Cal Poly 2020 Fall Plans Virtual Town Hall

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Cal Poly 2020 Fall Plans Virtual Town Hall

≫ Provost Jackson-Elmoore: Joining me today via Zoom are

seven panelists, including experts who have been advising Cal Poly and leading our teams in preparation for this academic year President Jeffrey Armstrong, Dr Borenstein, health director of the County of San Luis Obispo, Dr Kevin Ferguson, medical directory of Dignity Health, California Central Coast ID Consultants , California Central Coast Service Division Laboratory Services, fellow of the American society of clinical pathologists, and president of western diagnostic services laboratory, Tina Hadaway-Mellis , who also serves as our university ‘s infectious and communicable disease response director Anthony Knight, director of emergency management at Cal Poly , Dr , Dr Aydin Nazmi, faculty fellow for COVID-19 response and preparedness, and Dr Trees Ritter, chief medical officer at Arroyo Grande Community Hospital, partner at Disease Mitigation Consultants, and founder and managing partner at Central Coast ID Consultants Now I’ll turn things over to President Jeffrey Armstrong ≫ President Armstrong: Thank you, Provost Jackson-Elmoore It’s great to be with you today to answer questions about our campus plans This is an incredibly stressful time for most of us for so many reasons That said, I want to take a moment, because I believe it is especially important to acknowledge the increasing social and emotional toll of the ongoing racial violence and the particular challenges and pain the black community and our black friends, family, colleagues and students continue to endure The repeated violence against black people weighs heavily on our minds and our hearts, especially with the events this week So many in our community feel this ongoing trauma day after day, and we acknowledge the stress that it brings to many in preparing for the upcoming quarter As we look to the upcoming quarter, there have been many questions from our campus and broader community around our plans, and specifically, the rationale behind the decisions we have made Today, we are happy to address many of those questions with the public health and infectious disease experts who have been guiding us We hope to meet the challenges of the day with data and science to find the best path forward We know that every course of action has risk, and that we will always be balancing interests, in this case student success and risks We take very seriously the fact that any decision will have impacts on many, especially our students, faculty, and staff, and our neighbors in San Luis Obispo and the Central Coast Our planning has been guided by the advice of both on and off-campus public health and infectious disease experts in our community, including our own faculty I want to thank the many faculty and staff serving on our emergency operations center, and on teams and health services facilities, housing, human resources, emergency management, and more for the tireless work they have put in helping Cal Poly adapt over these past six months I’m also appreciative of a partnership with the City and the County, especially Dr Penny Borenstein and Wade Horton Our campus housing and classes are a part of our

DNA, as a comprehensive polytechnic university, and are inextricably linked, and the fact that students start labs and work on projects day one Because of the nature of doing hands-on education, we, more than most universities, have to be disciplined and learn how to deal with the virus We must balance the continued success of our students with mitigating risks associated with the pandemic Out of an abundance of caution and in consultation with our experts and Dr Borenstein, we have decided to limit on-campus housing to singles As of today, we plan to host 4253 students, mostly students new to Cal Poly, in on-campus housing in accordance with guidance issued by the state We were able to make the change to singles because of a well thought-out plan by student affairs to have students defer and stay at home, and not overpopulate the neighborhoods Also based on an abundance of caution and on the recommendations of Dr Borenstein and our experts, we will require that all students living on campus present a negative test result for COVID-19, taken within the 72 hours prior to arriving on campus We understand that logistics and other circumstances may make it difficult for a student to obtain a test within this frame In the event that a student cannot obtain a test, students can still check in, and we will work with students to obtain a test over a short interval We mentioned in a communication earlier this week that we would provide details on additional testing and screening at a later date I’m pleased to provide an update today on our ongoing plans to screen and test students Again, through the advice of our experts, Dr Penny Borenstein, and in partnership with Dignity Health, we have expanded screening to include all students on campus for any reason before start of classes, September 14th Consequently, we are requiring that all students living off campus who are enrolled in an in-person class, , or otherwise plan to be on campus, present a negative test result for COVID-19 before participating in any on-campus activities For students not able to obtain a test, we will coordinate testing or screening with our team at Campus Health & Wellbeing The frequency of additional screening will be determined based on the data, from the prevalence of the virus from our initial screening of all students living on campus or those who live off campus and visit campus We strongly encourage all students living in San Luis Obispo and taking 100% virtual classes to obtain a negative test result for COVID-19 for COVID-19 Those who volunteer to teach in person will be at minimal risk due to protective measures implemented in campus housing and face-to-face classes Our plan is to offer roughly 12% of our 4300 sections in person Enrollment data suggests that fewer than 6,000 students will be taking at least one in-person class this fall The classes being offered in person were identified by our faculty as being difficult or impossible to offer virtually, from labs to performance classes, milking cows, to testing rocket designs For our friends and neighbors in San Luis Obispo, the biggest concern is likely having more students living in the community, especially those who may be returning to SLO from areas with higher rates of illness and those who choose to participate in risky group behaviors. Parties We understand your concern Our experts indicate that proper use of masks, distancing , handwashing, et cetera, will clearly mitigate the risk of having additional people in our community The key, of course, is compliance with these precautions Every person has a responsibility to prevent the spread of the coronavirus That means wearing a face covering, practicing physical distancing , and following all of the local, county , and state guidelines, including the safety enhancement zone established by the City of San Luis Obispo Cal Poly receives daily reports from the San Luis Obispo Police Department and will enforce violations of these orders via the student conduct process

Let me be clear, students or organizations that engage in behavior that compromises the health and safety of the Cal Poly community will face consequences, including potential suspension or expulsion from the university Each student that chooses to come to Cal Poly, whether on or off campus this fall, is committing to upholding these guidelines, without exception There are many more specific questions to answer, and I’m looking forward to our discussion with these experts to dive even deeper. Thank you ≫ Provost Jackson-Elmoore: Thank you, President Armstrong Let’s get right to the questions with the broader community To ensure an authentic discussion, , we have shared the questions with the panelists ahead of time To keep our discussion moving forward through these many important topics , we are going to try to limit responses to five minutes per question So we are going to go ahead and get started with the first question It is why does Cal Poly think that we can do this where so many others have failed? What is so different about our plans and our students than, say , those at Chapel Hill or Alabama? ≫ President Armstrong: I’ll start with the question, and hopefully some others will add, but every situation is different Cal Poly San Luis Obispo is different We are working, have been all along to encourage those who are vulnerable to go 100%% virtual We are also limiting students living on campus We have a plan not to have zero COVID but to mitigate risk ≫ Dr. Ritter: Let me add a couple of comments. This is Dr. Ritter So the other thing that I think is very important, and this is what we have seen actually in our local health care environment as well is that we have a bit of the luxury of time and watching examples from other places, and we have seen that with the health care system, and we haven’t had our health care workers get infected at the leading edge of an epidemic, as was seen in other communities, whether it be in Burgimo, Italy, or New York City, where many health care providers were infected I think we have seen this coming, and we have an opportunity to learn from mistakes from other institutions, and I think is an important part of the plan of why this can happen successfully here We also have a more extensive testing — or at least initial screening and testing upfront that perhaps was not utilized at other institutions ≫ Provost Jackson-Elmoore: Okay. We are going to move to the next question President Armstrong has said clearly that he expects there will be cases and outpatient basis and outbreaks What are Cal Poly’s contingency plans for outbreaks, and how can those be managed safely? What scenarios or thresholds would lead to the closure of dorms or the cancellation of in-person classes, and please let me know if you need any of that repeated ≫ I can take that one Cal Poly is working closely with our health department and Dr Penny Borenstein and the experts that you see here We are going to be basing decisions off the totality of circumstances and input from experts We have internal thresholds that will initiate discussions, and we have contingency plans that will reduce operations or help throttle down similar to where we were in March following the onset of COVID-19 ≫ Thank you for that response Is it possible for my daughter daughter to make an appointment once we get on campus, once we arrive, as it will not be possible beforehand? ≫ Tina Hadaway-Mellis: I will work with students if they are unable to meet the window of a 72-hour requirement

We also have plans in place to ensure that we have testing capability and capacity during move-in, and we’ll work with students if you’re not able to schedule ahead at one of our county locations We’ll work with them when you arrive to make sure that you have access to something ≫ If I could add on to community testing capabilities, we do have sites that open appointments, same-day appointments , at various locations, including in SLO City in the County We also recommend for those that have the time frame to do it, the turnaround time for ordering a specimen kit online, I’m told, is about three days, so if the move is more than three days out, you can go online, order a test kit, get it delivered to your home, send it, and then get the results at some point a couple of days later when you’re in transit or when you arrive ≫ Provost Jackson-Elmoore: Would anyone else like to comment? I was asking you if anyone else would like to comment Next question. We didn’t hear about Cal Poly’s plans until recently How long has the university been preparing for school starting, and can you tell us a bit about the planning process ? ≫ President Armstrong: This is Jeff. I can start We have been working diligently since the onset of COVID-19 , especially in March, when we had to move to 100% virtual. There is no playbook for this We have been involving and constantly talking with our experts , so some things have happened along the way with regard to changes and guidance , waiting for the governor’s guidelines, so it has been a moving target, but I feel good as we — I feel good about where we are today Would we have liked to have had some things done two months ago? I am sure the whole world feels that in dealing with COVID, it is a very dynamic situation, and it’s not one where it’s a zero or a one So, we have to balance and mitigate risks with continuing our polytechnic mission ≫ Anthony Knight: I want to add to that a little bit Discussing about our planning process, so, we have had a very collaborative planning process from the start that has engaged cross divisional leaders throughout the campus to include students, faculty, and staff At the height of it, we had 39 various task forces engaged in different planning efforts across the campus In addition to that, we have worked very closely with our local city, our county, very closely with Dr Borenstein and the public health department, our state partners, as well as all of the business partners and experts that you see here on the panel today, and we have worked with other universities and cross system-wide with all of our CSU partners ≫ Provost Jackson-Elmoore: Is there anyone else that would like to comment on this question? Next question, are there specification s as to the type of requests that Cal Poly requires? ≫ Dr Ferguson: I work closely with the Campus Health & Wellbeing laboratory We are asking everyone to get a PCR test, and that’s the test used to look for active disease The other types of tests that are frequently available are antibody tests, and that tells you whether or not you might have had COVID in the past That’s not the test that we are looking for. We really do want a PCR test Again, if you can get that test prior to you arriving on campus, that’s preferable We would like to have the test performed within 72 hours We are repeating this in case people are joining late, but we would like for you to have a test and bring a test with you within 72 hours If you can’t, there will be an opportunity through the campus through the health and well-being clinic There will be more details on that to follow You can go online and contact the San Luis Obispo County public health department. Those tests are available. You can order a kit And even if results won’t come back, you can still take the test and have the results in process ≫ Dr. Ritter: This is Dr Ritter

One additional caveat is I imagine there may be a small number of students returning to campus that have, in fact, had COVID in the past three to six months, and some sort of documentation of that would suffice , instead of a positive test, now knowing that there is at least some durable immunity , although the length of that immunity is still unclear, so if you — if, for example, you had COVID two months ago, if you can bring some sort of documentation of that, that would suffice as well ≫ Tina Hadaway-Mellis: To repeat, PRC, molecular , antigen, diagnostic are the key words that folks would be looking for as they are looking ahead to schedule a test If it’s an antibody test, that would not be acceptable at this point in time, but if you or your student has had COVID within the last 90 days, proof of a positive test within that time frame would be acceptable as well ≫ Provost Jackson-Elmoore: Are there any additional points of clarification? Okay The next question is what are the restrictions on students’ congregating? Are we allowed to go into each other’s rooms if we are in the same dorm building, and what is the group size that is safe indoors and outdoors? ≫ President Armstrong: Dr Borenstein, would you talk about the counties and regulations on group sizes? ≫ Dr Borenstein: Yes, I was going to jump in, and then someone from Cal Poly can be more specific as to the logistics of the operations on the ground, but from a high- level perspective, under the Governor’s orders and a state public health order , there is still a consideration that there are no gatherings of any size allowed I will add, however, that we recognize the reality in communities is that there are people that get together across family units, outside of households, and so , with that reality ,, what I have consistently recommended is that you choose your one or two besties and stick within what we call, in epi terms, that social bubble, so there is not a lot of interplay and interchange across social groups, so the idea would be for a three-week period, you identify those people who you might communicate with, spend some time with in the rooms and the hallways I would recommend doing so with all of the other orders that are in place of physical distancing of six feet, wearing masks if you’re in direct proximity of others, but we want to find the sweet spot between what the statewide order says and what will be the most protective for a large number of individuals So, how that gets operationalized in dormitories, where there’s a lot of students who may have the opportunity to come together, I’ll talk about — I’ll let folks from Cal Poly talk about how they would monitor or oversee or remind students of these precepts ≫ Anthony Knight: I just want to take this time to remind folks, as Dr Borenstein said, you know, it’s really about doing our part, and not coming together in close proximity to each other, and we do advise against having gatherings in your room That is not in line with the Governor’s guidance, not in line with the residence policy There are opportunities to come together and still physically distance and not social distance, right, in a safe way, whether it’s outdoor activities or some of the larger community areas in the halls at a proper distance with proper face coverings in which you’ll be able to interact, but definitely a strong encouragement and not a time to be having large groups or groups of others within your room ≫ Tina Hadaway-Mellis: I can add a little bit to that What we are hearing from students who are still with us in our community , they are very used to going around to other venues, where face coverings are required, physical distancing is required Sometimes it’s easy for us to loosen up when we are around our friends —

And keep those face coverings on and keep ourselves physically distant from each other, and really normalize the maifrs that we want to see the behaviors that we want to see. I think it will be successful It feels antithetical to a college environment to have to keep ourselves distant from one another, but this is the rules that COVID has created, and I think our students will respond really positively and do the right thing ≫ Provost Jackson-Elmoore: Thank you, Dr. Borenstein, Anthony, and Tina Before I move on, I just want to make sure that no one else wanted to weigh in The next question is going to be of a similar vein, so if there was something that you wanted to add, this might be an opportunity It says, what does quarantine entail for those living on a off campus, ? For those who are on campus, what are the protocols for meals, laundry, et cetera? What support, if any will the university provide for off-campus students? And again, if you need any part of this question repeated, let me know ≫ Tina Hadaway-Mellis: Sure. I can take this, start off with this one So, from the standpoint of what it means to be isolated or quarantined , isolation is for those folks that have tested positive and that need to be isolated from others around them Our campus and our campus partners have done a fantastic job planning on these types of situations We have a number of isolation spaces identified We have built up a supportive isolation and quarantine team that is ready to respond and help our students, not just physically relocate from their on campus location but to also take into consideration the holistic nature of what it means to be isolated So, this might be your first time to Cal Poly You might be new, a new, you know, first- time freshman, and now all of a sudden you have got to be isolated in a different space That’s got a lot of social impact and a lot of anxiety and different stres different stressors that that presents So our team has built up a care management philosophy, so we’ll make sure that students, one, their meals will be delivered ; their laundry will be taken care of; we’ll be checking in on them through a technology platform, ensuring that we are checking their symptoms , following up on any concerns that they might have , engaging in telehealth appointments with Campus Health & Wellbeing, if there are any concerns related to their ongoing health and how things are progressing, as well we’ll make sure that they have the pieces of the puzzle that they need to recover and feel supported at the same time, knowing that this is a very stressful environment We’ll make sure they know how to reach out and connect to our on-campus counseling services, if that is something that they are interested in doing , and then just ensuring that they have their — everything they need from a technology standpoint to stay engaged with their classes and make sure that they are feeling okay Anyone else want to take that? ≫ Dr Ritter: Just one additional caveat to that is that it will not likely be strict isolation of one person I mean, it will be a cohort of individuals, if there are other positive people as well who have the same disease and will actually be able to interact with each other So it’s not like people are going to be put into ” the hole” and be completely isolated ≫ President Armstrong: This is Jeff Just to add a couple of other points, we had one entire building, Sierra Vista, I think over 117, and with deferment, there would be isolation for individuals that are suspect, and if they quarantine, they can quarantine if their single room And then the question was, off-campus, I believe Dr Borenstein can comment, and others, but individuals in the community typically quarantine and isolate at home We will work with particular situations, where there may be a larger number of students in a facility off-campus, and then we would help them to remove one person out of six or ten and so we will be paying attention to that, but the default is that quarantine and isolation is in the home, off campus, and I’ll defer to Dr. Borenstein or others to correct anything I have just said ≫ Dr Borenstein: Yeah, so what I can add from the County’s perspective is that we have a program that has contracted for hotel rooms for the isolation of vulnerable individuals We also have a number of trailers that we acquired from the California Office of Emergency Services They are fully loaded with facilities , and we would make them available for

spillover, if the circumstances were such that there wasn’t sufficient room on-campus or if there were individual scenarios of someone off-campus that was particularly high-risk individual that would need to be separated from roommates That would be a consideration to utilize our programs ≫ Tina Hadaway-Mellis: I would also want to add to Dr Borenstein’s statement that, you know, not all of our students have the same resources They don’t come from the same backgrounds, and they don’t have some of the same privileges that we all share, and we have taken a lot of that into consideration to make sure that our students in the highest need areas get direct support as well So, if there’s any reason that for — if you find yourself in a situation where you are asked to isolate on quarantine, and it’s the difference between you couch surfing at your friend’s house and you sleeping in your car, we want to make sure that you know to reach out to our Dean of Students office Our interim dean of students, Dr Joy Petersen, we have a team of folks that can help make sure you have the resources you need Not all of us get to go home to the same bed every night, and we understand that not all of our students are in the same privileged position, so our dean of students office can help with that and ensure that you have access to our on-campus food pantry and other basic needs that we on campus can support ≫ President Armstrong: Provost, I would ask for comments, our health and well-being center can help turn a test fairly quickly, same day , but when that negative test arrives, I just want to hear from the experts, what does that mean for a student? ≫ Dr. Ferguson: [ Simultaneous speech ] — ≫ Go ahead Go ahead, Trees ≫ Dr. Ritter: I’ll be brief It depends on the circumstances of the test If you have circumstances where you’re exposed on day zero and tested on day one or two, a negative test does not mean that you’re completely clear and you’re not going to develop COVID; that means that we were unable to detect it at that time and you could still potentially be in your incubation period So there are circumstances where people will require 14 days of quarantine If somebody develops symptoms and we do a test and find out it’s not COVID and it might be smells might be something else, then that person, that negative result for COVID is very useful, and they can be released from quarantine So, a lot of this is unique to the situation ≫ Dr Ferguson: You know, and I’ll just go off of what Dr Armstrong is saying Because a lot of tests will be performed in the campus laboratory, we get immediate turnaround time So unlike the testing situation out in the community in some places, where you’re waiting a week or two weeks for a test to turn around, we don’t expect that to be a factor here, that if we need to, we can get a follow-up test and get that test and get a result back right away ≫ Dr. Borenstein: I would like to weigh in We are doing this with a lot of congregate care settings, be it nursing homes, prisons, state facilities There’s baseline surveillance testing, so someone could become positive through that testing That might be a longer turnaround, versus someone who is symptomatic and we need to know right now is this COVID, and they would be tested presumably at the health center, as the first point of contact In either case, when there is a positive person tested in our county, the public health department gets that laboratory report, and we go immediately into action, usually within the same day Individuals who are positive will hear from a case investigator to determine any possible sources of their infection and also who they may have been in communication with over the last 48 hours who may now be at risk for being the next case of COVID So, through that process of case investigation and contact tracing, we will identify individuals who are at higher risk for that exposure, and we’ll work with the campus health services to make known both to the individuals, as well as the university who is in need of isolation and/or quarantine orders ≫ Provost Jackson-Elmoore: Thank you for that robust

response and, you know, just peeking ahead, I think that those topics will come back up again, so if there’s something that didn’t come out on the table, we’ll be able to clarify them Dr Borenstein, this next question is for you specifically, and it’s what are your thoughts on activity at Cal Poly? What would cause you to take a different position than you have right now? ≫ Dr Borenstein: I think as you heard President Armstrong talk about, this is a very dynamic situation. There are no good answers If there were, we wouldn’t be spending many, many hours a day thinking about this, and nights, and as we have with every other outbreak that has happened in our community , clusters, again, these same kinds of congregate care facilities that worry us the most, with high-risk individuals, like nursing homes , prisons, jails, our state hospitals, et cetera , we work very closely with the management on the ground to stand up very robust testing around positive people and try to get a handle on how far and wide the disease is spreading in a given community or a facility And so we don’t have a prescription in advance of , you know, what is the number at which we would close down a dorm? What is the number at which we would close down a floor or an entire campus? It’s an iterative process, and it will depend on how things progress in our community, what our testing capabilities are, what our contact tracing and responsiveness from the student body is, and, you know, and keeping our eye on making sure that we are moving in a right direction after, you know, we are able to put all of those elements into place ≫ President Armstrong: If you don’t mind, this is Jeff, I wanted to add , it’s very clear that risky behavior off campus is uniformly, and what our experts on this panel have said, it’s our biggest risk, and so that’s really inherent with what Dr Borenstein was saying, to have outbreaks due to risky behavior of that nature, that — that is what can cause the biggest spikes in our situation So I just wanted to iterate that, and I’m confident that our students will follow protocol and do the right thing ≫ Provost Jackson-Elmoore: Any other comments before we take the next question? The next question is, “Other schools, like UC Berkeley, are covering the cost of testing for students moving in on campus. Will Cal Poly reimburse for the cost of testing?” ≫ Tina Hadaway-Mellis: I can take this one Cal Poly and the health center is currently not charging students for their test, and that’s something that we are committed to continuing for the better part of this academic year, and I want to make sure our students don’t have barriers to testing We don’t want to discourage them from coming in to be seen by a medical provider and create undue financial hardship for those, where that might be the deciding factor on whether or not they reach out to us I also wanted to add, the health information that’s shared within Campus Health & Wellbeing stays at Campus Health & Wellbeing If it is a conversation between you and your medical provider that you happen to be at a particular gathering or party or somewhere that may be — that you might not want to be in the time of COVID, that’s not information that we are picking up the phone and sharing with others across the campus That’s a private conversation between you and your medical provider, so I do want to ensure for thoekz for folks out there that there is a sense of privacy and trust that is established between you and your medical provider and that wouldn’t necessarily be shared out with the Dean of Students Office right away. We want you to talk to our medical providers We don’t want to set up a scenario where it feels like a gotcha or that there would be an erosion of trust That’s the exact opposite of what we are trying to accomplish ≫ Provost Jackson-Elmoore: Would anyone else like to add any context here? ≫ Dr. Borenstein: Sorry I was not unmuted So, I was saying, adding to that is there is a national requirement now that there be no cost sharing for a COVID test, and that is not purely implemented, so you can’t go into any doctor’s office and ensure that they won’t charge

for the visit, but student health services, as you heard mentioned, as well as our community locations, they will, in the community testing and the online testing , urgent care, many places that you go, they will ask for health insurance, but we will not turn away anyone from our community testing sites if, for whatever reason, they do not have health insurance and cannot afford the cost of the test ≫ Provost Jackson-Elmoore: Thank you, Tina and Dr Borenstein The next question is what mode of COVID transmission is Cal Poly most concerned about? For example, touching services, breathing air from someone who is infected , and other potential forms of transmission ? ≫ Dr. Ritter: I can talk about this one So, the main mechanism of transmission is through droplets, which are small particles that get expelled from all of us as we talk, laugh, cry, sing, or do — or sneeze, anything These are microscopic particles that are coming out of us They are usually capable of carrying enough virus to transmit the infection, when somebody within a meter or two of you breathes them in or if they are to land on a mucous membrane, like your eye, and so that is the main mechanism of transmission These are droplets that gravity acts upon, and they fall to the ground within about two meters There are two other mechanisms of transmission, which are possible but are much, much less efficient in their mechanism of transmission One of those is described as airborne, which are smaller droplets that can stay within still air for a prolonged period of time , and you can detect virus, and there are researchers that have detected virus in airborne — in airborne particles that are small However, the number of viruses within those particles and that the — the time that they are there, it makes that mechanism of transmission very, very inefficient, and so it is still a theoretical mechanism of transmission , but it is incredibly inefficient to spread, and so what we are seeing in the real world is that people aren’t frequently getting infected via the airborne route The final way that has been hypothesized for transmission of disease is through inanimate objects or through — and so this would take somebody touching something after they have coughed on their hands and then somebody else coming to that surface and then touching it and then, you know, touching a mucous membrane, and, again, this takes a series of improbable events to transmit the infection, and we are just not seeing that as a viable mechanism of transmission So, in the advice that we have given to prevent the vast majority of infections, we’ve — our advice has been to make sure that individuals that are coming into contact with each other avoid — they avoid trying to come in contact with each other, but if they must, covering your face with a face covering, and, again, the purpose of that is to prevent what’s in you from getting out into the world and somebody else breathing that in, and so that is the focus, is really keeping people several meters apart if at all possible and using face coverings, and those are the mechanisms by which you can prevent the vast majority of infections ≫ Provost Jackson-Elmoore: So I’m going to ask for a quick point of clarification, and that was an excellent job of laying out the different ways that transmission could occur So, what are we, at Cal Poly, most concerned with? Of those various forms of transmission, which one are we most concerned with? And then maybe the other side, which are we least concerned with, now that you have walked us through that? ≫ Dr Ritter: Again, the droplet transmission, that is the one that we are most concerned about, and so that is the limiting of face-to-face interaction between individuals without appropriate face coverings So that is where the focus of the efforts will continue to lie, and we are less concerned about

the — transmission or the airborne transmission ≫ Provost Jackson-Elmoore: Thank you, Tina, I think you had something, and that will probably be our last expert on this one, and then we’ll move on to the next question ≫ Tina Hadaway-Mellis: Sure I was just going to add that my biggest concern, just as an individual, no matter where I am, is getting too close to someone that doesn’t have a mask on and spending too much time with them So I would just translate that to my overall concern about transmission anywhere, including campus , so going back to the ways that we can keep ourselves protected and mitigate our risk and ensure that we have got the proper equipment and face coverings available to us to lower that transmission possibility ≫ Provost Jackson-Elmoore: Thank you, Dr. Ritter and Tina Our next question is, how many contact tracers do we have ? Are they shared with the County, or are they just for the University, and if shared, what assurance do we have that they are sufficient to cover an outbreak? What size outbreak can they handle, keeping in mind that contact tracing only works if completed immediately? ≫ Tina Hadaway-Mellis: I can start with this one From the very beginning, when we started testing students and sending specimens out to a third-party lab , one of the caveats that we adopted was to collect the information about a student’s close contacts prior to the test going out So, really, prior to knowing what that result might be We wanted to ensure that we were able to capture that information very quickly, knowing how fast this was developing and how fast it seemed to be spreading We wanted to get the information to our county in an efficient manner, so they had a list available to them so they could begin their contact tracing efforts. We were supported by the County in those efforts We used the same form that they were using , and many instances, as we started to see positive cases, we were able to get out very far ahead of that and actually not wait for a phone call or a return phone call, from someone to help us complete that form So, we’ll continue that aggressive effort of contact tracing We have put out a call for volunteers to complete the UCF/UCLA training that is supported by the County of San Luis Obispo We have recruited a team of volunteers that have gone through that training The State’s minimum requirement for a campus our size is three contact tracers for approximately 18-20,000 individuals We are Cal Poly, so we are going above and beyond that, as we do in all aspects , and we are asking, currently, we have seven We are recruiting every single day and entering into a partnership with the County to ensure that our tracers can contact with their tracers to keep efforts very coordinated , very connected, and ensure that nothing falls through the cracks in this process ≫ Dr Ferguson: And I’ll just jump in and underscore, the ability to do the testing right here at Cal Poly means that we can do much more aggressive contact tracing We get those results back right away, and then we can look for contacts of additional positive people, so we can widen the circle as needed, quickly, based on that information ≫ Dr Ritter: Just so everybody understands, the accepted number of contact tracers per hundred thousand population is 15, and so in our recommendations at Cal Poly, we have advised them to exceed that dramatically , in an effort to make sure that Cal Poly continues to succeed and to excel, not only in this but in other areas as well ≫ Dr Borenstein: And I would add, so, we meet that metric of — well, just shy of it, but we are bringing new people on all the time on a County basis. Our population would warrant 32 individuals We have got 39 who work in contact tracing at any one time; it may be less, but we are very flexible to build up and back down, depending on what our caseload is on a day by day basis We do the evaluation starting within a day of finding a positive case We are working to jump start that process, of gathering information as quickly as they get a positive Often, people do not remember exactly what happened over the last 48 hours, so getting that immediate information is important

And I also want to mirror something that Tina said earlier about the confidential nature of medical services, both on campus as well as our county contact tracers We try to reassure from the very beginning of a conversation with someone that whatever information they share regarding their whereabouts in the 48 hours prior, and that our subsequent calls to potential contacts do not identify the person We don’t ask for personal information, and we really try to ensure that this is about disease prevention and not, you know, nailing someone for bad behavior ≫ Tina Hadaway-Mellis: I also want to give a shout-out to our information technology services and our student affairs information team, our IT team We are bringing on a platform to assist in our symptoms screening for students that we’ll be asking them to complete on a daily basis, and this technology can be scaled up to also assist in our contact tracing efforts , and we are receiving legal guidance on our ability to share that platform with our county partners to connect again and make sure that that’s all very available and at the ready I think there was another part of that question regarding the size of an outbreak that we can handle. Dr Borenstein, can you provide a definition of an outbreak from the public health perspective? ≫ Dr. Borenstein: So, it really does vary depending on the setting So, for instance, one case in a skilled nursing facility, we consider an outbreak We very aggressively go in and test staff and residents We would probably have a similar response to a congregate setting That might be a dormitory where we would identify people who had immediate contact and do robust wraparound testing So, probably two or three cases in a dorm, we would consider a cluster , and, yeah, we’d go from there To give you a sense of what kinds of responses that we have been able to do in public health, for those of you who are familiar with our local facilities, California Men ‘s Colony, or CMC, which is a state prison located US up the road from Cal Poly, they have 3500 inmates, and we were able to work with the prison and provide additional testing and interview support for all of their inmates in a one-week period So we have a great team that can really do very large numbers, in terms of testing and communication on contact identification ≫ President Armstrong: I just wanted to ask our experts to clarify , we have said several times “immediate contact ” What qualifies as being exposed, and what doesn’t qualify as being exposed ? Because it’s not just walking past someone on the street or being in a classroom ten feet from someone with masks on, but would you all clarify? ≫ Dr. Nazmi: Yeah, I can take this The CDC definition of close contact is within six feet for 15 minutes or longer, and the CDC further says that whether or not you are masked , you are considered a close contact within those parameters ≫ Dr Borenstein: And I would just add, within the last couple of days, the state of California provided additional guidance that that 15-minutes does not have to be a consecutive 15 minutes So, accumulative exposure of 15 minutes to another individual who has been confirmed to carry this virus would be considered a close contact, if within six feet ≫ Provost Jackson-Elmoore: Are there any other comments on this particular question? The next question is how will Cal Poly support mental health , community building, and safe socialize during the fall? Particularly for students that are taking all online classes? ing during the fall? Particularly for students that are taking all online classes? ≫ Tina Hadaway-Mellis: I can take this one and channel our chief advisor in student affairs, Keith Humphrey, and all of the people in student affairs are working to ensure that the total student experience is positive and supported Campus Health & Wellbeing, we do have a county center We have close to 20 mental health providers that are at the ready to provide virtual services at this

moment, as we will ensure that students are connected to mental health resources, if that’s something they are interested in doing Our Dean of Students office Students Office, our parent and family program, our new student orientation programs have been doing a tremendous amount of work over the summer, building virtual platforms, virtual engagement experiences, virtual open house , W OW, our orientation events, building quite a bit on those and adapting them to our Cal Poly Now app, that , that our students will get up to date information about how they can stay virtually engaged, keep all of the information at their fingertips so they can continue to virtually support one another and meet all of the physical distancing requirements So I would encourage you to head over to the student affairs web pages and our academic affairs folks in the classrooms are coming up with very creative ways to encourage and ensure that students stay connected to one another, and I know our faculty has been working really hard to make sure that that message is readily available to our students. So ≫ Provost Jackson-Elmoore: Thank you, Tina This next question, several of our panelists touched on earlier I do want to read it into your hearing, in case there were any components of it that you didn’t get to address It is, “Can someone run through what happens when a student tests positive? What are the steps that will take place, and how will others they contacted be notified or traced? Please walk us through how this works.” And, again, several people commented on this, but I don’t know if you were able to bring out everything that you wanted to ≫ Tina Hadaway-Mellis: I can take that one and share experiences so far at the health center So, our students have been engaged in telephone calls and scheduling their appointments ahead of time, which has been very different They are presenting to the health center They are letting them know, one, if they have been in close contact with a positive case or if they have symptoms Our medical providers are performing the test, and the test in all of the proper PPE The test has been available, usually same day, because our lab staff has been awesome, sometimes over 24 hours. The results are received A phone call is made to that student to let them know what their status is, and an immediate call and connection to our County health officers to make sure that they are connected and have the right information The student is asked to isolate, and, you know, as long as they are doing okay, if they present or have any complaints of a high fever or trouble breathing, they are instructed to immediately seek help at a local, you know, urgent care or emergency room That’s from start to finish at this point, and I’ll let anyone else add to that ≫ Dr Borenstein: Kaye Yeah, so in addition to that, and again, getting that jump start is meaningful to us, but we also follow up on campus or off campus with every individual who tests positive in our county to do that case identification and really drill down and understand potential sources of transmission, where the person may have gotten the disease That helps inform our epidemiology and surveillance County wide, and then we, as part of the interview, identify additional contacts that we communicate with in order to issue quarantine orders Those are the people who may be at risk of being the next case, and so they need to stay out of the community in order to not transmit further downstream ≫ Dr Ritter: Really, after a positive case, there are two parallel pathways One is the student, and that’s what it was mainly geared towards , and then also behind the scenes, the validity of a test , making sure that all of the contact tracing is done and that we test aggressively in concentric circles around those contacts and positive individuals looking for more cases, and that is how you interrupt a transmission cycle , rather than just waiting for the next, you know, person to become symptomatic You go — you lead through this and not follow ≫ Provost Jackson-Elmoore: Dr. Ritter, that is a great lead-in to the next question. I want to thank you and Dr Borenstein and Tina for your responses on the last question The next question is with asymptomatic spreaders, will you

be having students continue to test, and if so, how often? When and how how? Will this testing apply to students on and off campus? ≫ Dr Ferguson: So, you know, the fundamental idea behind baseline testing is to find out how many asymptomatic positive students we are going to see , so, really, we need to take the information that we learned from that initial baseline and make decisions about the frequency of testing going forward Tina might want to comment on that as well, in terms of a plan going forward for ongoing testing, but, you know, right now, the idea is really to rely heavily on aggressive contact tracing for positive cases and really looking in those concentric circles That’s where we believe that our testing is going to be the most effective ≫ Tina Hadaway-Mellis: To Dr Ferguson’s point, in a perfect world, we would have absolutely every resource known to COVID available, and I think Dr Borenstein’s wish would be the same As it stands now, we have the ability to establish a baseline prevalence of COVID with our plan to test our on campus or residence — and those that will be on campus As we establish that baseline, we’ll move into an ongoing surveillance program We’ll talk a little bit more — Dr Nazmi can add what pooled testing might look like in an ongoing surveillance program As we go through a pool testing environment, that doesn’t negate our ability to test those that are symptomatic or those that are established and confirmed to be a close contact Those that are a close contact, and Dr Ritter can back me up on this one, that doesn’t necessarily equate to the need for an immediate test We also want to make sure we are not testing in a response to a close contact We want to make sure that we are not testing too soon , but more importantly, quarantining that individual, making sure that they are not developing symptoms, and if they are, that we are immediately isolating them So it’s a tiered approach to testing, and , you know, dependent on supply chains, which is a national issue, but we are continuing, and we keep a close eye on our inventory and stay in close connection with our county and Dignity Health partners ≫ Dr. Ritter: Exactly The timing of a test after exposure is very important I mean, if you — as I mentioned earlier, if you have exposure on day zero, the utility of a test on day one, after exposure, is very limited, and so you have to time it right, and based on what we know about the incubation period of this infection , which ranges anywhere from 2-14 days, with most individuals developing virus that’s testing nlable that’s testable around day six Another word around asymptomatic people as a spreader of disease, this is something that has become a hot topic It makes for good headlines, and I think having seen hundreds and hundreds of COVID patients, through screening programs as well as symptomatic patients in our hospitals, some of what you see published for asymptomatic individuals is probably overrepresented, and, you know, as somebody who has questioned at least 100 positive people that are in their 20ss, through different work that we have been doing , if you know the right questions to ask, you can almost always find symptoms But in these young people, these are symptoms that most people would otherwise attribute to a cold, so they are not truly asymptomatic, although I have absolutely experienced individuals that are truly asymptomatic, even after pointed questions, but it’s not, you know, the 40 -50% you see described in some popular press articles ≫ Dr Ferguson: That’s actually a good point, and I know we have been on this question for a little bit , but this bears repeating Symptoms in young, healthy patients might be minimal , so what appears to be a scratchy throat or something very similar to allergies, runny nose, those are symptoms in a college-age population So, it’s very important that, you know, things that you might have blown off in the past, it might be a reason to go to Campus Health & Wellbeing and have that discussion, a strach a scratchy throat, just those changes, you really need

to pay attention to your body, and things that, again, may seem minimal, that would have been ignored in the past in this population, those are symptoms Another thing that I like to mention is a loss of taste and smell That is something that we have seen heavily in college-age students, and so we really want to emphasize what symptoms look like in this population ≫ Provost Jackson-Elmoore: Thank you for that. We had a lot of good cementry there I’m going to switch gears a little bit, and we may circle back to some other questions What if a professor gets sick? What will happen to their class? ≫ President Armstrong: Well, this is Jeff. I would jump in I would say that is going to be what we have dealt with in the past, before COVID. Individuals get sick. Teachers get sick Students get sick, and we will just have to adapt on a case-by-case basis, but we certainly want to place the health and well-being of the faculty member first and foremost , and that could be a faculty member who is teaching a virtual course or a faculty member who is home and their children get ill, and they can’t teach So, there’s a lot of different reasons why an individual could not perform their duties, and that’s where our , you know, amazing faculty, our department chairs, our deans , provosts and others come into play, to really figure out how to deal with it And that is, again, it’s a case-by-case ≫ Provost Jackson-Elmoore: Thank you that response, President Armstrong This next question, I believe, was addressed in the opening, but I will go ahead and read it so that we can have the response heard It is, “Will you be imposing strict punishments to those who hold large gatherings on or off campus, including Greek life?” ≫ President Armstrong: Jeff, I will start off, since I mentioned it in the beginning, and I, like Tina, will channel Vice President Humphrey, but our student affairs group has an amazing track record of working with students off-campus Our students have responded over the years to education and training If you look at alcohol during week of welcome, hazing being reported, where it wasn’t before, so that is encouraging This is much more acute. So, Dr Joy Petersen, who was mentioned earlier, and many other student affairs staff are working closely with the community, especially the Greek community. There are no sanctioned events, whatsoever The sororities are doing virtual recruitment , and the fraternities are deferring, and there’s really — you know, for someone who has been found through a process to have planned a big party , knowing clearly the rules, then that’s going to be very serious consequences for an individual I mean, we have due process We have a student code of conduct — or our Student Office of Rights and Responsibilities So I’m going to turn to Tina and she if she wants to add or correct anything that I have said ≫ Tina Hadaway-Mellis: No, I think that was covered. Thank you ≫ Provost Jackson-Elmoore: Thank you very much The next question is shifting gears a tiny bit For those staff members who are being required to come back to campus, how are you going to prevent them from being exposed to COVID-19 if they are susceptible, such as women who are pregnant and those with diabetes? ≫ Anthony Knight: I can start with that, and the first thing that I want to note is what President Armstrong said from the beginning, is that we want to be really flexible with those that may be a vulnerable population, and the key is flexibility and helping to accommodate potential remote or other work options there For those members on campus for working, you know, the key there is what Dr. Ritter said It’s the social distancing, the de-densify occasion, ication, the appropriate personal protective equipment So all of our staff working on campus will be provided a face cover and a face shield, as well as plans around all of the facilities to help mitigate the spread, such as engineering controls and Plexiglas put in high-interface areas, one-way traffic within the facilities, increased ventilation We are actually going through all of our ventilation systems, and our facilities teams have done a phenomenal job to ensure that we have MRF- 13 filters or higher within those facilities to ensure that we are meeting the Governor’s guidance, meeting and/or exceeding that guidance ≫ President Armstrong: I would ask Dr. Nazmi or Dr Ritter to comment on the safety of our classes, what we are

doing, and being on campus I have heard you both speak about this several times ≫ Dr Nazmi: Yeah, that’s a really good question, and if a student has a face-to-face class, this quarter, at Cal Poly, I would submit that they are probably in one of the safest places in the city and in the county The level of mitigation effort, the distancing, the required face coverings just — the HVAC systems, as Anthony just mentioned, really make our face-to-face classes very low risk, quite safe areas to be in, and so I think if we are thinking about risk, and if we are thinking about spaces where congregation happens, yes, students come together in face-to-face classes, but they are coming together in a very controlled environment Compare that to any other environment, so, off-campus or any sort of gatherings, when those mitigation efforts are not being practiced, the level of risk difference is massive ≫ Provost Jackson-Elmoore: Is there anyone else that wanted to weigh in on any additional components related to safety for staff? Okay Next question is what community and/or campus criteria need to be met in order to be open for full or at least more in-person learning during winter quarter? ≫ President Armstrong: This is Jeff, and I will — I hope — I believe Dr Borenstein will comment, but as I have reviewed where we are as a university , our default planning right now is that the winter will be like fall We could likely be in that situation in spring with the lack of a vaccine , and even if the virus load, which we hope, and there’s a lot of great work that goes down in the county, it could go back up So, really focusing on only the classes that need to be in person, virtual learning that can take place, and then we will learn a lot this quarter So, I’ll certainly turn back to Dr Borenstein from the best perspective to that question ≫ Dr Borenstein: Yeah, so I think, unfortunately, there is — like I indicated earlier, no specific metric I know a lot of the business sector and K- 12 grade school openings are based on state orders that have to do with very specific mrikts specific metrics We don’t envision the same type of metric, like a certain number of cases per population or a positivity rate , hospitalization rates, the amount of PPE available, the amount of ventilators in use Those are the kinds of metrics that we look at on a regular basis and that the state looks at in making statewide decisions and also leaving to localities decisions about what sectors of a community can and can’t be open With respect to our college campus in this county, we don’t have a particular metric or set of metrics, but the collective view of all of those things would be part of an ongoing dialogue with the County leadership that you see here today, as well as the County — the broader community, and especially the campus community, engaging staff, faculty, and families So, again, it’s not — there’s no light switch with this There is no simple metric that makes a determination, but I do concur that we are not likely to have large-scale vaccination in place at the turn of 2021 2021 So, I do not see a dramatic change in the way we are doing business between now and then ≫ Dr Ritter: If I can just add a couple of comments, I mean, we are all now used to what we describe as ” COVID time,” and I think that trying to predict what things will look like four months from now is very, very challenging, and there are many things, however, that give us hope. You know, Dr Borenstein mentioned that widespread vaccination probably won’t be available by January, and that is true However, that is when most experts are predicting that we

will start the process of trying to vaccinate , you know, hundreds of millions or billions of people around the world. There are also significant changes in diagnostics that could possibly be expected by then as well, through antigen testing, and Dr Ferguson can probably speak to this better than I, but that is not as sensitive, but if you can increase the scale by which you can do that, meaning everybody takes a test every day , which in a perfect world, that’s what we would do with an antigen test, that has a possible as well to allow for things and activities that we would consider unacceptable based on our current — our current situation , and so we just have to be prepared for everything, and we have entered this quarter knowing that was that as well, that what we do at the beginning of this quarter for testing will very likely be different than what we do at the end We are all getting used to “COVID time,” which is challenging ≫ Dr Nazmi: Let me bring some of those comments together, and I think there are two main points that I think integrate them really well One is that “COVID time,” as Dr Ritter puts it, is going to be with us for a long time COVID is not going anywhere anytime soon, even in the presence of a vaccine It will be with us for the next several years Number two, it’s very dynamic, so what we are doing now, the technology we have now, the protocols we have in place now could very well change quickly So, from fall quarter to winter quarter, you could see Cal Poly change gears and approach the issue quite differently, and in response to the question, it could very well be that we are with mitigation measures, with testing, with surveillance, isolation and quarantine , very easily for the entire academic year So, it is a long-term situation, and it is very dynamic So, with that, one thing we all should remember is that it is preventable , and it is in our hands It is in your hands to bring the spread down, and we know how to prevent, regardless of how dynamic the situation becomes, regardless of how long it goes, we know how to prevent this illness from spreading ≫ Tina Hadaway-Mellis: I just want to add to what Dr. Nazmi and Dr Ritter shared, and so much of what folks are experiencing during this time is a sense of our own mortality and anxiety , are stressors adding to what we have already experienced. So much — you know, we are all going through this together This is the same — you know, we all have a common denominator , and that’s COVID, and we are all reacting to it, and it’s very normal, the way that we are all feeling , and it’s — you know, I second guess myself when I’m in a grocery store, and, you know, making sure that I have got what I need, and I think, you know, when we are a little bit concerned and a little bit worried, Dr Nazmi mentioned this in a different form earlier, but when we have that heightened sense of awareness and that concern, we are more apt to take care of ourselves and be aware of our surroundings, and I would just, you know, not only speak to our students’ mental health and the support of that but all of ours and our employee assistance program in ensuring that our faculty and staff know where to reach out and get their support or within our community, our networks that we have and staying engaged with one another It is a very stressful time, and we are all filled with a level of worry and concern, and we are not in this alone ≫ Provost Jackson-Elmoore: So I have the unenviable job of drawing us close to a close I’m going to put one more question on the floor Can a student go home if they are diagnosed, or do they have to quarantine on campus? And I just want to remind our paenls our panelists that we are drawing near to the end of time ≫ President Armstrong: Dr. Borenstein? ≫ Dr Borenstein: Yeah, so, if they have a means of getting home while positive, that may be the best solution for many students, the confines of home if they are sick, and while they are sick not too far afield. They cannot get on an airplane I wouldn’t put anyone on a train or a bus, but

certainly spending your isolation period with family or home would be a solution for many, and it would be on a case-by-case basis as to what makes the most sense for that student ≫ President Armstrong: I just want to iterate for so many of our students that are far away, I certainly agree, the comforts of home, but as you heard described earlier, with an entire building and even more capability, we will do our very best to provide all of the services mentioned earlier — food, laundry , and paying careful attention to both their physical and mental health, and so we want to — everyone to know, we will have additional cases of COVID Keep in mind that the majority of our students live off-campus A large number who were with us during the summer are with us now, and we are going to work hard to take care of each and every student we can, including student student as best we can, including those off campus. We want to be mindful of any student who is disadvantaged We had many students who chose to stay with us during the spring, because they couldn’t get home, they felt better being here, or it just was the best financial decision for them So, we want to pay particular attention to our students who have disadvantages ≫ Provost Jackson-Elmoore: Thank you all, and due to time, we are going to have to conclude our discussion here I want to sincerely thank our panelists for sharing their time and expertise with us today I also want to thank the hundreds of people who submitted questions ahead of time to make our discussion possible We know that there are more questions from our community, and our team will do our best to collate that information information onto two key websites that we encourage you to visit. The first is CalPoly edu/roadmap, which has links and information about campus plans, and you can see that URL on your site right now, and the other one is coronavirus.CalPoly.edu, again, coronavirus.CalPoly edu, which is our hub for campus case counts, public health guidance, and more Last, but certainly not least, I want to thank each of you for taking time to join us today through this conversation This concludes today’s virtual town hall. We hope that you all have a good evening. Take care, and be well