Today, Governor Mike Parson, Cabinet members, state health officials, and community stakeholders were joined by White House Coronavirus Response Coordinator Dr. Deborah Birx for a discussion at the Missouri Governor’s Mansion. Missouri is one of 20 states Dr. Birx has visited over the past six weeks to meet with state officials and provide guidance on COVID-19. Dr. Birx originally introduced the “box-in” testing strategy to Missouri officials during a conference call, which focuses heavily on testing, contact tracing, isolation, and quarantine. State officials have aggressively executed this strategy across Missouri, particularly in long-term care facilities. To date, 468 long-term care facilities in Missouri have experienced at least one positive case of COVID-19 – either among residents, staff, or both. Since increasing testing capabilities, the state has been able to work more closely with facilities that have been heavily impacted by the virus. The Missouri Department of Health and Senior Services (DHSS) has now helped nearly 400 congregate living facilities implement box-in testing, and more than 115,000 tests have been conducted in long-term care facilities using this strategy. Since implementing box-in testing, Missouri has seen a significant decrease in its COVID-19 observed case fatality ratio. During April and May, more than seven percent of all observed cases each month in Missouri were fatal. In June, that number dropped to less than two percent. It is now less than half of a percent so far in August.