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[00:00:03]

YEAH, WE READY TO DO THAT.

HE IS A LIKE TEETH 2020.

IT IS A BATTLE FOR, WE ARE DOING THIS CITY COUNCIL WORK SESSION.

UM, REMOTELY.

I KIND OF WANT YOU TO GO NEED TO MUTE YOUR PHONE.

UM, MR. BURTON, COULD YOU PLEASE MEET? THANK YOU.

IS A COUNCIL MEMBER HYPER MADISON HERE IN NATASHA.

I'M HERE.

OKAY.

THANK YOU.

UH, PRO TIME GARZA.

I'M HERE, UH, PO YOU MAY BE MUTED.

OKAY.

I'M HERE.

THAT'S WHERE OUR KITCHEN.

I'M HERE.

THANK YOU.

JIMMY FLANNIGAN.

MOSTLY PAROLE.

THAT'S WHY HE'S NOT WITH US YET.

OKAY.

WHAT ABOUT COUNSELOR MEMBER LS? ALL RIGHT.

UM, UH, AND THEN, UH, THAT'S WHEN THE AUTHOR ALISON YOU HERE OR WE HAVE EVERYBODY BUT COUNCIL MEMBER POOL.

THAT'S A QUORUM.

UH, WE'RE, WE HAVE A PRETTY BUSY DAY TODAY, LADIES LEGS AS YOU KNOW, A LOT OF IT IN WORK SESSION.

UH, I THINK THERE ARE A FEW ITEMS THAT HAVE BEEN PULLED.

HEY, WE'RE GOING TO DO IS WE'RE GOING TO START WITH A CODED BRIEFING TODAY.

WE HAVE SEVERAL PEOPLE WITH US THAT HAVE TO GO TO THE COUNTY.

UH, SO WE HAVE, UH, PROBABLY, UH, UP UNTIL 10 30, BUT NO LONGER THAN THAT TO GET THROUGH THE BRIEFING OR TODAY I HAVE TO, THE KOBE BRIEFING WILL THEN GO TO PRESENTATION WITH, UH, THE MANAGER AND ADD ON, UH, THE BUDGET, UH, ISSUES, FUNDING ISSUES.

UH, I ALSO WANT US TO TALK ABOUT, UH, SETTING A SPECIAL CALLED MEETING FOR NEXT WEEK.

IF PEOPLE ARE AVAILABLE TO BE ABLE TO GO THROUGH THAT CLOSED BUDGET ISSUES MORE IN DETAIL SINCE WE'VE JUST GOT THE INFORMATION TODAY, IT'S HARD TO REACT TO IT THAT QUICKLY.

UH, WE NEED MORE INVOLVED CONVERSATIONS, SO I WANT TO DISCUSS AND FLOAT THE IDEA OF HAVING SOME TIME NEXT WEEK WHEN WE CAN RECONVENE.

UM, BUT WE'LL DO THAT.

MY HOPE IS, IS THAT WE CAN TAKE THAT THROUGH LUNCH.

UH, WE'LL BREAK FOR LUNCH IN THAT NOON TO ONE HOUR, UM, UH, PERIOD OF TIME.

UH, AFTER LUNCH WHEN WE COME BACK, WE'LL HAVE A PRESENTATION ON THE ECHO POINT IN TIME COUNT, UH, RIGHT AFTER LUNCH.

UH, THAT WILL THEN GIVE US AN A RIGHT AFTER THE, THE POINT IN TIME COUNT.

THEN WE'LL DISCUSS.

UM, THE, UM, UH, BRACKENRIDGE UT, UH, NEGOTIATIONS.

UM, AND THEN THE, UH, THREE POOLED ITEMS IN EXECUTIVE SESSION.

WE'RE GOING TO DISCUSS BRACKENRIDGE.

UH, THE OTHER ITEMS WILL BE DISCUSSED IN EXECUTIVE SESSION ON THURSDAY, NOT TODAY.

THE ONLY ONE THAT WILL HEAR IT WILL BE THE BRACKENRIDGE.

UH, BUT GENERALLY SPEAKING, I THINK THAT'S HOW WE WORK AND WE WANT TO TRY AND GET THROUGH THESE FIRST TWO PRESENTATIONS IN THE MORNING.

SO THE FIRST ONE HOPING TO GIVE US, UH, WE'LL BE DONE BY 10 30, HOPEFULLY MANAGER OUR MIND TO TURN IT OVER TO YOU TO HAVE THE, UH, THE

[Item B1]

GENERAL, UH, REPORT ON KOBE DAY TEAM, UH, WITH SPECIAL EMPHASIS TODAY ON THE, UH, SPANIC COMMUNITY.

WE ALSO HAVE IN ADDITION TO OUR STAFF, I THINK THAT, UH, CENTRAL HEALTH AND COMMUNITY CARE HERE ARE ALSO HERE TO SPEAK TO US.

MAYOR, THIS IS LESLIE.

YES.

LET'S SEE.

OH, WELL JUST WANTED TO MAKE, YEAH, WELL YEAH, I'VE BEEN ON, IT'S JUST THAT YOU HAVEN'T BEEN ABLE TO SEE ME, SIR.

I THINK WE'VE GOT IT.

THANKS.

COOL.

I CAN SEE YOU NOW.

I HEAR YOU.

ALL RIGHT.

UH, ANYBODY WANT TO SAY ANYTHING BEFORE WE GET STARTED AND A DIRECTOR WOULD OVER TO YOU.

THANK YOU MAYOR COUNCIL AND COMMUNITY MEMBERS AND FEMALE.

WE'RE GOING THROUGH AN UNPRECEDENTED TIME FOR OUR COMMUNITY AND WE HAVE SEEN INCREDIBLE PARTNERSHIPS.

AS WE ALL TACKLE THIS PANDEMIC TOGETHER A TABLE, WE'RE GOING TO BE GIVING AN OVERVIEW FROM OUR HEALTH DEPARTMENT AND OUR GREAT PARTNER AND CENTRAL HEALTH AND COMMUNITY CARE.

UH, SO I'M NOT

[00:05:01]

GONNA DELAY ANY LONGER AND KICK THIS OVER TO A DIRECTOR, STEPHANIE HAYDEN, UH, TO TEE THIS DISCUSSION UP.

DR. HAYDEN.

GOOD MORNING.

UM, THANK YOU FOR THE OPPORTUNITY TO BE HERE THIS MORNING.

UM, WE'RE JUST, I'M JUST GONNA GIVE JUST SOME HIGH LEVEL OVERVIEW SINCE WE HAVE, UM, A REALLY TIGHT AGENDA TODAY.

UM, OUR STAFF HAVE CONTINUING OR CONTINUING TO PROVIDE, UM, ASSISTANCE AT THE DEPARTMENT OPERATIONS CENTER ARE UM, EPIDEMIOLOGY AND SURVEILLANCE.

UM, FOLKS ARE, UH, WORKING ON OUR CASE INVESTIGATIONS AS WELL AS OUR CONTACT TRACY.

UM, WE HAVE 32 STAFF THAT ARE ASSIGNED, UM, TO WORK ON CASE INVESTIGATION AND CONTACT.

TRACY WILL BE ONBOARDING AN ADDITIONAL 12.

UM, THIS WEEK.

WE ARE ALSO, UM, HAVING CONVERSATIONS, HAD A MEETING WITH OUR, UM, HUMAN RESOURCES DIRECTOR, UM, TO TALK ABOUT, UM, THE POTENTIAL OF OTHER CURRENTLY EMPLOYED CITY OF AUSTIN STAFF THAT CAN TRANSITION OVER AND TO ASSIST US WITH CONTACT TRACING AS WELL.

UM, WE'VE HAD A MEETING WITH, UM, CENTRAL HEALTH AND COMMUNITY CARE AND COMMUNITY CARE IS GOING TO, UM, BASED UPON THE, UM, THEY, AS THEY INCREASED THEIR NUMBER OF TESTING OPPORTUNITIES THAT THEY'RE GOING TO BE PROVIDING THE PUBLIC.

THEY ARE GOING TO START TO DO ADDITIONAL UH, CASE INVESTIGATION AND CONTACT TRACING TO COVER, UM, ALL OF THEIR CLIENTS THAT THEY'RE WORKING WITH.

SO THEY WILL BE PARTNERING WITH COMMUNITY CARE AS WELL AS, UM, A COUPLE OF, UM, NONPROFIT COMMUNITY PARTNERS TO BE ABLE TO ASSIST THEM.

AND SO WE'LL, WE'LL KIND OF SPLIT THAT PROCESS UP BETWEEN CASE INVESTIGATIONS AND THEN THE COMMUNITY PARTNERS WILL BE ABLE TO DO THE ADDITIONAL CONTACT TRACING.

UM, THE OTHER THING THAT I WANT TO HIGHLIGHT IS, IS THROUGH THE INCIDENT COMMAND, UM, OPERATIONS.

THE NURSING HOME, UM, AREA HAS BEEN SET UP AND, AND THEY ARE, UM, I WILL BE COMING FORWARD WITH A MEMO ON THE 21ST MEMO.

WE'LL PROVIDE YOU A RESPONSE TO THE RESOLUTION, UH, THE NURSING HOME RESOLUTION.

UM, SO WITHIN A RESPONSE WE'VE DEVELOPED A PLAN TO UM, ENSURE THAT TESTS ALL OF THE STAFF AS WELL AS THE, UH, RESIDENTS OF THE 32 NURSING HOMES IN THE 75 ASSISTED LIVING FACILITIES.

UM, AT THIS TIME, UM, AS, AS YOU ALL WILL SEE IN DR. SCOTT WILL SHOW YOU IN HIS SLIDES.

UM, WE HAVE A LIST OF A THROUGH M AND WITH THE A THROUGH M.

UM, WE HAVE COMPLETED 11 OF THOSE, UM, SITES AS WELL AS WE HAVE ONE ADDITIONAL ONE THAT WILL BE, UM, ADDRESSED ON TOMORROW, MAY THE 20TH.

AND SO WE WILL COMPLETE THAT INITIAL A THROUGH M.

NOW ONE OF THOSE WAS A STATE FACILITY AND SO WE HAVE NOT INCLUDED THAT IN OUR, IN OUR ACCOUNT AND WE ARE COORDINATING WITH THE STATE ON THAT.

UM, STAFF WILL BE, UM, THROUGH THE MAY, THROUGH THE GOVERNOR'S ORDER TO ENSURE THAT 32 NURSING HOMES ARE BEING ADDRESSED WITHIN THE 14 DAY PERIOD.

OUR STAFF ARE COLLABORATING, UM, ACROSS THE CITY, UM, IN ORDER TO, UM, COMPLETE THE REST OF THOSE.

SO EXACTLY.

WE ARE, UM, TOTALLY, WE HAVE COMPLETED 13 SITES.

AND SO AS FAR AS AN ESTIMATE FOR THE COST OF THE TESTING KITS, UM, THE PPE, THE NURSING HOME FUND, BUT STUDY, WE'RE LOOKING AT A TOTAL OF TWO POINT $9 MILLION TO BE ABLE TO COVER ALL OF THOSE EXTENSIVE, OUR, UM, OUR SOCIAL SERVICES GRANT IS CONTINUING TO WORK AND, UM, ENSURE THAT, UM, OUR PARTNERS, UM, ARE COLLABORATIVE COLLABORATING ACROSS THE CITY.

UM, SO WHETHER IT IS OUR CHILDCARE, UM, UM, TASKFORCE THAT IS, HAS BEEN ENSURING THAT ESSENTIAL WORKERS, UM, HAVE, UM, CHILDCARE OPPORTUNITIES.

UM, ALSO THEY ARE WORKING WITH THE CHILDCARE PROVIDERS TO, UM, DEVELOP A PLAN SO THEY ARE ABLE TO INCREASE THEIR CAPACITY.

SO BASED UPON, UM, WHAT'S IN THE GOVERNANCE ORDERS AS WELL AS WHAT'S IN THE CITY'S BORDERS.

UM, OUR STAFF ARE GOING TO BE, UM, WORKING WITH, UM, ALL THE CHILDCARE CHILDCARE PROVIDERS AS WELL AS, UM, DAY YOUTH CAMPS, UM, IN ORDER TO ASSIST

[00:10:01]

THEM AS THEY BEGIN TO LOOK AT THEIR OPERATIONS AND OPEN UP OUR HOMELESSNESS FOLKS ARE, UM, CONTINUING TO ENSURE OUR HOMELESS POPULATIONS NEEDS ARE MET.

UM, WE CURRENTLY HAVE, UH, FOUR, UM, PROTECTIVE LODGES THAT ARE UP IN, UM, AND, AND, UM, RUNNING.

OUR CONVENTION CENTER IS UM, CONTINUING TO PARTNER UP TO ENSURE WE HAVE FOOD ACCESS.

WE UM, EXECUTED A CONTRACT THAT WAS EFFECTIVE ON FRIDAY FOR AISD AND UM, AND SO THAT WERE, UM, THAT STARTED FEEDING FOR THE PARENTS, UM, ON YESTERDAY AS OUR, AS OUR STAFF CONTINUE TO, UM, WORK IN THE DETERMINED, UM, THERE'S, THERE'S DEFINITELY, UM, SOME UNMET NEEDS THAT WE HAVE DETERMINED THAT WE HAVE.

WE ARE, UM, DEVELOPING A COMPREHENSIVE OUTREACH STRATEGY FOR SPECIFIC ZIP CODES WHERE THOSE ZIP CODES, WHERE WE SEE, UM, DISPARITIES.

AND SO, UM, IN ADDITION TO THAT, WE ARE ALSO DEVELOPING A, UM, WE HAVE A CURRENT HOTLINE, A NURSING HOTLINE, BUT WE ARE GOING TO ADD, UH, THE ABILITY FOR FOLKS TO CALL IN IF THEY HAVE ANY QUESTIONS ABOUT THEIR INABILITY, UM, TO, TO WORK BECAUSE THEY, UM, THEY REALLY NEED ASSISTANCE EITHER WITH SICK LEAVE APPLICATIONS, UM, UM, OR APPLYING FOR THAT PROCESS, BUT ANY TYPE OF BASIC NEEDS OF FINANCIAL NEEDS THAT THEY MAY NEED.

UM, AND ANY QUESTIONS THAT OUR STAFF WILL BE ABLE TO OFFER.

WE CONTINUE TO PROVIDE OUR, UM, UNICAL DISEASE STUDENT AND UM, OUR, UM, STI AND HIV CLINICS ARE STILL OPEN IN PROVIDING THOSE SERVICES IN OUR COMMUNITY.

AND THAT CONCLUDES MY RE MY UPDATE BY COLLEAGUES.

WE'RE GOING TO CONTINUE TO GO THROUGH ALL THE PRESENTATIONS SO WE CAN MAKE SURE THAT WE HEAR FROM EVERYBODY AND THEN WE'LL, WE'LL DO QUESTIONS.

UH, WE'LL GET EVERYBODY TO HAVE A CHANCE TO ASK TWO OR THREE QUESTIONS, GO TO THE NEXT PERSON, TWO OR THREE QUESTIONS FAST AND WE'LL JUST KEEP MOVING AROUND UNTIL WE LOSE PEOPLE.

BUT DOES TO ENSURE THAT EVERYBODY GETS A CHANCE TO BE ABLE TO ASK QUESTIONS.

OKAY.

WHO'S THE NEXT PRESENTER? DR. SCOTT.

AND SO AGAIN, MAYOR COUNCIL.

THANK YOU DR. HAYDEN.

I'M GONNA TURN IT OVER TO DR. SCOTT.

THANK YOU, SPENCER.

IF I GET AVI TO PULL UP MY SLIDES, UH, WHILE WE'RE WAITING ON THAT, LET ME, UH, RECOGNIZE, UH, EMS AND OUR EMS COLLEAGUES IN TRAVIS COUNTY THIS WEEK IS EMS WEEK.

UH, I TELL YOU THAT THIS, THE CITY AND THE COUNTY HAVE BENEFITED GREATLY FROM THIS CLOSE RELATIONSHIP BETWEEN PUBLIC HEALTH AND EMS. THE EMS SYSTEM HAS BEEN INVOLVED IN TESTING IN ADDITION TO THE REGULAR TREATMENT OF, OF PATIENTS IN THE COMMUNITY.

UH, YOU KNOW, THE, THE, THE, THE TESTING, THE, UM, YOU KNOW, COMMAND AND CONTROL, THE PUBLIC INFORMATION PIECE.

THEY'VE BEEN INTEGRATED AT EVERY LEVEL AND WE ARE CERTAINLY GRATEFUL FOR THAT RELATIONSHIP HERE IN AUSTIN.

TRAVIS COUNTY.

CAN YOU ALSO MY SLIDES, COULD YOU PLEASE TELL US WHICH PRESENTATION? IT'S THE ONE WITH MY NAME ON IT.

UH, THE COVEN 19 UPDATE THERE.

YES.

I JUST WANTED TO SAY, UM, OUR CITY CLERK ALSO EMAILED THIS TO ALL THE COUNCIL MEMBERS AND IT'S THE ONE, THE NAME OF THE FILE IS BE ONE CORVETTE 19 COUNCIL PRESENTATION IN CASE ANYBODY WANTS TO PULL THAT UP.

I'M THEIR EMAIL AND THAT EMAIL CAME THROUGH AT EIGHT 21.

THERE IT IS.

OKAY, GREAT.

IF YOU COULD SWITCH TO THE THE NEXT SLIDE, THAT'D BE PERFECT.

OKAY.

UH, SO THIS IS AN UPDATE OF OUR GRAPH FROM LAST WEEK.

AGAIN, THE, THE RED BARS ARE SHOWING CUMULATIVE CASES AND YELLOW BARS AT THE BOTTOM ARE NEW CASES BY DAY AND THE GRADE IS THE PERCENT CHANGE AS COMPARED TO THE PREVIOUS DAY.

UM, THE PERCENT CHANGE, AS YOU CAN SAY, CONTINUES TO DRIFT DOWNWARD RIGHT NOW.

THAT EQUATES TO A DOUBLING TIME OF ABOUT 26 DAYS.

UH, SO STILL HEADING IN

[00:15:01]

A POSITIVE DIRECTION.

WE DID HAVE A SLIGHT UPTICK YESTERDAY WITH 78 NEW CASES, SO WE WILL CONTINUE TO FOLLOW THAT TREND.

OKAY.

I CAN SHARE IT FROM MY SIDE OF IF THAT WORKS OR YOU THINK YOU CAN WORK IT OUT THE WAY.

WHAT I'M DR. SCOTT JUST TO SHARE IT ON HIS SIDE STAFF WITH US.

OKAY.

SCOTT, WHY DON'T YOU SHARE YOUR, SHARE YOUR RESPONSE.

CAN YOU DO THAT? YES SIR.

OKAY, WE'RE GOOD TO GO NOW.

OKAY.

CAN YOU SWITCH FORWARDS TO SLIDES? THERE WE GO.

OKAY, SO WHAT YOU'RE SEEING NOW IS A NEW CONFIRMED CASES BY DAILY.

THOSE ARE THE BLUE BARS.

THEN YOU KNOW, IT WAS A ROLLING SEVEN DAY AVERAGE.

SO YOU CAN SEE THAT WE'VE BEEN THIS IN THIS OSCILLATING PHASE BETWEEN 40 AND ABOUT 55 CASES PER DAY ON AVERAGE ON THAT SEVEN DAY ROLLING AVERAGE.

SO WE'RE RELATIVELY FLAT WHEN IT COMES TO THE NEW CASES PER DAY.

NEXT SLIDE PLEASE.

WHAT YOU'RE SAYING HERE IS A REFRESH OF THE SLIDE I SHOWED YOU LAST WEEK, WHICH IS THE, UH, THE HOSPITALIZATIONS AND THE FIVE COUNTY MSA.

THE ORANGE LINE AT THE BOTTOM OF HIS DISCHARGES, THE BLUE LINE IS NEW ADMISSIONS IN THE GRAY IS THE TOTAL HOSPITALIZED.

THE YELLOW WAS SHOWING YOU THE SEVEN DAY MOVING AVERAGE OF HOSPITALIZATIONS.

AS YOU CAN SEE, THAT HAS BEEN TRENDING UPWARDS.

HOWEVER, UH, THIS IS, THIS IS MORE DUE TO THE PATIENTS BEING IN THE HOSPITAL FOR A LONGER PERIOD OF TIME RATHER THAN A SUDDEN SPIKE IN NEW ADMISSIONS.

SO OUR NEXT SLIDE, I'LL SHOW YOU.

UH, THEY, UH, THEY BREAK DOWN OF THE NEW ADMISSIONS IN A ROLLING AVERAGE JUST REGARDING THE NEW ADMISSIONS.

NEXT SLIDE PLEASE.

SO THIS IS THE NEW ADMISSIONS IN THE FIVE COUNTY MSA BASED UPON DATA FROM OUR THREE HOSPITAL SYSTEMS, BAYLOR SCOTT AND WHITE ASCENSION, SATAN AND SAINT DAVID'S.

AND AGAIN, YOU CAN SEE THAT OUR SEVEN DAY MOVING AVERAGE HAS BEEN BETWEEN EIGHT AND 10 PER DAY FOR QUITE SOME TIME.

SO AGAIN, RELATIVELY FLAT WHEN IT COMES TO NEW ADMISSIONS, BUT THAT CUMULATIVE EFFECT HAPPENS OVER TIME BECAUSE OF, OF THE DURATION OF STAY OF INDIVIDUALS RELATED TO COBIT 19.

AGAIN, THESE ARE FACTORS THAT THAT PLAY INTO OUR, UH, OUR, OUR PROGRESS TOWARDS SURGE AND ONE THAT WE'RE GOING TO BE PAYING CLOSE ATTENTION TO.

UH, YOU KNOW, I THINK THIS SHOWS US THAT WE HAVE, UH, EFFECTIVELY PLATEAUED OR FLATTEN THE CURVE IN AUSTIN AND TRAVIS COUNTY AS WELL AS THE REST OF THE FIVE COUNTY MSA.

BUT WE'RE GOING TO NEED BEHAVIORS TO CONTINUE.

WE'RE GOING TO NEED THOSE PROTECTIVE MEASURES TO CONTINUE IN ORDER TO KEEP THIS AS FLAT AS POSSIBLE.

UM, HAVING SAID THAT, IF WE HAVE INCREASES OVER TIME, EVEN IF WE DON'T SEE A SWORD SIMILAR TO WHAT WAS EXPERIENCED IN NEW YORK, WE MAY CONTINUE TO HAVE HOSPITALIZATIONS RISE OVER A LONGER PERIOD OF TIME, WHICH MAY STILL STRESS THE SYSTEM.

AGAIN, WE WILL CONTINUE TO MONITOR THIS ALONG WITH OUR HOSPITAL PARTNERS AND THEY'RE PUT BACK ON THIS REGULARLY.

NEXT SLIDE PLEASE.

WHAT YOU'RE SEEING HERE IS AN UPDATE OF OUR DEMOGRAPHICS RELATED TO HOSPITALIZATIONS IN THE FIVE COUNTY MSA.

UM, UH, THE GREEN LINE IS TOP IS, UH, IS OUR HISPANIC POPULATION.

UH, THE YELLOW IS, IS WHITE, NON-HISPANIC.

THE ORANGE IS AFRICAN AMERICAN, THE, UH, GRAY, WHICH IS SIGNIFICANTLY LOWER.

AND THIS, UH, THIS TIME IS OTHER OR UNCLASSIFIED, UH, AND THAT'S DOING A GOOD MORE BAR AND EPIDEMIOLOGIST STAFF TO RESOLVE THOSE, UH, THOSE UNKNOWNS.

[00:20:01]

AND THEY, UH, THE BLUE IS ASIAN AMERICANS.

UH, SO AGAIN, WE CAN SEE THAT THIS WEEK OUR HISPANIC POPULATION, OUR AFRICAN AMERICAN POPULATION ARE OVERREPRESENTED.

AND WHEN IT COMES TO HOSPITALIZATIONS, AND AGAIN, THIS IS A SUBSTANTIAL CONCERN TO US BECAUSE OF THE, UH, THIS, UH, DISPROPORTIONATE REPRESENTATION.

UH, WE ARE CONTINUING TO WORK AS A DIRECTOR.

HAYDEN SAID EARLIER ON REACHING OUT TO THESE COMMUNITIES AND WE'RE GRATEFUL FOR OUR PARTNERSHIP WITH COMMUNITY CARE.

THE HOMES TALK AFTER I DO IN RELATION TO SOME OF THE EFFORTS THEY'RE DOING TO REACH OUT TO THIS COMMUNITY.

NEXT LIKE IS WELL, LOOK AT THE WEEKLY CONFIRMED CASES FOR TRAVIS COUNTY AND WE CAN SEE THAT LAST WEEK WE HAD OUR DROP TO THREE 30 FROM THREE 81.

HOWEVER, AGAIN, OVER THE PAST SEVEN WEEKS, RELATIVELY FLAT WHEN IT COMES TO NEW CASES.

UM, YOU KNOW, THIS, THIS PROVIDES US A SNAPSHOT WITH HOW WE'RE DOING.

BUT AS WE GO INTO THE NEXT SLIDES, WE'RE GOING TO SEE THAT THERE IS SUBSTANTIAL VARIATION ACROSS THE STATE, WHICH TO ME INDICATES THAT WE NEED TO HAVE A LOCAL CONTROL, LOCAL INFLUENCE OF OUR POLICIES BECAUSE THIS EPIDEMIC, THIS PANDEMIC OF COBIT 19 IS AFFECTING DIFFERENT CITIES, UH, DIFFERENTLY, AT DIFFERENT TIMES.

UH, WHICH TO ME SUGGESTS THAT THAT A STATEWIDE APPROACH, WHILE IT'S, IT'S HELPFUL TO HAVE A STATEWIDE STRATEGY, WE DO NEED LOCAL CONTROL INFLUENCE THE CURVES THAT OUR OWN JURISDICTIONS.

NEXT SLIDE PLEASE.

SO WHAT A BREAK, A BROKEN DOWN HERE IS A NEW CASES BY DAY PER MILLION.

ALL RIGHT, SO THE DID THE PER MILLION TO GIVE IT SORT OF A, UH, A COMMON MEASURE ACROSS THE JURISDICTIONS GIVEN THE SUBSTANTIAL VARIATION IN SIZE OF OUR MAJOR METROPOLITAN COUNTIES.

AND SO WHAT YOU'RE SEEING HERE IS TRAVIS COUNTY, AGAIN, RELATIVELY FLAT, A LITTLE BIT OF OSCILLATION, UH, BETWEEN, UH, YOU KNOW, 30 AND 40 CASES PER MILLION, UH, PER DAY.

NEXT SLIDE PLEASE.

THEIR COUNTY SIMILARLY HAS BEEN FLAT.

UH, WHEN WE LOOK AT SOME OF THEIR COUNTIES HOSPITALIZATION NUMBERS, UH, THEY HAD A PINK HOSPITALIZATION THAT HAPPENED, UH, AROUND THE MID OF, OF APRIL, WHICH INDICATES THAT THEY MAY HAVE HAD SOME UNKNOWN CASES EARLIER TO THE LEFT OF THIS SLIDE BEFORE WE HAD ADEQUATE TESTING IN PLACE.

NEXT SLIDE.

DALLAS COUNTY IS MUCH DIFFERENT.

YOU CAN SEE A SUBSTANTIAL PEAK HAPPENING AT THE END OF APRIL.

THEY'VE MANAGED TO PLATEAU THAT OFF NOW, BUT A SUBSTANTIALLY DIFFERENT PICTURE THAN WHAT WE'RE EXPERIENCING HERE IN TRAVIS COUNTY IN BEAR COUNTY.

NEXT SLIDE.

NOW, PASO SIMILARLY EXPERIENCING AN INCREASE PARTICULARLY OVER THE PAST TWO WEEKS.

NEXT SLIDE.

HERE'S COUNTY, UH, HAS BEEN, YOU KNOW, THEY HAD A PINK, UH, AROUND THE MIDDLE OF APRIL.

UH, THEY FLATTEN THAT OUT AND IT'S TRENDING UPWARD AGAIN.

NEXT SLIDE.

CARROT COUNTY, SIMILAR TO DALLAS COUNTY IS EXPERIENCING A SUBSTANTIAL INCREASE IN THE PAST TWO WEEKS.

NEXT SLIDE.

AND TEXAS AS A WHOLE AGAIN HAS BEEN RELATIVELY FLAT SINCE THE MIDDLE OF APRIL WITH A TREND UPWARD.

AGAIN, UH, YOU KNOW, THERE IS SUBSTANTIAL VARIATION BASED UPON THE METROPOLITAN COUNTY ACROSS TEXAS.

WE ALSO KNOW THAT AMARILLO IS, UH, IS SEEING A SIGNIFICANT INCREASE.

AND AGAIN, THIS IS EVIDENCE THAT, THAT, UH, THAT WE NEED SOME LOCAL CONTROL WHEN IT COMES TO MANAGING OUR OWN JURISDICTIONS.

UH, THIS IS THE REASON WHY DOUBT IN THE STAGING SO THAT WE CAN COMMUNICATE WITH THE PUBLIC HOW WE THINK WE ARE DOING RIGHT NOW AT THIS MOMENT AND HOPEFULLY AFFECT BEHAVIOR IN THE COMMUNITY.

SO THEY UNDERSTAND THAT THE RISKS FOR THEM MAY BE DIFFERENT FROM THE RISKS IN AMARILLO OR DALLAS OR KAREN COUNTY OR HARRIS COUNTY.

NEXT LIFE IS, THIS IS NOT DATA OF OUR NURSING HOME CLUSTERS.

UH, AGAIN, THIS INCLUDES NURSING HOMES, LONGTERM CARE FACILITIES, AND, UH, OTHER INSTITUTIONS.

UH, THE, THE ONES THAT IN GRAY HAVE NOT EXPERIENCED THAT CHANGE IN AT LEAST THREE WEEKS.

UH, SO THOSE ARE INACTIVE CLUSTERS AT THIS STAGE.

UH, SO WE'RE HAPPY THAT, UH, WE HAVE FIVE OF THOSE, UH, THIS WEEK.

WE HOPE THAT WE HAVE ADDITIONAL ONES IN THE FUTURE AS THEY EFFECTIVELY HAVE A LIMITED BUDGET, FURTHER TRANSMISSION WITHIN THOSE FACILITIES.

UH, WE SEE THAT, UH, DESPITE THAT WE'VE GOT TWO NEW OUTBREAKS AT THE BOTTOM, P AND Q AND A TOTAL OF 83 NEW CASES FOR THESE CLUSTERS THIS WEEK.

UH, 473 TOTAL CASES BETWEEN STAFF AND, UH, AND UH, RESIDENTS WITH A

[00:25:01]

TOTAL OF 46 DEATHS.

UH, AGAIN, OUR, OUR, UH, NURSING HOME STRIKE TEAMS AND OUR NURSING HOME TASK FORCE CONTINUE TO WORK HARD ON THIS ISSUE, PROVIDING SUPPORT THAT WE'RE GRATEFUL FOR FOR THE STATE'S INVOLVEMENT NOW IN, UH, SUPPORTING NURSING FACILITIES, INCLUDING TESTING AS WELL AS PROVIDING, UH, THE STRIKE TEAMS FOR OTHER FACILITIES, UH, AROUND THE STATE TO REALLY TRY TO GET A HANDLE ON THIS.

AGAIN, WE CONTINUE TO HAVE DIALOGUE WITH THESE, UH, WITH THESE FACILITIES, WITH OUR ADMINISTRATORS, WITH OUR MEDICAL DIRECTORS, AND UH, CONTINUE TO, TO SHARE BEST PRACTICES BETWEEN THE FACILITIES SO THAT WE CAN GAIN BETTER CONTROL OVER THIS AND, AND HOPEFULLY PREVENT THE INTRODUCTION COMPLETELY, UH, INTO THESE FACILITIES THAT, UH, THAT DON'T HAVE A COBRA 19 CASES AT ALL.

NEXT SLIDE.

OH, THIS IS A NEW SLIDE RELATED TO NON INSTITUTIONAL CLUSTERS.

UH, SO YOU CAN SEE THIS IS BROKEN DOWN BY DIFFERENT SECTORS OF THEIR CONSTRUCTION, MANUFACTURING, RETAIL, TRADE AND FINANCIAL INSURANCE AND REAL ESTATE AND SERVICES.

AGAIN, YOU CAN SAY THAT, UH, THE CONSTRUCTION IS THE MAJORITY OF THE CLUSTERS THAT WE'RE SEEING THAT ARE NOT INVOLVED IN INSTITUTIONS WITH NINE UH, GENERAL CONTRACTOR, GENERAL CONTRACTOR RELATED, UH, CLUSTER INVESTIGATIONS.

TWO RELATED TO CONCRETE, THREE RELATED TO ELECTRIC HEATING AND AIR CONDITIONING.

UH, ONE RELATED TO EXCAVATION, TWO RELATED TO PLUMBING AND TWO RELATED TO SPECIAL TRADES.

UM, WE, UH, WE ARE, WE ARE CONTINUING TO, TO PROVIDE OUTREACH TO THIS COMMUNITY.

UH, WE HAVE PILOTED SOME, UH, TARGETED TESTING OF CONSTRUCTION SITES AND WE'LL CONTINUE TO, UH, TO REACH OUT TO THIS COMMUNITY, REALLY TRYING TO, TO, UH, ENGAGE CONSTRUCTION IN A PARTNERSHIP SO THAT, UH, UH, THEY CAN TAKE ADVANTAGE OF RESOURCES WHICH ARE AVAILABLE.

THEY CAN COME OUT AND DO SITE TESTING IF THEY DESIRE AND, UH, AND CONTINUE TO BUILD THOSE PARTNERSHIPS.

WE HAVE IDENTIFIED THAT THERE ARE SOME CHALLENGES ASSOCIATED WITH, WITH TESTING AT CONSTRUCTION SITES.

UH, THERE'S SOME ONGOING CONCERN ABOUT, UH, BEING DETECTED.

THERE'S SOME ONGOING CONCERN ABOUT, UH, THE INABILITY TO WORK.

UH, YOU KNOW, QUITE FRANKLY, UH, THERE'S A DISINCENTIVE RIGHT NOW FOR PEOPLE TO GET TESTED BECAUSE IF THEY TEST POSITIVE, THEN THEY'RE OUT OF WORK.

AND IN SOME CIRCUMSTANCES THEY DON'T HAVE ASSURANCES OF, OF A PAYCHECK.

AND THAT'S NOT ONLY FOR CONSTRUCTION THAT GOES WITH ALL OF OUR WORKFORCE AND THIS ISN'T SUBSTANTIAL BARRIER.

AND THIS, UH, THIS BARRIER IS GOING TO CREATE CHALLENGES FOR US AS WE TRY TO CONTROL THE OUTBREAK OF, OF COBRA 19 IN AUSTIN AND TRAVIS COUNTY.

AS WE OPEN THINGS UP, UH, THESE KINDS OF DISINCENTIVES ARE GOING TO MAKE IT DIFFICULT FOR US TO CONTROL.

UH, AND UH, AND THAT'S SOMETHING THAT, UH, THAT I KNOW COUNCIL MEMBER COSARA IS, IS, IS A ENVIRONMENT THAT WE'RE GONNA BE TALKING ABOUT LATER.

BUT, UH, THIS IS SOMETHING WE SHOULD ALL BE CONCERNED ABOUT.

UH, AGAIN, WE'VE BEEN TALKING ABOUT THIS FOR WEEKS AND WEEKS NOW.

THE IMPORTANCE OF REMOVING THESE DISINCENTIVES FOR PEOPLE GETTING TESTED, PEOPLE GETTING DIAGNOSED, PEOPLE GETTING TRADED.

AND WE REALLY DO HAVE TO WORK HARD ON, ON BREAKING DOWN THESE BARRIERS AND THESE DISINCENTIVES IF WE'RE GOING TO BE ABLE TO MAINTAIN CONTROL AND KEEP BUSINESSES OPEN.

NEXT SLIDE PLEASE.

SO THIS IS THE TARGETED TESTING THAT WE DID AT TWO DIFFERENT CONSTRUCTION SITES LAST WEEK.

UH, THERE WAS A TOTAL OF A HUNDRED, AROUND 127 INDIVIDUALS WHO WERE TESTED.

UH, YOU CAN SEE BOTH SIDES HAD A NEGATIVE RATE OF ABOUT 92.1 TO 92.2% WITH 7.8 AND 7.9% POSITIVE.

UH, SO AGAIN, YOU MAY SAY, WELL, THAT'S A REALLY LOW NUMBER OF 7.8 7.9%.

UH, OUR, OUR REGULAR DRIVE THROUGH TESTING RIGHT NOW THAT HAS A POSITIVE RIGHT? THAT'S IN THE NEIGHBORHOOD OF 2.3%.

SO THIS IS MORE THAN TRIPLE, UH, THE, THERE THE REST OF THE COMMUNITY'S RATE OF POSITIVITY.

UH, SO THIS IS CONCERNING.

THIS DOES INDICATE THAT WE NEED FURTHER TESTING IN THIS COMMUNITY.

UH, AND AGAIN, COMMUNITY CARE IS GOING TO TALK DIRECTLY AFTER ME ABOUT SOME OF THE WORK THEY'RE DOING TO TARGET, UH, CONSTRUCTION WORKERS.

IN THIS MALL AS, AS OUR MINORITY POPULATIONS.

NEXT SLIDE PLEASE.

SO, UH, THREE WEEKS AGO NOW, WE, UH, ROLLED OUT THIS PUBLIC ENROLLMENT FOR TESTING.

SO WE TRANSITIONED FROM AND REQUIREMENT OF MY PHYSICIAN REFERRAL TO, UH, TO TESTING TO THIS PUBLIC ENROLLMENT PIECE.

AND AS A RESULT, WE'VE, WE'VE TESTED SUBSTANTIALLY PEOPLE THAT MAY HAVE IN THE PAST.

UH, SO THIS 2,700 IS TWICE THE TOTAL, BUT WE DID FROM THE ENTIRE OUTBREAK BEFORE THAT THROUGH THE MORE DRIVE THROUGH SITE.

SO WE'RE, WE'RE VERY HAPPY WITH US.

UM, YOU CAN SEE, AND I APOLOGIZE, THEY, THE COLORS ARE DIFFERENT, UH, ON THE TWO SLIDES AS

[00:30:01]

IT RELATES TO, UH, TO DIFFERENT ETHNICITIES.

NOW YOU CAN SEE THAT, UH, IN THE, IN THE LIGHT PURPLE, UH, ON THE LEFT SIDE IS, UH, THE, THE MAJORITY OF OUR INDIVIDUALS BEING TESTED HAVE BEEN WHITE, UH, WITH, UH, 613 BEING HISPANIC OR LATINO AND 181 BEING AFRICAN AMERICAN.

UM, ON THE RIGHT SIDE YOU SEE THE POSITIVITY RATE, UH, AND YOU CAN SEE THAT OUR HISPANIC OR LATINO, WHICH IS IN THE LIGHT BLUE, IS THE SUBSTANTIAL, UH, UH, THE MAJORITY OF, OF THE POSITIVE RATE.

SO TO BREAK IT DOWN FOR YOU BY ETHNICITY AS IT RELATES TO POSITIVITY, OUR HISPANIC POPULATION BEING TESTED THROUGH OUR DRIVE THROUGH AS AN 8.6% RATE OF POSITIVITY.

UH, OUR AFRICAN AMERICAN IS 4.4%.

OUR WHITE IS 1%, AND OUR ASIAN AMERICAN IS 0%, UH, BASED ON THESE, UH, 2,700 CASES.

SO AGAIN, SUBSTANTIAL DIFFERENCES WHEN IT RELATES TO, UH, TO RACE AND ETHNICITY.

UH, AND AGAIN, UH, IN THE SAME POPULATION THAT IS EXPERIENCING HIGHER RATES OF POSITIVITY, WE HAVE HIGHER RATES OF HOSPITALIZATION, UH, AND UH, UH, AND AGAIN, THAT D THAT IS DUE IN PART TO THE UNDERLYING DISPARITIES AND HEALTH ACCESS TO HEALTHCARE ACCESS TO, UH, FOOD AND A NUMBER OF OTHER, UH, ISSUES THAT ARE RELATED TO THE SOCIAL DETERMINANTS OF HEALTH.

SO AGAIN, WE'RE GRATEFUL TO OUR PARTNERS AT COMMUNITY CARE FOR THEIR OUTREACH, WHO WILL CONTINUE AS A DIRECTOR.

HAYDEN SAID, UH, TO ENHANCE OUR OUTREACH TO THESE COMMUNITIES, TO, TO REALLY TRY TO PREVENT INFECTION FROM HAPPENING, NUMBER ONE.

UH, BUT ALSO TO ENSURE THAT FOLKS WHO, WHO ARE POSITIVE, UH, CAN SEPARATE THEMSELVES FROM THEIR, THEIR HOUSEHOLD TO REDUCE THAT TRAIN, THAT HOUSEHOLD TRANSMISSION OF DISEASE.

SO AGAIN, THIS IS WHERE THE ISOLATION FACILITY COMES IN.

WE OFFER A HOTEL ROOM TO PEOPLE, UH, WITH THE, THAT IS FREE, THAT PROVIDES THEM FOR AND PROVIDES THEM WITH ACCESS TO THE TV, INTERNET.

AND IT REALLY HELPS US TO BREAK THAT TRANSMISSION CYCLE WITHIN THE HOUSEHOLD, UH, THAT WE REALLY NEED PEOPLE TO TAKE ADVANTAGE OF, UH, WITHOUT THE CONCERN THAT, UH, THAT THEY'RE GOING TO BE, UH, CHARGED OR DETECTED BY AUTHORITIES OR WHAT HAVE YOU.

SO AGAIN, THAT IS, THAT IS A KEY PIECE.

WE ALSO WANT TO MAKE SURE THAT, THAT FOLKS WHO ARE AFFECTED, UH, UNDERSTAND THAT, THAT THEY CAN ACCESS HEALTHCARE.

THEY DON'T NEED TO WAIT IF THEY FEEL THAT THEY NEED TO BE HOSPITALIZED.

THEY HAVE CHEST PAIN, THEY HAVE SHORTNESS OF BREATH, THEIR SYMPTOMS ARE GETTING WORSE.

THOSE INDIVIDUALS NEED TO SEEK OUT HEALTHCARE EITHER THROUGH NINE, ONE ONE OR PRESENTING THEMSELVES TO UH, TO THE ER AND IN CALLING IT ADVANCED SO THAT THEY, THAT THE TEAM CAN BE PREPARED FOR THEM.

UH, THERE IS NO REASON TO WAIT.

UH, WE KNOW THAT THEY, THIS PROGRESSIVE, THIS DISEASE CAN BE A BIT, UM, UH, IT MAY BE HARD TO DETECT FOR PEOPLE.

UH, THEY MAY BE SUBTLY GETTING WORSE DAY BY DAY.

UH, THEY MAY BE GETTING CONFUSED.

THERE MAY BE GETTING SHORTER, UH, HAVING SHORTENED, UH, WORSENING SHORTNESS OF BREATH AND THOSE ARE WARNING SIGNS THAT FOLKS NEED TO SEE, SEEK A HIGHER LEVEL CARE.

AND IT'S REALLY CRITICAL, PARTICULARLY IN OUR FOLKS WHO DON'T NORMALLY HAVE ACCESS TO CARE TO UNDERSTAND THAT THE, THE HOSPITALS ARE THERE FOR THEM, THEY'RE PREPARED TO TAKE CARE OF THEM AND UH, THERE REALLY SHOULDN'T BE A BAYER, UH, AND UH, WE WILL CONTINUE TO ADVOCATE FOR THOSE MESSAGES BOTH THROUGH OUR AUSTIN PUBLIC HEALTH CHANNELS, COMMUNITY CARE, AS WELL AS THROUGH OUR, OUR PARTNERS IN THE COMMUNITY WHO ARE WORKING HARD TO, TO PROVIDE OUTREACH TO THESE COMMUNITIES.

NEXT SLIDE PLEASE.

I DO WANT TO PROVIDE A BRIEF UPDATE ON, UH, ON THE TRAVIS COUNTY JAIL.

UH, THERE'S BEEN A LOT OF PRESS LATELY RELATED TO INFECTIONS WITHIN JAILS AND, UH, WE HAVE BEEN WORKING WITH TRAVIS COUNTY JAIL AND SHERIFF HERNANDEZ SINCE THE BEGINNING WHEN IT COMES TO, UH, EFFECTIVE, UH, SYSTEMS IN PLACE FOR THE JAIL.

UH, SO THEY WERE, THEY IMPLEMENTED POLICY CHANGES VERY EARLY ON TO PROTECT, UH, THEIR, THEIR INMATE POPULATION.

UH, THEY DESIGNED A SYSTEM THAT ISOLATES INDIVIDUALS FOR 14 DAYS BEFORE THEY'RE INTRODUCED INTO THE GENERAL POPULATION.

IF THOSE INDIVIDUALS DEVELOPED SYMPTOMS CONSISTENT WITH COBIT 19, THEY ARE TESTED, UH, AND, UH, AND THEY'RE ONLY MOVED INTO THE GENERAL POPULATION WHEN IT'S CLEAR THAT, UH, THAT THEY ARE CODED FREE.

UM, THEY MADE CHANGES TO OFFICIAL VISITS.

SO IF A, IF AN ATTORNEY COMES OR, UH, THERE'S A VISIT FROM LAW ENFORCEMENT, PRIMARILY THOSE WHO HAVE BEEN TRANSITIONED TO VIRTUAL WHENEVER POSSIBLE, WHEN THEY DO HAVE TO HAVE IN PERSON MEETINGS, THEY REQUIRE MASKING.

UH, AND THEY, UH, YOU KNOW,

[00:35:01]

THEY, THEY TRY TO MAINTAIN SOCIAL DISTANCING IN ADDITION TO THAT MASKING TO, UH, TO REALLY TRY TO DECREASE THE TRANSMISSION OF INFECTION.

UH, WHEN POSSIBLE, THEY ALSO HAVE THE PHYSICAL BARRIERS BETWEEN THE TWO INDIVIDUALS MEETING, UH, TO FURTHER ENHANCED THAT, UH, NET REDUCTION IN TRANSMISSION.

UH, THEY'VE DONE THINGS LIKE STAGGERING GROUP MEETINGS.

UH, THEY CLAIMED BETWEEN THE MEETINGS FOR INDIVIDUALS WHO ARE STILL IN THE ISOLATION PHASE.

UH, THEY, THEY HAVE ACTIVITIES WHICH ARE SEPARATE AND THOSE ACTIVITIES ARE INDIVIDUAL AND AGAIN, CLEANING IN BETWEEN THOSE SESSIONS TO TRY TO EFFECTIVELY CONTROL THE SPREAD OF DISEASE.

SAME THING IS TRUE FOR MEDICAL EVALUATIONS.

THEY HAVE A LIMITED NUMBER OF PEOPLE BEING EVALUATED FOR MEDICAL CONDITIONS AT A TIME THAT THOSE INDIVIDUALS ARE SPACED OUT AND LIMITED TO THE 10.

UH, IN ADDITION TO THIS, WE ARE WORKING WITH, WITH THE SHERIFF AND THE JAIL, UH, TO LOOK AT ONGOING, UH, MODELS FOR, UH, FOR TESTING FOR INMATES AS WELL AS STAFF.

UM, WE, UH, WE HAVE BEEN CHALLENGED, UH, UNFORTUNATELY DUE TO THE LEVELS OF, OF TESTING KITS AND TESTING CAPACITY THROUGHOUT THIS EPIDEMIC.

AND AS WE ARE INCREASING OUR CAPACITY TO DO TESTING, YOU'RE SEEING THAT WE'RE ADVANCING THE TESTING FOR NURSING HOMES, UH, IN SOME OF THE, AND THE SAME THING IS TRUE FOR OUR JAIL POPULATION.

NOW.

SO WE'RE WORKING CLOSELY WITH THEM.

EXCUSE ME.

SO WE'RE MEETING LATER THIS WEEK, TWO NEW, UH, TO DISCUSS AVENUES ON HOW WE MIGHT PROVIDE A LONGTERM STRATEGY FOR TESTING FOR, UH, FOR THAT POPULATION.

NEXT SLIDE PLEASE.

UM, WE ARE, UH, FINALIZING OUR STRATEGY, OUR LONGTERM STRATEGY FOR TESTING THROUGH THE END OF 2020 AND PART OF THAT IS A DISCUSSION WITH THE UNIVERSITY OF TEXAS IN RELATION TO A SERA PREVALENCE STUDY.

SO THE SARAH PREVALENCE STUDY IS THE ANTIBODY BASED TESTING AND WE'VE ASKED THEM TO PUT TOGETHER A STUDY PROPOSAL WHICH SPANS 18 MONTHS.

UM, SO WE'RE LOOKING AT GENERAL POPULATION SERIAL PREVALENCE AS WELL AS, EXCUSE ME A SECOND, AS WELL AS SOME SUBPOPULATIONS INCLUDING FIRST RESPONDERS AND HEALTHCARE WORKERS, PERSONS EXPERIENCING HOMELESSNESS, COLLEGE STUDENTS AND ESSENTIAL WORKERS.

UH, SO LOOKING AT THE COMMUNITY AS A WHOLE IN LOOKING AT THESE SUBPOPULATIONS, UM, THE NUMBER OF SPECIFIC AIMS THERE OF THE STUDY, THE FIRST IS VALIDATION OF, UH, BETWEEN THE, UH, THE TEST THAT'S DRAWN AND SENT OFF TO A LAB VERSUS A POINT OF CARE TEST THAT CAN BE DONE, UH, OUTSIDE OF A LAB.

UH, AND THEN LOOKING AT THE SERIAL PREVALENCE RATE IN AUSTIN, AND THEY'RE NOT LONGITUDINAL STUDIES LOOKING AT, AT THOSE GROUPS OVER A PERIOD OF TIME TO GIVE US A BETTER IDEA OF HOW TO MANAGE POLICY BASED UPON SERIAL PREVALENCE OF ANTIBODY STUDIES.

SO YOU SHOULD BE SEEING THIS COMING IN A PROPOSAL, UH, FOR, UH, AS A PORTION OF OUR OVERALL TESTING STRATEGY FOR THIS SPAN OF DENVER.

NEXT SLIDE PLEASE.

AND AGAIN, FINALLY, UH, THIS IS THE PUBLIC ENROLLMENT, UH, UH, ADDRESS.

THIS IS OUR AUSTIN, TEXAS.GOV/COBRA 19.

UH, FOLKS CAN SIGN UP FOR A FREE EVALUATION FREE TESTING.

AND THIS IS REALLY A CRITICAL STEP IN, UH, ALLOWING US TO CONTROL THIS OUTBREAK.

UH, IT, UH, IT IS FREE AND, UH, WE REALLY WANT THUMBS TO, UH, TO SIGN UP IF THEY'RE CONCERNED.

UH, WE HAVE THE ABILITY TO, UH, TO TEST FOLKS WHO ARE THEY SYMPTOMATIC, PARTICULARLY IF THEY HAVE HAD EXPOSURE TO COBRA 19.

UH, SO REGARDLESS OF IF INDIVIDUALS THINK THAT WE'RE GOING TO TEST THEM, PLEASE SIGN UP.

PLEASE FILL OUT THE SURVEY.

UH, AND UH, AND BASED UPON OUR, OUR, UH, EVALUATION, UH, APPROPRIATE FOLKS, WE OFFERED A TEST.

IT'S FREE OF CHARGE AND WE WANT TO ENCOURAGE THE COMMUNITY TO GO TO THE SITE AND SIGN UP.

THAT CONCLUDES MY REPORT.

THANK YOU.

THANK YOU DR ESCADA.

AND AGAIN WE'LL BE TAKING QUESTIONS AT THE END OF THE TOTAL REPORTS AND SO I'M GOING TO ASK A DIRECTOR HAYDEN TO INTRODUCE OUR PARTNERS AT CENTRAL HEALTH AND COMMUNITY CARE FOR THE NEXT PART OF OUR, OUR PRESENTATION.

DR. HAYDEN.

THANK YOU SPENCER.

UM, WE ARE VERY EXCITED TO HAVE UM, CENTRAL HEALTH WITH US, UM, UM, COMMUNITY CARE HERE WITH US TODAY.

UM, THEY ARE SUCH A INVALUABLE PARTNER.

THEY HAVE

[00:40:01]

CONTINUED TO PROVIDE SO MANY SERVICES TO OUR VULNERABLE POPULATIONS.

I HAVE UM, DR JASON FORNIER AND HE WILL BE PROVIDING THE PRESENTATION AND I UNDERSTAND HE HAS TWO ADDITIONAL STAFF PERSONS WITH HIM AND THEY WILL BE AVAILABLE FOR QUESTIONS AS WELL.

SO I WILL TURN IT OVER TO HIM AND HIS STAFF.

THANK YOU AGAIN FOR BEING HERE WITH US TODAY.

YOU NEED TO UNMUTE JASON.

OKAY.

WE WERE COMING THROUGH.

YEAH, WE CAN, IT'S A LITTLE MUFFLED, BUT MAYBE SPEAK A LITTLE BIT CLOSER TO THE MICROPHONE A LITTLE BETTER NOW.

OKAY, GREAT.

SORRY GUYS.

WELL, TECHNICAL DIFFICULTIES.

WELL THANKS SO MUCH FOR THAT INTRODUCTION AND MISS EDEN.

UH, GOOD MORNING, UH, COUNCIL MEMBERS AND MAYOR ADLER.

I'M GOING TO GO AHEAD AND SHARE OUR SCREEN.

UH, JOINING ME THIS MORNING IS OUR CHIEF MEDICAL OFFICER, DR. ALLEN SALSA AND ALSO OUR CHIEF OPERATING OFFICER, YVONNE KAMRANA.

AND SO AND ALSO ON THE PHONE IS UM, MR MIKE ETHAN, WHO'S THE PRESENT CEO FOR CENTRAL HALL AND TED BURTON.

THEY'RE GOING TO GO THROUGH A COUPLE OF SLIDES TOWARDS THE END.

OKAY.

SO THE AGENDA, THE SPORTING.

SO AGAIN, GOOD MORNING EVERYONE.

SO THE AGENDA THIS MORNING IS JUST, WE'RE REALLY GOING TO PROVIDE AN UPDATE FROM PERSPECTIVE AS IT RELATES TO OUR OVERALL RESPONSE TO THE CORONA VIRUS PANDEMIC, INCLUDING WHERE WE ARE WITH OUR CLINICAL OPERATIONS AND MOST IMPORTANTLY OUR TESTING INITIATIVES AND MYSELF, DR SALSA AND YVONNE ARE GOING TO GO AHEAD AND TAKE TEAM THIS THIS MORNING.

AND THEN AGAIN, MIKE AND TED ARE GONNA FOLLOW UP WITH SOME KEY NOTES AND POINTS FROM CENTRAL HALL'S PERSPECTIVE.

I THINK BEFORE JUMPING IN AND TALKING SPECIFICALLY AS IT RELATES TO COMMUNITY CARE HEALTH CENTERS, RESPONSE TO CORONAVIRUS PANDEMIC THINKS IMPORTANT FOR COUNCIL MEMBERS AND AUDIENCE AT LARGE.

JUST TO BETTER UNDERSTAND COMMUNITY CARE.

UM, WE ARE A 501 C THREE NONPROFIT THAT PARTNERS WITH CENTRAL HEALTH CENTRAL HEALTH SIMILAR TO THE CITY OF AUSTIN, AS SOME OF YOU MAY KNOW, YEARS AGO WAS THE RECIPIENT OF A FEDERAL GRANT AWARD THROUGH THE FEDERAL HEALTH CENTER, UH, PROGRAM.

UH, IT'S AUTHORIZED THROUGH THE PUBLIC HEALTH SERVICES ACT, SECTION THREE 30 LONGSTANDING PROGRAM IN TERMS OF COMMUNITY HEALTH CENTERS ACROSS THE COUNTRY.

THE, THE MAJOR PURPOSE OF THE HEALTH CENTER PROGRAM IS TO CONNECT TO LOWER RESOURCE, LOWER INCOME, UNINSURED AND UNDER INSURED COMMUNITIES WITH THE PRIMARY NEED AND DESERVE.

AND SO HERE AT COMMUNITY CARE WE HAVE THE PRIVILEGE AND HONOR OF CARING FOR TRAVIS COUNTY RESIDENTS, AUSTIN RESIDENTS WHO ARE LOWER INCOME, LOWER RESOURCE, AND UNINSURED OR UNDERINSURED.

IN 2019 WE PROVIDED CARE TO 116,000, 175 UNIQUE INDIVIDUALS FOR ALMOST 400,000 CONTACTS OR PATIENT VISITS WITH A MEDICAL PROVIDER.

A DENTAL PROVIDER OF BEHAVIORAL HEALTH PROVIDER CERTAINLY OPERATES 27 CLINICS ACROSS THE AREA.

THE VAST MAJORITY OF THEM ARE LOCATED IN THE CITY OF AUSTIN PROPER.

UH, BUT WE DO OPERATE, UH, BOTH OUTSIDE THE CITY OF AUSTIN WITHIN TRAVIS COUNTY.

AND WE ACTUALLY HAVE TWO CLINICS NOW OUTSIDE TRAVIS COUNTY AS WELL.

ONE IN BASTROP AND ONE IN ROUND ROCK.

UM, WHEN WE TAKE A LOOK AT OVERALL SERVICES, IT'S ONLY POSSIBLE BECAUSE OF THE STRONG PARTNERSHIPS WE HAVE.

AND SO OUR RELATIONSHIP WITH CENTRAL HALL BUSINESS, UH, THEY SIMILAR TO THE CITY OF AUSTIN YEARS AGO AS THE, UH, THE ACTUAL GRANT WITH THE FEDERAL GRANT AWARD AS A HEALTH CENTER PROGRAM.

UH, BUT GIVEN NUANCES RELATIVE TO GOVERNANCE, COMMUNITY CARE ACTUALLY IS OPERATING AND WE HAVE OUR OWN SEPARATE BOARD OF DIRECTORS THAT'S RESPONSIBLE FOR THE DAY TO DAY OPERATIONS AND GOVERNANCE RELATIVE TO THAT.

AND SO CERTAINLY OUR BOARD OF DIRECTORS, OUR PARTNERS THAT CENTRAL HEALTH AS WELL AS OUR RELATIONSHIP WITH US AND PUBLIC HEALTH IS REALLY GOT AHEAD AND HELPED US SUPPORT THE COMMUNITIES THAT WE'RE, WE'RE SO PRIVILEGED TO SERVE.

UH, ONE OF THE THINGS THAT WE HAVE AT COMMUNITY CARE THAT'S EXTREMELY IMPORTANT TO US, UH, IS OUR VISION, WHICH IS REALLY ACHIEVING HEALTH FOR ALL.

AND A LOT OF WHAT WE'RE GOING TO BE TALKING ABOUT RELATIVE TO CORONA VIRUS REALLY IS ABOUT HOW WE'RE TRYING TO MAINTAIN AND INCREASE AND STRENGTHEN THE HEALTH AND WELLBEING OF THE SWEETIES.

WE SERVE AT THE SAME TIME, ALL ACHIEVING GREATER HEALTH EQUITY.

SO THROUGHOUT OUR ENTIRE RESPONSE COUNCIL MEMBERS IN THEIR ADLER, WHAT WE HAD AT THE FORUM

[00:45:05]

IT'S NOT CUTTING OUT FOR US.

WOULD IT HELP IF I WOULD NEED A NEW TOOL? UM, UH, DR CORNEA WHERE WE'RE NOT HEARING YOU, YOU TAILED OFF CAUSE YOU CAN'T HEAR YOU.

YES, THAT WOULD BE GOOD.

THANK YOU.

NOW I CAN'T HEAR YOU AND WE LOST YOU AS YOU WERE BEGINNING TO GET TO THIS SLIDE, BUT NOW YOU'RE UNMUTED.

NOW YOU'RE MUTED AGAIN.

I THINK I NEED TO UNMUTE AND TURN OFF YOUR PHONE.

TRY SPEAKING NOW.

DR FORNIA.

YES, WE'RE, WE CAN HEAR YOU.

OKAY, PERFECT.

SO SORRY ABOUT THAT.

WE WERE THOUGHT WE'D BE SAFER TO HAND AROUND THE PHONE SO YOU CAN HEAR US, BUT WE'LL GO THROUGH THE COMPUTER.

MY APOLOGIES.

UM, THE NEW NORM FOR ALL OF US.

UM, SO WHAT I WAS SAYING IS, IS THAT AS I ADVANCED THAT SLIDE, OUR GOAL HERE AT COMMUNITY CARE IS REALLY TO GO AHEAD AND STRENGTHEN THE HEALTH AND WELLBEING OF THE COMMUNITIES WE SERVE.

COUPLED TO THAT IS WE HAVE CORE AS OUR MISSION STRENGTHENING AND LOOKING AT ACHIEVING HEALTH EQUITY FOR ALL WITHIN THE COMMUNITY.

AND THAT REALLY REFLECTS OUR RESPONSE RELATIVE TO THE CORONA VIRUS PANDEMIC.

AND ONE OF THE THINGS THAT WE'VE LOOKED AT FOR VERY EARLY ON IN OUR PLANNING THAT DATES BACK TO FEBRUARY RELATIVE TO PREPARATIONS FOR CORONAVIRUS WAS REALLY OUR TOP PRIORITIES OF LOOKING AT HOW DO WE SAFEGUARD THE HEALTH AND WELLBEING OF BOTH OUR PATIENTS WHO ARE COMING IN EGRESSING INTO OUR FACILITIES AND OUR STAFF AS WELL.

AND KEY TO THAT AND IN VERY EARLY ON TO THE RESPONSE WAS MAKING SURE WE HAD ADEQUATE ACCESS TO PERSONAL PROTECTIVE EQUIPMENT.

ANOTHER TOP PRIORITY FOR US WAS ENSURING THAT WE HAD ACCESS AND MAINTENANCE OF OUR ACCESS TO OUR HEALTHCARE SERVICES, ESPECIALLY AS CORONAVIRUS BECAME MORE PREVALENT WITHIN THE COMMUNITY AT LARGE AND WE WERE LOOKING AT PROTECTIVE MEASURES BOTH FOR OUR STAFF AND FOR PATIENTS.

AND SO COUPLED TO THAT WAS COMMUNICATION STRATEGIES, BOTH INTERNAL AND THEN ALSO EXTERNAL AND WE WANTED TO MAKE SURE THAT KEY TO OUR RESPONSE AS ALWAYS IS LOOKING AT DATA TO INFORM OUR DECISION MAKING, INCLUSIVE OF HOW OUR SERVICES WERE BEING RENDERED, HOW THEY NEEDED TO CHANGE AND ADAPT TO THE CITY TO THE NEW NORMAL.

THAT EVOLVED WITH CORONAVIRUS AND THEN ALSO COUPLED TO THAT IS HOW WE WERE GOING TO USE DATA TO INFORM OUR TESTING STRATEGIES.

AND SO SOME OF THE MITIGATION STEPS THAT WE PUT IN VERY EARLY ON REALLY INVOLVED AND BASED ON DR ASCOT AND APHS DIRECTIVE, REALLY TAKING A LOOK AT HOW FOLKS ARE ENTERING INTO OUR FACILITIES, INCLUSIVE OF OUR STAFF MEMBERS WHO WERE SCREENING TWICE DAILY.

BUT EVERYONE WHO COMES INTO OUR FACILITY, FACILITIES BEING PRESCREENED.

SO WE'RE ACTIVELY MONITORING FOLKS THAT WAY.

UH, PLEASED TO SAY THAT WE'VE, UH, HAD 12 OF OUR STAFF MEMBERS AND I 12 SOUNDS LIKE TOO MANY.

UH, ACTUALLY ONE IS TOO MANY, BUT 12 OUR STAFF MEMBERS HAVE TESTED POSITIVE TO DATE OF THOSE 12 THOUGH WE DO KNOW THAT 11, UH, WERE MOST LIKELY CONTRACTED THROUGH COMMUNITY EXPOSURE AS OPPOSED TO WITHIN OUR ENVIRONMENT AND ONE INDIVIDUAL PERHAPS WITHIN OUR ENVIRONMENT.

SO I THINK THAT SPEAKS TO THESE, THESE GUIDANCE THAT'S COME THROUGH APH REALLY IN TERMS OF PROTECTING NOT ONLY OUR STAFF AND THE HEALTHCARE WORKERS THAT ARE PUTTING THEMSELVES AND THEIR FAMILIES ON THE LINE, BUT ALSO OUR PATIENTS THAT ARE COMING THROUGH.

WE ALSO VERY EARLY ON AS MANY OF YOUR WORK SET UP FOR CORONAVIRUS HOTLINE THAT WASN'T DIRECTED JUST TO OUR PATIENTS, BUT IT WAS DIRECTED TO CUNY MEMBERS AT LARGE.

BUT IN PARTICULAR TO INDIVIDUALS WHO ARE UNINSURED OR UNDER INSURED.

AND ESPECIALLY AS LOW AS THAT LACKED A PRIMARY CARE PROVIDER.

WE MADE THE ASSUMPTION THAT OUR PATIENTS WOULD KNOW HOW TO FIND US BECAUSE THEY FIND US REGULARLY.

BUT WE ALSO WANTED TO MAKE SURE THAT WE WERE EXTENDING THAT OUT.

SO THAT NUMBER IS FIVE ONE, TWO NINE, SEVEN, EIGHT, EIGHT, SEVEN, SEVEN, FIVE THAT'S OPERATING EVERY DAY OF THE WEEK STILL.

AND WE'RE AVERAGING ANYWHERE FROM THREE TO 400 CALLS A DAY.

WHEN WE TAKE A LOOK AT THAT.

ALSO VERY EARLY ON INTO OUR RESPONSE, WE GET THEM IMPLEMENTED DRIVE-THROUGH TESTING AND DR SALSA, WE'LL TALK ABOUT OUR HANCOCK TRACK THROUGH TESTING AND JUST A MOMENT.

BUT WE ALSO WENT AHEAD AND TRANSITIONED THE MAJORITY OF OUR SERVICES TO TELEPHONIC AND TELEMEDICINE.

AND DR. SHAW HAS THE NEXT SLIDE.

SO HE'S GOING TO TALK SPECIFICALLY TO TELEPHONIC AND TELEMEDICINE AND JUST HOW RAPID WE WENT AHEAD AND MADE THAT SWITCH.

SO ALAN, PLEASE, WELL, I DO.

GOOD MORNING MARK.

[00:50:03]

YOU KNOW, I'M PRETTY PROUD OF THAT.

WE SAW THAT 2001 WHEN IT HIT OUR, UM, CRITICAL URGENT PATIENTS OUT OF CLINIC.

UM, WELL WE, UH, YOU KNOW, TRY TO CATCH UP OR PLAY AND UM, AND LEARN HOW TO, UM, WITHIN THE SPAN OF FOUR OR FIVE DAYS, UH, WE TRANSITIONED TO A TELEPHONIC AND A VIDEO BASED, UM, CARE MODEL AND WE NOW CONDUCT ABOUT 70% OF OUR CARE REMOTELY.

AND THEY'RE SEEING BETWEEN 1300 AND 1400 PATIENTS, PATIENTS A DAY.

YEAH.

UH, IN MID MARCH WE ALSO STOOD OUT OUR HANCOCK DRIVE DRIVE THROUGH, UM, TESTING SITES.

THAT SITE WAS SELECTED AS AIDEN WAS CENTRAL TO THE PATIENTS, UM, THAT WE SERVE TODAY.

WE'VE HAD OVER 4,000 INDIVIDUALS, UM, VISIT THAT SITE, BOTH PATIENTS AND NON-PATIENTS.

UM, WE'VE TESTED WITH A LITTLE OVER 70%, AND WE'VE TESTED ABOUT 3000 INDIVIDUALS.

WE FOLLOW THE CDC GUIDELINES, YOU KNOW, AS FAR AS TESTING AS THE AVAILABILITY OF TEST HAS BECOME, UM, OR AS TESTS HAVE BECOME MORE AVAILABLE.

SO WE'VE BEEN ABLE TO LIBERALIZE OUR TESTING AND GO FROM KIND OF THE HIGHEST PRIORITY GROUPS TO LOWER PRIORITY GROUPS.

OKAY.

MAN, I THINK WE'RE GETTING SOME ECHO AND IT MIGHT BE YOU AND JASON NEEDING TO MEET PEOPLE THAT HAVE THEIR COMPUTERS ON AND THEIR PHONES ON ONE SOURCE OF TIME.

SO WE'RE GETTING AN ECHO.

UM, HOW WAS THAT? IT'S, IT'S HIGHLIGHTING FOR ME JASON'S SCREEN AND SO I HAVE TO CALL YOU OUT AND SUPPORT THAT, BUT IT MIGHT BE PLAYING LIKE YOU COULD FIND A WAY TO MAYOR HUMANA.

WE'RE GOING TO DO IT.

THEY'RE GOING TO DO IT THE OLD FASHIONED WAY FOR SHUTTING DOWN ALL THAT TECHNOLOGY.

SO WE'RE, WE'RE SHARING OFF ONE, ONE COMPUTER.

SO HOPEFULLY YOU CAN HEAR ME FINE NOW.

OKAY, GREAT.

OKAY.

ALRIGHT, SO I'M GOING TO GO THROUGH A FEW SLIDES HERE VERY QUICKLY, BUT UM, THAT I THINK ARE REAL INFORMATIVE RELATED TO, UM, ADDITIONAL TESTING AND SOME DEMOGRAPHIC INFORMATION.

SO WE DID WANT TO, UM, WE DID WANT YOU TO BE AWARE THAT BEYOND JUST OUR, OUR HANCOCK LOCATION, WE DID EXPAND TO THE EASTERN CRESCENT SITES, UM, TO EXPAND, UH, TESTING ALONG.

SO WE HAVE FOUR SITES THERE.

AND THEN WE ALSO HAVE TO, UH, DRIVE UPSIDES.

OVERALL.

WE'VE SCREENED OVER 500 PEOPLE AND TESTED, UM, A LITTLE OVER 480 INDIVIDUALS AND THE DEMOGRAPHIC INFORMATION AND THE BREAKDOWN IS THERE FOR, FOR YOUR REVIEW.

WOW.

AND SO, UM, THE OTHER THING WE ALSO, UM, LIKE TO BE ABLE TO DEMONSTRATE IS THEN OVERALL WHAT OUR POSITIVITY RATES, UM, UH, HOW THEY'RE PRESENTING, UH, OBVIOUSLY BY GENDER, RACE, AND ETHNICITY.

SO I'LL GO THROUGH SOME OF THESE SITES VERY QUICKLY FOR YOUR REVIEW.

THE FIRST THING IS THAT YOU CAN SEE OVERALL THAT WE HAVE A SLIGHTLY HIGHER RATE OF POSITIVITY, UH, OR EXCUSE ME, TESTING FOR MALES THAN FEMALES.

AND SOME OF THE REASONS FOR THAT, UM, UH, HAVE BEEN, UM, REVIEWED OVER THE PREVIOUS PRESENTATIONS.

UM, ALSO WE WANTED TO REVIEW AROUND REGARDING AGE.

AS FAR AS POSITIVITY.

YOU CAN SEE WE HAVE, UM, A 653 INDIVIDUALS AND THE HIGHEST, UH, AGE GROUP, WHICH IS 18 TO TWO 64 RANGE.

UM, AND THESE, WHAT YOU SHOULD TAKE FROM THIS IS THESE ARE THE INDIVIDUALS WHO ARE PRESENTING TO THE TESTING CENTER.

UM, AND THIS IS, THIS IS THE AGE RANGE THAT WE HAVE.

UH, AND YOU CAN SEE HOW THAT COMPARES AS FAR AS THE OVERALL POSITIVITY RATE.

UM, UH, BASED ON AGE.

UM, WE ALSO WANT TO DISCUSS AS FAR AS THE COMPARISONS OF INDIVIDUALS WHO ARE SEEING U S COMMUNITY CARE PATIENTS, UH, TO THOSE OF THE GENERAL PUBLIC WHO ARE COMING TO THE TESTING CENTER.

SO WHAT YOU CAN SEE OVERALL THAT ARE OUR POSITIVITY RATES.

UM, THEY, THEY'RE, THEY'RE NEAR EACH OTHER BUT THEY'RE SLIGHTLY HIGHER FOR OUR NANCI UC PATIENTS.

UM, WE HAD A HIGHER, UM, A DISCREPANCY BETWEEN THE TWO EARLY

[00:55:01]

ON, BUT WE'RE STARTING TO SEE, UM, AN INCREASE IN THE CQC NUMBERS.

UM, I THINK IT'S ALSO IMPORTANT IF THE PERCENTAGES, AS FAR AS THE, THIS IS ALWAYS BASED ON THE NUMBER OF TESTS THAT HAVE BEEN RETURNED AND THERE'S ALWAYS A GAP RELATED TO THE RETURN RATE BECAUSE YOU KNOW, FROM THE TIME YOU COLLECT THE TEST TO WHEN YOU GET THE RESULTS BACK ON THAT AS WELL.

SO WE'RE SWITCHING OVER TO DR SCHALL CHANEL.

ALRIGHT.

UM, HELLO AGAIN.

UM, YOU, UH, WHEN WE LOOK AT OUR POSITIVITY RATE, YOU CAN SEE WE'VE HAD, UM, A RATE THAT HAS BEEN TRANSITIONING, BUT POSITIONING, UM, AS FAR AS INCREASING GRADE, REALLY THROUGH THE MIDDLE OF MARCH, UM, UH, THE, UH, POSITIVITY RATE AND BY ETHNICITY, UM, YOU CAN SEE THE HIGH RATE AS FAR AS OUR LATIN X, UM, PATIENT POPULATION.

AND WE'LL GET INTO MORE SPECIFICS IN A SECOND.

UM, AND THEN AGAIN THROUGH THE BEGINNING OF MARCH, YOU CAN SEE OUR TRANSITION, UM, APRIL, THE END OF APRIL THROUGH THE FIRST WEEKEND MAY WAS KIND OF OUR HIGH POINT WITH 21.41% AS FAR AS POSITIVITY RATE.

UM, AND WE'RE A LITTLE OVER 19%.

NOW AGAIN, THAT RATE HAS BEEN, UM, GRADUATED GRADUALLY INCREASING.

UM, WHEN WE'RE LOOKING AT, UM, THOSE INDIVIDUALS WHO ARE AFRICAN AMERICAN WHO HAVE VISITED OUR TESTING SITES.

UM, AT THE END OF APRIL, UM, WE HAD, WE HAD A POSITIVITY RATE OF ABOUT 3.5%.

AND YOU CAN LOOK AT THE 10% INCREASE, UM, FOR, UH, FROM THAT DATE TO MAY 10TH THROUGH MAY 16TH.

NOW OF NOTE, PLEASE NOTICE THAT, UM, WE HAD, UM, TWO INDIVIDUALS WHO WERE POSITIVE THEN AND WE HAVE SIX INDIVIDUALS, UM, WHO TESTED POSITIVE THE NEXT, UM, YOU KNOW, THAT WEEK LATER.

SO THE END IS REALLY SMALL THOUGH.

THAT POSITIVITY RATE HAS DEFINITELY INCREASED, UM, FOR THE WHITE ONLY YOU CAN SEE, UM, AGAIN, ANOTHER JUMP IN THE POSITIVITY RATE HERE.

THE TESTING NUMBER ACTUALLY WAS LOWER THAN THE WEEK BEFORE.

UM, THE NUMBER OF INDIVIDUALS FOUND POSITIVE WAS ONE MORE THAN THAN THE WEEK BEFORE.

UM, FOR OUR LATIN X POPULATION, YOU CAN SEE THE TREND HAS BEEN GRADUALLY INCREASING.

UM, THE WEEK OF APRIL 26TH TO, UM, TO MAY 2ND WAS OUR HIGHEST POINTS.

UM, DURING THAT WEEK WE HAD A COUPLE OF DIFFERENT CONSTRUCTION SITES, UM, THAT VISITED OUR TESTING SITE.

AND, UM, ONE OF THE EXAMPLES THAT I'VE GIVEN PREVIOUSLY IS WE HAD ONE CONSTRUCTION COMPANY IN WHICH 48 INDIVIDUALS, UM, VISITED, VISITED OUR SITES.

UM, AND 26, UM, TESTS TESTED POSITIVE.

UM, THE, UM, AND YOU CAN SEE OUR POSITIVITY RATE NOW IS STILL, UM, A LITTLE OVER 24%, UM, TESTING, UM, BY WEEK AS FAR AS, UM, LOOKING AT, UM, INDIVIDUALS WHO ARE NOT OUR PATIENTS VERSUS OUR PATIENTS.

AGAIN, YOU CAN SEE A GRADUAL INCREASE, UM, AS RELATED, UM, TO THE POSITIVITY RATES.

SO I THINK, UM, COUNCIL MEMBERS, MAYOR ADLER, UH, MS. HAYDEN AND UH, MR KROENKE, WHEN YOU TAKE A LOOK AT THIS DATA AND DR ASCOT, WE'VE GOT SOME TRENDS THAT ARE PRETTY INDICATIVE OF WHAT WE'RE SEEING WITHIN OUR TESTING SITES.

UM, NOT JUST WITH OUR HAYCOCK TESTING SITE WHERE WE'VE ACTUALLY PROVIDED ALMOST 3000 UNIT TESTS, BUT ACROSS OUR SYSTEM, UH, THE END OF LAST WEEK WE WERE AT AND ALMOST 4,600 UNIQUE TESTS THAT WERE PROVIDED.

AND WE'RE AVERAGING RIGHT NOW BETWEEN ABOUT 150 TO 200 TESTS ACROSS OUR SYSTEM.

UM, THE TRENDS ARE AGAIN, SPECIFIC TO ARE THOSE THAT WE'RE SEEING WITHIN OUR CLINICS OR HEALTH CENTERS WITHIN OUR TESTING SITES.

BUT WE DO THINK THAT IT'S INDICATIVE OF WE'RE CORONAVIRUSES WITHIN THE COMMUNITIES WE SERVE.

AND SO WE, WE CAN'T UNDERSCORE THAT ENOUGH.

WE THINK THAT WHEN WE'RE TAKING A LOOK AT THIS DATA AND KNOWING THAT THINGS ARE OPENING BACK UP, UH, WE THINK IT'S EXTREMELY IMPORTANT FOR US NOT ONLY TO CONTINUE THE TESTING THAT WE'VE BEEN DOING, BUT ALSO TO EXPAND THAT TESTING.

SO TO GIVE YOU A SNAPSHOT, JUST FROM A GEOCODE PERSPECTIVE, THIS IS ALL OUR TESTS.

THIS IS A HEAT MAP THAT YOU'RE WORKING AT AND THIS IS GIVING YOU AN IDEA OF THE TESTING THAT WE'VE DONE TO DATE.

AND THIS IS ACTUALLY FROM LATE LAST WEEK.

SO THERE'S PROBABLY ANOTHER FIVE, 600 TESTS THAT HAVE OCCURRED IN THE INTERVENING TIME.

BUT WITH THAT STATED, WHAT YOU'RE WORKING AT HERE AND WHAT WE WANT TO SEE IS, IS BECAUSE THE PATIENTS AND POPULATIONS WE SERVE AND THE COMMUNITIES THAT WE SERVE ARE MOSTLY EAST OF OR NORTH, UH, ALONG RUNDBERG, NORTH AUSTIN AND THEN INTO THE, THE EASTERN

[01:00:01]

PORTION OF TRAVIS COUNTY AND INTO THE, WHAT'S KNOWN AND REFERRED TO SINCE 2015 IS THE EASTERN CRESCENT BASED ON THE CITY DEMOGRAPHERS WORK.

WHEN WE TAKE A LOOK AT THAT, WE'RE SEEING TESTING, HITTING A LOT OF THE AREAS THAT WE WOULD WANT TO SEE.

WE'RE SEEING DOWN IN THE DOVE SPRINGS COMMUNITY, WE'RE SEEING RIVERSIDE MONTOPOLIS, WE'RE SEEING DEL VALLEY, WE'RE SEEING AUSTIN'S COLONY AND HORNSBY, BEN