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[00:00:03]

BETTY BY COLLEAGUES TODAY IS TUESDAY, SEPTEMBER 15TH, 2021 TO CALL TO ORDER THE CITY OF BOSTON CITY COUNCIL WORK SESSION.

TODAY IS NEITHER SIX.

UH, WE HAVE A QUORUM PRESENT.

UH, WE'RE HANDLING THIS MEETING, UH, VIRTUALLY, UH, TODAY, UH, COLLEAGUES.

WE HAVE A SERIES OF BRIEFINGS.

UH, WE HAVE ONE ON, UH, THE VIRUS, ONE ON CONVENTION CENTER EXPANSION, ONE ON, UM, THE VAGINA TREVIƱO, UH, PARK.

UH, MY HOPE IS TO GET ALL OF THOSE DONE BEFORE LUNCH.

IF AT ALL POSSIBLE WE HAVE A BUSY DAY TODAY.

UH, TAKE A LUNCH BREAK, UH, COME BACK AND DO A PULL ITEMS. UH, WE HAVE, UM, UH, NOT THAT SMALL LIST OF PULL THE ITEMS TODAY, UH, AND THEN TO GO INTO, UH, UH, EXECUTIVE SESSION.

AND THEN WE HAVE A NUMBER OF THINGS TO BE DISCUSSED ON EXECUTIVE SESSION.

UH, WE HAVE AN ORDER FOR THOSE THINGS.

I THINK THERE'S ONLY, THERE'S ONLY ONE OF THESE THINGS THAT WE CAN ALSO ADDRESS ON THURSDAY BECAUSE IT'S ONLY NOTICED FOR TODAY THAT'S THE PERSONNEL MATTER.

SO IF WE ARE RUNNING LATE AND IT CAN ONLY DO ONE THING, UH, MAYBE WE TOUCH ON THE OTHERS, BUT, BUT MAKE SURE THAT WE GET THAT ONE, RIGHT.

SO WE'RE GOING TO TRY TO GO THROUGH THE BRIEFINGS FIRST, IF WE CAN DO PULLED ITEMS BEFORE LUNCH, WE WILL OTHERWISE WE'LL BREAK FOR LUNCH, COME BACK TO PULL ITEMS AND THEN GO INTO EXECUTIVE SESSION.

SO LET'S BEGIN THEN WITH

[B1. Update on Covid-19 related matters. (Standing staff update).]

THE BRIEFING, WE'LL START WITH THE COVID BRIEFING SO THAT DR.

ASCOT, UH, AND DIRECTOR HAYDEN CAN NOT GET OVER TO THE COUNTY, UH, WHERE THEY GO TO A MAYBE BUS, UM, MANAGER.

I'LL TURN IT OVER TO YOU.

THANK YOU, MAYOR COUNCIL.

UH, THIS IS OUR STANDING BRIEFING ON COVID RELATED DEBT.

AND I'LL JUST NOTE BEFORE I HAND IT OVER TO DR.

DIRECTOR HAYDEN AND DR.

ASCOT THAT SINCE WE LAST MET, UH, WE DID, UH, MARK A MILESTONE IN THIS ENDEAVOR, AND THAT WAS, UH, SIX MONTHS SINCE WE DECLARED THE LOCAL DISASTER AND SIX MONTHS SINCE WE HAD OUR FIRST COVID, UH, TESTS COME BACK POSITIVE OR COMMUNITY.

UH, AS YOU CAN IMAGINE, DURING THAT TIME, WE'VE SEEN INCREDIBLE, UH, WORK FROM OUR PROFESSIONAL STAFF AND FROM OUR COMMUNITY TO MAKE SURE THAT WE ARE CONTAINING THE SPREAD OF THE DISEASE.

UH, WE ARE SO THANKFUL AND APPRECIATIVE OF EVERYONE THAT'S WORKING ON IT, THE COLLABORATIONS THAT WE HAVE WITH OUR PARTNERS, UH, AND WE JUST NEED TO CONTINUE TO, UH, KEEP ADDICTS.

UH, WE CANNOT LET UP AND NOT LOSE OUR GOOD, OUTSTANDING, AND ENSURING THAT WE'RE TAKING THE PRECAUTIONS NECESSARY TO COMBAT THIS VIRUS.

SO WITH THAT, I'LL TURN IT OVER TO DIRECTOR HAYDEN.

THANK YOU.

GOOD MORNING.

THANK YOU, SPENCER.

UM, I AGREE WITH SPENCER.

UM, WE HAVE HIT THE SIX MONTH MILESTONE WHEN WE RECEIVED THE INFORMATION ABOUT OUR FIRST POSITIVE CHASE, UM, AND YOU KNOW, AUSTIN PUBLIC HEALTH STARTED DOING WORK IN, IN JANUARY.

UM, WE, WE WERE DOING SURVEILLANCE IN, UM, WORKING WITH THE AIRPORT ABOUT INDIVIDUALS THAT MAY BE COMING BACK IN FROM MAINLAND CHINA.

AND SO, UM, I WOULD LIKE TO APPLAUD AUSTIN PUBLIC HEALTH STAFF, UM, BECAUSE THE PASSION THAT THE STAFF HAVE IN THIS SPACE IS JUST SO AMAZING.

UM, I HAVE A REALLY GOOD TEAM, UM, INDIVIDUALS THAT, YOU KNOW, REALLY HAVE, YOU KNOW, DECADES OF EXPERIENCE IN WORKING IN INFECTIOUS DISEASE AND, YOU KNOW, OTHER ONES THAT, YOU KNOW, MAYBE RELATIVELY NEW TO THE CITY, BUT HAVE REALLY STEPPED UP.

UM, YOU KNOW, WE HAVE A REAL GOOD TEAM, SO I WOULD LIKE TO PUBLICLY ACKNOWLEDGE THEM, BUT I WOULD ALSO LIKE TO THANK ALL OF OUR PARTNERS ACROSS THE CITY AND OTHER DEPARTMENTS, UM, AS WELL AS OUR PARTNERS IN THE COMMUNITY AND, UM, SAFETY MANAGEMENT, AS WELL AS OUR ELECTED OFFICIALS AND IN MAROTTA CITIES ACROSS THE NATION.

UM, AS I HAVE CONVERSATIONS WITH MY COLLEAGUES ACROSS THE STATE OF TEXAS, AS WELL AS THE NATION, UM, I THINK I'M JUST ONE OF THE MORE FORTUNATE ONES THAT HAS THE SUPPORT THAT I HAVE THROUGHOUT THE CITY, UM, AS A DEPARTMENT.

AND SO WE ARE REALLY BLESSED.

SO I JUST WANT TO THANK EVERYONE FOR THE SUPPORT.

UM, AUSTIN PUBLIC

[00:05:01]

HEALTH DOES AS A REMINDER, WHEN YOU HAVE AN, ANY LOCAL, UM, AGREEMENT WITH THE UT DELL MEDICAL SCHOOL, AND WE HAVE AN AGREEMENT WITH COMMUNITY CARE TO THE ASSISTANCE WITH OUR KOBE WORK AND LET THOSE INCLUDE THE TESTING, THE CONTACT TRACY, UM, EACH OF THEM, UM, WE HAVE THE DATA FOR MORE THEIR POSITIVE CASES, AS WELL AS INFORMATION ABOUT WHERE THEY ARE, UM, DOING CONTACT TRACING.

HOWEVER, EACH OF THEM, UM, HAVE DATA THAT THEY SHARE ON THEIR WEBSITES, WHICH PROVIDES A DAILY OR A WEEKLY UPDATE OF THE TESTING THAT HAPPENS IN THE CASES THAT THEY ARE WORKING ON.

AND SO THAT HAS BEEN A REALLY GREAT PARTNERSHIP.

UM, OUR STAFF CONTINUED TO, UM, WORK WITH THOSE TEAMS. AND SO OUR EPI TEAM HAS A DAILY MEETING WITH I'M A STAFF PERSON FROM MAN.

AND THEN ON FRIDAYS, WE HAVE A SPECIAL MEETING WHICH IS SPECIFICALLY CONTACT TRACY, AND WE CONTINUE TO HAVE OUR PRIORITIES IN THAT AREA, LIKE ENSURE THAT, UM, WE HAVE STAFF THAT ARE BILINGUAL, UM, THAT ARE WORKING, UM, DOING CONTACT TRACING AS WELL AS OUR NURSE LINE, UM, TO PROVIDE ASSISTANCE.

AND WE CONTINUE TO DO THIS WORK THROUGH AN EQUITY LENS WITHOUT WALK, WALK UPSIDES.

WE CONTINUE TO HAVE OUR DEV SPRINGS ARE GIBBONS AND WALNUT CREEK COMMUNITIES.

AND OUR DRIVE UP SITE, UM, TESTING A COMMUNITY AT ST.

JOHN'S COMMUNITY AT THE ST.

JOHN CENTER, NOT CENTER, I'M SORRY, AT THE ST.

JOHN LOCATION.

UM, EACH OF THOSE LOCATIONS ARE LOCATIONS THAT HAVE, UM, HIGH POSITIVITY IN THOSE COMMUNITIES.

WHEN YOU ARE ADDING, UM, ANOTHER SITE NEXT WEEK, WE WILL BE ADDING THE TOPLESS NEIGHBORHOOD CENTER, UM, SEPTEMBER 22ND.

THIS IS THE, UM, OLDER MONTOPOLIS NEIGHBORHOOD CENTER.

AND WE WILL BE PROVIDING, UM, TESTING IN THAT COMMUNITY THREE DAYS A WEEK.

UM, SO THAT PRETTY MUCH ROUNDS ALL OF THE AREAS AT THOSE TESTING SITES.

UM, JUST AS A REMINDER, INDIVIDUALS CAN GO TO THE WEBSITE AND REGISTER, OR THEY CAN CALL OUR NURSE LINE TO REGISTER FOR APPOINTMENTS AT EITHER ONE OF THOSE LOCATIONS.

UM, AS WELL AS THE, AT HOME TESTING AND CONTINUE TO DO THAT TESTING AT HOME.

UM, WE ARE WITH OUR LONGTERM CARE, UM, INCIDENT MANAGEMENT, WE ARE SO EXCITED TO REPORT THAT THE NURSING HOME DATA DASHBOARD IS NOW ACTIVE.

UM, AND SO YOU CAN GO TO THAT SITE AND LOOK AT OUR, UM, OUR DATA FOR THE NURSING HOME SITES AND LONG TERM CARE SITES, AS WELL AS LOOKING FOR YOU TODAY.

TESTING STRAIGHT TEAM SUPPORT THEM TPE.

SO WE'RE REALLY EXCITED ABOUT THAT.

UM, THERE CONTINUES TO BE A DECREASE, UM, FOR TESTING, UM, PPE AND STRIKE TEAMS IN THAT AREA.

UM, WE HAVE, UM, BEEN NOTIFIED THAT, UM, HELPING HIM IN SERVICES, UM, AS A PART OF THEIR PHASE ONE, UH, FACILITY, THIS NATION, THEY HAVE ISSUED NEW RULES, WHICH REQUIRE ONGOING TESTING OF STAFF AT NURSING FACILITIES, UM, AT A FREQUENCY THAT IS DETERMINED BY THE COUNTY'S POSITIVITY RATE.

SO THEREFORE THERE MUST BE ADDITIONAL TESTING, UM, AT THESE FACILITIES THAT SOME OF THE INDIVIDUALS HAVE OUT OTHERS HAVE, UM, MOVE FORWARD AND PUT SYSTEMS IN PLACE.

AND SO THEY ARE ABLE TO PROVIDE THAT TESTING TO THEIR STAFF AT THOSE FACILITIES, WITH THE HOMELESS UPDATE, UM, WITH OUR FOOD ACCESS, THE EATING APART TOGETHER EAT INITIATIVE HAS PROVIDED OVER 450,000 MEALS TO PEOPLE EXPERIENCING HOMELESSNESS.

AND SO, UM, THIS IS A CONTRACT THAT WE'VE HAD WITH REVELATIONS FOODS, AS WELL AS, UM, CENTRAL TEXAS FOOD BANK AND CISCO TO BE ABLE TO PROVIDE THIS FOOD IN ADDITION.

UM, BUT APARTMENT HAS WORKED VERY CLOSELY WITH ANIMAL SERVICES, UM, TO ASSIST, UM, HOMELESS FOLKS THAT HAVE, UM, HAVE PETS.

AND SO, UM, WITHIN THIS INITIATIVE, WE'VE BEEN ABLE TO PROVIDE, UM, DOLPHIN FOR PETS AS WELL.

OUR STAFF HAVE CONTINUED TO, UH, PROVIDE THOSE REPORTS TO THAT SYSTEM, OUR, UM, HYGIENE SERVICES.

[00:10:01]

AND WE HAVE EIGHT SITES IN THE CITY THAT PROVIDE ACCESS TO SHOWERS AND TOILET WASHING STATIONS.

AND, UM, JUST A REMINDER THAT IS ON THE WEBSITE.

AND WE CAN SEE THAT THERE WITH OUR, UM, OUR EDUCATION AND TRAINING, UM, ALSO PUBLIC HEALTH IN PARTNERSHIP WITH ECHO COMMUNITY CARE AND DELL MED IS PROVIDING ONGOING EDUCATION AND INFORMATION TO HOMELESS SHELTER AND OUTREACH STAFF THROUGH THE COMMUNITY.

UM, WE PROVIDED, UM, A TRAINING SEMINAR ON THE SEVENTH OF THIS MONTH WITH OUR, UM, PROTECTIVE LODGES.

THE DEPARTMENT LEFT WITH FEMA TO ADDRESS CONCERNS, UM, THAT THE PROTECTIVE LODGES ARE BEING PERCEIVED AS AN EMERGENCY SHELTER.

THESE ARE NOT EMERGENCY SHELTERS, AND THAT IS NOT HOW THE CITY IS USING.

NOW.

THE SERVICES ARE DESIGNED FOR HIGH RISK INDIVIDUALS THAT NEED THE CDC GUIDELINES.

AND SO WE ARE AVAILABLE, UM, TO MEET WITH YOU INDIVIDUALLY TO DISCUSS IF YOU HAVE ANY CONCERNS ABOUT THE MEETING WITH FEMA, THE SOCIAL SERVICES BRANCH, WE'RE CONTINUING WITH OUR PARTNERSHIP WITH CENTRAL HEALTH COMMUNITY CARE AND TRAVIS COUNTY PROTECT YOURSELF AND PROTECT YOUR FAMILY CAMPAIGN.

UM, WITH OUR, UM, PPE AND DISTRIBUTION, UM, YOU CAN GO TO OUR WEBSITE AND SEE OUR SITES, UM, THIS WEEK.

UM, WE DO, WE WILL BE AT, UM, TOMORROW AT THE RUBY TODAY AT THE MEXICAN CONSULATE MOVIES LIBRARY AND GEORGE MORALES STUB SPRINGS, PROVIDING PPE.

IN ADDITION TO THAT PPE, WHEN INDIVIDUALS COME THROUGH ALL OF OUR TESTING SITES, PROVIDE THEM PPE AS WELL AS INFORMATION ABOUT SERVICES THAT THEY CAN ACCESS IF THEY NEED TO, AS A REMINDER, ARISE, 2.0 APPLICATION SPOKEN YESTERDAY, UM, AND WILL BE OPEN SEPTEMBER 21ST AT 7:00 PM.

AND THAT INFORMATION IS ON THE WEBSITE.

OUR CHILDCARE AND SCHOOLS ARE CONTINUING TO PROVIDE TARGETED OUTREACH TO CHILDCARE CENTERS IN FIVE FOCUS CODES TO PROVIDE ADDITIONAL TECHNICAL ASSISTANCE ON PREVENTING THE SPREAD OF COBY IN OUR EPIDEMIOLOGY.

AND IT TEAMS ARE FINALIZING AN ONLINE REPORTING FORM FOR SCHOOLS TO COMPLETE ON A WEEKLY BASIS.

WE YET CONTINUE TO RECEIVE THAT INFORMATION THROUGH OUR NORMAL PROCESS.

WE HAVE ADDED ADDITIONAL NURSES TO ASSIST WITH THE CALLS THAT WE ARE STARTING TO RECEIVE THOSE LINES AS WELL.

WE HAVE, UM, UM, WEBSITE, AS YOU KNOW, SO YOU COULD SEND INFORMATION TO US AT APH SCHOOL INFO AND AUSTIN, TEXAS DOT GIRL.

IF YOU HAVE ANY QUESTIONS OR CONCERNS AT THE SCHOOL LEVEL, WE ARE CONTINUING TO DO ADDITIONAL OUTREACH AND EDUCATION AND ENFORCEMENT AT, UM, SEVERAL OF OUR FACILITIES, INCLUDING BUSINESSES AND RESTAURANTS.

THAT CONCLUDES MY REPORT.

I WILL TRANSITION OVER TO DR.

SCOTT.

THANK YOU, SIR.

THANK YOU, SPENCER.

UH, IF I COULD ASK AMY TO PUT MY SLIDES, BUT I JUST WANT TO ECHO STEPHANIE'S SENTIMENTS REGARDING THE LAST SIX MONTHS WHEN WE REALLY DO HAVE AN INCREDIBLE TEAM AND CERTAINLY BLESSED TO HAVE SO MANY PEOPLE WHO ARE PASSIONATE ABOUT THEIR JOBS.

AUSTIN IS IN GREAT HANDS.

NEXT SLIDE PLEASE.

SO MAYOR COUNCIL, AGAIN, THE UPDATES REGARDING OUR COVID-19 SITUATION, THE CITY IN TRAVIS COUNTY, UH, THIS IS OUR GRAPH OF OUR NEW CONFIRMED CASES WITH TOGETHER BEING THE SEVEN DAY MOVING AVERAGE YESTERDAY, WE REPORTED 75 NEW CASES, WHICH PLACES ARE MOVING AVERAGE AT 105.

YOU CAN SEE FROM THE GRAPH THAT SAYS, SEPTEMBER 3RD, WE HAVE BEEN ON THE INCREASE SEPTEMBER 3RD, WE HAD A MOVING AVERAGE OR 69 TO 70.

AND AGAIN, NOW WE'RE AT 105, SO WE ARE NO LONGER PLATEAU, NO LONGER DECREASING, BUT, UH, INCREASING, UH, OVER THE PAST 11 BLADES.

NEXT SLIDE, PLEASE.

THIS IS THE GRAPH OF THE NEW ADMISSIONS THAT YOU'RE USED TO SEEING.

UH, OUR ADMISSIONS YESTERDAY WAS 11, WHICH PLACES A MOVING AVERAGE AT 14.9.

[00:15:02]

UH, THIS HAS BEEN A PLATEAU FOR A LITTLE WHILE, BUT, UH, THANKFULLY NOW DECREASING AGAIN.

UM, AND I'LL TALK A LITTLE BIT LATER ABOUT WHY WE'RE SEEING INCREASING CASES, BUT CONTINUE TO SEE SOME DECREASE IN ADMISSIONS, OR AT LEAST WE'RE THERE ABOUT WHY WE'RE SEEING THAT.

UH, BUT AGAIN, UH, OUR, OUR PRIMARY INDICATOR IN THE PAST HAS BEEN A NEW ADMISSIONS IN RELATION TO OUR COMMUNITY RISK AND STAGING.

UH, SO IT'S, UH, IT'S, IT'S GOOD THAT WE CONTINUE TO SEE THAT DROP OUR HOSPITALS ARE IN A GREAT SITUATION, PLENTY OF ICU BEDS AND HOSPITAL BEDS AND VENTILATORS.

SO ONCE AGAIN, FOLKS HAVE BEEN PUTTING OFF HERE, UH, PHYSICALS, CERTAINLY IMMUNIZATIONS, UH, PLEASE GO GET THOSE THINGS TAKEN CARE OF.

NEXT SLIDE, PLEASE.

THIS IS THE WRAP OF OUR HOSPITALIZATIONS IN BLUE IN THE POEMS IS THE ICU BEDS BEING UTILIZED IN GRAY VENTILATORS.

UH, AGAIN, OUR HOSPITAL CAPACITY HAS, UH, HAS BEEN, UH, IMPROVING.

I WILL REFER TO THE TOTAL OF 93 HOSPITALIZATIONS YESTERDAY, WHICH HAS FLATTENED OUT A LITTLE BIT IN THE PAST SEVERAL DAYS THAT WE'VE GOT A MOVING AVERAGE OF 97.7, UH, ICU.

WE WERE PUTTING YESTERDAY 34 ICU BEDS BEING UTILIZED WITH A MOVING AVERAGE OF 37.4, AND WE'VE GOT 18 IC 18 VENTILATORS.

THEN YOU REALIZE THAT THE MOVING AVERAGE OF 22.9, AGAIN, THOSE TWO MEASURES CONTINUE AT THAT SLOW DECLINE.

NEXT SLIDE, PLEASE.

THIS IS AN UPDATE.

UM, OUR HOSPITALIZATIONS IN THE FIVE COUNTY MSA BY RACE AND ETHNICITY, UH, THE BRAIN THAT IS A LINE THAT WE'VE BEEN FOCUSING ON FOR SOME TIME, WHICH IS OUR NEXT.

SO THOSE IDENTIFIED AS HISPANIC, UH, WHEN NEAR ADMISSION TO THE HOSPITAL, UH, LAST WEEK WE REPORTED 43.3%, UH, OF THE ADMISSIONS FOR IN THAT GROUP THIS WEEK.

IT'S 43.8%, A SLIGHT INCREASE, BUT RELATIVELY FLAT, UH, SIMILARLY OUR AFRICAN AMERICAN, UH, POPULATION IN GRAY, WHICH IS THE THIRD LINE FROM THE TOP, UH, IS A 12.5% OF ADMISSIONS THIS WEEK AND 12.5% OF ADMISSIONS LAST WEEK.

UH, WE DID HAVE A SIGNIFICANT INCREASE IF YOU SEE IN THE, UH, TOWARDS THE BOTTOM, THE ORANGE, WHICH IS OUR ASIAN AMERICAN, UH, POPULATION HOSPITALIZED INCREASED FROM 0.8%, 4.2% OF THE TOTAL INDIVIDUALS BEING HOSPITALIZED IN THE PAST SEVEN DAYS.

NEXT SLIDE, PLEASE.

THIS IS A GRAPH OF OUR, UH, HOSPITALIZATIONS BY AGE GROUP.

UH, WE HAVE SEEN A DECREASE IN OUR, OUR OLDER AGE GROUP AND SUDDENLY A 79 AND 80 BUS, UH, WHICH WE'RE THANKFUL FOR.

I WILL POINT OUT THE GRAY LINE, A THIRD FROM THE BOTTOM, WHICH IS OUR 10 TO 19 AGE GROUP, UH, WHICH, UH, IS 5.8% OF THE HOSPITALIZATIONS THIS WEEK, 6.1% LAST WEEK, UH, THAT REPRESENTS SIX INDIVIDUALS, UH, IN THAT AGE GROUP THAT WERE HOSPITALIZED IN THE LAST SEVEN DAYS.

UH, AND, UH, I'LL TALK MORE ABOUT THAT PARTICULAR AGE GROUP HERE IN A MOMENT.

NEXT SLIDE PLEASE.

UH, SO THIS GRAPH IS SHOWING THE, UH, TOTAL POSITIVITY BY WEEK.

AGAIN, THIS IS A COLLABORATIVE EFFORT FROM A NUMBER OF DIFFERENT TESTING ENTITIES, UH, WITH MORE THAN 275,000 TEST RESULTS ENTERED INTO THIS DATABASE.

UH, LAST WEEK I REPORTED WEEK 34 WEEK 35.

UH, IF YOU WERE CALL A WEEK 35 LEVELS REPORT AT 4.6%, UH, THAT HAS INCREASED SLIGHTLY TO 4.7% WITH ADDITIONAL TEST RESULTS COMING IN A WEEK 36, WHICH IS THE NEW WEEK, UH, IS 4.8%.

SO RELATIVELY FLAT AGAIN, WEEK 30, THREE AND 34 FLAT AT 6.1, WAIT 35 WEEKS 36, RELATIVELY FLAT 4.7 4.8.

NEXT SLIDE, PLEASE.

THIS IS A BREAKDOWN OF POSITIVITY BY RACE AND ETHNICITY.

AGAIN, THE, UH, THE RED DOTTED LINE IS THAT 5% MARK LIKE TO GET EVERYBODY UNDER A I'M SHOWING YOU HERE WEEK 34, THREE WEEKS 37.

UH, YOU CAN SEE THAT, UH, THE, THE GRAY LINE ARE HISPANIC OR LATIN NEXT COMMUNITY, UH, HAS HAD A PROGRESSIVE DECREASE, UH, LET DECREASES, SLOW THEM DOWN.

UH, THAT WAS ABOUT 9.3% FOR WEEK 37 AND WEEK 36, BOTH.

UH, AGAIN, WE WANT TO PUSH THAT AND BELOW THAT 5% LINE,

[00:20:01]

UH, AND THE GOLD COLOR IS OUR AFRICAN AMERICAN POPULATION, WHICH IS UNDER 5% AT THIS STAGE.

UH, AGAIN, UH, WE'RE CONTINUING TO SAY MAPPER TEZ DIRECTOR HAYDEN MENTIONED, UH, TARGETED, UH, FOCUSED EFFORTS IN, IN COMMUNITIES OF HIGH POSITIVITY, UH, WHICH ALSO TEND TO BE COMMUNITIES, UH, CAN OF COLOR.

UH, SO WE'RE HOPEFUL THAT THESE ONGOING EFFORTS, UH, THESE EFFORTS BY OUR PARTNERS, UH, AT COMMUNITY CARE, AS WELL AS OUR COMMUNITY PARTNERS, UH, FROM THE NONPROFIT AGENCIES, UH, WE'LL CONTINUE TO PUSH THESE, UH, CONSTITUTE RATES DOWN.

NEXT SLIDE, PLEASE.

AMERICAN COUNCIL.

THIS IS A, A GRAPH OF THE BY AGE GROUP.

UH, THE GOLD BAR IS REPRESENTED AT 10 TO 19 YEAR OLD AGE GROUP.

UH, AND YOU CAN SEE UNLIKE THE OTHER AGE GROUPS, WHICH ARE GENERALLY DECREASING IN POSITIVITY, THAT AGE GROUP IS INCREASING EACH WEEK AND POSITIVELY, UH, WHERE THEY SIGNIFICANTLY HIGHER, UH, RATE OF POSITIVITY AS COMPARED TO EVERY OTHER GROUP.

AND MOST GROUPS ARE, ARE IN THE 5% RANGE OF LESS.

UH, THE, UH, THE TENDONITIS AGE GROUP IS, IS SIGNIFICANTLY HIGHER THAN THAT.

UH, SO IN THE NEIGHBORHOOD OF, UH, 12 TO 14% OVER THE PAST 10 WEEKS, UM, SO AGAIN, AS WE SEE PEOPLE GETTING INFECTIONS, OUR CASE NUMBERS ARE GOING TO INCREASE, BUT BECAUSE OF THE RISK OF HOSPITALIZATION BEING SO MUCH LESS DRAMATICALLY LESS IN THOSE AGE GROUPS, AS COMPARED TO OLDER ADULTS, WE CAN SEE THAT INCREASING CASES, BUT WE WILL NOT EXPECT TO SEE AN INCREASE IN HOSPITALIZATIONS, ICU, ADMISSIONS, AND VENTILATOR USE.

UH, BUT WE'D HAVE TO MAKE SURE THAT THAT DISEASE DOES NOT SPREAD BEYOND THOSE AGE GROUPS.

AND THAT'S WHERE IT'S IMPORTANT FOR OUR, OUR SCHOOL STUDENTS, PARTICULARLY OUR HIGH SCHOOL AND COLLEGE STUDENTS THAT CAN BE REALLY FOCUSED ON ALL THOSE EFFORTS, THAT SOCIAL DISTANCING AND PERSONAL HYGIENE THAT IS EVEN MORE IMPORTANT WHEN THEY'RE AROUND ADULTS, UH, TO GIVE YOU SOME, SOME PERSPECTIVE, AND WE ARE WORKING ON SOME ADDITIONAL DATA, BUT THAT CAN BE SHARED PUBLICLY RELATED TO RATES WITHIN THAT 10 TO 19 AGE GROUP.

BUT I'LL GIVE YOU THE NUMBERS NOW, BECAUSE I THINK A LOT OF PEOPLE ARE THINKING THIS IS ALL COLLEGE STUDENTS AND THE COLLEGE STUDENTS ARE PLAYING A SIGNIFICANT ROLE.

AND IN THE POSITIVITY IN THAT 10 TO 19 AGE GROUP IS MOBILE.

SO 20 TO 29 AGE GROUP, UH, AND, UH, UT HAS DONE A GREAT JOB OF SHARING THEIR INFORMATION PUBLICLY ON A COVID-19 DASHBOARD.

LOOK AT THE DATA THAT WE HAVE IN HAND OUR, UH, POSITIVITY RATE FOR OUR POWERED STUDENTS LAST WEEK, WEEK 37, UH, OR WEEK 36 WAS 9.4%.

THAT'S OUT OF 235 INDIVIDUALS TESTED.

UM, OUR HIGH SCHOOL STUDENTS, HOWEVER ARE 13% POSITIVE, UH, BUT MUCH LESS, A LITTLE MORE TESTED, 107 MIDDLE SCHOOL STUDENTS, 5.6% 36 TESTED IN ELEMENTARY SCHOOL STUDENTS, 1.5% WITH 48 TESTS.

UH, AND THOSE ARE TESTED THAT WE HAVE RESULTS FOR, AGAIN, BECAUSE IT WAS LAST WEEK, THERE ARE STILL GOING TO BE SOME RESULTS THAT ARE GOING TO ROLL INTO US.

UM, BUT RIGHT NOW OUR HIGHEST TRANSMISSION WITHIN THAT 10 TO 1980 GROUP HIGH SCHOOL STUDENTS, NUMBER ONE, COLLEGE STUDENTS, NUMBER TWO.

UH, BUT AGAIN, UH, WE'RE ASKING THOSE YOUNG PEOPLE TO, UH, TAKE RESPONSIBILITY, TO BE LEADERS, UH, TO ADVOCATE FOR, FOR SAFETY AND IN PARTICULAR AVOIDING LARGE GATHERINGS WHERE WE KNOW THAT THESE, UH, THESE DISEASES ARE TRANSMITTED X CYCLES, THAT MAYOR AND COUNCIL, THIS IS JUST AN OVERLAY.

I SHOWED THIS TO YOU SEVERAL WEEKS AGO.

THIS IS UPDATED WITH THREE MEASURES.

THE BALLOON WAS THE NEW CASES PER 100,000 POPULATION IN TRAVIS COUNTY.

UH, THE ORANGE IS A SEVEN DAY MOVING AVERAGE OF NEW ADMISSIONS AND THE GRAY DOTS ARE THE PERCENT POSITIVITY OVERLAID ON THE SAME TIMELINE I'VE INDICATED, UH, WITH A RUN ARROW APPROXIMATELY WHEN THE GOVERNMENT ISSUED, UH, THE STATEWIDE MANDATE.

UH, IF YOU RECALL, IN THE WEEKS LEADING UP TO THAT, UH, THERE WERE SIGNIFICANT ADVOCACY FROM, UH, FROM THE MAYOR AND HIS COUNCIL, UH, AS WELL AS, UH, AS, UH, PUBLIC HEALTH ENTITIES AROUND THE STATE OF TEXAS REGARDING THE IMPORTANCE OF, OF MASKING IN REQUESTING

[00:25:01]

THAT MANDATE.

UH, WE CAN SEE THAT, UH, VERY SHORTLY AFTER THAT, THAT THOSE DISCUSSIONS INCREASED AND THAT MANDATE WAS PARADED, THAT WE HAD A SIGNIFICANT DECLINE IN CASES, UH, IN TERMS OF POSITIVITY, AS WELL AS NEW CASES OF HOSPITALIZATIONS.

UH, I DO WANT TO POINT OUT ALSO, IF YOU LOOK TOWARDS THE RIGHT OF THAT SCREEN, YOU CAN SEE OUR POSITIVITY NUMBERS IN GRAY, UH, PLATEAU OFF FOR TWO WEEKS, UH, DROPPED DOWN AND PLATEAU OFF AGAIN FOR TWO WEEKS AT 6.1%, UH, FOR TWO WEEKS.

AND WE WERE 4.7 4.8% FOR TWO WEEKS.

UH, IF WE FOLLOW THE SAME PATTERN THAT WE SEE IN HOSPITALIZATIONS, UH, WE CAN EXPECT THAT WE'LL SEE A DECLINE IN A PLATEAU AGAIN, UH, AS WE SAW IT OVER THE PAST COUPLE OF WEEKS PRIOR TO THE ONSET OF, UH, LAST WEEK.

UH, SO AGAIN, WE'RE STILL WATCHING THESE NUMBERS ARE STILL DETERMINING, UH, HOW PREDICTIVE THIS POSITIVITY RATE IS IN TERMS OF THE IMPACT ON HOSPITALIZATIONS.

AND WE'LL CONTINUE TO PROVIDE UPDATES ON THIS GRAPH DOCTOR WHILE YOU HAVE THAT GRAPH UP, JUST TO BE CLEAR, BECAUSE THIS HAS COME UP IN DISCUSSIONS, UH, WHEN SOMEBODY IMPLEMENTS A NEW POLICY, WE WOULD EXPECT TO SEE AN IMPACT IN ADMISSIONS ABOUT THREE WEEKS LATER, ABOUT 21 DAYS.

SO THIS CHART SHOWS US IS THAT THE, THE, THE INITIAL ARRESTING OF THE PEAK AS IT WAS GOING UP, IT WAS NOT THE GOVERNOR'S ACTION.

IT WAS THE ACTION THAT CITIES ACROSS THE STATE TOOK PRIOR TO THE ACTION.

CERTAINLY THE GOVERNOR'S ACTION MUCH APPRECIATED THE GOVERNOR, MAKING IT MANDATING CERTAINLY HELPS GET THAT MESSAGE, BUT I SURE APPRECIATIVE OF MAYORS AND COUNTY JUDGES ACROSS THE STATE MOVING FORWARD WITH THAT EARLIER, UH, AND, AND KIND OF BRINGING THE GOVERNOR ALONG, UH, TO, TO, TO MAKE THAT CHANGE AND TO STOP THAT PEAK FROM GOING UP.

YEAH, ABSOLUTELY NOT.

UH, AS YOU SAID, IT'S GOING TO TAKE AT LEAST A TWO OR THREE WEEKS TO REALLY SEE THE IMPACT ON HOSPITALIZATIONS, AND THAT'S WHY THEY, UH, THAT INCREASING DISCUSSION THAT INCREASING, UH, DIALOGUE WITH THE STATE IN, WITH FEDERAL GOVERNMENT AROUND THE IMPORTANCE OF MASKING LEADING UP TO THE GOVERNOR'S DECISION IS, UH, UH, IS LIKELY RESPONSIBLE FOR THE INITIAL BROUGHTON OF THAT PETE.

UM, BUT I, I DO ALSO WANT TO REINFORCE THE IMPORTANCE OF A COMMUNITY, UH, OF CITY STATE AND FEDERAL GOVERNMENT IN TERMS OF, OF MASKING AND SOCIAL DISTANCING.

AND I BRING THAT UP BECAUSE WE'RE GOING TO SEE INCREASED PRESSURE TO RELAX THESE RESTRICTIONS, UH, THESE PROTECTIVE ACTIONS AS THE SITUATION CONTINUES TO IMPROVE, UH, THE DEBATE REGARDING UTILITY OF MASKING WILL CONTINUE TO RAGE ON DESPITE, UH, EVIDENCE SUCH AS THIS, WHICH CERTAINLY CORRELATES WITH, WITH A BLUNTING EFFECT AND, UH, AND A SUBSEQUENT DECREASE IN CASES.

UH, THIS IS THE EFFECT OF THE TREATMENT.

THE TREATMENT HAS MASKING AND SOCIAL DISTANCING IN THE HYGIENE PRACTICES.

IF WE TAKE AWAY THAT TREATMENT, THE DISEASE WILL RETURN JUST LIKE THEM TO STOP TAKING OUR BLOOD PRESSURE MEDICINE OR OUR SEIZURE MEDICINE OR OTHER KINDS OF MEDICINES.

UH, IT'S NOT GONE, IT'S SORT OF AROUND.

AND, UH, AND WE NEED TO CONTINUE TO REINFORCE THIS UNIFIED MESSAGE, UH, AT ALL LOCAL GOVERNMENT, SO THAT THE COMMUNITY IS VERY CLEAR ON THIS ISSUE.

SO THANKS FOR BRINGING THAT UP.

NEXT SLIDE, PLEASE.

AS DIRECTOR HAYDEN SAID THAT THERE'S A MOVE COVID-19 LONG TERM CARE FACILITY DASHBOARD.

SO IF YOU GO TO THE MAIN AUSTIN, TEXAS DOT BOARD SLASH COVID-19 PAGE, THERE'S A BUTTON FOR DASHBOARDS, AND THIS IS ALL IN THERE.

AS YOU SAID, IT SHOWS A NUMBER OF DIFFERENT MEASURES.

INDIVIDUALS CAN CLICK ON A FACILITIES AND FIND OUT, UH, UH, THE DISEASE TRENDS CASES IN TERMS OF RESIDENTS AND IN STAFF CASES, AS WELL AS AN OVERALL PICTURE.

I SAW ENCOURAGE FOLKS TO UTILIZE THAT SITE.

I WILL NOT BE PROVIDING UPDATES, UH, DURING COUNCIL SESSION WITH THE NURSING HOME, UH, SPREADSHEET THAT I NORMALLY DO, BECAUSE THIS IS MUCH BETTER.

UM, SO WE'LL CONTINUE TO, UM, TO POINT THAT TO FOLKS AND THAT'LL BE UPDATED ON A REGULAR BASIS.

SO MY POST CAN GET THE TRENDS.

NEXT SLIDE COMES, MAYOR COUNCIL, IF YOU PERMIT ME, UH, I WANT TO TALK A LITTLE BIT ABOUT, ABOUT

[00:30:01]

TWO THINGS, WHICH, UH, ARE CONSISTENTLY COMING UP IN TERMS OF QUESTIONS.

NUMBER ONE IS AIRBORNE TRANSMISSION OF COVID-19 AND WHAT ROLE IT PLAYS AND THE OTHERS IS COVID-19 CONVALESCENT PLASMA.

UH, WE'RE GONNA CALL IT A JOURNAL CLUB BECAUSE THAT'S, THAT'S WHAT WE CALL IT IN, IN, IN MEDICAL SCHOOL, WHEN WE'RE TALKING ABOUT SOME RESEARCH AND, AND, AND HAVING A DISCUSSION ABOUT IT.

UH, NEXT SLIDE, PLEASE.

UH, SO AS FOLKS ARE, ARE, ARE FAMILIAR WITH THERE'S THIS ONGOING DISCUSSION ABOUT AIRBORNE TRANSMISSION IN TERMS OF COVID-19.

UH, AND A LOT OF THIS IS BASED UPON THIS STUDY, WHICH WAS PUBLISHED IN THE NEW ENGLAND JOURNAL OF MEDICINE.

THE REFERENCES IS THERE ON THE SCREEN, WHICH SHOWED THAT, THAT IN A LAB SETTING A SAMPLE WITH INTACT VIRUS WHEN INTRODUCED VIA JET NEBULIZER, BASICALLY, UH, SHOOTING AIR THROUGH THE LIQUID TO CREATE AN AEROSOL CAN CREATE AN AEROSOL.

THEIR VIRUS INTACCT COULD BE SAMPLED FOR UP TO THREE HOURS IN THIS STUDY.

UM, IT'S THREE HOURS, BECAUSE THAT WAS THE DURATION OF THE EXPERIMENT.

THEY PUT SOME SUBSEQUENT STUDIES INDICATE THAT IT MAY BE LONGER THAN THAT UP TO 16 HOURS.

UH, BUT THIS IS AN EXPERIMENTAL SETTING TRYING TO CREATE AEROSOL OF THE VIRUS.

NEXT SLIDE PLEASE.

SO THERE ARE A NUMBER OF STUDIES.

THERE'S SIX STUDIES HERE, WHICH SHOWS THAT WOMEN SANDBORN IS DONE IN SETTINGS, SUCH AS A MEDICAL CENTER, A PATIENT'S ROOM WITH COVID-19, YOU CAN DETECT VIRAL RNA, YOU CAN SAMPLE IT, YOU THINK IT TO THE PCR LAB, AND YOU CAN DETECT IT.

THERE'S A SIGNIFICANT DIFFERENCE BETWEEN BEING ABLE TO DETECT A VIRUS AND THAT VIRUS BEING ABLE TO TRANSMIT DISEASE.

NEXT SLIDE, PLEASE.

UH, THIS IS, UH, I THINK EIGHT ADDITIONAL STUDIES, WHICH DO AIR SAMPLING IN SIMILAR SETTINGS.

UH, THIS MAY BE, UH, BATHROOMS THAT MAY BE HOSPITAL ROOMS. IT MAY BE CRUISE SHIPS WITH, WITH ACTIVE TRANSMISSION OF DISEASE, BUT DID NOT FIND VIRUS IN AIR SAMPLING THAT WAS CAPABLE OF TRANSMITTING DISEASE.

UH, SO WE HAVE CONFLICTING EVIDENCE.

WE HAVE SOME INFORMATION THAT WE CAN CREATE AN AEROSOL IN THE LABORATORY SETTING, WHICH HAS INTACT VIRUS.

WE'VE GOT A GROUP OF STUDIES SHOWING THAT YOU CAN DETECT SOME ASPECT OF THAT VIRAL RNA IN THIS GROUP OF STUDIES, WHICH SAYS THAT YOU CAN'T NEXT SLIDE, PLEASE.

SO WHERE DOES THAT LEAVE US? WE USE THE TAKE CARE OF FONTS REGARDING AIRBORNE TRANSMISSION.

UH, SO IT'S SHOWN THAT IT'S POSSIBLE IN A LAB SETTING TO AEROSOLIZE OR REGULARIZE COVID-19 ENOUGH, SMELL ENOUGH PARTICLES TO WHERE IT CAN STAY SUSPENDED IN THE AIR FOR A DURATION OF TIME.

UM, WHEN WE LOOK AT SETTINGS, ACTUAL SETTINGS, PATIENT WOUNDS, FRIENDSHIPS, ET CETERA, WE DON'T HAVE ANY EVIDENCE TO SHOW THAT VERSUS VIRUS THERE, BUT IS INTACT AND ENDED UP QUANTITIES MAY INTO SIGNIFICANT TRANSMISSION OF DISEASE.

SO THE CONCLUSION AT THIS STAGE, UH, AND THIS IS NOT JUST DR. SCOTT, THIS IS THE WHL AND, AND OTHER ENTITIES IS THAT AIRBORNE TRANSMISSION IS A POSSIBLE ROUTE OF TRANSMISSION, BUT IT'S UNLIKELY TO BE A SIGNIFICANT CONTRIBUTOR TO THE SPREAD OF COVID-19.

UH, SO THE PRIMARY METHOD IS DROPLET.

UH, JUST LIKE IT'S BEEN ALL ALONG.

UH, IS IT POSSIBLE THAT THAT, BUT IT MAY BE ON SMALLER PARTICLES AND TRAVEL A SHORT DISTANCE DISTANCE OF TIME.

IT'S POSSIBLE.

UH, YOU KNOW, WE HAVE TO USE CAUTION IN CONFINED SPACES, INDOOR SPACES, UH, WHERE THERE'S LOTS OF PEOPLE THAT'S POORLY VENTILATED AND YOU'RE TOGETHER FOR A LONG PERIOD OF TIME.

BUT OUTSIDE OF THAT SETTING, IT'S VERY UNLIKELY THAT THE AIRBORNE TRANSMISSION IS, IS A SIGNIFICANT FACTOR.

NOW, THIS IS ALSO REFLECTED IN THE NATIONAL ACADEMY'S PUBLICATION REGARDING SCHOOLS, WHERE THEY TALKED ABOUT THE IMPORTANCE OF AIR VENTILATION, AS SOMETHING YOU TELL US YOU CAN DO, IF YOU, IF YOU'VE DONE THE OTHER PROTECTIVE MEASURES, BUT IT'S PROBABLY NOT THE KEY TO DECREASING TRANSMISSION, THE PHYSICAL

[00:35:01]

DISTANCING, THE HAND HYGIENE AND THE MASKING ARE THE KEYS.

UM, SO AGAIN, THERE'S A LOT OF CONCERN.

I KNOW THERE'S A LOT OF CONCERN FROM, UH, FROM TEACHERS AND OTHER WORKERS REGARDING THE POSSIBILITY OF AIRBORNE TRANSMISSION.

UH, IF FOLKS, WHETHER A MASS, IF THEY KEEP THEIR DISTANCE, IF THEY'RE WASHING THEIR HANDS.

AND, AND CERTAINLY IF THEY'RE STAYING HOME WITH THEY'RE SICK, UH, AIRBORNE TRANSMISSION IS UNLIKELY TO BE A SIGNIFICANT FACTOR IN THIS SORT OF DISEASE.

NEXT SLIDE PLEASE.

UH, SO PLASMA, WE CERTAINLY SEE A LOT OF DEBATE ON THIS ISSUE ALSO.

UH, SO, UM, I'VE DONE A PROTOCOL ON THIS AS WELL.

UH, SO ARE WE, WE'VE BEEN USING IT HERE IN AUSTIN AND TRAVIS COUNTY FOR MONTHS AND MONTHS.

UH, WE HAD ONE OF THE FIRST BLOOD BANKS SET, UH, WITH PACKAGED THIS DATA AVAILABLE FOR, UH, FOR YOU TO SIT IN THE HOSPITAL.

UH, SO THIS IS A STUDY WHICH WAS PUBLISHED BY THE MAYO CLINIC.

AND IN THIS STUDY, THEY HAD MORE THAN 35,000 PATIENTS.

53% WERE IN THE ICU, 27.5% OF THEM ON A VENTILATOR.

SO TWO KEY FINDINGS, UH, ON THIS STUDY, UH, IT'S NOT A RANDOMIZED CONTROLLED TRIAL, BUT IT'S A BIG STUDY AND THERE'S A LOT TO LEARN.

NUMBER ONE, IF A PATIENT RECEIVED THAT CONVALESCENT PLASMA IN THREE DAYS OR LESS, THEY HAD A 37% LOWER SEVEN DAY MORTALITY RATE AS COMPARED TO THOSE, GOT IT, FOUR DAYS OR AFTER.

SO THAT'S A RELATIVE RISK REDUCTION, 8.7% VERSUS 11.9%.

THE SAME FINDINGS WERE TRUTHFUL OR 30 DAY MORTALITY RATES WERE THAT BENEFIT WAS A 24% DECREASE IN MORTALITY IMPORTANT.

FINDING NUMBER TWO IS THAT THERE'S A DOSE RESPONSE RELATIONSHIP FOR BOTH SEVEN DAY MORTALITY AND 30 DAY MORTALITY, MEANING PROGRESSIVELY HIGHER DOSES, A CONVALESCENT PLASMA EQUATE TO PROGRESSIVELY INCREASE IN PROTECTION OR DECREASING MORTALITY RISK.

AND AGAIN, A 8.9, FOR THOSE WHO RECEIVED THE HIGHEST DOSES VERSUS 13.7, FOR THOSE WHO RECEIVED THE LOWEST, UH, IN SOME OTHER RELATIONSHIP WITH THE 30 DAY MORTALITY, WHEN YOU TAKE THESE THINGS IN COMBINATION COMPARING THOSE WHO RECEIVE I, UH, ANTIBODY DOSES, AND IN THREE DAYS OR LESS, THEY HAD A 20% RATE OF MORTALITY OVER 30 DAYS AS COMPARED TO 30%.

AND THOSE WHO HAD THE LOWEST DOSE OF A CONVALESCENT PLASMA THAT WERE AFTER THE, UH, UH, FOUR DAYS OR AFTER.

UH, SO AGAIN, SIGNIFICANT CHANGES IN MORTALITY BASED UPON THOSE THINGS.

NEXT SLIDE PLEASE.

SO SOME CONTROVERSY WAS BROUGHT UP WITH THIS STUDY, UH, IN THAT, IN THE REFERENCES IS LOCATED ON THE SCREEN THERE.

SO THE GOAL OF THIS STUDY WAS TO BE A RANDOMIZED TRIAL WHO ASSESSED 60 DAY MORTALITY OF CONVALESCENT PLASMA VERSUS STANDARD CARE.

UH, THEY PLAN TO ENROLL MORE THAN 400 PATIENTS.

THEY RUN 86 AND THEY HALTED THE STUDY BECAUSE WHAT THEY FOUND IS BY THE TIME THE PATIENTS RANDOMIZED THE ANTIBODY TITER THEY HAD IN THEIR BLOOD, IT WAS SIMILAR TO THE ANTIBODIES AVAILABLE, GOING TO BE ADMINISTERED.

AND THEY FELT THAT THERE WAS NOT MUCH POINT IN GIVING SOMEBODY WHO ALREADY HAS ANTIBODIES ANTIBODIES OF, OF A SIMILAR MAGNITUDE, BUT THE PATIENTS WERE RANDOMIZED AT A MEETING OF 10 DAYS SINCE THE ONSET OF THEIR SYMPTOMS. SO AGAIN, THIS DOESN'T REALLY TELL US THAT MUCH.

THERE WAS OBVIOUSLY NO MORTALITY BENEFIT AND, AND, UH, UH, BENEFIT BECAUSE THEY DIDN'T HAVE ENOUGH POWER TO ROLL A 400 AND SO FORTH PATIENTS.

UH, SO MR. REALLY DOESN'T TELL US ANY MARGIN.

IT'S NOT, UH, NOT ENOUGH FOR US TO CONSIDER CHANGING THE PRACTICE OF ADMINISTERING COVID-19 PLASMS TO OUR PATIENTS HERE IN AUSTIN, TRAVIS COUNTY.

NEXT SLIDE, PLEASE.

SO TAKE HOME POINTS FOR THIS, UH, CLINIC STUDY SHOWS WHAT THE CONVALESCENT CLASS WAS PROMISING EARLIER.

ADMINISTRATION INFERENCE BENEFITS.

IT HAS AN INCREASED MORTALITY BENEFIT, PROGRESSIVELY HIGHER DOSES.

IT PROGRESSIVE BETTER, UH, REDUCTIONS IN MORTALITY.

UH, BUT WE DO NEED TO STILL HAVE RANDOMIZED CONTROL TRIALS.

UH, SO THE MAYO CLINIC STUDIES THE INITIAL STUDY,

[00:40:01]

UH, TO SEE IF IT'S, IT'S GOT INDICATORS OF BENEFIT, IT COMES TO RANDOMIZED CONTROL TRIALS TO ANSWER QUESTIONS LIKE WHO ARE THE PATIENTS WHO ARE MOST LIKELY TO BENEFIT.

WHAT'S THE OPTIMAL TIMING OF ADMINISTRATION, AND WHAT'S THE OPTIMAL DOSING OF THE CONVALESCENT PLASMA.

THESE THINGS STILL NEED TO BE DONE, BUT THAT DOES NOT MEAN WE SHOULD PUT THE BRAKES ON, ON CONGRESS AND PLASMA THERAPY, UH, INCLUDING ENCOURAGING DONATION, INCLUDING STORAGE OF THE SUPPLIES.

UH, SO MY RECOMMENDATION IS THAT WE CONTINUE TO, UH, TO UTILIZE THAT IN THE CLINICAL PRACTICE, UH, AND WHEN WE INCREASE OUR, OUR PREPARATION OF, UH, BEING ABLE TO SCREEN PEOPLE, UH, BEING ABLE TO INCREASE OUR COLLECTION AND INCREASE OUR STORAGE OF COVID 19 CONVALESCENT PLASMA, NEXT SLIDE, PLEASE.

AS THE FOUNDER, THE MAYOR COUNCIL, WE'RE STILL AT STAGE THREE, AGAIN, TO GET INTO STAGE TWO, WE NEED TO BE LESS THAN 10 ON THAT SUDDENLY MOVING AVERAGE OF ADMISSIONS.

AND AGAIN, WE'D LIKE TO BE BIRTHED 3% IN TERMS OF OUR POSITIVITY RATE ACROSS THE COMMUNITY.

UH, WE'RE GOING TO HAVE TO JUST DISCUSS CHANGES IN POLICY AS WE GET TO STAGE TWO, WHICH WE'RE WORKING ON AS DIRECTOR HAYDEN SAID EARLIER, IN RELATION TO OUR PROTECTIVE LODGES, UH, THOSE ARE MEANT TO PROTECT PEOPLE DURING A SIGNIFICANT COMMUNITY TRANSMISSION OF COVID-19, AS WE MOVE TO BETTER STAGES OF RISK, AND THAT TRANSMISSION IS CONTROL, BUT WE MAY NEED TO ALTER OUR POLICIES ASSOCIATED WITH THE PROTECTIVE LODGES, WHICH MAY NOT BE NECESSARY IN THESE LOWER STAGES OF, UH, OF, OF RISK IN TRAVIS COUNTY.

UH, WITH THAT, I WILL HAND IT BACK OVER TO YOU, MAYOR DR.

I SCOTT, THANK YOU.

AND AGAIN, THANK YOU TO YOUR STAFF AND DIRECTOR HAYDEN, UH, TO YOURS.

IT'S REALLY ENCOURAGING TO SEE THE NUMBERS GO DOWN THE WAY THAT THEY HAVE.

UM, WE HAVE A COUPLE OF THINGS THAT, THAT PRESENTS POSSIBLE RISK FACTORS TO US THAT WE HAVEN'T HAD A CHANCE YET TO WORK THROUGH OUR SYSTEM.

UH, THAT WOULD BE A LABOR DAY, UH, WHETHER WE WOULD SEE THAT IT WOULD BE THE UT FOOTBALL GAME, POTENTIALLY STUDENTS COMING BACK, THE THOUSAND PEOPLE, WHICH IS THE ESTIMATE OF THE NUMBER OF PEOPLE WHO WERE LAYING THE HURRICANE, UH, THAT PASSED THROUGH OUR, OUR CITY.

UH, WE SAT AND SEEN AN INCREASE IN HOSPITALIZATIONS YET, BUT THAT'S THE CASE NUMBER C GOING UP A LITTLE BIT, ALTHOUGH IT'S, IT'S, IT'S WEIGHTED TOWARD YOUNGER PEOPLE THAT HOPEFULLY ARE NOT GOING TO END UP IN HOSPITALS, BUT OUR JUSTICE CONTAGIOUS FOR SENDING SOMEBODY ELSE TO THE HOSPITAL, UH, AS ANYONE ELSE.

SO WE SEE CASES BEGINNING TO GO UP YET, COMMUNITY NEEDS TO STAY REAL CAUTIOUS IF WE'RE GOING TO BE ABLE TO, UH, DRIVE THE POSITIVITY RATES DOWN FARTHER.

SO WE HAVE A BETTER CHANCE OF OPENING UP AND SUSTAINING BOTH SCHOOLS AND BUSINESSES.

SO I REALLY APPRECIATE THAT WORK.

I ALSO WANT TO COMPLIMENT YOU AND AUSTIN PUBLIC HEALTH DIRECTOR, HAYDEN ON MANAGING TO AVOID OUTBREAKS AMONG, UH, OUR POPULATION COMMUNITY, EXPERIENCING HOMELESSNESS AND TALKING TO MY PEERS MAYORS AROUND THE COUNTRY THAT HAS OFTEN A CRITICAL AREA OF, OF KIND OF FAILURE IN THEIR SYSTEM.

SO WHATEVER IT WAS THAT YOU GUYS WERE DOING TO, TO PREVENT THAT FROM HAPPENING IN OUR COMMUNITY, UH, WORKED.

UH, SO I'M JUST REALLY APPRECIATIVE THAT YOU DID WHATEVER IT WAS THAT YOU DID, UH, TO MAKE SURE THAT ON TOP OF THE CHALLENGES WE HAVE HAD TO DEAL WITH, LIKE IN NURSING HOMES AND, AND THE CHALLENGES WE HAVE IN THE, IN THE HISPANIC COMMUNITY, WE HAVEN'T HAD A, YOU WERE ABLE TO IDENTIFY AND ARREST AN ISOLATE EARLY, UH, CLUSTERS OF BREAKOUTS.

WE HAVE.

SO, SO THANK YOU FOR THAT, FOR THAT WORK AND, AND WORK THAT YOU'RE DOING.

AND I HAD MY CALL TO YOURS AND, UH, RECTOR, HEY, TO SEND TO THE CITY MANAGERS FOR PEOPLE TO STAY DILIGENT ON THIS, THAT CHART, YOU HAVE SHOWS THE IMPACT OF MASKING AND WHY THAT'S STILL A DISCUSSION ANYWHERE IN THE COUNTRY ABOUT WHETHER MASKING HELPS OR NOT.

IT'S JUST BEYOND ME, UH, COLLEAGUES, UH, QUESTIONS FOR 'EM, UH, OUR PUBLIC HEALTH FOLKS, COUNCIL MEMBER KITCHEN.

I JUST WANT TO SAY, UM, THANK YOU.

UH, THANK YOU BOTH FOR GETTING THE, UM, DASHBOARD, UH, RELATED TO, UM,

[00:45:01]

OUR LONGTERM CARE FACILITIES.

THAT'S, UM, REALLY, UH, USEFUL INFORMATION AND THE WAY IT'S PRESENTED WILL BE VERY HELPFUL FOR PEOPLE.

SO, UM, I, I JUST WANT TO SAY, I KNOW YOU ALL HAVE BEEN WORKING ON IT FOR AWHILE, AND I CONSIDER THAT TO BE A MAJOR ACCOMPLISHMENT AND, UM, AND I UNDERSTAND IT WILL BE UPDATED ON A REGULAR BASIS.

SO AGAIN, THANK YOU VERY MUCH, VERY HELPFUL FOR PEOPLE TO SEE WHAT'S BEEN HAPPENING AND ALSO DOWN TO THE LEVEL OF THE INDIVIDUAL FACILITIES.

SO THANK YOU AGAIN, THANK YOU PROBABLY TO THE ELSE BEFORE WE GET TO THE NEXT BRIEFING, UM, UH, COUNCILOR METOVA AND THEN COUNCIL MEMBER ALTER.

THANKS SO MUCH.

UM, I WANTED TO JUST, EXCUSE ME, BRIEFLY SAY THANK YOU FOR THE TREMENDOUS WORK.

UM, I WANTED TO ASK A LITTLE BIT ABOUT OUR FOOD, OUR FOOD PROGRAMS. I WAS REALLY PLEASED TO SEE.

UM, WELL, LET ME JUST ASK, UM, WHETHER THERE'S AN UPDATE TO THE CAREGIVER MEALS, QUESTION OF FUNDING, I RECEIVED WORD YESTERDAY THAT THERE MIGHT BE, AND JUST WANTED TO, TO ASK THAT QUESTION.

IF ANYONE ON THE CALL HAS THAT INFORMATION.

I DON'T HAVE AN UPDATE IN THAT SPACE.

I'VE NOT RECEIVED ANY INFORMATION ABOUT US HAVING ADDITIONAL FUNDING, SO I HAVE TO CHECK WITH THE BOATS AT OFFICE.

OKAY.

I APPRECIATE THAT.

THANK YOU.

UM, AND I WANTED TO TALK JUST BRIEFLY ABOUT HOW WE ARE FUNDING, HOW WE ARE SUPPLYING MEALS TO, FOR LODGES.

UM, IS THERE AN OPPORTUNITY THERE? IT'S MY UNDERSTANDING THAT THEY'VE BEEN PRIMARILY HANDLED THROUGH LARGE CONTRACTS.

UM, AND I WONDER IF WE MIGHT REGARD THOSE PRO LODGES AS ANOTHER OPPORTUNITY TO REALLY HAVE, HAVE, UH, SOME SUPPORT FOR OUR LOCAL BUSINESSES SO THAT IT COULD BE BOTH THEY UNNECESSARY, BASIC NEEDS, UM, PROGRAM AS WELL AS AN ECONOMIC DEVELOPMENT ONE.

AND SO TO THE EXTENT THAT THAT'S SOMETHING THAT YOU'VE EXPLORED, I JUST WANT TO JUST SPEAK TO YOU ABOUT THAT.

I HAVE HAD AN OPPORTUNITY TO MEET WITH SOME RESTAURANTS AND ALL ALONG.

THEY PROPOSE THESE KINDS OF CONGLOMERATIONS OF LOCAL RESTAURANTS TO HELP MEET THE NEED IN OUR COMMUNITY FOR FOOD AT THE SAME TIME, HELPING KEEP THEIR EMPLOYEES ON THE PAYROLL AND, YOU KNOW, HELPING KEEP THEIR FAMILIES.

SO IS THAT A, IS THAT A MODEL? YEAH, WE CAN, YES.

WE CAN FOLLOW UP WITH YOU ABOUT THAT AND LOOK AT WHAT WE'VE DONE.

UM, YOU KNOW, THE SCHOOL DISTRICTS, UM, THAT HAS BEEN A VERY, UM, BENEFICIAL MODEL TO OUR COMMUNITY.

SO I CAN FOLLOW UP WITH YOU AND WE CAN KIND OF WALK THROUGH THAT.

UM, DEFINITELY WANT TO BRING THE PURCHASING FOLKS TO THE TABLE TO BE A PART OF THAT, BECAUSE, YOU KNOW, THEY TYPICALLY HELP US OUT, UM, WITH THE KIND OF MEAL PROVISION.

UM, I'M FAMILIAR.

YEAH.

THANK YOU.

AND I LOOK FORWARD TO THAT CONVERSATION AND PERHAPS THERE'LL BE AN OPPORTUNITY TO BRING SOME OF IT INTO OUR CONVERSATION AT THE ECONOMIC DEVELOPMENT CABINET TOMORROW.

UM, I'M FAMILIAR WITH THE WAY IT'S WORKED VERY SUCCESSFULLY THROUGH THE SCHOOL, THE SCHOOL DISTRICTS THROUGH THE CAREGIVER MEALS.

I'M NOT AWARE THAT IT'S BEING UTILIZED WIDELY.

IT MAY BE UTILIZED IN ONE CASE WITH REGARD TO THE PROLOGIS, BUT I'M NOT.

I SEE THAT AS ANOTHER OPPORTUNITY TO, TO USE THIS MODEL OF EMPLOYING OUR LOCAL RESTAURANTS TO HELP MEET THAT NEED THAT WE'RE SUPPLYING AT THOSE PRO LODGES.

AND SO I WELCOME.

I WELCOME THAT CONVERSATION, DIRECTOR HAYDEN.

I WONDER IF YOU COULD SPEAK TO US ABOUT WHETHER UT I KNOW THERE'S BEEN CONVERSATION AND, AND UT IS DOING A GREAT JOB OF GETTING INFORMATION OUT TO THEIR STUDENTS AND GETTING INFORMATION OUT TO THE PUBLIC ABOUT THE STATUS OF, OF CASES.

I KNOW WE'VE ALL.

UM, WELL, DR.

ESCADERA, I THINK ADDRESSED SOME OF, SOME OF THE ISSUES ATTENDANT WITH THAT.

I WONDERED IF YOU'VE HAD ANY UPDATES ABOUT WHETHER UT IS MOVING FORWARD WITH PROVIDING, UM, ISOLATION FACILITIES ON CAMPUS, OR WHETHER STUDENTS WHO ARE FINDING THEMSELVES IN NEED OF ISOLATION ARE, HAVE AS OTHER OPTION, OTHER MAIN OPTION, UM, ISOLATING A CITY DISABILITY.

UM, YES.

UM, OUR, UM, OUR EMERGENCY OPERATION CENTER FOLKS HAD A MEETING WITH THE STAFF AND, UM, AND TALK WITH THEM ABOUT, YOU KNOW, ONE THING OUR ISOLATION FACILITY IS AVAILABLE.

UM, BUT WE WANTED THEM TO, UM, DEVELOP THE CONTINGENCY TO ESTABLISH THAT.

UM, AND SO THEY WERE GOING TO GO BACK AND INTERNALLY LOOK AT POTENTIAL OPTIONS FOR THAT, BECAUSE WE DON'T WANT TO OVERWHELM THE ASSET IN THE COMMUNITY.

[00:50:01]

AND SO THAT IS SOMETHING THAT THEY'RE WORKING ON.

AND SO THEY ARE GOING TO FOLLOW UP WITH OUR EMERGENCY OPERATIONS STAFF ABOUT THAT.

GREAT.

SO THEY ARE, THEY ARE, THEY HAVE BEEN, THEY ARE LOOKING AT THE CONTINGENCY OF PROVIDING AN ISOLATION FACILITY FOR THEIR, UH, FOR THEIR STUDENTS SEPARATE FROM THE CENTER.

YES, BECAUSE, BECAUSE OF THE GOAL IS, IS THAT WE DON'T WANT TO RIGHT NOW IS FINE OR RELATIVELY LOW, BUT WE DON'T WANT TO BE IN A POSITION WHERE IF THE ASSET IS FULL AND WE DON'T HAVE ANOTHER MORE SPACE FOR OTHER INDIVIDUALS THAT ARE OUTSIDE OF THE COLLEGE SETTING.

YEAH.

I THINK THAT'S APPROPRIATE.

I THINK WE'VE SEEN THAT COLLEGES AND UNIVERSITIES AROUND THE COUNTRY, MANY OF THEM MADE PROVISIONS ON THEIR CAMPUSES, JUST, I ASSUME, NOT JUST FOR THE CONVENIENCE OF STUDENTS AND OTHER PERSONNEL FROM THE UNIVERSITY COMMUNITY, BUT ALSO TO, AS YOU SAID, TO AVOID OVERWHELMING ASSETS, LIMITED ASSETS IN THIS CASE.

UM, THANKS VERY MUCH FOR THOSE CONVERSATIONS.

THANK YOU.

AND I WILL FOLLOW UP WITH YOU ABOUT THE MEALS.

THANKS.

THANK YOU.

THANK YOU.

UM, I APPRECIATE, UH, BEING UP TO DATE UPDATED AS WELL ON THE FOOD OPERATIONS FOR THE PRO LODGES.

I THINK THAT'S A REALLY IMPORTANT OPPORTUNITY FOR HELPING OUT OUR RESTAURANT SECTOR, UM, AT A COUPLE OF DIFFERENT QUESTIONS.

UM, I DON'T KNOW IF THIS IS A QUESTION FOR YOU DIRECTOR HAYDEN OR FOR, UM, MR. CROCK, BUT, UM, I'VE BEEN HEARING SOME CONCERNS THAT CERTAIN DEPARTMENTS ARE REALLY EXPERIENCING SOME STAFF SHORTAGES THAT ARE MAKING IT DIFFICULT FOR THEM TO CARRY OUT THEIR WORK FULLY, UM, BECAUSE FOLKS ARE OUT, UM, TAKING ADVANTAGE OF THE FMLA AND, AND OBVIOUSLY THAT'S AN IMPORTANT BENEFIT AND, AND WE SHOULD BE PROVIDING THAT.

I'M JUST TRYING TO UNDERSTAND WHAT THE IMPACT IS ON CITY OPERATIONS.

UM, I HAVE A SENSE OF HOW MANY, HOW MANY, UM, STAFF PEOPLE WE HAVE WHO ARE OUT, UM, TAKING ADVANTAGE OF THOSE COVERT OPERATIONS AND WHAT IMPACT THAT'S HAVING ON CITY OPERATIONS NUMBER.

I THINK I CAN RESPOND TO THAT.

UH, UH, WE HA WE ARE MONITORING THAT CLOSELY MARIA RIVERA.

THEY UNDERMINED A DEPUTY CITY MANAGER.

UM, WE ARE CERTAINLY MONITORING THAT.

UM, WE HAVE FREQUENT MEETINGS WITH HRD AS WE LOOK THROUGH THAT.

AND WE CERTAINLY WANT TO ENCOURAGE FOLKS WHO HAVE THAT NEED TO AVAIL THEMSELVES OF THE EXTENDED FMLA TO DO SO.

UM, WE HAVE ASKED THE DEPARTMENTS TO LET US KNOW PERIODICALLY WHERE THEY FIND, UM, UH, SHORTAGES AND WE HAVE BEEN, UH, HELPING TO BRING IN ADDITIONAL RESOURCES ACROSS THE ENTERPRISE WHERE THAT IS NEEDED.

UM, THERE ARE FOLKS, UM, THAT HAVEN'T BEEN TEMPS, UH, CONTINUING IN THE ENTERPRISE THAT HAVE BEEN ABLE TO BE REASSIGNED AS THE NEED BE.

UM, I'LL SAY TOO, THAT WE ARE, UH, BEING VERY CONSERVATIVE WITH OUR HIRING OF VACANCIES ARE A FILLING VACANCIES, IS THAT AS MOVE FORWARD.

UM, WHILE WE HAVE, WE REALIZED THAT WE ARE IN A PANDEMIC AND WE WANT TO MAKE SURE WE ARE MONITORING OUR RESOURCES, WHERE DEPARTMENTS THAT ARE WORKING IN THE PANDEMIC OR IN AREAS THAT REQUIRE SOME ASSISTANCE.

WE HAVE CERTAINLY BEEN FILLING THOSE VACANCIES, UM, AS, AS THE NEED AND THE CRITICALITY ARISES.

SO WE ARE BEING MINDFUL, BUT WE CAN CERTAINLY GET BACK TO YOU AND THE COUNCIL BODY ABOUT, UH, FMLA USAGE AS THAT MOST FORWARD.

THANK YOU.

MAYBE WE CAN HAVE A, UM, A CONVERSATION OFFLINE, BUT THERE ARE A COUPLE OF DEPARTMENTS THAT I'M PARTICULARLY CONCERNED ABOUT THAT SEEM TO BE IMPACTING, UM, SERVICES THAT, UM, ARE RAISING OTHER ISSUES AND THEY'RE NOT ABLE TO, UM, TO MEET THOSE NEEDS.

AND WHEN, WHEN, WHEN YOU HAVE HIS CONVERSATIONS, IT'S CLEAR, THEY JUST GIVEN WHAT THEY'RE TRYING, TRYING TO JUGGLE, AND THAT'S HAVING A BIG IMPACT, UM, ON SOME SERVICES.

SO IF WE CAN HAVE THAT CONVERSATION, I WOULD, UH, I WOULD APPRECIATE THAT.

UM, THANK YOU ON THAT.

UM, THE NEXT QUESTION I THINK IS FOR, UM, DR.

ASCOT.

SO I WANTED TO JUST MAKE SURE THAT I HAVE SOME CLARITY ON THE, UM, AIRBORNE TRANSMISSION PART, UM, BECAUSE I DON'T WANT THERE TO BE CONFUSION OUT THERE.

AND AS I HEARD WHAT YOU SAID, YOU SAID THAT, UM, AIRBORNE TRANSMISSION IS POSSIBLE.

IT'S NOT SOMETHING THAT WE ARE SEEING AS, UM, HAVING VIABLE VIRUS IN SOME CONSTRAINED

[00:55:01]

PLACES IT'S POSSIBLE.

UM, BUT WHAT WE REALLY NEED TO WORRY ABOUT IS THE DROPLETS.

AND THAT WOULD MEAN LIKE IF SOMEONE COSTS ON YOU OR IF YOU'RE TOUCHING THE DROPLETS, UM, AND THE BEST DEFENSE FOR THAT IS WEARING THE MASKS AND SOCIAL DISTANCING, STAYING HOME WHEN YOU'RE SICK THAT CORRECT.

DR.

SCOTT, YOU GOT ALL OF THAT.

CORRECT.

UM, AND AGAIN, I THINK THIS, THIS POSITION ON, UH, THE, THE CONTRIBUTION OF, OF AIRBORNE TRANSMISSION IS EVIDENT BY PUBLIC POLICY ACROSS THE WORLD, UH, WHICH IS STILL SOCIAL DISTANCING.

OBVIOUSLY IF, UH, UH, AIRBORNE TRANSMISSION WAS A SIGNIFICANT FACTOR, UH, IT WOULD REALLY PREVENT US FROM, FROM DOING THINGS, UH, THAT WE NORMALLY DO WITHOUT HAVING, UH, ACCELERATED THE GROWTH IN THE, IN THE RATE OF TRANSMISSION.

THAT'S SOMETHING NOT HAPPENING, THAT THE EVIDENCE IS NOT SUGGESTED THAT THE AIRBORNE TRANSMISSION PLAYS A SIGNIFICANT ROLE.

UH, SO THOSE, THOSE FACTORS THAT, THAT NEED, UH, THE STRESS ALL ALONG, UH, THAT YOU JUST MENTIONED ARE CRITICAL.

UH, AND PEOPLE NEED TO BE CAUTIOUS IN THOSE TYPES OF SETTINGS, A SMALL OFFICE WITH A LOT OF PEOPLE IN NOVA INHALATION, UH, THAT TRANSMISSION COULD BE MORE IN THAT TYPE OF SETTING, UH, WHICH IS WHY WE CONTINUE TO RECOMMEND THAT, THAT SEPARATION OF PEOPLE IN THE BASKET.

AND WHAT IS THE IMPLICATION OF THAT FOR THE SCHOOL SETTING? I THINK THE IMPLICATION IS THAT THAT TEACHERS AND STAFF, UH, SHOULDN'T BE OVERLY CONCERNED ABOUT, ABOUT VIRUS FLOATING IN THE AIR FOR HOURS.

UM, I THINK OUR, OUR CLASSROOMS, OUR SCHOOLS ARE GENERALLY OF SUFFICIENT SIZE AND HAVE SUFFICIENT VENTILATION AT THE QUICK MOVEMENT OF AIR WITH, UH, RE CIRCULATION OF AIR, UM, THAT, UH, THAT, THAT, THAT METHOD OF TRANSMISSION IS NOT GOING TO BE SIGNIFICANT.

THANK YOU.

UM, AND THEN I WANTED TO JUST HAVE A BETTER UNDERSTANDING OF HOW, UM, HOW WE'RE WATCHING FOR THOSE RISK FACTORS THAT THE MAYOR MENTIONED LIKE LABOR DAY AND THE FOOTBALL GAME AND THE RETURN, UM, TO THE UNIVERSITY.

UH, SO PRIMARILY WE'RE WATCHING THE CASES, THE NEW CASES, UH, AND OF COURSE THE, UH, THE HOSPITALIZATIONS, UH, WE DID START TO SEE INCREASES IN THE CASES PRIOR TO LABOR DAY.

UH, BUT IT REALLY CORRESPONDS WITH INCREASING NOBILITY THAT LAST WEEK OF AUGUST.

AND SO PEOPLE WERE PUTTING OUT MORE, THEY WERE INTERACTING MORE, THEY WERE GOING TO RESTAURANTS MORE THAN IN BARS, MORE, UH, AND THEY WERE GATHERING MORE OUTSIDE OF THE HOUSEHOLD.

UH, SO IT'S NOT JUST THE HOLIDAY AND JUST THE SPECIAL EVENTS LIKE THE NEW T GAME.

GENERALLY SPEAKING, PEOPLE ARE A BIT MORE RELAXED.

UH, SO WE'LL BE WATCHING THOSE FACTORS OVER THE NEXT WEEK OR TWO AT THE SAME, IF THERE'S ANY SIGNIFICANT IMPACT, AGAIN, HOPEFULLY, UH, TRANSMISSION RATE, WHICH WAS NO AT, AT THAT TIME PERIOD BETWEEN THE 4.7 AND 6.1% THAT THE WON'T SEE A HUGE BUMP.

WE MAY SEE A LITTLE BUMP, BUT HOPEFULLY NOT A HUGE ONE.

THANK YOU.

AND THEN WHO IS, WHO IS RESPONSIBLE IF THERE ARE GATHERINGS THAT ARE OFF CAMPUS, THAT'S THE CITY THAT IS RESPONSIBLE.

AND DO WE HAVE, HOW ARE WE MOBILIZING FOR ADDRESSING THOSE GATHERINGS PARTICULARLY, UM, OFF CAMPUS? SO A CAUSE FOR CONCERN REGARDING GATHERINGS OR NONCOMPLIANCE WITH MASKING, UH, SHE BROUGHT A THREE, ONE, ONE, UH, AND, UH, DR.

PAGAN CAN CORRECT ME ON THIS, BUT GENERALLY SPEAKING, IT'S EITHER GOING TO GO TO CODE, UH, OR IT'S GOING TO GO TO THE FIRE MARSHAL'S OFFICE OR ENFORCEMENT, DEPENDING UPON THE VENUE THAT'S INVOLVED.

UH, IF IT'S A RESTAURANT, UM, OR A SALON, IT'S A LICENSED FOOD ESTABLISHMENT THAT WILL GO TO THE OFFICE OF PUBLIC HEALTH ENVIRONMENT, THE HEALTH SERVICES.

THANK YOU.

THANK YOU, COUNCIL MEMBER, UH, ALTAR ALSO WORTH NOTING IN CONVERSATION.

YOU'RE ASKING ABOUT UNIVERSITY OF TEXAS.

THEY HAVE THE CAPACITY TO TEST UP TO 5,000 STUDENTS A WEEK.

THEY'RE NOT GETTING 5,000 STUDENTS A WEEK YET TO TAKE THE TEST.

THEY'RE TRYING TO RAMP THAT UP, BUT THERE'S STILL A SIGNIFICANT NUMBER OF STUDENTS THAT ARE BEING TESTED AND THEY GET THE RESULTS FROM THE OFF CAMPUS TESTING AS WELL.

THAT GOES ON THEIR DASHBOARD.

AND UNIVERSITY OF TEXAS HAS THEIR OWN DASHBOARD.

ALL THE INFORMATION DATA ON THAT ARE PART OF WHAT WE HAVE ON OUR DASHBOARD, BUT IT IS THAT SUBSET THAT'S AVAILABLE

[01:00:01]

TO BE SEEN.

AND I THINK EVERYBODY'S TAKEN NOTE OF THE FACT THAT OF THE A THOUSAND STUDENTS THAT WERE TESTED, CAUSE THEY HAD TO BE TESTED IN ORDER TO BE ABLE TO GET A TICKET TO THE FOOTBALL GAME, WHICH IS A GOOD PRACTICE OF, WE APPRECIATE UNIVERSITY OF TEXAS DOING THAT ABOUT A HUNDRED OF THEM TESTED POSITIVELY.

NOW YOU HAVE AS A POSITIVITY RATE OF ABOUT 8%.

UH, SO WE HAVE THAT INFORMATION, THAT DATA HAS BOTHERED, EVERYBODY'S SMOKING ANYTHING ELSE, UH, WITH THESE FOLKS, COUNCILMEMBER COSAR.

I KNOW THAT WE'RE STILL WORKING UP AND GETTING SOME OF THE PER CAPITA DATA.

SOMETHING ELSE THAT I NOTED THAT WE HAVEN'T SEEN IN A LITTLE WHILE, SINCE WE ENGAGED IN SOME EXTRA EFFORTS, WAS THE SPANISH SPEAKING VERSUS NON SPANISH SPEAKING DATA FOR THE LATINO COMMUNITY.

AND SO IT'D BE GREAT TO GET AN UPDATE ON THAT.

I REMEMBER THE LAST TIME WE CHECKED, UM, WITH, AND WITH SOME OF THE HOSPITALS, IT WAS LIKE A MAJORITY OF THE LATINO PATIENTS WERE PRIMARILY SPANISH SPEAKERS, AND I KNOW WE ENGAGED IN AND NEW WORK THERE.

AND SO I THINK IT'D BE A GOOD TIME TO CHECK IN AND GET THAT AS WELL WITH THE PER CAP DATA THAT I KNOW IS BEING DELIVERED TO.

OKAY.

UM, ANYTHING ELSE? UH, QUESTIONS ON THIS? ALRIGHT.

DR.

M ED DIRECTOR, DIRECTOR, HAYDEN, DR.

ASCOT.

THANK YOU SO MUCH.

I WILL LET YOU HEAD OVER TO, UH, TRAVIS COUNTY.

THANK YOU, COLLEAGUES.

YOU READY FOR THE NEXT,

[B2. Convention Center Expansion Economic and Market Viability Study Report and Master Plan Update Presentation. (Staff presentation and response to Resolution 20190523-029).]

UM, UH, PRESENTATION, UH, THAT WE HAVE BRIEFING, I WILL GO MANAGER TO THE CONVENTION CENTER.

ABSOLUTELY.

AND I BELIEVE ASSISTANT CITY MANAGER, RODNEY GONZALES IS GOING TO KICK US OFF.

THANK YOU.

DEPUTY CITY MANAGER.

GOOD MORNING.

MAYOR AND COUNCIL, ROBIN GONZALES, ASSISTANT CITY MANAGER.

I'M GOING TO KICK OFF TODAY'S BRIEFING AND THEN HAND IT OVER TO TRICIA TACO INTERIM DIRECTOR FOR THE AUSTIN CONVENTION CENTER DEPARTMENT.

YOU MAY RECALL THAT ON MAY 23RD OF LAST YEAR, COUNCIL ADOPTED THE RESOLUTION DIRECTING THE CITY MANAGER TO RECOMMEND AN INITIAL DESIGN FOR THE CONVENTION CENTER.

THE RESOLUTION WAS ON THE HEELS OF THE ITI CENTER FOR SUSTAINABLE DEVELOPMENT STUDY OF ALTERNATIVE FUTURES FOR THE BOSTON CONVENTION CENTER DISTRICT.

SEVERAL MILESTONES HAVE TRANSPIRED SINCE THAT TIME, AND WE ARE PLEASED TO PRESENT UPDATES TO THE DESIGN FOR EXPANSION AS WELL AS THE UPDATE TO THE MARKET STUDY ON AUGUST 19TH, STAFF FORWARDED BOTH DOCUMENTS TO COUNSEL IN ADVANCE OF TODAY'S PRESENTATION.

AND WITH THAT BRIEF INTRODUCTION, I'LL TURN THE PRESENTATION OVER TO INTERIM DIRECTOR TOP TREVOR.

THANK YOU.

GOOD MORNING, MAYOR AND COUNCIL MEMBERS.

WE ARE HERE THIS MORNING TO PROVIDE YOU WITH THE PRESENTATIONS ON TWO FINAL REPORTS THAT ACC D STAFF AND OUR CONSULTANTS HAVE COMPLETED INTO RESPONSE TO COUNCIL RESOLUTION NUMBER TWO ZERO ONE NINE OH FIVE TWO THREE DASH ZERO TWO NINE.

THE FIRST PRESENTATION IS THE AUSTIN CONVENTION CENTER EXPANSION ECONOMIC IMPACT AND VIABILITY STUDY PRESENTED BY AND ANTHONY DAVIS FROM HVS CONVENTION SPORTS AND ENTERTAINMENT FACILITIES CONSULTING WITH THAT.

I WILL TURN IT OVER TO MR AND MR. DAVIS, GOOD MORNING, MAYOR AND COUNCIL MEMBERS.

THANKS FOR THE INVITATION TO BE HERE TODAY.

UM, UH, I HAVE A QUESTION ABOUT THE TECHNOLOGY.

UM, DO I NEED TO SHARE MY SCREEN OR, UM, UH, WILL, UH, UH, CITY HALL AB SURE.

THE PRESENTATION READY TO PULL UP THE PRESENTATION? SORRY.

YEAH, YEAH.

OKAY.

I HAVE A QUICK QUESTION.

THAT'S OUR KITCHEN.

UM, IT MAY JUST BE THAT I MISSED IT, BUT I WAS SENT TO US.

YES.

COUNCIL MEMBER.

THIS WAS SENT ON AUGUST THE 19TH.

UH, OKAY.

THANKS COUNCIL MEMBER.

DO YOU MEAN THIS CAR POINT? YEAH, I THINK RIGHT.

DO WE HAVE THE POWERPOINT OR IS IT LINKED AS BACKUP FOR TODAY? MARIN COUNTY? I CAN CHECK SEPARATELY WITH KATIE POWERS TO ENSURE THAT THE OFFICES HAVE RECEIVED DEATH, NOT IN THE BACKUP.

SO IF Y'ALL COULD JUST SAY THAT HAS BEEN A CONTINUING PROBLEM AT OUR WORK SESSIONS TO COME INTO WORK SESSION, WE HAVE PRESENTATIONS AND WE FREQUENTLY HAVE TO GET THEM AT THE LAST MINUTE.

SOMETIMES IT'S 30 MINUTES BEFORE THE MEETING, SOMETIMES IT'S AS THEY ARE BEING PRESENTED STUDENTS HERE.

COULD WE, COULD WE GET THEM AT LEAST BY FRIDAY, JUST FOR WORKSTATION SINCE

[01:05:01]

I APPRECIATE THAT COUNCIL MEMBER AND I'LL LOOK INTO THAT AND GET BACK TO EVERYONE ABOUT IT, BUT WE CAN DO OUR BEST TO GET THOSE TO YOU AS SOON AS, AS SOON AS WE'RE ABLE.

YEAH.

SO THIS, THIS POWERPOINT PRESENTATION IS A VERY HIGH LEVEL SUMMARY OF THE KEY FINDINGS OF OUR RESEARCH, UH, AND, UH, THE DETAILED REPORT, UH, WAS MADE AVAILABLE IN AUGUST.

UH, SO THE IDEA OF THIS PRESENTATION IS TO, UH, GIVE AN OVERVIEW AND TO, UH, GIVE YOU AN OPPORTUNITY TO ASK QUESTIONS REGARDING OUR STUDY.

UM, FIRST OF ALL, A LITTLE BIT OF BACKGROUND ON HBS, IF YOU WANT TO GO TO THE NEXT SLIDE, THE REASON THAT WE'RE WORKING ON THIS PROJECT IS THAT WE HAVE EXPERIENCED IN WORKING IN MOST OF THE MAJOR MARKET EVENTS AND MARKETS IN THE U S IN HELPING PLAN DEVELOP, UH, NEW FACILITIES OR EXPANSIONS.

AND OUR ROLE IS AS, UM, AS A OF BUSINESS ANALYSTS, UH, WE DO MARKET RESEARCH.

UM, WE MAKE FACILITY PROGRAM RECOMMENDATIONS.

WE HELP OUR CLIENTS FIGURE OUT HOW TO, UH, FINANCE AND OPERATE, UH, THESE TYPES OF FACILITIES.

SO, UH, I'VE BEEN DOING THIS FOR NEARLY 30 YEARS, UH, AND, UH, HBS AS AN OFFICE HAS BEEN IN BUSINESS SINCE 2001.

SO WE BRING A LOT OF, UM, A LOT OF RELEVANT EXPERIENCE IN OTHER MARKETS, AS WELL AS PRIOR EXPERIENCE IN AUSTIN AS WELL.

UM, SO IF YOU WANT TO GO TO THE NEXT SLIDE, I'LL DIVE INTO OUR, UM, OUR WORK.

MY UNDERSTANDING COLLEAGUES ALSO IS THAT THESE HAVE BEEN TOLD THAT THE TWO POWERPOINTS WERE EMAILED TO COUNCIL OFFICES YESTERDAY AT 10 21 IN THE MORNING.

OKAY.

YOU WANT TO FIND, OKAY.

ALL RIGHT.

THANK YOU.

UM, SO FIRST OF ALL, OUR WORK STARTED UP, UM, PRE COVID.

SO WE HAD A OPPORTUNITY, ALTHOUGH WE HAVE BEEN ASKED MANY TIMES BEFORE, BUT TO INSPECT THE CONVENTION CENTER, INTERVIEW MANAGEMENT AND OTHER KEY STAKEHOLDERS, AND WE CONDUCTED A MARKET ANALYSIS, LOOKING AT ALL THE FACTORS THAT HELP AUSTIN AS A CONVENTION DESTINATION, UH, WE SURVEYED POTENTIAL USERS, UH, PRIMARILY GETTING, UM, NAMES OF POTENTIAL USERS FROM VISIT AUSTIN AS WELL AS FROM THE CONVENTION CENTER.

AND WE SURVEYED ABOUT THEIR ATTITUDES ABOUT AUSTIN AS DESTINATION, AND SPECIFICALLY ABOUT THE ACC AND THEIR LIKELIHOOD OF USING IT.

WE ALSO LOOKED DEEPLY INTO, UH, HISTORICAL, UH, OPERATIONS AND GROUP SALES.

UM, THEN WE ALSO COMPARED OUR AUSTIN'S, UH, PHYSICAL, UM, DEVELOPMENT AND DESTINATION TO A COMPARABLE AND COMPETITIVE CONVENTION CENTERS IN THE U S UM, USING ALL OF THAT.

WE PROJECTED EVENT DEMAND AND ATTENDANCE.

WE FORECAST THE FINANCIAL OPERATIONS FOR THREE PHASE EXPANSION, UM, USING, UH, THE, THE, UH, EXPANSION MODEL THAT HAS BEEN DEVELOPED BY CONVENTIONALISM AND GENSLER.