Pennsylvania Officials Hold Daily Coronavirus Briefing On Wednesday, June 3

Dr. Levine: GOOD AFTERNOON HERE IS OUR LATEST UPDATE ON COVID-19 IN PENNSYLVANIA AS OF 12:00 A.M. THIS MORNING, WE HAVE 5-1-1 NEW CASES OF COVID-19 THIS BRINGS OUR STATEWIDE TOTAL TO 73,405 PENNSYLVANIANS WHO HAVE TESTED POSITIVE FOR COVID-19 IN ALL 67 COUNTIES TRAGICALLY, 5742 DEATHS ARE NOW ATTRIBUTED TO COVID-19 STATEWIDE, WE ARE NOW ESTIMATING 68 PERCENT OF PEOPLE WITH COVID-19 HAVE RECOVERED TODAY I AM PLEASED TO ANNOUNCE A PARTNERSHIP WITH THE JEWISH HEALTHCARE FOUNDATION TO ESTABLISH THE SOUTHWEST CONTACT TRACING CONSORTIUM THIS CONSORTIUM BRINGS TOGETHER COMMUNITY BUSINESS ORGANIZATIONS AND EMPLOYERS, FEDERALLY QUALIFIED HEALTH CENTERS, AND COUNTY HUMAN SERVICE ORGANIZATIONS, FOUNDATIONS AND HEALTH SYSTEMS, AND COLLEGES AND UNIVERSITIES WITH PUBLIC HEALTH OFFICIALS TOWARD TO INCREASE CONTACT TRACING AND SOUTHWEST PENNSYLVANIA THIS CONSORTIUM IS THE FIRST OF MANY REGIONAL GROUPS ACROSS THE STATE THAT WILL HELP ASSESS THE NUMBER OF CONTACT TRACERS NEEDED IN EACH AREA HELP RECRUIT AND TRAIN THEM, AND COORDINATE INFORMATION DATA TO ENSURE CONSISTENCY TO INCREASE OUR CONTACT TRACING, WE ARE WORKING WITH TEMPLE UNIVERSITY SCHOOL OF PUBLIC HEALTH DURING THE MONTH OF JUNE, WE WILL BE TRAINING 200 STUDENTS FROM TEMPLE TO HELP WITH CONTACT TRACING WE HAVE BEEN WORKING WITH PENN STATE COLLEGE OF MEDICINE TO RECRUIT MEDICAL STUDENTS TO DO CONTACT TRACING SO FAR THERE ARE 46 MEDICAL STUDENTS HELPING WITH THIS EFFORT IN ADDITIO TO CONTACT TRACING, OUR TEAMS ARE WORKING ON INCREASING TESTING CAPACITY THROUGHOUT THE STATE WE ARE VERY EXCITED TODAY TO ANNOUNCE A NEW PARTNERSHIP WITH WALMART AND QUEST DIAGNOSTICS TO INCREASE TESTING FOR RESIDENTS LIVING IN AREAS WHERE THERE ARE FEWER TESTING SITES OVER THE NEXT FEW WEEKS, 19 FREE TESTING SITES WILL OPEN AT WALMART LOCATIONS ACROSS NORTH CENTRAL AND NORTHWEST PENNSYLVANIA WE WILL BE TESTING RESIDENTS ON MONDAY, WEDNESDAY AND FRIDAY MORNINGS FROM 7:00 A.M. UNTIL 9:00 A.M. ANYONE WHO NEEDS A TEST CAN GET A TEST ANYONE DEPARTMENT OF HEALTH AND THE WOLF ADMINISTRATION ARE DEDICATED TO HEALTH EQUITY AND NONDISCRIMINATION WE ARE REMOVING BARRIERS TO TESTING INCLUDING COST TO ENSURE THE ACCESSIBILITY AND AVAILABILITY OF TESTING FOR ALL PENNSYLVANIANS RESIDENTS MUST REGISTER ONE DAY IN ADVANCE THROUGH QUEST UP TO 50 PATIENTS CAN BE TESTED PER DAY THE FIRST FIVE DRIVE-THROUGH TESTING SITES WILL BEGIN FRIDAY ON JUNE 5. THESE SITE LOCATIONS WILL OCCUR IN CLARION COUNTY, ERIE COUNTY, MONTOURSVILLE, CLEARFIELD AND HERMITAGE ADDITIONAL SITES WILL BE ANNOUNCED PRIOR TO THE OPENING IN THE NEXT FEW WEEKS RESIDENTS CAN FIND A MAP OF THESE LOCATIONS AND THEIR ADDRESSES AS WELL AS THE LINK TO QUESTS PORTAL TO REGISTER ON OUR WEBSITE, HEALTH.PA.gov AGAIN, RESIDENTS MUST REGISTER THROUGH QUEST DIAGNOSTICS TO CONFIRM THEIR APPOINTMENT WE ARE TAKING EVERY PRECAUTION TO MAKE SURE RESIDENTS WHO ARE BEING TESTED DON’T EXPOSE HEALTHCARE WORKERS OR THE COMMUNITY TO COVID-19 PEOPLE ARE REQUIRED TO STATE IN THEIR CARS TO GET TESTED AND THEN DRIVE DIRECTLY HOME TO SELF ISOLATE IF THEY’RE HAVING SYMPTOMS OF COVID-19 CERTAINLY IF SYMPTOMS WORSEN WHILE THEY’RE WAITING FOR TEST RESULTS THEY SHOULD SPEAK WITH THEIR HEALTHCARE PROVIDER OF COURSE, ALWAYS IF THERE’S A MEDICAL EMERGENCY, PLEASE SEEK IMMEDIATE CARE PATIENTS WILL RECEIVE AN E-MAIL WITH HER TEST RESULTS FROM QUEST WITHIN 24-48 HOURS, AND ACTUALLY PHYSICIANS WILL CALL ANY PATIENT WHO HAS A POSITIVE TEST RESULT RESIDENTS WILL BE ABLE TO VIEW THEIR TEST RESULTS ON QUEST

PATIENT PORTAL ADDITIONAL QUESTIONS ABOUT THE TESTING PROCESS WE HAVE MORE INFORMATION ON THE COVID-19 PAGE ON OUR WEBSITE AT HEALTH.PA.gov HERE ARE MY DAILY REMINDERS PLEASE WASH YOUR HANDS WITH SOAP AND WATER FOR AT LEAST 20 SECONDS OR THE TIME IT TAKES TO SING HAPPY BIRTHDAY TWICE PLEASE USE HAND SANITIZER IF SOAP AND WATER ARE NOT AVAILABLE COVER ANY COUGHS OR SNEEZES WITH YOUR ELBOW, NOT WITH YOUR HANDS, AND PLEASE DON’T TOUCH YOUR FACE, ESPECIALLY AFTER TOUCHING SURFACES CLEAN SURFACES FREQUENTLY WHEN YOU HAVE TO GO OUT, PLEASE WEAR A MASK IF YOU’RE GOING TO HAVE TO COME IN CONTACT WITH OTHERS IF YOU HAVE QUESTIONS ABOUT YOUR HEALTH, PLEASE CONTACT YOUR HEALTHCARE PROVIDER IF YOU NEED MENTAL HEALTH RESOURCES BECAUSE YOU OR SOMEONE YOU KNOW IS EXPERIENCING A MENTAL HEALTH CRISIS, PLEASE CONTACT THE CRISIS TEXT LINE BY TEXTING PA TO 741741, OR CALL THE STATEWIDE SUPPORT AND REFERRAL HELPLINE AT 1-855-284-2494 AGAIN, 1-855-284-2494 IF YOU OR SOMEONE YOU CARE ABOUT NEED HELP WITH A SUBSTANCE ABUSE DISORDER, PLEASE CALL THE DEPARTMENT OF DRUG AND ALCOHOL PROGRAMS GET HELP NOW HOTLINE AT 1-800 662-HELP AGAIN, 1-800 662-HELP FOR THE MOST RELIABLE INFORMATION ABOUT PENNSYLVANIA’S RESPONSE TO COVID-19, PLEASE VISIT OUR WEBSITE AT HEALTH.PA.gov WHAT IS MOST IMPORTANT FOR PENNSYLVANIANS TO REMEMBER IS STAY CALM, STAY ALERT, AND STAY SAFE AND NOW I AM PLEASED TO ANSWER QUESTIONS HAS THE DEPARTMENT OF EDUCATION PROVIDED MORE DETAIL ABOUT SCHOOLS REOPENING IN THE FALL? WITH STUDENTS CONGREGATING MORE, DO HAVE CONCERNS IN A SPIKE IN CASES? Dr. Levine: WE ARE STILL LEARNING ABOUT MULTISYSTEM INFLAMMATORY SYNDROME IN CHILDREN THIS DOES NOT SEEM TO BE AN ACTIVE INFECTION WITH COVID-19 IT SEEMS TO BE A POST-INFECTIOUS PROCESS SEVERAL WEEKS AFTER AN INFECTION, AND IT’S AN INFLAMMATORY REACTION THROUGHOUT THE BODY WE ARE STILL LEARNING ABOUT WHAT CAUSES THAT AND LEARNING MUCH MORE ABOUT IT I THINK WE WILL BE N95 MASKS, GLOVES, SURGICAL MASKS, PUSHING THAT OUT AND WE ARE PUSHING IT OUT PRIMARILY TO LONG-TERM CARE CENTERS SUCH AS NURSING HOMES AND PERSONAL CARE HOMES WE ARE REALLY NOT KEEPING IT AT THIS TIME I KNOW THE FEDERAL GOVERNMENT IS STARTING TO STOCKPILE RIGHT NOW WE ARE RECEIVING IT AND PROCESSING IT AND PUTTING IT OUT TO THOSE FACILITIES SECRETARY, CAN WE TALK ABOUT YOUR DEPARTMENT’S INVOLVEMENT SCHOOLS IN THE FALL? SECRETARY RIVERA SAID THEY WORK WITH YOU TO PUT OUT PRELIMINARY GUIDANCE WHAT YOU WANT TO SEE SCHOOLS AND SCHOOL DISTRICTS PROVED TO MAKE SURE THEY ARE SAFE IN THE FALL? Dr. Levine: EVERYTHING WE ARE DOING IS A COLLABORATION WITH THE DEPARTMENT CERTAINLY IN THE TIMES OF GLOBAL PANDEMIC THE DEPARTMENT OF HEALTH IS COLLABORATING WITH MANY DEPARTMENTS INCLUDING SECRETARY RIVERA AND DEPARTMENT OF EDUCATION I DON’T KNOW IF SCHOOLS HAVE TO PROVE ANYTHING, BUT WE ARE GOING TO HAVE TO MONITOR THE SITUATIONS CAREFULLY AMONG CHILDREN AND IN OUR COMMUNITIES IN GENERAL FOR ANY SPIKES IN THE FALL OF COVID-19 WILL MASKS BE REQUIRED OR SUGGESTED FOR STUDENTS? Dr. Levine: MASKS WILL BE SUGGESTED FOR STUDENTS SO MEDICAL CONDITIONS WHERE PEOPLE CAN’T WEAR MASKS, BUT MASKS WILL BE PART OF THE PROCESS SECRETARY, DAUPHIN COUNTY JUST MOVED TO YELLOW ON MAY 29

WHICH MEANS NO LARGE GATHERINGS APPARENTLY THERE’S A MARCH GOING ON THAT HAS MORE THAN 200 PEOPLE TODAY IN DAUPHIN COUNTY CAN YOU CLARIFY THE ADMINISTRATION’S POSITION? TODAY THE GOVERNOR IS ACTUALLY MARCHING IS THAT NOT IN VIOLATION OF YOUR ORDER AND HIS ORDER OF LARGE GATHERINGS? Dr. Levine: THE GOVERNOR HAS ALWAYS SAID PEOPLE HAVE THE RIGHT TO PROTEST AND DEMONSTRATE AND THE RIGHT OF FREE SPEECH OVERALL WE WANT LARGE GATHERINGS, SUCH AS, MAYBE A PARTY OR MAYBE SOMETIME OF CONCERT TO BE UNDER 250 PEOPLE WE ARE NOT RESTRICTING PEOPLE’S RIGHTS TO PROTEST THERE ARE OBVIOUSLY SIGNIFICANT SOCIAL ISSUES THAT ARE PRESENT THAT PEOPLE FEEL THEY NEED TO HAVE A VOICE THE GOVERNOR IS ALWAYS SUPPORTIVE OF THAT AND IS PARTICIPATING IN THAT APRIL, THERE IS A QUESTION BACK THERE SECRETARY, ERIE COUNTY AFTER FRIDAY WILL BE ONE OF THE TWO COUNTY STILL IN THE YELLOW THERE’S NOW BIPARTISAN CALLS CALLING FOR THE COUNTY TO MOVE TO GREEN AS SOON AS POSSIBLE I KNOW YOU DON’T LIKE TO GIVE INFORMATION PRIOR TO THE DAY OF WHEN YOU’RE GOING TO MOVE A COUNTY, BUT CAN YOU GIVE ANY KIND OF INCLINATION ABOUT WHEN ERIE COUNTY MAY MOVE TO GREEN? Dr. Levine: I CANNOT TELL YOU WHEN ERIE COUNTY WILL MOVE TO GREEN WE ARE GOING TO LOOK AT ALL OF OUR NUMBERS AND MODELING TOMORROW WE ALWAYS DO THAT ON THURSDAY CARNEGIE MELON UNIVERSITY MODELING WILL COME OUT pTOMORROW WE WILL LOOK AT THE NUMBERS OF NEW CASES, THE INCIDENCE RATES OR NUMBER OF CASES PER CAPITA WE WILL BE LOOKING AT THOSE TRENDS AND THE PERCENT OF POSITIVITY OF THEIR TESTING ALL OF IT OVER THE LAST TWO WEEKS WE WILL DISCUSS THAT WITH US AND THE GOVERNOR WHO MAKES THE FINAL DECISIONS OF COUNTIES WHO GO FROM YELLOW TO GREEN THANK YOU, DOCTOR LEVINE I THINK I’M BEING SCREENED Dr. Levine: THAT’S WHY POINTED YOU OUT I WANT TO FOLLOW-UP MY QUESTION IS GOING TO BE ABOUT THE GOVERNOR STATEMENT IT WAS SIX DAYS AGO WHEN HE TALKED ABOUT THE THREE CRITERIA FOR ADVANCING TO A NEW COLOR I THINK YOU JUST TOUCHED ON TWO ISN’T THERE A THIRD ABOUT THE RECENT VIRUS OUTBREAKS Dr. Levine: WE WANT TO SEE IF THERE’S ANY SIGNIFICANT OUTBREAKS THAT MAY IMPACT THAT AS WELL AS THE DIFFERENT NUMBERS AND MODELING’S THAT WE HAVE WHAT THE TREND HAS BEEN THE LAST TWO WEEKS THAT WILL DETERMINE OUR DECISION WHETHER A COUNTY, ANY COUNTY, GOES FROM YELLOW TO GREEN WE WANT TO SEE THE TRENDS GOING DOWN AS OPPOSED TO GOING UP IF ANY COUNTY HAS SIGNIFICANT TRENDS UPWARD IT WOULD MAKE IT VERY CHALLENGING IF WE SEE THE TRENDS GO DOWNWARD OVER TWO WEEKS, THAT’S A VERY POSITIVE FINDING THERE ARE THREE MEASURING STICKS THE GOVERNOR MENTIONED THOSE IN THE MODELING ARE THOSE THAT REMAIN MEASURING STICKS? Dr. Levine: WE WILL BE PUTTING OUT A SCORECARD FRIDAY SO PEOPLE CAN SEE EXACTLY WHAT WE ARE LOOKING AT WE ALSO TAKE INTO CONSIDERATION THE TESTING AVAILABILITY IN THE COUNTIES IN EARY AND OTHER NORTH CENTRAL AND OTHER NORTHWEST COUNTIES WILL BE INCREASING THE TESTING CAPABILITY WE WILL BE LOOKING AT THE CONTRACT TRACING ABILITY IN THOSE COUNTIES TO MAKE SURE WE CAN IDENTIFY ANY TYPE OF CLUSTER AND PREVENT LARGE OUTBREAKS.WE ALSO LOOK AT THE HOSPITAL CAPACITY AND ICU CAPACITY IN AREAS ALL OF THOSE ISSUES, WHICH MANY ARE IDENTIFIED ON THE CMU MODEL, BUT THOSE GO INTO OUR DECISION AND WE WILL PUT OUT KIND OF A SCORECARD SO PEOPLE CAN SEE EXACTLY WHAT WE ARE THINKING OF WE HAVE BEEN TALKING ABOUT IT BUT WE WANT TO MAKE IT VISUAL I HAVE A QUESTION ABOUT GOING BACK TO MORE TESTING AND AVAILABLE TESTING IN THE WESTERN PART OF THE STATE COMING ACROSS AS E GO ON ARE YOU ENCOURAGING ASYMPTOMATIC INDIVIDUALS TO GET TESTED AS WELL, OR TRYING TO KEEP IT RESERVED FOR THOSE SHOWING SYMPTOMS? Dr. Levine: WE ARE PRIORITIZING TESTING AMONG SYMPTOMATIC INDIVIDUALS.THAT CAN BE ANY SYMPTOM CLASSICALLY, IT’S GOING TO BE FEVER, COUGH, AND SHORTNESS OF BREATH WE KNOW NOW THERE ARE LOTS OF DIFFERENT SYMPTOMS PEOPLE HAVE IT COULD BE ABDOMINAL PAIN AND DIARRHEA IT COULD BE A MILD COUGH OR A SERIOUS COUGH WE KNOW SOME PEOPLE ARE MILDLY SYMPTOMATIC OR EVEN ASYMPTOMATIC ANYONE CAN GET A TEST, BUT WE ARE PRIORITIZING SYMPTOMATIC NDIVIDUALS BUT WE ARE NOT YET DOING, BUT WE WOULD LIKE TO WHEN WE HAVE A VERY ACCURATE RAPID POINT-OF-CARE TEST, IS TO DO

MORE POPULATION-BASED SURVEILLANCE TESTING THAT WE ARE NOT DOING IF PEOPLE FEEL MAYBE THEY HAVE BEEN EXPOSED OR THEY WANT TO TEST, THEY CAN GT A TEST Dr. Levine: THERE ARE COMPANIES IN PENNSYLVANIA AND OUTSIDE PENNSYLVANIA I CANNOT TYPE EXACTLY WHAT DATE THOSE WILL BE COMING WE ARE HOPEFUL AS WE PREPARE FOR THE FALL THAT THE TEST WILL BE AVAILABLE SECRETARY, THIS IS FROM CBS THREE IS SOUTHEASTERN PENNSYLVANIA STILL ON TRACK FOR THE REOPENING AND WHAT ARE THE MAIN PARAMETERS GUIDING THAT? Dr. Levine: SOUTHEASTERN PENNSYLVANIA INCLUDING PHILADELPHIA ARE STILL ON TRACK TO GO TO YELLOW FRIDAY THE PARAMETERS ARE EVERYTHING WE JUST TALKED ABOUT THEY INCLUDE THE NUMBER OF CASES OVER THE LAST TWO WEEKS, THE NUMBER OF CASES PER CAPITA, THE INCIDENCE RATE WE ARE LOOKING AT THOSE TRENDS WE ARE LOOKING AT THE PERCENT OF POSITIVITY OF THE TESTS THAT ARE DONE THAT HAS BEEN GROWING CONSISTENTLY DOWN THROUGHOUT THE STATE APPROACHING FIVE WHICH IS MUCH LOWER THAN IT HAS BEEN BEFORE WE ARE LOOKING AT THE AVAILABILITY OF HOSPITALS AND ICU BEDS AS WELL AS THE ABILITY OF CONTACT TRACING AND TESTING ALL OF THAT GOES INTO OUR DECISIONS.WE ARE VERY COMFORTABLE WITH SOUTHEAST PENNSYLVANIA THIS QUESTION FROM PUBLIC SOURCE GIVEN THE PENNSYLVANIA DEPARTMENT OF HEALTH LAST WEEK HELD ITS FIRST CONSORTIUM IN THE SOUTHWEST REGION TO DISCUSS CONTACT TRACING NEED, HOW MANY CONTACT TRACER’S ARE ANTICIPATED TO BE NEEDED AND HOW MANY DOES THE REGION CURRENTLY HAVE? Dr. Levine: I CAN’T TELL YOU EXACTLY HOW MANY THE REGION HAS BEEN DEPARTMENT OF HEALTH HAS OVER 380 CONTACT TRACER’S AND THAT DOES NOT INCLUDE THE COUNTY MUNICIPAL HEALTH CENTERS THAT DOESN’T INCLUDE ALLEGHENY COUNTY WHICH HAS ITS OWN HEALTH DEPARTMENT AND OWN CONTACT TRACER’S IT DOESN’T INCLUDE ERIE OR PHILADELPHIA ETC. 380 THAT WE ARE WORKING ON WE ARE WORKING TO EXPAND THAT WE WOULD LIKE THOUSANDS OF CONTACT TRACER’S IN ALL OF THOSE AREAS BY THE TIME OF LATE-SUMMER OR EARLY FALL WHY AREN’T NURSING HOME RESIDENTS WHO TESTED POSITIVE FOR COVID-19 RECOVERING IN THE HOSPITAL UNTIL THEY TEST NEGATIVE VERSUS RECOVERING AT A NURSING HOME? Dr. Levine: IT COULD TAKE WEEKS FOR SOMEONE TO TEST NEGATIVE FOR COVID-19 THAT IS ACTUALLY NOT A CRITERIA FOR SOMEONE TO BE WELL IF YOU HAVE COVID-19 AND YOU GO BACK TO WORK, WE ARE NOT REQUIRING TESTS IT COULD BE WEEKS AND WEEKS AND WEEKS BEFORE PEOPLE TEST NEGATIVE THE TEST IS TESTING FOR THE DNA YOU CAN BE SHEDDING DNA EVEN THOUGH YOU DON’T HAVE LIVE VIRUS IS NOT PRACTICAL TO HAVE PEOPLE TO STAY IN THE HOSPITAL EVEN THOUGH THEY DONATE HOSPITAL CARE FOR WEEKS AND WEEKS WAITING FOR A NEGATIVE TEST NO ONE IS REQUIRING THAT THAT WAS ONE OF THE EARLIEST CRITERIA IN WUHAN CHINA AND IT WAS FOUND OUT THEY CAN’T DO THAT THE CRITERIA OF THE CDC IS WHEN YOU’RE NO LONGER CONTAGIOUS SECRETARY, ON THE SCHOOL OPEN GUIDANCE RELEASED EARLIER TODAY, WE ARE HEARING SOME PUSHBACK AND CONCERNS WHAT KIND OF EXPRESSION DO SCHOOL DISTRICTS HAVE, LEEWAY, DO THEY HAVE INDIVIDUALLY? Dr. Levine: I AM GOING TO LEAVE THAT TO QUESTIONS FOR THE PENNSYLVANIA DEPARTMENT OF EDUCATION.I KNOW THERE’S LOCAL CONTROL IN TERMS OF THAT RELATIONSHIP, I’M GOING TO DEFER TO THEM FOR THE ANSWER SECRETARY, THERE’S BEEN A LOT OF TALK ABOUT THE SECOND WAVE HAPPENING SOMETIME IN THE FALL DO YOU HAVE ANY IDEA OF WHEN EXACTLY THE SECOND WAVE WILL HAPPEN AND WHAT IT MIGHT LOOK LIKE AND ANY PREPARATIONS? Dr. Levine: WE DON’T KNOW WHAT THAT WILL LOOK LIKE OR WHAT WILL OCCUR.WE KNOW THE COURSE OF INFLUENZA IN TERMS OF STARTING IN OCTOBER AND INCREASING THROUGH NOVEMBER AND DECEMBER AND PEEKING JANUARY OR FEBRUARY CORONAVIRUS IS NOT INFLUENZA WE ARE ANTICIPATING A POTENTIAL INCREASE IN THE FALL DOCTOR FAUCI AND DOCTOR BIRX HAS DISCUSSED THAT POTENTIAL WE DON’T KNOW EXACTLY WHEN OR HOW THAT WILL OCCUR, BUT WE NEED TO BE READY TO BE READY, WE WANT TO HAVE ROBUST TESTING WE ARE HOPING FOR THE TYPE OF TESTING I DISCUSSED BEFORE, VERY RAPID, ACCURATE, POINT-OF-CARE TEST THAT CAN BE DONE VERY EASILY BY ANY HEALTHCARE PERSONNEL, OR EVEN BY A LAYPERSON TO TELL WITHIN 15-20 MINUTES IF SOMEONE IS

POSITIVE OR NEGATIVE WITH REALLY GOOD, SPECIFIC SENSITIVITY IN ADDITION, IT’S POSSIBLE ANTIBODY TESTING CAN BE VERY HELPFUL WE DON’T KNOW A LOT ABOUT THE MEANING OF THOSE ANTIBODIES WE ARE HOPEFUL PEOPLE HAVE AT LEAST PARTIAL PROTECTION W WOULD NEED A VERY ACCURATE TEST ALSO PERHAPS A POINT-OF-CARE TEST THAT A DOCTOR COULD DO WITH MAYBE EVEN A FINGER PRICK OF BLOOD FOR ANTIBODIES THAT WOULD BE REALLY HELPFUL TO KNOW PEOPLE ARE AT LEAST PARTIALLY IMMUNE THEN WE ARE GOING TO WANT EXTENSIVE TESTING AND EXTENSIVE CONTACT TRACING THROUGHOUT THE STATE AND THAT WILL PUT US IN THE BEST POSITION TO PREVENT A SUBSTANTIAL INCREASE IN CASES IN THE FALL PENNSYLVANIA NEEDS TO BE PREPARED FOR ALL OF THIS, BUT CAN YOU PREDICT THEY WILL BE PREPARED? Dr. Levine: OH YES WE WILL BE PREPARED THE TESTS STILL IN DEVELOPMENT I’M HOPEFUL THOSE TYPE OF RAPID, ACCURATE TEST WILL BE AVAILABLE LEADING UP TO YESTERDAY’S ELECTION, THE STATE CONSOLIDATING POLLING PLACES FROM A PUBLIC HEALTH PERSPECTIVE, DO HAVE CONCERN ABOUT FUNNELING MORE VOTERS INTO FEWER SPACES, AND IF SOMETHING LIKE THAT IS ALLOWED FOR THE FALL WOULD YOU RECOMMEND AGAINST THAT? Dr. Levine: WE WANT TO MAKE SURE PEOPLE EXERCISING THEIR CONSTITUTIONAL RIGHT TO VOTE ARE ALSO SAFE WE WANT TO MAKE SURE THEY ARE WEARING MASKS AND PRACTICING SOCIAL DISTANCING IN TERMS OF HOW FAR APART THEY ARE USING HAND SANITIZER, AND KEEPING POLLING PLACES VERY CLEAN ETC I THINK THAT WILL BE REALLY IMPORTANT AS WE HEAD INTO THE FALL IN ADDITION, ONE OF MOST IMPORTANT THINGS IS VOTING FROM HOME I THINK THAT OFFERS THE SAFEST WAY FOR PEOPLE TO VOTE THE GOVERNOR HAS BEEN STRONGLY SUPPORTIVE IN THIS ELECTION FOR PEOPLE VOTE FROM HOME I THINK WE WILL BE VERY SUPPORTIVE OF PEOPLE VOTING BY MAIL WHICH IS THE SAFEST WAY TO VOTE GIVEN WE ARE THE MIDDLE OF A GLOBAL PANDEMIC JUST A QUICK FOLLOW-UP ALLEGHENY COUNTY CONSOLIDATED HUNDREDS OF POLLING PLACES DOES NOT RAISE ANY RED FLAGS TO YOU? THERE WHERE A LOT OF PEOPLE VOTED IN PERSON YESTERDAY DOES THAT WORRY YOU AT ALL? Dr. Levine: THERE WERE SPECIFIC REASONS FOR THAT I AM NOT PLUGGED INTO THE EXACT ISSUES WITH THE DEPARTMENT OF STATE AND ELECTIONS THERE ARE MANY FACILITIES LIKE NURSING HOMES AND LONG-TERM CARE FACILITIES WHERE YOU COULDN’T DO THAT ALLOWED GOOD REASONS WHY THEY DID THAT AS LONG AS PEOPLE ARE ABLE TO PRACTICE ALL OF THE MEASURES I TALK ABOUT EVERY DAY THAT WOULD OFFER THE SAFEST WAY TO VOTE IN PERSON THE SAFEST WAYS TO VOTE BY MAIL GOING BACK TO TALKING ABOUT THE FALL, WHEN IT COMES TO THE SCREEN PHASE, HAS THERE BEEN SPECIFIC DISCUSSION AS TO ELIMINATING FACES IN THE FALL? WILL CONTINUE IF A SECOND ROUND IS CONSIDERED POSSIBLE? HAS BEEN ANY SPECIFIC DISCUSSION THAT WE WOULD COME OUT OF THIS HAVING ANY TYPE OF LABEL AT ALL? Dr. Levine: WE HAVE HAD SIMPLY MARRIED DISCUSSIONS AGAIN, CONCENTRATING ON COUNTIES THAT ARE NOW IN RED THAT WILL GO TO YELLOW ON FRIDAY, AND THEN MANY COUNTIES THAT WILL STILL NEED TO GO TO GREEN THAT’S WHERE OUR ATTENTION MOSTLY HAS BEEN IN TERMS OF THAT THE GOVERNOR HAS EMPHASIZED THE POINTS I MENTIONED BEFORE IN TERMS OF BEING PREPARED FOR THE FALL ARE CRITICALLY IMPORTANT BECAUSE NO ONE WANTS TO ISSUE STAY-AT-HOME ORDERS ANYMORE AT THIS POINT, AS A FOLLOW-UP, AS PEOPLE’S ATTENTION TURNS TO OTHER THINGS GOING ON IN THE WORLD, IS THERE ANYTHING YOU WANT TO SPECIFICALLY STRESS TO THE PUBLIC BECAUSE A GOOD PORTION OF PEOPLE ARE SAYING THIS IS BEHIND US AND WE ARE MOVING ON Dr. Levine: THE GOVERNOR HAS SAID OVER AND OVER AGAIN WE ARE IN A NEW NORMAL COVID-19 IS NOT BEHIND US WE HAVE COVID-19 IN PENNSYLVANIA AND THERE IS COVID-19 THROUGHOUT THE COUNTRY AND THROUGHOUT THE WORLD THERE ARE SIGNIFICANT OUTBREAKS HAPPENING IN SOUTH AND CENTRAL AMERICA THE WORLD AND THE UNITED STATES IS NOT NON-COVID-19 THAT’S WHY I SAY STAY ALERT NOW EVERY DAY PEOPLE NEED TO STAY ALERT PEOPLE NEED TO STAY VIGILANT THAT COVID-19 IS STILL HERE WE NEED TO WEAR MASKS WE NEED TO PRACTICE SOCIAL DISTANCING WE NEED TO WASH OUR HANDS WE NEED TO USE HAND SANITIZER, AND WE ALL NEED TO STAY ALERT WITH SCHOOLS BEING ALLOWED TO OPEN IN THE FALL, WHAT ARE THE GUIDELINES THAT ARE GOING TO BE PUT IN PLACE TO KEEP THE STUDENTS SAFE? Dr. Levine: THE GUIDELINES WERE OUTLINED IN THE REPORT THAT PENNSYLVANIA DEPARTMENT OF EDUCATION JUST RELEASED TODAY WE ARE GOING TO WANT TO PRACTICE MANY DIFFERENT THINGS I JUST TALKED ABOUT I DON’T IN FRONT OF ME HAVE GRANULAR DETAIL IN TERMS OF GUIDELINES, BUT THEY JUST ISSUED THE REPORT AND IT’S

AVAILABLE ON THE PDE WEBSITE IN MARCH THE FDA APPROVED RAPID TESTS FOR HEALTHCARE WORKERS ARE ANY PENNSYLVANIA HOSPITALS USING THESE RAPID TESTS? Dr. Levine: THERE ARE HOSPITALS USING THE RAPID TEST IT’S THE ABBOTT TEST THERE HAVE BEEN SIGNIFICANT ISSUES GETTING ENOUGH TESTING KITS I KNOW THAT IS BETTER NOW IT IS ONE KIT PER TEST YOU HAVE TO HAVE A LOT OF KITS TO DO THE TESTING THERE ARE CONCERNS ABOUT ITS SENSITIVITY SENSITIVITY MEANS IT’S FALSE NEGATIVE RATE IT’S REALLY CONCERNING IF YOU HAVE A SCREENING TEST IF YOU’RE HAVING A SCREENING TEST AND YOU ARE TESTING LOTS OF PEOPLE, HE WANTS TO MAKE SURE IT’S ACCURATE, THAT YOU ARE NOT MISSING PEOPLE I THINK IT’S A VALUABLE TEST IT’S THE ONLY REAL POINT-OF-CARE TEST WHERE YOU CAN GET A RESULT IN 15-20 MINUTES WITH CONCERNS ABOUT ITS SENSITIVITY, I THINK WE WILL EVENTUALLY NEED MORE SENSITIVE, MORE ACCURATE RAPID TESTS IN THE FUTURE SECRETARY, YOU MENTIONED A NEW NORMAL AFTER THE GREEN PHASE WHAT DOES THAT LOOK LIKE? WHAT METRICS OR THRESHOLDS WILL NEED TO BE ACHIEVED, AND WILL THE SCORECARD COMING OUT FRIDAY REFLECT THAT? Dr. Levine: THE SCORECARD WILL COME OUT FOR WHAT COUNTIES NEED TO DO FORMULA TO GREEN THE NEW NORMAL IS GOING TO CONTINUE THAT MEANS WEARING MASKS WE ARE GOING TO WANT PEOPLE TO WEAR MASKS FOR THE FORESEEABLE FUTURE WHEN THEY GO OUTSIDE AND THEY’RE GOING TO ENCOUNTER PEOPLE WE WANT PEOPLE TO WASH THEIR HANDS REALLY WELL AND PAY ATTENTION TO THAT FOR THE FORESEEABLE FUTURE WE WANT PEOPLE TO USE HAND SANITIZER LIBERALLY FOR THE FORESEEABLE FUTURE WE WANT PEOPLE TO PRACTICE SOCIAL DISTANCING FOR THE FORESEEABLE FUTURE THAT’S WHAT THE GOVERNOR MEANS BY THE NEW NORMAL COVID-19 IS NOT GONE WE DO NOT HAVE ANYWHERE NEAR HERD IMMUNITY THERE’S BEEN SURVEILLANCE TESTING USING ANTIBODIES THERE’S BEEN QUESTIONS ABOUT THE ANTIBODY TESTS LOOKING AT ANTIBODY LEVELS, THERE’S NO PLACE IN THE WORLD THAT HAS HERD IMMUNITY WE NEED TO BE VIGILANT ABOUT THE RISK OF COVID-19 FOR THE FORESEEABLE FUTURE UNTIL THERE IS A SAFE, EFFECTIVE VACCINE THAT CAN BE DISTRIBUTED IS THE VACCINE KIND OF THE CORNERSTONE OF WHAT YOU ARE LOOKING FOR AS A THRESHOLD? Dr. Levine: YES THE WAY TO GET THROUGH THIS WITHOUT THE ENORMOUS NUMBER OF CASES AND LOSS OF LIFE IS GOING TO BE THROUGH A SAFE, EFFECTIVE VACCINE.OBVIOUSLY, THE FEDERAL GOVERNMENT IS WORKING REALLY HARD ON PROMOTING THAT DR. LEVINE, I WANT TO ASK ABOUT THE HERD IMMUNITY IN SWITZERLAND THERE’S A LOT OF TALK ABOUT DEVELOPING HEAVY DISCOUNTED THERE’S BEEN PROGRESS TOWARD THAT? Dr. Levine: EVIDENCE FROM SWEDEN IS THEY HAVE NOT DEVELOPED HERD IMMUNITY.THAT WAS ONE OF THEIR GOALS, BUT THE ANTIBODY LEVELS ARE NOWHERE NEAR HERD IMMUNITY IN SWEDEN EVERY OTHER COUNTRY AND EVERY OTHER STATE, SIGNIFICANT ISSUES IN TERMS OF SENIORS, PARTICULARLY CONGREGANTS SETTINGS I THINK THE EXAMPLE OF SWEDEN IS NOT AN EXAMPLE FOR THE WORLD THEY HAD MORE CASES, MORE DEATHS, THEN ANY OTHER COUNTRY IN THE NORDIC REGION FROM THE PUBLIC SOURCE, CAN YOU PROVIDE AN UPDATE ON MISC CASES IN PENNSYLVANIA? Dr. Levine: I DON’T HAVE SPECIFIC NUMBERS ON MISC, BUT APRIL DOES IT’S AVAILABLE ON OUR WEBSITE WE ARE SEEING CASES OF MISC IN PENNSYLVANIA THEY ARE BEING CARED FOR IN OUR EXCELLENT HOSPITALS APRIL CAN GIVE SPECIFIC DATA AFTER THE PRESS CONFERENCE FROM ABC 27, THE PI AA HAS ASKED FOR GUIDANCE FOR SPORTS ZOOMING IN A SAFE MANNER GOVERNOR’S PLAN STATES YOUTH AND SCHOOL SPORTS ARE ALLOWED IN THE GREEN PHASE, BUT WHAT GUIDANCE ARE YOU GIVING THE PIAA AND WHAT GUIDANCE SHOULD YOUTH PROGRAMS HAVE WHEN IT COMES TO SAFELY PARTICIPATE IN ATHLETICS? Dr. Levine: THE GOVERNOR’S POLICY OFFICES COMING OUT MORE INFORMATION ABOUT SPORTS IN GENERAL WITH YOUTH SPORTS, I WOULD ANTICIPATE THAT THIS WEEK SOMETIMES THINGS GET DELAYED AS THEY GO THROUGH THE REVIEW PROCESS I THINK THERE WILL BE MORE

DETAIL ABOUT THAT EVERYTHING I HAVE EMPHASIZED IS EVERYTHING I TALKED ABOUT BEFORE WE HAVE TO REALIZE COVID-19 IS