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[00:00:03]

AND WE ARE JOINED BY COMMISSIONER SHADE, TOURBILLION, UH, COMMISSIONER GOMEZ, REMOTELY, AND COMMISSIONER HOWARD.

AND, UH, WE'LL GO AHEAD AND CALL THE MEETING TO ORDER AND I'LL PASS IT OVER TO THE MAYOR TO DO THE SAME JUDGE AND A COMMISSIONER'S COURT.

AGAIN, THANK YOU FOR LETTING US PARTICIPATE WITH YOU.

I'M GOING TO CALL TO ORDER THE JOINT BD.

IF THE AUSTIN CITY COUNCIL HERE ON OCTOBER 26TH, 2021, THE TIME IS 9 0 8.

UH, AND, UH, UH, WE MAY BE JUST SHY OF A QUARTER, BUT SINCE WE'RE NOT TAKING VOTES YET AT THIS POINT, TAKING ANY ACTION, UH, WE'RE READY TO PROCEED.

THANK YOU, MAYOR.

ALL RIGHT.

SO NEVER CLEAR FOR US TO KEEP CALLING THINGS TO ORDER OR NOT, BUT IT SAYS I'M SUPPOSED TO ALSO SAY THAT I'M CALLING THE JOINT MEETING OF THE TRAVIS COUNTY COMMISSIONER'S COURT AND AUSTIN CITY COUNCIL.

THE ORDER FOR DEFINITELY CALLED THE ORDER OF BY

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

NOW.

UM, WE'RE GOING TO TAKE UP ITEM ONE TO RECEIVE BRIEFINGS ON COVID-19 RELATED MATTERS, AND I WILL TURN IT OVER TO DR.

WACHS, AUSTIN PUBLIC HEALTH.

THANK YOU, JUDGE.

GOOD MORNING, UM, TO EVERYONE IN THE COURT AND CITY COUNCIL.

UM, IF I COULD SEE THE FIRST SLIDE, PLEASE, AND BY THE WAY, JUDGE, WE HAVE A CORE OF NO, I'LL GO AHEAD AND SHARE MY SCREEN.

DOES SOMEONE HAVE THE SLIDES AVAILABLE OR SHOULD I GO AHEAD AND SHARE MY SCREEN? IT'S THE AB TECH AND CHAMBERS.

I HAVE A, UM, PRESENTATION, BUT I WAS UNDER THE IMPRESSION THAT I WAS JUST HOSTING FOR THE MAYOR AND CHAMBERS.

UM, I'M HAPPY TO DO THAT.

IF, IF SOMEONE CAN HAND OFF THE PRESENTATION PRIVILEGES TO ME.

OKAY.

AH, THERE'S NO PRIVILEGES.

YOU WOULD JUST HAVE TO BE IN THE MEETING TO SHARE THEM.

OKAY.

I CAN DO THAT.

CAN YOU SEE MY SCREEN? YES.

YES.

OKAY, GOOD.

SORRY.

I WASN'T PREPARED TO DO THIS AND I AM HAVING SOME DIFFICULTY GETTING THIS OPEN.

DR.

WALKS.

THIS IS CHUCK BROTHERTON.

I'M HAPPY TO SHARE MY SCREEN AND SHOW YOUR SLIDES IF THAT WORKS FOR YOU.

THAT WOULD BE GREAT.

THANK YOU.

CAUSE I'M PUSHING THE WRONG BUTTON.

LET ME, UM, TAKE THAT DOWN.

STOP SHARING.

THANK YOU.

YOU'RE WELCOME.

YOU CAN GO TO THE NEXT SLIDE PLEASE.

OKAY.

UH, FIRST OF ALL, I'D LIKE TO THANK THE APH TEAM, ALL OF OUR AREA HEALTH CARE PROVIDERS AND THIS COMMUNITY FOR WORKING SO HARD TO REDUCE OUR NUMBERS.

UM, WE CURRENTLY HAVE, UM, 269 CASES THAT HAVE BEEN REPORTED TO APH.

AS OF YESTERDAY, OUR PERCENT POSITIVITY WRITES DOWN TO 4.6.

OUR SEVEN DAY MOVING AVERAGE FOR HOSPITALIZATIONS IS AT 15.

WE HAD 145 PATIENTS IN HOSPITAL, 65 IN ICU, 43 ON VENTILATORS 11 ADMISSIONS AND TENDUS CHARGES.

AND THIS IS ALL DUE TO THE EFFORTS OF THIS COMMUNITY AND ALL OF THE PARTICIPANTS IN THIS RESPONSE IN OUR FIRST SEARCH, UM, WHEN WE HAD NO VACCINE AVAILABLE, WE USED SOCIAL DISTANCING AND MASKING AND OTHER NON-PHARMACEUTICAL MEASURES TO BRING OUR NUMBERS DOWN.

SECOND SEARCH, SAME THING ONLY.

WE HAD THE ADDITIONAL BENEFIT OF VACCINES THAT WERE GIVEN TO THE COMMUNITY WITH THIS LATEST SEARCH.

WE SAY A COMBINATION OF OUR NON-PHARMACEUTICAL MEASURES THAT HAVE HELPED TO CURB THE SPREAD AS WELL AS VACCINES AND THE USE OF MONOCLONAL ANTIBODY THERAPY WITH THE EMERGENCE OF NEW,

[00:05:01]

UM, VARIANTS OF THIS VIRUS IN OUR SECOND SEARCH WITH THE UK VARIANT AND IN THIS LAST SEARCH WITH THE DELTA VARIANT, WE SEE THAT OUR VACCINES, UM, HAVE HELD UP AND PREVENTED HOSPITALIZATIONS AND DEATH AND THOSE WHO WERE VACCINATED.

AND, UM, WE ARE CONTINUING TO PROMOTE MASKING SOCIAL DISTANCING, AND VACCINATIONS IN OUR COMMUNITY.

IF YOU MOVE TO THE NEXT SLIDE, PLEASE, OUR APH, UM, EPIDEMIOLOGY TEAM IS MONITORING THE SITUATION IN THE UK AND EUROPE.

UM, AND IF YOU LOOK AT THE TWO SLIDES ON THE LEFT HAND SIDE OF THE SCREEN, YOU'RE SEEING THE SURGE IN CASES THAT'S OCCURRING ACROSS THE OCEAN.

UM, THEY HAVE POSTULATED THAT THESE INCREASED NUMBERS IN CASES ARE HAPPENING BECAUSE OF DECREASED MASKING AND WANING IMMUNITY AND THE DECREASE IN THE NUMBERS OF THOSE WHO ARE NOT RECEIVING THEIR PRIMARY VACCINE SERIES.

NEXT SLIDE, PLEASE.

THE UNITY MODELING GROUP HAS BEEN WORKING WITH APH TWO ALL ALONG THE WAY TO HELP INFORM OUR RISK BASED GUIDANCE MEASURES THAT WE HAVE BEEN USING.

AND THE MODELING SHOWS THAT, UH, IN THE TOP TWO FIGURES, UM, THAT IF WE CONTINUE WITH THE THRESHOLD FOR STAGE TWO OF FIVE, THAT WE MAY SEE TWO SURGES IN THE NOVEMBER, DECEMBER TIMEFRAME.

AND IT'S POSTULATED THAT THAT MAY BE BECAUSE OF THE DECREASED MEASURES, UM, UM, OF MASKING AND SOCIAL DISTANCING.

IF YOU LOOK ON THE, AT THE PICTURE THAT'S DEPICTED ON THIS SLIDE, IT'S, UH, A SLIDE, A PICTURE SHOWING WHAT'S HAPPENING IN EUROPE AND UK AT THIS POINT.

AND THEN THE HEADLINE, UM, IS SAYING THAT WHAT'S DRIVING THE RISE IN THE UK COVID CASES IS THOUGHT TO BE THE RELAXATION IN MASKING AND ALSO PEOPLE NOT GOING TO GET THEIR BOOSTER JOBS.

AS WE KNOW, WE'VE JUST RECEIVED FULL AUTHORIZATION FOR, UH, EMERGENCY IS AUTHORIZATION FOR BOOSTERS, FOR JENSEN AND MODERNA.

AND WE NOW HAVE BOOSTERS RECOMMENDED FOR ALL THREE OF THE COVID 19 VACCINES.

SO IT'S IMPORTANT FOR OUR COMMUNITY TO CONTINUE TO GET THEIR PRIMARY SERIES OF VACCINES IF THEY'VE NOT BEEN VACCINATED AND TO GO AND GET THEIR BOOSTER VACCINES, TO BOOST THE, UH, IMMUNITY THAT THEY HAVE TO COVID-19 AND PREVENT SEVERE ILLNESS AND HOSPITALIZATIONS.

NEXT SLIDE, PLEASE.

ANOTHER FACTOR THAT'S IMPORTANT TO HELP US PROTECT OUR HOSPITAL SYSTEMS, WHICH IS WHAT WE'VE ALL BEEN PRAYING, TRYING TO DO THROUGHOUT THIS PANDEMIC IS TO LOOK AT WHAT THE IMPACT OF FLU AND INFLUENZA SEASON WILL BE ON OUR HOSPITAL SYSTEMS. AND THIS SLIDE DEPICTS WHAT'S HAPPENING IN TRAVIS COUNTY, UM, FOR THE PREVIOUS SEASON OF 2021, WHEN WE WERE, UM, MASKING AND SOCIAL DISTANCING, UM, CONSISTENTLY YOU SAY THAT OUR, UH, FLU NUMBERS WERE VERY LOW.

WE HAVE STARTED TO RECEIVE THOSE REPORTS OF SOME MINOR, UM, NUMBERS OF FLU CASES, BUT IT'S IMPORTANT THAT WE AS A COMMUNITY GO OUT AND GET OUR FLU SHOTS AND DO THOSE SAME MEASURES THAT WE'VE BEEN DOING TO PREVENT DEVELOPING COVID-19, WHICH IS WEARING MASKS AND SOCIAL DISTANCING, STAYING HOME ONE SEC AND PREVENTING AND PROTECTING, UM, ILLNESS IN OURSELVES AND OUR FAMILY.

AND OUR NEXT SLIDE, PLEASE, THIS SLIDE IS SHOWING US THE BREAKDOWN OF THE NUMBER OF CASES IN TRAVIS COUNTY HOSPITALS.

AND, UH, AT THIS POINT 59.8, 9% OF PATIENTS ADMITTED TO HOSPITAL FOR COVID 19 ARE FROM TRAVIS COUNTY AND THE REMAINDER OF THE COUNTIES, UM, IN OUR SURROUNDING AREA CONTRIBUTE TO THE REMAINING ADMISSIONS FOR COVID-19 ALMOST ALL OF THOSE ADMITTED TO THE HOSPITAL ARE UN-VACCINATED.

AND THEN THE SLIDE ON THE RIGHT-HAND SIDE

[00:10:01]

OF IT, YOU'LL SEE OUR VACCINE NUMBERS OF THOSE, UH, VACCINATIONS STATUS THAT ARE REPORTED ON PATIENTS FOR, UM, OUR HOSPITAL SYSTEMS. AND THE NEXT SLIDE, PLEASE, IF WE LOOK AT THE BREAKDOWN OF THE RACE, ETHNICITY, AND SEX OF THOSE, UH, THAT ARE CONTRACTING COVID-19 IN OUR COUNTY, UM, THERE IS A DISPROPORTIONATELY, UM, LARGE NUMBER OF HISPANIC INDIVIDUALS AND BLACKS THAT HAVE BEEN CONTRACTING.

COVID-19 AN ONGOING PROBLEM THAT WE'RE ADDRESSING WITH CONTINUED EFFORTS AND OUTREACH INTO THOSE COMMUNITIES.

NEXT SLIDE, PLEASE.

WHAT WE'VE SEEN WITH THE LIFTING OR RELAXATION OF BASKING IS THAT CHILDREN DO INDEED CONTRACT COVID-19 AND DO DEVELOP, UM, ILLNESS AT TIMES THAT REQUIRES HOSPITALIZATION.

AND SINCE THE 27TH OF SEPTEMBER THROUGH THE 24TH OF OCTOBER, THERE HAVE BEEN 40 ADMISSIONS TO THE HOSPITAL PATIENTS UNDER THE AGE OF 18, 10 HAVE REQUIRED ICU CARE, NONE HAVE BEEN VACCINATED.

IF WE LOOK AT THE AGE DISTRIBUTION THAT'S BEEN SEEN IN THE PAST FOUR WEEKS, WE SAY THAT THERE STILL REMAINS A HIGHER PERCENTAGE OF YOUNGER INDIVIDUALS ADMITTED TO HOSPITAL THE 20 TO 49 YEAR OLD AGE RANGE, UM, IS NOW MORE REPRESENTED IN THIS DELTA SEARCH THAN IN PREVIOUS SURGES PIMP, GO TO THE NEXT SLIDE, PLEASE.

WHEN WE LOOK AT OUR SCHOOL SYSTEMS WITH MASKING, UM, THEN INCONSISTENT AND A LOT OF OUR SCHOOL SETTINGS, WE'RE SEEING MORE SPREAD, UH, WITHIN THE CLASSROOMS FOLLOWED BY SPREAD AND ATHLETIC, UM, AFTERSCHOOL ACTIVITIES, AND THEN SCHOOL TRANSPORTATION SCENARIOS.

WE APPLAUD THOSE SCHOOL DISTRICTS THAT REQUIRE MASKS, AND THEY'VE BEEN ABLE TO HELP REDUCE THE SPREAD OF COVID-19.

AND IN THIS LAST WEEK, WE HAVE HAD REPORTED TO US 181 CASES, 158 OF THOSE AND STUDENTS AND THE REMAINDER AND STAFF AND EMPLOYEES.

NEXT SLIDE, PLEASE.

OUR LONG-TERM CARE FACILITIES ARE A TESTAMENT TO HOW EFFECTIVE VACCINATIONS ARE IN THAT AGE GROUP AND IN, AND IN OUR COMMUNITY AS A WHOLE.

UM, WE'VE SEEN A CONTINUED DECLINE IN THE NUMBER OF CASES, THOSE CASES THAT HAVE, UM, INSANE IN THIS LAST 14 DAY PERIOD, UM, WE'RE IN, UH, FIVE VACCINATED, FULLY VACCINATED INDIVIDUALS, NONE OF THE CASES THAT HAVE BEEN REPORTED TO APA REQUIRED HOSPITALIZATION.

NEXT SLIDE, PLEASE.

WHEN WE LOOK AT RE-INFECTION, UM, WE ARE, UM, ASSESSING WHETHER AFTER FULL RECOVERY FROM COVID-19, UM, 90 DAYS AFTER RECOVERY FROM COVID-19, THERE'S A SUBSEQUENT RE-INFECTION.

AND DURING THE PERIOD OF THE DELTA SEARCH, WE SAW AN INCREASE IN THE NUMBERS OF CASES OF REINFECTION, WHICH IS COINCIDING WITH THE, UM, INFORMATION THAT WE KNOW NOW THAT ANTIBODIES THAT ARE PRODUCED, UM, CONFER PROTECTION FROM RE-INFECTION FOR A 90 DAY PERIOD, AFTER WHICH TIME IT IS RECOMMENDED THAT THOSE WHO HAVE HAD COVID-19 GO AND GET THEIR VACCINATION SERIES.

NEXT SLIDE, PLEASE.

WHEN WE LOOK AT BREAKTHROUGH CASES, UM, OF THE 119,220 CASES THAT HAVE BEEN REPORTED OF CONFIRMED COVID-19 TO APH, WE'VE HAD 808, SORRY, 8,700 CONFIRMED BREAKTHROUGH CASES.

UM, 90 OF THOSE PATIENTS WHO HAVE THE 8,700 REQUIRED HOSPITALIZATION, 45 OF THOSE WERE MALE 45 FEMALE.

WE'VE

[00:15:01]

HAD 45 COVID ASSOCIATED DEATHS SINCE, UM, VACCINES WERE, UM, AVAILABLE IN DECEMBER LATE DECEMBER OF 2020.

UM, AND THAT AGAIN IS A TESTAMENT TO THE PROTECTIVE EFFECTS OF VACCINATION TO COVID-19 AND IT STRESSES THE NEED FOR OUR COMMUNITY TO GET THEIR VACCINATIONS.

AND FOR THOSE WHO ARE ELIGIBLE EITHER TWO MONTHS AFTER THEIR INITIAL JENSEN SERIES OR SIX MONTHS AFTER THE MRI AND A PFIZER OR MODERNIST SERIES, THOSE POSTERS ARE IMPORTANT TO PROTECT THEM FROM SEVERE DISEASE, DEATH, AND ILLNESS.

THIS IS A LOOK AT A HUGE NUMBER OF PATIENTS THAT ARE COLLECTED IN A SYSTEM CALLED THE COSMOS SYSTEM.

IT IS 120 MILLION PATIENTS FROM 700 HOSPITALS AND 10,000 CLINICS ACROSS 50 OF OUR UNITED STATES.

AND THESE ENTITIES ARE HEALTH CARE FACILITIES THAT ARE USING AN EMR SYSTEM CALLED EPIC OF THE, UM, 17 MILLION PATIENTS THAT RECEIVED A FULL OF VACCINATION COVERAGE.

THEY REPORT 151,570 BREAKTHROUGH CASES.

AND PARTICULARLY WANTED TO POINT OUT THAT THE NUMBER OF BREAKTHROUGH CASES THAT OCCURRED DURING THE MONTHS OF JULY AND AUGUST DURING THE DELTA SEARCH WERE, UM, AS SHOWN THERE 17,058 TO 59,000 AND AUGUST.

IF WE LOOK AT THE NUMBERS FOR HOSPITALIZATIONS INFECTIONS AND DEATHS FOR EACH OF THE, UM, THE X VACCINES THAT ARE CURRENTLY AVAILABLE IN OUR COUNTRY FOR PROTECTION AGAINST COVID-19, YOU SEE THE NUMBERS LISTED THERE, AND EACH OF OUR VACCINES, UM, ARE EFFECTIVE, UH, PROVIDING PROTECTION AGAINST SEVERE DISEASE INFECTION AND HOSPITALIZATIONS AND DEATH, UM, WITH THE LOWEST PROTECTION RIGHTS BEING SAME WITH THE J AND J, BUT NONETHELESS THERE ARE, UM, ALL PROTECTING AGAINST INFECTION, HOSPITALIZATION.

AND, UH, AND THIS IS A SLIDE LOOKING AT WHAT ARE, UM, APH EPIDEMIOLOGY TEAM HAS BEEN, UM, MONITORING THROUGHOUT THE PANDEMIC, BUT PARTICULAR DURING THE YEAR, THIS YEAR, WHEN WE'VE BEEN ABLE TO GIVE VACCINES TO OUR COMMUNITY.

AND WE HAVE HAD 7.8% OF BREAKTHROUGH CASES THAT RESULTED IN DEATH.

I WANT TO TAKE A MINUTE TO POINT OUT THAT TEXAS AND TRAVIS COUNTY HAVE EXPERIENCED THREE COVID-19 SURGES, UM, DURING JUNE, 2020 THROUGH AUGUST, 2020, NOVEMBER, 2020 THROUGH FEBRUARY, 2021, AND THEN JULY, 2021 THROUGH OCTOBER, 2021.

AND IN EACH OF THOSE SUCCESSIVE SURGES, WE'VE HAD APPROXIMATELY 228 TO 267 DEATHS OCCUR.

IT'S GOING TO BE EXTREMELY IMPORTANT, UM, FOR US TO ONE PREVENT, UM, ANOTHER SEARCH BY CONTINUING WHAT WE KNOW WORKS, WEARING MASK, SOCIAL DISTANCING, STAYING HOME WHEN SICK, IF YOU ARE FEELING SICK, GET TESTED, UM, IDENTIFY YOU IF YOU HAVE COVID-19 STAY HOME, PROTECT YOURSELF AND YOUR FAMILY AND YOUR COLLEAGUES AND COWORKERS, UM, FROM SPREADING THAT TO THEM.

AND IF YOU ARE ELIGIBLE FOR BOOSTER, GET BOOSTER SHOTS TO IMPROVE YOUR IMMUNE STATUS.

THERE'S BEEN A LOT OF QUESTION ABOUT OUR BUSINESS COMMUNITY AND OUR EVENTS.

AND I WANT, I LIKE TO SHARE THIS SLIDE BECAUSE IT SHOWS THAT OUR FOOD AND BAR ESTABLISHMENTS HAVE BEEN PRACTICING SOCIAL DISTANCING MEASURES THAT WE'VE ASKED THEM TO.

UM, AND THOSE THAT PRACTICE MASKING HAVE LESS COVID CASES.

UM, WE HAVE HAD SEVERAL LARGE EVENTS IN OUR COMMUNITY, UH, ACL TWO WEEKENDS,

[00:20:02]

UM, THAT WENT WELL.

UM, OUR EPIDEMIOLOGY TEAM REPORTS THAT WE'VE HAD LESS THAN 40 CASES OF INDIVIDUALS WHO REPORTED THAT THEY ATTENDED ACL AS WELL AS NON FESTIVAL THEN USE.

UM, AND THEY CONTINUE TO MONITOR CASES, UM, THROUGHOUT OUR COMMUNITY TO IDENTIFY, UM, THE IMPACT OF THESE EVENTS ON OUR COMMUNITIES, WELLBEING, WHAT I'M CONCERNED ABOUT.

AND WHAT I LEAVE YOU WITH IS WE ARE COMING ON THE HOLIDAY SEASON.

AND A LOT OF OUR, UM, TRANSMISSION HAS OCCURRED IN SMALL INTIMATE SETTINGS, A FAMILIES GATHERING FOR EVENTS AND FESTIVITIES.

AND WE GO INTO OUR SEASON OF HALLOWEEN AND THANKSGIVING AND ALL OF THE KWANZAA AND YOUNG KOHLER AND ALL OF THE THINGS THAT WE CELEBRATE.

UM, AND TRADITIONALLY IT'S IMPORTANT THAT WE PLAN AND PREPARE TO PROTECT OURSELVES AND OUR FAMILIES, UM, MASK AND SEXUAL DISTANCE IN CROWDS WHEN YOU'RE AT GETTING GATHERING, UM, GIFTS AND, AND PROVISIONS FOR YOUR FESTIVALS AND YOUR, AND YOUR DINNER PARTIES.

UM, MAKE SURE THAT IF YOU HAVE ANY SNIFFLES THAT YOU IDENTIFY, WHETHER IT'S REALLY JUST ALLERGIES GET TESTED, UM, IF YOU'RE NOT VACCINATED PLAN TO DO SO NOW, SO THAT YOU'LL BE FULLY VACCINATED WHEN THOSE OCCASIONS COME ABOUT.

AND IF YOU'RE ELIGIBLE FOR A BOOSTER, PLEASE GO AND GET YOUR BOOSTER SHOT.

WE HAVE AN OPPORTUNITY TO ENJOY AND RELAX DURING THESE NEXT FEW MONTHS.

AND I HOPE THAT WE WILL TAKE THE OPPORTUNITY TO DO WHAT WE'VE DONE SO WELL THIS TIME LET'S MAINTAIN THIS LEVEL OF CALM.

LET'S GIVE OUR HOSPITAL STAFFS AND CLINIC STAFF AND OUR APH STAFF A BREAK.

UM, LET'S BE ABLE TO CELEBRATE THE SEASON TOGETHER SAFELY AND IN A HEALTHY WAY.

THANK YOU.

THANK YOU, DR.

VOLKS, UH, DIRECTOR STIRRUP.

YES.

GOOD MORNING, EVERYONE.

IT'S GONNA SHARE MY SCREEN HERE.

HOPEFULLY I'M SHARING.

OH, GIRL.

ALL RIGHT.

SO THANK YOU, DR.

WACHS FOR THAT UPDATE.

I AM GOING TO SHARE, UM, AN UPDATE ON SOME OF OUR OPERATIONAL ACTIVITIES.

AND SO FOR THE MONTH OF OCTOBER AND REVIEW, EVEN THOUGH WE HAVE A FEW DAYS LEFT, YOU CAN SEE HERE, UM, THAT WE'VE GIVEN OUT 1,978, UH, COVID VACCINES IN TOTAL FROM THE FIRST THROUGH THE 24TH OF THE MONTH.

AND THIS SLIDE JUST SHOWS THE BREAKDOWN OF, UM, WHICH VACCINE AND WHAT TYPE OF DOSE WE'VE GIVEN OUT.

UM, WE STILL CONTINUE TO DO, UM, SOME TESTING.

UM, OUR ST JOHN'S SITES IS THE MOST POPULAR PLACE FOR FOLKS TO COME AND RECEIVE A COVID TEST WITH JUST A LITTLE OVER 2200 SHOTS THAT TEST ADMINISTERED THERE 59 THROUGH MOBILE TESTING AND 924 AT OUR DOVE SPRING SITE, AS YOU ARE MAKING YOUR PLANS TO ENJOY OUR HOLIDAY SEASON TESTING IS AN IMPORTANT PART OF THAT.

UM, WE CONTINUE TO PROVIDE TESTING, UM, OPTIONS AT THE DOVE SPRINGS, REC ST.

JOHN'S IN HOME TESTING IS AVAILABLE BY CALLING 3 1 1.

WE CONTINUE TO OFFER FACILITY TESTING AND WE CAN ALSO PROVIDE MOBILE TESTING.

AND THAT'S WHERE OUR TEAM WILL COME OUT TO YOU.

AND, UM, GIVE YOU A COVID-19 TEST.

AND YOU CAN SCHEDULE THAT BY CALLING 5 1 2 9 7 2 5 5 6 0.

WHEN WE LOOK AT OUR PROGRESS WITH VACCINATIONS, UM, WEEK OVER WEEK, TRAVIS COUNTY IS 72.5% FULLY VACCINATED FOR THOSE WHO ARE 12 AND OLDER.

UM, WITH, UM, AS OF THE 25TH OF THIS MONTH, UM, A TOTAL OF 1,652,870 VACCINES WERE ADMINISTERED IN TRAVIS COUNTY.

UM, WHILE WE'RE TRACKING, UH, FOLKS BEING FULLY VACCINATED, WE KNOW IT'S IMPORTANT TO HAVE AN

[00:25:01]

AWARENESS OF THOSE WHO HAVE NOT RECEIVED THEIR SECOND DOSE, AND WE CONTINUE TO MAKE INCREMENTAL CHANGES WITH THIS NUMBER.

THE LAST TIME I SPOKE TO YOU, UM, IT WAS 110,000 RESIDENTS WHO HAD NOT RECEIVED THEIR SECOND DOSE, AND THAT NUMBER HAS GONE DOWN TO 105,000.

SO THIS IS THE, UH, DATA FOR TRAVIS COUNTY BROKEN OUT BY RACE AND ETHNICITY.

AND, UH, THIS IS ACCORDING TO, UH, THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES WEBSITE.

UM, AND I, THE IMPORTANT THINGS ON, ON THIS SLIDE FOR ME IS AS WE CONTINUE TO MONITOR THE EQUITY GAP IS THAT, UM, WE'RE SEEING A FLATTENING IN THE BLACK OR AFRICAN-AMERICAN POPULATION WITH US BEING ONLY AT 36%.

UM, THE HISPANIC OR LATINO POPULATION IS AT 50%.

UM, AS WE MOVE INTO BOOSTERS, WE STILL ARE GOING TO HAVE AN INTENTIONAL EMPHASIS ON MAKING SURE THAT WE GET THE COMMUNITY, UM, FULLY VACCINATED.

UM, AND SO EFFORTS FOCUSING ON THOSE POPULATIONS WILL BE KEY.

THERE IS SOME CONCERN ABOUT THE DATA ON THE PART OF OUR EPI TEAM, BECAUSE OF THE LARGE PERCENTAGE OF INDIVIDUALS THAT CHOOSE OTHER.

AND, UM, THERE IS, UH, AN INTUITION THAT THERE WAS A MISREPRESENTATION OF THE UPTAKE IN THE HISPANIC AND BLACK POPULATIONS IF FOLKS CHOOSE OTHER INSTEAD OF THAT CATEGORY.

UM, AND SO WE ARE, WE'RE CONTINUING TO TRY TO DIG DOWN INTO THAT DATA TO REALLY GET A CLEAR PICTURE OF WHAT IS GOING ON IN, IN THOSE COMMUNITIES, ADRIAN, YOUR VOICE DROPPED OFF WHEN YOU WERE SAYING THAT LAST PIECE ABOUT OTHER, I SURE CAN.

THANK YOU, COMMISSIONER HOWARD.

UM, WE BELIEVE THAT THERE MAY BE SOME, UM, UNDER-REPRESENTATION, UM, PARTICULARLY IN THE HISPANIC AND LATINO RATES BECAUSE OF THE HIGH PERCENTAGE OF FOLKS WHO ARE CHOOSING OTHER, AND THAT DOESN'T MATCH UP WITH THE CENSUS POPULATION OF FOLKS WHO HAD INITIALLY IDENTIFIED AS OTHER.

SO WE'RE THINKING WHEN FOLKS ARE REGISTERING, THERE'S SOME HESITANCY FOR WHATEVER REASON TO IDENTIFY THEIR RACE AND ETHNICITY CLEARLY.

AND SO THEY'RE CHOOSING OTHER, BUT WHAT OUR TEAM IS DIGGING MORE DOWN INTO THAT DATA SO THAT WE CAN HAVE A, A GREATER PICTURE OF WHAT OUR DISPARITIES GAPS ARE.

UM, I THINK THIS NEXT SLIDE, THE MAPS HELP GIVE US A BETTER PICTURE OF, OF WHERE THOSE GAPS MIGHT BE.

UM, FOR OUR FIRST DOSE FULLY VACCINATED.

I LOVE ALL OF THIS SCREEN.

IT'S, IT'S GREAT.

OF COURSE, WE STILL HAVE THAT ONE SPOT OF THE MIDDLE, AND WE KNOW THAT'S A DATA COLLECTION, UM, ISSUE BECAUSE OF STUDENTS THAT MAY HAVE RECEIVED THEIR VACCINATIONS IN ANOTHER PLACE OR STATE.

UM, AND SO WE CAN SEE ZIP CODE WISE, ESPECIALLY IN THOSE AREAS WHERE WE KNOW WE HAVE HIGHER, UM, CONCENTRATIONS OF HISPANIC OR BLACK POPULATIONS THAT WE'RE, WE'RE LOOKING PRETTY GOOD FROM THIS POINT.

UH, FIRST DOSE, I BEG YOUR PARDON.

THIS IS THE FIRST DOSE MAP.

WHEN WE LOOK AT THE SECOND DOSE OR FULLY VACCINATED POPULATION MAP.

SO THIS IS WHERE WE STILL SEE THE GAPS.

UM, 6 1 7 IS STILL BELOW OR AT THE 50% MARK.

AND THE TEAM TELLS ME THIS MIGHT HAVE SOMETHING TO DO WITH, UM, COUNTIES OUTSIDE OF TRAVIS THAT ARE IN THAT AREA CODE.

UM, I THINK THE UPDATES FOR THIS WEEK IS THAT FIVE, TWO TURNED BLUE OVER THE 60% MARK.

AND WE HAD TWO ZIP CODES MOVING FROM BLUE TO GREEN, AND THOSE WERE FIVE, EIGHT, AND TWO, FOUR OF, UM, BEING 70% FULLY VACCINATED.

SO THE PROGRESS IS HAPPENING HATS OFF TO, OF COURSE, THE APH TEAMS, UM, DOING THAT GOOD WORK IN THE COMMUNITY.

AND OF COURSE THE WORK OF THE CONSTABLE AND THE, UH, COUNTY COLLABORATIVE.

AND SO, UM, AGAIN, FOR THOSE WHO ARE WATCHING, IF YOU'RE PLANNING FOR YOUR HOLIDAY SEASON, WE KNOW TESTING IS ONE WAY TO PREPARE, BUT WE ALSO KNOW VACCINES ARE THE BEST WAY TO GO.

SO IF YOU WANT THAT FIRST CLASS EXPERIENCE, WE INVITE YOU TO COME OUT AND GET VACCINATED AT THESE LOCATIONS.

THIS WEEK, WE'LL BE AT OUR STANDARD LOCATIONS OR OUR STATIC SOUTHEAST BRANCH LIBRARY, LITTLE WALNUT CREEK, AND THE PFLUGERVILLE LIBRARY.

WE'LL ALSO BE AT THE DELCO ACTIVITY CENTER AND AT SIMS ELEMENTARY, UM, AGAIN, CLIENTS DO NOT NEED ID.

UM, WE ARE PROVIDING BOOSTER SHOTS OF ANY, UM, FORMULATION

[00:30:01]

AT ANY OF THESE LOCATIONS, BUT YOU DO NEED TO, UM, HAVE YOUR VACCINE CARD BECAUSE IT MAKES IT EASIER FOR THE STAFF TO LOOK UP WHICH VACCINE YOU RECEIVED AND TO KNOW WHICH DOSE YOU, YOU ARE, UM, ELIGIBLE FOR.

IN ADDITION TO THESE STATIC SITES, WE'LL BE AT OVER 13 EVENTS THIS WEEK, INCLUDING THE KOREAN CULTURAL CENTER, THE AUSTIN TRANSITION CENTER, AND AT THE ARCH, THE AUSTIN RESOURCE CENTER FOR THE HOMELESS.

SO BOOSTER IN PEDIATRIC EMERGENCY USE AUTHORIZATION STATUS.

UM, THE FDA PROVIDED E U E U A AND C D C ADVISORY PANEL ON IMMUNIZATION PRACTICES, OO RECOMMENDATIONS TO APPROVE ADDING MODERNA AND JJ BOOSTERS.

UM, AND SO WE HAVEN'T INTEGRATED THE UPDATED BOOSTER CLINICAL GUIDELINES INTO ALL OF OUR PRACTICES.

AGAIN, YOU KNOW, YOU CAN COME TO ANY OF OUR LOCATIONS AND GET A BOOSTER.

SO FOR PFIZER AND , UM, BOOSTERS ARE RECOMMENDED FOR THE FOLLOWING GROUPS SIX MONTHS OR MORE AFTER THEIR INITIAL SERIES.

SO SIX MONTHS AFTER YOU RECEIVED THAT SECOND SHOT, IF YOU ARE 18 AND OLDER AND LIVE IN A LONGTERM CARE SETTING OR 18 AND OLDER, AND HAVE UNDERLYING MEDICAL CONDITIONS OR 18 AND OLDER AND WORK OR LIVE IN HIGH-RISK SETTINGS, A BOOSTER SHOT IS FOR YOU.

AND SO IF YOU RECEIVE THE JANE JAY VACCINE, THE NEW RECOMMENDATION IS TWO MONTHS AFTER THAT FIRST DOSE.

UM, IF YOU FALL INTO ANY OF THE CATEGORIES THAT I MENTIONED BEFORE, A BOOSTER SHOT IS FOR YOU OR ANYONE WHO RECEIVED J AND J AT ALL.

SO J AND J IS OPEN A J AND J BOOSTER IS AVAILABLE FOR ANYONE WHO RECEIVED J AND J AS THEIR, UM, INITIAL COVID VACCINE.

AND NOW YOU CAN MIX AND MATCH, UM, FOR OUR BOOSTER SHOTS.

AND SO IT'S A LOT OF INFORMATION TO PROCESS, UM, AND OUR TEAM IS READY.

YOU CAN EITHER CALL OUR EQUITY LINE BY THREE ONE, ONE, OR WHEN YOU, UM, WALK UP FOR YOUR APPOINTMENT, YOU CAN HAVE THE CONVERSATION WITH THE PATIENT REPS ON HAND, AND THEY'LL HELP YOU FIGURE OUT WHICH BOOSTER SHOT IS FOR YOU.

UM, AND THE THING THAT WE'RE ALL WAITING FOR THE MEETING IS TODAY FOR, UM, THE FDA TO CONSIDER THE CLINICAL TRIAL DATA SUBMITTED BY PFIZER, FOR VACCINES, FOR KIDS FIVE TO 11.

UM, AND AS WE SAID, YOU KNOW, IN PRESENTATIONS BEFORE, AS SOON THAT APPROVAL HAPPENS, THE ACEP COMMITTEE WILL MEET ADVISORY COMMITTEE ON IMMUNIZATION PRACTICES AND THEY'LL ISSUE THOSE GUIDELINES.

AND THEN WE'LL BE ABLE TO, UM, INCORPORATE THOSE GUIDELINES INTO OUR CLINICAL PRACTICES AND BEGIN PROVIDING SHOTS TO OUR KIDS.

AND SO OUR PROACTIVE APPROACH, UM, FOR PLANNING FOR COVID 19 VACCINES, UM, WE WILL BE A PROVIDER.

UM, WE WILL BEGIN BY, UM, HAVING VACCINES AT FOUR ESTABLISHED LOCATIONS, AND THAT WILL BE DELCO SIMS ELEMENTARY SHOTS FOR TOTS ST.

JOHNS AND SHOTS FOR TOTS, UH, FAR SOUTH.

WE WON'T HAVE ANY POP-UP LOCATIONS IN THIS FIRST WEEK, UM, DUE TO THE UNCERTAINTY OF, OF VACCINE DELIVERY.

ONCE WE GET INTO THE FLOW AND WE'RE, WE'RE GETTING REGULAR DELIVERIES.

UM, AND WE IMAGINE THAT WILL BE THE FOLLOWING WEEK OF THE 15TH.

WE WILL CONTINUE WITH OUR FOUR STATIC SITES AND AT SCHOOL POP-UP CLINICS IN AREA THAT'S IN AREAS THAT HAVE LIMITED ACCESS POINTS.

AND SO WE'RE CURRENTLY WORKING WITH MAYNOR ISD AND CHARTER SCHOOLS IN 7 8 7 8 7 2 4 7 8 6 1 7 7 8 7 4 4 AND 7 8 7 5 2.

UM, IN ADDITION TO BEING A PROVIDER, WE PLAN TO ADD, UM, TECH TO PROVIDE RATHER TECHNICAL SUPPORT TO THE BROADER PROVIDER COMMUNITY.

UM, AND THAT IS ANYWHERE FROM TRANSFERRING SMALL AMOUNTS OF, UH, VACCINES TO, UH, HELPING PROVIDERS FIGURE OUT, UM, BILLING AND REIMBURSEMENT PRACTICES.

UM, WE'RE CURRENTLY HAVING A CONVENING OF PROVIDERS AT THE END OF THIS WEEK TO ASSESS COMMUNITY CAPACITY AND IDENTIFY ANY NEEDS AND GAPS AND MAKE SURE THAT PROVIDERS ARE AWARE OF THE ASSISTANCE THAT AUSTIN PUBLIC HEALTH CAN PROVIDE.

UM, WE'RE ALSO, UM, AS OF LAST WEEK, WE DISTRIBUTED A PARENT SURVEY TO ACCESS, TO ASSESS RATHER VACCINE LOCATION AND PROVIDER PREFERENCES, AND TO IDENTIFY ANY HESITANCIES, UM, THAT PARENTS MIGHT HAVE, UH, ABOUT THEIR KIDDOS GETTING VACCINES.

AND, UH, I WANT TO POINT OUT THAT THE

[00:35:01]

STAFF ARE VERY INTENTIONAL ABOUT THE PICTURE THAT THEY CHOSE FOR THIS SLIDE.

AND YOU CAN SEE THAT MOM IS HOLDING HER DAUGHTER WHILE, UM, A SHOT IS BEING ADMINISTERED.

AND THAT'S JUST A REMINDER THAT THIS IS GOING TO BE A VERY DIFFERENT OPERATION FROM ADULT VACCINES, OR THINK THERE ARE A LOT OF THINGS THAT WE HAVE TO TAKE INTO CONSIDERATION.

AND ONE OF WHICH, IF A CHILD NEEDS TO BE HELD OR COMFORTED DURING THE ADMINISTRATION OF A SHOT, THAT HAS TO BE A PARENT.

AND SO WE'RE REALLY WORKING CLOSELY WITH OUR CLINICAL PARTNERS ON THE GROUND AT SCHOOLS TO FIGURE OUT WHAT WILL BE BEST PROCESS TO PUSH INTO SCHOOLS, UM, AND REALLY WORKING TO CREATE SAFE SPACES AND PLACES FOR KIDS TO GIVE VACCINES.

IT'S NOT A ONE AND DONE.

THEY HAVE TO COME BACK AND GET ANOTHER SHOT.

AND THIS EXPERIENCE COULD VERY WELL TARNISH THEIR APPROACH OR ABOUT THE DOCTOR OR SHOTS OR ANYTHING LIKE THAT.

SO WE'RE REALLY TAKING GREAT CARE TO MAKE SURE THAT WE NOT ONLY HAVE THE RIGHT STAFF, WE HAVE THE RIGHT ENVIRONMENT, WE HAVE THE RIGHT PROCESS AND WE HAVE THE RIGHT PRIZES, UM, TO REWARD THOSE KIDDOS FOR BEING BRAVE AND GETTING THAT SHOT.

LAST NIGHT, WE HELD THE FIRST OF A COMMUNITY ENGAGEMENT SESSION TO, UM, INVITE THE COMMUNITY TO REALLY GIVE SOME CANDID COMMENTARY ON, UM, THEIR EXPERIENCE RECEIVING VACCINES, UM, HATS OFF TO CASSIE DALIO, UM, OUR CHIEF ADMINISTRATIVE OFFICER FOR DISEASE PREVENTION AND HEALTH PROMOTION AND HER TEAM FOR PUTTING THIS EVENT TOGETHER, AS WELL AS, UH, THE JOINT INFORMATION, UH, SYSTEM AND THE CPIO.

UH, WE REALLY WORKED HARD TO MAKE SURE THAT THERE WAS INCLUSIVITY AS WITH RESPECT TO LANGUAGE.

I BELIEVE WE HAD OVER FIVE LANGUAGES OR OFFERED INTERPRETATION IN FIVE LANGUAGES, AS WELL AS, UM, OFFERING ASL INTERPRETATION.

UM, AND SO THERE WAS, UH, A GENERAL SESSION WHERE WE WERE ALL TOGETHER AND THEN THERE WERE BREAKOUT ROOMS BY LANGUAGE.

SO PEOPLE COULD FEEL COMFORTABLE IN SHARING THEIR EXPERIENCE IN THEIR LANGUAGE OF CHOICE.

UM, AND SO IN THIS FIRST NIGHT IS I THINK IT'S PRETTY GOOD FOR A MONDAY NIGHT.

WE HAD 70 PARTICIPANTS AROUND TWO WILL HAPPEN THIS SATURDAY, UH, EARLY MORNING.

AND SO WE WILL, UM, CONTINUE TO GET THAT FEEDBACK FROM COMMUNITY, NOT ONLY TO INFORM, UM, THE BOOSTER ROLLOUT, BUT TO MAKE SURE THAT WE, UM, ARE ADDRESSING ANY TECHNICAL OR LANGUAGE OR, OR GEOGRAPHIC BARRIERS THAT PEOPLE ARE STILL FEELING TO MAKE SURE THAT WE CAN GET OUR COMMUNITY FULLY VACCINATED.

AND, UM, THIS IS JUST A SLIDE TO SHOW OUR OUTREACH EFFORTS FOR THE WEEK ON THE 25TH, WE HELD OUR CHW CAREER FAIR, VERY IMPORTANT, BECAUSE WE'RE GOING TO NEED THOSE BOOTS ON THE GROUND TEAMS TO HELP, UM, GIVE GOOD INFORMATION, ESPECIALLY NOW WITH ALL THE DIFFERENT, DO I NEED TO HAVE THOSE A FULL DOSE AT J AND J.

AND SO WE REALLY WANT TO MAKE SURE THAT WE HAVE TEAMS THAT ARE READY AND, UM, ARE CONNECTED TO COMMUNITIES AND ARMED WITH MATERIALS, UM, TO MAKE SURE WE'RE PROVIDING, UH, GOOD INFORMATION IN SPACES AND PLACES WHERE PEOPLE LIVE, WORK AND PLAY.

AND WE HAD 26 PEOPLE SHOW UP ON THE, AT THAT EVENT.

AND SEVEN OF THEM WERE, UH, POTENTIAL HIRES.

AND THREE OF THEM ARE ALREADY IN THE PROCESS OF BEING HIRED.

UM, AT GUS GARCIA, WE SERVED 475 FAMILIES WITH, UH, PPE AND ENHANCED SANITIZER.

WE ALSO GAVE OUT 125 RESOURCE PACKETS, WHICH INCLUDED SHELF, STABLE FOOD BAGS, AND, UM, INFORMATION ABOUT IMMUNIZATIONS, UM, RESOURCES FOR FOOD AND RENT AND UTILITY SUPPORT.

AND WE ALSO GAVE OUT SOME CHILDREN'S BOOKS AND COOKBOOKS.

UM, AND THAT MAKES ME SMILE BECAUSE IN THE MIDST OF THIS PANDEMIC, WE ARE AWARE THAT THERE ARE SOME SERIOUS IMPACTS ON FAMILIES AS A WHOLE, UM, WHETHER THROUGH LOSS OF INCOME AND FAMILIES ARE STRUGGLING TO MAKE ENDS MEET, UM, WITH KIDS HAVING A YEAR OF VIRTUAL LEARNING AND THAT LOSS OF LEARNING AND THAT GAP, UM, THAT'S GROWING WIDER FOR OUR KIDS IN BLACK AND BROWN COMMUNITIES.

AND SO YOU MIGHT THINK, WHY ARE BOOKS IMPORTANT WHEN WE'RE TALKING ABOUT COVID-19 IT WE'RE TALKING ABOUT OUR COMMUNITY COVERED RECOVERING AS A WHOLE AND BUILDING RESILIENCY.

SO SUPPORTING FAMILIES WITH THEIR, UM, BASIC NEEDS AND OUR KIDDOS WITH THEIR LEARNING IS REALLY IMPORTANT.

AND SO HATS OFF TO THE STAFF ARE REALLY TAKING THAT, UM, FULL FLEDGED APPROACH TO SERVE COMMUNITIES.

UM, OVER THE LAST

[00:40:01]

WEEK, WE HAD OUR BOOTH, THE FLU EVENT WHERE WE NOT ONLY GAVE FLU SHOTS, BUT WE ALSO ADMINISTERED, UM, UM, COVID 19 VACCINES.

WE WERE ALSO IN, UH, 7, 8, 7 0 4 AT THE TRAVIS PARK APARTMENTS, THE LIFEWORK OFFICES AND RAINBOW HOUSE.

AND TWO ONE AT THE DOUBLE RR, I DON'T KNOW WHERE THAT IS, BUT WE WERE THERE IN TWO, THREE.

WE WERE AT THE POCO LOCO, THE KENSINGTON VILLAGE AND THE SPRINGDALE SHOPPING CENTER.

AND THE FOUR ONE, WE WERE AT THE GREEN BLAIR BLAIR APARTMENTS AT FOUNDATION AND COMMUNITIES, HARBOR TERRACE, CITY VIEW AT THE PARK APARTMENTS TODAY'S STYLE AND THE EASY PAWN SHOP IN FIVE TWO, WE WERE AT THE LONE STAR FAMILY MARKET IN AND AROUND THE ST JOHN'S NEIGHBORHOOD.

IN ONE SEVEN, WE WERE AT THE CHEVRON GAS STATION UP IN DEL VALLEY AND AT MANOR, WE WERE AT THE RAMOS MEXICAN RESTAURANT AND THE WALMART.

AND SO, UM, AS WE GROW OUR BOOTS ON THE GROUNDS TEAMS, WE ARE REALLY BEING INTENTIONAL ABOUT BEING IN NEIGHBORHOODS AND COMMUNITIES, UM, WHERE WE ARE SEEING THOSE GAPS.

THIS IS A PHOTO OF THE EVENT THAT WE HELD AT THE DOVE SPRINGS REC WE'RE 417 FAMILIES WERE SERVED WITH PPE, THE SAME RESOURCE BAGS AND CHILDREN'S BOOKS AGAIN.

AND THAT IS THE END OF MY REPORT.

UM, AND THIS IS THE TEAM OUT AT THE EAST AUSTIN NEIGHBORHOOD CENTER, UH, DOING THAT DRIVE THROUGH, UH, BAG DISTRIBUTION.

SO I THANK YOU ALL FOR YOUR TIME TODAY, AND I TURN IT BACK OVER TO THE JUDGE.

THANKS DIRECTOR, STRIP, UH, CHECK.

ARE YOU ON, ARE YOU ARE CHECK BROTHERTON, JUDGE.

I AM HERE.

GOOD MORNING.

UH, JUDGE AND MAYOR, UH, COUNCIL MEMBERS AND COMMISSIONERS.

I'M CHUCK BROTHERTON, TRAVIS COUNTY EXECUTIVE FOR EMERGENCY SERVICES.

I'M HERE THIS MORNING WITH CONSTABLE GEORGE MIRALIS OF TRAVIS COUNTY PRECINCT FOUR TO UPDATE Y'ALL ON OUR STRIKE TEAM, OUR VACCINATION STRIKE TEAM ACTIVITIES OVER THE PAST WEEK.

UH, YOU CAN SEE MY SCREEN.

YOU CAN SEE THAT, UH, TOTAL DOSES FOR LAST WEEK FOR OUR COLLABORATIVE 526, UH, THAT WAS ACROSS APPROXIMATELY 30 SEPARATE STRIKE TEAM ACTIVITIES, WHICH MAKES, UH, AN AVERAGE OF ABOUT 17 SHOTS PER EVENT.

UH, I THINK FOR OUR, UH, POP-UP EVENTS, THE STRIKE TEAM EVENTS IN OUR SUPERMARKETS AND OTHER PLACES, UH, THOSE ARE VERY GOOD NUMBERS FOR OUR DRIVE-THROUGH EFFORTS AT THE TRAVIS COUNTY EXPO, UH, WHICH WE DO CONTINUE ON SATURDAYS AND SUNDAYS.

THOSE NUMBERS ARE, ARE BEGINNING TO DROP OFF RATHER SIGNIFICANTLY.

UH, SO WE ARE, WE ARE CONTINUALLY ASSESSING, UH, OUR ONGOING EFFORTS AND, AND, UH, WORKING TO MAKE ADJUSTMENTS AS WE, UH, RAMP UP OUR PLANS FOR VACCINATING PEDIATRICS, UH, CHILDREN AGES FIVE THROUGH 11, AND WORKING WITH OUR, UH, SCHOOL DISTRICTS.

UH, IT MAY BE THAT WE DECIDE TO REALLOCATE SOME OF OUR RESOURCES FROM THE EXPO, UH, TO, UH, THOSE, UH, SCHOOL POP-UPS, BUT, UH, THAT'S TO BE DETERMINED.

AND WE'RE GOING TO CONTINUE LOOKING AT THAT AS WE MOVE FORWARD, UH, TOTAL NUMBER OF VACCINATIONS PROVIDED BY THE TRAVIS COUNTY COLLABORATIVE TO DATE.

WE BEGAN BACK IN JANUARY.

UH, SO UP UNTIL, UH, THIS PAST WEEKEND, WE'VE GOT APPROXIMATELY 111,331 SHOTS DELIVERED.

OUR INITIAL VACCINATOR OF RECORD WAS COMMUNITY CARE, AND THEY WERE WITH US, UH, AT CIRCUIT OF THE AMERICAS.

UM, THEY DID ABOUT 74,000 DOSES.

AND NOW WITH TRAVIS COUNTY, ESD 11 AND FIRE CHIEF, KEN BAILEY AS OUR CURRENT VACCINATOR OF RECORD, UH, THAT, UH, VACCINATOR HAS DOCUMENTED ABOUT 37,500 SHOTS.

UH, WHILE AS YOU HEARD FROM DIRECTOR STIR STIR UP, UH, THE, AS FAR AS RACE GOES, THE OTHER CATEGORY, UH, IS A HIGH NUMBER.

WHEN YOU LOOK AT, UH, UH, ETHNICITY.

HOWEVER, YOU CAN SEE THAT THE TRAVIS COUNTY COLLABORATIVE HAS DELIVERED MOST OF ITS SHOTS ABOUT 26,000, UH, TO, UH, HISPANIC OR LATIN X, UH, PATIENTS MOVING ON TO THE NEXT SLIDE, RATHER BUSY SLIDE, BUT, UH, I WILL ZOOM IN ON PORTIONS OF THIS, UH, ON THIS PREVIOUS ONE, YOU CAN SEE THAT OUR, OUR TRAVIS COUNTY RESIDENTS, 33,675, SO FAR THE OTHER PEOPLE WHO LIVE OUTSIDE OR REPORT LIVING OUTSIDE TRAVIS COUNTY, 3,800, UH, YOU CAN SEE ON THESE TWO MAPS IN THE, UH, UPPER QUARTER OF THIS GRAPH THAT, UH, IN TEXAS AND ELSEWHERE AROUND THE U S THOSE ARE THE LOCATIONS WHERE THOSE, UH, FOLKS WHO ARE NON TRAVIS COUNTY RESIDENTS REPORT LIVING.

SO INDICATES JUST THE NUMBER OF VISITORS THAT WE HAVE IN THE FOLKS THAT WE'RE VACCINATING OVER ON THE RIGHT-HAND SIDE OF THE UPPER PAGE.

HERE, YOU CAN SEE OUR VACCINE

[00:45:01]

VACCINE DISTRIBUTION BY ZIP CODE, UH, AND YOU CAN SEE THE SIZE OF THE BOX INDICATES THE NUMBERS, THE LARGER NUMBERS OF PEOPLE VACCINATED.

SO THIS IS AN ILLUSTRATION, UH, THAT WE ARE CONTINUING TO VACCINATE, PRIMARILY PEOPLE WHO LIVE IN OUR MOST UNDERSERVED ZIP CODE 7 8, 7 2 4 IS WHERE THE EXPO CENTER HAPPENS TO BE 7 8 6 1 7 7 8 6 5 3.

ALL THREE OF THESE ARE IN, IN OUR, IN OUR TOP UNDERSERVED ZIP CODE.

SO, UH, MOVING DOWN ON THIS PAGE, OKAY.

GETTING VACCINE OVER TIME IN THE LAST 30 DAYS, YOU'LL SEE A YELLOW ARE FIRST DOSES, RED, SECOND DOSES AND GREEN, OUR BOOSTERS, UH, THE TRAVIS COUNTY COLLABORATIVE IS A PFIZER OPERATION.

SO THE BOOSTERS THAT WE ARE PROVIDING ARE PFIZER BOOSTERS, UH, THIRD DOSES, UH, AS YOU HEARD, DIRECTOR STIRRUP ALSO SAY, UH, WE ARE ABLE TO, UH, MIX AMONG THE VACCINES.

SO IF YOU DID RECEIVE A MODERNA, UH, FIRST CYCLE AS I DID, I GOT TWO MATERNAL SHOTS.

INITIALLY, YOU CAN FOLLOW THAT UP WITH A PFIZER BOOSTER.

AS I ALSO DID, I WENT TO A COMMERCIAL PHARMACY THIS WEEK AND THEY GAVE ME A PFIZER SHOT.

SO, AND THEN OVER ON THE RIGHT HAND SIDE, YOU CAN SEE AGAIN, OVER TIME FROM MARCH THROUGH THIS PAST WEEKEND, THE NUMBERS OF FIRST, SECOND, AND THIRD SHOTS.

AND ON THIS LAST OR THIRD SLIDE STRIKE TEAM, UH, EVENTS BY ZIP CODE OVER ON THE LEFT-HAND SIDE.

AGAIN, WE ARE SERVING PRIMARILY EASTERN CRESCENT, UH, AND YOU CAN SEE THE NUMBERS OF SHOTS 7 8, 7 2 4.

AGAIN, THAT'S WHERE EXPO IS 47 SEPARATE EVENTS OVER TIME.

AND THEN OVER ON THE RIGHT HAND SIDE, THESE NUMBERS ARE FOR THE PAST WEEK AND THE ZIP CODES THAT WE HAVE SERVED IN THE NUMBER OF SHOTS IN EACH OF THOSE ZIP CODES.

AND AT THIS TIME I WILL STOP SHARING AND TURN IT OVER TO CONSTABLE GEORGE MORALES.

GOOD MORNING, COMMISSIONERS, COUNCIL MEMBERS, MAYOR, AND JUDGE.

WE CONTINUE TO FOCUS OUR OUTREACH AND EDUCATION DOING THE WORK TO MAKE SURE OUR STRIKE TEAMS ARE SUCCESSFUL.

OUR MOBILE VACCINE COLLABORATIVE TEAMS GAVE A COMBINED TOTAL ALONG WITH, UH, ADDITIONAL PARTNER, A SET OF TEXAS ALLIED HEALTH WAS 601 SHOTS THIS PAST SEVEN DAYS I TOLD THEM FOR THE MONTH OF OCTOBER IS GOING TO BE 2,804 SHOTS.

GIVEN WE HANDED OUT A TOTAL OF 2,900 FLYERS, 720 PHONE CALLS.

WE CONTINUE TO TARGET A LOT ON THE, UH, HIGHLY EFFECTIVE ZIP CODES, WHICH ARE 77 5 8 7 8 7 2 4 7 8 7 4 1 DEL VALLEY, AUSTIN CANNOLI, 77 44 AND 77 5 2.

UH, WE WILL BE CURRENTLY WORKING AT OUR TITLE ONE SCHOOLS AREAS THIS WEEK AT MENDEZ MIDDLE SCHOOL AND KEELING MIDDLE SCHOOLS.

UM, ALSO, UH, FOCUSING WITH, UH, WORKING AT DEL VALLEY OPPORTUNITY CENTER AND DAILY MIDDLE SCHOOL THIS PAST WEEK, WE DID BLUE THE FLU WITH TRAVIS HIGH SCHOOL AND HANDED OUT A LOT OF EDUCATIONAL AND ANSWERED SOME GOOD QUESTIONS OUT THERE.

UM, ALSO WE GAVE AN IMPRESSIVE 32 SHOTS AT AUSTIN FC.

UM, WE'LL CONTINUE TO WORK AT THE MEXICAN COUNCIL IT, AND WE DID ATTEND THE PFLUGERVILLE FOOTBALL GAME AS REQUESTED BY COMMISSIONER TREVELYAN.

UM, AGAIN, THIS WEEK, AGAIN, WE'RE FOCUSING ON NSD SCHOOLS, UH, OUR, OUR HIGH ZIP CODE POPULATION AND OUR STATIC LOCATIONS AT J D SUPERSTORES IN THE POCO LOCALS.

WE WANT TO CONTINUE TO PRESS, UH, EDUCATION OUT THERE SO THAT WE DON'T WANT PEOPLE TO DROP THEIR GUARD COMING INTO THIS, THESE WINTER MONTHS BECAUSE, UM, I HAVE TO TOOK A FLU SHOT ABOUT TWO WEEKS AGO, UM, AND JUST TO PREPARE MYSELF AND MY FAMILY THAT, UM, WE DON'T TAKE ANYTHING LIGHTLY AND WE KEEP OUR GUARD UP AND I'LL TURN IT BACK OVER TO CHUCK AND COMMISSIONERS AND COUNCIL MEMBERS, AS I LIKE TO DO LIKE TO JUST SHOW OUR VIEWERS HOW EASY IT IS TO FIND VACCINATION INFORMATION BY LOOKING AT A COUPLE OF THREE WEBSITES ON THE TRAVIS COUNTY WEBSITE ON OUR LANDING PAGE, IT'S A VERY EASY LINK ONE CLICK AWAY, OR COVID POP UP CLINIC VACCINE EVENTS, UH, BY DAY.

AND YOU CAN SEE THIS, UH, HERE TUESDAY, OCTOBER 26TH, WE'VE GOT INFORMATION NOT JUST FOR THE TRAVIS COUNTY COLLABORATIVE ALSO FOR AUSTIN PUBLIC HEALTH, UH, DELCO ACTIVITY CENTER, AUSTIN RESOURCE CENTER, LITTLE WALNUT CREEK SOUTHEAST LIBRARY, AS WELL AS WHERE THE, THE J D STORES WHERE OUR

[00:50:01]

STRIKE TEAM FOLKS WILL BE APPEARING THIS EVENING.

UH, WE'VE ALSO GOT SOME OTHER FOLKS WILLIAMSON COUNTY, UH, AND SOME OTHERS WHO ARE PARTICIPATING IN AND GIVING US THEIR INFORMATION PUT ON THIS CALENDAR.

AND AS YOU GO THROUGH THE WEEK, CLICK ON ANY ONE OF THESE, AND YOU CAN FIND OUT ALL OF THE INFORMATION HOURS OF OPERATION TYPE OF VACCINE, THE LOCATION, NO APPOINTMENT NEEDED, OF COURSE, ON THE CITY OF AUSTIN LANDING PAGE.

AGAIN, FOR MORE INFORMATION, WHEN CLICK FIND CORONA VIRUS, I INFORMATION.

AND THEN WHEN ONE CLICK HERE TO FIND LOCATIONS FOR CREATE FREE COVID-19 VACCINATION, AND THEN FOR RETAIL VACCINES, UH, LOCAL PHARMACIES AND SO FORTH, VACCINES.GOV, WHICH IS AVAILABLE BOTH IN ENGLISH AND SPANISH.

UH, ALL YOU NEED TO DO IS TO CLICK ON THE LOCATION TYPE IN THE ZIP CODE.

AND I WILL TYPE IN 7 8, 6 1 7, UH, INSTEAD OF 25 MILES.

WE'LL SEE WHAT'S AVAILABLE WITHIN FIVE MILES OF THAT ZIP CODE AND IN TERMS OF A RETAIL PHARMACY.

AND YOU CAN SEE, AGAIN, THIS UNDERSCORES THE IMPORTANCE FOR US TO CONTINUE WHAT WE'RE DOING, WHICH IS OFFERING BACK BY LOCAL GOVERNMENT, ONE RETAIL PHARMACY IN WITHIN FIVE MILES OF THIS UNDERSERVED ZIP CODE.

UH, AND THAT'S TRUE ACROSS THE EASTERN CRESCENT.

SO AGAIN, UH, FOLKS WHO ARE LOOKING FOR VACCINES, I WOULD POINT POINT THEM BACK TO THE TRAVIS COUNTY WEBPAGE CITY OF AUSTIN WEBPAGE, TO FIND WHERE THOSE SHOTS MIGHT BE AVAILABLE, JUDGE, AT THIS TIME, I'LL STOP SHARING AND TURN IT BACK OVER TO YOU AND THE MAYOR FOR QUESTIONS.

THANKS, CHUCK AND CONSTABLE AND EVERYBODY.

UM, WE WILL START OUT WITH OUR QUESTIONS FROM COMMISSIONERS, AND THEN WE'LL GO TO CITY COUNCIL.

SO I'LL START WITH COMMISSIONER GOMEZ, IF YOU HAVE ANY QUESTIONS.

YES.

UM, UM, UH, THIS IS REALLY GREAT NEWS.

I'M GLAD TO HEAR IT.

CAN Y'ALL HEAR ME? YES, YES.

OKAY, GREAT.

UH, BUT THIS IS REALLY GREAT NEWS THAT, THAT I'M HEARING, AND IT SOUNDS VERY PROMISING.

UH, I NOTICED THAT THERE'S STILL HESITANCY OUT THERE AND, UH, CONSTABLE, UH, IF THERE'S HESITANCY AMONG THE ADULTS, IS THERE GOING TO BE A HESITANCY OF GETTING THEIR CHILDREN VACCINATED? ONE QUESTION THAT WAS PONDERED THIS WEEKEND COMMISSIONER WAS PARENTS WAITING TO FOR THEIR CHILDREN, SMALLER CHILDREN TO GET VACCINATED, AND THEY WOULD GET VACCINATED WITH THEM.

UM, NO MATTER HOW HARD WE PRESSED TO TRY TO SAY, WELL, YOU KNOW, BE AN EXAMPLE, LET'S SEE, LET THEM SEE YOU DO IT NOW.

UM, THEY WERE STILL HOLDING OFF.

SO THOSE ARE SOME HESITANCIES THAT WE'RE SEEING.

WE'RE ALSO SEEING OBVIOUSLY, UM, UH, PAST, UH, HISTORY OF, OF VACCINES, UH, WITHIN THE UNITED STATES.

UM, WE'RE ALSO SEEING, UH, SOME INEQUITIES, UM, FOR HEALTHCARE AND, AND SERVICES PROVIDED IN EASTERN CRESCENT.

SO THERE'S A TRUST ISSUE.

SO, UH, WE'RE GOING TO CONTINUE TO, TO BEAT DOWN THOSE LAWS AND GET THE INFORMATION THAT WE NEED TO GET OUT THERE.

WELL, AND I ALSO WONDER, UH, THE, THE, THE ROLE THAT SCHOOLS COULD PLAY, UH, IN THIS, UH, BY TALKING TO TWO ELEMENTARY CHILDREN ABOUT HEALTH ISSUES, ABOUT HEALTHY, UM, HEALTHY ISSUES ABOUT EVERYTHING, EATING, UM, EXERCISING, ET CETERA, ET CETERA, UH, INCLUDING, UM, VACCINES, UH, AND, AND IN ORDER TO, TO AVOID, UM, SOME OF THE, UM, UM, THE COVID AND FLU AND ET CETERA, ET CETERA, UH, TO STAY HEALTHY.

UH, SO I WONDER OUR SCHOOLS, DO WE HEALTH, DO WE HAVE HEALTH CLASSES IN ELEMENTARY SCHOOLS STARTING AN ELEMENTARY? CAUSE I THINK THAT'S WHERE IT OUGHT TO START BECAUSE YOU'D BE AMAZED HOW, UM, HOW, UH, ENTHUSIASTIC CHILDREN CAN BE.

AND, AND THEY'LL TALK TO THEIR, THEIR, THE ADULTS ABOUT SOME OF THE THINGS THAT THEY LEARNED IN SCHOOL, UM, ABOUT EVERYTHING.

AND, AND THEY WILL TELL YOU, THEY WILL TELL YOU IN VERY ENTHUSIASTIC TERMS, MOM, YOU KNOW, IT'S IMPORTANT THAT YOU DO THIS OR DO THAT.

AND, AND SO DO WE HELP DO WE HAVE HEALTH, HEALTH CLASSES AND ELEMENTARY SCHOOLS OR JUNIOR HIGH AND HIGH SCHOOL? SO COMMISSIONER, WE HAVE HAD THIS DISCUSSION WITH OUR ASD SCHOOLS AND THE INFORMATION IT'S LIKE WHEN YOU USED TO GET THOSE PAMPHLETS ABOUT SMOKING AND YOU TAKE THEM HOME AND YOU TELL YOUR PARENTS ABOUT SMOKING.

UM, SOME OF THOSE ISSUES THAT, THAT ARE OUT THERE IS, AGAIN, THE MOBILE VACCINE COLLABORATIVE IS TO REINFORCE AND SUPPORT AUSTIN, PUBLIC HEALTH AND OTHER SHOT LOCATIONS.

UM, THAT HAS BEEN A GREAT DISCUSSION.

AND, AND AGAIN, MAYBE I COULD REFER TO ADRIAN STIR UP ON, ON MORE OF THE EDUCATION PURPOSES ON, ON CHILDREN IN ELEMENTARY SCHOOLS.

GREAT.

THANK YOU, COMMISSIONER SHEA.

UH, THANKS, JUDGE.

AND, UM, UM, MY USUAL GRATITUDE TO ALL

[00:55:01]

OF OUR STAFF WHO HAVE BEEN DILIGENTLY, TRYING TO KEEP THE COMMUNITY SAFE AND EDUCATE EVERYONE ABOUT THE IMPORTANCE OF GETTING THE VACCINE, STAYING MASKED, SOCIAL DISTANCE.

UM, I NOTICED ON ONE OF THE CHARTS IT LOOKED AS THOUGH, AND I THINK, UM, SOMEONE SAID THAT WE ARE EXPECTING ANOTHER POTENTIAL SURGE IN THE NOVEMBER, DECEMBER TIMEFRAME.

I'M ASSUMING THAT'S BECAUSE PEOPLE WILL BE INSIDE.

THERE'LL BE AT FAMILY GATHERINGS, UM, AND ARE, WHAT SPECIFIC GUIDANCE CAN WE GIVE PEOPLE TO TRY AND, UM, PREVENT THAT SURGE FROM GETTING OUT OF HAND LIKE THE OTHERS HAVE, THANK YOU FOR ASKING THAT QUESTION.

UM, WE NEED TO PLAN TO BE SAFE, UM, PLAN TO GET VACCINATED IF YOU'RE UNVACCINATED, UM, PRIOR TO GOING TO VISIT GRANDMA.

UM, AND IF YOU'RE SICK, DON'T GO AND VISIT GRANDMA.

UM, AND IF YOU NEED A BOOSTER OR IF ANYBODY, UM, THAT IS GOING TO BE GOING TO VISIT THEM FRIENDS AND FAMILY, THEY SHOULD GO AND GET THAT BOOSTER TO MAKE SURE THAT THEY HAVE FULL PROTECTION FROM VACCINE.

AND WILL WE STILL BE RECOMMENDING THAT PEOPLE MAY ASK OR TRY AND SOCIALLY DISTANCE WHEN THEY'RE WITH FAMILY MEMBERS AND INDOORS, BECAUSE THE WEATHER'S COOLER, INDOOR MASKING WOULD BE RECOMMENDED IF YOU'RE GOING TO BE IN A SITUATION WHERE YOU'RE WITH A GROUP OF PEOPLE WHO ARE NOT FROM YOUR HOUSEHOLD, UM, PARTICULARLY IF THEY'RE NOT VACCINATED OR IF THEY HAVE A MEDICAL CONDITION THAT WOULD PUT THEM AT RISK FOR COVID-19.

UM, IF YOU'RE NOT GOING TO DO THAT, UM, I WOULD RECOMMEND THAT PEOPLE TEST BEFORE THEY GO, JUST TO MAKE SURE THEY DON'T HA HAVE A SYMPTOMATIC ILLNESS.

THANK YOU.

OKAY.

UH, ONCE AGAIN, I WANT TO COMMEND THE TEAM FOR THE WORK THAT'S BEEN DONE.

AND, UH, I JUST WANT TO ASK A COUPLE OF QUESTIONS AND ONE IS GOING TO BE, UM, HAVE WE GIVEN YOU THE RESOURCES AND I GUESS I'LL DIRECT THIS ONE TO CONSTABLE MORALES.

HAVE WE GIVEN YOU THE RESOURCES THAT YOU NEED, UH, TO, UH, TO ADDRESS, UH, THE POP-UP CLINICS THAT YOU HAVE BEEN, UH, PUTTING TOGETHER? IT SEEMS LIKE WE'RE GETTING BETTER RESULTS FROM THE POP-UPS AND WE'RE GETTING FROM, UH, THE, THE STATIC SITES.

SO, UH, DO YOU HAVE EVERYTHING THAT YOU NEED? THAT'S MY QUESTION FOR, UH, CONSTABLE MORALES AND MY FOLLOW-UP, UM, AND THIS MIGHT BE TO, UH, TO DR.

WACHS IS, UM, WHAT IS THE OPINION ABOUT GETTING, UH, I'VE HEARD TWO OR THREE DIFFERENT, UH, DISCUSSIONS? WHAT IS THE OPINION ABOUT IF, UH, TAKING A DIFFERENT, UM, A, A DIFFERENT VACCINE, UH, FOR YOUR BOOSTER THAN YOU TOOK, UH, FOR YOUR FIRST SHOT FIRST AND SECOND SHOT? MEANING IF I TOOK MADONNA TWICE, IS THERE A BENEFIT TO TAKING PFIZER FOR THE BOOSTER, OR SHOULD I, OR IS THE GREATEST BENEFIT COMING FROM TAKING MADRONA? AGAIN, THE CDC HAS PROVIDED GUIDANCE TO ALLOW FOR MIXING AND MATCHING, AND, UH, YOU CAN CERTAINLY DO THAT.

AND I WOULD RECOMMEND THAT ANYONE WHO'S GOING TO HAVE A BOOSTER IF THEY ARE CONSIDERING CHANGING FROM ONE PRODUCT TO THE OTHER, THAT THEY CONSULT WITH THEIR PHYSICIAN, TO MAKE SURE THAT THE, THE, UM, CHANGE THAT THEY'RE CONSIDERING MAKING WOULD BE ADVISABLE FOR THEM AND THEIR PARTICULAR MEDICAL CONDITIONS.

THANK YOU.

UH, CONSTABLE MORALES, UM, ARE, ARE YOU HAVE WHAT YOU NEED OR SHOULD WE BE LOOKING FOR ADDITIONAL THINGS? SO, UH, ON THE MEDICAL SIDE, I THINK WE'RE KEEPING UP AS BEST AS WE CAN.

WE DO TEND TO RUN THIN SOMETIMES AND TRY TO MANEUVER AND TRY TO FILL AREAS, BUT WE'RE DOING GREAT ON THAT SIDE RIGHT NOW, AS I CAN SPEAK ON MY SIDE, THE OUTREACH, UM, WE'RE STILL TRYING TO KEEP UP AS YOU KNOW, WE ARE VERY THIN AND, UM, WE'RE TRYING TO KEEP UP WITH SHOT LOCATIONS AND ADDITIONAL STAFFING SHORTAGES THAT ARE CURRENT, NOT WITH MY OFFICE, BUT CURRENT AROUND TRAVIS COUNTY.

UM, SO WE'RE GOING TO DO OUR BEST AS WE CAN.

UM, YES, THERE ARE SOME DIFFICULTIES ALONG THE WAY, BUT WE KEEP UP.

UM, SO I GUESS IF IT'S A 50 50 QUESTION THERE, YES, ADDITIONAL RESOURCES ARE NEEDED, BUT, UH, THE OTHER 50% IS WE'RE GOING TO KEEP UP AS BEST AS POSSIBLE.

I JUST WANT IT TO, UH, TO BE ABLE TO, AND WE'RE GOING TO HAVE THIS DISCUSSION OF LA LION TO ENUMERATE SOME OF THE THINGS THAT ARE NECESSARY, SO WE CAN GO ABOUT MAKING SURE THAT YOU HAVE

[01:00:01]

WHAT YOU NEED TO GET THE MAXIMUM NUMBER OF PEOPLE.

THANK YOU, COMMISSIONER.

THANK YOU, COMMISSIONER HOWARD.

UM, THANK YOU VERY MUCH.

I WANTED TO KNOW FROM, UM, ADRIAN WHEN THE MEET THE PROVIDER MEETING IS, AND IF THAT IS SOMETHING THAT I COULD MAKE SURE THAT THE JURISDICTIONS IN WESTERN TRAVIS COUNTY ARE AWARE OF AS YOU GEAR UP TO, YOU KNOW, OFFER TECHNICAL ASSISTANCE AND INFORMATION AROUND PEDIATRIC VACCINATIONS.

SO IT IS SCHEDULED FOR, UM, THIS NOVEMBER 5TH.

IT'S GOING TO SAY THIS FRIDAY, BUT HALLOWEEN HASN'T HAPPENED YET.

SO IT'S SCHEDULED FOR NOVEMBER 5TH.

UM, DR.

WACHS CAN SPEAK MORE ABOUT THE INVITEE LIST.

IT IS LIMITED TO CLINICAL PROVIDERS BECAUSE WE REALLY WANT TO GET THAT INPUT.

UM, BUT IF YOU HAVE, UH, PHYSICIANS THAT SHOULD BE INVITED, PLEASE LET US KNOW.

WE'VE, WE'VE TALKED TO IT AND WE'VE GOT THE WEBEX SET UP SO WE CAN HOST A HUGE CROWD.

UM, SO THE MORE THE MERRIER AND IN TERMS OF GETTING THAT INFORMATION AND FEEDBACK, UM, AND I JUST THANK YOU.

I WANTED TO GO BACK TO COMMISSIONER.

GOMEZ'S A QUESTION ABOUT THE EDUCATION IN SCHOOLS.

UM, THAT'S SOMETHING THAT WE CAN TALK TO THE INDIVIDUAL DISTRICTS ABOUT.

THERE IS A PROCESS WHERE THERE'S A COMMITTEE THAT WOULD HAVE TO REVIEW ANY MATERIALS OR INFORMATION, AND THEN IT WOULD BE THE, YOU KNOW, IT WOULD HAVE TO GET THAT APPROVAL.

UM, BUT LET ME TALK TO STAFF TO SEE IF, IF THAT'S SOMETHING THAT MAKES, UM, THAT'S FEASIBLE IN TERMS OF OPERATIONS, UM, AND THEN HAVE SOME INITIAL CONVERSATIONS WITH THOSE SHACKS AND AISD, PROBABLY MAINER AND DEL VALLEY, AND TO SEE WHAT THE PROCESS WOULD BE, AND IF THEY WOULD EVEN BE OPEN TO IT, UNFORTUNATELY, UH, THE COVID VACCINE BRINGS SO MUCH MORE TO IT THAN A HEALTH DISCUSSION, AND WE WOULD WANT TO TREAD LIGHTLY, BUT, UM, DEFINITELY FOOD FOR THOUGHT.

AND WE'LL TAKE THAT BACK TO THE TEAM.

YEAH.

I JUST DON'T WANT TO OVERLOOK A YOUNG PEOPLE AND JUST ASSUME THAT THEY DON'T KNOW WHAT'S GOING ON.

THEY'RE SMART.

THANKS.

UM, MY QUESTION ON THE TESTING, UH, DR.

WACHS OR DIRECTOR STIRRUP, DO PEOPLE HAVE TO BE SYMPTOMATIC TO GET A TEST, OR COULD THEY GO TO ONE OF THE APH FREE TESTING SITES OR, OR BUY A TEST AT A PHARMACY? UM, JUST AS A, TO CHECK OUT IF THEY'RE POSITIVE BEFORE THEY GO HAVE THANKSGIVING DINNER, OR THEY COULD PICK UP A HOME TEST AND A LOCAL PHARMACY OR GO TO THEIR PROVIDER OR, OR GO TO ONE OF THE TESTING LOCATIONS THAT WE HAVE.

OKAY.

AND SO IT'S NOT A REQUIREMENT THAT YOU'RE LIKE HAVE A RUNNY NOSE OR SOME SYMPTOM OF POTENTIAL COVID TO GET A TEST, RIGHT? NO.

AND WHEN I MENTIONED THAT IN PARTICULAR, I'M THINKING ABOUT, UM, PEOPLE THAT MAY HAVE BEEN IN A WORK SITUATION WHERE THEY WEREN'T UNMASKED, AND THEY'RE NOT SURE IF THEY WERE EXPOSED OR IN A CROWDED SITUATION WHERE THEY WERE POSSIBLY EXPOSED, UM, SO THAT THEY CAN LIMIT THAT RISK BY CHECKING A TEST.

AWESOME.

THANK YOU, MAYOR.

MAYOR, I'LL PASS IT ON OVER TO Y'ALL JUDGE.

THANK YOU.

UH, WE'RE GOING TO BEGIN WITH DISTRICT ONE AND THEN WORKING OUR WAY UP.

SO IT WILL BEGIN WITH THE MAYOR PRO TEM.

THANK YOU, MAYOR.

APPRECIATE IT.

THANK YOU, JUDGE.

UM, COMMISSIONERS, UH, MY COLLEAGUES AT THE COUNCIL, I ACTUALLY DON'T HAVE ANY QUESTIONS, WANT TO EXPRESS MY DEEP GRATITUDE FOR THE CONTINUED EFFORTS AROUND GETTING OUR COMMUNITY VACCINATED, OUR COMMUNITY TESTED, KEEPING OUR COMMUNITY INFORMED.

I CONTINUE TO HEAR REALLY POSITIVE, UH, EXPERIENCES AND OUTCOMES FROM OUR CONSTITUENTS.

UM, WHEN IT COMES TO THEM, FINDING THE RESOURCES THAT THEY NEED, I ACTUALLY PERSONALLY HAD TO HELP SOMEBODY FIND SOME RESOURCES RECENTLY, AND I WAS VERY IMPRESSED TO SAY THAT IT WAS A PAINLESS AND EASY TO NAVIGATE EXPERIENCE, EVEN FOR A PERSON LIKE ME.

WHO'S NOT ENTIRELY TECHNOLOGICALLY SAVVY.

SO, UM, GOOD, GOOD JOB, EVERYBODY ON OUR CONTINUED EFFORTS, I, I'M MORE OF A STATEMENT THAN A QUESTION THOUGH, IN THAT I HAVE FOUND, UM, THAT TALKING TO FOLKS IN A WAY THAT WE ARE MAXIMIZING OUR EFFORTS AND LIMITED RESOURCES, UM, BY APPLYING THOSE TO PEOPLE WHO ARE INTERESTED IN BEING A PART OF THE COLLECTIVE EFFORT TO MOVE US FORWARD IN THIS CONTINUED FIGHT AGAINST COVID-19 HAS, HAS PROVEN TO BE THE BETTER USE OF RESOURCES.

UM, AND CERTAINLY NOT TO SAY, YOU KNOW, GIVE UP ON ANYBODY.

WE KEEP, WE KEEP PLUGGING AWAY AND KEEP PUSHING AND ENCOURAGING PEOPLE TO PARTICIPATE.

BUT I REALLY DO JUST WANT TO SAY THAT I PERSONALLY,

[01:05:01]

IN MY, IN MY OFFICE, IN OUR EFFORTS HAVE BEEN DOUBLING DOWN ON PEOPLE WHO ARE INTERESTED IN MOVING FORWARD, UM, TOGETHER AS A COMMUNITY TO KEEP OURSELVES IN OUR FAMILIES AND FRIENDS AND COMMUNITIES SAFE.

UM, BUT THAT'S ALL.

THANK YOU EVERYBODY.

I WROTE TAB.

THANK YOU.

I DON'T THINK COUNCIL EVER FIGHT.

THIS IS WITH US THIS MORNING.

A COUNCIL MEMBER READ 30 YEAR.

I JUST WANT TO SAY, I THINK TO ALL, ALL OF YOUR OUTSTANDING WORK AT Y'ALL DOING, AND WHEN HE, I A WITH HEAVY THAT DISCUSSION ABOUT OTHERS, I KIND OF CHUCKLE A LITTLE BIT BECAUSE ALL MY GRANDKIDS OR OTHERS, IF THEY'RE EITHER HALF BLACK, HALF WHITE, YOU KNOW, SO WHATEVER THEY WOULD WANT TO BE, YOU KNOW, I HAVE SOME THAT HAVE THREE RACES, SO WHITE, MEXICAN BEING OVER OR WHATEVER, AND THEN MAYBE BLACK.

AND SO IT'S VERY HARD FOR THEM.

IT'S NOT HARD FOR THEM AS THEY GO BY THAT'S THAT'S, UH, WHAT THEY DIDN'T FIND OTHERS.

SO THEY KEPT FOR BRINGING THAT UP.

THANK YOU.

SCOUT'S FABRIC IS SAR WITH US CATS, WHOEVER KITCHEN IS NOT COUNCIL MEMBER KELLY.

HI, I DON'T HAVE ANY QUESTIONS AT THIS TIME, BUT THANK YOU SO MUCH FOR ALL OF THE INFORMATION THAT WAS PROVIDED.

IT WAS VERY, VERY HELPFUL.

OKAY.

THANK YOU.

IT GETS HER POOL.

I DON'T KNOW IF SHE'S WITH US COUNCIL MEMBER ALICE.

I CERTAINLY DO APPRECIATE ALL THE WORK.

THAT'S NOT ONLY GOING INTO THESE INITIATIVES, BUT ALSO INTO THE PRESENTATIONS TO HELP US UNDERSTAND ALL OF THESE MOVING PARTS ALONG THE WAY.

I DID HAVE A QUESTION ABOUT UNDERLYING CONDITIONS.

I SEE IN THE PRESENTATION THAT LEADS TO THE CDC WEBSITE, BUT I WAS SURPRISED TO SEE HOW MANY DIFFERENT TYPES OF CONDITIONS MIGHT QUALIFY.

SO COULD YOU GO INTO A LITTLE MORE DETAIL ABOUT, UM, MAYBE SOME OF THE THINGS THAT PEOPLE WOULDN'T EXPECT WOULD BE AN UNDERLYING CONDITION THAT ACTUALLY ARE, UH, WE LOOK AT HYPERTENSION, DIABETES.

UM, WE COULD BE TALKING ABOUT PEOPLE WITH, UM, PSORIATIC ARTHRITIS ON, UH, PARTICULAR MEDICATIONS, UH, AUTO IMMUNE CONDITIONS LIKE CROHN'S DISEASE.

UM, SO THE LIST IS LONG AND COMPREHENSIVE.

THE, THE POINT, UM, REALLY IS FOR US TO MAKE SURE THAT WE LET PEOPLE KNOW THAT THE BOOSTER IS GOING TO HELP SHORE UP THEIR IMMUNITY AND MAKE SURE THAT THEY HAVE THE FULL PROTECTION THAT THEY CAN GET FROM BEING VACCINATED.

YEAH, I DID READ THROUGH IT.

I WAS SURPRISED TO SEE, UM, YOU KNOW, INDIVIDUALS WITH HIV QUALIFY AS UNDERLYING CONDITION PEOPLE ON A SCHIZOPHRENIA SPECTRUM QUALIFIED TOO.

SO I THINK IT'S REALLY IMPORTANT FOR FOLKS TO TRY TO LOOK UP THAT CDC WEBSITE AND REALLY LOOK AT ALL THOSE CONDITIONS, YOU KNOW, HEART AND LUNG ISSUES, UM, THAT REALLY CAN QUALIFY AND DRIVE HOME THE POINT THAT IT'S IT'S OKAY.

IF YOU HAVE THESE CONDITIONS TO GO AHEAD AND SIGN UP AND GET YOUR BOOSTER, UM, CAUSE THERE ARE QUITE A FEW CONDITIONS THAT QUALIFY PEOPLE.

YES.

THANK YOU.

THANKS FOR ALL YOUR HARD WORK.

UM, THANKS VERY MUCH.

ALL OF YOU FOR, FOR YOUR CONTINUED EFFORTS IN ALL OF THESE AREAS.

I NEED TO CLARIFY THE BOOSTER.

SO I'M SORRY.

I KNOW YOU'VE PRESENTED THIS INFORMATION AND TEST WEEKS AND THERE'S A LOT OF INFORMATION OUT THERE ON THE WEBSITE, BUT FIRST OF ALL, I WANT TO, I ALSO WANT TO JUST STEP BACK AND SAY HOW EXCITED I AM THAT PEDIATRIC VACCINES, MAYBE JUST A, LITERALLY A DAY AWAY.

UM, AND THANK YOU FOR ALL THE PREPARATION THAT YOU'VE DONE TO MAKE SURE THAT THOSE ARE GOING TO BE AS SOON AS, AS SOON AS THE FDA GIVES APPROVAL, THAT YOU'RE POISED TO PROVIDE THOSE.

SO THAT'S GREAT NEWS.

I WANTED TO CLARIFY ABOUT THE BOOSTERS.

IT'S MY UNDERSTANDING BASED ON YOUR INFORMATION AND THE INFORMATION OUT THERE THAT IF YOU ARE NOT FALLING, SOME OF US HAVE PASSED OUR SIX MONTH PERIOD, BUT IF, IF, UM, THOSE IN THE COMMUNITY WHO HAVE PASSED THEIR PERIOD, BUT ARE NOT IN ONE OF THOSE HIGH RISK GROUPS ARE NOT ELIGIBLE FOR A BOOSTER, SORRY TO SAY THAT IN A NEGATIVE TERM, BUT DO YOU HAVE A SENSE OF HOW SOON BOOSTERS CAN BE ACCESSED BY THOSE WHO DON'T HAVE UNDERLYING CONDITIONS, BUT DO HAVE, UM, BUT HAVE PASSED THEIR SIX MONTH PERIOD? UM, I WOULD, I WOULD, FIRST OF ALL, ASK PEOPLE TO LOOK AT THAT LIST, UM, BECAUSE IT IS EXTENSIVE AND, AND TALK TO THEIR PROVIDER BECAUSE THEY MAY ACTUALLY QUALIFY

[01:10:01]

FOR THAT BOOSTER AND NOT BE AWARE OF THAT.

UM, AND WITH REGARDS TO WHEN THEY WILL EXPAND IT TO ALL OF THOSE WHO HAVE RECEIVED THE MRI AND A, UM, PFIZER MADONNA SHOTS, UM, THAT WILL PROBABLY BE HAPPENING WITHIN THE NEXT SEVERAL MONTHS, BUT WE'VE NOT BEEN GIVEN A TIME AS YET.

UM, BUT I WOULD REALLY URGE PEOPLE TO TALK TO THEIR PROVIDER BECAUSE THEY MAY ACTUALLY QUALIFY AND NOT REALIZE THAT IT'S, UM, AS WE'VE DISCUSSED EARLIER, EVEN THOUGH THEY MAY NOT SEE, UM, A CONDITION ON THAT LIST.

YEAH.

I WOULD DEFINITELY HAVE THEM REACH OUT TO THEIR DOCTOR TO MAKE SURE THAT THEY DON'T ACTUALLY QUALIFY FOR A BOOSTER.

THANK YOU.

AND I THINK I HEARD YOU SUGGEST THAT INDIVIDUALS WHO ARE VISITING FAMILY MEMBERS WITH UNDERLYING CONDITIONS MIGHT QUALIFY FOR A BOOSTER THROUGH THEIR ASSOCIATION OR A PENDING VISIT.

DID I UNDERSTAND THAT CORRECTLY WHEN YOU WERE TALKING ABOUT HOLIDAY TIMES? I THINK I HEARD YOU TALKING ABOUT STORES IN THAT CONTEXT.

SO IF, IF THERE'S AN INDIVIDUAL WHO DOESN'T HAVE A, UH, ONE OF THOSE UNDERLYING CONDITIONS, BUT IS VISITING WITH A FAMILY MEMBER WHO DOES BOOSTER ON FIVE BASED ON, ON THAT ASSOCIATION, RIGHT.

BECAUSE THEY'RE ASSOCIATED OR LIVING WITH SOMEONE WHOSE IMMUNE COMPROMISED.

SO THE ANSWER IS YES, THEY DO.

THEY WOULD QUALIFY.

THEY MAY QUALIFY BASED ON THAT.

YES.

I WOULD BE THE ARBITER OF THAT.

LIKE HOW, HOW WOULD YOU SUGGEST SOMEBODY, IS THAT ALSO A CONVERSATION THAT AN INDIVIDUAL WOULD HAVE AT THEIR PROFILE? YES, IT WOULD BE.

OKAY.

THANK YOU.

YEP.

AND JUST FOR A COMPLETE LIST OF ANSWER THAT QUESTION, IF YOU HAD THE JJ AS YOUR ADDITIONAL SHOT, THEY DO QUALIFY FOR A BOOSTER.

EVERYONE WHO HAD A J A J HIS INITIAL SHOT IS QUALIFIED FOR A BOOSTER TWO MONTHS AFTER THE FIRST DOSE.

ISN'T THAT CORRECT? YES.

OKAY.

THANK YOU, KATHY WAS TO ASK YOU A QUESTION THAT SEEMED TO BE TARGETED MORE TO PFIZER, AND I JUST WANTED TO POINT THAT OUT.

YEAH, I APPRECIATE THAT CLARIFICATION.

THANKS MAYOR.

SURE.

COUNCIL MEMBER ALTER GOOD MORNING.

UM, CONTINUED TO BE PLEASED WITH OUR EFFORTS HERE, ENJOYING MY COLLEAGUES AND THINKING ALL OF THE FOLKS WHO ARE OUT THERE DAY IN AND DAY OUT.

UM, I WANTED TO, UH, DIVE A LITTLE BIT DEEPER INTO SORT OF THE PREPARATIONS FOR HOLIDAYS AND THE RECOMMENDATIONS.

UM, YOU KNOW, THAT THE DATA YOU PRESENTED SUGGESTED THAT, UM, LETTING UP ON MASKING, YOU KNOW, MIGHT LEAD TO MORE OF A SPIKE.

UM, WHAT ARE THE RECOMMENDATIONS, IF YOU GOING TO BE WITH A GROUP THAT'S ALL VACCINATED INDOORS, I'M NOT TALKING LIKE A, YOU KNOW, A 50 PERSON GROUP OR SOMETHING, BUT LIKE A SIX TO 10 PERSON GROUP.

UM, IF EVERYONE IS VACCINATED, UM, WITH RESPECT TO MASKING, OBVIOUSLY IF PEOPLE ARE OUT AND ABOUT, THEY CAN ALWAYS BE EXPOSED.

UM, BUT I JUST WANTED TO GET IT SOME GREATER CLARITY ON THOSE RECOMMENDATIONS.

IF WE OUGHT TO BE, UM, BASKING IN THESE SMALL GROUPS, IF YOU'RE IN A SMALL GROUP WITH PEOPLE THAT YOU REGULARLY ASSOCIATE WITH, AND THEY'RE ALL VACCINATED ASYMPTOMATIC, UM, AND THEY HAVE NOT HAD ANY, UM, HIGH-RISK EXPOSURES, YOU PROBABLY WOULD JUST FIND TO HAVE THAT GATHERING WITHOUT MASKING.

UM, IF IT'S OUTDOORS, IT'S EVEN SAFER.

UM, SO ANY OPPORTUNITY THAT PRESENTS ITSELF, WHERE PEOPLE CAN BE OUTSIDE GATHERING, THAT IS MUCH SAFER CHOICE.

OKAY.

THANK YOU.

THANK YOU.

THANK YOU.

UH, AND AGAIN, I'LL JUST REITERATE IT, EVERYBODY, THE CITY AND THE COUNTY, UH, STAFFS ARE DOING JUST A GREAT JOB OF DRIVING DOWN THE NUMBERS ABOUT VACCINATED.

UH, I THINK IT'S A REALLY GOOD IDEA TO BE FOCUSING AS YOU ARE ON THE PEOPLE WHO'VE BEEN VACCINATED, WHAT TIME, BECAUSE THOSE ARE OBVIOUSLY PEOPLE THAT ARE SHOWED A WILLINGNESS TO, TO, TO PARTICIPATE.

SO THAT MAKES REAL GOOD SENSE TO ME.

AND I LIKE SAYING THAT I THINK THE QUESTION, A LOT OF PEOPLE IN THE COMMUNITY YOU'RE ASKING IT GOES TO WHAT ALICE SAID THAT OTHERS GETS OVER ALTERED.

OTHERS WERE ASKING, WHICH IS KIND OF THIS AMBIGUOUS PLACE, WHERE HE HAD WHERE OUR NUMBERS NOW, OR OUR SEVEN DAY MOVING AVERAGE AT 15, WHICH IS CLOSE TO ANOTHER BREAKPOINT ON THE, ON THE CHART, UH, TO, TO START THINKING ABOUT, DO I HEAR WHAT YOU'RE YOU'RE SAYING IS THAT THE SAFEST THING IS FOR PEOPLE TO

[01:15:01]

GET TJ, WHERE ARE YOU ASKING WHEN THEY CAN, UH, CAUSE THAT'S JUST SAFER TO DO AGAIN.

WE KNOW THERE ARE A LOT OF PLACES WHERE THAT'S NOT HAPPENING.

THERE WERE THE INFECTIVITY POSITIVITY LEVEL GOING DOWN TO 4.7.

THERE ARE A LOT OF INDICATIONS, UH, THAT, UH, THAT ARE LEADING PEOPLE TO, TO RELAX.

THERE'S A LOT OF ENVIRONMENTS WHERE THAT HAPPENED, BUT ALL WE HAVE TO DO IS TAKE A LOOK AT WHAT'S HAPPENING AT THE UNITED KINGDOM TO THE ANGEL OR THE BE, TO BE REMINDED OF, OF HOW THIS IS CYCLICAL.

UH, I HAD NED WE'RE APPROACHING, UH, ANOTHER PERIOD.

YOU DON'T HAVE THE END OF DECEMBER WHERE IF HISTORICAL PATTERNS FOLLOW EACH OTHER, DO YOU KNOW, WE COULD BE LOOKING AT ANOTHER, UH, CYCLE, UH, AND IT'S OUR JOB TO KEEP THAT AS LOW AS WE POSSIBLY CAN.

THE BEST WAY TO DO THAT IS WITH VACCINATIONS, WHICH IS WHY WE CONTINUE TO, TO PUSH OUR, THAT YOUR ADVICE, THAT IT IS ALWAYS SAFER FOR EVERYONE IN THE ROOM.

IF PEOPLE ARE WEARING MASKS IS, IS CORRECTED, HAD HAD GOOD ADVICE.

UH, AND I RECOGNIZE IT THAT PEOPLE WILL BE MAKING ALL KINDS OF INDIVIDUAL DECISIONS, BUT THANK YOU FOR THE WORK THAT YOU'RE ALL DOING, UH, THAT, UH, IDEA OF THE QUESTIONS.

I'LL TURN IT BACK TO THE, TO THE COUNTY JUDGE.

THANK YOU VERY MUCH MERIT.

AND THANK YOU EVERYBODY FOR WORKING TOGETHER ON GETTING THROUGH THIS.

AND, UM, I GUESS WE WILL GO AHEAD AND ADJOURN NOW AND FOR, UH, UNTIL THEN, UH, 40 THAT WORD COMMISSIONER TO REALLY, UM, TO 40 IN 45.

OKAY.

WE'LL GO TO 10 45.

YEAH, EXACTLY SHOCKED AND DISMAYED AND MERRILL.

I'LL PASS IT TO YOU TO DO THAT THING.

SOUNDS GOOD.

COLLEAGUES.

UH, WE'RE DONE FOR TODAY.

UH, COLLECTIVELY.

SO WE'RE GOING TO DO A JURY, THE SPEEDING NOW AT, UH, 12 25, 10 25.

ALL RIGHT.

THANK YOU ALL VERY MUCH.

THANKS EVERYBODY.

STAY SAFE.

.