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[00:00:04]

THANK YOU TO BROWN SHOULD IN SPECIAL CALL.

UH, TODAY IS TUESDAY, FEBRUARY 2ND, 2021.

THE TIME IS NINE OH FOUR.

UH, IT IS GOOD TO BE WITH YOU AGAIN, JUDGE.

AND, UH, YOU'RE HERE VIRTUALLY.

WE HAVE A QUORUM PRESENT.

WE'RE READY TO PROCEED.

THANK YOU.

UM, SO NOW I'M GOING TO CALL THE ORDER, THE JOINT MEETING OF THE TRAVIS COUNTY COMMISSIONER'S COURT AND AUSTIN CITY COUNCIL.

WE GOT HERE AT 700 LAVACA COMMISSIONER AND COMMISSIONER HOWARD AND MYSELF, AND THEN REMOTELY.

WE HAVE COMMISSIONER, UH, SHEA AND COMMISSIONER GOMEZ.

UM, NATE, DO WE HAVE ANY CALLERS FOR PUBLIC COMMENT? YOU HAVE NO CALLERS AT THIS TIME, JUDGE.

OKAY.

UH, SO TO HELP ENSURE THE EFFICIENT USE OF DR.

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

WE'RE GOING TO LIMIT OURSELVES TO ONE QUESTION IN THE ORDER THAT WE CALL.

SO I'LL CALL THE ORDER FOR COMMISSIONER'S COURT, AND THEN WE'LL GO OVER TO THE MAYOR FOR, UH, COUNCIL TO CALL THE ORDER AND TRY TO LIMIT OURSELVES FOR THAT FIRST ROUND TO ONE QUESTION EACH.

AND IF TIME PERMITS WE'LL HAVE A SECOND ROUND OF QUESTIONS.

AND SO I WILL GO AHEAD AND START, UM, OR ACTUALLY WE'RE GOING TO GO TO THE BRIEFING FIRST BEFORE QUESTIONS.

THAT, THAT MAKES SENSE THERE.

OKAY.

SO FIRST, DR.

S SCOTT, ARE YOU ON THE LINE AND AVAILABLE? YES, SIR.

LET ME SHARE MY SCREEN AND I'LL GET STARTED.

OKAY.

GOOD MORNING,

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

JUDGE.

MAYOR COUNCIL AND COMMISSIONER'S COURT, NOTHING FOR THE OPPORTUNITY TO UPDATE THE CITY AND COUNTY ON OUR COVID-19 RESPONSE.

I YESTERDAY WE REPORTED 677 NEW CASES IN TRAVIS COUNTY WITH A MOVING AVERAGE OF 577.

UH, WE'VE HAD A SLIGHT UPTAKE IN THE PAST COUPLE OF DAYS IN REPORTING CASES.

HOWEVER, OUR PEAK WAS NOW 16 DAYS AGO, UH, AND, UH, BASED UPON OUR, OUR POSITIVITY, OUR HOPE IS THAT THOSE NUMBERS WILL DROP AGAIN, UH, AND, UH, AND CONTINUE US IN A, IN A BETTER DIRECTION IN TERMS, IN TERMS OF OUR COVID-19 SITUATION HERE, THAT WE'LL, WE'LL CONTINUE TO FOLLOW THIS, UH, UH, THE NEW CASES AGAIN, UH, THIS WEEK, UH, THIS IS A GRAPH OF OUR NEW ADMISSIONS, UH, IN THE MSA YESTERDAY, I REPORTED 41 ADMISSIONS WITH THE MOVING AVERAGE OF 68, THAT PUTS OUR PEAK 24 DAYS AGO.

UH, SO AGAIN, UH, AS YOU CAN SEE, COMPARED TO OUR PEAK IN JUNE AND JULY, IT'S BEEN A SLOWER DECLINE IN TERMS OF THE ADMISSIONS TO THE HOSPITAL, WHICH IS OUR KEY INDICATOR FOR STAGING.

UH, BUT I'M HAPPY TO SAY THAT IT IS CONTINUING TO GO DOWN IN THE FACT THAT WE'VE SEEN SEVERAL DAYS, UH, WELL, BELOW THE MOVING AVERAGE INDICATES THAT, UH, THIS IS LIKELY TO CONTINUE TO PUSH DOWN IN THE SHORT, SURE.

THIS GRAPH IS SHOWING THREE THINGS.

THE BLUE IS THE TOTAL HOSPITAL BEDS BEING UTILIZED FOR COVID-19 PATIENTS, THE ORANGE OR THE ICU BEDS, THE GRAY, OR THE VENTILATORS BEING UTILIZED HOSPITALIZATIONS YESTERDAY 510 WITH A MOVING AVERAGE OF 538, UH, THAT INCLUDED 44 INDIVIDUALS IN THE ALTERNATE CARE SITE AT THE AUSTIN CONVENTION CENTER.

THIS PUTS THE PEAK AT HOSPITALIZATIONS, UH, 14 DAYS AGO.

UH, SO AGAIN, STILL MOVING IN A VERY GOOD DIRECTION AND, AND DROPPING A BIT MORE QUICKLY.

NOW OUR ICU UTILIZATION YESTERDAY 151 WITH A MOVING AVERAGE OF ONE 57, UH, THAT PUTS THE PEAK 17 DAYS AGO FOR ICU OR VENTILATOR USAGE, 103 WITH A MOVING AVERAGE OF 97.

UH, AGAIN, THIS HAS BEEN A BIT FLATTER AND WE'VE SEEN A SLIGHT UPTICK, UH, IN, IN THE PAST COUPLE OF DAYS, UH, BUT STILL THE PEAK 18 DAYS AGO.

UH, SO AGAIN, ALL THESE METRICS CONTINUE TO MOVE IN A POSITIVE DIRECTION.

OKAY.

UH, WHEN WE LOOK AT WHAT'S HAPPENING IN TRAVIS COUNTY, UH, AS WELL AS THE OTHER METROPOLITAN, UH, TRAUMA SERVICE AREAS, UH, WE CAN SEE THAT THERE'S DECREASES ACROSS THE BOARD.

AGAIN, AS

[00:05:01]

I REPORTED LAST WEEK, AUSTIN WAS THE LAST TRAUMA SERVICE AREA TO ENTER SURGE TRIGGERING GA 31 AND 32.

AND WE WERE THE FIRST ONES TO COME OUT OF IT.

UH, YESTERDAY HAVING 12.19% OF HOSPITALIZATIONS, UH, OR 12.19%, UH, OF THE, UH, AVAILABLE HOSPITAL BEDS UTILIZED FOR COVID-19 PATIENTS, YOU CAN SEE, UH, HOUSTON, UH, IS, UH, 17.09%, UH, EL PASO, 17.38% DALLAS, 18.82% IN SAN ANTONIO, 19.6, 6%.

UH, SO QUITE QUITE A BIT OF VARIABILITY ACROSS THE METROPOLITAN, UH, JURISDICTIONS, BUT ALL MOVING IN THAT POSITIVE DIRECTION.

AGAIN, THIS IS IMPORTANT BECAUSE WE KNOW THAT THAT COVID TRAVELS EASILY.

AND, UH, AND WE'VE TALKED ABOUT THE, THE CHALLENGES THAT WE ALL FACE WHEN WE SEE SO MANY JURISDICTIONS FACING STRESS.

UH, IT'S NICE TO SEE THAT ALL OF THEM NOW ARE MOVING IN A BETTER DIRECTION.

UH, I DO WANT TO POINT OUT THOUGH, YOU KNOW, THERE'S, THERE'S BEEN A LOT OF, UH, SOCIAL MEDIA ACTIVITY TALKING ABOUT SYMMETRY, UH, COMPARING STATES THAT HAVE MUCH DIFFERENT POLICIES AND, AND SUGGESTING THAT, THAT COVID JUST DOES ITS THING.

AND, UH, IN WHAT WE DO AS JURISDICTIONS DOESN'T MATTER THAT MUCH.

UM, THAT'S NOT REALLY TRUE.

AND THIS IS AN EXCELLENT EXAMPLE OF A LACK OF SYMMETRY WHEN IT COMES TO WHAT'S BEEN HAPPENING OVER TIME ACROSS OUR OWN STATE AND ACROSS THESE METROPOLITAN JURISDICTIONS.

NOW, WHAT I'M SHOWING YOU HERE IS BASED ON DSHS DATA, UH, FOR ACTIVE CASES BY COUNTY.

UH, AGAIN, YOU CAN SEE, UH, THAT THERE'S QUITE A BIT OF REAGENT VARIATION, UH, OVER TIME AND, AND, UH, BY JURISDICTION, TRAVIS COUNTY IS THE DARK BLUE LINE AT THE BOTTOM.

UH, WE'VE FOUND THE BOTTOM OF THIS GRAPH FOR QUITE SOME TIME.

YOU CAN SEE THE PINK THAT I MENTIONED, UH, DISPLAYED ON THE, ON THE RIGHT SIDE OF THE SCREEN, UH, AND THE GENTLE DOWNWARD TREND.

UH, WE CAN SEE THAT'S NOT BEEN THE CASE, UH, ACROSS ALL OF THESE METROPOLITAN AREAS.

AND THERE'S BEEN QUITE A BIT OF VARIABILITY AND OBVIOUSLY QUITE A BIT OF VARIABILITY IN, IN POLICIES ASSOCIATED WITH, UH, THE COVID-19 RESPONSE.

SIMILARLY, WE SAY, UH, A LACK OF SYMMETRY ASSOCIATED WITH, WITH DEATHS.

WHAT I'M SHOWING YOU HERE IS, UH, DEATHS PER A HUNDRED THOUSAND POPULATION BY METROPOLITAN COUNTY.

AGAIN, TRAVIS COUNTY AT THE BOTTOM OF THE LIST, UH, UH, IN THE DARK BLUE LINE WAS ABOUT 50 DEATHS PER A HUNDRED THOUSAND.

UH, YOU CAN SEE THERE'S A CLUSTER, UH, BETWEEN 75 AND A HUNDRED PER A HUNDRED THOUSAND NOW, WHICH INCLUDES HARRIS COUNTY, TARRANT DALLAS, AND, UH, BEAR COUNTY.

UH, AND THEN YOU SEE THIS, THIS CLUSTER AT THE TOP WITH, UH, LUBBOCK COUNTY AND EL PASO COUNTY AT THE TOP.

UH, SO AGAIN, QUITE A BIT OF VARIABILITY IN TERMS OF, UH, THE IMPACT OF COVID-19 ON OUR POPULATION BASED ON JERSEY.

THIS IS AN UPDATE OF THE PROJECTIONS FROM UT.

UH, AGAIN, THESE WERE UPDATED THAT LAST ON SUNDAY, I BELIEVE.

SO WE EXPECT THAT THERE'S GOING TO BE AN UPDATE TODAY.

UH, I'LL TELL YOU THAT OUR ADMISSIONS ARE TRACKING WELL BELOW, UH, THE MEDIAN LINE, THE BLUE LINE THAT YOU SEE HERE, UH, RIGHT NOW THAT LINE IS SUGGESTING THAT WE'RE GOING TO, UH, DROP BELOW 60 ADMISSIONS ON THAT MOVING AVERAGE ON FEBRUARY THE 18TH.

UH, I BRING UP 60 BECAUSE THE MODELING INDICATES TO US ONCE WE DROPPED BELOW 60, WE WOULDN'T BE SAFE TO TRANSITION BACK TO STAGE FOUR OF OUR COMMUNITY-BASED RISK.

UH, SO WE WATCHING THIS CLOSELY AGAIN, WE'VE SEEN SOME SIGNIFICANT DROPS IN THE PAST FEW DAYS.

MY HOPE IS THAT WE WILL SAY THAT DROP BELOW 60 SOONER THAN, UH, THAN MID FEBRUARY.

BUT AGAIN, NOW THESE MODELS ARE BASED UPON, UH, THE, THE ACTIVITY THAT WE'RE SAYING, UH, THE MISSIONS THAT WE'RE SAYING AND THE MOBILITY DATA, UH, THAT FEEDS INTO THAT.

SO IF WE CONTINUE THOSE PROTECTIVE ACTIONS, WE CONTINUE TO STAY HOME WHERE WE CAN.

NOW WE CONTINUE TO, TO, TO LIMIT OUR INTERACTIONS WITH OTHER FOLKS.

IT WILL HELP TO DROP THIS QUICKER AND, UH, PUT US IN A BETTER SITUATION TO, UH, TO DROP DOWN TO STAGE FOUR.

AND WE SEE A SIMILAR TREND HERE WITH HOSPITALIZATIONS.

UH, THE MEDIUM, UH, OF DROPPING BELOW 500 IS FEBRUARY 16TH, THE 17TH.

AGAIN, YESTERDAY WE RECORDED 510.

UH, SO THE,

[00:10:01]

UH, THE HOSPITALIZATION, UH, ACTUAL NUMBERS ARE TRACKING WELL BELOW THIS, UH, THIS MEDIUM LOOK LINE AGAIN, WE EXPECT THIS TO BE UPDATED AND, UH, AND, UH, THAT IT WILL SHOW A QUICKER DROP, UH, FOR THE, THE DROP BELOW THE 500 MORE.

BUT WE SEE A SIMILAR PATTERN WITH THE ICU'S.

THE MEDIAN PROJECTION IS, WILL DROP BELOW ONE 40 IN THE ICU ON FEBRUARY 18TH.

UH, AGAIN, WE ARE TRACKING BELOW THE, THAT LINE NOW, ALREADY.

SO IT, WE EXPECT IT TO BE EVEN BETTER BY, UH, BY MID FEBRUARY, IF WE CONTINUE THOSE PROTECTIVE ACTIONS THAT HAVE RESULTED IN THIS DOWNWARD TREND.

UH, THIS IS A GRAPH OF THE, UH, THE HOSPITALIZATIONS, UH, BY RACE AND ETHNICITY AND BY WEEK, UH, YOU CAN SEE THAT, I'M SORRY, THIS IS, UH, BY AGE GROUP, MY APOLOGIES.

UH, YOU SEE AN INCREASE IN THE 60 TO 69 AGE GROUP, UH, SOME SLIGHT DECREASES IN 70, 79 AGE GROUP AND THE 80 PLUS AGE GROUP.

UH, I DO ALSO WANT TO POINT OUT THAT THERE'S AN INCREASE IN THE PERCENTAGE OF THE 20 TO 29 AGE GROUP, UH, THAT WE REPORTED LAST WEEK.

UH, WHEN WE LOOK AT THIS GRAPH, WHICH PROVIDES THE NUMBERS OF INDIVIDUALS IN EACH OF THOSE AGE GROUPS, WE CAN SEE THAT OVERALL, OUR HOSPITALIZATIONS DROPPED BY ABOUT 20% LAST WEEK COMPARED TO THE PREVIOUS WEEK FIVE OH FOUR TO 400.

UH, WE'VE SEEN THAT SIGNIFICANT DROP ONE OH SEVEN TO 73 IN THE EIGHT PLUS AGE GROUP ONE OH EIGHT TO 83, AND THIS 70 TO 79 AGE GROUP, UH, AND A, A, YOU KNOW, RELATIVE, RELATIVELY THE SAME, UH, NUMBERS IN THE 60 69 AGE GROUP, 86 TO 87.

UM, AGAIN, DOWN IN THE YELLOW BAR, WHICH IS THE 20 TO 29 AGE GROUP, WE MOVED UP FROM 28 ADMISSIONS TO 33 ADMISSIONS LAST WEEK.

AGAIN, WHEN WE SEE THESE NUMBERS IN THESE LOWER AGE GROUP, IT INDICATES TO US SIGNIFICANT DISEASE TRANSMISSION, UH, IN, IN THOSE AGE GROUPS, BECAUSE THE, THE RISK OF BEING HOSPITALIZED IS SO SMALL.

WE NEED A LARGE NUMBER OF ACTIVE CASES GOING ON IN THOSE AGE GROUPS TO, TO TRANSLATE TO THESE NUMBERS.

AND ALSO AGAIN, BUT WE'RE REALLY CONCERNED ABOUT THE IMPACT OF COVID-19 ON OLDER ADULTS.

UM, WE DO NEED TO RECOGNIZE THAT YOUNGER PEOPLE ARE HOSPITALIZED, UH, SOME OF THEM, UH, HOSPITALIZED IN THE ICU.

UH, SO EVERYBODY, REGARDLESS OF THEIR AGE, REGARDLESS OF THEIR PERCEIVED RISKS NEED TO TAKE THOSE PRECAUTIONS, UH, SO THAT WE CAN FURTHER DECREASE THE TRANSMISSION AND FURTHER IMPROVE OUR HOSPITALIZATION SITUATION.

YEAH, THIS IS THE BREAKDOWN OF HOSPITALIZATIONS BY RACE AND ETHNICITY.

AGAIN, A SLIGHT INCREASE IN OUR WHITE NON-HISPANIC, UH, HOSPITALIZATIONS LAST WEEK, 43.7% TO 46.9%, A RELATIVELY FLAT FOR OUR LATIN X COMMUNITY.

AND IN THE GREEN, UH, 38.6 TO 38.1, A SLIGHT DECREASE IN OUR AFRICAN-AMERICAN COMMUNITY, 12.1 TO 10.7.

UH, SO AGAIN, NOT RELATIVELY FLAT AND THE OTHER, UH, RACE AND ETHNICITIES AT THE BOTTOM.

NOW THAT IMPACT, UH, AGAIN, UH, BASED ON THE NUMBERS OF INDIVIDUALS HOSPITALIZED THAT ONE 77 TO ONE 42 FOR OUR, UH, LATIN X COMMUNITY, UH, FOR OUR WHITE, NON HISPANIC 200 TO ONE 75, UH, AND A SIGNIFICANT DROP IN OUR, UH, BLACK, NON HISPANIC, UH, 60 TO 40 LAST WEEK.

UH, SO AGAIN, UH, ONGOING IMPROVEMENTS ACROSS RACES AND ETHNICITIES, UH, IN TERMS OF HOSPITALIZATIONS LAST WEEK, OUR POSITIVITY, UH, CONTINUES TO IMPROVE WEEKLY.

UH, IT'S A, IT'S A SLOW IMPROVEMENT.

UH, SO WE MOVED FROM 13.3%, TWO WEEKS AGO TO 11.7% POSITIVE LAST WEEK.

UH, AGAIN, WE SEE RAPID INCREASES ON THE WAY UP AND SLOW INCREASES OUR SLOW DECREASES ON THE WAY DOWN.

UH, AGAIN, IT'S STILL MOVING IN A GOOD DIRECTION, ALTHOUGH WELL, ABOVE THAT 5% MARK, UH, AND, UH, THE 3% MARK AS OUR GOALS FOR, UH, GETTING DOWN TO, UH, TO STAGE THREE NUMBERS.

WE'RE LOOKING AT THAT BREAKDOWN OF POSITIVITY BY RACE AND ETHNICITY, OUR LATIN X COMMUNITY MOVED FROM POSITIVITY OF 20.3% TO 19.1% LAST WEEK, OUR AMERICAN INDIAN ALASKA NATIVE RIGHT 18.3 TO 19%.

AFRICAN-AMERICAN 12.3%, TWO WEEKS AGO

[00:15:01]

TO 11.4% LAST WEEK, UH, OUR ASIAN AMERICAN POPULATION, 9.3% TO 12.1%.

UH, SO AN INCREASE IN THAT GROUP AND ARE WHITE NON-HISPANIC 11.0 TO 9.7%.

AGAIN, ALL OF OUR RACE AND ETHNICITIES ARE WELL ABOVE THAT 5% MARK.

UH, SO WE HAVE MORE WORK TO DO, BUT AGAIN, THOSE PROTECTIVE ACTIONS THAT MASKING THE DISTANCING, STAYING HOME, IF YOU CAN, UH, ARE ALL HELPING TO CONTRIBUTE TO DECREASING TRANSMISSION.

UH, SIMILARLY WE SEE, UH, DECREASES ACROSS OUR, UM, ACROSS OUR AGE, BRUCE, OUR 80 PLUS AGE GROUP MOVED FROM 19% POSITIVE TO MICS GO TO 13.8%.

LAST WEEK ARE 10 TO 19 AGE GROUP.

UH, 16.0% OF 13.5%, UH, ARE 50 TO 59 AGE GROUP, WHICH IS THE HIGHEST POSITIVITY BY AGE GROUP THIS WEEK, UH, 15% DOWN TO 14.1% LAST WEEK.

UH, SO AGAIN, UH, IMPROVEMENTS ACROSS THOSE AGE GROUPS, WE HAVE TO CONTINUE THOSE EFFORTS AS THEY ARE ALL WELL ABOVE THAT 5% MARK.

AND WHEN WE LOOK AT THE BREAKDOWN, UH, OF THAT, UH, THOSE YOUNGER AGE GROUPS BY, UH, HIGH SCHOOL AND MIDDLE SCHOOL, ELEMENTARY AND PRESCHOOL, WE SEE THE BREAKDOWN HERE, AGAIN, A HIGH SCHOOL AND MIDDLE SCHOOL ABOVE THE, UH, THE COMMUNITY POSITIVITY 11.9% FOR HIGH SCHOOL, 13.1% FOR MIDDLE SCHOOL, UH, AND OUR ELEMENTARY AND PRESCHOOL SLIGHTLY BELOW THAT COMMUNITY POSITIVITY, 10.6 AND 10.3%.

YEAH, BUT THIS IS A, UH, UH, A TABLE OF OUR, UH, REPORTING CASES FROM SCHOOL DISTRICTS.

THE TOTAL OF 183 STUDENTS REPORTED UPON SOME CASES INTO AUSTIN, PUBLIC HEALTH LAST WEEK, ONE OH FIVE STAFF, UH, AND THEN ONE VISITOR TO CAMPUS.

UM, AGAIN, RELATIVELY STEADY IN TERMS OF, OF THE IMPACT ON OUR SCHOOLS, AT LEAST IN THE REPORTS TO US PUBLIC HEALTH AND TOTAL OF 289 CASES, UH, IN THE LAST WEEK.

AND WE'LL LOOK AT THE QUARANTINE AGAIN.

UH, WE SEE THE SUBSTANTIAL IMPACT OF, OF THESE CLOSE CONTACTS IN THE SCHOOL SETTING, UH, 1,834 STUDENTS, 343 STAFF, 2177 TOTAL.

UM, AGAIN, DIRECTOR HAYDEN MAY TALK LATER, UH, BUT WE HAVE BEEN PRIORITIZING OUR ONE B TEACHERS SO THAT WE CAN PUT OUR SCHOOLS IN A BETTER TO MAINTAIN CONTINUITY OF EDUCATION.

UH, AND WE WILL CONTINUE THOSE EFFORTS, UH, IN THE COMING WEEKS AS WELL.

UH, SOME SLIGHT IMPROVEMENTS IN OUR NURSING HOME, UH, CASES TWO 73 IN THE PAST 14 DAYS, SIX 20 IN THE PREVIOUS 28 DAYS.

UH, AGAIN, AS WE'VE BEEN TALKING ABOUT FOR MANY WEEKS NOW, AS WE SEE DECREASES IN THE POSITIVITY IN THE COMMUNITY, WE WILL SEE DECREASES IN CASES ASSOCIATED WITH NURSING HOMES AND ASSISTED LIVING FACILITIES.

SO AGAIN, WE WANT TO CONTINUE TO PUSH THOSE TRENDS DOWN, UH, AND PROTECT THESE MOST VULNERABLE, UH, MEMBERS OF OUR COMMUNITY, UH, BRIEFLY, UH, OUR FLARE REPORTS CONTINUE TO LOOK GOOD.

1.2, 5% POSITIVITY LAST WEEK AT 1.08% OVERALL, UH, LESS THAN A HUNDRED TOTAL POSITIVE CASES REPORTED TO AUSTIN PUBLIC HEALTH, UH, FOR FLU THIS SEASON WITH MORE THAN 6,700 TESTS BEING PERFORMED.

UH, AGAIN, THAT PUTS US, UH, CONTINUES US AT THE BOTTOM OF THE, UH, THE PREVIOUS FOUR YEARS TO TERMS OF FLU CASES AND INFLUENZA-LIKE ILLNESSES.

UM, AGAIN, WE STILL HAVE SOME RISK, UH, AS WE'VE SEEN IN THE PAST, WE'VE SEEN SOME PEAKS THAT, UH, THAT HAPPENED IN FEBRUARY, BUT AGAIN, OUR HOPE IS THAT THOSE PROTECTIVE ACTIONS, THE MASKING, THE DISTANCING, THE HAND HYGIENE, STAYING HOME WHEN YOU'RE SICK ARE ALL CONTRIBUTING TO, UH, THE, UH, MAYBE RECORD INFLUENCE A YEAR THAT WE'RE SEEING HERE.

AGAIN, UH, WE REMAIN IN STAGE FIVE WHERE OUR COMMUNITY-BASED RISK, UM, WHILE WE HAVE SEEN, UH, SOME RELAXATIONS, UM, FROM THE STATE RELATED TO OUR DECREASING, UH, SURGEON IN HOSPITALS, OUR RECOMMENDATIONS ARE A BIT STRICTER THAN THAT.

UH, SO AGAIN, WE CONTINUED TO RECOMMEND NO GATHERING OUTSIDE OF ONCE HOUSEHOLD, UH, THAT DINING AND SHOPPING BE LIMITED TO ESSENTIAL TRIPS, UH, THAT NON ESSENTIAL TRAVEL BE AVOIDED AND THAT OUR BUSINESSES, UH, PRIMARILY OPERATE THROUGH CONTACTLESS OPTIONS, CURBSIDE DELIVERY TAKEAWAY

[00:20:03]

WITH THAT.

I WILL PASS IT OVER TO DIRECTOR HAYDEN HOWARD.

THANK YOU, DR.

SCOTT.

UM, NEXT SLIDE.

UM, WE WANTED TO PROVIDE THIS, UM, ELIGIBILITY FLOW CHART, UM, FOR YOU, UM, AND BASICALLY, YOU KNOW, RIGHT NOW, UM, WITH FOCUSING ON ONE B, UM, THIS JUST KINDA SHOWS YOU, UM, IF, UH, IF A PERSON ENROLLS IN THE PLATFORM THEY'RE AGE 65, IT DOES LET YOU KNOW THAT IT IS TIME FOR YOU TO RECEIVE YOUR VACCINE.

UM, IN ADDITION TO, UM, US FOCUSING ON PEOPLE THAT ARE OVER AGE 50 WITH A MEDICAL CONDITION AND HAS BEEN DISPROPORTIONATELY IMPACTED BY COVID, UM, THAT GROUP OF PEOPLE, IT IS ALSO, UM, TIME FOR THEM TO RECEIVE THE VACCINE.

UM, HOWEVER WE KNOW THAT, UM, WE ARE DEFINITELY LIMITED, LIMITED IN THE NUMBER OF VACCINES, AND SO IT'S GOING TO BE IMPORTANT FOR FOLKS TO KNOW THAT, UM, WE'RE DEFINITELY PUTTING PEOPLE ON A WAIT LIST, UM, AND WHEN MORE VACCINE IS AVAILABLE, WE WILL BE REACHING OUT TO THEM.

NEXT SLIDE.

UM, THIS JUST GIVES JUST AN UPDATE OF, OF WHERE WE ARE WITH, UM, WITH VACCINES.

UM, WE RECEIVED, UM, 12,000 ADDITIONAL VACCINES THIS WEEK.

UM, LAST WEEK WE OPERATED, UM, THREE SITES, TWO WERE, UM, WERE CLOSED, I MEAN, WANT TWO OR OPEN SIZE DELCO.

AND THOSE SCREENS ONE WAS A CLOSED SITE.

UM, AS DR F SCOTT SHARED EARLIER, WE ARE CONTINUING TO PRIORITIZE, UM, OUR, OUR EDUCATIONAL, UM, FOLKS, UM, AND WORKING WITH HOTLINE, UM, SCHOOLS, STAFF WE'RE CONTINUING TO, TO WORK WITH THEM, UM, THAT NOT ONLY INCLUDES TEACHERS, IT IS TEACHERS IT'S, UM, CUSTODIANS.

IT IS, UM, BUS DRIVERS, UM, UH, CAFETERIA WORKERS, UM, THAT FALL INTO THAT ONE B IN ADDITION TO THAT, UM, WORKING, UM, WE SENT STAFF SEND OUT A SURVEY TO CHILDCARE, UM, PROVIDERS.

UM, SO WE CAN GET AN IDEA OF HOW MANY FOLKS ARE IN, IN THAT, UM, AREA, BECAUSE WE KNOW THAT, UM, THEY CANNOT SAFELY, UM, YOU KNOW, WORK WITH CHILDREN BECAUSE THE CHILDREN ARE YOUNG AND THEY CAN'T WEAR THE MASK.

AND SO WE'RE CONTINUING TO HAVE THAT, UM, THAT PRIORITY IS AS ONE OF OUR, IS OUR FOCUS, UM, WITH, WITH SECOND DOSES, UM, AS MOST OF, YOU KNOW, SOME FOLKS HAVE ALREADY, YOU'VE ALREADY STARTED CONTACTING FOLKS ABOUT, UM, COMING IN TO TAKE THEIR SECOND BELLOWS, ONE WORD OF CAUTION.

IF YOU HAVE CONSTITUENTS THAT DID NOT RECEIVE THEIR VACCINE WITH AUSTIN PUBLIC HEALTH, THE FIRST ONE, THEY CANNOT RECEIVE THEIR SECOND ONE FROM US, THE WAY THE STATE OF TEXAS IS ALLOCATING THOSE VACCINES IS, IS THAT THEY'RE SENDING THEM TO THEIR, TO US, ACCORDING TO HOW MANY VACCINES WE PROVIDED THE FIRST GO ROUND.

AND SO, UM, SO WE HAVE A VERY STRICT, UM, ALLOCATION WITH THE SECOND VACCINE.

SO UNFORTUNATELY, YOU KNOW, FOLKS THAT MAY HAVE, YOU KNOW, TRAVELED TO HOUSTON OR SAN ANTONIO OR SOMEWHERE ELSE TO GET THAT FIRST, UM, WE'RE GONNA ASK THAT THEY TRY TO GO BACK TO, UM, TO THOSE AREAS TO RECEIVE THAT SECOND VACCINE, THAT ALLOCATION, UM, SHOULD GO BACK TO THAT AREA.

AND SO WE'RE ASKING THEM TO REACH BACK OUT TO THAT, THAT SERVICE AREA AND, UM, GO BACK TO THAT PROVIDER.

AND SO WE WILL CONTINUE TO BE PROACTIVE, UM, ABOUT SCHEDULING FOLKS TO GO AHEAD AND COME IN TO RECEIVE THE SECOND DOSE.

IN ADDITION, UM, WITH OUR SYSTEM RIGHT NOW, WE HAVE 532,339, UM, INDIVIDUALS THAT HAVE SET UP ACCOUNTS ON SALESFORCE.

UM, AND SO AS YOU CAN SEE IF WE'RE RECEIVING 12,000 VACCINES A WEEK, UM, WHEN WE LOOK AT THE ELIGIBILITY OF WHAT I SHOWED YOU FROM THE FLOW CHART, LOOKING AT PEOPLE THAT ARE 50 YEARS OF AGE AND OLDER, THAT FIT THAT ONE BIG CRITERIA THAT IS 188,825 PEOPLE THAT ARE ELIGIBLE, UM, THAT NEED AN APPOINTMENT.

AND SO, AS YOU

[00:25:01]

CAN TELL AT 12,000 VACCINES A WEEK, UM, YOU KNOW, WE'RE GOING TO BE PROBABLY 16 WEEKS OUT FROM NOW, BEFORE WE'RE ABLE TO PROVIDE, UM, VACCINES.

AND THAT'S, IF WE JUST KIND OF STAY UP AS 12,000 VACCINES A WEEK.

AND SO IT'S GOING TO BE SO IMPORTANT FOR US JUST TO, YOU KNOW, JUST TELL FOLKS THAT, YOU KNOW, WE'RE GONNA, WE'RE WORKING THROUGH OUR, OUR, OUR SYSTEM, YOU KNOW, WE'RE UPDATING THE SYSTEM, BUT THERE THERE'S QUITE A FEW USERS IN THE SYSTEM.

AND SO, UM, YOU KNOW, WE, WE'RE GONNA DO EVERYTHING WE CAN TO GET TO PEOPLE, YOU KNOW, IN A TIMELY MANNER, UM, WITH OUR MOBILE VACCINES, UM, WE'VE STARTED OUR, UM, CONVERSATIONS AND ARE LOOKING AT WHAT THAT MOBILE, UH, VACCINE TEAM WOULD BE.

SO WHEN WE'RE STAYING WITHIN THE 12,000 VACCINES PER WEEK, UM, WE HAVE STARTED TO HAVE CONVERSATIONS, UM, WITH, UM, WITH PROVIDERS.

UM, WE HAD CONVERSATION WITH THE, WITH THE HOUSING AUTHORITY.

AND SO, UM, WHAT WOULD HAPPEN IS, IS THAT, YOU KNOW, BASED UPON THE FEEDBACK THAT WE RECEIVE FROM INDIVIDUALS THAT ARE, UM, SENIORS OR PEOPLE WITH, UM, WITH A DISABILITY, UM, THAT WOULD PREFER TO HAVE THE VACCINE PROVIDED AT HOME.

UM, WE ARE GOING TO, UM, START THAT PROCESS LATER ON THIS MONTH.

THE OTHER, UM, CHANGE WITH, UM, APPOINTMENTS IS, IS ON TUESDAY AND THURSDAY ONLY.

THOSE ARE GOING TO BE THE ONLY TWO DAYS THAT WE ARE GOING TO RELEASE APPOINTMENTS.

I UNDERSTAND THAT FOLKS, UM, ARE, ARE CONCERNED AND THEY'RE CHECKING THE WEBSITE EVERY DAY.

UM, SO WE'RE MOVING TO A PLACE WHERE WE'RE ONLY GOING TO RELEASE APPOINTMENTS ON TUESDAY AND THURSDAY OF EACH WEEK, IF THINGS CHANGE AND WE GET MORE VACCINES, THEN OF COURSE WE WILL RELEASE, UM, MORE APPOINTMENTS.

NEXT SLIDE.

UM, WE ARE VERY GRATEFUL, UM, FOR THE CALL CENTER, UM, PARTNERSHIP, UM, ON THE, UM, AGENDA FOR TODAY WITH TRAVIS COUNTY COMMISSIONERS COURT IS A, UH, IS AN MOU AGREEMENT WITH THE CITY OF AUSTIN.

AND SO, UM, TRAVIS COUNTY, UM, STAFF WERE TRAINED ON YESTERDAY.

UM, WE'RE GOING TO CONTINUE DOING, UM, ADDITIONAL TRAINING, BUT THEY ARE GOING TO HELP US WITH OUTBOUND CALLS, UM, TO ASSIST FOLKS WITH REGISTRATION.

UM, AND THEN THEY'RE GOING TO NOTIFY OTHERS, UM, AND PROVIDE THEM AN APPOINTMENT.

AND SO, UM, IF THIS IS APPROVED TODAY, UM, THIS WILL BE IN EFFECT UNTIL THE END OF MARCH.

AND SO, UM, THIS IS GOING TO SIGNIFICANTLY HELP US WITH INDIVIDUALS THAT THEY HAVE HAD CHALLENGES WITH REGISTRATION OR HAVE QUESTIONS ABOUT I'VE REGISTERED AND I DON'T HAVE AN APPOINTMENT.

AND SO, UM, THEY'RE GOING TO BE CALLING STAFF AND IN, I MEAN, THEY'RE GOING TO CALL RESIDENTS AND HAVE A CONVERSATION WITH THEM, UM, MAKE SURE THEY HAVE WHAT THEY NEED, BUT THEN EACH WEEK WE'RE GOING TO BE ABLE TO, UM, PROVIDE SOME APPOINTMENTS TO THEM AS WELL.

NEXT SLIDE, WHEN WE, WHEN WE KIND OF LOOK AT, UM, PRIORITIES THAT AUSTIN PUBLIC HEALTH HAS, UM, THESE ARE OUR PRIORITIES AND AREAS THAT WE ARE DEFINITELY GOING TO CONTINUE TO FOCUS IN ON.

UM, OUR GOAL IS, IS THAT EVERY WEEK, UM, WE WANT TO, WHATEVER ALLOCATION WE HAVE COMING IN FROM THE STATE EXAMPLE WE'VE BEEN RECEIVING, UM, 12,000 VACCINES, THE GOAL IS, IS TO CONTINUE TO, UM, GET THOSE VACCINES OUT IN A FAST, EFFICIENT, AND EFFECTIVE WAY.

UM, WE WANT TO MAKE SURE THAT WE ARE GETTING OUR DATA ENTRY, UM, INTO THE STATE SYSTEM IN ANY REPORTS THAT WE HAVE THAT NEED TO GO BACK.

IN ADDITION TO THAT, UM, WE'RE, WE MUST MAKE SURE FROM A DIVERSITY PERSPECTIVE THAT WE ARE REACHING PEOPLE WHO HAVE BEEN DISPROPORTIONATELY AFFECTED BY COVID.

SO, YOU KNOW, WORKING, UM, WITH, WITH GROUPS AND AGENCIES, RESTROOMS ORGANIZATIONS, UM, TO BE ABLE TO IDENTIFY, UM, FOLKS THAT MAY NOT BE ABLE TO GET INTO OUR REGISTRATION SYSTEM, UM, IN ORDER FOR US TO SERVE, UM, MORE FOLKS THAT HAVE BEEN DISPROPORTIONATELY AFFECTED BY COBIA OUR REGISTRATION SYSTEM.

UM, MAKING SURE THAT, UM, INCOMING CALLS ARE ANSWERED, UM, AS YOU ALL KNOW, WHERE WE WORKING WITH THE COUNTY THAT'S APPROVED, BUT INTERNALLY WE'VE SET UP MORE FOLKS TO BE ABLE

[00:30:01]

TO, UM, TO ANSWER CALLS.

SO, UM, AUSTIN PUBLIC HEALTH HAS REASSIGNED SOME FOLKS WITHIN OUR, OUR TRADITIONAL WORKFORCE.

UM, AND SO THAT MAY MEAN THAT SOME OTHER THINGS ARE GOING TO HAVE TO BE DELAYED, UM, BECAUSE WE NEED TO MAKE THIS OUR PRIORITY.

AND THEN WE WANT TO MAKE SURE TO PROVIDE TECHNICAL ASSISTANCE FOR FOLKS THAT ARE ENROLLING, UH, WITH OUR TESTING SITES.

UM, RIGHT NOW, UM, WE HAVE OUR, OUR TESTING SITES THAT WE DO HAVE AVAILABLE.

WE WILL CONTINUE TO DO HOME TESTING, UH, BUT UNFORTUNATELY, AS OF NOW, WE HAD TO, UM, CLOSE DOWN GIVENS, MONTOPOLIS AND WALNUT CREEK.

UH, WE HAVE REASSIGNED, UM, PEOPLE THAT WERE WORKING THERE, UH, TO THE VACCINATION PODS, OUR EPIDEMIOLOGISTS, AS YOU ALL KNOW, WE CONTINUE TO HAVE, UM, A LARGE NUMBER OF CASES COMING IN, AND WE WANT TO MAKE SURE THAT, UM, THE DATA ENTRY IS HAPPENING IN A TIMELY MANNER.

AND SO WE NEED TO, UM, ADDRESS THOSE ISSUES.

OUR INCIDENT COMMAND TEAMS WILL CONTINUE TO WORK WITH, UM, YOU KNOW, OUR FOLKS IN, IN SCHOOLS, WHETHER IT'S, UM, CHILDCARE, UM, UH, UH, SCHOOL, HIGH SCHOOLS, ET CETERA, BUT ALSO, UM, HIGHER EDUCATION.

AND THEN WE'LL CONTINUE TO DO, UH, WORK WITH OUR LONG-TERM CARE FACILITIES.

AND THAT'S GONNA BE THE TEAM THAT IS GOING TO BE, UM, HELPING OUT WITH THE MOBILE, UM, VACCINES.

WE'RE GOING TO CONTINUE OUR ENFORCEMENT EFFORTS BECAUSE WE KNOW WE'RE GOING TO, UM, AS WE, YOU KNOW, THINGS START TO CHANGE AND WE SHIFT BACK TO, UM, TO STAGE FOUR, WE'RE GOING TO NEED TO CONTINUE THOSE EFFORTS.

AND THEN WE, UM, JUST NEED TO MAKE SURE ALL OF OUR DASHBOARDS, UM, ARE WORKING PROPERLY.

UM, WE'RE IN THE PROCESS OF WORKING ON OUR VACCINE DASHBOARD, WHICH WILL ONLY HAVE AUSTIN PUBLIC HEALTH DATA IN IT.

UM, AND SO WE WANT TO MAKE SURE THAT THAT DASHBOARD IS UPDATED WEEKLY.

UM, AS STATED EARLIER, YOU KNOW, WE'LL CONTINUE TO COORDINATE WITH THE ALTERNATIVE CHAIR SITE AND THE, UM, INFUSION, UM, FOR THE MEDICAL TREATMENTS.

UM, THAT CONCLUDES MY PRESENTATION AND I AM AVAILABLE FOR QUESTIONS.

THANK YOU VERY MUCH FOR THE TIME.

THANK YOU, DIRECTOR, HIDDEN HOWARD.

WE'RE GOING TO FIRST GO TO COMMISSIONER MARGARET GOMEZ FOR A QUESTION.

UM, IS, IS IT POSSIBLE FOR FOLKS TO ALSO CALL THREE, ONE, ONE TO REGISTER, UH, WHEN THEY HAD, UH, SOME DIFFICULT TO GETTING THROUGH, THEY WONDER WHY THEY CAN'T JUST CALL IT THREE, ONE, ONE OR TWO, ONE, ONE, WHATEVER IS AVAILABLE THAT THEY CAN CALL THREE, ONE, ONE, BUT WHAT THREE, ONE, ONE WILL DO IS TAKE DOWN THEIR INFORMATION.

IT'S LIKE ANY OTHER KIND OF SERVICE REQUESTS WHERE THEY TAKE DOWN THEIR INFORMATION, AND THEN THEY DAILY, THEY SEND IT OVER TO AUSTIN PUBLIC HEALTH.

IT'S THE AUSTIN PUBLIC HEALTH WILL CALL THEM BACK OR LOOK, THE OTHER CENTER IS STOOD UP.

SOMEONE FROM THERE MAY COME BACK.

OKAY.

THAT SOUNDS LIKE A NICE SHORTCUT FOR THEM, UH, TO NOT HIT.

'EM TOO FRUSTRATED ABOUT GETTING THROUGH.

THANK YOU.

THANK YOU, COMMISSIONER FOR THE QUESTION.

UM, I, UM, THIS IS PROBABLY GOING TO BE FOR DR.

ESCADA AND I, AND I GUESS IT WOULD PRESUME SOME AWARENESS OF, UM, WHAT THE STATE MEDICAL EXPERTS ON COVID ARE RECOMMENDING TO THE GOVERNOR.

BUT, UM, I, I SHARE THE DISMAY THAT'S BEEN, UM, RAISED BY OTHER STATE LEGISLATORS.

DO YOU HAVE ANY INSIGHT AS TO WHY THE GOVERNOR WOULD NOT HAVE MADE DEALING WITH COVID AN EMERGENCY ITEM? I MEAN, THE STUFF HE LISTED, IT ISN'T, CAN'T EVEN COMPARE TO 30, ALMOST 36,000 PEOPLE IN TEXAS BEING KILLED, PARTLY BECAUSE THERE HASN'T BEEN A GOOD MECHANISM FOR HELPING PEOPLE.

UM, AND WHAT DO YOU KNOW IF THE STATE HEALTH DIRECTOR I'M NOT EVEN SURE THE RIGHT TERM WOULD HAVE RECOMMENDED SOMETHING LIKE THIS TO THE GOVERNOR? I JUST, I CAN'T FATHOM THIS.

SO ANY INSIGHT YOU HAVE ON IT WOULD BE VERY HELPFUL, UH, COMMISSIONER, YOU KNOW, I THINK THAT THE COBRA IS OBVIOUSLY A TOP PRIORITY FOR OUR STATE, UH, WHETHER OR NOT IT WAS, IT WAS SAID LAST NIGHT OR NOT.

UH, YOU KNOW, I THINK WE'VE GOT TO BEGIN THAT DISCUSSION OF, OF HOW DO WE STRENGTHEN OUR INFRASTRUCTURE.

HOW DO WE PREPARE FOR PANDEMICS BETTER IN THE FUTURE? UH, HOW DO WE IMPROVE THE, THE FUNCTIONALITY OF THE FATE, UH, DEPARTMENT

[00:35:01]

OF STATE HEALTH SERVICES, UH, IN EMERGENCY SITUATIONS LIKE THIS? I THINK WE HAVE A LOT OF WORK TO DO, UH, IN, IN PREPARING FOR, FOR THE DECK FOR ME.

UH, I HOPE IT'S NOT IN ANY OF OUR LIFETIMES.

WHAT WE DO HAVE TO UNDERSTAND THAT, UH, AS THE WORLD'S POPULATION GROWS, THESE KINDS OF THINGS MAY BECOME MORE FREQUENT.

I AGREE WITH YOU THERE, THERE ARE SO MANY COVID RELATED ISSUES, UH, THAT, UH, MY HOPE IS THAT, THAT IT WILL BE A PRIORITY FOR, FOR THIS SESSION.

THANK YOU.

THANKS COMMISSIONER.

UM, FIRST OF ALL, THANK YOU FOR ALL THE HARD WORK THAT YOU'VE DONE.

UH, YOU KNOW, I'VE CALLED YOU GUYS EARLY IN THE MORNING.

I'VE CALLED YOU GUYS LATE AT NIGHT, AND YOU'VE ALWAYS RESPONDED AND TRIED TO WORK WITH US.

SO I WANT TO THANK YOU FOR THAT.

UM, MY QUESTION IS, UM, HOW QUICKLY OR WHETHER WE CAN BUILD A SPECIFIC PLAN THAT WILL ALLOW US TO ORGANIZE AROUND COMMUNITY INSTITUTIONS IN AUSTIN AND IN THE EASTERN CRESCENT, I'VE HAD A NUMBER OF CHURCHES, BAPTIST METHODIST, SEVENTH DAY ADVENTISTS, ALL THAT HAVE NURSES THAT WANT TO HELP US THAT WANT TO PRESENT THEIR INSTITUTIONS.

I'VE HAD THE NAACP CALL ME, WE'VE BEEN WORKING WITH TITLE ONE SCHOOLS.

THESE ARE AREAS THAT ARE KIND OF OFF THE BEATEN PATH, AND I'M WANT TO DEVELOP A SPECIFIC PROGRAM TO ADDRESS AVAILABILITY IN THOSE AREAS.

HOW CAN WE PUT THAT TOGETHER QUICKLY? UH, I CAN, UM, I'M TRYING TO UNDERSTAND YOUR QUESTION IS THE QUESTION TO PUT TOGETHER.

I CAN ASK IT BETTER CHURCHES THAT WANT TO, UH, THAT THAT WANTS TO BE PLACES WHERE, UH, COMMUNITY MEMBERS CAN COME.

THEY'RE TRUSTED COMMUNITY ORGANIZATIONS AND THEY WANT TO BE HELPFUL.

I KNOW THAT THAT WE'VE GOT, WE'VE GOT CENTERS AND OFTENTIMES CENTERS HAVE LONG LINES OF PEOPLE.

UH, MANY PEOPLE ARE AFRAID TO COME INTO LONG LINES, SO THEY WANT TO ORGANIZE INSTITUTIONS.

SO THAT RATHER THAN BEING WITHIN WALKING PLACE, PEOPLE CAN COME THERE, UH, WHETHER, WHETHER IT'S FOR AFFIRMATION SIGNING UP, EVEN SHOTS, I'M TRYING TO GET A BETTER OUTREACH INFRASTRUCTURE INTO THE EASTERN GRASS.

UM, I THINK WHAT PROBABLY WOULD BE HELPFUL, UM, IF, IF YOU AND I BET OUTSIDE OF THIS PLATFORM, UM, JUST TO KIND OF DETERMINE, AND IF THERE'S OTHER PEOPLE YOU'D LIKE TO BE PRESENT FOR, UM, FROM THE COMMUNITY, UM, WE'D BE WILLING TO HAVE THAT CONVERSATION WITH THEM.

OKAY.

I WILL.

I WILL.

UH, I'LL GIVE YOU A CALL TODAY.

THANK YOU.

GOOD MORNING.

COULD YOU PUT THE SLIDE UP ONE MORE TIME OF THE FLOW CHART OF THE, WHETHER YOU'RE ELIGIBLE OR NOT FOR THE VACCINATION? I THINK THAT'S PRETTY GOOD.

AND I WANTED TO SNAP A PICTURE OF IT SO WE CAN SHARE IT WIDELY.

IS THAT POSSIBLE TO PUT THAT BACK UP? I CAN COMMISSIONER, I BELIEVE YOU ALSO RECEIVED IT IN YOUR PACKET.

OH, PERFECT.

I CAN HAVE IT.

THANK YOU FOR MAKING IT VISUAL LIKE THAT.

YOU BET.

ALL RIGHT.

I GOT YOUR HIDDEN HEART.

I'M SUPER EXCITED ABOUT THE CALL CENTER AND, UH, THAT YOU AND, UH, DANA AND OTHERS HAVE WORKED TO MAKE, MAKE A REALITY.

JUST WANTING TO CHECK IS THE, WHO ARE THEY GOING TO BE CALLING FROM THIS CALL CENTER? IS IT, UH, ARE WE ABLE TO FOCUS IT ON PEOPLE WHO ARE LATINO, BLACK AND HARDEST HIT ZIP CODES, OR IS IT A BROADER UNIVERSE THAN THAT? COULD YOU DO YOU KNOW THE ANSWER TO THAT? UH, SO RIGHT NOW, UM, WE'RE GOING TO ASK THEM TO, UM, TO TARGET ON FOLKS THAT ARE, UM, EIGHT YEARS OF AGE AND OLDER, AND, UM, ANYONE THAT WE MAY HAVE NOT BEEN ABLE TO CALL THROUGH OUR EFFORTS.

UM, SO THAT COULD BE, YOU KNOW, A KIND OF A BROAD GROUP OF FOLKS.

UM, TH THESE ARE PEOPLE THAT HAVE TYPICALLY NOT BEEN ABLE TO REGISTER FOR THE PROCESS, SO THEY'RE GOING TO HELP THEM TO, UM, SERVE THEM AN ACCOUNT AND THAT SYSTEM AS WELL.

SO IT'S GOTTA BE A COMBINATION OF FOLKS.

AND SO EACH WEEK THEY WILL BE ABLE TO, UM, TO MAKE THOSE CALLS, THOSE OUTBOUND CALLS TO ASSIST WITH, UM, ASSISTING WITH THE REGISTRATION PROCESS AND THEN ALSO SCHEDULING APPOINTMENTS.

OKAY.

I'D

[00:40:01]

LOVE IT.

IF WE COULD TARGET THAT A LITTLE BIT MORE TO TRY TO INCREASE THE, THE EQUITY PIECE.

I THINK THAT'S, THAT WAS FRANKLY MY GOAL WITHOUT, AND SO I'LL, I'LL CONTINUE TO WORK WITH YOU TO MAKE SURE THAT WE CAN DO THAT.

AND WITH THAT MAYOR, I WILL PASS IT OVER TO YOU, JUDGE.

THANK YOU.

AND AS I POSTED, WE'RE GOING TO DO THIS IN REVERSE COUNCIL DISTRICT ORDER NUMBER ALTERNATE.

GOOD MORNING.

GOOD MORNING.

AND THANK YOU.

UM, AND I APPRECIATE, UM, DOCTOR DIRECTOR, HAYDEN HOWARD MEETING WITH MY STAFF AND I, UM, AND SOME OF HER TEAM YESTERDAY TO TALK ABOUT HOW WE COULD BETTER ASSIST SOME OF OUR HOME BOUND SENIORS IN PARTNERSHIP WITH GROUPS LIKE DRIVE A SENIOR.

AND I THINK WE HAVE SOME GOOD NEXT STEPS.

SO I JUST WANTED TO THANK YOU FOR TAKING THE TIME TO WORK WITH US ON THAT.

UM, I WANTED TO ASK ONE QUICK CLARIFICATION AND, UM, THEN A SLIGHTLY BROADER QUESTION.

UM, I MISSED WHAT YOU SAID ABOUT, UM, HOW WE WERE TARGETING STAFF IN OUR SCHOOLS, UM, LIKE FRAY ISD, UM, WHO HAVE NOT YET BEEN VACCINATED.

SO IF YOU COULD, UM, ELABORATE ON THAT A LITTLE BIT.

UM, AND THEN, YOU KNOW, AS WE, AS WE STILL HEAR, YOU KNOW, THERE'S DIFFERENT COMPONENTS OF THE REGISTRATION PROCESS, UM, WHICH ARE PROVING FRUSTRATING, UM, AND THERE IS A PIECE OF IT THAT IS STILL THAT, YOU KNOW, TECHNOLOGY, UM, WHEN YOU REGISTER AND THEN YOU HAVE PEOPLE WHO KEEP FISHING FOR MORE APPOINTMENTS, UM, WE STILL NEED TO FIX THAT.

SO THAT FOLKS KNOW ONCE YOU'RE IN THE SYSTEM, IT WOULD BE MUCH BETTER IF IT WAS JUST ONCE YOU WERE IN THE SYSTEM, YOU WERE IN THE QUEUE AND YOU WERE, YOU WERE CONTACTED AND THERE WAS NO OPTION TO KEEP GOING BACK AND KEEP TRYING, UM, TO GET IN, TO GET YOUR APPOINTMENT.

UM, AND THEN THERE'S ANOTHER PIECE WHERE FOLKS ARE WHEN THEY ARE GOING BACK FOR THEIR APPOINTMENT, THEY HAVE TO KEEP RE ENTERING EVERYTHING THAT THEY'VE ALREADY GIVEN BEFORE.

UM, AND THAT'S PROVING FRUSTRATING.

AND SO, UM, I WANTED TO ASK IF YOU COULD SPEAK ABOUT HOW WE ARE WORKING TO IMPROVE, UM, THOSE PROCESSES GIVEN, ESPECIALLY AS YOU JUST SAID, THAT WE'RE GOING TO BE, YOU KNOW, 10 TO 14 WEEKS, JUST WITH ONE B AT THIS POINT.

UM, SO PEOPLE AREN'T SPENDING THAT ENTIRE TIME, UM, TRYING TO GAME THE SYSTEM AND, AND GET IN, UM, IS THERE A BETTER, IS THERE A WAY IN, IN MOTION, UM, THAT WOULD FIX THINGS? UM, SO THE FIRST QUESTION, UM, WAS ABOUT THE EDUCATION PRIORITY.

UM, OUR GOAL IS, IS TO, IS THE ONE V POPULATION, UM, IN SCHOOLS PERIOD.

SO IT IS, UM, PUBLIC SCHOOL, PRIVATE SCHOOL AND SCHOOL WHERE WE ARE ADDRESSING THAT AREA FOR ONE B UM, FOLKS THAT MEET THAT CRITERIA.

UM, THE SECOND, UM, UH, QUESTION THAT YOU ASKED, UM, WHAT WE THINK IS GOING TO HELP, UM, IS, IS WE ARE ONLY GOING TO RELEASE THE APPOINTMENTS ON TUESDAY AND THURSDAY AWFULLY.

UM, ANY OTHER DAYS DURING THE WEEK, THEY DO NOT NEED TO GO LOOKING FOR APPOINTMENTS BECAUSE WE'RE ONLY GONNA RELEASE THEM ON TUESDAY AND THURSDAY.

UM, I THINK THE OTHER QUESTION THAT YOU HAVE, UM, THAT IS A PART OF OUR SCREENING PROCESS, UM, WE'RE, WE'RE ASKING THEM QUESTIONS, UM, WHEN THEY GO BACK HERE TO REGISTER FOR AN APPOINTMENT, UM, IT IS, UM, QUESTIONS THAT WE RECEIVED FROM THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES IS ASKING THEM HOW THEY HAD COVID YET, UH, BECAUSE THEY COULD HAVE REGISTERED LAST WEEK AND SINCE THEN THEY MAY HAVE HAD COVID.

SO THERE'S THEIR SCREENING QUESTIONS THAT WE MUST ASK THEM, AND THEN THEY'RE ABLE TO SCHEDULE AN APPOINTMENT.

BUT IN ADDITION TO THAT, WE STILL ASK THEM WHEN THEY GET TO THE LOCATION, BECAUSE THERE MAY HAVE BEEN A DAY OR SO THAT HAVE GONE, BUT WE STILL HAVE TO ASK THAT QUESTION.

AND SO THOSE QUESTIONS WILL NOT, WE WILL NOT TAKE THOSE AWAY, UM, BECAUSE THEY THEY'RE A PRIORITY THAT WE ASKED THEM THAT.

UM, AND SO I THINK THAT THE CHANGE OF TUESDAY AND THURSDAY ONLY IS, IS DEFINITELY GOING TO HELP THE POPULATION.

IN ADDITION TO THAT, UM, I, I FEEL LIKE THE CALL CENTER ASPECT, WHERE WE ARE INCREASING THE ABILITY PEOPLE TO BE ABLE TO CALL AND LEAVE A MESSAGE AND OUR FOLKS ABLE TO, UM, HAVE OUTBOUND CALLS, UM, THAT WILL HELP WITH FOLKS AS WELL.

THANK YOU.

AND I APPRECIATE THAT CLARITY ON THE QUESTIONS THAT YOU KNOW, THAT SOME OF THOSE QUESTIONS ARE REPEATS THAT NEED TO BE UPDATED AS YOU GET CLOSER, IF THERE'S ANY DELAY.

I THINK THAT'S, THAT'S HELPFUL FOR THOSE OF US WHO ARE NOT ABLE TO GET INTO THE SYSTEM AND GET THAT FAR TO EXPERIMENT TO SEE WHAT'S GOING ON.

SO, SO I APPRECIATE THAT.

UM,

[00:45:01]

I, I UNDERSTAND HOW JUST LIMITING TO TUESDAY AND THURSDAY SEEMS LIKE IT WOULD BE BETTER THAN EVERY DAY.

I JUST STILL WISH THAT WE COULD GET TO A SYSTEM WHERE, YOU KNOW, THERE WAS SOME KIND OF AUTOMATED WAITLIST AND YOU WERE CONTACTED AND THOSE, THOSE, UM, THOUGHTS WERE OPEN FOR THAT GROUP RATHER THAN SENDING 500,000 PEOPLE ON TUESDAYS AND THURSDAYS TO CRASH THE SYSTEM.

UM, I'M NOT, I'M NOT TECHNICAL LITERATE ENOUGH TO KNOW WHAT THE SOLUTION IS, BUT I AM CONCERNED ABOUT HOW THAT PLAYS OUT OVER TIME.

SO THANK YOU.

OH, THANK YOU.

THANKS VERY MUCH FOR THIS INFORMATION.

I HAVE A COUPLE OF QUESTIONS, BUT THEY'RE EXTREMELY QUICK AND REALLY JUST VERY BASICALLY JUST VERIFYING THE INFORMATION THAT WE'VE HEARD, DIRECTOR AND HOWARD, UM, THE 188,000 OR INDIVIDUALS WHO ARE ELIGIBLE THEY'RE SOMEWHERE.

IN OTHER WORDS, THERE'S SOMEWHERE ON THE FLOW CHART AND THAT EQUATES TO 16 WEEKS.

IS THAT CORRECT? YES.

AND THAT'S AS A SEVEN 45 THIS MORNING.

THANKS FOR THAT.

I THINK THAT IS VERY HELPFUL DATA TO PROVIDE TO OUR CONSTITUENTS SO THAT THEY UNDERSTAND, UM, WHY THOUGH THEY ARE ELIGIBLE.

IT IS, I MEAN, TO GET A REALLY SENSE OF SCALE IN TERMS OF THE WEIGHT.

AND I ASSUME THAT THE CALL CENTER IS ALSO FOR INDIVIDUALS GETTING ERROR MESSAGES, OR THEY HAVEN'T RECEIVED A SECOND EMAIL REGARDING VACCINE IT'S FOR ALL OF THOSE ISSUES, VACS, JENS ABOUT THE VACCINE, BUT ALSO TECH SUPPORT.

THANK YOU.

AND THEN MY LAST QUESTION IS THE, UM, DR.

S SCOTT ON THE TRAVIS COUNTY SCHOOLS SITE, WE ARE, WE'VE HAD THIS CONVERSATION BEFORE ABOUT, UM, WHAT INFORMATION EACH INDIVIDUAL SCHOOL IS PROVIDING AND THE SCHOOL DISTRICT, AS WE'VE DISCUSSED BEFORE AISD, AT LEAST NEVER IDENTIFIES WHETHER IT IS STUDENT TRANSMISSION OR TEACHER TRANSMIT STUDENT CASES OR TEACHER STAFF CASES WHEN, WHEN WE, AS PARENTS GET THOSE LETTERS.

BUT I NOTICED YOU ARE BREAKING IT DOWN HERE.

UM, IN THE PAST, YOU'VE MENTIONED THAT MOST OF THE STUDENT TRANSMISSION APPEARS TO BE HAPPENING IN EXTRACURRICULAR ACTIVITIES.

DO YOU HAVE ANY SENSE OF HOW THE STAFF IN THESE SCHOOLS, WHAT THEIR, WHAT THE TRANSMISSION MECHANISM WAS FOR THOSE STAFF? AND CAN YOU HELP US UNDERSTAND WHY THOSE LETTERS ARE SO VERY GENERAL, EVEN IN TERMS OF IDENTIFYING STUDENTS VERSUS STAFF? SURE.

UH, SO FOR STAFF CASES THAT, YOU KNOW, GENERALLY WHAT WE'RE SAYING IS YOU ALWAYS SEE, UH, CASES RELATED TO CAMPUS.

UH, IT OFTEN DOES INVOLVE, UH, FACULTY WHO ARE ASSOCIATED WITH EXTRACURRICULAR ACTIVITIES, UH, COACHES, FOR INSTANCE, UH, WE SEE TRANSMISSION IN SOCIAL ENVIRONMENTS, UM, UH, WHERE TEACHERS ARE EXPOSED, UH, AS WELL AS, UH, AS HOUSEHOLD TRANSMISSION.

SO THEY'RE, THEY'RE GETTING IT FROM SOMEONE ELSE IN THE HOUSEHOLD.

UM, WE HAVEN'T SEEN ANY, AGAIN, ANY CLEAR EVIDENCE OF, OF TRANSMISSION IN THE CLASSROOM SPACE FROM STUDENTS TO TEACHERS.

UM, AGAIN, YOU KNOW, WE ARE ALL CONCERNED ABOUT THE VARIANCE AND THE POSSIBILITY THAT THAT MAY, UH, INCREASE THE LIKELIHOOD OF A CLASSROOM-BASED TRANSMISSION, BUT THE DATA WE HAVE SO FAR IS STILL INDICATING THAT THE MASKING AND THE DISTANCING, THE HAND HYGIENE IS STILL EFFECTIVE REGARDING THE, THE DATA, UH, THAT'S TRANSMITTED BY THE SCHOOLS.

UH, IT GENERALLY TENDS TO LACK SPECIFIC DETAIL, UH, THAT WOULD, THAT MAY ALLOW INDIVIDUALS TO IDENTIFY A PARTICULAR PERSON WHO WAS POSITIVE.

UH, FOR INSTANCE, IF, IF THERE WAS A TEACHER WHO WAS IN THE CLASSROOM YESTERDAY AND, AND NOT THE FOLLOWING DAY, AND YOU GOT A NOTE SAYING A TEACHER, UH, WAS POSITIVE AND YOU CAN TRACK IT DOWN TO THAT, THAT TEACHER WHO'S MISSING, OR YOU MAY BE ABLE TO, UH, SO THERE TENDS TO BE SOME, SOME LACK OF SPECIFICITY ON THE DAY TO DAY EMAILS, UH, FROM THE SCHOOL DISTRICTS TO TRY TO PROTECT PRIVACY.

THANK YOU.

YEAH, NO, IT'S, IT'S ALWAYS VERY GENERAL AND I'VE NOTICED, UM, SOME OTHER STATES ARE PROVIDING MORE, MORE SPECIFIC INFORMATION ABOUT THE KIND, BUT THANK YOU FOR EXPLAINING, THANK YOU FOR ADDRESSING THE QUESTION OF, OF, UM, CASES WITHIN THE TEACHER POPULATION.

THANK YOU.

THANK YOU.

UM, DR.

S SCOTT, CAN YOU TELL ME IF THE TESTING THAT WE'RE CURRENTLY DOING IS ABLE TO PICK UP THE DIFFERENT TYPES

[00:50:01]

OF VARIANTS THAT HAVE BEEN REPORTED, OR IS THERE A NEW PROCESS FOR HAVING NEW TESTING OR IS IT JUST COVID IS COVID NO MATTER WHAT VARIANCES, UH, SO FAR COVID HAS COVERED, UH, IN TERMS OF TESTING.

UH, SO WE DON'T HAVE ANY INDICATIONS RIGHT NOW THAT, UH, THE TESTING STRATEGY THAT NEEDS TO BE CHANGED BASED UPON THE VARIANCE.

UH, THERE IS SOME GENOMIC TESTING, WHICH IS GOING ON IN THE AREA TO DETERMINE, UH, HOW MUCH OF AN IMPACT VARIANTS MAY BE PLAYING, UH, INTO OUR, INTO OUR TRANSMISSION.

UH, AGAIN, WE MAY SEE SOME REPORTS ON THAT LATER THIS WEEK.

UM, WE SUSPECT THAT, THAT IT IS PLAYING A ROLE, UH, YOU KNOW, AS WE'VE LEARNED THROUGHOUT THIS PANDEMIC, IF WE'D SEE IT SOMEWHERE IN TEXAS OR IN THE U S IT MADE SENSE EITHER HERE OR IT'S GOING TO BE HERE IN A SHORT PERIOD OF TIME.

UH, SO AGAIN, THIS IS WHY IT'S IMPORTANT FOR US TO HELP CONTINUE TO DECREASE TRANSMISSION, UH, RIGHT NOW, UH, EVEN THOUGH WE'RE ON THE DECLINE SO THAT WE DECREASE THE LIKELIHOOD THAT, THAT THESE VARIANTS WILL NOW BECOME THE DOMINANT STRAIN AND MAY LEAD TO FURTHER CHALLENGES IN MANAGING THE, THE SPREAD OF DISEASE.

NOBODY, WE WANT TO BUY AS MUCH TIME AS WE CAN TO GET AS MANY PEOPLE VACCINATED AND ULTIMATELY SAVE A LOT OF LIVES.

THANK YOU FOR THAT.

AND IS THERE ANY NEWER GUIDANCE ON THE TYPES OF MASKS THAT ARE MOST EFFECTIVE? I'VE SEEN SOME GUIDANCE THAT SAYS THINGS LIKE BANDANA IS, OR, UM, YOU KNOW, THE MORE HOMEMADE VERSIONS PEOPLE NEED TO UPGRADE THOSE.

IF THEY'RE STILL USING THOSE, THEY NEED ONE, THAT'S A LITTLE BETTER FOR PREVENTING THE SPREAD.

CAN YOU TALK A LITTLE BIT ABOUT THAT? SURE.

UH, AGAIN, THEY, THEY EFFICACY OF THE MASK, THE, THE, THE, UM, LIKELIHOOD IT'S GOING TO PREVENT THE SPREAD OF DISEASE IS REALLY BASED UPON, UH, THE NUMBER OF LAYERS AND THE FIT OF THE MASK.

UH, SO SOMETHING LIKE A GATOR OR A BANDANA OR A SHIRT PULLED OVER YOUR FACE, IT'S GONNA PROVIDE A SINGLE LAYER DOESN'T FIT VERY WELL.

SO, UH, IT'S NOT GOING TO BE THE MOST EFFECTIVE.

UH, THE MOST EFFECTIVE ARE, YOU KNOW, THE , UH, THAT HAVE HIGH FILTRATION AND HAVE A TIGHT FIT, UH, FROM THEIR SURGICAL MASKS ARE THE NEXT BEST, UH, BECAUSE OF THOSE MULTIPLE LAYERS IN GOOD FIT.

UH, ULTIMATELY IT, IT, UH, YOU KNOW, IT NEEDS TO HAVE AT LEAST TWO OR THREE LAYERS, UH, AND IT NEEDS TO FIT SNUGGLING ON YOUR FACE.

SOME PEOPLE ARE ADVOCATING FOR WEARING TWO MASKS.

UH, IT'S NOT CRITICAL THAT YOU ARE TO MASS, BUT IF YOU HAVE HOLDING ONE LAYER, SINGLE LAYER MASKS, THEN BEN TUNE IS BETTER THAN ONE NOW.

BUT AGAIN, IT'S ABOUT THE LAYERS AND IT'S ABOUT THE FIT.

AND ULTIMATELY FINDING ONE THAT, THAT IS COMFORTABLE AND THAT YOU'RE WILLING TO WEAR, UH, A MASK IS BETTER THAN NO MASKS.

SO THINGS LIKE COMFORT IN AND, UH, AND, UH, MAKE A DIFFERENCE IN THE ABILITY TO WEAR THEM FOR LONG PERIODS OF TIME.

THANK YOU.

THANK YOU FOR THAT.

UM, AND JUST, UH, AM I BACK? YES.

OKAY.

UM, JUST A VERY QUICK REQUEST.

THAT SLIDE THAT HAS THE FLOW CHART IS REALLY HELPFUL.

IF WE COULD MAKE SURE THAT THAT'S UP ON OUR WEBSITE FOR PEOPLE TO BE ABLE TO REFERENCE.

I THINK A LOT OF PEOPLE WOULD FIND THAT OF INTEREST.

COUNCILMEMBER.

COOL.

THANKS, SIR.

NO QUESTIONS TODAY.

JUST, UH, A HUGE DEBT OF GRATITUDE.

ONE MORE TIME, UH, TO OUR STAFF WHO ARE HERE TODAY, BUT, AND IN ADDITION, ESPECIALLY TO THE ONES WHOSE FACES, WE'RE NOT SEEING HERE TODAY, THIS ISN'T TC, WE'VE BEEN AT IT FOR ALMOST A YEAR.

THERE'S PLENTY OF PEOPLE IN THE COMMUNITY WHO WOULD LIKE TO CRITICIZE OR TAKE POT SHOTS OR SAY THINGS ABOUT, UM, MOTIVATIONS OR THE WORK BEING DONE.

AND I JUST WANT TO LAY DOWN A REALLY STRONG FOUNDATION TO SAY THAT THE WORK THAT'S BEING DONE BY THE CITY AND THE COUNTY HERE, AND OUR EMPLOYEES HAS BEEN PHENOMENAL.

IT HAS BEEN, UM, DILIGENT AND IT'S CONTINUED, AND ESPECIALLY THE, UM, THE GOOD ATTITUDES THAT YOU ALL PROJECT, THE CALM REASSURANCE, I THINK MORE THAN ANYTHING.

WELL, ACTUALLY THE CALM REASSURANCE, PLUS THOSE GRAPHS WITH THE, WITH THE, UH, TREND BENDING DOWNWARD, UM, OUR, WHAT OUR COMMUNITY WANTS TO SEE, AND THAT WILL LIFT OUR SPIRITS AND PUSH US OVER THE FINISH LINE.

[00:55:01]

SO I, I, THAT, THAT'S IT FOR ME TODAY.

JUST A HEARTFELT AND GENUINE.

THANK YOU.

THANK YOU, COUNCIL MEMBER KELLY.

THANK YOU, DR.

SCOTT AND DIRECTOR HAYDEN HOWARDS FOR ALL THE WORK THAT YOU'RE DOING.

AND I ECHO LESLIE'S COUNCIL MEMBER POOL SENTIMENT.

MY QUESTION CHANGES GEARS A LITTLE BIT.

MY UNDERSTANDING IS THAT THE TRAVIS COUNTY SHERIFF'S OFFICE REPORTED ITS HIGHEST NEW COVID-19 CASE COUNTS A DATE AMONG INMATES AT THE JAIL THIS WEEK, 49 CASES WITH 46 LAST WEEK, THANKFULLY, NOTHING SERIOUS.

BUT I ALSO UNDERSTAND THAT QUARANTINED INMATES ARE IN SINGLE FLOOR AND ALL INMATES WHO ARE NEW, THERE ARE HELD IN SINGLE OCCUPANCY OCCUPANCY CELLS FOR ANYWHERE FROM 10 TO 44 DAYS WHEN THEY ENTER A FACILITY, WE KNOW THAT ISOLATION CAN BE TERRIBLE FOR WELLNESS AS WELL AS WE WANT TO AVOID THE SPREAD OF COVID.

BUT CAN YOU SPEAK TO THAT CHOICE OF SINGLE CAPACITY CELLS IN TERMS OF A HOLISTIC APPROACH TO INMATE WELLNESS, AS WELL AS TO WHAT STEPS WE'RE TAKING TO ENSURE THE HEALTH OF THAT POPULATION COUNCIL MEMBER? THEY, UH, THE SHERIFF'S DEPARTMENT HAS A MEDICAL UNIT THAT, UH, HAS DESIGNED THEIR, THEIR POLICY.

UH, YOU KNOW, WE, WE HAVE CONSOLE, WE HAVE CONSULTED ON IT IN THE PAST, UH, YOU KNOW, PARTICULARLY THE, THE INTAKE OF, OF NEW INMATES AND ENSURING THAT, UH, THAT WE HAD APPROPRIATE, UH, OR THAT THEY HAD APPROPRIATE, UH, QUARANTINE PRECAUTIONS FOR THAT, THAT ENTRY.

UM, UH, I'M NOT AWARE OF THE SPECIFIC DETAILS OF, UH, OF HOW THEY'RE PERFORMING, UH, THE REMAINDER OF, OF THEIR, THEIR COCONUT PROTECTIONS AT THIS STAGE.

I WILL SAY THAT, UH, I HAVE BEEN IN DISCUSSIONS WITH, UH, THE, THE, UH, PHYSICIAN FROM THE JAIL, UH, AND WE ARE WORKING ON A STRATEGY FOR, FOR VACCINATING, UH, SO THAT WE CAN AVOID SOME OF THOSE, THOSE CHALLENGES, PARTICULARLY FOR THE ONE P INMATES.

OKAY.

THANK YOU.

THANK YOU.

UH, COUNSEL, OUR KITCHEN.

YES.

THANK YOU.

UM, I DO WANT TO, UM, ADD MY THANKS TO, UM, TO OUR STAFF.

I WANT TO THANK DIRECTOR HAYDEN HOWARD, UH, FOR THE IMPROVEMENTS THAT HAVE BEEN MADE TO THE REGISTRATION SYSTEM, UM, AND THE PROCESSES THAT SHE LAID OUT TODAY, UH, TO HELP PEOPLE OVER 80 IN PARTICULAR AND, AND OTHERS, UH, TO GET, UH, TO GET AN APPOINTMENT.

UM, I HAVE A QUESTION OR TWO ABOUT THAT SYSTEM.

YOU KNOW, WE TALKED LAST WEEK AND THIS FOLLOWS UP ON SOME QUESTIONS FROM COUNCIL MEMBER ALTER.

UM, THE, YOU KNOW, LAST WEEK WE TALKED ABOUT THE INCREASED FUNCTIONALITY THAT, UM, IDEALLY WE WOULD LIKE TO SEE, UH, FROM THE SYSTEM AND I'M HEARING THAT SOME OF THOSE FUNCTIONALITIES ARE BEING ADDRESSED, BUT I WANT TO GET STRAIGHT AT THE ISSUE OF HAVING TO GO ONLINE AS COUNCIL MEMBER ALTAR SAID, UH, WITH, YOU KNOW, A HUNDRED OTHER THOUSAND PEOPLE OR MANY, MANY HUNDREDS OF THOUSANDS OF PEOPLE TO TRY TO GET AN APPOINTMENT ON ON TUESDAY AND THURSDAY, IT IS CERTAINLY MUCH BETTER TO SPECIFY TUESDAY AND THURSDAY.

AND I APPRECIATE THAT, BUT IT STILL IS, IS A VERY FRUSTRATING SYSTEM FOR PEOPLE.

AND SO WE'RE LAST TIME WE HAD ASKED ABOUT FUNCTIONALITY TO ACTUALLY SEND PEOPLE AN EMAIL, UH, WITH AN OFTEN, YOU KNOW, WITH, WITH THEIR APPOINTMENT, UH, AND, OR SEND THEM AN EMAIL TO SIGN UP FOR AN APPOINTMENT SO THAT THERE IS SOME KIND OF SYSTEM ABOUT WHO GETS ON TO TRY TO SIGN UP.

AND WE HAD SUGGESTED THAT, UH, LEE REACHING OUT TO OUR TECHNOLOGY LEADERS IN THE COMMUNITY WHO HAVE OFFERED TO HELP WITH THAT FUNCTIONALITY.

SO, UM, AND THE OTHER REASON FOR THAT IS THAT, UM, THERE JUST HAS TO BE A BETTER WAY THAN ALL THOSE PEOPLE HAVING TO GO ON ON TUESDAY AND THURSDAY.

AND I HAVE TO TELL YOU THAT MAYBE THIS IS IN THE WORKS, BUT IT IS NOT HAPPENING YET BASED ON CONVERSATIONS I'VE HAD WITH PEOPLE IN THE LAST FEW DAYS, THEY NOT GETTING AN EMAIL THAT TELLS THEM AT THE TIME TO SIGN UP.

SO MAYBE THAT'S A NEW FUNCTIONALITY THAT'S GOING TO BE OCCURRING NEXT WEEK OR IN THE NEXT FEW DAYS, BUT I HAVE TO TELL YOU IT IS NOT HAPPENING NOW.

SO MY QUESTION TO YOU, UM, UH, DIRECTOR, UH, HEN HOWARD IS, UH, DO, ARE WE WORKING TOWARDS OUR, IS THIS STEADY WORKING TOWARDS THE FUNCTIONALITY SO THAT WHEN PEOPLE GET REGISTERED, THEY RECEIVE AN EMAIL THAT SAYS HERE'S YOUR APPOINTMENT.

AND THEY DO NOT HAVE TO GO ON AND COMPETE WITH HUNDREDS OF THOUSANDS OF OTHER PEOPLE TO TRY

[01:00:01]

TO GET AN APPOINTMENT.

ARE WE WORKING ON THAT FUNCTIONALITY? UM, WE ARE NOT WORKING ON THAT FUNCTIONALITY.

UM, WHAT WE HAVE, HAVE PUT IN PLACE IS THE ABILITY, UM, TO MAKE SURE THAT WE'RE ABLE TO, TO SCHEDULE FOLKS, UM, THEY DO RECEIVE AN AUTOMATIC EMAIL THAT SAYS THAT YOUR REGISTRATION HAS BEEN APPROVED, UM, AND YOU'RE ELIGIBLE TO REGISTER.

UM, IN ADDITION TO RECEIVING THAT EMAIL, UM, STAFF HAS SENT OUT, UM, EMAILS, BUT AS I, UM, HAVE SHARED IN OTHER SETTINGS IS THAT THAT EMAIL IS SENT OUT.

AND, UM, WHEN THAT EMAIL IS SENT OUT, IT'S A HEAD OF, OF, YOU KNOW, EVERYONE KNOWING THAT THE PORTAL IS, IS AVAILABLE.

BUT WHAT WE HAVE FOUND IS IS THAT, UM, THERE ARE PEOPLE THAT OF COURSE ARE NOT ON THEIR EMAIL LIKE THAT.

AND SO THAT IS WHY WE HAVE IMPLEMENTED THE CALL CENTER, UM, BECAUSE WE FEEL LIKE THAT THAT'S GOING TO BE A WAY TO BE ABLE TO PROACTIVELY CALL FOLKS THAT WOULD LIKE TO BE CALLED AND WOULD LIKE TO GO AHEAD AND SCHEDULE THAT APPOINTMENT.

AND SO THEY WILL BE CALLED IN, ACCORDING TO OUR FOLKS ARE ABLE TO HAVE A TIMESTAMP OF WHEN THEY REGISTER.

AND SO THAT IS HOW WE'RE GOING TO BE ADDRESSING, UM, THE FOLKS IN HAVING THE COUNTY TO HELP US IN THAT WAY.

UM, THAT IS GOING TO ALLOW US TO BE ABLE TO ONE, WE LIKE THE ABILITY OF GIVING A PERSON A CHOICE, UM, WHERE WE, SOMEONE PROACTIVELY CALLS YOU AND HAVE THAT CONVERSATION WITH YOU ABOUT SCHEDULING AN APPOINTMENT.

AND THAT WAY YOU CAN PICK THE TIME THAT WORKS BEST FOR YOU.

UM, WE HAVE, UM, REACHED OUT TO, AND I WANT TO THANK MAYOR ADLER.

UM, HE DID PROVIDE ME INFORMATION LAST WEEK, UM, AND THERE HE IS A MEETING ON THURSDAY WITH AN EXTERNAL CONSULTANT, UM, TO TALK WITH THEM ABOUT, UM, THE PLATFORM.

AND SO WE WILL, UM, OUR, IT FOLKS WILL HAVE THAT CONVERSATION, BUT WE HAVE TO HAVE A SYSTEM, UM, THAT ONE GIVES PEOPLE A CHOICE BECAUSE SOME SENIORS, UM, A LOT OF THEM MAY DEPEND ON SOMEONE ELSE TO DRIVE THEM THERE.

UM, AS WELL AS, UM, MAKING SURE THAT THAT, THAT, THAT DATE IS GOING TO WORK FOR THEM.

WE, WE HAVE A VERY LOW NO-SHOW, UM, RATE AND WE WANT TO KEEP IT THAT WAY BECAUSE IT'S BASED UPON CHOICE.

AND SO WE FEEL MORE COMFORTABLE WITH PEOPLE HAVING A CHOICE OF WHEN THEIR APPOINTMENT IS OKAY, ONE QUICK FOLLOWUP.

SO IF I'M UNDERSTANDING CORRECTLY, THERE ARE TWO WAYS TO GET AN APPOINTMENT GOING FORWARD.

THAT'S THE THINKING IS TWO WAYS TO GET AN APPOINTMENT GOING FORWARD.

YOU CAN GO ONLINE AND REGISTER ON TUESDAY OR THURSDAY AND GET AN APPOINTMENT THAT WAY, YOU KNOW, IF YOU HAPPEN TO GET ONLINE EARLIER AND AHEAD OF EVERYBODY ELSE, SECOND, YOU'LL GET A PHONE CALL.

SOME NUMBER OF PEOPLE WILL GET A PHONE CALL WITH AN APPOINTMENT, BUT NOT EVERYBODY WILL.

AND THOSE PEOPLE THAT WILL GET A PHONE CALL OR THE OLDER ONES, I THINK, DID YOU SAY OVER 80? I THINK SO.

MY UNDERSTANDING CORRECTLY THAT GOING FORWARD, THE INTENT IS THESE TWO WAYS, AND THERE IS NO INTENT TO MAKE IT EASIER FOR FOLKS SO THAT THEY DON'T HAVE TO GO ON ON TUESDAY AND THURSDAY AND, UH, COMPETE FOR A SPOT WITH HUNDREDS OF THOUSANDS OF OTHER PEOPLE.

THERE'S NO INTENT TO TRY TO ADDRESS THAT FUNCTIONALITY.

I DO AGREE WITH WHAT YOU'RE SAYING, DIRECTOR HAYDEN HOWARD, YOU KNOW, ABOUT CHOICES, BUT I'M WONDERING WHY WE AREN'T JUST CALLING EVERYBODY AND SETTING UP WHAT, WHY WE AREN'T JUST CALLING EVERYBODY AND SETTING UP APPOINTMENTS OR, AND, OR, YOU KNOW, INSTEAD OF HAVING PEOPLE STILL HAVE TO, UM, GO THROUGH THE FRUSTRATION, TRYING TO GET SCHEDULED TIMES ON TUESDAY AND THURSDAYS TO TRY, AND THEN MOST OF THEM WON'T BE ABLE TO GET IT.

SO, UM, SO DID I, DID I UNDERSTAND THAT CORRECTLY THAT THERE ARE TWO ROUTES, UM, SOME NUMBER OF PEOPLE WILL GET PHONE CALLS, UM, WITH CHOICES OF APPOINTMENTS, AND THOSE WILL BE THE OLDER FOLKS AND EVERYONE ELSE WILL HAVE TO TRY TO, UM, UH, ON TUESDAYS AND THURSDAYS, WE'LL HAVE TO TRY WITH EVERYONE ELSE TO GET AN APPOINTMENT.

IS IT, DID I UNDERSTAND THAT CORRECTLY? YES, THAT THAT IS CORRECT.

UM, BECAUSE IF WE HAVE 12,000 APPOINTMENTS A WEEK, UM, THAT IS

[01:05:01]

THAT IF WE'RE NOT USING TECHNOLOGY TO ASSIST US AND I'M GOING TO HAVE TO HAVE A SIGNIFICANT AMOUNT OF PEOPLE MAKING THOSE CALLS.

AND SO WE, WE MAKE ADJUSTMENTS KIND OF BASED UPON THE CALL VOLUME IN, IN THE QUESTIONS THAT ARE OCCURRING, UM, AND, AND LOOKING AT HOW WE NEED TO INCREASE THE NUMBER OF FOLKS THAT ARE ANSWERING CALLS THAT ARE RETURNING CALLS THAT ARE PROVIDING TECHNICAL ASSISTANCE.

UM, AND, BUT WE KNOW THAT EVEN THOUGH THE SYSTEM HAS HAD MANY CHALLENGES, THE SYSTEM HAS, HAS HELPED US TO SUCCESSFULLY PROVIDE 12,000 VACCINES A WEEK.

AND SO WE, WE HAVE TO ACKNOWLEDGE THAT IT HAS DONE SOME GOOD, WE CONTINUE TO MAKE UPDATES.

UM, WE WILL BE MEETING WITH THE EXTERNAL CONSULTANT, UM, TO SEE WHAT THEY MAY BE ABLE TO OFFER US.

UM, AND WE'LL CONTINUE TO, TO, TO WORK ON IT AS WE MOVE ALONG.

OKAY.

MY LAST QUESTION THEN IS, AND THANK YOU.

I RECOGNIZE THAT THERE'S CONTINUED IMPROVEMENTS.

I JUST WANT US TO BE THE BEST THAT WE CAN BECAUSE OF THE CITY THAT WE ARE IN AND TO HELP OUR RESIDENTS, UM, WITH THE FRUSTRATION THEY'RE EXPERIENCING NOW.

SO THANK YOU VERY MUCH, AND I'M GLAD TO HEAR THAT YOU WILL BE MEETING LATER IN THIS WEEK.

AND I WOULD ASK YOU TO TALK TO THEM ABOUT THE, THE POSSIBILITY OF, OF A TECHNOLOGY SOLUTION THAT WOULD ALLOW THAT FUNCTIONALITY SO THAT PEOPLE DON'T HAVE TO GO ON, YOU KNOW, AND THANK YOU FOR THE, JUST TWICE A WEEK NOW THAT HELPS.

BUT SO PEOPLE DON'T HAVE TO GO ON AND COMPETE WITH THE HUNDREDS OF THOUSANDS OF OTHER PEOPLE TO TRY AND GET THEIR APPOINTMENT.

SO AGAIN, THANK YOU VERY MUCH AND, UH, APPRECIATE THE IMPROVEMENTS THAT HAVE BEEN MADE SO FAR.

THE SYSTEM HAS DONE SOME GOOD, THERE'S NO QUESTION ABOUT THAT.

THE QUESTION IS SIMPLY HOW DO WE DO BE THE BEST WE POSSIBLY CAN WITH THE FUNCTIONALITY OF THE SYSTEM? AND SO THANK YOU FOR WHAT YOU'RE GOING TO BE DOING LATER IN THE WEEK, AND THANK YOU ALL FOR THE WORK THAT YOU'VE DONE SO FAR.

THANK YOU, COUNCIL MEMBER KITCHEN, UH, ACCOUNTS IS SAR MAYOR.

MY QUESTION WAS VERY SIMILAR TO THOSE RAISED BY OTHERS.

AND SO I THINK JUST REEMPHASIZING THAT IF THERE'S ANYTHING THE COUNCIL OR THE COMMISSIONERS COURT CAN DO TO KEEP LEADING INTO MAKING THE WEBSITE, UH, AS ACCESSIBLE AS POSSIBLE, THE SYSTEM AS TRANSPARENT AS POSSIBLE AND MORE WORKABLE, PLEASE DO LET US KNOW, BECAUSE I THINK YOU'VE LAID OUT HERE.

WHAT MANY OF THE CHALLENGES ARE, BUT WE CONTINUE TO HEAR, UH, FRUSTRATION AND CHALLENGES FROM FOLKS TRYING