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AFTERNOON, EVERYBODY.WE WILL NOW CALL OUR COMMITTEE MEETING TO ORDER.
IT IS 2:09 PM UH, GOOD TO SEE EVERYONE.
UM, AND IF YOU THOUGHT WE WERE GOING TO BE IN THE OTHER ROOM, SO DID I.
UM, BUT HERE WE ARE AT COUNCIL CHAMBERS.
HI, EX OH CLERK, MADAME CLERK, WOULD YOU PLEASE CALL THE ROLL COUNCIL MEMBER BRAVO HERE.
COUNCIL MEMBER MCKEE RODRIGUEZ.
COUNCIL MEMBER VILLA GRAND HERE.
WE HAVE A QUORUM THAT IS OUR LEGAL COUNSEL FOR THIS MEETING, AND SHE'S VERY PREPARED, SO THANK YOU.
UH, TODAY WE'LL RECEIVE AN UPDATE ON OUR INFECTIOUS DISEASES.
UH, WE'LL REVISIT PROPOSALS TO, UH, ADDRESS DOMESTIC VIOLENCE AND ON A LIGHTER AND VERY EXCITING NOTE, WE'LL RECOGNIZE THE COMMUNITY RESPONSE AND EQUITY COALITION'S RECENT ACCOMPLISHMENTS.
UH, BUT BEFORE WE BEGIN, I WANT TO ASSURE COUNCIL MEMBERS BRAVO VIA GRAND AND CASTILLO THAT THIS MEETING WILL NOT BE AS LONG AS YOUR PREVIOUS COMMITTEE MEETING THIS MORNING, WHICH I HEAR WAS A BIT OF A MARATHON SESSION, BUT VERY IMPORTANT WORK THAT IT DOES.
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SO FIRST WE'LL START WITH A MOTION TO APPROVE THE AUGUST NINE COMMITTEE MEETING.ALL IN FAVOR, PLEASE VOTE ON YOUR SCREENS.
ALRIGHT, WE'LL MOVE ON TO ITEM ONE.
MADAM CLERK, IF YOU WOULD READ THE CAPTION, PLEASE.
I MEAN, ITEM TWO, IF YOU WOULD READ THE
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CAPTION, PLEASE.ITEM TWO IS THE CITY'S COMMUNICABLE DISEASE RESPONSE AND PREPAREDNESS BY METRO HEALTH STAFF.
GOOD AFTERNOON, UM, MEMBERS OF THE CHECK COMMITTEE.
UM, JUST WANTED TO SAY THANK YOU ON THE FRONT END BEFORE I INVITE DR.
CURIAN TO PROVIDE THIS MONTH'S, UM, C UPDATE AND ALSO TO SHARE WITH YOU WHERE WE ARE WITH THE LATEST, UH, PUBLIC HEALTH EMERGING CRISIS, HAVING TO DO WITH M P V OR MONKEYPOX VIRUS.
UM, AND WITH THAT, I ALSO WANTED TO JUST SAY THANK YOU.
THIS IS A DIFFERENT FORUM FROM YESTERDAY, BUT ALSO I'M JOINED BY OUR FANTASTIC TEAM AT METRO HEALTH.
AND SO I SIMPLY WANTED TO SAY THANKS AND BIDDING YOU GREETINGS ON BEHALF OF THE NATIONALLY ACCREDITED METRO HEALTH DEPARTMENT.
SO WE HAVE THREE TOPICS TODAY.
WE'LL KICK OFF WITH GIVING, BRINGING YOU UP TO SPEED IN TERMS OF OUR ONGOING RESPONSE EFFORTS ON THE GROUND TIED TO OUR COMMUNITY CHEMICAL DISEASE EFFORTS.
UM, AND AS YOU'VE HEARD FROM COUNCILWOMAN SANDOVAL, WE'LL BE TALKING ABOUT OUR, UH, CCRS AS WELL AS CELEBRATING A LITTLE BIT ABOUT OUR NATIONAL AWARD.
GOOD AFTERNOON COUNCIL MEMBERS.
UM, TODAY I'LL BE, UM, GIVING YOU AN UPDATE ON THE C OVID 19 PANDEMIC AS WELL AS THE 2022 MONKEY POX OUTBREAK.
UM, I DO HAVE A LOT OF INFORMATION AND GROUND TO COVER, SO I WILL BE BREEZING THROUGH MY, UH, PRESENTATION.
ALRIGHT, SO AS OF THIS MORNING, UM, WITH REGARDS TO COVID BURDEN HERE IN OUR COMMUNITY, WE HAVE SLIGHTLY UNDER 623,000 CASES, UH, WITH SLIGHTLY OVER 5,300 DEATHS.
UH, THE CASES HAVE BEEN DECREASING, UH, FROM WEEK TO WEEK, UH, ANYWHERE FROM 80 TO 19% SINCE THE BEGINNING OF THIS MONTH.
SINCE THE FIRST WEEK OF AUGUST, UH, DEBTS HAVE BEEN HOLDING STEADY, UM, CLOSE TO 5,000 PLUS DEATHS FOR QUITE SOME TIME NOW.
OUR CURRENT SEVEN DAY MOVING AVERAGE IS 658, WHICH MEANS THAT FOR THE PAST SEVEN DAYS, WE HAVE BEEN DETECTING OR WE, WE HAVE BEEN REPORTING 658 NEW CASES, C OVID 19 NEW CASES HERE IN OUR COMMUNITY WITH REGARDS TO VACCINATION COVERAGE, UM, SIX MONTHS AND OLDER VACCINE ELIGIBLE POPULATION AMONG IN, IN THAT SIX MONTHS AND OLDER GROUP, UM, APPROXIMATELY 73% ARE FULLY VACCINATED AND BOOSTER AMONG THE BOOSTER ELIGIBLE POPULATION, WHICH
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IS FIVE AND OLDER.UH, WE HAVE CLOSE TO 40% WHO HAVE RECEIVED, UH, ONE DOSE OF BOOSTER.
AS FAR AS THE COVID 19 COMMUNITY RISK LEVEL GOES, OUR CURRENT RISK LEVEL IS HIGH BUT IMPROVING.
WE HAVE BEEN AT THIS HIGH CATEGORY OF RISK LEVEL FOR ABOUT FIVE WEEKS NOW.
SO THE GOOD NEWS IS WE ARE HIGH, BUT ALL THE THREE INDICATORS THAT WE USE TO TRACK THE C OVID 19 RISK LEVEL, WHICH IS, UM, NEW ADMISSIONS CASE RATE, NEW CASES, AND HEALTHCARE FACILITY CAPACITY, THEY'RE ALL, UH, IMPROVING FROM, UH, THE PREVIOUS WEEK.
UH, SO IN IN ALIGNMENT WITH THE C D C GUIDANCE, OUR PREVENTION RECOMMENDATIONS FOR OUR COMMUNITY WITH THIS C OVID 19 RISK LEVEL BEING HIGH ARE THOSE THAT IS LISTED ON THE RIGHT SIDE OF THE SLIDES.
WE RECOMMEND YOU WEAR MASK INDOORS IN PUBLIC, ESPECIALLY IF YOU'RE IMMUNOCOMPROMISED OR LIVE WITH SOMEBODY WHO'S IMMUNOCOMPROMISED OR LIVE WITH CHILDREN YOUNGER THAN SIX MONTHS WHO ARE NOT ELIGIBLE FOR VACCINATION AT THIS TIME.
UM, GET TESTED IF YOU'RE SYMPTOMATIC AND THAT RECOMMENDATION HAS NOT CHANGED.
THAT HAS BEEN THE RECOMMENDATION SINCE THE BEGINNING OF THE PANDEMIC.
ADDITIONAL PRECAUTIONS MAY BE NEEDED FOR PEOPLE WITH HIGH RISK OR, UH, HIGH RISK FOR SEVERE ILLNESSES.
AND SOME OF THOSE ADDITIONAL PRECAUTIONS WE RECOMMEND ARE, UH, IF YOU ARE IN THOSE HIGH RISK CATEGORIES FOR SEVERE ILLNESS, UH, MAKE SURE YOU SPEND MORE TIME OUTDOORS.
UM, MAY, IF YOU CAN MOVE YOUR ACTIVITIES FROM INDOORS TO OUTDOORS, UH, THAT IS STRONGLY RECOMMENDED.
AND OF COURSE, YOU HAVE TO STAY UP TO DATE WITH YOUR VACCINATION.
AND UP TO DATE MEANS YOU ARE, YOU'VE RECEIVED, UH, TWO DOSES OF YOUR PRIMARY SERIES, AND THEN YOU HAVE RECEIVED ALL THE RECOMMENDED BOOSTERS, UH, AGE APPROPRIATE RECOMMENDED BOOSTERS WHEN ELIGIBLE.
UM, NOW HAVING SAID THAT, ALL THESE RECOMMENDATIONS, YOU COULD PRACTICE ALL THESE RECOMMENDATIONS AT ANY OF THOSE RISK CATEGORIES SHOULD YOU CHOOSE TO PRACTICE THAT.
THIS IS THE, UH, MOST RECENT WHOLE GENOME SEQUENCING SURVEILLANCE DASHBOARD.
WE PARTNER WITH UT HEALTH FOR, UH, VARIANT TYPING OR VARIANT STRAIN TYPING FOR, UH, UH, IDENTIFYING THE, UH, STRAINS THAT ARE CIRCULATING, UM, HERE IN OUR COMMUNITY.
AND AS YOU CAN SEE, I KNOW IT'S A LITTLE HARD TO READ, BUT AS YOU CAN SEE THAT OMICRON BA 0.5 IS THE PREDOMINANTLY CIRCULATING STRAIN AND COMBINED, UH, THE OMICRON TWO PERSEVERANCE COMBINED BA 0.4 AND FIVE, UH, COMPRISE ABOUT 97% OF THE STRAINS THAT ARE CIRCULATING HERE IN OUR COMMUNITY.
AND THIS IS NO DIFFERENT FROM THE TRENDS WE SEE AT THE NA UH, THE NATIONAL LEVEL.
UM, THESE STRAINS, THESE TWO STRAINS ARE HIGHLY TRANSMISSIBLE, EASILY TRANSMISSIBLE, AND THEY'RE IMMUNE EVASIVE.
WHAT WHAT THAT MEANS IS THAT IF, EVEN IF YOU'RE FULLY VACCINATED, YOU CAN GET THE DISEASE.
BUT THE GOOD NEWS IS THAT IF YOU'RE FULLY VACCINATED, YOU WILL CERTAINLY, UM, AVOID COMPLICATIONS OR OTHER ADVERSE, UH, OUTCOMES.
AND THIS, THESE VACCINATIONS WILL, VACCINES WILL CERTAINLY KEEP YOU OUT OF THE HOSPITAL.
SO WE STILL CONTINUE TO RECOMMEND BEING UP TO DATE WITH THE VACCINATIONS PRIMARILY TO PREVENT THOSE, UH, HEALTHCARE FACILITY STRAINS.
SO, ANYBODY, THIS, I HAVE ALREADY MENTIONED THIS, ANYBODY WHO'S SIX MONTHS AND OLDER, UH, IS ELIGIBLE TO RECEIVE A VACCINE FIVE AND OLDER, UH, UH, IS STRONGLY ENCOURAGED TO RECEIVE A BOOSTER DOSE.
WE HAVE FOUR COVID VACCINES CURRENTLY AVAILABLE, EASILY ACCESSIBLE.
NOVAVAX IS THE MOST RECENT ADDITION TO THOSE C OVID 19 VACCINE INVENTORY.
IT'S A ADJUVANTED, UH, PROTEIN SUBUNIT, MEANING IT'S, UH, IT'S MADE AND IT'S MADE ON A TRADITIONAL VACCINE PRODUCTION PLATFORM.
UH, IT'S A TWO DOSE VACCINE AUTHORIZED FOR 18 YEARS AND OLDER, GIVEN THREE, THREE TO EIGHT WEEKS APART.
AND WE PROVIDE ALL OF THESE FOUR VACCINES IN OUR POP-UP EVENTS, WHICH ARE STILL CONTINUING AS WELL AS IN OUR, UH, EAST SIDE IMMUNIZATION CLINIC.
THIS IS THE IMMUNIZATION SCHEDULE AT A GLANCE.
I WON'T GO THROUGH THIS MANY OF YOU'RE ALREADY FAMILIAR WITH THIS, BUT, UH, THIS GIVES YOU EXACTLY, UH, THE AGES THAT EACH OF THESE VACCINES ARE RECOMMENDED.
AND, UH, THE BOOST RECOMMENDATIONS ARE INCLUDED IN THIS, UH, SCHEDULE AS WELL.
I WANNA ALSO TAKE A FEW MINUTES TO TALK ABOUT THIS UPDATED C D C UM, UH, COVID 19 GUIDANCE THAT WAS RELEASED ON AUGUST 12TH AND TWO BIG CHANGES.
SO C D C IS NOW, UM, SAY, ACKNOWLEDGING THAT THE PANDEMIC IS NOT OVER, BUT ONE IS TO MOVE TOWARDS LEARNING TO LIVE WITH C OVID 19 AND, UH, LIVE IN SUCH A WAY THAT IT DOESN'T DISRUPT, DISRUPT OUR DAILY LIVES.
RIGHT? SO, AND, AND THE GOAL AT THIS POINT IN THE PANDEMIC IS NOT TO PREVENT EVERY SINGLE INFECTION OF C OVID 19, BUT TO PROTECT THE MOST VULNERABLE, THOSE WHO ARE AT RISK AND, UH, AT RISK WITH SEVERE ILLNESS AND ADVERSE OUTCOMES WITH C OVID 19.
SO, HAVING SAID THAT, THE TWO BIG CHANGES THAT C D C RECOMMENDED WAS, UH, THE FIRST ONE TO CONTACT, UH, CASE INVESTIGATION AND CONTACT INVESTIGATIONS.
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THE GUIDANCE IS TO COMPLETE CASE INVESTIGATIONS AND DO CONTACT TRACING ONLY AMONG HOSPITALIZED CASES IN HEALTHCARE SETTINGS AND CERTAIN HIGH RISK CONGREGATE SETTINGS, UM, LIKE YOUR NURSING HOMES OR LONG-TERM CARE FACILITIES, BECAUSE THAT'S WHERE THE MOST VULNERABLE SEGMENT OF OUR POPULATION RESIDES.UH, THE SECOND UPDATE WAS TO THE, UH, UH, THE GUIDANCE THAT, THAT WE WERE RECOMMENDING OR WE WERE GIVING TO THE CLOSE CONTACTS PRIOR, UH, PRIOR TO THIS UPDATE.
UH, SO THE CURRENT GUIDANCE IS THAT CLOSE CONTACTS, REGARDLESS OF THEIR VACCINATION STATUS, THEY DO NOT HAVE TO QUARANTINE.
SO, WHICH MEANS IF YOU'RE EXPOSED TO A C OVID 19 CASE, YOU DO NOT HAVE TO EXCLUDE YOURSELF FROM PUBLIC SETTING.
YOU CAN GO TO WORK, YOU CAN GO TO SCHOOLS, COLLEGES, UH, BUT YOU HAVE TO WEAR A HIGH QUALITY MASK.
YOU SHOULD BE CONSISTENTLY MASKED FOR 10 DAYS FROM EITHER TESTING POS, UH, FROM FROM THE DATE OF EXPOSURE.
ONE THING THAT HAS NOT CHANGED, AND THIS I NEED TO EMPHASIZE, WHAT HAS NOT CHANGED IS WHAT YOU DO ONCE YOU BECOME POSITIVE OR ONCE YOU START EXHIBITING SYMPTOMS. SO THE RECOMMENDATION STAYS THE SAME, EVEN WITH THIS UPDATED COVID 19 GUIDANCE THAT WAS OUT EARLIER THIS MONTH.
SO THE GUIDANCE IS, IT'S, YOU CONTINUE TO ISOLATE FROM THE TIME YOU TEST POSITIVE OR FROM THE TIME YOU EXHIBIT SYMPTOMS, REGARDLESS OF A VACCINATION STATUS.
SO YOU EXCLUDE YOURSELF FOR THE FIRST FIVE DAYS OF THE SYMPTOM ONSET, AND THEN IF THERE IS SYMPTOM IMPROVEMENT, YOU'RE FEVER FREE FOR 24 HOURS WITHOUT TAKING FEVER, REDUCING MEDICATION, THEY THEN YOU CAN COME BACK TO THE PUBLIC SETTING WEARING A WELL FITTING AND A HIGH QUALITY MASK FOR THE ADDITIONAL FIVE DAYS.
THIS IS THE LAST SLIDE FOR THE COVID 19 UPDATE.
UM, UM, F D A HAS INDICATED THAT THERE'S GONNA BE A VAL IN C OVID 19 BOOSTER FORMULATION OUT AS EARLY AS THIS FALL.
UH, THIS NEW VACCINE WILL CONTAIN THE CURRENT C OVID 19 PLUS, THE TWO PREDOMINANTLY CIRCULATING OMICRON SUB VARIANT, THE BA 0.4, AND THE BA 0.5 IN EQUAL PARTS, HENCE THE NAME BIVALENT.
AND, UH, ALL INDICATION, UM, IS THAT PFIZER, UH, BIVALENT, UH, COVID 19 BOOSTER.
IT'S EXPECTED TO BE AUTHORIZED FOR INDIVIDUALS 12 AND OLDER.
AND THE MODERNA BOOSTER IS, UH, EXPECTED TO BE AUTHORIZED FOR INDIVIDUALS 18 AND OLDER.
AND THIS IS GOING TO BE A, A SINGLE DOSE, UH, BOOSTER.
AND WE WILL KNOW MORE ONCE, UH, F D A APPROVES THIS.
AND THEN C D C ADAPTS THIS RECOMMENDATIONS.
SO TRANSITIONING ON TO THE 2022 MONKEYPOX OUTBREAK, STARTING WITH A HISTORICAL TIDBIT.
THIS VIRUS IS NOT A NEW VIRUS.
IT'S NOT A NOVEL INFECTION LIKE C OVID 19.
THIS HAS BEEN AROUND SINCE THE LATE 1950S.
AND THE FIRST HUMAN CASE WAS, UH, IDENTIFIED ALMOST 12 YEARS AFTER THE VIRUS WAS DISCOVERED.
THIS BELONGS TO THE MONKEYPOX VIRUS, BELONGS TO THE SAME FAMILY AS THE SMALLPOX VIRUS.
UM, BUT IT'S A COUSIN OF THE CHICKENPOX.
CHICKEN PX BELONGS TO A DIFFERENT VIRUS FAMILY.
UM, WHAT'S DIFFERENT IS THAT, LIKE I SAID, THE VIRUS IS THE OLD VIRUS, BUT IT'S, IT STARTED APPEARING IN NEW PLACES, RIGHT? SO PRIOR TO 2022, THIS VIRUS IS, HAS BEEN ENDEMIC IN WESTERN CENTRAL AFRICA.
IN FACT, THERE ARE SOME COUNTRIES IN, IN, IN WESTERN CENTRAL AFRICA THAT HAVE SEEN ONGOING TRANSMISSION OF MONKEYPOX SINCE 2017.
UM, WE HAVE SEEN FEW CASES OF MONKEYPOX HERE IN UNITED STATES PRIOR TO THIS, THIS, THIS BIG OUTBREAK.
UH, THERE WERE CASES IN SIX STATES ACROSS THE NATION, AND THESE WERE PRIMARILY SEEN IN IN PEOPLE WHO CARED FOR PET, PET PRAIRIE DOGS THAT GOT INFECTED, UM, BY EXOTIC ANIMALS THAT WERE IMPORTED FROM GHANA.
SO THERE HAVE BEEN, UH, CASES PRIOR TO THIS, THIS OUTBREAK IN 2003 IN OUR NATION, MOST RECENTLY IN 2021, THERE WERE TWO CASES DOCUMENTED IN TRAVELERS RETURNING BACK FROM NIGERIA.
AND THEN 2022 HAPPENED THAT CHANGED, UM, THE SCENE FOR US AS FAR AS MONKEYPOX VIRUS IS CONCERNED HERE IN THE UNITED STATES AND FOR, FOR, FOR, UH, MOST PART OF THE WORLD AS WELL.
SO MONKEYPOX IS, AS YOU ALL KNOW, IT IS, UH, UH, PUBLIC HEALTH EMERGENCY OF INTERNATIONAL CONCERN.
IT'S ALSO BEEN DECLARED A NATIONAL PUBLIC HEALTH EMERGENCY HERE IN OUR NATION.
AS OF THIS MORNING, WE HAVE SLIGHTLY OVER 45,500 CASES FROM 98 COUNTRIES ACROSS THE GLOBE.
91 OF THOSE COUNTRIES HAD NEVER REPORTED A CASE OF MONKEYPOX PRIOR TO 2022.
SO 99% OF THESE CASES THAT WE ARE SEEING NOW IS OCCURRING IN COUNTRIES THAT WERE CONSIDERED AS NON-ENDEMIC REGION FOR MONKEY PARKS.
AS, AS, UH, THE, UM, COUNTRIES WITH THE HIGHEST CASE COUNTS GO.
YOU SEE ON THE TABLE ON THE RIGHT SIDE, UNITED STATES LEADS THAT CHART WITH, UH, CASE COUNTS, STANDING AT SLIGHTLY OVER SIX
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THOU 16,600 AND CASES HERE NATIONALLY.UH, NEW YORK WAS THE EPICENTER, UH, CALIFORNIA OVERTOOK NEW YORK ALMOST TWO DAYS AGO.
NOW, CALIFORNIA LEADS THE CHART WITH SLIGHTLY OVER 3000 CASES, FOLLOWED BY NEW YORK, FLORIDA, AND TEXAS, AND GEOR, GEORGIA STATEWIDE.
WE HAVE, UM, AS YOU CAN SEE, WE HAVE 12,081 CASES, THANK YOU, 81 CASES, UH, STATEWIDE AND, AND STATEWIDE.
THE, THE JURISDICTIONS WITH THE HIGHEST NUMBER OF CASES ARE LISTED UP THERE.
DALLAS COUNTY LEADS CHART WITH 404 CASES, HARRIS COUNTY WITH 4 76, AUSTIN TRAVIS WITH 128 AND BAYER.
SO THAT BRINGS OUR TOTAL TO 25.
WE UPDATE, OUR CASE COUNTS EVERY DAY, MONDAY THROUGH FRIDAY BY 1:00 PM AND IT IS POSTED UP ON OUR WEBSITE AT PUBLIC HEALTH WEBSITE, WWW.SANANTONIO.GOV/HEALTH.
UM, THERE IS A PUBLIC HEALTH EMERGENCY DECLARED IN TWO OF THOSE FOUR JURISDICTIONS IN DALLAS, AS WELL AS IN AUSTIN.
AND THAT IS PRIMARILY TO, BECAUSE THEY HAVE BEEN SEEING WIDE TRANSMISSIONS, WIDE SUSTAINED, ONGOING TRANSMISSIONS.
UH, SO IN AN EFFORT TO INCREASE AWARENESS, UM, IN THEIR COMMUNITIES THAT PUBLIC HEALTH EMERGENCY WAS DECLARED, WE ARE NOT PROVIDING, UH, DEMOGRAPHIC BREAKDOWN OF OUR CASES BECAUSE THEY ARE SO FEW.
BUT BASED ON, UH, THE, UH, NATIONAL SURVEILLANCE DATA, 99% OF THESE CASES NATIONAL ARE OCCURRING IN MEN.
94% REPORT MALE TO MALE SEXUAL, OR, UM, INTIMATE CONTACT.
AND 41% OF THESE CASES ARE H I V POSITIVE.
AND I WANNA SAY, ALTHOUGH THIS OUTBREAK TEND TO, UH, SEEM TO BE DISPROPORTIONATELY AFFECTING GAY, BISEXUAL, OR MEN WHO HAVE SEX WITH MEN, ANYONE, ANYONE, REGARDLESS OF THEIR GENDER IDENTITY OR SEXUAL ORIENTATION, CAN ACQUIRE AND SPREAD MONKEYPOX.
SO HOW DOES IT SPREAD? IT SPREADS BY COMING IN CLOSE PERSONAL, OFTEN SKIN TO SKIN CONTACT, INCLUDING COMING IN CONTACT WITH LESIONS, BODY FLUIDS, OR RESPIRATORY, RESPIRATORY DROPLETS FROM A CONFIRMED CASE OF MONKEYPOX, UH, FOR MY TRANSMISSION, WHICH IS BY, UH, TRANSMISSION OCCURRING, BY TOUCHING SURFACES OR OBJECTS OR CLOTHING OR BEDDING, UH, UH, USED BY A CONFIRMED CASE OF MONKEYPOX, IT'S POSSIBLE AS WELL.
BUT WE ARE NOT SEEING MUCH OF THOSE FOR MY TRANSMISSIONS, UH, AT THIS TIME IN THIS OUTBREAK.
UM, A PERSON IS CONSIDERED TO BE INFECTIOUS FROM THE TIME THE SYMPTOMS BEGIN TO, UNTIL ALL RASH.
IT'S NOT JUST ONE OR TWO RASHES UNTIL ALL THE LESIONS OF THE BODY HAVE HEALED AND A FRESH LAYER OF SKIN HAS FORMED.
SO UNTIL THAT HAPPENED, IT TAKES, IT CAN TAKE ANYWHERE FROM FOUR TO SIX WEEKS FOR A FRESH LAYER OF SKIN TO FORM OVER ALL THESE LESIONS.
AND UNTIL THAT HAPPENS, PUBLIC HEALTH, UH, PLACES THESE CASES IN ISOLATION.
SO IT'S A LONG PERIOD OF ISOLATION.
CAN MONKEY POX SPREAD WITHOUT SYMPTOMS? WHILE THERE ARE SEVERAL KNOWLEDGE, UH, GAPS IN KNOWLEDGE THAT WE HAVE, UH, THAT WE, THAT THAT'S PRESENT WITH THIS, THIS PARTICULAR OUTBREAK AND ONE SUCH GAP IS, ARE ASYMPTOMATIC TRANSMISSIONS POSSIBLE JUST LIKE WE SEE WITH C OVID 19? AND THE ANSWER IS, WE JUST DON'T KNOW YET.
RIGHT? BECAUSE SOME PEOPLE MIGHT HAVE MILD SYMPTOMS, SOMETIMES LESIONS APPEAR IN MOUTH, VAGINA, AND RECTUM THAT CAN GO UNNOTICED.
SO ASYMPTOMATIC TRANSMISSIONS IS POSSIBLE ONLY BECAUSE FOLKS MAY NOT EVEN KNOW THAT THEY HAVE, UM, MONKEY PARKS.
SO WHAT ARE THE SYMPTOMS? SYMPTOMS USUALLY BEGIN WITHIN ONE TO THREE WEEKS AFTER EXPOSURE.
AND THEY START AS NON-SPECIFIC.
FLU-LIKE ILLNESSES OR PRODROMAL SYMPTOMS IS WHAT WE REFER TO COMMONLY.
THAT INCLUDES TIREDNESS, FEVER, CHILLS, MUSCLES, MUSCLE ACHES, HEADACHES.
AND WITHIN ONE TO THREE DAYS OF THESE PRODROMAL SYMPTOMS, FOLKS START SEEING RASHES ALL OVER THE BO BODY.
THE RASHES BEGIN AS, UM, HEAT RASHES.
UH, RED MACULAR RASHES GO THROUGH DIFFERENT PHASES AND THEN END UP LOOKING LIKE PIMPLES AND BLISTERS, UH, WITHIN TWO TO FOUR WEEKS.
UH, THE RASH IS CENTRIFUGAL IN DISTRIBUTION, MEANING IT START, IT MAY START ON THE FACE INSIDE OF THE MOUTH, AND THEN GOES TO THE EXTREMITIES AND, AND, UH, UM, HANDS, HANDS, FEET IN THE GENITAL, GENITAL AREAS.
UM, WITH THIS, SO THIS IS THE TYPICAL PRESENTATION.
YOU SEE THE PRODROMAL SYMPTOM WITHIN ONE TO THREE DAYS, RASH APPEARS, BUT WITH THIS OUTBREAK, WE ARE ALSO SEEING CASES WHERE RASHES APPEAR FIRST FOLLOWED BY PRODROMAL SYMPTOMS. SOME CASES WE ARE JUST SEEING RASHES AND NO PRODROMAL SYMPTOMS, OR NO NON-SPECIFIC FLU-LIKE ILLNESSES DOCUMENTED IN, IN FEW CASES.
AND HERE ARE THE NEXT TWO SLIDES.
THIS ONE AND THE NEXT ONE GIVES YOU SOME VISUAL EXAMPLES OF MONKEY POX RASH.
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LIKE I SAID, THEY BEGIN AS MACULES PAPULES.THEY GO THROUGH DIFFERENT PHASES AND THEN END UP LOOKING LIKE THAT.
THOSE ARE, THOSE ARE THE CLASSIC LESIONS.
THEY'RE WELL CIRCUMSCRIBED, DEEP SEATED, EXTREMELY PAINFUL IS WHAT'S BEING REPORTED.
AND UMBILICATED, MEANING YOU HAVE A DOT ON TOP OF THOSE LESIONS.
AND ONCE THEY START HEALING, THE, THE PICTURE ON THE RIGHT SIDE IS WHERE YOU SEE THE SCABS FORMING.
ONCE THAT HAPPENS, THE LESIONS ARE DESCRIBED AS BEING THE SCABS FALL AND THE FRESH LETTER OF SKIN FORMS. AND THAT'S WHEN WE RELEASE THE CASES OF THE PATIENTS FROM ISOLATION.
THAT'S WHEN THE PATIENT TENDS TO BE NON-INFECTIOUS AS WELL.
HERE'S THE, UH, RISK, UH, BREAK.
HERE'S THE, UM, RISK CATEGORIZATION, UM, OR, OR THE RISK OF YOU CONTRACTING MONKEYPOX FROM YOUR DAILY, FROM YOUR DAILY ACTIVITIES.
AND SOME OF THOSE ACTIVITIES THAT YOU SEE INCLUDED ON THE GREEN BOX IS BASED ON THE MOST FREQUENTLY ASKED QUESTIONS THAT WE GET WHEN WE GO TALK TO RESIDENTS OR HAVE COMMUNITY FORUMS. SO NO SURPRISE HERE, YOU ARE AT MOST RISK WHEN YOU COME IN DIRECT CONTACT WITH INFECTIOUS RASH, SCABS, OR BODY FLUIDS, UM, OF A CONFIRMED CASE.
UH, YOU, YOUR RISK IS HIGHER WHEN YOU INDULGE IN THOSE ACTIVITIES LIKE KISSING CURDLING, WHERE THERE IS CHANCES OF YOU COMING IN BRIGHT SKIN TO SKIN, AS WELL AS, UH, COMING IN CONTACT WITH THE RESPIRATORY DROPLETS.
UM, I WANNA SPEND SOME TIME ON THAT GREEN, UH, GREEN BOX.
WE GET THIS, UH, WE GET ASKED THIS QUESTION ALL THE TIME.
MONKEYPOX IS NOT SOMETHING THAT ONE CAN GET THROUGH CASUAL CONTACT.
UH, YOU HAVE TO HAVE PROLONGED, UH, EXPOSURE TO DROPLETS OR PROLONGED EXPOSURE, SKIN TO SKIN CONTACT, UH, IN ORDER FOR YOU TO CONTRACT THIS INFECTION.
SO YOU CANNOT GET THIS INFECTION FROM YOUR COWORKER IN AN OFFICE SETTING.
YOU CANNOT GET THIS INFECTION BY TRYING ON CLOTHES IN YOUR, UH, RETAIL STORES, UM, OR, OR TRAVELING THROUGH AN AIRPORT.
UH, IT IS NOT WATERBORNE DISEASE.
SO YOU CANNOT GET THIS INFECTION BY SWIMMING, UM, BY VISITING A SWIMMING POOL OR ANY OTHER RECREATIONAL BODIES OF WATER.
AND YOU CERTAINLY CANNOT GET IT, UM, FROM YOUR GYM.
AND AGAIN, I SAY THIS BECAUSE THIS IS A HIGHLY SUSCEPTIBLE VIRUS, UH, VERY DELICATE, VERY PRONE TO BE TAKEN CARE OF, UM, ONCE YOU FOLLOW THE REGULAR CLEANING PROTOCOL.
SO YOUR LYSOL WIPES, YOUR CHLORAL WIPES, HIGHLY EFFECTIVE AGAINST, UH, UH, AGAINST THE MONKEY PX VIRUS.
SO WHAT DO YOU DO IF YOU HAVE MONKEY PX OR YOU'RE EVADING RESULTS? I ALREADY ALLUDED TO THIS.
IF YOU ARE A CONFIRMED CASE OR YOU'RE WAITING, YOU'RE PENDING YOUR TEST RESULTS, OUR RECOMMENDATION IS TO ISOLATE YOURSELF.
EXCLUDE YOURSELF FROM PUBLIC SETTING UNTIL YOUR PERIOD OF ISOLATION IS OVER, OR YOUR RESULTS ARE AVAILABLE TO YOU.
SO DURING THIS TIME, STAY APART FROM PEOPLE AND PETS.
UH, YOU MUST HAVE HEARD THIS ALREADY.
THERE WAS A CASE IN A DOG WHO HAD EXPOSURE TO TWO CONFIRMED CASES OF MONKEY POX.
SO YES, PET TRANSMISSION IS POSSIBLE.
SO WE RECOMMEND THAT YOU ISOLATE YOURSELF, NOT JUST FROM YOUR HOUSEHOLD MEMBERS, BUT ALSO FROM YOUR PETS PRACTICE.
WEAR A MASK AROUND OTHERS AND USE SEPARATE U TONSILS, DISHES AND CUPS TO PREVENT THOSE FROM MY TRANSMISSIONS.
AND IF YOU NEED TO LEAVE YOUR HOME TO SEEK MEDICAL ATTENTION, AVOID PUBLIC TRANSPORTATION, PLEASE WEAR A MASK AND COVER UP ALL THE RASH WITH CLOTHING OR BANDAGE AT ALL TIMES.
UM, THE OTHER THING IS WE GET ASKED ABOUT SEXUAL TRANSMISSIONS.
WE DON'T KNOW IF SEXUAL TRANSMISSION IS POSSIBLE.
TWO, WE DON'T KNOW HOW, HOW LONG IT WOULD, UM, HOW LONG WOULD THAT PERIOD OF INFECTIOUSNESS LAST AS WELL, UM, WITH REGARDS TO SEXUAL TRANSMISSIONS.
SO SOME COUNTRIES AT THIS TIME ARE RECOMMENDING THAT, UH, FOLKS, UH, CONFIRM CASES, PRACTICE SAFE SEX PRACTICES FOR AT LEAST EIGHT WEEKS AFTER INFECTION.
SO HOW CAN YOU PREVENT, UH, GETTING THIS INFECTION? UH, THERE ARE TWO STRATEGIES.
THE KEY STRATEGY IS TO AVOID ALL THOSE MODES OF TRANSMISSION THAT I HAD, UH, DELINEATED, RIGHT? SO AVOID COMING IN CLOSE, DIRECT SKIN TO SKIN CONTACT, ESPECIALLY WITH, UH, WITH A CASE OF MONKEYPOX OR SOMEONE WHO HAS NEW OR UNEXPLAINED RASHES.
SO YOU CAN DO THIS IN PUBLIC SETTING BY GREETING WITHOUT KISSING, LIMITING PHYSICAL CONTACTS TO CLOSED AREAS.
PRACTICE GOOD HAND HYGIENE THAT IS IMPORTANT NOT JUST FOR MONKEYPOX OR, BUT FOR ALL INFECTIOUS DISEASES.
USE YOUR OWN UTENSIL CUPS INSTEAD OF SHARING.
AND MOST IMPORTANT, IF YOU'RE SICK OR HAVE A NEW UNEXPLAINED RASH, PLEASE STAY HOME AND GET EVALUATED IN SHARED HOW HOUSEHOLDS WHERE SOMEONE HAS MONKEYPOX.
THESE MEASURES ARE WHAT WE'VE BEEN RECOMMENDING FOR COVID AS WELL.
UM, WEAR A MASK IN SHARED PUBLIC SPACES WITHIN YOUR HOUSEHOLD.
CLEAN FREQUENTLY, UH, TOUCH SURFACES, HIGHTEST SURFACES SHOULD BE CLEANED AND DISINFECTED AS AS FREQUENTLY AS POSSIBLE.
COVER SHEETS OF WATERPROOF COVERS SHOULD BE USED OVER UPHOLDER FURNITURE OR, OR POROUS MATERIALS THAT CANNOT BE LAUNDERED.
[00:25:01]
CLEANING SUPPLIES HAVE ALREADY MENTIONED THIS.ALL THE CLEANING SUPPLIES DISINFECTANTS EFFECTIVE AGAINST CO UH, COVID IS ALSO EFFECTIVE AGAINST MONKEY PX.
AND YES, YOU DON'T HAVE TO BONE YOUR CLOTHES OR, OR DISCARD YOUR CLOTHES.
ROUTINE LAUNDERING AND DRYING WILL KILL, KILL MONKEY PX.
THE SECOND STRATEGY FOR PREVENTION IS VACCINES.
UH, THERE ARE TWO VACCINES THAT ARE CURRENTLY F D AUTHORIZED, AND THESE ARE THE SAME VACCINES THAT WE USED AGAINST SMALLPOX, WHAT'S AVAILABLE IN OUR, IN OUR COMMUNITY.
AND WHAT IS PREFERRED IS THE GENOS VACCINE.
GENOS IS A TWO DOSE VACCINE GIVEN, UM, AT LEAST, UH, 28 DAYS APART.
VACCINES ARE LIMITED, AND THAT IS WHY YOU SEE THE PRIORITIZATION HERE.
SO THIS IS A PRIORITIZATION FOR BAYER COUNTY, AND THE IDEA IS TO MAKE SURE THAT IN THIS CLIMATE OF LIMITED VACCINES, THAT VACCINES GET TO FOLKS WHO ARE MOST AT RISK FOR GETTING EITHER, UH, SEVERE DISEASE OF MONKEYPOX OR GETTING MONKEYPOX PER SE.
SO THE PRIORITY ONE IS, UH, IS YOUR CLOSE CONTACT.
SO THOSE ARE THE FOLKS WHO ARE AT THE HIGHEST RISK OF GETTING MONKEYPOX AT THIS TIME.
AND PRIOR, THESE ARE THE FOLKS THAT, UH, ARE TAKEN CARE OF BY OUR EPI STAFF.
THEY'RE IDENTIFIED DURING OUR CASE INVESTIGATION.
AND BY THE WAY, EVERY CASE OF MONKEYPOX, IT'S A, IT'S A NATIONALLY REPORTABLE CONDITION.
IT'S A REPORTABLE CONDITION HERE IN THE STATE OF TEXAS.
WHAT THAT MEANS IS THAT EVERY PROVIDER AND LAB THAT MAKES A DIAGNOSIS OF MONKEYPOX IS REQUIRED BY STATE LAW TO REPORT TO LOCAL PUBLIC HEALTH DEPARTMENT.
SO ONCE WE GET REPORTED, WE INITIATE A PUBLIC, UM, HEALTH INVESTIGATION.
AND AS PART OF THAT INVESTIGATION IS WHERE WE IDENTIFY THE CONTACTS.
ONCE THE CONTACTS ARE IDENTIFIED, THE VACCINES ARE OFFERED AND ADMINISTERED.
IF CONSENTED TO THE SECOND PRIORITY IS YOUR, UH, PRIORITY POPULATION ARE YOUR PRESUMED EXPOSURES OR PRESUMED CONTACTS.
AND THE THIRD ARE THOSE FOLKS WHO ARE AT RISK FOR SEVERE DISEASES.
AND ONCE THE VACCINES BECOME MORE AVAILABLE, WIDELY AVAILABLE HERE IN OUR COMMUNITY, WE WILL CERTAINLY OPEN UP THIS VACCINE ELIGIBILITY TREATMENT.
THERE IS NO SPECIFIC TREATMENT FOR MONKEYPOX.
THE CURRENT TREATMENT THAT IS, THAT IS, UH, RECOMMENDED OR ASKED BY C D C TO BE CONSIDERED IN FOLKS WHO ARE AT RISK FOR SEVERE ILLNESS OR, UH, FOLKS WHO HAVE SEVERE ILLNESS IS TPO UMAB.
IT'S THE SAME ANTIVIRAL AS F D APPROVED FOR TREATMENT FOR SMALLPOX.
UH, METRO HEALTH HAD REQUESTED, UH, CASH OF, UH, TPOS, UH, TO BE MADE AVAILABLE HERE LOCALLY, SO OUR PROVIDERS COULD HAVE EASY ACCESS TO THIS.
SO WE DID REQUEST THAT OF C D C C D C DID SEND US 15 COURSES OF TPO AND PROVIDERS CAN, UH, REQUEST TPOS BY CALLING THAT NUMBER, WHICH IS OUR 24 7 EPI LINE.
AND MANY OF THEM HAVE ALREADY DONE THAT.
I SAID, WE GOT 15 COURSES, SIX HAVE ALREADY BEEN DISPENSED.
SO WE DO HAVE THE REMAINING IN OUR INVENTORY, AND WE DO HAVE THE CAPACITY TO REQUEST FOR ADDITIONAL DOSES SHOULD THERE BE A NEED.
SO WHAT IS METROHEALTH DOING? I'VE ALLUDED TO MANY OF THEM ALREADY.
UM, WE ARE CONTINUING WITH A SURVEILLANCE, UH, UH, OUR, UH, PUBLIC.
THIS IS OF, AS SOON AS A CASE IS NOTIFIED, WE LAUNCH AN INVESTIGATION WITHIN 24 HOURS TO IDENTIFY THE CASE, MAKE SURE THE ISOLATION GUIDANCE IS PUT IN PLACE, IDENTIFY THE CONTACTS, MAKE SURE THE VACCINES ARE OFFERED, AND WE ALSO GO AHEAD AND GIVE THE QUARANTINE GUIDANCE TO THESE CLOSE CONTACTS.
UH, WE ALSO CONTINUE TO SUPPORT TESTING AND CASE CONFIRMATION.
OUR PUBLIC HEALTH LAB WAS THE ONLY LAB TESTING FOR MONKEY POX FOR DURING THE FIRST EIGHT WEEKS OF THIS OUTBREAK.
IT WAS JUST PUBLIC HEALTH LABS THAT HAD THE CAPACITY FOR TESTING.
NOW, FOR ADDITIONAL BIG, LARGE COMMERCIAL DIAGNOSTIC LABS HAVE, HAVE BEEN ONBOARDED BY C D C.
SO THERE ARE TESTING AVAILABLE THROUGH COMMERCIAL LABS AS WELL.
UM, BUT METRO HEALTH CONTINUES TO PROVIDE TESTING, ESPECIALLY FOR THOSE UNINSURED OR UNDERINSURED FOLKS.
WE SUPPORT TESTING FOR 46 COUNTIES, BOTH REGION EIGHT AND REGIONAL LEMON COUNTIES.
AND TO DATE, WE HAVE CONDUCTED 62 DIAGNOSTIC TESTS AND WE PROVIDE ACCESS TO VACCINES.
LIKE I SAID, WE HAVE RECEIVED TWO, TWO SHIPMENTS OF GENOS VACCINE HERE.
THE FIRST SHIPMENT WAS FOR A THOUSAND DOSES, WHICH IS REALLOCATED TO THE SIX EIGHT SERVICE ORGANIZATIONS.
THE SECOND SHIPMENT WAS FOR 2000 MILES.
AND WE ARE WAITING TO REALLOCATE THAT DEPENDING ON THE REQUEST THAT WE GET FROM THE PROVIDERS.
WE ALSO, UH, PROVIDE ACCESS TO TREATMENT THAT WAS ALREADY COVERED.
AND THEN WE CONTINUE WITH OUR, UH, EDUCATION TECHNICAL ASSISTANCE CALL TO THE PROVIDERS THROUGH HEALTH ALERTS, UH, OR HEALTH ADVISORIES AND WEBINARS, AND, UM, CONTINUE TO ENGAGE IN COMMUNITY FORUMS AND, UH, UM, EDUCATIONAL SESSIONS INVOLVING, UH, SCHOOLS, UM, UH, COLLEGES.
UM, WE'VE ALSO DONE, UM, A TRAINING FOR, UH, COMMUNITY HEALTH WORKERS WHO WE PLAN TO USE AS OUR AMBASSADORS, UH, TO RAISE, UH, AWARENESS IN THE COMMUNITY.
AND I THINK THAT BRINGS IT TO THE END OF MY PRESENTATION, AND I WANT TO END BY SAYING
[00:30:01]
RISK IS CERTAINLY BASED ON BEHAVIORS AND EXPOSURES, NOT SEXUAL ORIENTATION.SO LET'S NOT REPEAT THE 1980S HISTORY WITH AIDS, RIGHT? SO LET'S, UH, IT'S VERY IMPORTANT TO REMEMBER TO AVOID STIGMA AND FEAR-BASED EXCLUSIONS.
KIAN, FOR, I KNOW IT WAS FAST, BUT IT WAS, UH, VERY THOROUGH.
THANK YOU, CLAUDE, FOR ACCOMMODATING THE, THE REQUEST.
UH, DO WE HAVE ANY QUESTIONS FROM OUR COUNCIL MEMBERS AT THIS TIME? THEY'RE ALL SPENT OUT.
THEY HAD A VERY LONG COMMITTEE MEETING EARLY, OH, GO AHEAD.
I, I THANK YOU FOR THE PRESENTATION.
UH, HAVE WE LOOKED AT DIFFERENT MUNICIPALITIES, UH, THROUGHOUT THE NATION TO SEE, UM, WITH COMPARABLE SIZE, OF COURSE, THAT HAVE A HIGHER, UM, FULLY VACCINATED RATE THAN WE HAVE? AND HAVE WE LOOKED TO SEE WHAT METHODS THEY'VE EMPLOYED TO INCREASE THE FULLY VACCINATED RATE? WITH REGARDS TO COVID? YES.
UH, NATIONWIDE, WE HAVEN'T, BUT PRETTY MUCH I CAN SAY, UH, ANECDOTALLY, UH, THE PROCESSES THAT WE HAVE IMPLEMENTED, UM, HAVE BEEN USED AS MODEL PRACTICES IN SOME OF THE JURISDICTIONS ACROSS THE NATION.
AND IF YOU LOOK IN THE STATE OF TEXAS, UH, WE FALL, WE LAG SLIGHTLY BEHIND AUSTIN THE LAST TIME I LOOKED.
UH, SO I THINK WE ARE DOING PRETTY GOOD.
I KNOW THE VACCINATION COVERAGE IS PRETTY STEADY FOR A LONG TIME.
AND, UH, WE THOUGHT WITH THE, UM, INTRODUCTION OF NOVAVAX, WHICH IS MADE OFF OF THE TRADITIONAL VACCINE PRODUCTION PLATFORM THAT WE MAY SEE AN UPTICK.
WE HAVE NOT SEEN, UM, WELL, ZERO DOSES OF, LET ME PUT IT THAT WAY.
ZERO DOSES OF NOVAVAX HAS BEEN ADMINISTERED SINCE IT BECAME AUTHORIZED HERE IN OUR COMMUNITY.
AND NO DOUBT Y'ALL HAVE BEEN DOING A PHENOMENAL JOB IN CONNECTING COMMUNITY TO THE VACCINE.
AND DO WE HAVE A BALANCE OF HOW MANY GIFT CARDS WE STILL HAVE LEFT OVER? SO THE GIFT CARDS, ALL THE H E B GIFT CARDS THAT WERE ROLLED OUT AS PART OF THE C D C GRANT HAVE ALL BEEN USED UP.
BUT, BUT STAY TUNED NEWS TO COME ON THAT FRONT.
STILL PLENTY OF WORK AHEAD, BUT I, I KNOW Y'ALL GOT THIS COVERED.
UM, I'M REALLY GLAD TO SEE THE DESCRIPTION OF THE COMMUNITY AWARENESS THAT THE, THAT THE WHOLE DEPARTMENT IS DOING, UM, COLLEGE CAMPUSES UNDERWAY, THAT'S THE UNIVERSITIES AS WELL AS THE, UM, COMMUNITY COLLEGES HAPPENING.
UM, SO, UH, THANK YOU SO MUCH FOR THE PRESENTATION.
I THINK WE'LL GO ON TO, OH, COUNCILWOMAN, GO AHEAD.
SO THE BOOSTER, DO WE HAVE A PLAN OF HOW WE'RE GOING TO OFFER THAT, UM, IN THE COMMUNITY, THE BIBLE IN FORMULATIONS? YES.
SO IT'S GOING TO BE ROLLED OUT JUST LIKE ALL THE OTHER BOOSTERS.
FEDERAL GOVERNMENT IS PLANNING ON GIVING IT TO ALL COVID 19 VACCINE PROVIDERS, NOT JUST THE HEALTH DEPARTMENT.
SO IT'LL BE AVAILABLE IF ALL GOES WELL, IT SHOULD BE AVAILABLE IN YOUR DOCTOR'S OFFICES WITH COVID.
THINGS HAVE CHANGED ALL THE TIME.
SO I HAVE TO SAY AT THIS TIME, BASED ON THE INFORMATION WE HAVE, THESE BOOSTER DOSES WILL BE AVAILABLE IN YOUR DOCTOR'S OFFICE, RETAIL PHARMACIES, IN YOUR PUBLIC HEALTH CLINICS.
AND SO WE PLAN TO, UH, PROVIDE THIS BOOSTER FORMULATION, JUST LIKE WE PROVIDE BOOSTERS AND C OVID 19 VACCINES IN OUR POPUPS AND, UH, IN OUR CLINICS.
I LOOK FORWARD TO GETTING THE MARKETING TO ROLL THAT OUT TO LET THEM KNOW THAT THEY CAN GO TO THEIR DOCTORS AND PHARMACIES ALSO.
UM, MADAM CLERK, WE WILL BE HEARING, I BELIEVE, ITEMS THREE AND FOUR TOGETHER.
UM, AND THERE IS NO ACTION REQUIRED ON THESE.
IS THAT CORRECT, MR. MCCAREY AND THE CLERK? OKAY.
SO IF YOU COULD READ THE CAPTION, PLEASE, THEN WE'LL, UM, WE'LL MOVE THEM TO THAT ITEM.
ITEM NUMBER THREE IS METRO HEALTH RESPONSE TO THE COUNCIL CONSIDERATION REQUEST REQUIRING THAT SCHOOLS AND UNIVERSITIES, WHICH RECEIVE CITY FUNDING ENSURE INSTRUCTION ON FAMILY VIOLENCE, CHILD ABUSE, AND HUMAN TRAFFICKING.
ITEM NUMBER FOUR IS THE METRO HEALTH RESPONSE TO THE CITY COUNCIL CONSIDERATION REQUESTS REQUIRING DOMESTIC VIOLENCE AND SEX TRAFFICKING PREVENTION SIGNAGE AT PLACES OF PUBLIC ACCOMMODATION, AND AMPLIFYING AWARENESS OF THOSE, THESE SUBJECTS THROUGH CITY TOUCHPOINTS.
GOOD AFTERNOON, AND THANK YOU AGAIN FOR THE OPPORTUNITY TO DISCUSS THE CCRS RELATED TO DOMESTIC VIOLENCE, HUMAN TRAFFICKING, AND CHILD ABUSE.
SO, JUST A CONTEXT, AGAIN, SAN ANTONIO, COMPARED TO THE COUNTRY'S OTHER LARGE CITIES, HAS WITNESSED HIGHER RATES OF THIS KIND OF ABUSE, SPECIFICALLY DOMESTIC VIOLENCE AND INTIMATE PARTNER
[00:35:01]
VIOLENCE.TOO OFTEN, THESE TOXIC RELATIONSHIPS RESULT IN FORESEEABLE AND PREVENTABLE DEATHS.
AND SO IN TEXAS, ONE IN THREE WOMEN AND ONE IN FOUR MEN EXPERIENCE DOMESTIC VIOLENCE.
IN THEIR LIFETIME, 25% OF THE PEOPLE TRAFFICKED IN THE UNITED STATES PASSED THROUGH THIS STATE.
AND IN SAN ANTONIO, UH, 22 FAMILY VIOLENCE RELATED HOMICIDES OCCURRED IN 2021 AND 14,000.
UM, 552 DV VICTIMS WERE SERVED BY S A P D AND METRO HEALTH CRISIS RESPONSE ADVOCATES IN 2020.
AND JUST KNOW THAT SS A P D RECEIVED, UH, 71,000, OVER 71,000 CALLS RELATED TO FAMILY VIOLENCE IN 2021.
VERY, VERY SOBERING STATISTICS.
SO THIS IS JUST A QUICK, UH, REMINDER IN TERMS OF THIS CAMPAIGN THAT'S BEEN HAPPENING, UH, HERE IN THE CITY FOR SOME TIME.
BACK IN 2019, THE CITY OF SAN ANTONIO ADOPTED A COMPREHENSIVE DOMESTIC VIOLENCE PREVENTION PLAN.
THIS SET IN MOTION AN EFFORT TO MOBILIZE STAFF AND COMMUNITY STAKEHOLDERS TO ADDRESS THIS ISSUE ACROSS THE CITY AND THE COUNTY.
THIS WORK IS ANCHORED TO THE COLLABORATIVE COMMISSION ON DOMESTIC VIOLENCE, ALSO KNOWN AS C C D V CO-CHAIRED BY DEPUTY CITY MANAGER MARIA VILLA GOMEZ, AND THE HUNDRED 50TH DISTRICT COURT JUDGE MONIQUE DIAZ.
AS A RESULT WITH THIS, UM, C C R, METRO HEALTH HAS BEEN WORKING HARD ON PREVENTION THROUGH A NUMBER OF FRONTS, INCLUDING CREATING AND LAUNCHING A PUBLIC AWARENESS CAMPAIGN, COORDINATING A SYSTEM SYSTEMIC APPROACH, UM, TO ADDRESS DOMESTIC VIOLENCE AS A PUBLIC HEALTH ISSUE, AND RESPONDING TO IMMEDIATE NEEDS FOR CLIENT INTERVENTION.
SO THE ONGOING IMPACTS AND DISRUPTIONS OF THE C OVID 19 PANDEMIC HAVE FORCED US TO PIVOT, GIVEN NEW CHALLENGES, AND TO LEAN IN EVEN MORE TO ADDRESS THIS ISSUE.
SO, JUST BACKGROUND, ON OCTOBER 18TH OF, UH, 2021 LAST FALL, COUNCILMAN UM, UH, MANNY PEZ ISSUED THREE, UH, COUNCIL CONSIDERATE RE CONSIDERATION REQUESTS, DIRECTING CITY STAFF TO ONE, UH, DRAFT AN ORDINANCE TO REQUIRE THAT ALL PLACES OF PUBLIC ACCOMMODATION DISPLAY CLEARLY, UH, VISIBLE SIGNAGE IN BATHROOMS, FEATURING DOMESTIC VIOLENCE AND SEX TRAFFICKING PREVENTION RESOURCES.
THE SECOND ONE, DEVELOP AND OPERATIONALIZE A PLAN TO EQUIP CITY AND CITY AFFILIATED ORGANIZATIONS WITH REQUIREMENTS TO DISTRIBUTE, UH, INFORMATIONAL RESOURCES REGARDING, UH, DOMESTIC VIOLENCE, FAMILY VIOLENCE, AND HUMAN TRAFFICKING.
AND LASTLY, DRAFT AN ORDINANCE REQUIRING SCHOOLS, COLLEGES, AND UNIVERSITIES THAT RECEIVE CITY FUNDING TO PROVIDE ITS STUDENTS WITH INSTRUCTION ABOUT FAMILY VIOLENCE, CHILD ABUSE, AND HUMAN TRAFFICKING.
SO SINCE THEN, IN, UH, THE, EARLIER THIS YEAR, IN JANUARY, WE PRESENTED AN INITIAL RESPONSE TO THE GOVERNANCE COMMITTEE, AND SUBSEQUENTLY WERE ASKED TO PRESENT THIS TOPIC TO CHECK, UH, TO THIS BODY, WHICH WE DID BACK IN MARCH ON MARCH 8TH.
DURING THIS LAST MEETING, UH, YOU HAD SOME QUESTIONS AND ASKED THAT WE REPORT BACK, AND THAT'S WHAT WE'RE DOING TODAY WITH PRELIMINARY RECOMMENDATIONS.
SO, SINCE MARCH, UH, OUR TEAM HAS BEEN ADDED, WE'VE CONSULTED WITH THE CITY ATTORNEY'S OFFICE AND OTHER COSA DEPARTMENTS.
WE'VE GATHERED EXAMPLES FROM OTHER CITIES.
WE'VE CONTACTED BUSINESS GROUPS AND SUBJECT MATTER EXPERTS, AS WELL AS A NUMBER OF SCHOOL DISTRICTS, COLLEGES AND UNIVERSITIES.
IN ADDITION, OUR TEAM GATHERED FEEDBACK ABOUT SIGNAGE BY HOLDING AN AD HOC FOCUS GROUP MADE UP OF COMMUNICATIONS AND PUBLIC HEALTH EXPERTS, AS WELL AS MEMBERS OF THE LGBTQ PLUS COMMUNITY AND THE NONPROFIT COMMUNITY, INCLUDING DOMESTIC VIOLENCE EXPERTS.
SO, WITH THIS IN BROAD STROKES, METRO HEALTH WILL CONTINUE TO SUPPORT THE CITYWIDE, UH, LOVE IS CAMPAIGN, WHICH YOU SAW DEPICTED ON THE THIRD SLIDE, AND WILL ENCOURAGE COMMUNITY PARTNERS TO CONTINUE THEIR COMMITMENT AS WELL.
WE RECOGNIZE THE NEED TO BROADEN OUR ROLE BEYOND A FOCUS ONLY ON DIRECT CLIENT SERVICES, BUT TO LEAN IN A BIT MORE BY AMPLIFYING OUR REACH FURTHER UPSTREAM THROUGH OUR PRIMARY PREVENTION EFFORTS.
TO THAT END, THIS YEAR'S, UH, BUDGET OVER AT METRO HEALTH INCLUDES FOUR NEW POSITIONS TO EXPAND OUR OUTREACH AND EDUCATION EFFORTS.
IN ADDITION, THE LOVE IS CAMPAIGN.
UM, IN ADDITION, WE WILL CONDUCT, UH, EDUCATION AND OUTREACH THROUGH THE YEAR WITH EXTRA EMPHASIS OCCURRING IN FEBRUARY, WHICH IS NATIONAL TEEN DATING VIOLENCE PREVENTION MONTH, AS WELL AS OCTOBER, WHICH IS DOMESTIC VIOLENCE AWARENESS MONTH.
UH, LATER THIS FALL, WE WILL HOLD THE THIRD ANNUAL DV SYMPOSIUM, DISTRIBUTE SIGNS, DECALS, AND A WIDE RANGE OF EDUCATIONAL MATERIALS.
SO, WITH THAT, UM, AND AS YOU KNOW, AGAIN, WITH THE C C R, IT WOULD REQUIRE THAT ALL PLACES OF PUBLIC ACCOMMODATION DISPLAY IN BATHROOMS CLEARLY VISIBLE SIGNAGE FEATURING DOMESTIC VIOLENCE AND SEX TRAFFICKING PREVENTION RESOURCES.
SO, I WANNA SHARE RELATED TO THIS, TO THE FOCUS OF THIS C C R, THE FOLLOWING THAT HAVE ALREADY BEEN IMPLEMENTED TO DATE, 10,000 DECALS WITH INFORMATION ABOUT DOMESTIC VIOLENCE AND HOW TO SEEK ASSISTANCE IN BOTH ENGLISH AND SPANISH HAVE BEEN DISTRIBUTED TO BUSINESSES, CITY FACILITIES, SCHOOL DISTRICTS, AND COMMUNITY PARTNERS.
[00:40:01]
ADDITION, METRO HEALTH FOOD INSPECTORS PROVIDED DECALS TO AREA RESTAURANTS DURING ROUTINE INSPECTIONS.AND LASTLY, THIS SIGNAGE WILL, UM, WAS ALSO INCLUDED IN A SPECIAL MULTI-PAGE INSERT IN THE SAN ANTONIO WOMEN'S MAGAZINE.
THE OCTOBER ISSUE OF LAST FALL AND EXTRA 4,000 COPIES WERE MADE AVAILABLE FOR DISTRIBUTION THROUGH COMMUNITY PARTNERS AND C C D V MEMBERS.
AGAIN, THE COLLABORATIVE COMMISSION ON DOMESTIC VIOLENCE MEMBERS, THE MULTI-PAGE PACKET INCLUDED RESOURCES AND ADDITIONAL MATERIALS ON THE ONGOING WORK BY THE C C D V.
IN TERMS OF THIS C C R, UM, IN TERMS OF AMPLIFYING OUR MESSAGING, UM, THIS WOULD AMPLIFY THE IMPACT OF SIGNAGE BY UTILIZING CITY DEPARTMENTS AND CITY RELATED TOUCHPOINTS TO DISPLAY THE SAME SIGNAGE.
HERE ARE SOME WAYS WE'RE ALREADY DOING THIS ACROSS THE CITY OF SAN ANTONIO, AS I MENTIONED, THE CITY AND THE COUNTY HAVE ESTABLISHED THE C C D V, WHICH PROVIDES A STRUCTURE FOR SUPPORTING THIS EFFORT.
THE C C D V IS ORGANIZED IN A NUMBER OF COMMITTEES.
UH, FOR EXAMPLE, AGAIN, THE HEALTHCARE COMMITTEE, UM, REALLY HELPED US TO DEVELOP THE LOVE IS CAMPAIGN, WHICH IS A COMMUNITY AWARENESS CAMPAIGN, WHICH INCLUDED, UH, PLACING PLACEMENTS ON TV, RADIO, PRINT ADS, SOCIAL MEDIA, UM, AND FUNDING PROVIDED BY THE CITY AND OUR, AND OUR PARTNERS AT UNIVERSITY HEALTH.
UM, AGAIN, THESE RESOURCES, UH, ARE, UH, ALSO ARCHIVED ON A WEBSITE, UM, CCD V.ORG.
UM, AND IN ADDITION, COMMUNITY OUTREACH AND EDUCATIONAL PRESENTATIONS HAVE BEEN HELD, INCLUDING TRAINING ON RESOURCES THAT WERE PROVIDED TO COMMUNITIES AND SCHOOLS.
REGION 20, THE SAN ANTONIO CHAMBER OF COMMERCE, AND MANY SCHOOL DISTRICTS.
SO, RESOURCES AND MESSAGES RELATED TO DOMESTIC VIOLENCE ARE DISTRIBUTED THROUGH ENTITIES RECOMMENDED IN THE C C R IN COORDINATION WITH OUR C C D V PARTNERS.
ADDITIONAL CONDUITS FOR THIS OUTREACH MAY INCLUDE ADDITIONAL CITY PART, UH, DEPARTMENTS AND THEIR DELEGATE AGENCIES, THE, WHICH INCLUDE THE, THE, UM, THE SAN ANTONIO FOOD BANK, UH, MUNICIPAL COURT, PRE-K S A RIGHT TO COUNCIL AGENCIES, SAN ANTONIO PUBLIC LIBRARIES, SAWS, AND C P S ENERGY VIA, UM, AND, UH, WORKFORCE SOLUTIONS, ALAMO AND OTHER WORKFORCE RELATED DELEGATE AGENCIES.
SO, WITH THIS LAST, UH, C C R, THEN FOR ADDITIONAL CONTEXT RELATED TO THIS PARTICULAR ONE, IN 2021, UM, UH, UH, STATE BILL WAS PASSED, UH, WHICH REQUIRED ALL PUBLIC SCHOOL DISTRICTS K TO K TO 12, UH, TO PROVIDE ADDITIONAL APPROPRIATE GRADE LEVEL CURRICULUM FOR INSTRUCTION REGARDING CHILD ABUSE, FAMILY VIOLENCE, DATING VIOLENCE, AND SEX TRAFFICKING, INCLUDING LIKELY WARNING SIGNS THAT THE CHILD MAY BE AT RISK FOR HUMAN TRAFFICKING.
AGAIN, SENATE BILL NINE IN THE 87TH LEGISLA LEGISLATURE CHANGED SEVERAL PORTIONS OF THE TEXAS EDUCATION CODE.
SO THIS LAW REQUIRES THAT PARENTS PROVIDE WRITTEN CONSENT FOR STUDENTS TO PARTICIPATE IN THIS CURRICULUM.
EFFECTIVE, AGAIN, THIS, UH, ACADEMIC, UH, CALENDAR YEAR.
A CITY ORDINANCE REQUIRING INSTRUCTION IN THESE TOPICS WOULD ONLY PERTAIN TO PRIVATE SCHOOLS AND UNIVERSITIES AND COLLEGES WITHIN CITY LIMITS, BECAUSE THEY'RE NOT REQUIRED TO PROVIDE INSTRUCTION ON THESE TOPICS BY STATE LAW.
SO, IN TERMS OF RECOMMENDATIONS, SO THE PUBLIC HEALTH FRAMEWORK IS ORGANIZED, UH, IN 10 ESSENTIAL SERVICES THAT ARTICULATE HOW WE ASSESS THE PATTERNS OF DISEASE AND THE FACTORS THAT IMPACT THE QUALITY OF LIFE IN OUR JURISDICTIONS.
THAT WE FRAME POLICIES, EFFECTIVE POLICIES ON THE GROUND, AND THAT WE ASSURE THE CONDITIONS WHERE ALL CAN BE HEALTHY.
SO THIS IS AN EXAMPLE OF HOW WE CAN APPLY ESSENTIAL SERVICE NUMBER THREE, WHICH IS ABOUT COMMUNICATING EFFECTIVELY TO INFORM AND EDUCATE ABOUT HEALTH ISSUES.
SO OUR RECOMMENDATION IS TO DEMONSTRATE AN INTENTIONALITY FOR AN INCREASED AWARENESS OF RESOURCES TO BE FAR REACHING AND SPREAD ACROSS CITYWIDE OPERATIONS.
SO WE'LL WORK WITH THE CITY ATTORNEY'S OFFICE TO DRAFT AN ORDINANCE TO INCLUDE ENFORCEMENT AND ANY POSSIBLE EXCEPTIONS.
A POSSIBLE ENFORCEMENT PLAN FOR A SIGNAGE REQUIREMENT COULD INCLUDE, UH, A ONE YEAR GRACE PERIOD TO ALLOW FOR OUTREACH AND EDUCATION LOCATIONS WHERE METRO HEALTH CON, UH, CONDUCTS OUR ROUTINE, UH, INSPECTIONS.
IF THERE'S NO SIGNAGE, UH, IT COULD BE SOMETHING LIKE A WARNING, THEN A CITATION.
BUT WE, AGAIN, WE HAVE TO WORK OUT THE DETAILS IN TERMS OF WHAT THAT WOULD LOOK LIKE.
IT'S NOT INTENDED TO BE ABATE.
THIS IS REALLY ABOUT AMPLIFYING AND INFORMING AND EDUCATING, RATHER THAN JUST, UM, TRYING TO POLICE A BEHAVIOR.
SO, FOR LOCATIONS THAT METRO HEALTH DOES NOT INSPECT ROUTINELY, WE COULD CONSIDER A TYPE OF COMPLAINT BUS, UM, COMPLAINT BASED CALLS THAT WOULD GO TO 3 1 1.
WITH REGARD TO THE SCHOOL CURRICULA IN RESPONSE TO THIS, C C R, METRO HEALTH RECOMMENDS CONTINUING PRIMARY PREVENTION EFFORTS BASED ON EVIDENCE-BASED PUBLIC HEALTH STRATEGIES THAT ARE ALREADY IN PLACE OR BEING SET IN MOTION.
A PUBLIC HEALTH APPROACH, AS WE SHARED BEFORE, IS NOT A QUICK ANSWER.
IT TAKES TIME AND COMMITMENT, BUT EVIDENCE SHOWS THAT IT WORKS FOR THE LONG TERM.
SO, WITH THIS, DOMESTIC VIOLENCE IS A GREAT CONCERN FOR OUR COMMUNITY, AND IT DE DESERVES GREAT ATTEN GREAT RESPONSE.
SIGNAGE IS JUST ONE PIECE OF THE PUZZLE THAT REQUIRES A MULTI-LEVEL INTERVENTION, UM, UH, MULTI-LEVEL INTERVENTION.
[00:45:01]
APPROACH INCLUDES OFFERING NO COST, UH, PARENTING SUPPORT CLASSES, UM, THROUGH THE TRIPLE P, UH, CURRICULUM AND EVIDENCE-BASED PROGRAM USED IN MORE THAN 30 COUNTRIES.AND DESIGNED TO HELP PARENTS, UM, UH, MODEL HEALTHY RELATIONSHIPS, SET BOUNDARIES, AND LEARN HOW TO RECOGNIZE EMOTIONS.
TRIPLE P HAS BEEN SHOWN TO REDUCE CHILD MALTREATMENT ACROSS, UH, TRIAL CHILD MALTREATMENT RATES ACROSS COMMUNITIES.
ADDITIONALLY, THE C C D V FOCUSES ON A SYSTEM APPROACH TO ADDRESSING DV HERE AS A COLLECTIVE PROBLEM.
UM, THAT BODY RECOGNIZES THAT DV NEEDS TO BE ADDRESSED, NOT BY JUST ONE ORGANIZATION, BUT BY THE COLLABORATION OF MANY PARTNERS.
AGAIN, IT TAKES A VILLAGE TO, UM, UM, UH, IT TAKES A VILLAGE TO RAISE A HEALTHY COMMUNITY.
AND AS A PART OF THIS APPROACH, THE C C D V HAS TWO COMMITTEES WORKING ON THIS EDUCATION EFFORT.
THE NONPROFIT COMMITTEE AND THE EDUCATION COMMITTEE BOTH ARE MADE UP OF SUBJECT MATTER EXPERTS FROM OUR COMMUNITY AND ARE WORKING TO IMPLEMENT ITS PROPOSED STRATEGY TO SEE HOW EVIDENCE-BASED CURRICULA ON TEEN DATING VIOLENCE CAN BE USED IN SCHOOLS.
SO, THAT CONCLUDES MY REPORT, AND I'M JOINED BY MEMBERS OF MY STAFF TO RESPOND TO ANY QUESTIONS THAT YOU MAY HAVE.
UH, CLERK, I DON'T SEE ANY SPEAKERS ON THE QUEUE.
DO YOU HAVE ANY SPEAKERS IN THE QUEUE? I REQUESTED JUST RIGHT NOW.
UM, WE'LL START WITH COUNCILWOMAN VERAN, OUR VETERAN FROM THE, UH, DOMESTIC VIOLENCE TEAM.
UM, I LIKE THE IDEA OF AMPLIFYING THE MESSAGE.
MY, SO WHO, WHO WOULD BE ENFORCING THIS IF WE DO CC C R ONE AND TWO? WOULD THAT BE METRO HEALTH? SO THAT WOULD BE ANCHORED TO THE WORK OF OUR DEPARTMENT.
RIGHT NOW, WHAT WE'RE PROPOSING ARE TWO TOUCH POINTS.
ONE ANCHORED TO THE WORK OF OUR, UH, INSPECTORS, OUR FOOD INSPECTORS.
THE OTHER IS THROUGH, UM, COMPLAINT SYSTEM TIED TO 3 1 1.
SO WE HAVE NOT WORKED OUT THE DETAILS.
WE CLEARLY ARE IN CONCERT, IN CONVERSATION WITH OTHER PARTS OF THE COAST ENTERPRISE, AND IN PARTICULAR THE CITY ATTORNEY'S OFFICE.
UM, 'CAUSE I WOULD, LIKE, I WANT PEOPLE TO BE INVESTED IN THIS ISSUE, NOT, UM, COMPULSOR COMPULSORY, UM, LIKE DEMANDING TO DO THIS ISSUE.
AND I DON'T KNOW IF WE COULD, IF IT WOULD BE BETTER FOR THIS TO BE MORE VOLUNTARY OR WE REWARD THE BUSINESSES THAT ARE, UH, PARTICIPATING IN THIS, UM, OR, OR THE PUBLIC ACCOMMODATIONS THAT ARE PARTICIPATING IN THIS.
THE OTHER THING I WOULD LIKE TO SEE, AND I DON'T KNOW IF LEGAL CAN HELP, IS A LIST OF WHAT THESE PUBLIC ACCOMMODATIONS ARE, ARE, ARE THINKING, BECAUSE I'M THINKING SPECIFICALLY MY WORLD HERITAGE SITES, UM, WHICH ARE NATIONAL PARKS AND THEN CHURCHES.
AND THAT MIGHT BE, THIS MIGHT BE SOMETHING THEY DON'T WANNA PARTICIPATE IN, OR I KNOW THE AIRPORT HAS INFORMATION IN THE BATHROOMS. SO, UM, WHICH I THINK WORKS OUT AND, AND THEN REWARDING THEM FOR THAT.
SO I JUST NEED A LOT MORE INFORMATION BEFORE I CAN SAY, LET'S MOVE FORWARD WITH THIS ORDINANCE, AND I REALLY NEED TO KNOW IF WE'RE GOING TO MAKE IT SOMETHING THAT'S MANDATORY FOR, FOR OUR BUSINESSES AND COMMUNITIES TO DO WHAT THAT EXPENSE IS GONNA LOOK LIKE FOR OUR SMALL BUSINESSES AND WHAT, UM, WHAT THAT'S GONNA LOOK LIKE FOR OUR METRO HEALTH WORKERS THAT ARE SUPPOSED TO BE MONITORING THIS.
AND BECAUSE PEOPLE TEAR DOWN THINGS IN, IN BUSINESSES AND TAKE DOWN DECALS ALL THE TIME.
AND THEN FOR THE OTHER C C R, THE STATE BASICALLY CAME DOWN AND SAID WE COULDN'T DO THAT.
BUT I, THAT'S WHY I'D LIKE, IF WE DO A PROGRAM THAT INCENTIVIZES SCHOOLS AND UNIVERSITIES TO PARTICIPATE IN THIS, UM, WHETHER WE PROVIDE THE MATERIAL OR, UM, WE RECOGNIZE THEM WITH A POINT OF PERSONAL PRIVILEGE OR, UH, HAVE ONE OF THE TV CHANNELS DO LIKE A HOW, HOW THEY DO A BLUE PLATE AWARD,
UM, YEAH, SO IF WE COULD JUST GET A LITTLE INFORMATION ABOUT WHAT THESE ENTITIES ARE THAT WE'RE ANTICIPATING, UM, OUR METRO HEALTH WORKERS GOING IN AND INSPECTING, I'D APPRECIATE THAT.
AGAIN, OUR TASK HERE IS TO MAKE SURE THAT WE RESPOND TO
[00:50:01]
THE C C R.UH, OUR PREFERENCE QUITE CANDIDLY IS TO MAKE SURE THAT WE CONTINUE TO ELEVATE, UM, THE VISIBILITY AROUND THE RESOURCES THAT ARE AVAILABLE FOR VICTIMS. UM, BUT WE ALSO WANNA MAKE SURE THAT WE CALCULATE AND TALK TO OUR PARTNERS ABOUT THE UNINTENDED CONSEQUENCES OF AN ORDINANCE.
AND SO WE DO WANNA MAKE SURE THAT WE CONFER WITH THE CITY ATTORNEY'S OFFICE WITH OTHER PARTS OF THE COASTAL ENTERPRISE AND REPORT BACK.
UM, SO WE'RE DOING OUR DUE DILIGENCE.
WE WERE ASKED TO AT LEAST, UH, TAKE A CLOSER LOOK AT THIS AND REPORT, AND THAT'S WHAT WE'RE DOING THIS AFTERNOON.
AND I JUST WANNA TELL MY COMMITTEE MEMBERS THE UNINTENDED CONSEQUENCES.
UH, PUBLIC SAFETY FELT THAT WITH THE, UH, SPECTATOR ORDINANCE WITH THE CAR CLUBS.
SO I THINK WE NEED TO THINK ABOUT THE UNIN UNINTENDED CONSEQUENCES IF WE PUT THIS BURDEN OR WE DO A FINE ON OUR SMALL BUSINESSES, UM, WELL, WHAT THAT'S GONNA LOOK LIKE.
UH, I DO HAVE SOME, UH, FOLLOW UP QUESTIONS.
UH, CLAUDE, UM, AGAIN, THE RECOMMENDATION IS FOR BUSINESSES THAT, THAT DO, UH, CONTRACT WITH THE CITY.
IS THAT WHAT YOU'RE RECOMMENDING RIGHT NOW? SO IT'S ALL, WE DO HAVE LEVERS WITH THOSE THAT CONTRACT.
UM, RIGHT NOW THE LANGUAGE READS WITHIN THE CITY LIMITS.
AND SO, UM, THAT'S WHAT WE'RE RECOMMENDING TODAY.
WE HAVE NOT VETTED WHAT THAT EXPENSE LOOKS LIKE IN TERMS OF THE DIFFERENT BUSINESSES OR ESTABLISHMENTS THAT COULD BE IMPACTED.
BUT RIGHT NOW WE'RE REQUIRING SIGNAGE POSTING AND PLACES OF PUBLIC ACCOMMODATION WITHIN CITY LIMITS, UM, THAT ARE VISIBLE TO EMPLOYEES AND THE PUBLIC.
UM, SO THANK YOU FOR CLARIFYING THAT.
UM, WHEN I READ, STAFF RECOMMENDS AN ORDINANCE THAT REQUIRES MANDATORY COMPLIANCE OF SIGNAGE POSTING FOR BUSINESSES, ENTITIES, AND ORGANIZATIONS WHO CONTRACT WITH THE CITY OF SAN ANTONIO AND OPERATE WITHIN ITS LIMITS.
IT SOUNDS LIKE YOU HAVE TO MEET BOTH OF THOSE REQUIREMENTS.
UM, SO THANK YOU FOR, FOR CLARIFYING THAT.
UH, DO YOU HAVE A COST ESTIMATE ON WHAT THAT WOULD BE FOR EACH INDIVIDUAL BUSINESS AT THIS TIME? NO.
WE DO NOT HAVE A COST ESTIMATE AT THIS TIME.
I DO WANNA GO BACK TO NOTES FROM THE, UH, FROM OUR MARCH 8TH, UH, MEETING WHEN WE FIRST DISCUSSED THESE, AND JUST WANNA SEE IF WE CAN GET SOME ANSWERS TO THE ORIGINAL QUESTIONS THAT WE HAD AT THAT POINT.
UM, SO ON THE, ON THIS PARTICULAR ITEM ABOUT THE SI SIGNAGE, WE HAD ASKED THAT STAFF DETERMINE THE LEGAL PHYSI FEASIBILITY OF AN ORDINANCE, UM, AND COME BACK TO US WITH THEIR FINDINGS.
SO, UM, I'M ASSUMING THE FINDING IS IT'S LEGALLY FEASIBLE? YES.
UM, AND, UH, THERE WAS A REQUEST THAT THE DECALS INCLUDE EASILY IDENTIFIABLE CONTACT INFORMATION ABOUT THE RANGE OF PATIENT-CENTERED MOBILE RESOURCES THAT FIRE AND E M S OFFER.
UM, AND THAT WAS, I BELIEVE, REQUESTED BY COUNCILWOMAN CASTILLO AND THAT CITY STAFF SHOULD EXPLORE MAKING DISBURSEMENT OF ARPA FUNDS TO OUTSIDE ORGANIZATIONS CONTINGENT UPON DISPLAYING OF THESE DECALS AND SIGNAGE.
WOULD YOU BE ABLE TO GIVE US AN UPDATE ON THOSE TWO ITEMS? I'M, I'M GONNA ASK ERICA STEVENSON TO AT LEAST ELABORATE.
SHE IS OUR NEW PUBLIC HEALTH ADMINISTRATOR OVERSEEING THE VIOLENCE PREVENTION SECTION.
UH, THERE ARE NUANCES AND I HAVE THE MOST CLARITY ON THE NUANCES PROBABLY.
UM, YOUR FINAL QUESTION ABOUT THE ARPA FUNDS, WE DID CONFIRM THAT WE ARE ALLOWED TO CREATE SOME KIND OF OBLIGATION AROUND PROVIDING ARPA FUNDS TO PEOPLE.
UM, THE CITY ATTORNEY'S OFFICE VERIFIED THAT FOR US, YOUR MIDDLE QUESTION, THE SECOND QUESTION ABOUT PROMOTING ACCESS TO MOBILE INTEGRATED HEALTHCARE RESOURCES OFFERED BY THE FIRE DEPARTMENT.
WE SPOKE WITH, UH, DEPUTY CHIEF ESTRADA AND HE SAID IT'S ACTUALLY COUNTERPRODUCTIVE TO DO THAT BECAUSE 9 1 1 IS THE WAY THAT TEAM IS ACCESSED.
SO IF 9 1 1 IS CALLED AND THERE IS AN INDICATION FOR THAT TEAM TO SUPPORT THAT CALL, THAT'S HOW THEY WILL GET INVOLVED.
IT'S NOT A CONSUMER DRIVEN, UM, SORT OF PATHWAY.
SO WE WOULD NOT PROMOTE IT THAT WAY BECAUSE IT, IT WOULDN'T WORK FOR THE PROGRAM.
IT ALSO DOESN'T HAVE THE RESOURCES TO RESPOND TO THAT.
UM, PARTICULARLY IN THIS SETTING WHERE SOMEBODY MAY BE ASKING FOR SUPPORT RELATED TO ABUSE.
WHEN YOU BRING A VEHICLE WITH LIGHTS AND SIRENS TO THAT LOCATION, IT CAN FURTHER EXACERBATE THE ABUSE.
UM, SO THERE ARE GOOD WAYS FOR US TO PARTNER WITH THE FIRE DEPARTMENT.
THAT PARTICULAR AVENUE IS PROBABLY COUNTERPRODUCTIVE.
I'LL, I'LL LET THE COUNCILMAN TAKE THAT UP, BUT AT, AT, AT HER TURN.
THANK YOU FOR, UH, STATING THAT.
'CAUSE I, I FIND THAT CONFUSING TOO.
[00:55:01]
THEN REGARDING, UH, THE AMPLIFICATION C C R, UH, IT WAS, IT WAS THE SAME REQUEST, UM, ABOUT PATIENT-CENTERED MOBILE RESOURCES AND OTHER RELATED PROGRAMS. THE NAL NALOXONE GRAPHICS, UM, DISTRIBUTION PROGRAM WITH THE UT HEALTH SCIENCE CENTER.UM, AND LASTLY, THE, UH, CURRICULA C C R, UM, WAS APPROVED WITH AN AMENDMENT, UH, THAT THE LIST OF EVIDENCE-BASED BEST PRACTICE CURRICULA WILL INCLUDE INFORMATION EDUCATION ABOUT FIRE AND PATIENT, THE SAME THING.
UH, BUT I UNDERSTAND WE'RE NOT GOING TO MOVE FORWARD WITH THAT ONE, SO THAT, THAT POINT IS NULL.
UH, AT THIS POINT I'LL GO AHEAD AND TURN IT OVER TO COUNCILWOMAN GUILLO.
AND I, I UNDERSTAND, UH, THE JUSTIFICATION, ESPECIALLY GIVEN THAT THE STATE HAS DEFUNDED THE PROGRAM AND WE'RE IN THE POSITION OF WHERE WE'RE HAVING TO IDENTIFY FUNDING TO FILL THAT GAP TO SUPPORT THAT UNIT.
SO, UH, I, I UNDERSTAND AND THANK YOU FOR THAT.
UM, MY QUESTION IS AROUND PLACEMENT.
CAN YOU REMIND ME AGAIN WHERE THE EXPECTATION IS THAT THE BUSINESS OWNERS, UH, PLACE THE SIGNAGE? I'LL KICK IT OFF AND I'LL ASK IF, UM, THERE ARE OTHERS WHO WANT TO CHIME IN.
SO WE ARE LOOKING AT, UM, BATHROOMS WAS THE REQUIRE WAS THE REQUEST, UM, TO MAKE SURE THAT THERE'S VISIBLE SIGNAGE IN THOSE, UH, SPACES MM-HMM.
SO I'M GONNA ASK ERICA TO ELABORATE ONLY TO THE EXTENT THAT WE'VE BEEN LOOKING AT THIS AND JUST WANNA MAKE SURE THAT WE PLACE THE INFORMATION AND RESOURCES THAT ARE EASY TO ACCESS BY VICTIMS. YES.
I'LL PROVIDE ADDITIONAL DETAIL.
'CAUSE THIS IS PROBABLY A, A PRETTY CORE POINT TO THE ENTIRE DISCUSSION.
YOU'LL SEE IN DISPLAY AN EXAMPLE OF THE DECALS THAT WERE DISTRIBUTED LAST YEAR.
UM, WE DO BELIEVE WE WOULD NEED TO REDESIGN, UM, SOME OF THE CONTENT, UH, AND HELP DRIVE PEOPLE TOWARD THE RESOURCES IN A MORE PROACTIVE WAY, SAYING, IF YOU NEED HELP, THIS IS WHERE YOU GET HELP.
UM, A A LOT OF THAT IS THERE, BUT WE THINK WE COULD, UH, DO IT IN A MORE POINTED WAY.
UM, I RECOMMENDED TO CLAUDE THAT IN ADDITION TO MAKING THEM AVAILABLE IN A SPACE WHERE BOTH PATRONS AND EMPLOYEES CAN SEE THEM, WE NEED TO MAKE THEM AVAILABLE IN A SPACE WHERE A PERSON WHO IS ABUSED CAN SEE IT AND HAVE A MOMENT WITH THE CONTENT WITHOUT BEING WITNESSED BY THE ABUSER.
UM, THAT OFTEN MEANS A BATHROOM, UM, OR A SPACE MORE PRIVATE.
BUT THAT DOESN'T MEAN IT HAS TO BE LIMITED TO THAT.
UH, BUSINESSES WHO WOULD BE EXCITED TO PROMOTE THESE KINDS OF RESOURCES COULD DISTRIBUTE IT IN MANY MORE OPTIONS.
UM, BUT I THINK SOMETHING KEY TO UNDERSTAND IS THAT A PERSON ABUSED ONLY HAS A MOMENT TO HAVE THAT INTERSECTION WHERE THEY CAN GET SOME HELP AND THEY NEED THE OPPORTUNITY FOR IT.
SO THAT MEANS THEY NEED A LITTLE PRIVACY.
UH, BATHROOM IS USUALLY A BEST OPTION FOR THAT.
THAT PRIVACY IS A VERY IMPORTANT PIECE.
AND I ASKED BECAUSE WHEN, UH, THIS FIRST CAME ACROSS ON THE AGENDA, UM, I SPOKE TO MY TEAM ABOUT IT AND I MENTIONED, YEAH, LIKE THERE, THESE ARE ALWAYS IN THE RESTROOM, ESPECIALLY AT REST STOPS.
AND, UH, THE MEN ON THE TEAM WERE LIKE, THAT'S NOT, I, I NEVER SEE THAT IN THE STALL.
UM, SO MY HOPE IS THAT IT'S ALSO AVAILABLE IN THE MEN'S RESTROOM AND WHERE MEN ARE HANGING OUT AS WELL.
AND ONE ASK TOO IS IF WE CAN, UH, LAMINATE THEM.
I KNOW IT SOUNDS SILLY, BUT WHEN I SEE THEM IN MY PUBLIC LIBRARIES, IT'S LIKE FOLDED LIKE THIS, SO YOU CAN'T REALLY READ IT RIGHT.
AND YOU DON'T KNOW WHAT RESOURCES ON THE SHEET UNLESS LIKE YOU OPEN IT.
UM, SO THAT WOULD BE ONE MINOR REQUEST.
UM, BUT THOSE ARE ALL MY COMMENTS AND QUESTIONS.
DID WE, I ANSWER YOUR QUESTION, MA'AM.
UM, SO AT CLAUDE, JUST TO REITERATE, THE NEXT STEPS ARE CONTINUE TO DO OUR DUE DILIGENCE.
SO WE ARE CONFERRING WITH THE CITY ATTORNEY'S OFFICE.
WE ARE CONFERRING WITH OTHER PARTS OF COSA.
UM, WE ARE TRYING TO AT LEAST ASSESS WHAT THE UNINTENDED CONSEQUENCES OF AN ORDINANCE WOULD BE.
SO WE ARE STILL DOING OUR DUE DILIGENCE, BUT WE WERE ASKED TO AT LEAST REPORT OUT AT THIS TIME IN TERMS OF PROGRESS.
UM, WE'RE, WE'RE STILL, UH, CONNECTING WITH SUBJECT MATTER EXPERTS AND OUR, UM, UH, OUR LOCAL COMMUNITY.
CAN YOU TELL ME WHAT YOU'RE HEARING FROM PRIVATE BUSINESSES ABOUT THIS OR EVEN SMALL BUSINESSES? UH, WELL, IN SHORT, UH, WE DO WANNA MAKE SURE, UM, BECAUSE WE HAVE NOT OFFICIALLY SURVEYED, SO WE'VE KEPT OUR EAR TO THE GROUND.
UM, CLEARLY FOLKS WANNA MAKE SURE THAT THE RIGHT INFORMATION GETS OUT THERE TO SUPPORT VICTIMS. UM, BUT AT THE END OF THE DAY, UH, WE EXPECT THERE MAY BE SOME PUSHBACK, BUT WE ALSO ARE HEARING FOLKS WHO WANNA DO WHATEVER IT IS THAT THEY CAN TO GET THE INFORMATION OUT.
SO UNTIL WE GO THROUGH A SYSTEMATIC PROCESS OR MORE IMPORTANTLY, WORK WITH CERTAIN UM, COM COMMITTEES.
UM, FOR NOW WE'RE JUST, UH, WORKING WITH THE CITY ATTORNEY'S OFFICE AND OTHER PARTS OF, UH, THE COASTAL ENTERPRISE.
WHEN DO YOU ANTICIPATE YOU'LL, UH, COME BACK TO, WILL YOU COME BACK TO COMMITTEE OR TO B SESSION?
[01:00:01]
OH YEAH, TO COMMITTEE.SO WHEN DO YOU ANTICIPATE COMING BACK TO COMMITTEE? UM, I WOULD SAY AS EARLY AS THIS FALL.
YEAH, WE'RE GONNA NEED THREE MONTHS.
AND, UH, COUNCILMAN CASTILLO REMINDED ME OF THIS 'CAUSE OF THE TRUCK STOPS.
SO NATIONALLY THERE IS A PROGRAM I BELIEVE THAT DOES THIS ALREADY? CORRECT.
AND IS THERE, OF COURSE, I'M GONNA ASK, IS THERE ANY GRANT DOLLARS OR ANY FUNDING OUT THERE THAT WE COULD GET AND 'CAUSE METRO HEALTH IS SO GOOD AT GRANTS THAT WE CAN GET, IF WE, IF WE DECIDE TO MOVE FORWARD WITH THIS, WE COULD LOOK AT GRANT FUNDING OPPORTUNITIES.
UM, AND YES, THERE ARE NATIONAL EFFORTS.
UM, WE'RE NOT UNIQUE IN THIS, BUT THIS IS AN OPPORTUNITY FOR US TO AT LEAST ADD TO THE CITYWIDE CAMPAIGN.
SO WE'LL LOOK AT FUNDING STREAMS. OKAY, GREAT.
ARE WE GOING TO PUT THOSE IN CITY HALL AS WELL? AGAIN, THIS IS CITY OF SAN ANTONIO, RIGHT? YEAH.
I'VE JUST, I HAVEN'T SEEN ONE YET, SO
IF THERE ARE NO ADDITIONAL QUESTIONS, UH, WE'LL WRAP UP THE ITEM AND WE'LL SEE YOU IN A FEW MONTHS.
SO THANK YOU FOR THE UPDATE AND WE WILL MOVE ON TO, UM, THE FINAL ITEM.
UH, MADAM CLERK, IF YOU WOULD PLEASE READ THE CAPTION.
ITEM NUMBER FIVE IS THE COMMUNITY RESPONSE AND EQUITY COALITION PROGRAM, AND RECENT RECOGNITION.
UM, FOR THIS AFTERNOON'S UPDATES, UH, WE DO HAVE AN OPPORTUNITY TO CELEBRATE A LITTLE BIT.
SO I'D LIKE TO, FIRST OF ALL, UH, THANK THE INCREDIBLE TEAM AT OUR DEPARTMENT AND MEMBERS OF OUR EXTENDED VILLAGE THAT INCLUDE THE, UH, FIRE DEPARTMENT, OUR ACADEMIC PARTNERS LIKE UT HEALTH AND U T S A, AS WELL AS THE, THE GAGGLE OF AREA NONPROFITS WHO HELPED TO MAKE THIS POSSIBLE.
UH, IN PARTICULAR, I WOULD LIKE TO THANK, UH, DR.
BARBARA TAYLOR FROM UT HEALTH, AND AS WELL AS OUR ASSISTANT DIRECTOR, DR.
ANITA KIAN, FOR BEING STEADFAST AND RESILIENT, UH, THROUGH THIS, UM, EXERCISE OF DEMONSTRATING IN REAL TIME HOW TO RESPOND TO THIS CRISIS THAT CONTINUES TO IMPACT, UM, OUR WORLD LOCALLY AS WELL AS GLOBALLY.
SO, SPECIAL SHOUT OUT TO MAYOR NURNBERG, OBVIOUSLY COUNCILWOMAN SANDOVAL AND CITY MANAGER ERIC WALSH, FOR HELPING TO PAVE THE WAY TO SUPPORT THE WORK OF THIS COALITION.
SO WITH THAT, UM, WE REALLY WANTED TO SHARE LESSONS LEARNED, AND THIS IS AMID THE COVID 19 PANDEMIC.
UM, THE NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICIALS DEVELOPED THE INNOVATIVE PRACTICE AWARD TO RECOGNIZE AND HONOR PROGRAMS AND PRACTICES THAT HAVE BEEN QUICKLY OR CREATIVELY DEVELOPED IN RESPONSE TO A SPECIFIC OR EMERGING PUBLIC HEALTH ISSUE.
UM, FULL DISCLOSURE, I SERVE AS A PAST PRESIDENT OF NACHO.
I KNOW I'M HERE IN SUNNY SAN ANTONIO, BUT JUST KNOW IT'S NACHO.
UM, AND SO THE 20, UH, 22 INNOVATION AWARD FOCUSED ON PRACTICES THAT WERE DEVELOPED IN RESPONSE TO EMERGING AND EXACERBATED HEALTH INEQUITIES DUE TO C OVID 19, AND DEMONSTRATE EFFECTIVE COMMUNITY PARTNERSHIPS AND COLLABORATION, ADAPTABILITY, AND QUALITY IMPROVEMENT AND REMARKABLE INNOVATION.
SO THIS PAST DECEMBER, OUR FANTASTIC TEAM PUT TOGETHER AN APPLICATION THAT WAS SUBMITTED, UM, FOR THIS, UH, NATIONAL COMPETITION.
THE APPLICATION WAS TITLED THE PUBLIC HEALTH AS A TEAM, SPORT C OVID 19, COMMUNITY RESPONSE AND EQUITY COALITION, C R E C.
AND, UM, AGAIN, WE WERE SELECTED BY THE, THE REVIEWERS AT NHO.
AND JUST KNOW THAT, UM, THIS AWARD WAS ONE OF FOUR.
UH, WE, C R A C WAS ONE OF FOUR LOCAL HEALTH DEPARTMENTS, UH, WHO WERE GIVEN THIS DISTINGUISHED HONOR.
UH, AND THERE WERE 24 AWARDEES.
SO 10 BRONZE, 10 SILVER, AND FOUR GOLD.
AND SO THE DESIGNATION OF THIS PROGRAM, AND, UM, YOU MAY SEE, UH, SOME FOLKS FROM, UH, LAST FALL, UH, WHEN WE HAD A, UH, A BRAINSTORMING SESSION OVER AT THE, UM, CLAUDE BLACK CENTER, FRANK, FRANK, GARY.
OKAY, SORRY, I GOTTA GET ALL THESE FACES IN FRANK GARRETT CENTER.
SO THE DESIGNATION OF THIS PROGRAM AS A GOLD INNOVATIVE PRACTICE DEMONSTRATES THE HIGHEST LEVEL OF PROGRAM INNOVATION TO MEET THE NEEDS OF OUR COMMUNITY.
DURING C OVID 19 PANDEMIC, THE, AGAIN, THE APPLICATION ITSELF WENT THROUGH A RIGOROUS PEER EVALUATION PROCESS BY NATURE'S WORK GROUP MEMBERS.
AND OUR PROGRAM REFLECTED EFFECTIVE COMMUNITY COLLABORATION AND PARTNERSHIPS AS AGAIN, AS WELL AS THIS ADAPTABILITY RESILIENCE AND INNOVATION.
SO IT TAKES A TEAM, IT TAKES A VILLAGE.
UM, AND SO THESE ARE JUST CAMEOS AND IN PARTICULAR A SPECIAL SHOUT OUT TO, TO OUR FRIENDS AT FIRE.
SO WHAT YOU SEE UP THERE, AGAIN, UM, UH,
[01:05:01]
WE, UH, THROUGH THE EFFORTS OF OUR TEAM, ANCHORED AND LED BY DR.SO YOU SEE THE, THE MASS VACCINATION SITE AT THE ALAMODOME, WHICH RAN FOR 15 MONTHS, AND WE ADMINISTERED OVER 226,000, UH, DOSES OVER THERE.
UM, SO THAT IS A PICTURE FROM BACK IN MARCH.
UM, THE FIRE DEPARTMENT HAS BEEN ON THE GROUND AGAIN AS PART OF THIS EFFORT, UM, MAKING SURE TO GET SHOTS IN ARMS. AND SO YOU JUST SEE, UH, UH, DIFFERENT SNAPSHOTS THERE.
UM, THEY'VE HAD A WAVE OF DIFFERENT MOBILE VACCINATION SITES.
THEY DO A LOT IN MAKING SURE THAT THEY GET TO VULNERABLE POPULATIONS.
UM, AND IN PARTICULAR, AGAIN, I I MENTIONED THE FIRE DEPARTMENT.
'CAUSE WE TALK ABOUT THE PUBLIC HEALTH WORKFORCE, WE TALK ABOUT HEALTHCARE PROVIDERS, BUT JUST KNOW THAT, UM, THEY THEMSELVES HAVE BEEN, UH, MAKING SURE TO GET TO THESE CONGREGATE SETTINGS AND MAKING SURE THAT, UM, OUR COMMUNITY HAS BEEN SAFE.
AND SO PART OF THIS WITH NHO WAS TO TELL THE STORY AND, UH, THIS IS WHAT WE'VE BEEN PUSHING OUT THERE.
SO WITH THAT, UH, WE WERE ABLE TO, UH, THIS PAST JULY, UM, I, ALONG WITH, UM, UH, SOME OF OUR STAFF, UH, WE WERE ABLE TO ATTEND THE ANNUAL MEETING OF HEALTH OFFICIALS.
SO, UM, IN THE PICTURE YOU SEE, UH, DESIREE, DESIREE BELLINI, DID I PRONOUNCE THAT CORRECTLY? ALRIGHT, THERE WE GO.
UM, WHO IS A MEMBER OF THE C R E C? SHE'S A SENIOR MANAGEMENT ANALYST, UH, CARLOS RODRIGUEZ, WHO OVERSEES OUR OFFICE OF HEALTH EQUITY, AS WELL AS MIGUEL CERVANTES, WHO OVERSEES, UM, OUR, ONE OF OUR LARGEST UNITS WITHIN THE COMMUNICABLE DISEASES DIVISION.
SO THE C R A C WAS HONORED TO RECEIVE, UM, THIS AWARD DURING THE ANNUAL MEETING OF HEALTH OFFICERS, UH, BACK IN JULY.
UH, THE C R C ALSO, UM, PRESENTED, UM, UH, DURING, AGAIN, UH, DESSI, DESIREE, UM, HAD A CHANCE TO SHARE, UH, STORIES AND THE PERSPECTIVE FROM HERE IN SAN ANTONIO, ALONGSIDE WITH OTHER HEALTH DEPARTMENTS AS WE ARE SHARING MODEL PRACTICES WITH COLLEAGUES, UH, FROM ACROSS THE NATION.
AND SO YOU SEE PICTURED HERE, UM, UH, THE ACTUAL AWARD, WHICH WE DO HAVE HERE, AND WE CAN PASS IT AROUND.
IT'S REAL, WE HAVE IT, IT'S IN THE BUILDING.
IT'S NOT TO JUST MAKE-BELIEVE.
SO WITH THAT, UH, JUST KNOW THAT, UM, THE STORY THAT WE'VE BEEN SHARING IS THAT IN ITS TWO AND A HALF YEARS OF EXISTENCE, THE C R A C HAS BEEN ABLE TO ENSURE QUAL EQUITY, UH, AND ACCESS TO C OVID 19 INFORMATION AND RESOURCES, SEVERAL ACCOMPLISHMENTS.
AND WHAT WE'RE MOST PROUD OF THAT WE WERE HIGHLIGHTING, UH, WAS THE CREATION OF A COVID 19 SELF SCREENING ONLINE SURVEY.
THE CREATION OF SEVERAL EDUCATIONAL DOCUMENTS FOR COMMUNITY MEMBERS, INCLUDING THE THREE P MESSAGING CONCEPT, PREVENT, PROTECT, PROVIDE THE CREATION OF PEER INFLUENCERS, SOCIAL MEDIA CAMPAIGNS TO INCREASE AWARENESS ABOUT SAFE COVID PRACTICES, THE GENERATION OF A PUBLIC HEALTH POLICY RISK MATRIX MATRIX FOR SOCIAL GATHERING THE RECOMMENDATIONS TO, UH, COUNTY JUDGE, UH, UM, NELSON WOLF REGARDING THE REOPENING AND CLOSURES OF BARS WITHIN BEXAR COUNTY, AND PROVIDING RECOMMENDATIONS TO, UH, METRO HEALTH LEADERSHIP, UH, TO UPDATE THE COVID 19 PROGRESS AND WARNING INDICATORS.
THE OTHER EXAMPLE WAS ABOUT OUR EXPANSION OF TESTING AND VACCINATION IN AREA NEIGHBORHOODS, UH, WHERE WE SHOWED THE GREATEST NEEDS.
SO WE APPLIED ON, UM, THE COVID 19 EQUITY INDEX AS A GUIDE.
UM, THE TESTING AND LAB REPORTING WORK GROUP DESIGNED A CAPACITY AND DEMAND SURVEY TO SHARE WITH TESTING PARTNERS BIMONTHLY TO DETERMINE ACCURATE TESTING, UH, TURNAROUND TIMES AND AVAILABILITY OF TESTING CAPACITY LOCALLY.
THE SURVEY ALSO HELPED TO DETERMINE THE NUMBER OF FREESTANDING, UH, TESTING SITES AVAILABLE TO RESIDENTS.
RESULTS FROM THIS SURVEY, ALONG WITH THE COVID 19 EQUITY INDEX, INFORMED TESTING PARTNERS WERE THE HIGHEST NEED, UH, COMMUNITY MEMBERS WERE LOCATED, WHICH HELPED TO DETERMINE PLACEMENT OF FUTURE C OVID 19 TESTING FACILITIES.
AGAIN, YOU MAY RECALL OVER THE COURSE OF THE LAST COUPLE OF YEARS THAT WE'VE BEEN TALKING ABOUT DISPARITIES ACROSS THE CITY.
AND SO APPLYING THESE TOOLS, MAKING SURE THAT WE AT LEAST, UM, LOOK CO-LOCATE OUR, OUR VACCINE, OUR VACCINATION POP-UP CLINICS, OUR TESTING SITES OVER IN EAST, WEST, AND SOUTH.
AND SO JUST KNOW THAT THIS WAS AN APPLICATION OF EQUITY INDEX, THAT'S A GUIDE.
LASTLY, WE SHARED ABOUT THE ONGOING COLLABORATION ON COMMUNITY-WIDE MESSAGING.
SO MAKING SURE THAT WE NOT ONLY MANAGE THE IMPACTS OF THE PANDEMIC, BUT ALSO DEAL WITH THE EFFECTS OF THE MISINFORMATION OR THE INFO DEMIC.
AND SO WE HAVE THIS COMMUNITY-WIDE MESSAGING CAMPAIGN, UM, LAUNCHED HERE THAT WAS CALLED, THAT'S STILL CALLED WHAT WILL IT TAKE? UM, AND THE SOCIAL MEDIA MESSAGING THAT WAS ANCHORED TO PEER INFLUENCERS AND STILL IS ANCHORED TO PEER INFLUENCERS.
SO RATHER THAN USING SCARE TACTICS, UH, WE'VE TRIED TO AT LEAST, UM, UM, UH, ENGAGE, UH, PARTNERS ON THE GROUND AND THE C R A C WAS INSTRUMENTAL IN HELPING US TO DO THAT WELL.
SO MOVING FORWARD, THE COALITION WILL CONTINUE TO FOCUS ON HEALTH DISPARITIES, WHICH HAVE BEEN FURTHER EXACERBATED BY C OVID 19, AND WILL HIGHLIGHT OPPORTUNITIES TO INCREASE HEALTH EQUITY WITHIN OUR VARIOUS SAN ANTONIO COMMUNITIES.
THE C R A C WILL ALSO FOCUS ON CREATING AND
[01:10:01]
NURTURING CROSS-COLLABORATION OPPORTUNITIES THROUGH PARTNERSHIP AND COMMUNITY ENGAGEMENT.SO IT'S ONE THING FOR ME TO TELL THIS STORY.
UM, WE DID PUT TOGETHER A VIDEO, UM, THAT WAS PART OF THE, UM, UH, THIS PACKET TO NACHO.
AND SO IF YOU DON'T MIND, I'M GOING TO HAVE, UM, PALO, CAN YOU, UH, RUN THE VIDEO? SAN ANTONIO IS THE SEVENTH LARGEST CITY IN THE NATION AND THE SECOND LARGEST CITY IN TEXAS.
THE CITY'S METROPOLITAN HEALTH DISTRICT C OVID 19 COMMUNITY RESPONSE AND EQUITY COALITION IS GRATEFUL TO BE RECOGNIZED BY N FOR OUR INNOVATIVE PRACTICE.
THIS IS THE STORY ABOUT HOW OUR COALITION HAS SUCCESSFULLY ADAPTED FROM A TESTING TASK FORCE TO THE COMMUNITY RESPONSE AND EQUITY COALITION, WHICH ENCOURAGES PARTNERSHIP AND COMMUNITY ENGAGEMENT FOR CROSS-COLLABORATION OPPORTUNITIES TO COLLECTIVELY ADDRESS THE REAL NEEDS OF OUR COMMUNITY.
THE JOURNEY OF THIS COALITION HELPS TO EXPLAIN WHY PUBLIC HEALTH WORKS BETTER AS A TEAM SPORT.
ON FEBRUARY 7TH, 2020, SAN ANTONIO MADE INTERNATIONAL HEADLINES WHEN EVACUEES FROM WUHAN CHINA ARRIVED AT LACKLAND AIR FORCE BASE TO COMPLETE QUARANTINE.
ON MARCH 2ND, OUR MAYOR RON NURENBERG, DECLARED A LOCAL STATE OF DISASTER AND A PUBLIC HEALTH EMERGENCY OVER COVID 19 CONCERNS.
AND I'M GIVING OUR HEALTH OFFICIALS THE BEST TOOLS AT OUR DISPOSAL TO PROTECT THE PUBLIC.
THE WORLD HEALTH ORGANIZATION CLASSIFIED C OVID 19 AS A PANDEMIC.
NINE DAYS LATER, SHORTLY AFTER THE TESTING TASK FORCE WAS FORMED TO ADDRESS THE NEEDS FOR INCREASED TESTING IN SAN ANTONIO.
TWO MONTHS LATER, THE TASK FORCE ORIGINALLY LED BY TRADITIONAL PUBLIC HEALTH PARTNERS EXPANDED AND BECAME THE COMMUNITY RESPONSE COALITION, OR C R C.
THE C R C WAS CHARGED WITH PROMOTING APPROPRIATE MITIGATION MEASURES BASED ON COMMUNITY NEEDS AND RECOMMENDATIONS.
OUR WORK GROUPS CONSISTED OF TESTING AND LAB REPORTING, EDUCATION AND ENFORCEMENT CONTACT TRACING POLICY AND HEALTH ALERTS, INDICATOR MONITORING WORK GROUP, AND AN AD HOC PRE-K THROUGH 12 ADVOCACY WORK GROUP.
DURING THE C R C PHASE, THE COALITION WORK GROUPS ALLOWED FOR METROHEALTH TO GROW ITS PARTNERSHIPS ACROSS VARIOUS SECTORS THAT WERE ALL BEING AFFECTED BY THE GROWING AND POSITION OF C OVID 19.
OUR MANDATE WAS TO MONITOR THE PANDEMIC, EXPAND, AND ENSURE DAILY TESTING AND CONTACT TRACING CAPACITY, AND TO EDUCATE THE PUBLIC.
IN AUGUST OF 2020, OUR CITY COUNCIL OFFICIALLY DECLARED RACISM AS A PUBLIC HEALTH CRISIS WITHIN SAN ANTONIO.
FOLLOWING THIS RESOLUTION, THE C R C PIVOTED TO UTILIZE AN EQUITY CENTERED APPROACH, AND OFFICIALLY EVOLVED INTO THE COMMUNITY RESPONSE AND EQUITY COALITION.
WE REALIZED IF WE WANTED TO REACH ALL ASPECTS OF OUR COMMUNITY, WE NEEDED TO HEAR FROM THEM ABOUT THEIR ACTUAL NEEDS AND ADDRESS THEIR ACTUAL CONCERNS WE NEEDED TO BE INNOVATIVE.
GOOD EVENING, I'M LAURA MAYES WITH THE CITY OF SAN ANTONIO.
WITH THE HELP OF OUR PARTNERS, WE HOSTED VIRTUAL TOWN HALLS AND WORKED CLOSELY WITH OUR COMMUNITY HEALTH WORKERS TO GAIN BETTER PERSPECTIVES FROM OUR COMMUNITY MEMBERS.
AS PUBLIC HEALTH PROFESSIONALS, WE WERE FOCUSED ON TESTING SOCIAL DISTANCING AND VACCINES.
OUR COMMUNITY MEMBERS WERE FOCUSED ON HOW THEY COULD CONTINUE TO PUT FOOD ON THEIR TABLES AND CARE FOR THEIR LOVED ONES.
IN REALITY, WE ALL WANTED THE SAME THING, BUT IT WAS ABOUT REFRAMING THE MESSAGE TO HELP OUR COMMUNITY MEMBERS UNDERSTAND WHAT IT WOULD TAKE TO GET BACK TO NORMAL.
OUR COALITION SERVES A MINORITY MAJORITY POPULATION OF OVER 2 MILLION COMMUNITY MEMBERS WHO RESIDE WITHIN SAN ANTONIO AND BEXAR COUNTY.
MANY OF THE BLACK, INDIGENOUS AND PEOPLE OF COLOR LIVING IN BEXAR COUNTY RESIDE WITHIN DISENFRANCHISED NEIGHBORHOODS AND ARE NEGATIVELY IMPACTED BY SOCIOECONOMIC INEQUITIES.
THESE SAME INDIVIDUALS EXPERIENCE DISPROPORTIONATELY HIGHER RATES OF INFECTION AND OR DEATH FROM C OVID 19.
OUR COALITION IS FOCUSED ON ADDRESSING THE DISPROPORTIONATE IMPACT OF POOR HEALTH OUTCOMES RELATED TO C OVID 19, WHICH WERE FURTHER EXACERBATED BY MISINFORMATION, LACK OF ACCESSIBILITY TO RESOURCES AND SYSTEMIC PERSISTENT INEQUITIES.
AS WE CONTINUE TO STRENGTHEN OUR PARTNERSHIP ENGAGEMENT AND CROSS-COLLABORATION OPPORTUNITIES, WE'RE ALSO FOCUSED ON ENSURING OUR COMMUNITY MEMBERS ARE BEING TREATED EQUITABLY.
I'M PROUD TO SAY OUR COALITION HAS GROWN TO OVER 300 MEMBERS, REPRESENTING OVER 100 ORGANIZATIONS FROM BOTH TRADITIONAL AND NON-TRADITIONAL SECTORS.
PARTNERING WITH NON-TRADITIONAL PUBLIC HEALTH ORGANIZATIONS SUCH AS FAITH-BASED ORGANIZATIONS AND SCHOOLS, ALLOWS OUR COALITION TO GAIN VALUABLE PERSPECTIVES THAT MAY HAVE BEEN PREVIOUSLY OVERLOOKED IN DECISION MAKING PROCESSES.
THE COVID TO 19 COMMUNITY RESPONSE AND EQUITY COALITION HAS SERVED AN IMPORTANT ROLE IN CONVENING A WIDE VARIETY OF PARTNERS AND STAKEHOLDERS IN SUPPORTING SAN ANTONIO'S C OVID 19 RESPONSE.
TO COLLABORATE EFFECTIVELY AND TO IMPROVE THE HEALTH OF OUR COMMUNITY.
TOGETHER WE HAVE BROKEN DOWN SILOS BETWEEN TRADITIONAL AND NON-TRADITIONAL PARTNERS.
ASSISTED WITH THE PLACEMENT OF NO-COST C OVID 19 TESTING LOCATIONS, IMPROVED VACCINE ACCESSIBILITY TO INDIVIDUALS WHO MAY OTHERWISE EXPERIENCE BARRIERS, INCREASED ACCESSIBLE PUBLIC HEALTH INFORMATION IN CULTURALLY AND LINGUISTICALLY APPROPRIATE MEANS, DECREASED MISINFORMATION, AND CREATED CONSISTENT PUBLIC HEALTH MESSAGING HIGHLIGHTED OPPORTUNITIES TO IMPROVE ROOT CAUSES OF POOR HEALTH OUTCOMES AND HELPED TO SLOW THE SPREAD OF C
[01:15:01]
OVID 19 IN OUR COMMUNITY.MOVING FORWARD, OUR COALITION WILL CONTINUE TO SEEK OUT INNOVATIVE AND SUSTAINABLE PRACTICES TO CONTINUE TO IMPROVE THE OVERALL HEALTH OF OUR COMMUNITIES BY LOOKING INTO THE FUTURE AND RESHAPING THE PUBLIC HEALTH SYSTEM.
THIS IS WHY PUBLIC HEALTH IS BETTER AS A TEAM SPORT.
AGAIN, THANK YOU FOR THE OPPORTUNITY TO SHARE THIS.
I DID WANT TO ACKNOWLEDGE, AGAIN, I DON'T HAVE EYES IN THE BACK OF MY HEAD, BUT AGAIN, THE THEME ABOUT PUBLIC HEALTH AS A THEME TEAM SPORT, I DO WANT TO ACKNOWLEDGE THE FANTASTIC TEAM, UM, REPRESENTING THE COALITION, UH, COMMUNITY RESPONSE AND EQUITY COALITION.
SO C R E C CREW, COULD YOU JUST STAND UP AND BE RECOGNIZED FOR YOUR WORK? THEY'RE A SHY BUNCH, BUT JUST KNOW THAT AT THE END OF THE DAY, THEY WORK VERY HARD, UH, LED BY UM, LEN.
SO LEN, ANYTHING IN PARTICULAR YOU WANTED TO SHARE ABOUT THE WORK OF THE C R E C? THE GUYS DO THE HEAVY LIFTING.
YES, I HAVE SEEN THEM DO IT, YES.
UM, SO THIS IS AN AWARD AGAIN, NATIONALLY.
I CAN'T THANK THE TEAM ENOUGH.
UM, IT'S BEEN A LONG SEASON FOR THE DEPARTMENT.
IT'S BEEN A LONG SEASON FOR COMMUNITIES AROUND THE GLOBE.
THIS WAS AN OPPORTUNITY FOR THE NETWORK OF LOCAL HEALTH DEPARTMENTS, AT LEAST LOOK AT BEST PRACTICES, LOOK AT INNOVATIONS THROUGH A RIGOROUS PEER REVIEW PROCESS TO AT LEAST ACKNOWLEDGE THESE DIFFERENT DESIGNATIONS.
AND SO I DO WANT TO JUST SAY THANK YOU FOR YOUR ONGOING SUPPORT.
I'M PROUD OF THE WORK OF THE DEPARTMENT AND, UM, I CAN'T SAY ENOUGH ABOUT THE VALUE OF THIS.
SO WE ARE NATIONALLY ACCREDITED.
WE DO WANNA MAKE SURE THAT WE SHARE AS MUCH AS POSSIBLE.
UM, BUT AGAIN, WE'RE CELEBRATING HERE TODAY IN SUNNY SAN ANTONIO.
SO THANK YOU FOR ALLOWING US TO SHARE THIS WITH YOU.
UM, SO, UH, JUST A COUPLE OF QUESTIONS IN TERMS OF GOING FORWARD, THE GROUP WILL CONTINUE TO MEET AND ADVISE ON, I SAW THAT YOU HAD THE ESSAY FORWARD LOGO AT THE BOTTOM OF THAT, OF YOUR VIDEO.
COULD YOU EXPLAIN HOW THEY WILL BE INTEGRATED INTO ESSAY FORWARD? SO OUR PRIORITIES TALK ABOUT THE CONDITIONS THAT HAVE BEEN, UH, WORSENED DURING COVID.
SO OUR HEALTH PRIORITIES HAVE TO DO WITH ACCESS TO CARE, VIOLENCE, MENTAL HEALTH, FOOD INSECURITY, AND NUTRITION.
WE'RE TRYING TO AUTOMATE CERTAIN FUNCTIONS, AND WE DO HAVE AT LEAST ONE OF THE PRIORITIES AROUND HEALTH EQUITY AND SOCIAL JUSTICE.
SO THIS WORK OF THE COALITION WILL CONTINUE TO ALLOW US TO APPLY LESSONS LEARNED.
WE HAVE AN ACTIVE PROJECT RIGHT NOW WITH OUR PARTNERS AT UT HEALTH, UH, HEALTH CONFI AS WE LOOK AT HEALTH LITERACY AND HOW WE CAN CONTINUE TO AMPLIFY OUR MESSAGING AND COMMUNITY.
AND SO AT THE END OF THE DAY, WE DO HAVE REGULAR, UM, MONTHLY GATHERINGS WITH THE C R A C.
WE'VE MOVED TO A DIFFERENT SCHEDULE, RATHER IN EACH MONTH.
WE'RE LOOKING AT MORE OF A QUARTERLY SCHEDULE.
UM, PLUS WE DO HAVE, UM, UH, THIS SYMPOSIUM THAT'S TAKING PLACE NEXT MONTH, AND WE'RE INVITING MEMBERS OF THE C R E C OF THIS COALITION AND OTHERS TO JOIN US ON, UH, FRIDAY, SEPTEMBER 23RD.
UM, IF A LOT COULD BE SAID ABOUT, UH, OR I, I COULD HAVE A LOT OF QUESTIONS ABOUT HOW WE, HOW WE MOVE FORWARD.
UM, BUT WE'LL LEAVE IT AT THAT AND MAYBE WE CAN TALK OFFLINE.
UH, DO ANY COUNCIL MEMBERS, UH, WANT TO MAKE COMMENT? COUNCILWOMAN AWESOME.
AND CONGRATULATIONS, CLAUDE, TO YOU AND YOUR TEAM.
THAT'S, UH, A LOT OF WORK AND REALLY EXCITING TO SEE THAT Y'ALL ARE LEADING, UH, IN A LOT OF THIS WORK.
THIS MORNING I READ A STUDY ON PROMOTING HEALTH AND EQUITY AND HOUSING, AND I WISH IT WOULD HAVE BEEN SENT TO ME YESTERDAY BECAUSE IT HIGHLIGHTED THE INTERSECTION OF THE HEALTH AND MENTAL IMPACTS OF EVICTION ON FAMILIES.
UM, HOW SUBSTANDARD HOUSING IMPACTS THE HEALTH OF OUR KIDS, WHETHER IT'S ASTHMA AND HOW WHEN FOLKS ARE SPENDING MORE THAN HALF OF THEIR RENT, UH, THEIR PAYCHECK ON RENT, THEY'RE MORE LIKELY TO INDULGE IN RISKY BEHAVIORS.
RIGHT? AND THEN WE SEE THAT ALL OUT IN OUR COMMUNITY.
UM, AND IT PROVIDED SOME PUBLIC HEALTH SOLUTIONS.
SO ONCE I READ THAT THIS MORNING, I WAS LIKE, OH, I WISH I WOULD'VE READ IT YESTERDAY IN PREPARATION FOR THE, THE METRO HEALTH BUDGET MEETING.
AND I WAS THINKING, MAN, WE SHOULD JUST GIVE ALL THE MONEY TO METRO HEALTH
BUT, UH, THANK YOU ALL FOR ALL THE WORK THAT Y'ALL CONTINUE TO DO.
AND AS WE KNOW, THERE'S PLENTY OF WORK AHEAD, BUT, UM, WE HAVE A GREAT TEAM LEADING, SO THANK YOU.
AND, UH, TEAM, THANK YOU FOR DOING SUCH A GREAT JOB.
BUT I DO WANNA ACKNOWLEDGE WHERE THIS REALLY BEGAN, AND IT WAS BECAUSE OF A HORRIFIC PANDEMIC.
AND I'M NOT GONNA GET EMOTIONAL, BUT I AM.
BUT THREE, FOUR AND SEVEN STOOD UP AT THE, UM, CIS WELLMED CLINIC FOR A PRESS CONFERENCE SAYING AN ONLINE PORTAL WAS NOT GOING TO WORK.
AND WE NEEDED PHONES BECAUSE WE NEEDED TO GET OUR SENIORS, UH, VACCINATED AND METRO HEALTH.
[01:20:01]
TEAM ANSWERED THAT CALL IN A MAJOR WAY.AND I, I AM SO GLAD THAT YOU DID.
SO I, ANNA, I REALLY THINK YOU SHOULD SHARE IN THIS AWARD, UM, THREE, FOUR, AND FIVE.
I I THINK THE ONLY, UM, THREE, FOUR AND SEVEN.
I THINK THE REASON FIVE AND UH, SIX WERE NOT THERE IS WHEN I THINK THEY THOUGHT THEY WERE GONNA MAKE QUORUM, AND TWO, THEY HAD CHILDREN.
BUT Y'ALL STOOD UP THERE IN THE MIDST OF A PANDEMIC WITHOUT A VACCINE WEARING MASKS, TALKING ABOUT HOW IMPORTANT THIS WAS.
SO THIS REALLY IS A CREDIT TO THE FACT THAT YOU KNEW YOU HAD A CAPABLE TEAM AND Y'ALL COULD MAKE THIS ASK.
AND IN IT, WE, WE JUST, WE SAVED LIVES.
AND SO I'M SO THANKFUL AND CLAUDE, I'M THA I'M GLAD WE BROUGHT YOU A BOARD AND THAT YOU COULD RECOGNIZE WHAT GOOD WORK THEY DID.
SO CONGRATULATIONS TO YOU CHAIR AND TO YOU METRO HEALTH TEAM, BECAUSE I KNOW IT WAS A TEAM EFFORT, UH, ALL ALL THROUGH THAT.
SHE HAD A LOT TO, TO DO WITH THAT.
IT WAS INCREDIBLY YEAH,
FOR THE VIEWERS AT HOME, COULD YOU PLEASE COME CRY AT THE PODIUM?
SO SEE, I DID TELL YOU, DON'T BRING ME UP.
AND I STILL REMEMBER THE PHONE CALL THAT SHE MADE TO ME.
IT WAS, I THINK 6 45 7 IN THE NIGHT.
YOU'RE SAYING WE HAVE THIS IDEA AND DO YOU REMEMBER WHAT I SAID?
I WAS LIKE, THIS IS THE FIRST TIME I'M SEEING THIS CHILDLIKE ENTHUSIASM TOO.
YOU DIDN'T SAY IT THAT DAY, BUT LATER ON IT CAME OUT THAT SHE THOUGHT WE HAD CHILDLIKE ENTHUSIASM.
AND KEEP UP THAT CHILDLIKE ENTHUSIASM BECAUSE THAT'S WHAT WE NEED TO MAKE THINGS HAPPEN.
IT WAS, UM, UM, IT HAPPENS, RIGHT? WE TALK ABOUT THIS EXPERIENCE, WHICH IS ONGOING.
UM, I'M PROUD OF THE WORK OF THIS TEAM, UM MM-HMM.
AND I TRY NOT TO SAY A WHOLE LOT.
WE TALK ABOUT PREVENT, PROMOTE, PROTECT, THAT'S THE NATURE OF PUBLIC HEALTH.
BUT I WOULD ADD WE ARE PASSIONATE, PASSIONATE TO A FAULT, BUT WE ARE PASSIONATE ABOUT THE WORK.
SO I JUST WANNA SAY THANK YOU.
YOU HAVE BEEN ONE OF OUR MAIN CHEERLEADERS.
I THINK YOU, UH, ARE A DUES PAYING MEMBER OF THE C R E C.
UM, BUT REALLY YOU AND YOUR STAFF, UM, COUNCILWOMAN SANDOVAL, WE APPRECIATE YOUR SUPPORT.
WE'RE STILL APPLYING LESSONS LEARNED, AND THIS IS AN OPPORTUNITY.
UM, WE, WE, WE TEND TO FORGET THAT WE'RE STILL GOING THROUGH THIS EXPERIENCE.
UM, BUT NATIONALLY PARTNERS ARE TRYING TO DO A BETTER JOB ACKNOWLEDGING THE EFFORTS AND THEN TRANSLATE TRANSITIONING BECAUSE THESE CONDITIONS HAVE NOT GONE AWAY IN COMMUNITIES.
SO JUST WANTED TO SAY THANKS ON BEHALF OF THE, NOT JUST THE C R A C TEAM, BUT THE ENTIRE STAFFING COMPLIMENT AT METRO HEALTH AND, AND ON BEHALF OF THE OTHER PARTNERS HERE ACROSS THE CITY, THE FIRE DEPARTMENT, HUMAN SERVICES POLICE, I MEAN IT AGAIN, THE VILLAGE THAT HAS EMBRACED THIS RESPONSE EFFORT, UM, CONTINUES.
AND SO I JUST WANNA SAY HOW MUCH I APPRECIATE THE SUPPORT AND YES, WE'RE STILL AT IT.
UM, WE'RE GLAD WE COULD DO THIS EVEN, YOU KNOW, JUST HERE AT OUR COMMITTEE MEETING, UH, TO, TO MAKE SURE YOU GOT THE ATTENTION YOU DESERVED.
AND, UM, I THINK IT'D BE GREAT IF ERIC ALSO RECOGNIZED YOU AT A, AT A COUNCIL MEETING TOO.
SO, UM, THANK YOU VERY MUCH FOR TAKING THE TIME TO BE HERE WITH US AND CONGRATULATIONS AGAIN.
AND KATHY, YOU DID NOT STAND UP, BUT I KNOW YOU, YOU PLAYED A TREMENDOUS ROLE IN, UM, AT LEAST ONE OF THE ITERATIONS OF, OF THAT GROUP.
UM, AND I THINK THAT, OH, THAT'S THE END OF THE ITEM, BUT BEFORE WE ADJOURN, UM, I DO HAVE A BIG THANK YOU TO GIVE TO COUNCILWOMAN VIA GRAND COUNCILWOMAN.
THANK YOU SO MUCH FOR COVERING, UH, THE, THE COMMITTEE FOR CHAIRING IT, PRESIDING OVER IT.
I YOU DID A PHENOMENAL JOB, UM, IN THE MEETING THAT, THAT I WAS, UH, REMOTE IN AND THE OTHER ONE, I'M SURE YOU DID GREAT AS WELL.
SO, UM, WE DON'T HAVE IT WITH US RIGHT NOW, BUT WE DO HAVE A LITTLE GIFT THAT WE WILL BE PRESENTING TO YOU FOR, FOR THAT.
BY WE, I MEAN, UM, MY TEAM AND I, UM, SO NOT THE ROYAL WE, SO, UH, I CAN THANK YOU, UH, VERY MUCH FOR, FOR YOUR SERVICE.
[01:25:01]
ALRIGHT.AND I THINK, UH, WITH THAT WE WILL BE ADJOURNED AT, AT 3 31.