[00:00:03]
I HAVE BEEN INFORMED THAT WE HAVE QUORUM, SO WE'LL GO AHEAD AND GET READY AND START THIS MEETING.
AND SO ARE THERE EXTERNAL MEMBERS? UM, UH, I KNOW WE GOT QUORUM, AT LEAST HERE TURNED YEAH, THE TV'S TURNED OFF RIGHT THERE.
DO WE HAVE OTHERS GOING ONLINE? SO I HAVE FRIDAY ONE.
[CALL TO ORDER]
START THIS MEETING FOR THE PUBLIC HEALTH COMMISSION, UH, DECEMBER 6TH, 2023 AT 2:34 PM UH, DO WE HAVE ANY[PUBLIC COMMUNICATION: GENERAL]
PUBLIC COMMENTS? YES.PUBLIC COMMENTS IF YOU DON'T MIND, UH, COMING UP TO THE MICROPHONE, STATE YOUR NAME.
AND YOU HAVE ROUGHLY THREE MINUTES, SIR.
UM, BLACK LIVES REGISTER NONPROFIT.
AND THIS ALMOST FEELS LIKE AN UNFAMILIAR ENVIRONMENT BY FAR.
RIGHT? BUT IT'S SO FAMILIAR TOWARDS WHAT MY COMPANY DOES.
WHAT MY COMPANY DOES IS MAKE SURE THAT THOSE THAT ARE IN UNDERSERVED COMMUNITIES HAVE ACCESS TO FOOD, FOOD THAT'S GROWN IN THEIR COMMUNITY VIA COMMUNITY GARDEN.
BASED ON MY JOURNEY, WHAT I'VE CON WHAT I'VE CONCLUDED IS THAT A LOT OF TIMES PEOPLE ARE NOT ABLE TO MAKE THE CONNECTION TOWARDS LOCAL GROWN FOOD BECAUSE THERE'S NO EDUCATION COMPONENT TOWARDS THE NUTRITIONAL VALUE THAT IS WITHIN A VEGETABLE.
SO WHAT MY COMPANY DID WAS WE CREATED A BINGO GAME, ONLY BECAUSE THAT'S HOW THAT COMMUNITY LEARNS.
AND NOW I'M HERE TODAY TO SAY, COLLECTIVELY I BELIEVE THAT WE CAN ACTUALLY BEGIN TO EDUCATE UNDERSERVED COMMUNITY MEMBERS ABOUT THE NUTRITIONAL VALUE OF FOOD, OFFSETTING CHRONIC ILLNESS WITHIN THE SAME COMMUNITIES THAT WE SO DESPERATELY SERVE.
AND WITH YOU ALL'S SUPPORT, I BELIEVE THAT IT COULD BECOME TRUE.
SO THE ONLY QUESTION I HAVE FOR YOU ALL IS WHAT SHOULD BE MY NEXT STEP IN ORDER TO FORM THIS PARTNERSHIP AND EDUCATE UNDERSERVED COMMUNITIES ABOUT THE NUTRITION VALUE IN VEGETABLES, TO HAVE THEM OUT WITHIN THEIR COMMUNITY GARDENS, GROWING FOOD FOR THEMSELVES, HARVESTING FOOD FOR THEMSELVES, AND SHARING FOOD WITHIN THEIR COMMUNITY.
UH, I KNOW WE'RE NOT SU PERMITTED DURING PUBLIC COMMENTS TO REALLY HAVE A DIALOGUE BACK AND FORTH, BUT WHAT I WOULD ASK IS YOU, UH, GET WITH OUR LIAISONS TO IDENTIFY WHAT ORGANIZATIONS, UH, WITHIN THE CITY, WITHIN THE COUNTY, UH, THAT POTENTIALLY BEST ALIGN WITH WHAT YOU HAVE GOING ON.
UH, ESPECIALLY THE SYSTEM THAT YOU HAVE, UH, FOR DELIVERING THESE, THESE HEALTHY, HEALTHY FOOD.
AND COME UP WITH SOME TYPE OF A RECOMMENDATION OF HOW THE COMMISSION CAN POTENTIALLY, UH, REQUEST BOTH TO THE CITY AND THE COUNTY OF REVIEWING AND POTENTIALLY COME GOVERNMENT RECOMMENDATIONS OF POSSIBLE INCLUSION OR EVEN, UH, CURRENT OR FUTURE FUNDING OPPORTUNITIES THAT MAY BE PERMITTABLE AND THE BEST WAYS TO BE, UM, BEST SET UP FOR SUCCESS IN OBTAINING THAT AS WELL.
AND THEN MAYBE ALSO WHAT OTHER ORGANIZATIONS WITHIN THE COMMUNITY THAT THEY KNOW WOULD BE A GREAT FIT FOR YOU.
UH, ONE LAST THING I WOULD LIKE TO BE ABLE TO ADD IS, UH, FOR AWARENESS FOR THE COMMISSION THAT MR. FRANKLIN IS ALSO ONE OF THE CO-CHAIRS FOR THE AUSTIN TRAVIS COUNTY, UH, FOOD PLAN ADVISORY BOARD.
SO, UH, THIS IS A SPACE OF HIS KNOWLEDGE AND HIS BACKGROUND.
I LOOK FORWARD TO, UH, WHAT YOU'RE ABLE TO CREATE, UH, WITH THE TEAM HERE AND HOPEFULLY BRING BACK AS A RECOMMENDATION.
AND, OH, CAN I, CAN I ASK YOU ONE QUESTION? IS THAT HOW THIS WORKS HERE IN PUBLIC COMMENTS? PUBLIC COMMENTS? YOU'RE NOT REALLY SUPPOSED TO ASK QUESTIONS BACK AND FORTH.
YOU CAN ASK, YOU CAN RELAY A QUESTION TO LIAISON WHO CAN THEN SEND IT TO MR. FRANKLIN, WHO WOULD THEN RE RESPOND TO THAT.
I'D BE VERY INTERESTING TO KNOW IF MR. FRANKLIN, HIS MESSAGE TODAY WAS ABOUT FOOD DISTRIBUTION OR IF IT WAS MORE ABOUT FOOD EDUCATION.
AND I WAS, I, AS I HEARD THE QUESTION, I WAS THINKING IT WAS MORE ABOUT FOOD EDUCATION AND THE GAME HE HAD BUILT TO THEN MAYBE BRING EDUCATION IN A CLEVER WAY TO A POPULATION.
AND IF THAT WAS THE CASE, THAT'S VERY INTERESTING.
AND SO I WOULD ENCOURAGE HIM TO, TO, UM, AS YOU SAID, FIND SOME CONNECTION TO THIS COMMUNITY.
AND, UM, WE'D REALLY BE EXCITED TO LEARN MORE AS HE PROGRESSES AND ALSO TO SUPPORT HIS WORK.
THANK YOU FOR COMING OUT, SIR.
AND, UM, I WISH YOU WELL TO KNOW THAT YOU DO.
DO WE HAVE ANY OTHER PUBLIC COMMENTS? NONE.
[1. Approve the minutes of the Public Health Commission Meeting on November 1, 2023.]
APPROVAL OF MINUTES.WE HAVE THE MINUTES FOR THE PUBLIC HEALTH COMMISSION MEETING ON NOVEMBER 1ST, 2023.
DO I HAVE A MOTION TO APPROVE? SO MOVED.
ANY QUESTIONS TO THE MOTION? QUESTIONS? TO THE MOTION? THERE BEING NONE.
ALL THOSE IN FAVOR, RAISE YOUR HAND.
[2. Presentation by Travis County Office of Emergency Management on organizational structure, programs and services provided.]
DISCUSSION.[00:05:01]
UH, WE HAVE A PRESENTATION BY THE TRAVIS COUNTY OFFICE OF EMERGENCY MANAGEMENT ON ORGANIZATIONAL STRUCTURE PROGRAMS IN SERVICES THEY PROVIDE.FIRST UP, UH, WELL, GOOD AFTERNOON.
UM, I'M, UH, I INTRODUCE MYSELF.
I'M THE CHIEF EMERGENCY MANAGEMENT COORDINATOR FOR TRAVIS COUNTY.
I WANNA THANK YOU FOR INVITING ME HERE TODAY, UH, TO SHARE WITH YOU THE COUNTY EFFORTS FOR THE WINTER SEASON.
UH, IN TERMS OF, UH, TO PREPARE FOR THE WINTER SEASON, TRAVIS COUNTY AND ALL THE COMMUNITIES IN THE COUNTY ARE ALL WORKING HARD TO PREPARE FOR THE UPCOMING WINTER, WINTER SEASON.
I'M HAPPY TO SHARE HOW WE'LL APPROACH THE WINTER RESPONSE.
UM, FIRST AND FOREMOST, I WANNA TALK A LITTLE BIT ABOUT COMMUNITY READINESS.
UM, YESTERDAY, THE TRAVIS COUNTY COMMISSIONER'S COURT ISSUED A PROCLAMATION DECLARING DECEMBER AS WINTER SAFETY AWARENESS MONTH.
THE CHIEF PURPOSE OF THE PROCLAMATION IS TO HIGHLIGHT THE IMPORTANCE OF BEING PREPARED, UH, FOR WINTER WEATHER AND ENCOURAGING RESIDENTS TO TAKE ACTION.
NOW, WINTER CAN, CAN AND SHOULD BE A FUN TIME OF YEAR.
IT IS EVEN MORE SO IF YOU HAVE A PLAN WHEN THE UNEXPECTED HAPPENS.
UH, BUILDING A DISASTER SUPPLY KIT IS IMPORTANT, AND WE'VE SAID THESE THINGS BEFORE, BUT WE ALWAYS LIKE TO REINFORCE 'EM AS WE, AS WE TALK TO THE PUBLIC RIGHT SIGN UP FOR COMMUNITY ALERTS, WE, WE ISSUE ALERTS THROUGH WARREN CENTRAL TEXAS.
I'LL TOUCH ON THAT AGAIN BEFORE I, BEFORE I CONCLUDE.
UM, TAKING, TAKING SMALL ACTIONS ARE JUST AS IMPORTANT, UH, AS BIG ACTIONS.
THE FIRST STEP, UH, PUTTING A, PUTTING SOME, A BLANKET IN YOUR TRUNK, FOR EXAMPLE, AND SOME WATER AND MAYBE A LITTLE, SOME SNACKS IF YOU HAVE A ROADSIDE EMERGENCY.
UH, AS WE ENTER THE WINTER SEASON, IT'S IMPORTANT FOR FOLKS TO JUST KIND OF BEGIN TO ENGAGE AND THINK AHEAD.
LIKE I SAID, PREPARING NOUN, UH, UH, CAN GO A LONG WAY WHEN THE UNEXPECTED HAPPENS DURING WINTER.
SO I WANT TO ENCOURAGE FOLKS TO DO THAT.
UM, I THINK IT'S IMPORTANT, UH, IF YOU, UH, WANT TO GET MORE TIPS, YOU CAN GO TO THE TRAVIS COUNTY WEBSITE.
WE, WE ARE, WE'RE WORKING ON THAT.
UH, THERE'S, UH, SOME FOR RESIDENTS IN THE CITY OF AUSTIN.
THERE'S THERE, THERE'S PLENTY OF RESOURCES, UM, ON, UH, READY CENTRAL TEXAS AGAIN, I'LL, I'LL, I'LL DOUBLE BACK ON THAT TOO BY THE END.
UM, BUT WE ENCOURAGE, UH, CITIZENS TO GO AHEAD AND, AND BE PREPARED AS WE GO INTO THE WINTER SEASON WHEN WEATHER GETS COLD.
ACTIVITY IS TRIGGERED, UH, TO PROVIDE WARMING CENTERS FOR ANYONE IN NEED IN THE COMMUNITY.
WHILE THE OFFICE OF EMERGENCY MANAGEMENT DOESN'T DIRECTLY OPERATE WARNING CENTER, UH, WARMING CENTERS, WE ARE RESPONSIVE TO SUPPORT REQUEST FROM OUR HEALTH AND HUMAN SERVICES DEPARTMENT AND THE AUSTIN, UH, HOMELAND SECURITY EMERGENCY MANAGEMENT, UH, DEPARTMENT.
TRAVIS COUNTY HEALTH AND HUMAN SERVICES OPERATES WARMING CENTERS WHEN TEMPS DROP CENTERS ARE GENERALLY AVAILABLE DURING BUSINESS AND EARLY EVENING HOURS.
TRAVIS COUNTY CONSTABLES EMERGENCY SERVICE DISTRICTS AUSTIN, TRAVIS COUNTY, EMS HEALTH PARAMEDICS AND OTHER FIRST RESPONDER AGENCIES COORDINATE TO MAKE WELLNESS CHECKS AND KNOWN ENCAMPMENTS.
AND WE'LL WORK TO AID INDIVIDUALS SEEKING PROTECTION FROM THE COLD IN EXTREME COLD EVENTS.
THE TRAVIS COUNTY HEALTH AND HUMAN SERVICES DEPARTMENT, UH, WILL ALSO, UH, PROVIDE SUPPORT IN THE EVENT OF ADDITIONAL STAFFING AS REQUIRED FOR OVERNIGHT COLD WEATHER SHELTERS.
UM, THOSE ARE THINGS WE'VE, UH, DONE IN THE PAST AND, AND WE'LL BE PREPARED TO DO THIS WINTER AS WELL.
WE COMPLETED OUR AUSTIN TRAVIS COUNTY WINTER RESPONSE PLAN REVIEW IN NOVEMBER.
THE PURPOSE OF THE PLAN IS TO BRING TOGETHER KEY STAKEHOLDERS, UH, TO, UH, UH, OPERATIONAL STAKEHOLDERS TO VAL VALIDATE BASELINE PROCEDURES.
THE PLAN REVIEW LOOKS AT ROAD MANAGEMENT, TRAFFIC OPERATIONS, FIRST RESPONDER COORDINATION, HOW WE COORDINATE CLOSURE DECISIONS AND HUMAN RESOURCE ISSUES.
COORDINATION OF WINTER RESPONSE OPERATIONS BEGINS WITH THE FORECAST, BAD WEATHERS FORECAST.
WE BEGIN A REGULAR CADENCE OF COORDINATION CALLS WITH DEPARTMENTS AND PARTNER AGENCIES, ANY FORECAST THAT INCLUDES THE POTENTIAL FOR FROZEN PRECIPITATION, WE'LL INITIATE A COORDINATION CALL BETWEEN THE LARGE PUBLIC EMPLOYERS, GENERALLY AUSTIN, TRAVIS COUNTY, A ISD, UT, AND A CC.
YOU MAY HAVE HEARD OF THAT PROCESS, REFERRED TO AS THE BIG FIVE CALL.
PURPOSE OF THE MEETING IS TO PROVIDE FOR A COMMON SITUATION UPDATE TO OUR LEADERSHIP SO THEY CAN MAKE INFORMED DECISIONS REGARDING THEIR AGENCY OPERATIONS AND WORKFORCE SAFETY.
UH, ALSO AS LARGE EMPLOYERS, THAT IMPACTS A LOT OF HOW OTHER AGENCIES, UH, BEHAVE.
SO WE, UH, THAT, THAT JOINT, UH, BRIEFING, UH, AGAIN, HELPS US COMMUNICATE THOSE ACTIONS OUT EARLY AS POSSIBLE TO OUR PARTNERS, OTHER COMMUNITIES, ET CETERA.
[00:10:01]
WARNINGS WILL GENERALLY RESULT IN OPENING OF THE EMERGENCY OPERATIONS CENTER TO ENSURE STAFF IS IN PLACE TO COORDINATIVE CONDITIONS WARRANT.IT'S IMPORTANT FOR US TO HAVE STAFF BE IN PLACE IN THE EOC BEFORE A STORM HITS, IF AT ALL POSSIBLE.
MOST OF THE CITIES IN TRAVIS COUNTY HAVE IDENTIFIED ONE OR MORE FACILITIES THAT CAN BE USED AS AN EMERGENCY SHELTER IF NEEDED.
ONE OF THE IMPORTANT LESSONS LEARNED FROM WINTER STORM MARA IS THE NEED FOR HARDENED EMERGENCY SHELTER CAPACITY.
WHAT I MEAN BY HARDENED SHELTER CAPACITY IS A FACILITY EQUIPPED WITH A GENERATOR AND SUPPLIES TO ALLOW THAT SITE TO SERVE IN THAT EMERGENCY SHELTER CAPACITY, REGARDLESS OF ANY SHORT TERM DISRUPTIONS TO POWER, WATER, OR OTHER UTILITY.
THE CITY OF AUSTIN HAD ONE SITE AVAILABLE IN SOUTH AUSTIN DURING THE WINTER, DURING WINTER STORM RA THAT WAS PROPERLY EQUIPPED.
UH, WE REALLY NEEDED SEVERAL SITES ACROSS THE COUNTY DURING THAT STORM.
THE SITUATION IS BETTER THIS YEAR.
UH, I UNDERSTAND AUSTIN HAS OUTFITTED SEVERAL, UH, EMERGENCY SHELTER FACILITIES WITH GENERATORS.
THEY HAVE MORE THAN ONE MULTIPLE, MULTIPLE PARKS FACILITIES.
THE COUNTY IS WORKING TO EQUIP THE EXPOSITION CENTER, BANQUET HALL IN EAST AUSTIN WITH A STANDBY GENERATOR AS WELL.
WE WILL BE CONTINUING OUR EFFORTS THROUGH THE NEXT FEW YEARS TO IDENTIFY AND EQUIP ADDITIONAL FACILITIES WITH PROPER BACKUP GENERATORS ACROSS THE COUNTY.
THAT'S NOT AN INSIGNIFICANT COST FOR OUR PART.
WE'LL BE SEEKING ACCESS TO FEDERAL MITIGATION GRANTS AND PARTNERSHIPS TO GET THE WORK DONE, UH, AS A PATH PATHWAY TOWARD A MORE RESILIENT COMMUNITY.
THIS IS A FEATURE EMERGENCY GENERATOR SPECIFICALLY WE SHOULD BE CONSIDERING WHEN WE LOOK TO BUY OR BUILD NEW BUILDINGS, ESPECIALLY FOR COMMUNITY, COMMUNITY USE, UH, ALONG WITH THEIR ACCESSIBILITY TO PUBLIC TRANSPORTATION AND OTHER CRITERIA THAT WE MAY LOOK AT, UH, WHEN DESIGNING OR SELECTING A BUILDING TO, TO BUY.
WE HAVE SUPPLIED OUR EMERGENCY SHELTER WITH COTS, BLANKETS, WATER, AND HEATER MILLS, SO IT'S READY TO GO.
UH, AND I COULD SAY THE CITY HAS, UH, TAKEN THOSE ACTIONS AS WELL THAT I, I, I'M AWARE OF.
WE'VE ALSO, UH, ASSISTED THE SURROUNDING COMMUNITIES, UM, UH, BY ALSO MAKING SHELTER KITS AVAILABLE TO THEM AS WELL.
SO, UH, LAKEWAY, MAINOR, LAGO VISTA, AND SOME OF THE OTHER CITIES, PFLUGERVILLE, WE'VE, WE'VE, UH, PUSHED, UH, SUPPLIES OUT TO THOSE COMMUNITIES IN SUPPORT OF ANY MOVEMENT OF PEOPLE TO AND FROM AN EMERGENCY SHELTER.
THROUGH THE EOC, WE'LL COORDINATE WITH CAPITAL.
METRO CAP METRO SERVES AS THE PRIMARY TRANSPORTATION COORDINATOR FOR THE AUSTIN AND TRAVIS FOR AUSTIN AND TRAVIS COUNTY DURING EOC ACTIVATIONS.
UM, AS AN ASIDE, WE'VE ALSO REACHED OUT TO THE EMERGENCY MANAGERS IN A ISD AND SURROUNDING SCHOOL DISTRICTS REGARDING, UH, INTERLOCAL AGREEMENTS FOR TRA SHARING TRANSPORTATION RESOURCES DURING DISASTERS.
UH, OUR EFFORTS, UH, WERE INITIATED DURING THE SUMMER TO IMPROVE OUR ALL HAZARDOUS PREPAREDNESS.
UH, THE CONVERSATIONS HAVE BEEN POSITIVE AND DISCUSSIONS ARE ONGOING.
NOT A GENERAL COMMUNITY ISSUE, BUT OF, UH, SIGNIFICANT IMPORTANCE TO, TO THE COUNTY.
THE SHERIFF'S DEPARTMENT IS READY TO CONTINUE SERVICES FOR THE JAIL POPULATION.
IN THE EVENT WE EXPERIENCED SEVERE WINTER WEATHER, THEIR PREPARATIONS HAVE INCLUDED INVESTING IN EMERGENCY GENERATORS AND ONSITE SUPPLIES TO ENSURE THEY CAN CONTINUE TO CARE FOR INMATES IN LINE WITH ESTABLISHED JAIL STANDARDS.
THE TRANSPORTATION SIDE, THE COUNTY'S ROAD AND BRIDGE DIVISION WITHIN OUR TRANSPORTATION AND NATURAL RESOURCES DEPARTMENT WILL BE THE COUNTY'S LEAD AGENCY FOR ADDRESSING ROAD ISSUES ON COUNTY RIGHT OF WAY.
THE ROAD AND BRIDGE DIVISION UPDATES THEIR ICE AND SNOW PLAN ANNUALLY.
THEIR FOCUS WILL BE ON TREATING IMPACTED BRIDGES, CURVES, AND INTERSECTIONS, NOT ENTIRE ROADWAYS.
THEY PLAN TO USE MAGNESIUM CHLORIDE AS A PRE-TREATMENT SUPPORTED BY THE ADDITIONAL USE OF SAND.
ONCE WE EXPERIENCE SNOW AND ICE ACCUMULATION, ROAD AND BRIDGE WILL PROVIDE A REPRESENTATIVE IN THE EOC DURING WINTER WEATHER EVENTS TO SUPPORT COORDINATION.
FINALLY, I'LL TOUCH BRIEFLY ON PUBLIC INFORMATION.
AS PART OF THE WINTER RESPONSE EFFORTS, WE WILL STAND UP A JOINT INFORMATION TEAM TO COORDINATE THE SHARING OF INFORMATION FOR THE PUBLIC RESIDENTS CAN AND SHOULD SEEK TO ACCESS MULTIPLE SOURCES TO GET WARNING ALERTS.
IN ADDITION TO SIGNING UP FOR WARREN CENTRAL TEXAS.ORG ALERTS, PLEASE FOLLOW US ON SOCIAL MEDIA, UH, TRAVIS COUNTY EMERGENCY SERVICES, UH, AUSTIN HESHAM.
UH, THERE'S, THERE'S PLENTY OF HANDLES, BUT, BUT, UH, WE ASK THAT YOU FOLLOW US.
[00:15:01]
'EM, AND THEY CAN DOWNLOAD LOCAL, LOCAL NEWS COMPANY APPS, NATIONAL WEATHER SERVICE APPS, ET CETERA, TO MAKE SURE THEY'RE GETTING ALERTS.UM, YOU KNOW, THE, THE LAST THING WE WANT IS FOR SOMEBODY NOT TO HAVE GOTTEN A MESSAGE THAT THERE WAS, UH, AN IMPENDING HAZARD, UH, HEADING OUR WAY.
SO, UH, I DON'T CARE HOW YOU GET IT.
MY, MY DESIRE IS THAT YOU GET THE MESSAGE.
I ALSO ENCOURAGE RESIDENTS TO IDENTIFY SOURCES OF INFORMATION THAT WILL HELP THEM BEFORE, DURING, AND AFTER DISASTER.
WE CONTINUE TO BUILD OUR WEBSITE, O DOT TRAVIS COUNTY TX.GOV, AND ADD WHAT WE HOPE IS USEFUL PREPAREDNESS INFORMATION, AS WELL AS INCIDENT INFORMATION RELATIVE TO RESIDENTS BOTH IN THE CITY OF AUSTIN, AS WELL AS THOSE IN THE SURROUNDING CITIES AND UNINCORPORATED AREAS.
RESIDENTS CAN ALSO FIND A LOT OF GREAT INFORMATION ON THE READY CENTRAL TEXAS.ORG WEBSITE.
I ENCOURAGE ALL TRAVIS COUNTY RESIDENTS TO GO TO THAT SITE AS WELL FOR GOOD INFORMATION.
THAT'LL, UH, CONCLUDE MY REMARKS, AND I'M, I'M HAPPY TO TAKE ANY QUESTIONS AT THIS TIME.
AND THANK YOU FOR, UH, COMING AND PROVIDING YOUR REMARKS.
I HONESTLY HAVE 12 QUESTIONS, BUT I'LL PROVIDE YOU WITH THE THREE OVERARCHING ONES HERE, AND THEN I'LL OPEN THE FLOOR TO, TO THE TEAM.
BASELINE PROCEDURES, REGULAR CADENCE IN A BIG FIVE CALL.
UM, AND THEN THE BIG FIVE CALL, ESPECIALLY DURING COVID AND, AND WINTER STORM URI, I GET THE, I GET THOSE ARE NON-TRADITIONAL AND EVERYBODY WAS OVERWORKED.
UH, BUT IT ALSO EXPOSED SOME AREAS THAT NEED GREATER ENHANCEMENT OF INCLUSION OF THE OTHER CITIES.
UH, TOO OFTEN IT'S TRAVIS COUNTY IN AUSTIN, MM-HMM.
UH, VERSUS BEING IN THOSE CONVERSATIONS TO ENSURE THAT THEIR LACK OF KNOWLEDGE OF HAVING AN ESTABLISHED EMC OR ORDINANCE OR KNOWING HOW TO DO STAR REQUESTS, UH, HAVING CONNECTIONS INTO THE RED CROSS AND SO FORTH, THEY'RE USUALLY KIND OF LEFT BEHIND.
SO, UH, IF YOU'RE ABLE TO KIND OF SPEAK A LITTLE BIT MORE THAN THE KIND OF THE TOP SURFACE ASPECT OF WHAT YOU PROVIDED, AND I WOULD ALSO REQUEST IF YOU CAN ALSO SEND IN THESE BASELINE PROCEDURES, REGULAR CADENCE, UH, AND WHO'S A PART OF THE BIG FIVE, AND THEN WHO'S ALSO INCLUDED AFTER THE BIG FIVE HAVE THEIR INITIAL DISCUSSION.
SO WE AS A GROUP CAN BE ABLE TO LOOK AND SEE WHERE THERE MIGHT BE BETTER INTERSECTION CONNECTION, UH, AND, AND ENGAGEMENT, ESPECIALLY GETTING READY TO GO INTO THE WINTER TIMES.
LET ME, LEMME TRY TO TAKE THOSE IN PARTS IF I CAN.
UH, WHEN I TALK ABOUT BASELINE PROCEDURES, UM, AND I'LL BE HAPPY TO TRY TO GATHER WHAT I CAN, BUT IT'S, IT'S THE, UM, FOR EXAMPLE, THE ROAD DIVISION REVIEWING THEIR PROCEDURES AND ON HOW THEY'RE GOING TO DO ROADS THAT'S BEING COMMUNICATED.
IT'S, IT WAS COMMUNICATED BRIEFLY AT COURT, UM, UH, YESTERDAY ON MONDAY.
NOT, NOT YESTERDAY, I MEAN TUESDAY.
I, BUT, UH, UH, IF, IF, UH, IF YOU WANT ALL THAT, SOME OF THOSE ARE LIKE CITY OF AUSTIN ROAD PROCEDURES AND THINGS LIKE THAT.
IF I'M UNDERSTANDING YOU, YOU WANT A, A COMPILATION OF THOSE TYPES OF THINGS JUST IN A SENSE OF IF WE'RE TALKING WITH THE COMMUNITIES, RIGHT? OKAY.
UNDERSTANDING THIS IS REVIEWED, THIS IS DISCUSSED, THIS IS ANALYZED.
AND AS YOU'RE SAYING, RIGHT, AGAIN, I CAN GO BACK TO CITY OF MANNAR, SAY NONE OF THAT WAS INCLUDED FOR THE CITY OF MANOR DURING ANY OF THESE INSTANCES OR THE URBAN LEAGUE, OR NOW THAT CONTRACTS WITH HUNGRY HILL FOUNDATION, RIGHT.
DO THEY KNOW THEY NEED TO BE HAVING SOME SIMILAR TYPES OF ASSESSMENTS WHEN THEY'RE BEING INFORMED OR THEY'RE SEEING WHETHER IT'S ABOUT TO, ABOUT TO HAPPEN, RIGHT? HOW ARE WE TAKING THIS STRATEGIC ANALYSIS AT THIS VERY HIGH LEVEL IN BEING ABLE TO REPLICATE IT DOWN TO THE LOWEST COMMUNITY LEVEL TO ENSURE THAT THERE'S NOT THIS DIVISION OR THIS, IF I'M NOT CONNECTED OR I DON'T HAVE THE CONTACTS, I DON'T HAVE THE RESOURCES, THEN I'M ALWAYS IN THIS CATCH UP GAME.
UM, SO I'LL BE HAPPY TO TRY TO GATHER PROCEDURES.
I DON'T KNOW, IN THE, IN THE CONTEXT THAT YOU JUST PRESENTED THOSE CONCERNS OR THOSE ISSUES THAT THOSE PROCEDURES WILL DIRECTLY ADDRESS THAT, UM, COMING OUT OF
[00:20:01]
TOMORROW.HECK, GOING BACK INTO YURI AND, AND IN COVID, UH, ONE OF THE THINGS WE DO IS WE DO HOLD REGULAR CADENCE CALLS.
SO WHEN I TALK ABOUT CADENCE, IT WASN'T DIRECTLY DIRECT, DIRECTLY DRIVEN AT THE BIG FIVE.
THAT WAS A REFERENCE TO A CADENCE WITH CITY EMCS WITH OUR ESDS AND OUR ISDS TO REGULARLY BRIEF THEM DURING AN EVENT AS FAR AS WE CAN GET IN FRONT OF THE EVENT, GOING INTO THE EVENT DURING IT, AND THEN TO THE RECOVERY.
GENERALLY, WHEN WE COME OUT OF THAT, IT'S BECAUSE WE ARE NOT, NOBODY'S ATTENDING OUR CALLS.
UM, UH, SO THAT'S WHERE I WAS GOING TO AROUND THE, THE CADENCE PIECE.
UM, UH, AND THEN WHAT WAS THE THIRD PIECE YOU, YOU TOSSED? IT WAS THE BIG FIVE, AND I WOULD PROBABLY AN EXAMPLE RIGHT WHEN, UH, COVID HAPPENED, RIGHT? MM-HMM
UM, AND SO AGAIN, IT'S JUST A PIECE OF WHAT DOES THE WHOLE COUNTY LEADERSHIP WISE NEED TO BE PLUGGED INTO? WHAT MEETINGS ARE GOING ON THAT THEY NEED TO KNOW ARE HAPPENING SO THEY CAN FOLLOW UP ON IF THEY'RE NOT INVITED TO THAT LEVEL SO THAT THEY'RE BEING DEVELOPED AND INFORMED.
THAT'S A GOOD, THAT'S A GOOD QUESTION.
I KNOW OUR IGR ARE INTERGOVERNMENT RELATIONS FOR US, UH, UH, WILL BE PROMPTED IF THEY DON'T INITIATE REACH OUTS TO ALL THE MAYORS IN THE COUNTY DURING AN INCIDENT.
WHEN WE HOLD OUR COORDINATION CALLS, I GENERALLY WILL HAVE A REPRESENTATIVE FROM EACH OF THE CITIES IN THAT CALL.
UH, TO THE EXTENT THAT INFORMATION DOESN'T FLOW, I MEAN, I'M, I I MAKE MYSELF AVAILABLE.
IF IT'S NOT COMING UP THROUGH THE, THROUGH THE COORDINATOR, WHETHER IT'S LAKEWAY, MANOR, PFLUGERVILLE, IT DOESN'T MATTER.
UM, UH, I DO TALK TO OUR COMMISSIONERS AS WELL AND TRY TO KEEP THEM UPDATED.
UM, I, IT IT'S, IT'S, YOU'VE BEEN THERE, UH, IN, IN, IN MAYNARD, IF I'M CORRECT, RIGHT? YOU'VE BEEN THERE.
SO, YOU KNOW, INFORMATION IN A, IN THE ONSET OR IN AN EMERGENCY CAN GET, GET SHAKY.
UM, ONLY, ONLY THING I'D TELL YOU IS TO HIT MULTIPLE TOUCHPOINTS.
'CAUSE WE DO THAT OURSELVES, RIGHT? IF I HAVE TO, UH, UH, I'VE HAD, UH, UH, REACH OUTS TO ME COME FROM DIFFERENT DIRECTIONS, I'LL PUT IT THAT WAY.
UM, BUT OUR IGR IN, IN SHORT, WE'LL DO, SHOULD BE DOING THOSE NOTIFICATIONS DURING A, IF WE WANT TO TALK ABOUT JUST WINTER WEATHER AS FAR AS FOLLOWING UP WHEN WE GO THROUGH A BIG FIVE CALL.
SO A BIG FIVE CALL IS, ALTHOUGH WE MAY HAVE ANY NUMBER OF PARTIES THAT GET ON THE CALL TO LISTEN, THE FOCUS IS NOT JUST A GENERAL ROUND COUNTY CONVERSATION.
IT'S SPECIFIC PURPOSE IS, IS, IS RELATED TO THOSE LARGE EMPLOYERS.
BECAUSE IF THEY, IF THEY MAKE A DECISION TO OPEN CLOSE CHANGE THAT, THAT OPENING SCHEDULE, WE KNOW THAT THERE IS AN AN AN AN ECHO.
IT'S A RE IT IMPACTS A LOT OF OTHER PEOPLE.
THAT'S THE PURPOSE AND WHY THAT EVEN GOT STARTED, BELIEVE IT OR NOT, THAT THAT'S WHAT HIS PRIMARY PURPOSE WAS.
WE LEARNED TO USE IT IN OTHER CASES BECAUSE IT HELPED, UH, IT HELPED WITH THAT, THAT COMMUNICATION AMONGST THAT EXECUTIVE LEVEL.
AND THAT'S, UH, THAT'S HOW WE'VE LEVERAGED IT.
BUT THAT'S HIS PRIMARY PURPOSE IS BECAUSE THEY'RE LARGE EMPLOYERS, ESPECIALLY IN A WINTER STORM EVENT.
FIRST OF ALL, THANK YOU VERY MUCH FOR BEING HERE AND FOR THE DISCUSSION AND PRESENTATION.
I WONDERED IF, UM, IN MY MIND'S EYE, YOU KNOW, UM, I'D LOVE TO PULL A BOOK OFF A SHELF OR I, A SERIES OF REPORTS OFF THE SHELF THAT SAYS, THIS IS KIND OF THE, YOU KNOW, THE EMERGENCY OPERATIONS PLAN FOR THE COMMUNITY CITY AND ON THIS AND THE COUNTY.
AND I WONDERED IF THERE'S ANYTHING LIKE THAT IN THERE, BECAUSE YOU CAN IMAGINE, YOU KNOW, WE'RE ON THIS PUBLIC HEALTH COMMISSION AND SOMEONE MIGHT FROM THE PUBLIC MIGHT SAY, WELL, HOW'S THE EMERGENCY RESPONSE WORK? AND WE'D SAY, WELL, WE, WE HAD A DISCUSSION, BUT I DON'T HAVE MY NOTES AND I DON'T HAVE ANYTHING I CAN READ.
AND, YOU KNOW, GOING TO WEBSITES AND ALL MIGHT BE A GOOD PLAN, OBVIOUSLY.
BUT I WONDER IF IT'S A SO SINGLE SOURCE.
I MEAN, I'M THINKING DIFFERENTLY.
HOW DOES A NEW CITY COUNCIL MEMBER WALK IN AND SAY, HOW DO I UNDERSTAND THE EMERGENCY, YOU KNOW, RESPONSE SYSTEM FOR THE CITY AND THE COUNTY? WELL, THEY PROBABLY HAVE BRIEFS AND ALL, BUT I'M TRYING TO THINK WHAT DO WE ON THIS COMMISSION HAVE THAT WE COULD HAVE AS A SINGLE SOURCE OF TRUTH FOR UNDERSTANDING WHAT THE, WHAT OUR LOCAL PLAN IS? UM, THAT'S A GOOD QUESTION.
I, I WOULD THINK THAT, UH, UH, THE, THE CITY HEM COULD, UH, BRIEF YOU AND WE COULD BRIEF YOU TOO ON THE STRUCTURE OF THE PLAN.
UH, IF, IF THAT'S WHAT YOU WISH, IS THERE LIKE A SINGLE PLACE WHERE THE PLAN LIVES
[00:25:01]
A SINGLE PLACE? OH, YEAH.UH, YOU KNOW, IN OUR OFFICES ON WEBSITES, YES.
IF THAT'S, IF I'M, IF I'M, I'M JUST TRYING TO UNDERSTAND PLAN DOCUMENT.
THERE IS A CITY EMERGENCY MANAGEMENT PLAN.
THE COUNTY HAS A SEPARATE PLAN, UH, THAT WE MAINTAIN.
SO YES, THAT WE KEEP COPIES, UM, LEASE PORTIONS OF 'EM UP ON THE WEBSITE FOR SURE.
THE BASE ANNEX ISN'T OUR BASIC PLANS.
SO WHAT, WHAT I WOULD SAY FOR US AS RECOMMENDATION FOR US AS A PUBLIC HEALTH COMMISSION IN THIS ASPECT, UH, AT LEAST WHAT I HAVE EXPERIENCED IN YOU ALL MAY DIFFERENT EXPERIENCES, BUT USUALLY SOME CITIES MAY NOT HAVE AN EMERGENCY MANAGEMENT COMMITTEE.
THEY DON'T HAVE AN ORDINANCE IN PLACE.
THEY MAY NOT NECESSARILY KNOW HOW TO SUBMIT FOR, UH, STAR REQUESTS.
UM, THAT THE, THEIR LOCAL EMERGENCY MANAGEMENT BASIC PLAN IS USUALLY, UH, FROM A PERSPECTIVE OF WHAT THEY OVERSEE AND NOT NECESSARILY PASS THROUGH UTILITY BILLS.
UM, UH, WHERE DO THEY POTENTIALLY HAVE CROSS-SECTIONS WITH THE ETJ AREA? WHERE DO THEY POTENTIALLY HAVE, UH, LOCAL ORGANIZATIONS THEY CAN LEAN ON WHEN SUPPORT FROM THE COUNTY MAY NOT BE IMMEDIATE.
UH, A LOT OF TIMES THE REVIEW OF THOSE BUSINESS PLANS OR MORE FROM, UH, THE POLICE DEPARTMENT OR A LIAISON FROM THE POLICE DEPARTMENT.
SO IT HAS THAT KIND OF A LENS TO IT, MORE SO THAN THE HOLISTIC INCORPORATION OF THESE ARE THE RESIDENTS AND WE HAVE TO MEET ALL THE NEEDS, NOT JUST WHAT THE CITY PROVIDES NEEDS.
AND THAT'S WHERE I'M COMING FROM, THIS SENSE OF WHERE IS THAT INTERCONNECTEDNESS? SO YOU'RE STARTING TO HEAR MORE FROM THE COUNCIL SIDE OF THE HOUSE OF HOW THE HEALTH AND WELLNESS COMPONENT HAS TO BE EMBEDDED.
WHERE CAN POPUPS POTENTIALLY BE AT WHAT IS NEEDED, WHERE'S FUNDING AND SO FORTH.
THEN KIND OF WHAT USUALLY HAPPENS IN THE OUTSKIRTS IS MORE OF A WHAT DOES THE CITY PROVIDE? AND THAT'S NOT WHAT WE PROVIDE.
SO THAT'S NOT AN AREA WE HAVE TO OVERSEE.
YOU MENTIONED THE COMMUNITY READINESS KITS AND YOUR RECOMMENDATION FOR THE COMMUNITY TO HAVE THESE.
ARE THERE ANY OH, DISASTER SUPPLY KITS.
UM, ARE THERE ANY RESOURCES FROM THE COUNTY THAT ARE ACTUALLY GOING TO SUPPORT INDIVIDUALS TO GET THESE KITS PREPARED? ARE THERE TODAY? TODAY IS JUST INFORMATION.
I MEAN, AND THE INFORMATION'S READILY AVAILABLE.
UM, UH, YOU KNOW, A A KIT CAN BE ANYTHING FROM, LIKE I SAID, STARTING OFF, UH, UH, UH, A CASH, A WATER, A COPY OF EMERGENCY DOCUMENTS, UH, UH, A TWO OR THREE DAY SUPPLY OF FOOD FOR A, A HOUSEHOLD OR SOMETHING LIKE THAT.
AND THEN THERE ARE LOTS OF OTHER THINGS, A LITTLE MEDICAL KIT, THINGS LIKE THAT.
UM, WE HAVE SOME SMALL, UH, OUTREACH MATERIAL THAT WE PROVIDE WHEN WE PARTICIPATE IN OUTREACH EVENTS, THAT, THAT IT'S KIND OF, UH, THESE ARE THE TYPES OF THINGS YOU CAN, YOU CAN PUT IN A KIT.
BUT AS FAR AS LIKE KITS THEMSELVES, WE DON'T, WE DON'T HAVE ANYTHING LIKE THAT.
ANY OTHER QUESTION? YES, GOOD AFTERNOON.
IN THE BEGINNING, YOU WERE TALKING ABOUT WHAT PEOPLE COULD DO TO PREPARE FOR THEMSELVES, AND I THINK THAT'S A VERY IMPORTANT THING.
I FEEL LIKE A LOT OF TIMES PEOPLE EXPECT THE GOVERNMENT TO BE THERE TO HELP.
AND I ALWAYS, YOU KNOW, SHARE, I AM, I USED TO BE IN EMERGENCY MANAGEMENT.
UM, THE GOVERNMENT WILL SHOW UP, BUT YOU'RE THE ONE WHO'S GONNA FILL THE IMPACT FIRST.
SO YOU NEED TO BE PREPARED AS MUCH AS POSSIBLE UNTIL GOVERNMENT CAN GET THERE.
AND SO I THINK IT'S VERY IMPORTANT THAT WE DO MORE OF THAT EDUCATION.
SO I'M WONDERING IF THERE ARE ANY SPECIFIC EFFORTS THAT Y'ALL HAVE PLANNED IN THE COMMUNITY TO KIND OF EDUCATE MORE PEOPLE MORE ON EXACTLY WHAT THEY CAN DO TO PREPARE FOR THEMSELVES UNTIL HELP GETS THERE? UM, WE HAVE A, UH, AN EMPLOYEE, WE HAD A VACANCY FILLED, BUT WE JUST FILLED IT.
BUT THAT'S THEIR JOB IS TO WORK ON EDUCATION AND OUTREACH.
UM, TRYING TO WORK WITH COMMISSIONER'S COURT TO GET ADDITIONAL FOLKS TO JUST HELP US DEDICATE IT TO GOING OUT INTO THE COMMUNITY, UH, AND GOING TO NEIGHBORHOOD GROUPS, GOING TO CHURCHES, WHATEVER WE COULD DO TO MORE ENGAGE.
WE, WE, I I, I'M THE FIRST ONE.
YOU DON'T, WE DON'T DO ENOUGH OF IT.
I MEAN, FOR WHAT THAT'S WORTH.
WE, YOU KNOW, COMMISSIONER'S COURTS SUPPORTS US.
WELL, AND I'M NOT COMPLAINING BY ANY STRETCH, WOULD WANT TO DO MORE, JUST WOULD WANT TO DO MORE.
I, I, I TEND TO SAY THAT'S THAT FIRST LEG.
THE FIRST FIRST RESPONDER IS THE RESIDENT.
UM, UH, THE FIRE DEPARTMENT POLICE, THEY'LL SHOW UP, THEY'LL GET THERE.
BUT I WANT THAT FIRST RE THAT FIRST, FIRST RESPONDER TO BE READY.
AND, AND TO THE EXTENT, IF ALL I COULD DO IS SHOUT FROM THE, THE MOUNTAIN TOP ABOUT HOW TO BE PREPARED, I'LL, I'LL DO THAT AS WELL.
[00:30:02]
BUT THANK YOU FOR THAT.ANY OTHER QUESTIONS, REMARKS? ALRIGHT, I APPRECIATE IT, SIR.
[3. Presentation by Austin Public Health Disease Prevention and Health Promotion Unit on programs and services provided related to sexual health and immunizations.]
WE HAVE A PRESENTATION BY THE AUSTIN PUBLIC HEALTH DISEASE PREVENTION AND HEALTH PROMOTION UNIT ON PROGRAMS AND SERVICES PROVIDED, UH, RELATED TO SEXUAL HEALTH AND IMMUNIZATIONS.HOW YOU DOING? GOOD AFTERNOON.
UM, WE'RE TRYING TO GET SITUATED 'CAUSE WE HAVE AN ENTOURAGE THAT WE BROUGHT WITH US TO PRESENT TODAY.
UM, WE'RE JUST TRYING TO REORGANIZE A MINUTE, BUT, UM, AS WE GET STARTED, I JUST WANT TO THANK THE COMMISSION FOR THE OPPORTUNITY TO PRESENT.
UM, WHAT I THINK IS REALLY HELPFUL IS, UH, THESE PUBLIC OPPORTUNITIES TO TALK ABOUT THE RESOURCE THAT AUSTIN PUBLIC HEALTH PROVIDES TO THE COMMUNITY.
UM, AND PARTICULARLY ON THESE TWO TOPICS RELATED TO SEXUAL HEALTH AND, UM, IMMUNIZATION.
SO WE'RE GONNA FOCUS TODAY QUITE A BIT ON, UH, WHAT THE STATUS OF OUR, UM, THE SITUATION OF DISEASE FOR SEXUAL HEALTH AND ALSO FOR FLU AND COVID, WHICH IS IMMUNIZATION PIECES THAT WE'LL BE TALKING ABOUT, BUT ALSO LOOKING AT, UM, WHAT WE DO TO TRACK DISEASE, ALL THE RESOURCES AND WORK THAT IS REALLY INVISIBLE.
PEOPLE DON'T REALIZE THAT THAT'S CORE PUBLIC HEALTH SERVICE THAT'S PROVIDED, UM, TO SUPPORT THE OVERALL COMMUNITY.
AND THEN IN ADDITION TO THAT, WHAT DO WE DO AS A HEALTH DEPARTMENT TO, UM, RESPOND TO THOSE NEEDS, INCLUDING THE TYPES OF SERVICES AND HOW WE INTEGRATE INTO THE LARGER LOCAL PUBLIC HEALTH SYSTEM, UM, WITH OTHER HEALTH PROVIDERS.
AND, UM, SOMETHING I THINK THAT'S IMPORTANT TO ALSO NOTE IS THAT WE ARE A CITY OF AUSTIN DEPARTMENT, BUT WE ALSO HAVE JURISDICTION ACROSS ENTIRE COUNTY.
AND WE, WE REALLY WORK HARD TO CONNECT ACROSS ALL, ALL OF OUR, UM, JURISDICTIONS AND COORDINATE, UM, THROUGHOUT THE ENTIRE, THE ENTIRE COUNTY TO MAKE SURE THAT ALL OF OUR RESIDENTS ARE PROTECTED AND SUPPORTED BY AUSTIN PUBLIC HEALTH.
AND SO WITH THAT, UM, I'LL HAVE, WE HAVE OUR WHOLE TEAM HERE, SO, UH, WE'LL INTRODUCE THEM AND ACTUALLY ONE OF OUR MEMBERS WE HAVE, WE HAVE MORE PEOPLE THAN SEATS.
UM, BUT, UM, I WILL TURN IT OVER TO EACH ONE TO INTRODUCE THEMSELVES AND THEN WE'LL GET STARTED.
I'M, I'M HEATHER COOK SINCLAIR.
I'M THE MANAGER OF THE EPIDEMIOLOGY AND DISEASE SURVEILLANCE UNIT.
GOOD AFTERNOON, SDI PUBLIC HEALTH DIVISION MANAGER OF COMMUNICABLE DISEASES.
I'M THE CHIEF EPIDEMIOLOGIST AND ASSISTANT DIRECTOR OVER EPIDEMIOLOGY AND PUBLIC HEALTH PREPAREDNESS DIVISION.
SORRY, I THOUGHT YOU COULD HEAR ME ANYWAY.
MY NAME IS NELDA GARCIA, REGISTERED NURSE WITH AUSTIN PUBLIC HEALTH.
I'M A SUPERVISOR OF OUR MOBILE VACCINATION PROGRAM.
AND AS WE TRANSITION INTO THE FIRST PRESENTATION, I THINK IN THE FANFARE OF ALL OF US COMING UP HERE, I DIDN'T INTRODUCE MYSELF.
I'M CASSIE DE LEON AND I'M AN ASSISTANT DIRECTOR OVER OUR DISEASE PREVENTION AND HEALTH PROMOTION, UH, DIVISION.
AND THAT INCLUDES OUR, UM, SEXUAL HEALTH COMMUNICABLE DISEASE, UM, UNIT, AS WELL AS OUR IMMUNIZATIONS, UH, DIVIS UNIT AND OUR CHRONIC DISEASE AND INJURY PREVENTION PROGRAM.
AND SO WITH THAT, I WILL TURN IT OVER TO HEATHER TO GIVE YOU A DATA OVERVIEW AND, UM, ALL THE GREAT WORK THAT THEY'RE DOING IN THEIR AREA.
I'M GONNA START OFF, UM, WITH, DO I DO THIS? YES.
IF YOU'LL, YOU CAN ADVANCE THIS LENS.
I'M GONNA KIND OF START OFF WITH WHERE THE DATA COMES FROM AND SORT OF THE WORK THAT GOES INTO BEFORE WE HAVE OUR, UM, THE NUMBERS THAT YOU SEE AND THE TRENDS THAT YOU SEE.
SO I HAVE A TEAM OF PEOPLE WHO THEY PROCESSED IN 2022, 20,621 LABS, WHICH ENDED UP BEING ABOUT 10% OF THEM ENDED UP BEING INVESTIGATIONS FOR STIS.
UM, MY, MY TEAM ALSO DOES, UM, CHART ABSTRACTIONS.
WE DO THINGS FOR HIV PERINATAL AS WELL AS CONGENITAL SYPHILIS.
AND I JUST SORT OF WANNA PUT A PIECE IN HERE ABOUT CONGENITAL SYPHILIS 'CAUSE IT WAS IN THE NEWS RECENTLY.
OUR CONGENITAL SYPHILIS IS ON THE RISE.
UM, WE HAD ABOUT 39 INVESTIGATIONS IN 2021.
THE END THERE FOR 62 IS FOR LAST YEAR.
AND THEN SO FAR THIS YEAR WE'RE AT 84.
SO WE'RE SEEING AN INCREASE, AND IT'S JUST ONE OF THOSE THINGS THAT I WANT TO BRING EVERYBODY.
IT'S PREVENTABLE, UM, BRINGING TO PEOPLE'S ATTENTION.
IN ADDITION TO THAT, I HAVE A TEAM OF A, A TEAM OF PEOPLE THAT GO OUT AND DO PROVIDER OUTREACH, EDUCATING ON TESTING ALGORITHMS AND HOW TO REPORT AND WHERE TO REPORT.
UM, GOING FORWARD, I WANNA MAKE SURE THAT I'M CLEAR THAT WHILE WE PROCESS THIS DATA TO THE STATE, THE STATE IS THE OWNER OF THIS DATA.
SO WHEN WE GET THIS DATA, WE GET IT FROM THE STATE.
SO THE MOST RECENT DATA THAT IS AVAILABLE TO US IS 2020.
THEY MOST RECENTLY, UM, RELEASED SOME MORE RECENT STUFF, BUT IT IS NOT BROKEN OUT INTO AGE GROUPS,
[00:35:01]
GENDER OR ETHNICITY SINCE, SO I'M JUST SORT OF GOING OFF OF THE 2020 DATA THAT I HAVE.I'M GONNA START OFF WITH LOOKING AT CHLAMYDIA.
SO, UM, I'M JUST GONNA SEE FOR CHLAMYDIA, WE ARE ACTUALLY THE RED LINE ON THIS GRAPH.
THE INCIDENCE RATE FOR 2020 IS ON THE RISE.
FEMALES COMPRISE MORE THAN HALF OF THE CASES, AND THEN THE INCIDENCE RATES FOR THE BLACK POPULATION IS ABOUT FIVE TIMES HIGHER AS COMPARED WITH WHITES.
SO THIS IS NOT DETAILED ON THIS MAT ON THIS, ON THIS CHART, BUT I JUST WANNA MAKE SURE THAT THOSE ARE NOTED DISPARITIES THAT WE SEE.
ONE, ONE QUICK QUESTION FOR JUST ADDITIONAL INFORMATION.
WHERE POSSIBLE CAN YOU ALSO PROVIDE THE, KIND OF THE CIRCUMSTANCES BEHIND IT? LIKE IS THERE A TREND OF WHY THERE ARE FIVE TIMES MORE IN, IN THAT ASPECT? 'CAUSE AGAIN, THINKING OF WHERE CAN WE POTENTIALLY BE ABLE TO EITHER DO RECOMMENDATIONS OF CERTAIN TYPES OF EDUCATION OR CERTAIN TYPES OF BETTER ENGAGEMENT, SO FORTH.
I MEAN, GREAT INFORMATION, BUT MM-HMM.
WHAT WE KNOW, UM, WE KNOW THAT WE'RE PRESENTING, UM, SPECIFIC DATA AROUND SEXUAL HEALTH, UM, AND DISEASES SPECIFIC TO THAT.
BUT WHAT WE ALSO SEE ACROSS, UH, TRENDS ACROSS THE COUNTY, UM, WITH, UH, BLACK AND BROWN POPULATIONS THAT WE DO SEE, UM, UNFORTUNATELY DISPROPORTIONATE, UM, IMPACT AND DISPROPORTIONATE HEALTH DISPARITIES AMONG THOSE POPULATIONS WITH CHRONIC DISEASE, WITH, UM, RISK FACTORS THAT, UM, ARE UNFORTUNATE, THAT ARE DISPROPORTIONATELY AFFECTING, UM, THOSE POPULATIONS.
AND WE DO ATTRIBUTE THAT QUITE A BIT TO, UH, SOCIAL DETERMINANTS OF HEALTH.
UM, AND THAT'S A BIG FOCUS OF WHERE WE TRY TO LOOK AT WHAT ARE THESE CONTRIBUTING FACTORS, UM, BEYOND JUST, YOU KNOW, WE WATCH, WE TRACK DISEASE STATES, BUT WE ALSO LOOK AT THOSE SOCIAL DETERMINANTS OF HEALTH TO SEE WHERE CAN WE TRY TO INTERVENE.
AND THAT'S WHERE AUSTIN PUBLIC HEALTH'S FOCUS HAS BEEN ON REALLY LOOKING AT WHERE, UH, WE CAN HELP TO, UM, INTERVENE IN THOSE SPACES AND PLACES WHERE PEOPLE ARE NOT HAVING ACCESS TO CARE, UM, ARE, ARE, ARE THEY HAVING A, UM, ARE THERE, IS THERE AN INCREASE IN, IN DISEASE AMONG CERTAIN AREAS? AND SO WE REALLY TRY TO FOCUS OUR RESOURCES IN THOSE, UM, SPACES IN PLACES AS WELL AS TRYING TO WORK WITH, UM, OTHER COMMUNITY PARTNERS TO TRY TO SEE WHERE WE CAN LEVERAGE OPPORTUNITIES TO EDUCATE AND TO, UH, BRING, UM, INFORMATION ABOUT WHERE PEOPLE CAN GET ACCESS TO TESTING OR ACCESS TO TREATMENT OR WHATNOT, AND WHERE WE CAN PLAY, UH, A ROLE IN THAT SPACE.
ANOTHER QUESTION I HAD WAS, UH, HOW THESE TRENDS COMPARE TO NATIONAL TRENDS, JUST TO UNDERSTAND WHAT SOCIAL DETERMINANTS ARE LOCAL COMPARED TO, UH, BROADLY, UH, IN THE COUNTRY.
SO I THINK WHAT'S IMPORTANT TO NOTE WHEN YOU LOOK AT AUSTIN, TRAVIS COUNTY AS A WHOLE, OUR POPULATION IS HEALTHIER AND WE ARE ALWAYS CELEBRATING, LIKE WE ALWAYS SCORE HIGH ON, ON THOSE, UM, THOSE TYPES OF, UH, WHEN YOU LOOK AT OVERALL POPULATION, WHEN YOU START TO LOOK AT OUR HEALTH DISPARITIES AND WHERE ARE, AND, AND SPECIFICALLY WHEN YOU LOOK AT RACE, AND IT'S IMPORTANT TO TALK ABOUT RACE SPECIFICALLY BECAUSE WE NEED TO BE INTENTIONAL AND TALK ABOUT WHERE WE ARE SEEING REAL DISPARITIES.
WE TREND DIRECTLY WITH ANY OTHER LARGE POPULATION CITY WITH OUR, OUR BLACK AND BROWN POPULATIONS.
AND SO AS A HEALTH DEPARTMENT, WE HAVE AN OBLIGATION TO MAKE SURE THAT WE IDENTIFY THOSE NEEDS AND THAT WE'RE INTENTIONAL ABOUT OUR APPROACH TO MAKE SURE THAT WE ARE, UM, ADDRESSING WHERE THE HIGHEST NEEDS ARE AND WE'RE APPLYING RESOURCES APPROPRIATELY.
AND I DON'T KNOW, ACTUALLY I DO HAVE ONE MORE THING THAT I WOULD SAY THAT, THAT THIS, THE STDS OVERALL NATIONWIDE ARE DEFINITELY ON THE RISE.
SO THAT IN ADDITION TO THE DISPARITIES, JUST STDS, CHLAMYDIA, GONORRHEA, SYPHILIS, HIV ARE ALL INCREASING OVER TIME.
SO ACTUALLY HIV IS, WE'LL GET TO THAT ONE A LITTLE BIT LATER ISN'T INCREASING, BUT THE OTHER THREE VERY MUCH ARE.
ALRIGHT, SO I'M GONNA MOVE ON THEN TO GONORRHEA.
SO AGAIN, WITH GONORRHEA, THIS ONE IS NOT BREAKING THIS AGAIN, WE HAVE IT BY TRAVIS COUNTY.
UM, WE'RE, WE'RE, WE'RE BELOW SOME OF ONE OF THE OTHER COUNTY MAJOR COUNTIES, BUT WE'RE PRETTY MUCH ON PAR WITH THE REST OF THE COUNTIES HERE REPRESENTED.
UM, THE INCIDENTS, RIGHT AGAIN FOR THE BLACK POPULATION IN TRAVIS COUNTY ARE HIGHER COMPARED TO ALL THE OTHER RACE ETHNICITIES AND THEN MALES COMPRISE MORE THAN 70% OF THE CASES OF GONORRHEA.
I GUESS A QUICK QUESTION HERE.
UH, IS THERE A CONNECTION WITH PREP USE, UH, THAT PEOPLE ARE SEEING? UH, HIV GOING DOWN, BUT GONORRHEA AND OTHER DISEASE GOING UP, I MEAN, THERE'S NOT A LOT OF SPECIFIC DATA LOCALLY, BUT AS A, AS A WHOLE, UM, PREP IS CAUSING A GOOD CAUSE.
[00:40:01]
HIV RATES TO GO DOWN AND AS FAR AS IN INCREASES ANOTHER STDS, IT CAN ONLY JUST BE, YOU CAN, YOU CAN SURMISE, BUT THERE'S NO DATA THAT'S BEHIND IT THAT REALLY STATES THAT.ALRIGHT, I WANNA MOVE ON THEN TO THE HIV INFECTION.
AS WE JUST TALKED ABOUT, IT'S, IT'S TRENDING DOWNWARD AND IT'S TRENDING DOWNWARD FOR ALL THE COUNTIES HERE IN TEXAS.
I THINK FOR MORE SO FOR OTHERS, WE WERE PRETTY LOW TO BEGIN WITH, UM, COMPARATIVELY TO THE OTHER COUNTIES.
AND AGAIN, UM, THE INCIDENCE RATES FOR THE BLACK POPULATION IS THREE TIMES HIGHER THAN OTHER RACE ETHNICITIES.
WE DEFINITELY ARE SEEING, UM, SOME INCREASES IN THE FEMALE POPUL, UM, BLACK POPULATION AS WELL.
AND IN 20 20, 20 20 HIV PREVALENCE RATES WERE CONCENTRATED MOSTLY ON THE EAST SIDE OF 35 WHEN WE DID, UM, MAPPING.
AND THEN WHOOP, AND THEN MY LAST SLIDE IS ABOUT SYPHILIS.
UM, SYPHILIS, AGAIN, WE'RE SEEING KIND OF, IT'S SORT OF GENERALLY GOING UP, BUT IT HAS DEFINITELY SOME, UM, IMPACTS UP AND DOWN OVER TIME.
BUT, UH, THE, IN GENERAL, WE'RE SEEING THAT THE RATES IN THE BLACK POPULATION, AGAIN, ARE ABOUT THREE TIMES HIGHER COMPARED WITH THE RATES OF WHITES.
AND THE RATES FOR HISPANIC HAVE INCREASED OVER FOUR TIMES FROM 20 20 10 TO 2020.
YOU KNOW, I WOULD, I WOULD SAY PROBABLY AN AREA OF, OF INTEREST AND INTRIGUE OF BEING ABLE TO CONNECT IN COMMUNITY ORGANIZATIONS AND RESOURCES TO HELP WITH MESSAGING AND HOPEFULLY, UM, EYES ON THESE INDIVIDUALS WOULD BE KIND OF KNOWING.
IS IT YOUTH, YOUTH, CHARTER SCHOOLS, PUBLIC SCHOOLS? UH, MORE IN SPORTS, MORE IN THIS, MORE IN THAT, IS IT YOUNG ADULTS COLLEGE, TWO YEAR, FOUR YEAR MORE IN THIS, MORE IN THAT, BECAUSE THE NUMBERS ARE GREAT.
IS IT, UH, INDIVIDUALS THAT ARE GOING TO THE CLUB? RIGHT? MM-HMM,
WHAT AREA? YOU KNOW WHAT I MEAN? UM, SO I'M NOT SURE IF YOU'RE ABLE TO GET TO THAT LEVEL, BUT I THINK THAT WOULD HELP WHEN WE'RE TALKING ABOUT THE DIFFERENT ORGANIZATIONS, ESPECIALLY THOSE THAT ARE BEING CONTRACTED BY A PH AND THE OTHERS OF BEING ABLE TO SAY, THIS IS WHERE WE NEED YOU BECAUSE THEY'RE IN YOUR BACKYARD.
THIS IS WHERE WE NEED YOU TO FOCUS YOUR AREA AT.
I'LL SAY THAT WE DO, I MEAN, FOR, FOR A SHORT PRESENTATION, THERE'S A LOT OF THINGS THAT I COULD PRESENT ON, AND WE DEFINITELY HAVE IT BROKEN OUT BY RACE.
WE HAVE IT BROKEN OUT BY GENDER, WE HAVE IT BROKEN OUT BY AGES, SO WE CAN KIND OF GET AN IDEA.
AND IT'S VERY INTERESTING, AT LEAST TO ME, THAT CERTAIN STDS ARE MORE PRIMARILY IN THE YOUNGER POPULATION AND OTHER S STDS ARE MORE PREVALENT IN OLDER POPULATIONS.
AND SO I THINK THAT IS IMPORTANT AS FAR AS, UM, MAKING SURE THAT WE COMMUNICATE THAT OUT TO THE APPROPRIATE POPULATIONS.
I, I THINK WHAT'S IMPORTANT AND, AND O SAYED AND I WERE DISCUSSING THIS EARLIER, IS THAT WE DO HAVE GUIDANCE.
MOST OF THESE FUNDS THAT WE GET FOR, UM, PROVIDING, UM, UH, LOCAL, UH, PROGRAMMING ARE FROM GRANT FUNDED PROGRAMS. AND THERE'S DIRECT GUIDANCE FROM THE GRANT FUNDERS AS TO WHO ARE THE HIGH RISK POPULATIONS THAT WE NEED TO BE FOCUSED ON.
NOTING THAT WE DO PROTECT AND, AND PROVIDE SERVICES TO ALL POPULATIONS, BUT THERE IS GUIDANCE THAT WE HAVE THAT, YOU KNOW, CAN BE SHARED AS WELL AS WE HAVE, UH, DATA THAT GIVES US INDICATION ABOUT WHO ARE PRACTICING HIGHER RISK BEHAVIORS.
AND SO THAT HELPS US TO GUIDE WHERE DO WE NEED TO FOCUS AND WHAT AGES WE NEED TO FOCUS IN ON, UM, TO MAKE SURE THAT WE'RE, UM, REACHING, UM, IDEAL.
UM, IDEALLY REACHING THOSE WHO ARE, UM, MOST AT RISK.
I HAD ANOTHER QUESTION AROUND, UH, THE INTERSECTION BETWEEN MAYBE SUBSTANCE ABUSE AND STIS AND WHETHER YOU HAVE THOSE NUMBERS AS WELL, SINCE WE TALK A LOT, UH, TO OTHER GROUPS AROUND MENTAL HEALTH, SUBSTANCE, UH, USE DISORDER.
DEFINITELY IT'S SOMETHING THAT WE CAN, UH, BRING BACK, UH, TO THE, UH, COMMISSION TO REVIEW.
WE ARE, YOU KNOW, LOOKING AT, UM, THE INTERSECTION OF INTRAVENOUS DRUG USE AND HIV OF COURSE IS A CONCERN AND, UM, SOME WORK THAT WE'RE, UH, ALSO INVOLVED IN.
SO THAT'S SOMETHING WE CAN ALSO, UM, REVIEW AND SHARE BACK.
MM-HMM,
UM, YOU MENTIONED THAT CONGENITAL SYPHILIS IS THERE ARE PREVENTIONS OUT PREVENTATIVE OPPORTUNITIES OUT THERE FOR PEOPLE TO ACCESS, ALTHOUGH THE NUMBER'S GONE UP.
HAVE YOU NOTICED ANY TRENDS IN THE PREVENTATIVE RESOURCES THAT THE CITY OF AUSTIN OFFERS GOING UP AS WELL,
[00:45:01]
OR LIKE DECREASING OR ARE THERE ANY, IS THERE ANY DATA TO SHOW WHO'S USING IT? WELL, WHAT I CAN TELL YOU IS WHEN, UM, WE HAVE A TESTING FOR SYPHILIS IS REQUIRED FOR THE FIRST TRIMESTER, THIRD TRIMESTER AND AT BIRTH.AND SO IF WE IDENTIFY, UM, A MOM, A PREGNANT WOMAN, AND SHE HASN'T BEEN TREATED, WE WILL MAKE SURE THAT SHE GETS SENT, SHE GETS TREATMENT.
THE, THE, THE, THE CHALLENGES IS THAT NOT ALL PEOPLE ARE HAVE HAVING ACCESS TO THAT CARE.
AND SO A LOT OF THE ONES THAT WE'RE SEEING THAT, UM, END UP HAVING MORE DIRE OUTCOMES ARE RELATED TO PEOPLE WHO THEY HAVEN'T SEEN CARE UNTIL THEY'RE GIVING BIRTH AND THEY'RE HA THEY'RE GETTING TESTED AND IT'S TOO LATE AT THAT POINT.
SO I THINK THAT THAT'S THE BIGGEST PIECE THAT IS DRIVING SOME OF THIS.
WELL, AS WE TRANSITION TO OUR NEXT PRESENTER, WE DO HAVE A VIDEO JUST TO HIGHLIGHT AND IT SHOWS, UM, GIVES YOU SOME INSIGHT INTO LIKE A BIRD'S EYE VIEW INTO OUR ACTUAL CLINIC, UM, FOR OUR SEXUAL HEALTH CLINIC AND OUR, OUR TUBERCULOSIS CLINIC.
AND SO WE'LL SHOW THAT VIDEO AND THEN WE WILL TALK ABOUT OUR ACTUAL, UM, OPERATIONS.
THE RBJ HEALTH CENTER IN CENTRAL AUSTIN, EAST OF INTERSTATE, HIGHWAY 35 IS HOME TO AUSTIN, PUBLIC HEALTH'S SEXUAL HEALTH AND TUBERCULOSIS OR TB CLINICS.
AT OUR SEXUAL HEALTH CLINIC, WE OFFER EXAMINATION TESTING AND TREATMENT FOR SEXUALLY TRANSMITTED INFECTIONS.
WE ALSO TEST FOR HIV AND REFER PATIENTS WHO TEST POSITIVE FOR HIV TO COMMUNITY HIV CARE PROVIDERS.
WE ALSO OFFER HIV PRE-EXPOSURE PROPHYLAXIS OR PREP TO PREVENT HIV INFECTION.
OUR SOCIAL WORKERS PROVIDE A VARIETY OF SERVICES AND SUPPORT TO OUR PATIENTS, SUCH AS REFERRALS FOR FOLLOW-UP CARE.
ALL OF THESE SERVICES ARE OFFERED AT LOW COST WITH NO INSURANCE NEEDED.
YOU CAN CALL 5 1 2 9 7 2 5 4 3 0 FOR AN APPOINTMENT OR WALK IN FOR SAME DAY APPOINTMENTS.
THE TB CLINIC OFFERS SCREENING AND EVALUATIONS AS WELL AS TREATMENT AND COMPLETE CASE MANAGEMENT FOR PATIENTS WITH TB DISEASE.
THE CLINIC ALSO PROVIDES PREVENTATIVE TREATMENT FOR LATENT TB INFECTIONS.
THESE SERVICES ARE OFFERED AT NO CHARGE TO PATIENTS.
SIMPLY CALL 5 1 2 9 7 2 5 4 6 0 4 AN APPOINTMENT, FIND INFORMATION ON THESE SERVICES AND MORE@AUSTINTEXAS.GOV SLASH HEALTH.
WE ARE AUSTIN PUBLIC HEALTH, SO THAT GIVES YOU AN INSIGHT INTO WHAT OUR CLINIC LOOKS LIKE.
I JUST WANNA NOTE WE HAVE ONE STATE-OF-THE-ART CLINIC, BUT ONE FOR THIS ENTIRE, UH, COMMUNITY.
AND SO, UM, IT'S, IT'S SMALL BUT MIGHTY, UH, SERVICES, BUT I'LL KICK IT OVER TO SAEED SO HE CAN, UM, GO OVER THE, OUR OPERATIONS.
JUST MOVE FORWARD THIS LINE HERE.
UH, SO AS YOU SAW ON THE, UH, VIDEO, UH, RBJ HEALTH CENTER IS HOME TO, UH, TUBERCULOSIS AND SEXUAL HEALTH CLINIC, WHICH WE TALK ABOUT RIGHT NOW.
UH, WE PROVIDE PHYSICAL EXAMINATION FOR PATIENTS, UH, PROVIDE SCREENING FOR HIV AND STIS.
WE ALSO PROVIDE PREP AS YOU, UH, NOTICED ON THE VIDEO.
AND, UM, THAT'S DONE ONLY BY FIVE NURSE PRACTITIONERS AND, UM, BASICALLY FOR A FLAT FEE OF $20.
AT THE MOMENT, WE DON'T, UM, DO ANY INSURANCE, BUT WE CHARGE EVERYONE 20.
IF SOMEBODY CANNOT AFFORD THE $20, WE WAIVE THE, THE FEE FOR PEOPLE WHO CANNOT DO IT.
SO THAT'S PROVIDED TO, UM, BASICALLY REDUCE THE BARRIERS FOR TESTING AS MUCH AS POSSIBLE.
UH, AS FAR AS WE HAVE ONSITE LABORATORY, UH, THAT IS A CLEAR CERTIFIED LAB, THEY PROVIDE THE TESTING AND BASICALLY FOR HIV AND SYPHILIS, THE PATIENTS, WHEN THEY COME IN, THEY GET TESTED AND BEFORE THEY LEAVE THEY KNOW THE RESULT.
IF TREATMENT IS NEEDED, THAT'S PROVIDED ALSO FOR THE SAME FEE, OBVIOUSLY NOT FOR HIV OR FOR OTHER, OTHER STIS.
AS FAR AS, UM, TESTING IS CONCERNED, I MENTIONED THERE WAS RAPID HIV TESTING AND SYPHILIS SCREENING ON SITE.
WE ALSO HAVE A PUBLIC HEALTH FOLLOW-UP TEAM AND SOCIAL SERVICES IN THE CLINIC THAT CAN FOLLOW UP WITH PATIENTS AS NEEDED.
AND I TALK ABOUT IT BRIEFLY IN THE FOLLOWING SLIDES.
ALRIGHT, HERE ARE SOME NUMBERS.
UH, AS FAR AS THE VISITS FOR RBJ HEALTH CENTER IN THE LAST FEW YEARS, YOU CAN NOTICE THAT BEFORE COVID IN FISCAL YEAR 19, WE HAD ABOUT 11,000 VISITS.
THEN IN FI 20, THE NUMBER, UH, REDUCED TO 8,621 AND 6,699, UM, DURING THE HEIGHT OF COVID IN THE FISCAL YEAR 21.
JUST WANNA MENTION THAT WE'VE BEEN OPEN DURING THE WHOLE PERIOD AND PROVIDED SERVICES TO THE COMMUNITY ON SITE AND WE ALWAYS HAD THAT OPTION AVAILABLE
[00:50:01]
FOR THE COMMUNITY.DURING COVID TO, UH, FOLLOW UP WITH ALL THE STI AND HIV SCREENING AND TREATMENT.
UM, IN 2000 AND FISCAL YEAR 22, WE INCREASED OUR NUMBERS BY 38% AND THEN ANOTHER 18%, UH, LAST FISCAL YEAR TO ALMOST PRE COVID NUMBERS, UM, AS YOU CAN SEE ON THIS SLIDE.
ALRIGHT, HERE ARE SOME NUMBERS, UM, ABOUT HIV, SYPHILIS, UH, CHLAMYDIA AND GONORRHEA.
THESE NUMBERS ARE ONLY FOR OUR CLINIC, SO IT DOESN'T REPRESENT NECESSARILY TRAVIS COUNTY OR NATIONWIDE TREND.
IN FISCAL YEAR 21, 22 AND 23, WE HAD OVER, UH, 30 NEWLY DIAGNOSED HIV IN OUR CLINIC AND OVER 200 SYPHILIS CASES IN EACH YEAR THAT WERE DIAGNOSED.
UH, AMONG THE PEOPLE WHO WERE TESTED AND, UH, THE SAME THREE YEARS AVERAGE OF, UH, CHLAMYDIA POSITIVITY WAS ABOUT EIGHT POINT 0.4% AMONG PEOPLE WHO WERE TESTED IN THE CLINIC.
AND ABOUT, UH, 6.6% FOR, UH, GONORRHEA.
JUST A QUICK QUESTION JUST TO TO HEAR.
DO YOU HAVE THE SAME KIND OF POSITIVITY RATE FOR HIV AND SYPHILIS? I JUST WONDERED OUT OF INTEREST, YOU PUT, YOU DID THOSE TWO, BUT YOU DIDN'T DO THE OTHER TWO.
YES, I DIDN'T PUT THE RATE ON THERE AND UM, I DON'T HAVE IT, BUT I CAN DEFINITELY PROVIDE IT TO YOU.
THE, UM, AT RBJ HEALTH CENTER, WE DON'T CONCENTRATE ONLY ON QUALITY OF SERVICE THAT WE PROVIDE TO A CLIENT OR, UM, THE SUBJECT MATTER EXPERTISE, BUT WE ALSO WORK HEAVILY ON CUSTOMER SERVICE AND CUSTOMER EXPERIENCE WHILE THEY ARE IN THE CLINIC.
HERE ARE SOME EXAMPLES OF WHAT, UH, COMMUNITY, UM, I GUESS CITIZENS WHO CAME TO OUR CLINIC PROVIDED FEEDBACK ON GOOGLE.
WE HAVE A GOOGLE REVIEW OF 4.8 ON FIVE AND 90% EXTERNAL RATING ON OUR INTERNAL SURVEYS.
JUST WANTED YOU GUYS TO SEE SOME OF THE RESPONSES THAT THEY HAVE PROVIDED AND YOU CAN ALSO LOOK IT UP ON GOOGLE, OBVIOUSLY.
ALRIGHT, I WANNA TALK BRIEFLY ABOUT PUBLIC HEALTH FOLLOW-UP TEAM.
UH, THOSE ARE DISEASE INTERVENTION SPECIALISTS AND UH, THAT'S ONE OF THE TEAMS THAT INVESTIGATES EVERY SINGLE HIV AND SYPHILIS CASE IN TRAVIS COUNTY REGARDLESS OF WHERE THEY HAVE BEEN DIAGNOSED.
SO THEY FOLLOW UP, THEY INTERVIEW THEM, THEY FIND THEIR PARTNERS, THEY PROVIDE EDUCATION, THEY PROVIDE TESTING AND, UM, LINKAGE TO CARE FOR THE PARTNERS TO THE POSITIVE, UM, PATIENTS, THE CASE INVESTIGATIONS, THEY PROVIDED, UH, 1,299 CASE INVESTIGATIONS IN FISCAL YEAR 21 AND LAST FISCAL YEAR, 1,632 CASE INVESTIGATIONS IN AUSTIN, TRAVIS COUNTY.
THEY ALSO LINKED, UM, TO HIV CARE OVER 200 PATIENTS EACH YEAR IN THE LAST THREE YEARS, THE FOLLOWING WITH HIV OUTREACH TEAM AND OUR HIV OUTREACH TEAM PROVIDES HIV AND STI TESTING IN THE FIELD.
UH, THEY CAN GO TO DIFFERENT NEIGHBORHOOD CENTERS, DIFFERENT LOCATIONS, BARS, OR TEST OUT OF THE VAN IF NEEDED.
SO, UH, THEY PROVIDED OVER 1800 TESTS LAST FISCAL YEAR, UH, 76 DIFFERENT EVENTS FOR TESTING, AND THEY DISTRIBUTED OVER 240,000 CONDOMS THROUGHOUT AUSTIN, TRAVIS COUNTY FOR PREVENTION.
OUR SOCIAL SERVICES TEAM, THEY PROVIDE SERVICE, UM, TO ALL OF OUR CLIENTS THAT NEED HELP.
THEY'RE LINKED 142 PATIENTS TO HIV CARE LAST YEAR AND, UM, PROVIDED PREP ASSISTANCE, MEDICATION ASSISTANCE BASICALLY FOR OVER 300 PATIENTS.
ALSO, THEY PROVIDED MENTAL HEALTH, SUBSTANCE ABUSE HELP, RAPID REHOUSING, AND OVERALL OVER 7,000 HOURS OF SERVICE BY, SO SEVEN SOCIAL WORKERS IN, UM, COMMUNICABLE DISEASE UNIT.
AND FINALLY A FEW EXAMPLES OF OUR SOCIAL MEDIA CAMPAIGNS AND PROMOTIONAL DIGITAL PROMOTIONS FOR DIFFERENT EVENTS THAT BE PROVIDED THROUGHOUT THE COMMUNITY.
THE ONLY QUESTION I HAVE, AND YOU MAY NOT KNOW THIS OFF THE TOP OF YOUR HEAD, WHICH IS DEFINITELY ALL RIGHT, UM, YOU SAID ONLY ONE FACILITY FOR THE WHOLE AREA, SO, UM, THE NUMBERS ARE GREAT.
I, I JUST DON'T SEE ANY DEMOGRAPHIC KIND OF A BREAKDOWN.
SO IS THE DEMOGRAPHIC NUMBERS SIMILAR TO WHAT YOU'RE SEEING IN TRENDS? AND THE REASON I SAY TRENDS IS MOST PEOPLE WANT TO COMPARE IT TO THE POPULATION, WHICH IS A FALLACY TO WHAT THE ACTUAL TREND IS, ESPECIALLY IF YOU'RE TALKING THREE TIMES, FIVE TIMES, THEN ARE YOU SEEING THREE TIMES, FIVE TIMES OF THAT PARTICULAR POPULATION? UM, AS FAR AS THE NUMBER OF PEOPLE WHO COME IN YEAH.
BASED ON YOUR NUMBERS AND SO FORTH, ARE THEY, ARE, ARE, ARE WHAT YOU'RE SEEING AS DEMOGRAPHIC, IS IT HOW FAR OFF POTENTIALLY GUESSTIMATE, RIGHT? THE GUESS THE GUESSING GUESSTIMATE.
UH, WHAT WOULD YOU SAY TO WHAT TRENDS ARE
[00:55:01]
NOT TO WHAT THE POPULATION IS, BUT TO WHAT TRENDS ARE? I THINK WHAT WE CAN SAY WITH CERTAINTY IS AT LEAST HALF OF OUR PEOPLE THAT ARE SEEN IN THE CLINIC ARE UNDERSERVED, UNINSURED, UNINSURED PEOPLE BECAUSE THEY DON'T HAVE INSURANCE, THEY DON'T HAVE MONEY TO PAY OR THEY HAVE NO OTHER WAY TO GET TESTING AS, GO AHEAD.UM, SO ARE YOU, WOULD YOU SAY THEN WHEN YOU'RE SEEING FOR TESTING FOR HIV AND THESE OTHERS, ARE YOU AT LEAST SEEING FROM THE, FROM THE SLIDES PREVIOUS, ARE YOU AT LEAST SEEING THREE TIMES, FIVE TIMES OF BLACKS? I DON'T KNOW THE ANSWER TO THAT.
I DON'T KNOW IF THAT'S NECESSARILY TRUE.
ALSO, UM, SOMETHING TO CONSIDER.
AS I THINK CASSIE MENTIONED EARLIER, A LOT OF OUR GRANTORS REQUIRE US TO CONCENTRATE, PARTICULARLY THE STATE OF TEXAS.
AND THAT'S THE PRIORITY POPULATION THAT WE HAVE HAD FOR THE LAST FEW YEARS HAVE PRETTY MUCH REMAINED UNCHANGED.
THOSE ARE MSM, WHITE, MSM, HISPANIC, MSM, BLACK MM-HMM.
AND THOSE ARE THE ONES WE PARTICULARLY FOR HIV OUTREACH TEAM HAVE TO CONCENTRATE ON AND PROVIDE MAJORITY OF TESTING OR AT LEAST MINIMUM NUMBER OF TESTING, BUT THEY'RE NOT GONNA BE THREE TIMES AS MANY AS NECESSARILY AS EVERYBODY ELSE, UH, IN, IN, UH, BLACK POPULATION, IF THAT'S WHAT YOU'RE ASKING.
AND I THINK THAT'S WHERE AN OPPORTUNITY IS OF HOW DO WE WORK WITH THE OTHER PROVIDERS IN THE COMMUNITIES SO THAT THE SERVICES ARE ACTUALLY MORE COMPARABLE TO WHAT THE RATES ARE.
UM, BECAUSE THEN YOU'RE NOT NECESSARILY REALLY TRULY HITTING YOUR PUNCTURING INTO WHERE THE DISPARITY IS AT OR WHERE THE OVER VALANCE OF ONE THING IS AT.
SO IF YOU'RE SAYING 75%, FOR EXAMPLE, HISPANIC IS, IS RECEIVING THIS VERSUS 75% ASIAN IS RECEIVING THAT, BUT I'M ONLY HITTING 20%, BUT I'M HITTING 50% OF ANOTHER POPULATION, I'M NOT REALLY PUNCTURING INTO THE PARTICULAR AREA WHERE THE CONCERN IS AT.
EVEN THOUGH I'M MEETING THE MANDATE OF THE GRANT, THE SCOPING CRITERIA, I'M NOT ACTUALLY FROM A MITIGATING THE ISSUE STANDPOINT HITTING IT.
UH, AND ONE PIECE I THINK THAT'S IMPORTANT TO NOTE ABOUT, UH, THE WORK THAT AUSTIN PUBLIC HEALTH DOES.
THERE'S THE OUTREACH TEAM THAT GOES OUT, BUT THEN THE ROLE OF OUR DISEASE INVEST IN DISEASE, UM, INTERVENTION SPECIALIST IS THAT ANYONE WHO IS DIAGNOSED WITH A REPORTABLE CONDITION, HIV SYPHILIS, UM, OUR DISEASE INTERVENTION INTERVENTION SPECIALIST, CONTACT THAT PATIENT, WHETHER IT'S IN OUR CLINIC OR IN ANY OTHER CLINIC ACROSS THE CITY AND COUNTY, WE MAKE CONTACT WITH THAT PATIENT AND THEN WE, THEY'RE TRAINED TO, UM, INTERVIEW THAT PATIENT SO THAT THEY CAN, UM, DRAW INFORMATION OUT ABOUT WHO THEIR CLOSE CONTACTS HAVE BEEN.
AND THEN THAT'S A KEY PIECE THAT OUR DEPARTMENT DOES THEN TO REACH OUT TO THOSE CLOSE CONTACTS TO ENCOURAGE THEM, UH, TO COME IN AND GET TESTED AT OUR CLINIC.
UM, AND THAT IS REALLY SPECIFIC FOCUSED, UM, UM, OUTREACH THAT WE ARE REQUIRED BY LAW, UM, AND REQUIRED BY OUR GRANTS TO DO, TO MAKE SURE THAT THOSE WHO ARE IDENTIFIED AS BEING, UH, CONTACT, HAVING A CLOSE CONTACT WITH SOMEONE WHO HAS HIV INFECTION OR SYPHILIS OR ANY OF THE OTHER, UM, REPORTABLE STIS, WE DO THAT FOLLOW UP.
AND THAT'S A KEY PIECE IN ENSURING THAT WE'RE, UM, UH, GETTING PEOPLE IN EARLY TO GET TESTED AND NOTIFYING THAT THEY HAVE HAD THAT RISK.
AND SO, UM, REGARDLESS OF WHETHER OR NOT PEOPLE ARE ABLE TO, BECAUSE THE MOBILE OUTREACH TEAM IS TRYING TO MAKE SURE THAT THEY'RE IN SPACES AND PLACES THAT THEY KNOW HIGH RISK POPULATIONS CAN EASILY ACCESS, BUT THEY CAN'T MAKE SOMEONE COME IN VERSUS THE DIS TEAM IS PROACTIVELY CALLING PEOPLE AS WE GET THOSE CONTACTS AND MAKING SURE THAT THEY'RE AWARE AND REALLY ENCOURAGING THEM TO COME IN AND GET TESTED.
SO WE HAVE THAT MULTI-PRONGED APPROACH TO MAKE SURE THAT, UM, UH, WE'RE, 'CAUSE WE'RE, WE'RE GONNA KNOW FIRST
AND SO THAT'S, THAT'S, UM, A LOT OF WHAT IS LAYERED INTO THE WORK THAT A PUBLIC HEALTH DEPARTMENT, UM, DOES AS PART OF OUR CORE OF PUBLIC HEALTH SERVICE.
AND I DON'T KNOW, SAY, MAY HAVE MORE DETAILS ON THAT, THAT HE WANTS TO PROVIDE.
NO, I WAS JUST GONNA SAY THAT, YOU KNOW, IT IS SORT OF A COLLECTIVE RESPONSE AS WELL THAT WE HAVE OTHER PROVIDERS OUT IN THE COMMUNITY THAT HELP SUPPORT, UH, TREATING SOME OF THESE INDIVIDUALS ONCE THEY ARE IDENTIFIED AS WELL.
UM, BUT I THINK YOU HIT ON A POINT THAT WE ARE CHALLENGED WITH AS EPIDEMIOLOGISTS ROUTINELY, IS THAT WE'RE LOOKING AT RATES IN ONE SLIDE, BUT THE SHEER NUMBER OF PEOPLE, IF YOU LOOK AT THE NUMBER, THE N OF THOSE PEOPLE THAT REPRESENT SYPHILIS, GONORRHEA, CHLAMYDIA, IT MAY TELL A VERY, IT MAY LOOK LIKE A VERY DIFFERENT STORY OUT THERE.
SO WHAT MAY THERE MAY BE MORE, UH, OF THE HISPANIC POPULATION THAT THAT IS A COMING IN FOR SERVICES TO OUR CLINIC.
[01:00:01]
UM, AND I'M NOT SAYING THAT'S WHAT'S HAPPENING.BUT, BUT, UM, IT, IT, A LOT OF TIMES WE ARE TRYING TO GET OUT TO THOSE INDIVIDUALS 'CAUSE WE KNOW THEY'RE HARD TO REACH, UH, BUT THEY, THEY SOMETIMES GET LOST IN THE WASH, SORT OF.
UM, SO WE WANNA MAKE SURE THAT, UH, WE'RE BEING MINDFUL THAT WE'RE LOOKING AT RATES AND WE'RE LOOKING AT NUMBERS AS WELL, UH, WHEN WE'RE, WE'RE RATES ARE GOOD IN, IN SHOWING TRENDS AND SHOWING TRUE DISPARITIES AMONGST POPULATIONS.
UH, BUT AS FAR AS REACHING AND PROVIDING SERVICES AND THINGS LIKE THAT, WE, THE NUMBER'S GONNA BE REALLY IMPORTANT.
I JUST WANTED TO ADD THAT IF YOU, ONE OF THE SLIDES THAT WAS PRESENTED BY SED SHOWED THAT THERE WERE, I THINK 149 CONTACTS MADE.
AND THAT IS JUST SPEAKING TO THE WORK THAT'S BEING DONE BY THE TEAM AS A WHOLE.
SO IT'S A, UM, A CROSS DEPARTMENTAL EFFORT TO DO THE OUTREACH, MAKE SURE THAT TREATMENT IS, UM, IMPLEMENTED AND THAT THOSE WHO'VE BEEN EXPOSED ARE TREATED AS WELL.
UM, AND WE'RE MINDFUL OF WHAT YOU'RE SPEAKING TO WITH REGARDS TO OUTREACH.
AND SO, UM, ANOTHER PART OF OUR DEPARTMENT THAT'S NOT HERE, MOST OF IT IS, BUT OUR COMMUNICATIONS TEAM ARE, UH, IN CONSTANT, UM, CONTACT WITH EPI AND ARE MONITORING TRENDS AND WILL ADJUST MESSAGING ACCORDINGLY.
AND THEN ADDITIONALLY, WE DO, UM, AS WE, UM, PARTNER WITH ORGANIZATIONS AND COMMUNITY TAKE INTO CONSIDERATION THE NEEDS OF THE COMMUNITY.
FOR INSTANCE, OUR, OUR, UM, RELATIONSHIP WITH BLACK MEN'S HEALTH CL, UH, CLINIC AND, AND WITH THE NEW TRC.
SO THOSE ARE, THOSE ARE ALL THE WAYS THAT IF WE ARE NOT OURSELVES PROVIDING THE SERVICE WE ARE CONTRACTING TO IMPLEMENT THAT.
AND I THINK DEFINITELY BEING ABLE TO KNOW AT LEAST WHERE THAT, UH, DEMOGRAPHIC IS COMPARED TO THE RATE, UM, WOULD BE GREAT INFORMATION HOLISTICALLY FOR THE COMMISSION.
AS WE'RE NOW GOING TO BE START DIVING INTO, UH, AND TALKING ABOUT THE FIRST TOPIC THAT WE'RE GONNA REALLY BE LOOKING INTO.
LIKE, HEY, WHERE, WHERE, WHERE ARE THINGS KIND OF OFF AND WHERE CAN CERTAIN THINGS, EFFORTS, INITIATIVES, ADDITIONAL RESOURCES, CONTACTS, ORGANIZATIONS THAT CAN POTENTIALLY BE PLUGGED IN, UH, THOSE TYPES OF THINGS WHERE CAN WE ALSO HOPEFULLY PUT SOME PRESSURE
SO I THINK JUST HELPING US TO KNOW, RIGHT, UH, GIVES US A LOT MORE INFO AND AMMO, UH, AS WE'RE MAKING RECOMMENDATIONS.
UH, ANYBODY BEFORE WE MOVE ON, I KNOW WE'RE GETTING SHORT TO TIME.
UH, THINKING A LITTLE BIT ABOUT SCHOOL DISTRICTS SEXUAL HEALTH CURRICULUM, IF THERE IS ANY COORDINATION ACROSS? WELL, UH, WE DO HAVE, UH, WORK THAT WE DO WITHIN OUR DEPARTMENT THAT, UM, COORDINATES WITH, UM, SCHOOL AGED CHILDREN, UM, THAT, UH, TO PROVIDE, UM, SEXUAL HEALTH EDUCATION.
THERE ARE SOME BARRIERS WITH THE SCHOOL DISTRICTS, UM, AND BARRIERS WITH OUR STATE LAW THAT DOES, UH, PROHIBIT, UM, UM, EVIDENCE-BASED, UH, SEXUAL HEALTH EDUCATION.
AND WE WORK THROUGH THAT TO, UH, MAKE SURE THAT, UM, OUR, UH, YOUTH ARE INFORMED ABOUT, UM, HAVING, UH, RELATIONSHIPS AND BEING ABLE TO SELF-ADVOCATE AND PROTECT THEMSELVES.
UH, BUT THERE ARE SOME DEFINITE THINGS THAT WE HAVE TO WORK AROUND TO MAKE SURE, UM, FAMILIES HAVE THE INFORMATION THAT THEY NEED SO THAT THEY CAN MAKE GOOD DECISIONS.
UM, AND, UH, IT'S, IT'S A CHALLENGE, BUT WE DO, WE DO HAVE A WHOLE NOTHER SECTION OF OUR DEPARTMENT THAT WORKS DIRECTLY WITH, UM, UH, CHILDREN AND FAMILIES TO TRY TO MAKE SURE THAT THEY HAVE ACCESS TO APPROPRIATE INFORMATION SO THAT THEY ARE, THEY'RE ABLE TO MAKE THOSE DECISIONS.
AND SO I KNOW WE, I KNOW TIME IS SHORT, WE'RE MOVING FAST, BUT, UH, SO I APPRECIATE, THANK YOU SAEED.
AND WE DO WANT TO ACTUALLY TOUCH ON OUR IMMUNIZATIONS PIECE AS WELL.
AND I CALLED HEATHER COOKS SINCLAIR BACK UP TO GIVE AN OVERVIEW ON, UH, FLU AND COVID DATA.
IT IS THE COLD AND FLU SEASON.
AND SO WE, UH, WOULD BE REMISS IF WE DID NOT GIVE Y'ALL AN UPDATE ON THAT AS WELL.
SO HEATHER, YOU CAN HAVE THE FLOOR.
I HAD FORGOTTEN THAT I HADN'T PREPARED THESE SLIDES.
IT IS NOT A REPORTABLE CONDITION.
UM, THE CDC ESTIMATES THAT THE FLU RESULTS IN ABOUT 9 MILLION TO 41 MILLION ILLNESSES EVERY YEAR.
AND THEN, UM, ABOUT 12,000 TO 52,000.
UM, WOW, THIS KIND REALLY MESSED UP.
[01:05:03]
IT GOES, IT CAUSES 140,000 TO 710,000 HOSPITALIZATIONS AND 12,000 TO 52,000 DEATHS ANNUALLY.AND, UM, WHILE THE FLU CAN CIRCULATE YEAR ROUND, THERE IS DEFINITELY A FLU SEASON THAT IS CURRENTLY RECOGNIZED BY THE CDC.
IT'S AT THE BOTTOM OF THE SLIDE.
IT'S GONNA BE THIS YEAR, OCTOBER 1ST THROUGH MAY 18TH OF NEXT YEAR.
AND ACTUALLY, I'M GONNA GO BACK ONE, IT'S COMPRISED SINCE WE DON'T HAVE THE NUMBER OF CASES, WE USE A COUPLE DIFFERENT WAYS OF REALLY LOOKING AT AND GETTING A PICTURE OF THE FLU, THE FLU TRENDS.
SO WE HAVE OUR SEASONAL TRENDS, WHICH IS THE RED ONE, THE TYPES OF FLU THAT ARE CIRCULATING, HOW SEVERE THE FLU IS, AND THE OTHER VIRUSES THAT ARE CIRCULATING.
I'LL GO INTO EACH ONE OF THOSE.
ALL RIGHT, SO WE'LL START OFF WITH THE, WITH SEASONAL TRENDS.
OUR SEASONAL TRENDS ARE OBTAINED THROUGH, UM, A COUPLE WAYS.
WE HAVE PROVIDERS IN THE COMMUNITY, THEN A SENTINEL, SENTINEL PROVIDERS THAT ARE GONNA BE PROVIDING US WITH PEOPLE WHO ARE COMING INTO THEIR PRACTICE WITH FLU-LIKE ILLNESS.
AND THEN THERE'S ALSO THE ILI NET, WHICH GIVES US A LITTLE BIT MORE INFORMATION.
SO THIS IS THE KIND OF INFORMATION, UM, TO THE RIGHT THAT YOU'D SEE THROUGH THE DATA THAT WE GET FROM THESE PROVIDERS.
THE NEXT ONE IS GONNA BE OUR FLU TYPE.
AND THIS IS GONNA BE LAST YEAR'S FLU SEASON.
'CAUSE WE DON'T HAVE A LOT OF DATA FOR THIS SEASON YET, WHICH WE'RE LOOKING AT THE TYPES OF FLU THAT IS CIRCULATING, WHETHER IT'S A, WHETHER IT'S B.
UM, IT'S GONNA GIVE US RAPID TEST RESULTS AS WELL AS PCR, WHICH IS GONNA GIVE YOU MORE OF, UM, THE SPECIATION OF THAT PARTICULAR FLU VIRUS.
THE NEXT PIECE TO FLU TYPE, AGAIN, WITH OUR SENTINEL PROVIDERS, IT'S THEY'RE PROVIDING US SPECIMENS WHERE WE TAKE THEM TO THE STATE LAB FOR FURTHER TESTING.
THIS IS GONNA GIVE US WHAT WE'RE ACTUALLY SEEING HERE LOCALLY.
UM, IF WE IDENTIFY A NEW STRAIN, NEW STRAINS CAN BE USED FOR VACCINE FOR THE FOLLOWING FLU SEASON, WHICH WOULD BE IN THE SOUTHERN HEMI STREET HEMISPHERE.
SO SEVERITY IS ONE OF THOSE THINGS THAT WE LOOK AT THROUGH MORTALITY, HOW MANY PEOPLE ARE UNFORTUNATELY DYING OF THE FLU.
BUT WE ALSO HAVE, UM, SOMETHING CALLED SYNDROMIC SURVEILLANCE.
AND SYNDROMIC SURVEILLANCE REALLY LOOKS AT HOSPITAL EMERGENCY ROOM VISITS AND WHETHER WHAT THEY'RE COMING INTO THE EMERGENCY ROOM FOR.
WE, WE LOOK AT THE RESPIRATORY TYPE OF ILLNESSES DURING THE FLU SEASON TO KIND OF GET AN IDEA OF THE SEVERITY OF FLU.
AND THEN LASTLY, FLU ISN'T THE ONLY VIRUS THAT CIRCULATES.
IT'S DEFINITELY THE ONE THAT HAS BEEN, UM, TRADITIONALLY USED IN THIS METHOD.
BUT THEY'RE NOW STARTING TO ADD OTHER THINGS LIKE ADENOVIRUS, RHINOVIRUS, RSV, AND WHEN WE GET THE SPECIMENS TESTED AT THE STATE LAB, THEY'LL, IF IT'S SOMETHING ELSE BESIDES FLU, THEY'LL PROVIDE THE RESULTS ON THAT.
AND THEN JUST SORT OF CAN KINDA GIVE YOU A LITTLE BIT ON COVID AS WELL.
WE'RE JUST GOING OFF OF CASE REPORTS, WHICH ARE DWINDLING THESE DAYS SINCE A LOT OF PEOPLE ARE TESTING AT HOME.
WE USE WASTEWATER SURVEILLANCE ALSO AS A MECHANISM FOR US TO HAVE TRENDS FOR COVID.
WE HAVE RELATIONSHIPS WITH OUR SCHOOLS AND OUR LONG-TERM CARE, UM, PROVIDERS THAT WE'RE LOOKING FOR CLUSTERS OF ILLNESS AT THOSE PARTICULAR VENUES.
UM, WE STILL GET SPECIMENS, SUBTYPING IF THE SPECIMENS ARE SUBMITTED TO THE STATE LAB.
WE LOOK AT HOSPITAL ADMISSION LEVELS AGAINST SYNDROMIC SURVEILLANCE IS A GOOD, GOOD, GOOD USE OF THAT.
AND THEN AGAIN, MORTALITY SURVEILLANCE.
I'LL MOVE IT OVER TO NELDA OKAY.
AGAIN, NELDA GARCIA, RN SUPERVISOR AUSTIN PUBLIC HEALTH IMMUNIZATIONS MOBILE VACCINATION PROGRAM.
WE'RE NOT BRICK AND MORTAR, WE ARE OUT IN THE COMMUNITY.
SO POST PUBLIC HEALTH EMERGENCY, WHAT WE'VE HAD TO DO IS RETURN EVERYBODY BACK TO THEIR COVID-19, WHOEVER THEIR PROVIDERS WERE PRIOR.
WE DIDN'T HAVE TO DO THAT ANYMORE.
UM, WE FOCUSED ON THE CDC RECOMMENDATION VACCINES, AND THOSE ARE LISTED THERE.
UNINSURED CHILDREN AND ADULTS, UNDERINSURED, MEDICAID, NATIVE AMERICANS, AND PEOPLE OF NATIVE ALASKAN HERITAGE.
ALL OTHERS WERE RECOMMENDED TO GO TO THEIR PC, PRIMARY CARE PROVIDERS AND PHARMACIES.
AND WE ALSO LISTED, UM, UH, WEBSITES WHERE THEY COULD GO A LITTLE BREAKDOWN OF THE FLU.
USED TO BE EGG ALLERGIES WAS A HUGE QUESTION WE WOULD ASK AS PROVIDERS TO OUR PATIENTS.
UM, OF COURSE WE HAVE EPINEPHRINE PENS READY TO GO IF ANYTHING HAPPENS, BUT WE ARE READY FOR THAT.
[01:10:01]
LAST YEAR WE GAVE 6,120 DOSES ORDERED.WE GAVE, UH, 1,520 HIGH DOSE VACCINES.
THESE ARE FOR 65 AND OVER POPULATION.
A LOT OF PEOPLE DON'T REALIZE THAT THERE IS A SPECIAL VACCINE, WHICH IS FOUR TIMES MORE POTENT THAN THE ONE WE WOULD TAKE.
WELL, I'M SHY JUST A FEW YEARS OF THAT NOW,
BUT, UH, I RAN TO GET MY RSV VACCINE, BY THE WAY.
UM, BUT, UH, IT'S MUCH MORE POTENT BECAUSE OUR IMMUNE SYSTEM BEGINS TO FAIL US A LITTLE BIT AS WE GET OLDER.
SO 65 AND OVER, THEY DO HAVE A NECESSARY VACCINE.
UM, AND THE NEED WILL INCREASE AS OUR ELDERLY POPULATION INCREASES AS WELL.
UM, WE WENT TO 500, WE GAVE 500 DIFFERENT DOSE DOSES OF THE FLU TO TRAVIS COUNTY CORRECTIONAL COMPLEX.
UM, WE ALSO HAD 200 TO AUSTIN VIETNAMESE AMERICAN MEDICAL PROFESSIONAL SOCIETY, WHICH WE DO THIS YEARLY, COVID-19.
THIS CDC GUIDELINES, SIX MONTHS PLUS.
WE GAVE MODERNA AND PFIZER, WE DID AVAILABLE VA VIA VACCINES FOR CHILDREN AND BRIDGE ACCESS PROGRAMS, WHICH ARE PROVIDED TO US FROM THE STATE.
AND THESE WILL BE UP UNTIL DECEMBER OF 2024 THAT WE WILL BE ABLE TO PROVIDE THESE VACCINES TO OUR COMMUNITY.
UM, AND AS WELL, BOTH, BOTH OF THESE VACCINES, THE FLU COVID VACCINES ARE AVAILABLE AT BIG SHOTS.
UM, UM, SHOTS FOR TOTS AND BIG SHOTS, WHICH ARE, ARE TWO BRICK AND MORTAR BUILDINGS.
AND AS WELL AS IN OUR, OUR CLINICS AS WELL THAT WE ARE AT.
THERE WAS INCREASED ACTIVITY IN TEXAS AND ACROSS THE WHOLE NATION.
AND AS YOU'VE PROBABLY READ, CALIFORNIA IS COMING BACK UP AGAIN.
I DON'T KNOW WHY Y'ALL CAN'T SEE IT.
UM, WE'VE SEEN AN INCREASE, LIKE I SAID, AND IN CALIFORNIA AS WELL.
AS OF LATE, FOUR NEW CASES IN THE LAST FEW WEEKS.
HOWEVER, NONE OF THESE PATIENTS WERE VACCINATED AGAINST THE OX.
UM, WE DO OFFER THE OX VACCINE, WHICH IS THE GENOS VACCINE AT BOTH OUR SHOTS FOR TOTS, BIG SHOTS, CLINICS, AND THE MOBILE VACCINATION PROGRAM, THERE'S A TWO DOSE SERIES RECOMMENDED FOR THOSE THAT INCREASED RISK.
UM, THE TWO DOSE SERIES IS ONE DOSE, AND THEN YOU WAIT FOUR WEEKS, NOT A MONTH, FOUR WEEKS.
IT'S VERY DIFFERENT WHEN YOU SAY A MONTH AND FOUR WEEKS.
SO, UM, AND THEN THEY COME BACK AND GET THEIR SECOND DOSE AND WE, WE CAN DO THOSE AT DIFFERENT SITES THAT WE NEED TO DO, UM, ON THE BODY ADVANCING FORWARD.
WE RECRUIT AND ADVERTISE PARTICIPATING VACCINES FOR CHILDREN AND ADULT SAFETY NET PROGRAM PROVIDERS.
RIGHT NOW WE PROVIDE OVER 70 PROVIDERS WITHIN TRAVIS COUNTY.
WE PROVIDE, PROVIDE THE VACCINES THROUGH THE STATE, UM, AND WE HELP MAINTAIN THAT MAINTAINING READINESS FOR FUTURE RESPONSES.
SO WE'RE ALWAYS ON THE READY, READY TO GO.
UM, WE WERE IN THE MIDDLE OF COVID AND WE'RE REACHING THE END OF COVID MORE OR LESS, AND IMPACTS HIT AND WE WERE CALLED TO GO DO THAT.
AND WE JUST STOPPED, BUT WE PICKED UP.
UM, WHICH IS THERE TO SERVE OUR COMMUNITY.
ANY QUESTIONS? ANY REASON FOR THE CLUSTER IN THE MIDDLE AS FAR? I'M NOT SURE.
WHAT DO YOU MEAN AS FAR AS THE NUMBER OF, UH, PROVIDERS? MM-HMM.
SO THESE ARE NOT, UM, THIS MAP REPRESENTS OUR, UM, VACCINE FOR CHILDREN PROVIDERS.
THEY'RE NOT AUSTIN PUBLIC HEALTH PROVIDERS.
THESE ARE PROVIDERS ACROSS THE COMMUNITY THAT HAVE DETERMINED THAT THEY OPTED INTO BEING A VACCINE FOR CHILDREN PROVIDERS.
SO MANY OF THEM ARE, UM, COMMUNITY CARE PROVIDERS.
SOME OF THEM ARE, YOU KNOW, A RC PROVIDER.
THEY COULD BE, YOU KNOW, THERE'S A WHOLE LOT OF DIFFERENT PROVIDERS THAT PARTICIPATE IN THE VACCINE FOR CHILDREN.
WE, AS A HEALTH DEPARTMENT THOUGH, HAVE A RESPONSIBILITY TO PROVIDE SUPPORT TO THEM.
UM, AND SO, UH, WE DO HAVE A ROLE AND IT HELPS US TO MAKE SURE AND KEEP TABS ON WHERE ARE THEIR, UM, PROVIDERS IN THE COMMUNITY THAT SUPPORT THE VACCINE FOR CHILDREN PROGRAM.
SO IT HELPS US INCLUDE AND ENHANCES OUR TWO CLINICS
SO INTERESTING THE OPT-IN, AND I'D BE JUST INTERESTED IN THE, THE METHOD OF COMMUNICATION TO INDIVIDUALS OF HOW THEY'RE BEING INFORMED ABOUT THIS OPT-IN PROCESS.
'CAUSE I MEAN, YOU GOT, YOU GOT A BIG GAP THERE ON THE LEFT.
BIG GAP WHERE TWO AND MAYNARD DOWN ALL THE WAY DOWN TO THE BOTTOM.
AND SOME OF THOSE, I MEAN, IT ALSO IS REALLY REPRESENTATIVE.
IF YOU LOOK AT WHERE OUR CLINICS ACROSS THE, THE CITY AND COUNTY, UH, WHERE DO CLINICS, UH, WHERE ARE THEY? UM, SO IT'S, IT'S, UH, IT, UH, DOES, UH, THERE ARE SOME GAPS IN WHERE WE SEE, UM, UH, GAPS IN ACCESS IN GENERAL.
[01:15:01]
YOU'LL FIND THAT AS WELL WITH OTHER PROGRAMS. BUT, UM, ANY FINAL REMARKS? THAT'S A QUICK QUESTION.I THINK WE HEARD PREVIOUSLY THAT THE WASTEWATER SURVEILLANCE WAS GONNA BE DISCONTINUED, SO I JUST WANTED TO CONFIRM IF THAT'S IT.
IT'S BEEN, THE CONTRACTOR'S BEEN CHANGED.
THEY'RE STILL REPORTING IT ONLINE, SO WE STILL HAVE IT FOR HOPEFULLY THE FORESEEABLE FUTURE IS A GUIDE TO WHAT'S HAPPENING IN THE COMMUNITY.
ALRIGHT, WELL I APPRECIATE YOUR REMARKS AND YOUR INTEREST OF WANNA COME AND PRESENT TO THE COMMISSION AS WELL.
ALRIGHT, MOVING ON TO DISCUSSION
[4. Discuss and approve a revised list of requirements for potential alternative site meeting.]
AND ACTION ITEMS. UH, DISCUSS AND APPROVE THE REVISED LIST OF REQUIREMENTS FOR POTENTIAL ALTERNATIVE SITE MEETINGS.UH, IF YOU'LL LOOK, THE VERBIAGE WAS CHANGED ON THE SECOND GROUP OF, UM, LIST, WHICH BASICALLY SAYS THIS SECOND LIST IS MORE FOR COMMUNITY ENGAGEMENT MEETINGS THAT ARE NON-OFFICIAL MEETINGS, UH, TO PROVIDE EQUITABLE CONSIDERATIONS.
UM, DO I HAVE A MOTION ON THE FLOOR? OBJECTION.
IT'S BEEN SO MOVED, BUT VICE CHAIR.
Y'ALL DON'T HAVE IT? I DON'T KNOW.
ANY QUESTIONS TO THE MOTION? LEMME GIVE YOU A SECOND TO READ IT.
I'M JUST TRYING TO FOLLOW, THE TOP PART WAS FOR OFFICIAL MEETINGS THAT WE WERE DO OFFSITE AND THE BOTTOM PART IS FOR NON-OFFICIAL MEETINGS IF WE WERE TO DO IT OFFSITE.
ALL THOSE IN FAVOR? RAISE YOUR HAND.
WAIT, CAN I INTERRUPT FOR A SECOND? GO, GO AHEAD.
UM, DIRECTOR STIR, WANTED TO MAKE A COMMENT.
IT WAS ON THE PRESENTATION THAT THE TEAM JUST DID.
I CAN WAIT TILL AFTER YOU FINISH THE VOTE AND COME BACK TO THAT IF YOU'D LIKE.
ALL THOSE IN FAVOR? RAISE YOUR HAND.
ALRIGHT, BACK TO, UH, FOLLOW-UP COMMENTS FOR THE PRESENTATION.
YES, DIRECTOR STIRRUP, I JUST WANTED TO POINT OUT, UM, THAT YOU MADE TWO VERY ASTUTE OBSERVATIONS THAT I WANTED JUST FOR US TO FOCUS ON FOR A MOMENT.
THE FIRST IS WHEN A PUBLIC HEALTH DEPARTMENT HAS AN OVER-RELIANCE ON GRANT FUNDING, THERE'S LIMITED FLEXIBILITY TO RESPOND TO NEEDS ON THE GROUND.
AND SO THAT'S SOMETHING FOR THE COMMISSION TO CONSIDER ABOUT HOW THEY WANNA RESPOND TO.
IF, IF THERE WERE MORE LOCAL DOLLARS PUT TOWARDS OUR STI EFFORTS, WE COULD HAVE THAT FOCUSED APPROACH THAT YOU'RE TALKING ABOUT.
THE SECOND THING THAT I THINK WAS POINTED OUT, UM, WHEN WE TALKED ABOUT SCHOOLS AND HOW WE'RE ABLE TO INTERFACE THERE, AND CASSIE WAS, WAS VERY GENEROUS AND KIND WITH HER COMMENTS, IT'S IMPOSSIBLE TO PREPARE CHILDREN IN AN ABSTINENCE ONLY ENVIRONMENT.
AND SO THERE'S OPPORTUNITIES TO, FOR THE COMMISSION TO SEEK, TO INFORM, UH, UM, POLICY MAKERS AT ON SCHOOL BOARDS AND EVEN PARENTS AS TO HOW OUR UNIN, THE UNINTENTIONAL IMPACTS OF POLICIES THAT ARE FOCUSED MORE ON MORALITY
AND SO I JUST WANTED TO LIKE REALLY FOCUS IN ON THOSE TWO KEY KEY THINGS THAT YOU SAID, BECAUSE WE AGREE WITH YOU, BUT IF WE DON'T HAVE LOCAL DOLLARS AND WE DON'T HAVE LOCAL WILL, THOSE ARE TWO AREAS THAT WE WON'T BE ABLE TO IMPACT EFFECTIVELY.
AND, AND I THINK IF WE CAN HAVE THAT DOCUMENTED, ESPECIALLY AS WE GO INTO, UM, OUR, OUR NEXT MEETING AND FOCUSING ON THE ASSET MAP, IT LOOKS LIKE THAT'S THE NUMBER ONE PRIORITY THAT EVERYBODY, UH, HIGHLIGHTED.
WE CAN KEEP THAT TOP OF MIND, UH, AS WE'RE HAVING THOSE DISCUSSIONS.
YOU HAD SOMETHING THAT YOU WANTED TO SAY AS WELL.
[5. Discuss and approve the Commission's priority list of topics for future meetings.]
ON TO, UH, DISCUSSION AND APPROVE THE COMMISSION'S PRIORITY LIST OF TOPICS FOR FUTURE MEETINGS.UM, AS YOU CAN SEE HERE, THERE WAS AN EMAIL THAT WENT OUT, UH, AND, AND AS YOU KNOW, MOST OF THESE TOPICS WERE STILL PRESENTATION ORIENTED.
UH, SO WE CAME UP WITH A COMPARATIVE, OKAY, WHAT'S THE ACTION ITEM, UH, BASED OFF OF FUTURE PRESENTATIONS THAT CAN NOW BE TURNED AND SWITCHED TO.
ALL RIGHT, WE NOW NEED TO START REALLY LOOKING, EVALUATING AND COMING UP WITH RECOMMENDATIONS TO START ENHANCING, UH, BASED UPON THE MISSION AND THE SCOPE OF THIS COMMISSION.
[01:20:01]
UH, THE RACKING STACK, EACH ONE OF YOU ALL GAVE YOUR OWN INDIVIDUAL, THIS IS MY PRIORITY.IT WAS ALL ADDED TOGETHER, UH, DIVIDED AMONGST THE ONES THAT PROVIDED.
AND THEN THIS IS THE ORDER OF HOW IT CAME OUT.
UM, AND YOU CAN SEE THE PRIORITY HERE.
SO BASED OFF OF THIS, IF APPROVED, WE'D BE GOING INTO NEXT MONTH, HOPEFULLY HAVING THE, UH, COMMUNITY HEALTH ASSESSMENT, UH, FOR A PRESENTATION.
AND THEN REALLY DELVING INTO, ALL RIGHT, WHAT DOES THE ASSESSMENT MAP REALLY LOOK LIKE? HOW ARE WE THEN INCLUDING AGAIN, OUR COMPONENTS OF HOLISTIC UNDERSTANDING THAT MAY NOT TRULY BE CAPTURED IN CERTAIN ASPECTS, ASPECTS OF INFORMATION THAT MAY NOT HAVE BEEN INCORPORATED, AND HOW CAN WE POTENTIALLY GET THAT INFORMATION AND REALLY, UH, START DELVING DOWN INTO WHAT DOES THE, THE REAL OUTLAY LOOK LIKE? AND THEN WHERE CAN WE KIND OF PLUG AND PLAY IN CRITICAL PIECES? UM, ANY, YEAH, LEMME NOT GET OFF TRACK.
ANY QUESTIONS FOR THE MOTION? QUESTION? QUESTION? IT LOOKS LIKE THESE ARE RANKED LAST TO FIRST ON THE RIGHT HAND SIDE IN TERMS OF AVERAGE OR IT LIKE GOLF.
SO DEFER OVER TO THE TEAM HERE.
SO, UM, I ASK YOU GUYS TO RANK, UH, ONE BEING THE HIGHEST, 11 BEING THE LOWEST.
SO THE AVERAGE, UM, ONE WITH THE AVERAGE OF 3.42 AND ALL THOSE NUMBERS, THAT IS THE HIGHEST PRIORITY.
SO MOST PEOPLE PUT IT AT LEAST IN THEIR TOP THREE IT SOUNDS LIKE.
UM, WE MENTIONED TALKING ABOUT BREAKING OUT INTO COMMITTEES AND MM-HMM.
IS THAT NOT A TOPIC PRIORITY OR IS THAT SOMETHING SEPARATE? MY THOUGHT PROCESS AND DEFINITELY OPEN RIGHT, IS BEFORE WE BREAK INTO COMMITTEES, MAKING SURE WE KNOW WHAT COMMITTEES WE NEED TO BREAK INTO AND WHERE THERE MAY BE ENOUGH INTEREST AMONGST EVERYBODY TO WHERE THERE WOULD BE SOME TRACTION.
YOU'RE NOT JUST ADDING ANOTHER MEETING ON AND IT DOESN'T REALLY HAVE ANYTHING TO WORK ON, OR YOU'RE KIND OF JUST TOLD TO BE IN IT SO YOU'RE NOT REALLY ACTIVE IN IT.
THAT'S, THAT WOULD BE MY KIND OF THOUGHT PROCESS ON THERE.
ANY DISAGREEMENT? I WAS JUST CURIOUS LIKE, MM-HMM.
AND IF IT IS, THEN WHO WOULD PROBABLY BE ON IT FOR THAT PARTICULAR TOPIC? SO THAT WAY IT'S TOP OF MIND AND IT'S MORE INCORPORATING ONE WHEN WE NEED TO VERSUS STARTING IT TOO EARLY OR STARTING IT TOO LATE.
ANY, ANY DISAGREEMENTS ON, ON THAT? OKAY.
I WAS JUST WONDERING OUT LOUD HERE, JUST AS COMMISSIONER POINTEX WAS ASKING, SO THIS IS THE, THE, THE RANKED PRIORITY.
SO WE WOULD, IT IS THE IDEA THAT WE WOULD HAVE EACH OF THESE IN SEQUENCE AND THEN AFTER YOU JUST SAID IT WOULD CONSIDER SUBGROUPS.
BUT, UM, I WONDERED, DO YOU THINK THE EXERCISES TO GO THROUGH ALL 10 OR WE MIGHT SAY LET'S GO THROUGH THE FIRST FIVE AND THEN MAYBE BY THEN YOU'D HAVE TWO OR THREE SUBCOMMITTEES AND THEN BY THEN THE SUBCOMMITTEE MIGHT WANNA COME BACK AND SAY, WELL, WE'VE MADE SOME PROGRESS AND WE'D LIKE TO COME TALK ABOUT, YOU KNOW, THESE THINGS.
SO YOU'D HAVE SORT OF, YOU KNOW, A SEQUENCING THAT WOULD MAKE SENSE RATHER THAN HAVING 10 TOPICS.
I DON'T KNOW, MAYBE WE SHOULD HAVE 10 TOPICS, BUT IT JUST SEEMS LIKE THAT WOULD BE, ANYWAY.
OR MAYBE WE SHOULD HAVE 10 TOPICS, BUT EACH, YOU KNOW, KNOW THAT SOME OF THE SUBCOMMITTEES, NOBODY BE FORMED.
AND THEN YOU'RE GONNA HAVE TWO SUBCOMMITTEES IN FEBRUARY THAT WANNA COME BACK AND TALK ABOUT WHAT THEY'VE BEEN WORKING ON OR MARCH, ET CETERA.
NO, NO, I, I RECOMMEND THIS BE A LIVING DOCUMENT.
AND AGAIN, THIS AT LEAST GIVES US A CONSENSUS SO NO ONE PERSON IS TAKING A PRIORITY OR LEADING WITHOUT THE REST OF THE COLLECTIVE BEING ON BOARD.
AND SO WE AT LEAST KNOW WE HAVE ONE TOPIC TO START WITH.
THEN AGAIN, UH, WE, WE STILL HAVE THE AGENDA ITEM OF ADDING FUTURE ITEMS THAT WE'RE GONNA BE, YOU KNOW, ALWAYS ASKING AT THE END OF EVERY MEETING.
AND SO THEN WE CAN ALWAYS COME BACK AND SAY, THIS NEW ITEM ACTUALLY NEEDS TO GET BUMPED UP THROUGH A CONSENSUS.
RIGHT? UH, OR, YOU KNOW, WHAT MENTAL HEALTH.
AND THEN NUMBER FOUR IS MENTAL HEALTH.
CAN THOSE BOTH POTENTIALLY BE LUMPED TOGETHER? RIGHT? SO I, I THINK
[01:25:01]
THIS IS MORE OF A LIVE DOCUMENT THAT WE KIND OF DISCUSS AT THE END OF OUR AGENDA WHEN IT COMES DOWN TO, ALL RIGHT, ARE WE FAR ENOUGH ALONG ON NUMBER ONE TO REALLY START CONSIDERING ANOTHER TOPIC TO TAKE ON? RIGHT? AND IF SO, ARE WE STILL GOOD WITH THE NEXT ONE UP IN THE SHOOT OR DO WE NEED TO REALIGN WITH SOMETHING ELSE BECAUSE WE GOT NEW INFORMATION, RIGHT? CHANGES HAVE OCCURRED, UH, DIFFERENT TYPE OF A SEASON.SO I WOULD RATHER RECOMMEND THIS BE A LIVE DOCUMENT.
ANY OPPOSITION TO THAT? NO, GO AHEAD.
I I WAS JUST THINKING OUT LOUD, SORT OF THE NEXT SORT OF OTHER THING I WANTED TO MENTION THAT WAS TO SAY IS THAT, YOU KNOW, ONE OF THE GOOD THINGS ABOUT THE COMMUNITY HEALTH ASSESSMENT CONVERSATION IS THAT WE'VE NOW GOT A DOCUMENT WE CAN DO A STUDY BETWEEN NOW AND THE NEXT MEETING.
'CAUSE THAT'S A DOCUMENT THAT'S MM-HMM.
I WONDERED IF ANY OF THESE OTHER THINGS ARE, YOU KNOW, UM, CONS HAVE SIMILAR KINDS OF THINGS AND THEN MAYBE THE ANSWER IS NO.
BUT YOU KNOW, YOU'VE HEARD ME ASK OTHER QUESTIONS BEFORE, I'M LOOKING FOR MORE OPPORTUNITY TO STUDY BEFOREHAND A LITTLE BIT.
SO, SO THAT WE CAN, ANYWAY, THAT'S HOW I LEARN BETTER SO THEN I CAN LISTEN TO A PRESENTATION AND IT MAKES MORE SENSE.
AND, UM, ANYWAY, SO I JUST WANTED TO MAKE THE POINT THAT THE COMMUNITY HEALTH ASSESSMENTS A VERY GOOD, IT'S GONNA LEND ITSELF TO THAT.
I WONDERED IF ANYTHING ELSE HAS ANYTHING LIKE THAT SIMILARLY AND IF THAT'S A VALUE THAT WE'D ALL BE CONCERNED ABOUT.
INTERESTINGLY ENOUGH, UH, NOW THAT YOU'RE MENTIONING THAT THE COMMUNITY HEALTH ASSESSMENT'S PROBABLY GONNA HAVE A LOT OF INFORMATION THAT'S SPEAKS TO ITEMS ON THE LIST.
SO THAT, THAT'LL BE A REALLY GOOD START.
AND I WAS GONNA ADD THAT TOO, THAT IT'S A DAUNTING DOCUMENT.
SO I, MY RECOMMENDATION, ESPECIALLY SOME OF THESE OTHER ONES DON'T HAVE THICK NOT TO START TAKING ON ANOTHER TOPIC WHEN WE STILL HAVEN'T REMOVED ENOUGH FROM THE CURRENT ONE TO HAVE TRACTION.
BUT AGAIN, IT'S, I THINK IT SHOULD BE LIVING MOVEMENT AND WE CAN MAKE THAT DECISION AS A GROUP.
UM, SO ANY ADDITIONAL QUESTIONS TO THE MOTION THERE BEING NONE? ALL THOSE IN FAVOR? RAISE YOUR HAND.
NONE, NONE OPPOSING MOTION PASSES AND WITH THAT BEING, WE ARE CONFIRMED NEXT MEETING FOR THE COMMUNITY HEALTH ASSESSMENT.
UM, AND I THINK FROM THERE, HAVING DISCUSSION OF WHAT, UH, PRIORITIES WE WANT TO KIND OF LEAN IN ON BASED OFF OF THAT PRESENTATION AND REVIEW OF THAT STUFF.
SO KIND OF LEAVING NEXT MEETING MORE OPEN FOR US TO BRAINSTORM FROM THE PRESENTATION IN OUR OWN REVIEW OF THE INFORMATION THAN CREATING RIGHT NOW.
AND IN THE INTERIM, ANY DISCUSSIONS AND ACTION ITEMS. I THINK WE'RE NOW GETTING INTO ACTUAL PLANNING.
[FUTURE AGENDA ITEMS]
UH, ANY FUTURE AGENDA ITEMS DESIRED TO BE ON THE LIST? IF NOT, UM, OH, SORRY.IS THERE ANOTHER ONE ON HERE? YES, THERE WAS.
YOU HAVE IN HERE, UH, THE THIRD PAGE IS THE BREAKDOWN FOR ONE PURPOSE AND SCOPE OF THE COMMISSION.
TWO ADDING AGENDA ITEMS. UH, AND SO HOPEFULLY THIS GIVES YOU WHAT WE HAD AGREED UPON PREVIOUSLY ABOUT ADDING AGENDA ITEMS. SO IF THERE'S AN ADDITIONAL ITEM YOU WANT TO ADD POST THIS MEETING, UH, THIS IS THE LAYOUT THAT WE'LL START USING.
AND DO I HAVE A MOTION TO NO, I WON'T.
I WONDERED IF THE TEAM CAN SEND US THE LINK TO THE, TO THE, UM, UM, COMMUNITY HEALTH ASSESSMENT.
I KNOW IT'S ON THE WEBSITE AT AUSTIN PUBLIC HEALTH AND I'M SURE WE COULD FIND THEM IN JUST A MINUTE OR TWO, BUT IT MIGHT BE JUST A NICE LUXURY JUST IF SOMEBODY COULD SEND THAT TO US.
THAT WAY WE DON'T HAVE TO HUNT, BUT WE'LL HAVE IT IMMEDIATELY THERE.
I APOLOGIZE IF THAT'S THE POINT OF ORDER OR NOT.
CAN, CAN WE HAVE THAT SENT OUT TO THE TEAM ON CENTRAL HEALTH? WE CAN SEND OUT THE REPORT AS SOON AS TOMORROW.
YES,
I KNOW IT'S NOT A TX AND OUR NOVEMBER 1ST MEETING IS LI LISTED AS THE PUBLIC HEALTH COMMITTEE MEETING AND NOT THE COMMISSION MEETING.
UM, SO I KNOW I WENT TO GO WATCH THE COMMITTEE MEETING AND IT WASN'T OURS.
SO I DON'T KNOW WHO FIXES THAT OR WHO CORRECTS THAT, BUT I ALREADY LET THE COMMISSIONER, I MEAN THE BOARD OF COMMISSION, UH, PEOPLE KNOW, UM, I HAVE NOT HEARD BACK FROM THEM.
UM, SO I WILL FOLLOW UP WITH THEM AGAIN.
NO, UM,
I CALL THIS MEETING ADJOURNED AT 4:03 PM THANK YOU.