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From YouTube: Committee on Ways & Means FY23Budget: BPHC pt. I
Description
Dockets #0480 - 0486 - Fiscal Year 2023 Budget: Boston Public Health Commission Part. I
A
For
the
record,
my
name
is
tanya
tania,
fernando
anderson,
the
district
7
city
councilor.
I
am
the
chair
of
the
boston
city
council
committee
on
ways
and
means
this
hearing
is
being
recorded.
It
is
being
live
streamed
at
boston.gov
for
slash
city
dash,
council
dash
tv
and
broadcast
on
xfinity
channel
8,
rcn,
channel
82
and
files
channel
964.
A
The
council's
budget
review
process
will
encompass
a
series
of
public
hearings
beginning
in
april
and
running
through
june.
We
strongly
encourage
residents
to
take
a
moment
to
engage
in
this
process
by
giving
testimony
for
the
record.
You
can
do
this
in
several
ways
attend
one
of
our
hearings
and
give
public
testimony.
A
We
will
take
public
testimony
to
at
each
departmental
hearing
and
also
at
two
hearings
dedicated
to
public
testimony.
The
full
hearing
schedule
is
on
our
website
at
boston.gov
for
slash
council
dash
budget.
Our
scheduled
hearings,
dedicated
to
public
testimony
was
on
april
26
at
6
pm
and
the
following
on
june,
2nd
at
6
pm.
You
can
give
testimony
in
person
here
in
the
chamber
or
virtually
via
zoom
for
in-person
testimony.
Please
come
to
the
chamber
and
sign
up
on
the
sheet
near
the
entrance
for
virtual
testimony.
A
Boston.Gov,
when
you
are
called
to
testify,
please
state
your
name
and
affiliation
and
residence
and
limit
your
comments
to
two
minutes
to
ensure
that
all
comments
and
concerns
can
be
heard.
You
can
email
your
written
testimony
to
the
committee
at
ccc.wm,
boston.gov
submit
a
two-minute
video
or
your
testimony
through
the
form
on
our
website
for
more
information
on
the
city
council
budget
process
and
how
to
testify.
A
Please
visit
the
city
council's
budget
website
at
boston.gov
for
slash
council
dash
budget.
Today's
hearing
is
on
dockets
zero.
Four,
eight
zero,
zero,
two
zero
four
eight
two
orders
for
the
fy
23
budget
operating
budget,
including
annual
appropriations
for
departmental
operations
for
the
school
department
and
for
other
post-employment
benefits.
Opeb
dockets
0-483
orders
for
capital
fund
transfer
appropriation
stock
is
zero.
Four,
eight
four:
two
zero
four:
eight
six
orders
for
the
capital
budget,
including
loan
orders
and
lease
purchase
agreements.
A
A
Public
health
of
sorry,
commissioner
of
public
health
city
of
boston
and
executive
director
of
boston,
public
health,
commission,
tim
harrington,
director
of
administration
and
finance
bphc
welcome.
I
am
joined
today
by
my
colleagues,
counselor
aaron
murphy
at
large
councilor
president
ed
flynn,
district
2,
councillor
ruthie
louisian
at
large
councilor
liz,
braden
district
9.
A
Just
for
the
format
so
that
you
are
aware
good
morning,
we
will
give
you
approximately
10
to
15
minutes.
If
you
need
more
20
minutes
is
good
to
for
your
presentation,
then
we'll
go
to
first
round
of
questioning.
Each
counselor
will
have
eight
minutes
to
manage
their
time.
I'm
going
to
ask
counselors.
They
not
ask
all
their
full
questions
in
the
eight
minutes.
Please
manage
your
time
so
that
you
are
asking
your
questions
and
getting
your
answer
within
the
eight
minutes,
so
that
it's
not
full
questions.
A
A
A
So
then
we'll
go
to
public
testimony
and
they
will
have
anyone
who
signs
up
will
have
two
minutes.
Each
then
second
round
same
thing,
eight
minutes
again
and
then
third
round,
whatever
the
time
permits
we
kind
of
just
divvy
up
that
through
between
counselors
and
wrap
up
at
that
time,
and
hopefully
we
finish
on
time
at
1pm
and
now
without
further
ado
I'll
hand
it
over
to
the
administration,
for
your
presentation,
welcome
and
please
state
your
name
and
again
your
title
and
affiliation
for
the
record.
You
now
have
the
floor.
B
Great
good
morning,
everyone
and
good
morning,
chairperson
anderson,
thank
you
for
the
opportunity
to
testify
before
you
today
regarding
the
boston
public
health
commission's
fy23
budget.
For
the
record,
my
name
is
dr
basila
ojukutu,
I'm
the
commissioner
of
public
health
for
the
city
of
boston
and
the
executive
director
of
the
boston
public
health
commission.
I'm
joined
here
this
morning
by
tim
harrington,
who
is
bphc's
director
of
administration
and
finance.
A
Doctor,
I'm
so
sorry
michelle
we
actually
I
don't.
I
don't
have
a
copy,
do
we
have
it
online?
So
I
can.
A
B
Thank
you,
councillor
anderson,
the
mission
of
the
boston
public
health
commission,
as
the
city's
health
department
is
to
protect,
preserve
and
promote
the
health
and
well-being
of
boston's
residents,
particularly
those
who
are
most
vulnerable.
Our
priority
areas
are
on
the
slide.
They
are
racial
justice
and
health,
equity,
workforce
development,
informatics
and
data
and
collaborative
partnership
with
surrounding
communities.
B
We
carry
out
our
mission
under
the
supervision
of
a
seven-member
board
of
health,
which
is
appointed
by
the
mayor.
The
board
is
responsible
for
appointing
bphc's
executive
director
approving
our
budget
and
has
independent
regulatory
authority
consistent
with
its
role
as
a
board
of
health
under
state
law,
and,
as
you
all
know,
the
board
is
made
up
of
leaders
in
health
care,
public
health
and
organized
labor,
and
provides
really
valuable
strategic
guidance
to
our
leadership,
team
and
staff.
B
B
B
B
As
you
all
are
aware,
the
public
health
emergency
declaration
that
was
issued
by
bphc
and
then
ratified
by
the
board
of
health
back
in
march
of
2020
was
rescinded
on
april
1st
of
this
year,
and
even
though
that
emergency
declaration
was
rescinded,
the
pandemic
efforts
and
responses
are
still
underway.
We
want
to
prepare
for
potential
future
surges,
so
it's
definitely
a
focus
of
a
lot
of
our
efforts
and
looking
at
this
slide,
I
want
to
emphasize
that
we
are
not
quite
out
of
the
woods.
B
We
are
watching
our
trends
in
our
data
very
very
carefully
and
we're
making
plans
to
ensure
that
our
boston
residents
are
safe
and
have
access
to
healthcare
as
they
need
it,
with
particular
focus.
We
pay
attention
to
viral
wastewater
concentration,
which
has
been
increasing.
This
is
of
concern
because
it
predicts
what's
happening
or
what's
going
to
happen
in
terms
of
cases
as
well
as
hospitalizations.
B
B
We
are
very
focused
on
our
hospitalization
data,
because
we
don't
want
our
hospitals
to
be
under
strain.
We
have
seen
an
increased
trend
in
terms
of
new
hospitalizations,
which
is
a
cause
for
concern
and
vigilance.
We
are
in
close
consultation
and
speaking
regularly
with
our
hospital
partners
to
understand
what
their
particular
concerns
are,
and
their
strains
are
just
so
you're
aware
in
terms
of
cases-
and
I've
said
this
in
previous
meetings.
B
The
highest
proportion
of
cova
cases
right
now
are
in
those
under
50,
but
hospitalizations
are
increasing
over
all
age
groups,
particularly
in
the
elder
elderly
population,
which
is
of
concern.
We
know
that
older
individuals
remain
at
very
high
risk
for
severe
outcomes
and
and
negative
outcomes
from
covet
19..
B
So
our
focus
right
now
at
the
commission
is
really
working
with
the
public
with
the
communities.
In
terms
of
communication,
to
provide
accurate,
timely
information
about
their
risk
and
to
provide
them
with
strong
recommendations
about
what
people
should
be
doing
to
mitigate
their
risk,
important
in
that
is
that
we're
really
emphasizing
testing
and
I'll.
Tell
you
a
little
bit
more
about.
B
You
know
what
we're
doing
in
terms
of
our
testing
resources
and
then
we're
also
emphasizing
the
fact
that
therapeutics
or
treatment
is
available,
particularly
for
those
at
highest
risk.
C
B
B
Unfortunately,
we
do
not
have
data
yet
from
the
state
on
the
proportion
of
uptake
of
second
boosters.
On
this
slide,
you
see
the
maps
to
your
left
are
highlighting
persistent
disparities
by
neighborhood.
The
lighter
colors
in
both
maps
indicate
lower
levels
of
vaccination
and
boosting
by
neighborhood.
As
it's
been
the
case
since
vaccination
and
boosting
was
rolled
out,
matapan
does
have
the
lowest
vaccination
boosting
rate.
B
However,
I
do
want
to
emphasize
that
that
disparity
has
been
decreasing.
Most
recently,
approximately
59
percent
of
matapan's
residents
are
fully
vaccinated,
so
we've
been
working
really
hard
with
community
groups
and
with
key
stakeholders
and
with
residents
to
ensure
that
they
have
access
and
they
feel
confident
in
in
terms
of
their
in
terms
of
vaccination.
B
B
Seventy
percent
of
white
children,
sixty-five
percent
of
asian
versus
thirty-three
percent
of
latinx
and
twenty-six
percent
of
black
children
have
been
fully
vaccinated
at
this
time.
So
we've
been
working
really
hard
in
terms
of
our
cover
19
response
as
a
city
to
make
sure
that
testing
is
available.
Our
standing,
pcr
testing
sites,
anacol
bowling
building
and
west
end
have
remained
open
and
active
and
available
for
services,
all
of
which
is
free.
B
We've
also
in
the
course
of
the
last
year,
distributed
over
1
million
individual
rapid
antigen
testing
test
kits
and
put
them
in
the
hands
of
residents
who
need
them
most
and
then.
Lastly,
I
want
to
mention
in
terms
of
cobia
19.
We
are
developing
a
cope
at
19
surge
plan
for
the
city.
This
has
been
an
ongoing
process
and
we're
working
with
a
number
of
different
stakeholder
stakeholders
to
get
this
out
as
quickly
as
possible.
B
We're
doing
at
the
health
commission,
one
of
the
things
I
think
is
important
to
mention
is
our
work
to
advance
and
to
essentially
advance
the
work
and
eliminate
health
and
equity.
Bphc
was
among
the
agencies
that
received
funding
to
support
the
implementation
of
the
declaration
of
racism
as
a
public
health
crisis.
B
B
What
we've
done
with
this
funding
has
been
instrumental
in
getting
a
better
sense
of
exactly
what
the
disparities
are
around
the
city,
having
data
available
we're
working
towards
improving
our
data,
that's
available,
and
I
think
that
this
has
been
incredibly
important.
We
outlined
a
lot
of
this
in
our
accomplishments
document
that
was
submitted
to
you
all
prior
to
this
meeting.
B
You
all
are
aware
that
this
afternoon,
we'll
be
talking
about
this
work
in
more
detail,
but
just
to
say
that
it's
certainly
one
of
what
we
consider
to
be
work,
that's
ongoing,
but
it's
certainly
work
that
we've
spent
a
lot
of
time
on,
and
particularly
the
tent
to
housing
initiative.
Moving
people
from
the
encampments
to
low
threshold
housing
has
been
really
important.
B
I
also
want
to
mention
that,
within
that
work,
we've
been
focusing
on
equity
and
we
did
an
equity
analysis
that
has
demonstrated
that
we
have
been
able,
by
race
and
ethnicity,
to
get
people
low
threshold
housing
in
a
way
that
we
consider
to
be
equitable,
but
that
work
is
ongoing.
You
know
we're
continuing
to
focus
in
on
who
we're
helping
and
how
much
services
how
much
services
are
available
for
every
person
who's
suffering.
B
I
also
want
to
mention
our
process
and
what
we're
doing.
I
know
I've
spoken
about
the
number
of
you
all
about
this,
our
work
to
support
efforts
in
regards
to
behavioral
and
mental
health.
B
Lastly,
I
just
want
to
mention
that
it's
really
important
that
we
maintain
our
workforce
and
the
delivery
of
core
public
health
services,
in
particular
things
like
data
I.t
surveillance,
we're
opening
a
center
for
public
health,
science,
technology
and
innovation
at
bphc,
working
with
many
academic
partners,
really
strengthening
our
ability
to
produce
good
data
and
working
very
hard
to
do
so.
In
addition,
we
will
we
are
working
towards
reaccreditation.
B
B
They
do
overall,
infectious
disease
surveillance,
investigation
of
case
outbreaks
and
work
towards
funding
and
promoting
a
continuum
of
hiv
related
education
and
care
throughout
the
ryan
white
hiv
aids
treatment
work
that
that's
ongoing
within
the
bureau.
They
also
do
an
enormous
amount
of
work
within
the
community
providing
community
as
well
as
provider
education
in
regards
to
communicable
diseases
throughout
the
course
this
past
year,
idv
or
the
infectious
disease
bureau
has
expanded
its
capacity
to
deliver
services
and
health
consultation
in
six
languages,
which
has
been
incredibly
important
for
increasing
access
for
individuals
around
the
city.
B
Idb
has
also
provided
ongoing
content
and
clinical
infection
control,
subject
matter,
expertise
which
has
been
important
for
occupational
health,
both
with
nba
phc
as
well
as
beyond,
and
in
fy
23.
We
hope
to
build
on
our
surveillance
infrastructure,
it's
incredibly
important
to
have
that
available
within
our
city
and
to
strengthen
our
engagement
with
boston,
medical
providers,
build
connections
with
and
increase
our
community
engagement
efforts
and
increase
our
understanding
of
the
current
needs
and
service
gaps,
particularly
for
people
living
with
hiv.
B
B
within
the
chronic
disease
prevention
and
control
component
of
the
community
initiatives.
Bureau
we've
really
been
focusing
in
on
prevention,
so
they
supported
25
summer
fitness
series
classes
and
a
seven
part
winter
fitness
series,
which
is
basically
an
opportunity
for
people
to
get
in
shape,
even
though
you
know
some
of
that
was
virtual
and
they
reached
3
800
residents
and
then
lastly,
I'll
mention
the
boston
asthma
home
visit
collaborative,
which
conducted
over
500
in-person
and
virtual
asthma
home
visits
to
support
individuals
and
families
with
asthma
management.
B
This
has
been
really
important
because
we
know
how
important
and
how
much
asthma
causes
disparities
within
our
communities.
So
in
terms
of
goals
for
the
next
year,
the
mayor's
health
line
will
expand
and
increase
its
work,
particularly
to
focus
in
on
young
men
between
the
ages
of
18
and
25.
To
reduce
the
numbers
of
those
who
are
uninsured.
B
B
They
also
did
a
lot
of
advocacy
in
terms
of
legislation
to
facilitate
review
of
fetal
and
influence
infant
deaths
to
identify
root
causes
of
inequities,
particularly
racial
and
ethnic
inequities.
That's
really
important
their
behavioral
health
centers
conducted
3,
300
visits
and
expanded
telehealth
services,
because
that
was
obviously
necessary
during
this
pandemic
period
and
in
addition,
I
just
want
to
comment
that
our
neighborhood
trauma
team
network
supported
provided
support
to
97
percent
of
the
gun
or
stabbing
incidents
in
the
city
throughout
the
past
year
and
provided
services
to
587
residents
impacted
by
violence.
D
For
our
bureau
of
recovery
services,
the
proposed
budget
is
8.9
million,
which
is
an
increase
of
3.7
percent
for
our
caf
bureau.
It's
14.7
million,
an
increase
of
1.3
percent
for
community
initiatives,
it's
5.9
million,
an
increase
of
2.2
percent
for
boston
ems,
it's
71.5
million,
which
is
an
increase
of
5.1
percent.
D
D
D
The
budget
will
be
22.1
million,
an
increase
of
19.25
percent.
Again,
that's
because
of
a
proposed
new
investment
which
I'll
talk
about
in
a
minute
for
our
administrative
offices,
10.5
million
an
increase
of
4.78
percent
in
our
property
division.
The
budget
would
be
just
over
5
million.
An
increase
of
4.3.35
percent
ems
revenue
proposed
is
37.8
million,
a
proposed
increase
of
six
just
over
six
percent,
and
then
our
oped
figure
is
level.
From
last
year.
2.25
million.
D
For
our
proposed
new
investments
for
fy
23
I'll
go
through
these
there's
going
to
be
a
few
different
slides
throughout
the
presentations
both
this
morning
and
this
afternoon
to
talk
about
each
one
of
these
first
one
is
four
ems
ftes
to
staff
a
co-responder
unit
with
our
best
clinicians,
then
20
ems,
efts
ftes,
to
staff.
Two
additional
frontline
ambulances
chief
hooley
will
be
here
this
afternoon
to
talk
about
that.
Actually
to
talk
about
both
of
those,
then
there's
a
transfer
proposed
transfer
of
funding
from
hhs
of
1.75
million
for
the
city-wide
mental
health
response.
D
There's
four
ftes
proposed
for
our
behavioral
health
initiative.
Dr
ojikutu
will
talk
about
that
investment
in
a
moment.
B
Great,
thank
you
tim.
So,
as
tim
mentioned,
there
are
two
new
investments
that
I'd
like
to
talk
about.
Very
briefly,
one
is
regarding
the
office
of
public
health
preparedness
and
they
have
led
much
of
the
commission's
work
in
regards
to
coven
19,
but
they
also
do
a
lot
of
other
work
in
regards
to
emergencies
and
sort
of
preparing
our
city,
along
with
other
city
departments,
to
withstand
any
sorts
of
emergencies.
D
So
these
are
our
new
budget
capital
budget
requests
for
fy23
within
the
the
materials
that
we
submitted
is
the
full
list
of
the
ongoing
capital
budget
requests
that
we
have
at
bphc
and
during
the
hearing,
I'm
happy
to
answer
any
questions
about
them.
But
these
are
the
new
proposed
requests
that
we
have
for
this
year.
D
That's
something
that
that
needs
to
be
done,
and
then
the
second
new
request
is
at
201
river
street,
our
transitions
building
out
in
matapan,
and
it's
4.85
million
for
a
proposed
new
hvac
system
in
that
particular
building.
It's
something
that's
kind
of
long
overdue.
So
those
are
our
two
new
capital
budget
requests
for
this
particular
fiscal
year.
C
A
I
have
I
just
like
to
acknowledge
that
my
colleagues,
frank
counselor,
frank
baker
and
counselor
kenzie
bach
has
joined
us
and
I
also
have
a
letter
to
read
from
counselor
julia
mejia,
who
is
absent
today,
dear
madam
chair
and
members
of
the
ways
and
means
I
am
writing
to
inform
you
of
my
absent
during
today's
city
council
hearing
on
docket
0.020486,
fy23
budget,
boston,
public
health,
commission,
a
representative
for
my
staff
will
be
listening
in
and
following
up
with
me,
I
look
forward
to
reviewing
the
footage
and
following
up
as
need,
be.
A
I
am
submitting
the
following
questions
to
be
entered
into
the
record
with
the
hopes
of
getting
response,
a
response
from
the
administration
either
during
or
after
the
hearing
I'll
allow
counselor
mejia
to
have
her
eight
minutes,
I'll
read
them
into
the
record
and
if
we
go
over
then
I'll
continue
in
second
round
first
question
from
counselor
mejia:
can
you
provide
us
with
some
information
regarding
the
youth
development
network?
How
many
people
are
currently
staffed
in
that
program?
A
B
You'd
like
me
to
answer
please
each
one
now,
so
I
think
that
overall,
there
are
hiring
challenges
across
the
commission,
and
I
think
this
is
not
just
here,
but
it's
in
public
health
departments.
You
know
across
the
country.
I
have
looked
at
our
staffing,
both
you
know
within
the
caf
bureau,
as
well
as
across
the
commission,
and
we
have
a
lot
of
positions
a
lot
of
openings
right
now,
and
this
has
been
a
challenge.
B
I
think
there
are
many
reasons
why
that
challenge
challenge
has
occurred,
certainly
one
being
our
compensation,
which
is
an
issue
that
we're
working
on
and
I'll
talk
about
what
we're
working
on.
When
I'm
done
with
the
the
issues
two,
I
think
the
residency
requirement
has
caused
challenges
for
people,
largely
because
of
money.
B
You
know
and
the
high
cost
of
living
in
boston
and
then
I
think
in
general,
we've
been
working
on
a
number
of
you
know,
issues
related
to
staff,
appreciation
and
people
feeling
tired,
and
you
know
a
little
worn
out
by
cover
19
by
the
work
that
we've
had
to
do,
and
I
think
it's
important
for
us
to
acknowledge
that
our
workforce
in
general-
and
I
specifically
say
you
know
our
public
health
workforce
is
drained
right
now.
So
if
I
could
speak
specifically
to
what
we've
done
and
what
we're
working
on
and
why.
B
We
think
that
this
is
so
important
within
the
first
week
of
me
starting
this
role
in
september,
we
did
a
survey,
a
staff,
you
know
survey
and
just
to
understand
where
people
are
at
what
are
they
feeling?
What
are
the
challenges
that
they're
facing
and
from
that
survey
we
took
those
responses
and
we
developed
the
workforce
improvement
program.
B
Diversity,
equity
inclusion,
which
are
ongoing,
problematic
areas,
I'll
say
that
it's
something
we're
working
on,
but
it's
certainly
something
we
can
all
improve
on
as
well
as
other
issues,
particularly
you
know
concerning
you
know
how
you
know.
Well,
people
actually
feel
appreciated
within
the
workplace
and
what
is
it
that
we
can
do
in
terms
of
increasing
communication
between
those
in
the
executive
office
and
our
staff
in
general?
So
this
program
was
rolled
out
in
september
and
since
then
I
think
we've
had
a
number
of
achievements
within
wynn
one.
B
We
are
working
on
issues
related
to
staff,
morale
and
staff
appreciation.
We
have
a
an
employee,
wellness
program
that
provides
opportunities
for
you
know
mental
health,
behavioral
health
expression
staff
support,
and
we
do
that
on
a
weekly
basis.
We've
increased
our
communication.
I
reach
out
to
staff,
speak
to
staff,
one
on
one.
I
have
open
door
office
hours
and
we've
gotten
a
lot
of
good
feedback
from
that.
I
think
that
in
of
itself
makes
people
feel
like
they
belong.
B
You
know,
I
think,
that
some
of
that's
a
bit
out
of
our
control,
but
we
are
working
on
it
and
I
can
say
that
we're
meeting
once
a
week,
our
entire
staff,
human
resources
executive
office
finance
all
of
us
to
talk
about
how
we
can
incentivize
people
to
stay
in
public
health,
because
these
are
this
is
our
essential
workforce
and
that's,
I
think
that
speaks
to
what
we're
doing
in
terms
of
not
only
the
youth
development
network,
but
all
of
our
programs
at
the
commission.
B
B
I
think
that
we
have
worked
together
quite
collaboratively,
particularly
with
our
neighborhood
trauma
network
and
a
lot
of
the
work
that
they
do.
I
think
that
there's
you
know
been
interaction.
Working
together
coming
up
with
sort
of
common
goals.
B
I
think
that
we
have
to
work
together.
We
don't
have
a
choice
because
a
lot
of
the
issues
that
we're
dealing
with
they're,
not
just
public
health
issues.
We
are
talking
about
public
safety
and
we
have
to
have
a
common
goal
and
I
think
we're
getting
there.
You
know
it's
it's
it's
it's
challenging
sometimes,
but
I
think
that
we
do.
We
definitely
understand
the
importance
of
bps
and.
B
B
Exactly
exactly-
and
you
know
my
mind
was
on
it
because
that's
where
we
that's
where
we
came
from
okay,
so
I
apologize
for
that.
So
let
me
go
back
so
bphc
obviously
works
with
bps
on
many
different
levels.
Let
me
just
give
you
an
example
and
I'll
be
brief,
because
I
know
that
now
I've
taken
up
a
lot
of
time.
So
one
of
the
areas
that
we
work
very
closely
with
bps
is
on
you
know.
A
hot
topic
right
now,
obviously
is
covet
19..
B
So
we
have
our
medical
director
of
our
infectious
disease
bureau,
who
works
with
bps,
to
coordinate
all
of
the
efforts
in
regards
to
covenanted,
whether
it
be
from
testing
the
surveillance
strategies,
the
the
pool
testing,
as
well
as
the
rapid,
antigen
testing
developing
protocols
procedures.
She
essentially
spends
probably
about
70
percent
of
her
time
with
bps.
B
I
also
meet
with
bps
on
a
regular
basis
to
coordinate
activities,
and
this
ongoing
ability
to
coordinate,
I
think,
has
made
boston
public
schools
safer
for
kids,
as
well
as
families
in
multi-generational
homes
living
with
vulnerable
parents
and
grandparents
throughout
this
pandemic.
So
I
apologize
again
for
deviating,
but
I
hope
that
answered
your
question
or
counseling.
He
has
questions
no.
A
Worries
counselor
me
here
only
has
a
few
seconds
and
the
other
two
questions
seem
to
probably
need
the
same
amount
of
time,
so
we'll
reserve
her
last
questions
for
later.
A
First,
on
my
list
I'll
go
to
my
council
colleagues
and
and
with
myself,
counselor
murphy.
E
E
B
Thank
you
for
that
question.
Counselor
murphy
part
of
the
plan
with
the
center
for
behavioral
health
and
wellness,
which
is
what
I
described
earlier,
and
what
we
have
you
know
acquired
before
we're
asking
the
four
ftes
for
is
to
explore
and
expand
services,
not
just
for
youth,
because
I
think
that
we're
talking
about
across
the
age
span,
but
also
to
expand
services
for
elderly
individuals
and
for
veterans
and
for
all
boston
residents.
That
is
incredibly
important.
We
know
that
their
unmet
needs.
B
We've
done
a
number
of
surveys,
most
recently,
one
done
by
our
office
of
racial
equity
and
community
engagement,
which
basically
showed
that
that
was
a
top
priority
for
many
of
our
residents
and
not
only
is
it
a
top
priority,
but
it's
a
priority
that
we
hope
to
make
more
make
services
more
diverse.
I
mean
people,
don't
just
want
mental
health
services,
people
don't
just
want
behavioral
services,
they
want
services
in
languages
that
they
that
are
their
home
languages
and
they
want
services
by
diverse
providers,
and
they
don't
necessarily
want
standard.
Necessarily.
B
You
know
mental
health
services.
They
want
things
that
are
familiar
to
them
and
acceptable
to
them,
and
that's
absolutely
what
we're
focused
in
on.
E
Thank
you,
and
could
you
speak
to
where,
in
the
budget
you
are
supporting
community
health
centers?
We
know
that
many
of
our
residents
use
them
for
lots
of
their
medical
and
health
services
and
needing
to
expand
those
services
and
connecting
with
our
residents.
More
so
is
there
an
investment
to
support
more
in
our
community
health
centers.
B
Yes,
there
is,
we
certainly
have
in
our
budget
where
we've
supported
and
will
continue
to
support
community
health
centers,
both
not
just
in
covenanting,
because
that's
certainly
been
a
priority
and
we've
offered
funding
and
we'll
continue
to
offer
funding
to
them
to
increase
testing
as
well
as
vaccinations,
but
for
other
services.
We
also
provide
support
to
most
of
the
community
health
centers.
It
really
is,
though,
about
our
communication
with
them.
Some
of
them
need
more
than
others,
and
we
try
to
gauge
it
based
on
what
their
needs
are.
F
E
And
I
you
mentioned
it
a
few
times
and
I
understand
and
appreciate
that
covet
19
has
completely
overshadowed
almost
everything
you're
doing
at
the
public
health
commission,
but
we
know
that
there
are
countless
other
health
and
medical
needs
of
our
residents,
and
people
have
missed
regular
checkups
cancer
screenings.
So
many
other
important,
regular
checkups.
You
know
that
keep
us
healthy.
E
B
Absolutely
thank
you,
councilor
murphy
and
I
think
that's
one
of
our
main
concerns
both
in
our
interactions
with
community
health
centers
and
in
our
community
initiatives
bureau.
So
we
plan
to
gear
the
funding
that
we
are
offering
and
would
make
available
to
community
health
centers
to
focus
in
on
addressing
some
of
these
other
needs.
It's
the
I
don't
you
know.
Maybe
it's
called
collateral
damage
from
copenhagen,
where
so
many
people
have
been
out
of
care.
That
will
be
the
target
of
the
funding
that
we
will
be.
You
know
allocating
to
community
health
centers.
B
I
think
you
know
it's
also
very
important
for
us
to
note
that
we
do
have
community
outreach
and
community
health
workers.
We
have
the
mayor's
health
line.
We
have
services
available
where
people
are
not
just
getting
access
to.
You
know,
resources
related
to
covet
19,
but
certainly
they
should
reach
out
and
to
avail
themselves
of
the
services
that
we
have
to
deal
with.
Many
health
issues.
E
Okay,
before
I
run
out
of
time-
and
I
know
this
afternoon's
focus-
is
on
the
homelessness
and
recovery,
but
I
do
so.
I
do
want
to
go
on
record
saying
I'm
definitely
in
support
of
rebuilding
the
long
island
bridge,
but
I
do
notice
on
page
108
in
the
budget,
if
you
could
just
explain
why
we're
continuing
to
spend
1.3
million
out
there
if
and
it
continued
to
go
up.
You
know
since
it's
closed.
So
if
we
could
talk
about
what
that
expense
is
there.
D
Yeah,
the
1.3
million
is
essentially
the
utilities
to
cover
those
buildings
all
day.
You
know
electrical
and
water.
My
sense
is
that
number
has
stayed
the
same
over
the
last
several
years
and
then,
as
far
as
the
larger
plan
to
renovate
those
buildings,
you
know
there's
kind
of
a
two-stage
process
that
we're
working
with
on
the
city
stage.
One
is
the
stabilization
of
those
buildings,
which
is
a
20
million
dollar
figure
that
the
city
is
going
to
do
and
then
there's
the
much
larger
plan
you
know
bphc
will
be.
D
You
know
very
much
involved
with
all
those
discussions
around
the
future
of
the
the
campus
and
what
it'll
look
like,
but
exactly
the
renovations-
and
you
know
just
sort
of
the
upkeep
of
all
those
buildings
we're
working
with
the
city
to
handle.
E
D
B
I
don't
think
we
have
a
targeted
number
of
people,
we're
hoping
to
do
a
lot
of
coordination,
education,
communication
with
people
to
overcome
the
stigma
and
address
some
of
the
workforce
needs
we're
trying
to
with
a
lot
of
the
initial
money.
We're
really
going
to
be
trying
to
build
a
better
pipeline
of
providers.
G
Thank
you,
madam
chair,
and
thank
you
to
the
panel
for
the
important
work
that
you're
doing
with
the
recent
accident
at
the
boston
edison
plant,
I'm
concerned,
and
I've
expressed
this
about
the
air
quality
in
the
neighborhood,
potentially
harmful
chemicals
or
asbestos
could
have
been
released
into
the
neighborhood.
I
did
ask
for
a
a
way
for
us
to
monitor
the
testing
in
the
neighborhood
to
make
sure
that
some
of
this
pollution
is
not
stem
going
into
the
community
ongoing
testing
and.
G
You
know,
monitoring
is
critical.
Are
you?
Are
you
working
on
that
issue,
and
can
you
give
us
an
update
about
it?
I
know
I've
reached
out
to
various
city
officials
about
that.
B
So
I
think,
that's
an
incredibly
important
environmental
health
concern.
Our
environmental
hazards
program
does
a
lot
of
work
preventing
as
well
as
monitoring
and
dealing
with
public
health
hazards
over
the
course
of
last
year
I
mentioned
that
we
addressed
more
than
600
of
these
sorts
of
issues,
and
certainly
that
is
something
that
we
we
work
on.
But
in
terms
of
specifics
I
will
need
to
get
back
to
you
on
any
specifics
related
to
that
incident.
G
Okay,
thank
you
and
the
reason
I
bring
it
up,
my
neighborhood
in
south
boston.
We
have
the
highest
rate
of
lupus
for
for
many
decades,
actually,
scholar
dermer
as
well
various
respiratory
issues,
so
my
constituents
have
asked
me
to
make
sure
that
I
focus
and
prioritize
health,
their
health
as
well.
So
I
just
wanted
to
follow
up
and
thank
thank
you
doctor.
G
B
So
I
appreciate
that
question
counselor
flynn,
I'm
an
infectious
disease
physician
and
most
of
my
patients
when
I
was
practicing,
live
with
hiv,
so
very
much
so
concerned.
B
We
are
a
part
of
the
ending
the
hiv
ending
the
hiv
epidemic
network
throughout
suffolk
county
we've
been
given.
You
know,
access
to
funds
and
work
with
community
stakeholders
to
partner
around
this
issue.
It
was
a
federal
initiative
that
came
down
and
then
is
now
focused
on
on
counties
sort
of
local
areas,
the
goal
of
which
is
to
eliminate
hiv
or
you
know,
decreases
significantly
and
then
eventually
eliminate
it.
So
we're
very
much
so
involved
with
that
network.
G
Health
of
boston
are
we
still
putting
putting
that
edition
out.
B
B
A
number
of
things
have
gone
on
to
modernize
the
way
we
present
our
data
and
to
help
stratify
and
get
a
better
sense
of
what's
happening
for
different
race,
ethnicity,
as
well
as
people
of
different.
You
know
from
different
countries
of
origin,
so
one
of
the
things
that
we're
doing
within
our
center
for
public
health,
science
and
technology
is
coming
up
with
a
dashboard
so
that
that
dashboard
would
be
available
to
anybody,
including
the
counselors,
so
that
you
could
find
all
of
that
information
updated
routinely
updated.
B
So
you
would
know
what's
happening
by
neighborhood
by
you
know
different
health
metrics.
So
that's
one
of
our
goals
and
we're
working
on
that
again
weekly
here
at
the
commission.
So
the
other
piece
is
that
we
are
also
engaged
in
b
hems
or
the
behavioral
health
and
equity
measures.
The
boston
health
equity
measures,
where
we're
basically
working
with
hospitals
and
clinics,
to
get
data
from
them
and
be
able
to
talk
about
that
in
a
more
robust
way
than
we
might
do
by
self-report.
B
So
we're
working
on
that
data
and
we
will
hopefully
be
able
to
display
and
and
make
that
available
disseminated
to
community
members
in
that
in
that
way,
and
then
there
are
a
number
of
other
things
that
we're
doing
to
really
modernize
our
data.
G
Okay,
the
the
biggest
I
mean
I
I
used
to
love
reading
this
all
the
time
the
biggest
concern
I
have
and
I've
asked
I've
asked
public
health
to
to
work
with
me
on
it.
Is
they
don't
break
down
the
demographics
enough
for
me,
and
I
say
that,
because
you
know
the
asian
community
is
at
times
considered
just
one
one
large
group,
whereas
the
the
chinese
community
in
chinatown
has
the
highest
asthma
rate
of
any
ethnic
group
in
the
city,
but
that
doesn't
necessarily
mean
the
vietnamese
community
in
dorchester.
G
So
what
I'm
saying
is
I
don't
get
a
good
read
on
it,
because
they're
they're
considered
one
group
and
it's
been
frustrating
for
me
to
distinguish,
and
I
think
the
percentages
are
off
because
I
know
the
people
at
the
ritz
carlton
have
much
better
health
care
than
the
people
in
in
chinatown
that
are
immigrants.
G
So
what
I'm
asking
is
that
we
really
even
go
further
into
the
demographics
and
distinguish
a
distinct
distinguished
between
asian
people,
asian
population
living
in
poverty
that
might
be
living
next
door
to
a
millionaire
living
in
the
in
the
ritz-carlton
hotel.
G
So
if
you
could
work
on
that,
that's
that's
my
major
request.
I've
been
asking
for
that
for
five
years
and
no
one
seems
to
want
to
do
that
for
me,
but
it's
it's
it's
important
for
me
to
to
get
that
information.
B
Can
I
can
I
respond
to
that,
though,
because
that
is
also
extremely
important
at
the
commission.
This
idea
of
understanding
who
people
really
are
and
to
understand
nativity.
You
know
what
what
their
country
of
origin
is
and
actually
where
they
live.
Beyond
these,
you
know
neighborhood
geographical
boundaries
to
really
get
down
to
the
census
tract
level.
B
That's
part
of
what
I
was
sort
of
explaining
that's
what
we're
trying
to
do
we're
trying
to
get
better
data
for
you,
so
the
b
hems,
the
boston
health
equity
measures
that
is
going
to
go
to
a
more
granular
geographic
level,
so
you'll
have
more
information
by
census
tract
within
your
neighborhood,
and
I
also
with
this
this
precision
dashboard
that
we're
working
on.
B
We
are
looking
at
issues
of
country
of
origin
and
who
people
are
where
they
actually
sort
of
see
them
so
who
they
actually
see
themselves
to
be,
as
opposed
to
lumping
them
under
umbrellas
of
race
and
ethnicity.
That
may
not
mean
much
so
we're
we're.
Definitely
I
hear
what
you're
saying-
and
it
just
takes
a
little
bit
of
time
to
work
on
data
I.t
surveillance,
that
type
of
infrastructure.
H
Thank
you,
madam
chair,
and
thank
you
to
bphc
for
being
here,
dr
jojo.
I
don't
know
if
I
missed
this,
and
so
I
apologize
if
I
did,
but
you
have
re-referenced
the
citywide
mental
health
response
as
like
a
singular
entity.
So
can
you
just
describe
what
that?
What
that
is.
H
B
So
so
what
we're
trying
to
do
with
this
center
for
behavioral,
health
and
wellness
is
to
ensure
that
there
is
a
sort
of
a
central
location
so
that
people
know
where
to
go
so
they
could
be
connected
with
or
we
could
coordinate
with
other
entities
who
are
doing
a
lot
of
behavioral
and
mental
health
work
across
the
city.
But
it's
not
always
coordinated,
there's
oftentimes
gaps
that
we
know
are
unmet,
particularly
based
on
some
of
the
surveys.
B
The
community
engagement
surveys
that
we've
done
and
the
idea
with
that
particular
center
is
to
laser
focus
on
some
of
the
gaps
that
have
already
been
mentioned.
So
this
issue
of
workforce,
this
issue
of
diversity,
this
issue
of
making
sure
that
concerns
that
different
communities
have
are
being
met.
So
that
would
be
how
we
were
planning
to
approach
the
center,
and
in
that
way
we
hope
that
it
would
incorporate.
You
know,
be
inclusive
to
everybody
across
the
city,
but
I
don't
think
there's
any
one.
H
Okay,
so
let
me
just
give
an
example
like
if
I
I'm
a
I'm
an
immigrant
arrived
in
this
country
I
had
covered.
I
have
three
kids,
we've
been
suffering
from
displacement
and
I
just
don't
know
what
to
do.
I'm
suffering
from
mental
health,
let's
say
suffering
from
about
from
depression,
and
I
come
to
bphc.
What
is
the?
What
is
the
response?
What
does
that
look
like.
B
I
think
that
a
person
a
resident
that
you
described
might
first
talk
with
some
of
someone
from
our
mayor's
health
line
to
be
able
to
get
them
some
health
insurance.
First
and
foremost,
we
support,
I
believe,
nine
different
languages
on
the
mayor's
health
line.
B
It's
something
that
we
also
get
a
lot
of
calls
about
on
a
daily
basis,
so
part
of
this
center
is
not
to
necessarily
be
a
direct
service
provider,
but
it
is
to
help
coordinate
so
that
people
know
where
services
are
available
it's
online
and
if
you
don't
have
access
to
online,
we
have
the
mayor's
health
line.
We
have
other
people
who
can
provide
some
sense
of
direction
for
folks,
I
think
that's
what's
missing
in
a
lot
of
ways.
H
Right-
okay,
I
I
would
be
you
know
when
I
when
I
mentioned
the
citywide
mental
health
response.
I
know
that
there's
not
a
singular
one,
but
I
I
think,
when
we're
talking
about
the
mental
health
issues
that
we're
facing
that
have
really
become
more
acute
as
a
result
of
the
pandemic,
especially
for
boston,
public
schools,
but
just
generally
for
everyone
and
for
the
diversity
for
boston's,
diverse
population.
I
would
like
to
see
what
does
our
mental
health
plan
look
like
for
this
city?
H
I
think
that
would
be
something
that's
really
valuable
for
us,
as
city
councilors,
to
have,
but
also
for
residents
the
city
of
boston,
to
know
that
we
appreciate
mental,
like
the
mental
health
issues
that
our
residents
are
facing
and
here's
our
general
plan
of
what
access
to
resources
would
look
like.
H
Even
if
there's
not
like
you
know
it,
it's
not
like
this
singular,
singular
idea
or
the
singular
office
providing
folks
with
a
road
map,
especially
you
know
where
it's
mental
health
month,
I
think,
would
be
really
helpful
for
populations
that
actually
aren't
used
to,
for
a
number
of
reasons
based
on
stigma,
aren't
used
to
really
acknowledging
their
issues
as
mental
health
issues.
B
And
I
I
would
like
to
be
comprehensive
there,
so
I
would
like
to
get
that
response
to
you,
which
will
provide
an
overview
of
services
that
are
available,
and
probably
you
know
we
work
with
also
with
the
city
on
that.
So
I
think
it
would
be
helpful
if
we
got
you
back
with
a
formal
response.
H
Okay,
thank
you
and
what
does
bphd's
partnerships
look
like
with
mental
health?
Like
you
know,
third-party
providers
around
the
mental
space
who
are
themselves
either,
I'm
thinking
about
justice
about
vulnerable
populations
here
who
we
can
refer
or
work
in
partnership
with
when
it
comes
to
returning
citizens
or
immigrant
communities,
or
just
black
and
brown
therapists?
H
What
does
that
look
like?
What
does
the
infrastructure
that
bphd
may
be
building,
so
we
know
that
there's
a
greater
likelihood
for
folks
to
access
or
try
to
get
mental
health
services
if
their
providers
are
also
share,
similar
demographics
and
that's
an
area
where
we're
lacking-
and
you
know
when
I
look
at
the
numbers
regarding
who
you
know
bph
is
contracting
with
that,
doesn't
provide
much
comfort
either.
So,
what's
being
done,
there
we're.
B
Building
that
capacity
I
mean,
that's
really
the
one
of
the
key
focal
points.
This
whole
idea
of
what
do
the
services
look
like
and
what
does
what
should
workforce
look
like
in
terms
of
mental
health?
I
think
that's
going
to
be
a
key
role
of
this
new
center
and
we're
we're
gearing
up
to
to
move
that
forward.
So,
but
it's
definitely
high
on
our
priority
list.
H
B
So
I
believe
that
that
there
was
intentionality,
I
mean
there
have
been
several
programs
and
I
can
speak
to
you
know
a
couple
specifically,
but
in
general,
definitely
being
inclusive
of
people
who
are
diverse
and
who
are
coming
from
the
communities
that
we
know
are
hardest
hit
by
a
lot
of
these
issues.
That
has
been
that's
part
of
the
mission
of
the
boston,
public
health,
commission
and
certainly
part
of
the
mental
and
behavioral
health
work
that
we're
already
engaged
in.
I
think
the
key
thing,
though,
is
that
we
need
to
scale
that
up.
B
H
You
doctor
kotu
and
another
question
is:
can
you
just
describe
sort
of
the
formal,
the
formal
relationship,
if
any
like
that
exists
between
bphc
and
community
health
centers,
because
I
think
it's
important
for
us
to
know
what
the
strength
of
that
relationship
is
and
is
not
before
we
call
on
bphd
to
do
a
lot
more?
H
I
know
that,
for
me,
a
point
of
frustration
was-
and
you
know
during
the
pandemic-
has
been
the
lack
of
capacity
of
some
of
our
community-based
organizations,
particularly
in
matapan,
to
really
meet
the
needs
of
testing
to
meet
the
needs
of
of
providing
vaccinations,
and
every
time
I
was
told.
Well,
we
don't
you
know
we
don't
have
control
or
we're
not
really
able
to
step
in.
So
what
does
that
relationship
look
like,
so
that
we
know
what
we
need
to
do
on
our
end?
B
An
important
question
so,
as
I
mentioned
before,
we
do
provide
funding
to
the
chcs,
but
it's
very
different,
depending
on
which
chc
it
is
and
how
you
know
capacitated
they
already
are.
You
know
they
may
not
ask
for
funding
in
certain
areas.
So
we
definitely
have
that
sort
of
formal
relationship
with
them
in
regards
to
providing
funding,
and
that's
been
going
on
for
years
that
relationship
in
terms
of
funding
increased
because
of
cover
19..
B
So
then
we
had
larger
contracts
that
were
available
for
chcs
to
engage
in
testing
and
vaccination
outside
of
their
own.
You
know
patient
population
and
some
chcs
did
that,
and
they
did
a
lot
of
work
and
and
others
you
know
took
other.
You
know
opportunities
and
did
did
other
things
and
provided
services
in
their
own
way.
B
The
other
piece
that
I
think
is
important
to
mention
is
that,
on
our
board
of
health,
we
have
chc
designated
seats.
The
board
of
health
is
really
important
for
the
boston
public
health
commission.
We
take
direction
from
them.
They
they
actually,
you
know,
approve
our
budget,
so
they
are
aware
of
what's
what's
happening
so
currently,
mattapan
community
health
center
is
represented,
so
quali
valdez
is
there,
and
then
we
have
some
new
members
who
you'll
you
know
hear
about
in
subsequent
sessions.
So
that's
another
important
piece.
B
The
other
piece
is
maybe
less
formal,
but
our
staff
attend
the
boston
conference,
which
is
the
leadership
meeting
of
the
ceos
of
the
community
health
centers
on
a
regular
basis,
so
we're
hearing
from
them.
We
know
what
their
issues
are
constraints.
Are
we
bring
topics
to
them
and
see
if
they
can
scale
up
services
in
that
regard,
which
I
think
is,
is
an
important
piece
of
this.
So
if
they're
challenges
we're
able
to
bring
it
directly
directly
to
them.
H
H
All
right,
thank
you
and
thank
you,
for
I
you've
been
working
overtime
on
the
issues
facing
our
city,
specifically
with
the
pandemics.
I
just
want
to.
You
know,
get
hats
off
to
you
for
all
the
work.
I
know
that
it's
a
challenge,
especially
even
right
now,
as
we
are
looking
at
wastewater
levels
and
thinking
about
you
know,
which
way
to
go,
so
I
just
want
to
commend
you
because
it's
a
hard
space
to
be
in
and
you're
doing
a
great
job.
So
thank
you.
B
A
B
I
Thank
you,
madam
chair,
and
thank
you,
dr
ochiko,
and
thank
you
thank
you
both
for
being
here
this
morning,
tim
harrington,
good
one.
Thank
you.
First
off.
I
want
to
thank
you
for
the
the
testing
site
at
west
end
house
in
in
austin.
That's
it's.
It's
been
a
a
game
changer
out
there
to
help
us
and
just
track
what's
happening,
and
we
really
appreciate
your
help
in
getting
that
established
or
re-established
again
when
you
come
in.
Thank
you
so
much
one
question.
I
I
see
you
have
healthy
homes
assessment
and
I
was
wondering
what
that
involves
and
how
is
this
coordinated
with
our
the
boston
inspectional
services
department
if
it
is,
and
then
the
men
on
the
mental
health
side,
this
the
pediatric.
I
I
It's
we
reckon
that
austin
brighton
is
under
counted
by
about
5
000
people,
but
we
also
know
from
the
demographer
at
the
bp
bpda
that
his
estimation
that
there's
an
undercurrent
across
the
city
of
especially
immigrant
families
and
folks
who
english
is
not
their
first
language.
And
I
don't
know
how
how
you?
I
I
But
the
country
savvy
george
worked
on
getting
a
sharp's
disposal
set
up
and
I
think
we
all
thought
that
was
an
incredible
necessary
thing
to
have
in
our
communities,
because
we
have
so
many
folks
who
use
sharps
with
the
diabetics
people
who
are
giving
shots
to
their
pets
or,
and
we
are
finding
that
when
it
comes
to
actually
implementing
that
new
policy
that
we're
not
seeing
those
sharp
disposal
units
those
places.
B
Great
okay,
so
I'm
going
to
tackle
those
one
at
a
time
so
in
terms
of
the
healthy
homes
work,
our
healthy
homes,
inspections
do
result
in
referrals
to
isd
when
code
violations
are
found,
so
we
do
work
in
conjunction.
We
do
we
do
do
that
in
terms
of
the
types
of
things
that
they
actually
look
for.
I'd
like
to
provide
you
with
a
more
robust.
You
know
like
an
overview
so
that
you
exactly
you
know
exactly
what
they
will
be
looking
for
from
in
terms
of
inspections.
B
Your
second
question
was
about
mental
health.
In
general.
I
think
I
did
speak
a
lot
about.
I
spoke
less
about
prevention,
so
I
think
that
was
your
sort
of
your
perspective,
and
I
think
that
that
is
obvious
that
that's
an
obvious
piece
of
work
that
has
to
be
done
and
it's
part
of
our
center
for
behavioral
health
and
wellness.
B
The
chief
behavioral
health
officer,
who
we
hope
to
hire,
will
be
somebody
who
has
that
in
their
experience
and
had
particularly
has
it
in
youth
in
terms
of
dealing
with
mental
health
issues
or
preventing
mental
health
issues.
We
specifically
looked
for
that
and
hopefully
that
announcement
will
be
made
soon
in
terms
of
the
census
data,
yes
denominators
matter
and
they're
incredibly
important.
B
We've
been
I've
been
talking
to
our
research
and
evaluation
office
in
regards
to
how
we're
determining
denominators
and
understanding
what
our
population
count
is
and
they've
been
doing
an
enormous
amount
of
work
to
sort
this
out.
So
this
sort
of
relates
to
counselor
flynn's
question
earlier.
We
are
really
doing
some
restructuring
there
and
making
sure
that
we're
not
under
counting
people
making
sure
we
actually
know
who
people
are
language,
ethnicity,
country
of
origin.
So
we're
working
on
that
so,
but.
J
B
Definitely
high
on
our
on
our
priority
list
now
in
terms
of
sharp's
disposal,
so
my
understanding
is
that
we
supported
the
adoption
of
a
sharps
ordinance
and
are
supporting
isd
who
they
are
taking
the
lead
on
implementation,
not
not
us,
but
we
are
working
together
with
them
and
I
understand
that's
an
incredibly
important
issue.
The
last
thing
you
mentioned
was
recruitment
and
retention.
B
We
have
two
individuals
on
our
you
know
in
our
hr,
who
are
in
community
engagement,
work
who
do
this
work
on
a
regular
basis
to
recruit
folks
and
do
presentations
on
a
regular
basis.
It's
certainly
of
the
utmost
concern.
I
mean
public
health
infrastructure,
it
is
the
stuff
I
talked
about
with
data
and
I.t.
It's
these
agencies
and
these
bureaus,
but
it
really
is
about
the
people,
so
we
we
definitely
have
that
as
our
one
of
our
highest
priorities.
I
To
win,
oh
we've
got
two
minutes
fabulous.
Let's
see.
I
I
That's
fine
yeah
and
then
the
division
of
violence
prevention.
It
seems
like
just
from
your
your
presentation
that
a
lot
of
it
is
trauma,
support
which
is
hugely
important,
but
again
back
to
the
question
of
prevention.
Are
we
what
strategies
are
we
implementing
to
try
and
prevent
prevention?
It's
curious,
because
when
I
came
here
in
1995
and
I
worked
at
boston
university
hospital,
we
had
a
presentation
about
violence,
prevention
and
research
into
gun
violence,
and
then
all
the
funding
went
to
what
was
taken
away
from
researching
gun
violence.
B
It's
of
the
utmost
importance
in
terms
of
our
fy
23
goals
and
initiatives.
It
is
to
work
not
just
at
bphc
but
across
city
agencies
to
advocate
and
support
the
development
of
a
comprehensive
violence
prevention
plan
for
the
city
of
boston.
So
it's
incredibly
important
and
we're
maybe
revitalizing
some
of
the
work
that
you
know,
you're
referring
to.
I
Yeah
and
then
back
to
you
know:
pedia
pediatric,
young,
youth,
behavioral,
health,
mental
and
behavioral
health.
Are
we
working?
What
agencies
are
other
non-profits
groups?
Are
we
working
with?
I
know
in
austin
brighton.
We
have
also
brighton.
The
pauses
group
that
used
previously
was
the
also
brighton
substance
abuse
task
force,
and
they
they
do
a
lot
of
work
with
youth
and,
and
you
know,
teach
stress,
management,
strategies
and
and
wellness
as
a
focus
as
their
preventative
approach,
and
what
other
agencies
are
we
working
with,
and
how
do
we
support
those
those
groups.
B
B
The
other
piece
is
that,
with
this
center
of
behavioral
health
and
wellness,
we
will
be
convening
an
external
advisory
committee,
which
will
include
a
number
of
community-based
organizations
in
order
to
make
that
actually
community
oriented
and
work,
because
there
are
a
lot
of
things
that
are
happening,
as
you
mentioned,
that
we
want
to
incorporate
within
the
center.
K
Thank
you
so
much,
madam
chair,
and
thank
you
so
much
dr
odakutu
and
I
want
to
echo
counselors
thanks
for
all
the
vphc
does
every
day
had
was
doing
long
before
the
pandemic
and
then
has
sort
of
done
in
high
high
gear
during
the
pandemic.
I
really
appreciate
it.
I
wanted
in
the
context
of
all
that
work.
K
You
know
it's
always
like
slightly
crazy
to
add
things
to
your
docket,
but
I
know
that
this
this
pilot
funding
is
shifting
over
from
hhs
to
you
guys
in
terms
of
coordinated
mental
health
response
and
I'm
trying
to
get
a
better
feel
for
where
we
are
with
that
whole
process,
because
you
know
if
it's
obviously
we've
gone
through
a
bunch
of
transition
in
the
city
and
my
understanding
you
know
last
year
we
kind
of
put
money
into
looking
into
the
like.
K
K
That
is
looking
at,
like
you
know,
not
co-response,
but
actually
like
unarmed
mental
health
response
for
appropriate
calls,
and
I
know
that
that's
something
that
we
actually
rfp
out
to
have
somebody
work
on
a
community
process,
and
I
think
we
procured
that
and
I
think
that
work
is
extending
into
the
coming
fiscal
year.
But
what
I
don't
really
totally
understand
is
like
this
1.75
million
is,
that
is
that
operating
dollars
or
a
different
source.
K
Is
it
because
I
think
that
was
what
we
appropriated
last
year
so
obviously
operating
dollars
all
disappear
back
into
the
general
fund?
So
is
it
renewed
there's
still
no
positions
contemplated
there,
so
I'm
kind
of
trying
to
think
about.
Okay,
when
the
october
stuff
is
over,
do
we
have
funding
in
the
budget
to
potentially
implement
something
like?
D
D
I
think
you
know,
doctor
kutu
and
the
rest
of
the
executive
team
are
going
to
decide
exactly
how
we're
going
to
use
that,
whether
or
not
we
can
use
that,
for
you
know
both
mental
health
so
funding
or
attach
any
ftes
to
it.
But
do
you
want
to
add
to
that.
B
There's
still
a
lot
of,
I
think,
discussions
around
how
to
divide
that
money
up
the
work
that
has
moved
forward
I'll
speak
to
a
portion
of
that
the
community-led
design
group,
which
I
think
you're
aware
of
the
plan
to
create
a
pilot
of
a
community-led
response
to
mental
health
crises.
That
group
has
been
developed,
they've
been
identified
and
they've
been
meeting,
so
some
of
the
funding
is
going
towards
that
pilot
and
that
process
that
they've
pulled
together
and
that
will
go
into
fy
23.
K
Part
and
part
of
what
I'm
trying
to
understand
is
because
I
know
a
lot
of
community
advocates
who
are
very
committed
and
interested
in
that
in
that
design
process,
but
then
are
trying
to
understand.
Are
you
guys
holding
some
of
this
money
for
the
actual
implementation
of
something?
Because
I
think
nobody
wants
us
to
get
to
a
place
where
the
design
pilots
finished
in
october
november?
And
then
it's
kind
of
like
well
we're
just
going
to
pause
on
this
for
seven
months,
because
there's
no
money
in
this
operating
budget
to
do
anything.
C
B
And
I
think
that's
an
important
question.
That's
still
under
some
discussion,
largely
it's
because
some
of
the
money
was,
or
you
know,
was
related
to
what
ems
will
be
doing
in
terms
of
their
sort
of
co-responder
response,
which
is
what
you
related.
You
discussed
and
I
think
how
much
of
the
money
will
go
towards
ems
is
still
under
discussion.
Ems
will
be
here
this
afternoon,
and
we
can
talk
more
about
that
then.
B
But
I
I
do
hear
your
concern
like
how
much
of
that
money
will
actually
go
to
a
pilot,
and
that
is
money
that
probably
should
be
carved
out
of
that
1.75.
That
money
is
just
being
transferred
to
us
now.
So
there
is
some.
You
know,
movement
and
discussion
ongoing
work
to
decide
exactly
how
best
to
utilize
it,
but
I
I
completely
hear
your
concern.
K
So
I
just
I
think
I
would
say-
and
this
would
be
a
request
through
the
chair.
I
think
that
the
council
needs
to
understand
how
that
money's
being
split
between
these
strands
like
prior
to
budget
authorization
like,
I
think
we
need.
I
think
we
need
a
little
more
clarity
than
we've
got
right
now
on
that
lump
sum,
and
so
just
that
would
be
a
follow-up
that
I'd
love
to
love,
to
do
appreciating
everything
being
in
motion
here.
K
And
then
I
wondered
if
you
could
talk
to
me
a
little
bit
about
the
sort
of
real
estate
portfolio
of
the
pphc,
so
kind
of
two
related
questions.
K
So
one
is
I,
it
seems
like
from
what
I've
heard
that
we're
paying
a
pretty
considerable
lease
at
85
bragdon,
and
you
know
where
I
think
we
have
both
ems
special
operations
and
then
the
office
of
emergency
management
which
isn't
under
you
guys,
but
I
think
covers
that
lease
out
of
their
budget
and
my
impression
from
city
workers
is
that
that
facility
leaves
a
lot
to
be
desired
and
also
that
we're
paying
quite
a
lot
for
it.
So
I'm
trying
to
understand
sort
of
like
how
have
we
ended
up
there.
K
K
You
know
we're
doing
a
city-wide
audit
of
city-owned
land
and
opportunities
to
what
extent
is
bphc
participating
in
that
you
know,
and
thinking
about
you
know,
other
city
needs
like
housing,
etc
that
you
know
there
might
be
room
in
your
real
estate
portfolio
for
so
yeah.
D
It's
I
don't
know
if
you've
been
out
there
counselor
and
obviously
it's
a
large
garage
that
they
have
they
have
tons
of
stuff
in
there
they've
been
using
it
for
many
years.
It
is
an
expensive
lease.
I
believe
it's
around
30
or
32
thousand
dollars
per
month
with
that
lease
is
in
place
through
fy24,
with
a
plan,
a
potential
option
of
on
ems's
side
to
extend
it
for
two
additional
years.
D
Yeah,
I
don't
know
what
the
long
term
plans
are.
I
think
it
would
be
a
combination
between
discussions
between
boston
ems,
the
health
commission
in
the
city
if
they
want
to
try
and
cite
that
in
some
other
area.
I
know
ems
built
that
other
sort
of
smaller
facility
out
in
mattapan
a
few
years
ago,
but
that's
kind
of
a
different
reason.
So
I
think
she
fully
may
have
some
other
thoughts
about.
You
know
a
longer
term
plan
for
that.
D
But
I
agree
I
mean
it's
an
expensive
piece
of
property,
it
is,
and
it
does
have
some
as
far
as
you
know,
the
maintenance
of
it
goes
recently.
They've
had
a
few
issues
with
it,
but
for
the
most
part
it's
you
know
it.
It
serves
its
purpose,
but
I'll
turn
it
over
to
chief
holy
for
this
afternoon
for
more
thoughts
on
that
and
then
just
as
far
as
the
audit
of
our
bphc's
property,
we
have
been
working
with
the
city.
D
They
did
reach
out
to
us
just
over
the
last
month
to
make
sure
they
have
a
full
and
complete
list
of
all
the
property
that
bphc
owns
and
operates.
We've,
given
them
that
full
lease
everything
from
you
know
northampton
square
area,
mattapan
long
island
just
to
continue
those
discussions
about
whatever
we
have
that
we
can
provide
around.
D
You
know
additional
housing
down
the
road,
so
we've
given
them
that
that
full
and
updated
list,
just
within
the
last
few
weeks.
D
L
You,
madam
chair
tim,
just
just
quick,
not
to
be
labeled.
While
we
were
just
talking
about
property
in
northampton,
so
who's
the
company
that
that
took
that
over
and
did
that
did
the
units
there.
So
they
were
supposed
to
be.
D
L
L
L
L
L
L
L
Yeah
is
that
that's
not
oppa
money?
No!
This
is
using
any
opera
money
for
this
increase.
Here.
That's
a.
L
Appropriation
quest
yeah
the
oh,
I
forgot
to
say
good
morning
doctor
good
morning
and
good
good
morning.
I
just
jumped
right
into
it.
Sorry
about
that.
I
apologize
so
it
has
where
the
proposed
new
investments
are
for
full-time
employees
to
staff
the
co-response.
So
is
that
the
road
we're
going
down
the
response
with
mental
health
care
professionals
with
ems
I
mean,
are
we?
Is
it
really
going
to
be
comprehensive?
Are
we
looking
at
police
co-response?
Are
we
looking
at
or
is
it
going
to
be
an
ems
response?
B
B
So
maybe
let
me
just
go
back
to
so
those
four
ftes
are
really
intended
to
staff
this
center
for
behavioral
health
and
wellness.
Some
of
the
work
that
they
will
be
doing
will
obviously
be
about.
You
know:
co-response.
D
B
How
do
you
manage
that
and
they'll
be
work
with
ems?
You
know
to
coordinate
our
efforts
so
that
we're
not
working
in
silos,
that's
kind
of
what
we
do,
what
we're
planning
to
do
within
the
center.
It
is,
you
know,
sort
of
separate
from
the
1.75
we're
talking.
B
L
So,
okay,
I'm
gonna
move
on
I'm
gonna
move
on
from
that
I
wanna
do
the
and
I'm
a
little
confused
because
you're
calling
it
a
center,
but
it's
not
like.
So
when
I
hear
center.
I
think
okay,
we're
going
to
go
here
and
we're
going
to
talk
to
our
you're
saying
center,
but
meaning
more
of
an
online
support
center.
So
the
initiative
isn't
center-like
where
I
have
in
my
head,
it's
more
of
a
coordinated
effort
and
it's.
B
So
the
term
center-
and
I
probably
should
have
explained
this-
I
apologize
for
that-
really
it's
just
meaning
to
encompass
all
the
multidisciplinary,
diverse,
comprehensive
holistic
work
that
we
do
both
at
the
commission
and
outside
across
city
departments
and
communities.
So
it
really
is
just
an
umbrella
term.
So
it's.
B
L
B
L
Yeah,
I
mean,
I
think
we
probably
could
have
a
brick
and
mortar
center
someplace
tim.
How
much
did
you
did
public
health
get
in
opera
dollars,
like
did
did
did
the
the
city.
Actually,
this
is
all
dedicated
to
public
health.
Then
it
came
to
you
guys
and
then
you
spent
it
the
way
you
saw
fit.
Yeah.
D
I'll
see
if
I
can
find
it
the
the
full
description
of
our
opera
funds
that
are
in
the
materials
that
we
submitted,
but
it's
15.7,
there's
a
whole
different,
there's
a
number
of
different
lines:
vaccination
testing,
there's
there's
some
for
recovery
services,
there's
some
for
community
health
cib
1.5
million,
but
it's
15.7
million
that
we've
received
so
far
and
that
funding
the
mou
that
we
have
with
the
city
runs
through
december
of
2024.
L
Okay
in
we
talked
a
lot
about
behavioral
health
and
mental
health
issues
and
seniors
and
veterans,
and
a
lot
of
response
and
and
and
a
plug
that
I'm
going
to
put
in
now
is
what
are
we
doing
sort
of
proactively?
What
are
we
doing
to
make
sure
kids
in
particular,
have
some
place
to
go,
that's
healthy
for
them
that
they,
they
know,
there's
food
there.
L
They
know
they
have
a
safe
space
to
do
their
homework
at
they
know
they
can
play
basketball
play
gym
hockey
whatever,
and
this
this
is
the
point
in
the
in
the
discussion
where
I
plug
the
failed
house
over
columbia.
Point:
that's,
that's
that's
proposed.
L
We
had
a
hearing
on
it
and
I
think
it
should
really
be
looked
at,
for
it
really
be
looked
at
in
terms
of
what
it
can
do
to
prevent
mental
health
issues
for
young
kids
now
well,
and
not
just
young
kids
for
people
like
something
for
people
to
do
a
gathering
spot
a
center.
L
You
know
in
in
in
and
I'm
asking
the
city
for
a
little
bit
of
investment.
You
know
out
of
oppor
dollars,
we've
gotten
almost
a
billion,
and
I
think
that
I
I'm
glad
we're
talking
about
the
the
response
and
the
and
the
you
know.
I
have
mental
health
issues
in
my
family.
L
I
think
everybody
does
and-
and
we
all
just
lived
through
this
last
two
and
a
half
years,
but
I
think
the
opportunity
that
we're
missing
and
see
I'm
getting
a
little
on
the
other
side
of
life,
and
I
look
for
that
center
to
go,
walk
into
to
go
see.
Somebody
like
I
don't
want
to
go
on
the
phone
anymore.
I
don't
want
to
get
on
the
computer.
L
I
think
we
need
to
start
even
though
we're
online
everything's
online.
We
did
two
years
of
zoom.
I
think
we
need
to
start
looking
at
what
we're
doing
to
build
infrastructure
for
generations
to
come.
So
if
you
would,
if
you
could
look
at
look
at
I'll,
send
you
the
the
hearing,
it's
the
proposal
for
the
field
house,
it's
it's
the
way
that
we
involve
the
community,
the
kids
over
there.
It's
at
columbia
point
which
is
an
opportunity,
was
designated
as
an
opportunity
zone.
L
L
So
I
think
that
we
as
the
city
should
try
to
build
as
many
things
we
were
talking
yesterday
with
bcyf
and
and-
and
it's
been,
I
think,
five
years
working
on
where
we're
going
to
site
a
community
center
in
dorchester
someplace.
It
was
a
request
that
I
had
six
or
seven
years
ago
for
a
feasibility
study
with
five
six
seven
years
into
still
talking
about.
Where
should
it
go?
This
is
an
opportunity
to
build
this
thing
in
the
next
couple
years.
L
L
The
plan
still
to
put
the
high
school
students
in
the
middle
school
building,
it's
disastrous,
so
my
frustration
here
is
is
is
showing
through
and
you
know
you
guys
have
done
good
work
through
the
through
the
through
the
pandemic,
but
I
think
the
pandemic's
work
isn't
done.
L
I
think
we've
got,
I
think
council
murphy
said
it
10
years
of
of
extreme
behaviors
people
not
being
able
to
deal
with
their
own
emotions,
and
I
think
that
we
as
a
city
should
play
a
part
to
try
and
build
healthy
spaces,
especially
with
all
this
money
that
we
have
around.
So
thank
you.
Thank
you,
madam
chair.
A
Thank
you,
council
baker,
a
good
segue
into
my
line
of
questions
in
when
we're
talking
about
social
determinants
of
health
and
the
issues
that
perpetuate
systemic
racism
in
the
city
of
boston.
A
We
have
to
look
at
program
in
a
way
that,
as
you
say,
that
builds
centers,
whether
figuratively
or
actual
facilities
that
addresses
these
issues
so
that
we
can
have
this
ecosystem
with
this
umbrella
of
services
that
works
in
synergy
with
community
government
services
right
home
all
around
and
makes
sense.
So
we
a
little
bit
about
what
is
it
about
two
years
ago,
when
the
city
of
boston
declared
racism
as
a
public
health
crisis,
we
had
you
know.
A
Basically,
you
know
we
had
all
of
this
language
designated
to
what
that
is
and
what
was
happening
and
why
children
from
condensely
populated
areas
or
disenfranchised
communities
were
suffering
or
why
we
die
from
gun
violence
or
all
of
this,
as
we
know
it,
and
as
your
beautiful
report
on
your
website,
states
is
due
to
their
social
determinants
of
health.
A
I
guess
curve
or
begin
to
work
on
racism
as
a
public
health
crisis.
Are
there
any
implementations
of
dashboards
or
metrics
to
actually
monitor
your
progress?
Has
there
been
a
treatment
plan
for
racism
since
it's
a
public
health
crisis
and
if
so,
how
do
we
monitor
it?
If
we
monitor
it,
what
measure
metrics
do
you
use
to
measure
progress.
B
So
I
think
that
that's
a
great
question,
and
certainly
something
that
I
myself
have
you
know,
thought
a
lot
about
and
wanted
to
emphasize.
In
my
you
know,
role
at
the
commission,
so
a
number
of
things
have
happened
since
racism
was
declared
a
public
health
crisis.
I
spoke
in
segments
about
you
know
different
aspects
of
it.
B
So
we
have
developed
a
new
demographic
data
collection
tool
which
I
have
to
say
is
you
know,
sort
of
still
in
progress.
It's
still
something
that
is
being
implemented.
The
tool
is
being
piloted
within
the
with
with
the
mayor's
health
line
clientele,
and
I
think
that
evaluation
is
going
to
be
important
because
it
is
how
you
actually
see
who
people
are,
and
I
do
think
that
is
a
critical
piece
of
what's
already
been
asked
here
multiple
times.
B
B
So
there
are
multiple
different
data,
that's
being
collected,
so
in
the
the
data
that
the
data
collection
tool
that
I
mentioned,
I
don't
have
it
open
right
in
front
of
me,
but
certainly
it
is
about
you
know:
race,
ethnicity,
but
also
country
of
origin.
It
really
is
drilling
down
to
exactly
where
people
live
and
beyond
that,
getting
a
better
sense
of
exactly
what
their
experiences
are.
Not
just
you
know
housing.
So
what
is
it
about
your
housing?
B
What
are
the
characteristics
of
your
housing,
because
that
is
part
of
what
we're
talking
about
we're
talking
about
structural
racism?
It's
not
just
saying
if
people
are
sheltered
or
unsheltered,
how
good
is
the
housing
that
you're
actually
living
in
and
what
is
it
that
we
can
do
to
improve
that?
So
I
can
provide
you
with
the
actual
data
collection
tools.
Are.
B
This
is
a
demographic
data
collection
tool
that
was
piloted
within
the
mayor's
health
line.
So
this
is
the
mayor's
health
line,
as
I
think
I
mentioned,
has
you
know
thousands
of
calls
per
day.
So
that's
a
lot
of
people,
but
the
goal
here
is
to
get
a
better
sense
of
who
is
of
need
in
boston,
and
it
was
very
disturbing
during
the
coba
19
pandemic.
When
you
actually
looked
at
that
data
and
we
couldn't
even
quantify
the
racial
and
ethnic
disparities.
You
probably
remember,
people
were
like.
B
Oh
it's
this,
oh
it's
that
and
actually
here
in
boston.
We
actually
did
a
pretty
good
job.
I
mean
even
I
wasn't
at
the
commission
at
the
time,
but
we
had
98
99
of
race,
ethnicity,
data
for
the
folks
who
were
who
were
suffering.
So
I
think
that
was
actually
that's
actually
good,
but
we
need
more
than
just
race
and
ethnicity.
We
need
to
really
understand
who
people
are
so
that's
one
piece.
The
other
piece
is
this:
health
equity
precision
dashboard
that
we're
developing.
B
So
counselor
flynn
mentioned
the
health
equity
text
book
that
you
know,
people
take
a
look
at
this
dashboard
will
actually
be
exactly
what
you're
talking
about
so
that
anybody
can
take
a
look
at
okay.
So
what
metrics
are
we
using
to
measure
diabetes
at
x,
census,
tract
or
x,
sort
of
level?
You
know
here
in
boston.
What
is
it?
That's
happened
over
time.
Has
it
gotten
worse?
Has
it
gotten
better,
because
we
don't
have
that
information?
You
know
we
make
some
generalizations.
B
A
B
B
A
You
have
the
debt,
the
data
based
on
the
people
that
we
serve.
A
That's
the
top
six
at
the
top
about
60
for
four
male
and
two
female
and
then
two
female
that
are
black
and
one
this
one
hispanic
or
latino,
as
you
have
enlisted
one
male
asian
person,
and
so
do
you
like
that,
obviously
doesn't
represent
the
demographics
of
boston
and
that's
sort
of
like
the
pattern
across
the
board
throughout
boston,
except
this
is
a
little
tiny
bit
better.
But
I
gotta.
B
A
I
think
I
should
preface
this
by
saying
that
I'm
not
interested
in
embarrassing
anyone,
not
the
mayor,
not
the
administration,
not
myself,
not
your,
not
you,
the
panelist,
not
my
colleagues,
I'm
not
interested
in
playing
the
blame
game.
I
would
like
to
talk
about
the
facts
as
they
are
and
talk
about
where
we
need
to
go
so,
and
I
just
wanted
to
say
that,
because
it
I
think
it's
counterintuitive
counterproductive
for
us
to
even
say
who
is
like.
Why
is
it
this
way
and
just
be
angry
about
it?
I'm
this
is
not
personal.
A
I
appreciate
the
progress
and
but
I
want
to
go
on
record
in
making
sure
that
the
people
at
home
understand
that
we
do
still
have
a
long
way
to
go
and
where
we
are
exactly
on
accuracy
like
on
the
numbers
and
so
that,
then,
when
we
look
when
I
look
at
the
and
then
I
don't
want
to
go
through
the
numbers
right
now,
but
when
we
look
at
the
employees
as
well
and
beyond
the
data
that
you
gave
me,
we
had
bu
look
into
the
numbers
as
well.
A
It's
still
like
there's
a
huge
disparity
in
terms
of
pay
by
race
and
demographics,
and
it
does
not
again
like
represent
the
population
of
boston
and
so
that,
therefore
we're
not
leading
by
example,
although
we're
making
you
know
small
changes,
big
changes,
because
we
have
you
now,
but
still
right,
a
lot
of
work
to
do
so.
I
think
that
it's,
what
I'm
saying
is
I'm
connecting
it.
A
The
people
that
we
serve
is
one
thing,
and
that
happens
a
lot
with
like
okay,
so
boston
is
majority
black
and
latino.
But
then
the
teacher
is
a
majority
white
and
then,
on
top
of
that
they
get
paid
more
than
their
black
counterparts.
So
it's
across
the
board
and
that's
the
systemic
racism
that
we
talk
about
and
perpetuating
the
clients
that
the
issues
that
the
clients
that
we
serve
suffer
because
then
the
people
that
we
employ
can't
feed
or
take
care
of
their
children
adequately
and
and
we're
doing
that
as
a
city.
A
I
think
in
terms
of
the
data,
that's
super
important
and
then
then
I
I
guess
I
wonder
about
your
different
departments-
and
you
have
like
this
amazing
report
assessment
that
you've
done
in
terms
of
why
racism
is
a
public
health
crisis.
A
But
then,
when
you
look
at
the
different
departments
so
like
I
went
through
recovery
services,
bureau,
child
adolescent,
family
health,
bureau,
community
initiatives,
bureau,
emergency
homeless
infectious
disease
and
then
we
go
down
to
public
health
service,
center
administration,
property
right
and
I
in
out
of
those
departments
or
different
bureaus.
We
don't
see
actual
like
department
or
intention
or
center
or
system
to
tackle
racism
as
a
public
health
crisis.
A
And
I
think
that's
where,
in
my
opinion,
I
think
that's
where
we
need
to
move
into,
because
when
I
look
at,
for
example,
state
of
emergency
for
communities
of
color,
and
then
I
see
that
it's
only
a
hundred
thousand
dollars
like
you
know
what
I
mean
and
we
can
have
conversations
about
like
what
does
that
cover,
but
obviously
there's
not
a
real
intentional.
Like
one
department,
that's
aggressively
transforming
this
problem,
and
I
and
and
it's
great
that
we
are
tackling
you-
know:
recovery
services,
it's
great,
that
child
and
adolescent.
A
Of
course
that
deserves
money
and
more.
But
I
wonder
if
something
is
a
public
health
crisis,
and
we
know
that
systemically
black
and
brown
people
died
30
years
sooner
in
roxbury
than
back
bay.
How
are
we
intentionally
building
that
up
where's
the
program
right?
And
that's
not
that's
just
the
conversation
that
I'm
that
I
want
us
to
begin
to
go
into,
because
we
can
talk
numbers
all
we
want,
and
I
would
agree
that
you
need
more
money,
even
in
terms
of
the
best
team.
Why
only
did
you
say?
Did
you
mention
four
clinicians.
B
No,
no,
I
wanted
to
be
clear
about
that.
We
weren't
talking
about
the
best
team,
it's
the
four
ftes
that
have
been
requested
for
the
center
for
behavioral
health
and
wellness.
We
wanted
to
give
you
we
were
going
to
follow
up
with
you
to
provide
you
the
number
of
clinicians
with
the
best
team.
Okay,.
B
The
four
ftes
would
be
allocated
to
the
center
for
behavioral
health
and
wellness
at
the
boston,
public
health
commission,
and
one
of
them
is
going
to
be
a
chief
behavioral
health
officer,
so
they're
going
to
be
leading
spearheading
a
lot
of
the
work
that
we're
doing
across
city
departments
to
meet
this
unmet
need
that
we
described
in
terms
of
mental
and
behavioral
health.
The
other
three
ftes
would
be
program
management,
so
there
are
a
number
of
different
areas
that
we've
talked
about.
B
A
I
have
more
questions,
but
I
think
I
should
probably
go
back
to
my
colleagues
for
second
round
and
then
hopefully
get
to
my
other
questions.
After
and
in
the
same
order.
H
Thank
you,
madam
chair.
I
just
want
to
go
on
record
sort
of
like
really
supporting
everything
that
you
just
said,
because
I
think
that
is
especially.
You
know
the
times
that
we're
living
in
right
now
addressing
something
as
a
public
health
crisis
and
responding
to
it.
I
think,
probably
requires
some
ingenuity,
and
I
think
that
we're
capable
of
that
the
ingenuity
that's
involved
in
really
attacking
really
thinking
about
what
are
we
programmatically
doing
to
address
this
beast
as
an
issue,
and
so
I
appreciate
that
line
of
question.
I
also
appreciate
counselor
baker.
H
Talking
about
you
know,
and
even
though
I'm
a
millennial
on
my
phone
very
online,
I
think
people
do
sometimes
want
a
center
to
walk
into
whether,
if
they're
experiencing
mental
health
problems,
if
they
need
somewhere
to
go.
So
I
just
want
to
uplift
that
I
guess
a
question
that
I
had
was
about
the
community
initiatives
if
you
could
provide
us
with
a
list
of
this,
is
also
a
formal
request
via
the
chair
of
non-profit
organizations
that
receive
funding
via
bphc.
H
I
think
that
would
be
great
because
sometimes
even
we
we
can
sometimes
sniff
out
some
of
that
structural
racism
and
bias,
even
in
that
in
our
grant
making
capacity.
So
if
we
could
get
a
list
of
those
non-profits,
that
would
be
great.
It
also
seems
that
the
community
initiatives
have
a
high
administrative
cost
based
on
the
budget
book.
I'm
not
sure
if
there's
a
reason
behind
that
or
if
that's
it
looks
like.
H
D
Yeah,
I'm
not
sure
I
have
that
answer
right
now,
counselor,
but
I
can
get
that
to
you.
Thanks.
H
So
I
guess
there
are
three
formal
requests
that
I
put
in
three
formal
requests
that
I
put
in
via
the
chair.
One
was
about
partnerships
with
respect
to
orc
office
of
returning
citizens.
The
second
is
the
the
list
of
non-profits
that
have
received
grants.
Let's
say
over
the
past:
let's
capture
the
pandemics
prior
to
the
pandemic
over
the
last
three
years,
and
then
three,
you
know
reasoning
behind
some
of
the
high
administration,
administrative
costs
and
some
of
the
viewers
that
we
see
in
the
outline
of
the
budget
for
the
bphc
this
year.
A
I
Chair
and
thank
you
all,
this
is
a
great
conversation
and
very
important
to
have.
I
I
Do
we
have
a
strategy
to
try
and
bring
all
these
resources
to
bear
and
addressing
racism
and
partnering
with
all
of
the
different
entities
across
the
city
to
really
really
really
attack
this
crisis
of
racism
and
public
health,
or
that
it
is
that
racism
is
a
public
health
crisis?
You
know,
I
I
often
say
I
scratch
my
head
and
go.
I
Why
do
we
not
have
the
best
public
school
system
in
the
country,
given
all
the
same
reason,
the
sort
of
resources
we
have
and
again
it's
it's
back
down
to
a
question
of
you
know
looking
at
seriously
looking
at
systemic
racism.
So
do
we
have
any
strategies
to
try
and
bring
to
bear
all
these
resources?
And
I
know
you
work
closely
with
boston
boston,
medical
center
because
that's
part
of
the
history
institutional
history,
but
there
are
so
many
other
resources
still
out
there.
B
You
know
we
actually
work
beyond
boston
medical
center
with
the
schools
of
public
health,
so
boston,
university,
school
of
public
health
and
harvard
you
know
harvard
school
of
public
health
and
we've
been
talking
to
them
about
what
we
talked
about
with
the
boston
health
equity
measures
set,
which
is
really
important,
even
that
you
know
we're
collecting
data,
but
we're
also
thinking
of
strategies
to
address
the
inequities
that
we
see
so
a
lot
of
the
systemic
issues
that
you're
talking
about
born
of
structural
racism,
we're
actually
having
a
meeting
with
them.
B
It's
going
to
be,
I
believe,
it's
spring
2023,
so
it
will
be
held
at
hsph,
but
it
will
involve
academic
centers
as
well
as
community
folks
from
around
the
city,
so
you're
right
on
target
with
exactly
what
needs
to
happen
in
terms
of
bringing
people
together
to
talk
about
these
critical
issues.
I
I
We
want
to
talk
about
public
health
and
food
access,
and
how
far
is
it
to
your
nearest
doctor's
office
and
all
of
those
things
and
access
to
good
public
transit
as
part
of
the
as
part
of
the
whole
mix
are?
We?
Are
you
working
with
bpda
and
other
groups
to
try
and
push
that
and
that
conversation.
B
I
think
that
that's
incredibly
important,
I
know
hs
now
hs
was
doing
work
in
their
food
access
program.
In
that
regard,
what
I
would
say
to
that
is
that
we
are
doing
a
lot
in
terms
of
collecting
data.
Our
community
health
needs
assessment
is
asking
people
more
about
this,
so
we
have
a
better
sense
of
exactly
what's
going
on
in
our
communities
as
well
as
what
the
actual
strategies
will
be
to
address
them.
So
I
can
say
in
terms
of
data
collection,
we're
getting
more
information
in
terms
of
working
directly
with
other
organizations.
I
And
then
the
other
question
I
had
was
really
about
just
your
communication
strategy.
We
have
a
really
diverse,
and
it's
not
probably,
we
have
a
lot
of
diversity
in
our
neighborhoods
and
different
neighborhoods
have
different
mixes
of
diversity,
and
just
in
terms
of
do
you
have
a
strategy
to
improve
access
to
the
diverse
populations
in
regard
to
language
access
and
just
digital
access,
as
well
in
terms
of
having
having
information
having
our
your
your
website
be
more
accessible
and
more
user
friendly
for
folks
who
may
not
be
very
tech,
savvy.
B
Absolutely
so
a
number
of
programs
are
working
in
that
regard.
We
have
an
agency-wide
language
access
plan
which
incorporates
the
needs
the
ability
for
to
have
you
know
people
who
speak,
I
believe,
nine
different
languages
available.
We
have.
I
think
we
have
an
overview
of
how
many
people
at
boston,
public
health
commission
actually
have
a
second
language
and
coming
up
with
ways
going
to
speak
to
some
of
the
systemic
issues.
How
do
we
pay
them
more
for
their
skill
set,
because
that
I
think
is,
is
really
important.
B
The
second
thing
is
that
we
have
a
grant
through
the
office
of
minority
health,
that's
paying
for
collaborations
with
diverse
communities,
specifically
looking
at
issues
of
language
access.
That's
run
through
idb,
so
it
is
focused
in
on
kovic,
but
it's
also
focused
on
everything
else.
Beyond.
I
B
I
was
going
to
mention
one
other
language,
language
program
that
we
have
we're
working.
Definitely
working
in
this
area,
yeah.
I
I
You
folks,
you
give
us
the
materials
we
got
it
translated
into
arabics
portuguese
russian
languages.
You
know,
there's
a
lot
of
community
and
neighborhood
groups
that
are
ready
and
willing
to
partner,
and
it's
just
trying
to
build,
be
better
connected
to
the
grassroots
and
help
that
outreach
process
and
and
we're
all
in
this
together,
and
we
can
all
solve
it
together.
So,
rather
than
putting
all
the
pressure
on
you
folks,
but
really
encouraging
you
to
tap
into
all
the
community
resources
that
are
already
on
the
ground,
working
with
working
in
neighborhoods,
no.
B
I
really
appreciate
that,
and
I
would
also
what
I
was
going
to
say
is
that
I
think
tapping
into
grassroots
actually
working
with
diverse
media
outlets
has
been
one
of
the
ways
that
we've
spread
the
word
in
regards
to
not
just
covid
but
other.
You
know,
obviously
chronic
diseases
and
other
problems
that
we
know
exists.
We
have
a
new
relationship
with
el
planeta
to
work
with
them
to
do
podcasts
about
various
different
health
issues,
definitely
high
on
our
priority
list
very.
I
K
You
have
the
floor.
Thank
you
so
much.
Madam
chair,
I
was
wondering,
could
you
speak
a
little
bit
too?
I
know
on
the
cares
actor
and
like
fema
reimbursement
side.
I
think
especially
on
fema
reimbursement,
like
I
think,
even
more
has
come
to
bphc
than
to
the
city
like
proper,
like
sort
of
where
are
we
on
that
in
terms
of
collecting
in
terms
of
our
expectations
like.
D
Yeah
fema
has
supported
us
with
sort
of
millions
of
dollars
over
the
last.
Several
years
cares
act
as
well
cares.
Act
ended
at
the
end
of
december,
and
femur
is
100
percent
reimbursement
still
through.
I
believe
it's
july
1
of
this
year
that
actually
may
have
not
extended
till
september.
D
So
the
numbers
that
I
have
right
now
are
that
bphc
has
sort
of
allocated
to
fema
it's
upwards
of
46
million
over
the
last
two
and
a
half
years,
and
that's
a
long
reimbursement
process.
We
have
our
finance
office.
Steve
simmons
is
our
chief
financial
officer.
He
runs
weekly
meetings
with
a
sort
of
team
of
bphc
folks.
D
We
also
have
guide
house
which
is
an
outside
vendor,
that
the
city
also
uses
to
assist
us
with
all
the
fema
reimbursements,
but
that
process
will
probably
take
a
little
you
know
another
year
or
so
for
us
to
see.
If
we're
going
to
get
all
that
money
back,
it's
just
a
long
process
that
has
to
go
through
not
just
to
the
federal
government,
but
even
congress
for
some
of
those
larger
requests
for
reimbursement.
But
the
process
is
ongoing.
D
Yeah
I
mean
so
we've
been
paying
for
a
lot
of
this
over
the
last
several
years.
Is
that
combination
of
cares,
arpa
and
fema?
You
know
it'll
come
initially
from
our
our
fund
balance
to
cover
those
costs,
and
then
we
put
in
for
the
reimbursement.
You
know
we
do
that
closely
with
jim
williamson.
You
know
ellen
hatch
and
justin
previously,
so
that
they
know
exactly
how
we're
doing
they'll
keep
an
eye
on
on
what
our
fund
balance
is
throughout,
but
yeah
as
of
right.
K
Got
it
and
then
on
the
public
health,
public
health
services,
sorry
phcsc?
What
public
health
service
centers
service
centers?
So
that's
where
you've
got
your
budget
growing
the
most.
Can
you
just
remind
me
which
piece
of
the
new
investments
is
tagged
to
that.
D
Line,
that's
the
the
new
investment
for
the
12
ftes
from
the
office
of
public
health
preparedness
got.
K
It
and
and
so
there's
a
service,
centers
and
then
there's
sort
of
the
in
your
guys's
budget.
You've
got
overall
public
health
services,
expenditures
which
is
like
100.
Basically,
you've
got
like
this
category.
It's
like
120,
4,
000,
sorry,
4
million
that
you
spent
the
last
year.
I'm
just
trying
to
understand
how
you
guys
organize
your
budget.
Is
that
a
bureau
or
are
other
bureaus
inside
of
that?
I
think
that's.
K
Just
the
total
amount
of
that's
the
total,
so
you
put
all
you
break
all
the
different
bureaus
down.
Okay
and
then
circling
back
on
this
hiring
challenge
which
everybody's
facing.
I
guess
they
just
sort
of
wonder,
because
obviously
the
challenge
for
the
council
is
like
we
want
you
all
to
staff
up.
K
But
if
you
have
current
vacancies
that
you
can't
fill
and
then
we
add
more
positions
that
then
sit
vacant,
then
we're
tying
up
a
bunch
of
budget
authority
in
a
way
that
doesn't
actually
get
used
and
turns
into
a
pumpkin
next
june
30th.
So
how
are
you
guys
thinking
about
actually
achieving
the
hiring
on
those
12
positions
on
the
12
positions?
Well,.
B
K
I
mean
in
general
right
like
because,
if,
if
we
presumed
the,
I
mean,
the
ironic
thing
is
that
if
we
presumed
the
sort
of
the
continuing
of
the
challenges
that
the
city
currently
faces,
you
could
probably
hire
12
new
people
with
the
current
budget
authority.
Right
like
just
in
terms
of
like
the
number
of
positions
we
have
sitting
empty.
B
Well,
I
think
it
ends
up
being
a
little
bit
complicated
because
some
of
this
is
union
non-union
and
then
some
of
it.
Some
of
these
openings
that
are
have
increased
over
time
are
some
of
our
lowest
sort
of
pay
grades,
some
of
the
lower
level
positions
and
we're
talking
to
our
you
know
our
unions,
as
well
as
our
labor
and
employment
in
employment.
B
You
know
relations
leadership
to
get
a
better
sense
of
how
we
change
those
pay
grades,
because
that's
one
of
the
major
issues
is
people
don't
want
to
take
those
low
jobs
and
they
can't
they
can't
afford
to
do
so.
So
we're
we're
sorting
through
those
very
complicated
issues.
But
I
hear
exactly
what
you're
saying.
K
Yeah
I
mean
it
seems
like
we
need
like
a
major
comp
in
class
effort.
Citywide
right-
and
I
think
I
mean
my
sense-
is
that
that's
one
of
the
things
that
alex
lawrence
is
focused
on
and
presumably
that
you
guys
would
partner
on
we've
been
working
on
it
for
a
while
yeah.
It's
just
a
huge
challenge.
Can
you
I
don't
know
if
this
was
meant
to
be
in
this
afternoons,
but
the
the
workforce
development
piece
with
our
homeless.
K
K
B
And
you
have
to
you
know:
that's
part
of
the
problem
is
being
able
to
implement
it
and
having
the
ftes
to
implement
it
and
have
the
funding
to
implement
it.
Our
office
of
public
health
preparedness
has
been
primarily
grant
funded.
You
know
it
does.
It
hasn't
had
the
amount
of
funding
to
do
all
the
work
that
I
I
outlined.
B
Right
so
some
of
these
terminologies
are
a
little
old
we're
doing
some
restructuring
we're
going
to
be
doing
some
strategic
planning
and
probably
that
term
will,
you
know,
be
changed
so
that
we
can
be
more
clear,
because
I
think
there
have
been
a
number
of
questions
about
centers
versus
public
health
service
centers.
We
want
to
be
clear
about
how
we're
organized
okay.
K
Great
thank
you,
madam
chair.
A
No
problem,
I'd
like
to
just
read
council
me:
here's
remaining
questions
on
record
in
terms
of
workforce
development.
It
seems
like
bph,
bp.
Hc
has
been
more
successful
than
other
departments
when
it
comes
to
hiring
employees
of
color.
How
is
bbehc
collaborating
with
other
departments
that
struggle
to
identify
talent
and
qualified
employees
of
color.
B
So
I
appreciate
counselor
mahia's
comment.
I
think
we
have
a
long
way
to
go.
As
you
already
stated,
counselor
anderson
and
I
just
want
to
emphasize
that
we
do
have
a
diverse
staff,
but
it
needs
it
needs
work.
So
before
I
jump
into
what
you
know
we're
doing
to
collaborate
with
others,
we
all
need
to
work
on
on
this.
B
A
lot
of
what's
happening
is
that
we
have
staff
who
are
black
and
latinx
out
there.
Who
are
you
know
representing
the
boss,
public
health
commission
who
are
at
you
know
health
fairs.
I
think
this
has
been.
You
know,
not
health
fairs,
employment
fairs
and
whatnot
they've
been
doing
a
lot
of
the
work
for
recruitment
in
terms
of
collaborating
with
other
city
departments.
We
would
love
to
do
more
collaboration
with
other
departments.
B
We
have
been
working
with
them
to
do
the
job
fairs,
particularly
recently
that
have
been
held,
and
I
think
that's
our
major
collaboration,
but
we
we
could
learn
from
each
other.
You
know,
I
think,
that
that's
really
important
and
I
have
had
conversations
with
other
department
heads
to
talk
about
like
well.
B
What
is
it
that
you
guys
are
doing
differently
and
not
just
with
diversity,
equity
and
inclusion,
but
with
our
anti-racism
policy,
which
came
out
of
the
declaration,
we
have
that
internally,
it
was
developed
and
it
really
does
focus
in
on
issues
related
to
procurement,
to
hiring
to
standards,
and
you
know
our
cultural
values.
B
You
know
our
core
values
within
our
organization.
This
is
something
that
the
the
commission
has
really
been
sort
of
focused
in
on
since
the
declaration
was
was
issued.
So
I
think
we
have
a
lot
of
things
that
we
could
share,
but
I
also
think
we
have
a
long
way
to
go.
So
I
appreciate
that
question.
Okay,.
A
Thank
you.
Her
next
question
is
cases
of
covetar
back
on
the
rise.
One
of
the
thresholds
for
receiving
covet
19
public
health
requirements
was
a
community
positivity
rate
of
five
percent.
What
is
the
current
community
positivity
rate
and.
B
So
I
believe
our
most
recent
community
positivity
was
10.8,
so
it's
it's
headed
upward
and
it's
likely
it
likely
will
continue
to
head
upward.
This
relates
back
to
the
slide
that
I
showed
where
I
had
waste
water.
That's
heading
upward,
pretty
steeply,
which
is
telling
us
where
this
pandemic
is
going
to
go
cases
going
upwards
and
hospitalizations
going
upward.
B
In
terms
of
you
know
what
we
do
about
this.
I
mean
we
know
that
black
latinx
indigenous
folks
have
been
disproportionately
impacted
by
copenhagen.
I
think
everybody
is
well
aware
of
this,
and
in
order
to
address
the
you
know
the
disparities,
the
inequity
we
have
to
dig
into
those.
You
know
structural
determinants,
the
social
determinants
of
health.
I
think
this
relates
to
all
the
work
that
we
do
and
that
we've
described
you
know
understanding
that
not
everybody
is
going
to
get
their
communication
from
the
same.
B
You
know
sources
making
it
available
in
multiple
languages,
making
it
available
through
community
meetings
as
opposed
to
online,
where
people
don't
have
access
realizing
that
people
need
exercise
programs,
chronic
disease
management,
because
those
are
the
underlying
predisposing
factors
that
lead
to
severe
illness
from
cove.
At
19.,
I
think
all
those
things
that
that's
the
fundamental
work
that
I
think
the
the
commission
does
and
has
been
doing.
We
need
to
ramp
it
up.
A
Thank
you
and
for
the
remaining
of
my
questions
I
just
have
a
couple:
are
you
able
to
quantify
or
do
you
have
a
budget
for
like
nti
racist
efforts
in
the
past.
B
B
D
It's
spread
around
three
different
sort
of
groups
under
research,
research
and
evaluation,
there's
a
million
that's
under
our
caf
bureau,
and
then
there's,
I
don't
remember
the
specific
number,
but
it's
under
a
racial
equity
office
as
well.
So
over
the
last
year,
those
three
offices
have
done.
You
know
a
number
of
different
things
under
all
of
those
different
buckets
under
research
and
evaluation.
A
lot
of
the
declaration
funding
has
been
used
from
for
our
behem's
work.
D
There's
a
lot
of
that
funding
also
goes
to
our
hospitals
and
health
centers,
who
help
us
with
the
data
collection
for
the
behem's
work
under
the
the
office
of
racial
equity,
they're,
doing
two
rfps
currently
around
sort
of
health
equity
projects
and
then
under
the
caf
bureau
they
have
of
that
million
dollar
funding.
There's
around
900
of
it.
That's
spending
900
000,
that's
been
encumbered
so
far
with
a
number
of
subcontracts
and
amendments
to
the
ntt
groups
that
they
work
with.
So
to
give
you
a
better,
you
know
an
answer.
D
I
can
give
you
a
sort
of
a
spreadsheet
that'll
cover
all
of
the
specific
funding
and
the
line
items
that
we've
had
for
the
declaration
funding
for
this
year,
but
that's
kind
of
it
in
a
nutshell.
For
fy22.
A
In
the
rfi
questions
that
were
submitted,
we
asked
about
procurements
any
any
record
of
contracts
that
you
have
and
you'd
have
to
excuse
me
again,
like
my,
I
think
I've
said
this
to
you
before.
So
english
is
actually
my
fourth
language,
and
although
it
sounds
like
I've
been
here
forever-
and
I
have
been
communication
is
a
communication.
If
it's,
if
I'm
not
clear,
let
me
know
because
your
face
tells
me
a
lot
dr
kutu,
and
so
I
want
to
know.
A
D
D
Within
our
materials,
we
did
submit
a
list
of
basically
all
of
the
contracts
that
we
have
for
fy
22..
I
don't
believe
we
broke
it
down
by
you
know
exactly
where
they
are
in
the
city
and
then
there's
a
second
list
in
in
the
materials
that
we
submitted
that
have
our
our
cube.
Vendors
are
certified
under
represented
business
entities
and
it
lists
all
of
those
as
well.
A
I'm
looking
at
it
right
now.
So
if
you
could,
if
you
can
submit
that
and
then
obviously
you
know
give
us
the
list
of
all
the
mbes
that
within
that
list,
that'd
be
helpful
and
again
I
agree.
I
agree
with
you,
dr
oji
kutu,
that
we
that
data
is
super
important
and
so
looking
at
this
information
carefully.
A
So
these
questions,
of
course-
and
I
I
hope
to
continue
to
work
with
your
with
the
phd
to
see
in
terms
of
how
we
can
come
back
and
maybe
getting
a
fuller,
a
full,
more
extensive
report
prior
or
after
budget
season
in
a
way
that
is
more
intentional
in
us,
carefully
analyzing
what
is
going
on
in
terms
of
programs
and
how
to
implement
services
in
the
way
that
is
equitable.
A
I,
and
I
think
that
I've
expressed
this
before.
I
really
appreciate
your
work
and
what
you
do
for
the
city
of
boston
and
so
far,
you've
come
in
your
trailblazer
and
you
are
brilliant
and
we
we
love
you
and
we
appreciate
your
work
and
we
look
forward
to
continuing
to
work
with
you.
A
I
council
braden,
is
I
love
that
you're
still
here,
council
braden,
we
have
just
one
person
on
zoom
she's
still
with
us,
yes
and
let's
hear
her
testimony
and
then
we'll
and
then
you
could
take
your
time
and
keep
them
here
for
two
hours:
they're,
not
going
anywhere
yep.
A
E
M
Yes
ma'am,
can
you
hear
me.
A
Yes,
welcome
back,
it's
always
a
pleasure
having
you,
please
state
your
name
and
affiliation
and
address.
If
you
want
to
and
start
your
testimony.
M
Sure
so
my
name
is
laurie
radwin
and
I
live
in
roslindale
and
I'm
going
to
go
way
back
to
dr
ojakutu's
opening
statement.
I
want
to
commend
dr
ojukutu
and
the
commission
for
your
response
to
covet,
and
I
particularly
want
to
thank
you
for
the
cova
dashboard.
M
M
I
also
want
to
thank
you
for
calling
out
nurses.
We
appreciate
this
recognition.
I
listened
carefully
when
you
talked
about
your
attention
to
your
employees
and
I
appreciate
it.
Here's
a
concern-
and
I
have
communicated
this
concern
to
my
counselors
and
also,
I
believe,
to
you,
doctor
ojikutu,
I'm
very
concerned
about
the
qual
equality
of
cova
treatments,
particularly
in
hospital
and
I've.
M
M
You
have
data
from
the
state,
as
I
understand
and
other
sources
of
data
that
you
can
get
from
hospitals,
and
you
know
we're
talking
about
health
equity,
we're
talking
about
racism
as
a
health
emergency,
and
this
probably
is
one
component
that
relates
to
deaths
within
hospital
for
people
with
coven.
Thank
you.
A
Thank
you
so
much
miss
laurie
see
you
soon.
M
B
Well,
I
would
just
respond
by
saying
thank
you
lori,
for
bringing
up
this
important
point.
I
don't
think
there's
been
enough
work
in
regards
to
equity
and
treatment,
both
in
hospital
and
outside
of
hospital.
We
have
been
working
with
some
collaborators
at
the
brigham
specifically,
but
you
know
just
academia
in
general
to
get
a
better
sense
of
who
is
actually
prescribing
the
antivirals,
particularly
and
who
has
you
know,
had
access
to
them
and
what
are
the
challenges
and
there
there
is.
B
There
is
a
concern
and
we
definitely
would
love
to
collaborate
with
you
to
talk
beyond
the
oral
and
our
virals,
the
monoclonal
antibodies
and
other
more
advanced
treatments
to
you
know,
get
a
better
sense
of
what's
happening
in
terms
of
equity.
B
A
You,
dr
yukatsu
council
braden,
you
have
before.
I
Thank
you,
madam
chair,
and
I'm
hanging
in
there
for
one
one
last
question
you
know
covet
has
taken
all
of
our
attention
this
last
few
years,
but
the
other
big
public
health
crisis
that's
looming
is
the
impact
of
climate
change
and
extreme
weather
events,
and
I'm
just
wondering
in
terms
of
your
strategies,
I
know
heat
island
effect
is,
is
a
killer
when
we
have
a
long,
prolonged
heat
wave.
I
You
know
chicago
here
see
in
cities
in
europe
and
places
where
hundreds
of
people
die
in
a
heat
emergency.
Do
we
and
then
the
other
question
of
you
know
emergent
diseases
and
mosquito-borne
diseases
because
of
the
changes
in
our
climate?
Where
are
we
on
preparing
for
that?.
B
That's
a
great
question,
so
I
was
actually
just
looking
up
some
of
the
documents
that
I
have
so
our
office
of
public
health
preparedness
is
working
very
closely
with
oem
on
developing
emergency
strategies
across
all
of
these
emergencies
that
we're
talking
about
specifically
looking
at
climate
emergencies.
So
we
had.
You
know
we
have
a
winter
emergency
plan,
a
heat
emergency
plan
and
a
lot
of
these
discussions
are
ongoing.
I
think
we
have
a
group
meeting
scheduled
for
next
week
to
discuss
more
because,
obviously
we're
hitting
some
high
temperatures.
B
You
know
and
a
lot
of
people
are
going
to
suffer
if
we
don't
figure
out
what
to
do
in
terms
of
the
cooling
centers.
My
understanding
is
that
a
lot
of
people
haven't
used
them
in
the
past
that
maybe
they're
not
what
people
want
exactly
so
understanding
what
people
want
as
well.
As
you
know
what
the
resources
are
and
understanding
what
what
the
evidence
base
is
for
what,
in
terms
of
services
that
that
should
be
provided.
So
we're
on
that
in
terms
of
the
the
work
of
the
office
of
public
health
preparedness.
I
Yeah-
and
it
strikes
me
that
you
know
when
you
think
about
the
hierarchy
of
needs
and
then
the
social
determinants
of
health
and
then
thinking
about
all
the
things
that
the
city
does
in
terms
of
trying
to
meet
resident
needs
and
support
the
well-being
of
our
residents,
thinking
about
an
intersectionality
with
all
our
different
departments
and
thinking
about
cooling
and
heating
centers
and
our
urban
tree
canopy,
and
access
to
green
space
and
parks.
It
all
ties
together.
I
So
you
know
sort
of
thinking,
cross-disciplinary
and
and
really
working
with
other
city
departments
to
try
and
bring
a
public
health
lens
to
all
of
these
questions
would
be
really
helpful.
I
know
we
tend
to
silo
all
our
different
departments
and
we
don't
all
necessarily
talk
to
each
other,
but
I
think,
given
the
challenges
of
colvin
demonstrated
that
we
could
all
work
together
in
incredible
ways.
I
A
Okay,
thank
you,
council
braden.
Thank
you
so
much
for
bearing
with
us
and
we'll
see
you
this
afternoon.
I
think
it's
also
important
to
state.
You
know
to
be
clear
that
social
terms
of
health
is
not
all
public
health.
It's
also
it
compasses,
so
much
more
that
you
are
obviously
not
in
control
of,
but
and
hopefully
in
that
spirit
that
we,
you
know,
move
as
we're
moving
toward
creating
these
ecosystems
and
comm
collaborations
with
community
and
working
with
public
housing
and
education
and
so
forth.
A
I
I
think
I
had
just
one
question
and
it
was
about
sort
of
the
mental
health
or
behavior
health.
If
you
are,
if
you
have
a
resource
or
if
there's
a
place
where
there's
some
sort
of
hub
for
all
clinicians.
B
I
think
that
would
be
great
to
create.
I
do
know
of
several
portals,
specifically
for
clinicians
of
color.
In
order
to
access.
You
know,
services.
I
can
send
that
to
you,
okay,
I
can
actually
email
that
to
you
right
now.
A
Great,
thank
you,
and
then
you
know
in
in
I
did
file
something
to
look
at
non-profits
that
are
working
together
in
this
sort
of
synergy
of
wrap
around
services.
That's
great
for
to
get
supports
from
the
city,
children's
services
of
roxbury,
being
one
of
them
right
and
they're
they're
working
with
me
and
connecting
to
in
district
seven
and
connecting
to
the
art
corridor,
and
how
to
that.
A
We
create
space
environments
that
it's
more
therapeutic
and
conducive
to
mental
health
or
just
public
health
in
general,
and
I
think
that
it'd
be
nice
to
hear
from
you
in
that
hearing
in
the
future,
in
in
understanding
how
we
can
again
connect
to
the
city
and
create
that
level
of
collaboration.
Thank
you.
So
much
unless
you
have
any
comments,
will
adjourn
all
right
meeting
adjourned.
Thank
you.