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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