645 --> 01:32:20.380
come off the plane.
And of course, at the bottom

01:32:22.182 --> 01:32:24.585
of that document, they talk
about not more than 5,000 or

01:32:25.687 --> 01:32:27.687
up to a year in prison.

01:32:30.558 --> 01:32:33.293
So, there is an, of
self-quarantine documents

01:32:34.610 --> 01:32:35.347
given to every passenger that
deplanes.

01:32:36.630 --> 01:32:38.798
>> and what about the medical
screening?
There's something when they

01:32:42.537 --> 01:32:44.705
deplane, I guess, when they
deplane, in terms of what the

01:32:46.308 --> 01:32:48.308
harbors does.

01:32:50.211 --> 01:32:53.180
They have are going screen
them, even his temperature.

01:32:56.830 --> 01:32:57.784
Something is done when they
deplane?

01:32:58.587 --> 01:33:01.220
>> Deputy Dir. Higashi: yeah.
Again, following the

01:33:01.290 --> 01:33:03.858
procedures, the only ones that
get a temperature scanned are

01:33:04.759 --> 01:33:06.759
the flight crews.

01:33:06.862 --> 01:33:08.862
As far as the passengers,

01:33:10.164 --> 01:33:12.900
they're the wonder that get
all that session gauges as to

01:33:13.301 --> 01:33:14.668
where they're going to be
staying.

01:33:17.952 --> 01:33:19.692
And that's information that
will help the emergency
management agency.

01:33:20.142 --> 01:33:22.142
They will want to check up on

01:33:22.177 --> 01:33:24.177
them to see where they are, to

01:33:25.881 --> 01:33:27.481
make sure that they are
self-quarantining.

01:33:28.216 --> 01:33:30.450
Some they know that they need
to be self-quarantined for 14

01:33:30.450 --> 01:33:33.387
days.
>> so, just to be clear, you

01:33:34.757 --> 01:33:37.292
have no test when they
deplane? Nothing whether it's

01:33:38.594 --> 01:33:40.261
temperature or any
screeninging? They just are

01:33:40.930 --> 01:33:42.930
free to go with instructions

01:33:45.400 --> 01:33:47.557
of the 4-1 day quarantine?
>> Deputy Dir. Higashi: that's

01:33:47.557 --> 01:33:49.557
correct.

01:33:49.638 --> 01:33:51.638
>> I guess we are concerned

01:33:52.675 --> 01:33:54.978
that anyone coming off the
plane, even if they're

01:33:54.978 --> 01:33:56.978
residents and going to the

01:33:57.246 --> 01:33:59.414
neighbor islands oro medonte
when ever they're going are

01:33:59.916 --> 01:34:01.916
actually at least tested while

01:34:02.284 --> 01:34:04.319
you have them captive, so to
speak, before they go into the

01:34:05.421 --> 01:34:07.421
general population.

01:34:07.723 --> 01:34:09.723
Have you had any thoughts of

01:34:09.926 --> 01:34:12.194
airports to do anything like
that since your number of

01:34:14.230 --> 01:34:15.931
passengers coming in now is
declining.

01:34:16.332 --> 01:34:18.332
Hopefully you have staff that

01:34:18.735 --> 01:34:20.735
can do that.

01:34:21.671 --> 01:34:24.372
There's a concern there.
>> Deputy Dir. Higashi: I
hotellity understand your
question.

01:34:24.674 --> 01:34:26.674
But again, we're following the

01:34:30.314 --> 01:34:32.881
policies and procedures by the
general.
It's the policies and

01:34:35.418 --> 01:34:37.418
procedures that will disdate

01:34:40.690 --> 01:34:43.425
from March 26 they through
April 30th.

01:34:46.797 --> 01:34:48.797
(Indiscernible)

01:34:59.809 --> 01:35:01.809
>> senator?.

01:35:06.283 --> 01:35:08.283
Now, again, I think we're

01:35:10.487 --> 01:35:12.955
watching, and now,
(Indiscernible)? Which is it?

01:35:14.724 --> 01:35:16.392
I don't understand.
>> Deputy Dir. Higashi: the

01:35:16.994 --> 01:35:19.296
crew get tested with the
temperature scans.

01:35:20.998 --> 01:35:22.998
But the passengers are just

01:35:24.435 --> 01:35:26.435
provided their id along with

01:35:27.872 --> 01:35:29.806
aning a form which gives a lot
of information on the

01:35:30.441 --> 01:35:33.100
passenger that they put into
the dod.

01:35:33.100 --> 01:35:35.100
They're not temperature

01:35:37.293 --> 01:35:39.293
scanned to anticipate your

01:35:59.170 --> 01:36:00.594
question.
>> they're not temperature

01:36:03.874 --> 01:36:06.890
scanned.
I heard the general say he was
going to give (Indiscernible)
Equipment, to the people out
there.
If (Indiscernible) Procedures
f

01:36:06.890 --> 01:36:07.844
>> Deputy Dir. Higashi: I'm
just following the plan that,
you know, again

01:36:12.484 --> 01:36:13.906
>> senator? Senator?
Senator?

01:36:15.787 --> 01:36:17.787
[Overlapping speakers]

01:36:21.926 --> 01:36:23.926
Hello? Accept accept senator

01:36:26.931 --> 01:36:28.933
navella? If you look at your
agenda, general will be

01:36:29.301 --> 01:36:32.400
speaking with us at 4:00.
And you can ask him those

01:36:32.400 --> 01:36:34.439
questions then.
And I'm sure whatever the

01:36:35.441 --> 01:36:37.842
plans that were proposed are
still being worked on to train

01:36:37.943 --> 01:36:40.644
the people that you're talking
about.
But can we go do a question

01:36:43.810 --> 01:36:45.349
from senator kim, please?
>> thank you.

01:36:46.519 --> 01:36:48.521
Hi, ross.
>> Deputy Dir. Higashi: hi.

01:36:48.521 --> 01:36:50.655
>> senator kim
I heard what you said about

01:36:53.250 --> 01:36:55.461
the inter island exception
exemption.
And I understand that you are

01:36:55.461 --> 01:36:57.461
following the protocol from

01:36:57.496 --> 01:36:59.496
the general.

01:36:59.598 --> 01:37:01.899
However, the general is not
there day today.

01:37:03.369 --> 01:37:05.370
He's not the one that is
seeing what's going on.

01:37:08.541 --> 01:37:10.541
And so, have there any kins of

01:37:10.543 --> 01:37:12.978
recommendation, and protocols
that you can recommend? Or

01:37:16.415 --> 01:37:18.415
that we need to put in place?

01:37:19.418 --> 01:37:21.418
Because the firearm

01:37:21.487 --> 01:37:23.455
I talked with them in
morning.

01:37:23.557 --> 01:37:25.924
They're very concerned that
these inter island passenger,

01:37:26.926 --> 01:37:29.496
not even given an form, not
even being told about
anything

01:37:29.496 --> 01:37:31.496
and they're very concerned

01:37:32.932 --> 01:37:34.932
that their islands that are

01:37:35.868 --> 01:37:38.360
now free since we're not
testing everybody that can be

01:37:39.139 --> 01:37:40.606
positive, but so far they're
covid-19-free.

01:37:41.708 --> 01:37:44.510
So, how can we continually
help these two islands at

01:37:45.378 --> 01:37:47.378
least to make sure that we can

01:37:47.881 --> 01:37:50.649
keep them that way and perhaps
you can make recommendations

01:37:52.652 --> 01:37:54.652
to the general on how we can

01:37:57.158 --> 01:37:59.158
do this?

01:37:59.893 --> 01:38:01.893
>> Deputy Dir. Higashi: yes.

01:38:04.965 --> 01:38:07.867
It our religioning day wasaga
to be able to prove that their

01:38:08.535 --> 01:38:11.137
you're a hawai'I resident,
first of all.

01:38:13.174 --> 01:38:15.174
Secondly, if they're not hide

01:38:16.410 --> 01:38:19.145
resident, if you don't have a
card to prove, or some other

01:38:19.914 --> 01:38:22.215
kind ofism d or maybe a piece
of mail or something to prove

01:38:24.551 --> 01:38:26.419
that you are a resident ever
hawai'I, then the policy and

01:38:26.887 --> 01:38:28.887
procedures that we have right

01:38:29.556 --> 01:38:31.556
now, and that could be

01:38:31.693 --> 01:38:33.693
presented at the gates before

01:38:33.928 --> 01:38:35.928
you go on to the bridge that.

01:38:36.130 --> 01:38:38.999
Would be one type of screening
process that could alleviate,

01:38:41.702 --> 01:38:43.702
you know, passengers from

01:38:45.500 --> 01:38:47.500
possibly coming in f say

01:38:49.578 --> 01:38:51.578
they're going to wakiki, but

01:38:51.713 --> 01:38:53.647
they're on (Indiscernible).
>> right.

01:38:54.149 --> 01:38:56.149
>> that could be one procedure

01:38:57.652 --> 01:38:59.652
that could get put in place.

01:39:01.220 --> 01:39:03.723
However, we are concerned
about maybe some people going

01:39:04.580 --> 01:39:06.159
back and forth between the
islands.

01:39:06.261 --> 01:39:09.300
So, that's another situation
where there has to be some

01:39:17.739 --> 01:39:20.607
sort of condition, similarly
(Indiscernible) T you know, to

01:39:21.242 --> 01:39:23.845
prove that you're allowed to
be exemption from flying back

01:39:24.747 --> 01:39:27.470
and forth between the neighbor
islands.

01:39:27.950 --> 01:39:29.950
The other more restrictive

01:39:30.552 --> 01:39:33.521
plan could be to impose a
4-1 day quarantine on all

01:39:35.257 --> 01:39:36.824
travelers going back and
forth.

01:39:37.592 --> 01:39:40.270
However, I do feel that there
should be maybe an exemption.

01:39:41.970 --> 01:39:43.970
Because for, you know,

01:39:43.699 --> 01:39:45.699
politicians, they fly back and

01:39:45.968 --> 01:39:48.703
forth for each session.
So, we should come up maybe

01:39:51.990 --> 01:39:53.990
with an exemption plan for

01:39:54.609 --> 01:39:56.609
certain types of travelers.

01:39:58.810 --> 01:40:00.816
>> thank you for that.
Some of these things, I know

01:40:02.285 --> 01:40:04.285
the general is inundated.

01:40:04.286 --> 01:40:06.286
And I'm sure some of these

01:40:08.724 --> 01:40:11.259
more restrictive things the
op-eds can do, like trying to

01:40:12.161 --> 01:40:13.695
verify that they are in fact a
hawai'I resident.

01:40:15.165 --> 01:40:17.165
And hopefully, at least giving

01:40:18.167 --> 01:40:21.300
forms to these inter island
travelers, as to concerns,

01:40:21.237 --> 01:40:23.237
what they should be doing and

01:40:23.740 --> 01:40:26.410
have them fill out to make
sure that there is some kind

01:40:27.810 --> 01:40:30.245
of tracking mechanism.
Because you know, the neighbor

01:40:30.746 --> 01:40:33.683
islands are concerned that
people are bringing into their

01:40:34.718 --> 01:40:36.718
islands.

01:40:38.688 --> 01:40:40.688
So, certainly exemptions, but

01:40:43.590 --> 01:40:45.260
I think what manai and muk of
laki would like would be to

01:40:46.229 --> 01:40:48.530
lessen the amount of people.
Other than those they're

01:40:48.698 --> 01:40:50.698
exempts, those who have to go

01:40:51.680 --> 01:40:53.680
to work, if there is alberta a

01:40:53.700 --> 01:40:55.700
4-1 day quarantine that,th

01:40:56.390 --> 01:40:58.390
will discourage people from

01:41:01.210 --> 01:41:03.580
trying to go to vacation or
stay-kation.

01:41:03.580 --> 01:41:05.114
>> Deputy Dir. Higashi: yes.
Yes.

01:41:06.849 --> 01:41:08.785
And I do want
(Indiscernible).
Okay.

01:41:10.154 --> 01:41:12.154
So, can we get to you confirm

01:41:12.556 --> 01:41:14.556
that you will look at how you

01:41:15.592 --> 01:41:17.592
can implement this if and get

01:41:18.362 --> 01:41:20.362
back to us? And will be

01:41:20.797 --> 01:41:23.232
talking with general harrah,
but I think he's looking to

01:41:23.700 --> 01:41:25.700
the departments and to the

01:41:26.700 --> 01:41:27.871
deputies to help make these
recommendation, and to put

01:41:28.372 --> 01:41:30.372
them into place, as long as

01:41:30.641 --> 01:41:33.276
it's in keeping with what is
being directioned by the

01:41:33.878 --> 01:41:35.878
governor and possibly being

01:41:41.819 --> 01:41:43.519
even more rerestrictive.
>> Deputy Dir. Higashi: yes.

01:41:44.255 --> 01:41:46.890
I'll take your questions.
>> the last question, last

01:41:47.659 --> 01:41:50.227
night as I was watching the
new, there was a local

01:41:50.695 --> 01:41:52.362
resident, an individual who
returned home.

01:41:55.166 --> 01:41:57.400
And he said that he felt that
whatever screening and

01:41:58.803 --> 01:42:00.803
whatever you required was not

01:42:00.872 --> 01:42:03.407
strines stringen st enough.
And he was concerned.

01:42:05.243 --> 01:42:07.678
So I'm not sure what he meant
by that because he didn't

01:42:08.279 --> 01:42:10.279
really go into t but if have

01:42:12.283 --> 01:42:14.283
you people coming off the

01:42:15.720 --> 01:42:17.720
plane and they don't feel that

01:42:17.923 --> 01:42:20.257
screening string ent enough,
I'm concerned that tourist

01:42:25.230 --> 01:42:27.798
also take advantage of that.
Continue yeah

01:42:31.936 --> 01:42:34.204
we follow -- again, I'm not
trying to run from your

01:42:36.275 --> 01:42:38.242
question, but again he again,
we're following the general

01:42:41.947 --> 01:42:43.381
pricer policies that have been
implemented.

01:42:45.150 --> 01:42:47.150
[Overlapping speakers]

01:42:49.154 --> 01:42:51.154
>> Deputy Dir. Higashi: and so

01:42:54.760 --> 01:42:57.395
t (Indiscernible) Like I said
earlier, 1500 passengers a day

01:42:58.164 --> 01:43:00.164
statewide; that's unheard of

01:43:00.433 --> 01:43:03.168
in terms of your normal 35,000
per day.
>> yes.
Thank you.

01:43:03.168 --> 01:43:05.168
We appreciate that.

01:43:07.372 --> 01:43:09.372
And we know it's not perfect.

01:43:09.441 --> 01:43:11.441
But with any 1600, it problems

01:43:12.345 --> 01:43:13.745
more manageable to do some of
those things.

01:43:14.347 --> 01:43:17.480
But we are looking to airport,
harbors for leadership.

01:43:18.818 --> 01:43:20.818
We're looking at you guys to

01:43:21.870 --> 01:43:23.855
not just follow the protocol
but to streamline this, and

01:43:24.256 --> 01:43:26.424
make it more safe.
Because you've been given

01:43:27.894 --> 01:43:30.295
general protocols.
And certainly your position

01:43:30.864 --> 01:43:33.732
requires you folks to be in
that position to make these

01:43:34.267 --> 01:43:36.802
recommendations, and to
streamline these protocols.

01:43:37.437 --> 01:43:39.437
So that question assure the

01:43:40.406 --> 01:43:42.406
public that they're going to

01:43:45.345 --> 01:43:47.120
be safe.
>> Deputy Dir. Higashi: thank

01:43:51.170 --> 01:43:52.885
you for that.
Yeah.

01:43:54.721 --> 01:43:56.755
Possibly we will have more
streamlined policies for the

01:43:57.490 --> 01:43:59.458
neighboring islands as well.
Thank you.

01:44:00.827 --> 01:44:03.629
So could you get back to us on
that? Thank you. Senate

01:44:03.731 --> 01:44:05.731
expense scandal senator dela

01:44:08.368 --> 01:44:10.368
cruz has a question.

01:44:11.538 --> 01:44:13.538
Senator dela cruz: general to

01:44:18.411 --> 01:44:20.812
give you changes to the border
making recommendations as to

01:44:24.752 --> 01:44:26.719
how the procedures should be
changed?
>> Deputy Dir. Higashi: like I

01:44:28.489 --> 01:44:30.489
said, I can suggest t as far

01:44:30.491 --> 01:44:32.491
as what protocols he comes up

01:44:32.759 --> 01:44:34.759
with, that's a good question.

01:44:35.262 --> 01:44:37.262
I'll be more proactive and

01:44:37.465 --> 01:44:38.899
update my recommendations for
consideration.

01:44:40.301 --> 01:44:42.301
That would be a good plan.

01:44:42.470 --> 01:44:44.470
I understand.

01:44:44.872 --> 01:44:47.700
Senator dela cruz
we'll look for those those

01:44:47.908 --> 01:44:50.510
recommendation inside a week.
Just a follow-up, ross.

01:44:51.312 --> 01:44:53.913
How are you proceeding to
charter planes and private

01:44:56.170 --> 01:44:58.170
jets? What's your protocol to

01:44:58.860 --> 01:45:00.860
make sure that those

01:45:04.392 --> 01:45:07.160
individuals are being checked?
>> Deputy Dir. Higashi: a304,

01:45:09.300 --> 01:45:11.300
4-1 day quarantine and every

01:45:12.367 --> 01:45:14.367
plane, every jet that lands,

01:45:15.971 --> 01:45:17.971
we have the flight rules, to

01:45:18.907 --> 01:45:21.442
check every flight crew member
for their temperature.

01:45:24.812 --> 01:45:26.108
So far, luckily, nobody has a
fever.

01:45:32.821 --> 01:45:34.821
Senator dela cruz

01:45:34.823 --> 01:45:36.490
were these people attended
to?

01:45:37.993 --> 01:45:40.940
>> Deputy Dir. Higashi: not to
my knowledge.

01:45:40.940 --> 01:45:42.940
Senator dela cruz

01:45:42.564 --> 01:45:44.331
okay, thank you.
>> Deputy Dir. Higashi: also,

01:45:45.400 --> 01:45:47.400
we're also doing the flight

01:45:49.572 --> 01:45:50.905
crew and the cargo carriers as
well.

01:45:52.107 --> 01:45:54.107
Senator dela cruz

01:45:54.576 --> 01:45:56.576
okay, thank you.

01:46:03.585 --> 01:46:05.585
[Overlapping speakers]

01:46:06.880 --> 01:46:08.256
We do appreciate your
efforts.
>> Deputy Dir. Higashi: yes.

01:46:09.392 --> 01:46:11.392
I do understand the senator's

01:46:11.961 --> 01:46:13.244
concerns about inter island
travel.

01:46:15.164 --> 01:46:17.164
I do understand that.

01:46:18.467 --> 01:46:20.467
And I will follow it up after

01:46:22.170 --> 01:46:24.673
this, see where he is.
Okay.
Thank you, sir.

01:46:25.410 --> 01:46:27.410
If there's no further quest of

01:46:28.100 --> 01:46:30.979
the airport's deputyity
director, thank you very much,

01:46:35.384 --> 01:46:37.384
deputy director higashi.

01:46:39.154 --> 01:46:41.154
we have next on our agenda

01:46:41.991 --> 01:46:43.892
department of the attorney
general, attorney general

01:46:48.464 --> 01:46:50.198
clare conners on the line?
>> Attorney Gen. Connors: hi.

01:46:50.499 --> 01:46:52.499
I'm having difficulty hearing

01:46:55.438 --> 01:46:57.180
the person that was just
talking.
F song

01:46:59.609 --> 01:47:01.609
this is senator kadani, also

01:47:04.114 --> 01:47:06.114
here is senator kim, senator

01:47:07.751 --> 01:47:10.652
wakai and senator dela cruz,
fravell and of a are online.

01:47:11.421 --> 01:47:13.222
So, thank you for joining us
today, attorney general.

01:47:14.624 --> 01:47:16.624
Can you start with a statement

01:47:17.428 --> 01:47:19.428
or a follow-up if you have any

01:47:25.680 --> 01:47:26.769
to present?
>> Attorney Gen. Connors: yes.

01:47:28.505 --> 01:47:30.505
We've been having number of

01:47:38.949 --> 01:47:41.584
different issues.
We've been handling issues as

01:47:41.652 --> 01:47:43.652
they arise.

01:47:44.488 --> 01:47:45.772
We're all working very
closely.

01:47:49.260 --> 01:47:51.194
We have set up some of the
operational procedures for

01:47:57.340 --> 01:47:58.886
managing the covid-19
exemption.

01:47:59.470 --> 01:48:01.470
We have set up meetings to

01:48:02.973 --> 01:48:04.973
better handle the operations

01:48:06.977 --> 01:48:08.977
for handling of each request.

01:48:10.648 --> 01:48:12.648
And also, the request for

01:48:13.151 --> 01:48:15.151
assistance, there were

01:48:16.587 --> 01:48:19.550
concerns about the response to
covid-19.

01:48:20.658 --> 01:48:22.658
Now, we're also working with

01:48:23.728 --> 01:48:25.728
the county prosecutor, with

01:48:29.340 --> 01:48:31.340
the judiciary regarding the

01:48:32.136 --> 01:48:34.136
prison populations that, we

01:48:35.607 --> 01:48:37.607
have -- we have been working

01:48:38.175 --> 01:48:40.175
on even prior to.

01:48:41.312 --> 01:48:43.312
The defender said to me that

01:48:47.352 --> 01:48:50.220
right now, we need to
coordinate.

01:48:50.822 --> 01:48:52.323
Trough down from the
building.

01:48:53.224 --> 01:48:55.224
People are incarcerated.

01:48:57.695 --> 01:48:59.830
The concern that I have is
that there are a number ever

01:49:01.333 --> 01:49:03.333
individuals that are in

01:49:03.802 --> 01:49:05.802
category, in there because

01:49:06.380 --> 01:49:08.380
they have either committed

01:49:08.774 --> 01:49:10.774
appear offense or they're in

01:49:11.109 --> 01:49:13.109
there because they have prior

01:49:14.846 --> 01:49:17.281
conviction vicks or prior
orders, things like that.

01:49:17.817 --> 01:49:19.817
So, we do have an issue that

01:49:22.722 --> 01:49:24.722
we are trying to manage.

01:49:26.692 --> 01:49:28.693
We are fully aware of it areas
that have been concerned

01:49:29.795 --> 01:49:31.795
regarding the prison

01:49:32.731 --> 01:49:34.731
population and the covid-19

01:49:37.737 --> 01:49:39.737
interface.

01:49:41.374 --> 01:49:43.374
So, it the prosecutors are

01:49:44.677 --> 01:49:46.677
responsible for resolving

01:49:46.879 --> 01:49:48.879
(Indiscernible) (Away from

01:49:54.420 --> 01:49:56.420
microphone).

01:49:57.624 --> 01:49:59.624
We're also trying to answer

01:50:02.695 --> 01:50:04.695
questions by e-mail.

01:50:05.164 --> 01:50:07.164
So, because of the types of

01:50:10.904 --> 01:50:12.904
conditions that they have

01:50:13.841 --> 01:50:15.841
(Indiscernible).

01:50:16.342 --> 01:50:18.342
So, we're aware of that and

01:50:21.147 --> 01:50:23.849
taking all the requests and
process them as much as
possible.

01:50:24.217 --> 01:50:25.784
Dollar number of things we are
working on.

01:50:29.289 --> 01:50:31.357
If there is anything in
particular that the committee

01:50:34.361 --> 01:50:36.930
wants to hear about, we'll
operating under essential

01:50:36.930 --> 01:50:38.930
services here.

01:50:39.866 --> 01:50:41.866
So, we have all of our

01:50:44.170 --> 01:50:46.170
essential services.

01:50:47.441 --> 01:50:49.441
, if the justice data center,

01:50:49.677 --> 01:50:51.677
the crime reduction justice

01:50:52.146 --> 01:50:54.146
program, operations of the

01:50:54.248 --> 01:50:56.215
staff they're still providing
support.

01:51:01.688 --> 01:51:03.688
Otherwise, everybody else is

01:51:08.262 --> 01:51:10.262
working.

01:51:12.833 --> 01:51:14.833
We're still handling locations

01:51:18.739 --> 01:51:20.739
and also different concerns

01:51:29.170 --> 01:51:31.518
about when and how.
I'd be happy to answer any

01:51:31.519 --> 01:51:33.920
further questions.
>> thank you, attorney
general.

01:51:35.289 --> 01:51:37.891
senator kim has a question.
>> attorney general conner,
thank you.

01:51:38.493 --> 01:51:39.894
I'm not sure if you're the
person.

01:51:41.730 --> 01:51:43.730
But would you be the one to

01:51:43.965 --> 01:51:45.965
determine the interpretation

01:51:46.801 --> 01:51:48.801
of the exemptions or people

01:51:48.870 --> 01:51:51.738
who could co-continue to
operate? For example, I have

01:51:53.308 --> 01:51:55.308
gotten calls from people who

01:51:55.310 --> 01:51:57.812
are home occupants,
occupation, and where they May

01:51:59.882 --> 01:52:01.882
deal with one individual at a

01:52:03.510 --> 01:52:04.452
final they can continue to
operate.

01:52:05.887 --> 01:52:07.887
Would you make that call or is

01:52:10.825 --> 01:52:12.825
that general hawar?

01:52:12.962 --> 01:52:14.329
Sorry, I didn't hear the
question.

01:52:15.331 --> 01:52:17.398
I wanted to make sure I
understood it.

01:52:19.301 --> 01:52:21.301
For these needing eightist

01:52:21.503 --> 01:52:24.710
seasons under limited pro
clammation, can they come to

01:52:25.540 --> 01:52:27.540
me for assistance? The short

01:52:29.545 --> 01:52:32.414
answer is yes.
The general is involved as

01:52:34.350 --> 01:52:36.350
well, because is he officially

01:52:36.985 --> 01:52:38.985
the one it f so we have set up

01:52:41.924 --> 01:52:43.924
for the public and for all who

01:52:46.996 --> 01:52:48.996
have questions, I have at 15

01:52:51.801 --> 01:52:53.801
deposit stay staff around the

01:52:56.305 --> 01:52:58.907
clock.
Please feel free, senator to

01:52:59.750 --> 01:53:01.750
have any questions like that

01:53:02.445 --> 01:53:04.579
go through that e-mail.
We although put out an

01:53:04.781 --> 01:53:07.490
immediate response and then
every day we send a report to

01:53:11.354 --> 01:53:14.890
the general, which where are
handling these requests.

01:53:14.524 --> 01:53:16.992
A lot of them are requests.
A lot of them require certain

01:53:22.799 --> 01:53:24.799
advice to be handed out.

01:53:26.903 --> 01:53:28.903
So, I think the numbers are

01:53:29.390 --> 01:53:31.607
really, really left arm right
now.
Of course there's hundreds and

01:53:33.430 --> 01:53:35.430
hundreds of people that have

01:53:36.345 --> 01:53:38.345
submitting requests.

01:53:38.648 --> 01:53:40.983
But some of them are up to the
general that he'd like to make

01:53:41.452 --> 01:53:42.734
the call on.
Okay

01:53:44.455 --> 01:53:46.455
you can say offhand as to if

01:53:47.324 --> 01:53:49.926
you work from home and -- like
say if you're a tax preparer,

01:53:51.280 --> 01:53:53.280
and you work with one

01:53:53.130 --> 01:53:55.130
individual, or if you have

01:53:56.566 --> 01:53:58.902
happen to do man cures and you
work with one person at a

01:54:01.639 --> 01:54:04.441
time, would that be an
exemption?
>> Attorney Gen. Connors: I'm
sorry, senator.

01:54:04.441 --> 01:54:06.441
I'm having trouble.

01:54:06.977 --> 01:54:09.445
The only person I could really
hear clearly was senator dela

01:54:10.381 --> 01:54:13.150
cruz when he was talking.
So if you're asking for legal

01:54:13.684 --> 01:54:15.684
advice, I'd like to be sure I

01:54:15.687 --> 01:54:17.715
hear that question clearly.
And I just didn't, I

01:54:17.715 --> 01:54:19.715
apologize.

01:54:23.600 --> 01:54:25.600
>> let me ask you again.

01:54:26.397 --> 01:54:28.397
You can hear me now, better?

01:54:28.399 --> 01:54:31.134
>> Attorney Gen. Connors: I
k and I will take notes and

01:54:31.669 --> 01:54:34.171
repeat to make sure I have
your question down correctly.

01:54:35.473 --> 01:54:38.142
I was just wondering if, off
the top of your head, if you

01:54:39.430 --> 01:54:41.178
have a home okay face passion
where you meet with one

01:54:42.213 --> 01:54:44.213
individual, say a tax preparer

01:54:45.483 --> 01:54:48.180
or a manicurist who work out
of their home and have a home

01:54:51.222 --> 01:54:53.925
home license, would they are
exempt?
Right now, as I understand t I

01:54:53.925 --> 01:54:55.925
don't believe so.

01:54:58.430 --> 01:55:00.430
But I actually if that's only

01:55:00.965 --> 01:55:02.965
because of the stay at home

01:55:04.235 --> 01:55:06.703
essential services.
To the extent that two

01:55:09.708 --> 01:55:11.708
involves in-person types of

01:55:12.411 --> 01:55:14.546
consultations, that is
something we should nail down

01:55:14.546 --> 01:55:16.546
a little bit more.

01:55:16.581 --> 01:55:18.581
and manicures I think are not

01:55:19.651 --> 01:55:21.184
covered in any of the
exemptions as

01:55:23.455 --> 01:55:24.740
I'm thinking off the top of my
head.

01:55:25.524 --> 01:55:27.524
If you want me to look at that

01:55:29.695 --> 01:55:32.163
more carefully, please feel
free.
>> okay.

01:55:36.680 --> 01:55:38.970
I will also tell them to go to
that -- to their e-mail and
ask that question themselves.

01:55:41.540 --> 01:55:43.540
So, thank you very much.

01:55:47.713 --> 01:55:49.713
>> thank you.

01:55:50.116 --> 01:55:52.218
Senator dela cruz has a
question.
Senator dela cruz

01:55:52.218 --> 01:55:54.218
thank you.

01:55:54.753 --> 01:55:56.753
I just wanted to know if the

01:55:57.122 --> 01:55:59.122
government will issue a

01:56:00.527 --> 01:56:02.694
supplemental documentation to
specifically outline

01:56:03.496 --> 01:56:05.496
conditions and foreclosures

01:56:05.765 --> 01:56:07.666
during that emergency period?
There's a lot of responses

01:56:08.701 --> 01:56:10.701
from landlords and vendors.

01:56:11.700 --> 01:56:13.700
So any clarity would help.

01:56:13.272 --> 01:56:15.840
Sure, I appreciate that.
Actually the first declaration

01:56:16.642 --> 01:56:18.642
that governor issued on March

01:56:19.212 --> 01:56:22.140
fifth that had the effect of
suspending certain parts of

01:56:24.840 --> 01:56:26.840
the landlord and tenant law,

01:56:28.367 --> 01:56:30.622
so that that is the
foreclosure and eviction
capabilities of a landlord.

01:56:35.950 --> 01:56:37.950
Actually the one thing that

01:56:38.980 --> 01:56:40.980
our lawyers said, they have

01:56:40.534 --> 01:56:43.169
jurisdiction over that area.
So the issue, the first

01:56:43.537 --> 01:56:45.371
employee clammation, March
fourth, the'sbility of

01:56:46.773 --> 01:56:48.773
landlords to evict or

01:56:51.440 --> 01:56:53.440
foreclose was suspended to a

01:56:54.782 --> 01:56:56.782
certain degree.

01:56:57.751 --> 01:57:00.720
Can I certainly set up -- I
can e-mail him and make sure

01:57:03.624 --> 01:57:04.918
that that response gets to
you.

01:57:05.859 --> 01:57:07.894
Senator dela cruz okay, thank
you.

01:57:07.894 --> 01:57:09.894
>> senator murray?

01:57:11.732 --> 01:57:13.700
>> hi attorney general.
A couple of things.

01:57:16.770 --> 01:57:19.672
One, just following up on an
individual request: if a

01:57:19.840 --> 01:57:21.840
person, this older person has

01:57:22.109 --> 01:57:24.277
been actually working for a
contractor that goes in and

01:57:27.282 --> 01:57:29.583
does repairs on condos has
asked his employer whether he

01:57:31.752 --> 01:57:33.752
could stay at home, have some

01:57:34.122 --> 01:57:36.189
kind of temporary leave and
he's been denied.

01:57:36.891 --> 01:57:39.793
Is there any resource course
for people like that? Co-op

01:57:40.795 --> 01:57:42.529
cop that is a good -- 
>> Attorney Gen. Connors: that

01:57:43.364 --> 01:57:45.733
is a good question and a
complicated one at the moment,

01:57:45.867 --> 01:57:47.901
especially depending on the
statistics that you he has

01:57:54.876 --> 01:57:57.678
with the contractor.
I'd like to look at that a bit

01:58:01.717 --> 01:58:03.784
more carefully and do it in
concert (Indiscernible).

01:58:05.253 --> 01:58:07.822
>> and regarding the
exemption, cove could have

01:58:08.423 --> 01:58:10.758
exemption -- covid-19
exemption website, when you

01:58:11.393 --> 01:58:13.393
get all of these kinds of

01:58:13.762 --> 01:58:15.897
questions, I think they're
probably grouped together,

01:58:15.897 --> 01:58:17.897
screw website or somewhere

01:58:20.268 --> 01:58:22.268
where you have a q and a for

01:58:23.338 --> 01:58:25.338
people so that you don't get

01:58:25.407 --> 01:58:28.242
constantly inundated with the
same question? People might

01:58:30.212 --> 01:58:32.212
go and see some of the tonight

01:58:33.215 --> 01:58:35.215
most-asked questions?

01:58:35.250 --> 01:58:37.250
>> Attorney Gen. Connors: yes.

01:58:37.987 --> 01:58:39.988
And our department continue
are working on that right

01:58:39.988 --> 01:58:42.724
now.
We've just been trying to get

01:58:44.860 --> 01:58:46.928
out the e-mails to the
public.

01:58:47.730 --> 01:58:49.932
But yes, we agree, that a
website is coming up and we're

01:58:49.932 --> 01:58:51.932
working on that.

01:58:54.303 --> 01:58:56.972
thank you very much for your
work.

01:58:57.807 --> 01:59:00.175
Thank you.
Senator, were there any more

01:59:02.345 --> 01:59:04.790
quest of attorney general
conners? Senator dela cruz I

01:59:05.281 --> 01:59:07.281
have no questions.

01:59:07.316 --> 01:59:09.316
>> senator?

01:59:09.785 --> 01:59:11.185
>> thank you. For all of your
work on.

01:59:11.855 --> 01:59:14.456
This I have two questions.
One is a follow-up to senator

01:59:18.428 --> 01:59:20.228
dela cruz's question by the
suspensions.

01:59:22.298 --> 01:59:24.298
You can help us provide some

01:59:26.268 --> 01:59:28.469
clarity to homeowners about us
is pension of mortgages?

01:59:32.475 --> 01:59:34.475
And in particular, I think

01:59:35.946 --> 01:59:37.946
investor landlords, you know,

01:59:38.748 --> 01:59:40.748
if a suspension of a

01:59:44.287 --> 01:59:46.955
landlord/tenant requires or
essentially -- there are any

01:59:47.390 --> 01:59:49.390
provisions in the emergency

01:59:49.993 --> 01:59:51.993
pro clam agos that allow or

01:59:52.829 --> 01:59:54.829
require some sort of ream

01:59:55.866 --> 01:59:57.866
forebearan cor an extension

01:59:59.502 --> 02:00:02.370
process on the mortgages?
>> Attorney Gen. Connors: sure.

02:00:03.973 --> 02:00:05.973
And that's why I think it's

02:00:08.212 --> 02:00:09.579
not as straightforward as
foreclosures.

02:00:13.450 --> 02:00:15.450
It is more complex.

02:00:15.819 --> 02:00:17.819
Ly treat that as sort of a

02:00:20.490 --> 02:00:22.490
follow-up to what I will work

02:00:23.327 --> 02:00:25.544
with on and I will submit that
response to you and senator
dela cruz.

02:00:27.300 --> 02:00:28.898
With respect to to homeowners'
mortgages I know that is

02:00:33.470 --> 02:00:35.405
something the governor has
raised.

02:00:36.400 --> 02:00:38.841
With regard to policy.
But you I duly note that that

02:00:40.278 --> 02:00:42.847
will be an issue as well.
S as for the landlords and

02:00:42.847 --> 02:00:44.914
tenants and charge that
balance is, with respect to to

02:00:45.616 --> 02:00:47.616
the landlords and the tenants,

02:00:49.454 --> 02:00:51.421
I will get that addressed.
>> thank you.

02:00:52.990 --> 02:00:54.990
one more question.

02:00:55.893 --> 02:00:57.893
Senator kim allowed -- alluded

02:00:59.531 --> 02:01:01.765
to the tracking application
that south korea reportedly

02:01:04.736 --> 02:01:06.770
has been utilized to enforce
things like mandatory

02:01:09.730 --> 02:01:11.730
quarantine orders.

02:01:13.377 --> 02:01:15.377
So, I am interested in

02:01:15.414 --> 02:01:17.414
understanding whether athe

02:01:17.582 --> 02:01:19.582
attorney general has broad

02:01:20.285 --> 02:01:22.285
authority over -- broad

02:01:23.354 --> 02:01:25.354
emergency authority? It seems

02:01:26.358 --> 02:01:28.358
to me like for the safety hide

02:01:28.860 --> 02:01:30.860
to consider implementing a

02:01:31.964 --> 02:01:33.964
program similar to that south

02:01:35.501 --> 02:01:37.501
korean quarantine enforcement

02:01:37.936 --> 02:01:39.804
act, there would need to be
some suspension of civil

02:01:40.539 --> 02:01:42.539
rights provisions.

02:01:44.309 --> 02:01:46.577
And I'm wondering in your
opinion what it would take for

02:01:47.946 --> 02:01:50.281
to us get to that point? Or
what are some of the issues

02:01:52.451 --> 02:01:54.451
that you would be trying to

02:01:55.354 --> 02:01:57.354
find -- trying to make sure

02:01:59.637 --> 02:02:02.260
are clear, any potential
supplemental pro clammation if

02:02:02.394 --> 02:02:04.394
the governor let us do that.

02:02:04.429 --> 02:02:07.131
It's not clear to me.
You can meant on that, please?

02:02:07.400 --> 02:02:09.134
Thank you.
>> Attorney Gen. Connors: sure.

02:02:13.139 --> 02:02:16.700
So where we are right now, we
have support with the

02:02:17.760 --> 02:02:19.410
emergency proclaimation,
theship day quarantine period

02:02:20.412 --> 02:02:21.980
to be enforced and the stay at
home order.

02:02:22.581 --> 02:02:24.581
The way that the general has

02:02:27.870 --> 02:02:29.554
done it is he has told law
enforcement that at some

02:02:30.423 --> 02:02:32.423
point, there is enforcement

02:02:34.494 --> 02:02:36.494
that they should support.

02:02:36.595 --> 02:02:38.595
Day 169 4-1 day quarantine and

02:02:40.666 --> 02:02:42.666
day two of the stay at home

02:02:43.103 --> 02:02:45.438
(Indiscernible) Too.
And what kins of things that

02:02:47.507 --> 02:02:49.642
they are seeing in terms of
number, in terms of expire

02:02:49.876 --> 02:02:51.876
agos and then in terms of as

02:02:52.445 --> 02:02:54.445
you suggested the need

02:02:55.148 --> 02:02:57.148
possibly for court orders to

02:02:59.152 --> 02:03:01.152
corner teen orders, which are

02:03:01.488 --> 02:03:03.488
different.

02:03:10.396 --> 02:03:12.398
Those the health department
would be involved, the

02:03:12.933 --> 02:03:14.533
emergency management
provision.

02:03:15.168 --> 02:03:17.168
So those are things that we

02:03:18.500 --> 02:03:20.640
are tracking with law
enforcement as we see

02:03:22.710 --> 02:03:24.710
unfolding and as we see the

02:03:29.716 --> 02:03:31.716
challenges.

02:03:36.424 --> 02:03:38.424
If it May be easier for them

02:03:38.426 --> 02:03:40.927
and more difficult for owahu
to do.

02:03:41.929 --> 02:03:44.664
But the law enforcement is
front and center.

02:03:45.532 --> 02:03:47.532
The question is how we do it

02:03:51.940 --> 02:03:54.700
with respect to the courts.
Certain certain but I think

02:03:56.644 --> 02:03:58.644
that would be addressed to

02:03:59.580 --> 02:04:01.580
make sure that these are

02:04:02.490 --> 02:04:04.490
addressed, these concerns.

02:04:05.453 --> 02:04:06.735
And we see them playing out in
realtime.

02:04:09.691 --> 02:04:11.691
We're looking at quarantining

02:04:11.927 --> 02:04:13.761
particular people, how that's
playing out.

02:04:13.928 --> 02:04:15.928
I know that's something the

02:04:19.133 --> 02:04:21.133
general has identified.

02:04:22.270 --> 02:04:24.705
>> thank you.
Thank you.

02:04:26.542 --> 02:04:28.309
>> senators, anybody else have
a question?

02:04:31.591 --> 02:04:33.591
Senator dela cruz?

02:04:39.788 --> 02:04:41.788
>> thank you.

02:04:43.570 --> 02:04:45.570
Consistently in enforcing the

02:04:46.128 --> 02:04:48.128
pro clammation with any law

02:04:48.497 --> 02:04:51.198
enforcement agency
>> Attorney Gen. Connors: yes,
I am on daily calls.

02:04:53.100 --> 02:04:55.100
I'm on a call in the morning.

02:05:00.308 --> 02:05:02.109
I'm on a operating policy to
participate on.

02:05:06.315 --> 02:05:08.315
And then I just have contacts

02:05:08.617 --> 02:05:10.617
from different levels and in

02:05:14.560 --> 02:05:16.560
different counties.

02:05:17.226 --> 02:05:19.226
I am in contact on a regular

02:05:19.595 --> 02:05:22.531
basis with the
(Indiscernible).
[Overlapping speakers]

02:05:27.169 --> 02:05:30.104
So, I'm involved with all the
formal structures.

02:05:30.673 --> 02:05:32.673
And I'm also heavily involved

02:05:37.580 --> 02:05:39.580
in these conversations

02:05:45.321 --> 02:05:48.223
(Indiscernible).
>> she saw a group of more

02:05:49.558 --> 02:05:51.558
than 13 gathering.

02:05:51.594 --> 02:05:53.161
And there was law enforcement
nearby.

02:05:56.166 --> 02:05:58.166
And I'm not sure if they were

02:06:07.243 --> 02:06:10.212
going to break that group up.
Are you having to even force

02:06:12.649 --> 02:06:14.649
the pro camation?

02:06:17.588 --> 02:06:19.588
Yeah, in awahu and the kwaii,

02:06:21.825 --> 02:06:24.930
the mayors are very active and
their borders compliment
ours.

02:06:26.296 --> 02:06:29.265
So I know they are doing their
law enforcement issues.

02:06:35.339 --> 02:06:37.807
But we are keeping fully
aprissed.

02:06:38.642 --> 02:06:40.676
Of we are providing support to
all those operations.

02:06:45.115 --> 02:06:47.317
But right now, we are looking
at the local challenges and

02:06:47.918 --> 02:06:49.918
the local needs are.

02:06:50.888 --> 02:06:53.623
If there's a specific
situation like that that

02:06:54.792 --> 02:06:56.792
county, I would run it through

02:06:58.429 --> 02:07:00.429
the local pd chain and keep

02:07:02.900 --> 02:07:05.702
them aprism ssed.
>> okay, thank you.
>> thank you.

02:07:07.205 --> 02:07:09.205
If there are no more

02:07:14.812 --> 02:07:17.747
questions, I believe that
director nolan of public

02:07:20.718 --> 02:07:22.787
safety is also on the line.
>> Director Espinda: yes, eye
>> thank you.

02:07:23.388 --> 02:07:24.755
Thank you, attorney general
conners

02:07:27.292 --> 02:07:29.292
thank you very much.

02:07:30.462 --> 02:07:33.363
Thank you very much.
>> yes, thank you.

02:07:37.668 --> 02:07:39.668
>> thank you.

02:07:39.771 --> 02:07:42.306
>> director espinda, thank you
for joining us today

02:07:44.810 --> 02:07:47.678
with me here is senator kim,
as well as accept murray and

02:07:49.414 --> 02:07:51.414
online we have senator senator

02:07:54.419 --> 02:07:57.321
dela cruz, fravella and
kulolay.
Would you please proceed with

02:08:00.158 --> 02:08:02.158
any statement you May have for

02:08:04.496 --> 02:08:06.496
us?

02:08:09.000 --> 02:08:11.000
>> Director Espinda: well, I

02:08:14.340 --> 02:08:16.340
provide the committee, the ag

02:08:16.809 --> 02:08:19.444
and the prosecutor, the public
defenderrer when requested.

02:08:19.779 --> 02:08:21.779
Also have been dealing with

02:08:23.150 --> 02:08:25.916
many of the concerns that have
been around recently, with

02:08:30.222 --> 02:08:32.222
different categories.

02:08:33.793 --> 02:08:35.793
We're providing numerous

02:08:39.999 --> 02:08:42.334
people incarcerateed and their
statistic news our jail, which

02:08:46.906 --> 02:08:49.440
is where the data has been
centered.

02:08:54.914 --> 02:08:56.914
Aside from that, using the

02:08:57.160 --> 02:08:59.160
February 24th, as a

02:08:59.986 --> 02:09:01.986
baseline and using today's

02:09:04.356 --> 02:09:06.356
population update, yes, for

02:09:07.270 --> 02:09:09.270
example, at one center, we had

02:09:13.433 --> 02:09:15.433
418 inmates, compared to 356.

02:09:16.102 --> 02:09:17.770
147 back if February, 31
today, 16 down.

02:09:20.507 --> 02:09:23.275
And mauism was 449 on
February 24th and we're at

02:09:24.511 --> 02:09:26.511
378, which is 71 down.

02:09:27.140 --> 02:09:29.140
And the count was 1211 on the

02:09:31.286 --> 02:09:33.286
24th of February; today

02:09:33.487 --> 02:09:35.487
the count is 1024, which is

02:09:35.555 --> 02:09:38.291
207 down.
So the count at those four

02:09:38.291 --> 02:09:40.291
facilities have been reduced

02:09:41.280 --> 02:09:43.280
by a total of 366 bodies.

02:09:44.532 --> 02:09:46.532
And these are actionss that

02:09:49.690 --> 02:09:51.871
May or May not custody, based
on the public defender's

02:09:55.109 --> 02:09:57.109
office.

02:10:02.883 --> 02:10:04.883
So, I'd like to let you know

02:10:05.419 --> 02:10:07.419
that I have taken the liberty

02:10:10.123 --> 02:10:12.123
myself, for example, of

02:10:14.561 --> 02:10:16.561
listening to inmates what,

02:10:18.500 --> 02:10:20.500
during normal times -- between

02:10:20.869 --> 02:10:22.869
tomorrow and June 30th.

02:10:23.638 --> 02:10:26.507
So exactly there are 352
people who work in this

02:10:26.507 --> 02:10:28.507
circumstance today, and will

02:10:28.876 --> 02:10:31.644
be released between tomorrow
and June 30th.

02:10:32.647 --> 02:10:35.516
That same time period, there
are five working at the

02:10:37.385 --> 02:10:39.385
women's correctional center.

02:10:39.487 --> 02:10:41.487
So, apart from those updates I

02:10:42.657 --> 02:10:45.143
do have the numbers and the
listing that I provided to
you.

02:10:45.593 --> 02:10:48.161
I have the numbers associated
with each facility and the

02:10:48.663 --> 02:10:50.663
categories provided, if you

02:10:51.330 --> 02:10:53.668
want to hear them.
I'm happy to do that.

02:10:54.469 --> 02:10:56.469
Other than that, I'm here to

02:10:57.390 --> 02:10:58.331
answer any questions you May
have.

02:11:00.175 --> 02:11:02.175
>> thank you, director.

02:11:03.678 --> 02:11:05.678
Can you clarify your count at

02:11:06.470 --> 02:11:08.615
the women's prison and kalava,
that you said 50-something

02:11:10.520 --> 02:11:12.520
could be released between

02:11:12.188 --> 02:11:14.989
tomorrow and June 30th?
So, are you proceeding with

02:11:19.428 --> 02:11:21.428
the paperwork to release those

02:11:22.130 --> 02:11:24.565
inmates?
>> Director Espinda: these are

02:11:27.703 --> 02:11:30.438
inmates on parole.
They operate independently
from us.

02:11:33.509 --> 02:11:35.577
We will provide this list f
but otherwise, it's pretty

02:11:36.745 --> 02:11:39.147
fair to say that these 52
people have either failed on

02:11:39.715 --> 02:11:41.715
parole a number of times

02:11:42.451 --> 02:11:44.451
previous, or have failed to

02:11:44.921 --> 02:11:46.921
participate in required

02:11:49.250 --> 02:11:51.250
programming, which made for

02:11:51.227 --> 02:11:54.162
them to stay.
So, without going into each

02:11:56.165 --> 02:11:58.733
specific file, like I said,
there's 52 kneel will be

02:11:59.635 --> 02:12:01.971
released between tomorrow and
June 30th, and there's five

02:12:02.239 --> 02:12:04.640
females in that same
category.

02:12:04.674 --> 02:12:06.674
>> thank you.

02:12:08.244 --> 02:12:10.712
Senator, any questions?
Senator murray waism ki?

02:12:13.182 --> 02:12:15.650
>> yes.
Hi, nolan.

02:12:17.620 --> 02:12:19.488
I looked through your plan;
it's quite intense.

02:12:20.290 --> 02:12:21.724
And then it deals with during
the courses.

02:12:22.492 --> 02:12:24.492
I wondered whether all ofs

02:12:25.610 --> 02:12:27.563
plans that you have in terms
of types of screening of

02:12:28.632 --> 02:12:30.632
everyone and going through the

02:12:30.700 --> 02:12:32.700
monitoring, is that all in

02:12:33.570 --> 02:12:35.170
place now?
>> Director Espinda: to a

02:12:36.974 --> 02:12:39.175
certain extent it is
everywhere, I think the

02:12:40.978 --> 02:12:43.450
limitations on the screening
we're doing is that we still

02:12:46.149 --> 02:12:47.616
don't have the no-touch
thermometers.

02:12:48.652 --> 02:12:50.652
We still are doing questioning

02:12:51.870 --> 02:12:52.378
regarding travel and how they
feel.

02:12:53.890 --> 02:12:55.890
Butt director of the

02:12:56.294 --> 02:12:58.294
facilities described in our

02:13:00.300 --> 02:13:02.770
plan and in our press releases
the screening we are doing,

02:13:02.770 --> 02:13:04.330
yes.
>> and part of the protocol

02:13:05.135 --> 02:13:07.503
that you have in place, will
it be executed as well?

02:13:08.839 --> 02:13:10.839
Because it looked very

02:13:13.311 --> 02:13:15.245
stringent as well, in terms
of -- 
>> Director Espinda: you can

02:13:15.680 --> 02:13:18.248
say that again? Sorry, I'm
hearing an echo.

02:13:19.500 --> 02:13:21.584
>> oh, in terms of the social
distancing, the ppe and so

02:13:22.653 --> 02:13:24.653
forth, all of those are in

02:13:28.627 --> 02:13:30.361
place as well?
>> Director Espinda: yes, in

02:13:33.980 --> 02:13:35.980
our institution, there's not

02:13:35.990 --> 02:13:38.680
always the capacity to keep
everyone six feet apart.

02:13:38.136 --> 02:13:40.136
But to the extent possible,

02:13:41.706 --> 02:13:43.706
yes, they are doing that.

02:13:44.609 --> 02:13:46.609
>> and one last question

02:13:51.716 --> 02:13:54.218
all of this protocol seems to
be following the directions.

02:13:55.353 --> 02:13:57.353
And the concern was are there

02:13:58.656 --> 02:14:00.656
protocols or instructions also

02:14:01.793 --> 02:14:03.793
there with your chefs, social

02:14:04.630 --> 02:14:06.630
distancing and in terms of

02:14:06.665 --> 02:14:07.944
how, after they deal with the
public?

02:14:08.800 --> 02:14:10.800
And are they -- they are

02:14:10.802 --> 02:14:12.802
essential workers so, are they

02:14:13.705 --> 02:14:16.340
being properly instructed?
>> Director Espinda: they
generally fall under the rule

02:14:18.310 --> 02:14:20.310
of the judiciary, which are as

02:14:20.678 --> 02:14:22.678
strict as anyone else.

02:14:22.882 --> 02:14:24.882
Additionally, here in owahu,

02:14:31.256 --> 02:14:33.691
our largest population, the
report -- this report, which

02:14:37.128 --> 02:14:39.798
is our largest participant is
at the honolulu department

02:14:40.766 --> 02:14:42.766
cell block and no longer at

02:14:44.904 --> 02:14:46.904
the honolulu district court

02:14:48.274 --> 02:14:50.274
cell block.

02:14:51.710 --> 02:14:53.144
So inmates who are already
incarcerated -- 

02:14:55.114 --> 02:14:57.349
(Indiscernible) New inmates,
our sheriffs are providing

02:15:00.386 --> 02:15:02.386
assistance there.

02:15:04.223 --> 02:15:07.159
And they are being released
directly from the cell block,

02:15:07.860 --> 02:15:09.860
under supervised release.

02:15:10.830 --> 02:15:12.830
And the remainder that require

02:15:14.167 --> 02:15:15.801
the level of testing are being
sent back.

02:15:17.437 --> 02:15:19.437
We're very comfortable that

02:15:20.373 --> 02:15:22.341
very minimal amount of people
are being taken from the

02:15:22.909 --> 02:15:25.243
street and placed directly
into the large population like

02:15:26.245 --> 02:15:28.245
our ccc.

02:15:29.315 --> 02:15:31.315
And as I said with my numbers

02:15:32.319 --> 02:15:34.319
earlier, all the courts across

02:15:37.758 --> 02:15:40.726
the state, the
they are exercising every

02:15:40.794 --> 02:15:43.295
option possible, in
consideration of the

02:15:43.496 --> 02:15:45.998
overcrowded conditions.
>> so, the sheriffs don't

02:15:46.366 --> 02:15:48.934
report to you? They report to
the judiciary, all of them,

02:15:52.806 --> 02:15:55.207
even the ones that say service
other parts of the state, the

02:15:56.209 --> 02:15:57.504
capital district and so
forth?

02:15:58.345 --> 02:16:00.345
They report to the judiciary?

02:16:01.782 --> 02:16:03.383
Or is that just -- 
>> Director Espinda: they

02:16:06.354 --> 02:16:08.989
would report through us.
However, in the courts where

02:16:11.225 --> 02:16:13.726
the vast majority of ourself
sheriffs are, they are

02:16:13.894 --> 02:16:15.894
following the judiciary.

02:16:15.996 --> 02:16:17.996
That includes the social

02:16:17.998 --> 02:16:19.998
distancing requirements and

02:16:20.534 --> 02:16:22.368
staying home if you're sick,
everything.

02:16:23.504 --> 02:16:25.504
Our remaining units,

02:16:27.308 --> 02:16:29.308
particularly the one unit, had

02:16:32.246 --> 02:16:34.246
much more flexibility.

02:16:39.286 --> 02:16:41.286
They are practicing good

02:16:41.323 --> 02:16:43.323
health.

02:16:48.529 --> 02:16:51.310
People they are following all
the required -- 
>> okay, thank you.

02:16:54.100 --> 02:16:56.503
Thank you, nolan.
Senator kim?

02:16:56.637 --> 02:16:58.637
>> aloha, nolan.

02:16:59.508 --> 02:17:01.508
Just a follow-up.

02:17:03.780 --> 02:17:05.880
So, can we clarify at which
point there is no inmate that

02:17:07.150 --> 02:17:09.150
has been tested to be positive

02:17:14.756 --> 02:17:16.591
with covid-19?
>> Director Espinda: to date,

02:17:16.892 --> 02:17:19.930
we have not had anyone test
positive, no.
>> thank you.

02:17:28.603 --> 02:17:31.105
Second question: so, with are
they being advised and told

02:17:31.907 --> 02:17:34.809
what things to look for, as
far as advising the public

02:17:35.444 --> 02:17:38.112
when they see any kind of
possible infections of the

02:17:38.380 --> 02:17:40.380
governor's proclaimation to

02:17:42.384 --> 02:17:44.319
stay at home?
>> Director Espinda: the

02:17:46.622 --> 02:17:48.622
minimal amount of people who

02:17:50.359 --> 02:17:52.160
provide patrols are in our
warrant district.

02:17:54.497 --> 02:17:56.931
And they're well aware of the
governor's pro clammation.

02:17:58.134 --> 02:18:00.902
Generic the remaining amount
of our people function

02:18:03.305 --> 02:18:05.974
98 percent. Time in the
judiciary area.

02:18:06.608 --> 02:18:08.608
>> okay it's just that it came

02:18:09.345 --> 02:18:11.345
in the other day and observed

02:18:12.480 --> 02:18:14.236
a sheriff just watching,
looking down in the capital

02:18:14.236 --> 02:18:17.152
area.
I noticed there were a lot of

02:18:17.486 --> 02:18:20.122
people -- I shouldn't say a
lot, several individuals there

02:18:21.858 --> 02:18:23.858
and I questioned and said, you

02:18:25.862 --> 02:18:28.564
know, why are they there?
And one comment was, oh

02:18:28.598 --> 02:18:31.000
they're homeless, but it
didn't appear homeless.

02:18:32.350 --> 02:18:34.670
So, I want sure if they just
assumed that or actually went

02:18:36.606 --> 02:18:39.441
down to advise them.
But they are supposed to stay

02:18:40.430 --> 02:18:42.100
at home if they have a place
to be at home.

02:18:43.130 --> 02:18:45.515
I noticed today there were a
couple of people again at the

02:18:48.180 --> 02:18:50.586
capital sitting next to each
other, two of them sitting

02:18:51.688 --> 02:18:54.457
close, not six feet apart.
And I noticed that there were

02:18:55.250 --> 02:18:57.359
sheriffs but nobody's -- I
didn't see them giving any

02:19:02.533 --> 02:19:04.901
kind of advice or telling them
anything.

02:19:05.603 --> 02:19:07.603
>> Director Espinda: yeah.

02:19:08.605 --> 02:19:10.605
My deputy is here's and we

02:19:12.376 --> 02:19:14.410
will assure that this will be
brought to the astrength

02:19:18.150 --> 02:19:20.350
advisor at the city capital.
So the earlier part of your

02:19:21.180 --> 02:19:23.920
question, yes, we would expect
that citizens that are back at

02:19:27.691 --> 02:19:29.892
the capital for whatever
reason should be following the

02:19:31.128 --> 02:19:33.128
pro clammation requirements,

02:19:33.730 --> 02:19:35.731
six feet away or more.
We'll be advising them.

02:19:37.350 --> 02:19:39.350
>> okay, thank you.

02:19:39.170 --> 02:19:41.170
Because, so people just are

02:19:41.572 --> 02:19:44.141
not paying attention and need
to be made aware.
So I think those are the

02:19:44.141 --> 02:19:46.141
opportunities that the

02:19:46.577 --> 02:19:48.645
sheriffs May have to make them
aware.
So, thank you.

02:19:49.414 --> 02:19:51.414
I appreciate you following up

02:19:53.651 --> 02:19:55.953
on that.
>> nolan, one follow-up to

02:19:56.488 --> 02:19:58.488
that, since you do have the

02:19:58.623 --> 02:20:01.225
law enforcement deputy there.
If they're instructed do they

02:20:01.726 --> 02:20:03.726
have enforcement authority so,

02:20:04.495 --> 02:20:06.495
that if they tell people to

02:20:07.165 --> 02:20:09.165
disburse or keep the 6-foot

02:20:09.533 --> 02:20:11.533
rule and they refuse, is there

02:20:12.104 --> 02:20:14.104
a way of citing them? Or are

02:20:16.741 --> 02:20:18.741
you able to enforce the pro

02:20:21.360 --> 02:20:23.850
clammation?
>> Director Espinda: our
deputies have full law
enforcement authority to

02:20:23.515 --> 02:20:25.182
either cite or arrest,
depending on the

02:20:27.118 --> 02:20:29.530
circumstances, yes.
>> nolan, also another

02:20:30.622 --> 02:20:32.622
question related to this.

02:20:33.625 --> 02:20:35.625
If the deputy's approach these

02:20:36.461 --> 02:20:38.461
people at the capital and they

02:20:39.970 --> 02:20:41.970
respond that they are

02:20:41.967 --> 02:20:43.967
homeless, do the deputies have

02:20:44.136 --> 02:20:46.136
numbers to call to refer

02:20:46.171 --> 02:20:48.139
them -- to refer the homeless
coordinator, et cetera to,

02:20:50.142 --> 02:20:52.311
come and help these
individuals?

02:20:52.311 --> 02:20:54.211
>> Director Espinda: absolutely.
That is something that people

02:20:54.613 --> 02:20:56.613
at the state capital are

02:20:57.483 --> 02:20:59.751
keenly aware of and have been
practicing for at least three

02:21:00.552 --> 02:21:02.552
or four years now.

02:21:04.157 --> 02:21:06.157
They know the3 step process in

02:21:06.993 --> 02:21:08.693
assisting, and then later you
shallingerring off people

02:21:09.529 --> 02:21:11.529
claim to be homeless,

02:21:12.640 --> 02:21:14.532
including taking their
property.

02:21:14.667 --> 02:21:17.569
>> thank you.
Senators online, do you have

02:21:20.807 --> 02:21:22.807
any questions of director

02:21:25.245 --> 02:21:27.679
espinda?
Okay.
I don't believe there are any

02:21:30.683 --> 02:21:32.170
further questions. Directly
espinda.

02:21:33.190 --> 02:21:35.190
Thank you for joining us

02:21:35.870 --> 02:21:37.188
today.
Aloha

02:21:38.692 --> 02:21:40.993
>> Director Espinda: thank
you.

02:58:18.963 --> 02:58:21.565
>> we are in recess.
>>> good afternoon.

02:58:22.868 --> 02:58:25.690
We are reconvening the senate
committee on covid-19.

02:58:27.139 --> 02:58:29.139
And thank you for joining us.

02:58:29.608 --> 02:58:31.608
I'm here, I'm senator michelle

02:58:32.911 --> 02:58:34.911
with senator donna kim, send

02:58:34.913 --> 02:58:36.913
author murray and online we

02:58:37.983 --> 02:58:39.983
have send develop, senator

02:58:44.924 --> 02:58:47.580
kurt navella and senator jared
kololey.

02:58:48.427 --> 02:58:50.427
We also have Dr. Lebby char

02:58:51.930 --> 02:58:54.732
from the city and county
emergency services
department.

02:58:57.300 --> 02:58:58.370
Thank you for joining us,
Dr. Char.

02:58:59.205 --> 02:59:01.205
We can start off by asking one

02:59:02.508 --> 02:59:05.443
of the questions that I had
been asked by -- good.

02:59:07.847 --> 02:59:10.481
I'm sorry, so, I'm not the
medical director for city and

02:59:11.550 --> 02:59:14.520
county ems I'm an emergency
physician and an ems physician

02:59:14.554 --> 02:59:17.189
and I provide medical
direction to several agencies,

02:59:17.590 --> 02:59:19.525
fire departments and some
priority ems.

02:59:21.594 --> 02:59:23.495
But I think there's a.
It ypo on the membero.

02:59:26.776 --> 02:59:28.203
Thank you for that
clarification, Dr. Char.

02:59:28.968 --> 02:59:30.968
The first question, then, is.

02:59:32.172 --> 02:59:34.172
Some of the information that I

02:59:34.408 --> 02:59:36.408
have received, people are

02:59:36.876 --> 02:59:38.876
asking why are we not testing

02:59:39.479 --> 02:59:41.479
more? And why are we not

02:59:41.548 --> 02:59:43.548
text, requiring tests of

02:59:43.616 --> 02:59:46.485
those, say, people who have
traveled to some place whether

02:59:48.422 --> 02:59:50.422
it's new york or las vegas,

02:59:51.491 --> 02:59:54.193
and where there is a big
community spread? Why are we

02:59:54.561 --> 02:59:56.561
not asking them to be tested?

02:59:57.164 --> 02:59:59.164
>> that's a great question.

02:59:59.499 --> 03:00:01.968
I'm speaking as an
individual.
I'm not represent anything

03:00:01.968 --> 03:00:04.603
agency or entity.
And I agree with you; I think

03:00:04.671 --> 03:00:06.671
there's a lot of risk of

03:00:06.907 --> 03:00:08.975
people who are returning from
travel.

03:00:09.109 --> 03:00:11.544
The reason that it doesn't
make sense to test everybody

03:00:12.546 --> 03:00:14.981
just because you travel is
that we don't know whether

03:00:16.183 --> 03:00:18.718
you're infected, and if so, at
what point did you become

03:00:18.719 --> 03:00:21.220
infected?
So, for example, if I just

03:00:21.555 --> 03:00:23.555
came back from las vegas or

03:00:23.624 --> 03:00:25.624
new york on sunday and you

03:00:26.493 --> 03:00:28.728
test me on monday, I'm going
to be negative.

03:00:29.196 --> 03:00:31.998
And what does that negative
test really tell us? Not a

03:00:33.000 --> 03:00:35.000
lot well, what if you test me

03:00:35.536 --> 03:00:37.737
on day two or three or four or
five? I May still be negative

03:00:38.639 --> 03:00:41.407
if I don't have any symptoms.
And then I get a message that

03:00:41.643 --> 03:00:43.677
everything's good to go and
I'm free.

03:00:45.120 --> 03:00:47.681
But in fact, I end up testing
positive.
You had temperaturessed me on

03:00:48.683 --> 03:00:51.518
day eight or nine, and so
that's why we don't want to

03:00:52.453 --> 03:00:55.254
just indiscriminately test
without somebody having
symptoms.

03:00:55.255 --> 03:00:57.691
I'm very much in favour of
testing and I would like to

03:00:57.958 --> 03:01:00.594
test more people.
But there needs to be criteria

03:01:01.129 --> 03:01:04.970
for that and that usually is
somebody that has symptoms

03:01:05.660 --> 03:01:06.733
that consistent with the
disease.

03:01:07.202 --> 03:01:10.170
>> thank you.
>> just a follow-up, so what

03:01:10.771 --> 03:01:13.106
are those symptoms that one
should know about, when they

03:01:14.208 --> 03:01:16.208
say I need to be tested?

03:01:16.211 --> 03:01:18.211
>> so the typical symptoms of

03:01:19.281 --> 03:01:20.982
covid-19 are usually
respiratory.

03:01:21.616 --> 03:01:23.616
The virus bins to something

03:01:23.985 --> 03:01:25.586
called ace two receptors and
they're throughout your

03:01:27.122 --> 03:01:29.122
system, but there's a large

03:01:29.257 --> 03:01:31.257
concentration in your lungs.

03:01:31.692 --> 03:01:33.692
And that's why when you

03:01:34.630 --> 03:01:36.630
breathe a droplet in or get it

03:01:36.498 --> 03:01:39.267
into your system, it man
temperatureses -- manifests

03:01:41.136 --> 03:01:43.638
primarilily as a respiratory
disease, to cough, shortness

03:01:44.806 --> 03:01:47.308
of breath, sorry throat, any
breathing issues those are

03:01:48.210 --> 03:01:50.440
usually the symptoms that we
see, as well as a fever,

03:01:50.880 --> 03:01:53.114
because it is an infection.
>> thank you.

03:01:54.717 --> 03:01:57.618
So, what are -- senator kim
>> Dr. Char, thank you very
much.

03:01:58.587 --> 03:02:00.587
I, too, want to follow up on

03:02:00.723 --> 03:02:02.723
the testing.

03:02:04.259 --> 03:02:06.194
There seems to be guess
disagreement as to how much

03:02:06.261 --> 03:02:08.261
testing we should be doing.

03:02:08.631 --> 03:02:10.832
And I November the state say
organize the state health

03:02:11.667 --> 03:02:13.667
department is that saying that

03:02:13.669 --> 03:02:15.669
we're following cdc, where you

03:02:16.806 --> 03:02:19.341
only test those who have
symptoms, maybe in a risk

03:02:19.775 --> 03:02:21.775
category, or have been in

03:02:23.712 --> 03:02:25.813
contact with someone who had
been tested portion and that

03:02:27.584 --> 03:02:29.785
all other symptoms and those
with no symptoms of course

03:02:30.253 --> 03:02:32.253
shouldn't be tested.

03:02:32.722 --> 03:02:34.722
But I know there's a host of

03:02:37.660 --> 03:02:39.660
physicians and I know

03:02:41.130 --> 03:02:43.665
nationally, Dr. Yaism sh who
is the harvard university's

03:02:44.368 --> 03:02:46.368
global health institute, also

03:02:46.870 --> 03:02:49.271
states that we believe that
there is not enough testing.

03:02:52.108 --> 03:02:54.277
And so, I know you -- do you
agree that we should to more

03:02:54.277 --> 03:02:56.277
testing?

03:02:57.180 --> 03:02:59.314
I know you said that with more
crier criteria, maybe all of

03:03:00.684 --> 03:03:02.720
those who have symptoms as a
compromise, instead of testing

03:03:02.720 --> 03:03:05.188
everybody?
>> so, I would love to see

03:03:05.655 --> 03:03:07.890
more testing in our
community.

03:03:08.792 --> 03:03:10.792
And I think that's a good tool

03:03:13.163 --> 03:03:15.931
to help us minimize the spread
of.
People know that they're
positive.

03:03:16.333 --> 03:03:19.235
But we need to be careful -- 
it's a resource -- so we need

03:03:20.604 --> 03:03:22.872
to be careful on using it
smartly in terms of the test

03:03:23.307 --> 03:03:24.774
kits and the swabs and all of
that.

03:03:25.409 --> 03:03:27.644
I would love to see more
broad-spread testing.

03:03:29.779 --> 03:03:31.779
But I disagree with just

03:03:32.115 --> 03:03:34.317
testing isymptomatic people.
Yield is low.

03:03:34.584 --> 03:03:37.420
If I test negative is it
because you test immediate too

03:03:37.922 --> 03:03:40.423
early, or did you test me too
late? Things like that.

03:03:41.325 --> 03:03:43.593
So, I think we should be
testing symptomatic people.

03:03:44.361 --> 03:03:46.764
And I think in our community
there seems to be pretty good

03:03:46.764 --> 03:03:49.632
agreement on that.
I spoke with several others

03:03:50.367 --> 03:03:52.302
that are either medical
directors for emergency

03:03:52.937 --> 03:03:55.272
response agencies or people
that have been working in the

03:03:55.907 --> 03:03:57.608
feel, even at the department
department of health.

03:03:58.142 --> 03:04:00.142
And I think we're in agreement

03:04:00.645 --> 03:04:03.380
that we would love to see more
widespread testing for sure,

03:04:04.282 --> 03:04:06.349
but it should be on
symptomatic people and not

03:04:06.884 --> 03:04:08.284
just to test everybody as a
blanket.

03:04:09.453 --> 03:04:10.820
There should be a reason to
test.

03:04:12.324 --> 03:04:14.492
But yes, I would love to see
more widespread testing.

03:04:15.360 --> 03:04:17.261
>> so, to increase our testing
to start definitely with more

03:04:19.264 --> 03:04:21.898
than just a if you're
symptomatic and you're that

03:04:24.168 --> 03:04:26.168
risk category or you came into

03:04:26.804 --> 03:04:29.674
contact, but broadening it to
those with symptom?

03:04:29.975 --> 03:04:32.900
>> even those in contact with
a known positive person,

03:04:32.911 --> 03:04:35.779
that's not a criteria for
testing.
Because again, you May test

03:04:36.415 --> 03:04:38.849
them on day three and they
turn positive on day eight,

03:04:40.418 --> 03:04:42.418
and now you missed because you

03:04:42.420 --> 03:04:44.420
told them they were negative.

03:04:45.491 --> 03:04:48.192
Even if you came into contact
or you're that high-risk

03:04:49.861 --> 03:04:51.861
group, we want to wait until

03:04:51.930 --> 03:04:53.930
some symptoms that is a higher

03:04:54.233 --> 03:04:56.968
yield than the testing.
>> so, when would we know,

03:04:58.336 --> 03:05:01.272
after the 14 days is up or as
things get better, how do we

03:05:02.374 --> 03:05:05.243
know it's safe? How do we
know that we're not -- it's

03:05:06.746 --> 03:05:08.813
not going to come back again?
Pause we're not testing

03:05:09.315 --> 03:05:11.950
everybody who was tested,
right? That's not the

03:05:13.180 --> 03:05:15.520
protocol as far as I'm aware
of?
>> right.

03:05:16.355 --> 03:05:18.990
If you got exposed to somebody
and 14 drapes have elapsed and

03:05:19.525 --> 03:05:21.525
you're not sick, it doesn't

03:05:24.300 --> 03:05:26.300
mean that you can't then go

03:05:26.199 --> 03:05:28.199
out and pick up the virus from

03:05:28.234 --> 03:05:30.202
somebody else or from some
other way.

03:05:30.970 --> 03:05:33.838
Arrest even maybe on day eight
you had contact at grocery

03:05:33.973 --> 03:05:35.973
store or something.

03:05:36.809 --> 03:05:38.809
So it's really hard to say

03:05:38.845 --> 03:05:41.814
that that 14 day t doesn't
give you a free and clear
pass.

03:05:43.383 --> 03:05:45.383
it just tells you that that 14

03:05:47.663 --> 03:05:49.988
days from that particular
contact that you had, that you
did not get infected by that
person.

03:05:50.890 --> 03:05:52.891
>> yeah, but I'm saying down
the road, as we go into the

03:05:53.859 --> 03:05:56.395
next couple of weeks, at what
point -- you of I know the

03:05:57.531 --> 03:05:59.932
President Saying by easter,
which I don't necessarily feel

03:06:00.433 --> 03:06:03.369
that we're going to be
ready -- but who makes that

03:06:03.370 --> 03:06:05.838
call? Because again, nobody's
going to be retested.

03:06:06.339 --> 03:06:08.339
Even if you tested positive,

03:06:08.575 --> 03:06:10.575
are they retesting you if

03:06:11.511 --> 03:06:13.345
you tested positive after 14
days?

03:06:13.847 --> 03:06:15.847
>> there's criteria for that

03:06:15.983 --> 03:06:17.983
and for the most part, year

03:06:17.985 --> 03:06:20.853
for the testinger just because
you tested positive.

03:06:22.589 --> 03:06:25.558
To see, are you now not tigs
positive.
When we first started out that

03:06:25.859 --> 03:06:28.527
was happening for people that
were in a hospital.

03:06:30.598 --> 03:06:32.598
And there's been a shift from

03:06:32.800 --> 03:06:35.535
that to base is more on
symptom, you know, have you

03:06:36.804 --> 03:06:38.804
been free of a fever for the

03:06:39.390 --> 03:06:41.941
last three days?
Are your symptoms getting

03:06:43.443 --> 03:06:45.440
better? And the cdc has been
tracking it.

03:06:46.113 --> 03:06:48.382
There is really challenging
because this something that's

03:06:48.382 --> 03:06:49.850
evolving as we're trying to
deal with.

03:06:50.485 --> 03:06:52.552
It we don't know that much,
other than looking at other

03:06:53.870 --> 03:06:55.870
countries and whatnot.

03:06:55.323 --> 03:06:57.323
As far as releasing

03:06:57.458 --> 03:06:59.458
restrictions at easter, I -- I

03:07:00.628 --> 03:07:03.496
think that's entirely
unreasonablestic.
In terms of when we're going

03:07:04.310 --> 03:07:06.310
to be out of this, I think it

03:07:06.634 --> 03:07:08.100
really depended on how well we
do know.

03:07:08.837 --> 03:07:10.904
And the scary thing is that
we're starting to see our

03:07:10.972 --> 03:07:13.640
numbers increase.
We're on a curve going up

03:07:14.750 --> 03:07:16.750
right now.

03:07:16.878 --> 03:07:19.790
So, it really behooves us to
pay attention now.

03:07:19.514 --> 03:07:21.514
I have a colleague in new york

03:07:22.918 --> 03:07:24.918
city, and they are thousands

03:07:25.870 --> 03:07:27.988
and thousands; they're in the,
you know, 30,000 people that

03:07:29.591 --> 03:07:31.591
have tested positive.

03:07:32.930 --> 03:07:34.128
They have over 300 people,
almost 400 people that have

03:07:34.329 --> 03:07:36.497
died in new york city.
It's really frightening.

03:07:37.650 --> 03:07:38.732
And we don't want to get to
that point.

03:07:39.634 --> 03:07:41.634
So I think it really behooves

03:07:41.670 --> 03:07:43.670
us now to do our best to keep

03:07:44.720 --> 03:07:46.700
ourselves at home and away
from others and safe.

03:07:47.750 --> 03:07:49.643
And then depending on how the
curve goes and what numbers

03:07:50.780 --> 03:07:52.680
we're picking up, that's
probably going the to be the

03:07:53.448 --> 03:07:55.684
best indication of when we can
relax on some of the

03:07:55.684 --> 03:07:58.118
restrictions.
So, I really would hesitate to

03:07:58.387 --> 03:08:00.387
try and pick a date, because

03:08:01.690 --> 03:08:04.225
so much of it is contingent
upon how well we do right now

03:08:07.507 --> 03:08:09.507
as a community.

03:08:12.925 --> 03:08:15.103
>> we're not asking for a
date.
I'm just curious as to how are
we going determine that our
community is safe again,
without testing? I'm just

03:08:15.103 --> 03:08:17.103
curious if just people don't

03:08:17.440 --> 03:08:19.908
have symptoms for four day,
then they're safe? Do you

03:08:20.609 --> 03:08:22.143
know what I'll see of saying?
>> yeah

03:08:22.611 --> 03:08:24.611
so I think some of it is going

03:08:25.470 --> 03:08:27.682
to be related to testing and
seeing how many new cases

03:08:27.950 --> 03:08:30.518
we're getting every day and
kind of mapping that out

03:08:31.587 --> 03:08:33.587
and then a lot of it is going

03:08:34.490 --> 03:08:37.192
to be based on symptoms and
are we as a community doing.

03:08:37.493 --> 03:08:39.493
But I think testing will be

03:08:41.774 --> 03:08:43.482
involved in that, to know
we're not getting these new
cases every day, and instead

03:08:44.934 --> 03:08:47.350
of it going up it sort of
flattenings and then it sort

03:08:48.300 --> 03:08:50.400
of decreases and we're not
seeing new cases.

03:08:50.140 --> 03:08:52.208
I think that's the kind of
information that will allow us

03:08:52.242 --> 03:08:54.243
to project.
>> so, at this point do have

03:08:55.178 --> 03:08:56.679
you any projects of where
we're going?

03:08:57.780 --> 03:09:00.582
What's the assessment of where
we are now and what

03:09:01.840 --> 03:09:03.585
precautions we need to start
taking more seriously?
>> yeah.

03:09:05.455 --> 03:09:07.455
The worrisome thing for me and

03:09:08.525 --> 03:09:10.693
I think jim arb of l-n of en
and other physicians in the

03:09:11.695 --> 03:09:13.695
city were saying, when we look

03:09:14.231 --> 03:09:17.320
at our numbers, the department
of health innocence and the

03:09:17.667 --> 03:09:19.667
community, and I look at.

03:09:20.603 --> 03:09:23.539
So responses of our first
responders, our call numbers

03:09:24.474 --> 03:09:26.474
are going up related to

03:09:26.477 --> 03:09:28.811
covid-19 type complaint,
respiratory complaints.

03:09:30.647 --> 03:09:33.830
So, I'm worried because we're
absolutely on a steep uphill

03:09:33.830 --> 03:09:35.151
right now.
That's where I'm hoping that

03:09:36.530 --> 03:09:38.220
the travel restrictions will
kick in and people will

03:09:38.655 --> 03:09:40.155
finally take it seriously, you
know.

03:09:40.991 --> 03:09:43.525
I think there's a lot of
sentiments that this is

03:09:43.827 --> 03:09:45.827
something that happens in

03:09:49.330 --> 03:09:51.330
china and italy or south korea

03:09:51.168 --> 03:09:53.803
our washington or new york
city.
And until people here realize,

03:09:54.304 --> 03:09:56.839
no, "this is us," we're in the
middle of this, too, I worry

03:09:57.107 --> 03:10:00.760
that people won't really take
it that seriously.

03:10:00.812 --> 03:10:03.130
Do what they need to do.
It's difficult to comply with

03:10:03.614 --> 03:10:05.749
the restrictions that have
been placed on us.

03:10:07.518 --> 03:10:09.518
But I think we really need to

03:10:09.520 --> 03:10:11.521
somehow figure out how and we
need to do it.

03:10:11.756 --> 03:10:14.624
We still have a chance here.
Our numbers haven't gone gone

03:10:14.825 --> 03:10:17.260
through the roof.
Health care has been still

03:10:18.697 --> 03:10:20.630
been able to meet the
depends.

03:10:21.533 --> 03:10:24.670
But if we get more cases than
health care can that manage,

03:10:25.203 --> 03:10:27.304
that's a bad wages, with not
enough resources to care for

03:10:27.304 --> 03:10:29.304
people.

03:10:29.306 --> 03:10:31.306
>> so, Dr. Char, I think what

03:10:31.609 --> 03:10:34.210
you're talking about is we
have discussed they before,

03:10:38.550 --> 03:10:40.550
the steep curve, when we don't

03:10:42.721 --> 03:10:44.721
have in place what we have

03:10:45.290 --> 03:10:48.910
already in hawai'I is the stay
at home mandate, only

03:10:49.861 --> 03:10:52.729
essential workers should go to
work; keep your distance,

03:10:54.233 --> 03:10:56.233
6-feet apart et cetera.

03:10:56.735 --> 03:10:58.735
And to flatten the curve that

03:10:59.671 --> 03:11:01.671
you talk about, why is it

03:11:02.641 --> 03:11:04.575
important for people to
quarantine themselfs?

03:11:04.776 --> 03:11:06.811
And you can explain the
difference between quarantine

03:11:07.212 --> 03:11:08.712
and isolation?
>> sure.

03:11:09.581 --> 03:11:11.950
That's a great question.
So, quarantine usually deals

03:11:13.786 --> 03:11:15.220
with people that have no
symptoms.

03:11:15.888 --> 03:11:18.323
So you're well, but you stay
away from everybody else but

03:11:19.324 --> 03:11:22.226
you're not sick, per se.
And that's what we're asking

03:11:24.162 --> 03:11:26.898
for, our incoming travelers
quarantine for 14 days.

03:11:26.898 --> 03:11:28.898
isolation is for people that

03:11:29.101 --> 03:11:31.169
have symptom, sort some of
illness to, separate

03:11:31.370 --> 03:11:33.370
themselves from others.

03:11:34.173 --> 03:11:36.173
And so, I think we'll have a

03:11:36.876 --> 03:11:39.177
good idea or at least a better
idea 14 days from the time the

03:11:41.914 --> 03:11:43.914
travel ban kicked in or the

03:11:44.149 --> 03:11:46.418
quarantine for all in-coming
travelers, I think that will

03:11:46.853 --> 03:11:49.222
give us better idea, because
then we won't have so many

03:11:49.222 --> 03:11:52.190
people out in the country
difficult for example, if you

03:11:52.892 --> 03:11:55.294
came back two days ago, you're
not subject to that

03:11:55.294 --> 03:11:57.294
quarantine.

03:11:57.430 --> 03:12:00.232
So it's kind of arbitrary.
But from the point where we

03:12:00.366 --> 03:12:02.366
mandated that everybody who is

03:12:02.636 --> 03:12:04.636
an in-coming traveler must

03:12:04.738 --> 03:12:07.373
quarantine for 14 days, I
think that there give us

03:12:08.942 --> 03:12:11.143
glimpse, at least, of how well
we're doing and how much is

03:12:11.444 --> 03:12:13.880
already circulating in the
community versus cases from
outside coming into the

03:12:13.880 --> 03:12:15.880
state.

03:12:15.915 --> 03:12:17.915
>> so, the message really is

03:12:18.484 --> 03:12:21.354
everyone should take
themselves.
And if they think that they

03:12:23.457 --> 03:12:26.259
May have been around somebody
who traveled, et cetera, they

03:12:29.463 --> 03:12:31.464
should really, really respect
quarantine.
Absolutely.
There

03:12:31.464 --> 03:12:33.899
>> there are families that
have tested positive but

03:12:35.702 --> 03:12:37.702
family members have not.

03:12:38.872 --> 03:12:41.274
So they're in their homes and
the positive case should be in

03:12:42.176 --> 03:12:44.710
isolation in a separate room.
>> yes.
>> and the family members

03:12:45.345 --> 03:12:47.345
should be in quarantine.

03:12:49.883 --> 03:12:51.883
>> you're absolutely correct.

03:12:51.918 --> 03:12:53.918
Look at it is to that I we're

03:12:54.354 --> 03:12:56.354
all infected and how best can

03:12:56.691 --> 03:12:59.492
we keep from infecting others,
our family members, our

03:12:59.894 --> 03:13:01.894
friends, loved one? You know,

03:13:02.763 --> 03:13:04.764
if I think that I would be
positive, then I'm going to be

03:13:05.432 --> 03:13:07.500
really cautious to go visit my
folks because I don't want to

03:13:08.350 --> 03:13:09.769
get them sick, you know that,
kind of thing.

03:13:13.510 --> 03:13:15.776
And I think with that
mentality that is correct
helps a little bit to
encourage people to really

03:13:16.844 --> 03:13:18.844
keep your distance and to

03:13:19.747 --> 03:13:22.716
quarantine our serve
essentially.

03:13:24.180 --> 03:13:26.180
>> so, also, is it possible

03:13:26.387 --> 03:13:28.988
that then someone cab carrier,
not knowing they're sick and

03:13:29.230 --> 03:13:31.391
infect other people because
they don't quarantine?

03:13:32.327 --> 03:13:34.295
>> there's been a lot of
controversy on that.

03:13:34.763 --> 03:13:36.763
So, I think there are some

03:13:37.732 --> 03:13:40.267
studies that show that you can
have the infection without

03:13:41.469 --> 03:13:43.770
necessarily having outward
signs.

03:13:44.380 --> 03:13:47.700
Dr. Park probably has more
knowledge on some of those
studies.

03:13:47.376 --> 03:13:49.910
But I think some of those,
when they went back to look at

03:13:51.413 --> 03:13:53.413
them, the people they were

03:13:55.283 --> 03:13:58.530
calling asymptom is attic
actually had a fever or a
cough.

03:13:58.530 --> 03:14:00.487
So there's a lot of
controversy about those.

03:14:03.778 --> 03:14:05.292
We do know that you're much
more likely to be a true

03:14:07.863 --> 03:14:09.864
positive case when you have
symptoms.
So, that's pretty much what

03:14:12.000 --> 03:14:14.680
the cdc is still hoping in on
because the risk to the rest

03:14:14.937 --> 03:14:16.937
of the population is so much

03:14:17.906 --> 03:14:20.775
higher if you have symptoms.
But there's some good data out

03:14:22.100 --> 03:14:24.100
there, I think, to she it's

03:14:24.130 --> 03:14:26.481
positive that if I test you, I
could get a positive result

03:14:27.820 --> 03:14:28.917
even though you don't have
symptoms.

03:14:29.318 --> 03:14:31.318
But does that positive result

03:14:32.821 --> 03:14:35.230
mean that you're infectedious?
Not necessarily.

03:14:35.900 --> 03:14:37.900
You might be.

03:14:37.592 --> 03:14:40.396
And I think there's probably
cases out there that that's

03:14:40.396 --> 03:14:42.831
what is happening.
But it's really, really hard

03:14:42.932 --> 03:14:44.932
to quantify.

03:14:46.350 --> 03:14:48.300
I don't think the studies are
really conclusive yet.

03:14:48.404 --> 03:14:50.500
I think that's kind of
controversial.

03:14:52.541 --> 03:14:54.541
I believe you can have

03:14:55.110 --> 03:14:57.914
covid-19 infection and not be
showing a lot of outward

03:14:57.914 --> 03:14:59.914
symptoms.

03:15:00.490 --> 03:15:02.618
But I think it's less common
than those that have infection

03:15:04.621 --> 03:15:07.556
and are showing respiratory
symptoms.
So, the message is rather than

03:15:08.524 --> 03:15:10.592
take the chance of infecting
someone, quarantine yourself

03:15:10.927 --> 03:15:13.862
and be safe?
>> absolute limit.
And possibly save a life?

03:15:14.898 --> 03:15:16.898
>> absolutely.

03:15:17.834 --> 03:15:20.502
Do it for your family members
and everybody else, you know?

03:15:21.504 --> 03:15:23.504
>> thank you for that.

03:15:25.375 --> 03:15:28.770
Senator yarded has a
question.

03:15:28.770 --> 03:15:30.174
Thank you.
This value very helpful, thank

03:15:30.174 --> 03:15:32.174
you.

03:15:34.885 --> 03:15:36.885
I have a question that was

03:15:39.489 --> 03:15:40.823
asked, relating to the
quarantine.

03:15:42.859 --> 03:15:44.326
I am confuse beside it as
well.

03:15:48.310 --> 03:15:50.310
So, it was reported that he

03:15:51.102 --> 03:15:53.102
was symptomatic, took a test

03:15:53.571 --> 03:15:55.571
and while waiting for the

03:15:58.575 --> 03:16:01.770
results, sever-quarantined.
all this came out, the results

03:16:01.378 --> 03:16:03.378
came out negative.

03:16:04.547 --> 03:16:06.547
And the question is: radio

03:16:09.530 --> 03:16:11.530
lated to the quarantine.

03:16:13.190 --> 03:16:15.244
I guess since if the negative
result the symptoms have

03:16:15.244 --> 03:16:18.228
ceased.
So, when does the quarantine,

03:16:19.196 --> 03:16:21.196
the 4-1 day quarantine

03:16:23.133 --> 03:16:25.133
start? Does it start at

03:16:25.136 --> 03:16:27.237
moment you take the test? Or
for this individual it started

03:16:29.140 --> 03:16:31.140
with the ceasing of the

03:16:34.212 --> 03:16:36.179
symptoms.
>> sure.

03:16:38.582 --> 03:16:41.484
So, if somebody has symptom,
then we're isolating them and

03:16:41.986 --> 03:16:44.655
then they take the test and
they're negative, but
obviously they're sick.

03:16:45.123 --> 03:16:47.925
They still have symptoms.
So it May for the be that have

03:16:50.662 --> 03:16:52.662
they covism d, but they May

03:16:53.531 --> 03:16:55.933
have influenza arhino virus or
some other illness.

03:16:56.968 --> 03:16:58.668
So they still should stay away
from everyone else because

03:17:00.239 --> 03:17:02.540
it's just as easy to pass on
those other infections that

03:17:03.775 --> 03:17:06.710
are not covid-19 but I could
still get you sick or infected

03:17:07.111 --> 03:17:09.111
with influenza or whatever it

03:17:09.214 --> 03:17:11.480
is that I have.
In terms of could have, who

03:17:13.585 --> 03:17:15.585
they're saying is if you have

03:17:15.620 --> 03:17:17.954
symptoms and they test you and
you're negative, then they're

03:17:18.190 --> 03:17:20.190
saying that, okay, you don't

03:17:20.492 --> 03:17:22.594
have covid.
But we're not saying that

03:17:22.594 --> 03:17:25.363
you're not sick.
Because obviously if you have

03:17:25.998 --> 03:17:27.999
a cough and fear and runny
nose, you're sick.

03:17:29.268 --> 03:17:31.268
It's just probably not covism

03:17:33.105 --> 03:17:35.324
dz that answer your question?
 -- ?

03:17:35.324 --> 03:17:38.276
>> yeah.
I think so.

03:17:38.711 --> 03:17:40.712
Thank you.
>> thank you.

03:17:44.549 --> 03:17:46.500
Are there further questions?.
I do

03:17:46.585 --> 03:17:48.585
the quarantine, if a person

03:17:50.589 --> 03:17:53.900
has covid offer has texted
positive and is in quarantine

03:17:54.227 --> 03:17:56.795
and is in with other members
of the family, are the other

03:17:59.765 --> 03:18:01.800
members of the family also in
quarantine? Like how far does

03:18:02.234 --> 03:18:04.369
that quarantine go if you're
in the same household?

03:18:04.837 --> 03:18:07.806
>> if somebody has symptoms
and tested positive so,

03:18:09.241 --> 03:18:11.877
they're in isolation now, and
it can be real challenging if

03:18:12.178 --> 03:18:15.800
have you several people in a
house or as is common in

03:18:15.715 --> 03:18:17.984
hawai'I, could you have
multi-generational

03:18:17.984 --> 03:18:19.984
households.

03:18:20.553 --> 03:18:22.553
And it can be really tough.

03:18:22.755 --> 03:18:25.223
You want to isolate diplomat
best of your ability, so you

03:18:26.920 --> 03:18:28.261
know stay in a room with the
door closed and not coming out

03:18:28.829 --> 03:18:31.797
to have dipper with everybody
else kind of thing.
And the rest of that family

03:18:32.232 --> 03:18:34.633
obviously is at risk, because
they're sharing that

03:18:35.769 --> 03:18:38.437
environment to some extent.
So that can be really
challenging.

03:18:39.172 --> 03:18:41.707
Again t doesn't mean we should
test everybody in the family

03:18:42.709 --> 03:18:44.309
unless they start showing
symptoms as well.

03:18:45.646 --> 03:18:48.314
But it's a real challenge to
isolate when you're in such

03:18:49.216 --> 03:18:51.216
close confines like that.

03:18:51.218 --> 03:18:53.218
>> what about quarantine? If

03:18:53.320 --> 03:18:55.320
you came off the flight and

03:18:55.722 --> 03:18:57.722
you were asked to quarantine

03:18:58.591 --> 03:19:00.591
for 14 days, you didn't slow

03:19:00.827 --> 03:19:03.663
any symptoms but you came from
say a hotspot.
>> m'hm.

03:19:05.866 --> 03:19:08.301
Would that, again, in close
quarters in your household,

03:19:09.370 --> 03:19:11.738
would that be a necessity to
quarantine everybody because

03:19:11.739 --> 03:19:13.806
you're living there in the
same quarters?

03:19:15.576 --> 03:19:18.377
>> if you come back from say
travel off island to las vegas

03:19:20.248 --> 03:19:22.582
or washington or new york or
something, you should -- 

03:19:22.817 --> 03:19:24.817
you're in quarantine, because

03:19:24.919 --> 03:19:27.253
you don't have symptoms.
But to the best of your

03:19:27.788 --> 03:19:30.400
ability, you should stay away
from the other family
members.

03:19:30.591 --> 03:19:33.126
And again, assume that you're
positive and you don't want to

03:19:34.628 --> 03:19:37.596
give it to your mom or your
daughter.
So, to the best of crew

03:19:37.766 --> 03:19:39.967
ability, you should stay away
from the rest of the family.

03:19:40.135 --> 03:19:42.135
Understand that you're all in

03:19:44.339 --> 03:19:45.772
the same house; it can be real
challenge.

03:19:46.641 --> 03:19:49.275
But you should stay away from
them to the extent that you

03:19:49.677 --> 03:19:51.611
can stay in your room, close
the door.

03:19:52.346 --> 03:19:54.346
Fourteen daya really long time

03:19:54.649 --> 03:19:57.284
to do that in a house.
And the only thing I can think

03:19:58.353 --> 03:20:00.353
of is thank goodness I was not

03:20:00.655 --> 03:20:02.823
on the cruise ship in one of
those inside rooms.

03:20:03.758 --> 03:20:06.193
I can't imagine how tough that
must have done.

03:20:06.794 --> 03:20:09.129
>> we have three senators
online with us, who have been

03:20:09.764 --> 03:20:11.865
I think in quarantine for
eight days because they have

03:20:12.367 --> 03:20:13.734
not received their test
results.

03:20:14.736 --> 03:20:17.472
So maybe we should ask them
how they feel.
But thank you for doing the

03:20:19.874 --> 03:20:21.375
right thing and not coming
here.

03:20:23.878 --> 03:20:25.878
Any further questions? Say

03:20:26.348 --> 03:20:28.348
that again.

03:20:36.124 --> 03:20:38.698
(Indiscernible).
>> yes, I do
>> I know you Miss Us.
>> still no response, right?
No text result?
>> I'll let you know when I

03:20:40.362 --> 03:20:42.362
get them.

03:20:45.147 --> 03:20:47.334
>> sure.
So, I just want to make sure I
got you correct, that proper

03:20:48.437 --> 03:20:50.437
procedure is to only test if

03:20:52.800 --> 03:20:54.800
you're asymptomatic.

03:20:55.211 --> 03:20:57.845
However, if you do find a
case, if someone does test

03:21:01.283 --> 03:21:03.283
positive at that point, they

03:21:07.390 --> 03:21:09.390
May end up testing

03:21:09.425 --> 03:21:12.360
asymptomatic procedure to
finishing the source of orism

03:21:13.229 --> 03:21:15.697
gism n? Is that during the
course?
>> not exactly.

03:21:18.701 --> 03:21:20.701
So, if I'm symptomatic and I

03:21:21.270 --> 03:21:23.270
test positive, those who are

03:21:23.373 --> 03:21:25.373
in close contact with me

03:21:25.375 --> 03:21:27.710
should separate themselves
from everybody else and be

03:21:29.679 --> 03:21:30.987
worried that they May test
positive.

03:21:31.748 --> 03:21:33.381
But I wouldn't necessarily
test them unless they're

03:21:36.919 --> 03:21:38.207
showing symptoms.
Okay

03:21:42.292 --> 03:21:44.292
but how do you -- you're

03:21:45.562 --> 03:21:47.931
already certain from those who
May be already symptomatic?

03:21:47.931 --> 03:21:49.931
>> yeah

03:21:50.300 --> 03:21:52.468
and again, the vast majority
of transmission is from people

03:21:53.269 --> 03:21:55.269
who are symptomatic.

03:21:56.238 --> 03:21:58.238
And so, again, at some point

03:21:58.575 --> 03:22:00.977
this May be so widespread,
like, our capabilities for

03:22:02.212 --> 03:22:04.480
testing for influenza are
quite widespread.

03:22:05.749 --> 03:22:07.400
But we're not there with covid
yet.

03:22:08.918 --> 03:22:10.918
And so, knowing that we have a

03:22:11.554 --> 03:22:14.890
limited amount of ability to
test, I don't support at this

03:22:14.392 --> 03:22:17.260
point testing people who have
no symptoms.

03:22:18.863 --> 03:22:20.863
because I would rather save

03:22:20.998 --> 03:22:23.967
that for somebody that has
symptoms, that's a much higher

03:22:24.601 --> 03:22:26.690
likelihood that they're
actually sick.

03:22:27.437 --> 03:22:30.339
So, at some point it would be
nice if we could test anybody,

03:22:30.941 --> 03:22:33.610
just based on the history.
But I think right now, we

03:22:34.312 --> 03:22:36.847
should be limiting it to those
that have symptoms.

03:22:37.281 --> 03:22:39.783
And that seemers at consistent
with the cdc and with the

03:22:39.917 --> 03:22:42.419
department of health and the
other physicians in our

03:22:43.587 --> 03:22:45.587
community that deal with first

03:22:46.123 --> 03:22:48.123
responders and response

03:22:48.392 --> 03:22:49.859
agencies.
Okay

03:22:50.995 --> 03:22:53.855
so, people should only tested
if they're symptomatic
period?

03:22:55.466 --> 03:22:58.100
>> at this point, yes.
And that's because we have a

03:23:00.104 --> 03:23:02.606
lack of test kits?
>> it has to do with the yield

03:23:03.641 --> 03:23:05.508
of the test violence the -- as
well as the availability and

03:23:08.130 --> 03:23:10.414
the resources that is it takes
to test somebody.

03:23:10.816 --> 03:23:12.816
But if I'm negative and you

03:23:13.510 --> 03:23:14.985
test me, how do you know that
you're testing me

03:23:15.119 --> 03:23:17.119
appropriately and that two

03:23:17.155 --> 03:23:19.956
days from now, I'm not going
to become positive? So from

03:23:20.859 --> 03:23:23.227
that stand point, we don't
want to just test everybody

03:23:23.995 --> 03:23:25.997
and give them the false
reshowers on that their test

03:23:25.997 --> 03:23:27.997
is negative.

03:23:28.133 --> 03:23:29.834
The analogy I use is like a
pregnancy test.

03:23:31.536 --> 03:23:33.536
And if you think time zero was

03:23:34.473 --> 03:23:36.473
friday night f I test you on

03:23:36.841 --> 03:23:38.642
saturday you know what the
melt's going to be.

03:23:39.440 --> 03:23:41.440
It's going to be negative.

03:23:41.847 --> 03:23:43.681
Does that mean that you're not
pregnant? Not necessary but,

03:23:44.416 --> 03:23:46.651
but the test says you're not.
So, you have to understand how

03:23:47.520 --> 03:23:48.653
to interpret the test results
as well.

03:23:51.590 --> 03:23:53.590
And I think if we just test

03:23:55.594 --> 03:23:57.428
everybody indiscriminately,
we'll tell everybody that

03:23:58.330 --> 03:24:01.660
they're negative, when the
results aren't saying that.

03:24:01.834 --> 03:24:04.350
If you had a credible
exposure, you could test

03:24:05.204 --> 03:24:08.730
positive on day five or six or
eight or ten and that's why we

03:24:10.476 --> 03:24:12.377
have that 4-1 day window -- 
4-1 day window.

03:24:13.946 --> 03:24:15.946
>> thank you.

03:24:19.986 --> 03:24:22.554
Further question?
We're at the point where we

03:24:23.456 --> 03:24:25.456
don't have the same

03:24:26.250 --> 03:24:28.627
capabilities as we do with
influenza.
Ith guess that's what the

03:24:29.929 --> 03:24:31.929
department of health saying

03:24:35.969 --> 03:24:38.171
just stay at home,
self-quarantine.

03:24:38.171 --> 03:24:41.730
We don't have the
infrastructure right now?

03:24:41.941 --> 03:24:44.676
>> right, so we don't have the
ability to just tell anybody's

03:24:45.912 --> 03:24:47.912
symptoms or no symptoms.

03:24:49.150 --> 03:24:51.150
We're trying to focus the

03:24:51.830 --> 03:24:53.553
resources on those who do have
symptoms, it's a much higher

03:24:54.388 --> 03:24:55.678
yield that they test
positive.

03:24:56.490 --> 03:24:59.225
If you're symptomatic but not
too bad off, I'd tell you to

03:24:59.993 --> 03:25:02.940
stay home, because you don't
need to be in the hospital,

03:25:02.128 --> 03:25:04.128
which is a horrible place for

03:25:04.130 --> 03:25:06.980
you to, because you could
infect vulnerable people.

03:25:06.966 --> 03:25:08.966
And number two, at this point

03:25:09.169 --> 03:25:11.638
I don't really have any theme
some of that's another reason,

03:25:12.390 --> 03:25:14.608
stay home, take care of
yourself, monitor your

03:25:14.608 --> 03:25:17.176
symptoms.
But there's not a lot of

03:25:17.911 --> 03:25:19.946
difference where weather you
were anywhere else else, like

03:25:20.514 --> 03:25:22.681
a hospital, there's not a lot
of difference to you.

03:25:23.917 --> 03:25:25.917
So if your symptoms are mild

03:25:26.153 --> 03:25:28.522
or whatever, you can stay home
and you know, just monitor

03:25:28.522 --> 03:25:30.522
your symptoms.

03:25:30.524 --> 03:25:33.194
And if you get to a point
where you are having

03:25:33.194 --> 03:25:35.194
concerning symptom, then you

03:25:38.532 --> 03:25:40.532
need to call your physician.

03:25:42.503 --> 03:25:44.503
F okay okay, thank you.

03:25:44.639 --> 03:25:46.639
>> so, if you stay home and

03:25:47.775 --> 03:25:49.775
monitor your symptoms, what

03:25:52.580 --> 03:25:53.482
are the recommendations for to
you do to help yourself?

03:25:54.181 --> 03:25:56.181
Drink lots of water? And?

03:25:56.683 --> 03:25:59.652
>> so, the cdc has a list of
things to watch for.
It's a single page.

03:26:00.287 --> 03:26:01.988
Can I send you a link for
that.

03:26:03.625 --> 03:26:05.625
But essentially it's, if you

03:26:06.194 --> 03:26:08.194
had a bad call, what would you

03:26:08.196 --> 03:26:10.196
do? So stay home, get plenty

03:26:10.298 --> 03:26:12.733
of rest, hydrate, eat well,
that kind of thing.

03:26:13.134 --> 03:26:15.569
And it's just taking good care
of yourself.

03:26:15.636 --> 03:26:18.505
And then again making sure
that you're not sharing germ,

03:26:20.750 --> 03:26:22.750
whether covism d or not, you

03:26:22.770 --> 03:26:23.365
don't want to share germ with
others.

03:26:24.212 --> 03:26:26.212
So wash your hand as lot; stay

03:26:27.148 --> 03:26:29.683
away from others, those
things.
And if things are getting

03:26:30.840 --> 03:26:32.653
worse f you're not getting
better, then you need to call

03:26:34.220 --> 03:26:36.220
your medical provider and

03:26:36.257 --> 03:26:38.985
maybe get evaluated whether
tele health or in person or
something.

03:26:39.795 --> 03:26:41.896
But if you're getting worse,
certainly you should call and

03:26:43.164 --> 03:26:44.454
reach out to the medical
community.

03:26:45.233 --> 03:26:47.335
>> thank you, doctor.
We look forward to receiving

03:26:48.303 --> 03:26:51.105
that link, so we can share it
with our at this time sits
also.

03:26:51.373 --> 03:26:53.740
>> that's a great idea.
Yeah, send it out.

03:26:54.176 --> 03:26:56.176
>> thank you very much.

03:26:57.113 --> 03:26:59.614
Further questions? If not,
Dr. Libby char, thank you very
much.

03:27:00.382 --> 03:27:01.749
I have one more question,
please.

03:27:04.386 --> 03:27:06.386
>> go ahead, senator.

03:27:06.889 --> 03:27:08.889
>> thank you.

03:27:09.224 --> 03:27:11.224
Dr. Char, you said you were in

03:27:13.596 --> 03:27:15.630
contact with a colleague in
your area.

03:27:19.680 --> 03:27:21.680
From what you are seeing right

03:27:24.373 --> 03:27:27.175
now, how bad are the ppe
shortage?
We've heard from lots of

03:27:28.177 --> 03:27:29.465
different parties that it's
bad.

03:27:30.646 --> 03:27:32.915
But reare in this situation
situation, like we've seep in

03:27:35.818 --> 03:27:38.120
new york, where people are
(Indiscernible)? From what

03:27:38.187 --> 03:27:40.423
you are see?
>> another really good

03:27:40.423 --> 03:27:42.924
question.
I think, knock on wood, but in

03:27:43.392 --> 03:27:45.392
hawai'I, we're not at that

03:27:45.861 --> 03:27:48.264
point yet.
I think we're a little bit

03:27:49.132 --> 03:27:51.100
better prepared perhaps and
maybe because we have less

03:27:51.200 --> 03:27:53.936
people here.
But so far, we're doing okay

03:27:54.404 --> 03:27:56.404
with ppe.

03:27:56.773 --> 03:27:58.942
We're eyeing shortages f this
is going to go on for many,

03:27:58.942 --> 03:28:01.843
many months.
But for the next few weeks to

03:28:01.978 --> 03:28:03.978
several weeks I think we

03:28:04.448 --> 03:28:06.448
should be in okay shape.

03:28:06.650 --> 03:28:08.951
And we're actively trying to
procure new pp.

03:28:09.353 --> 03:28:12.288
We're not going to wait until
our supplies are depleted.

03:28:12.956 --> 03:28:14.956
So we've been working with the

03:28:15.292 --> 03:28:17.292
state ain't feds to try and

03:28:17.294 --> 03:28:19.962
repalestinian issue our ppe
supplies and also to be good

03:28:20.830 --> 03:28:22.830
stewards of it and not be

03:28:23.234 --> 03:28:25.769
wasteful of the ppe that we do
have.
But so far we're doing okay

03:28:25.836 --> 03:28:27.836
with the amount of pps that

03:28:27.905 --> 03:28:29.905
they we have in our state

03:28:30.174 --> 03:28:32.174
versus other states where they

03:28:32.976 --> 03:28:35.844
are just in dire strait
straits.
I mean, I'm hearing comments

03:28:36.279 --> 03:28:38.279
from some of my colleagues

03:28:38.415 --> 03:28:39.915
about wearing a bandanna to
work.

03:28:43.721 --> 03:28:46.522
And that just making me should
shudder r.
>> thank you, doctor.

03:28:47.458 --> 03:28:49.458
Thank you very much.

03:29:01.500 --> 03:29:03.500
Appreciate you being here.

03:29:03.741 --> 03:29:05.741
Sox dr.S park and anderson, if

03:29:06.377 --> 03:29:08.377
you could hold on im? We want

03:29:08.779 --> 03:29:10.779
to sannize the desk, not that

03:29:10.815 --> 03:29:13.516
Dr. Char is contaggism ous,
but we are doing every

03:29:13.718 --> 03:29:15.718
precaution to make sure we

03:29:16.922 --> 03:29:18.922
keep all of you safe.

03:31:40.501 --> 03:31:43.402
>> perfect, thank you.
So, next on the agenda we have

03:31:44.404 --> 03:31:46.404
the department of health,

03:31:46.640 --> 03:31:48.640
Dr. Bruce anderson direct or

03:31:49.420 --> 03:31:51.420
and Dr. Sarah parking the

03:31:53.149 --> 03:31:56.820
state's pedism omologist? If
you'll please joan us? And we

03:31:57.418 --> 03:31:59.418
have you separated like we are

03:31:59.420 --> 03:32:01.420
so to keep your 6-foot

03:32:02.189 --> 03:32:05.910
distance, not that you are
saiting that far apart.

03:32:05.426 --> 03:32:07.226
Let's proceed by starting with
an update.

03:32:08.495 --> 03:32:10.495
I know we've got more cases.

03:32:10.598 --> 03:32:13.133
We have people on respirators
now in the hospital.

03:32:14.535 --> 03:32:15.858
So, you can just go ahead?
>> sure.

03:32:17.572 --> 03:32:19.572
We're continuing to follow up

03:32:19.707 --> 03:32:21.707
on all the reported cases.

03:32:21.976 --> 03:32:23.976
And since reported last, we

03:32:24.945 --> 03:32:27.213
had I think six cases
yesterday; we had 14 new

03:32:32.454 --> 03:32:34.655
casessed to including nine in
honowahu, two on the big

03:32:36.591 --> 03:32:38.591
island and maui, none on

03:32:38.593 --> 03:32:41.280
kawaism I and we're still
looking at one.

03:32:42.530 --> 03:32:44.766
Keep in my opinion we get
these results and some are

03:32:46.340 --> 03:32:48.102
only hours old before we're
reporting to you.

03:32:48.470 --> 03:32:51.380
So we're still collecting
information on some of these.

03:32:52.600 --> 03:32:54.600
But you might be interested

03:32:55.760 --> 03:32:57.760
that on owahu, all the case,

03:32:58.646 --> 03:33:00.614
nine, were hide resident, not
visitors.

03:33:01.617 --> 03:33:02.899
Same is true on the big
island.

03:33:04.253 --> 03:33:06.253
On maui, one was a resident;

03:33:06.255 --> 03:33:08.689
one was a visitor and again we
have one that we're continuing

03:33:09.191 --> 03:33:11.191
to evaluate.

03:33:11.693 --> 03:33:13.693
Which I think reinforces the

03:33:16.310 --> 03:33:18.310
point that a lot of the virus

03:33:19.202 --> 03:33:21.536
that's being introduced is
introduced as a result of

03:33:21.770 --> 03:33:24.272
hawai'I residents coming home,
being ex-potioned somewhere

03:33:24.674 --> 03:33:26.274
else and coming home some of
that continues to be

03:33:28.510 --> 03:33:31.790
>> Dr. Ander son, can I ask
you to lift up your mike so,

03:33:32.614 --> 03:33:34.749
that people online can hear.
Okay.
Thank you.

03:33:38.210 --> 03:33:40.210
I hope they heard what I

03:33:41.524 --> 03:33:43.524
said.

03:33:43.759 --> 03:33:45.794
There's behalf lot of
discussion about that.

03:33:46.362 --> 03:33:49.230
To date and these numbers
change bit hour of course, but

03:33:50.732 --> 03:33:52.732
today we have reports of a

03:33:56.239 --> 03:33:59.141
total of 5747 lab results that
have come into the state

03:34:00.543 --> 03:34:02.543
through both the clinical labs

03:34:02.679 --> 03:34:05.614
and our state lab.
The clinical labs are doing

03:34:05.748 --> 03:34:07.748
the vast majority of the

03:34:08.718 --> 03:34:10.718
testing, including cls and dls

03:34:13.624 --> 03:34:15.624
and together they have so far

03:34:17.828 --> 03:34:20.362
reported 5379 of the 57 -- 
5747.
Our state laboratory division

03:34:21.640 --> 03:34:23.640
which serves as a reference

03:34:23.767 --> 03:34:26.201
laboratory has tested 368
samples aller to including

03:34:27.700 --> 03:34:29.700
samples that are being run to

03:34:30.374 --> 03:34:32.374
confirm private lab testing

03:34:33.677 --> 03:34:35.677
but also the labs that we are

03:34:36.713 --> 03:34:39.582
using for testing in our
survey.
You've hear about it

03:34:40.350 --> 03:34:42.585
but we got another lot of 26
results back today.

03:34:42.719 --> 03:34:44.719
They're all negative.

03:34:44.721 --> 03:34:47.157
And the significance of that
is that although we are now

03:34:48.726 --> 03:34:50.726
finding a few cases that seem

03:34:51.295 --> 03:34:54.970
to be the ruffle localized
transmission, no history of

03:34:55.866 --> 03:34:58.768
exposure to travelers or no
history of travel to areas

03:35:03.875 --> 03:35:05.875
where covid-19 is widely being

03:35:06.377 --> 03:35:08.377
disseminated, we don't believe

03:35:08.746 --> 03:35:10.746
it's -- it is now circulating

03:35:12.617 --> 03:35:14.617
widely in our community.

03:35:14.785 --> 03:35:16.785
Never theless, it's applicator

03:35:16.887 --> 03:35:19.390
that it probably is being
transmitted locally between

03:35:19.390 --> 03:35:21.390
people.

03:35:22.761 --> 03:35:24.761
And that's obviously a point

03:35:26.264 --> 03:35:28.265
of concern.
Exclusively, we're seeing the

03:35:28.332 --> 03:35:30.767
illness associated with
travelers early in the course

03:35:31.402 --> 03:35:33.637
of this especially
demonstratic and now we're

03:35:33.904 --> 03:35:36.773
beginning to see signs of
local transmission, which only

03:35:38.910 --> 03:35:40.910
reinforces the need to

03:35:40.946 --> 03:35:43.647
implement very, very stringent
measures to keep it from

03:35:43.882 --> 03:35:45.882
circulating widely in our cup

03:35:46.284 --> 03:35:48.284
difficult and I think of

03:35:49.154 --> 03:35:51.154
course there are measures in

03:35:51.289 --> 03:35:53.289
place now that are effective

03:35:56.729 --> 03:35:59.363
in that way, social distancing
is objective with almost all

03:36:00.732 --> 03:36:02.732
these measures but the

03:36:02.968 --> 03:36:05.436
restriction is on bars and
restaurants and of course in

03:36:06.771 --> 03:36:08.771
support of that and the main

03:36:08.873 --> 03:36:10.873
message everyone is getting

03:36:12.277 --> 03:36:14.277
stay at home if you can.

03:36:14.346 --> 03:36:15.880
Work from home when that's
possible.

03:36:18.450 --> 03:36:20.918
And don't expose yourself to
others or be in a situation

03:36:21.420 --> 03:36:22.954
where you're going to be
exposed.

03:36:26.892 --> 03:36:29.293
And I said this once I think,
it's run well, because I've

03:36:30.695 --> 03:36:33.465
heard others say it and that
is that you should think about

03:36:34.367 --> 03:36:36.367
yourself as being infected

03:36:36.969 --> 03:36:39.310
even if your not, when other
people around you are also

03:36:39.310 --> 03:36:41.339
affected.
And that way, I think it helps

03:36:43.309 --> 03:36:45.843
to give you a sense of how
serious this virus really is

03:36:46.712 --> 03:36:48.712
and how we should be thinking

03:36:48.915 --> 03:36:50.915
about our mom ofs and what

03:36:51.985 --> 03:36:53.985
we're doing every day.

03:36:56.289 --> 03:36:59.900
So, that's the update on the
cases. And and of that
support.

03:37:00.359 --> 03:37:02.359
We'll continue to do what we

03:37:02.494 --> 03:37:04.863
are doing now, which is to
aggressively pursue any cases

03:37:05.865 --> 03:37:07.865
that are identified.

03:37:08.735 --> 03:37:10.735
And these are usually

03:37:11.204 --> 03:37:13.204
identified by private

03:37:13.206 --> 03:37:15.206
physicians now, through

03:37:15.441 --> 03:37:17.441
private laboratory testing.

03:37:19.312 --> 03:37:22.470
I might add that the private
labs are now able to do much

03:37:22.682 --> 03:37:24.682
of their testing locally.

03:37:24.851 --> 03:37:27.386
They May be splitting some
samples to send to the

03:37:28.254 --> 03:37:30.589
mainland, which takes now over
ten days in some cases because

03:37:30.824 --> 03:37:32.558
of the backlog that
laboratories on the mainland

03:37:33.590 --> 03:37:35.728
are having.
But if they're done locally

03:37:36.396 --> 03:37:38.564
they can turn the results
around pretty quickly, sums in

03:37:39.566 --> 03:37:41.566
a day or two.

03:37:43.804 --> 03:37:46.305
Our laboratory is able to test
and provide one-day

03:37:47.408 --> 03:37:49.408
turn-around times.

03:37:49.810 --> 03:37:52.478
We get the sample before 1:00
in the morning, likely we'll

03:37:53.413 --> 03:37:55.981
get the ruling by the end of
the day -- 11 in the morning.

03:37:56.783 --> 03:37:59.840
So we get a report from a
private lab that is positive

03:38:00.988 --> 03:38:02.988
and we confirm that; we can

03:38:03.924 --> 03:38:05.759
usually confirm it rather
quickly.

03:38:09.500 --> 03:38:10.930
But the front line in this
epidemic are the physicians,
who are seeing patients who

03:38:12.366 --> 03:38:15.268
are symptomatic and of course
they're then referring them to

03:38:17.138 --> 03:38:19.138
us for follow-up.

03:38:19.874 --> 03:38:21.874
With a we're doing now, I

03:38:25.780 --> 03:38:28.348
should add I think, with
regard to the?-day quarter

03:38:29.160 --> 03:38:31.584
teen, sorry, have you had any
place from dot or others come

03:38:31.986 --> 03:38:33.986
to talk to you about that? I

03:38:34.389 --> 03:38:37.240
don't want to repeat what they
have said.
But it seems like it's

03:38:37.459 --> 03:38:39.893
working; the number, way down
on the people coming to us

03:38:42.530 --> 03:38:44.530
from other paces and there's

03:38:44.532 --> 03:38:47.100
some now that are banning or
requiring 147 day quarantine

03:38:49.570 --> 03:38:51.907
for inter island travel as
well.

03:38:51.907 --> 03:38:53.841
A final decision will be made
on that.

03:38:54.109 --> 03:38:56.544
I'm sure they're going to have
to be exceptions to that, if

03:38:56.978 --> 03:38:58.978
that is implemented.

03:38:59.914 --> 03:39:01.914
But that's being discussed.

03:39:01.916 --> 03:39:04.184
So, that would simply shut us
off from other jurisdictions

03:39:04.652 --> 03:39:07.554
where the disease is
occurring, and help protect

03:39:08.389 --> 03:39:10.425
us against the importation of
the disease.

03:39:10.859 --> 03:39:13.528
But it's not going to help
when the disease is already

03:39:15.897 --> 03:39:17.897
here and then we still need to

03:39:23.505 --> 03:39:25.506
go after any cases we have and
contacts.
That's what every other

03:39:25.573 --> 03:39:27.943
jurisdiction, state is doing.
I think we're doing it better

03:39:28.144 --> 03:39:30.144
than most are.

03:39:30.646 --> 03:39:32.646
Our numbers are down.

03:39:32.648 --> 03:39:35.450
We're able to thoroughly
investigate the cases if that

03:39:36.118 --> 03:39:38.886
we know about and identify
their contacts and of course

03:39:39.588 --> 03:39:41.550
they're quarantined, the close
contacts.

03:39:41.957 --> 03:39:44.125
If the numbers get much bigger
we'll have a much more

03:39:44.560 --> 03:39:46.560
difficult time managing that.

03:39:47.130 --> 03:39:49.898
Right now, I think they're
pretty well, helping to keep

03:39:52.168 --> 03:39:54.168
the numbers down as it has

03:39:56.710 --> 03:39:58.339
been since this outbreak first
occurred.
I wouldn't ma'am that

03:39:59.608 --> 03:40:01.608
happening forever.

03:40:01.611 --> 03:40:04.460
We all anticipate a time when
we're going to start see much

03:40:06.449 --> 03:40:09.117
more community spread that's
pretty much impossible to

03:40:09.485 --> 03:40:12.120
avoid and our goal is to keep
the numbers downs to level

03:40:17.626 --> 03:40:19.260
where we can manage the cases.
>> thank you.

03:40:20.197 --> 03:40:22.197
We have three senators also

03:40:23.133 --> 03:40:25.534
joining us online, who have
now been in quarantine for

03:40:25.702 --> 03:40:27.702
eight days.

03:40:30.139 --> 03:40:32.139
So, the good news gentlemen,

03:40:32.141 --> 03:40:34.141
senatorthat if ten days is

03:40:35.780 --> 03:40:37.513
usually the max, two more days
and maybe you'll hear
something.

03:40:41.485 --> 03:40:43.485
So, I believe senator o

03:40:43.987 --> 03:40:45.987
wololism has a question.

03:40:46.556 --> 03:40:49.570
For Dr. Park or Dr. Anderson?
>> I have a trudy-lyn

03:40:50.560 --> 03:40:53.462
follick-up question for
Dr. Park, based on a couple of

03:40:54.131 --> 03:40:56.633
questions I asked I think two
days ago.

03:40:59.403 --> 03:41:01.704
>> sure.
>> okay.

03:41:03.400 --> 03:41:05.400
So, I believe there already

03:41:06.576 --> 03:41:09.245
have beener have you indicated
that there are current

03:41:10.948 --> 03:41:12.948
testing, daily testing

03:41:14.685 --> 03:41:17.120
capacity is 1,000 or less
tests that can be administered

03:41:20.725 --> 03:41:22.725
on a single day.

03:41:25.996 --> 03:41:28.731
Of do you know the department
of health's qualifying

03:41:30.935 --> 03:41:32.935
symptoms a attic criteria, is

03:41:33.271 --> 03:41:36.173
that thousand or less
sufficient for the demand that

03:41:39.710 --> 03:41:42.578
we're currently experiencing?
>> well, the demand right now

03:41:43.140 --> 03:41:45.140
seems to be beak met as far as

03:41:45.649 --> 03:41:47.649
we can tell in that clinics

03:41:47.786 --> 03:41:49.786
are organized the tests and

03:41:50.522 --> 03:41:52.289
are referring patients to the
clinical labs.

03:41:53.224 --> 03:41:55.224
As I directed them to do so,

03:41:55.593 --> 03:41:57.593
starting on wednesday with the

03:41:58.563 --> 03:42:00.296
latest move, issuing medical
advisories weekly to provide

03:42:01.666 --> 03:42:04.100
the clinic I goes the most up
to date guidance.

03:42:05.570 --> 03:42:07.570
And considering that the click

03:42:07.606 --> 03:42:10.241
all labs it indicated they
were already run and close to

03:42:11.109 --> 03:42:13.109
completing validation, in fact

03:42:13.177 --> 03:42:15.177
one has completed in-house

03:42:16.470 --> 03:42:18.470
valid ace.

03:42:19.784 --> 03:42:21.784
The other one -- right, so,

03:42:22.588 --> 03:42:25.123
the validation coh has
completed validation.

03:42:25.758 --> 03:42:27.758
So, yeah, A.M. The labs are

03:42:28.327 --> 03:42:30.628
now up and running in terms of
having in-house testing
capacity.

03:42:31.196 --> 03:42:33.798
So based on that, that's why I
issued the medical advisory,

03:42:34.332 --> 03:42:36.867
one of the guidances in there
was to direct clinicians to

03:42:38.204 --> 03:42:40.238
order tests directly from the
clinical labs so that they

03:42:41.740 --> 03:42:43.740
could go through usual

03:42:43.742 --> 03:42:45.744
practices, so to speak in that
that is what normally

03:42:45.744 --> 03:42:47.612
happens.
They're not usually ordering

03:42:48.213 --> 03:42:50.213
tests from the state lab,

03:42:50.582 --> 03:42:52.582
whichs as Dr. Anderson said is

03:42:52.651 --> 03:42:55.586
a refer reference lab, not
really a client, you know,

03:42:56.856 --> 03:42:58.856
related sort of laboratory.

03:42:59.859 --> 03:43:02.294
So, as far as meeting demand,
it's hard for me to say yes or

03:43:03.362 --> 03:43:05.830
no, because I'm not out
there.
I just see the numbers that

03:43:07.366 --> 03:43:09.367
are grow and I also hear from
colleagues and friend who's

03:43:12.271 --> 03:43:14.339
are clinicians, my clinical
colleagues that they are able

03:43:15.909 --> 03:43:17.909
to order the tests.

03:43:19.279 --> 03:43:21.279
So that's the best I can tell

03:43:22.816 --> 03:43:24.816
you at this point.

03:43:26.252 --> 03:43:28.252
>> you are the best situated

03:43:30.156 --> 03:43:32.156
to make a determination on any

03:43:33.393 --> 03:43:36.950
particular day, whether anyone
in hawai'I who needs a test

03:43:41.668 --> 03:43:43.668
based off of their criteria or

03:43:45.672 --> 03:43:47.672
have access to one.

03:43:48.209 --> 03:43:50.743
I'd still like to confirm
based off of your -- 

03:43:50.811 --> 03:43:52.811
>> sure.

03:43:54.248 --> 03:43:56.850
So, as fares we are aware, the
clinical lab, ready and again,

03:43:56.850 --> 03:43:58.919
they're running.
They're able to turn around

03:43:58.919 --> 03:44:01.654
those tests.
I'm sorry your temperatureses

03:44:01.788 --> 03:44:04.423
got September to the mainland
before they were ready.

03:44:05.325 --> 03:44:07.427
But as far as the testing
capacity, we have it now in

03:44:07.895 --> 03:44:10.697
the state, which is a good
thing.
But of course, as you heard

03:44:11.832 --> 03:44:14.367
the last time we talked with
you all, there's still issues

03:44:16.870 --> 03:44:19.238
around supplies.
Dr. Dressman who is now here

03:44:19.739 --> 03:44:22.441
has indicated he's been
communicating with the
laboratories and they have

03:44:23.478 --> 03:44:25.846
indicated that they are still
experiencing continued

03:44:26.314 --> 03:44:28.314
intermittent supply issues.

03:44:28.749 --> 03:44:30.749
The other thing I would just

03:44:31.318 --> 03:44:33.318
caution is that my concern is

03:44:33.320 --> 03:44:35.320
more about -- in terms of

03:44:35.822 --> 03:44:37.822
access to tests, the answer

03:44:38.392 --> 03:44:40.927
would be yes, theoretically.
but then we also have to think

03:44:41.930 --> 03:44:44.331
about it is hawai'I; and we
have always had the issue of

03:44:44.899 --> 03:44:46.800
health care access in
general.

03:44:47.735 --> 03:44:50.303
So, it's not even just the
tests but just health care

03:44:51.405 --> 03:44:53.907
access issues and that May be
something to consider.

03:44:54.341 --> 03:44:56.376
Hopefully our federally
qualified health centers can

03:44:57.440 --> 03:44:59.814
meet some of those need busy
we know also that this are

03:44:59.948 --> 03:45:02.382
some individuals that still
have problems out there

03:45:02.917 --> 03:45:05.419
accessing healthcare.
>> let me mention one problem

03:45:05.487 --> 03:45:06.820
that we're just hearing
about.

03:45:09.757 --> 03:45:11.725
That is a lot of, quite a few
private physicians are closing

03:45:13.528 --> 03:45:15.395
up their practices because of
probably because of concerns

03:45:16.231 --> 03:45:18.231
about covid-19.

03:45:18.233 --> 03:45:20.935
Manufacture them are not used
to dealing with infectio

03:45:21.503 --> 03:45:24.405
sometime disease issues like
this or they have other issues
to close.

03:45:25.600 --> 03:45:27.441
It's a ppe issue, too.
Many of them aren't used to

03:45:29.377 --> 03:45:31.779
wearing ppe or don't have many
supply inside stock.

03:45:31.813 --> 03:45:33.947
That's concerning, because
that of course puts be an

03:45:34.717 --> 03:45:36.717
increase the burden on the

03:45:37.219 --> 03:45:39.520
other medical facilities,
hospitas and others who might

03:45:39.521 --> 03:45:41.521
be there.

03:45:42.958 --> 03:45:44.958
And actually, I was hoping if

03:45:45.260 --> 03:45:47.895
this is broadcast, it might be
helpful to mention that

03:45:49.264 --> 03:45:51.264
individuals who do not have a

03:45:51.267 --> 03:45:53.267
physician anymore can contact

03:45:54.700 --> 03:45:56.137
their qualified health center,
federally qualified.

03:45:56.338 --> 03:45:58.573
And we do have physician
there's who can see patients

03:45:59.475 --> 03:46:02.410
if your physician is no longer
practicing.
but I think this is going to

03:46:03.278 --> 03:46:05.980
be more and more of an issue.
It's not just the challenging
of supply.

03:46:08.351 --> 03:46:10.351
I think there is just a

03:46:11.487 --> 03:46:13.487
general concern about appear

03:46:15.291 --> 03:46:17.459
physician's inadequacy in
dealing with the issue.

03:46:21.497 --> 03:46:23.497
As it happens, just know that

03:46:24.800 --> 03:46:27.200
we are wanting to support the
private physicianses in

03:46:27.300 --> 03:46:29.938
providing equipment and
supplies if that's the issue.

03:46:30.874 --> 03:46:33.750
If there are other issues then
there are alternatives for

03:46:34.944 --> 03:46:37.546
those individuals who May be
seeking services that they

03:46:38.347 --> 03:46:40.347
can't get anymore.

03:46:41.500 --> 03:46:42.884
So, I think this is -- we
didn't anticipate as much as

03:46:43.987 --> 03:46:46.550
we might have, but it's
another one we're working

03:46:47.290 --> 03:46:49.625
through right now.
>> Dr. Cancer deer son,

03:46:50.994 --> 03:46:52.994
besideses senators who are on

03:46:53.329 --> 03:46:55.329
line with us, we are

03:46:55.832 --> 03:46:57.832
broadcasting this on olelo

03:46:57.834 --> 03:47:00.300
channel 56, I believe.
So, they are hearing your

03:47:00.300 --> 03:47:02.300
message.

03:47:02.840 --> 03:47:04.840
I would ask though, maybe if

03:47:06.900 --> 03:47:08.678
you could let the viewers know
how to go to your website to

03:47:09.446 --> 03:47:11.146
see that information that, you
just talked about?

03:47:14.117 --> 03:47:16.919
>> we are actually, for those
who are interested we put out

03:47:17.454 --> 03:47:19.454
a press advisory every day

03:47:19.523 --> 03:47:22.580
with updated case information,
and also there's various

03:47:22.359 --> 03:47:24.359
pieces of information we're

03:47:24.861 --> 03:47:26.162
putting out there which could
be valuable.

03:47:27.498 --> 03:47:29.498
That does include a number,

03:47:29.500 --> 03:47:31.500
where people can call or

03:47:31.668 --> 03:47:33.135
contact if they are in need of
a physician.

03:47:34.504 --> 03:47:36.504
All the testing that's been

03:47:36.507 --> 03:47:37.874
done has to be done through a
physician.

03:47:38.943 --> 03:47:41.445
a physician has to be able to
evaluate the individual and

03:47:41.445 --> 03:47:43.847
provide medical advice both
before and after a fest is

03:47:44.148 --> 03:47:45.949
deny f a decision is made to
do the test.

03:47:46.650 --> 03:47:49.519
So it's important that an
individual who is symptomatic

03:47:50.154 --> 03:47:52.655
or otherwise talk to their
physician about this because

03:47:53.240 --> 03:47:55.920
the physician has to order the
test.
And then of course that

03:47:55.493 --> 03:47:58.362
physician is the one who's
going to follow up with the
patient.

03:48:00.310 --> 03:48:02.310
So, I would hope that that

03:48:02.967 --> 03:48:05.402
information would be on our
health website and we put this

03:48:06.204 --> 03:48:08.438
out in a news release.
So the newspapers May pick up

03:48:08.639 --> 03:48:11.141
on that, as well.
But that justen with out

03:48:11.676 --> 03:48:13.676
today.

03:48:14.412 --> 03:48:17.480
And there's one other bit of
information, desmond's here,

03:48:17.982 --> 03:48:20.500
but we're concerned that
there's a lot of people out

03:48:22.420 --> 03:48:24.420
there selling their test kits

03:48:24.489 --> 03:48:26.489
or whatever the case May be.

03:48:26.958 --> 03:48:29.427
Some test kits are probably
okay others are not.

03:48:31.230 --> 03:48:33.230
They haven't been tested.

03:48:34.650 --> 03:48:36.650
They're for research purposes

03:48:36.635 --> 03:48:39.503
only or are simply not
reliable, not sensitive to

03:48:40.505 --> 03:48:42.505
covid-19, in which case having

03:48:42.574 --> 03:48:44.574
bad test result is probably

03:48:45.760 --> 03:48:47.760
worse than no fest result.

03:48:48.130 --> 03:48:50.648
Gives a person a false sense
of security if it's negative

03:48:51.450 --> 03:48:53.450
and if it's positive of course

03:48:53.652 --> 03:48:55.586
they would be worried
needlessly.

03:48:56.588 --> 03:48:59.156
But having test that's
reliable is important.

03:48:59.591 --> 03:49:01.591
And there is an organization

03:49:03.229 --> 03:49:05.764
called clea and I hope
Dr. Desmond to could talk

03:49:07.600 --> 03:49:10.235
about that, that certifies
laboratories.
Just remember.
This.

03:49:11.670 --> 03:49:13.671
That the test should be clea
certified in order for it to

03:49:15.608 --> 03:49:17.608
be used.

03:49:18.477 --> 03:49:21.112
The our labs are all
certified.
But there's not lots of stuff

03:49:21.614 --> 03:49:24.160
out there that people are sell
organized a very thanksgivings

03:49:26.185 --> 03:49:28.987
is not reliable, test kits
that can be promising half-an

03:49:31.230 --> 03:49:33.230
hour turn around or on the

03:49:33.590 --> 03:49:34.759
spot analysis.
There's

03:49:36.562 --> 03:49:38.562
they're not necessarily

03:49:40.000 --> 03:49:41.285
reliable enough for testing
purposes.

03:49:43.169 --> 03:49:45.700
>> senator dela cruz has a
question.

03:49:47.607 --> 03:49:49.607
>> yeah.

03:49:50.743 --> 03:49:52.743
You had mentioned that the

03:49:55.816 --> 03:49:58.517
south korean model has has
some (Indiscernible) And would

03:49:58.619 --> 03:50:00.619
need some manpower.

03:50:01.540 --> 03:50:03.540
Is it still possible for the

03:50:04.124 --> 03:50:06.558
department to draft a more
aggressive plan that -- it

03:50:09.829 --> 03:50:12.970
seems to me that the
department needs to contact

03:50:13.767 --> 03:50:15.767
the governor to expedite and

03:50:19.773 --> 03:50:21.773
do whatever we can to try to

03:50:23.810 --> 03:50:25.810
(Indiscernible).

03:50:26.460 --> 03:50:28.681
>> clea has I think a very
comprehensive program.
They have done a lot of

03:50:33.540 --> 03:50:35.822
testing of people.
A statistic was interesting to
me.

03:50:36.257 --> 03:50:38.257
Apparently they have tested

03:50:38.826 --> 03:50:40.915
about 7 percent of their
population, give or take a

03:50:40.915 --> 03:50:42.915
little.

03:50:44.364 --> 03:50:45.731
But that's what they have
done.

03:50:46.566 --> 03:50:49.136
We have tested now over
3 percent of our population,

03:50:49.237 --> 03:50:51.237
almost 4 percent and we're

03:50:51.339 --> 03:50:54.140
only beginning into this.
so we're not far behind in

03:50:54.141 --> 03:50:57.770
terms of tests per cap
attachment and I would argue

03:50:57.778 --> 03:50:59.778
that our testing probably more

03:51:00.214 --> 03:51:02.214
focused on people who are

03:51:02.650 --> 03:51:04.717
symptomatic and probably more
valuable than simply going out

03:51:06.154 --> 03:51:08.154
and testing everyone who wants

03:51:09.290 --> 03:51:11.290
to be tested.

03:51:12.860 --> 03:51:15.295
What south korea did is close
their borders.

03:51:16.764 --> 03:51:18.764
They have a 14-day mandatory

03:51:19.734 --> 03:51:22.369
quarantine, as well and taken
stringent actions and ordered

03:51:22.670 --> 03:51:25.140
people to stay home and of
course closed bars and

03:51:25.140 --> 03:51:27.875
restaurants.
So, our program is modeled

03:51:30.378 --> 03:51:31.779
largely after theirs, in what
we're doing.

03:51:33.748 --> 03:51:35.748
We're looking at other

03:51:36.751 --> 03:51:38.751
country, new zealand has a

03:51:38.786 --> 03:51:40.786
quarantine program that's even

03:51:40.856 --> 03:51:42.856
more stringent than us.

03:51:43.392 --> 03:51:45.860
They simply ban any place from
coming back to new zealand

03:51:46.762 --> 03:51:49.630
that doesn't have a new
zealand passport.

03:51:52.434 --> 03:51:54.434
So, they have had more

03:51:54.769 --> 03:51:57.705
restrictive travel
restrictions than what we have
now.

03:51:58.700 --> 03:52:00.642
And there are other countries
as well that have taken

03:52:02.411 --> 03:52:04.411
action, everything from

03:52:05.347 --> 03:52:07.347
curfews to other actions to

03:52:10.285 --> 03:52:12.387
help to enforce the social
distancing that I think are

03:52:12.387 --> 03:52:14.655
note-worthy.
I think we're trying to find

03:52:15.291 --> 03:52:18.260
the best of the best and
looking at other countries and

03:52:19.161 --> 03:52:21.162
what they're doing that are
effective that could be

03:52:21.430 --> 03:52:22.864
implemented here, going
forward.

03:52:30.672 --> 03:52:32.907
And we're learning as we go.
The biggest mistake that

03:52:33.276 --> 03:52:35.877
countries have made that have
a huge problem is they didn't

03:52:37.280 --> 03:52:39.748
act quickly.
I think we're lucky not to

03:52:41.284 --> 03:52:43.284
have a lot of cases now, and

03:52:43.452 --> 03:52:46.254
we are really early,
considering where reare in the

03:52:47.389 --> 03:52:50.225
epidemic curve.
So, think we've got an

03:52:50.393 --> 03:52:52.728
advantage over those other
places in many respects.

03:52:53.763 --> 03:52:56.298
And we're an island state; we
can control our borders much

03:52:59.335 --> 03:53:01.469
more than other states can,
which we have taken advantage

03:53:03.773 --> 03:53:05.773
of that as much as we can.

03:53:10.414 --> 03:53:12.414
When it comes to I guess

03:53:14.785 --> 03:53:16.785
disaster, other kind of

03:53:16.787 --> 03:53:18.787
disasters, if you get a text

03:53:19.489 --> 03:53:21.489
message, and everyone's starts

03:53:22.792 --> 03:53:24.792
to -- is there some type of

03:53:25.362 --> 03:53:27.362
arrangement with companies to

03:53:28.565 --> 03:53:30.565
treat this this, virus or this

03:53:32.769 --> 03:53:34.769
pandemic in a similar way of

03:53:35.305 --> 03:53:37.873
natural disasters?
>> I'm trying to understand

03:53:39.909 --> 03:53:41.377
how we would alert distill
stillers here.

03:53:42.445 --> 03:53:44.514
I mean we have cases here and
there's even already a few

03:53:45.349 --> 03:53:48.318
cases of localized
transmission.
So, there's no

03:53:51.889 --> 03:53:54.570
>> so, every day, every few
days everybody would get a

03:53:58.295 --> 03:54:00.429
text from the disaster center,
saying three are -- these are

03:54:06.270 --> 03:54:08.270
the new case, stay at home.

03:54:10.274 --> 03:54:11.841
Similar to weather disasters.
>> yeah

03:54:12.743 --> 03:54:15.245
I think we'll find better ways
probably to get the word out

03:54:15.980 --> 03:54:18.810
and bring people up to date on
cases and so forth.

03:54:19.985 --> 03:54:22.419
And certainly as we get more
community transmission as we

03:54:22.988 --> 03:54:24.988
anticipate we will, maybe we

03:54:24.989 --> 03:54:27.457
can come up with some sort of
a warning system like they
have.

03:54:27.859 --> 03:54:29.859
But we're not dealing with a

03:54:30.610 --> 03:54:32.495
hurricane or tidal wave, which
is very predictable.

03:54:34.532 --> 03:54:36.532
To be honest with you, we

03:54:38.303 --> 03:54:40.303
haven't seen a huge wave of

03:54:41.600 --> 03:54:43.807
new cases as happened in many
places.
We expect that might happen

03:54:44.420 --> 03:54:46.944
and we're preparing for that.
Perhaps we could come up with

03:54:48.790 --> 03:54:50.790
some sort of a public notice

03:54:51.849 --> 03:54:53.849
system where we could alert

03:54:54.860 --> 03:54:55.520
people as to the current
condition.

03:54:56.789 --> 03:54:58.956
I know general hars will be
here later today.

03:54:58.957 --> 03:55:00.957
And he'll be talking about

03:55:02.594 --> 03:55:05.960
various triggers that they're
planning around and actions to

03:55:06.498 --> 03:55:07.998
be taken when we reach those
triggers.

03:55:10.970 --> 03:55:12.970
So, short of a cell phone

03:55:15.908 --> 03:55:18.443
alert system, certainly the
emergency management agencies

03:55:21.547 --> 03:55:23.547
here will be implementing mans

03:55:24.160 --> 03:55:26.160
based on in part at least

03:55:27.487 --> 03:55:29.487
based on the condition as it

03:55:32.858 --> 03:55:35.460
relates to the transfer of the
disease and possibly ramping

03:55:39.498 --> 03:55:41.498
up even further our patrols.

03:55:43.102 --> 03:55:45.436
I'll let him speak to that.
>> other countries

03:55:46.506 --> 03:55:48.574
implementing similar measures
using cellular phones to

03:55:49.442 --> 03:55:51.643
notify the masses?
>> one thing that's really,

03:55:52.378 --> 03:55:54.378
that we are doing is we're

03:55:54.647 --> 03:55:57.150
using our cell phones to track
visitors and others who are

03:55:57.450 --> 03:56:00.185
under quarantine.
That's actually something that

03:56:00.619 --> 03:56:02.619
we have found to be very

03:56:04.240 --> 03:56:05.958
efficient, very useful.
Instead of having to watch the

03:56:06.192 --> 03:56:08.894
person or trying to follow
their whereabouts.

03:56:09.462 --> 03:56:11.462
So, that that is a good

03:56:13.320 --> 03:56:15.400
application for a cell phone.
And if there are some good

03:56:15.602 --> 03:56:17.602
ideas that other countries

03:56:18.404 --> 03:56:20.172
have put in place to keep
people informed, we'll need to

03:56:21.508 --> 03:56:24.476
look at those.
And I'll ask our

03:56:24.544 --> 03:56:26.544
communications folks to see

03:56:29.516 --> 03:56:31.516
what might be available.

03:56:31.718 --> 03:56:34.420
F you're dealing with your
communication folks, I know

03:56:35.188 --> 03:56:37.188
that you've been work throng

03:56:38.926 --> 03:56:41.600
and social media, but the
millennials that we see are

03:56:41.962 --> 03:56:44.497
the least likely to really
adhere to the social
distancing.

03:56:45.499 --> 03:56:48.234
So, I think what's being asked
bicep develop is not only

03:56:49.690 --> 03:56:51.704
number of -- senator dela cruz
is not only the number of

03:56:51.738 --> 03:56:53.738
cases and whether we're

03:56:54.207 --> 03:56:56.710
spiking, but at least those
messages, when they come n

03:56:58.120 --> 03:57:00.800
we've got more, you have to do
these things.

03:57:00.448 --> 03:57:03.216
If you have these symptoms we
have just learned today what

03:57:04.251 --> 03:57:06.653
is symptomatic, then please,
you know, keep your distance.

03:57:07.540 --> 03:57:09.540
These are things to do so,

03:57:11.910 --> 03:57:13.961
that at least I know theyth
would be a way of getting to

03:57:14.696 --> 03:57:16.730
those who think it's really
not their problem.

03:57:17.965 --> 03:57:19.266
>> m'hm.
Yeah.

03:57:21.702 --> 03:57:24.270
We just retained a consulting
firm to help us with

03:57:27.553 --> 03:57:29.676
messaging, in particular for
the younger people, the social
media, twitter and Facebook,

03:57:29.676 --> 03:57:32.460
yeah.
That's the way they

03:57:32.480 --> 03:57:34.615
communicate and that's the way
we should be communicating

03:57:34.749 --> 03:57:36.749
with them.

03:57:37.252 --> 03:57:39.186
And we could perhaps work in
regular messages first of all,

03:57:40.188 --> 03:57:42.556
and hopefully messaging that
they will listen to and pay

03:57:42.556 --> 03:57:44.556
attention to.

03:57:45.192 --> 03:57:47.192
But there could be some sort

03:57:47.228 --> 03:57:49.997
of appear alert kind of a
system built into that

03:57:53.680 --> 03:57:55.736
messaging that we can use.
>> the radio stations do it

03:57:56.638 --> 03:57:59.540
regularly, breaking news.
So, maybe we could do breaking

03:58:01.778 --> 03:58:03.424
covid-19 news.
Senator kim has a follow-up to
the messages issue.

03:58:06.649 --> 03:58:08.750
>> you had mentioned that fun
have used phones.

03:58:11.720 --> 03:58:13.720
Are you using some kind of an

03:58:14.623 --> 03:58:17.291
app? I know with an app app
that is correct the visitors

03:58:18.660 --> 03:58:20.660
that have a 14-day quarantine

03:58:21.290 --> 03:58:23.290
that, they they can monitor.

03:58:23.320 --> 03:58:24.805
Is that what you're talking
about.
Yes.

03:58:26.102 --> 03:58:27.802
I don't know that they're
required at this point to have

03:58:29.505 --> 03:58:31.339
the app but there was some
discussion around that.

03:58:31.673 --> 03:58:34.275
That would be a good question
for the director when he comes

03:58:34.810 --> 03:58:36.810
to ask him about.

03:58:38.747 --> 03:58:40.747
That would be implemented

03:58:42.285 --> 03:58:45.187
through the transportation -- 
>> how are you tracking them?

03:58:45.855 --> 03:58:48.156
You said you're keeping track
of them by phone?

03:58:48.658 --> 03:58:51.292
>> we kept track of the
contacts that we have and of

03:58:51.861 --> 03:58:54.262
course the cases.
>> right.

03:58:54.830 --> 03:58:57.232
So we've focused on those,
where we, the health

03:58:58.702 --> 03:59:00.302
department have not been
engaged.

03:59:01.700 --> 03:59:03.705
The group that I think you're
concerned about are the

03:59:03.806 --> 03:59:05.806
travelers who are now subject

03:59:06.342 --> 03:59:08.376
to the 14-day quarantine.
[Overlapping speakers]

03:59:09.579 --> 03:59:12.280
>> I wonder if have you aa an
app, keeping track of those

03:59:13.315 --> 03:59:15.684
that you're keeping track of?
So, you're just doing it by

03:59:16.253 --> 03:59:18.387
the contact, by contacting
them directionally? Because

03:59:19.456 --> 03:59:21.590
if you can imagine f they walk
out of their house without

03:59:24.260 --> 03:59:25.828
their cell phone, not very
useful.

03:59:26.596 --> 03:59:28.731
So we're requiring for certain
ones video call and others

03:59:28.731 --> 03:59:31.366
phone call.
But we keep in regular contact

03:59:32.101 --> 03:59:34.101
with individuals.

03:59:34.638 --> 03:59:36.638
It's also making sure they're

03:59:36.640 --> 03:59:39.375
okay, right.
>> but I guess the director, I

03:59:41.912 --> 03:59:44.213
know he's looking into that.
You're correct; in south

03:59:44.448 --> 03:59:47.416
career, all the travelers are
required to have a cell phone

03:59:47.884 --> 03:59:49.884
number and they have report in

03:59:51.122 --> 03:59:53.423
twice a day as a requirement
if they're quarantined.

03:59:53.724 --> 03:59:56.659
And then you'll be able to
contact them to check in on

03:59:56.827 --> 03:59:58.827
them at other timings.

03:59:59.897 --> 04:00:02.431
So that's a relatively
inexpensive wave handling

04:00:02.799 --> 04:00:04.799
that, short of a guard at the

04:00:05.135 --> 04:00:07.870
door and making sure they stay
home.
>> pause they can't be

04:00:07.905 --> 04:00:09.905
released until they download

04:00:11.709 --> 04:00:13.776
the app, from what I read.
>> good idea.

04:00:14.178 --> 04:00:16.814
That's one of the things that
south korea has done, I think,

04:00:16.814 --> 04:00:18.814
that I don't think others have

04:00:19.851 --> 04:00:21.851
done that is helpful.

04:00:22.453 --> 04:00:24.754
We have so have someone
manning the phone banks and

04:00:25.390 --> 04:00:27.390
follows these individuals.

04:00:28.893 --> 04:00:31.328
Nevertheless, is a very good
tool.
>> the department of

04:00:31.329 --> 04:00:33.329
transportation said that once

04:00:33.331 --> 04:00:35.331
they are released, they give

04:00:35.766 --> 04:00:37.934
them the struck, for the 4-1
day quarantine, but they don't

04:00:41.172 --> 04:00:42.972
know what happens after that.
-they will be transported to

04:00:43.675 --> 04:00:45.877
wherever the traveler is
going, but where is that end

04:00:45.877 --> 04:00:48.846
point?
And do they report to you?

04:00:49.680 --> 04:00:51.680
Are you coordinated with dot?

04:00:51.683 --> 04:00:54.251
>> again, that would be a good
question for the director.

04:00:54.686 --> 04:00:56.687
Ie is more familiar with the
procedures than I am.

04:00:58.956 --> 04:01:00.956
I believe if they're staying

04:01:01.927 --> 04:01:04.195
at a hotel, they would be
subject to the quarantine.

04:01:04.396 --> 04:01:07.197
So there is some contact with
the manager of the hotel and I

04:01:07.466 --> 04:01:10.234
presume over osteoporosis
sight at that level, as

04:01:10.969 --> 04:01:12.969
well -- oversight.

04:01:13.237 --> 04:01:15.506
No, the health department is
focused pretty much on just

04:01:16.941 --> 04:01:18.409
the cases and contacts -- 
yeah.

04:01:19.745 --> 04:01:21.320
>> sick people, we're focusing
on

04:01:21.814 --> 04:01:24.248
most travelers now are
probably take precaution.

04:01:24.983 --> 04:01:27.418
So if they're well, that's
fine as long as they go

04:01:27.919 --> 04:01:29.987
through their 4-1 day
quarantine they're fine and

04:01:30.856 --> 04:01:32.823
they can go back to society.
I don't want you want to us

04:01:32.858 --> 04:01:34.858
focus on them.
>> there's people that we've

04:01:37.290 --> 04:01:39.764
been monitoring, I must addv
been very compliant.

04:01:40.366 --> 04:01:43.234
I can't think of a situation,
maybe one or two, of all the

04:01:45.504 --> 04:01:47.504
one we've been following over

04:01:49.808 --> 04:01:51.808
the last couple of months that

04:01:52.378 --> 04:01:55.470
have intentionally violated
their quarantine.
I think they're realing that

04:01:56.816 --> 04:01:58.816
they are a risk to others and

04:01:58.951 --> 04:02:01.553
for what it's worth, they have
been very compliant,

04:02:04.556 --> 04:02:06.291
recognizing the zero
seriousness of the situation

04:02:09.572 --> 04:02:11.842
of staying home and not
ex-posting posing other
people.
That's good news.
>> but the other issue is

04:02:13.990 --> 04:02:15.934
really, you know, as we've
moved to this model now where

04:02:17.770 --> 04:02:19.972
the clinicians are really able
to order the testingsing from

04:02:21.374 --> 04:02:23.809
the labs, I think it's good to
remind you all and everyone

04:02:23.976 --> 04:02:25.976
out there to understand that

04:02:27.981 --> 04:02:30.583
we moved back to what normally
happens with a disease, in

04:02:31.384 --> 04:02:33.552
that the physician is seeing
the person.

04:02:35.288 --> 04:02:37.522
And what we are constantly
reminding the the physician

04:02:38.580 --> 04:02:40.993
and the labreport immediately
as soon as you suspect.
And the person May have been

04:02:41.895 --> 04:02:44.596
sick for a while before they
see their physician some of

04:02:44.932 --> 04:02:47.660
there's that time that we've
lost to make sure that person

04:02:48.102 --> 04:02:50.970
is staying isolated.
This is why we're underscoring

04:02:51.305 --> 04:02:53.939
the need for everyone to
understand that if you're

04:02:55.442 --> 04:02:58.377
siksika station, home, except
when you're seeking medical
care.

04:02:58.478 --> 04:03:00.478
When you seek that medical

04:03:00.847 --> 04:03:03.820
care, make sure you call ahead
to see if you need to seek

04:03:03.517 --> 04:03:06.419
that medical care or not.
If we all followed that simple

04:03:06.820 --> 04:03:08.988
message that would drive down
the number of cases out

04:03:10.958 --> 04:03:12.958
there and so, as we keep going

04:03:13.427 --> 04:03:15.427
forward and people are getting

04:03:15.562 --> 04:03:18.130
their tests order throughs
clinical labs, the department

04:03:18.932 --> 04:03:21.134
is not having immediate
visibility on these persons

04:03:21.969 --> 04:03:24.871
and so there is going to be a
lag period before we're
notified.

04:03:26.140 --> 04:03:28.141
And so, again, underscoring
that message of if you're

04:03:28.842 --> 04:03:30.842
sick, stay at home so, that

04:03:31.412 --> 04:03:33.846
when we are notified and we're
following back, we're not

04:03:34.381 --> 04:03:37.116
finding that that person was
out and about and still at

04:03:37.619 --> 04:03:39.553
work, or going grocery
shopping or something like

04:03:39.621 --> 04:03:41.922
this.
and hopefully all the measures

04:03:42.923 --> 04:03:45.525
that have been enacted now by
the mayors and the governor

04:03:47.428 --> 04:03:49.696
will help towards that.
And I agree with you, senator,

04:03:50.970 --> 04:03:52.632
it will be important to keep
messaging to the community, to

04:03:54.100 --> 04:03:56.710
our community to follow the
direction of staying home when

04:03:56.710 --> 04:03:58.710
you're sick.

04:04:00.875 --> 04:04:03.110
You had mentioned qualified
health centers for people who

04:04:04.112 --> 04:04:06.460
don't have doctors.
>> right.

04:04:06.480 --> 04:04:08.480
>> and how that message could

04:04:16.391 --> 04:04:18.659
go out, as well.
>> we'll have to get that out

04:04:19.940 --> 04:04:21.662
to the younger people.
Senator dela cruz I know

04:04:21.963 --> 04:04:24.990
wanted to talk about the
things we are doing, going

04:04:24.990 --> 04:04:26.634
forward.
I might mention a few of

04:04:27.669 --> 04:04:29.202
those, I think it might be of
interest.

04:04:29.905 --> 04:04:32.707
I think while we're speaking
here, there's an announcement

04:04:35.444 --> 04:04:37.945
between city, state and the
mayors it that we are setting

04:04:38.614 --> 04:04:40.614
up a quarantine facility for

04:04:41.550 --> 04:04:42.950
the homeless, who are
symptoms.

04:04:44.619 --> 04:04:46.619
These are individuals who are

04:04:47.122 --> 04:04:49.491
mentally -- medically fragile
and waiting test results or

04:04:49.558 --> 04:04:51.558
people who are positive for

04:04:53.195 --> 04:04:55.630
the disease.
Of it's supposed to be

04:04:55.664 --> 04:04:58.660
operational this wednesday.
It's a facility that can

04:04:58.634 --> 04:05:01.100
handle up to 60 people a lot
of people are worried about

04:05:01.437 --> 04:05:03.437
the homeless and the fact that

04:05:03.539 --> 04:05:05.539
if they are sick, there's no

04:05:06.209 --> 04:05:08.209
place for them to go.

04:05:08.211 --> 04:05:10.211
Well there will be a place now

04:05:13.115 --> 04:05:14.682
they cang as of wednesday next
week.

04:05:15.151 --> 04:05:17.151
In the short term at least,

04:05:19.655 --> 04:05:22.900
we'll have a place for
those -- also, pub health

04:05:23.930 --> 04:05:25.930
health and the company

04:05:27.371 --> 04:05:29.764
companies are identifying
hotel rooms with many rooms.
They with can be repurposed
for quarantine and isolation,

04:05:30.233 --> 04:05:32.233
if necessary.

04:05:33.236 --> 04:05:35.344
And they're doing so on all
islands.
There's team I think they're

04:05:35.344 --> 04:05:37.572
in m awful
I today, but they're going

04:05:38.174 --> 04:05:40.977
through the islands to
identify hotels that can be

04:05:41.178 --> 04:05:43.546
converted to quarantine or
isolation facilities.

04:05:44.114 --> 04:05:46.114
So, a place for those people

04:05:46.616 --> 04:05:49.118
who don't have homes or
lodging to go to for

04:05:51.688 --> 04:05:53.688
quarantine across the state.

04:05:54.624 --> 04:05:57.559
And again, Dr. Harism k can
speak to that.

04:05:58.696 --> 04:06:00.663
And finally I just wanted to
mention because it's been a

04:06:02.633 --> 04:06:05.134
concern that we are
establishing priority for

04:06:05.769 --> 04:06:07.769
first responders for the

04:06:08.204 --> 04:06:10.204
medics and healthcare workers

04:06:12.809 --> 04:06:14.276
and firemen and others who May
be exposed.

04:06:15.246 --> 04:06:17.246
Those developing symptoms will

04:06:17.781 --> 04:06:20.150
be prioritized for testing.
There was a lot of concern

04:06:21.252 --> 04:06:23.252
about those individuals,

04:06:23.620 --> 04:06:25.620
waiting in line to be tested.

04:06:27.240 --> 04:06:29.240
But they will be flagged and

04:06:30.930 --> 04:06:32.930
tested quickly bit private

04:06:39.704 --> 04:06:41.771
labs and if need, by our lab.
Overall, there is a huge

04:06:43.174 --> 04:06:45.808
effort ongoing to ensure that
hospitals have capacity to

04:06:46.544 --> 04:06:48.544
deal with the surge that might

04:06:49.246 --> 04:06:51.749
be occurring,.
And the lieutenant governor

04:06:52.550 --> 04:06:54.550
and others are looking at how

04:06:55.753 --> 04:06:57.753
to best deal with it.

04:06:59.190 --> 04:07:01.190
It hillton with the hospital

04:07:01.259 --> 04:07:03.760
association is working with
virtually all hospital,

04:07:04.762 --> 04:07:06.830
long-term care females,
housing centers and others to

04:07:07.632 --> 04:07:10.670
be sure that they have the
medical supplies and equipment

04:07:11.690 --> 04:07:13.690
they need; and also that there

04:07:13.710 --> 04:07:15.710
is a capacity to expand their

04:07:15.730 --> 04:07:17.374
number of beds to meet the
short-term and long-term needs

04:07:19.377 --> 04:07:22.790
that we anticipate.
There is a discussion

04:07:22.313 --> 04:07:24.313
underway; I they they have

04:07:25.250 --> 04:07:27.218
made some decisions about it
using places like the

04:07:28.687 --> 04:07:31.589
convention center, if we need
a large hospital, if you will

04:07:32.791 --> 04:07:34.791
or at least a price where

04:07:35.227 --> 04:07:37.962
people can be supported, if
this were to back situation

04:07:38.663 --> 04:07:40.698
like new york or some of the
other countries we've seen

04:07:41.599 --> 04:07:43.599
that, we have a place for

04:07:43.736 --> 04:07:45.736
literally hundreds of beds if

04:07:46.710 --> 04:07:47.739
we need those.
Hopefully it never comes to

04:07:48.173 --> 04:07:51.109
that, but I think plans are
being made to be sure that we

04:07:52.411 --> 04:07:54.812
can support these individuals,
at least as much as we can

04:07:55.280 --> 04:07:56.647
with the resources that are
available.

04:07:59.619 --> 04:08:02.454
So we're looking at a
long-term plan that hopefully
won't be necessary.

04:08:05.625 --> 04:08:07.625
But if it is, we'll be able to

04:08:08.194 --> 04:08:10.194
do that.

04:08:12.631 --> 04:08:15.366
, senator kololi has a
question.

04:08:18.838 --> 04:08:20.838
>> thank you.

04:08:21.741 --> 04:08:23.741
Directoro this is your number

04:08:24.243 --> 04:08:26.678
one priority and the thing
that's taking up the most of

04:08:28.381 --> 04:08:31.349
your capacity, managing the
disease and tracking cases and

04:08:33.586 --> 04:08:35.586
all of that.

04:08:37.591 --> 04:08:40.193
So, getting the message out to
getting someone contracted,

04:08:40.193 --> 04:08:42.327
guess
exposed to social media and

04:08:42.629 --> 04:08:45.131
commercials and all that, so
that you can keep reiterating

04:08:45.131 --> 04:08:47.899
the message.
why aren't you having someone

04:08:51.704 --> 04:08:53.704
manage the that that, as well?

04:08:55.375 --> 04:08:58.310
And when -- you snow, john
hopkins has cases they're
tracking.

04:08:59.212 --> 04:09:01.212
There has to be be some way

04:09:03.950 --> 04:09:05.950
for you folks to work with

04:09:06.319 --> 04:09:09.287
outside entities that with aa
way that doesn't compromise

04:09:09.957 --> 04:09:11.957
your requirements to provide

04:09:14.194 --> 04:09:16.194
data on the disease.

04:09:16.797 --> 04:09:19.732
You folks are trying to put
forward the policy.

04:09:20.166 --> 04:09:22.166
But because we're not south

04:09:23.169 --> 04:09:25.169
korea or china and trying to

04:09:25.939 --> 04:09:27.939
impose the same type of speed

04:09:28.876 --> 04:09:31.311
of the draconism al measures I
think it's time for you folks

04:09:32.313 --> 04:09:34.313
to start working with the

04:09:34.915 --> 04:09:37.750
community in terms of how we
can get from that day tap

04:09:38.385 --> 04:09:40.385
standpoint a handle on what's

04:09:40.521 --> 04:09:42.521
happening here, so that it can

04:09:46.361 --> 04:09:48.361
be utilized out to the broader

04:09:48.997 --> 04:09:51.431
community.
People follow the day contain

04:09:53.934 --> 04:09:55.268
a dashboards, not just social
media.

04:09:55.969 --> 04:09:57.837
We don't seem to have a
capability right now.

04:09:58.405 --> 04:10:00.940
And I don't know if you flies
should be even doing this
stuff.

04:10:04.279 --> 04:10:07.214
So, have you had any die log
with people in the community?

04:10:07.715 --> 04:10:09.983
>> so, as far as managing the
data, we are managing the

04:10:12.320 --> 04:10:14.200
data, but I think you're
misunderstanding.

04:10:15.289 --> 04:10:17.290
It's not about managing the
data so much as the collection

04:10:18.525 --> 04:10:20.561
of the data. And you can't
make people talk to you.

04:10:21.290 --> 04:10:23.290
You have to get the data from

04:10:25.300 --> 04:10:27.468
the chart review, from talking
to, to, interviewing people,

04:10:30.751 --> 04:10:32.188
to get an understanding of
what their exposures were.

04:10:32.807 --> 04:10:34.843
There's no amount of
electronic data that is

04:10:34.843 --> 04:10:36.843
readiable available that gets
that information, except to

04:10:36.912 --> 04:10:39.104
talk to the person and
interview each and every

04:10:39.104 --> 04:10:41.616
person.
The case themselves as well as

04:10:43.418 --> 04:10:45.453
contacts, and that is always
the slowest part.

04:10:45.787 --> 04:10:47.787
We're getting to the point now

04:10:47.856 --> 04:10:50.391
where we're actually amassing
a certain amount of data and

04:10:50.525 --> 04:10:53.600
analyzing and managing.
So, it's not really about

04:10:53.962 --> 04:10:55.962
managing the data again, so

04:10:56.565 --> 04:10:58.565
much as having the manpower to

04:10:58.868 --> 04:11:00.868
do the contact tracing, the

04:11:01.700 --> 04:11:03.700
interview, to data-enter and

04:11:03.305 --> 04:11:05.307
so that actually is the more
important issue, rather than

04:11:05.307 --> 04:11:07.442
managing the day attach
managing the data, that's not

04:11:07.442 --> 04:11:09.443
a problem.
We've been anxious to manage

04:11:12.140 --> 04:11:13.949
the data, but as with every
investigation, it's about

04:11:14.483 --> 04:11:16.483
amassing the data.

04:11:16.519 --> 04:11:19.387
So, even if I wanted to reach
out to other people,

04:11:19.955 --> 04:11:21.955
previously we didn't have the

04:11:22.124 --> 04:11:24.124
data that we were paisley

04:11:24.593 --> 04:11:26.828
trying to collect to have a
more fuller picture.

04:11:27.463 --> 04:11:29.466
So, we don't need help there,
as I've been saying to

04:11:29.466 --> 04:11:31.466
others.

04:11:31.567 --> 04:11:33.969
We were we need the help and
where we're now getting more

04:11:35.710 --> 04:11:37.710
help is to get the manpower to

04:11:37.373 --> 04:11:39.841
make the phone calls, to make
contacts with people, to spend

04:11:41.770 --> 04:11:43.878
the time to interview frankly
dog some people, because not

04:11:44.146 --> 04:11:45.480
everyone wants to hear from
us.

04:11:47.830 --> 04:11:49.180
Not everyone wants to talk to
us.

04:11:50.200 --> 04:11:52.955
Of and yet, we're constantly
aggressively trying to get

04:11:53.356 --> 04:11:56.910
that information because every
information data point is very

04:11:56.893 --> 04:11:58.893
crucial so that we can manage

04:12:04.134 --> 04:12:06.134
and analyze the data.

04:12:06.336 --> 04:12:08.336
[Overlapping speakers]

04:12:08.571 --> 04:12:10.702
With all due respect, I think
you're missing what I'm
saying.

04:12:12.976 --> 04:12:14.976
You are making subtles about

04:12:15.780 --> 04:12:17.780
your capability to aggregate

04:12:17.413 --> 04:12:19.413
and manage the mass amount of

04:12:19.416 --> 04:12:21.583
data that you now v I'm not
talking about your ability to

04:12:21.852 --> 04:12:23.852
amass the data.

04:12:26.957 --> 04:12:28.957
I'm talking about literally

04:12:29.860 --> 04:12:31.860
the data, to forward their

04:12:34.498 --> 04:12:36.666
messaging or to allow the
decision-makers like the

04:12:37.000 --> 04:12:39.000
governor and the governor's

04:12:39.169 --> 04:12:41.169
chief of staff, and the

04:12:42.373 --> 04:12:44.373
general to, make some of these

04:12:45.376 --> 04:12:48.440
broader policy decisions that
really do impact the

04:12:48.679 --> 04:12:50.460
population of the state of
hawai'I.

04:12:51.181 --> 04:12:53.449
And it doesn't seem like you
are understanding that the

04:12:55.850 --> 04:12:57.955
apples of aggregate data that
you are collecting shrub

04:12:59.390 --> 04:13:01.390
utilized and leveraged.

04:13:03.600 --> 04:13:05.600
So that you understand -- 

04:13:05.620 --> 04:13:07.697
within the guidelines, I'm
talking abouting a gauge of

04:13:08.199 --> 04:13:11.100
data that could be lever aged
so that you don't have to get

04:13:11.135 --> 04:13:13.703
responses from people who
refuse to talk to you.

04:13:14.539 --> 04:13:16.640
There are methods to do that.
And the united states of

04:13:16.741 --> 04:13:19.609
america is the absolute best
in the world at doing that and

04:13:21.646 --> 04:13:23.646
it doesn't seem like you

04:13:23.715 --> 04:13:25.415
should be making those
assumptions.

04:13:26.417 --> 04:13:28.919
So I would recommend going
forward, director anderson

04:13:29.587 --> 04:13:32.188
that, you engage people in the
community, who are already

04:13:33.910 --> 04:13:35.426
aggregating the public data
that you're providing on a

04:13:36.161 --> 04:13:38.161
daily basis, which is getting

04:13:38.663 --> 04:13:40.663
much better and is helping

04:13:41.990 --> 04:13:43.267
them utilize their tools and
skills in the public

04:13:45.603 --> 04:13:47.603
interests, and are accepted.

04:14:38.991 --> 04:14:40.991
Thank you.

04:14:43.163 --> 04:14:45.163
Do you even have staff?

04:14:45.398 --> 04:14:47.833
[Overlapping speakers]
Let me interrupt you there,

04:14:50.603 --> 04:14:52.603
because I have ana master, and

04:14:52.805 --> 04:14:55.507
phd in epidemiology and
bismism o statistics.

04:14:56.609 --> 04:14:59.212
Dr. Park was President Of the
conference epidemiology gists

04:14:59.212 --> 04:15:02.114
which is the national
organization that compiles

04:15:02.815 --> 04:15:04.216
this information and analyzes
it.

04:15:05.685 --> 04:15:07.685
That's the job of epidemiology

04:15:07.787 --> 04:15:09.787
gists is to take the data and

04:15:10.623 --> 04:15:12.357
then use that data too make
policy decisions.

04:15:13.760 --> 04:15:16.361
So we have some pretty good
capacity here and I didn't

04:15:17.197 --> 04:15:19.399
mention all the especially
daily deem old gists that work

04:15:19.399 --> 04:15:21.399
for Dr. Park.

04:15:21.702 --> 04:15:24.570
So the data is being
analyzed.
Look, what I think you're

04:15:25.338 --> 04:15:28.240
getting to is there is a lot
of information that we are

04:15:30.844 --> 04:15:33.112
able too get that we haven't
authoroly evaluated at this

04:15:34.281 --> 04:15:37.830
point in time.
We do need to look at trends

04:15:38.510 --> 04:15:40.586
and see how effectively our
intervention measures are
working.

04:15:41.622 --> 04:15:43.622
I look every morning at the

04:15:44.391 --> 04:15:46.391
curves in other countries and

04:15:46.660 --> 04:15:49.229
look at their implement ago
measures to see who are

04:15:49.229 --> 04:15:51.764
flattening those curves and
what they are doing

04:15:52.767 --> 04:15:55.101
differently, there, than we're
doing.
That's the kind of information

04:15:55.603 --> 04:15:57.203
I think that's very help
help.

04:15:58.172 --> 04:15:59.806
And we have, yes, asked for
help from others.

04:16:00.307 --> 04:16:02.609
in fact we have folks at the
university working with us on

04:16:03.744 --> 04:16:05.811
the data that that we have.
I know the hospital

04:16:06.246 --> 04:16:08.246
association is now -- I can't

04:16:09.250 --> 04:16:11.752
tell you, but I can tell you
that they know exactly how

04:16:12.820 --> 04:16:14.822
many ventilators are out
there, omaha heart starters

04:16:14.822 --> 04:16:17.724
they anticipate they will need
in every hospital in the
state.

04:16:17.859 --> 04:16:19.859
So, you know, there are lots

04:16:21.195 --> 04:16:23.195
of data that's being collected

04:16:23.297 --> 04:16:26.199
evaluated to help us move
forward.

04:16:26.635 --> 04:16:28.635
Data is maybe not visible to

04:16:28.736 --> 04:16:30.736
you all, but I get reports

04:16:31.439 --> 04:16:33.207
every day from hospitals and
the health association from

04:16:33.441 --> 04:16:36.210
the status on the medical
system here.
And getting back to the data,

04:16:39.380 --> 04:16:41.915
we have on our cases now 120
cases and we are starting to

04:16:42.717 --> 04:16:44.717
evaluate that data in terms of

04:16:45.387 --> 04:16:47.387
looking at risk factors, how

04:16:50.792 --> 04:16:53.160
we can better manage the
course of this disease.

04:16:54.295 --> 04:16:57.231
And I would welcome come if
you have recommendations on

04:16:57.932 --> 04:17:00.868
others out there who can help
us with that, I would be wide

04:17:01.236 --> 04:17:03.236
open to talking with them.

04:17:04.807 --> 04:17:06.941
I get a dozen e-mails a day
from people who are interested

04:17:08.310 --> 04:17:10.310
and many of those have weighed

04:17:11.680 --> 04:17:14.382
in and helped us in making our
management decisions.
The people outside of the

04:17:15.317 --> 04:17:18.180
department who have expertise
in this area, we recognize

04:17:18.788 --> 04:17:21.489
that and we are trying to take
advantage of that.

04:17:22.825 --> 04:17:25.260
Maybe people are us from rated
because -- frustrated because

04:17:25.894 --> 04:17:28.429
we haven't done what what they
said we should to.

04:17:28.964 --> 04:17:30.964
But we're wide open to having

04:17:30.966 --> 04:17:32.966
others come in and help us,

04:17:33.335 --> 04:17:34.836
where that will make a
difference.

04:17:36.272 --> 04:17:38.507
One thing Dr. Parked mentioned
is possible probably going to

04:17:39.442 --> 04:17:40.976
be doing a lot more indication
investigation.

04:17:42.345 --> 04:17:44.813
I hate to say t but if the
number goes above 20 or 30 a

04:17:48.851 --> 04:17:50.885
day, which is not -- that's
realistic, looking forward,

04:17:51.720 --> 04:17:53.923
we're going to be over our
ability to even collect the

04:17:53.923 --> 04:17:56.226
data.
But it is going to be

04:17:56.226 --> 04:17:58.760
a-losed.
It is being analyzed now and

04:17:59.863 --> 04:18:01.863
used for decision-making.

04:18:01.998 --> 04:18:04.433
But if there are other ways of
our doing that, people from

04:18:05.534 --> 04:18:07.502
from outside who can help us,
we're wide open.

04:18:11.341 --> 04:18:12.942
We are keeping track it every
day.

04:18:13.844 --> 04:18:15.844
Dr. Park is on the phone every

04:18:16.120 --> 04:18:18.120
day with her hers,

04:18:18.480 --> 04:18:20.480
epidemiology gists in other

04:18:20.317 --> 04:18:23.180
states to certain how their
managing this in other area.

04:18:25.488 --> 04:18:26.889
So we're not doing this in ace
isolation.

04:18:27.790 --> 04:18:29.790
We're very much bluinged -- 

04:18:31.280 --> 04:18:33.963
plugged in to other areas and
applying other practices.

04:18:34.331 --> 04:18:36.298
>> Dr. Ander I have an e-mail
from that constituent saying

04:18:36.900 --> 04:18:39.435
that in the past, the state
has said that they would

04:18:39.936 --> 04:18:42.680
double check any positives
identified by the private
labs.

04:18:43.473 --> 04:18:45.473
Are you folks still double

04:18:48.378 --> 04:18:50.378
checking this from private

04:18:53.851 --> 04:18:55.851
labs?.

04:18:56.860 --> 04:18:58.540
Dr. Desmond listening is
administrator of our

04:18:58.455 --> 04:19:00.890
laboratories division.
>> so, you're double check

04:19:01.391 --> 04:19:03.391
every positive; is that going

04:19:04.895 --> 04:19:07.831
to be time-consuming? And is
that, they're won ring, why is

04:19:10.670 --> 04:19:12.402
the state doing that?
>> well, Dr. Park has

04:19:14.104 --> 04:19:16.104
requested that we do that to

04:19:16.373 --> 04:19:18.875
make sure that testing is all
uniform and high equal.

04:19:19.510 --> 04:19:21.510
Some of the testseptember to

04:19:21.513 --> 04:19:23.815
the mainland and we're not
getting all of those for

04:19:23.815 --> 04:19:25.815
testing.

04:19:26.484 --> 04:19:29.109
But on the island, we request
they send their positives to
us.

04:19:29.454 --> 04:19:31.988
>> so you are continuing to
double check thoses?
>> yes.

04:19:32.390 --> 04:19:34.390
The number, still modest.

04:19:34.859 --> 04:19:36.148
>> so when they become
greater

04:19:40.432 --> 04:19:42.432
>> we May have to revisit

04:19:45.336 --> 04:19:47.838
that.
Just to be clear, we are

04:19:47.906 --> 04:19:49.906
confirming the positives that

04:19:49.974 --> 04:19:52.609
are here in hawai'I, the test,
the samples are September to

04:19:53.644 --> 04:19:55.679
the mainland labs in some
cases.

04:19:56.148 --> 04:19:58.483
And if they come back
positive, I'm hearing that we

04:19:58.550 --> 04:20:00.951
May not be able to confirm
some of those.

04:20:01.853 --> 04:20:03.853
But any sampleless here

04:20:04.523 --> 04:20:06.523
locally, we are testing.

04:20:06.625 --> 04:20:08.959
>> well, for the validation
process we've asked every

04:20:09.594 --> 04:20:11.594
laboratory to send us their

04:20:12.530 --> 04:20:14.565
first five positives and their
first five negatives

04:20:15.568 --> 04:20:17.870
regardless of where they're
done so, even the mainland

04:20:17.870 --> 04:20:20.137
laboratories.
>> so your into the of not

04:20:21.106 --> 04:20:23.174
retext every single positive?
>> well, the ones done

04:20:23.375 --> 04:20:25.375
locally, yes.

04:20:25.677 --> 04:20:27.677
>> you're just having

04:20:28.800 --> 04:20:30.800
validating that work they're

04:20:30.148 --> 04:20:32.148
doing and the positives and

04:20:32.485 --> 04:20:34.686
the negative results.
Yeah, we did an initial value

04:20:34.920 --> 04:20:37.889
indication, that's correct,
for each of the labs.

04:20:41.493 --> 04:20:44.950
>> and again just to be clear,
for the positives that are

04:20:45.640 --> 04:20:47.598
being identified locally,
we're retesting those.

04:20:52.105 --> 04:20:54.105
Is that right?

04:20:58.477 --> 04:21:00.412
>> that's the question.
>> we're doing that.

04:21:00.947 --> 04:21:02.614
I'll have to double check that
we're still doing that.

04:21:03.449 --> 04:21:05.449
Maybe as the numbers have gone

04:21:05.684 --> 04:21:08.487
up, maybe they he have stopped
sipping them to us

04:21:09.220 --> 04:21:11.220
two two priority labs that are

04:21:11.124 --> 04:21:14.260
doing the testing are using
essentially the same

04:21:15.161 --> 04:21:17.950
methodology that we're using.
Real-time pcr.

04:21:17.530 --> 04:21:20.650
>> and again, we were
validating that because they

04:21:21.670 --> 04:21:23.501
were relatively new at doing
it to a point.

04:21:23.971 --> 04:21:25.971
There's going to be a point

04:21:26.600 --> 04:21:28.941
where we're simply not for
going to be able to
[Overlapping speakers]

04:21:29.442 --> 04:21:31.442
It's time-consuming as well as

04:21:32.780 --> 04:21:34.713
a waste of our testing.
There haven't been that many

04:21:38.718 --> 04:21:40.718
at the private lab it taking

04:21:41.455 --> 04:21:43.455
away from our main mission.

04:21:44.325 --> 04:21:46.325
>> Dr. Ander son, I understand

04:21:48.228 --> 04:21:50.228
and Dr. Char, also gave us the

04:21:50.731 --> 04:21:53.699
same information the reasons
why we're not testing everyone

04:21:55.769 --> 04:21:58.537
unless they show symptoms, but
I guess the amount of time

04:22:00.975 --> 04:22:03.743
that we're waiting for lab
results and for instance, our

04:22:04.745 --> 04:22:06.745
three senators online with us,

04:22:07.781 --> 04:22:10.483
now at eight days, if
there's -- if they're testing

04:22:10.751 --> 04:22:12.751
and we don't get the results

04:22:13.687 --> 04:22:15.687
back for eight to ten days and

04:22:16.524 --> 04:22:18.158
they're positive, is that not
a concern?

04:22:25.466 --> 04:22:27.466
>> it would be.

04:22:27.701 --> 04:22:30.204
Let me does Dr. Desmond howl
it would take to turn around

04:22:30.204 --> 04:22:33.720
tests.
unfortunately I think the

04:22:34.420 --> 04:22:36.420
tests, most of the samples

04:22:38.213 --> 04:22:39.646
were sent as to the mainland
for analysis.

04:22:41.490 --> 04:22:43.216
>> yeah, and I'd like to know
how many have been tested that

04:22:45.186 --> 04:22:47.186
don't have results back yet.

04:22:48.222 --> 04:22:49.522
>> I don't know the answer
top

04:22:51.293 --> 04:22:54.280
>> what happenwe get the
results back after the test

04:22:54.950 --> 04:22:56.950
has been done.

04:22:57.332 --> 04:22:59.332
And we've had over 5,000 test

04:23:00.268 --> 04:23:02.236
results reported to us from
the private labs.

04:23:02.737 --> 04:23:05.380
We don't know how many have
been sent to the private labs

04:23:08.109 --> 04:23:10.109
until we get the report back.

04:23:11.179 --> 04:23:13.781
So, there May be 500 tests in
a queue that we haven't heard

04:23:15.283 --> 04:23:17.283
the results back from.

04:23:17.719 --> 04:23:19.587
But we would hear back from
labs whether or not they're

04:23:20.755 --> 04:23:23.257
positive or negatives.
But we'll hear about it at the

04:23:24.192 --> 04:23:26.293
same time the provider, the
doctor, whoever ordered the

04:23:26.329 --> 04:23:28.329
test hears.

04:23:29.310 --> 04:23:30.932
But we won't know when the
doctor September that specimen

04:23:31.267 --> 04:23:33.267
to the mainland.

04:23:34.570 --> 04:23:37.371
So, that's the time frame.
That's the gap in what you're

04:23:38.340 --> 04:23:40.908
asking for, that we can't tell
you.
We don't know how many people

04:23:42.244 --> 04:23:44.846
have ordered tests until we
get the results back.

04:23:45.548 --> 04:23:47.148
But that time frame is
important now.

04:23:47.850 --> 04:23:49.850
And I think we're talking a

04:23:49.852 --> 04:23:51.519
day or two for the private
labs now; is that right

04:23:52.388 --> 04:23:54.722
>> yes, they try to turn them
out within a day.

04:23:55.324 --> 04:23:58.225
They receive it one day; they
try to have the result out the

04:23:59.228 --> 04:24:00.595
next day, tested locally.
Okay

04:24:02.732 --> 04:24:05.267
but I guess there is still a
concern, if you're not sure of

04:24:06.369 --> 04:24:08.369
who many testses are at

04:24:08.738 --> 04:24:11.373
there -- and I see now, if
they're tested today, we'll

04:24:11.874 --> 04:24:13.408
know tomorrow -- that's not
bad.

04:24:16.684 --> 04:24:19.615
But when will those who have
been tested and still waiting,
what's the number of those?

04:24:20.383 --> 04:24:23.185
>> there May be some delay
even now on the samples that

04:24:25.321 --> 04:24:27.156
were sent to the mainland a
week ago.

04:24:28.291 --> 04:24:30.826
Some results are taking ten
days or more to get back to

04:24:30.927 --> 04:24:32.927
the if I dos.

04:24:33.763 --> 04:24:35.130
>> so, we have 120 cases as of
today.

04:24:36.666 --> 04:24:38.868
But there probably could be a
couple of thousand out there

04:24:39.403 --> 04:24:41.403
that were tested and we don't

04:24:41.772 --> 04:24:44.640
know the results yet?
>> a couple of thousand, but

04:24:46.276 --> 04:24:48.410
keep in mind, there are 120
cases today, correct.

04:24:51.781 --> 04:24:53.849
We have 5,000 or so test
results back.

04:24:54.652 --> 04:24:57.287
The only ones we would not
know about are the ones that

04:24:58.656 --> 04:25:00.656
are being processed now that

04:25:02.359 --> 04:25:04.359
we haven't heard back from.

04:25:04.795 --> 04:25:07.262
>> sir, do you have any
insights on that -- 
[Overlapping speakers]

04:25:07.898 --> 04:25:09.898
I just want to comment that

04:25:10.367 --> 04:25:11.734
there's a lot of focus on the
testing.

04:25:12.737 --> 04:25:14.804
But whenever we have appear
outbreak, there is all the

04:25:15.305 --> 04:25:17.941
situation, where the tests,
there are a number of
individuals tested and

04:25:18.375 --> 04:25:20.375
awaiting results.

04:25:21.312 --> 04:25:23.846
And there's always this lag.
And this is why the prevention

04:25:23.914 --> 04:25:25.781
measure source important that
people follow.

04:25:27.851 --> 04:25:30.320
So remember dengey, we were
waiting for testing and we

04:25:30.455 --> 04:25:33.191
couldn't test everyone.
we were trying to identify

04:25:33.191 --> 04:25:34.891
folks.
So, at the same time we're

04:25:35.693 --> 04:25:37.693
trying to be aggressive in

04:25:37.695 --> 04:25:39.695
identifying the cases, we're

04:25:39.931 --> 04:25:42.732
also trying to also put out
prevention emergencies -- 
emergencies.

04:25:43.701 --> 04:25:45.701
We know that there's that lag,

04:25:45.702 --> 04:25:47.702
so people know what to do to

04:25:49.941 --> 04:25:52.243
try and help keepship disease
that could be occurring in our

04:25:52.243 --> 04:25:54.711
community.
So again, it is important

04:25:54.979 --> 04:25:57.881
about that stay home when
you're sick.
The other thing to note is

04:26:00.184 --> 04:26:02.184
that it is important to know

04:26:03.220 --> 04:26:05.220
when it is time to be tested.

04:26:05.490 --> 04:26:07.925
The assumption is if you're
tested, someone has cough,

04:26:08.860 --> 04:26:10.860
symptoms, at the very least,

04:26:11.296 --> 04:26:13.998
if not fever or shortness of
breathe.
But it definitely has some

04:26:14.966 --> 04:26:17.534
sort of respiratory symptoms
and that was the motivation to

04:26:17.869 --> 04:26:20.838
test them that.
Person should be staying home
immediately.

04:26:21.240 --> 04:26:23.908
If you're getting tested with
no symptoms at all, I don't

04:26:24.760 --> 04:26:26.760
know how to recommend anything

04:26:27.120 --> 04:26:29.447
to be pause we've now tested
you at one point in time.

04:26:30.150 --> 04:26:32.150
There's no reassurance that at

04:26:32.170 --> 04:26:34.518
some point later you are
infected, that the test comes

04:26:38.491 --> 04:26:40.959
back negative and maybe
you'rism ncubateing and didn't

04:26:41.527 --> 04:26:43.261
capture tour it at that
point.

04:26:45.331 --> 04:26:47.331
So, for someone with no

04:26:48.400 --> 04:26:51.350
symptoms, yes, and cdc, as
well, we are not going

04:26:52.400 --> 04:26:54.939
recommend you to stay home.
Because you're not showing
symptoms.

04:26:56.900 --> 04:26:58.577
There's no reason to be home.
But if you have symptoms, you

04:26:59.879 --> 04:27:02.470
do need to stay at home.
And while you're doing that,

04:27:02.948 --> 04:27:05.283
you're helping the community,
helping everyone to keep

04:27:06.285 --> 04:27:08.353
hopefully whatever you have
from spreading throughout the

04:27:09.588 --> 04:27:11.588
community as we wait for that

04:27:17.430 --> 04:27:19.831
test to come back.
>> the question was simply

04:27:21.901 --> 04:27:23.402
do you know how many are we
waiting for?

04:27:25.571 --> 04:27:27.105
>> the short answer is no, we
don't.

04:27:28.941 --> 04:27:30.941
You'd have to ask the clinical

04:27:31.440 --> 04:27:33.101
commercial labs for any test.
That's the question we're

04:27:33.101 --> 04:27:36.810
asking
do you folks now, right, how

04:27:37.830 --> 04:27:39.830
many might be out there.

04:27:39.786 --> 04:27:42.554
That's part of us looking at
graphs and information f

04:27:42.989 --> 04:27:45.123
you're testing only people who
have symptoms and we don't

04:27:49.363 --> 04:27:51.464
have the results back yet, I
can tell you that clinical

04:27:51.932 --> 04:27:53.932
labs have shared with us as of

04:27:54.101 --> 04:27:57.690
last night, they try to give
us up to date information.

04:27:58.371 --> 04:28:00.371
Last night they told us there

04:28:01.740 --> 04:28:03.442
were over 1500 tests still in
process.
>> there you go.

04:28:03.943 --> 04:28:06.512
[Overlapping speakers]
>> 120 today, 1500 tests we

04:28:06.881 --> 04:28:09.516
don't have results on.
So, in the next couple of days

04:28:11.685 --> 04:28:14.454
that could be jumping up?
>> no -- it will be probably

04:28:15.220 --> 04:28:17.220
decreasing because it will be

04:28:18.125 --> 04:28:20.627
only be 24 hours, not ten days
before we hear the results.

04:28:20.627 --> 04:28:23.128
Remember, some test are
processing on the mainland,

04:28:23.498 --> 04:28:25.632
some are processing here.
They didn't distinguish for us

04:28:26.233 --> 04:28:29.202
where they were processing.
>> so, up to 1500 outstanding

04:28:30.904 --> 04:28:32.205
tests that we haven't got
results.

04:28:33.707 --> 04:28:36.242
Is there a percentage you can
maybe say might come back

04:28:37.177 --> 04:28:39.177
positive, like a 1 percent;

04:28:39.680 --> 04:28:42.583
no, we're still seeing travel
cases versus cup community

04:28:43.117 --> 04:28:45.117
associated cases.

04:28:45.586 --> 04:28:47.586
And you can't -- disease is

04:28:48.923 --> 04:28:50.923
not predictable.

04:28:51.580 --> 04:28:53.580
[Overlapping speakers]

04:28:58.666 --> 04:29:00.666
[Overlapping speakers]

04:29:01.703 --> 04:29:03.703
We've done 5,000 tests.

04:29:05.390 --> 04:29:07.875
F but of that 5,000 you did,
you're saying 1500 test

04:29:11.446 --> 04:29:13.446
haven't come back?
Yeah.

04:29:13.547 --> 04:29:15.547
Right.

04:29:17.152 --> 04:29:19.453
I think if you apply that
ratio to what's still penning

04:29:20.689 --> 04:29:22.189
it's not a large number.
Yeah.

04:29:22.691 --> 04:29:24.691
It's hard to know.

04:29:26.940 --> 04:29:28.228
I think one of the mistakes or
things that we are now reasons

04:29:31.633 --> 04:29:33.633
forking more and more is being

04:29:35.916 --> 04:29:38.606
symptoms a attic when you're
tested.
Tore a person who isest
beexposed say by covid-19 and

04:29:39.107 --> 04:29:41.976
you're worried about being
exposed to me today, it would

04:29:42.778 --> 04:29:44.645
be a waste of your time to be
tested today.

04:29:46.147 --> 04:29:48.147
There's no reason why it would

04:29:48.216 --> 04:29:51.510
help you know whether you were
exposed.
You wouldn't expect to have

04:29:52.187 --> 04:29:53.655
the virus multiply in your
system.

04:29:54.557 --> 04:29:57.580
That won't happen for at least
four or five days probably.

04:29:58.294 --> 04:30:01.620
This whole idea of being
asymptomatic is very valid.

04:30:01.530 --> 04:30:03.530
And there's probably lots of

04:30:03.765 --> 04:30:06.330
people who are asymptomatic
who are having the virus in

04:30:06.568 --> 04:30:08.568
their system.

04:30:09.605 --> 04:30:11.674
As we do more tests we May
identify those individuals

04:30:11.674 --> 04:30:13.674
possibly.

04:30:14.744 --> 04:30:16.711
But getting back to a very
pragmatic point of view, we

04:30:17.213 --> 04:30:20.820
would recommend the same thing
to you whether or not you

04:30:20.820 --> 04:30:22.820
were tested.

04:30:22.184 --> 04:30:24.184
Our advice to you, if you were

04:30:25.822 --> 04:30:27.822
exposed to me would be to f

04:30:28.191 --> 04:30:30.726
you're exposed, say you're
across the table from me and I

04:30:31.627 --> 04:30:33.627
was coughing in your face, we

04:30:33.629 --> 04:30:35.629
would probably be telling you

04:30:35.865 --> 04:30:38.734
you should be in quarantine
for 134 days -- 14 days were

04:30:38.734 --> 04:30:40.734
you're positive or not.

04:30:40.836 --> 04:30:42.836
If not, if you're sitting as

04:30:43.707 --> 04:30:45.707
you are is a -- is a detail

04:30:46.276 --> 04:30:48.276
away from me, we'd probably

04:30:49.579 --> 04:30:51.579
say -- 15 feet, we'd say be

04:30:52.749 --> 04:30:55.250
aware that you have been -- we
have a positive case that you

04:30:56.850 --> 04:30:58.787
May have been exposed to.
We don't think it's high risk,

04:30:59.222 --> 04:31:01.890
but you should be monitoring
your health.

04:31:01.325 --> 04:31:03.859
And if you develop symptoms
you should go and see a doctor

04:31:04.728 --> 04:31:06.228
and a doctor will determine
whether or not it's

04:31:06.730 --> 04:31:08.864
appropriate.
But our advice to you would

04:31:09.199 --> 04:31:11.199
not change, based on whether

04:31:11.201 --> 04:31:13.201
you were tested or not.

04:31:13.703 --> 04:31:15.703
That's my main point.

04:31:17.307 --> 04:31:19.743
I hope that helps a little
bit.
>> we just wanted a simple

04:31:19.743 --> 04:31:21.743
answer.

04:31:22.379 --> 04:31:24.379
So, of the 120 positive cases

04:31:26.183 --> 04:31:28.183
that we have in the united

04:31:29.190 --> 04:31:31.190
states now, are you seeing any

04:31:31.288 --> 04:31:33.756
kind of cluster?
I know we talked about this

04:31:34.291 --> 04:31:36.291
before and I don't want do

04:31:36.394 --> 04:31:38.394
name the neighborhoods.

04:31:40.231 --> 04:31:42.231
But is there anything that

04:31:42.800 --> 04:31:44.800
would make you take notice and

04:31:46.604 --> 04:31:48.604
concern that there May be a

04:31:48.605 --> 04:31:50.774
virus circulating in one
community, greater than it is

04:31:50.774 --> 04:31:52.774
in other?

04:31:53.178 --> 04:31:55.178
>> new york not, not that.

04:31:55.213 --> 04:31:57.247
The last statement that -- 
there isn't an indication that

04:31:57.382 --> 04:31:59.382
there is necessarily more

04:31:59.717 --> 04:32:01.717
virus in one community versus

04:32:02.220 --> 04:32:04.220
another notice you might say

04:32:04.422 --> 04:32:06.422
that based on the fact that we

04:32:06.857 --> 04:32:09.759
have identified cases here on
owahu as well as maui that

04:32:10.862 --> 04:32:13.630
seem to have no connection to
travel, so they represent

04:32:13.798 --> 04:32:15.299
community associated
transmission.

04:32:16.267 --> 04:32:18.267
They arrest concern.

04:32:18.336 --> 04:32:20.771
It does indicate that somehow,
a limited transmission is

04:32:22.206 --> 04:32:24.206
occurring,.

04:32:24.242 --> 04:32:26.843
But as Dr. Anderson said,
we're not seeing widespread

04:32:27.145 --> 04:32:29.145
transmission yet.

04:32:29.881 --> 04:32:31.881
So, we interpret it there's

04:32:32.417 --> 04:32:34.417
still a chance to make a

04:32:34.886 --> 04:32:36.886
difference and to, what

04:32:37.389 --> 04:32:39.790
senator was earlier say,
stronger messaging regarding

04:32:41.826 --> 04:32:44.620
to emphasize a need for social
distancing among our

04:32:44.620 --> 04:32:46.620
population, to the extent

04:32:47.166 --> 04:32:49.233
possible f we can be
successful, then those

04:32:50.435 --> 04:32:52.435
indications of limited local

04:32:52.905 --> 04:32:55.600
transmission can end abruptly,
very quickly.

04:32:56.174 --> 04:32:57.975
But if we continue as we are
with certain individuals in

04:32:59.378 --> 04:33:01.912
our community still not
abiding by the recommendations

04:33:02.681 --> 04:33:04.681
by the measures that have been

04:33:04.684 --> 04:33:07.352
put if place pi our government
and mayor, then we will

04:33:07.753 --> 04:33:10.388
continue to see that
transmission occurring,.

04:33:11.857 --> 04:33:13.857
>> another question that I

04:33:15.260 --> 04:33:17.862
have is: I'm a little
concerned about your comments

04:33:21.768 --> 04:33:24.369
about doctors closing shops.
I'm really not sure where I'm

04:33:25.400 --> 04:33:27.400
going with this question.

04:33:28.700 --> 04:33:30.700
But is there any outreach by

04:33:30.943 --> 04:33:32.943
the department of health to

04:33:33.779 --> 04:33:36.514
make sure that doctors in our
hospital opposite private

04:33:37.383 --> 04:33:40.285
doctors have access to
information? Because I
think.

04:33:40.453 --> 04:33:42.988
So questions that we're
getting are actually from

04:33:44.257 --> 04:33:47.225
doctors that don't seem to
maybe fully understand.

04:33:48.261 --> 04:33:50.762
So, maybe like even about ppe,
the personal equipment, you

04:33:51.497 --> 04:33:53.932
know that, maybe, you May be
telling the hops but the

04:33:53.966 --> 04:33:56.302
hospital, not getting the
information down to their

04:33:56.503 --> 04:33:59.238
doctors.
>> remember, these aren't
doctors necessarily in the

04:34:00.440 --> 04:34:02.274
hospitals that we're talking
about.

04:34:03.310 --> 04:34:05.310
Many private practitioners are

04:34:08.248 --> 04:34:10.782
independent or in small
clinics.

04:34:11.251 --> 04:34:13.251
This is an issue recently

04:34:18.459 --> 04:34:20.611
brought to our attention more
anecdotilally more than
anything.

04:34:21.328 --> 04:34:24.290
We are looking to find out why
the physicians are closing
their doors.

04:34:25.332 --> 04:34:27.833
Is it because of lack of
protective equipment, lack of

04:34:28.568 --> 04:34:30.536
training? How can we support
them?

04:34:31.439 --> 04:34:33.339
They're so important in our
community.

04:34:35.543 --> 04:34:37.543
How can we help them? It May

04:34:37.978 --> 04:34:40.413
just be that they're ready to
retire and thought this is a

04:34:41.381 --> 04:34:43.381
good tame to retire, which is

04:34:43.784 --> 04:34:45.951
something that we can't do
anything but.

04:34:46.853 --> 04:34:48.956
But if we help them and
support them either in

04:34:48.956 --> 04:34:51.391
providing equipment, we're
looking to do that.

04:34:53.794 --> 04:34:55.794
We haven't engaged in those

04:35:06.508 --> 04:35:09.376
discussions yet.
We're hearing they're having

04:35:09.877 --> 04:35:12.479
trouble organized ppes.
These are single providers.

04:35:12.913 --> 04:35:15.816
When they put in an order
versus a hospital system or

04:35:16.450 --> 04:35:18.450
clinic putting in an order,

04:35:18.452 --> 04:35:20.954
some clinicians say they try
to order and the companies

04:35:21.522 --> 04:35:23.522
say, well, you haven't placed

04:35:24.459 --> 04:35:27.328
an order with every or in the
last three monthwe're not

04:35:27.962 --> 04:35:30.148
prioritizing you over this
other facility with global

04:35:30.148 --> 04:35:32.148
demand.

04:35:32.901 --> 04:35:35.503
So I think the ppe is to a
certain extent the issue.

04:35:35.503 --> 04:35:38.472
In terms of guidance to
providers we have a healthcare

04:35:38.639 --> 04:35:40.639
website specifically for

04:35:41.410 --> 04:35:43.410
healthcare providers.

04:35:43.645 --> 04:35:45.413
And we're posting the medical
advisorythat just in case

04:35:46.514 --> 04:35:49.416
you're a provider out there
that for some reason isn't on

04:35:50.552 --> 04:35:53.120
our list so, they can go
online and get t but we

04:35:53.521 --> 04:35:55.890
recognize that more needs to
happen.

04:35:55.623 --> 04:35:57.623
Because there are still some

04:35:59.161 --> 04:36:01.663
providers out there that for
whatever reason aren't

04:36:01.897 --> 04:36:03.364
associated with the hospital
system.

04:36:03.999 --> 04:36:06.968
Most providers, they need to
have some sort of privilege at

04:36:07.870 --> 04:36:10.504
some hospitals to be able to
admit patients in case your

04:36:10.572 --> 04:36:13.107
patient is sick.
But there are still some

04:36:14.900 --> 04:36:16.197
providers who don't have that
relationship with the hospital
system.

04:36:16.679 --> 04:36:18.679
And those are the one that

04:36:18.881 --> 04:36:21.483
we're needing to try to forget
out how to have a better
connection w

04:36:25.688 --> 04:36:28.456
>> I have authorized, hilton,
we give hospitals a

04:36:28.691 --> 04:36:30.691
substantial amount of money

04:36:31.427 --> 04:36:34.396
every year to built up medical
supplies for their hospital,

04:36:34.464 --> 04:36:36.464
anticipating not necessarily

04:36:36.599 --> 04:36:38.633
events like this, but at least
anticipating they May need

04:36:42.380 --> 04:36:45.600
them in emergencies.
They were gathered to be

04:36:45.674 --> 04:36:47.108
supportedive of the
hospitals.

04:36:48.477 --> 04:36:50.477
And what I've mentioned to

04:36:50.613 --> 04:36:52.613
hilton and authorized is if a

04:36:52.615 --> 04:36:54.615
private provider does need

04:36:54.717 --> 04:36:57.860
protective equipment, that we
would allow them access to

04:36:57.860 --> 04:36:59.860
that supply.

04:36:59.188 --> 04:37:01.188
There's a limited supply of

04:37:01.224 --> 04:37:03.224
course and doling it out, we

04:37:03.693 --> 04:37:06.494
don't want them to compromise
the equipment and supplies

04:37:07.563 --> 04:37:08.931
that are available to the
hospitals.

04:37:09.566 --> 04:37:12.134
But I believe this are some
efforts made now to reach out

04:37:13.136 --> 04:37:16.380
to private providers and to
let them know that there May

04:37:16.473 --> 04:37:18.574
be some additional equipment
and supplies available through

04:37:19.209 --> 04:37:21.243
the hospitals.
The healthcare association of

04:37:22.678 --> 04:37:25.113
hawai'I is coordinating that.
And we're trying to support

04:37:26.450 --> 04:37:28.251
them f that's the need, we can
hopefully get them the

04:37:28.452 --> 04:37:30.452
essential equipment that they

04:37:30.454 --> 04:37:32.454
need to maintain their

04:37:32.956 --> 04:37:34.254
operations.
So -- 

04:37:38.462 --> 04:37:40.529
>> Dr. Anderson, do you are
have a essential of having

04:37:41.598 --> 04:37:44.534
those private providers that
uniter aren't used to December

04:37:45.136 --> 04:37:48.400
doing these screenings, send
those patients to like answer

04:37:48.105 --> 04:37:50.573
the question's -- queen's
emergency or others that are

04:37:50.774 --> 04:37:53.560
already doing it and they have
the ppes, so that they're not
 -- 

04:37:55.780 --> 04:37:57.780
>> that's exactly right.

04:38:04.222 --> 04:38:06.756
>> right.
Think should be age torque

04:38:06.791 --> 04:38:09.292
photographo over the phone,
say I can give you something

04:38:10.795 --> 04:38:12.995
and send it directionally to
wherever they're sending their

04:38:13.630 --> 04:38:15.630
patients to.

04:38:15.266 --> 04:38:17.767
Most are referring patients
appropriately.
It's come to us that people

04:38:18.136 --> 04:38:20.671
are calling the doctors that
they have seen for years and

04:38:21.272 --> 04:38:23.507
only gotten an answering
machine and haven't been able

04:38:24.609 --> 04:38:27.244
to get through to them and
only to find out that they

04:38:28.145 --> 04:38:31.140
have stopped seeing patients.
So, is an issue.

04:38:31.820 --> 04:38:33.617
Honestly, I don't know how big
an issue it might be.

04:38:34.518 --> 04:38:36.687
But I thought I'd mention it,
because it was not something

04:38:37.289 --> 04:38:39.289
we anticipated initially.

04:38:40.580 --> 04:38:42.580
But we are hoping that people

04:38:43.940 --> 04:38:45.629
will refer to hospitals or
treatment providers for

04:38:46.531 --> 04:38:48.332
whatever care they need, and
that everyone will get the

04:38:48.766 --> 04:38:50.600
support they need, going
forward.

04:38:50.835 --> 04:38:53.538
So, we'll try to figure out
ways to reach out to them and

04:38:54.390 --> 04:38:56.390
find out what they need.

04:38:57.809 --> 04:38:59.644
And if we can help them, we'll
help them.

04:38:59.911 --> 04:39:02.346
T there are changes happening
in the healthcare practices as

04:39:02.881 --> 04:39:05.549
well as the dental practices,
in that the recommendation

04:39:06.840 --> 04:39:08.840
investigation been made from

04:39:08.853 --> 04:39:10.853
cdc, as well as us to consider

04:39:11.156 --> 04:39:13.910
postponing routine
appointments, well

04:39:13.626 --> 04:39:16.160
appointments, just to sort of
limit their exposure and their

04:39:18.197 --> 04:39:20.331
need for ppes or other kins
ever materials and such, and

04:39:21.990 --> 04:39:23.634
protect them, frankly, right.
So, the other thing is to real

04:39:24.636 --> 04:39:26.636
that ppes aren't just needed

04:39:27.172 --> 04:39:29.408
for covid-19 but for other
kinds of illnesses.

04:39:31.310 --> 04:39:33.746
And so, you know, you need -- 
or even just procedures in

04:39:33.746 --> 04:39:36.347
general.
So to not have that for just

04:39:37.183 --> 04:39:39.617
the other many, many other
thingvery concerning for
them.

04:39:40.719 --> 04:39:43.254
So that's limiting their -- so
there are any number of issues

04:39:44.590 --> 04:39:47.292
and reasons, but hawai'I is
unique in that we have so many

04:39:47.960 --> 04:39:49.960
solo private providers.

04:39:50.229 --> 04:39:52.229
And we need to figure out how

04:39:54.100 --> 04:39:56.868
to better resource them.
>> did you.
 -- thank you.

04:39:57.370 --> 04:39:59.605
I have one last question and
then I'll check with the other

04:39:59.605 --> 04:40:01.605
senators.

04:40:01.674 --> 04:40:03.674
It's a question that was asked

04:40:05.111 --> 04:40:07.111
of knee ask you was: if you

04:40:08.348 --> 04:40:10.348
collaborate on your methods of

04:40:11.117 --> 04:40:13.117
contact investigations? So,

04:40:13.886 --> 04:40:15.886
once you find someone who is

04:40:17.690 --> 04:40:19.690
>> right.

04:40:19.792 --> 04:40:21.792
>> it can be lengthy, I know.

04:40:21.929 --> 04:40:24.697
Once we identify a person we
immediately, well, we contact

04:40:24.798 --> 04:40:26.932
the healthcare provider to get
as much information from the

04:40:27.334 --> 04:40:29.768
medical chart and from the
provider themselves as well as

04:40:30.337 --> 04:40:32.905
then contact the person and to
try and interview the person

04:40:33.907 --> 04:40:36.408
to get all kins of
information, their

04:40:36.743 --> 04:40:38.343
demographics as well as
especially walking through

04:40:39.780 --> 04:40:41.780
with them who have you been in

04:40:42.282 --> 04:40:44.751
close contact with and we
describe that close contact

04:40:44.751 --> 04:40:46.886
meaning especially face to
face, you know.

04:40:48.889 --> 04:40:50.256
We want to know their
symptoms.

04:40:50.924 --> 04:40:53.392
How long have you had
symptoms, the cough, fever,

04:40:54.661 --> 04:40:56.661
every aspect ever that? So we

04:40:56.731 --> 04:40:58.798
can get a full picture and
better that information into

04:40:59.433 --> 04:41:01.901
our database.
If they can generate for us a

04:41:02.770 --> 04:41:04.637
contact list, then we want
contact information.

04:41:04.872 --> 04:41:06.238
how to contact their
contacts.

04:41:07.240 --> 04:41:09.240
And then we do the same thing

04:41:09.343 --> 04:41:11.844
with them, okay, talk to them
ewe have been exposed to so

04:41:12.880 --> 04:41:14.880
and so and we understand that

04:41:14.882 --> 04:41:17.751
you saw them on didth date.
You can verify, you know, and

04:41:17.918 --> 04:41:20.353
just going through and
verifying with them, was it a

04:41:21.220 --> 04:41:23.220
really prolonged close contact

04:41:23.824 --> 04:41:26.459
or just in passing, as
Dr. Anderson, 15 feet away or

04:41:27.261 --> 04:41:29.261
you have to see each other,

04:41:29.330 --> 04:41:31.398
saying hi, bye in five
minutes.

04:41:32.333 --> 04:41:34.333
Depending on what they

04:41:35.370 --> 04:41:37.370
describe to us, then we

04:41:37.739 --> 04:41:39.739
categorize, are you low risk?

04:41:40.441 --> 04:41:42.743
Immediate yum yum risk? High
risk? For immediate drum or

04:41:43.844 --> 04:41:45.844
high rink, you have to stay

04:41:45.946 --> 04:41:48.916
home and for high risk,
absolutely quarantine.

04:41:50.318 --> 04:41:52.119
For medium risk,
sever-monitor, not this

04:41:52.888 --> 04:41:54.455
absolute keep away from
everyone.

04:41:55.723 --> 04:41:57.524
Low risk, testify-monitoring
making sure they have the

04:41:58.326 --> 04:42:00.462
education and know that they
should seek help if they need

04:42:00.462 --> 04:42:02.496
it
so, you can imagine if someone

04:42:03.865 --> 04:42:06.367
has been very active as
certain people probably know,

04:42:06.869 --> 04:42:08.869
have been very active despite

04:42:09.872 --> 04:42:11.872
being sick, it can be very

04:42:13.375 --> 04:42:15.943
probableattic in that suddenly
your close contact conditions,

04:42:17.379 --> 04:42:19.947
for some people it's only two
people.
They're going to work, they

04:42:21.316 --> 04:42:23.852
come home and their family is
the one they're looking a

04:42:24.286 --> 04:42:26.286
that's most people, probably.

04:42:26.455 --> 04:42:28.389
Other people, it's ten people,
close contact.

04:42:29.291 --> 04:42:31.291
Other people we've had a few,

04:42:32.270 --> 04:42:34.270
it's up to 100, 100 people

04:42:34.496 --> 04:42:36.797
that -- this is why -- this is
the corral edges of entering

04:42:38.833 --> 04:42:40.833
all that data and looking at

04:42:41.470 --> 04:42:43.470
it, because when we monitor

04:42:45.308 --> 04:42:47.442
these medium-as and high-risk
contacts for a reason.

04:42:48.944 --> 04:42:50.944
They could bism ncubateing

04:42:50.946 --> 04:42:53.815
viruses and they are making
arrangements to have them
tested.

04:42:55.451 --> 04:42:58.850
Some are coming back next; a
couple now are coming back

04:42:58.121 --> 04:43:00.121
positive.

04:43:00.323 --> 04:43:03.580
Hopefully we caught them
before, most of them, they

04:43:03.593 --> 04:43:05.894
have been in quarantine so,
it's not an issue now.

04:43:07.363 --> 04:43:08.697
We don't have to go through
their contact.

04:43:10.400 --> 04:43:12.901
Occasionally it's a day after,
and they're already showing

04:43:15.710 --> 04:43:17.606
symptoms or even maybe by the
time we're notified about

04:43:17.908 --> 04:43:19.909
someone, we're find their
close contact and they're

04:43:20.310 --> 04:43:22.945
already having symptoms.
Now we have to start an

04:43:22.979 --> 04:43:24.947
investigation with them all
over again.

04:43:27.917 --> 04:43:30.452
So, each one is like a no
development point that can

04:43:31.320 --> 04:43:33.320
blossom to another node point

04:43:33.323 --> 04:43:35.323
and another node point.

04:43:35.926 --> 04:43:38.861
Each one requires intensive
data entry, interviewing.

04:43:39.796 --> 04:43:42.531
>> so, for all of those people
that you then follow up and

04:43:44.501 --> 04:43:46.501
investigate, say, ten or the

04:43:46.970 --> 04:43:48.970
hundred, if they become

04:43:48.972 --> 04:43:50.972
symptom attic -- attic, do

04:43:53.877 --> 04:43:55.877
they contact you? If exactly.

04:43:56.380 --> 04:43:58.915
So, if they're in corner
quarantine or in that home

04:43:59.160 --> 04:44:01.617
active monitoring with us,
then we are monitoring with

04:44:03.353 --> 04:44:04.644
them and they know to contact
us.

04:44:05.922 --> 04:44:07.922
With the low to no risk, we're

04:44:08.492 --> 04:44:10.560
telling them talk to your
carey health care provider.

04:44:11.161 --> 04:44:13.897
the medium and high risk,
though f they notify us that

04:44:15.650 --> 04:44:17.166
they have symptoms then we're
automatically making

04:44:17.167 --> 04:44:19.168
arrangements to get them
tested because of the fact

04:44:20.403 --> 04:44:22.939
that we've identified them and
that medium to high-risk group

04:44:25.343 --> 04:44:28.178
so, they are more likely to
potentially be in incomed and

04:44:29.547 --> 04:44:31.881
we want to gent that quickly.
>> thank you.

04:44:32.149 --> 04:44:33.550
Senators, are there furtherric
questions?

04:44:37.210 --> 04:44:39.210
Did we lose our senators

04:44:39.123 --> 04:44:41.123
online? Senator dela cruz?

04:44:44.996 --> 04:44:46.996
>> I had a question.

04:44:46.998 --> 04:44:49.132
Are you doing any antiviral
testing?
>> not at this time because

04:44:50.568 --> 04:44:52.568
there is no approved test by

04:44:53.571 --> 04:44:55.639
the fda or cdc.
That's something gym down the

04:44:56.641 --> 04:44:58.708
line, we hope, we hope there
there are something.

04:44:59.100 --> 04:45:00.945
But that would be later on
down the line.

04:45:01.580 --> 04:45:03.580
That's not the test that's

04:45:04.182 --> 04:45:06.182
useful for it to diagnose an

04:45:06.918 --> 04:45:09.153
acute infection at the time.
It's only useful later on down

04:45:18.631 --> 04:45:20.631
the line, after the fact.

04:45:21.166 --> 04:45:23.935
>> we have Dr. Desmond to here
to explain and he tens to be

04:45:25.300 --> 04:45:27.171
very clear and concise.
>> sure, the diagnostic

04:45:27.706 --> 04:45:29.706
testing is to look for the

04:45:30.642 --> 04:45:32.900
virus itself in the patient
specimens.

04:45:33.110 --> 04:45:35.140
And so f we find the virus, we
know the patient has the

04:45:35.140 --> 04:45:37.140
infection.

04:45:37.116 --> 04:45:39.685
So, the new approach that's
becoming available is antibody

04:45:39.685 --> 04:45:42.200
tests.
So we all know that when we

04:45:44.690 --> 04:45:47.558
get an infection we develop
antibodies.
And the antibodies help to

04:45:47.960 --> 04:45:49.960
prevent us from getting the

04:45:50.629 --> 04:45:52.629
same infection again.

04:45:54.100 --> 04:45:55.801
It can take one to three for
antibodies to develop.

04:45:56.502 --> 04:45:58.502
So if you go to the doctor and

04:45:58.671 --> 04:46:00.671
you're sick, and the doctor

04:46:00.773 --> 04:46:02.773
does an antibody test, you May

04:46:03.800 --> 04:46:05.777
not have an be at body yet.
It May not develop up to 20

04:46:06.110 --> 04:46:07.712
days after the infection.
You're circumstances you have

04:46:09.148 --> 04:46:11.785
the virus, but the antibody is
negative, that's what we call

04:46:11.785 --> 04:46:13.785
a false negative.

04:46:13.786 --> 04:46:15.721
The other problem with
antibody testing is, if you

04:46:18.291 --> 04:46:21.159
have covid-19 disease answer
you recover and you're better

04:46:22.528 --> 04:46:24.796
and your not infected anymore,
the antibody test will be

04:46:25.298 --> 04:46:27.298
still positive.

04:46:27.301 --> 04:46:29.535
So that's a false positive
result.

04:46:30.537 --> 04:46:32.771
And the other type of issue
which has not been really

04:46:34.508 --> 04:46:37.142
fully studies with those
antibody testthat there's a

04:46:38.244 --> 04:46:40.579
broad range of coronaviruses
which we call seasonal

04:46:41.114 --> 04:46:43.615
coronavirus viruses which
we've all had.

04:46:44.618 --> 04:46:47.190
We've had a common cold.
It's one of the most common

04:46:50.301 --> 04:46:52.191
cause of common colds.
And the manufacturers of the
antibody tests have not really

04:46:53.760 --> 04:46:55.261
fully value indicated the
cross-reaction.

04:46:56.620 --> 04:46:58.764
You've got an antibody in that
test.
Maybe it's really an antibody

04:47:00.660 --> 04:47:01.867
to one of these garden variety
common cold correspond course

04:47:04.772 --> 04:47:06.772
you've had in the past.

04:47:07.107 --> 04:47:08.392
So, we find no place for it in
diagnosis.

04:47:09.810 --> 04:47:11.810
As Dr. Park mentioned, it's

04:47:12.279 --> 04:47:14.279
art sort of an after the fact

04:47:14.748 --> 04:47:16.932
thing, we want to see how
broadly the infection hack

04:47:16.932 --> 04:47:18.932
spread.

04:47:19.152 --> 04:47:21.152
and we could do that with a

04:47:21.355 --> 04:47:22.722
specific antibody test amp the
fact.

04:47:24.225 --> 04:47:26.660
>> it would be interesting to
do antibody surveys after the

04:47:27.361 --> 04:47:29.862
dust settles with this, of the
general population to see how

04:47:30.164 --> 04:47:32.265
many people were really
infected over time, because

04:47:33.300 --> 04:47:36.102
the antibodies persist over
years possibly.

04:47:37.710 --> 04:47:38.839
Which is the case with most
viruses.

04:47:39.374 --> 04:47:42.309
So, we will be able to then
learn much more about the

04:47:43.210 --> 04:47:45.210
disease and how extensively it

04:47:45.313 --> 04:47:47.313
was transmitted after the

04:47:48.749 --> 04:47:50.749
fact.

04:47:51.619 --> 04:47:53.686
But there are no approvalled
antibody tests first of all.

04:47:55.156 --> 04:47:57.156
So if we tried to today, I

04:48:00.228 --> 04:48:02.362
wouldn't really depend on the
results.

04:48:03.164 --> 04:48:05.164
Our interest is covid-19.

04:48:05.433 --> 04:48:07.433
But at some point, hopefully

04:48:07.835 --> 04:48:10.737
they will have an approved
antibody test and it would be

04:48:11.906 --> 04:48:14.342
have interesting to have
surveys in hide or parts of

04:48:15.143 --> 04:48:18.112
hide to see how extensively
the virus wasaga circulating.

04:48:18.680 --> 04:48:20.347
That May be looking back over
a year.

04:48:21.283 --> 04:48:23.484
If this thing's with us in a
couple of years might be very

04:48:23.618 --> 04:48:26.253
useful to know that
information, as we continue to

04:48:27.622 --> 04:48:29.691
deal with the problem.
So, we have a lot to learn

04:48:29.691 --> 04:48:32.126
about it.
And I think there's a place

04:48:32.928 --> 04:48:34.928
for antibody testing but it's

04:48:35.664 --> 04:48:38.299
not going to help us
immediately dealing with this
situation.

04:48:38.834 --> 04:48:41.702
>> you had mentioned the other
day that you had just learned

04:48:43.872 --> 04:48:45.872
that there was a self-ad

04:48:46.775 --> 04:48:49.210
ministered and we talked
earlier with Dr. Char about

04:48:49.445 --> 04:48:51.445
this, whether or not it was

04:48:53.916 --> 04:48:56.851
effective or how difficult it
was.
But we're looking at number,

04:48:57.353 --> 04:48:59.353
that would be a way of getting

04:48:59.455 --> 04:49:00.822
more several administered
tests.

04:49:02.791 --> 04:49:04.791
But do you have an opinion on

04:49:05.828 --> 04:49:08.463
that?
>> well, it is ended by the f

04:49:10.199 --> 04:49:12.199
of fda to test nasal swabs.

04:49:12.702 --> 04:49:14.669
So, the patient could just
conceivably swab their own

04:49:15.671 --> 04:49:17.671
nose or perhaps more sensitive

04:49:18.307 --> 04:49:21.242
would be a nasal turbism nate
swab, where you push the swab

04:49:21.810 --> 04:49:24.413
in a little further in the
nasal zones.

04:49:26.349 --> 04:49:28.451
But it's not as bad where you
go all the way to the back of

04:49:28.451 --> 04:49:31.252
the throat.
So, those are accepted by the

04:49:31.754 --> 04:49:34.389
fda that occurred on
wednesday, the fda announced

04:49:34.924 --> 04:49:37.459
that these swabs were accepted
for testing.

04:49:38.494 --> 04:49:40.696
We're till digesting that
information and trying to

04:49:43.700 --> 04:49:45.267
figure out whether that has a
place.

04:49:45.835 --> 04:49:47.870
>> but the results still have
to be tested through the

04:49:48.400 --> 04:49:49.972
normal testing procedures are
right?
>> that's right.

04:49:51.908 --> 04:49:53.908
So, if a patient test -- the

04:49:53.977 --> 04:49:55.977
potential advantage here is

04:49:56.779 --> 04:49:59.382
that with collection of a
nasal swab, a health care

04:50:00.417 --> 04:50:03.190
worker, they're going to be
wearing personal protective

04:50:03.220 --> 04:50:05.922
equipment and they're going to
be consume ache competing with

04:50:06.356 --> 04:50:08.791
the healthcare workers who are
in the hospital taking care of

04:50:08.892 --> 04:50:11.427
sick patients.
And conceivably if patients

04:50:13.763 --> 04:50:15.763
are collecting their own

04:50:16.000 --> 04:50:18.301
specimen, they wouldn't be
consuming any ppe.

04:50:19.300 --> 04:50:21.300
but I don't know.

04:50:21.939 --> 04:50:23.940
I just polled private sector
laboratories just today and

04:50:25.800 --> 04:50:27.800
they don't have plans, they

04:50:27.410 --> 04:50:30.379
don't have immediate plans to
be testing these

04:50:32.416 --> 04:50:34.416
self-collected nasal swabs.

04:50:34.518 --> 04:50:36.518
So, stay tuned.

04:50:37.822 --> 04:50:39.822
T and they're not just any

04:50:39.957 --> 04:50:42.291
cotton swab? It's a specific
swab.
I'm sorry, yes.

04:50:44.610 --> 04:50:46.610
It has to be a if -- 

04:50:46.463 --> 04:50:48.498
>> so, we don't want our
residents to be swabbing their

04:50:49.266 --> 04:50:51.235
noses and sending it to their
physicians?

04:50:53.400 --> 04:50:55.539
>> a cu-tip.
Remember, those swabs go to

04:50:55.907 --> 04:50:57.907
the same labs for testing that

04:50:59.510 --> 04:51:02.246
the other samples are going.
>> they would need the

04:51:02.246 --> 04:51:05.480
specialized swabs as well?
>> as well as a viral

04:51:06.550 --> 04:51:08.550
transport medium.

04:51:09.354 --> 04:51:11.789
I'm trying to work with
jackson of the school of

04:51:12.324 --> 04:51:14.324
medicine to prepare some viral

04:51:14.459 --> 04:51:15.892
transport mediums for us, as
to that

04:51:17.562 --> 04:51:19.996
>> you can explain what that
means, doctor?
>> sure.

04:51:20.531 --> 04:51:22.531
When you check the sample on a

04:51:22.800 --> 04:51:24.800
swab, if you just leave it on

04:51:25.971 --> 04:51:27.971
the dry swab,, the virus May

04:51:28.540 --> 04:51:31.375
die and it May -- your test
May be a fall negative.

04:51:31.877 --> 04:51:34.611
So, we have a viral transfer a
little tube with a lick wild

04:51:35.580 --> 04:51:37.314
in it, and the liquid is
especially designed to

04:51:37.582 --> 04:51:39.950
preserve the virus between the
time you collect it and the

04:51:41.190 --> 04:51:43.788
time that it gets to lab.
>> so you don't want them

04:51:50.829 --> 04:51:52.829
wrapping it in saran wrap?

04:51:53.899 --> 04:51:55.966
[Laughter]
They put the swab into the

04:51:56.334 --> 04:51:58.969
tube and tighten the cap.
and when it comes to you be in

04:52:00.840 --> 04:52:02.840
a zip-loc bag, we figure that

04:52:02.908 --> 04:52:05.543
outside of the specimen tape
taper and the outside of the

04:52:06.445 --> 04:52:08.445
zip-loc bag are not likely to

04:52:11.984 --> 04:52:13.984
be contaminated with active

04:52:47.387 --> 04:52:50.122
coronavirus.
We don't want to test

04:52:50.156 --> 04:52:51.957
everybody because we don't
have the facility organization

04:52:55.395 --> 04:52:57.395
personnel, the equipment and

04:53:23.423 --> 04:53:25.423
everything.

04:53:25.425 --> 04:53:27.425
>> you they, we're not

04:53:31.498 --> 04:53:33.498
limiting the testing -- 

04:53:55.656 --> 04:53:57.656
testing.

04:53:59.159 --> 04:54:01.159
Not test, because we for the

04:54:01.462 --> 04:54:03.964
for figure out the resource.
Rights are but it's not a

04:54:04.666 --> 04:54:06.666
resource issue right now and

04:54:06.734 --> 04:54:08.734
we're aggressive pure suing

04:54:08.970 --> 04:54:10.970
every case we have found and

04:54:11.672 --> 04:54:13.973
we will continue to do so.
But going forward if we're

04:54:15.420 --> 04:54:17.770
going institute or allow, we
have think of the consequence

04:54:17.511 --> 04:54:19.112
and how we're dealing with
it.

04:54:22.399 --> 04:54:24.691
So make thunder shower we're
prepared for that.
>> I hear you, thank you.
Thank you.
I see that we got our senators

04:54:25.186 --> 04:54:27.186
back online.

04:54:28.490 --> 04:54:30.757
Are there any further
questions? Okay.

04:54:31.526 --> 04:54:33.427
If not, thank you so much wore
being here.

04:54:37.666 --> 04:54:39.666
Really appreciate it.

04:58:30.403 --> 04:58:32.403
Recess.

05:02:13.964 --> 05:02:15.964
>>> thank you very much, our

05:02:18.968 --> 05:02:20.968
4:00 agenda is general kept

05:02:22.500 --> 05:02:24.807
neat hara, our incident
commander hawai'I management

05:02:25.740 --> 05:02:27.740
management agency and live

05:02:28.812 --> 05:02:30.780
here today, we're tell alive
so far.

05:02:35.652 --> 05:02:37.652
Senator kim, myself, senator

05:02:38.722 --> 05:02:41.557
kidoni and senator
murray-watkism, online we have

05:02:44.127 --> 05:02:46.127
senator dela cruz, senator

05:02:47.298 --> 05:02:49.298
favella and senator kololu, as

05:02:55.139 --> 05:02:57.139
well as being viewed by olelo.

05:02:57.507 --> 05:02:59.507
I want the to just start by

05:03:01.780 --> 05:03:03.579
saying I hope you guys got a
copy -- were you able to buy a

05:03:04.810 --> 05:03:06.283
copy of the most recent -- oh,
I see.

05:03:09.286 --> 05:03:11.286
So, the hawai'I emergency

05:03:12.220 --> 05:03:14.757
management agent agency along
with the emergency national

05:03:15.659 --> 05:03:18.161
management team and the
national guard have made huge

05:03:18.328 --> 05:03:20.328
strides in the planning.

05:03:21.165 --> 05:03:23.330
I was very disappointed at
where we were.

05:03:27.304 --> 05:03:29.606
I do ask that this will be
kept just for the economy and

05:03:30.208 --> 05:03:31.908
for the President.
Because I don't want pieces to

05:03:32.310 --> 05:03:35.245
start leaking out and it's not
in the final stage and it just

05:03:35.746 --> 05:03:37.746
will confuse the community.

05:03:38.783 --> 05:03:40.783
But a lot of details are in

05:03:41.753 --> 05:03:43.753
there now.

05:03:45.890 --> 05:03:47.890
So we're looking at four

05:03:48.326 --> 05:03:51.128
lines, line one is to prevent
and protected; line two is

05:03:51.562 --> 05:03:54.630
looking at the medical
response; line of effort three

05:03:54.765 --> 05:03:56.132
is information and public
outreach.

05:03:57.569 --> 05:03:59.569
And line of effort four is

05:04:01.273 --> 05:04:03.841
supply chain management.
So, we're looking at those

05:04:04.843 --> 05:04:06.210
lines of effort as we move
along.

05:04:07.579 --> 05:04:10.347
They did a lot of work in
trying to identify critical

05:04:10.381 --> 05:04:12.381
decisions that need to be

05:04:24.255 --> 05:04:26.303
made.
So, as you go through this,
it's really several
explanatory.
At some point I think I
wouldn't minute having a team
brief the committee, so you

05:04:26.303 --> 05:04:27.595
guys can see in detail what
the plan is at so far.

05:04:28.633 --> 05:04:31.135
I think you guys would be very
comfortable where they come.

05:04:33.172 --> 05:04:35.608
>> could that be available
monday?
>> yeah, because they already

05:04:35.608 --> 05:04:37.608
briefed me.

05:04:38.244 --> 05:04:40.244
Right now I'd say about a 75

05:04:40.245 --> 05:04:42.180
to 80 percent; I gave them
some guidance.

05:04:42.581 --> 05:04:44.581
They said they will be ready

05:04:44.650 --> 05:04:46.918
for the new guidance by
wednesday.
But they can brief what they

05:04:46.918 --> 05:04:49.855
briefed me today
>> okay, well, we'll work with

05:04:50.623 --> 05:04:52.758
you and check with the
senators online.

05:04:52.758 --> 05:04:55.126
Hopefully they will be back
with us on monday, because

05:04:55.828 --> 05:04:57.828
even if they don't get their

05:04:57.830 --> 05:04:59.263
test result, it's 14 days on
monday.

05:04:59.899 --> 05:05:01.899
Right, well, I told them if

05:05:01.901 --> 05:05:04.235
the results come in, I'll let
you folks know.

05:05:05.638 --> 05:05:07.638
[Laughter]

05:05:08.208 --> 05:05:10.208
>> so, we'll have that

05:05:10.777 --> 05:05:13.378
scheduled either monday or
wednesday.
>> I heard they're purposely

05:05:17.283 --> 05:05:19.283
holding back their tests.

05:05:19.952 --> 05:05:22.387
[Laughter]
What I also wanted to the

05:05:24.224 --> 05:05:26.359
mention is that we had a tele
conference, I don't know if.

05:05:28.361 --> 05:05:30.262
So leadership here was on -- I
think senator dela cruz, you

05:05:31.831 --> 05:05:33.831
were on.

05:05:34.801 --> 05:05:36.801
But we had senator small,

05:05:38.304 --> 05:05:40.304
senator uono governor and

05:05:40.473 --> 05:05:42.975
sometime state legislature.
So state departments talking

05:05:44.378 --> 05:05:46.378
about what's next with the

05:05:46.813 --> 05:05:48.813
1.25 billion package that's

05:06:15.809 --> 05:06:17.809
coming to hawai'I.

05:06:18.345 --> 05:06:20.714
You would like some of my
planners to be a part of this

05:06:21.982 --> 05:06:23.982
team, as we form this.

05:06:24.318 --> 05:06:27.253
So, I'm open for any quest.
So general har sample open for

05:06:28.789 --> 05:06:31.390
any question, senators.
Senator kim
>> hi.

05:06:34.329 --> 05:06:35.619
I have a question, several
questions.

05:06:36.531 --> 05:06:38.766
I understand that
representatives have been in

05:06:38.766 --> 05:06:41.301
contact with you.
And what are we doing about

05:06:41.936 --> 05:06:43.936
the small boats as well as the

05:06:43.938 --> 05:06:45.938
inter island flights coming

05:06:46.807 --> 05:06:48.908
in? Because one, they're not
being quarantined; and two,

05:06:50.878 --> 05:06:52.913
they're not even filling out
forms.

05:06:53.948 --> 05:06:55.948
And so, they're very concern

05:06:55.950 --> 05:06:58.510
the because right now, they're
covid-19-free.

05:06:59.200 --> 05:07:01.455
So, today we had a tele
conference, governor was on

05:07:02.560 --> 05:07:04.458
there, all of the mayors
including the emergency
managers.

05:07:06.894 --> 05:07:08.894
And the decision was made to

05:07:08.897 --> 05:07:10.897
further -- to also restrict

05:07:11.466 --> 05:07:13.802
inter island travel.
So, the decision is we're

05:07:13.802 --> 05:07:16.237
going to do it.
Now we're trying to figure out

05:07:17.839 --> 05:07:19.841
the longestics.
We were just considering it

05:07:19.841 --> 05:07:21.842
before.
Now the decision has been

05:07:22.877 --> 05:07:24.877
made; we got to do t so we're

05:07:26.282 --> 05:07:27.982
working on first, what are the
exemptions? Because

05:07:28.550 --> 05:07:31.119
there's -- some May be
unintended answer the
question, right.

05:07:31.787 --> 05:07:34.388
For example, if we take this
additional measure, it could

05:07:35.857 --> 05:07:38.560
be that hawai'I just says it's
not cost effective; we're not

05:07:38.560 --> 05:07:40.560
flying anymore.

05:07:40.929 --> 05:07:43.898
Then what? How do we get
credit can't go cargo back and

05:07:44.800 --> 05:07:46.800
forth by air? The other

05:07:46.869 --> 05:07:48.869
thing, I asked if we can have

05:07:48.871 --> 05:07:50.871
a statewide exemption list.

05:07:52.700 --> 05:07:53.541
It will be too confuse going I
say, hey, a

05:07:54.109 --> 05:07:56.811
I'm going m awful
i, I'm this type of worker.

05:07:57.813 --> 05:07:59.813
Am I exempt or not? For the

05:08:01.384 --> 05:08:03.819
big island it's something.
Kawii, I'm not exempt.

05:08:03.886 --> 05:08:05.886
I don't know how long it will

05:08:05.988 --> 05:08:07.988
take us to get there.

05:08:08.558 --> 05:08:09.847
Kawism I, maui is ready to go
now.

05:08:11.861 --> 05:08:13.861
But they are -- they realize

05:08:13.963 --> 05:08:16.631
there is some logistics that
need to be done, like getting

05:08:17.833 --> 05:08:20.603
those forms.
How do we know who's personned

05:08:21.571 --> 05:08:24.106
or not? Is there some kind of
a notary stamp a certificate,

05:08:25.942 --> 05:08:27.942
so you can prove and

05:08:28.411 --> 05:08:30.946
somebody's not making copy?
But the decision has been made

05:08:33.416 --> 05:08:35.183
to restrict inter enter island
air travel.

05:08:35.919 --> 05:08:38.454
The boat harbor, I know
there's some gaps and it is

05:08:40.657 --> 05:08:42.657
something we're working on.

05:08:44.661 --> 05:08:47.429
>> are you happy and
satisfied?S out of I know they

05:08:48.965 --> 05:08:51.467
only started the mandatory
14-day quarantine for arriving

05:08:51.467 --> 05:08:54.200
passengers.
But last night on the news

05:08:54.171 --> 05:08:57.720
they interviewed a couple of
people coming in, say they go

05:08:58.876 --> 05:09:01.544
didn't feel that was stringent
enough or that enough

05:09:01.945 --> 05:09:04.246
attention was being given.
They radio weather released

05:09:04.381 --> 05:09:06.548
into the public.
So, we talked with airports

05:09:08.485 --> 05:09:11.200
and airports said that they
thought they could -- 
[Overlapping speakers]

05:09:11.422 --> 05:09:12.756
Yeah, so that is the current
policy, right.

05:09:13.524 --> 05:09:15.893
So everyone that comes in,
it's a hand over

05:09:15.893 --> 05:09:17.962
self-quarantine.
We're not locking them in

05:09:17.962 --> 05:09:19.962
hotels.

05:09:20.698 --> 05:09:23.666
That is a next step
considering.

05:09:24.635 --> 05:09:26.736
That's why we're doing surveys
and assessments of different

05:09:27.571 --> 05:09:29.171
hotels, apartment-type
complexes.

05:09:32.451 --> 05:09:34.451
>> but short of that, putting

05:09:35.947 --> 05:09:38.214
them somewhere, is that the
screening they felt wasn't

05:09:39.450 --> 05:09:41.450
somehow strict enough? And I

05:09:41.452 --> 05:09:43.720
think airports had some
recommendations on how we can

05:09:44.955 --> 05:09:46.556
make a little bit more first
time.

05:09:47.158 --> 05:09:49.726
But they said they're just
following the directives.

05:09:50.928 --> 05:09:53.597
And I said well, the fact that
they're seeing the day today

05:09:54.465 --> 05:09:57.670
and you're not, programs they
need to make these

05:09:57.635 --> 05:09:59.736
recommendations to you on
improving the process.

05:10:03.174 --> 05:10:05.174
Because everybody's -- this is

05:10:08.790 --> 05:10:09.580
new.
>> right.

05:10:10.448 --> 05:10:12.448
I was impressed and happy with

05:10:13.251 --> 05:10:14.951
how it was executed.
The department of

05:10:16.621 --> 05:10:19.256
transportation airports was
critical to this plan,

05:10:20.158 --> 05:10:22.693
creating the plan, following
the guidance that I gave,

05:10:23.595 --> 05:10:26.263
working with the airlines.
We're trying to figure out,

05:10:27.990 --> 05:10:29.000
hey, who's going to do this?
Are we going to have the

05:10:30.135 --> 05:10:32.136
national guard out there? It
would take more than seven

05:10:32.537 --> 05:10:35.472
days to get a badge.
And it was airports, I think

05:10:35.507 --> 05:10:38.208
together with the airlines
that came out with the

05:10:39.780 --> 05:10:41.780
brilliant idea, why don't we

05:10:41.713 --> 05:10:43.782
use the agents that ever laid
off that already have

05:10:43.782 --> 05:10:45.782
basketballs?

05:10:46.185 --> 05:10:48.341
And they said we'll keep 'em
on payroll and then we just

05:10:48.341 --> 05:10:50.988
reimburse.
I just did a letter and that

05:10:51.189 --> 05:10:53.357
was in a day that.
Was pretty brilliant.

05:10:57.960 --> 05:10:59.960
So, yeah, we had bumps.

05:10:59.565 --> 05:11:01.565
that said, when we roll out

05:11:03.302 --> 05:11:05.302
this next iteration of the

05:11:05.638 --> 05:11:07.271
inner island, we are moving
fore100 percent with the

05:11:08.540 --> 05:11:10.540
medical testing the testing

05:11:10.576 --> 05:11:13.770
for the fever.
And we are kept being told

05:11:14.313 --> 05:11:17.160
that it's not, not accurate,
not successful, it's a waste

05:11:17.160 --> 05:11:19.584
of effort.
I got appear e-mail from the

05:11:21.254 --> 05:11:24.122
direct general of taiwan, I
think, two days ago and his

05:11:24.523 --> 05:11:27.250
numbers basically said they
caught about 40 percent.

05:11:27.660 --> 05:11:29.762
People coming into their
island that were covid-19

05:11:29.762 --> 05:11:31.762
positive.

05:11:32.132 --> 05:11:33.423
So, to me, that's good
enough.

05:11:34.334 --> 05:11:36.334
So we're going press forward.

05:11:36.603 --> 05:11:38.603
The bottom line is we'll catch

05:11:39.380 --> 05:11:40.772
up with that and it will be a
policy change.

05:11:43.750 --> 05:11:44.360
I can't just say, hey, turn it
on

05:11:45.178 --> 05:11:47.179
who's going to turn do it?
>> two more questions.

05:11:50.283 --> 05:11:52.283
>> sure.

05:11:52.552 --> 05:11:54.552
>> south korea has an app now,

05:11:56.556 --> 05:11:59.910
that for those who are being
self-quarantined, they have to

05:12:00.160 --> 05:12:02.160
download the app so that they

05:12:03.863 --> 05:12:05.863
can check in or give updates.

05:12:08.135 --> 05:12:09.736
So, we can somehow upon tore
that?

05:12:11.171 --> 05:12:13.706
>> the answer is q -- yes.
We got there go ahead idea,

05:12:17.844 --> 05:12:19.278
what was it covid-at
hawai'I.Gov.

05:12:19.880 --> 05:12:21.880
So we're getting all these

05:12:22.415 --> 05:12:23.849
ideas and put it to theism ma
team.

05:12:24.585 --> 05:12:26.820
We have picked up.
I'm not sure which one it is

05:12:27.888 --> 05:12:30.124
but we are using that.
>> finally, one of my

05:12:30.124 --> 05:12:32.124
constituents recommended that

05:12:32.392 --> 05:12:34.392
because the lines are so

05:12:34.762 --> 05:12:36.896
wrong, like it at costco and
other places and people are

05:12:38.265 --> 05:12:40.265
more so getting closer than

05:12:40.334 --> 05:12:42.402
the 6 feet and not social
distancing, what about going

05:12:44.271 --> 05:12:46.271
to odd oregon even, like on

05:12:47.642 --> 05:12:50.410
the graphs ration, people with
odd number opposite their

05:12:50.711 --> 05:12:52.846
drivers license go shopping
monday, wednesday and friday,

05:12:53.881 --> 05:12:56.849
and the odds would go tuesday,
thursday and saturday,
something like that.

05:12:57.284 --> 05:12:59.284
That's a great idea.

05:12:59.921 --> 05:13:01.921
Yeah, limiting it and people

05:13:04.926 --> 05:13:06.926
can rotate.

05:13:11.933 --> 05:13:13.933
>> yeah.

05:13:14.368 --> 05:13:16.368
>> I was trying to get these

05:13:16.405 --> 05:13:19.139
box stores but all the stores
say they're just too busy;

05:13:19.808 --> 05:13:22.376
they couldn't do t so that
plan is pretty much outdoor.

05:13:23.411 --> 05:13:25.447
But maybe we can re-engage
with the store, that's a great

05:13:25.447 --> 05:13:27.447
idea.

05:13:30.752 --> 05:13:32.752
Yeah, move to the next level.

05:13:35.390 --> 05:13:37.692
>> okay.
A.So, you're saying the

05:13:38.360 --> 05:13:40.360
testing, the thermal scanner

05:13:40.729 --> 05:13:42.897
because when we talked to
airports today, they only did

05:13:43.865 --> 05:13:46.700
the testing.
On just the air crew, right.

05:13:47.302 --> 05:13:49.269
Now it's going to be all
passengers; is that true?

05:13:50.305 --> 05:13:52.305
>> yes.

05:13:52.908 --> 05:13:55.309
I didn't need to scan them
because they're going into

05:13:57.780 --> 05:13:59.780
quarantine, anyway, right?

05:14:01.283 --> 05:14:03.918
It's a flash in the pan,
right, the boom was so quick.

05:14:04.720 --> 05:14:07.221
And the quarantine, somebody's
monitoring them, once they go

05:14:08.458 --> 05:14:10.492
into quarantine, that 14-day
quarantine, what happen?

05:14:11.861 --> 05:14:14.195
Because I know that hda was
saying we'll take them to

05:14:14.964 --> 05:14:16.964
their destination, but after

05:14:18.934 --> 05:14:20.969
the 14 days it's all
self-monitoring.

05:14:21.870 --> 05:14:24.438
Self-quarantine and
self-monitoring, right?
Right.

05:14:25.240 --> 05:14:27.240
How do they get the results

05:14:28.378 --> 05:14:30.812
when it goes to doh or to you
that they're okay or not.

05:14:34.160 --> 05:14:36.317
How is that being monitored?
>> so, we ask that the

05:14:36.485 --> 05:14:38.485
counties really take the lead

05:14:40.289 --> 05:14:42.289
on enforcement.

05:14:43.260 --> 05:14:44.960
So, they get handed forms on
the aircraft.

05:14:45.962 --> 05:14:48.230
The flight crew has a written
statement that they read

05:14:48.998 --> 05:14:51.366
through and talk about the
penalties and that yourism d

05:14:52.535 --> 05:14:55.700
will be checked.
They come off the check-point

05:14:56.572 --> 05:14:59.410
where the agents are.
Agents, just flight crew is

05:15:00.811 --> 05:15:03.412
screened, right.
The agents are there, verify

05:15:04.481 --> 05:15:07.450
the name, where they're
staying at, if they're

05:15:07.784 --> 05:15:09.784
residents or lodging somewhere

05:15:10.420 --> 05:15:12.420
in hawai'I, as a visitor.

05:15:12.822 --> 05:15:14.957
A number of days duration in
hawai'I and then the phone

05:15:14.957 --> 05:15:16.992
number, the contact
information.

05:15:17.794 --> 05:15:20.630
That, all those forms are
collected at the table and

05:15:23.660 --> 05:15:25.302
they are handed out just one
sheet of the rules and

05:15:25.302 --> 05:15:27.570
penalties.
And you flip it over, has all

05:15:27.971 --> 05:15:30.720
the health information, if you
start feeling circumstances

05:15:31.800 --> 05:15:33.800
what do you need to do? That

05:15:34.100 --> 05:15:36.100
was provided by the department

05:15:46.824 --> 05:15:48.824
of health.

05:15:49.593 --> 05:15:52.394
Hda is now putting that all on
a spread sheet a report and

05:15:54.332 --> 05:15:57.100
then that's provided to us.
So one is the tally.

05:15:58.603 --> 05:16:01.471
How many visitorrings came?
How many flight crew and then

05:16:01.906 --> 05:16:04.341
how many residents were
returning?
And they be they have the

05:16:04.842 --> 05:16:06.842
detailed spread sheet that

05:16:06.877 --> 05:16:08.311
they took of a the ag forms.
So h.

05:16:09.613 --> 05:16:12.583
It a is doing some calling.
First thing they do, they call

05:16:13.852 --> 05:16:15.852
the hotels where the visitors

05:16:15.853 --> 05:16:17.988
going to and periodically,
they May call individuals.

05:16:19.230 --> 05:16:21.191
And I know some counties were
doing the same thing.

05:16:25.129 --> 05:16:27.129
>> and if somebody's positive,

05:16:27.498 --> 05:16:29.498
then it's noted and they can

05:16:31.200 --> 05:16:33.200
go to them and treat them

05:16:48.620 --> 05:16:50.221
>> correct.
Who they call?

05:16:50.889 --> 05:16:52.889
>> there's a contact number

05:16:55.127 --> 05:16:57.595
for that, as well.
What if they are only for

05:16:57.595 --> 05:16:59.964
seven day?
On the first day

05:17:01.533 --> 05:17:02.818
>> so, you're allowing them to
leave?

05:17:06.472 --> 05:17:09.700
>> yeah, three day, 11 day,
sorry.
>> so, how do we know that

05:17:11.510 --> 05:17:12.801
they're staying in their hotel
room?

05:17:15.800 --> 05:17:17.949
A so there's a random check.
I don't know if the other

05:17:18.116 --> 05:17:20.418
counties going.
And believe that hotel would

05:17:22.540 --> 05:17:24.556
be like, hey, these guys came
in and they're going out.

05:17:25.925 --> 05:17:27.625
We're seeing them with their
beach towels and everything

05:17:29.695 --> 05:17:31.695
and it's really up to the

05:17:32.131 --> 05:17:34.131
county.

05:21:10.754 --> 05:21:12.754
>> yeah.

05:25:09.596 --> 05:25:11.596
>> many cancellations because of

05:25:12.566 --> 05:25:14.134
the change in the policies.
Marie corps

05:25:16.637 --> 05:25:18.637
marine corps is committed to

05:25:19.600 --> 05:25:21.600
enforcing social distancing.

05:25:22.143 --> 05:25:24.143
Social distancing orders apply

05:25:26.947 --> 05:25:29.148
everywhere and all the services
have said they're doing their

05:25:30.180 --> 05:25:32.180
best to enforce the orders.

05:25:32.887 --> 05:25:35.880
Is that okay, senator?
>> yeah.
Great.
Thank you very much.

05:25:35.123 --> 05:25:36.489
>> okay.
Thanks.

05:25:41.280 --> 05:25:43.730
>> thank you, senator.
>> with the small boats, we have

05:25:44.198 --> 05:25:47.330
17 in the state.
There was concern that luxury

05:25:47.969 --> 05:25:49.253
vessels or small boats coming
in.

05:25:51.473 --> 05:25:53.907
And I did talk with dlnr,
because they are the small boat

05:25:54.642 --> 05:25:57.544
harbors in the jurisdiction,
separated from commercial

05:26:01.480 --> 05:26:03.830
harbors, which is D.O.T.
They said they were in touch

05:26:04.920 --> 05:26:07.521
with customs and border control
and they would monitor.

05:26:07.990 --> 05:26:09.990
Is that 24/7?

05:26:11.260 --> 05:26:13.260
They come in at night.

05:26:13.161 --> 05:26:14.595
That's when they are not on
duty.

05:26:16.640 --> 05:26:18.966
If there can be away to assure
us that they're being checked?

05:26:19.534 --> 05:26:22.436
>> I need -- that is a gap that
we need to follow up on.

05:26:23.739 --> 05:26:25.739
>> thank you.

05:26:30.145 --> 05:26:32.800
>> thank you.
>> general, I was asked this
question.

05:26:33.949 --> 05:26:36.450
And I did ask the department of
health.
I'll ask you also.

05:26:39.254 --> 05:26:41.254
Because we talked last time

05:26:42.124 --> 05:26:44.124
about who coordinates what.

05:26:46.128 --> 05:26:48.128
And in the case of PPEs,

05:26:48.964 --> 05:26:50.964
hospital supplies, beds, etc.,

05:26:56.380 --> 05:26:58.707
is that something that you as
incident commander will also be

05:26:59.175 --> 05:27:00.976
assisting with?
>> correct.
Absolutely.

05:27:04.780 --> 05:27:06.681
That is one of our top
priorities.

05:27:08.250 --> 05:27:10.250
The main point in helping with

05:27:10.252 --> 05:27:12.252
the healthcare enterprise is the

05:27:13.489 --> 05:27:15.489
hawaii -- I mean, yeah, the

05:27:16.693 --> 05:27:18.693
association hawaii, heh.

05:27:19.562 --> 05:27:21.497
So we're getting stuff through
the national stockpile,

05:27:22.799 --> 05:27:25.000
department of health, judy is
helping us to get additional

05:27:28.704 --> 05:27:31.140
orders, equipment, personal
protective equipment and

05:27:31.140 --> 05:27:33.140
critical supplies.

05:27:33.510 --> 05:27:35.778
Some things are arriving at the
management agency with our

05:27:36.146 --> 05:27:38.213
purchase cards.
Something is going through

05:27:41.785 --> 05:27:44.153
normal procurement to sarah
allen and her team.

05:27:44.654 --> 05:27:46.654
They've been superb.

05:27:47.123 --> 05:27:49.825
We got multiple orders that way.
They have their own supply

05:27:53.121 --> 05:27:55.121
chain, right.

05:27:56.700 --> 05:27:58.000
They're ordering their own
things.

05:27:58.735 --> 05:28:00.735
All we're trying to do is get

05:28:01.305 --> 05:28:02.838
ahead of the surge, even have a
stockpile here.

05:28:04.140 --> 05:28:07.420
That is one of our top
priorities.
>> so the hospitals then are

05:28:08.546 --> 05:28:10.346
still doing their own ordering,
etc.?

05:28:11.648 --> 05:28:13.648
>> yes, and clinics.

05:28:14.551 --> 05:28:17.387
>> but there is, in your hands,
the backup that May be needed

05:28:18.288 --> 05:28:20.288
should they not be able to get

05:28:20.557 --> 05:28:22.910
the supplies they need.
>> exactly.

05:28:22.659 --> 05:28:24.659
>> so right now you don't know

05:28:25.263 --> 05:28:27.631
of any hospitals that are not
able to get supplies?

05:28:29.767 --> 05:28:32.680
>> you know, we're at a critical
mass.

05:28:33.571 --> 05:28:34.859
But queens, if anyone has extra
masks.

05:28:35.572 --> 05:28:37.807
They're trying to get their
stocks up so they don't get to

05:28:38.809 --> 05:28:40.809
that critical point where it

05:28:42.613 --> 05:28:44.782
might affect their operations.
>> but they do know -- 

05:28:45.650 --> 05:28:47.650
>> for instance, just yesterday

05:28:48.520 --> 05:28:50.520
we received shipment.

05:28:51.689 --> 05:28:53.223
I think I mentioned this the
other day.

05:28:54.592 --> 05:28:56.592
One of the problem points was at

05:28:57.940 --> 05:28:58.862
the warehouse itself, when they
receive, I think there are only

05:29:00.832 --> 05:29:02.900
a handful of people there to
open the boxes, break down, do

05:29:05.103 --> 05:29:07.103
the inventory, separate it in

05:29:07.305 --> 05:29:09.305
the packages for distribution.

05:29:09.607 --> 05:29:12.208
We said from the guard, hey.
Without any mission assignment,

05:29:12.377 --> 05:29:14.378
just get them up there.
We'll catch up.

05:29:15.246 --> 05:29:17.246
So we got some -- I think that

05:29:17.716 --> 05:29:20.284
was covered in the media, too.
We helped them out and they were

05:29:21.887 --> 05:29:24.188
able to get that stuff out in a
day.

05:29:25.757 --> 05:29:28.392
>> so -- but they all know you
as incident commander would be

05:29:29.694 --> 05:29:31.694
also someone to call, or they

05:29:33.164 --> 05:29:35.164
have that information.

05:29:35.167 --> 05:29:37.167
>> the best to go to, the

05:29:39.838 --> 05:29:42.240
emergency management agency, a
medical -- I can't have every

05:29:43.842 --> 05:29:46.677
person, thousand healthcare
providers.
>> hospitals and the emergency

05:29:46.945 --> 05:29:48.945
rooms, or whoever, that they do

05:29:49.414 --> 05:29:51.883
have the information as to who
to call.
>> correct.

05:29:51.883 --> 05:29:54.419
>> I don't know.
I feel sometimes like maybe the

05:29:54.987 --> 05:29:56.987
hospitals are not talking to

05:29:57.790 --> 05:30:00.491
their doctors, there's some
breakdown in communication.
Because I think some of the

05:30:01.794 --> 05:30:03.794
questions that we're getting

05:30:05.330 --> 05:30:07.330
seems to be internal questions

05:30:08.767 --> 05:30:10.769
that maybe there's not enough
communication.
>> right.

05:30:11.404 --> 05:30:13.404
Two points, right.

05:30:13.506 --> 05:30:16.341
If it's for supplies and stuff,
the healthcare association
hawaii.

05:30:17.310 --> 05:30:19.310
And then the emergency support

05:30:20.212 --> 05:30:21.746
number 8 at the hawaii emergency
management agency.

05:30:22.448 --> 05:30:24.448
Those are the two first places

05:30:24.984 --> 05:30:26.985
they should go to.
>> thank you.

05:30:27.387 --> 05:30:29.756
>> mmhmm.
>> senators, are there further

05:30:29.756 --> 05:30:31.724
questions?
If not, thank you so much for

05:30:33.226 --> 05:30:35.226
being with us today.

05:30:35.461 --> 05:30:38.330
From time to time we'll be
asking you to come in.

05:30:38.765 --> 05:30:41.267
>> sometimes maybe if I can just
do something like this.

05:30:41.267 --> 05:30:43.802
>> call in.
That's fine.
>> okay.

05:30:43.903 --> 05:30:45.903
>> thank you for the good work

05:30:48.187 --> 05:30:50.465
that you guys are doing.
>> okay.
Thank you.
>> thank you guys very much.
Appreciate it.

05:30:56.150 --> 05:30:58.150
We are adjourned.