Apr 14, 2020
Governor Phil Murphy NJ COVID-19 Briefing Transcript April 14
Governor Phil Murphy of New Jersey held a press briefing on April 14 on coronavirus. He talked about working with other states to reopen after the pandemic is over. Full transcript here.
Transcribe Your Own Content
Try Rev for free and save time transcribing, captioning, and subtitling.
Phil Murphy: (00:00)
The state epidemiologist, Dr. Christina Tan, also, I think in the category of now not needing an introduction. We’re also joined by Dr. Tan’s, one of her predecessors, Dr. Eddie Presnet. Great to have you with us, Eddie, as always and the guy to my left who’s definitely in the category of not needing introduction, superintendent of the state police Colonel Pat Callahan. I think Pat, it’s fair to say on off topic matters we have, you said about 4,000 outages and hopefully they’re going to be resolved by midnight tonight and not a lot of accidents to report from yesterday. Thank God, so thank you for your leadership. We dodged, I think, a little bit of a weather bullet yesterday, although there are some places got hit up pretty badly. Let there be no doubt about that. Also, we’re here with the director of the department of Homeland Security and Preparedness, Jared Maples.
Phil Murphy: (00:51)
Nice to have you with us. Jared. Deputy counsel Paramel Garg is also in the house. I’m going to begin as we have been for the past couple of weeks with the numbers and Judy, I think it’s fair to say that when we look at Monday and Tuesday numbers, there’s a certain amount of blending that we have to accept given the weekend reality. So just bear with us. It doesn’t make the numbers any easier, trust me, but I think there’s a … You have to sort of look at Monday and Tuesday in sort of an averaging reality. So today we are reporting an additional 4,059 positive test results, which is now a total of 68, 824 New Jerseyians who have now tested positive. More on testing in a little bit. According to our online dashboard, accessible, by the way, through COVID19.nj.gov, as of 10:00 PM last night, 8,185 residents were reported hospitalized of whom 2,051 were listed in critical or intensive care and 1,600, Judy, 1,626 ventilators were in use.
Phil Murphy: (02:03)
Just as importantly, between 10:00 PM Sunday and 10:00 PM last night, 514 residents were discharged from our hospitals. And as we note each day, the dashboard pulls data as it is reported at 10:00 PM each night by hospitals to the New Jersey Hospital Association, and there may be overnight changes or late reports that are not yet reflective in the data. Remember, these numbers are just a snapshot in time for what remains a very fluid and fast changing situation in our hospitals. Today with the heaviest of hearts, we must also sadly note that another 365 blessing souls have been lost due to COVID-19 related complications. And the overall toll of this pandemic on our state in of loss of life is now 2,805 lost brothers and sisters of our New Jersey family. Again, it should be noted and I referred to this a minute ago, that not all of these deaths occurred literally within the past 24 hours.
Phil Murphy: (03:16)
Many of these individuals passed sometime over the past number of days and are now being reported. It does not make it any easier regardless of when they left as they have left us. As we do. I’d like to share the stories of just a few of those we’ve lost in recent days. Eddy Germain, God bless him. Eddy served our state for more than 30 years at the Department of Transportation and he most recently served as the director of bridge engineering and infrastructure management. He was working literally right up until recent weeks and his last work was on the structural analysis we needed for our federal waiver of the weight limits on our highways for truckers carrying COVID-19 relief supplies. You may remember last week I announced the executive order associated with that. Commissioner Diane Gutierrez Cochetti, with whom I just exchange notes and she’s busted up, I promise you. She knew Eddy well.
Phil Murphy: (04:16)
She called him, quote, a gentle spirit, and excellent professional. To Eddy’s family, I reached out and left a message for his daughter, Bianca. We salute his dedication to our state and we’ll keep him and each of the members of the family in our prayers. And to his DOTD family, we were also thinking about each of you working as Eddy did to keep our state moving forward. God bless that guy. Bedminster Police Patrol Sergeant AlTerek Patterson. There’s AlTerek, was taken from us on Easter Sunday. He was in his 14th year serving his community and was a beloved member of the township’s force. He was promoted to Sergeant in 2014. He was only 38 years old. He leaves behind his wife Brandy. Again, I tried to reach out to her this morning, and children, they are in our prayers as is his memory, as is everyone in Bedminster who served alongside Sergeant Patterson and all who looked up to him, and there were many who looked up to him as a role model. God bless him.
Phil Murphy: (05:26)
Next we have Iris Anaida Martinez Arroyo. Iris Anaida Martinez Arroyo. She was an icon in our state’s strong and proud Puerto Rican community. She was an educator, a cultural manager, and a community and political activist. She was from Santa Isabel, Puerto Rico, but she called New Jersey her home. Iris is survived by two sisters, four nieces and a nephew, Vincent, with whom I spoke this morning. And the entire, by the way, the entire many hundreds thousand strong brothers and sisters of the Puerto Rican community in our state. May God bless her.
Phil Murphy: (06:10)
We grieve with every family who has lost a loved one. We grieved with the friends they have left behind. We agree with all the colleagues with whom they worked. We grieve with the communities who have lost icons and leaders and role models, and we grieve because we know we cannot adequately say goodbye to them at this time. COVID-19 didn’t just take them. It has taken away our ability to come together to celebrate their lives as we should and as they deserve. That especially makes this illness and these passings so cruel. It’s also what makes it so vital that we continue to do all that we can to defeat COVID-19 so we can come together sooner than later, albeit much later than we would like, to remember these precious lives lost.
Phil Murphy: (07:07)
Here’s an update on the map that we’ve been showing you from time to time that we need to all keep in mind. The lighter the color, the longer it’s taking for the virus to double and spread and that’s a good thing and this was a very different map a week or so ago. Because, and this is a salute to everybody out there because so many of us have taken social distancing to heart, we’ve been able to turn much of this map to the light shade, meaning, again, that the rates of COVID-19 spread are slowing and that the curve is beginning, and I say beginning, to flatten. This is the map in many respects by which we measure our progress as an entire state, and we must get every county to be the very lightest shade.
Phil Murphy: (07:56)
To do that, folks, we have to keep our foot on the gas. We have to stay at home, absolutely stay at home unless it is essential for us to get out. And if we do go out, we have to keep wearing our face coverings and keep at least six feet apart from one another. We can’t take the changes on this map for granted. This could very easily backtrack. COVID-19 can just as easily boomerang back on us if we stop doing what we’re doing. Let’s only go through this once. Let’s keep our focus on what we need to do today and that’s keeping with our social distancing. And again, if we keep it up, I know without any equivocation that we will come through this as strong as we’ve ever been before. Not without casualties, sadly, as we have seen too many lives lost, but we will get through this and we will get through this together as one strong, extraordinary New Jersey family.
Phil Murphy: (08:55)
Switching gears if I could for a couple of announcements. First on testing, as was noted yesterday, the PNC bank Arts Center testing site, which we’re operating in partnership with FEMA will be open at 8:00 AM tomorrow, Wednesday, April 15 and will handle a maximum of 500 tests. To be tested, you must be a New Jersey resident and you must be exhibiting signs of respiratory illness. The Bergen Community College site, which was open today will reopen at 8:00 AM Thursday, April 16, and, again, also for a maximum of 500 tests. Again, remember that you need to both be a New Jersey resident and you have to have symptoms of respiratory illness in order to be tested. Recently, and I can’t say this has been true of every day, but I want to say this as long as it is true because we’ve seen the long lines, particularly in Bergen, the PNC Bank Arts Center site has not been hitting its 500 test maximum.
Phil Murphy: (09:58)
So if you need a test we recommend you may want to head to Helmdell first on the days that it is open. Again, we’re not hitting the 500 test maximum consistently in Helmdell as we are in Peramis at the Bergen Community College, which as we’ve seen have ungodly long wines. Consider shifting into the days of Helmdell’s open and again, if that shifts back, we will let you know.
Phil Murphy: (10:24)
Additionally, the New Jersey State Policeman’s Benevolent Association or PBA in partnership with Accurate Diagnostics Labs has opened multiple appointments only drive through testing sites for both career and volunteer first responders and frontline healthcare workers. The newest site is located in American Dream in the Meadowlands and is a partnership between the NJ PBA, Hackensack Meridian Health, Agile Urgent Care and American Dream and we thank them all for their partnership. Other sites are operating in Deptford and in Somerset.
Phil Murphy: (11:05)
First responders and healthcare workers can opt in to start the screening process for any of these sites by visiting NJ PBA dot add labs, coven test.com again, that’s NJ PBA dot add labs coven test.com I want to thank by name in particular new Jersey’s PBA president Pat collagen and executive vice president Mark Covar, two very dear friends, for their work in spearheading this effort. Also a new site for residents of Hunterdon and Somerset counties will be opening Thursday, April 16 on the campus of Raritan Valley community college. Testing will be by appointment only to residents age five and older who are exhibiting symptoms and have a valid doctor’s prescription with them, which is required. To make an appointment, please visit Somerset-Hunterdon. adlabscovidtest.com again, that’s Summerset dot … Dash, rather, Hunterdon.adlabscovidtest.com, and you can see it at the bottom of that slide.
Phil Murphy: (12:17)
We thank the leaders in both Somerset and Hunterdon counties, especially the freeholders in both of those counties. We thank VRCC, VRCC, for their partnership. I also want to thank Congressman Tom Malinowski and Congresswoman Bonnie Watson Coleman for their strong advocacy. As we note every day, there are many more publicly available testing sites across the state and you can find a list of them by visiting COVID19.nj.gov/testing, and there are literally dozens more privately run sites which you can be directed to by your primary care practitioner. Let me say this unequivocally, there is no question that testing anywhere in our country is not nearly where it needs to be and New Jersey is no exception. We’ve made real progress. According to Brady, we now have at least 66 testing sites now in our state, but we need to do more. We need reliable, safe, quick access to testing for everyone and we need it everywhere.
Phil Murphy: (13:26)
Particularly as we begin war gaming and thinking through that process of how and when and what we need in place, particularly from a healthcare infrastructure to begin to responsibly reopen our state. I want to channel a a a sort of general approach that I’ve taken, you’ve heard me say as it relates to NJ transit over the past couple of years. On the one hand, the metrics are clearly getting better as it relates to testing. This is a little bit like online performance for your train. The batting averages are going up. We have run the fourth most tests of any state in America, and the three States ahead of us are California, New York and Florida and they have a lot more people than we have. So we are punching way above our weight. We have the 11th largest population state in America and so we will continue to make progress up against that.
Phil Murphy: (14:26)
On the other hand, no state has the resources they need to test at the scale that they need to test, including those three bigger states, and certainly including New Jersey. So if you’re in one of those long lines and you’re frustrated, I don’t blame you, you should be, and so am I. We need more support for testing. Let me say that unequivocally. I think we’ve played a very tough hand as well as it can be played, but boy I would like that hand to be a lot bigger, a lot more inclusive, a lot more resources for testing and we can’t begin to think about reopening unless the resources that we get in particular, the cooperation and resources we get from the federal government are a lot more robust than they have been. We’ll continue to play our hand to its maximum potential, but boy, we need help and we’re not alone.
Phil Murphy: (15:24)
Every American state needs help on testing, and that includes this one. I have been relentless and advocating for expanding testing with the white house with our federal partners and I won’t stop until our testing regime is where it needs to be. Switching gears, the Department of Labor continues its work to upgrade its capabilities to respond to the record number of residents seeking to file unemployment claims. Specifically, the department has expanded the capacity of its call centers to better handle your incoming calls and has automated more processes to reduce the amount of time it takes for applicants to receive a determination of eligibility. The department also has provided the laptops necessary for an additional 500 departmental employees to assist in helping residents from home. These are just two of the steps. That department is taken to ease the current backlog of claim applications and get benefits flowing to residents more quickly.
Phil Murphy: (16:27)
As we’ve said many times before, no one is going to lose one single penny of benefits they deserve. The staff at the Department of Labor are dealing with literally unprecedented volumes of applications. By the way, you asked me what is unprecedented? How does this sound? 576,904 applications in just the past three weeks. To give you both some sense of the economic devastation that this virus has wrought on the one hand, and on the other hand, the challenge that our colleagues at the Department of Labor have to process. Even with these steps in place, we ask for your continued patience and understanding, and when you do get through to someone on the phone, as I’ve said before, remember they’re also dealing likely with the stresses of keeping their own families safe. Let’s all be kind to one another and let’s support one another.
Phil Murphy: (17:23)
Also, for those eligible for unemployment, the additional $600 per week made available by the federal CARES act is hitting accounts starting today, and we’re one of the first handful of states to get this done. But remember to qualify for unemployment and this expanded benefit, you cannot choose to collect unemployment benefits if employment at your current place of work is available. And a reminder that if you have lost your job due to this emergency, and we know many of you have but you still want to work, there are more than 50,000 jobs from more than 650 essential employers posted online at COVID19.NJ.gov just click on the link for jobs portal on the main page.
Phil Murphy: (18:13)
Also today I will be signing a number of bills that the legislature sent to my desk yesterday, some of which as we discussed yesterday, codify my executive orders and others which make new changes to help us further our fight against COVID-19. One bill sponsored by Senate President Steve Sweeney will allow employees forced to care for family members because of COVID-19 up to 12 weeks of family leave in a 24 month period without losing their jobs. I thank the Senate president. And as I announced yesterday I’ll be signing the bill extending the tax filing deadline for income and corporate taxes and for estimated payments from April 15th to July 15th so that it remains consistent with the deadline for federal tax returns. The bill also extends fiscal year 2020 to September 30th of this year and that will ensure that we are able to take a fuller account of the economic effects our pandemic response has had and to incorporate the revenue data from state income tax returns that we will receive in July.
Phil Murphy: (19:21)
Under the bill, I will present a revised budget message to the legislature by August 25th, 2020. I thank, again, the legislature for their swift action and for their cooperation and good will on both sides of the aisle as we face these challenges together. And I have also signed an executive order postponing deadlines to act on rule proposals and explorations of currently existing rules until 90 days after the current public health emergency has ended. This will ensure that agencies across government can focus their attention on the immediate threat of COVID, which is where it belongs. On the-
Governor Phil Murphy: (20:03)
… which is where it belongs. On the topic of volunteers. Our volunteer intake form at covid19.nj.gov/volunteer has been updated to accept responses for those of you who have prior experience as an emergency medical responder and who wish to pitch in to help our EMS squads. Our Department of Health, led by the woman of my right has issued a waiver allowing for certain individuals with EMT or paramedic experience, but whose certifications have expired within the past five years to return to the job to help our response. We can use all the help we can get. We’ve said that many times and we say it again today. Our current in state crews are doing a tremendous job and they’re now being assisted by 78 out of state crews who have come to help. As we mentioned some from as far away as California.
Governor Phil Murphy: (20:56)
But, we know we can still use more. So please head to covid19.nj.gov/volunteer and sign up. And we are still looking, Judy, unless you can correct me, for individuals of nursing and other medical experience, especially those with management experience to help at our field medical stations. And again for you as well. The place to go is coovid19.nj.gov/volunteer. We cannot thank enough the more than 21,600 volunteers who have already raised their hands to help us. You are a crucial part of our team and we are honored to have you with us in this fight. And because of this, Judy and her team have been able to provide the names of 240 qualified professionals to our longterm care facilities to help alleviate their crushing staffing needs and serve their residents, including 150 certified nursing assistants and 90, pardon me, registered nurses, licensed practical nurses and clinical nurse specialists. The department has availed 25 volunteer nurses to the Veterans Memorial Home in Menlo Park.
Governor Phil Murphy: (22:08)
I also spoke a short while ago with Secretary of the Department of Veteran Affairs, Robert Wilkie, who agreed to my request for an additional federal assistance for our veterans homes and who will send an additional 90 nurses from the Department of the VA to New Jersey. And I know there’s going to be more on both veteran homes and longterm care facilities from Judy in her remarks. I want to thank the VA and Secretary Wilkie for that. Additionally, Attorney General, Gurbir Grewal, bless you, and the Division of Consumer Affairs are announcing today that more than 10,600 out of state health care professionals who have received temporary emergency licenses, including professionals deployed to New Jersey with the National Guard and others who are offering telehealth services to New Jersey’s residents remotely from their home states. They are on top of the more than 400 retired New Jersey healthcare professionals who reactivated their licenses within the past week.
Governor Phil Murphy: (23:10)
I don’t need to say this, but it should be repeated. This is an all hands on deck moment and we thank everyone who is stepping forward. Other conversations that I’ve had this morning. A couple I would highlight. One is the Console General for the People’s Republic of China, based in New York, Ambassador, Huang Ping. He and I had a very good discussion about sort of how to streamline a whole range of requests and initiatives we have in the People’s Republic for things like personal protective equipment and ventilators.
Governor Phil Murphy: (23:44)
It was a very good conversation. I thank the ambassador for that. I had likewise a very good conversation with Vice President, Mike Pence, this morning. A private conversation just to update him on where we are. And as they start to think through in their own deliberations, whenever it is down the road, what sort of healthcare infrastructure we need as a country and what it looks like when we begin to open back up again, that I raised my hand personally on behalf of New Jersey that we would be honored and would very much want to be a part of that discussion and process.
Governor Phil Murphy: (24:20)
Before I close and turn things over to Judy, as we’ve been doing over the past week, I’d like to highlight a few of the good news stories of every day New Jersyans stepping forward and coming together to help us defeat COVID-19. And we’re learning so many of their stories because you are telling them to us by using that hashtag, #NJThanksYou, on social media. First up, comes the County College of Morris. Here’s engineering lab coordinator, Eric Peterson, there he is. Who’s responding to a call from Atlantic Health, Morristown Medical Center for face shields and is now creating them based on specifications provided by the hospital on the colleges 3-D printers. So to you, Eric, and the team at CCM. Thank you. And here is Zellie Thomas. Zellie’s on the right, flying his Yankee colors. He’s a community activist and an educator in the Patterson Public Schools.
Governor Phil Murphy: (25:19)
He has helped organized a small band of volunteers. They’ve named themselves North Jersey Mutual Aid. They’re collecting small dollar donations and turning them into necessities for seniors and other vulnerable residents who are staying in their homes and aren’t able to easily go out. They’re bringing them everything from toilet paper to hot meals, meal sourced, by the way, from local restaurants who are also stepping up. So to Zellie and every member of North Jersey Mutual Aid, we thank you.
Governor Phil Murphy: (25:49)
Again, please keep sharing your stories of New Jersey’s unsung heroes. We know they’re in every community, up and down our state, give them a shout out using # NJThanksYou, so we can all recognize their efforts together. Again, these examples remind us that we are indeed all in this together. It isn’t up just to some of us to fight this war. It’s up to all of us, each and every single one of the nine million of us. And we cannot let up, not one bit, until it is in fact won. Folks, leave the worrying to me and to those of us up here in our teams, we’re working overtime to deliver what our state needs.
Governor Phil Murphy: (26:31)
We’re going to work with our neighboring states, not just to get through this, but to put in place the plan we need to responsibly get us back open and back in business so we don’t see a COVID-19 boomerang. But as we do these things, you keep doing the things you need to do to get us through this war. Keep practicing social distancing. Please keep staying at home, keep being smart and staying in, unless you absolutely have to go out. And let’s keep leaning on each other for support. Whether it’s a simple phone call or a text to someone who may need a little pick me up. This is who we are. Our New Jersey values and a lot of hard work are what we need to get through this. With that, please help me welcome the person who needs no introduction. The commissioner of the Department of Health, Judith Persichilli.
Judith Persichilli: (27:23)
Thank you, governor. Good afternoon. As the COVID-19 outbreak continues, new tools are being developed every day to help aid the response. As the governor has shared, the state has been working hard to expand testing now with 66 testing sites. The testing now is conducted with a nasal swab performed by a healthcare worker. And as we have said in the past, we are testing symptomatic residents. Yesterday, Rutgers University announced a new FDA approved saliva test that could be self administered.
Judith Persichilli: (28:02)
It has the potential for mass testing. An important benefit of this new FDA approved method is that if we greatly increase the number of people tested, that will allow the state to collect the data that we need vital to informing our state strategies going forward. I’ve been in touch with the Chancellor of Rutgers Biomedical and Health Sciences, Dr. Brian Strom, about this exciting development. And we look forward to future discussions with him and how this test can benefit our residents.
Judith Persichilli: (28:42)
As reported previously, the department continues to work with our hospitals. According to the data reported from our hospitals as of 10:30, and as the governor shared, there are 8,185 hospitalizations of individuals that test positive for COVID-19 or are persons under investigation. That was the daily growth rate of 4%. There are 2,051 individuals in critical care and 1,626 of those individuals are on ventilators, or about 80%. You may recall a couple of days ago there was about 97% of individuals on ventilators. Sadly, we report 365 new deaths for a total of 2,805 fatalities in our state. And 27 of these new deaths were residents of longterm care facilities. All of these individuals, their families are in our thoughts and prayers. There are 342 longterm care facilities in the state with COVID- 19 cases, for a total of 5,945 cases being reported. I want to talk a little bit more about longterm care. That continues to be of greatest concern for us.
Judith Persichilli: (30:19)
Since March 6th, we’ve issued 18 orders or guidance’s to longterm care facilities, to include curtailing visitation on March 14th, allowing them to hire out of state CNAs to supplement their staff who were either ill or had walked off the job. We’ve enforced mandatory notification of residents, family and staff of the outbreak in their facilities. And on April 6th, we required universal masking. And this past weekend we sent out an administrative order prohibiting admissions to facilities that can not cohort and maintain the appropriate infection prevention interventions.
Judith Persichilli: (31:11)
We’ve surveyed all of the longterm care facilities about their ability to cohort patients on a separate wing or floor or their ability to place residents in private rooms with private bathrooms and having adequate staffing and PPE. If they cannot cohort, they cannot admit. Presently, 123 facilities are prohibited from admitting patients. We took an inventory of their PPE and over the past week we have distributed 108,000 N95 masks, 692,500 surgical masks, 7,008 face shields, 4,728 surgical gowns, and 727,000 gloves.
Judith Persichilli: (32:06)
We’ve surveyed their employee capacity and reviewed their staffing plans. We’ve identified the employees who are available to work, those home on quarantine, those that are symptomatic and isolated, and those that are positive and hospitalized. We’ve shared a list of over 150 CNAs registered in our volunteer portal with the longterm care facilities to call them up to work. An additional list of 90 RNs and LPNs, who are registered in our portal, were also sent out. We sent a list of 25 nurses to the veterans home in Menlo Park and in Paramus.
Judith Persichilli: (32:48)
On a selected basis, local health officers and or our survey staff have visited facilities that we recognized as significant issues. Specifically, over the weekend at 2:00 AM, a health officer visited a facility up in North Jersey based on information that we were receiving that seemed inappropriate to be occurring. We are working with Avery Eisenreich from the Alaris Group, Robert Hawk from Genesis, and Kevin Slaven from Saint Barnabas, to bring up over 300 beds available for individuals in hospital beds awaiting nursing home placement.
Judith Persichilli: (33:32)
They will be available to admit those patients. They have the ability to cohort, they have the staff in place to take care of the patients, the residents, and they also have the PPE required. Sending survey staff or local health officers to impacted facilities for monitoring residents. We are doing in relation to the statistics that we’re gathering. If there is a facility that’s at risk, they will be visited. We have worked with the Department of Human Services to develop an enhanced reimbursement plan for the facilities that are open and admitting patients and able to maintain infection prevention precautions, so that they have the available financial foundation to purchase PPE and or pay their employees.
Judith Persichilli: (34:38)
According to the data received this morning, and this is switching gears, seven laboratories are sending us their COVID-19 results. It’s over 95% are being reported. 128,604 tests were performed. 57,654 returned as positive, for a positivity rate of 44.83%. Of the deaths that we’re reporting, the Veteran Home in Paramus reported three new deaths over the past 24 hours. The ethnicity is as follows. 51.5% are white. 22.2% are black, non-Hispanic, 15.6% are Hispanic. 5.5% are Asian. And 5.3% are listed as other. That ends my report. As I try to end every day. Stay home, stay safe, stay connected and stay healthy. Thank you.
Governor Phil Murphy: (35:46)
Judy, a couple of things, if I may. Counties, again, positive cases, it’s the same five or six counties that have the most as we’ve been reporting, Bergen, Hudson, Essex, Union, Passaic, and Middlesex are the top six. Secondly, underlying conditions look have been about the same as we’ve been seeing of late?
Judith Persichilli: (36:10)
The diabetes, I’m sorry, cardiovascular disease went up a few points to 61.8%. Diabetes mellitus, 37.4. Other chronic diseases, 30.3. Chronic lung disease, 20.8. Chronic renal, 15.5. Neurological or neurodevelopmental disabilities, 15. Cancer, 11.6. And others, 12.6
Governor Phil Murphy: (36:38)
Thank you also for the many steps you’ve outlined on longterm care. And God bless our vets. And again, I’m gratified, I know you are, that secretary Wilkie is going to send 90 nurses our way, because God knows we need them. The racial data on fatalities. I guess just to repeat something, you and I have said now for over a week, the African American number is … today, over 50% relative, 50% more than the representation of the overall state. And that’s something that we watch and gives us significant concern. The Hispanic number is a little bit lower today and is a little bit under the representation in the state, which is a different reality if you look at the New York City numbers in particular, that’s one that I know you and I are going to try to get more of a sense of in the coming days. So, Pat Callahan. So thank you, Judy, for everything. Pat Callahan. Good afternoon. Anything you’ve got on compliance, or PPE, or other matters of note?
Pat Callahan: (37:51)
I’ll be brief. Thank you, Governor. A subject who had sighted on Saturday and Sunday for failing to wear a mask in an establishment allegedly did that again yesterday, except this time because his willful defiance of these executive orders, his charges were placed on a warrant. In Newark, that police department issued 24 executive order violations as well as closed a business. In Atlantic City, in addition to being cited for an EO violation, a subject was charged with the crime of robbery and possession of a controlled deadly weapon, namely a handgun. In Mendham, a club and the attendees there were cited for being open and for gathering. It was a tennis facility in the borough if Mendham. In Harrison, a subject was charged with burglary, theft and an EEO violation. In Stockholm, a subject was arrested and coughed in the direction of the officers.
Pat Callahan: (38:51)
In Point Pleasant, a subject were cited for shutting off the power to various tenants at a motel, which was in violation of the executive order. In Lakewood, a subject was citing for operating a business, namely 20 or more people were gathered at that establishment. And in Camden, a subject arrested for a domestic violence spat on the police officers, as well as at an additional officer while being tested at Cooper Hospital.
Pat Callahan: (39:22)
And just real briefly on PPE, if I’m not mistaken, I think New Jersey’s one of the, if not the first state, to be receiving the decontamination equipment. Which will allow us to do upwards of 80,000 N95 masks a day. It’s our hope, we think at first to have that in place for University Hospital. What we think we can work beyond that. I know I was in touch with Commissioner Johnson from Human Services last night and we’re really going to try and assist her department as well, because her burn rate for all of her workers is … she’s going through a lot of PPE. So that is a win for us and we hope to have that up and running as soon as possible. That’s it, Gov-
-and we hope to have that up and running as soon as possible. That’s it, Gov.
Governor Phil Murphy: (40:04)
Thank you Pat. One comment on compliance that has to be said, not withstanding the, in some cases ongoing knucklehead behavior and some folks just letting their guard down, I have to say this to everybody who’s watching. There’s an overwhelming, even grudging, I have to say, compliance by millions of you. And that is the singular, again, we’ve said this many times, but if we keep this curve as low as possible, that leads to lower hospitalizations, lower infections, lower hospitalizations, lower intensive care beds, lower ventilators needed and please God lower fatalities. And while we’re doing that, our health care professionals, state police and others are building that capacity out so that those lines cross at a reasonable level. And there’s an overwhelming compliance folks, and we can’t thank you enough for that. But you have to keep it up and we’re not overstating this. I promise you we have got to keep this up in particularly when the weather gets as nice as it’s been this morning and last night. We know it’s frustrating. We know sometimes it’s not fun and you have a temptation to sort of let your guard down and I would just beg you don’t do that. The faster we can get through this, the better off we will ultimately all be in the long run. And we’ll have many more Springs and summers, decades, centuries more ahead of us, but this is one, at least for the time being, we’ve got to stay on this and crack the back of this.
Governor Phil Murphy: (41:42)
We owe you an answer this week and it’s not going to be today so I can save the questions on school and I think I may have misstated this yesterday and I did not intend to, and some of you interpreted I think in my saying we’ll make a binary yes/no decision on whether or not we’re going to close or stay remote for the rest of the year. That’s actually not the case. We’re looking at a number of different alternatives, and we’ll, as promised, we’ll let you know by this Friday.
Governor Phil Murphy: (42:12)
Secondly, Dan, Brian, we’re here again tomorrow at 1:00 PM unless folks hear otherwise from us in terms of planning for tomorrow. With that, Brent, we’ll start with you over here.
Did you give a full percentage of how many of the deaths are have underlying conditions? I know you broke down the conditions, but how many did and how many didn’t have. Two, when do you now anticipate the peak demand for hospital beds? What are your estimates? What models are you’re using and why do you think New Jersey has not hit the peak yet? Does the state plan to actually move residents in struggling nursing homes? Governor, I don’t know if you saw Trump’s tweet about Mutiny on the Bounty. Do you take that as a threat that he’s going to withhold life saving equipment from the stockpile if you disagree with his reopening plan? And last, is the state human services department going to submit a plan for pandemic EBT, the supplemental benefit for kids who are missing out on school meals? What is the timeline and if not, why?
Governor Phil Murphy: (43:16)
I think you have about the normal list of questions, but I think you sped through them a lot more quickly today.
Every time I’m here my colleagues give me more to ask and it’s just because I’m so charming.
Governor Phil Murphy: (43:26)
It feels like fewer questions just because you’re in such sharp speed. I’ll turn to Judy for most of this, but I’ll give two and then maybe Parimal may need to come in on the human services question. But I would just say just again to repeat something you and I have been saying, there’s a whole range of models that we’re looking at and for those of you watching at home, this is probably the better way to put it. There’s a worst case assumption and there’s a best case assumption. And so we’re looking at not just one model, but a handful of models, Judy and Eddie and Christina know that. And we’re trying as best we can to sort of figure out exactly where this is headed. And we continue to be planned for the worst and hope for the best. But the last thing we’re going to do is plan for the best and get the worst. We just can’t do that. That would be abrogating our responsibility. But more on that from Judy.
Governor Phil Murphy: (44:22)
I was wondering, was it the Charles Laughton Mutiny on the Bounty or the Marlon Brando Mutiny in the Bounty?
Marlon Brando, he seems like he’d be more of a Brando fan.
Governor Phil Murphy: (44:32)
That’s a question I was tempting to send back just for clarification. Listen, this is and/both, and I think I said this yesterday and I mean this sincerely. I said this to the vice president today. We need to both plan responsibly with our neighbors on… We’re the densest state in the nation. We sit in the densest area of the nation, the densest region in the nation. We would be abrogating our responsibilities if we first and foremost didn’t do we need to do within the four walls in New Jersey. But we got to make sure we’re at least harmonized, if not more so with our neighbors. That’s an absolute necessity.
Governor Phil Murphy: (45:11)
And we saw that as we all sort of closed down our economies and closed down our states. I’ve said this many times, you couldn’t have the unintended consequence of a restaurant having one set of rules on one side of the Hudson or the Delaware and a restaurant on the other side having a different set. And just likewise, we have to have that sort of same level of coordination as we begin to think through what we’re going to need to reopen. We’ve just put more of a specific ring around this, calling it a council, saying we’re each going to put forward three persons to represent our state.
Governor Phil Murphy: (45:49)
That is not in lieu of, that is not instead of, it never will be instead of a deep corporate cooperation we need with the federal government. I said this to the vice president today and I don’t want to speak for him, but I think we were in violent agreement that you need both. There’s no substituting the federal government of the United States of America in any challenging period, let alone a once a century if longer, healthcare crisis. There’s just no substituting for that big gorilla in the room, the federal government of the United States of America.
Governor Phil Murphy: (46:25)
And so I can say with great confidence, we need the administration, we need the federal government and the full force of it financially, healthcare infrastructure, the plan. And I could say with the same passion, we need a similar reality with our regional partners. And both of those statements can stand. They’re not at odds with each other, nor are the actions which underpin them. So with that, I don’t want to be pounding my shoe on the table with… We’ve got underlying conditions, peak and moving residents. I heard Judy with [crosstalk 00:47:01].
Judith Persichilli: (47:02)
I’ll start with the last one. At this point because we have so many organizations that have COVID positive patients, the only residents we’re going to move are those that cannot be readmitted back into their original facility or the new admissions, which will go to the 300 beds that we’re identifying. The peak, yesterday. This changes every day. As you know, we look at three models, and yesterday at the peak we identified the possibility of 37,000 hospitalizations and over 7,000 intensive care. With all of the inputs from yesterday, the date of the peak has been stretched out to the 25th and today it looks like 15,922 hospitalizations, 3,821 ICU admissions and 3,503 ventilator requirements.
Judith Persichilli: (48:15)
So the model today looks better than yesterday. Even though our admissions to the hospital increased by 4%. They look at the doubling time and the trend over time. And if this is the worst case, I think our hospitals are very prepared to take care of the individuals and our alternative care sites will be busy and they will be appropriately staffed and adequate. And this will change tomorrow.
Governor Phil Murphy: (48:54)
How about underlying conditions?
Judith Persichilli: (49:04)
The underlying conditions. Cardiovascular disease is still the leading cause at 61.8%.
Meaning how many of the people have died had an underlying condition and how many did not percentage-wise?
Judith Persichilli: (49:20)
You want the actual numbers. Cardiovascular disease, 797; diabetes mellitus 37.4% or 482 individuals; other chronic diseases, 30.3% or 390; chronic lung, 20.8 or 268 individuals; chronic renal disease, 15.5 or 200; neurologic disability, 15% or 193; and cancer 11.6 or 149.
Governor Phil Murphy: (50:03)
Brent, your question on human services, I apologize.
It was, hold on, I’m getting… Is the state human services department going to submit a plan for pandemic EBT, the supplemental benefit for kids who are missing out on school meals? What is the timeline for that and if you’re not doing that, why?
Governor Phil Murphy: (50:21)
Parimal, do you have any insight of that?
I’m not sure about that, but we can get back to you.
Governor Phil Murphy: (50:25)
We’re going to get back to that, is that okay? May I just say one thing. Again, you’ve got best case, worst case scenarios. I want to remind everybody out there. The better news in terms of modeling goes right out the window if we let our guard down. Right out the window. And by the way, we’d know that as early as tomorrow. If everybody right now please God don’t do this, if everybody just started going out and going about their regular business, we would know within 24 hours and the models would blow up.
Governor Phil Murphy: (50:50)
Remember, we haven’t shown the charts in a couple of weeks, so forgive me for my ham handedness here. Remember what this looked like, and I say this on the back of, you said your current is April 25th?
Judith Persichilli: (51:02)
Governor Phil Murphy: (51:03)
So the runaway freight train was this first hump, but that that shark that we used to show you in every case showed a peak that was lower, but later. Lower but later. And that’s a little bit what you’re hearing from Judy right now. If that best case scenario comes to pass the amount of beds, both generally ICU beds, ventilators, please God fatalities will be lower, but the peak will come later. That’s not a shock to us. That’s the chart that we were showing from day one.
Governor Phil Murphy: (51:36)
So this is the runaway freight train. Had we done nothing that comes out as fast and hard and is really high and we can’t handle it. The area, I’m not sure it’s exactly right, the area under each of these curves by the way, are the same in the sort of theoretical average performance. We’re better than average as we’ve reminded ourselves, but the peak interestingly enough is a lot lower, but it’s a lot more smooth and farther into the future. So I think that’s sort of a different way of saying that’s what we’re hoping for. Thank you Brent. Dave, good afternoon.
Hi governor, couple of questions for you and I have to now say the commissioner who needs no introduction because there are two women who need no introduction.
Governor Phil Murphy: (52:17)
First of all with regard to ventilators… Although Dr Tan, you’ve always never needed an introduction so I don’t even need to say it. On the subject of ventilators, could you remind us where we stand? I believe we started with needing, we had 2,000 ICU beds. Then the projection was we need to double that. Yesterday we needed 6,000 ventilators. Today it’s 3,800. this is probably confusing for the average person, much less a reporter. I understand there are different models and different things going on, but maybe if we can just flush out exactly how many ventilators we’ve gotten from who remind us, and I know California gave us some, and you had mentioned governor that we’re waiting for more ventilators from another state.
So if we could just get a reminder on that. With regard to the unemployment situation and people applying for benefits, you had made a plug in the beginning of today’s discussions, governor, about the fact that they’re trying to increase service and add more people and so forth. You’re probably aware that in New York State they’ve launched a new app to handle unemployment because it’s been so horrible. We have gotten continual calls, people crying, calling our news department complaining about not being able to get through. They get through, they’re an hour on the call and then they get disconnected. It just sounds nightmarish. Has there been any discussion that you’re aware of to try to not necessarily fix this antiquated system but maybe go to something else like what they’re doing in New York?
And last one, Colonel, you had mentioned the cleaning of the N95 masks. Is this the hydrogen peroxide vapor cleaning system that I was reading about last week? If not, is there something else going on and how might this be expanded for the whole state? Because obviously this is a very big issue and you’ve got everybody wearing scarfs and homemade masks because there’s not enough N95s.
Governor Phil Murphy: (54:32)
Governor Phil Murphy: (54:34)
Real quick. On ventilators we have, if you add up our asks of the federal stockpile from day one and you add all the asks together, it was 2,500 ventilators, of which we have received 1,550 and the outstanding balance of our original ask is 950. And that 1,550 includes the California number because theoretically any one state that raises their hand and even says, “I’d like to tag New Jersey,” it has to come through the federal stockpile first. That’s the way it should be. I mentioned yesterday another state had raised their hand for us, but in fairness, that process holds for them as well, so there’s nothing new on that as we sit here today.
Governor Phil Murphy: (55:19)
I know that we have at least another requisition out as of today, away from the federal stockpile for another 500. So 950 is the balance of our ask from the strategic stockpile. 500 is a new requisition which will be a purchase. And again, our state was not in the PPE or ventilator acquisition business six or seven weeks ago, and this has become one of our most significant lines of business over those past six or seven weeks.
Governor Phil Murphy: (55:49)
I don’t want to speak for Judy, but I would just say the amount of ventilators, and she’ll say this better than I can, that moves around has to do with not only one day to the next, what do the models look like, but also between one model versus another and between best case and worst case. And so our job again is to hope for the best but to plan for the worst, which is part of the reason why we put a requisition out today for another 500 to purchase.
Governor Phil Murphy: (56:17)
I believe, and I don’t want to overstate this, this is a little bit like my testing a comment earlier, which is a little bit like my NJ Transit. The numbers look better in the aggregate. Our batting average is improved. That’s a fact. But at the same token, if it’s you on the phone waiting the two hours, if it’s you trying to log on, you can’t get on, if it’s you in that car in line at Bergen Community College and you’re frustrated, I don’t blame you. You should be. We accept that.
Governor Phil Murphy: (56:47)
Having said that, I believe I was on with Rob Angelo last night back and forth. I believe literally over the past 24 hours. This has gotten to a meaningfully better place, but I will do this. I don’t know that I am aware of any app other than you could link into it through the COVID19.nj.gov website, which has been the case for several weeks. I will ask, I’ll make sure… Dan remind me to make sure we go to Rob to see if there’s any other app or other mouse trap that he’s got in place. But God willing, we are finally beginning to get through. Again, we’re not alone. The boat is swamped to say the very least and I have nothing but sympathy for the folks who are on the phone who can’t get through, who are trying to log on, can’t log on. I would repeat the minor piece of advice. Early in the morning, late at night has tended to be a better time to get on the system to at least log on.
Governor Phil Murphy: (57:44)
Judy, anything on vents you want to add and then Pat on the recommissioning of the N95s.
Judith Persichilli: (57:51)
As we spoke many, many weeks ago, I had encouraged all of the hospitals to increase their ICU capacity by 100%. 2,000 to 4, 000. Interestingly, today we’re identifying at worst case that we need 3,821 ICU beds. I can assure you that all of the hospitals have increased their critical care capacity. And then we looked at the ratio of ventilators to patients and we’re running between 85% and 97%. I have said repeatedly one-to-one. So for every critical care bed, whether it’s a licensed bed or the expanded bed, we would need a ventilator. So I still feel strongly about that. We need 4,000 and then some in reserve. That’s why we requested that 2,500 originally. And at the present time we’re still about 950 short of the traditional ventilators.
Have we done any of the anesthesia machines where they’ve been converted?
Judith Persichilli: (59:06)
Yeah, there’s a number of hospitals that are converting and have converted anesthesia machines, particularly in emergency situations where they’ve run low on ventilators and they’ve had to support the patient quickly. But I know a number of them have used anesthesia machines quite effectively.
Any idea how many?
Judith Persichilli: (59:31)
I don’t have, no, these are anecdotal. I speak with, I’m on the calls with CEOs every week. That’s arranged by the New Jersey Hospital Association. There was one yesterday evening. So a lot of it is anecdotal, but many of them have used anesthesia machines.
Governor Phil Murphy: (59:50)
May I just repeat, Pat before you hit the rehabilitation of the N95s, I’ve not lived through something like this before. None of us have.
Governor Phil Murphy: (01:00:03)
I have not lived through something like this before. None of us have, right? I want to say this differently. I’ve said this a thousand ways. Judy said it probably 900 or 1100 ways. Pat has said it, Dr. Tana said it, the impact of human behavior on what we need cannot be ignored for one second. And the correlation between what the 9,000,000 of us do and choose to do and, therefore, the derived number of infections, hospitalizations, ICUs, ventilators and sadly, the healthcare workers needed, sadly fatalities, the correlation is 100%. None of us can forget that it. Is our behavior, which is the most important factor in a lot of the capacity questions that you all have been asking, rightfully by the way, it is up to us and any deviation in that behavior, good or bad, and for the most part of late it’s been really good, has a huge impact on the answers that we give you. Again, within ranges, right? Best and worst, as well as a number of different models, but human behavior is the single most important ingredient in this formula. Pat.
If you read about that, it’s called the Patel CCDs Dave, that is that vaporized hydrogen peroxide where the mass get collected. They get put into a chamber and run through that decontamination cycle and then get repackaged. And it’s our hope again, the logistics of how we get these masks to and from places where they’re being utilized and then back out to the end user. We’re still working through that, but that is the process that will be in place.
Speaker 1: (01:01:48)
[inaudible 01:01:48] you good?
Governor Phil Murphy: (01:01:50)
I got to remember this moment. Sir in the back. You got any? No? Behind the camera. Elise, please. Paul, we’ll get to you, I promise.
Are the field hospitals operating as planned? A few weeks ago you said the Meadowlands was opening not a moment too soon, and yet it and the Edison site seem to have very few patients. Is the plan still to open Atlantic City today with 200 beds or are you re-examining whether it and the others are needed? And regarding the ventilators, if health workers can convert an anesthesia machine so easily, why not just go with that as opposed to ordering more ventilators? Is it a situation where an anesthesia machine can work adequately but it’s just not ideal? And that’s it.
Governor Phil Murphy: (01:02:54)
Judy, you could talk about capacity. We were actually at one point going to go down to Atlantic City, I think this morning. Am I right? Have I got the days right.
We were, but-
Governor Phil Murphy: (01:03:02)
And there was a reshuffle of the-
Governor Phil Murphy: (01:03:05)
Of the staffing piece. So, I still expect that we’re going to go down there. Do you have an update in terms of when?
I do. We anticipate that staffing… Basically just so you know, the federal government shifted the Atlantic City medical core staffing up to New York between the Javits center and hospitals within New York. So, we’re anticipating another crew to come in, if I’m not mistaken from California to do the staffing in Atlantic City, but I would call it a soft opening probably Tuesday or Wednesday of next week if that’s right. Commish.
Governor Phil Murphy: (01:03:34)
Yeah, it’s a fair point. We meant to say this, actually. I don’t know if we ever advised this, but we were actually talking about going down there today or tomorrow. Judy, in a second, if you could come back to just the field hospitals as a general matter and what they’re… But I would just say one thing on ventilators before I turn it to you. I assume, as the nonmedical guy here, I assume that these anesthesia machines, we need them as well and that we don’t want to run that supply chain dry as well. And so, if we go out… What we get from the stockpile is a federal donation as it were. So that that comes and goes as God willing, this passes. Things that we acquire are ours and that’s important to note. And we’re not borrowing from Peter to pay Paul in that respect. In other words, taking out a one category equipment that we’ll need for another. Again, that’s the nonmedical answer. Is that in the ballpark?
It’s in the ballpark for sure. You’re making a good comment though. If the anesthesia machines are affected, do we need actually more traditional ventilation? Hospitals are used to the traditional ventilators, and the amount of oversight to the traditional ventilator by the respiratory therapist and intensivists is far less than an anesthesia machine. We need anesthesiologists and CRNAs who are used to the anesthesia machines then to join the critical care team here to [inaudible 01:05:14]. Usually they’re in the OR, and now they’re in intensive care units to help monitor the equipment. So, a lot of it has to do with the type of equipment the intensivists and critical care nurses and respiratory therapists are used to. On the other hand, in emergency situations, the resiliency and the extraordinary response of the medical teams, they will save lives by using what they have on hand.
Governor Phil Murphy: (01:05:47)
How about any comment on the field hospital [crosstalk 01:05:49]
The field hospitals are interesting. The individuals that go to the field hospitals and I think are… I didn’t get the stats this morning, but as of we had 50. In the Meadowlands, they do fine. Patients coming from the hospitals that maybe have two or three more days stay, they’re apprehensive about going to the field hospitals, they don’t know… It’s a new thing. They can’t imagine being in a field hospital. And some of them have said, “Why don’t I just go home on home care?” Which is a really good alternative as well, as long as they can be safely taken care of. So, I think some of it has to do with making sure that individuals know they’ll be cared for well in the field hospitals, but also if they can go home, that’s even a better alternative. So, it’s a learning.
Governor Phil Murphy: (01:06:41)
Thank you for that. Paul, good afternoon.
How you doing? I had several of my readers complain about that the golf courses are shut even though they had implemented social distancing guidelines, but you can still buy lottery tickets in a crowded convenience store. In other words, they were complaining that they can’t play golf in the fresh air, but you can crowd it in there and mangle that machine and so forth. And they said it looks like the state is protecting its own revenue stream while closing down other businesses. And then the other question I had was you mentioned Sunday and Monday the state won’t have an economic recovery until we have a complete health recovery. I think experts say that a complete health recovery could take a year or so. What is your criteria for a health recovery that is complete?
Governor Phil Murphy: (01:07:31)
Yeah, so on your first question, Paul, the golf courses were part of entertainment, I guess is the category that we put that under. I’ve taken a fair amount of incomings on it. I continue to take a fair amount of incomings on parks. I just got another note from the parent of a high school senior who wants to make sure we have graduations. Sign me up for everything, assuming we can safely do any of the above. And I promise we’re not holding back, artificially, any of that. We just got to make sure we’re out of the woods. As it relates to the convenience store. [inaudible 01:08:06] sorry?
Did you mean in the woods?
Governor Phil Murphy: (01:08:09)
Exactly. As it relates to the convenience store, all kidding aside, we haven’t thought about it in terms of protecting our revenues. Our revenues have blown up. They’ve fallen off a cliff. But on a serious note, and I know your question is serious, if you’re in a store that’s deemed essential, you’ve got to keep distance from each other, and that’s the one thing I’d say. And I know that may seem a little paradoxical and I feel badly about that, but the fact of the matter is if you’re inside an essential retail operation, you’ve got to keep your distance six feet, you got to have a face covering and you got to play ball. As it relates to complete, I guess Paul, I accept that by the way. Part of the reason why we’ve begun to think about this now as a state, I know the federal government is thinking about what does reopening look like? The regional group of states actually one more than when we were here yesterday. Massachusetts is joined, which I think is a very good ad.
Governor Phil Murphy: (01:09:14)
So seven of us trying to think this through. It includes a heavy dose, and Judy, you correct me if I’m wrong, of healthcare infrastructure questions. So, it’s not just what’s the restaurant look like? But it is, what does the testing regime look like? I’m happy we’ve made a lot of progress, to repeat what I said earlier, on testing, but we don’t have remotely the assets that we need or the technology. And Judy referenced Rutgers, that’s something we’re going to come back to you on, if we think that’s got the legs that it looks like it’s got right now. But that’s a good example. So, if you had robust testing that was mass scalable, you could hear back very quickly, when I say complete, that masks challenges that you otherwise would have if you literally had to drive this to zero and keep it at zero.
Governor Phil Murphy: (01:10:07)
And so there’s a big healthcare infrastructure element to that. And if you have the confidence that that infrastructure, particularly testing, contact tracing, what do you do when you find somebody, how do you quarantine quickly? If we have confidence in that, that allows us a lot faster to get back in the game. Thank you. John. Would you be okay with that? Okay, Christina? Okay. The two who need no introduction agree with me, okay. John.
Can we get specifics on this 2 a.m. visit to the longterm healthcare facility? Where was it? What prompted it? What are those kinds of things you’re finding? Families of people in these places are clamoring for information about them. Can we get names of places to see just any kind of information about what’s going on there with these types of inspections, where you’re going, what you’re doing?
And the surge, what are the things that you’re looking at in terms of, is it numbers of admissions, beds, intensive care beds to let you know that you’re out of the surge? And then, can you detail for us the picture of how you’re moving supplies like ventilators and staff around the state as from hospital to hospital and longterm care? What you’re doing in [inaudible 01:11:31] the director from yesterday about people have 90 minutes to make a decision about putting somebody on a ventilator, how that ventilator is readily available as well as staff. How are you keeping track of staff in different places, especially as the surge is in North Jersey and is expected to hit the shore and South later?
Governor Phil Murphy: (01:11:52)
Is that it?
Governor Phil Murphy: (01:11:52)
Okay. Judy, I think you want to dive in?
Sure. Let’s talk about the surge. The three models that we have, and we’ve described this before, is the chai model, the IHME model and what we’re calling the Laxmi model, which is a mathematician from New York who’s been working with our innovation center. They all use somewhat different inputs, but it has to relate to the rate of infection, the doubling time of infection, the doubling time of hospitalizations, a number of patients in ICU, all of those inputs, and I’m missing some, the algorithms are different for each one. All of the algorithm then predicts the rate of infection, how many total infections you expect, and then from that it extrapolates into how many hospitalizations. And we’re pretty much following what the rest of the nation is saying, and 80 to 85% of people that are positive end up in the hospital.
Or home, mild to moderate, 15% in the hospital and 5% in intensive care. And a percentage of that you hope 1% or less, but it’s running a little bit more than that, unfortunately, would become a fatality. So the algorithms are a little bit different. We look at all of them, and as I’ve described, they change every single day. In terms of the movement of supplies, we have set up for this a central procurement center. The state police are vigilant, and it’s at the rock. And requests come in and we look at inventories. We know pretty much what every requester has in terms of their inventory of all of their supplies and equipment. We have made it pretty clear that we’ve regionalized the state to try to keep the movement, particularly of supplies and equipment, within a region, and if we have to move patients, that they’re moved first within the region.
We know that there are some very effective systems within the state that already have transport capacity within their own system, and if they can do that quickly with their patients, obviously we would never say not to do that. It’s whatever serves the patient the most and best at a certain point in time. It’s happening every day. Every day there are patients being moved. Every day there is equipment and supplies that are being moved. And we know exactly how many ventilators have gone from central procurement to exactly the site where they’ve been used. We know how many have gone to Hackensack Meridian. We know how many have gone to Newark Beth Israel, how many have gone to University. We track all of it and it took us a while to get it up, but it’s very… A while? We had our first case March 4. It took us a short period of time, I guess I should say, but I think it’s working very well.
Governor Phil Murphy: (01:15:13)
Judy. I assume the 2 a.m. visit is of privacy matter that you’re not going to want to get into [crosstalk 01:15:17]
Yeah, I’m not going to talk about the particulars, but I can tell you that I get a lot of incoming. I read them all, I respond to all of them, and if I get a complaint or a concern that really sounds something like this couldn’t possibly be happening, somebody goes out. And we rely so much on the health officers, they’re the unsung heroes here as well. They are taking care of their municipalities, their towns, their regions very well.
Governor Phil Murphy: (01:15:47)
We hear on the long-term care, Judy hears it, I hear it, we all hear it. And folks are rightfully looking for more communication and more answers than they’re getting. And we’ve been pounding away on the operators to provide that. It’s their responsibility. It’s not a New Jersey specific item. That should give no solace to anybody. But this is a huge issue across the country comparing notes with other states, and I will just say Judy and her team are literally morning, noon and night pounding away, not just with the health officer’s, going out and seeing it with their own eyes, but just to make sure these operators are communicating what the facts are in each of their organizations. So with that, we’re going to fold, if that’s okay. Thank you Judy and Dr. Tan. Eddie, it’s great to have you with us. I appreciate that. Colonel as always, director Maples. We will be together again at 1 tomorrow, and I think on Thursday will depend a little bit on the White House schedule, but assume that we’ll be here each day for the next several at 1 p.m. And we will continue to get as much information to you as humanly possible. We want to make sure it’s the right information, and I would just ask folks in the meantime, keep doing what you’re doing. Keep wearing these masks or covering your face, as we all do. Keep staying home. I know that’s not fun. It’s not easy, but it’s working. It is absolutely working.
Governor Phil Murphy: (01:17:27)
We’ll have news to report on school year in the next couple of days. That’s something we’re taking, as you could imagine, very seriously. We’re looking to… As we said all along, we make these calls based on the facts, and we will continue to do that. And again, everybody in the meantime, just keep doing what you’re doing. And if you do, and I know will do, we’re going to get through this as one family in New Jersey, stronger than ever before. Thank you all.
Governor Phil Murphy: (01:17:55)
[no audio 01:17:57]