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[00:00:06]

TO THE JOINT SESSION OF THE CITY OF AUSTIN AND TRAVIS COUNTY.

I'M TRAVIS COUNTY, JUDGE ANDY BROWN CALLING TO ORDER THIS MEETING OF THE TRAVIS COUNTY COMMISSIONER'S COURT.

IT IS JANUARY 25TH, 2022 AT 9:05 AM.

AND WE'RE MEETING HERE AT 700 LAVACA WITH COMMISSIONER SHAY AND HOWARD, AND WE HAVE COMMISSIONER GOMEZ JOINING US REMOTELY.

AND, UH, I WILL, UH, PASS IT OVER TO MAYOR ADLER TO CALL, TO ORDER THE MEETING OF THE AUSTIN CITY COUNCIL, UH, JUDGE AND, AND COMMISSIONERS.

THANK YOU.

WE'LL GO AHEAD AND CONVENE THE AUSTIN CITY COUNCIL MEETING HERE ON JANUARY 25TH, 2022.

UH, THIS IS A HYBRID MEETING.

WE HAVE A QUORUM PRESENT.

UH, WE HAVE COUNCIL MEMBERS.

WE HAVE THE MAYOR PRO TAM.

WE ALSO HAVE, UH, THE COUNCIL MEMBER, KELLY AND PAUL AND COSAR AND TOVO AND KITCHEN AND HARPER, MADISON, AND RENT THE, THE, UH, SO WELL IN DECORUM, UH, AT 9 0 6 AND WE'RE READY TO BEGIN JUDGING.

THANKS.

SO I'LL CALL THE ORDER, THE JOINT MEETING.

AND FIRST OF ALL, CHECK WITH SHELBY TO SEE IF WE HAVE ANY CALLERS ON THE JOINT SESSION.

GOOD MORNING, JUDGE.

WE DO HAVE ONE CALLER ON THE LINE WE WILL HEAR FROM JANICE LOOKOUT.

MS. BOOKOUT, PLEASE GO AHEAD.

YOU HAVE THREE MINUTES.

GOOD MORNING.

THANK YOU.

UM, JUST WANTED TO GIVE A COUPLE OF STATISTICAL UPDATES AND CONCERNS.

UM, FIRST OF ALL, I WANT TO START WITH SCHOOLS.

UM, I'VE BEEN DOING SOME DATA ANALYSIS ON TITLE ONE SCHOOLS.

I KNOW THAT'S SOMETHING WE'VE BEEN FOCUSING ON THROUGHOUT THE PANDEMIC.

UM, THERE'S SOME GOOD NEWS THERE.

UM, AN ANALYSIS OF CASE RATES IN TITLE ONE SCHOOLS SHOWS VERY LITTLE DIFFERENCE BETWEEN TITLE ONE SCHOOL CASE RATES AND THE MAJORITY OF SCHOOLS WITH TITLE ONE SCHOOLS SLIGHTLY OUTPERFORMING THE REST OF THE SCHOOLS IN THIS AREA.

SO WAY TO GO TITLE ONE SCHOOL PRINCIPALS FOR IMPLEMENTATION OF SAFETY PROTOCOLS, AND WHATEVER'S BEING DONE TO PRIORITIZE THESE SCHOOLS FOR SAFETY MANAGEMENT TESTING AND VACCINATION IS WORKING.

SO THANK YOU.

UM, ALSO I JUST DO WANT TO UNDERSCORE, I'VE BEEN HEARING FROM QUITE A FEW PARENTS THAT IN SOME SCHOOLS, ATHLETIC PROTOCOLS ARE NOT BEING FOLLOWED, WHICH IS EXTREMELY IMPORTANT WHEN IT COMES TO INDOOR SPORTS, ESPECIALLY WHEN STUDENTS ARE REQUIRED TO ATTEND.

UM, SO THAT'S A CONCERN AND I ALSO WANT TO CALL ATTENTION TO, UM, JUST THE OVERALL, I MEAN, I KNOW WE KNOW CASES ARE INCREASING, BUT, UM, LAST SEMESTER THERE WAS A TOTAL OF 15, UH, ONE, 1015, 1,576 REPORTED CUMULATIVE CASES LAST SEMESTER IN AIC AS OF LAST WEEK, UM, SINCE THE BEGINNING OF THE SEMESTER, THEY WERE ALREADY 3,500 CUMULATIVE CASES.

SO I JUST WANT TO GIVE YOU THAT THOSE STATS, UM, TO PUT THAT IN PERSPECTIVE, ANYTHING THAT CAN BE DONE TO SUPPORT AISD, UH, IS, YOU KNOW, WOULD BE REALLY, REALLY HELPFUL.

UM, AND THEN FINALLY I WANT TO CALL OUT SOMETHING THAT'S HAPPENING IN THE COMMUNITY REGARDING JOHNSON JOHNSON.

SO I'VE BEEN HEARING FROM SOME FOLKS.

UM, SO GIVEN THAT BREAKTHROUGH CASES ARE DISPROPORTIONATELY HIGH WITH JOHNSON AND JOHNSON.

UM, AND UNFORTUNATELY CDC HAS NOT YET RECOMMENDED FOLKS WITH J AND J GET A THIRD VACCINE SHOT, UM, SINCE J AND J TECHNICALLY COUNTS AS TWO.

UM, EVEN THOUGH DOCTORS ARE ADVISING A THIRD SHOT, J AND J RECIPIENTS ARE HAVING THE EXPERIENCE OF BEING REFUSED FOR THAT THIRD SHOT.

SO THAT LEAVES THEM MORE VULNERABLE THAN OTHERS TO OMICRON.

SO I DON'T KNOW WHETHER WE EVER PRIORITIZE SPECIFIC COMMUNITIES OR SPECIFIC AREAS FOR THE J AND J SHOT, BUT AS SOON AS THE CDC RECOMMENDS A THIRD SHOT, I THINK WE NEED TO THINK ABOUT PRIORITIZING THOSE GROUPS.

IF WE DID, UH, DO OUTREACH SPECIFIC WITH J AND J I THINK WE NEED TO PRIORITIZE THOSE GROUPS FOR A THIRD SHOT AND DO A SECOND ROUND OUTREACH TO THOSE SPECIFIC GROUPS.

THANK YOU SO MUCH FOR ALL YOUR WORK AND THAT'S IT FOR THIS WEEK.

OKAY.

THANKS, JANICE.

ALL RIGHT.

THOSE ARE

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

ALL OF OUR COLORS.

SO AT THIS POINT, WE'LL TURN IT OVER TO GET OUR BRIEFING FROM DR.

WACHS AND APH.

SEE, LET'S SEE.

GOOD MORNING EVERYBODY.

GOOD MORNING, HONEY.

I THINK YOU'RE MUTED.

DR.

WALKER, MAYBE.

YES.

OKAY.

GOOD MORNING, EVERYONE.

UH, IT'S BEEN A LONG TIME SINCE WE'VE HAD A PRESENTATION, SO THERE'S A LOT TO COVER.

AND, UM, THAT STARTED, UM,

[00:05:02]

CAN YOU SEE, MY SITES CANNOT SEE YOUR SLIDES? WE CAN NOT YET.

DR.

WACHS, GIVE ME A MINUTE.

I'M PULLING IT UP NOW.

MY COMPUTER'S BEING TEMPERAMENTAL AND YOU WOULD HAVE A KNOCK KNOCK JOKE.

THEY WANT TO SHARE, PLEASE KNOW WHO NOT IN HERE.

ALL RIGHT.

CAN WE SEE IT NOW OR I SEE IT NOW? YEP.

THE MORNING.

SO, UM, TO THE NEXT SLIDE, PLEASE.

UM, LAST WEEK, THE WORLD HEALTH ORGANIZATIONS EMERGENCY COMMITTEE MET AND UNANIMOUSLY AGREED THAT COVID-19 HENCE THE COVID-19 PANDEMIC STILL CONSTITUTES AN EXTRA ORDINARY EVENT THAT CONTINUES TO ADVERSELY AFFECT THE HEALTH OF POPULATIONS AROUND THE WORLD POSES AT RISK TO INTERNATIONAL SPREAD OF INTERNATIONAL SPREAD AND INTERFERENCE WITH INTERNATIONAL TRAFFIC AND CONTINUES TO REQUIRE A COORDINATED INTERNATIONAL RESPONSE.

SO I JUST BRING THIS UP TO REMIND ALL OF US THAT, UM, THIS PANDEMIC IS NOT OVER.

AND, UH, NEXT SLIDE PLEASE.

UM, IF YOU LOOK AT, UH, OUR CDC DATA TRACKER, UM, SECTION THAT LOOKS AT THE PROPORTION OF VARIANTS THAT ARE CIRCULATING IN OUR COMMUNITY, UM, AT THIS POINT 99% OF WHAT'S CIRCULATING IN THE COMMUNITY IS I'M CRYING IN TEXAS.

UM, THAT'S REPORTED THAT IT'S 98 TO 99%.

WE ARE SEEING, WE ARE SENDING OUT A HUNDRED SPECIMENS A WEEK FROM TRAVIS COUNTY OR SURVEILLANCE OF VARIANTS, AND CONTINUE TO SEE THAT I'M CRYING THIS THE DOMINANT VARIANT IN THE FIRST PORTION OF DECEMBER 63% OF THE SPECIMENS, CONSISTENT WITH ARMED CRIME, WITH THE REMAINDER BEING DELTA, UM, WHICH ACCOUNTS FOR SOME OF THOSE, UM, EARLY, UM, ICU NUMBERS IN DECEMBER AND SOME OF THE LATER DEATHS THAT OCCURRED IN DECEMBER AND EARLY JANUARY AS DEATHS ARE A LAGGING INDICATOR.

UM, AFTER DECEMBER 16TH, UM, 91% OF THOSE SPECIMENS THAT WE SENT OUT WERE, UM, A CRON.

AND AS I SAID, NOW, WE'RE AT 98%.

THE GRAPH THAT YOU SEE ON THE LOWER LEFT-HAND PORTION OF THE SLIDE IS LOOKING AT, UM, WHAT WAS GOING ON.

WHAT'S BEEN GOING ON IN DENMARK AND THE DARK PURPLE, UM, PORTION OF THE CURVE REPRESENTS ON THE CRIME AND THE LIGHT LA LILAC COLOR THAT'S ON THE VERY EDGE OF THIS GRAPH REPRESENTS A VARIANT ANOMA CRON, THAT'S EMERGED, IT'S, UH, B A.TO END.

IT IS, UM, UH, VARIANT AND MUTATION VARIANT THAT HAS ANY TUMOR MUTATIONS.

IT SPREADS MORE EASILY.

UM, IT HAS, UM, THE SAME SEVERITY OF DISEASE AS THE CURRENT ARMED CRIME THAT WE'RE SEEING HERE.

UM, AND IT IS, UH, THOUGHT TO BE, UH, PER UH, COVERED WHAT THE VACCINES ARE WE HAVE RIGHT NOW.

SO, UM, I SPRING THIS UP TO SAY THAT AS LONG AS WE HAVE PEOPLE THAT ARE SUSCEPTIBLE TO BECOMING INFECTED, WE HAVE THE POSSIBILITY OF HAVING MUTATIONS OCCUR.

AND THIS IS AN EXAMPLE OF WHAT HAS HAPPENED WITH THE ARM ON THERE.

AND, UM, IN OUR CURRENT SITUATION, WE HAVE NOT SEEN ANY EVIDENCE OF THIS PARTICULAR VARIANT OBAMA CRON IN OUR COMMUNITY.

NEXT SLIDE, PLEASE, DAILY CASES ARE DECLINING IN THE US.

UM, WE PEAKED ON JANUARY 15TH AT, UH, 17 798, 960 CASES.

UM, OUR SEVEN DAY MOVING AVERAGE AS OF YESTERDAY UP THE 23RD WAS 663,902 PACES.

[00:10:02]

NEXT SLIDE PLEASE, LOCALLY, UM, CASE NUMBERS REPORTED TO APH HAVE DECLINED.

UM, WE'RE STILL HAVE A BACKLOG OF CASES THAT NEED TO BE ENTERED BY OUR DATA ENTRY STAFF WHO ARE WORKING AROUND THE CLOCK TO GET THE, UM, CASES ENTERED.

WE HAVE ABOUT 45,000 CASES THUS FAR, UH, PENDING ENTRY.

WE HAVE UPDATED OUR RE OUR SYSTEM AND ARE NOW ABLE TO DO SOME, UM, ELECTRONIC UPLOADING, BUT, UM, THERE'S STILL A PROCESS OF GETTING THE, ALL THAT WE HAVE, UH, LEFT TO DO IN PLACE INTO OUR SYSTEMS. AT THIS POINT, WE'RE FOLLOWING WHAT IS REPORTED BY HOSPITALS, SCHOOLS, CHILDCARE CENTERS, LONG-TERM CARE FACILITIES IN JAILS.

THE HOSPITAL NUMBERS APPEAR TO BE TOWN.

ARE YOU TEAM MODELERS, PROJECT PINK, AN ICU ADMISSIONS IN EARLY TO MID FEBRUARY.

AND WE MAY EXCEED OUR CURRENT STAFFED ICU BED CAPACITY, BUT THAT DEPENDS ON IF WE CONTINUE TO, AS A COMMUNITY MASK AND GET VACCINATED TO DECREASE THE SPREAD IN OUR COMMUNITY.

AND I MENTIONED THAT THIS CURVE, THIS GRAPH REPRESENTS THE FOUR SURGES THAT WE'VE EXPERIENCED IN OUR COMMUNITY.

THE SECOND OF WHICH IN JANUARY OF 2021 WAS CAUSED BY ALPHA VARIANT OF COVID-19.

THERE WAS A TYPO IN LAST WEEK'S MEMO.

SO, UM, I HAD WHERE THAT WAS LISTED AS BETA INSTEAD OF ALPHA.

AND I'D LOVE TO BRING THAT TO YOUR ATTENTION AS WELL.

GO TO THE NEXT SLIDE, PLEASE.

OUR INFLUENZA CASE NUMBERS HAVE GONE DOWN SLIGHTLY.

THE INCIDENT RATE NOW IS 2.58% OF INFLUENZA, OR WEEK TWO OF 2022, AND THE PREDOMINANT INFLUENCE OF VIRUS THAT'S BEING REPORTED AS WEDNESDAY.

NEXT SLIDE, PLEASE CASES INCREASED WEEK OVER WEEK SINCE, UH, DECEMBER 12TH THROUGH THE 16TH OF JANUARY WITH A SLIGHT DECREASE THAT WAS SEEN LAST WEEK.

UM, THE CASES ARE FACING IN ALL AGE GROUPS.

UM, NOTABLY, UH, PEDIATRIC CASES HAVE INCREASED IN JANUARY, UM, NOT OF THOSE HOSPITALIZED, BUT, UH, GENERALLY IN THOSE HOSPITALIZED, SORRY, AND GENERALLY, AND THE NUMBERS OF PEDIATRIC CASES THAT ARE, UM, AND DIAGNOSED IN OUR COMMUNITY AS OF JANUARY 4TH, WHEN, UM, SCHOOLS REOPENED, WE WERE REPORTING 170 PLUS CASES, AND NOW WE'RE WELL OVER 5,000 CASES, WHICH REPRESENTS A 2800% INCREASE IN PEDIATRIC CASES.

HOWEVER, LAST WEEK SCHOOL REPORTS OF CASE NUMBERS WENT DOWN ON, AND THIS MAY BE ALSO DUE TO DATA ENTRY LIKE, UM, A WEEK PRIOR, WE HAVE 5,820 OR SO CASES, UM, REPORTED BY SCHOOLS LAST WEEK AS A, UH, MONDAY, YESTERDAY, WE HAD FORTY FIVE HUNDRED AND FORTY FIVE CASES.

HOWEVER, A S I, THE STUDENTS SAID NOTHING WITH REGARDS TO HOSPITALS, SECTOR WALKS.

WE'RE KIND OF LOSING YOUR SOUND A LITTLE.

CAN YOU HEAR ME NOW? YES.

OKAY.

WITH REGARDS TO THE CHILDREN, WHO'VE BEEN ADMITTED TO HOSPITAL.

NOW, WE CAN'T HEAR YOU NOW.

YOU'RE DROPPING OUT AGAIN.

OKAY.

CAN YOU HEAR ME NOW? YUP.

OKAY.

91% OF THE CHILDREN ADMITTED TO HOSPITAL OR HAVE BEEN ON VACCINATED.

AND THIS, AGAIN, POINTS TO THE NECESSITY AND IMPORTANCE OF GETTING HER CHILDREN VACCINATED.

WE HAVE DONE A BETTER JOB OVERALL IN OUR FIVE TO 11 AGE GROUP WITH VACCINATIONS, UM, WITH 26% OF THE AGE GROUP, FULLY VACCINATED, HOWEVER, UM, WITH SCHOOL REOPENING AND THE NUMBER OF CASES THAT WE'RE SEEING NOW, IT'S IMPORTANT THAT WE CONTINUE TO MAKE THAT PUSH, TO GET OUR CHILDREN VACCINATED AND TO CONTINUE TO ENCOURAGE AND REQUIRE MASKING IN SCHOOLS.

IT'S IMPORTANT TO NOTE THAT ALMOST A HUNDRED PERCENT

[00:15:01]

HOUSEHOLD TRANSMISSION'S BEEN REPORTED WITH OMNICON AND WHEN OUR CHILDREN ARE GETTING SICK, OUR PARENTS ARE ALSO AT RISK FOR GETTING SICK.

AND IF THE PARENTS DON'T GET SICK, THEY ALSO MAY HAVE TO STAY HOME FROM WORK.

SO IT'S IMPACTING LIVELIHOODS MANY FAMILIES IN OUR COMMUNITY.

SO IT'S VERY IMPORTANT THAT WE CONTINUE TO ENCOURAGE AND PROMOTE CHILDHOOD VACCINATIONS OR COVID-19, AND FOR THE FLU AS WELL.

THE NEXT SLIDE SHOWS THE BREAKDOWN OF HOSPITALIZATIONS.

AND AGAIN, REITERATE THE IMPACT THAT HAS HAPPENED IN A COMMUNITIES OF COLOR, BLACKS AND HISPANICS HAVE BEEN MORE IMPACTED BY COVID-19, UM, 44% OF HISPANICS AND 12% OF BLACKS, UM, ARE AMONG THOSE OF THE TOTAL HOSPITALIZATIONS THAT HAVE BEEN REPORTED.

THE NEXT SLIDE, PLEASE, WHEN WE LOOK AT, UM, PATIENTS WHO'VE BEEN, UM, ADMITTED TO OUR HOSPITALS, UH, TRAVIS COUNTY RESIDENTS REPRESENT 57% OF THOSE ADMITTED WITH, UH, WILLIAMSON COUNTY, BASTROP AND HAYES, UM, FOLLOWING SECOND, THIRD, AND FOURTH PLACE OR ADMISSIONS TO OUR HOSPITAL.

AND I SHOWED THIS TO, UM, 10 POINT THE FACT THAT WE SERVE NOT ONLY THIS COUNTY, BUT OTHER COUNTIES.

SO IT'S A REGIONAL IMPACT THAT HAS HAD BY COVID ON OUR HOSPITALS AND OUR HOSPITAL STAFFING SHORTAGES RIGHT NOW HAVE HAD AN IMPACT ON OUR HOSPITAL CAPACITY BY DECREASING THE NUMBER OF STAFF BEDS.

SO IT'S IMPORTANT FOR NOT ONLY TRAVIS COUNTY RESIDENTS, BUT THOSE ARE, UM, IN NEIGHBORING COUNTIES TO PUSH, UM, VACCINE PROGRAMS AND ENCOURAGE MASKING IS THE SECOND LAYER OF PROTECTION.

IF YOU GO TO THE NEXT SLIDE, PLEASE, DURING THIS AMAZON SEARCH, WE'VE SEEN THE HIGHEST NUMBER OF VACCINE BREAKTHROUGH PACES.

OUR CURRENT VACCINES GIVE 45% PROTECTION AFTER THE PRIMARY SERIES, SEVEN, 5% PROTECTION AFTER THE BOOSTER FOR MILD ILLNESS AND PROVIDE 90% PROTECTION FOR SEVERE DISEASE AND A COVID-19.

SO IT'S IMPORTANT THAT EVERYONE, UH, BECOME UP-TO-DATE, WHICH IS THE NEW TERM.

THAT'S BEEN YOU BEING USED BY THE CDC TO, UM, INDICATE WHETHER SOMEONE HAS RECEIVED THE PRESCRIBED NUMBER OF BOOS OF VACCINATION.

SO FOR INSTANCE, IF A FULLY VACCINATED PERSON, UM, IS SOMEONE WHO'S RECEIVED BOTH OF THE MR AND A VACCINES, UM, OR ONE SHOT OF JANE, JAY, UM, THE BOOSTER SHOT WAS AVAILABLE, OR THE JANE J RECIPIENTS AT TWO MONTHS AFTER THEY'VE RECEIVED THAT J AND J SHOT.

UM, AND THEN FOR THOSE WHO HAVE RECEIVED THE NRMN VACCINATIONS AT FIVE MONTHS, THEY CAN RECEIVE THAT BOOSTER.

UH, UM, ONE OF THE MRN VACCINATIONS GO TO THE NEXT SLIDE, PLEASE.

I'M GOING TO SPEND A LITTLE TIME TALKING ABOUT DEATHS, UM, AS THIS IS A LAGGING INDICATOR, BUT WE'VE HAD FEWER DEATHS IN OUR COMMUNITY THAN OTHER PARTS OF THE COUNTRY OR THE STATE.

UM, AS OF YESTERDAY, THERE WERE 1,237 DEATHS, UM, REPORTED IN TRAVIS COUNTY SINCE THE BEGINNING OF THE PANDEMIC.

NOPE.

NOW THAT LESS STUFF HAS OCCURRED, UM, IN THE THIRD ORDER OF, UH, 2021 IN THE 70 PLUS POPULATION.

AND THAT IS DUE TO THE FACT THAT WE TOOK STEPS TO PROTECT THAT POPULATION WHERE VACCINATIONS AND THOSE JUICE, UM, EARLY ON VACCINATIONS AND MITRE, UH, IN THE YEAR BOOSTERS, UM, THERE'S LESS DEATH THAT'S OCCURRING RIGHT NOW DURING THIS ON CONCERTS.

HOWEVER, THAT'S, AS I SAID, ARE A LAGGING INDICATOR AND THE SEARCH HAS HAPPENED VERY QUICKLY.

SO, UH, THERE'S MORE TO COME ON THE IMPACT IN OUR COMMUNITY WITH REGARD TO DEATH, AS A RESULT OF THE SEARCH.

HOWEVER, SO FAR, WE'VE HAD VERY NEW.

UM, IF

[00:20:01]

YOU GO TO THE NEXT SLIDE, PLEASE WANT TO LOOK AT VACCINATIONS TO LOOK BACK AT WHAT I WAS TALKING ABOUT WITH REGARDS TO BACK SCENES AND PROTECTION FROM SEVERE DISEASE IN DOC.

AND WE'VE HAD 9.8% OF THE DEATHS THAT HAVE OCCURRED OCCURRED IN THOSE WHO HAVE BEEN VACCINATED.

AND THAT'S, WHAT'S REPRESENTED ON A BRA IN THE GRAPH THAT'S ON THE RIGHT-HAND SIDE OF THE SIDE.

ON THE LEFT-HAND SIDE, YOU SEE A LISTING OF THE CO-MORBIDITIES THAT ARE, HAVE BEEN ASSOCIATED WITH EACH OF THOSE DEATHS THAT'S OCCURRED IN, UH, VACCINE BREAKTHROUGH, UM, CASE.

UM, AND MAJORITY OF THE CASES REPORTED HYPERTENSION AS A CO-MORBIDITY FOLLOWED BY CARDIAC DISEASE, DIABETES, AND, UM, IN A COMPROMISED STATE, THAT'S LIKELY REINFECTION HAVE BEEN BOARDED AND RE-INFECTION IN S UM, S S IS DEFINED AS SOMEBODY WHO'S HAD COMMITTED 19 ASP AND THEN BECOMES INFECTED AGAIN.

UM, THERE ARE SOME IN OUR COMMUNITY WHO FEEL THAT THEY HAVE ENOUGH PROTECTION FROM THE ANTIBIOTICS THAT ARE PRODUCED FROM AN INFECTION, BUT THIS SHOWS US THAT IN FACT, NATURAL IMMUNITY IS NOT AS GOOD AS A RECEIPT OF VACCINE AND BOOSTER.

SO, UM, WE CONTINUE TO URGE PEOPLE TO BECOME VACCINATED AFTER THEY'VE RECOVERED FROM COVID-19 AND BOOSTED, UM, SO THAT THEY CAN BE GIVEN THAT FULL PROTECTION AND WE NOT DEVELOP MOVING 19.

AND THEN MY FINAL SLIDE IS A COMPARISON SLIDE LOOKING AT WHAT WE SAW, UM, TWO WEEKS AGO ON THE LANDSCAPE ACROSS THE COUNTRY, THE KINK PEACH COLORATION IS THE COLOR THAT'S USED BY THE JOHNS HOPKINS GROUP TO, UM, SHOW AN INCREASE IN THE NUMBER OF CASES, BUT A LIGHTER GREEN TEAL COLOR, UM, IS WHAT'S USED TO SHOW A DECLINE IN THE NUMBERS OF CASES.

AND AS YOU WILL CALL SOUTH AFRICA, SAW AN RAPID INCREASE IN CASES WITH A RAPID DECLINE AS WELL.

AND WE'RE SEEING THAT THERE IS A DECLINE THAT'S HAPPENING IN VARIOUS PARTS OF OUR COUNTRY AND ALSO HERE IN OUR LOCAL, UM, CASE NUMBERS.

UM, THE IMPORTANT THING FOR US TO REMEMBER IS THAT WE'VE BEEN IN THIS SPOT BEFORE, WHERE WE'VE BEEN ON THE DECLINE AND ANTICIPATING A QUIET ITIS, UH, AFTERWARDS, UM, WHAT HAS HAPPENED, UM, WHEN WE START SEEING THESE DECLINES IS THAT PEOPLE START TO RELAX THEIR MITIGATION EFFORTS AND THERE'S, UH, US SHYING AWAY FROM REALLY GETTING OUT THERE AND GETTING BOOSTED AND GETTING VACCINATED.

UM, YOU'RE HAVING ALREADY GOTTEN WITH VACCINE IS REALLY IMPORTANT FOR US TO, UM, CONTINUE TO GET OUR COMMUNITY VACCINATED AND TO CONTINUE TO MEDICATION EFFORTS TO THE SPREAD.

AS LONG AS WE HAVE A LARGE NUMBER OF SUSCEPTIBLE INDIVIDUALS IN OUR COMMUNITY WHO CAN, AND MAYBE KIND OF INFECTED WITH COVID-19, WE HAVE THE RISK AND RUN THE RISK OF BEING IN A SITUATION WHERE WE ARE, UH, FACED WITH HOSPITAL CAPACITY, CHALLENGES AND ECONOMIC CHALLENGES AND EVERYTHING THAT WE CAN DO AS A COMMUNITY TO CONTINUE TO KEEP THIS VIRUS FROM SPREADING AND TO PROTECT PARTICULARLY OUR CHILDREN WILL BE IMPORTANT.

AND WE'VE SEEN MONSTER POUND.

WE'VE GOT ON MY REPORT.

THANK YOU, DR.

BOX DIRECTOR STRIP.

I THINK YOU'RE MUTED.

CHECK YOUR STAR.

I CAN'T HEAR YOU.

YES, SIR.

IN THE MEANTIME, WHILE WE'RE WAITING FOR HER

[00:25:01]

TO GET ON, I'M WONDERING WHETHER WE COULD ASK, UM, WHETHER, UH, WE CAN LOOK AT THE COUNTY WIDE DISTRIBUTION OF BREAKTHROUGHS BY VACCINE TYPE POSSIBLE BECAUSE J AND J IF WE CAN, IF WE COULD LOOK AT THAT, MAYBE THAT COULD GIVE US A LITTLE INSIGHT THAT WE CURRENTLY DON'T HAVE.

IS, IS THAT POSSIBLE FIRST OF ALL, AND IF SO, COULD THAT BE ADDED ACTUALLY ON THAT SLIDE? THEY, A TYPE OF VACCINE IS, WAS TO ON THAT GRAPH THAT I WAS SHOWN.

OKAY.

WHAT PAGE IS THAT? WAS IT ON THE SCREENS, BUT I DON'T THINK IT LISTED.

OH, IT DID.

YEP.

ON THE BACK OF THAT, LET'S GO BACK TO THAT BECAUSE I DIDN'T SIT IN MY DECK.

YEAH.

IT'S SLIDE 10.

YEAH.

IT'S SLIDE 10.

THANK YOU.

YOU SNEAK MISSING FROM MY DECK.

OH, I'LL SEND IT TO .

YOU'LL HAVE TO HELP ME, DR.

WACHS, BECAUSE I'M JOINING FROM THE WEB VERSION TODAY AND I CAN'T SEE, BUT 10 THAT'S IT.

OKAY.

YEAH.

I CAN'T SEE THE SLIDE NUMBERS IN THIS VERSION.

OKAY.

OKAY.

BACK UP AND JUST TELL ME THAT.

NOW GO BACK TO THE OTHER WAY.

SORRY.

ONE MORE BLOW.

YOU PASSED IT.

IT, YOU, YOU HAVE TO GO THE OPPOSITE DIRECTION THAT YOU'RE GOING IN FORWARD OR BACK IN THE PRESENTATION, BACK IN THE PRESENTATION.

THANK YOU.

I'M STRUGGLING HERE THIS MORNING.

OKAY.

SO THAT'S NOT NUMBER 10 IN MY SLIDE DECK.

YEAH.

I'LL GET IT TO YOU OBJECTOR, SIR.

DO YOU WANT TO GO THROUGH YOUR PRESENTATION AND THEN ALL I'LL TRY TO FOUND IT HERE.

WHAT DOES THAT DINGING SOUND? STOP RIGHT HERE BACK ONE MORE AGAIN.

THANK YOU.

MOVING FORWARD.

THAT'S MY NUMBER TO GO BACK AFTER SERVICE, TRYING TO GET TO HER PRESENCE.

THERE IT IS.

OKAY.

THANK YOU.

SO JENSEN IS THE LIGHTER GREEN, AND THEN WE HAVE THAT MIDDLE ARMY GREEN IS THE MUDRA AND THE DARKER KELLY ISH KIND OF GREEN THIS VISOR, RIGHT.

OKAY.

THERE'S MANY MORE BREAKTHROUGHS WITH PFIZER.

YES.

THANK YOU.

THANK YOU.

ALL RIGHT, DIRECTOR SERVE.

GO AHEAD.

ALRIGHT.

ALL RIGHT.

SO AS YOU CAN SEE AGAIN, I'M BEGGING A LITTLE PART IN, UM, I'M NOT USED TO JOINING FROM MY WEB BROWSER OR USERY, USUALLY FROM THE APP.

SO MY COMPUTER IS DOING DIFFERENT THINGS.

I'LL JUST TRY TO MAKE IT THROUGH.

UM, THIS FIRST SLIDE IS THE OPERATIONS OVERVIEW FOR THE MONTH OF JANUARY.

AND YOU CAN SEE, UM, THROUGH THE 24TH OF THE MONTH, WE'VE DISTRIBUTED THE 3,665, UH, TOTAL VACCINES.

AND YOU CAN SEE THE BREAKDOWNS THERE WITH RESPECT TO DOSES, UM, AGE AND BOOSTER.

UM, IF YOU LOOK AT THE BOTTOM OF THE SCREEN, UM, A LOT MORE TESTS WERE CONDUCTED DURING THIS MONTH.

SO FAR, 19,206 TOTAL COVID-19 TESTS WITH THE MAJORITY OF THOSE BEING WALK-UP APPOINTMENTS.

UM, THE EXPO CENTER HAS BEEN A GREAT SITE FOR THE COMMUNITY, UM, QUICKLY FOLLOWED BY DOVE SPRINGS.

AND, UH, THE EQUITY LINE STAFF CONTINUED TO TELL ME THAT MOBILE TESTING IS A BOOKED OUT, UM, AT LEAST TWO WEEKS IN ADVANCE.

UM, SO HERE ON OUR SCREEN, WE HAVE OUR TESTING OPTIONS THAT ARE AVAILABLE.

AND AS ALWAYS, IF YOU ARE SICK, PLEASE GET TESTED.

IF YOU ARE EXPOSED TO SOMEONE WHO TESTED POSITIVE, PLEASE GET TESTED.

AND WHEN IN DOUBT, PLEASE GET TESTED.

THESE ARE THE SITES THAT ARE AVAILABLE FOR THE COMMUNITY.

I KNOW THERE HAS BEEN SOME CONCERN ABOUT THE LACK OF EVENING FOR FOLKS TO GO AFTER WORK AND WE ARE WORKING ON EXPANDING THOSE OPPORTUNITIES.

BUT AGAIN, I SAY, IF YOU ARE FEELING SICK ENOUGH TO THINK YOU NEED A TEST, PLEASE CALL IN, UM, AND GO GET THAT TEST BEFORE YOU DO ANYTHING ELSE FOR THE DAY.

UM, AND SO WE'RE AT THE

[00:30:01]

DOVE SPRINGS REC OR WE'RE AT THE EXPO.

YOU CAN CALL 5 1 2 9 7 2 5 5 6 0 TO GET, UM, IN HOME TESTING.

UM, AND WE ARE WORKING TO EXPAND, UH, THE STAFFING TRAINING, MORE STAFF TO BE ABLE TO GO OUT AND DO, UM, MORE IN-HOME TESTS.

AND WE ALSO CONTINUE TO SUPPORT OUR COMMUNITY WITH FACILITY TESTING.

WHEN YOU LOOK AT, UH, TRAVIS COUNTY VACCINATIONS, UM, BY WEEK, UM, WE CAN SEE THAT 72% OF OUR COUNTY IS FULLY VACCINATED.

UM, FOR THOSE FIVE AND OLDER AND 84% OF THE ELIGIBLE POPULATION HAS RECEIVED AT LEAST ONE DOSE, UM, FOR OUR PEDIATRIC POPULATION, 38.5% HAVE RECEIVED THEIR FIRST DOSE AND 27% ARE FULLY VACCINATED AS OF THE 24TH OF THIS MONTH IN TERMS OF, UM, OUR POPULATION THAT HAS BEEN, UM, BOOSTED 41.5% OF THE FULLY VACCINATED POPULATION, 30% RATHER OF THE TOTAL ELIGIBLE POPULATION, THAT'S FIVE AND OVER HAS RECEIVED A THIRD DOSE OR A BOOSTER.

AND THEN WHEN YOU LOOK AT OUR TOTAL, UH, CUMULATIVE DISTRIBUTION, UM, BY AGE, UM, WE SEE THAT THE DEMAND FOR BOOSTERS IN TRAVIS COUNTY HAS BEEN DRIVING MOST OF OUR VACCINE ADMINISTRATION OVER THE PAST.

UM, TWO WEEKS, THIS CHART IS A BREAKDOWN OF ALL REPORTING PROVIDERS.

AND THEN WHEN WE LOOK AT THE DISTRIBUTION OF PEDIATRIC VACCINES BY, UH, RACE AND ETHNICITY, UM, THERE IS SOME LAG IN THE REPORTING FROM THE STATE, BUT WE CAN SEE THAT WE ARE THE GAPS IN OUR PEDIATRIC POPULATION WITH RESPECT TO RACE AND ETHNICITY ARE NOT AS PREVALENT AS WE'RE SEEING IN OUR ADULT POPULATION.

AND THEN WHEN WE LOOK AT THE PIE CHART THAT SHOWS, UM, A NUMBER OF TRAVIS COUNTY RESIDENTS WHO HAVE NOT RECEIVED A SECOND DOSE, UM, WHAT WE KNOW SO FAR IS THAT APPROXIMATELY 210,000, UM, RESIDENTS ARE UNVACCINATED.

UM, AGAIN, GOING BACK TO THE BOOSTED POPULATION, 41.5% HAVE BEEN, AND 30% OF THE TOTAL ELIGIBLE POPULATION HAS RECEIVED A THIRD DOSE OR BOOSTER.

WHEN WE LOOK AT OUR DATA AGAIN, BROKEN OUT BY RACE AND ETHNICITY, UM, YOU KNOW, THE, THE, THE LAGS AND THE POPULATIONS OF CONCERN ARE STILL THERE.

UM, IN OUR HISPANIC POPULATION, THERE HAS BEEN SOME INCREMENTAL CHANGE, WHICH I'M ALWAYS APPRECIATIVE OF, AGAIN, IN THE BLACK COMMUNITY.

WE'VE SEEN SOME INCREMENTAL CHANGE IN THE PERCENTAGE OF FULLY VACCINATED POPULATION.

UM, SINCE NOVEMBER WE'VE, WE'VE TRIED TO BE STRATEGIC ABOUT, UM, OUR ATTEMPTS TO, UH, REACH THE SO-CALLED HARD TO REACH POPULATIONS BY MAKING SURE THAT WE ARE IN PLACES AND SPACES.

UM, WE USE OUR ZIP CODE DATA TO, UH, DRIVE OUR OUTREACH SITES.

UM, WE'VE IMPLEMENTED THE GIFT CARD PROGRAM AND TO DATE OVER 1200 GIFT CARDS HAVE BEEN DISTRIBUTED.

AND THE ZIP CODES OF THOSE RECIPIENTS HAVE BEEN 7 8 6 1 7 7 8 7 4 1 7 8 7 4 4 7 8 7 5 3 AND 7 8 7 5 8.

AND THAT CORRELATES WITH THE AREAS OF FOCUS.

UM, IF YOU LOOK AT OUR FIRST DOSE VACCINATED POPULATION MAP, UM, WE'RE, WE'RE GETTING, WE'RE GETTING THERE.

I LOVE GREEN.

AND, UH, BUT ONLY ON THIS MAP, I DON'T THINK IT DOES ANYTHING FOR MY COLORING, BUT ON THIS MAP, GREEN IS MY FAVORITE COLOR.

AND WE CAN SEE THAT THE MAJORITY OF OUR, UM, AREAS ARE, HAVE RECEIVED THEIR FIRST DOSE, THE DIAMONDS AND THE DOTS ON THE MAP INDICATE THE PLACES WHERE WE'VE EITHER HAD THE MOBILE VACCINE PROGRAM VISIT.

UM, THE WHITE DOTS INDICATE POP-UP CLINICS, AND THE BLACK TRIANGLES ARE LOCATIONS WHERE WE HAVE OUR STATIC CLINICS.

SO IT GIVES YOU AN IDEA OF, UM, THE REACH THAT WE'VE BEEN ABLE TO HAVE WITH OUR VACCINE TEAMS, UH, AND ALSO INDICATES AREAS WHERE MORE EFFORT WOULD BE WARRANTED.

WHEN WE LOOK AT OUR MAP THAT SHOWS OUR SECOND DOSE FULLY VACCINATED POPULATION, UM, NOT AS MUCH GREEN HERE, BUT THERE ARE SOME

[00:35:01]

AREAS THAT, UM, ARE MOVING INTO THE BLUE AND WE'RE, UM, ENCOURAGED AND EXCITED BY THAT, THAT MOVEMENT.

WE STILL SEE THAT THE 50% AND THE 50 TO 59% AREAS ARE 7 8 6 1 7 7 8 7 4 1 4 2 2 1 IN FIVE THREE.

AND AGAIN, IF YOU OVERLAY THE PLACES WHERE, UM, OUR MVP TEAM GOES OUT AND THE AREAS WHERE WE HAVE POP-UP CLINICS, WE ARE BEING INTENTIONAL ABOUT WHERE WE SEND OUR TEAMS TO MAKE SURE THAT EVERYONE HAS ACCESS TO VACCINE.

AND SO WE GET TO OUR OPERATIONS FOR THE WEEK AS ALWAYS, UM, ALL OF OUR CLINICS ARE WALK-UP, THERE ARE NO APPOINTMENTS NEEDED.

UM, WE HAVE NEW HOURS AT THE SOUTH EAST BRANCH LIBRARY WHERE THERE ON SATURDAYS FROM 10 TO TWO, AND WE OFFER, UM, ALL THREE OF THE VACCINES FOR 12 AND UP WE'RE IN PFLUGERVILLE.

UM, AND AGAIN, AT FLUOR HALL, WE'RE OFFERING, UM, ALL THREE VACCINES.

AND AT THAT LOCATION, WE ARE OFFERING PFIZER FOR THE FIVE-MINUTE POPULATION.

UM, DELCO IS, IS STILL GOING STRONG.

AGAIN, ALL THREE AND PEDIATRIC VACCINES ARE AVAILABLE AND THAT SIMS ELEMENTARY, UM, THE MOBILE TEAM WILL BE AT A FEW EVENTS THIS WEEK.

UM, COMMUNITY FIRST HOME SLICE PIZZA, THAT'S ALL MIDDLE SCHOOL SMART HAKA PROPERTY AT CHALMERS, THE SOUTH AUSTIN MARKET, AND A FEW OTHER PLACES THERE.

UM, FOR THE SCHEDULE, YOU CAN VISIT US AT WWW DOT AUSTIN, TEXAS.GOV FORWARD SLASH COVID-19.

AND THAT WILL GIVE YOU THE LATEST AND GREATEST OF WHERE OUR TEAMS WILL BE PROVIDING VACCINES.

AND SO, UM, WHEN WE TALK ABOUT OUR COMMUNICATIONS, WE HAVE THREE KEY MESSAGES THAT WE WANT TO CONTINUE TO PUSH OUT TO OUR COMMUNITY MASK UP STAGE FIVE MEANS THAT EVERYONE SHOULD WEAR A WELL-FITTED MASK WHEN LEAVING THE HOME.

UM, THIS PAST WEEK, WE, WE FILMED A PSA THAT I HOPE WILL BE OUT SOON, ADVISING OUR COMMUNITY TO MAKE SURE THAT, YOU KNOW, WHEN WE SAY WELL-FITTED THAT THERE ARE ANY GAPS OR OPENINGS AT THE SIDE OF YOUR MASK, THAT IT'S FITS SNUGLY OVER YOUR, YOUR NOSE, UM, GET VACCINATED VACCINES ARE STILL SHOWING TO BE THE NUMBER ONE PROTECTION AGAINST, UH COVID-19.

AND SO GET YOURSELF AND YOUR KIDS VAXXED IN BOOSTED.

UM, UM, A CRON IS CONTINUING TO AFFECT OUR KIDS AT AN ALARMING RATE CAUSING HOSPITALIZATIONS.

AND WE KNOW ABOUT THE STAFFING SHORTAGES DUE TO STAFF BEING SICK THEMSELVES.

SO EVERYONE FIVE AND OLDER CAN GET THEIR SHOTS.

SO VISIT, UM, ANY APH LOCAL PHARMACY, PHARMACY, ATB, AND GET THAT VACCINE.

AND LASTLY, IF YOU HAVE A SNIFFLE, A DRIP, A COUGH, A SNEEZE, PLEASE GET TESTED.

I KNOW THERE ARE A LOT OF THINGS GOING ON IN OUR COMMUNITY AT THIS TIME FROM CEDAR FEVER TO FLU.

UM, BUT WITH, UM, THE SPREAD OF THE OMNICOM BARRIER AND HOW CONTAGIOUS IT IS, A LITTLE OUNCE OF PREVENTION IS WORTH IT AT THIS TIME.

SO PLEASE BE TESTED BEFORE GOING OUT.

OKAY.

AND THIS SLIDE JUST SHOWS SOME OF OUR COMMUNICATION EFFORTS.

WE CONTINUE TO, UM, AMPLIFY OUR PRESENCE IN SOCIAL MEDIA WITH DIFFERENT MESSAGING, ANYTHING ABOUT THE LATEST AND GREATEST NUMBERS ON OUR DASHBOARD, UM, ABOUT THE IMPORTANCE OF MASKING GETTING BOOSTED, UM, PROTECTING YOURSELF AND YOUR LOVED ONE.

SO HERE'S JUST A SAMPLE OF SOME OF THE MESSAGES THAT WE HAVE PUT OUT.

UM, OUR COMMUNITY OUTREACH CONTINUES.

WE CONTINUE TO RECRUIT AND BUILD THAT CA TO W TEAM.

UM, SO FAR WE'VE REACHED, UM, OVER 1600 INDIVIDUALS THROUGH OUR EFFORTS AND ON THE SCREEN THERE, YOU SEE SOME OF THE PLACES WHERE THE TEAMS HAVE BEEN OUT, ENGAGING WITH COMMUNITY.

UM, AND OF COURSE, IN ADDITION TO THAT ONE-ON-ONE INTERACTION AND OUTREACH THAT WE GET THROUGH OUR CHW TEAM, WE DO CONTINUE TO PARTNER WITH LARGE SCALE EVENTS, TYING IT TO, UM, PPE AND FOOD DISTRIBUTION, BECAUSE WE KNOW WE HAVE A CROWD OF FOLKS THAT ARE COMING IN, AND THESE PICTURES HERE ARE THE CROSS-DISCIPLINARY TEAMS THROUGHOUT THE CITY OF AUSTIN REPRESENTED HERE.

I GUST GARCIA, AND WE WERE ABLE TO GIVE OUT 1200 PPE BAGS, 600 RESOURCE BAGS.

UM, WE GAVE OUT FOOD LIP, BALM, UM, INFORMATION ABOUT WICKED INCENTIVES AND OTHER THINGS.

SO, UM, WE UNDERSTAND THAT COVID HAS AN IMPACT ON ALL AREAS OF OUR COMMUNITY AND SOCIAL DETERMINANTS OF HEALTH.

[00:40:01]

AND SO WE ARE MAKING SURE THAT ALL OF OUR PROGRAMS HAVE, UM, A, A WELL-ROUNDED APPROACH TO ADDRESSING COMMUNITY NEEDS.

AND WITH THAT, I WILL END WITH A PICTURE.

UM, I BELIEVE THE, THE FOLKS ON THE, MY RIGHT I'M LOOKING ARE AT JESTER KING BREWERY.

UM, WE WE'RE OUT THERE GIVING OUT VACCINES AND THEN THE OTHER, UH, TO THE LEFT ARE THE TEAMS OUT AT EXPO.

UM, AND THAT JUST SHOWS THE DEDICATION CAUSE IT WAS COLD THAT DAY.

SO WE WERE BUMBLED UP AND WE WERE MASSED UP READY TO SERVE.

AND WITH THAT, I THANK YOU FOR YOUR TIME.

AND I END MY REMARKS DIRECTOR SYRUP CHECK, BEFORE YOU START, JUST WANT TO GIVE, I GOT A NOTICE FROM OUR CITY MANAGER, SPENCER CRUMP, THAT INTERIM DIRECTOR, ADRIAN STIRRUP IS NOW DIRECTOR ADRIAN STARK.

SO CONGRATULATIONS DIRECTOR, ADRIAN STIRRUP DIRECTOR OF APH.

THANK YOU FOR YOUR SERVICE.

THANK YOU.

THANK YOU.

ALL RIGHT.

THAT BIG NEWS CHOCOLATE.

PASS IT TO YOU.

THANK YOU.

JUDGE BROWN, MAYOR ADLER COMMISSIONERS, COUNCIL MEMBERS, CONGRATULATIONS TO DIRECTOR ADRIAN STIRRUP ON HER APPOINTMENT AS THE PERMANENT FULL-TIME DIRECTOR AT BOSTON PUBLIC HEALTH.

IT'S A PLEASURE WORKING WITH AUSTIN PUBLIC HEALTH DIRECTOR STIRRUP AND DR.

WACHS.

UH, I'M HERE TODAY WITH, UH, CONSTABLE GEORGE MIRALIS AND TOM TODD HAMILTON WITH CENTRAL TEXAS ALLIED HEALTH INSTITUTE TO UPDATE Y'ALL ON THE ACTIVITIES OF OUR TEXAS, UH, TRAVIS COUNTY VACCINE COLLABORATIVE.

AND AT THIS TIME I'LL TURN IT OVER TO, UH, CONSTABLE MORALES.

GOOD MORNING COMMISSIONERS COUNCIL MEMBERS, JUDGE, AND MAYOR.

THE GOAL OF THE MOBILE VACCINE TEAMS IS TO CONTINUE TO OFFER BARRIER FREE VACCINES, OUTREACH, AND EDUCATION TO OUR MOST VULNERABLE ZIP CODES AND HARD TO REACH POPULATIONS.

THIS WEEK, WE GAVE A TOTAL OF VACCINE SHOTS OF 1,238 AND THE MOBILE VACCINE COLLABORATIVE GAVE A MONTHLY COMBINED SHOTS OF 6,980.

WE WILL CONTINUE TO PUT ON SHOT CLINICS AND HIGHLY EFFECTIVE ZIP CODES AND AUSTIN, TRAVIS COUNTY.

UH, WE WILL CONTINUE TO, UH, MOVE FORWARD, UM, WITH WORKING WITH OUR COMMUNITY PARTNERS OF SETON APH CENTRAL TEXAS ALLIED HEALTH.

AND OF COURSE OUR PRECINCT FOUR TEAMS, UH, WE WILL CONTINUE TO TARGET AREAS IN THE 7 8 7 5 8 77 5 3 7 8 7 2 4 2 1 4 1, DELL VALID DELL VALLEY, AUSTIN CONNOLLY, AND ALSO, UH, 7 8 7 4 4.

WE WILL BE THIS WEEK AT MENDEZ MIDDLE SCHOOL, BLAZER ELEMENTARY BOYS AND GIRLS CLUBS, HARMONY SCHOOLS, IDEAS, SCHOOLS, AND ALSO THE MEXICAN COUNCIL.

WE WILL CONTINUE TO OUR STATIC LOCATIONS AT JED'S, UH, LAMI, GHANA, SUPERMARKETS, EXPO, RANCHO, AND LA FINCA.

AND, UH, I'M GOING TO GIVE A SHOUT OUT TO, UM, OUR, OUR SETON TEAMS, CENTRAL TEXAS ALLIED HEALTH, OUR PRECINCT FOUR OUTREACH TEAM AND OUR PRECINCT FOUR DEPUTIES BECAUSE THE HARD WORK AND THE WEATHER THAT THEY HAD TO ENDURE LAST WEEK, THEY CONTINUE TO PUSH THROUGH IT.

THEY CONTINUE TO SHOW UP AND THEY CONTINUE TO GIVE SHOTS.

SHOUT OUT TO EVERYBODY OUT THERE WORKING HARD TO GET EVERYBODY BACK SEDATED.

I'LL TURN IT OVER TO CHUCK, CONSTABLE.

THANK YOU.

UH, WE DON'T HAVE MR. HAMILTON HERE TODAY.

INSTEAD WE HAVE DR.

JERICA THOMAS HOCKADAY, UH, WHO WAS THE FOUNDER CO-FOUNDER OF THE CENTRAL TEXAS ALLIED HEALTH INSTITUTE.

SO I'LL TURN IT OVER TO DR.

HOCKADAY.

GOOD MORNING.

GOOD MORNING.

COUNCIL AND COMMISSIONERS COURT IS 325 SHOTS.

UM, THAT IS, UM, INCLUDING PEDIATRIC AND ADULT SCENES.

UM, WE CONTINUE TO DO OUR WORK IN THE COMMUNITY AS WE HAVE DONE THUS FAR.

UH, WE ARE AT A NEW LOCATION THIS, UH, THIS WEEK, UM, AT THE AFRICAN-AMERICAN USE HARVEST FOUNDATION.

WE HAVE PERMANENT PARTNERSHIP WITH THEM NOW IN THEIR BUILDING TO BE ABLE TO PROVIDE VACCINES TO THEIR COMMUNITY AND AS THEY CAN FOR SERVICES.

UM, SO WE WILL CONTINUE OUR WORK AT OUR STATIC LOCATION AND AS WE NEED AS NEEDED IN THE COUNT OF COLLABORATIVES A PROCESS, OH, I'LL TURN IT BACK TO YOU.

CHECK.

THANK YOU, DR.

HOCKADAY JUDGE, MAYOR COMMISSIONERS, COUNCIL MEMBERS.

I JUST ALWAYS LIKED TO SHOW Y'ALL, UH, OUR SCHEDULE FOR A PUBLIC FACING SCHEDULE FOR VACCINES AVAILABLE ON, UH, TRAVIS COUNTY'S WEBSITE@TRAVISCOUNTY.GOV, A QUICK LINK TO OUR COVID-19 INFORMATION IN THE UPPER LEFT, AND THAT TAKES YOU IMMEDIATELY TO OUR DAY-BY-DAY CALENDAR.

UH, SO TODAY, TUESDAY, JANUARY 25TH, YOU CAN SEE LOCATIONS NOT ONLY FOR THE, UH, TRAVIS COUNTY VACCINE COLLABORATIVE.

WE WILL BE AT, UH, UH, JD SUPERMARKETS TODAY.

AFRICAN-AMERICAN YOUTH HARVEST FOUNDATION WITH CENTRAL TEXAS ALLIED HEALTH WORK PAST ROUTT COUNTY.

WE'VE ALSO GOT A COUPLE OF AUSTIN PUBLIC HEALTH, UH, EVENTS AS WELL SCHEDULED

[00:45:01]

HERE, CLICK ON ANY ONE OF THESE, AND YOU'LL SEE THE LOCATION, THE HOURS OF OPERATION, THE TYPES OF VACCINATIONS AVAILABLE, UH, AND THIS IS UPDATED, KEPT CURRENT, UH, AND EASILY FOUND ON THE TRAVIS COUNTY WEBSITE JUDGE AT THIS TIME.

UH, WE WILL PAUSE AND TURN IT BACK TO YOU FOR QUESTIONS.

AWESOME.

THANKS CHUCK.

THANK YOU, CONSTABLE MARELLA STRICTER STIRRUP.

UH, DR.

WALKS EVERYBODY, UH, DR.

JERICA THOMAS, HOW COULD I GET TO SEE YOU TOO? THANKS FOR ALL YOU'RE DOING.

WE'LL GO TO THE QUESTIONS OUT FIRST AND WE'LL GO THROUGH THE COMMISSIONERS AND THEN WE'LL GO THROUGH THE CITY COUNCIL MEMBERS AND WE WILL START OFF, UH, ON OUR SIDE.

SEE IF COMMISSIONER GOMEZ HAS ANY QUESTIONS OR FEEDBACK, UH, FOR THIS, IF NOT, WE'LL MOVE TO, UH, COMMISSIONER SHEA.

UH, DID, UH, COMMISSIONER GOMEZ HAVE A COMMENT? OKAY.

UM, I HAVE TWO QUICK QUESTIONS.

ONE.

HOW DO WE HAVE ANY INDICATION OF HOW SEVERE THE RE-INFECTION IS, ARE WHEN PEOPLE WHO ARE RELYING ON WHAT THEY THINK MAY BE WRONGLY THINK MAY BE SUFFICIENT, NATURAL IMMUNITIES FROM HAVING GOTTEN COVID CLEARLY THEY'RE GETTING REINFECTED.

IS THERE ANY DATA ON HOW SEVERE THE REINFECTION IS WHEN IT OCCURS? NO.

WE JUST GET ANECDOTAL REPORTS FROM OUR CASE INVESTIGATION TEAM.

AND I CAN, UM, ASK FOR A REPORT AND GET BACK TO YOU ABOUT THAT.

ANECDOTALLY, SOME PEOPLE HAVE MILD DISEASE AND OTHERS HAVE VERY SEVERE DISEASE AND ENDED UP IN THE HOSPITAL.

SO IT'S ALL REALLY BASED ON WHAT THE BASELINE HEALTH OF THE PERSON IS.

UM, WHO'S IMPACTED THE SECOND TIME AROUND AND I, I JUST, I JUST HAVE TO REMARK, I THINK THE FACT THAT WE CANNOT GET AGREEMENT AND I, AND I, I FELT THE STATE IN LARGE MEASURE BECAUSE THE GOVERNOR AND THE LIEUTENANT GOVERNOR HAS BEEN SO AGGRESSIVE AND ATTACKING SCHOOL DISTRICTS THAT ATTEMPTED TO HAVE REASONABLE MASK MANDATES, BUT WITHOUT A UNIFORM, A POLICY WE'RE SEEING THIS TREMENDOUS CHAOS IN THE SCHOOLS.

SO MANY KIDS GETTING SICK, SO MANY TEACHERS, SO MANY STAFF GETTING SICK SCHOOLS, HAVING TO DELAY SHUT DOWN, ET CETERA.

UM, I KNOW IT WAS FALLING ON DEAF EARS AT THE STATE LEVEL, BUT I JUST, I JUST HAVE TO SAY WE, WE HAVE TO GET AGREEMENT AROUND A SANE AND UNIFORM POLICY TO TACKLE THE PANDEMIC.

I'LL LEAVE IT AT THAT.

OKAY.

UH, ONE ITEM I WANT TO POINT OUT IN QUESTION.

UM, YOU KNOW, WHEN I LOOKED AT THAT, WHEN I LOOKED AT THE SLIDE THAT I REQUESTED SLIDE NUMBER 10, UM, YOU KNOW, MY, MY BIGGEST CONCERN WAS, YOU KNOW, I WANT TO MAKE SURE THAT WE GIVE CONTEXT TO THE ENTIRE COMMUNITY AND, AND, UH, AND DOUG GIVE THEM ANYTHING THAT MIGHT LEAD TO MISINFORMATION.

WHAT I MEAN BY THAT IS I REALLY WANT TO UNDERSTAND FROM THE STANDPOINT OF PROPORTIONAL REPRESENTATION, HOW MANY, UH, HOW MANY, UM, BOOSTERS OR HOW MANY SHOTS HAVE BEEN GIVEN OUT BY PFIZER MUDRA ON MADONNA AND J AND J BECAUSE IT SEEMS TO ME THAT WHEN YOU JUST LIST THE NUMBERS AND NOT THE PROPORTION, UH, BECAUSE YOU HAVE GIVEN MORE OF ONE TYPE OF SHOT THAN SAY ANOTHER TYPE AND THE THIRD TYPE OF SHINE, IT MAKES IT SEEM AS IF THERE ARE MORE INSTANCES WITH THE ONE THAT HAS BEEN GIVEN THE MOST, RATHER THAN LAYING OUT WHAT IT IS AS A PROPORTION OF THE SHOTS GIVEN THAT'S, THAT'S KIND OF THE ASSESSMENT THAT I WANT IF, UH, MAYBE PFIZER HAS HAD THE MOST NUMBER OF BREAKTHROUGHS, BUT HOW MANY SHOTS HAVE WE GIVEN, UH, PFIZER VERSUS THE BREAKTHROUGHS AND MODERNA VERSUS THE BREAKTHROUGHS AND J AND J BECAUSE OF THE BREAKTHROUGHS SO THAT WE CAN SEE THAT IN CONTEXT, BECAUSE WHEN YOU LOOK AT A NUMB, WHEN YOU LOOK AT A NUMBER THAT'S A SIGNIFICANTLY HIGHER, I THINK THE AVERAGE PERSON SAYS, WOW, THAT, THAT, THAT GROUP IS MAYBE, MAYBE, MAYBE THAT SHOT.

ISN'T THE ONE, BUT I WANT TO TAKE WHEN, WHEN YOU LOOK AT IT PROPORTIONATELY, IT MIGHT BE.

SO I JUST WANT TO MAKE SURE THAT WE ADD THE CONTEXT THAT TELLS US HOW MANY ARE GIVEN VERSUS THE BREAKTHROUGHS OF IT, OR OF THAT.

AND, AND DEAR RIDE COMMISSIONER, BECAUSE LOOKING AT THAT BREAKTHROUGH SLIDE THAT YOU'RE LOOKING AT AND REFERENCING RIGHT NOW, UM, BUZZER HAS HAD MORE BREAKTHROUGH CASES REPORTED.

LET ME FIRST SAY THAT WE AREN'T ALWAYS ABLE TO REACH ALL OF THE CASES, UM, TO GET, UM, INFORMATION FROM THEM.

AND SO THAT GRAPH REPRESENTS THOSE PEOPLE THAT WE'VE BEEN ABLE TO REACH.

UM, SECOND, THE FIRST VACCINE THAT WAS OUT WAS THE PFIZER AND

[00:50:01]

THAT WAS GIVEN TO, UM, A LOT MORE PEOPLE EARLY ON, UM, APH, UM, USE MODERNA PREDOMINANTLY.

SO YOU'RE CORRECT.

AND, AND THE COMMENTS THAT YOU JUST MADE, AND WE'LL TRY TO GET THAT INFORMATION FOR YOU.

THANK YOU.

THANK YOU VERY MUCH.

YOU'RE ALWAYS VERY, YOU AND YOUR TEAM ARE ALWAYS VERY RESPONSIVE AND THEY'VE DONE A WONDERFUL JOB.

I JUST WANT TO MAKE SURE THAT I'M ASKED, ASKING CONTEXTUAL QUESTIONS AS WE, AS WE TRY TO SERVE A SKIP SOMETIMES SKEPTICAL COMMUNITY.

SO, UM, MY QUESTION IS I LIKE THAT, UH, WHEN I LOOK AT THE COMMUNITY OUTREACH SLIDE AND IT TELLS ME THE ZIP CODE AREAS THAT YOU'RE WORKING IN AND THE DIFFERENT COMPLEXES THAT ARE IN THOSE AREAS, I APPRECIATE THAT.

I WONDER, HAVE WE LOOKED AT OUR ENTIRE PUBLIC HOUSING PORTFOLIO BY ZIP CODE? UH, HAVE WE LOOKED AT, UH, WHAT, WHAT IS IN OUR PORTFOLIO FROM THE HOUSING AUTHORITY? WHAT IS IN OUR PORTFOLIO FROM THE TRAVIS COUNTY HOUSING AUTHORITY AND, AND IDENTIFIED WHICH ZIP CODE AREAS THEY ARE IN SO THAT WE CAN MAKE SURE THAT WE'RE REACHING OUT TO THEM AND IF FAMILIES AND CHILDREN, UH, NEED ACCESS TO THE SHOTS THAT THEY WILL HAVE, THEY WILL HAVE ACCESS, PARTICULARLY IN OUR PUBLIC HOUSING, UH, FACILITIES.

THANK YOU FOR THAT QUESTION.

AND, UM, THE SHORT ANSWER IS YES.

UM, WE, WE DO HAVE THOSE CONNECTIONS, UM, RELATED TO THE WORK THAT WE DO WITH CHRONIC DISEASE PREVENTION, AS WELL AS, UM, OUR HIV OUTREACH.

AND SO IT'S A PROCESS OF CONNECTING WITH THE DIFFERENT, UM, RESIDENT MANAGERS TO MAKE SURE THAT WE CAN HAVE A PRESENCE THERE AND SCHEDULING AND ORGANIZING, BUT BECAUSE THAT'S, THOSE ARE THE SPACES THAT WE, UM, TRADITIONALLY HAVE DONE OUR OUTREACH WORK.

WE DO HAVE THOSE CONNECTIONS AND WE WILL CONTINUE TO BROADEN OUR REACH AND THOSE VARIOUS PROPERTIES.

I REALLY APPRECIATE THAT.

AND IT WOULD BE NICE TOO, TO HAVE A LISTING OF THE PUBLIC HOUSING FACILITIES THAT ARE, THAT ARE ON THE MAP, AND THEN BE ABLE TO DEMONSTRATE THAT WE'VE REACHED 50% OF THEM ARE 75% OF THEM, OR 95% OF THEM.

IT'D BE GOOD TO HAVE A MATRIX TO REPORT THAT, JUST SO THAT WE CAN JUST SO THAT WE CAN UNDERSTAND THAT ALL OF THE PUBLIC HOUSING FACILITIES AND ALL OF OUR AFFORDABLE HOUSING PORTFOLIO HAS BEEN REACHED OUT TO THANK YOU, UH, COMMISSIONER HOWARD.

THANK YOU.

I THINK ADRIAN'S LAW DIRECTOR STIRRUPS LAST SLIDE OF THE, UH, THE LADIES BUNDLED UP, UH, SHOWS THE COMMITMENT BY THIS COMMUNITY TO GET THE SHOTS IN ARMS AND, AND WHAT, UH, CONSTABLE MORALES SAID ABOUT THE BAD WEATHER AND PEOPLE CONTINUING TO DO THE WORK I'M APPRECIATIVE, UH, RELATED.

IS THERE ANY DATA YET ABOUT THE NUMBER OF FOLKS THAT CAME TO OUR WARMING CENTERS OR SHELTER DURING THE FREEZE NIGHTS ABOUT, YOU KNOW, WHAT DID YOU LEARN ABOUT WHO HAD BEEN, WHO MIGHT HAVE BEEN TESTING POSITIVE AT THAT JUNCTURE? ESPECIALLY AT THE FOLKS EXPERIENCING HOMELESSNESS WHO CAME IN FOR HELP, WE DO HAVE THAT INFORMATION AND I CAN SEND IT TO A COMMISSIONERS AND COUNCIL AT THE CHECK-IN POINT, WE DO OFFER, UM, VACCINES TO EVERYONE.

I THINK AT THIS LAST ACTIVATION, WE DIDN'T HAVE ANY TAKERS ON VACCINES.

AND WE DO ALSO RECORD, UM, THE TESTS THAT WERE ADMINISTERED IN THE NUMBER OF FOLKS THAT WERE TRANSPORTED TO ISO FACTS AS A RESULT OF THAT.

BUT TESTING IS NOT A REQUIREMENT TO ACCESS THE SHELTER BECAUSE WE WANT TO BE RESPECT, BULLET INDIVIDUAL CHOICE, BUT I CAN GET THAT INFORMATION FOR THE LAST FIVE ACTIVATIONS AND SEND THAT OUT.

THANK YOU VERY MUCH.

THANKS.

UH, GOT A COUPLE THINGS.

ONE JUST WANTED TO SAY THAT WE NOW HAVE A REGIONAL DIRECTOR FOR THE, LET ME GET THE NAME RIGHT.

THE UNITED STATES DEPARTMENT OF HEALTH AND HUMAN SERVICES HAS APPOINTED A REGIONAL DIRECTOR FOR OUR AREA.

HER NAME IS AND WE HAVE TALKED WITH HER OVER THE PAST FEW WEEKS, AND SHE'S BEEN WONDERFUL AND HAS HELPED US GET THIS THERE THAT HHS HAS PROVIDING, UH, STILL WORKING ON THE EXACT LOCATION, BUT WHEN A THINK, UH, REGIONAL DIRECTOR LODGE OF REN FOR HER ASSISTANCE IN GETTING THAT HERE AND ALSO THANK CONGRESSMAN DOGGETT FOR HIS ASSISTANCE IN, UH, GETTING THAT FEDERAL ASSET TO HELP, HELP DO ADDITIONAL TESTING.

UH, WE'LL HAVE MORE DETAILS IN A FEW DAYS, I THINK ABOUT THE EXACT LOCATION, BUT IT'S, I THINK IT REALLY WILL HELP, UH, GET A LOT MORE FOLKS TESTED HERE IN AUSTIN AND TRAVIS COUNTY.

[00:55:01]

UH, ALSO WANT TO GIVE A SHOUT OUT TO JUDGE CLIFF BROWN AND DR.

WACHS, UH, WE HAVE BEEN WORKING TOGETHER WITH, UH, AND, UH, THE, A GARZA, UH, JUDGE KENNEDY, OTHERS, UH, TO THINK JUDGE OVER THE PAST COUPLE OF WEEKS TO FIGURE OUT HOW TO START DOING TESTING, TO GET THE CRIMINAL JURY, UH, FUNCTION HAPPENING AGAIN HERE IN TRAVIS COUNTY.

AND WE'RE MAKING GOOD PROGRESS ON THAT.

NOT QUITE THERE YET, BUT, UH, HOPEFULLY WE WILL GET BACK TO A PLACE SOON WHERE WE CAN START HAVING CRIMINAL TRIALS AGAIN.

UM, AND I, ONE QUESTION I THINK FOR, UH, DIRECTOR STIRRUP OR DR.

WALKS ON THE PEDIATRIC VACCINES SLIDE, I SEE AGAIN, THE, LIKE, AS YOU NOTED DIRECTOR STIRRUP, THE DEMOGRAPHICS OF FOLKS BEING VACCINATED WITH PEDIATRIC VACCINES, MORE CLOSELY MIRRORS, THE POPULATION DEMOGRAPHICS AS A WHOLE, UH, WHICH IS GOOD THAN, THAN THE, I GUESS, THE INITIAL FULL ADULT POPULATION VACCINE EFFORT DID DO YOU HA I DIDN'T SEE THE NUMBER.

YOU MAY HAVE SAID IT.

I MAY HAVE JUST MISSED IT.

WHAT IS THE NUMBER OF PEDIATRIC VACCINES WHERE WE ARE RIGHT NOW? DO YOU KNOW THAT, THAT NUMBER OFF HAND AND IF NOT, I CAN GET IT LATER FROM Y'ALL YES.

YEAH, I, CAN I REACH BACK OUT TO YOU AND THE FULL COURT AND COUNSEL? ABSOLUTELY.

ABSOLUTELY.

THANK YOU.

COOL.

THANK YOU VERY MUCH.

AND WITH THAT MAYOR, I'LL PASS IT OVER TO YOU FOR, FOR Y'ALL'S QUESTIONS, JUDGE.

THANK YOU.

UH, COLLEAGUES, WE'RE GOING TO START WITH, UH, DISTRICT 10, UH, WORK OUR WAY BACKWARDS.

UH, SO WE'LL BEGIN WITH A MERE PRETEND.

GOOD MORNING.

YOU HEAR ME? OKAY.

YOU'RE KIND OF FAINT IF YOU GET A LOCALIZER.

OKAY.

YOU HEAR IT BETTER NOW? YES.

OKAY.

UM, I WANTED TO, FIRST OF ALL, UM, GIVE A SHOUT OUT TO OUR STAFF.

I WAS TALKING WITH A TRUSTEE AT AISD, UM, AND THEY WERE REALLY PRAISING OF ALL THE WORK THAT, UM, APH AND THE COUNTY HAVE DONE TO HELP THEM WITH THE VARIOUS, UM, TASKS THAT THEY NEED TO TAKE TO HELP TO KEEP OUR STUDENTS, UM, SAFE.

THIS WAS TOTALLY UNPROMPTED.

AND, UM, I JUST, I THINK IT'S IMPORTANT THAT WE, WE, UM, SHARE THAT INFORMATION.

UM, WE HAVE, UH, MY QUESTION, I'M NOT EXACTLY SURE WHO, WHO THIS IS FOR, BUT, UM, MY QUESTION RELATES TO AN ITEM THAT WE HAVE ON OUR AGENDA THIS WEEK THAT RELATES TO THE RELATIONSHIP BETWEEN THE COUNTY AND THE CITY WITH RESPECT TO, UM, CARRYING OUT OUR PUBLIC HEALTH ACTIVITIES, ITEM 48.

UM, THAT ITEM, UM, COVERS A LOT OF ACTIVITIES AND I BELIEVE IT COVERS MOSTLY THE NORMAL ACTIVITIES THAT ARE THE SUBJECT OF THE RELATIONSHIP BETWEEN THE COUNTY AND THE CITY THROUGH OUR WORK TOGETHER WITH APH.

UM, AS I READ IT, IT DOES NOT COVER COVID.

UM, AND I'VE BEEN ASKING QUESTIONS OVER THE LAST 22 MONTHS ABOUT HOW THE COUNTY IS CONTRIBUTING TO APH IS, UM, CONTRIBUTIONS TO ADDRESSING COVID IN OUR COMMUNITY.

UM, SO CAN SOMEONE PLEASE SPEAK TO FINANCIAL CONTRIBUTIONS THAT HAVE BEEN MADE BY THE COUNTY, UM, TO APH AND, AND, AND WHERE THAT'S BEING COVERED AND HOW THOSE DISCUSSIONS ARE HAPPENING.

AND SO I'LL START, AND I'M SURE THAT, UM, CHUCKLE WILL HAVE SOME THINGS TO ADD.

UM, WE CONTINUE TO NEGOTIATE, UM, WHAT THOSE COSTS WILL BE.

UM, WE'RE TRYING TO NAVIGATE BETWEEN WHAT IS ELIGIBLE FOR REIMBURSEMENT AND WHAT COSTS ARE NOT.

UM, WE DID HAVE AN AGREEMENT IN PLACE THAT COVERED, UM, ACTIVITIES THROUGH DECEMBER OF 2020.

UM, AND I DON'T HAVE THE EXACT DOLLAR AMOUNT WITH THAT.

MAYBE CHUCK HAS THOSE.

SO WE'RE, WE'RE CONTINUING TO TALK ABOUT FROM THAT POINT FORWARD, UM, WHAT WOULD BE A GOOD FIT, UM, AND WHAT MAKES SENSE FOR THE CITY COUNTY SPLIT AND THANK YOU, DIRECTOR STIRRUP, UH, MAYOR PRO TEM.

YES.

UH, WE CONTINUE TALKING ABOUT AND DISCUSSING AND NEGOTIATING A COST SHARING IN OUR LOCAL AGREEMENT BETWEEN THE CITY AND THE COUNTY TO ADDRESS OUR SHARED SERVICES, OUR SHARED, UH, PROCUREMENTS, UH, ANYTHING THAT WE ARE DOING TOGETHER, UH, UH, AS PART OF OUR JOINT RESPONSE TO THE PANDEMIC.

SO, UH, THE 2020 AGREEMENT THAT DIRECTOR SYRUP MENTIONED USED OUR CARES, CARES FUNDING.

YOU'LL RECALL THAT THE COUNTY CONTRIBUTED ABOUT $7 MILLION, UH, OUT OF THE COUNTIES, UH, ALLOCATION OF CARES DOLLARS, UH, AND PAID THE CITY AS PART OF THAT 2020 AND OUR LEVEL.

SO THIS TIME AROUND, INSTEAD OF CARE'S MONEY, WE ARE LOOKING AT THE AMERICAN RESCUE PLAN ACT THAT LOCAL FISCAL RECOVERY FUNDS, ARPA, LF, RF DOLLARS.

[01:00:01]

UH, AND WE ARE STILL TALKING ABOUT, UH, WHICH COSTS WE, WE DO SHARE JOINTLY WHICH COSTS WE WILL NOT BE SEEKING SEPARATE REIMBURSEMENT FROM FEMA OR THROUGH THE PUBLIC ASSISTANCE ASSISTANCE PROGRAM.

UH, AND THEN WHAT THE AMOUNTS ARE GOING TO BE.

SO, UH, THE TERM FOR THIS NEW AGREEMENT LIKELY WILL GO AT LEAST THROUGH THE END OF THIS CURRENT FISCAL YEAR, PERHAPS INTO THE NEXT FISCAL YEAR A LITTLE BIT, WE HAVEN'T YET DECIDED, BUT THOSE CONVERSATIONS ARE ONGOING.

I WOULD JUST LIKE TO, YOU KNOW, I WANTED TO BRING THIS UP.

I UNDERSTAND THOSE CONVERSATIONS ARE GOING ON.

I UNDERSTAND IT'S COMPLICATED, UM, WITH THE FEMA REIMBURSEMENT.

UM, BUT I DO THINK IT'S IMPORTANT FOR, UM, MY COLLEAGUES AND FOR THE COUNTY COMMISSIONERS TO UNDERSTAND THAT THIS IS NOT BEEN RESOLVED.

UM, IT IS JANUARY OF 22.

UM, AND YOU KNOW, I BELIEVE THAT, YOU KNOW, THE BENEFITS OF THE WORK ARE OBVIOUS.

THE COSTS OF THE WORK ARE OBVIOUS.

UM, AND AS WE ARE MAKING MORE DECISIONS ABOUT ARPA-E, UM, AT THE COUNTY AND YOU MOVE THROUGH THAT PROCESS, I JUST WANT TO EXPRESS THE, UM, THE NEED TO, TO, UM, MOVE FORWARD WITH SOME CONTRIBUTIONS FROM THE COUNTY TOWARDS THIS EFFORT, UM, SO THAT WE CAN PLAN, YOU KNOW, FOR ADDITIONAL INVESTMENTS, UM, INTO THE HEALTH OF OUR COMMUNITY, UM, MORE CAREFULLY, UM, I DON'T KNOW WHAT THE RIGHT ANSWER, I DON'T KNOW WHAT THE RIGHT TIMETABLE IS.

UM, BUT I DO THINK IT'S IMPORTANT THAT WE'RE ALL AWARE OF THAT, UM, SITUATION.

THANK YOU.

THANK YOU, UH, CUSTOMER TOVA.

UH, THANK YOU ALL.

THANKS FOR ALL THE CONTINUED CONTINUED WORK.

AND, UH, THANK YOU FOR PROVIDING UPDATES JUST VERY QUICKLY.

DO YOU HAVE AN UPDATE ON WHETHER OR NOT, UM, MONOCLONAL ANTIBODIES ARE AVAILABLE AGAIN IN THE STATE OF TEXAS AND, AND IF NOT, DO YOU HAVE ANY ESTIMATE ON WHEN THEY, WHEN THEY MIGHT BE? I KNOW I SAW, UH, THE LAST REPORT I SAW WAS THAT WE HAD THAT TEXAS HAD RUN OUT OF THEM.

UM, I HAVE HAPPENED TO BE IN A CONVERSATION THIS WEEKEND WITH SOMEONE WHO GOT COVID AND RECEIVED THOSE INFUSIONS, AND IT WAS TREMENDOUSLY HELPFUL TO HER RECOVERY.

SO THIS IS CERTAINLY AN IMPORTANT RESOURCE AND WANTED TO GET AN UPDATE ON, ON WHETHER OR NOT THAT'S, AGAIN, AVAILABLE IN OUR AREA.

DOCTOR WALKS, I BELIEVE YOU'RE ON MUTE.

UH, WE HAD A SHIPMENT THAT CAME IN LAST AT THREE TO FOUR.

WELL, DR.

WALKS, CAN YOU GET CLOSER? WE'RE NOT HEARING THIS ANSWER.

CAN YOU HEAR ME? SORRY.

IS THAT BETTER SPEAK UP THOUGH? OKAY.

UM, WE HAD A SHIPMENT LATE LAST WEEK THAT, UM, LASTED FOR ABOUT THREE IT'S VERY, VERY BARELY IT'S VERY LIGHT DR.

BOX.

AND, AND IN YOUR RESPONSE, COULD YOU ALSO, UH, REMIND THE PUBLIC HOW THEY MAY, HOW THEY MAY REQUEST IT? I BELIEVE THERE'S A, A HOTLINE NUMBER THROUGH THE STATE.

SO THE, THE THERE'S A VERY SHORT SUPPLY OF MONOCLONAL ANTIBODY AND WE, UH, FREQUENTLY RECEIVE ENOUGH TO LAST FOR ABOUT THREE DAYS AND THEN RUN OUT.

AND THE WAY THAT THE MEDICATION IS ACCESSED AS BY A REFERRING DOCTOR, GOING TO THE CAT REC, UH, WEBSITE AND CLICKING ON THE LINK TO THE REGIONAL INFUSION CENTER AND, UH, COMPLETING THE ONLINE FORM, UM, AT THAT SITE.

UH, AND THAT'S HOW PEOPLE WILL BE ABLE TO GET THE MEDICATION, BUT THERE IS A WAIT TIME AND WE'RE HOPING THAT THERE'LL BE MORE MEDICATION AVAILABLE IN THE COMING MONTHS, BUT RIGHT NOW WE'RE STILL HAVE A SHORT SUPPLY OF IT.

DROPBOX, I THINK I HEARD YOU SAY THAT THERE WAS A SHIPMENT LATE LAST WEEK TO OUR COMMUNITY.

THE SUPPLY WAS USED RAPIDLY AND, AND YES, WE'RE STILL GETTING SMALL, SMALL SHIPMENTS, BUT THEY GO VERY QUICKLY.

UM, YES, AN INDIVIDUAL SHOULD CONTACT HIS OR HER DOCTOR, UH, TO GET, TO GET THAT PROCESS MOVING.

WHAT SHOULD, WHAT SHOULD SOMEONE DO IF THEY DON'T HAVE A PRIMARY CARE PHYSICIAN? UM, THEY CAN GO TO, UM, ANY OF THE, UM, URGENT CARES OR TELE MEDICINE PHYSICIAN TO GET CARE IN THAT FASHION.

UM, THERE NEEDS TO BE A DOCTOR THAT REFERS TO THE CENTER.

[01:05:01]

UM, YOU MIGHT ALSO CALL THE REGIONAL INFUSION CENTER AND ASK THEM IF THEY HAVE ANY OTHER OPTIONS AVAILABLE FOR THEM, BUT IT'S, IT'S EASIER IF YOU DO IT THROUGH SOMEBODY LOCALLY TO GET THAT REFERRAL TO SAY RICK, AS WE CALL IT.

THANK YOU.

UM, NOW WE'LL GO TO A COUNCILMEMBER.

ALICE YOU'RE MUTED STILL MUTED.

NO.

OKAY.

WE'LL COME BACK TO YOU.

YOU CAN WORK ON THAT WITH THE TECH FOLKS.

LET'S GO TO COUNSELING OUR POOL.

THANKS.

AND AS USUAL IN MY DEEP APPRECIATION FOR ALL THE WORK I LIKE SEEING THAT SPIKE START TO DROP.

UM, I DO AGREE THAT WE'RE LOOKING MORE AT AN ENDEMIC SITUATION, UH, GOING FORWARD THEN A PANDEMIC, WHICH, UH, SHOULD CHANGE SOME OF THE WAYS PEOPLE UNDERSTAND AND, UH, ACT ON HOW THEY SHOULD BEHAVE WITH REGARD TO, UH, ENSURING THEY DO NOT CATCH THE VIRUS.

UM, SO AGAIN, MY THANKS TO DR.

WACHS AND TO NEW DIRECTOR AND DEPARTMENT DIRECTOR SYRUP.

THANKS SO MUCH, UH, ALSO TO TRAVIS COUNTY.

I DON'T, I DON'T HAVE ANY QUESTIONS, JUST GRATITUDE TO ME.

THANKS.

GREAT.

THANK YOU, COUNCIL MEMBER KITCHEN.

UM, I WANTED TO AGAIN SAY THANK YOU.

AND THIS IS VERY, VERY HELPFUL.

UM, I HAVE TWO QUESTIONS.

UH, THE FIRST ONE RELATES TO, UH, AND I'M NOT SURE WHO THIS GOES TO THE VACCINATIONS IN THE SCHOOLS.

UH, I APPRECIATE THE INFORMATION ABOUT, UH, WHERE THE VACCINATIONS ARE BECOMING AVAILABLE OR MADE AVAILABLE, AND SOME OF THEM ARE IN SCHOOLS AS I CAN SEE, BUT I'M WONDERING IF YOU'RE ALSO HAVE REACHED OUT TO ANY OF THE PRIVATE SCHOOLS, UM, FOR EXAMPLE, ANY OF THE CHARTER SCHOOLS SUCH AS WAYSIDE.

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

AND THEN IF SOMEONE WANTS TO RECOMMEND A PARTICULAR SCHOOL, WHAT IS THEIR PROCESS FOR DOING THAT? AND SO I'M SURE BY THE TIME WE MOVE ON TO THE NEXT QUESTION, THE STAFF WILL TEXT ME THE ANSWER TO THAT.

SO, UM, BEFORE THE END OF THE CALL, BUT, UM, IF THEY CALL, UM, 3, 1, 1, THERE'LL BE CONNECTED TO THE MOBILE, UM, VACCINE PROGRAM AND THEY CAN ARRANGE, UM, WITH THAT TEAM TO HAVE AN EVENT SET UP AT THEIR LOCATION.

UM, I BELIEVE THE EMPHASIS BETWEEN THE CITY AND THE COUNTY WAS TO MAKE SURE THAT WE FOCUSED ON TITLE ONE SCHOOLS, UM, IN THE LARGER DISTRICTS, BUT WE ARE OPEN TO PROVIDING SERVICES TO OTHER SCHOOLS IN THE AREA.

UM, WE DO CONTINUE TO SUPPORT, UM, ASSISTANT DIRECTOR, DONNA SUNDSTROM HEADS UP THE CHILDCARE AT SCHOOLS TASK FORCE.

SO WE'RE CONTINUALLY PROVIDING, UM, GUIDANCE AND ASSISTANCE.

SO THERE ARE AVENUES FOR, UM, BOTH ISD AND CHARTER AND PRIVATE SCHOOLS TO CONNECT WITH US TICKET SERVICES.

OKAY.

YEAH.

SOME OF THOSE CHARTER SCHOOLS DO, UM, DO SERVE, UM, CHILDREN THAT ARE OF LOW, LOWER INCOME.

SO, UH, THAT MIGHT BE APPROPRIATE FOR SOME OF THOSE TO BE PART OF OUR TARGET POPULATION.

SO WHAT I'LL DO IS I'LL JUST SEND ALONG TO YOU, UH, DIRECTOR STIRRUP, UM, SOME SUGGESTED CONTEXTS.

I HATE FOR THE SCHOOL TO HAVE TO GO THROUGH 3, 1, 1.

UM, SO, UM, I'LL PASS THAT ALONG.

COUNCIL MEMBER KITCHEN.

UM, THIS IS THE MIRALIS.

WE HAVE BEEN WORKING WITH THE IDEA CHARTER SCHOOLS, HARMONY CHARTER SCHOOLS, KIPP, AND WHAT YOU SIDE.

UM, WE DO HAVE CONTACTS THERE.

UM, AND, AND WE CONTINUE TO FOCUS AGAIN ON THE HIGH CARPETED AREAS OF ZIP CODES.

THERE ARE FOCUSED.

UM, AND SO WE, WE DID WORK AND COLLABORATE WITH AUSTIN PUBLIC HEALTH, UH, ON SOME OF THOSE CHARTER SCHOOLS, UH, CENTRAL TEXAS ALLIED HEALTH ACTUALLY LEADS OUR, OUR, OUR TEAMS OUT THERE AT THE CHARTER SCHOOLS AND THEY DO A TREMENDOUS JOB.

SO, UM, IF YOU HAVE ANY OTHER CHARTER SCHOOLS, AGAIN, YOU CAN EMAIL ADRIAN STIRRUP OR CHUCK, AND THEN WE CAN, WE CAN TAKE IT FROM THERE.

NO, IT SOUNDS TO ME LIKE YOU MAY BE COVERING THE ONES I WAS INTERESTED IN, BUT WE'LL SEND IT ALONG AND YOU CAN, YOU CAN, UH, YOU CAN TAKE A LOOK AT THAT.

OKAY.

UM, WE DID DO, UM, SEVERAL EVENTS AT THE IVO CODE SCHOOL LAST WEEK.

SO WE'RE CONTINUING TO WORK WITH THEM.

I'M SORRY.

I COULDN'T QUITE HEAR THAT, BUT THAT'S OKAY.

WE DID DO SEVERAL EVENTS LAST WEEK AT THE IDEAL PUBLIC SCHOOL, SO WE'RE CONTINUING TO WORK WITH THEM.

OKAY.

ALL RIGHT.

THANK YOU VERY MUCH.

UM, AND THEN THE, THE LAST, THE LAST QUESTION IS JUST, UM, DO WE HAVE

[01:10:01]

PROJECTIONS AT THIS, AT THIS POINT? IT APPEARS TO ME THAT, UH, FROM WHAT YOU WERE SAYING THAT THE, THIS SURGE IS LEBANON LEVELING OFF SOME PERHAPS, UH, DO WE KNOW, CAN WE SAY THAT YET? OR, UH, DO WE HAVE ENOUGH DATA TO SAY THAT YET? OR WHERE DO YOU THINK WE ARE IN TERMS OF, OF THIS, THIS PARTICULAR SURGE? IT APPEARS AS THOUGH WE ARE IN THE DOWN, DOWN SLOPE, IF THE CASE NUMBERS.

AND AS I SAID EARLIER, IN MY EARLY PART OF MY PRESENTATION, THERE ARE A LOT OF CASES THAT HAVE NOT BEEN ADDED TO OUR DATA BANK YET.

SO YOU MAY NOT SEE THAT DISTINCTLY, BUT IF YOU LOOK AT THE HOSPITAL NUMBERS, WHICH ARE ACCURATE, UM, YOU'RE GOING TO SEE A DECREASE OR A PLATEAUING IN THE HOSPITAL NUMBERS EARLY THE PROJECTIONS FROM, UM, THE UT GROUP SHOW THAT WE ARE POSSIBLY GOING TO SEE A PLATEAU PEAK IN THE FIRST WEEK TO MITT, APRIL, NED, SORRY, FEBRUARY TIMEFRAME.

SO, UM, IF THE COMMUNITY CONTINUES TO DO WHAT IT'S DOING WITH REGARDS, GETTING BACK STATED AND MASKING, WE HOPE THAT THAT WILL BE THE CASE AND THAT WE'LL SEE THIS CONTINUE TO GO IN THE RIGHT DIRECTION.

THANK YOU.

AND I JUST WANTED TO ALSO ADD THAT THE, WHO IS SAYING THAT WE ARE STILL IN A PANDEMIC AND NOT AN ENDEMIC SITUATION.

UM, SO IT'S GOING TO BE IMPORTANT FOR PEOPLE TO UNDERSTAND THAT THEY NEED TO CONTINUE TO PROTECT THEMSELVES AND THEIR FAMILIES SO THAT WE CAN CONTINUE TO FUNCTION IN SOCIETY, KEEP SCHOOLS, OPEN BUSINESSES, OPEN, ET CETERA.

THANK YOU.

SO I HAVE A QUESTION ON THE VACCINE DATA BY HIS NAME I SKIPPED RIGHT OVER COUNCIL MEMBER.

KELLY.

APOLOGIZE.

THANK YOU.

UM, I WAS WONDERING IF YOU MIGHT BE ABLE TO GET US AN UPDATE ON THE ISOLATION FACILITY AND HOW THAT'S GOING AS FAR AS OPERATIONS, OUR ISOLATION FACILITY, UM, HAS BEEN, WE HAVE TWO NOW AND, UH, LAST WEEK THEY WERE BOTH FULL AND OCCUPIED WITH UT CAMPUS TO UT STUDENTS.

UM, BOTH ON-CAMPUS AND OFF-CAMPUS STUDENTS, AS WELL AS PERSONS EXPERIENCING HOMELESSNESS AND OTHERS.

UM, WE WERE SEEING A SLIGHT DECREASE IN THE NUMBERS THIS WEEK.

UM, BUT THERE'S A CONTINUED NEED AND WE, UM, ARE ANTICIPATING THAT NEED WILL CONTINUE FOR THE NEXT MONTH OR SO.

AND THEN, UM, WE'LL REEVALUATE AS TO WHAT THE NEED IS WITH REGARDS TO NON CONGREGATE SHELTER.

ARE WE WORKING DIRECTLY WITH UT IN REGARDS TO THEIR STUDENTS BEING HOUSED THERE? ARE THEY HELPING ABSORB ANY OF THE COST ASSOCIATED WITH RUNNING THE ISOLATION FACILITIES? DIRECTOR STIRRUP MAY BE ABLE TO SPEAK TO THAT, BUT MY UNDERSTANDING IS THAT THAT IS SOMETHING THAT'S BEING COVERED BY, UH, THE COUNTY AND THE CITY, BUT THAT IS MY UNDERSTANDING AS WELL.

OKAY.

THANK YOU.

THANK YOU.

NOW, A COUNCIL MEMBER, UH, ELLIS, OR DO YOU HAVE SOUND YET? APPARENTLY NOT.

OKAY.

THEN WE'LL STILL COME BACK TO YOU LATER COUNTS.

REMEMBER COSAR.

SO I HAVE A QUESTION ABOUT THE VACCINE DATA BY RACE AND ETHNICITY.

UH, WE'VE SEEN IT A FEW TIMES, BUT I THINK THIS MAY BE ONE OF THE FIRST TIMES I SEE IT LAID OUT THIS WAY AND TELL ME IF I HAVE THIS WRONG, BUT HERE, ACCORDING TO THIS DATA, IT SAYS 33% OF WHITE RESIDENTS ON VACCINATED, 42% OF LATINO, 59% OF BLACK RESIDENTS, BUT ONLY 17% OF THE TOTAL RESIDENTS.

AND I MAY BE HAVING SOMETHING WRONG.

BUT MY SENSE IS THAT THAT DOESN'T MAKE MATH MATHEMATICAL SENSE.

I THINK IF I REMEMBER A PRIOR VERSION OF THE CHART, THE REASON IS BECAUSE THERE'S A LOT OF PEOPLE THAT DON'T HAVE THEIR RACE MARKED.

AND SO THEN THAT IS WHAT MAKES IT 17% OF THE TOTAL ARE UNVACCINATED, EVEN THOUGH ON THE, BY RACE, IT SHOWS MUCH LARGER NUMBERS.

IS THAT RIGHT? YES.

SO I JUST WANT TO RAISE HERE BECAUSE WE PUT THESE OUT THERE TO THE PUBLIC AND I KNOW WE'RE TRYING TO USE THE FLAW DATA THAT WE HAVE.

IT SEEMS TO ME NOW THAT I LOOK AT THIS SORT OF WITH FRESH EYES FOR THE FIRST TIME IN AWHILE, THAT WE'RE PUTTING THAT OUT THERE.

THAT

[01:15:01]

JUST ISN'T THAT WE KNOW ISN'T RIGHT.

THAT'S LIKE PRETTY FAR AWAY FROM CORRECT, BECAUSE IF SOMEBODY LOOKS AT THIS AND SAYS, OKAY, YOU KNOW, 33% OF WHITE RESIDENTS ARE UNVACCINATED OR 42% OF LATINO RESIDENTS ARE UNVACCINATED.

WE KNOW THAT THAT'S NOT TRUE.

WE KNOW THAT THE NUMBER IS LOWER.

WE KNOW THE DISPARITY IS REAL, AND IT'S IMPORTANT TO SHOW THAT DISPARITY, BUT I JUST WANT A VOICE HERE AND I'D BE INTERESTED IN YOU.

ALL'S THOUGHTS IF WE KNOW THAT THESE NUMBERS ARE ACTUALLY WRONG, THAT ACTUALLY WAY FEWER THAN 33% OF WHITE AUSTINITES ARE UN-VACCINATED MUCH FEWER THAN 59% OR 42% OF BLACK AND LATINO RESIDENTS ARE IN VACCINATED.

I WORRY ABOUT US PUTTING OUT THAT, THAT WE KNOW IS WRONG.

IF THAT MAKES SENSE.

I MEAN, I UNDERSTAND THAT THAT THE IMPORTANCE OF SHOWING THE DISPARITY, BECAUSE WE ALL CARE ABOUT IT, WE'RE WORKING ON THE DISPARITY.

I JUST WORRY THAT, THAT IF WE KNOW THESE NUMBERS, AREN'T RIGHT.

W HOW WE PUT THEM OUT.

SO I WOULDN'T SAY THEY'RE WRONG, BUT I WILL, UM, ACKNOWLEDGE AND AGREE THAT THERE PROBABLY NEEDS TO BE ADDITIONAL CONTEXT TO HELP THE NUMBERS MAKE SENSE, UM, TO TALK ABOUT THE IMPACT OF THE UNKNOWN CATEGORY.

UM, THE FACT THAT THE WAY THAT DSHS REPORTS, UM, PERSONS OF MULTIPLE RACE, DOESN'T ALWAYS TRUE UP WITH THE OTHER SYSTEMS. UM, I'M GETTING TEXTS IN RIGHT NOW, THE FACT THAT OUR CENSUS IS DECREASING.

AND SO WHEN YOU LOOK AT THE NUMBERS BASED ON, YOU KNOW, WHAT WE THINK THE OVERALL POPULATION IS.

AND SO WHAT WE CAN DO IS, UM, PROVIDE MORE CONTEXT THAT WHEN WE'RE SHARING THIS INFORMATION, UM, AND FIGURE OUT A DIFFERENT WAY, UH, FOR IMAGING.

SO IT'S CLEAR TO THE PUBLIC, BUT I THINK THE, THE KEY POINT IS THAT THE DISPARITIES PERSIST.

AND WHEN YOU LOOK AT DR.

WACHS SLIDE ABOUT THE COMORBIDITIES, YOU KNOW, WHAT MADE ME NERVOUS IS, UM, FOR OUR BLACK AND LAC, LATIN X POPULATIONS, CARDIOVASCULAR DISEASE AND DIABETES ARE THE LEADING CAUSES OF DEATH.

AND SO, YOU KNOW, THERE'S A GREATER ISSUE HERE THAT WE NEED TO, UM, TAKE HOLD OF AND MAKE SURE THAT OUR COMMUNITY IN THOSE POPULATIONS ARE INFORMED, YOU KNOW, NOT IN A FEAR TACTIC, BUT, YOU KNOW, JUST, HEY, LIKE, THIS IS WHAT IT IS IN OUR COMMUNITY.

THIS IS WHAT WE'RE SEEING.

AND THIS IS WHY IT'S EVEN MORE IMPORTANT FOR YOU TO GET VACCINATED, TO, TO PROTECT YOURSELF AND YOUR LOVED ONES, BUT POINT'S WELL TAKEN.

YEAH, I TOTALLY AGREE THAT THE DISPARITY IS THERE AND THAT'S OBVIOUS FROM THE DOT, FROM EVERY BIT OF DATA THAT WE HAVE.

UH, I JUST WORRY THAT WE SEND THE MESSAGE THAT SAY 60% OF BLACK TRAVIS COUNTY RESIDENTS ARE IN VACCINATED.

IF WE IN FACT KNOW THAT THAT, THAT THE NUMBER OF UN-VACCINATED BLACK, TRAVIS COUNTY RESIDENTS IS LOWER THAN THAT.

WE KNOW THAT WE JUST DON'T KNOW WHAT THE RIGHT NUMBER IS BECAUSE OF THE WAY THE DATA IS TRACKED.

UM, SO WE JUST MIGHT BE USEFUL FOR US TO FIND A WAY TO SHOW THE DISPARITY WITHOUT, UM, WITHOUT PUTTING A NUMBER OUT THERE THAT IF WE, IF I WERE TO ASK YOU, DO WE THINK IT'S 60% OF BLACK RESIDENTS ARE UNVACCINATED? YOU'D SAY, NO, THAT'S, THAT'S, IT'S A NUMBER THAT'S PROBABLY WELL, LOWER THAN THAT.

YOU JUST DON'T KNOW HOW MUCH LOWER THAN THAT IT IS BECAUSE THERE'S NO WAY THAT ONLY 17% OF THE ENTIRE COUNTY IS UNVACCINATED, BUT THEN AMONGST EVERY RACIAL GROUP, IT'S MORE THAN TWICE THAT EXCEPT FOR ASIAN.

SO ANYWAY, I'LL LEAVE IT AT THAT.

COUNCIL MEMBER ELLIS.

DO WE HAVE A YOU ON THE TELEPHONE? IS THAT BETTER THIS TIME? ALL RIGHT.

NOW WE CAN HEAR YOU.

YEP.

OKAY.

THANKS FOR BEARING WITH ME.

UM, I HAD A QUESTION DIRECTOR STIRRUP ABOUT THE GUIDANCE THAT APH AND THE CDC ARE USING.

UM, AND WHAT IS BEING POSTED WITH THE STATE HEALTH SERVICES WEBSITE? I HEARD THERE WAS A DISCREPANCY THERE.

AND SO I WANTED TO SEE IF YOU COULD SPEAK BRIEFLY ABOUT THE GUIDANCE FOR CHILDCARE, ESPECIALLY, AND SCHOOLS.

IT SEEMS THAT SOME OF THE ISOLATION AND QUARANTINE FOR INDIVIDUALS IS DIFFERENT ON THOSE SITES.

COULD YOU SPEAK TO THAT? I CAN.

AND I'LL ASK DR.

WACHS TO HELP ME AS WELL.

UM, BECAUSE I, I STAFF BRIEF ME ON THE DISCONNECT EARLIER THIS WELL YESTERDAY AND WHAT I'M UNDERSTANDING AS WELL.

OUR GUIDANCE IS REFLECTIVE OF WHAT THE CDC IS PUTTING OUT.

UM, AND WE COMMUNICATE THAT TO OUR PARTNERS.

UM, DSHS STILL HASN'T UPDATED THEIR

[01:20:01]

WEBSITE IN THEIR, UM, RECOMMEND RECOMMENDATIONS WITH RESPECT TO, UM, COMMUNICABLE DISEASES AND WHAT THE QUARANTINE TIME IS.

AND SO THAT THE STATE IS WHAT TRIGGERS THE FLEXIBILITY THAT THE SCHOOLS HAVE IN, IN MAKING CHANGES.

AND SO WE'RE, WE'RE HOPING WE'RE TALKING ABOUT THAT THIS MORNING THAT THERE AN UPDATE WILL HAPPEN SOON.

UM, SO THAT, THAT IS THE HIGH LEVEL UNDERSTANDING OF WHAT I HAVE TO IT.

SO OUR GUIDANCE, UM, FOR STAFF STILL REMAINS, IT'S AN ACCORDANCE WITH THE CDC, BUT IN TERMS OF WHAT, UM, SCHOOLS CAN DO WITH RESPECT TO THE CHILDREN, WE, WE JUST NEED FOR THAT UPDATE TO HAPPEN.

DR.

WACHS, IS THAT HOW YOU'RE UNDERSTANDING THAT DISCONNECT? YES.

UM, THE CDC GUIDANCE FOR CORE TEAM IN ISOLATION CHANGED AS YOU KNOW, TO ALLOW FOR FIVE DAYS OF ISOLATION AND RETURN BACK TO, UM, PUBLIC SETTINGS, UH, WITH CONSISTENT USE OF MASKING.

AND THE DISCONNECT IS THAT THERE IS, UM, A PROVISION IN THE CURRENT GUIDANCE THAT DOES NOT ALLOW FOR A MASKING REQUIREMENT.

SO THERE'S SOME ISSUES WITH, UM, WORKING OUT THOSE DETAILS.

AND IT'S IMPORTANT TO KNOW THAT FROM THE SCIENCE STANDPOINT, THE FIRST FIVE DAYS IS WHEN 70% OF THE TRANSMISSION OCCURS IN THE LAST FIVE DAYS IS WHEN 30%, UH, TRANSMISSION OF COVID CAN OCCUR.

SO IF MASKING IS NOT GOING TO HAPPEN, THEN THE FULL 10 DAYS OF ISOLATION IS REQUIRED.

AND SO THE, THE ISSUE IS REALLY TRYING TO WORK THROUGH THE DETAILS OF HOW IN, UM, A SITUATION WHERE MASKING IS NOT, UH, A REQUIREMENT.

UM, YOU CAN MAKE THOSE CHANGES.

SO WE ARE, WE ARE, UM, ADVISING THAT YOU, IF YOU ARE GOING TO FOLLOW THE CDC, UM, GUIDANCE THAT YOU HAVE TO CONSISTENTLY HAVE, WHOEVER'S COMING BACK, WEAR A MASK.

AND IF THEY ARE IN A SITUATION WHERE THEY TAKE THE MASK OFF, THEY HAVE TO BE SUCH AS AT LUNCHTIME, THEY HAVE TO BE, UM, GIVEN THE, UM, SOCIAL DISTANCING REQUIREMENTS THAT ARE NECESSARY TO PROTECT THOSE THAT THEY MAY BE AROUND.

THANK YOU FOR THAT.

THAT'S REALLY HELPFUL GIVEN ALL THE BACK AND FORTH THAT'S HAPPENED AROUND MASSING IN TEXAS AND IN DIFFERENT MUNICIPALITIES AND SCHOOL DISTRICTS.

UM, IT'S REALLY UNFORTUNATE THAT THERE'S THIS MUCH CONFUSION, BECAUSE I KNOW THERE'S A LOT OF PARENTS LOOKING AT THE PUBLIC HEALTH GUIDANCE AND CDC GUIDANCE, AND THEN TO HAVE DIFFERENT FACILITIES SAYING, WELL, THE STATE IS SAYING SOMETHING DIFFERENT AND IT'S ALL BECAUSE OF THE CONFUSION AROUND WHEN MAPPING IS REQUIRED OR NOT REQUIRED, AND WHAT POWERS THESE DIFFERENT ENTITIES HAVE TO ENFORCE THAT.

SO THAT'S HUGELY DISAPPOINTING.

I KNOW THERE'S A LOT OF PARENTS I'VE HEARD FROM THAT ARE FRUSTRATED BY THIS.

AND SO I HOPE WE CAN WORK TOGETHER TO GET THIS STREAMLINED MOVING FORWARD.

THERE'S A BIT MORE CLARITY FOR EVERYBODY INVOLVED AND THANK YOU FOR YOUR HARD WORK AND, UM, CONGRATULATIONS TO DIRECTOR STIRRUP ON, ON YOUR APPOINTMENT.

THANK YOU.

UH, COUNCIL MEMBER A RENT 30.

YEAH.

UH, YES.

I ALSO WANT TO SAY THANKS TO ALL THAT'S BEEN OUT THERE.

I KNOW IN A LONG TIME, IT'S OVER TO YOU NOW, YOU KNOW, IT'S JUST, UH, I KNOW THAT Y'ALL MUST BE REALLY TIRED, ALL THAT HARD WORK.

NICK, YOU HAVE PUT IN.

UM, MY QUESTION IS, UH, NO, THERE IS, UH, THE ANNOUNCEMENT AS THAT ARE WORKING TO GET THE, UH, CHEST FOR TESTS AND THE MAIL, AND THEY'RE GOING TO SEND IT TO YOU, OR, YOU KNOW, THERE'S SOME FAMILIES THAT HAVE MORE THAN FOUR.

AND WHAT, HOW WOULD YOU RECOMMEND, UM, GIVING MORE THAN JUST THE POOR THAT THEY'RE GOING TO MAIL OUT TO YOU? YOU GOTTA KNOW WHAT, WHAT NEEDS TO BE DONE BY FAMILIES THAT HAVE MORE THAN FOUR IN THE FAMILY.

AND SO, UM, UNFORTUNATELY WE DON'T HAVE MUCH LEVERAGE OVER THE FEDERAL PROGRAM, ALTHOUGH WE'RE APPRECIATIVE OF ANY, ANY HELP THAT FAMILIES CAN, CAN GIVE OUR RESPONSE HAS BEEN TO CONTINUE TO TRY TO EXPAND OUR OPPORTUNITIES FOR PCR TESTING.

UM, WE KNOW THAT SOMETIMES IF YOU DON'T USE THAT HOME TEST KIT AT THE RIGHT TIME WITHIN YOUR, UM, INFECTION PERIOD, YOU MIGHT MISS IT.

AND SO, UM, BY US

[01:25:01]

HAVING, UM, THE SITES AND THE ADDITIONAL RESOURCES THAT THE JUDGE MENTIONED, UM, TO EXPAND THOSE OPPORTUNITIES AND BUILDING OUT OUR MOBILE TEST TEAM, WE WOULD ENCOURAGE COMMUNITIES WHO, YOU KNOW, DON'T HAVE A TAKE-HOME TEST KIT READILY AVAILABLE THAT THEY COME TO AN APH SITE, OR YOU CALL US TO HAVE US COME OUT TO YOUR HOME TO HELP YOU FIGURE OUT IF YOU HAVE COVID OR, UH, THANK YOU FOR THAT INFORMATION.

UM, ANOTHER THING IS, UH, YOU KNOW, THERE'S, IT'S JUST LIKE PEOPLE LIKE ME THAT, YOU KNOW, HAVE GOTTEN THEIR VACCINATION AND THEY'RE BOOSTED, OR, UH, EVEN THOUGH ANY, I GOT THE VARIANTS, EVEN THOUGH IT WAS SMILING WITH A SORE THROAT FOR TWO DAYS, UH, AND TESTED POSITIVE, WHAT DO YOU GIVE, WHAT KIND OF RECOMMENDATION DO YOU HAVE FOR THOSE PEOPLE THAT HAVE ALREADY GONE THROUGH ALL THIS PROCESS AND, AND NOW THEY'RE NEGATIVE.

DO YOU RECOMMEND THEM STILL WEARING THE MASK? CAN THEY STILL CATCH IT AND PASS IT ONTO SOMEONE ELSE? OR IF THEY ALREADY HAD BEEN INFECTED WITH THE BEARINGS? UM, I WOULD RECOMMEND THAT PEOPLE MASK, UM, THERE IS PROTECTION.

THAT'S AFFORDED PEOPLE WHO HAVE BEEN INFECTED FOR WE THINK 90 DAYS.

UM, BUT I WOULD STILL ENCOURAGE PEOPLE TO WEAR MASK, UM, BECAUSE THERE MAYBE A CHANCE OF BECOMING INFECTED.

UM, WE KNOW THAT WE HAVE LOTS OF VARIANTS THAT ARE POSSIBLE.

UM, WE'VE SEEN THAT THROUGH THE COURSE OF THIS PANDEMIC, WE STARTED WITH ONE TYPE OF COVID 19, AND NOW WE ARE DEALING WITH A FOURTH SURGE WITH A DIFFERENT VARIANCE.

SO I BELIEVE THAT MASKS ARE GOING TO BE SOMETHING THAT WE'RE GOING TO WANT TO CONSIDER AS PART OF OUR WARDROBE.

MANY OF US HAVE MADE IT PART OF OUR WARDROBE.

I REMEMBER YOU A COUNCIL MEMBER TALKING ABOUT JUST TAKING YOUR MASK OFF TO TURN AND SAY HELLO TO SOMEBODY AND OH, BY THE WAY, YOU GOT SICK.

SO I THINK, UM, I THINK JUST PARTICULARLY PEOPLE WHO ARE AT RISK FOR BECOMING ILL, THAT THEY REALLY SHOULD PROTECT THEMSELVES WITH MASKING.

IT WILL PROTECT THEM FROM COVID-19 AND OTHER THINGS LIKE THE FLU AND OTHER RESPIRATORY ILLNESS THAT CIRCULATING RIGHT NOW DURING THIS TIME OF YEAR.

THANK YOU FOR THAT.

THANK YOU, COUNSELOR.

YES.

THANK YOU.

GOOD MORNING.

ALSO, CONGRATULATIONS DIRECTLY STIRRUP ON YOUR CONFIRMATION AND CERTAINLY WELL DESERVED AND WELL EARNED.

SO I APPRECIATE ALL THE WORK THAT YOU'RE DOING AND HAPPY TO CALL YOU OFFICIALLY OUR DIRECTOR OF PUBLIC HEALTH.

UM, ALSO, UH, SIMILAR TO CUSTOMER.

HE, I WANTED TO CONTINUE THE CONVERSATION AROUND OUR TESTING CAPACITY.

I KNOW A LOT OF EMPHASIS IS BEING PLACED ON GETTING PCR TESTS, BUT THE REALITY IS, IS THAT WE'RE ALSO ENCOURAGING FOLKS TO SCHEDULE THEIR PCR TESTS.

AND I HAD A CONSTITUENT REACH OUT AND SAY, I WENT ONLINE.

I TRIED TO SCHEDULE MY TEST.

IT WAS AT LEAST TWO DAYS BEFORE THEY COULD GET INTO THE SOUTHEAST, UH, PUBLIC LIBRARY LOCATION.

AND ANOTHER FOUR DAYS FOR THEM TO GET INTO DELCO OR VICE VERSA.

IT WAS ONE OF THOSE MIX, BUT IT WAS AT LEAST DAYS OUT BEFORE THEY COULD GET A SLOTTED APPOINTMENT AND THEY DIDN'T KNOW WHAT TO DO AT THAT POINT.

AND SO I THINK WE'RE REALLY MISSING A KEY COMPONENT HERE OF REALLY EMPHASIZING THESE AT HOME TESTS, BECAUSE IT'S A WAY FOR US TO TRULY CURB THE SPREAD.

AND SO THAT FOLKS KNOW, HEY, YOU SHOULDN'T GO OUT THIS WEEKEND OR YOU SHOULDN'T GO VISIT FOLKS TODAY BECAUSE YOU HAVE COVID AND I APPLAUD OUR FEDERAL GOVERNMENT AND WHAT THEY'RE DOING AND SENDING AT HOME TEST KITS.

BUT EVEN THEN WE HAVE TO GET THE WORD OUT ABOUT ORDERING YOUR TEST KITS AND STILL TO THE POINT THAT WAS JUST RAISED.

THERE ARE SOME HOUSEHOLDS THAT HAVE MORE THAN FOUR INDIVIDUALS AND WITHIN THE HOUSEHOLD, AND THERE HAVE BEEN ISSUES WITH INDIVIDUALS WHO LIVE IN APARTMENT COMPLEXES, BEING ABLE TO PLACE THEIR ORDER.

UM, SHORTLY BEFORE NEW YEAR'S EVE, I REQUESTED, UH, WHAT WE WERE DOING AUSTIN PUBLIC HEALTH WAS DOING TO EXPAND OUR AT HOME TEST KIT CAPACITY.

AND I WAS, IT WAS SHARED WITH ME THAT WE HAD PUT IN A REQUEST FROM THE STATE OF TEXAS.

I HAVE CHECKED IN NEARLY EVERY SINGLE WEEK TO SEE WHERE WE ARE IN RECEIVING OUR ALLOTMENT FROM THE STATE.

AND IF YOU COULD PLEASE SHARE WITH US A LITTLE BIT, UH, UH, HAVE WE RECEIVED OUR TEST KITS FROM, FROM THE STATE OF TEXAS, FROM DISHES? UM, ANY UPDATE ON THAT? THANK YOU.

SO FIRST I'LL SAY, UM, JUST, JUST SHOW UP IF YOU ARE A PERSON WHO'S HOME AND YOU'RE FEELING SICK AND YOU WANT TO GET A TEST KIT AND YOU WANT TO SCHEDULE IT.

I UNDERSTAND I'M THAT PERSON.

I LIKE TO HAVE CONTROL OVER MY DAY, BUT THIS IS, THIS IS THE THING.

CLEAR YOUR CALENDAR AND COME

[01:30:01]

ON AND DRIVE THROUGH AT THE EXPO AND GET TESTED.

UM, OVER HALF OF THE APPOINTMENTS THAT I MENTIONED IN THE FIRST SLIDE WERE WALK-UPS AND WE DON'T TURN ANYONE AWAY.

UM, YOU KNOW, WHERE WE TAKE ANYONE WHO'S IN LINE, IT'S KIND OF LIKE VOTING IF YOU'RE ONLINE, WHEN THE SITE IS SCHEDULED TO CLOSE AND WE'RE GOING TO SEE, UM, SO PLEASE DON'T LET, UM, SCHEDULING AN APPOINTMENT, BE A BARRIER.

WE HAVE THE WALK-UP OPTION FOR A REASON.

UM, SECONDLY, WE DID RECEIVE A SMALLER CACHE OF KITS, UM, AND THAT WAS USED FOR CONTINUITY OF OPERATIONS, A LOT OF, UM, COUNCIL AND COMMISSIONER STAFF COMING BACK TO WORK.

AND IT'S IMPORTANT THAT WE KEEP OUR GOVERNMENT SAFE AND OPERATING.

AND SO WE, WE USE THAT FOR THOSE PURPOSES.

UM, WE ARE IN THE PROCESS OF, UH, TRYING TO EXECUTE A, UM, CONTRACT TO PURCHASE ADDITIONAL KITS.

AND SO, UM, THROUGH THE EOC CITY COUNTY TEAMS ARE WORKING ON THAT TOGETHER.

AND IF WE ARE SUCCESSFUL AND THE DEMAND IS STILL THERE, THE IDEA WOULD BE THAT SIMILAR TO, UM, DURING THE HOLIDAY TIME THAT WE WOULD USE OUR, UH, TRAVIS COUNTY AND CITY OF AUSTIN NEIGHBORHOOD CENTERS TO HELP DISTRIBUTE THOSE ALONG WITH OUR FOOD DISTRIBUTION ACTIVITIES.

UM, IF IT'S, IF IT MAKES SENSE AND WE CAN ACQUIRE ENOUGH KITS, WE WILL CONTINUE WITH THE COMMUNITY DISTRIBUTION.

UH, FOR EXAMPLE, WE GAVE THE AUSTIN LATINO COALITION, 20,000 TEST KITS TO DISTRIBUTE, DISTRIBUTE ON THEIR OWN TO COMMUNITY.

AND WE SEE THAT WORKS.

AND SO IF WE, IF WE HAVE THE RESOURCES AVAILABLE, THOSE WOULD BE THE METHODS THAT WE WOULD USE TO GET THEM OUT.

THANK YOU FOR THAT.

AND THANK YOU FOR WORKING WITH THE AUSTIN LATINO COALITION TO GET THOSE TEST KITS OUT.

UM, SO SIMILARLY, YOU KNOW, AND I'M GRATEFUL THAT WE'RE GETTING A FEMA TESTING SITE.

UM, ANOTHER CONCERN BEEN CONSTANTLY RAISED BY THE COMMUNITY IS THE EXPANDED HOURS AND HAVING HOURS WHERE INDIVIDUALS CAN GO TO GET TESTED AFTER WORK OR, UM, IN THE EVENING.

WHAT, WHAT MORE ARE WE DOING ON THAT END TO EXPAND OUR TESTING HOURS? AND SO AGAIN, I WOULD SAY, PLEASE DO NOT GO TO WORK AND BE, FEEL SICK, PLEASE COME SEE US FIRST.

UM, BUT UNDERSTANDING THAT THAT'S NOT ALWAYS A VIABLE OPTION FOR SOME, UM, WE ARE, THE TEAM IS LOOKING AT ALL OF THE TESTING ASSETS THAT WE HAVE AND HOW WE MIGHT BE ABLE TO MODIFY SERVICES WITH THE ADDITION OF THIS FEMA TEAM.

IS THERE SOMETHING DIFFERENT THAT WE CAN DO, UM, WITH THE APH SITES? AND SO THAT IS A CONTINUING CONVERSATION, BUT, UM, FROM A PUBLIC HEALTH STANDPOINT, WE REALLY WANT TO SUPPORT THE BEHAVIOR THAT PEOPLE PRIORITIZE THE TESTING WHENEVER POSSIBLE.

UM, SO WORKING ON IT, THANK YOU.

AND YES, I DEFINITELY, I THINK FOLKS WOULD PREFER TO STAY HOME WITH, THEY WERE, I FELT THAT THEY, UM, HAD COVID OR THEY HAD ALREADY TESTED POSITIVE AND THEY WERE TESTING EVERY DAY TO SEE WHEN THEY COULD GO BACK TO WORK.

BUT UNFORTUNATELY THERE ARE WORKPLACES WHO DON'T PAY FOR YOU TO BE OUT SICK.

AND SO FOR A LOT OF FOLKS, THEY DON'T HAVE THAT CHOICE OF BEING ABLE TO WAIT THE FULL, UM, THE FULL TIME OF GETTING THROUGH COVID AND HAVING ADDITIONAL TESTS OUT THERE.

SO FOLKS CAN KNOW, OKAY, I FINALLY HAVE TESTED NEGATIVE.

I CAN RETURN TO WORK.

OR HOW DO YOU TO MAKE THAT TOUGH CHOICE OF GOING BACK TO WORK WHEN THEY KNOW THEY ARE INFECTED, BUT THEY HAVE NO OTHER CHOICE BECAUSE THEIR LIVELIHOOD IS AT STAKE.

AND SO I, UM, I JUST WANT TO CONTINUE TO IMPRESS UPON, UM, OUR TEAM HERE THAT WE REALLY NEED TO EXPAND OUR CAPACITY TO GET THESE AT HOME.

THE RAPID TEST KITS, UM, OUT INTO THE COMMUNITY IS EXTREMELY IMPORTANT.

AND I REALLY WANT TO SEE A ROBUST PLAN FOR WHEN WE DO HAVE THAT SUPPLY AVAILABLE.

AND WHEN THE EXTERNAL VENDOR CONTRACT, UH, COMES IN, THAT WE ARE ABLE TO QUICKLY MOBILIZE AND DISTRIBUTE THE TEST KITS IN AN EQUITABLE MANNER.

THANK YOU.

NOTED.

THANK YOU.

UM, COUNCIL MEMBER HARPER, MADISON.

THANK YOU, MARY.

I APPRECIATE IT.

I'LL JUST ECHO MY, MY COLLEAGUES, UM, SENTIMENT AND OUR APPRECIATION FOR ALL THE HARD WORK AND EFFORT THAT GOES INTO MAKING SURE THAT WE HAVE THE MOST UP-TO-DATE.

I'M GOING TO ADD THAT TO MY VOCABULARY.

UP-TO-DATE HASHTAG UP-TO-DATE.

ARE YOU UP TO DATE? GET UP TO DATE? UM, THAT SAID, UH, UP-TO-DATE INFORMATION BECAUSE OUR, OUR CONSTITUENTS WERE LIVE ON IT.

UM, SO I APPRECIATE ALL THAT EFFORT.

I REALLY DON'T HAVE ANY QUESTIONS.

I'D ALSO LIKE TO ECHO THE CONGRATULATORY SENTIMENT FOR NOT ONLY DIRECTOR STEER, BUT ALSO VERONICA PERSIDIO.

WHO'S NOT HERE WITH US, BUT WE HAVE MULTIPLE PEOPLE WHO WERE ABLE TO ASCEND TO A HIGHER LEVEL AND FULLY, FULLY DESERVE IT HERE AT THE CITY OF AUSTIN.

SO I APPRECIATE WATCHING STRONG, HARDWORKING, POWERFUL WOMEN, A CENTER POSITION TO LEADERSHIP.

UM, THE ONE THING I WOULD SAY,

[01:35:01]

UH, IT, IN TERMS OF ECHOING COUNCIL MEMBER FLINT, THIS IS, UM, A DEEP DESIRE TO SEE MORE OPPORTUNITIES FOR ROBUST TESTING.

I GET A LOT OF CALLS FROM FOLKS WHO ARE HOSTING EVENTS.

THEY'RE HOSTING A CHURCH EVENT, THEY'RE HOSTING A COMMUNITY EVENT AND THEY, YOU KNOW, ASKED ME OBVIOUSLY LAST MINUTE, BUT THEY'RE ASKING ME, HEY, CAN YOU DEPLOY SOMEBODY TO COME DO TESTING? IS THAT AN OPTION OR IS THAT, UM, DOES THAT SORT OF CLOG UP THE SYSTEM WHEN PEOPLE ARE GETTING THOSE ONE-OFF, UM, TESTING OPPORTUNITIES? IS THAT PULLING AWAY RESOURCES OR IS IT ADDING TO, YOU KNOW, I, IF I HAD MY WAY, IF I HAD THAT PROVERBIAL TREE THAT MY MAMA USED TO REFERENCE IN THE BACKYARD, WHEN I ASKED HER FOR SOMETHING, I WOULD SAY, YOU KNOW, HANDS DOWN HAVE, HAVE FOLKS CALL US AND WE WOULD TRY TO ACCOMMODATE AND, YOU KNOW, WE ARE TRYING TO ACCOMMODATE WHEREVER POSSIBLE.

UM, SO I DON'T HAVE A CLEAR ANSWER BECAUSE IT'S, IT'S A, IT'S A RESOURCE QUESTION AND WE DON'T WANT TO PULL AWAY FROM OUR TRUE PUBLIC HEALTH PURPOSE.

RIGHT.

AND BE THERE FOR THE COMMUNITIES THAT NEED US, ALTHOUGH WE DO WANT OUR ENTIRE COMMUNITY TO BE HEALTHY AND SAFE.

AND SO WE'RE HAVING CONVERSATIONS INTERNALLY ABOUT HOW DO WE STRIKE THAT BALANCE AND WHAT DO OUR SERVICES LOOK LIKE? SO THAT WE'RE EQUITABLE, ACCESSIBLE YET FISCALLY RESPONSIBLE.

UM, AND SO I WILL TAKE THAT BACK TO THE TEAM AND SEE HOW WE WOULD APPROACH, UM, DIFFERENT GROUPS WANTING TO DO LARGE SCALE EVENTS AND NEEDING TESTING AND, AND REPORT BACK AT OUR NEXT BRIEFING.

THAT WOULD BE HELPFUL.

I REALLY APPRECIATE THE PRAGMATISM THAT GOES INTO THINKING ABOUT BEING EQUITABLE AND ACCESSIBLE, BUT ALSO FINANCIALLY RESPONSIBLE.

I MEAN, ALL THOSE NUMBERS INDICATE SOMETHING TO THE ABILITY TO PAY MORE STAFF, THE ABILITY TO DO MORE.

SO DOCTOR DR.

WACHS TALKED ABOUT THE DATA ENTRY, FOR EXAMPLE, WOULD IT HELP, UM, MAKE THE SYSTEM MORE NIMBLE IF WE HAD MORE PEOPLE DOING DATA ENTRY, WOULD THIS BE AN OPPORTUNITY TO SORT OF REPURPOSE SOME PEOPLE WHO ARE OUT OF WORK RIGHT NOW TO JUST GET IN THERE AND DO A BUNCH OF DATA ENTRY, WOULD THAT HELP US, YOU KNOW, MOVE ALONG FASTER? SO I CERTAINLY RECOGNIZE THE IMPORTANCE OF MAKING SURE THAT OUR DOLLAR GOES AS FAR AS IT CAN.

UM, THE OTHER THING I THOUGHT ABOUT WAS, UM, AS IT PERTAINS TO THAT AT-HOME STUFF, YOU KNOW, SOME OF THE COMPLAINTS THAT WE GET ARE, HEY, I I'D LOVE TO, YOU KNOW, GET MY GROCERIES DELIVERED, BUT I JUST HAVE MY, MY HOUSE.

I HAVE BUY, UM, LONE STAR CARD THAT DOESN'T COVER THE COST OF DELIVERY.

HEY, I'D LOVE TO GET, YOU KNOW, UH, NOT HAVE TO GO TO THE GROCERY, BUT I NEED DIAPERS.

AND THEN THE, YOU KNOW, I DON'T HAVE THE OPPORTUNITY TO GET THOSE DELIVERIES.

I JUST WONDER IF WE'RE TAKING EVERY OPPORTUNITY TO, WITH OUR, TO PARTNER WITH ORGANIZATIONS LIKE THE AUSTIN DIAPER BANK, LIGHT FAMILY, ELDER CARE, AND SOME OF THOSE FOLKS WHO CAN HELP US GET THE PRODUCTS IN HANDS OF PEOPLE WHO ARE GOING TO THE GROCERY STORE, BUT THEY REALLY DON'T HAVE, UM, I, I WOULD LIKE VERY MUCH TO CONTINUE TO EXPLORE THOSE OPPORTUNITIES.

THANK YOU.

THANK YOU.

UM, DIRECT DISTURBED TO MAKING IT ON MOTION THAT, AND I'M JUST, LET ME ALSO CONGRATULATE YOU ON THE, ON THE NEW, UH, UH, ROLE.

UH, YOU'VE DONE A REALLY GOOD JOB IN, UH, IN, UH, IN THE INTERIM.

THESE ARE TOUGH TIMES.

THIS IS A TOUGH PLACE TO BE, UH, AND, AND YOUR GRAD RELATIONS TO YOU, BUT ALSO TO YOUR STAFF, WHICH I KNOW ARE BEING PULLED SO INCREDIBLY THIN, UH, WITH A, WITH, UH, WITH THE WORK THAT'S BEING DONE.

SO THANK YOU.

UM, THE FIRST SPEAKER THAT WE HAD TODAY, THE PUBLIC SPEAKER RAISED AN ISSUE ABOUT J AND J, UH, AND, AND WANTED TO KNOW WHAT DID THERE TO BE A PUSH TO URGE PEOPLE TO GO AHEAD AND GET THE BOOSTER OF YOU HAD GOTTEN J AND J.

AND I THINK IT WAS A LITTLE CONFUSED AS TO THE CDC APPROVALS WITH RESPECT TO THAT BOOSTER.

IF YOU HAD J AND J IS THERE RIGHT NOW IS CVC APPROVAL AND RECOMMENDATIONS FOR A BOOSTER SHOT EITHER DR.

WALKS, DR.

STERN OR DIRECTOR STORE YOU'RE MUTED.

DR.

WALL.

YES THERE IS.

AND WHAT IS THE RECOMMENDATION OR THE DIRECTION AT THIS 0.2 MONTHS AFTER RECEIPT OF THE J AND J SHOT, THE PRIMARY SHOT YOU'RE TO HAVE A GOOD STIR AND THEIR RECOMMENDATION FAVORS PREFERS THAT YOU USE THE MRR RNA VACCINES, EITHER PFIZER OR MADONNA OR BOOSTER.

SO AFTER TWO MONTHS OF THE J AND J THERE, THE DIRECTION RIGHT NOW IS GO AHEAD AND GET THE SECOND SHOT.

AND PREFERABLY ONE OF THE MRNS SHOTS IS THAT RIGHT? YOU WERE A LITTLE FAINTED.

OKAY.

SO I'M NOT SURE EXACTLY WHAT THE CONFUSION WAS IN THE, IN THE FIRST SPEAKER, BUT I THINK THE APPROVALS THAT WERE NEEDED ARE, ARE HERE ALREADY.

DR.

STIR,

[01:40:01]

YOU MAY DIRECT DISTURBED.

DID YOU ASK ANYTHING ELSE ON THAT? NO DOCTOR DR.

WATTS GOT IT COVERED.

OKAY.

I JUST WANT TO COVER THAT FAST.

UM, ON THE UT MODELING QUESTION, UM, THE, UH, UH, UNIVERSITY OF TEXAS MODELING GROUP HAS DONE A NEW MODELING WITH THE, UH, A HUNDRED CRON VIRUS AND LOOKED AT BOTH NATIONAL AND INTERNATIONAL NUMBERS, AS WELL AS OUR LOCAL NUMBERS AND IS PUBLISHING REAL SHORTLY A REVISED ANALYSIS THAT WOULD SHOW WHAT THE PEAK AND THE DURATION IS.

UM, AND AS, UM, UH, DR.

WACHS MENTIONED THE, THE MOST LIKELY SCENARIO IS THAT OUR ICU'S PEAK SOMETIME BETWEEN THE THIRD AND THE 7TH OF FEBRUARY.

UH, BUT THAT MODEL WOULD SHOW THAT, THAT, UH, THE PRETTY ASSUREDLY, THE PEAK BEFORE THE 15TH OF FEBRUARY.

UM, AND AS YOU POINT OUT A DOCTOR WALKS, WE'RE STILL IN A TRICKY PLACE THAT IT COULD, YOU KNOW, PICK BACK UP.

WE'VE SEEN IT COME DOWN BEFORE.

PROBABLY IT LOOKS GOOD FOR EVENTS LIKE SOUTH BY SOUTHWEST IN MARCH, BUT, UH, WE NEED TO KEEP IT DOWN SO THAT WE DON'T GET THE, UH, ADDITIONAL VARIANTS THAT ARE STILL SHOWING UP.

UH, I HAD THE SAME QUESTION COUNCIL MEMBER CASAR HAD WITH RESPECT TO THE RACE ISSUES, UH, UH, DIRECTOR STIRRUP.

AND I DON'T KNOW EXACTLY HOW TO RESOLVE THAT.

HE ASKED AND ANSWERED A QUESTION FOR YOU, AND I'D LIKE YOU TO ACTUALLY ANSWER THE QUESTION, UH, ARE, DO WE THINK THAT THAT 59, 60% OF THE AFRICAN-AMERICAN POPULATION, OUR CITY HAS NOT HAD ANY VACCINE AT THIS POINT? OR DO WE THINK THAT THE NUMBER IS LOWER THAN THAT? SO IN INTUITIVELY WE, WE, WE CAN INFER THAT, THAT WE THINK THE NUMBER MIGHT BE LOWER.

AND I HESITATE TO SAY WHAT WE THINK WHEN WE'RE TALKING ABOUT DATA.

UM, AND SO WHAT I WILL SAY IS THAT, YOU KNOW, WE MAKE THE BEST USE OF THE DATA THAT THE STATE MAKES AVAILABLE.

WE KNOW THAT THE AMOUNT OF UNKNOWNS CAUSES SOME COMPLICATION AND IN DIGGING THAT OUT AND WE EARLY ON WHEN THIS WAS BROUGHT UP, UM, MY TIME IS LAPSING, BUT IT WAS IN 2021.

YOU KNOW, OUR EPI TEAMS TRY TO CHASE DOWN THE DATA TO GET MORE INFORMATION ABOUT WHAT THAT UNKNOWN CATEGORY, UM, CONSISTED OF.

AND IT'S, IT'S REALLY JUST A CATCH ALL.

AND IT'S, IT'S REFLECTIVE OF EITHER PEOPLE'S, UM, SELF-SELECTION NOT TO IDENTIFY OR HOW, UM, THE STATE IDENTIFIES PEOPLE OF MULTIPLE RACES AND, YOU KNOW, THEY JUST GET PUT INTO THE UNKNOWN CATEGORY.

AND SO IT'S REALLY HARD FOR US TO TEASE OUT WHAT THE EXACT INFORMATION IS, BUT, YOU KNOW, AT THE SAME POINT THAT HE MADE, YOU KNOW, MATH, CENSUS, TAKING ALL THOSE THINGS INTO CONSIDERATION, WE DO BELIEVE THAT PARTICULARLY IN THE HISPANIC AND LATIN X POPULATION, THERE'S SOME UNDER-REPRESENTATION THERE AS WELL.

UM, BUT WE'LL, WE'LL TAKE IT BACK TO THE TEAMS TO TRY TO FIGURE OUT HOW WE CAN GET A CLEANER VIEW OF WHAT THE DATA IS.

BUT RIGHT NOW WE'RE JUST TRYING TO MAKE THE BEST OF WHAT'S AVAILABLE TO US.

AND I APPRECIATE THAT.

I'M JUST SCARED THAT THERE'LL BE A HEADLINE.

THAT'LL JUST SAY THE 60% OF THE AFRICAN-AMERICAN POPULATION HASN'T GOTTEN THE VACCINE, EVEN A PARTIAL VACCINE, AND THEN PROBABLY THAT'S NOT RIGHT.

SO HOW DO WE AVOID THAT? YOU MIGHT WANT TO TAKE A LOOK AS YOU LOOK THROUGH THAT AND ACTUALLY PUTTING THE OTHER BAR ON THERE TOO.

AND MAYBE THERE'S A WAY TO PUT A NUMBER ASSOCIATED WITH EACH OF THEM, UH, THE, THE FIVE BARS.

SO YOU CAN GET A RELATIVE FEEL FOR, FOR HOW THEY IMPACT THE TOTAL LINE OF 17.

BUT HOWEVER YOU DO THAT, BUT I, BUT I DO SHARE THE CONCERN IS WHAT I'M LOOKING AT THIS QUICKLY.

UNINFORMED MIGHT NOT KNOW THE, THE IMPORTANT CONTEXT, UH, THAT YOU'RE, THAT YOU'RE TALKING, TALKING ABOUT.

AGAIN, THANKS TO EVERYBODY THAT WE'RE DOING.

IT'S GOOD TO SEE THAT OUR MORTALITY RATE CONTINUES TO BE SO MUCH LOWER THAN, UH, THAN OTHER CITIES IN THE STATE AND THE NATION, WHICH IS A REAL INDICATOR OF THE WORK BEING DONE HERE LOCALLY.

UH, JUDGE, THOSE ARE ALL THE QUESTIONS I HAVE.

IF YOU'RE READY, I'LL CLOSE OUT THE, UH, THE CITY COUNCIL MEETING.

YEAH.

I JUST HAD ONE THING IN RESPONSE TO COUNCIL MEMBER.

QUESTION ABOUT SORT OF THE HOURS OF TESTING.

I KNOW THAT WE HAD A MEETING WITH THE FEDERAL VENDOR, I THINK YESTERDAY AND ASKED THEM TO, INSTEAD OF ENDING THE TESTING AT SIX TO END IT AT NINE.

AND I THINK THEY WILL DO THAT FOR THIS AT LEAST FOR THIS FEDERAL SITE.

SO HOPEFULLY THAT WILL ALLOW SOME PEOPLE WHO HAVE TO WORK DURING THE DAY TO GO AFTERWARDS FOR THAT SPECIFIC NEED, BUT JUST WANTED TO HIGHLIGHT THAT AS A DIRECTION THAT I THINK THE FEDERAL SITE IS GOING,

[01:45:01]

BUT THAT IS EVERYTHING I HAVE MARY, IF YOU WANT TO CLOSE OUT YOUR PART, I THINK WE'LL CLOSE AND COME BACK AT 11.

THAT SOUNDS GOOD.

COLLEAGUES.

IT'S IT'S 10 50 RIGHT NOW.

I THINK WHAT WE'RE GOING TO DO IS, UH, I'LL CONVENE IN A MOMENT, THE GENERAL MEETING, YOU DON'T NEED TO COME TO THAT CAUSE I'LL IMMEDIATELY TAKE US INTO EXECUTIVE SESSION.

SO AT 11 O'CLOCK, LET'S ALL MEET IN EXECUTIVE SESSION.

WE'LL TALK ABOUT SOME OF THOSE ITEMS, UH, UH, OUTSIDE OF THE CONSULTANT IS WITH US AT ONE O'CLOCK.

WE HAVE A CRAWL WITH US.

UH, SO BETWEEN ONE AND FOUR, WE'LL DO THAT SECOND ONE.

HOPEFULLY WE CAN TAKE CARE OF THE EXECUTIVE COMMITTEE STAFF BEFORE WE COME BACK FOR THAT.

UH, I APPRECIATE EVERYBODY GOING ON THE MESSAGE BOARD WITH RESPECT TO, UH, INDICATING COMMITTEE INTEREST.

WE'LL TOUCH ON THAT.

BUT I DON'T THINK THAT'S A LONG CONVERSATION BECAUSE EVERYBODY CAN SIGN UP FOR WHATEVER COMMITTEE THEY WANT TO.

IT'S MORE JUST LETTING EVERYBODY KNOW WHAT IT IS THAT PEOPLE WANT TO DO.

AND I HAVE A COUPLE OF QUESTIONS ABOUT THAT.

SO WITH THAT AND ANTICIPATING EVERYONE, SEEING EVERYONE IN THE EXECUTIVE SESSION AT 11, BUT RECOGNIZING THAT I'LL GO ON IN THE GENERAL MEETING RIGHT NOW, UH, TO, TO RECONVENE JUST AS SOON AS YOU CAN GET ME UP, UH, I'M GOING TO GO AHEAD AND, AND, UH, CLOSE OUT THE CITY PORTION OF THE JOINT MEETING HERE ON JANUARY 25TH, 2022, UH, AT, UH, 10 51.

THANKS.

WE'LL ADJOURN THE COUNTY SIDE UNTIL 11 O'CLOCK AND WE'LL TURN THE JOINT MEETING AS WELL.

THANK Y'ALL VERY MUCH.

AND THANKS FOR ALL YOUR WORK.

WE'LL SEE YOU SOON.

ALL RIGHT.