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[00:00:04]

YES.

UM, IT, I'M GOING TO USE MY GAVEL TODAY.

OKAY.

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

ALL RIGHT.

CALLING TO ORDER THE MEETING OF THE TRAVIS COUNTY COMMISSIONER'S COURT.

AND I'M GOING TO HAND IT OFF TO MAYOR ADLER TO, UH, MARIN TO CALL YOUR MEETING TO ORDER.

THANK YOU.

THE, UH, CITY COUNCIL SPECIAL CALLED MEETING HERE TODAY ON JANUARY 26, 2021.

ALSO CALLED ORDER.

WE HAVE A FORUM PRESENT.

UH, THE TIME IS THE THREE.

THANK YOU, JUDGE.

ALL RIGHT.

AND NOW I'M GOING TO CALL THE ORDER, THE JOINT MEETING OF THE TRAVIS COUNTY COMMISSIONER AND COUNCIL.

UM, 900 3,800 ON JANUARY 26TH.

AND WE'VE GOT HERE OVER AT COMMISSIONER'S COURT SIDE, UH, MYSELF AND MR. HOWARD DO IT TODAY.

YOU CAN ACTUALLY SEE HER TO LAST WEEK WHEN YOU COULD NOT.

AND THEN AT, UH, REMOTELY, WE'VE GOT COMMISSIONER GOMEZ, COMMISSIONER, SHEA, AND COMMISSIONER TREVELYAN.

AND FIRST WE ARE GOING TO GO TO THE PUBLIC COMMENT SECTION.

UH, NATE, DO WE HAVE ANY CALLERS TODAY? WE DO JUDGE.

WE HAVE CURRENTLY THREE CALLERS ON THE LINE, WISHING TO COMMENT ON THIS.

OKAY, LET'S GO AHEAD AND TAKE THE COLORS.

PERFECT.

AND I THINK WE ARE ACTUALLY FINISHING UP SCREENING ONE OF THEM.

SO PLEASE JUST GIVE US JUST A MOMENT AND THEN WE WILL GO LIVE WITH THEM.

OKAY.

AND JUDGE, WHILE YOU'RE DOING THAT, UM, UM, I'M GONNA NEED TO PULL AWAY AT 10 O'CLOCK.

I'LL TRY TO GET BACK AS QUICKLY AS I CAN.

UH, KATHY, CAN YOU TAKE OVER OR GET ANY CHURN RESPONSIBILITIES FOR US WHILE I'M SAYING THANK YOU.

AND JUDGE, WE ARE READY TO GO WITH THE CALLERS.

IS THE COURT READY? YES.

PERFECT.

WE'RE GOING TO GO AHEAD AND UNMUTE THEN THE FIRST COLOR THAT WE HAVE COMMENTING ON THIS ITEM IS, UH, THE NAME OF CARB.

AND CARRA, YOU ARE NOW CONNECTED WITH THE COURT.

MAY GO AHEAD WITH YOUR COMMENT.

OKAY, GREAT.

OKAY.

I SEE.

YES.

UM, MY COMMENT IS FOR, UM, THE COURT AND ALSO DR.

MARK ON JANUARY 12TH.

WHEN I CALLED IN, UM, I WAS, UM, TOLD THAT, UM, FOR THE TRANSCRIPTS ON PROBABLY 11:00 PM, DR.

SCOTT SAID THAT HE, I BLOCKED HER BECAUSE SHE'S SPREAD HIS INFORMATION.

UM, HE GOES ON TO SAY THAT MY POSTS THAT I PRESENTED FROM THE CDC AND MY QUESTIONING WAS FRAUD, AND I HAVE A REAL PROBLEM WITH IT BECAUSE DR.

S BOT HAS BEEN FORWARDED THE EMAIL THAT I WAS REFERRING TO, WHERE THE CDC EXPLAINED THAT THEY ARE COUNTING AND CODING THE PNEUMONIA AND INFLUENZA WITH CORONA VIRUS.

THEN AS TIME GOES ON, DOCTOR GOES ON TO SAY, LET'S NOT DEBATE ISSUES, WHICH ARE NOT DEBATABLE WHEN THERE IS TRULY EVIDENT THAT MATH DO NOT WORK AND ACTUALLY CAN TRIGGER YOU TO ACTION.

UM, I HAD STUDIES RANDOMIZED CONTROLLED STUDIES IN 2015 THAT FRUIT DAY.

AND FOR DR.

X IT'S HOW SOMEBODY THAT WE CANNOT DEBATE ISSUES, WHICH ARE NOT DEBATABLE, IS REALLY VERY CONCERNING TO ME BECAUSE WHEN THERE'S TWO SIDES TO A STORY, IT MUST BE DEBATED AND PEOPLE THAT ARE REPRESENTING THIS COMMUNITY THAT TOOK AN OATH.

I THINK YOU NEED TO LOOK INTO THAT.

AND I THINK YOU NEED TO ALSO LOOK INTO A DOCTOR WHO IS GIVING YOU INFORMATION, CALLING A CITIZEN, UM, POSTING INFORMATION.

THAT'S FRAUDULENT, THAT'S DEFAMATION.

AND MY NAME IS MY WORD, AND I'VE NEVER, I THINK THAT'S ENOUGH.

I DON'T THINK WE'RE GOING TO TALK ABOUT THINGS THAT ARE NOT SCIENTIFICALLY PROVEN AND OR DISPARAGE ARE, UH, DR.

SCOTT.

SO THANK YOU FOR YOUR COMMENT TODAY.

NEXT CALLER, PLEASE.

PERFECT.

AND OUR NEXT CALLER IS JAMES LINDER, JAMES UN-MUTED.

AND MAY GO AHEAD WITH YOUR COMMENT.

YEAH.

SO MY CONCERN I'LL KEEP THIS BRIEF IS THAT, UH, SINCE COVID STARTED, WE'VE NOT HAD OPEN ACCESS TO OUR POLICY.

MAKERS CAN REACH LAWMAKERS REGARDING A FAMILY LAW ISSUES.

YOU KNOW, THIS IS ONE OF THE MOST IMPACTFUL AREAS OF, UH, LAW.

UH, LET US LEGISLATIVE SESSIONS ARE GOING ON.

WE HAVE NO ACCESS TO THESE PEOPLE.

JUDGES ARE CREATING LAW ARBITRARILY INSTEAD OF ENFORCING LAW AND THE FAMILIES THAT I WORK WITH, UH, AT BOTH MATTER, UH, ONCE I KNOW HOW TO AFFECT CHANGE AND WE CAN'T DO THAT WITHOUT TRANSPARENCY AND ACCESS AND ACCOUNTABILITY IN GOVERNMENT.

AND THAT'S BECOMING, UH, AN ONGOING ISSUE, UH, WITH COVID.

[00:05:01]

THANK YOU FOR YOUR COMMENTS.

THANK YOU.

OUR NEXT CALLER RITA.

AND I APOLOGIZE.

I'M PROBABLY GOING TO MISPRONOUNCE THIS CHICA RIVER, UH, RITA.

YOU ARE NOW UN-MUTED AND MAY GO AHEAD.

THANK YOU SO MUCH.

THANK YOU.

YOU ACTUALLY DID THAT PERFECTLY.

MY YOU DIDN'T BUTCHER MY NAME LIKE MOST PEOPLE DO.

SO I'M GOING TO PUT YOU IN MY LITTLE BLACK BOOK OF GOOD NAME FOR ANNOUNCERS.

THANK YOU.

UH, GOOD MORNING, EVERYONE.

THANK YOU FOR THE OPPORTUNITY.

UH, I THINK I'D LIKE TO SECOND, THE FIRST CALLER, I DON'T KNOW HER NAME.

UM, THAT MA I COME FROM A FAMILY OF DOCTORS, MAT MASKS ARE NOT VERY EFFECTIVE.

UH, SECONDLY, THERE IS A DOCTOR BY THE NAME OF DR.

HUTCHINSON.

UM, HE IS, UH, A VERY WELL ACCOMPLISHED BIOLOGIST NEUROLOGIST, UM, AND MEDICAL DOCTOR WHO TALKS ABOUT, UH, THE REAL ISSUES WITH REGARD TO COVID.

BUT, BUT I'M NOT GOING TO COMMENT ON ANY MEDICAL ASPECT OF IT BECAUSE I'M NOT INVASIVE MEDICAL PROFESSIONAL.

I WEAR MY MASK WHERE I'M ASKED TO JUST OUT OF RESPECT FOR THE COMMUNITY AND FOR OUR OLDER POPULATION, UH, WITH REGARD TO JAMES LINDER, UM, MY ORGANIZATION IS CALLED, I'D LIKE TO SECOND HIS OPINION AND, UM, KIND OF EMBOLDENED IN BOTH TO WHAT HE'S SAYING IS THAT I REPRESENT HUNDREDS AND HUNDREDS OF FAMILIES, NOT JUST IN TRAVIS COUNTY, BUT ALSO IN TEXAS.

AND WE AS AN ORGANIZATION WE'RE GROWING NATIONWIDE, WE'RE CALLED OUR CHILDREN MATTER MOST O C M M.

UH, WE RECENTLY, UM, DID A 150 MILE WALK, A PEACE WALK, UH, FROM, UH, BROWNWOOD, TEXAS TO THE STATE CAPITOL.

WE WANTED TO HAVE A SEAT AT THE TABLE AND TALK TO OUR LEGISLATORS DURING THIS ACTIVE LEGISLATIVE SESSION ABOUT THE ISSUES THAT THESE ARE SERIOUS MATTERS THAT ARE AFFECTING OUR FAMILIES.

FOR EXAMPLE, THERE'S VERY FEW SUPERVISED VISITATION MONITORS THAT EVEN WANT TO DO VISITS WITH OUR CHILDREN BECAUSE OF THESE COVID RESTRICTIONS.

AND AS A RESULT, I MYSELF HAVE NOT BEEN ABLE TO SEE MY CHILDREN FOR OVER 400 DAYS.

UM, AND THESE ARE, THIS IS A COMMON STORY AND YOU KNOW, BETWEEN MANY, MANY FAMILIES, WE REALLY NEED YOUR ASSISTANCE.

WE NEED THE COMMISSION'S ASSISTANCE.

UH, POLICY MAKERS ARE NOT RESPONDING TO US UNDER THE GUISE OF COVID RESTRICTIONS.

WHEN WE REACHED THE STATE CAPITOL ON THE 21ST, EVERYTHING WAS BOARDED UP.

WE HAVE OVER 130 NATIONAL GUARD.

WE HAVE NO ACCESS AT ALL TO POLICYMAKERS.

SO IF, UH, I, BEFORE I HANG UP, I DO WANT A CONTACT OR INFORMATION OR SOMETHING LIKE THAT, OR A PERSON WHO CAN ORGANIZE, UH, THESE, YOU KNOW, UM, ZOOM MEETINGS AND OPEN IT OUT TO THE PUBLIC BECAUSE CONCERNED CITIZENS, WE WANT TO SPEAK TO OUR STATE REPRESENTATIVES AND WE WANT TO VOICE OUR CONCERNS.

AND THIS COVID, UH, YOU KNOW, RESTRICTION HAS LITERALLY MADE THIS, UM, IN THE EX VERY, VERY CLOSED DOOR POLICY MAKING.

AND THAT IS VERY, VERY CONCERNING TO US AND OUR CHILDREN AND OUR FAMILIES.

SO I REALLY REQUEST THE COMMISSION TO PLEASE NOT JUST TAKE THIS COMMENT BECAUSE I WILL FOLLOW UP.

I DO NEED A CONTACT OR, UH, UH, THANK YOU SO MUCH FOR YOUR TIME.

I APPRECIATE IT.

OKAY.

THANK YOU, RITA AND JAMES, THOSE ARE BOTH WELL-TAKEN ABOUT ACCESS TO GOVERNMENT DURING, DURING COVID.

UM, NATE, ARE THERE ANY OTHER CALLERS? NONE AT THIS TIME, JUDGE.

OKAY, GREAT.

SO JUST A LITTLE BIT, SAME, SAME DEAL AS LAST WEEK TO KIND OF HELP ENSURE THE EFFICIENT USE OF DR.

S SCOTT AND DIRECTOR HAYDEN HOWARD'S TIME AND TO MANAGE THE LENGTH OF THE BRIEFING.

I WE'VE ALL, UH, I GUESS GONNA LIMIT OURSELVES ONE QUESTION IN THE ORDER BELOW JUST LIKE LAST TIME AND IF TIME PERMITS GO TO A SECOND ROUND OF QUESTIONS, SO THAT WOULD MEAN THE COMMISSIONER'S COURT AND THEN THE JUDGE AND THEN COUNCIL MEMBERS, THEN THE MAYOR, AND THEN, UH, GO FROM THERE.

SO FIRST OUR FIRST BRIEFING, DR.

SCOTT, IF YOU ARE READY, UM, WE'RE GOING TO HAVE A BRIEFING FROM DR.

S SCOTT ON COVID-19.

THANK YOU, JUDGE.

THANK YOU, MAYOR COMMISSIONERS AND COUNCIL, UH, FOR THE OPPORTUNITY TO PROVIDE AN UPDATE ON COVID-19 CAN YOU ALL SEE MY SLIDES? YES, YES.

EXCELLENT.

SO FIRST OFF I HAVE AN UPDATE OF OUR NEW CONFIRMED CASES IN TRAVIS COUNTY.

YESTERDAY, WE REPORTED 544 NEW CASES WITH A MOVING AVERAGE OF FIVE 77.

UH, OUR PEAK WAS 10 DAYS AGO AND WE HAVE BEEN DECREASING SINCE THEN.

UH, SO GOOD NEWS ON THE, ON THE CASE FRONT.

I'LL TALK MORE ABOUT THAT IN TERMS OF POSITIVITY

[00:10:02]

A LITTLE BIT LATER ON.

UH, BUT WHAT WE'RE SEEING IS THAT THAT FOLKS ARE CHANGING BEHAVIOR.

FOLKS ARE WEARING MASKS, FOLKS ARE STAYING HOME, AND THAT IS RESULTING IN, IN THESE DECREASED CASES.

SO WELL DONE TRAVIS COUNTY, UH, SIMILARLY ON OUR ADMISSIONS, UH, YESTERDAY WE REPORTED 68 NEW ADMISSIONS WITH A MOVING AVERAGE OF 81.

UH, OUR PEAK WAS 17 DAYS AGO AND DECREASING, UH, AGAIN, IT'S A RELATIVELY FLAT DECREASE, BUT STILL MOVING IN A, UH, IN A, IN A POSITIVE DIRECTION IN TERMS OF OUR FORECAST, WHICH I'LL, I'LL TALK ABOUT IT A LITTLE BIT, UH, IN A FEW MORE SLIDES, BUT AGAIN, UH, CERTAINLY THE EVIDENCE THAT, THAT WHAT WE ARE DOING IS WORKING.

I WILL SAY THAT THE, UH, FIRST DAY OF DECLINING ADMISSIONS WAS EXACTLY 10 DAYS AFTER, UH, THE IMPLEMENTATION OF THE CURFEW, UH, BY THE CITY AND THE COUNTY, UH, THAT 10 TO 14 DAY PERIOD IS EXACTLY WHEN WE'D EXPECT TO SEE IMPACTS FROM POLICIES ON ADMISSIONS TO THE HOSPITAL.

UH, WE DID NOT SEE A SECOND SURGE FROM NEW YEAR'S EVE THAT WE EXPECTED, AND I BELIEVE THAT'S BECAUSE OF, OF THE COURAGE OF THE CITY AND THE COUNTY, UH, TO ISSUE THOSE ORDERS AND, UH, TO ENSURE THAT, THAT WE COULD PROTECT THIS COMMUNITY, UH, IN A WAY THAT WAS NEEDED AT THAT TIME.

AGAIN, I THINK THE ONGOING PROTECTIVE ACTIONS OF OUR COMMUNITY, OF OUR SCHOOLS AND, UH, AND OUR BUSINESSES ARE CERTAINLY NOT CONTRIBUTING TO THAT.

A DECLINE IN ADMISSIONS TO THE HOSPITAL.

THIS SLIDE IS SHOWING, UH, IN BLUE, OUR HOSPITALIZATIONS YESTERDAY REPORTED 577 INDIVIDUALS IN THE HOSPITAL WITH A MOVING AVERAGE OF 586.

UH, OUR PEAK WAS SIX DAYS AGO AND, UH, IS DECLINING.

UH, THE ORANGE IS OUR ICU, UH, INDIVIDUALS WITH COVID-19 YESTERDAY, ONE 57 WITH A MOVING AVERAGE OF ONE 70, NOT WITH A PEAK 10 DAYS AGO AND DECLINING, UH, THE, UH, GRAY IS OUR VENTILATOR UTILIZATION.

YES, SIR, REPORTING 90 WITH A MOVING AVERAGE OF 101 WITH A PEAK 11 DAYS AGO IN THAT MOVING AVERAGE AND DECLINING.

UH, SO AGAIN, ALL THE MEASURES THIS WEEK SHOWED SIGNIFICANT IMPROVEMENTS IN OUR COVID-19 SITUATION IN TRAVIS COUNTY.

NOW, WHEN WE LOOK AT THE MAP OF THE STATE, AGAIN, UH, AGAIN, THE RED XS ARE THOSE TRAUMA SERVICE AREAS THAT ARE IN SURGE.

UM, YOU CAN SAY THAT THE ONE OF THE METAL, OH, UH, HAS TURNED YELLOW THAT'S US, AND IT'S TURNED YELLOW BECAUSE WE'VE ACTUALLY BEGAN TO DROP BELOW THAT 15% THRESHOLD YESTERDAY AT 14.59, WHICH MARKS THE SECOND DAY IN A ROW.

NOW, WHEN I SAY YESTERDAY, THAT WAS ACTUALLY A SATURDAY AND SUNDAY, UH, BOTH BELOW THAT, BUT THAT'S THE LATEST DATA THAT WE HAVE FROM A REPORTER FROM DSHS.

AND WE'RE LOOKING AT OTHER METRO JURISDICTIONS IN THE STATE.

UH, THEY ARE STILL SIGNIFICANTLY ABOVE THAT 15% MARK WITH HOUSTON BEING 18.6, 9% EL PASO, 19% DALLAS FORT WORTH, 21.8% AND SAN ANTONIO, 23.72%.

AGAIN, UH, THIS IS WHAT WE'RE SEEING HERE IS A REVERSAL OF THAT HOSPITALIZATION TREND.

AND, UH, JUST WANT TO RECOGNIZE THE INCREDIBLE WORK THAT THE CITY COUNTY AND OUR RESIDENTS, OUR ENTIRE COMMUNITY HAS DONE TO, TO PUSH THIS NUMBER BACK DOWN BELOW 15%.

UM, WE'VE GOT TO CONTINUE THAT EFFORT.

WE'VE GOT TO PUSH IT DOWN FURTHER, UH, BUT WE ARE DOING AN EXCELLENT JOB AND I'M PROUD OF THIS COMMUNITY FOR THE WORK IT'S DONE.

UH, THIS IS A PROJECTION FROM THE UT MODELING CONSORTIUM REGARDING, UH, OUR OUTLOOK FOR, UH, HOSPITAL ADMISSIONS IN, UH, THE MSA.

SO WHEN WE LOOK AT THIS, WE CAN SAY THAT AGAIN, INDICATES THAT WE HAVE PEAKED AND THAT WE HAVE ARE COMING DOWN FROM THAT PEAK.

AGAIN, THIS MODEL ASSUMES THAT DISEASE TRANSMISSION IS GOING TO STAY THE SAME.

SO IF WE LET DOWN OUR GUARD, IF WE START REMOVING THOSE PROTECTIONS THAT GOT US HERE, IT WILL BOUNCE UP AGAIN.

IF WE CONTINUE THOSE EFFORTS, IF WE DOUBLE THOSE EFFORTS, WE CAN PUSH IT DOWN EVEN FASTER RIGHT NOW.

UH, THE MEDIAN PROJECTION INDICATES THAT WILL DROP BELOW 60 ON THAT MOVING AVERAGE OF COMMISSIONS ON THE 17TH OF FEBRUARY.

[00:15:02]

UH, SO AGAIN, UH, CERTAINLY A BETTER FORECAST THAN THE LAST WEEK AND PRIOR WEEKS.

UH, THIS GRAPH IS LOOKING AT THE HOSPITALIZATION.

SO TOTAL NUMBERS OF INDIVIDUALS HOSPITALIZED.

SIMILARLY, WE SEE A DECLINE GOING INTO THE MIDDLE OF FEBRUARY AND DROPPING BELOW THAT 500 HOSPITALIZATIONS, UH, AROUND THE FIRST OR SECOND WEEK OF FEBRUARY.

AND WE SEE A SIMILAR PATTERN IN THE ICU NUMBERS.

AGAIN, THE ICU TENDS TO BE A BIT SLOWER IN THE DECREASE DUE TO THE LENGTH OF TIME THAT INDIVIDUALS STAY IN THE ICU.

UH, BUT AGAIN, DECREASING AND APPROACHING THAT HUNDRED MARK, UH, BY THE MIDDLE OF FEBRUARY.

UM, NOW THIS GRAPH IS AN OUTFIT OF OUR HOSPITALIZATIONS, UH, OUR WEEKLY HOSPITALIZATIONS BY AGE GROUP.

UH, WE CAN SEE IN THE ORANGE LINE THAT WE'VE HAD A SIGNIFICANT INCREASE IN THE INDIVIDUALS IN THE 80 PLUS AGE GROUP IN THEIR HOSPITALIZATIONS, SLIGHT DECREASE IN THE 70, 79 GROUP AND A SIGNIFICANT DECREASE IN THE 60 TO 69 AGE GROUP, THE YOUNGER AGE GROUPS, UH, THE FIFTIES ON DOWN RELATIVELY FLAT, UH, AS COMPARED TO LAST WEEK, WE'RE LOOKING AT THE NUMBERS OF INDIVIDUALS HOSPITALIZED IN EACH OF THOSE AGE GROUPS.

UH, WE CAN SEE THAT ON THIS RIGHT HAND COLUMN, YOU CAN SEE THAT WE HAD A FURTHER DECREASE IN THE OVERALL ADMISSIONS MOVING FROM FIVE 37 TO FOLLOW FOR LAST WEEK.

UH, YOU CAN SEE THAT THERE'S A INCREASE OF 17 INDIVIDUALS IN THAT 80 PLUS AGE GROUP WHO WERE HOSPITALIZED, BUT DECREASES IN THAT 70 TO 79 AND 60 TO 69 AGE GROUP.

AGAIN, THE OTHERS BEING RELATIVELY FLAT AS COMPARED TO THE PRIOR WEEK.

NOW THIS GRAPH IS THE HOSPITALIZATIONS BY RACE AND ETHNICITY.

UH, WE DID SEE SOME DECREASE IN OUR WHITE NON HISPANIC, UH, GROUP, WHICH WAS HOSPITALIZED LAST WEEK, RELATIVELY FLAT FOR LATIN X COMMUNITY IN GREEN, UH, OUR GRAY LINE, WHICH IS OUR AFRICAN-AMERICAN COMMUNITY, SLIGHT INCREASE AS COMPARED TO LAST WEEK.

AGAIN, THE OTHERS RELATIVELY FLAT WEEK OVER WEEK.

THIS IS THAT SAME DATA BROKEN DOWN BY NUMBERS OF INDIVIDUALS.

UH, AGAIN, UH, ONE 82, THE ONE 77 FOR OUR LATIN X GROUP IN THE GREEN, UH, TWO 24 TO 200 FOR OUR WHITE NON-HISPANIC GROUP, UH, IN 51 TO 60 OR OUR AFRICAN-AMERICAN COMMUNITY, UH, OUR ASIAN NON-HISPANIC COMMUNITY, UH, 14, THE PREVIOUS WEEK, 13 LAST WEEK.

SO AGAIN, RELATIVELY FLAT THERE, UH, THIS IS AN UPDATE OF OUR POSITIVITY WEEK OVER WEEK, UH, LAST WEEK BEFORE THE 24,000 TEST RESULTS IN, UH, WE ARE SHOWING A 12.6% POSITIVITY.

UH, SO IT DROPPED FROM 14% THE WEEK BEFORE.

UH, YOU CAN SEE THAT IT'S A SLOW BUT STEADY DROP, UH, OVER THE PAST SEVERAL WEEKS.

AND AGAIN, UH, WE NEED TO CONTINUE TO PUSH THAT DOWN.

OUR, OUR GOAL IS REALLY UNDER 3%, MAYBE A LITTLE BIT HAPPIER IF WE'RE UNDER 5%.

SO WE STILL HAVE QUITE A WAYS TO GO IN TERMS OF POSITIVITY AND GETTING OURSELVES INTO A BETTER SITUATION TO ENTER A STAGE FOUR AND HOPEFULLY STAGE THREE AND BELOW.

UH, SO IT'S GOING TO REQUIRE MORE WORK, A LOT OF POSITIVE INFORMATION THIS WEEK.

UH, BUT WE CERTAINLY NEED TO REINFORCE THAT THOSE PROTECTIVE MEASURES ARE WORKING.

THE MASKING AND DISTANCING IS WORKING, STAYING HOME.

IF YOU CAN, IS WORKING, WE'VE GOT TO CONTINUE THOSE THINGS.

WE'RE LOOKING AT THE BREAKDOWN OF POSITIVITY BY RACE AND ETHNICITY, OUR LATIN X COMMUNITY, WHICH ISN'T THERE A GRAY BAR IN THE MIDDLE, UH, 22.2% OF THE PREVIOUS WEEK, 19.3% LAST WEEK, OUR AMERICAN INDIAN, ALASKA NATIVE RELATIVELY FLAT 17% TO 16.8%.

AFRICAN-AMERICAN DOWN A LITTLE BIT, 13.7% TO 12% LAST WEEK, UH, ASIAN, UH, POSITIVITY, 10.7%, THE PREVIOUS WEIGHT TO 9.7 LAST WEEK, AND OUR WHITE NON-HISPANIC 10.7% SLIGHTLY INCREASED TO 10.9%.

AGAIN, WE'LL STILL GET MORE DATA FOR LAST WEEK.

SO THESE NUMBERS MAY CHANGE, UH, BUT, UH, CERTAINLY SOME, SOME DROPS, UH, ACROSS THE BOARD AND IN MANY OF THE, UH, UH, RACES AND ETHNICITIES, WE LOOKED AT POSITIVE BY AGE GROUP.

UH, AGAIN, UNFORTUNATELY WE'RE SAYING THAT THE 80 PLUS AGE GROUP IS LEADING IN TERMS OF POSITIVITY WITH A POSITIVE RATE OF 18% LAST WEEK.

UH, WE ARE ALSO SAYING, UH, HIGH POSITIVITY ARE 10 TO 19 AGE GROUP.

SO, UH, OUR SCHOOL

[00:20:01]

AGE AND COLLEGE AGE GROUP, UM, STILL, UH, STILL QUITE HIGH AGAIN.

UM, OTHER THAN THOSE TWO GROUPS, UH, DROPS IN THE, IN THE POSITIVITY, UH, FOR THE OTHER AGE GROUPS, WE'RE LOOK AT THE, UH, OUR SCHOOLS REPORT.

SO THESE ARE CASES REPORTED INTO OUR, UH, OUR NURSE LINE FOR AUSTIN PUBLIC HEALTH FOR COVID-19 265 CASES IN SCHOOLS LAST WEEK, 163 STUDENTS, 98 STAFF, AND FOUR OTHER, WHICH ARE OUR VISITORS TO THE CAMPUS.

UM, AGAIN, UH, IT'S NOT JUST THE IMPACT OF CASES, BUT THE IMPACT OF EXPOSURES.

SO ALMOST 2000, UH, CLOSE CONTACTS THAT WERE IN QUARANTINE LAST WEEK DUE TO COVID-19 EXPOSURES.

UH, AGAIN, WE'VE GOT TO CONTINUE TO ENCOURAGE OUR, UH, OUR COMMUNITY, OUR FAMILIES TO CHOOSE VIRTUAL IF THEY CAN, TO HELP DECREASE THE NUMBERS OF INDIVIDUALS IN PERSON ON CAMPUS.

UH, PARTICULARLY WHILE WE CONTINUE ON TO STAGE FIVE.

UM, AGAIN, YOU KNOW, IT'S, IT'S CERTAINLY A DISCUSSION THAT, THAT PARENTS NEED TO HAVE, UH, TO DETERMINE WHAT'S RIGHT FOR THEIR INDIVIDUAL STUDENTS.

BUT IF WE CAN DECREASE THE NUMBER OF STUDENTS ON CAMPUS TO PREFERABLY UNDER 25%, IT'S GOING TO PUT US IN A BETTER SITUATION TO CONTROL DISEASE, AS WE BATTLE WITH THE POTENTIAL FOR THAT COVID-19 VARIANTS, AS WELL AS, UH, AS SOME OF THE OTHER CHALLENGES LIKE THE, THE COMMUNITY POSITIVITY.

AND WHEN WE LOOK AT THE DATA BASED UPON, UH, SCHOOL, AGE, CHILDREN IN POSITIVITY, BUT WE'VE GOT IT BROKEN DOWN A BIT FURTHER, UH, FOR THE, EACH OF THE, UH, THE SCHOOL TYPE.

SO OUR HIGH SCHOOL AGE STUDENTS POSITIVITY 17.1% MIDDLE SCHOOL, AGE STUDENTS, 16.1%.

THOSE OUTPACING THE, THE COMMUNITY POSITIVITY ELEMENTARY SCHOOL AND PRESCHOOL BOTH BELOW THAT COMMITTEE, POSITIVE FLOWN 0.4% AND 10.3%.

UH, SO AGAIN, WE'VE GOT TO CONTINUE THAT WORK AND PROTECT YOUR SCHOOLS AND CONTINUE TO ADVOCATE FOR VIRTUAL EDUCATION.

IF IT'S POSSIBLE FOR FAMILIES TO DO THAT, UH, WE ARE CONTINUING TO SEE RISES IN OUR NURSING HOME OR LONG-TERM CARE FACILITIES, THREE 32 IN THE PAST 14 DAYS, SIX 62 IN THE PAST 28 DAYS.

UH, SO SIGNIFICANT INCREASES IN THE POSITIVITY THERE AGAIN, UH, OUR BEST WAY TO CONTROL THE POSITIVITY IN THESE FACILITIES IS TO CONTROL THE COMMUNITY POSITIVITY.

UH, BUT WE NEED TO ALL BE REMINDED THAT, UH, THINGS ARE THE MOST VULNERABLE INDIVIDUALS TO COVID-19 IN OUR COMMUNITY.

SO IF WE WERE GOING TO VISIT WITH INDIVIDUALS IN, IN THESE FACILITIES, WE NEED TO ENSURE THAT FOR THE 14 DAYS PRIOR TO THAT, THAT WE ARE ALWAYS MASKED, WE'RE ALWAYS USING, UH, PHYSICAL DISTANCING AND YOU'RE PAYING CLOSE ATTENTION TO YOUR HAND HYDRATING.

UH, AGAIN, PEOPLE CAN SPREAD DISEASE EVEN WHEN THEY DON'T KNOW THAT THEY'RE SICK.

SO IT'S IMPORTANT THAT, UH, PARTICULARLY IN THE CIRCUMSTANCES THEY GO TO VISIT A LOVED ONE IN ONE OF THESE FACILITIES THAT YOU ARE EXTRA CAREFUL.

YEAH.

BRIEF UPDATE ON OUR REGIONAL INFUSION CENTER.

UH, AS YOU ALL MAY HAVE SEEN YESTERDAY, THE GOVERNOR ANNOUNCED, UH, THE, UH, EXPANSION OF THIS REGIONAL INFUSION CENTER.

AND I JUST WANT TO THANK THE STATE, UH, THE TEXAS DIVISION OF EMERGENCY FOR THEIR INCREDIBLE WORK IN SUPPORTING THIS EFFORT, ALONG WITH OUR PARTNERS AT COMMUNITY CARE, UH, OF COURSE, AUSTIN, PUBLIC HEALTH, AND, UH, AND A NUMBER OF OTHER ENTITIES THAT HAVE SUPPORTED THIS.

UH, THE SITE WAS OPEN ON THE SIXTH OF THIS MONTH, SINCE THEN 302 INDIVIDUALS HAVE BEEN TREATED WITH MONOCLONAL ANTIBODIES.

WE STARTED WITH A, UH, A CAPACITY OF 26 A DAY.

TDM HAS INCREASED THAT TO 90 A DAY.

UM, AND THAT WAS COMPLETED YESTERDAY.

IN ADDITION TO THAT, THEY'VE ALSO, UH, CREATED A REGIONAL CALL CENTER, WHICH WENT ACTIVE YESTERDAY AS WELL.

SO, UH, CLINICIANS CAN REFER PATIENTS HERE WHO MEET THE CRITERIA FOR MONOCLONAL ANTIBODIES.

UH, THESE ARE, THIS IS THE TREATMENT THE PRESIDENT RECEIVED, AND MANY OTHERS HAVE RECEIVED, UH, WHICH CAN DECREASE THE RISK OF HOSPITALIZATION FOR THOSE WHO ARE AT HIGHER RISK FOR SEVERE DISEASE.

UH, SO IF FOLKS ARE OUT THERE AND THEY HAVE HIGHER RISK FOR SEVERE DISEASE, THEY NEED TO CONTACT THEIR PHYSICIAN AND DISCUSS A REFERRAL TO THIS INFUSION CENTER FOR THIS FREE, UH, MONOCLONAL ANTIBODY INFUSION, UH, IN AN UPDATE ON OUR TRAVIS COUNTY ALTERNATE CARE SITE, NOT CURRENTLY

[00:25:01]

AS OF YESTERDAY 28 INDIVIDUALS, THEY ALTERNATE CARE SITE, UH, 17 ADDITIONAL INDIVIDUALS HAVE BEEN TREATED AND DISCHARGED FROM THAT FACILITY.

UH, THE CAPACITY HAS BEEN INCREASED TO 50, UH, AND OBVIOUSLY CONTINUES TO HAVE THE ABILITY TO EXPAND BEYOND THAT 250 WITHIN THE CURRENT HALL.

AND UP TO ALMOST A THOUSAND.

UH, NOW SOME PEOPLE MAY BE ASKING, WHY WOULD WE CONSIDER THE NEED FOR INCREASE WHEN OUR HOSPITALIZATIONS ARE DECREASING? THE ANSWER IS EVERYWHERE ELSE AROUND US CONTINUES TO SURGE, AND THOSE NUMBERS CONTINUE TO BE HIGH SAN ANTONIO WACO, BRYAN COLLEGE STATION, DALLAS, FORT WORTH HOUSTON.

UM, SO WE HAVE THE POSSIBILITY AS OUR, AS OUR HOSPITAL SITUATION GETS BETTER.

WE STILL HAVE THE POSSIBILITY OF HELPING SUPPORT OTHER AREAS THAT ARE STILL BEING HARD HIT BY COVID-19.

UM, SO AGAIN, THESE ARE INDIVIDUALS THAT HAVE TO BE REFERRED FROM A HOSPITAL.

NOW, THIS IS NOT A SITE WHERE INDIVIDUALS CAN, CAN SHOW UP FOR COVID TREATMENT, UH, AND WE'RE CONTINUING TO CARE FOR LOW TO MODERATE ACUITY PATIENTS.

UH, SO FOLKS WHO ARE GENERALLY WITHIN A WEEK OF NOT BEING ABLE TO GO HOME OR, UH, BE DISPOSITIONED, UH, TO, UH, TO ANOTHER CARE FACILITY, A BRIEF UPDATE ON INFLUENZA NUMBERS CONTINUE TO LOOK GOOD, UH, POSITIVITY FOR WEEK TWO OF THIS YEAR, 1.17% OVERALL POSITIVITY 1.08%.

AND WE'LL LOOK AT THE COMPARISON THIS YEAR, COMPARED TO THE PREVIOUS THREE YEARS, YOU CAN SEE THAT WE ARE CONTINUING TO TRACK AT THE BOTTOM OF THE GRAPH HERE.

SO AGAIN, UH, THE WORK THAT, UH, THAT FOLKS HAVE DONE TO GET VACCINATED THIS YEAR FOR FLU THE MASKING, THE DISTANCE, AND ALL THOSE THINGS ARE CONTRIBUTING TO, UH, WHAT MAY BE A RECORD YEAR FOR US IN TERMS OF, AGAIN, WE REMAIN IN STAGE FIVE OF OUR RISK-BASED, UH, GUIDANCE, WHICH MEANS NO GATHERINGS WITH INDIVIDUALS OUTSIDE OF YOUR HOUSEHOLD.

UH, DINING AND SHOPPING SHOULD BE LIMITED TO ESSENTIAL TRIPS, ONLY, UH, NON ESSENTIAL TRAVEL SHOULDN'T BE AVOIDED.

AND AGAIN, WE RECOMMEND OUR BUSINESSES NOT HAVE A TRANSITION TO TAKEAWAY DELIVERY, CURBSIDE CONTACTLESS OPTIONS TO HELP US DECREASE THAT FACE-TO-FACE INTERACTION AND FURTHER DECREASE THE RISK OF SPREAD.

NOW, WITH THAT, I WILL PASS IT OVER TO DIRECTOR HAYDEN HOWARD FOR THE REST OF THE PRESENTATION.

THANK YOU, DR.

SCOTT.

UM, NEXT SLIDE, PLEASE.

WE CONTINUE TO MAKE IMPROVEMENTS, UM, TO THE SALES OFTEN SALESFORCE, UM, PORTAL.

UM, WHAT OUR TEAM TYPICALLY DOES IS, IS THAT THE UPDATES ARE BASED UPON, UM, USER FEEDBACK THAT WE ARE RECEIVING.

AND, UM, AS WE MAKE THOSE UPDATES IN CHANGES, WE WILL BE WORKING WITH PIO, UM, TO GET THAT INFORMATION OUT, TO SHARE WITH THE PUBLIC, WHAT THOSE CHANGES HAVE BEEN THE GOAL IS, IS THAT WE, WE WANT TO MAKE SURE, UM, THAT BEFORE WE DEPLOY IT TO THE PUBLIC, THAT OUR STAFF DO SOME ADDITIONAL TESTING.

UM, AND THEN THAT WAY, IF THERE'S ANY KIND OF CONCERNS THAT COME UP IN OUR KIND OF TESTING PART OF, UH, MAKING SURE THE SYSTEM IS WORKING APPROPRIATELY, WE CAN ADDRESS THAT BEFORE WE ROLL IT OUT PUBLICLY.

ONE OF THE OTHER THINGS THAT WE'RE WE'RE DOING IS THAT WE'RE REALLY TRYING TO MAKE SURE THAT FROM THE BEGINNING OF THE PROCESS OF WHEN YOU, UH, ENROLL AND GET AN ACCOUNT, UM, THROUGHOUT YOUR CHECKOUT PROCESS, UM, INCLUDING COMING BACK IN FOR YOUR SECOND VACCINE.

SO WE WANT TO MAKE SURE THAT THAT IS, UM, A SMOOTH PROCESS.

IN ADDITION TO THAT, UM, WE ARE, UM, LOOKING AT, UH, MAKING UPGRADES TO THE SCHEDULING APPOINTMENTS.

UM, WE HAVE RECEIVED THAT FEEDBACK AS WELL FROM USERS.

UM, SOME OF THE OTHER THINGS THAT, UM, WE'RE GONNA JUST KIND OF CONTINUE, CONTINUE TO MESSAGE, UM, ABOUT THE DOT APH AT THE END OF THE USERNAME, BUT WE ARE ALSO, UM, LOOKING AT, IS THERE THE POSSIBILITY OF USING SOCIAL MEDIA ACCOUNTS, UM, AS WELL AND, OR PHONE NUMBERS.

AND SO THAT IS ONE OF THE OTHER THINGS THAT STAFF ARE WORKING ON.

NEXT SLIDE, UM, AS YOU ALL WERE AWARE, UM, WE DID RECEIVE, UH, AN ADDITIONAL 12,000 VACCINES LAST WEEK.

UM, AND SO WE, UM, COMPLETED THOSE ON, ON THIS PAST SATURDAY, UH, THROUGH TWO POINTS OF DISTRIBUTION SITES.

UH, WE ARE CONTINUING TO PRIORITIZE OUR FRONTLINE STAFF.

AND SO, UM, WE RECEIVED WORD THIS

[00:30:01]

WEEKEND THAT WE WOULD RECEIVE, UM, 12,000 MORE VACCINES.

THE SCHEDULE, UM, THAT WE ARE GOING TO USE IS GOING TO BE A WEDNESDAY THROUGH SATURDAY.

UM, AND SO, UM, IT'S IMPORTANT FOR, YOU KNOW, THE PUBLIC TO KNOW THAT, UM, WE'RE GOING TO CONTINUE TO PRIORITIZE FRONTLINE STAFF THAT MEET THE ONE A AND ONE B CRITERIA.

UH, WE MET WITH THE SUPERINTENDENTS ON, UM, YESTERDAY AND, UM, DID RECEIVE SOME FEEDBACK ON OUR SCHEDULING.

AND SO WE WILL CONTINUE TO PRIORITIZE THEM AS WELL.

UM, AS WELL AS THE, THE PUBLIC.

THE OTHER THING THAT WE FEEL IS A, A VERY CRITICAL POPULATION, UM, IS, IS, IS STILL IN THE EDUCATION AREA, IS OUR CHILDCARE PROVIDERS.

UM, WE ARE GOING TO SEND OUT SURVEYS TO OUR CHILDCARE PROVIDERS AND, UM, GET AN IDEA OF HOW MANY FIT INTO THE CRITERIA OF ONE A AND ONE B AS YOU ALL KNOW, UM, THAT CHILDCARE PROVIDERS, BECAUSE THE CHILDREN THAT THEY'RE WORKING WITH TYPICALLY, UM, ARE NOT WEARING MASKS.

UM, THEY'RE IN VERY CLOSE PROXIMITY TO THE CHILDREN.

AND SO, UM, THAT IS AN AREA OF CONCERN AT THIS TIME.

UM, OUR PILOT IS CONTINUING WITH OUTGOING CALLS, UM, TO SET, TO ASSIST WITH SETTING UP ACCOUNTS AND SCHEDULING THOSE APPOINTMENTS AND OUR, UM, ONGOING VACCINE OUTREACH AND EDUCATION.

THOSE CONTRACTS ARE EFFECTIVE.

UM, AND SO THEY WILL CONTINUE TO WORK TO REACH, UM, UM, DIFFICULT TO REACH POPULATIONS.

NEXT SLIDE, UM, LONG-TERM CARE.

WE WANTED TO, UM, INCLUDE THAT, UM, IN THIS PRESENTATION AS WELL, UH, 51 FACILITIES HAVE BEEN, UM, PROVIDED VACCINES, UM, WHICH HAS OVER 5,000 STAFF, UH, 5,600 STAFF AND RESIDENTS.

UM, WE CONTINUE TO, TO WORK WITH THEM, UM, AND MAKE SURE THAT THERE'S, THERE'S NO GAPS IN THE VACCINE.

UM, AND AS WE DETERMINED THAT, THAT THERE IS A GAP, UH, WE DETERMINE IF IT'S GOING TO BE US, OR IF IT'S GOING TO BE A, UM, A PARTNER THAT WILL BE ABLE TO PROVIDE THE VACCINES FOR THEM.

AND SO THAT IS AN ONGOING EFFORT, UM, THAT WE WILL CONTINUE TO DO.

WE ARE, WE ARE, UM, STILL HAVING HESITANCY FROM THE EMPLOYEES.

AND SO WE WILL CONTINUE TO SHARE EDUCATIONAL MATERIALS AND STRATEGIES FOR THOSE FACILITIES, BECAUSE IT'S GOING TO BE SO IMPORTANT FOR US TO ENSURE THAT THE STAFF, UM, HAVE RECEIVED THE VACCINE AND THEY HAVE CONFIDENCE, UM, IN THE VACCINE.

NEXT SLIDE.

UM, THIS IS AN UPDATE, UM, TO THE INFORMATION THAT WAS SENT OUT, UH, LAST WEEK.

UH, IT GIVES YOU, UH, A SNAPSHOT OF, OF DELCO AND SPRINGS FOR OUR WEEK ONE AND WEEK TWO.

UM, WE ARE, UM, OUR STAFF ARE STARTING TO WORK ON THE DASHBOARD THAT WILL BE A SIMILAR DASHBOARD, UM, THAT WE HAVE FOR OUR OTHER AREAS.

UM, AND RIGHT NOW THE DASHBOARD THAT STAFF WILL BE WORKING ON WILL ONLY HAVE, UM, INFORMATION FROM AUSTIN PUBLIC HEALTH.

WE HAVE, UM, REACHED OUT TO THE STATE OF TEXAS TO ASK FOR A, UM, A, A FILE, WHICH INCLUDES ALL OF THE INFORMATION FROM THE IMITREX, UH, DATA ENTRY.

UM, AND SO ONCE WE GET THAT, WE'LL START TO POPULATE THAT THERE'S WELL, ALL THE DASHBOARD, BUT THAT IS, THAT IS IN THE WORKS.

UM, AND, UM, I'LL, I'LL BE WAITING FOR MY STAFF TO GIVE ME AN ETA OF WHEN WE WILL HAVE THAT ESTABLISHED.

THE OTHER THING THAT WE ARE DOING WITH VACCINES IS, UM, WE HAVE, UM, WORKING WITH OUTSIDE CONSULTANTS TO LOOK AT, UM, AREAS FOR, UM, FOR MASS VACCINATIONS, INCLUDING DRIVE-THROUGH OPTIONS, UM, AS WELL AS, UM, GETTING IN PLACE OUR, AT HOME VACCINES FOR SENIORS, UH, IN ELDERLY PERSONS.

SO THOSE THINGS ARE IN THE WORKS.

UM, AND SO AS WE KNOW MORE ABOUT, UM, THE VACCINE COMING IN, THAT WE CAN REALLY, UM, EXPECT HOW MUCH WE'RE GOING TO GET, WE CAN PLAN FROM THAT.

SO THAT CONCLUDES MY PRESENTATION AND I'M AVAILABLE FOR QUESTIONS.

THANK YOU SO MUCH.

[00:35:02]

THANK YOU, DIRECTOR HAYDEN, LET'S START OFF COMMISSIONER GOMEZ.

DO YOU HAVE ANY, DO YOU HAVE A QUESTION? YES.

UM, UH, GIVEN THE, THE NUMBER OF PEOPLE WHO HAVE GOTTEN, UM, UH, SERVED AT, UH, THE DELCO CENTER AND THOSE SPRINGS, WHAT PERCENTAGE OF THAT OF OUR POPULATION HAS BEEN SERVED HAS BEEN REACHED IT'S ABOUT 2%.

OKAY.

AND, AND WE HAVE A LONG WAY TO GO TO REACH THAT, UM, THAT HERD IMMUNITY, UH, AND, UH, IT SEEMS TO ME JUST FROM READING ARTICLES, UM, IN THE NATIONAL NEWS, UH, IT DOES NOT APPEAR THAT THE SUPPLY IS THERE FOR ANY OF THE STATES.

AND SO WE'RE ALL KIND OF DEPENDENT ON, ON THE NATIONAL, GIVEN OVER TO THE STATES AND THEN THE STATES GIVING OVER TO THE LOCAL COMMUNITIES.

AND SO WE'RE AT THE VERY END OF, OF THE, OF THE, UM, OF THE RECEPTION LINE, UM, SO TO SPEAK.

AND, AND SO WE'RE A LONG WAY FROM GETTING THERE.

AND IT JUST SEEMS TO ME LIKE, LIKE WE NEED TO, UM, UH, AND IT'S REALLY NONE, NONE OF OUR FAULTS, UH, I THINK IT WAS STARTED AT THE NATIONAL LEVEL WITH, WITH, UH, UH, WITH LIES AND, AND, UH, KEEPING INFORMATION FROM THE PUBLIC, YOU KNOW, AND JUST BEING STRAIGHTFORWARD.

BUT NONETHELESS, WE'RE ALL GONNA PAY A HUGE PRICE IF WE DON'T PREPARE WITH A PLAN FOR MASS VACCINATIONS THAT, UH, AS IT APPEARS TO ME, UM, I DON'T, UM, UH, AND SO IF THAT'S THE CASE, THEN DO WE HAVE A PLAN LOCALLY TO DO MASS VACCINATIONS? UH, YES, WE DON'T.

I THINK WE NEED TO, YES, WE DO.

WE DO HAVE A PLAN.

UM, ALL OF OUR PLANS ARE SCALABLE.

UM, AS YOU KNOW, WE HAVE A SMALLER SITE AND A LARGER SITE AND THE ABILITY TO SCALE UP TO, UM, TO DO MASS VACCINATION.

SO WE DO HAVE A PLAN, HOWEVER, UM, WE KNOW IT'S IMPORTANT FOR US.

UM, WE ARE, WE'RE WORKING WITH A CONSULTANT, UM, THAT HAS, UM, A HISTORY OF HERE OF SUCCESSFUL, UH, EVENTS IN AUSTIN, UM, IN TRAVIS COUNTY.

SO THAT IS GOING TO, UM, ASSIST US AS WELL WITH WHAT MAY BE HAPPENING EITHER OUTSIDE OF THE FACILITY OR HELP US WITH PUTTING TOGETHER THE, THE EXACT DRIVE THROUGH PLANS.

WHAT WE REALLY WANT TO BE ABLE TO DO AT THOSE MASS VACCINE LOCATIONS IS WE WANT TO BE ABLE TO GET 200 TO 300 PEOPLE THROUGH THOSE SITES PER HOUR.

AND, UH, AND I GUESS THE ONLY OTHER QUESTION I HAVE IS, AND WE WANT TO DO ALL OF THIS BY WHEN WELL IT'S GOING TO BE CONTINGENT UPON RECEIVING THE VACCINE.

AND SO THAT IS THE THING, YOU KNOW, THAT, THAT WILL HELP US.

UM, OUR PLANS ARE, ARE SET WHERE WITHIN, YOU KNOW, TWO TO THREE DAYS NOTICE IS WHAT WE'VE HAD CONVERSATIONS WITH THE CONSULTANT ABOUT.

SO WE CAN STAND UP PRETTY QUICKLY, UM, WHICH, WHICH AS YOU SEE, WE WE'VE DONE THAT THUS FAR.

UM, WITH THE FIRST NOTIFICATION OF THE 12,000 VACCINES, WE RECEIVED THAT NOTIFICATION ON THURSDAY, BY MONDAY, WE WERE PROVIDING 12,000 VACCINES.

THANK YOU.

THANKS JUDGE.

AND AS ALWAYS, THANKS TO DR.

SCOTT AND, UH, DIRECTOR HAYDEN HOWARD.

UM, DO WE HAVE ANY IDEA HOW THE STATE IS DECIDING ON THE ALLOCATION? UM, AND THEN I, I'M ALSO, UM, WANTING TO KNOW CLEARLY, WHICH ARE THE HUBS.

I MEAN, WE SAID, UH, YOU SAID IN COURT LAST WEEK, WHO WERE THE HUBS, AND THEN I GOT AN EMAIL FROM SOMEONE WHO HAD RECEIVED AN EMAIL FROM ONE OF THE HUBS SAYING, NO, NO, NO, I DON'T HAVE THE VACCINES.

UM, SO A, THIS IS SUPER CONFUSING, BUT B IT'S, I HAVE NO, UH, UNDERSTANDING OF HOW THIS STATE IS DECIDING WHAT AREAS TO ALLOCATE THE VACCINE TO.

UM, AND I, IF I'M UNDERSTANDING RIGHT, DR.

SCOTT, I THINK YOU'D SAID TRAVIS COUNTY ACCOUNTED FOR 4.4% OF THE TOTAL 333,650 VACCINES ALLOCATED BY THE STATE LAST WEEK.

UM, MOUNTAIN OF WHAT OUR POPULATION IS IN COMPARED TO THE TOTAL STATE WAS WHAT, 30 MILLION IN THE STATE.

BUT IT JUST, I DON'T, I HAVE NO SENSE OF HOW THE STATE IS DOING THIS.

DOES THERE APPEAR TO BE ANY RATIONAL

[00:40:01]

PLAN? I REALIZE, I MEAN, THE PREVIOUS ADMINISTRATION MADE SUCH A MESS OF THE VACCINES AND LIED ABOUT THE SUPPLY AND WE CAN'T MAGICALLY MAKE THE VACCINE APPEAR, BUT FOR THE ALLOCATION OF THE STATE IS GETTING, DO YOU HAVE ANY UNDERSTANDING OF HOW THEY'RE DECIDING WHERE THEY'RE GOING TO DISTRIBUTED? YEAH, SO COMMISSIONER IT'S IT'S, UH, DISTRIBUTED BASED UPON POPULATION THAT SAMES, UH, WE REPRESENT 4.4% OF THE STATE POPULATION.

WE GET 4.4% OF THE, OF THE ALLOCATION.

IF MY NUMBERS ARE CORRECT, UH, IT MATCHES UP VERY WELL, UH, BECAUSE WE CHECKED, UM, REGARDING, UH, THE HOBBY ISSUE.

UH, THE PLACES THAT I'VE DISCUSSED LAST WEEK HAVE INDICATED TO US THAT THEY CAN SERVE AS A HUB.

UH, BUT YOU'RE RIGHT.

THEY HAVEN'T RECEIVED VACCINE TO ACTUALLY BE A PROBLEM.

UH, THE ONLY, UH, UH, PLACES, UH, RECEIVING VACCINE THIS WEEK ARE ALSO PUBLIC HEALTH, THE DELL MEDICAL SCHOOL, UH, WHICH WE SAVED 1,950 IS ALSO SERVING AS A PUBLIC VACCINATION, UM, OR SITE, UH, AND THEN COMMUNITY CARE RECEIVED A SMALL APPLICATION.

UH, WE HAPPY TO SAY THAT THAT WILLIAMSON COUNTY AND HAYS COUNTY BOTH RECEIVED, UH, SIGNIFICANT NUMBERS OF, OF VACCINE, BUT AGAIN, YOU'RE RIGHT.

IT'S, WE'RE SURE WE DON'T HAVE NEARLY ENOUGH NOT TO DO AGGRESSIVE VACCINATION AT THIS STAGE.

AND I THINK THAT REALLY IS GOING TO DEPEND UPON THE APPROVAL OF A NEW VACCINE, UH, JOHNSON AND JOHNSON, AND AFTER ZENECA ARE THE NEXT TWO THAT ARE IN LINE FOR FDA CONSIDERATION, I THINK UNTIL THEN, W WE SHOULDN'T EXPECT TO SEE HUGE INCREASES IN THE SUPPLY CHAIN OF THE TWO EXISTING VACCINES.

YOU THINK THERE'S A REASONABLE CHANCE THAT WE COULD GET TO THE, UH, THE NEW PRESIDENT'S GOAL OF A MILLION VACCINES A DAY FOR THE FIRST HUNDRED DAYS? IS THAT LIKELY, I MEAN, I, I DON'T, I DON'T KNOW THAT THEY'VE ADDRESSED THE SUPPLY ISSUE, BUT I APPRECIATE THEY'RE THROWING THEIR HAT OVER THE FENCE SO THEY CAN GO AND GET IT AND HAVE A BIG LOFTY GOAL, BUT IT ISN'T EVEN THAT MUCH VACCINE IN THE SUPPLY.

UH, I, I'M NOT AWARE OF, OF THAT NUMBER OF VACCINE AVAILABLE CURRENTLY.

UH, AGAIN, YOU KNOW, I THINK THAT MAY BE CONTINGENT UPON THE APPROVAL OF ONE OR TWO ADDITIONAL VACCINES, UH, IN, IN THE FEBRUARY, MARCH TIMEFRAME.

NOW THAT WILL CERTAINLY, UH, CONTRIBUTE SIGNIFICANTLY.

YOU KNOW, I THINK WE HAVE TO ALSO APPRECIATE THAT, UH, THESE DRUG COMPANIES ARE MANUFACTURING VACCINE FOR THE ENTIRE PLANET, AND, YOU KNOW, IT'S NOT JUST AMERICA, IT'S EUROPE, IT'S AUSTRALIA, IT'S ASIA, IT'S AFRICA AND SOUTH AMERICA.

UH, WE'RE TALKING ABOUT BILLIONS OF PEOPLE THAT NEED TO BE VACCINATED.

UH, SO AGAIN, YOU KNOW, OUR HOPE IS THAT, THAT WE CAN GET ENOUGH HERE IN A TIMELY ENOUGH FASHION TO AVOID SIGNIFICANT MUTATIONS OF THE VIRUS.

THAT'S GOING TO, UH, EVADE THE VACCINE, GOT TO HAVE PLANS FOR THAT, YOU KNOW, KIND OF LIKE WE DO FOR FOOTING, BUT THE FASTER WE CAN GET TO THAT HERD IMMUNITY, THE BETTER, UH, I WILL ALSO SAY COMMISSIONER THAT DON WAS VERY PLEASED TO SAY THE RESULTS OF A CARNEGIE MELLON SURVEY YESTERDAY IN THE CANAAN TRAVIS COUNTY, UH, WAS THE ONLY COUNTY IN THE STATE OF TEXAS.

UH, THAT SURVEY RESPONDENTS INDICATED THAT 85% OF THEM, UH, WERE WILLING TO GET THE VACCINE NUMBER TWO AND THREE KS COUNTY AND WILLIAMSON COUNTY.

UH, SO CENTRAL TEXAS SHOULD BE VERY PROUD ABOUT THAT, BUT WE'RE GOING TO HAVE A WAYS TO GO IN TERMS OF BEING ABLE TO GET IT TO THOSE NUMBERS OF INDIVIDUALS.

GOT IT.

THANK YOU.

I APPRECIATE Y'ALL GOOD MORNING.

UM, I WANT TO ALSO, UM, THANK, UM, DR.

S SCOTT AND, AND, UM, AND THIS H AND M MS. HAYDEN AS WELL, OR I SHOULD SAY HAYDEN HOWARD AS WELL FOR, UH, FOR THE WORK THAT THEY'VE DONE.

AND I KNOW THAT IT IS, IT IS, UH, STRETCHING US TO, UH, UH, TO A, A NEW LEVEL OF SERVICE, BUT I APPRECIATE THE THINGS THAT YOU'VE DONE AND THE PEOPLE THAT YOU'VE BEEN WILLING TO, WITH TO TALK ABOUT HOW WE MOVE FORWARD.

SO THANK YOU FOR, FOR YOUR TIME AND EFFORT.

UM, MY QUESTIONS ARE REALLY GOING TO BE AROUND, UH, HOW DO WE HELP PROTECT ULI OUR ELDERLY POPULATION, WHICH IS NOT AS COMFORTABLE WITH COMPUTERS AS OUR YOUNGER POPULATION AND, UH, IN GETTING, UH, DREW TO WORKING WITH OUR COMPUTER SYSTEMS. ARE THERE ALTERNATIVES, UH, SHOULD WE USE THREE, ONE, ONE, OR SOME TYPE

[00:45:01]

OF ASSISTANCE LINE THAT ALLOWS THEM, UH, TO GET HELP, TO MAKE SURE THAT THEY DON'T HAVE TO BEGIN AGAIN, SEVERAL TIMES I'VE GOTTEN SEVERAL CALLS FROM ELDERLY, UH, PEOPLE WHO ARE SAYING THERE'S NOBODY TO HELP ME.

AND I DON'T KNOW WHEN, WHEN I'M COMPLETED.

AND IT SEEMS TO HAVE MADE ME START OVER FOUR OR FIVE TIMES TO THE POINT THAT THEY STOP, UH, POPULATING, UH, THE, UH, THE PROGRAM.

SO ONE OF THE, A CAN WE PUT SOME TYPE OF ASSISTANCE LINE TOGETHER AND HOW ARE WE GAUGING IF ONE GETS A FIRST SHOT, HOW THEY SCHEDULE A SECOND SHOT WHEN AND WHERE THAT IS SCHEDULED.

AND, AND THEN, UM, I'M STILL INTERESTED IN SEEING, UH, THE SHOT DISTRIBUTION PLAN IN THE, UH, IN THE EASTERN CRESCENT AND, UH, NOT, NOT ONLY THE DISTRIBUTION PLAN, BUT WHICH ZIP CODES ARE BEING SERVED BY THE FOLKS WHO GET INJECTIONS EACH, BECAUSE, BECAUSE PEOPLE CAN MOVE TO DIFFERENT PARTS OF TOWN.

WE WANT TO MAKE SURE BECAUSE, UM, YOU KNOW, IF WE ARE, IF, IF PEOPLE ARE USING IDENTIFICATION, WE SHOULD BE ABLE TO KNOW, UH, THE ZIP CODE OF ORIGIN AS WELL.

I KNOW I BUNDLED A FEW IN THERE, BUT LET'S START WITH, UM, HAVE WE CONSIDERED PROVIDING AN ASSISTANCE LINE? HOW CAN WE HELP OUR SENIORS? UM, WELL, WE, WE DO HAVE AN ASSISTANCE LINE.

WE DO HAVE THREE ONE-ON-ONE, UM, FOLKS THAT ARE ASSISTING AS WELL.

UM, I, I THINK, YOU KNOW, WHAT WE HAVE SEEN IS, IS THAT WE'VE SEEN, YOU KNOW, QUITE A FEW FOLKS THAT HAVE CALLED THOSE LINES.

UM, WHEN WE SET UP THE PORTAL WITHIN TWO DAYS, 25,000 FOLKS HAD CALLED THOSE LINES.

AND SO ONE OF THE THINGS THAT WE HAVE REQUESTED, UM, THROUGH THE EOC, UM, IS TO SET UP THE LARGER GROUP OF FOLKS THAT WOULD BE ABLE TO, UM, BE ABLE TO RETURN CALLS AND TAKE EM AND INCOMING CALLS.

SO WE ARE WORKING ON A CALL CENTER, UM, THAT WILL GIVE US A LARGER FOOTPRINT, BECAUSE WHAT WE'RE SEEING IS, IS THAT THERE IS MORE OF A NEED FOR THAT IN OUR COMMUNITY.

UM, SECOND THING, UM, THAT WE ARE, UM, GOING TO BE PUTTING TOGETHER.

UM, WE HAD A MEETING FOR EXAMPLE, WITH, WITH AISD PARENT SUPPORT SPECIALIST.

UM, SO WE'RE GOING TO DEVELOP A, UM, LIKE A FAQ TYPE OF GUIDE FOR THEM AND DO SOME TRAINING.

UM, AND BASICALLY THE TRAINING WE'LL BE ABLE TO, IF THEY HAVE CLIENTS THAT THEY WORK WITH, IT'S GOING TO HELP THEM TO DO SOME TROUBLESHOOTING WITH THEM.

AND SO WE'RE GOING TO SHARE THAT INFORMATION, UM, WITH OUR OTHER PARTNERS THAT THE, THAT THE DEPARTMENT CONTRACTS WITH, UM, AS WELL AS OTHER USERS, BECAUSE IT'S GOING TO BE IMPORTANT FOR US TO BE ABLE TO HAVE A CALCIUM'S SET UP, BUT THEN HAVE THE PARTNERS BE ABLE TO THE FOLKS THAT THEY WORK CLOSELY WITH, BUT THEY HAVE A RELATIONSHIP WITH THAT THEY'RE WILLING TO HELP, UM, IN THIS INSTANCE.

SO THAT IS SOMETHING THAT IS UNDERWAY.

I WOULD LIKE TO, I WOULD SPECIFICALLY LIKE TO HELP YOU WITH THAT PARTICULAR PROJECT, I HAVE A NUMBER OF VOLUNTEERS FROM VARIOUS CHURCHES WHO SPECIFICALLY WANT TO HELP THEIR ELDERLY COMMUNITY, UH, GET REGISTERED.

SO, OKAY, GREAT.

UM, ONE OF THE THINGS THAT THE COUNTY IS WORKING ON THE COUNTY IS WORKING ON, UM, THAT SYSTEM FOR VOLUNTEERS.

UM, AND SO THAT'S REALLY WHERE WE WOULD WANT TO PLUG THEM IN, UM, WHEN THAT IS, UM, WHEN THAT IS KIND OF UP AND RUNNING, BUT I CAN FOLLOW UP WITH YOU BECAUSE IF THERE'S SOME FOLKS THAT, YOU KNOW, WE CAN DO THE WORK WITH THEM NOW TO GET THEM, YOU KNOW, TRAINED AND ADD THEM TO THAT LIST, IT WILL BE HELPFUL TO DO THAT, UM, DURING THIS TIME.

OKAY.

WHAT ABOUT THE, UH, THE SECOND SHOT SCHEDULE? DOES THAT ALWAYS HAPPEN AT, AFTER THE FIRST SHOT OR, UH, IS, IS THERE SOME MECHANISM THAT IS IN PLACE? I WAS SPECIFICALLY ASKED BY SOME SENIORS WHO ARE TAKING THE FIRST SHOT, BUT DIDN'T KNOW ABOUT HOW TO ACCESS THE SECOND SHOT.

SO WITH, UH, WITH THE SECOND, UM, VACCINE, UM, THEY WILL EITHER RECEIVE AN EMAIL, A CALL, UM, OR A TEXT MESSAGE.

AND IT'S DECIDED UPON THE METHOD THAT THEY'VE ASKED TO RECEIVE THE UPDATES.

UM, WE ARE ALREADY STARTING TO DO SOME OF THOSE WITH THE VERY FIRST INITIAL ALLOCATIONS THAT WE RECEIVE FOR .

UM, AND AS YOU KNOW, THOSE WERE, THOSE WERE

[00:50:01]

CLOSED PODS BECAUSE THEY WERE THE ONE EIGHT FOLKS.

AND SO WE'VE ALREADY STARTED THAT PROCESS.

SO THEY WILL, THEY WILL RECEIVE, UM, INFORMATION ABOUT WHERE THEY WILL NEED TO GO.

UM, AND IT'S GOING TO BE BASED UPON, YOU KNOW, WHAT, WHATEVER POINTS OF THE SUSPICIONS ARE OPEN.

SO IF THEY WENT TO DELL CO-FIRST AND THEY WANT TO GO BACK TO DELL CODE, WE WILL SEND THEM BACK TO DELL CODE TO GET THAT SECOND BACKSEAT.

THEY WENT TO DOVE AND THAT'S WHERE THEY WANT TO GO.

THAT'S WHERE THEY WILL GO.

IF THEY COME THROUGH AUSTIN, PUBLIC HEALTH, AUSTIN, PUBLIC HEALTH, WE'LL PROVIDE THAT SECOND VACCINE TO THEM.

IT WOULD BE GOOD TO HAVE AN ANOTHER OF THAT AS A PART OF THE FREQUENTLY ASKED QUESTIONS, JUST TO MAKE SURE THAT THERE IS A PLACE THAT THEY CAN REFER TO AND THAT THEY CAN CALL IF THEY HAVE QUESTIONS AND WE HAVE AN ANSWER FOR THEM.

SO THAT WOULD BE GOOD.

AND THEN, UH, THE DISTRIBUTION OF PLANNING IN THE EASTERN CRESCENT.

OKAY.

WE'RE KIND OF RUNNING LONGER THAN WE DID YESTERDAY.

CAN WE DO THAT IN THE SECOND ROUND? I'M SORRY.

THANK YOU.

THANK YOU VERY MUCH.

COMMISSIONER HOWARD AND MY QUESTIONS WERE ABOUT VOLUNTEERS AND AD DIRECTOR HAYDEN HOWARD ANSWERED THAT.

SO I'M GOOD.

THAT IS A NO QUESTION.

OKAY, AWESOME.

THANKS.

SO I'VE GOT ONE QUESTION.

SO WE'RE FAST APPROACHING BASICALLY THE ONE YEAR ANNIVERSARY OF LIVING WITH COVID AND I REALLY WANT TO THANK BOTH OF Y'ALL DR.

S SCOTT DOC, DIRECTOR, HAYDEN, FOR ALL THAT YOU AND YOUR TEAMS HAVE DONE 24 SEVEN FOR THE LAST YEAR, BASICALLY TO KEEP OUR COMMUNITY SAFE.

AND IT'S REALLY, REALLY CLEAR THAT TRAVIS COUNTY AND THE CITY OF AUSTIN, ALL THE CITIES IN HERE HAVE BEEN SPARED SOME OF THE WORST OF COVID BECAUSE OF THE SCIENCE-BASED APPROACH THAT YOU'VE GUIDED US WITH, AS WELL AS THE BOLD ACTIONS OF, OF MAYOR ADLER.

NOW, SENATOR ECKHART AND JUDGE PISCO BEFORE ME.

UM, ONE THING THOUGH, LAST WEEK, I MENTIONED MY DESIRE TO HAVE A WEBSITE WHERE PEOPLE COULD GO FIND BASIC INFORMATION, LIKE WHERE CAN THEY GET A VACCINE, UH, WHO'S ELIGIBLE FOR THE VACCINE AND WHERE ARE, UH, WHERE THEY CAN GO AND THEN WHERE THEY CAN SIGN UP TO BECOME A VOLUNTEER.

AND MY GOAL IS TO CREATE A TRUSTED, CENTRALIZED PLACE FOR ALL OF CENTRAL TEXAS, THE WHOLE COMMUNITY TO GET UP TO DATE COVID VACCINATION INFORMATION.

AND INSTEAD OF CITIES WORKING INDIVIDUALLY ON WAYS TO COMMUNICATE VACCINE INFO, OUR GOAL IS TO HAVE ONE WEBSITE THAT ENCOMPASSES EVERYTHING AS A COLLABORATION OF TRAVIS COUNTY, THE CITY OF AUSTIN AND SURROUNDING CITIES.

IT SOUNDS LIKE THIS WEBSITE IS GOING TO BE UP AND RUNNING WITH PHASE ONE OF IT, AT LEAST IN AN FAQ BY NEXT MONDAY.

AND IT'S GOING TO INCLUDE LINKS FOR FOLKS WHO WANT TO VOLUNTEER FOR THE COVID RESPONSE EFFORTS THAT DIRECTOR HAYDEN HAS BEEN TALKING ABOUT.

UM, JUST SINCE IT'S WE'RE IN AUSTIN AND TRAVIS COUNTY WITH SOME OF THE MOST INNOVATIVE AND SMART TECH FOLKS IN THE WORLD, I'D LOVE TO SEE A WEBSITE THAT REFLECTS THE POTENTIAL IN OUR COMMUNITY AND JUST WANT TO OFFER AGAIN, IS THERE ANYTHING THAT WE CAN DO AS TRAVIS COUNTY OR AS A COMMUNITY TO HELP APH BUILD OUT ITS WEBSITE, TO BE A LITTLE BIT MORE USER-FRIENDLY I KNOW THAT YOU'VE ADDRESSED SOME OF THOSE ISSUES, BUT IS THERE ANYTHING ELSE WE CAN DO TO HELP? WELL, I THINK IF, IF THERE ARE, UM, CHALLENGES THAT YOU MAY HAVE HEARD ABOUT, IT WOULD BE FOR YOU TO COMMUNICATE THAT TO US, AND THEN WE CAN SHARE THAT WITH THE COMMUNICATIONS TEAM AND THEN THEY CAN LOOK AT HOW THEY CAN MAKE CHANGES TO THE WEBSITE, BUT WE MUST KNOW WHAT THOSE PROBLEMS ARE.

OKAY.

THANKS MAYOR.

I WILL PASS IT OVER TO YOU NOW.

GREAT.

THANK YOU.

WE'LL FOLLOW THE SAME PROCEDURE THAT YOU DID.

WE'LL CALL THE COUNCIL MEMBERS IN THE ORDER OF DISTRICTS LIKE WE DID LAST TIME.

EVERYBODY TRIED TO ASK Y'ALL ONE QUESTION.

UM, LET'S SEE IF WE HAVE TIME THEN TO DO A SECOND ROUND, I'M GOING TO START PEOPLE OFF HERE, BUT KATHY, I'LL LEAVE HERE IN LIKE THREE OR FOUR MINUTES.

SO YOU CAN TAKE OVER THE, THE RECOGNIZING OF OUR COLLEAGUES AND IN COUNCIL DISTRICT ORDER, LET'S BEGIN WITH COUNCIL MEMBER HARPER.

MADISON.

DO YOU HAVE A QUESTION? I DO.

THANK YOU, MARY.

I APPRECIATE IT.

THANK YOU EVERYBODY FOR BEING ON THE CALL THIS MORNING, DIRECTOR HAYDEN HOWARD AND DR.

SCOTT, WE APPRECIATE YOUR TIME.

UM, SO MY QUESTION IS IN ALIGNMENT WITH THE JOINT STATEMENT THAT WAS RELEASED THIS MORNING, ALONGSIDE SOME OF MY COLLEAGUES, UM, WE HAVE LOTS OF QUESTIONS AROUND EQUITY WITH THE DISTRIBUTION OF VACCINE, AND WHO'S RECEIVING THEM ALSO WANT TO ECHO THE SENTIMENT OF, UH, COMMISSIONER TREVELYAN, UM, AROUND THE, THE VOLUNTEER BASE THAT WE HAVE PREPARED TO MOBILIZE AND HOW WE CAN UTILIZE THOSE PEOPLE'S TIME AND TALENT, UM, AND LET THEM HELP US.

BUT WE, WE RECOGNIZE THAT OUR RESOURCES ARE FINITE.

SO HAVING THE COMMUNITY BE A DIRECT PART OF THE SOLUTIONS THAT WE CREATE

[00:55:01]

JUST MAKES SENSE.

SO I REALLY LOOK FORWARD TO SEEING US DO MORE OF THAT.

UM, SO THAT SAID, I KNOW THAT THERE ARE SOME, SOME INITIATIVES, UM, THAT YOU ADDRESSED DIRECTOR HAYDEN HOWARD, AND I'M REALLY LOOKING FORWARD TO SEEING THOSE MANIFESTS.

UM, I ALSO, UH, HAD THE OPPORTUNITY WITH ACTUALLY A LOT OF FOLKS ON THE CALL, UH, THE OPPORTUNITY TO DO A PHONE BANK REACHING OUT TO OUR ELDERLY NEIGHBORS AND THE RESPONSE WAS, UH, REALLY OVERWHELMINGLY POSITIVE.

UM, SO I'M REALLY LOOKING FORWARD TO HEARING MORE ABOUT WHAT WE HAVE PLANNED THERE.

UM, AND JUST GENERALLY WANTING TO KNOW, YOU KNOW, HOW ARE WE DOING WITH, UM, ADDRESSING DESPAIRED IMPACT, UH, BASED ON, ON RACE, UM, AND EQUITY, AND IN WHAT DIRECTION DO WE PLAN TO GO TO, TO REALLY, UM, MAKE CERTAIN THAT WE ARE DELIVERING, UH, TO THE PEOPLE WHO NEEDED MOST? I THINK ONE OF THE THINGS, UM, THAT WE HAVE PUT IN PLACE, UM, IN THE DEPARTMENT IS, IS THAT WE, WE ARE WORKING VERY CLOSELY WITH, WITH GRASSROOTS ORGANIZATION PARTNERS.

UM, THOSE PARTNERS ARE PROVIDING FEEDBACK TO US, UM, WHETHER IT'S FEEDBACK ABOUT, UM, THE SYSTEM, UM, TO ANY CONCERNS OR QUESTIONS, BUT THEY'RE ALSO PROVIDING FEEDBACK TO US ABOUT THE EXPERIENCE THAT THEY ARE HAVING.

UM, THAT PILOT, UM, SYSTEM THAT WE ESTABLISHED LAST WEEK IS, IS WORKING VERY WELL.

UM, WE ARE HEARING POSITIVE FEEDBACK FROM ALL OF THOSE PARTNERS, UM, IN OUR, UM, ONE OF OUR MEETINGS, UM, YESTERDAY EVENING.

AND WE TALKED ABOUT THE NEED TO EXPAND THAT PILOT.

SO WE'RE GOING TO BE, UM, HAVING CONVERSATIONS, UM, WITH OUR OTHER PARTNERS, AS YOU ALL ARE AWARE OF THE FIRST THREE DAYS, MONDAY, TUESDAY, WEDNESDAY, WHEN WE RECEIVED THE VACCINES, WE PARTNER WITH COMMUNITY CARE ALONGSIDE OUR CIRCLE OF CARE AND, AND PEOPLES.

UM, AND SO, UM, THAT WAS A SUCCESSFUL, UM, PILOT.

UM, HOWEVER, ONE OF THE THINGS THAT WE ARE FINDING IS THAT, UM, WHEN, WHEN, WHEN LINKS AND ET CETERA, OR THINGS LIKE THAT ARE SENT, THAT ARE OUTSIDE OF SALESFORCE, THOSE ARE SHARED WITH OTHER PEOPLE.

AND THEN AS A RESULT OF THAT, UM, WE GET PEOPLE THAT, THAT SHOW UP TO THE APPOINTMENT SITE THAT DOES NOT HAVE AN APPOINTMENT.

SO WE HAVE TO TRY TO BALANCE TO MAKE SURE, UM, THAT WE ARE, YOU KNOW, CONTINUE ON OUR EFFORTS AND MAKE SURE THAT IT'S SEAMLESS AND BEING ABLE TO MAKE SURE THAT WE ARE GETTING MORE PEOPLE IN, UM, THAT HAD BEEN DISPROPORTIONATELY AFFECTED BY COVID.

AND SO THOSE THAT IS ON THE WAY WE WILL CONTINUE TO REFINE THAT, UH, AND LOOKING AT WAYS TO, TO IMPROVE.

THANK YOU.

THANK YOU.

UM, COUNCIL MEMBER FLINT.

YES.

THANK YOU.

AND THANK YOU DIRECTOR IN HOWARD AND DR.

ESCORT FOR ALL THAT YOU'RE DOING.

UM, YOU KNOW, I HAVE SEVERAL QUESTIONS AROUND THE DEMOGRAPHIC DATA OF THE VACCINES THAT HAVE BEEN ADMINISTERED THE DASHBOARD, OUR WORKFORCE CAPACITY.

ONCE WE DO HAVE AN INCREASE IN SUPPLY, IF WE HAVE ENOUGH PEOPLE HIRED OR WHAT OUR PLANS ARE AROUND THAT, UM, BE AT HOME STRATEGY, HOW QUICKLY WE CAN GET THAT GOING WHILE WE'RE STILL IN PHASE ONE, UM, THE DISTRIBUTION PLAN.

UH, BUT I'LL KEEP IT TO ONE QUESTION.

SO I DO WANT IT TO CENTER THIS COMMENTS IN THAT WE ARE IN WEEKS, THEN THE VACCINE ROLLOUT, AND FOR MANY IN OUR COMMUNITY, THEY'VE EXPERIENCED CONFUSION AND FRUSTRATION WITH GETTING REGISTERED, FINDING UP-TO-DATE INFORMATION, UH, UNDERSTANDING WHAT IS GOING ON, WHAT ALL IS AVAILABLE, NAVIGATING THE WEBSITE.

AND A LOT OF WHAT WE'VE BEEN GUIDED TO SAY IS TO PLEASE BE PATIENT BE PATIENT WHILE WE WAIT THE SUPPLY.

AND I THINK WE'RE AT A POINT WHERE WE HAVE TO DO MORE ON OUR COMMUNITY IS EXPECTING AND DEMANDING MORE AND DEMANDING MORE AND MORE.

WE CAN BE TRANSPARENT IN WHAT WE'RE DOING.

AND THAT PLAN LOOKS LIKE WOULD BE IMMENSELY HELPFUL BECAUSE RIGHT NOW, AND I'M GLAD TO HEAR YOU HAVE A PLAN, BUT IT WOULD BE EVEN BETTER IF WE CAN COMMUNICATE THAT OUT TO THE COMMUNITY.

WE KNOW WHAT OUR MAXIMUM CAPACITY IS, HOW WE KNOW THE NUMBER OF PHARMACIES WE HAVE IN AUSTIN.

NUMBER OF PROVIDERS WE HAVE IN AUSTIN, WHERE OUR CLINICS ARE LOCATED AND WE SHOULD BE, I FEEL LIKE WE SHOULD BE ABLE TO MODEL OUT FOR OUR COMMUNITY IF WE RECEIVE THIS NUMBER OF DOSES FOR THIS WEEK, AND WE CAN DISTRIBUTE THESE, THESE AMOUNT OF DOSES AT THESE POTENTIAL SITES.

AND I UNDERSTAND THAT WE'RE HAVING TO BE VERY

[01:00:01]

CAREFUL IN HOW WE NAVIGATE IT, BUT I JUST WANT TO IMPRESS UPON EVERYONE THAT OUR COMMUNITY IS FRUSTRATED.

THEY'VE SEEN THE, THE, THE STATE DATA ON HOW THE VACCINES WERE BEING INEQUITABLE ADMINISTERED OR DISTRIBUTED.

UM, AND THAT WE'RE SEEING THE INEQUITY, NOT ONLY IN OUR STATE, BUT MANY STATES THROUGHOUT THE COUNTRY, UM, AND THEY WANT ANSWERS AND THEY, AND I THINK A WAY THAT WE CAN HELP SUE THE CONCERNS WHILE ALSO SAYING, HEY, BE PATIENT IS BY SAYING, HERE'S OUR PLAN.

HERE'S WHAT WE'RE DOING.

HERE'S HOW WE MOVE FORWARD.

SO ALL THAT TO SAY, UH, MY QUESTION WILL BE CENTERED AROUND, UM, GOSH, I'M, IT'S HARD FOR ME TO PICK ONE, HONESTLY.

UM, I GUESS THE I'M GOING TO SWITCH TO THE AT-HOME STRATEGY.

I KNOW WE TALKED ABOUT THAT LAST WEEK, BUT HOW QUICKLY CAN WE GET THAT OUT? BECAUSE THE AT HOME STRATEGY REALLY IS, IS TO HELP OUR ELDERLY AND WOULD BENEFIT MOST OUR ELDERLY TO HAVE THAT EFFORT IN PLACE.

UM, HOW, AND, UM, IF YOU COULD GIVE US A TIGHTER TIMEFRAME OF WHAT WE NEED OR WHAT WE'RE WAITING ON, THAT WOULD BE SUPER HELPFUL IN US COMMUNICATING THAT OUT.

THANK YOU.

I THINK ONE OF THE THINGS THAT, YOU KNOW, IT'S, IT'S REALLY IMPORTANT FOR US RIGHT NOW, BECAUSE WE ARE STILL IN STAGE FIVE.

UM, WE WOULD NOT WANT TO, UM, ADD THAT COMPONENT UNTIL WE IT'S.

SO WE SHIFT CLEARLY TO STAGE FOUR.

UM, WE, WE'RE STILL DOING SOME AT HOME TESTING, BUT NOT AS MUCH AT HOME TESTING AS WELL.

UM, BECAUSE WE KNOW PEOPLE REALLY NEED TO HAVE THAT STATUS AND THE THIRD, YOU KNOW, LIVING MULTI-GENERATIONAL ET CETERA.

UM, AND SO THAT IS DEFINITELY, UM, IN THE WORKS.

AND, UM, AND WE'LL BE ABLE TO PROVIDE A LITTLE BIT MORE INFORMATION TO YOU OVER THE NEXT COUPLE OF WEEKS WHEN THAT WILL BE IMPLEMENTED COUNSELOR, IF I CAN JUST ADD, YOU KNOW, I APPRECIATE YOUR, YOUR POINTS ABOUT AND CONCERNS OF YOU AND OTHERS ABOUT THE EQUITY OF A VACCINE DISTRIBUTION ACROSS THE STATE, AND CERTAINLY ACROSS THE COUNTRY RIGHT NOW, THEY WE'RE RIGHT TO BE CONCERNED ABOUT THAT.

BUT I THINK IT'S IMPORTANT FOR OUR COMMUNITY TO BE AWARE THAT THE DEMOGRAPHICS OF THE 65 PLUS AGE GROUP LOOK MUCH DIFFERENT FROM THE DEMOGRAPHICS OF OUR COMMUNITY.

UH, YOU KNOW, A LOT OF THAT OBVIOUSLY HAS TO DO WITH SOME OF THE SOCIAL DETERMINANTS OF HEALTH.

THAT MEAN THAT 68.2% OF PEOPLE, 65 OR OLDER, OUR COMMUNITY ARE WHITE, NOT HISPANIC.

UM, AND, AND, YOU KNOW, WE, BECAUSE THE CDC AND THE STATE HAS REALLY DIRECTED THE MOST FOCUSED ON INDIVIDUALS OVER THE AGE OF 65.

I THINK WE'RE LIKELY TO SEE A PREDOMINANTLY WHITE DISTRIBUTION ACROSS THE STATE, AS WE START WORKING THROUGH DON'T ONE BAKER AS WE GO BEYOND THAT, INTO THE YOUNGER INDIVIDUALS, NOT IN ONE B AND CERTAINLY ONE C ESSENTIAL WORKERS IT'S GOING TO SHIFT AND LOOK MUCH DIFFERENT.

UM, BUT YOU KNOW, THE, THE, THE CHALLENGE WE HAVE RIGHT NOW IS THAT AS DIRECTOR HAYDEN, HOWARD SAID, THE DATA IS NOT MARRIED TO ONE ANOTHER YET.

UH, IT'S LIVING IN LOTS OF DIFFERENT POTS.

SO WE'RE HOPEFUL THAT THE STATE WILL BE ABLE TO PROVIDE US, UH, THE, THE DATA ON FROM ALL THE VACCINE PROVIDERS IN TRAVIS COUNTY THAT HAVE GIVEN VACCINE SO FAR.

SO WE CAN GET A BETTER IDEA OF WHAT IT LOOKS LIKE AND ACROSS OUR ENTIRE COMMUNITY, NOT JUST WHAT APH IS DOING.

THANK YOU ALL, UH, COUNCIL MEMBER ENTER.

YEAH.

YES.

THANK YOU.

UH, I HAVE A COUPLE QUESTIONS.

ONE IS, UH, NO, THE DECISION BY THE RULING BY THE CHANCELLOR'S HEALTH DEPARTMENT ON, UH, WHERE YOU CAN NOT CONCENTRATE ON ONE PARTICULAR ZIP CODE, WOULD YOU TALK A LITTLE BIT LOUDER, UM, WITH A RULING THAT, UH, THE TEXAS HEALTH DEPARTMENT MADE ABOUT NOT CONCENTRATING YOUR DISTRIBUTION AND ONE AREA, IS THAT AFFECTING ANY YES.

COUNCIL MEMBER? AGAIN, I THINK THEY, UH, THE DETERMINATION FROM THE STATE WAS YOU CAN'T EXCLUDE POPULATIONS FROM, FROM THE VACCINE.

THE VACCINE IS PROVIDED FROM THE STATE AND THEREFORE, YOU KNOW, WE HAVE TO MAKE IT AVAILABLE TO RESIDENTS OF, OF THE STATE.

UM, SO REALLY, YOU KNOW, ANYBODY CAN,

[01:05:01]

ANYBODY IN THE STATE OF TEXAS CAN SIGN UP TO GET A VACCINE AND AUSTIN PUBLIC HEALTH, OR ANY OTHER HUB ACROSS THE STATE.

WHAT WE'RE DOING DIFFERENTLY IS WE'RE PRIORITIZING, UH, UH, POPULATIONS BASED UPON THOSE, UM, UH, DISPROPORTIONATE IMPACTS, BUT NOT EXCLUDING OTHER PEOPLE.

UM, SO, YOU KNOW, WE'VE, WE'VE PLACED THOSE SITES IN LOCATIONS TO PROVIDE EASE OF ACCESS.

UH, THERE'S ADDITIONAL OUTREACH, UH, TOWS, VULNERABLE POPULATIONS THAT MAY LACK, UH, INTERNET ACCESS.

SO THERE ARE OTHER ELEMENTS THAT WE ARE UTILIZING TO PRIORITIZE, UH, POPULATIONS, BUT WE CAN'T EXCLUDE, UH, ANY INDIVIDUALS BASED ON RACE, ETHNICITY, OR ZIP CODE FROM GETTING THE VACCINE THROUGH OUR HUB.

CAN I ALSO, UH, UH, READ THAT, UM, UH, UH, BITCH OR MINISTER THE, THE BACK SEAT TO HUMANS? UH, DO YOU KNOW IF, UH, ARE WE TAKING ADVANTAGE OF THAT HERE IN TRAVIS COUNTY, UH, COUNCIL MEMBER, I, UM, BELINDA SARIAH SAW WHAT WAS THE VETERINARIAN SAID, OFFERED TO DO IT.

UM, I'M NOT AWARE THAT, THAT THE STATE HAS APPROVED THAT.

UM, BUT YOU KNOW, AGAIN, AS WE LOOK AT THAT, OUR EFFORTS TO RAMP UP AND SCALE UP, UH, WE HAVE TO LOOK AT DIFFERENT OPTIONS.

UH, WE ARE LUCKY TO HAVE A LARGE HEALTH CARE WORKFORCE HERE.

AS WE SEE HOSPITALIZATIONS THAT DECLINE, IT'S GOING TO INCREASE THE AVAILABILITY OF TRADITIONAL HEALTHCARE PROVIDERS TO HELP WITH VACCINATIONS.

WE HAVE 2000, UH, EMT, EMS, UH, FROM EMS SAM AND THE AUSTIN FIRE DEPARTMENT THAT ARE CREDENTIALED AND CAN HELP WITH VACCINATIONS.

UH, SO WE DO HAVE, UH, LAYERS OF PLAN THAT, UH, THAT WE'RE UTILIZING, UH, NURSING STUDENTS, MEDICAL ASSISTANTS, ALL SORTS OF DIFFERENT LEVELS OF INDIVIDUALS THAT CAN BE UTILIZED ABOUT.

CERTAINLY WE'LL KEEP ALL THE OPTIONS ON THE TABLE, UH, AND UTILIZE.

SO WE NEED TO, TO, TO GIVE ACTUALLY NOW, OKAY, THANK YOU FOR THAT PERMISSION.

THANK YOU.

DESPERATE ASCOT.

AND SO THAT IS, UM, IT SOUNDS AS IF YOU'RE SAYING THE PERSONNEL IS NOT LIMITED AT THIS POINT, IT'S REALLY THE VACCINE COUNCIL MEMBER.

CASSARA THANKS.

I WANT TO PICK UP ON THE POINT THAT DR.

S SCOTT WAS MAKING ABOUT THE OVER 65 POPULATION.

UM, YOU KNOW, SOME INFORMATION THAT WE RECEIVED SHOWED THAT ON SOME OF APH IS VACCINATION DAYS, SOMETHING LIKE 20% OR SO OF THE VACCINES WE'RE GETTING INTO TO, UH, TO LATINOS, LIKE, YOU KNOW, SENIORS AND YOU'RE RIGHT, THAT ONLY ABOUT 20% OF OUR, UH, OVER 65 POPULATION IS LATINO.

AND SO THAT SEEMS TO LINE UP, BUT AT THE SAME TIME, WHEN THE HOSPITALIZATIONS ARE IN THE HIGH THIRTIES OR IN THE FORTIES, AND WE'RE TRYING TO MITIGATE RISK, EVEN IF YOU'RE THE NUMBERS DEMOGRAPHICALLY, UM, THAT DOESN'T NECESSARILY MEAN WE'RE MATCHING THE LEVEL OF RISK THAT THE COMMUNITY IS FACING.

UH, THOSE SAME NUMBERS SHOWED THAT FOR THE BLACK COMMUNITY, THE NUMBERS ARE ACTUALLY DIDN'T MEET THE DEMOGRAPHIC SHARE OF OUR, OF OUR SENIORS.

THAT WAS FOR SOME OF THE DAYS.

BUT MY UNDERSTANDING IS THAT ON SOME OTHER DAYS THAT WE HAVE AN INPUT YET WHERE YOU WERE WORKING WITH COMMUNITY CARE AND WITH LONE STAR CIRCLE OF CARE, YOU WERE ACTUALLY WELL EXCEEDING, POTENTIALLY THE DEMOGRAPHICS, UM, UH, GETTING INTO THE 30% FOR LATINOS AND ALSO EXCEEDED DEMOGRAPHIC MAKEUP OF BLACK SENIORS, WHICH I THINK IS REALLY PROMISING AS A STRATEGY.

SO, UM, I'M HAPPY TO GIVE UP SOME TIME OR SPACE FOR Y'ALL TO EXPLAIN A LITTLE BIT MORE ABOUT WHAT YOU MIGHT, HOW WE CAN HELP CONTINUE TO EXPAND THAT, OR I CAN JUST LEAVE IT HERE FOR YOUR THOUGHT, UM, THAT EVEN, EVEN IF WE ARE ABLE TO HIT, UH, THE PERCENTAGE OF SENIORS IN OUR COMMUNITIES OF COLOR, GIVEN THE INCREASED RISK, I THINK WE WANT TO BE ABLE TO GO ABOVE AND BEYOND, ESPECIALLY BECAUSE I THINK IT'S REASONABLE TO SUSPECT THAT MANY PRIVATE PROVIDERS ARE NOT GOING TO FULFILL THOSE NEEDS.

SO I'D BE INTEREST, BUT BECAUSE YOU HAVE SOME DATA THAT SHOWS WHERE WE'RE NOT QUITE MAKING WHERE WE WANT TO GET TO, BUT THEN IT SOUNDS LIKE WITH SOME OF THESE PARTNERSHIPS WITH CLINICS, WE ARE ACTUALLY GOING ABOVE AND BEYOND.

I'D BE INTERESTED IN WHAT IT MIGHT TAKE FOR US TO, TO EXPAND THAT STRATEGY WITHOUT RUNNING A FOUL OF THE STATES AS COUNCIL MEMBER AT NVIDIA.

I MENTIONED, UH, WELL, COUNCIL NUMBER, UH, YOU KNOW, I AGREE, AND, AND AS DIRECTOR HAYDEN HOWARD MENTIONED, WE'RE LOOKING

[01:10:01]

AT, AT DIFFERENT STRATEGIES DOWN THE ROAD TO, UH, TO HELP US NAVIGATE THAT AND GET TO THE RIGHT GROUPS OF FOLKS, UH, UM, MET WITH A COUNSELOR, HER KELLY THAT LAST WEEK AND ANOTHER GROUP, UH, TO TALK ABOUT, YOU KNOW, BUILDING STRATEGY AROUND CONSTRUCTION WORKERS.

UH, SO, YOU KNOW, WE KNOW CONSTRUCTION WORKERS HAVE BEEN HIT HARD BY COVID 19.

NOW THEY TEND TO FALL IN THE YOUNGER AGE GROUP, BUT WHEN THE TIME COMES FOR THAT ONE CA GROUP, AND WE ARE LOOKING TO VACCINATE ESSENTIAL WORKERS, HOW CAN WE FOCUS ON GROUPS LIKE THAT THAT ARE PRIMARILY, UH, FROM COMMUNITIES OF COLOR, THAT'S GOING TO REALLY HELP RAMP UP THAT, THAT EFFORT.

UM, SO AGAIN, WE'RE, WE'RE CERTAINLY HAPPY TO HAVE FURTHER DISCUSSIONS ON STRATEGY OF, OF HOW TO IDENTIFY PARTICULAR GROUPS LIKE THAT, THAT WE MAY BE ABLE TO, UH, TO BUILD ON TO ENSURE THAT WE HAVE PENETRATION OF OUR VACCINE STRATEGY.

THANK YOU, DR.

PRESCOTT COUNCIL MEMBER KITCHEN.

UM, THANK YOU.

UM, I WANT TO FOCUS ON THE FUNCTIONALITY OF SALESFORCE AND, UM, UH, THANK YOU, DIRECTOR HAYDEN HOWARD.

I, I KNOW YOU ALL ARE, ARE FOCUSING ON, UH, BEING RESPONSIVE TO THE FEEDBACK THAT YOU'RE RECEIVING.

SO I WANT TO BE SPECIFIC.

UM, AND JUST TO SHARE, I KNOW YOU ALL HAVE HEARD THIS, BUT I JUST WANT TO SHARE THIS PUBLICLY.

WHAT I'M HEARING IS THAT THERE IS A GREAT DEAL OF ANXIETY AND CONFUSION, AND A SENSE OF UNFAIRNESS ABOUT THE WAY THAT THE SYSTEM WORKS RIGHT NOW TO SIGN UP AT AUSTIN PUBLIC HEALTH.

AND MY CONCERN IS THAT, UH, WE ARE NOT AT SCALE WITH OUR SYSTEM IN OUR ABILITY TO, TO, TO SCHEDULE PEOPLE AND THAT, UM, AS WE, AND WE'RE NOT GOING TO BE READY AS WE GET MORE VACCINES.

AND I THINK THAT THE FUNDAMENTAL ISSUE THAT WE HAVEN'T TALKED ABOUT SPECIFICALLY FROM A FUNCTIONALITY PERSPECTIVE IS HOW PEOPLE GET SCHEDULED FOR APPOINTMENTS.

THERE'S A SENSE THAT THERE'S A LOTTERY SYSTEM RIGHT NOW.

PEOPLE DON'T KNOW WHEN AND HOW TO SIGN BACK ON, UH, TO GET AN APPOINTMENT.

AND SO THEY ARE TROLLING, YOU KNOW, THEY'RE GUESSING WHAT DAY AND THEY'RE TROLLING AND TRYING 50, 60 TIMES TO GET IN.

AND THEN THEY'RE FRUSTRATED BECAUSE THEY DON'T KNOW WHAT THAT WINDOW IS FOR THEM TO SIGN UP.

AND THAT'S A PROBLEM.

THAT'S, UH, I, I'M ALSO HEARING JUST TO GIVE YOU SOME GREAT FEEDBACK THAT I'M HEARING IS THAT THOSE FOLKS THAT HAVE BEEN ABLE TO GET THROUGH FEEL LIKE THE SYSTEM AT THE DELCO CENTER IS GREAT.

AND ONCE THEY GET THERE, THEY CAN GET THROUGH AND THEY REALLY RESPECT AND APPRECIATE THE WORK THAT'S HAPPENING.

BUT WE GOT TO DO SOMETHING ABOUT THE SALESFORCE SYSTEM.

AND LET ME JUST SAY, I WOULD LIKE TO SUGGEST WE LIVE IN A TECH COMMUNITY.

WE LIVE IN A COMMUNITY WITH, WITH FOLKS THAT ARE EXPERTS, UM, AT HIGH CAPACITY, UM, HIGH CAPACITY TECHNOLOGY SYSTEMS. AND I WOULD HOPE THAT WE TAKE ADVANTAGE OF THEM AND LET THEM HELP US.

AND SO I JUST WANT TO MENTION A COUPLE OF SPECIFICS.

I KNOW YOU GUYS ARE WORKING ON, AND YOU'VE ALREADY MADE SOME IMPROVEMENTS IN TERMS OF WHAT THE SCREENS SAY AND, AND HOW YOU SIGN ON AND THINGS LIKE THAT, BUT THAT'S NOT GETTING TO THE FUNDAMENTAL PROBLEM, WHICH IS HOW PEOPLE GET SCHEDULED.

SO THERE'S A COUPLE OF FUNCTIONALITIES THAT I WOULD SUGGEST, AND MAYBE YOU, MAYBE YOU ALL ARE WORKING ON THIS.

AND I JUST DON'T KNOW, BUT THERE'S A COUPLE OF FUNCTIONALITIES THAT I WOULD SUGGEST THAT WE MAKE SURE THAT WE TRY TO INCORPORATE AND THAT, AND THAT WE USE OUR BEST MINDS IN THE CITY OF AUSTIN TO DO THAT.

AND ONE OF THEM IS THE ABILITY TO TIE, SCHEDULE THE SCHEDULING FUNCTION, TO TRIAGE SO THAT IT GOES TO THE NEXT PERSON IN LINE.

IF THERE'S EXCESS VACCINATION, ANOTHER ONE IS AN SMS FUNCTION FOR ALERT AND SCHEDULING.

PEOPLE SHOULD BE ABLE TO GET A THAT TELLS THEM WHEN IT'S TIME TO SCHEDULE EVEN BETTER IS PEOPLE SHOULD BE ABLE TO GET A TEXT THAT SAYS YOU ARE SCHEDULED FOR THIS DATE AND TIME SO THAT PEOPLE DON'T HAVE TO GUESS NOR DO THEY HAVE TO PROACTIVELY TRY TO SCHEDULE THEMSELVES.

WE ALSO WOULD BE HELPFUL IF WE HAD A HIGH CAPACITY HELP AND SUPPORT FUNCTION, WE'VE ALL DONE THINGS ONLINE.

OR A LOT OF US HAVE DONE THINGS ONLINE WHERE, YOU KNOW, YOU'RE ONLINE ON A WEBSITE AND WHAT POPS UP AS A CHAT AND SAYS, CAN WE HELP YOU? AND REAL-TIME RIGHT THERE, YOU CAN GET HELP.

SO THESE ARE THE KINDS OF THINGS THAT ARE PREVALENT IN HIGH CAPACITY SYSTEMS. THEY'RE PREVALENT IN PURCHASING SYSTEMS. THEY'RE PREVALENT IN OUR DOCTOR'S OFFICES.

UM, YOU KNOW, THE, THE, THE

[01:15:01]

UT HEALTH CENTER SYSTEM TEXTS PEOPLE AND TELLS THEM WHEN THEIR APPOINTMENT TEXTS THEM WITH A REMINDER.

SO I DON'T KNOW, MAYBE WE'RE TRYING TO WORK THAT OUT WITH SALESFORCE.

I KNOW IT CAN BE DIFFICULT TO ADD FUNCTIONALITY TO AN EXISTING SYSTEM, BUT LET'S, LET'S, DON'T TRY TO DO THAT OURSELVES.

LET'S PUT TOGETHER THE BEST MINDS IN OUR CITY THAT ARE TECHNOLOGY EXPERTS, BECAUSE WE GOTTA GET THIS SYSTEM TO WHERE IT CAN REALLY HANDLE A LOT, A LOT, A LOT OF PEOPLE.

AND, AND RIGHT NOW I THINK PEOPLE CAN BE PATIENT AND PEOPLE, I THINK PEOPLE REALLY WANT, BUT, BUT THEY DON'T KNOW RIGHT NOW WE'VE SET UP A SYSTEM THAT DOESN'T ALLOW THEM TO BE PATIENT, BECAUSE THE ONLY WAY THEY CAN GET AN APPOINTMENT IS IF THEY DO SOMETHING, UM, AND THE DO SOMETHING THAT THEY HAVE TO DO, THEY FEEL IS UNFAIR AND IT'S A LOTTERY SYSTEM AND THEY DON'T KNOW HOW TO SIGN UP AND THEY HAVE TROUBLE SIGNING.

SO, ANYWAY, I'M SORRY.

UH, KATHY'S SAYING I NEED TO WIND UP, SO YOU'RE RIGHT.

I'M SORRY.

I APOLOGIZE TO EVERY REALLY GOOD POINTS UNTIL HER TERRIFIC SUGGESTIONS.

AND I THINK YOU HAD ASKED AFTER, SO HERE'S THE QUESTION, KATHY.

SO THE FUNCTIONALITY, WHAT IS IT CALLED? PROGRESS? YEAH, THE FUNCTIONALITY THAT I NAMED, THOSE THREE OR FOUR PLACES, ARE WE WORKING ON ANY OF THAT FUNCTIONALITY? THE SECOND RELATED QUESTION, ARE WE WORKING WITH OUR TECHNOLOGY COMMUNITY TO HELP US? UM, MOST OF THOSE THINGS ARE IN THE WORKS.

UM, THEY ARE WORKING ON THOSE.

UM, WE, WE ARE WORKING WITH AN EXTERNAL CONSULTANT, UM, AS WELL AS WE ARE USING OUR AUSTIN PUBLIC HEALTH STAFF IN OUR CT STAFF.

UM, AND SO THOSE ARE THE FOLKS THAT HAVE BEEN ASSIGNED TO WORK ON THIS.

UM, UM, AS YOU KNOW, AS THE VENDOR SALES COURT, UM, SINCE CORE IS THE, UM, EXTERNAL VENDOR THAT, UM, INTERFACES WITH SALESFORCE AND THAT VENDOR WAS ADDED, UM, ONCE WE STARTED WORKING ON VACCINE MANAGEMENT.

SO TWO QUICK FOLLOWUPS, ARE WE WORKING WITH OUR TECHNOLOGY COMMUNITY? IS YOUR QUESTION, ARE WE WORKING WITH SOMEONE OUTSIDE OF THE CITY? THAT'S NOT HIRED BY THE CITY? THAT'S NOT ON A CONTRACT WITH THE CITY.

YES.

THAT WOULD BE NO, WE ARE NOT.

OKAY.

SECOND QUESTION.

ARE WE WORKING ON, UM, YEAH.

JOLENE, ARE WE WORKING ON MAKING SURE THAT THIS SYSTEM WILL DO THE SCHEDULING? YES.

THAT IS ONE OF THE AREAS THAT I'VE MENTIONED TODAY, THAT PAYER WORKING ON.

UM, I THINK MY OTHER CAUTION FOR YOU ABOUT, UM, JUST GIVING A PERSON, UM, AN APPOINTMENT TIME, THERE ARE PROS AND CONS OF THAT.

THE WAY WE'VE SET UP IS, IS WE GIVE THE PERSON THE OPTION TO PICK THE BEST APPOINTMENT THAT WORKS FOR THEM.

SO I CAN, I CAN TAKE BACK YOUR FEEDBACK.

I'M SURE I HAVE STAFF THAT ARE LISTENING, UM, THAT COULD CONSIDER THAT, BUT WE, YOU KNOW, I, I WILL HAVE A DISCUSSION WITH MY TEAM.

OKAY.

THANK YOU.

I APPRECIATE WHAT YOU ALL ARE DOING.

THANK YOU, COUNCIL MEMBER, KELLY.

THANK YOU VERY MUCH.

DR.

S SCOTT FOR BEING HERE TODAY, THE HARD WORK THAT YOU AND DIRECTOR HAYDEN ARE DOING IS INVALUABLE.

I ALSO WANTED TO QUICKLY THANK YOU FOR THE MEETING THAT YOU TOOK WITH US LAST WEEK.

I THINK THAT WE'RE GOING TO MAKE GREAT PROGRESS WITH THE CONSTRUCTION WORKERS, AND WE'RE REALLY GOING TO SEE A DIFFERENCE IN THE WAY THAT THE VACCINES ARE BEING DISTRIBUTED WITH THE PLANS THAT YOU'VE LAID OUT.

MY QUESTION IS SWITCHING GEARS A LITTLE BIT, IT'S MORE ABOUT THE ALTERNATE CARE SITE.

IT WAS WONDERING IF YOU HAD AN UPDATE ON IF WE WERE GETTING ANYONE FROM OUTSIDE OF THE CITY OF AUSTIN, STAYING THERE, WHAT THE CURRENT OCCUPANCY LOOKED LIKE AND HOW THE FUNDING WAS HAPPENING.

THANK YOU.

UH, SO COUNCIL MEMBERS CURRENTLY, UH, 28, UH, IN THE ACS AS OF YESTERDAY, UH, 17 ADDITIONAL ONES HAD BEEN TREATED IN, IN DISCHARGE.

UH, RIGHT NOW IT'S THEIR PATIENTS COMING JUST FROM THE MSA THAT WE HAVE HAD DISCUSSIONS ABOUT EXPANDING THAT TO POTENTIALLY TAKE OTHER PATIENTS, THE TWO PARTICULAR AREAS, UH, WHERE WE MAY SEE PATIENTS OR DESIRE TO SOME PATIENTS FROM WOULD BE WACO AND COLLEGE STATION.

BOTH OF THOSE TRAUMA SERVICE AREAS ARE INUNDATED WITH COVID-19 PATIENTS STILL.

UH, SO, UH, WE'RE IN DISCUSSIONS WITH THAT, WITH THE STATE ON THAT, UH, TO, TO HELP WITH THAT ISSUE AND TO DISCUSS THE FINANCIAL IMPLICATIONS, UH,

[01:20:01]

THEY HAVE CREATED A DAY A, UM, UH, A SYSTEM TO RESERVE AMBULANCES, UH, FOR PATIENTS WHO MAY NEED TO COME FROM OTHER AREAS AND THEN BE TAKEN BACK TO ANOTHER AREAS, UH, WITH ACADIAN AMBULANCE SERVICE.

UH, SO THIS DISCUSSIONS ARE HAPPENING, BUT I THINK AS OUR HOSPITALS LOCALLY, UH, IMPROVE, THEN WE DO STILL HAVE THE OPPORTUNITY TO HELP SERVE OTHER JURISDICTIONS WHO ARE STILL UNDER STRESS, UH, BY UTILIZING THAT ACS.

BUT I AGREE THAT, UH, THAT WE NEED TO ENSURE THAT THE, THE, THE FUNDING STREAM IS THERE TO SUPPORT THEM.

GREAT.

THANK YOU SO MUCH.

THANK YOU, COUNCIL MEMBER, DR.

ASCOT.

I AM NOT SAYING COUNCIL MEMBER POOL ON THE HIGH COUNCIL MEMBER POLL OVERSHADOWED BY THE BEAUTIFUL TREE.

UM, THE CANCER QUESTIONS FOR Y'ALL.

WHAT WEEK OF ALLOCATION ARE WE IN? ARE WE IN WEEK DR.

SCOTT? WE ARE IN WEEK SEVEN.

AND HOW MANY DOSES HAVE WE GOTTEN EVERY WEEK? IS IT 12,000 EVERY WEEK? YES.

MA'AM 12,000.

THIS WEEK, WE'RE EXPECTING 12,000 NEXT WEEK AFTER NEXT WEEK, THEN WE TRANSITION INTO THE TIME FOR THE SECOND DOSES OF THE LARGE VOLUME.

UH, SO WE'RE, WE'RE NOT CLEAR WHAT, WHAT THAT WEEK IS GOING TO LOOK LIKE, BUT, BUT WE'RE ANXIOUS TO HAVE THIS DISCUSSION WITH THE STATE.

DO YOU HAVE ANY IDEA WHY IT IS THAT THE STATE OF TEXAS HAS FALLEN SHORT OF REQUESTING THE MAXIMUM NUMBER OF DOSES FROM, UH, THE FEDS? UH, EVIDENTLY IT'S JUST TEXAS TWO OTHER STATES THAT ARE AT THE VERY BOTTOM OF THE HEAP WITH REGARD TO THE CONSISTENT ASK, BEING FALLING SHORT.

WE'RE NOT GETTING AS MUCH AS WE COULD.

OTHER WORDS THAT THE STATE LEVEL, THE STATE IS NOT REQUESTING ITS MAXIMUM, ANY IDEAS? I DO NOT KNOW THE ANSWER TO THAT COUNCIL MEMBER.

UH, UH, I WILL SAY THAT IF, UH, IF THEY REQUEST THE MAXIMUM, WE'LL BE HAPPY TO TAKE THE MAXIMUM.

ACCORDING TO, ACCORDING TO THE CDC REPORTS OUT OF THE CITIES, THAT'S SIGNIFICANT.

AND I WANT, I JUST WANT TO HIGHLIGHT THAT, UM, YOU KNOW, WE'RE ALL FOCUSED REALLY HYPER LOCALLY, AND I'VE BEEN TRYING TO PUSH MY VIEWPOINT A LITTLE BIT FURTHER OUT AND I STUMBLED UPON A COUPLE OF REPORTS COMING OUT OF THE STATISTICS AT THE CENTERS FOR DISEASE CONTROL.

AND IT TURNS OUT THAT THE STATE OF TEXAS IS NOT REQUESTING THE, UH, LARGER AMOUNT OF DOSES THAT THEY COULD.

SO I'LL JUST LEAVE IT OUT THERE.

AND MAYBE SOME OF OUR GOOD FRIENDS IN THE FOURTH ESTATE CAN PICK THAT UP AND RUN WITH IT, BUT I THINK THAT'S SIGNIFICANT AND YOU GUYS AREN'T RESPONSIBLE FOR THAT.

SO IT WAS REALLY A TORIC, UM, I, THAT AT HOME STRATEGY, I'M WONDERING IF WE MIGHT BE ABLE TO DO A, OF THINGS LIKE ACTIVATE OUR AFFORDABLE CARE ACT NAVIGATORS.

WE HAVE AN INTACT GROUP OF PEOPLE WHO, UM, DID A LOT OF SIGN-UPS FOR AFFORDABLE CARE ACT IN THE PAST THERE WE HAD CONTRACTS WITH THEM.

I JUST AM CURIOUS IF THAT IF WE'VE ACTIVATED THEM OR IF THAT'S EVEN A POSSIBILITY.

AND WHAT ABOUT A MOBILE VACCINATION VAN? I KNOW WE DO MOBILE DENTAL CLINICS THAT MOVE AROUND ON THE EAST SIDE SPECIFICALLY.

AND AT SOME POINT WHEN WE ARE ABLE TO DO SOMETHING A LITTLE BIT MORE MOBILE, COULD WE, UH, ACTIVATE SOME MOBILE VACCINATION VANS, UH, COUNSELOR, YES.

THAT, YOU KNOW, THE, THE PLAN IS FOR MOBILE VACCINATION.

IN FACT, UH, UH, YOU KNOW, AGAIN, WE'RE WORKING ON RIGHT NOW TO IDENTIFY THOSE NURSING HOMES OR LONG-TERM CARE FACILITIES THAT MAY HAVE FALLEN IN THE GAPS, UH, WITH THE INTENTION OF SENDING TEAMS OUT THERE TO VACCINATE THOSE.

UH, BUT WE HAVE EXISTING VENDORS THAT DO AT-HOME TESTING FOR US.

UH, SO PART OF THE, THE, THE DISCUSSION IS TO TRANSITION, UH, SOME OF THOSE RESOURCES INTO VOLVO VACCINATION TO GET, YOU KNOW, THE ELDERLY WHO ARE CALM, THE DISABLED, WHO ARE COMPETENT, THAT ARE JUST, YOU KNOW, VERY CHALLENGED BY GETTING OUT TO, TO ONE OF THE VACCINATION SITES.

AND THAT GAP THAT YOU'RE TALKING ABOUT DOES THAT INCLUDE ELDERLY PEOPLE WHO ARE NOT IN A LONGTERM CARE FACILITY, BUT ARE HOME IN THEIR OWN HOMES, BECAUSE I THINK THERE WAS A, THEY WERE FALLING THROUGH THE GAPS AS WELL.

YES.

COUNCIL MEMBER, UH, RIGHT NOW WE'RE, WE'RE LOOKING FOR THE, YOU KNOW, THE, THE LARGER VOLUMES OF FOLKS, SO THAT THOSE, UH, SENSE OF LIVING FACILITIES, GROUP HOMES, AND THOSE SORTS OF PLACES THAT ARE GOING TO HAVE A NUMBER OF INDIVIDUALS.

UH, AND THEN, YOU KNOW, ALSO LOOKING AT THOSE WHO ARE AT HOME BY THEMSELVES,

[01:25:02]

OR BEING CARED FOR BY FAMILY MEMBERS, THE STATE PROHIBITS HUBS FROM FURTHER DISTRIBUTING, THE SERUM DOSES THAT WE GET.

UM, I, IS THERE ANY UPDATE ON THAT? SOME OF THE COMMENTS THAT WE WERE HEARING FROM THE COMMUNITIES, UM, SORT OF OPENED THE DOOR TO WHY CAN'T WE WIDEN THE BOTTLENECK OF DISTRIBUTION THAT WE, THAT WE HAVE? AND MY UNDERSTANDING IS THAT'S BECAUSE THE STATE IS LIMITING.

IF WE GET 12,000 DOSES ONLY WE CAN ADMINISTER THOSE 12,000 DOSES.

YEAH.

COUNSELOR, THEY, THE, THE DESIGN OF THE HUB MODEL WAS NOT, NOT REALLY A HUB AND SPOKE IT, WASN'T DESIGNED TO THEN TAKE IT AND THEN DISTRIBUTE OUT TO OTHER PROVIDERS.

UM, IT WAS, YOU KNOW, IT WAS REALLY A HUB AS A MODEL, AND WE'RE HOPEFUL THAT IN THE COMING WEEKS THAT WE WILL SEE ADDITIONAL HUBS IDENTIFIED AND, AND FOR A VACCINE TO BE AVAILABLE THERE AGAIN, THE ONLY OTHER SIZABLE SITE THAT HAS RECEIVED VACCINE THIS WEEK IN TRAVIS COUNTY IS, UH, YES, THE DELL MEDICAL SCHOOL.

UM, SO AGAIN, WE'RE HOPEFUL THAT, THAT, THAT, THAT WILL CHANGE.

AND THEN WE'LL SAY SOME, SOME BROADER AVAILABILITY, UH, BUT THAT MAY NOT HAPPEN, YOU KNOW, FOR SEVERAL WEEKS.

AND THEN MY LAST QUESTION IS, UM, LOOKING INTO THE FUTURE, WHICH IS THE GUIDANCE WE EXPECT TO GET FROM THE FEDERAL GOVERNMENT.

UM, AND, UH, NOW THAT FOLKS LIKE DR.

FOWCHEE ARE, ARE EFFECTIVELY, UM, ACTING WITHIN THAT, THAT FRAME.

UM, WHAT ABOUT THE FEDERAL GUIDANCE? DO WE EXPECT? AND DO WE HAVE ANY IDEA ABOUT WHEN THOSE CHANGES MIGHT HAPPEN? SO THAT WERE PLANNED, THAT WE ARE PLANNING IN ORDER KEEPING OURSELVES NIMBLE.

SO WHATEVER GUIDANCE COMES DOWN FROM THE FEDERAL GOVERNMENT, WHICH WE KNOW WILL HAPPEN, THAT WE WILL BE ABLE TO PIVOT AND ACCOMMODATE THOSE CHANGES VERY QUICKLY.

SO COUNSELOR WE'VE ALREADY SEEN SOME PIVOTING HAPPENING.

UH, WE SAW SOME DIRECTION FROM THE FEDERAL GOVERNMENT, UH, WHICH OPENS THE WINDOW FOR THAT SECOND DOSE UP TO 45 DAYS.

UM, AND, UH, YOU KNOW, WE ARE, AS A DIRECTOR HAVEN, HOWARD SAID, UH, WE ARE, UH, TALKING TO OTHER, UH, PROVIDER PARTNERS, UH, PARTICULARLY THE ONES THAT HAVE THE AVAILABILITY TO DO LARGER SCALE.

UH, WE ARE ALSO LOOKING AT THE PARTRIDGE PUBLIC DRIVE THROUGH, UH, SITES AND WORKING THROUGH THE PROCESS TO EVALUATE THOSE.

SHOULD WE NEED TO RAMP UP TENFOLD FOR INSTANCE.

UH, SO IT'S ALL IN PROCESS AGAIN, UH, UH, SUCCESS FOR US COUNSELOR WOULD BE TO KNOW WHO WE'RE GETTING NEXT WEEK.

AND THEN THE WEEK AFTER TWO WEEKS, YOU KNOW, IN ADVANCE, THOSE WILL BE FANTASTIC BECAUSE IT WILL REALLY HAVE AN I, YOU KNOW, I DO WANT TO RECOGNIZE THE LIEUTENANT GOVERNOR IN HIS LETTER REGARDLESS.

CAUSE YOU KNOW, HE HIT THE NAIL ON THE HEAD HAVING AT LEAST A COUPLE OF WEEKS, GIVES US THE ABILITY TO SAY, OKAY, THESE 24,000 PEOPLE, YOU'VE GOT A SPOT SOMETIME IN THE NEXT TWO WEEKS.

AND IT STARTS TO DECREASE THAT ANXIETY ISSUE.

IT STARTS TO ALLOW US TO DO THINGS LIKE, OKAY, YOU REGISTER, YOU QUALIFY SCHEDULE NOW RATHER THAN WAITING ON THAT, THAT SECOND EMAIL CONTACTS TO COME, NOT TO TELL YOU THAT YOU CAN SCHEDULE.

AND SO WE'RE HOPEFUL THAT EVEN WE, YOU KNOW, THAT WE CAN GET SOME EVEN SHORT TERM PROJECTIONS ON AVAILABILITY, SO WE CAN START TO DO SOME OF THOSE THINGS TO REDUCE THE FRUSTRATION.

TERRIFIC.

THANKS SO MUCH.

COUNCIL MEMBER ELLIS.

THANK YOU.

DO YOU HAVE ANY QUESTIONS ABOUT THOSE QUESTIONS FROM COUNCIL MEMBER POOL LEAD VERY WELL INTO SOME OF THE QUESTIONS THAT I WAS THINKING, UM, GIVEN THAT WE HAVE 12,000 ARRIVING SOON AND ANOTHER 12,000 ON THE WAY, HOW MANY OF THOSE ARE GOING TO BE FOR SECOND ROUND VACCINATIONS? HOW MANY ARE FIRST ROUND AND WHAT IS THE EXPECTATION FOR PEOPLE WHO HAVE PRE-REGISTERED TO UNDERSTAND WHEN THEY MIGHT LOOK FOR AN EMAIL, JUST SO THAT THEY CAN BE MORE VIGILANT ABOUT CHECKING ON IT AND MAKING SURE THAT THEY KNOW WHEN THEY'RE UP FOR AN APPOINTMENT TO BE SCHEDULED? UM, I THINK I NEED TO PROBABLY MAKE ONE CORRECTION.

UM, WE ARE AWARE OF THE 12,000 THIS WEEK.

WE'RE HOPING THAT WE WILL GET 12,000 NEXT WEEK.

WE TYPICALLY DON'T RECEIVE THAT NOTIFICATION UNTIL THE THURSDAY BEFORE THE MONDAY, UM, OF RECEIVING THAT.

SO THE W WE ARE AWARE OF FOR THIS WEEK IS THE 12,000 ONLY.

UM, AND SO TYPICALLY, UM, WE, WE SET UP A COUPLE OF DAYS OF APPOINTMENTS, UM, AND MAKE SURE WE DO THE, UM, MANAGEMENT OF THE SYSTEM, UH, BECAUSE TYPICALLY WE WILL, WE WILL SCHEDULE, UM, SO MANY

[01:30:01]

PER DAY.

UM, BUT WE HAVE TO HAVE A LEVEL OF FLEXIBILITY.

AND SO BEING ABLE TO DO THOSE COUNTS AT THE END OF THE NIGHT, AND THEN WE RELEASED THE REST OF THE APPOINTMENTS FOR THE REMAINDER OF THE WEEK.

UM, SO WE'VE RELEASED THE APPOINTMENTS FOR WEDNESDAY.

UM, AND THOSE, UM, ARE, ARE, THOSE ARE FAILED.

AND SO, UH, WHAT WE WILL DO IS, IS THAT WE WILL RELEASE SOME ADDITIONAL APPOINTMENTS, UM, ON TOMORROW FOR THE REMAINDER OF THE WEEK.

OKAY.

AND SO IT'S NOT THE THURSDAY THAT, YOU KNOW, YOU'RE GOING TO EXPECT THEM THAT YOU'RE TRYING TO GET PEOPLE SIGNED UP FOR MONDAY MORNING.

YOU'RE WAITING UNTIL MONDAY WHEN THEY ARRIVE TO TRY TO SCHEDULE.

YES.

BECAUSE WHAT WE'VE SEEN IN OTHER JURISDICTIONS IS OTHER JURISDICTIONS SCHEDULE CLINICS, ANTICIPATING THAT THEY WOULD RECEIVE THE VACCINE ON THAT MONDAY AND THEY DID NOT DO THAT.

SO THEY HAVE TO COUNSEL THOSE CLINICS.

SO FOR US, WE MAKE SURE THAT THE VACCINE IS IN HAND, NOT IN GROUND, BUT IT IS IN HAND THAT WE HAVE IT.

UM, AND THEN WE HAVE ACCOUNTED FOR IT.

AND THEN FROM THERE WE RELEASE APPOINTMENTS BASED ON THAT.

I SEE.

AND SO DO YOU SEND EVERYONE WHO MIGHT BE AVAILABLE AN EMAIL ON THAT MONDAY OR THAT WEDNESDAY? OR HOW DO YOU HANDLE THAT? IF PEOPLE SAY THEY AREN'T RECEIVING AN EMAIL WHEN IT'S TIME TO SCHEDULE, IS THAT A SYSTEM GLITCH OR A PROCESS THAT I NEED TO UNDERSTAND BETTER? YEAH, THAT IS ONE OF THE AREAS THAT, UM, OUR TEAM IS WORKING ON.

UM, THEY HAD BEEN RECEIVING EMAILS AND IT DOES FILL UP REALLY QUICKLY.

UM, AND THE EMAILS GO TO FOLKS THAT ARE ELIGIBLE TO THE VACCINE.

OKAY.

AND DO THEY COME AT THE SAME TIME? SO DO THEY COME AT 6:00 AM? 8:00 AM, IS IT SOMETIME THROUGH THE DAY? JUST SO PEOPLE CAN BE AWARE IF THEY NEED TO BE ON THEIR COMPUTER AT 8:00 AM THAT THEY MAKE SURE TO WAKE UP AND, AND, YOU KNOW, GET LOGGED IN SO THEY CAN WAIT FOR THAT.

I WILL HAVE TO GET WITH MY TEAM TO DETERMINE EXACTLY THE TIME OF DAY THAT WE'RE RELEASING THOSE.

UM, AND, AND, AND, AND GET BACK WITH, UM, THIS GROUP AND I'LL POST IT WHERE EVERYONE ON CAN SEE THE ANSWER TO THAT QUESTION.

OKAY.

AND THEN, UM, AND MY FIRST QUESTION ABOUT WHAT PERCENTAGE IS A SECOND ROUND VERSUS A FIRST ROUND, DO YOU HAVE A, UH, BEST GUESTS ON, YOU KNOW, IS IT HALF AND HALF? IS IT 30, 60? HOW 40, 60, IF I'M DOING MY MATH CORRECTLY? NO.

NO.

TYPICALLY WHAT ARE YOU ASKING ABOUT THE SECOND VACCINE WITHIN THE 12,000? FOR EXAMPLE, ARE YOU ASKING ABOUT THAT? IS THAT YOUR QUESTION? YES.

SECOND, YOU KNOW, SECOND DOSE VERSUS FIRST DOSE WHEN WE GET A BATCH.

YEAH.

SO, SO YOU TYPICALLY YOU RECEIVE YOUR, UH, ALLOCATION SAYS 12,000, BUT YOU WILL ALSO RECEIVE A, ANOTHER ALLOCATION THAT IS SPECIFIC TO SECOND DOSES ONLY, AND YOU RECEIVE IT AROUND THE TIMEFRAME THAT YOU SHOULD BE, UM, ADMINISTERING IT.

SO THOSE WILL, THOSE WOULD POTENTIALLY COME TOGETHER.

OKAY.

SO THAT NUMBER THAT WE'RE GETTING IS FOR THE FIRST ROUND, AND THEN YOU AS PUBLIC HEALTH.

NO, THE SECOND ROUND IS COMING BECAUSE THE COMMITMENT INITIALLY FOR THE FIRST ROUNDS QUALIFY YOU TO GET THE NEXT ROUND WHEN THAT'S AVAILABLE.

SO THAT'S NOT IN THE 12,000, THAT'S ADDITIONAL, THAT'S THE ADDITIONAL OKAY.

THAT'S, THAT'S GREAT.

AND VERY HELPFUL.

THANK YOU.

I'LL TURN IT BACK OVER TO COUNCIL MEMBER TEMPO.

YEAH.

THANK YOU.

THAT IS VERY HELPFUL.

AND, YOU KNOW, I THINK SOMEONE EARLIER MAYBE COMMISSIONER TREVELYAN, IT WAS WITHIN YOUR QUESTIONS, TALKED ABOUT DEVELOPING AN FAQ.

AND, YOU KNOW, I THINK AMONG, AMONG ALL OF THE QUESTIONS WE'VE ASKED, WE HAVE A REALLY GOOD BASIS FOR, FOR AN FAQ.

I KNOW SOME OF THAT IS AVAILABLE ONLINE AND THE BACKPACKS AND SOME OF THE OTHER MATERIALS YOU'VE PUT TOGETHER, BUT COLLEAGUES I'VE BEEN WONDERING IF IT WOULDN'T BE HELPFUL FOR US TO KIND OF SEND THESE QUESTIONS THROUGH THE COVID PORTAL THAT WE HAVE TO OUR STAFF SO THAT THEY CAN USE THEM AS THEY CONTINUE TO DEVELOP AND REFINE THOSE, THOSE FAQ'S THAT THEY'RE PUTTING OUT TO THE PUBLIC.

I THINK WE CAN BE, YOU KNOW, WE'VE, WE'VE DEVELOPED ONE IN MY OFFICE, BUT THEY'RE JUST STILL QUESTIONS.

I CAN'T PROVIDE THE ANSWER TO, LIKE, FOR EXAMPLE, IF YOU, IF YOU HAVE REGISTERED FOR THE SYSTEM, BUT HAVEN'T GOTTEN AN EMAIL, WHAT SHOULD YOU DO NEXT? OR IF YOU HAVE REGISTERED AND YOU'RE STILL HAVING ERRORS AND YOU'VE TRIED THE DOT APH, BUT IT'S STILL NOT WORKING, WHAT SHOULD YOU DO NEXT? SO I THINK SOME OF THOSE, UM, COLLECTIVELY I THINK WE'VE ALL HEARD FROM CONSTITUENTS

[01:35:01]

WHO CAN HELP, HELP US ANTICIPATE MOST OF, MOST OF THE ISSUES OTHERS ARE, ARE GOING TO BE FACING.

SO MY QUESTION IS RELATED TO THAT LAST ONE.

UM, FIRST OF ALL, THANK YOU.

I KNOW THAT WE ARE, WE HAVE A PHONE NUMBER ON THE WEBSITE AVAILABLE FOR PEOPLE WHO NEED ASSISTANCE IN REGISTERING WITH THE SYSTEM.

AND, YOU KNOW, THANK YOU TO THE STAFF WHO WERE, WHO WERE FIELDING ALL OF THOSE THOUSANDS AND THOUSANDS AND THOUSANDS OF CALLS OVER THOSE FIRST COUPLE OF DAYS.

THAT'S REALLY, AND JUST AS YOU MOVE TOWARD THE TELEPHONE ASSISTANCE DIRECTOR, HIDDEN HOWARD THAT YOU DESCRIBED EARLIER, IS THERE A GOING TO BE AN EFFORT TO, TO KIND OF BIFURCATE THOSE CALLS SO THAT YOU'VE GOT, UM, ONE LINE FOR INDIVIDUALS WHO, WHO MAY NEED HELP REGISTERING, AND THEN ONE LINE FOR THOSE WHO ARE HAVING ISSUES THAT REALLY NEED TECH SUPPORT WALKING THROUGH IT.

I UNDERSTAND SOMETIMES THOSE MAY BE ONE OF THE SAME, BUT FOR, FOR INDIVIDUALS WHO DO NOT HAVE ACCESS, WHO NEED THAT PHONE LINE TO REGISTER, UM, MAY BE ABLE TO BE HELPED WITH, WITH SOMEONE WITH DIFFERENT, DIFFERENT LEVEL OF INFORMATION THAN SOMEBODY WHO'S REALLY HELPING TROUBLESHOOT THOSE TECHNICAL TECHNOLOGICAL PROBLEMS. UM, YES, THE GOAL IS, IS TO SPLIT THOSE INTO TWO, UM, BECAUSE THEY ARE DIFFERENT QUESTIONS THAT THE FOLKS HAVE, UM, FROM AN IT PERSPECTIVE.

GREAT.

THANK YOU.

AND I ECHO THE, I THINK, UM, I FORGOTTEN NOW WHO MENTIONED IT, MAYBE SEVERAL PEOPLE MENTIONED THE IDEA OF HAVING VOLUNTEERS.

I KNOW, JUST AS A REMINDER, MANY OF US HAVE, HAVE DONE SOME SENIOR OUTREACH DURING THIS PERIOD OF TIME AND HAVE SOME GOOD NETWORKS OF VOLUNTEERS WHO ARE WILLING TO WILLING AND READY.

UM, JUST GOT AN EMAIL FROM ONE OF THEM A COUPLE OF DAYS AGO, WILLING AND READY TO HELP.

SO AS THERE ARE WAYS TO PLUG IN THAT AREN'T, THAT AREN'T, UM, REQUIRING MEDICAL TRAINING AND THOSE KINDS OF THINGS, PLEASE LET US KNOW COUNCIL MEMBER ALTER.

I THINK YOU'RE THE LAST ONE OUR TIMES.

THIS IS, UH, THE IT DEPARTMENT.

WE ARE HAVING SOME TECHNICAL ISSUES AND WE WOULD LIKE YOU GUYS TO TAKE LIKE A FIVE OR 10 MINUTE BREAK.

I'M SORRY TO INTERRUPT.

SURE.

THANK YOU FOR THAT.

THANK YOU FOR THAT NEW HOUSE.

SORRY FOR THE INTERRUPTION.

SO YOU'D LIKE US TO KIND OF TAKE A RECESS FOR ABOUT 10, 10 50 AND, AND THEN SIGN THAT.

SHALL WE SIGN IN AND OUT, OR WOULD YOU LIKE US JUST TO REMAIN IN PLACE IF YOU WOULD REMAIN IN PLACE? WE JUST NEED TO DO THINGS FROM THE BACKEND.

GREAT.

SO I GUESS, UM, CAN'T SHOOT FOR AT 10 50.

AND CAN WE JUST CLARIFY, UM, UM, UM, JOYCE, DO YOU NEED US TO KEEP OUR CAMERAS OR OUR AUDIO ON OR JUST MUTE? NOPE, YOU'RE GOOD.

JUST STAY WHERE YOU'RE AT.

THE CONTROL COMPUTER HAD TO BE REBOOTED, WHICH, UH, GAVE THE AUDIO FEED.

THE AUDIO FEED IS NOT GOING OUT TO THE PUBLIC.

SO RECESS THE COUNCIL PORTION OF THE MEETING UNTIL 10 50.

THAT WOULD BE GREAT.

AND THEN JUDGE BROWN, IF YOU COULD RECESS COMMISSIONER'S COURT FOR 10 50, THAT WOULD BE GREAT.

AND AGAIN, MY APOLOGIES FOR INTERRUPTING.

SO I'LL RECONVENE THE MEETING OF THE CITY COUNCIL MEETING AT 10 50.

HEY JUDGE.

WE'RE READY TO GO.

SHOULD I GO AHEAD, COUNCIL MEMBER TOHO OR DOES THE COURT NEED TO RECONVENE AS WELL? I ASSUME THEY NEED TO RECONVENE AS WELL.

UH, I SORT OF HEARD YOU BENTLEY.

CAN YOU HEAR ME? YES.

OKAY.

YEAH.

JUDGE BROWN.

I RECONVENED THE CITY COUNCIL MEETING.

I THINK WE'RE WAITING FOR YOU TO RECONVENE THIS AT THE COMMISSIONER'S MEETING.

OH, THANK YOU.

CALL.

ARE WE LIVE NOW? OKAY.

ALL RIGHT.

SO WE'RE GOING TO RECONVENE THE COMMISSIONER'S COURT MEETING AT 10:51 AM, ALONG WITH THE JOINT MEETING WITH CITY COUNCIL, UH, MAYOR PRO TEM TOVO.

IS THAT, ARE YOU KIND OF LOST? SURE.

YEAH, WE, WE ENDED UP WITH, UM, COUNCIL MEMBER ALTAR.

IT'S HER TURN TO ASK SOME QUESTIONS OR ASK A QUESTION.

SURE.

THANK YOU.

UM, SO I REALLY APPRECIATE THE GREAT QUESTIONS OF ALL OF OUR COLLEAGUES AND THE COMMISSIONERS THIS MORNING.

UM, WHAT I'VE NOTICED IS THAT, YOU KNOW, THEY ALL FOCUS ON PROCESS IMPROVEMENTS AT DIFFERENT STAGES IN THE PROCESS, WHETHER IT'S REGISTERING, FINDING UP FOR APPOINTMENTS, GETTING VACCINE, GETTING THE SECOND VACCINE AND HOW WE REACH PARTICULAR POPULATIONS WHO ARE AT MOST RISK.

AND I THINK, YOU KNOW, THESE ARE THE QUESTIONS THAT WE NEED TO BE ASKING, AND I APPRECIATE

[01:40:02]

OUR STAFF AND ALL OF THEIR EFFORTS TO ADAPT AND ITERATE, UM, ESPECIALLY IN A CLIMATE OF VERY, UM, LIMITED SUPPLY AND HIGH ANXIETY.

UM, I WANT TO FOCUS IN MY REMARKS CLASH QUESTION, UM, AND THOSE THAT HAVE REGISTERED AND I WANT TO FIRST MAKE A SUGGESTION AND THEN I WANT TO ASK A QUESTION.

UM, SO WE'VE BEEN HEARING A LOT FROM FOLKS WHO GOT THEIR FIRST VACCINE WHO WANT MORE INFORMATION ABOUT THE SECOND VACCINE.

UM, AND IT SEEMS LIKE THERE ARE, UM, TWO PLACES WHERE WE MIGHT BE ABLE TO COMMUNICATE BETTER.

SO THAT I THINK WOULD BE PRETTY EASY FIXES ONE IS THAT, AND, AND FORGIVE ME IF YOU'RE ALREADY DOING THIS, BUT I'M, I HAVEN'T, I'M NOT ELIGIBLE YET.

SO I HAVEN'T BEEN THROUGH THE PROCESS MYSELF, UM, JUST HEARING FROM CONSTITUENTS.

SO ONE AREA WOULD BE AT THE TIME OF THE VACCINATION WHEN YOU GIVE THEM THEIR CARD, PROVIDING INSTRUCTIONS ABOUT WHAT THEY SHOULD EXPECT TO HAPPEN AND HOW THEY WILL BE CONTACTED FOR THEIR APPOINTMENT FOR THEIR SECOND DOSE.

I KNOW WE GIVE THEM THE VACCINATION CARD.

I DON'T KNOW IF WE CAN GIVE THEM ANOTHER LITTLE PIECE OF PAPER.

WHAT I'M HEARING IS THAT WE'RE GETTING LOTS OF QUESTIONS BECAUSE PEOPLE DON'T HAVE THE INFORMATION.

UM, AND IT SEEMS FOR AT THESE THIS STAGE THAT THAT'S NOT, UM, A COMPLICATED SET OF ANSWERS.

IT'S JUST PEOPLE DON'T HAVE THE INFORMATION AND THEY'RE CLOCKING THE LINES THAT ARE KEEPING US FROM HELPING OTHERS.

THE SECOND PLACE FOR INTERVENTION, WITH RESPECT TO THE FOLKS WHO HAVE, UM, ARE ANTICIPATING THEIR SECOND DOSE, DO RECEIVE AN EMAIL THAT SAYS, YOU KNOW, THANK YOU FOR SHOWING UP TO YOUR APPOINTMENT.

UM, BUT IT DOESN'T TELL THEM THE INFORMATION THEY NEED TO KNOW ABOUT.

YOU KNOW, YOUR SECOND DOSE COMES THAT X NUMBER OF WEEKS LATER, AND THIS IS WHAT YOU SHOULD EXPECT.

YOU SHOULD EXPECT TO BE CONTACTED BY THE SAME MESSAGE, UM, IN X NUMBER OF WEEKS TO, UM, SIGN UP FOR YOUR APPOINTMENT, ASSUMING THAT THE STATE GETS US THE VACCINES IN TIME, AND WE WILL PROVIDE COMMUNICATIONS ACCORDINGLY.

I THINK BOTH OF THOSE WOULD BE EASY PLACES TO MAKE INTERVENTIONS.

YOU'RE ALREADY SENDING OUT AN EMAIL AND YOU ARE ALREADY, UM, PROVIDING THE CARDS.

WHAT WE'RE HEARING IS THAT PEOPLE AT THE VACCINATION CENTERS THAT ARE HELPING CAN'T ANSWER THE QUESTIONS ABOUT WHAT THEY'RE GETTING, YOU KNOW, WHAT DID THEY DO FOR THE SECOND DOSE ONCE THEY'VE GOTTEN THEIR FIRST DOSE AND THEY'RE THERE.

SO I THINK THAT'S AN AREA WHERE WE COULD, UM, ADDRESS THINGS FAIRLY EASILY AND ALSO TO HAVE A CLEAR STATEMENT FOR US ALL, TO COMMUNICATE OUT FOR THOSE SECOND DOSES, UM, UNDERSTANDING THAT YOU SHOULD GO BACK TO THE SAME PLACE YOU WERE AT TO GET YOUR SECOND DOSE.

MY QUESTION THOUGH IS WE ALSO HAVE ANOTHER GROUP OF PEOPLE THAT WERE, UM, FRUSTRATED AND LOST TRUST IN THE SYSTEM BECAUSE OF TECHNICAL DIFFICULTIES, REGISTERING MANY OF WHOM REGISTERED, BUT DIDN'T KNOW ABOUT THE DOT APH FIX.

UM, AND SO THEN THEY HAVEN'T BEEN ABLE TO GET AN APPOINTMENT.

UM, BUT IT'S NOT CLEAR TO ME WHAT WE'RE DOING TO COMMUNICATE WITH THOSE PEOPLE AND REBUILD THAT TRUST, UM, AND HELP THEM TO UNDERSTAND WHAT THE NEXT STEPS ARE IN THE PROCESS.

SO I'M NOT SURE I SEE, UM, OUR HEALTH DIRECTOR ON, UH, BUT IF SOMEBODY ON STAFF CAN SPEAK TO HOW WE CAN BETTER COMMUNICATE WITH THAT GROUP, UM, AND WHAT WE ARE DOING, UM, TO REBUILD THAT TRUST AND GET THEM IN FOR THEIR APPOINTMENTS, ASSUMING THEY'RE ELIGIBLE, UM, STAFF HAVE BEEN MAKING CALLS OUT TO, UM, TO CLIENTS BEING PROACTIVE.

UM, SO IF THEY LEFT A MESSAGE, ET CETERA, STAFF HAVE BEEN DOING THAT.

SO, UM, IF, IF THEY'VE NOT RECEIVED A CALL, UM, MAYBE IT WOULD JUST BE HELPFUL IF, IF YOU HAVE THAT INFORMATION JUST FORWARD IT TO ME AND I'LL SEND IT TO MY TEAM AND THEY CAN, I CAN MAKE SURE THEY CALL THEM, UM, BECAUSE OTHER COLLEAGUES HAVE DONE THAT, THAT SIT ON THE COUNCIL, THEY'VE SENT THEM TO BE, THEY, YOU KNOW, HAVE A QUESTION AND THAT'S FINE FOR YOU TO SEND THAT TO ME.

SO JUST FOR US TO SEND YOU PEOPLE WHO HAVEN'T GOTTEN THEIR QUESTIONS ANSWERED, YES, THAT WOULD BE FINE.

THAT'D BE FINE.

OKAY.

IS THERE ANY OPPORTUNITY FOR US TO BE PROACTIVE WITH, I MEAN, IT SEEMS TO ME ON THE BACK END, WE OUGHT TO BE ABLE TO SEE PEOPLE WHO REGISTERED, BUT THEN DIDN'T GET TO THE POINT OF MAKING THEIR APPOINTMENT DURING THAT PARTICULAR PERIOD, PRIOR TO THAT FIX WHERE WE WERE SEEING THOSE PROBLEMS AND PROACTIVELY REACH OUT TO THEM WITH DIRECTIONS AND WHAT WE WANT THEM TO DO NEXT, OR TELLING THEM YOU ARE IN THE SYSTEM AND YOU WILL GET AN APPOINTMENT AS SOON AS YOU'RE, YOU KNOW, WE HAVE IN EFFECT SEEN FOR THAT.

UM, I DON'T KNOW THE MAGNITUDE OF THE NUMBER OF PEOPLE THERE.

WELL, WHAT, WHAT I SAID IS, IS THAT STAFF DID

[01:45:01]

GO BACK AND THEY MAKE THOSE CALLS, UM, GOING BACK TO THE 13TH OF JANUARY, UM, MAKING THOSE CALLS, MAKING SURE THEY ANSWERED THOSE QUESTIONS.

SO THERE MAY BE SOME FOLKS THAT EITHER WERE NOT THERE WHEN THEY CALLED, UM, THEY TYPICALLY CALL AND THEY WILL LEAVE A MESSAGE AND LET YOU KNOW THAT WE'RE CALLING FROM, UM, AUSTIN PUBLIC HEALTH.

UM, AND YOU KNOW, WE'RE PROVIDING THIS INFORMATION IN AND JUST CHECKING IN.

AND SO THAT'S BASED UPON FOLKS THAT HAVE CALLED US EARLY ON THAT, UM, MAY HAVE EMAILED US EARLY ON THE STAFF ARE PROACTIVELY DOING THAT, BUT THEN ALSO AS THEY'RE RECEIVING THOSE CALLS THAT ARE COMING IN, THEY'RE ANSWERING THOSE AS WELL.

OKAY.

SO JUST, JUST TO BE CLEAR, CAUSE I MIGHT'VE MISUNDERSTOOD THEN YOU, YOU, YOU BELIEVE THAT APH HAS PROACTIVELY REACHED OUT TO PEOPLE WHO WERE HAVING PROBLEMS IN THE EARLY STAGES WHEN, UM, THE SYSTEM CRASHED, ET CETERA, WHO REACHED OUT BY PHONE OR BY EMAIL TO APH, IS THAT CORRECT? WE'VE, WE'VE SENT QUITE A BIT OF THAT.

I NEED TO CHECK AND SEE IF IT WAS EVERY USER.

SO THAT'S GOING TO BE MY QUESTION BACK TO STAFF.

WAS IT EVERY USER THAT WE HAVE MADE SURE THAT THE DOT APH, UM, IS IN THERE? I KNOW WE'VE DONE SOME PROACTIVE STUFF BY, BY SENDING THAT, THAT APH ON THE USERNAME, UM, AND THEN MESSAGING THAT OUT.

UM, SO I NEED TO JUST DOUBLE CHECK, HAS THAT HAPPENED WITH ALL OF THE USERS? OKAY.

I THINK THAT THAT WOULD BE HELPFUL BECAUSE IT WOULD BE HELPFUL FOR US TO BE ABLE TO SAY WE UNDERSTAND PEOPLE WERE FRUSTRATED AND WHATEVER, AND WE'VE GONE BACK AND DONE THE DUE DILIGENCE TO, TO GET BACK IN TOUCH WITH THOSE PEOPLE TO REBUILD THAT TRUST.

AND SO I DON'T KNOW IF THERE'S A GROUP OF PEOPLE THAT DIDN'T CALL AND THAT DIDN'T EMAIL THAT WERE IN THAT BOAT AND JUST DIDN'T HAVE THE SAVVY TO CALL OR TO EMAIL.

UM, I, I JUST, I DON'T KNOW THAT.

UM, AND THEN WOULD, DO YOU THINK YOU COULD MAKE SOME OF THOSE IMPROVEMENTS FOR FOLKS WHO ARE AWAITING THEIR SECOND DOSAGE AND, OR THAT I MENTIONED EARLIER? UH, YES.

UM, I WILL GET WITH THE TEAM, UM, TO ADDRESS WHEN WE OPEN UP ON WEDNESDAY TO MAKE SURE THAT THAT'S CLEAR AND THAT THE FOLKS THAT ARE AT THE SITE HAVE THAT INFORMATION.

CAUSE IT SOUNDS LIKE A TRAINING, UH, A NEED FOR ADDITIONAL TRAINING.

AND SO WE CAN PROVIDE THAT, UM, IN THEIR COMMUNICATIONS BECAUSE PEOPLE ARE GONNA ASK WHEN THEY'RE COMING THROUGH.

UM, AND SO, YOU KNOW, WE JUST NEED TO MAKE SURE THAT EVERY DAY, UM, MAYBE DON'T GIVE IT TOO MUCH INFORMATION, BUT, BUT EVERY DAY, BECAUSE WE HAVE A HOST OF VOLUNTEERS THAT ARE PROVIDING THE VACCINE, THOSE ARE PROBABLY TYPICALLY THE PEOPLE THAT THEY ARE ASKING.

SO WE WILL INCLUDE THAT IN THEIR, UM, ALL-TIME TRAINING AT THE SITE TOO, BECAUSE IT'S PROBABLY THE PERSON THAT'S PROVIDING YOU THE VACCINE OF WHO THEY MAY BE ASKING THAT QUESTION TO.

SO WE'LL MAKE SURE THAT EVERYONE IS TRAINED AND HAS THE UP-TO-DATE INFORMATION ABOUT THE SECOND VACCINE.

SO I THINK THAT'S GREAT, BUT I ALSO WOULD JUST SUGGEST IF WE CAN HAVE IT IN WRITING FOR PEOPLE.

UM, YOU KNOW, WE HAVE PEOPLE WHO MAY HAVE MEMORY ISSUES AND OTHER KINDS OF THINGS, AND IT JUST BEING ABLE TO WALK HOME WITH A PIECE OF PAPER THAT SAYS IT OR WITH THAT FOLLOW-UP TO BE ABLE TO HAVE IT CLARIFIED, I THINK COULD SAVE A LOT OF THE OTHER CALLS THAT ARE COMING IN, UM, T P H N TO ALL OF OUR OFFICES AS WELL.

SO WE TEND TO CONSIDER WAYS TO DO THAT.

WE CAN DO THAT.

THANK YOU.

THANK YOU, JUDGE BROWN.

THAT CONCLUDES OUR FIRST ROUND OF QUESTIONS.

I'M NOT SURE.

THANK YOU.

I THINK WE HAVE A LITTLE BIT MORE TIME IF WE WANT TO TRY TO DO A SPEED ROUND OF, OF ONE QUESTION EACH.

I THINK WE COULD DO THIS, UH, COMMISSIONER GOMEZ.

DO YOU HAVE ANOTHER QUESTION? NO, I THINK I'VE HEARD ENOUGH, UH, ANSWERS, UM, TO KIND OF ANSWER SOME OF MY QUESTIONS.

THANK YOU.

THANK YOU.

UM, I DID, UH, UH, GET A QUESTION FROM SOMEONE, UM, AND I APOLOGIZE IF THIS HAS BEEN ANSWERED, BUT I MISSED IT.

IS THERE A PLAN TO UTILIZE THE SECOND VACCINE EARLY SO THAT WE CAN GET MORE PEOPLE VACCINATED ON THE BELIEF THAT ADDITIONAL VACCINES WILL BE PRODUCED BY THE TIME THAT PEOPLE NEED THE SECOND SHOT? SURE.

THE ANSWER IS NO.

WE INTEND TO USE THE SECOND DOSES FOR A SECOND FOR A SECOND DOSES.

UM, UNTIL WE SEE A, UH, A SHIFT IN THE MEDICATIONS FROM THE FEDERAL GOVERNMENT AND FROM THE MANUFACTURERS THAT THERE'S GOING TO BE A SURGE OF ADDITIONAL VACCINE AVAILABLE

[01:50:01]

OR USE IT AS INTENDED.

THANKS.

THANK YOU, COMMISSIONER.

TREVELYAN I'LL I'LL PASS.

I GOT MY QUESTIONS OUT AND, AND MAKE SURE THAT WE CAN GET TO ALL OF OUR OTHER COLLEAGUES.

THANK YOU, COMMISSIONER HOWARD, NO QUESTIONS.

ALL RIGHT.

UM, I THINK MY ONLY QUESTION IS AT SOME POINT, IF Y'ALL, I'M GUESSING Y'ALL ARE DOING THIS INTERNALLY, BUT MAYBE AT SOME POINT, UH, WE COULD GET WITH A COUNCIL MEMBER, KITCHEN AND MYSELF, AND, AND I KNOW COMMISSIONER HOWARD IS INTERESTED IN THIS AND FIGURE OUT SOME LIKE A DEADLINE FOR THE PEOPLE WHO ARE WORKING ON THE BACK END OF THE WEBSITE TO SAY, OKAY, IF WE CAN DO THE THINGS THAT, THAT COUNCIL MEMBER KITCHEN AND OTHERS OUTLINED BY, I DON'T KNOW, THAT'D BE FEBRUARY 15TH OR SOME DATE.

AND IF NOT, THEN MAYBE WE NEED TO GO A DIFFERENT DIRECTION.

AND I'M NOT ASKING FOR YOU TO GIVE ME A DATE RIGHT NOW.

JUST MAYBE THAT MIGHT BE A GOOD WAY TO PROCEED WITH THE WEBSITE TO SET A TIMELINE FOR IT, DOING THE THINGS THAT WE WANTED TO DO.

UM, I DON'T KNOW THAT THAT'S A QUESTION THAT'S JUST A FREE ADVICE, SO I WILL PASS IT BACK OVER TO, I BELIEVE THE MAYOR IS OUT.

SO PERHAPS THE BACK TO YOU COUNCIL MEMBER TOPO, UH, THANK YOU VERY MUCH, JUDGE BROWN.

SO HOPEFULLY WE'LL HAVE TIME TO GO THROUGH ONE LAST ROUND OF QUESTIONS, BUT COLLEAGUES, I THINK WE'RE, WE'RE REALLY CLOSE TO THE END OF TIME.

SO IF WE COULD HAVE REAL SHORT, REAL SHORT SPEED ROUND, I THINK THE JUDGE TERMED IT, UH, BEGINNING WITH COUNCIL MEMBER HARPER MEDICINE.

UM, THANK YOU, COUNCIL MEMBER TOO.

BUT I THINK BECAUSE OF MY CIRCUMSTANCES CURRENTLY, I'M HAVING SOME TECH ISSUES AND SO I'M HAVING TO BE OUTDOORS.

I DON'T THINK IT'S REALLY CONDUCIVE TO ASKING A QUESTION AND HAVING IT BE SO I'LL ASK OFFLINE.

THANK YOU.

SURE THING.

UH, COUNCIL MEMBER FUENTES.

THANK YOU.

WE'RE TURBO.

SO MY QUESTION IS ABOUT THE CALL CENTER OPERATIONS.

I KNOW YOU MENTIONED THAT WE ARE STAFFING UP THE NUMBER OF CALL OPERATORS THAT WE HAVE ON STAFF, BUT IF YOU COULD TALK US THROUGH, UM, AND THAT WILL BE HELPING SCHEDULE FOLKS, BUT WHAT IS THE BREAKDOWN OR THE PLAN FOR, UM, HAVING OPERATORS WHO ARE AVAILABLE 24 SEVEN TO ASSIST ANY, UH, TO TAKE CALLS, TO ASSIST WITH ANY QUESTIONS THAT COME UP, WHETHER IT'S TECH OR ABOUT SCHEDULING OR APPOINTMENTS.

AND I SAW ONE IN JUST ANSWERING CALLS WITH QUESTIONS AND THEN ON THE OTHER END, THAT PROACTIVE REACHING OUT TO OUR ELDERLY WHO NEED TO GET SIGNED UP, UM, AND GETTING THEM SCHEDULED.

CAN YOU TALK US THROUGH THE PLAN FOR ON BOTH OF THOSE AND, UM, BECAUSE I, A LOT OF FOLKS ARE CALLING AND THEY'RE GETTING A BUSY SIGNAL AND ALL SORTS OF THINGS.

WELL, THE REASON WHY WE MOVED THAT OVER TO THE EMERGENCY OPERATION COMMAND SIDE, UM, IS, IS THAT WE KNOW WE NEED A LARGER FOOTPRINT THAN AUSTIN, PUBLIC HEALTH HANDS.

UM, AND SO THAT TEAM WILL BE, UM, MEETING AND MAKING DECISIONS ABOUT THE NUMBER OF PEOPLE THAT SHOULD BE ANSWERING THOSE CALLS, UM, THE HOURS OF WHEN THE PEOPLE SHOULD BE ANSWERING THOSE CALLS.

SO ALL OF THOSE THINGS WILL BE DETERMINED RIGHT NOW.

I DO NOT HAVE THE ANSWER TO THAT QUESTION, UM, AS THAT INFORMATION IS PUT TOGETHER, UM, AND IDENTIFIED THE FOLKS WHO WOULD POTENTIALLY BE WORKING THAT AREA AS WELL AS HOURS OF OPERATIONS, UH, WE WILL PROVIDE THAT INGRID COMMUNICATION BACK TO YOU, COUNCIL MEMBER.

WELL, I REALLY DON'T HAVE A QUESTION.

I JUST WANT TO SAY BIG PICTURE I'VE BEEN DOING, UM, YOU KNOW, IT'S, IT'S VERY FRUSTRATING, UH, THE WAY THE ROLLOUT HAPPENED AND THAT'S OUT OF THE PORSCHE LEAVE AT, UH, YOU KNOW, IT WASN'T OUR FAULT.

DO YOU KNOW LOCAL? IT WAS, UH, SO I'M JUST WANTING TO FIX IT.

THANK Y'ALL AND, UH, KEEP UP THE GOOD WORK I'M UP AT VERY DIFFICULT COUNCIL MEMBER CASAR, ANY FURTHER QUESTIONS, UH, SHIT ABOUT THE, YOU KNOW, THE, THE POSITIVITY RAN IN THE LATINO COMMUNITY REMAINS HIGH AND REALLY HIGH.

AND, UH, AND OF COURSE DISPROPORTIONATE NUMBERS OF CASES, BUT YOU DON'T HAVE QUITE AS HIGH A POSITIVITY RATE, EVEN IN OTHER GROUPS THAT HAVE HIGH CASES.

WE HAVE REASON TO BELIEVE THAT IT IS ALSO BECAUSE

[01:55:01]

OF THE LOWER RATES OF TESTING, BECAUSE THE POSITIVITY RATE, IT'S NOT JUST HOW MANY PEOPLE HAVE THE VIRUS, BUT HOW MANY PEOPLE ARE GOING AND GETTING TESTED.

WHEN WE LOOK AT THE RAW NUMBER OF TESTS, DO WE HAVE REASON TO BELIEVE THAT SOME OF THAT POSITIVITY RATE IS DRIVEN STILL BY A LOWER RATE OF GOING AND GETTING TESTED WHEN YOU FEEL SICK? SO COUNSELING, THE POSITIVE RATE IS GOING TO BE DEPENDENT UPON THE TESTING EFFORT IN EACH OF THOSE INDIVIDUAL DEMOGRAPHICS.

UH, YOU KNOW, THAT'S WHY WE SEE HIGHER NUMBERS OF THE WESTERN ONE AGE GROUP, BECAUSE THE ONLY PEOPLE THAT ARE SYMPTOMATIC FROM GETTING TESTED, UH, SIMILAR TO THE 80 PLUS AGE GROUP, UH, SAME THING IS TRUE FOR, UH, FOR RACE AND ETHNICITY.

UH, KNOW, I THINK ONE OF THE THINGS THAT THAT IS CONTRIBUTING TO THE POSITIVITY IN THE LATIN X COMMUNITY IS THE VOLUME OF INDIVIDUALS THAT ARE ESSENTIAL WORKERS.

UH, AND, YOU KNOW, BECAUSE WE KNOW THAT THIS DISEASE IS SPREAD THROUGH FACE-TO-FACE INTERACTIONS THAT ARE, YOU KNOW, PARTICULARLY NON-PROTECTED INTERACTIONS.

UM, WE'VE SEEN THIS PATTERN THROUGHOUT WHERE THE LENNOX COMMUNITY IS IT'S THE FIRST ARISE IN THE LAST TO FALL, UH, ON OUR RECOVERY.

UH, SO AGAIN, I, I, I'M HOPEFUL THAT AS OUR VACCINE EFFORTS CONTINUE, THAT WE CAN FOCUS ON THOSE ESSENTIAL WORKERS, WHICH, UH, YOU KNOW, HAVE, HAVE A CONCENTRATION OF, UH, LATIN X MEMBERS SO THAT WE CAN START TO ADDRESS SOME OF THAT DISEASE SPREAD THAT WE'RE SAYING, BECAUSE WE ALSO KNOW THAT THERE'S AN IMPACT ON, YOU KNOW, ON OLDER AGE GROUPS AND THOSE MULTI-GENERATIONAL HOUSEHOLDS.

OKAY.

SO AGAIN, WE'RE HOPEFUL THAT, THAT WE CAN TRANSITION TO THAT PHASE ONE SEAT.

SO THANK YOU, DR.

SCOTT, UH, COUNCIL MEMBER KITCHEN.

UH, YES.

UH, UH, LET ME SAY, UM, UH, JUDGE, I'D BE HAPPY TO WORK WITH YOU AND OUR STAFF, IF THERE'S ANYTHING I CAN DO TO HELP.

AND I KNOW OTHERS WOULD BE INTERESTED ALSO, YOU KNOW, WITH REGARD TO THE FUNCTIONALITY OF OUR SYSTEM AND IN CONNECTIONS TO OUR TECH, UH, COMMUNITY.

UM, I WANT TO HAVE, I HAVE A QUESTION FOR, UH, DR.

ASCOT.

UM, I THINK THAT YOU HAD SHARED SOME INFORMATION ABOUT, I THINK IT WAS 80 PLUS YEAR OLDS.

IF I REMEMBER CORRECTLY THAT WERE CONTINUING TO GO UP IN TERMS OF, UM, UH, IN, IN TERMS OF, UM, INFECTIONS OR GETTING THE VIRUS.

SO MY QUESTION IS, DO WE KNOW FROM THE DATA, IF THOSE ARE SENIORS LIVING IN THE COMMUNITY, OR IF THEY'RE SENIORS LIVING IN, UM, LONG-TERM CARE PLACES? I CAN'T, I CAN'T REMEMBER IF THE DATA THAT YOU'RE SHARING WITH US HAS BOTH, UM, IT HAS BOTH SOURCES.

IT DOES HAVE THOSE SOURCES.

UH, AGAIN, WHEN WE LOOK AT THE, THE NURSING HOME LONG-TERM CARE FACILITY DASHBOARD, THE 332, UH, NEW CASES, UH, IN THAT COMMUNITY, UH, WE CAN SEE IF WE CAN BREAK IT DOWN AND THAT 80 PLUS AGE GROUP HOME VERSUS VERSUS FACILITY, UM, AND GET THAT INFORMATION TO YOU.

THANK YOU.

I WOULD JUST FIND THAT INTERESTING BECAUSE, UM, I THINK IT MIGHT HELP US UNDERSTAND WHERE, WHERE WE'RE SEEING, UM, UH, MOST RISK.

UM, AND I KNOW WE'RE FOCUSING ON, UM, UH, WE'RE FOCUSING ON VACCINATING, UH, PEOPLE LIVING IN LONG-TERM CARE FACILITIES IN THAT THAT MAY BE WHERE WE'RE SEEING THE MOST RISK, BUT I WOULD JUST WANT TO UNDERSTAND THE DEGREE TO WHICH WE'RE SEEING RISKS FOR PEOPLE, UH, OLDER PEOPLE LIVING AT HOME.

AND IF WE ARE SEEING A SIGNIFICANT RISK THERE, I WOULD HOPE THAT WE MIGHT HAVE A MECHANISM FOR, UM, YOU KNOW, FOR EXPEDITING HOW WE CAN REACH THOSE FOLKS.

SO THANK YOU, YOU BET.

AND GETTING COUNSELING, OR I THINK THAT'S A, THAT TRIGGERS A GOOD REMINDER TO OUR COMMUNITY, THAT IF, IF YOU'RE LIVING IN A HOUSEHOLD WITH INDIVIDUALS WHO ARE 65 OR OLDER, OR WHO ARE HIGH RISK FOR COMPLICATIONS, YOUR, YOUR DECISIONS, YOUR ACTIONS SHOULD BE MORE PROTECTIVE BECAUSE NOT ONLY ARE YOU PROTECTING YOURSELF, YOU'RE PROTECTING THOSE MORE VULNERABLE INDIVIDUALS IN YOUR HOUSEHOLD.

UH, WE HAVE BEEN SEEING LOTS OF HOUSEHOLDS SPREAD AND, UH, YOU KNOW, AGAIN, WE NEED THE WHOLE FAMILY UNIT, UH, IN, IN THOSE KINDS OF, UH, FAMILIES TO, TO PROTECT EACH OTHER.

THANK YOU.

THAT BRINGS US TO COUNCIL MEMBER ELLIS.

NO, MY APOLOGIES COUNCIL MEMBER KELLY HAD TO LEAVE FOR ANOTHER WORK OBLIGATION THAT BRINGS US TO COUNCIL MEMBER POOL.

SO WHEN I GOT

[02:00:01]

ALL MY QUESTIONS TO DO THE FIRST LIGHTNING ROUND AND JUST MY THANKS TO EVERYBODY AND APPRECIATION FOR ALL THAT ONGOING EFFORTS.

THANKS.

THANK YOU, COUNCIL MEMBER ELLIS.

THANK YOU, COUNCIL MEMBER.

TOBO.

I HAD A QUESTION ABOUT THE CHART THAT SHOWED THE BREAKDOWN IN SCHOOL DISTRICTS OF HOW MANY, UM, CASES OR INDIVIDUALS IN QUARANTINE ARE YOU RECEIVING THAT INFORMATION? JUST ONE NUMBER PER SCHOOL DISTRICT.

ARE YOU GETTING INFORMATION ABOUT ELEMENTARY SCHOOL, MIDDLE SCHOOL, HIGH SCHOOL, UM, YOU KNOW, IN STAFF CATEGORIES? I THINK IT WOULD BE HELPFUL FOR US TO BE ABLE TO SHARE THAT INFORMATION WITH OUR CONSTITUENTS IN CASE, YOU KNOW, PARENTS HAVE TO HIGH SCHOOLERS FOR INSTANCE, AND THEY'RE TRYING TO GAUGE SAFETY LEVELS OF THEM, UM, YOU KNOW, GOING TO SEE THEIR FRIENDS OR PARTICIPATING IN ACTIVITIES.

DO YOU HAVE THAT INFORMATION AND CAN YOU EITHER SHARE IT WITH US OR IS THAT SOMEWHERE THAT I CAN ACCESS? UH, SO COUNSELING, UH, WE DO HAVE THE INFORMATION.

WE WILL NOT BE SHARING THAT INFORMATION BECAUSE THAT LOCAL HEALTH DEPARTMENTS AREN'T, AREN'T DOING THAT IN, IN, UH, IN JURISDICTIONS.

GENERALLY, I WILL SAY THAT EACH OF THE SCHOOL DISTRICTS HAVE A BREAKDOWN BY EACH SCHOOL.

UH, AND THERE'S A LINK TO THAT ON OUR, ON OUR APH WEBSITE.

I THINK THE, THE ADVICE FOR PARENTS SHOULD BE THIS, THERE IS UNCONTROLLED WIDESPREAD COMMUNITY TRANSMISSION OF COVID-19.

SO GENERALLY SPEAKING, IF THEIR ACTIVITY INVOLVES, UH, YOU KNOW, BEING WITHIN SIX FEET IN PARTICULAR WITHIN SIX FEET WITHOUT A, TO, IT SHOULD BE DISCOURAGED RIGHT NOW, REGARDLESS OF WHERE THAT CHILD GOES TO SCHOOL.

I APPRECIATE THAT.

AND I WANT TO SAY THANK YOU FOR ALWAYS GIVING US REASONABLE AND PRACTICABLE SAFETY PRECAUTIONS THAT WE CAN TAKE AS INDIVIDUALS.

I KNOW IT MUST BE HARD OVER THIS PAST YEAR TO HEAR MISINFORMATION AND TO FEEL LIKE YOU HAVE TO CONSTANTLY COMBAT THAT.

SO I REALLY APPRECIATE YOU TELLING US HOW WE CAN STAY SAFE, HOW WE CAN KEEP OUR LOVED ONES SAFE, BECAUSE YOU'RE JUST TRYING TO SHARE THE INFORMATION THAT IS MOST REASONABLE.

AND I REALLY APPRECIATE YOU STICKING TO IT.

THANK YOU, COUNCIL MEMBER ALICE.

UM, AND I, I REALLY HAVE NO FURTHER QUESTIONS, EITHER.

JUST A SUGGESTION, IF THIS ISN'T ALREADY HAPPENING, THAT OUR INNOVATION TEAM MIGHT BE REALLY HELPFUL IN THAT CONVERSATION TOO, ABOUT HOW TO STRUCTURE THE RESPONSE SYSTEM AND THE WEBSITE, SOME OF THE WEBSITE CHANGES WITH REGARD TO REGISTRATION.

AND I'LL JUST SAY, UM, I'LL ADD TO COUNCIL MEMBER ELLIS' APPRECIATION AND SAY HOW HELPFUL IT'S BEEN TO, TO HAVE THAT CONSISTENT MESSAGE, UM, TO OUR COMMUNITY THAT, YOU KNOW, WE ARE, IT IS, WE ARE ALL ANXIOUS, UM, FOR AS MANY PEOPLE IN OUR COMMUNITY TO GET THE VACCINE AS POSSIBLE, BUT WHAT IT IS, YOU KNOW, IT IS NECESSARY TO CONTINUE TO DO THOSE PRACTICES WHILE WE WAIT THAT EVERYTHING IS IN PLACE TO GET THOSE VACCINES TO PEOPLE AS QUICKLY AS POSSIBLE ONCE WE HAVE ENOUGH, BUT IT IS THAT SUPPLY LIMITATION.

SO TO THE EXTENT THAT WE CAN ALL CONTINUE TO HELP YOU AMPLIFY THAT MESSAGE.

UM, YOU KNOW, I KNOW WE WILL COUNCIL MEMBER ALTAR.

YOU ARE OUR LAST, OUR LAST QUESTION IN THE SPEED ROUND.

THANK YOU.

AND, UM, MY QUESTION JUST CENTERS AROUND SOME DATA, AND I'M TRYING TO UNDERSTAND, I FOUND VERY POWERFUL, UM, THE FRAMING OF SAYING THAT WE'VE RECEIVED LESS THAN 2% OF THE VACCINE THAT WE NEED FOR OUR COMMUNITY.

UM, BUT I'M, I WOULD LOVE TO UNDERSTAND, YOU KNOW, HOW MUCH WE HAVE RELATIVE TO WHO WE KNOW IS IN ONE A OR ONE B.

AND I DON'T KNOW IF WE KNOW IF WE KNOW HOW MANY PEOPLE WE'RE ANTICIPATING IN ONE A AND ONE B I'D LOVE TO KNOW, YOU KNOW, RELATIVE TO THOSE TWO CATEGORIES, HOW MUCH FIXING WE HAVE, UM, ABSENT THAT IF WE COULD SAY WE HAVE X NUMBER OF PEOPLE WHO ARE OVER 65 AND WE HAVE THIS MUCH BACK SEEN, I DON'T KNOW, WOULD YOU HELP ME TO BE ABLE TO THINK ABOUT IT IN THOSE TERMS? BECAUSE I JUST FOUND THAT HAVING THAT LESS THAN 2% WAS VERY POWERFUL, AND I KNOW THAT PEOPLE ARE FRUSTRATED, BUT YOU KNOW, A LOT OF THIS HAS TO DO WITH THE SUPPLY MORE THAN ANYTHING ELSE.

UM, AND WE HAVE TO COMMUNICATE THE MAGNITUDE OF THE GAP TO PEOPLE MEMBER.

I HAVE THOSE NUMBERS, I JUST DON'T HAVE THEM RIGHT HERE, DISTINCT ON THEIR VACCINE DASHBOARD.

IF YOU GO TO TRAVIS COUNTY, YOU CAN CLICK ON ONE, A ONE DAY OVER 65, ONE 16 TO 64, AND IT DOES PROVIDE THOSE NUMBERS.

I CAN TELL YOU IT'S, IT'S TWO OR 300,000 PEOPLE IN ONE B AND ONE A, UH, IT'S A BIG NUMBER.

AND SO GO AHEAD AND, YOU KNOW, WE'VE GOT, YOU KNOW, AGAIN, EVEN WITHIN THAT GROUP, IT'S, YOU KNOW, WE'VE RECEIVED SO FAR TO THE MAX MASS VACCINATION, SOMEWHERE

[02:05:01]

AROUND 10% OF THE PEOPLE WHO CURRENTLY QUALIFY.

UM, SO IT'S, IT'S A SMALL NUMBER IT'S GOING TO TAKE TIME JUST TO GET THROUGH THE ONE A'S AND ONE BS.

SO I, I THINK IT WOULD BE REALLY HELPFUL IF WE COULD, UM, BE PROVIDED THAT IN OUR, YOU KNOW, NIGHTLY MESSAGING, UM, BECAUSE, YOU KNOW, IT'S, EVERYONE'S ANXIOUS TO GET IT, AND WE'RE ACTUALLY VERY FORTUNATE.

UM, AS YOU MENTIONED EARLIER, THAT SUCH A HIGH PERCENTAGE OF OUR COMMUNITY WANTS TO GET VACCINATED, AND WE WANT TO KEEP THEM WANTING TO DO THAT.

UM, BUT WE, WE ABSOLUTELY NEED TO CONVEY THAT MUCH OF THIS HAS TO DO WITH THE SUPPLY.

AND IT WAS ALWAYS ANTICIPATED THAT THE SUPPLY WOULD COME IN SLOWLY.

IT'S JUST A FRUSTRATING PROCESS.

AND, YOU KNOW, I, I JUST REPEAT THAT BECAUSE I THINK OUR STAFF IS DOING EVERYTHING THEY CAN TO ROLL THIS OUT AS SMOOTHLY AS POSSIBLE, BUT WE DO NOT CONTROL, UM, THAT SUPPLY.

UM, AND IT IS IMPORTANT TO COMMUNICATE TRANSPARENTLY.

AND I THINK THAT KIND OF NUMBER COULD HELP US TO DO THAT WELL, WORK ON THAT COUNCIL.

I THINK IT'S A GREAT IDEA.

UH, ALSO MENTIONED THAT IN OUR 10 MINUTE BREAK, UH, I PULLED UP THE NEWS AND JOHNSON AND JOHNSON HAS INDICATED THAT THEIR SUBMISSION OF THEIR DATA EARLY NEXT WEEK.

UH, SO AGAIN, THE JOHNSON AND JOHNSON HAS A SINGLE DOSE VACCINE, WHICH COULD BE A GAME CHANGER IN TERMS OF THE ABILITY TO VACCINATE, PARTICULARLY BECAUSE IT DECREASES THE LOGISTICAL HEAVY LIFT OF, OF TRYING TO GET THAT SECOND SHOT, UH, SCHEDULED AND FOR PEOPLE TO SHOW UP FOR A SECOND SHOT.

UH, SO WE'LL BE ANXIOUSLY AWAITING THAT DATA NEXT WEEK, MANY THANKS.

SO THAT CONCLUDES OUR COUNCIL QUESTIONS, JUDGE.

ALL RIGHT, THANKS.

UM, AND MANAGE CRUNK.

I, I MAY HAVE MISSED IT WITH THE CUTTING OUT, BUT DID YOU HAVE ANYTHING, DID YOU WANT TO SAY ANYTHING TODAY? I JUST WANTED TO GIVE YOU A CHANCE IF YOU DID, OTHERWISE YOU'LL HAVE TO JUDGE AND COUNCIL MEMBERS COMMISSIONERS REALLY APPRECIATE THIS OPPORTUNITY TO HAVE STAFF PRESENT NEW INFORMATION AND TO RESPOND TO QUESTIONS.

I DID WANT TO JUST CHIME IN AND ECHO THE FINAL COMMENTS THAT COUNCIL MEMBER ALTAR MADE ON THE NEED FOR THAT ADDITIONAL COMMUNICATION THAT WE CAN ALL AMPLIFY AROUND THE SUPPLY.

AND SO EVEN IF THERE'S GOOD NEWS THAT MIGHT BE COMING ON THE HORIZON, UM, THAT IS STILL A VERY MUCH IN OUT WEEKS.

AND SO RIGHT NOW, IT IS VERY MUCH DEPENDENT ON WHAT WE ARE RECEIVING FROM THE FEDERAL AND STATE LEVELS.

AND SO THE MORE THAT WE CAN ALL BE UNITED AND, AND URGING THAT PATIENTS, UH, AND WE WILL GET THE VACCINE DISTRIBUTED AS SOON AND EFFECTIVELY AS WE RECEIVE THEM.

UM, BUT WE ARE ONLY RECEIVING A VERY SMALL PROPORTION, UH, RELATIVE TO THE NEED THAT IS OUT THERE.

SO REALLY THANK EVERYONE FOR THEIR SUPPORT, THE COORDINATED WORK THAT'S HAPPENING ACROSS OUR COMMUNITY.

UH, AND WE WILL GET THROUGH THIS AND WE WILL GET THROUGH IT TOGETHER.

THANK YOU, JUDGE.

EXCELLENT.

YEAH.

AND THANK YOU.

AND THANK YOU AGAIN, DIRECTOR HAYDEN AND DR.

ASCOT FOR, UH, I MEAN, THERE'S SO MANY REALLY POSITIVE THINGS.

WE HAVE AN ALTERNATE CARE SITE.

WE HAVE A REGIONAL INFUSION CENTER.

YOU'RE GETTING UP 12,000 VACCINES A WEEK.

UM, DON'T WANT IT TO GO UNNOTICED IF ALL THE HARD WORK AND THE GREAT THINGS THAT Y'ALL ARE DOING.

SO, UH, COUNCIL MEMBER TOVA, UM, I'LL PASS IT BACK TO YOU TO CLOSE OUT YOUR MEETING AND THEN I'LL, I'LL CLOSE OUT MINE.

SURE THING.

WELL, THANK YOU COMMISSIONERS FOR LETTING US JOIN.

I THINK THIS IS THIS, ISN'T AN IDEA THAT I KNOW WE HAD DISCUSSED BACK IN JUNE, EARLY ON BUILDING PORTION OF OUR MEETINGS BE JOINT, AND I'M GLAD WE FINALLY STARTED DOING IT.

I THINK IT'S AN EFFICIENT AND EFFECTIVE WAY TO HAVE THESE CONVERSATIONS TOGETHER WITH OUR PUBLIC HEALTH STAFF.

UM, THANKS TO ALL OF OUR PUBLIC HEALTH STAFF FOR THE TREMENDOUS WORK THAT YOU'VE BEEN DOING NONSTOP FOR THE LAST YEAR.

UM, WE APPRECIATE IT AND, AND AGAIN, UH, ARE HERE TO SUPPORT YOUR EFFORTS AND, AND GET, UM, GET TO A BETTER PLACE IN OUR COMMUNITY.

SO WITH THAT, I WILL CONCLUDE AND, UH, AND RE UM, ADJOURN THE MEETING OF THE CITY COUNCIL AT 1121.

THANK YOU.

STAY SAFE.

THANK YOU.

ALL RIGHT.

SO I AM ALSO GOING TO ADJOURN THE TRAVIS COUNTY COMMISSIONERS COURT MEETINGS TO GIVE OUR TECH FOLKS A MOMENT TO SHIFT EVERYTHING BACK TO OUR NORMAL MEETINGS SET UP.

UH, SO WE'RE GOING TO ADJOURN IT FOR FIVE MINUTES.

UH, SO WE'LL COME BACK AT 11:27 AM.

HI, SHOULD WE BE ON STANDBY? WE SHOULD NOT EXIT THE, UM, THE PORTAL FOR THE MEETING.

CORRECT? WE SHOULD JUST STAY ON IT.

I THINK, I THINK THAT'S CORRECT.

.