►
Description
Dockets #0622-0628 Fiscal Year 2020 Budget: Boston Public Health Commission Part 1
A
Alston
brightened
district
city
councillor.
We
are
here
today
with
Boston
Public,
Health
Commission
as
part
of
our
FY
20,
but
review
pertaining
to
dockets
zero
six
to
two
through
zero,
six
to
five
orders
for
the
FY
2008,
including
annual
appropriations
for
departmental
operations,
annual
appropriation
for
the
School
Department
appropriation
for
other
post-employment
benefits
and
appropriation
for
certain
transportation
and
public
realm
improvements,
as
well
as
dockets,
zero.
Six
to
six
through
zero,
six
to
eight
capital
budget
appropriations,
including
loan
orders
and
lease
purchase
agreements
like
to
remind
everyone.
A
This
is
a
public
hearing
being
broadcast,
live
and
recorded
on
Comcast
channel
8
r,
CN,
82,
Verizon,
1964
and
streamed
at
Boston,
gov
backslash
city
council,
TV,
I'd
ask
everybody
in
the
chamber
to
silence
their
electronic
devices.
We
will
take
public
testimony
at
various
stages.
Throughout
the
hearing
there
is
a
sign-in
sheet
to
my
left
by
the
door.
We
ask
that
you
document
your
name
affiliation
residence
and
please
check
the
box.
Yes,
if
you
do
wish
to
testify,
there
are
several
ways
the
public
can
engage
in
this
budget
hearing
process.
A
A
B
You
councillor
Co
me
Owen
good
morning,
everyone
councillors,
asabi
George
O'malley
councillors,
Janey's
they
come
and
woo
again
for
the
record.
My
name
is
Monica
Valdes
Lupi
and
I'm.
The
executive
director
of
the
Boston
Public
Health
Commission
I'm,
joined
this
morning
by
our
director
of
administration
and
Finance
grace
Connolly.
It's
a
privilege
for
us
to
be
here
with
all
of
you
this
morning
to
share
the
important
work
that
we're
doing
across
the
Commission.
We've
been
really
diligent
about
our
spending
and
have
managed
our
resources
in
accordance
with
mayoral
and
organizational
priorities
well
present.
B
Key
accomplishments
and
future
initiatives
from
four
of
our
bureaus
are
child
adolescent
and
family
health,
community,
the
initiatives
homeless,
services
and
infectious
disease
bureaus
Jen
Tracy.
Our
director
for
the
mayor's
office
of
recovery
services
and
Devin
Larkin
recovery
services.
Bureau
director
will
lead
the
afternoon
session.
Chief
Huli
will
present
on
Boston
EMS
next
Thursday
at
on
May
23rd.
B
The
Commission
works
alongside
mayor
Walsh
in
chief
Martinez
and
other
city
departments,
to
impact
the
communities
around
us
through
youth
engagement,
community
engagement,
promoting
safe
and
resilient
communities
and
supporting
efforts
to
transition
from
homelessness
to
stable
housing.
Our
child,
adolescent
and
family
health
Bureau
addresses
the
physical
and
behavioral
health
needs
of
Boston's
children,
youth
and
families.
I
know
that
violence
has
been
front
of
mine
for
the
City
Council,
so
wanted
to
specifically
highlight
the
work
that
we
are
doing
around
violence
prevention.
B
As
you
know,
our
Boston
neighborhood
trauma
team
network
offers
critical
services
for
individuals,
families
and
communities
impacted
by
violence
through
a
network
of
19
organizations,
including
community
health,
centers
community-based
groups
and
a
mobile
team
we're
off
we're
able
to
offer
access
to
our
trauma
hotline
24
hours
a
day.
Seven
days
a
week,
365
days
a
year,
immediate
crisis
response
services
to
any
individual
impacted
by
community
violence,
linkages
to
community-based
support,
support
for
individuals
and
families
during
community
events,
including
vigils
memorials
and
funeral
services,
and
referrals
for
really
important.
B
Ongoing
behavioral
health
services
for
individuals
and
families
were
in
need
of
continuous
and
long-term
support
for
trauma
recovery
in
2018.
The
network
supported
73
percent
of
all
gun,
related
incidents
in
the
city
and
a
hundred
percent
of
all
gun
related
homicides,
with
a
total
of
two
hundred
and
ninety
seven
different
response
activities
being
completed.
Overall.
Thanks
to
additional
investments
for
Mayor
Walsh
in
FY
19,
we
went
from
five
to
six
neighborhood
teams
by
adding
a
second
team
to
Dorchester
in
the
Grove
Hall
neighborhood.
B
The
team
provides
a
safe
and
welcoming
environment
where
individuals
and
families
benefit
from
the
availability
of
services
offered
by
diverse
nonprofit
and
governmental
partner
organizations.
It
acts
as
a
hub
of
cooperative
activity
and
facilitates
continuous
learning
and
serves
as
a
resource
center
for
professional
development
and
through
their
efforts,
were
committed
to
coordinating
violence
and
prevention
services
that
are
culturally
responsive
and
accessible
to
all
victims.
B
The
Community
Initiatives
Bureau
addresses
health
issues
affecting
Boston
through
community
and
home
based
services.
Programs
support
our
commitment
to
community
engagement,
environmental
concerns,
chronic
disease
prevention
and
management,
access
to
health
care
and
enforcement
of
citywide
health
regulations.
Programs
like
the
mayor's
health
line,
tobacco
control
and
chronic
disease
prevention,
work
hard
to
deliver
direct
services
to
residents
and
we're
excited
to
relaunch
the
summer
Fitness
series
with
the
Boston
Parks
and
Recreation
Department
and
Blue
Cross
Blue
Shield.
The
kickoff
event
will
be
held
on
May
30th
at
Copley
Square.
B
We
hope
that
we'll
see
you
there,
the
homeless,
Services
Bureau
oversees
a
variety
of
programs
that
address
the
complex
needs
associated
with
homelessness.
These
services
include
emergency
shelter,
health
and
behavioral
health
services,
job
readiness
and
training,
substance,
abuse,
treatment,
recovery,
support
and
rapid
rehousing
services.
B
Last
year,
on
average,
we
provide
an
emergency
shelter
to
seven
hundred
and
ten
individuals
every
night
of
the
year,
which
translates
to
two
hundred
and
fifty
nine
thousand
one
hundred
fifty
emergency
shelter
beds,
seven
hundred
thousand
meals,
four
thousand
articles
of
clothing
over
thousand
clients
who
received
intensive
case
management
services
and
ten
thousand
clients
who
received
health
care
and
medical
services.
We
partnered
with
area
shelters
to
ensure
every
person
seeking
shelter
had
a
place
to
stay
this
year,
staff
were
able
to
place
over
300
individuals
in
housing.
B
This
includes
ongoing
work
to
advance
Mayor
Walsh's
plan
to
address
homelessness
by
expanding
the
front
door,
triage
capacity
rate
from
33
percent
to
53
percent.
It's
a
top
priority
for
us
that
our
homeless
guests
not
only
have
access
to
safe,
accommodations
but
also
dignified
accommodations,
at
both
of
our
shelters,
with
funding
from
the
city's
capital
improvement
budget.
B
The
infectious
disease
bureau
works
to
reduce
the
impact
of
infectious
diseases,
prevent
sickness
associated
with
these
diseases
and
create
healthier
lives
for
everyone.
The
team
works
to
ensure
that
people
have
the
necessary
information
to
protect
themselves
from
communicable
diseases,
and
this
means
that
they
pay
a
lot
of
attention
to
providing
comprehensive,
linguistically
and
culturally
appropriate
information.
B
Additionally,
the
staff
provide
funding
and
technical
assistance
to
providers
who
deliver
community-based
prevention
and
education
through
comprehensive,
evidence-based
interventions
designed
to
raise
community
awareness
and
lower
infection
rates.
The
staff
have
been
really
busy
working
throughout
the
year
on
different
outbreak
investigations
in
the
city.
B
We
do
not
have
a
measles
outbreak
in
the
city,
but
with
the
national
focus
on
measles,
the
staff
have
been
extremely
busy
developing
advisories
and
again
providing
TA
to
other
city
departments
and
I
know
we'll
have
a
chance
to
go
through
and
highlight
some
of
that
collaborative
work
that
the
staff
have
been
doing
as
we
look
forward
to
FY
20
in
vestments.
We
want
to
thank
mayor
Walsh
for
his
continued
support
and
investment
in
funding,
important
public
health
initiatives
and
we'll
highlight
some
proposed
funding
for
you.
Fy
20
initiative.
B
X'
sexual
health
is
a
part
of
a
person's
overall
health
and
well-being,
and
it's
important
to
be
knowledgeable
about
sexually
transmitted
infections
and
this
expansion
and
education
and
outreach
around
HIV
and
other
STDs
will
increase
early
detection,
particularly
among
hard-to-reach
high-risk
persons,
who
don't
typically
seek
out
care.
We'll
also
be
able
to
pilot
a
savings
account
program
to
improve
asset
development
for
homeless
individuals
by
creating
matched
housing,
savings
accounts
or
HSAs.
B
This
is
a
model,
that's
been
implemented
in
other
places,
and
these
HSAs
will
be
offered
in
this
pilot
for
up
to
50
individuals
who
are
working
with
one
of
our
case.
Managers
on
a
housing
plan
to
move
out
of
shelter,
clients
will
set
their
own
savings
goal
for
any
housing,
related
activity
and
work
with
the
case
manager
to
ensure
the
goals
are
attainable
and
realistic.
A
council
would
be
matched
at
a
three-to-one
rate
of
up
to
1/5
hundred
dollars
per
client.
B
Since
marijuana
has
been
legalized.
It's
important
to
provide
families,
youth
and
young
adults
with
clear
and
easily
accessible
information
about
the
health
impacts
of
using
marijuana.
Thanks
to
an
investment
from
Mayor
Walsh
in
FY
at
19,
the
Commission
was
able
to
work
with
jen
tracy
and
the
mayor's
office
of
recovery
services
to
launch
a
new
communications
campaign
aimed
at
prevention,
messages
for
youth
and
other
vulnerable
populations,
and
you
can
see
some
of
that
work
highlighted
in
the
slide.
B
Once
again,
mayor
Walsh
has
included
funding
in
his
budget
to
continue
to
the
support
for
this
campaign
and,
as
the
work
continues,
we'll
be
able
to
analyze
metrics
from
the
rollout
and
train
staff
internally
and
provide
training
to
external
partners
and
provided
additional
information
to
make
health
informed
decisions.
As
you
know,
the
health
as
the
Health
Department
we
collect
and
hold
important
data
and
patient
information.
B
We've
developed
a
plan
that
identifies
BPHC
efforts
that
can
contribute
to
housing
stability
by
working
to
remove
barriers
that
prevent
our
residents
from
getting
the
resources
that
they
need
to
tame
housing
stability.
In
closing,
we
want
to
thank
mayor
Walsh,
the
team
at
the
office
of
budget
management
and
chief
Martinez
through
theirs,
for
their
support.
I
also
want
to
thank
our
Board
of
Health
for
their
continuing
guidance
and
leadership
during
this
budget
process.
B
We've
worked
really
closely
with
our
members
and
preparing
our
FY
20,
but
and
are
grateful
for
their
commitment
to
ensuring
that
as
an
organization
that
the
Commission
is
able
to
continue
to
build
on
and
improve
our
public
health
services.
I
also
want
to
thank
all
of
our
staff
for
the
outstanding
programs
and
services
that
they
deliver
and
provide
to
all
Bostonians,
and
we
are
really
looking
forward
to
working
with
all
of
the
city
councilor
members
as
we
move
through
this
fiscal
year,
and
so
now,
I'll
turn
it
over
to
grace
Connolly
to
continue
our
remarks.
B
C
Morning
morning,
just
as
a
quick
summary,
our
proposed
total
budget
for
FY
2179
million,
which
includes
an
appropriation
request
of
89.7
million,
anticipated
revenue
funds,
totaling
45
and
a
half
million
federal
funding
at
18
million
state
funding.
Approximately
sixteen
point
four
and
then
miscellaneous
inclusive
of
foundation,
grants
fees,
etcetera
of
nine
point.
Four
million.
The
total
Boston
appropriation
has
increased
by
3.8
million
or
four
point.
Four
percent
/
FY
19
and
the
FY
2008
does
include
collective
bargaining
increases
for
all
about
two
units.
C
At
this
point
in
our
proposed
total
FTE
count
for
FY
21
thousand
185,
an
increase
of
17
when
compared
to
FY
19,
the
FTEs,
supported
through
the
appropriation
or
approximately
nine
hundred
forty-one
and
the
increases
relate
to
infectious-disease.
I
TS
the
general
council
recovery
services
and
ems
and
then
addition
at
supporting
services
through
the
operating
budget.
C
Technology
operating
and
capital
funds
will
be
used
to
continue
to
support
core
Public
Health
functions
that
promote
the
health
and
safety
of
residents,
workers
and
visitors
in
Boston,
and
our
spending
decisions
are
all
guided
by
our
operating
principles
where
we
engage
the
community,
use
data
and
evidence
to
guide
decision
making
and
build
partnerships
within
the
city.
Thank
you.
Thank.
A
C
A
Let
me
remind
folks
that
we
are
having
a
separate
EMS
hearing
next
Thursday
at
10:30,
so
most
of
the
questions
should
reflect
all
the
other
programs.
I
guess
to
be
more
specific.
I
was
looking
at
the
capital
and
it
looks
like
you
started
the
Long
Island
study.
Do
you
have
any
updates
on
any
findings
in
I
guess
phase
one
is
underway
of
the
study
of
the
facilities
and
such
so.
B
A
A
A
D
Thank
you
both
for
being
here
and
your
thoughtful
presentation.
A
thorough
presentation.
First
I
just
want
to
thank
you
for
the
Health
Commission's
partnership.
In
what
I
organized
a
few
weeks
ago,
the
first
citywide
needle
take
back
day
with
certainly
in
partnership
with
the
Health
Commission
and
our
community
health
centers
across
the
city.
Thank
you
for
that
and
I
look
forward,
we're
sort
of
digesting
some
of
the
results
of
the
day
and
look
forward
to
celebrating
that,
and
hopefully
planning
a
repeat
needle
take
back
day.
So
I
want
to
you
profits.
D
You
started
with
it
in
your
presentation.
Here
mentioned
the
needles
measles
concerns
across
the
country
and
that
we
have
none
in
the
City
of
Boston.
We
talked
a
little
bit
about
the
infectious
diseases
that
have
been
talked
to
generally
and
as
a
parent,
I'm
worried
about
I,
think
about
measles,
mumps,
I.
Think
about
rubella,
of
course,
when
we
think
about
MMR,
but
then
also
most
recently,
we
had
an
active
case
in
the
city
of
Boston
of
Tobruk
Louis
Chuck
a
little
bit
about
the
concerns
that
the
public
has
and.
E
B
You've
probably
heard
in
the
news,
have
been
isolated
in
certain
geographic
areas.
So,
a
couple
of
weeks
ago,
our
colleagues
in
New
York
City
had
an
active
outbreak
in
Brooklyn
among
an
ultra-orthodox
Jewish
community.
There
they're
also
active
outbreaks
in
very
large
outbreaks
happening
in
Washington
State.
We
are
very
lucky
to
be
in
a
state
and
in
a
city
where
we
have
nearly
Universal
vaccine
rates.
So
in
Massachusetts
alone,
where
we
have
a
98%
vaccination
rate,
I
was
on
a
call
last
week
with
colleagues
and
San.
Diego
was
the
second
city
on
that
call.
B
I
think
she
said
that
they're
at
93%
vaccination
rates
for
mm-mm
r,
which
is
the
mumps,
the
measles
and
rubella
vaccine
that
you
referenced
councillor
the
the
question
about
those
different
diseases.
I
can
start
if
you'd
like
about
how
we
keep
track
of
the
data,
because
I
know
that
was
one
of
the
first
questions
that
you
had
inquired
about,
and
this
is
actually
led
by
our
state
colleagues.
So
the
State
Department
of
Public
Health
is
the
agency
that
operates
an
immunization
registry.
B
So
this
is
the
Massachusetts
immunization
information
system
and
of
all
students
entering
school
in
the
Commonwealth
are
required
to
be
vaccinated
under
state
law.
So
the
first
thing
that
I
wanted
to
raise
is
that
it
is
the
state's
it's
under
the
state's
purview
to
track
this
data.
There
are
limitations,
and
so
I
wanted
to
raise
two
limitations
in
the
state
system,
and-
and
really
this
applies
to
much
of
the
data
that
we
collect
in
public
health.
B
The
second
limitation
is
that-
and
this
is
it's
a
good
thing
in
the
state
that
we
actually
as
of
June
of
2017
qualified
pharmacist
and
pharmacy
interns
are
also
authorized
to
administer
CDC
recommended
vaccines,
which
includes
MMR
to
individuals
who
are
nine
years
and
older,
but
not
all
pharmacies
in
the
Commonwealth
are
connected
to
the
registry.
The
system
that
I
describes
so,
if
they're
not
connected
but
they're,
getting
vaccinated
by
a
pharmacist
or
our
pharmacist.
In
turn,
that
data
isn't
necessarily
going
into
the
system,
so
those
were
limitations
to
the
statewide
system.
D
D
B
That
for
you,
but
I,
imagine
that
they
are
but
before
I
say
that
all
of
them
are.
We
can
double-check
that
for
you.
Thank
you.
Go
ahead
continue
yeah,
so
the
other
database,
or
the
other
way
that
we
track
immunizations
in
the
com
wealth
is
through
an
annual
and
Immunization
survey
that
DPH
administers
for
kindergartners,
seventh
graders
child
care
providers
and
college
students
and
at
the
national
level.
Obviously,
CDC
is
the
one
organization
that
also
tracks
immunizations
and
that
happens
through
their
national
center
for
immunization,
for
the
Center
for
immunization
and
respiratory
diseases.
B
You
asked
about
data
regarding
measles,
mumps
and
rubella,
and
so
we
don't
have
data
available
at
this
at
the
time
of
this
hearing
on
2019
and
our
staff
will
be
looking
at
that
data
to
make
sure
that
there
aren't
any
privacy
concerns
before
we
share
that
with
City
Council.
So
we
can
provide
that
what
we're
we're
gonna
confirm
that
we're
able
to
do
that,
but
I
have
data
available
for
2018.
For
you
and
again
measles.
B
F
Thank
You
mr.
chairman
I
was
encouraged
to
hear
about
our
vaccination
rates
in
the
city
and
the
state.
That
was
one
of
one
of
the
questions
I
had
and
just
to
follow
up
on
that
is
there
any
indication
that
that's
trending
in
the
wrong
direction?
Are
we
holding
steady?
We
we
think
we're
in
good
shape
there.
You.
B
We
have
what's
described
as
herd
immunity,
which
means
that,
even
if
there
were
case
of
measles
in
the
city,
that's
the
majority
of
the
population
has
been
immunized
we'd
be
protected.
Obviously
we
should
always
be
striving
for
vaccinating
everyone,
but
you're
right
I
mean
I.
Think
that
really
sets
us
apart.
Excellent.
F
Briefly,
on
a
Long,
Island,
Bridge
I
know:
that's
gonna
be
covered
more
extensively
in
another
hearing,
but
from
an
AF
standpoint,
do
we
there's
yeah
the
Health
Commission
to
our
shelters,
our
services?
Do
we
keep
track
of
where
folks
come
from
when
they're
receiving
services
from
the
city
of
Boston
and
are
they
coming
from
Quincy
or
Milton
or
Worcester
or
wherever
they're
coming
from?
We.
B
Do
the
front-door
triage
as
someone's
entering
the
shelter
figure
out
and
and
try
to
divert
them
from
the
shelter
we
want
their
stays
at
the
shelter?
To
be
brief,
but
yes,
we
do
have
that
information,
and
we
know
we
talk.
We've
talked
about
it
in
previous
years
that
many
of
them
more
than
half,
are
coming
from
other
cities
and
towns.
No.
F
And
I
think
that's
obviously,
a
testament
I
think
the
services
that
your
department,
the
City
of
Boston,
provides
to
people,
but
it
also
is
an
interesting
data
point
in
the
current
discussion
with
the
city
of
Quincy
about
rebuilding
Long
Island
Bridge.
You
know
this
is
a
shared
regional
problem
that
every
city
has
a
role
in,
so
it
could
be
useful
to
have
that
data
to
share
with
them
perhaps
send
them
an
invoice
at
some
point
if
they
continue
to
be
obstructionist
about
rebuilding
this
bridge.
So
thank
you
for
that.
That's
all!
Thank
you.
Jackie
we've.
A
G
You,
mr.
chairman,
it's
I
think
unsurprising
that
the
sort
of
lead
line
of
questioning
from
my
colleagues
and
me
is
about
vaccination
rates.
So
thank
you
for
going
into
it
so
thoroughly
with
councillor
sabi
George
I'm
reminded
of
a
really
a
high
point.
Professionally
was
when
the
Simpsons
came
to
Boston
was
an
episode.
They
did
a
couple
years
ago
and
Marge
Simpson
discovered
one
of
our
sunscreen
dispensers
and
she
said
free
sunscreen
how
progressive
and
then
another
woman
was
walking
by
and
Marge
said.
G
Excuse
me:
do
you
vaccinate
your
children
and
the
woman
said,
of
course,
and
Marge
Simpson
said,
but
not
stupid,
progressive,
so
I,
I,
appreciate
and
impart
and
by
those
rates,
hope
there's
more.
We
can
do
and
hope
that
other
municipalities
truly
take
Boston's
lead,
as
it
relates
to
the
importance
of
immunization,
the
science
behind
it.
The
life-saving
efforts
that
we
need
to
do
for
our
children
and
for
our
society,
so
so
good
work
there
and
I
know
we
all
stand
committed
to
working
to
continue
those
trends.
G
Thank
You
executive
director
Lupe
director
Connolly
for
your
great
work,
it's
great
to
see:
chief
Martinez
and
chief
Huli
and
Mike
McNeil,
and
his
team
from
the
men
and
women
of
Boston,
EMS
I,
know
we're
having
a
separate
meeting
on
that
and
I'll
get
into
my
line
of
questioning
around
EMS
then.
But
suffice
it
to
say.
One
thing
that
I
need
to
see
in
this
budget
is
a
real
commitment
for
some
permanent
facilities
for
paramedics
and
EMTs.
We've
put
money
in
another
nine
budgets.
I've
been
here
for
studies
from
reports.
G
G
So
we
really
need
to
make
sure
that
that
happens
through
the
capital
process,
but
we'll
get
into
that
on
Thursday
or
next
week,
director
Lupe
yesterday,
councillor
sabe
George
and
all
of
my
colleagues
here
co-sponsor
initiative,
looking
at
teen,
East
cigarette
use,
jewels,
julen,
vaping,
etc.
We've
seen
statistics
that
would
suggest
nearly
one
in
five
high
school
students
use
electric
cigarettes,
we're
seeing
the
number
of
middle
school
students
increased
by
dramatic
numbers
that
the
percentage
doubling
year
after
year
from
2017
to
2018.
B
Thanks
for
that
question,
and
thank
you
for
your
leadership
on
the
sunscreen
and
this
issue
as
well.
This
is
actually
an
interesting
topic
that
we
we
talk
a
lot
about
internally,
because
it
is
it.
You
know
our
colleagues
at
the
State
Department
of
Public
Health
have
a
full-on
campaign,
they're,
seeing
dramatic
increases
in
e-cigarette
use
in
in
other
regions
and
other
municipalities
in
the
Commonwealth
and
what
we
have
seen
in
Boston
in
the
data
and
I.
B
Have
this,
as
one
of
our
progress
points
to
highlight
is
a
decrease
in
the
Boston
public
high
school
students
that
reported
using
e-cigarettes
and
it
went
from
15%
in
2015
to
6%
in
2017
I
had
the
staff
double-check
to
make
sure
that
that
was
the
most
current
and
it
is,
and
that's
that's,
a
dramatic
decrease.
We
attribute
that
to
the
work
that
the
Commission
has
been
doing
over
decades
in
terms
of
very
robust
and
strong
tobacco
control
policies
and
regulations
in
2015,
our
Board
of
Health
amended
our
tobacco
regulations.
B
We
were
one
of
the
first
cities
in
the
state
to
raise
the
age
for
purchasing
tobacco
products
to
21.
We
took
that
additional
step
and
restricted
the
sale
of
flavored
tobacco
products.
The
state
followed
in
terms
of
tobacco
21,
but
we
still
remain
on
the
list
of
cities
in
the
country
that
has
very
progressive
and
very
robust
tobacco
control
regulations.
The
one
piece
that
I
know
that
you
put
front
and
center
is
menthols
and
we
for
us
at
the
Health
Department.
B
This
is
a
issue
of
health
inequity,
because
we
know
that
big
tobacco
has
been
targeting
our
communities
of
color
and
that's
how
they
have
been
able
to
hook
most
recently
that
next
generation
of
smokers
in
terms
of
having
menthols
and
other
flavors.
That's.
Why
we've
seen
that
improvement
on
the
flavor
on
the
high
school
use?
I
can
share
with
you
that
we're
actively
now
in
planning
discussions
with
chief
Martinez
and
the
mayor
and
our
boards
to
look
at
how
we
can
make
our
regulations
even
more
robust,
and
we
look
forward
to
working
with
you
so.
G
That
that's
very
heartening
to
hear
and
and
I
certainly
take
you
at
your
word.
It's
it
seems
completely
counterintuitive
to
statistics
happening
throughout
the
rest
of
the
Commonwealth,
where
it's
about
20,
which
one
out
of
every
five
high
school
students
is
that
six
percent
number
self-reported.
It.
G
That
and
the
question
is
as
I
understand
it.
The
way
the
question
was
phrased
was
a
little
different.
It
was
if,
if
I
have
this
right,
it
was
asked
to
do
it.
The
question
was
posed
to
middle
school
students.
Do
you
current?
Do
you
have
you
used
electronic
cigarettes
and
that
actually
was
a
higher
number
than
high
school
students
and
in
high
school?
Is
it
Duke?
Are
you
currently
using?
We.
G
B
G
H
Well,
I
guess:
define
high
thresholds
for
intervention
and
triggering
city
government
and
others
to
go
in
so
when
I
was
speaking
with
Commissioner
Christopher,
and
he
alerted
me
that
you
all
the
ISD
and
the
Health
Commission
have
a
partnership
when
it
comes
to
issues
of
lead
and
that
you
all
take
primary
responsibility
when
it's
young
children.
So
can
you
just
tell
me
a
little
bit
about
how
the
inspection
program
works
and
what
the
resources
are
available?
For
that
sure.
B
So
I
can
tell
you
what
we've
been
doing
in
partnership
actually
with
with
schools
and
ISD.
So
in
2016,
Boston
Public
Schools
water
access
policy
was
voted
on
by
the
school
Paulo.
This
goal
Committee,
which
ensured
that
all
students
had
to
have
access
to
water
throughout
the
school
day
at
no
cost
and
there's
also
a
component
around
annual
testing
of
schools
that
have
supplies
for
water
for
consumptive
use.
B
Bps
follows
the
EPA's
revised
guidelines
around
testing
for
reductions
in
lead
in
their
drinking
water,
in
schools
and
childcare
facilities,
and
so
when
there
is
an
event
of
a
drinking
water
fountain
that
is
above
the
allowable
range
or
rates
that
water
fountain.
We
work
with
the
schools
that
water
fountain
is
taken
offline
and
replaced
with
water
dispensers.
We
work
with
bps
in
terms
of
communication
protocols
and
how
we
notify
families
and
staff
any
school
once
the
repairs
are
done
that
are
scheduled
to
come
back
online.
B
Again,
they
follow
the
state
rules
around
sampling
protocols,
and
so
they
do
that
approximately
8
to
16
hours
after
they've
used
it
they've
been
committed
to
partnering
with
us
and
we've
supported
them
and
testing
their
water
fountains
and
online
on
all
of
their
online
school
buildings
on
an
at
least
once
annually
and
their
that
the
topic
of
lead
and
their
water
policies
is
routinely
discussed
at
their
district
wellness.
Council
meetings.
H
Chocolate
sorry
I
just
have
limited
time
so
and
I
have
had
conversations
with
VPS
on
the
water
inlet
issue,
I'm
interested
in
also
learning
about
the
just
paint
and
in
terms
of
housing
inspections.
As
the
you
know,
what
I'm
told
is
that
there's
actually
much
higher
incidence
of
lead,
poisoning
from
kids
living
in
homes
that
might
have
lead
paint,
exposure,
etc.
B
B
We
do
the
lead
inspections
and
then
we
have
funding
to
help
with
remediation,
and
so
we
work
with
the
families
in
terms
of
lead
testing
if
it
does
come
up
positive
in
those
results,
and
we
can
share
that
policy
with
you
and
how
it
works.
How
many
inspectors
do
you
have
I,
don't
know
that
answer
off
the
top
of
my
head,
so
we
can.
We
can
come
back
to
you
with
that
and.
B
H
But
if
the
the
level
of
exposure
that
triggers
an
inspector
an
inspector
to
go
in
were
lowered
to
the
national
recommendations,
which
is
much
lower
than
what
Massachusetts
currently
has
so
just
wanted
to
understand
kind
of
what
additional,
what
that
would
mean
in
terms
of
the
day
to
day
of
the
Health
Commission
needing
to
go
out
and
and
then
follow
up.
And
then
what
happens
when
you
do
go
into
a
home,
and
you
find
some
condition
that
is
threatening
the
health
of
a
young
child.
I
You
counsel,
C
Mon.
Thank
you
too
yo
leadership
on
so
many
public
health
issues
facing
our
city.
I,
had
to
two
issues.
I
wanted
to
focus
on
I
know:
you've
referenced
earlier,
the
the
seaport
station.
As
for
EMS,
that's
something
that
I'm
interested
in
I
do
get
a
lot
of
residents
asking
me
about
it.
It's
a
booming
growing
neighborhood.
There
isn't
a
EMS
presence
there,
I'm
afraid
that
you
know.
If
there's
a
major
incident
there,
it's
difficult
getting
an
EMS
into
the
Seaport.
I
E
J
Thank
You
chief,
what
morning,
council
morning,
chief
councilors
Madam,
President,
Thanks
I,
wasn't
expecting
the
city
of
before
Thursday
but
happy
to
be
here:
okay,
just
in
case
yeah,
and
but
it's
specific
to
to
the
request
for
the
Seaport.
Just
just
you
know.
Historically,
we've
we've
had
a
request
in
to,
among
other
places,
to
prayer,
prioritize
getting
some
sort
of
station
or
facility
satellite,
whatever
you
want
to
call
it
down
in
the
Seaport.
Far
out
for
many
years
now,
going
back
to
even
prior
to
I.
Think
Manny
knows
last
term.
J
It's
three
years
ago,
I
believe
the
city
did
invest
in
a
study
on
that
they
did
conduct
that
study.
They
did
a
needs
assessment.
They
weren't
able
to
come
up
with
any
sighting.
They
made
a
couple
of
recommendations
looking
at
other
cities,
how
they
would
do
things
in
areas
like
that
they
were
rapidly
developing
one
was
to
build
something
on
city
or
whatever
own
land,
to
maybe
try
to
partner
with
other
agencies.
J
Like
you
know,
the
state
owns
stuff
down
there,
convention
centers
down
there
and
another
one
was
to
do
with
some
sort
of
linkage
program
and
they
showed
examples
of
different
ones.
Were
different
cities
somebody's
putting
up
a
new
building
and
they
part
of
the
development
thing
as
you
carve
out
and
put
a
station
for
a
garage
in
for
fire
truck
EMS
or
whatever
they.
J
They
gave
different
examples
so
that
they
sort
of
just
showed
out
different
recommendations
on
that
this
past
year,
BPD
a
has
been
trying
to
keep
an
eye
out
on
city
owned
parcels
down
there
that
weren't
necessarily,
you
know
slated
for
developmental
potential
development
where
you,
you,
wouldn't
want
to
put
something
in
only
two
years
later
find
out
that
the
area's
being
you
know
sold.
It
was
a
plan,
so
this
past
winter
we
were
contacted
by
BB
da
that
they
did
have
a
small
parcel
with
an
existing
small
garage
on
it
down.
J
It
I
believe
it's
number
30
dry
dock,
yeah,
yeah,
30,
dried
rocky
and
that
you
know
would
would
we
consider
it,
and
you
know
of
course,
said
yes,
that
was
there
was
the
first
of
anything
we've
heard
in
like
maybe
10
years
and
that,
even
though
the
city's
been
looking,
you
know,
there's
been
talk
about
ever
developing
how
the
site's
down
there
building
a
combined
facility
with
the
Harbor
unit
for
the
police.
That
would
include
us,
but
not
sure
where
that
is
I'm,
not
sure
with
it.
J
So
right
now
this
seems
to
be
the
the
first
tangible.
You
know,
as
you
know,
how,
on
the
Capitol
thing,
getting
a
sighting
is
often
very
well
getting
consideration
and
getting
it
in
the
plan
is
the
most
important
thing
and
doing
the
study,
but
the
sighting
helps,
because
that
means
that
you
can
now
move
on
to
design.
Yes,
they
agree
and
that's
what
I
believe
the.
J
325,000
I
think
change
was
was
in
the
budget.
This
year
was
to
start
on
the
idea
of
some
design.
I
know
that
I
was
told,
that
is,
it
was
a
capital
of
property,
not
property
management,
property,
construction,
capital
construction.
They
they
went
down
to
do
some
assessment
on
the
site
and
said
that
it
was.
J
They
were
looking
at
it
to
see
if
it
would
be
something
that
could
be
remodeled
or
or
just
you
know.
Well,
you
know
leveled
and
something
you
built
in
and
that
those
some
of
the
options
and
I
believe
that's
why
there
was
money
put
in
the
budget
this
year.
That
was
tall
would
be
available
as
of
July
1,
for
them
to
start
to
employment
area
planning
for
construction.
I
That's
that's
very
helpful
chief.
Thank
you
for
that
input.
I
know
they
have
great
respect
for
the
the
work
you
guys
do.
My
my
only
concern
is,
you
know,
it
seems
like
the
closest
station
might
be
all
of
a
purchase
tree
and
then
certainly
at
c6
in
South,
Boston,
correct,
I
am
concerned
about
you,
know
traffic
and
not
having
a
physical
presence
down
there
with
the
growing
population
in
the
in
the
Seaport
in
the
Fort
Point
area.
J
K
Thank
You
councillor
CMO
and
Monica
and
grace
thank
you
and
chief
as
well
just
wanted
to
echo
council
Mally's
I
guess
comments
with
respect
to
stations
for
EMS,
paramedics
and
technicians
agree
with
him,
but
just
curious.
We
have
and
it
was
actually
a
project
that
started
before
I
even
joined
the
Council
on
River
Street.
K
The
EMS
location
is
that
a
location
where
technicians
and
paramedics
can
come
back
to
and
and
sort
of
take
that
five
minute
break
or
is
it
just
use
for
a
chief
come
back
or
do
just
use
for
storage
of
the
trucks
and
stuff
like
that?
I've
been
there
and
I've
toured
actually
did
a
drive
around
with
chief
Huli,
but
I'm,
not
sure
if
it
serves
that
purpose
as
well
and.
J
I
should
have
asked
permission
to
be
excused.
I
is
so
specific
to
the
at
River
Street
job
facility.
The
garage
that
was
done
was
built
a
few
years
ago.
There
was
a
capital
construction
project.
It's
got
11
days
in
each
Bay
is
like
two
Bay's,
basically
deep
enough
that
you
could
put
amulets
back-to-back,
we
store
some
of
our
larger
stuff
there,
like
our
disaster
up
the
bus,
Sperry
announces,
we
have
a
large
communications
trailer
that
we
stood
that
we
had
to
use
this
winter.
J
We
also
have
a
basically
the
support
for
the
city's
use,
our
team,
their
collapse,
rescue
trailer,
restore
there
as
well
as
well
as
attracted
a
to
to
move
that
around
should
that
be
needed
for
a
disaster
in
the
city
or
in
the
region.
Actually,
we
we
do
currently
staff
and
operate
a
few
animals
out
of
there.
One
is
emulous
19
from
Matapan
for
a
meals
12,
which
is
a
is
own
impact
truck
for
up
Dorchester,
which
generally
posts
up
around
Franklin
Park
and
the
ambulance
17,
which
believe
it
or
not,
is
a
Rosendale
truck.
J
So
an
impact
we
don't
currently
have
a
station
or
garage
and
Rosendale,
so
the
crew,
the
crew,
so
the
crews
for
a
mural
17
report.
There
pick
up
the
ambulance,
you
know
they
parked
their
cars,
they
have
equipment,
secure
their
jump
in
the
truck
and
then
head
back
off.
Tarasco
shift
changed
to
travel
back
there
and
then
the
evening
q,
who
relieves
them
and
they
go
out.
Amy
was
12
same
story.
They
go
up
to
Dorchester
and
they
they
help
fill
in
areas
of
Dodge.
J
Just
over
there
I
mean
Duchess
is
pretty
big,
pretty
marvelous,
so
they
fill
in
when
not
some
of
the
primary
trucks
over.
They
were
busy
and
they
also
backup
Roxbury
as
well
emulous
9,
which
so
immune
17
and
12.
No,
they
would
not
routinely
be
able
to
go
back
there,
except
to
the
you
know,
staff
and
and
the
toilets
15
ambulance
19,
which
does
cover
Mattapan,
is
that's
close
enough
that
you
know
they
can
no.
K
That
garage
was
I
think
a
really
great
example
of
community
process
folks
had
were
responses
on
color
and
change
in
EMS
and
the
Health
Commission
responded
accordingly
and,
and
now
you
have
a
garage,
people
have
welcomed,
obviously
received
well
and
does
really
great
work,
not
the
garage
itself,
obviously,
but
the
individuals
going
there
do
really
great
work
out
of
that
facility.
So
just
wanted
to
acknowledge
that
I
have
just
a
couple
questions
before.
Probably
this
round
ends
mental
health
I
know,
councillor
sabi
George,
of
course,
want
to
give
her
credit.
Given
her
the
committee.
K
She
chairs,
for
the
council,
has
done
a
lot
of
work
in
this
space.
It
has
been
coming
up
quite
a
bit
with
respond
with
respect
to
some
meetings.
We've
been
holding
in
district
4
in
my
district
called
constructing
peaceful
communities
and
I
have
to
thank
you
Monica,
as
well
as
your
team
members
at
the
Health
Commission,
as
well
as
she
hooli
and
others
who
show
up
to
those
meetings.
K
They
offer
incredible
insight,
a
very
responsive
and
it
was
a
meeting
that
was
set
up
in
response
to
incidents
of
violence
in
district
4,
but
we
wanted
a
consistent
space
and
anyone
can
come
to,
but
also
brainstorm
collectively
what
we
could
do
to
respond
to
incidents
of
violence,
not
a
you
know,
assuming
that
only
a
councillor
or
EMS
or
police
or
the
Health
Commission
can
do
it
all
alone.
We
have
to
do
it
as
a
community,
so
your
team
members
show
up
they
participate
and
it's
extremely
helpful,
including
in
our
first
listening
session.
K
K
K
B
E
B
Mattapan-
and
that
was
completely
designed
and
and
led
by
our
youth
and
our
young
people,
and
the
focus
was
on
the
impact
of
community
violence
on
adolescent
mental
health.
We
had
nearly
500
young
people
who
came
out
to
almost
a
dozen
different
community-based
hearings
and
I
agree.
I
think
that
there
is
still
a
lot
of
stigma
in
the
community
despite
the
services
that
are
provided
not
only
through
the
Commission
and
our
extensive
network
of
community
health
centers,
but
would
love
to
follow
up
with
both
you
and
councilor
savvy
charge
offline
to
see.
B
If
there
are
some
specific
things
that
we
can
do
as
a
follow-up
from
the
dialogues
we
had
last
summer
and
connect
it
back
to
the
continuing
work
that
we
all
have
to
do
in
terms
of
strengthening
the
resiliency
of
our
communities
of
color,
who
really
are
suffering
from
a
lot
of
the
chronic
exposure
to
violence
and
and
toxic
stress
that
that
impacts
everything
awesome.
Thank
you.
I
can
wait
for
the.
L
So
sorry,
it's
good
morning,
good
to
see
everybody
anytime
I
get
a
chance
to
talk
about
public
health
issues,
I
like
to
brag
about
our
community
health
centers,
the
network
of
community
health
centers.
We
here
I,
have
here
I,
think
a
second
to
none
and
how
they
interact,
particularly
their
executive
directors,
with
this
council,
as
well
as
all
of
our
respective
communities
and
neighborhoods
across
the
city.
It's
it's
a
it's
I,
think
it's
it's
a
it's
a
city
treasurer
for
us
they're,
also
servicing
some
of
our
most
vulnerable
residents.
L
B
B
That's
how
I
came
to
know
about
the
health
department
and
so
that
relationship
between
the
Boston
Public
Health
Commission
and
the
mass
League
and
the
Boston
conference
of
community
health
centers
in
particular,
I
staff
them
when
I
was
at
the
league
runs
very
deep
and
and
it's
it's
grown
over
time.
I
can't
think
of
any
public
health
work
that
we
do
even
with
things
like
EMS
capital
improvements
that
our
executive
directors
haven't
partnered
with
us
on.
B
So
they
really
are,
as
you
said,
a
treasure
and
something
again
I
hate
to
say
it
sound
like
a
broken
record,
but
it
makes
us
unique
in
terms
of
the
extensive
network
of
health,
health
centers
that
we
have
and
the
public
health
infrastructure
that
they
contribute
to.
They
receive,
as
you
know,
grants
they're
their
partners
on
the
neighborhood
trauma
team
initiatives.
B
They
also
receive
funding
from
us
through
different
competitive
RFPs,
so,
for
example,
with
our
Ryan
White
Part
A
grant,
which
is
a
federal
grant
that
we
receive
around
HIV
treatment
and
care
health
centers
receive
grants
through
that
process.
They've
responded
to
a
new
round
of
funding
around
sexually
transmitted
infections,
hepatitis,
C
and
other
STI
is
that
city
funding
education
and
outreach
I
think
I
flagged
that
in
my
remarks
and
and
so
there's
federal
funding
city
funding
that
we
procure
and
then
there
is
a
line-item
that
they've
had
dedicated
to
community
health.
C
So
we
dedicate
3.6
million
dollars
to
the
community
health
centers
for
grants
and,
as
Monica
mentioned,
this
was
previously
devoted
to
primary
care
and
infant
mortality
in
during
FY
17.
We
started
a
discussion
with
the
mass
league
about
how
to
transform
these
grants
so
that
they
could
better
reflect
what
the
individual
Community
Health
Center
needed
so
beginning
in
FY
18.
They
were
allowed
to
take
what
they
had
and
directed
towards
their
particular
needs
for
their
community
health
center,
and
they
would
give
us
a
report
back.
E
C
We've
transformed
it
essentially
into
a
real
grant
program.
They
receive
quarterly
payments,
we
get
an
annual
report
and
we
just
have
some
preliminary
data
from
the
prior
years
and
some
are
continuing
for
primary
care.
Infant
mortality.
Some
have
actually
branched
out
into
mental
health
work
translation,
so
they're,
actually
good.
L
Great
I
think
they're
a
jewel
for
the
city,
so
that
oversight,
obviously
and
making
sure
that
they
remain
sustainable,
is
huge
for
us.
The
other
area
like
to
talk
about
is
our
EMS
LED
I
led
the
effort
on
the
council
to
secure
a
group
for
for
them
several
years
ago.
They
do
phenomenal
work.
You
think
about
senseless
violence
in
our
city.
L
I
think
the
death
toll
would
be
significantly
higher,
possibly
even
double,
if
not
for
our
EMS
and
if
not
for
one
of
the
best
trauma
units
just
minutes
away
from
where
a
lot
of
this
violence
is
happening.
It's
at
Boston,
Medical
Center,
so
they
do
phenomenal
work.
Our
populations,
growing
traffic
congestion
in
construction
continues
to
increase.
That's
slowing
down
our
response
time
so
just
want
to
make
sure
that
I
really
respected
and
that
they
scene
always
be
kind
of
like
the
Forgotten
one
sort
of
been
our
public
safety
tree.
L
If
you
will
making
sure
that
we're
putting
enough
on
to
sustain
the
department
making
sure
that
we're
adjusting
to
a
population
growth
but
also
making
sure
that
they're,
you
know
they're
properly
stationed
across
the
city's
huge
I,
think
bragdun,
Street
I
think
it's
time
to
have
a
serious
conversation
about
buying
Bragman,
Street
I
know
it's
centrally
located.
I
know
we
consistently
have
a
lease
that
I
look
at
budget
in
and
budget
out,
but
officer
all
emergency
personnel
use
at
EMS,
Boston,
Fire
and
Police,
and
it's
leased
I
know
it's
somebody
integrated.
L
It
would
be
great
if
we
would
consider
purchasing
that
site
because
of
its
location
and
then
really
putting
a
Public
Safety
campus
there.
If
you
will,
in
the
event
that
we
have
actually
have
to
activate
it
for
a
saver
situation
and
I
know
that
we've
got
activated
in
the
past,
so
thoughts
on
Bregman
Street,
we're
gonna
continue
just
to
do
a
lease,
or
should
we
approach
the
owner
and
secure
it
and
put
it
in
up
to
our
portfolio
as
an
asset,
a
real
estate
asset
for
us
in
a
public
safety
asset
for
the
city.
B
J
J
That
has
helped
to
fray
our
cost
on
that,
because
for
last,
probably
about
five
years
now,
there's
been
money
in
the
budget
from
them
to
help
to
help
pay.
For
you
know,
I'm
sharing
that
facility
with
them,
so
that
has
helped
us
operationally
at
Boston
EMS.
We
I
do
believe
and
in
his
wire,
would
have
to
go
back
and
check
the
fax
I
I
know
a
few
years
ago.
J
L
Make
sense
for
the
city
and
I
would
love
to
secure
that
as
an
asset
for
the
city,
an
asset
for
our
public
safety
team
and
make
the
necessary
improvements
at
that
site
again,
which
is
it's
in
the
epicenter
of
the
city
and
it's
between
the
networks
and
also
with
the
communication
piece.
A
significant
infrastructure
communication
infrastructure
was
was
undertaken
there
a
few
years
ago
at
great
cost
to
the
taxpayer
want
to
make
sure
that
we're
sort
of
holding
onto
money
that
we've
spent
in
that
facility.
L
But
it
just
makes
sense
from
my
perspective
and
would
love
to
see
someone,
particularly
maybe
in
the
public
health
side,
continue
to
push
that
idea
or
that
issue
that,
instead
of
just
continuing
to
pay
a
significant
portion,
significant
my
funds
every
year
on
the
lease.
Maybe
we
we
talk
more
interesting
and
kids.
That
give
might
be
good
sense,
so
I
appreciate
it
Thank
You.
Mr.
chairman,
thank.
N
You
counselor
cuz
I
didn't
actually
check
the
box,
but
you
were
reading
my
mind.
Thank
you.
Everyone
I
just
had
a
question.
I
know
sorry
I'm,
Anna,
Leslie
I'm,
the
director
of
the
Austin
Brighton
health,
collaborative
and
I
know.
There's
quite
a
bit
of
funding.
That's
been
available
is
coming
available
through
hospitals.
We
have
a
new
process
of
engaging
with
hospitals
around
their
determination
of
need
process.
N
Community
benefits,
so
I
just
love
to
hear
more
from
the
Commission
on
what
that
relationship
is
like
how
we
can
gain
access
to
more
of
that
funding
in
those
relationships.
I
think
it's
really
piecemeal.
At
this
point
between
neighbourhoods
and
what
the
relationships
look
like,
there's
some
good
work
happening
through
the
community,
I'm
gonna,
get
it
wrong
the
chenot
chat
process.
I
would
just
love
to
hear
more
from
from
you
and
and
what
the
councillors
are
thinking
on
that
sure.
B
So
you're
right,
the
hospitals
and
health
centers,
the
Commission
and
an
extensive
network
of
over
I
think
a
hundred
different
organizations
are
now
working
on
the
Boston
community.
Health
needs
assessment
and
community
health
improvement.
Planning
collaborative
I
would
point
you
to
the
board
of
Health's
website
that
it's
on
the
BPHC
website.
There's
a
link
for
the
last
two
months.
B
Just
last
night,
we
actually
went
through
with
our
colleagues
Nancy
Kison
from
Beth
Israel
Deaconess
and
Margaret
Reed,
our
health
equity,
a
director
on
a
prioritization
project
process
and
discussion
with
our
board
members
to
go
through
the
different
health
issues
that
have
emerged
is
top
concerns
for
residents
that
had
completed
a
survey,
and
so
the
background
on
that
work
that
we've
been
doing
has
the
Health
Department
with
the
hospitals
is
available
on
our
website.
We've
been
working
with
them
extensively.
They
launched
this
work,
the
collaborative
last
fall.
B
You
might
have
been
at
that
event
and
I
know
that
you
participated
in
the
first
Chanel
process.
I
was
not
here
during
the
first
jannat
process,
but
I
think
you
know,
I
can
tell
you
that
we've
been
working
closely
with
the
collaborative
in
in
thinking
through
what
will
happen
once
they
land
on
those
health
priorities.
We
have
a
series
of
conversations
that
we
facilitated
and
will
be
leading
here
at
City
Hall.
We
chief
Martinez,
is
hosting
us
next
week
to
meet
with
and
talk
about.
B
The
the
priorities
at
the
HHS
cabinet
meeting
and
chief
Dylan
has
invited
us
to
come
work
with
her
departments
as
well.
So
there
are
many
different
opportunities
that
community
members
will
be
able
to
weigh
in
I'm.
Sorry
I,
don't
remember
off
the
top
of
my
head,
but
you
can
check
the
Commission's
website
or
if
we
get
your
contact
information
happy
to
share
too
large
community
events,
one
at
the
end
of
May
and
one
at
the
end
of
June.
Where
they'll
be
doing
this
prioritizing
exercise
with
community
residents
and
so
I
can
stop.
There
continue.
A
M
M
We
have
worked
hard
to
be
in
a
JIT
with
her
medical
team,
but
she
has
unfortunately
suffered
and
a
flacks
as
many
times
and
other
reactions
that
were
also
difficult
to
manage
public
playgrounds,
which
are
our
only
way
to
be
outdoors
since
we
don't
have
yard.
We
live
in.
The
city
have
been
a
big
challenge
for
us
to
manage
I'm
reading,
to
ask
you
I'm
speaking
here,
to
ask
you
if
you
would
please
support
playground
signs
that
would
help
to
improve
the
lives
of
families
and
especially
the
children
of
there's,
a
playground
sign.
M
That's
going
up
all
around
the
country,
including
in
Cambridge
that
simply
asks
folks
to
eat
off
of
the
play,
equipment
and
use
a
water-based
wipe
after
eating.
It's
a
simple,
common-sense
safety
measure
and
I
do
think
this
is
a
public
health
issue.
Nowadays,
one
in
13
children
have
a
food
allergy
when
I
spoke
with
other
moms.
This
was
a
really
common
problem.
I've
had
to
leave
countless
times
because
another
child
was
running
around
holding
peanut
butter
holding
yogurt,
while
touching
all
the
play
equipment
asking
to
play
with
my
daughter.
It
was
really
uncomfortable.
M
It
was
really
scary
and
my
daughter
has
had
about
one
reaction
a
month
when
she's
on
the
playground
equipment.
Luckily
it
hasn't
progressed
to
being
anaphylactic
so
far,
but
it's
been
really
awful
and
really
traumatic
for
us,
but
I
know
that
I'm
not
alone,
so
I
think
this
very
simple
health.
A
health
measure
would
really
make
a
big
difference.
We
spoke
at
parks
recently
about
this
as
well,
so.
A
Emily
just
to
let
you
know
during
our
Parks
Department
hearing,
several
mothers
came
with
with
examples
of
signage
and
chief
cook,
who
is
the
head
of
the
parks
department
at
this
time
as
well,
is
certainly
looking
into
it
and
is
favorable
to
replicating
those
signs.
As
a
matter
of
fact,
I
think
I
was
told
recently
that
they're
fabricating
cardboard
so
that
they
can
get
up
in
them
in
a
more
immediate
fashion,
but
then
more
long-term
signs
will
be
going
up.
That's.
M
D
You,
chair
and
I,
thank
you
to
those
of
you
who
gave
public
testimony.
It's
always
helpful
to
have
that
and
Thank
You
chair
for
doing
it.
The
Middle's
I
think
it
certainly
informs
the
conversation.
The
presentations
I
just
want
to
continue
director
Lupe
on
some
of
our
questions
around
measles,
mumps
and
tuberculosis.
What
what
is
our
protocol
or
what
is
our
response
when
there
is
a
case
of
an
active
case
that
we
know
about
in
the
city
of
Boston,
so
earlier
this
week
there
was
a
case
that
UMass
Boston
of
active
TB.
B
B
They
talk
with
the
providers
and
they
do
what's
called
contact,
tracing
and
I'm
happy
to
share
this
with
you,
because
we
actually
do
have
a
so
standard
operating
procedures
on
this,
and
so
they
do
the
follow-up
interviews
and
work
with
the
individual
who
has
TB
and
and
understand
to
understand
who
else
they've
been
in
contact
with,
and
that
is
our
role.
We
make
sure
that
they
actually
are
linked
to
care
and
we
operate
in
partnership
with
Boston
Medical,
Center,
long-standing
TB
clinic
at
BMC.
B
It's
the
largest
provider
of
TB
services
in
New
England
and
our
public
health
nurses,
and
a
very
diverse
group
of
administrative
staff
helps
support
the
clinicians
who
are
there
and
and
in
terms
of
ensuring
that
patients
have
access
to
their
medication
and
that
they're
complying
with
the
treatment
that's
required.
Well,
when
you
have
active
TB,
we
actually
work
very
closely
with
the
community
health
centers
on
that
front.
B
If
they
don't
want
to
go
to
the
TB
clinic
at
BMC
and
there
they
have
care
at
a
community
health
center
and
so
work
very
closely
to
make
sure
that
the
medications
are
available
in
in
there
in
the
place.
That's
easiest
for
them
to
access.
It
I'm
happy
to
follow
up
and
have
a
deeper
discussion
with
you
and
our
infectious
disease
team
to
walk
you
through.
That.
D
I
appreciate
that
and
I
will
take
you
up
on
that
offer
when
we
were
doing
some
research
just
in
my
office
earlier
this
week
in
the
end
of
last
week,
one
of
the
things
we
realize
is
through
the
school's
reporting
system
and
I
understand
you're,
not
the
boss,
public
schools,
but
it
appears
that
some
of
the
reporting
numbers
of
immunizations
is
very
low
in
our
schools
and
I.
Think
a
big
part
of
that,
especially
for
at
ninety-eight
percent
for
vaccination
rate,
is
just
a
problem
with
the
data
entry
effort.
D
B
I
can
tell
you
there
is
no
because
I
know.
One
of
your
questions
was
to
see
if
we
had
heat
maps
or
kind
of
high-risk
exposures
in
the
city,
and
there
is
no
specific
high-risk
geographic
area
or
neighborhood
in
the
city.
Our
focus
has
really
been
working
to
get
to
that
hundred
percent.
To
maximize
the
number
of
individuals
who
are
getting
vaccinated,
we
have
been
working
closely
with
Boston
Public
Schools
and
Jill
Jill
Clark
in
particular.
So
our
I
think
you
know
this,
but
our
medical
director,
dr.
B
Jennifer
Lowe,
has
a
seat
on
the
district
wellness
Council,
and
so
we
have
been
working
with
Jill
through
dr.
Loe
to
get
a
better
handle
on
the
the
challenges
that
they're
facing.
Sometimes
the
documentation
for
my
to
understand
is
incompletes
they're
not
able
to
get
a
full
vaccine
record,
but
that
doesn't
necessarily
mean
that
the
student
hasn't
been
vaccinated
right
and
so
we're
gonna
continue
to
work
with
them
and
provide
technical
assistance
to
help
them
get
that
data
that
they
need
and
in
vaccinations
if
needed,
right
and.
D
B
So
with
the
vaccines
we
actually
don't
provide
vex
flu
vaccine
clinics.
That's
actually
we
might
host
the
clinic,
that's
actually
ausco
Pharmacy,
that
we've
partner
with
that
actually
does
the
vaccine
clinics
and
they
offer
the
vouchers,
and
then
they
do
the
third
party
billing.
So
the
vouchers
on
the
MMR
is
actually
an
interesting
idea.
Our
main
focus
has
been
in
linking
those
individuals,
all
individuals
to
primary
care
providers
who
can
so
that
they
have
a
routine
source
of
care
that
can
take
care
of
the
whole
self.
So
that
really
has
been.
D
Thank
you
for
that
and
then
I'm
just
shifting
to
a
response
to
one
of
my
colleagues
questions
earlier
we're
seeing
an
additional
investment
in
HIV
and
AIDS
education
on
your
end,
are
we
seeing
an
uptick
I
know
some
communities
are
seeing
an
increase
after
a
long
decrease
in
the
rate
of
HIV
infection
or
HIV
in
currents
within
the
within
our
city
limits.
So.
B
The
the
additional
funding
that
we
have
is
to
support
to
support
the
education
and
outreach
services
that
we
provide
we're
actually
really
lucky
in
the
city
of
Boston
that
we
have
both.
We
have
both
federal
and
city
resources,
federal
right,
federal
and
city
resources
to
provide
that
continuum
of
care
from
prevention
and
outreach
and
education
efforts,
which
is
what
we're
able
to
do
with
the
city
resources
that
we
receive.
With
this
additional
funding,
we
have
actually
procured
1.3
million
dollars.
B
We
have
we
I
can
get
you
the
exact
trend
data
we
did
have
and
there
are
outbreaks
which
I
think
you're
referring
to.
There
have
been
outbreaks
across
the
the
state
HIV
outbreaks
and
the
outbreaks
have
been
in
particular
there
that
are
on
the
larger
end,
so
we
had
six
in
the
city
of
Boston
and
that's
among
individuals
who
inject
drugs,
and
so
we
work
in
partnership
with
the
state
Department
of
Public
Health
during
times
of
outbreak.
The
education
and
outreach
funds
and
those
additional
dollars
will
help
us
with
that
particular
population.
B
B
They
launched
it
in
February
of
this
year
and
Suffolk
County
was
one
of
the
communities
that
was
listed
as
one
of
the
48
communities
that
they
are
going
to
be
distributing,
prioritized
and
additional
resources
to,
and
that's
because
these
48
cities
actually
make
up
more
than
half
the
new
infections
that
they're
seeing
many
of
the
cities
on
that
list
and
counties
are
in
the
southeast
and
rural
communities.
But
there
are
some
large
cities
like
Boston,
which
is
in
Suffolk
County
I've
been
talking
with
the
state.
B
I
I
I
Breast
cancer
diagnosed
diagnosis
of
Asian
women
is
high.
Screening
for
breast
examination
for
Asian
woman
is
very
low.
I
had
a
opportunity
to
talk
to
the
president
of
the
Tufts
Medical
Center
about
that
recently
I
said
you
have
one
of
the
best
hospitals
in
the
world,
but
our
woman
are
not
getting
the
care
or
the
screening
right
across
the
street.
So
those
that's
frustrating
for
me,
I'm
also
working
with
Heather.
We
do
hope
to
have
a
public
health
conference
sometime
this
summer
in
Chinatown,
specifically
on
Asian
health,
Asian,
women,
health
as
well.
I
The
other
issue
that
is
also
a
concern
I
just
wanted
to
highlight
residents,
have
also
spoken
to
me
about
difficulty
of
getting
bilingual
services
for
children
who
need
speech
therapist
child
psychologist.
This
is
in
the
Asian
community
in
development.
Specialist
hospitals
often
don't
have
bilingual
providers
that
serve
the
needs
of
these
families.
I
was
just
wondering
generally,
if
there's
something
your
staff
can
do,
is
everybody
as
it
impacts
the
asian
community
on
services
for
communication,
language
access.
All
those
are
are
critical.
I
I
met
with
the
Asian
Task
Force
on
domestic
violence,
and
they
said
their
biggest
issue.
Is
language
access,
so
making
sure
that
we
were
able
to
speak
to
people
in
a
language
that
they
that
they
can
understand
is
critical,
but
just
wanted
to
get
your
thoughts
on
what
we
can
do,
or
are
we
doing
enough
for
our
Asian
community?
I
B
As
an
asian-american
woman,
I
find
it
particularly
refreshing
that
you've
really
taken
this
on
in
a
very
serious
way
and
have
pushed
us
to
be
more
accountable
because
having
small
numbers
in
the
data
and
not
being
reflected
and
just
having
an
asterisks
is
clearly
not
acceptable.
So
I
want
to
thank
you
for
that,
because
we
have
made
some
amazing
improvements
on
the
data
side
and,
and
so
I
want
to.
Thank
you
thank
you,
both
professionally
and
personally,
for
that
on
the
issue
or
challenges
of
cultural,
competency
and
linguistic
and
cultural
competency
and
care.
B
What
I
can
share
with
you?
You
know
we're
lucky
that
we
have
so
many
I'm
going
back
to
the
health
centers
South
Cove,
but
it
shouldn't
just
be
South
Cove,
that
is
in
Chinatown.
I,
know
that
many
of
our
health
centers
have
that
kind
of
linguistic
and
cultural
capacity
capacity
among
their
workforce
in
terms
of
the
Health
Commission.
We
do
provide
and
prepare
as
many
materials
as
we
can
in
our
top
languages,
so
with
the
Asian
languages.
Definitely
in
Cantonese
Mandarin
of
Vietnamese.
I
K
You
councillor
co-moh
just
picking
up
on
something
that
probably
was
discussed
early
when
I
stepped
out,
but
if
not
councillor,
Flynn
and
I
hosted
a
convening
roundtable
with
those
doing
work
in
the
domestic
violence,
sexual
assault
space,
but
based
on
a
hearing
order.
We
filed
we
file
this
year
and
before
we
have
the
hearing,
which
will
probably
happen
in
the
fall,
we
wanted
to
pull
together.
These
providers
to
listen
and-
and
we
had
North
Eastern
law
school,
which
has
the
domestic
violence
clinic
hosts.
K
The
conversation
it
was
powerful
was
about
two
hours
long,
we
probably
could
probably
could
have
stayed
for
another
two
hours,
just
listening
to
the
barriers,
the
problems
within
the
various
systems
that
survivors
have
to
engage
with
and
how
challenging
it
can
be.
The
shelter
system,
you
name
it.
Some
unfortunate
incidents
that
happened
with
BPD
and
most
of
them
talked
about
how
great
BPD
is.
But
occasionally
you
know
there
are
complaints
that
come
up
and
how
our
response
could
be
better.
So
we
just
did.
K
We
took
a
lot
of
notes,
but
obviously,
given
the
work
of
the
Health
Commission
with
our
health,
centers
hospitals,
you
name
it
and,
of
course,
with
with
other
city
agencies,
curious
what
the
Health
Commission
is
doing
in
the
space
of
domestic
violence,
sexual
assault
and
one
additional
layer
that
we
talked
about.
That
probably
doesn't
get
the
attention
it
is,
do
which
we
want
to
make
sure
that
we
talk
about,
is
abuse
of
children,
sexual
abuse
and
how
it's
very
much
connected
to
those
who,
at
some
point,
become
what
we
did
label
as
perpetrators.
E
B
E
B
B
So
we
should
definitely
host
you
and
invite
councillor
Finn
to
come
back,
because
it
is
really
a
great
way
for
you
to
see
the
different
resources
that
are
available
we
and
and
not
just
from
the
Commission,
because
it
really
is
multiple.
It's
multi
jurisdictional
and
multiple
agencies,
both
city
and
state,
that
are
under
one
roof
and
the
compassion
and
care
that
they
provide
even
to
the
most
to
the
youngest
and
so
one
of
the
programs
that's
housed.
There
is
our
sexual
assault
nurse
examiners
program,
which
is
actually
program
under
the
department.
B
That's
under
the
Department
of
Public
Health,
it's
a
pediatric
sane
program.
Even
the
physical
layout
of
the
space
or
the
interview
rooms
for
adults
and
children
who
are
victims
of
domestic
violence
or
sexual
assault
are
details
that,
unfortunately,
they
have
to
pay
attention
to.
So
the
programs
that
are
related
to
DV
sexual
assault
really
are
housed
within
the
Family
Justice
Center
happy
to
host
you.
There
are
a
couple
of
different
programs
that
and
numbers
that
the
staff
wanted
me
to
flag
for
you.
B
So,
in
addition
to
counseling
and
the
the
legal
services
that
they
offer,
they
do
that
I
mentioned
the
pediatric
sane,
which
is
the
forensic
medical
service.
They
connect
to
shelter
refer
to
different
treatment.
They
do
safety
planning,
so
this
isn't
just
one
organization
but
multiple
organizations
working
together
under
one
roof.
B
Unfortunately,
the
number
that
they
served
in
2018
was
over
5,000
new
clients,
and
this
is
in
addition
to
the
ongoing
and
existing
clients.
They
do
a
host
of
trainings,
so
everything
from
domestic
violence,
sexual
assault,
human
and
sex
trafficking,
crimes
against
children
and
economic
empowerment
and
over
nearly
1200
professionals
have
attended
those
trainings.
That's
just
last
year.
E
B
They've
done
various
trainings
and
curricula,
there
have
been
conferences
that
they've
hosted
so
in
FY
19.
They
wanted
me
to
make
sure
that
you
were
that
I
had
raised
awareness
around
the
beyond
exploitation
girl
conference
that
they
held.
So
this
was
hosted
by
my
life,
my
choice
and
the
Child
Advocacy
Center,
seen
programs
to
support
an
exploitation
now,
and
they
also
have
held
a
career
preparedness
for
exploited,
youth
and
young
and
and
adults,
and
so
I
forgot
to
mention
in
the
Family
Justice
Center
building.
B
K
Lastly,
I'm
I
would
love,
and
this
can
be
via
email,
any
data
that
you
have
with
respect
to
incidents
of
not
only
the
number
of
clients
that
their
Center
is
seeing,
but
any
data
you
have
with
respect
to
incidents
what
in
DV
sexual
assault
crimes
against
children
would
also
be
extremely
helpful.
Thank
you
can.
D
You
thank
you
again
to
for
being
so
thorough
and
thoughtful
with
your
responses
to
all
the
questions
of
my
colleagues,
I've
taken
some
wild
notes
here.
My
one
question-
and
this
follows
up
on
Casa
la
fireese
question
earlier
about
the
community
of
origin
for
many
of
the
guests
who
come
to
either
Woods
malin
or
South
Hampton
to
the
street.
The
shelter
can
last
year
last
year's
budget
hearings
during
the
presentation
by
Chief
Dylan.
She
noted
that
the
number
was
about
60%
of
those
that
present
themselves
at
our
shelters
are
not
from
the
city
of
Boston.
D
I
worry
because
my
first
budget
FY
17
and
this
time
in
2016
we
were
at
about
40%
my
second
budget.
We
were
at
about
50%.
Last
year
we
were
at
60,
so
I
worry
about
that
trend
and
I.
Wonder
if
it's
something
real
that
we're
seeing.
We
know
that
homelessness
is
a
real
problem
in
the
city
of
Boston
and
something
that
we
need
to
respond
to,
and
it's
not
about
not
taking
care
of
people
from
other
cities
and
towns.
D
But
I
think
we
need
to
have
a
better
understanding
of
actually
I
think
was
councilors
a
come.
Who
advocated
for
the
invoicing
of
some
of
these
other
cities
and
towns
which
I've
asked
for
in
the
past
I
wish
we
could
do
it
I
think,
there's
a
way
that
we
might
be
able
to
do
that,
especially
through
the
state,
but
it
looks
like
you
may
have
found
some
of
that
data.
I'm.
B
D
B
Is
surprising
how
many
come
from
New
Hampshire,
so
I
know
that
that
is
another
out
of
state.
That's
a
state
that
frequently
pops
up
because
they
literally
will
send
them.
Jerry
Thomas,
our
Bureau
director
has
shared
stories
where
you
know
very
complex
medical
needs
where
they're
sent
on
a
bus
to
the
shelter.
So
that
is
not
uncommon.
So,
but
we
can
get
you
the
county
or
community
of
origin
state
of
origin.
That.
D
D
Seen
those
reservations
renovations
and
it
really
is
impressive
job
work
that
was
done
there
I
know
that
what
we're
also
finding.
So
we
have
this
bed
capacity
issue
and
when
we
hit
that
to
22,
especially
in
the
cold
months,
that
many
of
our
guests
are
either
placed
in
a
chair
or
on
a
mat.
We
talked
a
little
bit
about
the
overage
numbers,
especially
in
those
colder
months,
and
then
what
we're
expecting
to
see
is
someday.
The
heat
might
come
right
well,.
C
So
we're
still
struggling
with
this
and
we're
not
quite
sure
what
the
solution
is,
because
the
where
the
ladies
go
during
the
day,
it
is
the
primary
staging
ground.
I
guess
it's
like
their
living
room.
We've
got
the
televisions
there,
we've
got
tables,
we've
got
some
case
managers,
so
we
are
limited
with
space,
but
we're
continuing
to
look
for
additional
options
for
them
and.
B
C
B
B
B
The
daily
census,
for
you
see
there
was
a
slight
increase
in
2018
one
and
a
half
percent,
so
the
average
daily
census
at
woods.
Mullen
was
at
229
in
2018
and
for
112
Southampton
Street.
It
was
four
hundred
and
eighty-one
the
census
data
in
terms
of
average
point
in
time
that
individual
guests
stay
in
the
shelter
is
not
here
in
the
data,
but
I
can
provide
that
to
you
afterwards.
D
B
A
I
Thank
You,
council,
CMO
and
I
just
had
one
question
director:
can
you
talk
about
your
outreach
public
health
outreach
to
residents
in
public
housing
on
food,
nutritional
programs,
any
type
of
any
type
of
public
health
assistance
services
that
we
are
providing
to
our
BHA
residents?
I
represent
a
large
number
of
residents
that
do
live
in
public
housing
and
I
know
you
do
great
work
in
public
housing.
But
can
you
highlight
some
of
the
programs
that
you
that
you
do
have
we.
B
Have
we
have
done
some
great
work
on
chronic
diseases,
so
isd
every
year
is
d
and
I
think
it's
coming
up
actually
in
the
month
of
june
is
d
and
BPHC
do
a
joint
annual
training
day
for
our
inspectors.
We
talked
a
little
bit
about
that
relationship
with
ice-t
when
it
came
to
lead
in
schools,
but
we
were
candid
and
also
bhj.
B
I
B
All
of
the
Boston
Housing
Authority's
sites,
the
previous
administration.
Second,
now
he's
running
in
that
big
pack
of
Democratic
candidates,
secretary
Castro
came
to
Boston
to
actually
announce
that
the
bhj
bphc
smoke-free
housing
policy
was
one
that
was
going
to
be
instituted
across
all
of
HUD,
which
was
really
exciting
to
have
him
here
and
do
that
announcement
in
Roslindale,
and
so
we've
worked
with
them
on
the
smoke-free
housing.
B
We
have
also
worked
with
them
in
different
ways
on
food
insecurities
so
through
I
know
what
they
hosted
us
when
we
were
wrapping
up
a
federal
grant
called.
It
was
the
partners
in
community
health,
but
it
was
let's
get
healthy
Boston
and
we
had
their
help
in
ensuring
access
to
water
at
their
different
meetings
at
the
Boston
Housing
Authority,
and
not
having
diet
sodas,
and
so
that
that's
actually
something
bill
gives
me
a
hard
time
about
because
they
come
to
the
residents
come
to
the
meeting
with
water
instead
of
his
diet,
coke
and
so
there's.
B
Oh,
there
are
a
whole
host
of
things
that
we
do
in
partnership
with
them
and
we're
happy
to
package
it
for
you,
so
that
you're
aware
of
the
different
things,
and
if
you
have
suggestions,
we
would,
you
know,
happy
to
meet
with
you
and
talk
through
how
we
can
continue
to
strengthen
that
partnership
between
us
and
BHA
when
it
comes
to
food
insecurity
and
access
to
increasing
access
to
healthy
food.
Yeah.
I
Thank
you,
I
think
I
think
that's
excellent.
I
know
I.
Think
almost
every
development
does
have
a
BHA
Unity
Day
for
the
summertime,
that's
right,
and
so
it
might
be
an
opportunity
to
partner
up
with
BH,
you
know
being
present
and
providing
some
services.
I
do
know
you
do
provide
that
type
of
outreach
and
I
know
it
is
helpful
to
to
the
residents
so
I
just
want
to
say
thank
you
direct
them.
Okay,.
D
D
B
A
Director
director,
thank
you
very
much
for
today's
testimony,
just
in
advance
of
next
week's
EMS
just
to
be
prepared
to
send
us
in
advance
the
the
response
times
and
yep
thanks
Jim's
got
it
and
an
FPS
may
be
a
three
to
four
year
historical
documentation.
Thank
you
again.
Thank
you
for
all
the
great
work
that
you
do
responding
to
crisis,
but
also
preventive
programs
that
I
think
a
model
for
our
country.