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[00:00:03]

2021 AND IT IS 9:03 AM EATING HERE AT 700 LAVACA, UH, WITH COMMISSIONER HOWARD AND COMMISSIONER TREVELYAN, WHO HAS POINTED OUT THAT I DO NOT HAVE A TIE ON TODAY, UH, WHICH HE HAS OFFERED TO HELP ME TIE IT NEXT WEEK.

SO I'VE GOT THIS THING ON FOR SIX WEEKS, SO MAYBE WE'LL DO THAT NEXT TIME.

I PICK YOU UP ON THAT.

THANK YOU.

UM, ALL RIGHT, SO I'M GOING TO HAND IT OVER TO YOU MAYOR ADLER TO CALL, TO ORDER THE MEETING.

SO HERE ON THE SAME DAY, SAME TIME LEAVING THE AUSTIN CITY COUNCIL.

WE HAVE A QUORUM ALSO BEING PULLED, UH, HOW THE YEAR, UH, REMOTELY, UH, AND I'M NOT WEARING IT BY IN SOLIDARITY, JUDGE.

UM, AND ALSO LET ME ANNOUNCE THAT WE HAVE, UH, COMMISSIONER GOMEZ AND COMMISSIONER SHAY JOINING US REMOTELY.

AND, UH, LARRY, LET'S TAKE IT

[Additional Item]

UP FOR PUBLIC COMMENT.

DO YOU HAVE ANY CALLERS RIGHT NOW? WE SURE DO JUDGE.

UH, I BELIEVE WE HAVE, UH, THREE CALLERS.

UH, SO STAND BY FOR JUST A MOMENT.

ALL RIGHT.

WE SHOULD BE READY TO GO.

AND, UH, I BELIEVE THAT OUR FIRST CALLER IS, UH, KATHY MCCOURT, KATHY.

GOOD MORNING, JUSTIN COUNTY COMMISSIONERS.

MY NAME IS KATHY MCCARSON.

I'M SEEING ON BEHALF OF THE AUSTIN, TRAVIS COUNTY SUCCESS BY SIX COALITION ON AGENDA ITEM 10, ASKING YOU TO COLLABORATE WITH THE CITY OF AUSTIN TO FULLY FUND A SUCCESS BY SIX RECOMMENDATIONS TO TRANSFORM THE EARLY CARE AND EDUCATION SYSTEM DURING THE COVID-19 PANDEMIC, THE ESSENTIAL ROLE THAT QUALITY CHILDCARE PLAYS IN OUR COMMUNITY AND THE ECONOMY HAS BEEN OBVIOUS.

AND IN ADDITION TO WHAT ITS IMPACT ON CHILDREN'S LONG TERM EDUCATIONAL TRAJECTORY, STARTING A SCHOOL READINESS IS AUSTIN, TRAVIS COUNTY SWIFT ACTIONS TO SUPPORT THE CHILDCARE SECTOR WITH RELIEF FUNDING.

HOW MANY PROVIDERS REOPENED OR REMAIN OPEN DURING THE CRISIS, BUT THE CHILDCARE SECTOR WAS FRAGILE BEFORE THE CRISIS FROM RETURNING TO THE STATUS QUO WILL CONTINUE TO LEAD CHILDREN AND FAMILIES, ESPECIALLY FAMILIES OF COLOR.

WE HAVE A UNIQUE OPPORTUNITY TO BUILD A MORE EQUITABLE AND RESILIENT SYSTEM BY INVESTING NEW FEDERAL SENTENCING KEY INFRASTRUCTURE, SUPPLEMENTAL FUNDING TO STRENGTHEN EXISTING PROGRAMS IN THE SHORT TERM AND INVESTING IN NEW OPPORTUNITIES TO ADDRESS IDENTIFIED GAPS.

PLANNING FOR THIS OPPORTUNITY HAS BEEN ONGOING THROUGH THE DECADE LONG WORK OF THE COMMUNITY WIDE SUCCESS BICYCLE COALITION, AND THE RECOMMENDATIONS PRESENTED HAVE BEEN INFORMED BY DATA INCLUDE INPUT AND BUY-IN FROM COMMUNITY STAKEHOLDERS ON THIS FOCUS ON EQUITABLE SYSTEMIC CHANGES.

THOSE OUTLINED IN OUR STRATEGIC PLAN, THE RECOMMENDATIONS HAVE ADDRESSED THE FOLLOWING GOALS PROVIDE ADDITIONAL CHILDCARE FUNDING TO ADDRESS GAPS CREATED FOR FAMILIES DUE TO CHANGES IN EMPLOYMENT, STATUS, SUSTAIN AND SCALE.

INNOVATIVE INFRASTRUCTURE CAN INCREASE ACCESS TO AFFORDABLE QUALITY CHILDCARE, THE EIGHTS, THE NEEDS OF ALL FAMILIES, INCLUDING FULL DAY, YEAR ROUND PRE-K PARTNERSHIP AND FAMILY HOME-BASED CHILDCARE SUPPORT PLANNING, AND IMPLEMENTATION OF SOLUTIONS TO ADDRESS STOP SUCH AS THE LACK OF NON-TRADITIONAL HOURS CHILDCARE AND TO STRENGTHEN THE CHILDCARE SYSTEM THROUGH SHARED SERVICES, WHICH STRENGTHENS THE BUSINESS SIDE OF CHILDCARE STABILIZING THE CHILDCARE WORKFORCE, WHICH IS THEY'RE PREDOMINANTLY COMPRISED OF WOMEN OF COLOR, EARNING POVERTY LEVEL WAGES AND STABILIZING PROGRAMS THAT SUPPORT FAMILIES WITH YOUNG CHILDREN OUTSIDE OF FULL-TIME CHILDCARE.

THANK YOU FOR CONTINUING THESE RECOMMENDATIONS AND USING THE AMERICAN RESCUE PLAN FUNDING.

WE CAN HELP US.

WE DESIGN OUR ECONOMY AND SYSTEMS SO THAT THEY WORK FOR ALL FAMILY.

THANK YOU, JUDGE.

OUR SECOND CALLER IS, UH, CYNTHIA SMITH, MCCOWEN CYNTHIA, GOOD MORNING, UM, MEMBERS OF THE COMMISSIONER'S COURT.

THANK YOU SO MUCH FOR THE OPPORTUNITY TO TESTIFY TODAY ON ITEM 10.

UM, I'M VYING IN SUPPORT OF ALLOCATING $6 MILLION, UM, FROM THE NEW AMERICAN RESCUE PLAN FUNDS TO STRENGTHEN AND SUSTAIN THE CHILDCARE SYSTEM IN TRAVIS COUNTY.

UM, UH, MY NAME AGAIN IS CYNTHIA SMITH MCCOLLUM.

I AM THE EXECUTIVE DIRECTOR OF OPENDOOR PRESCHOOLS.

WE'RE A NATIONALLY ACCREDITED PRESCHOOL, A TEXAS RISING STAR FOUR STAR PROGRAM, AND WE PRIORITIZE ENROLLING FAMILIES WHO RECEIVE WORKFORCE SUBSIDY AND THERE'S CHILDREN WITH SPECIAL NEEDS.

I LIVE IN COMMISSIONER TREVELYAN DISTRICT, WHICH IS WHERE OUR IN STATION SCHOOL IS.

OUR CENTRAL SCHOOL IS IN COMMISSIONER HOWARD'S DISTRICT AND WE'RE PLANNING A THIRD LOCATION, THE OPEN END CONDITIONER SHAY'S DISTRICT NEXT YEAR.

OUR SCHOOLS ARE PART OF THE PRE-K PARTNERSHIP IN ADDITION TO SUCCESS BY SIX.

UM, I SEE FIRSTHAND THE IMPACT HIGH QUALITY EARLY CHILDHOOD EDUCATION HAS ON CHILDREN AND THEIR FAMILIES AND, UM, ON OUR ENTIRE COMMUNITY, THE RECOMMENDATIONS FOR IN SUCCESS BY SIX OUTLINE PRO PROVEN AND EFFECTIVE WAYS TO STRENGTHEN SYSTEMS AND INCREASE ACCESS

[00:05:01]

TO HIGH QUALITY CHILDCARE FOR CHILDREN AND THEIR FAMILIES IN TRAVIS COUNTY INCREASED ACCESS TO HIGH QUALITY AFFORDABLE CHILDCARE WILL POSITIVELY SPUR ECONOMIC GROWTH BY ALLOWING PARENTS TO GO BACK TO WORK WITH STUDENTS, KNOWING THAT THEIR CHILDREN ARE WELFARE BEFORE OUR 45 YEAR OLD PROGRAM STARTED 2020 WITH THREE SCHOOLS, BUT WE WERE FORCED TO PERMANENTLY CLOSED ONE LOCATION.

UM, DUE TO THE CHALLENGES THAT WERE BROUGHT ABOUT BY THE PANDEMIC, INCLUDING, UM, STAFF RECRUITMENT AND RETAINMENT INCREASED COSTS ASSOCIATED WITH THE PVP AND OTHER COVID PROTOCOLS THAT WERE REQUIRED AND, AND CHOOSE TO FOLLOW TO THE HIGHEST DEGREE, THE CDC RECOMMENDATIONS AND A, UH, DRAMATIC DECREASE IN ENROLLMENT, UM, IN OUR PROGRAMS THAT HAS STILL NOT FULLY RECOVERED.

UM, WE APPRECIATE THE COUNTY FOR RECOGNIZING HOW ESSENTIAL CHILDCARE, UM, IS TO OUR ECONOMY.

IT'S OFTEN OVERLOOKED.

UM, BUT WE KNOW THAT IT'S THE SECTOR THAT MAKES ALL OTHER WORK POSSIBLE.

UM, THE ARP RECOMMENDATIONS, UM, THAT ARE OUTLINED IN ITEM 10 ARE CRUCIAL.

IF THE EARLY EDUCATION AND CARE INDUSTRY IS GOING TO SURVIVE AND BE ABLE TO MEET THE NEEDS OF PARENTS, THESE RECOMMENDATIONS WILL STRENGTHEN FAMILY, FRIEND AND NEIGHBOR CARE.

UM, WE KNOW A MAJORITY OF LOWER INCOME AND HIGH-RISK FAMILIES STRUGGLE TO FIND QUALITY CARE AND THE RECOMMENDATION OR LAYING OUT, UH, PLANS TO BUILD NETWORKS, UM, SHARE RESOURCES AND HELP UNLICENSED PROVIDERS BECOME LICENSED AND CONNECTED WITH RESOURCES AND SUPPORT.

IT ALSO BUILDS SUPPORT FOR FAMILIES THAT NEED NON-TRADITIONAL HOUR CARE.

THIS IS SOMETHING THAT WE ARE PARTICULARLY EAGER TO BE INVOLVED WITH BECAUSE WE KNOW AT THIS NEW LOCATION, UM, IN BOSTON, UH, ISD, SORRY, UM, THAT WE WANT TO PRAY, UH, JUST BEFORE WE TAKE THE THIRD CALLER, UM, APOLOGIES.

WE HAD THOUGHT THAT THESE COLORS WERE DIRECTLY SPEAKING TO COVID AND, UH, AS YOU CAN TELL, THEY'RE SPEAKING TO ITEM 10 AND WE BELIEVE THE THIRD COLOR IS AS WELL.

SO JUST WANT TO KNOW HOW IT'S BEST TO PROCEED.

YEAH.

LET'S HOLD OFF ON COMMENTS FOR ITEM 10 UNTIL WE'RE BACK AT THE REGULAR COMMISSIONERS COORDINATING.

OKAY.

IN THAT CASE, WE GIVE YOU THE FLOOR BACK.

ALL RIGHT.

THANK YOU VERY MUCH.

UM, OKAY.

SO THAT'S ALL FOR PUBLIC COMMENT ON THE JOINT SESSION ON THE COVID BRIEFING.

UH, DR.

S SCOTT, ARE YOU THERE? YOU ARE.

GO AHEAD.

ALL

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

RIGHT, JUDGE, CAN YOU ALL SEE MY SLIDES? YES.

FANTASTIC.

UH, THANKS FOR THE OPPORTUNITY TO UPDATE, UH, THE COUNCIL AND COMMISSIONERS COURT ON OUR COVID-19 RESPONSE, A COUPLE OF QUICK UPDATES HERE.

UH, AGAIN, THIS IS A UPDATE OF OUR PIE CHART, AS IT RELATES TO OUR PROGRESS TOWARDS HERD IMMUNITY.

UH, YOU CAN SEE THAT WE HAVE ABOUT 43% OF OUR OVERALL POPULATION.

THAT'S EITHER PARTIALLY OR FULLY VACCINATED, UH, A KNOWN 6% OF OUR POPULATION WITH THE CONFIRMED DIAGNOSIS OF COVID-19 SINCE THE BEGINNING OF THE PANDEMIC AND ESTIMATED 13% ADDITIONAL, UH, CASES THAT WENT UNDIAGNOSED, WHICH LEAVES ABOUT 38% OF OUR POPULATION VULNERABLE.

AGAIN, THIS IS, UH, ASSUMING THAT THERE IS ZERO OVERLAP BETWEEN THOSE WHO HAVE HAD COVID-19 AND THOSE WHO'VE BEEN VACCINATED, OBVIOUSLY THERE'S GOING TO BE SOME OVERLAP.

UH, SO IT'S BEST TO TERM, AT LEAST 38% OF OUR COMMUNITY, UH, IS STILL, UH, UH, DEEMED BE VULNERABLE TO COVID-19.

SO WE STILL HAVE A WAYS TO GO, BUT WE ARE CERTAINLY MAKING PROGRESS.

UH, THIS GRAPH IS AN UPDATE OF OUR PROGRESS, UH, AS COMPARED TO OTHER METROPOLITAN COUNTIES RELATED TO VACCINATIONS.

UH, SO I'M SHOWING YOU TWO THINGS HERE.

ONE IS, UH, ON THE LEFT, THE, UH, INDIVIDUALS AGED 16 AND OVER WHO HAVE BEEN FULLY VACCINATED AND ON THE RIGHT 16 AND OLDER WITH AT LEAST ONE DOSE.

NOW YOU CAN SEE THAT.

SO WE ONLY HAVE TWO COUNTIES THAT METROPOLITAN COUNTIES THAT HAVE REACHED THAT ONE THIRD THRESHOLD FOR, UH, FOR FULL VACCINATION.

THAT'S US AT 36.1% AND EL PASO COUNTY AT 39% SIMILARLY, UH, WE ONLY HAVE TWO METROPOLITAN COUNTIES THAT HAVE SURPASSED THAT 50% MARK IN TERMS OF, UH, INDIVIDUALS WITH AT LEAST ONE DOSE.

AND AGAIN, THAT'S TRAVIS COUNTY AT 52.9% IN EL PASO COUNTY AT 59.8%.

NOW THERE'S QUITE A BIT OF VARIABILITY ACROSS THE METROPOLITAN COUNTIES IN TERMS OF

[00:10:01]

THE VACCINATION RATES.

AGAIN, UH, IT IS ESSENTIAL THAT ALL OF US ACROSS THE STATE OF TEXAS THAT CONTINUE TO ADVOCATE FOR VACCINATION, NOT WHICH IS CERTAINLY GOING TO HASTEN OUR, OUR, UH, UH, ACHIEVING OF, OF HERD IMMUNITY.

UH, SO WE WILL CONTINUE THOSE EFFORTS AND CONTINUE THAT OUTREACH.

UH, BUT AGAIN, UH, WE NEED EVERYBODY TO DO IT.

THIS IS, I THINK OF OUR GRAPH, UH, RELATED TO CONFIRMED CASES IN TRAVIS COUNTY YESTERDAY, WE'RE IMPORTING 95 NEW CASES, WHICH GIVES US A MOVING AVERAGE OF 81.

THAT'S A 31% DECREASE IN THE MOVING AVERAGE SINCE LAST WEEK.

SO WE'RE CERTAINLY PLEASED WITH A, A CLEAR DOWNWARD TREND IN TERMS OF NEW CASES.

UH, LAST WEEK I SPOKE ABOUT A CONCERN REGARDING OUR INCREASED PLATEAU.

SO WE HAD MOVED FROM ABOUT A HUNDRED, UH, CASES ON A MOVING AVERAGE TO ABOUT 120 CHASES.

AND SO NOW WE'RE, WE'VE DROPPED EVEN LOWER THAN THAT PREVIOUS, UH, PLATEAU AT A HUNDRED.

UH, SO AGAIN, I'M MOVING IN THE RIGHT DIRECTION.

THIS IS AN UPDATED OF OUR, UH, NEW ADMISSIONS TO THE HOSPITAL.

AGAIN, OUR KEY INDICATOR, UH, FOR OUR, OUR STAGES OF RISK YESTERDAY, WE REPORTED 24 ADMISSIONS TO THE HOSPITAL WITH A MOVING AVERAGE OF 19.

UH, THAT'S A 17% DECREASE AS COMPARED TO A WEEK AGO.

AGAIN, WE HAD THAT, THAT PERIOD, UH, THE FRIDAY BEFORE LAST AND SATURDAY WHERE WE HAD SIGNIFICANT JUMPS IN ADMISSIONS TO THE HOSPITAL, 37 AND 30 ON THOSE TWO DAYS LAST WEEK, WE SAW A BIT OF A PLATEAU AND A SIGNIFICANT DECLINE, UH, TOWARDS THE END OF LAST WEEK AND OVER THE WEEKEND, UH, YESTERDAY OR ON SUNDAY REPORTED A, UH, A LOW FOR, FOR QUITE SOME TIME, UH, SEVEN ADMISSIONS TO THE HOSPITAL, WHICH IS THE FIRST, UH, THAT WE'VE HAD SINGLE DIGIT ADMISSION SINCE OCTOBER THE FIFTH.

UH, SO AGAIN, UH, THINGS LOOK LIKE THEY'RE IMPROVING IN TERMS OF ADMISSIONS AS WELL.

UM, SO WE EXPECT GIVEN, UH, THE, THE DROP IN CASES, AS WELL AS, UH, CHANGES IN POSITIVITY, UH, THAT THIS WEEK WE'LL, WE'LL CONTINUE A DOWNWARD TREND.

THIS IS AN UPDATE YEAH.

OR, UH, HOSPITAL, UH, NUMBERS.

SO THE BALLOON WE GET IS THE, UH, TOTAL HOSPITAL BEDS BEING UTILIZED, ORANGE ICU BEDS, AND THE GRAY OR VENTILATORS OR HOSPITALIZATIONS YESTERDAY WERE ONE 38 WITH A MOVING AVERAGE OF ONE 40.

UH, THAT'S A SLIGHT INCREASE OF 1% COMPARED TO A WEEK AGO, UM, FOR ICU 46 YESTERDAY WITH A MOVING AVERAGE OF 40, THAT MOVING AVERAGE IS UP 3% FROM LAST WEEK, OUR VENTILATORS 22 WITH A MOVING AVERAGE OF 20, A DECREASE OF 5%.

UH, SO RELATIVELY FLAT IN TERMS OF OUR HOSPITAL NUMBERS.

AGAIN, THE CHANGES IN HOSPITALIZATIONS ARE LAGGING INDICATOR, BOTH IN THE UPWARD DIRECTION AND, UH, IN DOWNWARD MOVEMENT.

SO WE DO EXPECT TO SEE, UH, DECREASING NUMBERS THIS WEEK, GIVEN THE OTHER MEASURES THAT I'VE DISCUSSED AN UPDATE OF OUR HOSPITALIZATIONS BY AGE GROUP.

UH, YOU CAN SAY THAT THE OLDER AGE GROUPS ARE, ARE RELATIVELY FLAT IN TERMS OF THE PERCENTAGES OF HOSPITALIZATIONS.

WE'VE GOT SOME OF THEM DECLINE AND PARTICULARLY THE 60 TO 69 AGE GROUP.

UH, HOWEVER, GENERALLY YOU SEE SIGNIFICANT INCREASES IN THE YOUNGER AGE GROUPS, UH, THAT 20 TO 29 AGE GROUP AND THE YELLOW AND 10 TO 19 AGE GROUP IN THE GRAY, AND EVEN THE ONE TO NINE AGE GROUP IN THAT, UH, THAT LIGHTER ORANGE TOWARDS THE BOTTOM.

UH, AGAIN, THIS IS WHAT WE'VE EXPECTED TO SAY, GIVEN THE INCREASES IN VACCINATIONS, AMONGST PEOPLE 18 AND OLDER, UH, AND CERTAINLY A FOCUS ON INDIVIDUALS WHO ARE OLDER, UH, IN THE OLDER AGE GROUPS IS GOING TO DRIVE DOWN DISEASE IN THOSE AGE GROUPS.

AND WE'RE GOING TO SEE RELATIVE INCREASES IN THE YOUNGER AGE GROUPS WHO ARE NOT YET VACCINATED.

NOW, THIS GRAPH IS THE SAME DATA, BUT, UH, UH, PROVIDES THE NUMBERS OF INDIVIDUALS HOSPITALIZED.

UH, WE'VE SEEN A 19% DECREASE IN OVERALL HOSPITALIZATIONS LAST WEEK AS COMPARED TO THE PREVIOUS WEEK, UH, ONE 68 TO ONE 36.

NOW YOU CAN SEE THE SIGNIFICANT COMPRESSION OF THOSE OLDER AGE GROUPS, UH, WITH, UH, IN PARTICULAR, OUR 60 TO 69 AGE GROUP DROPPING FROM 31 ADMISSIONS, UH, THE PREVIOUS WEEK TO 15 ADMISSIONS LAST WEEK.

UH, AND YOU SEE SOME ACROSS THE BOARD DECREASES IN THOSE OLDER AGE GROUPS.

UH, AGAIN, YOU DON'T SEE, UH, THE SAME THING IN THE YOUNGER AGE GROUPS.

IN FACT, WE SEE SOME EXPANSION, UH, 8.1% OF OUR HOSPITALIZATIONS LAST WEEK, MORE FOR INDIVIDUALS, 19 YEARS AND YOUNGER.

UH, SO THAT'S, THAT'S 11 CHILDREN AND TEENAGERS HOSPITALIZED FROM COVID-19 LAST WEEK.

UH, 26.5%

[00:15:01]

OF THE HOSPITALIZATIONS LAST WEEK WERE FOR INDIVIDUALS YOUNGER THAN FORWARDING.

SO AGAIN, AS WE SEE IMPROVEMENT IN THE OLDER AGE GROUPS, AS THEY GET VACCINATED, UH, WE ARE CERTAINLY GOING TO SEE, UH, RELATIVE INCREASES IN THE PERCENTAGE OF HOSPITALIZATIONS AND LOTS OF YOUNGER AGE GROUPS.

AGAIN, I WANT TO FOCUS A LITTLE BIT ON THAT, THAT 20 TO 29 AGE GROUP.

UM, WE HAVE SEEN WEEK OVER WEEK, SIGNIFICANT HOSPITALIZATIONS IN THAT AGE.

VERY, UH, WE ALSO KNOW THAT THOSE AGE GROUPS ARE, UH, LESS EXCITED ABOUT GETTING BACKSTAGE BECAUSE THEY PERCEIVE, UH, THE DECREASE RISK OF HOSPITALIZATION AND DEATH.

HOWEVER, IT IS ESSENTIAL THAT OUR YOUNG PEOPLE, OUR COLLEGE STUDENTS, UH, OUR YOUNG, UH, MEMBERS OF THE WORKFORCE, IT'S ESSENTIAL THAT THEY GET VACCINATED BECAUSE THEY WILL SEE AN IMPACT FROM COVID 19.

WE WILL CONTINUE TO SEE HOSPITALIZATIONS, UH, AND WE CERTAINLY HAVE THE POTENTIAL TO EXPERIENCE, UH, DEATHS IN THAT AGE GROUP.

UH, WE ALSO KNOW THAT THAT AGE GROUP, UH, HAS SIGNIFICANTLY HIGHER NUMBERS OF INTERACTIONS WITH OTHER PEOPLE AS COMPARED TO OLDER AGE GROUPS.

SO FROM THE TRANSMISSION STANDPOINT IS ESSENTIAL THAT WE ARE TARGETING THOSE YOUNGER INDIVIDUALS, UH, WHO ARE LIKELY TO SPREAD IT, UH, MORE READILY TO OTHER MEMBERS OF THE COMMUNITY.

THIS IS AN UPDATED BOOK, A GRAPH OF HOSPITALIZATIONS BASED ON RACE AND ETHNICITY.

YOU CAN SEE SOME INCREASES IN OUR WHITE NON-HISPANIC, UH, GROUP, UH, WHICH IS THE BLUE LINE AT THE TOP.

YOU SEE SOME INCREASES IN OUR LATIN X COMMUNITY, THE GREEN LINE AND SIGNIFICANT DECREASES IN OUR AFRICAN-AMERICAN HOSPITALIZATIONS LAST WEEK, MOVING PERCENT, 17.2% TO 10.1%.

UH, SO SOME ONGOING MOVEMENT THERE, AGAIN, UH, WE MAINTAINED OUR CONCERN REGARDING THE, THE DISPROPORTIONATE IMPACT ON OUR COMMUNITIES OF COLOR, UM, AND, UH, DIRECTOR HAYDEN, HOW, AND WE'LL TALK LATER ABOUT SOME OF THOSE OUTREACH EFFORTS IN TERMS OF VACCINATIONS FOR, FOR THOSE COMMUNITIES.

THIS IS THE SAME DATA, AGAIN, BROKEN DOWN BY NUMBERS OF INDIVIDUALS HOSPITALIZED.

AGAIN, YOU SEE AN OVERALL DECREASE IN THE TOTAL NUMBER OF INDIVIDUALS HOSPITALIZED, UH, IN THIS GRAPH, UH, 49 TO 45 FOR LATIN X COMMUNITY, UH, 65 TO 57 FOR ARE WHITE NON-HISPANIC.

AND AGAIN, A BIG DROP FOR AFRICAN-AMERICAN COMMUNITY WITH 25 HOSPITALIZATIONS THE PREVIOUS WEEK AND 12 LAST WEEK.

UH, SO AGAIN, UH, SIGNIFICANT IMPROVEMENTS THERE.

THIS IS AN UPDATE, OUR POSITIVITY, UH, ACROSS THE COMMUNITY.

AND I'M HAPPY TO SAY THAT WE HAVE HAD A SIGNIFICANT DECREASE IN POSITIVITY.

UH, SINCE THE REPORT LAST, NOT SAY AGAIN, YOU SEE THAT, UH, UH, TWO WEEKS AGO, THREE WEEKS AGO, SORRY, WE WERE AT 4.8%, TWO WEEKS AGO, 4.5% IN LAST WEEK.

UH, SO FAR 3.9%.

UH, SO WE CONTINUE TO EDGE CLOSER TO THAT 3% MARK THAT WE'D LIKE TO BE AT TO REALLY ENSURE THAT, UH, TRANSMISSION IS UNDER CONTROL.

UH, SO AGAIN, WE'RE MAKING PROGRESS AND I'M CERTAINLY THANKFUL TO OUR COMMUNITY FOR THEIR ONGOING WEARING OF MASKS, UH, PARTICULARLY INDOORS, WHICH IS, UH, CERTAINLY CONTRIBUTING TO THIS SUCCESS.

THIS IS A BREAKDOWN OF THAT POSITIVITY BY RACE AND ETHNICITY.

AGAIN, YOU SAY SIGNIFICANT DROPS, UH, ALMOST ACROSS THE BOARD IN, IN THESE RACES ETHNICITIES, I'M GOING TO HIGHLIGHT A FEW, UH, OUR LATIN X COMMUNITY DROPPED FROM 6.4% POSITIVITY.

THE PREVIOUS WEEK TO 5.9% LAST WEEK, AFRICAN-AMERICAN COMMUNITY 4.6% TO 3.9%.

OUR ASIAN-AMERICAN COMMUNITY 4.1% TO 3.1% AND ARE WHITE NON-HISPANIC NUMBERS 4% TO 3.1%.

UH, SO, UH, IN THOSE RACES AND ETHNICITIES ACROSS THE BOARD DECREASES, UH, WE HAVE, UH, MADE CONTINUE TO MAKE SIGNIFICANT PROGRESS THERE, BUT OF COURSE WE HAVE MORE WORK TO DO TO GET EVERYBODY BELOW THAT, THAT GREEN DOTTED LINE, WHICH IS THAT 3% POSITIVITY RATE.

AND THIS IS THAT POSITIVITY BROKEN DOWN BY AGE GROUP.

UH, YOU CAN SEE THAT, UH, MOST AID GROUPS HAVE DROPPED IN TERMS OF THEIR POSITIVITY, UH, WITH SOME EXCEPTIONS THAT TEND TO 19 AGE GROUP IN THAT GOLD COLOR, UH, HAS HAD AN INCREASE CERTAINLY WELL ABOVE THAT, UH, THAT 5% THRESHOLD ABOUT, UH, FIVE AND A HALF TO 6%.

UH, WE ARE, UH, CONTINUE TO SEE SIGNIFICANT POSITIVITY ALSO IN OUR 40 TO 49 AGE GROUP.

UH, BUT OUR OLDER AGE GROUPS ARE, UH, YOU KNOW, CONTINUING TO DROP, UH, FOR THE MOST PART, UH, WITH, UH, OUR, UH, UH, 70 TO 79, EIGHT YEAR AND AN 80 PLUS AGE GROUP AT, OR BELOW THAT

[00:20:01]

3% THRESHOLD.

UH, SO AGAIN, UH, THE HIGHEST POSITIVITY THAT WE'RE SEEING RIGHT NOW IS IN THE AGE GROUPS THAT EITHER, UH, UH, DO NOT HAVE, UH, ACCESS TO, UH, VACCINATIONS, OR THEY'RE NOT GETTING VACCINATIONS, YOU KNOW, SO WE NEED TO CONTINUE THAT EFFORT, PARTICULARLY IN OUR YOUNGER PEOPLE THAT WE HAVEN'T FOCUSED ON AS MUCH OVER THE PREVIOUS WEEKS, UH, TO GO AND GET VACCINATED.

UH, CERTAINLY THERE'S PLENTY OF AVAILABILITY NOW, BOTH THROUGH APH, THROUGH THE CODE OF SITE, AS WELL AS THROUGH PRIVATE PROVIDERS, PHARMACIES CLINICS, DRUG STORES, AND, UH, AND, UH, UH, GROCERY STORES.

THIS IS IT, HUH? I THINK OF OUR POSITIVITY IN SCHOOL, AGE, CHILDREN IN TRAVIS.

UH, AGAIN, WE SEE THE SAME TREND AS WE'VE BEEN SAYING IN PREVIOUS WAVES WITH HIGH SCHOOLS OR MIDDLE SCHOOLERS OVER THAT COMMUNITY, UH, POSITIVITY RATE IN ELEMENTARY AND PRESCHOOL UNDER THAT 8.1% FOR HIGH SCHOOL AGED STUDENTS LAST WEEK, NOT MIDDLE SCHOOL, 4.1% ELEMENTARY SCHOOL, 2.9% AND OUR PRESCHOOLERS, UH, 1.4%, UH, AGAIN, UH, IN TERMS OF OUR HIGH SCHOOL AND MIDDLE SCHOOL CASES, NOT WE ARE NOT SEEING CLASSROOM TRANSMISSION.

THOSE TRANSMISSIONS ARE ALMOST EXCLUSIVELY RELATED TO EXTRACURRICULAR ACTIVITIES OR SOCIAL GATHERINGS WHERE THAT MASKING AND THE DISTANCING ARE NOT BEING FOLLOWED.

THIS IS ENOUGH STATE OF OUR LONG-TERM CARE OF SLATE DASHBOARD.

AGAIN, UH, WE'VE SEEN AN INCREASE FROM OUR LOWS AND PREVIOUS WEIGHTS, UH, 16 CASES IN THE LAST 14 DAYS, 25 IN THE PREVIOUS 28 DAYS.

AGAIN, WE'RE SEEING A SMALL NUMBER OF, UH, FACILITIES THAT HAVE, UH, RELATIVELY SMALL OUTBREAKS.

UM, WE HAVE ONE FACILITY THAT HAS, UH, NINE CASES.

UH, THE REST HAVE, YOU KNOW, TWO OR THREE OR ONE CASES.

UH, 64 FACILITIES IN THE COMMUNITY HAVE ZERO CASES, UH, WITH NINE FACILITIES WITH ONE OR MORE CASE, IT'S A RELATIVELY SMALL NUMBER OF, UH, OF OUTBREAKS IN THESE FACILITIES.

OUR TEAMS CONTINUE TO INVESTIGATE THOSE AND OFFER SUPPORT FOR THOSE FACILITIES TO, UH, DECREASE THE SPREAD WITHIN THOSE FACILITIES PUT UP IN OUR ORIGINAL INFUSION CENTER.

UH, AGAIN, UH, THIS WAS, UH, OPENED WITH A PARTNERSHIP WITH THE TEXAS DIVISION OF EMERGENCY MANAGEMENT ON JANUARY THE SIXTH, 1,049 INDIVIDUALS HAVE BEEN TREATED WITH FREE MONOCLONAL ANTIBODY THERAPY, UH, THAT ANYBODY THERAPY HAS CHANGED WITH A CHANGE IN THE RECOMMENDATIONS FROM THE FDA.

UH, BUT AGAIN, OUR ABILITY TO PROVIDE THE MONOCLONAL ANTIBODIES EXCEEDS THE NUMBER OF FOLKS WHO ARE COMING IN OR BEING REFERRED FOR THE THERAPY.

SO AS A REMINDER, OUR COMMUNITY, IF INDIVIDUALS ARE DIAGNOSED WITH COVID-19 AND ARE HIGH RISK FOR SEVERE DISEASE, THEY SHOULD BE REFERRED TO THIS REGIONAL INFUSION CENTER FOR THIS, UH, THERAPY, WHICH HAS BEEN SHOWN TO DECREASE THE NEED FOR HOSPITALIZATIONS IN THOSE HIGH RISK INDIVIDUALS.

UH, AGAIN, AN UPDATE ON OUR, UH, INFLUENZA REPORT, 1.3, 2% POSITIVITY LAST WEEK, A TOTAL OF TWO NEW INFLUENZA CASES.

OVERALL 1.2% POSITIVITY, UH, WITH JUST OVER 150 CASES FOR THE SEASON.

UH, AGAIN, UH, WE WERE TRACKING FOR A RECORD LOW SEASON THIS YEAR.

UM, YOU CAN SAY THERE'S A BIT OF LAG IN THE REPORTING HERE, BUT, UH, UH, YOU KNOW, ALL, ALL SIGNS INDICATE THAT, UH, WE ARE GOING TO CONTINUE WITH THAT RECORD LOW SEASON.

UH, AND, UH, YOU COULD SAY THAT THE INFLUENCE SEASON ENDS AT THE END OF MAY.

UH, SO HOPEFULLY WE WILL CONTINUE THIS, UH, UH, TREND THROUGHOUT THE REST OF THE SEASON THROUGH THROUGH MAY.

AND, UH, WE CAN MARK THIS IN THE RECORD BOOKS AS A, AS A SUCCESS FOR, UH, FOR INFLUENZA AGAIN, UH, WE REMAIN IN STAGE THREE NOW OF OUR COMMUNITY BASE RISK GUIDANCE.

I'M GOING TO TALK A LITTLE BIT MORE ABOUT THAT, UH, IN, UH, UH, THE NEXT SLIDE HERE I DISCUSSED LAST WEEK, A RE-ANALYSIS OF THE TRIGGERS ASSOCIATED WITH, WITH COVID-19, UH, AND THAT RISK-BASED GUIDANCE, UH, THAT RE ANALYSIS HAS BEEN DONE.

UH, AND IT IS APPARENT THAT WAYNE CAN MAKE A SHIFT IN OUR TRIGGERS FOR A TRANSITION INTO STAGE TWO.

UH, WE'RE STILL WORKING ON THAT, UH, AND EXPECT TO FINALIZE THAT IN THE NEXT WEEK, UH, AND LIKELY WE'LL PRESENT THAT TO THE JOINT SESSION NEXT WEEK.

UH, THERE'S BEEN A COUPLE OF OTHER UPDATES.

UH, THERE WAS A PUBLICATION THIS MORNING, UH, IN THE PROCEEDINGS OF THE NATIONAL ACADEMIES OF SCIENCES, UH, WHICH WAS, UH, A, UH, IMPORTANT PAPER, BUT IT'S COME OUT.

UH, AND THIS PAPER ANALYZES, UH, PRIOR

[00:25:01]

PUBLICATIONS, WHICH REALLY INDICATES THAT THE AIRBORNE TRANSMISSION APPEARS TO BE THE PRIMARY METHOD OF TRANSMISSION OF COVID-19.

UH, YOU KNOW, THE PREVIOUS WORKING THEORY WAS THAT IT WAS LARGE DROPLETS, UH, WHICH PLAYS SIGNIFICANT IMPORTANCE ON DISTANCING THAT SIX FOOT OF DISTANCING WAS THE, UH, THE DISTANCE NECESSARY FOR THOSE DROPLETS TO FALL AND TO AVOID TRANSMISSION.

NOW, WE'RE LOOKING AT A NUMBER OF, OF CLUSTERS.

UH, IT, IT APPEARS MORE LIKELY AT THIS STAGE THAT AIR WARM PLAYS A MORE SIGNIFICANT ROLE.

SO WHAT DOES THAT MEAN FOR US? IT MEANS THAT THAT ALL THE PROTECTIONS ARE NOT EQUAL OR LESS LIKELY TO BE EQUAL, UH, WHICH MEANS THAT MASKING IS PROBABLY MORE IMPORTANT AND DISTANCING IS LESS IMPORTANT.

OKAY.

WE ALSO KNOW THAT DURATION OF EXPOSURE IS AN IMPORTANT FACTOR AS WELL.

SO LET ME GIVE YOU A PRACTICAL EXAMPLE FROM THIS PAPER, AND THIS IS A 12 PAGE PUBLICATION THIS MORNING, SO I'M GOING TO SIMPLIFY IT WITH ONE EXAMPLE.

UH, YEAH, IF WE TAKE A TYPICAL CLASSROOM SPACE WITH 19 STUDENTS AND WE TAKE AWAY MASKING AND AN INDIVIDUAL WITH COVID-19 ENTERS THAT CLASSROOM, THEY'VE CALCULATED USING SOME MODELING THE MAXIMUM DURATION BEFORE THERE'S SIGNIFICANT RISK ASSOCIATED WITH TRANSMIT.

SO THAT DURATION WITHOUT MASKING, UH, IS WITH, WITH NORMAL VENTILATION IS 1.2 HOURS, UH, WITH MECHANICAL VENTILATION WITH GOOD AIR TURNOVER.

IT'S 7.2 HOURS.

WHEN YOU ADD MASKING INTO THAT.

YEAH, SIMPLE CLOTH MASK, NOT IN 95, ANYTHING FANCY, A SIMPLE CLOTH MASK.

THOSE NUMBERS CHANGE TO EIGHT HOURS FOR NORMAL VENTILATION AND 80 HOURS FOR GOOD VENTILATION SITUATIONS.

SO THIS INDICATES THAT THAT MASKING IS GOING TO REMAIN IMPORTANT IN THAT INDOOR SETTING, BUT IT INDICATES THAT, UH, WE CAN PROBABLY REASSESS THAT DISTANCING ISSUE, PARTICULARLY INDOORS, UH, SO THAT, THAT WE MAY BE ABLE TO MODIFY THOSE, THOSE GUIDELINES, UH, AS YOU ALL ARE ALL LIKELY AWARE, UH, PRESIDENT BIDEN IS GOING TO BE SPEAKING TO CONGRESS THIS MORNING REGARDING UPDATED CDC GUIDANCE, UH, ON, ON MASKING AND DISTANCING, PARTICULARLY AS IT RELATES TO OUTDOORS.

UH, SO WE ARE GOING TO, TO ANXIOUSLY AWAIT, UH, THE CDC RELEASE ON THOSE REVISED GUIDANCE AND INCORPORATE THOSE INTO OUR GUIDELINES AS WELL.

UH, WE DO KNOW THAT OUTDOOR TRANSMISSION IS RARE, UH, AND IT'S LIKELY THAT WE WILL FURTHER RELAX THOSE REQUIREMENTS, UH, FOR, FOR MASKING AND OR DISTANCING OUTDOORS.

UH, WE ARE GOING TO BE RELEASING THIS WEEK, UH, GUIDANCE ON SUMMER CAMPS AND GUIDANCE ON GRADUATION CEREMONIES AS THOSE THINGS ARE COMING UP IN THE NEXT MONTH OR SO.

AND ONE FINAL THING THAT I WANT TO MENTION BEFORE WE TRANSITION TO DIRECTOR HAYDEN HOWARD, UH, IS, UH, THE JOHNSON JOHNSON OR YONSON VACCINE.

UH, WE HAD A CAUSE FOR A WHILE AND, UH, AND BOTH THE FEDERAL GOVERNMENT AND DSHS HAS APPROVED, UH, THE, UH, USE OF JOHNSON AND JOHNSON VACCINE AGAIN.

UH, BUT THERE'S SOME CONCERN BECAUSE, UH, THE COMMUNITY IS CONCERNED BECAUSE PEOPLE IN COLON DATA ARE SIGNIFICANTLY LESS LIKELY TO TAKE THE VACCINE NOW, UH, SO WANT TO MAKE IT VERY CLEAR, UH, THE RISK VERSUS BENEFIT OF THE VACCINE AND THE RELATIVE RARITY OF, UH, THE, THE CLOTTING EVENTS THAT WE'RE SEEING.

UH, SO THIS DATA IS FROM CDC AND THERE'S TWO GROUPS.

AGAIN, THE, THE VAST MAJORITY OF INDIVIDUALS AFFECTED BY CLOTS AND THEN FEMALES BETWEEN 18 AND 49.

NOW THERE HAVE BEEN SOME CASES IN INDIVIDUALS OVER 49, BUT THIS GIVES A SNAPSHOT OF THE RISK OF COVID-19 VERSUS THE RISK OF THE VACCINE.

SO FOR EVERY 1 MILLION DOSES OF JOHNSON AND JOHNSON VACCINE IN FEMALES, AGE 18 TO 49, WE CAN EXPECT ABOUT 13 CASES OF THOSE RARE BLOOD CLOTS.

UM, HOWEVER, IN THAT SAME GROUP, WE'RE GOING TO PREVENT 12 DEATHS, 127 ICU ADMISSIONS IN 657 HOSPITALIZATIONS.

UH, SO OBVIOUSLY, UH, IN THAT CIRCUMSTANCE, THE BENEFIT OF THE VACCINE FAR OUTWEIGHS THE RISK OF THE VACCINE.

SIMILARLY, IN, IN MORE SUBSTANTIALLY IN FEMALES OVER THE AGE OF 50 WEIGHT CAN EXPECT OUT OF A MILLION VACCINES, TWO CASES OF BLOOD CLOTS, NOT DEATHS, JUST CASES OF BLOOD CLOTS, UH, BUT IN THAT SAME GROUP, THE PREVENTION OF 593 DEATHS, 1,292 ICU ADMISSIONS AND ALMOST 5,000 HOSPITALIZATIONS.

UH, SO AGAIN, WHILE PEOPLE

[00:30:01]

ARE CONCERNED ABOUT WHILE WE ARE GOING TO, TO ISSUE GUIDANCE FOR CLINICIANS ACROSS THE COMMUNITY, TO LOOK FOR THESE BLOOD CLOTS, UH, WE'RE GOING TO PROVIDE INFORMATION TO INDIVIDUALS RECEIVING THE VACCINE ABOUT BLOOD CLOTS.

UM, THE BENEFIT OF THE VACCINE, THE JOHNSON AND JOHNSON VACCINE FAR OUTWEIGHS THE RISKS OF THESE RARE BLOOD CLOTS WITH THAT.

I WILL TRANSITION OVER TO DIRECTOR HAYDEN HOWARD.

THANK YOU, DR.

SCOTT.

UM, GOOD MORNING.

I WANT TO START A BRIEFING, UM, BY GIVING A SNAPSHOT OF THE APH, UH, VACCINE DASHBOARD.

UM, AS YOU CAN SEE, UM, WE HAVE, UM, DATA FROM COMMUNICARE.

WE HAVE, UM, DATA FROM, UM, FROM, FROM COTA, FROM THE EFFORTS THERE, AS WELL AS APH.

UM, THE, ACCORDING TO OUR DASHBOARD, UM, THE ASIAN POPULATION, UM, HAS RECEIVED 12% HAVE BEEN VACCINATED.

UM, AFRICAN-AMERICAN IS 5% AND THE HISPANIC LATIN X, UM, 21%.

UM, THE OTHER THING I WOULD LIKE TO POINT OUT ON THIS, UM, DASHBOARD, UM, IS THAT THERE IS A, UM, IN THE DEMOGRAPHIC SECTION, YOU CAN SEE HERE, UM, NEXT TO IT HAS, UM, MAP ON IT.

UM, YOU CAN GO TO THAT MAP AND YOU'LL BE ABLE TO, UM, KIND OF HOVER OVER AND BE ABLE TO SEE, UM, WHERE WE HAVE PROVIDED VACCINES, UM, IN AUSTIN AND TRAVIS COUNTY, BUT THEN YOU'LL BE ABLE TO SEE, YOU KNOW, OTHER PLACES AS WELL.

NEXT SLIDE WITH THE, UM, UM, VACCINES FOR, UM, CHILDCARE, UM, EDUCATION AND OUR SENIOR POPULATION.

UM, AUSTIN PUBLIC HEALTH HAS PROVIDED, UM, 273,000, UM, VACCINES.

UH, LAST WEEK WE PROVIDED 21,955 VACCINES, UM, CONTINUING TO, UM, PROVIDE VACCINES TO CHILDCARE AND SCHOOL STAFF, UM, AND, UM, SHOWS YOU KIND OF WHERE WE ARE WITH OUR SENIOR POPULATION RECEIVING THEIR FIRST AND SECOND DOSES.

UH, ACCORDING TO THE DOCUMENTATION ON THE DISHES WEBSITE, 104,000, UM, INDIVIDUALS THAT ARE 65 YEARS OF AGE AND OLDER HAVE AT LEAST RECEIVED, UM, ONE VACCINE, NEXT SLIDE.

UM, AS YOU ALL KNOW, UM, WE, UM, UM, DID PILOT OUR, UM, OUR WALK-IN, UH, LOCATION AT DELCO ON THURSDAY AND FRIDAY OF LAST WEEK.

UM, WE ACTUALLY HAD A VERY GOOD, UH, TURNOUT, UM, ON, UM, ON THURSDAY.

UM, WE PROVIDED 887 VACCINES AND, UM, ON FRIDAY 710 VACCINES, AS YOU ALL KNOW, THE WEATHER, UM, WAS VERY CHALLENGING FOR US ON FRIDAY, UH, AT OUR BURGERS SITE.

UM, WE DID NEED TO COUNSEL THOSE APPOINTMENTS, BUT THEN AS FOLKS, UM, TO GO OVER TO DEL CO, UH, ON BOTH OF THOSE DAYS, UM, IF THEY, YOU KNOW, COULD MAKE IT THE SAME DAY THAT THEY COULD COME BACK THE FOLLOWING DAY TO RECEIVE THEIR, UM, VACCINE, UM, HOWEVER, WITH THE, WITH THE FOLKS, UM, WITH THE WALK-INS, UM, STAFF HAVE, UM, DEVELOPED A SYSTEM IN ORDER TO REALLY BE ABLE TO, UM, MOVE THEM THROUGH VERY QUICKLY.

AND SO, UM, WE ARE MOVING TO NO APPOINTMENT IS NECESSARY.

UM, OUR SITE WILL BE OPEN TUESDAY THROUGH SATURDAY AT DELCO.

UM, WE ALSO WILL HEL HAVE OUR INTERPRETERS, UM, AVAILABLE AS WELL.

AND, UM, OUR ONLINE SCHEDULING IS OPEN.

UM, AND SO, UM, IT'S, IT'S OPEN EVERY DAY WITH THE EXCEPTION OF FRIDAYS FROM 7:00 AM TO 7:00 PM, UH, WHICH ALLOWS, UM, SOME TIME FOR US TO, UM, UM, MAKE SURE WE'RE UPDATING AND WORKING ON OUR, UM, OUR SYSTEM.

NEXT SLIDE WANTED TO SHARE OUR MOBILE VACCINE, UM, PROGRAM, UM, FLYER.

UM, WE HAVE THIS IN ENGLISH AND IN SPANISH, UM, THEY ARE WORKING ON THE OTHER TRANSLATIONS.

AND SO, UM, JUST KIND OF WANTED TO EMPHASIZE THAT, YOU KNOW, FOLKS CALL THROUGH ONE TOMORROW, THREE, ONE, ONE TOMORROW, UM, THAT ARE, UM, THEY WILL BE ABLE TO ACTUALLY SCHEDULE

[00:35:01]

THE APPOINTMENT.

AND SO WHAT OUR STAFF HAVE BEEN DOING AND THEIR CONVERSATIONS AS THE EQUITY TEAM HAS BEEN CALLING FOLKS THERE THAT ARE AT HOME, THEY ASK THEM, DO THEY HAVE OTHER FAMILY MEMBERS IN THE HOME, UM, THAT WE CAN PROVIDE THE VACCINE TO.

SO IF IT'S A CAREGIVER THERE AND IF THERE ARE OTHER MEMBERS IN THE HOUSEHOLD, UM, WE WILL, UM, PROVIDE THAT, UM, VACCINE TO THEM.

WE JUST ASK THAT WHEN THEY SCHEDULE THE PROGRAM, UM, TO COME OUT, THAT THEY, UH, ALERT FOLKS TO HOW MANY FOLKS THEY HAVE IN THE HOUSEHOLD, UM, THAT WE CAN COME PREPARED TO PROVIDE THAT VACCINE.

UM, THE MOBILE TEAM IS CONTINUING TO PROVIDE, UM, VACCINES.

WE HAVE, UM, FULLY VACCINATED OVER 2000, UM, 281 INDIVIDUALS.

WE HAVE PROVIDED OVER 3,617 VACCINES.

SO THAT'S YOUR FIRST AND YOUR SECOND DOSES.

UM, THEY'RE CONTINUING, UM, WITH OUR NEIGHBORHOOD MODEL, AS YOU ALL KNOW, UM, WE COMMUNICATED THAT WE WOULD BE, UM, SHIFTING TO NEIGHBORHOOD MODEL.

WE WILL MAINTAIN DELCO AND BERGER, UM, AS WELL, KIND OF DURING THIS PROCESS.

BUT, UM, WE ARE, UM, THIS WEEK WE'RE WORKING, UM, WITH FOUNDATION COMMUNITIES AT ARBITRARY IS GUIDELINE TERRANCE.

UH, WE ARE ALSO WORKING IN BOARD AND CARE FACILITIES AND, UM, UM, PROVIDING THOSE VACCINES TO THEM AS WELL.

UM, ALSO THIS WEEK, WE WILL BE AT BOOKER T WASHINGTON PROVIDING VACCINES, UH, AT THAT LOCATION.

OUR GOAL IS, IS TO CONTINUE TO, UM, WORK WITH THE HOUSING AUTHORITY, UM, TO MAKE SURE THAT WE'RE ABLE TO, UM, MOVE THROUGH ALL OF THEIR PROPERTIES, AS WELL AS THE FOUNDATION COMMUNITIES, UM, SITES AS WELL, UM, WITH THE HOMELESS POPULATION, UM, ALL GUESTS AT ALL OF THE PROLOGIS HAVE BEEN OFFERED THE VACCINE.

UM, NOW WE'VE HAD SOME THAT HAVE NOT ACCEPTED INITIALLY.

SO, UM, WE ARE GOING TO GO BACK AND OFFER THAT TO THEM, BUT AT, UM, THREE OF THE LODGES, THEY ARE FULLY VACCINATED.

AND THEN, UM, AT, UM, ONE OF THE LARGEST, UM, SEVENTY-FIVE OTHER FOLKS HAVE RECEIVED THEIR FIRST DOSE AND STAFF WILL BE GOING BACK TO, UM, PROVIDE THEIR SECOND DOSE.

IN ADDITION TO THAT, UM, WE ARE CONTINUING TO WORK WITH, UM, UT, UM, UH, DAILY COMMUNITY CARE ON, UM, ON THE HOMELESS POPULATION.

UM, AND SO WE HAVE, UM, UH, BEEN TO THE ARCH AS WELL AS THE SALVATION ARMY, UM, AND, UM, AND COMMUNITY FIRST VILLAGE.

UM, ALSO, YOU KNOW, WE HAVE SEVERAL OTHER LOCATIONS, UM, THAT, YOU KNOW, WE WANT TO MAKE SURE THAT WE ARE PROVIDING THOSE VACCINES TOO.

AND SO, UM, WE WILL CONTINUE TO WORK IN COLLABORATION AND PARTNERSHIP WITH THEM, UM, UNTIL WE'RE ABLE TO, UM, TO COMPLETE THIS.

AND SO MY HOPE IS, IS THAT, UM, YOU WILL SHARE THE MOBILE VACCINE, UM, FLYER AND YOUR NEWSLETTERS, UM, AND, AND ANY KIND OF COMMUNICATIONS THAT YOU HAVE TO ALERT THE PUBLIC, UM, THAT, YOU KNOW, WE ARE READY TO PROVIDE MORE VACCINES NEXT MONTH, WANTING TO SHARE WITH YOU, UM, THAT THE, UM, DEPARTMENT HAS, UM, A HEALTH EQUITY WEBSITE THAT IS NOW ACTIVE, AND, UM, YOU CAN SEE THE WEBSITE THERE, UH, BUT BASICALLY WHAT IT CAPTURES IS THAT IT CAPTURES THE WORK THAT WE HAVE BEEN DOING, UM, IN THE SPACE OF KIND OF OVERALL COVID, UM, IN GENERAL, BUT IT PICKS UP ON, UM, THE TESTING AS WELL AS THE VACCINE EFFORTS.

SO, UM, MY HOPE IS YOU'RE ABLE TO GO AND, UM, CHECK OUT OUR WEBSITE, UM, THAT, UM, COMPLETES MINE PRESENTATION AND I AM AVAILABLE FOR QUESTIONS.

THANK YOU FOR THE OPPORTUNITY.

THANK YOU, STEPHANIE.

I'M JUST GOING TO ADD A LITTLE DATA TO THAT FROM CODA THIS WEEKEND, WE ALSO SHIFTED TO, UH, ALLOWING PEOPLE JUST TO DRIVE UP, TO GET AN APPOINTMENT OR TO GET A VACCINE WITHOUT MAKING AN APPOINTMENT.

AND THEN WE ALSO HAD SOME APPOINTMENTS.

SO ON, I THINK, FRIDAY BECAUSE OF THE WEATHER, THERE WERE ABOUT 200 SHOTS GIVEN SATURDAY, THERE WERE 617 THAT JUST SHOWED UP AND 1100 WHO HAD APPOINTMENTS OF ABOUT ALMOST

[00:40:01]

1700 PEOPLE SATURDAY.

AND THEN SUNDAY, UH, SIMILAR, WE HAD, I THINK A THOUSAND SHOW UP WITHOUT AN APPOINTMENT IN ABOUT 755 WITH AN APPOINTMENT.

SO 1755 TOTAL, UH, ON SUNDAY AS WELL.

AND THEN, UH, OTHER EFFORTS OF THE TRAVIS COUNTY COLLABORATIVE INCLUDED, UH, HILLCREST ELEMENTARY IN DEL VALLEY, UH, MAYNARD HIGH SCHOOL SITE, AND THEN TEAMS LED BY CHIEF BAILEY AND CONSTABLE MIRALIS THAT HAVE GONE TO APARTMENT COMPLEXES AND DONE INDIVIDUAL SHOTS THROUGHOUT SORT OF EASTERN AUSTIN AND EASTERN TRAVIS COUNTY.

BUT WITH THAT, I WILL PASS IT ON, I GUESS IF I COULD ASK ONE QUESTION, UH, DR.

S SCOTT, UM, ACTUALLY, I'M GOING TO GO LAST, I APOLOGIZE.

IT'S JUST ABOUT AN ORDER.

UH, I'LL I'LL RECOGNIZE COMMISSIONER GOMEZ FIRST FOR THE QUESTIONS.

UH, JUDGE, I DON'T HAVE ANY QUESTIONS.

THANK YOU, COMMISSIONER SHEA.

THANKS JUDGE.

UM, UH, I HAVE, UH, TWO QUESTIONS WITH THEIR BRIEF.

ONE IS OUR, WHAT INFORMATION DO WE HAVE ABOUT, UM, UH, DOCUMENTING OUR TRACKING, UM, THE CIRCULATION OF THE VARIANTS, THE MUTATIONS IN THE COMMUNITY, AND ALSO, UM, THERE WAS A NEWS STORY ABOUT, I THINK, 3 MILLION OR SO PEOPLE HAD NOT, NOT GOTTEN THEIR SECOND DOSE, UH, WERE CLEARLY WELL PAST THE TIME THEY WERE SUPPOSED TO GET IT.

DO WE HAVE ANY SENSE FOR WHETHER OR NOT THAT'S AN ISSUE IN THIS COMMUNITY, PEOPLE NOT GETTING THEIR SECOND DOSE, LET ADDRESS THE BARRIER ISSUE FIRST, UM, WHEN CONTINUE TO WORK WITH OUR PARTNERS AT UT AS WELL AS DSHS, UH, TO, UH, MONITOR THE VARIANCE.

UH, WE ARE LOOKING AT OPPORTUNITIES TO INCREASE THE DETECTION OF VARIANTS, UH, WHICH IS GOING TO BE IMPORTANT FOR US, PARTICULARLY IN THOSE BREAKTHROUGH INFECTIONS WHERE INDIVIDUALS ARE COMPLETELY VACCINATED AND DEVELOP COVID-19.

UH, SO THERE, THERE IS SOME OF THAT CONTINUING TO BE DONE.

UH, WE WERE LOOKING AT OPPORTUNITIES TO INCREASE THAT EFFORT OVER A LONGER DURATION OF TIMES SO THAT WE CAN, UH, YOU KNOW, HAVE SITUATIONAL AWARENESS REGARDING THAT, UH, PARTICULARLY AS, UH, NEW VARIANTS EMERGE, UH, PARTICULARLY THE HOTSPOTS, UH, IN PLACES LIKE INDIA.

NOW THAT IS BEING DEVASTATED BY COVID-19 AT THE MOMENT.

UM, I DON'T KNOW IF STEPHANIE WANTS TO TAKE THE SECOND PART, UM, ACCORDING TO, UM, UH, STAFF, YOU KNOW, WE'RE, WE'RE NOT HAVING, UM, A BIG NOTE SHOW RATE WITH THE SECOND DOSE.

UM, TYPICALLY IF THEY DON'T SHOW, UM, OUR STAFF ARE REACHING OUT TO THEM, UM, IN ADDITION TO THAT, UM, YOU KNOW, WITH THE KIND OF MORE ACTIVE OUTREACH TO RESCHEDULE THEM FOR AN APPOINTMENT, UM, AND, UM, JUST ASKING THEM IF THEY HAVE RECEIVED THEIR SECOND DOSE, UM, FOR THEM TO ALERT US.

AND SO THAT IS BUILT INTO OUR SYSTEM TO ALERT US ABOUT THEM RECEIVING A SECOND DOSE.

BRILLIANT.

I'LL, I'LL START OFF AGAIN.

UH, I SAY THANK YOU BECAUSE IT, IT, IT SEEMS THAT, UH, WE HAVE, UH, PUT A SYSTEM TOGETHER THAT HAS ALLOWED US TO, UH, TO, UM, NOT ONLY GET PEOPLE IN MORE COMFORTABLY, BUT ALSO MOVED WITH, WITH, UH, MOBILE APPARATUS TO ADDRESS THE NEEDS OF COMMUNITY IN COMMUNITY.

AND, AND I THINK THAT'S CRITICAL, UM, BECAUSE I THINK THE WORK THAT WE HAVE TO DO AT THIS POINT IS NOT MONITORING WORK IT'S QUALITY WORK HOURS, THAT WE MAKE SURE THAT WE BEGIN CONTINUING EDUCATION PROCESS ABOUT VACCINE HESITANCY.

WHAT ARE OUR PLANS TO DO THAT? UM, WHICH INSTITUTIONS ARE WE WORKING IN THE AFRICAN-AMERICAN COMMUNITY? WE HAVE TO WORK THROUGH THE AFRICAN-AMERICAN CHURCH.

WE TALK ABOUT SICK AND SHUT-IN COMMUNITY MEMBERS, CHURCHES HAVE THOSE LISTS ON NEIGHBORHOOD ASSOCIATIONS, MEMBERSHIP ASSOCIATIONS.

I WANT TO MAKE SURE THAT WE ARE CONTINUING TO DO THE QUALITY WORK, THE PLANNING WORK, UH, BECAUSE I THINK THAT, UH, WHAT I WANT TO SEE OVER TIME IS A SUSTAINABILITY PLAN BECAUSE WE WILL BE HERE IN SIX TO 12 MONTHS TALKING ABOUT BOOSTERS.

SO, UM, WHAT, WHAT ARE WE DOING TO MAKE SURE THAT WE ARE BUILDING A SUSTAINABLE PLAN? SO WE ARE, UH, WE, UH, WHETHER WE'RE TALKING ABOUT HEALTH EVENTS, UH, SHOTS TESTING, OR EVEN EMERGENCIES, LIKE BAD WEATHER, WHAT ARE WE DOING TO MAKE SURE THAT WE BUILD A PLAN TO REACH OUT TO OUR COMMUNITIES CONSISTENTLY AND, AND MAKE SURE THAT THEY UNDERSTAND THAT, THAT, UM, WHEN YOU ARE WORKING WITH COMMUNITY AND CAN BE TRUSTED TO REACH

[00:45:01]

OUT TO THEM ALL EFFECTIVE.

SO I'M, I'M, I'M INTERESTED IN THE SUSTAINABILITY PLAN GOING FORWARD.

AND WHAT ARE WE, I GUESS THE QUESTION IS WHAT DO WE BUILD, OR WHAT ARE WE DOING TO BUILD A SUSTAINABLE PLAN THAT CONSIDERS, UH, THE MAKING SURE THAT WE GET TO THE COMMUNITY THAT IS HESITANT, BUT THEN ALSO THAT WE ARE PREPARING FOR HOW BOOSTERS WILL ROLL OUT IN SIX MONTHS FROM NOW, UM, COMMISSIONER TREVELYAN, UM, YOU KNOW, TYPICALLY, UM, BECAUSE THE DEPARTMENT, UM, HAS REALLY SOLIDIFIED RELATIONSHIPS IN THE SPACE OF, OF EQUITY.

UM, AND SO DURING THIS TIME, WE HAVE BEEN ABLE TO ESTABLISH SOME ADDITIONAL RELATIONSHIPS WITH PARTNERS THAT, YOU KNOW, WE HAD NOT TYPICALLY PARTNERED WITH BEFORE, WHICH HAS BEEN REALLY, REALLY GREAT.

UM, AS YOU ARE AWARE, THE DEPARTMENT HAS, UM, SEVEN CONTRACTS WITH, WITH NONPROFIT PROVIDERS, UM, THAT ARE, ARE REALLY, UM, HELPING US FROM A PERSPECTIVE OF OUTREACH AND ENGAGEMENT.

UM, AND SO, UM, REALLY TRYING TO ADDRESS THE HESITANCY, UM, IN ADDITION TO THAT, UM, OUR STAFF ARE WORKING ON THAT, UM, AS WELL.

AND SO WHAT WE ARE, UM, UH, REALLY LOOKING AT IS, IS THAT SOMETIMES AS I STATED ON LAST WEEK, THAT CONVERSATION HAS TO HAPPEN MULTIPLE TIMES.

AND SO PROVIDING THAT EDUCATION, UM, GIVING REASSURANCE, UM, ABOUT THE VACCINE ITSELF, UH, SO AS WE, AS WE MOVE FORWARD, UM, KIND OF LOOKING AT WHERE WE HAVE TYPICALLY BEEN, UM, AS A HEALTH DEPARTMENT, UM, AS YOU KNOW, IN THE PAST WE HAVE PROVIDED, UM, WE HAVE ATTENDED HEALTH FAIRS.

WE HAVE ATTENDED, UM, YOU KNOW, UH, EVENTS, UM, IN THE COMMUNITY WHERE WE HAVE PROVIDED THE FLU VACCINE.

UM, AND SO LOOKING TO REPLACE THAT, UM, THOSE EVENTS WHERE WE ARE THERE PROVIDING, UM, YOU KNOW, THE COVID VACCINES AS WELL, UM, AS WE, YOU KNOW, START TO, UM, LOOK AT, UM, THE POSSIBILITY OF BOOSTERS, WE'RE ALSO PLANNING, UM, FOR WHAT THE ROLLOUT WOULD LOOK LIKE FOR, UH, YOU KNOW, FOR CHILDREN ONCE THAT IS APPROVED.

UM, THAT IS THE KIND OF PLAN THAT IS, YOU KNOW, NEAR DEAR WHAT WE ARE WORKING ON, AS YOU KNOW, UM, WE ARE ONE OF THE, UM, UH, PROVIDERS FOR CHILDREN WITH VACCINES.

AND SO I'M KIND OF LOOKING AT HOW THAT WILL ROLL OUT, UM, IN ADDITION TO, UM, COMING BACK TO PROVIDE THE BOOSTERS AS WELL.

WE KNOW THAT, UM, THERE MAY BE INSTANCES WHERE WE STILL NEED TO DO A HYBRID, UM, WHEN IT COMES TO, UM, THE BOOSTERS.

UM, SO WHETHER IT IS, UH, A COUPLE OF, OF MATH SITES, UM, BUT WE KNOW WE NEED TO KEEP THE, THE MOBILE VACCINE PROGRAM GOING, GOING INTO THE COMMUNITIES, UM, IN THAT PARTNERSHIP.

AND WE ALSO, UM, KNOW THAT, UM, HAVING THOSE, UM, NON-TRADITIONAL LOCATIONS IS GOING TO BE VERY IMPORTANT.

THE OTHER THING, UM, IS THAT WE HAVE EXTENDED OUR HOURS.

UM, SO WE ARE WORKING LATER.

WE WANT TO BE ABLE TO, UM, YOU KNOW, MEET PEOPLE WHERE THEY ARE, BUT PROVIDE SERVICES.

WE'RE, WE'RE, WE'RE IN THOSE COMMUNITIES WHERE PEOPLE GET OFF FROM WORK, THEY CAN COME INTO THOSE SITES AND ARE ABLE TO RECEIVE THAT VACCINE.

THESE, UM, THESE PROGRAMS, UM, ARE SUSTAINABLE OVER TIME.

UM, AND SO WE WILL CONTINUE TO, UM, WORK THERE, BUT WE HAVE TO BE FLEXIBLE.

SO EVEN WHEN WE PUT TOGETHER PLANS AND WE KIND OF LAY OUT WHAT WE'D LIKE TO DO WITH COMMUNICATE THAT WE STILL HAVE TO COME BACK AND MAKE IMPROVEMENTS AND MAKING THESE SHIFTS THAT WE NEED TO MAKE IN ORDER TO MEET THE PEOPLE THAT WE NEED TO MEET THEM, WHERE THEY ARE AND BEING FLEXIBLE.

AND THE IDEA BEHIND THE PROJECT PLAN FOR ME IS, UM, MORE TO HAVE AN ASSET MAP AND ITS OUTCOME SENATE.

SO WE KNOW WHO WE REACHED OUT TO.

UH, WE'VE GOT, WE MAINTAIN OUR CONTEXT THERE.

UH, WE KNOW HOW MANY PEOPLE WERE SERVED IN THAT AREA.

WE IDENTIFY ANY GAPS THAT ARE NECESSARY, AND WE INCORPORATE ADDRESSING THOSE GAPS INTO A PLAN.

UH, YOU ALL HAVE DONE AN EXCELLENT JOB OF BUILDING A PROCESS AND A SYSTEM.

I JUST WANT TO MAKE SURE THAT, THAT WE STRENGTHEN IT, STANDARDIZE IT AND ARE ABLE TO REPLICATE IT, UH, WHEN WE'RE GIVEN ANY TYPE OF EMERGENCY SITUATION.

I JUST, I HAVE A, I STRONGLY SUPPORT PROJECT PLANNING AND ASSET MAPPING TO MAKE SURE THAT WE DON'T HAVE TO REINVENT THE WHEEL EVERY TIME A NEW EVENT OCCURS.

[00:50:05]

SO I APPRECIATE THE WORK THAT YOU'VE DONE.

I JUST WANT TO DOCUMENT JUDGE.

THANK YOU.

THANK YOU FOR ALL THE PROGRESS BEING MADE IN THE COMMUNITY.

I JUST WANTED TO GIVE A SHOUT OUT TO THE FIREFIGHTERS, UM, IN WEST, IN THE WESTERN PARTS OF TRAVIS COUNTY WHO ARE GIVING SHOTS OR IN NEIGHBORHOODS AND AT FIRE STATIONS.

UM, IT'S GOOD WORK OUT THERE.

THANK YOU.

UH, DR.

SCOTT, I HAD ONE QUESTION ABOUT ONE OF YOUR SLIDES.

I THINK IT WAS SHOWING THAT THERE WAS LIKE 6% OF PEOPLE THAT WE KNOW HAVE HAD COVID WAS TALKING ABOUT WHO HAS BEEN VACCINATED AND WHO MIGHT BE, UM, HAVE SOME IMMUNITY, I GUESS, TO COVID.

IS THERE ANY WAY TO TELL WHO THAT 6% IS THAT HAD IT AND COMPARE THAT TO WHO EXACTLY HAD SHOTS TO KNOW IF THERE'S OVERLAP OR NOT, OR IS THAT A HARD THING? WE CAN'T TELL, UH, JUDGE, UH, IT'S, IT'S A DIFFICULT NUMBER TO GET TO BECAUSE OF THE DIFFERENT DATABASES.

UH, I CAN TELL YOU THAT, UH, FOR THE PEOPLE WHO APH VACCINATED, UH, 5,246 OF THEM WERE, WERE CASES IN THE PAST.

SO THEY HAD CONFIRMED CASES OF COVID-19 AND THEN WERE VACCINATED THROUGH APH.

UH, I CAN'T TELL YOU ABOUT THE 350 OTHER PROVIDERS, UH, BECAUSE WE DON'T HAVE THAT LEVEL OF DETAIL FROM NOT FROM THE STATE ON, ON THE INTERACT SYSTEM.

UH, SO THERE IS SOME OVERLAP HOW MUCH OVERLAP WE DON'T.

GREAT.

THANK YOU VERY MUCH, MAYOR.

OH, PASS IT OVER TO YOU.

THANK YOU, JUDGE.

UH, WE'LL START NOW WITH DISTRICT 10 AND WORK OUR WAY BACK TO DISTRICT ONE, UH, COUNCIL MEMBER ALTER GOOD MORNING.

UM, I WOULD LIKE TO KNOW, UM, TO WHAT EXTENT WE'VE SEEN THESE BREAKTHROUGH CASES WHERE FOLKS HAVE BEEN VACCINATED AND GOTTEN COVID IN OUR COMMUNITY.

UM, AND THEN I WAS WONDERING IF YOU COULD SPEAK TO HOW PROTOCOLS HAVE CHANGED WITHIN THE HOSPITALS, UM, FOR PATIENTS TO HAVE THEIR ADVOCATE OR ANOTHER ADULT OR PARENT OR GUARDIAN ALONG WITH THEM AS WE ARE IN THE CURRENT STAGE, THAT'S WHERE WE HAVE ABOUT 30 CASES OF INDIVIDUALS WITH BREAKTHROUGH, UH, COVID-19 INFECTIONS, UH, AGAIN, OUT OF A VERY, VERY LARGE NUMBER OF INDIVIDUALS VACCINATED, A VERY SMALL NUMBER, UH, WHO WENT ON TO HAVE COVID-19 AFTER THEY WERE COMPLETELY VACCINATED.

UH, WE'VE GOT ANOTHER, UH, A TOTAL OF 246 INDIVIDUALS WHO HAD ONE DOSE AND THEN SOMETIME AFTER THAT ONE DOSE, BUT BEFORE THE SECOND DOES, UH, WERE DIAGNOSED WITH COVID-19.

UH, SO AGAIN, VERY SMALL NUMBERS OF INDIVIDUALS, UH, VACCINATED WITH ONE OR TWO DOSES, UH, THAT WENT ON TO GET COVID-19.

UH, WE HAVE HAD DISCUSSIONS WITH OUR HEALTH CARE EXECUTIVES REGARDING RELAXATION OF THE, UH, THE VISITATION POLICIES, UH, YOU KNOW, THEY, THEY ALL WORK INDEPENDENTLY, SO THEY HAVE AN INDEPENDENT GROUPS, UH, THAT ARE MAKING DECISIONS ABOUT THAT.

BUT I DO AGREE THAT PARTICULARLY FOR VISITORS OR PATIENT ADVOCATES WHO ARE FULLY VACCINATED, UH, IT MAKES SENSE FOR THOSE, UH, FOR THOSE ROLES TO BE RELAXED, TO ALLOW FOR THOSE PATIENTS TO HAVE MORE NORMAL OF A, OF A HOSPITAL EXPERIENCE, WHICH, UH, CERTAINLY CAN CONTRIBUTE TO THEIR HEALING.

THANK YOU.

DO WE HAVE ANY ANALYSIS THAT WE'RE DOING FOR THOSE BREAKTHROUGH CASES TO UNDERSTAND THE CIRCUMSTANCES, YOU KNOW, LIKE IN SCHOOLS WE KNOW VERY CLEARLY IT'S EXTRACURRICULARS.

DO WE, DO WE HAVE ANY SENSE OF PATTERNS AND HOW FOLKS WHO ARE VACCINATED AMONG THE SMALL FEW WHO ARE GETTING IT, UM, WHAT THE CIRCUMSTANCES ARE, UH, THOSE CASES ARE REFERRED TO, UH, TO DSHS? UM, I, I CAN SEE IF THERE'S ANY DETAILS WE CAN SHARE, BUT, UH, I, I'M NOT AWARE OF ANY PARTICULAR PATTERN PATTERNS ASSOCIATED WITH THOSE, UH, THOSE BREAKTHROUGH CASES, AGAIN, JUST IN CONTEXT, UH, FOR VACCINATION, FOR ANY DISEASE, WE EXPECT SOME VARIABILITY AND, UH, THE PROTECTION THAT, UH, THE INDIVIDUAL WILL AND, UH, PEOPLE IN OUR COMMUNITY MAY RECEIVE.

UH, YOU KNOW, WE'RE GOING TO HAVE FOLKS WHO ARE VERY WELL-PROTECTED, WE'RE GOING TO HAVE FOLKS WHO ARE PARTIALLY PROTECTED AND HAVE A BREAKTHROUGH INFECTION THERE.

WE'RE GOING TO HAVE SOME THAT HAVE, YOU KNOW, HAVE RELATIVELY LITTLE PROTECTION, UH, BECAUSE THEY DON'T MOUNT THAT IMMUNE RESPONSE.

UH, SO THIS IS CERTAINLY EXPECTED, CERTAINLY WHAT WE SEE WITH, WITH OTHER VACCINES,

[00:55:01]

UH, AND, UH, YOU KNOW, AGAIN, I THINK IT'S A TESTAMENT TO THE EFFICACY OF THE VACCINE, GET IT IN, IN LARGE, NOT EVALUATIONS OF EFFICACY, WE'RE TALKING ABOUT 90% OR GREATER, UH, AS A FRAME OF REFERENCE, THE BEST INFLUENCE OF VACCINE THAT WE'VE EVER DOCUMENTED IS 60% EFFECTIVE.

UH, SO W WE HAVE INCREDIBLY POWERFUL AND EFFECTIVE VACCINES.

OKAY.

THANK YOU, UH, ACCOUNTS FOR TOTAL.

THANK YOU FOR THAT.

THANK YOU FOR ALL YOUR WORK AND THEY'RE SUCH GOOD QUESTIONS.

UM, MY MAIN QUESTION IS, IS REALLY JUST A REQUEST.

IF YOU COULD, DR.

ASCOT MAKE AVAILABLE THE SCIENTIFIC PAPER THAT YOU SPOKE ABOUT THIS MORNING, STAFF COULD POTENTIALLY ATTACH IT TO THE BACKUP TODAY'S MEETING DISTRIBUTED TO THE CITY COUNCIL.

I'M SORRY.

CAN YOU NOT HEAR ME? YEAH, I WAS JUST ASKING MY ONLY, MY ONLY QUESTION TODAY IS REALLY A REQUEST.

IF DR.

S SCOTT COULD MAKE AVAILABLE TO US, THE SCIENTIFIC PAPER, HE INDICATED THIS MORNING TALKING ABOUT, UM, AIRBORNE TRANSMISSION AND, AND SOME OF THE NEWER INFO EITHER VIA OUR DIRECT EMAIL OR AS BACKUP, UH, COUNSELOR.

UM, I'M HAPPY TO SHARE THAT, UH, I WILL GET WITH, UH, WITH THERE'S SOME COPYRIGHT ISSUES.

I HAVE TO MAKE SURE THAT I CAN TRANSMIT THAT.

I EXPECT TO BE ABLE TO GET IT TO IF IT'S NOT POSSIBLE.

I'M SURE WE'LL JUST SEE SUMMARIES OF IT OUT THERE IN THE MEDIA.

YOU BET.

THANK YOU.

UH, COUNCIL MEMBER ELLIS.

THANK YOU, MAYOR.

UM, FACTOR S SCOTT, CAN YOU TELL US WHY WE'RE STILL SEEING HIGHER NUMBERS IN THE 10 TO 19 AND 40 TO 49 AGE GROUP? IS THAT A MATTER OF WHERE IT'S BEING TRANSMITTED OR IS THERE SOMETHING ELSE GOING ON? WELL, I THINK CLEARLY THE 10 TO 19 AGE GROUP, UH, IT'S FOR TWO REASONS, NUMBER ONE, BECAUSE THEY'RE NOT VACCINATED.

AND NUMBER TWO, BECAUSE, UH, 10 TO 19 YEAR OLDS HAVE ABOUT THE HIGHEST NUMBER OF INTERPERSONAL INTERACTIONS WITH ANY AGE GROUP, UH, YOU KNOW, THE 40, 49 AGE GROUP IS A BIT MORE DIFFICULT, UH, TO, TO ASSESS THE WISE AGAIN.

NOW WE'RE COMMONLY SEEING THESE TRANSMISSIONS HAPPENING IN AND SOCIAL ENCOUNTERS AMONGST UNVACCINATED PEOPLE.

UM, AGAIN, UH, YOU KNOW, HISTORICALLY LOOKING BACK AT OUR VACCINATION STRATEGY REALLY DID FOCUS ON OLDER AGE GROUPS.

UH, SO THAT EIGHT, THAT, UH, VACCINATION RATE IN THE 40 TO 49 AGE GROUP IS NOT GOING TO BE WHAT IT IS AND THAT 65 PLUS AGE GROUP.

UH, SO, UH, I THINK THE BEST THING THAT WE CAN DO NOW IS TO ENCOURAGE THAT FOLKS IN ALL AGE GROUPS WHO ARE ELIGIBLE NOW TO GET VACCINATED AND TO MAINTAIN THE MASKING AND DISTANCING, EVEN AS THE CASES FALL, WE'RE STILL GOING TO SEE THAT TRANSMISSION HAPPENED IN THOSE ENVIRONMENTS WHERE WE HAVE UNVACCINATED PEOPLE WHO ARE NOT USING THOSE PROTECTIONS TO PREVENT TRANSMISSION.

THANK YOU FOR THAT ANSWER.

AND THEN, UM, IS THERE STILL AN EXPECTATION THAT BY SUMMER, SOME OF THE AGE GROUPS UNDER 16 MIGHT BE ABLE TO START GETTING VACCINATED? I THINK THAT WAS, UM, A HOPE THAT WE HAD EARLIER IS, ARE WE STILL ON TARGET FOR THAT? UH, I, I BELIEVE SO.

UH, AGAIN, MOST OF US ARE EXPECTING, UH, THAT, THAT, UH, 12 TO 16 AGE GAP WILL BE FILLED SOMETIME IN MAY, UH, WITH THE MODIFICATION OF THE EUA FOR THE PFIZER VACCINE, UH, FOR, YOU KNOW, UNDER 12, IT'S GOING TO BE A LITTLE BIT LONGER.

WE'RE PROBABLY TALKING ABOUT AT LEAST IN THE SUMMER TO LATE SUMMER FOR THAT ONE.

UH, BUT THE 12 TO 16 IS AN IMPORTANT GAP.

AGAIN, WHEN WE LOOK AT THE POSITIVITY RATES IN OUR SCHOOL, AGED CHILDREN EVERY WEEK, MIDDLE SCHOOL AND HIGH SCHOOLERS ARE WELL ABOVE THE, UH, THE COMMUNITY, UH, POSITIVITY RATES AND THE ELEMENTARY AND PRESCHOOL ARE WELL BELOW.

UM, SO AGAIN, IF WE CAN EFFECTIVELY HIT THE MIDDLE SCHOOLERS AND HIGH SCHOOLERS, IT'S, THEY, THEY, UH, FALL SEMESTER SEMESTER FOR OUR MIDDLE SCHOOLS AND HIGH SCHOOLS.

AND I REALLY HAVE A CHANCE OF LOOKING ALMOST NORMAL, UH, WOULD BE MY HOPE AGAIN, THAT'S GONNA DEPEND ON THE VACCINE BEING APPROVED AND PEOPLE GETTING VACCINATED AGAIN, THEIR CHILDREN VACCINATED.

UH, SO AGAIN, THAT WILL BE CERTAINLY BE THE FOCUS FOR LATE SPRING AND FOR THE DURATION OF THE SUMMER.

THANK YOU.

THANK YOU, COUNSELOR POOL.

IF I COULD ASK DR.

ESCA, UH, TO REPEAT WHEN HE THINKS WE MIGHT BE MOVING INTO STAGE TWO, UH,

[01:00:01]

WELL, COUNCIL MEMBER.

UM, MY EXPECTATION IS WE'RE GOING TO BE ABLE TO CHANGE THAT THRESHOLD PER STAGE TWO, UH, FROM 10 TO 15, UM, WE STILL HAVE A LITTLE DATA TO GO THROUGH AND WE STILL HAVE TO LOOK AT THE OVERALL PICTURE OF, OF THE RISK BASED GUIDANCE AND HOW WE'RE GOING TO MODIFY THOSE.

BUT AGAIN, I, YOU KNOW, LOOKING AT THE POSITIVITY DATA FOR LAST WEEK, UH, AND THE EXPECTATION THAT HOSPITALIZATIONS THIS WEEK WILL DECLINE BECAUSE OF THAT INCREASE IN POSITIVITY, DECREASE IN NEW CASES.

UM, WE COULD ENTER THAT STAGE TWO TERRITORY THIS WEEK OR NEXT WEEK AGAIN, UH, WE WANT TO SEE US STAY IN THAT TERRITORY BEFORE WE'RE GOING TO MAKE THE SWITCH TO STAGE TWO.

UH, BUT THAT COULD BE HAPPENING VERY SOON.

I REALLY LIKED THE FACT THAT THAT WERE MORE, UM, UH, CERTAIN ABOUT THE LOW TRANSMISSION WHEN OUTSIDE AND THINGS LIKE THAT.

AND, UM, IT SEEMS LIKE OVERALL SOME PRETTY GOOD NEWS THIS WEEK.

THANKS SO MUCH.

YES.

AND AGAIN, UH, WE'RE, WE'RE ACTUALLY WAITING THAT GUIDANCE FROM CDC TODAY FROM PRESIDENT BIDEN AS WELL.

UM, OUR EXPECTATION IS THAT, YOU KNOW, VACCINATED PLUS OUTDOORS, UH, THINGS ARE GOING TO BE REALLY RELAXED FOR THAT GROUP, UH, UNVACCINATED OUTDOORS WITH DISTANCING THINGS, EVERYBODY BEING TAX FOR THAT GROUP.

UH, WHEN WE TALK ABOUT OUTDOORS, PLUS CLOSING THE DISTANCE PLUS NO MASKING, THAT'S STILL GOING TO BE A CONCERN.

UH, SO WE'RE STILL GONNA HAVE THE ISSUES WITH LARGE GATHERINGS.

UM, BUT I, I EXPECT, AND I'M HOPEFUL THAT OUTDOOR GATHERINGS THAT ARE RELATIVELY LARGE PLUS MASKING WILL BE ABLE TO LOOK FORWARD TO THE SUMMER NOW.

BUT AGAIN, WE'LL HAVE MORE UPDATES ON THAT NEXT WEEK.

THANK YOU, CAST MEMBER KELLY.

THANK YOU, DR.

SCOTT AND DIRECTOR HAYDEN HOWARD, FOR YOUR LEADERSHIP ON COVID IN TRAVIS COUNTY, AS MANY OF, YOU KNOW, DISTRICT SIX INCLUDES A PART OF WILLIAMSON COUNTY.

SO I JUST WANTED TO LOOP INTO GOOD WORK IF SHE HAD TO PREVAIL IN WILLIAMSON COUNTY TEAM UP THERE FOR A MOMENT I READ IN THE NEWS THAT THE COVID-19 VACCINE SUPPLY AND WILCO HAS CAUGHT UP WITH THE DEMAND, THE VACCINE THIS WEEKEND, I SPOKE WITH JUDGE RAVEL AND HE SAID THAT THIS WILL BE THE LAST WEEK THAT WILLIAMSON COUNTY USES MASS VACCINATION SITES FOR FIRST DOSE APPOINTMENTS.

PEOPLE WHO WANT TO GET A FIRST DOSE THIS WEEK CAN STILL GET1@THEDELLDIAMONDBYSIGNINGUPATCURATIVE.COM FOR INFORMATION ABOUT HOW WE COUNTY'S HANDLING COVID.

YOU CAN GO TO WILCO.ORG/CORONAVIRUS THIS WEEKEND.

I'LL BE GETTING MY SECOND VACCINE DOSE, AND I WANTED TO TAKE A BRIEF OPPORTUNITY TO ENCOURAGE OTHERS TO DO THE SAME AND TO GO OUT AND GET VACCINATED.

IF ANYONE HAS ANY QUESTIONS ABOUT WHAT IT WAS LIKE, FEEL FREE TO EMAIL OR CALL MY OFFICE WITH YOUR CONTACT INFORMATION.

I'D BE HAPPY TO EXPLAIN TO YOU HOW MY EXPERIENCE WAS AN EASE, ANY CONCERNS YOU MIGHT HAVE.

THANKS AGAIN, COUNSELOR KITCHEN.

UM, THANK YOU.

UM, I JUST WANTED TO FOLLOW UP ON A COUPLE OF THINGS, UM, RELATED TO, UH, TO HOW WE'RE WORKING WITH THE COMMUNITY TO TAKE, TO HELP MORE PEOPLE GET VACCINATED.

SO WE HAD ASKED, UH, I HAD ASKED ABOUT A COUPLE OF THINGS OUT LAST WEEK THAT I BELIEVE YOU WERE PUBLICLY WORKING ON, BUT I'D LIKE YOU TO JUST SPEAK TO THAT.

WE HAD TALKED IN TERMS OF, UM, MORE OUTREACH.

SO, UH, OUR MORE PROACTIVE OUTREACH.

SO IT'S THE QUESTION OF THE REVERSE NINE, 11 OR SOMETHING SIMILAR.

SO IF YOU COULD SPEAK TO WORKING ON THAT, UM, AND THEN WE'D ALSO ASKED FOR SOME KIND OF TEMPLATE OR GUIDE FOR EACH OF OUR OFFICES, SO THAT WE CAN BE HELPFUL TO YOU ALL IN REACHING OUT INTO THE COMMUNITY.

SO I WANTED TO ASK ABOUT THE PROGRESS OF THAT, AND THEN THE FINAL RELATED TO THAT, I THINK COMMISSIONER HOWARD HAD MENTIONED FIRE STATIONS PROVIDING SHOTS.

SO IF YOU COULD OBTAIN ON WHAT'S HAPPENING THERE.

SO THOSE ARE MY THREE, THE THREE RELATED THINGS RELATED TO OUTREACH.

AND THEN, UM, I HAD ALSO ASKED LAST TIME ABOUT DATA THAT WE WERE TRACKING, UH, POLLING DATA POLLING OR OTHER DATA.

SO IF YOU COULD, UM, UH, I HAVEN'T RECEIVED ANYTHING YET.

SO IF YOU COULD JUST LET US KNOW THE STATUS OF THAT TOO, SO I'LL START KIND OF BACKWARDS AND THEN MOVE TO THE BEGINNING.

SO, UM, WITH THE LAST QUESTION, UM, YOU ASKED, UM, OUR STAFF, UM, ARE PULLING THAT DATA TOGETHER.

UM, WE WILL SHARE THAT AT THE, UM, REAPING ALL ON NEXT WEEK.

UM, WE, WE DEFINITELY NEED TO, UM, RECEIVE THE INFORMATION, UM, FROM A COUPLE OF OTHER SURVEYS THAT WE WERE ALERTED ABOUT.

SO WE'LL PULL THAT TOGETHER AND HAVE THAT READY ON NEXT WEEK.

UM, YOU KNOW, DURING THIS TIME.

UM, AND THEN, UM, AS FAR AS THE, THE

[01:05:01]

GUY THAT YOU MENTIONED, UM, IS BE HELPFUL FOR THE TEAM TO BE ABLE TO HAVE A LITTLE BIT MORE INFORMATION ABOUT WHAT YOU'RE LOOKING FOR IN THAT GUY.

UM, TYPICALLY, UM, AS DR. SCOTT MENTIONED EARLIER, UM, OUR STAFF ARE ABLE TO TOGETHER, YOU KNOW, VARIOUS TYPES OF GUIDES, BUT WE NEED TO HAVE MORE CONTENT ABOUT, YOU KNOW, WHAT ARE YOU GOING TO DO? WHO ARE YOU TRYING TO REACH, UM, AND THEN BE ABLE TO PROVIDE THAT INFORMATION.

SO FOR EXAMPLE, AS HE MENTIONED EARLIER, UM, YOU KNOW, WE'LL BE, UM, UH, PUSHING OUT GUIDANCE FOR GRADUATIONS, UM, AS WELL AS SUMMER CAMPS.

SO WE'LL NEED TO HAVE MORE INFORMATION ABOUT THAT.

UM, WELL, LET ME, LET ME JUST SPEAK, I CAN SPEAK TO THAT REAL QUICKLY IF YOU'D LIKE, UH, THE GOAL IS THE GOAL IS SIMPLY, YOU KNOW, SOME OF OUR COUNCIL OFFICES HAVE BEEN WORKING WITH, WITH YOUR STAFF TO SET UP EVENTS IN OUR DISTRICTS.

SO A GUIDE IS PROBABLY TOO, YOU KNOW, TOO FORMAL WORD.

I'M JUST WANTING TO KNOW IF WE WANT TO BE HELPFUL IN OUR DISTRICTS.

WHAT INFORMATION DO YOU NEED TO KNOW FROM US? AND WHAT DO YOU NEED US TO DO TO SET UP, UM, UH, AN EVENT OR AN EFFORT TO REACH CERTAIN PEOPLE IN OUR DISTRICT? SO IT MIGHT JUST BE A SERIES OF QUESTIONS THAT