►
From YouTube: Committee on Public Health on December 15, 2020
Description
Docket #1125 - Hearing to discuss COVID-19 rates by neighborhoods and strategies to reduce transmission
E
E
Shovels
over
hey,
listen,
I've
got
something
better.
I've
got
cross-country
skis,
so
I'm
hoping
it's
like
a
real
like
a
real
like
they're,
promising
kind
of
dine-in,
because
I
can
only
get
out
in
the
city
and
use
those
if
it's
actually,
you
know
serious
like
that,
but
it's
perfect
pandemic
exercise.
It's
outdoors!
It's
solo!
D
A
All
right,
so
it's
405,
I'm
aware
that
we
have
some
folks
on
hard
time
restraints.
So
I
see
the
whole
panel
is
here
I'll
start
now,
I'm
gonna
go
into
the
opening
and
then
the
format
just
so
everybody
knows
for
the
interest
of
time,
because
I
understand
that
we
have
some
time
constraints
for
folks
that
are
here
from
the
administration.
A
I'm
gonna
go
into
a
brief
opening.
I'm
gonna
allow
everybody
a
brief
opening.
Then
I'm
gonna
go
beginning
with
the
administration
down,
so
chief
martinez
will
go
first
and
then
we'll
go
down
the
list
and
I,
if
folks,
can
hold
their
questions
until
the
entire
panel
has
presented,
I
think
that'll
probably
make
it
more
time
efficient.
So
let's
go
ahead
and
start
for
the
record.
A
My
name
is
ricardo
arroyo,
the
district
5
city
councilor,
I'm
also
the
chair
of
the
boston
city
council's
committee
on
public
health,
I'm
joined
by
my
colleagues,
councilor
flynn,
councillor
bach,
councillor
mejia
and
I
think
that's
it
for
right
now
we'll
be
joined
by
others
later.
The
public
hearing
is
being
recorded
and
live
streamed
at
boston.gov
city
council
tv
it'll
be
rebroadcast
at
xfinity,
channel,
8,
rcn,
channel
82
and
fios
channel
964..
A
We
will
take
public
testimony
at
the
end
of
the
hearing.
If
you
wish
to
testify.
Please
con,
please
email,
michelle
goldberg,
it's
michelle
a
goldberg
at
boston.gov
to
sign
up
when
you're
called
that's
gideon
he's
visiting
when
you
are
called.
Please
state
your
name
and
affiliation
your
residence
and
limit
your
comments.
No
more
than
two
minutes
to
ensure
that
all
comments
can
be
heard.
You
can
also
submit
written
testimony
by
emailing
ccchelp
boston.gov.
A
A
The
interim
executive
director
at
the
boston,
public
health
commission,
marty
martinez,
the
chief
office,
the
chief
of
the
office
of
health
and
human
services,
samuel
v,
scarpino
phd
assistant,
professor,
the
network
science
institute
at
northeastern
university
manny
lopes,
the
ceo
of
east
boston,
neighborhood
health
center
and
guadi
valdez,
the
ceo
of
the
matapan
neighborhood
community
health
center,
and
with
that
I'll
allow
for
brief
openings
in
order
of
appearance.
So
counselor
bach,
if
you
have
anything.
E
D
Thank
you.
Thank
you.
Council
arroyo,
it's
great
good
to
be
with
you
and
your
panelists,
and
I
just
want
to
highlight
chief
martinez
and
rita
davis
who've
done
an
excellent
job
during
the
most
difficult
period.
Maybe
in
boston's
history,
the
first
public
meeting
we
ever
had
on
covet
19
myself
in
in
reader
and
mari
mari
martinez,
organized
it.
D
One
thing
that
I'm
proud
to
work
with
chief
martinez
on
is
making
sure
that
our
immigrants
across
our
city
that
they're
part
of
this
this
discussion,
but
also
that
we
provide
the
services
that
they
they
desperately
need.
So
I
want
to
say
thank
you
to
you,
council
arroyo
and
to
the
the
panelists
and
mr
lopes
and
veldas,
and
I
see
oth
other
people
here
as
well.
I
just
want
to
highlight
the
tremendous
work.
You're
doing
boston
works
best
when
we
work
together.
D
G
Great
thank
you.
Thank
you,
councillor
arroyo
for
calling
this
hearing
as
we
approach
the
end
of
the
council
session,
it's
important
to
know
that
our
work
doesn't
stop
just
because
we
stop
meeting.
More
importantly,
this
virus
isn't
going
anywhere
just
because
our
council
sessions
end.
We
need
to
be
incredibly
active
and
engage
in
addressing
the
coronavirus.
G
We
knew
from
the
beginning
that
this
virus
will
disproportionately
impact
people
of
color,
low-income
individuals,
the
re,
the
retail
and
service
industry
and
immigrants
that
has
not
changed
and
we're
still
here
fighting
for
more
to
be
done
to
protect
them
medically,
financially
and
emotionally,
and
I'm
really
looking
forward
to
this
conversation
in
terms
of
how
we
move
forward,
and
I
thank
all
of
those
who
are
here
to
engage
in
the
dialogue.
Thank
you.
F
Thank
you,
council
arroyo
for
your
leadership
and,
of
course,
thank
you
to
all
of
the
panelists
for
being
here
and
it's
great
to
see
our
leaders
from
our
community-based
health
centers,
who
are
doing
incredible
work
every
single
day
on
the
ground.
I'm
often
saying
give
you
all
the
money,
so
thank
you
so
so
much
for
the
work
you're
doing
a
big
part
of
the
infrastructure
with
respect
to
this
pandemic,
and
this
is
such
a
timely
conversation
right.
F
We
already
knew
from
the
beginning
that
this
virus
was
going
to
disproportionately
affect
low-income
residents,
communities
of
color
and
residents
of
color
and
have
a
devastating
impact
not
only
on
their
health
but
on
their
economics,
their
mental
health.
You
name
it
and
we're
seeing,
of
course,
a
surge
come
back
in
boston
and
in
the
commonwealth,
of
course,
communities
of
color
have,
I
think,
had
that
surge
in
many
way
in
many
respects
since
the
very
beginning.
F
But
I
think
the
conversation
is
quite
timely
to
figure
out
what
strategies
can
be
to
respond
and
couple
that,
of
course,
with
the
conversations
around
the
vaccine.
Many
folks,
of
course,
nervous
looking
forward
to
to
continue
those
conversations
in
partnership
with
council
arroyo
and
his
committee,
but
I
think
there
are
many
who
think.
F
Oh
the
vaccine's
here
this
is
going
to
solve
everything,
but
even
with
the
phased
approach,
and
that
the
state
has
just
released
it's
going
to
take
some
time
before
the
general
public
gets
to
see,
see
that
vaccine
or
use
it
or
have
it
apply.
So
much
work
to
do.
Thank
you
so
much
council
royal
for
your
leadership
and
really
proud
to
have
you
as
a
partner,
particularly
on
the
ground,
in
matapan,
on
on
with
respect
to
our
district.
So
thank
you
and
thank
you,
chief
martinez
and
rita
for
your
leadership
as
well.
A
Thank
you,
councillor
campbell
and
so
just
briefly,
the
center
of
the
conversation.
It's
an
order
for
a
hearing
to
discuss
cloven
19
rates
by
neighborhoods
and
strategies
to
reduce
transmissions,
which
is
very
broad,
but
specifically
in
terms
of
what
I
would
like
the
focus
here
to
be
today.
Councillor
campbell
has
already
filed
a
hearing
order
for
the
vaccine,
conversation
which
we
will
have
certainly-
and
I
thank
her
for
her
leadership
there.
A
So
this
isn't
a
vaccine-centered
hearing,
and
I
think
you
know
a
couple
things
that
I
expect
chief
martinez
will
bring
folks
up
to
date
on
in
terms
of
sort
of
the
rollbacks
we've
seen
already
and
what
rollbacks
might
be
in
order
coming
up.
I
think
another
thing
that
I'd
like
to
sort
of
make
sure
we
have
a
conversation
about
is
we
knew
that
a
surge
was
coming
post
thanksgiving?
A
We
know
that
the
numbers
of
folks
who
are
covet
positive
are
higher
than
they
were
in
peaks
in
april
and
may,
and
so
having
sort
of
a
conversation
of
how
our
hospitals
and
community
centers
are
handling
that
as
well
as
what
the
plan
for
testing
is
I'll.
Give
you
a
brief
example:
we've
been
in
talks
for
a
very
long
time
to
get
a
testing
center
in
high
park,
which
is
a
neighborhood
that
I
represent.
A
We
got
that
thankfully
online
I
believe
yesterday
and
it's
already
booked,
I
mean
you
can't
find
an
appointment.
It
was
already
booked
solid,
probably
within
30
minutes
of
it
being
live,
and
so
the
demand
for
testing
is
very
high,
and
so
I'd
like
to
have
those
conversations
and
so
without
any
further
ado
on
this,
because
I
think
we're
heading
into
a
christmas
surge
again.
A
So
if
you're
not
both
going
to
speak,
it's
okay,
if
one
of
you
speaks
but
I'd
like
you
both
to
introduce
yourselves
manny
lopes
and
guadalajara,
followed
by
sam
scarpino,
and
I
know
that
chief
martinez
has
a
time
deadline
so,
depending
on
when
he
finishes
his
presentation,
we
may
go
directly
into
any
questions
for
chief
martinez
so
that
we
can
release
him.
So
thank
you,
everybody
and
if
you
can
go
ahead
and
take
point
now,
chief
martinez.
H
Sure
so,
thank
you,
counselor.
Thank
you.
Casa
royal,
counselor,
bach,
counselor
campbell
concert
flynn
concert
mejia,
thank
all
of
you
for
for
not
only
being
here,
but
for
giving
us
an
opportunity
a
little
bit
to
talk
about
what
we're
seeing
what
we're
doing
and
the
effort.
That's
there
pleased
to
be
joined
by
the
panel
today,
especially
manning
guay,
our
community
two
of
our
community
health
center
leaders,
whose
teams
are
working
day
and
night
to
respond
to
covid.
H
A
A
H
Worries
as
as
we
start
to
share,
I
can
sort
of
jump
in
if
that
works.
So
you
know,
there's
no
question
that
we
have
the
city
of
boston
and
our,
and
our
residents
in
particular
have
worked.
You
know
as
one
community
to
try
to
definitely
reduce,
hopefully,
what's
a
once-in-a-lifetime
pandemic
that
we've
ex
that
we're
experiencing
and
what
we
want
to
be
able
to
do
and
and
sort
of
acknowledge,
acknowledges
all
the
work
that's
gone
in
by
their
community-based
organizations.
H
It's
only
almost
been
a
year
that
we've
been
actually
engaged
and
where
we're
continuing
to
go
down
through
this
work,
so
I'm
gonna
show
you
the
slides.
If
you
go
up
a
little
bit
more
to
the
second
slide,
not
exactly
sure
how
these
slides
are
working
here,
but
that
second
slide.
That's
there
you'll
see
we
have
33
000,
confirmed
cases
here
in
the
city
of
austin,
as
of
yesterday,
25
1
715
folks
have
recovered.
H
You
know
impact
of
covid
having
had
a
loved
one
pass
along
in
terms
of
the
data
that
you
see
there
in
terms
of
our
race
and
ethnicity.
We
have
race
and
ethnicity
data
for
about
87
of
our
cases,
and
what
you
see
that
breakout
is
that
you
see,
32
percent
of
all
cases
in
boston
are
latino
and
hispanic.
H
In
the
spring
we
saw
black
african-american
race
be
much
higher
than
any
other
community
and
then
coming
into
the
summer
and
fall
the
latino
community
surpassed
the
black
african-american
community
in
terms
of
the
community
that
was
most
impacted
by
covid,
both
by
a
percentage
of
population
and
overall
percentage
of
those
who
had
tested
positive
in
the
community.
Next
slide
show
you
a
little
bit
to
continue.
This
is
on
resident
testing,
and
I
hope
these
can.
Everyone
can
see
these,
but
on
the
resident
testing
piece
you'll
see
that
what
this
breakdown
it's
really
important.
H
We
create
testing
access
so
as
we're
trying
to
create
testing
access.
This
gives
you
a
sense
of
through
earlier
about
two
weeks
ago,
of
the
total
number
of
people
who've
been
tested
by
race
and
ethnicity,
and
so,
although
the
largest
bucket
of
continuous
testing
is
in
the
white
community,
singular
in
communities
of
color,
latino,
african-american,
asian
and
other
who
are
folks
who
do
not
identify
in
these
racial
buckets,
that
continues
to
be
that
we're
testing
more
folks
that
are
not
in
the
white
community
that
are
in
the
white
community.
H
We
have
a
large
bucket
of
missing
or
unknown
category
as
when
this
data
comes
in
and
that
data
when
it
gets
when
it
gets
categorized
based
on
case
investigations
or
additional
information
at
a
very
high
number,
falls
into
a
community
of
color
category.
So
we
continue
to
see
the
percentage
of
testing
that's
happening
and
have
and
continue
to
monitor,
to
ensure
that
we're
creating
access
across
our
neighborhoods
and
across
our
populations
next
slide.
H
So
when
we
think
about
looking
at
the
data,
one
thing
that's
been
central
to
our
response
from
the
plus
and
public
health,
commission
and
health
and
human
services,
and
the
administration
is
to
look
at
the
equity
lens
and
to
make
sure
we're
understanding
how
this
has
impacted
our
black
and
brown
communities,
and
so
in
terms
of
cases
and
deaths
by
race
and
ethnicity.
As
of
december
9th,
you
see
the
breakdown.
The
orange
is
the
percentage
of
cases
that
are
within
the
population.
H
We
continue
to
see
the
largest
group
7,
300
cases
have
been
between
in
the
age
of
20
to
29
years
of
age,
and
we've
seen
that
increase
quite
a
bit
over
the
fall.
A
couple
things
I
want
to
share
with
you
on
on
this
data
set
as
you'll
see
that
older
age
had
been
less
cases
in
the
60
to
69
and
up,
but
that's
where
the
severity
of
cases
have
tended
to
fall.
Those
being
that
covet
has
disproportionately
impacted
older
bostonians
as
well.
Just
to
give
you
some
sense
of
this.
H
In
addition,
when
we
look
at
the
percentage
of
cases
in
the
last
two
weeks
in
terms
of
race
and
ethnicity,
we
see
that
28
percent
have
been
latinx,
21
have
been
black
and
37
of
those
cases
have
been
white
in
the
last
two
weeks.
So
the
reason
I
share
that
with
you
is
that
not
only
do
we
look
at
this
data
across
the
entire
span
of
kovid,
but
we're
also
looking
at
this
data
within
a
small
time
frame
two
four
weeks,
so
we
can
sort
of
see
what
we're
seeing
in
our
neighborhoods
as
well.
H
So
we
can
understand
the
impact
next
slide,
so
the
increased
covet
activity
has
spread.
We
see
this
our
current
daily
7
day
average
is
438
cases
as
of
december
6th.
This
average
has
been
a
steady
increase
over
the
last
several
months
and
it's
really
is
is
higher
than
it
even
had
been
in
april.
When
we
had
a
peak
of
about
330
cases
for
several
days,
this
increase
has
been
sort
of
gone
up
into
this
area
after
thanksgiving.
H
Our
current
positive
test
rate
is
7.2
percent
as
of
december
6.,
and
in
that
rate,
gives
you
a
sense
of
kind
of
context
that
in
june
we
were
hovering
around
two
three
percent
of
times.
So
we've
continued
to
see
that
rate
increase
it's
well
below
our
peak,
but
again
we're
kind
of
comparing
different
things.
Our
peak
people
were
mostly
just
getting
tested.
H
H
H
H
H
Rate
and
unfortunately,
over
the
past
couple
weeks,
we've
continued
to
see
an
increase
in
our
positive
rate.
You'll
see
here
that
every
neighborhood,
with
the
exception
of
the
two
zip
codes
and
fenway,
did
see
an
increase
in
our
positive
test
rate.
We
also
did
see
for
the
most
part,
almost
every
neighborhood
see
an
increase
in
the
number
of
people
getting
tested
and
the
number
of
tests
performed
from
the
prior
week
to
the
current
week
and
that's
also
an
important
indicators.
H
We
really
want
to
make
sure
people
are
getting
access
to
testing,
but
we
also
see
the
current
positive
rate
and
continue
to
see
the
neighborhoods
that
that
are
most
impacted.
Dorchester.
All
four
zip
codes,
east
boston
and
hyde
park
have
continuously
been
neighborhoods
that
have
been
over
the
city-wide
average,
which
is
why
we
have
tried
to
increase
testing
access,
while
we've
tried
to
increase
community
mobilization
efforts
and
why
we've
tried
to
make
sure
to
partner
with
our
community
health
centers
to
increase
access
across
the
board.
H
Although
other
neighborhoods,
like
roxbury,
roslindale
and
matapan,
have
had
higher
than
citywide
rates,
it
has
gone
above
and
under
the
city-wide
average.
So
what
we've
tried
to
do
is
really
focus
on
those
neighborhoods
that
have
the
high
higher
positivity
rates
and
lower
testing
rates,
so
that
we
can
continue
to
respond
and
increase
access
to
resources
across
the
board
and
do
our
very
best
to
make
sure
that
those
opportunities
are
there.
H
But
this
data
shows
you
that
there's
those
increases
in
rates
in
these
neighborhoods,
which
just
about
six
weeks
ago,
were
not
in
in
the
same
area
next
slide
so
and
the
last
two
pieces
I'm
going
to
cover
before
I
pass
it
to
rita,
has
to
do
with
increased
covet
spread.
So
when
we
see
the
increased
rates,
what
we
need
to
do
is
understand
what
we're
seeing
in
our
hospitals
and
that's
the
big
difference
between
where
we
were
in
the
spring,
in
terms
of
numbers
and
where
we
are
today.
H
Although
we've
seen
increased
activity
in
the
boston
emergency
departments
and
although
we've
seen
increased
activity
in
hospitalization
and
in
our
icu,
we're
not
at
the
same
level
of
severity
in
our
hospitals
that
we
were
in
the
spring,
we
currently
have
about
three
hundred
and
twenty
coveted
positive
patients
in
our
boston
hospitals.
In
the
peak
in
the
spring,
we
were
about
1600
patients
in
our
boston
hospitals,
so
we're
not
at
the
same
level
of
severity.
The
climb
also
was
very
quick
in
the
spring
and
we've
seen
a
bit.
H
We've
seen
a
slow
increase
here,
so
our
hospitals
have
been
clear
that
they
feel
prepared
to
take
care
of
those
most
severely
impacted.
But
there's
no
question
that
we're
seeing
more
activity
we're
seeing
hospitals
be
challenged
by
increased
hospital
admissions
staffing
challenges
with
people
working
in
hospitals,
testing,
positive
and
generally
trying
to
make
sure
they
can
take
care
of
folks.
But
we
are
in
constant
conversation
and
contact
with
the
hospitals
which
rita
will
mention,
but
that
is
an
increase
that
we
continue
to
see.
H
And
last
but
not
least,
I
want
to
mention
that
the
other
activity
piece
continues
is
that
rates
in
communities
of
color
have
been
disproportionate
and,
as
I
think
it
was
concerning,
I
may
have
mentioned.
This
has
been
the
case
throughout
kovid
that
this
that
black
and
brown
bostonians
have
been
disproportionately
impacted,
and
that
has
continued.
H
The
shifts
in
the
numbers
may
have
occurred
since
the
beginning,
but
that
has
been
a
disproportionate
impact,
which
is
why
we
even
continue
to
work
with
our
community-based
organizations
to
be
able
to
do
community
mobilization,
testing
access
and
partner
with
our
health
centers,
who
predominantly
serve
our
communities
of
color
across
the
city
of
austin.
So
I
want
to
briefly
pass
this
to
rita.
Nieves
rita
is
going
to
walk
through.
I
cover
these
metrics,
so
we're
going
to
go
to
the
I'll.
Show
you
the
next
slide.
H
This
slide
read
is
going
to
cover
what
the
response
has
looked
like,
and
I
know
we
have
a
lot
of
slides
here.
So
I
think
rita
is
going
to
give
a
quick
overview.
So
we
can
make
time
for
questions
or
passed
to
the
other
participants,
but
rita
is
going
to
cover
some
of
the
strategies
that
we
are
engaged
in
and
focused
on
as
we
respond
to
cobit,
rita.
J
J
You
know
regarding
our
response
to
the
pandemic,
so
this
slide
that
you
have
in
front
of
you.
It's
just
you
know
an
image
that
we
put
together
to
show
how
you
know
there
are
so
many
components
to
the
response
that
we've
been
having
to
the
pandemic
since
february
and
and
I'm
just
going
to
highlight
how
we
have
enhanced
our
response.
J
You
know
and
the
strategies
will
be
implemented
in
the
next
60
days.
So
you
know,
as
you
can
imagine,
testing
access
to
testing
has
been
a
key
strategy
that
we've
have
to
implement,
and
we've
been
at
this
for
many
many
many
months
informing.
You
know
ourselves,
you
know
our
partners
and
our
residents
and
city
government
around
data
and
improving
our
ability
to
collect
and
capture
the
data,
that's
needed
for
us
to
make
informed
decisions
and
to
keep
everybody
informed
on
how
the
pandemic
is
evolving.
J
J
J
So
you
know
we
we
have
established
and
it's
quite
you
know.
I
have
been
documented
that
kobe
19
has
had
an
inequitable
impact
on
specific
populations.
Chief
martinez
covered
the
data
around
people
of
color,
and
you
know,
latinx
community
continues
to
see
higher
rates
of
infection
than
any
other
group.
J
You
all
know
that
our
older
bostonians,
you
know,
were
heavily
impacted
by
by
the
panemic,
and
we
continue
to
work
very
closely
with
the
long-term
care
facilities
checking
with
them
every
every
week
and
really
monitoring
any
rights
on
cases
and
supporting
them
with
ppe,
with
training
with
consultation
and
anything.
They
need
just
to
make
sure
that
we
don't
experience
the
same
issues
we
experienced
back
in
like
in
the
spring,
and
you
know
our
on
shelter
bostonians.
J
You
know
who,
as
you
know,
are
very
vulnerable
and
have
no
place
to
isolate
or
quarantine.
It's
a
group
that
we
have
done
an
enormous
amount
of
work
with
our
partners
to
establish
surveillance
testing
to
de-densify
the
shelters,
so
we
didn't
have
so
much
crowding
and
mitigate
any
transmission,
so
we're
very
happy
with
what
what's
happening
in
our
shelters
and
our
ability
to
to
really
keep
things
under
control.
J
J
J
They
were
able
to
also
support
our
work
going
to
bha
housing
and
really
going
into
facilities
that
that
we
had
high
density
of
folks
and
low
numbers
of
testing.
So
you
know
the
role
that
the
health
centers
have
played.
You
know
it's
been,
you
know
incredibly
significant
and
important
in
helping
us
really
get.
You
know,
increase
access
to
testing
in
many
many
aspects
of
our
of
our
society.
J
We
also
then
work
at
coming
up
with
mobile
testing
units
and
east
boston
health
center.
You
know
right
now,
harbor
street
whittier
street.
We
have
another
vendor
that
it
is
doing
mobile
testing
unit
for
us
in
jamaica,
plain
and
using
the
mobile
test
unit
model
we've
been
able
to
move
around
the
city
and
following
the
data-
and
you
know
going
to
those
neighborhoods
that
were
spiking
and
showing
you
know
very
high
positivity
rates.
J
We
were
able
to
quickly
go
into
those
neighborhoods
with
the
mobile
testing
units
and
be
able
to
increase
access
very
quickly.
So
we
we're
doing
that
right
now.
We'll
continue
to
do
that
and
continue
to
find
opportunities.
Look
for
opportunities
to
increase
our
ability
to
move
services
like
that
through
mobile
units,
and
and
lastly,
you
know
we
also
with
the
health
centers.
You
know
we
have
contracted
with
a
number
of
them
to
help
us
support
testing
for
bps
students
and
staff.
J
You
know
once
you
know,
hopefully
in
not
so
far
future
when
we
begin
to
roll
roll
out
reopening
of
in
person
for
regular.
You
know,
students
will
be
able
to
count
on
some
of
the
health
centers
that
will
fast-track
either
staff
or
students
who
may
need
additional
support
around
testing
or,
for
you
know,
any
special
situations
where
we
have
a
cluster,
for
example,
and
the
health
centers.
There
are
a
number
of
health
centers
that
are
already
lined
up
to
play.
That
role
next.
J
We
also
have
been
you
know
for
a
while.
We
had
a
a
lot
of
testing
capacity
in
many
of
our
neighborhoods
and
it
it
coincided
with
you
know
the
weather
still
being
warm
and
people.
You
know
have
another
interest,
you
know
enjoying
the
outdoors
and
and
not
worrying
so
much
about
covet.
So
we
got
to
a
point
where
we
had.
J
You
know
our
ability
to
get
people
tested
when
they
want,
and
you
know
you
know,
we've
also
worked
to
ensure
that
our
frontline
and
essential
workers
continue
to
have
access
to
to
testing
we're
doing
that
with
you
know,
first
responders
and
our
employees,
you
know
who
work
in
recovery
in
our
shelters
and
and
also
we've
continued
to
do
surveillance
testing
in
our
shelters
to
again
make
sure
that
we
monitor.
You
know
how
how
the
virus
is
spreading
and
and
catch
any
any
spikes.
H
I
sorry
rita
sorry,
council
royale,
I
just
wanted
to
step
in
so
we
have
six
or
seven
more
slides,
there's
a
bunch
around
response
that
we
wanted
to
be
able
to
share
with
the
council.
So
I'm
just
I
wanted
to
check
with
you
concert
to
see
how,
if
you
wanted,
read
it
and
finish
and
continue,
there's
a
lot
more
richness,
but
I
just
unconscious
of
the
time
so
you're
perfect.
A
A
A
Braden
and
councillor
o'malley,
I
think
it
makes
sense
to
go
in
order
of
a
rival
and
I
and
counselor
savvy
george
as
well
sorry
about
that
they've
been
here
by
the
way
for
the
majority
of
the
presentation.
I
just
didn't
want
to
interrupt,
and
so
I
think
it
makes
sense
to
go
in
order
of
arrival
with
questions
specifically
for
chief
martinez,
because
I
know
he
has.
E
You
know
it's
something
that
we've
talked
about
frankly
since
the
spring,
and
I
saw
on
your
slide
a
reference
to
sort
of
a
chelsea
everett
option.
I
haven't
heard
a
lot
about
what
the
opportunities
are
for.
Someone
who
lives
in
really
dense
housing
and
finds
out
that
they're
covered
positive
and
is
worried
about
maybe
infecting
a
vulnerable
loved
one,
and
I
just
I
was
wondering
if
you
could
speak
specifically
to
that
issue,
because
it's
something
that
I've
been
hoping.
We
would
devote
more
resources
to.
In
general.
H
E
H
Thanks
conserva,
so
as
as
the
cons
as
you
referenced,
as
you
know,
we
lifted
up
a
variety
of
locations
in
the
spring
for
our
unhoused
population
to
have
access.
I
think
four
different
locations
to
both
densify
our
shelters
and
create
isolation
and
quarantine
space
for
folks
within
the
homeless
community,
and
so
that
was
central
to
really
controlling
the
spread
of
kovid
in
the
community
in
the
in
the
homeless
population,
and
I
think
that's
been
important,
and
so
a
lot
of
work
went
into
that
effort
to
make
that
happen.
H
That
is
also
accessible
to
folks
who
are
not
just
unsheltered,
but
there's
also
the
ability
for
folks
to
be
able
to
use
that
if
they
test
positive
to
either
a
health
center
or
a
hospital
to
be
able
to
utilize
that
resource.
I
will.
I
will
suggest
that
it's
not
about
the
availability
of
the
resource
but
but
about
the
usage.
H
I
think
that
there's
no
question-
and
I
think,
east
boston,
neighborhood
health
center
found
this
out
so
did
the
state
that,
although
some
of
those
sources
are
available,
it's
much
more,
it's
much
more
difficult
to
ask
somebody
to
leave
their
family
and
their
home
to
go.
Isolate
at
a
hotel
for
14
days
when
many
people
have
other
responsibilities
and
other
things
that
they
just
cannot
go.
H
So
we
do
have
isolation
space
today,
health
centers
have
the
ability
to
refer,
and
we've
done
that
in
partnership
with
the
state
in
our
homeless
population,
we
have
enough
beds
for
folks
to
be
able
to
both
isolate
and
quarantine
if
needed.
But
in
order
to
prevent
that
from
happening,
we've
really
increased
the
surveillance
testing
for
our
unsheltered
population,
so
we
could
avoid
any
kind
of
outbreak
like
we
saw
in
the
spring.
So
that's
really.
I
A
E
Just
just
since
we're
here,
like
you
know
and
folks,
may
be
watching
at
home.
If
somebody,
if
one
of
us
is
a
counselor,
knows
somebody
who
could
who
would
like
isolation,
housing
or
somebody
knows
somebody's
in
a
tough
living
situation
like
what's
the
actual
way
for
someone
to
pursue
and
raise
their
hand
and
say
hey,
I
would
really
love
to
take
advantage
of
that.
H
Yeah,
so
if
someone
wants
to
do
that,
these
referrals
have
to
be
referred
by
a
clinical
partner
because
the
person
has
to
we
need
to
be
able
to
verify
that
the
person's
tested
positive.
So
if
you
call
the
mayor's
health
line,
we
can
provide
the
information
we
call
the
mayor's
helpline.
Then
they
would
be
notified
that
the
person
would
be
notified,
that
they
need
to
get
a
clinical
partner
to
make
that
referral.
E
H
Thanks
for
that,
so
very
briefly,
I
I
think
you're
right
counselor
that
the
right
now
for
the
most
part,
although
the
states
lifted
up
more
contact
tracing
capacity,
as
has
bphc
the
contact
tracing,
is
try
to
chasing
that.
So
I
think
the
thing
to
keep
in
mind
around
where
people
are
getting
it
again,
you're
absolutely
correct.
It's
it's
very
difficult
to
say
a
person
got
it
here.
H
H
We
went
back
to
the
state
guidelines,
which
was
the
earlier
phase
right,
so
the
last
phase
that
we
just
put
into
place
phase
two
section,
two
of
that
it
had
a
a
set
of
things
that
it
closed
and
some
things
that
were
open
per
the
state
guidelines.
So
we
followed
that,
with
the
notion
being
very
clear
between
myself
and
ready
nevis
and
dr
lower
medical
director,
we
want
to
take
the
number
of
people
that
are
actively
engaged
in
non-essential
activities,
we're
trying
to
take
them
out
of
the
universe
in
some
way
right.
H
If
you
have
a
universe
of
people,
then
the
less
we
can
have
people
engaging
with
other
people
in
spaces.
We
would
like
to
be
able
to
do
that,
so
it
doesn't
mean
that
a
specific
industry
is
causing
the
spread
of
covid
in
particular.
What
it
does
mean
is
that
we
want
less
people
to
be
engaging
in
things
that
they
don't
need
to
engage
in
right
now,
within
the
context
of
what
the
state
guidelines
were
that
exist.
J
J
You
know
people
from
mission,
households
coming
together
and
you
know
movie,
theaters
and-
and
you
know,
gyms
and
places
like
that,
fit
that
criteria,
and
also
you
know
what
are
activities
that
are
put
you
at
higher
risk
when
you
think
about
going
into
a
restaurant,
you
know
you're
sitting
with
other
five
people,
you're
taking
your
mask
off
for
an
hour
and
a
half
and
you're
eating
and
you're
laughing.
You
know
and
and
lots
of
air
droplets
are
being
shared
in
that
space.
So
that's
why
restaurants?
J
You
know
in
bar
city,
for
example,
you
know
fit
that
criteria
too,
because
you
know
they
they
are
places
where
people
from
different
households,
households
are
coming
together
and
really
not
not
having
an
opportunity
to
wear
a
mask
100
of
the
time.
So
the
risk
for
transmission
is
way
higher
in
those
activities.
A
A
So
my
hope
is
that
we
ask
questions
in
this
first
round
that
other
people
have
I'm
already
scratching
off
questions
that
kenzie
had
so
that
we
can
sort
of
maximize
the
time
here
so
councilor
flynn,
councilor
mejia,
followed
by
councillor
campbell
and
this
just
for
folks
on
the
back
end
of
that.
So
they
know
councillor
braden,
councillor,
o'malley,
counselor,
nissa,
savvy
george
and
we've
been
joined
by
president
janie
and
then
I'll
I'll
finish
in
and
back
clean
up
and
then
we'll
send
you
off
on
your
way.
Thank
you.
D
D
What
will
the
message
be
to
hard
to
reach
residents,
whether
it's
in
bha,
whether
it's
immigrants,
whether
it's
seniors
in
in
working
with
language
access
office
of
immigrant
advancement,
bha,
the
public
schools?
What
are
you
thinking
about
in
terms
of
a
public
awareness,
education
campaign
for
hard-to-reach
residents,.
H
So
I'll
be
brief
because
they
know,
as
council
royale
mentioned,
there
is
a,
I
think,
we're
going
to
have
another
hearing
about
the
vaccine.
So
we
have
a
comprehensive
communication
plan
that
we're
developing
and
working
through
in
partnership
with
health,
centers
and
hospitals,
to
really
reach
those
folks
in
communities
of
color
in
hard
to
reach
populations,
to
encourage
them
to
not
only
get
the
information
that
they
need
to
make
the
good
the
best
decision
for
themselves
and
their
families,
but
to
encourage
getting
vaccinated.
So
we
have
a
whole
campaign.
H
We're
working
through
we'd
be
glad
to
share
more
with
you
all,
but
you're,
absolutely
right.
Counselor
flynn
there's
many
many
bostonians
who
do
not
plan
to
get
the
vaccine
and
if
they
do,
they
want
to
wait
a
year
and
we
unfortunately
need
a
very
high
rate
much
sooner
than
a
year
from
now
to
sort
of
get
the
benefits.
So
we're
working
through
that
and
glad
to
share
more
with
you,
as
we
have
the
next
hearing.
J
Part
of
the
planning
process
is
involving
focus
groups
with
community-based
organizations
and
residents,
so
we
don't
assume
what
the
issues
are
and
the
challenges
and
the
questions
people
have
but
really
inform.
You
know
that
campaign
with
what
people
are
saying
and
what
people
are
asking
about.
The
campaign.
G
A
G
J
Well,
just
answer
the
question
about
the
mask:
you
know:
students
and
staff
and
any
any
adults
in
in
the
schools
are
supposed
to
be
wearing
a
mask.
You
know
the
whole
time
that
they're
indoors
and
outdoors
as
well,
so
that's
a
that's
a
huge
difference
and
then
social
distancing
is
required
too.
So
in
in
restaurants.
You
know
you're
sitting
next
to
each
other.
You
know
like
you're
you're,
if
you're
eating
with
five
other
people
in
a
table
of
six
there's
no
social
distancing
happening
there.
G
Thank
you
and,
and
then
one
more
question
just
because
I
want
to
be
super
mindful
that
my
colleagues
also
I'm
just
curious.
You
know
there.
There
are
a
lot
of
folks
when
it
comes
to
neighborhoods,
with
large
numbers
of
college
students
who
are
attending
in-person
classes.
Covet
positive
rates
are
impacted
not
just
to
the
students
and
faculty
but
the
surrounding
community,
and
what
is
the
reasoning
to
keep
these
schools
open
and
is
the
city
advising
any
changes
to
the
higher
education
institute
institutions.
H
Yeah,
so
that's
a
great
question
customer
we,
as
you
know,
the
purview
of
colleges
and
universities
lives
with
the
state.
The
state
has
the
ability
to
allow
them
to
be
operating.
However,
we
have
requested
from
them
in
before
they
open.
We
requested
infection
control
plans
from
the
colleges
and
universities
to
help
us
know
how
many
students
they
were,
bringing
how
they
were
testing
them,
how
they
were
isolating
them
and
how
they
were
making
sure
to
not
only
test
students
and
staff,
but
also
other
essential
staff
that
are
serving
those
students.
H
We
have
had
another
meeting
with
the
colleges
at
universities
just
this
week,
where
we
ask
them
if
they
plan
to
try
to
do
anything
in
addition
to
what
they
were
already
doing,
that
they
need
to
provide
us
additional
information
on
those
infection.
Control
plans
we're
using
sort
of
every
leverage.
We
have
to
make
sure
that
they're
keeping
not
only
the
student,
safe
and
the
staff,
but
also
the
surrounding
neighborhoods.
So
we
don't
have
the
ability
to
say
you
can't
come
back.
H
They
fall
under
the
state
purview,
but
what
we
do
have
the
ability
to
do
is
get
that
information
for
them
push
them
to
test.
Even
more.
I
will
say
the
positive
rate's
been
very
low
in
the
testing
that
they've
done,
but
it's
a
good
point
that
we
need
to
continue
to
make
sure
we're
monitoring
and
staying
on
top
of
any
activity
that
they're
responsible
for.
G
A
Thank
you
councilman
one
thing
for
colleagues
who
do
still
have
questions
and
would
have
needed
a
second
or
third
round.
If
you
send
those
questions
to
me,
I
will
send
those
questions
to
the
administration
so
that
they
can
respond
to
those
questions
in
writing
and
then
I'll
distribute
it.
Counselor
campbell,
followed
by
councillor
o'malley,
followed
by
councilor
anisa
sabi
george,
followed
by
president
janey,
so
counselor
campbell.
K
Thank
you,
mr
chair,
and
thank
you
to
the
administration
and
chief
and
director
nieves
for
joining
us,
and
I
did
tune
in
a
few
minutes
late,
so
I
do
coming
in
from
another
commitment.
I
do
hope
that
you
can
share
that
presentation
with
us.
Did
you
go
over
at
all
any
of
the
testing
that's
happening
in
our
communities,
specific
to
our
schools
that
have
been
reopening?
H
We
did
not
it's
not
included
in
that
data
we
can
share.
If
we
can
share
that
information
in
terms
of
what's
happening.
I
will
tell
you
this
week.
We
are
starting
a
bps
pilot
this
week,
a
pilot
that
will
be
testing
at
four
at
15.
Different
schools
we'll
be
testing
all
all
ninth
through
twelfth
graders
at
that
school
and
all
staff
at
that
school,
and
then
we
also
offered
teachers
and
staff
at
other
schools
that
were
opening
the
other
18.
H
They
were
all
invited
to
be
tested
either
today
at
one
of
four
sites,
or
they
were
offered
to
attend
our
community
site
in
jamaica
plain.
So
we
are
trying
to
make
testing
accessible
through
that
pilot,
but
we
can
share
the
current
numbers
of
infections
overall
and
can
share
that
with
the
council.
Afterwards,.
H
Yes,
what
I
can
tell
you
is
right
now
that
those
restrictions
are
across
the
board
for
the
next
three
weeks
and
we're
not,
with
that
exception
of
restaurants,
being
able
to
file
an
additional
piece
of
information.
There's
not
there's
no
other
way
to
get
an
exemption.
On
that
front,
I
mean
what
we're
really
trying
to
do
again
is
make
some
tough
choices
here
about
what
we
have
open
and
what
we
don't
in
an
effort
also,
as
we
bring
back
students
to
try
to
balance
that
out,
so
that
won't
be
available
for
those
gyms.
K
L
I
did
join
late,
so
I
don't
want
to
take
everyone's
time
here,
perhaps
asking
questions
that
have
been
already
asked,
but
I'm
deeply
concerned
just
that
the
numbers
when
we're
looking
at
the
black
community,
the
latinx
community
in
particular
that
we
continue
to
see
the
disproportionate
impact
in
terms
of
cases
and
then
how
are
we
taking
that
information
really
to
inform
our
thinking?
Not
only
for
you
know,
test
access,
which
I
think
we're
doing.
L
You
know
good
at
now.
Certainly
that's
been
my
personal
experience
as
well
as
the
experience
I'm
hearing
from
constituents
so
again
grateful
for
that.
But
how
will
we
use
this
to
inform
our
thinking
in
terms
of
vaccine
and
I
know
we're
ways
off
in
terms
of
how
the
general
public
will
get
access
to
it?
L
But
I
think
now
is
the
time
to
plan
and
that
it's
important
to
use
the
information
that
we
have
before
us
to
inform
that
thinking
and
if
you've
discussed
that
already
again
happy
to
view
the
tape
and
move
on
to
the
next
panel.
That
will
be
it
for
me
because
again,
I
know
we're
mindful
of
time
and
we've
got
a
big
meeting
tomorrow
as
well
as
this
important
hearing.
Thank
you
again,
mr
chair,
and
thank
you
to
this
panel.
H
So
I
guess
the
only
thing
I
would
say
to
that:
counselor
janie,
president
janey,
is
that
you're
absolutely
right
I
mean
we've
seen
the
disproportionate
impact
and
the
inequity
that's
existed,
and
so
all
along
the
way,
the
commission
in
hhs
and
administration.
You
know
we're
we're
looking
at
what
are
what
have
we
learned?
What
are
we
seeing
and
how
do
we
update?
How
do
we
respond
and
how
do
we
evolve
our
strategies
and
our
efforts
so
very
first
specifically
how
it
connects
to
prevention
in
the
vaccine?
H
We've
learned
some
of
that
messaging
into
the
summer
and
have
used
that,
as
we
sort
of
seen
this
uptick
in
the
surge,
especially
as
we
message
around
holiday
gatherings
and
gatherings
as
it
gets
colder
in
people's
homes.
So
we're
going
to
directly
tie
that
to
the
vaccine
work,
but
there's
no
question.
We
have
to
not
only
see
what
we're
seeing
and
understand
the
data
and
dissect
it,
but
we
also
have
to
respond
to
it
on
the
ground
and
shift
strategies
which
we've
had
to
do
along
the
way.
I.
L
Agree
and-
and
I
would
say
that,
there's
an
added
challenge,
particularly
in
communities
of
color,
specifically
the
black
community
when
it
comes
to
vaccines
in
terms
of
overcoming
the
mistrust
that
is
out
there
when
it
comes
to
government
institutions,
medical
institutions
etc
based
on
the
history.
So
I'm
interested
in
continuing
this
conversation,
and
I
believe
we
can
do
that
not
only
with
the
next
panel,
but
with
the
next
hearing
when
we
do
get
to
talk
about
the
vaccine.
More
specifically,
thank
you
again
for
the
opportunity,
mr
chair
can.
J
J
So
I
think
what
we
have
to
do
is
really
make
sure
that
we
connect
and
partner
with
the
health
centers,
especially
in
other
pcps,
very
early
on
on
on
how
to
combine
forces
and
really
integrate
our
messaging.
So
we
can
really
get.
You
know.
Good
information
out
there
and
and
start
building
trust
and
really
teaming
up
with
the
people
who
are
gonna,
be
asked
by
folks.
You
know,
should
I
take
this
or
not,
so
that's
that's
something
we
have
to
do
slightly
different
in
this
phase
of
the
pandemic.
A
Thank
you,
and
so
I'm
gonna
ask
my
questions
now.
I've
condensed
them
largely
so
they're,
really
in
three
buckets,
and
so
I'm
probably
gonna
ask
one
for
each
bucket.
Specifically
when
we
talk
about
neighborhood
testing,
I
know
one
of
the
things
that
I've
gotten
back
a
lot
is
that
these
sort
of
hit
and
run
you
have
like
a
week
or
two
weeks
here
you
have.
The
mobile
testing
spots
have
been
confusing
for
residents
because
they're
not
permanent,
there's,
no,
there's
no
ability
to
make
you
know.
A
Oh,
I
can
go
back
to
that
place
now
again.
What
are
we
doing
to
ensure
that
there's
permanent
testing
in
each
neighborhood
in
high
park?
Specifically
this
has
been
an
issue.
What
are
we
doing
to
ensure
permanent
testing
sites,
especially
in
the
winter,
for
every
neighborhood
in
the
city?
What
are
we
doing
to
do
that
so.
H
I
I
appreciate
the
question
consortium
I
mean.
I
think
the
focus
for
us
on
testing
has
been
to
build
on
the
current
infrastructure
and
you're,
going
to
hear
from
two
folks.
Who've
been
testing
since
the
beginning,
as
early
on
as
they
could
from
manny
and
gwale
you're
going
to
hear
the
current
infrastructure
has
been
our
focus.
How
do
we
build
on
community
health
center's
capacity
to
test?
H
Then
we
set
up
three
two
now
three
mobile
testing
operations
to
be
able
to
not
only
create
some
access
in
some
neighborhoods,
but
also
to
be
able
to
create
access,
even
if
there
is
a
community
health
center
in
a
neighborhood.
Sometimes
it's
not
accessible
to
everyone
in
that
neighborhood
and
so
to
create
another
access
point
in
those
places
and
we've
prioritized
places
where
there's
been
low,
testing
access
and
a
higher
positivity
rate,
and
so
we've
tried
to
make
sure
that
we
can
do
that.
H
The
point
that
you
raise
about
the
mobile
testing-
that's
an
excellent
point.
There
isn't
we
do
not
have
either
the
infrastructure
or
the
financial
resources
to
put
multiple
testing
sites
in
one
neighborhood.
We
don't
have
the
ability
to
do
that,
and
so
what
we've
tried
to
do
is
to
be
able
to
bring
testing
to
neighborhoods
and
to
bring
testing
locations
in
that
mobile
capacity.
H
So
we've
tried
to
be
able
to
piece
together
the
testing
apparatus
to
do
that,
and
also
to
be
able
to
make
sure
that
we
can
have
access
as
across
the
board,
as
we
can
and
make
things
accessible
that
we
might
normally
not
have
done
like
the
cvs
testing.
That's
that's
happening
across
the
city
that
we
normally
would
not
have
promoted
or
advocated
with,
but
that
was
another
resource
that
was
necessary,
so
we're
working
right
now.
H
A
Thank
you
and
it's
important
to
note
that
federal
lapse,
and
so
one
other
piece
related
to
this
in
terms
of
equity.
You
know
I've
heard
from
multiple
people
about
issues
with
transportation
to
testing
centers.
They
don't
have
their
own
vehicles.
Is
the
city
doing
anything,
especially
in
the
winter
months.
Folks
aren't
should
not
be
walking
miles
to
a
testing
center
in
snow
or
ice
or
or
any
of
these
kind
of
conditions.
H
So
that's
a
great
question:
we
have
not
explored
a
testing
partnership.
I
don't
know
if
either
of
the
health
center
eds
that
are
on
or
doing
any
of
that
locally,
it's
something
we
can
look
into,
but
we've
not
explored
transportation
tied
to
testing.
We
have
not
done
that.
One
of
the
reasons
to
keep
in
mind
is
that
it's
very
difficult
and
we
don't
want
to
promote
people
riding
together
in
vehicles
or
people
going
together
in
groups.
So
the
transportation
thing
is
a
challenge,
but
it's
something
we
can
definitely
look
into
we've.
A
I
have
received
several
constituent
calls
about
this,
where
they've
been
told
they
have
to
provide
their
own
transportation,
but
they
don't
have
vehicles
and
the
nearest
testing
center
is
like
four
or
five
miles
away
yeah.
So
it
is
something
that
has
come
up,
including
during
this
hearing.
I've
gotten
an
email
about
it
and
so
another
issue
in
terms
of
the
colleges
they
obviously
have
their
own
testing
systems
set
up
in
their
own
sort
of
streamlined
process
for
results.
H
Great
question
concert:
we
have
worked
with
them
to
ensure
that
they
are
not
just
testing
students
and
professors,
but
that
they
were
also
testing
essential
workers
that
we
know
are
on
their
campuses
and
many
times
living
in
their
neighborhoods,
and
so
we've
partnered
with
them
to
do
that.
We've
also
encouraged
them
to
test
more
of
their
students
right
because
not
all
students
on
campus
are
being
tested
the
entire
time.
H
There
are
many
students
who
are
living
off
campus
or
who
are
remote,
so
we've
also
encouraged
them
to
expand
what
that
definition
is,
is
who's
getting
tested,
and
then
we've
partnered
with
health
centers
to
help
us
are
not
health
centers.
I'm
sorry
with
the
colleges
and
universities
to
explore
lab
usage.
Some
of
them
have
additional
space
in
their
labs
to
be
able
to
partner
with
the
health
center
to
test
more
and
and
to
be
able
to
do
that.
H
As
you
know,
one
of
our
challenges
has
been
lab
turnaround
time
for
results,
and
so
we've
we've
we've
looked
at
that
as
well.
So
the
colleges
and
universities
they're,
you
know
they're.
They
we
are,
I'm
going
to
just
be
clear
when
they
before
they
were
coming
in.
I
think
doomsday
was
what
you
read
on
every
website
and
twitter
and
on
the
paper
we
haven't
seen
that
in
the
colleges
and
universities
in
their
work.
A
J
We
you
know,
actually
we
use
all
of
the
metrics
we
use
to
make
decisions
about
policy
or
any
decisions
we
need
to
make
about
the
the
city,
because
you
know
the
when
we
think
about
saying
it's:
okay
to
open
a
school
or
schools.
We
need
to
look
at
the
context
and
the
context
is
the
city.
So
we
look
at
what
is
it
that
our
metrics
are
telling
us
as
to
how
fast
in
the
magnitude
of
the
spread
of
the
virus
in
the
community
and
then
the
other
metrics?
J
That
tells
us
what
is
our
health
care
system
capacity
to
treat
people
who
are
getting
sick?
So
if,
if
we
it's
a
combination
of
all
those
metrics
that
we
look
at,
should
they
come
up
with
you
know
a
recommendation
or
or
saying
you
know,
given
the
context
it's
okay
and
given
the
you
know,
whatever
strategies
improve
and
measures
and
safety
measures
that
bbs
have
put
into
place
in
those
schools,
given
all
those
things
is
that
we
then
make
recommendations
based
on
that.
J
You
know
how
many
people
are
being
tested,
how
many
people
are
showing
up
in
in
emergency
departments,
with
covet-like
symptoms,
how
many
icu
beds
are
being
utilized
and
how
many
beds
the
hospitals
that
are
non-surge
beds
are
being
used
because
it
tells
us,
you
know,
are
the
hospitals
getting
overwhelmed
overwhelmed
and
if
they
are,
you
know
that
that
spells
trouble
for
everybody.
So.
A
So
within
that
I
have
a
second
question
to
the
second
part
of
that
which
is
you
said,
sort
of
the
conditions
or
the
precautions
put
in
place
by
bps
every
school
building
in
dps
is
a
little
bit
different
from
another
right.
The
reality
is
we
have
some
school
buildings
that
likely
have
as
modern
as
you
can
get
in
terms
of
their
hvac
and
everything
else.
That's
going
on.
We
have
other
schools
that
haven't
been.
I
A
Since
they
were
built
in
like
the
60s
right,
so
the
the
question
I
have
for
the
bphc
is
when
you're
making
a
question
on
opening
what
I've
had
an
issue
with.
Is
it
sort
of
a
blanket
open
or
close?
You
get
yes
or
no.
It's
similar
to
our
budget
right,
but
my
my
concern
with
that
is
not
every
school
in
bps
has
the
same
functionality
as
another
school,
and
so,
whereas
you
might
make
a
decision
that
this
school
has
proper
procedures,
proper,
hvac,
proper
everything.
That's
fine.
A
J
So
you
know
bps:
whenever
we've
been
consulted
about
a
decision
about
reopening
whether
it's
four
schools
or
28
more,
they
they're
required
to
develop
plans
that
are
specific
to
the
school,
and
you
know
you're
right,
you
know,
each
school
is
different
and
especially
around
facility
stuff
are
different,
but
what
we
pay
attention
to
is,
you
know,
are
the
point.
There
are
some
basic
measures
that
have
to
be
put
into
place
around
safety
and
environmental.
J
You
know
items
and
around
prevention
right,
and
so
we
we
set
the
bar.
Everybody
has
to
be
able
to
say
we're
going
to
be
able
to
do
this
in
this
school
and
they
they
have
to
be
consistent
with
deci
and
cdc
guidelines.
So
when
we
look
at
you
know
every
plan
for
each
school,
if
they
meet
the
criteria,
then
we're
saying
okay,
they're
meeting
the
minimum
standards
to
operate
safely.
J
We
also
look
at
you
know
how
many
students
are
they
bringing
in
and
how
many
adults-
and
you
know
we
always
you
know,
go
back
to
them
and
say
you
know
you
must
have
just
the
amount
of
adults
in
in
the
building
that
are
required
to
be
able
to
teach
those
10
20
students,
steady
students,
no,
no
more,
because,
obviously
you
know
we
want
to
ensure
that
we
don't
have
an
unnecessary
amount
of
faults
in
the
building.
Just
because
the
building
is
open.
A
H
The
only
last
thing
I'd
say
is
thank
you
console
and
thank
you
to
the
counselors
for
your
effort,
and
I
appreciate
anything
you
can
continue
to
do
to
lift
up
the
messaging
that
we're
experiencing
around
the
holidays,
people
staying
home
people
celebrating
with
their
own
household.
We
saw
a
spike
after
thanksgiving.
That
was
clear
and
we
will
see
another
one
after
christmas
and
after
the
holidays,
if
we
don't
continue
that
message
of
spending
it
with
our
own
household.
So
again,
thank
you
for
helping
to
lift
up
that
message
appreciate
it.
A
J
Thank
you
for
for
all
the
counselors
and
for
you
to
put
in
this
together
and
and
big
thanks
to
manny
lopes
and
guadalades.
You
know
they've
been
incredible
partners
in
the
work
we've
been
doing
for
months
and
without
the
health
centers
we
would
have
been
in
in
big
trouble,
so
they
have
stepped
up
to
the
plate
in
many
many
many
ways.
So
we
really
appreciate
their
partnership
and
their
support
and
all
the
contributions
they
made
to
the
city.
So
thank
you.
A
B
Okay,
thank
you,
chair
arroyo
and
thank
you
to
all
the
counselors
for
inviting
us
to
share
with
you
our
experience
during
this
really
difficult
time
for
our
health
center
as
well
as
our
city.
I
have
prepared
remarks,
but
I
think
I'll
for
the
purpose
of
time,
I'll
just
go
just
very
quickly.
Many
of
you
are
very
familiar
with
east
boston,
neighborhood
health
center.
B
We've
provided
cultural,
appropriate
outreach
materials,
we've
stood
up
testing
sites.
In
fact,
we
set
up
the
first
testing
site
in
the
state,
the
drive-through
testing
site
for
first
responders
at
suffolk
downs
in
partnership
with
the
boston
public
health
commission
in
the
city
and
we've
adjusted
our
operations
based
on
the
positivity
levels
in
our
community.
B
We
have
moved
to
a
status
of
orange,
so
that's
one
step
before
we
get
to
red
and
that
means
transition
routine
care
to
telehealth
and
person
routine
care
to
telehealth.
So
we
are
in
the
process
of
transitioning
70
of
our
in-person
care
to
telehealth
care,
so
we
can
continue
to
deliver
services
to
our
community
and
we've
suspended
many
of
our
high-risk
activities
and
we've
implemented
screening
protocols
at
our
front
door
to
stop
the
spread
and
to
prevent
exposure
and
to
identify
infections.
B
We've
also
taken
a
number
of
steps
in
terms
again
providing
cultural,
appropriate
materials
engaging
with
some
of
our
trusted
community
based
organizations
to
help
us
disseminate
information
and
to
also
help
us
understand
how
to
best
respond
to
the
community
to
identify
infection.
Of
course,
we've
stood
up
testing
sites,
including
chairman
arroyo,
the
high
park
site
that
you
referenced
that
just
recently
opened
up.
We
are
responsible
for
that
site
as
well,
and
just
your
question
around
it
filling
to
capacity
very
quickly.
B
We
intentionally
limited
capacity
in
its
first
couple
of
days.
Just
so,
we
could
test
out
the
workflows
and
make
sure
that
we
had
all
all
the
right
resources
we
need,
knowing
that
that
site
will
get
very
busy
very
quickly
the
capacity
that
is
set,
hopefully
in
the
next
couple
of
days,
we'll
be
at
500
tests
per
day
and
that's
significantly
higher
than
many
of
the
testing
sites
across
the
state,
and
we
have
the
capacity
to
move
that
to
1
000
per
day,
which
we've
done
before
at
any
single
site.
B
B
C
Chairman
la
roya
members
of
the
council,
thank
you
for
the
opportunity
to
to
share
our
story
and
our
approach
and
that
again,
when
I
think
about
a
strategy
or
I
think
about
addressing
the
problem,
what
I
do
is
I
break
it
up
into
components.
I
break
it
up
into
sections
and
then
addressing
section,
and
I
came
up
with
four
testing
tracing
care
and
messaging
as
our
strategy,
and
I
thought
the
best
way
to
to
share
with
you
what
we're
doing
is
to
give
you
a
practice.
A
real
example.
C
E
C
Grant
funding
that
we've
received
to
hire
attempts
to
free
up
our
staff
to
provide
ongoing
care,
our
thanks
to
whittier
street
our
thanks
to
roslindale
our
thanks
to
harvard
street
our
thanks
to
east
boston,
who
have
come
into
madigan
to
help
us
do
tesla,
and
this
is
where
these
partnerships
come
in,
and
this
is
where
we
become
adapted,
but
the
best
one
of
the
best
things
that's
just
recently
happened
is
binax
now,
so
it's
a
rapid
test.
It
is
to
be
used
for
individuals
who
are
showing
symptoms.
C
The
first
test
was
done
at
10
o'clock.
This
morning
we
received
400
test
kits
on
friday.
The
first
test
two
tests
were
done
at
ten
o'clock
this
morning.
Both
of
those
tests
came
back
positive.
Now
our
approach
is,
we
do
the
test,
we
ask
you
to
go
home
and
we'll
call
you
within
about
30
minutes
to
an
hour,
so
we
develop
new
workflows
within
about
two
days.
So
the
first
test,
husband
and
wife
came
back,
and
this
is
where
we
reached
out
gave
the
message,
and
now
we
get
into
into
tracing
contact.
C
The
purpose
for
the
call
is
to
tell
you
your
results,
so
you're
going
to
take
the
call
and
there's
already
the
word.
Trust
was
used
earlier
on
the
trust
that
we
have
with
our
patients.
The
trust
that
we
develop
when
we
do
this
testing,
so
you've
answered
the
call.
This
is
where
we
give
you
your
results
and
we
do
a
modified
form
of
what
I'm
calling
a
modified
form
of
contact
placement.
Now
we
were
involved
in
contact
placing
very
early
on.
C
We
had
to
pull
our
staff
off
to
redeploy
them
to
other
other
activities
within
the
health
side.
What
we
found
out
is
individuals
are
less
likely
to
answer
the
phone
because
it's
going
to
come
up
and
individuals
are
very
unlikely
to
give
you
their
contacts,
personal
and
they're,
going
to
hold
on
to
it,
so
what
we
decided
to
do
with
while
we're
delivering
the
news.
The
message
provide
support
to
to
let
you
know
what
what
to
expect
to
let
you
know
that
we
are
available.
C
If
you
have
questions
to,
let
you
know
when
the
appropriate
time
to
go
to
the
emergency
room,
but
what
we
also
do
is
we
use
this
opportunity
to
promote
how
much
you
care
about
the
people
in
your
family
and
the
people
and
your
friends?
What
we
ask
you
to
do
is
now
that
you've
tested
positively,
and
we
regret
that
you
tested
positive.
Please
contact
your
friends,
please
contact
your
family,
anybody
that
you've
been
in
touch
with
for
the
last
three
to
five,
the
last
three
to
five
days.
C
Let
them
know
you
tested
positive,
encourage
them
to
get
tested.
The
best
contact
racer
is
someone
that
you
know
and
someone
that
you
trust
and
someone
that,
when
they
call
you
they're
going
to
answer
the
plan,
this
is
not
indicative
and
it's
still
way
too.
It's
still
extremely
early
to
develop.
To
come
up
with
any
kind
of
conclusion
on
this
of
the
first
12
rapid
tests
that
you
did
keep
in
mind.
C
We
know
that
the
positivity
rate's
going
to
be
high
if
we're
using
it
for
individuals
which
is
kind
of
simple,
the
first
12
tests
that
we
did
this
morning.
Six
came
back
positive
now.
The
implications
of
this
from
the
strategic
standpoint
are.
There
are
now
six
individuals
who
didn't
have
to
wait
four
to
five
days
to
get
their
testosterone
and
we're
taking
full
advantage
of
that.
So
now,
there's
six
individuals-
and
this
is
where,
where
the
care
component
comes,
we're
asking
you-
and
this
is
where
also
the
practicality,
how
are
you
gonna
eat?
C
How
are
you
gonna
make
sure
you
have
what
you
need,
so
what
we're
doing
is
we're
encouraging
you
to
reach
out
to
friends
to
reach
out
to
them,
and
then
we
give
them
advice
on
when
they
deliver
ask
them
to
deliver
food,
for
you,
leave
that
on
your
doorstep,
don't
engage,
don't
encounter,
don't
have
an
encounter
with
another
individual
and,
if
you're
having
difficulties,
call
us
back,
we'll
put
you
in
touch
with
health,
that's
where
the
character
comes
in
and
also
the
messaging.
The
messaging
is
what's
consistent.
C
What
has
to
be
consistent
through
each
of
these?
Three
areas
please
get
tested
once
you're
tested.
If
you're
positive,
please
warranty,
let
us
know
what
you
can
do
to
help
and
then
we'll
help
you
make
arrangements
regarding
regarding
care.
Two
of
the
individuals
that
were
tested
are
from
medicaid.
They
came
back
home.
Two
of
the
individuals
were
from
dorchester
was
from
brockton
and
another
individual
from
high
park,
and
once
again
this
is
part
of
our
strategy
get
tested.
The
results
have
to
be
timed.
C
A
I
Great
thank
you
very
much,
councillor
royal
and
the
rest
of
the
rest
of
the
counselors
chief
martinez
and
director
nieves,
who
left
thank
you
so
much
and
to
other
co-panelists.
I
appreciate
you
taking
the
time
to
be
here
and
update
us.
I
prepared
a
few
slides,
but
just
I
think
in
the
interest
of
time
I'll
just
describe
what's
in
the
slides,
but
I
am
happy
to
share
them
if
it
would
be
helpful,
so
we're
looking
primarily
at
data
at
the
state
level
in
boston.
I
I
mean
sorry,
the
state
level
in
massachusetts.
These
are
data
that
are
typically
publicly
available,
either
through
u.s
health
and
human
services
or
through
through
the
state.
We're
also,
of
course,
looking
at
city
data
from
boston,
also
from
the
greater
greater
boston
area
and
and
surrounding
communities,
and
the
trends
that
I
want
to
point
out
that
I
think,
are
most
concerning
kind
of
mirror
what
we've
heard
already
this
evening.
I
I
So
we've
really
been
on
this
growth
trajectory
pretty
consistently
in
terms
of
hospitalizations
in
terms
of
test
positivity
rates
really
since
september,
and
there
was
an
unusual
period
during
thanksgiving
because
the
testing
patterns
were
different
than
we'd
seen
before
and
that
disrupted
some
of
our
understanding
about
what
was
happening,
and
so
we're
only
now
really
starting
to
get
far
enough
away
from
thanksgiving
to
get
a
better
sense
for
whether
any
of
the
measures
that
went
in
over
the
past
month
or
so
are
actually
having
much
of
a
measurable
effect.
So
that's.
I
I
The
second
thing
that
I
want
to
point
out
is
that
the
testing
data
is
very
very
hard
to
interpret
because
the
majority
of
the
tests,
depending
on
the
day
somewhere
between
two
thirds
and
75
of
the
tests,
are
run
at
colleges
and
universities
and
other
locations
that
are
repeatedly
testing
the
members
of
their
community.
So
this,
I
think
somewhere
around
20
000
tests
a
day,
maybe
that
are
getting
run
on
first
time,
test
takers.
I
Of
course
that
varies
a
lot
day
to
day,
depending
on
whether
on
the
weekend
or
not,
and
so
because
so
many
of
these
populations
that
are
repeatedly
testing
their
populations
have
very
very
low
test,
positivity
rates,
so
under
one
percent
on
the
universities,
probably
around
one
to
two
percent
in
some
of
the
other
locations.
That
brings
that
statewide
average
number
down
and
as
we
heard
on
the
during
the
the
hearing
this
evening
and
we've
seen
regularly
covet,
is
a
local
disease.
I
Similarly,
in
terms
of
issues
associated
with
racism
and
xenophobia,
depending
on
where
you
are
in
the
country
or
where
you
are
are
nationally,
but
so
because
this
is
really
a
local
problem,
not
not
in
the
sense
that
it's
up
to
the
local
individuals
to
solve
it,
but
that,
looking
at
the
test
positivity
data,
we
really
need
to
have
very
local
granular
information
on
what's
happening
in
each
of
our
communities.
With
the
test.
Positivity
rates,
because
they're
varying
so
dramatically,
which
is
something
that
we
see
in
in
the
boston
public
health
commission
data.
I
I
The
high
volume
is
testing
locations
like
the
colleges
and
universities.
The
third
piece
is
that
the
mobility
patterns
we
see
around
the
state
of
massachusetts
and
in
boston
are
different
than
they've
ever
been
in
in
years
and
in
pre-pandemics.
So
during
the
lockdowns
in
the
spring,
all
forms
of
mobility
dropped
to
30
25
of
normal,
so
commute
flows.
The
number
of
social
contacts
you
have
the
amount
of
time
you
spend
with
those
social
contacts.
I
How
far
you
go
outside
of
your
house
to
go
for
groceries
all
of
those
dropped
precipitously
but
they've
rebounded
differentially
over
the
past
few
months,
and
the
one
metric
that
has
continued
to
creep
up
month
on
month
on
month,
tracking
the
hospitalizations
is
commute
flow
into
the
greater
boston
area.
So
the
number
of
social
contacts,
the
number
of
the
amount
of
time
people
spend
with
social
contacts.
I
The
distance
people
are
traveling
outside
of
their
household,
not
for
work.
Those
have
all
rebounded
but
have
been
fairly
steady
for
the
past
few
months,
but
it's
that
commute
flow
back
into
boston.
That
has
been
going
up
up
up
up
up
over
the
past
of
the
past
couple
of
months
and
we
importantly
because
these
are
anonymized
data.
We
don't
know
whether
these
are
people
going
to
restaurants,
bars,
other
entertainment
or
whether
they're
going
for
work.
I
I
I
can
just
I
can
show
just
very,
very
cl
very
quickly
here,
yeah
perfect.
So
can
you
see
my
screen
yep
perfect?
So
these
are
the
adult
hospitalizations
for
the
statewide
state
of
massachusetts,
seven
day
average
going
from
october
through
about
two
weeks
ago,
which
is
the
last
round
of
data
from
hhs.
I
I
So
my
hope
is
that
this
is
a
blip,
but
I
think
this
is
something
that
that
has
just
come
to
our
attention.
Well,
this
is
not.
This
is
something
I
know
that
has
just
come
to
our
attention,
but
I
think
it's
something
that
all
of
us
need
to
be
paying
very,
very
close
attention
to
and
circling
up
on,
so
I'm
gonna
stop
screen
sharing
there
and
I'll.
I
That
means
that
we
have
to
have
equity
as
a
key
feature
of
things
like
vaccination.
I
know
that's
a
part
of
the
upcoming
conversation,
but
the
epidemiological
data
overwhelming
evidence
that
equity
needs
to
be
a
part
of
the
vaccine
delivery
decisions
because
of
how
unequal
the
burdens
have
been
all
over
boston,
all
over
massachusetts,
the
us
and
nationally,
then
the
first
thing
would
be
hospitalizations
are
way
up.
They
have
slowed
a
little
bit.
I
We
need
to
be
tracking
them
very,
very
carefully
because
there's
quite
a
bit
of
uncertainty
in
whether
we're
heading
towards
basically
a
red
line
or
something
that
is
very,
very
serious
but
but
could
be
manageable
and
something
we
can
bring
back
under
control.
So
we
gotta
be
watching
very
closely
over
the
next
couple
of
weeks,
especially
as
we
move
into
the
winter
holidays.
I
Is
we
are
seeing
a
very
worrying
trend
in
the
hhs
data
around
under
18
hospitalizations,
and
I
would
encourage
this
group
to
look
very
very
carefully
at
that
to
ascertain
whether
this
is
just
a
blip
and
and
something
that
hopefully,
is
just
going
to
pass
through
relatively
quickly
or
if
this
is
actually
a
trend
that
we're
on
and
something
that
we're
going
to
really
take
quick
action
around.
So
thank
you
very
much
for
having
me
and
again
happy
to
take
questions
with
the
other
panelists.
A
K
I
So
hhs
I'm
happy
to
share
this.
They
had
to
make
all
of
the
facility
level
data
for
kobit
19
publicly
available
as
a
part
of
freedom
of
information
act
request.
They
arguably
should
not.
Arguably
they
legally
should
have
been
doing
this
from
the
beginning
of
covet,
but
that's
all
public
now
and
so.
What's.
A
A
That
would
be
very
helpful.
Thank
you
so
much
and
with
that
I'm
going
to
go
to
questions
directly.
We
can
start
with
counselor
flynn.
We've
had
a
few
folks,
who've
had
to
jump
off
further
meetings,
and
so
the
actual
list
is
much
shorter.
Now
it's
councillor
flynn,
followed
by
councillor
mejia,
followed
by
councillor
anissa
sabi
george,
followed
by
councillor
city
council,
president
janie,
followed
by
myself,
so
starting
with
councillor
flynn.
A
D
D
The
covet
may
have
contributed
to
some
of
these
related
public
health
emergencies
are
challenges
that
we
we're
now
facing
and
that
we're
going
to
have
to
continue
facing
after
the
pandemic
and
after
the
vaccination
phase
as
well.
Any
any
comments
about
what
else
you're
you're
seeing
out
there
that
we
need
to
address
immediately.
C
M
J
C
And
we
have
such
strong
patient
demand
for
this
general
primary
care
services.
We
have
all
services,
dental
services,
we're
trying
to
do
this
via
telehealth.
It's
not
lending
itself
to
a
telehealth
environment,
so
we're
seeing
a
decrease
in
our
own
activity,
and
we
know
that
this
is
making
the
problem
worse.
C
But
we're,
like,
I
said,
we're
doing
the
best
we
can
but-
and
we
have
individuals
who
are
trying
to
get
in,
but
then
it's
also
really
difficult
to
get
in
touch
with
them
and
get
them
to
come
in
and
we're
looking
at
cutting
face-to-face
visits
even
further,
which
means
the
problem
is
just
gonna.
It's
gonna
get
you.
D
I
Did
my
just
briefly
briefly
add
that
I
think
it's
across
the
board
I
mean
every
everything
we've
looked
at.
Is
that
basically
everybody's
pushing
everything
off
and
whether
that's
even
cancer
surgeries
we
know
are
down
because
of
the
of
having
to
push
off
anything?
That's
not
life-threatening
mental
health.
You
know
all
of
those
things
have
been
pushed
off,
so
I
would
be
working
under
the
assumption
that
that
we're
going
to
have
to
have
a
very
serious
time
of
work
ahead
of
us
to
get
caught
up.
D
D
Partnering
or
merging
merged
with
the
south
end
health
center
as
well
south
end
has
a
high
concentration
of
asians
as
you
as
you
know,
but
I
guess
my
question
is
the
lowest
screening
for
for
breast
cancer,
for
any
ethnic
group
is
asian
woman,
and
I
say
that
because
what
would
your
outreach
be
to
the
asian
community
during
this
pandemic
that
you
know
it's?
It's
it's
challenging
at
times
to
make
sure
that
we
educate
people
why
it's
critical
to
get
needed,
public
health
services
or
or
various
exams?
What
do
you?
B
You
know,
and
we
take
the
responsibility
as
being
the
healthcare
leader
to
not
only
share
information,
but
also
to
gather
information
from
these
agencies.
In
terms
of
how
can
we
better
message,
how
can
we
leverage
their?
They
have
resources
to
to
to
direct
individuals
to
us,
but
I
think
that's
worked
really
well
in
east
boston.
If
you
look
at
some
of
these
boston's
trends,
it's
part
of
the
healthy
boston
report.
B
You
know
some
of
the
trends
that
you
would
normally
see
in
a
community
that
looks
like
he's
boston,
but
he's
boston
from
a
data
perspective
looks
more
like
beacon,
hill
or
back
bay,
which
is
really
impressive.
So
we
want
to
bring
that
into
the
south
end
and
again,
I
think,
leveraging
those
partnerships
we're
not
going
to
do
this
alone.
B
We're
going
to
have
to
rely
on
these
partners
to
help
us
but
they're,
going
to
rely
on
us
to
make
sure
that
we
give
them
the
right
information
and
we
create
access
to
breast
screening
and
mammography.
Now,
unfortunately,
south
end
doesn't
have
a
mammography,
a
mammogram
system,
but
we
do
have
one
in
east
boston
and
our
hope
is
that
we
can
create
transportation
to
east
boston,
to
accommodate
the
need.
D
Thank
thank
you.
Thank
you
to
the
panelists
and,
as
rita
nievos
said,
you
know
we're
so
fortunate
that
we
have
tremendous
community
health
centers
across
the
city
that
played
a
critical
role
during
this
pandemic.
So
I
just
want
to
say
thank
you
to
the
panelists
in
in
your
staff
for
doing
excellent
work
during
this
pandemic
and
always
as
well.
G
Yes,
thank
you
I'll.
Just
be
brief,
because
I
know
we
don't
hold
you
all
hostage
here.
I
am
just
curious
in
terms
from
a
trauma
response
space.
I'm
wondering
what,
if
anything,
the
community
health
centers
and
advocates
are
doing
to
ensure
that
we're
thinking
about
the
long-term,
traumatic
impact
that
covet
is
having
on
our
community
and
coupled
with
how
that
may
even
prevent
people
from
wanting
to
go,
get
tested.
You
know
it.
G
G
I'm
also
curious
to
know
what
have
you
learned
in
the
last
nine
months
of
the
pandemic,
what
have
been
the
biggest
challenges
that
you
have
seen
and
what
would
be
the
biggest
change
that
you'd
like
to
see
moving
forward
like?
How
can
what
can
we
do
differently
moving
forward?
I
I
tend
to
believe
that
covey
is
here
to
stay
for
a
little
bit
longer
than
we
have
I'll
anticipate
it.
So
we
got
to
brace
ourselves
for
that
reality.
G
So
I'm
just
curious.
If
you
have
any
information
around
what
what
would
you
like
to
see
us
doing
moving
forward
questions
about?
How
are
you
working
together
to
educate
large
groups
of
people
who
are
all
living
together?
I
know
I'm
particularly
thinking
about
families
with
multiple
generations
living
in
the
same
household
like
mine.
You
know
my
mom
lives
next
door,
literally,
we
all
eat
together
my
daughter's
10,
my
mom's
71,
and
we
have
every
age
in
between
these
households.
B
Go
first,
okay,
let
me
see
thank
you,
council
media,
for
the
questions
related
to
trauma
and
testing.
I
think
you
are
absolutely
correct.
You
know
our
communities
pre-covered
were
faced
with
significant
trauma,
particularly
the
immigrant
community,
who
who
came
here
from
other
countries
and
whether
it
was
the
path
to
get
here
or
whatever
they
experience
in
their
home
countries.
You
know
they.
You
know
the
need
for
behavioral
health
and
mental
health
services
has
been
always
significant.
B
So
we've
we've
done
quite
a
bit
of
work
at
increasing
that
capacity
again,
making
sure
that
it's
in
you
know
the
right
language,
the
language
that
they
prefer
to
receive
it
in
and
making
sure
that
we
have
what's
called
an
open
access
model.
So
you've
heard
you
know
that
one
of
the
biggest
challenges
not
only
within
the
city
state
and
nationally,
is
getting
access
to
behavioral
health
services.
B
So
in
our
open
access
model
you
call
us
today,
you'll
be
seen
today
and
and
and
that's
a
significant
benefit,
because
folks
who
are
experiencing
trauma
can't
wait
for
care.
We
continue
to
provide
that
service.
You
know
there
is,
if
you
would
some
good
news,
which
is
hard
to
find
when
you're
going
through
a
pandemic,
but
the
telehealth
services
have
actually
worked
very
well
for
behavioral
health
services.
B
You
know
folks,
have
complicated
lives,
work,
multiple
jobs
and
sometimes
can't
find
the
time
to
access
care
again
when
they
need
it.
But
by
deploying
telehealth
in
our
behavioral
health
services,
we
are
seeing
a
significant
surge
if
you
would
in
tell
behavior
health
services
being
accessed
by
our
patients
and
in
fact
our
behavior
health
team
has
done
a
phenomenal
job,
actually
going
back
and
looking
at
individuals
who
have
no
showed
for
behavioral
health
care
and
and
opened
up
telehealth
services
to
those
individuals
and
they've
accepted
it.
C
C
After
the
pandemic,
we
switched
to
a
telehealth
model
and
we
did
it
very
quickly.
Our
no
show
rate
is
zero
and
for
a
while,
we
were
able
to
keep
up
anybody
who
wanted
to
be
seen.
We
were
able
to
see
them,
and
now
we've
gone
to
a
triage
model.
If
it
is
a
serious
situation,
if
it
is
a
serious
case,
we
will
get
you
in,
but
we're
having
now
to
ration
the
service
because
of
the
demand
that's
replaced.
C
What
we're
seeing
is
an
increase
in
the
complexity
in
the
cases,
because
people
are
frustrated
and
that
is
being
manifest,
manifested
given
family
units,
so
we're
being
very
cognizant
of
how
our
own
therapists
are
reacting
to
that
environmental
care.
You
asked
about
what
we've
learned
in
the
last
nine
months
with
the
challenges
we
faced,
you
actually
use
the
one
word
that
I
would
use
to
answer
that
and
that
will
change.
C
We
are
changing
on
a
dime
and
we're
changing.
It
almost
seems
like,
on
a
daily
basis,
this
new
testing
model
with
the
rapid,
with
the
rapid
test,
we
received
those
tests
on
a
friday.
We
completely
had
to
reconfigure
how
we're
administering
those
tests-
and
we
did
the
first
test
literally
two
days
later,
and
every
health
center
across
the
city
and
across
the
state
is
doing
the
exact
same
thing.
We
are
adapting
quickly
and
now
we're
having
to
make
adjustments
and
figure
out
how
we're
going
to
vaccinate
so
so
continuing
to
do.
C
And
regarding
messaging,
we
participated
in
two
town
halls
with
the
boston
public
health
commission
and
one
of
the
things
that
we've
been
thinking
about
to
get
a
vaccination
message
out
in
a
way,
that's
appropriate
in
a
language
appropriate
way
is
to
do
additional
town
halls,
maybe
make
them
shorter,
like
half
hour
town
halls
every
week
and
have
a
panel
of
our
you
know
a
physician,
a
caseworker
myself,
and
to
do
these
town
halls
on
a
weekly
basis
to
help
get
our
message.
So
that's
one
of
the
things.
G
Thank
you
thank
you
and
I
wanted
to
ask
sam
scarpino
a
question.
I'm
curious.
You
know
you
really
set
the
stage
in
terms
of
what's
happening
across
this
world
and
it
seems
like
our
people.
People
of
color
are,
are
being
hardest
hit
and
knowing
that
and
because
there's
so
much
fear
in
our
community,
because
we
don't
trust
government
and
because
we're
the
ones
who
are
going
to
we're
already
facing,
I
mean
we're
already
the
odds
for
us
to
survive.
Anything
is
stacked
against
us
as
it
is.
I
I
But
one
of
the
ways
that
governments
and
communities
disempower
communities
is
by
not
having
data
on
them
in
the
official
records
so
that
those
communities
cannot
advocate
for
themselves,
and
that
is
different
for
covid.
We
can.
We
know
that
is
law
about
reporting
by
race,
ethnicity
and
things
that
we
know
are
markers
of
of
the
effects
of
racism
and
xenophobia,
and
so
one
of
the
it's
not
a
bright
side.
I
I
I
think
it
has
to
be.
You
know
the
kinds
of
coordinated
campaigns
that
we're
seeing
in
the
boston
area,
where
you're
engaging
with
the
communities
in
order
to
build
trust
and
support
in
in
the
government
and
that
again,
if
this
is
an
opportunity
to
start
that
process.
But
I
think,
and
then
you
understand
it's.
I
As
the
city
council,
as
all
the
city
councilors
do,
but
that
you
know
cove
is
a
local
disease,
but
public
health
is
almost
always
a
local
problem
and
that's
why
I've
I've
always
been
skeptical
as
as
many
public
health
officials
and
epidemiologists
are
about
top
down
orders
and
enforcement.
It's
about
education,
buy-in
and
access,
and
that
we
have
an
opportunity
to
demonstrate
that
that
can.
That
is
the
playbook.
I
You
know
in
in
the
greater
boston
area,
because
I
think
we've
got
a
lot
to
be
proud
of
a
lot
of
work
to
do,
but
a
lot
to
be
proud
of,
but
how
we're
trying
that
model
here
in
many
different
ways.
So
I
I
think
that's
that's
the
best
that
I
can
that
I
can
offer,
and
I
I
think
that
that
is
to
me
it's
a
big
difference
for
covid.
To
be
honest
with
you
that
that
we
actually
see
the
statistics
being
reported
and
talked
about
is
not
something.
That's
happened
for
previous.
G
K
Thank
you
again,
mr
chair,
and
thank
you
everyone
for
being
here.
You
know.
We
certainly
appreciate
the
role
that
our
community
health
centers
play
in
our
communities
in
delivering
health
care
and
other
services,
but
also
grateful
for
your
continued
leadership
and
in
offering
sort
of
advice
and
presentation
and
counsel
in
response
to
our
questions
today,
you've
always
been
ever
present,
especially
in
my
work
on
the
city
council.
So
I'm
grateful
for
that
sam.
K
You
brought
up
in
your
presentation
this
spike
that
we're
seeing
now
in
children
under
18.,
I'm
wondering
if
part
of
the
challenge
or
perhaps
manny
or
gwali
can
respond
to
this.
Are
children
and
young
people
under
18
not
getting
tested
at
the
same
rate
as
as
adults,
for
a
variety
of
reasons,
either
the
public
discourse
around
the
low
infection
rate
or
fear,
or
you
know
whatever
the
case
might
be,
and
have
we
now
shifted
to
doing
more
testing?
K
K
B
B
We
we
were
doing
testing
all
ages
and
there
were
many
kids
that
were
being
sent
to
us
from
other
facilities
to
get
tested.
So
I'm
not
sure
in
terms
of
this,
I
can't
speak
to
the
spike
in
hospitalization.
I
think
when
you
saw
the
data
from
the
commission,
it
did
at
least
from
the
trending.
I
I
haven't
seen
any
trends
that
shows
a
spike
in
positive
cases
in
young
in
young
young
children.
K
I
It
could
be,
I
think,
one
of
the
things
that
we
also,
unfortunately,
don't
know
from
the
hhs
data
is
whether
these
were
primary,
coveted
missions
or
whether
this
was
a
coveted
positive
test
because
of
an
emission
for
another
reason.
So
these
are
individuals
who
are
hospitalized
currently
for
coven,
so
it's
possible.
They
caught
the
covet
infection
and
are
treating
it
as
a
result
of
something
else.
I
But
the
fact
that
it's
up
over
the
past
few
weeks
is
is
what's
concerning
where
it
had
previously
been
flat,
and
so
I
think
that
there
are
a
number
of
possible
explanations.
We
know
that
the
hospitalization
protocols
have
shifted
the
time
people
are.
Spending
in
hospitals
have
changed.
Everything
is
kind
of
shifting
over,
as
especially
as
the
age
distribution
shift.
I
C
Probably
george,
I
just
did
a
quick
check
while
you
were
asking
your
question
and
we're
not
monitoring
at
that
level.
Trends
by
age
group
we're
just
monitoring
it,
but
our
total
testing,
as
a
percentage
of
20
and
under,
is
at
ten
percent
a
lot
of
tests.
We've
done.
Ten
percent
are
twenty
years
of
age
and
and
I
think
at
a
health
center
from
a
health
center
perspective
striving
that
for
the
parents,
I
don't
think
we're
gonna.
C
K
A
B
A
B
B
A
Sorry,
no,
I
I
realized
there
that
you
might
have
misunderstood
that.
I
meant
the
the
time
frame
of
time,
not
not
in
a
single
day.
So
that's
that's
very
good
news
for
me.
So
thank
you
very
much
for
your
efforts
there.
One
of
the
questions
that
I
have
for
both
of
you
as
candidly
as
you
can
be,
what
are
ways
in
which
you
know
just
looking
ahead.
B
Yeah,
I
guess
I'll
I'll
go
first
again
and
just
say
that
you
know
number
one.
I
think
again
we're
very
fortunate
to
be
in
this
city
that
has
provided
significant
resources,
whether
it's
through
the
resilient
grant
or
the
cares
grant
that
the
city
received
and
sharing
that
with
the
health
centers
within
the
city.
We're
also,
you
know
fortunate
to
have
a
a
lot
of
health
centers.
You
know
20
plus
health
centers
in
this
city
and
naturally
in
a
pandemic.
B
Like
this,
we
see
the
value
of
having
health
centers
right
in
the
neighborhood
who
people
who
work
at
the
health
center
come
from
the
neighborhoods
we
serve.
Also,
so
thank
you
for
acknowledging
and
recognizing
the
value
that
has
always
been
there.
I
would
say
going
forward.
You
know
making
sure
that
health
centers
are
financially
viable
and
I
know
there's
going
to
be
inappropriately
so
a
lot
of
asks
on
the
table.
B
There's
a
lot
of
small
businesses,
as
well
as
large
businesses
who
have
been
impacted
by
this
virus,
and
I
would
just
make
sure
that
health
centers
are
also
on
that
list,
because
pre-covered
and
going
into
govid,
our
operating
margins
have
usually
been
in
the
negative
one
percent
and
and
that's
not
sustainable
long-term,
so
to
the
extent
that
the
city
could
find
ways
to
bring
additional
resources
to
shore
up
our
community
health
centers.
For
times
like
this.
C
I
can
use
outreach
workers
now
and
I
have.
I
don't
have
a
way
to
pay
for
it:
outreach
workers
to
coordinate
care,
outreach
workers
to
to
coordinate
the
federal
healthcare,
primary
care
services
and,
once
again,
traditionally
we
need
it
would
be
helpful
to
be
able
to
fund
these
positions
and
have
the
flexibility
to
use
these
positions
to
provide
that
care.
C
It's
easy
to
hire.
It's
not
easy
to
hire
a
doctor
because
it's
very
hard
to
find
them,
but
a
lot
of
our
positions
generate
credit
and
we
can
get
federal
brands,
but
some
of
our
positions,
registration,
we're
going
to
need
we're
going
to
need
it
all
well,
and
our
staff
are
tired
and
we're
going
to
need
to
supplement.
C
We
need
to
supplement
our
staff.
Registration
position
does
not
generate
revenue.
An
outreach
worker
does
not
generate
revenue.
This
is
where
it
would
be
helpful
is
to
be
able
to
fund
just,
and
we
have
to
be
practical.
We
know
there's
going
to
be
a
lot
of
constraints
on
the
city
budget,
but
every
every
one
of
us
could
use
help
in
this
area
to
be
able
to
fund
these
positions
to
help
us
continue.
C
A
That's
all
very
helpful
actually-
and
I
I
appreciate
your
your
candor
on
that.
I
will
tell
you
that
I
obviously
I
know
it's
going
to
be
a
tough
budget,
but
I
think,
if
we're
not
investing
in
the
health
of
our
city,
we're
really
not
investing
in
what
I
consider
one
of
the
key
priorities
for
any
city,
and
so
this
is
going
to
be
something
I'll
be
in
contact
with
both
of
you
frankly
offline
just
about
these
kinds
of
conversations,
because
you
know
I
I
know
for
me
personally.
A
A
I
would
love
to
have
answered
later
and
I'll
spare
you
that
now
just
for
sake
of
time,
in
terms
of
where
we
are
with
rollbacks
in
in
safety
rollbacks
and
things
like
that-
and
I
I
think
one
of
the
issues
for
folks
making
these
decisions
frankly,
is
that
they're
trying
to
balance
something
that
there's
a
split
in
the
populace.
If
you
make
a
move
now,
it's
too
drastic.
A
A
I
I
One
of
the
big
challenges
we
see
this
clearly
in
the
data
is
that
if
the
bars
and
restaurants
or
gyms
are
open
in
the
neighboring
community,
people
will
often
go
to
that
community
to
use
those
services,
and
that
has
created
super
spreader
events
in
the
past,
and
it
has
led
to
a
regional
transmission
of
kovid.
Where
you
move
between
communities
and
in
some
ways
it
can
be
a
worst
case
scenario.
I
It
is
important
that
we
did
something
that
was
a
little
bit
more
serious
than
what
we
saw
coming
from
the
state
and
that
we
built
a
little
bit
of
a
coalition
around
boston
to
kind
of
buffer.
More
with
respect
to.
What's
open
and
what's
not,
I
think
from
my
perspective,
the
biggest
challenge
is
that
we
don't
know
where
most
of
the
cases
are
coming
from
right.
We
hear
from
the
state
50
ascertainment.
I
It's
not
often
because
of
a
lack
of
I
mean
a
lot
of
it
is
because
people
answer
the
phones,
as
we
heard
it's
a
challenge
to
get
in
touch
with
people,
we
need
more
contact,
tracers
et
cetera,
but
it's
also,
even
if
you
get
a
hold
of
people
hard
to
figure
out
and
that
you
know
makes
it
difficult
to
come
up
with
a
kind
of
targeted
intervention.
So
why
am
I
leading
into
this?
I
Well,
the
one
piece
of
data
we
consistently
see
is
that
dining
is
high
risk
and
it
makes
sense
because
we
know
that
masks
are
highly
effective
and
dining
involves.
Taking
your
mask
off
for
a
period
of
time,
I
don't
really
know
what
options
we
have
without
a
bailout
from
the
government,
the
federal
government
or
or
from
the
state,
and
I
think
actually
to
be
honest.
I
One
of
the
concerns
that
I
have
is
in
the
data
people
do
what
they're
gonna
do
and
what
do
I
mean
by
that
like
if
they're
scared,
they're,
not
gonna,
go
out
to
eat
they're
gonna,
they're,
gonna
shelter
in
place.
We
saw
that
in
the
spring
the
restaurant
activity
dropped
well
before
any
of
the
mandates
went
in
place
as
people
working
in
public
health.
I
I
They
don't
come
with
the
necessary
financial
and
economic
support,
so
I
think,
from
my
perspective,
it's
important
we're
doing
something.
I
agree
that
we
need
to
do
more.
It
is
not
clear
what
the
good
options
are
that
are
still
left
on
the
table,
given
the
lack
of
statewide
and
honestly,
the
state
might
not
even
have
the
budget
to
provide
the
kinds
of
support
that
we
would
need,
especially
if
the
restaurant
bar
other
other
sectors
are
involved.
I
Almost
everybody,
that's
walking
through
the
door
with
respiratory
illness.
There
was
an
rsv
outbreak
a
couple
of
months
ago,
but
it's
mostly
covered.
So
it's
a
lot
quote
easier
than
it's
going
to
be
from
a
surveillance
and
data
perspective.
We're
also
going
to
have
to
be
monitoring
to
look
for
the
effect
of
the
vaccine
at
interrupting
transmission.
It's
one
of
the
things
that
didn't
come
out
of
the
trials.
I
So
I
would
say
those
are
the
two.
The
two
biggest
pieces
is
that,
to
the
extent
we
can
continue
to
build
coalition
outside
of
boston.
Even
if
it's
just
around
the
current
measures,
that's
a
big
deal.
I
think
we
have
to
figure
out
how
to
roll
back
more
in
person,
as
we
heard
from
chief
martinez.
Anything
non-essential
is
the
things
that
we
need
to
be
targeting
first,
and
you
know
until
we
can
get
a
bailout
from
the
federal
government.
I
I
think
we
should
all
probably
assume
that
dining
is
going
to
be
the
last
thing
on
the
table
and
so
being
as
creative
and
and
thoughtful
and
compassionate
as
we
can
around
the
other
non-essential
indoor
gatherings
and
then
the
second
piece
is
around
tracking
the
vaccine
uptake
as
we
move
forward
and,
of
course,
we're
fortunate
in
boston.
But
the
critical
aspect
of
the
messaging
around
that
is,
as
the
rollouts
happened
as
a
role
that's
happening.
A
Thank
you
for
that.
That's
actually
very
comprehensive
as
an
answer,
so
I
appreciate
that,
and
that
would
be
nowhere
if
my
staff
wasn't
writing
down
all
of
your
answers
as
they
come
out
so
that
I
could
go
back
and
dig
into
them
in
terms
of
two
more
questions
for
my
my
community
hospital
partners
and
then
one
more
question
for
you,
sam
and
then
I
think
we're
concluded
here.
B
B
I
have
yeah,
I
have
not.
I
have
not
heard
my
understanding
is
the
vaccines
have
been
paid
for
by
the
federal
government
and
that
they
are
free,
so
the
coverage
of
mass
health
may
be
for
administering
the
vaccine,
but
you
know
today
our
assumption
is
that
the
vaccine
will
be
available
and
administered
at
no
cost
to
everyone.
A
C
What
we
do
is
we
get.
We
take
down
demographics,
we
gather
your
insurance
information,
we
tell
you
is
we're
going
to
bill
your
insurance,
you
will
not
get
it
and
we
have
an
arrangement
request
that
questions
are
testing
and
they're
in
our
building
is
request
is
not
allowed
to
bill
anyone
for
a
tests
that
cost
once
a
month
comes
back
to
the
health
center
and
we're
still
very
fortunate
to
have
some
grant
funding
to
be
able
to
do
that.
C
A
C
A
B
Needs
to
pay
for
those
testing,
I
think,
with
vaccines
at
least
we're
seeing
a
different
approach
where
it
is
at
the
federal
level,
the
federal
government.
My
understanding
has
picked
up
the
cost
of
those
vaccines,
and
hopefully
they'll
continue
to
do
that
and
that
it
will
be
delivered
for
free
we're
testing.
B
Unfortunately,
we
did
not
have
the
same
type
of
national
strategy
and
resources,
and
it
was
left
up
to
states
and
cities
and
and
and
partly
the
care
fund.
The
care
act
helped
offset.
So
some
of
the
grants
that
we're
getting
from
the
care
stimulus
package,
but
but
again
it
became
really
confusing,
because
we
were
required
to
build
first
and
identify
and
collect
information
first
before
we
can
access
those
grants,
and
that
did
cause
quite
a
bit
of
confusion
within
the
community,
because
people
asking
why
do
you
need
to
collect
this
information?
A
Yeah
and
I'm
grateful
to
both
of
you
and
frankly,
our
community
health
centers
for
finding
a
way
to
not
pass
that
on
to
the
testes
that
that
that's
deeply
appreciated.
My
my
last
question
and
I'm
gonna
have
to
dig
into
the
vaccine
cost
one
privately
with
with
the
administration
with
you,
because
I
am
concerned
until
that
money
until
there's
a
real.
I
A
Of
how
much
that
money
is
going
to
be
I'm
concerned
when
they
sort
of
say
blanketly,
yeah
sure,
of
course,
we're
going
to
cover
this
because
usually
there's
some
kind
of
clarification
that
comes
once
they
realize
what
that
check
looks
like,
and
so
I
I'm
hopeful
with
the
new
administration.
But
I
want
to
make
sure
that
we're
prepared
in
case
that's
the
situation
we
have
to
confront
in
terms
of
college
partnerships
when
we're
talking
about
staffing
levels,
for
testing
centers,
for
ways
in
which
a
college
partnership
could
work
out.
A
A
B
The
rna
in
all
this
they've
asked
us
if
we
could
help
them
and
in
fact
you
know
we,
we
offered
help
to
our
partners
at
bunker
hill
community
college
because
they
are
our
partners,
so
we
were
doing
testing
for
them
for
a
little
bit
of
time
before
they
ramped
up.
So
I
think
yeah
look
forward
to
any
partnerships,
as
mr
valdez
mentioned,
our
community
health
centers,
our
hospital
partners
and
others,
because
this
is
this-
is
when
it's
a
team
effort
to
get
to
this
to
get
to
work.
I.
A
Appreciate
that-
and
I
think
that's
my
final
question
for
for
y'all-
I
do
have
one
for
mr
scarpino,
which,
if
either
mr
lopes
or
mr
valdez
wants
to
jump
in
on.
I
will
say
that
one
of
my
concerns
with
the
numbers
that
I've
seen
from
the
state
about
where
things
are
being
transmitted
when
they
get
into
the
the
nitty
gritty
of
it
they
they
have
a
number
of
num
transmissions
within
household
right.
A
Clearly,
you
know,
for
instance,
in
an
example
you
pass
this
on
to
you
know
mr
arroyo
at
his
home.
Where
did
you
get?
It
is
a
very
important
question
and
if
we
just
relieve
that
as
a
household
transmission,
rather
than
mr
scarpino
was
on
a
bus,
mr
scarpino
was
at
the
gym.
Mr
scarpino
was
at
a
restaurant
being
able
to
trace
where
these
exposures
may
have
happened.
My
concerns
were
not
doing
that
much
beyond
that
first
layer,
and
is
that
something
that
you've
seen
with
the
data
is
that
something
you're
concerned
about.
I
I
But
then,
when
I
hear
that
of
the
remaining
50
percent,
close
to
50
or
more
of
those
or
household
transmission,
well
that's
about
what
we'd
expect
that
25
or
30
of
all
the
cases
are
coming
from
household
transmission.
But
that
doesn't
tell
us
what
we
can
do
to
actually
intervene
right.
What
we
need
to
do
to
intervene,
as
you
said,
counselor,
is
understand
how
it
got
into
the
household,
because
that's
the
that
tells
us
what
we
need
to
do
to
actually
slow
down
slow
down
the
transmission.
I
It's
a
big
part
of
the
reason
we're
in
this
current
situation,
both
because
that's
how
you
control
covin
is
through
test
trace,
isolate
until
we
have
the
vaccine.
So
one
it's
a
direct
feedback
on
covid,
but
two.
It
pretty
much
leaves
us
with
only
bad
options
for
how
to
respond
right,
which
is
basically
do
nothing
or
shut
everything
down,
because
we
don't
have
that
understanding
of
where
actually
the
cases
are
coming
from,
so
that
we
can
try
to
maximally
intervene.
So
I
guess
just
to
restate.
A
And
mr
starpino
just
a
question
and
follow
up
on
this
and
then
we'll
end
it
here.
This
is
clearly
a
world
issue.
Are
there
any
best
practices
that
we
can
maybe
impart
on
the
city
or
on
the
state
or
case
investigation,
which
I
think
is
a
good
word
for
that,
because
it
goes
beyond
contact
tracing
and
tries
to
to
really
identify
where
spread
is
happening,
because
what
I
will
tell
you
is,
I
consider
this
the
issue
really
with
our
response
problems.
A
Part
of
the
issue
that
we
have
is
you
know
our
response
now
isn't
much
different
than
our
response.
When
this
first
broke
out,
which
is
we
don't
have
a
clear
understanding
of
what's
driving
the
spread,
and
the
only
reasonable
answer
in
that
in
that
case
is
to
shut
down
everything
so
that
you
you
you
kind
of
catch
it
in
that
net,
but
other
countries
have
found
a
way
to
isolate.
A
We
do
know
where
and
what
is
driving
some
of
this
spread
and
we've
been
able
to
sort
of
identify
and
shut
those
things
down,
and
I
think
we
need
to
get
to
that.
And
so
the
question
that
I
have
for
you
is:
is
there
any
best
practices
from
other
countries
or
even
in
this
country,
where
they've
done
a
better
job
at
identifying
or
finding
a
way
to
identify?
A
I
I
But
once
you
get
a
lot
of
cases
like
we're
in
right
now,
what
you
see
in
australia
is
they
shut
everything
down
until
the
case
numbers
get
low
enough
and
then
they
they
cluster
bust,
is
what
they
refer
to.
As
in
japan,
where
you
deploy
armies
of
contact
tracers
to
clusters,
you
trace
out,
and
you
get
everybody
quarantined
and
isolated
and
you
try
and
shut
down
the
transmission
that
way.
So
what
does
that
mean?
I
Well,
I
think
to
me
what
that
means
is
one
of
the
things
that
we
could
and
should
have
done
differently
in
the
summer
is
really
to
go.
For
you
know,
eradication
locally
of
kovid
through
through
this
kind
of
test,
trace,
isolate
strategy
once
it
got
really
rare
and-
and
we
didn't
do-
that-
we're
gonna
have
another
chance
with
the
vaccine
as
we
start
to
bring
those
low
levels
of
infection
down
with
the
vaccine
as
we
enter
as
we
exit
out
of
this
surge.
I
Now
very
briefly,
there
was
a
paper
that
just
came
out:
analyzing
lots
and
lots
and
lots
of
non-pharmaceutical
intervention
responses
from
many
different
countries
and
the
consistent
things
that
came
out
were
dining
and
group
sizes
and
you've
got
to
keep
the
group
sizes
down.
10
individuals
are
fewer
and
you
can't
have
indoor
dining
open
and
unfortunately,
indoor
dining
has
been
something
we
can't
touch
without
a
federal
bailout,
so
our
hands
have
almost
been
tied
there,
but
otherwise
I
mean
mask
wearing,
of
course,
is
is
critical.
I
You've
got
to
assume
you
have
the
mass
wearing
and
we've
got
that
we're
very
fortunate
about
that.
It's
been
one
of
the
big
success
stories
in
the
in
the
boston
area
in
massachusetts,
is
mask
wearing,
but
so
mask
wearing.
But
then
it's
group
sizes
less
than
10,
which
also
makes
the
case
investigation
easier
to
contact
tracing
and
then
it's
dining
and
everything
after
that
seems
not
to
matter
very
much
that
it's
it's
those
things
that
are
that
are
critical.
So
I
don't
know
if.
A
All
of
you
for
taking
this
time,
unless
you
have
anything
that
you'd
like
to
close
with
you're
free
to
go,
I'm
gonna
go
to
our
community
comment,
but
I
want
to
thank
you
all
for
being
here
and
you
know,
if
you
do
have
anything
to
add.
You
can
just
chime
right
in
on
your
way
out
or
if
you
just
want
to
head
out
and
enjoy
the
rest
of
whatever
day
you
have
left.
You
feel
free
to
do
so.
Thank
you
all
of
you
for
being
here
and
thank
you.
A
N
Great,
thank
you
very
much.
I
hope
you
guys
can
can
hear
me.
Okay,
great
yeah.
I
live
in
the
kenmore
area
and
I'm
actually
on
the
faculty
at
boston
university,
but
I
am
not
speaking
for
the
school
and
I
want
to
say
at
the
outset.
I
very
much
appreciate
all
the
things
that
you
guys
are
doing,
and
this
last
two
and
a
half
hours
has
been
a
great
education
for
me.
N
As
someone
who
lives
near
two
of
those
large
projects,
both
the
big
kenmore
square
project
by
related
beal
and
the
boston
university
computer
science,
building
a
17
or
19
story
building
that
is
going
up
a
couple
of
blocks
away.
It's
impossible
for
me
to
walk
through
the
community
and
sometimes
even
to
go
to
the
trash
can
without
encountering
the
workers
on
on
these
sites.
N
And
although
it's
counterintuitive
that
you
wouldn't
see
high
compliance
at
these
sites,
because
you
would
expect
that
the
workers
would
understand
that
they
were
shut
down
for
a
long
time
in
the
spring
and
summer
and
because
most
of
them
only
get
paid
when
they're
actually
able
to
be
on
the
job.
There
appears
to
be
a
cultural
or
attitudinal
gap
that
is
preventing
an
adequate
level
of
compliance
at
and
around
those
sites.
N
N
They
come
from
various
places
in
the
greater
boston
area
over
the
course
you
know
when
they
come
to
work
in
the
morning
and
then
they
disperse
to
various
communities
within
the
boston
area
and
the
city
of
boston
when
they're
done,
and
so
whatever
happens,
and
what
on
the
job
site
is
something
that
they
take
with
them
home
every
day
to
those
communities,
and
anything
that
happens
at
home
is
something
that
they
bring
to
the
job
site
it.
The
current
approach
is
clearly
not
working.
I've.
N
I
finally
got
a
call
back
yesterday
morning
and
I
believe
the
only
action
that
has
been
taken
since
then
is
that
the
person
from
the
department
called
the
called
the
project
managers
on
the
two
projects,
but
didn't
actually
visit
the
the
projects
to
check
compliance
herself
and
told
them
that
reminded
them
of
their
obligation
to
comply
and
that
that
is
simply
not
working.
I
will
tell
you
I
she
sent
me
that
email
yesterday,
I
walked
both
by
both
projects.
N
Today,
I've
got
both
photographs
and
and
my
own
observations
showing
that
compliance
was
still
not
happening
today.
I've
also
reached
out,
in
the
case
of
the
bu
project,
to
the
owner,
one
of
the
senior
vps
at
bu
and
in
the
course
of
interacting
with
those
folks.
What
I
realize
is
that
the
owners
of
all
of
these
projects
really
don't
have
a
very
strong
incentive
to
maintain
compliance
they're
behind
on
the
projects
as
it
is
because
of
the
ability
difficulty
in
getting
workers
because
of
the
shutdown
period.
They
certainly
don't
want
to
disrupt
those
projects.
N
They
have
financial
and
other
incentives,
and
the
contractor
certainly
has
financial
incentives
to
finish
on
time,
and
so
compliance
is
certainly
not
the
highest
goal
there.
The
comments
that
I've
gotten
from
people
on
the
bun,
for
example,
are
that
they
share
my
exasperation,
that
this
is
a
daily
problem
and
the
consistency
has
been
an
issue,
but
yet
the
projects
still
remain
open
at
full
capacity,
with
people
coming
to
work
and
people
congregating
around
the
site
and
traveling
to
and
from
the
site,
from
the
t
station
in
kenmore
from
other
places
without
wearing
masks.
A
N
M
M
M
M
Okay,
so
I
just
want
to
respond
pretty
quickly
to
chief
martinez's
remarks
about
colleges.
So
a
paper
came
out
where
scientists
found
genetic
evidence
of
covet
spread
from
colleges.
They
briefly
put
they
isolated
dna
from
students
and
they
isolated
dna
from
patients
in
nursing
homes,
cova
dna
and
there
was
a
link.
So
there's
no
denying
this
community
spread.
It
adds
to
the
other.
M
The
new
york
times
recently
published
an
article
about
secrecy
about
athletics
from
in
college
as
they're
not
being
fully
disclosing
the
spread
that
they
have
from
traveling,
and
that
means
that
they
should
be
measuring
not
just
the
players
but
the
staff,
the
traveling
crew,
the
food
handlers,
everybody,
it's
not
benign
and
in
particular,
the
higher
education
institutes
themselves,
have
published
articles
about
the
dangers
of
basketball.
It
is
the
worst
possible
sport
to
be
playing
in
terms
of
spread
so
and
all
three.
M
A
You
thank
you
so
much
and
I
will
just
say
one
other
article
that
we
didn't
go
over,
but
that
sort
of
tracks,
with
what
the
article
you
just
brought
up
mentions,
is
that
the
new
york
times
did
a
an
article
saying
that
they've
traced
higher
death
rates
in
in
towns
with
colleges
that
have
opened
whether
those
are
small
towns
or
big
cities
they've
seen
increases.
I
think
it's
a
50
compared
to
cities
and
towns
that
don't
have
them.
So
it's
certainly
something
that
I
think
it
is
the
case.
A
I
do
think
we're
seeing
community
transmission
and
part
of
why
I
value
mr
scarpino
and
part
of
what
I
I
wanted
to
get
out
of
that
last
part
there
with
what
a
case
investigation
is
a
good
name
for
it.
When
you
don't
know
what
the
spread
is,
you
can't
say
definitively
that
something
is
not
causing
the
spread
and
that's
that's
the
issue,
and
so
you
know
it's
easy
to
say:
colleges
aren't
contributing
to
the
spread
when
you
don't
do
the
data
or
have
the
ability
to
track
it.
A
Just
like
it's
easy
to
say,
bps
isn't
doing
it
or
something
or
public
transportation
or
whatever
it
is,
or
restaurants.
If
you're
not
doing
the
data
to
actually
track
what
is
causing
the
spread,
then
you
can
do
the
opposite
and
then
try
to
allege
that
none
of
those
things
is
contributing
to
the
spread.