 You're a mask, Bernadette. What did you say? We're your mask. Yeah. I know you're Dr. Mask. That's a good one. All righty. Thank you. As we come to a conclusion of this year, it's a far different cry from the start of the year in January 1st. And I wanna really thank Dr. Ted and Dr. Fassan for just a partnership throughout much of our COVID, our monkeypox, our polio, in all the different circumstances that were attached to it throughout this entire year. They helped us navigate the turbulent waters of uncertainty. And even now, Dr. Fassan is going to go over some of the issues that we are facing as we move into flu season and as we move into dealing with some of the other respiratory issues that we are facing. You know, this has been a three years journey. The handoff came in January when the former mayor handed off to us the entire crisis we were facing. But I believe the combination of our healthcare professionals and everyday New Yorkers. Sometimes we forget the role that everyday New Yorkers played in dealing with COVID and some of the other crises that we were facing. You know, New Yorkers don't like people telling them what to do, but we were able to stay to them. We needed you to wear your mask. We needed you to get vaccinated. We needed for you to social distance. And they complied. They understood the urgency of the moment and they stood up. And because of the experience of our frontline workers, everyday New Yorkers, we were able to really push back on COVID and what it presented, the challenges it presented to our city and our state. But we had a very significant moment right now and Dr. Fassan reminds us all the time during the holiday season. We come together to be with our families and loved ones. And during that time, we really need New Yorkers to hear the directions that are going to come from these two medical professionals of how do we enjoy the holidays and spread love without spreading the virus. And we could have that combination. Everything from as you're feeling ill to stay home so you don't spread it to your loved ones, make sure that if you're in, surroundings that you're unsure about, that you wear face covering and it's crucial to make sure that you are vaccinated and you're taking the booster shots. And I'm sure Dr. Fassan will lean into that more so we'll get a full understanding of that. This year, particularly around the flu, from the briefing we receive, the numbers are higher than it traditionally is around this year. And when you combine it with the other elements that we're facing, the other RSVs, COVID-19, it just make it extremely challenging for New Yorkers. But we could get it done right. If we get covered and we do it right, the chart that we're showing now is showing some of the challenges we have with RSV positive results received electronically. And it shows where we peaked and where we stand currently. And so it's important for us to make sure we take the next steps. But today, we're also excited about announcing that kids six months through four years old can get the updated COVID-19 Pfizer vaccine at any of the 11 public hospitals. We know the virus mutates and this is going to allow us to deal with how that virus is mutating. And once of the only city, Dr. Ted, thank you, with our mobile units, 75 mobile units where you can get the necessary, if you test positive, we start the flow of given Palax Lovid antiviral medication that is given out. But in addition to that, 50 of those 75 units that we have will be also dealing with flu and other issues as well. So this is a real one. We led from the front on this issue and we're gonna continue to make sure that Tamar Flu and other items are available as we move forward. And so our community and faith-based leaders really came together. When you look at the numbers they speak for themselves, five million at-home tests was distributed through this network. 12 million masks were distributed. We came together as a city and combined our efforts to make sure that New Yorkers were prepared and we continue to do so as we move forward and during this other seasons that's in front of us. New Yorkers can go anywhere to a 250 walk up sites to attain free at-home COVID-19 tests is something that we're gonna continue to lean on. If you test and you define yourself to be positive, it's best to just stay home and utilize the services that we put in place. So it's clear. The direction is get vaccinated, get boosted, stay safe and make sure you enjoy a safe holiday season. I'm gonna turn it over to the dynamic duo, Dr. Fassan and Dr. Ted. Thank you, Mr. Mayor. And I'm happy to also run through the slides as we talk. It's good to be here today, happy holidays to everybody. You know, more than anything, we want everyone to have a safe and healthy holiday to be able to enjoy this holiday season. I say this all the time. It feels like the holidays have been snatched from us the last couple of years and this is our chance to snatch it back. And there's some smart and safe things we can do to make sure that that happens for as many people as possible. We're obviously grateful that New Yorkers can come together this year with their friends and loved ones. I realize my mic is not on, so that usually helps. It is on? Okay, sorry about that. We also know that assessing risks to ourselves and others is essential to our personal health, to our community health, and to our overall wellbeing. The fact is, as the mayor has shown and the slides will show, this holiday season, our city, like the country is experiencing unusually high and concurrent spikes of COVID-19 and other seasonal infections, especially influenza and RSV. Here we see our COVID test positivity. As you can see, it's been slowly increasing. I think this is a product of the changing weather. It's a product of increased social mixing and congregation around the holidays. And it's a product of us getting back to some semblance of normalcy in the way that we move about the world and live our lives. And so some of this is to be expected, but it is something we're watching very carefully. The mayor already showed the slide around RSV, and that's encouraging because over the last several weeks we are seeing a demonstrable decrease in cases. And then if we can go to the flu slide, we see a pretty dramatic incline and a much earlier onset of flu cases than we've really ever seen before. Encouragingly, this week, we're starting to see a little bit of a flattening in transmission, but it's still too early to tell whether we've hit our peak. So there are sensible precautions we can all take to protect each other. A couple of weeks ago I issued a health advisory that urges New York City residents to use high quality masks when indoors in public settings and in crowded outdoor settings. This is meant to reflect the reality that we are back to moving about the world in ways that feel somewhat normal, doing our holiday shopping, using the subway, going to school. And it's important that we take precautions as we do so, especially so we can spend time with loved ones this holiday safely and secure in the knowledge that we're doing everything we can to keep ourselves and our families safe. This is especially important for people who are or who are getting together with people that increase risk for complications from COVID, RSV or the flu such as those who are 65 and older, people who are immunocompromised and or have an underlying chronic health condition. The advisory also strongly recommends people six months or older get their COVID-19 primary series vaccination if they haven't already and should receive their updated bivalent booster if eligible. You can get your booster shot and your flu shot at the same time. And the fact is that the vast majority of people hospitalized with COVID and dying from COVID today are unvaccinated or incompletely vaccinated. And recent data suggests that the bivalent booster reduces risk of hospitalization by over 50%. So while we're asking New Yorkers to do their part, as a city we've developed a winter plan to navigate this season safely. This includes closely tracking case hospitalization and death data for COVID-19 flu and RSV, including emergency room use and available space in hospitals and intensive care units. We're looking at data trends and rapid changes such as large increases in cases in a short period of time here in New York City. We're also watching New York City and global data on COVID variants so we can quickly respond to any variant that may cause more severe disease or spread significantly faster than the multiple variants currently circulating and causing people to fall sick today. With all of that assessment, we're also making it as easy as possible for New Yorkers to protect one another by organizing community pop-up events offering the COVID booster and flu vaccine. In the last three months, the health department has organized more than 50 events where more than 2,000 flu shots and 800 boosters were administered. This is in addition to the 187 mobile clinics at congregate settings like shelters and supportive housing and nursing homes where more than 1,400 boosters and 100 primary series vaccinations were held, were given out in since September. During the month of November alone, we've partnered with 67 community-based organizations. We've engaged over 80,000 community members at more than 900 in-person street level outreach events and we've held over 100 in-person community conversations, 30 virtual conversations. And through these efforts, we've made more than 20, almost 25,000 vaccine referrals and more than 6,000 testing referrals and nearly 40,000 referrals to other health and social services because we know that so many people have delayed care and deferred care during COVID. We're also zeroing in on those most at risk of severe illness by calling people 65 and older who test positive for COVID to get them immediate access to Paxilivit. Through COVID Therapeutics Outreach Program, our nurses have consulted with nearly 32,000 sick New Yorkers who are 65 and older to get them access to Paxilivit. We're also sending text messages to remind people to get their bivalent booster, especially for those over 65. And we're requesting that all healthcare providers reach out to their patients who are at increased risk for severe illness at health and hospitals alone. They've, I believe, issued more than 2 million emails to patients to come in and get their COVID booster. And this is coupled with the 75 mobile test-to-treat units, 50 of which have rapid RSV and flu tests on site. So New York City is at our best when we come together to fight whatever faces us. Sometimes the best way to come together though is to spend a little bit of time apart. For people who are sick, they should stay home and avoid close contact with others and talk to a provider about testing, care, and treatment. You can call your provider or call 212-COVID-19 to ask about treatment and to even arrange same day treatment delivery. We can come together for our friends, our neighbors, and our loved ones in other ways too. Call in and check in on other people who may be sick or alone during the holidays. And finally, let's not forget mental wellbeing. Whether it's the stress of finding presents, hosting gatherings, or being alone during the festive period, or remembering those we've lost or the many other things that the holidays can trigger, please remember to take care of yourself. We have plenty of resources handy. If you need to reach out for help, you can call NYC-WELL at 1-888-NYC-WELL or call NYC-WELL or 988, the National Suicide Prevention Hotline if you're experiencing a mental health crisis. Finally, we wish you all a joyous, healthy, and safe holiday season and look forward to taking your questions. Thank you, thank you. Dr. Tett. I think we do under your Q and A here. Nope. We're open to Q and A. You know, this is a stressful time. I'm trying to figure out what I'm getting Kate and Bernadette for holiday. And a lot of stress. We have time for some on-topics, Mike. On RSV, relative of mine was recently hospitalized and it turned out had RSV. But what I'd heard, and I was hearing something second and third hand, so I'm not sure exactly what happened, but the testing for RSV didn't happen until a few days into the state. And what I'd heard was that they were short, they didn't have the test and then got them. So I was wondering, is this kind of an issue in general? This might be an isolated incident, but it seemed odd to me that they wouldn't have it with all the kind of talk we've had about how problematic RSV could be. Is there you guys hearing that or seeing that shortage of RSV test? In most settings, RSV is included as a part of a viral panel and that includes COVID, flu, RSV and several other viruses that we test for. So I don't know about the specific case you're referring to, in general, that's not what we're hearing from our frontline facilities that they're short of testing, but important data point and happy to follow up. And just to give you the health and hospitals experience, so at our 11 hospitals, we all do the viral panels, as Dr. Vesan said, and at all of my 50 community health centers, we do the same viral panel. At 50 of our mobile test-to-treat units, we do the RSV rapid test, which is a rapid version, of course, of the PCR test that we do in the hospitals and in the clinics, but we do it everywhere. Give us an update on hospital capacity and specifically pediatric beds. It's a great question and something we're monitoring very closely. We're, in addition to working with the data that the hospitals report to the state, we're also doing surveys with the Greater New York Hospital Association. It's a program we developed during COVID called SITSTAT, which is getting more granular levels on staffing capacity. And right now, the vast majority of the 49 reporting hospitals in New York City are not reporting severe staffing shortages in either the ER or in pediatric hospital beds, but there we have some spot issues, right? I mean, I think when you start to think about staffing, you think about, well, weekend staffing and night staffing. And so this is something we're monitoring really closely. We're nowhere near the kinds of staffing issues we've faced in previous waves of COVID, but it is something we're trying to get ahead of. And we're in constant conversation with the state. I was just on the phone with them today about this issue and with our federal partners about relief in the event that we have to pull on these emergency staffing contracts that we've had to pull on in previous waves. Erin? You talked about these spikes in all three viruses. Can you just give us the numbers? Where are they now and what are they up from? And also you talked about the vast majority of deaths being unvaccinated, what percentage of staff? Okay, happy to get you the final numbers. I mean, basically the case rate over the last seven days is 300 per 100,000. What does that mean? That means that it's a fairly significant level of transmission. It's a high level of transmission if you look at the COVID community levels indicated by the CDC. And we've been in that level of transmission for a large part of the summer. It dipped down in early in the fall and then it's come back up as the weather has gotten colder and people have started mixing more. So not altogether unexpected. The hospitalization rate is 19.9 per 100,000. Again, not something that we've seen as sort of critical. This is part of why when we are announcing this winter plan of how we're assessing these three viruses, we're not looking at absolute thresholds as ways to say, hey, we're in high, medium, low or red, yellow, green. It's rather let's look at trends and let's look at rapid changes and let's look at how to predict what might happen in New York City based on what's happening in other parts of the globe, rather than, hey, we've hit this absolute number because those numbers are having a little bit less relevance to things like staffing. Now, because we're not seeing as many people hospitalized from COVID due to COVID like illness as we have in previous waves. I can go, we can get you the rest of the numbers as well. I don't want to belabor them. In the vaccination question. Sorry, what was the question? What is the percentage of people dying that are vaccinated versus unvaccinated? We'll get you the numbers, but it's over 80%. Look at that. What was it? That's positive. The warehouse fire was the other day. So it's a big outbreak.