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[00:00:05]

AND I'LL CALL THE MEETING TO ORDER.

I'M GONNA START WITH, UM, AND ACTUALLY I BELIEVE THERE WERE SOME COUNCIL MEMBERS WHO WANTED TO SAY A FEW WORDS, UH, BEFORE WE GET STARTED.

AND I'M GOING TO RECOGNIZE THE COUNCIL FOR HARVARD MADISON.

UH, GOOD MORNING COLLEAGUES.

UH, I, I WOULDN'T SAY FORGIVE MY PARENTS, BUT I DON'T HAVE ANYTHING TO APOLOGIZE FOR.

I, UM, I SUSPECT A LOT OF US HAD A REALLY LONG AND VERY SLEEPLESS WEEKEND.

UM, I WOULD BE REMISS TO NOT START THIS MEETING BY SAYING THIS WEEKEND, THIS WEEKEND WE SAW THOUSANDS OF AUSTINITES TAKE TO THE STREETS AND WHAT WERE LARGELY PEACEFUL DEMONSTRATIONS.

CAN EVERYONE PLEASE MUTE THERE? PLEASE CALL PLEASE MUTE.

SO I WAS SAYING, UM, THIS WEEKEND WE SAW THOUSANDS OF AUSTINITES TAKE TO THE STREETS AND, UH, AND WHAT WERE LARGELY PEACEFUL DEMONSTRATIONS, UM, AGAINST AN ABSOLUTELY BROKEN SYSTEM.

THERE IS A DEEP, DEEP AND JUSTIFIED RAGE ACROSS THIS COUNTRY.

AND HERE RIGHT HERE, RIGHT NOW IN OUR FAIR CITY AND OUT OF CONTROL, PANDEMIC HAS KILLED MORE THAN A HUNDRED THOUSAND AMERICANS.

AND WE HAVE THE KIND OF LEVELS OF UNEMPLOYMENT NATIONALLY THAT THIS COUNTRY HASN'T SEEN SINCE THE GREAT DEPRESSION, THE DEATHS OF PEOPLE LIKE GEORGE FLOYD, MY GRANDMA'S BRIANNA TAYLOR, CONTINUE TO HIGHLIGHT THE RACISM EMBEDDED IN OUR CRIMINAL JUSTICE SYSTEM.

UM, I FELT LIKE WE REALLY JUST COULDN'T START THIS MEETING WITHOUT SAYING THAT THE AUSTINITES THIS WEEKEND WHO PROTESTED, THEY WERE AN ARE JUSTIFIABLY FURIOUS.

AND YOU KNOW, THIS ISN'T A QUOTE THAT YOU'RE NOT FAMILIAR WITH, BUT I'LL REPEAT IT.

DR.

T SAID IT, A RIOT IS THE LANGUAGE OF THE UNHEARD.

AND JUST TO BE CLEAR THIS WEEKEND, WHAT HAPPENED THIS WEEKEND, THAT WAS NOT A RIOT.

THAT WAS THE DEMAND TO BE HEARD OUR RESIDENTS.

THEY WANT US TO HEAR THEIR PAIN.

THEY WANT TO SEE YOU, THEIR OUTRAGE.

THEY WANT THIS LONG OVERDUE CHANGE TO SYSTEMS THAT PROTECT THE PRIVILEGE WHILE TRAUMATIZING BLACK GROUND AND OTHER MARGINALIZED PEOPLE.

I JUST WANTED TO TAKE THE MOMENT TO MAKE SURE TO SAY, WE CANNOT CONTINUE TO STICK OUR FINGERS IN OUR EARS AND JUST WAIT FOR THE NEXT ERUPTION OF ANGER.

I'M JOINED WITH MY COLLEAGUES.

AND WE'RE ASKING FOR A COUPLE OF VERY SPECIFIC THINGS THIS WORK WEEK THAT WE CAN BUILD UPON.

WE HAVE GOT TO, YOU KNOW, WE ARE OBLIGATED.

WE HAVE GOT TO START TO ROOT OUT THE RACISM IN OUR POLICE DEPARTMENT AND TO CREATE A TRULY JUST, AND TRULY EQUITABLE SYSTEM THAT ENSURES THAT PUBLIC SAFETY IS ACCESSIBLE TO ALL MEMBERS OF OUR COMMUNITY, THE ENTIRE COMMUNITY, NOT CERTAIN SEGMENTS OF OUR COMMUNITY.

SO WHEN WE'RE TALKING ABOUT MEANINGFUL CHANGE, WHEN WE'RE TALKING ABOUT HOW TO MOVE FORWARD, EQUITABLY, ALL THE OPTIONS SHOULD BE ON THE TABLE.

AND I THINK THAT MEANS WE REALLY SHOULD LOOK AT ACCOUNTABILITY MEASURES.

UM, THE ACTION THAT WE TOOK BACK IN DECEMBER AND MOVING FORWARD WITH SHIFTING AND FRANKLY, FRANKLY, SHIFTING TRAINING POLICIES AND CROWD CONTROL TACTICS AND HOW WE EQUIP OUR OFFICERS, WHAT COMMUNITY POLICING ACTUALLY LOOKS LIKE.

YOU CAN'T JUST TAKE THE WORD COMMUNITY AND PUT IT IN FRONT OF POLICING AND THINK WE HAVE SOMETHING THAT'S NOT HOW IT WORKS.

IT'S MORE THAN JUST WORDS OR THE WORDS DO MATTER.

IT'S MORE THAN JUST WORDS.

IT'S ACTIONS.

WE HAVE TO LOOK AT STAFFING.

WE HAVE GOT TO LOOK AT OUR BUDGETS AND I KNOW THAT I'M RESOUNDING THE SENTIMENT OF SO MANY OF OUR CONSTITUENTS.

WHEN I SAY THAT THE TIME FOR TALK IS ABSOLUTELY OVER.

AND I HOPE MY COLLEAGUES CAN HEAR ME WHEN I SAY, CAUSE I'M SAYING IT ALONGSIDE THEM, WE HEAR THEIR COLLECTIVE VOICE, BUT I WANT TO ADD MY VOICE TO THOSE SELECTIVE VOICES OF AGONY CALLING

[00:05:01]

FOR DEMANDING JUSTICE.

AND MY HOPE IS THAT MY COLLEAGUES AND I WILL ANSWER THAT CALL.

WE GOT GUYS, WE ABSOLUTELY HAVE AN OBLIGATION TO RESPOND.

AND MY HOPE IS THAT WE WILL AND DO THROWN AWAY THAT'S SUBSTANTIVE AND MEANINGFUL.

I DON'T WANT TO START THIS MEETING WITH GOOD MORNINGS.

AND HOW ARE YOU IS, AND I KICKED MY KID OUT, ASKING ME TO HELP HER WITH THE OATMEAL, BUT I DON'T HAVE TIME FOR THAT.

I REALLY WANT TO MAKE CERTAIN THAT WE ARE SAYING THE WORDS WE ARE RECOGNIZING PEOPLE'S FRUSTRATION AND ANGER AND WHERE IT CAME FROM.

LET'S REVERSE ENGINEER THIS DAY.

WHAT'S, WHAT'S THE SOURCE OF IT.

AND I THINK WE ALL KNOW.

AND SO I WOULD ASK FOR FORGIVENESS FOR SOUNDING ANGRY, BUT I DON'T NEED FORGIVENESS FOR SOUNDING ANGRY.

I AM ANGRY AND I AM HURT AND I AM SAD AND YOU SHOULD BE SO.

AND IF YOU'RE NOT, THEN I DON'T KNOW WHAT TO TELL YOU.

AND I REALLY APPRECIATE YOU LETTING ME START THE MEETING.

BUT MY HOPE IS THAT WE DON'T SPEND THE MORNING AND THE DAY SITTING HERE LIKE BUSINESS AS USUAL, LIKE NOTHING JUST HAPPENED ON THE STREETS OF HARDEST CITY THIS WEEKEND.

AND IT DIDN'T START WHEN GEORGE FORD, IT DIDN'T START WITH MY GRANDMAS.

I COULD NAME NAMES ALL DAY AND THAT'S A DAMN SHAME.

Y'ALL WE SHOULD ALL BE SAD AND MAD RIGHT NOW.

AND I'M EVEN HAVING A HARD TIME, JUST COMPOSING MYSELF TO REMAIN IN MY SEAT TO HAVE THIS MEETING TODAY.

I DON'T KNOW ABOUT YOU, BUT I DIDN'T GO TO SLEEP UNTIL SIX 30.

I'VE BEEN IN KNOTS AND SLEEPLESS FOR DAYS ON END.

AND IT'S NOT ABOUT ME.

IT'S ABOUT OUR COMMUNITY.

IT'S ABOUT PEOPLE WHO LOOK LIKE ME.

PEOPLE WHO LOOK LIKE DAHLIA AND GREG AND PEO IT'S ABOUT POOR PEOPLE BECAUSE IT TURNS OUT NOT ALL FOUR PEOPLE LOOK LIKE ME OR DELI AND GREG AND PEO IT'S ABOUT PEOPLE EXISTING IN THE MARGINS.

AND WE HAVE GOT TO ACT IF WE DON'T DO ANYTHING ELSE WITH OUR TIME, WE HAVE GOT TO ACT IN ANY WAY THAT PEOPLE KNOW THAT WE SEE THEM AND WE HEAR THEM NOW LOUD AND CLEAR.

AND I JUST WANTED TO MAKE SURE TO BE VERY CLEAR ABOUT THAT.

AND YOU GUYS WILL HAVE TO FORGIVE ME IF I'M LARGER THAN YOU TODAY, BECAUSE I JUST AM STRUGGLING TO FIND THE STRENGTH.

THANK YOU, COUNCIL MEMBER, HARPER, MADISON, AND I HOPE YOU UNMUTE YOURSELF MORE AND SPEAK YOUR HEART MORE.

I, I, UH, I DON'T, I DON'T FEEL LIKE I CAN ADD ANYTHING TO DO WHAT YOU JUST SAID.

SO THANK YOU.

UM, AND KNOW THAT I KNOW I CAN ONLY SPEAK FOR MYSELF, BUT I FEEL LIKE I COULD SPEAK FOR THIS COUNCIL THAT WE ARE 100% SUPPORTIVE OF HOWEVER WE CAN HELP YOU.

WE'RE HERE.

UM, MAYOR, I THINK YOU'RE ABLE TO, UM, BE HEARD NOW, CAN YOU ALL HEAR ME, COUNCIL MEMBER HARPER, MADISON, THANK YOU FOR WHAT YOU'VE SAID.

UM, AND, AND YOU'VE SAID IT SO WELL THAT, THAT I, I ECHO WHAT DELEA JUST SAID, THAT, THAT, UH, NONE OF US COULD SAY IT BETTER.

UM, I THINK IT'S, AND WE WANT TO SUPPORT YOUR WORK, BUT WE ALL TAKE UP THIS WORK, EVERY SINGLE ONE OF US AS PART OF THE CITY GOVERNMENT TO NOT BE DEFENSIVE, BUT TO, TO HEAR WHAT IS HAPPENING TO RESPOND TO, TO OPEN OUR HEARTS, UM, AND TO CHANGE WITHIN EACH OF US AND TO CHANGE OUR PRIORITIES, UH, BECAUSE WE WORK ON THIS ALL THE TIME HERE, BUT IT'S SO CLEAR THAT WE HAVEN'T DONE ENOUGH.

AND WHAT YOU'RE SPEAKING TO IS THAT WE, UM, WE AREN'T EVEN CLOSE THE, THE, UH, MLK QUOTE THAT YOU MENTIONED IS THAT, UM, IS REALLY POWERFUL.

AND THE OTHER PART, THE NEXT PART OF THAT QUOTE, I THINK YOU JUST REPHRASED IT SO PERFECTLY IN YOUR OWN WORDS, WHICH IS THAT SOCIAL JUSTICE, UH, AND PROGRESS ARE THE ABSOLUTE GUARANTOR'S OF RIOT PREVENTION.

THAT IF WE ACTUALLY CARE, IF WE WANT TO DO SOMETHING, THEN WE CAN DO, WE CAN STEP UP AND DO SOMETHING AND REPEAT THE NAMES OF GEORGE FLOYD AND MIKE RAMOS AND DAVID JOSEPH.

AND, BUT THEN TAKE THOSE WORDS INTO, INTO ACTION AND TAKE THEM TO HEART.

I'M I'M UPSET.

UM, WHEN I RECOGNIZE IT, YOU KNOW, IN THIS JOB, YOU TRY TO BE GRACEFUL AND PROFESSIONAL, BUT I RECOGNIZE THAT I'M UPSET AND I'M HURT.

UM, AND, AND SAYING

[00:10:01]

THAT AND EMBRACING THAT AND TURNING THAT INTO CHANGE IS IMPORTANT FOR EACH OF US TO DO AS YOU HAVE SHOWN.

SO, SO POWERFULLY, UM, THIS MORNING, UM, I'M ALSO UPSET ABOUT, UM, HEARING FROM FOLKS THAT WERE OUT THERE PEACEFULLY, DEMONSTRATING THAT GOT HURT.

AND, UM, UH, AND I'M GLAD THAT WE ARE GOING TO BE ASKING THE HARD QUESTIONS ABOUT THAT ON THURSDAY, UM, MANAGER, I, I WAS IN TOUCH AND ASKING FOR US TO DO THINGS BEST WE COULD THIS WEEKEND.

AND I, I KNOW THAT IT'S A HARD AND CHALLENGING AND DYNAMIC SITUATION, BUT I'M UPSET ABOUT, ABOUT WHAT HAS HAPPENED TO SOME FOLKS, UM, IN THE PROCESS OF EXERCISING THEIR RIGHTS.

AND WE CAN'T, WE NEED TO TALK ABOUT WHAT HAPPENED AT THE PROTEST AND AS COUNCIL MEMBER HARPER, MADISON SAID, WE NEED TO TALK ABOUT WHAT'S AT THE ROOT OF IT, WHY THIS IS HAPPENING AND, AND WE NEED TO, TO TAKE THAT RESPONSIBILITY ON A HUNDRED PERCENT.

SO THANK YOU AGAIN.

UM, COUNCIL MEMBER, HARPER, MADISON, UM, FOR, FOR WHAT YOU'VE SAID, THANK YOU, COUNCIL MEMBER, HOPPER, MADISON, UM, LIKE, LIKE TELL YOU AND GREG SAID, IT'S YOU, YOU HAVE SAID IT SO WELL, BUT I THINK IT'S IMPORTANT THAT IT NOT JUST BE YOU ALL THAT SPEAK THIS, ISN'T GOING TO GET DONE.

IF, IF PEOPLE WHO LOOK LIKE ME, AREN'T FIGHTING THE FIGHT TO GET THIS DONE TOO.

I HAVE, IT HAS, IT HAS BEEN A TRUE HONOR STANDING ALONGSIDE THE THREE VIEW ON THE JUDICIAL COMMITTEE TO DO WHAT WORK WE COULD DO WITHIN THAT, THAT FRAMEWORK AND, AND OTHERS.

I AM READY TO DO BIGGER WORK, NOT BECAUSE OF THE PROTESTS, BECAUSE WE WERE ALREADY DOING WORK, BUT, BUT TO CONTEMPLATE THE TYPES OF CHANGES THAT MAYBE WE DIDN'T THINK WERE POSSIBLE BEFORE, BUT ARE NECESSARY.

NOW, THIS WEEKEND, I ALSO HAD SLEEPLESS NIGHTS, BUT I ALSO HAD CONVERSATIONS WITH FOLKS WHO HAD NOT TOLD ME THINGS THAT DEBT WAS IN THEIR EXPERIENCE BEFORE.

AND IT HAS CHANGED MY PERSPECTIVE ON SOME OF THE HARD CHOICES BEFORE THIS COUNCIL.

AND BEFORE THE MANAGER, WE'VE GOT TO MAKE THOSE CHOICES AND YOU GOTTA MAKE THEM SOON.

AND IT'S NOT GOING TO BE ENOUGH FOR THIS COUNCIL TO SAY WHOSE JOB IT IS TO DO IT.

THE COMMUNITY EXPECTS US TO DO IT.

THAT'S WHERE WE ARE.

AND WE'RE GOING TO HAVE A LOT OF MEETINGS THIS WEEK AND NEXT WEEK.

AND NONE OF THEM WILL FEEL SATISFYING TO US OR TO THE COMMUNITY.

WHEN I, WHEN I PUT MY STATEMENT OUT OVER THE WEEKEND, I, I VERY INTENTIONALLY SAID THAT THESE SYSTEMS ARE NOT DESIGNED TO GO QUICKLY.

AND THE SYSTEMS THAT WE OPERATE IN FRUSTRATE US AS MUCH AS THEY FRUSTRATE THEIR COMMUNITY, AND WE'RE GOING TO PUSH HARDER THAN WE EVER HAVE.

AND WE HAVE PUSHED HARD AS A COUNCIL AND WE WILL PUSH HARDER.

I DON'T WANT TO SEE COUNSELOR HOPPER, MADISON HAVE TO DO THAT AGAIN.

I DON'T WANT TO SEE ANYONE IN THIS COMMUNITY HAVE TO DO WHAT WE SAW THIS WEEKEND AND FEEL THAT LEVEL OF FRUSTRATION.

AND I DON'T KNOW THAT WE CAN AVOID IT, BUT WE CAN CERTAINLY DO EVERYTHING IN OUR POWER, EVERYTHING, MAYBE EVEN BEYOND OUR POWER TO TRY TO SOLVE THIS.

AND I, AND, AND, AND MOST CRITICALLY, IT CAN'T JUST BE THE VOICES OF PEOPLE THAT LOOK LIKE YOU.

IT HAS TO BE ALSO THE VOICES OF PEOPLE THAT LOOK LIKE ME.

OH, THAT'S OKAY.

THANK YOU.

I HADN'T PREPARED ANY REMARKS FOR A MOMENT LIKE THIS, BUT I FEEL LIKE I CAN'T BE QUIET ABOUT IT.

I REALLY APPRECIATE MY COLLEAGUES STANDING UP AND SPEAKING IN THIS WAY, IF Y'ALL HAVE NEVER BEEN A PART OF A PEACEFUL PROTEST, I HIGHLY RECOMMEND THAT YOU GO OUT AND DO IT.

IT IS LIFE CHANGING.

YOU WILL, MAY I, THE STRENGTH OF OUR COMMUNITY TO COME TOGETHER AND SUPPORT EACH OTHER, FEEL THE ANGER THAT GETS PEOPLE OUT.

AND YOU ALSO FEEL THE LOVE THAT PEOPLE HAVE FOR ONE ANOTHER AND USE THEIR VOICE AND TAKE THEIR SPACE AND TO HOLD IT FOR PEOPLE WHO DON'T FEEL SAFE ENOUGH TO DO IT ON THEIR OWN.

AND I'M PROBABLY, WE ALSO ONE OF THE FEW COUNCIL MEMBERS THAT KNOWS WHAT IT'S LIKE TO BE CHASED THROUGH THE STREETS OF DOWNTOWN AUSTIN, BY THE POLICE.

AND THIS WAS YEARS AGO, AND SOMEONE LIKE ME HAS MORE PRIVILEGE IN THIS TOWN THAN SOME OF MY OTHER COMMUNITY MEMBERS, WHICH SHOULDN'T BE TRUE, BUT WE HAVE TO FACE THE HARD REALITY IT IS.

AND WE REALLY NEED TO COME TOGETHER AS ALLIES AND ATTAIN, KNOW THAT WE NEED TO DEMAND FOR THIS WORK TO BE DONE, BECAUSE THERE ARE PEOPLE IN THIS COMMUNITY

[00:15:01]

WHO ARE GOING OUT TO SPEAK AND HOLD HANDS WITH EACH OTHER.

AND, AND TO SAY THAT THINGS NEED TO CHANGE.

AND YOU HAVE COMMUNITY MEMBERS IN THE HOSPITAL RIGHT NOW FOR DOING THAT.

AND I'VE SEEN HOW QUICKLY IT CAN GO FROM A VERY, VERY PEACEFUL PROTEST TO CONFLICT.

AND THAT'S VERY CONCERNING.

WE HAVE SEEN OTHER COMMUNITIES WHERE THE POLICE STARTED MARCHING WITH THE PROTESTORS.

AND I LOVE SEEING THAT.

AND I LOVE SEEING THAT OUR OWN POLICE FORCE SWITCHED GEARS YESTERDAY AND TRIED TO MARCH WITH OUR COMMUNITY MEMBERS.

WE REALLY NEED TO START COMING TOGETHER AND TRYING TO DO THIS TOGETHER AND TO NOT SEE THIS AS WE ARE BUTTING HEADS.

AND WE REALLY NEED TO FIGURE OUT A WAY TO DO THAT.

AND WE AS LEADERS ABSOLUTELY NEED TO CALL FOR THAT SORT OF CHANGE.

I JUST WANT TO CONCLUDE, THANK YOU, COUNCIL MEMBER HARPER, MADISON, THEN COUNCIL MARKS ARE, I THINK THE BUCK DOES STOP WITH US AS A COUNCIL.

MMM.

WE'RE THE ONES THAT CONTROL THE LEVERS THAT ARE AT OUR OPERATIVE HERE IN OUR COMMUNITY.

MMM.

CONVERSATIONS ABOUT RACE ARE DIFFICULT CONVERSATIONS.

UH, AND I SUGGEST THAT THAT IS PROCESS RIGHT NOW BEGINS WITH, WITH, WITH PEOPLE THAT LOOK LIKE ME DOING A LOT MORE LISTENING.

MMM.

AND ULTIMATELY, UH, AS WAS SAID, IT'S GONNA TAKE ALL OF US, ALL OF US ACTING.

I REALLY DO BELIEVE THAT THIS IS AN IMPORTANT WATERSHED MOMENT, UH, AND A HUGE OPPORTUNITY IN OUR CITY.

WE'VE TALKED ABOUT USING THIS TIME AND THIS VIRUS TO BE ABLE TO EXIT IT AS A BETTER PLACE.

AND WE NEED TO USE THIS MOMENT TO DO THE SAME THING.

I THINK WE HAVE THAT OPPORTUNITY IN FRONT OF US.

RIGHT.

WE'RE GOING TO GO AHEAD THEN AND BEGIN THIS MEETING MAYOR.

SOME OF THE REST OF US MIGHT WANT TO SAY SOMETHING.

I KNOW YOU CAN'T SEE ME.

OKAY.

THAT'S OKAY.

I JUST WANT TO SAY TWO THINGS.

UM, I, UM, AS, UH, AS MAYOR PER TERM SAID, UM, COUNCIL MEMBER, HARPER, MADISON, I AM SO IMPRESSED AND APPRECIATIVE OF YOUR WORDS.

UM, AT THE BEGINNING OF OUR MEETING, I CANNOT SAY IT ANY BETTER, BUT I WANT YOU TO KNOW, AND THE PUBLIC TO KNOW THAT IN MY HEART, I BELIEVE EVERYTHING THAT YOU SAID, AND THAT I AM COMMITTING AND RECOMMITTING.

AND I CAN'T SAY IT STRONG ENOUGH, WE WILL DO BETTER AS A COUNCIL.

AND WE WILL MAKE SURE THAT WHAT WE HAVE TALKED ABOUT IN THE PAST WILL GET DONE.

AND WE WILL WORK WITH OUR, OUR CITY MANAGER, OUR POLICE OFFICERS, OUR POLICE CHIEF, AND WE WILL MAKE CHANGE.

I AM COMMITTED TO THAT.

AND I WANT YOU TO KNOW THAT.

AND I WANT TO SAY, THANK YOU FOR YOUR WORDS THIS MORNING, COLLEAGUES, ANYONE ELSE WANT TO SPEAK FAIR? THANK YOU.

I WANTED TO ADD MY, THANKS TO MY COLLEAGUES, ESPECIALLY TO COUNCIL MEMBER PEPPER, MADISON, FOR HER WORDS, AND TO UNDERSCORE AND SUPPORT THEM.

AND JUST WANTED TO, TO RECOMMIT, TO BEING HERE TOO, AS THE MAYOR SAID, TO LISTEN, UM, TO SUPPORT AND TO, TO RE RECOMMIT AND TO REDOUBLE OUR EFFORTS AND MY EFFORTS, UM, TO THE HARD WORK OF DISMANTLING SYSTEMIC RACISM IN OUR CRIMINAL JUSTICE SYSTEM.

AND IN THIS CITY, I STAND ALONGSIDE MY COLLEAGUES IN THAT, IN THAT WORK.

AND IN THAT MOMENT, COUNCIL MEMBER POOL, THANKS MAYOR.

AND I WANT TO JOIN, UM, IN THE THANKS TO COUNCIL MEMBER, HARBOR, MADISON FOR HER PASSION AND, UM, GENUINE EMOTION TO ALL MY COLLEAGUES FOR YOUR WORDS, LIKE MANY HERE IN AUSTIN, I SPENT THIS LAST WEEKEND CONSUMED BY THE PROTEST IN OUR DOWNTOWN AND ACROSS THE COUNTRY TOO.

THERE WAS OUTRAGE AND FRUSTRATION, AND IT UNFOLDED IN MANY CITIES LIKE AUSTIN ACROSS SEVERAL DAYS AND NIGHTS.

I FEEL LIKE WE'RE BESIEGED ON THREE FRONTS BY A PRESIDENT WHO TRIES TO DBAS OUR NATION WITH DIVISIVE AND DEMEANING RHETORIC BY A PANDEMIC

[00:20:01]

THAT IS WRENCHED AND DISRUPTED ALL OF US OVER SEVERAL MONTHS WITH NO SHORE RESOLUTION IN SIGHT.

AND NOW ONCE AGAIN, BY THE VIOLENT AND SENSELESS DEATH OF A BLACK MAN POLICE HANDS, MY HEART HURTS ON THE EVENTS THAT WE'VE SEEN FROM THE DEATHS OF THESE MEN AND SO MANY OTHERS.

AND WE KNOW WHAT WE NEED TO DO, WHICH IS TO STOP THE KILLING.

I WANT TO GRASP THIS MOMENT, DO WHAT WE NEED TO DO TO EFFECT TRUE CRIMINAL JUSTICE AND POLICE REFORM.

THIS WEEKEND WAS A TEST OF OUR POLICE DEPARTMENT.

IT WAS ALSO A TEST TO THE INSTITUTIONS THAT UNDERLINE THAT UNDERLIE OUR JUSTICE SYSTEM OR HEALTH EDUCATION, EMPLOYMENT, AND POLITICAL SYSTEMS. MOST OF THESE WOULD COME UP FAILING.

I THINK WE HAVE TOOLS AT HAND.

WE KNOW MANY OF THEM.

WE TALKED RECENTLY ABOUT COMMUNITY POLICING AND THE AUDIT AND FINANCE COMMITTEE.

WE HAD AN AUDIT ON COMMUNITY POLICING, AND IT WAS CLEAR THAT THERE CONTINUES TO BE A DISCONNECT IN HOW COMMUNITY POLICING IS BEING CARRIED OUT BY OUR POLICE FOREST AND HOW MOST OF US DEFINE COMMUNITY POLICING.

THAT DISCONNECT REMAINS BETWEEN WHERE WE WANT TO BE WITH THAT PROGRAM AND WHERE OUR OFFICERS ACTUALLY ARE.

AND THAT LEAVES MANY COMMUNITIES FEELING THAT THEY ARE SIMPLY BEING RELEASED AND NOT PROTECTED.

IT'S TIME TO RECOGNIZE THAT DEEP RELATIONSHIPS THAT FOSTER TRUST ARE AT THE FOUNDATION OF REFORM.

WE NEED TO DECIDE WHAT KIND OF COMMUNITY WE WANT TO BE.

I THINK WE'VE HAD MANY CONVERSATIONS, MANY DISCUSSIONS.

WE KNOW THE COMMUNITY.

WE NEED TO LEAD BY EXAMPLE, NOT ONLY ON COMMUNITY JUSTICE, BUT IN ALL OF OUR SYSTEMS THAT DETERMINE OUTCOMES FOR OUR FAMILIES AND INFLUENCED THEIR ABILITY TO THRIVE IN THIS CITY.

OUR CITY, WE MUST SHOW JUSTICE IS BEING SERVED IN AUSTIN, THAT OUR CITY IS FAIR AND EQUITABLE, PASSIONATE, EVEN HANDED, BUT WE ARE JUST, OUR POLICE DEPARTMENT NEEDS TO BE A PARTNER IN THIS JOURNEY.

AND I THINK THE POLICE CHASE YOUR MARCH WITH PROTESTERS THIS WEEKEND AND OTHER CITIES WHO STOOD UP BEFORE THE CROWDS AND NAMED ALL OF THOSE WHO HAD BEEN KILLED AT THE HANDS OF LAW ENFORCEMENT.

THAT WAS THE KIND OF COMMITMENT TO THE COMMUNITY.

THIS CITY NEEDS FROM OUR DEPARTMENT NEED TO KNOW THAT THEY STAND WITH US.

WE'RE ALL IN THIS TOGETHER.

WE'RE STRONGER TOGETHER.

SO NEVER AGAIN, ANOTHER MICHAEL MICHAEL RAMOS TRAGEDY, NEVER AGAIN, THE INJUSTICES DONE TO A MOD ARBERY AND BRIANNA TAYLOR, NEVER AGAIN, ANOTHER GEORGE FLOYD MURDER IN AUSTIN.

WE MUST HAVE ZERO TOLERANCE FOR KILLING AND INJUSTICE OF ANY KIND COUNCIL MEMBER ALTER.

GOOD MORNING.

THANK YOU, COUNCIL MEMBER HARPER, MADISON FOR OPENING THIS SESSION WITH A DOSE OF TRUTH THAT WE ALL NEED TO HEAR, UM, AND RECOGNIZE, AND THAT WE AS LEADERS HAVE A RESPONSIBILITY, UM, TO STATE, UM, RIGHT, RIGHT FROM THE BEGINNING.

UM, THIS WEEKEND PROTEST IS, AS WE ALL KNOW, OR NOT THE FIRST TIME THAT WE HAVE SEEN OUR COMMUNITY OUTRAGED BY POLICE BRUTALITY, UM, AND NOT THE FIRST TIME THAT, AND WHAT WILL FOLLOW IS NOT THE FIRST TIME THAT WE HAVE TRIED TO MAKE REFORM.

UM, I THINK THIS COUNCIL HAS TAKEN MANY STEPS, UM, BUT WE'RE NOT THERE YET.

UM, AND I THINK IT IS NOT THE RESPONSIBILITY ONLY OF OUR MEMBERS, UM, WHO ARE PEOPLE OF COLOR, BUT OF ALL OF US.

UM, AND AS IT'S BEEN STATED, THE CHANGE WILL COME WHEN WE ALL JOIN IN, IN MAKING THE CHANGE.

UM, WHAT WE'VE BEEN SEEING IN OUR COUNTRY IS NOT NEW.

UM, I HOPE THAT THE IMAGES AND, AND THE EXPERIENCES OVER THE LAST FEW WEEKS WILL INCREASE THE NUMBER OF VOICES THAT, UM, JOIN

[00:25:01]

US AND CREATE SPACES AND OPPORTUNITIES FOR US TO, UM, MAKE OUR COMMUNITY AND OUR COUNTRY, UM, LIVE UP TO ITS IDEALS.

ALEXANDER, WHAT ELSE? OKAY, LET'S GO AHEAD AND PROCEED.

UM, TODAY IS THE, UH, IT'S JUNE 2ND.

THIS IS THE COUNCIL WORK SESSIONS BEING HANDLED REMOTELY.

IT IS A NINE 40.

UM, I SEE ALL THE COUNCIL MEMBERS, I DON'T SEE COUNCIL MEMBER RENT THE RHEA, SEE WITH US.

WE'RE STILL TRYING TO GET HIM CONNECTED.

OKAY.

THE OTHER COUNCIL MEMBERS ARE PRESENT.

WE HAVE A QUORUM.

WE'RE GOING TO BEGIN.

WE'RE GOING TO HANDLE THE, UH, BRIEFING ON THE COCONUT MATTER FIRST, THEN WE'LL DO THE PULLED ITEMS. THEN WE'LL DO THE CENSUS, UH, BRIEFING.

UH, AND THEN WE'LL, WE'LL DO THE EXECUTIVE SESSION AND EXECUTIVE SECOND SESSION TODAY.

UH, THERE'S JUST GOING TO BE THE, UH, THE ONE ITEM, UH, DEALING WITH THE, UH, AIRPORT OVER THERE.

[Item B1]

UH, WE'RE GOING TO BEGIN A MANAGER.

I'M GOING TO YOU FOR THE COVID BRIEFING.

YOU MAYOR COUNCIL MEMBERS.

WE'RE GOING TO START TODAY'S BRIEFING FROM THE COBIT UPDATE WITH OUR DIRECTOR OF PUBLIC HEALTH 70 ALL SAUL TURNOVERS.

GOOD MORNING.

THANK YOU, SPENCER.

GOOD MORNING, MAYOR AND COUNCIL.

THANK YOU FOR THE OPPORTUNITY TO BE HERE AGAIN THIS MORNING.

UM, WE ARE GOING TO MAKE A SLIGHT CHANGE TO OUR, UM, FORMAT TODAY.

I'M GOING TO PROVIDE A BRIEF OVERVIEW AND THEN TRANSITION TO DR.

S SCOTT AFTER HE COMPLETES HIS PRESENTATION.

UM, HE IS GOING TO TRANSITION BACK TO ME TO FINISH THE BRIEFING.

SO THERE ARE A FEW THINGS THAT I WOULD LIKE TO SHARE INITIALLY, AND THEN I'LL TRANSITION OVER TO HIM.

AUSTIN PUBLIC HEALTH STAFF ARE MEETING WITH THE U S PUBLIC HEALTH SERVICE TODAY, PUBLIC HEALTH SERVICES IN THE MIDDLE OF A THREE WEEK PROJECT THAT WILL VISIT SIX STATES TO RESEARCH WHAT THEY CAN DO TO SUPPORT THE LOCAL HEALTH DEPARTMENTS IN, UM, AT THE LOCAL LEVEL.

AND AT THE STATE LEVEL YESTERDAY, THEY WERE AT HARRIS COUNTY.

THEY'RE HERE WITH US TODAY AND TOMORROW THEY'RE GOING TO, UM, TO THE STATE HEALTH DEPARTMENT, THEY ARE FOCUSING ON IMPROVING THE DATA QUALITY AND, UM, FOR TIMELINESS AND ELECTRONIC LAB REPORTING, CASE REPORTING AND SURVEILLANCE.

AND SO THEY'RE GOING TO DEVELOP THIS REPORT AND THEY'RE GOING TO COMPLETE IT, AND IT'D BE, WILL BE FINALIZED BY THE MIDDLE OF JUNE.

THEY HAVE A VERY FAST TURNAROUND.

UM, AND SO WE MET WITH THEM THIS MORNING.

MY STAFF HAS CONTINUED TO MEET WITH THEM DOWN THE DEPARTMENT.

UM, ALSO HAS AN INITIAL PLAN TO HAVE 115 CASE INVESTIGATORS AND CONTACT TRACERS.

BY THE END OF JUNE, WE CURRENTLY HAVE 33 STAFF.

UM, EACH WEEK WE WILL BE BRINGING ONBOARDING, UM, STAFF, UM, TO GET US TO 115.

WE HAVE 11 BILINGUAL STAFF PERSONS.

SO AS WE SCALE UP, WE WILL CONTINUE TO INCREASE THE NUMBER OF BILINGUAL STAFF PERSONS.

UM, OUR SOCIAL SERVICES BRANCH, UM, CONTINUES TO WORK IN OUR, WITH OUR PRIORITY POPULATION.

UM, ONE OF THE THINGS THE STAFF ARE WORKING ON IS TARGETED OUTREACH.

THEY ARE REVIEWING THE HOUSEHOLD, UM, LIVING IN CLOSE QUARTERS FROM CDC, CDC DEVELOPED THAT GUIDELINES AND OUR STAFF ARE REVIEWING THAT AND, UM, ARE LOOKING AT NEXT STEPS WITH THAT, WORKING WITH THE SENIORS TO ENSURE THAT SENIORS HAVE THE MOST TO DATE INFORMATION ON TESTING AND SERVICES AVAILABLE, THEY ARE WORKING WITH OUR, UM, FAITH BASED, UM, INSTITUTIONS TO ENSURE THEY HAVE THE RESOURCES THEY NEED.

AND, UM, SOME OF THEM ARE REQUESTING ON FACE COVERING AND GLOVES.

OUR STAFF ARE COORDINATING THROUGH ONE VOICE OF CENTRAL TEXAS, UH, TO ENSURE THAT, UM, NONPROFIT AGENCIES HAVE ANY ADDITIONAL NEEDS THAT THEY HAVE AS FAR AS FACE COVERINGS, UM, GLOVES, ET CETERA.

OUR HOMELESS, UM, TEAM IS COORDINATING WITH OUR EPIDEMIOLOGISTS TO REVIEW DATA ON CASES WITHIN THE HOMELESS POPULATION.

WE'RE WORKING WITH THE TRINITY CENTER TO ESTABLISH A NEW EVENING MEAL DISTRIBUTION SERVICE THROUGH REVELATIONS FOODS.

[00:30:01]

AND SO THAT SERVICE WILL BE IN THE, IN THE DOWNTOWN AREA.

STAFF ARE WORKING WITH THE OUTREACH STAFF TO EXPAND OUR HYGIENE SAFETY AND COVID-19 EDUCATION EFFORTS FOR UNSHELTERED HOMELESS POPULATION AND WORKING WITH COMMUNITY CARE IS HEALTH CARE FOR THE HOMELESS ON ACTIVE SURVEILLANCE TESTING.

AND WE'RE CONTINUING TO PROVIDE SERVICES AT THE PROTECTIVE LODGES, WHICH INCLUDES, UM, SERVICE COORDINATION, UM, CASE MANAGEMENT, AS WELL AS BEHAVIORAL HEALTH, UM, SERVICES WE HAVE.

UM, OUR PARTNERS HAVE STARTED THE PROCESS TO, UM, TRANSITION, UM, INDIVIDUALS FROM THE PROTECTIVE LODGE INTO, UM, PERMANENT HOUSING WITH OUR CHILDCARE, UM, FACILITIES.

OUR STAFF HAVE BEEN WORKING WITH OUR CHILDCARE PROVIDERS DURING THIS TIME.

THEY HAVE PROVIDED ONE PAGE GUIDANCE FOR FAMILIES ON SOCIAL MEDIA AND HAVE POSTED IT ON THE WEBSITE.

THEY HAVE ALSO, UM, CONTINUED TO SEND OUT SUPPLEMENTAL GUIDANCE FOR SUMMER CAMP OPERATORS AS THEY ARE IDENTIFIED.

UM, DURING THIS TIME OUR STAFF HAS SENT OVER, UM, I'VE SENT THE GUIDELINES AND RESOURCES TO OVER 600 CHILDCARE PROVIDERS AND WE'RE PROVIDING, UM, RESPONDED TO NUMEROUS CALLS AND EMAILS FROM CHILDCARE PROVIDERS ENSURING THAT THERE'S SUMMER CAMP OPERATIONS AND REGULAR OPERATIONS, AND THEN PROVIDING THEM GUIDANCE THROUGH OUR NURSE LINE.

OUR STAFF HAVE HELD, UM, WEBINARS, UM, IN MARCH AND THEY'VE DONE, UM, UM, ONE IN ENGLISH AND ONE IN SPANISH, TWO 158 CHILDCARE PROVIDERS.

WE HAVE, UM, PROVIDED HEALTH AND SAFETY SUPPLIES, UM, SUCH AS SANITIZER WIPES AND GLOVES, MASS THERMOMETERS, APRIL TOWELS, ET CETERA, UM, CONTINUE TO PROVIDE THOSE DELIVERIES TO THOSE CHILDCARE PROVIDERS.

IN ADDITION TO THAT, OUR STAFF HAVE DONE, UM, SOME PSA AND SOCIAL MEDIA POSTS AT THIS TIME.

I'M GOING TO TURN IT OVER TO DR.

S SCOTT AND HE IS GOING TO PROVIDE THE, UM, THE REST OF THE UPDATE.

THANK YOU.

THANK YOU, STEPHANIE.

THANK YOU, MAYOR COUNCIL.

I WANT TO START BY APOLOGIZING FOR NOT SENDING YOU TO THIS SLIDE SET EARLIER.

OUR, OUR, OUR TEAM HAS BEEN WORKING THROUGH THE WEE HOURS OF THE MORNING, UH, TO ANALYZE THIS DATA.

IN FACT, THEY'RE STILL ANALYZING THE DATA, UH, BUT IT'S INFORMATION THAT I WANTED TO SHARE WITH YOU ALL TODAY BECAUSE IT'S IMPORTANT AND NOT SOMETHING WE WANT TO HOLD ON TO ANY LONGER.

UH, I'M GOING TO START ON THAT.

I'M ALSO GONNA APOLOGIZE CAUSE THERE'S A LOT OF SLIDES HERE, BUT IT IS IMPORTANT INFORMATION, UH, THAT I CONVEY TO, UH, TO YOU AND TO THE COMMUNITY.

NOT NEXT SLIDE, PLEASE.

UH, THIS OUTDATED SLIDE INCLUDES DATA THROUGH, UH, THE, THE 1ST OF JUNE.

AGAIN, THE RED LINES ARE THE TOTAL CASES.

UH, THE, THE SMALL BLUE LINES AT THE BOTTOM ARE NEW CASES AND THEY, UH, THE YELLOW LINE SHOWS THE, UH, SEVEN DAY MOVING AVERAGE OF THE PERCENT INCREASE IN CASES, AS YOU CAN SEE, UH, WE'VE CONTINUED TO MAINTAIN THAT, THAT FLAT LINE WHEN IT COMES TO THAT SEVEN DAY MOVING AVERAGE OF INCREASED CASES.

UH, RIGHT NOW THIS IS EQUATING TO A DOUBLING TIME OF ABOUT 38 DAYS.

UH, SO THAT HAS CONTINUED TO IMPROVE AND WE WILL CONTINUE TO MONITOR THAT NEXT SLIDE, PLEASE.

THIS GRAPH IS SHOWING YOU WHAT THE SMALL BLUE BARS ON THE OTHER GRAPH, WE'RE SHOWING A LITTLE MAGNIFIED.

SO THIS IS THE NEW CONFIRMED CASES BY DAY.

UH, YOU CAN SAY THE YELLOW LINE AGAIN IS A SEVEN DAY MOVING AVERAGE OF THOSE NEW CHASES.

AND, UH, AND IT'S, SINCE THE, ABOUT THE 16TH OF MAY HAS BEEN TRENDING STEADILY UPWARD.

UH, BACK ON THE 16TH OF MAY, WE WERE ABOUT, UH, 45 CASES A DAY ON THAT SEVEN DAY MOVING AVERAGE.

AND NOW WE'RE A LITTLE OVER 60.

UH, SO AGAIN, AS EXPECTED AS THE COMMUNITY STARTED TO OPEN UP, WE'RE SEEING NEW CASES, WHICH HAS TRAILED THAT POLICY CHANGE, UH, BY ABOUT TWO AND A HALF WEEKS.

UH, AGAIN, AT THIS STAGE, WE'RE STILL IN A GOOD SITUATION.

WE STILL HAVE PLENTY OF HOSPITAL CAPACITY, BUT THIS IS ONE OF THE SUPPORTING INDICATORS THAT WE WILL BE WATCHING.

NEXT SLIDE, PLEASE.

UH, THE PRIMARY INDICATOR, UH, AS WE NOTED LAST WEEK, UH, IN THE ANNOUNCEMENT OF OUR KEY INDICATORS DASHBOARD IS THIS NEW ADMISSIONS TO THE HOSPITAL AND THEY FIVE COUNTY MSA.

[00:35:01]

UH, AGAIN, UH, THE, THE BLUE IS THE NEW ADMISSIONS BY DAY.

THE YELLOW WAS THE SEVEN DAY MOVING AVERAGE, AND YOU CAN SEE THAT SENSE ABOUT THE 22ND 23RD OF MAY.

WE'VE HAD THAT SAME STEADY INCREASE IN HOSPITAL, UH, IN NEW ADMISSIONS TO THE HOSPITAL.

AGAIN, WE EXPECT THAT CHANGES A NEW CASES WILL BE REFLECTED IN CHANGES IN HOSPITALIZATIONS ABOUT A WEEK LATER.

AND THAT'S IN FACT WHAT WE'RE SEEING HERE.

AGAIN, WE WILL CONTINUE TO FOLLOW THIS TREND, UH, RIGHT NOW OUR HOSPITALS THAT HAS PLENTY OF CAPACITY TO CARE FOR PEOPLE.

UH, IN IN FACT, UH, YOU KNOW, THERE THERE'S SOME CONCERN AMONGST OUR HOSPITALS, THAT INDIVIDUALS ARE THE LEG NECESSARY, EVALUATION AND TREATMENT, INCLUDING EMERGENCY TREATMENT DUE TO CONCERN THAT THERE MAY NOT BE CAPACITY, OR THERE MAY BE A DANGER OF EXPOSURE GOING TO THE ER TO THE HOSPITAL.

NOW THAT'S SIMPLY NOT TRUE AT THIS STAGE.

AND THAT'S IMPORTANT.

UH, PARTICULARLY RIGHT NOW, WE HAVE THAT CAPACITY FOR FOLKS TO SEEK TREATMENT, TO SEEK THEIR PRIMARY CARE, TO HAVE THEIR PHYSICALS, THEIR IMMUNIZATIONS, AND TO GO TO THE HOSPITAL AND THEY NEED TO, UH, SO THAT THEY CAN BE TRADED FOR, FOR COVID-19 OR ANY OTHER THING THAT, THAT, UH, IMPACTS THEM.

NEXT SLIDE, PLEASE.

THIS IS A GRAPH OF OUR, UH, OUR DAILY HOSPITALIZATIONS IN BLUE, OUR ICU ADMISSIONS OF ORANGE AND THE, IN THE GRAY LINE, OUR VENTILATOR USAGE, UH, AGAIN, THE DOTTED LINES OF THE SEVEN DAY MOVING AVERAGE THAT WE CONTINUE TO FOLLOW THOSE.

THEY'VE BEEN RELATIVELY STEADY, UH, OVER, UH, THE PAST 20 WEEKS NOW.

AND AGAIN, THESE ARE METRICS WHICH ARE AVAILABLE ON THAT KEY INDICATORS DASHBOARD AT OUR AUSTIN, TEXAS.GOV AUTHORITY SLASH COVID-19 WEBSITE.

NEXT SLIDE, PLEASE.

THIS IS AN UPDATE OF OUR DEMOGRAPHICS ASSOCIATED WITH HOSPITALIZATIONS.

UH, UNFORTUNATELY ONCE AGAIN, WE SEE THAT, UH, INDIVIDUALS WHO IDENTIFY AS HISPANIC, UH, MAINTAIN THE, UH, ABOUT A 70% OF OUR NEW HOSPITAL ADMISSIONS.

SO AGAIN, THESE ARE NEW HOSPITAL ADMISSIONS FOR THE WEEK IDENTIFIED AT THE BOTTOM OF THIS SLIDE.

UH, THIS IS MORE THAN DOUBLE THE REPRESENTATION IN THE COMMUNITY AND IS OF SUBSTANTIAL CONCERN.

UH, AGAIN, UH, I'M GOING TO PROVIDE SOME FURTHER DETAILS ABOUT, UH, THE IMPACT OF RACE AND ETHNICITY ON, UH, COVID-19 CASES, UH, LATER THE SLIDESHOW, UH, AGAIN, AS STEPHANIE SAID, AND AS STEPHANIE WILL TALK ABOUT FURTHER AFTERWARD, UH, WE ARE CERTAINLY TARGETING THE LATIN X COMMUNITY IN PARTICULAR.

AND, UH, AND WE CONTINUED TO, UH, TO ADVOCATE FOR INDIVIDUALS TO BE TESTED, TO ISOLATE THEMSELVES IF, UH, IF, IF THEY BECOME ILL AND, UH, AND, AND, AND CERTAINLY TO SEEK OUT TREATMENT, IF THEY GET WORSE, UH, TO BE A HOSPITALIZATION TO PREVENT THE, UH, THE POTENTIAL FOR DEATH IN THOSE CIRCUMSTANCES.

NEXT SLIDE, PLEASE.

THIS GRAPHIC IS SHOWING YOU THE WEEKLY CASE TOTALS, UH, WITH THE WEEK STORY, UH, ON THE DATE AT THE BOTTOM.

NOW YOU CAN SEE LAST WEEK, WHICH STARTED FOR A FIVE 25, WE HAD A RECORD NUMBER OF NEW CASES AT 425.

UH, SO A SIGNIFICANT INCREASE OVER THE PREVIOUS WEEK.

AND CERTAINLY, AS I MENTIONED BEFORE, A DEPARTURE FROM, UH, FROM WHERE WE HAVE BEEN PREVIOUSLY, AGAIN, THIS IS NOT UNEXPECTED, UH, BUT, UH, CERTAINLY SOMETHING THAT WE WILL ALSO BE MONITORING TO ENSURE THAT THIS PLATEAUS OFTEN DOESN'T CONTINUE, UH, THE SUBSTANTIAL INCREMENTAL INCREASES, WHICH MAY INDICATE, UH, THAT WE'RE HEADING INTO A SURGE.

NEXT SLIDE, PLEASE.

I DO WANT TO, UH, PROVIDE YOU SOME FEEDBACK ON OUR NURSING HOME TESTING INITIATIVES, UH, UH, WHICH, UH, FOLLOWED THE GOVERNOR'S EXECUTIVE ORDER FOR NURSING HOME TESTING.

UH, SO FOR THE PAST TWO WEEKS, WE'VE TESTED 33 FACILITIES IN TRAVIS COUNTY.

SIX OF THOSE FACILITIES WERE TESTED BY, UH, NURSING HOMES THEMSELVES USING THEIR OWN STAFF AND THEIR OWN TESTING KITS.

EIGHT FACILITIES WERE TESTED, UH, USING THEIR STAFF, BUT APH PROVIDING KITS IN 19 FACILITIES WERE TESTED USING CITY OF AUSTIN STAFF, AS WELL AS CITY OF AUSTIN TEST KITS.

IN TOTAL 4,128 TESTS WERE PERFORMED AT 24 FACILITIES, UH, WITH NO KNOWN COVID-19 CASES.

UH, SO THESE WERE COVID NAIVE SITES.

NEXT SLIDE, PLEASE.

SO OF THOSE IN THE 24, WHERE THERE WERE NO KNOWN CASES OF COVID-19, UH, WE HAD 1,165 RESIDENTS TESTED OF THOSE TWO WERE POSITIVE, UH, WHICH GIVES US

[00:40:01]

A, A PERCENT POSITIVE OF 0.17%, UH, OF THE STAFF TEST AT 1,869 WERE POSITIVE 1,797 NEGATIVE, WHICH GIVES US A PRINCIP POSITIVE OF 0.5%.

AGAIN, THESE PERCENTAGES POSITIVE OR ARE PRELIMINARY AS WE STILL HAVE 778 TESTS PENDING, UH, OUT OF THOSE TEST KITS, OUR TEAM CONTINUES TO FOLLOW UP ON THOSE RESULTS, UH, DUE TO THE LARGE QUANTITY OF TESTS BEING PERFORMED AT ONE TIME ACROSS THE STATE, UH, A SIGNIFICANT BACKLOG HAS DEVELOPED IN RELATION TO THOSE TESTS.

UH, SO WE ARE HOPEFUL THAT THE REMAIN OF THOSE TESTS WILL COME BACK THIS WEEK SO THAT WE CAN ISSUE A FINAL REPORT IN THE NEXT WEEK.

NEXT SLIDE, PLEASE.

NOW THIS SLIDE IS AN UPDATE OF OUR, UH, NURSING HOME AND A LONGTERM CARE FACILITY CLUSTERS.

UH, AND YOU CAN SEE AT THE BOTTOM, WE ADDED AA AND BB, WHICH ARE TWO NEW FACILITIES, UH, WHICH WERE IDENTIFIED THROUGH THE TESTING.

I JUST MENTIONED, UH, IN TOTAL OF FOUR NEW FACILITIES, UH, WERE IDENTIFIED.

SOME ARE GONNA SHOW ON THIS REPORT, WHICH IS, UH, WHICH WAS COMPLETED FRIDAY, AND SOME WILL SHOW ON NEXT WEEK'S REPORT.

UH, YOU CAN SEE A TOTAL OF 27 NEW CASES IN THE FACILITIES WE'VE BEEN MONITORING, UH, TWO ADDITIONAL FACILITIES THIS WEEK WERE TAKEN OFF THE LIST BECAUSE THEY'VE HAD MORE THAN FOUR WEEKS OF, OF, UH, ZERO CHANGES, WHICH MEANS THEY'RE INACTIVE, UM, FACILITIES.

YOU SEE THE, UH, THE FACILITY LISTED AS OH IS IN GRAY, MEANING THAT IT'S GONE THREE WEEKS WITHOUT ANY NEW CASES.

AND NEXT WEEK, IF THERE ARE NO NEW CASES, IT WILL COME OFF AS WELL.

WE WILL CONTINUE TO MONITOR THIS MONITOR, THIS SITUATION, OUR NURSING HOME TASK FORCE, UH, CHAIRED BY DR.

GUL MULLEN HAS GENERATED A ONGOING, UH, TESTING, UH, GUIDANCE FOR OUR FACILITIES AND, UH, THAT GUIDANCE IS, HAS BEEN IMPLEMENTED.

AND, UH, WE WILL CONTINUE TO MONITOR THOSE SITUATIONS AT OUR NURSING FACILITIES, PRIMARILY FOCUSING ON STAFF, BUT ALSO, UH, LOOKING TO DO ONGOING SURVEILLANCE, TESTING OF NURSING HOME RESIDENTS IN COOPERATION WITH THOSE FACILITIES.

NEXT SLIDE, PLEASE, IN RELATION TO OUR, UH, OUR DRIVE THROUGH TESTING THROUGH AUSTIN PUBLIC HEALTH, UH, THIS IS A SNAPSHOT OF THE LAST SEVEN DAYS OF TESTING.

SO IN THAT SEVEN, EIGHT TIME PERIOD, 1100 TESTS WERE PERFORMED.

UH, AGAIN, THIS IS IN ADDITION TO TARGETED TESTING ALSO PERFORMED, AND YOU CAN SEE THAT WE HAVE RESULTS BACK ON A THOUSAND OF THOSE TESTS.

WE HAVE AN OVERALL POSITIVITY RATE OF 6.5, 8% THROUGH THE DRIVE THROUGH TESTING.

AND WHEN WE BREAK THAT DOWN, WHICH YOU CAN SEE AT THE BOTTOM, UH, BY RACE AND ETHNICITY, WE HAVE A POSITIVE RATE IN, UH, OUR LATIN X COMMUNITY OF 12.8% IN OUR AFRICAN AMERICAN COMMUNITY OF 3.6%, UH, IN, IN OUR, UH, WHITE, UH, NON HISPANIC GROUP OF 4.3%.

AGAIN, YOU SEE THAT WE HAVE, UH, UH, ONE OUT OF 49, UH, IN OUR ASIAN AMERICAN COMMUNITY POSITIVE AS WELL.

UH, SO AGAIN, THE, UM, THE, THE, THE RANKS, UH, ACROSS THE BOARD ARE RELATIVELY LOW WITH THE EXCEPTION OF OUR LATIN X COMMUNITY, UH, WHICH IS SUBSTANTIALLY HIGHER, UH, ABOUT TWICE THE RATE OF, OF THE, UH, POSITIVE CASES THAT THE REST OF, OF THE COMMUNITY.

SO AGAIN, I SUBSTANTIAL AREA OF CONCERN, UH, FOR AUSTIN PUBLIC HEALTH IN OUR HEALTHCARE COMMUNITY.

NEXT SLIDE PLEASE.

UH, SO TH THIS DATA SET, I WANT TO TALK TO YOU ABOUT, I'M GOING TO HAVE TO GET A LITTLE TECHNICAL WITH YOU, UH, BECAUSE THERE ARE LOTS OF DETAILS, WHICH ARE VERY IMPORTANT IN THIS DATA SET.

UH, SO WHAT WE'VE, UH, ASKED THE TEAM TO DO HERE IS TO LOOK AT A DATA SET OR INDIVIDUALS WHO HAD THE ONSET OF ILLNESS FOR COVID-19 BETWEEN MARCH AND THE END OF APRIL OF 2020.

WE THEN FOLLOW THOSE INDIVIDUALS FOR ADDITIONAL THREE WEEKS THROUGH MAY THE 21ST TO DETERMINE OUTCOMES ON THOSE INDIVIDUALS.

DID THEY RECOVER? WERE THEY HOSPITALIZED, OR DID THEY DIE DURING THAT TIME PERIOD? IN FACT, WE'RE STILL, UH, EVALUATING THOSE INDIVIDUALS WITH A FINAL ASSESSMENT, UH, HAVING BEEN PERFORMED YESTERDAY TO GET A FULL 30 DAY VIEW AFTER THE LAST CASE WAS, UM, UH, DEVELOP SYMPTOMS SO THAT WE CAN HAVE A BETTER IDEA OF THE COMPLETE PICTURE OF COVID-19, WHAT WE'VE SEEN IN OTHER PUBLICATIONS, INCLUDING NEW ENGLAND JOURNAL OF MEDICINE, UH, PUBLICATIONS IS THAT OFTENTIMES YOU SEE A SNAPSHOT.

SO WHAT ARE THE METRICS LOOK LIKE TODAY FOR ALL THE CASES? WHAT'S THE CASE FATALITY RATE.

THIS FOLLOWS US INDIVIDUALS FOR EXTENDED PERIOD OF TIME TO GET A

[00:45:01]

BETTER PICTURE OF THE TOTAL IMPACT ACROSS OUR COMMUNITY OF COVID-19.

UH, TH THIS DATA IS PRELIMINARY AGAIN, WE'RE GOING TO DO A FINAL ASSESSMENT, UH, WHICH WAS PULLED YESTERDAY.

UH, WE HAVE NOT RUN STATISTICAL ANALYSIS ON THESE NUMBERS, AND THIS DATA HAS NOT BEEN PEER REVIEWED, WHICH WE INTEND TO DO AND SUBMIT FOR PEER REVIEW PUBLICATION.

UH, BUT THERE IS VERY IMPORTANT INFORMATION HERE, AND WE DIDN'T WANT TO WAIT TO SHARE IT UNTIL IT CAN BE PUBLISHED IN A SCIENTIFIC JOURNAL.

NEXT SLIDE PLEASE.

SO WHAT WE'RE SEEING HERE IS, AGAIN, THAT SNAPSHOT OF MARCH TO APRIL 30TH, 2020.

SO THIS IS NIGHT INDIVIDUALS IDENTIFIED AS HAVING THE ONSET OF COVID-19 WITHIN THIS TIME PERIOD.

AGAIN, THAT MEANS THEY HAD ONSET OF SYMPTOMS, OR IN THE CASE OF ASYMPTOMATIC INDIVIDUALS, THEY WERE DIAGNOSED, UH, IN, IN THAT TWO MONTH PERIOD.

SO WHAT YOU'RE SEEING HERE IS A, IS AN AGE BREAKDOWN NOW BASED ON DECADE OF LIFE, UH, AND THE IMPACT, UH, BASED ON HOSPITALIZATION AND CASE FATALITY RATE ON THE FAR RIGHT COLUMN, YOU SEE THE, UH, THE TOTALS FOR THE COMMUNITY.

UM, AND YOU CAN SEE THAT THAT'S A CASE FATALITY RATE IS 3.6%, UH, LOOKING TO THE LEFT OF THAT.

YOU CAN SEE THAT AS WE SUSPECTED THERE, AN AGE RELATED, UH, CORRELATION WITH INCREASES IN RISK OF DEATH ASSOCIATED WITH COVID-19 AGAIN, ON THE RIGHT COLUMN IN THE BLUE, YOU SAY THE HOSPITALIZATION RATES AT 16%.

AND ONCE AGAIN, FOR THE MOST PART, WITH THE EXCEPTION OF THAT ZERO TO NINE AGE GROUP, THERE'S AN AGE RELATED INCREASE IN THE RATE OF HOSPITALIZATION, UH, PEAKING AT THE AGE OF 80 PLUS WITH 38.5% OF INDIVIDUALS IN THAT AGE GROUP REQUIRING HOSPITALIZATION AND 26.6% OF THEM, UH, WHO DIE.

NEXT SLIDE, PLEASE.

SO THEN WHAT WE DID IS WE SEPARATED OUT INDIVIDUALS WHO RESIDE IN A NURSING HOME AND THE REST OF THE COMMUNITY TO GET A CLOSER LOOK AT WHAT HAPPENS AND WHAT THE STATISTICS ARE FOR THOSE WHO ARE IN THOSE FACILITIES VERSUS THE REST OF THE COMMUNITY.

THE REST OF THE COMMITTEE WILL ALSO INCLUDE PEOPLE WHO LIVE IN ASSISTED LIVING FACILITIES.

UH, BUT THIS, THIS DATA ON THIS SLIDE IS PARTICULAR FOR THOSE RESIDING IN NURSING HOMES.

NOW, YOU CAN SEE THAT THE CASE FATALITY RATE IS DRAMATICALLY HIGHER FOR NURSING HOME RESIDENTS VERSUS THE COMMUNITY IN GENERAL, IT'S A 22.5% CASE FATALITY RATE.

SO OF PEOPLE WHO WERE DIAGNOSED WITH COVID-19 IN A NURSING HOME SETTING, 22.5% OF THEM DIED AT 30.8% OF THE MORE HOSPITALIZED.

AND AGAIN, YOU CAN SEE THE CASE FATALITY RATE, UH, INCREASES WITH AGE, UH, WITH 20.6% A CASE RETALIATE FOR 60 TO 69, 21.7 FOR 70 TO 79 AND 30% OR 80.

AND OVER, UH, YOU SEE THAT A ON THE LEFT SIDE AND THAT ZERO TO 49, THERE WAS A HANDFUL OF CASES IN THE ZERO 49 AGE GROUP OF INDIVIDUALS WHO RESIDED IN NURSING TOWNS, UH, OF THOSE INDIVIDUALS WHO, UH, WERE DIAGNOSED WITH COVID-19, UH, NONE OF THEM WERE HOSPITALIZED AND NONE OF THEM DIE.

SO AGAIN, UH, A SUBSTANTIAL IMPACT, UH, BASED UPON AGE WHEN IT COMES TO COVID-19 AND CERTAINLY, UH, BASED UPON BEING A NURSING HOME RESIDENT.

NEXT SLIDE, PLEASE.

SO THIS SLIDE IS SHOWING YOU, UH, THE, THE COMMUNITY WHO IS NOT A NURSING HOME RESIDENT.

SO THIS IS EVERYBODY LIVING OUTSIDE OF A NURSING HOME THAT WAS DIAGNOSED WITH COVID-19, UH, BETWEEN MARCH AND APRIL OF 2020.

UH, AGAIN, YOU CAN SEE THAT THE, UH, CASE FATALITY RATE IS SUBSTANTIALLY LOWER THAN WE LOOK AT THAT, THAT SNAPSHOT VIEW OF THE WHOLE COMMUNITY TOGETHER.

UH, THAT RISK IS 1.72% WITH A 14.6%, UH, RISK OF HOSPITALIZATION ACROSS ALL AGES, AGAIN, IN RELATION TO HOSPITALIZATION AND, UH, CASE FATALITY RATE.

THERE'S AN AGE RELATED PATTERN THAT WE SEE, UH, WITH THAT PEAKING AGAIN AT 61.5% OF THOSE OVER THE AGE OF 80, I'VE BEEN HOSPITALIZED IN 20.5% OF THOSE INDIVIDUALS DYING.

UM, NOW SOMETHING ELSE THAT I WANT TO MENTION IS THAT THIS IS THE CASE FATALITY RATE.

SO THOSE WHO ARE DIAGNOSED IN, UH, VERSUS THOSE WHO WERE HOSPITALIZED AND DIED, WE'RE FAIRLY CONFIDENT IN THE NUMBERS THAT WE'RE CAPTURING THE VAST MAJORITY OF INDIVIDUALS HOSPITALIZED IN THE VAST MAJORITY OF INDIVIDUALS WHO HAVE DIED FROM COVID-19

[00:50:01]

HAVING SAID THAT THERE'S STILL, UH, A SUBSTANTIALLY HIGHER NUMBERS OF CASES, WHICH ARE LIKELY THAT GO UNDIAGNOSED WITH COVID-19.

SO WE ASKED, UH, DR.

LAMAR MYERS TO GIVE US SOME ESTIMATES REGARDING, UH, HOW MANY ADDITIONAL CASES ARE LIKELY TO BE OUT THERE FOR EVERY CASE THAT THAT IS REPRESENTED HERE IN THE ANSWER IS SEVEN TO EIGHT FOLD.

SO I BRING THAT UP BECAUSE WHEN, THINK ABOUT THE ACTUAL INFECTION FATALITY RATE, THE TOTAL NUMBER OF PEOPLE, UH, WHO HAVE COVID-19 VERSUS THOSE WHO DIE IN THAT CASE FATALITY RATE IS PROBABLY MORE ALONG THE ORDER OF 0.2% ACROSS THE COMMUNITY.

AND AGAIN, THERE'S AN AGE RELATED, UH, PATTERN THAT WE SEE, WE WON'T KNOW THAT NUMBER FOR QUITE SOME TIME REGARDING THE ACTUAL CASE BURDEN THIS COMMUNITY.

AND WE'RE WORKING WITH UNIVERSITY OF TEXAS TO DO A SERIAL PREVALENCE STUDY TO GET A BETTER IDEA.

UH, BUT IT'S UNLIKELY THAT THE, THE CASE FATALITY RATE IS GOING TO BE SUBSTANTIALLY HIGHER THAN THIS, AND MORE THAN LIKELY WILL BE SUBSTANTIALLY LOWER THAN THIS.

WHEN WE LOOK AT THAT INFECTION, FATALITY RATE, NEXT SLIDE.

SO THIS SLIDE IS SHOWING YOU, UH, THE AGE BASE BREAKDOWN ON HOSPITALIZATION RATES, DEPENDING ON WHERE PEOPLE LIVE.

UH, AGAIN, YOU CAN SEE THAT, UH, FOR THOSE WHO AGE 50 TO 59, IF THEY'RE LIVING IN A NURSING HOME, THE RISK IS SUBSTANTIALLY HIGHER FOR HOSPITALIZATION THAN IT IS FOR NON NURSING HOME RESIDENTS.

UH, YOU CAN SEE THAT, UH, THE AGE 60, UH, HAS A SIMILAR PATTERN 60 TO 69, 70, 79 IS ABOUT THE SAME, NO MATTER WHERE YOU LIVE.

UH, AND WHEN WE GET INTO THE 80 PLUS AGE, UH, THE, THE CHANCE OF BEING HOSPITALIZED, IF YOU DON'T LIVE IN A NURSING HOME IS SUBSTANTIALLY HIGHER.

UH, THIS IS LIKELY BECAUSE INDIVIDUALS WHO ARE BOTH OVER THE AGE OF 80 AND IN A NURSING HOME, UH, HAVE SUBSTANTIAL SUBSTANTIALLY DIFFERENT UNDERLYING HEALTH CONDITIONS THAT IMPACT THIS.

AND IN FACT, ANECDOTALLY, A NUMBER OF THOSE INDIVIDUALS, UH, WERE ALREADY ON HOSPICE AT THE TIME THEY WERE, UH, INFECTED, SOME WERE MOVED TO HOSPICE QUICKLY AFTER THEY WERE INFECTED DUE TO A RAPID DECLINE IN CONDITION.

UM, BUT ON THE FAR RIGHT, YOU CAN SEE OBVIOUSLY THAT'S, UH, THOSE INDIVIDUALS WHO LIVE IN A NURSING HOME OR A MUCH HIGHER RISK OF, OF HOSPITALIZATION, UH, THAN THOSE WHO DO NOT LIVE IN A NURSING HOME.

NEXT SLIDE, PLEASE.

UH, AGAIN, THIS IS A, THE SAME GRAPHIC SHOWING YOU CASE FATALITY RATES.

UM, AGAIN, UH, NURSING HOME CASE FATALITY RATES ARE SUBSTANTIALLY HIGHER THAN THOSE, UH, WHO DO NOT LIVE IN A NURSING HOME.

THIS JUST SHOWS YOU GRAPHICALLY A LITTLE BIT DIFFERENT, BUT NO ADDITIONAL INFORMATION ON THIS SLIDE, OTHER THAN THE VISUAL.

NEXT SLIDE, PLEASE.

SO THE TWO SLIDES I'M SHOWING YOU NOW IS BASED UPON THAT SAME DATA SET, UH, BREAKING IT DOWN BY DEMOGRAPHICS.

AND I WANT TO PROVIDE A BIT OF CAUTION HERE.

UM, AS WE SLICE INFORMATION FURTHER DOWN, WHAT THE DATA TELLS US IS MORE CHALLENGING IN OXFORD THAT MORE, UH, IN A COUPLE OF MORE SLIDES, BUT I WANT TO GIVE YOU THAT CAVEAT.

SO WHAT WE'RE SAYING HERE IS IN THE GRAY, THE, UH, THE, UH, PERCENTAGE OF, OF THE TRAVIS COUNTY POPULATION REPRESENTED BY EACH OF THESE, UH, RACE AND ETHNICITY GROUPS.

UH, THE ORANGE IS THE PERCENT OF HOSPITALIZED CASES THAT THOSE GROUPS REPRESENT IN THAT CUMULATIVE MARCH TO APRIL TIME PERIOD.

AND THE BLUE IS THE PERCENT OF CASES DIAGNOSED THAT THOSE GROUPS REPRESENT.

SO WHEN YOU SEE ASIAN AMERICANS, ASIAN AMERICANS REPRESENT 7.3% OF OUR COMMUNITY, UH, 3.3% OF CASES IDENTIFIED IN 2.5% OF, UH, OF THOSE WHO WERE HOSPITALIZED.

WE LOOK AT WHITE, NON HISPANIC, THAT'S 48.8% OF OUR COMMUNITY.

31.4% OF THE CASES IDENTIFIED IN 25% OF HOSPITALIZATIONS.

UH, THE OBVIOUS VARIATIONS HAVE BEEN WHEN WE MOVE INTO OUR HISPANIC AND AFRICAN AMERICAN COMMUNITIES.

UH, SO AGAIN, UH, HISPANICS REPRESENT 33.9% BASED ON, UM, US CENSUS BUREAU DATA, BUT THEY REPRESENT 56.9% OF CASES AND 62.2% OF HOSPITALIZATIONS.

SO OVER-REPRESENTED SUBSTANTIALLY IN BOTH THE CASES AND IN THE HOSPITALIZATION, UH, PERCENTAGE THAT WHEN WE MOVED TO AFRICAN AMERICANS, UH, 8.9% OF THE TRAVIS COUNTY POPULATION,

[00:55:02]

UH, 8.4% OF CASES, AND 10.1% OF HOSPITALIZATIONS.

AGAIN, WE SEE A SIMILAR PATTERN WHERE THE RATE OF HOSPITALIZATION IS, UH, SIGNIFICANTLY HIGHER THAN THE RATE OF CASES, UH, THAT THEY ARE EXPERIENCING.

NEXT SLIDE, PLEASE.

THIS SLIDE IS SHOWING YOU, UH, AGAIN, NON NURSING HOME CASES.

UH, THIS IS A 1,547 CASES, UH, 238 HOSPITALIZATIONS IN 30 DEATHS.

AND I BRING UP THOSE NUMBERS SPECIFICALLY BECAUSE 30 DEATHS, UH, IS, IS A RELATIVELY SMALL NUMBER TO DO AN ANALYSIS ON.

OKAY, BUT WHAT THIS IS SHOWING IS, UH, VERY CONCERNING TRENDS, UH, THAT, THAT, THAT, THAT NEED TO BE SHARED.

UM, SO AGAIN, THE ORANGE IS SHOWING CASE FATALITY RATE.

THE BLUE IS HOSPITALIZATION RATE.

UH, SO THIS IS FOUR CASES IDENTIFIED.

UH, SO ASIAN-AMERICANS HAD A 0% CASE FATALITY RATE AND 11.8% A HOSPITALIZATION RATE.

SO OF THE CASES DIAGNOSED IN EACH OF THESE ETHNIC GROUPS.

THIS IS THE PERCENT THAT DIED OR WERE HOSPITALIZED, UH, FOR WHITE NON-HISPANICS 12%, 12.4% RATE OF HOSPITALIZATION.

1.9% RATE OF DEATHS FOR HISPANIC POPULATION.

16.8% WERE HOSPITALIZED.

1.6% HAVE DIED.

AND FOR OUR AFRICAN AMERICAN COMMUNITY, 18.5% WERE HOSPITALIZED IN 5.4% DIED.

UH, AGAIN, UH, YOU KNOW, THERE'S, THERE'S A, UH, THERE'S SOME STATISTICAL INFORMATION THAT, THAT I'M GOING TO SHARE ON THE NEXT SLIDE, BUT THE TRENDS THAT WE SEE HERE ARE VERY, VERY CONCERNING.

UH, THEY SUGGEST THAT OUR AFRICAN AMERICAN POPULATION IN PARTICULAR, UH, HAS A HIGHER RATE OF HOSPITALIZATION, AND I SUBSTANTIALLY HIGHER RATE OF DEATHS, BUT I NEED TO TALK A LITTLE BIT ABOUT THE STATISTICS ASSOCIATED WITH THIS, UH, WHICH, WHICH TEMPERS THE CONCLUSIONS WE CAN DRAW ON THIS INFORMATION OTHER THAN IDENTIFYING IT AS A, AS A CONCERNING TREND.

NEXT SLIDE PLEASE.

SO WHEN WE TALK ABOUT STATISTICS, WE OFTEN USE SOMETHING CALLED 95% COMPETENCE INTERVALS.

SO THIS IS BASED UPON THE, THE, THE SIZE OF, OF THE NUMBER OF, OF CASES THAT WE'RE COUNTING TO HELP US DETERMINE WHERE THEY WERE.

THERE'S A LIKELIHOOD THAT THE ACTUAL, UH, PERCENTAGE LIES.

SO IN THE CIRCUMSTANCE, WHY HISPANICS CASE FATALITY RATE OF 1.9%, 1.9% IS ONE POINT, BUT WHAT THE 95% CONSTANT INTERVAL IS SHOWING US IS THAT THERE'S A 95% CHANCE THAT THE ACTUAL CASE FATALITY RATE IS SOMEWHERE BETWEEN 0.9 AND 3.5%.

OKAY.

THE NUMBERS ARE TOO SMALL TO HAVE IT NARROWER.

THIS STAGE FOR OUR HISPANIC POPULATION, UH, THEY CASE OF TOLERATED 1.6% HAS AT 95% COMMON SENSE, A FEDERAL A 0.9 TO 2.7 FOR OUR AFRICAN AMERICAN POPULATION THAT COMES INTERVAL IS, IS VERY WIDE BECAUSE THE NUMBERS ARE VERY SMALL, UH, 2.2% TO 11.1%.

AND FOR OUR NURSE, OUR NON NURSING HOME OVERALL AT 1.7%, THAT CONSTANT A RULE IS 1.2 TO 2.5.

AGAIN, IT'S THAT NUMBER IS A COMMON INTERVAL.

IT'S MUCH NARROWER BECAUSE THE NUMBER OF CASES IN THAT GROUP IS MUCH LARGER.

UH, AGAIN, WHAT WE SEE HERE, UH, IN THOSE ALL FOUR OF THESE GROUPS IS THAT THEY ALL OVERLAP IN THEIR CONFIDENCE INTERVAL, WHICH MEANS STATISTICALLY, WE CAN'T TELL WHAT SCIENTIFIC CERTAINTY THAT THERE'S DIFFERENCES IN THE RATES OF DEATH IN THESE GROUPS.

HOWEVER, WE CANNOT WAIT ON SCIENTIFIC CERTAINTY BEFORE WE CHOOSE TO ACT.

WE HAVE TO UNDERSTAND THE WE'VE IDENTIFIED THE TRENDS AND IT'S TIME FOR US TO TAKE ACTION TO ADDRESS THESE TRENDS.

UH, YOU KNOW, COVID-19, DOESN'T DISCRIMINATE IN TERMS OF WHO IT INFECTS.

IT'S GONNA AFFECT PEOPLE OF ALL COLORS, WHERE IT DOES DISCRIMINATE IS IN OUR COMMUNITIES OF COLOR.

IT DISCRIMINATES BASED ON POVERTY, IT DISCRIMINATES, WHICH IS REFLECTED ON OUR HOSPITALIZATION RATES THAT WE'VE SEEN AND OUR CASE FATALITY RATES THAT WE'VE SEEN.

AND WE HAVE TO CONTINUE TO ADDRESS THOSE ISSUES.

UH, AND I'M GOING TO TALK A LITTLE BIT MORE DEEPLY ABOUT WHY THESE COMMUNITIES OF COLOR

[01:00:01]

ARE SEEING THE IMPACT OF COVID-19 DIFFERENTLY.

UH, IT'S IMPORTANT THAT WE KEEP THIS IN MIND BECAUSE WE CAN'T JUST ADDRESS COVID-19 WITHOUT ADDRESSING THE LONGSTANDING DISPARITIES WHEN IT COMES TO ACCESS TO HEALTHCARE AND THE SOCIAL DETERMINANCE OF HEALTH THAT UNDERLIE ALL OF THESE NUMBERS THAT WE SEE.

IF WE ONLY FOCUS ON TESTING FOR COVID-19 AND ISOLATING FOR COVID-19, WE'RE NOT GOING TO SAVE MORE PEOPLE, OKAY.

WE'RE GOING TO SAVE MORE PEOPLE IF WE GET TO THE HEART OF THE MATTER, AND THAT IS PROVIDING PEOPLE WITH THE RESOURCES, THEY NEED TO FEED THEMSELVES NUTRITIOUS MEALS TO HAVE ACCESS TO HEALTHCARE, TO HAVE ACCESS TO SHELTER, AND THE OTHER THINGS THAT ARE GOING TO DETERMINE THEIR HEALTH STATUS.

NEXT SLIDE, PLEASE.

SO I'M GONNA SHOW YOU A FEW SLIDES ON SOME BACKGROUND INFORMATION THAT OUR CHRONIC DISEASE TEAM HAVE DONE LOOKING AT THESE, UH, UH, UNDERLYING HEALTH CONDITIONS.

SO JUST A FEW SLIDES.

UH, THIS IS DIABETES PREVALENCE, UH, BY, UH, DEMOGRAPHIC FOR 2014 TO TWO, 2018.

AGAIN, THREE GROUPS THAT WE SEE LEAVING THE REST IN TERMS OF DIABETES, AFRICAN-AMERICANS LATIN X PEOPLE OVER THE AGE OF 65, UH, THE THREE SUBSTANTIALLY HIGHER RISK GROUPS THAT WE'VE IDENTIFIED WITH.

COVID-19 NEXT SLIDE, PLEASE.

THIS SLIDE IS PREVALENCE OF, OF CARDIOVASCULAR DISEASE.

UH, AGAIN, UH, WE SEE THAT THAT WHILE WHITES AND AFRICAN-AMERICANS HAVE, UH, SIMILAR RATES OF, OF, UH, HEART DISEASE, UH, HISPANIC GROUPS ARE ALSO AFFECTED.

BUT AGAIN, THESE ARE UNDERLYING CONDITIONS WHICH ARE GOING TO CONTRIBUTE, UH, TO COMPLICATIONS ASSOCIATED WITH COVID-19.

NEXT SLIDE, PLEASE.

THIS SLIDE IS SHOWING YOU THE PREVALENCE OF OBESITY IN TRAVIS COUNTY.

AGAIN, WE SEE AFRICAN AMERICANS AND HISPANICS, UH, SUBSTANTIALLY HIGHER THAN THE REST OF THE COMMUNITY IN TERMS OF OBESITY.

AGAIN, ANOTHER FACTOR WHICH HAS BEEN IDENTIFIED AS PROVIDING COMPLICATIONS FOR COVID-19 NEXT SLIDE, PLEASE.

UH, AND THIS IS HYPERTENSION, UH, AGAIN, UH, IN THIS, UH, SLIDE, YOU CAN SEE THAT AFRICAN AMERICANS IN PARTICULAR, UH, HAVE SUBSTANTIALLY HIGHER RISK OF HYPERTENSION, UH, COMPARED TO WHITES AND HISPANICS IN OUR COMMUNITY AS DO INDIVIDUALS OVER THE AGE OF 65.

AND AGAIN, HYPERTENSION HAS BEEN IDENTIFIED AS A COMPLICATING FACTOR ASSOCIATED WITH COVID-19 NEXT SLIDE.

THAT MAY BE THE LAST LINE.

UH, SO AGAIN, MAYOR AND COUNCIL, UM, W WE HAVE TO ADDRESS OUR UNDERLYING HEALTH ISSUES.

WE CANNOT JUST ADDRESS COVID-19 WITHOUT ADDRESSING THOSE THINGS, WHICH CONTRIBUTE TO HOSPITALIZATIONS AND DEATHS.

I THINK SOME WOULD SUGGEST THAT WE WAIT UNTIL LATER TO ADDRESS THOSE THINGS.

THAT'S A BIGGER ISSUE THAT WE HAVE TO PUSH OFF.

I DON'T THINK WE CAN PUSH IT OFF.

I THINK IT'S SOMETHING THAT WE NEED TO ADDRESS NOW IN A DISCUSSION WITH, UH, WITH DIRECTOR HAYDEN.

I THINK IT'S SOMETHING THAT WE CAN START TO TACKLE NOW SO THAT WE CAN HAVE THE POTENTIAL TO IMPACT, UH, INDIVIDUALS AND COMMUNITIES OF COLOR.

DURING THIS EPIDEMIC, HYPERTENSION IS EASY TO DIAGNOSE IT, VERY INEXPENSIVE, TO TREAT DIABETES EASY, TO DIAGNOSED, VERY INEXPENSIVE TRAIT.

THERE IS SOME LOW HANGING FRUIT THAT WE REALLY CAN ADDRESS IN THE SHORT TERM THAT MAY SUBSTANTIALLY IMPACT PEOPLE'S OUTCOMES, PARTICULARLY IN COMMUNITIES OF COLOR RELATED TO COVID-19.

AND WITH THAT, I'LL PASS IT BACK TO STEPHANIE.

THANK YOU, DR.

ASCOT, AND REALLY, I CANNOT EMPHASIZE THE IMPORTANCE BECAUSE GOING INTO COBIT AND GOING INTO THIS COVID-19 RESPONSE, THE DEPARTMENT HAD ALREADY ESTABLISHED, UM, A EQUITY, UH, PUBLIC HEALTH EQUITY AND COMMUNITY ENGAGEMENT DIVISION.

WE KNOW THAT 14.8% OF OUR COMMUNITY MEMBERS ARE UNINSURED.

WE ALSO KNOW THE