[BostonCard]

https://apnews.com/7b797f9657f658f8eea336accc9799d5

Her letter to staff, released by the California Health and Human Services Agency, did not give a specific reason for her departure.

Reading between the lines, though:

Angell’s announcement comes after California Health and Human Services Secretary Dr. Mark Ghaly said the test results glitch caused up to 300,000 records to be backlogged, though not all were coronavirus cases and some could be duplicates. The problem affected the California Reportable Disease Information Exchange, which is also known as CalREDIE.

BC

[BostonCard]

https://apnews.com/7b797f9657f658f8eea336accc9799d5

Her letter to staff, released by the California Health and Human Services Agency, did not give a specific reason for her departure.

Reading between the lines, though:

Angell’s announcement comes after California Health and Human Services Secretary Dr. Mark Ghaly said the test results glitch caused up to 300,000 records to be backlogged, though not all were coronavirus cases and some could be duplicates. The problem affected the California Reportable Disease Information Exchange, which is also known as CalREDIE.

BC

[M T]

From that AP article:

Riverside County ... public health director ....said the county is getting what seems to be good data now, without any duplicate or false positive test results.

How could she know that there aren't false positive test results??  I presume that is a reporter bungling the words of someone who should know better.

Personally, I thought the California Public Health Officer did a middling job on her health orders.  As I saw it, the original order never allowed activities such walking for exercise (you only were allowed to leave home to go to essential businesses).  They bungled the difference between "under age 2" and "age 2" regarding prohibiting face masks, relative to the CDC.  I believe there is recognition that going to stage 2 and allowing too much to open too fast contributed to California passing NY.  The whole stage 2 exemption attestations were a farce.  The criteria for monitoring (in response to the aforementioned farces) was a little better (with specifications of timing) but didn't recognize things such as mobility across county borders for hospitalization, and used rate of increase of hospitalization as a trigger (going from 1 to 2 patients total would hit the trigger; once you got to 90% full or so, you couldn't possibly trip over the rate of increase).

I expect she was felt she was herding cats, when it comes to the individual counties.  Each wanted to go its own way.   Some of that was good, as they brought in new ideas of what to watch for.   Even counties that are mostly cohesive (Santa Clara & San Mateo) had different ways of doing things (I live in one county and work in the other).

I would also criticize the CA Public Health Department for being unable to get the public aligned to doing the actions necessary to stop the spread.  (Yes, there are competing messages from various sources. I'm not sure the task is achievable, but it was the CA PHD's domain.)   I would think that the CA PHD would have been the agency to coordinate the case tracing & to educate the public on its importance & to educate the public on lessons learned from case tracing.

I don't envy her replacement.  I wish him or her success.  California needs it.

[M T]

From that AP article:

Riverside County ... public health director ....said the county is getting what seems to be good data now, without any duplicate or false positive test results.

How could she know that there aren't false positive test results??  I presume that is a reporter bungling the words of someone who should know better.

Personally, I thought the California Public Health Officer did a middling job on her health orders.  As I saw it, the original order never allowed activities such walking for exercise (you only were allowed to leave home to go to essential businesses).  They bungled the difference between "under age 2" and "age 2" regarding prohibiting face masks, relative to the CDC.  I believe there is recognition that going to stage 2 and allowing too much to open too fast contributed to California passing NY.  The whole stage 2 exemption attestations were a farce.  The criteria for monitoring (in response to the aforementioned farces) was a little better (with specifications of timing) but didn't recognize things such as mobility across county borders for hospitalization, and used rate of increase of hospitalization as a trigger (going from 1 to 2 patients total would hit the trigger; once you got to 90% full or so, you couldn't possibly trip over the rate of increase).

I expect she was felt she was herding cats, when it comes to the individual counties.  Each wanted to go its own way.   Some of that was good, as they brought in new ideas of what to watch for.   Even counties that are mostly cohesive (Santa Clara & San Mateo) had different ways of doing things (I live in one county and work in the other).

I would also criticize the CA Public Health Department for being unable to get the public aligned to doing the actions necessary to stop the spread.  (Yes, there are competing messages from various sources. I'm not sure the task is achievable, but it was the CA PHD's domain.)   I would think that the CA PHD would have been the agency to coordinate the case tracing & to educate the public on its importance & to educate the public on lessons learned from case tracing.

I don't envy her replacement.  I wish him or her success.  California needs it.

[Goose]

I would also criticize the CA Public Health Department for being unable to get the public aligned to doing the actions necessary to stop the spread.  (Yes, there are competing messages from various sources. I'm not sure the task is achievable, but it was the CA PHD's domain.)   I would think that the CA PHD would have been the agency to coordinate the case tracing & to educate the public on its importance & to educate the public on lessons learned from case tracing.


I don't envy her replacement.  I wish him or her success.  California needs it.

I am not sure how much coordination is required, but ensuring it was adequate is something that CA Public Health should have done. AFAK, not much went on there, but it may be the Counties have worked together on things like STDs for so long they have good protocols in place. Educating the public and encouraging/enforcing compliance is an area CA Public Health could make an brobdingnagian difference, but so far they have not. Gaining the trust of essential workers who are at present not cooperating would be another area the State could make a much greater effort. They could also perform case-control studies as suggested by Dr. Scott Morrow, but they have not. Overall, an underwhelming effort on the State level.

[Goose]

I would also criticize the CA Public Health Department for being unable to get the public aligned to doing the actions necessary to stop the spread.  (Yes, there are competing messages from various sources. I'm not sure the task is achievable, but it was the CA PHD's domain.)   I would think that the CA PHD would have been the agency to coordinate the case tracing & to educate the public on its importance & to educate the public on lessons learned from case tracing.


I don't envy her replacement.  I wish him or her success.  California needs it.

I am not sure how much coordination is required, but ensuring it was adequate is something that CA Public Health should have done. AFAK, not much went on there, but it may be the Counties have worked together on things like STDs for so long they have good protocols in place. Educating the public and encouraging/enforcing compliance is an area CA Public Health could make an brobdingnagian difference, but so far they have not. Gaining the trust of essential workers who are at present not cooperating would be another area the State could make a much greater effort. They could also perform case-control studies as suggested by Dr. Scott Morrow, but they have not. Overall, an underwhelming effort on the State level.

[lex24]

From that AP article:

Riverside County ... public health director ....said the county is getting what seems to be good data now, without any duplicate or false positive test results.

How could she know that there aren't false positive test results??  I presume that is a reporter bungling the words of someone who should know better.

Personally, I thought the California Public Health Officer did a middling job on her health orders.  As I saw it, the original order never allowed activities such walking for exercise (you only were allowed to leave home to go to essential businesses).  They bungled the difference between "under age 2" and "age 2" regarding prohibiting face masks, relative to the CDC.  I believe there is recognition that going to stage 2 and allowing too much to open too fast contributed to California passing NY.  The whole stage 2 exemption attestations were a farce.  The criteria for monitoring (in response to the aforementioned farces) was a little better (with specifications of timing) but didn't recognize things such as mobility across county borders for hospitalization, and used rate of increase of hospitalization as a trigger (going from 1 to 2 patients total would hit the trigger; once you got to 90% full or so, you couldn't possibly trip over the rate of increase).

I expect she was felt she was herding cats, when it comes to the individual counties.  Each wanted to go its own way.   Some of that was good, as they brought in new ideas of what to watch for.   Even counties that are mostly cohesive (Santa Clara & San Mateo) had different ways of doing things (I live in one county and work in the other).

I would also criticize the CA Public Health Department for being unable to get the public aligned to doing the actions necessary to stop the spread.  (Yes, there are competing messages from various sources. I'm not sure the task is achievable, but it was the CA PHD's domain.)   I would think that the CA PHD would have been the agency to coordinate the case tracing & to educate the public on its importance & to educate the public on lessons learned from case tracing.

I don't envy her replacement.  I wish him or her success.  California needs it.

California has not come close tompassing NY. We have more than double the population. And we are not in the same ballpark as NY when it comes to deaths, thank goodness. 

As for educating the public, it just isn’t that simple.  Because you have a large percentage of the states population that fears and/or distrusts  the government.  Diifferent groups for different reasons, but it’s there.   And it is particularly a problem on the tracing end.  No amount of education is going to change that.

[lex24]

From that AP article:

Riverside County ... public health director ....said the county is getting what seems to be good data now, without any duplicate or false positive test results.

How could she know that there aren't false positive test results??  I presume that is a reporter bungling the words of someone who should know better.

Personally, I thought the California Public Health Officer did a middling job on her health orders.  As I saw it, the original order never allowed activities such walking for exercise (you only were allowed to leave home to go to essential businesses).  They bungled the difference between "under age 2" and "age 2" regarding prohibiting face masks, relative to the CDC.  I believe there is recognition that going to stage 2 and allowing too much to open too fast contributed to California passing NY.  The whole stage 2 exemption attestations were a farce.  The criteria for monitoring (in response to the aforementioned farces) was a little better (with specifications of timing) but didn't recognize things such as mobility across county borders for hospitalization, and used rate of increase of hospitalization as a trigger (going from 1 to 2 patients total would hit the trigger; once you got to 90% full or so, you couldn't possibly trip over the rate of increase).

I expect she was felt she was herding cats, when it comes to the individual counties.  Each wanted to go its own way.   Some of that was good, as they brought in new ideas of what to watch for.   Even counties that are mostly cohesive (Santa Clara & San Mateo) had different ways of doing things (I live in one county and work in the other).

I would also criticize the CA Public Health Department for being unable to get the public aligned to doing the actions necessary to stop the spread.  (Yes, there are competing messages from various sources. I'm not sure the task is achievable, but it was the CA PHD's domain.)   I would think that the CA PHD would have been the agency to coordinate the case tracing & to educate the public on its importance & to educate the public on lessons learned from case tracing.

I don't envy her replacement.  I wish him or her success.  California needs it.

California has not come close tompassing NY. We have more than double the population. And we are not in the same ballpark as NY when it comes to deaths, thank goodness. 

As for educating the public, it just isn’t that simple.  Because you have a large percentage of the states population that fears and/or distrusts  the government.  Diifferent groups for different reasons, but it’s there.   And it is particularly a problem on the tracing end.  No amount of education is going to change that.

[M T]

California has not come close tompassing NY. We have more than double the population. And we are not in the same ballpark as NY when it comes to deaths, thank goodness.

The CDC reports that NY state has had 422,349 total cases, while California has had 554,160 cases.  That is what I was referring to, passing NY on July 22.
(And, yes, NY state has had 32,465 deaths, compared to California's 10,293 deaths.)

[M T]

California has not come close tompassing NY. We have more than double the population. And we are not in the same ballpark as NY when it comes to deaths, thank goodness.

The CDC reports that NY state has had 422,349 total cases, while California has had 554,160 cases.  That is what I was referring to, passing NY on July 22.
(And, yes, NY state has had 32,465 deaths, compared to California's 10,293 deaths.)

[chrisk]

From that AP article:

Riverside County ... public health director ....said the county is getting what seems to be good data now, without any duplicate or false positive test results.

How could she know that there aren't false positive test results??  I presume that is a reporter bungling the words of someone who should know better.

Personally, I thought the California Public Health Officer did a middling job on her health orders.  As I saw it, the original order never allowed activities such walking for exercise (you only were allowed to leave home to go to essential businesses).  They bungled the difference between "under age 2" and "age 2" regarding prohibiting face masks, relative to the CDC.  I believe there is recognition that going to stage 2 and allowing too much to open too fast contributed to California passing NY.  The whole stage 2 exemption attestations were a farce.  The criteria for monitoring (in response to the aforementioned farces) was a little better (with specifications of timing) but didn't recognize things such as mobility across county borders for hospitalization, and used rate of increase of hospitalization as a trigger (going from 1 to 2 patients total would hit the trigger; once you got to 90% full or so, you couldn't possibly trip over the rate of increase).

I expect she was felt she was herding cats, when it comes to the individual counties.  Each wanted to go its own way.   Some of that was good, as they brought in new ideas of what to watch for.   Even counties that are mostly cohesive (Santa Clara & San Mateo) had different ways of doing things (I live in one county and work in the other).

I would also criticize the CA Public Health Department for being unable to get the public aligned to doing the actions necessary to stop the spread.  (Yes, there are competing messages from various sources. I'm not sure the task is achievable, but it was the CA PHD's domain.)   I would think that the CA PHD would have been the agency to coordinate the case tracing & to educate the public on its importance & to educate the public on lessons learned from case tracing.

I don't envy her replacement.  I wish him or her success.  California needs it.

California has not come close tompassing NY. We have more than double the population. And we are not in the same ballpark as NY when it comes to deaths, thank goodness. 

As for educating the public, it just isn’t that simple.  Because you have a large percentage of the states population that fears and/or distrusts  the government.  Diifferent groups for different reasons, but it’s there.   And it is particularly a problem on the tracing end.  No amount of education is going to change that.

I've seen very few TV ads from CA PHD. Given the magnitude of the crisis, they could have done a lot more

[chrisk]

From that AP article:

Riverside County ... public health director ....said the county is getting what seems to be good data now, without any duplicate or false positive test results.

How could she know that there aren't false positive test results??  I presume that is a reporter bungling the words of someone who should know better.

Personally, I thought the California Public Health Officer did a middling job on her health orders.  As I saw it, the original order never allowed activities such walking for exercise (you only were allowed to leave home to go to essential businesses).  They bungled the difference between "under age 2" and "age 2" regarding prohibiting face masks, relative to the CDC.  I believe there is recognition that going to stage 2 and allowing too much to open too fast contributed to California passing NY.  The whole stage 2 exemption attestations were a farce.  The criteria for monitoring (in response to the aforementioned farces) was a little better (with specifications of timing) but didn't recognize things such as mobility across county borders for hospitalization, and used rate of increase of hospitalization as a trigger (going from 1 to 2 patients total would hit the trigger; once you got to 90% full or so, you couldn't possibly trip over the rate of increase).

I expect she was felt she was herding cats, when it comes to the individual counties.  Each wanted to go its own way.   Some of that was good, as they brought in new ideas of what to watch for.   Even counties that are mostly cohesive (Santa Clara & San Mateo) had different ways of doing things (I live in one county and work in the other).

I would also criticize the CA Public Health Department for being unable to get the public aligned to doing the actions necessary to stop the spread.  (Yes, there are competing messages from various sources. I'm not sure the task is achievable, but it was the CA PHD's domain.)   I would think that the CA PHD would have been the agency to coordinate the case tracing & to educate the public on its importance & to educate the public on lessons learned from case tracing.

I don't envy her replacement.  I wish him or her success.  California needs it.

California has not come close tompassing NY. We have more than double the population. And we are not in the same ballpark as NY when it comes to deaths, thank goodness. 

As for educating the public, it just isn’t that simple.  Because you have a large percentage of the states population that fears and/or distrusts  the government.  Diifferent groups for different reasons, but it’s there.   And it is particularly a problem on the tracing end.  No amount of education is going to change that.

I've seen very few TV ads from CA PHD. Given the magnitude of the crisis, they could have done a lot more