Link

Social

Embed

Download

Download
Download Transcript

[00:00:04]

UH, I'M COMMISSIONER, PLEASE.

AND I'M CALLING TO ORDER THE TRAVIS COUNTY COMMISSIONER'S COURT, UH, FOR THIS JOINT SESSION WITH, UH, WITH THE CITY COUNCIL, MR. GOMEZ.

THEY HAVEN'T STARTED THE MEETING YET.

MEDIA'S ABOUT TO PULL IT UP.

SO YOU'LL NEED TO REPEAT THAT.

I THINK YOU NEED TO SAY MEDIA WE'RE READY.

STEVE.

I SEE A CORE WE HAVE, WHEN ARE MORE THAN WE NEED.

GOOD MORNING.

THIS IS MEDIA.

ARE WE READY? YES.

VERY GOOD.

I'M

[1. Update on Covid-19 related matters]

CALLING TO ORDER THE TRAVIS COUNTY COMMISSIONER'S COURT, UH, MEETING, UH, JUDGE BROWN IS NOT WITH US TODAY.

WE, UM, UH, HOPE, UH, FOR HIS, UH, QUICK RECOVERY AND HE WILL BE WITH US NEXT WEEK.

AND SO I, UM, I WILL TURN IT OVER TO THE MAYOR TO, UH, CALL TO ORDER THE CITY COUNCIL COMMISSIONER.

THANK YOU.

UH, THIS IS, UH, APRIL 20TH, UH, 2021, UM, CALL TO ORDER THE CITY COUNCIL, A PORTION OF THE JOINT MEETING WITH THE TRAVIS COUNTY COMMISSIONERS COURT NINE OH FIVE.

WE HAVE A QUORUM, UH, COMMISSIONER, TURN IT BACK OVER TO YOU.

GREAT.

SO WE CALLED TO ORDER THE JOINT MEETING OF THE COMMISSIONERS COURT AND THE CITY COUNCIL, UH, FOR THE PURPOSES OF THE COVID REPORTS.

AND SO WHAT WE WILL DO IS STILL FOLLOW THE ORDER THAT WE HAVE FOLLOWED IN THE PAST FEW MEETINGS.

UM, THE COMMISSIONER'S COURT WILL GO, UH, FIRST WITH QUESTIONS AND, UM, AND THE, UH, CITY COUNCIL AND THE MAYOR.

SO, UM, I THINK WE'RE READY TO HEAR FROM DR.

UM, COMMISSIONER GOMEZ, THE SAN MARIE, AND ASK IF THERE'S ANY COLORS BEFORE WE START THE BRIEFING.

OKAY.

AND, UH, LARRY, ARE THERE ANY CALLERS? OKAY.

THANK YOU, DR.

SCOTT.

OKAY.

THANK YOU, COMMISSIONER.

UH, CAN YOU ALL SEE MY SLIDES? YES.

OKAY.

LET ME JUST MOVE IT INTO PRESENTATION MODE AND I WILL GET STARTED.

YEAH.

THANK YOU.

UH, TO, UH, TO BOTH THE COMMISSIONER'S COURT AND CITY COUNCIL, TO THE OPPORTUNITY TO UPDATE YOU BOTH ON OUR COVID-19 RESPONSE, I'M GOING TO START FIRST WITH A COUPLE OF, UH, UPDATES.

UH, I SHOWED THIS A PIE CHART LAST WEEK WITH OUR PROGRESS TOWARDS HERD IMMUNITY IN AUSTIN AND TRAVIS COUNTY.

UH, IT'S UPDATED WITH THE CURRENT NUMBERS.

YOU CAN SEE THAT WE'VE GOT ABOUT 7% OF OUR POPULATION WHO HAS BEEN CONFIRMED AS A COVID CASE SINCE THE BEGINNING OF THE PANDEMIC, AN ESTIMATED ADDITIONAL 13%, UH, BASED UPON PROJECTIONS FROM UT.

SO A TOTAL OF PERHAPS 20% OF OUR POPULATION.

SO ONE IN FIVE INDIVIDUALS THAT HAVE EXPERIENCED COVID ILLNESS ALREADY, BUT OF THAT IN THE TWO GRAIN AREAS, YOU CAN SEE, UH, THE FULLY VACCINATED, AS WELL AS THE PARTIALLY VACCINATED, A TOTAL OF ABOUT 41% OF OUR POPULATION.

SO MORE THAN DOUBLE THE AMOUNT WHO HAVE LIKELY HAD COVID IN THE PAST, UH, HAVE BEEN AT LEAST PARTIALLY VACCINATED OR FULLY VACCINATED, UH, THAT LEAVES ABOUT AT LEAST 39% OF OUR POPULATION STILL VULNERABLE.

AND WHEN I SAY AT LEAST 39% THAT'S BECAUSE, UH, THIS PIE CHART IS ASSUMING THAT THERE IS ZERO OVERLAP BETWEEN PEOPLE WHO HAVE ADD COVID AND PEOPLE WHO'VE BEEN VACCINATED.

UH, WE, WE, WE KNOW THAT'S NOT TRUE.

WE KNOW THAT THERE'S AT LEAST SOME OVERLAP BETWEEN THOSE WHO'VE HAD THE ILLNESS AND THOSE WHO'VE BEEN VACCINATED.

UH, SO THIS IS A MINIMUM NUMBER OF VULNERABLE PEOPLE THAT 39% REPRESENTS ABOUT 500,000 PEOPLE.

UH, ABOUT HALF OF THOSE 500,000 PEOPLE WHO HAVEN'T BEEN VACCINATED ARE CHILDREN UNDER THE AGE OF 16.

UM, SO WE'VE GOT A WAYS TO GO IN TERMS OF HERD IMMUNITY.

UH, AND I THINK THAT THE BEST THING THAT WE CAN DO AS A COMMUNITY IS TO CONTINUE TO SIGN UP FOR VACCINATIONS.

IF YOU'RE 16 YEARS OLD OR OLDER, UH, THOSE INDIVIDUALS WHO ARE 16 OR 17 YEARS OLD AND GO GET A PFIZER VACCINE, UH, INDIVIDUALS WHO ARE 18 OR OLDER, UH, CAN GET ANY OF THE VACCINES THAT ARE CURRENTLY AVAILABLE, THE FASTER WE CAN GET SHOTS IN ARMS, THE FASTER WE CAN PROGRESS TOWARDS HERD IMMUNITY AND NORMALCY.

UH, SO AGAIN, UH, WE'VE GOT QUITE A BIT OF WORK TO DO, BUT WE'RE CERTAINLY MAKING PROGRESS.

UH, THIS IS A NEW SLIDE, WHICH IS SHOWING YOU A COMPARISON OF TRAVIS

[00:05:01]

COUNTY, UH, WITH SOME OTHER METROPOLITAN AREAS IN TAXES.

UH, THERE'S FOUR DIFFERENT, UM, UH, GRAPHS HERE.

YOU CAN SEE THAT, UH, ON THE LEFT IS THE 16 YEARS OLD AND OLDER WHO ARE FULLY VACCINATED FOLLOWED BY 16 YEARS AND OLDER WITH ONE DOSE 65 YEARS AND OLDER, FULLY VACCINATED AND 65 YEARS AND OLDER WITH AT LEAST ONE DOSE.

UH, THE ONE ON THE FAR LEFT IS, IS PROBABLY THE MOST TELLING AS FAR AS PROGRESS TOWARDS HERD IMMUNITY.

UH, YOU CAN SEE THAT TRAVIS COUNTY'S IN SECOND PLACE, UH, WITH THIS SMALL GROUP OF COUNTIES BEHIND EL PASO COUNTY, UH, WHO'S REALLY LEADING THE METROPOLITAN JURISDICTIONS IN ALL OF THESE MEASURES.

UH, I THINK THAT'S LIKELY BECAUSE OF THE, UH, CATASTROPHIC SURGE THAT THEY HAD IN EL PASO.

I THINK THE HESITANCY IN EL PASO IS GOING TO BE LOWER THAN A LOT OF OTHER PLACES BECAUSE EXPERIENCED THAT CATASTROPHIC SURGE FIRSTHAND.

UH, SO IT'S, IT'S A LOT CLOSER TO PEOPLE.

A LOT MORE PEOPLE HAVE BEEN PERSONALLY IMPACTED OR HAD A FAMILY MEMBER, UH, WHO HAD COVID OR DIED FROM COVID.

AND I THINK FOR US IN TRAVIS COUNTY, WE NEED TO TAKE THESE LESSONS.

WE DON'T NEED TO EXPERIENCE THAT CATASTROPHIC SURGE HERE TO BE MOTIVATED TO GET VACCINE.

SO ONCE AGAIN, ALL OF US, ALL OF OUR ELECTED OFFICIALS, ALL OF OUR COMMUNITY ADVOCATES, ALL OF OUR CHURCHES, ALL OF OUR SCHOOLS, EVERYBODY NEEDS TO BE TALKING ABOUT VACCINE SO THAT WE CAN PUSH THESE NUMBERS UP AND, UH, PROGRESS MORE RAPIDLY TOWARDS THAT HERD IMMUNITY THAT WE ALL SEEK.

THIS IS AN UPDATE OF OUR CONFIRMED CASES IN TRAVIS COUNTY.

UH, YESTERDAY REPORTED 143 NEW CASES WITH A MOVING AVERAGE OF 116.

UH, YOU KNOW, FOR THE PREVIOUS SEVERAL WEEKS, WE'VE BEEN OSCILLATING AROUND THAT, UH, ABOUT A HUNDRED, UH, FOR QUITE SOME TIME, WE'VE SEEN THAT SHIFT UP.

SO WE HAVE A HIGHER PLATEAU NOW, AND IT REALLY BEEN OFFERED AND BETWEEN ABOUT 115 AND 125 OVER THE PAST, UH, WEEK TO 10 DAYS, UM, WE, YOU KNOW, DID SEE A SIGNIFICANT INCREASE LAST WEEK.

WE HAD A PEAK, UH, LAST MONDAY, UH, WE'RE ABOUT 136 ON THAT MOVING AVERAGE.

WE'VE SEEN THAT COME DOWN A LITTLE BIT AND, AND PLATEAU OFF, BUT AGAIN, UH, OPEN IT'S STILL HERE.

IT'S STILL SPREADING.

WE'RE STILL SEEING PEOPLE INFECTED AND HOSPITALIZED.

AND THAT MEANS THAT WE HAVE TO CONTINUE THOSE PROTECTIONS, WASHING OUR HANDS, WATCHING OUR DISTANCE AND WEARING OUR MASKS.

THE MORE WE CAN DO THAT, UH, THE BETTER CHANCE WE HAVE OF PUSHING DOWN DISEASE, PUSHING DOWN TRANSMISSION AND ALLOW THE OPPORTUNITY TO GET MORE PEOPLE VACCINATED.

THIS IS AN UPDATE OF OUR NEW ADMISSIONS TO THE HOSPITAL.

UH, AGAIN, YOU CAN SEE ON THE RIGHT SIDE OF THIS GRAPH, WE HAD A SUDDEN AND, AND A SIGNIFICANT INCREASE IN OUR ADMISSIONS TO HOSPITAL FRIDAY AND SATURDAY, UH, SATURDAY, OR SORRY, FRIDAY, UH, WE HAVE 37 ADMISSIONS, WHICH WAS MORE THAN DOUBLE THE MOVING AVERAGE.

SO A SIGNIFICANT SHIFT SATURDAY, WE WERE 50% ABOVE THE MOVING AVERAGE WITH 30 ADMISSIONS.

NOW, LUCKILY SUNDAY AND MONDAY, WE'VE SEEN THAT NUMBER COME DOWN TO 20 AND 12 RESPECTIVELY ON THOSE TWO DAYS.

UH, BUT WE'LL OBVIOUSLY NEED TO BE CLOSELY MONITORING THIS SITUATION AS WE HAVE, HAVE, UH, LOST SIGNIFICANT GROUND, UH, THAT WE HAD GAINED, UH, IN THE, IN THE PREVIOUS COUPLE OF WEEKS.

UM, AGAIN, MORE EVIDENCE OF THE DISEASE IS STILL HERE.

IT'S STILL SPREADING, THERE'S STILL 500,000 PLUS INDIVIDUALS VULNERABLE.

SO WE HAVE TO MAINTAIN OUR CAUTION.

THIS IS AN UPDATE OF OUR, UH, HOSPITALIZATIONS.

UH, AGAIN, THE BLUE IS THE TOTAL HOSPITAL BEDS BEING UTILIZED, THE ORANGE ICU BEDS, THE GRAY OR VENTILATOR BEDS.

UH, OUR HOSPITALIZATIONS YESTERDAY WERE 144 WITH A MOVING AVERAGE OF 138, UH, THAT, UH, THAT MOVIE AVERAGE IS INCREASING FOR FOUR DAYS IN A ROW.

UH, SO AGAIN, WE HAD SEEN IT CONSISTENTLY DECLINED FOR, UH, SEVERAL MONTHS, REALLY.

UH, AND THIS IS THE FIRST INCREASE WE'VE SEEN IN QUITE SOME TIME ABOUT A 4% INCREASE OVER THE REPORT FROM LAST WEEK.

UH, SO MARGINAL IMPACT ON THE OVERALL NUMBERS OF INDIVIDUALS HOSPITALIZED.

UH, BUT NEVERTHELESS, CONCERNING DO THAT, UH, TRANSITION FROM A DECLINE TO AN INCLINE, THE ICU BEDS YESTERDAY, UH, 42 WITH A MOVING AVERAGE OF 39, UH, THAT'S BEEN RELATIVELY FLAT, UH, VENTILATOR USE 21 WITH A MOVING AVERAGE OF 21.

YOU CAN SEE WE'VE HAD SOME INCREASE, BUT IT'S BEEN RELATIVELY FLAT IN BOTH THOSE MEASURES.

AND I'LL, I'LL TALK MORE ABOUT WHY WE'RE SEEING THAT DECREASE IN ACUITY A LITTLE BIT LATER.

UH, THIS IS A PROJECT FROM UT.

UH, THIS WAS LAST UPDATED

[00:10:01]

BEFORE THE, UH, THAT SIGNIFICANT INCREASE IN ADMISSIONS THAT I TALKED ABOUT LAST FRIDAY AND SATURDAY.

UH, THIS IS SHOWING AGAIN ON THIS UPDATE, UH, A PATH TOWARDS STAGE TWO.

UH, MY EXPECTATION AGAIN, BECAUSE OF THAT INCREASE THAT WE SAW FRIDAY AND SATURDAY IS THAT WHEN UT UPDATES THIS, THIS WEEK, UH, IS GOING TO SHOW US EITHER FLAT OR INCREASING, UH, YOU KNOW, ANYTIME WE SEE THAT SIGNIFICANT, UH, CHANGE IN ADMISSIONS TO THE HOSPITAL THAT INDICATES TO US, AND IT WAS AN ACCURATE INDICATOR OF INCREASING DISEASE TRENDS.

UH, SO MY GUESS IS THAT, UH, THE PROJECTIONS MAY INDICATE, UH, CERTAINLY A SIGNIFICANT INCREASE IN THE RISK THAT THE EPIDEMIC IS GROWING IN AUSTIN AND TRAVIS COUNTY, THIS THE DATE OF OUR HOSPITALIZATIONS BY AGE GROUP.

BUT UNFORTUNATELY WE'VE SEEN SOME INCREASES IN OUR, UH, AGE GROUPS ARE 80 PLUS AGE GROUP, 70 TO 79, 60 TO 69 AND OUR, UH, 50 TO 59 GROUPS.

UM, AND I'LL TALK MORE ABOUT THAT ON THE NEXT SLIDE YOU CAN SEE FROM THIS, WE HAVE SEEN TWO WEEKS IN A ROW DECREASE IN THAT 20 TO 29 AGE GROUP.

AND AGAIN, WHAT WE HAD SEEN IN THE PAST AFTER HOLIDAYS, UH, WAS THAT, UH, WE WOULD SEE AN INCREASE IN THE 10 TO 19 AGE GROUP, 20 TO 29 AGE GROUP, AND THEN A WEEK TO TWO WEEKS LATER INCREASES IN THOSE OLDER AGE GROUPS AND APPEARS.

THAT'S WHAT WE'RE SEEING.

AGAIN, YOU CAN SEE HERE 168 TOTAL HOSPITAL ADMISSIONS LAST WEEK.

THAT'S A 15% CORRECTION, 16% INCREASE IN TOTAL HOSPITALIZATIONS OVER THE PREVIOUS WEEK.

UH, SO WE'VE BROKEN OUR, UH, OUR TREND OF, OF DECREASING HOSPITAL ADMISSIONS.

UM, YOU CAN SEE THAT, UH, WE'VE HAD INCREASES IN EVERY AGE GROUP, UH, OVER THE AGE OF 30, UH, SO 12 TO 16 FOR 80 PLUS 27 TO 34, FOUR 70 79, UH, 26 TO 31 FOR OUR 60 TO 69, 29 TO 31 FOR OUR 50 TO 59 GROUP.

UH, SO AGAIN, WE'RE SEEING CONTRACTION IN THOSE YOUNGER AGE GROUPS AND EXPANSION IN THOSE OLDER AGE GROUPS, TRAVIS COUNTY, CITY OF AUSTIN IS DOING A GOOD JOB AT VACCINATING INDIVIDUALS, 65 AND OLDER, UH, UH, DIRECTOR HAYDEN, HOWARD.

WE'LL TALK MORE ABOUT THAT IN A BIT LATER, UH, BUT THERE'S STILL LOTS OF VULNERABLE PEOPLE OUT THERE.

WE STILL HAVE TO BE CAREFUL AROUND OLDER ADULTS, UH, PARTICULARLY THOSE WHO HAVE NOT BEEN VACCINATED.

IT'S IMPORTANT TO REMEMBER THAT EVEN THOUGH FOLKS ARE VACCINATED, THEY CAN STILL GET COVID-19, WHICH MEANS EVEN IF YOU'RE AROUND FOLKS, WHO'VE BEEN VACCINATED, YOU NEED TO USE CAUTION.

IF YOU'RE SYMPTOMATIC WITH ANYTHING THAT CAN BE COVERED, SORE THROAT COUGH, RUNNY NOSE, NAUSEA, VOMITING, DIARRHEA, UH, ANYTHING ON THAT LIST OF SYMPTOMS. YOU SHOULD NOT BE AROUND THOSE OLDER ADULTS, IF YOU'RE VACCINATED AND YOU'RE ASYMPTOMATIC, IT'S A DIFFERENT STORY.

AND, YOU KNOW, WE HAVE GUIDELINES.

CDC HAS GUIDELINES FOR THOSE, BUT WE HAVE TO USE CAUTION.

ANYBODY WHO HAS SYMPTOMS, ANYBODY WHO IS, HAS BEEN EXPOSED TO SOMEBODY WITH SYMPTOMS SHOULD AVOID GOING TO PLACES LIKE NURSING HOMES, LONG-TERM CARE FACILITIES OR VISITING, UH, RELATIVES, UH, PARTICULARLY THOSE WERE UNVACCINATED.

THIS IS AN UPDATE OF OUR HOSPITALIZATIONS BY RACE AND ETHNICITY.

UM, WE SAW A SIGNIFICANT DECREASE IN OUR, UH, LATIN X ADMISSIONS LAST WEEK.

UM, 41.3% OF ADMISSIONS THE PREVIOUS WEEK AND 33.8 LAST WEEK.

UH, UNFORTUNATELY WE SAW A SIGNIFICANT INCREASE IN OUR AFRICAN-AMERICAN ADMISSIONS TO THE HOSPITAL, 13% TO 17.2%, WHICH REPRESENTS A 39% INCREASE WEEK OVER WEEK, UH, FOR OUR AFRICAN-AMERICAN COMMUNITY MEMBERS.

AGAIN, WE KNOW THAT, UH, VACCINE HESITANCY IN OUR AFRICAN-AMERICAN COMMUNITY HAS BEEN HIGHER THAN OTHER COMMUNITIES.

UH, WE'VE GOT SOME, UH, MEETINGS THIS WEEK, DIRECTOR HAYDEN HOWARD, AND I, UH, TO, UH, DISCUSS SOME OF THOSE HESITANCY ISSUES.

BUT AGAIN, ALL OF OUR COMMUNITY GROUPS, ALL OF OUR ELECTED OFFICIALS, UH, ALL OF OUR COMMUNITY ADVOCATES NEED TO BE ACTIVELY REACHING OUT, TALKING TO PEOPLE OF THAT VACCINE, ADDRESSING THE CONCERNS SO THAT WE CAN MOVE PAST THAT HESITANCY AND GET SHOTS IN ARMS AND SAVE LIVES.

YOU CAN SEE HERE.

UH, THIS IS THE, UH, NUMBER OF INDIVIDUALS FROM EACH RACE AND ETHNICITY WHO WERE HOSPITALIZED LAST WEEK, UM, SAW DECREASE AGAIN,

[00:15:01]

57 TO 49 OR LATIN X COMMUNITY INCREASE BY THE SAME AMOUNT, UH, 57 TO 65 IN OUR, UM, UH, WHITE, NON HISPANIC COMMUNITY, ABOUT A 14% DECREASE FOR LATIN X IN A 14% INCREASE FOR OUR, UH, UH, WHITE, UH, NON-HISPANIC COMMUNITY.

AND YOU CAN SAY THAT INCREASED, THAT I SPOKE ABOUT BEFORE 18 TO 25 FOR AFRICAN-AMERICAN WOMEN.

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

YOU CAN SEE THAT LAST WEEK, WE ROSE TO 4.8% CURRENTLY WE'RE AT 4.5%, UH, FOR THE DATA FOR LAST WEEK.

UH, AGAIN, WE STILL HAVE DATA POINTS COMING IN.

THAT NUMBER MAY CHANGE.

UM, WHAT WE HAVE SEEN IS A SIGNIFICANT DECREASE IN TESTING.

UH, WHEREAS IN THE PAST WE WERE SAYING, UH, 15, 20,000 TESTS A WEEK RENOUNCING ABOUT 10,000 TESTS A WEEK, UH, THAT'S COMING INTO OUR DATA FEED.

UH, SO AGAIN, PART OF THE STRATEGY OF, OF DRIVING TRANSMISSION DOWN IS ENSURING THAT WE'RE TESTING EVERYBODY WHO MAY HAVE SYMPTOMS OF COVID-19.

AND I SAY, MAY HAVE SYMPTOMS BECAUSE THE SYMPTOMS MIMIC LOTS OF OTHER THINGS, INCLUDING FLU AND INCLUDING SEASONAL ALLERGIES.

SO IT IS REALLY CRITICAL, EVEN IF YOU REALLY DON'T THINK IT'S COVID-19 TO GO GET YOURSELF A PRE-TEST AND BE SURE IT'S NOT COVID-19 BEFORE YOU GO TO WORK, BEFORE YOU GO TO SCHOOL, BEFORE YOU GO HANG OUT WITH FAMILY OR FRIENDS, THE MORE WE CAN DO THAT, THE MORE SUCCESS WE CAN HAVE A DRIVING DOWN THE TRANSMISSION.

THIS IS A BREAKDOWN OF THAT POSITIVITY BY RACE AND ETHNICITY, OUR LATIN X COMMUNITY, UH, HAD A SLIGHT INCREASED 5.8% TO 6.3% SO FAR FOR LAST WEEK.

AFRICAN-AMERICAN COMMUNITY DECREASED 5.5% AND 4.5% FOR LAST WEEK.

OUR ASIAN-AMERICAN COMMUNITY 5.6% TO 3.9% LAST WEEK, AND OUR WHITE NON HISPANIC COMMUNITY MEMBERS RELATIVELY FLAT 3.9% TO 4.0%.

UH, AGAIN, UH, THE, UH, POSITIVE OF RACE AND ETHNICITY, UH, IS SHOWING THAT ALMOST EVERYBODY IS, IS UNDER THAT 5% MARK, BUT EVERYBODY IS OVER THAT 3% MARK.

SO AGAIN, ACROSS THE BOARD, ACROSS ALL RACES AND ETHNICITIES IN OUR COMMUNITY, WE'VE GOT TO CONTINUE THOSE PROTECTIONS TO DRIVE DOWN DISEASE.

THIS IS AN UPDATE OF THE POSITIVITY BY AGE.

NOW YOU CAN SEE THAT THERE HAVE BEEN SIGNIFICANT INCREASES IN OUR POSITIVITY AND OUR REPORTING TO 49 YEAR AND 50 TO 59 YEAR OLDS.

UM, THEY ARE, UH, BOTH OVER 7% ON 7.2%.

SO THOSE ARE THE HIGHEST, UH, POSITIVITY AGE GROUPS IN OUR COMMUNITY.

YOU CAN SEE THAT WE HAD A DECREASE IN OUR 10 TO 19 20 TO 29 YEAR OLDS, BUT STILL OVER THAT 5% MARK, YOU ALSO SEE A SIGNIFICANT INCREASE IN OUR, UH, INDIVIDUALS LESS THAN ONE YEAR OLD, UH, MOVING FROM UNDER 3%, UNDER 2% TO ABOUT 5% LAST WEEK.

UH, SO AGAIN, COVID-19 CAN AFFECT PEOPLE OF ALL AGES.

UH, WE KNOW THAT HOSPITALIZATIONS INCREASE THE OLDER YET, BUT WE ALSO SEE INCREASES IN THE VERY YOUNG CHILDREN DUE TO THE RESPIRATORY RATE IMPACT OF COVID-19.

WE KNOW THAT, UH, COMPLICATIONS FOR CHILDREN, UH, THE INFLAMMATORY RESPONSE, UH, IS A SIGNIFICANT ISSUE.

UH, AND I ALSO WANT TO POINT OUT THAT, THAT WE HAVE GROWING EVIDENCE OF LONG-TERM CONCERNS REGARDING COVID-19 INFECTION, INCLUDING, UH, YOU KNOW, BRAIN INJURY, UH, THAT HAS AN IMPACT ON RATES OF DEPRESSION, ANXIETY, AND OTHER MENTAL HEALTH ISSUES.

UH, SO AGAIN, REGARDLESS OF WHAT YOU THINK YOUR RISK IS AND HOW MILD YOU THINK YOUR SYMPTOMS MAY BE, I'LL TELL YOU THAT.

I TALKED TO A LOT OF PEOPLE.

WHO'VE BEEN SURPRISED, ATHLETES, MARATHONERS, PEOPLE WHO ARE ACTIVE AND YOUNG AND HEALTHY, WHO ARE SIGNIFICANTLY IMPACTED BY COVID-19, WHO CAN'T WALK A MILE WITHOUT HAVING TO STOP AND SIT DOWN, BUT USED TO BE ABLE TO RUN FIVE, 10 MILES OR MORE, UH, PEOPLE WHO HAVE LINGERING EFFECTS MONTHS AFTER THEIR, UH, NO LONGER INFECTIONS.

THESE ARE REAL CONCERNS.

PEOPLE NEED TO PAY ATTENTION.

AND I'LL TELL YOU, I KNOW MANY PEOPLE WHO'VE HAD COVID-19 AND I CAN ATTEST THAT YOU DON'T WANT TO HAVE IT REGARDLESS OF YOUR AGE, REGARDLESS OF HOW HEALTHY YOU THINK YOU ARE.

YOU DON'T WANT TO HAVE COVID-19.

SO PLEASE GET YOUR VACCINE.

PLEASE CONTINUE TO USE, USE THOSE PRECAUTIONS UNTIL WE CAN REACH THAT HERD IMMUNITY TOGETHER.

UH, HERE'S SOME MORE DETAILS ON

[00:20:01]

OUR POSITIVE IN SCHOOL AGED CHILDREN.

UH, SO AGAIN, WE SEE THAT OUR MIDDLE SCHOOL AND HIGH SCHOOLS ARE WELL ABOVE, UH, THAT, UH, THAT AVERAGE, UH, POSITIVITY OUR COMMUNITY 7.9% OF HIGH SCHOOLERS, 5.1% FOR MIDDLE-SCHOOLERS.

UM, AGAIN, WE HAVE SEEN CLUSTERS ASSOCIATED WITH IT, UH, AND, UH, VIC, YOU'RE ALL AWARE OF THE ONES THAT, UH, AISD AFFECT DATING, UH, THE SPORTS, UH, TEAMS. WE'VE CERTAINLY SEEN OTHER CLUSTERS AT OTHER SCHOOLS, UH, TYPICALLY AGAIN, UNRELATED TO ATHLETICS, EXTRACURRICULAR ACTIVITIES AND SOCIAL EVENTS.

UH, WE'RE NOT AT THE, AT THE PLACE WHERE WE CAN GO BACK TO NORMAL YET, AND THAT INCLUDES OUR YOUNG PEOPLE.

UH, SO PLEASE CONTINUE THOSE PRECAUTIONS PARENTS, PLEASE CONTINUE TO REMIND YOUR CHILDREN ABOUT THE IMPORTANCE OF MASKING AND DISTANCING AND THAT PERSONAL HYGIENE.

UH, AGAIN, SIMILAR TO THE PREVIOUS WEEKS, WE SEE THAT OUR ELEMENTARY SCHOOL AND PRESCHOOLERS ARE WELL UNDER THAT AVERAGE, UH, POSITIVITY 1.7% FOR BOTH THIS WEEK.

UH, SO AGAIN, UH, QUITE A VARIATION ACROSS OUR SCHOOL AGES, UH, STILL NO SIGNIFICANT EVIDENCE INDICATING, UH, CONCERN ABOUT, UH, CLUSTERS ASSOCIATED WITH CLASSROOM SPACES.

OUR SCHOOLS ARE DOING A GREAT JOB OF, OF ENFORCING MASKING DURING THE DISTANCING.

UH, SO, YOU KNOW, AGAIN, PARENTS HAVE TO MAKE AN INFORMED DECISION ABOUT WHETHER OR NOT THEY DO IN-PERSON OR VIRTUAL EDUCATION.

UH, BUT CERTAINLY I THINK THE SCHOOLS ARE DOING A GREAT JOB OF, OF KEEPING CASES DOWN OUTSIDE OF THOSE EXTRACURRICULAR EVENTS.

THIS IS AN UPDATE.

WE HAVE OUR NURSING HOME AND LONG-TERM CARE FACILITY DASHBOARD.

YOU CAN SEE THAT WE'VE HAD A SIGNIFICANT INCREASE IN CASES IN THE LAST 14 DAYS.

UH, SO 13, UH, REPORTED, UH, FOR THE PREVIOUS 14 DAY LAST WEEK'S UPDATE WITH SIX CASES.

SO AS WE'VE SEEN CASES INCREASE IN THE COMMUNITY, UH, AS WE'VE SEEN POSITIVITY RISE LAST WEEK, UH, WE CAN EXPECT TO SEE SOME IMPACT ON OUR NURSING HOMES, AGAIN, RELATIVELY SMALL CLUSTERS COMPARED TO WHAT WE WERE SEEING BEFORE.

UH, BUT AGAIN, WE DO HAVE MANY OF THESE CASES WERE, WHICH WERE RELATED TO, UH, UH, PEOPLE OUTSIDE OF THE NURSING HOME, OUTSIDE THE ASSISTED LIVING FACILITY, UH, ENGAGING IN, IN RISK-TAKING BEHAVIORS IN TERMS OF COVID EXPOSURE, AND THEN GOING INTO THE NURSING HOME OR ASSISTED LIVING FACILITY AND VISITING A LOVED ONE IN SPREADING IT THERE.

UM, SO AGAIN, THAT'S THE REASONING BEHIND THE CAUTION TO, UH, CONTINUE TO BE VIGILANT ABOUT, UH, VISITING OLDER PEOPLE WHO ARE VULNERABLE TO DISEASE, PARTICULARLY FOR UN-VACCINATED OKAY.

IN OUR REGIONAL INFUSION CENTER EFFORTS, AGAIN, TDM, OPENNESS, UH, IN COORDINATION WITH, UH, OUR, UH, CITY OF AUSTIN AND TRAVIS COUNTY, UH, OPENED IT ON ONE SIX, UH, SINCE THEN MORE THAN A THOUSAND PATIENTS, 1006 HAVE BEEN TREATED WITH MONOCLONAL ANTIBODIES.

AGAIN, UH, THIS IS A FREE INFUSION, UH, DESIGNED TO DECREASE THE RISK OF THOSE WHO ARE HIGH RISK INDIVIDUALS FOR HOSPITALIZATION AND DEATH.

AND I THINK THIS IS CONTRIBUTING TO THE IMPACT THAT WE'RE SEEING ON HOSPITALIZATIONS.

SO WE'RE GRATEFUL FOR THE STATE IN PROVIDING THIS RESOURCE, WE CONTINUE TO HAVE, UH, MORE CAPACITY THAN DEMAND.

UH, SO WE ENCOURAGE EVERYBODY.

UH, IF YOU ARE DIAGNOSED WITH COVID AND YOU ARE HIGH RISK, UH, TO TALK TO YOUR HEALTHCARE PROVIDER ABOUT REFERRAL TO THE REGIONAL INFUSION CENTER, THAT MONOCLONAL ANTIBODY, I WANT TO PROVIDE AN UPDATE.

I SHARED THESE SLIDES WITH THE MEDIA A COUPLE OF WEEKS AGO, ONE TO MAKE SURE THAT, THAT YOU ALL WERE AWARE OF THE CHANGES THAT WE'RE SEEING IN TERMS OF LENGTH OF STAY AND MORTALITY.

SO WHAT YOU'RE SEEING HERE IS A GRAPH THAT'S SHOWING, UH, THE DAYS IN THE HOSPITAL, IN WHICH 95% OF COVID PATIENTS ARE DISCHARGED FROM THE HOSPITAL.

YOU CAN SEE THAT FOR EACH OF THESE AGE GROUPS, 65 PLUS 50 TO 64 AND 17 TO 49, UH, THAT 95% THRESHOLD WAS ABOUT 25 TO 26 DAYS.

UH, AND ACROSS THE BOARD SINCE MARCH THAT HAS DROPPED TO ABOUT 15 TO 16 DAYS.

SO THAT'S ABOUT A 40% DECREASE IN THAT, IN THAT MEASUREMENT.

SO THAT'S GOING TO HAVE A SIGNIFICANT IMPACT ON THE BURDEN THAT OUR HOSPITALS FACE FROM COVID-19.

UH, SO WE ARE, UM, WE'VE ASKED, UH, UT TO REASSESS THE TRIGGERS AND THE MODELS TO PLUG IN THIS NEW DATA BASED ON LENGTH OF STAY, UH, TO, UH, DETERMINE IF, IF,

[00:25:01]

UH, IF WE CAN REFINE THOSE PROJECTIONS, UH, BASED UPON THE TRENDS THAT WE'RE SEEING, IN ADDITION TO THE DECREASED LENGTH OF STAY, YOU CAN SEE THAT WE'VE HAD A SIGNIFICANT DECREASE IN THE IN-HOSPITAL MORTALITY.

SO THESE ARE DEATHS OF INDIVIDUALS WHO ARE ADMITTED TO THE HOSPITAL.

SO FOR INDIVIDUALS WHO ARE 65 YEARS AND OLDER, THERE'S BEEN A 63% DECREASE IN THE IN-HOSPITAL MORTALITY FOR INDIVIDUALS 50 TO 64, 44% DECREASE.

UH, SO REMARKABLE DECREASES IN BOTH THESE AGE GROUPS, AGAIN, MORE THAN 80% OF THE DEATHS FROM COVID-19, UH, HAVE BEEN FROM, FROM THESE TWO AGE GROUPS.

AND, UH, SO, YOU KNOW, THIS IS, THIS IS GOING TO HAVE A SIGNIFICANT IMPACT ALSO ON, UH, OUR DEATH RATES GOING FORWARD.

AND I THINK THIS IS A COMBINATION OF THE VACCINE EFFORT, AND WE KNOW THAT IT'S POSSIBLE FOR PEOPLE TO GET COVID-19, EVEN AFTER THEY'RE FULLY VACCINATED, BUT THEY TEND TO HAVE A LESS SEVERE DISEASE COURSE.

IT'S ALSO A TESTAMENT TO THE MONOCLONAL ANTIBODY THERAPY, WHICH ALSO, YOU KNOW, PEOPLE CAN STILL BE HOSPITALIZED, BUT IT DOES DECREASE THE SEVERITY, UH, OF THAT ILLNESS COURSE IN PATIENTS.

SO WE'RE GRATEFUL FOR THESE TWO MEASURES.

UH, THIS IS CERTAINLY POSITIVE NEWS, UH, BUT AGAIN, WE STILL HAVE A LONG ROAD AHEAD OF US.

AND IF WE WORK TOGETHER TO DRIVE DOWN DISEASE, UH, COMBINED WITH THESE ONGOING EFFORTS, UH, WE CAN, WE CAN CERTAINLY AVOID SIGNIFICANT SURGE, UH, IN, IN BOTH CASES, HOSPITALIZATIONS, AS WELL AS THE DEATHS.

I ALSO WANT TO PROVIDE AN UPDATE.

I SHOWN YOU BEFORE SOME COMPARISONS BETWEEN TRAVIS COUNTY AND OTHER METRO COUNTIES IN THE STATE OF TEXAS, WANT TO PROVIDE YOU SOME PERSPECTIVE ON THE NATIONAL LEVEL, UH, WHAT OTHER LARGE CITIES ARE, ARE LOOKING LIKE IN TERMS OF COVID DEATHS, WHAT I'M SHOWING YOU HERE IS DEATHS PER A HUNDRED THOUSAND POPULATION.

UH, YOU CAN SEE AUSTIN, TRAVIS COUNTY AND THE DARK BLUE AT THE BOTTOM, UH, COOK COUNTY AND YELLOW, UH, WHICH IS CHICAGO, NEW YORK, UH, WHICH IS IN THE DARK GREEN LOS ANGELES IN THE LIGHT BLUE, UH, PHOENIX, MARICOPA COUNTY IN THE, UH, IN THE RED AND THE LIGHT GREEN IS, UH, IS FILLING.

UH, SO AGAIN, A LOT OF THESE LARGER METROPOLITAN AREAS ARE AVERAGING BETWEEN 200 AND 250 OR SO DEATHS PER A HUNDRED THOUSAND, UH, TRAVIS COUNTY IS SITTING ABOUT 75.

UH, SO REALLY, UH, YOU KNOW, W WE'RE DOING VERY WELL IN TERMS OF, UH, COMPARISONS, OTHER METROPOLITAN, LARGE METROPOLITAN AREAS IN THE US, A QUICK UPDATE ON OUR, UH, INFLUENCER REPORT.

YOU CAN SEE A SIGNIFICANT JUMP IN OUR, UH, POSITIVITY RATE LAST WEEK, 3.15% THAT NECESSARY ABOUT FOUR CASES, UM, 107 12 FOR THE SEASON.

UH, AGAIN, WE CONTINUE TO MAINTAIN A RECORD LOW SEASON COMPARED TO THE PREVIOUS THREE YEARS.

CERTAINLY, UH, YOU KNOW, WHEN WE DO THE FINAL TALLY, I THINK WE'LL FIND THAT THIS IS, UH, A RECORD LOW FLU SEASON, BUT, UM, I WILL HAVE TO CRUNCH THE NUMBERS AT THE END OF THE SEASON TO BE SURE OF THAT.

AGAIN, I, WE RENT REMAINED IN STAGE THREE OF OUR, UH, RISK-BASED GUIDELINES, UH, BEGIN FOLKS WHO ARE AT HIGH RISK FOR SEVERE DISEASE, A NUMBER ONCE YOU GET VACCINATED, BUT NUMBER TWO NEED TO CONTINUE TO USE A SIGNIFICANT CAUTION, UH, IN, IN LEAVING THEIR HOME.

UH, THEY NEED TO ENSURE THAT THEY'RE GOING TO PLACES, UH, WE'RE MASKING THE ENFORCE WE'RE DISTANCING IS ENFORCED, UH, AND THEY SHOULD REALLY AVOID NONESSENTIAL TRAVEL OUTSIDE OF THEIR HOME.

UH, WE'RE STILL SEEING A SIGNIFICANT DISEASE TRANSMISSION TO THE COMMUNITY, UH, AND IF WE CAN EFFECTIVELY PROTECT THOSE HIGH RISK INDIVIDUALS AND INDIVIDUALS IN THEIR HOUSEHOLD, UH, WE CAN DECREASE THE IMPACT ON OUR HOSPITALS, UH, AND CERTAINLY ON THEIR LOVED ONES, UH, CHANCE OF, OF SEVERE ILLNESS AND DEATH.

AND WITH THAT, I WILL TURN IT OVER TO DIRECTOR HAYDEN HOWELL.

GOOD MORNING.

UM, THANK YOU, DR.

SCOTT.

UM, THIS IS A, UM, A SNAPSHOT OF OUR DASHBOARD, UM, OF VACCINES THAT AUSTIN PUBLIC HEALTH, UM, CODA, AS WELL AS COMMUNITY CARE HAS PROVIDED.

UH, ACCORDING TO, UM, THIS DATA, WHEN WE LOOK AT THE RACE AND WE'VE NOTICED, UM, IN OUR COMMUNITY, WE PROVIDED, UM, THE ASIAN POPULATION 14% HAVE RECEIVED THE VACCINE.

UH, AFRICAN-AMERICAN IS AT 5%.

AND, UM, THE HISPANIC POPULATION IS AT 19.5%.

UM, WE ALWAYS CONTINUE

[00:30:01]

TO LOOK AT WHAT'S HAPPENING AT THE STATE LEVEL AS WELL.

UM, AND, YOU KNOW, JUST KIND OF NOTICE THE VARIATIONS WHERE WE HAVE NOTICED AT THE STATE LEVEL FOR TRAVIS COUNTY, UM, WHICH INCLUDES ALL OF THE PROVIDERS AS OF TODAY.

UM, THE ASIAN POPULATION IS AT 6.82%.

THE BLACK AFRICAN-AMERICAN IS THAT 7.12%.

AND THE HISPANIC POPULATION IS AT 27.29.

AND SO AS WE CONTINUE TO PROVIDE VACCINES AS WE, UM, NOT JUST AUSTIN PUBLIC HEALTH, BUT ALL PROVIDERS, UM, YOU'LL CONSTANTLY SEE THAT THIS, UM, THIS DATA, UH, WILL CHANGE FROM WEEK TO WEEK.

UM, NEXT SLIDE WANTED TO JUST SHARE, UM, JUST INFORMATION ABOUT, UM, AS WE WERE LOOKING TO ADDRESS THE BARRIERS FOR THE VACCINE, UH, AS WE LOOKED AT THE TRANSPORTATION DIVIDE, UM, YOU KNOW, WE ARE VERY GRATEFUL FOR THE PARTNERSHIP WITH, UM, WITH CAPITAL METRO, UM, AND FOLKS CAN GIVE A CALL MONDAY THROUGH SUNDAY, THESE HOURS, AND, UM, REQUEST A FREE TRIP TO, UM, BE, UM, TRANSPORTED OVER TO OUR VACCINE SITES FOR, UM, THE FIRST AND THE SECOND, UM, VACCINE IN ADDITION, YOU KNOW, ALONG THE WAY WE HAVE, UM, ALSO CONSIDERED THE LANGUAGE DIVIDE, UM, UM, LINE, WE HAVE SIX LANGUAGES, UM, ON OUR WEBSITE AND RESIDENTS CAN CALL THREE, ONE, ONE, OR OUR, OUR, UM, WHOLE NUMBER TO GET, UM, ASSISTANCE WITH REGISTERING, UM, THE VACCINE AND, UM, THE VENDOR THAT WE HAVE SUPPORTS OVER 240 LANGUAGES, UM, CONTINUING TO, UM, TEXT MESSAGE RESIDENTS OF EASTERN CRESCENT, UM, THAT ARE, UM, OUR VOLUME IS UP TO OVER A THOUSAND CALLS NOW WITH OUR DIGITAL DIVIDE, UM, YOU KNOW, VERY, UM, EXCITED.

AND AS WE CONTINUE TO MOVE ALONG AND, AND, AND, UM, WORK THROUGH, UM, THE RELATIONSHIP WE'VE, UM, ESTABLISHED WITH THREE, ONE, ONE, THEY ARE CONTINUING TO HELP INDIVIDUALS.

IF THEY GIVE THEM A CALL, THEY WILL REGISTER THEM FOR AN ACCOUNT.

AND, UM, AND THEN FROM THAT POINT, UM, WE ESTABLISHED OUR, UM, EQUITY LINE, UH, BACK IN JANUARY.

AND SO, UM, FROM THERE, OUR STAFF FROM OUR EQUITY LINE, WHICH DOES INCLUDE CITY AND COUNTY FOLKS, THEY'RE CALLING FOLKS BACK TO, UM, TO SCHEDULE AN APPOINTMENT AT OUR SITES, UM, CONTINUE ON OUR PARTNERSHIPS IN THE EASTERN CRESCENT, UM, WORKING WITH OUR FACE BASED ORGANIZATIONS AND, UM, WITH OUR MOBILE VACCINE PROGRAM, UM, WORKING WITH ALL OF THESE PARTNERS AS LISTED, UH, ONE OF THE THINGS I WOULD LIKE TO SHARE ABOUT OUR MOBILE VACCINE PROGRAM YEAR TO DATE, WE HAVE PROVIDED, UM, OVER, UH, 4,400, UM, VACCINES WITH OUR VARIOUS PARTNERS.

UM, WE, UM, WE'RE REALLY, UM, EXCITED, UM, THIS PAST WEEK, UM, ON FRIDAY AND SATURDAY, WE WERE AT SACRED HEART PROVIDED, UM, IN PARTNERSHIP WITH THEM PROVIDED, UM, 1,640 VACCINES.

IN ADDITION, UM, THE, UM, THE HEALTH ALLIANCE, UM, FORM POSITIONS, WE WERE ABLE TO BE THERE THIS PAST FRIDAY, AND WE'RE ABLE TO, UM, PROVIDE, UM, FIRST AND SECOND DOSES.

AND SO I THINK THE REALLY GREAT THING ABOUT THE PARTNERSHIPS IS, IS THAT, UM, IF AN INDIVIDUAL COMES TO ONE OF OUR EVENTS AND THEY HAVE A FIRST DOSE AND THEY HAVE THEIR CARD, UM, WE WILL GLADLY PROVIDE THAT VACCINE.

AND SO WE ARE, UM, JUST CONTINUING, UM, WITH THAT MODEL, JUST TO MAKE SURE THAT WE ARE DEFINITELY REACHING, UM, OUR VULNERABLE POPULATIONS, UH, ALSO THIS WEEK, UM, WE WILL BE, UH, WORKING WITH THE AUSTIN ASIAN COMMUNITY HEALTH INITIATIVE, UM, TO BE AT THE VIETNAMESE CATHOLIC CHURCH ON SATURDAY.

AND, UM, WE ARE GOING TO PROVIDE SOME VACCINES THERE.

AND SO, UM, THROUGH OUR VARIOUS, UM, PARTNERSHIPS, UM, IN MORE PLANNING MEETINGS WITH AISD, AS YOU ALL ARE AWARE ON THURSDAYS, THEY DO, UM, THEY OFFER THEIR FOOD ASSISTANCE, UM, AT SEVERAL SCHOOLS.

AND SO WE ARE WORKING COLLABORATIVELY WITH THEM, UM, TO DETERMINE, YOU KNOW, WHAT A, UM, PROCESS WILL LOOK LIKE AND HOW WE ESTABLISH THAT.

SO THAT IS MORE IN THE WORKS AS WE CONTINUE TO

[00:35:01]

PIVOT, YOU KNOW, WE, UM, ARE, ARE PICKING UP MORE, UM, MORE NEIGHBORHOOD, UM, MODELS.

NEXT SLIDE.

THIS IS JUST AN UPDATE ABOUT A CHILDCARE EDUCATION IN OUR SENIOR POPULATION OVER, UM, 12,000 VACCINES HAVE BEEN PROVIDED TO SCHOOL AND CHILDCARE STAFF WITH OUR SENIORS, UM, POPULATION, ACCORDING TO, UM, OUR DATA AUSTIN PUBLIC HEALTH.

UM, OUR FIRST AND SECOND DOSES ARE LISTED HERE.

AND THEN ACCORDING TO THE DEPARTMENT OF STATE HEALTH SERVICES, OVER 101 VACCINES, UM, HAVE BEEN PROVIDED TO RESIDENTS THAT ARE 65 YEARS OF AGE AND OLDER, NEXT SLIDE, AS WE LOOK AT OKAY.

AT OUR, UM, VACCINE UPDATE.

UM, WE'RE DEFINITELY, UM, REALLY LOOKING AT THE DATA TO JUST KIND OF MOVE US TO THE PLACE OF, OF, OF VACCINE IMMUNITY.

AND SO, UM, LAST, UM, UH, TODAY, UH, YEAR TO DATE AUSTIN PUBLIC HEALTH HAS PROVIDED 251, 244 FIRST AND SECOND DOSES THAT IS AS OF THE 19.

AND, UM, AS WE LOOK AT THE DATA, AND THIS IS, UM, INCLUSIVE OF INDIVIDUALS THAT ARE 16 YEARS OF AGE AND OLDER, UM, ACCORDING TO DISHES DATA, UM, THAT'S ABOUT A MILLION PEOPLE.

AND SO, UM, THAT PUTS US AT THE 48.25%, UM, TO GET US TO OUR, UH, OUR GOAL OF 67% OF HERD IMMUNITY.

UM, WE, WITH OUR APPOINTMENTS, UM, THIS WEEK, UM, FROM LAST WEEK TO THIS WEEK, UM, WE HAVE, UM, BEEN ABLE TO LEAVE OUR APPOINTMENTS OPEN, UM, AS YOU KNOW, UM, WE HAVE HAD A FEW CHALLENGES WITH OUR APPOINTMENTS, UM, FEELING.

AND SO WE THOUGHT WE WOULD, UM, TRY A FEW THINGS, UM, JUST A LITTLE BIT DIFFERENTLY.

SO WE'VE, UM, LEFT OUR APPOINTMENTS OPEN.

UM, WE HAVE BEEN ABLE TO, UM, TO SCHEDULE A FEW MORE BY LEAVING THE SCHEDULE ARE OPEN.

UM, AND SO, UM, WE'LL CONTINUE TO WORK THROUGH THAT AND KIND OF SEE HOW THAT WORKS BY LEAVING THAT OPEN.

UM, BUT, UM, AS OF THAT TIME FROM, UM, FROM SUNDAY, FROM SATURDAY UNTIL TODAY, UH, 4,308 APPOINTMENTS WERE SCHEDULED.

AND SO AT OUR VARIOUS LOCATIONS, WE CONTINUE TO HAVE OUR EQUITY TEAM, UH, CITY AND COUNTY TEAM STILL MAKING THOSE CALLS AND SCHEDULING FOLKS FOR APPOINTMENTS AS WELL.

UM, WE ARE ALSO, UM, WORKING ON A PROCESS FOR WALK-INS.

UM, WE KNOW THAT IT IS IMPORTANT FOR US TO BE AS FLEXIBLE AS WE CAN BE.

AND SO, AS WE'RE LOOKING AT, UM, WHAT THAT WILL LOOK LIKE FOR WALK-INS, UM, LOOKING AT THE CAPACITY, UH, LOOKING AT, UM, HOW MUCH VACCINE WE WILL TAKE LOOKING AT A SPECIFIC LOCATION, UM, THAT WE COULD BE TO MAKE THINGS, UM, UM, ACCESSIBLE FOR THE PUBLIC.

AND SO WE WILL CONTINUE, UM, AND I WILL HAVE MORE INFORMATION ABOUT THE, UM, WALKING PROCESS NEXT, NEXT SWINE.

WE WANTED TO JUST SHARE A TIMELINE OF OUR DISTRIBUTION PROCESS AND KIND OF TALK ABOUT THE ELIGIBILITY AND KIND OF GIVE YOU A SNAPSHOT.

UM, AS YOU ALL KNOW, UM, IN JANUARY, WE INITIALLY, UM, RECEIVED OUR, UM, VACCINES AT THE END OF DECEMBER.

WE RECEIVED A FEW AND THEN WE RECEIVED MORE IN JANUARY.

AND SO AT THE TIME OF ESTABLISH OURSELVES AS WE HAVE BEEN A SAFETY NET, UM, AND, UM, PROVIDED SOME, UM, VACCINE SITES.

AND SO FROM THERE, UM, IN FEBRUARY, THE STATE OF TEXAS DESIGNATED US AS A HUB.

AND SO, UM, MAKING SURE THAT WE WERE ABLE TO PROVIDE VACCINES TO ANY TEXAN, UM, THAT MET THE ONE A AND ONE B, UM, CRITERIA, BUT AT THE SAME TIME, WE OPENED UP DOVE SPRINGS AND FLU REELS CLINICS, UM, REALLY, UM, EXCITED AND GRATEFUL AND WANTED TO SHOW THE CIRCUIT OF THE AMERICAN SITE THAT, UM, STOOD UP.

AND, UM, AND THE PARTNERSHIP BETWEEN ESSENTIALLY SETON THE COUNTY AND COMMUNITY CARE FOR OUR FIRST DRIVE-THROUGH CLINIC.

AND THEN AS WE MOVED ON AND MARCH, UM, WE, UM, BEGAN TO, UM, PROVIDE MORE, UM, UM, MORE TARGETED, UH, VACCINES TO FOLKS

[00:40:01]

THAT STILL MET THE ONE, A ONE B CRITERIA, BUT THEN WE EXPANDED OUR HEALTH EQUITY CALL CENTER, UM, TO INCLUDE TRAVIS COUNTY.

AT THAT TIME.

ALONG THAT TIME, WE, UM, HAD PROVIDED ABOUT A HUNDRED THOUSAND VACCINES AND, UM, LATER IN MARCH, UM, WE, UM, EXPANDED TO THE BERGER CENTER AND, UM, STARTED OUR PROGRAM, BUT THEN OUR MOBILE VACCINE PROGRAM, UH, BEGAN, UH, WORKING, UM, INITIALLY WITH MEALS ON WHEELS.

UM, AND AS YOU CAN SEE, YOU KNOW, WE HAVE EXPANDED THAT TO SEVERAL PARTNERS THAT WE ARE VERY GRATEFUL FOR THEIR, UH, PARTICIPATION AND ALLOWING US TO, TO WORK WITH THEM, AND THEN TO, UM, TO SHARE THE CLIENTS THAT THEY'RE WORKING WITH IN APRIL.

UM, EVERYONE IS ELIGIBLE, UM, FOR ALL OF THE, UM, VACCINE, ACCORDING TO IN STATE OF TEXAS.

AND, UM, WE MADE A CHANGE TO OUR SOUTH EAST BRANCH LIBRARY.

I'M STILL DOING SOME TESTING THERE, BUT WE'RE ALSO PROVIDING VACCINES.

AND THEN WE'RE GOING TO CONTINUE TO PIVOT IN THE MONTH OF MAY TO SHIFT TO NEIGHBORHOOD CLINICS.

IT'S GOING TO BE IMPORTANT FOR US TO, UM, CONTINUE TO PARTNER WITH THE COMMUNITY, CONNECT WITH, UM, GRASSROOTS ORGANIZATIONS, UM, AND BE VERY TARGETED AND INTENTIONAL.

AND SO, UM, AS WE MOVE FORWARD, UM, THESE ARE SOME OF THE STRATEGIES, UM, THAT WE ARE TO IMPLEMENT.

WE KNOW THAT, UM, BASED UPON THESE STRATEGIES, IT'S GOING TO, UM, WE'LL BE ABLE TO SEE MORE CHANGES WITH THE DATA, DEFINITELY BEING ABLE TO IMPACT, UM, THE AREAS AND THE POPULATIONS WHO HAVE BEEN HIT VERY HARD DURING THE COVID, UM, DURING THIS TIME, AT THIS TIME, UM, THAT COMPLETES MY PRESENTATION AND I AM AVAILABLE FOR QUESTIONS.

THANK YOU.

THANK YOU VERY MUCH.

UH, WE WILL PROCEED WITH THE QUESTIONS THEN STARTING WITH A COMMISSIONER'S COURT, UH, COMMISSIONER SHEA.

THANK YOU.

THANK YOU, COMMISSIONER GOMEZ.

UM, I DID, UH, HAVE A QUESTION FOR DR.

S SCOTT I'VE.

UM, UH, THERE WAS A POST YESTERDAY, UH, ORIGINATING WITH, UH, DR.

, JOSH, UM, WHO WAS REALLY RAISING THE ISSUE OF HOW THE NUMBER OF NEW CASES DAILY HAS REMAINED FLAT NOW FOR, I THINK IT'S ROUGHLY TWO MONTHS AT A TIME WHEN WE ARE LITERALLY RAPIDLY VACCINATING MILLIONS AND MILLIONS OF PEOPLE.

AND THE POINT I THINK THEY WERE MAKING IS GIVEN THAT WE ARE NOW VACCINATING SO MANY, LITERALLY MILLIONS OF AMERICANS.

THE FACT THAT THE NEW CASES IS REMAINING FLAT IS A CAUSE FOR GREAT CONCERN, BECAUSE IT MEANS THERE'S MUCH MORE RAPID SPREAD.

AND I THINK THAT THAT STRUCK ME AS A REALLY SIGNIFICANT POINT TO EMPHASIZE, BECAUSE I THINK A LOT OF PEOPLE ARE KIND OF FEELING LIKE, NO, WE'RE STARTING TO GET PAST THIS.

YOU KNOW, WE'VE HAD ENOUGH PEOPLE VACCINATED AND WE CAN LET DOWN OUR GUARD MORE, OR PEOPLE WHO FEEL LIKE THEY'RE STILL BULLETPROOF AND DON'T NEED TO BE VACCINATED OR WHATEVER REASON THEY HAVE FOR NOT WANTING TO BE VACCINATED.

CAN YOU JUST SPEAK TO THIS BECAUSE THIS SEEMS LIKE A PRETTY ALARMING STATISTIC.

YES, COMMISSIONER, UH, YOU KNOW, I, I THINK THIS GOES BACK TO THE DISCUSSIONS WE WERE HAVING LAST MONTH ABOUT, UH, THE TIMING OF REOPENING.

UM, I THINK THE BEST STRATEGY IS FOR US TO HAVE DELAYED GRATIFICATION FOR US TO CONTINUE THE PROTECTIONS, TO DRIVE DOWN DISEASE AND OPEN WHEN THAT HAPPENS, NOT BEFORE IT HAPPENS.

AND THAT'S WHAT WE'RE SEEING HAPPENING ACROSS THE U S IS WE'VE SEEN, YOU KNOW, CASES ON THE DECLINE WE'VE SEEN STATE BY STATE THINGS OPENING UP AGAIN, UM, NOT A LITTLE BIT, BUT OPENING UP ALL THE WAY.

AND I THINK THAT'S EXACTLY WHY WE'RE SAYING THIS, THIS LONG LASTING PLATEAU, UH, THAT IS STILL LEAVING US IN A POSITION TO EXPERIENCE A SURGE.

UM, THE, THE, THE CEILING IS STILL QUITE HIGH ON THE NUMBER OF CASES.

WE STILL HAVE 500,000, AT LEAST IN TRAVIS COUNTY WHO CAN OR ARE SUSCEPTIBLE TO COVID-19.

THE NUMBER IS PROBABLY MUCH HIGHER THAN THAT DUE TO OVERLAP OF A VACCINATED PEOPLE AND PEOPLE WHO'VE HAD NATURAL ILLNESS.

SO WE STILL HAVE TO BE VERY CAUTIOUS.

UM, WE CANNOT BE IN A RACE, UH, TO NORMALCY, UH, AND GET AHEAD OF OURSELVES.

AND I THINK THAT'S WHERE WE ARE RIGHT NOW.

UH, I DO THINK THAT BECAUSE THE CEILING IS DROPPING EVERY DAY DUE TO VACCINATIONS,

[00:45:01]

UH, THAT THE RISK IS DECREASING ON A DAILY BASIS, UH, REGARDING THE MAGNITUDE OF THAT SURGE.

UH, BUT IT'S STILL, STILL, THE CEILING IS STILL HIGH ENOUGH FOR US TO, UH, TO BE, UH, HIT SIGNIFICANTLY FROM COVID-19.

UH, AND WE'VE GOT TO, WE'VE GOT TO PAY ATTENTION TO THAT.

WE'VE SEEN IT PLAY OUT IN COUNTRIES ACROSS THE WORLD.

UH, WE SAW IT YESTERDAY.

I THINK THAT WE SET A NEW WORLDWIDE RECORD FOR NEW CASES.

UH, NO, IT'S NOT GONE ANYWHERE YET.

IT'S STILL GEARED IT'S MOVING AROUND.

UM, BUT I THINK IT'S IMPORTANT THAT WE THINK ABOUT THAT, UH, PARTICULARLY WHEN IT COMES TO SUMMER PLANNING, REGARDLESS OF WHERE THE U S IS, THE REST OF THE WORLD IS NOT GOING TO BE WHERE THE US IS IN TERMS OF, UH, VACCINATIONS.

UM, AND WHEN WE THINK ABOUT OPENING UP TOO MUCH, WE THINK ABOUT SPREADING VARIANCE THAT RIGHT NOW, RELATIVELY RARE, PARTICULARLY THE SOUTH AFRICAN VARIANT.

UM, SO THAT MEANS IF WE CHOOSE TO TRAVEL, IT SHOULD BE ONLY IN THE CIRCUMSTANCE WHERE INDIVIDUALS ARE FULLY VACCINATED AND THEY ARE ABSOLUTELY PROTECTED THEMSELVES DURING THE JOURNEY AND DURING THE TRAVEL PERIOD.

UH, I CAN'T STRESS THAT ENOUGH, THAT WE ARE STILL VERY VULNERABLE.

THE PATH TOWARDS HERD IMMUNITY, UM, IS REALLY BASED UPON THE CURRENT VARIANTS THAT WE KNOW, AND THE FACT THAT EVEN, YOU KNOW, AMONGST THE UK VARIANT, THE BRAZILIAN BARRIER, THE VACCINE IS STILL PRETTY GOOD.

THE THREAT, THE REAL THREAT THAT WE HAVE IS THE EMERGENCE OF A VARIANT THAT SUCCESSFULLY EVADES THE CURRENT VACCINE, BECAUSE THEN WE'VE GOT OUR START ALL THIS OVER AGAIN.

UH, WHAT CAN WE DO AS A COMMUNITY TO PREVENT THAT WE CAN MASK, WE CAN DISTANCE, WE CAN WASH OUR HANDS.

WE CAN BE VACCINATED THE FASTER WE CAN DO THAT.

WE CAN QUICKLY CLOSE A WINDOW ON THE POSSIBILITY OF THOSE NEW VARIANTS EMERGING AND, UH, AND, AND GET TO THAT PLACE OF NORMALCY THAT WE ALL WANT TO BE, BUT WE CAN'T RUSH IT.

AND DOES THIS ELEVATE THE URGENCY OF PEOPLE GETTING VACCINATED PUTS NEW VARIANTS? ABSOLUTELY.

WE'RE W WE'RE LITERALLY IN A RACE AGAINST TIME, AND I KNOW LOTS OF OTHER PUBLIC HEALTH DOCTORS HAVE, HAVE USED THAT, BUT THAT'S, THAT IS WHAT WE WERE FACING.

IF WE DON'T DO IT FAST ENOUGH, WE WILL SEE THESE VETERANS CONTINUE TO EMERGE.

UH, THE MORE THEY INTERACT, THE VIRUS INTERACTS.

SO THE VETERANS INTERACT WITH VACCINATED PEOPLE, THE MORE LIKELY IT IS THAT IT WILL, YOU KNOW, WE'LL SEE A VARIANT VARIAN, EMERGENCE VACCINE RESISTANT, AND THEN WE'LL, YOU KNOW, THE BOOSTERS WILL MERGE AND WE'LL BE CONSTANTLY CHANGING THOSE IN THE FUTURE.

UM, SO AGAIN, YOU KNOW, WE'VE, WE'VE GOT TO GET VACCINATED.

UH, I KNOW THERE'S BEEN FOLKS WHO DIDN'T WANT TO BE FIRST IN LINE TO GET THE VACCINE BECAUSE THEY WEREN'T SURE, UH, YOU KNOW, HOW ABOUT THE 85TH MILLIONTH IN LINE? UH, THERE'S LOTS AND LOTS OF VACCINES OUT THERE.

EVEN WITH THE JOHNSON JOHNSON CONCERNS, UH, VACCINE IS STILL INCREDIBLY SAFE.

ALL OF THEM ARE STILL INCREDIBLY SAFE.

THE RISKS OF THE NATURAL DISEASE ARE MUCH HIGHER, MUCH MORE SIGNIFICANT, MUCH MORE LONG LASTING THAN THE COMPLICATIONS THAT WE'RE SEEING, WHICH ARE VERY, VERY RARE.

UM, WE W WE SIMPLY MUST CARE ABOUT OUR COMMUNITY MEMBERS CARE ABOUT OUR FAMILY AND FRIENDS AND TALK TO THEM OPENLY, HONESTLY, ABOUT THE VACCINE FACTS.

UH, APH HAS A GREAT WEBSITE.

WE UPDATE IT WEEKLY WITH A WEEKLY FACTS ON VACCINES, UM, MAKE SURE THAT YOU TUNE INTO A RELIABLE SOURCE OF INFORMATION WHEN YOU'RE MAKING THE DECISION WHETHER OR NOT TO BE VACCINATED.

GOOD MORNING.

GOOD MORNING.

UH, UH, ONCE AGAIN, I WOULD LIKE TO, UH, TO THANK YOU BOTH DR.

S SCOTT AND, AND DIRECTOR, UM, HAYDEN, UH, HOWARD FOR, UH, THE WORK THAT YOU'VE DONE.

UM, I UNDERSTAND THAT, UH, YOU HAVE, UH, WORKED REALLY HARD TO MAKE SURE THAT WE PIVOT AND WORK WITH COMMUNITY, THAT WE WORK IN COMMUNITY, THAT WE GO OUT, UH, TO WHERE PEOPLE ARE AND EDUCATE THEM ABOUT, UH, OPPORTUNITIES AND MAKE SURE THAT, THAT I WOULD GIVE THEM ASSISTANCE.

AND I USING THE, UH, THE DATA SYSTEMS THAT WE HAVE IN PLACE.

UH, I WANT TO SAY THANK YOU FOR ALL THAT.

YOU'VE DONE THE WORK THAT YOU'VE DONE IN THE EVENINGS, THE WORK THAT YOU'VE DONE IN THE, ON THE WEEKENDS, UH, IT HAS BEEN APPRECIATED.

AND I THINK THAT'S MADE A HUGE DIFFERENCE ON, I, I WANT TO, UM, ASK AND I APPRECIATE THE WAY IN WHICH, UH, THE PRESENTATION WAS LAID OUT TODAY, UH, BECAUSE IT SHOWS THAT WE HAVE BEEN ANALYZING BARRIERS AND DEVELOPING OUR

[00:50:01]

RESOURCES TO SPECIFICALLY ADDRESS THOSE BARRIERS.

AND, AND THAT WILL BE MY QUESTION TODAY.

UH, WHAT CAN WE DO FROM A TRAINING PERSPECTIVE, WHETHER IT IS WITH OUR LOCAL WORKFORCE BOARD OR WHETHER IT IS WITH OUR LOCAL SCHOOL DISTRICTS, UH, TO MAKE SURE THAT WE IDENTIFY THE PLACES, UH, IN OUR SYSTEM, WHERE ARE LABOR SHORTAGES AND BUILD A PROGRAM TO, UH, GET STUDENTS WHO ARE INTERESTED, TRAINED, AND HEALTH RELATED FIELDS, WHETHER THAT'S NURSING, WHETHER IT'S FIRST, FIRST RESPONDER, WHETHER THAT'S SOCIAL WORK OR DATA MANAGEMENT, WHAT CAN WE DO TOGETHER TO MAKE SURE THAT THERE IS SPECIFIC TRAINING IN AREAS WHERE WE UNDERSTAND THAT THERE IS A LABOR SHORTAGE? UH, BECAUSE I THINK AS WE LOOK INTO COMMUNITIES THAT HISTORICALLY HAVE BEEN UNDERSERVED, UH, WE NEED TO CREATE OPPORTUNITIES SO THAT THOSE FOLKS HAVE SOME, UH, SOME COMMUNITY MEMBERS WHO ARE FROM THE, FROM THE AREAS WHERE THERE'S HESITANCY, THAT WE BUILD PROFESSIONALS TO ADDRESS AND EDUCATE AND WORK WITH THOSE COMMUNITIES.

UM, I JUST WANT TO SEE WHETHER WE CAN SIT DOWN AND WORK WITH THE LOCAL WORKFORCE BOARD AND BUILD A PLAN BASED ON OUR AFTER ACTION REPORT.

UM, YES, UH, COMMISSIONER TRIVIAN.

UM, I THINK IT IS VERY IMPORTANT THAT WE DO THAT.

UM, ONE OF THE THINGS, UM, THAT WE'VE JUST NOTICED AS, UM, CITY OF BOSTON, A FEW YEARS, TWO YEARS OF SO, UH, MEETING WITH OUR HUMAN RESOURCES DIRECTOR, SHE SHARED WITH US THAT ABOUT 5% OF THE, UM, CITY OF BOSTON, UM, PERSONNEL ARE, WOULD BE ELIGIBLE FOR RETIREMENT.

SO NOT THAT THEY WOULD, BUT THEY WOULD BE ELIGIBLE.

AND THAT WAS A FEW YEARS AGO.

AND SO IT'S GOING TO BE IMPORTANT FOR US TO REALLY KIND OF THINK ABOUT, YOU KNOW, WHO IS GOING TO BE OUR WORKFORCE FOR TOMORROW, HOW WE ARE GOING TO, UM, BE ABLE TO EMPHASIZE, UM, WORKFORCE DEVELOPMENT AND SKILLS.

AND SO ONE OF THE THINGS THAT, YOU KNOW, AUSTIN PUBLIC HEALTH HAS DONE IS, UM, A COUPLE OF YEARS AGO, WE DID IMPLEMENT THE PUBLIC HEALTH PIPELINE THAT PUBLIC HEALTH PIPELINE, UM, WORKS WITH SCHOOLS.

UM, AND, UM, UM, DR.

EUGENE HAS REALLY WORKED HARD ON THAT PROGRAM, BUT WHAT THAT PROGRAM DOES IS, IS THAT, UM, IT BRINGS, UH, STUDENTS TO PUBLIC HEALTH.

UM, THEY'VE BEEN WORKING WITH US VIRTUALLY DURING THIS TIME, BUT WHAT IT DOES IS THAT EXPOSES THEM TO THE WORK AT PUBLIC HEALTH TALKS WITH THEM ABOUT THE DIFFERENT AREAS IN PUBLIC HEALTH, AND, UM, JUST KIND OF EX YOU KNOW, GIVES THEM THAT EXPERIENCE.

AND SO IT'S GOING TO BE IMPORTANT THAT WE DO EXPOSE, UM, YOUNG PEOPLE, UM, AND THEN KIND OF RAISE THEM UP THROUGH THE RANKS, WHETHER IT'S, THEY END UP WITH HIGH SCHOOL EDUCATION OR SOME TYPE OF TRADE, OR IF THEY GO FURTHER.

UM, AND WE'VE HAD SOME THAT HAVE, HAVE GONE FURTHER AND HAVE CIRCLED BACK AND THEY HAVE COLLEGE INTERNS WITH US AS WELL.

AND SO THAT WORKFORCE DEVELOPMENT PIECE IS VERY IMPORTANT.

WE WOULD LOVE TO WORK WITH YOU ON THAT.

I WILL, I'LL CERTAINLY, UH, WORK WITH YOU.

LOOK, AND I LOOK FORWARD TO WORKING WITH YOU.

I, YOU KNOW, I HAVE SEEN US WHEN IT COMES TO THE MICROCHIP INDUSTRY.

I'VE SEEN US WHEN IT COMES TO THE CONSTRUCTION ENERGY INDUSTRY DEVELOP SPECIFIC PROGRAMS WITH LOCAL WORKFORCE BOARD.

I THINK HEALTH HEALTH-RELATED FIELDS ARE CRITICALLY IMPORTANT FOR US.

AND, AND I THINK THAT, UH, THE LOCAL WORKFORCE BOARD HAS PUT TOGETHER A STRATEGY IN A NUMBER OF AREAS.

I JUST WANT TO FOCUS MORE ON HEALTH RELATED ISSUES, BECAUSE I THINK THAT WILL ADDRESS SOME OF THE CULTURAL HESITANCY ISSUES THAT WE SEE AS IT RELATES TO HEALTH CARE.

SO, UH, WE, WE ARE CERTAINLY LOOKING FORWARD TO WORKING WITH YOU AND, AND, UM, AND BRINGING ANY RESOURCES THAT WE CAN ASSIST WITH, TO THE TABLE.

THANK YOU.

THANKS SO MUCH, COMMISSIONER HOWARD.

THANK YOU.

I WOULD JUST LIKE TO ASK, UM, DR.

S SCOTT OR STEPHANIE HAYDEN, HOWARD, IF THERE'S ANY STONE UNTURNED, YOU KNOW, WHAT CAN WE, AS LEADERS IN THIS COMMUNITY DO, UM, THAT YOU'VE SEEN OTHER LEADERS PERHAPS IN OTHER COMMUNITIES DO, BUT, UM, YOU KNOW, TO CONTINUE TO GET THE WORD OUT, TO SHARE THE MESSAGE OR TO SUPPORT YOUR TEAMS, IF YOU HAD A WISHLIST OF TWO OR THREE THINGS, IS THERE, IS THERE ANYTHING WE'RE NOT DOING THAT WE COULD BE DOING AND

[00:55:01]

LET'S GET FORTH? GO AHEAD.

I THINK ONE THING I WOULD REALLY SUGGEST, UH, OF ALL OF YOU, UM, IF YOU HAVE RECEIVED YOUR VACCINE, MY HOPE IS, IS THAT ALL OF YOU HAVE RECEIVED YOUR VACCINE.

UM, UM, AND IF YOU HAVE, AND IF YOU, IF YOU'VE TAKEN ANY PHOTOS OF IT, UM, CAN YOU BE, UM, A PERSON THAT SAYS, YOU KNOW, I'VE TAKEN MY VACCINE, I, YOU KNOW, I FULLY SUPPORT IT.

UM, AND YOU KNOW, EVEN THE REASON WHY YOU'RE DOING IT USING YOUR SOCIAL MEDIA, ET CETERA.

UM, I THINK THAT IS, UM, CRITICALLY IMPORTANT, UM, TO KIND OF, TO THE, IN THE SPACE OF, OF VACCINES.

I THINK THE OTHER THING THAT'S REALLY IMPORTANT IS, IS, UM, REALLY EXPLAINING AND CONTINUING TO, UM, EXPLAIN TO FOLKS ABOUT PUBLIC HEALTH.

UM, AS WE MOVED ALONG, I STILL THINK THAT THERE ARE SOME FOLKS THAT STILL, UM, CONFUSE PUBLIC HEALTH WITH HEALTHCARE.

AND, UM, THERE ARE SOME HEALTH DEPARTMENTS THAT STILL WORK IN THAT SPACE OF HEALTHCARE AND PUBLIC HEALTH, BUT I THINK IT'S REALLY SHARE WHAT YOU KNOW ABOUT PUBLIC HEALTH, UM, JUST TO REALLY KIND OF HELP WITH AN EDUCATIONAL PIECE PIECE.

SO THOSE ARE MY TWO LIST.

I'LL TURN IT OVER TO DR.

PRESCOTT.

YEAH.

STEPHANIE AND I AGREE.

I, I THINK, YOU KNOW, AGAIN, WE TALKED ABOUT BEFORE THE VACCINATION PROCESS PREVIOUS TO TODAY WAS ABOUT GETTING ENOUGH VACCINE TO GET IT TO THE PEOPLE WHO WANTED IT.

WE'RE PAST THAT POINT.

NOW, NOW SUPPLY EXCEEDS DEMAND.

UM, WE HAD A VERY BRIEF PLATEAU, BUT, YOU KNOW, I THINK FROM HERE FORWARD, WE'RE GOING TO SEE THAT, THAT, THAT SUPPLIED SEATS DEMAND.

AND WE'RE GOING TO HAVE TO WORK HARD TO GET PEOPLE IN THE QUEUE, UH, TO GET THEIR VACCINE, WHICH MEANS THAT EVERY MEETING OF EVERY ORGANIZATION, EVERY CHURCH SERMON, EVERY SCOUT MEETING, EVERY GROUP MEETING IN THE COMMUNITY NEEDS TO BE ADDRESSING VACCINATION.

THE MORE WE'RE TALKING ABOUT IT, THE MORE WE'RE SHARING FACTS AND DISPELLING FICTION, THE MORE PEOPLE ARE GOING TO BE INCLINED TO GET THE VACCINE.

WE KNOW FROM PREVIOUS PUBLIC HEALTH INTERVENTIONS, THE MORE PEOPLE HEAR IT, THE MORE PEOPLE THERE THAT ARE MORE TIMES THEY'RE ASKED ABOUT IT, THE MORE LIKELY THEY ARE TO DO IT.

WE STILL HAVE SOME WORK TO DO AS DIRECTOR HAYDEN HOWARD MENTIONED EARLIER, MAKING THE VACCINE MORE ACCESSIBLE TO PEOPLE, PUTTING IT CLOSER TO HOME, CLOSER TO WORK AT TIMES WHEN THEY CAN GET THE VACCINE, WHICH IS CONVENIENT FOR THEM.

UM, BUT WE NEED PEOPLE TO GET SIGNED UP.

WE NEED PEOPLE TO DISCUSS IT.

WE NEED TO DISPEL THE MYTHS.

WE NEED TO GET PEOPLE IN LINE.

UM, AGAIN, SOCIAL MEDIA, UH, MEETINGS, CHURCHES, UH, ALL THOSE GROUPS.

THE MORE WE TALK ABOUT IT, THE MORE SUCCESS WE'RE GOING TO HEAR.

THANK YOU.

WHAT I AM INTERESTED IN, IN FINDING OUT IS HOW CLOSELY WE ARE GETTING TO THE HERD IMMUNITY.

AND SO WE'RE SAYING THAT WE'RE NOW AT 48.2, 5% OF THE POPULATION.

WE'RE WE'RE 48.4 8.25 OF ADULTS IN TRAVIS CABINS.

AND THERE'S STILL ANOTHER 250,000 OR SO PEOPLE UNDER 16.

UH, SO WE'RE ABOUT 30%, UH, UH, OF, OF THE WAY TO HERD IMMUNITY, PEOPLE WHO ARE FULLY VACCINATED OF ALL AGES.

UM, SO WE'VE GOT A WAYS TO GO.

THE STATE'S GOT A WAYS TO GO, UM, AND IT'S GOING TO TAKE INCREASING EFFORTS IN ORDER TO GET US THERE.

SURE.

AND, AND I THINK IN, IN, IN LIEU OF A PHOTO, UH, UH, DIRECTOR, UH, HAYDEN IS WHAT I WOULD SAY IS IT GOES BACK TO WHEN WE WERE CHILDREN, UH, BEFORE WE EVER WENT TO SCHOOL, WE HAD TO LINE UP AND GET OUR BACK VACCINATIONS.

AND, AND SO I THINK THAT THAT EXPERIENCE STAYS WITH US AS WE GROW OLDER, UH, SOMETHING ELSE COMES ALONG, WE NEED A BA WE NEED A VACCINE.

AND SO I THINK IT, IT, UH, IT STARTS WHEN YOU'RE, WHEN YOU'RE, WHEN YOU'RE, WHEN YOU'RE A YOUNG CHILD, UH, YOU GET USED TO THE FACT THAT YOU HAVE TO BE HEALTHY.

YOU'RE GOING TO CONTINUE GETTING THROUGH SCHOOL AND GETTING THROUGH LIFE.

SO, UM, I THINK, UM, I THINK WE NEED TO GO BACK TO THAT ELEMENTARY SCHOOL AND, AND, UH, GET ALL OF THE KIDS GET GETTING USED TO, UM, TO VACCINES, UH, TO, TO STAY HEALTHY.

UH, SO ANYWAY, THAT, THAT WAS, THAT'S MY INPUT ON THAT, UH, MAYOR, I'LL TURN IT OVER TO YOU

[01:00:05]

COMMISSIONER.

THANK YOU.

UH, WE'RE GOING TO, UH, GO, UH, DISTRICTS, UH, IN, IN ONE TO 10 TODAY, BUT BEFORE WE START ON, I JUST WANTED TO GIVE A BRIEF REPORT AS WELL.

YOU KNOW, IN LOOKING AT THE BARRIERS, VACCINATING THE COMMUNITY, A FEW THINGS THAT I THINK ARE CLEAR AS YOU HAVE MADE, UH, IN YOUR PRESENTATION REPEATEDLY DR.

MASCOT AND, UH, DR.

HAYDEN HOWARD.

AND ONE IS THAT THE DIGITAL DIVIDE IS REAL.

SO ONLINE REGISTRATION, EVEN WITH AN OPTIMIZED WEBSITE, UH, IS SAW HURDLE FOR WAY TOO MANY PEOPLE.

AND WE'RE SEEING THAT WITH, UH, THE VACCINATION, UH, NUMBERS THAT WE KEEP, UH, TALKING ABOUT.

UM, AND IT'S HARD TO DO VACCINATIONS WITHOUT A PRE-REGISTRATION SYSTEM.

UH, SO WE HAVE A SUPPLY THAT IS, UH, FROM THE STATE HASN'T HISTORICALLY BEEN PREDICTABLE.

AND WHEN YOU HAVE WALK-UP, YOU HAVE, UH, THE, THE DANGER OR THREAT OF HAVING VACCINATIONS AT THE END, WHICH WE SAW THIS WEEKEND, UH, OUT AT NELSON FIELD, UH, IS THAT, UH, EVENT HANDED WITH, UM, OUR VACCINATORS WALKING UP TO RETAIL LOCATIONS IN THE AREA TO, TO, TO FIND PEOPLE AND SEE IF THEY WERE READY TO BE, UH, TO VACCINATED TO MAKE SURE THAT WE, WE, WE ISSUED ALL THOSE.

UH, SO I REALLY DO LIKE THAT AS THE GENERAL PUBLIC GETS VACCINATED IN GREATER NUMBERS IS APPLYING PRIESTS, IS THAT WE'RE REALLY WORKING ON THAT TARGETED WALKUP STRATEGY, UH, AS, UH, AUSTIN PUBLIC HEALTH IS, UH, IS DOING, UH, THE EVENT AT SACRED HEART.

THAT WAS REALLY GOOD.

UH, ALSO THE POP-UP EVENTS LIKE IN HAM ARE REALLY GOOD.

SO IN SPEAKING, AS WE'VE HEARD HERE IN RECENT TIMES WITH DR.

HAYDEN HOWARD, ONE OF THE BIG LIMITING FACTORS IN THE STRATEGY IS, UH, CLINICAL STAFFING TO ADMINISTER THE, UH, THE VACCINES.

UH, IT SEEMS AS IF WE HAVE PLENTY OF OTHER KINDS OF VOLUNTEERS, AND I KNOW THAT THE COUNTY, AND THEN JUDGE BROWN AND OTHERS HAVE DONE A REALLY GOOD JOB OF BUILDING UP THE INFRASTRUCTURE TO BE ABLE TO SOLICIT AND GET THOSE, UM, THOSE, THOSE VOLUNTEERS.

UM, BUT, UH, THE, UH, THE HURDLE SEEMS STILL BE THE, UH, THE MEDICAL VOLUNTEERS.

UH, SO JUST REPORTING WHAT HAPPENED THIS WEEKEND, UH, MY OFFICE AND I, UH, REALLY FOCUSED ON RECRUITING MEDICAL VOLUNTEERS.

AND THEN IT JUST THIS PAST WEEK, I JUST WANT TO SAY, I REALLY APPRECIATE THE, THE 60 DOCTORS AND NURSES THAT HAVE STEPPED UP, BUT THE INDICATION THAT THERE ARE STILL MORE, THAT ARE BETTER ON THE WAY, UM, WITH, UH, UH, JUST, UH, 48 HOURS.

NOTICE, AGAIN, JUST WANT TO THANK THE VOLUNTEERS.

WE WERE ABLE TO DEPLOY, DEPLOY A TEAM OF 11 OUT TO NELSON FIELD THIS WEEKEND FOR THE POPUP EVENT AT KID FEST THAT, UH, FOOD RESOURCE FAIR PUT ON BY CHILD AND AUSTIN VOICES, UH, REAL SPECIAL THINGS TO, TO ACHIEVE KEN BAILEY OF ESD 11, BEING THE VACCINATOR OF RECORD, UH, THE COLLABORATIVE FOR ACTING AS OUR PHARMACY OUT OF DAKOTA, UH, COUNCIL MEMBER FOR SAR FOR, UH, FOR SIGNIFICANT ROLE IN, IN, IN ORGANIZING, UH, THAT EVENT ALSO WANT TO THANK, UH, MY, MY CHIEF OF STAFF, LESLIE MARDIS, UH, WHO HAS STEPPED IN, IN FRONT OF THE STAR TO, TO, TO ALSO TRY TO, TO HELP.

AND THEN TO, TO HER PARTNER, DR.

THOMAS, WHO STEPPED UP TO BE, I GUESS YOU NEEDED A PHYSICIAN OF RECORD ONSITE OR SOMETHING LIKE THAT.

AND, UM, AND THEY LITERALLY WROTE OVER TO CODA I IN THE MORNING WHERE THE PHARMACY WAS SET UP TO MIX THE VACCINES AND THEN TOOK IT OUT AND, UH, WAS WITH THE, UM, THE PHYSICIAN GROUP WHEN THEY ARRIVED.

I THINK THE GOAL IS TO DEVELOP A BENCH OF A HUNDRED VOLUNTEER VACCINATORS, UH, AND JUST MAKE THEM AVAILABLE TO VARIOUS EQUITY EFFORTS.

I KNOW MY COLLEAGUES ON COUNCIL, UH, MANY, IF NOT ALL, ARE WORKING WITH THEIR CONSTITUENTS TO, TO HELP SET THESE UP OR, OR, OR ELEVATE THOSE KINDS OF OPPORTUNITIES.

AND THAT WAS THE LIMITING FACTOR.

SO WE'RE TRYING TO HELP PARTICIPATE IN CREATING THAT BENCH OF VACCINATORS THAT CAN THEN BE DEPLOYED TO, UH, TO EVENTS AS THEY HAPPEN.

UH, I GO AT NINTH YEAR BECAUSE WE'RE NOT AT A HUNDRED YET, SO THIS IS A PLEA TO THE COMMUNITY, TO THE DOCTORS.

AND THEN THE NURSES THAT ARE ABLE TO VACCINATE A REQUEST THAT SHE HAS STAND UP AND JOIN THIS, UH, BENCH OF, UH, VOLUNTEER VACCINATORS TO, TO, TO HELP FLUSH THIS OUT.

SO THAT IT'S A RESOURCE THAT'S AVAILABLE TO APH AND TO, UH, UH, ALL THE OFFICES THAT ARE WORKING, HANG ON THIS.

SO THANK YOU EVERYBODY.

UH,

[01:05:01]

AND, UH, THANK YOU, DIRECTOR HAYDEN HOWARD FOR, FOR, UH, ASSISTING THAT POINTING US IN THE RIGHT DIRECTION FOR THAT.

AND FOR ALL THE WORK YOU'RE DOING, DOING THE SAME WORK, UH, AS WE ALL WORKED HERE YEAH.

TO TRY TO BUILD THOSE NUMBERS.

ALL RIGHT.

LET'S GO THROUGH THE COUNCIL BEGINNING WITH DISTRICT.

THANK YOU VERY MUCH.

THANKS FOR THE PRESENTATION, UH, DR.

ESCHATON AND DIRECTOR HAYDEN HOWARD.

I THINK, UH, I THINK MOST OF US ARE, ARE THINKING ALONG THE SAME LINES AT THIS POINT, WHICH IS, UM, WHICH IS REALLY HELPFUL.

CAUSE I THINK IT'S GONNA, IT'S GONNA MAKE OUR, OUR QUESTIONS VERY SIMILAR IN WHICH CASE WE GET TO GET REAL GRANULAR.

NOW, UM, ALONG THE LINES OF WHAT MAYOR ADLER WAS JUST ASKING, I KEEP FINDING MYSELF WONDERING WHERE ARE THE PEOPLE? SO, YOU KNOW, MY COLLEAGUE, UM, COUNCIL MEMBER AND COUNCIL MEMBER COST SIDE OF BOTH, YOU KNOW, MAY AND, AND, UH, COMMISSIONER TREVELYAN HAVE MADE A POINT TO TALK ABOUT MOBILE VACCINATION, GO TO WHERE THE PEOPLE ARE.

AND, YOU KNOW, IN, IN THEORY, I ABSOLUTELY CAN SEE HOW THAT'S THE NECESSARY APPROACH.

THAT'S WHAT WE SHOULD DO.

UM, BUT I, I ALSO KEEP THINKING, YOU KNOW, WE WERE AT, AT NELSON FIELD THE OTHER DAY AND IN A CONVERSATION OVERHEARD, UM, IT WAS THE THOUGHT OF TRYING TO GO TO WHERE EVERY INDIVIDUAL PERSON IS, ESPECIALLY WHEN YOU TAKE INTO CONSIDERATION NEEDING THAT PHYSICIAN ONSITE AND NEEDING PEOPLE WHO ARE ELIGIBLE TO DISTRIBUTE VACCINES.

I'M JUST TRYING TO FIGURE OUT WHERE WHAT'S THE WAY FOR US TO GET THE MOST BANG FOR THE BOOK, HOW THE MOST, YOU KNOW, SHOTS IN ARMS. AND IT SEEMS TO ME WHERE THE PEOPLE ARE, YOU KNOW, MUCH LIKE COUNCIL MEMBER CASAR MADE A POINT TO,