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[00:00:05]

UH, COLLEAGUES GOOD TO SEE EVERYBODY HAPPY NEW YEAR.

UH, WE'RE GOING TO, UH, CONVENE, UH, THE SPECIAL CLUB MEETING HERE ON TUESDAY, JANUARY 12TH, 2021.

IT'S NINE OH TWO.

UH, THE PURPOSE OF THIS MOVE, THIS MEETING IS TO RECEIVE A, A BRIEFING ON, UH, COVID 19, UH, IN THE FIRST HOUR OR SO WE'LL DO THIS AS WE HAVE BEEN DOING THEM ON TUESDAY WORK SESSIONS, UH, GIVING THE FLOOR TO, UH, DIRECTOR HAYDEN AND TO, UH, DR.

ASCOT, UH, ENABLING EVERYONE TO, TO BE ABLE TO ASK QUESTIONS HOW WE THEN NEED ABOUT 10 O'CLOCK OR SO WE'LL, WE'LL LOSE DR.

S SCOTT, WHO NEEDS TO GO OVER AND VISIT WITH, UH, WITH, WITH TRAVIS COUNTY.

UM, WE'VE ALSO HAD A REQUEST FROM, UM, UH, OUR COLLEAGUE, UH, A COUNCIL MEMBER HARPER MADISON.

THAT'D BE ABLE TO ASK SOME COVID RELATED QUESTIONS.

UH COVID QUESTIONS RELATED TO PUBLIC SAFETY.

UH, SO AT HER REQUEST, SOME OF THE PUBLIC SAFETY STAFF ARE GONNA BE, ARE WITH US AS WELL.

AND WE'LL GET TO THAT AFTER WE GET THROUGH THE MORE TRADITIONAL BRIEFING WITH, UH, UH, THE DIRECTOR, DR.

S SCOTT, WE'RE GOING TO HAVE A SIMILAR KIND OF BRIEFING NEXT WEEK, NEXT TUESDAY.

UH, WE'RE WORKING NOW WITH THE COUNTY.

IT COULD BE THAT WE DO THAT AS A JOINT SESSION, SO THAT DR.

ASCOT AND DIRECTOR HAYDEN ONLY HAVE TO SPEAK, MAKE THE PRESENTATION ONE TIME, RATHER THAN, UH, ZIPPING OVER DOING THE OTHER, UM, GONNA HAVE TO FIGURE OUT HOW WE DO KIND OF LIKE QUESTIONING OR SOMETHING.

IT'S GONNA BE A LOT OF PEOPLE ALL ON THE SAME, THE ONLY ONE TO MAKE SURE THAT EVERYBODY HAS A CHANCE THAT THEY LARGER GROUP TO BE ABLE TO ASK QUESTIONS.

I THINK IT WILL BE SOMETHING THAT JUST KIND OF SHAKES OUT THAT WE CAN JUST KIND OF DO.

UH, BUT I JUST RAISED THAT AS PEOPLE'S CONCERNED, WANTING TO MAKE SURE THAT WITH THE BIGGER GROUP, EVERYBODY GETS A CHANCE TO ASK QUESTIONS.

SO WITH THAT, UH, THIS HAS BEEN, UH, UH, A REALLY IMPACTFUL WEEK AS WE BEGAN THE NEW YEAR.

I, I DON'T KNOW WHY IT WAS, I WAS EXPECTING WHEN WE HIT 20, 21, WE WOULD ALL TAKE A DEEP BREATH AND, AND WE WERE ALL RELAXED MORE, AND IT'S NOT TURNING OUT THAT WAY.

UH, WE'RE SAYING, UH, AN UNCONTROLLED, UH, SEARCH IN OUR NUMBERS, UH, SINCE, UH, MID DECEMBER, UH, REALLY APPRECIATE THE REALLY STRONG MESSAGING COMING FROM OUR STAFF, DR.

PATRICK AND HAYDEN AND EVERYBODY, OR THE COUNCIL, UH, TO GET PEOPLE TO REALLY DOUBLE DOWN.

UH, IT WOULD BE THAT NOW THAT WE WOULD MAYBE START SEEING THE BENEFIT OF BEHAVIOR CHANGES, IF THERE WERE ANY, UH, BUT IT'S STILL REAL EARLY TO REALLY KNOW.

UH, BUT RIGHT NOW WHERE WE'RE SEEING NUMBERS HERE, INSTEAD OF RECORDS OF THIS PAST WEEK BEYOND ANYTHING WE'VE DONE BEFORE, WHICH IS WHY IT'S A WRECK, WHY THEIR RECORDS, UM, THAT'S THE FIRST NIGHT, BECAUSE THE VACCINE ISN'T GOING TO HELP US WITH THIS PRESENT SURGE, BUT IT'S REALLY GOOD NEWS WITH THE VACCINE.

UH, UH, JUDGE BROWN, UM, UH, WORKED WITH ASCENSION SETON, UH, AND WITH, UH, CONSTABLE, UH, MIRALIS TO, UH, DO, UH, THE FIRST PART OF THE, UH, AUSTIN PUBLIC HEALTH, UH, ROLLOUT, UH, UH, ON SATURDAY, UH, AND GOT TO OVER 600 PEOPLE, UM, YOU KNOW, FOCUSING ON THOSE THAT ARE MOST VULNERABLE, UH, AND MOST AT RISK IN THE GEOGRAPHIC AREA WHERE THEY LIVE HAVE IT'S EXCITED.

HE HAS, UH, APH ROSE THE VACCINE THIS WEEK.

UH, WE APPRECIATE THE GOVERNOR AND THE STATE, UH, FOR GIVING YOUR US, UH, VACCINES, UH, TO AUSTIN PUBLIC HEALTH DIRECTLY, UH, SO THAT WE CAN, UH, UH, FOCUS ON GETTING IT TO THE PEOPLE QUICKLY AT SCALE, UH, THAT ARE MOST AT RISK IN THE EMORY IS WHERE THEY, WHERE THEY LIVE.

SO WE APPRECIATE THAT AND, AND INTEND THIS WEEK TO BE ABLE TO DEMONSTRATE TO THE GOVERNOR AND TO THE STATE LEADERSHIP THAT WE'RE, WE'RE UP TO THAT CHALLENGE, AND YOU CAN TAKE AND PROCESS EVEN GREATER QUANTITIES IN THE BACKSEAT.

SO WITH THAT SAD, UH, AGAIN, THANKS DR.

SCOTT AND DR.

HAYDEN, YOU AND YOUR STAFF CONTINUE NOT TO SLEEP.

UH, AND MY HOPE IS, IS THAT WE GET TO A PLACE WHERE THAT CAN HAPPEN AS WELL, MANAGER.

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

UH, I TURN IT OVER TO YOU.

THANK YOU, HUMIRA AND GOOD TO SEE YOU AND THE REST OF THE COUNCIL.

UH, EVEN DURING THESE CHALLENGING TIMES, YOU NOTED, WE ARE AT A CRITICAL POINT IN THIS PANDEMIC, AND IT'S REALLY IMPORTANT THAT WE CONTINUE TO AMPLIFY THE MESSAGES THAT ARE COMING FROM OUR PUBLIC HEALTH DEPARTMENT AND OUR PUBLIC HEALTH AUTHORITY.

UH, AND THIS DIALOGUE WITH EACH OF YOU IS CRITICAL IN THAT CONVERSATION.

I

[00:05:01]

WILL PASS IT OVER TO DR.

PRESCOTT, UH, BUT I ALSO WANT TO NOTE, UH, WE HAVE, UH, INTERIM ASSISTANT CITY MANAGER.

SHANNON JONES WAS JOINED US IN THIS NEW YEAR, AS WE, AS ASSISTANT CITY MANAGER, CHRIS SHORTER TRANSITIONED TO THE CITY OF BALTIMORE.

AND IT'S GREAT TO HAVE, UH, SHANNON, UH, WITH US.

UH, HE IS A FAMILIAR FACE TO MANY OF YOU IN CITY HALL.

UH, HE WAS THE DIRECTOR OF PUBLIC HEALTH FOR A NUMBER OF YEARS, UH, BUT HAS DECADES OF SERVICE, UH, FOR OUR COMMUNITY AND WITHIN THE CITY.

SO WELCOME SHANNON.

UH, BUT FOR NOW, I'M GOING TO PASS IT OVER TO DR.

ASCOT DOCTOR.

THANK YOU, SPENCER.

LIKE I HAVE A B UH, PULL UP MY SLIDES.

UH, THANK YOU FOR YOUR ACCOUNTS, FOR THE OPPORTUNITY TO UPDATE COUNCIL ON OUR COVID-19 RESPONSE.

NEXT SLIDE YESTERDAY, WE REPORTED 955 NEW CASES.

THIS WAS A COMBINATION OF DATA FROM THE 10TH AND THE 11TH, UH, DUE TO OUR SNOW DAY ON MONDAY, THEY'RE MOVING AVERAGE TO 588.

UH, AS THE MAYOR SAID, UH, AT THE BEGINNING, IF WE WERE GOING TO SEE AN IMPACT FROM, UH, FROM THE INTERVENTION THAT WE TOOK WITH THE, UH, THE, ALMOST A CURFEW THAT WE HAD, UH, OVER NEW YEARS, WE'D BE SEEING IT NOW.

AND I'M, I'M DELIGHTED TO SEE THAT THAT CASES HAVE LEVELED OFF, AND WE ARE HOPEFUL THAT THIS TREND CONTINUES.

UH, BUT IT'S, UH, IT'S A BIT TOO EARLY TO TELL, BUT CERTAINLY THE DATA FROM THIS WEEK, I WILL GIVE US A BETTER IDEA OF, OF WHAT THE SPREAD LOOKS LIKE.

UH, I AM CERTAINLY HOPEFUL THAT, THAT OUR COMMUNITY HAS, HAS HEEDED THE CALL FOR CAUTION AND THAT, UH, THAT HAS RESULTED IN PROTECTIVE ACTIONS THAT WILL DRIVE DOWN CASES.

SO AGAIN, WE'LL, WE'LL SEE WHAT THAT DATA LOOKS LIKE FOR THE REMAINDER OF THE WEEK.

NEXT SLIDE, PLEASE.

UH, OVER THE PAST COUPLE OF DAYS, WE HAVE SEEN A DECREASE IN THE ADMISSIONS TO THE HOSPITAL YESTERDAY REPORTED 54 ADMISSIONS, WHICH BROUGHT OUR MOVING AVERAGE DOWN TO 87.

UH, HOWEVER, THIS IS STILL A 102% INCREASE, UH, SINCE THE, UH, THE 11TH OF DECEMBER.

UH, SO STILL MUCH HIGHER THAN WE'D LIKE TO BE, BUT, UH, NOT MOVING UPWARD EITHER.

I DON'T EXPECT THIS TREND TO CONTINUE, UH, IN TERMS OF, UH, VERY LOW CASE NUMBERS OR ADMISSION NUMBERS.

WE HAVE ONE REPORT FROM ONE OF OUR SYSTEMS SO FAR THIS MORNING FOR DATA, UH, AND, UH, THAT SYSTEM ALONE HAS 68 ADMISSIONS TO THE HOSPITAL YESTERDAY.

UH, SO I EXPECT WE'RE GOING TO SEE NUMBERS TODAY, WHICH LOOKED MORE LIKE THE MOVING AVERAGE, BUT, UH, WE WILL CONTINUE TO FOLLOW THAT THIS WEEK AGAIN, UH, WE, WE NEED TO CONTINUE THOSE PROTECTIVE EFFORTS.

UH, AS THE MAYOR SAID, UH, WE ARE PUSHING FORWARD WITH VACCINE, BUT WE CAN'T VACCINATE OURSELVES OUT OF THIS FOR IT SERVES, THIS WILL HELP PROTECT US FROM THE NEXT SURGE, BUT FOR THIS SURGE, WE HAVE TO CONTINUE TO PUSH CAUTION.

WE HAVE TO CONTINUE TO STAY HOME.

UH, AND IF WE MUST GO OUT TO WEAR OUR MASKS TO SOCIAL DISTANCE AND TO ENSURE THAT WE'RE WASHING OUR HANDS FREQUENTLY, NEXT SLIDE, PLEASE.

UH, MAYOR COUNCIL.

THIS IS A, UH, UH, SHOWING THREE THINGS.

THE BLUE IS THE TOTAL HOSPITAL BEDS BEING UTILIZED, THE ORANGE, UH, ICU BEDS, THE GREATER VENTILATORS BEING UTILIZED.

OUR HOSPITALIZATIONS YESTERDAY WAS 564 WITH A MOVING AVERAGE OF 573.

THAT MOVING AVERAGE WAS A NEW RECORD YESTERDAY.

UM, OUR ICU ADMISSIONS, UH, ONE 80 WITH A MOVING AVERAGE OF ONE 80 AS WELL.

AND WE'VE ACTUALLY BEEN AT THAT ONE 80 MARK FOR THREE DAYS IN A ROW, WHICH IS GOOD NEWS BECAUSE WE KNOW THAT, UH, OUR BIGGEST LIMITATION IN HOSPITAL CAPACITY IS THE ICU IN PARTICULAR ICU STAFFING.

UH, SO THAT'S THAT THREE DAY PLATEAU IS, IS CERTAINLY HELPFUL FOR US TO BE ABLE TO, UH, TO CATCH OUR BREATH A LITTLE BIT AND GIVE THE HOSPITALS THE OPPORTUNITY TO INCREASE THEIR CAPACITY, UH, IN ANTICIPATION THAT THOSE NUMBERS WILL CONTINUE TO INCREASE.

UH, AGAIN, UH, WHILE IT'S BEEN FLAT FOR THREE DAYS, IT'S STILL A HUNDRED PERCENT INCREASE OVER WHERE WE WERE JUST A MONTH AGO.

NEXT SLIDE, PLEASE.

NOW, LAST WEEK I SHOWED THIS MAP, UH, WHICH HAD SOME, UH, SOME ORANGE XS ON IT.

UH, ALL THOSE ORANGE X'S FROM LAST WEEK HAVE TURNED RED.

UH, SO WE ONLY HAVE FOUR, UH, TRAUMA SERVICE AREAS LEFT IN THE STATE THAT ARE NOT IN SURGE.

UH, SO THAT ARE, ARE BELOW THAT 15%

[00:10:01]

HOSPITALIZATION RATE FOR SEVEN CONSECUTIVE DAYS.

UH, EVERY OTHER JURISDICTION, INCLUDING EVERY METROPOLITAN AREA IN TEXAS, UH, IS, UH, IS BEYOND THAT CAPACITY.

NOW, AS I DISCUSSED LAST WEEK, UH, ONCE THE JURISDICTIONS HIT THAT THRESHOLD, UH, THE INTERVENTIONS THAT ROLL IN THE, THE 50% ROLLBACK OF OCCUPANCY, UH, IS NOT HELPFUL ENOUGH IN ITSELF TO PREVENT FURTHER SURGE.

UH, DALLAS NOW IS AT 27% OF THAT HOSPITALIZATION RATE, SAN ANTONIO, 23% HOUSTON, 21% AUSTIN, 19%.

UH, SO WHAT WE NEED AGAIN IS, IS FOR OUR ENTIRE COMMUNITY TO REALLY EMBRACE THE CONCEPT THAT WE MUST STAY HOME, IF WE CAN, UH, IF WE HAVE TO GO OUT, WE DO SO IN A LIMITED FASHION, UH, AND ONLY IN CIRCUMSTANCES WHERE WE CAN MASK AND DISTANCE, UH, IF EVERYBODY CHOOSES THAT AND EVERYBODY DECIDES COLLECTIVELY TO PROTECT THIS COMMUNITY BY PROTECTING THEMSELVES AND THEIR FAMILY, WE CAN IDENTIFY THE PEAK, WE CAN BRING IT DOWN AND WE CAN PUT OUR COMMUNITY A BETTER SITUATION GOING INTO FEBRUARY.

UH, RIGHT NOW THERE IS NO PEAK IDENTIFIED IN THAT MEANS WE HAVE MORE WORK TO DO NEXT SLIDE, PLEASE.

UH, THIS IS AN UPDATE OF THE PROJECTIONS FROM THE UT MOLLIN CONSORTIUM.

UH, I'LL NOTE THAT THIS, UH, THIS UPDATE DOES INDICATE SOME FLATTENING OF THE CURVE.

IF YOU RECALL LAST WEEK, IT WAS, IT WAS ALMOST A VERTICAL LINE.

UH, AND THIS MEANS THAT THAT OUR COMMUNITY IS REACTING.

THEY ARE RESPONDING TO THE FALL, UH, TO DECREASE RISK.

UH, IT STILL STILL SHOWS, UH, SUSTAINED GROWTH.

IT DOES NOT IDENTIFY A, A, WHICH STILL MEANS OUR, OUR HOSPITAL INFRASTRUCTURE IS AT RISK OF BEING OVERWHELMED.

UH, AND AGAIN, WE DO BELIEVE THAT THAT, UH, OVERWHELMING OUR CAPACITIES AND INEVITABLE INEVITABLE NOW, UH, BUT WE CAN, WE CAN MITIGATE THE RISK.

WE CAN DETERMINE HOW FAR WE EXCEED BY THOSE PROTECTIVE ACTIONS THAT WE TAKE.

NEXT SLIDE, PLEASE.

UH, THIS IS AN UPDATE OF THE TOTAL HOSPITALIZATIONS, UH, GRAPH.

UH, AGAIN, UH, WE SEE THAT IT'S, IT'S FLATTENED OUT SOME, UH, LAST WEEK I WAS SHOWING YOU, UH, A GRAPH WHOSE MEDIA PROJECTION INDICATED THAT WE MAY EXCEED 1500 HOSPITALIZATIONS BY FEBRUARY, UH, THAT HAS DROPPED DOWN SIGNIFICANTLY, BUT STILL WE EXPECT WITH THIS GRAPH WHERE THE CURRENT, IF THE CURRENT TRANSMISSION STAYS THE SAME, THAT WE WILL NEED MORE THAN A THOUSAND HOSPITAL BEDS BY THE 5TH OF FEBRUARY.

UH, SO AGAIN, WE HAVE MORE WORK TO DO IN FLATTEN THIS CURVE, BUT CERTAINLY BETTER THAN, THAN WE WERE SEEING LAST WEEK.

NEXT SLIDE, PLEASE.

THIS IS AN UPDATE OF THE PROJECTIONS FOR THE ICU BEDS NEEDED.

UH, SIMILARLY, THIS IS, IS FLATTER THAN WE SAW LAST WEEK.

UH, RIGHT NOW THE MEDIAN PROJECTION FOR EXCEEDING CAPACITY IS, UH, IS IN TWO DAYS, JANUARY 14TH.

UH, AGAIN, UH, HOW FAR WE EXCEED THAT CAPACITY DEPENDS UPON HOW MUCH MORE ACTION WE TAKE TO PROTECT OURSELVES AND PROTECT OUR COMMUNITY.

UH, WE REALLY NEED TO IDENTIFY THE PEAK SOON, FLATTEN IT OUT AND DRIVE THE NUMBERS DOWN.

NEXT SLIDE, PLEASE.

UH, THIS IS AN UPDATE OF OUR HOSPITALIZATIONS BY AGE GROUP, SHOWING YOU THE WEEKLY HOSPITALIZATIONS.

UH, OVER TIME, YOU CAN SEE THAT WE HAD A DECREASE IN THE PERCENTAGE OF INDIVIDUALS HOSPITALIZED IN OUR, UH, 70 TO 79 AND 80 PLUS AGE GROUPS, BUT UNFORTUNATELY AN INCREASE IN OUR 60 TO 69 AGE GROUPS.

UH, WE HAVE ALSO SEEN DECREASES IN THE PERCENTAGES OF OUR, UH, 20 TO 29 AGE GROUP, WHICH IS THAT YELLOW COLOR IN THE MIDDLE OF THE SLIDE, UM, BUT INCREASES IN OUR 10 TO 19 AGE GROUP, UH, IN THE GRAY LINE TOWARDS THE BOTTOM OF YOUR SLIDE.

I'LL TALK MORE ABOUT THAT ON THE NEXT SLIDE.

UH, SO YOU CAN SEE THAT WE HAVE FURTHER INCREASES IN THE NUMBERS OF INDIVIDUALS HOSPITALIZED WEEK OVER WEEK.

FORTUNATELY, THE RATE OF INCREASE IS DROPPING.

UH, SO, UH, BETWEEN, UH, DECEMBER, THE WEEK OF THAT ENDED DECEMBER 27TH AND THE WEEK THAT ENDED DECEMBER 23RD, UH, THERE WAS A 43% INCREASE IN INDIVIDUALS HOSPITALIZED THAT WE, UH, BETWEEN LAST WEEK AND THE PRIOR WEEK, A 10% INCREASE.

SO THIS IS A GOOD SIGN THAT WE ARE FLATTENING THINGS, BUT OBVIOUSLY, UH, WE ARE STILL ON THE INCREASE.

UH, WE SEE, UH, A RELATIVE PLATEAU AND THE NUMBERS OF INDIVIDUALS

[00:15:01]

WITH A SLIGHT DECREASE IN THE 70 TO 79 AND 80 PLUS AGE GROUPS THAT INCREASE THAT I MENTIONED BEFORE IN THE 60 TO 69 AGE GROUP.

UH, YOU KNOW, UNFORTUNATELY WHEN YOU LOOK AT THE BOTTOM IN THE GRAY, WE'VE DOUBLED OUR INDIVIDUALS IN THE 10 TO 19 AGE GROUP HOSPITALIZED WITH 10 10 OF THEM HOSPITALIZED LAST WEEK.

UH, SO AGAIN, THIS IS A REMINDER THAT THAT YOUNG PEOPLE ARE NOT IMMUNE FROM SEVERE DISEASE.

AS WE SEE DISEASE TRANSMIT IN AN UNCONTROLLED FASHION ACROSS OUR COMMUNITY, WE CAN EXPECT TO SEE MORE AND MORE YOUNG PEOPLE HOSPITALIZED FROM THIS DISEASE.

NEXT SLIDE, PLEASE.

AGAIN, THIS IS A SIMILAR GRAPH, BUT BASED ON RACE ETHNICITY, UH, WE'VE TALKED TO IN THE PAST ABOUT THE GREEN LINE, WHICH IS OUR LATIN X COMMUNITY, AGAIN, RELATIVELY STEADY, UH, LAST WEEK WITH A SLIGHT DECREASE IN THE BLOOM AS OUR WHITE NON-HISPANIC COMMUNITY.

UH, SIMILARLY RELATIVELY FLAT WITH A SLIGHT DECREASING PERCENTAGE.

UH, WE DID SEE A, A SIGNIFICANT INCREASE IN THE GRAY LINE, WHICH IS OUR AFRICAN-AMERICAN COMMUNITY IN TERMS OF THE PERCENTAGE OF, UH, OF THE HOSPITALIZATIONS, UH, LAST WEEK.

NEXT SLIDE, PLEASE.

UH, AGAIN, UH, YOU CAN SEE THE NUMBERS OF INDIVIDUALS HOSPITALIZED IN EACH RACE AND ETHNICITY HERE.

UH, SO SOME INCREASES IN THE NUMBER OF, UH, INDIVIDUALS IN THE, UH, LATIN X COMMUNITY, ONE 85 TO ONE 95, UH, SIMILAR INCREASES IN THE NUMBER IN OUR, UM, WHITE NON HISPANIC GROUP.

UH, BUT THE MOST SIGNIFICANT INCREASE IN OUR AFRICAN-AMERICAN COMMUNITY.

THAT'S, UH, IN THE GRAY BAR.

NEXT SLIDE.

UH, THIS IS AN UPDATE OF OUR POSITIVITY, UH, WEEK OVER WEEK.

UH, THE FIRST WEEK OF JANUARY, WE HAD A 17.9% POSITIVITY RATE.

UH, YOU'LL SEE THAT LAST WEEK SO FAR, UH, THAT POSITIVITY IS 16.6%.

UH, SO I WANT TO EXPLAIN A LITTLE BIT ABOUT WHY IT'S LOWER.

UM, WE ACTUALLY HAD A SIGNIFICANT INCREASE IN THE NUMBER OF CASES DETECTED LAST WEEK, UH, IN THE DATA SET THAT I'M SHOWING YOU HERE.

UH, SO THAT'S, UH, WAS A 17% INCREASE IN THE NUMBER OF CASES DETECTED, BUT WE HAD A DISPROPORTIONATE INCREASE IN THE NUMBER OF TESTS PERFORMED.

SO 29% INCREASE WEEK OVER WEEK, AND THE NUMBER OF TESTS, WHICH DRIVES DOWN THAT POSITIVITY RATE, UH, THIS AT THIS STAGE SHOULD NOT BE THAT REASSURING TO US BECAUSE THE CASES ARE ACTUALLY STILL ON THE RISE.

UH, BUT WE ARE, ARE, ARE DOING A BETTER JOB AT GETTING PEOPLE TESTED, WHICH IS REFLECTED HERE.

WE SAW A SIMILAR, UH, UH, A SIMILAR PATTERN AFTER THANKSGIVING, UH, WHEN WE DROPPED FROM 6.8 TO 5.3%.

UH, BUT AGAIN, UH, WE, WE HAVE TO FOCUS ON THOSE PROTECTIVE ACTIONS TO DECREASE ACTUAL TRANSMISSION OF DISEASE.

NEXT SLIDE, PLEASE.

THIS IS A BREAKDOWN OF THAT POSITIVITY BY RACE AND ETHNICITY.

UH, WE CAN SEE WITH THE EXCEPTION OF OUR NATIVE HAWAIIAN OR PACIFIC ISLANDER, UH, THAT THE OTHER RACES AND ETHNICITIES HAD A DECREASE IN THE PERCENT POSITIVITY, UH, WEEK OVER WEEK, UH, BETWEEN THE FIRST AND SECOND WEEK OF JANUARY.

UH, SO AGAIN, UH, THIS WEEK, OUR LATIN X COMMUNITY CONTINUES TO OUTPACE EVERY OTHER RACE AND ETHNICITY IN TERMS OF POSITIVITY, UH, WHICH IS WHY WE ARE FOCUSING EFFORTS IN PARTICULAR, OUR, OUR VACCINATION EFFORTS NOW, UH, ON, UH, ON OUR COMMUNITIES OF COLOR TO ENSURE THAT WE CAN PROTECT, UH, THOSE COMMUNITIES THAT HAVE BEEN SO DISPROPORTIONATELY IMPACTED, UH, THROUGHOUT THIS PANDEMIC.

NEXT SLIDE, PLEASE.

UH, SIMILAR OUR RACE AND ETHNICITY, UH, GRAPH.

WE'VE SEEN A SLIGHT DECREASE, UH, IN, UH, IN MOST OF OUR, UH, POSITIVITY RATES ACROSS THE AGE GROUPS.

AGAIN, UNFORTUNATELY THIS WEEK WE SEE, UH, SOME PATTERNS.

WE SEE A HIGH POSITIVITY IN OUR SCHOOL AGED CHILDREN, UH, 10 TO 19 AGE GROUP, WHICH I'LL TALK MORE ABOUT, UH, ON THE SUBSEQUENT SLIDES.

UH, WE'RE ALSO SEEING, UH, UH, UNFORTUNATELY HIGH POSITIVE IN THAT 80 PLUS AGE GROUP, WHICH IS GOING TO CONTINUE TO DRIVE THE DEMAND ON OUR HOSPITALS IN ICU.

UH, AND OF COURSE, UH, THE HIGHER THE AGE, THE MORE LIKELY THAT INFECTION IS TO RESULT IN DEATH AS WELL.

SO WE DO EXPECT TO SEE SIGNIFICANT INCREASES IN OUR DEATHS ASSOCIATED WITH COVID-19 IN THIS PATTERN THAT THAT IS SUSTAINED WEEK OVER WEEK.

NEXT SLIDE PLEASE.

SO,

[00:20:01]

OH, CATS AT POSITIVITY IN SCHOOL, AGE, CHILDREN IN TRAVIS COUNTY.

UH, THIS DATA IS FROM THE WEEK OF ONE, TWO TO ONE NINE, UH, YOU KNOW, PRIOR TO, UH, UH, RETURNING TO SCHOOL, I MADE THE RECOMMENDATION THAT MIDDLE SCHOOLS AND HIGH SCHOOLS TRANSITIONED TO VIRTUAL AND I'M THANKFUL FOR, OR, UH, SUPERINTENDENT ELIZONDO DAYS, UH, RECOMMENDATION TO, UH, HER, HER SCHOOL POPULATION TO CHOOSE VIRTUAL THIS WEEK.

UH, BECAUSE THIS IS WHAT WE'RE SAYING.

HIGH SCHOOL, UH, IS EXCEEDING THE COMMUNITY POSITIVITY 20.2% ARE MIDDLE SCHOOL AGE STUDENTS, 27%, WHICH IS A ALL TIME HIGH POSITIVITY FOR MIDDLE SCHOOL STUDENTS, ELEMENTARY SCHOOLS, AGE, 19.8%, UH, IN PRESCHOOL 10%.

UH, SO ALL OF OUR SCHOOL AGE GROUPS ARE OUTPACING, UH, THE COMMUNITY, UH, POSITIVITY RATES, WHICH IS CONCERNING FOR THE ABILITY TO, UH, CONTINUE TO, TO PROTECT STUDENTS IN THE CLASSROOM.

AGAIN, UH, PRIOR TO THE CHRISTMAS BREAK, POSITIVITY WAS, WAS LOWER, CERTAINLY PRIOR TO THANKSGIVING POSITIVE, IT WAS MUCH LOWER AS POSITIVITY INCREASES IN THESE AGE GROUPS, AS WE GET MORE AND MORE CONCERNED ABOUT THE, UH, THE NEW VARIANT, WHICH IS ALMOST CERTAINLY HERE IN A COMPONENT OF THE TRENDS WE'RE SEEING AS THE IN-PERSON SCHOOL NUMBERS INCREASE, IT'S GOING TO BE MORE AND MORE DIFFICULT FOR US TO CONTROL OUTBREAKS AT SCHOOLS.

UH, SO MY RECOMMENDATION, UH, FOR PARENTS ACROSS THIS COMMUNITY IS IF YOU CAN CHOOSE AND VIRTUAL, NOW'S THE TIME TO CHOOSE VIRTUAL SO WE CAN PROTECT OUR SCHOOL INFRASTRUCTURE.

WE CAN PROTECT OUR EDUCATORS AND GIVE, GIVE US AN OPPORTUNITY TO GET MORE PEOPLE VACCINATED, UH, AND DRIVE DOWN THESE NUMBERS PRIOR TO RETURNING TO IN-PERSON SCHOOL.

I DO WANT TO RECOGNIZE THAT, UH, MANY SCHOOLS, UH, PARTICULARLY OUR PRIVATE SCHOOLS, UH, THE DIOCESE OF AUSTIN, UH, HAVE CHOSEN, UH, VIRTUAL OPTIONS, UH, FOR THE FIRST ONE TO TWO WEEKS, UH, HEADING BACK INTO THE SEMESTER, UH, THAT IS HELPFUL.

AND AGAIN, WE'RE HOPEFUL THAT, THAT MORE STUDENTS, MORE PARENTS WILL CHOOSE VIRTUAL EDUCATION, AT LEAST FOR THE SHORT TERM, UNTIL WE IDENTIFY A PEAK AND START TO DRIVE THE NUMBERS DOWN.

NEXT SLIDE, PLEASE.

UH, WE CAN SEE THE IMPACT ON OUR SCHOOLS LAST WEEK, 292 CASES, UH, 102 STUDENTS, 187 STAFF, UH, HAD, UH, REPORTED INFECTIONS LAST WEEK.

WE HAVE SEEN CLUSTERS, UH, PARTICULARLY ASSOCIATED WITH, UH, BASKETBALL, UH, BOTH BOYS AND GIRLS BASKETBALL.

UH, WE HAVE SEEN, UH, CLUSTERS ASSOCIATED WITH, UH, SHARED TRANSPORTATION AND BUSES.

SO AGAIN, WE HAVE TO ID CONTINUE TO IDENTIFY WHERE THE RISK IS.

THE RISK IS EXTRACURRICULAR ACTIVITIES.

THE RISK IS SHARED TRANSPORTATION, EITHER BUSES OR CARPOOLS.

UH, THE RISK IS ALSO THAT COMMUNAL DININGS AND CAFETERIA BASED DINING.

SO WE ENCOURAGE OUR, OUR SCHOOL DISTRICTS TO, UH, MITIGATE RISK AS MUCH AS POSSIBLE IN THOSE SETTINGS IF THEY ARE CONTINUING WITH IN-PERSON OPTIONS.

NEXT SLIDE, PLEASE.

SO AGAIN, THE, THE, THE TOTAL IMPACT ON SCHOOLS IS NOT JUST THE CASES, BUT THE NUMBER OF, OF EXPOSURES THAT THEY NEED TO BE QUARANTINE.

UH, LAST WEEK ALMOST 1500, UH, INDIVIDUALS WERE QUARANTINED AS A RESULT OF CLOSE CONTACTS WITHIN THE SCHOOL SETTING.

UH, SO THAT'S ABOUT 1200 STUDENTS AND 280 STAFF, UH, WHO HAVE, HAVE HAD TO TRANSITION TO, UH, TO VIRTUAL EITHER TO THOSE EXPOSURES.

UM, SO AGAIN, WE'RE, WE'RE GOING TO CONTINUE TO STRUGGLE WITH THIS AS LONG AS WE SEE THAT, THAT POSITIVITY ACROSS OUR COMMUNITY.

UH, SO HIGH, UH, AGAIN, IF WE'RE GOING TO PRIORITIZE SCHOOLS, THAT MEANS THAT EVERY INDIVIDUAL, THIS COMMUNITY HAS TO TAKE APPROPRIATE ACTION TO PROTECT THEMSELVES SO THAT WE CAN KEEP OUR STUDENTS, UH, ABLE TO LEARN AND PROVIDE CONTINUITY OF EDUCATION.

NEXT SLIDE, PLEASE, MAYOR AND COUNCIL.

THIS IS AN UPDATE OF OUR, UH, DASHBOARD FOR OUR NURSING HOMES AND LONG-TERM CARE FACILITIES, 192 POSITIVE CASES IN THE PAST 14 DAYS, ALMOST 400 IN THE PAST 28 DAYS.

AGAIN, UH, WE'RE GOING TO CONTINUE TO STRUGGLE WITH, UH, WITH PROTECTING OUR MOST VULNERABLE IN THE COMMUNITY.

AS LONG AS OUR POSITIVITY IS SO HIGH.

UH, WE ARE GRATEFUL TO, UH, THE, THE FEDERAL GOVERNMENT AND, UH, THE ALLOCATION OF VACCINE FOR OUR NURSING HOME LONG-TERM CARE RESIDENTS AND STAFF.

[00:25:01]

UH, THERE'S STILL QUITE A WAYS TO GO IN TERMS OF VACCINATING THAT COMMUNITY, BUT THE FASTER WE CAN GET THERE, THE BETTER WE CAN PROTECT THESE COMMUNITIES.

AND CERTAINLY, UH, THAN THE, UH, MITIGATE THE IMPACT ON OUR HOSPITALS AS A SIGNIFICANT PORTION OF THESE INDIVIDUALS WHO DO GET COVID-19 WILL BE HOSPITALIZED OR REQUIRE ICU CARE.

NEXT SLIDE, PLEASE.

I WANT TO UPDATE YOU ON OUR REGIONAL INFUSION CENTER.

UH, SO WE ARE GRATEFUL, UH, FOR THE PARTNERSHIP, UH, WITH THE STATE, UH, AND APPRECIATE GOVERNOR ABBOTT, CHIEF KID, UH, UH, FOR PROVIDING THIS, UH, REGIONAL INFUSION CENTER RESOURCE.

UH, SO THE TEXT DIVISION OF EMERGENCY MANAGEMENT OPEN THE CENTER ON THE 6TH OF JANUARY, SINCE THEN 93 PATIENTS HAVE BEEN TREATED WITH MONOCLONAL ANTIBODIES.

AGAIN, THIS IS A THERAPY WHICH HELPS TO DECREASE THE RISK OF HOSPITALIZATION FOR THOSE WHO ARE AT THE HIGHEST RISK FOR COMPLICATIONS IN SEVERE DISEASE.

UH, WE HAVE A CURRENT CAPACITY AT THAT SITE OF 26 INFUSIONS A DAY, BUT, UH, TDM IS WORKING TO BUILD THAT CAPACITY UP TO 75 A DAY.

AND THIS IS, UH, I JUST WANT TO RECOGNIZE OUR, OUR PARTNERS AT ASCENSION SETON ST DAVID'S AND BAYLOR SCOTT AND WHITE.

THEY HAVE COME TOGETHER.

THEY HAVE PROVIDED THEIR ALLOCATIONS OF, UH, MONOCLONAL ANTIBODY THERAPY TO THIS REGIONAL ABUSING CENTER.

THEY ARE WORKING CLOSELY WITH, UH, WITH US AT APH AND, UH, AND TDM TO ENSURE THAT WE HAVE A PROCESS WHICH WILL PROVIDE A STEADY FLOW OF A MONOCLONAL ANTIBODY TO THOSE WHO NEED IT.

UH, THERE'S A COMBINATION OF PHYSICIAN REFERRAL.

THERE'S ALSO REFERRAL DIRECTLY FROM APH IN COMMUNITY CARE TO ENSURE THAT, UH, THOSE FOLKS WHO, UH, DON'T HAVE REGULAR HEALTHCARE HAVE AN OPPORTUNITY TO, UH, TO SCHEDULE AND BE TREATED.

SO I ENCOURAGE FOLKS WHO ARE POSITIVE, UH, IF THEY ARE CONTACTED BY COMMUNITY CARE BY AUSTIN PUBLIC HEALTH AND OFFERED, UH, THIS IS A GREAT OPTION TO HELP DECREASE THE RISK OF SEVERE DISEASE, UH, AND CERTAINLY IS EVIDENCE-BASED THERAPY THAT MAY BE VERY HELPFUL IN, UH, IN THAT IT IS, IS FREE OF CHARGE.

NEXT SLIDE, PLEASE.

I ALSO WANTED TO UPDATE, UH, THE PROCESS ON OUR AUSTIN, TEXAS COUNTY ALTERNATE CARE SITE.

UH, SO, UH, AT THE END OF LAST WEEK, UH, TDM APPROVED AND HAS PROVIDED THE INITIAL STAFFING OF THE SITE THROUGH PRIVATE CONTRACTORS.

AND AS OF THIS MORNING, IT IS OPEN FOR BUSINESS.

UH, IT IS ABLE TO RECEIVE PATIENTS AND AGAIN, THEY'RE RENTOKIL TO THE STATE, UH, ENTITY DOWN FOR EXPEDITING THOSE CONTRACTS AND GETTING THE STAFF IN AND PLATES, UH, PATIENTS WILL BE REFERRED HERE DIRECTLY FROM HOSPITALS.

UH, THIS IS NOT A SITE WHERE INDIVIDUALS CAN SHOW UP AND RECEIVE CARE FOR COVID-19, UH, FOR THAT THEY NEED TO GO THROUGH THEIR REGULAR, UH, PHYSICIAN'S OFFICE, URGENT CARE EMERGENCY ROOM.

UH, ONCE INDIVIDUALS ARE STABILIZED IN THE HOSPITAL AND IT'S CLEAR THAT THEY ARE IMPROVING, THIS IS A PLACE WHERE THEY CAN BE TRANSFERRED TO CONVALESCE, UH, FOR THE LAST ON AVERAGE, UH, YOU KNOW, SEVEN DAYS SO THAT WE CAN DECOMPRESS SOME OF THE STRESS ON THE HOSPITALS, UH, WHICH WILL, WILL FURTHER INCREASE THEIR ABILITY TO HANDLE THE MORE ACUTE PATIENTS.

SO RIGHT NOW, THIS IS DESIGNED FOR LOW ACUITY PATIENTS.

AS THE INFRASTRUCTURE BUILDS, THEY WILL BE ABLE TO TAKE, UH, MODERATE ACUITY PATIENTS OF INDIVIDUALS WHO NEED A LITTLE BIT MORE THERAPY.

UH, BUT WE ARE, WE ARE GRATEFUL FOR THAT PARTNERSHIP, UH, CURRENTLY IN A STAFF TO CARE FOR 25 INDIVIDUALS WITH PLANS TO RAMP UP FROM THERE IN THE CURRENT SPACE AT THE CONVENTION CENTER, IT CAN EXPAND TO, UH, CARE FOR 250 INDIVIDUALS, UH, IN THE CURRENT FOOTPRINT.

UH, WE DO HAVE THE ABILITY TO EXPAND TO ALMOST A THOUSAND IF WE NEEDED, BUT I WANT TO BE VERY CLEAR.

OUR HOPE IS THAT WE NEVER SEE A PATIENT IN THIS SITE, AND THAT WILL INDICATE THAT WE AS A COMMUNITY HAVE DRIVEN DOWN THE POSITIVITY ENOUGH, UH, TO DECOMPRESS OUR HOSPITALS.

UH, BUT UNFORTUNATELY AT THIS STAGE, OUR EXPECTATION IS THAT WE WILL RECEIVE PATIENTS.

UM, THE ONE SAY THAT THE, THE GROUP THAT IS STAFFING THIS, THE POSITIONS, UH, AND OTHER SUPPORT STAFF ALSO STAFFED THE, UH, ALTERNATE CARE SITE IN EL PASO AND ORIGIN.

SO THEY ARE EXPERIENCED WITH COVID-19 AND THE ALTERNATE CARE SITES SETTING, UH, WHICH WOULD BE A GREAT BENEFIT TO US IN AUSTIN AND TRAVIS COUNTY.

NEXT SLIDE, PLEASE.

SO AGAIN, MAYOR AND COUNCIL, WE REMAIN AT STAGE FIVE, UH, WHICH MEANS WE ALL NEED TO STAY HOME.

IF WE CAN WORK FROM HOME, IF WE CAN

[00:30:01]

EDUCATE FROM HOME, IF WE CAN, UH, THE MORE WE EMBRACE THIS CONCEPT, UH, THE MORE LIKELY WE ARE TO DRIVE DOWN THOSE CASES AND, UH, AND PUT OUR HOSPITALS IN A BETTER SITUATION AND ULTIMATELY SAVE LIVES.

NEXT SLIDE, PLEASE, FOR THOSE LIKE ME WHO HAVE SMALL, UH, TROUBLE WITH THE SMALL FRIENDS, UH, THAT THE STAGE FIVE, AGAIN, NO GATHERINGS WITH ANYBODY OUTSIDE OF YOUR HOUSEHOLD, UH, DINING AND SHOPPING SHOULD BE LIMITED TO THE CENTRAL TRIPS AND PREFERABLY TAKEAWAY AND DELIVERY, OR DRIVE-THRU ONLY NON ESSENTIAL TRAVEL SHOULD BE AVOIDED.

AND AGAIN, BUSINESSES ARE OTHER CAPABLE THROUGH THE GOVERNOR'S ORDER, 30 OF BEING OPEN TO 50%.

WE STRONGLY ENCOURAGE THEM TO TRANSITION TO DRIVE THROUGH CURBSIDE OR DELIVERY ONLY.

AND WITH THAT, I WILL TRANSITION OVER TO DIRECTOR HAITI TO SPEAK ON VACCINES.

THANK YOU.

UM, DR.

S SCOTT, UM, IF YOU COULD TRANSITION TO THE NEXT SLIDE, THAT WILL BE HELPFUL.

UM, SO I'M GONNA SPEND SOME TIME, UM, TO PROVIDE, UH, THE VACCINE UPDATE.

UM, I THINK IT IS ALSO GOING TO BE IMPORTANT FOR US TO, UM, ALSO COVER, UM, SOME OF THE OTHER INFORMATION AS WELL WITHIN THIS VACCINE UPDATE.

UM, SO I WILL PROVIDE SOME INFORMATION ON, UM, WHAT'S HAPPENING WITH OUR, UM, OUR SCHOOLS, UM, OUR LONGTERM CARE, UM, AS WELL AS, UM, OUR HOMELESS POPULATION.

NEXT SLIDE PLEASE.

SO THIS IS A, UM, COMMUNITY VACCINATION STRATEGY.

AND SO THIS IS, UM, WE, WE SENT OUT THE PLAN, UH, LAST WEEK AND, UM, THIS WAS IN THE PLAN.

THAT PLAN IS A DRAFT PLAN.

UM, WE ARE SEEKING FEEDBACK FROM THE PUBLIC.

WE WILL BE HOSTING TWO COMMUNITY MEETINGS THIS WEEK, UM, ON THE 13TH AND 14TH.

UM, AND SO YOU SHOULD HAVE RECEIVED INFORMATION ABOUT THAT THROUGH A RELEASE YESTERDAY.

AND SO WITH THIS PLAN, THE GOAL IS, IS THAT WE DEFINITELY WANT TO MAKE SURE THAT WE SECURE THE HEALTH INFRASTRUCTURE, UM, AND BE ABLE TO PROTECT THOSE, UM, WHO MAY END UP, UM, UM, HAVING, UM, SEVERE ILLNESS, UM, INCLUDING DEATHS.

AND SO, UM, OUR FOCUS AS CAN SEE IN THE MIDDLE OF THIS DOCUMENT IS, IS THAT WE WANT TO FOCUS ON THE HARDEST TICKS COMMUNITIES, DEFINITELY FOCUSING ON COMMUNITIES OF COLOR LOW-INCOME AND OLDER ADULTS.

UM, ONE OF THE THINGS I'D LIKE TO SHARE IS, IS WHAT OUR LONG-TERM CARE FACILITIES.

UM, THEY ARE WORKING DIRECTLY WITH, UM, CVS AND WALGREENS.

UM, AS OF THE NIGHTS OF THIS MONTH, 42 FACILITIES, UM, HAVE RECEIVED THEIR, UM, VACCINES.

AND SO CVS AND WALGREENS WILL PROVIDE THEIR FIRST IN THEIR, UM, AND THEIR BOOSTER, UM, VACCINE DOSE.

AND SO 7,000 RESIDENTS, UM, HAVE RECEIVED THAT VACCINE IN OUR COMMUNITY.

AND SO, UM, CVS AND WALGREENS WILL CONTINUE TO PROVIDE THAT SERVICE.

AND SO AS NEW STAFF AND RESIDENTS, UM, ARE IN THOSE FACILITIES, UM, THEY'RE GOING TO GO BACK AND PROVIDE THE, THE FIRST AND THE SECOND DOSE TO THEM.

AND SO AS A, AS A COMMUNITY, UM, WE HAVE TO EMPHASIZE, UM, THE BEST WAY FOR US TO, UM, MAKING SURE THAT OUR LONG-TERM CARE FACILITIES, OUR HEALTHCARE INFRASTRUCTURE, WHICH ARE ALL OF OUR ONE A'S, UM, ARE DEFINITELY, UM, COVERED DURING THIS PROCESS WITH OUR VACCINES.

UM, THEN WE WANT TO MAKE SURE TO ADDRESS FOLKS THAT, UM, ARE SEVERELY ILL, UM, AND MAY HAVE DIED BECAUSE OF IT.

NEXT SLIDE.

WE, WE KNOW THAT IT IS IMPORTANT FOR US TO ADDRESS THE EQUITY GAPS, UM, IN THE VACCINE ADMINISTRATION.

UM, I'M SURE THAT MOST OF YOU HAVE SEEN OR READ INFORMATION ABOUT WHERE THE PROVIDERS ARE, UM, ARE IN AUSTIN AND TRAVIS COUNTY.

UM, AS I SHARED WITH YOU IN THE MEMO, AUSTIN, PUBLIC HEALTH IS NOT A DISTRIBUTOR.

WE DO NOT ENROLL INDIVIDUALS, UM, TO, TO PROVIDE THE VACCINE TO THEIR POPULATIONS.

WE ARE A PROVIDER.

AND SO KNOWING THAT WE ARE A PROVIDER

[00:35:01]

AND WE ARE LOOKING AT THE DATA OF WHERE THE LOCATIONS ARE, UM, WHERE THE, UM, WHERE THE PROVIDERS ARE, WE HAVE TO BE ABLE TO FILL IN THE GAPS.

AND SO, AS WE ARE WORKING TO MAKE SURE THAT WE FILL IN THE GAPS, UM, OUR FOCUS WILL BE ON POPULATIONS THAT ARE DISPROPORTIONATELY AFFECTED BY SEVERE DISEASE AND DEATH, UM, WHICH WILL INCLUDE OUR POPULATIONS OF COLOR, THOSE LIVING IN POVERTY.

UM, THOSE LIVING IN AREAS WHERE THE DISEASE TRANSMISSION IS THE HIGHEST.

AND WE ARE DEFINITELY LOOKING AT AREAS WHERE THERE IS NOT, UM, A LOT OF TRANSPORTATION ACCESS.

UM, IT'S IMPORTANT FOR US, YOU KNOW, WE'RE, WE'RE, WE'RE EXCITED ABOUT THE BOND.

UM, BUT WE KNOW THAT FOR US TO BE ABLE TO, UM, MAKE SURE THAT WE ARE COVERING THE AREAS WHERE PEOPLE NEEDED TO MOST, WE HAVE TO BE ABLE TO CONSIDER TRANSPORTATION IN THE PROCESS.

UM, OUR, OUR GOAL AS WE CONTINUE TO STAND UP SITES, UM, IT STARTING WITH A LARGE SCALE, UM, DISTRIBUTION SITE, UM, WHICH HAS THE ABILITY TO PROVIDE SEVERAL VACCINES A DAY AND THEN, UM, ALSO HAVE SMALLER, UM, PROVIDERS IN AREAS.

AND SO THOSE AREAS THAT THE CITY IS FOCUSING ON IS GOING TO BE THE EASTERN CRESCENT.

UM, AND SO KIND OF LOOKING AT, UM, CITY OF AUSTIN AND TRAVIS COUNTY, UM, YOU KNOW, FOR, FROM THE SOUTHEAST, UM, YOU KNOW, TO THE NORTHEAST SIDE OF THE CITY AND COUNTY, WE DEFINITELY WANT TO COORDINATE OUR VACCINE, UM, ADMINISTRATORS WITH OTHERS, BECAUSE WE KNOW THAT, YOU KNOW, WE ARE, UM, A SAFETY NET.

SO AS MOST OF YOU MAY RECALL WITH THE, WITH THE VACCINES, WITH THE, WITH THE TESTING, UM, WE LOOKED AT AREAS WHERE, UM, THAT FIT THE SAME FOOTPRINT, UM, WHERE WE WERE SEEING, UM, AN INCREASE IN THE MOUNTAIN WITH THE HIGHEST, UM, DISEASE TRANSMISSION WAS THE HIGHEST.

AND SO THAT'S WHERE WE LOOK TO HAVE OUR SITES, UH, WHERE FOLKS WILL HAVE, UM, A LOCATION IN THEIR COMMUNITY THAT THEY CAN EASILY ACCESS THOSE.

AND SO, UM, AS WE ARE, ARE MEETING WITH PARTNERS AND HAVING CONVERSATIONS, UH, WE'RE DEFINITELY RECEIVING, UM, FEEDBACK, UM, FROM OUR COMMUNITY PARTNERS ABOUT HOW WE CAN DEFINITELY, UM, HAVE LOCATIONS AND WORKING WITH PARTNERS TO MAXIMIZE OUR EFFORTS.

NEXT SLIDE, PLEASE.

UM, AS YOU, UM, ARE AWARE OF, UM, WE INITIALLY THROUGH OUR PUBLIC SAFETY AND WELLNESS RECEIVED 1300 DOSES INITIALLY.

UM, AND SO THOSE WERE ONE AMS AFD, UM, AND THEN APD AND THEN APH, UM, RECEIVED OUR, UM, 1300 DOSES.

AND SO, UM, BASICALLY WHAT WE'VE BEEN ABLE TO DO, UM, WITH, WITH ALL OF THOSE DOSES IS, IS WE FOCUSED ON ONE A, UM, BUT WE ALSO, UM, WERE ALERTED THAT THERE WAS ONE LONG-TERM CARE FACILITY.

AND SO WE HAVE PARTNERED WITH THEM TO BE ABLE TO, UH, MAKE SURE THAT THEY WERE COVERED WITH VACCINES, INCLUDING THE RESIDENTS AND THE STAFF.

AND SO, UM, ON YESTERDAY MORNING AT 10:00 AM, UM, THE DEPARTMENT DID RECEIVE, UM, 12,000 DOSES OF VACCINE.

WE ARE OPERATING, UM, THREE, UM, MONDAY, TUESDAY, WEDNESDAY, THESE ARE CLOSED, UM, PARTS WE ARE COMPLETING WITH, UM, ONE A DURING THIS TIME, BUT WE ARE ALSO, UM, PARTNERING, UM, WITH COMMUNITY CARE PEOPLE'S, UM, CLINIC AND LONE STAR CIRCLE OF CARE.

UH, BECAUSE OUR GOAL IS, IS THAT WE KNOW THAT, UM, IN THESE POPULATIONS, THIS IS WHERE THE SAFETY NET, WHERE MOST FOLKS GO THAT ARE UNINSURED AND UNDERINSURED.

AND SO OUR FOCUS FOR THOSE THREE DAYS, UM, MONDAY, TUESDAY, AND WEDNESDAY, UM, INCLUDING THE ONE A, AND WE'LL CONTINUE TO PROVIDE THAT SERVICE.

IT IS AN APPOINTMENT ONLY PROCESS.

AND SO, UM, IF, IF FOLKS, YOU KNOW, LACK, UM, ACCESS TO THE INTERNET, UM, WE ASK THEM JUST TO, YOU KNOW, REACH OUT TO THREE, ONE, ONE, AND THEN WE WILL GET THEM CONNECTED SO WE CAN SCHEDULE HIM FOR AN APPOINTMENT ON TOMORROW.

UM, OUR PORTAL WILL BE LIVE FOR THE PUBLIC.

AND SO,

[00:40:01]

UM, WE WILL CONTINUE TO, UM, COMPLETE THE REST OF THIS 12,000 VACCINE.

UM, AND WE'RE JUST LETTING EVERYONE KNOW, WE KNOW WE DO NOT HAVE ENOUGH VACCINES, UM, BUT WE'RE JUST ASKING PEOPLE TO BE PATIENT WITH US THROUGH THIS PROCESS.

UM, THE PORTAL WILL BE, UM, LIVE TOMORROW AND SO THEY CAN GO IN AND THEY CAN REGISTER.

UM, IT WILL BE THE SAME AS THEY HAVE FOR TESTING.

THEY WILL GO TO OUR SITES.

UM, THEY WOULD, UM, REGISTER ON THAT SITE.

UM, AND THEN FROM THERE, THEY WILL RECEIVE, UM, A CONFIRMATION EMAIL FROM OUR SYSTEM.

AND SO THE DEPARTMENT, UH, MAKE THE DECISION TO GO WITH SALESFORCE.

WE HAVE ALREADY BEEN WORKING WITH SALESFORCE DURING THIS TIME THROUGHOUT THIS PANDEMIC.

AND SO WE ONLY WANTED TO USE, UM, ONE SYSTEM.

AND SO EVERYONE THAT GOES INTO THAT SYSTEM TOMORROW, THAT WILL BE A PART OF OUR SALES FORCE ACCESS.

UM, AND THEN ALSO, AGAIN, JUST AS A REMINDER FOR FOLKS THAT DON'T HAVE THAT ACCESS, WE, YOU KNOW, WE'RE ASKING YOU TO CALL THREE, ONE, ONE, AND OUR STAFF WILL WORK WITH YOU.

ONE OF THE OTHER THINGS THAT WE ARE, UM, YOU KNOW, REALLY EMPHASIZING TO LARGER EMPLOYERS, IF THEY CAN CONNECT WITH THEIR, UM, WELLNESS PARTNER, UM, UH, A LOT OF LARGE EMPLOYERS, FOR EXAMPLE, LIKE THE CITY OF AUSTIN, AND WE HAVE PARTNERED WITH RANDALL'S AND THE PROC IN THE PAST, UM, TO PROVIDE OUR FLU VACCINES AND WE ARE ENCOURAGING OTHER LARGE PROVIDERS, UM, TO DEFINITELY REACH OUT AND TALK WITH THEM ABOUT THAT BEING, UM, A PROCESS FOR YOU, UM, WITH YOUR EMPLOYEES, UM, THROUGH YOUR INSURANCE.

AND SO, UM, I JUST WANTED TO EMPHASIZE THAT AS WELL TODAY.

NEXT SLIDE.

UM, ONE OF THE THINGS THAT WE HAVE START HAVING SOME DISCUSSIONS ABOUT, UM, DEFINITELY WANTING TO HAVE MORE DISCUSSIONS ABOUT IT IS, UM, IS THAT, UM, DISHES WOULD LIKE TO HAVE A REGIONAL HUB AND SPOKE, UM, UM, PROCESS WHERE, UM, PARTNERS WILL BE WILLING TO, UM, HAVE THE, THE, THE, THE HUB AND BE ABLE TO HAVE, UM, KIND OF SPOKE LOCATIONS.

SO WHETHER YOU HAVE SMALLER LOCATIONS, YOU'RE WORKING ACROSS YOUR REGION, UM, YOU KNOW, WITH NEIGHBORING COUNTIES.

AND SO WE HAVE BEGAN THOSE CONVERSATIONS ABOUT WHAT THAT COULD POTENTIALLY LOOK LIKE FOR, UM, FOR OUR COMMUNITY, AS WELL AS OUR NEIGHBORING COMMUNITIES.

AND SO WE WILL PROVIDE MORE INFORMATION ABOUT THAT.

WE REACHED OUT TO CAP COD, AND SO, UM, THEY ARE GOING TO, UM, ASSIST US, UM, TO BRING SOME PEOPLE TOGETHER TO HAVE THOSE CONVERSATIONS.

AND SO AS THIS INITIAL PILOT, UM, MOVES FORWARD, UM, OUR GOAL IS, IS TO, UM, PROVIDE ALL THE VACCINE OUT THIS WEEK.

UM, AND THEN OUR HOPE IS, IS THAT, UM, WE CAN RECEIVE, UM, CONFIRMATION THAT WE WILL BE ABLE TO DEPEND ON, UM, AT LEAST BETWEEN 2000 TO 10,000 DOSES OF A VACCINE TO BE MOVING BETWEEN US AND OUR PARTNERS, UM, HERE IN TRAVIS COUNTY, BUT THEN, UM, POTENTIALLY ACROSS THE REGION.

UM, THE OTHER THING, THIS IS MY LAST SLIDE FOR THAT.

UM, BUT I DID WANT TO JUST KIND OF REMIND FOLKS, UM, THAT FOR THE HOMELESS POPULATION, UM, WE ARE CONTINUING TO, UM, WORK WITH OUR PROTECTIVE LODGES.

UM, OUR STAFF, UM, HAVE, UM, TRANSITIONED 131 PEOPLE HAVE BEEN HOUSED FROM OUR PROTECTIVE LODGES.

UM, 62 OF THOSE HAPPEN IN THE MONTH OF DECEMBER, WE ARE CONTINUING WITH OUR MEALS, WE'VE PROVIDED OVER 70,000 MEALS AND WE'RE CONTINUING, UM, WITH OUR MOBILE SHOWERS, UM, WITH OUR LONG-TERM CARE FACILITY, AS DR.

S SCOTT SHARED WITH YOU.

UM, WE ARE CONTINUING TO SEE AN INCREASE IN CASES IN LONG-TERM CARE FACILITIES.

AND SO, UM, OUR INCIDENT COMMAND TEAM HAS SENT OUT A STRIKE TEAM, UM, TO WORK, UM, IN ONE OF THE LOCATIONS WE'RE CONTINUING TO PROVIDE TESTING AT THOSE SITES.

UM, AND WE ARE RECOMMENDING THAT THAT TESTING HAPPENS EVERY THREE TO SEVEN DAYS,

[00:45:01]

UM, IN THOSE FACILITIES.

AND SO, UM, I JUST WANTED TO REMIND FOLKS THAT ALL OF THOSE EFFORTS IN THE LONG-TERM CARE FACILITIES ARE CONTINUING.

ONE OF THE OTHER THINGS, UM, ON WANTED TO ALSO SHARE IS, IS THAT WE HAVE, UM, FOR, UH, POST ACUTE CARE, UM, ISOLATION FACILITIES, UM, FOR LONG-TERM CARE RESIDENTS.

AND SO THAT REALLY WORKS WELL WITH THE FACILITIES BECAUSE, UM, THEY'RE ABLE TO, UM, USE THAT ISOLATION FACILITY AS THEY NEED IT.

AND SO AT THAT TIME, UM, I'M GOING TO CLOSE MY REPORT, UM, AND I'M AVAILABLE FOR QUESTIONS.

THANK YOU VERY MUCH.

THANK YOU, DIRECTOR HAYDEN.

I'LL TURN IT BACK TO THE MAYOR FOR OPENING UP FOR QUESTIONS.

THANK YOU.

MA'AM UH, AND, AND, AND AGAIN, THANKS FOR THIS WORK.

UH, IF YOU NEED ANYTHING OR SUPPORT THAT, MAKE SURE THE VACCINATIONS GET OUT, PLEASE MAKE SURE THAT YOU ASK.

AND, UH, OBVIOUSLY THAT'S, THAT'S REAL IMPORTANT, UH, THAT WE, THAT WE GET THAT DONE AGAIN, THANKS TO THE STATE FOR THREE THINGS THIS WEEK, UH, THE ALLOCATION, UH, NUMBERS THAT, UH, HOPEFULLY WE CAN THEN GET OUT.

THE SECOND IS THAT, UH, UH, INFUSION CENTER THAT WAS STOOD UP, UH, THE FIRST WEEK IN JANUARY, JUST TO REITERATE THAT'S THE TREATMENT THAT THE PRESIDENT GOT, UH, AND IT'S AVAILABLE IN OUR COMMUNITY, UH, FOR FREE, UH, FOR PEOPLE THAT QUALIFY FOR THAT.

UH, WE'VE STOOD UP THE INFUSION CENTER ON THE EAST SIDE OF TOWN, UH, TO MAKE IT, UH, AVAILABLE.

AND THERE'S GOING TO BE ADDITIONAL CAPACITY FROM THE INFUSION CENTER IN THE ALTERNATE CARE SITES, UH, AS WELL, UH, AND IN THAT REGARD ARE PROBABLY DELIVERING AND GETTING OUT AND HAVE GREATER CAPACITY FOR THAT THERAPEUTIC THEN THAN ANYBODY ELSE DOES IN TEXAS BECAUSE OF THE COOPERATION OF OUR SYSTEMS, HOSPITAL SYSTEMS WITH THE STANDING UP OF THOSE CENTERS.

SO THANK YOU TO THE THREE HOSPITAL SYSTEMS ON THAT.

UH, AND THEN, UH, THE LAST THING THAT, UH, UH, WE THANK THE STATE FOR THIS WEEK IS THE STAFFING NOT ONLY FOR THE INFUSION CENTER, BUT ALSO FOR THE ALTERNATE CARE SITE, UH, WHICH IS BEING STOOD UP WITH, UH, UH, STAFFING FROM THE STATE, WHICH WAS CRITICAL BECAUSE IF WE HAD TO STAFF IT OURSELVES, UH, THEN WE WILL, WE WOULD BE TAKING STAFFING FROM HOSPITALS OR LOCAL STAFFING.

IT WAS OTHERWISE AVAILABLE TO HOSPITALS, ALL WITH RESPECT TO THEIR SURGEONS, UH, UH, UH, IN THE HOSPITALS, I HAVE THREE QUICK QUESTIONS, AND THEN I'M GOING TO TURN IT OVER TO, UH, TO, TO COLLEAGUES.

UM, TELL ME, UM, UH, DIRECTOR HAYDEN, WHAT ARE WE DOING IN THE CITY, UH, WITH RESPECT TO COMMUNICATIONS OR CAMPAIGNS REGARDING VACCINE CONFIDENCE? WE HAVE, WE JUST RECENTLY CLOSED A MINI GRANT, UM, PROCESS, UM, THAT WE ARE GOING TO HAVE, UM, CONTRACTORS THAT ARE GOING TO BE WORKING WITH US TO, UM, ONE ADDRESS, ANY HESITANCY THAT FOLKS MAY HAVE TO PROVIDE THE EDUCATION TO THEM.

UM, THESE ARE, UM, UH, GRASSROOTS ORGANIZATIONS THAT WE'LL BE ABLE TO WORK WITH FOLKS IN TARGETED ZIP CODES, UM, TO REALLY, UM, WORK VERY CLOSELY WITH THEM.

IN ADDITION TO THAT, UM, YOU KNOW, WE ARE UNDERSTANDING THAT THERE, THERE IS ALSO SOME HESITANCY IN LONG-TERM CARE FACILITIES.

UM, AND SO, UH, OUR STAFF HAVE GOT TOGETHER, UM, TO, UH, PROVIDE A VIDEO THAT WE HAVE SHARED WITH OUR LONG-TERM CARE FACILITIES AS WELL.

UM, AND THEN LASTLY, UM, WE HAVE A COUPLE OF, OF, OF PARTNERS THAT, THAT WE HAVE BEEN REACHING OUT TO AND MEETING REGULARLY WITH, UM, TO BE ABLE TO PROVIDE US FEEDBACK INTO, UM, POTENTIAL AREAS OF WHERE, UM, WE MAY WANT TO ALSO CONSIDER, UM, HARD TO, HARD TO REACH, UM, INDIVIDUALS OKAY.

WITH RESPECT TO, UH, THE, THE, THE SITE UP THIS WEEK, UH, YOU KNOW, HERE TO FOUR, IT'S BEEN REAL DIFFICULT TO SIGN UP FOR THE VACCINE, UH, BECAUSE YOU HAD TO DO IT TO INDIVIDUAL PROVIDERS AND THE VACCINE.

SO WE HAD PEOPLE THAT WERE TRYING TO SIGN UP, UH, ON AN HCP SITE, ON A CVS SITE, ON A CLINIC SITE, UH, AND, AND FRUSTRATING FOR THEM.

AND, AND WITH A LACK OF ACTUAL SUPPLY, FRUSTRATING ON LOTS OF LEVELS, BUT YOU'RE STANDING UP A SITE THIS WEEK WHERE PEOPLE CAN GO IN AND SIGN UP THE SAME WAY THEY SIGN UP FOR TESTING THROUGH, UH, THROUGH APH THAT SAME DASHBOARD, WELL, THAT SITE LASTS BEYOND THIS WEEK, UH, AND THE 12,000

[00:50:01]

IT WILL.

AND, AND IS IT POSSIBLE THAT, THAT, THAT, THAT SITE, AS IT EVOLVES, AND AS IT AS, UH, WORKS OUT CAN BE MORE OF A CENTRAL SOURCE FOR PEOPLE TO GO TO, TO SIGN UP FOR VACCINES, UH, ADMINISTRATION IN, IN MULTIPLE PLACES, MULTIPLE PROVIDERS AROUND THE CITY.

SO IS A PART OF THE CONVERSATIONS THAT WE ARE HAVING.

HMM.

IF THE OTHER PROVIDERS OUTSIDE OF THE CITY OF AUSTIN, TRAVIS COUNTY, UM, YOU KNOW, RIGHT NOW WE HAVE PARTNERS THAT HAD ALREADY, UM, BEEN A PART OF SALESFORCE AND WILLIAMSON COUNTY AND BASTROP COUNTY.

AND SO, UM, THE GOAL WOULD BE IS, IS THAT WE WOULD WANT THE OTHER COUNTIES TO BE COME A PART OF, UM, THAT SYSTEM THIS WAY.

I THINK ONE OF THE OTHER THINGS, UM, THAT WE ARE ALSO HAVING DISCUSSIONS ABOUT IS, UM, A REGIONAL HUB WHERE WE'RE FOLKS CAN REALLY SEE, YOU KNOW, THIS IS A PLACE WHERE I CAN SIGN UP, BUT THEN THESE ARE ALSO, UM, OTHER LOCATIONS, IF I DECIDE, I DON'T WANT TO GO TO, YOU KNOW, COMING IN THROUGH THE CITIES, UM, CITY COUNTY, REGIONAL HUB, BUT IT WILL PROVIDE THAT INFORMATION AS WELL.

OKAY.

THE DEGREE TO WHICH WE CAN CENTRALIZE THAT SO THAT PEOPLE DON'T HAVE TO GO TO MULTIPLE PLACES, BUT GO TO ONE PLACE AND STILL BE ABLE TO ACCESS THE VACCINE IN MULTIPLE PLACES WHERE THEIR FIRST OPPORTUNITY ARISES, I THINK WILL BE REAL IMPORTANT, ESPECIALLY AS WE'RE TRYING TO GET THIS VACCINE OUT TO HUNDREDS OF THOUSANDS OF PEOPLE, UH, OVER, OVER TIME.

SO THANKS FOR YOUR WORK ON THAT.

AND THEN THE LAST QUESTION I HAVE RELATES TO DASHBOARD, UH, UH, HOW DO WE GET, UM, UH, TRANSPARENT INFORMATION OUT TO THE COMMUNITY ABOUT THE NUMBER OF PEOPLE THAT ARE BE GETTING THE VACCINE, WHO'S GETTING THE VACCINE, THE DEMOGRAPHIC INFORMATION ASSOCIATED WITH THE PEOPLE GETTING THE VACCINE.

DO WE CONTROL THAT INFORMATION? UH, IS THERE A WAY FOR US TO MAKE THAT INFORMATION AVAILABLE? WELL, WE WILL BE ABLE TO PROVIDE RIGHT NOW IS WHAT AUSTIN COVID SKELETONS DO.

UM, WE CANNOT GO BEYOND THAT.

UM, THE STATE OF TEXAS HAS, UM, A DASHBOARD, UM, YOU KNOW, THAT THEY ARE WORKING ON TO STAND UP.

AND SO, UM, WHAT WE WILL BE ABLE TO INITIALLY BE ABLE TO PROVIDE IS, IS WHAT AUSTIN PUBLIC HEALTH IS DOING.

UM, FOR EXAMPLE, YESTERDAY, WE WERE ABLE TO PROVIDE 850 VACCINES OF YESTERDAY AT THAT LOCATION.

AND SO OUR STAFF ARE GOING TO COMPILE A REPORT, UM, THAT WE WILL BE ABLE TO SHARE, AND THEN WE WILL POST IT, UM, ON OUR WEBSITE, WHICH WILL SHOW THE, UM, UH, THE NUMBER OF VACCINES WE'VE PROVIDED.

AND IT WILL INCLUDE THE, UM, THE DEMOGRAPHIC DATA.

AND SO AS MORE INFORMATION BECOMES AVAILABLE, UM, AS WE CONTINUE TO WORK WITH OUR PARTNERS, UM, TO BE ABLE TO, UM, HAVE THEM TO, UM, UM, SHARE THAT INFORMATION AS WELL, THEN THE DASHBOARD WILL GROW.

BUT INITIALLY, UM, THAT INFORMATION WILL BE AWESOME.

PUBLIC HEALTH ONLY.

THANK YOU, COLLEAGUES.

I THINK PAIGE WHO HAD HER HAND RAISED, I DID THANK YOU, MAYOR.

I HAVE FOR DR.

SCOTT AND DIRECTOR HAYDEN, BUT I'LL START WITH DR.

SCOTT, SINCE I KNOW HE MAY HAVE TO, UH, LEAVE THE MEETING A LITTLE SOONER ALTERNATE CARE SITE.

CAN YOU TALK A LITTLE BIT MORE ABOUT THAT? IS IT GOING TO BE PEOPLE WHO HAVE RECOVERED OR MOSTLY RECOVERED? UM, THIS IS NOT A WALK UP AND GET AN ASSESSMENT TYPE OF FACILITY AT THIS POINT, RIGHT? THAT'S CORRECT.

COUNCIL MEMBERS.

THIS IS FOR INDIVIDUALS WHO HAVE BEEN SEEN IN THE HOSPITAL HAVE BEEN STABILIZED AND WHO ARE IN THE PROCESS OF RECOVERY ENOUGH SO THAT THEY CAN BE SAFELY MOVED TO A, A LEVEL OF LEVEL OF CARE.

UH, THESE ARE INDIVIDUALS WHO MAY STILL REQUIRE SOME OXYGEN ADMINISTRATION.

THEY MAY REQUIRE SOME HELP WITH MEDICATIONS OR, OR OTHER THINGS, BUT THIS IS NOT, UH, WILL NOT BE INDIVIDUALS WHO NEED ICU LEVEL CARE OR, UH, YOU KNOW, THAT THERE'S HIGHER LEVELS OF CARE THAT REALLY NEED TO BE DONE IN THE HOSPITAL.

THERE IS NO AVENUE FOR FOLKS TO WALK UP.

IF SOMEBODY WALKED UP TO THE SITE, THEY'LL, THEY'LL FIND THAT IT'S A, IT'S GOING TO BE LOCKED DOWN.

IT'S NOT OPEN TO THE PUBLIC.

UM, SO, SO, YOU KNOW, THERE ARE MECHANISMS IN PLACE THAT DOES HAPPEN AND YOUR AMBULANCE WILL BE CALLED OUT TO, UH, TO HELP THAT INDIVIDUAL.

UM, BUT THESE ARE, THIS IS THE MODEL THAT HAS BEEN USED IN EL PASO.

THE MODEL HAS BEEN USED IN FOLLOWING GEN, UH, AND MOST OF MOST OTHER ALTERNATE CARE SITES AROUND THE STATE, UH, SUPER COMPETENT IN THIS MODEL AND HOPEFUL THAT IT WILL HELP DECREASE THE,

[00:55:01]

THE BURDEN ON THE HOSPITALS RIGHT NOW.

THANK YOU FOR THAT CLARIFICATION.

I REMEMBER HEARING THAT A COUPLE OF MONTHS AGO WHEN A FEW OF US WERE ABLE TO GET A TOUR AND JUST WANTED TO MAKE SURE THAT WAS STILL THE CASE.

UM, I DID NOTICE ON YOUR CHART ABOUT THE ISD REPORTING CASES.

I CAN SEE IAN'S ISD ON THE LIST.

IS, IS THAT JUST THAT THEY DIDN'T SEND THE INFORMATION OR THEY DIDN'T HAVE ANY, UH, COUNSELOR? I IMAGINE IT'S BECAUSE A REPORT WAS NOT SUBMITTED, UH, I CAN GET WITH OUR SCHOOLS TASK FORCE AND SEE IF THERE WAS ANY UPDATES ON THAT, BUT THAT PARTICULAR REPORT RELIES ON ALL THAT REPORTING TO OUR, UH, OUR SCHOOL NURSE LINE, UH, TO REPORT THOSE CASES AND EXPOSURES.

OKAY.

THAT INFORMATION WOULD BE HELPFUL JUST CAUSE I KNOW IN PREVIOUS ITERATIONS OF CHARTS LIKE THIS, UM, IT HAD SHOWN UP WITH SOME CASES OF INDIVIDUALS, UM, IN THIS SCHOOL.

UM, CAN YOU TALK A LITTLE BIT MORE ABOUT THE AGE GROUP OF UNDER ONE YEAR OLDS? UM, WHY WE WOULD SEE MORE INFANTS CONTRACTING COVID, IS THAT BECAUSE OF DAYCARES OR A NEW STRAIN, UH, AFFECTING DIFFERENT AGE GROUPS DIFFERENTLY? CAN YOU TELL ME A LITTLE BIT MORE ABOUT THAT COUNCIL MEMBERS? UH, YOU KNOW, I THINK THE ISSUE THAT WE'RE SEEING HERE WHILE WE'RE SEEING YOUNGER AGE GROUPS, UH, INCREASINGLY IMPACTED IS BECAUSE WE HAVE MASSIVE UNCONTROLLED SPREAD OF DISEASE.

UH, SO WE'RE GOING TO EXPECT INCREASED NUMBERS IN ALL AGE GROUPS.

UM, YOU KNOW, ONE REASON WHY THE PERCENTAGE OF INFANTS MAY BE HIGHER, UH, IS, IS BECAUSE, YOU KNOW, IF THERE ARE SYMPTOMATIC, THEY'RE GOING TO GET TESTED.

WE'RE NOT GOING TO FIND A LOT OF ASYMPTOMATIC BABIES GOING OFF AND GETTING COVID-19 TESTING.

UH, SO I THINK THE, UM, UH, THE, THE RISK OF, OF COVID-19 EXPOSURE IN PEOPLE WHO ARE SYMPTOMATIC, INCLUDING ENFANTS IS GOING TO BE HIGHER THAN THE RISK ACROSS THE BOARD OF YOU, IF YOU LUMP IN, UM, UH, ASYMPTOMATIC INDIVIDUALS.

OKAY.

AND SO THIS NEW STRAIN THAT IS IN ALL LIKELIHOOD HERE, UM, HAVE YOU NOTICED ANY TRENDS OR ANY PREDICTIONS THAT COULD BE MADE IF, IF IT IS AFFECTING ANYONE DIFFERENTLY, IF THERE'S ANY DIFFERENT SYMPTOMS THAT PEOPLE SHOULD BE AWARE OF? SO THE INFORMATION THAT WE HAVE SO FAR, UH, FROM, FROM, YOU KNOW, THE FEDERAL GOVERNMENT AND, UH, OTHER FOLKS, IS THAT IT DOESN'T APPEAR TO BE ANY MORE DANGEROUS IN TERMS OF, UH, IT'S IT'S, UH, THE INTENSITY OF ITS SYMPTOMS OR THE SEVERITY OF THE ILLNESS, THAT RESULTS, UH, THERE IS CONCERN THAT IT IS MORE EASILY CONTRACTED, UH, WHICH IS GOING TO MAKE IT MORE DIFFICULT FOR US TO, UH, TO CONTROL THE OUTBREAK THAT WE'RE EXPERIENCING NOW.

UH, AGAIN, WHEN THE DISEASE TRANSITIONS OR MUTATES IN A WAY THAT MAKES IT EASIER TO CONTRACT, IT ALSO MAKES US MORE CONCERNED ABOUT THE POTENTIAL FOR ENVIRONMENTAL IMPACTS, INCLUDING, UH, MAKING IT EASIER FOR AIRBORNE TRANSMISSION TO BE POSSIBLE.

UH, WE DON'T HAVE CLEAR EVIDENCE OF THAT.

NOW WE SUSPECT THAT THAT THAT MAY BE THE CASE, UH, WHICH IS WHY IN PARTICULAR, WE'RE CONCERNED MORE ABOUT, ABOUT SCHOOLS AND OTHER SETTINGS, UH, WHERE INDIVIDUALS ARE IN CLOSE PROXIMITY FOR THE DURATION OF TIME.

THANK YOU.

UM, THAT'S ALL I HAVE FOR DR.

S SCOTT.

I HAVE A FEW MORE FOR DIRECTOR HAYDEN, BUT I'M HAPPY TO LET OTHER PEOPLE, BUT FIRST THAT SOUNDS GOOD.

WE'LL COME BACK TO YOU FOR A DIRECTOR HAYDEN QUESTIONS AND LET'S LIMIT THE QUESTIONS RIGHT NOW THAT AREN'T DRIED OUT SCOTT COUNCILMEMBER KITCHEN.

UM, I HAVE, UH, A NUMBER OF QUESTIONS ABOUT, UH, SENIORS AND ABOUT, UH, REACHING THEM AS WELL AS ABOUT, UM, BUT, UM, I'M NOT SURE IF THESE ARE FOR DR.

S COD OR FOR DIRECTOR HAYDEN.

SO I'LL GO AHEAD AND ASK THEM AND, AND, UM, I WILL LIMIT MY QUESTIONS RIGHT NOW TO MY QUESTIONS ABOUT SENIORS SO THAT OTHERS CAN ASK QUESTIONS TOO.

SO MY QUESTION REALLY BOILS DOWN TO, UM, SENIORS.

UM, THE TWO, TWO ASPECTS, TWO, TWO ASPECTS, UH, SENIORS WHO ARE LIVING IN LONG-TERM CARE FACILITIES THAT ARE, DON'T HAVE A VACCINE RELATIONSHIP WITH BCS OR CVS OR WALGREENS.

MY FIRST QUESTION IS MY UNDERSTANDING WAS THAT THERE ARE SOME LONG-TERM CARE FACILITIES THAT ARE NOT COVERED BY THE FEDERAL PROGRAM.

CAN YOU SPEAK TO THAT? IS THAT, IS THAT TRUE? AND HOW ARE WE REACHING THE, SO WHAT WE HAVE PUT IN PLACE IS, IS, UM, FOR THE WALLS THAT WERE NOT COVERED BY THE FEDERAL PROGRAM, UM, HAS BEEN PROVIDING SOME LEVEL OF SUPPORT

[01:00:01]

UNTIL LAST WEEK.

AND SO THEY'VE LET US KNOW THAT ANY OF THE FACILITIES THAT REMAIN, UM, WOULD NEED TO BE PICKED UP BY AUSTIN PUBLIC HEALTH.

AND SO THAT IS WHAT WE STARTED TO DO.

AND SO FOLKS CAN JUST REACH OUT TO US, UM, ON OUR, UM, YOU KNOW, AT OUR NURSING HOME, UM, INFORMATION LINE, UM, IF THEY HAVE ANY QUESTIONS OR CONCERNS, UM, AND WE HAVE OUR TEAM TO SEE WHAT THEY NEED AND WE CAN PROVIDE THOSE NEXT TO THEM AND THEIR STAFF.

OKAY.

I HAVE A LIMIT.

LET ME ASK MORE SPECIFICALLY THEN, UM, HOW MANY OF OUR LONG-TERM CARE FACILITIES IN THIS, IN OUR COMMUNITY ARE NOT COVERED BY THE, UH, FEDERAL VACCINE PROGRAM? TO MY KNOWLEDGE, MY STAFF HAS ONLY TOLD ME ABOUT TWO.

UM, AND SO THEY COME FORWARD AND SAY, BECAUSE WE TYPICALLY WOULD LOOK AT, UM, THE REPORT THAT THE STATE SENDS US.

UM, AND WE, YOU KNOW, REACH OUT TO HHSC TO SAY, YOU KNOW, IT LOOKS LIKE THERE'S, THIS GROUP IS NOT ON THERE.

AND THEN OUR STAFF ISN'T IN COMMAND FOLKS WILL REACH OUT TO THE ADMINISTRATORS.

SO RIGHT NOW THERE ARE TWO THAT WE KNOW OF, UM, FOCUS WILL BE MORE, UM, AND SO AS THEY REACH OUT TO US AND WE CONTINUE TO TRY TO TRUE UP WHAT THE STATE SENDS US ABOUT, WHO'S ON THAT LIST AND WHO HAS RECEIVED THOSE, UM, THEN WE CAN, WE CAN REACH OUT TO THOSE.

OKAY.

SO LET ME MAKE SURE I UNDERSTOOD.

SO WE ARE PROACTIVELY COMPARING THE LIST OF OUR, UM, LONG-TERM CARE FACILITIES IN OUR COMMUNITY WITH THE LIST OF, UH, THOSE FACILITIES THAT ARE INCLUDED IN THE WALGREENS, WALGREENS AND CVS SYSTEM.

IS THAT WHAT THE WE'RE NOT WAITING FOR THEM TO REACH OUT TO US? WE'VE IDENTIFIED WHICH ONES ARE NOT PART OF THAT PROGRAM.

SO WE'VE DONE A COUPLE OF THINGS BECAUSE THE WAY THIS, THE SYSTEM WITH THE STATE IS, IS THEY PROVIDE US A LIST OF WHO THEY ARE WORKING WITH AND WHO HAS BEEN THE VACCINE HAVE BEEN PROVIDING THE VACCINES, HAVE ALREADY STARTED TO RECEIVE THOSE.

UM, AND SO OUR FOLKS ARE BEING PROACTIVE TO SAY, YOU KNOW, IF THERE'S OTHERS THAT WE NEED TO WORK WITH THEM.

AND SO THUS FAR WE'VE FOUND TOO, UM, WE WILL CONTINUE THAT PROCESS, UM, WITH THE STATE AND THE LONGTERM CARE FACILITIES THROUGHOUT YESTERDAY.

OKAY.

THEN THE LAST QUESTION I HAVE, AND THEN I'LL TURN IT OVER TO OTHERS THAT RELATES TO SENIORS THEN IS THAT, YOU KNOW, OUR, OUR MINORITY POPULATION AND OUR LATINO, UH, SENIOR CITIZENS, A LOT OF THEM LIVE AT HOME WITH FAMILIES, FOR EXAMPLE, UM, AND, AND SENIORS LIVING IN OUR COMMUNITY AT HOME.

SO HOW ARE WE, HOW ARE WE PROACTIVELY REACHING OUT TO THEM? I AM CONCERNED THAT, UM, I, I, I'M VERY PLEASED AND I APPRECIATE, UH, THE SETTING UP THE PORTAL.

I THINK THAT'S VERY HELPFUL, BUT I'M VERY CONCERNED ABOUT HOW WE'RE GOING TO PROACTIVELY REACH OUT TO, UM, TO SENIORS, PARTICULARLY, UH, LOW-INCOME SENIORS, UH, MINORITY SENIORS, UM, UH, BECAUSE I, I DON'T KNOW THAT THEY ARE GOING TO EITHER KNOW OR ARE HOW, OR KNOW HOW TO, OR BE ABLE TO ACCESS A PORTAL.

SO, UM, I'M WANTING TO UNDERSTAND HOW WE'RE REACHING OUT TO THEM.

AND ONE OF THE REASONS I'M ASKING THAT QUESTION IS, YOU KNOW, WE, WE DID, WE DID WORK EARLY ON LAST SUMMER.

UH, UH, THE STAFF HELPED A NUMBER OF OUR OFFICES TO, UH, DO PHONE CALLS AND TO SEND, UH, POSTCARDS TO SENIORS, UM, THAT WERE LIVING AT HOME IN OUR DISTRICTS.

AND THAT WAS ONE WAY WE, WE OUTREACH TO THEM PROACTIVELY.

SO MY QUESTION TO YOU IS HOW, AND I, AND I UNDERSTAND, OF COURSE WE DON'T YET HAVE ENOUGH FOR EVERYONE IN OUR COMMUNITY, BUT WHAT ARE WE GOING TO DO TO PROACTIVELY REACH OUT TO THOSE SENIORS, UM, THAT ARE LIVING WITH FAMILIES OR LIVING ON THEIR OWN IN THE COMMUNITY? UM, WE, UH, WE'VE, WE'VE ALREADY STARTED A FEW THINGS.

UM, ONE IS, YOU KNOW, UM, WE HAVE, UH, AN EMPLOYEE IN THE DEPARTMENT, UM, UH, UH, TABITHA TAYLOR, UM, THAT WORKS WITH THE COMMISSION ON SENIORS.

UM, AND SO, UM, AND SO SHE HAS BEEN A PART OF THE CONVERSATION.

UM, AND, UM, AS, AS WE OUTREACH TO THOSE POPULATIONS, UM, WE HAVE A COUPLE OF THE PROVIDERS THAT ARE A PART OF THE, UM, VACCINE COALITION TASK FORCE.

SO THERE

[01:05:01]

ARE MEMBERS THERE.

UM, SO THEY HAVE BEEN, UM, EMAILING US AND WE'VE BEEN COMMUNICATING WITH THEM AS WELL.

UM, AND SO, UM, WE, WE WILL DEFINITELY WORK WITH, UM, FOLKS THAT WE HAVE CONTRACTS WITH TO BE ABLE TO GET THE WORD OUT THROUGH, UM, THE POPULATIONS THAT THEY SERVE.

AND THEN WE HAVE SOME OTHER PARTNERS THAT ARE WILLING TO, UM, BE ABLE TO GET THE INFORMATION OUT TO THOSE POPULATIONS.

SO WE DO HAVE THAT ON OUR RADAR.

UM, THOSE THINGS ARE UNDERWAY, UM, AND WILL CONTINUE, UM, THROUGHOUT THIS PROCESS, UM, AS WE HAVE MORE VACCINE AVAILABLE, UM, AS YOU KNOW, WE'VE DONE SOME IN-HOME TESTING.

AND SO, UM, THAT'S ANOTHER PART OF OUR STRATEGY, UM, THAT WE WOULD LIKE TO IMPLEMENT, TO BE ABLE TO PROVIDE, UM, SOME, UM, VACCINE, UM, TO BE ABLE TO PROVIDE THE VACCINE AT HOME TO THEM.

SO THOSE ARE THE THINGS WE'RE LOOKING AT.

UM, WE ARE ALWAYS OPEN TO, YOU KNOW, ANY LISTS THAT YOU ALL MAY HAVE, UM, AND WE'VE SET THAT, UM, TO THE COMMUNITY AS WELL.

UM, WE ALSO KNOW, UM, THAT PARKS AND RECREATION, UM, ALSO HAS, UM, FOLKS THAT THEY'VE WORKED WITH.

SO WE'LL BE WORKING WITH THEM AS WELL.

OKAY.

THANK YOU VERY MUCH.

I APPRECIATE IT.

I WILL WORK WITH TABITHA AND YOUR OFFICE.

I THINK I WOULD LIKE TO SUGGEST THAT WE THINK ABOUT WAYS TO BE PROACTIVE.

UM, YOU KNOW, YOU KNOW, FOR EXAMPLE, YOU KNOW, WE COULD EASILY, AND IT'S NOT EXPENSIVE AND IT'S FAST TO DO PHONE CALLS, YOU KNOW, UH, TO DO RECORDED PHONE