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UM, I THINK WE CAN GO AHEAD AND GET STARTED.
COUNCIL MEMBER ANDREW SULLIVAN HERE.
WE HAVE MORE THAN A QUORUM AND I'M NOT GONNA GET TIRED OF SAYING IT.
WE HAVE PERFECT ATTENDANCE, TINA.
UM, WE, UH, WE'RE GONNA JUMP STRAIGHT INTO AGENDA ITEMS. I UNDERSTAND WE DON'T HAVE ANY PUBLIC COMMENT TODAY, RIGHT? RIGHT.
UM, I MENTIONED THIS JUST A, A FEW MINUTES AGO, BUT WE'RE GOING TO TAKE THE ITEMS IN A DIFFERENT ORDER AT THAN AS POSTED ON THE AGENDA.
[3. 20-5090 A briefing and presentation on Metro Health's immunization plan to include childhood vaccinations, flu vaccinations, and the preparation for COVID-19 vaccinations. [Colleen Bridger, MPH, PhD, Assistant City Manager, Interim Director, Health; Anita Kurian, MPH, DrPH, Assistant Director, Health]]
WITH THE IMMUNIZATION PLAN.THEN WE'LL MOVE ON TO THE THIRD WAVE ITEM TWO, UH, SORRY, THIRD SPIKE.
AND THEN WE'LL GO, UH, TO CLIMATE.
SO IT'LL ACTUALLY BE IN RIVER ORDER.
SO, UM, WE'LL GO AHEAD AND START WITH ITEM THREE, BRIEFING AND PRESENTATION ON METRO HEALTH IMMUNIZATION PLANS.
UM, MY NAME IS SARAH WILLIAMS AND I AM THE OUTREACH COORDINATOR FOR THE IMMUNIZATIONS PROGRAM AT METRO HEALTH.
CORIN ASKED ME TO STEP IN AND DO THIS PRESENTATION TODAY, SO THANK YOU FOR HAVING ME.
HOPE EVERYBODY'S HAVING A, A GOOD MORNING SO FAR.
UM, YOU LIKE TO TAKE OFF, UM, HAVE YOU ALWAYS WANTED ON AS A PRECAUTION TO MAKE SURE WHEN YOU'RE IN MEETINGS WITH HER, CAN I SHARE THE, HI I, SARAH, I'M, I APOLOGIZE.
UH, I'M GOING TO ASK EVERYONE TO DOUBLE CHECK IF THEY ARE MUTED, AND I CAN TELL HERE, UH, THAT EVERYONE IS, EXCEPT FOR WAIT.
UH, JONATHAN AND NANCY, I THINK ARE NOT MUTED, BUT COULD YOU PLEASE DOUBLE CHECK.
WE'RE HAVING A HARD TIME HEARING.
UH, SARAH, ARE THEY MUTED NOW? CHAIR, IF I MAY, UH, THE ORGANIZER CAN ALSO MUTE THEM.
UH, SO I WOULD ASK THAT MAYBE THE ORGANIZER KEEP AN EYE ON THAT AS WELL.
THANK YOU
ALRIGHT, ORGANI, ARE YOU ORGAN, ARE YOU THE ORGANIZER? OH, OKAY.
IT MAKES IT DIFFICULT THOUGH, TO MAKE SENSE.
UH, SARAH, SARAH, THE FLOOR IS ENTIRELY YOURS.
SO, UM, WE'RE JUST GONNA GO OVER WHAT, UH, THE IMMUNIZATIONS PROGRAM HAS BEEN WORKING ON AND GIVE YOU SOME UPDATES AND, UM, SOME PLANNING INFORMATION.
UM, SO THE, THE IMMUNIZATION OUTREACH PROGRAM, WE, IN THE LAST YEAR AT OUR IMMUNIZATION EAST SIDE CLINIC, WE HAVE REACHED OVER 8,500, UM, PATIENTS, AND THEY COLLECTIVELY RECEIVED 16,000 PLUS VACCINES IN FISCAL YEAR 2019.
UM, WE ALSO HAVE AN OUTREACH PROGRAM, WHICH HAS WORKED CLOSELY WITH A LOT OF YOU.
AND IN THE OUTREACH PROGRAM, WE HAVE SERVED OVER A THOUSAND PATIENTS AND GIVEN CLOSE TO 1200 VACCINES, UM, BETWEEN MARCH, 2019 AND MARCH, 2020.
A LOT OF THOSE OUTREACH AND COMMUNITY-BASED CLINICS ARE IMPACT FLU CLINICS IN FROM 2019 TO 2020, WE DID 20 SPECIFIC FLU DEDICATED CLINICS, AND THAT INCLUDED, UM, PART OF OUR PARTNERSHIP WITH HEADSTART.
WE GO TO, UM, THEIR HEAD START LOCATIONS, AND WE DO ONSITE CLINICS FOR THEIR KIDDOS.
WE ALSO VACCINATED ALL OF THE METRO HEALTH, UH, EMPLOYEES AS WELL AS CITY COUNCIL MEMBERS AND THEIR STAFF.
WE COME, WE CAME OVER AND WE DID A BIG EVENT.
UM, WE ALSO GO TO HAVEN FOR HOPE ON A VERY REGULAR BASIS IN OUR PARTNERSHIP WITH THE UNIVERSITY OF THE INCARNATE WORD.
AND IN PART OF OUR PARTNERSHIP WITH UT HEALTH, WE WORK WITH THEIR STUDENT FACULTY COLLABORATIVE PRACTICE, AND WE PROVIDE, UM, FLU VACCINES TO THE REFUGEE CLINIC.
SO THAT'S A LARGE EVENT THAT WE DO EVERY YEAR.
UM, WE NORMALLY, IN A NORMAL YEAR, WE, WE DO A TOTAL OF ABOUT 50 TO 80 OUTREACH EVENTS EVERY YEAR AS FAR AS CLINICS GO.
OBVIOUSLY THIS YEAR'S BEEN A LITTLE, A LITTLE DIFFERENT.
UM, AND WE HAD DONE SIX EVENTS AT THE BEGINNING OF THE YEAR FROM JANUARY TO FEBRUARY, AND THAT INCLUDED A PARTNERSHIP WITH D H S AND, UM, SERVICE PROVIDERS IN THE DOWNTOWN AREA WHO SERVICE, UM, THE HOMELESS POPULATION.
WE HAD STARTED A, UM, A HEPATITIS A CAMPAIGN, AND THAT GOT
[00:05:01]
PUT ON HOLD IN MARCH WHEN WE WERE, UM, DEPLOYED TO COVID ACTIVITY.THIS, UM, SHOWS YOU THE VACCINATION COVERAGE FOR CHILDHOOD VACCINE SERIES IN NOT ONLY BEXAR COUNTY, BUT ALSO ALL OF TEXAS.
AS YOU CAN SEE, WE ARE PRETTY, WE HAVE GOOD NUMBERS FOR OUR CHILDHOOD SERIES, AND THAT'S SOMETHING THAT WE DEFINITELY WORKED ON, AND, UM, WE WE'RE PRETTY PROUD OF THAT NUMBER.
OF COURSE, IT COULD ALWAYS BE BETTER, BUT IT IS, IT'S A GOOD, GOOD RESULT.
AND WE'RE ON PAR WITH TEXAS IN, IN BEXAR COUNTY.
IN FACT, WE'RE SLIGHTLY AHEAD OF THEM.
SO, UM, THE, UM, M TRAC DATA IS STILL COMING IN FOR, FOR THIS YEAR.
SO WE, WE DON'T HAVE THE FINAL REPORT FOR, FOR 2020 YET FOR, FOR THE FIRST HALF OF THE YEAR.
THIS, WE WANTED TO SHOW YOU THE INFLUENZA, UM, COVERAGE ESTIMATES FOR THE 20 18 19 SEASON.
AND THIS INCLUDES THE UNITED STATES, TEXAS, AND BEXAR COUNTY.
AND AS YOU CAN SEE FOR BEXAR COUNTY, UM, WE ARE, WE DO BETTER THAN THE REST OF TEXAS AND THE UNITED STATES.
UM, AND THAT'S SOMETHING THAT WE DEFINITELY WORK HARD TO ACCOMPLISH, AND THAT'S SOMETHING THAT WE'RE VERY PROUD OF.
SO THIS IS A GOOD LITTLE ILLUSTRATION FOR YOU TO SEE HOW, HOW BEXAR COUNTY COMES IN REGARDS TO THE UNITED STATES AND THE REST OF TEXAS FOR FLU.
NEXT, THAT, PLEASE, THIS NEXT SLIDE IS, UM, THE ADULT AGE RANGES THAT FOCUSES, IT BREAKS DOWN THE ADULT RANGE A LITTLE BIT MORE, AND AS YOU CAN SEE, THE 18 TO 49 YEAR OLD IS THE GROUP THAT WE REALLY NEED TO TARGET WHEN IT COMES TO RECEIVING THE INFLUENZA VACCINE.
UM, AS NOTED, OBVIOUSLY, BY THEIR LOW PERCENTAGE RATE COMPARED TO THE 65 AND UP WHO HAVE A 70% IN BEXAR COUNTY, 37% IS THE AVERAGE FOR THE 18 TO 49 YEAR OLDS.
UM, AND THAT'S DEFINITELY SOMETHING THAT WE WANNA FOCUS ON, BUT UNFORTUNATELY, IT'S NOT TOO DIFFERENT FROM THE STATE, AS YOU CAN SEE, OR EVEN THE UNITED STATES.
SO NATIONWIDE, THAT'S A POPULATION THAT WE REALLY NEED TO WORK ON TARGETING.
WHAT DID WE DO FOR BACK TO SCHOOL THIS YEAR? SO, BACK TO SCHOOL, OBVIOUSLY DIDN'T HAPPEN AS WE NORMALLY EXPERIENCE IT.
AND, UM, WE DID BEGIN PLANNING IN FEBRUARY, AS WE NORMALLY WOULD BEFORE WE KNEW WHAT WAS GONNA HAPPEN FOR THE REST OF THE YEAR.
SO IN FEBRUARY, I SENT OUT INVITES.
WE, UM, WE'VE DONE THIS FOR TWO YEARS NOW, WHERE THE OUTREACH PROGRAM COORDINATES WITH ALL OF THE, YOUR OFFICES AND WITH YOUR STAFF.
AND, UM, WE PROMOTE AND, UM, WORK WITH THE, FOR THE BACK TO SCHOOL EVENTS, AND WE PARTNER WITH COMMUNITY IMMUNIZERS COUNCIL OFFICES, AND WE COME TOGETHER TO ENSURE THAT A VACCINE PROVIDER IS AVAILABLE FOR YOUR EVENT, MAKING SURE THAT YOUR, YOUR COMMUNITY MEMBERS HAVE THE VACCINE AVAILABLE ON SITE.
HOWEVER, THIS YEAR WE HAD TO ADJUST BECAUSE OF THE COVID RESTRICTIONS.
WHEN WE ORIGINALLY STARTED PLANNING IN FEBRUARY, YOU KNOW, WE WERE, WE'RE STILL PLANNING IT AS IF EVERYTHING WAS GONNA GO AS IT NORMALLY WOULD.
SLOWLY, WE HAD TO START ADJUSTING BECAUSE OF RESTRICTIONS THAT WERE PUT IN PLACE, UM, NO IN-PERSON LARGE SCALE EVENTS.
EVERYTHING WAS TWEAKED AND ADJUSTED TO THEM BECOME A DRIVE-THROUGH SCHOOL DISTRIBUTION, SCHOOL SUPPLY DISTRIBUTION EVENT.
AND WE REALIZED THAT IMMUNIZATIONS ON SITE WERE JUST NOT GONNA BE SOMETHING THAT WE COULD DO THIS YEAR.
SO, UM, THE FLYER THAT YOU SEE HERE ON THE RIGHT, THAT WAS WHAT WE DECIDED AS A GROUP TO CREATE.
AND, UM, THAT IS WHAT WE HAD SENT OUT TO OUR COMMUNITY MEMBERS.
STAFF HAD DECIDED THEY WOULD PUT THE FLYER IN WITH THE SCHOOL SUPPLIES.
WE SENT IT OUT WIDELY THROUGH DIFFERENT GROUPS AND SHARED IT.
WE WANTED TO MAKE SURE THAT PEOPLE UNDERSTOOD THE IMPORTANCE OF GETTING, STAYING UP TO DATE WITH VACCINES AND, UM, HOW THEY COULD GET THOSE VACCINES RIGHT NOW DURING COVID RESPONSE.
SO WE INCLUDED THE FOUR LARGE, UM, COMMUNITY IMMUNIZERS NOW OUTSIDE OF METRO HEALTH.
UM, 35% OF TEXAS PEDIATRICIANS DID REDUCE THEIR HOURS IN MAY, ACCORDING TO THE TEXAS MEDICAL ASSOCIATION.
AND SO THAT WAS SOMETHING THAT WE WERE HEARING A LOT OF IN THE COMMUNITY WAS THAT, OH, I CAN'T GO TO MY PEDIATRICIAN, YOU KNOW, WHERE DO I GO? HOW DO I GET VACCINES IF, IF THESE EVENTS AREN'T HAPPENING? SO THAT'S WHY WE HAD SHARED, SHARED THE INFORMATION AS FAR AS OTHER AVAILABLE RESOURCES IF THEIR PEDIATRICIAN WAS NOT IMMUNIZING AT THAT TIME.
OH, AND I ALSO WANTED TO NOTE, SORRY, THAT, UM, METRO HEALTH OPENED WHERE I'M CURRENTLY SITTING AT THE FRANK GARRETT
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CENTER.WE OPENED OUR CLINIC, THE OUTREACH TEAM CONVERTED FROM MOBILE OUT IN THE COMMUNITY AND VACCINATING ON SITE AT EVENTS.
AND SINCE WE COULDN'T DO THAT, WE OPENED THE FRANK GARRETT CENTER, AND WE ARE DOING THOSE SCHOOL READY VACCINES.
SO WE'RE SEEING THOSE FOUR TO FIVE YEAR OLDS, 11 TO 12 YEAR OLDS, AND 16 TO 18 YEAR OLDS WHO NEED VACCINES SPECIFICALLY FOR SCHOOL.
AND SO WE'RE CURRENTLY AT FRANK GARRETT CONDUCTING CLINICS, WHICH MIRROR BACK TO SCHOOL, UM, ON ONSITE EVENTS.
UM, SO VACCINATIONS ARE DOWN ONE, BACK AGAIN.
UH, VACCINATIONS ARE DOWN ACROSS THE US THAT IS NOT JUST HERE IN BEXAR COUNTY OR IN TEXAS.
IT'S ACROSS THE UNITED STATES, AS YOU CAN SEE HERE, SINCE MARCH 13TH.
IT'S WHEN THEY DECLARED THE NATIONAL, UM, EMERGENCY, AND YOU CAN SEE THIS, THE DROP OFF AND, UM, THAT WAS NATIONWIDE.
SO, UM, IT'S A REALLY GOOD VISUAL REPRESENTATION TO SHOW YOU, UH, THE REACTION TO COVID, THE REDIRECTION OF SERVICES AND STAY AT HOME ORDERS, WHICH WERE PUT IN PLACE AND THAT, THAT THE DRASTIC DROP IN PREVENTATIVE SERVICES.
BUT THE C D C, UM, STRESSED THE IMPORTANCE OF IMPROVING CHILDHOOD SERIES RATES IN THEIR M M W R, WHICH WAS PUBLISHED IN MAY 15TH.
AND THAT IS DEFINITELY MESSAGING THAT WE AS, UM, METRO REACH PROGRAM, WE REALLY STRESSED THAT.
AND I'LL COVER, I'LL COVER THAT MORE IN A MINUTE.
SO, UM, SO PREVENTING THE NEXT OUTBREAK, THE C D C STATED ROUTINE VACCINATION IS AN ESSENTIAL PREVENTATIVE CARE SERVICE FOR CHILDREN, ADOLESCENTS, AND ADULTS AND PREGNANT WOMEN.
WE ALWAYS FOCUS ON CHILDREN, BUT IT'S SO IMPORTANT ALSO FOR ADULTS, AND WE REALLY WANT EVERYBODY TO UNDERSTAND IT'S NOT JUST ABOUT, YOU KNOW, THE FOUR TO FIVE YEAR OLDS GOING TO SCHOOL.
UM, AND THE VACCINES SHOULD NOT BE DELAYED BECAUSE OF THE COVID PANDEMIC.
UM, MAJORITY OF THE T V F C, THE VACCINES FOR CHILDREN PROVIDERS ARE OPEN AND OFFERING ROUTINE IMMUNIZATION SERVICES.
EVERYBODY KIND OF ASSUMED AS SOON AS THE, YOU KNOW, RESTRICTIONS STARTED GETTING PUT IN PLACE, THAT THEY COULDN'T GO TO THEIR DOCTOR OR THEIR DOCTOR WOULDN'T SEE THEM.
HOWEVER, THE, THE PROVIDERS THAT WE TALKED TO, THEY HAD JUST ADJUSTED THEIR PRACTICE.
UM, THEY HAD CHANGED FROM JUST SEEING EVERYBODY ALL DAY LONG TO EITHER SICK IN THE MORNING AND WELL IN THE AFTERNOON, OR ONE DAY ONLY SICK, AND THE NEXT DAY ONLY, WELL, IN ORDER TO KEEP THAT SEPARATION AND TO ENSURE THE SAFETY OF, OF, OF ALL THEIR PATIENTS.
SO IT'S REALLY IMPORTANT THAT WE, WE ENSURE THE PUBLIC UNDERSTANDS THAT SAFETY MEASURES ARE IN PLACE, AND THEY HAVE BEEN THIS WHOLE TIME.
WE STILL WANT THEM TO GO FOR THEIR WELL CHECKS.
WE STILL WANT THEM TO MAINTAIN, UM, MAINTAIN THEIR VACCINATIONS UP TO DATE, DESPITE WHAT'S HAPPENING RIGHT NOW, BECAUSE IT'S SO IMPORTANT THAT THEY, THEY REMAIN UP TO DATE.
AND A LOT OF PLACES, INCLUDING OUR CLINICS, MENTAL HEALTH, YOU KNOW, WE'VE ALSO PUT THE RESTRICTIONS IN PLACE.
WE ARE OPEN, BUT WE JUST HAVE SWITCHED TO AN APPOINTMENT ONLY MODEL VERSUS THE WALK-IN.
UM, YOU KNOW, WE HAVE PEOPLE WAIT IN THE CAR, JUST LIKE OTHER PEDIATRICIANS.
WE OF COURSE REQUIRE FACE MASKS.
EVERYBODY THAT COMES INTO THE CLINIC, WE DO SYMPTOM SCREENING.
UM, AND WHEN PEOPLE CALL TO MAKE AN APPOINTMENT, WE STRESS THE IMPORTANCE OF STAYING HOME.
IF THEY ARE NOT FEELING WELL ON THAT DAY, WE WOULD RATHER RESCHEDULE THE APPOINTMENT THAN HAVE THEM COME IN AND BE SYMPTOMATIC AND THEN BE TURNED AWAY.
UM, THIS SLIDE SHOWS A MAP OF THE TEXAS VACCINES FOR CHILDREN PROVIDERS IN BEXAR COUNTY.
SO, AS YOU CAN SEE THERE ON A NORMAL BASIS, AVERAGES ABOUT 156 TEXAS VACCINES FOR CHILDREN PROVIDERS IN BEXAR COUNTY, NOT IN AS WELL AS METRO HEALTH.
SO WE WORK VERY CLOSELY WITH THE IMMUNIZATIONS PROGRAM.
THEY GO OUT TO THESE PROVIDERS ON THE STATE, THEY SPEND TIME, UM, EDUCATING THE PROVIDERS, WORKING WITH THEM, DOING EVERYTHING WE CAN TO IMPROVE THE RATES, AND ENSURING THAT THEY ARE EMPHASIZING THE IMPORTANCE, UM, OF, OF KEEPING THEIR KIDS UP TO DATE.
AND THIS MAP DOES NOT INCLUDE PRIVATE PROVIDERS OR URGENT CARE CLINICS.
THIS IS ONLY TEXAS VACCINE FOR CHILDREN PARTICIPANTS.
SO THIS MAP DOESN'T SHOW ALL OF THE PLACES THAT PROVIDE IMMUNIZATION SERVICES ONLY T P F C PROVIDERS.
OUR KEY MESSAGING, WE REALLY WANT TO PROMOTE THAT IT'S SAFE AND
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IMPORTANT TO ACCESS PREVENTATIVE CARE, INCLUDING VACCINATIONS.LIKE I SAID EARLIER, A LOT OF PEOPLE ARE AFRAID, OR THEY DON'T UNDERSTAND THE IMPORTANCE OF, OF MAINTAINING THE VACCINES UP TO DATE, AND THEY, THEY DON'T WANNA GO TO THE DOCTOR'S OFFICE, BUT WE REALLY NEED TO IMPORT, UM, EMPHASIZE THE IMPORTANCE OF STAYING UP TO DATE, MAINTAINING THEIR PREVENTATIVE CARE, AND GOING TO THEIR DOCTOR.
BECAUSE LIKE I SAID, THE DOCTORS ARE DOING EVERYTHING AND THEY CAN TO KEEP THEM SAFE.
UM, AND THAT'S SOMETHING THAT WE'VE REALLY PROMOTED ON SOCIAL MEDIA ALSO WITH OUR, OUR MEDIA CAMPAIGNS THAT WE, WE DO THROUGH, UM, THROUGH THE METRO HEALTH, UH, SOCIAL MEDIA PLATFORMS, THE MAJOR PROVIDERS THAT ARE LISTED HERE, THE CENTRAL MED COMMUNICATOR, UH, U UNIVERSITY HEALTH SYSTEM, U I W.
WE WORK REALLY CLOSELY WITH 'EM.
AND EVEN WHEN WE WEREN'T DOING, UH, ONSITE OUTREACH CLINICS THROUGH THE LAST SIX MONTHS, WE HAVE BEEN WORKING CLOSELY WITH THEM, NOT ONLY FOR BACK TO SCHOOL RESPONSE, BUT ALSO TO MAKE SURE THAT WE'RE GONNA BE READY FOR THE UPCOMING FLU SEASON.
AND SO WE, WE HAVE BEEN KEEPING COMMUNICATION WITH THEM OVER THE, OVER THE COVID RESPONSE.
SO HERE IS THE INFLUENZA PLANNING SLIDE,
WHAT HAVE WE BEEN DOING AND WHAT DO WE PLAN TO DO IN THE NEXT, YOU KNOW, NINE MONTHS? SO THE C OVID 19 COMMUNITY RESPONSE COALITION, THAT'S SOMETHING THAT WAS FORMED.
AND THE ENFORCEMENT AND EDUCATION GROUP, UM, THEY HAVE ALREADY STARTED WORKING.
THEY'RE PLANNING, WE'VE WORKED WITH THEM TO DISTRIBUTE INFORMATION.
WE SENT THE BACK TO SCHOOL FLYER OUT THROUGH THEM, AND THEY'RE REALLY WORKING WITH STAKEHOLDERS AND COMMUNITY PARTNERS, UM, TO SHARE EDUCATION ABOUT BEFORE.
AND, UM, THE REACH GRANT, I'M GONNA SKIP DOWN.
THE REACH GRANT IS SOMETHING THAT WE ARE WORKING, UM, WITH THE HEALTHY NEIGHBORHOODS PROGRAM WITH METRO HEALTH.
THEY RECEIVED A GRANT THAT'S GONNA FUND TWO FULL-TIME COMMUNITY HEALTH WORKERS.
AND, UM, THEY ARE GONNA BE WORKING IN THE COMMUNITY WORKING TO DEVELOP UPON RELATIONSHIPS THAT THEY ALREADY HAVE IN PLACE.
AND THEY'RE GOING TO PARTNER WITH OUR VACCINE STRIKE TEAM TO EDUCATE THE COMMUNITY.
THEY WILL PROVIDE PRESENTATIONS, EDUCATION IN THE COMMUNITY WITH ORGANIZATIONS AND PEOPLE THEY ALREADY HAVE A RELATIONSHIP WITH.
AND THEN THEY'RE GONNA HELP CONNECT THE COMMUNITY WITH OUR VACCINE STRIKE TEAM, WHO WILL THEN HOPEFULLY BE ABLE TO GO IN AND DO AN ONSITE IMMUNIZATION FLU CLINIC.
UH, THEN WHAT IS THE VACCINE STRIKE TEAM? SO, THE VACCINE STRIKE TEAM IS A C D C SUPPLEMENTAL FUNDING THAT WE RECEIVED, WHICH IS GOING TO PROVIDE US FULL, UH, SEVEN FULL-TIME STAFF MEMBERS THROUGH THE END OF FLU SEASON, WHICH IS THE END OF JUNE.
THEY WILL HOLD COMMUNITY-BASED FLU CLINICS WITH PARTNERS AND STAKEHOLDERS, THEIR ENTIRE JOB AND THEIR ENTIRE LIFE.
THE DURATION OF FLU SEASON IS GOING TO BE GOING OUT INTO THE COMMUNITY MEETING WITH PARTNERS AND SETTING UP ONSITE FLU CLINICS, GOING TO THE PLACES TO REACH GRANT IS ABLE TO PROVIDE EDUCATION AND PARTNERSHIPS WITH.
AND THEN, UM, THE VACCINES FOR CHILDREN PROVIDER SURVEY THAT IS GOING TO BE DISTRIBUTED IN LATE SEPTEMBER, THAT IS GOING TO BE PART OF THE REACH GRANT ALSO.
SO THAT WILL BE SENT OUT TO THE T V F C PROVIDERS THAT WE WORK WITH TO SEE HOW WE CAN HELP THEM TO IMPROVE THEIR RATES, HOW WE CAN HELP THEM TO EDUCATE THE COMMUNITY, WHAT RESOURCES DO THEY NEED, WHAT CAN WE HELP PUT IN PLACE TO IMPROVE THEIR RATES.
UM, BLUE SEASON KICKOFF EVENT.
SO WE HAVE BEEN WORKING TO PLAN A LARGE, UM, DRIVE-THROUGH FLU CLINIC.
AND, UM, THAT IS GOING TO BE HELD IN THE, THE BEGINNING OF OCTOBER.
IT'S GONNA BE A LARGE FLU EVENT TO PROMOTE THE KICKOFF OF FLU SEASON.
AND WE'RE GONNA BE PARTNERING WITH, UM, U I W AT THE BROOKS MEDICAL SCHOOL CAMPUS.
AND, UM, THERE, IT WAS TENTATIVE, BUT YESTERDAY I GOT THE THUMBS UP, SO I'M ALLOWED TO SAY IT NOW.
UM, WE'RE GOING TO, WE'RE REALLY GONNA PROMOTE THAT EVENT, AND IT'S GONNA BE, UH, THEY'RE, THEY HAVE AVAILABILITY OF STUDENTS, SO THEY'RE ABLE TO PROVIDE VACCINATORS, UM, SO THAT WE CAN REACH A LARGER CAPACITY IN ONE EVENT.
SO THAT'S GONNA BE A REALLY GREAT, GREAT DAY THERE.
WE OPENED OUR CLINICS ON THE EAST SIDE AND HERE AT FRANK GARRETT ON AUGUST 17TH.
UM, LIKE I MENTIONED BEFORE, THE OUTREACH TEAM MAINTAINED CONTACT WITH OUR PARTNERS THROUGHOUT THE TIME THAT WE WERE HELPING WITH THE COVID RESPONSE.
AND, UH, WE WOULD REFER PEOPLE TO THEM IF WE WEREN'T ABLE TO HELP, BUT WE, WE MAINTAINED OUR COMMUNICATION WITH THEM THROUGHOUT COVID RESPONSE IN ORDER TO MAKE SURE THAT WE WERE GONNA BE READY FOR FLU PLANNING.
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UH, THE NEXT PART OF OUR FLU PLANNING INCLUDES MEDIA CAMPAIGNS.WE HAVE ALWAYS WORKED VERY CLOSELY WITH OUR MEDIA, UM, AND OUR PR DEPARTMENT.
WE HAVE TELEVISION COMMERCIALS, WE HAVE RADIO COMMERCIALS IN ENGLISH AND IN SPANISH.
WE HAVE DIFFERENT, UM, MESSAGING THAT WE ADJUSTED FOR, DIFFERENT FOOTAGE THAT WE USE BASED ON, ON THE MESSAGING, AND WE FULLY INTEND TO USE THOSE.
THIS YEAR WE DID RECEIVE ADDITIONAL FUNDING FOR MEDIA THROUGH THE, THE STRIKE TEAM, THE C D C SUPPLEMENTAL FUNDING.
SO WE'RE REALLY GOING TO PROMOTE AND USE THOSE COMMERCIALS AND, AND HEAVILY PUSH THOSE OUT.
WE ALSO HAVE USED BILLBOARDS AND, UM, THOSE ARE THROUGHOUT THE CITY.
WE HAVE SOCIAL MEDIA PLATFORMS. UM, WE GET A REALLY GOOD, UM, RESPONSE FROM SOCIAL MEDIA.
OUR, UM, HEALTH PROGRAM SPECIALIST WORKS ON, ON THE MEDIA A LOT, AND SHE, IT'S, AND IT'S AN ONGOING, EVOLVING THING.
AND SO WE DEFINITELY WORK VERY CLOSELY TO PROMOTE SOCIAL MEDIA ON, UM, TWITTER, INSTAGRAM, AND FACEBOOK, AND THEN THE METRO HEALTH WEBSITE.
WE UPDATE THAT ON A MONTHLY AND ONGOING BASIS TO MAKE SURE THAT OUR COMMUNITY MEMBERS HAVE ACCESS TO THE MOST CURRENT INFORMATION AND THEY CAN REACH US, UM, WHENEVER THEY NEED TO.
OTHER EVENTS, UM, WE NORMALLY, WE, SO FAR WE HAVE THE POTENTIAL AND THE PLAN FOR 50 PLUS FLU CLINIC EVENTS WITH COMMUNITY PARTNERS THROUGHOUT SAN ANTONIO.
HOPEFULLY THAT NUMBER WILL INCREASE IN THE COMING WEEKS, BUT THAT IS WHAT SO FAR I'VE MANAGED TO, TO GET ON THE, ON THE PLAN.
UM, LIKE I MENTIONED, WE'RE GONNA DO DRIVE THROUGH AND MASS FLU VACCINATION CLINICS, BUT WE'RE ALSO GONNA PARTNER WITH METRO HEALTH'S, UM, PUBLIC HEALTH AND EMERGENCY PREPAREDNESS P P TO DO LARGER EVENTS.
AND THOSE ARE PLANNED FOR EACH QUADRANT OF THE CITY, INCLUDING DOWNTOWN.
SO THOSE BIG EVENTS SHOULD BE, UM, PLANNED PRETTY SOON.
WE JUST NEED TO LOCK THAT INTO PLACE.
AND THEN WE HAVE PRE-BOOKED A TOTAL NUMBER OF, UM, 2000 VACCINES FOR CHILDREN FLU DOSES.
AND WE JUST RECEIVED WORD THAT THEY'RE STARTING TO SHIP THOSE STARTING SEPTEMBER 8TH.
SO WE SHOULD BE RECEIVING THOSE PRETTY SOON, HOPEFULLY.
THE ADULT SAFETY NET PROGRAM THIS YEAR, FOR THE FIRST TIME EVER, IS DESIGNATING FLU DOSES THROUGH THEIR PROGRAM.
SO THEY'RE FUNDING FLU FOR ADULTS WHO ARE UNINSURED OR WHO ARE HIGH RISK, AND WE'VE PRE-BOOKED 2000 DOSES OF THAT.
AND ALSO METRO HEALTH HAS, UM, PRE-BOOKED 6,600 DOSES OF PRIVATELY PURCHASED FLU VACCINE, WHICH WE CAN PROVIDE TO ANYBODY WHO DOESN'T QUALIFY FOR THE V S C OR A S N VACCINE.
AND WE ALSO HAVE 2200 ON BACK ORDER.
SO WE HAVE THE, THE POTENTIAL FOR 8,800 FLU PRIVATE DOSES.
AND AS I MENTIONED EARLIER, 18 TO 49 YEAR OLDS ARE DEFINITELY GOING TO BE OUR TARGET BASED ON THEIR LOW, THEIR LOW RATES.
OUR, OUR IMMUNIZATION INFORMATION SYSTEMS TEAM, OUR I I S TEAM, THEY SEND OUT REMINDER RECALLS.
THEY, UM, THEY GO INTO AMTRAK, WHICH IS THE STATE REPORTING SYSTEM FOR IMMUNIZATIONS.
THEY PULL, UM, 10,000 REMINDERS AND SEND THEM OUT QUARTERLY TO PEOPLE WHO NEED A REMINDER TO STAY UP TO DATE WITH THE VACCINE.
SO THEY ASSESS THE RECORDS, THEY WORK WITH PROVIDERS, THEY SEND OUT REMINDER, REMINDER RECALLS TO, ON A QUARTERLY BASIS, LIKE I SAID, TO ABOUT 2,500 PEOPLE EVERY QUARTER.
UM, NEXT, THIS, UM, RACIAL AND ETHNIC MINORITIES, AS YOU CAN SEE, HAVE DISPROPORTIONATELY LOW VACCINATION RATES.
WE WANT TO TARGET THOSE POPULATIONS FOR FLU AND THE COVID VACCINE, AND WE'RE GONNA DO THAT WITH THE HELP OF THE REACH GRANT.
UM, WE ARE USING THE HEALTH INEQUITY DATA TO DRIVE THOSE ACTIVITIES, THE OFFICE OF HEALTH EQUITY IDENTIFIED AREAS WITH HIGH COMBINED SCORES OF, UM, RACE AND, UH, ECONOMIC DISPARITIES.
SO USING THE REACH GRANT MAPPING WE'RE, AND THE REACH GRANT EMPLOYEES, WE ARE GOING TO BE ABLE TO REALLY GET INTO THE COMMUNITY AND TRY TO RAISE THESE, THESE RATES, AS YOU CAN SEE, WHICH ARE DISPROPORTIONATELY LOWER.
[00:25:01]
YOU.THE COMPLEX AND EVOLVING LANDSCAPE OF COVID VACCINE.
SO THERE'S LOTS OF UNCERTAINTY.
THERE'S, IT IS A CONSTANTLY CHANGING THING RIGHT NOW AS FAR AS COVID AND THE VACCINE.
AND IT'S UNDERSTANDING IS IT GONNA BE ONE VERSUS TWO DOSE SERIES? BECAUSE IF YOU GET THE TWO DOSE SERIES, YOU HAVE TO GET BOTH DOSES.
UM, IF YOU GET ONE PRODUCT, YOU HAVE TO FINISH IT WITH THE SAME PRODUCT.
YOU CAN'T, THEY'RE NOT INTERCHANGEABLE.
SO YOU CAN'T SWITCH TO A DIFFERENT BRAND IF YOU START IT WITH ONE.
THERE'S, UM, VACCINE EFFICACY AND ADVERSE EVENT PROFILE IN DIFFERENT POPULATIONS.
THERE'S THE MAIN MAINTENANCE OF THE VACCINE WITH THE COLD CHAIN REQUIREMENTS.
WE HAVE TO MAKE SURE THAT THE VACCINE'S GONNA BE VIABLE WHEN PEOPLE RECEIVE IT.
AND THEN ALSO THE CONCERN ABOUT IS IT GONNA BE SAFE USING IT IN CHILDREN, PREGNANT WOMEN, UM, WE NEED TO, AND THEN ALSO THE NEED FOR SOCIAL DISTANCING DURING THE VACCINATION CLINICS, ENSURING THAT PEOPLE ARE SAFE AND SOCIAL DISTANCING IS MAINTAINED WHILE WE'RE PROVIDING THE VACCINE THAT, UM, THAT IS AVAILABLE.
SOME HIGH RISK GROUPS FOR COVID, UH, MAY DISTRESS PUBLIC HEALTH.
AND THAT IS, AGAIN, GOING BACK TO THE REACH GRANT, BUILDING TRUST, ESTABLISHING THAT RELATIONSHIP IN THE COMMUNITY, MAKING SURE THAT WE EDUCATE THE COMMUNITY, BUILD THE TRUST, BUILD THE RELATIONSHIP SO THAT WE CAN GO INTO THE COMMUNITY AND PROVIDE THE VACCINE WHEN IT'S AVAILABLE BASED ON THAT RELATIONSHIP AND THAT EDUCATION.
SO THIS IS AN ILLUSTRATION, UM, TO SHOW YOU THE COMPONENTS OF VACCINE IMPLEMENTATION.
I, I SEE IN THE NEWS, YOU KNOW, OH, YEAH.
THE VACCINE'S QUICKLY COMING THROUGH, AND IN MY MIND I'M LIKE, BUT THERE'S SO MANY STEPS,
UM, SO WE WANNA MAKE SURE THAT YOU SHOW YOU AN, UH, AN ILLUSTRATION OF EVERYTHING THAT'S INVOLVED IN, UM, IN GETTING A VACCINE IN PLACE.
UM, ONCE A VACCINE IS AVAILABLE, THERE'LL BE LIMITED DOSES IN THE BEGINNING BECAUSE THEY RELEASE IT IN, IN WAVES AND IT'LL BE RELEASED, UM, PRIORITIZED BY POPULATION AS IT'S DISTRIBUTED.
THE HIGH RISK POPULATIONS, WE'RE THINKING IT'S GOING TO BE RELEASED FOR FIRST RESPONDERS, FOR THE ELDERLY PEOPLE WITH UNDERLYING HEALTH CONDITIONS.
SO THOSE, THOSE POPULATIONS THAT WE REALLY NEED TO ENSURE, RECEIVE THE VACCINE, IT'LL BE RELEASED SPECIFICALLY FOR, FOR THOSE POPULATIONS.
UM, SO YOU IDENTIFY THE, THE POPULATION, YOU ALLOCATE THE VACCINE, BUT THEN IT GOES FOR DISTRIBUTION, IT COMES FROM THE MANUFACTURER, IT GOES TO THE, THE, UM, FEDERAL LEVEL AND THEN STATE LEVEL.
AND THEN IT COMES, IT TRICKLES DOWN TO, TO THE LOCAL LEVEL.
SO IT GOES THROUGH LOTS OF DIFFERENT STEPS BEFORE IT CAN EVEN REACH US.
SO I'M JUST GONNA KEEP READING.
UM, THE NEXT SLIDE IS GOING TO GIVE YOU AN OVERVIEW OF THE DISTRIBUTION.
UH, AND, HI, SORRY, CAN YOU HEAR ME? YES, I CAN.
UM, DO YOU MIND IF WE KIND OF WRAP UP? YEP.
IT'S A REALLY LONG PRESENTATION, AND WE'VE GOT A COUPLE OF ITEMS. AND I, I, I WASN'T ANTICIPATING THAT IT WOULD BE ALL THREE ITEMS, UH, COMBINED.
SO WE CAN COME BACK AND TALK ABOUT THE CORONAVIRUS DISTRIBUTION AT A, AT A FUTURE MEETING, UM, BECAUSE THAT'S A LITTLE BIT WAYS OFF.
BUT IF YOU DON'T MIND JUST WRAPPING UP THE, THE SECTION ON, UH, VACCINATIONS.
UM, DO YOU WANNA SKIP TO TWO SLIDES FROM NOW? OKAY.
SO, UM, WE JUST WANTED TO EMPHASIZE THAT WE ARE HERE, WE'RE AVAILABLE.
UM, THE EAST SIDE CLINIC IS OPEN MONDAY THROUGH FRIDAY.
THE, THEY'RE EIGHT TO THREE APPOINTMENT ONLY NOW, FRANK GARRETT CENTER IS, WE'RE OPEN MONDAY, WEDNESDAY, FRIDAY, NINE TO THREE BY APPOINTMENT ONLY.
UM, WE ARE
AND, UM, MOVING FORWARD, WE, UM, WE REALLY HOPE TO BE ABLE TO, TO PROVIDE THAT FOOD TO AS MANY COMMUNITY MEMBERS AS WE CAN.
AND WE WANNA MAKE SURE THERE'S TIME FOR, FOR TIME FOR, FOR CONVERSATION, UH, ABOUT THESE.
AND, AND WE HAVE, UM, AND WE'VE GOT COUNCIL MEMBERS.
SO IF YOU, UH, I THINK WE'LL DO FIVE MINUTES, JUST SO WE ALSO HAVE TIME FOR THE SUBSEQUENT TWO AGENDA ITEMS. I'M GONNA GO AROUND AND START WITH, UH, COUNCILMAN TREVINO, DO YOU HAVE ANY COMMENTS? WE'LL GO IN NUMERICAL ORDER.
[00:30:01]
FOR THAT PRESENTATION.UM, WE'RE VERY, VERY SUPPORTIVE AND JUST WANNA SAY THANK YOU FOR, UM, UH, UTILIZING THE FRANK GARRETT CENTER THAT THE, THE TRANSFORMATION OF THE FRANK GARRETT CENTER IN, IN ALL THAT IT PROVIDES, UH, OVER THERE IN THE WEST END COMMUNITY IS, IS INCREDIBLE.
AND, AND, AND DISTRICT ONE, JUST, I WANNA SAY, WANNA SAY THANKS.
UH, WE KNOW THAT THAT'S, YOU KNOW, COMBINED WITH THE EFFORTS, UH, WITH, WITH THE NEXT LEVEL YOUTH REENGAGEMENT CENTER, UH, I THINK HAS BEEN A VERY WELCOME ADDITION, UH, TO THAT NEIGHBORHOOD.
BUT IT, IT DOES LEAD ME TO JUST ONE SIMPLE QUESTION, WHICH IS THAT ACCESS IN, IN, AT THE FRANK GARRIS CENTER DOES PROVIDE, UH, REALLY GREAT ACCESS GEOGRAPHICALLY, UH, ON THE WEST SIDE.
UM, A LOT OF YOUR, YOU, WE SHOWED SOME, SOME, UM, SOME DEMOGRAPHICS, BUT, UM, IS THERE ANY GEOGRAPHY ABOUT OF, OF HOW YOU'RE ABLE TO DISTRIBUTE THESE, THESE VACCINATIONS AND, AND ACCESS TO IT? UH, GEOGRAPHICALLY? DO YOU MEAN IN THE COMMUNITY OR, YES, AT THE CENTER IN THE COMMUNITY.
UM, NORMALLY WE'RE CONTACTED BY COMMUNITY PARTNERS WHO WORK IN THE COMMUNITY AND WHO NEED US TO GO AND PROVIDE SOMETHING ON SITE.
WE WORK IN ALL DIFFERENT AREAS OF, OF THE CITY.
THE, FOR AS FAR AS FOR FLU PLANNING GOES, WE ARE GOING TO USE THE REACH GRANT AND THEIR RELATIONSHIPS.
THEY HAVE THE REACH MAPS THAT THEY WORK IN.
AND, UM, WE'RE HOPING TO BE ABLE TO GO INTO THOSE COMMUNITIES AND PROVIDE THEM TO PEOPLE WHO MAY OTHERWISE NOT HAVE ACCESS TO THE FLU, THE FLU VACCINE.
WELL, MAYBE WE CAN, WE CAN GET AN UPDATE ON, IF, IF YOU COULD MAP OUT MAYBE BY ZIP CODE, JUST TO MAKE SURE.
I, I, I THINK THIS IS A, A COMMON CONCERN WE ALL HAVE, SORT OF JUST MAKING SURE THAT, THAT ALL ALL ALL SECTORS OF OUR CITY, UH, UH, HAVE ACCESS.
AND IF, AND IF THEY DON'T, THEN WHY? SO THAT'S ALL I'VE GOT, CHAIR.
SO, THE QUESTIONS THAT I HAVE AS FAR AS KNOWING THAT WE'RE NOT ABLE TO COME INTO A CENTER, UM, WHAT ARE WE DOING FOR THOSE SENIORS, BEING THAT OUR SENIOR CENTERS ARE CLOSED AND THOSE WHO ARE ACTUALLY HOME BOUND, UM, AND CANNOT, UH, COME IN FOR AN APPOINTMENT? HOW ARE WE, UH, REACHING OUT TO THOSE POPULATIONS? I DON'T HAVE AN ANSWER FOR THAT, BUT WE CAN DEFINITELY REACH OUT AND FIND OUT
I, I KNOW THAT I DON'T HAVE THE CAPABILITY OF GOING TO SOMEBODY'S HOME, BUT I WOULD LIKE TO FIND OUT IF ONE OF OUR PARTNERS HAS THAT CAPABILITY.
SO IT'S DEFINITELY SOMETHING THAT WE CAN FOLLOW UP ON.
UM, THANK YOU SO MUCH FOR THAT.
UM, I'LL AWAIT THAT FOLLOW UP.
AND THEN MY NEXT QUESTION, THAT COUNCILWOMAN, THIS IS COLLEEN.
I, I WOULD LIKE TO WEIGH IN ON THAT.
WE HAVE IN THE PAST PARTNERED WITH M I H TO ACCESS HOME BOUND INDIVIDUALS, UM, AND THEY CAN HELP US WITH THAT.
AND THEN WE ALSO BELIEVE THAT THE, UM, MASSIVE DRIVE-THROUGH EVENTS WILL BE APPROPRIATE FOR SENIORS AS WELL.
BRIDGET, AND WHAT ARE WE DOING ABOUT THOSE WHO ARE, ARE, UH, HAVE LACK OF TRANSPORTATION, UM, THEY CAN'T GET TO THE DRIVE-THROUGH.
UM, ARE WE GONNA, HOW ARE WE GONNA REACH OUT TO THEM? UM, I KNOW THAT'S SOME OF THE QUESTIONS THAT A LOT OF PEOPLE ARE ASKING.
IF THEY'RE COMING BY BUS, UM, WOULD THEY BE ABLE TO, TO BE SEEN ARE, HOW WILL THAT WORK IF THEY DON'T HAVE AN ACTUAL VEHICLE TO DRIVE THROUGH? SO THE NICE THING ABOUT FLU SHOTS IS THE HEALTH DEPARTMENT IS NOT THE ONLY GAME IN TOWN.
UM, YOU CAN GET YOUR FLU SHOT AT THE GROCERY STORE, YOU CAN GET IT AT THE PHARMACY, YOU CAN GET IT IN A NUMBER OF LOCATIONS.
SO, UM, OUR FOCUS IS GOING TO BE ON HELPING TO REMIND PEOPLE ABOUT THE IMPORTANCE OF GETTING THEIR FLU SHOT SO THAT WHEN THEY GO INTO THEIR GROCERY STORE AND THEY SEE THAT THEY'RE DOING, UM, FREE FLU SHOTS, THEY CAN TAKE ADVANTAGE OF THAT.
UM, THAT'S THE PART THAT WE NEEDED TO CLOSE THE GAP ON, UM, WHEN IT COMES TO HOW OTHERS CAN ACTUALLY GET THEIR FLU VACCINE.
ONE OF THE OTHER, UM, MUTE, ONE OF THE OTHER PRECONCEIVED NOTIONS, UM, THAT'S FLOATING AROUND IS THAT IF YOU GET THE FLU VACCINE, IT'S GONNA LEAD TO YOU HAVING THE FLU.
HOW ARE WE OVERCOMING THIS PARTICULAR MYTH, OR WHAT INFORMATION OUR MARKETING STRATEGY IS BEING PUT TOGETHER TO ACTUALLY, UM, HELP TO GET PEOPLE THAT WOULD NORMALLY RELUCTANTLY, UM, NOT TAKE THE VACCINE? HOW ARE WE, UM, OVERCOMING THOSE CHALLENGES?
[00:35:01]
DO YOU WANT ME TO, SARAH? YEAH, IF YOU HAVE THE ANSWER, GO RIGHT AHEAD.SO, THE EDUCATIONAL CAMPAIGNS THAT WE DO, ESPECIALLY WITH SOCIAL MEDIA AND, UM, THE COMMERCIALS, TRYING TO EDUCATE PEOPLE THAT THE FLU VACCINE, IT'S, IT'S NOT LIVE.
UM, MAKING SURE PEOPLE UNDERSTAND THAT MESSAGING AND GETTING IT OUT TO THE COMMUNITY USING OUR SOCIAL MEDIA AND COMMERCIAL RADIO COMMERCIAL, TRYING TO EDUCATE THEM AS MUCH AS POSSIBLE, INCLUDING THROUGH PRESENTATIONS WITH THE REACH GRANT AND OUR, UM, COMMUNITY EDUCATORS, REALLY MAKING SURE THAT WE HAVE THAT MESSAGE GETTING OUT THERE, THERE, THAT'S SOMETHING THAT WE'RE WORKING HARD ON.
CAN YOU HEAR ME? THIS IS ANITA
UH, WE ALSO ARE WORKING WITH THE EDUCATION, UH, WORK GROUP, UM, WHICH IS PART OF THE C R C ON, UH, UH, PUTTING OUT MESSAGES REGARDING VACCINE HESITANCY AND ALSO DISPELLING SOME OF THE COMMON MYTHS.
AND WE ENCOUNTER THIS EVERY, EVERY YEAR, UM, AS FAR AS, UH, THE SENIOR CITIZENS AND PEOPLE WHO ARE IMMOBILE.
UM, THAT'S, THAT'S ONE OF THE RESPONSIBILITIES OF OUR VACCINE STRIKE TEAM AS WELL.
I JUST WANTED TO GO BACK AND ANSWER THE PREVIOUS QUESTION.
UM, SO THE VACCINE STRIKE TEAM, UH, IS, IS ACTUALLY FORMULATED, UM, ESSENTIALLY TO, TO TARGET THOSE FOLKS WHO CANNOT COME INTO, UH, UM, VACCINATION SITE AND GET THEIR SHOTS.
BRIDGETT SAID, WE ARE NOT, UH, THE EARLY GAME IN TOWN.
WE, WE OWN LESS THAN 2% OF THE MARKET SHARE HERE IN, IN, IN SAN ANTONIO AS FAR AS IMMUNIZATION GOES.
SO, BUT WE'LL DO WHATEVER WE CAN, UM, TAPPING INTO A VACCINE STRIKE TEAM TO ADDRESS THOSE POPULATION NEEDS.
UM, AND THEN MY LAST QUESTION I HAVE IS WORKING WITH THE SCHOOL DISTRICTS, UM, WHEN IT COMES TO ENSURING THAT THE KIDS THAT, UM, NEED VACCINES, ARE WE WORKING WITH THE SCHOOL DISTRICTS TO SEE HOW MANY KIDS HAVE NOT RECEIVED THOSE VACCINES SO THAT WE CAN FOLLOW UP WITH THEM? OR HOW IS THAT GOING? UM, GO AHEAD, DOCTOR.
OH, I WAS GONNA SAY GO AHEADS.
NO, I WAS GONNA SAY THAT AS FAR AS, UM, OUR PARTNERSHIP WITH HEAD START, WE WORK WITH S A I S D, COSA HEAD START, UM, THE EARLY HEAD START, EDGEWOOD, I S D, AND WE PROVIDE ONSITE VACCINATIONS TO THEM.
UM, WE HAVE COMMUNITY PARTNERS WHO GO TO SCHOOL DISTRICTS ON A VERY, ON VERY REGULAR BASIS.
AND SO THEY DO, THEY DO ONSITE CLINICS WITH THEM ALSO.
SO THERE'S, THERE'S MULTIPLE PARTNERS IN PLACE WHO ARE WORKING WITH THE SCHOOL DISTRICTS.
UM, I'LL MOVE ON TO DISTRICT THREE, COUNCILWOMAN GRANT.
I APPRECIATE YOUR PRESENTATION, SARAH, AND IT WAS GOOD.
SO WE COULD HAVE GONE ON AND ON, BUT I'M GLAD WE DID, UH, PUT IT TOGETHER, UH, PUT TOGETHER.
I DO ALSO WANNA THANK YOU, SARAH, FOR THE WORK THAT YOU'VE DONE WITH MY OFFICE AND MY TEAM IN THE PAST TOO.
UM, I KNOW YOU ALL HAVE BEEN VERY, UM, COLLABORATIVE WITH US WHEN IT COMES TO OUR BACK TO SCHOOL FAIRS, BUT ALSO WITH OUR SENIOR CENTERS.
WHEN WE HAVE OUR SENIOR HOLIDAY PARTY, WE ACTUALLY WOULD PROVIDE FLU VACCINES AT OUR SENIOR HOLIDAY PARTY.
AND, UM, IT'S BECAUSE OF THAT, THAT I'M VERY NERVOUS RIGHT NOW, UH, BECAUSE WE HAVE, BECAUSE OF COVID, BECAUSE OF THE ISOLATION.
UM, I'M CONCERNED ABOUT NOT ONLY ARE WE, AND I KNOW YOU ALL KNOW THIS, NOT ONLY ARE WE CONCERNED ABOUT COVID, BUT NOW ON TOP OF THAT, AN OVERWHELMING FLU SEASON WITH A LOT OF THE PEOPLE OF OUR POPULATION NO LONGER VACCINATED OR MAYBE NOT HAVING THE ACCESS TO VACCINES AS THEY WERE ACCUSTOMED TO IN THE PAST.
UM, PROVIDED BY METRO HEALTH, OF COURSE.
AND THAT'S MO MOSTLY THE VULNERABLE POPULATIONS, UM, WITH THE NUMBERS OF EVEN SCHOOL VACCINATIONS, I DO WANNA THANK, UH, UNIVERSITY INCARNATE WARD SCHOOL OF OSTEOPATHIC MEDICINE WHO, UH, WORKED THIS SUMMER, UM, DOING VACCINATIONS FOR BACK TO SCHOOL 20 PE 20, UM, APPOINTMENTS EVERY SATURDAY SINCE JULY UP UNTIL LAST SATURDAY.
SO THEY WERE REALLY, UM, WORKING WITH US IN OUR OFFICE.
SO I APPRECIATE ALL THE WORK THAT THEY'VE DONE AND BEEN A VERY GOOD COMMUNITY PARTNER.
UM, I WOULD LIKE TO SEE A MAP OF THE, OF WHERE THESE NUMBERS ARE BECAUSE, UM, AS WE'VE SEEN WITH THE COVID TESTING SITES, AS WE'VE SEEN WITH THE COVID CASES, AS WE'VE SEEN WITH THE ACCESS TO HEALTHCARE, WE KNOW THAT SPECIFICALLY SOUTH OF 90 AND THE DISPROPORTIONATE AREA, THAT WE NEED THIS ACCESS.
UM, SO I HOPE THAT THESE VACCINES WILL BE UTILIZED AND WILL BE MADE
[00:40:01]
ACCESSIBLE TO OUR, UM, TO OUR COMMUNITY, TO THIS, THIS, UM, THE AREA SOUTH OF 90, ESPECIALLY THE VULNERABLE POPULATIONS.I DO WANNA ADVOCATE AND, UH, SPEAK UP AND AMPLIFY WHAT MY COUNCIL COLLEAGUE MENTIONED ABOUT, UM, JUST LIKE WE HAVE POP-UP TESTING SITES, CAN WE HAVE POP-UP VACCINATION SITES IN SOME OF OUR SENIOR CENTERS TOO? UM, AND CONTINUE, LIKE YOU DID, UH, BRIDGER, UH, DR.
BRIDGER, UH, MENTION ABOUT, UH, THE M I H I THINK M I H IS A GREAT TOOL AND COLLEAGUES.
I THINK THE M I H IS SOMETHING THAT WE NEED TO CONTINUE TO LOOK AT OUR BUDGET TO SEE WHAT WE NEED TO DO TO CONTINUE TO ACTIVATE THEM MORE DURING THIS, DURING THIS TIME.
UM, AND YOU KNOW, ONE THING THAT YOU ALSO MENTIONED IN TARGETING POPULATIONS, LAST YEAR WHEN WE WORKED AT OUR BACK TO SCHOOL FAIR, WE MADE, UH, VACCINATIONS AND IMMUNIZATIONS THAT WERE SUPPOSED TO BE FOR THE KIDS.
WE ALSO MADE THEM AVAILABLE FOR PARENTS LAST YEAR BECAUSE MANY OF THE PARENTS SAID, THIS IS THE FIRST TIME I'M GETTING IMMUNIZED SINCE I WAS IN SCHOOL.
AND THAT IS CRITICALLY IMPORTANT THAT WE CONTINUE TO MAKE THAT AVAILABLE FOR SOME OF THE, THE PARENTS AND ACCESSIBLE FOR SOME OF THE PARENTS.
SO I DO WANNA ADVOCATE FOR, UM, IF THERE'S A WAY THAT WE CAN ACTIVATE MORE SPECIFIC TAILORED OUTREACH, UM, POP-UP VACCINATION SITES IN OUR COMMUNITY.
AND IF WE CAN, UH, CONTINUE TO, AND THANK YOU, I'M GLAD WE'RE HAVING THAT KICKOFF IN, UM, THE BROOKS AREA, BUT I THINK WE HAVE A LOT OF OPPORTUNITIES TO BE CREATIVE, BUT YOU ALL ARE REALLY, WELL DO A GOOD JOB AT BEING CREATIVE METRO HEALTH, AND WHEN IT COMES TO IMMUNIZATIONS AND VACCINATIONS AND, UM, WE CAN ALWAYS HOST THE IMMUNIZATION OR THE MOBILE VAN UNIT THAT YOU ALL HAVE WHEN THERE'S DOING TESTING FOR STDS.
WE'LL BE HAPPY TO HOST ONE AT OUR PSYCH, AT OUR DISTRICT FIELD OFFICE IF NEED BE.
UM, BUT YES, TO ALL THE PUBLIC, METRO HEALTH TO DR.
BRIDGE'S POINT, METRO HEALTH IS NOT THE ONLY PLACE TO GET A FLU, UH, SHOT.
YOU CAN GET IT AT THE DRUG STORES, YOU CAN GET IT AT YOUR DOCTOR, YOUR PRIMARY CARE PHYSICIAN AS WELL.
UM, IT MAY COST, BUT FOR THOSE WHO, WHO CANNOT PAY FOR IT, LET'S BE THE, LET'S BE THERE FOR THEM.
SO THAT'S, THOSE ARE ALL OF MY COMMENTS, AND AGAIN, IF YOU COULD SEND OVER THAT MAP WITH, UM, WITH THE TESTING AS WELL AS WHAT WE'VE DONE AND, AND THE NEED AND THE GROWTH, I'D APPRECIATE IT.
THANK YOU COUNCILWOMAN, UH, COUNCILWOMAN GONZALEZ.
SO, UH, THOSE WERE REALLY IMPRESSIVE NUMBERS, LIKE NEARLY A HUNDRED PERCENT COMPLIANCE, WHICH LIKE I'VE NEVER SEEN FOR ANYTHING.
SO HOW DO YOU THINK YOU DID THAT AS FAR AS THE CHILDHOOD SERIES? YEAH.
UM, THAT IS SOMETHING THAT I BELIEVE IS A, A COLLABORATIVE EFFORT.
NUMBER ONE, PEDIATRICIANS, BECAUSE CHILDREN GO TO THE PEDIATRICIAN SO OFTEN WHEN THEY'RE SMALL, SO THEY GET THEIR VACCINES ON TIME, AND IT'S, IT BECOMES A ROUTINE, BUT ALSO IT'S A SCHOOL REQUIREMENT.
THEY HAVE TO HAVE THOSE VACCINES TO GO TO SCHOOL, SO IT'S MANDATORY.
UM, UH, SO I THOUGHT THAT, IS IT AN OPT OUT? AREN'T, ISN'T, THERE AREN'T SOME PEOPLE TO HAVE OPT GETTING VACCINES AN EXEMPTION? UHHUH
SO YOU HAVE TO OPT OUT IF YOU DON'T WANT YOUR VACCINES.
SO, UM, SO I, I, I THINK THAT'S REALLY JUST IMPORTANT, UM, UH, IN, IN SO MANY, UM, AREAS.
UH, YOU KNOW, IT'S SO DIFFICULT TO GET COMPLIANCE FOR ANYTHING, UH, BUT IT LOOKS LIKE MAKING IT MANDATORY IS, UM, ONE OF THE WAYS WE DO THAT.
IT LOOKS LIKE, UM, THAT'S HARD TO DO IN A LOT OF ARENAS.
SO, UM, UH, I THINK, UH, UH, SO JUST I WAS CURIOUS, UM, SINCE I'VE NOT REALLY, UH, SEEN, UM, SUCH HIGH NUMBERS OF COMPLIANCE FOR ANYTHING, SO, YOU KNOW, I, I WAS HOPING FOR SOMETHING ELSE, LIKE SOME SORT OF MORE MAGICAL NUANCE, YOU KNOW, UM, GREAT MARKETING STRATEGY OR
IT'S HONESTLY
UM, IT'S A LOT OF WORK ON BEHALF OF, ON BEHALF OF OUR I A S TEAM WORKING WITH THE PEDIATRICIANS AND DOING THOSE REMINDER RECALLS.
IF SOMEBODY FALLS BEHIND, WE CATCH IT, WE SEND OUT A REMINDER, MOM JUST MAY, OR DAD MAY HAVE JUST FORGOTTEN THAT THEY'RE SUPPOSED TO GET THAT ANOTHER DOSE.
[00:45:01]
THAT REMINDER, KEEPING IT IN THEIR, IN THEIR MEMORY, YOU KNOW, KEEPING IT FRESH.AND SO IT'S LIKE, OH, OKAY, I FORGOT, I FORGOT TO SCHEDULE THAT.
PLUS THEY'RE GOING TO SCHOOL NEXT YEAR, SO THEY'RE GONNA NEED IT.
UM, AND SO IT'S, IT'S MULTI MULTILAYER, BUT IT'S A COLLABORATIVE EFFORT.
SCHOOL STAY REMINDER RECALL FROM THE I S TEAM PEDIATRICIAN'S OFFICE DOING THOSE REMINDER RECALLS ALSO.
SO IT'S, IT'S DEFINITELY OKAY.
WELL, I THINK, YOU KNOW, IT'S SORT OF AN EXAMPLE THAT WE CAN USE FOR OTHER THINGS, UM, THAT WE NEED COMPLIANCE WITH.
SO, UM, UH, AND SO, AND ALSO TO MY COUNCIL MEMBER COLLEAGUE, UH,
I DON'T KNOW IF, IF I HAVE ANY MY TEAM MEMBERS HERE, BUT TOO BAD WE WEREN'T DOING, GIVING IMMUNIZATIONS FOR EVERYONE AT OLIVER BACK TO SCHOOL FAIRS.
AND, UH, I KNOW WE WERE DOING IMMUNIZATIONS, BUT I THINK IT WAS ALWAYS FOR THE KIDS.
AND EVEN AT YOUR CHRISTMAS PARTY LIKE THAT
UH, BUT, UM, I'M, THAT SEEMS THOSE ARE LIKE GREAT IDEAS FOR OUTREACH THAT, YOU KNOW, I HAVEN'T CONSIDERED ALL THESE YEARS.
UM, ANOTHER QUESTION I HAVE, UH, I KNOW THAT, YOU KNOW, WE WERE TRYING TO KEEP OUR COMMENTS MORE RELATED TO THE, UH, REGULAR WORK THAT YOU DO FOR, UH, VACCINES, BUT, UM, I DON'T KNOW IF, IF YOU CAN ANSWER THIS QUESTION, SARAH, PERHAPS DR.
BRIDGER, UH, IT SEEMS LIKE IN MY READING SOMEWHERE, AND, AND NOW I, YOU KNOW, I CAN'T RECALL, AND THINGS HAVE EVOLVED SO MUCH THAT ONE OF THE REASONS THAT CHILDREN WERE NOT GETTING COVID, UM, TO THE EXTENT OF OF ADULTS WAS BECAUSE OF, UH, THEIR VACCINES.
IS THAT TRUE? OR IS THAT JUST, UM, WAS THAT, YOU KNOW, SOME UNCONFIRMED SCIENCE I HEARD SOMEWHERE DR.
GREEN, DO YOU KNOW ANYTHING ABOUT THAT
UM, THAT'S, THAT'S JUST, UH, UNCONFIRMED
YOU KNOW, THERE ARE A LOT OF HYPOTHESIS REGARDING THIS, AND ONE OF THE BIGGEST HYPOTHESIS THAT THAT IS PRETTY STRONG, BUT STILL, UM, YOU KNOW, THERE'S STILL A LOT OF INFORMATION THAT THAT REMAINS UNKNOWN.
BUT ONE OF THE BIGGEST HYPOTHESIS THAT IS STRONG IS THAT CHILDREN HAD THESE VIRUSES, THE COVID 19 SARS CV VIRUS ADHERES TO RECEPTORS CALLED ACE TWO RECEPTORS WITHIN THE RESPIRATORY TRACT.
AND CHILDREN HAVE LESSER ACE TWO ACE TWO RECEPTORS COMPARED TO ADULTS.
HENCE, THE VIRUS DOESN'T HAVE ABILITY TO LATCH ON AND CONTRA AND, AND INFECT CHILDREN.
SO THERE, THERE ARE SEVERAL HYPOTHESIS, BUT THE ONE THAT YOU STATED IS ONE OF THOSE THAT, UH, NOT YET BEEN SCIENTIFICALLY APPROVED.
I, I, I DON'T KNOW, SOMEHOW IT SORT OF MADE SENSE, BUT FROM A STRICTLY, UM, LAY PERSON'S PERSPECTIVE, UM, AS TO WHY KIDS PERHAPS WERE NOT GETTING AS SICK.
BUT, UM, BUT THANK YOU FOR ALL THAT YOU ALL DO, UH, IN THE METRO HEALTH DEPARTMENT, ESPECIALLY RELATED TO VACCINES.
AND, AND AS WE WERE, UH, I'LL WRAP IT UP, COUNCIL MEMBER, UM, UH, CHAIR, UM, AS WE WERE, SO A FEW OF US WERE ON A CALL YESTERDAY WITH, UM, UH, ONE OF THE HOSPITALS ON THE SOUTH SIDE.
AND ONE OF THE THINGS THAT WE ALL KNOW, I MEAN, NO, NO SECRET TO ANYBODY ON THIS CALL, UH, IS A TREMENDOUS, UH, HEALTH DISPARITIES, UM, IN OUR COMMUNITIES.
AND I KNOW THAT OVER THE YEARS, METRO HEALTH HAS TRIED TO, UH, RESPOND TO SOME OF THOSE THINGS, ESPECIALLY RE REGARDING PREVENTION, BECAUSE WE KNOW THAT PREVENTION IS REALLY KEY.
BUT, UM, PERHAPS WE CAN, UH, COUNSEL OUR CHAIR, UH, IN SOME FUTURE.
UM, I MEAN, I'M, I'M ALWAYS PASSING MORE WORK TO THE COMMITTEE, BUT REALLY TALK ABOUT WHAT METROHEALTH IS DOING ON THE PREVENTATIVE SIDE FOR DIABETES AND, UM, OBESITY, UH, AND HEALTH, UM, UH, HEART DISEASE PREVENTION.
'CAUSE I KNOW THAT AT ONE TIME, YOU KNOW, YEARS AGO YOU ALL WERE WORKING VERY ACTIVELY ON THAT.
WE HAD GOALS, UM, YOU KNOW, I THINK WE HAD A GOAL TO REDUCE IT TO 30%, JUST STILL HIGH.
BUT, UM, UH, SO MAYBE WE CAN HAVE A, AN UPDATE ON THAT AT SOME POINT, BECAUSE I THINK IT'S REALLY CRITICAL IN, UM, SAVING LIVES, UH, FOR COVID AND OTHERS THAT WE REALLY ADDRESS THE PREVENTION MODEL.
THANK YOU FOR GIVING ME A LITTLE BIT MORE TIME.
I TOOK IT FROM COUNCIL TREVINO, SO WE'RE FINE.
UM, THANK YOU VERY MUCH FOR THE PRESENTATION.
UH, SARAH, SORRY, WE HAD TO, TO CUT IN, BUT I WANTED MAKE SURE WE HAD TIME TO, TO TALK ABOUT SOME OF THIS REALLY JUICY STUFF.
UM, MY QUESTION IS, NOW THAT SCHOOLS ARE, SOME OF THEM ARE REMOTE, UH, HOW DO YOU KNOW HOW AND WHEN THEY'RE CHECKING THE VACCINE RECORDS? OR ARE THEY WAITING UNTIL THE STUDENTS ACTUALLY GO BACK, UH, TO CLASS? UM, I BELIEVE THAT THE SCHOOL NURSES HAVE BEEN WORKING
[00:50:01]
ON AN ONGOING BASIS BECAUSE THIS WEIRD, EVERY DAY WE GET CALLS, I GOT A LETTER IN THE MAIL AND THE SCHOOL SAYS, I NEED A TDAP.AND SO THE, THE SCHOOL NURSES ARE WORKING, EVEN THOUGH THE CHILDREN ARE NOT PHYSICALLY IN SCHOOL, THEY'RE STILL REQUIRED BY THE STATE TO BE UP TO DATE ON THEIR SCHOOL VACCINES, EVEN WHILE WORKING REMOTELY.
AND THAT'S SOMETHING THAT WE'RE REALLY TRYING TO PUSH.
THE IMPORTANCE OF IMPORTA WITH OUR SOCIAL MEDIA CAMPAIGN IS SHOWING YOU STILL HAVE TO COME IN, YOU KNOW, YOU STILL NEED YOUR, YOUR SCHOOL VACCINES.
YOU STILL NEED THAT TDAP OR THAT MENINGITIS.
AND SO THE SCHOOL NURSES HAVE DEFINITELY BEEN BEEN WORKING TO SEND OUT THOSE REMINDERS TO PARENTS BECAUSE WE SEE THEM ON A DAILY BASIS.
AND, UM, YOU HAD NUMBERS FOR, UM, 2018 TO THE 2019 SEASON ON SOME OF THE IMMUNIZATIONS.
WHEN WILL WE GET THE ONES FOR THE NEXT SEASON AND HOW ARE THOSE, UH, TALLIED? UM, SOME OF THE DATA CAME FROM MTT A, WHICH IS OUR STATE REPORTING SYSTEM, BUT, UH, OTHER ONES CAME FROM THE N I SS, WHICH IS A NATIONAL IMMUNIZATION SURVEY DONE THROUGH THE C D C.
AND SO THOSE ARE PUBLISHED AT THE END OF THE YEAR.
I, THEY NORMALLY COME IN FROM NOVEMBER BECAUSE THEY HAVE TO COMPILE ALL THE DATA AND RECEIVE IT.
UM, AND SO NORMALLY NOVEMBER IS WHEN THE PREVIOUS YEAR'S REPORT COMES OUT.
THE N A S IS DEFINITELY THE MOST ACCURATE INFORMATION THAT WE, WE LIKE TO USE TO REPORT WHICH ONE IS MORE ACCURATE? SORRY, THE NATIONAL IMMUNIZATION SURVEY BECAUSE IT'S NATIONWIDE.
UM, AND THEN, UH, A QUESTION THERE WAS A, YOU'RE DOING A LOT OF OUTREACH AROUND THE FLU, UH, REALLY GLAD TO, TO SEE THAT.
IT SOUNDS LIKE YOU WORK WITH PARTNERS ON THE SCHOOL IMMUNIZATIONS, BUT WHEN IT COMES TO THE FLU, UM, I KNOW LIKE DR.
BRIDGER SAID, UH, METROHEALTH IS NOT SOLELY RESPONSIBLE FOR, FOR THAT.
SO WHAT DOES THAT PARTNERSHIP LOOK LIKE AROUND THE FLU VACCINE, UH, EFFORT? SO WE WORK WITH, UM, MULTIPLE PARTNERS, WHETHER IT BE UT HEALTH, U I W, WHO WE WORK WITH A LOT.
UM, WE ALSO WORK WITH YOUR OFFICES TO SET UP EVENTS.
UM, WE ALSO PARTNER WITH CHURCHES AND, YOU KNOW, GROUPS IN THE COMMUNITY.
SO THERE'S LOTS OF DIFFERENT PLACES WHO REQUEST THAT WE, WE CAN PROVIDE SERVICES, BUT WORKING WITH, UM, THE VACCINE, THE VACCINE PROVIDERS SUCH AS, UM, U H S, UT, U I W COMMUNICATOR, THOSE ARE THE PARTNERS THAT WE REALLY HAVE BEEN WORKING WITH AND TALKING TO, REACHING OUT TO TO SEE WHAT CAN WE DO THIS SEASON, UM, WHAT EVENTS CAN WE DO WHERE, YOU KNOW, WHERE CAN WE GO? AND SO SETTING UP THOSE EVENTS IS SOMETHING THAT I'VE BEEN WORKING ON THE LAST MONTH OR SO, AND IT'S GONNA BE ONGOING.
I HAD, LIKE I SAID EARLIER, I HAVE ABOUT 50 EVENTS RIGHT NOW ON THE LIST, AND I GUARANTEE YOU IT'S GONNA INCREASE RAPIDLY.
UH, THOSE ARE JUST, THOSE ARE, THAT'S JUST THE FOUNDATION.
THOSE 50 EVENTS ARE THE FOUNDATION FOR, FOR THE SEASON.
WE'RE GONNA START BUILDING ON THOSE QUITE QUICKLY.
SO DO WE HAVE A TARGET OR IS THERE A COMMUNITY-WIDE TARGET FOR FLU VACCINES? WHAT, WHAT WE'RE AIMING FOR AND WORKING TOWARDS IN TERMS OF HOW MANY OR WHAT THE PERCENTAGE COVERAGE WOULD BE.
KAN, DO YOU HAVE A NUMBER? UH, THE, THE, UH, OUR TARGET IS AT LEAST TO HAVE 70%, UH, VACCINATED.
THAT'S THE HEALTHY PEOPLE 2020, UH, GOAL AS WELL.
BUT AS YOU CAN SEE IN THE SEASONS PAST, WE'VE HAD DIFFICULTY, AND THIS IS NOT JUST UNIQUE TO SAN ANTONIO, STATEWIDE, NATIONWIDE, UH, IT'S VERY DIFFICULT TO REACH THAT GOAL IN THAT 18 TO 49 YEAR AGE GROUP.
WE REACH, UH, A GOOD VACCINATION COVERAGE FOR FLU IN UNDER FIVE AND OVER 65, BUT THIS HEALTHY YOUNG ADULTS WHO THINK THEY'RE IMMORAL, IT'S A LITTLE DIFFICULT TO REACH THEM.
AND SO WE WILL BE TARGETING THOSE FOLKS, UM, UH, YOU KNOW, CAMPAIGNING HEAVILY TO REACH THOSE FOLKS AS WELL.
KIAN, UH, YOU, UM, I MEAN, PART OF THE REASON I I WAS HOPING WE WOULD TALK ABOUT THE FLU VACCINES IS BECAUSE OF HOW IT INTERFACES WITH COVID.
UM, COULD YOU, I MEAN, I, THERE'S STUFF I UNDERSTAND FROM READING, BUT COULD YOU, COULD YOU EXPLAIN TO US WHY IT'S SO IMPORTANT TO HAVE THE FLU VACCINE, UH, BEFORE, BEFORE, UH, OR, OR HOW IT INTERACTS WITH COVID AND WHY THAT'S SO CRITICAL FOR OUR POPULATION? SO FOR US, UH, IT IS CRITICAL THAT YOU HAVE YOUR FLU VACCINE AS SOON AS THE SEASON BEGINS, OR AS SOON AS THE SEASON,
[00:55:01]
UH, VACCINE IS AVAILABLE, BECAUSE, UH, WE EXPECT A FLU, YOU KNOW, IT'LL BE A BAD RESPIRATORY SEASON WITH FLU AND COVID 19 CIRCULATING IN OUR COMMUNITY.SO IF WE VACCINATE, UM, AS MANY AS OUR RESIDENTS AS POSSIBLE WITH FLU VACCINE, THIS CAN ELIMINATE, UH, THE, UM, UH, HIGH NUMBERS OF MEDICAL VISITS AND SUBSEQUENT HOSPITALIZATIONS.
THEREBY FOR THIS TRAINING, OUR HEALTHCARE COMMUNITY, UH, WITH THESE RESPIRATORY ILLNESS ADMISSIONS, UH, BECAUSE WE DO HAVE VACCINES FOR FLU, WE DON'T HAVE VACCINES FOR COVID 19.
SO THOSE ILLNESSES MAY CONTINUE.
SO IN ORDER TO, I THINK FOREMOST PRIORITY FOR US IS TO REDUCE THAT STRAIN ON OUR HEALTHCARE INFRASTRUCTURE HERE BY ELIMINATING FLU RELATED MEDICAL VISITS AND HOSPITALIZATIONS.
UM, AND THEN, UH, LASTLY BEFORE WE MOVE ON, UM, THERE WAS A MENTION ABOUT THE LOCATIONS OF, SORRY, THE GEOGRAPHIC OUTREACH THAT WE'RE HAVING AND COUNCILMAN TREVINO.
WAS THAT ON VACCINATIONS OR THE FLU THAT YOU WERE HOPING TO SEE THAT YOU'RE MUTED.
UH, IT WAS, IT WAS ON THOSE HAVING ACCESS TO THE VACCINATIONS.
AND THEN YOU, YOU MENTIONED AN EQUITY ATLAS, UH, BEING USED.
WAS THAT FOR VACCINES OR WAS THAT FOR THE IMMUNIZATIONS? IT, IT'S FOR, FOR, UH, FLU VACCINES AND WHICH WILL BE USED AS A BUILDING BLOCK FOR COVID VACCINES.
UM, IT WOULD BE GREAT, UH, MAYBE AS, AS WE GET INTO THIS FLU SEASON, UM, ONCE WE GET OUT OF THE BACK TO SCHOOL VACCINES, IF WE COULD COME BACK AND, UH, YOU'LL PROBABLY HAVE YOUR SCHEDULE FILLED OUT MORE, UH, SARAH, AND WE CAN GET A LITTLE BIT OF AN UPDATE ON HOW THAT'S GOING, AND THEN WE CAN HEAR MORE ABOUT THE, UM, THE WONDERFUL WORK YOU PREPARED ON THAT CORONAVIRUS VACCINE
UH, BUT WHAT I'D REALLY BE INTERESTED IN SEEING IS ALSO THE OUTREACH BY DIFFERENT, UH, EITHER CENSUS TRACKS OR ZIP CODES, UH, SO THAT WE ARE ADDRESSING THAT DISPARITY, UH, THAT THE COUNCILWOMAN CAME UP.
IT, IT SEEMS TO ME LIKE WE MAY NEED DIFFERENT TAX DEPENDING ON THE POPULATIONS THAT WE'RE REACHING AND THE LOCATIONS THAT WE'RE REACHING.
SO IT'D BE GREAT TO HEAR, UH, ABOUT THAT IN MORE DETAIL.
UH, WE WILL, ARE THERE ANY FINAL QUESTIONS ON THIS ITEM? ITEM COUNCILWOMAN? ANDREW SULLIVAN.
UM, WHEN I WAS, I WAS LOOKING AT THE PRESENTATION AND WHAT I DID NOT SEE WERE, UM, THE MENINGITIS, UH, VACCINATIONS FOR COLLEGE, UH, STUDENTS.
I KNOW THAT THAT IS ONE OF THE REQUIREMENTS FOR KIDS TO NOW GO TO COLLEGE.
AND NOW WE'RE HAVING THE CONVERSATION ABOUT WORKFORCE DEVELOPMENT AND HOW DOES THAT LOOK, UM, FOR THOSE THAT ARE GOING INTO THESE SETTINGS.
AND THAT IS A REQUIRED, UM, VACCINATION.
UM, SO IF I COULD JUST GET SOME FOLLOW UP ON THAT, THAT'LL BE GREAT.
THAT'S ALL I HAVE, MADAM CHAIR.
[2. 20-5084 A briefing and presentation on preparations for a possible third wave ofCOVID-19 cases and review of the current status, staffing, and readiness for a potential third spike. [Colleen Bridger, MPH, PhD, Assistant City Manager, Interim Director, Health]]
WE'LL GO ON TO, UH, ITEM TWO, PREPARATION FOR A, THEY'VE GOT ME DOUBLE MUTED NOW.CAN YOU HEAR ME OKAY? THEY HAD ME MUTED ON MY PHONE AND ON MY COMPUTER.
THE, UH, JUST A NOTE ON THE, UM, WORDS THAT I'M USING TO TALK ABOUT WHAT MIGHT HAPPEN NEXT.
UM, THERE'S BEEN, I THINK, PUBLIC HEALTH JUST NOTORIOUS FOR, UM, CREATING NEW WORDS AND BEING VERY RIGID ABOUT WHAT THEY MEAN AND THEIR DEFINITION.
AND SO I PURPOSELY AVOIDED USING THE TERM WAVE BECAUSE, UM, THERE'S A LITTLE BIT OF, UM, DISAGREEMENT IN THE FIELD OF PUBLIC HEALTH ABOUT WHETHER WE ARE IN THE FIRST WAVE, THE SECOND WAVE OR THE THIRD WAVE.
SO WHAT I'M GONNA TALK TO YOU ABOUT IS WHAT HAPPENS IF WE HAVE ANOTHER SPIKE IN CASES LIKE WE DID IN JULY, JUST TO AVOID USING THE WHOLE WAVE TERMINOLOGY.
SO, UM, SO I'LL GO THROUGH THIS PRETTY QUICKLY 'CAUSE I IMAGINE Y'ALL HAVE SOME QUESTIONS.
THIS IS JUST OUR CURRENT STATUS, UH, WHERE WE WERE AS OF YESTERDAY'S SIT REP.
UM, YESTERDAY WE HAD 189 NEW CASES THAT'S ACTUALLY A LITTLE HIGHER THAN, UM, WE'VE BEEN AVERAGING.
UH, WE'VE HAD 767 DEATHS THAT WE'VE CONFIRMED.
[01:00:01]
AND WE RIGHT NOW ARE ESTIMATING ABOUT 40,000 CASES HAVE RECOVERED, AND WE STILL HAVE ABOUT 3,200 CASES, UM, STILL WITH ACTIVE INFECTION.I'M GONNA COVER, UM, PRETTY QUICKLY IN A PRETTY HIGH LEVEL THE, UM, PROGRESS AND WARNING INDICATORS.
EVERY WEEK YOU GET A REPORT, UM, FROM THE HEALTH DEPARTMENT THAT GOES INTO A LITTLE BIT MORE IN DEPTH.
I'M SUPER EXCITED ABOUT THIS SLIDE THOUGH, BECAUSE THIS WEEK WAS THE FIRST TIME THAT WE ROLLED OUT THIS NEW METHODOLOGY.
UM, THIS IS A METHODOLOGY DEVELOPED BY THE C D C.
IT'S FAIRLY COMPLICATED TO DO THE ACTUAL ANALYSIS, AND SO I'M VERY PROUD OF OUR INFORMATICS FOLKS WHO FIGURED OUT HOW TO DO THIS.
UM, BUT IT DOES A NICE JOB OF, UM, SHOWING THE ACTUAL TREND OVER TIME.
UM, WHEN WE WERE JUST LOOKING AT WAS THERE A DECREASE OVER THE LAST 14 DAYS, WE STRUGGLED WITH THE FACT THAT, UM, THERE MAY BE ONE DAY THAT WENT UP BY 10 AND THEN WE HAD TO START ALL OVER AGAIN.
SO THIS, UM, CONTROLS FOR THAT AND ALSO PROVIDES A REALLY NICE KEY DOWN AT THE BOTTOM TO HELP YOU INTERPRET WHAT THIS MEANS.
UM, YOU'LL NOTICE THAT LITTLE RED BLIP DOWN AT THE BOTTOM, UM, THAT WE'RE CALLING A REBOUND.
SO A REBOUND IS ESSENTIALLY WHEN YOU'VE GOT A PRETTY SIGNIFICANT PRETTY PRECIPITOUS DECLINE IN CASES, AND THEN YOU HAVE A LITTLE BUMP IN THAT DECLINE.
UM, THE C D C HAS LABELED THAT A REBOUND.
THEY'RE SEEING THAT PRETTY CONSISTENTLY THROUGHOUT THE UNITED STATES.
UM, AND WE'RE KEEPING OUR EYE ON WHAT THAT MEANS.
YOU'LL SEE WE DID RECOVER FROM THAT REBOUND, AND WE ARE NOW BACK ON THAT, UM, IN A DOWNWARD TRAJECTORY ON THE INCIDENTS OF OUR CASES.
UM, I WILL SAY AS OF YESTERDAY, OUR SEVEN DAY ROLLING AVERAGE OF DAILY CASES WAS 138.
SO LOOKING AT OUR CURRENT TESTING CAPACITY AND POSITIVITY RATE, UM, THE, THE, THE UPPER RIGHT HAND CORNER SHOWS YOU OUR POSITIVITY RATE.
THAT IS WHAT PERCENTAGE OF THE TOTAL TESTS ARE POSITIVE IN OUR COMMUNITY.
UM, THAT IS DONE THROUGH A SAMPLING METHODOLOGY.
IT'S, WE WE'RE NOT COUNTING ALL OF THE TESTS THAT WE'RE GETTING AND ALL OF THE POSITIVES.
IT'S A SAMPLING METHODOLOGY, BUT WE'RE SHOWING A REALLY NICE DECLINE, UM, AS IT IS THE MAJORITY OF THE STATE OF TEXAS.
THIS WEEK'S POSITIVITY RATE FELL BELOW 10% FOR THE FIRST TIME SINCE, UM, OUR LAST SPIKE.
THE OTHER THING THAT WAS A PROBLEM DURING THE SUMMER SPIKE WAS NOT HAVING ENOUGH TESTS AVAILABLE FOR PEOPLE.
AND SO YOU CAN SEE WE HAVE A TESTING CAPACITY INDICATOR THAT SHOWS THAT WE HAVE ABOUT 7,500, UM, TESTING CAPACITY RIGHT NOW IN THE COMMUNITY.
UM, FOR COMPARISON, WE'RE AVERAGING ABOUT 2,500 TO 3,500 TESTS A DAY.
SO WE ARE WELL BELOW, UM, EXCEEDING THAT TESTING CAPACITY, UNLIKE EARLY JULY WHERE THAT WAS A PROBLEM FOR US.
JUST A REMINDER, WE DO HAVE, UM, THREE CITY SPONSORED FREE TESTING SITES.
YOU CAN SEE, UH, WHERE THOSE ARE LOCATED ON THAT MAP.
UM, WE ALSO WALMART, UH, AT 1 51 AND I 10 IS DOING FREE COVID TESTS AS WELL.
SO WE'VE GOT THE FAR WEST SIDE COVERED THERE.
UM, THERE ARE OVER 50 DIFFERENT LOCATIONS THROUGHOUT THE CITY WHERE INDIVIDUALS CAN GO GET C OVID 19 SHOTS, SHOTS CAN GO GET C OVID 19 TESTS.
UM, BUT THESE THREE PLUS THE WALMART ARE ALWAYS FREE.
SO, UM, THAT THEY, THEY PROVIDE GOOD ACCESS.
UH, YESTERDAY THOUGH, THE NUMBER OF PEOPLE SEEKING THESE TESTS WAS QUITE LOW.
UH, WE DID 637 FREE TEST YESTERDAY, UM, AT ALL FOUR OF THOSE LOCATIONS COMBINED.
ONE OF THE OTHER THINGS THAT WE LOOK AT ARE, UM, HOW OUR HOSPITALS ARE DOING.
SO LOOKING ACROSS OUR HOSPITAL SYSTEM, HERE'S AN EXAMPLE OF SOME OF THE DATA THAT WE ARE COLLECTING THAT SHOULD LOOK FAMILIAR TO YOU FROM THE DAILY SIT REP THAT GOES OUT AND FROM OUR DASHBOARD.
UM, EVERY SINGLE ONE OF OUR HOSPITAL INDICATORS HAS BEEN TRENDING IN THE RIGHT DIRECTION FOR THE LAST THREE WEEKS.
UM, SO WE ARE VERY HAPPY ABOUT THAT.
UM, AS OF YESTERDAY, UM, YOU CAN SEE WE'RE, OH, THOSE AREN'T, THOSE AREN'T YESTERDAY'S NUMBERS.
WELL, ANYWAY, UM, THE, THE NUMBERS ARE TRENDING DOWNWARD.
[01:05:01]
PLENTY OF BED AVAILABILITY IN THE HOSPITALS, PLENTY OF VENTILATOR AVAILABILITY IN THE HOSPITAL.UM, MY GUESS IS WHEN THEY UPDATE THE SYSTEM STRESS SCORE FOR MONDAY'S PUBLICATION, WE WILL SEE THAT, UM, THAT BLACK BAR INCHING EVER CLOSER TO THE GREEN.
UH, AND AGAIN, JUST A REMINDER THAT WHEN WE STARTED TALKING ABOUT THIS PANDEMIC, WE TALKED ABOUT IT IN TERMS OF FLATTENING THE CURVE.
THE, THE REASON BEHIND FLATTENING THE CURVE WAS TO KEEP PEOPLE OUT OF THE HOSPITAL, TO KEEP THEM FROM OVERWHELMING THE HOSPITAL SYSTEM.
UM, WE WERE CLOSE DURING THE PEAK OF JULY'S SPIKE TO OVERWHELMING OUR HOSPITAL SYSTEM.
AND SO THAT'S WHY WE REALLY, REALLY, REALLY WANNA MAKE SURE THAT THIS DOWNWARD TRAJECTORY CONTINUES.
I WANNA TALK A LITTLE BIT ABOUT A NEW INDICATOR THAT WE'VE CREATED, UM, TO HELP GUIDE SCHOOLS.
JUST A REMINDER, UM, THE STATE HAS CLARIFIED THAT LOCALS CANNOT DICTATE WHETHER OR NOT SCHOOLS OPEN.
UM, BUT WE CAN PROVIDE GUIDANCE.
AND SO WE ARE PROVIDING GUIDANCE ON OUR COMMUNITY'S C OVID 19 SITUATION TO THE SCHOOLS, UM, BY CREATING A SEPARATE INDICATOR FOR THEM.
OUR CURRENT INDICATOR JUST THIS WEEK, MOVED FROM THE RED HIGH LEVEL TO JUST A TCH INTO THE MODERATE LEVEL OF YELLOW.
UM, WHICH ESSENTIALLY MEANS THAT THERE CAN BE SOME LIMITED IN-PERSON INSTRUCTION.
UM, MOST OF OUR ISDS, HOWEVER, ARE WAITING UNTIL AFTER LABOR DAY TO OFFICIALLY, UM, OPEN FOR IN-PERSON CLASS.
A LOT OF THEM ARE DOING THE ONLINE SCHOOL INSTRUCTION.
UM, I, I DO LIKE TO POINT OUT HERE THAT MY SON IS A FOURTH GRADE TEACHER.
HE IS DOING ONLINE INSTRUCTION WITH FOURTH GRADERS, AND IT'S, UM, IT'S CHALLENGING, BUT PARENTS AND KIDS AND TEACHERS ARE ALL WORKING TOGETHER TO MAKE THAT WORK.
UM, I WANTED TO SHOW YOU A SLIDE THAT LOOKED AT AGE COMPARISONS FOR THE THREE DIFFERENT GROUPS OF THINGS THAT WE REPORT.
UM, SO WHEN WE LOOK AT AGES FOR OUR CASES, YOU CAN SEE OUR HIGHEST CASE AGE RANGE IS 20 TO 29.
WHEN YOU LOOK, HOWEVER, AT TOTAL HOSPITALIZATIONS, YOU SEE THAT AGE RANGE GOES UP.
AND OUR HIGHEST HOSPITAL HOSPITALIZED AGE RANGE GOES FROM TO 50 TO 59.
AND THEN WHEN YOU LOOK AT OUR MORTALITY STATISTICS, YOU CAN SEE THAT THE HIGHEST, UM, AGE RANGE FOR DEATHS IS THAT 70 TO 79 AGE RANGE.
UM, ONE OF THE THINGS I DO WANNA POINT OUT, HOWEVER, IS THAT TWO MONTHS AGO, UM, WHEN WE COMBINED THE AGE RANGES OF 18 THROUGH 40, THEY REPRESENTED LESS THAN 2% OF OUR TOTAL DEATHS, AND NOW THEY REPRESENT 5.7% OF OUR TOTAL DEATHS.
SO WHAT THIS IS SHOWING US IS THAT THAT INCREASE IN THE YOUNGER AGE GROUP IN CASES IS LEADING TO AN INCREASE IN YOUNGER PEOPLE BEING HOSPITALIZED AND IS ALSO LEADING TO AN INCREASE IN YOUNGER PEOPLE DYING FROM C OVID 19.
ALSO, UM, WANTED TO SHOW YOU THE, UH, RACE AND ETHNICITY BY THOSE THREE CATEGORIES AS WELL.
YOU CAN SEE THAT, UM, OUR HISPANIC LATINOS ARE DISPROPORTIONATELY REPRESENTED IN EACH OF THE THREE CATEGORIES, CASES, HOSPITALIZATIONS, AND DEATHS.
UM, INTERESTINGLY, THAT IS FOLLOWED BY NON-HISPANIC WHITES.
UM, BUT OUR FOCUS RIGHT NOW IS CLEARLY ON HISPANIC LATINO POPULATION, GETTING THE WORD OUT, ESPECIALLY AMONG OUR YOUNGER HISPANIC LATINOS, UM, THAT THEY ARE AT RISK OF GIVING, GETTING C OVID 19.
THEY ARE AT RISK OF GIVING C OVID 19 TO PEOPLE THEY LOVE IN THEIR FAMILY.
UM, AND OUR MARKETING IS VERY MUCH FOCUSED ON THEM, UM, TO, AGAIN, WEAR THEIR MASKS, PRACTICE PHYSICAL DISTANCING, WASHING THEIR HANDS, UM, AND STAYING AWAY FROM OTHERS IF THEY'RE NOT FEELING WELL.
SO, UH, THE, THE TITLE IS THIS, YOU KNOW, PREPARING FOR THE NEXT SPIKE.
ARE WE READY FOR THIS? I DID WANNA GIVE YOU A SNAPSHOT OF WHERE WE ARE IN TERMS OF HOW MANY STAFF WE HAVE WORKING FULL TIME ON THIS RESPONSE.
UM, 267 INDIVIDUALS ARE WORKING ON THE C OVID 19 RESPONSE FULL-TIME.
UM, 89 OF THOSE ARE TEMPORARY STAFF THAT WE HIRED THROUGH THE CARES ACT FUNDING.
[01:10:01]
OF THEM ARE INDIVIDUALS WHO WERE FURLOUGHED FROM THE CONVENTION CENTER ARTS, OTHER, UM, HOT TAX FUNDED CITY DEPARTMENTS.UM, AND THEN SOME OF THEM ARE ALSO A UT SCHOOL OF PUBLIC HEALTH EMPLOYEES.
UH, AND I'M GONNA TALK ABOUT MORE, I'M GONNA TALK MORE ABOUT THAT IN A SECOND.
BUT WHAT YOU, WHAT WE'RE STARTING TO SEE IS THAT WITH THE, UM, THE SPIKE FROM JULY, UM, LESSENING, UM, FROM A PEAK OF, YOU KNOW, 2000 CASES A DAY TO NOW, OUR ROLLING AVERAGE AT 1 38, UM, WE'RE ABLE TO MOVE SOME OF OUR METRO HEALTH STAFF BACK TO, UM, THREE DAYS AGO WHEN I WAS PREPARING THIS PRESENTATION, I WAS GOING TO SAY BACK TO IMMUNIZATIONS.
HOWEVER, I WILL SAY WE HAVE SEVERAL DOZEN METRO HEALTH STAFF WHO ARE NOW REDEPLOYED FROM COVID TO HURRICANE.
UM, AND SO THEY ARE PART OF THE HURRICANE RESPONSE THAT WE HAVE HAD, UM, OVER THE LAST COUPLE OF DAYS.
SO, UM, THEY'RE, THEY'RE REALLY INCREDIBLE TO BE ABLE TO DO THAT.
BUT, UH, WE ARE MOVING SOME OF OUR METRO HEALTH FOLKS BACK TO THEIR REGULAR DUTIES LIKE IMMUNIZATIONS AND DIABETES PREVENTION, UM, AND ASTHMA PREVENTION, ET CETERA.
UM, AND, AND TAKING ADVANTAGE OF THE FACT THAT WE DO HAVE, UH, FEWER CASES.
THE OTHER THING THAT WE'RE DOING IS REDEPLOYING STAFF AWAY FROM DOING CASE INVESTIGATIONS BECAUSE WE HAVE MORE STAFF RIGHT NOW THAN WE HAVE CASES.
UM, AND HAVING THEM FOCUS ON THE, UM, THE HEALTH AND EDUCATION TEAMS THAT ARE BEING DEPLOYED IN THOSE AREAS THAT HAVE A HIGH EQUITY SCORE, UM, A HIGH CASE FATALITY RATE AND A HIGH, UH, PER CAPITA CASE RATE SO THAT THEY CAN GO OUT INTO THOSE COMMUNITIES AND HELP SPREAD THE WORD ABOUT HOW TO PREVENT COVID, WHERE TO GET TESTED FOR COVID, WHAT TO DO IF YOU THINK YOU HAVE COVID.
UM, SO WE'RE MOVING SOME INDIVIDUALS FROM CASE INVESTIGATION INTO THAT, UM, COMMUNITY HEALTH AND PREVENTION TEAM APPROACH.
SO I WANNA TALK A LITTLE BIT ABOUT CASE INVESTIGATION AND CONTACT TRACING, SINCE THAT SEEMS TO GET A LOT OF ATTENTION.
UM, I DO WANNA MENTION THAT WE HAVE A CONTRACT WITH THE UT HEALTH SCHOOL OF PUBLIC HEALTH HERE IN SAN ANTONIO, UM, TO DO CASE INVESTIGATIONS.
UM, THE CONTRACT IS $2 MILLION FOR THEM TO HIRE UP TO 200 CASE INVESTIGATORS.
UM, THEY ARE WORKING ON THAT AND JUST THIS WEEK, UM, HAVE TAKEN THE LEAD ON COMPLETING THE CASE INVESTIGATIONS WITH THEIR, UM, 100 STAFF THAT THEY HAVE AVAILABLE TO DO THAT.
RIGHT NOW, AGAIN, WHAT WE'RE SEEING IS THAT PEOPLE CAN AVERAGE ABOUT 10 TO 12 CASES PER DAY THAT THEY CAN INVESTIGATE.
UM, AND SO HAVING 100 INDIVIDUALS DOING CASE INVESTIGATION WITH A ROLLING DAILY AVERAGE OF 138 CASES IS PLENTY OF STAFF TO BE ABLE TO DO THAT WORK.
UM, WE ALSO THOUGH, IN PREPARATION FOR IF WE DO HAVE ANOTHER SPIKE, HAVE ANOTHER 153 METRO HEALTH EMPLOYEES WHO ARE TRAINED IN TEXAS HEALTH TRADES, WHO KNOW HOW TO DO CASE INVESTIGATION, AND WHO CAN BE PULLED INTO SUPPLEMENT, UM, THE SCHOOL OF PUBLIC HEALTH WORKFORCE, SHOULD THAT BE NEEDED.
UM, THAT WAS SOMETHING WE DID NOT HAVE DURING THE FIRST SPIKE.
AND SO WE ARE, UH, WE WORKED REALLY HARD TO GET THAT READY TO GO AND LINED UP, AND WE ARE, WE ARE READY SHOULD THAT HAPPEN.
UM, I ALSO WANNA MENTION THAT WE HAVE, UH, ABOUT 250 STAFF WHO ARE ASSIGNED TO WORK AT THE ALAMO DOME.
UM, THAT'S OVER A SEVEN DAY A WEEK SHIFT.
AND SO THERE'S NOT 250 PEOPLE THERE EVERY DAY.
THEY PROBABLY AVERAGE UNDER 200 EVERY DAY.
UM, BUT THAT HAS BECOME THE HUB OF THE CITY'S C OVID 19 RESPONSE, UM, AND SEEMS TO BE WORKING REALLY, REALLY WELL.
WE'RE, WE'RE GETTING A LOT OF EFFICIENCIES, IMPROVED COMMUNICATION, IMPROVED TEAMWORK, IMPROVED STAFF MORALE ASSOCIATED WITH THAT MOVE.
AGAIN, JUST TO SHOW YOU, UM, WHERE WE WERE AT THE, THE PEAK OF THE SPIKE IN JULY, WHERE WE HAD ABOUT 58 INDIVIDUALS DOING CASE INVESTIGATION TO WHERE WE ARE TODAY WITH 189, UM, PEOPLE WHO ARE TRAINED AND READY TO DO CASE INVESTIGATIONS, SHOULD THEY BE NEEDED TO DO THAT.
AND THEN OUR ESTIMATES THAT BY THE END OF SEPTEMBER, WE WILL HAVE 214.
AND WHEN I SAY WE, I'M TALKING ABOUT THE ROYAL WE, SO THAT INCLUDES THE SCHOOL OF PUBLIC HEALTH, UM, AS
[01:15:01]
WELL AS CITY, UH, FOLKS.WE, WE HAD FIRE DEPARTMENT INDIVIDUALS WHO WERE TRAINED IN DOING CASE INVESTIGATION.
WE HAD SOME FURLOUGH EMPLOYEES, METRO HEALTH EMPLOYEES, ET CETERA.
SO, UM, BY THE END OF SEPTEMBER, WE WILL HAVE 214 PEOPLE TRAINED TO DO A CASE INVESTIGATION THAT IS MORE CASE INVESTIGATORS THAN WE WOULD HAVE NEEDED DURING THE SPIKE THAT WE EXPERIENCED IN JULY.
UM, THAT'S THE, IF, IF YOU THINK ABOUT CASE INVESTIGATION AND CONTACT TRACING, UH, TOGETHER, THE WORK, THE WAY THAT WE DO THE WORK IS TWO THIRDS OF THAT FALLS UNDER CASE INVESTIGATION, WHERE WE CALL THE CASES, WE GET THEIR INFORMATION AND WE ASK THEM WHERE THEY'VE BEEN AND WHO THEY'VE COME IN CONTACT WITH.
THAT'S WHAT WE'RE CALLING CASE INVESTIGATION.
CONTACT TRACING IS THE, UM, OUTREACH TO THOSE INDIVIDUALS WHO WERE NAMED AS HAVING COME IN CONTACT WITH SOMEBODY WHO IS A CASE, UM, THAT IS CURRENTLY BEING DONE BY, UM, THE STATE THROUGH THE SYSTEM THAT WE'RE USING, WHICH IS CALLED TEXAS HEALTH TRACE.
THE STATE HAS CONTRACTED OUT WITH M T X TO DO CONTACT TRACING.
UM, WE ALSO HAVE A CONTRACT WITH THE UT SCHOOL OF PUBLIC HEALTH, UM, FOR THEM TO BE ABLE TO HIRE UP TO AN ADDITIONAL 200 CONTACT TRACERS.
THEY ARE CURRENTLY DECIDING WHETHER THAT'S THE DIRECTION THEY WANT TO GO OR WHETHER THEY WANT TO RECOMMEND WE CONTINUE TO USE THE STATE'S SYSTEM.
SO WE WILL KEEP YOU POSTED ON HOW THAT GOES.
UM, ONE OF THE OTHER THINGS THAT I WANNA MENTION ABOUT THE IMPROVEMENT THAT WE'VE MADE TO THE PANDEMIC RESPONSE, UM, SINCE JULY IS WE DID BRING ON, UM, DR.
SANDRA RA, UH, WHO IS A PHYSICIAN WHO USED TO WORK FOR THE HEALTH DEPARTMENT.
UM, WE HAVE BROUGHT HER BACK TO WORK WITH, WITH DR.
WU, PROVIDE SOME BACKUP SUPPORT TO DR.
WU AND REALLY FOCUS ON CONGREGATE SETTINGS.
SO I KNOW SOME OF YOU HAVE WORKED WITH HER IN HER CONGREGATE SETTINGS ROLE, UM, BUT SHE'S BEEN A TREMENDOUS ASSET TO US TO BE ABLE TO HAVE AN ADDITIONAL PHYSICIAN, UM, WORKING WITH THOSE CONGREGATE SETTINGS.
WE'VE ALSO, AS YOU SAW IN THE CITY MANAGER'S UPDATE YESTERDAY, UM, BEEN FORTUNATE TO, UM, TO REDEPLOY GENERAL JUAN AYALA TO THE ALAMO DOME.
UM, HIS, HIS OPERATIONALIZING, UM, RESPONSES, TRAINING AND EXPERIENCE WITH THE MILITARY IS COMING VERY IN, VERY HANDY WITH OUR ALAMO DOME, UM, DAY-TO-DAY OPERATIONS.
SO HE'S WORKING VERY CLOSELY WITH DR.
CURIAN IS FOCUSING ON THE EPIDEMIOLOGY OF THE RESPONSE.
AND GENERAL AYALA IS FOCUSING ON THE DAY TO DAY, HOW DO WE MAKE SURE THAT WHEN YOU'RE IN THE ALAMODOME, YOU HAVE WHAT YOU NEED, WE'RE GETTING WHAT WE NEED FROM YOU, YOU ARE GETTING WHAT YOU NEED FROM US.
UM, SO THAT'S WORKING REALLY WELL.
I ALSO WANNA MENTION THAT WE HAVE, UM, CONTRACTED FOR ADDITIONAL PHYSICIAN SUPPORT THROUGH DR.
SO BOTH OF THOSE PHYSICIANS ARE WORKING WITH US.
WU AND ALSO THE CO-CHAIR WITH ME ON THE C R C.
JAN PATTERSON IS WORKING ON PROCESS IMPROVEMENT SPECIFIC TO ALL THINGS THAT ARE HAPPENING AROUND THE RESPONSE SPECIFICALLY AT THE DOME.
SO, I DO WANNA TO END ON THIS LAST SLIDE, UM, WHICH IS THE SG TWO MODEL.
SO THIS MODEL, THE GREEN LINE IS WHAT THE MODEL IS PREDICTING THE DOTTED LINE IS, WHAT THE MO IS, WHAT ACTUALLY HAS HAPPENED.
SO THIS IS SHOWING YOU THAT THIS MODEL HAS BEEN, UM, INCREDIBLY ACCURATE IN ITS PREDICTIONS.
UM, WHEN IT COMES TO HOSPITALIZATIONS DUE TO C OVID 19, WHAT THEY ARE PREDICTING IN THIS MODEL IS THAT IF WE CONTINUE TO DO ALL OF THE THINGS THAT WE'VE DONE TO GET US OUT OF THIS, UM, JULY SPIKE, THAT OUR NUMBERS WILL CONTINUE TO DECLINE.
UM, SO WE'RE SHARING THIS MESSAGE WIDELY.
UM, WHAT WE ARE DOING IS WORKING.
WE NEED TO KEEP THAT UP, UM, ESPECIALLY THROUGH LABOR DAY, ESPECIALLY THROUGH SCHOOLS REOPENING SO THAT WE DON'T SEE ANOTHER SPIKE.
HOPEFULLY, HOWEVER, WHAT YOU'VE SEEN IN THE PREVIOUS SLIDES WILL GIVE YOU SOME COMFORT TO KNOW THAT IF THERE IS A ANOTHER SPIKE, UM, WE ARE PREPARED AND STAFFED AND READY TO RESPOND.
[01:20:01]
MY PRESENTATION HAPPENING.UH, I'M GONNA START WITH, UH, COUNCILMAN TREVINO AGAIN, THANK YOU CHAIR.
BRIDGER FOR THAT, THAT PRESENTATION.
UM, WE, I WANNA START BY TALKING ABOUT SOMETHING THAT I THINK IS, IS RELATED FIRST.
UM, YOU AS, AS, AS WE KNOW, WE'RE, WE'RE SEEING, UM, UM, A SERIOUS SPIKE IN IN EVICTIONS COMING.
AND, UH, WE KNOW THAT THE PEN PANDEMIC HAS DISPROPORTIONATELY AFFECTED PEOPLE OF COLOR AS YOU, AS YOU JUST SHOWCASED.
UM, YOU KNOW, WITH, WITH THE POTENTIAL OF, OF, UH, OF A THIRD SPY, I, IF WE DO NOT HEEDED SOME OF THE, UH, RECOMMENDATIONS AS YOU, YOU DEMONSTRATED, AND YES, PLEASE WEAR A MASK, UM, YOU KNOW, IS WE'VE, WE'VE, UH, STATED THAT THAT HOUSING IS HEALTHCARE.
AND, UH, THE QUESTION I WOULD ASK IS, UM, IS, IS IS METRO HEALTH AND, AND IT'S, AND OTHER HEALTH PARTNERS SPEAKING TO THE IMPORTANCE OF REDUCING UNSHELTERED NESS, UM, CONSISTENTLY EVEN BEFORE THE PANDEMIC.
UM, WE, WE COINED THE PHRASE HOUSING IS HEALTH.
THAT'S, THAT'S ESSENTIAL TO OUR, ONE OF OUR SOCIAL DETERMINANTS OF HEALTH.
WELL, I, AGAIN, I I I, I AM GONNA MAKE THE REQUEST THAT MAYBE WE MAKE, MAKE, UH, MAKE OURSELVES MORE MORE VOCAL ABOUT IT, ESPECIALLY NOW, AS TO YOUR POINT, UH, I THINK A LOT OF THESE RECOMMENDATIONS LIKE WEARING A MASK, UH, WE NEED TO, WE NEED TO BE, UH, AS VOCAL AS WE CAN WHEN IT COMES TO, UM, HAVING AN UNDERSTANDING OF HOW IT'S ALL CONNECTED.
IN FACT, YOU KNOW, WE, UH, HAVE AUGMENTED OUR RISK MITIGATION FUND BECAUSE OF IT AND BEING IN, IN THE, IN THE, IN THE BUDGET PROCESS, UH, TO SHOW THAT THAT NOW IS, IS, UH, EVEN EVEN MORE IMPORTANT TO REALLY FOCUS ON HELPING TO FIND WAYS TO CONNECT, UH, TO KEEP PEOPLE SHELTERED IN PLACE.
AND SO, UH, YOU KNOW, THANK YOU FOR, FOR, FOR, UH, FOR, UH, DOING THAT AND, AND MAKING SURE THAT PEOPLE HAVE, UH, THAT SUPPORT FROM, FROM METRO HEALTH, UH, AT LEAST THAT UNDERSTANDING, I SHOULD SAY.
AND, UH, I ALSO, UH, DO WANT TO ASK, UH, AND GET SOME CLARIFICATION ABOUT WHAT, WHAT IS OUR POSITION ON, ON TESTING ASYMPTOMATIC CONTACTS AT OUR FREE CITY SITES? OUR, UH, ANITA, CORRECT ME IF I'M WRONG, MY UNDERSTANDING IS WE DO TEST ASYMPTOMATIC CONTACT CONTACTS TO CASES.
IF THEY REQUEST TESTING, ABSOLUTELY, WE DO RECOMMEND IT.
AND IF THEY HAVE CLO UH, EXPOSURE TO A CASE AND THEY'RE ASYMPTOMATIC OR SYMPTOMATIC, YOU KNOW, WE DO RECOMMEND TESTING AND PROVIDE THIS TESTING IF THEY'RE, IF THEY REQUEST IT.
SO, UH, ANOTHER ONE, I JUST WANNA MAKE SURE THAT I, I, I'M GETTING QUESTIONS ABOUT THAT AS WELL.
SO, UM, GOOD TO GET THAT CLARIFICATION.
UM, AGAIN, I JUST WANNA SAY THANK YOU FOR, FOR YOUR PRESENTATION, YOUR HARD WORK.
UM, AGREE WITH YOU WHOLEHEARTEDLY.
WE CAN FIND A WAY TO, TO REALLY FLATTEN THIS CURVE.
AND, UM, YOU KNOW, I'LL KEEP ASKING FOR YOUR ASSISTANCE ON, ON HOUSING, 'CAUSE I, AS YOU SAID, HOUSING IS HEALTHCARE.
AND, UH, WANNA PUBLICLY THANK YOU FOR YOUR, YOUR WHITE PAPER ON WHITE ROOFS THAT HAS ALSO HELPED, UH, YOU KNOW, PROMOTE ANOTHER PROGRAM THAT WE HAVE IN OUR CITY.
SO THANK YOU AGAIN FOR YOUR LEADERSHIP, DR.
I BELIEVE SHE STEPPED AWAY FOR JUST A FEW MOMENTS.
UM, AND SO I'LL JUST JUMP INTO THE CONVERSATION AND WE'LL KEEP GOING DOWN THE LINE TILL, UM, MADAM CHAIR COMES BACK.
BRIDGER, FOR THAT PRESENTATION.
THE QUESTION THAT I HAVE IS IN RELATION TO THE EVACUEES WHO HAVE COME IN DUE TO THE HURRICANE.
UM, ARE WE DOING ANY TESTING ON THEM OR ARE WE JUST DOING THE REGULAR TEMP CHECKS? WE, WE ARE DOING, UM, TESTING FOR SYMPTOMATIC INDIVIDUALS, UM, THROUGH THE SAME LAB THAT WE'RE USING AT OUR THREE FREE TESTING SITES.
UM, THE NICE THING ABOUT THAT IS THAT LAB AND THAT TESTING STRUCTURE IS SET UP STATEWIDE ACROSS TEXAS.
SO WHEN, UM, THE EVACUEES ARE ALLOWED TO RETURN HOME, THERE'S STILL THIS STATEWIDE INFRASTRUCTURE IN PLACE TO NOTIFY THEM OF THEIR RESULTS AND GET THEM CONNECTED TO THEIR HEALTH DEPARTMENT WHEREVER THEY HAPPEN TO BE.
[01:25:01]
AND FOR THOSE WHO ARE SHOWING SYMPTOMS OR SYMPTOMATIC, UM, ARE THEY BEING PLACED IN A PARTICULAR, UM, HOTEL OR, UM, HOW ARE WE ACTUALLY MAKING SURE THAT THEY'RE, UM, IN A, IN A SAFE PLACE? IT, IT, IT, THE NICE THING ABOUT THIS EVACUATION IS THAT ALL OF THE EVACUEES ARE BEING PLACED IN HOTEL ROOMS. SO THE RISK OF THEM, LIKE IF WE, IF WE WERE DOING THIS LIKE WE WOULD NORMALLY, AND THERE'D BE A GIANT SHELTER WITH 200 COTS IN IT, UM, THERE WOULD, WE WOULD WORRY ABOUT THE SPREAD FROM ONE PERSON TO ANOTHER BECAUSE ALL OF THESE INDIVIDUALS ARE PLACED IN HOTEL ROOMS. THE RISK OF SPREAD TO OTHERS, UM, IS, IS MUCH LESS.THAT SAID, ANYBODY WHO'S SYMPTOMATIC, UM, DOES GET A TEST AND THEN IS INSTRUCTED TO QUARANTINE UNTIL THEY GET THE RESULT OF THAT TEST.
THANK YOU, UH, SO MUCH FOR THAT.
I KNOW THOSE WERE SOME QUESTIONS THAT CAME OUT OF THE COMMUNITY AND WANTED TO MAKE SURE THAT THEY HAD THOSE ANSWERS.
UM, AND SO THE NEXT QUESTION I HAVE, UH, DR.
BRIDGER IS IN IONS TO, UM, THE VISITATION OR THE LIFTING OF THE VISITATION FOR LONG-TERM CARE FACILITIES AND HOW WE, UM, HAVE WE SEEN AN INCREASE OR A DECREASE, UM, WHAT, WHAT HAS TAKEN PLACE SINCE THOSE, UM, RESTRICTIONS HAVE BEEN LI LIFTED? SO THOSE RESTRICTIONS AS OF TWO DAYS AGO, THERE IS NOT A CURRENT NURSING FACILITY IN BEXAR COUNTY, UM, WHO HAS QUALIFIED TO HAVE THOSE RESTRICTIONS LISTED.
UM, THERE ARE, THERE, THERE ARE A NUMBER OF HIGH BARS THAT THEY HAVE TO MEET, INCLUDING 14 DAYS WITH NO STAFF AND NO RESIDENT INFECTIONS OF COVID, UM, BEFORE THEY'RE EVEN ALLOWED TO, TO START THAT PROCESS.
SO RIGHT NOW, THERE HAS BEEN NO EFFECT AS A RESULT OF THAT POSSIBLE LISTING, UH, BECAUSE WE HAVEN'T SEEN ANY, ANY LISTING OF THAT VISITATION RESTRICTION YET HERE IN BEXAR COUNTY.
AND THEN, UM, THE LAST THING, WHEN IT COMES TO THE COHORTS, AND HAVE WE SEEN, UM, ANY ADDITIONAL CONCERNS, COMPLAINTS, OR ANY OF THE STATE REGULATIONS, UM, COME TO THE CITY ON HOW THEY'RE DOING WHEN IT COMES TO THE CARE OF THE, UH, POSITIVE PATIENTS WITHIN THE COHORTS? GENERALLY SPEAKING? NO, I MEAN, WE HAVE PROBABLY THE SAME NUMBER OF COMPLAINTS ABOUT THE COHORT FACILITIES AS WE HAVE ABOUT ANY NURSING FACILITY, UM, THAT, WITH THAT STAR LEVEL.
UM, SO THE, THE GOOD NEWS IS FOR THE COHORT FACILITIES THAT THEIR CENSUS HAS FALLEN SIGNIFICANTLY, UM, WHICH MEANS THAT THEY HAVE, UH, MUCH MORE CAPACITY TO HANDLE THE INDIVIDUAL COVID PATIENTS THAT THEY'RE CARING FOR.
THOSE ARE ALL THE QUESTIONS I HAVE.
YEAH, I HAVE, I HAD A LOT OF COFFEE, UH, THIS MORNING.
I'M GONNA, UH, MOVE ON TO, UH, COUNCILWOMAN.
BRIDGER, THANK YOU TO THE ENTIRE TEAM WHO I KNOW HAS BEEN WORKING SO VERY HARD WITH ALL OF THESE CHANGING CIRCUMSTANCES BECAUSE AS IF A PANDEMIC WEREN'T ENOUGH WORK, LET YOU KNOW, A HURRICANE ALSO CAME WITH THE EVACUATION.
SO THE TEAM HAS BEEN A VERY RELENTLESS AND WORKING HARD.
AND FOR THE UPDATE CHAIR, THANK YOU FOR THIS UPDATE.
I THINK IT'S CONSISTENT THAT WE CONTINUE TO PROVIDE THIS UPDATE FOR OURSELVES IN CASE WE AS POLICY MAKERS, MAKERS, NEED TO START MOVING AND PIVOTING WITH OUR, OUR POLICIES AS IT COMES TO THE PANDEMIC PREPARATION.
I THINK THESE LEVELS ARE, UM, ARE APPROPRIATE AND I'M GLAD WE'RE STAFFED UP TO THIS LEVEL AND THAT WE MAINTAIN AND WE CONTINUE TO MAINTAIN THIS.
UH, I DO WANNA ENCOURAGE IF, IF UT PUBLIC HEALTH THAT WHO WE ARE CONTRACTED WITH, IF WE CAN LOOK AND PARTNER WITH THEM TO SEE HOW THEY CAN LOOK AND FIND TECHNICAL, UH, SCHOOL WHO HAVE BEEN WORKING IN MEDICAL, UM, CAPACITY SOMEHOW, SOME WAY, IF THEY CAN LOOK INTO THESE COMMUNITIES THAT HAVE BEEN, UM, DISPROPORTIONATELY IMPACTED, ESPECIALLY IN, UM, 2, 3, 4, 5, IF THEY CAN LOOK TO THOSE AREAS FOR HIRING, BECAUSE THAT IS EXTREMELY IMPORTANT TO KNOW THE COMMUNITIES IN WHICH THEY ARE.
WE SEE THE HIGH NUMBER OF CASES.
I THINK THAT WOULD BE IMPORTANT.
[01:30:01]
THEY ARE, WE CONTRACT WITH THEM.SO I THINK WE CAN PUT THAT INTO THE CONTRACT OR AT LEAST COMMUNICATE THAT WITH THEM AS WE'RE HAVING THAT CONVERSATION.
UM, WE, I MEAN, WE JUST HAVE TO GET READY FOR AN ADDITIONAL SPIKE.
UM, I THINK WE JUST HAVE TO BE PREPARED AT TO THIS LEVEL NOW.
AND WE TALK ABOUT PUBLIC HEALTH.
UM, METRO HEALTH TALKS ABOUT BEING PREPARED.
UM, THAT'S WHAT THE EMERGENCY OPERATION CENTER DOES.
SO I THINK THIS LEVEL OF STAFFING IS EXTREMELY IMPORTANT, BUT LET'S COMMUNI, UH, LET'S CONTINUE TO WORK AND BUILD UP THAT COMMUNITY HEALTH PREVENTION, UM, AS YOU'RE WORKING ON IT.
SO THERE'S NEVER, THERE'S NEVER A LULL.
IT'S ALWAYS WORKING AT A HIGH CAPACITY.
UM, I THINK CHAIR, WHAT I'D LIKE TO SEE NEXT TIME, WELL, I WANNA GO BACK TO WHAT COUNCIL MEMBER, UH, GONZALEZ MENTIONED IN THE LAST CONVERSATION.
WE DID HAVE A GREAT CONVERSATION WITH SOUTHWEST GENERAL, AND AS WE KNOW IN DISTRICT IN THIS, IN SOUTH OF 90, WE HAVE TWO HOSPITALS.
THERE IS NO HOSPITAL IN DISTRICT TWO, UM, YET.
'CAUSE COUNCIL MEMBER ANDREW SULLIVAN IS WORKING ON THAT.
UM, BUT WE KNOW THAT THERE ARE TWO HOSPITALS SOUTH OF 91 BOOKEND OFF OF MILITARY, UM, AND 35 AND ONE OFF OF MILITARY AND 37.
WE KNOW THAT WE HAVE TO HAVE THIS ACCESS TO, TO HEALTHCARE.
BUT I THINK WE HAVE TO, UH, SO WE HAD A GREAT MEETING WITH THE PHYSICIANS, UH, THE, THE LEAD THERE AT SOUTHWEST GENERAL WHO'S NOW A RUN BY, I BELIEVE THAT THAT WAS STEWART.
AND THEY'RE REALLY FOCUSED ON PHYSICIAN LED, UM, HOSPITAL.
AND WHAT THEY WERE SHARING WAS UNTIL THE PHYSICIANS DEMAND THE TYPE OF CARE THAT IS NEEDED, THAT CARE WON'T COME.
AND SO I REALLY APPRECIATE THEM BEING, HAVING THE PHYSICIANS THAT ARE DEMANDING THIS TYPE OF CARE.
THEY ALSO GAVE US GOOD INFORMATION ABOUT AN AFTER ACTION REPORT FROM THE FIRST THAT THAT COVID SPIKE THAT WE JUST WENT THROUGH AND WHAT THEY WERE DEALING WITH AND WHAT THEY WERE WORKING ON.
I WOULD LOVE TO SEE CHAIR IF THERE'S A WAY THAT WE CAN HAVE A CONVERSATION OR MORE INFORMATION PRESENTED ABOUT AFTER ACTION REPORTS FROM OTHER HOSPITALS AND MAYBE ARE MAYBE EVEN U UM, U H SS, THE UNIVERSITY HEALTH SYSTEM OF WHAT THEY WERE DEALING WITH, WHAT THEY SAW.
AND I'D LOVE TO BE ABLE TO GET, AND MAYBE THE, UM, YOU KNOW, METRO HEALTH ALREADY HAS THAT REPORT OR AFTER ACTION REPORTS, BUT I WOULD LOVE TO SEE IT JUST AS POLICY MAKERS, HOW WE CAN JUST TO KNOW WHAT THE, THE STATUS IS ACROSS THE, THE CITY.
AND, UM, I'D ALSO LIKE TO, TO SEE JUST MORE CLARIFICATION OF ENFORCEMENT WHEN IT COMES TO THOSE WHO ARE VIOLATING, UH, BUSINESSES OR HOUSE PARTIES THAT ARE VIOLATING WHEN IT COMES TO HAVING GATHERINGS IN CERTAIN AREAS.
AND THEY'RE NOT HAVING MASKS, THEY'RE NOT SOCIAL DISTANCING OR JUST DIFFERENT THINGS LIKE THAT.
AND PEOPLE ARE CALLING IN AND VIOLATING WHAT IS THE BEST WAY? IS IT SS A P D NON-EMERGENCY? IS IT 3 1 1? I THINK THERE'S CONFUSION AND WE JUST NEED TO HIGHLIGHT THAT.
SO THOSE ARE MY THOUGHTS, CHAIR AND THANK YOU TEAM FOR YOUR WORK.
AND IF I COULD JUST ANSWER THAT REAL QUICK, THAT LAST ONE, UM, THERE'S NO BEST NUMBER TO CALL.
PEOPLE CAN CALL ANY OF THE NUMBERS THAT WE'VE PUT OUT THERE.
UM, 3 1 1 IS THE EASIEST ONE FOR ME TO REMEMBER.
UM, BUT THERE'S, THERE'S, WE'RE, WE'RE USING A NO WRONG DOOR APPROACH FOR COMPLAINTS ABOUT, UM, ENFORCEMENT.
OH, AND CHAIR, CAN I JUST MENTION ONE THING AND IF PEOPLE NEED TO KNOW, THEY CAN ALWAYS GO ONLINE AND ON THE DASHBOARD, IS THAT CORRECT? THAT IS CORRECT.
LET'S SHARE THAT INFORMATION TOO.
I'M GOING TO MOVE ON TO COUNCILWOMAN GONZALEZ.
LET ME JUST START THERE WITH, UH, ONE OF THE, SOME OF THE QUESTIONS THAT COUNCIL MEMBER, UM, VILLA WAS TALKING ABOUT BECAUSE, UM, AS I WAS, YOU KNOW, WE, WE HAD THIS CONVERSATION YESTERDAY WITH SOME OF THE HOSPITALS, BUT YOU KNOW, OF COURSE IT'S, IT'S, NO, WE, WE ARE VERY FAMILIAR WITH THE HEALTH OUTCOMES IN OUR DISTRICTS.
UM, YOU KNOW, WE HAVE LOTS OF DATA ON THAT.
AND I THINK THAT, YOU KNOW, AT SOME POINT IN MY TENURE, YOU KNOW, THERE WAS A STUDY THAT SHOWED THAT WE HAD, UH, THAT DISTRICT FIVE, THE CENSUS TRACK WHERE I LIVE, OH SEVEN ZIP CODE HAD THE HIGHEST NUMBER OF DI DIABETES CASES OF ANY CENSUS TRACK IN THE COUNTRY.
AND SO WE KNOW THAT THOSE NUMBERS EXIST.
UM, BUT ONE OF THE THINGS THAT WE, THAT CAME UP IN THE CONVERSATIONS WITH THE HOSPITALS, UM, WAS ABOUT THE VERY LOW NUMBER OF, UM, PHYSICIANS IN PRIVATE PRACTICE SOUTH OF, OF 90 OR IN OUR AREAS.
[01:35:01]
YOU KNOW, RATHER INFORMALLY.AND, AND SO PART OF THIS CONVERSATION IS TO, I GUESS MAYBE GIVE YOU A HEADS UP AS I WORK WITH MY COLLEAGUES ON THE SOUTH SIDE, UM, TO, TO SEE LIKE WHAT KIND OF INCENTIVES MIGHT WE COME UP WITH THAT MIGHT THAT ENCOURAGE PRIVATE PRACTITIONERS, UH, TO COME INTO THE DISTRICT.
AND SO, UM, YOU KNOW, AND AND WHEN I ASKED, YOU KNOW, WAS IT STRICTLY FINANCIAL, UM, YOU KNOW, LIKE THAT THEY CAN'T MAKE MONEY BECAUSE THEY HAVE A HIGH RATE OF UNINSURED, UH, PEOPLE, UM, ONE OF THE THINGS THAT THEY DID MENTION WAS THAT PEOPLE WERE SO SICK, UM, THAT IT WAS A KIND OF OVERWHELMING, ESPECIALLY FOR A YOUNG PHYSICIAN, UH, TO COME IN AND TRY TO TREAT PEOPLE GIVEN THE HIGH, UH, NUMBER OF, OF ILLNESSES I GUESS, THAT THEY HAVE.
SO, UM, YOU KNOW, I DON'T KNOW IF THAT'S A, A, YOU KNOW, UM, SOMETHING THAT MAYBE MY COLLEAGUES OR, UH, DO YOU HAVE ANY THOUGHTS ABOUT THAT? I KNOW I'M GONNA RUN OUT TIME HERE, BUT, UM, UH, ABOUT THAT I DO.
AND THEN I HAVE ONE VERY SIMPLE FOLLOW-UP QUESTION, COUNSEL, UH, CHAIR.
UM, BUT I DON'T KNOW, COLLEEN, DO YOU HAVE ANY THOUGHTS ABOUT THAT? SO I, I, I DO AND, AND I THINK, UM, YOU KNOW, ONE OF THE THINGS I'M MOST EXCITED ABOUT THE AFTERMATH OF THE PANDEMIC IS THE RECOVERY AND RESILIENCY PLAN BECAUSE, UM, WE ARE NOT GOING TO IMPROVE PEOPLE'S HEALTH AT THE POPULATION LEVEL IF WE DON'T ALSO IMPROVE THEIR ACCESS TO HOUSING EMPLOYMENT OF REWARDING JOB, UM, ET CETERA.
SO I THINK WE'RE STARTING THAT INVESTMENT NOW WITH THE FOCUS ON, UM, A LOT OF THOSE PROJECTS ROLLING OUT IN THE HIGH EQUITY SCORE AREAS.
UM, A LOT OF THOSE ARE HAPPENING IN THE, IN YOUR DISTRICTS.
UM, SO I THINK THAT'S A GOOD START.
I ALSO THINK THE WORK ON ADVERSE CHILDHOOD EXPERIENCES IS A GOOD START BECAUSE THAT'S PREVENTING THOSE THINGS FROM HAPPENING FROM THE VERY BEGINNING.
BUT I DO THINK WE NEED TO BE ABLE TO TIE ALL THOSE TOGETHER AND ADD A COUPLE MORE THINGS IN CERTAIN COUNCIL DISTRICTS SO THAT WE CAN REALLY HAVE A CONCERTED EFFORT WITH WHEREVER PEOPLE ARE ON THAT CONTINUUM.
UM, YOU KNOW, PERHAPS WE'LL HAVE A MORE ELABORATE DISCUSSION ON THAT.
MAYBE THAT ALSO GOES TO THE WORKFORCE COMMITTEE, UH, COUNCIL MEMBER, BECAUSE, YOU KNOW, IN THE SAME WAY THAT WE INCENTIVIZE BUSINESSES TO GO INTO CERTAIN AREAS, I MEAN, WE GAVE H E B, OR, YOU KNOW, IT ENDED UP BEING H E B, BUT, UM, SOME OF MY COLLEAGUES MAY NOT REMEMBER THIS, BUT WE AS A COUNCIL INCENTIVIZED A DOWNTOWN GROCERY STORE TO THE TUNE OF A MILLION DOLLARS.
YOU KNOW, COULD WE DO SOMETHING SIMILAR FOR MEDICAL PRACTICES SO THAT THEY WILL MOVE INTO THE DISTRICT? UM, SO, YOU KNOW, I MEAN THESE, THERE'RE I I, I SUSPECT THAT, YOU KNOW, THIS HAS BEEN DONE BEFORE.
UM, UH, BUT, YOU KNOW, AND MY SENSE EVEN SORT OF REGARDING, I, I'M GETTING A LITTLE BIT OFF TRACK HERE FROM THE PRESENTATION 'CAUSE I, UH, BUT IT'S JUST, UM, LEADING TO OTHER THOUGHTS THAT I HAVE.
UM, YOU KNOW, WHEN I CAME ONTO THE COUNCIL, UH, I, I, ONE OF THE, THE COUPLE OF THINGS THAT I FOUND ALARMING AS I WAS REALLY GETTING TO KNOW MY DISTRICT WAS, FIRST OF ALL THE EXTENT OF THE POVERTY, WHICH WE'VE NOW I THINK, UM, HAVE ADDRESSED WHAT WE HAVEN'T ADDRESSED, UH, ACKNOWLEDGED, YEAH.
UH, IN A NUMBER OF WAYS, UM, WAS THE EXTENT OF THE POVERTY, UH, IN THE DISTRICT, BUT ALSO THE EXTENT OF THE, OF THE HEALTH, UM, OF OUR COMMUNITY.
AND, AND I FELT LIKE I TRIED EARLY ON IN MY TENURE TO ADDRESS THINGS, AND THEY JUST, IT FELT TOO, UM, JUDGMENTAL.
UM, AND SO I, I DROPPED IT BECAUSE I FELT LIKE THE CONVERSATIONS MADE IT SEEM TOO MUCH LIKE INDIVIDUAL CHOICES.
AND SO I FELT LIKE, UH, THAT WASN'T, UH, I WASN'T, I WASN'T CONNECTING WITH PEOPLE TRYING TO USE WITH THE LANGUAGE THAT I HAD AT THE TIME.
UH, BUT WE KNOW THAT, THAT, UM, ALSO THE BUILT ENVIRONMENT HAS A TREMENDOUS, UM, UH, IMPACT ON PEOPLE'S HEALTH.
UH, AND SO, YOU KNOW, AS WE, AND, AND WE ON THE COUNCIL CAN DO A LOT TO IMPACT THE BUILT ENVIRONMENT, UM, MUCH EASIER THAN WE CAN CHANGE PEOPLE'S, UM, MENTALITIES.
IT'S EASIER TO DESIGN A BEAUTIFUL PLACE FOR PEOPLE TO WALK, UH, THAN IT IS TO TRY TO GET THEM TO LOSE WEIGHT, FOR EXAMPLE.
AND SO I I FEEL LIKE, UM, PERHAPS WE'VE EVOLVED A LITTLE BIT AND THAT'S WHY I WAS, SOME OF THE QUESTIONS I WAS TRYING TO GET AT EARLY ON ABOUT WHY YOU HAVE SUCH HIGH COMPLIANCE FOR VACCINES.
LIKE, YOU KNOW, WAS THERE SOMETHING THAT WE WERE DOING INTERNALLY THAT WAS CHANGING THE MODEL LOOKS LIKE, NOT LIKE ENFORCEMENT WAS PROBABLY THE BEST WAY, BUT, UM, BUT I, I THINK YOU UNDERSTAND WHERE WE'RE GOING A LITTLE BIT WITH THIS CONVERSATION, AND I SEE THAT I'M OUT OF TIME, BUT PERHAPS THAT THOSE CONVERSATIONS,
[01:40:01]
UM, WILL EVOLVE OR PICK UP SOME OTHER WAY.BUT, UH, THE LAST QUESTION I HAD, UH, JUST, UM, REGARDING THE, UM, THE, UM, PRESENTATION THAT YOU HAD ABOUT, UH, UM, WHERE WE'RE GOING WITH, UH, RATES, UM, I NEVER HAVE BEEN ABLE TO FIND ON OUR, UH, ON THE, THE INFORMATION THAT YOU PUT OUT, THE POSITIVITY RATES, CAN YOU JUST ADDRESS WHAT ARE THE PO YOU, YOU, THERE'S A MENTION THAT IT SHOULD BE LESS THAN 5%.
CAN YOU SHOW ME WHERE THAT IS ON THE DIAGRAM? AND ALSO WHAT IS THE POSITIVITY RATE TODAY? SO REAL QUICK, WE HAVE AN, WE HAVE A DASHBOARD THAT IS LABELED PROGRESS AND MORNING WARNING INDICATORS.
SO WHEN YOU GO TO THE WEBSITE, YOU'LL SEE THREE OR FOUR DIFFERENT DASHBOARDS.
I THINK IT'S THE VERY FIRST ONE, IT'S CALLED PROGRESS IN WARNING INDICATORS.
IF YOU OPEN THAT DASHBOARD, THAT'S WHERE YOU'LL SEE THE POSITIVITY RATE.
WE'LL UPDATE IT ON MONDAY, AND I'LL SEND YOU THAT LINK.
UM, IT LOOKS LIKE WE'RE GOING TO RUN A LITTLE BIT OVER TODAY.
WE STILL, WE STILL HAVE OUR FINAL ITEM, THE, THE ACTION ITEM AFTER THIS.
SO I'LL, I'LL TRY TO BE BRIEF WITH MY, WITH MY QUESTIONS.
BRIDGER, I THINK, UM, THE, WHAT YOU'VE LAID OUT IN TERMS OF MAKING SURE WE'RE STAFFED UP IS ABSOLUTELY CRITICAL IN THE EVENT THAT THERE'S ANOTHER, UH, PEAK OR, UM, SPIKE, ALTHOUGH IT'S NOT PREDICTED IN THE MODEL, BUT I, I AM CONCERNED ABOUT THE GOING BACK TO SCHOOL, UH, AND, AND WHAT THAT MIGHT PRESENT.
I DON'T KNOW IF THAT'S ACCOUNTED FOR IN, IN THE MODEL THAT YOU'RE USING.
SO NONETHELESS, I, I THINK IT'S IMPORTANT TO BE PREPARED, AND THE BEST WAY TO BE PREPARED IS TO BE OVER PREPARED.
UM, SO ONE THING I REMEMBER FROM THE SPIKE THAT WE HAD IN JULY IS THAT EVEN IF WE HAD ENOUGH CASE INVESTIGATORS, WE DIDN'T ALWAYS GET THE TEST RESULTS IN TIME WHERE WE COULD HAVE MADE, UH, WHERE THE INTERVENTION MADE SENSE, RIGHT? WE GOT IT AFTER THE PERSON HAD BEEN THROUGH THEIR INFECTIOUS PERIOD.
SO HOW, UM, ARE WE, WHAT'S DIFFERENT THIS TIME AROUND OR IS THERE A CHANCE THAT WE'LL STILL SEE THAT, UM, TESTING CAPACITY HAS IMPROVED SIGNIFICANTLY AND THEIR TURNAROUND TIME HAS IMPROVED SIGNIFICANTLY? RIGHT NOW, WE'RE AVERAGING 24 TO 48 HOURS, UM, TO GET THOSE TEST RESULTS BACK IF THEY'RE NOT THE RAPID 15 MINUTE TEST.
UM, SO THERE ARE SOME, LIKE THE HOSPITALS THAT DO THEIR OWN, THEY CAN GET 'EM WITHIN SIX HOURS.
UM, BUT THE ONES THAT WE SEND OUT, LIKE AT OUR FREE TESTING SITES, WE'RE GETTING THOSE RESULTS WITHIN 24 TO 48 HOURS.
SO WHAT WAS THE CAPACITY BEFORE AND WHAT ARE WE AT NOW? SO IT DEPENDED ON THE, THE DAY, BUT WE WERE AVERAGING UNDER 3000 TESTS CAPACITY, UM, AT THE BEGINNING OF THE SPIKE IN JULY, AND WE'RE NOW AT OVER 7,500, AND THAT'S A DAY.
UM, MY NEXT QUESTION HAS TO DO WITH, UM, BEING ABLE TO GET THROUGH THOSE CALLS SO THAT THE CASE INVESTIGATORS CONTACT EVERYONE WHOSE, WHOSE RESULTS THEY HAVE, UH, 10 TO 12 CASES A DAY.
WHAT, WHAT I'M WONDERING IS HOW ARE, ARE WE TRACKING THE QUALITY OF THOSE INTERACTIONS? IS IT WORKING? SO THE CASE INVESTIGATION PIECE IS, UM, THE, THE, THE QA PART IS TO MAKE SURE THAT ALL THE FIELDS IN THE SYSTEM ARE COMPLETED CORRECTLY.
AND, UM, WE, WE KNOW THAT IN THE BEGINNING WE STRUGGLED WITH THAT BECAUSE WHEN WE WENT TO RUN THE REPORT BASED ON THAT INFORMATION, UM, THERE WERE SOME CRAZY ANSWERS.
SO THAT, THAT MOVE OVER TO THE DOME ALLOWED US TO IMPROVE OUR TRAINING.
THE MOVE OVER TO TEXAS HEALTH TRACE ALLOWED US TO, UM, STANDARDIZE THE PROCESS.
AND SO FROM A CASE INVESTIGATION PERSPECTIVE, THAT IS WORKING, UM, MUCH BETTER NOW, THE, THE CHALLENGE THAT WE STILL HAVE IS PEOPLE NOT ANSWERING THE PHONE WHEN WE CALL.
AND THAT IS A PROBLEM ACROSS THE UNITED STATES.
AND, UM, WE'RE STILL, YOU KNOW, TRYING DIFFERENT APPROACHES TO SEE WHAT WILL WORK THE BEST.
UM, I, I DON'T KNOW THAT WE'LL, WE'LL EVER GET TO THE POINT WHERE A HUNDRED PERCENT, LIKE AT THE BEGINNING OF THE PANDEMIC WHERE EVERYBODY'S GOING TO ANSWER THE PHONE.
UM, SO THAT IS, THAT IS THE, UH, QUALITY PIECE FOR THE CASE INVESTIGATION.
UM, FOR CONTACT TRACING, WE HAVE, UM, OUTCOME MEASURES THAT WE REQUIRE OF OUR CONTRACTED PEOPLE WHO ARE DOING CONTACT TRACING.
[01:45:01]
YOU KNOW, THEY'RE, THEY'RE NOT A HUNDRED PERCENT.UM, BUT YOU KNOW, WE REQUIRE, RIGHT NOW, I THINK TEXAS HEALTH TRACE IS CONTACTING, UM, 90% OF THE, THE CA THE CONTACTS WE GIVE THEM WITHIN 24 HOURS.
UM, SO THAT'S, THAT'S SOME OF THE DATA THAT WE'RE LOOKING AT AND HOLDING THEM ACCOUNTABLE TOO.
UM, SO, SO IN TERMS OF THE CASE INVESTIGATION, THE METRICS ARE, UH, HOW MANY PEOPLE WE, WE ACTUALLY GET IN TOUCH WITH, RIGHT? WHETHER OR NOT THEY ANSWER THE PHONE, AND THEN WHETHER OR NOT ALL THE FIELDS ARE COMPLETED IN THE FORM? CORRECT.
SO, UH, SO WHAT I WOULD THINK IS ALSO IMPORTANT IS THAT THE PERSON WAS ABLE TO ISOLATE SUCCESSFULLY, RIGHT? BECAUSE THAT'S, THAT'S PART OF THE, OF THE MODEL THAT WE'RE USING, THAT THAT'S HOW WE CONTAIN THE SPREAD.
SO IS THERE A WAY THAT THAT CAN BE MEASURED OR THAT WE CAN TRACK THAT? I DON'T KNOW.
K AND SEE IF SHE HAS ANY THOUGHTS.
I MEAN, WE DID HAVE THE ISOLATION CARE FACILITY, SO WHEN WE ASKED PEOPLE IF THEY WERE ABLE TO ISOLATE FOR THE PERIOD OF TIME THAT WAS NEEDED, UM, IF THEY SAID NO, THEN WE WERE ABLE TO GET THEM INTO THE ISOLATION CARE FACILITY, AND WE DID THAT WITH HUNDREDS OF PEOPLE.
UM, SO BEYOND THAT, I'M NOT SURE, BUT LET ME, UM, CHECK IN WITH, WITH DR.
K AND, AND WE'LL GET BACK TO YOU.
AND THEN, UM, I THINK IT WOULD ALSO BE INTERESTING TO SEE, UH, DOES IT WORK WITH CERTAIN POPULATIONS, UH, VERSUS OTHERS? AND IF WE DO SEE ANOTHER SPIKE, I THINK IT'S IMPORTANT THAT WE'RE VERY, WE'RE VERY COGNIZANT OF WHAT HAPPENS IN WHAT HAPPENED IN DISTRICTS, UH, FIVE AND, AND FOUR AND THREE, AND THAT THOSE PEOPLE MAY NEED A TAILORED APPROACH.
SO, UM, SO SPEAKING OF THE TEXAS HEALTH TRACE AND DOING THE CONTACT TRACING THROUGH THEM, THAT'S WHAT CONCERNS ME A LITTLE BIT THAT MAYBE THEY'RE, THEY'RE NOT AS FAMILIAR WITH OUR LOCAL POPULATION, SO I'M VERY GLAD TO HEAR THAT UT UH, HEALTH IS ABLE TO TAKE THAT ON.
UM, SO COUNCILWOMAN, I'D BE HAPPY TO, UH, UH, MAYBE WE CAN REACH OUT TO THEM AND, AND SEE HOW WE CAN PROVIDE, UH, SUPPORT, BECAUSE I THINK IT'S VERY IMPORTANT TO HAVE THAT DONE, UH, LOCALLY.
UM, IN TERMS OF, UH, SO RIGHT NOW YOU'RE SAYING THAT THE METRICS FOR QUALITY ARE, UH, HOW MANY PEOPLE THEY'VE REACHED, RIGHT? HOW QUICKLY THEY'VE REACHED, HOW MANY PEOPLE.
UH, BUT WE DON'T KNOW THAT IF THEY REACH THEM, THAT THOSE PEOPLE ARE ABLE TO, I, UM, SORRY, QUARANTINE SUCCESSFULLY, THERE'S NO, LIKE FEEDBACK MECHANISM ARE, ARE THOSE CONTACTS ASKED TO TEXT BACK? YOU KNOW, I'M, I'M STILL QUARANTINING OR ANYTHING LIKE THAT.
SO THERE'S BEEN A MIXTURE OF THAT.
IN THE BEGINNING, WE WERE ABLE, WE HAD MORE BANDWIDTH TO BE ABLE TO CHECK IN WITH PEOPLE ON A REGULAR BASIS.
I'LL BE HONEST WITH YOU, DURING THE SPIKE WHERE WE HAD 2000 CASES A DAY, WE WERE NOT ABLE TO CHECK IN WITH EVERY CONTACT AND MAKE SURE EVERY DAY THEY WERE QUARANTINING.
UM, SO THE, WE'RE IN MUCH BETTER SHAPE NOW, SHOULD THAT HAPPEN AGAIN, WE HAVE ENOUGH STAFF TO BE ABLE TO DO EVERYTHING THAT'S NEEDED TO DO.
UM, IF WE, LIKE I SAY, IF WE DO HAVE A SECOND SPIKE.
AND THEN MY, MY LAST QUESTION, UM, HAS TO DO WITH THAT, WITH THAT SPIKE IN JULY, UH, THERE WERE A LOT OF CASES WERE, I GUESS, WHAT WERE WE ABLE TO GET THROUGH AND WHAT WERE WE NOT ABLE TO DO WITH THE SPIKE SPECIFIC TO, WE DIDN'T HAVE ENOUGH BANDWIDTH.
LIKE WERE WE ABLE TO TRY TO CALL EVERYONE OR, UM, I GUESS HOW MANY OF THOSE CASES CAME IN WHERE, WHERE THE TEST RESULT WAS JUST SO OLD THAT THERE WAS NO POINT IN MAKING THE CALL? DO WE HAVE A BREAKDOWN OF THAT? MAYBE, MAYBE IT'S WHAT COUNCILWOMAN GERRAN IS REQUESTING IS LIKE AN AFTER ACTION REPORT.
WHAT, WHAT DOES THAT LOOK LIKE? UH, YEAH, WE, WE, UM, SO I THINK COUNCILMAN VERAN WAS LOOKING FOR AN AFTER ACTION REPORT SPECIFIC TO HOSPITALS.
THE HEALTH DEPARTMENT WILL ALSO DO AN A A R, UM, BUT PROBABLY NOT UNTIL THE ENTIRE PANDEMIC IS OVER.
UM, SO THAT'S, LET ME TALK TO THE TEAM ABOUT IF THEY WANNA DO A MIDWAY POINT.
I MEAN, WE'RE CONSTANTLY ADJUSTING AND ADAPTING AND IMPROVING THROUGHOUT THIS WHOLE THING.
UM, ARS ARE TYPICALLY DONE AFTER LIKE A HURRICANE RESPONSE.
YOU'VE DONE IT FOR THREE WEEKS, IT'S DONE, AND THEN YOU GO BACK AND LEARN FROM IT.
UM, IT'S TOUGHER WHEN YOU'RE IN THE MIDDLE OF AN 18 MONTH, UH, PANDEMIC TO BE ABLE TO DO THAT.
BUT, UM, WHAT WE CAN DO IS, I'M COUNCILWOMAN,
[01:50:01]
IS THAT WHAT YOU MEANT, COUNCILWOMAN? OR AM I MISINTERPRETING WHAT, WHAT YOU MEANT COUNCILNO, I AM, UM, ASKING SPECIFICALLY ABOUT HOSPITALS TOO, ABOUT AFTER ACTION REPORTS, SIMILAR TO AFTER ACTION REPORTS.
I'M NOT SAYING IT WOULD BE EXPLICITLY THAT, BUT JUST WHAT WERE, WHAT WERE ITEMS THAT THEY SAW? WHAT WAS THE IMPACT OF THE ICUS? FOR EXAMPLE, YESTERDAY THEY TOLD US THEY ONLY HAVE ABOUT 18 BEDS FOR ICUS, BUT DURING THE SPIKE THEY HAD TO MAKE 40 ICUS AVAILABLE.
SO WHAT WERE THE, THE ITEMS THAT WE HAD TO ADJUST? UM, YES.
AND, AND YOU'RE DOING THAT ON A, ON A REGULAR BASIS, OR I'D LOVE TO SEE A MORE MID ACTION OF WHAT ADJUSTMENTS WE HAD TO MAKE, BUT THAT'S WHAT I'M LOOKING FOR FROM HOSPITALS.
WE'RE ABOUT THREE QUARTERS OF A WAY THROUGH A PROCESS IMPROVEMENT EXERCISE WITH DR.
SO ONCE WE GET THAT DONE, WE CAN SHARE WITH YOU THE RESULTS OF THAT.
THAT CAN KIND OF BE OUR, UH, VERSION OF AN A A R, UM, AND I THINK THAT'LL GIVE YOU SOME, SOME REALLY INTERESTING DATA COUNCILWOMAN.
UM, AND THEN, UH, I KNOW I SAID THAT WAS MY LAST QUESTION, BUT WHEN WE COME BACK AND GET OUR NEXT UPDATE, IT WOULD BE GREAT TO HAVE, UM, SOME INFORMATION ON THE, ON THE GROUND OUTREACH THAT YOU SAID YOU'RE, YOU'RE DOING, THAT YOU HAD REDEPLOYED SOME STAFF TO DO OUTREACH IN, UH, IN SPECIFIC AREAS WHERE IT WAS NEEDED.
AND THEN, UH, IN TERMS OF PREPARATION FOR, FOR SCHOOLS AND THE POSSIBILITY OF AN OUTBREAK HAPPENING IN ONE OF THEM, HA IS THAT, ARE THOSE CASES GOING TO GO THROUGH THE SAME FUNNEL OR WILL THERE BE A DIFFERENT PROCESS FOR AN OUTBREAK THAT HAPPENS AT SCHOOL? AND I THINK I ASKED YOU LAST TIME, AND YOU SAID THAT YOU GUYS HAVE A LOT OF EXPERIENCE WITH SCHOOL OUTBREAKS, BUT I JUST WANTED TO DOUBLE CHECK IF, IF ANYTHING HAD CHANGED OR IF YOU HAD SET UP ANYTHING FOR SCHOOLS.
UM, SO THE, THE, THE FIRST PART OF MY ANSWER IS THE SAME.
THE SECOND PART OF MY ANSWER IS WE ARE WORKING ON SPECIFIC POLICIES AND PROCEDURES TO COVID FOR SCHOOLS TO FOLLOW IN COLLABORATION WITH THE G E A.
UM, SO THAT IS SOMETHING WE TALKED ABOUT YESTERDAY WITH DR.
THAT'S EXACTLY WHAT I WANTED TO ASK.
UM, IN TERMS OF THE, THE FOLLOWING THE CASES, IS IT GONNA BE LIKE A CONGREGATE SETTING? SO RIGHT NOW IT LOOKS LIKE YOU HAVE SIX PEOPLE ASSIGNED TO CONGREGATE SETTING FROM THE SLIDE.
SO WILL THAT INCREASE WHEN, UH, WHEN SCHOOLS GO BACK? OKAY.
WHAT ARE YOU, UH, ESTIMATING? I DON'T KNOW.
LIKE I SAID, WE TALKED ABOUT THAT YESTERDAY.
SHE'S WORKING ON FLESHING OUT WHAT HER TEAM LOOKS LIKE.
THERE'S ALSO A LOT OF PEOPLE FROM THE EPI TEAM WHO WOULD, UM, BE DEPLOYED FOR A RESPONSE LIKE THAT.
SO IT'S NOT JUST THAT ONE LINE, UM, THAT WOULD BE USED TO DO THAT RESPONSE.
WELL THANK YOU, UH, VERY MUCH, UH, FOR ALL THOSE ANSWERS.
AND THANK YOU EVERYONE FOR YOUR PATIENCE AS WE
UM, I THINK WE'RE GREAT JOB EVERYONE WHO'S WORKING ON THE PANDEMIC RESPONSE.
UH, WE'RE SO GRATEFUL FOR ALL OF YOUR WORK.
UH, JENNIFER HARRIET, AND EVERYBODY OVER AT THE, AT THE ALAMO, DOWN DR.
BRIDGER, THANKS FOR ALL OF YOUR WORK.
[1. 20-5024 A briefing and presentation on the recommended candidates for the SAClimate Ready Technical and Community Advisory Committee, and the SA Climate Ready Climate Equity Advisory Committee. [David McCary, Assistant City Manager; Douglas Melnick, Chief Sustainability Officer]]
MR. MCCAREY, TAKE IT AWAY.UH, STILL GOOD MORNING, COMMUNITY HEALTH AND EQUITY COMMITTEE.
UH, I'M DAVID MCCAREY, ASSISTANT CITY MANAGER, DOUG MELNICK WILL DO THE PRESENTATION TO UPDATE YOU ON OUR SA CLIMATE READY AND THE CANDIDATES, UH, FOR THE ADVISORY GROUP.
SO I'M GONNA GO AHEAD AND TURN IT OVER TO DOUG.
AND, UH, GOOD AFTERNOON, MADAM CHAIR AND AND COMMITTEE MEMBERS.
THANK YOU FOR THIS OPPORTUNITY TO PRESENT.
UH, I THINK THE FIRST THING I WANNA DO IS THANK, UH, COUNCILWOMAN SANDOVAL AND ANDREW SULLIVAN FOR ALL THE TIME THAT YOU PUT INTO, UH, THIS PROCESS.
UM, IT WAS, AS YOU'LL SEE, IT WAS A LOT OF WORK.
UM, ALSO WANT TO THANK MY STAFF, UH, JULIA MURPHY, UH, MINA DEFI, AND JONATHAN MALONE FROM THE OFFICE OF EQUITY WHO REALLY, REALLY PROVIDE SIGNIFICANT ADVICE ON THIS.
AND ALSO, DAVID, FOR, FOR YOUR SUPPORT AS WELL.
UM, WHAT'S INTERESTING IN HAVING THIS CONVERSATION NOW AFTER HEARING THE PREVIOUS PRESENTATION, IS THERE'S A LINK, UM, I, YOU KNOW, I REALLY WOULD JUST WANT TO HIGHLIGHT THAT THAT CLIMATE CHANGE IS STILL OCCURRING.
UH, IT'S A PUBLIC HEALTH CRISIS.
UH, IT'S A, THERE ARE INEQUITIES
[01:55:01]
ASSOCIATED WITH IT, AND I, I THINK IMPLEMENTING, IMPLEMENTING THIS PLAN CAN HELP WITH THE RECOVERY, UM, FROM COVID TO 19, THE RECESSION, AND HELP ADDRESS RACE INEQUITIES IN OUR COMMUNITY.SO, UM, I'M REALLY LOOKING FORWARD TO THE CONVERSATION.
UM, WE, WE STARTED OUR, OUR CLIMATE, UM, UH, PATH, UH, WAY BACK IN 2017.
UM, WHEN, UH, COUNCIL PASSED THE RESOLUTION IN SUPPORT OF THE PARIS CLIMATE AGREEMENT, WHICH LED TO THE DEVELOPMENT AND THE ADOPTION BY CITY COUNCIL, UH, LAST OCTOBER OF, OF THE CLIMATE PLAN.
UH, THE PLAN CALLS FOR THE CREATION OF TWO, UM, EXTERNALLY RECRUITED COMMITTEES, UM, TO HELP ADVISE, UH, THE, THE IMPLEMENTATION OF A PLAN, THE TECHNICAL AND COMMUNITY COMMITTEE, AND THE CLIMATE EQUITY COMMITTEE AND THE STRUCTURE AND THE, UH, FOR THAT COMMITTEE WAS APPROVED.
THESE COMMITTEES WERE APPROVED BY COUNCIL BACK IN, IN DECEMBER.
SO, REALLY QUICKLY, YOU KNOW, WE HAVE THESE TWO COMMITTEES.
THERE'S A RELATIONSHIP BETWEEN THEM BOTH.
UM, BUT THEY DO HAVE SLIGHTLY DIFFERENT MISSIONS.
THE, THE TECHNICAL AND COMMUNITY ADVISORY COMMITTEE IS REALLY FOCUSED ON MAKING SURE THAT WE ARE, WE'RE IMPLEMENTING THIS PLAN, UM, IN AN EFFECTIVE MANNER AS AS MUCH AS POSSIBLE.
UH, IT DOES REQUIRE KEEPING AN EYE ON EQUITY.
UM, THEY'RE, YOU KNOW, THEY'RE, THEY'RE, JUST BECAUSE THERE'S ANOTHER CLIMATE EQUITY COMMITTEE DOESN'T MEAN THIS COMMITTEE DOESN'T NEED TO BE AWARE, UM, AND COMMITTED TO IT.
IT'S ABOUT PROVIDING EXPERTISE, THOSE PERSPECTIVES AND INPUT.
UM, AS WE MOVE THE PLAN FORWARD.
UM, IT'S MAKING SURE THEY REPRESENT THE ENTIRE COMMUNITY, UM, KEEPING, UH, ABREAST OF THE LATEST CLIMATE SCIENCE, UM, AND DEVELOP DEVELOPING AN ANNUAL REPORT, UH, AND DELIVERING IT TO COUNCIL, UM, AND ALSO HELPING US PROMOTE, UM, THE, THE PLAN AND, AND, AND HELP GET INPUT ACROSS THE COMMUNITY.
YOU KNOW, THE CLIMATE EQUITY COMMITTEE, UM, IS REALLY PRETTY SPECIALIZED.
UH, YOU KNOW, THEIR, THEIR FOCUS IS, UM, MAKING SURE THAT AS WE MOVE THIS PLAN FORWARD, WE KEEP A CLEAR FOCUS ON, ON THE, THE POTENTIAL IMPACTS OF OUR DECISIONS, AS WELL AS OPPORTUNITIES TO TRY TO UNDO PREVIOUS IMPACTS.
UM, SO IT'S ALL ABOUT MAKING SURE THAT, UM, WE'RE BRINGING DIVERSE STAKEHOLDERS TO THE TABLE.
UM, THEY CAN HELP, UM, HELP US REACH, UM, UH, THOSE OTHER COMMUNITIES THAT THE CITY MAY NOT HAVE THE BEST TOOLS OR THE BEST TRACK RECORD WITH AND, AND HELP SERVE AS TRUSTED PARTNERS.
UM, THE OTHER THING THEY'RE REALLY GONNA HELP US WITH IS WE, WE DO HAVE A, UH, A CLIMATE, UM, EQUITY SCREENING TOOL THAT WAS DEVELOPED AS A PART OF THE PLAN, BUT IT NEEDS WORK.
WE NEED TO REFINE IT AND WE NEED TO TEST IT.
AND SO WE'RE REALLY HOPING TO WORK WITH THIS GROUP OF INDIVIDUALS TO HELP DO THAT.
WE ALSO WANNA WORK WITH THEM TO HELP TRACK AND REPORT THESE CLIMATE EQUITY METRICS AND ALSO DELIVER A, A REPORT TO, UM, CITY COUNCIL AND, AND REALLY HELP, AGAIN, SORT OF HITTING IT, YOU KNOW, HARD AGAIN, IS THAT EQUITY IS THE CORE OF, OF THE ALL ASPECTS OF IMPLEMENTING THIS PLAN.
SO, UM, THERE'S A LOT OF TEXT HERE.
THIS IS BASICALLY STRAIGHT FROM THE ORDINANCE.
UM, THE TECHNICAL AND COMMUNITY ADVISORY COMMITTEE, UM, HAS A TOTAL OF, OF 21 MEMBERS, 15 WHO ARE AT LARGE FIVE ORGANIZATIONAL MEMBERS.
AND THOSE ARE SAS, SARAH VIA JOINT BEAT BAY SAN ANTONIO, AND C P S.
UM, AND THEN THE REP, UH, UH, CHAIR OR CO-CHAIR FROM THE CLIMATE EQUITY COMMITTEE.
UM, WE'RE LOOKING FOR MULTIPLE PERSPECTIVES.
UM, AND THE OTHER THING IS, YOU KNOW, WHEN, WHEN WE'VE BEEN GOING THROUGH THIS PROCESS, NOT EVERYBODY FITS INTO A BOX.
UM, THERE'S LOTS OF PEOPLE WHO BRING MULTIPLE, UM, UH, EXPERTISE AND PERSPECTIVE.
SO WE ALSO WANT TO KEEP AN EYE ON THAT.
SO ONCE IT'LL BE PART OF OUR RECOMMENDATION, GIVEN THE, THE IMPORTANCE OF ENERGY AND TRANSPORTATION, UM, TO THIS INITIATIVE, WE WILL BE RECOMMENDING TO THE COMMITTEE TO, UM, CONSIDER, UH, CREATING TWO SPOTS, TWO ADDITIONAL SPOTS ON TOP OF THE 21, UM, EACH ONE, UM, DEDICATED EITHER TO, UM, AN OIL AND GAS OR ENERGY REPRESENTATIVE.
UM, AND ONE FROM A, UM, AUTOMOTIVE, UM, UH, REPRESENTATIVE.
I'LL TALK A LITTLE BIT ABOUT THAT.
TOWARDS THE END OF THE, THE, THE PRESENTATION, THE CLIMATE EQUITY ADVISORY COMMITTEE HAS A TOTAL OF 11 SLOTS.
UM, THIS IS WHERE IT REALLY DIFFERS.
THIS, THESE ARE 10 REPRESENTATIVES FROM COMMUNITY-BASED ORGANIZATIONS OR OTHER KEY STAKEHOLDERS WHO ARE REALLY REPRESENTING THE INTEREST OF OUR LOW-INCOME POPULATIONS, COMMUNITIES OF COLOR, MARGINALIZED POPULATIONS, AND OTHER FRONTLINE COMMUNITIES.
UM, WE, WE REALLY WANNA MAKE SURE THESE ARE PEOPLE WHO CAN REALLY REPRESENT THOSE INTERESTS AND, AND HAVE CONNECTIONS TO THOSE COMMUNITIES.
UM, WE WILL ALSO HAVE THE CHAIR OR CO-CHAIR FROM THE OTHER COMMITTEE, THE TECHNICAL COMMITTEE SERVING ON THIS COMMITTEE AS WELL.
UM, THE APPOINTMENTS, UH, ARE FOR TWO YEARS FOR A MAXIMUM OF TWO CONSECUTIVE TERMS. UM, AND THE COMMITTEES WILL SELECT THE CHAIR AND VICE CHAIR ONCE WE CONVENE.
SO ONE OF THE THINGS WE WANTED TO MAKE VERY CLEAR, UM, TO, TO ALL THE APPLICANTS WERE WHAT ARE THE EXPECTATIONS? AND WE ACTUALLY BUILT THIS INTO THE APPLICATION, UM, PROCESS THROUGH THE CLERK'S OFFICE.
THESE ARE TWO HOUR QUARTERLY MEETINGS.
WE'RE LOOKING TO HOLD ANNUAL JOINT
[02:00:01]
MEETINGS BETWEEN THESE TWO COMMITTEES TO MAKE SURE THEY'RE NOT WORKING IN SILOS.UM, THEY NEED TO WORK ON EQUITY WITH US.
UH, AND WE'LL BE PROVIDING EQUITY TRAINING, UM, FOR ALL, UH, OF THESE O APPOINTEES ON A REGULAR BASIS TO MAKE SURE PEOPLE UNDERSTAND, UM, WHY IS RACE AND EQUITY SO IMPORTANT IN TERMS OF CLIMATE CHANGE, UM, MAKING SURE PEOPLE ARE PREPARED.
LET US KNOW IF THERE'S CONFLICT.
AND REALLY PROBABLY MOST IMPORTANTLY, HELP US WITH COMMUNITY AND STAKEHOLDER ENGAGEMENT.
UH, IT'S NOT ENOUGH JUST TO, TO COME THERE WITH YOUR OWN INTERESTS, BUT WE REALLY NEED THESE FOLKS TO HELP REACH OUT TO THE BROADER COMMUNITY AND HELP INFORM OUR DECISION MAKING.
SO, UH, JUST IN TERMS OF THE PROCESS, APPLICATIONS WERE, UM, RELEASED IN BOTH ENGLISH AND SPANISH, UH, BACK IN JANUARY.
AND, UH, IT SEEMS LIKE A, A LONG TIME AGO.
UM, YOU KNOW, COVID DEFINITELY PUT A, A, UM, A DAMPER ON OUR TIMELINE.
UM, KEY TO THIS WAS PROMOTION.
UH, UH, WE USED ALL THE, YOU KNOW, THE STANDARD FORMS, SOCIAL MEDIA, FACEBOOK, WEBSITE.
UH, WE HAVE A, A RATHER LARGE DATABASE.
UH, AND WE PUSHED IT OUT THROUGH THERE, UM, FOCUSED ON NEIGHBORHOOD ASSOCIATIONS, HOMEOWNERS ASSOCIATIONS, OTHER TARGETED BUSINESSES, COMMUNITY ORGANIZATIONS, WORK THROUGH, UM, CITY COUNCIL OFFICES TO HELP GET IT OUT, UM, THROUGH, THROUGH, UM, COUNCIL, UM, COMMUNICATIONS, UM, UH, MECHANISMS. AND THEN THE, THE, UM, THE OPPORTUNITY WAS ACTUALLY PICKED UP WITH A FEW MEDIA, UM, OUTLETS.
AND SO WE, WE FEEL AS THOUGH THERE WAS, THERE WAS GOOD, UM, UM, AWARENESS.
SO WE RECEIVED 77 APPLICATIONS FOR THE EQUITY COMMITTEE AND A TOTAL OF 109 FOR THE, UM, THE TECHNICAL COMMITTEE.
AND I, THE ONE THING I'LL SAY IS THAT WE WERE, WHAT MADE THIS PROCESS SO DIFFICULT IS JUST THE QUALITY OF APPLICATIONS.
AND I, I THINK ONE OF THE THINGS THAT WE'VE TALKED THROUGH ABOUT THIS PROCESS IS, YOU KNOW, EVEN IF EVERYBODY CAN'T FIT ON THESE COMMITTEES, WE NEED TO MAKE ROOM SOMEHOW, WHETHER IT'S THROUGH, UM, SUBCOMMITTEES OR OTHER OPPORTUNITIES FOR ENGAGEMENT.
WE DON'T WANNA LOSE PEOPLE'S PASSION INTEREST IN THIS PROCESS.
SO, UM, THE, THE PROCESS WAS, UM, A, A SUBCOMMITTEE WAS CREATED, UM, UM, AND IT WAS, IT WAS LED BY COUNCILMAN SANDOVAL AND, AND COUNCILMAN ANDREW SULLIVAN.
AND, UH, THERE WERE SUPPORT FROM THE CITY MANAGER'S OFFICE, UH, THE OFFICE OF EQUITY AND THE OFFICE OF SUSTAINABILITY.
UH, WE BEGAN, UH, REVIEWING APPLICATIONS BACK IN FEBRUARY OF THIS YEAR AND CONDUCTED THREE ROUNDS OF MULTI-DAY INTERVIEWS BETWEEN JUNE AND AUGUST.
AND AGAIN, REITERATING WITH A LOT OF HOURS ON, ON, UM, WEB-BASED, UM, INTERVIEWS WITH OUR, WITH OUR APPLICANTS.
WE INTERVIEWED 18 FOR THE CLIMATE EQUITY GROUP, UH, 31 FOR THE TECHNICAL AND COMMUNITY GROUP, AND THEN 11 FOR BOTH.
'CAUSE A LOT OF PEOPLE REALLY COULD HAVE SERVED WELL ON EITHER COMMITTEE.
AND, UM, AND THE NEXT SLIDE I'LL TOUCH BRIEFLY, EQUITY, EQUITY WAS THE FOCUS OF THIS, UH, EVERY, EVERY STEP OF THE WAY.
SO THE ORDINANCE, UM, CLEARLY FRAMED THIS, UH, THIS COMMITTEE IN, IN EQUITY, UM, TALKING ABOUT PEOPLE WHO LIVE AND WORK IN THE CITY, AND IT'S INCLUSIVE AND, AND WE IDENTIFY TO MAKE SURE THAT, THAT ALL PERSPECTIVES, IDENTITIES, UM, AND EXPERTISE ARE AT THE TABLE.
UM, WE CONTINUALLY DID IT, UH, KEPT THE TRACK OF OUR EQUITY AND DEMOGRAPHICS THROUGHOUT THIS PROCESS.
AND WHAT WE, WE LEARNED WAS AFTER THE SECOND ROUNDS OF, OF, UM, INTERVIEWS, WE FELT REALLY GOOD.
YOU KNOW, I THINK WE ALL FELT THERE WAS A REALLY GREAT SLATE OF CANDIDATES, BUT IN WORKING WITH THE OFFICE OF EQUITY, WE STEPPED BACK AND WE LOOKED AND REALIZED WE WEREN'T THERE YET.
UH, IT WAS, IT WAS, UH, WE DIDN'T HAVE THE, THE REPRESENTATION AND THE DIVERSITY THAT WE NEEDED.
AND SO WE WENT BACK, WE LOOKED AT THE APP APPLICATIONS THAT WE HAD RECEIVED AND MAYBE HAVE OVERLOOKED.
UM, DAVID MCCAREY PROVIDED A TREMENDOUS AMOUNT OF ASSISTANCE, HELP REACHING OUT TO HIS NETWORK.
AND WE INTERVIEWED BASICALLY LAST FRIDAY, UM, ANOTHER ROUND, AND WE WERE ABLE TO COME UP WITH, UH, I THINK, BETTER REPRESENTATION.
AND I'LL SAY WE'RE NOT THERE YET.
I MEAN, I THINK IT'S A, IT'S A PROCESS.
I THINK WE AS A COMMUNITY AND AS AN ORGANIZATION HAVE HAVE A WAY TO GO, BUT WE FEEL GOOD ABOUT THE PROCESS AND THIS AND THIS SLATE.
SO, I'M, THIS IS VERY SMALL, UM, BUT I'M GONNA TRY TO GO THROUGH THIS VERY QUICKLY JUST TO GIVE YOU A, A, AN IDEA OF WHO WE'RE LOOKING AT.
UM, DE BEAM S WAS FROM, FROM PUBLIC CITIZEN.
UH, SHE'S A CLIMATE JUSTICE ORGANIZER.
ASHLEY BIRD, UH, IS WITH TEXAS BUTTERFLY BRANCH.
SHE BRINGS ENVIRONMENTAL EDUCATION EXPERIENCE.
JAMES COOPER IS WITH PROJECT QUEST, AND HE, UH, HAS EXPERTISE IN JOB TRAINING AND WORKFORCE DEVELOPMENT.
UH, ESTELLA CODA TREVINO IS AN ENGINEER, UH, WHO WORKS IN WATER WASTEWATER AND URBAN PLANNING.
MATT COX IS AN ENGINEER WITH KIMBERLY HORNET ASSOCIATES, UH, WHO HAS EXPERIENCE IN LAND DEVELOPMENT AND IS, UH, A REPRESENTATIVE OF THE REAL ESTATE COUNCIL.
UM, NEIL DEBA IS A PROFESSOR AT U T S A WHO HAS EXPERIENCE IN URBAN HEAT ISLANDS AND CLIMATOLOGY.
UH, ASHLEY HARRIS IS, UH, WITH U SS A A AS THEIR DIRECTOR OF GOVERNMENT RELATIONS.
UM, AND THE INSURANCE AIR, UH, INDUSTRY PLAYS A REAL CRITICAL ROLE IN IN CLIMATE CHANGE,
[02:05:01]
AS WE SEE OUR CLIMATE, UM, CHANGING, THERE'S GONNA BE IMPACT.AND, AND I THINK REALLY WORKING WITH THE INSURANCE INDUSTRY IS VERY IMPORTANT.
UM, STEPHEN LUCKY IS THE C E O OF OPIA WITH A TREMENDOUS AMOUNT OF, OF EXPERIENCE IN IN INNER CITY, UH, UH, URBAN AGRICULTURE.
KELLY LYONS IS A PROFESSOR AT TRINITY WHOSE BACKGROUND IS ECOLOGY AND BIODIVERSITY.
FRANCISCO MANON IS WITH, UH, CREDIT HUMAN AND, UH, OVERSAW THE, THE, THE OPERATIONS AND DEVELOPMENT OF THE CREDIT, HUMAN POWER.
SO HIS BACKGROUND IS, IS AN ARCHITECTURE IN GREEN BUILDING.
RICHARD MCDONALD IS THE CORPORATE, UM, DIRECTOR OF SUSTAINABILITY WITH H E D.
JIMMY PERKINS, WHO'S A RETIRED, UM, UH, DEAN AT UT HEALTH.
SO HE BRINGS THE AIR QUALITY AND PUBLIC HEALTH PERSPECTIVE.
JOHN CIA IS WITH, UM, SPURS, UH, SPORTS AND ENTERTAINMENT, AND HE OVERSEES, UM, ALL THEIR BUILDING OPERATIONS.
SO HE UNDERSTANDS BUILDING MANAGEMENT AND ENERGY.
WE HAVE ROSALINDA QUE, WHO'S THE CORPORATE SUSTAINABILITY DIRECTOR FOR GUNTHER AND SONS.
UM, AND WE HAVE, UH, RYAN WEBER, WHO, UH, IS WORKED WITH THE WORLD RESOURCES INSTITUTE, WHICH IS AN INTERNATIONAL, UM, ORGANIZATION, NONPROFIT THINK TANK AROUND SUSTAINABILITY AND CLIMATE.
AND HE, UH, IS BRINGING EXPERTISE IN CLIMATE CHANGE AND ECONOMICS.
SO THOSE ARE THE AT LARGE POSITIONS.
AND THEN YOU'LL SEE OUR ORGANIZATIONAL PARTNERS, UM, UH, MELISSA BRYANT FROM THE RIVER AUTHORITY, KAREN GOOSE FROM SAS, UH, KAMI HORN FROM VIA, UH, MARVIN PEAR FROM JOINT BASED SAN ANTONIO, WHO'S THEIR AIR QUALITY EXPERT.
UH, AND ANGELA RODRIGUEZ, WHO'S THE DIRECTOR OF CLIMATE AND STRATEGY AND SUSTAINABILITY FOR C P S ENERGY.
SO, YOU KNOW, WE FEEL LIKE IT'S A, IT'S A GREAT REPRESENTATION, REPRESENTATION FROM SORT OF COMMUNITY GRASSROOTS ORGANIZATION ALL THE WAY TO SORT OF BUSINESS AND INDUSTRY.
AND, AND AGAIN, WE'LL, WE'LL TALK A LITTLE BIT MORE ABOUT, UM, UM, AUTOMOTIVE AND, AND, UM, OIL AND GAS.
SO, IN TERMS OF, UM, CLIMATE EQUITY, YOU'LL SEE THAT THESE ARE VERY MUCH MORE COMMUNITY-BASED ORGANIZATIONS.
WE HAVE, UM, YOU KNOW, AARON FROM MOVE TEXAS, UH, AITA FROM UT HEALTH.
UH, WE HAVE ISAAC, UH, ANAQUA GARCIA, UM, FROM SOUTHWEST WORKERS UNION.
UH, JESUS GARCIA GONZALEZ FROM CATHOLIC CHARITIES, EO COER, WHO, UM, SERVED ON THE STEERING COMMITTEE FOR THE CLIMATE, UH, ACTION AND ADAPTATION PLAN DEVELOPMENT.
BUT SHE'S AN ENVIRONMENTAL ATTORNEY.
UH, DEANNA LOPEZ IS WITH CENTIA, UH, ELOISA.
PORTIO MORALES, I'M SURE YOU MIGHT RECOGNIZE HER NAME.
SHE WAS WITH, UM, THE OFFICE OF SUSTAINABILITY.
BUT, UM, WENT TO GO WORK WITH, UH, THE NATURAL RESOURCES DEFENSE COUNCIL, WORKING WITH CITIES ACROSS THE COUNTRY ON MOVING FORWARD WITH CLIMATE.
UH, WE HAVE JOSHUA SCOTT, WHO'S, UM, WITH ST.
PHILIPS COLLEGE, AND HE WORKS ON, UM, UH, JOB TRAINING AND WORKFORCE DEVELOPMENT AROUND AUTOMOTIVE TECH TECHNOLOGY.
JOSEPH SIMPSON FROM, UH, TEXAS A AND M UNIVERSITY, WHO'S AN ASSOCIATE PROFESSOR OF, UH, SOCIOLOGY, WHO SPECIALIZES IN SOCIOLOGY AS IT RELATES TO CLIMATE CHANGE AND ENVIRONMENTAL JUSTICE ISSUES.
AND FINALLY, WE'VE GOT TRISTAN TOVAR FROM, UH, SAN ANTONIO HOUSING AUTHORITY, WHO REALLY BRINGS THAT, UM, AFFORDABLE HOUSING, UH, PERSPECTIVE TO THIS, THIS COMMITTEE.
SO, AGAIN, VERY DIVERSE, AND WE FEEL IT'S A VERY STRONG GROUP TO HELP REPRESENT, UM, UH, OUR, OUR COMMUNITY IN THESE REALLY DIFFICULT CONVERSATIONS.
SO, IN TERMS OF NEXT STEPS, UM, YOU, UH, IF WE, YOU KNOW, DEPENDING UPON THE RECOMMENDATION FROM FROM UL TODAY, UH, WE'D LOOK TO BRINGING, UM, A SLATE TO COUNCIL NEXT SEPTEMBER.
UM, WE WILL BE, UM, WE HAVE A, AN EQUITY CONSULTANT, UM, ON BOARD, UM, IN ADDITION TO THE, THE RESOURCES FROM THE, OUR, OUR OFFICE OF EQUITY TO, UM, HOLD A SERIES OF, UM, RACIAL EQUITY TRAINING AND ORIENTATION, UM, WEBINARS WITH ALL OF THESE COMMITTEE MEMBERS.
ONE, TO MAKE SURE EVERYBODY UNDERSTANDS BASIC CLIMATE SCIENCE.
SO EVERYBODY'S SORT OF ENTERING INTO THIS.
IT'S THE SAME SORT OF THE SAME UNDERSTANDING.
UM, TALK ABOUT HOW WE'RE ALL GONNA WORK TOGETHER AND, AND INTERACT, BUT ALSO HAVE A REALLY BASIC UNDERSTANDING OF WHAT RACE HAS TO DO WITH IT, UM, AND, AND MAKE SURE THAT, UM, PEOPLE REALIZE THAT THAT'S GONNA BE THE KEY FOCUS OF THIS CONVERSATION GOING FORWARD.
AND THE GOAL IS TO HAVE THAT FIRST, UM, THOSE FIRST MEETINGS, UH, FIRST QUARTERLY MEETINGS THIS OCTOBER AND NOVEMBER.
SO, IN TERMS OF OUR RECOMMENDATION, UM, BASED UPON THE DISCUSSION BEFORE, STAFF WOULD RECOMMEND ADDING, UH, TWO, UH, ADDITIONAL DEDICATED SLOTS.
ONE FOR, UH, A REPRESENTATIVE FROM OIL AND GAS AND ONE FROM THE AUTOMOTIVE, UM, INDUSTRY.
UM, I THINK WE'LL WANNA MAKE SURE, AGAIN, THERE WERE THE RIGHT FOLKS, UM, WHO REALLY ARE BRINGING THE, THE EXPERTISE AND PERSPECTIVE AND UNDERSTANDING OF WHAT WE'RE TRYING TO DO.
THIS WOULD REQUIRE A, A AMENDMENT TO THE ORDINANCE THAT WAS PASSED BY COUNCIL BACK IN DECEMBER.
UM, BUT WE THINK IT'LL BE VERY IMPORTANT TO BRING THOSE TWO PERSPECTIVES.
'CAUSE WHEN YOU, AGAIN, WHEN WE LOOK AT WHERE
[02:10:01]
OUR EMISSIONS ARE COMING FROM AND WHERE WE REALLY NEED TO MAKE IMPACT, IT'S THE ENERGY SECTOR AND OUR TRANSPORTATION SECTOR.SO WE THINK IT MIGHT BE VERY BENEFICIAL.
AND THEN STAFF RECOMMENDS APPROVAL OF THE, THE FULL SLATE THAT WE PRESENTED AT THIS TIME, UM, FOR BOTH COMMITTEES, UM, TO BE REFERRED TO CITY COUNCIL FOR FULL CONSIDERATION.
UH, AND WITH THAT, THAT ENDS MY, MY PRESENTATION AND, AND, UM, MORE THAN HAPPY TO ANSWER ANY QUESTIONS.
UH, THANK YOU, UH, DAVID MCCAREY, AND THANK YOU, YOU COUNCILWOMAN ANDREW SULLIVAN.
THIS CULMINATES OR NEARLY CULMINATES, UH, MONTHS AND MONTHS OF WORK BY YOUR OFFICE AND THE SUBCOMMITTEE.
UM, I DON'T KNOW IF COUNCILWOMAN ANDREW SULLIVAN KNEW WHAT SHE WAS GETTING HERSELF INTO WHEN I ASKED HER TO, TO JOIN THIS COMMITTEE WITH ME, BUT AS YOU CAN SEE, THOSE, ALL OF THOSE PEOPLE WHO APPLIED, IT WAS 77 FOR EQUITY.
AND HOW MANY FOR THE OTHER ONE? A HUNDRED.
AND, LET'S SEE, IT WAS, UM, IT WAS A LOT.
UM, COUNCIL WOMAN'S TEAM AND MY TEAM REVIEWED ALL OF THOSE APPLICATIONS BEFORE DECIDING WHO TO, UH, WHO TO INTERVIEW, AND THEN WENT ON TO INTERVIEWS.
AND, UM, THIS IS THE FIRST TIME I'VE BEEN PART OF A PROCESS OF CREATING A NEW ADVISORY COMMITTEE FROM SCRATCH.
UH, SO I HAVE TO, I HAD TO KEEP REMINDING MYSELF THAT IT'S NOT JUST ABOUT ONE APPOINTMENT OR A REAPPOINTMENT, BUT THAT, UH, WE'RE STARTING FROM THE GROUND UP.
SO IT, IT WAS DEFINITELY A LOT OF WORK.
UM, I'M GONNA TURN IT OVER TO COUNCILWOMAN ANDREW SULLIVAN IN CASE SHE WANTS TO, TO PREFACE, UH, THE, THE DISCUSSION WITH, WITH ANYTHING ELSE YOU WANTS TO SHARE HERE.
JONATHAN, UM, AND ALL OF THE TEAM THAT REALLY STEPPED UP TO HELP US, UM, SIT DOWN AND WALK THROUGH THAT GREAT BOOK THAT WE WERE PROVIDED, UH, PRIOR TO COVID WITH ALL OF THE APPLICATIONS.
AND, UM, WE REALLY WALKED THROUGH THEM BASED ON THE QUESTIONS FOR THE EQUITY.
A LOT OF THE APPLICATIONS, UM, THAT WE KIND OF, UH, SET TO THE SIDE DID NOT HAVE AN ANSWER TO THAT EQUITY QUESTION, WHICH, UM, IS ONE OF THE BIGGEST REASONS WHY, UH, WE WERE GOING FORWARD WITH THIS PROCESS.
AND SO, UH, WE WENT THROUGH ALL OF THESE APPLICATIONS AND CAME DOWN TO THE LIST THAT YOU SEE IN FRONT OF YOU.
AND THAT WAS THROUGH INTERVIEW PROCESS AND THEN CONVERSATIONS ABOUT THOSE INTERVIEWS AND HOW CAN WE TRULY GO FORWARD WHEN WE SPEAK ABOUT EQUITY.
AND SO, UM, WE JUST WANT TO TAKE TIME TO SAY THANK YOU.
UM, AND I'M LOOKING FORWARD TO ALL OF THE COUNCIL COMMENTS, UM, AND EVEN FEEDBACK ON HOW DO WE TRULY MAKE THIS A CONVERSATION THAT WILL BE BENEFICIAL TO THE CITY OF SAN ANTONIO AS A WHOLE.
UH, CHAIR, I, UH, YOU KNOW, WE DID TALK ABOUT, UH, HOW REPRESENTATIVE THIS GROUP WAS, AND BY LOOKING AT THE NAMES AND THE JOBS, YOU CAN'T REALLY TELL IN TERMS OF WHERE PEOPLE ARE COMING FROM OR WHAT THEIR ETHNICITY IS.
I DO WANNA SAY THAT WAS A VERY THOROUGH CONVERSATION THAT WE HAD WITH THE OFFICE OF EQUITY, UH, AND THE SUSTAINABILITY STAFF, MR. MCC OR DOUG.
UM, IS THAT INFORMATION THAT YOU HAVE ON HAND TO BE ABLE TO SHARE WITH THE COMMITTEE? I'M SURE THEY WOULD WANT TO KNOW WHAT THAT BREAKDOWN LOOKS LIKE.
UH, THERE'S ACTUALLY A, A BACKUP SLIDE, AND IT IS SLIDE, LET'S SEE, UM, SLIDE 16 AND 17.
SO WE CAN START WITH SLIDE 16.
WELL, WHILE HE'S BRINGING THAT UP, I'M GONNA, UM, HERE WE GO.
SO, UM, BASICALLY, UH, WHAT WE'RE LOOKING AT, UM, YOU'LL SEE THAT BASICALLY IT'S THE BLUE, THE BLUE SECTION IN THE TOP LEFT.
UM, YOU'LL SEE THAT, UM, WE HAVE ONE BLACK OR, OR AFRICAN AMERICAN, UM, INDIVIDUAL, UM, FIVE, UM, LATINX, UH, 12 WHITE NON-HISPANIC.
AND THEN THERE'S TWO, UM, INDIVIDUALS WHO ARE BOTH, UM, BLACK, UH, OR AFRICAN AMERICAN.
AND, UH, LATINX ON THE BOTTOM THAT THE, THE OTHER LINE YOU'LL SEE, THOSE ARE JUST A BREAKDOWN AS PER THE CENSUS.
UM, IT WAS JUST A GUIDE, BUT YOU'LL SEE THERE'S STILL WORK TO BE DONE.
UH, YOU KNOW, WE, WE STILL HAVE, UM, A, A HIGHER REPRESENTATION OF WHITE, NON-HISPANIC, UH, INDIVIDUALS.
UM, THE GENDER BREAKDOWN FOR BOTH IS 50 50.
UM, I DON'T KNOW HOW THAT HAPPENS, BUT, YOU KNOW, UH, IT'S 10 AND 10 FOR THIS GROUP.
AND THEN IN THE EQUITY COMMITTEE
[02:15:01]
IT'S FIVE AND FIVE.UM, IF YOU GO TO THE NEXT SLIDE, PLEASE, YOU'LL SEE THE DEMOGRAPHICS FOR THE CLIMATE CLIMATE EQUITY GROUP.
YOU CAN SEE WE HAVE, UM, ONE AMERICAN INDIAN AND OR, UH, ALASKAN, UH, NATIVE, UH, AND ONE ASIAN ONE, UH, ONE BLACK OR AFRICAN AMERICAN, SIX HISPANIC AND LATINX, AND ONLY ONE, UM, WHITE NON-HISPANIC.
SO YOU CAN SEE IT IN TERMS OF THAT INTENT OF REALLY FOCUSING ON CLIMATE EQUITY, CLIMATE JUSTICE.
UM, IT, IT IS, I THINK IT IS CLOSER TO WHERE WE WANT IT TO GO.
AND, UM, CAN YOU EXPLAIN TO US, UM, YOU KNOW, WE, WE WERE VERY THOUGHTFUL WHEN YOU CREATED THE ORDINANCE, UH, AND WE ARE RECOMMENDING, OR YOU WERE RECOMMENDING A CHANGE TO THAT NOW FOR AUTOMOTIVE AND OIL AND GAS.
UM, AND NONE OF THE PEOPLE WHO ARE RECOMMENDED GOING FORWARD RIGHT NOW ARE OIL AND GAS AND AUTOMOTIVE.
CAN YOU TELL ME ABOUT, UH, DID WE HAVE ANY APPLICANTS REPRESENTING OIL AND GAS COMPANIES? WE DID.
WE, WE HAD HAD, UM, AN APPLICANT FROM A, UH, AN ORGANIZATION THAT WAS MORE OF A, UM, INDUSTRY ORGANIZATION THAT'S MORE, UM, IT'S BEYOND SAN ANTONIO.
IT'S A PRETTY LARGE, UM, UH, UM, PUBLIC IN, UH, INTEREST GROUP AROUND OIL AND GAS.
AND WE DID RECEIVE, UM, UH, TWO, UM, APPLICANTS FROM, UM, FROM VALERO TOWARDS THE END OF THE, THE PROCESS.
UM, BUT I, YOU KNOW, I THINK THE, THE CHALLENGE WAS LOOKING AT THE PERSON AS A FULL PERSON.
AND, AND, UM, SO I, I, I THINK I, YOU KNOW, WHAT I WOULD PROPOSE GOING FORWARD FOR BOTH AUTOMOTIVE AND, AND, UM, ENERGY IS WE DO SOME ADDITIONAL OUTREACH, UM, AND, AND REALLY MAKE SURE THAT WE'RE REALLY, UM, SEEING WHO'S INTERESTED AND WHO CAN BRING SOMETHING TO THE TABLE.
AND THEN ALSO KEEPING AN EYE ON THE DEMOGRAPHICS TO MAKE SURE, YOU KNOW, CAN WE MAKE SURE THAT WE'RE, WE'RE, WE'RE KEEPING CONSISTENT WITH THAT REPRESENTATION.
BUT THERE ARE SOME FOLKS WE CAN GO BACK AND LOOK AT AGAIN, THAT DID APPLY, BUT I THINK IT WOULD BE GOOD TO SEE, YOU KNOW, YOU KNOW, IF WE'RE, IF WE'RE CREATING TWO SPECIAL SLOTS TO SEE IS THERE OTHER OTHERS THAT YOU MIGHT ALSO BE GOOD CANDIDATES AS WELL.
I'M GONNA TURN IT OVER TO COUNCILMAN, UH, THANK, THANK YOU CHAIR, AND, UH, THANK YOU FOR ALL YOUR HARD WORK ON THIS.
THANK YOU TO COUNCIL MEMBER ANDREWS SULLIVAN.
UH, AND THANK YOU TO STAFF, UM, TO, IN, IN FINDING A DIVERSE RANGE OF FOLKS, INCLUDING ENVIRONMENTAL JUSTICE ADVOCATES.
UM, UH, I ESPECIALLY WANT TO THANK THEM FOR FINDING PROFESSIONALS, LIKE ENGINEERS AND ARCHITECTS TOO.
UM, YOU KNOW, I APPRECIATE, UH, THAT MEMBERS WILL BE REQUIRED TO TAKE THE RACIAL RACIAL E EQUITY TRAINING.
AND, UH, I HOPE THAT WE WILL REQUIRE ALL OF OUR BOARDS AND COMMISSIONS TO DO THE SAME.
UH, YOU KNOW, I THINK THIS PRESENTATION WAS, UH, LAID OUT VERY WELL.
AND, UH, I THINK FOR CLARIFICATION, WE, WE ARE MAKING A RECOMMENDATION TO INCLUDE A SPOT, UH, FOR, UM, TO, TO ADD A SPOT FOR, UH, OIL AND GAS AND, UH, ONE OIL AND GAS, AND ONE WOULD BE AN AUTOMOTIVE INDUSTRY REPRESENTATIVE.
SO TWO ADDITIONAL SPOTS, BRINGING THE TOTAL TO 23 INSTEAD OF 21.
SO A MOTION TO APPROVE ITEM, UH, THIS ITEM AS STATED.
UM, COUNCILWOMAN, UH, I'M GONNA SKIP TWO AND GO ON TO COUNCILWOMAN.
I HAVE A, A COUPLE OF QUESTIONS.
UM, FIRST I'LL SEE AT THE BREAKDOWN OF THE APPLICATIONS, YOU SAID 77 APPLICATIONS FOR THE EQUITY AND THEN 109 APPLICATIONS FOR THE TECHNICAL.
DO YOU HAVE A BREAKDOWN OF THE PERCENTAGE OF THOSE 109 WHO WERE TECHNICAL INDUSTRY OR ACADEMIC OR, UM, COMMUNITY? DO YOU HAVE A KIND OF LIKE A PIE CHART BREAKDOWN OF HOW MANY OF THAT BREAK OF THAT BREAKDOWN? I DON'T HAVE THAT RIGHT NOW, NOW, BUT I THINK THERE'LL BE SOMETHING VERY EASY TO, FOR US TO PULL TOGETHER VERY QUICKLY FOR YOU, BECAUSE I THINK THAT'S IMPORTANT TO NOTE.
AND, AND YES, I DO AGREE THAT, UM, WE DO NEED TO HAVE SOMEBODY FROM THE AUTOMOTIVE INDUSTRY BECAUSE I THINK IT'S IMPORTANT THAT, YES, WE'RE HAVING THIS CONVERSATION ABOUT CLIMATE ACTION ADAPTATION PLAN, AND IT'S GOING TO IMPACT AND SHAPE AS WE MOVE FORWARD WITH THE CITY.
BUT WE ALSO HAVE TO HAVE THE PRACTITIONERS, WE WILL HAVE THE VOICES OF THE ENVIRONMENTAL JUSTICE AND EX EXTREMELY IMPORTANT TO HAVE THE
[02:20:01]
ACADEMICS, BUT WE ALSO NEED THE PRACTITIONERS A PART OF THIS CONVERSATION IN OUR GROUP.SO THAT'S WHY I BELIEVE IT'S IMPORTANT TO HAVE ALL OF THESE VOICES AVAILABLE.
ONE THING THAT I DIDN'T SEE ON THE TECHNICAL COMMITTEE WERE, I, I KNOW THAT YOU, I SAW FREEZY AND NICHOLS AND ANOTHER ENGINEERING FIRM, UH, OR, OR SOMEBODY WHO WAS THERE FOR THE BUILDERS.
UM, BUT WHAT ABOUT THE SMALL ENGINEERING AND THE SMALL WOMEN-OWNED BUSINESS FIRMS OR BUILDERS? WERE, ARE THEY REPRESENTED HERE? SO ONE OF THE, I'M TRYING TO THINK OF HOW I WANNA PHRASE IT.
SO THERE, THERE, THERE WERE SOME SMALL BUSINESS.
ONE OF THAT WAS ONE OF OUR KEY FOCAL POINTS GOING FORWARD WAS NOT JUST HAVING BIG BUSINESS AND INDUSTRY WITH SMALL BUSINESSES.
THERE WERE A FEW, UM, THAT WE DID, UM, SCHEDULE INTERVIEWS WITH AND FOR REASONS, YOU KNOW, DIDN'T SHOW UP TO THE, THE, THE, THE, UM, THE INTERVIEWS.
AND, AND YOU KNOW, QUITE HONESTLY, IT COULD BE BECAUSE THE TIMING, UH, YOU KNOW, IT, IT'S C OVID 19, YOU KNOW, I, I, SO I THINK ONE OF, I, I THINK YOUR POINT IS REALLY WELL TAKEN.
I THINK WE NEED TO MAKE SURE WE KEEP FOCUSED ON THAT BECAUSE IT IS A DIFFERENT VOICE.
UM, BUT THAT WAS, THAT WASN'T OUR INTENT, BUT IT JUST, THE, THE, THE, THE INTERVIEWS THAT WE HAD SENT UP JUST NEVER HAPPENED.
AND SO I THINK IT'S A LOT OF IT WAS THE TIMING JUST BASED UPON THE, THE CURRENT CRISIS THAT WERE GOING ON THAT THEY COULDN'T COMMIT THE TIME JUST TO TALK WITH US.
AND I, UM, I UNDERSTAND THAT, UM, INDIVIDUALS, YOU KNOW, THE BACKGROUNDS OR JUST THEIR ORGANIZATIONS MAY NOT REPRESENT THE FULL BREADTH OF THEIR EXPERIENCE AND KNOWLEDGE.
ONE THING I DO KNOW, AND THAT IS GLARING OBVIOUSLY TO ME IS THAT THERE'S NO DISTRICT THREE REPRESENTATIVE IN HERE.
NOW, I DID SEE THAT FOR THE ALTERNATE, WE HAVE SARAH BEASLEY WITH THE MITCHELL LAKE AUDUBON CENTER, WHICH IS, SHE'S PHENOMENAL.
AND I WOULD'VE LOVED TO HAVE SEEN HER ON ONE OF THESE COMMITTEES BECAUSE AS YOU ALL KNOW, IN DISTRICT THREE, WE DO HAVE MOTOR MANUFACTURINGS.
WE DO HAVE TOYOTA, AND WE ARE HAVING NAVISTAR COME ON BOARD, WHICH ARE BUILDING TRUCKS.
WE DO HAVE OUR MISSION REACH, EVERYTHING FLOWS SOUTH IN, IN OUR, IN OUR CREEKS AS WELL AS OUR RIVER.
WE DO KNOW THAT WE HAVE AN OIL REFINERY STILL IN DISTRICT THREE, RIGHT? ON OUR MISSION REACH.
WE HAVE OPEN LAND THAT STILL NEEDS TO BE DEVELOPED IN AND AROUND OUR COMMUNITY.
SO I THINK THAT IS A GLARING OMISSION FOR ME, UM, IN OUR COMMUNITY, HAVING THAT VOICE AND EVEN REPRESENTATIVE AND PEOPLE THAT LIVE OF THE COMMUNITY LEVEL THAT, THAT LIVE IN THE DISTRICT, WHO CAN SPEAK TO THAT NOW, WHETHER THEY APPLIED OR NOT, I DON'T KNOW.
I DON'T HAVE, UM, I DIDN'T, I DON'T HAVE THE FULLEST OF THE 77 OR 109, UH, WHICH COUNCIL, WOMEN AND TEAM CAN, I MEAN, WOW, THANK GOODNESS.
UH, WELL, NOT THANK GOODNESS, BUT YOU, IT'S A LOT TO GO THROUGH AND A LOT TO REVIEW.
AND I APPRECIATE ALL OF THE WORK THAT THAT HAS BEEN DONE.
AND I'M SURE IT WAS EXHAUSTING AND YOU HAD TO TAKE BREAKS MANY TIMES IN GOING THROUGH EVERYTHING.
AND THEN ON TOP OF THAT, ALL OF THE INTERVIEWS THAT YOU EVEN DID, I SAW WHAT 16 INTERVIEWS IN JUST A ONE SECTION IN PARTICULAR.
AND, UH, BUT I DO, THAT IS MY CONCERN WITH THAT OMISSION.
AND, UM, I, YOU KNOW, I DID TELL COUNCIL MEMBER, UH, ANDREW SULLIVAN, SHE'S, SHE'S BECOMING TO BE OUR POINT OF CONTACT WHEN IT COMES TO, TO INTERVIEWS AND, UH, AND WHEN WE'RE DOING INTERVIEWS.
SO THANK YOU CHAIR, AND THANK YOU ALL FOR ALL YOUR HARD WORK.
UH, I KNOW WE'RE GONNA LOSE SOME PEOPLE AT 1230, SO, UM, AND THAT COUNCILWOMAN, UM, GONZALEZ HASN'T SPOKEN.
SO COUNCILWOMAN, DO YOU HAVE ANY COMMENTS OR CAN WE GO INTO THE, DO YOU WANNA TAKE A FEW MINUTES AND THEN WE CAN GO INTO THE MOTION? UH, YEAH.
NO, JUST THANK YOU TO, UH, THE TEAM FOR, UH, ALL THE WORK.
I KNOW IT'S BEEN A LONG TIME COMING AND, UM, THANK YOU FOR YOUR DILIGENCE.
UM, I JUST WANNA SAY COUNCIL GERRAN, UH, POINT, EXTREMELY WELL TAKEN.
I THINK THIS, UH, THESE TWO NEW POSITIONS, UH, CREATE AN OPPORTUNITY FOR US TO DO ADDITIONAL OUTREACH IN DISTRICT THREE, WOULD ABSOLUTELY LOVE YOUR ASSISTANCE IN GETTING THE WORD OUT TO, TO THOSE ORGANIZATIONS THAT YOU MENTIONED.
UM, SO WE HAVE A MOTION AND A SECOND, UM, DOES SOMEONE WANNA REPEAT THE MOTION? WELL, OKAY, I'LL SAY WHAT THE MOTION IS.
IT'S, UH,
[02:25:01]
WE'RE ALSO AMENDING THE ORDINANCE THAT CREATED THESE COMMITTEES TO ADD TWO MORE POSITIONS TO THE TECHNICAL, UH, AND COMMUNITY ADVISORY COMMITTEE, UH, TO REPRESENT THE AUTOMOTIVE INDUSTRY AND THE OIL AND GAS INDUSTRY.THANK YOU VERY MUCH EVERYBODY FOR ALL OF YOUR WORK.
NEXT TIME, MAYBE FEWER AGENDA ITEMS. THANKS EVERYONE FOR, UH, ALL OF YOUR SUPPORT AND YOUR, YOUR ENGAGEMENT IN THIS MUCH APPRECIATED.