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[00:00:04]

UH, COLLEAGUES TODAY IS DECEMBER 8TH, 2020.

THIS IS THE, UH, CITY OF AUSTIN WORK SESSION.

UH, IT IS NINE OH FOUR.

WE'RE HOLDING THIS SESSION, UH, REMOTELY, UM, OR WEBEX.

WE HAVE A QUORUM PRESENT.

UH, WE HAVE SOME ITEMS THAT HAVE BEEN, UH, COLD TODAY.

WE ALSO HAVE A BRIEFING AND WE HAVE EXECUTIVE SESSION.

SO IT'S THE INTENT AT THIS POINT TO START WITH THE BRIEFING, WHICH IS OUR, OUR, OUR COVID BRIEFING, UM, AND ALSO TO INCLUDE SOME, UH, NURSING HOME, UH, INFORMATION WE'LL GO FROM THAT TO, UH, PULLED, UH, ITEMS. UH, IT LOOKS LIKE THE PULLED ITEMS ARE THE WATER FORWARD ISSUE.

THE, THE, UH, ART ISSUES, HOW SOUTH, THE PEER PROPERTY IN OLD SAN ANTONIO ROAD.

AND THEN WE HAVE EXECUTIVE SESSION, UH, HOPEFULLY WE COULD GET THIS DONE AND GO TO EXECUTIVE SESSION AND NOT HAVE TO COME BACK TO WORK SESSION, BUT LET'S SEE, UH, HOW THAT, HOW THAT GOES.

[B1. Briefing on Covid-19 related matters, including a report on nursing homes. (Standing staff update). ]

LET'S BEGIN WITH THE, UH, COVID, UH, BRIEFING, UH, THIS MORNING.

UM, AGAIN, I'LL TURN IT OVER TO THE, TO THE MANAGER, WHAT TO SAY AT A, AT A REALLY HIGH LEVEL, AGAIN, THANKS TO, TO DR.

S SCOTT AND PUBLIC HEALTH.

UH, AS THE NUMBERS ARE ABOUT TO SHOW OUR COMMUNITIES STILL CONTINUES TO DO REALLY WELL, UH, RELATIVE TO THE OTHER PARTS OF THE STATE, LIKE DOING THOSE SMALL MEASURE TO THE FOLKS WE HAVE WORKING ON THIS IN OUR, IN OUR COMMUNITY.

UM, OBVIOUSLY, UH, ALWAYS ANXIOUS ABOUT THE NUMBERS, A MANAGER YOU WANT TO CALL ON DR.

HEY, THANK YOU.

MA'AM IT'S ALL GOOD MORNING.

UH, AND AS PART OF OUR REGULAR COVID BRIEFING FOR WORK SESSION, WE'RE GONNA ASK TO DIVIDE THIS UP INTO THREE SECTIONS.

ONE WOULD BE THE BRIEFING FORM, UH, DIRECTOR HAYDEN, UH, THEN WE'LL TURN TO DR.

S SCOTT FOR HIS PRESENTATION, PAUSE FOR QUESTIONS.

AND THEN WE WILL BRING IN OUR PARTNERS AT THE UNIVERSITY OF TEXAS FOR THEIR, UM, THIRD ITERATION OF THE NURSING HOME STUDY.

UM, SO WITH THAT, I'LL ASK, UH, DIRECTOR HAYDEN TO, BECAUSE OFF MORNING, STEPHANIE.

GOOD MORNING, SPENCER.

THANK YOU.

UM, GOOD MORNING, EVERYONE.

UM, I WANTED TO START MY BRIEFING, UM, BECAUSE I WOULD LIKE TO ACKNOWLEDGE THE WORK OF, OF AUSTIN PUBLIC HEALTH, UM, AND DR.

SCOTT BEING ON OUR TEAM, THE DEPARTMENT HAS THE BEST EMPLOYEES AND THEY JUST REALLY HAVE A TRUE HEART FOR PUBLIC HEALTH.

AND I REALLY WANT JUST TO TAKE SOME TIME TO ACKNOWLEDGE THEM, BUT THIS IS A TEAM EFFORT.

AND SO WHEN WE THINK ABOUT TEAM AND I HAVE CONVERSATIONS WITH FOLKS ACROSS THE STATE OF TEXAS AND HEALTH DEPARTMENTS AND ACROSS THE NATION, UM, I HAVE TO ACKNOWLEDGE, UM, CHRISTOPHER SHORTER FOR HIS LEADERSHIP.

UM, HE AND THE CITY MANAGEMENT TEAM, SPENCER CRUMP, UM, HAVE BEEN SO, UM, HELPFUL TO AUSTIN PUBLIC HEALTH IN THE MIDST OF OUR RESPONSE.

I WANT TO ALSO THANK THE MAYOR, MAYOR PRO TEM AND ALL OF THE ELECTED OFFICIALS.

UM, YOU HAVE SUPPORTED DR.

ED SCOTT AND I THROUGHOUT THIS PANDEMIC.

AND I CAN JUST HONESTLY TELL YOU, UM, AND TALKING WITH SOME OF MY COLLEAGUES, THEY'RE JUST NOT GETTING THIS KIND OF SUPPORT, YOUR SUPPORT AND BELIEF OF PUBLIC HEALTH.

AND THE SCIENCE HAS HELPED OUR COMMUNITY TREMENDOUSLY.

WE WOULD NOT BE WHERE WE ARE AS A COMMUNITY, WITHOUT YOUR LEADERSHIP AND YOUR SUPPORT.

NOW WE'RE TRANSITIONING, AND I'VE ALWAYS SAID, THIS IS LIKE A MARATHON.

SO FOR THOSE OF YOU THAT ARE RUNNING, WE HAVE 13 MILES DOWN AND WE GOT 13 MORE TO GO.

AND SO I DON'T WANT US TO CELEBRATE PREMATURELY, BUT I DO WANT US TO STAY FOCUSED AND CELEBRATE ALONG THE WAY, THE ACCOMPLISHMENTS THAT WE'VE MADE.

AND SO, UM, I WANTED TO JUST THANK OUR FULL TEAM AGAIN.

SO THANK YOU AGAIN.

UM, OUR EPIDEMIOLOGISTS AND OUR SURVEILLANCE STAFF ARE, ARE MOVING, YOU KNOW, UH, VERY QUICKLY MEETING WITH OTHERS, LOOKING AT CLUSTERS, UM, REVIEWING THE DATA, UM, AS YOU MAY HAVE HEARD THE CDC, UM, UPDATED, UM, THEIR INFORMATION LAST WEEK, OUR TEAM IS FINALIZING OUR GUIDANCE.

UM, AND SO WE'RE GOING TO BE, UH, PUTTING OUT A STATEMENT, UH, LATER TODAY, BUT WE ALSO WILL NEED TO UPDATE, YOU KNOW, ALL OF OUR GUIDANCE THAT WE HAVE IN PLACE.

OUR, UM, UH, CHILDCARE FOLKS ARE WORKING

[00:05:01]

UNDER THE SAVES, UM, TO PUT OUR, UM, UM, DOCUMENT IN PLACE TO WORK WITH UNITED WAY.

OUR CHILDCARE FOLKS HAVE CONTINUED TO DISTRIBUTE HEALTH AND SAFETY SUPPLIES, AND WE ARE, UH, WE HAVE SOME AREAS WHERE WE'RE REALLY BEING PROACTIVE, EVEN THOUGH WE'RE WORKING ACROSS THE COMMUNITY.

IT'S IMPORTANT FOR US TO DETERMINE WHERE WE FEEL THERE IS A GREATER NEED AND BE ABLE TO, UM, PROVIDE SOME ADDITIONAL SUPPORT JUST AS A REMINDER.

UM, WE ARE CONTINUING TO WORK WITH OUR SCHOOLS.

UH, WE HAVE A MAILBOX FOR OUR SCHOOLS TO EMAIL US.

WE HAVE A MAILBOX FOR OUR CHILDCARE FACILITIES TO, UM, TO EMAIL US IF THEY NEED TECHNICAL ASSISTANCE, UM, OR ANY, UM, ANYTHING THAT THEY MAY NEED THAT IS CONNECTED TO KOBE.

AND, UM, DURING THIS WEEK WE HAVE THE KIN, UM, WORKING WITH AISD AS A PILOT.

UM, THIS IS TO PROVIDE SOME IN-HOME RAPID ANTIGEN TESTS, UH, FOR CAMPUSES, FOR STUDENTS AND STAFF.

AND SO WE ARE LOOKING AT TITLE ONE SCHOOLS, UM, TO BE ABLE TO DO THAT WORK.

AND SO WE WILL PROVIDE MORE INFORMATION WITH THAT AS YOU ALL ARE AWARE.

I KNOW YOU'VE BEEN HEARING SO MUCH ABOUT, UM, THE VACCINES AND, UM, YOU KNOW, THE, THE, THE INFORMATION ABOUT PFIZER AND ABOUT MADONNA.

AND, UM, JUST A REMINDER.

UM, WE HAVE ESTABLISHED A VACCINE DISTRIBUTION, UM, COALITION WE'VE HAD OR MEETINGS, AND, UM, WE, WE'RE GOING TO HAVE ONE MORE MEETING, BUT ONE OF THE THINGS WE'VE DONE IS THAT WE'VE SHIFTED, UM, THE COMPOSITION WE'RE GONNA STILL REMAIN, UM, A TOWN HALL TYPE SETTING.

WE'VE HAD OVER 150 PEOPLE THAT WERE AT OUR LAST MEETING.

AND SO, UM, WE ARE, UM, DIVIDING INTO SUBGROUPS.

WE'RE GOING TO FOCUS ON PRIORITY POPULATION ENGAGEMENT, UH, COMMUNICATION, AS WELL AS, UM, WORKING WITH OUR PROVIDERS.

AND SO, UM, THIS FRIDAY WE WILL BE MEETING WITH OUR, UM, HEALTHCARE PROVIDERS AND OUR VACCINE PROVIDERS, UM, TO DISCUSS, UM, SEVERAL THINGS THAT WE WANT TO MAKE SURE FROM A PLAN PERSPECTIVE THAT WE INCLUDE THAT WE, UM, OUR PLAN, UM, WILL BE, UH, AVAILABLE AFTER PROBABLY TOWARDS THE END OF THIS MONTH.

WE'RE GOING TO HAVE ONE MORE MEETING ON DECEMBER 18TH, WHERE WE'RE GOING TO SHARE, UM, THAT DRAFT PLAN.

UM, THEN FROM THERE, WE WILL INCLUDE THIS IN YOUR WEEKLY BRIEFING WHERE YOU WILL SEE THE PLAN THAT WE HAVE PUT IN PLACE FOR OUR, UM, VACCINE, UM, DISTRIBUTION.

WE'RE CONTINUING TO, UM, TO TEST, UM, ALL OF OUR SITES, UM, DOVE SPRINGS, GIVENS, MONTOPOLIS WALNUT CREEK LARC CENTER, PFLUGERVILLE.

YOU CAN, UM, GO TO THE ST JOHN SITE AS A DRIVE INSIGHT.

WE HAVE E DAY EVENING, AND WE CAN OURS WITH OUR, UM, HOMELESS UPDATE, OUR ENDING APART TOGETHER, WE PROVIDED OVER 600,000 MEALS.

UM, AND WE WILL CONTINUE THAT OPERATION AND WE'RE PREPARING, UH, FOR, UH, FOR NEXT, UM, UH, CALENDAR YEAR, UT DALE AND COMMUNITY CARE CONTINUES TO PARTNERSHIP WITH US.

UM, TODAY WE HAVE TESTED OVER 800 WITH 50, UM, CLIENTS AND A VERY LOW, UM, POSITIVITY RATE.

AS YOU ALL MAY KNOW, WE HAD OUR FIRST COLD WEATHER SHELTER SHELTER, UM, LAST MONDAY ON THE 30TH AND, UM, DEFINITELY WHITE TO, UM, ACKNOWLEDGE, YOU KNOW, ALL OF THE PARTNERS THAT, THAT ASSISTED US WITH THAT PROCESS.

THIS WAS A TRANSITION, UM, AS, AS MOST OF YOU KNOW, UM, OUR PLAN ORIGINALLY, WE WERE WORKING WITH, UM, WITH, WITH CHURCHES, UM, AND OTHER LOCATIONS, BUT WE MADE A TRANSITION TO, UM, TO RECREATION CENTERS.

AND SO, UM, WE HAD A SUCCESSFUL, UH, COLD WEATHER SHELTER AND WE HOUSED OVER 60.

UM, ADULTS ARE, UM, ISO FAQ AND PROTECTIVE LODGES, UM, ARE CONTINUING, WE HAVE 275, UM, GUESTS THERE.

WE HAVE, UM, HOUSE 74 INDIVIDUALS.

AND, UM, WE'LL CONTINUE TO HOUSE INDIVIDUALS IN THAT, UM, THROUGH THE PROTECTIVE LODGES WHEN OUR LONG-TERM CARE, UM, AS YOU MAY SEE FROM THE WEBSITE, AND I'M SURE AS SCOTT WILL INCLUDE THIS IN HIS PRESENTATION,

[00:10:01]

UM, THERE HAS BEEN A SIGNIFICANT INCREASE IN OUR LONG-TERM CARE FACILITIES OVER THE LAST 14 DAYS.

UM, WE'VE HAD AN INCREASE OF 124 CASES.

AND SO I CHANGED ARE, YOU KNOW, REALLY PROVIDING SOME ADDITIONAL SUPPORT TO THEM.

UM, AS WELL AS LOOKING AT THEIR CARE PLANS, UM, LOOKING AT THEIR, UM, THEIR ABILITY TO PROVIDE THEM EXTRA PTE.

UM, AT THIS POINT THEY'VE NOT REQUESTED, UM, ADDITIONAL, UM, SUPPORT FROM THE STRIKE TEAM, BUT OUR LONG-TERM CARE FOLKS WILL CONTINUE TO PROVIDE THEM THAT ASSISTANCE.

UM, THE OTHER THING THAT SOME FOLKS MAY BE, UM, YOU KNOW, CURIOUS ABOUT IS, IS WITH THE COVID-19 VACCINE.

UM, CDC HAS PARTNERED DIRECTLY WITH CVS AND WALGREENS TO ADMINISTER THE COVID VACCINE AT LONG-TERM CARE FACILITIES.

AND SO, UM, MOST OF THEM ARE, UM, UM, OPERATORS HAVE REGISTERED TO RECEIVE THAT VACCINE, UH, AT THIS POINT THAT CONCLUDES MY PRESENTATION AND I WILL TURN IT OVER TO DR.

SCOTT, DR.

SCOTT, THANK YOU, STEPHANIE.

AND I'LL ASK AMY TO PULL UP MY SLIDES.

ALL RIGHT.

UH, MAYOR COUNCIL, IT'S A PLEASURE TO, UH, PRESENT THIS UPDATE, UH, NEXT TIME.

NEXT SLIDE, PLEASE.

UH, AGAIN, THIS IS AN UPDATE OF OUR GRAPH ON NEW CONFIRMED CASES IN TRAVIS COUNTY, UH, WITH A YELLOW BEING THE MOVING AVERAGE YESTERDAY, WE REPORTED 272 NEW CASES, UH, WHICH GAVE US A MOVING AVERAGE OF 301 GENERALLY AN INCREASE OVER THE SEVEN DAYS, UH, YESTERDAY OR THE DAY BEFORE WE WERE AT 309 ON THE MOVIE AVERAGE.

SO A LITTLE BIT OF A DROP, UH, BUT AGAIN, WE TYPICALLY SEE A DECREASE ON MONDAYS.

UH, SO WE'LL HAVE TO WATCH THIS WEEK TO SEE IF, UH, IF WE'RE GOING TO CONTINUE THIS, THIS OSCILLATION THAT WE'VE SEEN, UH, OR IF WE'RE GOING TO CONTINUE IN AN UPWARD DIRECTION.

UH, WE DID SEE A DECLINE THE WEEK OF THANKSGIVING AND, UH, THAT INCREASED STARTING OF COURSE THE WEEK AFTER THANKSGIVING.

NEXT SLIDE, PLEASE.

THIS IS AN UPDATE OF OUR NEW ADMISSIONS TO THE HOSPITAL YESTERDAY.

WE REPORTED 43 NEW ADMISSIONS WITH A MOVING AVERAGE OF 35.

UH, THAT'S AN INCREASE OVER THE PAST SIX DAYS.

AGAIN, WE SEE THE SAME EFFECT AS WE SAW ON THE, UH, THE CANOE CONFIRMED CASES WITH A DIP DURING THE WEEK OF THANKSGIVING AND AN INCREASED FOLLOWING.

UH, YOU CAN SEE IF YOU COMPARE IT TO OUR SURGE BACK IN JUNE AND JULY.

UH, WE'RE ABOUT HALFWAY UP THAT, THAT STRETCH THAT WE SAW THERE.

UH, BUT I'M GONNA TALK ABOUT SOMETHING DIFFERENT THAN WE'RE SEEING ON THE NEXT SLIDE.

UH, AGAIN, THIS IS OUR HOSPITALIZATIONS.

UH, SO WE'RE LOOKING AT, IN THE BLUE, THE TOTAL HOSPITAL BEDS BEING UTILIZED IN ORANGE, THE ICU BEDS AND THE GRAY VENTILATOR USE, UH, YESTERDAY REPORTED 246, UH, TOTAL BEDS BEING UTILIZED WITH 226 ON THE MOVING AVERAGE, WHICH IS AN INCREASE OVER THE PAST FOUR DAYS, UH, ICU UTILIZATION, 75 YESTERDAY, WE'RE MOVING AVERAGE OF 75 AND THAT'S BEEN FLAT FOR THE PAST WEEK.

SO WHAT I WANT TO POINT OUT ON THIS SLIDE IS THE D SO IF YOU COMPARE WHERE WE ARE NOW TO WHERE WE WERE BACK IN JUNE, JULY, AND YOU FOLLOW THAT LINE DOWN TO THE ICU AND THE VENTILATOR USE, YOU CAN SEE THAT WE HAVE ABOUT, WE WERE USING ABOUT 50% MORE ICU BEDS FOR THIS, A SIMILAR NUMBER OF HOSPITALIZED INDIVIDUALS.

UH, SO WHAT WE'RE SEEING IS THE EFFECTS OF, UH, CLINICAL TREATMENT.

WE'RE SEEING, UH, THE ABILITY OF OUR HEALTHCARE SYSTEMS TO MANAGE PATIENTS NOW OUT OF THE ICU SETTING.

WHEREAS BEFORE BACK IN JUNE, JULY, WE'RE REQUIRED ICU CARE.

WE'RE ALSO SEEING THE BENEFITS OF HAVING SOME OF THOSE THERAPEUTICS IN PLACE, UH, SUCH AS OUR CONVALESCENT PLASMA ARE MONOCLONAL ANTIBODIES, AS WELL AS OTHER INTERVENTIONS LIKE RIM, DESERT VERE, AND DEXAMETHAZONE, WHICH ARE SOME OF THE OTHER MEDICATIONS UTILIZED FOR COVID-19.

UH, SO OVERALL WE'RE NOT SEEING THE IMPACT ONLY HEIGHTS TO USE THEM WORKED BEFORE.

AND THAT'S GREAT BECAUSE AS WE DISCUSSED DURING OUR INITIAL SURGE, UH, THAT'S THE, UH, THE RATE LIMITING STEP, AS FAR AS OUR HOSPITALS ARE CONCERNED.

NOW, I DID SEE A REPORT TODAY, UH, EXPRESSING SOME CONCERN ABOUT OUR ICU BEING AT 85% CAPACITY.

UH, LET ME JUST SAY THAT IN DISCUSSIONS WITH OUR, OUR HEALTHCARE LEADERSHIP, UH, FROM THE THREE MAJOR

[00:15:01]

SYSTEMS THAT THEY ARE NOT CONCERNED ABOUT THE CAPACITY AS A REMINDER, HOSPITALS GENERALLY OPERATE AROUND THIS RANGE OF 80 TO 90 OR 95%, UH, OCCUPANCY OF ICU'S.

UH, SO IT'S NOT ALARMING AT THIS STAGE THAT THE ICU ARE AT 85%.

UM, THAT DOESN'T MEAN WE SHOULDN'T BE CAREFUL, WE SHOULD, UH, BUT OUR HOSPITAL SYSTEMS ARE IN GOOD SHAPE RIGHT NOW LOCALLY.

AND WE'RE GRATEFUL FOR THE WORK THAT THEY'RE DOING TO, TO MAINTAIN THAT, UH, THAT CAPACITY TO CARE FOR PEOPLE.

NEXT SLIDE PLEASE.

YEAH, THE MAYOR COUNCIL, THIS IS AN UPDATE OF THE PROJECTIONS FROM THE UT MODELING CONSORTIUM.

I'LL SAY THAT, THAT THE DATA YOU'RE SEEING HERE, UH, THE LAST GREEN.IS ON DECEMBER.

THE SECOND, THEY'RE WORKING ON SOME UPDATES INTO THE SYSTEM RIGHT NOW.

I EXPECT THAT THEY'RE GOING TO UPDATE THE NEXT DAY OR SO.

UM, RIGHT NOW IT'S SHOWING FLATTENING WITH A DECREASING TREND OVER TIME.

I'LL TELL YOU THAT I DON'T, I THINK THIS IS OVERLY OPTIMISTIC.

I THINK WE'RE MORE LIKELY TO SAY A FLATTENING AND AN INCREASED TREND, THEN THE NEXT TIME THAT THEY UPDATE IT.

UH, AND THE REASON IS BECAUSE THE BLUE LINE THAT YOU SEE HERE, WHICH IS THE BEST GUESTS, IF YOU WILL, OF THE FUTURE IS ALREADY LOWER THAN WE'VE SEEN IN THAT WEEK OR SO BETWEEN, UH, WHEN IT WAS LAST UPDATED.

AND NOW, UH, THROUGH AGAIN, WE ARE SEEING INCREASES OVER THE PAST WEEK.

MY EXPECTATION IS THAT THAT THIS, UH, THIS GRAPH AND PROJECTION WILL, WILL CHANGE SOON.

NEXT SLIDE, PLEASE.

CAN WE SEE THAT THE SAME THING IN TERMS OF THE PROJECTIONS FOR HOSPITALIZATIONS? UH, MY, MY PREDICTION IS THAT AGAIN, WE'RE GOING TO SEE THIS FLATTENING AND TRENDING UPWORK ON THE NEXT UPDATE.

NEXT SLIDE PLEASE.

UH, AND ICU'S, AGAIN, WE HAVE BEEN FLATTER IN TERMS OF ICU.

UH, SO MY, MY EXPECTATION IS THAT THIS WILL REMAIN RELATIVELY FLAT, UH, WITH THE UPDATE, BUT AGAIN, UH, WE MAY EXPECT AN UPDATE LATER TODAY, OR TOMORROW.

NEXT SLIDE, PLEASE.

COUNSEL.

THIS IS AN UPDATE OF A SLIDE, UH, THAT I SHOWED YOU LAST WEEK.

THIS IS RELATED TO ACTIVE CASES, UH, PER CAPITA, PER HUNDRED THOUSAND POPULATION.

UM, YOU CAN SEE THAT TRAVIS COUNTY AT THE BOTTOM OF THIS AND THE DARK BLUE LINE.

UM, UH, I ALSO WANT TO POINT OUT THAT BETWEEN LAST WEEK AND THIS WEEK, THE, UH, THE LINE FOR BEAR COUNTY, WHICH IS IN THAT LIGHTER SHADE OF BLUE, UH, IS, IS GOING IN AN UPWARD DIRECTION WHERE IT HAD BEEN RELATIVELY STEADY IN THE PAST.

UM, YOU CAN SEE THAT THAT DALLAS COUNTY AND TERRAN COUNTY CAN, UH, CONTINUE THAT UPWARD TREND, UH, BUT NOT AS ACUTE AS IT WAS A COUPLE OF WEEKS AGO.

LUBBOCK COUNTY IS FLATTENING OUT AS IS EL PASO COUNTY.

AGAIN, EL PASO, UH, STILL HAS MORE THAN 5,000 ACTIVE CASES PER A HUNDRED THOUSAND.

SO IT'S STILL AN ACT IN A CATASTROPHIC SITUATION, BUT IMPROVING NEXT SLIDE, PLEASE.

THIS IS A NEW GRAPH THAT I'M SHARING WITH YOU.

AND THIS IS AGAIN, UH, BASED ON THE, UH, TEXAS DEPARTMENT OF STATE HEALTH SERVICES DATA RELATED TO CUMULATIVE DEATHS.

UH, SO AGAIN, THIS IS SHOWING CUMULATIVE DEATHS BY COUNTY PER HUNDRED THOUSAND POPULATION TO GIVE US A COMPARISON, UH, TO THOSE, THOSE SAME COUNTIES.

ONCE AGAIN, YOU SEE THAT TRAVIS COUNTY IS AT THE BOTTOM OF THIS LIST, UH, WITH LESS THAN 40 DEATHS PER A HUNDRED THOUSAND.

UH, WHEN WE LOOK AT, UH, TARA AND DALLAS COUNTIES, THEY'RE ABOUT 30 TO 50% HIGHER THAN THAT PER CAPITA.

UH, WHEN WE JUMP UP TO, UH, TO BEAR COUNTY, IT'S ABOUT ALMOST A HUNDRED PERCENT INCREASE OVER WHERE WE ARE, AND THEN OF COURSE, LUBBOCK AND, UH, IN EL PASO COUNTIES SIGNIFICANTLY HIGHER THAN WE ARE, UH, WITH, UH, WITH EL PASO COUNTY, UH, MORE THAN FOUR TIMES THE, UH, THE CUMULATIVE DEATHS PER CAPITA AS TRAVIS COUNTY, UH, THIS, THERE, THERE IS NOT SOMETHING MAGICAL ABOUT TRAVIS COUNTY.

WE DON'T HAVE A FORCE FIELD AROUND US.

THE FOUR FIELDS CREATED BECAUSE PEOPLE HAVE DECIDED TO PUT THEIR MASKS ON AND TO DISTANCE AND TO DO THE THINGS THAT WE NEED TO DO TO PROTECT THIS COMMUNITY.

WHEN WE LOOK AT THE DIFFERENCE BETWEEN THE DEATH RATE IN EL PASO AND THE DEATH RATE HERE, THIS IS HOW WE CAN BEGIN TO CONCEPTUALIZE HOW MANY LIVES HAVE BEEN SAVED BY AVOIDING THAT KIND OF SURGE HERE.

[00:20:01]

IF WE HAD SEEN THIS KIND OF SURGE HERE, OR IF WE SEE IT IN THE FUTURE, WE'RE TALKING ABOUT THE DIFFERENCE BETWEEN, YOU KNOW, ABOUT 500 DEATHS HERE AND WHAT WOULD BE MORE THAN 2000 DEATHS.

SO WE'RE TALKING ABOUT SAVING MORE THAN 1500 LIVES IN AUSTIN AND TRAVIS COUNTY SO FAR BECAUSE OF THE WORK IN THIS COMMUNITY AND THE POLICIES THAT THE MAYOR AND THE JUDGE, THE COUNCIL AND THE COMMISSIONER'S COURT HAVE IMPLEMENTED TO PROTECT THIS COMMUNITY.

UH, WE HAVE TO CONTINUE THAT AS DIRECTOR HAYDEN SAID, THIS IS A MARATHON, AND WE GOT A LONG WAY TO GO IN TERMS OF GETTING THIS COMMUNITY VACCINATED AND PROTECTED.

BUT IF WE HOLD OFF, IF WE MAINTAIN OUR VIGILANCE, WE CAN CONTINUE THE TRENDS THAT WE'VE BEEN SAYING AND SET THE EXAMPLE FOR THE REST OF TEXAS AND ACROSS THE COUNTRY.

NEXT SLIDE, PLEASE, MAYOR COUNCIL.

THIS IS AN UPDATE OF, OF THE HOSPITALIZATIONS BASED ON, UH, AGE GROUP.

UH, YOU CAN SEE THAT WE'VE HAD A INCREASE IN OUR HOSPITALIZATIONS THAT RELATED TO THAT 70 TO 79 AGE GROUP, THAT'S THAT MUSTARD YELLOW COLORED.

UH, WE'VE SEEN AN INCREASE IN THAT 80 PLUS AGE GROUP.

UH, WE CONTINUE TO SEE A DECLINE IN OUR HOSPITALIZATIONS RELATED TO THAT 20 TO 29 AGE GROUP, WHICH IS THAT LIGHTER YELLOW COLOR.

UH, BUT I'M GOING TO TALK MORE A LITTLE BIT ABOUT, ABOUT THAT 20 TO 29 GROUP.

NEXT SLIDE, PLEASE.

THIS IS THE ADDED, BUT BROKEN DOWN BY NUMBERS OF HOSPITALIZATIONS WITHIN EACH OF THOSE AGE GROUPS.

UH, AGAIN, YOU CAN SEE IN THAT 80 PLUS AGE GROUP, WE WENT FOR 24 TO 34, UH, IN THAT, UM, 70 TO 79 FROM 34 TO 52, UH, LAST WEEK.

UH, SO AGAIN, WE'RE CONCERNED ABOUT THOSE INCREASES.

WE TALKED LAST WEEK ABOUT THAT INCREASING POSITIVITY THAT WE'RE SEEING IN THESE UPPER AGE GROUPS AND THE EXPECTATION THAT WAS GOING TO TRANSLATE INTO INCREASING HOSPITALIZATIONS, UH, WHICH HAS HAPPENED, UH, OVERALL, WE'VE MOVED FROM 185 HOSPITALIZATIONS TWO WEEKS AGO TO A LITTLE MORE THAN 200 LAST WEEK.

UM, SO AGAIN, WE WOULD HAVE TO CONTINUE THE EFFORTS TO PROTECT THE ENTIRE COMMUNITY, BUT IN PARTICULAR, THOSE WHO WERE OVER THE AGE OF 60 OR 65, UH, BECAUSE THEY HAVE A MUCH HIGHER RISK OF, OF BEING HOSPITALIZED AND HAVING A SEVERE ILLNESS.

NEXT SLIDE, PLEASE.

NO, THIS IS AN UPDATE OF OUR GRAPH ASSOCIATED WITH, UH, HOSPITALIZATIONS BY RACE AND ETHNICITY, THAT YOU CAN SEE THAT WE'VE HAD FURTHER DECLINE IN OUR PERCENTAGE OF, OF OUR LATIN X COMMUNITY HOSPITALIZED.

UH, WE'VE UH, LAST WEEK 34.9% OF HOSPITALIZATIONS WERE FROM OUR LATIN X COMMUNITY, 10.8% IN OUR AFRICAN-AMERICAN COMMUNITY, ASIAN AMERICAN COMMUNITY, 2.7%, UH, AND OUR WHITE NON-HISPANIC 50.5%.

UH, SO THIS REPRESENTS THE FIRST TIME, UH, IN THIS PANDEMIC, THAT'S THAT THE, UH, THE PERCENTAGE OF LIGHT NON-HISPANICS HAS BEEN, UH, OVERREPRESENTED IN TERMS OF THE REPRESENTATION IN THE COMMUNITY.

THIS IS WHAT WE'VE EXPECTED TO SEE AS THE DISEASE TRANSMITS THROUGHOUT THE COMMUNITY, THAT THE HOSPITALIZATION RATE MAY TAKE A, OR MAY LOOK A LOT MORE LIKE THE BREAKDOWN OF THE RACE AND ETHNICITY IN OUR COMMUNITY.

AND, UH, OVERALL, WE ARE CONTINUED TO BE CONCERNED ABOUT, UH, THIS DISPROPORTIONATE IMPACT ON OUR, OUR LATIN X COMMUNITY, OUR AFRICAN AMERICAN COMMUNITY.

AND IT HAS HAYDEN MENTIONED EARLIER, WE'LL CONTINUE THOSE EFFORTS, UH, OF OUTREACH, UH, TO THOSE COMMUNITIES.

NEXT SLIDE, PLEASE, AGAIN, UH, SIMILAR TO THE AGE GRAPH.

THIS IS A BREAKDOWN BY NUMBERS OF INDIVIDUALS HOSPITALIZED, UH, IN EACH OF THOSE, UH, RACES AND ETHNICITIES.

UH, YOU CAN SEE THAT, UH, SAME NUMBERS IN OUR LATIN X POPULATION HOSPITALIZED BETWEEN EACH GROUP.

UH, THE BIG DIFFERENCE THAT YOU SEE IS THAT THE NUMBERS OF WHITE NON-HISPANICS WENT UP SUBSTANTIALLY, UH, FROM 79 TO 94, UH, TO ACCOUNT FOR THE DIFFERENCE IN PERCENTAGES.

NEXT SLIDE, PLEASE.

THIS IS AN UPDATED OF OUR GRAPH ASSOCIATED WITH, UH, POSITIVITY, UH, ACROSS OUR COMMUNITY.

UH, LAST WEEK OR TWO WEEKS AGO, WE WERE AT 6.5% THAT'S WEEK 48 LAST WEEK.

THE DATA THAT WE HAVE SO FAR IS 6.8%.

UM, SO RELATIVELY FLAT AS COMPARED TO LAST WEEK AND THREE WEEKS AGO, NOW PEOPLE WOULD ASK ME, WHAT ABOUT WEEK 47? HOW DO WE GET DOWN TO 5.2%? THE ANSWER IS WE TESTED A WHOLE LOT OF PEOPLE.

UH, SO THE TESTING THE WEEK BEFORE THANKSGIVING SKYROCKETED,

[00:25:01]

UH, WHICH ACCOUNTS FOR, SO THE DECREASED NUMBER, ACTUALLY, THE NUMBER OF POSITIVE PEOPLE DETECTED DIFFERENTLY.

47 WAS HIGHER THAN THE WEEKS ON EITHER SIDE OF THAT, BUT BECAUSE OF THAT SUBSTANTIAL INCREASE IN TESTING, IT APPEARS THAT, UH, THE POSITIVITY WENT DOWN.

UH, I THINK IT'S MORE ACCURATE TO SAY DISEASE TRANSMISSION OVER THE PAST FOUR WEEKS HAS BEEN ABOUT THE SAME NEXT SLIDE, PLEASE.

NOW THIS IS THAT POSITIVITY BROKEN DOWN BY RACE AND ETHNICITY.

UH, OUR LATIN X COMMUNITY HAS A LATE 48, 11.4% WEEK 49.

SO FAR 11.3% RELATIVELY FLAT OUR AFRICAN-AMERICAN COMMUNITY WEEK 48, 6.4% WINK 49, 6.8%.

AGAIN, RELATIVELY FLAT OUR ASIAN AMERICAN COMMUNITY A WEEK 48, 3.9% WEEK 49, 6.8%.

SO SIGNIFICANT JUMPS THERE AGAIN, 40 NINES DATA IS PRELIMINARY BECAUSE WE STILL HAVE A LOT MORE DATA POINTS COMING IN.

UH, SO IT IS, UM, OUR, UH, OUR AMERICAN INDIAN AND ALASKAN NATIVE COMMUNITY, UH, 0.9% WEEK 48, 7.7% WEEK 49 AND OUR WHITE NON-HISPANIC 5.3%, UH, WEEK 48 AND WEEK 49.

SO RELATIVELY FLAT THERE, UH, AGAIN, WE WANT TO BE UNDER THIS GREEN DOTTED LINE, UH, AND ALL OF OUR RACE AND ETHNICITIES CONTINUE TO BE ABOVE THAT MARK.

NEXT SLIDE, PLEASE.

THIS IS THE BREAKDOWN OF POSITIVITY BY AGE GROUP.

UH, AGAIN, UH, WE SAY THAT, UH, WE'VE GOT AN INCREASE IN OUR 40 TO 49 AGE GROUP, UH, LUCKILY SO FAR FOR LAST WEEK, WE'RE SEEING SIGNIFICANT DECREASES IN THOSE OLDER AGE GROUPS, THE 60 TO 69, 70 TO 79 AND 80 PLUS AGE GROUPS.

NOW, WHEN WE LOOK AT OUR, OUR DATA, UH, FROM OUR AUSTIN PUBLIC HEALTH ONLY TESTING, WHAT IT SHOWS US IS THAT LAST WEEK 50% OF THE POSITIVE TESTS WERE IN THE 20 TO 29 AND 30 TO 39 AGE GROUP.

UH, NOW LET'S DO AGE GROUPS REPRESENT ABOUT 35% OF OUR POPULATION, UH, SO SIGNIFICANT OVER IN TERMS OF CASES IN THOSE YOUNGER AGE GROUPS, UH, AS A REMINDER, WE NEED EVERYBODY TO FOLLOW THOSE, UH, THAT, THAT PUBLIC HEALTH ADVICE, MASKING, DISTANCING, UH, HAND HYGIENE, UH, MAKING SURE THAT THEY'RE STAYING HOME WHEN THEY'RE SICK, EVEN IF THEY HAVE MILD SYMPTOMS, THOSE THAT DISEASE CAN SPREAD TO OTHER PEOPLE AND FOLKS WHO ARE MORE VULNERABLE.

SO IT IS CRITICAL THAT PEOPLE OF ALL AGES ALL THE ADVICE AND PROTECT THEMSELVES SO THEY CAN PROTECT THE REST OF THE COMMUNITY.

NEXT SLIDE, PLEASE.

DR.

HAYDEN MENTIONED, UH, THIS IS, UH, AN UPDATE OF OUR, UH, NURSING HOME LONG-TERM CARE FACILITY DASHBOARD.

IT'S ON OUR COVID-19 WEBSITE AT THE CITY.

UH, WE'VE HAD MORE THAN 2000 CASES ASSOCIATED WITH, UH, THESE LONG-TERM CARE FACILITIES SINCE THE PANDEMIC BEGAN 124 AND THE LAST 14 DAYS, UH, SIMILAR NUMBER, UH, THE TWO WEEKS PRIOR TO THAT, AGAIN, AS WE SEE DISEASE INCREASE IN THE COMMUNITY, WE'VE SEE IT IMPACTING OUR NURSING HOMES IN OUR MOST VULNERABLE VULNERABLE INDIVIDUALS, A TOTAL OF 210 OF THE DEATHS AND THE ENTIRE COMMUNITY HAVE BEEN FROM THESE FACILITIES.

UH, YOU KNOW, THAT'S ABOUT 40% OF, OF THE OVERALL DEATHS.

UH, AND THIS IS WHY NURSING HOMES AND LONG-TERM CARE FACILITIES WILL BE ONE OF THE INITIAL TARGETS FOR VACCINE, UH, BECAUSE IF WE CAN EFFECTIVELY VACCINATE THESE SITES, WE CAN ELIMINATE THAT 40% OF FUTURE DEATHS, UH, THAT, THAT OUR COMMUNITY MAY EXPERIENCE.

UH, OBVIOUSLY WE ALSO SEE, UM, INCREASED RISK OF DEATH IN OLDER AGE GROUPS, OUTSIDE OF NURSING HOMES, UH, WITH, YOU KNOW, THE 80 PLUS 70 TO 79 AND 60 TO 69 AGE GROUPS REPRESENTING ABOUT 81% OF THE TOTAL DEATHS THAT WE'VE EXPERIENCED.

UH, IF WE ADD IN INDIVIDUALS OVER THE AGE OF 50 UNDERLYING HEALTH CONDITIONS AND ACCOUNTS FOR CLOSE TO 95% OF THE DEATHS THAT WE'VE EXPERIENCED, AND I BRING THIS UP BECAUSE WHILE WE WANT TO HAVE WIDESPREAD VACCINATION ACROSS OUR COMMUNITY, IT IS CRITICAL THAT WE FOCUS OUR EFFORTS

[00:30:01]

ON THOSE OLDER INDIVIDUALS, BECAUSE IF WE DO, WE CAN REALLY IMPACT THE POTENTIAL FOR DEATH AND SEVERE DISEASE IN THE FUTURE.

AND WE ALSO THEN PROTECT OUR HOSPITALS, OUR HEALTHCARE WORKERS, AND FIRST RESPONDERS, UH, THAT ARE NOT GOING TO BE EXPOSED BECAUSE THOSE PEOPLE DON'T END UP IN THE HOSPITAL.

AND, UH, YOU KNOW, I THINK THAT, UH, THAT WE HAVE MORE WORK TO DO FROM OUR VACCINE COALITION, BUT I'M EXCITED BY THE WORK AND THE CONTRIBUTIONS OF THE GROUP THAT'S BEEN ASSEMBLED.

NEXT SLIDE, PLEASE, MAYOR COUNCIL.

THIS IS AN UPDATE OF OUR, UH, OUR SCHOOL'S REPORT.

NOW THIS IS FOR THE WEEK OF NOVEMBER 30TH TO DECEMBER 6TH.

UH, YOU CAN SAY THAT WE'VE HAD 82 STUDENT CASES REPORTED IN THAT WEEK, 79 STAFF CASES, FOUR CASES IN THAT OTHER GROUPS.

SO THOSE ARE OUR VISITORS TO CAMPUS, UH, THAT AREN'T DIRECTLY AFFILIATED WITH THE CAMPUS.

UH, AGAIN, AUSTIN ISD WAS, UH, WAS THE VIRTUAL LAST WEEK.

SO WE HAVE, YOU KNOW, MORE THAN 50 CASES THAT DIDN'T EXPOSE OTHERS ON THE CAMPUS.

UH, SO THAT SHOULD HELP, UH, LIMIT THE, UH, THE IMPACT IN THE, IN THE NEXT, UH, NEXT COUPLE OF WEEKS.

NEXT SLIDE, PLEASE.

SO YOU CAN SEE THAT WHILE THE CASES ARE, ARE MANAGEABLE, THE REAL IMPACT THAT WE'RE SEEING IS ON THOSE INDIVIDUALS THAT NEED TO BE QUARANTINED AS A RESULT OF EXPOSURE.

UH, SO MORE THAN 1400 INDIVIDUALS IN OUR TRAVIS COUNTY SCHOOLS ARE STAYING HOME BECAUSE THEY'VE BEEN IDENTIFIED AS A CLOSE CONTACT.

UM, THIS IS IMPACTING OUR SCHOOLS IN PARTICULAR, THE 176 STAFF MEMBERS WHO ARE IN QUARANTINE CAN HAVE A DRAMATIC EFFECT, UH, ON THE SCHOOL'S ABILITY TO CONTINUE NORMAL OPERATIONS.

UM, SO WE'RE CONTINUING TO WORK WITH OUR SCHOOLS ON THIS.

AND, UH, IN ADDITION TO THAT, WE ARE TAKING INTO ACCOUNT A NEW DIRECTION FROM CDC REGARDING THE DURATION OF THEIR QUARANTINE.

AND ON THAT NOTE, I'M GOING TO SWITCH TO THE NEXT SLIDE AND TALK ABOUT WHAT WAS RELEASED THIS MORNING FROM AUSTIN PUBLIC HEALTH.

UH, AND I'M GOING TO TALK, UH, TALK TO YOU THROUGH THIS.

IT MAY BE HARD FOR YOU TO READ, UM, BUT, UH, YOU KNOW, PART OF THE PROCESS OF, UH, THE INTERPRETATION OF THE CDC GUIDANCE IS TO WEIGH, UH, WHEN PEOPLE NEED A 14 DAY QUARANTINE AND WHEN WE CAN BE OKAY WITH A SHORTER DURATION, I WANT TO BE VERY CLEAR THAT CDC CONTINUES SAY THE 14 DAY QUARANTINE IS THE SAFEST ROUTE TO GO.

THEY ALSO, UH, POINT TO THE FACT THAT THAT PEOPLE SHOULD BE GUIDED BY LOCAL HEALTH DEPARTMENTS ON HOW TO INTERPRET THIS INFORMATION.

SO THIS IS OUR INTERPRETATION OF, OF THAT GUIDANCE.

UH, SO IF AN INDIVIDUAL IS A CLOSE CONTACT, UH, WITH SOMEONE WITH COVID-19, THEY FACE THIS INITIAL QUESTION ONCE THAT EXPOSURE WHEN MASKS FOR WORN OR NOT, UH, IF IT WAS NOT.

SO IF MASKS WERE NOT USED AS THAT QUESTION IS YES, UH, THEN THEY ENTER A 14 DAY QUARANTINE.

SO WHY ARE THEY IN A 14 DAY QUARANTINE? BECAUSE THEY WEREN'T WEARING MASKS BECAUSE THIS IS THE SITUATION WHERE WE ARE SEEING EFFICIENT DISEASE TRANSMISSION.

UH, THIS IS HAPPENING IN ATHLETIC ACTIVITIES.

THIS IS HAPPENING IN SOCIAL ACTIVITIES.

THIS IS HAPPENING IN CARPOOLING.

NOW THIS IS WHERE WE'RE SAYING, UH, THAT DISEASE TRANSMISSION HOUSEHOLD CONTACTS IS ANOTHER GREAT EXAMPLE OF THAT.

UH, SO THERE IS A MUCH HIGHER RISK OF TRANSMISSION, WHICH MEANS WE NEED TO HOLD ONTO THAT INDIVIDUAL FOR LONGER TO ENSURE THAT WE'RE GIVING IT THE FULL 14 DAYS BEFORE WE, UH, ALLOW THEM TO, TO INTERACT WITH, WITH OTHER INDIVIDUALS IN THE COMMUNITY.

UH, IF THE ANSWER TO THAT QUESTION IS NO, IF YOU WERE WEARING A MASK AT THE TIME OF EXPOSURE, THE NEXT QUESTION IS, DO YOU EVER WORK WITH AN INDIVIDUAL WHO IS AT HIGH RISK FOR SEVERE DISEASE? UM, SO THIS COULD BE, UH, WORKERS AT NURSING HOMES.

THIS COULD BE, UH, EMPLOYEES WORKING IN JAILS.

UH, THIS COULD BE INDIVIDUALS WHO HAVE SOMEONE IN THEIR HOUSEHOLD WHO, UH, IS OVER THE AGE OF 65, OR HAS A HIGH RISK MEDICAL CONDITION.

IF THE ANSWER TO THAT QUESTION IS, YES, THEY ALSO NEED TO QUARANTINE FOR 14 DAYS AGAIN, TO ENSURE THAT WE ARE LIMITING THE POTENTIAL IMPACT ON THOSE WHO WERE AT HIGHER RISK.

YOU HAVE TO ANSWER TO THAT QUESTION IS NO.

UH, THE NEXT QUESTION IS, ARE THEY A FIRST RESPONDER, UH, EMS IN PARTICULAR, UH, OR A HEALTHCARE WORKER? IF THE ANSWER TO THAT IS YES, THEN WE ARE, UH, WE ARE ADVISING THAT THEY NEED TO STAY QUARANTINED FOR SEVEN DAYS AND ON OR AFTER THE SEVENTH DAY HAVE A TEST, WHICH IS NEGATIVE BEFORE RETURNING

[00:35:01]

TO WORK.

IF THE ANSWER TO ALL THOSE QUESTIONS IS NO, THEN THEY CAN UTILIZE THE 10 DAY OPTION OR THE SEVEN DAYS WITH A NEGATIVE TEST.

SO WHAT'S THE DIFFERENCE BETWEEN THE HEALTHCARE WORKER FIRST RESPONDER AND THIS LAST OPTION, THE ANSWER IS THE LAST OPTION IS THAT THE INDIVIDUAL NEEDS TO BE TESTED ON OR AFTER THE FIFTH DAY.

IT CAN BE CLEARED ON THE SEVENTH DAY.

WE WANT TO BE A BIT MORE PROTECTIVE FOR, UH, FOR OUR HEALTHCARE WORKERS AND OUR FIRST RESPONDERS BECAUSE OF THE CLOSENESS OF, UH, OF INTERACTION WITH OTHER PEOPLE IN PARTICULAR PATIENTS AND, AND THAT INDIVIDUAL WHO HAD BEEN EXPOSED.

SO THAT GIVES US TWO EXTRA DAYS TO DETERMINE IF THAT PERSON IS LIKELY TO TRAN TO DEVELOP DISEASE OR NOT.

UM, AGAIN, WE WILL BE CODIFYING THIS GUIDANCE IN OUR, UH, OUR CITY AND COUNTY ORDERS AND RULES, UH, TO REFLECT THESE CHANGES.

UH, I, I HAVE FACED THE QUESTION ARE THESE RECOMMENDATIONS OR REQUIREMENTS THEY'RE REQUIREMENTS.

UH, AND THESE ARE, UH, THIS IS, IS, UH, THE ENABLING LEGISLATION IS IN THE HEALTH AND SAFETY CODE CHAPTER 81, UH, WHICH, WHICH GIVES THE, THE LOCAL HEALTH AUTHORITY, THE RESPONSIBILITY FOR CONTROLLING, UH, INDIVIDUALS WHO'VE BEEN EXPOSED TO DISEASE.

UM, SO AGAIN, THERE'S, UH, WE HAVE SEEN SOME, UH, INFORMATION COME OUT FROM THE TA AND FROM THE UIL, UH, WITH GUIDANCE FOR SCHOOLS.

UM, AND AGAIN, THE TA AND UIL, UH, DON'T HAVE THE, UH, THAT AN ENABLING LEGISLATION, UH, TO, TO PROVIDE GUIDANCE OR INSTITUTE RULES ASSOCIATED WITH INDIVIDUALS WHO HAVE BEEN IDENTIFIED AS EXPOSED.

UM, PLEASE COUNSEL, AGAIN, WE ARE STILL IN THE MIDDLE OF, UH, OF OUR INFLUENZA SEASON, UH, WEEK 48.

WE HAD A 1.4, 5% POSITIVITY, A TOTAL, UH, 1.04% FOR OUR OVERALL POSITIVITY, ONLY 33 CASES TO DATE SO FAR IDENTIFIED FOR FLU.

NEXT SLIDE, PLEASE.

UH, AGAIN, THIS IS AN UPDATE OF OUR GRAPH ASSOCIATED WITH OUR TRENDS THIS YEAR, AS COMPARED TO THE THREE PREVIOUS SEASONS.

AGAIN, WE ARE REMARKABLY LOWER, UH, THAN THE PREVIOUS THREE SEASONS.

UH, IF FOLKS THAT STILL HAVEN'T RECEIVED THEIR INFLUENCE OF VACCINATION, WE RECOMMEND THAT DO THAT NOW, UH, PARTICULARLY AS WE HEAD INTO DECEMBER, JANUARY AND FEBRUARY, WHICH IS WHEN WE EXPECT TO SEE THE PEAK OF OUR FLU SEASON, OUR HOPE IS THAT FOLKS WILL CONTINUE TO GET THEIR FLU SHOTS.

AND, UH, THAT, THAT, THAT PROTECT THOSE PROTECTIVE ACTIONS THAT WE UTILIZE FOR COVID-19 WILL ALSO HELP TO, TO KEEP THIS CURVE FLAT FOR THE DURATION OF FLU SEASON.

NEXT SLIDE, PLEASE.

UH, AGAIN, WE REMAIN IN THE STAGE FOR A RISK.

UM, AND I, I JUST WANT TO CLARIFY SOMETHING NOW, BECAUSE I THINK SOMETIMES THEY, THE MESSAGE, UH, MAY NOT BE CLEAR, UH, IN PARTICULAR, WHEN WE TALK ABOUT, UM, THE, THE, THE SOCIAL GATHERINGS AND THE DINING AND SHOPPING, UH, OUR, OUR DEVICES, NOT THAT EVERYONE NEEDS TO AVOID THESE ACTIVITIES, BUT INDIVIDUALS LIVE IN A HIGH RISK COUNSELED, OR ARE HIGH-RISK THEMSELVES, INCLUDING THOSE OVER THE AGE OF 65 NEED TO BE MORE PROTECTIVE.

THOSE INDIVIDUALS SHOULD AVOID OUT ACTIVITIES OUTSIDE THE HOUSEHOLD.

UH, THEY SHOULD DO A PICKUP OR DELIVERY FOR FOOD OPTIONS OR GROCERIES.

INDIVIDUALS WHO ARE AT LOWER RISK CAN STILL GO TO DINING AND SHOPPING, BUT WE HAVE TO UNDERSTAND WHERE THE RISK IS.

AND THE RISK IS WHEN WE TAKE OUR MASKS OFF IN FRONT OF OTHER PEOPLE, IT IS SAFE FOR INDIVIDUALS TO GO TO A RESTAURANT AND HAVE A MEAL WITH THEIR FAMILY MEMBERS AND TAKE THEIR MASKS OFF WHILE THEY'RE EATING.

THE RISK IS WHEN PEOPLE ARE OUTSIDE OF THEIR HOUSEHOLD.

AND THAT MASK COMES OFF.

THAT IS WHERE TRANSMISSION IS HAPPENING.

UM, IT, YOU KNOW, IT'S, IT'S CRITICAL.

IT DOESN'T MATTER.

THE SETTING THAT IS WHEN TRANSMISSION IS HAPPENING, WHEN THAT MASK IS COMING OFF, IT'S HAPPENING IN CARPOOLS, IT'S HAPPENING AT PARTIES, IT'S HAPPENING, UH, IN BREAK ROOMS, UH, IN, IN BUSINESSES WHERE EMPLOYEES ARE TAKING BREAKS AND TAKING THEIR MASKS OFF, WE MUST BE VERY CAREFUL AND VERY SELECTIVE WHO WE ARE WILLING TO TAKE OUR MASK

[00:40:01]

OFF AND BE FACE-TO-FACE WITH, PARTICULARLY WITHIN SIX FEET INDOORS.

UM, YOU KNOW, I, I WENT OUT TO A MEAL WITH MY FAMILY THIS WEEKEND, AND, YOU KNOW, THE, THE, THE RESTAURANT DID A GREAT JOB.

EVERYBODY HAD THEIR MASK ON, THEY HAD FORCED THE MASKING.

UH, IT WASN'T CROWDED LESS THAN 50% OCCUPANCY BOOSTS WITH HIGH WALLS.

IT WAS, IT WAS ALL DONE VERY WELL, BUT WE WORE OUR MASKS INTO THE RESTAURANT.

WE WORE A MASK WHILE WE'RE SEATED.

WE WORE OUR MASKS WHEN THEY, WHEN THE WAITER CAME WITHIN SIX FEET OF THE TABLE, AND WE HAD OUR MASKS OFF WHILE WE'RE EATING AND DRINKING.

UM, THERE'S A MINIMAL RISK.

WE'RE NOT AS CONCERNED ABOUT, ABOUT TRANSMISSION HAPPENING, UH, FROM TABLES ACROSS THE ROOM.

WE'RE SEEING TRANSMISSION HAPPENING WITH PEOPLE WHO ARE SEATED AT THE TABLE WITH YOU, AND THAT'S WHY IT REALLY SHOULD BE LIMITED TO PEOPLE WITHIN YOUR HOUSEHOLD.

AND WITH THAT, I'LL PASS IT BACK TO YOU, SPENCER, FOR QUESTIONS.

THANK YOU, DR.

ESCADA AND DIRECTOR HAYDEN.

AND WITH THAT, UM, MAYOR, WE'LL TURN IT BACK TO YOU FOR QUESTIONS FROM THE DIOCESE.

I DON'T SEE THE MAYOR.

DOES ANYBODY HAVE QUESTIONS, BUT COUNCILMEMBER FLANAGAN THINK YOU MAY PRETEND, UM, JUST AS, UH, AS YOU GO THROUGH THE SLIDES, I'M CURIOUS WHEN, WHICH SLIDES ARE INCLUDING THE WILLIAMSON COUNTY PART OF THE CITY AND WHICH ONES AREN'T, BECAUSE I KNOW LIKE WHEN WE, THE DASHBOARD INCLUDES IT BECAUSE IT'S AUSTIN PUBLIC HEALTH, BUT SOME OF THESE CHARTS ARE BROKEN OUT BY COUNTY.

AND OF COURSE, WILLIAMSON COUNTY IS NOW, YOU KNOW, RECENTLY INTO THE HIGHEST LEVEL.

I THINK THEY MIGHT USE A, THEY SAID RED.

I THINK, I DON'T KNOW IF IT'S SEEN AS OUR SCALE.

AND, UH, OF COURSE I THINK Y'ALL SAW THE NEWS STORY THAT THE WILLIAMSON COUNTY GOP IS DOING A POTLUCK DINNER IN GEORGETOWN, WHICH I THINK DR.

SCOTT IS SQUARELY IN THE CAMP OF THINGS NOT TO DO IN A PANDEMIC, BUT I AM CURIOUS ABOUT THE, THE WILCO NUMBERS.

AND IF WE CAN START SEEING THOSE, IF YOU CAN ADD WILCO TO THE CHART OF COUNTIES, AND IF YOU HAVE ANY COMMENT ON WHAT SPREAD LOOKS LIKE IN SUBURBAN COMMUNITIES SPECIFICALLY, BECAUSE IN MY CASE, AT LEAST FOR MY CONSTITUENTS, YOU HAVE FAMILIES FROM, FROM, FROM WILLIAMSON COUNTY AND TRAVIS COUNTY GOING TO THE SAME SCHOOLS GOING TO THE SAME GROCERY STORES.

IT'S NOT LIKE OTHER AREAS WHERE MAYBE THERE'S DISTANCE BETWEEN CENTERS IT'S REALLY BLENDED.

SO COUNCIL MEMBER, UH, THE, THE DATA ON POSITIVITY WILL INCLUDE SOME WILLIAMSON AND SURROUNDING COUNTY RESIDENTS.

UH, AND THAT'S BASED UPON THE FACT THAT SOME OF THOSE INDIVIDUALS ARE TESTED WITHIN TRAVIS COUNTY.

UM, SO, YOU KNOW, I CAN TELL YOU THAT WHEN WE BREAK DOWN, THE, THE POSITIVITY BY COUNTY, UH, WILLIAMSON COUNTY IS, IS SIGNIFICANTLY HIGHER IN TERMS OF THE POSITIVITY FOR THE DATA THAT, THAT WE ARE RECEIVING AND IS TRAVIS COUNTY CALDWELL COUNTY IS SIGNIFICANTLY HIGHER THAN, THAN TRAVIS COUNTY AND IN THAT POSITIVITY AS WELL.

UM, SO THERE IS, YOU KNOW, I, I, AGAIN, I THINK THE MORE COMPLIANCE THAT WE SEE WITH PUBLIC HEALTH GUIDANCE, UH, THE LOWER, THE, THE POSITIVITY RATE, UH, AND I, YOU KNOW, I THINK HAVING LARGE EVENTS THAT DON'T INVOLVE MASKS AND DISTANCING IS, IS A TERRIBLE IDEA.

UM, WE ARE IN UNPRECEDENTED SURGE IN THIS COUNTRY.

WE HAVE UNPRECEDENTED NUMBERS OF DEATHS DAILY IN THIS COUNTRY.

UM, THIS IS NOT THE TIME TO HOST A POTLUCK.

CAN WE START ADDING WILCO TO SOME OF THE COUNTY CHARTS THAT YOU SHOW IN YOUR BRIEFINGS? I WILL.

UH, WHAT I CAN DO A COUNCIL MEMBER IS, IS TO HAVE A SIMILAR, UH, BREAKDOWN WITH THE MSA COUNTIES.

OKAY.

I THINK THAT WOULD BE HELPFUL AS I KNOW A LOT OF FOLKS WATCH THIS, AND I DON'T WANT THEM TO THINK THAT THE TRAVIS COUNTY NUMBERS DOING SO MUCH BETTER THAN OTHER URBAN COUNTIES IS SOMEHOW REPRESENTATIVE OF THE CHALLENGES WE'RE SEEING IN OUR SUBURBAN COUNTIES.

THANK YOU.

IS THAT MARY YOU'RE MUTE? SORRY TO HAVE MISSED YOU.

I HAD TECHNICAL ISSUES BACK NOW.

AND GO AHEAD.

UM, THANK

[00:45:01]

YOU.

UM, AND THANK YOU, DIRECTOR HAYDEN.

I APPRECIATE WHAT YOU SAID WHEN YOU STARTED YOUR PRESENTATION.

UM, THE, EVERYBODY HAS BEEN WORKING INCREDIBLY HARD AND I'M ALSO PLEASED TO SEE THE, THE, THE DIFFERENCE WE'RE STILL MAKING HERE IN TRAVIS COUNTY.

SO I APPRECIATE THAT BOTH YOU AND DR.

ASCOT POINTED THAT OUT TO US.

I THINK, I THINK IT'S IMPORTANT FOR US TO, FOR OUR COMMUNITY TO UNDERSTAND THAT AND UNDERSTAND AS DR.

SCOTT SAID THAT WE NEED TO MAINTAIN THE BEHAVIORS THAT WE'VE BEEN ENGAGING IN SO THAT WE CAN, WE CAN STAY AT THE BOTTOM OF THAT CHART.

AND WE'RE LOOKING AT OTHER COUNTIES AND KEEP OUR DEATH RATE DOWN.

I HAVE JUST A FEW QUESTIONS, UM, ON THE PRO LODGES, YOU MENTIONED THIS DIRECTOR HAYDEN, BUT I'M NOT REMEMBERING EXACTLY WHAT YOU SAID.

THERE'S 200 AND SOMETHING FOLKS STILL IN THE PROMO.

MOGIS RIGHT.

IS THAT WHAT YOU SAID? UH, YES.

YES.

MA'AM THERE ARE, UM, YES, THERE ARE 275 IN ALL FIVE, UM, PROTECTIVE LODGES.

OKAY.

AND THAT'S GREAT.

SO IT SOUNDS LIKE WE'RE MAKING PROGRESS AND, AND, UH, CONNECTING PEOPLE TO HOUSING.

CAUSE I THINK YOU SAID THERE WERE 74 NOW THAT HAD BEEN CONNECTED.

IS THAT RIGHT? OKAY.

YEAH, THAT'S GREAT.

THAT, THAT REALLY IS GOOD.

UM, MY QUESTION IS, UM, YOU KNOW, WE HAD TALKED, UM, I THINK LAST WEEK MAYBE, OR I FORGET WHEN, BUT WE HAD TALKED ABOUT THE, THE, UM, UH, SORT OF THE TRAJECTORY ON WHAT HAPPENS WITH THOSE FOR LODGES.

UM, AND, UM, I HAD, UH, UH, MY THINKING IS THAT THEY NEED TO REMAIN FUNCTIONAL UNTIL WE GET EVERYONE INTO HOUSING.

SO CAN YOU JUST STATUS OF THAT? BECAUSE I KNOW THERE WAS SOME THINKING THAT THEY NEEDED TO BE CLOSED DOWN AT THE END OF DECEMBER, AND I'M NOT CERTAIN WHERE WE'RE AT RIGHT NOW.

SO CAN YOU TALK TO US ABOUT THAT? UH, YES.

UM, UM, THERE IS GOING TO BE A, UM, AN UPDATE THAT IS GOING TO COME OUT TO MAYOR AND COUNCIL NEXT WEEK, UM, ABOUT HOMELESSNESS IN GENERAL.

UM, IT WILL ALSO HAVE THIS INFORMATION IN THE MEMO, BUT THE GOAL IS, IS TO HOUSE THE FOLKS THAT ARE AT THE PROTECTIVE LODGES STRATEGY.

YEAH.

WE'LL WE KEEP THEM OPERATING WITHOUT CLOSING THEM DOWN AT THE END OF DECEMBER.

YES, WE WILL.

WE WILL KEEP THEM, UM, OPERATING, UM, YOU KNOW, ONCE WE START TO MOVE FOLKS, YOU KNOW, FROM PROTECTIVE LODGE, WE WILL CONSOLIDATE.

AND SO YOU WILL SEE THAT IN, IN THE MEMO, BUT THE GOAL IS, IS TO, TO HOUSE THE 275 GUESTS, UM, ABOUT 170 OF THEM ACTUALLY HAVE, YOU KNOW, A CASE MANAGER, UM, ASSIGNED.

AND AS WE TRANSITIONED FOLKS TO HOUSING, UM, THEN WE CONTINUE TO ASSIGN THE OTHER FOLKS, ALL OF THEM HAVE ACCESS TO, UM, BEHAVIORAL HEALTH SERVICES.

UM, BECAUSE WE KNOW THAT IT'S VERY IMPORTANT, UM, TO ALL OF OUR GUESTS IS TO HAVE THAT ACCESS TO BEHAVIORAL HEALTH SERVICES.

OKAY.

THANK YOU.

THE OTHER QUESTION WAS, AND I THINK MAYBE COUNCIL MEMBERS HARD RAISE THIS.

I FORGET NOW, BUT THE OTHER QUESTION WAS HAS, SO THAT IS GOOD.

I APPRECIATE HEARING THAT DIRECTOR HAYDEN.

SO THE OTHER QUESTION WAS JUST EXTENDING THOSE PROLOGIS BECAUSE WE'RE STILL IN THE MIDDLE OF A PANDEMIC AND WE ARE LOOKING AT, WELL, I'M NOT GOING TO PREDICT, BUT WE'RE LOOKING AT A SIGNIFICANT ADDITIONAL TIME BEFORE OUR COMMUNITY IS VACCINATED.

AND, UM, AND WE CAN, WE CAN SAY THAT WE'RE PAST THAT.

SO, UM, AND IF IT DOES TELL ME THE PATH TO UNDERSTANDING, EVEN IF YOU DON'T HAVE THE ANSWERS TODAY, BUT THE PATH TO UNDERSTANDING HOW, WHAT OUR OPTIONS ARE FOR KEEPING THOSE OPEN.

WELL, CURRENTLY WE ARE WORKING WITH FEMA BECAUSE WE'RE UNDER A DECLARATION OF EMERGENCY.

AND SO, UM, YOU KNOW, WE'RE CONTINUED TO, UM, UH, STAFF ARE WORKING ON A MEMO, UM, THAT WE'RE GOING TO SEND THEM, UM, THAT JUST TALKS ABOUT THE NEED FOR US TO MAINTAIN THEM.

AND SO, UM, THE GOAL IS, IS THAT FEMA WOULD REIMBURSE THE CITY OF AUSTIN, UM, AT THE 75%.

UM, AND SO AS LONG AS WE'RE UNDER THAT DECLARATION, WE'LL CONTINUE TO BUILD FEMA, UM, IN HOPES THAT THEY WILL APPROVE IT.

UM, AND SO THAT IS THE STRATEGY, YOU KNOW, MOVING FORWARD AS LONG AS THE WE'RE UNDER THE DECLARATION.

OKAY.

UM, I JUST, UH, THANK YOU.

I, I ASKED THAT YOU ALL RETURNED TO COUNCIL AND ASK US BEFORE YOU CLOSE THEM, BECAUSE I, I, I DON'T

[00:50:01]

KNOW HOW MY COLLEAGUES FEEL ABOUT IT, BUT, UM, I'LL LEAVE IT TO THEM TO SPEAK TO THAT.

BUT, UM, I FEEL PRETTY STRONGLY THAT WE SHOULD NOT BE CLOSING PROLOGIS BECAUSE WE ARE STILL IN THE PANDEMIC AND WE WERE STILL EXPERIENCING, UM, UH, INCREASES, EVEN THOUGH WE'RE DOING A GOOD JOB IN THIS COMMUNITY, WE'RE STILL, WE'RE STILL UNDER THREAT.

AND SO, UM, I DO NOT WANT TO SEE THE PROLOGUE IS CLOSED.

SO, UM, I WOULD JUST ASK THAT, I DON'T WANT TO HEAR ABOUT IT, YOU KNOW, I DON'T WANT TO HEAR AFTER, YOU KNOW, IF FEMA TURNS YOU DOWN OR IF SOMETHING ELSE HAPPENS, YOU KNOW, THEN I WOULD ASK THAT YOU COME BACK TO COUNCIL AND SAY, WE'VE, WE'VE TRIED ALL OF OUR OPTIONS, KEEP THIS OPEN, BUT I I'D LIKE TO HEAR THAT BEFORE SO THAT THIS COUNCIL HAS THE OPPORTUNITY TO CONSIDER THAT AND THEN SAY, HERE'S WHAT WE THINK WE CAN DO TO KEEP THEM OPEN.

SO I WOULD JUST ASK THAT, THAT YOU ALL DO THAT, BUT A COMMITMENT FROM YOU CITY MANAGER, THAT, THAT WE HAVE THAT COUNCIL MEMBER.

THANK YOU FOR BRINGING THAT UP.

AND CERTAINLY, YOU KNOW, AS DIRECTOR HAYDEN MENTIONED, YOU KNOW, WE HAVE BEEN SUCCESSFUL IN MOVING PEOPLE, JUST PRO LODGES INTO HOUSING.

AND AS THAT PROCESS CONTINUES, THERE WILL BE A NEED TO CONSOLIDATE THE DIFFERENT FACILITIES, BUT I HEAR YOU LOUD AND CLEAR.

WE DON'T WANT TO NOT HAVE THAT OPTION FOR PEOPLE TO UTILIZE THESE, UH, IMPORTANT RESOURCES.

AND SO, UH, WE WILL BE PROVIDING THAT UPDATE TO YOU, UH, THROUGH THE DEMO, BUT WE HAVE THE ABILITY TO EXTEND THESE LEASES, UM, WITH THE CURRENT CONTRACTS.

AND IF THERE IS ANY NEED TO COME TO COUNCIL, UH, TO FURTHER EXTEND, WE WILL DO THAT OBVIOUSLY WITH THE DIRECTION THAT YOU'RE GIVING RIGHT NOW.

YES.

AND I WANT TO BE CLEAR, I'M NOT JUST TALKING ABOUT THE 274 PEOPLE, YOU KNOW, THERE ARE CRITERIA FOR PEOPLE IN THE PRO LODGES.

SO WHAT I DON'T WANT TO DO IS THAT THOSE ARE THE ONLY PEOPLE THAT WE'RE GOING TO NOW PROTECT.

IF THEY, IF THERE ARE PEOPLE THAT CONTINUE TO MEET THE CRITERIA FOR THE PRO LODGES, UM, I DON'T WANT US TO CONSOLIDATE PEOPLE AS WE GET THEM INTO HOUSING AND THEN CLOSE DOWN PRO LODGES AND JUST CLOSED DOWN THE OPPORTUNITY FOR SOMEONE WHO MEETS THE CRITERIA TO ACTUALLY GO INTO A PER LUNCH DURING THE TIME THAT WE'RE STILL, UM, WE'RE STILL IN THE PANDEMIC.

SO I WANT TO MAKE SURE THAT THAT'S, THAT'S WHAT I'M IN IT.

SO DOES THAT MAKE SENSE? IS IT CLEAR COUNCIL MEMBER? I THINK SO.

I'M GOING TO TALK TO THE STAFF TO MAKE SURE THAT THAT DIRECTION IS IN LINE WITH WHAT THEIR CURRENT OPERATIONAL PLAN IS.

OKAY.

AND THEN TH YOU ALL WILL COME BACK TO US IF YOU SOMEHOW ARE NOT ABLE TO DO THAT.

RIGHT.

SAME MANAGER.

YES.

SORRY, COUNCIL MEMBER.

YES.

OKAY.

ALL RIGHT.

THANK YOU.

I HAVE OTHER QUESTIONS, BUT I'LL, I'LL, UH, I'LL LET, UH, LET OTHERS ASK QUESTIONS AND THEN MAYBE YOU COULD COME BACK TO ME.

OKAY.

I SEE THE HANDS YET.

UH, DR.

SCOTT AND DIRECTOR HAYDEN, UH, YOU ADDED CHRIS SHORTER TO THE LIST OF PEOPLE TO, TO THANK, AND I THINK THAT'S REAL APPROPRIATE TO WHY ONE OF THE REAL STRENGTHS OF WHAT WE'VE DONE HERE HAS BEEN HOW WE'VE WORKED WITH, UH, COMMUNITIES EXPERIENCING HOMELESSNESS DURING THIS PERIOD OF, OF TIME, UH, AND SETTING UP THOSE SYSTEMS. AND, UM, UH, HE WAS ONE OF THE FOLKS THAT ACTED REALLY QUICKLY AND REALLY EARLY ON THAT, AND, UH, HAS DONE JUST A REALLY GOOD JOB AS WELL.

SO THANK YOU FOR ADDING HIM WITH RESPECT TO THE VACCINE, UH, ISSUES THAT, THAT I DON'T KNOW.

AND AGAIN, I APOLOGIZE IF YOU DISCUSSED THIS WHEN, WHEN I WAS HAVING TECHNICAL DIFFICULTIES AND DISAPPEARED, UH, BUT THE VACCINE ISSUE, JUST TO BE CLEAR FOR THE COMMUNITY STARTS COMING OUT HERE.

AND IN DECEMBER, WE WOULD ANTICIPATE TO THE, THE HIGHEST PRIORITY FOLKS.

UH, AND THEN THERE ARE OTHER TIERS AS IT ROLLS OUT, UH, THAT IN THE COMING MONTHS.

AND THEN WE HOPE TO BE ABLE TO GET IT TO THE COMMUNITY GENERALLY IN THE LATE SPRING TO THE SUMMER.

UM, DID YOU HAVE A CHANCE TO TALK ABOUT THE PRIORITIES AND WHO'S GETTING IT FIRST? UH, UH, NO MAYOR.

UM, WE DID NOT TALK ABOUT THE PRIORITIES.

UM, I CAN GO AHEAD AND SHARE THAT NOW WITH, WITH PHASE ONE, WHICH IS WHERE WE ARE FACED ONE, A, UM, HOSPITAL STAFF, UH, EMS, UM, UM, HOME CARE STAFF, AS WELL AS LONG-TERM CARE RESIDENTS AND EMPLOYEES, UM, ARE SLATED FOR THE INITIAL VACCINES.

UM, AND SO THE VACCINES THAT WE ARE AWARE OF THAT ARE GOING TO ARRIVE, WE'LL GO TO, UM, TO OUR HOSPITAL STAFF

[00:55:01]

INITIALLY.

OKAY, THAT'S GOOD.

AND THEN WORKING THROUGH THOSE, AND THEN THE FRONTLINE WORKERS THAT ARE DEALING WITH PEOPLE THAT HAVE THE, HAVE THE VIRUS AND THOSE PEOPLE IN THE LONG-TERM CARE FACILITIES AND OTHER PLACES THAT REPRESENT THE HIGHEST NUMBER OF PEOPLE THAT HAVE THE MOST SERIOUS IMPACTS IF THEY, IF THEY, IF THEY GET IT, UM, WE'RE GOING TO BE TALKING, I GUESS, IN THE COMMUNITY AT SOME POINT, UH, THE HOPE IS, IS THAT IT GETS ANALYZED AND, AND I'M SURE THAT THE LOCAL FOLKS HERE WILL ALSO BE TAKING A LOOK AT THE EFFECTIVENESS AND SAFETY OF THE MAGAZINE ABOUT WHEN IT COMES OUT, WE'RE GOING TO NEED A REALLY HIGH ADOPTION RATE IN ORDER TO BE ABLE TO PROTECT THE ENTIRE COMMUNITY.

SO, UH, AGAIN, SINCE WE'RE PROBABLY NOT GONNA SEE YOU UNTIL, UNTIL JANUARY, UH, THIS BIG, NO, THE LAST KIND COUNCIL MEETING, YOU'RE PUTTING TOGETHER THAT KIND OF EFFORT TO MAKE SURE THAT PEOPLE UNDERSTAND AND HAVE THE INFORMATION TO BE ABLE TO MAKE THAT EDUCATED DECISION ABOUT, UH, UH, THE, THE UPTAKE AND, AND USE OF THE, UH, OF THE, OF THE VACCINE WHEN IT COMES IN.

I WANT TO TOUCH BASE REAL QUICKLY.

DR.

ESKOM, YOU TALKED ABOUT THE ICU NUMBERS A LITTLE BIT, UH, UH, IN, IN RELATION TO THE HEADLINE THAT'S IN THE NEWSPAPER, UH, TODAY, UH, THAT, UM, WAS SOMETHING LIKE, UH, UH, OUR ICU OR NEARING COMPANY ARE NEARING CAPACITY.

UM, AND WHAT I UNDERSTOOD FROM WHAT YOU SAID IS THAT HEADLINE MIGHT BE OVERSTATING.

IT JUST, UH, JUST, JUST A LITTLE BIT IN TERMS OF PRESENT CONCERN FOR THE, FOR THE COMMUNITY.

WE WENT TO THE COMMUNITY BACK IN JUNE WHEN THE NUMBERS WERE GOING UP AND WE WERE ON A TRAJECTORY TO HAVE OUR ICU'S, UH, OVERWHELMED.

WE'RE NOT SEEING THAT SAME SLOPE RIGHT NOW, AND THAT SAME NUMBERS IN OUR ICU.

IS THAT CORRECT? THAT'S CORRECT.

MAYOR.

UM, YOU KNOW, IN TALKING TO OUR HEALTHCARE EXECUTIVES, THE HOSPITALS ARE BUSY, BUT NOT REALLY BUSIER THAN USUAL AT THIS TIME OF YEAR.

UH, YOU KNOW, THERE'S, THERE'S 75 IN THE ICU FROM COVID, UH, BUT IT'S BUSY WITH OTHER THINGS, UH, THAT WE NORMALLY SEE AN INCREASE OUT THIS TIME OF YEAR.

UM, YOU KNOW, AGAIN, NORMALLY HOSPITALS DON'T RUN SIMILAR TO OTHER BUSINESSES WITH A LOT OF EXTRA CAPACITY.

UH, THEY, THEY, YOU KNOW, THEY, THEY WORK WITH THAT, YOU KNOW, 85, 90%, UH, A LOT OF THE TIME IN THE WINTER, UH, IN A TYPICAL YEAR, YOU KNOW, IT'S AT 90%, FOUR OR HIGHER FOR A LOT OF THE SEASON.

UM, YOU KNOW, IN HAVING THE CONVERSATIONS WITH OUR HEALTH CARE EXECUTIVES REGARDING ELECTIVE SURGERIES, UH, THEY FEEL COMFORTABLE CONTINUING, UH, THOSE PROCEDURES BASED UPON THE, YOU KNOW, THE CURRENT, UH, DEMAND AND, AND CAPACITY.

BUT, UH, YOU KNOW, AGAIN, WE'RE WATCHING THOSE NUMBERS CLOSELY.

WE CONTINUE TO MEET WITH THOSE EXECUTIVE WEEKLY.

UH, WE ARE AGAIN CONCERNED ABOUT, ABOUT OUR HOSPITAL STAFF MEMBERS AND, YOU KNOW, IN ADDITION TO, YOU KNOW, PEOPLE BEING EXPOSED IN QUARANTINED IN, IN RELATION TO, YOU KNOW, NURSES AND RESPIRATORY TECHS AND DOCTORS, WE ARE ALSO SEEING PERSONNEL GOING TO OTHER STATES, UH, THAT ARE FACING SURGE NOW.

AND THIS IS REALLY AT THE HEART OF THE REASON WHY THE HIGHEST PRIORITY FOR VACCINATION ACROSS THE COUNTRY, INCLUDING HERE HAS BEEN TO, TO REINFORCE OUR HOSPITAL INFRASTRUCTURE.

AND TO THAT UNTIL THE EDGE POINT ON THE ICU ISSUE, JUST BECAUSE OF THE HEADLINE, UH, ICU IS NORMALLY OPERATE AT 85, 90%.

THAT'S WHAT HOSPITALS DO, AND THAT'S HOW THEY KEEP THE STAFF THERE.

AND WE'RE RUNNING THOSE NUMBERS.

BUT IN TERMS OF HAVING A VIRUS, A PANDEMIC, UH, A WARNING SIGN IN OUR ICU RIGHT NOW, UH, WE REALLY HAVEN'T DOUBLED IN THE, IN THE LAST MONTH, THE NUMBERS IN 70, WE WERE UP AT, UH, 80 SOME-ODD EARLIER.

AND THE WAY THAT THE STATE MEASURES CONCERN WITH RESPECT TO ICU IS THE PERCENTAGE OF PATIENTS IN ICU THAT ARE, THAT ARE RELATED AND THEIR WARNING SIGN IS WHEN YOU GO ABOVE 15% OF THE PATIENTS IN THE ICU IS VIRUS RELATED.

AND THERE WERE ABOUT FIVE COUNTIES IN THE STATE RIGHT NOW THAT HAVE EXCEEDED THAT NUMBER.

THAT'S WHEN PEOPLE START TAKING THE REMEDIATION ACTION, WE'RE NOT UP AT THE 15% NUMBER WHERE WE'RE SIGNIFICANTLY BELOW THAT, IS THAT CORRECT? THAT'S CORRECT.

MARIN IT'S, IT'S ACTUALLY FOR THE, THE TSA, THE TRAUMA SERVICE AREA.

SO IT'S, IT'S MUCH BROADER THAN THE FIVE COUNTY MSA.

OKAY.

SO OUR NUMBERS ARE BELOW THAT AND WE HAVE THE TRIGGERS THAT WILL LET US KNOW JUST LIKE IN JUNE, IF WE START GETTING TO THE PLACE OR OUR ICU

[01:00:01]

SEEMED TO BE GETTING OVERWHELMED, WE HAVE THE ABILITY TO BE ABLE TO DO THAT.

BUT AT THIS POINT WE HAVE THE CAPACITY SUCH THAT OUR HOSPITALS ARE STILL DOING ELECTIVE CARE, FOR EXAMPLE.

SO IF SOMEBODY HAS A, AN ELECTIVE SURGERY THAT NEEDS TO BE DONE, THIS IS NOT A TIME NOT TO BE REACHING OUT TO THE, TO THE HOSPITALS, TO HAVE, UH, TAKEN CARE OF THE THINGS THAT YOU, THAT YOU NEED TO TAKE CARE OF, NOT CORRECT.

THAT'S CORRECT.

OKAY.

UH, ON THE POSITIVITY NUMBERS, GOOD TO SEE THAT THE LATINO COMMUNITY, UH, NUMBERS ARE LOW IN TERMS OF TOTAL ADMISSIONS.

UH, WE SEE THE POSITIVITY NUMBERS WERE IT'S, UH, ABOUT 10% AND THEN KIND OF HOLDING, BUT JUST TO NOTE, KIND OF AS A, AS A RED FLAG OFF IN THE DISTANCE COMMUNITY, EHRS NUMBERS, THE, THE INTEGRAL, UM, THE, THE, THE, UH, THE HEALTH COMPONENT ARM OF OUR SYSTEM, THAT'S DEALING WITH FOLKS THAT, THAT, THAT LACK INSURANCE AND THAT KIND OF STUFF THEY'RE SEEING PRETTY SIGNIFICANT INCREASES RIGHT NOW IN POSITIVITY IN THE LATINO COMMUNITY.

IS THAT CORRECT? YES.

MAYOR THEIR NUMBERS FOR LAST WEEK.

SO FAR OVER 22% POSITIVITY, UH, FOR THAT, UH, LATIN X POPULATION THAT THEY SERVE.

OKAY.

AND JUST POINT THAT OUT, JUST CAUSE THAT'S KIND OF LIKE, UH, ONE OF THE EARLY WARNING SIGNS AND SIGNALS THAT I KNOW YOU AND DIRECTOR HAYDEN CONTINUE TO WATCH.

I WAS LOOKING AT THE AGE BREAKDOWNS ON THE CHARTS THAT YOU HAVE, AND YOU CAN LOOK AT THIS LATER, BUT, UH, I WAS, UH, SEEING THAT THE, UH, THE, THE NUMBER OF FOLKS IN THE 70 TO 79 RANGE THAT KIND OF GRAY OR SILVER NUMBER SEEM TO HAVE GONE UP, UH, IN, UH, YOU KNOW, AS A, AS A BIGGER PERCENTAGE OF THE TOTAL GROUP, BUT IN THE LINE CHART, UH, IT SEEMED TO GO DOWN IN THE LAST WEEK.

UH, AND I DIDN'T UNDERSTAND THAT.

SO YOU MIGHT WANT TO TAKE A LOOK AT PEAK ON THAT.

AND THEN THE LAST THING BEFORE I TURN THIS OVER TO MY COLLEAGUES IS THE, UH, UH, COUNTY JUDGE AND THE MAYOR'S ORDERS, UH, WILL HAVE TO BE RENEWED BY THE END OF THE MONTH.

UH, AND WE CONTINUE TO, TO WORK WITH YOU ON, ON DRAFTING THOSE ORDERS, UH, THAT, THAT MAY HAVE A LITTLE BIT DIFFERENT WAY OF TAKING A LOOK AT, UH, UH, GATHERINGS, UH, OUTSIDE.

SO IT WAS TO ENCOURAGE PEOPLE TO BE OUTSIDE, AS OPPOSED TO INSIDE.

WE DON'T WANT TO CHASE PEOPLE INSIDE FOR ACTIVITIES AND PROBABLY A RENEWAL OF THE, UH, EVICTION, UM, UH, ORDERS IN A WAY THAT, UH, COINCIDES WITH WHAT THE, UM, THE, UH, JP COURTS, UH, WILL BE, UH, WE'LL BE DOING.

SO I APPRECIATE YOUR CONTINUED ASSISTANCE WITH RESPECT TO THOSE ORDERS, UH, AS WE TRY TO, TO HUE TO THE SCIENCE AND DATA THAT YOU GIVE TO US.

THANK YOU.

UH, MAYOR PRO TEM.

UH, I HAVE A COUPLE OF QUESTIONS, BUT I ALSO WANTED TO QUICKLY THINK, UH, ASSISTANT ASSISTANT CITY MANAGER, CHRIS SHORTER.

UM, HE HASN'T REALLY BEEN IN, IN THESE MEETINGS, BUT I KNOW HE'S BEEN WORKING REALLY HARD BEHIND THE SCENES BECAUSE WHEN I HAVE HAD SPECIFIC, UM, QUESTIONS FROM CONSTITUENTS OR ISSUES, HE'S THE ONE I'VE REACHED OUT TO.

AND HE'S, I MEAN, WITHIN HOURS, THE ISSUE IS TAKEN CARE OF.

SO THANK YOU FOR THAT ASSISTANT CITY ADMINISTRATOR AND, UH, DIRECTOR HAYDEN.

THIS, THIS WILL BE MY LAST MEETING WITH YOU.

I'M GOING TO BE AN EMOTIONAL MESS THIS WEEK.

UM, BUT WE'LL HOLD IT TOGETHER AS MUCH AS POSSIBLE.

IT'S BEEN AN HONOR WORKING WITH YOU AND YOUR TEAM.

I TRULY BELIEVE EVEN BEFORE THE PANDEMIC, YOU KNOW, THE WORK THAT WE DID TO INCREASE YOUR BUDGET, PUBLIC HEALTH BUDGET REALLY HAS SAVED LIVES, ESPECIALLY, YOU KNOW, IN THIS TIME AND, UM, IMPROVE, IMPROVE THE QUALITY OF LIFE FOR AUSTINITES.

SO THANK YOU SO MUCH FOR ALWAYS WORKING WITH ME ON THOSE ISSUES AND FOR MY COLLEAGUES FOR OBVIOUSLY ALWAYS SUPPORTING THOSE THINGS.

AND DR.

ASKPAT, I WANT TO THANK YOU FOR BEING, UM, YOU KNOW, SUCH A, SUCH A, A, A GREAT VOICE DURING THIS TIME AND YOU'VE SHOWN, AND I APPRECIATE YOU POINTED IT OUT THAT YOU CAN HAVE DIFFERENT POLITICAL IDEOLOGIES, BUT STILL BELIEVE IN, IN SCIENCE AND, AND, AND FACTS.

AND, AND I'M GRATEFUL THAT YOU HAD, YOU'VE POINTED THAT OUT AND YOU'VE, UM, KEPT OUR HELP TO KEEP OUR COMMUNITY SAFE.

SO THANK YOU FOR THAT.

UM, MY QUESTIONS REAL QUICK, ONE, THE, UH, THE, THE 14 DAY QUARANTINE, UH, SLIDE, I'M SURE THAT'S SOMETHING I CAN ACCESS, BUT I'M OPERATING ON REALLY LOW STAFF RIGHT NOW.

SO I WAS WONDERING IF, UH, PUBLIC HEALTH COULD SOME PROBABLY TO ALL COUNCIL MEMBERS.

I THOUGHT THAT WAS A REALLY GOOD SLIDE.

AND IF YOU HAVE IT IN SPANISH, UM, I WOULD LOVE TO SHARE THAT ON MY, UH, SOCIAL MEDIA.

[01:05:01]

UM, I WAS, I WAS WONDERING ABOUT, I THINK IT WAS A STATEMENT ARTICLE.

IT TALKED ABOUT THE NUMBER OF VACCINES WE'RE GETTING, AND I HAD TWO CONCERNS.

I HAD A CONCERN, AND I HOPE THAT PUBLIC HEALTH IS, IS, UM, THINKING ABOUT, YOU KNOW, UH, FRAUD.

AND, YOU KNOW, DURING THIS TIME THERE'S BEEN, THERE'S, YOU KNOW, THESE, THESE TESTING FACILITIES POP UP IN PARKING LOTS, AND I'M A LITTLE WORRIED THAT SOMETHING SIMILAR MAY HAPPEN WHEN THE VACCINE STARTS TO GET DISTRIBUTED, THESE, THESE, UM, THAT