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[00:00:08]

I'M GOING TO HAND IT OFF TO JUDGE BROWN.

THANK YOU.

AND THANKS FOR WRITING US TO, TO BE PART OF YOUR MEETING THIS MORNING.

IT IS, UH, JANUARY 19TH.

UH, THE TIME IS NINE OH TWO.

UM, WE'RE CALLING THE CITY COUNCIL SPECIAL CALLED MEETING FOR THE COVID BRIEFING TO ORDER MEANING BEING HANDLED, UH, UH, UH, REMOTELY.

AND BY WAY COLLEAGUES, I PUT THE, ON THE MESSAGE BOARD, THE RULES THAT ANDY HAD PUT FOR THE COMMISSIONER'S REPORT JUST BASICALLY COPIED THEM OVER.

SO I THINK EVERYBODY'S SEEN THAT.

THE ONE THING I DID NOT MENTION IS THAT IT'S THE CUSTOMARY PRACTICE OF THE COURT TO TAKE COMMENT EVEN ON DISCUSSION ITEMS. SO THAT'S MY UNDERSTANDING THAT THAT'S HOW WE'LL BEGIN THIS MORNING.

UH, JUDGE, I TURNED THE MEETING BACK OVER TO YOU.

THANK YOU, MAYOR.

UM, YEAH.

AND THANKS EVERYONE FOR BEING HERE TODAY.

IT'S REALLY GREAT THAT OUR TWO GOVERNMENTAL ENTITIES ARE COMING TOGETHER.

EVEN IF IT'S UNDER THESE, UH, TRYING CIRCUMSTANCES, UH, WHETHER YOU LIVE IN LAKEWOOD, PFLUGERVILLE, LAGO VISTA MAIN, OR SUNSET VALLEY, CREEDMORE, ALBURY BRIARCLIFFE OR AUSTIN, UH, THE VIRUS IS IMPACTING ALL OF US.

IT IMPACTS OUR FAMILIES, OUR FRIENDS, OUR COLLEAGUES, OUR LOCAL BUSINESSES, AND IT'S OUR DUTY AS PUBLIC SERVANTS TO, TO WORK TOGETHER.

SO I'M GLAD TO BE HERE WITH OUR FRIENDS AND COLLEAGUES, MAYOR ADLER, AND THE AUSTIN CITY COUNCIL AND THE COMMISSIONERS GOMEZ, SHADE TREVELYAN AND HOWARD, OUR TASK AT HAND COULD NOT BE MORE IMPORTANT.

WE CAN MAKE A DIFFERENCE AND WE CAN SAVE LIVES BY WORKING WELL TOGETHER.

AND I'M SO GLAD THAT WE ARE.

UM, SO WE'RE GOING TO GO TO THE PUBLIC COMMENT PERIOD.

NATE, DO YOU, DO WE HAVE ANY CALLERS OR ON THE LINE JUDGE, WE ARE CURRENTLY SCREENING ONE CALLER TO DETERMINE WHICH ITEM THEY'RE CALLING IN ON.

I ASSUME IT IS THIS ITEM, BUT WE ARE STILL CONFIRMING.

THANK YOU, MORNING MORNING.

SO WHILE NATE, THE SCREENING THAT I'LL JUST LAY OUT KIND OF THE ORDER OF THE MEETING THAT WE'RE WE'RE, WE'RE OPERATING UNDER.

SO TO ENSURE THE EFFICIENT USE OF DR.

S SCOTT AND DIRECTOR HAYDEN'S TIME, AND TO MANAGE THE LENGTH OF THE BRIEFING, WE NEED TO LIMIT OURSELVES TO ONE QUESTION IN THE ORDER BELOW, AND I'LL BASICALLY CALL THE ORDER FOR THE COMMISSIONER'S COURT.

AND THEN THE MAYOR WOULD DO THE SAME FOR THE CITY COUNCIL.

AND THEN IF TIME PERMITS, WE COULD HAVE A SECOND ROUND OF QUESTIONS, BUT THE BASIC PART IS LET'S EACH ASK ONE QUESTION, UH, LET, LET, UH, DR.

SCOTT AND DIRECTOR HAYDEN RESPOND AS THEY SEE FIT, AND THEN, SO THAT EVERYBODY GETS AN EQUAL CHANCE TO SPEAK TODAY.

SO WE'RE GOING TO GO WE'LL, WE'LL DO THE COMMISSIONER'S COURT FIRST BY, UH, AND THEN, THEN THE COUNTY JUDGE, AND THEN IT WOULD BE THE CITY COUNCIL MEMBERS AND THEN THE MIRROR.

AND THEN WE WOULD CLOSE THE CITY COUNCIL MEETING BY THE MAYOR, AND THEN I WILL CLOSE IT BY, UH, FOR THE COUNTY.

UH, NATE IS THAT COLOR SCREEN, JUDGE.

WE HAVE SCREENED THE COLOR AND THEY'RE NOT CALLING ABOUT THIS ITEM.

THEY'LL CALL BACK IN, IN THIS NEXT SESSION.

THEY'RE ON A DIFFERENT ITEM.

OKAY.

SOUNDS GOOD.

SO THE FIRST BRIEFING, SO WE'RE GONNA HAVE THE TWO BRIEFINGS, LET THEM GIVE THEIR BRIEFING, AND THEN WE'LL GO TO THE QUESTIONS AND THE, YOU KNOW, THE FIRST QUESTION, I GUESS, BASED ON OUR ORDER WOULD BE COMMISSIONER GOMEZ, JUDGE, IF I MAY, SIR, I JUST WANTED TO LET EVERYBODY KNOW I'M HAVING TO JUMP OFF THIS MEETING AT 10 O'CLOCK.

UM, SO I WON'T ANY QUESTIONS THAT I MIGHT'VE HAD, I'LL ASK, UM, SEPARATELY FROM TODAY AND THANK YOU ALL FOR BEING HERE.

THANK YOU.

THANK YOU, COUNCIL MEMBER POOL.

UM, ALL RIGHT, DR.

S SCOTT, IF YOU ARE ALL SET, LET'S GO AHEAD AND HEAR YOUR BRIEFING.

THANK YOU, JUDGE.

I'M GOING TO SHARE MY SCREEN AND I HOPE THAT YOU ALL HAVE RECEIVED MY SLIDES IN ADVANCE AGAIN.

UH, THANK YOU FOR THE OPPORTUNITY TO ADDRESS BOTH COMMISSIONER'S COURT AND CITY COUNCIL, UH, ON THIS COVID 19 UPDATE.

UH, WHAT I'M SHOWING YOU HERE, UH, IS THE UPDATE ON OUR NEW CONFIRMED CASES IN TRAVIS COUNTY.

UH, YESTERDAY REPORT IS 686 NEW CASES WITH A MOVING AVERAGE OF 663.

THAT'S A 60% INCREASE, UH, SINCE A MONTH AGO ON DECEMBER THE 18TH.

UM, OUR RECORD HIGH NEW CASES MOVING AVERAGE WAS ON SUNDAY AT 701 THAT I'LL TALK MORE ABOUT THE POSITIVITY AND, AND WHAT THE, THIS WEEK IS LIKELY TO BRING IN A FEW MORE SLIDES.

UH, THIS SLIDE IS SHOWING AN UPDATE OF THE NEW ADMISSIONS TO THE HOSPITAL.

AGAIN, THIS HAS BEEN OUR

[00:05:01]

KEY INDICATOR, UH, FOR OUR, OUR, UH, RISK-BASED STAGING.

UH, THE ADMISSIONS YESTERDAY WAS 78 IS A MOVING AVERAGE OF 88.

THAT'S A 76% INCREASE SINCE LAST MONTH.

UH, I'M HAPPY TO SAY THAT WE HIT OUR PEAK NINE DAYS AGO.

THAT PEAK WAS 94.

UH, SINCE THEN WE'VE SEEN SOME OSCILLATIONS BETWEEN ABOUT 83 AND 88.

UH, SO AGAIN, THIS IS A, A GOOD SIGN.

IT'S NOT GOING DOWN YET, BUT IT'S AT LEAST FLAT, UH, WHICH I THINK INDICATES THAT, THAT OUR, OUR COMMUNITY IS RESPONDING.

THEY ARE ACTING IN A MORE PROTECTIVE WAY AND THAT WE ARE DECREASING TRANSMISSION, UH, SUCH THAT WE'RE AT LEAST FLAT AT THIS STAGE IN TERMS OF THOSE NEW ADMISSIONS.

THIS GRAPH IS SHOWING THREE THINGS.

IT'S THE BLUE IS THE HOSPITALIZATION.

SO TOTAL HOSPITAL BEDS BEING UTILIZED FOR COVID-19.

THE ORANGE ARE ICU BEDS AND THE GRAY ARE THE VENTILATORS BEING UTILIZED.

UH, YESTERDAY WE REPORTED 602, UH, HOSPITALIZATIONS WITH A MOVING AVERAGE OF 602, UH, THAT INCLUDED 10 INDIVIDUALS WHO ARE LOCATED IN OUR ALTERNATE CARE SITE AT THE AUSTIN CONVENTION CENTER.

UM, THAT MOVING AVERAGE OF HOSPITALIZATIONS IS A, IS A RECORD HIGH.

UH, AND WE ARE, UH, 97% ABOVE WHERE WE WERE A MONTH AGO IN TERMS OF HOSPITALIZATIONS NOW.

BUT AGAIN, IT'S STARTING TO FLATTEN OUT A BIT IN TERMS OF TOTAL HOSPITAL BEDS BEING UTILIZED, THE ICU NUMBERS YESTERDAY, ONE 76 WITH A MOVING AVERAGE OF ONE 83, THAT'S UP 101%, UH, IN THE LAST MONTH.

UH, AND WE REACHED OUR RECORD HIGH AND THE MOVING AVERAGE ON SATURDAY.

UH, SO AGAIN, IT'S NOT GOING UP.

IT'S, IT'S FLATTENING OUT OF BED, WHICH IS A GOOD SIGN AS WELL.

OUR VENTILATOR USE ONE OH SIX YESTERDAY WITH A MOVING AVERAGE OF 104.

THAT'S AN INCREASE OF 112% FROM A MONTH AGO.

AND AGAIN, THAT MEASURE ALSO APPEARS TO BE FLATTENING OUT SIGNIFICANTLY.

NO, WE LOOK AT THE JURISDICTIONS IMPACTED THAT.

SO THOSE THAT ARE ABOVE THE 15, NOT PERCENT FOR SEVEN CONSECUTIVE VEGAS IN TERMS OF HOSPITALIZATIONS FOR COVID-19, UH, THESE JURISDICTIONS ARE AROUND THE STATE OF TEXAS ARE, ARE STILL IMPACTED.

WHAT WE'RE SEEING THOUGH IN, IN MANY OF THE METRO JURISDICTIONS IS SOME FLATTENING OF, OF THE, UH, THE INCREASE AND OUR LOCALLY, THE TOTAL HOSPITAL BEDS BEING UTILIZED HAS BEEN RELATIVELY FLAT AROUND 16 TO 16 AND A HALF PERCENT OVER THE PAST SEVERAL DAYS.

OTHER JURISDICTION, METRO JURISDICTIONS ARE SIMILAR.

UH, SO AGAIN, THERE, IT APPEARS THAT THERE'S A SLOWING STATEWIDE, UH, WHICH MAY PUT US IN A BETTER SITUATION AGAIN, UH, WHEN WE LOOK AT THE TOTAL NUMBER OF INDIVIDUALS HOSPITALIZED FOR COVID IN OUR TRAUMA SERVICE AREA, TSA, OH, IT'S ABOUT 22% OF ALL THE HOSPITALIZATIONS ARE FOR COVID-19 RIGHT NOW.

UH, BUT AGAIN, THAT, THAT NUMBER HAS BEEN STABLE AS WELL.

UH, WHEN WE LOOK AT THE IMPACT ON A PROJECTIONS FROM THE UT MODELING CONSORTIUM, WE CAN SEE THAT THERE IS A SIGNIFICANT FLATTENING OFF OF THE PROJECTIONS FOR THE ADMISSIONS TO THE HOSPITAL.

SO AGAIN, UH, YOU KNOW, AGAIN, THIS IS VARIABLE.

THIS IS BASED UPON, UH, THE ADMISSIONS AS WELL AS MOBILITY DATA.

UH, LAST WEEK WHEN I RECORDED THIS, WE WERE POINTED IN A SIGNIFICANT UPWARD DIRECTION AND A INDICATION OF, UH, POTENTIAL FOR RAPID INCREASE IN ADMISSIONS TO HOSPITAL BECAUSE OF THIS FLATTENING THAT WE'VE BEEN SEEING IN TERMS OF ADMISSIONS, THE PROJECTIONS GOING FORWARD TO THE MIDDLE OF FEBRUARY ARE FLAT.

AGAIN, THEY'RE NOT GOING DOWN SIGNIFICANTLY AND QUICKLY, UH, BUT THIS INDICATES TO US, IF WE CONTINUE THOSE PROTECH PROTECTIONS, IF WE CONTINUE TO, UH, STAY HOME WHEN WE CAN TO WORK VIRTUALLY, IF WE CAN, IF WE CHOOSE TO GO OUT TO WEAR A MASK DISTANCE, PAY, CLOSE ATTENTION TO OUR, OUR HAND HYGIENE.

SO WASHING OUR HANDS FREQUENTLY, WE CAN PUSH THIS DOWN EVEN FURTHER, LIKE WITHIN THE SUMMER, AND HOPEFULLY PUT US IN A BETTER SITUATION IN TERMS OF THE ABILITY TO, UH, EASE THOSE RESTRICTIONS AS WE MOVE DOWN IN, IN STAGING, NO INDICATION RIGHT NOW, AT LEAST IN THE MIDDLE OF FEBRUARY THAT WE'RE GOING AND TO BE GETTING OUT OF STAGE FIVE.

OKAY.

BUT AGAIN, THAT COULD CHANGE IF, IF THOSE PROTECTIVE MEASURES CONTINUE AND ARE ENHANCED, WE SEE A SIMILAR PATTERN FOR THE HOSPITALIZATION.

SO THE TOTAL HOSPITAL BEDS BEING UTILIZED, UH, AGAIN, UH, THIS PROJECTION JUST SHOWS A SLIGHT INCREASE OVER THE NEXT COUPLE OF WEEKS LEADING INTO FEBRUARY AND THE, AND SOME FLATTENING.

UH, SO AGAIN,

[00:10:01]

MUCH BETTER CIRCUMSTANCE NOW THAN JUST A WEEK AGO, IN TERMS OF THE PROJECTIONS WE SEE SIMILAR THE PROJECTIONS FOR, FOR ICU CARE AGAIN, UH, GETTING CLOSE TO THAT 200 MARK AND THEN RIDING THAT 200 LEVEL, UH, THROUGH THE MIDDLE OF DAY, FEBRUARY.

YEAH.

SO AGAIN, A BETTER NEWS THAN I HAD LAST WEEK, UH, BUT SIMILAR TO THE OTHER PROTECT, UH, THE OTHER PROJECTIONS THAT I PROVIDED YOU, UH, OF THE PAST 11 MONTHS, THIS IS DEPENDENT UPON US AS A COMMUNITY, CONTINUING THE PROTECTIVE ACTIONS THAT ARE RESULTING IN THIS DECREASING, UM, IN HOSPITALIZATIONS.

THIS WAS A UPDATE OF OUR GRAPH OF HOSPITALIZATIONS BASED ON AGE GROUP.

UH, YOU CAN SEE FROM THIS GRAPH THAT WE'VE SEEN SOME INCREASES IN OUR 60 TO 69 AND 70 TO 79 AGE GROUP.

NOW WE HAVE SEEN A DECREASE IN OUR 80 PLUS AGE GROUP, UM, AND A SLIGHT INCREASE IN OUR 10 TO 19 AGE GROUP, WHICH IS THE THIRD LINE FROM BOTTOM, THE GRAY LINE.

UH, AGAIN, TOWARDS THE BOTTOM OF THE SCREEN, WHEN WE LOOK AT THE IMPACT OF NUMBERS OF INDIVIDUALS HOSPITALIZED, AS WHAT WE'RE SAYING HERE, UH, OVERALL, YOU CAN SEE LAST WEEK, WE HAD A SLIGHT DECREASE IN TOTAL HOSPITALIZATIONS MOVING FROM 545 TO 537, A SLIGHT DECREASE IN THE 80 PLUS AGE GROUP IN TERMS OF HOSPITALIZATIONS, UH, BUT SLIGHT INCREASES IN TERMS OF THE 60 TO 69 AND 70 TO 79 AGE GROUPS.

YOU CAN SEE THAT WE CONTINUE TO HAVE A SIGNIFICANT NUMBER OF INDIVIDUALS, UH, IN THE 20 TO 29 AGE GROUP AND 10 TO 19 AGE BETWEEN THEM 43 ADMISSIONS TO THE HOSPITAL.

YEAH, AGAIN, THIS TELLS US THAT THERE IS A SIGNIFICANT DISEASE TRANSMISSION IN THOSE AGE GROUPS IN ORDER TO LEAD TO VOLUME OF, OF, UH, OF HOSPITALIZATION.

UH, SO AGAIN, THIS IS WHILE WE'RE REALLY CONCERNED ABOUT PROTECTING OUR OLDER AGE GROUPS THAT SIT THOSE 60 PLUS INDIVIDUALS, THIS DISEASE CAN STILL IMPACT YOUNGER PEOPLE.

AND, UH, AND WE ALL NEED TO BE CAREFUL AND, AND ENSURE THAT WE'RE TEACHING OUR CHILDREN, ENSURING THAT OUR CHILDREN ARE, ARE FOLLOWING THOSE, THOSE PROTECTIONS AS WELL.

OKAY.

THIS GRAPH IS SHOWING THE HOSPITALIZATIONS, UH, WEEK OVER WEEK BASED ON RACE AND ETHNICITY.

UM, WHEN WE LOOK AT THE, UH, THE WHITE NON-HISPANIC GROUP, THIS IS THE, UH, THE BLUE LINE AT THE TOP, AND THAT REPRESENTS 47% OF THE ADMISSIONS TO THE HOSPITAL LAST WEEK, A 38.2% IN OUR LATIN X COMMUNITY, THE GREEN LINE, THE GRAY LINE IN THE MIDDLE OF THE SCREEN, OUR AFRICAN-AMERICAN COMMUNITY 10.7%.

NOW, WHEN WE LOOK AT THE NUMBERS OF INDIVIDUALS IN EACH AGE GROUP OR ANYTHING, UH, RACE AND ETHNICITY, WE SEE THERE HAS BEEN A DECREASE SINCE LAST WEEK IN OUR LATIN X COMMUNITY, ONE 95 TO ONE 82, UH, INCREASE IN OUR WHITE NON-HISPANIC FROM TWO OH EIGHT TO TWO 24, A SLIGHT DECREASE IN OUR AFRICAN-AMERICAN COMMUNITY, 59 TO 51, AND RELATIVELY STEADY IN OUR ASIAN AMERICAN COMMUNITY 16 LAST WEEK, OR SORRY, 16 FROM TWO WEEKS IN 14 FOR LAST WEEK.

UH, SO ABOUT THIS IS, THIS IS A SLIDE THAT MAKES ME VERY HAPPY.

UH, AND, AND WHAT WE'RE LOOKING AT HERE IS OUR, OUR PERCENT POSITIVITY WEEK OVER WEEK, UH, FOR THE LAST 12 WEEKS OR SO, UH, ONE THING I WANT TO MENTION ABOUT THIS DATA IS YOU CAN SEE THAT THE POSITIVE ACTIVITY RATES FOR MOST WEEKS HAVE DROPPED SLIGHTLY.

NOW, THIS IS BECAUSE THIS DATA RELIES ON TESTING FEEDS FROM, UH, PARTICULAR TESTING ENTITIES.

WE ADDED ANOTHER ONE LAST WEEK, WHICH ADDED 75,000 TESTS SINCE MAY THE FIRST.

UH, SO YOU CAN SEE THAT THERE HAS BEEN A DROP IN THE OVERALL POSITIVITY AS A RESULT OF THAT ADDITIONAL DATA DOUBLE.

WHAT WE SEE IS THAT THE, UH, THE DATA PRESENTED LAST WEEK, 16.2% HAS DROPPED TO 12.8% FOR LAST WEEK.

AND THIS IS WITH MORE THAN 20,000 TEST RESULTS IN ALREADY FOR LAST WEEK.

UH, SO THIS IS A CERTAINLY A POSITIVE INDICATION THAT THINGS MAY BE SLOWING SIGNIFICANTLY.

UH, AGAIN, WE HAVE TO CONTINUE THIS PUSH A WHILE 12.8% IS, IS BETTER, BETTER THAN LAST WEEK.

WE WANT TO GET IT BELOW 5% AND PARTICULARLY BELOW 3%.

SO WE HAVE MORE WORK TO DO, UH, BUT THE WORK THAT FOLKS ARE DOING, THE SACRIFICES THAT, THAT PEOPLE ARE MAKING THE CHOICE TO DO VIRTUAL EDUCATION, UH, VIRTUAL WORK IS PAYING OFF.

AND, UH, AGAIN, WE HOPE TO SEE THAT CONTINUE TO THE FOLLOWING.

WE'RE LOOKING AT THE IMPACT OF POSITIVITY ACROSS RACES

[00:15:01]

AND ETHNICITIES, UH, THAT IS THIS GRAPH.

UH, AGAIN, WE SEE SIGNIFICANT DECREASES IN MANY OF THE RACES AND ETHNICITIES THAT I'M SHOWING YOU OUR LATIN X COMMUNITY AND THE GRAY BAR IN THE MIDDLE OF THE, OF THE, UH, OF THE CLUSTER IS 19.7% LAST WEEK.

UH, SO A SIGNIFICANT DECREASE THERE, OUR AFRICAN-AMERICAN COMMUNITY THAT 12.3% ALSO SIGNIFICANT DECREASE.

THE GREEN BAR IS OUR, UH, AMERICAN INDIAN, ALASKA NATIVE THAT GROUP HAD A SIGNIFICANT INCREASE TO 16.1%, UH, OUR ASIAN AMERICAN COMMUNITY 8.9% AND ARE WHITE NON-HISPANIC 10.4%.

UH, SO AGAIN, UH, CERTAINLY A BETTER PICTURE FOR MANY OF OUR COMMUNITIES OF COLOR, UH, FOR THE DATA LAST WEEK, WE STILL HAVE A LONG WAYS TO GO TO PUSH IT BELOW THE RED DOTTED LINE OF THE GREEN DOTTED LINE, REPRESENTING 5% AND 3% MARK, LET ME LOOK IT UP POSITIVITY BASED ON AGE GROUP.

UH, AGAIN, WE CAN SEE THAT THERE HAS BEEN DECREASES ACROSS THE BOARD IN TERMS OF, OF THE POSITIVITY.

UNFORTUNATELY, UH, THE POSITIVITY IS HIGHEST AMONGST THOSE THAT ARE MOST LIKELY TO NOT BE SEVERELY IMPACTED FROM COVID-19.

SO WE CAN SEE THAT OUR 80 PLUS AGE GROUP, UH, IS LEADING POSITIVITY, 16% ARE 70 TO 79 AGE GROUP, 15.6%.

UM, SO AGAIN, UH, EVERY AGE GROUP OVER THE OVER 40 NOW IS OUTPACING THE COMMUNITY POSITIVITY.

SO AGAIN, WE'VE GOT MORE WORK TO DO, AND THIS IS A REMINDER THAT, THAT WE ALL, AS A COMMUNITY HAVE A DUTY TO PROTECT THOSE WHO ARE OLDER IN, IN, UH, IN OUR COMMUNITY.

AND THAT MEANS IF YOU'RE GOING TO VISIT OR INTERACT WITH INDIVIDUALS, PARTICULARLY OVER THE AGE OF 60, YOU NEED TO ENSURE THAT YOU ARE USING DISTANCE.

YOU ARE MASKING, YOU'RE WASHING YOUR HANDS AND YOU'RE AWARDING A RISK FOR EXPOSURE YOURSELF.

OKAY, WELL, WE LOOK AT THE, UH, THE POSITIVITY AMONGST OUR SCHOOL AGE, UH, INDIVIDUALS, WE CAN SEE THAT THERE HAS BEEN A SIGNIFICANT DROP AND THE POSITIVITY RATES.

SO HIGH SCHOOL STUDENTS, UH, HIGH SCHOOL AGE STUDENTS, 17.9% MIDDLE SCHOOL, 15.6% ELEMENTARY, 11.7% IN PRESCHOOL, UH, 12%.

AGAIN, THIS IS POSITIVITY AMONGST THOSE TESTED.

UH, SO THIS SAYS A REPRESENT THAT THAT 12% OF PRESCHOOLS ARE INFECTED.

THESE ARE OF THE ONES TESTED, UH, BUT AGAIN, SIGNIFICANT DECREASES.

UH, BUT ONCE AGAIN, THIS WEEK, WE SEE THAT OUR MIDDLE SCHOOL AND HIGH SCHOOL AGE STUDENTS ARE OUTPACING THE POSITIVITY AND THE REST OF THE COMMUNITY.

NOW, THIS IS ENOUGH TO HAVE OUR, UH, LONG-TERM CARE FACILITY, UH, UH, CASES 225 IN THE LAST 14 DAYS, 481 IN THE PAST 28 DAYS CAN, THIS IS UPDATED BY FACILITY ON A WEEKLY BASIS AT OUR, UH, AUSTIN, TEXAS.GOV FORWARD SLASH COVID 19 WEBSITE FOR FOLKS WHO WANT ADDITIONAL DETAIL, UH, ONCE AGAIN, THE BEST WAY TO PROTECT OUR, OUR MOST VULNERABLE MEMBERS, OUR COMMUNITY, OUR ELDERLY, NOT LIVING IN LONG-TERM CARE FACILITIES IS TO DECREASE POSITIVITY IN THE REST OF THE COMMUNITY.

YES.

SO AGAIN, FROM THESE NUMBERS, IT'S CLEAR THAT WE HAVE MORE WORK TO DO ABOUT 240 OF OUR TOTAL DEATHS HAVE BEEN, UH, ASSOCIATED WITH, WITH THESE FACILITIES.

UH, ONCE AGAIN, WE REMAIN IN STAGE FIVE, WHICH IS OUR HIGHEST, UH, STAGE RISK.

UH, JUST WANT TO, AS A REMINDER, RE UH, UH, REMIND FOLKS THAT GATHERINGS OUTSIDE OF THE HOUSEHOLD, OR ARE DISCOURAGED, UH, PEOPLE SHOULD NO VOID DINING AND SHOPPING IN PERSON AND LIMIT THOSE TO ESSENTIAL TRIPS, UH, AS NECESSARY, UH, AVOID NON ESSENTIAL TRAVEL.

AND, UH, AND WE'RE RECOMMENDING OUR BUSINESSES CONTINUE TO, UH, TRANSITION THERE, THEIR, UH, THEIR SPACE TO CONTACTLESS, NOT TAKEAWAY DELIVERY, UH, AND DRIVE THROUGH AS THE, AS THE PRIMARY OPTIONS FOR, FOR THAT, UM, JUDGE AND MAYOR COMMISSIONERS.

TALK ABOUT ONE OTHER THING BEFORE I TRANSITIONED OVER TO, UH, TO DIRECTOR HAYDEN, UH, THIS WEEK, AS MANY OF YOU SAW IN THE MEDIA, UH, THERE WAS A DISCUSSION ABOUT MY RECOMMENDATION, UH, THAT OUR LEGISLATORS, OUR STATE LEGISLATORS BE VACCINATED.

SO I WANT TO TOUCH ON THAT A LITTLE BIT AND, AND STATE THAT, THAT I CONTINUE WITH THOSE RECOMMENDATIONS.

UM, AND IT'S IMPORTANT TO UNDERSTAND THE WHY'S BEHIND THAT RECOMMENDATION.

SO WHEN I LOOK AT THE CDC DATA, UH, AND THE MODELING FOR HOW TO ROLL OUT, UH, THERE'S SOME CONFLICTING INFORMATION ON

[00:20:01]

ONE HAND, IF WE FOCUS ON INDIVIDUALS OVER THE AGE OF 65 AS OUR PRIMARY TARGET FOR VACCINATIONS, IT DECREASES MORTALITY ONE TO 4%.

IF WE THINK FOCUS ON INDIVIDUALS WHO ARE MORE LIKELY TO SPREAD DISEASE, IT DECREASES TRANSMISSION BY ONE TO FIVE, 5%.

NOW, THIS IS WHY THE CDC HAS ROLLED OUT THE WITH THE ONE-SEAT BEING, UH, ESSENTIAL WORKERS.

SO THEY, THE DECISION REGARDING THE LEGISLATURE WAS FOR A COUPLE OF REASONS.

NUMBER ONE, WE HAVE A UNIQUE EVENT WHAT'S HAPPENING IN OUR JURISDICTION IN THE CITY OF AUSTIN, IN TRAVIS COUNTY.

AND THAT IS A LEGISLATIVE SESSION, WHICH BRINGS FROM AROUND THE STATE OF TEXAS, UH, TO ONE PLACE.

NOW WE'RE TALKING ABOUT THOUSANDS OF PEOPLE NOW WHO ARE GOING TO BE IN CONTACT FOR SIX MONTHS, AND THAT REPRESENTS A RISK FOR A SUPER SPREADING EFFECT.

UH, THE OTHER CONCERN IS FOR CONTINUITY OF GOVERNMENT, AND WE HAVE TO RECOGNIZE THAT ESSENTIAL GOVERNMENT SERVICES MUST CONTINUE, AND THAT COVID-19 REMAINS A THREAT TO THOSE ESSENTIAL GOVERNMENT SERVICES.

UH, SO I STAND BY THOSE RECOMMENDATIONS.

MY HOPE IS THE STATE WILL PROVIDE A SPECIFIC ALLOCATION FOR THAT PURPOSE, BUT AS FAR AS THE CITY AND COUNTY IS CONCERNED, WE ARE GOING TO FOCUS SOME OF OUR RESOURCES, A SMALL, UH, THE AMOUNT OF RESOURCES, UH, FOCUSED ON THAT CONTINUITY OF GOVERNMENT PLAN.

UH, WE'RE GOING TO PRIMARILY FOCUS ON THE ONE BIG GROUP, BUT THIS WILL INCLUDE, UH, ELECTED OFFICIALS, CITY AND COUNTY.

UH, THIS WILL INCLUDE OUR, OUR COUNTY AND STATE JUDGES, UH, WHO FALL INTO THAT ONE BIG CATEGORY, AS WELL AS KEY STAFF, UH, WHO FALL INTO THAT ONE BIG CATEGORY.

UH, WE WILL CONTINUE THAT WITH OTHER GOVERNMENTAL SERVICES AND, UH, DIRECTOR HAYDEN.

I THINK IT'S GOING TO TOUCH ON SOME OF WHAT WE'VE ALREADY DONE, UH, BUT PERHAPS SOME OF WHAT WE, WE SEE ALSO BEING UTILIZED, UH, THAT ARE THAT KIND OF GOVERNMENT FUNCTION, UH, HOW WE'RE GONNA UTILIZE VACCINE FOR THAT IN THE FUTURE WITH THAT, I'LL PASS IT OVER TO DIRECTOR VADEN.

GOOD MORNING, EVERYONE.

UM, I HAVE, UH, WE'VE GOT A BAD SIGNAL, TIFFANY HAYDEN POWER, UM, UM, AND THERE'LL BE A TRANSITION.

AND SO, UM, JUST PLEASE BE PATIENT, AS YOU HEARD ME, BAM, YOU WERE BREAKING UP.

HELLO? HELLO.

EXCUSE ME, STEPHANIE.

WE HAD A BAD CONNECTION THERE.

DIRECTOR HAYDEN, CAN YOU TRY TALKING AGAIN? WELL, IT HELPED WITH HER BANDWIDTH IF SHE STOPS HER VIDEO, OTHERWISE THE SOUND IS NOT USABLE.

I THINK YOU'RE MUTED DIRECTOR HAYDEN, UH, JUDGE I'LL, I'LL MENTION ONE OTHER THING WHILE, WHILE DIRECTOR HAYDEN GETS, UM, GETS REESTABLISHED.

UH, I WANT TO MENTION THAT, UH, WE'RE, WE'RE ALSO EXPECTING, UH, THE ASTRAZENECA VACCINE TO, UH, TO RECEIVE AN EUA EMERGENCY USE AUTHORIZATION BY THE FDA, UH, UH, AROUND THE END OF THE MONTH.

UH, AND THERE WAS, THERE'S SOME CONFUSION AND CONTROVERSY ABOUT THE ASTRAZENECA.

THAT'S ALL I WANT TO TOUCH ON THAT QUICKLY.

UM, I, I I'VE HEARD FROM, YOU KNOW, RUMORS FROM THE COMMUNITY THAT IT'S, IT'S LESS EFFECTIVE.

AND I WANT TO SAY THAT WE DON'T HAVE THE, THE COMPLAINANT HAD A, THAT YET FOR ASTRAZENECA.

UH, BUT IT'S IMPORTANT TO REMEMBER THE ASTRAZENECA END POINTS OF THE TRIAL WERE DIFFERENT FROM THE MODERNA AND PFIZER.

SO MODERNA AND PFIZER, UH, END POINTS WHERE IF SOMEBODY DEVELOPED SYMPTOMATIC OR DEVELOPED SYMPTOMS AND TESTED POSITIVE, THAT WAS COUNTED AS A CASE.

UH, SO THE, THOSE TWO PRODUCTS ARE 90%,

[00:25:01]

95% EFFECTIVE AT PREVENTING SYMPTOMATIC INFECTION.

THE ASTRAZENECA PRODUCT HAD A DIFFERENT PROCESS.

SO BASICALLY THEY TESTED INDIVIDUALS ON A REGULAR BASIS TO TRY TO DETECT THE PRESENCE OF INFECTION.

SO WHEN, WHEN THE TRIAL SAY THEY'RE 62% OR 90% EFFECTIVE THAT 62% OR 90% EFFECTIVE AT PREVENTING INFECTION AT ALL, UH, SO IT'S A DIFFERENT END POINT AND IT ACTUALLY MAY BE A BETTER INPOINT IN TERMS OF THE OVERALL EFFICACY.

UH, SO THESE ARE THE THINGS THAT WE'LL BE LOOKING FOR IN THE PACK OF THE BASIN, UH, TO THE FDA FOR, FOR THE EMERGENCY USE AUTHORIZATION.

UH, BUT IT, IT, AGAIN LIKE THE OTHERS, UH, APPEARS TO BE VERY PROMISING AND IT MAY EVENTUALLY PROVE TO BE A, AN EVEN BETTER VACCINE.

THANK YOU, DR.

GOOD.

I DON'T SEE DIRECTOR HIDDEN BACK ON THE SCREEN YET.

UM, DO YOU I'M HERE.

OKAY, GOOD MORNING.

CAN YOU HEAR ME? YES, WE CAN HEAR YOU.

YOU WANT TO? OKAY, GREAT.

OKAY.

THANK YOU.

UM, FOR THE OPPORTUNITY.

UM, NEXT SLIDE, PLEASE.

WE WANTED TO COME THIS MORNING AND, UM, AND KIND OF WALK THROUGH SOME INFORMATION ABOUT THE, ABOUT THE VACCINE.

UM, ONE OF THE THINGS WE WANT TO SHARE WITH YOU IS, IS THAT WE KNOW THAT, UM, WE'RE GOING, GONNA NEED TO REACH APPROXIMATELY 70% OF THE TRAVIS COUNTY, UM, WOULD NEED TO RECEIVE THE TWO DOSES OF THE VACCINE.

WHAT WE KNOW IN COMPARISON TO, UM, H ONE N ONE, UM, AS WELL AS OUR EARLY ON TESTING, UM, THE, THE VACCINE WILL, WILL COME IN VERY SLOW.

UM, AND SO WE, WE CANNOT REALLY EMPHASIZE AS THAT, UM, HOW THE VACCINE IS GOING TO COME IN AND WE'LL CONTINUE TO BE SLOW.

UM, AND SO WHEN WE WORK ON EIGHT ONE INWARD, WE VACCINATED ABOUT 30% OF OUR COPY OF RELATIONS.

AND SO, UM, OUR, THAT, UM, PROVIDERS, PHARMACIES, UM, PHYSICIAN OFFICES, ETC.

UM, THEY, THEY, THEY, THEY PROVIDED VACCINES TO OVER 300,000 PEOPLE WHERE AUSTIN PUBLIC HEALTH ONLY PROVIDED VACCINES TO ABOUT 32,000, UM, FOLKS BACK THEN, UM, WE KNOW NOW WE HAVE MORE PROVIDERS, UM, THAT HAVE REGISTERED WITH THE DEPARTMENT OF STATE HEALTH SERVICES.

UM, AND SO THE PLAN IS THAT WOMEN AND VACCINES ARE COMING REGULARLY.

UM, WE KNOW THAT, UM, SEVERAL OF THEM HAVE SAID THAT THEY HAVE THE ABILITY TO BE A HUB AS WELL.

AND SO, UM, I'M SURE MOST OF YOU HAVE BEEN HEARING THE LANGUAGE THAT AUSTIN PUBLIC HEALTH IS.

AND SO, UM, , I CAN'T UNDERSTAND YOU COLOR, UM, AND OLDER ADULTS FOR THIS VACCINE PROCESS AUDIO.

YES.

SOMETIMES THAT HELPS.

IT'S NOT USEFUL.

OH, STEPHANIE, STEPHANIE WERE HAVING TROUBLE UNDERSTANDING YOU.

CAN YOU TURN OFF YOUR VIDEO? HI,

[00:30:04]

DID WE LOSE STEPHANIE AGAIN? OKAY.

END IT OFF.

CAN YOU HEAR ME BETTER? CAN YOU GO BACK PLEASE? GOOD MORNING.

CAN YOU HEAR ME NOW? I TURNED OFF MY VIDEO.

CAN YOU HEAR ME? YES, THAT'S BETTER.

OKAY.

OKAY.

UM, AND SO APPOINTMENTS ARE RECOMMENDED.

NEXT SLIDE.

STEPHANIE, CAN YOU GO BACK? WE MISSED THE LAST SEVERAL MINUTES OF WHAT YOU WERE DOING.

OKAY.

STEPHANIE, ABOUT THE HUB.

OKAY.

UM, SO ESSENTIALLY THE DEFINITION OF A HUB IS A PROVIDER THAT HAS THE ABILITY TO VACCINATE SEVERAL PEOPLE IN A DAY.

ALSO, YOU MUST BE WILLING TO WORK WITH OTHER NEIGHBORING COUNTIES, UM, SMALLER NEIGHBORING COUNTY.

SO THAT'S LIKE HAYES AND BASS DROP, UM, AND POTENTIALLY WILLIAMSON FOR US BECAUSE WE THINK ABOUT THE, THE EMSA.

UM, AND SO THAT IS THE DEFINITION OF, OF A HUB.

AND, UM, AND SO OTHER PROVIDERS ARE DEFINITELY SIGNING UP TO BE A HUB AS WELL IN TRAVIS COUNTY.

WE, WE KNOW THAT, UM, AS, AS A BEST PRACTICE, WE ALSO NEED TO MAKE SURE WE HAVE, UM, LARGE-SCALE DISTRIBUTION SITES.

UM, BUT ALSO MAKE SURE YOU HAVE MULTIPLE SMALL SCALE, UM, SITES AND APPOINTMENTS ARE RECOMMENDED AND WE ARE ONLY WORKING OFF OF APPOINTMENTS.

NEXT SLIDE.

YEAH.

AS YOU ALL KNOW, UM, WE HAVE, UM, BEEN USING THE AUSTIN SALESFORCE PORTAL THAT HAS BEEN THE PORTAL.

UM, WE HAVE USED THIS ENTIRE TIME.

UM, AND I UNDERSTAND THAT, YOU KNOW, SEVERAL, UM, YOU KNOW, FOLKS HAVE HAD, ARE HAVING SOME CONCERNS, UM, WITH THE PORTAL, THE PORTAL, UM, ITSELF.

AND SO, UM, WE HAVE, UM, EMPLOYED SOME CODING, UM, AND, AND DATA FOLKS.

UM, WE ARE WORKING WITH A NEW DEVELOPER.

UM, BUT I THINK THE OTHER THING TO KEEP IN MIND IS, IS THAT, UM, THE POTENTIAL USE OF, OF ANYONE IN TEXAS, UM, IS A REALITY FOR US.

AND SO, UM, WE HAVE OVER 166,000 ACCOUNTS THAT HAVE BEEN CREATED AND, UM, UM, 60,000 OF THEM QUALIFY FOR THE VACCINE.

AND WHEN WE SAY QUALIFY, WE MEAN PEOPLE THAT ARE 65 YEARS OF AGE, OLDER, UM, OR 64 YEARS OF AGE AND YOUNGER WITH AN EXCEPTION EXISTING, UM, UNDERLYING HEALTH CONDITION AND NOT HAVE INSURANCE.

UM, WE ARE GOING TO BE PUTTING TOGETHER OUR DEMOGRAPHIC DATA THAT WE WILL SHARE ON OUR WEBSITE, UM, WITH THE REST OF, UM, OUR DASHBOARDS.

WOW.

ONE OF THE COMMON THINGS THAT WE HAVE BEEN HEARING IS, IS THE PASSWORD ERRORS AND THE KIND OF THE MALFUNCTION, WHAT WE HAVE BEEN PUTTING OUT TO THE PUBLIC AS A SOLUTION.

UM, IF YOU WOULD, FOR YOUR USERNAME, IF YOU WOULD, IF YOUR EMAIL IS JOHN DOE AT HOTMAIL THAT AT HOTMAIL, YOU WOULD WANT TO ADD DOT APH.

AND SO, UM, SO IF FOLKS ARE REACHING OUT TO YOU, WE, WE HAVE PUT THAT OUT TO THE PUBLIC.

WE WILL CONTINUE TO PUT THAT OUT TO THE PUBLIC, BUT BASICALLY THEY WILL NOT HAVE TO RESET THEIR PASSWORD.

THEY WILL ONLY HAVE TO ADD A P H TO THE END OF THEIR USAGE.

IS THERE A NAME? AND THEY SHOULD BE ABLE TO LOG IN.

NOW THERE IS CONFUSION ABOUT APPOINTMENTS VERSUS VACCINES.

OKAY.

AVAILABLE, IF THERE ARE NO APPOINTMENTS, WE DON'T HAVE ANY OTHER VACCINE.

WE ONLY WOULD BE APPOINTMENTS WHEN, WHEN WE HAVE VACCINES TO ACCOMPANY THEM.

AND SO, UM, THERE THERE'S, THERE'S TIMES LIKE WE DID, UM, ON YESTERDAY WE RELEASED, UM, APPOINTMENTS AND, UM, WITHIN TWO HOURS, THOSE APPOINTMENTS WERE GONE.

AND SO, UH, ONCE APPOINTMENTS ARE OUT THERE, UM, VERY QUICKLY, BECAUSE AS YOU CAN SEE,

[00:35:01]

YOU KNOW, WE HAVE 60,000, SO PEOPLE THAT ARE ELIGIBLE, UM, AND SO THEY'RE GOING TO QUICKLY BE, UM, GET THOSE APPOINTMENTS.

THE, THE OTHER, UM, WE ARE WORKING ON IS, IS, UM, THERE'S BEEN A LITTLE LEVEL OF CONFUSION WHERE FOLKS HAVE BEEN GOING, GOING TO, UM, TESTING AND SCHEDULING TESTING.

UM, AND, AND, AND, AND FOR THEM, THEY HAVE, THEY FELT LIKE THEY SCHEDULED A VACCINE APPOINTMENT.

AND SO, UM, OUR STAFF ARE WORKING, UM, TO MAKE THAT MORE PRONOUNCED.

UM, SO, SO FOLKS WILL NOT HAVE ANY CONFUSION.

SO THAT'S ONE OF THE CHANGES.

AND SO WE'RE GOING TO BE WORKING WITH OUR, UM, WITH OUR COMMUNICATIONS FOLKS, SO WE CAN GET THE WORD OUT ABOUT THESE CHANGES THAT ARE GOING TO OCCUR THIS WEEK.

UM, BUT RIGHT NOW, IF FOLKS ARE HAVING ANY PROBLEMS THAT APH, UM, ADDING THAT, THAT APH TO THE ENTER THEIR NAME THAT WILL WORK TODAY, UM, SLIDE THREE, UH, DIRECTOR HAYDEN, UH, JUST A REALLY QUICK COMMENT I'VE HEARD FROM PEOPLE THAT, UM, THE, UM, THE LANGUAGE THAT INSTRUCTS THEM TO ADD THAT DOT APA AT THE END, UM, DOESN'T SHOW UP IN THE ERROR MESSAGE AND THEY HAVE TO LOOK IN OTHER PLACES ON THE SITE.

SO IF YOU'RE HAVING PEOPLE RECODED, IF IT CAN BE PART OF THE INSTRUCTION WITH THE ERROR MESSAGE, THAT WOULD HELP.

OKAY.

THANK YOU.

UM, THIS IS JUST AN UPDATE ON WHAT, UM, AUSTIN PUBLIC HEALTH HAS RECEIVED.

WE, UM, AS YOU ALL KNOW, EVENTUALLY WE RECEIVED 1300 VACCINES AND THEN WE, UM, RECEIVED, UM, 12,000 ON THE 11TH AND ON THE 18TH FOR THIS WEEK.

AND, UM, BY SATURDAY WE ARE PROVIDED 12,600 VACCINES.

UM, WE ARE, UM, UM, PRIORITIZING, UM, EDUCATIONAL STAFF FOLKS THAT ARE WORKING IN, UM, PUBLIC PRIVATE, UM, AND CHARTER SCHOOLS.

UH, WE STARTED THAT, UM, PROCESS YESTERDAY AND WE WILL CONTINUE THAT EFFORT THIS WEEK.

AND SO THE REMAINING DOSES, UM, WILL BE DISTRIBUTED TO THE COMMUNITY THIS WEEK.

UM, WE ARE WORKING WITH, UM, SEVERAL PARTNERS, UM, ONE, UM, WE ARE, UM, WORKING ON PLANS TO, UM, BE ABLE TO LOOK AT LARGE SCALE, UM, EVENTS IN OUR COMMUNITY.

AND, UM, AND THEN WORKING WITH A, UM, A PARTNER ON THAT, UM, THAT DOES EVENT PLANNING.

IN ADDITION TO THAT, WE HAVE, UM, PARTNERS THAT ARE GOING TO BE MAKING SOME CALLS FOR US, UM, TO CALL EVERYONE, UM, AND PROVIDE SOME ADDITIONAL INFORMATION, INCLUDING, UM, THE, THAT APH AT THE END OF YOUR USER NAME WITH THE SECOND DOSE.

UM, JUST AS A REMINDER, UM, YOU WILL NEED TO GO BACK TO THE PROVIDER THAT PROVIDED YOUR INITIAL, UM, DOSE NOW WITH THE EVENT THAT WAS IN DOVE SPRINGS.

UM, WE WILL BE REACHING OUT TO THOSE PATIENTS.

AND SO, UM, SO WE WILL, UM, ADD THEM TO THE PROCESS OF PROVIDING THAT SECOND DOSE.

UM, THE LAST THING IS, IS THAT WE, UM, ARE, ARE ROLLING OUT OUR EDUCATION PROCESS AND OUTREACH, UM, TO BE ABLE TO GET ADDITIONAL INFORMATION OUT, TO HARD TO REACH POPULATIONS.

AND SO, UM, WE HAVE EIGHT VENDORS THAT WE'RE IN THE PROCESS OF FINISHING THEIR CONTRACTS AND, UM, AND THEN FROM THERE, UM, THEY WILL CONTINUE TO ASSIST US IN ALL AREAS, ESPECIALLY EDUCATION AND OUTREACH.

NEXT SLIDE.

UM, AT THIS TIME I'M GOING TO TRANSITION OVER TO, UM, TO SPENCER CORNER.

THANKS DR.

HAYDEN AND I FIRST WANT TO RECOGNIZE, UH, DIRECTOR HAYDEN AND DR.

S SCOTT AND THE INCREDIBLE WORK OF OUR CITY AND COUNTY STAFF FROM THE BEGINNING.

WE'VE HAD GREAT COOPERATION AND COORDINATION BETWEEN THE CITY AND THE COUNTY.

AND I ALSO WANT TO ACKNOWLEDGE THE SUPPORT AND COLLABORATION FROM ALL OF YOU AS OUR ELECTED OFFICIALS AND FROM THE NUMEROUS PARTNERS THAT WE WORK WITH.

BUT AS YOU KNOW, WE HAVE 1.3 MILLION PEOPLE IN TRAVIS COUNTY ALONE.

AND AS STEPHANIE MENTIONED, VACCINE PROVIDERS WOULD NEED TO VACCINATE 70% OF THE POPULATION WITH TWO DOSES OF THE VACCINE TO ACHIEVE OUR HERD IMMUNITY.

WE ARE WORKING TO GET THESE VACCINES OUT AS FAST AS WE CAN.

AND LAST WEEK I'M PROUD TO SAY THAT AUSTIN PUBLIC HEALTH WITH OUR PARTNERS,

[00:40:01]

UH, PROVIDED ALL 12,000 DOSES THAT WERE GIVEN TO US TO BE ADMINISTERED.

BUT I WANT TO REMIND EVERYONE THAT JUST LIKE THAT COVID-19 TESTING ROLLOUT, THERE WERE CHALLENGES IN THE BEGINNING, AND IT WAS ALSO A SLOW PROCESS.

AS WE LEARN MORE INFORMATION FROM THE FEDERAL AND STATE LEVEL, WE'VE MADE CHANGES AND IMPROVEMENTS, BUT THIS VACCINE WAS ONLY APPROVED A MONTH AGO.

AND IN THIS, OUR UNDERSTANDING THAT AS ADDITIONAL VACCINE WILL TRICKLE IN FOR THE NEXT FEW MONTHS, UH, WE WILL CONTINUE TO RAMP UP OUR EFFORTS, BUT IT'S CRITICAL THAT WE MANAGE EXPECTATIONS BOTH WITH OUR COMMUNITY AND OUR IMPORTANT PARTNERS.

AS STEPHANIE HAS SAID, WE HAVE TO PRIORITIZE THE VACCINE FOR PEOPLE THAT ARE OVER 65 AND PEOPLE FROM RACIAL AND ETHNIC MINORITY GROUPS, BUT WE'RE COMMITTED TO CONTINUE THIS WORK, TO KEEP OUR COMMUNITY SAFE.

WE ASKED FOR YOUR PATIENCE AND CONTINUED SUPPORT DURING THIS ENTIRE PROCESS.

AND WITH THAT, UH, MAYOR AND JUDGE, WE WILL TURN IT BACK TO YOU FOR QUESTIONS FROM THE GROUP.

I THINK THE JUDGE WAS GOING FIRST, JUDGE, THANK YOU.

UH, I'M GOING TO TURN IT OVER TO COMMISSIONER GOMEZ AND THEN I'LL CALL HIM THE NEXT, THE REST OF THE COMMISSIONERS.

AFTER THAT, THE QUESTION THAT I HAVE IS, UH, BASED ON THE, THE QUESTIONS THAT I GET FROM, FROM THE PUBLIC, UH, IS, UH, SINCE WE'RE, WE'RE WE KEEP SAYING, UH, THROUGHOUT THE PRESENTATIONS THAT WE'VE HAD ON THESE GRAPHS THAT WE'RE, UH, PRIORITIZING PEOPLE OVER 65, UH, THE, THE ONE, A, THE ONE B, AND NOW WE'VE ADDED ONE C, BUT IT APPEARS TO, UH, TO FOLKS THAT WE KIND OF GET OFF OF THAT, THAT, THAT PRIORITY LIST, ARE WE REALLY STICKING TO IT OR ARE WE KIND OF, YOU KNOW, GOING BACK AND FORTH BECAUSE IT REALLY CONFUSES PEOPLE.

UH, I'M CERTAINLY HAPPY TO START IN DIRECTOR AND MAY WANT TO JUMP IN, BUT THE VAST MAJORITY OF A VACCINE IS GOING TO ONE A AND ONE B GROUPS.

UH, AGAIN, UH, WE HAVE THE CIRCUMSTANCE OF THE NEED TO, UH, ENSURE OUR CONTINUITY OF GOVERNMENTAL OPERATIONS.

SO WE ARE FOCUSING SOME OF THE RESOURCES, UH, ON PEOPLE LIKE TEACHERS.

UM, WHEN WE LOOK AT, AT THE, MY RECOMMENDATION FOR THE, THE LEGISLATURE, UH, THAT WAS NOT APH VACCINE THAT WAS UTILIZED AGAIN, WE'VE NOT RECOMMENDED THAT THE STATE ALLOCATE, UH, RESOURCES FOR THAT PARTICULAR PURPOSE.

UH, BUT YOU KNOW, W WE'RE GOING TO HAVE CIRCUMSTANCES, UH, THERE, YOU KNOW, PROVIDERS, AGAIN, WE'VE GOT 350 PROVIDERS, UH, PROVIDING VACCINE IN TRAVIS COUNTY, OR THAT HAVE SIGNED UP FOR IT.

UH, THERE ARE GOING TO BE OTHERS WHO FALL OUTSIDE THAT GROUP, AND GENERALLY THAT HAPPENS, UH, BECAUSE ONCE YOU, ONCE YOU TO THALL THE VACCINE AND YOU'VE, YOU KNOW, YOU'VE PULLED IT UP IN SYRINGES, YOU'VE GOT TO USE IT IN A SHORT PERIOD OF TIME.

UH, SO WHAT WE'RE SAYING IS THAT, YOU KNOW, THERE ARE CIRCUMSTANCES WHERE PROVIDERS HAVE EXTRA, THEY'VE GOTTEN THROUGH, UH, THEIR, THEIR DOSES THAT WERE SCHEDULED, THEY'VE, UH, IDENTIFY ADDITIONAL DOSES AVAILABLE IN THE VIAL.

UH, THE MATERNAL GENERALLY HAS 10 DOSES, UH, IN OUR VACCINATION OF, OF TEACHERS YESTERDAY.

UH, MANY OF THOSE VIALS HAD 11, SOME HAD 12 DOSES.

SO SOMETIMES AT THE END OF THE DAY, YOU'VE GOT, YOU'VE GOT EXTRAS AND IT'S A PRIORITY TO GET THOSE OUT AS QUICKLY AS POSSIBLE.

UH, APH HAS ADDITIONAL PEOPLE THAT WE CAN CALL WHO FALL WITHIN THAT ONE BIG GROUP.

UH, OTHERS MAY NOT HAVE THAT.

UH, SO THEY'RE SCURRYING TO ENSURE THAT IT GETS AN ARMS INSTEAD OF BEING WASTED NOW, BUT I DO HAVE CONFIDENCE THAT THE VAST MAJORITY OF VACCINE, UH, IN OUR COMMUNITY IS GOING TO ONE A AND ONE B.

OKAY, THANK YOU, COMMISSIONER SHEA.

THANKS, JUDGE.

UM, AND AS USUAL, THANKS TO DR.

SCOTT AND DIRECTOR, UH, HAYDEN.

UM, I HAVE A COUPLE OF QUESTIONS.

UM, DO WE KNOW HOW MANY TOTAL DOSES ARE BEING SENT TO THE COMMUNITY? UM, PREVIOUSLY WE'VE HEARD SOMETHING LIKE 350 PROVIDERS.

WE'RE GETTING SCATTERED A LOT MONTHS.

UM, BUT DO WE KNOW HOW MANY TOTAL DOSES ARE BEING SENT TO THE COMMUNITY AND IS THE STATE CONTINUING, I'M SORRY, THIS REALLY INEFFICIENT AND FRANKLY BROKEN PROCESS OF SCATTERING DOSES AMONG PRIVATE PROVIDERS WHO DON'T HAVE THE CAPACITY FOR SIGN-UPS, WHO, UM, DON'T EVEN HAVE GOOD PHONE SYSTEMS. I THINK WE'VE ALL HEARD STORIES OF, OF DOZENS AND DOZENS OR MORE OF PEOPLE CALLING THROUGH ALL THE LISTS OF THE PROVIDERS THAT ARE ON THE STATE MAP AND, AND FREQUENTLY CAN'T EVEN

[00:45:01]

GET THROUGH ON THE PHONE.

AND ONCE THEY DO, THEY'RE TOLD NOTE EITHER THAT'S ONLY FOR OUR, UH, CURRENT PATIENTS OR CALL HEB.

SO, UM, IS THE STATE STILL DOING THAT? AND, AND IF THEY ARE, CAN WE JUST AGREE AS A COMBINED BODY TO REQUEST THAT THE STATE SIMPLY SEND A UNIFIED ALLOTMENT TO A HUB, WHICH I ASSUME WE COULD CREATE FAIRLY EASILY WITH BASTROP AND HAYES SOUNDS LIKE WILLIAMSON'S ALREADY FORMING A HUB.

UM, BUT THERE'S GOT TO BE A MORE EFFICIENT WAY TO DO THIS THAN WHAT THE STATE HAS BEEN DOING.

SO ARE THEY STILL SENDING THESE SCATTERED ALLOTMENTS ALL OVER THE 350 PROVIDERS, OR HAVE THEY CHANGED THAT PROCESS? AND IF SO, WHEN WILL WE EXPECT TO SEE MORE? AND I, MY SECOND QUESTION HAS TO DO WITH, UH, ANY INDICATION WE'RE GETTING FROM, UM, THE THANK GOODNESS NEW ADMINISTRATION IN WASHINGTON, WHERE BIDEN HAS ANNOUNCED A PLAN TO HAVE A HUNDRED MILLION VACCINES IN THE FIRST HUNDRED DAYS.

SO PRESUMABLY THAT WOULD CHANGE OUR CALCULATION ON HOW MANY DOSES WE EXPECT TO RECEIVE.

SO THOSE ARE MY TWO GENERAL QUESTIONS.

SO COMMISSIONER I'LL, I'LL START BY BY SAYING, YOU KNOW, I THINK THE STATE IS, IS WORKING HARD TO, TO PIVOT, AND WE'VE SEEN THAT HAPPEN.

UH, THE INITIAL ALLOCATION WAS TO HOSPITALS AND A LOT OF DIFFERENT GROUPS NOW, AND THEY'VE REALLY FOCUSED THEIR EFFORTS NOW ON THESE HUBS, UH, AS DIRECTOR HAYDEN SAID, IT'S NOT JUST ONE HUB, BUT MULTIPLE HUBS.

SO GROUPS THAT CAN DO A THOUSAND OR 2000 VACCINES A DAY, UH, WE'VE SEEN AN ALLOCATION TO WILLIAMSON COUNTY.

WE'VE SEEN ALLOCATION TO HAYES COUNTY.

UH, SO I, YOU KNOW, I, I, I LIKE WHAT THE STATE IS DOING NOW IN TERMS OF FOCUSING THE MAJORITY OF VACCINE ON THOSE VALVES.

AND SO I THINK THAT THE PLAN RIGHT NOW REALLY IS TO GET OUT LARGE VOLUMES QUICKLY SO THAT THE HUBS MAKE SENSE, BUT AS WE GET THROUGH THOSE LARGE NUMBERS, UH, THEY ARE GOING TO PROBABLY NEED A TRANSITION BACK TO, UH, TO SMALLER PLACES, PLACES THAT, THAT PEOPLE HAVE EASIER ACCESS TO PLACES THAT THEY NORMALLY GO FOR FOR THEIR VACCINE.

SO I THINK THAT WE'RE GOING TO SEE SOME SHIFTING, UH, IN, IN ALLOCATIONS AS WE GO INTO THE SPRING, BUT I THINK THEY'RE DOING A GOOD JOB NOW OF, OF REFOCUSING THE EFFORTS ON THE HUBS.

OUR HOPE IS THAT, THAT WE CAN INCREASE THE VOLUME OF VACCINE AVAILABLE.

AS DIRECTOR HAYDEN SAID, WE'VE GOT MULTIPLE ENTITIES, UH, CAPABLE OF DOING THOUSANDS A DAY, AND OUR PARTNERS AT HEB AND I HAVE GREAT INFRASTRUCTURE IN EMERGENCY MANAGEMENT PROCESSES.

UH, THEY CAN DO THOUSANDS A DAY, A AUSTIN REGIONAL CLINIC, THOUSANDS A DAY, UH, OTHERS, YOU KNOW, CVS WALGREENS, UH, IN, IN OTHER PLACES, UH, UTE A DELL MEDICAL SCHOOL HAS DONE A GREAT JOB OF, OF LARGE VOLUME ALLOCATIONS.

AND SO AGAIN, OUR HOPE IS THAT WE CAN HAVE MULTIPLE LARGE CUBS THAT IN TRAVIS COUNTY AND AROUND TRAVIS COUNTY TO START TO GET THROUGH HIGH VOLUMES OF FOLKS.

THANK YOU, COMMISSIONER PAVILION.

UM, THANK YOU FOR THE WORK THAT'S BEEN DONE, DR.

ASCOT AND, AND, UH, AND ALSO, UM, UH, DIRECTOR HAYDEN.

WE APPRECIATE THE, UH, THE COMMITMENT THAT YOU'VE SHOWN THE WORK WITH US.

UM, A QUESTION REALLY, UH, PIGGYBACKS ON SOMETHING THAT YOU JUST SAID, DR.

ASCOT, IT SEEMS TO ME THAT THE PRIMARY INFRASTRUCTURE, UH, FOR PROVIDING SHOTS AND PROVIDING HUBS IS THE, IS, IS KIND OF THE AFFLUENT PART OF TOWN.

SO MY QUESTION IS, WHAT SPECIFICALLY ARE WE DOING, UH, TO MAKE SURE THAT THOSE PARTS OF TOWN THAT HAVE NOT BEEN INVESTED IN ECONOMICALLY, BUT HAVE OTHER HUBS LIKE SCHOOLS, FOR EXAMPLE, LIKE COMMUNITY CENTERS, LIKE CHURCHES, FOR EXAMPLE, WHAT SPECIFIC PLANS ARE WE PUTTING IN PLACE TO MAKE SURE THAT THE PARTS OF TOWN THAT DO NOT HAVE A SOLID ECONOMIC INFRASTRUCTURE WE'LL ACTUALLY SEE, UH, WE'LL SEE OPPORTUNITIES FOR VACCINES AS WELL, BECAUSE THEY ARE A LOT OF OUR TITLE, ONE SCHOOLS THAT ARE SERVING NOT ONLY TEACHERS, BUT STUDENTS IN THAT AREA.

HOPEFULLY WE'LL BE LOOKING AT RETIREES AND, AND, UH, PEOPLE WHO ARE ON FORMS OF PUBLIC ASSISTANCE AS WELL, SO THAT ALL OF THE HUBS ARE NOT IN THE AFFLUENT PART OF TOWN AND ALL OF THE, ALL OF THE, UH, LESS AFLOAT PARTS OF TOWN, UH, WON'T HAVE IMMEDIATE READY ACCESS.

WELL, WHAT ARE WE DOING TO DEVELOP SPECIFIC PLANS AND USING RESOURCES LIKE THE EXPO CENTER AND CHURCHES AND, AND OTHER ENTITIES, PUBLIC ENTITIES THAT EXIST IN THOSE AREAS?

[00:50:01]

UM, ONE OF THE THINGS THAT WE HAVE DONE IS, IS WE HAVE IDENTIFIED SEVERAL LOCATIONS, UM, IN THE EASTERN CRESCENT, UM, THAT HAVE THE ABILITY FOR US TO, UM, EITHER HAVE A LONG TIME PRESENCE AT THAT LOCATION.

UM, AND OR, UM, THAT HAVE THE ABILITY FOR US TO, UM, SET UP HOW WE'VE DONE IN THE PAST WITH, WITH FLU VACCINES.

AND SO, UM, MEANING MAKING SURE THAT, UM, AS WE LOOK AT THE DATA AND LOOK AT, UM, SPECIFIC ZIP CODES WHERE WE KNOW WE HAVE MORE PEOPLE OF COLOR, UM, AND WE HAVE, UM, MORE FOLKS THAT REALLY NEED THAT ACCESS IN THEIR COMMUNITY.

AND SO THAT IS A PART OF OUR PLAN.

UM, AND WE'VE IDENTIFIED SEVERAL OF THOSE.

UM, BUT ONE OF THE THINGS IS, YOU KNOW, IT'S DEFINITELY KEY IS, IS THAT, YOU KNOW, KNOWING THE VACCINE IS COMING IN, UM, AND THAT WE CAN COUNT ON IT BECAUSE WE, WE DON'T WANT TO SET UP A FACILITY AND OPEN IT UP AND WE DON'T HAVE A VACCINE TO PROVIDE, SO THOSE RELATIONSHIPS HAVE BEEN ESTABLISHED.

UM, AND WE WILL CONTINUE TO, TO WORK WITH, UM, THE VARIOUS PARTNERS, WHETHER IT'S THE, THE SPECIFIC SCHOOLS OF TITLE ONE SCHOOLS, UM, AND, UM, AND FAITH BASED, UM, CHURCHES, ET CETERA, WE'RE PREPARED TO WORK WITH YOU AND HELP YOU REACH INTO THOSE COMMUNITIES.

UM, JUST, UH, REACH OUT TO US AND WE'LL, AND WE WILL SHARE OUR NETWORK WITH YOU COMMISSIONER TRIVANTAGE I JUST WANT TO ADD ON, UM, YOU KNOW, I, I, I THINK WE'RE GONNA, WE'RE GONNA SEE A SHIFT IN HOW WE APPROACH IT AS WE MOVE INTO THE SPRING.

UH, AGAIN, THE ISSUES FOR JANUARY AND FEBRUARY ARE GOING TO BE PRIORITIZATION AND, AND GETTING IT OUT TO FOLKS WHO, WHO NEED IT THE MOST, UH, GETTING IT OUT TO OUR CENTRAL WORKERS, MARCH, APRIL, MAY, IT'S GOING TO BE A DIFFERENT CHALLENGE.

THE CHALLENGE THEN IS GOING TO BE GETTING MORE PEOPLE TO WANT AND SIGN UP FOR THE VACCINE.

AND I'M PLEASED WITH THE FACT THAT WE'VE GOT MORE THAN 160,000 SIGNED UP, BUT WE NEED TO VACCINATE, YOU KNOW, 800, 900,000.

UM, SO AGAIN, OUR, OUR, OUR CHALLENGES ARE GOING TO SHIFT AS WE GO INTO THE SPRING, AND THAT'S WHY WE NEED TO CONTINUE THIS EFFORT.

CONTINUE THE ADVOCACY.

I CONTINUED THE DISCUSSION REGARDING THE IMPORTANCE OF VACCINE, PARTICULARLY FOR OUR COMMUNITIES OF COLOR THAT HAVE BEEN SO DISPROPORTIONATELY IMPACTED.

UH, WE EXPECT THAT, THAT THOSE COMMUNITIES WILL, WILL BE MORE CHALLENGED, UH, TO GET VACCINE INTO ARMS. UH, SO WE'RE, YOU KNOW, DIRECTOR HAYDEN AND HER TEAM HAS DONE A GREAT JOB OF, UH, PRE PLANNING MESSAGING AND TALKING ABOUT HOW WE'RE GOING TO ADJUST STRATEGY BASED UPON NOW THE EXPECTED SHIFT IN THOSE CHALLENGES.

THANK YOU.

THANK YOU.

THANK YOU, COMMISSIONER HOWARD.

THANK YOU.

GOOD MORNING.

MY QUESTION DEALS WITH MESSAGING AND I WANTED TO BRIEFLY WELCOME STEPHANIE HAYDEN TO, TO THE HOWARD CLAN.

AND, UM, NOTE THAT THE MESSAGE SHE SENT TO US IS THAT SHE HAS A NEW LAST NAME, AND I'M JUST DELIGHTED THAT, UH, SHE'S ADDING HOWARD TO HER NAME.

UM, SECOND, SOME OF US GOT A, UH, A LETTER FROM OUR HEALTHCARE PROVIDER, LIKE AUSTIN REGIONAL CLINIC THAT THEY NO LONGER HAD VACCINES AND THAT WE SHOULD LOOK TO AUSTIN PUBLIC HEALTH.

AND SO COULD YOU CLARIFY THE MESSAGE TO THE COMMUNITY ABOUT THE PRIORITY, UM, WITH THE VACCINES THAT WE HAVE AT AUSTIN PUBLIC HEALTH, THAT THEY ARE STILL FOR FOLKS WHO DON'T HAVE ACCESS OTHERWISE, OR WON'T HAVE ACCESS OTHERWISE, OR WHO ARE UNINSURED, IF THAT IS STILL THE CASE? UM, YES.

UM, YES, COMMISSIONER, UM, THAT IS STILL THE CASE.

UM, WE ARE, WE ARE TARGETING 65 YEAR OLD, UM, FOLKS, 65 YEARS OR OLDER, YOU CAN HAVE INSURANCE.

UM, THAT'S NOT A PROBLEM FOR YOU TO HAVE INSURANCE AT THAT AGE.

WHAT WE ARE TARGETING THOUGH, IS PEOPLE THAT ARE UNDER 65, SO 64 YEARS AND OLDER, THAT STILL ALL OF THEM STILL FALL INTO ONE B, UM, AND THAT THEY DON'T HAVE INSURANCE.

UM, I THINK IT'S, IT'S UNFORTUNATE, UM, THAT, YOU KNOW, UM, PROVIDERS HAVE SENT THAT TYPE OF COMMUNICATION FORWARD, UM, BECAUSE, UM, ALL OF THE PROVIDERS WE DID SHARE WITH THEM, UM, OUR, OUR TARGET POPULATION.

[00:55:01]

AND SO WE CAN FOLLOW UP WITH THEM AND REALLY TRY TO DO SOME, SOME JOINT, UM, MESSAGING, BECAUSE I THINK THAT WOULD BE BENEFICIAL FOR US JUST TO WORK TOGETHER.

THANK YOU.

ALL RIGHT.

SO, UH, I'VE GOT A QUESTION HERE THEN WE'LL PASS IT AFTER THIS, TO THE CITY COUNCIL IN THE MIRROR, UM, DIRECTOR HAYDEN, WE AND DR.

ESCO.

WE KNOW OBVIOUSLY THE BIGGEST BARRIER TO GETTING THE VACCINE IS THAT WE JUST DON'T HAVE ENOUGH IN OUR COMMUNITY, BUT AT THE SAME TIME AS COMMISSIONER SHAY POINTED OUT, BIDEN HAS STATED THAT HIS GOAL IS TO GET A HUNDRED MILLION IN A HUNDRED DAYS.

SO WE DO NEED TO BE READY FOR THAT.

IF, IF THAT DOES HAPPEN, UM, I WANT TO THANK YOU, ESPECIALLY DIRECTOR HAYDEN FOR ALL THE WORK THAT YOU'RE DOING TO MEET THE INCREDIBLY IMPORTANT NEED OF GETTING VACCINES INTO THE FOLKS WHO ARE AT GREATEST RISK IN OUR COMMUNITY, BUT I'M HEARING FROM THE COMMUNITY THAT THEY UNDERSTAND THIS GENERALLY, BUT THEY WANT SOME TRANSPARENCY AROUND HOW THE VACCINE IS GETTING OUT, HOW ARE WE DISTRIBUTING IT? AND SOME REASSURANCE THAT WE HAVE THE ABILITY TO MASS VACCINATE WHEN THAT TIME COMES.

AND FOR ME, I THINK WE CAN DO THIS BY CREATING A WEBSITE THAT WORKS, THAT PROVIDES GOOD, EASILY UNDERSTANDABLE INFORMATION AND HOLDS US ALL ACCOUNTABLE TO THE PUBLIC.

AND SO I'VE ASKED THE COUNTY STAFF TO WORK WITH YOU AND THE CITY STAFF TO STAND UP A WEBSITE, AND I'VE SEEN A PROTOTYPE OF IT.

I THINK IT LOOKS GOOD AND WILL BE HELPFUL.

UM, BUT I'D LIKE THAT WEBSITE TO PROVIDE A CENTRAL SITE TO ACCESS ANY VACCINE PROVIDERS IN THE REGION FOR BOTH INSURED AND UNINSURED PEOPLE TO ALLOW PEOPLE TO SIGN UP TO VOLUNTEER.

BECAUSE I KNOW FROM HAVING RUN A SMALL PILOT DRIVE-THROUGH VACCINATION CLINIC WITH CONSTABLE MORALES AND OTHERS, TO SEEING THE DELCO CENTER, MORE VOLUNTEERS THAT ARE, HAVE SKILLS THAT WE NEED WILL HELP.

UM, I'D LIKE THE WEBSITE TO SHOW HOW MANY VACCINES HAVE BEEN GIVEN OUT AND WHERE, AND TO WHOM THEY'RE GOING.

WE HAVE SOME OF THE MOST ADVANCED TECHNOLOGY COMPANIES IN THE WORLD.

AND I KNOW I TALKED TO MAYOR ADLER ABOUT THIS.

HE'S WILLING TO CONNECT US TO THOSE FOLKS.

AND AS COMMISSIONER TRILLIAN SAID, THE ENTIRE COURT, ALL OF US HERE IN THE COMMISSIONER'S COURT, WE'RE COMMITTED TO DOING WHATEVER WE CAN TO SUPPORT YOUR EFFORTS EITHER WITH OUR COUNTY TEAM OR TRYING TO ENGAGE THE PRIVATE SECTOR ALONG WITH THE MAYOR TO SUPPORT THESE EFFORTS.

SO THESE ARE SOME OF THE THINGS THAT WE CAN DO TO HELP THE COMMUNITY KNOW WHAT WE'RE DOING AND HELP INFORM DECISIONS IF WE NEED TO CHANGE TACTICS OR TO GET THE VACCINE OUT FASTER OR MORE EQUITABLY.

AND SO I'D LIKE TO KNOW WHAT'S, WHAT IS THE BIGGEST BARRIER TO APH TO SETTING UP THIS WEBSITE, ALONG WITH THE COUNTY, IT WOULD ACCOMPLISH THESE GOALS.

AND COULD YOU REPORT TO US THROUGH THIS WEBSITE WHO IS RECEIVING THE VACCINE AND WHERE DO THEY LIVE AND HOW QUICKLY DO YOU THINK WE COULD BRING SOME TRANSPARENCY TO THESE EFFORTS? AND AGAIN, IF THERE'S ANY BARRIERS OR CHALLENGES TO THIS, I KNOW I COMMISSIONER HIRED EVERYBODY HERE, UH, IS WILLING TO WORK TO REMOVE ANY, ANY BARRIERS THAT WE CAN AND HELP HELP DO THAT.

BUT ALSO AGAIN, I WANT TO THANK YOU AND DR.

S SCOTT, UH, AND ALL THE TEAM THAT GOT OUT THOSE 12,000 VACCINES LAST WEEK, AS YOU SET YOUR GOAL TO DO, UH, WHEN, UH, GREATLY THANK YOU FOR YOUR EFFORTS.

SO, UM, JUDGE BROWN, UM, AS YOU KNOW, UM, YOUR TEAM IS WORKING WITH THE CITY'S TEAM, UM, ON THAT PLATFORM.

UM, AND SO, YOU KNOW, WE, I MEAN, YOU KNOW, WE'LL CONTINUE TO WORK WITH YOUR TEAM ON THAT PLATFORM.

UM, I DON'T HAVE, UM, YOU KNOW, ANY CONCERNS ABOUT US BEING ABLE TO, UM, GET THAT PLATFORM DONE AT THIS TIME.

UM, BUT I, I WILL JUST SAY THAT WE, WE DO NEED THE ADDITIONAL TIME.

UM, YOU KNOW, WE, WE WERE ABLE TO, OUR, OUR GOAL EVERY WEEK IS ALL OF THE VACCINES THAT COME INTO OUR COMMUNITY IS TO BE ABLE TO GET THE VACCINES OUT THE DOOR, UM, WITHIN, UH, A FIVE, FIVE TO SIX DAY TIME PERIOD.

UM, THAT IS, YOU KNOW, THAT IS OUR, OUR, YOU KNOW, OUR, OUR FIRST GOAL.

UM, AND SO, UM, YES, WE, WE ARE WILLING TO WORK WITH YOUR TEAM.

UM, DO WHATEVER, YOU KNOW, WE DO NEED TO DO TO SET UP, UM, THAT PORTAL, UM, AND PROVIDE, UM, PROVIDE THAT INFORMATION.

UM, WE HAVE TYPICALLY, UM, KEPT, UM, ALL OF THE INFORMATION, YOU KNOW, KIND OF, UM, AN AUSTIN TRAVIS COUNTY TYPE SITE WITH DASHBOARDS.

UM, AND SO, UM, MY REQUEST IS THAT WE CONTINUE TO CENTRALIZE WHATEVER KIND OF EFFORTS THAT WE STAND UP, UM, AND THAT THEY'RE NOT IN MULTIPLE, MULTIPLE PLACES.

UM, IT'S MY RECOMMENDATION.

SOUNDS GOOD.

THANK YOU.

AND WITH THAT, UH, MAYOR, I WILL PASS IT OVER TO YOU TO CALL ON YOUR, THE CITY COUNCIL MEMBERS

[01:00:01]

IN YOUR ORDER.

I THINK YOU'RE NEEDED MAYOR ADLER WAS, I WAS.

THANK YOU, JUDGE BROWN.

THANK YOU.

UH, WE'LL NOW WORK OUR WAY THROUGH THE, UH, CITY COUNCIL, UH, COUNCIL MEMBER, ELLIS NHL ASK ONE QUESTION AND THEN WE'LL PASS IT ON TO THE NEXT PERSON.

OKAY.

THANK YOU.

I APPRECIATE THAT.

UM, I'VE, I'VE HEARD A COUPLE OF DIFFERENT VARYING QUESTIONS.

I'LL TRY TO PUT INTO ONE QUESTION ABOUT THE NEWER STRAIN OF THE VIRUS AND, AND THEY HAVE CONNECTIVITY ISSUE.

SO I'M GOING TO TURN MY VIDEO OFF, UM, BUT JUST GENERAL QUESTIONS ABOUT WHAT DO WE KNOW ABOUT ITS TRANSMISSION IT'S CONTAINED PAGAN IS A NEW VACCINE BEING DEVELOPED.

IS IT AFFECTING YOUNGER PEOPLE MORE THAN OLDER PEOPLE? CAN YOU GO INTO A LITTLE MORE DETAIL ABOUT WHAT IS, AND IS NOT KNOWN ABOUT THIS OTHER STRAIN AT THIS POINT IN TIME? CERTAINLY COUNCIL MEMBER, UH, THE INDICATIONS THAT WE HAVE RIGHT NOW ARE THAT IT IS SIGNIFICANTLY MORE CONTAGIOUS, UH, THAN THE MAIN VARIANT.

UH, YOU KNOW, WE DON'T HAVE A LOT OF SURVEILLANCE DETAIL, UH, PARTICULARLY IN THE STATE OF TEXAS IN TERMS OF, UH, UH, DOING GENOMIC SEQUENCING OF, UH, VIRAL CASES.

THERE IS EFFORTS, UH, UH, VIA THE FEDERAL GOVERNMENT TO INCREASE THAT GENOMIC SURVEILLANCE.

SO WE CAN HAVE BETTER INTELLIGENCE ON, ON WHEN THE, WHEN THE VARIANT, UH, CHANGES, UH, YOU KNOW, THE GOOD NEWS IS THAT IT'S, THERE'S NO INDICATION THAT IT'S MORE DEADLY.

THE BAD NEWS IS THAT, UH, GENERALLY MORE CONTAGIOUS IS WORSE THAN MORE DEADLY, UM, BECAUSE IT HAS THE ABILITY TO INFECT MORE PEOPLE.

AGAIN, I THINK THE TAKE HOME POINT FOR OUR COMMUNITY IS WE HAVE TO PROTECT OURSELVES.

WE HAVE TO STAY HOME.

IF WE CAN, WE HAVE TO CHOOSE VIRTUAL EDUCATION, IF WE CAN.

AND IF WE HAVE TO GO OUT, WE MUST WEAR A MASK.

WE MUST DISTANCE.

THOSE SAME PROTECTIONS WILL WORK.

UH, BUT IT'S, YOU KNOW, IT'S GOING TO BECOME INCREASINGLY DIFFICULT TO, UH, TO PROTECT OURSELVES IN THOSE PLACES WHERE WE MAY HAVE BEEN ABLE TO PROTECT OURSELVES IN THE PAST.

OKAY.

ALL RIGHT.

COUNSEL, OUR KITCHEN.

THANK YOU.

WELL, I THINK THIS IS FOR DIRECTOR HAYNE.

UM, UH, I BELIEVE THAT I HEARD, UH, YOU MENTIONED THAT THERE WOULD BE SOME OUTREACH EFFORTS AND I'M NOT SURE IF I, UH, THAT, THAT THERE WOULD BE SOME EFFORTS TO CALL EVERYONE.

UM, AND SO MY SPECIFIC QUESTION IS A LITTLE BIT MORE DETAIL ON OUTREACH TO THE EXTENT THAT, YOU KNOW, AT THIS POINT, I THINK I HEARD YOU SAY YOU'RE STILL WORKING IT OUT.

I'M PARTICULARLY TRYING TO UNDERSTAND THE SENIORS WHO LIVE, UM, IN THE COMMUNITY, PARTICULARLY ELDERLY FOLKS.

UM, I'M WONDERING IF, UM, IF YOU ALL ARE WORKING TOWARDS, UH, OUTREACH THAT MIGHT INCLUDE PHONE CALLS OR, OR POSTCARDS OR SOMETHING, UH, BECAUSE I'M CONCERNED THAT THOSE ARE THE INDIVIDUALS THAT THOSE AMONG OTHER INDIVIDUALS WILL HAVE DIFFICULTY WITH THE, UM, ELECTRONIC PROCESS.

AND ALSO OUR, UH, YOU KNOW, WE'VE SHARED CONCERNS THAT SOME OF THEM WERE HAVING DIFFICULTY WITH GETTING THROUGH ON THE NURSE HOTLINE.

SO, UM, CAN YOU JUST TELL ME WHAT YOUR PLANS ARE? I KNOW IT TAKES A WHILE TO GET EVERYTHING IN PLACE, BUT COULD YOU LET US OUR, FOR ACTUAL, UM, PROACTIVE OUTREACH TO, UM, TO SENIORS IN THE COMMUNITY WHO ARE LIVING AT HOME? UM, YES.

UM, THE PROCESS IS NOT A FULLY DEVELOPED, UM, BUT IT WILL TARGET, UM, INDIVIDUAL, THOSE THAT ARE 65 YEARS OF AGE.

AND, UM, THE, THAT THOSE ARE THE VISUALS THAT WILL RECEIVE, UM, A CALL, UM, FROM AN INDIVIDUAL.

AND THEY WILL BE ABLE TO, UM, ANSWER THE QUESTIONS THAT THEY HAVE.

SO ONCE WE HAVE THAT DEVELOP, UM, WE'LL SEND COMMUNICATION OUT TO THE COUNTY COMMISSIONER'S COURT ABOUT THAT PROCESS.

THANK YOU.

DO YOU HAVE A TIMELINE AT THIS POINT THAT YOU CAN SHARE UNDERSTANDING THAT YOU'RE STILL WORKING THROUGH IT? I THINK WE LOST STEPHANIE

[01:05:04]

THAT'S USUALLY COMES BACK.

CAN YOU HEAR ME? YES, YOU'RE BACK NOW.

OKAY.

UM, WE WILL HAVE AN UPDATE BY THE END OF THE WEEK.

THANK YOU.

THANK YOU, MIRA.

THANK YOU.

UH, DIRECTOR HAYDEN HOWARD AND DR.

SCOTT.

GOOD MORNING, EVERYBODY.

MY QUESTION IS ABOUT, I GUESS, IN ALIGNMENT WITH COUNCIL MEMBER KITCHENS ABOUT OUTREACH, UM, IN WHICH CASE, THOUGH, I'LL SORT OF WAIT FOR THAT END OF WEEK UPDATE FOR THAT PART OF IT, BUT, YOU KNOW, SOME OF THE SPECIFICS ARE THE WHO THE, WHEN THE, WHERE AND HOW WE'RE REACHING THEM.

AND THAT GETS ME TO THE PRIMARY POINT OF MY QUESTION, WHICH IS, UM, WHAT I'M READING, UH, SAYS THAT PEOPLE OF COLOR ARE NOT BEING VACCINATED AT THE SAME RATE, UM, AS A NEW AMERICANS.

AND I WANT TO KNOW WHAT THAT'S ABOUT, WHY, I MEAN, IS IT EXCLUSIVELY OUTREACH? IS IT, UM, RELATED TO JUDGE BROWN'S POINT ABOUT A COMPREHENSIVE WEBSITE? IS IT RELATED TO COMMISSIONER TREVELYAN POINT ABOUT, YOU KNOW, GETTING REALLY GRANULAR AND NEIGHBORHOODS AND ACCESSING FIRE STATIONS AND SCHOOLS AND, UM, THE RELIGIOUS ORGANIZATIONS.

I MEAN, UM, I'M TRYING TO FIGURE OUT WHY FOLKS ARE GETTING VACCINATED AND I'LL JUST SORT OF PUT ON THE TABLE INTO TO THAT, YOU KNOW, MY ANECDOTAL EXPERIENCE, HAVEN'T SEEN THE LINES AT, UM, AT THE DELCO CENTER, UM, JUST A VISUAL OBSERVATION WAS, YOU KNOW, THAT THERE WERE A FRACTION AT BEST OF PEOPLE OF COLOR IN THE LINE.

UM, THE, THE SENIOR COLOR, UM, UNIFYING SIMILARITY WAS AGE.

AND SO I, I'M ALSO CURIOUS IF THE DELCO CENTER PLOPPED RIGHT IN THE MIDDLE OF NORTHEAST, AUSTIN SEEMS RELATIVELY ACCESSIBLE, WHY WEREN'T MORE PEOPLE OF COLOR IN THAT LINE.

UM, SO THAT'S, YOU KNOW, IT SEEMS LIKE A COMPLEX ENOUGH QUESTION THAT YOU MIGHT NOT BE ABLE TO GIVE ME A COMPLETE ANSWER TODAY, BUT I'M VERY CURIOUS ABOUT THAT AND WANT TO KNOW WHAT WE CAN DO BOTH AT THE CITY AND THE COUNTY TO SUPPORT THE EFFORTS, TO BE SURE MORE AT RISK POPULATIONS OR FOLKS WHO ARE BEING INVESTIGATED.

UM, WHAT, WHAT WE ARE FINDING IS, IS THAT BECAUSE THE SYSTEM HAS, UM, NOT BEEN AS USER-FRIENDLY, UM, WE, WE KNOW THAT, UM, MOST POPULATIONS OF COLOR ARE NOT GOING TO, UM, CONTINUE TO COME TO A COMPUTER AND TRY TO ACCESS THAT.

UM, AND SO WHAT WE HAVE PUT IN PLACE IS, UM, AND WE'RE CONTINUING TO WORK OUT THE DETAILS IS THAT WE ARE GOING TO BE WORKING, WORKING WITH SOME PARTNERS, UM, TO ENSURE, UM, SPECIFIC OUTREACH TO TARGET POPULATIONS, UM, AND BE ABLE TO MAKE SURE THAT THOSE TARGET POPULATIONS ARE ABLE TO GET THOSE APPOINTMENTS SCHEDULED BECAUSE THE, BECAUSE SALESFORCE WAS NOT, UM, NEW HAD A LOT OF TECHNICAL ISSUES.

THOUSANDS OF FOLKS WERE CALLING NURSE LINE.

UM, AND SO THE NURSE LINE WAS SET UP NOT TO PROVIDE TECHNICAL ASSISTANCE, BUT THE NURSE LINE WAS SET UP TO FOR FOLKS THAT DID NOT HAVE ACCESS TO THE INTERNET.

AND SO, UM, WE WILL BE WORKING WITH SOME PARTNERS BEING MORE INTENTIONAL.

UM, WE'LL CONTINUE TO LEAVE, YOU KNOW, THE NURSE LINE, UM, SET UP THE WAY IT IS.

OUR HOPE IS, IS IF WE WORK OUT, UM, YOU KNOW, THE MAJORITY OF THE PROBLEMS, UM, WITH THE, WITH THE SITE, WE CAN FREE UP THAT, UM, AREA AND IT CAN WORK AS IT'S INTENDED TO WORK.

SO IN THE MEANTIME, UM, OUR STAFF WILL BE WORKING WITH OUR OUTREACH PARTNERS, UM, TO IDENTIFY, UM, CLIENTS THAT WE CAN, UM, START TO PROVIDE THE VACCINATIONS TO THIS WEEK.

THANK YOU, DIRECTOR HAYDEN HOWARD, IN THAT UPDATE THAT WE GET AT THE END OF THE WEEK, WE COULD GET SOME, A CLEARER PICTURE OF WHO OUR OUTREACH PARTNERS ARE THAT WE, EACH OF US CAN TAKE THE OPPORTUNITY TO INTRODUCE NAMES THAT MAY NOT BE ON THAT LIST THAT ARE SPECIFIC TO OUR DISTRICTS.

UM, YES, THAT, THAT WILL BE FUN.

THANK YOU.

I APPRECIATE MARY YOU'RE MUTED.

OKAY.

COUNTS FOR THIS.

AND I APOLOGIZE, COLLEAGUES.

I, I DIDN'T GO IN DISTRICT ORDER AND I'M CATCHING UP THERE NOW AS OUR POINT.

THIS THANK YOU, MAYOR.

UM, SO MY, I JUST, WELL, FIRST I WANT TO REITERATE, OR I WANT TO EMPHASIZE WHAT COUNTY JUDGE BROWN MENTIONED ABOUT HAVING A COMPREHENSIVE, INTEGRATED A

[01:10:01]

WEBSITE.

YOU KNOW, WE ARE THE TECH CITY OF OUR STATE, AND WE SHOULD BE LEADING ON THIS ISSUE.

AND SO I REALLY HOPE THAT WE CAN WORK TOGETHER QUICKLY IN OFFERING THAT SERVICE, BUT ALSO IN LIGHT OF THE CONVERSATION THAT COUNCIL MEMBER HARPER MADISON BROUGHT TO LIGHT MANY IN OUR COMMUNITIES OF COLOR ARE RELYING ON PHONE CALLS.

AND SO IF THERE'S A WAY THAT WE CAN SCALE UP THAT OPERATION TO HANDLE THE IMMENSE CALL VOLUME OF CALLS THAT WE'RE GETTING, I WOULD REALLY LOVE TO SEE THAT BECAUSE, UH, THAT IS THE, I KNOW FOR MY OFFICE, WE ARE DIRECTING PEOPLE.

THEY WANT IT, THEY ACTUALLY WANT TO CALL SOMEONE AND THEY'RE, YOU KNOW, FROM MY GENERATION, WE HAVE INDIVIDUALS WHO ARE CALLING ON BEHALF OF THEIR PARENTS TOO.

AND SO WE JUST GOT TO FIGURE OUT A WAY WHERE WE CAN, YOU KNOW, HAVE THAT INTEGRATED, COMPREHENSIVE WEBSITE, BUT ALSO ACKNOWLEDGE THAT WE NEED TO GET THE CALL SYSTEM OPERATION, UM, OPERATIONALIZED AS QUICKLY AS POSSIBLE TO HELP OUR COMMUNITIES OF COLOR, ESPECIALLY OUR ELDERLY.

AND SO MY QUESTION IS ABOUT THE DRIVE-THROUGH, UH, VACCINATION.

SO IT'S MY UNDERSTANDING THAT CURRENTLY WE APH IS NOT DOING ANY DRIVE-THROUGH VACCINATION SITES.

UM, ARE THERE PLANS TO DO THAT? YOU KNOW, AS WE THINK PROACTIVELY, IF THE BIDEN ADMINISTRATION IS ABLE TO OFFER A HUNDRED MILLION VACCINES IN THE NEXT HUNDRED DAYS, YOU KNOW, WILL WE MOVE TO A VACCINATION, A DRIVE-THROUGH VACCINATION MODEL? AND I APPRECIATE APH, UM, THAT YOU OUTLINED IN YOUR MEMO ABOUT ALLOWING FOLKS, UM, TO WAIT IN THEIR CAR AND NOT HAVING TO WAIT IN LINE FOR THEIR TIME.

I HOPE FOLKS KNOW THAT OUT THERE, THAT THERE IS A PROCESS OUT THERE THAT YOU CAN WAIT IN YOUR CAR AS YOU'RE WAITING YOUR, YOUR APPOINTMENT SCHEDULE.

UM, BUT I WOULD LIKE TO SEE DRIVE-THROUGH VACCINATION SITES, UH, THROUGHOUT OUR COMMUNITY.

UH, AND ALSO JUST SAY, NO, YOU KNOW, IN MY DISTRICT, WE HAVE A VETERANS CLINIC THAT HAS VERY LARGE PARKING LOTS, AND IT'S IN THE FOUR, FOUR ZIP CODE WOULD BE A GREAT SITE FOR ABOUT SUNATION DRIVE-THROUGH SITE AND COORDINATION WITH OUR FEDERAL PARTNERS.

THANK YOU.

UM, YES, WE, RIGHT NOW WE ARE NOT, UM, OFFERING, UM, THROUGH SITES.

UM, HOWEVER, UM, OUR TEAM ARE WORKING ON, UH, PLANS FOR THOSE.

AND SO WE WILL, UM, KEEP YOU ALL POSTED ON ONCE WE TRANSITIONED TO THAT TYPE MODEL, UM, WE KNOW WE WILL NEED TO CONTINUE TO DO BOTH, UM, BECAUSE WE WANT TO MAKE SURE THAT WE ARE, UM, MAXIMIZING, UM, WITH THE VACCINE, UM, CURRENTLY, YOU KNOW, WITH THE, WITH THE DRIVE-THROUGH BOTTLES, UM, WE HAVE TO MAKE SURE THAT WE CAN SET IT UP, UM, IN A PROCESS TO WHERE WE CAN AT LEAST BE ABLE TO PROVIDE VACCINES TO AT LEAST TWO TO 300 PEOPLE, UM, PER HOUR.

UM, AND SO THOSE SITES WILL NEED TO BE SET UP TO ALLOW THAT TYPE OF FOOD, BUT THANK YOU, MARIA.

DO YOU HAVE ANY QUESTIONS? LET THE QUESTIONS, UM, YOU KNOW, WE DO HAVE, UH, A VA CLINIC OUT THERE AND OUR HEALTH DEPARTMENT WORKING WITH THEM.

I, I KNOW THAT MY WIFE IS A VETERAN AND SHE HADN'T GOTTEN ANY, ANY I NOTIFICATION WHETHER THEY'RE GOING TO HAVE VACCINE ANYTIME SOON, HAVE YOU HEARD ANYTHING THAT, ARE THEY GOING TO HAVE VACCINES THAT DERRICK GONNA ADMINISTER OVER THERE ON THAT LOCATION? MY UNDERSTANDING RIGHT NOW IS ONLY A TEMPLE AND SOME OF THE LARGER SITES IN DALLAS, HOUSTON AREA, OR ADMINISTER A NOVUS BAXI.

UM, I HAVE NOT SEEN, UM, THE VA HERE IN AUSTIN ON THE SITE.

UM, AND SO WE WOULD HAVE TO COORDINATE, UM, WITH THEM AS WELL AS DISHES TO DETERMINE IF THAT IS A SITE THAT THEY'VE IDENTIFIED.

SO WE CAN, UM, WE CAN LET YOU KNOW ABOUT THOSE CONVERSATIONS.

AND IT'S DEFINITELY, UH, UH, YOU KNOW, ONE OF THE CONFUSION IS THE, UH, THE STATE, UH, DASHBOARD WHERE THEY SHOW THE LOCATIONS OF, OF PEOPLE THAT HAVE THE VACCINE.

UH, MY UNDERSTANDING IS THAT YOU SHOULDN'T BE CALLING THOSE SIDES BECAUSE YOU'RE, YOU'RE BASICALLY A PUBLIC HEALTH, UH, COORDINATING EVERYTHING.

UH, I WONDER IF YOU COULD JUST GET THAT MESSAGE OUT, BECAUSE I'M SURE THAT A LOT OF THESE LOCATIONS ARE GETTING CALLED RIGHT NOW AND IS BY TYING UP THEIR, THEIR STAFF TO ANSWER SOME OF THESE CALLS.

SO, AND I KNOW THAT, YOU KNOW, Y'ALL GUYS ARE COORDINATING EVERYTHING THERE.

THEY SHOULDN'T BE CALLING THESE LOCATIONS BECAUSE THEY'RE NOT GOING TO BE ABLE TO ADMINISTER

[01:15:01]

ANY OF THOSE, UH, VACCINE SHOTS TO THE PUBLIC.

OKAY.

THANK YOU, COUNCIL MEMBER.

COSAR I WANNA, I WANNA THANK, UH, COUNCILMEMBER AND JUDGE BROWN FOR BRINGING UP, UH, REALLY GETTING OUR OPERATIONS READY FOR POTENTIALLY ADMINISTRATING SO MANY MORE TENS OF THOUSANDS OF VACCINES IN A COMPREHENSIVE WAY.

SO I JUST WANT TO ECHO THAT POINT.

UM, BUT MY QUESTION GOES A LITTLE BIT MORE TO WHAT COUNCIL MEMBER JUST SAID AT THE END OF HIS COMMENTS, THERE ARE SO MANY PEOPLE WHO ARE GETTING DIFFERENT MESSAGES FROM THEIR PRIVATE PROVIDERS, FROM THE STATE, FROM WHAT THEY HEAR INTERMITTENTLY FROM THE CITY THAT I THINK IT WOULD BE SO HELPFUL IF WEEK TO WEEK, AS WE GET A SHIPMENT OF VACCINES, IF WE ARE ABLE TO HAVE IN WRITING FOR PEOPLE, IF YOU FALL INTO THIS CATEGORY, THIS IS WHAT WE RECOMMEND YOU DO.

IF YOU FALL INTO THIS CATEGORY, THIS IS WHAT WE RECOMMEND YOU DO.

AND WE KNOW THAT SHIFTING FROM WEEK TO WEEK, BUT I WOULD FIND THAT SO HELPFUL SO THAT WE CAN SAY, IF YOU'RE UNDER 65 AND YOU HAVE AN UNDERLYING CONDITION, BUT YOU ARE INSURED, THEN DO THE FOLLOWING.

AND EVEN IF IT SAYS THAT WHAT WE, ALL WE CAN RECOMMEND YOU DO IS WAIT OR TRY CALLING SOME PRIVATE PROVIDERS, BUT THEY MAY NOT HAVE ANY THAT CAN BE HARD TO TELL PEOPLE, BUT IT WOULD BE REALLY USEFUL TO HAVE A TRANSPARENT PLACE WHERE PEOPLE JUST HEAR THE TRUTH, THE BEST THAT WE CAN DELIVER IT.

I THINK WE DISCUSSED THIS A LITTLE BIT AT OUR LAST MEETING.

SO I'M INTERESTED IN WHETHER WE'VE DEVELOPED SOMETHING LIKE THAT.

AND I JUST HAVEN'T SEEN IT IF WE'RE PLANNING ON DEVELOPING SOMETHING LIKE THAT, OR IF Y'ALL, DON'T THINK THAT'S A GOOD IDEA.

UH, AND HERE'S WHY, BUT I, WE JUST GET CALLS FROM PEOPLE IN DIFFERENT CATEGORIES WHO WANT TO DO THE RIGHT THING AND ARE WILLING TO WAIT, BUT THEY DON'T KNOW WHETHER THEY'RE SUPPOSED TO WAIT OR SIGN UP WITH APH OR POLY GB OR WHAT THEY'RE SUPPOSED TO DO.

UH, AND THEY GET DIFFERENT INFORMATION.

UM, I THINK ONE OF THE, OF PUTTING TOGETHER, UM, SOMETHING LIKE THAT, UM, BECAUSE THINGS DO CHANGE QUITE OFTEN.

UM, IN THE PAST, WHEN WE, UM, TOLD HIM, UH, IN OUR COMMUNICATIONS, WHEN WE SAY IT TO CONTACT YOUR PRIMARY CARE PROVIDER, UM, OR, UM, OR YOUR, YOUR PHARMACIST, ET CETERA, UM, THEN ALL OF THEM WILL, EVERYBODY JUST KIND OF STARTS REACHING OUT AND THEN ALL OF THEIR PHONE LINES ARE OVERLOADED.

AND SO NOW, YOU KNOW, THEY HAVE DIRECTED PEOPLE BACK TO AUSTIN, PUBLIC HEALTH.

SO I THINK THE BOTTOM, THE BOTTOM LINE IS, IS THAT, YOU KNOW, EVERYONE REALLY NEEDS TO HAVE PATIENTS.

AND SO IF THAT'S THE MESSAGE THAT WE NEED TO PUT UP EVERYWHERE FOR PEOPLE TO HAVE PATIENTS, WE REALLY NEED PEOPLE TO HAVE PATIENTS.

I UNDERSTAND THAT, UM, THE VARIOUS SYSTEMS ARE, ARE, ARE TRYING TO SET UP SOMETHING, YOU KNOW, WHERE THERE'S EGYPT, HEB, OR AUSTIN REGION ONE, WHOEVER THE PROVIDER IS.

UM, I KNOW THEY'RE TRYING TO PUT UP INFORMATION, UM, BUT FOR US, YOU KNOW, RIGHT NOW, UM, WE'RE GOING TO CONTINUE TO BE A SAFETY NET PROVIDER.

UM, AND SO THAT HAS NOT CHANGED FOR US.

THAT'S ALWAYS BEEN OUR MISSION.

AND SO I UNDERSTAND THAT THAT, THAT IS CONFUSING BECAUSE WE'RE GETTING CONFLICTING MESSAGES FROM EVERYWHERE ELSE.

UM, AND SO, UM, THAT'S KIND OF MY RECOMMENDATION AT THIS POINT.

THANK YOU.

AND I JUST WOULD ASK THAT WE PUT SOMETHING TOGETHER FOR FOLKS THAT SETS THEIR EXPECTATION, AND IT MAY NOT SAY CALLING A PRIVATE PROVIDER, IT MAY SAY, YOU MAY CALL YOUR PRIVATE PROVIDER, BUT THEY MAY NOT HAVE ENOUGH.

AND WHEREAS JUST LETTING YOU KNOW, UM, BUT IF WE DON'T FILL THAT VOID, THEN IT GETS THE VOID OF INFORMATION THAT'S FILLED WITH CONFLICTING MESSAGES THAT COULD BE EVEN MORE CONFUSING.

SO, SO MY, MY ASK WOULD BE THAT WE TRY TO PUT SOMETHING TOGETHER EVERY WEEK THAT GIVES PEOPLE THE TREATMENT.

UM, EVEN IF THE TRUTH MIGHT BE, YOU CAN TRY SOME OF THESE THINGS, BUT YOU MAY JUST NOT BE FAR ENOUGH AHEAD IN THE LINE AT THIS POINT.

OKAY.

THANK YOU.

UH, I THINK AT THIS POINT, UM, AND YOU'VE, YOU'VE HAD A CHANCE TO ASK A QUESTION, DIDN'T YOU? OKAY.

SO COUNCIL MEMBER, KELLY, THANK YOU VERY MUCH.

AND THANK YOU, DR.

S SCOTT AND DIRECTOR HAYDEN FOR YOUR TIME TODAY.

MY QUESTION IS ABOUT DIRECTING INDIVIDUALS IN MY DISTRICT, WHERE TO SIGN UP FOR THE VACCINE, AS YOU MIGHT BE AWARE, DISTRICT SIX IS THE ONLY ONE THAT COVERS BOTH WILLIAMSON

[01:20:01]

AND TRAVIS COUNTY.

AND SO FOR OUR WILLIAMSON COUNTY RESIDENTS, DO YOU THINK THAT YOU COULD SOME CLARITY ON THEM UTILIZING THE RESOURCES OF THE WILLIAMSON COUNTY HEALTH DISTRICT INSTEAD OF APH? OR IF YOU HAVE ANY INSIGHT ON THAT, IF YOU COULD OFFER IT, THAT WOULD BE HELPFUL.

THANK YOU.

UM, YES.

UM, COUNCIL MEMBER, UM, THEY CAN ACTUALLY SIGN UP WHETHER IT IS WITH AUSTIN PUBLIC HEALTH OR WITH WILLIAMSON COUNTY.

UM, THEY CAN SIGN UP IN ANY PORTAL.

IT DOESN'T MATTER WHERE YOU LIVE.

UM, AND SO I WOULD ENCOURAGE THEM TO, YOU KNOW, TO SIGN UP IN BOTH PLACES.

UM, WE HAVE BEEN PROVIDING, UM, VACCINES TO FOLKS THAT ARE NOT FROM TRAVIS COUNTY THUS FAR BECAUSE THEY ACCESS OUR PORTAL.

SO WE ENCOURAGE THEM TO DO BOTH COUNCIL MEMBER.

UH, YOU HAVE A QUESTION.

YES, I DO.

THANK YOU.

I HAVE ABOUT 90.

SO I'M GOING TO TRY TO MERGE A FEW OF THEM INTO ONE YOU'RE YOU'RE A LITTLE CLOSER.

THANKS.

UM, WELL, THANK YOU VERY MUCH TO DIRECTOR HAYDEN HOWARD AND, AND DR.

S SCOTT FOR YOUR TREMENDOUS WORK AND THE WORK OF YOUR STAFF AND YOUR RESPONSIVENESS, AND IN WORKING THROUGH SOME OF THE CHALLENGES THAT ARE BEING EXPERIENCED.

SO ALL OF US, I KNOW, ARE RECEIVING EMAILS FROM LOTS OF CONSTITUENTS, EXPERIENCING WEBSITE ERRORS, OR OTHER KINDS OF QUESTIONS AND MANAGE, OR I'LL JUST SAY EN ROUTE TO MY QUESTION, THAT IT WOULD BE HELPFUL IF WE KNEW EXACTLY WHICH STAFF MEMBERS TO CONTACT WITH THAT.

UM, FOR EXAMPLE, THAT DOT APH ISSUE I THINK COULD HAVE SOLVED THE PROBLEM.

AND I THINK WE'LL SOLVE THE PROBLEM FOR LOTS OF OUR CONSTITUENTS.

I I'VE SENT IT OFF.

I GOT TWO EMAILS TODAY JUST IN THE TIME WE'VE BEEN HERE, THAT I THINK THAT PROBLEM THAT WE'LL SOLVE.

AND I, I ONLY FOUND OUT ABOUT IT REALLY THROUGH NEIGHBORHOOD NEXT DOOR AS A POTENTIAL FIX OVER THE WEEKEND.

SO IF WE KNEW EXACTLY, I THINK THAT WE CAN BE A REAL RESOURCE TO YOUR STAFF IN FORWARDING TO YOU SOME OF THE QUESTIONS AND SOME OF THE EXPERIENCES OUR CONSTITUENTS ARE HAVING TO HELP REFINE THAT MESSAGING AND REFINE, UM, SOME OF THE WEBSITE CHALLENGES IF WE KNEW EXACTLY WHICH STAFF MEMBERS TO CONTACT IN EITHER OF THOSE CATEGORIES.

SO THAT WOULD BE, THAT WOULD BE HELPFUL.

UM, I THINK, UH, DIRECTOR HAYDEN HOWARD, I WOULD LIKE FOR YOU TO, TO GO BACK TO THE QUESTION OF THE HUB, I, I AM STILL GETTING QUESTIONS ABOUT WHETHER APH IS THE HUB AND I'M NOT SURE WHAT THE CORRECT ANSWER IS TO THAT.

UM, AS YOU MOVE FORWARD WITH THE KIND OF WEBSITE THAT, UM, JUDGE BROWN MENTIONED, CAN YOU HELP ME UNDERSTAND WHETHER THAT IS GOING TO HAVE REGISTRATION INFORMATION AVAILABLE FOR SOURCES OTHER THAN AUSTIN PUBLIC HEALTH, OR IS GOING TO BE A REGISTRATION SYSTEM? UM, AND INFORMATION UNIFIED INFORMATION BASICALLY FOR APH IS REGISTRATION.

I KNOW LAST WEEK WHEN WE TALKED ABOUT IT, YOU INDICATED THAT IT WAS REALLY CHALLENGING BECAUSE DIFFERENT HEALTHCARE PROVIDERS AND DIFFERENT DISTRIBUTORS HAVE HAVE DIFFERENT SYSTEMS. IT'S REALLY HARD TO WORK ALL OF THAT INFORMATION INTO ONE ONLINE COMMUNITY PORTAL.

SO THAT'S A COUPLE OF QUESTIONS, BUT I THINK THEY'RE ALL RELATED TO IS APH ACTUALLY OUR COMMUNITY HUB.

UM, OR IS IT TRANSITIONING TO THAT? HOW, HOW DOES THAT RELATE TO ITS MISSION TO BE A SAFETY NET PROVIDER? AND AS YOU WORK TOWARD THAT WEBSITE, UM, TO WHAT EXTENT WILL IT PROVIDE INFORMATION ABOUT RESOURCES OTHER THAN APH? WHAT IS THE STATUS OF THOSE CONVERSATIONS WITH OTHER PROVIDERS IN OUR COMMUNITY? OKAY.

UM, ESSENTIALLY WE ARE A HUB, BUT WE'RE NOT A HUB IN THE WAY THAT PEOPLE ARE THINKING OF A HUB.

WE WILL NOT TRANSFER VACCINE FROM AUSTIN PUBLIC HEALTH TO A, ANOTHER PROVIDER.

UM, IN THAT SENSE, UM, SO ALL ON THE VACCINE WILL NOT COME TO AUSTIN PUBLIC HEALTH.

SO, SO I HAVE TO BE CLEAR THAT, YOU KNOW, AS THIS PROCESS MOVES ALONG, A HUB IN DEFINITION IS A PROVIDER THAT HAS THE ABILITY TO PROVIDE VACCINES AT A HIGH VOLUME.

THAT'S ESSENTIALLY THE DEFINITION OF WHAT THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES DEFINITION IS.

AND SO RIGHT NOW WE ARE A HUB.

UM, AND AS YOU KNOW, MOST OF YOU MAY HAVE HEARD, YOU KNOW, YESTERDAY HAYES COUNTY SET UP THEIR HUB.

WE'VE SOME COUNTY HAS SET UP THEIR HUB.

AND SO THEY'RE, THEY'RE AT A POSITION WHERE THEY CAN, UM, PROVIDE MULTIPLE VACCINES A DAY IN A

[01:25:01]

SHORT AMOUNT OF TIME.

UM, AND SO THE SECOND QUESTION ABOUT THE WEBSITE, UM, RIGHT NOW, UM, WHAT WE WOULD HAVE ON THAT WEBSITE INITIALLY, UM, IS, IS AUSTIN PUBLIC HEALTH PORTAL.

UM, AND SO, YOU KNOW, AS THINGS CHANGE AND Y AND VACCINE IS WIDELY AVAILABLE, AND THIS IS KIND OF, YOU KNOW, WHAT TYPICALLY HAPPENS WHEN THERE'S MORE VACCINE AVAILABLE, UM, IT MOVES TO A PLACE OF MAKING SURE YOU'RE GETTING THE SHOTS IN ARMS. UM, AND SO THAT IS ESSENTIALLY WHAT MOST PROVIDERS ARE GOING TO DO IS, IS MAKE SURE THAT THEY CAN GIVE AS MANY PEOPLE THE VACCINE WHEN IT'S WIDELY AVAILABLE.

SO I HOPE THAT ANSWERS YOUR QUESTION, COUNCIL MEMBER.

UH, I'LL ADD ONTO THAT AGAIN, AS STEPHANIE SAID, WE'RE A HUB NOT LEAD HOME, AND I THINK THERE'S BEEN SOME CONFUSION.

UH, IT'S A HUBS MODEL, NOT A HUB MODEL.

UM, SO OUR, OUR HOPE IS THAT THAT WE CAN, AS OTHER HUBS DEVELOP, WE CAN BUILD SOME DEDICATED DATA FEEDS LIKE WE DID WITH TESTING SO THAT WE CAN NOT ONLY HAVE THE APH DEMOGRAPHIC INFORMATION ENDS UP GOOD INFORMATION, BUT FROM MULTIPLE SOURCES, NOT, WE'RE ALSO EXPECTING THAT THE STATE WILL PROVIDE ACCESS, UH, TO OUR, UH, M TRACK TWO DATA.

SO THIS IS WHERE ALL THE REPORTS GO FROM ALL THE PROVIDERS TO THE STATE, UH, FOR THE PURPOSE OF THAT VACCINE TRACKING.

WE'RE NOT SURE WHAT THAT LOOKS LIKE OR THE TIMELINE FOR GETTING ACCESS TO THAT, BUT THAT MAY PROVIDE US EVEN LARGER DATA SET TO TELL US HOW WE'RE DOING ON VACCINES, VACCINATIONS BY DEMOGRAPHIC AND BY ZIP CODE.

THE CHALLENGE OF COURSE, IS THAT DATA IS GOING TO LAG BEHIND OUR DATA.

SO I THINK THE FUTURE IS GOING TO SHOW A COUPLE OF DIFFERENT DATA STREAMS TO PROVIDE INFORMATION ON THESE ITEMS. AND SO I THINK JUST TO, JUST TO CLARIFY, I THINK THE ANSWER TO THE QUESTION OF DATA COMING FROM OTHER SOURCES AND VACCINE OPPORTUNITIES THROUGH OTHER SOURCES IS, UH, IS, UH, WOULD BE A PRIORITY FOR AUSTIN PUBLIC HEALTH TO HAVE AVAILABLE IN A CENTRAL SYSTEM.

BUT IT IS GOING TO TAKE SOME MORE TIME BECAUSE, BECAUSE, UM, BUT YOU ARE WORKING WITH THOSE OTHER PROVIDERS WHO MIGHT BECOME, WHO MIGHT HAVE VACCINE AND, AND, AND, AND THUS DATA TO TRY TO, TO TRY TO MOLD IT INTO THE AUSTIN PUBLIC HEALTH SITE EVENTUALLY, IS THAT, WOULD YOU SAY THAT'S ACCURATE DR.

ASCOT, BUT THERE IS AN INTEREST IN PROVIDING A ONE-STOP A ONE-STOP PORTAL THAT WOULD INCLUDE NOT JUST APH HIS SOURCES AND DATA, BUT ALSO THAT OF OTHER SIGNIFICANT, UM, DISTRIBUTED VACCINE PROVIDERS IN THE COMMUNITY.

WE'RE JUST NOT AT A PLACE YET WHERE THAT'S EITHER POSSIBLE OR, UM, MAYBE RELEVANT IN TERMS OF THEM HAVING ENOUGH VACCINE TO HAVE THAT INFO.

YEAH.

SO I THINK IT'S MORE LIKELY THAT WE'LL SEE, UH, OTHER PUBLIC PARTNERS FEEDING IN DATA INTO THAT, UH, THE APH VACCINE, UH, DATA STREAM, UM, BECAUSE IF YOU, YOU KNOW, IT HAS A POTENTIAL TO USE UTILIZE THE SAME SALESFORCE PLATFORM, SIMILAR TO WHAT WE DID WITH, WITH TESTING AND THOSE DATA FEEDS, UM, THERE, THE, THE, THE DATA REPORTING COMPONENT IS ONE OF THE BIGGEST RATE LIMITING STEPS OF THE VACCINATION PROCESS RIGHT NOW.

SO IN TALKING TO OUR PROVIDERS, THEY SAID, PLEASE DON'T REQUIRE US TO REPORT REDUNDANT DATA TO YOU LOCALLY, BECAUSE WE'RE ALREADY STRUGGLING, UH, WITH GETTING THE DATA IN, IN A TIMELY FASHION SO THAT WE CAN GET FOLKS THROUGH, UH, FOR THE LARGER DATA PIECE WHERE WE'RE LAUGHING AT HIM TRACK TO DATA, UH, WHICH WILL LAG A LITTLE BIT, BUT WE'LL STILL GIVE US A BETTER AND MORE COMPREHENSIVE OVERALL PICTURE OF THE VACCINATION EFFORT.

THANK YOU, COUNCIL MEMBER.

GOOD MORNING.

UH, TO FIRST, UM, REITERATE WHAT, UH, COUNCIL MEMBER CASAR HAD SAID, WHICH FOLLOWED ON OUR CONVERSATION FROM LAST WEEK ABOUT THE POTENTIAL VALUE OF SOME KIND OF DECISION TREE, SO THAT PEOPLE KNOW WHAT, WHAT THEIR OPTIONS ARE.

UM, AGAIN, EVEN IF IT IS CHANGING, UM, SOMETHING IS BETTER THAN NOTHING, OR EVEN FOR US, BECAUSE WE'RE GETTING SO MANY QUESTIONS FROM PEOPLE TO BE ABLE TO DIRECT THEM.

UM, YOU KNOW, THE, THE ISSUE FOR INSTANCE, WITH INSURANCE HAS BEEN RATHER CONFUSING TO FOLLOW.

I THINK I UNDERSTAND NOW, UM, WHERE WE'VE LANDED, WHEREAS IF YOU'RE, IF YOU'RE IN THE ONE, B OR ONE A, AND YOU HAVE INSURANCE, YOU CAN STILL GO, UM, TO APH AND THAT THEY'RE NOT PROVIDERS THAT HAVE SUFFICIENT VACCINE.

SO THAT'S WHERE WE'RE DIRECTING PEOPLE TO GO, WHO FALL IN THOSE CA

[01:30:04]

UM, DECISION TREE.

UM, THE QUESTION THAT I WANT TO ASK THOUGH IS NOT ABOUT SORT OF THE VACCINES IS ABOUT, YOU KNOW, WE ARE NOW ABOUT THREE WEEKS OUT FROM NEW YEAR'S.

UM, WHAT DO WE KNOW ABOUT THE SPREADER CAUSES OR FROM CONTACT TRACING ABOUT, YOU KNOW, WHAT IS LEADING TO THE SPREADS SO THAT PEOPLE UNDERSTAND, UM, THE CONSEQUENCES OF THEIR ACTIVITIES, UM, AND THE CHOICES THAT THEY'RE MAKING.

I THINK IT'S ALWAYS HELPFUL FOR US TO KNOW, YOU KNOW, FROM THE CASES THAT THE SOURCE OF THE SPREAD, I THINK THAT WOULD BE FOR DR.

ASCOT.

UH, SO COUNSELOR, WE'RE STILL SAYING A LOT OF TRANSMISSION THAT, THAT HAS TRACED BACK TO THE HOLIDAYS.

UM, BUT AGAIN, BEYOND THAT, BEYOND THE HOLIDAY SPREAD, UH, STILL A GREAT DEAL OF, OF, UH, SOCIAL GATHERINGS WITH INDIVIDUALS, UH, STILL SEEING SPREAD AND THEY IN THE SCHOOL ENVIRONMENT IN TERMS OF EXTRACURRICULAR ACTIVITIES.

UM, SO, YOU KNOW, IT'S THE, THE CHALLENGE IS THAT IF THERE'S A CIRCUMSTANCE WHERE PEOPLE ARE IN CLOSE PROXIMITY WITHOUT MASKS ON THAT'S, WHERE IT'S SPREADING, UM, WE'RE REALLY NOT SEEING A LOT OF SPREAD AND IN CIRCUMSTANCES WHERE THE MASKS AND THE DISTANCING ARE IN PLACE.

UM, SO, YOU KNOW, I THINK THEY, THE FLATTENING THAT WE'RE SEEING NOW, UH, I THINK HAS, UH, YOU KNOW, GIVING US SOME EVIDENCE THAT PERHAPS THE, THE INTERVENTION THAT, UH, THE MAYOR AND THE JUDGE DID AT NEW YEARS HAD SOME IMPACT, UH, AND WE'RE HOPEFUL THAT THAT IMPACT WILL CONTINUE OUR HOPE IS THAT THAT PEOPLE WILL CONTINUE THOSE PROTECTIVE ACTIONS.

UH, IT'S NOT REALLY, YOU KNOW, AS MUCH ABOUT A PARTICULAR PLACE WHERE WE'RE TRANSMISSION IS HAPPENING.

IT'S A SET OF CIRCUMSTANCES WHERE TRANSMISSION IS HAPPENING.

UH, SO IF WE KEEP OUR, OUR PHYSICAL DISTANCING, KEEP OUR MASKING WHERE TO CONTINUE TO DRIVE DOWN THAT, THAT POSITIVITY.

RIGHT.

OKAY.

THANK YOU.

UM, FIRST I WANT TO CONGRATULATE, UM, UH, DIRECTOR HAYDEN, ESPECIALLY WITH RESPECT TO GETTING THE 12,000 OUT A WEEK AGO, AND FOR BEING ON TRACK AND GETTING THE 12,000 THAT THIS WEEK, UM, YOU KNOW, THAT WAS, THAT WAS, YOU KNOW, ONE OF THE CHIEF METRICS TO MAKE SURE THAT WE CONTINUE TO GET SUPPLY THIS WAY.

I KNOW YOU'VE PROVEN OUT KIND OF THE CONCEPT OF USING THE PUBLIC HEALTH AUTHORITIES.

AND I KNOW THERE'S A, A PUSH AT THE LOCAL LEVEL, UH, STATEWIDE TO DO THAT.

AND THEN ALSO NATIONALLY, UH, CITIES AND COUNTIES.

THERE'S ALSO MY UNDERSTANDING THAT, THAT OVER A THOUSAND PEOPLE IN THE FIRST 12,000 REGISTERED BY CALLING, UH, AND, AND I THINK THAT'S AN IMPORTANT NUMBER FOR THE COMMUNITY TO KNOW THAT THAT WAS A REALLY VIABLE WAY TO, TO BE PLACED IN THE SYSTEM.

AND IT WAS SOMETHING THAT WE, WE USE LIGHT SECOND, THE COMMENTS THAT CAME FROM JUDGE BROWN, I BE GREAT TO HAVE A CENTRAL SYSTEM.

UH, BUT IT'S MY UNDERSTANDING THAT CENTRAL SYSTEM GETS A LITTLE BIT HARDER, ESPECIALLY AS YOU TIE IT INTO SCHEDULING BECAUSE THE DRUG STORES AND THE GROCERY STORES AND THE HOSPITALS ALL HAVE THEIR OWN SEPARATE SCHEDULING SYSTEMS, UH, AND THEY DON'T, THEY DON'T MERGE WITH ONE ANOTHER.

AND THERE ARE HIPAA PROBLEMS. WHENEVER WE START TRYING TO REACH OUTSIDE OF AUSTIN PUBLIC HEALTH AND TRY AND GET A PARTNER TO WORK WITH US IN A REAL TIME AND ACTIVE WAY.

UM, BUT I DO LIKE CONTINUING TO PUSH TO GET THE DATA IN WHICH IS WHAT WE DID ON TESTING.

WE DIDN'T SCHEDULE THEIR TESTS, BUT AT SOME POINT WE WERE ABLE TO ORDER THEM TO GIVE US THE DATA SO THAT THE DATA WE HAD WAS, WAS MORE ROBUST AND MORE TIMELY THAN WHAT WE GOT FROM THE, UH, FROM THE, FROM THE STATE.

UH, I REALLY APPRECIATE THE TECH FIX ON THE PASSWORD USER ISSUE.

I MEAN, THAT WAS PROBABLY 80% OF THE CALLS WE WERE GETTING, BUT I REITERATE WHAT I THINK KATHY SAID ABOUT GETTING US A NOTICE ON THAT.

I SPENT 45 MINUTES YESTERDAY WITH A CONSTITUENT, TRYING TO WORK THROUGH THAT, THROUGH THAT, THROUGH THAT ISSUE AS SO MANY PEOPLE IN THE COMMUNITY WHERE, UM, AND, AND HAVING LEARNED TODAY ABOUT THAT FIX, WE'VE GOTTEN IT OUT.

AND SO FAR, EVERYBODY IS NOW EMAILING BACK AND SAYING IT WORKS SO GREAT FIXED TO, TO THAT.

AND WE NEED TO REALLY MAKE THAT A REALLY BIG THING FOR PEOPLE TO HAVE SEEN, BECAUSE IT SEEMS TO WORK SO WELL, AND IT WAS HANGING UP SO MANY PEOPLE.

MY QUESTION GOES TO THE, THE ISSUE OF, UH, DEMOGRAPHICS AND WHO IT IS THAT'S GETTING THE, THE, UH, THE VACCINE.

[01:35:01]

UM, MY UNDERSTANDING IS, IS THAT WHEN WE GET THE VACCINE AS A HUB TO DISTRIBUTE, AND WE SET UP OUR REGISTRATION SYSTEM, ANYBODY NOT ONLY IN, IN OUR, ANYBODY, ANYWHERE IN OUR COUNTY CAN REGISTER, WE JUST CAN'T SAY CERTAIN PEOPLE IN OUR COUNTY ARE THE ONLY ONES TO REGISTER.

NOT ONLY THAT ANYONE OUTSIDE OF OUR COUNTY CAN REGISTER THOSE, SOMEBODY FROM EL PASO IS ALLOWED TO GO INTO OUR REGISTRATION SITE, GET AN APPOINTMENT, AND THEN FLY INTO, UH, AUSTIN TO, UH, TO, TO TAKE ADVANTAGE OF OUR, OF OUR DELIVERY.

AND THOSE ARE JUST THE STATE'S RULES.

BUT WITHIN THAT UNIVERSE, WHEN PEOPLE REGISTER, YOU'RE ASKING HEALTH QUESTIONS, YOU'RE ASKING DEMOGRAPHIC QUESTIONS, ARE YOU SCORING OR WEIGHTING THE PEOPLE THAT, UH, THAT COME IN BASED ON, ON AGE AND ETHNICITY AND VULNERABILITY AND SUSCEPTIBILITY, UH, AND THEN USING THAT, UH, KIND OF WAVING YOUR SCORING TO, TO, UH, FIGURE OUT WHO IT IS THAT ACTUALLY GETS THE VACCINE, UH, APPOINTMENT, UH, TO BE ABLE TO DO THAT, AND THEN ASSOCIATED WITH THAT WHILE WE DON'T HAVE ANY OF THE DATA FOR ANY OF THE OTHER PROVIDERS, FOR THE REASONS THAT DR.

S SCOTT EXPLAINED, WE DO HAVE OUR OWN DATA, UH, AND YOU SAID THAT YOU WERE GOING TO POST OUR DATA SO THAT, SO THAT WE COULD SEE WITHIN OUR OPERATION, UH, WHAT THE, WHO IS GETTING IT BY AGE AND BY, BY RACE AND ETHNICITY, UM, BECAUSE THAT INFORMATION WILL ENABLE US TO SEE EITHER WE'RE HITTING THE MARKS WE WANT TO HIT, OR IF WE'RE NOT HITTING THE MARKS, THAT'LL POINT US TO, UH, AREAS THAT WE NEED TO FIGURE OUT DIFFERENT DIFFERENT SYSTEMS. SO THE QUESTION ABOUT ETHNICITY, FIRST ONE, DO WE WAIT OR BASED ON ETHNICITY CONDITIONS WHEN WE'RE SENDING APPOINTMENTS AND SECOND, UH, WHEN WILL WE BE ABLE TO SEE WHERE DO YOU THINK YOU'LL BE ABLE TO POST THAT, UH, INITIAL DEMOGRAPHIC INFORMATION SO WE CAN SEE WHO OUR TESTS HAVE BEEN GOING TO? UM, SO I'LL ANSWER THE LAST QUESTION FIRST AND KIND OF PROCEED BACKWARDS.

UM, STAFF WE'RE PUTTING TOGETHER A REPORT, UM, THAT WE WILL BE ABLE TO, UM, THE GOAL IS, IS TO BE ABLE TO THE FOLKS THAT HAVE COME THROUGH THE SYSTEM, NOT, UM, THE FIRST DAY MONDAY TO THE PERVERSE CLOSE POT DAYS WHEN WE WERE NOT ON, UM, IN SALESFORCE, UM, IT WILL NOT INCLUDE THAT.

SO IT WILL BE A SMALLER SUBSET OF FOLKS THAT HAVE COME THROUGH SALESFORCE.

UM, OUR FOLKS ARE PUTTING TOGETHER, UM, A REPORT THAT WE WILL BE ABLE TO ISSUE ON FRIDAY, UM, WITH THE, THE OTHER DOCUMENT ABOUT AVERAGE.

UM, AND SO THE, THE SECOND QUESTION IS, IS THAT, UM, YES, IT'S SIMILAR TO WHAT WE DID FOR THE TESTING PLATFORM WHEN WE ARE TRYING TO STILL GET A, A TARGET POPULATION.

UM, AND SO, UM, SO WE HAVE FOLKS THAT HAVE, UM, HAVE REGISTERED, THEY HAVE AN ACCOUNT.

UM, AND SO WE HAVE FOLKS THAT ARE ELIGIBLE AND WE HAVE FOLKS THAT ARE NOT ELIGIBLE.

AND SO, UM, WE ARE, WE ARE PULLING FROM THE FOLKS THAT ARE ELIGIBLE, UM, AND THOSE ARE THE ONES THAT CAN SIGN UP FOR.

SO, SO THE SYSTEM KIND OF SELF-CORRECTS, ANYBODY CAN GO ON THE SYSTEM ANYWHERE, PEOPLE THAT HAVE INSURANCE CAN GO ON THE SYSTEM, UH, BECAUSE THIS IS REALLY THE ONLY SYSTEM TO GO ON NOW, UH, WHEN WE'RE ACTUALLY GIVING THE APPOINTMENTS, WE TAKE A LOOK AT THE SUSCEPTIBILITY, UH, UH, AND VULNERABILITY FACTORS FOR ACTUALLY SCHEDULING PEOPLE.

AND THAT'S THE PART OF THIS SYSTEM THAT WE NEED TO FINE TUNE AND MAKE SURE IT'S WORKING WELL TO MAKE SURE THAT WE'RE, WE'RE GETTING IT OUT TO THE PEOPLE THAT ARE MOST SUSCEPTIBLE INVOLVED.

ALL RIGHT.

YEAH.

JUDGE BROWN, I THINK WE'VE RUN THROUGH, UH, THE, THE COUNCIL MEMBERS.

EVERYBODY'S HAD A CHANCE TO ASK A POINTED QUESTION YET.

DID YOU WANT TO DO A SECOND ROUND OF QUESTIONS, JUDGE BROWN? YEAH, I THINK WE'VE, UH, SHOCKINGLY GOTTEN THROUGH THIS QUICKER THAN ANTICIPATED.

SO, YEAH, I THINK WE'LL DO MAYBE A SPEED ROUND, UH, UH, THOUGHTS AND I'LL JUST GO BACK AND CALL THROUGH MY LIFT AND THEN PASS IT BACK OVER TO YOU IF THAT IS OKAY.

THAT'S WORKS.

ALL RIGHT.

SO COMMISSIONER GOMEZ, DO YOU HAVE ANOTHER QUESTION NOW? OKAY.

THANK YOU.

UM, COMMISSIONER SHADES.

YEAH, I DID.

UH, I DID HAVE A QUESTION, UM, PARTICULARLY ABOUT HAVING A UNIFIED SITE.

UM, AND I UNDERSTAND WHAT MAYOR ADLER WAS SAYING ABOUT THE DIFFICULTY OF, UM, LINKING, UH, SO THAT ALL OF THE SCHEDULING AT EACH OF THE PRIVATE PROVIDERS IS INCLUDED.

BUT IF WE CAN JUST HAVE ONE SITE THAT PROVIDES A LINK TO THE OTHER HUBS, THE FRUSTRATION, I'M SURE

[01:40:01]

WE'RE ALL HEARING THIS.

PEOPLE ARE CALLING THROUGH THE 350 PROVIDERS, UM, AND IT'S CHAOS.

UM, SO IF WE CAN HAVE IN THIS A UNIFIED SITE, AND I APPRECIATE, UM, THE COORDINATION TO TRY AND CREATE IT, IF WE CAN JUST HAVE THE, THE FOUR OR FIVE, UH, HUB PROVIDERS THAT YOU LISTED STARTING WITH CITY OF AUSTIN, UM, THEN, UH, HEB AARC CVS WALGREENS, AND MAYBE UT DELL, IF WE CAN JUST HAVE ON ONE SITE, THE HUB PROVIDERS, AND THEN PEOPLE CAN LINK TO THEM, GO TO THEIR OWN PAGES AND MAKE THE ARRANGEMENTS THAT WOULD AT LEAST PROVIDE SOME LEVEL OF COORDINATION.

THERE'S JUST ENORMOUS FRUSTRATION.

AND FRANKLY, I KNOW HE GOT SOME CONFUSION AROUND THIS.

SO FOR IF WE ARE CREATING A UNIFIED SITE, I WOULD BEG THAT WE JUST LIST MAIN HUB PROVIDERS THAT PEOPLE CAN REACH BECAUSE SENDING THEM TO THIS DSHS LIST HAS BEEN JUST, NIGHTMARISHLY FRUSTRATING FOR THEM.

BEAUTIFUL.

IS THAT PART OF WHAT WE'RE WORKING ON, JUDGE? YES.

I THINK THAT'S LAID OUT THE GENERAL CONCEPT.

YES.

AND I DON'T KNOW, DIRECTOR HAYDEN OR DR.

SCOTT, IF YOU HAVE ANY, UH, COMMISSIONER, I THINK THAT'S AN EXCELLENT IDEA.

THAT'S, THAT'S THE LOW HANGING FRUIT IN TERMS OF, OF COORDINATING THE PROCESS.

THE CHALLENGE THAT WE HAVE IS ALL THE OTHER HUBS THAT I JUST MENTIONED THEY'LL HAVE VACCINE THIS WEEK.

SO PART OF THE OTHER PROCESSES IS TRYING TO INTEGRATE THAT WEEKLY DATA ON WHO'S LIKELY TO HAVE VACCINE THIS WEEK OR NOT.

I DO WANT TO BE VERY CLEAR FOR INDIVIDUALS WHO ARE OUTSIDE THE ONE DAY GROUP.

THERE'S, THERE'S NOT ANY SIGNIFICANT CHANCE OF GETTING VACCINE FOR THE NEXT COUPLE OF WEEKS, AT LEAST, UH, PEOPLE OVER THE AGE OF 65, 65 OR OLDER, YOU NEED TO SIGN UP, YOU NEED TO GET ON THE LIST.

EVEN IF THERE'S NOT VACCINE TODAY, THERE MAY BE VACCINE TOMORROW OR NEXT WEEK IN, AND YOU'RE THE GROUP THAT, THAT WE WANT TO FOCUS ON RIGHT NOW, BECAUSE OF THAT IMPACT ON, ON MORTALITY, YOU KNOW, SEVERITY OF ILLNESS FOR PEOPLE WHO ARE 64 OR UNDER, IT'S PROBABLY GOING TO BE LONGER FOR MOST OF THEM.

NOW THERE ARE GOING TO BE SOME EXCEPTIONS.

SO AGAIN, TEACHERS WHO FALL IN THAT 16 TO 64 GROUP UNDERLYING THOSE CONDITIONS MAY GET IT SOONER THAN, THAN THE GENERAL POPULATION BECAUSE OF THAT CONTINUITY OF, OF GOVERNMENT SERVICES NEED.

UH, BUT GENERALLY SPEAKING RIGHT NOW FOR THE NEXT COUPLE OF WEEKS, AT LEAST THE REAL FOCUS FOR MOST PROVIDERS IS GOING TO BE THAT 65 PLUS THANK YOU, UM, COMMISSIONER, UH, PAVILION.

OKAY.

UH, JUST, JUST TO PIGGYBACK ON WHAT'S, UH, WHAT'S BEEN SAID ALREADY, UM, I WANT TO MAKE SURE THAT, UH, THAT WE ARE TRACKING THINGS THAT WE CAN AND SHOULD KNOW.

UH, I WANT TO KNOW, UM, WHICH PROVIDERS HAVE, HAVE ACCESS TO VACCINES BY ZIP CODE AREA.

IF I COULD, UH, I WANT TO MAKE SURE THAT WE ARE, WE ARE ALSO TRACKING, UH, THE ZIP CODE AREAS OF THE PEOPLE WHO HAVE HAD ACCESS TO SHOTS.

UM, AND, AND THEN, UM, AND THEN MAYBE WE CAN ALSO TRACK THE ZIP CODE AREAS OF PEOPLE WHO HAVE REGISTERED TO, UH, TO GET ACCESS TO SHOTS.

I THINK THAT IF WE HAVE THE CAPACITY TO KNOW WHERE THE VACCINE IS, WHO IS BEING SERVED AND MAYBE SOME OF THE SERVICES AND HAPPENING, BECAUSE PEOPLE ARE NOT REGISTERING FOR THOSE ARE ALL IMPORTANT THINGS THAT I, THAT WE SHOULD KNOW AND, UH, AND WILL GIVE US SOME INSIGHT INTO THE TYPE OF OUTREACH WE NEED TO MAKE TO OUR COMMUNITIES.

OH MY GOODNESS.

OKAY.

THANK YOU, COMMISSIONER, UH, DOC DIRECTOR, HAYDEN, OR DR.

ESCORT, THE ALBANY THAT'S THERE, UH, COMMISSIONER COMPLETELY AGREE WITH YOU.

AND THAT'S EXACTLY THE KIND OF INFORMATION WE INTEND TO HAVE, UH, SIMILAR TO WHAT WE'VE DONE FOR TESTING.

NOW, THAT'S THE KIND OF DETAIL THAT WE WANT TO HAVE.

IT'S GOING TO TAKE A LITTLE TIME FOR US TO BUILD THAT, UH, TO ENSURE THE DATA STREAMS ARE EFFICIENT AND THAT WE'RE GETTING ENOUGH DATA TO POPULATE THAT, UH, WE'RE, WE'RE, AGAIN, WE'RE HOPEFUL TO BE ABLE TO ACCESS THAT DATA DIRECTLY FROM HIM TRACKED TO, UH, WHICH WILL GIVE US MORE COMPREHENSIVE DATA TO POPULATE, UH, THOSE, THOSE DASHBOARDS, BUT ABSOLUTELY THOSE ARE IN THEIR PLACE.

THANK YOU, COMMISSIONER HOWARD.

I'D LIKE TO GO BACK TO WHAT COUNCIL MEMBER CASAR TALKED ABOUT WITH SOME SHARED MESSAGING.

I WONDER IF OUR

[01:45:01]

TWO PIO DEPARTMENTS COULD CRAFT SOME, YOU KNOW, TWEETS OR FACEBOOK POSTS THAT WE COULD ALL POST AND BE SENDING OUT THE SAME INFORMATION, YOU KNOW, MUCH OF WHAT DR.

AND DIRECTOR HAYDEN HOWARD HAVE SAID, YOU KNOW, IF WE COULD JUST SYNTHESIZE IT AND ALL SHARE IT, UM, THEN AT LEAST WE'RE DOING OUR PART TO SPREAD THE TRUTH.

UM, AND I'D BE INTERESTED IN TRYING TO HELP WITH THAT IF THERE'S A WAY TO MAKE THAT HAPPEN.

THANK YOU.

UM, OKAY.

SO TWO THINGS, ONE, UH, TWO COMMISSIONERS SAY IN THE MAYOR'S POINT ABOUT THE WEBSITE.

YEAH, I THINK IN GENERAL, AND I'VE GOT TO GIVE SOME CREDIT HERE TO MATT, LARGELY WITH KUT, HE ACTUALLY PUT UP A LINK TREE.

THAT'S JUST A LINK OF ALL THE PLACES HE COULD FIND, UH, THAT ARE, THAT ARE GIVING OUT THE VACCINE.

SO I THINK THE IDEA IS THAT OUR WEBSITE WOULD BE A SOMEWHAT MORE ELABORATE, HOPEFULLY MORE COMPREHENSIVE VERSION OF THAT.

UH, BUT NOT, NOT TO DISPARAGE THAT LARGELY IS COMPREHENSIVENESS, BUT WE ARE THE GOVERNMENT.

AND SO HOPEFULLY WE COULD FIND OUT EVERYONE THAT HAS, HAS, UH, VACCINES OR THE ABILITY TO GIVE VACCINES.

WE WOULDN'T DO GETTING A SCHEDULING BUSINESS.

WE WOULD JUST SORT OF HAVE A ONE CENTRAL PLACE WITH ANSWERS AND PLACES PEOPLE COULD GO.

AND THEN ALSO I THINK VERY IMPORTANTLY, A PLACE FOR PEOPLE TO SIGN UP TO VOLUNTEER SO THAT WE COULD HELP WITH THE GENERAL EFFORT OF APH.

UM, AND TO THAT END, I KNOW THAT ON THURSDAY AND I WOULD ENCOURAGE ANYONE, ALL THE FOLKS ON THIS CALL TO JOIN OR DO SOMETHING SIMILAR.

WE'RE ACTUALLY GOING TO HAVE A PHONE BANK WITH THE MAYOR AND MYSELF AND A COUNCIL MEMBER OF VANESSA FUENTES HAS ALSO AGREED TO BE THERE, UH, TO CALL PEOPLE IN THE HARDEST HIT ZIP CODES, ALERT THEM TO THE FACT THAT THEY CAN REGISTER ON THE APH SITE, UH, UH, TO, TO REGISTER, TO GET IN LINE, TO GET A VACCINE.

UM, SO I THINK THAT, YOU KNOW, EFFORTS LIKE THAT, HOPEFULLY OTHERS WILL EMPLOY SIMILAR EFFORTS TO GET THE WORD OUT TO THE HARDEST HIT ZIP CODES, PEOPLE WHO ARE 65 AND OLDER, WHO ARE LATIN X AFRICAN-AMERICAN AND MIGHT NOT HAVE ACCESS, UH, TO, UH, THE WEBSITE OR SEE THAT THAT'S, UH, HOPEFULLY THESE PHONE CALLS WILL HELP WITH THAT EFFORT.

UM, AND WITH THAT, UH, I WILL PASS IT BACK OVER TO YOU AND YOUR TEAM, THE CITY COUNCIL, UH, MAYOR ADLER.

SO GOOD JUDGE.

THANK YOU.

WE'LL DO OUR PART OF THE SPEED ROUND HERE.

I WILL DO THE DISTRICT ORDER AGAIN AS WELL.

COUNCIL MEMBER HARPER, MADISON, DO YOU HAVE ANYTHING ON SPEED ROUND? I DO.

WELL, I, I DID.

AND THEN, UH, JUDGE BROWN JUST, UH, SHARED WITH US EXPANDED ON MY QUESTION.

SO THE PHONE BANK, FOR EXAMPLE, I WASN'T AWARE OF THAT EFFORT UNTIL NOW.

UM, SO I WOULD ENCOURAGE US TO, AS WE ARE GOING THROUGH THE VARIOUS INITIATIVES THAT ULTIMATELY ARE, ARE, YOU KNOW, GONNA FEED INTO OUR SHARED GOAL, LET'S ALL KNOW ABOUT EVERYTHING THAT'S HAPPENING ALL THE TIME.

I KNOW THAT SOUNDS LOFTY, BUT I THINK WHAT HAPPENS WHEN WE DON'T ALL KNOW WHAT EFFORTS ARE TAKING PLACE, THEN WE DUPLICATE ONE ANOTHER'S TIME OR ONE ANOTHER'S EFFORT.

AND I'D SAY RIGHT NOW OUR RESOURCES, UM, OUR, OUR TIME INCLUDED ARE FINITE.

UM, SO THE, THE AMOUNT OF TIME THAT IT WOULD TAKE TO MAKE CERTAIN THAT EVERYBODY KNOWS WHAT'S GOING ON SO THAT WE CAN ALL PARTICIPATE SIMULTANEOUSLY IS CRITICAL.

UM, THE OTHER THING THAT I WOULD SAY, OR THAT I ORIGINALLY WAS WANTING TO LEAN TOWARDS, UM, ASKING ABOUT WAS VOLUNTEER EFFORTS.

UM, I APPRECIATE THAT THERE ARE A LOT OF FOLKS THAT WANT TO VOLUNTEER.

I APPRECIATE THAT WE HAVE THE OPPORTUNITY TO UTILIZE VOLUNTEERS TO FURTHER THE EFFORT, BUT I ALSO HAVE SOME CONCERNS ABOUT EXPOSING VOLUNTEERS WHO HAVE NOT BEEN VACCINATED, UM, WHICH IS SORT OF ONE OF THE REASONS, YOU KNOW, MYSELF AND SOME OF THE OTHER MEMBERS OF A SMALLER COALITION AIMED AT THE EASTERN CRESCENT AND AFRICAN-AMERICAN COMMUNITIES SPECIFICALLY SORT OF DIAL BACK OUR POTENTIAL, UM, EFFORT.

AND JUST THINKING THROUGH WHAT DOES THE PRACTICAL APPLICATION OF THAT LOOK LIKE GIVEN THAT WE'RE, WE ARE PUTTING PEOPLE AT RISK WHEN WE, YOU KNOW, ARE ASKING THEM TO VOLUNTEER AS IT PERTAINS TO COVID EFFORTS AND THEY HAVE NOT BEEN VACCINATED.

UM, I JUST WANT TO MAKE CERTAIN THAT AS WE ARE OFFERING PEOPLE THE OPPORTUNITY TO VOLUNTEER THAT WE'RE TAKING THE MOST CONCERN AND CONSIDERATION AROUND KEEPING THEM SAFE AND AROUND KEEPING THE GENERAL PUBLIC SAFE.

UH, SO I JUST WONDER IF MAYBE WE SHOULD HAVE A TIERED SYSTEM FOR VOLUNTEERS, YOU KNOW, FOLKS WHO HAVE RECEIVED BOTH DOSES FOR EXAMPLE, ARE, YOU KNOW, GIVEN THE INFORMATION THAT WE HAVE, PROBABLY THE LEAST AT RISK, AS OPPOSED TO, YOU KNOW, I KNOW A LOT OF, UM, A LOT OF FOLKS WERE UNFORTUNATELY EXPOSED TO COVID-19 BY WAY OF THEIR EFFORTS AROUND THE ELECTION WORKERS AND SUCH.

AND THOSE WERE FOLKS WHO WERE IN THE HIGH-RISK CATEGORIES OF PEOPLE.

SO I JUST WANT

[01:50:01]

TO MAKE CERTAIN THAT WE'RE NOT IN IT VERTICALLY PUTTING ANY UNDUE PRESSURE ON THE SYSTEM BY WAY OF WELL-MEANING VOLUNTEERS FINDING THEMSELVES EXPOSED TO THE VIRUS.

OKAY.

COUNSEL, I, I AGREE WITH YOU.

I THINK THAT, THAT, UH, WE DO WANT TO PROTECT THOSE WHO VOLUNTEERED.

UM, AND, UH, MY UNDERSTANDING IS THAT THAT THERE'S AN OPPORTUNITY FOR THEM TO GET VACCINATED, UH, DIRECTOR AIDEN HOWARD CAN CORRECT ME IF I'M WRONG ON THAT.

BUT, UH, I, I BELIEVE THAT AS PART OF THE PROCESS, UM, YES, UM, BASICALLY WHAT WE ARE DOING IS, IS, UM, BOTH, UM, BOTTOM TIER SCHOOL FALL ONE A B, BECAUSE OUR GOAL WAS TO ENSURE THAT WE, WE, WE, UM, PROVIDED THOSE VACCINES TO PEOPLE IN THE ONE EIGHT COMMUNITY.

SO IT IS A TIER TYPE OF, OF VOLUNTEER, UM, TYPE SYSTEM.

UM, THAT'S KIND OF HAPPENING RIGHT NOW, UM, UM, KIND OF UNDER THE EOC.

AND THEN THE OTHER THING IS, IS THAT, UM, WE ARE ENCOURAGING FOLKS THAT, UM, THAT HAVE NOT RECEIVED THEIR VACCINE AND THEY'RE WANTING TO VOLUNTEER.

UM, WE'RE SETTING UP THE CRITERIA OF YOU CAN'T VOLUNTEER ONE TIME AND RECEIVE YOUR VACCINE.

UM, SO WE WILL HAVE, UM, THE CRITERIA WHERE WE AT LEAST WANT YOU TO BE ABLE TO VOLUNTEER, UM, YOU KNOW, THREE TO FOUR TIMES.

UM, AND WE WILL, THE FIRST DAY OF YOUR SHIFT PROVIDE YOU THE VACCINE, BECAUSE AT THAT POINT, YOU KNOW, YOU, WE'RE PUTTING YOU AT RISK.

AND SO WE ARE KEEPING THAT IN MIND AS WE WERE WORKING WITH THE VOLUNTEERS.

THANK YOU.

I APPRECIATE THAT.

THANK YOU, COUNCIL MEMBER, DO YOU HAVE A SPEED? NO FURTHER QUESTIONS ON MY END.

THANK YOU.

THANK YOU, COUNCILMEMBER ANTHONY.

YEAH.

YES.

I JUST WANT TO THANK STEPHANIE AND DR.

SCOTT ON THE JOB YOU HAVE BEEN DOING.

I MEAN, IT'S, IT'S REALLY FRUSTRATING.

AND WHEN WE HAVE A NATIONAL GOVERNMENT THAT IS, UH, UH, WASN'T AS TRANSPARENT AS THEY SHOULD HAVE BEEN.

AND, UH, AND OUR STATE THAT, UH, DOES NOT LET US KNOW WHEN THEY'RE GOING TO DISTRIBUTE.

I MEAN, HERE WE ARE A CITY OF 1.2 MILLION, AND WE'RE GOING TO GET, WE ONLY GOTTEN THROUGH THE PUBLIC HEALTH DEPARTMENT UNDER 13,000 DOSES.

SO I MEAN 14,000 DOSES.

SO IT'S REALLY FRUSTRATING THAT, YOU KNOW, SUCH A LARGE CITY AND WE'RE STILL JUST GETTING A VERY FEW AMOUNT ALLOCATION OF BACKSEAT TO US.

SO I JUST WANT TO SAY THANK YOU FOR THE WORK THAT Y'ALL HAVE BEEN DOING FOR US.

THANK YOU.

CAN Y'ALL TALK TO US ABOUT SECOND DOSES.

WE'VE GOTTEN SOME NUMBER OF QUESTIONS ABOUT HOW THAT PROCESS IS GOING TO WORK FOR THOSE THAT HAVE ALREADY RECEIVED IT.

UM, YES, THEY WILL RECEIVE, UM, UH, THEY WILL RECEIVE AN EMAIL FROM US.

UM, SO ALL OF THE PROVIDERS THAT PROVIDED YOUR INITIAL VACCINE, WE'LL BE REACHING OUT TO YOU TO LET YOU KNOW, UM, IT IS TIME FOR YOU TO COME IN FOR YOUR VACCINE.

UM, AND SO YOU WILL GO BACK TO THAT PROVIDER AND THEY WILL PROVIDE THE VACCINE TO YOU.

UM, WE WILL BE WORKING WITH, UH, JUDGE BROWN, UM, FOR THE FOLKS THAT RECEIVE THAT.

AND SO, UM, VACCINE AND COMMUNITY CARE, SO WE CAN PROVIDE THOSE TO THEM AS WELL, BUT IT'S, SO THE MESSAGES HANG TIGHT AND MAKE SURE TO ANSWER YOUR EMAIL OR YOUR PHONE.

YES.

THANK YOU.

COUNCIL MEMBER KITCHEN.

I THINK THAT THIS QUESTION MAY BE FOR DR.

ASCOT, UM, CATEGORY ONE B INCLUDES INDIVIDUALS UNDER 65.

WE HAVE A, AN UNDERLYING CONDITION THAT LEAVES THEM AT, I THINK IT'S SERIOUS RISKS FOR SOMETHING OR RISK OF SERIOUS ILLNESS OR SOMETHING LIKE THAT.

CAN YOU EXPLAIN THAT TO FOLKS? THERE'S SOME CONFUSION ABOUT WHAT, UM, I'VE HEARD FROM SOME FOLKS WHO ARE UNCLEAR ABOUT, UM, IF THEY CAN QUALIFY, UM, IF THEY HAVE CERTAIN, UM, CONDITIONS.

AND SO WHEN WE TALK ABOUT PEOPLE BEING ELIGIBLE RIGHT NOW UNDER ONE B, I'M ASSUMING YOUR, YOUR, THE THINGS THAT YOU HAVE JUST SAID ABOUT PEOPLE, UH, SIGNING UP AS ONE B, I'M ASSUMING YOU MEAN THAT WITH REGARD TO PEOPLE WITH, UH, UNDERLYING DISEASES, IS THAT CORRECT? OR YES, COUNCIL MEMBER.

SO CERTAINLY EVERYBODY IN ONE PATIENT

[01:55:01]

SIGN UP, WE WANT EVERYBODY WHO'S INTERESTED, UH, IN, IN THE VACCINE TO SIGN UP.

CAUSE AGAIN, WE'RE GOING TO KEEP GOING DOWN THE LIST AS, AS WE GET MORE VACCINE, WE'LL DROP THE BAR DOWN AND, AND CONTINUE TO OFFER TO ADDITIONAL FOLKS.

UH, WHAT I WAS SAYING EARLIER IS THAT I THINK DIRECTOR HAYDEN HOWARD SAID THAT WE HAVE MORE THAN 65,000, WHO ARE OVER 65, OBVIOUSLY WITH 12,000 DOSES, IT WOULD TAKE US FIVE WEEKS JUST TO GET THROUGH THE PEOPLE CURRENTLY THAT WE HAVE SIGNED UP OVER 65.

UH, SO THERE'S NOT MUCH LIKELIHOOD THAT PEOPLE UNDER 65 ARE GOING TO GET IT IN THE NEAR FUTURE FROM AUSTIN PUBLIC HEALTH, BUT AS VACCINE INCREASES, THAT MAY CHANGE.

SO IF THEY'RE SIGNED UP ALREADY AND WE CAN DROP THE BAR BELOW 65, THEN THAT MAY BE AN OPTION.

NOW, THERE ARE LOTS OF MEDICAL CONDITIONS WHICH FALL UNDER THE ONE B UH, COMMON ONES WOULD BE, UH, SIGNIFICANT OBESITY, DIABETES, HEART DISEASE, CHRONIC LUNG DISEASE.

UH, BUT THERE ARE MANY OTHER THINGS.

IMMUNOCOMPROMISED CONDITIONS WOULD BE ANOTHER LARGE GROUP, UH, THERE'S INFORMATION ON THE ONE B GROUP ON OUR WEBSITE AND AUSTIN PUBLIC HEALTH, AS WELL AS THE DSHS WEBSITE, UH, WHICH CAN PROVIDE FOLKS FURTHER INFORMATION, UH, WHEN THEY SIGN UP FOR THE SCREEN, THEY'RE GOING TO ASK THEM QUESTIONS ABOUT THEIR MEDICAL HISTORY, WHICH HELPS CLASSIFY THEM AS, AS ONE V OR NOT.

UH, SO WE ASKED FOLKS TO, TO ANSWER THOSE HONESTLY, SO THAT WE CAN PRIORITIZE THE, THE, THE VACCINE FOR THOSE WHO ARE MOST LIKELY TO BE SEVERELY IMPACTED.

SO JUST TO CLARIFY IF THEY ARE ONE B, BECAUSE THEY ARE UNDER 65, BUT THEY HAVE AN UNDERLYING CONDITION, SHOULD THEY BE GETTING ON THE LIST NOW? YES, THEY SHOULDN'T BE GETTING ALL OF THIS NOW, BUT WITH THE CURRENT ALLOCATIONS THAT WE'RE GETTING, IT'S UNLIKELY THAT THAT ANY, OR MANY OF THEM WILL BE OFFERED A VACCINE SPOT, UH, IN, IN THE SHORT TERM, UH, DIRECTOR HAYDEN MAY WANT TO JUMP IN AND, AND PROVIDE FURTHER INFORMATION.

BUT AGAIN, BECAUSE THE MOST AT RISK ARE THE ONE THESE 65 OR OLDER, WE ARE REALLY FOCUSING ON, ON THOSE GROUPS RIGHT NOW.

WELL, SOME OF THE CONFUSION IS THAT, UM, THE, THERE, I THINK THERE MAY BE MESSAGES FROM THE WEBSITE THAT SAY YOU REGISTER, BUT THEN THEY SAY IN ONE PLACE, THEY SAY, KEEP, KEEP TRYING TO GET AN APPOINTMENT.

AND ANOTHER PLACE THEY SAY, WAIT UNTIL YOU GET AN EMAIL.

SO CAN YOU CLARIFY THAT PROCESS? AND THIS ALSO RELATES TO A RECOMMENDATION OR SUGGESTION THAT WAS MADE FROM A CONSTITUENT.

IF YOU GO IN AND REGISTER, ARE WE, UH, YOU KNOW, IS, IS APH THEN CALLING OR EMAILING PEOPLE IN ANY ORDER FOR THEM TO GET ON THE, GET AN APPOINTMENT, OR ARE PEOPLE WHO ARE REGISTERED JUST CONTINUING TO TAKE THE INITIATIVE AND TRY TO GET IT.

AND THERE WAS, HOW IS THE WAY I'M HEARING YOU, YOU SAY THAT PEOPLE ARE TAKEN IN ORDER, BUT CAN YOU JUST EXPLAIN HOW THAT WORKS? NUMBER ONE, AND NUMBER TWO, JUST EXPLAIN WHETHER PEOPLE SHOULD KEEP TRYING FOR AN APPOINTMENT OR DO THEY NEED TO WAIT TO BE CONTACTED.

SO, SO THERE ARE A COUPLE OF THINGS THAT ARE ARE HAPPENING, UM, AS AN INDIVIDUAL, NO MATTER WHO YOU ARE, YOU DECIDE YOU ARE GOING TO USE THE APH BOREDOM, YOU GO IN AND YOU REGISTER ANYONE, ANYONE THAT'S ON THE CALL, LET'S JUST WALK THROUGH THIS.

LET'S JUST WALK THROUGH THE SIX SAMPLE YOU GO IN AND YOU REGISTER, UM, YOU DO THE SCREENING PROCESS.

UM, AND SO YOU'RE FINISHED AND IT SAYS YOU HAVE CREATED A RECORD.

UM, AND SO YOU WILL RECEIVE A, UM, A RESPONSE THAT TELLS YOU TO S YOU CAN SCHEDULE AN APPOINTMENT NOW.

UM, IF YOU DO NOT RECEIVE THAT MESSAGE ABOUT AN APPOINTMENT, THAT MEANS THAT YOU'RE GOING TO NEED TO WAIT.

YOU HAVE BEEN KIND OF MOVED OVER TO WAIT RIGHT NOW.

UM, AND SO THE TARGET WILL BE, UM, FOLKS THAT ARE 65 YEARS OF AGE OR OLDER RIGHT NOW, THAT IS LIKE THE NUMBER ONE TARGET.

UM, HOWEVER, WE ARE ALSO EMPHASIZING COMMUNITIES OF COLOR AS FAR AS, UM, A FOLLOW-UP EMAIL.

UM, ONE OF THE THINGS WE, WE DID, UM, JUST TO MAKE SURE THAT, UM, FOLKS THAT WENT IN EARLY LAST WEEK, UM, WE SENT THEM SOME COMMUNICATION BECAUSE THEY WERE THE FIRST ONES THAT HAD WENT INTO THE SYSTEM AND CREATED THOSE ACCOUNTS.

UM, AN EMAIL WAS SENT TO THEM ABOUT APPOINTMENTS TO BEING AVAILABLE.

UM,

[02:00:01]

AND SO THAT WAY IT GAVE THEM THE ABILITY TO, TO SIGN UP FOR THOSE APPOINTMENTS.

HOWEVER, WHAT IT DOES NOT DO IS IF THERE'S ANYONE ELSE THAT MAY HAVE JUST SIGNED UP THAT SAME DAY AND WERE ELIGIBLE, THEY TOO CAN GET THOSE APPOINTMENTS IF THEY'RE ELIGIBLE.

SO, SO I JUST WANT TO BE CLEAR THAT, UM, YOU KNOW, EVEN THOUGH WE'RE, WE'LL BE PROACTIVE AND WE'VE SENT OUT THOSE EMAILS TO FOLKS THAT SIGNED UP EARLY ON, SOMEONE ELSE MAY GET THAT SLOT BEFORE THEM.

UM, BECAUSE IT DOESN'T CLOSE EVERYONE THAT'S ELIGIBLE OFF TO SCHEDULE AN APPOINTMENT.

SO BOTH OF THE THINGS ARE HAPPENING AT THE SAME TIME.

OKAY.

COUNSELOR KELLY, YOU HAVE A QUESTION.

I DO NOT HAVE ANY FURTHER QUESTIONS AT THIS TIME.

THANK YOU.

THANK YOU.

AND I THINK COUNCIL MEMBER POOLS IS NOT WITH US.

UM, SHE HAD TO LEAVE EARLY YOU TO REMEMBER ALICE.

DO YOU HAVE A QUESTION? OKAY.

I DO.

AND I'M HAVING A HARD TIME NARROWING DOWN CAUSE I HAVE SO MANY QUESTIONS.

UM, I APPRECIATE COUNCIL MEMBER KITCHENS, UH, LINE OF QUESTIONING KIND OF AROUND THE NOTIFICATION PROCESS AND HOW PEOPLE ARE, ARE, YOU KNOW, UH, GOING THROUGH THE INTAKE PROCESS.

UM, SO I THINK YOU COVERED A LOT OF THOSE ANGLES THERE.

I DID HAVE A QUESTION ABOUT THE FEDERAL RESERVE OF VACCINES AND I HAD HEARD IT WAS EITHER ALL OR MOSTLY DEPLETED.

CAN YOU TELL ME IF THAT'S ACCURATE OR IF THAT'S MISINFORMATION AND IF, IF INDEED THERE IS NOT VERY MUCH BACKUP, HOW QUICKLY IS IT BEING MANUFACTURED AND DISTRIBUTED? CAN YOU GO INTO SOME DETAILS ABOUT THAT? UH, I'M I'M HAPPY TO GIVE YOU WHAT I KNOW AND THAT'S LARGELY WHAT I'VE READ, UH, AS WELL.

UH, I THINK WHAT WE SAW WAS, UH, YOU KNOW, THE, THE PUBLIC STATEMENT THAT WE HAVE RESERVES FOR THE SECOND DOSE, UH, WE SAW THE PRESIDENT ELECT BIDEN'S ADMINISTRATION, SO WE'RE, WE'RE GOING TO RELEASE ALL OF IT.

AND THEN THE TRUMP ADMINISTRATION SAID, WELL, WE'RE ALREADY DOING THAT.

UH, SO I THINK WHAT IT SOUNDS LIKE TO ME IS THAT, UH, THE RESERVES FOR THE SECOND DOSE OR THE NEW MANUFACTURED VACCINE.

UM, NOW AGAIN, WHAT WE'RE TALKING ABOUT IN THE NEXT WEEK TO TWO WEEKS IS THE POTENTIAL APPROVAL OF A THIRD VACCINE, UH, WHICH MAY INCREASE THE VOLUME OF VACCINE AVAILABLE SIGNIFICANTLY.

THAT'S THE ASTRAZENECA VACCINE, BUT I, I DON'T HAVE ANY IDEA WHAT NUMBERS THE US MAY HAVE AVAILABLE QUICKLY FOR THAT PARTICULAR VACCINE OR FOR THE MCDERMOTT AND PFIZER.

THAT'S HELPFUL.

THANK YOU.

AND THEN MAYBE IF WE'RE DOING ANOTHER BRIEFING IN THE FUTURE, UM, MORE DETAILS ABOUT HOW THAT MIGHT BE DISTRIBUTED AMONG THE STATES COULD, COULD BE ANOTHER LAYER OF INFORMATION THAT'S HELPFUL TO US INTO THE PUBLIC.

UH, THANK YOU, COUNCIL MEMBER KITCHEN, UM, ASKED, ASKED A QUESTION THAT I JUST, AND, UH, DIRECTOR HIDDEN HOWARD, THANK YOU FOR THE EXPLANATION, BUT I NEEDED TO, I NEEDED TO TRACE THAT PROCESS IF YOU, THROUGH A FEW MORE STEPS.

SO IF AN INDIVIDUAL REGISTERS IN THE SYSTEM, DO THEY KNOW IF THEY ARE AMONG THE INELIGIBLE? DO THEY GET AN EMAIL BACK SAYING THEY'RE INELIGIBLE? UM, NO, WE ARE NOT DOING THAT RIGHT NOW BECAUSE WE WANT TO, I MEAN, WE, WE ARE FINE WITH FOLKS SIGNING UP FOR US AND THE REASON WHY WE'RE NOT DOING THAT AS IN, AT ANY POINT WHERE WE MAY NEED TO PIVOT AND CHANGE THE CRITERIA THEY CAN BECOME ELIGIBLE.

AND SO THEN THAT WAY THEY CAN SIGN UP.

BUT, UM, UNTIL THEY RECEIVE THE, THE EMAIL THAT SAYS YOU CAN SCHEDULE AN APPOINTMENT, UM, AT THAT POINT, WE'RE JUST ASKING THEM, YOU KNOW, WE'RE JUST ASKING THEM TO WAIT UNTIL FURTHER NOTICE.

AND SO WE CAN TELL CONSTITUENTS WHO HAVE SUCCESSFULLY PRE-REGISTERED THAT IF THEY, IF THEY DO NOT GET THAT EMAIL BACK OR THAT PHONE CALL, SHOULD THEY BE EXPECTING EITHER ONE? UM, BUT IF THEY, IF THEY HAVEN'T YET RECEIVED THAT, IT'S EITHER BECAUSE ONE THEY'RE NOT ELIGIBLE AT THIS STAGE OR TWO, THEY MAY BE ELIGIBLE, BUT NOT AT THE HIGHEST PRIORITY LEVEL WITHIN THAT GROUP THAT'S ELIGIBLE OR THREE, IT MAY BE BECAUSE ALL OF THE AVAILABLE APPOINTMENTS ARE SCHEDULED.

SO IT COULD BE ANY ONE OF THOSE THREE CIRCUMSTANCES.

AND, AND THERE'S NO REALLY NO WAY TO LET THEM KNOW WHICH OF THOSE THREE IT IS.

YES.

AND IT COULD BE ONE OF THE THREE.

AND I ALWAYS REMEMBER THAT AN APPOINTMENT IS ASSIGNED TO VACCINE.

THANKS.

WE'LL

[02:05:01]

EMPHASIZE THAT TOO, IN OUR MESSAGING.

I DO KNOW THAT I AM HEARING REPORTS THAT, THAT FOR SOME PEOPLE THEY ARE ABLE TO CONTINUE TO LOG BACK IN THE SYSTEM AND SOMETIMES APPOINTMENTS BECOME AVAILABLE.

WOULD YOU, JEFF, IS THAT ACCURATE INFORMATION OR IS IT REALLY JUST THAT THEY'RE MORE APPOINTMENTS BECAME AVAILABLE AND THEY RECEIVED AN EMAIL? IS THAT, I GUESS, IS THAT PARTICULAR, IS THAT PARTICULAR CIRCUMSTANCE OCCURRING OR IS THAT JUST, UM, A MISUNDERSTANDING OF THE SITUATION MORE APPOINTMENT THAT'S BECOME AVAILABLE? UM, BECAUSE WHAT WE WERE WORKING ON IS WE'RE WORKING ON REAL TIME DATA.

UM, AND SO WE WILL, YOU KNOW, WE'LL PUT, UM, THE SCHEDULE OUT, UM, TWO DAYS.

SO THE APPOINTMENTS THAT FOLKS BOOKED ARE FOR TODAY AND TOMORROW.

UM, AND SO WE NEED TO MAKE SURE TO, UM, EVERY NIGHT WE INVENTORY OUR BACKSEAT TO SEE WHAT WE HAVE AVAILABLE.

AND SO THAT ALLOWS US TO GO AHEAD AND SEND OUT, YOU KNOW, THE REST OF THE APPOINTMENTS, UM, BASED UPON OUR CURRENT INVENTORY.

OKAY.

COUNCIL MEMBER, UH, ALTER AND STEPHANIE, ARE YOU STILL WITH US? I'M HERE.

I JUST TURNED OFF MY CAMERA.

CAN YOU HEAR ME? YES, WE CAN.

THANK YOU.

AWESOME.

THANK YOU.

SO I GUESS, UM, I WANT TO JUST TRY AND MAKE SURE THAT I'M UNDERSTANDING WHAT THE PLAN IS FOR THIS WEEK.

SO IF SOMEBODY CALLS, UM, THAT I HAVE A SENSE OF WHERE WE'RE, WE'RE GOING KIND OF SUMMARIZING WHAT I'VE HEARD, UM, TODAY.

SO IF YOU ARE GETTING A SECOND ROUND VACCINE, WHICH WE SHOULD START TO HAVE PEOPLE WHO ARE GETTING THEIR SECOND ROUND, THEY ARE TOO STAIRWELL, SOME COMMUNICATION MECHANISM WITH THEM ON THAT.

UM, SO THAT'S, YOU BLOCKED OUT FOR A SECOND.

SO IF YOU HAVE A SECOND ROUND, SO PEOPLE WHO ARE GETTING SECOND ROUND VACCINES RIGHT NOW, THEY ARE SUPPOSED TO GO TO THE ORIGINAL PROVIDER.

THEY NEED TO GET THE SAME TYPE OF VACCINE THEY'RE SUPPOSED TO GO TO THEIR ORIGINAL PROVIDER.

UM, YOU DO NOT HAVE TO GO TO APH UNLESS YOU ALREADY WENT TO APH FOR FIRST TIME.

IS THAT CORRECT? THAT IS CORRECT.

WITH THE EXCEPTION OF THE FOLKS THAT WENT THROUGH, UM, THE SITE THAT JUDGE BROWN AND CUSTOMER MORALE IS SET UP, THEY WOULD NOT GO BACK TO THAT SITE.

THEY, THEY, WE WILL BE WORKING WITH THEM TO GET THOSE PATIENTS IN.

OKAY.

AND THE FOLKS WHO ARE GOING THROUGH THE PROCESS RIGHT NOW, WHO JUST GOT THEIR FIRST VACCINE FROM APH, UM, WILL THEY GET A, A, UM, ALERT TO SIGN UP FOR AN APPOINTMENT FOR THEIR SECOND ROUND WHEN IT'S DUE IN THE THREE OR FOUR WEEKS? YES, THEY WILL.

OKAY.

NOW, IF I, UM, I'M THINKING ABOUT MY FIRST ROUND OF A SHOT, UM, IF I AM IN WHAT A OR ONE B OR I THINK I AM, WHETHER I HAVE INSURANCE OR NOT, THE MAIN PROVIDER RIGHT NOW IN TRAVIS COUNTY IS A P H.

UM, AND YOU'RE GOING TO GO ON TO THE APH WEBSITE, WHICH MAY BE WHEN YOU CONFIRM THIS, YOU CAN TELL ME WHAT THAT IS.

UM, AND YOU'RE GOING TO SIGN UP AND REGISTER, UM, AND YOU WILL GET SOMETHING AT THE END THAT SAYS THAT, UM, YOU'VE CREATED A RECORD.

UM, AND IF THERE ARE VACCINES AND APPOINTMENTS AVAILABLE AT THAT POINT IN TIME, IF THEY'RE NOT AVAILABLE, YOU WILL NOT BE GIVEN AN APPOINTMENT.

YOU MIGHT BE TOLD THERE'S NO APPOINTMENTS AVAILABLE, BUT THAT'S A FUNCTION OF THE VACCINE SUPPLY.

AND THEN IF YOU GET THAT, YOU SHOULD GET AN EMAIL WHEN, UM, NEW APPOINTMENTS ARE AVAILABLE, BUT THAT THOSE APPOINTMENTS COULD BE ALL USED UP BEFORE YOU GET TO REGISTER.

IS THAT CORRECT? WE, THE, THE EMAILS ARE, HAVE BEEN SENT TO FOLKS, UM, THAT MEET THE CRITERIA THAT SIGNED UP EARLIER IN THE PROCESS, BECAUSE WE'RE, WE'RE TRYING TO MAKE SURE THAT, THAT WE ARE, ARE GETTING FOLKS KIND OF FROM A TIMESTAMP PERSPECTIVE, THE FOLKS THAT WENT IN LAST WEEK AND THE FIRST ONES THAT WERE ABLE TO GET, UM, REGISTERED.

UM, BUT WE DIDN'T HAVE ENOUGH VACCINE.

WE WERE TRYING

[02:10:01]

TO MAKE SURE WE GET THOSE AS WELL.

UM, AND THAT MEET THE CRITERIA.

YES.

OKAY.

SO AT THIS POINT, THE SYSTEM'S CREATING KIND OF A WAITLIST AND THAT WAITLIST, UM, YOU'RE GOING BACK TO THE TOP OF THAT WAIT LIST, BUT IF I HAPPEN TO SIGN UP AND I WAS ELIGIBLE AND THERE WAS AN APPOINTMENT MADE AVAILABLE, BUT THAT TIME I MIGHT ALSO BE GIVEN AN APPOINTMENT, IT IS TRUE.

YES.

IT'S NOT JUST A QUIRK OF WHERE WE'RE AT.

I UNDERSTAND.

THAT'S NOT IDEAL.

I JUST TRYING UNDERSTAND THAT.

SO IF I HAVE SIGNED UP AND I'M FAIRLY CERTAIN, I'M ELIGIBLE, DID YOU MOVE DOWN THE WAIT LIST, WHICH IS A FUNCTION OF THE SUPPLY THAT WE'RE GETTING FROM THE STATE? WE LOST YOUR QUESTION.

ALISON, CAN YOU HEAR ME NOW? YES.

UM, SO IF I SIGN UP AND I DON'T GET, AND I, AND I'M ELIGIBLE, I HAVE TO JUST WAIT UNTIL APH GETS BACK TO TELL ME THAT I'M MOVED DOWN THE WAITLIST AND ABLE TO GET AN APPOINTMENT.

OKAY.

YES.

AND THEN IT WILL TYPICALLY BE AN EMAIL.

OKAY.

AND SHOULD I BE CHECKING BACK ON THE WEBSITE TO MAKE APPOINTMENTS? OKAY.

ALL RIGHT.

AND THEN, UM, TELL ME AGAIN, THE ISSUE WITH THE PASSWORD, WITH THE DOT APH, BECAUSE I'VE VAGUELY HEARD THAT, BUT HAVE NOT SEEN THAT WRITTEN DOWN UNDER WHAT CIRCUMSTANCES MIGHT I HAVE TO ADD A DOC H TO MY EMAIL AND WHERE IN MY EMAIL WOULD THAT GO? UM, Y YOU WOULD NEED TO ADD THE, UM, THAT APH TO ALL USERNAMES.

SO WHENEVER ANYONE IS GOING IN AND THEY'RE SETTING UP THEIR ACCOUNT AND THEY HAVE, THEY'RE PUTTING THEIR USERNAME.

AND SO MAYBE THEIR EMAIL IS JOHN DOT DOUGH AT GMAIL THAT APH, THAT IS YOUR USER NAME.

SO IT'S, IT'S YOUR, IT'S YOUR, YOUR EMAIL PLUS YOU'RE ADDING THE DOT A P H ON THE USERNAME.

UM, AND THEN YOU CREATE YOUR PASSWORD, ET CETERA, AND YOU SHOULD BE ABLE TO GET IN, AND YOU DO THAT IF YOU HAVE A PROBLEM, BUT NOT EVERYONE'S GOING TO HAVE A PROBLEM.

WELL, NO, I MEAN, EVERYONE, YOU MIGHT, EVERYONE HAS TO DO DOWN AP.

OKAY.

YEAH.

BUT, BUT I WOULD SAY, I WOULD JUST TELL ALL OF YOUR PEOPLE JUST TO GO AHEAD AND PUT THE DOT APH ON THE END OF IT.

OKAY.

INSTEAD OF THE.COM.

NO, NO.

IT'S IN ADDITION TO THE.COM GMAIL.COM DOT APH.

YEAH.

OKAY.

OKAY.

AND AS SOON AS VACCINE IS AVAILABLE AND DISTRIBUTED BY THE STATE TO OTHER PROVIDERS, THAT WILL BE OPPORTUNITIES TO GO TO OTHER PROVIDERS, BUT AS OF THIS WEEK WHERE WE ARE AT THIS WEEK, WE DO NOT BELIEVE THAT THERE ARE VAST NUMBERS OF PROVIDERS THAT HAVE VACCINE OTHER THAN PERHAPS FOR A SECOND ROUND, THAT PEOPLE SHOULD BE TRYING FOR, FOR THIS WEEK.

CORRECT.

OKAY.

THANK YOU.

UH, I DON'T HAVE ANYTHING ELSE OTHER THAN JUST, UH, TO, TO, TO, TO NOTE THAT THE PHONE BANKING, UH, WAS SOMETHING THAT WAS JUST, UH, OFFERED KIND OF A DAY OF SERVICE BY, UH, SOMEONE IN OUR COMMUNITY YESTERDAY.

SO IT'S LIKE A BRAND NEW, UH, UH, OPPORTUNITY.

AND, AND, AND I THINK THAT TODAY, UH, STEPHANIE, YOU'RE TALKING TO THOSE PEOPLE ABOUT GIVING THEM A, A POP POTENTIAL SCRIPT THAT THEY CAN USE.

UM, AND I APPRECIATE YOU TAKING ADVANTAGE OF THAT, UM, UH, OFFER THAT CAME IN YESTERDAY, UH, WHEN YOU, WHEN YOU HAVE THE DEMOGRAPHICS REPORT, UH, AT THE END OF THE WEEK, THE DEMOGRAPHICS THAT ARE SHOWING UP RIGHT NOW ON TESTING AND ON CASES ON OUR WEBSITE ARE REALLY GOOD.

UH, AND I THINK A LOT OF PEOPLE ARE USING THOSE.

SO THE, THE, UH, THE DASHBOARD, UH, IS SOMETHING THAT IS EASY TO USE AND EASY TO GET THE INFORMATION.

SO THANK YOU FOR THAT.

UM, WHEN YOU GET THE DEMOGRAPHIC INFORMATION, I WOULDN'T WAIT JUST FOR THE DASHBOARD TO BE PREPARED IF THERE'S A LAG IN TIME, IF YOU HAVE THAT DATA AND CAN GET IT OUT, THAT WOULD BE REALLY HELPFUL.

AND I DO LIKE, UH, UH, COMMISSIONER TRAVEONS, UM, A SUGGESTION, UH, THAT I THINK YOU PICKED UP ON AND SAID YOU WOULD DO AS WELL TO GET THE DEMOGRAPHICS, NOT ONLY FOR THE PEOPLE WHO ACTUALLY GET THE VACCINATION, BUT ALSO THE DEMOGRAPHICS OF THE PEOPLE THAT ARE IN OUR SYSTEM, UH, SO THAT WE CAN SEE WHO IT IS.

THAT'S, THAT'S

[02:15:01]

ABLE TO ACCESS IT AND, AND TO GET KIND OF PREREGISTERED.

UH, AND, AND IT'D BE GREAT IF WE COULD GET THAT INFORMATION AT THE END OF THE WEEK IS YOUR INDICATED.

THANK YOU.

UM, AND, AND AGAIN, UH, UH, DIRECTOR HAYDEN AND DR.

SCOTT, THANK YOU SO MUCH FOR WHAT YOU GUYS ARE DOING.

YOU STILL 24 SEVEN FOR YOU AND YOUR, YOUR STAFF, UH, AND, AND IT'S INCREDIBLY APPRECIATED.

THANK YOU.

UH, JUDGE, I'LL TURN THE GAVEL BACK TO YOU.

OKAY, THANKS.

YEAH, JUST BEFORE WE, UH, ONE LITTLE THING, UH, DIRECTOR HAYDEN, WHAT YOU JUST SAID ABOUT NOT PROVIDING SHOTS AT THE SPACE WHERE PEOPLE GOT THE SHOTS LAST TIME IN THE, IN, IN THE EVENT THAT WE DID WITH CONSTABLE MORALES AND OTHERS, I THINK WE'RE GOING TO NEED TO TALK THROUGH THAT.

AND I JUST, I'M JUST BRINGING IT UP BECAUSE YOU SAID ONE THING THAT IS INCONSISTENT WITH WHAT WE TOLD PEOPLE AT THE EVENT.

I THINK WE ACTUALLY HANDED THEM A PIECE OF PAPER SAYING, COME BACK FEBRUARY 6TH TO DECIDE SITE AND YOU'LL RECEIVE YOUR SECOND DOSE.

SO THERE'S 638 PEOPLE THAT ARE CURRENTLY PLANNING ON SHOWING UP THERE.

SO WE'LL NEED TO TALK OFFLINE ABOUT THE, THE CHANGE THAT YOU WERE MENTIONING.

UM, I DO THINK IT'S GOOD PRACTICE AND, YOU KNOW, TALKING TO, UH, SETON AND OTHERS, WHO'VE DONE THESE MASS VACCINATIONS IN THE PAST TO ALWAYS SCHEDULE THE FOLLOWUP APPOINTMENT WHEN YOU GET THAT FIRST SHOT.

AND THAT'S WHAT WE DID ON, ON THE LAST ONE.

SO I THINK WE'LL NEED TO PROBABLY PROVIDE THOSE IN THE SAME LOCATION ON FEBRUARY 6TH, BUT HAPPY TO FOLLOW UP WITH YOU.

UM, AND IT OVERALL THOUGH, WHEN ECHO THE MAYORS, CINNAMINSON SAY THANK YOU TO YOU DIRECT YOUR HIDDEN AND DR.

SCOTT AND EVERYBODY ELSE.

WHO'S I KNOW WORKING AS HARD AS, UH, WE ALL CAN TO MAKE THIS A TRANSPARENT AND EQUITABLE AND, UH, EFFICIENT PROCESS.

SO THANKS EVERYBODY.

AND MAYOR, I THINK THE WAY I HAD IT IN MY, UM, NOTES HERE AT LEAST, IS THAT I'LL PASS IT BACK TO YOU TO ADJOURN YOUR MEETING, AND THEN I'LL, THEN I'LL ADJOURN MINE.

IF THERE'S NOTHING FURTHER.

HI, JUDGE, UM, UH, TODAY STILL IS, UH, JANUARY 19TH, 21.

IT IS 1120, UH, AND, UH, HAVING COMPLETED OUR SPECIAL CALLED MEETING TASK.

UH, THE CITY COUNCIL MEETING IS ADJOURNED.

THANK YOU SO MUCH FOR LETTING US JOIN YOU.

AND I REALLY DO LIKE, UH, SOMEONE MENTIONED EARLIER, UH, DOING THESE THINGS JOINTLY SO THAT DR.

S SCOTT AND DIRECTOR HAYDEN DON'T HAVE TO DO IT MORE THAN ONCE.

AND I THINK THAT ALSO REALLY FOCUSES THE COMMUNITY ATTENTION ON THE IMPORTANCE.

WHEN WE ALL GATHER LIKE THIS, WE SHOULD FIND MORE OPPORTUNITIES TO BE DOING THIS AS WELL.

SO CITY COUNCIL MEETING IN JORDAN, THANK YOU.

THANK YOU FOR THIS MEETING.

IT WAS A GOOD IDEA, AND WE SHOULD DO MORE OFTEN.

AND I WANT TO THANK THE COUNTY STAFF AND CITY STAFF FOR PUTTING THIS ALL TOGETHER.

AND AGAIN, THANK YOU, DIRECTOR HAYDEN AND DR.

SCOTT FOR BEING HERE.

UH, I LOOK FORWARD TO HOPEFULLY, HOPEFULLY DOING, DOING MORE OF THESE IN THE FUTURE AS, AS CIRCUMSTANCES PRESENT THEMSELVES.

SO WITH THAT, UM, I ADJOURNED THE MEETING OF THE TRAVIS COUNTY COMMISSIONERS COURT AT 1120.

AND WE WILL, UH, AND JUDGE, THAT'S JUST THE JOINT SESSION, CORRECT? YEAH, I'M SORRY, JUST THE JOINT SESSION.

AND THEN WE WILL CARRY ON WITH OUR ALRIGHT.

UH, SO ARE WE, COULD WE CONTINUE NOW WITH OUR REGULAR MEETING OR DO WE NEED TO DO SOMETHING DIFFERENT TECHNOLOGICALLY TONIGHT? WE'RE HAVING FUN.

WE'LL SHOW THEM FOLKS A BRAND NEW DANCE THAT NEVER HAVE BEEN DONE WHEN I DON'T CARE.

THINGS WERE SILLY.

YOU BEAT DOWN BILLY WE'LL LOAD HER UP TO BOWLS, CHILE WOODS ZONE, FIRE I'LL GAS UP.

MY HOT ROD STOVE WILL GET HOTTER THAN POKER.

YOU'LL BE BROKE, BUT I'LL BE BROKERED TONIGHT TOWARDS IN THE WOODS ZONE.

BYE.