Hawaii consistently ranked among the most-vaccinated of US states.Notes: A Japanese couple visited Oahu and Maui from January 28 to February 7, 2020.Governor and emergency physician Josh Green stated that 51% of Hawaii's hospital beds, 46% of intensive care beds, and 14% of ventilators were in use and that Hawaii had an infection rate of 43.6 infections per 100,000 residents, and the lowest mortality rate in the United States of 1.2 deaths per 100,000.[17] On May 13, 2020, Senator Brian Schatz announced that Hawaii would receive $50 million under the Paycheck Protection Program and Health Care Enhancement Act to expand testing and contact tracing.On October 4, 2021, both he and Moxy, a twelve-year-old female lion who is Ekundu's mate, were coughing and showing signs of an upper respiratory illness.[38] The same day, Honolulu County Mayor Kirk Caldwell announced efforts to curb spread, including closing parks and a 15-day ban on indoor restaurant and bar operations, but that no curfew was envisioned.[40] Hawai'i House Speaker Scott Saiki called on the governor to institute an immediate statewide shutdown for 15 days.[41] March 20, 2020: Caldwell and the Honolulu City Council joined Saiki and Green in calling on the governor to restrict travel."[42][43] Over 100 physicians signed an open letter sent to Ige, Victorino, and Department of Health Director Bruce Anderson urging authorities to implement a shelter-in-place regime in March 2020.[54] August 31, 2020: Ige announced the appoint of Libby Char as an interim replacement for Bruce Anderson as Health Department Director In September 2020, Park took a leave of absence.[36] June 11, 2021: Oahu karaoke bars and nightclubs reopened with patrons required to show their CDC card with proof of vaccination.[59] July 8, 2021: 6 foot distancing requirements at restaurants, dance clubs and karaoke bars were removed for Oahu patrons who present proof of a negative COVID-19 test in the previous 48 hours or who show that they are fully vaccinated.[60] October 15, 2020: Hawaii initiated its "Safe Travels" program, allowing visitors to avoid quarantine by presenting a negative nucleic acid amplification test (NAAT) from a qualified lab.[61] December 6, 2020: In an effort to boost the tourist industry, Hawaii offered free round-trip transportation to out-of-state remote workers who wished to temporarily relocate.[62] December 17, 2020: In accordance with CDC guidance, Ige signed an emergency proclamation that lowered the travel quarantine period from 2 weeks to 10 days.