Today is day 57.

Total Hospitalizations
18,825
18,569 18,654 18,707 18,697
18,335
18,079 18,279
17,735
17,493 17,316
16,837 16,967
16,479
16,213 16,103 16,044
15,905
15,599
14,810 15,021
14,258
13,383 13,524
12,839
12,226

10,929
March 31 April 25
9,517

8,503

7,328
6,481

5,327

3,343
4,079
Where we want to be
?
2,629
2,043
1,406
1,042
496 617
326

March 16 April 25
 Net Change in Total Hospitalizations
1,412 1,427

1,297
1,248
1,154 1,175 1,157
1,095
1,014

847

714 736
637 656
586 574 586

425
364 358
290
200
170
121 118
91 85
53

-59
-128 -110

-362 -349
-419

-536
-600 -578
-685
-754 -734
-763

March 16 April 25
 Net Change in Intubations
351

313 316
303
290 295 291

260

222
200
192

165

132
124 121
116
109 110
93 94
88
69 69
27
43

-7
-14 -16
-26 -21
-32
-40 -41
-48

-73

-112 -108
-118 -115
-127

March 17 April 25
STAY HOME. STOP THE SPREAD. SAVE LIVES.
 New COVID Hospitalizations Per Day
Gross new COVID hospitalizations (3-day rolling average)
3,177 3,165
3,038
2,921
2,812
2,736 2,721 2,739
2,635
2,556
2,485
2,411
2,327
2,210
2,048 2,074
1,925 1,949 1,953 1,966 1,962

1,777 1,758

1,564 1,560

1,367 1,366 1,359

1,263 1,296
1,184
1,087

923
836
696
605
496

March 20 April 25
 Number of Lives Lost
April 20: 481
April 21: 474
April 22: 438
April 23: 422
April 24: 437
April 25: 367
(349 in Hospitals, 18 in Nursing Homes)
 We need people to
understand the facts
because action and
compliance is up to
each one of us.
Reopening Reimagining
 Reopening/Reimagining

o CDC State and regional

hospitalization rate must be in
decline for 14 days
o We are closely monitoring both
 Reopening/Reimagining

o Reopen in phases, regional analysis

and determination, and monitor
 Phase I: Construction and Manufacturing with
low risk
 Phase II: Matrix: More essential, lower-risk -
asking businesses to give us ideas
 Two weeks between phases to monitor effects
 Reopening/Reimagining

Caveat:
No attractions / openings that would
draw a large number of visitors from
outside the local area.
 Reopening/Reimagining

This will be done in a

multi-state context
especially downstate.
 Downstate Region Most Problematic
 Multi-state coordination
 Transportation, parks, schools, beaches, and businesses are all coordinated
 NYC, Nassau, Suffolk, and Westchester all coordinated. Work with local
officials and businesses
 Phased reopening dependent on individual business plans
- sports without an audience? Drive-ins? Need to be
creative.
 Need summer activities in downstate
 Special attention on public housing and low-income communities
 Focus on food banks & childcare
 Include philanthropic partnership
 Reopening/Reimagining

The State is consulting with

local leaders in the region to
formulate a plan
healthcare professionals,
business leaders, etc.
 Employees
&
Customers
Mental
Gathering
Health &
Size
Wellness

PEOPLE
Vulnerable Social
Populations Distance

PPE
 Access &
Screening
Travel & Capacity
Transportation Requirements

PLACES
Frequent Cleaning &
Use Hygiene

PPE
 Test
Trace
Isolate

Communication Training

PROCESSES

People
Risk
Policies
Monitor the public health
impact.
Determining How Fast the Virus Will Spread
Disease Decline R0 = <1 Disease Stability R0 = 1 Disease Spread R0 = 2
 3.5

2.5
Rt Estimates

1.5

1
Rt=1

0.5
0.8
Statewide
0 March 2020 April 2020
NYS DOH & UAlbany School of Public Health Analysis of the Imperial College Model.
 3

2.5

2
Rt Estimates

1.5

0.5
0.90
Upstate
0March 2020 April 2020
NYS DOH & Ualbany School of Public Health Analysis of the Imperial College Model.
 3.5

2.5
Rt Estimates

1.5

1
Rt=1

0.5 0.75
Downstate
0 March 2020 April 2020
NYS DOH & UAlbany School of Public Health Analysis of the Imperial College Model.
 600,000

Infection Rate
People

stays below
1.0
0

February 2020 Sept. 2020

 Monitoring
NUMBER OF NUMBER OF
NUMBER OF POSITIVE POSITIVE
HOSPITALIZATIONS ANTIBODY DIAGNOSTIC
TESTS TESTS

~.8
= Rt
1.2
MARGIN OF ERROR

Current Infection Rate Increases Hospitalization Rate

 Reopen
vs
Reimagine
In reimagining New York,
we will
BUILD BACK BETTER
We are not going backward.

We are going forward.

 The saga of the
L Train Tunnel
in New York City
MANHATTAN QUEENS

The L Train Tunnel carries

400,000 total average
weekday customers

BROOKLYN
 Tunnel Needs To Be Repaired

Everyone said it had to be

closed for
15 months 18

MASSIVE DISRUPTION
 Tunnel Needs To Be Repaired

A few smart, creative people

visited
and had a new idea.
 New Idea
 New engineering techniques used in Europe
 Not only shorten the shutdown
NO shutdown
 Instead of a 15-18 month shutdown
 Partial closure for nights/weekends
for 15 months
 There was an
explosion of opposition!

question the
 L Train Tunnel Project

Before After
 L Train Tunnel Project

Before After
The L Train Tunnel Project
is complete today.
Opens Today:

only 12 months.
L Train Tunnel Project Complete

Ahead of schedule
Under budget
No shutdown
 Why?

Why not?
and we can make it reality
NEW YORK TOUGH
SMART
DISCIPLINED
UNIFIED
LOVING