* This transcript was created by voice-to-text technology. The transcript has not been edited for errors or omissions, it is for reference only and is not the official minutes of the meeting. [00:00:05] SORRY, CAN YOU HEAR ME NOW? YES. WHAT ABOUT THE WRITING ROOM? I'M GOING TO CALL AND CONVENE [Item 1] THOSE, ESPECIALLY TODAY FOR MONDAY, JUNE 29, 2020, IT'S ONE 15. IS THERE A MEETING OR IN THEIR ACTIONS BEING TAKEN TODAY? WE'LL HAVE ON EXECUTIVE SESSION OR ASSOCIATED WITH THIS POLITICS WHEN HE TRIED TO GET AS MANY PEOPLE HERE, AS WE COULD POTENTIALLY ANSWER QUESTIONS AND STEPHANIE RECTOR HAYDEN, AND IS WITH US. WE ALSO HAVE, UH, LIKE NEARLY DIVERSITY DOING WORK ON NON TESTING AND TESTING STRATEGIES. UM, WE ALSO HAVE A WEARABLE AQUA MYERS WILL BE JOINING US AT ONE 45, UH, TO TALK ABOUT, UH, MODELING, UH, THAT, THAT WE HAVE PUT SOME AGENDA ITEMS THAT, UH, THESE FOLKS ARE ABLE TO DISCUSS. UM, THE GOAL IS TO TRY TO GET INFORMATION TO THE, AS MUCH TIME AS WE CAN ASK THE QUESTIONS AS BEST WE CAN. UH, AND THEN I THOUGHT THAT I WOULD PERHAPS FOR US TO TALK ABOUT, UH, SPENDING AND WHETHER YOU THINK WE HAVE ENOUGH EARMARKED FOR INCREASE IN REALIZE THAT WE, UH, THAT WE, AS YOU ALL KNOW, UH, AUSTIN IS DEALING WITH ONE OF, UH, UM, YEAH, GREATEST INCREASES IN ACTIVITY OF MAJOR METROPOLITAN AREAS IN THE COUNTRY RIGHT NOW. UM, AND, UH, THINGS ARE DEALING WITH HOSPITALS AND LIKE IT'S BAD, BUT OTHER THAN THAT, IT IS AS IS TENUOUS. IT IS NOW, WELL, THIS IS REALLY PROMINENT IN TEXAS. UM, THAT SAID, I THINK WE'LL GET RIGHT INTO IT. I'M GOING TO HAVE DR. ASKPAT STAR HAYDEN STAR, UH, MANAGER KICK US OFF IF HE WANTS TO. I THINK WE HAVE TO GET TO LIKE THE JOURNEY, UH, RELATIVELY QUICKLY. CAUSE I THINK WE LOSE SAM WITH JAKE AND, UM, UH, THE MONITOR WILL COME IN AT ONE 45. GREAT, THANK YOU, MAYOR COUNCIL MEMBERS, AND REALLY APPRECIATE THE OPPORTUNITY FOR STAFF TO PROVIDE AN UPDATE ON OUR HEALTH RESPONSE TO THIS PANDEMIC. UH, I WANT TO BEGIN BY JUST THANKING THE HEALTH PROFESSIONALS THAT WE HAVE IN OUR COMMUNITY. UH, AS YOU KNOW, THIS IS GOING TO TAKE ALL OF US WORKING TOGETHER AND WE'VE HAD INCREDIBLE SUPPORT FROM YOU AS COUNSEL AND OUR ENTIRE COMMUNITY, RELYING ON THE PROFESSIONALS THAT WE HAVE IN OUR HEALTH CARE SYSTEM. UH, THE DOCTOR ASCOT, UH, DIRECTOR HAYDEN AND THE COUNTLESS OF INDIVIDUALS THAT ARE WORKING ON THIS COLLECTIVELY AS A SYSTEM ARE GOING TO BE NEEDED AND WE NEED TO RELY ON THEM IN THE FUTURE GOING FORWARD. SO THANK YOU FOR THAT CONTINUED SUPPORT. WE ALSO KNOW THAT THIS IS A MARATHON, NOT A SPRINT. AS WE SEE THE INCREASE NUMBERS THAT THE MAYOR REFERENCED, UH, WE'RE GOING TO HAVE TO MAKE SOME TOUGH DECISIONS BECAUSE WE WILL NOT HAVE THE RESOURCES THAT ARE GOING TO BE NECESSARY TO ACCOMPLISH AND TO ACCOMMODATE ALL THE NEEDS THAT ARE OUT THERE. AND SO WE'LL CONTINUE TO UPDATE YOU AND, AND, AND GET GUIDANCE FROM YOU ON THAT ADDITIONAL DIRECTION AS WE MOVE FORWARD. UH, WE KNOW THAT WE ALL, AS A COMMUNITY NEED TO TAKE THAT INDIVIDUAL RESPONSIBILITY. THIS ISN'T JUST ABOUT WHAT GOVERNMENT CAN DO. THIS IS ABOUT WHAT OUR BUSINESS SECTOR CAN DO, WHAT OUR PHILANTHROPIC SECTOR CAN DO. AND ULTIMATELY WHAT INDIVIDUAL, UH, MEMBERS OF OUR COMMUNITY ARE WILLING TO DO TO PROTECT THEMSELVES AND EACH OTHER. AND SO WE'RE ALL IN THIS TOGETHER. AND I LOOK FORWARD TO THIS CONVERSATION TODAY. I'M GOING TO FIRST HAND IT OFF TO DIRECTOR HAYDEN. WHO'S GOING TO LEAD OFF OUR PRESENTATION AND THEN SHE'LL PASS IT OVER TO HER ASSISTANT DIRECTOR, DIRECTOR, HAYDEN. GOOD TO SEE YOU BACK. THANK YOU. GOOD AFTERNOON. THANK YOU, SPENCER. UM, THANK YOU ALSO, UM, MAYOR ADLER, UM, APPRECIATE THE OPPORTUNITY TO PROVIDE AN UPDATE THIS AFTERNOON. WE'RE GOING TO CHANGE OUR FORMAT JUST SLIGHTLY TODAY. I'M GOING TO PROVIDE AN OVERVIEW, UM, AND THEN TRANSITIONED TO ASSISTANT DIRECTOR, UM, ADRIAN STIRRUP TO COVER THE SOCIAL SERVICES BRANCH AND HOMELESS SERVICES. AND THEN TO DR. S SCOTT, OUR EPIDEMIOLOGISTS AND SURVEILLANCE. UM, LAST WEEK, AS YOU ALL [00:05:01] WERE AWARE, WE, UM, OUR SYSTEM WAS UNDER MAINTENANCE AND IT WAS UNDER MAINTENANCE FOR US TO ADD THE CASE INVESTIGATION AND CONTACT TRACY TO THAT SYSTEM. THE SYSTEM, UM, WAS ACTIVE ON FRIDAY ON THE 26TH AND OUR STAFF, UM, BROUGHT IN ADDITIONAL STAFF TO, UM, ENTER INFORMATION, UM, TO CATCH UP ON THE DATA ENTRY. WE HAVE STARTED TODAY WITH A SHIFT OF TWO TEAMS TO COMPLETE DATA ENTRY. AND SO THE SYSTEM WILL NOW HAVE THE ABILITY TO REACH OUT TO PERSONS IMMEDIATELY THE STATE'S SYSTEM, WHICH IS CALLED TEXAS HEALTH TRUST, WHICH IS A IT'S THE STATE'S DATA MANAGEMENT SYSTEM THAT WILL ALLOW FOR A COORDINATED STATEWIDE APPROACH TO COVID-19 RESPONSE. SO THE CITY OF AUSTIN HAS SALESFORCE AS A SYSTEM AND THE STATE OF TEXAS HAS TEXAS HEALTH TRAITS. AND SO THE GOAL WITH THAT SYSTEM IS ACROSS THE STATE OF TEXAS. THEY HAVE FOR A COORDINATED STATEWIDE APPROACH. SO ALL DEPARTMENTS ACROSS THE STATE OF TEXAS, EVEN IF THEY HAVE THEIR OWN SYSTEM MUST ENTER ALL OF THE INFORMATION IN THE SYSTEM, ALONG WITH OTHER MAJOR MUNICIPALITIES, BECAUSE OF THE TYPE OF SYSTEM WE WERE PUTTING IN PLACE. UM, SEVERAL OF US HAVE OTHER SYSTEMS OUTSIDE OF TEXAS HEALTH TRACE. UM, OUR STAFF WILL CONTINUE TO PROVIDE CASE INVESTIGATION AND CONTACT TRACING. SO EVEN WITH THE AUTOMATION THAT HAPPENED AS OF THIS WEEKEND, UM, OUR CONTACT TRACING STAFF WILL CONTINUE TO CALL CLIENTS TO ENSURE CASE INVESTIGATION AND PROCESS IS SUCCESSFUL AT THE EMERGENCY OPERATION COMMAND. UM, WE HAVE SET UP A TESTING GROUP. THIS GROUP ENSURES THAT ALL TESTING, SUCH AS COMMUNITY SITE TARGET CLUSTER HOP UP RESOURCES, FACILITY IN-HOME TESTING OCCURS. UM, LAST WEEK AT OUR COMMUNITY SITE, WE TESTED ABOUT 2000 PEOPLE. WE HAVE A CONTRACT WITH A COMPANY CALLED I'M AWARE TO ASSIST US WITH TESTING. SO THEY ARE GOING TO ASSIST US. THEY'RE GOING TO ASSIST US WITH POPUP TESTING FACILITY AND IN-HOME TESTING STAFF ARE IN THE PROCESS OF DEVELOPING A MAP OF ALL TESTING FACILITIES IN AUSTIN AND TRAVIS COUNTY. WE ARE SENDING OUT A SURVEY TODAY TO PROVIDERS TO GET THAT INFORMATION. ONCE WE HAVE THAT INFORMATION, WE ARE GOING TO POPULATE IT AND IT WILL BE ON OUR WEBSITE. OUR GOAL IS TO KEEP THAT SITE AS ACTIVE AS WE CAN THROUGHOUT THIS PROCESS, WE ARE COMMITTED TO HAVING A TESTING STRATEGY THAT IS FLEXIBLE AND RAPID RAPIDLY, AND IT WILL CHANGE TO MEET THE NEEDS OF OUR COMMUNITY. SO AS WE MOVE ALONG, WE MAY HAVE TIMES WHERE WE ARE GOING TO HAVE TO MAKE CHANGES TO MEET THE DEMANDS IN THE COMMUNITY. CURRENTLY, AS OF JULY 6TH, WE WILL HAVE THREE COMMUNITY SITES THAT WE ARE, UM, THAT WE WILL BE WORKING IN, UM, EVENTS, DOVE SPRINGS, AND IN THE ROMBERG COMMUNITY, THE WEEK OF JULY SIX, WITH OUR NURSING HOME IN LONGTERM CARE TO SUPPORT THE NURSING HOMES AND LONGTERM CARE FACILITIES WOULD SUPPORT. AS YOU ALL MAY RECALL, MAY REMEMBER WE HAVE A TESTING RECOMMENDATIONS PLAN WITH THAT TESTING RECOMMENDATION PLAN AND ALLOWS US TO WORK VERY CLOSELY WITH THE NURSING HOME AND ALL LONGTERM CARE FACILITIES CURRENTLY. UM, WE ARE PROVIDING, UM, UH, PROTECTIVE INFORMATION, UM, TO, UM, 10 LONGTERM CARE NURSING FACILITIES. RIGHT NOW. WE DON'T HAVE ANY STRIKE TEAMS THAT ARE ARE DEPLOYED. UM, AS OF TODAY, WE ARE IN CONVERSATIONS WITH FACILITIES THAT AS THEY START TO SEE MORE CLUSTERS, WE WILL BE WORKING WITH THEM AND TO ASSESS THE NEED TO PROVIDE ADDITIONAL STRIKE TEAMS. THIS JUNE 12TH, OUR STAFF HAVE ALSO ASSISTED WITH TESTING, UM, FACILITIES. AND, UM, IN ADDITION TO TESTING THOSE FACILITIES, WE HAVE EITHER PROVIDED WILDS AND SWABBING ASSISTANCE TO SEVEN OF THOSE FACILITIES AND OTHERS. WE HAVE COME IN TO PROVIDE THE TESTING EARLIER THIS MORNING. YOU SHOULD HAVE RECEIVED A MEMO OF A SUMMARY OF ACTIONS TAKEN BY STAFF AND PARTNERS THIS MORNING TO ADDRESS EQUITY DURING THIS RESPONSE. THIS IS THE FIRST MEMO PROVIDES A LIST OF SERVICES FROM COMMUNICATION OUTREACH AND DIRECT SERVICES TO THE LATIN X COMMUNITY. WE WILL CONTINUE WITH THE PROCESS AND HAVE AN EVENT IN JULY FOR AFRICAN AMERICANS, AND THEN ALSO A COMMUNITIES OF COLOR EVENT. I WILL NOW [00:10:01] TRANSITION THE PRESENTATION TO ADRIAN STERILE. GOOD MORNING. THANK YOU, DIRECTOR HAYDEN. UM, TO, JUST TO PICK UP WHERE A DIRECTOR LEFT OFF, I'LL SHARE A FEW UPDATES ON THE ACTIVITIES OF THE SOCIAL SERVICE BRANCH. UM, THE PRIORITY POPULATION SCREEN HAS BEEN WORKING CLOSELY WITH OTHER TASKS FORCES WITHIN THE EOC, AS WELL AS WITH THE JUST AND THE EQUITY OFFICE TO, UH, PUT TOGETHER SOME OF THE STRATEGIES FOR THE LATIN X POPULATIONS, AS WELL AS OTHER VULNERABLE POPULATIONS. UM, AND SO COMMUNICATION, I'LL JUST GO OVER THE KEY POINTS OF THAT STRATEGY. SO THE GOALS ARE ONE TO DESIGN, INTERVENTIONS AND SOLUTIONS THAT ARE DATA DRIVEN AND SOLVE FOR THE MOST VULNERABLE AND TO, TO ENSURE THAT EQUITY IS THE FOCUS IN ALL PHASES OF THE RESPONSE TO COVID-19, INCLUDING COMMUNICATION, TESTING, ACTIVE SURVEILLANCE AND RECOVERY. AND SO WHEN WE LOOK AT OUR COMMUNICATION STRATEGY, AS STEPHANIE SAID, WE'RE, WE'RE MAKING SURE THAT WE'RE FOCUSING ON THE NEEDS OF OUR, UH, BILINGUAL POPULATIONS AT THIS POINT, PARTICULARLY THE SPANISH SPEAKING POPULATION, UM, WE'RE ENGAGING THREE, ONE, ONE TO ASSIST US WITH INTERPRETERS TO HELP FOLKS FILL UP, FILL OUT FORMS AND DIRECTLY TO RESOURCES. WE'RE MAKING SURE THAT, UM, ALL OF OUR MEDIA AVAILABILITY AND OUR PSA ARE IN LANGUAGE IN SPANISH. WE ARE, UM, SUPPORTING FOCUSED AD CAMPAIGNS IN SPANISH, ON SPANISH RADIO AND TELEVISION. AND WE'RE ALSO USING SOCIAL MEDIA TO REACH THOSE POPULATIONS AS WELL, NOT ONLY THE STANDARD PLATFORMS, BUT THE MORE POPULAR MOBILE APP. MMM. WE WANT TO MAKE SURE THAT THIS PLAN ADDRESSES LANGUAGE BARRIERS AND THE DIGITAL DIVIDE. UM, TO THAT END, THERE WILL BE A STRONG IN-PERSON OUTREACH COMPONENT. UM, WE ARE STRATEGIZING BY ZIP CODE. UM, AND RIGHT NOW OUR FOCUS IS ON TWO ONE, TWO THREE FOUR ONE OR TWO FOUR FOUR FOUR EIGHT FIVE THREE FIVE EIGHT AND SIX ZERO. WE'RE REALLY TRYING TO BE CREATIVE AND USE OUR, UH, COMMUNITY RELATIONSHIPS, UM, SPECIALIZING AT, UH, REGIONALIZED SPECIAL GROCERY STORES OR ETHNIC MARKETS. UM, WE'RE WORKING WITH OUR PLACES OF WORSHIP. UM, WE'VE, UH, PRICED OUT A MAILER CAMPAIGN FOR MULTIFAMILY COMPLEXES AND APARTMENTS, UM, IN THAT, IN THOSE ZIP CODES WHERE REACHING OUT TO OUR PARENTS SUPPORT SPECIALISTS IN AUSTIN, DELL VALLEY MANDER, AND PFLUEGER ISD, UM, WE'RE GOING TO STRATEGIZE AND USE OUR COMMUNITY HEALTH WORKERS, NOT ONLY THOSE THAT ARE INTERNAL TO APA, BUT ALSO THOSE THAT ARE, UM, IN PLACES OF EMPLOYMENT WITH OUR COMMUNITY PARTNERS LIKE COMMUNITY CARE, DELL MED, UH, ONCE THE MODERN TUNNEL, UM, WE WANNA MAKE SURE THAT THIS STRATEGY IS ADA COMPLIANT. UM, WE'VE THANKS TO, UH, BRIAN'S LEADERSHIP OUT OF THE EQUITY OFFICE. WE WORKED WITH THE ECONOMIC DEVELOPMENT, UH, DEPARTMENT TO PUT OUT SOME MESSAGING TO OUR BUSINESS PARTNERS ABOUT, UM, THE BARRIERS THAT THE ROPING OFF OF THE FRONT OF STORES MAY POSE TO PEOPLE WITH DIFFERENT LEVELS OF MOBILITY. UM, WE WANT TO STRESS COMMUNITY, COMMUNITY EDUCATION. SO AS THE MESSAGING COMES OUT FROM THE GES WE WANT FROM THE JOINT INFORMATION SYSTEM, WE WANT TO MAKE SURE THAT WE ARE LEVERAGING OUR RELATIONSHIPS IN COMMUNITY AND PUSHING THOSE MESSAGES OUT, USING ALL THE FORMS OF MEDIA AND STRATEGIES THAT I OUTLINED BEFORE. AND THIS STRATEGY ALSO WANTS TO FOCUS ON COMMUNITY PREPAREDNESS AND MAKE SURE THAT OUR COMMUNITY UNDERSTANDS AND CAN ACCESS PPE. WE'VE BEEN WORKING WITH THE EOC TO WORK WITH OUR NONPROFIT AND SOCIAL SERVICE PARTNERS TO MAKE THAT AVAILABLE. UM, AS THE SUPPLIES PERMIT, WE'RE PROVIDING GUIDANCE TO DIFFERENT AGENCIES ON THE USE OF PPE AND HOW TO, UH, SOCIALLY DISTANCE EFFECTIVELY, UM, AND WE'RE WORKING WITH DIFFERENT, UH, BUSINESS SECTORS TO PROVIDE THEM GUIDANCE ON, BE OPENING WHEN THE ORDERS COME OUT, HOW DOES THAT TRANSLATE INTO THEIR, TO THEIR BUSINESS? SO WE'RE REALLY TRYING TO HAVE THAT BOOTS ON THE GROUND REACH AND ALL OF THE AREAS THAT OUR COMMUNITIES ARE TOUCHING. MOVING ON TO HOMELESSNESS, I'LL GIVE A BRIEF UPDATE ON THE PROLOGIS ALL FOUR PRO LODGES ARE STILL OPERATIONAL AND AT CAPACITY WITH APPROXIMATELY 270 GUESTS INTEGRAL CARE CONTINUES TO PROVIDE ONSITE SERVICES AT ALL PRO LODGES, UM, DAK FRONT STEPS, SALVATION ARMY [00:15:01] COMMUNITIES FOR CUB FOR RECOVERY AND INTEGRAL CARE ARE ALL PROVIDING HOUSING FOCUS CASE MANAGEMENT SERVICES. WE'RE REALLY TRYING TO MAKE SURE THAT WHEN ANYONE IS EXITED FROM THESE FACILITIES, THAT THEY HAVE A PLAN IN PLACE. WE'RE ALSO WORKING WITH COMMUNITY CARE AND DELL MED TO CONTINUE THE FOCUS TESTING OF THE HOMELESS POPULATION, OPEN OUR SHELTERS AND IN OUR ENCAMPMENTS. UM, BY NOW OVER 500 TESTS HAVE BEEN ADMINISTERED AND FOCUSED OPPORTUNITIES, UM, IN DOWNTOWN SHELTERS AND IN CAMP AREAS ACROSS THE CITY, WE CONTINUE TO WORK WITH AND OUR CONSULTANT HAGGERTY ON FEMA APPROVAL FOR REIMBURSEMENT OF ALL OF THE ELIGIBLE PROLOGUE EXPENSES EFFORTS TO PROVIDE HYGIENE RESOURCES FOR OUR UNSHELTERED NEIGHBORS CONTINUE. UM, WE HAVE DEPLOYED MOBILE AND STATIONARY SHOWER TRAILERS, PORTABLE TOILETS, AND HAND-WASHING STATEMENT STATIONS. WE CONTINUE TO CONTRACT WITH FAMILY CARE AND THE OTHER ONE'S FOUNDATION TO OPERATE OUR SHOWER RESOURCES. UM, WE CONTINUE TO DISTRIBUTE MASKS, TOILET, PAPER, HYGIENE SUPPLIES, AND EDUCATIONAL FLYERS ALONG WITH, UH, BAGS OF FOOD EACH WEEK. AND WE CONTINUE TO, UM, PUT UP HEALTH AND HYGIENE SIGNS AT EACH OF OUR MOBILE, UM, BASIC NEEDS STATIONS AROUND COMMUNITY, JUST TO REMIND OUR UNSHELTERED, UH, NEIGHBORS ABOUT HOW THEY CAN STAY SAFE IN THEIR ENVIRONMENT. UM, WE CONTINUE TO PARTNER WITH THE CENTRAL TEXAS FOOD BANK TO PROVIDE THOSE SHELF STABLE MEALS FOR OUR UNSHELTERED HOMELESS, UH, NEIGHBORS. AND WE WILL CONTINUE TO PROVIDE, UM, PREPARED MEALS THROUGH OUR CONTACT WITH CONTRACT RATHER WITH REVOLUTION FOODS. AND THAT HAS BEEN EXTENDED THROUGH THE END OF THE JEW OF JULY AS PART OF THE EATING APART TOGETHER INITIATIVE, APPROXIMATELY 3 MILLION IN FEDERAL CARES ACT FUNDING HAS BEEN ALLOCATED TO THE CITY AND WE'RE WORKING WITH OUR HOMELESS CONSULTANTS AS WELL AS OUR COMMUNITY PARTNERS ON A REQUEST FOR APPLICATIONS TO, UH, DISSEMINATE THOSE RESOURCES INTO COMMUNITY. MOVING ON TO OUR CHILDCARE TASK FORCE. WE CONTINUE TO PROVIDE SUPPORT TO OUR CHILDCARE PROVIDERS. UM, WE'RE IN PARTNERSHIP WITH THE ECONOMIC DEVELOPMENT DEPARTMENT AND NACD ON CHILDCARE SUPPORT FUNDS. WE CONTINUE TO RESPOND TO QUESTIONS AND PROVIDE TECHNICAL ASSISTANCE TO PROVIDERS AND SUMMER CAMP OPERATORS. WE CONTINUE TO WORK WITH CITY LEGAL ON, UM, CONTROL ORDERS AND DEVELOPING, AND THE UPDATING GUIDANCE BASED ON STATE AND LOCAL ORDERS. WE'RE STILL WORKING ON OUR UNACCOMPANIED MINOR POLICY TO FIGURE IT OUT, UM, HOW WE CARE FOR CHILDREN WHOSE PARENTS MIGHT BE IN THE ISOLATION FACILITY AND DO NOT HAVE ACCESS TO OTHER FAMILY SUPPORT SERVICES DURING THAT TIME. UM, AND I THINK, I THINK THAT IS ALL THAT I HAVE. I'LL PAUSE THERE AND PASS IT ON TO DR. ESCA OR IF THERE ARE ANY IMMEDIATE QUESTIONS, HAPPY TO ANSWER THOSE. THANK YOU. I THINK COUNCIL OR KITCHEN HAD A QUESTION. DO WE WANT TO PULL THOSE QUESTIONS TO ME IN SPENCER? ARE YOU GOING TO GO AHEAD AND GO START? WHY DON'T YOU GO AHEAD. OKAY. I'M BACK FOR QUESTIONS. OKAY. THANK YOU, MAYOR AND COUNCIL. UH, I'M GOING TO GIVE YOU A, UH, AN UPDATE OUR CURRENT COVID-19 SITUATION, IF YOU COULD TRANSITION TO THE NEXT SLIDE, PLEASE. UH, SO THIS IS A GRAPH OF OUR NEW CONFIRMED CASES. AGAIN, THE YELLOW IS SHOWING THE SEVEN DAY MEMORY AVERAGE. UH, WE HAD ANOTHER RECORD OVER THE WEEKEND OF MORE THAN 700 CASES. UH, YOU CAN SEE THAT, UH, OUR, OUR MOVING AVERAGE OF NEW CASES HAS INCREASED 372% SINCE THE BEGINNING OF THE MONTH. UH, SO THAT'S ROUGHLY FIVE TIMES THE CURRENT, UH, OR THE RANGE ON JUNE 1ST IS WHAT WE'RE EXPERIENCING NOW. UH, SO YOU CAN SEE THE, THAT YELLOW LINE IS RIGHT ABOUT 400 CASES, UH, ON OUR SEVEN DAY MOVING AVERAGE, UH, AS COMPARED TO AROUND 60, UH, ON JUNE THE FIRST, NEXT SLIDE, PLEASE. NOW THIS IS OUR WEEKLY CONFIRMED CASES. AGAIN, JUST SHOWING YOU THE BREAKDOWN BY WEEK. SO THE WEEK BEGINNING SIX 20 ENDING ON SIX 27, UH, RECORDED 200, 2,539 [00:20:01] CASES COMPARED TO 1390 THAT WERE BEFORE. UH, SO AGAIN, ALMOST DOUBLING LAST WEEK, UH, IN TERMS OF OUR NUMBER OF CASES, NEXT SLIDE, PLEASE. UH, THIS IS AN UPDATE OF OUR GRAPH ON, UH, DOUBLING TIME. SO BACK ON JUNE 7TH, WE HAD OUR BEST DOUBLING TIME AT MORE THAN 44 DAYS. AND JUST TWO WEEKS LATER, UH, WE ARE CLOSE TO TWO WEEKS. SO RIGHT NOW IT'S AT 16 DAYS, UH, WHICH IS A DRAMATIC CHANGE IN DIRECTION. AND CERTAINLY THAT'S REFLECTED IN OUR NUMBER OF NEW CASES THAT WE'RE SAYING, NEXT SLIDE, PLEASE. THIS IS A GRAPH OF OUR NEW ADMISSIONS. AGAIN, THE YELLOW BEING A SEVEN DAY MOVING AVERAGE OF, OF NEW ADMISSIONS, UH, SINCE JUNE 1ST, WE'RE, WE'RE BOUT 10 NEW ADMISSIONS ON THAT SEVEN DAY MOVING AVERAGE, UH, WE'VE INCREASED THE MORE THAN 50. SO WE'RE AT 52, UH, AS OF YESTERDAY. SO AGAIN, A 400% INCREASE IN THE RATE OF NEW ADMISSIONS, UH, TO OUR MSA HOSPITALS SINCE JUNE 1ST, NEXT SLIDE, PLEASE. THIS GRAPH IS, AGAIN, AN UPDATE SHOWING YOU ARE HOSPITALIZED INDIVIDUALS IN BLUE, THE ORANGE SHOWING YOU OUR ICU PATIENTS AND THE GRAY SHOW, AND THOSE WHO ARE USING A VENTILATOR, UH, AGAIN, SINCE JUNE 1ST, THE 214% INCREASE IN THE NUMBER OF HOSPITAL BEDS BEING UTILIZED FOR COVID-19 PATIENTS, UH, THEY, YOU CAN SEE THAT THE, UH, THE RATE OF INCREASE FOR OUR ICU AND OUR VENTILATORS HAS NOT BEEN QUITE AS STEEP, WHICH IS GOOD NEWS FOR US. HOWEVER, UH, WHEN OUR HEARING, UH, FROM OUR HOSPITAL SYSTEMS, THAT INDIVIDUAL HOSPITALS ARE, UH, REACHING OCCUPANCY FOR, FOR ICU AND IS HAVING TO SPILL OVER INTO OTHER HOSPITALS. SO HOSPITAL SYSTEMS HAVE IDENTIFIED HUBS, UH, OR MORE SPECIFIC FACILITIES WHERE, UH, COVID-19 PATIENTS ARE BEING CONCENTRATED, UH, AS THOSE FACILITIES REACHED CAPACITY IN THEIR SERVICE LINES, FOR THINGS LIKE ICU AND VENTILATORS, THEY'RE STARTING TO UTILIZE OTHER FACILITIES. UH, SO AGAIN, WE, WE HAVE PLENTY OF CAPACITY RIGHT NOW, UH, BUT THESE ARE ADDITIONAL SIGNS THAT WE ARE BEGINNING TO SEEING ADDITIONAL STRESS IN OUR HEALTHCARE SYSTEM. UH, YOU KNOW, AGAIN, WHEN WE ESTIMATED 1500 COVEN BEDS AVAILABLE, UH, IN THE FIVE COUNTY MSA OR AT ABOUT 350 NOW, SO THERE'S A THERE'S ROOM RIGHT NOW. AND I BRING THIS UP BECAUSE WE HAVE FOLKS WHO ARE PUTTING OFF CARE, WHO ARE AVOIDING HOSPITALS FOR URGENT CARE AND EMERGENCY CARE, AND THEY DON'T NEED TO DO THAT AT THIS STAGE. UH, THERE'S CAPACITY AT THOSE HOSPITALS, THEY CAN BE SEEN IN AN ECONOMIC, THEY CAN BE ADMITTED DATE MEAN TO THERE'S ROOM. UH, BUT THIS IS A LEARNING FOR US THAT TWO OR THREE OR FOUR WEEKS DOWN THE ROAD, WE MAY BE IN A MUCH DIFFERENT SITUATION, WHICH IS WHY WE ARE CONTINUING TO SIGN THE SOUND, THE ALARM, UH, TO THE PUBLIC IN RELATION TO THOSE PROTECTIVE ACTIONS THAT ARE NEEDED RIGHT NOW TO FLATTEN THIS CURVE AGAIN. NEXT SLIDE, PLEASE. UH, THIS IS AN UPDATE OF OUR GRAPH, UH, ON DEMOGRAPHICS, UH, RELATED TO HOSPITALIZATIONS IN THE LAST WEEK. UH, SO YOU CAN SEE THE, UH, THE NUMBERS ON THE RIGHT HAND SIDE OF, UH, OF THE IMAGE INDICATE THE NUMBERS FROM THE LAST WEEK. AS YOU CAN SEE THAT OUR HISPANIC POPULATION, UH, REPRESENTATION IN THE HOSPITALS, UH, IN OUR MSA HAVE, UH, MAINTAINED A STEADINESS AT AROUND 65% ARE WHITE, NON HISPANIC AS AROUND A 24. SO RELATIVELY STEADY OR AFRICAN AMERICAN ALSO STEADY AT AROUND 8%. SO NOT A LOT WOULD CHANGE IS IN TERMS OF THE MAKEUP OF, OF THESE, UH, THESE INDIVIDUAL, UH, UH, RACES AND ETHNICITIES, UH, IN TERMS OF THEIR PERCENTAGE OF, OF HOSPITAL AS INDIVIDUALS. AGAIN, THIS INDICATES TO US A SUSTAINING, UH, PROBLEM IN OUR COMMUNITY AS IT RELATES TO DISEASE TRANSMISSION IN OUR, UH, OUR LATINO COMMUNITY. AND THIS IS WHY AS STEPHANIE AND ADRIAN BOTH POINTED OUT, UH, THESE TARGETED ONGOING EFFORTS TO INCREASE THE AWARENESS, INCREASED THE PROTECTION IN THESE COMMUNITIES SO THAT WE CAN, WE CAN BEND THAT CURVE AS WELL. NEXT SLIDE, PLEASE. NOW, THIS GRAPH IS SHOWING YOU A WEEKLY HOSPITALIZATIONS BY AGE GROUP. I'M GOING TO POINT OUT A COUPLE OF THINGS HERE. THEY WERE BLUE AND THE GREEN LINES REPRESENT OUR 50 TO 59 AND 60 TO 69 AGE GROUP. UH, YOU CAN SEE THAT BOTH OF THEM ARE, ARE NEAR 20%. UH, THEY YELLOW AND THE BLUE, THE LIGHT BLUE, AND THEY, UH, THE YELLOW ARE REPRESENTING OUR 20 TO 29 AND 30 TO 39 AGE, UH, AGE GROUP. UH, THOSE NUMBERS HAVE COME DOWN A LITTLE BIT SINCE LAST WEEK, [00:25:01] UH, BUT AGAIN, BECAUSE THE, THEY, THE HOSPITALIZATION RATE FOR THOSE GROUPS ARE MUCH LOWER THAN THE 50 TO 59 AND 60 TO 69 AGE GROUP. IT IS FURTHER EVIDENCE THAT, UH, THE DISEASE SPREAD IS PRIMARILY HAPPENING RIGHT NOW IN THAT 20 TO 40 YEAR OLD GROUP. UH, SO AGAIN, UM, WE NEED, WE NEED THOSE INDIVIDUALS TO TAKE MORE PRECAUTIONS, TO BE MORE AWARE, BECAUSE AS THE NUMBERS INCREASE, UH, TRANSMISSION IN THAT AGE GROUP, SO WILL THE HOSPITALIZATIONS INCREASE, UH, AND THIS IS NOT A BENIGN DISEASE. UH, THIS IS NOT AS SIMPLE, COLD, UH, OR, OR FLU FOR, FOR MANY FOLKS, UH, FOR MANY FOLKS THAT LEADS TO HOSPITALIZATION AND SOMETIMES IRREVERSIBLE DAMAGE THAT'S DONE TO THESE INDIVIDUALS. UH, SO WE'VE TALKED ABOUT DEATHS BEFORE, BUT IT'S IMPORTANT TO UNDERSTAND THAT EVEN AMONGST THOSE WHO SURVIVE, THEY CAN HAVE LIFELONG IMPACTS, UH, ON THEIR NORMAL DAY TO DAY LIFE. AND THAT'S, THAT'S CERTAINLY NOT SUBSTANTIAL AS WELL. AND WE NEED PEOPLE TO BE AWARE OF THAT. NEXT SLIDE, PLEASE. UH, SO THIS GRAPH THAT I WAS SHOWING YOU FIRST RELATED TO TESTING IS JUST OUR AUSTIN PUBLIC HEALTH, UH, PUBLIC ENROLLMENT, UH, TESTING. UH, SO YOU CAN SEND, WE HAVE RESULTS BACK ON THE ONE TO 2,500 INDIVIDUALS. THERE'S ACTUALLY MORE THAN 20,000 AND TESTED THROUGH OUR PUBLIC ENROLLMENT LAST WEEK. UH, SOME OF THOSE TESTS ARE STILL AWAITING RESULTS OF THE TESTS WE HAVE RIGHT NOW. UH, WE HAVE A POSITIVE RATE OF 9.6%. NOW YOU CAN SEE THE BREAKDOWN BY ETHNICITY, 5.9% FOR ASIANS, UH, 6.7% FOR WHITE, HISPANIC, 11.7% FOR AFRICAN AMERICAN AND 15.2% FOR OUR HISPANIC POPULATION THROUGH OUR AUSTIN PUBLIC HEALTH TESTING. AGAIN, OUR GOAL IS TO BE LESS THAN 10% OVERALL IN EACH CATEGORY, WHICH TELLS US THAT WE NEED TO TEST MORE AFRICAN AMERICANS. WE NEED TO TEST MORE HISPANICS IN OUR COMMUNITY SO THAT WE CAN ENSURE THAT WE HAVE ADEQUATE, UH, SURVEILLANCE IN THOSE GROUPS AND TO BRING DOWN THAT POSITIVITY RATE. UH, SO AGAIN, PART OF THE EFFORT THAT DIRECTOR HAYDEN AND THE ADRIAN SPOKE ABOUT BEFORE WAS TO EDUCATE FOLKS ABOUT PREVENTION, AS WELL AS TO ENSURE THAT THEY'RE AWARE OF HOW TO GET TESTED IF THEY NEED IT JUST LESS THAN 5%. SO AGAIN, LESS THAN 10%, LESS THAN 5%. SO THE, THE, THE RANGE THAT WE'RE LOOKING FOR IS THAT FIVE TO 10% FOR POSITIVITY RATES, UM, SO THAT WE CAN ENSURE THAT WE'RE, WE'RE BALLING TESTING. WE WOULD LOVE TO WORK TO BE LOWER THAN THAT. UH, BUT RIGHT NOW, IF WE CAN GET EACH OF THOSE DEMOGRAPHICS TO UNDER 10%, WE'LL BE IN MUCH BETTER SHAPE TO CONTROL THIS NEXT SLIDE, PLEASE. UH, SO WE HAVE ASKED OUR PARTNERS IN THE COMMUNITY THAT ARE DOING THE TESTING, UH, TO, TO PROVIDE DATA TO US. AND LAST WEEK WE STARTED RECEIVING THAT INFORMATION. UM, SOME OF THAT INFORMATION IN SUCH A WAY THAT IT NEEDS TO BE CLEANED UP A LITTLE BIT IN RELATION TO THE CASES, PARTICULARLY THE, UH, THE NEGATIVE TESTS. SO WHAT I'M SHOWING YOU HERE IS FOR THE TEST THAT WE HAVE A POSITIVE RESULT ON THIS IS A BREAKDOWN BY RACE AND ETHNICITY. NOW YOU CAN SEE THAT 39, ALMOST 40% OF THOSE RESULTS ARE, ARE UNKNOWN AS FAR AS THE RACE OR ETHNICITY. UH, AND THAT'S DUE TO A NUMBER OF FACTORS. UH, SOMETIMES PEOPLE DO NOT SHARE THEIR RACE OR ETHNICITY IN THE TESTING PROCESS. SOMETIMES THE LAB RESULTS THAT WE RECEIVE IN DO NOT HAVE A RACE OR ETHNICITY ASSIGNED TO IT. UH, SO WE'RE WORKING THROUGH THOSE ISSUES TO TRY TO CLEAN THAT UP. I WILL SAY THAT LOOKING AT OUR AUSTIN PUBLIC HEALTH TESTING, THAT A SIGNIFICANT PORTION OF THOSE WHO INITIALLY IDENTIFIED AS, AS, UH, UNKNOWN OR REFUSE TO ANSWER, UH, ARE FROM OUR LATIN X COMMUNITY NOW. SO WE ARE TRYING TO CLEAN UP THAT DATA, BUT ALSO WANT TO ENCOURAGE FOLKS THAT WHEN THEY'RE SIGNING UP FOR TESTING, THAT THEY SHARE THAT INFORMATION WITH US REGARDING RACE AND ETHNICITY. THAT'S VERY, VERY HELPFUL FOR US TO MAKE POLICY DECISIONS WHEN WE HAVE ACCURATE INFORMATION. AND THAT INCLUDES THAT RACE AND ETHNICITY. NOW, YOU CAN SEE THAT OF THE INDIVIDUALS WHO IDENTIFY A RACE OR ETHNICITY THAT 32.7% IDENTIFY AS HISPANIC, UH, 23% WHITE, NON HISPANIC, UH, 4.2% AFRICAN AMERICAN AND ZERO POINT PERCENT, UH, ASIAN. UH, SO AGAIN, THIS IS A DENOMINATOR OF ALL THE POSITIVE NUMBERS, UH, FOR THE LAST WEEK BASED ON THAT DATA FEED FROM OUR PARTNERS. AND AGAIN, WE'RE GRATEFUL FOR, FOR THEM SHARING THAT INFORMATION LATER THIS WEEK, WE'RE HELPFUL TO HAVE A WEEK BY WEEK TREND BASED UPON RACE AND ETHNICITY, UH, FOR THIS LARGER [00:30:01] DATA SET. UH, WHEN WE LOOK AT THE NUMBERS OF TESTING DONE LAST WEEK, THAT WE'LL BE LOOKING AT OUR BIG THREE PARTNERS, UH, THAT'S, UH, AUSTIN, PUBLIC HEALTH, COMMUNITY CARE, AND AUSTIN REGIONAL CLINIC. UH, THAT NUMBER IS AROUND 11,000. SO THAT'S, THAT'S JUST THOSE THREE ENTITIES. WE HAVE A NUMBER OF OTHER ENTITIES WHO ARE ALSO DOING TESTING. SO THAT NUMBER IS GOING TO BE HIGHER AGAIN, AS WE HAVE THAT RELIABLE DATA FEED FROM ALL OF THESE, UH, TESTING ENTITIES, WE'LL BE ABLE TO PROVIDE MORE INFORMATION, MORE ACCURATE INFORMATION AS IT RELATES TO, UH, THE NUMBERS OF TESTS BEING DONE, AS WELL AS THE COMMUNITY WIDE POSITIVITY RATE. UH, WHEN WE LOOK AT, UH, SOME NATIONAL DATABASES THAT HAVE SOME AUTOMATED FEEDS OF THIS INFORMATION FROM THE MAJOR LABS THAT INDICATES TO, TO US THAT, UH, IT REFLECTS THAT AUSTIN AND TRAVIS COUNTY HAVE A POSITIVITY RATE OF ABOUT 22 TO 23%, UH, WHICH IS A NUMBER WHICH WAS INDICATED BY THE WHITE HOUSE LAST WEEK, IN TERMS OF A VERY HIGH POSITIVITY RATE IN TRAVIS COUNTY. I WILL SAY THAT TWO OF THE MAJOR LABS THAT WE USE, WHICH IS SEEPING OUT AT AIT ARE NOT PART OF THAT DATA FEED. UH, SO THOSE NUMBERS MAY BE ARTIFICIALLY HIGH, BUT AGAIN, AS WE GET THAT INFORMATION TOGETHER, WE'LL REPORT THAT BASED UPON THE DATA THAT WE HAVE IN HAND. I DO ALSO WANT TO POINT OUT THAT THAT SAME DATABASE INDICATES THAT SURROUNDING COUNTIES I HAVE SIMILAR OR HIGHER, UH, POSITIVITY RATES WITH THE EXCEPTION OF HAZE COUNTY, WHICH WAS, UH, AROUND 15%, UH, THE LAST, UH, THE LAST CHECK THIS MORNING, UH, THE HIGHEST BANK CALDWELL COUNTY, WELL, THE POSITIVITY RATE OF MORE THAN 33%. UH, SO AGAIN, THIS IS NOT JUST A METRO ISSUE. THIS IS A STATEWIDE ISSUE, AND WE HAVE TO CONTINUE TO TRY TO OPERATE AT LEAST AS AN MSA, BECAUSE THIS IS AFFECTING ALL OF US. IT DOESN'T MATTER WHERE YOU LIVE, IT'S AFFECTING ALL OF US AND THE MESSAGE NEEDS TO BE THE SAME, AND IT NEEDS ME TO ECHO AROUND OUR COMMUNITY. NEXT SLIDE, PLEASE. NOW, THIS IS A BREAKDOWN OF THAT SAME DATA SET, UH, WHICH INCLUDES APH COMMUNITY CARE AND OUR OTHER PARTNERS. UH, SO WE'LL LOOK AT, UH, THE PERS THE PERCENTAGE OF POSITIVE CASES BY AGE. AGAIN, YOU CAN SEE THIS WEEK THAT, UH, THE MAJORITY OF CASES ARE IN THAT 20 TO 29 AND 30 TO 39 AGE GROUP. NOW, YOU CAN ALSO SAY THAT THAT 40 TO 49 AGE GROUP, UH, HAS MORE THAN 15% AS WELL. UM, SO THIS IS WHERE OUR, OUR TARGET NEEDS TO BE AS FAR AS, AS MESSAGING AND OUTREACH IS TO ENSURE THAT, UH, THAT THIS GROUP IS RECEIVING THE MESSAGE AND TAKING APPROPRIATE PRECAUTIONS. I'M PLEASED TO SEE THAT 50 AND OLDER IS A MUCH LOWER RATE, UH, OR, UH, CONSTANT MUCH LESS OF A, UH, OF THE POSITIVE NUMBERS, UH, BECAUSE THOSE ARE THE ONES WHO ARE BOTH GOING TO HAVE A HIGHER RATE OF HOSPITALIZATION AND A HIGHER RATE OF DEATH. UH, SO WE NEED THOSE FOLKS IN PARTICULAR TO BE PROTECTIVE, TO STAY HOME, UNLESS THEY ABSOLUTELY NEED TO GO OUT. UH, WE NEED THE REST OF THE FOLKS, PARTICULARLY THOSE IN THE 20 TO 50 AGE GROUP TO BE PROTECTIVE AS WELL, PARTICULARLY IF THEY LIVE IN A HOUSEHOLD WITH, WITH INDIVIDUALS WHO ARE IN THE OLDER GROUP OR IN OTHER VULNERABLE, UH, GROUPS WITHIN THEIR, IN THEIR HOUSEHOLD. AGAIN, WE HAVE TO CONTINUE TO WORK AS A COMMUNITY TO PROTECT THE COMMUNITY AS A, AS CITY MANAGER CROPS THAT EARLIER, NEXT SLIDE, PLEASE. NOW, THIS IS A SNAPSHOT OF A POSITIVE TEST IN THE LAST WEEK. UH, SO AGAIN, WE CAN SEE THAT (786) 607-8745 (787) 417-8748 AND SEVEN EIGHT SEVEN ZERO TWO, WHERE OUR TOP FIVE FOR THE PAST WEEK. UM, AGAIN, WE ARE WORKING ON A DASHBOARD TO ENHANCE THE, THE TESTING INFORMATION, AS STEPHANIE MENTIONED EARLIER, I BELIEVE, AND WE HOPE TO HAVE SOME OF THIS INFORMATION, UH, FRONT FACING IN ADDITION TO THE, THE MAP THAT WE CURRENTLY HAVE. UH, SO WE ARE STILL WORKING ON THAT AND HOPEFULLY I WILL HAVE THAT IN THE NEAR FUTURE. NEXT SLIDE, PLEASE. THIS IS AN UPDATE IN RELATION TO OUR NURSING HOME AND LONGTERM CARE FACILITY TESTING, WHICH INCLUDES ASSISTED LIVING FACILITIES. UH, YOU CAN SEE THAT WE HAVE, UH, FIVE, SIX FACILITIES THAT, UH, SORRY, I CAN'T COUNT SEVEN FACILITIES THAT ARE GRAYED OUT, WHICH MEANS, UH, IF THEY HAVE NO ADDITIONAL CASES NEXT WEEK, THAT THEY WILL COME OFF THE ACTIVE CLUSTER LISTS. UH, UNFORTUNATELY YOU CAN SEE THAT WE HAVE HAD, UH, 30 CASES IN THESE FACILITIES OVER THE PAST WEEK. UH, SO MANY OF THOSE ARE OUR NEW FACILITIES OR CASES OF NEW FACILITIES. AND, UH, THAT HAS BEEN THE RESULT OF AN INITIAL [00:35:01] POSITIVE TEST, WHICH HAS LED TO A LARGER SCALE TESTING AT THOSE FACILITIES. NOW, AS DIRECTOR HAYDEN SAID EARLIER, WE HAVE A TASK FORCE WHO HAS, UH, WHOSE ONLY JOB IS TO, UH, TO MANAGE THESE FACILITIES, IDENTIFY WHERE CLUSTERS ARE HAPPENING AND SENDING OUT RESOURCES TO SUPPORT, INCLUDING TESTING PPE AND POTENTIALLY THE NEED FOR A NURSING HOME STRIKE TEAMS, IF IT BECOMES NECESSARY. UH, SO WE'LL CONTINUE TO PROVIDE THAT UPDATE TO COUNCIL. AND, UH, UH, WE'RE ALSO WORKING ON A DASHBOARD TO AUTOMATE SOME OF THIS INFORMATION. UH, SOME OF IT IS PUBLIC FACING ON A ONGOING NEXT SLIDE, PLEASE. UH, SO I'VE GOT A COUPLE OF SLIDES TALKING ABOUT SOME BIG PICTURE ISSUES. AND AS A, AS A CITY MANAGER, CRONK MENTIONED EARLIER, UH, WE HAVE BEEN, WE'VE BEEN SPRINTING FOR QUITE SOME TIME, UH, AND WE HAVE TO ENSURE THAT, THAT THE STRATEGY THAT WE HAVE IN PLACE AND THAT WAY ARE MOVING TO OVER THE SUMMER ARE GOING TO BE SUSTAINABLE FOR A LONG DURATION OF TIME. WE CERTAINLY EXPECT TO, WE HAVEN'T HAVE AT LEAST ANOTHER YEAR TO DEAL WITH THIS. AND, UH, AND IN PARTICULAR, UNTIL WE HAVE AN EFFECTIVE VACCINE, WHICH HAS BEEN IDENTIFIED MASS PRODUCED AND AVAILABLE TO THE PUBLIC, UH, SO PART OF THAT IS, IS, UH, TESTING PRIVATIZATION. UH, NOW I DID HAVE THE OPPORTUNITY YESTERDAY TO MEET WITH A, UH, WHITE HOUSE CORONAVIRUS TASK FORCE, UH, INCLUDING, UH, AMBASSADOR, UH, BURKS, AS WELL AS COMMISSIONER HELLER, STAT, UH, DR. AND MY COLLEAGUES FROM AROUND THE STATE. AND WE HAD SOME AGREEMENT ON THE FACT THAT RIGHT NOW THE DISEASE IS SPREADING SO QUICKLY IN AN UNCONTROLLED FASHION, THAT WE SIMPLY CANNOT CONTINUE TO USE THINGS THE WAY WE, WE HAVE BEEN DOING THEM. AND SO THAT INVOLVES PRIORITIZING, AND THAT INVOLVES PRIORITIZING TESTING. UM, PART OF THAT IS BECAUSE OF, UH, LIMITATIONS ON THE ABILITY TO COLLECT ENOUGH TESTS, BUT MORE IMPORTANTLY, THE ABILITY OF THE LABS TO TURN THOSE TESTS AROUND IN A TIMELY FASHION. SO WHAT WE'RE FACING RIGHT NOW, AS I MENTIONED A LITTLE BIT LAST WEEK, IS THAT WE ARE RECEIVING POSITIVE TEST BACK ON INDIVIDUALS WHO WERE TESTED FIVE OR SEVEN, OR SOMETIMES LONGER THAN THAT DAYS AGO. SO IF IT'S FIVE OR SEVEN DAYS AFTER THE TEST WAS DONE AND IT'S 10 OR 14 DAYS AFTER THE PERSON BECAME SYMPTOMATIC. SO INITIATING CASE INVESTIGATION AND CONTACT TRACING FOR THOSE INDIVIDUALS IS A FUTILE EFFORT BECAUSE THEY'RE INFECTIVITY PERIODS OVER THE INDIVIDUALS WHO HAD BEEN EXPOSED ARE LIKELY ALREADY SYMPTOMATIC. SO RIGHT NOW WE'RE PRIORITIZING A CASE INVESTIGATION AND CONTACT TRACING, UH, FOR THOSE WHO, WHO HAVE BEEN SICK MORE RECENTLY, IN ADDITION TO THAT, WE ARE TESTING, WE ARE HAVING TO CHANGE OUR TESTING PRIORITIES. SO THAT INCLUDES ENSURING THAT PEOPLE WHO ARE SYMPTOMATIC GET TESTED FOR US TO GET TESTED QUICKLY. UH, THOSE WHO LIVE IN CONGREGATE SETTINGS, THOSE WHO ARE A PART OF CRITICAL INFRASTRUCTURE, UH, AND THOSE IN OUR VULNERABLE POPULATIONS, THESE STILL ARE OUR PRIORITIES. BUT WHAT THIS MEANS IS THAT WE ARE NOT GOING TO BE ABLE TO, UH, TEST THROUGH AUSTIN PUBLIC HEALTH AND COMMUNITY CARE. UH, THOSE WHO ARE ASYMPTOMATIC, UH, WE SIMPLY DO NOT HAVE THE CAPACITY TO PROVIDE THOSE TESTS AND ENSURE ADEQUATE TURNAROUND TIMES FOR THOSE WHO ARE AT THE HIGHEST RISK OR BEING POSITIVE. AND THAT'S THE, THE WEST THERE. UH, WE ARE ALSO IN THE PROCESS OF DISCUSSING WITH OTHER PARTNERS ABOUT TRANSITIONING SOME OF THE TESTING, MORE OF THE TESTING RESPONSIBILITY, UH, TO PRIVATE PARTNERS, AS DIRECTOR HAYDEN MENTIONED EARLIER, WE HAVE A CONTRACT WITH I'M AWARE, AND WE'RE IN THE PROCESS NOW OF WORKING WITH OUR CONSULTANTS AT HAGGERTY, UH, TO DISCUSS TRANSITIONING MORE OF THE TESTING, UH, NON-GOVERNMENTAL ENTITIES, SO THAT WE CAN WAKE AND FOCUS PUBLIC HEALTH AND PUBLIC RESOURCES IN OTHER AREAS WHERE ONLY WE CAN PROVIDE THOSE SERVICES. UH, AS I SAID BEFORE, WERE ALSO HAVING TO PRIORITIZE AND WORK ON A STRUCTURE TO PRIORITIZE THE CASE INVESTIGATION AND CONTACT TRACING. UH, SO LET ME EXPLAIN A LITTLE BIT ABOUT THIS CASE INVESTIGATION, CONTACT TRACING AS IS AT THE HEART OF, OF PUBLIC HEALTH INTERVENTION AND DISEASE INVESTIGATION. BUT WHEN WE HAVE WIDESPREAD UNCONTROLLED DISEASE TRANSMISSION IN THE COMMUNITY AT THE RATE THAT WE'RE HAVING IT NOW, IT BECOMES LESS USEFUL FOR SOME OF THE REASONS I MENTIONED BEFORE. UM, SO WE REALLY DO NEED TO PRIORITIZE THOSE EFFORTS WHERE WE CAN BE MOST IMPACTFUL IN THOSE AREAS THAT ARE BEING HARDER HIT OR WHERE THE CONSEQUENCES ARE MORE DIRE SUCH AS A NURSING HOMES OR ASSISTED LIVING FACILITIES. AND CERTAINLY OUR MEMBERS WHO, UH, HAD ANY MORE RECENT ONSET OF ILLNESS, SO THAT [00:40:01] IF WE INTERVENE, IF WE CONTACT THEM AND DO THEIR CONTACT TRACING, WE HAVE A BETTER CHANCE OF CAPTURING THOSE WHO STILL WOULD BE AT RISK FOR SPREADING OUTSIDE IN THE COMMUNITY. UM, SO AGAIN, UH, YOU KNOW, WE WERE HAVING TO GO THROUGH A PRIVATIZATION PROCESS. THIS IS NOT JUST AUSTIN. THIS IS EVERY JURISDICTION IN THE STATE OF TEXAS. AND WE'VE HAD REGULAR COMMUNICATIONS WITH OUR PARTNERS AT THE MAJOR METROPOLITAN, UH, PUBLIC HEALTH DEPARTMENTS. AND WE ARE HAVING, THEY'RE HAVING THE SAME DISCUSSION IN THEIR JURISDICTIONS. THIS IS JUST WHERE WE ARE RIGHT NOW IN THIS PANDEMIC. ONE OTHER THING THAT, UH, THAT WE INTEND TO ADD ONTO THIS CONVERSATION IS TO ENGAGE THE INDIVIDUALS THEMSELVES WHO ARE POSITIVE IN HELPING US NOTIFY THEIR CONTACTS. UH, RIGHT NOW THEY'RE ASKED TO PROVIDE THAT INFORMATION. AND UNFORTUNATELY, UH, IT'S BECOMING MORE COMMON THAT PEOPLE DO NOT WANT TO PROVIDE PUBLIC HEALTH IN AUSTIN AND ACROSS THE STATE INFORMATION ABOUT THEIR CONTEXTS, WHERE THEY'VE BEEN. UH, SO I THINK IT'S IMPORTANT THAT WE ENGAGE THEM. IF THEY'RE NOT COMFORTABLE SHARING THAT INFORMATION WITH US, WE NEED THEM TO SHARE IT WITH THEIR CONTACTS SO THAT WE CAN, AGAIN, INFORM THOSE INDIVIDUALS WHO ARE AT RISK FOR HAVING CONTRACTED COVID-19, SO THEY CAN STAY HOME, AVOID INFECTING OTHERS AND GET TESTED. UH, SO THIS DOES, THIS DOES, UH, RELY ON A COMMUNITY EFFORT AND IT REALLY REQUIRES ALL OF US TO DO THE THINGS WE NEED TO DO TO GET THIS UNDER CONTROL, UH, SO THAT WE CAN HAVE, UH, PROTECTION OF PUBLIC HEALTH AND PROTECTION OF OUR ECONOMY AS WELL. UH, WE'RE WORKING ON ENHANCING THE MESSAGING AT THE TIME OF TESTING, UH, AS STEPHANIE SAID EARLIER, PROVIDING, UH, MASKS AND, UH, AND HOPEFULLY SOME OTHER EQUIPMENT AT THE TIME OF TESTING, SO THAT FOLKS CAN PROTECT THEMSELVES AT HOME, CONTINUING TO ADVOCATE FOR THE UTILIZATION OF ISOLATION FACILITIES, UH, SO THAT FOLKS CAN SEPARATE THEMSELVES FROM THEIR FAMILIES TO PREVENT THAT HOUSEHOLD SPREAD, WHICH WE KNOW IS A MAJOR CONTRIBUTOR RIGHT NOW TO THE SPREAD OF DISEASE. AND SO AGAIN, WE'VE GOT TO OPTIMIZE OUR USE OF RESOURCES SO THAT THEY CAN BE MOST IMPACTED RIGHT NOW. NEXT SLIDE, PLEASE. SO IN LOOKING AT OUR NEEDS, AND AGAIN, THIS IS MAYBE A PART OF A CONVERSATION THAT, THAT, UH, THAT I HAD WITH AMBASSADOR BURKES, AS WELL AS COMMISSIONER HELLER STEAD, AND THE REST OF THE TEAM IS IT REALLY DO NEED TO AN INTEGRATED ELECTRONIC LAB RECORDING SYSTEM. I SPOKE LAST WEEK ON THE FACT THAT WE'RE STILL RELYING ON FAXES TO BRING INFORMATION IN REGARDING POSITIVE RESULTS, THAT DIDN'T HAVE TO BE TRANSITIONED TO A DIGITAL FORMAT IN ORDER TO INITIATE THAT PROCESS. UH, THIS IS NOT ACCEPTABLE, AND WE NEED TO MOVE SWIFTLY TO HAVE A STATEWIDE COMPREHENSIVE SYSTEM THAT'S INTEGRATED WITH LOCAL HEALTH DEPARTMENTS, UH, TO ACHIEVE THIS MISSION. UH, WE'VE GOT AN IMPROVED TESTING CAPACITY AND LAB TURNAROUND TIMES, AND WE CERTAINLY HAD THAT CONVERSATION WITH THE STATE AS WELL. OUR LAB PARTNERS ARE WORKING ON INCREASING TESTING. UH, WE, UH, WE ALSO HAD A DISCUSSION YESTERDAY REGARDING THE IMPORTANCE OF, OF POOL TESTING, AS WE LOOKED PARTICULARLY TOWARDS THE FALL AND THE OPENING OF SCHOOLS, WE NEED TO HAVE THE ABILITY TO TEST HUNDREDS OF THOUSANDS OF PEOPLE A DAY, UH, POTENTIALLY IN OUR OWN JURISDICTION TO, UH, TO ENSURE THAT AS WE OPEN SCHOOLS, WE CAN DO SO SAFELY. UH, SO I BELIEVE THIS THING IS A PRIORITY FOR THE WHITE HOUSE, AND THAT WAS CERTAINLY INDICATED YESTERDAY IN THAT MEETING. UM, WE NEED TO INTEGRATE LOCAL AND STATE PLATFORMS, UH, FOR CONTACT TRACING IN CASE INVESTIGATION. UH, EACH OF THE LOCAL HEALTH DEPARTMENTS HAVE A PLATFORM. OURS IS SALESFORCE. THE STATE HAS A PLATFORM CALLED TEXAS HEALTH, TRACE THOSE TWO SYSTEMS. DON'T TALK TO ONE ANOTHER. UH, AND WE ARE WORKING WITH THE STATE, UH, YOU KNOW, I ENGAGE WITH, UH, COMMISSIONER HELLER'S DAD AND OTHERS, UH, TO HAVE THAT DISCUSSION. IS IT POSSIBLE FOR US TO INTEGRATE THESE TWO THINGS TOGETHER TO REALLY BROADEN THE EFFICACY OF OUR EFFORTS? UM, AND WE'RE HOPEFUL THAT WE CAN HAVE A ONGOING CONVERSATION ABOUT THAT AND REALLY, UH, BUILDING THAT EFFICACY OF THAT SYSTEM, UH, SO THAT WE HAVE CROSS JURISDICTIONAL, UH, ACROSS OUR SOCIAL SYSTEM, WHICH IS, WHICH IS FUNCTIONAL AND ROBUST, UH, IN, IN ENHANCE THE MESSAGING TO OUR TEAMS UP THROUGH OUR, OUR INDIVIDUALS IN THE AGE OF 40 TO 49, UH, SO THAT WE CAN WAKE AND FLATTEN THE CURVE JUST AMONGST THOSE GROUPS WHERE WE'RE SEEING THE MOST SPREAD RIGHT NOW, UH, WHEN WE'VE SPOKEN ABOUT FEDERAL AND STATE SUPPORT FOR PAID SICK LEAVE TO REMOVE THE DISINCENTIVES FROM, FROM GOING TO WORK WHEN YOU'RE SICK, BECAUSE YOU NEED TO HAVE THAT PAYCHECK TO SUPPORT YOUR FAMILY. UH, WE NEED FEDERAL AND STATE SUPPORT FOR THE DISTRIBUTION OF MASS PUBLICLY SO THAT WE CAN ASSURE THAT EVERY MEMBER [00:45:01] OF OUR COMMUNITY HAS BEEN PROTECTIVE EQUIPMENT, NOT ONLY WHEN THEY GO TO WORK, BUT EVEN INSIDE THEIR HOUSEHOLD NOW, PARTICULARLY WHEN INDIVIDUALS ARE ILL. UH, AND WE REALLY NEED A REASSESSMENT OF, OF LONGTERM STRATEGY AT THE STATE LOCAL AND FEDERAL LEVEL BASED UPON THE RESOURCES THAT WE HAVE, AGAIN, AS SPENCER SAID, THIS IS A MARATHON, AND WE NEED TO BETTER UNDERSTAND WHAT THAT, WHAT THAT, THAT POOL OF MONEY IS GOING TO LOOK LIKE GOING FORWARD. WE HAVE SOME INFORMATION REGARDING THE END OF 2020, BUT BEYOND THAT, AS IN QUESTION, AND WE REALLY NEED TO HAVE A BETTER IDEA, BECAUSE THERE ARE MANY DIFFERENT STRATEGIES THAT WE AS A PUBLIC HEALTH DEPARTMENT CAN UTILIZE, BUT IT'S HARD TO DO, OR WE'RE NOT SURE ABOUT THE LONGTERM FUNDING. UH, SO FAR WE FOCUSED ON TEMPORARY FUNDING, TEMPORARY POSITIONS, UH, BUT IT'S, IT'S GOING TO BE CHALLENGING FOR US TO RECRUIT, RETAIN TEMPORARY FOLKS. UH, WE'VE ALREADY HAD A NUMBER OF FOLKS WHO STARTED WITH AUSTIN PUBLIC HEALTH. THEY WERE OFFERED A PERMANENT POSITION WITH BENEFITS, UH, AT OTHER LOCATIONS. AND THEY'RE GONE. UM, WE RARELY MUST THAT THE LOCAL STATE AND FEDERAL LEVEL SHORE UP PUBLIC HEALTH, UH, NOT FOR THE SHORT TERM, BUT FOR THE LONG TERM, UH, BUT DOING SO WILL GIVE US SHORT TERM BENEFITS. UH, AND FINALLY, NEXT SLIDE, PLEASE, AS SPENCER SAID, YOU KNOW, WE HAVE TO, WE HAVE TO BE THIS COMMUNITY OF US, NOT JUST FOR COVID-19, BUT EVERYTHING THAT WE DO. AND IF WE CANNOT DO THIS, WE'RE NOT GOING TO BE SUCCESSFUL. WE ARE AT THE VERGE OF HAVING THAT RECOMMENDATION COME FROM ME TO THE MAYOR AND TO JUDGE BISCO THAT WE CLOSE THINGS DOWN AGAIN RIGHT NOW IS THE TIME TO ACT RIGHT NOW IS THE TIME THAT WE ALL MUST MAKE DECISIONS, NOT JUST FOR US AND OUR FAMILY, BUT FOR THIS COMMUNITY. AND THAT DECISION NEEDS TO BE, I'M GOING TO STAY HOME IF I DON'T HAVE TO GO OUT. AND IF I DO HAVE TO GO OUT TO A PUBLIC PLACE, I'M GOING TO WEAR A MASK. I'M GOING TO SOCIAL DISTANCE, AND I'M GOING TO PAY CLOSE ATTENTION TO MY PERSONAL HYGIENE SO THAT WE CAN STOP THE SPREAD AND FLATTEN THE CURVE AGAIN, AS WE DID A FEW MONTHS AGO, WITH THAT, I'LL PASS IT BACK TO YOU, SPENCER. THANK YOU, DR. SCOTT. AND I'LL JUST NOTE FOR THE COUNCIL AND THE COMMUNITY. THIS PRESENTATION HAS BEEN PLACED IN, BEEN PLACED IN THE BACKUP FOR THIS AGENDA. AND SO IF YOU WANT TO HAVE REFERENCE TO THESE SLIDES, OR YOU CAN FIND THEM THERE, I KNOW THERE ARE MANY QUESTIONS FOR THE PRESENTERS SO FAR, BUT I DID SEE THAT DR. MYERS ARE A GREAT PARTNER FROM THE UNIVERSITY OF TEXAS DELL MEDICAL SCHOOL HAS JOINED US. AND SO WITH YOUR PERMISSION, MAYOR, WE'LL JUST GO RIGHT INTO DR. MEYER'S PRESENTATION, AND THEN WE'LL OPEN IT UP FOR QUESTIONS. THAT'S WHAT WE SHOULD DO, DR. MEYERS AND YOU WITH US. YEAH, I AM. YES. CAN YOU SEE ME? I CAN'T SEE. CAN'T SEE ME. LET'S SEE YOU SEE ME NOW. I CAN, YES. I'M GOING TO TRY TO SHARE MY SLIDES AND THEN WILL GET STARTED. LET'S SEE. UM, ARE YOU ABLE TO SEE MY SLIDES NOW? YES. OKAY. YOU, CAN YOU STILL SAY THAT I'VE GONE INTO PRESENTATION MODE? YES. OKAY, GREAT. UM, SO THANK YOU FOR YOUR TIME. UM, GOOD AFTERNOON, EVERYBODY. I'M GOING TO SHARE JUST A FEW SLIDES THAT, UH, GIVE CURRENT ESTIMATES FOR WHERE WE ARE TODAY AND WHERE WE MAY BE HEADED IN THE NEXT FEW WEEKS, AND THEN FOLLOW UP ON MY PRESENTATION FROM, I BELIEVE LAST MONTH, SHOW YOU WHAT THINGS MIGHT LOOK LIKE IF WE ENACT, UM, THE TRIGGERED POLICIES THAT ARE NOW ON THE KEY INDICATORS DASHBOARD, UH, UNDER DIFFERENT SCENARIOS. SO LET ME JUST START WITH KIND OF VERY SHORT TERM PROJECTIONS BASED ON ANALYSIS WE DO ON A DAILY BASIS, UH, TO TRY TO GET A HANDLE ON HOW FAST IS COVID SPREADING TODAY. HOW QUICKLY ARE THINGS RISING IN THE COMMUNITY IN TERMS OF NEW HOSPITAL ADMISSIONS AND TOTAL NUMBER OF HOSPITALIZATIONS IN THE FIVE COUNTY MSA. SO HERE ARE SHORT TERM PROJECTIONS USING OUR ESTIMATES FOR THE RECENT TRANSMISSION, RIGHT? SO WE ARE ESTIMATING THIS FROM DAILY HOSPITAL ADMISSIONS DATA, BUT BECAUSE OF THE LAG BETWEEN THE TIME SOMEONE IS INFECTED AND THE TIME THEY GET ADMITTED TO A HOSPITAL, WHICH IS USUALLY AROUND 10 DAYS, WELL, WE ESTIMATE TODAY ACTUALLY REFLECTS HOW FAST IT WAS SPREADING ABOUT TWO WEEKS AGO, WEEK AND A HALF AGO. SO BASED ON THOSE ESTIMATES, UM, THIS IS A PROJECTION FOR, UH, WHERE HOSPITALIZATIONS ARE GOING. SO THE BLACK DOTS THERE ALONG THE BOTTOM, UH, GO, I THINK UP TO ABOUT, UM, MAYBE [00:50:01] FRIDAY OF LAST WEEK. AND THEN, UM, WE PROJECT FROM THERE USING OUR MODELS THAT ARE FIT TO THE LOCAL DATA. EACH ONE OF THOSE GRAY LINES REPRESENTS A, WHAT WE CALL A POSSIBLE TREND. EACH ONE OF THOSE ARE EQUALLY LIKELY TO HAPPEN IN THE FUTURE, BUT YOU CAN SEE THE MASS OF THE PROJECTIONS CLIMB SORT OF STEEPLY UPWARDS ARE CONTINUING TO CLIMB AT THE SAME EXPONENTIAL RATE THAT WE'VE BEEN SEEING OVER THE LAST FEW WEEKS. UM, AND THAT BLACK LINE IN THE MIDDLE IS SORT AN AVERAGE PROJECTION, BUT IT DOESN'T MEAN IT'S ANY MORE LIKELY THAN, THAN ANY OTHER PROJECTION. IMPORTANTLY, THESE ARE PROJECTIONS ASSUMING THAT BEHAVIOR DOESN'T CHANGE, ASSUMING THAT THE VIRUS CONTINUES TO SPREAD AT THE RATE IT'S BEEN STRAINING IN THE LAST FEW WEEKS, IF PEOPLE VERY DRAMATICALLY CHANGED THEIR BEHAVIOR, THEY WERE FACE FAST, MORE TAKE, THEY TAKE OTHER PRECAUTIONS TO SLOW TRANSMISSION OR OTHER POLICIES GO INTO EFFECT THAT CELL TRANSMISSION. THEN WE WOULD EXPECT TO SEE THESE LINES, UH, NOT CLIMB QUITE AS STEEPLY AND BEGIN TO SLOW THE COMING WEEKS. SO THESE ARE PROJECTIONS WITHOUT ANY BEHAVIORAL CHANGE. I'M GOING TO ADD A LINE TO THIS GRAPH, WHICH CORRESPONDS TO OUR CURRENT ESTIMATE FOR OUR HOSPITAL BED CAPACITY, UH, FOR COVID-19 PATIENTS IN THE FIVE COUNTY MSA. SO BASED ON THESE PROJECTIONS, ALTHOUGH THERE IS A LOT OF UNCERTAINTY AND YOU CAN SEE THAT THERE'S SOME LINES THAT NEVER COME CLOSE TO THAT RED LINE, THAT SORT OF MEAN PROJECTION, UM, IS PROJECTED TO, UH, APPROACH HOSPITAL'S CAPACITY AND MAYBE CROSS IT MID TO LATE JULY. NOW I'M GONNA SHOW YOU A SIMILAR GRAPH, BUT INSTEAD OF SHOWING YOU TOTAL NUMBER OF COVID HOSPITALIZATIONS, I'M NOW GOING TO SHOW YOU, UH, UH, DAILY HOSPITAL ADMISSIONS FOR THE FIVE COUNTY MSA. SO WHAT YOU SEE ALONG THE Y AXIS HERE IS NOT THE SINGLE DAY HOSPITAL ADMISSIONS, BUT THE SEVEN DAY AVERAGE. AND IF YOU'RE PROBABLY AWARE THAT THAT IS WHAT WE ARE TRACKING ON A DAILY BASIS TO FIGURE OUT WHEN, WHEN IT IS THAT WE SHOULD MOVE INTO DIFFERENT ALERT LEVELS. SO THE RED DOTS IN THIS GRAPH ARE THE OBSERVED NUMBER OF DAILY ADMISSIONS. UH, AGAIN, PROBABLY UP THROUGHOUT JULY 27TH. UM, AND THEN THE GRAY LINES GOING OFF TO THE RIGHT ARE OUR PROJECTIONS. AGAIN, YELLOW AREA IS, UH, THE POSSIBLE RANGE, UM, THAT WE ARE PROJECTING GOING FORWARD. THE 95% RANGE, EACH INDIVIDUAL GRAY SQUIGGLE CORRESPONDS TO A PLAUSIBLE FUTURE SCENARIO. EACH ONE OF THOSE, EACH ONE OF THOSE GRAY SQUIGGLES IS EQUALLY POSSIBLE. AND THEN THAT BLACK DASH LINE IN THE MIDDLE, UM, CORRESPONDS TO SORT OF THE, THE MIDDLE OR THE, THE AVERAGE PROJECTION. UM, AND AGAIN, THESE ARE PROJECTIONS WITHOUT BEHAVIORAL CHANGE. SO THIS IS ASSUMING NOTHING CHANGES. PEOPLE DON'T BECOME MORE CAUTIOUS, WE DON'T CHANGE OUR POLICIES. UM, AND IF, IF ANY, IF THINGS CHANGED IN THESE PROJECTIONS WILL PROBABLY NO LONGER BE ACCURATE. UM, AND I'M GOING TO ADD A LINE TO THIS ONE, TOO. UM, IF, UM, IF WE BELIEVE THAT WE ARE NOT ABLE TO SLOW TRANSMISSION AND WE ARE REALLY, UH, APPROACHING AT HIGH VELOCITY, OUR HOSPITAL CAPACITY THAT OUR, OUR EARLIER MODELS SUGGESTED THAT WE, WE PROBABLY SHOULD ENACT A STAY HOME ORDER OR DO SOMETHING TO DRAMATICALLY SLOW TRANSMISSION. UH, AROUND THE TIME WE CROSS A SEVEN DAY AVERAGE OF 70 NEW HOSPITAL ADMISSIONS. UM, AND IT LOOKS LIKE WE COULD GET THERE WITHIN THE NEXT COUPLE OF WEEKS. UM, BUT AGAIN, IT DEPENDS ON THE PROJECTION. OKAY. AND SO THIS IS SORT OF, KIND OF CURRENT SITUATION AND SHORT TERM PROJECTIONS. NOW I'M GOING TO SHOW YOU SOME, UM, LONGER TERM PROJECTIONS, AND THESE ARE MUCH MORE KIND OF, YOU SHOULD THINK ABOUT THESE AS PLAUSIBLE FUTURES. IT IS VERY HARD TO PROJECT WHAT COVID IS GOING TO DO BEYOND A COUPLE OF WEEKS, BECAUSE WE CANNOT PROJECT BEHAVIOR. WE CANNOT PROJECT POLICY. SO ALL OF THESE ARE MEANT TO BE SORT OF, IF THEN IF WE DO THIS, THEN THIS IS WHAT WE MIGHT SEE. SO LET ME GO INTO THOSE GRAPHS. WAS THAT INTRODUCTION. OKAY. SO THIS IS WHAT WE MIGHT SEE IF WE ARE ABLE TO FOLLOW THE STAGED THRESHOLDS THAT WE HAVE IN PLACE, THE TRIGGERS THAT ARE NOW ON THE KEY INDICATORS PAGE. SO THIS IS ASSUMING THAT WE ACTUALLY TRIGGER AT THE THRESHOLDS THAT I'M ABOUT TO TELL YOU, AND THAT PEOPLE COMPLY. THAT THERE'S ENOUGH ADHERENCE, THAT WHEN WE MOVED TO ORANGE, WE REALLY DO AS A COMMUNITY SLOW TRANSMISSION TO THE POINT THAT WE WOULD EXPECT IT TO BE SLOW UNDER ORANGE. SO THE CRIME PROJECTIONS I'M GOING TO SHOW YOU ASSUME THE FOLLOWING THRESHOLDS THAT WE MOVE INTO YELLOW. AS SOON AS WE CROSS A SEVEN DAY AVERAGE OF 10 NEW HOSPITAL ADMISSIONS, THAT WE MOVE INTO ORANGE WHEN WE HIT 60 AND 60 IS A LITTLE BIT, THEY HAVE A LITTLE BIT OF TIME BEFORE WE GET THERE. SO WE HAVE A LITTLE BIT OF BREATHING ROOM BEFORE WE HAVE TO GET INTO ORANGE, BUT IT HAS TO HAPPEN PRETTY QUICKLY. UM, AND THEN WE WOULD BE ABLE TO, IF WE REALLY DO RUBEN TO ORANGE AND PEOPLE CHANGE BEHAVIOR AND WE SLOW TRANSMISSION, THEN WE CAN AFFORD TO WAIT UNTIL WE HIT 123 DAILY HOSPITAL ADMISSIONS BEFORE WE HAVE TO ACTUALLY SLAM ON THE BRAKES AND PUT HOME, PUT OUT A STAY HOME MEASURE. AND, UM, AND IN FACT THE HOPE WOULD BE IF WE MOVE INTO ORANGE QUICKLY, THAT WE'LL NEVER GET TO THE POINT WHERE WE NEED TO STAY HOME MEASURE. SO THIS IS A PROJECTION UNDER THAT POLICY. AGAIN, ASSUMING [00:55:01] THAT WE ADHERE. UM, AND SO THIS, IN THIS PARTICULAR PROJECTION, SO AGAIN, THE, THE BLOCK IS SORT OF A MIDDLE LINE. IT'S NO MORE PROBABLE THAN THE LOWER GRAY LINES ARE THE TOP RAIL LINES. AND SO YOU CAN SEE THERE'S A LOT OF POSSIBLE FUTURES, BUT IF WE END UP ON THE BLACK LINE, THEN WE EXPECT THAT WE WILL HAVE TO ENACT, UM, A, UH, ORANGE ALERT WITHIN THE NEXT WEEK OR TWO. UM, AND IF WE SUCCESSFULLY SLOW TRANSMISSION UNDER ORANGE, WE EXPECT TO BE ABLE TO STAY UNDER THAT 1500 CAPACITY WITH 95% CERTAINTY AND NEVER HAVE TO GO INTO A RED MEASURE, UH, STAY HOME MEASURE. HOWEVER, WE WILL HAVE TO STAY IN THAT ORANGE, THAT MORE STRICT STATE FOR QUITE A LONG TIME, PROBABLY THROUGH, YOU KNOW, MOST OF THE FIRST SEMESTER OF, UH, 20, 20, 21 ACADEMIC YEAR. NOW I'M GOING TO SHOW YOU PROJECTIONS, ASSUMING THAT WE ARE NOT ABLE TO GO INTO ORANGE IMMEDIATELY, THAT TRANSMISSION CONTINUES AT ITS CURRENT RATE. AND WE DO NOT SLOW MAP. WE'RE NOT ABLE TO SLOW TRANSMISSION EITHER BECAUSE WE DON'T CHANGE. WE'RE NOT ABLE TO CHANGE THE POLICIES THAT REALLY MAKE A DIFFERENCE, OR BECAUSE WE DO CHANGE THE POLICIES, BUT PEOPLE DON'T ADD HERE AND TRANSMISSION CONTINUES AT ITS CURRENT PACE. SO IN THAT CASE, WE MAY NOT BE ABLE TO USE THESE SORT OF PARTIAL MEASURES TO SLOW, TO SORT OF TAP ON THE BRAKES. AND WE MAY HAVE TO HAVE NO CHOICE, BUT TO EVENTUALLY RESORT TO A STAY HOME ORDER, UH, BECAUSE, UM, HOSPITALIZATIONS ARE CONTINUING AT AN ALARMING PACE AND THEY MADE, THEY LOOKED LIKE THEY MAY SOON APPROACH OUR CAPACITY. UM, I'M SORRY. I MEANT TO MENTION, AND THIS, WE WOULD PROJECT AN IN THIS SORT OF 18 MONTHS HORIZON THAT THERE WILL BE A LITTLE, UH, AROUND 2000 OR 2,100 DEATHS IN THE AUSTIN AREA. SORRY. SO GOING ON TO THE NEXT PROJECTION. SO IMAGINE WE'RE NOT ABLE TO ENACT ORANGE FOR SOME REASON, OR IT DOESN'T SUCCESSFULLY SLOW TRANSMISSION. THEN WE WOULD, INSTEAD OF BEING ABLE TO WAIT UNTIL WE GET TO 123 SEVEN DAY AVERAGE OF HOSPITAL ADMISSIONS, WE WILL HAVE TO SLAM ON THE BRAKES MUCH MORE QUICKLY, BECAUSE AS YOU SAW, OUR HOSPITALIZATIONS ARE VERY FAST APPROACHING OUR CAPACITY AT THE EXPONENTIAL RATE THAT THEY ARE INCREASING. AND THEN THIS IS WHAT WE MIGHT EXPECT OVER THE COMING MONTHS. IF WE JUST, IF THERE'S NO CHOICE EXCEPT TO LET IT SPREAD LIKE IT IS NOW, OR BE IN A FULL BLOWN STAY HOME, THEN WE PROJECT THAT WE WILL HAVE TO GO THROUGH SEVERAL PROLONG, STAY HOME ORDERS. THE FIRST OF WHICH WILL HAVE TO BE ENACTED PROBABLY BY MID, MID JULY. AGAIN, THESE ARE POSSIBLE PROJECTIONS DEPEND ON BEHAVIOR. EACH ONE OF THOSE GRAY LINES IS EQUALLY LIKELY. THE BLACK LINE IS SORT OF A MIDDLE CURVE AND THE RED AREAS IN THIS GRAPH CORRESPOND TO THE PERIODS WHERE WE WOULD HAVE TO ENACT A STAY HOME MEASURE IN ORDER TO, AND I'M SORRY, THAT'S STILL SAYS 1400, BUT THAT'S FOR 1500 CAPACITY THAT LINE ACROSS THE TOP. UM, AND IN ORDER TO KEEP OUR HOSPITALIZATIONS UNDER 1500, UM, SO THAT'S, THAT'S WHAT IT WOULD LOOK LIKE. AND YOU KNOW, THAT, THAT REALLY LOOKS PRETTY, PRETTY BLEAK, RIGHT? IT'S, IT'S, IT'S SEVERAL MONTHS OF STAB PERIODIC STAY HOMES. AND SO, YOU KNOW, THE HOPE IS REALLY THAT WE CAN, UH, PUT IN PLACE MEASURES TO SLOW TRANSMISSION THAT REALLY ARE EFFECTIVE. UM, BEFORE WE GET TO THE POINT WHERE WE REALLY HAVE TO ENACT MUCH STRICTER MEASURE, UM, AND THE LAST GRAPH I'M GOING TO SHOW YOU IS A SCENARIO WHERE MAYBE WE CAN'T GET PEOPLE TO GO ORANGE RIGHT NOW. WE'RE NOT ABLE TO, IN THE TIME THAT WE HAVE REALLY SLOW TRANSMISSION IN A WAY THAT CHANGES THIS SORT OF VERY CONCERNING, UH, RAPID INCREASE IN HOSPITALIZATIONS. SO MAYBE WE WILL ACTUALLY REQUIRE A STAY HOME MEASURE, UM, IN THE NEXT COUPLE OF WEEKS. SO IF SO, UM, WHAT IF AFTER THAT WE CAN PUT MEASURES IN PLACE, UH, PUT ORDERS IN PLACE, UH, RAISE AWARENESS SO THAT WHEN WE'RE FINISHED WITH THE FIRST STAY HOME MEASURE, WE REALLY CAN GO BACK INTO ORANGE INSTEAD OF JUST REGRESSING BACK TO YELLOW. UM, AND SO IN THAT WAY, MAYBE WE COULD ONLY, MAYBE WE WOULD ONLY HAVE TO USE ONE STAY HOME MEASURE. AND THEN AFTER THAT, BE ABLE TO KIND OF MANAGE THINGS WITH, WITH LESS RESTRICTIVE MEASURES. SO IN THIS CASE, THE THERE'S THREE DIFFERENT TRIGGERS. THERE'S A 10 OF 50 AND AN 80. UM, AND, UM, WHAT YOU'RE GOING TO SEE HERE IS THAT WE GO INTO A STAY HOME, UM, MEASURE IN MID JULY. IT LASTS FIVE WEEKS, UH, 35 DAYS. AND THEN AFTER, UH, WE, WE GO THROUGH ABOUT A THREE AND A HALF MONTH ORANGE PERIOD. UM, AND THEN WE CAN START TO RELAX THINGS EVEN FURTHER. SO THAT'S JUST AN ANOTHER, ANOTHER POSSIBLE SCENARIO. THAT'S NOT ALL OR NOTHING. IT'S SORT OF, IT DOES REQUIRE KIND OF REALLY REIGNING THINGS IN VERY QUICKLY, BUT THEN IF WE CAN, UM, GET, WE CAN FIND A WAY TO DO TO ENACT MORE, UM, OR LESS RESTRICTIVE MEASURES THAT ARE INDEED EFFECTIVE. MAYBE WE CAN MOVE INTO, INTO THAT KIND OF POLICY FOLLOWING THE INITIAL STAY HOME. SO THOSE ARE THE UPDATES I HAVE FOR YOU, AND I'D BE HAPPY TO ANSWER ANY QUESTIONS JUST FOR COURT DOCTORS [01:00:02] AND SCHOOLS OPEN IN THE FALL. SO UNDER THE SCENARIO UNDER ANY SCENARIO, UM, THE ONLY SCENARIO IN WHICH I, I WOULD SAY THAT WOULD BE REALLY, REALLY IMPOSSIBLE TO HAVE ANY SCHOOLING WOULD BE A FOREIGN GRAD. IF WE'RE GOING TO STAY HOME ORDER, WE REALLY ARE. YOU KNOW, WE'RE REALLY AT A POINT WHERE WE REALLY DON'T WANT ANYONE OUT IN ABOUT UNDER ORANGE. YOU KNOW, ORANGE IS ORANGE IS ASSUMING THAT TRANSMISSION HAS BEEN REDUCED QUITE A BIT RELATIVE TO WHAT IT IS TODAY. SO IT IS DEFINITELY POSSIBLE THAT SCHOOLS COULD BE OPEN IN SOME CAPACITY, BUT IT WOULD HAVE TO BE WITH PRETTY EXTREME MEASURES IN PLACE TO, TO ENSURE THAT, UM, THAT IN PERSON SCHOOLING IS NOT AMPLIFYING TRANSMISSION. SO THE ANSWER IS YES, BUT EXTREMELY CAUTIOUSLY. AND, AND IT LOOKS LIKE IN THIS PARTICULAR SCENARIO, UM, WE, IF WE, IF WE REALLY DO GO INTO A STAY HOME ORDER IN MID JULY AND IT'S PARTICULAR AND THIS PARTICULAR CURVE, UM, AND IT'S FIVE WEEKS LONG, WE WOULD BE, WE WOULD BE LOOKING AT GOING INTO ORANGE ABOUT THE TIME SCHOOLS ARE SCHEDULED, RIGHT. I STAY SCHEDULED TO START OFF WITH A BALL. THANK YOU, COLLEAGUES, ANYBODY HAVE ANY QUESTIONS NOW OR ANY OF THE PEOPLE THAT HAVE SPOKEN ON ANYTHING? UM, I DIDN'T KNOW IF LIMITED TIME BECAUSE MY, MY QUESTIONS ARE NOT THERE FOR, UM, DR. S GOD, STEPHANIE. OKAY. UM, SO FIRST ABOUT THE CONTACT TRACING WAS TRYING TO UNDERSTAND THE FAXING ISSUE AND IS THAT WHO'S FAXING TO WHO IS IT? I JUST WANNA UNDERSTAND WHAT THAT WHOLE ISSUE IS. SO COUNCIL MEMBER CURRENTLY RECEIVING INFORMATION REGARDING TESTING COMES FROM THE FAX. NOW, SOMETIMES THAT'S EMAIL FAX VIA FAX WRITTEN, A EMAIL AMISH ARE THE FACTS ON OUR SIDE IS RECEIVED VIA EMAIL, BUT IT'S BASICALLY BEING A FAX FROM THESE FACILITIES. SO THAT'S CLASS THAT'S LAB CORE, UH, THAT'S MOST OF THE MAJOR TESTING PLACES, THE HOSPITALS, THAT'S THE PRIMARY METHOD OF TRANSMITTING INFORMATION, ALL PUBLIC HEALTH ENTITIES. IN SOME STATES, THERE ARE STATEWIDE ELECTRONIC LAB REPORTING, WHICH AUTOMATES THIS PROCESS, UH, WHICH MAKES IT MORE EFFICIENT. WE HAVE WORKED WITH OUR PARTNERS TO, TO GENERATE SOME ELECTRONIC FEED. UH, WE ARE WORKING TO ENHANCE THAT FEE, HOWEVER, IN THE SHORT TERM, BUT IT HAVE FAXES COMING IN AND WE HAVE THE ELECTRONIC THING, WHICH STILL REQUIRES US TO GO THROUGH BOTH TO AGGREGATE THAT INFORMATION, TO DETERMINE IF THERE ARE DUPLICATES OR NOT POSITIVE SOURCES, NEGATIVES, IF THEY'RE TRAVIS COUNTY OR SOME OTHER COUNTY, SINCE THEN, WE'RE VERY MANUAL PROCESS. AND I HAD THIS SAME CONVERSATION YESTERDAY WITH THE, WITH THE TASK FORCE, UH, AND, UH, AND AMBASSADOR BIRX DID MENTION THE US DIGITAL SERVICES WORKING ON THIS. IN FACT, UH, THE DIGITAL SERVICE CAME TO AUSTIN TO RECEIVE THIS ACRIMONIOUS. AND THAT WAS A REQUEST THAT WE MADE FROM THEM. UH, THEY WORKING ON IT, BUT THIS IS SOMETHING WHICH, WHICH MAY TAKE A VERY LONG TIME TO RESOLVE. OKAY. AND THEN YOU MENTIONED THE THREE PARTNERS THAT MAKE UP THE PIE CHART OF THE POSITIVITY. AND YOU SAID THAT THERE'S 11, 11,000. I DIDN'T CATCH WHAT THAT NUMBER WAS. 11,000 PEOPLE HAVE BEEN TESTED FROM THOSE THREE PARTNERS. UH, SO THOSE THREE PARTNERS THAT I MENTIONED ARE, UH, AUSTIN, PUBLIC HEALTH, COMMUNITY CARE, AND AUSTIN REGIONAL CLINIC. THOSE ARE JUST THE THREE LARGEST TESTERS. UH, THERE, THERE WERE OTHERS WHO ARE NOW SENDING INFORMATION INTO US. UH, BUT JUST FROM THOSE THREE PARTNERS, THERE WAS APPROXIMATELY 11,000 TESTS DONE LAST WEEK. UH, SO CORRECT JUST THE LAST WEEK. OKAY, PERFECT. I THOUGHT THAT NUMBER, SEE, I THOUGHT YOU MEANT TOTAL. SO LAST WEEK, AND THEN REAL QUICK, CAN YOU EXPLAIN THE, SO THE PIE CHART THAT SHOWS THE PERCENTAGES OF, UM, BY ETHNICITY AND RACE, UM, AND IT HAS JUST POSITIVITY. SO IT HAD THE, THE LATINO COMMUNITY IS LIKE 32% POSITIVITY, BUT CAN YOU EXPLAIN THE, BUT THEIR HOSPITALIZATIONS ARE SIGNIFICANTLY HIGHER. SO I JUST WANT TO BE ABLE TO, AND ANYBODY WATCHING TO, TO UNDERSTAND THE DIFFERENT NUMBERS THERE. SO IS, IS IT BECAUSE EVEN THOUGH THE 32% MAKES UP A PROPORTIONATE NUMBER TO THE REPRESENTATION OF LATINOS, THERE'S STILL MORE LIKELY OF THAT 32% THERE HAVE A HIGHER CHANCE OF GETTING HOSPITALIZED AND, AND A HIGHER CHANCE OF GETTING A POSITIVE TEST IS CAN YOU EXPLAIN [01:05:01] THAT WHOLE RELATIONSHIP? YEAH, SO, SO TWO THINGS, FIRST OF ALL, UH, THE, THE 32% UNDER REPRESENTS THE LATINO COMMUNITY, BECAUSE A SIGNIFICANT PORTION OF THE UNKNOWNS ARE ALSO LATINO COMMUNITY WHO CHOSE NOT TO PROVIDE INFORMATION. AND I SAY THAT BECAUSE WE'VE INVESTIGATED JUST ON OUR TESTS, UH, YOU KNOW, WHO MAKES UP THAT GROUP. AND, UH, THAT'S THE GROUP THAT WE'RE ALSO CALLING HIM DOING CONTACT TRACING. SO WE HAVE FURTHER INFORMATION ON THAT GROUP TO MAKE THAT, UH, MAKE THAT JUDGMENT. UH, BUT ALSO TRUE IS WHAT YOU SAID. UH, THE LATINO COMMUNITY HAS A HIGHER RATE OF HOSPITALIZATION AS COMPARED TO THOSE WHO ARE POSITIVE IN THE WHITE NON-HISPANIC GROUP. UH, SO BOTH OF THOSE THINGS ARE TRUE IN BOTH OF THOSE THINGS THAT ARE CONTRIBUTING TO, UH, TO WHAT WE'RE SEEING IN THE HOSPITALIZATIONS. OKAY. AND THEN I HAVE A COUPLE OF QUESTIONS FOR, UM, PUBLIC HEALTH. AND THANK YOU, DR. SCOTT. UM, AND THANK YOU. YOU'RE RIGHT. I, I MEANT TO SAY, EVEN THOUGH THAT PIE CHART MAKES IT LOOK LIKE WHERE WOULD MAKE IT UP LESS IT'S, IT'S NOT IN FACT THE CASE, UM, WITH REGARDS TO PUBLIC HEALTH, UM, THERE WAS THREE CENTERS MENTIONED, AND I DIDN'T CATCH WHAT THEY WERE AND ONE WAS IN, IN DOVE SPRINGS, AND IT WAS KIND OF A LIST OF, UH, EXTRA MEASURES THAT WERE BEING TAKEN. WHAT ARE THOSE THREE CENTERS, UM, DOVE SPRINGS, GIVENS, AND ROMBERG, WHERE THE THREE SITES THAT WE ARE GOING TO START TESTING JULY 7TH, TESTING WHAT, SORRY, WE ARE GOING TO PROVIDE AN ABO TESTING POP-UP TESTING IN THOSE COMMUNITIES. OKAY. AND THEN, UM, WE ALL GOT AN EMAIL, UM, FROM MEMBERS OF THE LATINO COALITION. UM, AND THERE WAS A QUESTION ABOUT THAT THEY CARE ABOUT SPECIFICALLY OUTREACH BECAUSE OF THE DISPARATE, UH, NUMBERS THAT WE'RE SEEING IN THE LATINO COMMUNITY. UM, A SPECIFIC OUTREACH PLAN, UM, STRATEGIC PLAN ACTION PLAN, OR THAT COMMUNITY IS THERE, IS, IS THERE. AND I FORGOT WHAT IT WAS. IT WAS LIKE A, UH, IT WAS SUPPOSED TO BE, IT WAS REFERRED TO AS LIKE IT'S ALL THE MORE TALKING ABOUT ALL THE MINORITY GROUPS, UM, IS BE ONE SPECIFIC FOR THE LATINO COMMUNITY, BECAUSE THEY ARE SEEING SUCH DISPROPORTIONATE, UM, RATES OF POSITIVITY AND HOSPITALIZATION, THE PLAN THAT WAS SUBMITTED TO YOUR OFFICE, TO ALL OF THE ELECTED OFFICIALS OFFICE, UM, JUNE 11TH BY ADRIAN CIGARETTES IN MY ABSENCE WAS, UM, WAS MORE OF A, UM, A COMPREHENSIVE PLAN. THE STAFF, UM, HAVE AS A RESULT OF THAT, UM, THERE WERE SOME MEASURES IN THERE THAT SPECIFICALLY TARGETED, UM, LATIN X FOLKS. AND SO WE THOUGHT IT WOULD BE IMPORTANT FOR US TO PUT TOGETHER ALL OF THE INFORMATION THAT HAS BEEN PROVIDED IN THIS COMMUNITY AS OF TODAY. AND THAT INFORMATION IN THE EMAIL THAT WAS EARLIER THIS MORNING. I'M NOT SURE IF YOU'VE HAD A CHANCE TO LOOK AT THAT OR NOT, UM, EFFORTS ACTUALLY GO BACK AS FAR AS, UM, EARLY MARCH. UM, ACCORDING TO THE NOTES THAT I HAVE BASED UPON WHEN STAFFS, UM, STARTED PROVIDING SOME LEVEL OF EITHER OUTREACH ENGAGEMENTS, UM, REALLY A LITTLE OF BOTH, UM, STAFF ARE ALSO WORKING ON ANOTHER, UM, MORE DETAILED PLAN, UM, THAT WE ARE GOING TO WORK WITH PARTNERS TO DO THAT. AND SO, UM, THAT WILL, WILL BE MORE SPECIFIC TO THAT. UM, OKAY. AND THAT SAME, I SAW I'VE SEEN THE PERCENTAGE OF HOSPITALIZATIONS POSITIVITY. DO WE HAVE MEMBERS LIKE, UM, DEATHS, WHAT THE, WHAT THE MAKEUP IS FOR PEOPLE WHO HAVE UNFORTUNATELY PASSED AWAY BECAUSE OF COPING? UH, YES, WE DO. I DON'T HAVE THAT IN FRONT OF ME, I GUESS THAT THEY HAVE THAT WITH YOUR SON. YOU HAD THAT WITH YOUR INFORMATION. I DON'T HAVE IT ON MY PRESENTATION. I BELIEVE THAT'S ON THE DASHBOARD. WE CAN MAKE SURE THAT, UH, THAT COUNCIL GETS THAT INFORMATION. OKAY. AND JUST BECAUSE OF THE LAST, THE LAST POINT I'LL MAKE, IT'S NOT A QUESTION, BUT, YOU KNOW, SEEING THOSE PROJECTIONS, UH, 2100 DEATHS, AND IF ALL THE, YOU KNOW, DISPROPORTIONATE WAYS WE ARE SEEING THIS AFFECT THE LATINO COMMUNITY IN THE FIFTIES AND ABOVE, UM, [01:10:01] I DON'T WANT TO MAKE ANY ASSUMPTIONS, BUT I, MY ASSUMPTION IS IT'S ABOUT THAT 50 OR ABOVE FOR THE OUTCOMES OF, OF DEATHS AND SEEING THAT 2100 NUMBER AND, UH, AND, AND THINKING WHAT THAT HALF OF THAT IS OVER A THOUSAND PEOPLE. UM, I JUST REALLY HOPE WE CAN FOCUS ON THIS COMMUNITY. ABSOLUTELY. IT'S AFFECTING OUR MINORITY COMMUNITY MORE THAN, THAN ANY OTHER, BUT WHEN WE'RE SEEING ONE PARTICULAR GROUP BEING SO AFFECTED, UM, I REALLY WOULD LIKE OUR STAFF TO, AND I APPRECIATE ALL THE WORK THAT'S BEEN. AND AS CITY MANAGER KROC SAID, IT CAN'T JUST BE THE CITY OF AUSTIN. IT'S GOTTA BE EVERYBODY ALL HANDS ON DECK, YOU KNOW, EVERYBODY WORKING TOGETHER. BUT, UM, I THINK WE REALLY NEED TO CONCENTRATE ON THIS COMMUNITY. THAT'S BEEN SO AFFECTED. SO, UM, UH, LET ME KNOW WHAT MY OFFICE CAN DO TO BE AVAILABLE, TO, TO HELP WITH WHATEVER THE STRATEGIC PLAN IS, BUT WE NEED SOMETHING SPECIFIC IF IT'S GOING TO, IF WE'RE HEADING INTO THAT, THOSE VERY SCARY, SCARY PROJECTIONS THAT WE JUST SAW. SO, UM, THOSE ARE ALL MY, I HAVE MORE, BUT I'LL, I'LL PASS THE MIC AND DO THAT IN MIRROR PROTON BECAUSE I CAN HEAR ABSOLUTELY RIGHT. THE REPORT THAT, UH, DIRECTOR HAYDEN MENTIONED, WORKING WITH THE PARTNERS, THERE'S THE FOCUS PLAN, STRATEGIC PLAN. I THINK WE'RE GOING TO SEE HERE IN THE NEXT TWO DAYS, UH, TO THAT END, THE DASHBOARD DOES HAVE THE DEMOGRAPHICS BY DEPTH. AND, UH, IT'S SAYS THAT, UM, UH, HISPANIC IS A 40% WITH RESPECT TO THE DANCE. UM, CATHERINE, OUR CUSTOMER, I COUNT SOME OTHER KITCHEN. I HAVE SOME QUESTIONS ON THE LATINO COMMUNITY STUFF AS WELL, BUT I WANT TO START WITH ONE FOR DR. MYERS AND TALKING ABOUT HER, THANK YOU FOR EVERYTHING YOU'RE DOING FOR THIS COMMUNITY RIGHT NOW. WHAT A QUESTION THAT I HAVE IS HOW DO WE MAKE SURE THAT IF WE'RE GOING TO EXECUTIVE SESSION HERE SOON, I THINK WE NEED TO FIGURE OUT HOW IT IS, EVEN IF WE DON'T HAVE PERMISSION, HOW IS IT THAT WE CAN GO BACK TO SHUTTING THINGS DOWN LIKE WE DID IN APRIL? I HOPE THAT WE GET PERMISSION TO DO THAT. UM, WELL, ONE CONCERN AND SOMETHING THAT WE'VE SEEN THROUGHOUT THIS IS CITIES AND GOVERNMENTS ACTING TOO LATE. AND I APPRECIATE THAT YOUR MODEL HAS ALL OF THOSE GRAY LINES ON IT. AND THEN THEY KIND OF COME TOGETHER AROUND ONE, UM, A BLACK LINE. BUT WHAT I WOULD HATE IS FOR US TO MISS THE MOMENT THAT WE NEED TO ACT. AND SO I WOULD WANT TO BE EXTRA CAREFUL. WHAT IF IT WINDS UP BEING ONE OF THOSE GRAY LINES THAT'S A LITTLE BIT SOONER, OR WHAT IF WE TAKE AN ACTION? BUT BECAUSE FOR EXAMPLE, WE DON'T HAVE PERMISSION. IT'S NOT AS IMPACTFUL AND FLATTENING THE CURVE AS WHAT WE DID IN APRIL. SO I GUESS MY QUESTION TO YOU IS, SHOULD WE BE ACTING AS IF WE'RE ON YOUR PROJECTED BLACK LINE OR SHOULD WE BE ACTING LIKE WE'RE ON ONE OF THE GRAY LINES? THAT'S A LITTLE BIT EARLIER JUST TO BE SAFE. I MEAN, I JUST WOULD HATE TO ACT A FEW DAYS TOO LATE, AND I KNOW THAT THIS IS ASKING A LOT OF YOU AND PUTTING IT ON YOU, YOU KNOW, TO TELL US WHAT TO DO, BUT YOU JUST HAVE BEEN THE BEST VOICE ON THIS. UM, SO HELP ME ON HOW EXTRA CAREFUL WE SHOULD BE. SHOULD WE BE ACTING LIKE WE'RE ON THAT BLACK LINE? OR SHOULD WE BE ACTING A FEW DAYS EARLIER? WHAT SHOULD WE DO? RIGHT. IT'S THE, IT'S A MILLION DOLLAR QUESTION. UM, I MEAN, THE THING IS THAT WE, IN SOME WAYS WE, WE SHOULD ALREADY BE TRYING TO BE AN ORANGE, RIGHT. EVEN THOUGH WE'VE NOW BUMPED THE ORANGE UP TO MAYBE 50, MAYBE 60. I MEAN, WE SHOULD, THERE'S NO REASON NOT TO ALREADY BE WORKING OUR HARDEST TO W W W WITHIN THE RULES THAT WE HAVE TO FOLLOW, TO GET PEOPLE, TO UNDERSTAND THE RISK, TO WEAR FACE MASKS, TO GET EMPLOYERS, TO PROVIDE PAID, LEAVE, AND OTHER SUPPORT SO THAT PEOPLE CAN STAY HOME. UM, IF THEY ARE POTENTIALLY EXPOSED, UM, EDUCATION, YOU'RE EVERYTHING. I MEAN, RIGHT NOW, IT SEEMS LIKE WE SHOULD BE DOING EVERYTHING WE CAN SHORT OF A STAY AT HOME MEASURE TO SLOW TRANSMISSION. RIGHT. CAUSE WE ARE DEFINITELY AT THAT POINT. AND IF WE'RE NOT AT THAT POINT TODAY, DEPENDING ON WHICH OF THOSE GRAPHS YOU LOOK AT, WE'LL BE AT THAT POINT BY NEXT WEEK. BUT, YOU KNOW, WE ARE AT A POINT WHERE WE WOULD LIKE TO BE, YOU KNOW, TAPPING ON THE BRAKES IN EVERY WAY WE CAN AT THIS POINT. UM, YEAH, THE BLACK LINE STAYING UNDER 1500 TRIGGERS ENSURE THAT THE BLACK LINE STAYS UNDER 1500, OR ARE YOU LOOKING ALSO AT THE UNIVERSE OF LINES? IT ENSURES THAT 95% OF THOSE LINES STAY UNDER 1500. SO NO MATTER WHAT LINE ON THERE IS A 5% CHANCE WHERE ON A LINE THAT'S ALARMINGLY EARLY AND ENDS UP BLOWING BY THAT [01:15:01] LINE. BUT, BUT THE WAY THE MATH WORKS IS THAT THE TRIGGERS THAT WE DERIVED A SORT OF GUARANTEED 50%, WON'T EXCEED THAT LINE AND THE ONES THAT DO, YOU CAN KIND OF SPLINT AND SEE THESE LINES GOING UP, YOU KNOW, THEY DO GO ABOVE, BUT THEY, YOU KNOW, THEY WON'T NECESSARILY GO TWICE AS HIGH AS THAT, THAT LINE, BUT THEY'LL, YOU KNOW, AND WE COULD BE ON ONE OF THOSE. AND, UM, SO I MEAN, I THINK, YEAH, SO I THINK, I MEAN, WE, WE WANT TO BE DOING EVERYTHING WE CAN NOW TO, TO GET PEOPLE, TO MAKE DECISIONS ON A DAILY BASIS THAT PROTECT THEMSELVES, PROTECT THEIR NEIGHBORS, PROTECT THEIR FAMILIES, PROTECT THEIR COMMUNITY. UM, I MEAN, I THINK, YOU KNOW, THE, AND I KNOW I'M NOT DIRECTLY ANSWERING YOUR QUESTION, RIGHT. SO IF IT LOOKS LIKE PEOPLE ARE NOT SLOWING THINGS DOWN WHILE SHOULD WE ERR, ON THE SIDE OF LIKE, WHAT'S GOING INTO A STATE, YOU KNOW, 50, RATHER THAN 60, OR RATHER THAN 70. AND I MEAN, THAT'S, THAT'S, I DON'T KNOW. IT'S HARD TO KNOW IT'S IT REALLY DEPENDS ON THE COMMUNITY'S RISK TOLERANCE. IT DEPENDS ON ALSO WHAT WE ASSUME, LIKE DO WE, DO WE BELIEVE THAT IF WE ARE GIVEN, IF AUSTIN HAS GIVEN THE AUTHORITY TO ENACT A STAY HOME MEASURE, THAT IT CAN, UH, WILL BE IMMEDIATELY EFFECTIVE, RIGHT. I REALLY SLOWING TRANSMISSION. OR DO WE ACTUALLY THINK THAT ONCE YOU ENACT A MEASURE IT, OR MAYBE TAKE A COUPLE OF WEEKS FOR IT TO KIND OF, FOR PEOPLE TO ADHERE TO NOW? I MEAN, SO I THINK THERE'S ALSO, THERE ALSO MIGHT BE REASON TO ACT A LITTLE BIT EARLIER. IF YOU THINK THERE'S SOME INERTIA IN THE SYSTEM, THAT'S GOING TO TAKE A LITTLE TIME TO OVERCOME. BUT, UM, YEAH, I THINK I ANSWERED A LOT. SO IF BASICALLY WHAT I'M HEARING IS IF WE, UH, IF OUR ORDER OR ANY ORDER, BE IT FROM THE GOVERNOR, BE IT THE GOVERNOR'S PERMISSION AND BE IT WITHOUT IS AS EFFECTIVE AS IT WASN'T APRIL. AND WE ACT BASED ON THE TRIGGERS, YOU'VE LAID OUT THEN 95% OF YOUR FUTURE, UH, WORLDS STAY UNDER THAT LINE. YEAH. IT'S NOT THAT THAT 50% OF THEM DO AND 50% DON'T, IT'S THAT 95 OF THEM STANDING IN LINE. IS THAT RIGHT? YEAH, THAT'S RIGHT. IF OUR ORDER FOR ANY ACTION WE TAKE TO GO INTO RED IS NOT AS EFFECTIVE AS AN APRIL, THEN THERE'S A WHOLE DIFFERENT ASSUMPTION. YOU'D HAVE TO PUT INTO YOUR MODEL. THAT'S RIGHT. AND THAT'S THE WORRISOME PIECE IS THAT WE NEED TO MAKE SURE WHATEVER WE DO, FIRST OF ALL, WE NEED TO MAKE WOULD BE GREAT FIRST AND I'LL HAVE TO STAY WITH THE HOMEOWNER AT ALL. AND EVERYBODY DO LIKE THAT. BUT IF PEOPLE DON'T THEN IT'S, THIS IS REALLY CONTINGENT ON PEOPLE FOLLOWING WHATEVER IT IS WE DO. YEAH. AND LET ME JUST SAY ONE OTHER THING, WHICH IS THAT, YOU KNOW, THESE, THESE TRIGGERS AND THESE PROJECTIONS ARE ALL BASED ON TWO GOALS, RIGHT? ONE IS WE WANT TO MINIMIZE THE AMOUNT OF TIME WE'RE IN A STAY HOME ORDER. YOU WANT TO AVOID IT IF AT ALL POSSIBLE. AND WE WANT TO, IF AT ALL POSSIBLE PREVENT OUR COMMUNITY FROM HAVING AN OVERWHELMING NUMBER OF HOSPITALIZATIONS THAT EXCEED CAPACITY, RIGHT? BUT NOWHERE IN THESE ANALYSES IS ADDITIONAL GOALS OF LET'S JUST TRY TO MINIMIZE DEATHS. LET'S JUST TRY TO MINIMIZE HOSPITALIZATIONS, RIGHT? THIS IS A VERY SPECIFIC KIND OF OPTIMIZATION PROBLEM. AND IF WE TAKE MEASURES NOW THAT ARE ORANGE LIGHT THAT ARE DOING BETTER AT COCOONING HIGH RISK POPULATIONS THAT ARE DOING BETTER AT PROTECTING OUR LATIN X COMMUNITIES THAT ARE DOING BETTER AT PROTECTING OTHER VULNERABLE SUBPOPULATIONS, THERE ARE GOING TO BE OTHER COLLATERAL BENEFITS OF THAT, RIGHT. WE MAY JUST BE ABLE TO BRING DOWN EXPOSURE AND VULNERABLE POPULATIONS, BRING DOWN OVERALL HOSPITALIZATIONS, REDUCE DEATHS, ET CETERA. SO, SO THESE, YOU KNOW, THESE SPECIALS ARE REALLY SPECIFICALLY TAILORED TO DO ONE THING, WHICH IS THE MINIMUM AMOUNT OF RESTRICTIONS TO AVOID, UH, EXCEEDING HOSPITAL CAPACITY. AND I IMAGINE THAT THERE ARE OTHER GOALS INSIDE AS WELL. IT'S HELPFUL. THANK YOU. AND, OH, SORRY, GO ON, SORRY, COUNSEL. I WAS JUST GOING TO ADD AN INVENTION TO WORK THAT, THAT, UH, THAT SUMMARY, UM, THIS IS WHY WE'VE, WE'VE BUILT A ALTERNATE CAMPSITE. THIS IS WHY I RECOMMENDED TO THE CITY MANNERS THAT WE INITIATE THE PROCESS OF ACTIVATING THAT ULTIMATE CARE SITE TO GIVE US A BUFFER. WHAT IF ONE OF THOSE FIVE GRAY LINES IS THE LINE WE'RE ON AND WE NEED TO HAVE THAT EXTRA CAPACITY. THAT'S WHAT THAT'S FOR. IF WE OVERSHOOT THE MARK, BUT LET ME BE VERY CLEAR. WE DO NOT WANT TO UTILIZE THAT FACILITY. WE DO NOT WANT TO CARE FOR PEOPLE OUTSIDE OF A HOSPITAL IF WE CAN AVOID IT. AND THAT REALLY DOES TAKE ALL OF US TAKE MAKING CHANGES NOW, UH, I DON'T THINK THERE IS ANY ONE OF US AND PROBABLY THERE'S NOT ANYONE IN THE COMMUNITY THAT WANTS TO SEE US SHUT DOWN AGAIN. THAT'S WHY WE HAVE TO HAVE THOSE PEOPLE ACT NOW. AND THAT'S WHY WE ARE STAYING IN ORANGE RIGHT NOW, BUT WE CANNOT JUST BE IN ORANGE. IN THEORY, WE HAVE TO BE AN ORANGE IN PRACTICE, AND WE'VE GOT TO GET THIS COMMUNITY ENGAGED IN THAT, UH, IT'S TAKES ALL OF US. AND, AND AS, AS SPENCER SAID, IN HIS OPENING REMARKS, WE CAN NOT DO THIS ALONE. THIS PROBLEM IS MUCH TOO BIG FOR GOVERNMENT TO DO THIS ALONE. IT HAS GOT TO BE ALL OF US. SO WE NEED FOLKS NOT TO WAIT FOR PUBLIC HEALTH OR AUSTIN OR TRAVIS [01:20:01] COUNTY OR THE STATE OR FEDERAL GOVERNMENT TO DO IT. THEY NEED TO HAVE THOSE CONVERSATIONS WITH THEIR FAMILY MEMBERS, WITH THEIR, WITH THEIR COMMUNITY GROUPS, BECAUSE WE NEED THAT ACTION. NOW, DR. SCOTT, I DON'T KNOW IF IT'S YOU OR DIRECT YOUR HIDDEN BEST TO ANSWER THE QUESTION, YOU KNOW, EARLIER THIS WEEK. I'M SORRY, I GUESS LAST WEEK, I DON'T KNOW. WE DON'T REALLY KNOW WHAT WEEKENDS ARE ANYMORE, BUT A FEW DAYS AGO WE WERE GETTING MORE COMMUNICATION FROM CONSTITUENTS THAT I'D SEEN BEFORE OF PEOPLE THAT WERE SYMPTOMATIC, THAT COULDN'T GET A PUBLIC TESTING DATES WITHIN A WEEK. UM, I HEAR THE CHANGES THAT IT IS THAT YOU'VE SHIFTED TO HOW, WHAT IS OUR GOAL? AS FAR AS SYMPTOMATIC PEOPLE, HOW QUICKLY THEY SHOULD BE ABLE TO GET A PUBLIC TESTING DATE. IF THEY'RE A PERSON WHO CANNOT AFFORD ANOTHER OPTION AND WHERE ARE WE NOW, COUNCIL MEMBER, I WANT THOSE PEOPLE TO BE ABLE TO BE TESTED WITHIN TWO DAYS. UH, SO THAT WITHIN THREE OR FOUR DAYS, WE CAN HAVE A RESULT BACK. UM, BUT, BUT LET ME SAY VERY CLEARLY IN THE CIRCUMSTANCE THAT PEOPLE CAN NOT GET A TEST BECAUSE WE COULD BE THERE, RIGHT? OUR, OUR RATE OF INCREASE IS INCREASING VERY RAPIDLY AND IT'S GOING TO BE HARD FOR US TO KEEP UP WITH TESTING IN ANY CIRCUMSTANCE. IF YOU CAN NOT GET TESTED AND YOU MAY HAVE SYMPTOMS WHICH ARE CONSISTENT WITH COVID-19 RIGHT NOW, YOU MUST ASSUME THAT YOU ARE POSITIVE. YOU MUST SAY HOME, YOU MUST PROTECT YOURSELF AND YOU MUST PROTECT YOUR FAMILY. UH, YOU CANNOT, YOU CANNOT WAIT ON A POSITIVE OR NEGATIVE TEST TO TAKE ACTION. WE REALLY DO NEED EVERYBODY TO DO THAT AGAIN. AND I SAID, THIS LAST WEEK, WE REALLY DO NEED FOLKS WHO HAVE THE RESOURCES TO GET PRIVATE TESTING, TO DO THAT. WE NEED THEM TO GO TO AUSTIN REGIONAL CLINIC OR TO THEIR PRIVATE PRACTITIONER, OR ONE OF THE MANY RESOURCES IN THE COMMUNITY THAT DOES TEST IT. IF THEY HAVE INSURANCE, THE TEST IS STILL FREE FOR THEM BECAUSE WE NEED TO FOCUS OUR PUBLIC RESOURCES ON THOSE WHO HAVE NO OTHER MEANS FOR TESTING NOW. SO THANK YOU FOR BRINGING THAT UP. AND AGAIN, WE NEED ONGOING MESSAGING ABOUT THAT AS WELL. AND I THINK THAT, THAT BRINGS ME TO ONE OF MY LAST POINTS FOR, FOR THIS TIME, WHICH IS ALSO IN THE LAST FEW DAYS, HEARING FROM MORE AND MORE CONSTITUENTS WHO, AND THESE ARE PRIMARILY FOLKS IN THE LATINO COMMUNITY WHO HAD EMPLOYER SAID, WHEN IS YOUR TEST SCHEDULED? LET WOULD LET THOSE FOLKS OFF OF WORK TO GO GET THEIR TESTS AND THEN SAY, AND COME RIGHT BACK TO WORK. WHEN YOU'RE DONE GETTING TESTED, WHICH IS AGAINST THE MAYOR'S ORDERS. IT IS PEOPLE WHO ARE SICK AND FEELING SICK, GETTING SET TO GET TESTED, AND THEN BEING BROUGHT BACK TO WORK. AND THOSE CONSTITUENTS SAID, I WAS GOING TO GET LAID OFF OF WORK. IF I GET A POSITIVE TEST RESULT, THESE ARE PEOPLE WHO ARE SYMPTOMATIC. SO THAT'S, WHAT'S HAPPENING IN OUR COMMUNITY RIGHT NOW. AND WE JUST NEED TO DOUBLE DOWN ON OUR MESSAGING TO THE BUSINESS COMMUNITY, TO LET EMPLOYERS KNOW THAT THAT ISN'T ACCEPTABLE. UM, AND I THINK AT OUR TESTING SITE, WE'VE BEEN IN CONVERSATIONS WITH APH, BUT I REALLY WANT TO EMPHASIZE AT OUR TESTING SITES OR WE DO CONTACT TRACING, WHATEVER WE CAN DO TO MAKE SURE THAT PEOPLE STAY HOME. AND WHEN THEY COME TO THE TESTING SITE AND THEY'RE SYMPTOMATIC THAT WE SAY, YOU'RE GOING HOME AFTER THIS, RIGHT? YOU'RE NOT GOING BACK TO WORK. AND IF SOMEBODY ISN'T GETTING PAID, WE HAVE TO FIND A WAY TO GET THEIR EMPLOYERS TO FOLLOW THE FEDERAL LAW AND PAY THEM, OR FOR US TO FIND A WAY TO KEEP THEM HOME, BECAUSE THAT IS OVERWHELMINGLY. I THINK THAT IS A BIG THING THAT IS HAPPENING IN THE COMMUNITY RIGHT NOW, GIVEN PEOPLE'S LACK OF ACCESS TO SICK TIME, EVEN THOUGH MORE AND MORE OF THOSE FOLKS DO HAVE IT BASED ON THE FEDERAL LAW. SO I JUST WANNA EMPHASIZE THAT WHAT YOU JUST DESCRIBED RIGHT NOW, WE'RE HEARING ALREADY FROM PEOPLE THAT THEY'RE GETTING CALLED BACK TO WORK STRAIGHT FROM THE TESTING SITE. YEAH. SO IN COUNSELING THAT'S A PLAN, IT'S JUST NOT A VERY GOOD PLAN. UH, AND, AND WE DO NEED PEOPLE TO HAVE A GOOD PLAN. UH, AND YOU KNOW, WHEN I THINK ABOUT THE REOPENING PROCESS THAT WE HAD IN TEXAS, UH, AND WE SEE THAT IT'S NOT WORKING OUT WELL, AND WE'VE GOT TO LEARN A LESSON FROM THAT. AND CERTAINLY LESS THAN IF WE HAVE TO SHUT DOWN AGAIN, THAT WE NEED TO TAKE STRONGER STEPS BEFORE WE BRING OPEN. AND I'LL JUST POINT TO, YOU KNOW, WHAT, WHAT OUR SISTER CITY IN ADELAIDE, AUSTRALIA, THE STATE OF SOUTH AUSTRALIA, BEFORE BUSINESSES COULD OPEN, THEY HAD TO GO TO THE STATE WEBSITE. THEY HAD TO PUT IN THEIR BUSINESS NAME, THE SQUARE FOOTAGE OF THEIR BUSINESS AND DESCRIBE THEIR PLAN. AND THAT PLAN HAD TO BE APPROVED. THAT PLAN INCLUDED INFORMATION FOR CONTACT TRACING THAT THE BUSINESS OWNER MAINTAINED. SO IF THERE WAS CASES THAT CASE CONTACT AND CASE INVESTIGATION COULD BE DONE, UH, WE'VE GOT TO HAVE BUSINESSES HAVE A STRONGER PLAN THAN THAT. NOW WE'VE GOT TO HAVE EVERYBODY ENGAGED IN THAT INCLUDES OUR BUSINESS COMMUNITY. I'M THANKFUL FOR THE WORK OF THE AUSTIN CHAMBER. THEY HAVE BEEN PUNCHING MESSAGES, BUT UNFORTUNATELY NOT EVERYBODY IS IN THAT GROUP. NOT EVERYBODY'S ENGAGED AS THEY NEED TO BE. AND [01:25:01] SO WE, YOU KNOW, WE'RE GOING TO REACH OUT TO THEM SOME MORE SO THAT WE CAN CONTINUE TO ADVOCATE. AND SO THAT, THAT ALL BUSINESSES REALLY UNDERSTAND THE IMPORTANCE OF THEIR DECISION MAKING, NOT IN TERMS OF CONTRIBUTING OR, OR IMPROVING THE RATE OF SPREAD THAT WE HAVE RIGHT NOW TO MAKE SURE THAT MESSAGE IS GETTING TO THOSE SPANISH SPEAKING WORKERS IN PARTICULAR AND TARGETING THOSE FOLKS. I JUST HEARD FROM THE FOLKS AT, UH, AT SETON THAT 63% OF THEIR RECENT COVID ADMISSIONS ARE SPANISH SPEAKERS. SO NOT ONLY DO WE HAVE THE DISPROPORTIONATE NUMBER OF LATINOS, BUT 62 THIRDS OF IT IS SPANISH SPEAKERS IN PARTICULAR. SO I APPRECIATE THAT, THAT FOCUS THAT'S ALL RIGHT. THANKS. OKAY. COUNCIL MEMBER KITCHEN, THEN COUNCIL MEMBER HARPER MATTERS AND COUNCIL MEMBER HOUSE. OKAY. CAN YOU HEAR ME? YES. OKAY. SO I'M AT THREE DIFFERENT SORT OF CATEGORIES OF QUESTIONS. SO THE FIRST QUESTION I THINK IS, UM, UH, I'M NOT SURE WHO IT'S FOR, BUT, UM, I THINK I SAW ON THE SLIDES THAT, UH, MY QUESTION IS ABOUT, UM, UM, WHAT WE MIGHT BE ABLE TO DO IN SEVEN EIGHT, SEVEN FOUR FIVE. CAUSE I'M NOT SURE IF I HEARD THAT AREA IS AS ONE OF THE, UM, AREAS THAT WE CAN PROVIDE SOME ASSISTANCE FOR, UH, IN PARTICULAR. AND I THINK I SAW THAT IT WAS ONE OF THE TOP TWO AREAS OR ONE OF THE SLIDES FOR, UM, ADDITIONAL, UM, ADDITIONAL, UM, UH, INFECTIONS. AND SO, UM, IS SEVEN, EIGHT, SEVEN 44 FIVE ON THE LIST FOR THE NEXT ONE OF THE NEXT ONES TO BE CONSIDERED SOME FOCUSED OUTREACH. I MEAN, THAT IS ONE OF THE AREAS HAVE A GOGGLE, IT WORKS WITH FOUR, FOUR AND FOUR FIVE, AND THERE ARE SOME SIGNIFICANT PARTS OF FOUR OR FIVE, UH, WITH, UM, HISPANIC POPULATIONS. AND SO I'M WONDERING, I'M JUST WANTING TO MAKE SURE THAT SEMINAR AT SEVEN 45 IS ON Y'ALLS RADAR SCREEN TO, TO ADD, UM, UH, TARGETED OUTREACH FOR THAT, FOR THOSE AREAS. UM, YEAH, WE'RE ACTUALLY GLOBAL INFORMATION. SO I NEED TO REACH OUT TO CARMEN BECAUSE SHE HAD A LIST OF INFORMATION SHE WAS GOING TO SEND ME AND SHE MAY HAVE TRIED TO SIT IN WHILE I WAS OUT. SO I'LL CIRCLE BACK. YES. OKAY. SO IS IT SAFE TO ASSUME THAT THAT PARTICULAR AREA SEVEN, EIGHT, SEVEN, FOUR, FIVE? AND I THINK PART OF THAT'S IN MY PART TIM'S DISTRICT PART OF IT'S IN MINE AND MAYBE PART OF IT'S IN A COUNCIL MEMBER, RICH AREA, BUT, UM, SO, SO Y'ALL ARE WORKING ON TO SEE WHAT YOU CAN DO IN THAT AREA. IS THAT WHAT I HEARD? OKAY. UM, OKAY. UH, LET'S SEE. THEN SECOND QUESTION IS, UM, AND SO I'D LIKE TO FOLLOW UP AND I'M SURE THE OTHER COLLEAGUES IN THOSE AREAS WOULD LIKE TO FOLLOW UP TOO WITH YOU ON STEPHANIE, SO WE CAN GET A MORE DEFINITIVE IDEA OF WHAT MIGHT COULD BE DONE IN THAT AREA. AND WHEN, UM, OKAY THEN, UM, FOR, FOR YOU, I THINK THIS IS, WELL, PROBABLY THIS IS FOR YOUR DIRECTOR HAYDEN AND, UM, DR. ESCA, ONE OF THE, I'M GOING TO STEP BACK FOR A MINUTE, AND I KNOW THAT YOU GUYS, UH, HAVE ALL BEEN DOING, UM, JUST AMAZING AMOUNT OF WORK WITH THE RESOURCES THAT YOU HAVE. AND SO I WANT TO ASK ABOUT THIS FROM AN INFRASTRUCTURE PERSPECTIVE, FROM A STAFFING INFRASTRUCTURE PERSPECTIVE AND A PUBLIC HEALTH DEPARTMENT INFRASTRUCTURE. I WANT TO KNOW, UM, HOW YOU ALL ARE THINKING ABOUT WHAT YOUR NEEDS ARE TO ACTUALLY CARRY OUT ALL THESE THINGS THAT NEED TO BE DONE. YOU HAD MENTIONED DR. SCOTT, I THINK ONE OF YOUR SLIDES ABOUT WHERE YOU THINKING OF LOCAL STRATEGY AND MY QUESTION RELATES TO LOCAL STRATEGY RELATED TO STAFFING INFRASTRUCTURE AND THE WAY THE PUBLIC HEALTH IS WORKING, OR PERHAPS THERE'S A NEED FOR ADDITIONAL CONSULTING HELP. SO CAN YOU SPEAK TO THAT FOR ME, HAVE Y'ALL THOUGHT ABOUT, UM, HAVE YOU THOUGHT YET ABOUT WHAT YOU NEED FROM THAT PERSPECTIVE, MOVING FORWARD? HI, THIS IS STEPHANIE. I THINK I PROBABLY SHOULD. SHOULD'VE ADDRESSED THAT PRODUCTIVE. UM, YES, THE TEAM HAS, UM, WE HAVE INITIALLY MET WITH A CONSULTANT AND, UM, AND THEN THE CONSULTANT MET WITH THE EXECUTIVE LEADERSHIP TEAM. AND THE GOAL IS, IS THAT WE'RE GOING TO PROVIDE A PLAN TO CITY MANAGER CRUMP AT THE END OF JULY ABOUT WHAT THE DEPARTMENT WOULD LOOK LIKE. UM, BECAUSE WE KNOW THAT THIS IS GOING TO GO ON, YOU KNOW, UM, WE DON'T KNOW HOW LONG, [01:30:01] BUT IT'S GOING TO CONTINUE. UM, AND SO AS WE'RE LOOKING AT, UM, YOU KNOW, THINGS CHANGING AND, UM, YOU KNOW, ONCE WE SHIFT BACK IN THE CITY STARTS TO OPEN UP THE PLAN WILL INCLUDE, UM, KIND OF SETTING UP A MANAGEMENT STRUCTURE. AND SO A TEAM IS WORKING ON THAT. SO WE WILL HAVE MORE EXCLAMATIONS SPECIFICALLY ABOUT WHAT'S THAT. SO, ABSOLUTELY WE ARE INITIALLY ON PHASES OF THAT AND WE'LL BE WORKING WITH A CONSULTANT TO FINALIZE THOSE POINTS. OKAY. MMM, MMM, MMM, MMM, MMM. I'M GLAD TO HEAR THAT. UM, THERE'S, THERE'S PUBLIC HEALTH, JUST FROM MY PERSPECTIVE, OUR PUB PUBLIC HEALTH HAS BEEN PUBLIC HEALTH DEPARTMENT AND OUR PUBLIC HEALTH INFRASTRUCTURE IS SOMETHING THIS COUNCIL HAS BEEN WORKING TO BUILD OVER THE YEARS. AND YOU THINK THE MAYOR PRETEND FOR A LOT OF HER EARLY WORK IN THAT AREA, BUT, UM, WE KNOW THAT THERE'S MORE, THAT NEEDS TO BE DONE IN A, IN A GOOD YEAR. AND NOW THAT WE'RE CONFRONTED WITH COVID, UH, THERE'S MUCH MORE THAT WE NEED TO THINK ABOUT IN TERMS OF OUR PUBLIC HEALTH INFRASTRUCTURE. SO I WANT TO ENCOURAGE YOU ALL. I'M GLAD TO HEAR THAT THERE'S A PLAN FOR, UM, THINKING THROUGH THAT AND CITY MANAGER. I'M GLAD TO BE HERE. YOU'LL BE THINKING ABOUT THAT. I WANT TO ASK YOU TO BRING TO US AS A COUNCIL, IF NEED TO, UH, WHAT'S NEEDED IN THAT AREA SO THAT WE CAN, UM, SO THAT WE CAN BE SURE AND ADDRESS IT. I WOULDN'T WANT THERE TO BE A SITUATION WHERE YOU'VE IDENTIFIED WHAT NEEDS TO HAPPEN, BUT THEN YOU'VE HIT A BRICK WALL IN SOME AREAS, BECAUSE THAT IS SOMETHING AS A COUNCIL. WE WANT TO BE A PARTNER WITH YOU ALL AND TO MAKE SURE THAT HAPPENS. UM, SO THEN THE LAST AREA I WANTED TO, UM, ASK ABOUT WAS THE NURSING HOMES. SO THANK YOU. DOES DR. ASCOT AND DIRECTOR HAYDEN, AND I THINK IT WAS ASSISTANT DIRECTOR CERT THAT REPORTED ON THAT. UM, SO, UM, I THINK THAT THE RECENT NURSING HOME WARE REPORT, WHICH WAS A REPORT ON THE, YOU KNOW, THE FIRST PHASE OF COMPLETING THE FIRST ROUND OF TESTING FOR ALL THE NURSING HOMES WAS VERY HELPFUL AND ALSO VERY, UM, UM, UH, HOPEFUL, I THINK SO, UM, AND I THINK I HEARD YOU SAY DR. SCOTT, THAT, THAT THERE'S BEEN SOME WORK STARTED NOW WITH TESTING IN ASSISTED LIVING FACILITY. SO I WANTED TO CONFIRM THAT I HEARD THAT CORRECTLY. CAN, CAN, CAN SOMEONE TELL ME WHETHER THE, UH, UH, TESTING, UM, IN THE ASSISTED LIVING FACILITIES HAS BEGUN? YES. THE TESTING HAS BEGUN. WE HAVE, UM, WE'VE TESTED, UM, EIGHT NEW FACILITIES. OKAY. AND SO I ASSUME YOU HAVE A, A PLAN FOR PROCEEDING WITH REMAINING ONES, IS THAT RIGHT? OR, UM, YES, WHAT OUR STAFF ARE DOING RIGHT NOW, UM, BECAUSE WE ARE CONTINUING TO FOLLOW THE PLAINS FOR LONGTERM CARE. UM, OUR STAFF ARE GOING TO SEND OUT A SURVEY TO HAVE AN IDEA OF EXACTLY WHAT THEY CAN DO ON THEIR OWN TO TEST OUR FACILITIES. THEY, AND THIS IS THE SAME THING WE DID WITH, UH, WITH THE NURSING HOME. SO, UM, TRYING TO DETERMINE IF THEY'RE ABLE TO WALK OR DO THEY NEED, UM, SWABBING, UM, SOME OF THEM JUST NEED THE SWAPS THEMSELVES, SO WE'RE WORKING ON THAT PROCESS. SO, UM, IN THE CLUSTER, IN THAT SPACE UNTIL WE HAVE A FINAL IDEA WHAT THAT LOOKS LIKE. OKAY. AND, UM, AND THANK YOU, SCOTT, I THINK FOR MENTIONING THE DASHBOARD ON THE, UH, NURSING HOME. UM, I, I CAN SEE ON THE CUPBOARD WEBSITE, UNDER CLUSTERS FOR ANYONE WHO'S INTERESTED THAT YOU'VE GOT THE FIRST, UM, FIRST INFORMATION UP FROM LAST WEEK. SO GLAD TO HEAR THAT THE WORK IS HAPPENING TO, TO UPDATE, TO GET THAT MORE UPDATED. SO APPRECIATE THAT. AND THEN THE LAST QUESTION WAS WHY DID TO THE, UM, ONE OF THE STRIDES THAT SHOWED THE, UM, I THINK IT WAS THE POSITIVE CASES BY AGE. DOES THAT SIDE INCLUDE, UH, THE NURSING HOMES? YOU KNOW, WHICH ONE I'M TALKING ABOUT? YEAH. SO IT INCLUDES ALL THE TESTING DATA THAT WE RECEIVED FROM OUR PARTNER. OKAY. SO WOULD IT, IT WOULD INCLUDE THOSE, SO, OKAY. ALL RIGHT. THANK YOU. I'M SORRY. COMING ON HER FOUR OR FIVE COMMENT REAL, I'M SORRY. 77 [01:35:01] 48 WAS ALSO IN THE TOP FIVE, WHICH IS ALSO, UH, WE SHARE THAT. SO I'M WONDERING IF THERE'S A SPOT BETWEEN THE FOUR OR FIVE AND THE FOUR EIGHT. THAT'S AN AREA THAT IF YOU'RE LOOKING FOR LOCATIONS, DIRECTOR AIDEN, BECAUSE THOSE TWO TOUCH EACH OTHER. THANK YOU. THANK YOU. REMEMBER HARPER, MADISON. UH, THANK YOU CHAIR. I APPRECIATE IT. UH, THANKS TO ALL THE EXPERTS ON THE LINE. I WANTED TO START WITH SUCH A MYERS. UM, THERE WAS A COUP UH, YOU SAID SOMETHING ALONG THE LINES OF MMM. YOU KNOW, UH, HE TALKED ABOUT THE DEGREE OF UNCERTAINTY, BUT THEN HE SAID SOMETHING ALONG THE LINES OF IF WE ENACT POLICIES THAT MAKE A DIFFERENCE. UM, AND I JUST WONDER IF YOU HAVE SPECIFICALLY IN MIND, WHAT ARE YOU INDICATING THERE WHEN YOU SAY MAKE A DIFFERENCE? UM, SO I, I, I MEAN, ANYTHING COULD ACTUALLY EFFECTIVELY SLOWS TRANSMISSION. SO IF, AND, AND I DON'T KNOW, I, YOU KNOW, IT'S HARD TO KNOW WHAT IS FUELING ALL THE TRANSMISSION IN AUSTIN. YOU KNOW, THERE'S THINGS YOU HEAR ABOUT PEOPLE GOING TO BARS, PEOPLE GOING OUT YOUNGER PEOPLE, NOT MY FACE MASS, BUT ALSO YOU IMAGINE THERE'S PROBABLY LIKE WHAT WE HEARD A LITTLE BIT EARLIER. PEOPLE WHO WAS EMPLOYERS, UH, ARE ASKING THEM BASICALLY TO, UH, WORK WHILE THEY'RE, WHILE THEY'RE LIKELY INFECTED AND INFECTIOUS. SO, I MEAN, I THINK THERE'S, THIS, THIS VIRUS IS SPREADING IN A LOT OF DIFFERENT WAYS AND A LOT OF DIFFERENT COMMUNITIES IN AUSTIN. SO IT'S ANY MEASURES THAT WE CAN TAKE TO SLOW TRANSMISSION AND ALL DIMENSIONS. SO, YOU KNOW, PEOPLE ACTUALLY DO WEAR FACE MASK IF THEY ACTUALLY ARE GIVEN INCENTIVES AND SUPPORT THAT THEY NEED SO THAT THEY CAN STAY HOME FOR WORK, IF, UM, YOU KNOW, IF THEY DON'T FEEL WELL, OR IF THEY THINK THEY'VE EVEN BEEN EXPOSED TO SOMEONE ELSE IN THEIR HOUSEHOLD OR OTHERWISE WHO'S INFECTED. SO, YOU KNOW, ANY, ANY STEPS WE CAN TAKE AND THEN, AND THEN CERTAINLY, YOU KNOW, TAKE EXTRA MEASURES TO SHELTER, VULNERABLE POPULATIONS, INCLUDING NURSING, HOME POPULATIONS, OTHER, UH, OLDER INDIVIDUAL MEMBERS OF OUR COMMUNITIES, UM, AND YOUNGER PEOPLE WHO HAVE KNOWN UNDERLYING CONDITIONS OR LACK OF ACCESS TO HEALTHCARE, ET CETERA, COUNCIL MEMBER. I, UH, I JUST ALSO WANTED TO ADD, I THINK IT'S IMPORTANT FOR US AS A CITY TO IDENTIFY WHAT WE CAN DO TO DIAL THINGS BACK, UH, BECAUSE WHAT WE'RE TRYING TO DO RIGHT NOW IS DIAL THINGS BACK. SO WE DON'T HAVE TO DIAL THINGS OFF. SO I MET WITH, WITH PARKS TODAY AND DIRECTOR OF HAVEN AND MADE THE RECOMMENDATION THAT, THAT WE CLOSE, UH, OUR NON COURTED POOLS, UH, MARTIN, UH, BARTON SPRINGS AND BARTON CREEK AND, AND DEEP BETTY, UM, BECAUSE THAT IS A PLACE WHERE PEOPLE CONGREGATE THAT IS A PLACE WHERE WHAT'D HE SAY THE TARGET AGE, UH, IN BEHAVING IN SUCH A WAY WHICH IS NOT PROTECTED. UH, I THINK WE HAVE TO IDENTIFY THOSE AREAS THAT WE, AS A CITY CAN, WE KNOW WE CAN CONTROL OUR, OUR PROGRAMS, OUR SPACE, UH, SO WE HAVE TO DO WHAT WE CAN. WE NEED OTHERS TO DO THAT. ALSO BUSINESSES, RESTAURANTS, HOW CAN I DIAL THINGS BACK, STILL KEEP THINGS FUNCTIONAL, STILL PAY THE BILLS, BUT DIAL THINGS BACK SO THAT WE DON'T HAVE TO DIAL OFF, UH, BECAUSE IN ANY CIRCUMSTANCE, IF WE HAVE TO DIAL OFF, WE'RE ALL GOING TO BE HURT BY THAT. UH, SO I THINK IT'S CRITICAL AS, AS DR. MEYER SAID TO IDENTIFY THOSE THINGS THAT WE CAN MEANINGFULLY DO TO TURN THINGS DOWN. UH, I WILL SAY IN CONVERSATIONS WITH THE STATE, UH, YESTERDAY THAT I, YOU KNOW, I THINK THAT, THAT THE GOVERNOR IS, IS INCREASING IN HIS FLEXIBILITY TO, TO DO WHAT NEEDS TO BE DONE, UH, TO, TO EITHER DIRECT MSS OR, UH, TO, TO DON THINGS FURTHER DOWN, OR DIAL THEM OFF, UH, OR ALLOW THE, UH, LOCAL GOVERNMENTS TO MAKE THAT DETERMINATION. UH, I, YOU KNOW, I THINK THE STATE SEES THAT, THAT WE'VE, WE'VE GOTTEN OURSELVES INTO A SITUATION THAT WE CANNOT MAINTAIN. UH, SO I'M HOPEFUL THAT THAT LOCAL AND STATE CAN WORK TOGETHER TO REALLY FIND THAT, THAT SWEET SPOT. HOW CAN WE GET THINGS BACK IN A SITUATION THAT WE CAN CONTROL IT, WHERE WE CAN TEST PEOPLE WHO NEED TO BE TESTED, WHERE CAN CONTACT TRACE PEOPLE DON'T NEED TO BE CONTACT TRACED. UH, AND THEN IN THE FUTURE, WHEN WE REOPENED OR OPENED THINGS FURTHER, WE AGAIN WENT BACK TO THE HIGHER STAGE OF REOPENING THAT WE FIND A BETTER PATH TO DO THAT. I APPRECIATE BOTH OF YOUR ANSWERS. AND I'D LIKE TO JUST SAY ON BEHALF OF MY COLLEAGUES AND I, IF THERE'S EVER ANY SORT OF, CAUSE OFTENTIMES WE'RE OPERATING OFF OF THE INFORMATION THAT WE'RE GLEANING FROM. YOU WE'RE EXTRACTING WHAT WE CAN FROM YOUR PRESENTATIONS, BUT IF YOU HAVE SOMETHING EXPLICIT, IF YOU WERE ABLE TO ENACT X POLICY, [01:40:01] WE WOULD BE ABLE TO PREVENT THE SPREAD OF BY WAY OF, I THINK THAT WOULD JUST BE SO HELPFUL IF THAT'S EVER THE CASE. AND I DO FIND THAT OFTENTIMES THE INFORMATION IS PRESENTED IN A WAY THAT IT CAN GET A LITTLE VAGUE AND I, I CAN UNDERSTAND THE DIFFICULT POSITION YOU'RE IN, BUT CERTAINLY YOU CAN UNDERSTAND THE DIFFICULT POSITION WE'RE IN AS WELL. UM, SO AS MUCH AS, AS POSSIBLE, I'D LOVE TO REALLY GET LIKE EXPLICIT GUIDANCE. SO PERFECT EXAMPLE, HERE'S ONE THAT WOULD BE DIFFICULT AND NOBODY WOULD WANT TO HAVE TO SAY THE WORDS, BUT SOMETHING WE RECOGNIZE WAS PROBLEMATIC DURING THE COURSE OF THE LAST SHUTDOWN WHERE THE PROBLEMATIC PARK'S LIKE REALLY JUST SAYING, THESE ARE THE 11 PARKS WHERE PEOPLE CONGREGATE TOO MUCH TURNS OUT AS A MUNICIPALITY, WE NEED TO SHUT PARKS. SO IF WE WERE TO HAVE THAT CONVERSATION AND THE TRUTH WAS, YOU KNOW, YOU ALL, AS THE EXPERTS LEANED IN THE DIRECTION OF THAT, THE APPROPRIATE COURSE OF ACTION, IT WOULD BE GREAT TO HAVE THAT SORT OF SUPPORT TO BE ABLE TO MAKE THE DIFFICULT DECISIONS. UM, BUT WITH THAT, I HAVE JUST A FEW OTHER QUESTIONS. UM, SO SPEAKING OF HARD TO REACH POPULATIONS, A MEETING THAT I'M HAVING THIS WEEK IS WITH SOME FOLKS WHO ARE FROM THE VARIOUS COMMUNITIES THAT MAKE UP OUR, UM, LIKE AFRICAN DIASPORA COMMUNITIES. UM, AND ONE OF THE THINGS THAT THEY'RE WORKING ON DOING IS JUST GETTING EMPOWERED AS COMMUNITIES TO INDEPENDENTLY GO THROUGH THE, YOU KNOW, DOZENS OF DIALECTS TO BE ABLE TO COMMUNICATE TO FOLKS. UM, I'M LOOKING TO FIGURE OUT, UM, AND I GUESS THIS WAS PROBABLY AN APH QUESTION. IN ADDITION TO YOU, DR. S SCOTT, LOOKING TO FIGURE OUT HOW WE CAN HELP TO EMPOWER THOSE COMMUNITIES MORE. IT'S CERTAINLY NOT A QUESTION I'M ASKING RIGHT NOW. JUST PUT IT OUT THERE THAT I, MY OFFICE, AND I'M CERTAIN, SOME OF THE OTHERS DISTRICT FOUR HAS A LOT OF FOLKS FROM THE DIASPORA AS WELL. UM, I SAW THAT PFLUGERVILLE WAS ON THERE LEADING THE CHARGE IN TERMS OF TRANSMISSION. THAT'S THE HIGHEST CONCENTRATION OF FOLKS FROM THE MOTHER CONTINENT, IN WHICH CASE? UM, I THINK THAT'S ANOTHER CONVERSATION WHEN WE'RE TALKING HARD TO REACH POPULATIONS THAT, TO DATE. I HAVEN'T HEARD ANYBODY MAKE MENTION OF, I THINK THERE'S SOME ASSUMPTIONS ABOUT AFRICAN COMMUNITY AND AFRICAN AMERICAN COMMUNITY. AND, UH, CERTAINLY WE ALL RECOGNIZE THAT WE'RE NOT A MONOLITH. UM, SO JUST WANT TO MAKE SURE THAT WE'RE ADDRESSING, UM, THOSE COMMUNITIES AS WELL. AND SO I'LL BE IN TOUCH WITH SOME IDEAS I HAVE AND REALLY LOOK INTO EXTRACT WHATEVER IDEAS YOU ALL HAVE FOR HOW WE CAN EMPOWER THOSE COMMUNITIES. UM, FOR YOU GO OUT TO YOUR NEXT QUESTION. NOW COME RIGHT BACK TO YOU DR. MYERS. NOW, SO DOES ANYBODY HAVE ANY LAST QUESTIONS FOR DR. MYERS BEFORE WE THINK, OR, AND LET HER GET BACK TO DR. MYERS, THANK YOU VERY MUCH FOR THE TIME THAT YOU SPENT WITH US. I'D POINT OUT WITH RESPECT TO DR. MEYER'S WORK. WE'VE SEEN TWO MODELS THAT LET US OPEN UP SCHOOLS IN THE FALL, AND BOTH OF THEM REQUIRE US TO REALLY BE ABLE TO DO ORANGE REALLY WELL, WHICH IS EVERYBODY MASKS, EVERYBODY'S SOCIAL DISTANCES, NO BIG GROUPS. AND ONE SCENARIO HAS US DOING IT RIGHT NOW, IN WHICH CASE, IF WE ACTUALLY DID IT RIGHT NOW, WE COULD OPEN UP SCHOOLS IN THE FALL, OR WE CAN'T DO IT RIGHT AWAY. AND WE HAVE TO PSYCH OURSELVES UP TO ACTUALLY HAVE THE DISCIPLINE. IN WHICH CASE WE HAVE TO DO. I DON'T KNOW, NUMBERS CONTINUE TO SCREAM HERE FOR ANOTHER WEEK OR TWO. UH, IN WHICH CASE WE HAVE TO DO A, READ A SHUT DOWN FOR 35 DAYS, BUT WE CAN TELL PEOPLE AT THE BEGINNING, THIS IS NOT OPEN-ENDED, WE'RE GOING TO DO THIS FOR 35 DAYS IN THE BACK END OF 35 DAYS. WE HAVE TO RELIGIOUSLY MASK EVERYBODY AND SOCIAL DISTANCE FACTOR MATTERS. THANK YOU FOR GIVING US THOSE SCENARIOS. THANK YOU FOR YOUR TIME. THANK YOU. TAKE CARE. BYE. I APOLOGIZE. CAST MEMBER HOPPER, MADISON, NO OURS. UM, I THINK THESE ARE APH QUESTIONS. UM, I HEARD DURING THE COURSE OF THE PRESENTATION, SOMETHING ABOUT A MAP TIMELINE OR, UH, ABOUT, UH, THE NEWEST SORT OF MAPS THAT WE'RE GOING TO GET. I WAS JUST WONDERING WHAT THE TIMELINE IS ON THE COMPLETION OF THAT. WE'LL JUST SEND THAT SURVEY OUT TODAY. UM, OUR HOPE IS, IS THAT WE WILL GET ALL THE RESULTS BACK, UM, THIS WEEK AT THE END OF THE WEEK. AND, UM, WE, WE HOPE TO HAVE SOMETHING ABOUT A WEEKEND IF WE GET EVERYTHING IN AND WE KNOW WE'RE GOING TO HAVE TO MAKE CHANGES TO IT AS WE GET NEW SITES. SO WE'LL, YOU KNOW, WE'LL CONTINUE TO UPDATE IT. AND JUST TO BE CLEAR, YOU SAID GIVENS DOVE SPRINGS AND ST. JOHN'S CORRECT. KEVIN'S DOVE SPRINGS. UM, ST. JOHN IS WHERE OUR, OUR TESTING SITE IS. YOU SAID RUTTENBERG HAS A THIRD ONE. [01:45:02] CAN YOU EXPLAIN HOW THOSE SITES WERE SELECTED? YES. UM, THEY WERE BASED UP ON, UM, THE DATA THAT WE RECEIVED, UM, OUR CURRENT DATA THAT WE HAVE RIGHT NOW, AS WELL AS, UM, ENSURING, UM, EARLY ON WE'VE HAD IN CONVERSATIONS WITH COMMUNITY MEMBERS, UM, BASED UPON THE DATA AND THEN THE CONVERSATIONS THAT WE'VE HAD WITH COMMUNITY PARTICIPANTS, WANTING TO SEE IF WE COULD START IN THOSE AREAS. AND THIS IS JUST THE BEGINNING. UM, AS I SAID EARLIER, AND WE WILL BE PLANNING SOME ADDITIONAL SITES, BUT WE WANTED TO GO AHEAD AND GET MOVING, AND THEN WE CHANGE AS WE GO ALONG. THAT'S WHERE WE'RE GOING TO START. AND THEN WE CAN CHANGE AS WE MOVE ALONG. I, FOR 1:00 AM VERY HAPPY TO SEE THAT THERE'S FINALLY SOME MOVEMENT THERE AT, AT GIVENS. AND ESPECIALLY SEEING, YOU KNOW, THAT, OH, IS IN THE TOP FIVE ALBUM AND THAT'S RIGHT IN THE HEART OF OTU. SO I'M REALLY EXCITED TO SEE THIS HAPPENING. UM, ONE OF THE OTHER THINGS THAT I HEARD DURING THE COURSE OF THE PRESENTATION WAS HOW SOME HOSPITALS ARE AT CAPACITY. I'M CURIOUS TO KNOW WHICH HOSPITALS, THOSE ARE, UH, COUNCIL MEMBER. THAT'S NOT INFORMATION THAT WE SHARE PUBLICLY BECAUSE THERE'S THOSE CONSTANT SHIFTING. AND WE REALLY DO WANT THE HOSPITALS TO HAVE THE FREEDOM TO SHIFT RESOURCES. UH, I'LL SAY THAT, THAT THEY, THAT COOPERATION WE HAVE WITH OUR HOSPITAL PARTNERS IS, IS REALLY REMARKABLE. UH, AND EVEN ACROSS THE SYSTEMS, THEY ARE SHARING INFORMATION, SHARING RESOURCES. UH, WE HAVE A COMMITMENT FROM ALL THREE MAJOR HOSPITAL SYSTEMS THAT IF, IF ONE SYSTEM RUNS OUT OF VENTILATORS, THE OTHER SYSTEM WILL EITHER SEND THEM TO THEM, TO THEM OR ACCEPT THOSE PATIENTS INTO THEIR FACILITIES. UH, SO WE DON'T WANT THAT ABILITY FOR FOLKS TO, TO MOVE AROUND RESOURCE, MOVE AROUND PATIENTS AS NECESSARY, UH, TO, TO CARE FOR FOLKS. UH, AND AGAIN, RIGHT NOW WE HAVE CAPACITY. WE'RE GOING TO HAVE CAPACITY FOR, YOU KNOW, LOOKING AT THE PROJECTIONS, AT LEAST ANOTHER TWO OR THREE WEEKS. UH, SO WE DON'T, WE DON'T WANT THE PUBLIC TO THINK THAT THERE'S NOT ROOM FOR THEM. IF THEY HAVE SOMETHING GOING ON, IT'S ABOUT WHAT'S HAPPENING IN THREE OR FOUR WEEKS FROM NOW THAT WE GET CONCERNED ABOUT. UH, AND WE, WE, WE DON'T, WE DON'T WANT TO APPROACH THAT 1500 RIND, UH, AND, AND RISK NOT BEING ABLE TO TAKE CARE FOR PEOPLE WITHIN THE WALLS OF THE HOSPITAL. OKAY. UM, SO MY LAST TWO QUESTIONS ARE DURING ONE OF THE PRESENTATIONS. I'VE HEARD THAT CALDWELL COUNTY IS UPWARDS OF 33%. WHERE, WHERE DO THOSE PEOPLE GO FOR TREATMENT? ARE THEY COMING TO AUSTIN OR IS THERE ANOTHER CLOSER REGIONAL HOSPITAL THAT THEY'RE GOING TO A COUNSELOR? I DON'T KNOW SPECIFICALLY ABOUT, ABOUT THE CALDWELL COUNTY CASES? UH, I WILL SAY THAT, YOU KNOW, THE AUSTIN MSA, PARTICULARLY TRAVIS COUNTY FACILITIES, UH, SERVICE A MUCH LARGER, UH, JURISDICTION THAN, THAN JUST THE FIVE COUNTY MSA. UH, WE ARE WHERE PEOPLE COME TO WHEN THEY'RE IN, UH, WE ARE WHERE RURAL HOSPITALS, UH, WE'LL SEND FOLKS, UH, WHEN THEY BECOME SICKER THAN, THAN THEY CAN MANAGE. AND, UM, YOU KNOW, IT'S, UH, IT'S, IT'S HARD TO SAY WHERE A PARTICULAR PEOPLE GO IN THEIR OTHER HOSPITALS. UH, YOU KNOW, THERE'S A HOSPITAL IN MARBLE FALLS. THERE'S SOME OTHER SMALLER OUTLYING FACILITIES THAT FOLKS MAY, MAY CHOOSE TO GO TO OUTSIDE OF THE MSA OR, UH, OUTSIDE OF TRAVIS COUNTY. UH, I WILL ALSO SAY THAT THAT CALDWELL COUNTY, UH, HAVING A MUCH SMALLER NUMBER OF TESTS. UH, SO AGAIN, IT'S HARD TO EXTRAPOLATE THE 33%, YOU KNOW, I THINK THEY, THEY TESTED 30 PEOPLE LAST WEEK. UH, BUT THE IMPORTANT MESSAGE IS THAT IT'S NOT, THIS IS NOT JUST A METROPOLITAN ISSUE. AND I THINK BECAUSE OF THE NUMBERS IN THE METROPOLITAN AREA, THAT PEOPLE GET THE FALSE IMPRESSION THAT NO, I LIVE IN THE COUNTRY OR I LIVE IN A RURAL COMMUNITY. I CAN'T BE AFFECTED BY THIS. THAT'S A CITY PROBLEM. THAT IS NOT THE CASE. THIS IS AN EVERYWHERE PROBLEM. THIS IS A WORLDWIDE PROBLEM, REGARDLESS OF WHERE WE LIVE, WE'VE ALL GOT TO FOLLOW THOSE GUIDELINES THAT THE MASKING, THE SOCIAL DISTANCING AND THE PERSONAL HYGIENE I DID. THIS MIGHT BE A TALL ORDER. I JUST WONDER IF IT'D BE POSSIBLE TO SORT OF SEE, UM, NUMBERS BY COUNTY AND THEN HOSPITAL RESOURCES, UM, IN TERMS OF PROXIMITY, JUST, IT WOULD BE HELPFUL TO SORT OF MAP OUT IN MY MIND'S EYE IF FOR NO OTHER REASON TO MAKE CERTAIN THAT WE'RE ADVOCATING FOR APPROPRIATE RESOURCES TO COME TO OUR HOSPITAL FACILITIES IN AUSTIN. IF WE'RE SERVICING OUTSIDE OF THE FIVE, THEN YOU KNOW, I THINK THE RESOURCES SHOULD REFLECT, UM, THE POPULATIONS OF PEOPLE WE ARE ACTUALLY SERVING. [01:50:01] SO JUST TO PUT THAT ON YOUR RADAR, UM, THE LAST THING I'LL ASK IS WE WERE TALKING ABOUT TESTING FACILITIES DRIVE UP. SO I'VE HEARD THROUGH THE GRAPEVINE THAT YOU DON'T HAVE TO DRIVE UP. YOU CAN WALK THROUGH, WALK UP TO THE TESTING FACILITY. I JUST WANT TO MAKE CERTAIN THAT THAT IS IN FACT, THE CASE. UM, IF FOR NO OTHER REASON, WE CAN SHARE THAT INFORMATION WITH FOLKS WHO WANT THE MOST ACCURATE INFORMATION. I THINK THAT'S AWESOME. OUR, OUR CURRENT, UH, TEST SITE, UH, AT ST JOHN'S IS DRIVE TO ONLY, UH, IT'S ONLY EXPLAINED A LITTLE BIT ABOUT THAT PART OF THE REASON FOR DOING A MAJOR, PART OF THE REASON FOR DOING THAT IS BECAUSE THE CAR AND THE WINDOWS SERVICE AS PROTECTION FOR THE TESTERS, UH, AND THE WAY THAT WAS BUILT OUT, THE PERSONNEL THAT PPE USES, UH, WAS OPTIMIZED BY HAVING PEOPLE IN CARS. UH, THE PROGRAMS THAT STEPHANIE MENTIONED, UH, ARE DIFFERENT, ALL THAT STEPHANIE, UH, ANSWERED THE QUESTION ABOUT, ABOUT THOSE. YEAH. WE, OVER THE OTHER PILOT SITES THAT I'VE TALKED ABOUT EARLIER IN THE COMMUNITY, UM, ARE GOING TO BE, YOU WOULD HAVE THE ABILITY TO WALK UP TO THOSE SITES. UM, AND THEN I THINK THE OTHER THING, UM, THAT DR. SCOTT, UM, DIDN'T ALSO MENTION IS HIS COMMUNITY CARE, UM, HAS SET UP WHERE FOLKS CAN EITHER DRIVE OR WALK UP TO THOSE SITES AS WELL. SO THAT MIGHT BE THE OTHER PIECE. IS THERE, THERE ARE SEVERAL OTHERS THAT ARE TESTING. SO DOCTOR HAS SCOTT'S RESPONSE BUILT ON THE SECOND HALF OF MY QUESTION. THE SECOND HALF OF MY QUESTION, THERE WAS, I HAD HEARD EARLY ON ABOUT TAXI VOUCHERS AND RIDESHARE VOUCHERS AND OPTIONS FOR PEOPLE WHO ARE CARLESS TO GO TO DRIVE, DRIVE UP TESTING, JUST WANTING TO SEE IF WE STILL HAVE THAT SYSTEM, IF IT'S UP AND RUNNING AND ROBUST. AND IF THAT'S THE CASE, IF THE WINDOWS SERVES AS A BARRIER, I JUST WONDER HOW WE RECONCILE A PERSON BEING IN A CAR WITH A DRIVER. WHO'S NOT A FAMILY MEMBER, BUT HAVING THE SWAB AND EXPOSURE THAT JUST, IT BRINGS ON MORE QUESTIONS AND ANSWERS FOR ME ABOUT TRANSPORTATION ASSISTANCE. UH, SO CURRENTLY I'M NOT AWARE OF ANY RIDE SHARE OR CABOT IS WILLING TO DO THAT. UH, WE HAVE HAD SOME CIRCUMSTANCES, I BELIEVE WE'RE WE'RE EMS HAS, UH, IN THE PAST, HAD TO, TO HELP WITH THAT BECAUSE THEY HAVE LARGER VEHICLES AND THEY CAN ISOLATE THE DRIVER FROM, UH, FROM THE PERSON BEING TESTED. UH, BUT THIS IS WHY WE NEEDED TO IDENTIFY THE RESOURCES FOR, UH, FOR WALKUP TESTING OR HOME TESTING SO THAT WE CAN PROVIDE A DIFFERENT OPTION FOR FOLKS WHO, UH, WHO CAN'T ACCESS THAT DRIVE THROUGH APPROPRIATELY. I'M A DIRECTOR AND I'M SORRY, WOULD YOU CORRECT ME IF I'M WRONG? I THOUGHT, YOU KNOW, SEVERAL WEEKS AGO WE TALKED ABOUT TRANSPORTATION ASSISTANCE. WAS THAT EXCLUSIVELY FOR PEOPLE GETTING TRANSPORTATION TO THE CLINIC BEING DROPPED OFF AND THEN RETURNED HOME, OR IF, CAUSE I, I MAY HAVE MISINFORMED SOME MEMBERS OF OUR COMMUNITY IF THERE IS IN FACT NOT TRANSPORTATION ASSISTANCE. UM, I HAVE TO APOLOGIZE. I WAS NOT HERE TWO WEEKS AGO. UM, LET ME SEE IF ANYONE ON THE CALL AND COMMISSION MEETING IT MIGHT'VE BEEN SIX WEEKS AGO. ALL THE WEEKS ARE THE SAME. YEAH. YEAH, THEY ARE GOOD AFTERNOON. IF I MADE THIS IS ADRIAN STIR WITH RESPECT TO TRANSPORTATION, WHAT WE WERE ABLE TO GET OUR PARTNERS TO ASSIST WITH IS TRANSPORTATION FOR NON COVID RELATED. MMM. RIGHT. SO TO THE GROCERY STORE, TO THE PHARMACY, TO ANY OTHER NON COVID MEDICAL APPOINTMENT, BUT NOT FOR TESTING, WHICH IS WHY WE, UM, HAVE BEEN STRATEGIZING AROUND THESE POPUP SITES AND OTHER OPPORTUNITIES FOR PEOPLE TO TEST IS VERY IMPORTANT INFORMATION. UM, I WAS, I WAS DEFINITELY MISINFORMED. UM, I MADE SOME ASSUMPTIONS, SO, UH, THERE IS IN FACT A NEED FOR US TO, OKAY. YEAH. THAT'S A, THAT'S NEITHER HERE NOR THERE. I THINK THAT WAS ALL OF MY QUESTIONS. THANK YOU VERY MUCH. YOU DIDN'T HEAR, BUT I THINK I READ YOUR LIPS TO SAY MY NAME. UM, I WANTED TO EXTEND THE CONVERSATION A LITTLE BIT MORE ABOUT TESTING AVAILABILITY AND THE PERCENT OF POSITIVITY [01:55:01] RATES. SO I KNOW YOU HAD SAID IT, DR. S SCOTT, BUT I WANTED TO GIVE A LITTLE MORE SPACE TO, UH, WHAT HAPPENS WHEN WE HAVE AMPLE TESTING AVAILABLE AND PEOPLE ARE ABLE TO GET IT QUICKLY. AND WHEN WE DON'T HAVE AMPLE TESTING AND, AND HOW THAT RELATES TO PERCENT, THE POSITIVITY WITH THE FIVE AND 10%, CAN YOU GO INTO A LITTLE MORE DETAIL ABOUT THAT? SURE. SO IT'S, THERE'S THE AVAILABILITY OF TESTING IN TERMS OF PEOPLE NEEDING TESTING IN THE TEST COLLECTION KITS, THERE'S AVAILABILITY IN TERMS OF SPACE FOR THE LABS TO DO THE TESTS AND THERE'S AVAILABILITY IN TERMS OF RAPID TURNAROUND TIMES. AND IF YOU DON'T HAVE ALL THREE OF THOSE THINGS, THEN TESTING BECOMES LESS EFFECTIVE. REMEMBER THAT WE'RE TESTING NOT FOR THE PURPOSE OF IDENTIFYING SOMEBODY SO WE CAN GIVE THEM A TREATMENT. THAT'S MAYBE THE CASE WITH FLU WE'RE TESTING FOR THE PURPOSE OF ISOLATING AND CONTACT TRACING AND BOXING IT IN A, SO IF WE DON'T HAVE ALL THOSE ELEMENTS TOGETHER, THEN WHEN WE LOSE THE EFFECT OF MOST OF THAT TESTING STRATEGY THAT BOXING AND THE STRATEGY, UH, AND THAT CIRCUMSTANCE MAY HAVE TO SCALE BACK SO THAT WE CAN IDENTIFY THOSE WHO ARE THE MOST LIKELY TO BE POSITIVE, ENSURE THAT THEY GET TESTING FIRST, UH, OR THOSE WHERE, UH, HAVING THAT ANSWER POSITIVE, NEGATIVE, MAYBE THE MOST IMPACTFUL SUCH AS, UH, OUR COMMUNITIES OF COLOR, SUCH AS, UH, NURSING HOMES, JAILS, UH, AND, UH, OTHER CONGREGATE SETTINGS. AND THAT'S WHAT WE'VE HAD TO PRIORITIZE THOSE INDIVIDUALS. SO WE CAN ENSURE THAT WE HAVE A TIMELY TURNAROUND SO WE CAN IMPACT THIS DISEASE. AND I THINK IT'S IMPORTANT TO NOTE THAT IF YOU WANT YOUR PERCENT POSITIVE RATES TO GO DOWN, YOU NEED TO HAVE A LOT OF TESTING AVAILABLE SO THAT YOU ARE ABLE TO FIGURE OUT WHO'S NEGATIVE AND WHO'S ACTUALLY POSITIVE AND NEEDS MEDICAL ATTENTION, OR NEEDS TO SELF WARRANTY. WHEN YOU DON'T HAVE ENOUGH TESTS, THEN YOU'RE ONLY TESTING THE REALLY URGENT CASES. AND THEN THEY'RE GOING TO SEE THAT POSITIVITY RATE GO UP. SO IF YOU ACTUALLY WANT LESS POSITIVITY RATES, YOU NEED MORE TESTS, NOT LESS. I THINK THAT'S AN IMPORTANT DISTINCTION THAT PEOPLE NEED TO UNDERSTAND. AND I KNOW THAT YOU SAID IT, I JUST WANTED TO GIVE A LITTLE MORE TIME IN THIS DISCUSSION TO THAT IMPORTANT DISTINCTION. UM, AND I ALSO APPRECIATE ON ANOTHER TOPIC YOU MENTIONED, UH, DISCUSSING IT'S PROBABLY WHAT THE PARKS AND RECREATION DEPARTMENT ABOUT NON CHLORINATED POOLS. AND I APPRECIATE KNOWING THAT DISCUSSION IS GOING ON. I AND MY TEAM HAVE BEEN HAVING CONVERSATIONS ABOUT SOME OF THE GREENBELT ENTRANCES, LIKE THE HILL OF LIFE AND THE THREE 60 ACCESS POINTS, BECAUSE WHEN OTHER POOLS AND OTHER SOURCES OF ENTERTAINMENT FOR OUR COMMUNITY ARE NOT AVAILABLE, THOSE PLACES ARE BEING OVERCROWDED AND IT'S BECOME A SERIOUS ISSUE THAT WE'VE BEEN WORKING ON FOR A NUMBER OF WEEKS, DIRECTOR MCNEELY, WITH PARKS AND RECREATION. AND HER TEAM'S BEEN WORKING VERY HARD AS WELL AS DIRECTOR SPILLER AND THE TRANSPORTATION DEPARTMENT. AND SO I WANTED TO MAKE SURE WE KNEW WE WANT THAT TO BE PART OF THIS CONVERSATION. I WOULD LIKE IT TO BE PART OF THE CONVERSATION BECAUSE PEOPLE ARE TREATING OPEN ACCESS SPACES. NOW, LIKE THERE, THE POOL OPTIONS. AND I KNOW IT'S GETTING HOT OUT THERE, BUT WITH THE GRAPHS AND CHARTS THAT DR. MEYER SHOWED US ABOUT HOW IMPORTANT OUR BEHAVIOR OVER THE NEXT TWO OR THREE WEEKS IS THAT IS A REALLY IMPORTANT CONVERSATION. AND I WOULD LOVE FOR YOU TO BE INVOLVED WITH PARKS AND RECREATION IN THOSE DECISIONS. MY OFFICE IS HAPPY TO HELP TO A DEAN AND MY OFFICE HAS BEEN WORKING EXTREMELY HARD WITH NEIGHBORS IN THE COMMUNITY TO TRY TO ADDRESS THIS SITUATION. AND I THINK THAT NEEDS BE WRAPPED UP IN THESE CONVERSATIONS AS WELL. UM, BUT CAN YOU, YOU ALSO HAD MENTIONED ABOUT BED CAPACITY NUMBERS, AND I THINK EARLY ON WE WERE GIVEN A NUMBER CLOSER TO 4,000 BEDS. CAN YOU TALK ABOUT THE DIFFERENCE BETWEEN 4,000 AND 1500 BEDS AND WHAT THAT MEANS FOR HOSPITAL STRATEGIES AND OUR COMMUNITY AS A WHOLE, A CERTAIN WAY? SO THE, UH, THE 4,000 NUMBER WAS TOTAL BEDS AVAILABLE, UH, THAT INCLUDES THOSE WHO THOSE BEDS THAT CAN BE USED FOR COVID AND THOSE THAT CAN, SO REALLY THOSE THAT CAN'T, UH, THOSE THAT CAN'T EASILY BE USED ARE THINGS LIKE LABOR AND DELIVERY BEDS, UH, PEDIATRIC BEDS, UH, PSYCHIATRIC BEDS, THOSE THAT ARE NOT EASILY CONVERTED TO CARE FOR COVID PATIENTS. UM, AND THEY, THEY, UH, THE REST OF IT OUTSIDE OF THE 1500 OR THOSE WHO ARE READY TO EXPECT WHEN YOU HAVE TO HAVE CAPACITY TO CARE FOR EVERYTHING ELSE. SO HEART ATTACKS, STROKES, UH, YOU KNOW, TRAFFIC ACCIDENTS, EVERYTHING ELSE THAT FOLKS GET HOSPITALIZED, BUT WE STILL HAVE TO BE ABLE TO PROVIDE. AND THAT'S WHERE THAT 15 A HUNDRED COMES FROM. THAT'S THE CAPACITY THAT WE THINK WE CAN, UH, DEDICATE FOR [02:00:01] COVID PATIENTS WITHOUT SUBSTANTIALLY IMPACTING THOSE OTHER, THOSE OTHER PATIENTS. IT'S IMPORTANT TO NOTE ON THAT NUMBER. AND AS YOU KNEW LAST WEEK, THERE WAS A LOT OF CONVERSATIONS THAT WAS ABOUT WHAT NUMBERS WERE CAPACITY AND THE LIKE, AND YOU HAVEN'T EVER HAD NUMBERS, UH, UH, WITH THE HOSPITAL, WE WENT TO THE HOSPITALS WITH, AND WE SAID, GIVE US A PLANNING NUMBER BECAUSE THEY POINTED OUT CORRECTLY THAT WE'RE NOT GONNA REALLY KNOW THE ANSWER TO THAT UNTIL WE'RE THERE. SO HOW MANY MORE BEDS YOU NEED IS IN PART DEPENDENT ON WHETHER THERE'S A FLU OUTBREAK OR NOT, OR ALL THESE OTHER THINGS. SO AT BEST, YOU'RE HOPING FOR A BELL CURVE, MAYBE THEY GET HELP FROM AN AFFILIATE HOSPITAL IN, IN, IN MICHIGAN OR SOMETHING LIKE THAT. SO YOU CAN'T REALLY BE SURE WHAT THEY GAVE US WAS THEIR, THEIR BEST ASSISTANCE ON WHAT AN APPROPRIATE PLANNING NUMBER EIGHT. AND THAT'S THE NUMBER THEN THAT WE GAVE TO THEM. AND I APPRECIATE YOU MENTIONING, I THINK THAT'S IMPORTANT FOR PEOPLE TO KNOW THAT THE DEFINITION OF WHAT BEDS AVAILABLE FOR WHAT IS KIND OF DEPENDS ON, ON THE NEEDS AS, AS TIME GOES ON AND COUNCIL MEMBER, UH, THERE IS CONSENSUS IN THE DISCUSSION WITH THE TASK FORCE YESTERDAY AND WITH MY COLLEAGUES ACROSS THE STREET AND ACROSS THE STATE, THE CONSENSUS IS THE BEDS AND THE SPACE ARE NOT GOING TO BE THE ISSUE. IT'S THE PEOPLE TO PROVIDE CARE OR THOSE BEDS THAT IS GOING TO BE THE ISSUE, UM, BECAUSE THOSE PEOPLE HAVE TO COME FROM SOMEWHERE. SO WE ARE GOING TO BE RELYING ON, UH, NURSES, UH, OTHERS WHO CAN BE FLEXED INTO THE HOSPITALS OR ALTERNATE CARE SITES IF WE HAVE TO USE THEM, UH, THAT MAY MEAN MILITARY PERSONNEL, UH, NEEDED TO BE REQUESTED TO HELP STAFF HOSPITALS. UH, BECAUSE REMEMBER THAT, THAT HAS RECEIVED UNCONTROLLED, WIDESPREAD COMMUNITY TRANSMISSION, THAT'S GOING TO HIT NURSES, IT'S GOING TO HIT DOCTORS, IT'S GOING TO HIT RESPIRATORY TECHNICIANS. IT'S GOING TO HIT PARAMEDICS THAT DMTS AND FIREFIGHTERS. UH, SO THAT'S GOING TO FURTHER IMPACT OUR, OUR STORAGE CAPACITY AND THOSE THINGS ARE TAKEN INTO CONSIDERATION. AND I'M GRATEFUL THAT THAT OUR HOSPITAL PARTNERS HAVE, HAVE WORKED THOSE, WHAT'S THE EXPECTED NUMBER OF PEOPLE THAT MAY BE OUT AT ANY ONE TIME THAT CAN'T STAFF THIS BED SO THAT WE CAN BETTER PREPARE FOR THE FUTURE. I APPRECIATE THAT. THAT'S A REALLY IMPORTANT PART OF THIS CONVERSATION BECAUSE SOMETIMES I HEAR THE DISCUSSION AROUND, YOU KNOW, WHY SHOULD I WEAR A MASK? I'M NOT WORRIED ABOUT MYSELF. AND IT REALLY IS A MATTER OF PROTECTING THE DOCTORS AND THE NURSES TOO, AND PROTECTING PEOPLE ON THE FRONT LINES WHO WORK IN GROCERY STORES THAT MAKE SURE THAT WE CAN KEEP OUR HOUSEHOLDS GOING. AND SO, SO MUCH ABOUT WEARING A MASK IS ACTUALLY ABOUT HOW MUCH YOU CARE ABOUT THOSE AROUND YOU. AND EVEN THOSE IN YOUR OWN FAMILY THAT YOU MAY BE QUARANTINING WITH. YOU MAY INADVERTENTLY GIVE SOMETHING TO THEM. AND A LOT OF THE CONVERSATION NEEDS TO BE AROUND HOW WE ARE PROTECTING EACH OTHER AS A COMMUNITY. SO I REALLY APPRECIATE THAT LINE OF THINKING AND REMINDER AS, AS THE WEEKS DO, GO ON. UM, I HAVE ONE LAST QUESTION, AND I'M NOT SURE IF IT'S FOR DR. SCOTT OR DR. HAYDEN, BUT I HAD A QUESTION AROUND CHILDCARE CENTERS. SO THE ONES THAT ARE ABLE TO OPERATE ARE HELPING, UM, THE ESSENTIAL WORKERS, UH, HOW HAS NOTIFICATION WORKING WITH CHILDCARE CENTERS? WE'VE TALKED A BIT ABOUT NURSING HOMES AND WHAT KIND OF REGULATIONS AND, UM, INFORMATION THAT CAN BE GIVEN OUT ABOUT THE PEOPLE WHO ARE IN NURSING HOMES OR THE PEOPLE WHO WORK IN NURSING HOMES. BUT I'M CURIOUS. UM, CAUSE WE GOT NEWS RECENTLY THAT THERE WAS A CHILD CARE CENTER IN MY DISTRICT THAT, UM, THAT WAS SHOWING SOME POSITIVITY RATE AND THIS WAS IN THE NEWS. AND SO I WAS JUST CURIOUS IF YOU COULD DAYLIGHT, ARE THERE STATE REGULATIONS AROUND THAT NOTIFICATION OR WHO IS ENTITLED TO THE INFORMATION IF THEY DO FIND THAT SOMEONE IN A CHILDCARE CENTER HAS TESTED POSITIVE, UM, AS YOU, AS YOU MAY KNOW, THE STATE OF TEXAS, UM, ALSO REGULATES, UM, CHILDCARE FACILITIES. UM, AND SO THOSE REGULATIONS ARE PROVIDED BY THE STATE. HOWEVER, UM, AUSTIN PUBLIC HEALTH STAFF HAVE BEEN PROVIDING SOME TECHNICAL ASSISTANCE. UM, TYPICALLY WITH THE WEEKLY REPORT THAT PEOPLE CAN COMES OUT ON FRIDAY AFTERNOON WITH THE NON-CLUSTERED REPORTS. UM, YOU'LL SEE THAT THAT INDUSTRY WOULD BE LISTED THERE. UM, IF THAT HAS BEEN A SITE THAT, THAT WE NOTICED IN THE PAST, WE HAVE PUT, UM, CHILDCARE FACILITIES ON THERE AS WELL. AND IT'S THE SAME TYPE OF PROCESS AS WE HAVE FOR, UM, ANY OTHER BUSINESS THAT HAS A CLUSTER OF THREE OR MORE BY PROVIDING THAT ADDITIONAL, UM, TECHNICAL ASSISTANCE. THE OTHER THING, JUST AS A REMINDER, WE'VE BEEN ABLE TO PROVIDE SOME HYGIENE, UM, TYPE OF, OF KIDS TO THEM [02:05:01] UPON REQUEST. AND SO, UM, THEY HAVE BEEN REACHING OUT TO OUR STAFF TO GET THAT ADDITIONAL CLEANING SUPPLIES FOR THOSE FACILITIES, IF THEY NEED IT. I APPRECIATE THAT. THAT'S HELPFUL. AND I DON'T HAVE ANY MORE QUESTIONS, KATIE, ANYBODY ELSE HAVE ANY MORE QUESTIONS ASSOCIATED WITH THIS IS FOLKS THAT HAVE COME AND SPOKEN. I WAS TERRIBLE. YES. UM, THANKS. SO VERY MUCH ALL OF YOU FOR THIS INFORMATION. I HAVE A COUPLE OF QUICK QUESTIONS. UM, FIRST FIRSTLY, I THINK, UM, MAYOR PRO TEM PROSITES SAID IT WELL THAT REDUCING, I SHOULDN'T TRY TO SUMMARIZE, BUT IN ANY CASE, I THINK YOU MADE THE POINT, WE HAVE PRETEND CARDS ARE THAT IT REALLY IS. CAN'T JUST BE THE CITY THAT THE COMMUNITY HAS TO BE A PARTICIPANT IN THIS. AND I JUST WANTED TO THANK THE, UM, AUSTIN HISPANIC CONTRACTORS ASSOCIATION FOR ALL THE WORK THEY'RE DOING TO COMMUNICATE WITH THEIR MEMBERS AND TO, UH, THEY WERE THE RECIPIENTS OF MANY MASKS THAT THEY WERE ABLE TO FROM, UH, JONATHAN KOONTZ'S FOUNDATION THAT HAS GOTTEN MASS TO SO MANY ORGANIZATIONS, BUT I APPRECIATE THE REALLY GOOD WORK THAT THE CONTRACTOR'S ASSOCIATION IS DOING TO HELP WITH, TO HELP GET THE MESSAGE OUT AMONG THE INDIVIDUALS THEY REPRESENT. AND SO I AGREE, I, WE REALLY NEED TO RELY ON OUR COMMUNITY PARTNERS TO HELP US, HELP US REALLY REACH INDIVIDUALS THROUGHOUT OUR COMMUNITY WHO ARE OUR MOST AT RISK, UH, AND MY STAFF. AND I WILL CERTAINLY BE LOOKING FOR OPPORTUNITIES TO COMMUNICATE AGAINST, UH, COMMUNICATE TO SOME OF THE YOUNGER MEMBERS OF OUR COMMUNITY TO RESIDE WITHIN DISTRICT NINE, INCLUDING THOSE ON WEST CAMPUS AND ELSEWHERE IN DISTRICT NINE. UM, I WANTED TO ASK ABOUT A COUPLE OF QUICK THINGS FIRST. I MISSED ONE POINT. I THINK I'M NOT SURE IF IT WAS MY CONNECTION OR ON YOUR END, BUT I DIDN'T UNDERSTAND. UM, AND I THINK THIS QUESTION IS FOR DIRECTOR HAYDEN OR HER STAFF, UM, WHEN THE CONTRACT WITH REVOLUTION FOODS HAS BEEN EXTENDED THROUGH, I MISSED THE END DATE. GOOD AFTERNOON, BRAD CONTRACT HAS BEEN EXTENDED TO THE END OF JULY. THANK YOU SO MUCH ASSISTANT DIRECTOR STIRRUP, UM, SORRY. UM, WE KNOW THAT THE ADDITIONAL FOOD NEEDS, I KNOW THAT THE AISD CAREGIVER PROGRAM HAS BEEN EXTREMELY, UM, HELPFUL IN REACHING OUT TO THE PARENTS AND CAREGIVERS OF STUDENTS WITHIN OUR SCHOOL DISTRICT. THEY ARE THEY'VE EXTENDED THEIR STUDENT MEALS THROUGH THE SUMMER AND LIKELY THE MONEY THAT WE ALLOCATED BY COUNCIL RESOLUTION WILL NOT, WILL NOT, UM, BE ABLE TO STRETCH THROUGH THAT SAME PERIOD. AND SO I WONDER IF YOU COULD HELP ME UNDERSTAND, AND THIS MAY BE A QUESTION FOR THE MANAGER, WHETHER OUR APPROVAL OF THE SPENDING FRAMEWORK, AS LONG AS THERE WAS ADDITIONAL FUNDING CONTAINED WITHIN THE SPENDING FRAMEWORK UNDER THAT CATEGORY OF FOOD ASSISTANCE, WHETHER THAT'S SOMETHING THAT, THAT YOU MANAGER COULD, UM, GO AHEAD AND AUTHORIZE ABSENT FURTHER COUNCIL TO, TO ALLOCATE MORE FUNDING TO THAT PARTICULAR NEED. THANK YOU COUNCIL MEMBER, AS YOU KNOW, THIS IS AN ONGOING DISCUSSION WE'LL HAVE WITH OUR PROVIDERS AND BASED ON THE NEED, I WILL CONTINUE TO, UH, IF, IF WE'RE NOT ABLE TO DO IT ON OUR OWN, BUT I THINK WE HAVE THAT AUTHORITY TO DO SO. UH, WE'LL BE RAISING THOSE TO THE COUNCIL FOR FURTHER, UH, DIRECTION OR FURTHER DECISION MAKING, BUT WE WILL CONTINUE TO UPDATE YOU AS WE GET MORE INFORMATION. SO I'M, I GUESS I'M, I'M SORRY, SOMEWHAT FOLLOWED YOU, UM, CITY MANAGER, BUT NOT COMPLETELY. SO IF, IF THERE WAS ADDITIONAL FUNDING, WE, WE APPROVED A SPENDING FRAMEWORK THAT HAD ABOUT A MILLION DOLLARS BEYOND WHAT, BEYOND WHAT HAD ALREADY BEEN ALLOCATED AS I RECALL, UM, FOR FRUIT NEEDS. SO WE KNOW THAT THERE WILL BE ADDITIONAL COST ASSOCIATED WITH THAT CONTRACT FOR REVOLUTION FOODS, WHICH IS ABSOLUTELY NECESSARY. UM, WE KNOW THAT, THAT THERE ARE ADDITIONAL NEEDS FOR THOSE CAREGIVER MEALS, POSSIBLY OTHERS. DO YOU, YOU KNOW, WE DON'T MEET AS A COUNSELOR, AT LEAST AT THIS POINT, WE'RE NOT SCHEDULED TO MEET AS A COUNCIL AGAIN UNTIL LATE JULY. UM, DO YOU HAVE THE AUTHORITY YOU ALREADY NEED TO MAKE ADDITIONAL ALLOCATIONS IN THOSE AREAS? UM, IF YOU DEEM THOSE, THE HIGHEST PRIORITIES AMONG FOOD MOVES, OR WOULD YOU NEED ANOTHER COUNCIL VOTE? NOT AT THIS TIME, I HAVE THAT AUTHORITY, BUT I WILL MAKE SURE THAT I'M UPDATING COUNSEL AS APPROPRIATE. AND SO I'LL BE GETTING WITH STAFF TO PROVIDE A REAL TIME UPDATE ON WHAT THOSE NEEDS ARE AND THEN, AND THEN LIFTING THAT UP TO COUNCIL AS WELL. OKAY. I APPRECIATE THAT. THANK YOU. I WAS JUST TRYING TO FIGURE OUT WHAT THE PATH FORWARD [02:10:01] WOULD BE TO ELEVATE THAT NEED, I'LL JUST PUT IN A, MY OWN, UM, STRONG URGING THAT WE, THAT WE DO FUND SOME, YOU KNOW, PROVIDE SOME ADDITIONAL FUNDING. AND I ALSO JUST WANT TO SAY, THANK YOU. UM, JASON ALEXANDER SENT OUT A LINK THAT SHOWS THERE ARE, THERE IS ALSO A PRIVATE EFFORT TO RAISE FUNDING FOR THE STUDENT PORTION OF THE MEALS. AND SO, YOU KNOW, I WOULD ENCOURAGE THOSE COMMUNITY MEMBERS WHO ARE ABLE TO CONTRIBUTE TO THOSE COMMUNITY BASED, UM, ASSISTANCE PROGRAMS TO DO SO BECAUSE WE DO HAVE SUCH A NEED FOR FOOD, OF COURSE, NOT JUST AMONG THE STUDENTS IN AISD AND THEIR PARENTS AND THEIR CAREGIVERS, BUT IN OTHER AREAS AS WELL. UM, AND THAT BRINGS ME INTO MY NEXT QUESTION. I WONDER IF, IF SOMEONE ON THE CALL COULD PROVIDE US WITH A STATUS OF THE CAREGIVER MEAL PROGRAM IN DEL VALLEY LAST I HEARD IT WAS STILL STILL, IT HAD, IT WAS NOT UP AND RUNNING YET. UM, THERE WERE STILL CONTRACT NEGOTIATIONS GOING ON. AND SO IF SOMEONE HAS AN UPDATE ABOUT THAT, THAT WOULD BE HELPFUL OR MAYBE I'M HER GOOD AFTERNOON COUNCIL MEMBER. YES. LET ME CHECK STAFF AND GET THE MOST UP TO DATE INFORMATION AND I WILL RESPOND BACK SHORTLY. OKAY. I APPRECIATE IT. THANK YOU. UM, OUR, I BELIEVE, COULD YOU PLEASE, UM, CYCLE BACK TO SOMETHING WE TALKED ABOUT EARLIER AND TELL ME WHAT THE STATUS IS OF OUR ISOLATION FACILITY. I MISSED, I MISSED WHAT THE TOTAL OCCUPANCY IS. I, YOU GAVE US THE OCCUPANCY FOR OUR PRO LODGES, BUT IT WASN'T CLEAR TO ME WHETHER OUR ISOLATION FACILITY IS AT FULL CAPACITY OR NOT. I DO NOT HAVE THAT INFORMATION IN FRONT OF ME, BUT I, I CAN GET THAT FOR YOU AS WELL. THANK YOU. AND SO IF THERE IS, UM, CAN YOU REMIND US WHO IS ELIGIBLE FOR THOSE ITEMS FOR THE ISOLATION FACILITY, THE ISOLATION FACILITIES AVAILABLE FOR THOSE WHO ARE CONFIRMED POSITIVE, UH, THOSE WHO ARE PERSONS THAT ARE INVESTIGATION OR WAITING ON A TEST RESULT, UH, AND THOSE WITH, UH, WITH A NAME, UH, UH, CLOSE CONTACT EXPOSURE. UH, SO IF YOU KNOW, INDIVIDUAL IS, UH, IS A HOUSEHOLD MEMBER, UH, OR HAD A CLOSE CONTACT AND, AND THEY LIVE WITH SOMEBODY WHO MAYBE, UH, OR MAY THEMSELVES HAVE A HIGH CONSEQUENCE, UH, UH, OR HIGH RISK OF SERIOUS ILLNESS, THEY CAN ISOLATE THEMSELVES THERE AS WELL. UM, SO YEAH, SO A ROOMMATE WOULD DEFINITELY QUALIFY. WE DID. UM, YES. OKAY. AND AS FAR AS YOU KNOW, THEY STILL HAVE CAPACITY WITHIN THE ISOLATION FACILITY. YES. LAST TIME I CHECKED AT THE END OF LAST WEEK, WE HAVE AROUND 70 INDIVIDUALS THERE. UH, IT WAS A SIGNIFICANT INCREASE FROM THE PRIOR WEEKS, WHICH WAS AVERAGING AROUND 20. UH, WE HAVE DONE SOME, SOME SIGNIFICANT OUTREACH AND WORK WITH THE MANIA TO IMPROVE THE, THE USE OF THAT. AND, UH, I'M HAPPY THAT IT'S, IT'S INCREASING, THERE IS STILL PLENTY OF CAPACITY THERE. THAT'S, THAT'S TERRIFIC NEWS. AND I KNOW THAT WE CAN FIND INFORMATION ABOUT HOW TO GET IN THAT QUEUE, UM, OR HOW TO GET THAT REFERRAL FROM THE COVID WEBSITE ON, AT AUSTIN, TEXAS.GOV. SO I WILL, I WILL GO THERE FOR THAT INFORMATION. UM, IF PEOPLE ARE AWARE OF, I WAS MADE AWARE OF A SITUATION WHERE A CLOSE CONTACT IS AWARE OF AN INDIVIDUAL WHO HAS COVID-19 AND IS CONTINUING TO WORK. WHAT SUGGESTION WOULD YOU HAVE FOR THAT PERSON? IS, IS THAT A THREE, ONE, ONE CALL? IS IT A COUNSELING THAT INDIVIDUAL TO GO TO THE ISOLATION FACILITY? UM, ARE THERE ANY, ARE THERE ANY OFFICIAL MECHANISMS THAT YOU WOULD SUGGEST BEYOND JUST TRYING TO HAVE A CONVERSATION WITH AN INDIVIDUAL ABOUT THE SAFETY ISSUES AT RISK AND THE RESOURCES AVAILABLE? YES. UH, COUNCIL MEMBER, IT'S A, YOU KNOW, AGAIN, IT'S SO TO ALL OF US TO, TO TRY AND REINFORCE ONE ANOTHER'S PROTECTIVE BEHAVIORS. UH, SO CERTAINLY STARTING THERE IS WHAT WE'D LIKE, UH, INDIVIDUALS WHO ARE POSITIVE OR WHO HAVE OUR CLOSE CONTACTS ARE ISSUED A, UH, AN ORDER FOR ME, UH, WHICH REQUIRES THEM TO STAY HOME. UH, THERE IS THE POTENTIAL FOR, UH, LEGAL ACTION. UH, IF THERE'S A VIOLATION OF THAT, THERE'S A CRIMINAL OFFENSE AND A FINE, UH, AND WE ALSO HAVE THE ABILITY TO, TO GO TO A COURT FOR A COURT ORDER, UH, WARRANTY IF THAT BECOMES NECESSARY. BUT AGAIN, YOU KNOW, THERE ARE SO MANY PEOPLE WHO ARE, [02:15:01] ARE GETTING INFECTED RIGHT NOW. UH, WE OBVIOUSLY DON'T HAVE THE ABILITY TO ENFORCE ALL OF THEM AND SOME REALLY GIVEN ALL THAT STEP ONE, WHICH IS HAVING THE CONVERSATION, THE REINFORCEMENT PIECE. BUT THANK YOU. I THINK IT'S A GOOD REMINDER THAT THERE ARE LEGAL ACTIONS, AS YOU SAID, THAT CAN BE TAKEN. UM, I HAVE ONE LAST QUESTION. OH, I KNOW THIS WAS FOR, UM, SO WE DID GET AN EMAIL TODAY. THANK YOU FOR GETTING THE WORD OUT, AUSTIN, PUBLIC HEALTH ABOUT THE NEED TO MAKE SURE THAT EVEN DURING A TIME LIKE THIS, UM, FAMILY MEMBERS ARE MAKING SURE THAT CHILDREN WITHIN OUR COMMUNITY ARE GETTING, GETTING THE KIND OF PREVENTATIVE CARE THAT'S SO NECESSARY IN TERMS OF VACCINATION AND OTHER THINGS. UM, I KNOW MY FAMILY WENT OUT LAST WEEK TO GET UP TO DATE ON OUR WELL AND OUR VACCINATIONS. WE HAD DELAYED THEM A BIT AND IT WAS TIME TO, UM, TO GET EVERYBODY UP TO DATE ON THAT. UM, BUT I THINK IT IS, I WOULD, I WOULD ASK YOU JUST TO ADDRESS THAT. I, I ASSUME SINCE YOU SENT THIS OUT, THAT IT IS THAT YOU WANT PEOPLE TO REMEMBER THAT IT IS A HIGH PRIORITY AND IT IS, IT IS, UM, IT IS A HIGH PRIORITY EVEN AT A TIME WHERE WE'RE ENCOURAGING PEOPLE TO STAY HOME FOR NON-ESSENTIAL REASONS. AND SO I WONDERED IF YOU COULD JUST ADDRESS THOSE TWO, THOSE TWO ISSUES TOGETHER, WHY, WHY IT IS STILL IMPORTANT TO SEE THAT PREVENTATIVE CARE AND WHY THE, THAT YOU HAVE IN OUR MEDICAL FACILITIES TO MAKE SURE THAT THEY'RE MANAGING RISK WELL FOR THEIR PATIENTS. THAT THAT IS, YOU KNOW, WHEN WE'RE TELLING PEOPLE TO PLEASE STAY HOME, IF YOU'RE ABLE TO, IT IS NOT FROM THAT KIND OF PREVENTATIVE CARE VISIT. UH, SO NO, I HAD TO, I'LL JUST PERSONALIZE IT. I MEAN, I ASKED THAT QUESTION OF MYSELF, YOU KNOW, IS THIS THE TIME TO GO SEEK THAT CARE? OR SHOULD WE DELAY FOR ANOTHER PERIOD? SO IF YOU COULD JUST KIND OF SPEAK TO THE PARENTS, UM, LIKE ME WHO ARE KIND OF WEIGHING THOSE WEIGHING AND BALANCING THOSE CHOICES, YOU BET, YOU KNOW, RIGHT NOW IS THE OPTIMUM TIME TO GO. AS I SAID, WE'RE GOING TO, THERE'S PLENTY OF SPACES IN CLINICS. THERE'S PLENTY OF SPACES IN THE HOSPITAL, IN THE ER RIGHT NOW, UH, FOR FOLKS WHO NEED TO SEEK CARE, UH, IN PARTICULAR, THOSE PREVENTATIVE SERVICES, UH, YOU KNOW, BACK IN MARCH, THOSE PLACES WERE STARTING TO CLOSE DOWN. NOT BECAUSE THERE WAS A DANGER IN, IN CONTRACTING THE ILLNESS, BUT BECAUSE WE DIDN'T HAVE ENOUGH PERSONAL PROTECTIVE EQUIPMENT FOR HOSPITALIZED PEOPLE AND FOR THE FIRST RESPONDER. SO WE REALLY HAD TO CONCENTRATE THAT PPE, WHERE WE REALLY NEEDED TO HAVE IT. NOW HE IS MORE BROADLY AVAILABLE. THERE ARE PROCEDURES IN PLACE, INCLUDING SYMPTOM, SCREENS, AND TEMPERATURE CHECKS. WHEN PEOPLE COME IN SEPARATION OF THOSE WHO ARE SICK IN WAITING ROOMS, VERSUS THOSE WHO ARE WELL, AND GENERALLY SPEAKING, GETTING RID OF WAITING ROOM. SO, YOU KNOW, PEOPLE ARE WAITING IN THEIR CARS UNTIL IT'S TIME FOR THEM TO COME IN. THEY CHECK IN, THEY'RE THE ONLY ONE IN THE LOBBY AREA THEY CHECK IN, THEY GO BACK TO HER ROOM, UH, SO THAT THE CLINICAL SERVICES, THE HOSPITALS IN THE CLINICS AS WELL, I'VE DONE AN EXCELLENT JOB OF TAKING THE PRINCIPLES OF SOCIAL DISTANCING AND HYGIENE AND MODIFYING PRACTICE JUST AS OUR BUSINESSES HAVE DONE, NOT AS SOON, IT'S VERY SAFE FOR FOLKS TO SEEK CARE AND THEY REALLY MUST GET THAT PREVENTATIVE CARE DONE. UM, WE'VE TALKED BEFORE ABOUT NOT ONLY THE IMPORTANCE OF IMMUNIZATIONS AT PREVENTING, UH, THOSE DISEASES, WHICH, WHICH MAY BE PREVENTED BY IMMUNIZATIONS, UH, BUT ALSO, YOU KNOW, LOOK TOWARDS, UH, SEPTEMBER WHEN THE FLU SHOT COMES OUT, IT'S GOING TO BE CRITICALLY IMPORTANT, CRITICALLY IMPORTANT THAT WE HAVE A BETTER IMMUNIZATION RATE FOR A FLOOD THAN WE HAVE EVER SEEN BEFORE, BECAUSE WE CANNOT TOLERATE A COVID SURGEON AND A FLOW SURGEON AT THE SAME TIME. THERE'S JUST NOT ENOUGH CAPACITY. UH, SO I REALLY WOULD ENCOURAGE FOLKS TO GET THAT PREVENTIVE SCREENING DONE. AND, YOU KNOW, ONE OF THE THING I DON'T WANT TO MENTION IS, UH, YOU KNOW, WHEN WE, WHEN WE THINK ABOUT HEALTH AND WHETHER OR NOT WEIGHT OR HEALTHY OR NOT, UH, WE OFTEN THINK ABOUT HOW WE FEEL. AND LET ME JUST SAY THAT IT'S NOT ABOUT HOW YOU FEEL IT'S ABOUT REALLY, IF YOU'RE HEALTHY OR NOT. AND I BRING THIS OUT BECAUSE WE HAVE SO MANY IN OUR COMMUNITY THAT EITHER DON'T HAVE ACCESS TO PRIMARY CARE OR HAVE NOT ACCESSED PRIMARY CARE, THAT DON'T KNOW THAT THEY HAVE CLINICAL OBESITY, HYPERTENSION, HEART DISEASE, DIABETES. SO NOT KNOWING YOU HAVE, THOSE IS DIFFERENT FROM NOT HAVING THEM. IT IS REALLY IMPORTANT THAT IF YOU HAVE THOSE THINGS THAT YOU GET THOSE TREAT THEM NOW, UH, BECAUSE, YOU KNOW, CERTAINLY IT'S OF GREAT BENEFIT, UH, IN THE LONG RUN. BUT IN THE SHORT TERM, YOU'RE BETTER OFF [02:20:01] IN, IN REGARDS TO COVID-19, IF YOU HAVE DIABETES AND IT'S MANAGED, OR IF YOU HAVE HYPERTENSION AND IT'S MANAGED RATHER THAN THOSE THINGS BEING UNMANAGED, AND NOW YOU HAVE COVID-19. THANK YOU. THAT'S VERY HELPFUL. OKAY. THIS IS THE QUESTION. CAN YOU HEAR ME? THANK YOU. UM, SO I REALLY APPRECIATE THE GREAT CLARITY ON THE ISO PACKET AND THE PROTECTIVE LODGES, ET CETERA. UM, BUT I WANTED TO BETTER UNDERSTAND WHAT WE ARE TELLING PEOPLE WHEN THEY GO FOR TESTING BEFORE THEY GET THEIR TEST RESULTS. UM, IT SPELLS A LITTLE BIT ON WHAT COMES FROM OUR SIDE, BUT IT WAS A CONCERN THAT I HAD GOING IN HERE. UM, WHAT ARE WE TELLING PEOPLE WHEN THEY GO TO GET A TEST BEFORE THEY GET THEIR TESTS BACK, KNOWING THAT THERE IS A DELAY OF SEVERAL DAYS, WHAT, AS I UNDERSTAND IT, THEY DON'T GET THEIR ORDER UNLESS THEY TEST TODAY. UM, AND YET WE MAY HAVE SIGNIFICANT SPREADS IF THEY'RE GOING ABOUT IT, NOT FOR THEMSELVES. SO THEY'RE GIVEN SIMILAR INSTRUCTIONS BEFORE THE TESTING. UH, IT, IT, UH, IF THEY'RE SYMPTOMATIC IN PARTICULAR WORK, THEY HAVE AN EXPOSURE. UH THAT'S IF THEY'RE SIGNING UP THROUGH OUR AUSTIN PUBLIC HEALTH, UH, PUBLIC ENROLLMENT, THERE'S SOME ELECTRONIC INFORMATION THAT THEY RECEIVE, UH, AS PART OF THE, THE PACKAGE THAT THEY'RE GOING TO RECEIVE IN THE FUTURE. UH, THEY RECEIVE A WRITTEN DOCUMENT, A FLYER IN ENGLISH AND SPANISH, UH, WITH INSTRUCTIONS AGAIN, AS WELL AS, UH, THE ALSO NOW, UH, UH, RECEIVING MASKS SO THEY CAN PROTECT THEMSELVES AND THEIR FAMILY, UH, YOU KNOW, PARTICULARLY A CIRCUMSTANCE WHERE THEY CAN'T USE THE ISOLATION FACILITY. AGAIN, WE REALLY ENCOURAGE FOLKS TO, TO UTILIZE THAT FACILITY. IT'S A FREE HOTEL ROOM THROUGH A WIFI TV, UH, AND, UH, THAT REALLY IS OUR BEST, UH, WAY THAT WE CAN SEPARATE FOLKS AND PREVENT THAT HOUSEHOLD TRANSMISSION. UH, I CAN TELL YOU THAT FUNCTION, WE SCARED ABOUT THAT. UH, YOU KNOW, WE HAVE, WE HAVE, YOU KNOW, FOLKS FROM CITY AND COUNTY GOVERNMENT, UH, WHOSE FAMILIES HAVE HAD TO ISOLATE THOSE FACILITIES, UH, BECAUSE THEY'VE BEEN EXPOSED OR THEY THEMSELVES ARE UTILIZING THE ISOLATION FACILITIES, SEPARATE THEMSELVES FROM THEIR FAMILY. UH, WHEN YOU SEEN HEALTHCARE WORKERS USE IT, UH, IT'S, IT'S NOT FRIGHTENING, IT'S A HOTEL AND IT'S AVAILABLE. WE'RE CERTAINLY TALKING TO THE STATE ABOUT HELPING US SUPPORT ADDITIONAL FACILITIES. SHOULD WE NEED IT? UH, AND YOU KNOW, IT CAN BE JUST A ROLLING PROCESS AS WE FILL UP FACILITIES. UH, WE'LL MOVE TO THE NEXT FACILITY ON THAT NOTE. I DO HAVE AN UPDATE. UH, WE HAVE 95 OCCUPANTS RIGHT NOW OF THE ISOLATION FACILITY AND, UH, THAT'S OUT OF 246 TOTAL CAPACITY. THAT'S ASCOT. THEN WE ALSO HAVE ANOTHER FACILITY THAT WE HAVE ON STANDBY, OR IS THAT BEING USED AS A PROTECTIVE LODGE RIGHT NOW, WHEN WE DO HAVE THE ICE, IN FACT TWO, UH, WHICH IS ON STANDBY, SHOULD WE NEED IT? OKAY, THANK YOU. UM, AND THEN I WANTED TO GO BACK TO YOUR DISCUSSION WITH THE PARKS DEPARTMENT. UM, COULD YOU SPEAK ABOUT OTHER RECOMMENDATIONS YOU HAVE BEYOND THE POOLS ABOUT WHAT, UM, CHANGES TO OPENINGS IN THE PARK SYSTEM THAT WE MIGHT BE TO CONSIDER I'M PARTICULARLY CONCERNED ABOUT, UH, BASKETBALL AND WHAT WE'RE SEEING IN OUR PARKS ABOUT, YOU KNOW, GAMES WITH 10 PLUS FOLKS, UM, IN VERY CLOSE QUARTERS WITH NO MASS SWEATING AND READING ALL OVER EACH OTHER, RIGHT. IN THE AGE GROUPS THAT ARE OF MOST CONCERN. UM, AND ARE WE CONSIDERING WHETHER THAT'S A, THAT IS A CAUSE FOR SPREAD, UH, DIRECTOR KATE AND I HAD A GREAT CONVERSATION WITH DIRECTOR NEELY, UH, REGARDING, REGARDING PARKS AND POOLS AND, AND, UH, AND WHAT WE CAN DO TO FURTHER DIAL THINGS DOWN. UM, AND I, I THINK NOW'S THE TIME THAT WE HAVE TO CONTINUE THOSE CONVERSATIONS. UH, IT WAS A BRIEF CONVERSATION THIS MORNING. SO, YOU KNOW, WE NEED TO HAVE MORE CONVERSATIONS, UH, TO LOOK AT SOME OF THOSE DETAILS AND IDENTIFY THOSE PARTICULAR THINGS THAT ARE HAPPENING ON CITY PROPERTY THAT, THAT NEED TO BE MITIGATED FURTHER. UM, AND, YOU KNOW, I THINK, YOU KNOW, UH, SHE AND HER TEAM ARE ALSO GOING TO, UH, CONTINUE TO LOOK AT BEST PRACTICES FROM OTHER LOCATIONS TO LEARN HOW WE CAN DO THINGS EVEN BETTER. UH, YOU KNOW, QUITE FRANKLY RIGHT NOW IS NOT THE TIME WE CAN, WE CAN TAKE A LOT OF CHANCES, UH, RIGHT NOW IS THE TIME [02:25:01] THAT WE NEED TO ERR ON THE SIDE OF BEING A BIT MORE AGGRESSIVE ON THE DIAL BACK SO THAT WE CAN AVOID THE DIALOGUE. UH, SO, YOU KNOW, AND I'VE HAD A SIMILAR DISCUSSION WITH, UM, WITH A CITY MANAGER AND WITH ELA DEPARTMENT. SO I THINK WE ALL HAVE TO THINK ABOUT WHAT IS IT THAT, YOU KNOW, WITHIN OUR DEPARTMENTS, THE SERVICES WE PROVIDE THAT MAY POSE RISK BECAUSE OF, OF CONGREGATION IN PARTICULAR, THAT WE CAN DIAL BACK OR DIAL OFF TEMPORARILY UNTIL WE GET CONTROL. UM, I UNDERSTAND THAT THERE'S BEEN SOME CHANGES FOR COUNTY PARKS AND THE RENT UP TO JULY 4TH. ARE THERE ANY PLANS FOR CHANGES FOR OUR PARKS FOR THAT? UM, THAT'D BE MY FIRST QUESTION. AND THE SECOND QUESTION IS PROBABLY FOR THE CITY MANAGER, UNDERSTAND THAT OUR PARK SYSTEM SYSTEMS UNDER A LOT OF STRESS, UM, HOW ARE WE MAKING SURE THAT THEY HAVE THE RESOURCES THEY NEED, UH, EXTRA NEEDS THAT ARE HAPPENING THE PARKS. THANK YOU. AND SO AGAIN, WE HAD THAT DISCUSSION WITH, WITH PARKS THIS MORNING. UH, I'VE PROVIDED SOME RECOMMENDATIONS, I THINK, UH, THERE'S, UH, SOME FURTHER DISCUSSIONS THAT, THAT NEED TO BE HELD, UH, TO MAKE A DETERMINATION OF, UH, YOU KNOW, DIAL DOWN VERSUS DIAL OFF IN A, IN A TIMELINE. UH, BUT I WILL SAY THAT, THAT, UM, I'M QUITE CONCERNED ABOUT THIS INDEPENDENCE DAY WEEKEND, UH, AND THE RISKS THAT IT MAY POSE FOR LARGE CONGREGATIONS. UH, AND LET ME BE VERY CLEAR, UH, BECAUSE THIS IS IMPORTANT AGAIN, THIS, THE CITY CAN ONLY DO SO MUCH. WE COULD TURN THINGS OFF, TURN THINGS DOWN, LIMIT ACTIVITIES ON CITY SPACE, BUT THAT COULD MEAN THAT FOLKS GO SOMEWHERE ELSE AND CONGREGATE IN OTHER AREAS. AND I KNOW WE WANT TO CELEBRATE, I KNOW WE WANT TO GET TOGETHER WITH OUR FAMILIES. I KNOW WE WANT TO HAVE FIREWORKS SHOWS AND BARBECUE AND DO THE THINGS THAT WE NORMALLY DO, BUT NOW'S NOT THE TIME FOR THAT. NOW'S THE TIME THAT WE HAVE TO BE STRONG TOGETHER BY STAYING HOME, BY DOING THINGS WITHIN OUR HOUSEHOLD, UH, BY WATCHING THE FIREWORKS ON TV. I KNOW IT'S NOT EXCITING. I KNOW IT, IT STEAKS, BUT THAT'S WHAT WE HAVE TO DO RIGHT NOW BECAUSE WE ARE IN A VERY, VERY DANGEROUS SPOT. AND IF WE HAVE THOSE ACTIVITIES HAPPENING THIS WEEKEND, THIS MAY ACCELERATE THINGS IN A MUCH FASTER WAY. AND WE JUST CANNOT TAKE THAT CHANCE RIGHT NOW. AND I WOULD SAY, COUNCIL MEMBER APPRECIATE THIS LINE OF QUESTIONING BECAUSE IT IS IMPORTANT THAT WE LOOK AT ALL OF THE WAYS IN WHICH WE CAN LEAD AS EXAMPLE FROM THE CITY ENTERPRISE, INCLUDING SOME OF THE RESTRICTIONS THAT YOU MAY HAVE REMEMBERED FROM BACK IN APRIL AND EVEN WHAT WE DID FOR THE EASTER WEEKEND HOLIDAY. UM, SO WE'RE LOOKING AT ALL OF THOSE AND WE'LL HAVE MORE INFORMATION FOR YOU SHORTLY, UH, AND REGARDS TO YOUR SECOND QUESTION ON THE RESOURCES FOR PARKS. I'M IN CONSTANT COMMUNICATION WITH ACM SHORTER, UH, WHO'S TALKING TO DIRECTOR MCNEELY, UH, AND, AND VERY AWARE OF SOME OF THOSE CONSTRAINTS THAT THEY HAVE, AND WE'LL BE CONTINUING TO PROVIDE THE RESOURCES THAT THEY NEED TO, TO MAINTAIN THEIR OPERATIONS. OKAY. I APPRECIATE THE ATTENTION THAT HE SAID ALL THE WORK THAT Y'ALL ARE DOING VERY DIFFICULT CIRCUMSTANCES. THANK YOU. OKAY. OKAY. UM, I HAD VERY SIMILAR QUESTIONS, UM, ABOUT THE PARKS. WHY HAVEN'T WE CLOSED THEM? I MEAN, AUTO MODELING, THE MODELING SPECIFICALLY SAID, UNLESS WE DRASTICALLY CHANGED BEHAVIOR, WE ARE HEADING TOWARDS SOME REALLY SCARY NUMBERS. AND I FEEL LIKE WE HAVE TO DO WHAT I GUESS I, YOU KNOW, EVERYTHING'S ANECDOTAL, BUT JUST BECAUSE, YOU KNOW, LIKE, I DON'T KNOW WHY IS BARTON SPRINGS STILL OPEN AND WHY IS SIMON A CHLORINATED POOL? UM, AND I, AND I GET THE CONCERN ABOUT, WELL, THEN THEY'LL JUST GO SOMEWHERE ELSE, BUT MAYBE THEY WON'T. AND MAYBE THEY, MAYBE IF WE SEND A STRONG MESSAGE, DON'T LEAVE YOUR HOUSE, DON'T GO ANYWHERE. UM, BUT THAT'S THE MESSAGE THAT IS IN FACT HEARD BECAUSE IT'S NOT JUST ABOUT, MMM. YOU KNOW, SPREADING IT AT THE LOCATION YOU END UP AT. IT SAID, IF YOU'RE ON YOUR WAY THERE AND GET IN A VEHICLE ACCIDENT, YOU WERE TAKING PUBLIC SAFETY RESOURCES OFF THE GRID. SO TO SPEAK, YOU'RE TAKING, YOU KNOW, HEAVEN FORBID AT SOMETHING BAD. YOU'RE TAKING A HOSPITAL BED OFF THE GRID. UM, ALL THOSE, YOU KNOW, GOING TO BARTON TO THE, TO THE RAIN BELT. I REMEMBER MAKING SEVERAL RESCUE CALLS THERE OF PEOPLE FALLING AND [02:30:01] FALLING OVER A CLIFF. AND, YOU KNOW, IT'S JUST, I DON'T UNDERSTAND WHY. AND I GET IT'S A TOUGH BALANCE, BUT I FEEL LIKE WE HAVE TO CONTROL THE THINGS THAT WE CAN CONTROL. AND, UM, I BELIEVE ME, I'VE GOTTEN TIRED OF JOGGING AROUND MY NEIGHBORHOOD, BUT I WILL CONTINUE TO CHUG AROUND MY NEIGHBORHOOD BECAUSE I DON'T WANT TO GO TO THE, YOU KNOW, RUN ON THE TRAIL. WHY AREN'T WE CLOSING THOSE PLACES? ANYTHING ELSE I'M GOING TO ASK? YEAH. ACM SHORTER TO PROVIDE ADDITIONAL CONTEXT ON THIS ONGOING DISCUSSION THEY'RE HAVING WITH THE PARKS DEPARTMENT. NO, I HAVE NOTHING ELSE, SPENCER. GREAT. IT SEEMS SHORTER STILL ON MUTE. IF HE'S, IF THERE'S TECH TECHNOLOGY ISSUES, I'M HAPPY IF WE CAN GET MAYBE SOME FURTHER, BUT I KNOW THAT WE'RE GOING TO START GETTING THOSE QUESTIONS A LOT, ESPECIALLY AS WE HEAD INTO, UM, JULY THE FOURTH, BECAUSE I, AND YOU KNOW, I'M ON THE INSIDE AND I GET ALL THE INFORMATION. I HAVE NO DESIRE TO GO ANYWHERE ON JULY 4TH. AND IT'S BECAUSE I, AND I FEEL LIKE WE NEED TO GET EVERYBODY ELSE TO THEY'RE LIKE, WE DON'T NEED TO BE GOING ANYWHERE. UM, I'M JUST GOING TO SAY WHAT MY OTHER QUESTIONS ARE, CAUSE I KNOW WE'RE RUNNING OUT OF TIME. AND SO PART OF THIS WAS TO ALSO ASK, I HOPE WE'RE GOING TO CONTINUE DOING THESE. I THINK YOU MAY, OR I'D REACHED OUT TO THE MAYOR AND THOUGHT IT WAS IMPORTANT FOR US TO BE ABLE TO HAVE THIS INFORMATION BECAUSE WE WOULD USUALLY GET THEM DURING WORK SESSION. AND WE'RE NOT HAVING WORK SUCH AS RIGHT NOW. SO I REALLY, UM, ENCOURAGE US TO HAVE THESE REGULARLY, ESPECIALLY AS WE SEE THESE NUMBERS RISING. SO, SO WITH THAT, WITH THAT IN MIND, I WOULD HAVE QUESTIONS ABOUT, I'VE HEARD THAT COMMUNITY CARE, YOU CAN NOT GET TESTED THERE IF YOU DO NOT HAVE AN ID AND THAT CAN AFFECT SEMINAR UNDOCUMENTED COMMUNITY. UM, I JUST LIKE TO GET SOME CLARIFICATION ON THAT, NOT NOW, UM, QUESTIONS ABOUT A SECOND, IF THERE'S ANY DISCUSSION ABOUT A SECOND STIMULUS PACKAGE FROM THE FEDERAL GOVERNMENT WHERE WE ARE, MAYBE THAT'S SOMETHING WE'RE GOING TO DO ANOTHER SESSION, UM, UH, RISE, FUNDING UPDATE, AND ANY OTHER HELP UPDATE UPDATE ON WHERE MUCH OF THAT MONEY HAS BEEN ALLOCATED AND WHAT COMMUNITIES IT HAS HELPED BECAUSE I'VE HEARD A LOT OF MISINFORMATION ON WHO HAS WHAT HAVE GOTTEN PART OF THAT. AND, UM, THAT WAS IT. AND JUST, I THINK IT'S IMPORTANT FOR US IN THESE MEETINGS. THANKS. WOULD YOU WANT ME TO SEE I'M SHORTER IF YOU WANT TO CHIME IN JUST BRIEFLY. YES, I AM ON A SPENCER. THANK YOU VERY MUCH FOR, UH, FOR TAKING THE QUESTION AND COUNCIL MEMBER FOR ASKING, I'LL SAY QUICKLY THAT WE ARE ABSOLUTELY, AS SPENCER MENTIONED, UH, IN CONVERSATIONS AND WERE TALKING EARLIER THIS MORNING ABOUT MAKING A QUICK DECISION, UH, WE WILL LIKELY BE RELEASING IN ANNOUNCING INFORMATION ABOUT, UH, THE STATUS OF OUR PARKS FOR THE HOLIDAY WEEKEND, RATHER THAN THE NEXT 24 TO 48 HOURS. THAT INCLUDES THOSE SCHOOLS THAT ARE NOT ORDERING POOLS. UM, THEY WILL, WE'LL INCLUDE THOSE IN THE ANNOUNCEMENT. I'LL JUST REMIND ME COUNCIL THAT THE PARK SYSTEM, INCLUDING OUR TRAILS IS A VERY IMPORTANT COMPONENT FOR MENTAL AND EMOTIONAL HEALTH DURING THESE TIMES. SO WE LIKE TO SORT OF MAKE SURE THAT WE'RE DRAWING THE PROPER LINE IN TERMS OF MAKING SURE THAT WE KEEP THE COMMUNITY SAFE, BUT THAT WE ALSO OFFER OPPORTUNITIES FOR, UH, FOR OUR RESIDENTS TO GET OUT OF THEIR HOME AND SAFELY RECREATE. OKAY. THANK YOU. UM, MR. FLANAGAN, UM, YEAH, I JUST WANT TO AGREE WITH WHAT THE MAY PRETEND LAID OUT. UM, I TOO HAVE BEEN, UH, GETTING TIRED OF RUNNING THROUGH MY NEIGHBORHOOD AND DEFINITELY NOT JUST RUNNING BACK AND FORTH TO THE KITCHEN FROM MY HOME OFFICE. UH, SO I APPRECIATE WHAT YOU HAD TO SAY THERE. UM, BUT I'M ALSO HEARING FROM, UH, MY SOME NEIGHBORHOOD LEADERS IN MY DISTRICT THAT NEIGHBORHOODS THAT HAVE THEIR OWN PARKS SYSTEMS, NEIGHBORHOODS THAT HAVE THEIR OWN POOLS THAT ARE FOR THEIR COMMUNITIES AND THE LONGER THE CITY KEEPS OURS OPEN, THE HARDER IT HAS BECOME FOR THEM TO DO THE RIGHT THING BY THEIR OWN RESIDENTS. UM, I THINK IT'S REALLY CLEAR THAT, THAT WE SHOULD BE REALLY ERRING ON THE SIDE OF CAUTION AS THE CITY, BECAUSE IT, IT SENDS THE MESSAGE TO THE PUBLIC. AND I ALSO AM SEEING TODAY THAT, UM, FINALLY, UH, MAYORS IN WILLIAMSON COUNTY ARE STARTING TO JOIN AND, UH, PUT MASS ORDERS ON IN THEIR COMMUNITIES. I REALLY WISH JUDGE GARAVEL WOULD DO THE SAME THING FOR THE WHOLE OF WILLIAMSON COUNTY, [02:35:01] SINCE THERE ARE STILL PARTS OF, OF THE AREAS, UH, JOINING MY COUNCIL DISTRICT THAT ARE NOT INCORPORATED INTO ANY CITY, BUT I'M GLAD TO SEE, UH, MAYOR VAN ARSDALE IN CEDAR PARK AND THE CITY COUNCIL IN ROUND ROCK MOVE FORWARD ON THEIR OWN MASS ORDERS. BUT I WOULD DEFINITELY ENCOURAGE YOU TO SPENCER AND, AND ALL OF OUR STAFF TO VERY MUCH ERR ON THE SIDE OF CAUTION BECAUSE IT SENDS THE MESSAGE THAT, THAT, UH, THE, THE PRIVATE OWNERS OF THESE TYPES OF FACILITIES NEED TO KNOW WHAT, WHAT THEY NEED TO DO TO PROTECT THE COMMUNITY AS WELL. OKAY. WE ARE PART TIME YOU ASKED ONE QUESTION THAT NEEDS TO BE RESPONDED TO HERE. YOU DO NOT NEED A GOVERNMENT ISSUED ID AT COMMUNITY CARE IN ORDER TO BE ABLE TO GET TESTED. I THINK THAT THEIR WEBSITE MIGHT SAY THAT IF IT DOES, IT'S NOT ACCURATE, UH, PEOPLE SHOULD BRING SOMETHING ASKED IF THEY HAD SOMETHING THAT HAD THEIR PICTURE ON IT. UH, BUT THEY WERE LETTING PEOPLE TAKE TESTS EVEN IN THE ABSENCE OF THAT FURTHER, UM, UH, QUESTIONS, COUNCILMEMBER HOPPER, MADISON. I REMEMBER WE HAVE AN EXECUTIVE SESSION WHEN WE'RE DONE HERE. I WILL. YEAH. SO I JUST WANTED TO SAY BRIEFLY, UH, JUST FOR THE RECORD, APPARENTLY FOLKS WITHOUT TRANSPORTATION CAN CALL THE AUSTIN PUBLIC HEALTH NURSE LINE TO SCHEDULE AT HOME TESTING. I KNOW A LOT OF FOLKS ARE TUNING IN WITH US RIGHT NOW. SO JUST WANTED TO MAKE SURE THAT THAT WAS SAID ON THE RECORD, ARE WE DOING PUBLIC SERVICE ANNOUNCEMENTS? THE HOSPITALS HAVE ALSO ASKED IF YOU'VE HAD THE VIRUS, UH, PLEASE, UH, THERE'S A REAL SIGNIFICANT NEED RIGHT NOW FOR PLASMA OR BLOOD DONATION. UH, FOR PEOPLE THAT, THAT HAD THAT. AT ONE POINT WE HAD, UH, UH, 20 TIMES WHAT WE WERE USING EVERY DAY. UH, AND NOW WE HAVE THE EXACT AMOUNT THAT WE'RE PROBABLY GOING TO USE ON A GIVEN DAY. UH, SO WHERE YOU HAVE A GREAT NEED FOR PEOPLE, IF YOU'VE HAD THE VIRUS, UH, UH, PLEASE CONSIDER, UH, UH, DONATING LOT, UH, PLAZA. SO THAT, THAT CAN BE, YEAH, I CAN'T REMEMBER TOBO THEN COUNCIL MEMBER ELLIS, SORRY TO BACKTRACK HERE A BIT, BUT WE WERE NOT MY STAFF AND I WERE NOT ABLE TO FIND ON OUR COVID, UM, RESOURCES ON THE WEBSITE, THE NUMBER THAT INDIVIDUALS SHOULD CALL, IF THEY NEED TO ACCESS AND GET A REFERRAL FOR THE ISOLATION FACILITY. I DON'T KNOW IF STEPHANIE OR ADRIAN ARE STILL ON, THEY CAN CONTACT THREE, ONE, ONE, AND WE CAN GET THEM CONNECTED. AND THAT'S PROBABLY THE BEST LIGHT. GREAT. THANK YOU. AND I WOULD JUST ASK OUR PIO IF THEY'RE LISTENING, UM, THAT WE FIGURED OUT HOW TO, HOW TO MAKE THAT CLEAR ON THE CITY WEBSITE, UM, WHAT SOMEBODY SHOULD DO IF THEY'RE IN NEED OF THAT ISOLATION FACILITY. THANKS AGAIN. I'M SORRY, ALICE FOR SHORTER. I REALLY APPRECIATE YOU BEING ABLE TO GIVE US THAT UPDATE ABOUT THE PARKS AND RECREATION DEPARTMENT. I WOULD ASK THAT OTHER PARKS SPACES THAT ARE BEING USED SIMILARLY TO NON CHLORINATED POOLS SHOULD, SHOULD BE LOOKED AT AND IDENTIFIED IN THAT TOO. I THINK THE SAME PRECAUTIONS WE'RE TRYING TO PREVENT WITH NON COORDINATED POOLS LIKE DEEP EDDY OR BARTON SPRINGS, WE'RE HAVING THE EXACT SAME ISSUES AND OTHER PLACES. I KNOW THERE'S NOT MANY WHERE WE ACTUALLY HAVE A LOT OF WATER RIGHT NOW FOR PEOPLE TO CONGREGATE, BUT I THINK THOSE AREAS NEEDED TO BE IDENTIFIED AND INCLUDED AS WELL. THANK YOU, COUNCIL MEMBER. OKAY. COLLEAGUES. WE READY TO GO TO EXECUTIVE SESSION ONE A QUICK ONE ON AIR. SO DR. I SCOTT, THANK YOU FOR LETTING US KNOW THAT WE SHOULD START SAYING IF YOU DON'T HAVE INSURANCE, THE PUBLIC SITES SERVE FOR YOU BECAUSE WE'RE HAVING TO RATION THOSE. AND I KNOW YOU'RE TRYING TO RAMP THAT UP AS FAST AS WE CAN. AND THEN IF YOU HAVE INSURANCE TO GO WITH PRIVATE FOLKS, YOU HAD MENTIONED THAT IF YOU DO HAVE INSURANCE, IT'S FREE, BUT I'VE SEEN A LOT OF REPORTING INCLUDING IN THE NEW YORK TIMES TODAY ABOUT AUSTIN RESIDENTS GOING TO A PRIVATE PLACE AND STILL WINDING UP WITH A BIG BILL. IS THERE ANYTHING WE NEED TO KNOW ABOUT THAT? IS THERE ANY INFORMATION WE SHOULD BE GIVING PEOPLE TO HANDLE THAT? YEAH. SO YOU KNOW WHAT FOLKS NEEDED TO DO A LITTLE HOMEWORK TO FIND OUT WHAT THE OTHER CHARGES ARE? UH, SO THE, THE, THE, THE TEST ITSELF IS, IS FREE AND COVERED BY INSURANCE WITHOUT A DEDUCTIBLE. UM, BUT THE VISIT, IF THEY'RE GOING TO A CLINIC AND THEY NEED TO SEE A PHYSICIAN OR A NURSE PRACTITIONER, THERE MAY BE A CHARGE FOR THAT VISIT. UH, CERTAINLY IF THEY'RE GOING TO AN EMERGENCY ROOM, THERE IS GOING TO BE AN ER BILL THAT COMES WITH THAT TEST. UH, SO IAN ARMS ARE NOT THE PLACES TO GO TO JUST FOR THE PURPOSE OF TESTING. IF YOU THINK YOU HAVE A SEVERE ILLNESS, IF YOU'RE SHORT OF BREATH, HAVE CHEST BENNY, [02:40:01] YOU'RE LIGHTHEADED, YOU'RE DEHYDRATED, THEN MAYBE THE PLACE YOU NEED TO GO. UH, BUT NOT, IF YOU JUST WANT TO GET A TEST DONE, THAT'S GOING TO COME WITH A BIG BILL. UH, THAT'S TRUE FOR THE, THE ER AT THE HOSPITALS, IT'S TRUE FOR THE FREESTANDING ERS. UH, SO, SO CALL AHEAD AND, AND, AND CHECK ON THAT. UM, YOU KNOW, I THINK THERE'S, THERE'S MORE AND MORE FACILITIES, UH, OFFERING TESTING EVERY DAY. AND AS DIRECTOR HAYDEN SAID, WELL, WE'LL HAVE A MAP SOON, UH, ABOUT THAT. WE'RE SAYING MORE PHARMACIES LIKE CVS AND WALGREENS, AND IN THE FUTURE, UH, YOU KNOW, GROCERY STORES AND OTHERS THAT WILL HAVE TESTING. AND THAT'S, THAT'S WHY I SAID EARLIER AT SOME STAGE, APH IS GOING TO DIMINISH AS, AS THOSE OTHER, UH, ENTITIES TAKE ON MORE RESPONSIBILITY FOR TESTING. AND QUITE FRANKLY, WHEN IT'S CLOSER TO HOME AND IT'S CONVENIENT, PEOPLE ARE GOING TO DO IT, UH, MORE EASILY WITH FEWER BARRIERS, PARTICULARLY, UH, IF, UH, IF THEY CAN DO THAT IN A COST EFFECTIVE OR FREEWAY COLLEAGUES READY. I WANT TO THANK I'M SORRY. I WAS JUST GOING TO SAY PROBABLY THE SAME, THE SAME. THANK YOU. UH, BUT JUST REALLY APPRECIATE YOUR LEADERSHIP MAYOR AND THE ENTIRE LEADERSHIP OF OUR COUNCIL. IT IS MORE CRITICAL THAN EVER THAT WE ARE UNITED AS ONE COMMUNITY, ONE CITY, UH, TO TACKLE THIS PANDEMIC. AND I'M JUST SO PROUD OF THE WORK THAT WE'RE DOING AND THE INCREDIBLE WORK OF OUR PUBLIC HEALTH PROFESSIONALS. SO I DON'T THINK WE'RE COMING BACK IN A PUBLIC SETTING. AND SO I JUST WANTED TO SAY THAT OUT LOUD, REALLY APPRECIATE EVERYONE'S SUPPORT. I APPRECIATE THAT. AND THE AMOUNT OF TIME THAT, THAT, UH, AUSTIN PUBLIC HEALTH HAS SPENDING DIRECTOR HAYDEN, UM, UH, ADRIAN START A, UH, DOCTOR S SCOTT, UH, BUT IT'S EVERYBODY, IT'S, IT'S THE COMMUNICATIONS TEAM. IT'S THE EOC CENTER. UH, THESE ARE PEOPLE THAT HAVE BEEN LIKE ON AN EMERGENCY DUTY NOW GOING ON THREE MONTHS. UH, AND I JUST WANT TO THANK EVERYBODY BOTH IN THE CITY AND COUNTY. UM, UH, IT'S BEEN, UH, UH, IT'S BEEN A REAL PLEASURE WORKING WITH, UH, UH, SARAH ECKHARDT, THE VIRAL SHE WAS JUDGED NOW, NOW NOT, THERE'S ALSO BEEN PUTTING IN THAT AMOUNT OF TIME. IT'S GREAT TO WELCOME, UH, JUDGE BISCO, UH, INVOLVED. AND I WOULD JUST CLOSE WITH THE LAST SPOT. IF WE'RE REINFORCING PUBLIC MESSAGING, THAT IT'S REALLY CRUNCH TIME FOR THE CITY. UH, WE, THIS IS, THIS IS CRUNCH TIME. THIS IS WHERE OUR INDIVIDUAL ACTIONS WILL ADD UP TO A COMMUNITY ACTION, DETERMINED WHETHER OR NOT WE'RE ABLE TO KEEP BUSINESSES OPEN, WHETHER WE'RE ABLE TO GO TO SCHOOLS OVER THE SCHOOLS IN THE FALL, UH, WHETHER WE CAN PROTECT PEOPLE AND SAVE LIVES. AND, AND AT THIS POINT RIGHT NOW, WHERE WE SIT RIGHT NOW, IT'S REALLY GONNA TAKE EVERYBODY IN OUR COMMUNITY DECIDING WITHOUT ORDER WITHOUT REPERCUSSION, WITHOUT PENALTY. THIS HAS GOT TO BE TIME WHEN OUR BUSINESSES AND OUR INDIVIDUALS DO WHAT IS NECESSARY TO PROTECT AND SUPPORT. AND I HOPE THAT WE MAKE THE CHOICE TO DO THAT. ASKING SOCIAL DISTANCE, NO LARGE GROUPS, DON'T GO OUT. IF YOU'RE SICK, STAY HOME. IF YOU CAN, THE SAFEST PLACE YOU CAN. AND WITH THAT, THE CITY COUNCIL, AND NOW [Executive Session] GO INTO CLOSED SESSION TO TAKE UP ONE ITEM PURSUANT TO SECTION FIVE, FIVE, ONE OH SEVEN BROADER GOVERNMENT CODE. WE'RE GONNA DISCUSS LEGAL MATTERS RELATED TO ITEM TWO, WHICH IS THE CITY'S RESPONSE TO COVID IN 19. IT IS THREE 58. AND WITHOUT OBJECTION, WE WILL NOT GO INTO EXECUTIVE SESSION AFTER EXECUTIVE SESSION. I'LL COME BACK UP TO CLOSE THE MEETING. NO ONE ELSE WILL PROBABLY COME WITH ME, ALEX. I SEE YOU IN EXACTLY THE SAME. YEAH. YES MA'AM. OKAY. WELL, WE ARE OUT OF CLOSED SESSION IN CLOSED SESSION. WE DISCUSSED LEGAL MATTERS RELATED TO ITEM TWO. IT IS, UM, UH, FIVE 31. THIS IS JUNE 29, 2020. UH, AND THIS MEETING IS A SPECIAL CALL TO THE COUNCIL MEETING IS ADJOURNED. THANK YOU. . * This transcript was created by voice-to-text technology. The transcript has not been edited for errors or omissions, it is for reference only and is not the official minutes of the meeting.