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[00:00:04]

2021 AT 9:06 AM.

AND WE'RE MEETING HERE AT 700 LAVACA WITH ME AND COMMISSIONER HOWARD.

AND WE HAVE COMMISSIONER GOMEZ, COMMISSIONER SHAY, AND COMMISSIONER PAVILION WITH US REMOTELY.

UM, I WILL HAND THIS OFF TO MAYOR ADLER TO CALL THE AUSTIN CITY COUNCIL TO ORDER.

AND, UH, WHILE WE'RE DOING THAT, I WILL ALSO SAY THAT WE'RE GOING TO MEET JOINTLY WITH THE AUSTIN CITY COUNCIL AGAIN TODAY.

AND, UH, WE ARE GOING TO FIRST HAVE AN UPDATE FROM DR.

S SCOTT AND DIRECTOR, HAYDEN HOWARD, A COMBINED BRIEFING TO, UM, MAKE GREAT USE OF THEIR TIME AND OUR TIME AND YOUR TIME.

AND THEN WE'LL GO THROUGH QUESTIONS JUST LIKE WE DO EVERY WEEK.

TRY TO HOLD IT TO ONE QUESTION.

WE'LL HAVE THE COMMISSIONERS GO FIRST.

AND THEN THE COUNTY JUDGE, AND THEN THE COUNCIL MEMBERS AND THEN THE MIRROR.

AND, UM, I THINK WE ARE JUST HOLDING A MINUTE FOR MAYOR ADLER, KENNY JONES.

I UNDERST NOT THE, UM, MAYOR AND THE MAYOR PRO TEM ARE RUNNING LATE AND I'VE ASKED ME TO GABBLE LESSON AT THE APPROPRIATE TIME.

OH, THAT'S WONDERFUL.

THANK YOU.

UM, SO I WILL PASS IT OVER TO YOU COUNSEL MEMBER ALTER.

THANK YOU.

GOOD MORNING.

MY

[1. Update on Covid-19 related matters.]

NAME IS ALISON ALTER AND IT IS NINE OH EIGHT AND I WILL CONVENE THE AUSTIN CITY COUNCIL MEETING THIS MORNING.

I APRIL 13TH.

THANK YOU.

UM, OKAY, SO LET'S GO AHEAD.

UH, DR.

SCOTT AND DR.

HAYDEN HOWARD AS WELL.

WE ALSO HAVE CITY MANAGER, SPENCER CRONK WITH US TODAY.

UM, BUT GO AHEAD, DR.

SCOTT FOR YOUR UPDATE, IF YOU'RE READY.

OH, I'M SORRY.

I TAKE THAT BACK.

I'M ALL.

UP-TO-DATE.

UH, CAN WE SEE IF WE HAVE ANY CALLERS TODAY? UH, WE DO JUDGE BROWN.

THE LARRY'S YEAH, THIS IS LARRY SCHOOLER.

WE DO HAVE, UH, BELIEVE FOUR OR FIVE CALLERS.

WHENEVER YOU'RE READY.

WE ARE READY.

OKAY.

LET'S DO THE GO THROUGH COLOR IN THREE, THREE, SIX.

STAND BY, STAND BY.

SORRY.

OUR SCREENER, UH, WAS SCREENING YET.

ONE MORE COLOR, BUT, UH, NEVERTHELESS, WE'RE READY WHEN YOU ARE JUDGE.

I AM READY.

OKAY.

STANDBY.

UH, SO WE SHOULD HAVE, UH, MADE, UH, LET'S SEE, MAKE SURE I SAY THIS RIGHT.

HELLO.

HI, JAFAR.

STANDBY, CASEY.

I THINK YOU'RE TRYING TO SCREEN AND WE'RE TRYING TO TAKE A COLOR LIVE IN THE MEETING.

SO CASEY, PLEASE STAND BY AND WE'RE GOING TO GO TO A MEETING.

I MEAN, ARE YOU THERE? DO YOU HAVE YOU HAVE THE HAMID? YOU HAVE THE FLOOR PLEASE SPEAK.

HELLO? HELLO.

YOU'RE LIVE IN THE MEETING.

OH, YES, WE CAN HEAR YOU JUST FINE.

YOU HAVE THE FLORIDA SPEAK, SIR, ON COVID IF YOU'D LIKE SIR, I'M GOING TO, I'M GOING TO PLACE YOU ON HOLD AND COME BACK TO YOU HERE IN JUST A MINUTE.

LET ME GO TO SUSAN WOODY, SUSAN, IF YOU'RE THERE, YOU HAVE THE FLOOR.

HI.

THANK YOU.

HI EVERYONE.

MY NAME IS SUSANNA.

I'M CALLING, UM, TO ASK WHAT IT'S LIKE TO TOBACCO NIGHT, MARGINALIZED COMMUNITIES.

SO FAR EFFORTS ON BOTH SIDES HAVE CONTINUED TO BE DISAPPOINTINGLY, DISTRIBUTING THE VACCINES TO OUR COMMUNITIES.

SO YOU ALL I'M ASKING, LIKE WHAT YOU'VE DONE, WHAT YOU'VE DONE IN THE PAST AND WHAT YOUR FAMILY DO.

IS IT WORKING WHILE I'M ASKING? WHERE ARE YOU, WHAT AND WHERE ARE YOU GOING TO ACTUALLY START WORKING IN EFFORTS TO HELP BACK OUR NEXT CALLER ON THIS ITEM? IS SARAH BLACK.

SARAH? YES.

HI, GOOD MORNING.

I'M ONE, UM, PART OF THE MARGINALIZED COMMUNITY AND, UM, I JUST WANT TO SPEAK UP ITEM TWO, THAT VERY MEASURES AND ACTIONS RELATED TO COVID-19.

UM, I LIVE IN FOUR IS THREE COUNCIL, DISTRICT THREE, I'M A BLACK FEMALE.

UM, WHO'S LOST EVERYTHING DUE TO, YOU KNOW, THIS SYSTEM HERE IN AUSTIN, TRAVIS COUNTY.

UM, I JUST WANTED TO SAY THAT CENTRAL HEALTH

[00:05:01]

TRY TO CHARGE ME $10 FOR MY MARCH VACCINE APPOINTMENT.

SO, UM, A COUPLE OF DAYS BEFORE MY APPOINTMENT, I WAS ASKED TO CHECK IN FOR MY APPOINTMENT AT CENTRAL SOUTH SUBSIDIARY, LONE STAR CIRCLE OF CARE.

UM, AND I STARTED GOING THROUGH THOSE SCREENS.

IT SHOWED THAT THERE WAS NO COPAY FOR MY MATH AND I'M ON THE MAP AS A MAP CARD WITH CENTRAL HEALTH.

UM, SHE SHOWED ME THAT IT SHOULD, THERE IS NO COPAY FOR MATH, BUT THE NEXT SCREEN SAID I HAD TO PAY $10, JEN, THAT I WANT TO PAY CASH.

I MEAN THAT I'M GOING TO TAKE CREDIT CARDS OR CASH AT THE SCREEN.

IT'S LIKE THAT.

I SENT A COPY TO MARGARET GOMEZ OF THE SCREEN, SHOWING THEM, TRYING TO CHARGE ME $10 AND ALSO HAVE THE DOCTOR THEY PUT ME WITH.

THERE WAS NO DOCTOR OTTO, ZZZ, ZZZ DO NOT USE IF THAT'S THE DOCTOR, THEY USED TO TRY TO CHARGE ME $10 FOR MY VACCINE.

I DIDN'T PAY IT.

I, I CONTACTED THEM AND SAID, THERE'S NO CHARGE FOR THE VACCINE.

I DON'T KNOW IF OTHER PEOPLE IN MY COMMUNITY ARE BEING ASKED TO PAY $10 TO GET THE FREE VACCINE.

AND IT, THAT COULD BE A REASON WHY THEY'RE NOT GETTING IT.

UM, PREVIOUSLY, UM, INTERESTING MATH PROGRAM.

UM, I WAS DENIED MATH FOR SEVERAL MONTHS IN 2020, UM, FROM MAY THROUGH NOVEMBER, UM, I WAS TOLD I NEEDED TO PROVIDE MY KIDS WITH IT'S JUST LIKE A PULL TAB.

SO, UM, THAT WAS MY FREE TIMES BASED ON THESE BOGUS REASONS.

IT'S A LITTLE HIGHER STANDARD FOR ME.

UM, NO, WHO ELSE HAS A PROVIDER VERSUS CERTIFICATES, BUT ANYWAY, SO FINALLY, UM, DECIDING DANTE HERNANDEZ, HE DECIDED TO, HE CHANGED MY ADDRESS TO SOME SORT OF INTERSECTION, EVEN THOUGH I HAD AN ADDRESS ON MY DRIVER'S LICENSE, WHICH HAS MY ADDRESS AND HE CHANGED MY MAIN ADDRESS TO THE SALVATION ARMY.

AND SO MY UNDERSTANDING OF AND DANTE HERNANDEZ HITTING THAT FALSE ADDRESS FROM AN APPLICATION.

AND THEN AT THAT TIME I WAS APPROVED AND THEY DIDN'T NEED MY BIRTH CERTIFICATE DOWN HERE.

NOW IT SAYS YOU'RE GOING TO HEADLINE.

THEY ALREADY HAD MY INFORMATION.

SO, AND I COMPLAINED TO STEPHANIE KAYDEN, UM, ALSO PUBLIC HEALTH ABOUT THEM TRYING TO CHARGE ME $10.

THEY MADE MONEY, BUT YOU GET THE MONEY ON MY MAP APPLICATION.

THANK YOU.

BYE.

THANK YOU.

SO IT SOUNDS LIKE YOU WERE SAYING THAT, UH, IT SOUNDED LIKE SOMEONE WAS CHARGING FOR A VACCINE, WHICH JUST SHOULD NOT BE THE CASE AND IT IS NOT THE CASE.

AND SO I'LL, I'LL MAKE SURE WE FOLLOW UP WITH CENTRAL HEALTH AND OTHERS TO MAKE SURE THAT THAT'S NOT BEING MISCOMMUNICATED SOMEHOW.

UM, THANK YOU FOR YOUR PAUL THIRD JUDGE.

WE HAVE KARA BELL STANDING BY KARA.

HI, THANK YOU SO MUCH FOR TAKING MY CALL.

UM, I WANTED TO FOLLOW UP REGARDING, UM, THE SITUATION AT DR.

MARK S. SCOTT CONTINUED TO CLAIM THAT MASK STOP THE SPREAD OF VIRUS.

I ASKED HIM MULTIPLE TIMES IN THE LAST SIX MONTHS TO SHOW ME THE SCIENCE, SHOW ME THE SCIENCE THAT MASKS STOP THE SPREAD OF VIRUS HE HAD BEEN UNABLE TO DO.

SO I, EVERY TIME I WANTED TO LET YOU OUT THAT I WAS SEE ON APRIL 3RD, A RESPONSE TO MY REQUEST, TO THE CDC, ASKING FOR THEIR SCIENCE, THAT MAPS OUT THE SPREAD OF VIRUS, BECAUSE IT'S HIS BEST SCIENCE THAT DR.

MARK COT QUOTED TO ME IN A RESPONSE TO EMAIL OF MINE.

HE SAID, THE CDC IS THE CREW.

THE CDC WROTE IN A LETTER TO ME, IT SAYS FOR ITEM TWO OF YOUR REQUESTS, THE SUBJECT MATTER EXPERTS PROVIDED THE FOLLOWING INFORMATION AND LINKS.

CDC IS NOT AWARE OF ANY RANDOMIZED CONTROLLED TRIALS THAT SHOW THAT MACS ARE DOUBLE MATH OR CLOCK FACE COVERINGS ARE EFFECTIVE AGAINST COVID-19.

IF THE CDC DOES NOT HAVE A RANDOMIZED CONTROL TRIAL, WHICH IS THE GOLD STANDARD OF EVIDENCE AS DR.

MARK, AS SCOTT KNOWS THE MORE, YOU KNOW, SCIENCE PROVING THAT LAST STOP, THE SPREAD OF VIRUS, IT IS PROOF THAT DR.

MARK F. SCOTT WAS WRONG AGAIN.

IT'S LIKE HE WAS WRONG IN JULY.

WHEN HE SAYS THAT 40 TO 1300 CHILDREN MAY DIE.

IF SCHOOLS OPEN, DR.

S SCOTT CONTINUES TO BE WRONG, AND YOU ARE TRYING TO TAKE AWAY AND YOU HAVE THEM TAKING OUR WAY, OUR RIGHT BASED ON FRAUDULENT OPINION FROM DR.

MARK .

I HAVE

[00:10:01]

PROVIDED HIM THE SCIENCE, THE INFORMATION, AND HE CONTINUES TO DOUBLE DOWN AND FALSELY CLAIM THAT OUR NUMBERS ARE RISING WHEN THEY ARE NOT.

OUR NUMBERS ARE GOING DOWN.

WE ARE DOING VERY GOOD AS A COUNTY AND AS A STATE, THIS IS COMPLETE TYRANNY.

AND JUDGE ANDY BROWN, YOU ILLEGALLY NEEDED ME ON JANUARY 25TH.

WHAT IS THE COUNTY DOING TO PROTECT ITS CITIZENS? YOU ILLEGALLY NEEDED ME ON JANUARY 26TH.

YOU ILLEGALLY NEEDED ANOTHER CALLER ON JANUARY 12TH.

THIS IS COMPLETE ABUSE OF POWER.

AND I WANT TO KNOW WHAT TRAVIS COUNTY IS DOING TO PROTECT ITS CITIZENS AGAINST CRIMINALS LIKE YOU AND DR.

MARK JUDGE.

WE DO HAVE ONE ADDITIONAL CALLER ON THE LINE, AND WE DIDN'T HAVE A CHANCE TO SCREAM BEFORE WE TOOK CALLS.

THIS IS A CALL ENDING IN THREE, FIVE, THREE, SIX COLOR.

IF YOU'RE THERE AND IT'S COVID RELATED, YOU HAVE THREE MINUTES.

HELLO, CALLER JUDGE.

THAT SHOULD CONCLUDE OUR LIVE COLORS, UH, AT THE STOCK FOR COVID JUDGE.

IF I MAY JUST, UM, NOTE THAT, UM, WE HAVE SOME COUNCIL MEMBERS ARE ON MULTIPLE SCREENS.

UM, WE ARE AT SIX NOW, SIX PLUS NOW.

UM, WE HAVE MYSELF COUNCIL MEMBER TOVO COUNCIL MEMBER, KITCHEN COUNCIL MEMBER LS, COUNCIL MEMBER POOL, MAYOR ADLER JUST JOINED US AND COUNCIL MEMBER CASAR, UM, WAS ALSO ON THE LINE.

I'M NOT SURE THAT EVERYONE WAS THERE EARLIER, UM, WHEN WE CALLED THE MEETING TO ORDER.

SO I JUST WANTED TO MAKE SURE, UM, THAT WE NOTED THAT FOR THE RECORD THAT WE NOW DEFINITELY HAVE A CLOWN.

THANK YOU.

THAT COUNCIL MEMBER RENTERIA IS ALSO ON, I THINK, AND I SEE THE MAYOR PRO TEM NOW, TOO.

OKAY, GREAT.

THANK YOU.

YEAH, I SEE MY PROTEIN OTHER YEP.

SEE ALL THOSE FOLKS.

THANK YOU ALL.

THANK YOU VERY MUCH.

OKAY.

SO, UM, DR.

SCOTT, ARE YOU READY TO GIVE YOUR REPORT? YES, JUDGE.

I WILL PULL UP MY SCREEN AND SHARE THAT WITH Y'ALL.

OKAY.

CAN YOU SEE THAT? OKAY.

UH, FIRST I WANT TO, UH, MAKE A COUPLE OF COMMENTS.

UH, YOU KNOW, UH, ONE OF THE CALLERS TALKED ABOUT HOW WELL WE'RE DOING IN TEXAS, HOW WELL WE'RE DOING IN THE UNITED STATES.

UH, WE'VE GOT MORE THAN 48,000 TEXANS WHO HAVE DIED SO FAR FROM COVID-19 MORE THAN 550,000 AMERICANS.

UH, I DON'T THINK THAT'S SUCCESS.

UM, I THINK WE HAVE TO CONTINUE THE EFFORT TO MITIGATE THE RISK OF THE SPREAD OF DISEASE, HOSPITALIZATIONS, AND DEATHS.

AND WE'VE GOT A LONG WAY TO GO AND MASKING, UH, HAS CERTAINLY BEEN SHOWN TO BE HELPFUL IN THAT.

UM, AND WE HAVE TO REMEMBER THE SCIENCE THERE'S DIFFERENT LEVELS OF SCIENCE.

UM, RANDOMIZED CONTROLLED TRIALS IS ONE LEVEL OF SCIENTIFIC STUDY.

UH, OBVIOUSLY IN THE MIDDLE OF A PANDEMIC, IT WOULD BE UNETHICAL TO RUN A RANDOMIZED CONTROL TRIAL, DETERMINING WHETHER OR NOT SOMEBODY GETS A POTENTIALLY INFECTIOUS AND DEADLY DISEASE.

UH, SO THE LACK OF A RANDOMIZED CONTROLLED TRIAL DOES NOT EQUAL LACK OF SCIENCE SUPPORTING, AND I WANT THAT TO BE VERY CLEAR.

UM, FIRST JUDGE, UH, AND MAYOR, I WANT TO, UH, TALK ABOUT THE UPTAKE THIS MORNING FROM THE FDA REGARDING JOHNSON, JOHNSON VACCINES.

UH, SO, SO FAR THE UNITED STATES ABOUT 7 MILLION INDIVIDUALS HAVE BEEN VACCINATED WITH THE JOHNSON JOHNSON VACCINE.

THE FDA HAS IDENTIFIED SIX CASES OF SOMETHING CALLED CENTRAL VENOUS SINUS THROMBOSIS, UH, PARTICULARLY IN FEMALES AGED 18 TO 48.

UH, SO THIS IS A, A, UH, RESULT OF CLOTTING.

IT'S KIND OF AN UNUSUAL, UH, THROMBOTIC EVENT, UH, THAT HAPPENS, UH, IN THE HEAD IN THE BRAIN.

UH, SO THEY'VE GOT TO WORK OUT SOME MORE DETAILS ON THE POTENTIAL CAUSES OF THIS, IN ADDITION TO THE VACCINE, UH, THIS IS A RARE CONDITION, BUT THERE ARE LOTS OF RISK FACTORS, INCLUDING GENETIC ABNORMALITIES THAT CAN PROMOTE CLOTTING, SICKLE CELL DISEASE, ORAL CONTRACEPTIVES, UM, THINGS AS SIMPLE AS DEHYDRATION, ALL THOSE THINGS CAN CONTRIBUTE TO DEVELOPMENT OF CLOTH.

SO WHAT THE FDA NEEDS TO DO IS TO LOOK MORE IN MORE DETAIL

[00:15:01]

IN THESE CASES TO DETERMINE WHETHER OR NOT THE VACCINE MAY HAVE, UH, BEEN A CONTRIBUTING FACTOR.

UH, SO THAT'S WHY THEY PUT THE PAUSE.

THEY'RE GOING TO MEET OUR WEDNESDAY TO REVIEW SOME OF THIS DATA.

WE EXPECT TO SEE SOME RECOMMENDATIONS THAT MAY BE IN THE FORM OF, OF WARNINGS FOR SPECIFIC INDIVIDUALS, OR THERE, THERE MAY BE OTHER RECOMMENDATIONS.

UH, BUT UNTIL THAT POINT, UM, AUSTIN PUBLIC HEALTH HAS PAUSED THE ADMINISTRATION OF JOHNSON, JOHNSON VACCINES PENDING THE REVIEW FROM THE FDA, UH, IMPORTANTLY INDIVIDUALS WHO, UH, HAVE A SEVERE HEADACHE, ABDOMINAL PAIN, SHORTNESS OF BREATH, OR A PAIN OR SIGNIFICANT SWELLING IN THEIR LEGS OR A LEG, UH, WITHIN THREE WEEKS FOLLOWING THE VACCINATION SHOULD CONTACT THEIR HEALTHCARE, THEIR PROVIDER IMMEDIATELY.

THEY DON'T HAVE A HEALTHCARE PROVIDER.

UH, THEY SHOULD GO TO EMERGENCY ROOM OR URGENT CARE CENTER FOR EVALUATION.

UM, SO AGAIN, WE ARE PAUSING THE JOHNSON JOHNSON VACCINE ADMINISTRATION, UNTIL WE HAVE FURTHER RECOMMENDATIONS FROM THE FDA TO GET LUCKILY THE, UH, MAJORITY OF VACCINE, THE AUSTIN PUBLIC HEALTH RECEIVES AND ADMINISTERED IS MADONNA.

UH, SO WE HAVE A VERY SMALL NUMBER OF DOSES THAT WE'VE GIVEN THEM JOHNSON AND JOHNSON AND THAT WE HAVE OF JOHNSON AND JOHNSON.

UH, SO WE WILL, UH, PROVIDE UPDATES ON THAT LATER IN THE WEEK, AS, AS MORE INFORMATION COMES OUT FROM THE FDA.

I ALSO WANT TO TALK ABOUT, UM, SOME, SOME CONTROVERSIAL COMMENTS, UH, REGARDING HOW FAR WE ARE TOWARDS HERD IMMUNITY.

UM, AND I, YOU KNOW, I WANT TO CLARIFY AND, AND, UH, UH, PROVIDE SOME, SOME DATA TO, UH, EXPLAIN THE SITUATION A BIT MORE CLEARLY.

SO WE LOOK AT THE TWO GRAIN AREAS.

ISN'T THIS PIE CHART, THE DARK GREEN IS THE INDIVIDUALS, UH, IN TRAVIS COUNTY WHO ARE FULLY VACCINATED.

THAT'S ABOUT 22% OF OUR OVERALL POPULATION.

UH, 14%, UH, AN ADDITIONAL 14% HAVE BEEN PARTIALLY VACCINATED.

SO THE RECEIVE ONE DOSE OF A TWO DOSE SERIES, SO THAT 36% OF THE ENTIRE COMMUNITY HAS BEEN VACCINATED.

UH, SO THAT'S THE, THE VACCINE ACQUIRED IMMUNITY.

THAT'S EITHER THERE OR IN THE PROCESS OF BEING THERE, UH, IN TERMS OF THE, UH, THE INDIVIDUALS WHO RECEIVED A PARTIAL VACCINE VACCINATION SERIES.

IN ADDITION TO THAT IN THE, UH, YELLOW BOX, YOU SEE THAT ABOUT 6% OF THE TRAVIS COUNTY POPULATION HAS BEEN IDENTIFIED AS A CONFIRMED CASE OF COVID-19.

UH, ADDITIONALLY BASED UPON, UH, ESTIMATIONS FROM THE UT MOLLIN CONSORTIUM, UH, FROM DR.

LAUREN MEYERS PER GROUP, UH, THERE'S AN ESTIMATED, UH, ABOUT 300 TIMES TOTAL THAT NUMBER OF, OF ACTUAL CASES, UM, THAT ARE LIKELY TO HAVE HAPPENED IN TRAVIS COUNTY, THAT WEREN'T REPORTED.

UM, SO A TOTAL OF 18% POSSIBLE OF THE, UH, TRAVIS COUNTY POPULATION HAD OVER 19 AND MAY HAVE SOME IMMUNITY FROM THAT.

UH, AGAIN, THIS PIE CHART IS SHOWING, UH, ASSUMPTION THAT THERE IS ZERO OVERLAP BETWEEN PEOPLE WHO HAD COVID AND PEOPLE WHO'VE BEEN VACCINATED FROM COVID FOR COVID, UH, WHICH IS OBVIOUSLY NOT THE CASE.

OKAY.

SO, UH, THIS IS GOING TO OVERESTIMATE THE PROTECTION THAT WE HAVE IN TERMS OF PROGRESS TOWARDS HERD IMMUNITY.

UH, BUT THE GOVERNOR'S RIDE HERD IMMUNITY DOES INVOLVE BOTH, UH, IMMUNITY FROM NATURAL DISEASE, AS WELL AS IMMUNITY FROM VACCINE.

UH, SO IT IS A COMBINATION OF THAT, SAY THAT THE DATA RIGHT NOW SUPPORTS THAT THE VACCINE PROVIDES A MORE COMPREHENSIVE, UH, IMMUNE RESPONSE THAN THE DISEASE ITSELF.

SO, UH, RIGHT NOW IT APPEARS THAT THE VACCINE IS MORE EFFECTIVE AT PREVENTING SUBSEQUENT DISEASE THAN HAVING THE HISTORY OF DISEASE.

SO WE STILL WANT EVERYBODY TO GET VACCINATED, EVEN IF THEY HAD COVID HAVING SAID THAT THE BEST CASE SCENARIO RIGHT NOW IS THAT WE HAVE ABOUT 54% OF PEOPLE WHO HAVE EITHER HAD THE DISEASE OR ARE FULLY OR PARTIALLY VACCINATED RIGHT NOW, WHICH MEANS 46% OF OUR POPULATION, UH, YOU KNOW, OH, 600,000 PEOPLE ARE STILL VULNERABLE TO COVID-19.

UH, SO IN SHORT, WE'VE GOT A LONG WAY TO GO IN TERMS OF HERD IMMUNITY.

UH, WE ARE MAKING GOOD PROGRESS AND, UH, I'LL TALK A LITTLE BIT LATER ABOUT SOME OF THE SPECIFIC AREAS WE'RE MAKING A SUBSTANTIAL PROGRESS AS WELL.

UH, DIRECTOR HATING HOWARD, IT'S LONDON, AN UPDATE OF OUR NEW CONFIRMED CASES IN TRAVIS COUNTY.

UH, YESTERDAY WE REPORTED 107

[00:20:01]

NEW CASES, WHICH GIVES US MOVING AVERAGE OF ONE 30.

UH, THAT'S A 30% INCREASE IN THE MOVING AVERAGE OF CASES SINCE LAST WEEK WE GAVE THIS REPORT.

UH, SO WE ARE SEEING AN INCREASE IN THAT MOVING AVERAGE OF CASES.

UM, YOU KNOW, WE HAD BEEN VERY FLAT FOR A WHILE, BUT WE ARE SEEING THAT UPTAKE RIGHT NOW.

UH, AGAIN, WE'LL CONTINUE TO WATCH THIS YESTERDAY WAS A LITTLE LOWER THAN THE DAY BEFORE.

SO, UH, IT STARTING TO COME BACK DOWN A LITTLE BIT, BUT AGAIN, WE'RE STILL IN THAT POST SPRING BREAK, POST EASTER, OR A TIMEFRAME WHERE, YOU KNOW, WE ARE EXPECTING TO SEE INCREASES IN CASES.

IT APPEARS THAT THAT THAT IS HAPPENING.

UH, WHEN WE LOOK THE NEW ADMISSIONS TO THE HOSPITAL, HOWEVER, WE'RE STILL NOT OSCILLATION.

UH, YESTERDAY WE REPORTED 18 ADMISSIONS.

WE HAVE A MOVING AVERAGE 18, UH, AND WE'VE BEEN OSCILLATING IN THAT TIGHT RANGE OF 16 TO 20 ON THE MOVING AVERAGE OF NEW ADMISSIONS FOR 18 DAYS.

NOW, THAT'S, AGAIN, THIS IS SOMETHING ELSE THAT WE EXPECTED, UH, AS THE VACCINATION RATE INCREASES IN THOSE WHO ARE AT HIGHER RISK FOR HOSPITALIZATION, WE CAN HAVE INCREASES IN CASES WITHOUT INCREASES IN HOSPITALIZATIONS RIGHT AWAY.

UM, SO AGAIN, THIS IS, THIS IS PART OF WHAT WE EXPECTED TO SEE.

UH, WE'LL CONTINUE TO FOLLOW THESE NUMBERS ALSO, BUT CERTAINLY THE MORE RECENT INCREASE IN, IN CASES MAKES US CONCERNED THAT, UH, WE MAY SEE AN UPTICK IN THAT ADMISSIONS AS WELL.

THIS IS AN UPDATE OF THE, UH, HOSPITAL DATA.

SO THE BLUE IS THE HOSPITAL EVENTS BEING UTILIZED.

THE ORANGES ICU ADMISSIONS.

THE GRAY IS VENTILATOR USE, UH, HOSPITALIZATIONS YESTERDAY WERE ONE 34 WITH A MOVING AVERAGE OF ONE 34.

UH, THAT'S A DECREASE OF 4% OVER THE PAST WEEK ICU, WE'RE AT 41 WITH A MOVING AVERAGE OF 45, A 13% DECREASE IN THE PAST WEEK.

AND VENTILATOR USE WAS 20 WITH A MOVING AVERAGE OF 21, A DECREASE OF 23% IN THE LAST WEEK.

UH, SO AGAIN, THE HOSPITALIZATIONS, THE VENTILATOR USE THE ICU IS STILL A SLOW DOWN RETURN, UH, WHICH WE'RE HAPPY TO SEE.

THIS IS AN UPDATED IF THE PROJECTIONS FROM THE NEW TEAM MODEL AND CONSORTIUM, UM, AGAIN, YOU SEE THINGS RELATIVELY FLAT WITH A SLOW DECLINE IN TERMS OF ADMISSIONS, UH, TO THE HOSPITAL.

UH, I'M HAPPY TO SAY THAT STAGE TWO TERRITORY IS NOW BACK ON THE PROJECTIONS, UH, BUT IT'S WAY OUT, UH, ON, ON MAY THE NINTH MOTHER'S DAY.

SO AGAIN, IF WE CONTINUE THOSE PROTECTIONS, CONTINUE THE MASKING DISTANCING THE HAND HYGIENE STAY-AT-HOME OR SICK, GETTING TESTED.

WHEN WE HAVE SYMPTOMS, IT'S GOING TO HELP CONTRIBUTE TO THIS AS WELL.

UH, OUR ONGOING VACCINATION EFFORTS, THIS STATE OF OUR HOSPITALIZATIONS BY AGE GROUP, UH, WE HAVE SEEN A LITTLE MOVEMENT, UH, IN TERMS OF THE PERCENTAGE OF, UH, ADMISSIONS TO THE HOSPITAL WITH OUR 70 TO 79 AGE GROUP, UH, GOING OUT THIS WEEK, AS WELL AS OUR, UH, 50 TO 59 AGE GROUP.

SOME, UH, SIGNIFICANT DECREASES THOUGH IN OUR 20 TO 29 AGE GROUP AS WELL.

AND WE SEE OUR 80 PLUS AGE GROUP, UH, STILL AT A MUCH LOWER PERCENTAGE THAN WE HAVE HISTORICALLY SEEN DURING THIS PANDEMIC.

WE LOOK AT THE BREAKDOWN OF HOSPITALIZATIONS BY WEEK.

YOU CAN SEE THAT WE HAD ABOUT A 6% DECREASE IN THE TOTAL NUMBER OF INDIVIDUALS LAST WEEK IS COMPARED TO THE PREVIOUS WEEK.

UH, YOU CAN SEE THAT THERE'S NOT REALLY MUCH CHANGE IN, IN MOST OF THESE NUMBERS, UH, WEEK OVER WEEK, TINY INCREASE IN OUR, UH, 80 PLUS AGE GROUP, UH, INCREASE OF FIVE IN OUR 66 OR 70 79 AGE GROUP.

UH, AND YOU SEE A SIGNIFICANT DROP FROM 21 TO 12 IN OUR 20 TO 29 AGE GROUP.

UM, OTHERWISE, YOU KNOW, RELATIVELY FLAT IN TERMS OF, UH, THE HOSPITALIZATIONS WITHIN THE AGE GROUPS WEEK OVER WEEK, UH, SIMILARLY RELATIVELY FLAT IN TERMS OF THE HOSPITALIZATIONS BY RACE AND ETHNICITY, UH, UH, IN PARTICULAR COMMUNITIES OF COLOR ARE RELATIVELY UNCHANGED, UH, AS COMPARED TO LAST WEEK AGAIN, UH, AS WELL, THE COLLEGE POINT OUT, WE'RE STILL VERY CONCERNED ABOUT THE DISPROPORTIONATE IMPACT ON OUR COMMUNITIES OF COLOR AND DIRECTOR HAYDEN HOWARD.

WE'LL BE TALKING MORE LATER ABOUT, UH, HOW WE ARE, UH, REACHING OUT TO THOSE COMMUNITIES IN TERMS OF THE VACCINATION EFFORT.

UH, THIS IS THE, THOSE HOSPITALIZATIONS, UH, WITH THE NUMBERS OF INDIVIDUALS HOSPITALIZED, UH, BY RACE AND ETHNICITY.

UH, AGAIN, NOT MUCH CHANGE, UH, ALMOST EXACTLY

[00:25:01]

THE SAME, UH, FOR THE, UH, EACH OF THE RACE AND ETHNICITY CATEGORIES AS COMPARED TO LAST WEEK IS AN UPDATE ABOUT OUR POSITIVITY IN TRAVIS COUNTY BY WEEK.

UM, AGAIN, YOU CAN SEE FOR THE PAST SIX WEEKS, UH, NOT MUCH CHANGE, UH, WE HAVE SEEN A SMALL INCREASE, UH, OVER THE PAST TWO WEEKS GOING FROM 4.3% TO 4.5 AND 4.8 LAST WEEK.

WE'RE STILL MAINTAINING UNDERNEATH THAT 5%.

I WILL SAY THAT WE HAVE SEEN TESTING, UH, DROP OFF SIGNIFICANTLY BECAUSE WE DO WANT TO ENCOURAGE FOLKS IF THEY HAVE ANY SYMPTOMS WHICH MAY BE CONSISTENT WITH COVID-19 CONGESTION, SORE THROAT, CHANGE OF SMELL, OR TASTE, NAUSEA, VOMITING, DIARRHEA, COUGH, SHORTNESS OF BREATH, ANY OF THOSE SYMPTOMS, THEY SHOULD GET TESTED FOR COVID-19, UH, THEY SHOULD ISOLATE THEMSELVES UNTIL THEY GET THOSE RESULTS.

UM, THE MORE WE CAN TEST, THE MORE WE CAN IDENTIFY PEOPLE WHO HAVE IT, THE BETTER WE CAN ISOLATE QUARANTINE PEOPLE.

AND IN THE SPREAD IN TRAVIS COUNTY, WHEN WE LOOK AT THE POSITIVITY BY RACE AND ETHNICITY, UH, AGAIN, THERE'S SOME GOOD NEWS HERE.

UH, WE SEE THAT ALMOST ALL THE, UM, UH, RACE AND ETHNICITIES ARE AT, OR BELOW THAT 5% THRESHOLD.

UH, OUR LATIN X COMMUNITY WENT FROM 7.1% TO 5.8% LAST WEEK.

UH, AFRICAN-AMERICAN COMMUNITY, UH, 5.3% TO 5.2% LAST WEEK.

UH, OUR ASIAN AMERICAN COMMUNITY HAS RISEN FROM 2.2% TO 5.4% AND OUR WHITE NON HISPANIC COMMUNITY 3.8% TO 3.9%.

UH, SO AGAIN, UH, YOU KNOW, RELATIVE CONSISTENCY ACROSS OUR RACES AND ETHNICITIES, UH, FOR THE FIRST TIME, UH, IN MY RECOLLECTION DURING THIS PANDEMIC.

UH, SO AGAIN, I THINK THIS IS, UH, A TESTAMENT TO THE, THE VACCINATION EFFORTS, AS WELL AS THE EFFORTS TO, UM, TO GET PEOPLE TESTED, TO ISOLATE, TO DECREASE TRANSMISSION.

WHEN WE LOOK AT THE, UH, POSITIVITY ACROSS THE AGE CATEGORIES, UH, YOU KNOW, OUR OLDER AGE GROUPS ARE 50 AND UP AGE GROUPS ARE ALL BELOW AT, OR BELOW 5%, UH, WITH OUR 70 TO 79 AND 80 PLUS AGE GROUPS, UH, UNDER 3%.

SO THAT'S FANTASTIC.

AND AGAIN, WE LOOK BACK ON THE HISTORY OF OUR VACCINATION EFFORT.

WE'RE REALLY FOCUSED ON OUR LONG-TERM CARE FACILITIES.

UH, WE FOCUSED ON OUR, UH, OLDER INDIVIDUALS IN OUR COMMUNITY, AND IT'S CERTAINLY PAYING OFF IN TERMS OF DISEASE TRANSMISSION THERE.

UH, WE ARE HOWEVER SEEING INCREASES IN OUR 10 TO 19 AGE GROUP, OUR 20 TO 29 AGE GROUP IN OUR 40 TO 49 AGE GROUPS.

UM, SO AGAIN, OVER IT IS STILL OUT THERE.

IT'S STILL SPREADING.

IT STILL HAS THE ABILITY TO CREATE A SURGE, UH, BECAUSE OF THE EFFECTIVE VACCINATION OF INDIVIDUALS, UH, 65 AND OLDER, UH, IT'S GOING TO BE LESS IMPACTFUL ON OUR HOSPITAL SYSTEMS IF WE HAVE A SURGE, UH, BUT WE CAN STILL SURGE.

AND, YOU KNOW, IT'S IMPORTANT FOR ALL OF THESE AGE GROUPS TO CONTINUE TO FOLLOW THOSE PRECAUTIONS, UH, TO AVOID TRANSMISSION AND AVOID THOSE UNNECESSARY HOSPITALIZATIONS AND DEATHS.

I WANT TO BREAK DOWN THE POSITIVITY, UH, IN OUR SCHOOL AGED CHILDREN.

UH, AGAIN, WE SEE THE PATTERN CONTINUE.

OUR HIGH SCHOOL AND MIDDLE SCHOOLERS ARE WELL ABOVE, UH, THE COMMUNITY AVERAGE 6.2% AND 7.3% RESPECTIVELY.

OUR ELEMENTARY SCHOOL AND PRESCHOOLS ARE BELOW A 2.5% AND 2.3%.

UH, SO AGAIN, THROUGHOUT THE REST OF THIS SEMESTER AND FOR A SIGNIFICANT PORTION OF THE SUMMER, AT LEAST, UH, OUR SCHOOL CHILDREN ARE GOING TO REMAIN AT HIGHER RISK THAN THE REST OF THE COMMUNITY BECAUSE OF THE LACK OF VACCINE AVAILABILITY.

SO WHEN WE'RE THINKING ABOUT THE REST OF THE SCHOOL YEAR, WHEN WE'RE THINKING ABOUT SUMMER SCHOOL, SUMMER CAMPS, AND EVEN THE BEGINNING OF THE SCHOOL YEAR, WE'RE GOING TO HAVE TO CONTINUE THOSE, THOSE PROTECTIONS TO MITIGATE THE SPREAD IN YOUNG PEOPLE.

OR WE WILL SEE A SURGE LIKE OTHER COUNTRIES HAVE, UH, IN YOUNG PEOPLE, WE WILL SEE INCREASED HOSPITALIZATIONS.

WE WILL SEE INCREASE IN DEATH.

YES.

UH, THIS IS, UH, A REPORT FROM OUR, UH, OUR SCHOOL'S TASK FORCE, UH, FOR LAST WEEK.

UH, AGAIN, A TOTAL OF 82 CASES IN SCHOOLS AT SIGNIFICANT DECREASE FROM WHAT WE'RE SEEING IN THE FALL.

AND IN THE WINTER MONTHS, 68 STUDENT CASES, 14 STAFF CASES, UH, YOU CAN SEE THAT, UH, UH, AISD IN PFLUGERVILLE WITH HAD SOME CLUSTERS OF CASES.

UH, WE HAVE SEEN CLUSTERS ASSOCIATED WITH SPORTS TEAMS, UH, AS WE'VE SEEN

[00:30:01]

THROUGHOUT THIS YEAR.

UH, WE HAVE ONE CLUSTER, UH, INVOLVING A SPORTS TEAM, UH, WITH 13 CASES, UH, IN INVOLVED IN A BUS TRIP TO AN AWAY GAME, UM, AND, YOU KNOW, SIGNIFICANT FOR ABOUT 50% OF, UH, THE STUDENT ATHLETES ON THAT BUS, UH, HAVE CONTRACTED COVID-19.

SO AGAIN, WE HAVE TO MAINTAIN THOSE PRECAUTIONS.

WE HAVE TO MAINTAIN THE DISTANCING AND MASKING, PARTICULARLY ON SHARED TRANSPORTATION, UH, AROUND MEALS TO AVOID THIS KIND OF TRANSMISSION.

UH, WHEN WE LOOK AT THE IMPACT ON INDIVIDUALS QUARANTINED 635 STUDENTS FLORENTINE, UH, 87 STAFF, AGAIN, UM, A SIGNIFICANT DECREASE FROM WHAT WE'RE SEEING IN THE FALL, BUT STILL IMPACTFUL IN TERMS OF, UH, OUR, OUR SCHOOL STUDENTS AND OUR SCHOOL STAFF.

UM, AGAIN, UH, GREAT NEWS IN TERMS OF OUR LONG-TERM CARE FACILITIES THIS WEEK, UH, SIX CASES IN THE LAST 14 DAYS, 12 IN THE PAST 28 DAYS, AGAIN, 98% DECREASE FROM ALBERT WERE SAYING, UH, BACK IN, UH, JANUARY AND EARLY FEBRUARY, UH, THIS IS, THIS IS A TESTAMENT TO EFFECTIVE VACCINATIONS AND HOW WELL IT WORKS.

AND I ENCOURAGED FOLKS TO GO ON TO THIS DASHBOARD OFF THE APH WEBSITE AND SCROLL DOWN THAT LEFT COLUMN AND SEE THAT THE VAST MAJORITY OF LONG-TERM CARE FACILITIES HAD ZERO CASES.

UM, THE ONES THAT DO GENERALLY HAVE ONE CASE, WE HAVE ONE FACILITY IN OUR ENTIRE COMMUNITY THAT HAS MORE THAN ONE CASE IN THE PAST 14 DAYS.

UH, AND THIS IS WHAT HERD IMMUNITY LOOKS LIKE.

YOU MAY HAVE ONE OFF CASES.

YOU MAY HAVE A SMALL CLUSTER, BUT THE MORE IT MATES WITH VACCINATED PEOPLE, THE DECREASE, THE HIGHER, THE CHANCE OF, OF, UH, SUSTAINING OR, UH, NOT HAVING A SUSTAINED SPREAD.

UH, SO YOU HAVE ISOLATED POCKETS, YOU HAVE SMALL NUMBERS, YOU DON'T HAVE SUSTAIN IN A GROWING EPIDEMIC, AND THAT'S WHAT WE NEED TO DO HERE, BUT WE STILL HAVE WE'RE.

WE'RE ABOUT HALFWAY THERE, MAYBE HALFWAY THERE.

UH, WE STILL HAVE A WAYS TO GO, AND THAT'S GOING TO TAKE ALL OF US, CONTINUE TO WORK, TO GET VACCINE OUT AND ENCOURAGING FOLKS, UH, TO, TO GET THAT VACCINE THAT'S EFFECTIVE AND SAFE AND UPDATED ON OUR REGIONAL INFUSION CENTER.

AGAIN, TEACH THEM, UH, UH, WORK WITH US TO OPEN THIS.

AND WE'RE CERTAINLY GRATEFUL, UH, TO THE STATE FOR THEIR CONTRIBUTIONS TO THIS EFFORT, 900 6,069 INDIVIDUALS SO FAR ARE TREATED WITH MONOCLONAL ANTIBODIES.

AND AGAIN, THESE ARE INDIVIDUALS WHO ARE HIGH RISK FOR HOSPITALIZATION AND DEATH FROM COVID-19.

UM, SO, YOU KNOW, I THINK THIS IS, YOU KNOW, CERTAINLY IMPACTING, UH, OUR, OUR HOSPITALS, OUR ICU NUMBERS, OUR VENTILATOR USE, UH, BY HAVING ALMOST A THOUSAND PEOPLE IN OUR COMMUNITY TRADIE WITH THESE MONOCLONAL ANTIBODIES ARE OUR CAPACITY IS STILL EXCEEDS OUR DEMAND.

SO WE FIRST FOLKS TO, UH, HAVE THAT DISCUSSION WITH THEIR HEALTHCARE PROVIDER, IF THEY AREN'T HIGH RISK.

UH, IF THEY'RE OLDER, IF THEY HAVE UNDERLYING HEALTH CONDITIONS, TALK TO YOUR HEALTHCARE PROVIDER ABOUT GETTING THIS MONOCLONAL ANTIBODY THERAPY, IT CAN CERTAINLY SAVE YOU A HOSPITALIZATION AND SAVE A LIFE, UH, QUICK UPDATES ON OUR INFLUENZA, UH, SITUATION, UH, ZERO CASES, UH, FOR WEEK 13, WHICH IS FANTASTIC.

1.17% OVERALL, UH, JUST OVER A HUNDRED CASES TO DATE IN THE ENTIRE COUNTY FOR FLU THIS YEAR.

UH, YOU KNOW, AGAIN, THIS IS A COMBINATION OF VACCINATION EFFORT, UH, MASKING DISTANCING, ALL THOSE PROTECTIVE MEASURES FOR COVID-19 ARE CERTAINLY TRANSLATING WELL FOR, UH, INFLUENZA.

SO WE'RE GRATEFUL TO SEE THAT, UH, THIS IS WHAT IT LOOKS LIKE COMPARED TO OTHER SEASONS, AGAIN, RECORD LOW SEASON HERE IN TRAVIS COUNTY, AND, UH, CERTAINLY DO SOME INDICATIONS OF, OF HOW WE CAN MANAGE, UH, FLU SEASON IN THE FUTURE.

IF WE HAVE, UH, UNUSUALLY BAD YEARS, UH, YOU KNOW, WE CAN EFFECTIVELY MITIGATE THE SPREAD AND SAVE LIVES THERE ALSO, AGAIN, AS A REMINDER, WE REMAIN IN STAGE THREE, WE NEED TO TRANSITION BELOW THAT 10 ON THE MOVING AVERAGE OF NEW ADMISSIONS TO THE HOSPITAL IN ORDER TO MOVE TO STAGE TWO.

UH, IF WE CONTINUE THOSE EFFORTS, WE WILL GET THERE, HOPEFULLY IN THE BEGINNING OF MAY.

UM, EXCUSE ME, I WANT TO MENTION ONE OTHER THING.

UM, I HAVE, UH, REVISED AND RENEWED THE HEALTH AUTHORITY RULES TO BE EFFECTIVE THROUGH MAY THE 18TH.

UH, THERE'S BEEN A FEW MODIFICATIONS AMONG THEM.

UH, THIS ALLOWS THE EXPOSED INDIVIDUALS WHO ARE FULLY VACCINATED TO AVOID, UH, QUARANTINE, IF THEY ARE ASYMPTOMATIC.

IT ALSO ALLOWS REMOVAL OF MASKS AND

[00:35:01]

LIMITED SITUATIONS THAT CDC HAS OUTLINED, UH, IN THEIR GUIDANCE.

UH, IT ALSO TRANSITIONS THE MINIMUM DISTANCE BETWEEN STUDENTS, UH, FROM SIX FEET TO THREE FEET, UH, WITH THE EXCEPTION OF STAGE FIVE, WHERE IT GOES BACK TO SIX FEET.

UH, SO AGAIN, WE'RE PLEASED THAT, THAT WE CAN CONTINUE THESE, UH, PROTECTIONS FOR OUR COMMUNITY.

UM, WE'LL NEED TO CONTINUE THEM THROUGH AT LEAST THE MIDDLE OF MAY, UH, AND THEN, UH, YOU KNOW, REASSESS THE SITUATION AND SEE IF WE CAN MODIFY THEM FURTHER.

OUR HOPE IS THAT AS THE SITUATION IMPROVES, CERTAINLY IF, IF WE TRANSITIONED INTO STAGE TWO, THAT WE CAN CONTINUE TO MODIFY THESE, UH, TO, TO MAKE THEM LESS BURDENSOME FOR PEOPLE, UH, SO THAT WE CAN START TO INCH BACK TOWARDS NORMAL.

UH, BUT WE'RE NOT THERE YET.

WE'VE GOT TO STAY THE COURSE, UH, AT LEAST IN THE MIDDLE OF MAY, PROBABLY THE END OF MAY, SO THAT WE CAN PUT OURSELVES IN A BETTER SITUATION TO CONTROL THIS DISEASE AND, AND CONTINUE TO SAVE LIVES WITH THAT.

I WILL TURN IT OVER TO DIRECTOR HAYDEN HOWARD.

THANK YOU, DR.

ED SCOTT.

UM, THIS IS A SNAPSHOT FROM OUR, UM, VACCINE DASHBOARD, UM, AND WE'RE REALLY EXCITED THAT WE HAVE ADDED THE, UM, CIRCUIT OF AMERICA DATA, UM, SITE TO THIS.

UM, AS OF TODAY, UM, WE HAVE PROVIDED 285, SIX 97 VACCINES, UM, IN OUR COMMUNITY.

ONE OF THE THINGS THAT, UM, YOU WILL NOTICE IF YOU GO TO THE PAGE, UM, YOU WILL NOTICE THAT, UM, WITH THE, WITH THE DATA, UM, 13% OF THE ASIAN COMMUNITY AND, UM, TRAVIS COUNTY HAS RECEIVED THEIR VACCINES.

UM, BLACK AFRICAN-AMERICAN 7%, UM, HISPANIC IS 25%.

UM, AND SO AS WE CONTINUE TO, UM, JUST WORK THROUGH TO MAKE SURE WE'RE GETTING, UM, ALL OF THAT DATA, UM, OVER TIME, UM, YOU'LL SEE THE CHANGES THAT ARE REPRESENTED IN THE DATA.

UM, STILL HAVE A LITTLE BIT MORE WORK, UH, TO GO FOR THE MAP, UM, ON THIS PAGE.

AND SO WE'LL CONTINUE TO WORK ON THAT, BUT YOU WILL BE ABLE TO ACCESS THE MATH.

UM, WE ARE ADDING SOME ADDITIONAL INFORMATION, UM, JUST TO KIND OF MAKE IT BE A LITTLE CLEARER AND CLEANER, UM, IN COMPARISON, UM, WITH THE DATA THAT THE STATE IS SHOWING.

UM, UM, WE HAVE, YOU KNOW, WE'VE KIND OF LOOKED AT IT FROM A COMPARISON PERSPECTIVE, AS YOU KNOW, STATE DATA IS A LITTLE LAG.

UM, AND SO IN COMPARISON WITH THE DATA WE HAVE, WE'RE AT 13% OF THE STATE OF TEXAS WEBSITE SHOWS, UM, FOR ASIAN 7.1% FOR AFRICAN-AMERICANS, IT SHOWS 3.3, 2%.

AND FOR HISPANIC POPULATION, IT SHOWS 17.05.

AND SO, UM, AS WE'VE MOVED AND, AND ARE SHOWING THE DATA ON THIS DOES GIVE US A LITTLE BIT MORE OF AN ACCURATE ACCOUNT.

I WILL SAY, THOUGH, THIS DOES NOT INCLUDE ALL OF THE OTHER PROVIDERS IN TRAVIS COUNTY, BUT, YOU KNOW, REALLY EXCITED, UM, THAT WE HAVE ADDED THE INFORMATION OF WHAT'S HAPPENING.

UM, AND AT THE COUNTY SITE IN KOTA, WHAT WE HAVE, I'M GOING TO FOCUS ON FOR THE NEXT COUPLE OF SLIDES.

UM, WE WANTED TO, UM, SHARE THIS DASHBOARD.

NOW THIS DASHBOARD DOES NOT HAVE THE DATA, UM, THAT I JUST SHOW THAT WAS COMBINED DATA.

THAT WAS A DATA AS A FOUR 10.

THIS IS DATA AS A FOUR THREE.

AND SO, UM, JUST KIND OF TAKING A SNAPSHOT OF, UM, YOU KNOW, DURING THIS TIME, UM, LAYING OUT THIS DATA, UM, AND AS YOU CAN SEE FROM THE MAP, THERE ARE AREAS WHERE WE'RE SEEING A GREATER CONCENTRATION.

WHAT WE HAVE NOTICED, UM, AS BEING A HUB IS THAT, UM, UM, AUSTIN PUBLIC HEALTH HAS PROVIDED MORE VACCINES, UM, TO FOLKS, UM, BETTER LIVING IN THE TRAVIS COUNTY SLASH WILLIAMSON COUNTY AREA IN THE SEVEN, EIGHT, SIX, SIX OH, UM, COMMUNITY.

AND, BUT HOWEVER, UM, WE HAVE PROVIDED OVER ABOUT 57% OR MORE, UM, TO TRAVIS COUNTY RESIDENTS.

NEXT SLIDE, AS DR.

S SCOTT, UM, WAS TALKING WITH

[00:40:01]

YOU ABOUT, ABOUT VACCINE HERD IMMUNITY AND OUR REPORT THAT WE, UM, PRODUCED EARLIER THIS MONTH, THE GOAL IS, IS TO, UM, HAVE 67% OF VACCINE INDUCED HERD IMMUNITY.

THAT WOULD BE 800,000 PEOPLE.

AND SO WHEN WE LOOK AT THIS, A SNAPSHOT FROM WEEK 17, UM, BASICALLY, UM, DURING THAT WEEK 49,500 FOLKS WERE ABLE TO, UM, RECEIVE THEIR VACCINE.

AND SO, AS YOU CAN SEE ON THE RIGHT SIDE, UM, WE'RE ROUGHLY ABOUT 49% BASED UPON, UM, THE FOLKS THAT HAVE RECEIVED AT LEAST, UM, ONE OR TWO OF THEIR DOSES AS INFORMATION, UM, HAS CHANGED AS OF TODAY.

WE ARE, UM, ACCORDING TO TRAVIS COUNTY DATA, WE'RE AT 447,152 FOR FIRST DOSES AND 273, TWO 49 FOR THE SECOND DOSES.

SO AS YOU CAN SEE, UM, STILL A LITTLE BIT OF AN INCREASE BASED UPON, UM, WEEK 17, NEXT SLIDE.

YEAH, WE WOULD, UM, JUST KIND OF TAKE A SNAPSHOT OF, YOU KNOW, WHAT IS HAPPENING WORLDWIDE.

UM, IT'S ALWAYS IMPORTANT BECAUSE AS THINGS BEGIN TO OPEN UP AND FOLKS TO TRAVEL, UM, THIS IS LOOKING AT 100 PEOPLE WITHIN A GIVEN POPULATION, UM, LOOKING AT A SINGLE DOSE.

AND SO, UM, YOU KNOW, FROM THE INFORMATION THAT WE RECEIVE, WE, UH, ARE AWARE THAT ABOUT 20% OF, OF, OF PEOPLE, UM, IN THE UNITED STATES HAVE RECEIVED THEIR VACCINE.

BUT AS YOU CAN TELL, WE DEFINITELY ALL HAVE A LONG WAY TO GO.

UM, BUT THAT'S JUST GIVES YOU, UM, FROM OXFORD UNIVERSITY, JUST A SNAPSHOT OF WHERE WE ARE IN COMPARISON.

UM, REAL WIDE, NEXT SLIDE.

YEAH.

THIS IS A UPDATE FOR OUR VACCINE FOR CHILDCARE EDUCATION AND OUR SENIOR POPULATION.

UM, WE'RE AT 12,520 FOR SCHOOL AND CHILDCARE STAFF THAT HAVE BEEN, UM, RECEIVED AT LEAST ONE DOSE OF THE VACCINE WITH OUR SENIOR 60 YEARS OF AGE AND OLDER, UM, 57002ND DOSE IS, UM, GREATER THAN 38,000, ACCORDING TO THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES, 75,000, UM, RESIDENTS THAT ARE 65 YEARS OF AGE AND OLDER HAVE RECEIVED THEIR VACCINE NEXT WEEK.

UM, AS YOU ARE AWARE AS WELL, MONDAY, UM, WE MADE A CHANGE AND, UM, OPENED UP OUR PORTAL TO, UH, INDIVIDUALS THAT ARE 18 YEARS OF OLDER AND NOW SCHEDULE AN APPOINTMENT WITH US.

AND SO, UM, ONE OF THE THINGS THAT WE ARE CONTINUING TO DO, UM, THIS WEEKEND, WE WILL BE AT SACRED HEART ON FRIDAY AND SATURDAY, UM, AND IN PARTNERSHIP, UM, THERE TO PROVIDE A VACCINE CLINIC.

UM, WE ARE STILL WORKING WITH FAMILY ELDER CARE TO PROVIDE, UM, VACCINES AT THEIR LOCATIONS.

WE HAVE, UM, TRANSITIONED, UM, WITH THE HOUSING AUTHORITY, UM, WITH THE CITY, UM, ALSO WITH THE COUNTY TO BE ABLE TO PROVIDE SOME, UM, VACCINES, UM, IN THE COMMUNITY AT THOSE SITES.

AND WE ARE WORKING WITH MOBILE LOAVES AND FISHES TO BE ABLE TO GO OUT AND PROVIDE THOSE VACCINES ARE, UM, YEAR TO DATE, UM, UM, TEAM THAT'S BEEN OUT AND ABOUT, THEY HAVE PROVIDED OVER 2000, UM, VACCINES TO FOLKS.

AND, UM, SOME OF THE THINGS THAT WE HAVE TRANSITIONED TO IS WE HAVE MOVED FROM THE DOVE SPRINGS RECREATION CENTER, AND WE ARE NOW AT THE SOUTHEAST BRANCH LIBRARY AND, UM, PROVIDING VACCINES THERE.

AND THAT PARTICULAR SITE, UM, IS FOCUSING ON FOLKS THAT LIVE IN THE FOUR OR FIVE COMMUNITY, UM, AND NEIGHBORING COMMUNITIES.

SO WHEN OUR, UM, PARTNERS REFER FOLKS THAT LIVE IN THOSE COMMUNITIES, WE ARE SCHEDULING THEM FOR THERE.

IN ADDITION TO THAT, UM, WE DO HAVE, UM, A PARTNER THAT IS, UM, GOING DOOR TO DOOR, GETTING SOME INFORMATION

[00:45:01]

FOR US.

AND SO WE WILL BE SCHEDULING THEM AT THE SOUTHEAST BRANCH LIBRARY AS WELL.

AND SO OUR EQUITY TEAM IS CONTINUING TO MAKE THOSE OUTBOUND CALLS TO GET INDIVIDUALS, UM, SCHEDULED THIS THURSDAY, COMING UP, OUR TEAM IS GOING TO, UM, BE, UH, AT ONE OF THE, UM, AISD SITES ON THURSDAYS.

THEY PROVIDE, UM, FOOD ASSISTANCE.

AND SO OUR STAFF ARE GOING TO BE WORKING WITH THE PARENT SUPPORT SPECIALISTS, UM, AND BASICALLY, UM, KIND OF LOOKING AT THE PROCESS THAT THEY HAVE SET UP.

AND THAT'S THOSE LOCATIONS THEY'RE PROVIDING FOOD EVERY THURSDAY.

UM, AND THEY REACHED THOUSANDS OF PEOPLE AT SEVERAL LOCATIONS, UM, THROUGHOUT THE, THE, THE EASTERN CRESCENT.

AND SO OUR STAFF ARE GOING TO, UM, BE WORKING WITH THEM TO PUT A PROCESS IN PLACE WHERE WE CAN PROVIDE, UM, UH, VACCINES IN COLLABORATION WITH THEM.

IN ADDITION, UM, WE ARE ALSO, UM, LOOKING AT SOME APARTMENT COMPLEX, UM, WHERE WE'RE ABLE TO USE THE COMMUNITY ROOMS THERE.

UM, AND SO WE HAVE BEEN WORKING WITH SOME KEY INFORMANT PARTNERS THAT HAVE PROVIDED US, UM, NAMES OF APARTMENT COMPLEXES, UM, THAT WE ARE GOING TO, UM, TRANSITION, UH, AND START GOING TO, TO PROVIDE THOSE VACCINES.

UM, AND SO AS WE CONTINUE, UM, THE EXAMPLE FROM LAST NIGHT IS THAT WE RELEASE 14,000 VACCINES AND WE ONLY FIELD ABOUT 3,400 OF THEM.

AND SO AS WE REALLY NEED TO START TO PIVOT, UM, REALLY START TO LOOK AT, UM, EXPANDING THE FOOTPRINT OF THESE MODELS OF WHERE WE'RE GOING TO, UM, APARTMENTS AND WORKING WITH THE PARENT SUPPORT SPECIALIST AND, UM, WORKING IN, UM, SMALLER LOCATIONS PARTNERING WITH, UM, WITH SITES THAT MAY HAVE, UM, AN EVENT GOING, UM, COMMA, SIMILAR TO WHAT WE'VE DONE IN THE PAST, WHERE OUR STAFF WERE OUT, UM, DOING FLU VACCINES, FOR EXAMPLE, UM, AT A COMMUNITY EVENT.

AND SO THOSE ARE SOME OF THE THINGS THAT WE'RE GOING TO START TO PIVOT, UH, TO DO AS WE START TO SHIFT OVER INTO THE MONTH OF MAY AND CONVERSATIONS WITH SOME OF MY COLLEAGUES ACROSS THE STATE OF TEXAS.

A LOT OF US ARE GETTING TO A POINT WHERE WE KNOW WE'RE GOING TO HAVE TO PIVOT AND CHANGE STRATEGIES, BECAUSE NOW WE'RE AT A POINT WHERE THERE IS MORE VACCINE THAT'S READILY AVAILABLE IN OUR COMMUNITY.

AND SO WE MUST BE STRATEGIC, UM, AND START TO MAKE THOSE CHANGES.

UH, LASTLY, UM, OUR, OUR PARTNERS, UM, UT, UM, DELL MED, UM, TRAVIS COUNTY, UT NURSING SCHOOL, UM, COMMUNITY CARE AND CENTRAL HEALTH, UH, WE'LL START HAVING, UH, MEETINGS ON FRIDAY AT NEW.

AND SO THE PURPOSE OF THOSE MEETINGS IS TO IDENTIFY GAPS IN OUR COMMUNITY.

AS WE'RE LOOKING AT THE EASTERN CRESCENT, WHERE WE ARE ABLE TO PROVIDE, UM, VACCINES IN AREAS AND MAKE IT MORE, UM, EASIER FOR FOLKS TO RECEIVE THOSE VACCINES, WORKING TOGETHER COLLABORATIVELY, UM, IS DEFINITELY, UM, THE BEST APPROACH.

SO IN THE MEANTIME, WE HAVE ASKED FOLKS NOT TO STOP WHAT YOU'RE DOING, CONTINUE TO DO THE WORK THAT YOU'RE DOING, BUT WE DEFINITELY WANT TO BE ABLE TO CREATE, UM, A MAP THAT WILL, WILL SHOW HOW WE WILL BE ABLE TO, UM, MOVE AROUND AS PARTNERS, INCLUDING AUSTIN PUBLIC HEALTH.

UM, THAT COMPLETES MY PRESENTATION AND I AM AVAILABLE FOR QUESTIONS.

THANK YOU.

THANK YOU.

THANK YOU, DR.

HOWARD, I'LL GIVE A SHORT UPDATE ON SOME OF THE SMALLER EFFORTS, UH, ON THE TRAVIS COUNTY SIDE.

SO WE'RE DOING SECOND SHOTS.

WE DID SECOND SHOTS AGAIN AT CIRCUIT OF THE AMERICAS THIS PAST WEEKEND.

UM, WE ALSO DID A COLLABORATION WITH DEL VALLEY ISD, WHERE THERE AND ACC WERE ACTUALLY THE STUDENTS WHO WERE IN SORT OF A COMBINED PROGRAM WITH DEL VALLEY AND WITH ACC, UH, VOCATIONAL PROGRAM TO, UH, OUT AN ALLIED HEALTH PROGRAM, UH, ACTUALLY CAME UP TO SERVE TO THE AMERICAS ON FRIDAY, SATURDAY, SUNDAY, UH, AND MIXED THE V THE PFIZER VACCINES ALONG WITH TOBY AND THE ASCENSION TEAM AND, UH, FOLKS FROM ESD 11.

AND ALSO AT THE SAME TIME ON THIS WEEKEND, HE SET UP, I THINK, 1100 APPOINTMENTS

[00:50:01]

WITH ESD 11 IN DEL VALLEY ISD, UH, COMMISSIONER GOMEZ AND OTHERS, UH, TO GIVE OUT THOSE VACCINES ACTUALLY AT DEL VALLEY HIGH SCHOOL, UM, IN PARTNERSHIP WITH THEM WHERE THOSE SAME STUDENTS WERE HELPING WITH THAT.

UH, I THINK THAT WAS ABOUT 1100 DOSES, UH, MAINER, WHICH DID 1100, THE PREVIOUS WEEKEND, I BELIEVE IS GOING TO DO ANOTHER CLINIC THIS WEEKEND.

AND THEN WE'RE TRYING, WE'RE WORKING WITH SOME PRIVATE PROVIDERS TO TRY TO, UH, ADD, ADD ONE ADDITIONAL CLINIC IN, UH, EASTERN TRAVIS COUNTY AS WELL.

I'M ALSO WORKING ON A PLAN TO DO, UH, VISITS TO APARTMENT COMPLEXES WITH A TEAM MADE UP OF PROBABLY FOLKS FROM ESD 11, UH, THE CONSTABLE'S OFFICE AND OTHERS KIND OF GOING APARTMENT COMPLEX, APARTMENT COMPLEX, BUT THE OVERALL GOAL WITH WHAT WE'RE SEEING IS THE WAY TO INCREASE SORT OF THE EQUITY, UH, INCREASE THE NUMBERS OF LATINOS.

AND AFRICAN-AMERICANS RECEIVING VACCINES IS TO REDUCE THE BARRIERS OF HAVING TO LOG IN AHEAD OF TIME AND INSTEAD, UH, HAVE CLINICS WHERE YOU CAN EITHER WALK UP OR WHERE THE CLINICS COME TO.

YOU KNOW, THAT OBVIOUSLY DIRECTOR HAYDEN IS WORKING HARD ON THAT AS WELL.

SO, UM, I'M GLAD THAT WE'RE HEADING IN THAT DIRECTION WITH THAT.

I'LL PASS IT OVER TO, UM, COMMISSIONER GOMEZ TO SEE IF YOU HAVE ANY QUESTIONS FOR, UH, DR.

ESCADA OR DIRECTOR HAYDEN.

WELL, I, I THINK THAT, UH, THE REPORTS, I APPRECIATE THE REPORTS, UM, UH, THEY'RE, THEY'RE, UH, PROMISING, UH, AT LEAST I FEEL LIKE WE'RE GOING TO MAKE SOME MORE PROGRESS.

UH, WE ARE ALSO GOING BACK TO THE DATABASE THAT WE ESTABLISHED WITH THE CENSUS EFFORT THAT WE MADE EARLIER, UH, AND, UH, WITH THE CONSTABLE'S OFFICE, CERTAINLY IN, IN PRECINCT FOR THE CONSTABLE IN THE JP, UH, WERE BROUGHT TOGETHER, UH, TO, TO, UM, UH, TO, UM, MAKE A REAL GOOD EFFORT ON THE CENSUS.

AND THAT IS GOING TO BE THE DATABASE FOR WHICH WE ARE WORKING ON TO MAKE SURE THAT WE CONTACT MORE PEOPLE, UH, THOSE WHO WILL NOT COME FORWARD, UH, WE CAN AT LEAST GO TO THEM.

AND, AND, UH, AND I THINK THAT'S WHAT, UH, THE EFFORT IS THAT THAT IS, UH, GOING FORWARD NOW, UM, THAT SHOULD, THAT SHOULD PROVIDE US, UM, A GOOD GROUP OF PEOPLE THAT WE CAN CONTACT TO MAKE SURE THAT THEY GET VACCINATED, UM, THE PPE EFFORT.

AND IT WAS VERY GOOD, I THINK WHEN YOU PUT RESOURCES INTO THAT EFFORT, BUT IT'S TIME TO TRANSITION FROM PPE TO VACCINATIONS.

AND SO, UM, THAT'S GOING TO, UM, I THINK HOPEFULLY, UH, GET US TO OUR GOAL.

UH, I'VE I'VE, UH, TOLD FOLKS THAT THE, THE GOAL HERE IS, UH, IS A HERD IMMUNITY, UH, AND TO MAKE THAT TRANSITION.

SO, UM, SO WE, WE HOPE THAT THAT, UH, WILL GET US TO OUR FINAL GOAL, BUT THANKS TO EVERYBODY, IT LOOKS LIKE, SOUNDS LIKE EVERYBODY'S WORKING VERY HARD AT TRYING TO GET PEOPLE TO GET VACCINATED AND, UH, AND SO MANY, MANY THANKS TO ALL OF THEM.

THANK YOU, COMMISSIONER GOMEZ, COMMISSIONER SHEA.

GOOD.

AND MY USUAL, THANKS TO, UM, DR.

GOD AND DIRECTOR HAYDEN HOWARD, AND ALL OF THE STAFF AND ALL THE VOLUNTEERS THAT ARE WORKING INCREDIBLY HARD TO TRY AND GET THE VACCINES OUT AND, UM, HELP WITH ALL KINDS OF ISSUES, UM, RELATED TO THE PANDEMIC OF THE COMMUNITY.

UM, I HAD, UH, I HAD TWO QUESTIONS.

ONE WAS ON THE, UM, UH, ANY FURTHER INFORMATION RELATED TO THE RE-INFECTION RATE AND THE DURATION OF THE VACCINE EFFECTIVENESS.

AND THEN THE OTHER ONE HAS TO DO WITH OPENING UP THE VACCINES TO YOUNG PEOPLE.

UM, I THINK THERE'S BEEN AN IMPRESSION THAT YOUNG PEOPLE ARE LESS VULNERABLE, LESS LIKELY TO GET IT, UM, ET CETERA, HOW URGENT IS IT THAT, UM, YOUNG PEOPLE BE ENCOURAGED TO GET THE VACCINE AS SOON AS THEY CAN.

AND I ALSO DON'T HAVE A SENSE FOR HOW MANY VACCINES ARE COMING INTO THE COMMUNITY AND HOW EASILY ACCESSIBLE IT WILL BE, UH, FOR YOUNGER PEOPLE NOW THAT THEY'RE ABLE TO SIGN UP FOR THE VACCINES.

WELL, COMMISSIONER, I, I THINK, UH, YOU KNOW, IF YOU QUALIFY, YOU SHOULD GET IT AS SOON AS YOU CAN.

UM, AGAIN, YOU DON'T WANT TO TALK ABOUT STATISTIC.

YES, YOUNG, YOUNGER PEOPLE ARE LESS LIKELY TO HAVE SEVERE DISEASE.

THEY'RE A LOT LESS LIKELY TO DIE.

UH, BUT THOSE CHANCES ARE LARGER THAN ZERO.

UM, AND, UH, THOSE CHANCES ARE MUCH HIGHER THAN THE, THE RISKS ASSOCIATED WITH THE VACCINE.

EVEN WITH THE CONCERN THE FDA RAISED TODAY REGARDING JOHNSON AND JOHNSON, WE'RE TALKING ABOUT SIX ADVERSE EVENTS OUT OF 7 MILLION DOSES.

UH, IT'S A TINY, TINY NUMBER.

UM, SO I I'LL TELL YOU THAT MY DAUGHTER'S

[00:55:01]

17 AND SHE'S GETTING, GOING TO GET HER SHOT TODAY.

UH, PFIZER.

SO THE PFIZER IS AVAILABLE FOR INDIVIDUALS 16 AND OLDER, THE JOHNSON AND JOHNSON AND MODERNA ARE AVAILABLE 18 AND OLDER.

UH, IF YOU'RE ELIGIBLE SIGN UP AND GET IT.

I THINK THE MESSAGE FROM DIRECTOR HAYDEN HOWARD, THAT WE HAVE, UH, UH, VACCINE APPOINTMENTS LEFT OVER SHOULD INDICATE FOLKS THAT THEY DON'T HAVE TO WAIT YOUR SCHEDULE.

YOU CAN GET IT THIS WEEK, UM, YOU KNOW, GET ONLINE, SIGN UP IF IT'S NOT THROUGH APH OR ONE OF OUR PARTNERS, CVS, WALGREENS, HEB TARGET SAM'S CLUB, WALMART, UH, LOTS AND LOTS OF PROVIDERS NOW HAVE THE VACCINE, THEY'RE GETTING MORE VACCINE, GET YOUR SHOT REGARDING THE DURATION OF THE EFFICACY.

IT'S AT LEAST SIX MONTHS.

UH, YOU KNOW, WE'LL CONTINUE TO ASSESS THAT EFFICACY.

UM, BUT IT'S VERY PROTECTED.

ARE THERE CASES OF COVID-19 IN PEOPLE WHO HAVE BEEN VACCINATED? YES.

UH, THE PROTECTION WAS NEVER A HUNDRED PERCENT.

WE'RE LOOKING AT THE CASES IN TRAVIS COUNTY.

UH, LAST WEEK, THAT NUMBER WAS ABOUT 31 PEOPLE WHO'VE BEEN FULLY VACCINATED AND, UH, HAVE BEEN DIAGNOSED WITH COVID.

UH, AGAIN, EVEN IF YOU GET IT, THE RISK OF SEVERE DISEASE DROPS, THE RISK OF DROPS, UH, THOSE NUMBERS DROP TO CLOSE TO ZERO.

UH, IT'S GOING TO BE GREATER THAN ZERO, BUT IT'S CLOSE TO ZERO.

UM, SO, YOU KNOW, EVEN, EVEN IF YOU GET IT, UM, EVEN IF YOU'VE HAD COVID BEFORE, UH, EVEN IF YOU DON'T THINK YOU'RE GOING TO GET IT, GET THE SHOT.

UM, AND YOU KNOW, OUR HOPE IS THAT THAT PEOPLE WILL HEAR THAT.

AND, UH, AND WE'LL, WE'LL ANSWER THE CALL TO GET IT.

UH, WE ALSO NEED MEMBERS OF OUR COMMUNITY TO CONTINUE TO ADVOCATE, UH, IN THEIR COMMUNITY GROUPS, UH, IN THEIR ASSOCIATIONS, YOU KNOW, THEIR EXTRACURRICULAR GROUPS, THEIR SOCIAL GROUPS TO GET THE VACCINE ANSWER QUESTIONS ABOUT HESITANCY REFER PEOPLE TO, UH, TO DEFINITIVE SOURCES REGARDING THE VACCINE.

AND IF THERE'S, UH, CONCERNS BROUGHT UP SO THAT WE CAN GET THROUGH THIS, UH, THIS PHASE OF VACCINATION AND ENRICH HERD IMMUNITY.

THANK YOU, COMMISSIONER PAVILION.

GOOD MORNING.

UM, ONCE AGAIN, I WOULD LIKE TO, UH, TO THANK DR.

SCOTT AND, AND, UH, AND DIRECTOR HAYDEN HOWARD ON THEIR WILLINGNESS TO DO NON-CONVENTIONAL THINGS, UH, TO REACH OUT TO THE COMMUNITY, UH, ON AGAIN, I JUST WANT TO POINT OUT THAT A LOT OF THE ISSUES THAT WE ARE WORKING THROUGH ARE STRUCTURAL ISSUES THAT HAVE BEEN WITH US FOR A LONG TIME.

AND I HOPE THAT VERY SOON AFTER WE GET TO THE OTHER SIDE OF THIS, UH, WE REALLY WORK AND PLAN ON ADDRESSING THOSE AREAS THAT HAVE, UH, THAT HAVE STRUCTURAL PROBLEMS AND ECONOMIC DEFICIENCIES.

I SAW THAT THE NEXT TIME WE SEE SOMETHING LIKE THIS, WE WON'T HAVE THE SAME PROBLEMS OVER AGAIN.

SO THANK YOU FOR WHAT YOU'VE DONE AND WANT TO DOCUMENT A LOT OF THOSE THINGS AND MAKE SURE THAT WE'RE AWARE SO THAT WHEN IT IS APPROPRIATE, WE CAN INSTITUTE INSTITUTIONALIZED.

SOME OF THOSE THINGS I'VE BEEN LOOKING AT BEST PRACTICES AROUND THE, AROUND THE COUNTRY AND PARTICULARLY IN URBAN AREAS.

AND, UM, I WANTED TO KNOW, UH, WHAT ARE WE DOING TO BUILD A BIGGER, UM, MOBILE CAPACITY? AND WHAT I MEAN BY THAT IS, UH, TO IDENTIFY, UH, TEAMS WHO ARE ABLE TO GET IN A, IN A VEHICLE AND DRIVE TO PLACES, DRIVE TO NEIGHBORHOODS, DRIVE TO COMMUNITY INSTITUTIONS, UH, SO THAT THEY CAN GET TO THOSE COMMUNITIES AND VACCINATE, UH, THOSE FOLKS IN THE NEIGHBORHOOD, BECAUSE WE STILL KNOW THAT PUBLIC TRANSIT IS A PROBLEM AND STILL KNOW THAT ACCESS TO WIFI IS A PROBLEM.

STILL ALSO KNOW THAT, UH, OFTENTIMES, UH, COMPUTER SAVVY AND, AND JUST THE PATIENTS THAT'S NECESSARY TO WORK THROUGH OUR REGISTRATION PROCESS IS DIFFICULT FOR SOME OF OUR ELDERLY POPULATION.

SO I'M INTERESTED IN KNOWING WHAT WE'RE DOING TO, UH, TO IDENTIFY MOBILE RESOURCES AND STAND UP TEAMS THAT CAN GO INTO NEIGHBORHOODS AND PROLONG THE VACCINATIONS.

UM, MY DOG, JOHN, TO THE CONVERSATION.

UM, LET'S SEE.

UM, UH, I ALSO, UH, AS, AS WE, AS WE LOOK AND SEE WHAT'S AVAILABLE AND WHAT OUR CAPACITY IS FOR MOBILE FACILITATORS, I WANT US TO ALSO REMEMBER, UH, UH, THE CO-LOCATION THAT WE'VE DONE WORKING THROUGH TITLE ONE SCHOOLS, WORKING WITH COMMUNITY

[01:00:01]

CENTERS, GOING TO GET TO PLACES WHERE THE COMMUNITY CONGREGATES LIKE CHURCHES AND WHATNOT.

UM, I THINK IT'S GREAT IDEA WORKING IN FAMILY ELDER CARE MEALS ON WHEELS COMMUNITY FIRST, I THINK THEY GO INTO NEIGHBORHOODS AND WORK WITH FOLKS THAT DON'T NECESSARILY COME OUT TO US.

I JUST WANT TO EXPAND THAT, UH, TO, UH, TO MAKE SURE THAT WE ARE USING STRATEGIES TO GET MOBILE FACILITIES IN THE NEIGHBORHOODS, UH, OR INTO ZIP CODE AREAS WHERE WE DON'T SEE A LOT OF PARTICIPATION YET.

UM, COMMISSIONER TREVELYAN, UM, THE DEPARTMENT HAS FOUR, UM, MOBILE TEAMS, UM, THAT ARE PROVIDING VACCINES RIGHT NOW.

UM, AND SO THOSE ARE THE TEAMS THAT HAVE BEEN DOING, UM, YOU KNOW, WORKING WITH HOUSING AUTHORITY, UM, YOU KNOW, UH, GOING OVER TO, YOU KNOW, FAMILY ELDER CARE, ET CETERA.

UM, AND SO, UM, WITH, WITH THAT TEAM, UM, THEY, UH, TRANSPORT IN A VAN.

UM, AND SO, UM, THE DEPARTMENT CURRENTLY HAS, UM, TWO MOBILE VANS THAT WE HAVE OUTSIDE OF THOSE VANS.

UM, AND SO, UM, ONE OF THE THINGS THAT WE TYPICALLY DO IN, IN SETTINGS WHERE I'M GONNA USE THE EXAMPLE AT THE SCHOOL, UM, TYPICALLY WHEN WE PARTNER WITH THE SCHOOLS, UM, WE ACTUALLY SET UP A LOCATION.

UM, AND IT DEPENDS ON THE VACCINE THAT WE HAVE, WE TYPICALLY SET UP IN A LOCATION INSIDE, UM, AND BASICALLY ARE PART OF WHATEVER TYPE OF ACTIVITY THEY HAVE GOING ON.

AND SO, UM, SOME OF THAT COULD POTENTIALLY BE OUR MOBILE VACCINE FOLKS, BUT SOME OF THAT IS, IS FOLKS THAT ARE WORKING AT YOUR, AT YOUR DELCO AND YOUR BURGER CENTERS RIGHT NOW.

AND SO, UM, BASICALLY, YOU KNOW, KIND OF TRANSITIONING SOME OF THE FOLKS FROM THEIR EXISTING LOCATIONS, WHETHER IT'S BURGER DELCO, UM, AND BEING AT THOSE SITES LIKE THAT, UM, THE APARTMENT COMPLEXES THAT WE ARE LOOKING AT RIGHT NOW HAVE COMMUNITY CENTERS.

AND SO THOSE, UM, PARTICULAR COMMUNITY CENTERS, UM, WOULD BE THAT THE CLINICAL TEAM THAT ARE ABLE TO, TO DO THAT.

SO THE MOBILE TEAMS IN THE VAN, THEY WOULD BE THE ONES THAT COULD GO FROM, YOU KNOW, KIND OF LOCATION TO LOCATION, TO LOCATION.

UM, YOU KNOW, ONE OF THE OTHER STRATEGIES THAT WE ARE WORKING ON IS, IS, UM, AS WE START TO PIVOT, SINCE EVERYONE IN THE HOUSEHOLD IS AVAILABLE FOR VACCINES, I'M STARTING TO GET AN IDEA OF HOW MANY FOLKS ARE IN, IN THE HOME.

UM, OUTSIDE OF JUST, UM, YOU KNOW, THE PERSON THAT'S DISABLED OR HOME BOUND, UM, TRYING TO GET AN IDEA OF THE NUMBER OF FOLKS THAT ARE IN THE HOME AS WELL.

AND SO THAT IS ANOTHER STRATEGY THAT WE ARE GOING TO USE.

UM, ONE OF THE THINGS THAT WE HAVE BEEN ABLE TO DO IS, UM, AS WE HAVE BEEN GOING OUT TO, UM, SOME OF THE HOME-BOUND, UM, LOCATIONS, FOLKS THAT HAVE CAREGIVERS, WE HAVE PROVIDED SOME VACCINES TO THEIR CAREGIVERS AS WELL.

SO IT'S JUST A MATTER OF, YOU KNOW, AS YOU ALL KNOW, WE, WE ARE A HUB.

UM, AND SO WE TYPICALLY, YOU KNOW, WE'LL, WE'LL SET ASIDE SOME VACCINES, SO WE ARE ABLE TO, UM, PUT THEM IN OUR MOBILE LOCATIONS, UM, IN OUR PARTNERSHIPS THAT WE HAVE ON THE WEEKENDS.

AND SO, UM, AND SO THE, THE GOAL IS, IS, UM, FOR AUSTIN PUBLIC HEALTH TO SHIFT BACK TO SAFETY NET, ONCE WE ARE ABLE TO SHIFT TO SAFETY NET, UM, AS YOU ALL KNOW, UM, EACH WEEKEND, YOU KNOW, WE ARE, UM, WE ARE PROVIDING A SERVICE FOR THE NEXT COUPLE OF WEEKENDS, BUT OUR GOAL IS TO BE ABLE TO DO MORE OF THOSE EVENTS, WHERE THERE ARE EXISTING EVENTS, UM, LIKE FOR EXAMPLE, THE FOOD EVENT THAT HAPPENS ON THURSDAYS AT AISD, FOR EXAMPLE, UM, THE EVENTS WHERE FOLKS ARE STARTING TO HAVE EVENTS IN THE COMMUNITY.

UM, YOU KNOW, WE ARE SCHEDULED FOR AN EVENT IN DOVE SPRINGS, FOR EXAMPLE.

SO DOING MORE OF THAT, UM, LASTLY, UM, YOU KNOW, WE, WE DO KNOW, UM, THAT THE PORTAL, UM, IS, IS PROBABLY NOT THE BEST THING FOR FOLKS THAT DON'T HAVE ACCESS TO THE INTERNET.

UM, THAT IS, UH, ONE OF THE REASONS WE SET UP THE EQUITY LINE BACK IN JANUARY.

UM, ONE OF THE THINGS THREE, ONE, ONE IS ASSISTING US TO DO IS, IS THAT IF AN INDIVIDUAL WOULD LIKE TO GO AHEAD AND SIGN UP AND HAVE AN ACCOUNT, THEY CAN CALL THREE, ONE, ONE MY BANK THROUGH SATURDAY AND RE ONE, ONE, WE'LL CREATE THAT ACCOUNT FOR THEM, UM, AND GET THEM SET UP.

AND THEN TYPICALLY

[01:05:01]

THREE, ONE, ONE WE'LL CREATE A SERVICE REQUEST, SEND IT OVER TO THE EQUITY TEAM.

AND THE EQUITY TEAM WILL SCHEDULE THEM TO COME INTO, YOU KNOW, ONE OF THE LOCATIONS OR, YOU KNOW, IF THEY ARE, UM, RIGHT NOW, WE'RE STILL KIND OF REALLY TRYING TO FOCUS ON MAKE SURE ELDERLY FOLKS AND HOME BOUND FOLKS, IF THEY ARE HOME BOUND, UM, THEY ARE, OUR MOBILE VACCINE TEAM WILL PROVIDE THOSE VACCINES.

UH, THANK YOU FOR THAT.

I APPRECIATE YOUR THOUGHTFULNESS, UM, LESS, LESS TWO IDEAS WHERE NEAR, AS WE TALK ABOUT FOR TEAMS THAT ARE ABLE TO REACH OUT INTO THE COMMUNITY, UH, JUST WANT TO MAKE SURE, UH, THAT, UH, WE, WE APPROACH THAT FROM, UH, FROM, UH, THE, THE PERSPECTIVE OF DIVERSITY TO MAKE SURE THAT WE'RE ADDRESSING THE LEG, THE, THE LANGUAGES, AND, AND ALSO, UH, SOME OF THOSE COMMUNITIES THAT AREN'T REGULARLY REACHED OUT TO, UH, BECAUSE THEY'RE IN, UM, UH, QUOTE UNQUOTE DIFFICULT PARTS OF TOWN.

AND THERE WAS, UH, AND WE WATCH WHEN I WORKED AT, UH, AT THE, AN AUSTIN ENERGY, UH, WE TRIED TO MAKE A LIST OF PEOPLE THAT, UH, THAT NEEDED MEDICAL EQUIPMENT SO THAT WE COULD REACH OUT TO THEM, UH, WHEN THEY'RE, WHEN THERE WAS A POWER OUTAGE OR ANYTHING, DO WE STILL HAVE THOSE TYPES OF LISTS? AND ARE WE ABLE TO REACH OUT TO, TO THE PARTS OF THE COMMUNITY, UH, WHERE YOU HAVE FOLKS THAT HAVE MEDICAL NEEDS OR MEDICAL, UH, ISSUES THAT WE ARE AWARE OF, THAT WE CAN CHECK ON ALMOST A REVERSE NINE 11, IF YOU WILL.

UM, UH, AUSTIN ENERGY STILL DOES HAVE THAT LIST.

UM, I'M GOING TO TAKE THAT DOWN AS A NOTE BECAUSE WE'VE NOT REACHED OUT TO THEM.

UM, BUT THAT IS SOMETHING THAT I CAN REACH OUT TO, UM, UH, JACKIE SERGEANT AND CHECK IN WITH HER BECAUSE THEY DO CURRENTLY STILL HAVE, UM, THAT LIST OF FOLKS THAT THEY ARE, UM, THAT THEY ARE PROVIDING, UM, YOU KNOW, WORKING WITH THEM WITH THEIR UTILITIES BECAUSE THEY'RE MEDICALLY FRAGILE INDIVIDUALS.

SO THANK YOU.

WE'LL DO THAT.

THANK YOU FOR ALL THE WORK THAT YOU ALL ARE DOING.

UH, I APPRECIATE YOU.

THANK YOU, COMMISSIONER.

UM, AND I JUST ONE THING BEFORE I SEND IT BACK OVER TO THE CITY COUNCIL, WHEN, UH, ALSO THANK COUNCIL MEMBER FUENTES FOR, UH, WORKING WITH DEL VALLEY ISD AND THE WHOLE TEAM THAT HELPED PUT TOGETHER THAT, THAT CLINIC EFFORT, UH, THIS PAST WEEKEND, AND WITH THE STUDENTS AND EVERYTHING, THAT REALLY WAS JUST SUCH GREAT TEAMWORK AND A REALLY GOOD RESULT.

AND I LOOK FORWARD TO DOING MORE OF THAT IN THE FUTURE WITH THAT, I'LL PASS IT OVER TO YOU MAYOR TO ASK ANY QUESTIONS YOU ALL WANT, RONALD, THANK YOU.

AND AGAIN, TO THE COMMISSIONER'S COURT, THANKS FOR LETTING US, UH, UH, JOIN YOU AT THIS JOINT, UH, PRESENTATION.

UH, I WANT TO, AGAIN, THANK, UH, DR.

ESCADA AS WELL.

AND, AND ALL THE STAFF WITH AUSTIN PUBLIC HEALTH IS JUST A SECOND.

WE'RE GOING TO START, I THINK THIS TIME WE START WITH DISTRICT 10 AND WORK OUR WAY BACK ABOUT REAL FAST, UM, UH, DIRECTOR, UH, HAYDEN, UH, THE JOINT, UH, DEMOGRAPHIC INFORMATION WE HAVE, SOMETIMES YOU SAY IT'S THE OF, AND SOMETIMES YOU SAY COMMUNITY CARE, IS IT JUST THE COMMUNITY CARE AT COTA, OR IS IT COMMUNITY CARE? LOOKING AT THEM AS A, UH, AS ONE OF OUR SAFETY NET PROVIDERS, IT IS, UM, IT IS ALL OF THE VACCINES THAT ARE BEING PROVIDED, UM, AT THE CIRCUIT OF AMERICA AND ITS INFORMATION FROM COMMUNITY CARE.

SO IT'S ALL A COMMUNITY CARE PEOPLE, WHETHER OR NOT THEY'RE VACCINATED AT COTA.

YES.

OKAY.

UH, APPRECIATE THAT.

THERE WAS A SLIDE THAT YOU HAD THAT HAD THE PERCENT OF TOTAL POPULATION FULLY VACCINATED, AND YOU HAD, UH, DIFFERENT COUNTRIES AND YOU HAD 56% FOR THE UNITED STATES.

IS THAT FULLY VACCINATED OR IS THAT A, I'VE SEEN, I THINK IT'S PAGE 29.

IT'S A, IT'S A SINGLE DOSE.

IT'S A SINGLE ONE SINGLE DOSE.

SO YOU MIGHT WANT TO CHANGE THE HEADING.

YOU MIGHT WANT TO CHANGE THE HEADING ON THAT IF YOU PUBLISH THAT PAGE.

UM, AT ONE POINT WHEN WE WERE, WHEN WE WERE FACING THIS, UM, WE HAD BEEN SAYING TO PEOPLE, UH, OUR LIMITATION IS THE SUPPLY AND EVERY VACCINE WE GET WE'RE GETTING INTO TO PEOPLE'S ARMS AND BOWEL SEEMS AS IF WE'RE NO LONGER IN THAT PLACE.

UH, AND I HAD, IT APPEARS AS THEY, UH, WE COULD GET OUT A LOT MORE VACCINE IF WE HAD ADDITIONAL STAFFING OR A DIFFERENT, ADDITIONAL RESOURCES TO BE ABLE TO DO THAT.

IS THAT TRUE? SO I'LL GO AHEAD AND ANSWER.

IT

[01:10:01]

LOOKS LIKE STEPHANIE IS FROZEN A BIT, SO THIS IS, THIS IS WHAT WE ANTICIPATED.

AND WE, UH, YOU KNOW, WE TALKED ABOUT IT LAST WEEK.

UH, YOU KNOW, WE WENT THROUGH THIS PHASE WHERE, WHERE WE HAD PEOPLE WHO WERE EAGER TO GET IT.

AND SO THAT PASSIVE MODEL WAS OKAY BECAUSE WE HAD LOTS MORE PEOPLE WHO WANTED THE VACCINE THAN WE HAD VACCINE, BUT WE ANTICIPATED THAT WE WOULD REACH THIS PLATEAU PHASE, WHERE WE HAVE LOWER NUMBERS OF INDIVIDUALS WHO WANT TO DRIVE ACROSS TOWN TO GET IT AS COMMISSIONER.

UH, TREVELYAN SAID EARLIER, AND WE HAVE TO MOVE THE STRATEGY CLOSER TO HOME, UH, SO THAT IT'S EASIER.

IT'S MORE CONVENIENT.

AND, UH, WE PEOPLE HAVE TO WORK SO HARD TO GET IT.

AND THEN WE HAVE TO MOVE INTO ALSO THE, THE ACTIVE MODEL WHERE WE'RE PROVIDING ACTIVE OUTREACH TO PEOPLE, UH, TO ENCOURAGE THEM TO GET THE VACCINE.

SO I THINK, YOU KNOW, THE STRATEGY THAT DIRECTOR, HOW MENTIONED IS, IS PART OF WHAT, RIGHT.

BUT MY QUESTION IS IF YOU HAD MORE RESOURCES, COULD YOU GET OUT MORE VACCINES? AND THEN YOU DON'T KNOW THE ANSWER TO THAT RIGHT NOW, THEN WHEN I WOULD APPRECIATE THAT YOU AND DIRECTOR HAYDEN WOULD TAKE A LOOK AT THAT, GIVEN THE CHANGES STRATEGIES, GIVEN THE CHANGE, NOW THAT WE HAVE MORE SUPPLY THAN WE HAVE A CAPACITY TO GET OUT, SHOULD WE BE TAKING A LOOK AT INCREASING THE RESOURCES THAT ARE AVAILABLE FOR THESE NEW STRATEGIES IN ORDER TO MAKE IT SO THAT RE I DON'T KNOW WHAT THE LIMITATION IS NOW, SINCE WE HAVE MORE VACCINES THAN WE NEED, AND WE STILL HAVE PEOPLE THAT AREN'T VACCINATED, WHAT DO WE NEED TO DO IN ORDER TO BE ABLE TO, TO GET THERE? I APPRECIATE THE STRATEGIES THAT WE'RE DOING, AND I THINK THEY'RE GREAT, AND I'M HAPPY.

IT'S A GREAT TO SEE THOSE.

I GUESS MY QUESTION IS, COULD WE DOUBLE OR TRIPLE THOSE EFFORTS, IF WE PUT MORE RESOURCES AGAINST THEM, THAT'S MY QUESTION.

CAN, WHAT CAN WE DO TO INCREASE THE NUMBER OF PEOPLE NOW THAT ARE GETTING THE VACCINES, RECOGNIZING THEIR HEART, OR RECOGNIZING THOSE STRATEGIES NEED TO CHANGE? AND THEN, YEAH, MAN, I WILL SAY, YES, MORE RESOURCES WILL HELP US BE MORE EFFECTIVE, BUT, UH, TRANSITIONING RESOURCES FROM LARGER SITES TO SMALLER, UH, SITES ARE HELPFUL ALSO, BUT THE SMALLER SITES ARE LESS EFFICIENT AND, YOU KNOW, THAT'S GOING TO REQUIRE, YOU KNOW, INCREASED NUMBER OF PERSONNEL TO OPERATE THE DIFFERENT, SMALLER SITES AROUND TOWN.

I WILL SAY THAT ONE OF THE OTHER STRATEGIES, UH, THAT WE HAVE DISCUSSED IS, UH, IS VACCINES AT EMS AND FIRE STATIONS, UH, STILL IN THE PROCESS OF DISCUSSION, BUT WE HAVE EMS INSPIRE STATIONS IN EVERY COMMUNITY, ACROSS THE COUNTY THAT ARE STAFFED WITH PEOPLE WHO CAN PROVIDE THE VACCINE.

UM, SO THAT SEEMS LIKE A NATURAL PARTNERSHIP.

AND, YOU KNOW, WE'RE CLOSE TO THE TIME WHERE WE NEED TO START TO TRANSITION, UH, TO STRATEGIES LIKE THAT AS WELL.

AND THAT'S, SO THAT'S THE QUESTION.

AND I THINK THAT SOUNDS LIKE REALLY GREAT IDEAS TO WHAT I'M INTERESTED IN KNOWING IS WHAT IS THE BARRIER FOR US GETTING MORE VACCINES IN MORE PEOPLE? AND WHAT WOULD IT TAKE TO MEET THAT, TO OVERCOME THAT BARRIER? IS IT ADDITIONAL PEOPLE TO MIXES IF THE ADDITIONAL PEOPLE TO VACCINATE? IS IT SITES? IS IT WHATEVER IT IS I'D LIKE TO KNOW WHAT THE BARRIER IS AND THEN WHAT THE STRATEGIES WOULD BE TO OVERCOME THOSE BARRIERS.

AND THEN THE LAST THING I'LL SAY, AND THEN I'LL GO TO DISTRICT 10 AND SOME MEMBER ALTAR.

I THINK THE LIST OF THINGS THAT, UH, AUSTIN PUBLIC HEALTH IS DOING THAT ARE EQUITY FOCUSED ARE REALLY GOOD AND REALLY HELPFUL.

I'D APPRECIATE IT.

IF THERE WAS A LANDING PAGE ON OUR WEBSITE THAT WAS CREATED, THAT WAS CALLED THE EQUITY PAGE, THAT LISTED THE KINDS OF THINGS THAT WE WERE DOING.

AND SO THAT PEOPLE MIGHT BE ABLE TO BETTER FIND THEM.

THERE WERE SOME THINGS THAT, UH, DIRECTOR HAYDEN, UH, SPOKE ABOUT THAT SHE'S DOING THAT.

I'M NOT SURE THAT PEOPLE ARE GOING TO HEAR THE CONVERSATION WE HAD TODAY, BUT IF THERE WAS JUST A PAGE ON THAT WEBSITE THAT SAID, THESE ARE THE EQUITY EFFORTS WE'RE DOING, AND MAYBE THERE'S A PHONE NUMBER ATTACHED TO EACH ONE THAT SAID, IF THIS LOOKS LIKE SOMETHING THAT MIGHT FIT FOR YOU, OR YOU MIGHT HAVE A LOCATION OR WHATEVER IT IS, SO THAT THERE'D BE A PLACE FOR PEOPLE TO GO.

SO THAT LANDING PAGE THAT WOULD HAVE EQUITY EVERENCE.

AND THEN THE OTHER ONE IS IF YOU COULD COME BACK TO THE COUNCIL UNTIL THE COMMISSIONERS AND IDENTIFY FOR US WHAT THE BARRIERS ARE AND WHAT WE WOULD NEED TO DO TO OVERCOME THOSE BARRIERS, TO GET MORE PEOPLE VACCINATED, ESPECIALLY THE PEOPLE THAT ARE HARDEST TO GET TO, UH, THAT ARE MOST VULNERABLE AND MOST AT RISK.

THANK YOU.

UH, COUNSEL WERE ALTAR.

THANK YOU.

CAN YOU HEAR ME? YES.

GREAT.

UM,

[01:15:01]

SO, UM, THANK YOU.

I'M REALLY EXCITED THAT WE ARE AT THIS PIVOT POINT AND THAT WE CAN FINALLY HAVE CONVERSATIONS ABOUT HOW WE REALLY GET MORE OUT INTO THE COMMUNITY, UM, IN THIS FOCUSED WAY, KNOWING THAT WE HAVE MADE A LOT OF PROGRESS.

UM, I WANT TO UNDERSCORE FIRST, YOU KNOW, UH, DR.

SCOTT'S RESPONSE IN THAT, UM, WE HAVE A LOT OF RESOURCES THAT WE CAN REDEPLOY, AND THAT WAS ALWAYS THE PLAN.

AND SO I THINK THAT'S PART OF, UM, THE PROCESS HERE.

OBVIOUSLY THE QUESTION THE MAYOR IS ASKING IS A VERY IMPORTANT ONE, BUT I THINK ALL ALONG WE'VE THE PLAN HAS BEEN TO TRANSITION AT A CERTAIN POINT.

AND I'M GLAD THAT WE ARE AT THAT POINT WHERE WE CAN FOCUS ON THAT TRANSITION.

UM, I DON'T SEE DIRECTOR HAYDEN HOWARD ON, BUT MAYBE, UM, DR.

ASCOT CAN ANSWER, UM, THE QUESTION THAT I HAVE, I WANTED TO GET SOME CLARIFICATION.

UM, I THOUGHT I HAD HEARD THAT DIRECTOR, HAYDEN HOWARD SAY THAT ONLY 57% OF OUR APH, UM, SHOTS WERE, WERE GOING TO TRAVIS COUNTY.

UM, DO WE KNOW WHAT IS SORT OF TRAVIS COUNTY PLUS AUSTIN? THAT'S NOT IN, UM, TRAVIS COUNTY, CAUSE THAT WAS, UH, A MUCH LOWER PERCENTAGE OF THE TOTAL THAN I WOULD HAVE EXPECTED.

UM, GIVEN WHAT WE HAD BEEN HEARING WAS GOING ON IN SOME OF THE SURROUNDING COMMUNITIES.

SO IF YOU COULD SPEAK TO THAT STATISTIC AND THEN, UM, YOU KNOW, AS OUR INTERIM HEALTH AUTHORITY, IF YOU COULD SPEAK TO, YOU KNOW, THOSE OF US WHO HAVE, UM, SCHOOL-AGED CHILDREN WHO ARE BEING, UM, ASKED VERY ADAMANTLY TO GO BACK TO SCHOOL THIS WEEK, OR NEXT WEEK, GIVEN CHANGES TO THE TEXAS EDUCATION AGENCY'S APPROACH TO FUNDING OUR SCHOOLS, UM, HOW PARENTS SHOULD BE THINKING ABOUT THOSE DECISIONS, UM, AND YOUR ADVICE, YOU KNOW, AS AN INTERIM HEALTH AUTHORITY, KNOW YOUR, YOUR KIDS AND MANY KIDS IN THE AREA HAVE BEEN BACK FOR AWHILE, BUT MANY IN AISD IN, AND PARTICULARLY AT THE OLDER AGES HAVE NOT.

UM, SO IF YOU COULD JUST PROVIDE SOME INSIGHTS AS A HEALTH AUTHORITY, UM, FOR THOSE OF US WHO WERE MAKING THOSE DECISIONS AND WHETHER OR NOT OUR CHILDREN ARE VACCINATED DEPENDING ON AGE, THANK YOU.

SURE.

COUNCIL MEMBER.

UH, SO, UH, DSHS, UH, RELEASED SOME STATISTICS ON COUNTY BY COUNTY, THE PERCENTAGE OF INDIVIDUALS WHO ARE COUNTY RESIDENTS WHO WERE VACCINATED VERSUS OUTSIDE.

UM, AND THAT'S WHERE THAT NUMBER CAME FROM ABOUT 39%, UH, IN THE REPORT THAT I SAW, UH, OF THE TRAVIS COUNTY VACCINE DOSES WORK FOR PEOPLE OUTSIDE TRAVIS COUNTY, UH, THE VAST MAJORITY OF THEM ARE TEXANS.

AND, YOU KNOW, I THINK THE TAKE HOME MESSAGES WERE NOT SAFE UNTIL TEXAS IS SAFE.

WE'RE NOT SAFE UNTIL THE U S IS SAFE.

WE'RE NOT SAFE UNTIL THE WORLD IS SAFE.

UM, BUT YOU KNOW, WE DON'T KNOW HOW MANY, WHAT PERCENTAGE OF THOSE WENT TO, HE WAS IN COUNTY, UH, BACKDROP CALDWELL, YOU KNOW, PART OF OUR MSA, MY GUESS IS MOST OF THE EXCESS WENT TO OUR SURROUNDING COUNTIES.

UH, BUT WE DO KNOW THAT THAT FOLKS TRAVELED FROM HOUSTON AND DALLAS AND COLLEEN AND EL PASO AND LOTS OF OTHER PLACES TO GET VACCINATED HERE.

AND I THINK THAT'S, AGAIN, ONE OF THE THINGS THAT WE MENTIONED LAST WEEK THAT I'LL REITERATE NOW, WHEN WE LOOK AT THE, AT THE ZIP CODE MAPS, UH, THAT ARE SUPPLIED FROM THE DSHS DATA, THOSE ARE RESIDENTS VACCINATED, NOT RESIDENTS VACCINATED BY APH.

OKAY.

AND WHY IS THAT IMPORTANT? BECAUSE WE KNOW PEOPLE WHO ARE WEST OF 35, YOU KNOW, HAVE THE RESOURCES MORE LIKELY TO HAVE THE RESOURCES, MORE LIKELY TO TRAVEL DISTANCES, TO RECEIVE VACCINE.

AND I CAN TELL YOU THAT IN WEST TRAVIS COUNTY, I KNOW LOTS OF PEOPLE WHO, UH, DROVE A LONG WAY TO GET A VACCINE EARLY ON.

UM, BUT YOU KNOW, WE STILL HAVE, WE STILL HAVE WORK TO DO.

UH, BUT YOU KNOW, AGAIN, UM, PART OF, UH, OF THE HUB RESPONSIBILITY FROM APH WAS TO PROVIDE VACCINES TO ANY TEXTS AND WHO, WHO SIGNS UP.

AND, AND, AND THAT'S WHAT WE'VE DONE MY GUESS IS AGAIN, AS, UM, VACCINE BECOMES MORE AVAILABLE LOCALLY ACROSS THE STATE, ACROSS THE COUNTRY THAT ARE VACCINE VACCINATION EFFORTS WILL CONCENTRATE MORE ON TRAVIS COUNTY RESIDENTS, UH, BECAUSE PEOPLE DON'T NEED TO TRAVEL AS MUCH ANYMORE, UH, REGARDLESS.

SO I'LL SEND IF I COULD JUST END UP FOR, BUT AUSTIN COVERS MORE THAN TRAVIS COUNTY.

AND SO THAT WAS, DO WE HAVE ANY SENSE OF, YOU KNOW, CAUSE THERE MAY BE A LOT OF AUSTINITES WHO ARE COMING IN TO DO APH, DO WE HAVE A SENSE OF, OF, OF THAT ARE THE AUSTINITES IN WILLIAMSON COUNTY THAT HAVE BEEN,

[01:20:01]

I DON'T THINK WE DO.

I THINK IT, THE DATA THAT DSHS HAS IS JUST, UH, YOU KNOW, WHERE YOU'VE ACTUALLY HAD IN YOUR COUNTY RESIDENTS OR OUTSIDE YOUR COUNTY RESIDENTS.

UM, BUT WE CAN, WE CAN CERTAINLY ASK HIM AND SAY, WE HAVE THIS ZIP CODE DATA, UH, FOR THE, UH, INDIVIDUALS VACCINATED BY APH.

UH, SO WE, WE CAN LOOK AT THAT, BUT, UM, IT MAY BE CHALLENGING BECAUSE ZIP CODES ARE, UH, YOU KNOW, CAN TRANSITION ACROSS COUNTY LINES AND CITY LINES AS WELL.

UM, AND IN RESPONSE TO, YOU KNOW, WHAT TO DO WITH YOUR SCHOOL CHILDREN.

YEAH.

AGAIN, I THINK IT'S AN INDIVIDUAL DECISION AND IT'S, IT'S BASED ON A LOT OF FACTORS.

UM, YOU KNOW, FAMILIES WHO HAVE SOMEONE AT HOME WHO IS AT HIGH RISK FOR SEVERE DISEASE SHOULD BE MORE CAUTIOUS ABOUT SENDING THEIR CHILDREN TO SCHOOL IN PERSON.

UM, IF THOSE INDIVIDUALS ARE FULLY VACCINATED, THAT RISK GOES DOWN AND, UH, YOU KNOW, THEY, THEY MAY RECONSIDER SENDING THEIR, UH, THEIR CHILD IN PERSON NOW THAT, THAT THEY ARE THEMSELVES PROTECTED.

UH, I THINK REGARDLESS, UH, ALL OF OUR TRAVIS COUNTY SCHOOL DISTRICTS HAVE CONTINUED THE MASKING AND DISTANCING GUIDELINES.

THEY'RE CONTINUING TO, UM, YOU KNOW, TO, UH, HAVE WASHING STATIONS, HAND SANITIZER, THEY'VE GOT PROTOCOLS IN PLACE AND THEY'RE, THEY'RE VERY GOOD AT IT.

UH, AND AGAIN, I WANT TO REITERATE THAT THE CLUSTERS OF CASES THAT WE'RE SEEING IN SCHOOLS ARE ALMOST ALWAYS RELATED TO ATHLETICS BAND, CHEERLEADING, EXTRACURRICULAR ACTIVITIES.

UM, WE ARE NOT SEEING TRANSMISSION IN THE CLASSROOM.

WE HAVE GOOD DATA NOW THAT SAYS THREE FEET PLUS MASKING IN CLASSROOMS IS VERY PROTECTIVE.

UM, WE'RE SEEING THESE CLUSTERS WHEN THOSE THINGS ARE HAPPENING, WE'RE SEEING THEM ON CHARTERED BUSES AND, AND IN PRACTICES, WE'RE SEEING CLUSTERS INQUIRE, UH, THE THINGS THAT WE'VE BEEN SAYING WHERE WE'VE BEEN SEEING THEM ALL ALONG IS WE'RE STILL SEEING THEM.

SO I THINK IF, IF YOU HAVE A CHILD WHO'S GOING TO WEAR A MASK, FOLLOW THE GUIDELINES, UM, THAT THAT GOING TO CLASS IN PERSON IS FINE, AND MY CHILDREN ARE GOING IN PERSON, MARY, YOU NEEDED, THANK YOU, JASPER TOTAL JANUARY NOW THEN.

YES.

YES.

OKAY.

I THINK MY EARPHONES AREN'T WORKING, UM, MY QUESTIONS ARE GOING TO FOLLOW UP ON COUNCIL MEMBER ALTERS CAUSE THAT'S, WHAT'S ON MY MIND TODAY TOO, NOT JUST AS A COUNCIL MEMBER, BUT AS A PARENT, I ALSO AM GETTING KIND OF THE ALMOST REQUESTS TO SEND, SEND MY KIDS BACK.

UM, AND SO I JUST WANT TO STOP AND SAY, I REALLY APPRECIATE THE WORK THAT, THAT OUR PUBLIC HEALTH HAS DONE WITH OUR SCHOOL DISTRICT.

AND I APPRECIATE ALL THE PRECAUTIONS, OUR SCHOOL DISTRICTS HAVE TAKEN AND TO, TO KEEP, UM, TO KEEP THEIR STUDENT POPULATIONS AS SAFE AS POSSIBLE.

I REALLY THINK THE STATE'S DECISION TO PUT SUCH PRESSURE ON SCHOOLS TO INCREASE THEIR ATTENDANCE HERE IN THESE LAST SIX WEEKS IS OUTRAGEOUS AND INAPPROPRIATE AND IS, IS JUST, UM, SHOULD NOT BE HAPPENING.

AND I, AND I APPRECIATE, AND I UNDERSTAND WHY WE'RE ALL GETTING SO MANY MESSAGES, ENCOURAGING US TO SEND OUR STUDENTS BACK TO SCHOOL.

AND I JUST REALLY REGRET THAT AISD AND SO MANY AND ALL OF THE OTHER SCHOOL DISTRICTS THROUGHOUT THE STATE ARE NOW BEING, BEING PLACED UNDER SUCH PRESSURE.

SO, DR.

SCOTT, AGAIN, I UNDERSTAND YOU'VE BEEN WORKING WITH THE SCHOOL DISTRICTS AND THAT OUR SCHOOL DISTRICTS ARE DOING WHAT THEY CAN DO.

I ALSO KNOW WHAT WE ALL READ IN THE PAPER YESTERDAY OR ON THE ONE OF THE TV STATIONS THAT PROBABLY AS A RESULT OF ONE OF THE CLUSTERS, YOU MENTIONED THAT STARTED IN AN EXTRACURRICULAR ACTIVITY.

UM, STUDENTS WHO WENT IN FOR THE STATE REQUIRED TESTING, WHICH HAS TO BE DONE IN PERSON, UH, WERE EXPOSED AS A RESULT.

AND SO, YOU KNOW, AS A PARENT WHO IS NOW GOING TO MAKE AN UNCOMFORTABLE DECISION TO SEND MY STUDENTS, MY, MY STUDENTS IN, UM, THAT THEY'VE BEEN HOME ALL YEAR BECAUSE THEY HAVE THOSE STATE REQUIRED TESTS, I GUESS I'D LIKE TO UNDERSTAND HOW, HOW YOU ARE WORKING WITH, UM, SCHOOL DISTRICTS ON THOSE TESTING AREAS THEMSELVES.

ARE THEY BEING, ARE, IS IT BEING SUGGESTED THAT THOSE BE WITHIN THREE FEET OR ARE THEY USING THE OLDER GUIDANCE OF SIX FEET? AND I GUESS IN PARTICULAR, YOU KNOW, I DON'T KNOW HOW, HOW MUCH INFORMATION

[01:25:01]

YOU COULD GIVE US ABOUT THOSE SCENARIOS, WHERE STUDENTS WERE EXPOSED, BUT IF INDIVIDUALS ON THOSE TRANSPORTATION USING, USING, UM, BUSES TO GET TO THE WAY GAMES ARE WEARING MASKS, DO YOU HAVE ANY SENSE OF, OF HOW THE TRANSMISSION IS HAPPENING? YOU KNOW, AND LOOKING AT THE INSTANCES WHERE THERE IS TRANSMISSION, DESPITE ALL OF THOSE GREAT PRECAUTIONS WHAT'S GOING ON, IS IT THAT THE PRECAUTIONS AREN'T BEING TAKEN IN THESE INSTANCES? UM, OR IS THERE SOMETHING ELSE THAT WE'RE NOT UNDERSTANDING ABOUT THAT? SO COUNCIL MEMBER CUT, YOU KNOW, I DON'T HAVE THE DETAILS NOR NOR CAN I SHARE THE DETAILS OF, OF THOSE INVESTIGATIONS, BUT I'LL SAY SOME THINGS IN GENERAL IN GENERAL, UH, YOU KNOW, THERE'S, WHAT'S TO EXPOSE IN A CLASSROOM SPACE, HAVE CLOSE TO ZERO RISK OF, OF TRANSMISSION IF THEY WERE MASSED IN APPROPRIATELY DISTANCED, UH, YES, THEY STILL NEED TO BE QUARANTINED, BUT NO, THEY'RE NOT LIKELY TO GO ON TO DEVELOP DISEASE.

UM, YOU KNOW, AGAIN, THE RISK IS ALMOST ALWAYS ASSOCIATED WITH FACE TO FACE ENCOUNTERS WITHOUT MASKS ZONES.

SO THAT'S WHERE WE'RE SEEING, WE'RE GOING TO SEE TRANSMISSION.

UM, I DON'T HAVE THE SPECIFIC INFORMATION ABOUT THE BUS TRAVEL, BUT MY GUESS IS THAT, UH, YOU KNOW, A BUNCH OF TEENAGERS ON A CHARTERED BUS DRIVING ALONG THE WAY ARE PROBABLY NOT GOING TO KEEP THEIR MASKS ON THE ENTIRE TIME.

UH, PLUS YOU HAVE THE OTHER ISSUE OF COMBINED SPACE FOR A LONG DURATION OF TIME, WHICH CERTAINLY INCREASES THE RISK AND THOSE KINDS OF SETTINGS.

UM, YOU KNOW, AGAIN, WE, WE ENCOURAGE SCHOOL DISTRICTS TO MASK, TO HAVE SMALLER NUMBERS OF INDIVIDUALS ON THE BUSES SPACED OUT.

UM, BUT YOU KNOW, FOR, FOR THOSE KINDS OF LONG DURATION TRIPS FOR AIR TRAVEL, PEOPLE SHOULD STRONGLY CONSIDER HIGHER LEVEL OF PROTECTION, INCLUDING DOUBLE MASKING OR IN 95 MASKS, UH, BECAUSE OF THAT INCREASED RISK DUE TO THE RACIAL AND CLOSE PROXIMITY TO OTHERS.

DR.

SCOTT, YOU SAID, YOU KNOW, PART, YOU MIGHT CONSIDER WHETHER YOUR CHILD, UM, WILL WEAR A MASK, BUT IN, IT REALLY DEPENDS ON WHETHER THE STUDENTS AROUND YOU ARE STUDENT WILL WEAR THEIR MASKS TOO, RIGHT? I MEAN, IF YOU'RE WEARING AN N 95, THEN YOU ARE PROVIDING SOME LEVEL OF PROTECTION FOR YOURSELF.

BUT IF, IF YOU'RE, I MEAN, ALL ALONG, WE'VE ALSO HEARD THAT IF YOU'RE WEARING A MASK, YOU'RE REALLY PROTECTING OTHERS.

SO TO SOME EXTENT, IT'S NOT JUST ABOUT WHETHER YOUR STUDENT IS GOING TO WEAR A MASK AND KEEP IT ON.

IT'S REALLY ABOUT WHETHER THE OTHER STUDENTS AROUND YOUR STUDENTS ARE ALSO GOING TO KEEP THEIR EYES ON.

AND IF NOT, WHETHER THERE'LL BE APPROPRIATE REMINDERS TO PUT THEIR MASS SPEC ON, IS THAT ACCURATE? THAT IS ACCURATE COUNCIL MEMBER.

AND THAT'S PRECISELY WHY WE MAINTAIN THE MASS MANDATE IN THAT THE HEALTH AUTHORITIES RULES.

UM, YOU, WHAT WERE YOU SAYING? AND YOU KNOW, MY CHILDREN HAVE FRIENDS IN OTHER PARTS OF THE STATE THAT, UH, HAVE TAKEN AWAY THE MANDATE, YOU KNOW, SCHOOLS THAT HAVE MADE THE MATH OPTIONAL, UH, OPTIONAL, LITERALLY EQUALS NOBODY'S MASKING BECAUSE THERE IS THAT PEER PRESSURE.

WHY I DON'T WANT TO BE THE ONLY ONE WEARING A MASK IN MY SCHOOL.

YOU KNOW, I DON'T WANT TO BE THE PERSON WHO'S AFRAID.

UH, AND THAT'S WHY IT'S IMPORTANT FOR AN NOW TO CONTINUE THOSE THINGS IN OUR SCHOOLS, ON OUR BUSES, IN OUR PUBLIC SPACES, ANY PLACES OUTSIDE THE HOME SO THAT WE CAN CONTINUE TO PUSH DOWN DISEASE.

PEOPLE ARE STILL DYING FROM COVID-19.

PEOPLE ARE STILL BEING HOSPITALIZED EVERY DAY.

PEOPLE ARE BEING INTUBATED PUT ON VENTILATORS EVERY DAY IN THIS STATE, EVERY DAY IN THIS COUNTRY FROM COVID-19, WE ARE NOT DONE YET.

AND WE'VE GOT TO CONTINUE THOSE PROTECTIONS.

IF WE'RE GOING TO, UH, YOU KNOW, TRY TO GET TO HURTING ENTITY QUICKLY.

PART OF HERD IMMUNITY, HERD IMMUNITY IS, IS, IS A MOBILE NUMBER.

THE MORE DISEASE BURDEN THAT WE HAVE, THE MORE PEOPLE WE'RE GOING TO HAVE TO VACCINATE TO SUPPRESS TRANSMISSION.

IF WE MAINTAIN LOW NUMBERS, IF WE PUSH IT DOWN FURTHER, THE NUMBER THAT WE NEED TO REACH HER TO IMMUNITY GOES DOWN.

AND THAT'S THE POINT WE'VE BEEN TRYING TO MAKE FOR THE PAST COUPLE OF MONTHS IS IT'S A MISTAKE TO DECLARE SUCCESS, TO DECLARE VICTORY TOO EARLY, BECAUSE IT, IT PROLONGS THE TIME IT TAKES TO REACH THAT HERD IMMUNITY.

SO SIX SOMEWHERE BETWEEN 60, 70% AND 90% IS WHERE WE'RE GOING TO HIT HERD IMMUNITY, WHERE WE NO LONGER SEE THE CLUSTERS HAPPENING, BUT WE CAN ALL CONTRIBUTE TO TRYING TO GET IT TOWARDS THE LOWER END OF THAT SCALE BY SUPPRESSING TRANSMISSION NOW, UH, IN BEATING COVID-19.

I APPRECIATE THAT.

THANK YOU.

[01:30:02]

YOU WERE ON MUTE, BUT I, I THINK I CAN GO, UM, I, I WOULD LIKE TO KNOW MORE ABOUT THE CROSS-COUNTY REPORTING.

IT SOUNDED LIKE YOU SEND THE INFORMATION DIRECTLY TO THE STATE.

SO IT'S NOT NECESSARILY THAT YOU'RE LETTING OTHER COUNTIES KNOW THAT WE HAVE VACCINATED SOMEONE FROM THEIR COUNTY AND VICE VERSA.

IT'S ALL GOING TO THE STATE AND THEY DO, THEY HAVE ACCESS TO YOUR DATA TO APPROPRIATELY ASSIGN ZIP CODES.

CAN YOU TELL ME A LITTLE BIT MORE ABOUT HOW THAT REPORTING HAPPENS? SO ALL PROVIDERS, UH, IN TEXAS ARE REQUIRED TO ENTER THEIR DATA INTO A SYSTEM CALLED INTRACT TO WHICH DOCUMENTS, WHERE THEY RESIDE, WHERE THEY REPORT THEIR RESIDENCES, ZIP CODE, AND, AND WHAT COUNTY THEY WERE VACCINATED IN.

UH, SO WHAT THE STATE HAS GOTTEN, YOU KNOW, MATCH UP, HOW MANY PEOPLE HAD A ZIP CODE IN TRAVIS COUNTY, HOW MANY PEOPLE WERE VACCINATED BY TRAVIS COUNTY, WITHIN TRAVIS COUNTY? SO THERE'S, YOU KNOW, IN COUNTY VERSUS OUT OF COUNTY, UH, YOU SAW, THERE WERE TENS OF THOUSANDS OF PEOPLE WHO WERE VACCINATED FROM OUT OF STATE, A FEW THOUSAND FROM VACCINATED, FROM OUTSIDE THE COUNTRY.

UM, THE DATA IS A BIT NUANCED, UM, BECAUSE YOU KNOW, IT'S OFTEN THE DATA THAT YOU HAVE ON YOUR DRIVER'S LICENSE.

SO IF YOU ORIGINALLY MOVED FROM CALIFORNIA AND HAVE A CHANGE YOUR DRIVER'S LICENSE, UH, IT MAY SHOW THAT YOU LIVE IN CALIFORNIA, BUT YOU ACTUALLY LIVE IN TRAVIS COUNTY.

SO IT'S, IT'S NOT CONCRETE DATA.

UM, BUT IT DOES GIVE US AN IDEA OF, OF THE MOVEMENT OF A VACCINE AND PEOPLE TO GET VACCINATED.

OKAY.

THAT'S HELPFUL.

AND I BELIEVE THAT REPRESENTATIVE, DONNA HOWARD IS DOING SOME WORK ON THE INTRACK, UM, SYSTEM AT THE LEDGE AT THE, AT THE LEGISLATURE.

SO I, I, I'M JUST SEEING WHAT COMES WITH THAT TOO.

THAT'S GREAT THAT YOUR COUNCIL MEMBER, OKAY.

COUNCIL MEMBER, YOU KNOW, I WILL SAY AGAIN, UH, INFORMATION SYSTEMS IN PUBLIC HEALTH HAVE BEEN A STRUGGLE FOR THE PAST YEAR.

UM, AND IT'S A, YOU KNOW, IT'S A REMINDER THAT, THAT WE HAVE TO MAKE SUBSTANTIAL INVESTMENTS IN PUBLIC HEALTH INFRASTRUCTURE ACROSS THIS COUNTRY.

AND CERTAINLY IN TEXAS, UH, WE'RE SUFFERING FROM 40 YEARS OF DECREASING FUNDING.

UH, AND WE'RE PAYING FOR IT NOW.

UH, SO WE HAVE TO LEARN A LESSON.

WE HAVE TO SHORE UP THE INFRASTRUCTURE.

WE HAVE TO SPEND MONEY, UH, AND, AND THE RESULTS WILL PAY OFF IN DIVIDENDS.

THE STRUGGLES WE WERE SEEING IN EAST AUSTIN RIGHT NOW ARE NOT SURPRISING TO US.

AND THAT'S, THAT'S A PROBLEM.

UH, WE'VE KNOWN ABOUT THE ISSUES FOR DECADES, BUT WE HAVEN'T CHANGED THE INFRASTRUCTURE TO MAKE SIGNIFICANT PROGRESS THERE.

THE REASON WE'RE STRUGGLING IN EAST AUSTIN IS BECAUSE WE ALWAYS STRUGGLE IN EAST.

AWESOME, BECAUSE THERE IS NO HEALTH CARE INFRASTRUCTURE BECAUSE THERE ARE HEALTHCARE PROVIDERS BECAUSE PEOPLE DON'T HAVE ACCESS TO PHARMACIES AND DOCTOR'S OFFICES AND COMMUNITY HEALTH WORKERS, TO THE SAME EXTENT THAT THEY DO WEST OF .

WE CAN'T FIX THAT OVERNIGHT, BUT WE CAN'T FIX IT.

WE JUST HAVE TO MAKE THE COMMITMENT, THE LONG-TERM COMMITMENT TO MAKE THAT CHANGE.

I COMPLETELY AGREE THESE, THESE SYSTEMS NEED TO BE WORKED ON AND TO MAKE SURE THAT WHEN WE REALLY NEED THEM, THEY'RE IN PLACE AND WE DEPLOYED RIGHT.

A COUNSELOR, A POOL, AND I DON'T HAVE ANY QUESTIONS, UM, YOU KNOW, COVERED THE INFORMATION REALLY NICELY.

AND MY APPRECIATION IS ALWAYS EXTENDED TO ALL OF OUR STAFF WHO ARE WORKING ON THESE ISSUES.

SO DILIGENTLY, I GUESS MARY KELLY IS NOT WITH US, UH, TODAY.

UH, THAT GETS US, I THINK, TO COUNSELOR KITCHEN.

UM, YES, THANK Y'ALL.

THANK YOU VERY MUCH.

I APPRECIATE THIS INFORMATION.

I PARTICULARLY APPRECIATE THE DEVELOPMENT OF THE, OF THE DASHBOARDS, UM, AND THE CONTINUED EFFORT TO, TO HAVE THAT INFORMATION VERY ACCESSIBLE FOR PEOPLE.

UM, SO I, I HAVE A QUESTION ABOUT, UM, THIS FOR DR.

S PARTICULARLY FOR DIRECTOR HAYDEN HOWARD, UH, OR MAYBE IF SHE'S STILL WITH US, BUT, UM, MY QUESTION RELATES TO OUR GOALS.

UM, UH, I THINK I HEARD YOU SAY DR.

S SCOTT, THAT OUR GOAL IS 67% VACCINATION RATE.

AND RIGHT NOW WE'RE SOMEWHERE AROUND 49%.

UM, THE REASON I'M ASKING THIS IS I'M WANTING TO UNDERSTAND IF WE CAN HAVE, WE ACTUALLY SET A GOAL AND CAN WE DO THAT IN A WAY THAT PEOPLE CAN TRACK TOWARDS, I THINK IT REALLY HELPS OUR COMMUNITY TO UNDERSTAND WHAT NUMBER WE'RE TRYING TO GET FROM A VACCINATION STANDPOINT.

I KNOW THERE'S A LOT OF COMPLEXITIES TO, BUT, UM, BUT I THINK IT IS HELPFUL.

I KNOW I'VE SEEN

[01:35:01]

ON THE, ON THE NATIONAL LEVEL, IT'S BEEN HELPFUL FOR PEOPLE TO SEE THE KINDS OF GOALS THAT OUR PRESIDENT HAS BEEN SETTING FOR US.

SO, SO MY QUESTION TO YOU IS THAT 67%, I UNDERSTAND WE'RE TRYING TO REACH YOUR RANGE TO GET TOWARDS HERD IMMUNITY, BUT CAN, ARE WE STATING THAT AS A COMMUNITY GOAL? UH, AND CAN WE STATE A COMMUNITY GOAL AND THEN TRACK TOWARDS IT, UH, COUNCIL MEMBER AT THE CHALLENGES, UM, THE GOALPOST MOVE 67% IS THE PREDICTED MINIMUM THAT WE NEED.

IT MAY BE 90% OKAY.

FOR WHERE THAT GOALPOST IS.

DEPENDS UPON THE SPREAD OF DISEASE.

UH, I THINK OUR GOAL SHOULD BE ZERO CASES OR VERY CLOSE TO ZERO, UH, BECAUSE THAT, WHEN WE STOPPED SEEING THE CLUSTERS, WE STOPPED SEEING COMMUNITY SPREAD.

WE START BEING ABLE TO SAY, I KNOW WHERE THIS CASE CAME FROM EVERY TIME THAT'S OUR GOAL, THAT'S HERD IMMUNITY.

UM, WE DON'T KNOW IF IT'S 67% OR 70 OR 80 OR 85% OR 90% LONG THEN WHEN WE GET THERE.

BUT, UM, YOU KNOW, I THINK THAT THE GOAL FOR NOW IS AS MANY PEOPLE AS QUICKLY AS POSSIBLE.

WELL, , I APPRECIATE THAT, BUT I DON'T THINK THAT'S AS HELPFUL FOR OUR COMMUNITY BECAUSE IT'S PRETTY HARD FOR OUR COMMUNITY TO TRACK AS MANY PEOPLE AS SOON AS POSSIBLE.

I UNDERSTAND WHAT YOU'RE SAYING.

AND I THINK THAT THAT'S REALLY IMPORTANT MESSAGING THAT ACROSS, BUT I ALSO ALSO THINK IT'S IMPORTANT FOR OUR COMMUNITY TO BE ABLE TO SEE SOME PROGRESS AND TRACK AGAINST IT.

SO MY QUESTION REALLY, TO YOU AND TO DIRECT, RIGHT, AND HOWARD IS IF YOU CAN GIVE US SOME, SOME WE'VE DONE, WE'VE DONE, WE UNDERSTAND THE COMPLEXITIES OF IT, BUT WE'VE DONE IT.

UM, YOU KNOW, IN, YOU KNOW, SETTING OUR STAGES.

IT'S BEEN ONE WAY THAT WE'VE DONE IT, WE'VE DONE IT IN OTHER WAYS.

ALSO, I WOULD REALLY LIKE TO ASK YOU ALL TO SOME GOALS FOR US, UM, BECAUSE I THINK THAT THAT'S REALLY IMPORTANT AND THEN HELP US TRACK AGAINST IT EVERY WEEK.

I'VE SEEN YOU ALL START TO PRESENT THAT KIND OF INFORMATION, WHICH I REALLY, REALLY APPRECIATE IN THE PRESENTATIONS THAT YOU'VE BEEN MAKING IN THE LAST FEW WEEKS ABOUT THE LEVEL OF VACCINATIONS AND THAT'S HELPFUL, BUT I THINK IT REALLY IS BEST IF WE CAN, IF WE CAN, IF WE CAN DO THAT IN RELATIONSHIP TO SOME KIND OF GOAL, I DON'T KNOW IF DIRECTOR TITLE, HOWEVER, IF YOU WANT TO SPEAK TO THAT OR NOT, OR, OR MAYBE JUST YOU AND DR.

S SPEND SOME TIME THINKING ABOUT THIS.

YES.

SO I'M GOING TO APOLOGIZE.

I'M HAVING SOME INTERNET PROBLEMS CAMPUS.

UM, BUT I WILL TELL YOU THAT THE 67% IS IN OUR PLAN IS IN THE PLAN THAT YOU PUT TOGETHER.

AND SO THAT IS WHAT WE ARE TRACKING OFF OF RIGHT NOW, KIND OF BASED UPON THE 400,000 FOLKS, UM, THAT WILL HAVE DEFINITELY AT LEAST RECEIVE ONE DOSE.

BUT AS DR.

SCOTT HAS SAID, THAT IS THE MINIMUM STARTING PLACE FOR US.

UM, AND SO WHEN WE BRING BACK THE DATA, UM, EVERY WEEK WE WILL BE TRACKING TOWARDS THAT EIGHT 53, FIVE 49 NOW OVER TIME, UM, WE KNOW THAT THAT DOES NEED TO CHANGE, UM, TO MOVE UP TO THE PLACE, YOU KNOW, WHERE, UM, WE'RE SAFEST, BUT RIGHT NOW WE'RE GOING TO STICK WITH THE 67%.

OKAY.

I WOULD JUST ASK IF YOU COULD MAKE THAT CLEARER ON THE WEBSITE WITH, UH, WITH THE, UM, VACCINE DASHBOARD INFORMATION THAT WE HAVE, UM, YOU MIGHT HAVE IT THERE, BUT IT DOESN'T, YOU KNOW, IT DOESN'T, DOES IT STAND OUT REAL CLEAR FOR PEOPLE? UM, AND SO SOME KIND OF VISUAL TO TRACK AGAINST IT, AGAIN, WITH THE CAVEAT THAT IT'S A MINIMUM, I THINK WOULD REALLY BE HELPFUL FOR PEOPLE.

I THINK OUR COMMUNITY HAS DONE SO WELL WHEN WE'VE PUSHED THE MESSAGING AND CHAT TO OUR COMMUNITY TO KEEP UP, KEEP EACH OTHER SAFE BY WEARING MASK.

I THINK, UH, I THINK IT HELPS OUR COMMUNITY TO HAVE THAT TYPE OF GOAL ALSO, UH, ABOUT HELPING TO GET PEOPLE VACCINATED, UM, SO THAT OUR COMMUNITY MEMBERS CAN HELP US TO, BY IDENTIFYING THEIR FRIENDS AND FAMILY AND NEIGHBORS WHO HAVEN'T VACCINATED AND CAN HELP US GET CLOSER TO THAT GOAL.

SO, UM, I WOULD ASK YOU ALL TO CONSIDER THAT COUNCIL MEMBER COSAR THANKS, MAYOR.

I WANT TO TAKE US BACK TO THE POINT AND THE QUESTIONS THAT I THINK THE MAYOR AND SOME OTHERS WERE ASKING, YOU KNOW, IT WAS ONLY A FEW WORK SESSIONS AGO THAT WE TALKED ABOUT HOW

[01:40:01]

THE CONTINUED LIMITING FACTOR FOR US WAS SUPPLY OF VACCINES.

AND NOW THAT, THAT IS SHIFTING, IT SEEMS LIKE, UM, WE HAVE, WE, THERE IS DEMAND, UM, UH, DEMAND ISSUE ON THE WEBSITE YESTERDAY, UH, AND DEMAND IN GENERAL, AS YOU'VE MENTIONED, DR.

SCOTT, AND THEN TO STAFF CAPACITY.

AND I WANT Y'ALL TO, TO TELL ME, YOU KNOW, I WANT TO LAY OUT SORT OF MY THINKING ON THOSE TWO ISSUES AND THEN HERE, WHERE I MIGHT BE OFF, BUT ON DEMAND, EVEN THOUGH OF COURSE, SOME NUMBER OF REALLY EAGER FOLKS HAVE FOUND A WAY TO GET THE VACCINE.

I STILL, MY SENSE IN THE COMMUNITY IS THAT THERE STILL A REALLY SIGNIFICANT AMOUNT OF DEMAND.

AND THAT THERE'S REASON WHY A LOT OF PEOPLE MAYBE HAVE GIVEN ON CHECKING THE WEBSITE, BECAUSE SO OFTEN IF YOU WERE AT THE END OF THE LINE, OR YOU COULDN'T GET AN APPOINTMENT, BUT NOW THAT THERE ARE OPEN APPOINTMENTS AND NOW THAT THERE IS, UH, NO WAIT, I WONDER WHETHER WE COULD ACTUALLY PULL UP SOME DEMAND, IF WE CAN REALLY GET THE WORD OUT TO PEOPLE THAT WE KNOW THAT THIS WAS FRUSTRATING IN THE PAST, WE KNOW THIS MAYBE DIDN'T WORK FOR YOU IN THE PAST, BUT THEY'RE REALLY OUR APPOINTMENTS NOW BECAUSE I JUST DON'T, I'M NOT QUITE, I D MY SENSE IN THE COMMUNITY IS THAT THERE ARE PEOPLE WHO WOULD STILL WANT TO REALLY WANT TO SIGN UP, BUT THEY ASSUME THAT THE WEBSITE IS, IS GOING TO BE JAPAN, THAT THERE, AND THAT THERE AREN'T APPOINTMENTS.

AND THAT ON THE DEMAND SIDE, I ALSO BELIEVE THAT GETTING OFF OF THE WEBSITE, PROVIDING MORE OF THESE VACCINES TO PEOPLE THAT DON'T HAVE TO SIGN UP THROUGH THE WEBSITE, THAT MEANS COMMUNITY WALK UPS, AND SHOWING UP AT COMMUNITY EVENTS AND LETTING PEOPLE JUST GET THE VACCINE THEN AND THERE, THAT THERE IS REALLY SIGNIFICANT DEMANDS FROM PEOPLE WHO JUST MAY NOT, UH, THAT GOING THROUGH THE WHOLE WEBSITE NAVIGATION PROCESS MAY NOT BE FOR THEM.

AND SO I WANT TO HEAR FROM Y'ALL WHETHER YOUR THOUGHTS DIFFER ANY OF THERE ON THE QUESTION OF, OF DEMANDS BEING A LIMITING FACTOR, NOW THAT WE HAVE MORE SUPPLY.

AND THEN THE SECOND PART ON STAFF CAPACITY, I THINK THIS MIGHT BE MORE OF A MESSAGE JUST ALSO TO THE MANAGER THAT I HAVE ALREADY STARTED TO SEE PLACES WHERE IT SEEMS LIKE WE NEED MORE STAFF CAPACITY, UH, TO GET VACCINES INTO ARMS. UM, NOW THAT THERE IS MORE SUPPLY I'M STARTING TO HEAR FOR MORE PLATES OR PEOPLE SAYING, HEY, MAYBE WE CAN GET MORE VACCINES, UH, TO PLACES IN, UH, IN ZIP CODES, IN PLACES IN MY DISTRICT THAT HAVE BEEN HARDEST HIT, BUT HAVE HAD THE LEAST VACCINES.

BUT FRANKLY, WE'VE STRUGGLED SOMETIMES TO FIND THE STAFF TO PUT THE SHOT IN PEOPLE'S ARMS. AND WE CANNOT BE THE LIMITING FACTOR ON THE STAFF CAPACITY SIDE, UM, BECAUSE WE DON'T WANT TO TURN AWAY A SINGLE DOSE.

AND EVERY DOLLAR I FEEL THAT WE PUT INTO VACCINES IS LIKE THE, IS THE BEST INVESTMENT WE CAN MAKE BECAUSE IT PREVENTS A BUSINESS CLOSURE.

IT PREVENTS HOSPITALIZATION, IT PREVENTS UNEMPLOYMENTS.

IT PREVENTS US HAVING TO SPEND MORE ON THE EVICTION DIVERSION PROGRAMS. AND SO IF WE'RE AT A PLACE WHERE THERE'S INCREASING SUPPLY AVAILABILITY, I WOULD REALLY PUT, AND I THINK OUR COUNCIL HAS PUT IT AS ITS TOP PRIORITY.

THAT OF ANY OF THE SPENDING WE'RE GOING TO DO.

THE FIRST THING WE NEED TO DO IS MAKE SURE THAT WE'RE, UM, YOU KNOW, LEADING THE STATE IN HOW QUICKLY WE CAN GET VACCINES OUT AND DRAW VACCINES DOWN.

SO IT'S, IT SOUNDS LIKE THAT'S WHAT I HEAR FROM DR.

S GOT A NEW DIRECTOR, HIDDEN HOWARD, BUT NOW IT'S JUST AN IMPORTANT PIVOT MOMENT WHERE WE'VE BEEN STRUGGLING SO MUCH WITH SUPPLY FOR SO LONG.

IT SOUNDS LIKE UP UNTIL JUST THE LAST FEW DAYS, AND NOW IT SOUNDS LIKE WE NEED TO BETTER FILL SLOTS, SET UP, WALK-UPS SET UP THE EMS AND FIRE STATIONS AND THEN REALLY RAMP UP THE NUMBER OF PEOPLE WHO CAN, WHO CAN ACTUALLY HELP PUT THE SHOT IN PEOPLE'S ARMS. UM, I'LL START.

UM, I THINK ONE OF THE THINGS, UM, THAT JUST KIND OF WANT TO PAINT A PICTURE FOR YOU WHEN THINGS WERE, UM, WERE NOT AS OPEN AS THEY ARE RIGHT NOW.

UM, YOU KNOW, WE, THROUGH THE, UM, MEDICAL SOCIETY, YOU KNOW, WE HAD, UM, YOU KNOW, THOUSANDS OF VOLUNTEERS.

UM, AND SO WE HAVE FOLKS THAT FIT INTO THE CATEGORY OF VOLUNTEERS.

WE HAVE STAFF THAT ARE ON AUSTIN, PUBLIC HEALTH CITY OF AUSTIN'S PAYROLL, AND WE HAVE CONTRACTS WITH VENDORS, UM, THAT ARE, UM, THAT ARE SENDING STAFFING, UM, TO FIT INTO THOSE POSITIONS.

AND THEN LASTLY, UM, WE HAVE A CONTRACT, UM, WITH, WITH A NONPROFIT, UM, PROVIDER THAT'S ABLE TO PROVIDE THOSE VACCINES.

AND SO, UM, SO THE DEPARTMENT TYPICALLY, UM, WE'LL, WE'LL PULL KIND OF FROM, FROM THOSE, UM, INSTANCES,

[01:45:01]

AND I WILL INCLUDE, UM, THE FIRE PERSONNEL.

UH, WE HAVE THE FIRE PERSONNEL THAT ARE ASSISTING US AS WELL AS SOME FOLKS THAT ARE RETIRED, FIRE OFFICERS.

UM, AND SO, YOU KNOW, I THINK ONE OF THE THINGS THAT, UM, YOU KNOW, ONE, YOU KNOW, WE'RE LOOKING INTO ADDING A COUPLE OF MORE, UM, CONTRACTS WITH VENDORS THAT CAN PROVIDE THE VACCINES.

UM, I HAD A MEETING YESTERDAY, UM, WITH THE, UM, HISPANIC PHYSICIAN ASSOCIATION.

UM, RIGHT NOW WE ARE WORKING WITH THE AFRICAN-AMERICAN, UM, UH, POSITION ASSOCIATION AS WELL.

AND SO, UM, BUT ALL OF THAT FALLS UP UNDER, UM, FOLKS THAT ARE NOW GOING BACK TO WORK, HAVE THEIR ABILITY TO BE IN A SPACE THEY'RE FULLY VACCINATED.

SO YOU DON'T HAVE AS MANY FOLKS, UM, THAT CAN PROVIDE THE VACCINES THAT YOU NEED.

AND SO, FOR EXAMPLE, FOR US THIS WEEKEND, UM, YOU KNOW, WE WILL NOT BE, UM, AND POTENTIALLY WE MAY NOT BE AT BERGER ON FRIDAY AND SATURDAY BECAUSE WE'RE GOING TO SHIFT THOSE OPERATIONS TO GO TO SACRED HEART THIS WEEKEND, BECAUSE THAT'S ONE OF OUR, UM, COMMITMENTS WE'VE MADE.

WE KNOW IT'S A NEED IN THE COMMUNITY.

AND SO, UM, THAT IS ONE OF THE REASONS WHY THE COLLABORATION BETWEEN THE PARTNERS IS GOING TO BE ESSENTIAL, UM, WHERE WE COME UP WITH THIS MATH, UM, BECAUSE IF WE'RE ABLE TO SAY, YOU KNOW, APH ARE HERE, UM, AND THEN THE VARIOUS PARTNERS, YOU T DELL HEALTH AND LONE STAR, ET CETERA, UM, KIND OF UNDERSTANDING WHERE THEY ARE AND HOW THEY ARE ABLE PROVIDE THOSE VACCINES.

AND SO THAT IS THE STRATEGY THAT WE ARE WORKING TOWARDS TO ONE KIND OF BEEF UP WHAT WE HAVE, BUT NO ONE THAT USING A VOLUNTEERS HAS BEEN HELPFUL FOR US, BUT THEN ALSO LOOKING AT WHAT, WHERE OUR PARTNERS CAN BE, BECAUSE IT'S GOING TO BE A COMBINATION OF, OF THAT.

UM, I THINK AT THIS POINT, IF, YOU KNOW, IF YOU PROVIDE A VACCINE, UM, IF YOU'RE ABLE TO HAVE THAT SKILLSET, UM, AND ESPECIALLY IF YOU'RE A CONTRACTOR, YOU'RE, YOU'RE GONNA MOST LIKELY GO WHERE YOU'RE GONNA RECEIVE THE BIGGEST BENEFIT FOR YOU AS A, AS AN INDIVIDUAL.

SO, SO IT IS DEFINITELY SOME COMPETITION IN THAT LIGHT.

THE OTHER THING THAT I SHARED EARLIER, UH, TODAY IS, IS THAT, UM, THE ABILITY TO TRAIN FOLKS, TO BE ABLE TO PROVIDE VACCINES THAT MAY NOT WE'RE PROVIDING VACCINES IN THE PAST.

THAT'S NOT SOMETHING THAT THEY WERE ABLE TO DO.

SO WE'RE, WE'RE LOOKING AT A LOT OF DIFFERENT, UM, INSTANCES KIND OF AT ONCE, UM, OF HOW, UM, YOU KNOW, WE'LL BE ABLE TO, UM, REACH THE GOALS THAT WE HAVE TO PROVIDE THE VACCINES TO THE COMMUNITIES THAT NEED IT THE MOST.

THANK YOU.

AND I JUST THINK THAT THE, THE IDEA OF HAVING THEM, FOR EXAMPLE, AT FIRE AND EMS STATIONS, WHERE YOU CAN JUST WALK UP, UM, ALSO MAKES A LOT OF SENSE TO ME.

UH, AND THIS IS WHAT LAST MOMENT FOR A PSA, FOR ANYBODY LISTENING THAT OBVIOUSLY WE DO NEED THAT HELP AND THAT THERE ARE REALLY HARD HIT ZIP CODES IN THE EASTERN CRESCENT, WHERE WE HAVE POTENTIALLY VACCINE, UH, AVAILABILITY AND PEOPLE, BUT WE NEED HELP, UM, GETTING THOSE VACCINES INTO ARMS. SO ANYBODY LISTENING PLEASE DO SHOOT AUSTIN PUBLIC HEALTH AND SELLING OUR OFFICES AND NOTE IF, IF YOU HAVE A VOLUNTEER OR EVEN STAFF CAPACITY THAT CAN, THAT CAN HELP US WHILE HOPEFULLY OUR AUSTIN PUBLIC HEALTH TEAM REALLY RAMPS UP THAT, THAT STAFFING CAPACITY THAT WE NEED.

SO THANK YOU.

THANK YOU.

THANK YOU, MAYOR.

UH, MY QUESTION GOES TO, UH, DR.

STEPHANIE GADEN HOWARD.

UM, HOW ARE WE HANDLING IT? ARE YOU HAVING SUCCESS ON VACILLATING POPULATION? UH, WHAT KIND OF PLAN IS IT OUT THERE THAT YOU'RE USING YOUR DO OUTREACH TO GET, GET THESE PEOPLE VACCINATED? UM, SO THERE ARE SEVERAL THINGS THAT WE ARE DOING.

WE HAVE SEVEN, UM, CONTRACTORS, UM, THAT ARE OUT THERE DOING OUTREACH FOR US IN THE COMMUNITY.

UM, SEVERAL OF THE PARTNERS ARE, UM, ARE EVEN GOING DOOR TO DOOR.

UM, SO IN, IN OUR CONVERSATIONS, UM, THE FOLKS THAT HAVE THE CONTRACT WHO HAVE DONE ARE DOING OUTREACH AND COMMUNICATION, HOWEVER, THERE ARE OTHER PARTNERS THAT ARE REFERRING TO US AND THAT BASICALLY HAVE BEEN REFERRING TO US SINCE JANUARY.

UM, AND SO, UM, THOSE REFERRALS ARE GOING TO THE, UM, TO THE EQUITY LINE AND OUR STAFF, WE'RE MAKING

[01:50:01]

THOSE OUTBOUND CALLS.

UM, DEFINITELY LIKE TO ACKNOWLEDGE THE COUNTY BECAUSE THEY'RE COUNTY STAFF ARE CONTINUING TO HELP US WITH THAT CALL CENTER AS WELL.

UM, AND SO REACHING OUT THAT WAY, WE'RE ALSO, UM, DEFINITELY REACHING OUT, UM, YOU KNOW, VIA AN AGENCY, IF A PERSON IS WORKING WITH AN AGENCY, BUT THEN WE'VE ALSO, UM, KIND OF SHARED THAT, YOU KNOW, IF, IF FOLKS, UM, ARE IN NEED OF A VACCINE, YOU KNOW, WE'RE JUST ASKING THEM TO CALL THREE, ONE, ONE, IF THEY WANT TO SET UP THAT ACCOUNT, UM, THEY WILL BE ABLE TO SET THAT ACCOUNT UP WITH THEM AND THEN OUR STAFF WILL CALL THEM BACK AND SCHEDULE AN APPOINTMENT.

AND SO WE'RE LOOKING AT KIND OF ALL OF THOSE, UM, DIFFERENT EFFORTS TO BE ABLE TO, UM, REACH THE HARD HIT COMMUNITIES.

WELL, THANK YOU FOR THAT.

UM, THE, UH, JOHNSON AND JOHNSON VACCINE, IS THAT GOING TO KIND OF GET THAT, GOING TO HURT US WHEN WE'RE GIVING OUT THE ONE SHOTS TO THE HOMELESS POPULATION? SO, RIGHT RIGHT NOW, UM, AS DR HAS GOT SHARED EARLIER, UM, WE ARE DISCONTINUING, UM, THAT USE OF THAT, UM, LAST WEEK WE RECEIVED ABOUT A THOUSAND, UM, DOSES OF THAT.

AND SO, UM, THAT HAS BEEN, UM, WE'VE, WE'VE STOPPED USING THEM.

SOME OF OUR, UM, HOMELESS POPULATION HAS BEEN RECEIVING THE MADONNA AS WELL, ESPECIALLY THOSE THAT ARE IN THE PROTECTIVE LODGES.

UM, AND THEN THEY'LL SETTINGS WHERE FOLKS CAN GO BACK AND PROVIDE THAT SECOND VACCINE.

SO IT HAS BEEN A COMBINATION OF BOTH.

THANK YOU FOR THAT INFORMATION AS A MEMBER.

THANK YOU.

I THANK YOU FOR TODAY'S PRESENTATION.

I ESPECIALLY APPRECIATED THE PIE CHART ON REACHING HERD IMMUNITY, FIND THAT VERY HELPFUL.

UM, AND FROM THAT INFORMATION, WE LEARNED THAT ABOUT 46% OF OUR COMMUNITY ARE CLASSIFIED AS VULNERABLE.

THEY HAVE NOT RECEIVED THE VACCINE, UM, AND THAT WE NEED TO ENSURE THAT THEY HAVE INFORMATION TO GET THE VACCINE.

AND IN LOOKING AT THAT NUMBER A COUPLE WITH THE OTHER ANNOUNCEMENT REGARDING OUR ONLINE SCHEDULING SYSTEM, WHERE WE LEARNED THAT WE HAD 14,000 APPOINTMENTS AVAILABLE AND ONLY 3,400 OF THEM WERE BOOKED, WE CAN CLEARLY SEE THAT OUR ONLINE SCHEDULING SYSTEM IS NOT WORKING.

AND JUST AS I REFLECT ON TODAY'S CONVERSATION, I'M ALSO NOTICING THAT A LOT OF WHAT WE'RE DOING IS WONDERFUL AND GREAT, BUT IT'S FROM THE APPROACH THAT, UM, IT'S ON THE INDIVIDUAL TO COME TO US.

SO THEY HAVE TO HEAR ABOUT OUR EQUITY LINE.

THEY HAVE TO GO TO OUR ONLINE SYSTEM.

AND I THINK, YOU KNOW, WITH THIS, UH, PANDEMIC, IF WE IT'S ON US TO BE ITERATIVE, UM, THROUGHOUT THE PROCESS, AND I REALLY WOULD LIKE US TO MOVE TO A MORE NEIGHBORHOOD MODEL APPROACH WHERE WE GO INTO NEIGHBORHOODS, UM, YOU KNOW, GET OFF OF THE ONLINE SYSTEM, GO OFFLINE AND REDUCE THAT BARRIER.

I THINK THAT NEIGHBORHOOD APPROACH IS ABSOLUTELY NEEDED AND WE OWE IT TO OURSELVES TO REALLY LEAN INTO THAT STRATEGY SO THAT WE CAN GLEAN BEST PRACTICES FROM IT.

AND, YOU KNOW, I KNOW THAT PART OF THE RESOLUTION THAT AUSTIN CITY COUNCIL PASSED JUST A FEW WEEKS AGO REGARDING, UM, COVID ASSISTANT PART OF WHAT WE OUTLINED WAS AROUND A MOBILE VACCINE PROGRAM.

AND I'M HEARTENED TO HEAR THAT WE HAVE FOUR VANS WITHIN APH THAT WE CAN DEPLOY FOR A MOBILE VACCINE PROGRAM.

BUT I ALSO WANT TO SHARE THAT I JUST DON'T THINK THAT'S ENOUGH.

YOU KNOW, WE HAVE AT LEAST 11 ZIP CODES IN OUR AREA THAT DO NOT HAVE A SINGLE PROVIDER.

AND SO WE REALLY NEED TO BE MOBILIZING A HAND-IN-HAND WITH THE COMMUNITY, OUR COMMUNITY ORGANIZATIONS, OUR TRUSTED PARTNERS, THAT CAN BE THE MESSENGERS AND THE ADVOCATES AND THE VACCINE NAVIGATORS TO GO INTO THOSE NEIGHBORHOODS AND TO LET FOLKS KNOW WHERE TO GO FOR THEIR VACCINE.

UM, AND SO I JUST WANTED TO KIND OF SHARE THAT.

I HOPE THAT WE, UM, GO TO A MORE NEIGHBORHOOD APPROACH MODEL.

UM, I THINK THAT OUTREACH IS NEEDED.

AND PART OF THAT INFRASTRUCTURE, DR.

SCOTT, THAT YOU OUTLINED SO ELOQUENTLY EARLIER THAT IS LACKING IN THE EASTERN CRESCENT ALSO GIVES ME, UM, EVEN MORE MOTIVATION TO SAY THAT I THINK WE SHOULD BE INVESTING IN HUMAN INFRASTRUCTURE AND WORKING IN PARTNERING AND INVESTING IN NONPROFITS, UH, WHO ARE ALREADY DOING THE WORK WHO ARE READY AND ABLE TO ASSIST AUSTIN PUBLIC HEALTH AND THE COUNTY IN BEING VACCINE NAVIGATORS IN GETTING THIS INFORMATION OUT TO THE COMMUNITY.

WE REALLY NEED TO SHIFT THE APPROACH AND MEET OUR COMMUNITY WHERE OUR COMMUNITY RESIDES VERSUS HAVING THEM, YOU KNOW, FIGURE OUT OUR WEBSITE OR FIGURE OUT OUR, OUR PHONE CALL, OUR EQUITY LINE.

UM, SO I GUESS MY QUESTION IS IF YOU COULD KIND OF, IF YOU COULD TALK US THROUGH, HOW ARE WE AT THIS POINT IN WEEK 17 OF THE VACCINE

[01:55:01]

DISTRIBUTION STRATEGY, WHAT IS OUR MARKETING PLAN LOOK LIKE? HOW ARE WE GETTING THE WORD OUT ABOUT HOW TO GET A VACCINE? AND I, AND I KNOW THAT, YOU KNOW, WE'RE WORKING WITH CERTAIN ORGANIZATIONS, BUT DO WE HAVE, UM, BUDGET ALLOCATED TO PARTNER WITH TRUSTED ORGANIZATIONS TO BE THE MESSENGERS, TO BE THOSE VACCINE NAVIGATORS, TO GO OUT INTO THE COMMUNITY? WHAT DOES THAT LOOK LIKE? IS THAT PART OF THE PLAN? UM, THAT IS A PART OF THE PLAN.

UM, WE HAVE SEVEN CONTRACTS IN PLACE WITH PARTNERS THAT ARE CURRENTLY DOING THE, UM, AND THEY ARE GOING DOOR TO DOOR.

THEY'RE WORKING WITH FOLKS THAT HAVE, UM, CURRENTLY BEEN PROVIDED SERVICES THROUGH THEM BEFORE, BUT THEY'RE ALSO GOING DOOR TO DOOR, UM, TO GET THAT INFORMATION OUT TO US.

IN ADDITION TO THAT, UM, WE HAVE, UM, UM, WE HAVE SEVERAL, UM, TASKFORCES THAT ARE CONTINUING TO MEET.

WE HAVE A FAITH-BASED TASK FORCE.

UM, WE HAVE A HISPANIC, LATIN X TASK FORCE.

THEY MET LAST NIGHT.

UM, WE HAVE AN AFRICAN-AMERICAN, UM, TASK FORCE, UM, AND AN ASIAN TASK FORCE.

AND SO ALL OF THOSE ARE MEETING, UM, THEY'RE MAKING, UM, RECOMMENDATIONS, UM, INTO, UM, OUR VACCINE LEADERSHIP TEAM.

AND SO, UM, OUR, OUR STAFF, UM, ARE, ARE, YOU KNOW, WE'RE, WE'RE WORKING IN A LOT OF PLACES.

WE HAVE SEVERAL CONTRACTS, UM, THAT ARE DESIGNED TO DO THE OUTREACH AND TO BE OUT THERE TO GET THE INFORMATION, UM, TO FUND MOTILITY.

AND SO, FOR EXAMPLE, UM, ONE OF THE VENDORS, UM, IS, IS PROVIDING INFORMATION TO US FOR THE SOUTHEAST BRANCH LIBRARY TO BE ABLE TO, UM, BECAUSE WE'VE SHIFTED THAT SIDE.

AND SO THAT PARTICULAR LOCATION IS WORKING WITH FOLKS IN THE FOUR, FOUR, UM, AND THE FOUR, ONE NEIGHBORING COMMUNITIES AS WELL.

WHAT, UM, FOLKS HAVE BEEN DOING FOR US THUS FAR IS, IS THAT THEY HAVE BEEN REFERRING FOLKS NEED.

AND SO, BUT SOME OF THE FOLKS THAT THEY DID NOT REFER IN BECAUSE THEY DID NOT MEET THE DEFINITION AT THE TIME, BUT WITH THE TRANSITION AS OF MONDAY, UM, WE WILL BE ABLE TO SEE MORE REFERRALS FROM THE GRASSROOTS ORGANIZATIONS, UM, THAT WE'LL BE ABLE TO REFER MORE PEOPLE TO US BECAUSE OF BEING 18 YEARS OF AGE AND OLDER.

AND SO, UM, SO THAT IS DEFINITELY GOOD NEWS.

THAT WAS ONE OF THE REASONS WHY WE MADE THE TRANSITION TO GO AHEAD AND OPEN THINGS UP.

IN ADDITION TO THAT, YOU KNOW, WE, WE NEED TO ALSO, UM, CONTINUE TO HAVE THOSE CONVERSATIONS WITH, WITH EMPLOYERS, UM, BEING ABLE TO, UM, LAST NIGHT AT OUR MEETING, UM, WE KIND OF REFINED SOME OF THE AREAS OF WHERE, UM, THAT TASKFORCE REALLY FEELS LIKE, UM, THE CITY NEEDS TO CONTINUE TO FOCUS ON.

AND SO THAT DOES PICK UP FOLKS THAT ARE 18 YEARS OF AGE AND OLDER, UM, THAT ARE WORKING, UM, IN THOSE INDUSTRIES.

AND SO THAT IS GOING TO BE IMPORTANT FOR US AS WE PIVOT.

UM, THOSE GROUPS HAVE ALSO BEEN ABLE TO PROVIDE RECOMMENDATIONS FOR US OF POTENTIAL PARTNERSHIPS OF, OF KIND OF WHERE WE SHOULD BE.

SO FOR EXAMPLE, UM, SACRED HEART WERE THERE THIS WEEKEND AND THAT'S BASED UPON THE RECOMMENDATION, UM, YOU KNOW, AND, AND PARTNERSHIP, UM, FROM, FROM THAT COMMUNITY.

UM, AND WE KNOW EVEN WITHIN THAT COMMUNITY, THAT'S ABOUT 17,000 FOLKS THAT HAVE THE POTENTIAL TO BE REFERRED TO US THAT CAN COME INTO THAT SIDE, BUT ALSO CAN COME INTO OUR OTHER LOCATIONS.

UM, I UNDERSTAND YOUR CONCERN ABOUT US ONLY HAVING FOUR, UM, TEAMS. HOWEVER, I DON'T WANT YOU TO FOCUS ON THE 14.

I WANT YOU TO FOCUS ON THE TOTAL AMOUNT OF FOLKS IN AUSTIN PUBLIC HEALTH, BECAUSE EVEN WITH OUR TEAMS, WHEN THEY'RE OUT DOING THEIR WORK, THAT IS A DIFFERENT SET OF FOLKS THAT ARE AT SACRED HEART.

SO WE'RE ABLE TO STAND UP THOSE TEAMS AND THOSE MOBILE TEAMS ARE STILL WORKING IN THOSE VARIOUS LOCATIONS, WHETHER IT'S HOUSING AUTHORITY, UM, ET CETERA, AND THEN WE'RE HAVING THOSE CLINICAL OPERATIONS.

SO IT HAS TO BE A BLENDED APPROACH, UM, WHERE FOLKS ARE ABLE TO, TO, TO COME.

ONE OF THE THINGS WE'VE NOTICED WITH, WITH THE SACRED HEART, UM, EVENT IS BASICALLY, UM, THE, UM, US, UM, UM, CONSTRUCTION, UM, FOLKS HAVE DID THE RECRUITMENT THROUGH THE CHURCH, ET CETERA.

AND SO BASICALLY IT'S, IT'S A WALKUP.

THEY GIVE THEM KIND OF THE TIMEFRAME WE WORKED

[02:00:01]

TOGETHER ON THE HOURS, AND THEN FOLKS JUST WALK INTO THOSE OPERATIONS.

THEY DO THE PAPERWORK WHEN THEY GET THERE AND WORK THEIR WAY THROUGH.

AND SO, UM, MOST OF THE OPERATIONS WERE KNOWING THAT THAT IS SOMETHING THAT WE'RE GOING TO NEED TO DO AS WELL.

SO KIND OF THROUGHOUT THIS PROCESS, A HYBRID IS GOING TO BE IMPORTANT FOR US, UM, TO MEET PEOPLE, YOU KNOW, WHERE THEY ARE TO BE ABLE TO PROVIDE THOSE SERVICES.

SO, YOU KNOW, AS WE MOVE ALONG AND HAVE, YOU KNOW, MORE INFORMATION, WE'LL DEFINITELY, UM, BRING IT FORWARD TO THIS GROUP AND, UM, START PROVIDING MORE INFORMATION ABOUT THAT IN OUR SPOTS.

THANK YOU, DIRECTOR AT HIDDEN HOUSE, JUST A CLARIFYING QUESTION.

THOSE ARE THE CONTRACTS THAT WE HAVE WITH THOSE SEVEN ORGANIZATIONS AROUND THE VACCINES.

IS THAT TO REGISTER FOLKS WITH THE VACCINES OR IS THAT TO BUILD TRUST AROUND THE EFFICACY OF GETTING A VACCINE? YES, IT'S, IT'S NOT FOR THE REGISTRATION.

UM, IT IS FOR OUTREACH, UM, AND EDUCATION.

AND SO, SO THERE, SO FOLKS THAT MAY BE HESITANT, UM, THEY'RE ABLE TO, UM, YOU KNOW, KIND OF TALK WITH THEM, DO THE OUTREACH, UM, AND THEN CONNECT THEM IN TO US SO WE CAN TAKE IT FROM THERE TO GET THEM SCHEDULED FOR THE ACTUAL APPOINTMENT.

OKAY.

SO AT THIS POINT, ARE WE, DO WE HAVE ANY CONTRACTS WITH ANY ORGANIZATION TO DO THAT SCENE NAVIGATION, HELPING FOLKS GET REGISTERED FOR THE VACCINE? UH, NO.

WE DON'T HAVE ANY CONTRACTS WITH INDIVIDUALS THAT ARE HELPING WITH REGISTRATION.

OKAY.

YEAH.

I JUST, THIS IS, UH, AN A KEY ELEMENT AND THIS IS REALLY, YOU KNOW, INVESTING IN THAT SYSTEMIC APPROACH ORGANIZATIONS WHO KNOW THEIR COMMUNITY THE BEST, AND BEING ABLE TO DO THAT LEVEL OF OUTREACH BECAUSE, YOU KNOW, THEY ARE THE TRUSTED MESSENGERS.

OFTENTIMES WHEN PEOPLE KNOW THAT GOVERNMENT IS INVOLVED, THEY DON'T NECESSARILY HAVE A POSITIVE EXPERIENCE WITH IT, BUT THEY KNOW THAT IT'S THEIR LOCAL GROUP, THAT THEY CAN RECOGNIZE THE FACE.

THAT'S THERE TELLING THEM ABOUT THE VACCINE, HOW TO GET REGISTERED.

IT REALLY MAKES A DIFFERENCE.

AND SO I JUST WANT TO REITERATE, I THINK WE REALLY NEED TO MOVE TO A NEIGHBORHOOD APPROACH MODEL.

I LOVE STEPS THAT WE'RE TAKING.

WE'RE OBVIOUSLY VERY CLEARLY MAKING PROGRESS TOWARD IT.

UH, AND, AND, UH, YEP.

THAT'S IT.

THANK YOU.

THANK YOU.

AND I THINK, YOU KNOW, PART OF THE, THE, THE, THE ANSWER, JUST A PART OF IT TO KIND OF START WITH THIS QUESTION GOES BACK TO WHAT I ASKED EARLIER ABOUT CREATING A PAGE OR SOMEPLACE WHERE PEOPLE CAN SEE WHAT IT IS THAT YOU'RE DOING.

CAUSE I THINK YOU'RE DOING A LOT OF THINGS THAT PEOPLE DON'T SEE, BUT ALSO PEOPLE DON'T KNOW HOW TO ACCESS THE THINGS THAT THAT YOU ARE DOING.

AND THEY ARE THERE SUPPORT GROUPS, UM, WITH THEIR FAMILY AND THEIR FRIENDS CAN HELP THEM.

SO CREATING THAT PLACE TO BE ABLE TO HAVE THAT I THINK WOULD BE WRONGFUL, I GUESS, AS TO THE MAYOR PRO TEM.

THANK YOU, MAN.

UM, I THINK THE BEAUTY OF BEING ABLE TO GO LAST IN THIS SITUATION IS THAT I'VE HAD THE OPPORTUNITY TO HAVE REALLY BRILLIANT COLLEAGUES, BUT THAT THE COUNTY AND HERE IN THE, FOR THE CITY OF AUSTIN, UM, ASK ALL THE GOOD QUESTIONS.

AND SO I REALLY FEEL LIKE IN A LOT OF WAYS, MOST OF MY QUESTIONS HAVE BEEN ANSWERED, ESPECIALLY IN RESPONSE TO COMMISSIONER TREVELYAN AND NOW IN RESPONSE TO, UM, COUNCIL MEMBER SHARE HER CONCERNS.

UM, I ALSO RECOGNIZE THOUGH THAT THERE'S PROBABLY SOME DISTINCT LEVEL OF DIFFICULTY TO BE ABLE TO ESTABLISH EFFICACY AND, UH, WHEN IT'S SMALL SCALE APPLICATION LIKE THAT, YOU KNOW, SO FOR EXAMPLE, I PERSONALLY WAS, UM, I HAD THE OPPORTUNITY TO SORT OF FOLLOW, UH, A MEMBER OF OUR COMMUNITY.

ONE OF MY CONSTITUENTS WHO IS HELPING ON HIS OWN TIME, WHO'S HELPING FOLKS, UM, FIND VACCINES, UM, AND HELPING THEM GET SCHEDULED.

UM, AND I JUST GOTTA TELL YOU THE, THE LEVEL OF EFFORT, THE AMOUNT OF MAN HOURS THAT WOULD GO INTO WALKING OUR COMMUNITIES, UM, NEIGHBORHOOD BY NEIGHBORHOOD STREET BY STREET, APARTMENT COMPLEX BY APARTMENT COMPLEX WOULD JUST BE ASTRONOMICAL.

AND SO I'M, I'M CURIOUS TO SEE, WHAT DOES IT LOOK LIKE? THE PRACTICAL APPLICATION OF WHAT COUNCIL MEMBER FERNANDEZ IS SUGGESTING? UM, WHAT DOES THAT ACTUALLY LOOK LIKE IN TERMS OF MAN HOURS, COST EXPENSE, UM, EFFICACY.

I MEAN, AT THE END OF THE DAY, IF IT'S, IF IT'S PRODUCTIVE, THEN IT'S OBVIOUSLY WORTH IT, BUT IS IT, IS IT PRODUCTIVE? IS THE QUESTION THAT I WOULD BE, UM, LEANING TOWARDS, UH, GETTING ANSWERED.

AND THEN, UM, WELL, TO MY ONLY QUESTION AT THIS POINT IS I'VE SAW THAT THE ONE GROUP WHERE THEY'RE LOOK TO ME, I KNOW IT WAS ONLY A COUPLE OF POINTS, PERCENTAGE POINTS, BUT IT LOOKED TO ME TO BE THE MOST SUBSTANTIAL IN TERMS OF INCREASE WITH, WITH OUR ASIAN COMMUNITY.

AND I'M CURIOUS IF, IF, UM, DR.

HAYDEN HOWARD OR DR.

ESCADA, IF Y'ALL HAVE ANY INDICATION AS TO WHY THAT INCREASE, UM, IN THE ASIAN

[02:05:01]

COMMUNITY.

AND THEN AS AN EXTENSION OF THAT QUESTION, I'M JUST WONDERING IF THERE'S ANYTHING THAT WE CAN DO OUR OFFICES CAN DO WITH OUR SPHERES OF INFLUENCE TO ENCOURAGE MORE PEOPLE.

I MEAN, ASIDE FROM OBVIOUSLY, YOU KNOW, THE CLOSER WE GET TO HERD IMMUNITY, THE BETTER OFF WE ALL ARE, BUT IS THERE SOMETHING SPECIFIC THAT WE CAN DO IN OUR, IN OUR, UM, SPHERES TO, TO HELP PUSH PEOPLE TOWARDS, UM, GETTING THE INFORMATION THAT THEY NEED AND ULTIMATELY BEING VACCINATED WELL, COUNSEL WERE ALL SAYING THAT THE, UM, THE CHANGE IN THE AGENT AMERICA COMMITTEE W WE DON'T HAVE A CLEAR, UH, REASON FOR, FOR WHY THERE WAS SUCH A BIG JOB.

I WILL SAY THAT, YOU KNOW, WITH THE DATA FOR THE IMMEDIATE PREVIOUS WEEK, UH, THERE'S GOING TO BE SOME CHANGES IN THAT AS, AS NEW DATA COMES ONLINE, UH, RELATIVELY LOW NUMBERS OF INDIVIDUAL TESTED MEANS THAT WE MAY SEE LARGER VARIATIONS, UH, IN, IN SOME OF THE DATA.

AND SO THAT CERTAINLY MAY HAVE AN IMPACT.

I WILL SAY THAT, UH, OUR ASIAN-AMERICAN COMMUNITY, UH, IS PROBABLY HAS A HIGHER VACCINATION RATE THAN ANY, ANY OTHER, UM, UH, COMMUNITIES OF COLOR.

UM, THEY'RE OVERREPRESENTED BY VACCINATIONS, UH, AS COMPARED TO THEIR REPRESENTATION IN THE COMMUNITY.

UH, SO THAT COMMUNITY'S DOING VERY WELL.

UH, BUT HAVING SAID THAT WE, WE STILL NEED TO CONTINUE THAT OUTREACH EFFORT UNTIL WE HAVE ZERO CASES.

UH, SO THAT'S GONNA, THAT'S GONNA TAKE TIME, THAT'S GOING TO TAKE EFFORT.

UM, BUT IT IS, YOU KNOW, AS YOU HAVE JUST A SUGGESTED, UH, WITH, UH, MOVING AWAY FROM LARGE VACCINATION CENTERS, THE EFFICIENCY IS GOING TO DECREASE, UH, RETURN ON, IS GOING TO DECREASE.

THAT'S WHY IT MAKES SENSE FOR US TO IDENTIFY WHERE THOSE RESOURCES ALREADY ARE.

YOU KNOW, AS HAS BEEN MENTIONED, WE'VE GOT COMMUNITY GROUPS OUT THERE THAT ARE CAPABLE OF DELIVERING VACCINE.

WE HAVE OUR EMS AND FIRE STATIONS WHO ARE ALREADY AVAILABLE ALREADY VACCINATING FOR EVERY FIRE APPARATUS.

THERE ARE FOUR VACCINATORS ON EVERY TRUCK.

UM, WE HAVE PEOPLE, WE HAVE THE RESOURCE, WE HAVE THE PHYSICAL SPACE, WE HAVE THE VACCINE, IF WE BRING THOSE THINGS TOGETHER, UH, IN PART OF THEM IN AREAS WHERE WE ALREADY HAVE THE RESOURCES, THEN IT A LOT MORE EFFICIENT.

I APPRECIATE THAT.

I THINK THE OTHER HALF OF THAT QUESTION WAS FOR DOCTOR OR FOR DIRECTOR HAYDEN HOWARD, WHO APPEARS TO BE, UH, OFF AGAIN.

UM, UM, I'M HERE.

I'M GOING TO LEAVE MY CAMERA OFF, UM, FOR NOW.

UM, SO WHEN YOU, WHEN YOU'RE LOOKING AT, UM, NEIGHBORHOODS AND KIND OF LOOKING AT, UM, HOW YOU WOULD DEVELOP A NEIGHBORHOOD MODEL, ONE OF THE THINGS THAT IS DEFINITELY IMPORTANT IS THAT, UM, YOU MUST DEFINITELY PRIORITIZE SCIENCE.

UM, AND SO, UM, YOU KNOW, BY LOOKING AT THE DATA, UM, WE'VE STARTED THE LOCATION AT THE SOUTHEAST BRANCH, UM, LIBRARY, UM, BECAUSE WE DO HAVE A COUPLE OF PARTNERS THAT ARE IN THAT COMMUNITY RIGHT NOW, UM, THAT ARE GOING, UM, THAT HAVE GONE DOOR TO DOOR THAT ARE REFERRING FOLKS TO US FOR THAT SIDE.

AND, UM, AND ONE OF THE THINGS, YOU KNOW, THAT THEY'VE SHARED WITH US IS THAT THEY WOULD RATHER, UM, JUST KIND OF CREATE, UM, LIKE A GOOGLE DOCUMENT, UM, AND PROVIDE THE NAME, THE PHONE NUMBER, UM, AND THE BEST TIME FOR US TO CONTACT THE FOLKS TO SCHEDULE THEM.

AND SO THAT IS THE PROCESS, UM, THAT, YOU KNOW, THAT WE'VE DONE AND HAVE IMPLEMENTED.

SO RIGHT NOW, UM, THAT IS, THAT IS WORKING PRETTY WELL.

WE'VE, WE'VE ONLY, UM, BEEN DOING THAT FOR A COUPLE OF WEEKS.

UM, AND SO, UM, WE WOULD DEFINITELY WANT TO BE ABLE TO, UM, LOOK AT OTHER, UM, COMMUNITIES, UM, THE DEPARTMENT, AS WELL AS OUR PARTNERS, UM, HAVE COMMUNITY HEALTH WORKERS, UM, YOU KNOW, ON OUR PAYROLL.

AND THEN WE CONTRACT OUT WITH PARTNERS, UM, TO PROVIDE THOSE SERVICES.

AND SO BEING ABLE TO ADD THOSE ADDITIONAL FOLKS, UM, THAT IS SOMETHING, YOU KNOW, DOOR TO DOOR IS, UH, YOU KNOW, IS A PROVEN MODEL.

UM, YOU KNOW, IT'S, IT'S BEEN AROUND FOR A LONG TIME, MOST FOLKS, YOU KNOW, KIND OF SHY AWAY FROM IT, BUT IT IS A PROVEN MODEL.

AND, UM, AND, AND WE'RE DEFINITELY AT THAT POINT.

UM, I THINK, YOU KNOW, ONE OF THE OTHER THINGS THAT,

[02:10:01]

UM, YOU KNOW, FROM A, FROM A COST PERSPECTIVE, UM, YOU KNOW, I THINK THAT, UM, AGAIN, YOU GO BACK TO PRIORITIZING AND BEING ABLE TO IDENTIFY, YOU KNOW, KIND OF WHERE YOU WOULD WANT TO BE.

AND THEN AS WE CONTINUE TO MAP THAT INFORMATION, UM, YOU KNOW, ON A, ON A MAP TO BE ABLE TO SHOW, UM, HOW WE ARE INCREASING WITH VACCINES IN THOSE COMMUNITIES.

AND SO THAT WILL, UM, KIND OF, YOU KNOW, GIVE YOU THE RESPONSE OF, YOU KNOW, IS IT GOING TO BE FEASIBLE ECONOMICALLY TO DO THAT, UM, AS WELL, BUT IT'S THE TRIBE MODEL, AS I STATED EARLIER, I APPRECIATE THAT.

I REALLY DO WISH THAT THERE WASN'T SO MUCH OF A SENSE OF URGENCY.

I DO FEEL LIKE WE'RE MISSING SOME OPPORTUNITIES JUST BECAUSE THERE, THERE IS SO MUCH THAT'S URGENT ABOUT THIS.

AND I JUST, WELL, I GUESS NOBODY CAN CONTROL THAT THEN.

THANK YOU.

I APPRECIATE IT.

CREDIT.

I THINK THOSE ARE ALL THE QUESTIONS, UH, JUDGE, UH, WE'VE GONE THROUGH THE COUNSEL.

THANKS.

UH, DR.

HAYDEN HOWARD, ARE YOU STILL ON? I JUST HAD ONE CLARIFYING THING IF YOU'RE OUTSIDE OF THE CITY LIMITS.

I THINK THERE'S LIKE A GEO LOCATING THING THAT DOESN'T LET YOU CALL THREE, ONE, ONE.

DO YOU KNOW, AS THE NUMBER IS AT NINE SEVEN FOUR, 2000? UH, YES, THAT IS THE NUMBER (512) 974-2000.

OKAY, GREAT.

THANKS.

UM, ALL RIGHT.

SO YEAH, I THINK THOSE ARE ALL OF OUR QUESTIONS TOO.

UM, MAYOR, SO, UH, LET'S SEE.

WE WILL GO AHEAD AND WE'RE GOING TO IN A MOMENT ADJOURN, AND WE'LL GIVE A FIVE MINUTE BREAK AND COME BACK, I GUESS, AT 1125.

UH, AND THEN I WILL PASS IT OVER TO YOU MAYOR.

OKAY.

WE'RE GOING TO GO AHEAD AT 11, 18 AND ADJOURN, THE AUSTIN CITY COUNCIL, UH, JOINT MEETING, UH, TODAY.

UH, THANKS AGAIN FOR HER LETTING US PARTICIPATE WITH YOU.

OUR MEETINGS, EVERYONE STAY SAFE.

THANKS.