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From YouTube: Committee on Public Health on March 22, 2021
Description
Docket #0198 - Message and order for the confirmation of the reappointment of John Fernandez, as a member of the Boston Public Health Commission’s Board of Health, for a term expiring January 6, 2024.
Docket #0199 - Message and order for the confirmation of the reappointment of Dr. Jennifer Childs-Roshak, as a member of the Boston Public Health Commission’s Board of Health, for a term expiring January 6, 2024.
A
Hey
ricardo,
it's
good
to
be
with
you
and
good
to
be
with
the
public
health
professionals
as
well.
Thank
you.
C
Perfect-
and
I
see
everybody's
here
so
we're
just
gonna
begin.
I
know
that
everybody
has
hard
stops
at
five,
so
we're
not
gonna
go
beyond
five
so
that
everybody
can
keep
to
their
calendars
and
looking
at
who's.
Here
I
don't
think
we
should
have
any
problem
with
that.
So
I'm
going
to
begin
now.
It's
monday
march,
22
2021..
C
This
is
docket
0198
and
0199
regarding
the
re-appointments
to
the
boston,
public
health
commission,
board
of
health.
For
the
record,
my
name
is
ricardo
royal,
I'm
the
district
five
city
councilor,
I'm
the
chair
of
the
boston
city
council
committee
on
public
health,
I'm
joined
by
my
colleague,
counselor
flynn.
This
public
hearing
is
being
recorded.
It
is
being
live
streamed
at
boston.gov
city
council,
tv
and
on
the
city
council's
youtube.
It
will
also
be
rebroadcast
on
xfinity
channel
8
rcn
channel
82
fios
channel
964.
C
We
will
take
public
testimony
at
the
end
of
this
hearing.
If
you
wish
to
testify
via
video
conference,
please
email,
ccc
health
boston.gov
to
sign
up
when
you're
called.
Please
state
your
name
and
affiliation
resonance
and
limit
your
comments
in
no
more
than
two
minutes
to
ensure
that
all
comments
can
be
heard.
Currently,
I
don't
believe
we
have
any
public
testimony.
You
may
also
submit
written
testimony
by
emailing
ccc
at
health.
Sorry
ccc.health
boston.gov.
C
Today's
hearing
is
on
docket0198,
which
is
a
message
in
order
for
the
confirmation
of
the
reappointment
of
john
fernandez
as
a
member
of
the
boston,
public
health,
commission's
board
of
health
for
a
term
expiring
january
6,
2024
and
docket
number
0199,
which
is
a
message
in
order
for
the
confirmation
of
the
reappointment
of
dr
dr
jennifer,
charles
roshak,
as
a
member
of
the
boston
public
health
commission,
board
of
health
for
a
term
expiring
january,
6,
2024,
and
so
with
that
I'm
going
to
go
ahead
and
kick
it
to
the
panelists
for
an
opening
stem
it
can
be
as
short
or
as
long.
C
I
think
it's
just
an
introduction
of
who
you
are
in
your
work
on
the
boston
public
health
commission
board
makes
sense,
try
to
stay
within
five
minutes
and
we'll
start
with
mr
fernandez.
If
you
don't
mind,
kicking
it
off.
D
Sure
sure
thank
you,
chair
person,
arroyo
and
members
of
the
committee.
I
wanted
to
thank
you
for
the
opportunity
to
testify
today
again.
My
name
is
john
fernandez
and
I
am
presently
a
member
of
the
boston
board
of
health
since
2018,
and
it's
been
a
great
pleasure
to
be
on
that
group.
I'll
just
give
you
some
brief
remarks
about
my
background,
just
so
they're
on
the
record,
and
then
we
can
proceed
from
there.
My
serve
is
the
president
of
mass
eye
and
ear.
D
It's
a
harvard
teaching
hospital
here
in
town
which
I've
led
since
2007,
and
we
deal
with
where
specialty
hospital
deals
with
the
eye
ears,
nose,
throat,
head
and
neck
throughout
the
pandemic,
we've
worked
on
ensuring
that
our
patients
are
safe.
We
provide
fair
and
equitable
care
here,
but
also
helping
other
hospitals
like
the
mgh
and
others
in
our
health
system.
We
joined
the
mass
general
brigham
health
system
in
2018..
D
D
D
Before
taking
my
position
at
mass
eye
near
back
a
little
while
I
worked
at
the
brigham
and
women's
hospital
and
that
led
to
me
having
a
leadership
role,
as
vice
president
of
surgical,
imaging
and
other
services
as
well
as
network
development.
I
had
the
pleasure
of
graduating
from
the
college
of
wooster
out
in
ohio
and
born
and
raised
in
philadelphia,
not
that
boston
is
not
great,
but
I
lived
here
for
a
long
time
actually
longer
than
I've
lived
in
philadelphia
and
I
hold
a
master's
degree
from
the
university
of
pennsylvania.
D
For
the
past
past
three
years,
I've
been
impressed
with
the
depth
and
breadth
of
the
work
at
the
boston
public
health
commission.
Its
partnership
throughout
the
city,
I
value
the
opportunity
to
provide
my
strategic
guidance
and,
let's
let
some
of
my
expertise,
probably
very
limited,
but
I've
enjoyed
sharing
my
experiences
and
working
with
both
the
public
health
commissioners,
as
well
as
its
staff.
D
A
D
Of
health
problems
and
then
tailoring
interventions
at
both
a
community
level
and
a
clinical
level.
Before
I
close,
I
want
to
acknowledge
and
appreciate
the
work
and
partnership
with
chief
martinez,
the
mayor
and
the
many
talented
staff
at
the
health
commission,
especially
our
interim
executive
director,
rita
and
the
interim
director,
jerry
thomas.
I
mean
it's
what
a
year
for
you
to
be
in
in
the
roles
that
you
were
in,
so
I'm
not
quite
sure
how
to
say.
Thank
you
more
than
thank
you.
D
C
E
That's
okay!
Thank
you
and
good
afternoon,
chairperson
arroyo,
members
of
the
committee.
Thank
you
for
the
opportunity
to
testify
this
afternoon.
My
name
is
dr
jennifer
childs
roshack
and
I've
served
as
a
member
of
the
boston
health
board
since
2018.
E
I'll
start,
just
with
a
very
brief
overview
of
my
background
as
well.
I
presently
serve
as
president
and
ceo
of
planned
parenthood
league
of
massachusetts
and
the
planned
parenthood
advocacy
fund
of
massachusetts,
and
in
this
role
I
lead
the
largest
freestanding
reproductive
health,
health
care
provider
and
educator
in
the
commonwealth.
E
Every
year
we
provide
services
for
over
30
000
patients
across
massachusetts
and
provide
nationally
recognized
education
services
for
youth
and
parents
through
our
through
our
education
programs.
So
before
joining
pplm
in
november
of
2015,
I
served
as
the
boston
regional
medical
director
for
atria's
health,
while
also
seeing
patients
as
a
primary
primary
care
doctor
and
serving
also
as
the
site
medical
director
for
for
the
kenmore
site.
I
received
my
medical
degree
from
temple
university
school
of
medicine
in
philadelphia.
E
So
mr
fernandez
and
I
are
philly
folks,
at
least
at
least
for
school,
for
me
completing
my
residency
and
internship
at
maine
medical
center
up
in
portland,
and
I
am
board
certified
in
family
medicine.
E
I'm
so
proud
of
the
policy
work
that
we
have
done
as
a
board
to
protect
youth
and
committees
of
communities
of
color,
and
mr
fernandez
also
referenced.
I
think
the
you
know
the
amendments
we
put
in
place
in
2019
to
restrict
the
sale
of
flavored
nicotine
delivery
products
and
all
the
work
that's
gone
on
during
the
during
the
the
pandemic.
E
E
You
know,
I
think
this
robust
response
to
covet
19
has
been
really
impressive
and
I
think
boston
has
truly
led
the
way-
and
I
too
want
to
express
my
thanks
to
rita,
nieves
and
jerry
thomas
yeah,
unbelievable,
to
take
the
job
and
then
to
be
hit
with
hit
with
the
the
biggest
public
health
crisis
in
a
hundred
years.
So
my
hat's
off
off
to
all
of
you.
E
The
last
thing
I
would
just
say
is,
as
I
had
the
opportunity,
the
privilege
to
volunteer
as
a
vaccinator
at
the
boston
public
health
commission's
vaccine
site
when
it
was
a
health
commission
site
at
reggie
lewis,
and
I
have
never
seen
such
a
well-oiled
machine.
Such
patient-centered
care,
and,
I
have
to
say
I
was.
I
was
honored
to
be
able
to
vaccinate,
but
but
even
more
proud
of
the
work
that
the
boston
health
public
health
commission
does.
So
it
is
really
it
is.
E
The
team
is
really
amazing,
so
I
know
that
the
efforts
we're
making
we're
making
it
really
is
saving
lives
and
laying
a
foundation
for
just
an
equitable
future
for
boston.
If
my
reappointment
is
confirmed,
I
look
forward
to
being
able
to
contribute
and
really
help.
My
fellow
citizens,
I'm
here
in
boston,
happy
to
take
any
questions,
and
thank
you
so
much
for
having
me.
C
Thank
you
so
much
both
of
you
for
for
your
introduction
is
really
helpful
and
I
think
good
for
folks
who
are
watching
now,
deputy
director
thomas,
if
you
have
anything
you'd
like
to
say
any
introduction,
we'd
like
to
give
mostly
just
to
thank
you
for
your
service
during
a
very
pivotal,
difficult.
C
You've
done,
but
if
you
have
anything
you'd
like
to
add
any
opening
statement.
F
Well,
I'm
chair,
chairperson,
I
am
wondering
I
did
have
a
letter
from
executive
director,
rita
nieves
that
either
we
could
submit
or
if
it
is
appropriate,
to
read
into
the
record.
C
If
you'd
like
to
read
it,
you
can
read
it
if
you
feel
like
it's
important
to
be
read
into
the
record,
you
can
do
that
if
you
submit
it
to
me
it's
on
the
record
as
well.
It's
just
wouldn't
it.
F
Be
well
how
about,
if
I
just
go
to
the
conclusion,
that's
perfect,
which
is
just
on
on
rita's
behalf
that
you
know
in
full
support
of
both
reappointments.
She
is
stating
quote,
particularly
in
my
role
as
interim
executive
director.
I've
appreciated
the
service
of
both
dr
childs
roshack
and
mr
fernandez
on
the
board
of
health.
Their
insight
and
depth
of
experience
has
been
invaluable
to
the
board
and
the
commission
staff,
particularly
as
we
seek
to
respond
to
and
recover
from
enormous
challenges
presented
by
the
covid19
by
covid19
and
structural
racism.
F
In
short,
I'm
confident
that
the
two
appointees
before
you
share
our
vision
of
a
boston
where
all
residents
can
lead
healthy
lives,
free
from
racism,
poverty
and
violence,
and
I
fully
support
mayor
walsh's
reappointment
to
the
board
of
health
that
are
before
the
council.
So
I
just
wanted
to
make
sure
that
her
position
was
known
to
the
committee.
C
We
have
counselor
bach
and
counselor
sabi
george
george
have
joined
us,
I'm
gonna
go
in
order
of
arrival
and
I'll
I'll
go
last
on
this
in
terms
of
any
questions
that
we
may
have
or
statements.
Frankly,
there
are
no
questions.
Counselor
flynn,
followed
by
councillor
bach,
followed
by
counselor
wassabi
george,
followed
by
myself,
so
counselor
flynn.
The
floor
is
yours.
A
Thank
you,
council
arroyo,
it's
good
to
be
with
you
and
our
colleagues,
it's
good
to
see
jerry
thomas.
Thank
you
for
the
work
you're
doing
proud
to
work
with
you
over
the
last
several
years
into
the
commissioners,
you're
doing
an
outstanding
job.
Looking
forward
to
supporting
you
as
well,
and
just
following
up
on
your
comments
that
public
health
racism
is
a
public
health
concern
which
I
certainly
certainly
agree
with.
A
High
diabetes
rate,
environmental,
major
environmental
concerns,
but
I've
had
the
opportunity
to
work
closely
with
public
health
on
this
issue
for
several
years,
but
want
to
continue
working
on
it
just
wanted
to
get
your
thoughts
on
it
appreciate
you
working
with
us
on
it,
but
it's
an
important
issue
and
just
want
to
ask
again
if
you
can
continue
working
with
me
on
issues
impacting
the
asian
community
on
public
public
health.
E
Short
answer:
absolutely,
I
think
it's
it
is
really
important
and
it
you
know
critically
important
that
communities
that
are
impacted
by
their
environment.
You
know
whatever,
whatever
the
underlying
cause,
whether
it's
pollution
or
poverty
or
food
insecurity.
You
know
housing,
insecurity.
All
of
those
pieces
play
a
role
in
every
community,
and
I
I
think
you
know
the
events
of
last
week
should
certainly
show
that
that
we
need
to
pay
a
lot
of
attention
to
our
asian
communities
as
well
for
sure.
D
Second,
the
motion
I'd
also
like
to
just
I
forgot
to
say
this
in
my
remarks
that
I
want
to
thank
all
of
you
and
on
the
city,
council
and
public
service
for
all
you've
done
in
the
last
year.
D
It
wouldn't
have
wouldn't
have
been
as
good
as
we
had
it
without
your
support
and
help,
and
I'm
also
the
son
of
a
city
councilor
from
philadelphia,
so
city's
a
little
bigger
than
your
city,
but
it
gave
me
instant
respect
with
the
former
mayor,
because
when
it
was
in
philly,
he
said
it
was
the
toughest
town
he'd
ever
been
in.
So
it's
a
lot
coming
from
mayor
menino.
D
Thank
you
for
your
public
service.
I
I
I
can
imagine
what
it
looks
like.
A
A
A
I
know
you've
certainly
been
working
on
that
and
have
dedicated
your
life
to
that,
but
just
want
to
thank
you
for
that,
and
that's
something
that's
very
important
to
my
constituents
as
well,
but
having
said
that,
looking
forward
to
supporting
these
outstanding
commissioners,
thank
you
thank
you
doctor
and
thank
you,
mr
fernandez.
Thank
you,
jerry
thomas
and
to
my
colleagues.
Thank
you.
Council
royale.
G
Thank
you,
mr
chair,
and
thank
you
so
much
to
our
our
nominees
or
re-nominees.
I
want
to
echo
everyone's
thanks
for
your
service,
both
in
your
professional
lives
and
the
service
that
you
do
for
the
city.
It's
you
know,
I,
I
guess
the
one
question
I
have,
and
it's
really
more
by
way
of
picking
your
brains,
then
you
know,
I
think,
I'm
pretty
excited
about
these
nominations
and
expect
to
support
them.
G
But
but
I
just
wonder
you
know
my
my
perspective
has
been
that
this
country
has
sort
of
criminally
disinvested
from
its
public
health
infrastructure
over
a
long
period
of
time,
and
that
and
at
that
you
know,
made
meeting
the
challenge
of
a
pandemic
really
difficult.
G
I
think
folks,
in
our
neck
of
the
woods,
really
rallied
and
pulled
resources
from
everywhere,
but
I
think
we
can't
pretend
that
we
were
optimally
prepared
or
funded
for
this
and
and
of
course,
but
I
you
know,
I
hope
that
a
silver
lining
of
covid
could
be
that
a
lot
of
people
who
didn't
understand
the
publicness
of
public
health
before
who
didn't
understand
how,
like
all
of
our
lives,
are
bound
up
together,
would
come
to
understand
that
now
right
and
so
that,
like
there
might
be
a
real
moment
for
a
resurgence
of
of
funding
and
and
support
for
public
health
in
the
in
the
immediate
years
ahead.
G
G
I
wonder
I
wonder
what
you're
kind
of
taken
away
from
this
year
that
we've
been
through
and
sort
of
where
you
would
hope.
Obviously,
as
counselors
we're
asked
to
review
a
public
health
budget
every
year,
you
know
we're
part
of
of
broader
policy
conversations
and
I
would
love
to
know
what
you
sort
of
hope.
The
direction
will
be
going
forward
in
the
public
health
space.
D
D
You
know
a
community
service
organization,
an
individual,
the
public
sector,
that
we
ought
to
take
advantage
of
that
crisis,
and
how
do
we
continue
to
bring
the
rece
the
both
the
financial
and
human
resources
to
working
together,
as
opposed
to
you
know,
sort
of
in
competition
with
each
other,
so
that
that'd
be
one
one
piece
of
how
we
pull
the
resources,
both
human
and
financial
and
then
the
the
second
one?
Is
that
how
do
we,
especially
when
it
comes
to
race?
D
How
do
we
do
that
more
together,
I
know
from
just
where
I
sit
on
the
conference
of
boston
teaching
hospitals.
D
You
know
there
are
multiple
ways
in
which
each
institution
gets
asked
to
do
x,
y
or
z,
and
then
so,
how
can
we
set
an
agenda
and
then
use
the
the
time,
energy
and
financial
resources
to
attack?
You
know
in
some
order
the
things
we
want
to
attack
first,
as
opposed
to
everyone's
a
one-off
negotiation
with
each
entity
and
each
government
agency
and
so
forth,
so
to
sort
of
pull
those
resources
to
get.
I
have
a.
D
I
have
a
t-shirt
that
I
really
like
that
I
made
up
for
my
staff
and
it's
really
important
that
we
focus
on
gsd
get
stuff
done.
So
I
think
that's
where
we
could
learn
from
this
pandemic,
because
there's
stuff
we
got
done
in
weeks
and
days
that
have
taken
us.
You
know
years
under
normal
circumstances,
so
those
would
be
my
two
take
homes
from
what
we've
learned
and
then
what
we
have
to
do
going
forward,
because
we
definitely
saw
the
public
health
infrastructure.
E
Yeah
and
I'll
pick
you
back
off
of
off
of
john,
I
think
one
of
the
the
ways,
one
of
the
reasons
why
things
were
able
to
happen-
and
you
know
probably
not
just
in
boston,
but
you
know-
that's
that's
a
big
part
of
my
perspective
is,
is
because
communities
came
together
and
I
think
the
you
know,
the
thing
that
is
sometimes
missing
from
public
health
is
is
the
public
and
the
fact
that
that
community
organizations
on
the
ground
level,
where
we
were
able
to
mobilize
quickly
feed
their
communities,
protect
their
communities,
make
mass
for
their
communities.
E
Think
about
think
about
how
vaccines
were
going
to
get
disseminated.
You
know
that
that
that
is
the
strength
of
public
health
and
I
think,
as
an
extension
of
that,
and
it
goes
to
cultural
competence
and
language
and
language
ability
and-
and
all
of
that
is,
is
you
know
really
focusing
in
on
an
infrastructure
that
that
centers
communities
and
prioritizes
and
resources
communities?
E
So
I'm
a
huge
fan
of
community
health
workers
and
those
are
your
friends
and
your
neighbors,
your
aunties
and
your
uncles,
who
you
can
listen
to
and
take
good
good
health
advice
from,
and
we
have,
I
think,
chronically
under
resourced
our
communities
and
and
expected
them
to
do
the
work
for
free.
So
I
think
a
big
part
of
what
I
hope
we
have
learned
is
is
how
to
leverage
those
communities
how
to
resource
those
communities
better.
E
I
mean
the
other
thing
I
would
say
I
want
to
be
too
controversial,
but
you
know
there
is
a
public
health
structure
in
place.
There's
been
a
public
health
structure
in
place.
I
think
the
boston
public
health
commission
is
a
great
example
of
a
public
health
structure
that
does
work
closely
with
the
community.
E
But
what
has
to
happen
is
that
people
have
to
people
have
to
trust
that
and-
and
I
think
you
know
what
we
saw
part
of
the
learning
I
I
take
away
from
the
pandemic
is
is-
is
we
have
to
trust
that
those
systems
are
in
place
and
then
resource
them
rather
than
reinventing
the
wheel?
E
Developing
you
know
new
systems
paying
for-profit
organizations
to
do
public
health
work.
So
I
think
it's
it's
really
setting
those
this.
You
know
those
things
are
set
up.
We
need
to
leverage
them
and
resource
them
appropriately.
E
E
People
understand
not
only
that
that
racism
is
a
public
health
crisis
and
a
public
health
emergency,
but
people
are
starting
to
understand
health
inequities
and
they,
you
know,
the
differences
between
black
and
brown
populations
and
white
populations
is
is
has
been
in
stark
contrast
here
during
the
pandemic,
and
it
I
think
you
know
when
I
talk
about
health
equity
people,
people
don't
scratch
their
head
as
much,
and
so
I
think
I
think
that's
a
really
important
thing
that
that
we
need
to
continue
and
not
just
have
it
be
part
of
the
part
of
the
pandemic,
because
it's
not
just
part
of
the
pandemic,
the
pandemic
unroofed
that
and
so
and
laid
it
bare.
E
So
I
think
that's
another
important
next
step
and
takeaway
that
I
think
is
going
to
be
really
important
to
to
the
public
health
infrastructure
so
resource
those
things
I
think
prioritize.
Those
things
hold
us
accountable
to
those
things
and
invite
the
community
in
to
really
participate
in
some
of
those
solutions.
G
Great,
thank
you
both
so
much
and-
and
I
I
strongly
I
strongly
agree
with
your
delicately
put
controversial
point.
I
think
that
yeah
we
have
to.
We
have
to
invest
in
it's
just
so
often.
G
Actually,
when
it
comes
to
like
pulling
a
bunch
of
the
pieces
together
and
getting
stuff
done,
you
know
this
public
side
is
scrappy,
but
but
you
know
it's
it's
motivated
by
the
public
good
motive
instead
of
the
profit
motive,
and
so
you
know
actually
it's
better
suited
to
deal
with
something
that
isn't
driven
by
like
a
profit
opportunity,
and
I,
I
think
yeah
I've
been
proud
of
our
infrastructure
through
this,
but
there's
definitely
been
opportunities
where
we
could
have
empowered
it
more,
and
I
really
take
mr
fernandez's
point
I
mean
I
think
I
think
we've
seen
so
much
and
I'm,
of
course,
the
counselor
with
most
of
the
teaching
hospitals
in
my
district,
and
I
think
we
really
saw
in
the
pandemic
how
that
degree
of
like
medical
expertise
and
renown
and
all
actually
partnering
with
this
public
health
structure
right
and
the
and
the
city
led
apparatus
could
really
be
more
than
the
sum
of
its
parts.
G
For
for
really
serving
the
residents
of
austin
and-
and
it
strikes
me
that
you
know
that's
that
kind
of
partnership
for
like
how
are
we
going
to
solve
code,
but
oh
we're
even
you
know
we're
going
to
do
all
kinds
of
collaborations.
We've
never
done
before
we're
going
to
share
our
bed
counts.
We're
going
to
you
know
ship
supplies
around
and
whatever
I
mean
that's
the
that's
the
kind
of
headspace
we
need
for
tackling
racism
as
a
public
health
crisis
for
tackling.
G
Like
you
know,
I
mean,
I
think,
a
lot
about
housing,
insecurity
in
the
city
as
a
crisis,
so
yeah
definitely
hoping
we
can
learn
those
lessons
and
and
glad
to
have
you
guys
looking
to
continue
your
service
with
that
that
wisdom
gained
from
this
experience.
So
thank
you
so
much.
Mr
chair.
C
Thank
you,
counselor
bach,
and
now
it's
my
turn,
and
so
I'm
going
to
echo
the
things
that
you've
been
given
already,
but
I
do
have
some
things.
You
know
one
of
my
major
I'm
the
chair
of
public
health.
This
is
an
issue
that
I
care
about
deeply
one
of
the
first
actually
was
the
first
thing
I
did.
C
My
maiden
speech
in
march
was
racism
as
a
public
health
crisis,
and
I
wouldn't
have
been
able
to
do
that
without
the
data
and
the
studies
and
all
the
information
that
had
been
provided
by
the
boston
public
health
commission
already
at
that
time,
and
so
what
allowed
for
that
to
move
forward
was
the
research
and
the
work
that
you'd
already
done
at
the
boston,
public
health
commission,
and
so
for
me
you
know,
as
I
speak,
about
these
issues.
Racism
as
a
public
health
crisis
is
big.
The
reason
I
was
able
to
move
on
that.
C
The
reason
why
I
identified
that
as
a
problem
so
early
was
that
I
believe
on
the
boston,
public
health
commission's
own
data.
What
they
found
was
every
single
social
determinant
of
health,
which
is
20
plus
things.
Racism
impacted
each
of
those
things
negatively
beyond
just
the
impact
of
something
racist
happening
to
you,
impacting
your
health
negatively
and
that
and
then
within
that,
that's
26,
different
things
that
we
have
to
touch
and
try
to
deal
with.
But
for
both
of
you
since
you're
here
and
you
both
have
specific
things
that
you
can
focus
on.
C
One
of
the
things
that
also
informed.
That
was
a
globe
story.
The
title
which
is
escaping
me.
But
it
was
part
of
their
large
sort
of
ongoing
series
on
race
and
commonwealth
and
race
in
boston,
and
one
of
those
series
is
was
on
health
and
specifically
the
total
number
of
people
of
color
going
to
what
hospital
and
receiving
care
at
which
hospitals
and
sort
of
the
segregation
that
we're
experiencing
within
where
people
seek
care
and
how
they
experience
them.
C
And
that
kind
of
dovetails
into
my
question,
which
is
what
are
we
doing
here
and
mr
fernandez?
This
might
be
more
relevant
for
you
as
somebody
who's
at
mass
eye
and
ear.
But
what
are
we
doing
to
address
sort
of
systemic
racism
as
it
exists
within
our
hospital
institutions?
And
the
reason
I
say
that
is
this,
and
this
is
more
of
a
gen
child's
roll
shot
question
black
maternal
health
is
a
big
deal
for
me
and
what
we're
seeing
is,
I
think,
at
last.
C
Look
it's
about
two
and
a
half
more
mortality
for
a
black
woman
than
a
white
woman
and
the
data,
and
the
reason
why
this
is
important
for
people
who
are
watching
it's
not
that
these
are
folks
coming
from
lower
socioeconomic
spectrums.
This
isn't
a
situation
of
people
with
lower
levels
of
education.
This
is
folks
on
an
equal
basis.
C
A
college
educated
white
woman,
a
college
educated
black
woman
from
the
same
socio-economic
background
are
having
severely
different
experiences
and
more
fatal
ones,
and
when
we
looked
at
health
in
general,
what
we
were
seeing
were
the
reason
why
it
isn't
just
a
socio-economic
issue.
The
reason
why
it
isn't
just
a
class
issue
is
that
when
you
took
people
from
the
same
economic
background,
when
you
took
people
from
the
same
educational
background,
they
still
had
different
different
sort
of
outliers
in
what
their
educational,
educational,
what
their
health
experiences
were.
C
Mr
fernandez
is
how
do
you
see
us
being
able
to
leverage
the
boston,
public
health,
commission
and
sort
of
addressing
the
systemic
racism
that
is
at
play
within
our
hospitals
in
terms
of
how
patients
are
receiving
care,
how
patients
are
treated
when
they're
there
and
how
we're
enforcing
or
more
so,
empowering
the
black
indigenous
people
of
color
who
work
in
these
institutions
to
make
these
places
more
culturally,
appropriate,
culturally
competent
spaces
and
then
as
well
for
gentiles
roshack
in
terms
of
the
black
maternal
health
issue?
C
What
are
we
doing
to
lift
those
up
at
the
boston
public
health
commission
in
like
meaty,
solid
waste,
because
I
think
when
we
talk
about
racism
as
a
public
health
crisis?
That's
so
many
things
and
you
can
get
lost
in
that,
and
so
you
know
in
the
interest
of
getting
stuff
done.
What
specifically,
on
those
two
on
those
two
fronts,
can
you
both
speak
too.
D
So
I'll
give
you
I'll
give
you
a
quick
outline
on
the
hospital
question.
I
think
there's
probably
three
or
four
levels.
So
the
first
is,
I
would
say,
from
a
leadership
at
the
from
a
from
a
boston,
public
health
commission,
but
also
from
a
city
council,
public
sector.
Point
of
view
is,
you
should
hold
us
accountable
for
making
the
changes
that
we've
said
that
we
would
do
now.
That
sounds
a
little
trite,
but
I
think
it's
here
that
here
are
those
list
of
things.
D
First
is
from
a
governance
and
management
point
of
view
we
have
to
make
our
governing
bodies
and
our
leadership
structures
look
more
like
the
people
that
we
serve
and
that
that
takes
time,
but
it's
is
the
effort
being
put
in
second,
is
for
the
people
that
work
there.
D
How
do
we
make
more
opportunities
available
for
the
people
of
people
of
color
and
how
do
we
do
a
better
job
at
that
and
that's
a
measurable,
a
measurable
thing,
and
that's
both
people
that
work
in
the
institutions,
but
also
also
the
vendors
and
providers,
because
healthcare
generates
a
lot
of
other
work
that
we
actually
contract
out.
D
So
those
are
two
things
and
then
third,
I
think
very
importantly,
or
what
specifically
are
we
doing
in
especially
minority
neighborhoods,
but
also,
I
would
add,
to
it
low-income
neighborhoods,
not
that
those
are
all
minority,
but
it's
in
all
of
our
interest
to
keep
people
who
have
less
financial
resources
healthy.
What
do
we
see
during
the
pandemic?
D
We
saw
lower
income
neighborhoods,
no
matter
what
their
race
suffering
way
more
than
a
middle
or
upper
income.
So
I
think
there
is
an
economic
component
that
we
need
to
make
sure
that
we're
on
that
and
what
are
we
doing
for
diabetes?
What
are
we
doing
for
the
diseases,
not
just
the
jobs
and
so,
but
what
we
as
hospitals?
What
can
we
do
from
a
clinical
point
of
view
to
increase
access
in
closer
to
people's
homes,
so
at
community
health,
centers
neighborhood?
How?
Where
do
we
build
things?
D
Where
do
we
make
things,
and
those
would
be
the
things
that
I
think
you
can
it's,
and
my
last
point
would
be
what
I
said
earlier
about
bringing
the
resources
together.
What
can
all
of
the
hospitals
or
health
organizations
do
together
to
meet
a
priority
list
that
we
set
together
as
opposed
to
you
know?
One
hospital
focuses
on
one
thing:
the
other
one
focuses
on
another.
D
How
can
we
sort
of
combine
the
resources
to
tackle,
because
these
are
very
very
complicated
problems?
And
if
you
have,
I
think
you
just
said
it.
If
you
have
an
agenda,
that's
15
things
long,
you
might
get
none
of
the
15
things
done
well,
if
you
had
one
with
three
and
we
know
those
that
were
very
practical
and
impacted
people
on
a
day-to-day
basis,
I
think
we'd
be
in
a
better
spot.
C
I
agree
with
that
and
I
think
that's
one
of
the
reasons
why,
when
we
talk
about
racism,
the
public
health
crisis,
I
I
want
the
city
to
narrow
in
on
where
then,
how
they're
dealing
with
that.
So
I'm
handling
it
from
the
city
side.
But
since
I
have
folks
here
who
are
part
of
institutions
either
non-profit
organizations
that
have
carry
you
know
a
big
stake
in
a
big
voice
and
podium
and
actual
hospitals
that
do
as
well
sort
of
what
part
of
that
you're
narrowing
in
on.
C
So
thank
you,
mr
fernandez,
for
that
and
for
mrs
todd
roshack.
E
Yeah
thanks
and
and
thank
you
very
much
counselor
arroyo
for
for
raising
up
the
and
and
and
really
specifying
I
think
people
tend
to
go
to
for
for
black
mom
maternity
morbidity.
More
immortality
stats
immediately
go
to
oh,
but
they're
different,
like
no.
The
this
is
a
real.
It's
a
huge
issue.
I
don't
need
to
tell
you
all
that,
and
I
I
think
you
know
what
we're
doing
at
our
at
our
organization.
E
But
what
I
see
happening
at
the
boston
public
health
commission
as
well
is,
is,
I
think,
you
know
trying
to
tackle
racism
and
health
care
and
the
impact
on
real
people
like
black
moms,
and
that's
just
you
know.
One
example
is
thinking
about.
You
know
the
individual
work
that
needs
to
be
done,
the
organizational
work
that
needs
to
be
done
and
the
structural
work
that
needs
to
be
done.
When
you
peel
back
those
onions,
you
realize
the
the
level
of
implicit
bias
and
explicit
bias.
E
That
happens
every
day,
and
I
think
you
know
one
of
the
things
and
I
and
I
you
know
unfortunately
seeing
this
in
action.
I
remember
my
ob
gyn
rotation
in
philadelphia
at
temple.
Hospital
working
with
black
moms
who
are
delivering
as
a
medical
student
and
seeing
you
know
the
stark
differences
in
care.
I
don't
think
things
are
any
different
now,
30
years
later,
I
think
you
know
that
is
a
focus
at
the
at
the
health
commission.
E
You
know
jerry
can
list
all
the
programs,
but
I
I
think
you
know
everything
from
you
know
nutrition
to
early
access
to
prenatal
care,
but
I
think,
as
a
primary
care
physician.
I
think
the
thing
that
that
I
do
think
we
you
know
we
need
to
continue
to
work
on
a
couple
of
things
that
we
don't
talk
about
that
much.
You
know
one
is
trust.
You
know
the
patient,
doctor
patient
provider,
patient
mid,
you
know,
midwife,
patient
doula
relationships
are
really
critically
important.
E
So
there
are
some
really
good
programs
that
center
the
pregnant
person
and
their
family
in
care,
and
I
think
that
those
are
those
are
are
really
important
ways
to
think
about
about
health
care
for
for
populations
that
aren't,
aren't
getting,
aren't
being
listened
to
and
may
not
have
have
the
same
level
of
access
to
care
and
again
it's
it's
not
often,
I
think
you
know,
being
you
know,
having
the
access,
it's
it's
having
access,
but
then
not
not
being
listened
to.
E
So
I
think
you
know
having
community-based
programs,
I
think,
advocating
for
things
like
out-of-hospital
birthing,
centers
things
like
doula
support.
Extending
you
know
the
recent
aca
extension
through
the
through
the
through
the
rescue
act
that
extends
extends
postpartum
care
for
up
to
12
months.
It's
things
like
that.
That
will
make
a
difference,
so
I
think
it's
a
combination
of
advocating
for
real
action
and
also
within
all
of
our
institutions.
Thinking
about
what
is
the
individual
work.
We
all
need
to
do
to
become
anti-racist.
E
What's
the
organizational
work
that
we
need
to
do
and
then
the
ins,
the
the
systemic
work?
I
think
the
last
thing
I
would
just
say-
and
this
is
probably
not
something
I
have
a
lot
of
control
over-
but
certainly
would
be
very
happy
to
participate
in-
is-
is
it
it
is
making
sure
that
providers
who
are
in
the
system
whether
it's
nursing,
medical
midwifery
medical
assistants,
but
our
providers.
E
We
have
a
a
workforce
that
really
reflects
the
patients
and
the
members
of
our
community,
and
I
think,
there's
still
some
work
to
be
done
around
around
that.
And
I
know
that
the
boston
public
health
commission
has
put
a
lot
of
effort
so
far
into
building
the
workforce.
But
I
think,
even
in
the
provider
space
there's
a
lot
of
there's
a
lot
of
work
to
be
done
still.
C
So,
thank
you
both
for
for
your
very
thoughtful
answers
to
a
complicated
question
and
for
your
work.
This
year
we've
been
joined
by
councillor
mejia,
and
so
I
want
to
make
sure
she
also
has
five
minutes.
If
she
has
any
questions
or
any
statements
she
wants
to
make
on
on
the
reappointment
process
and
then
I'll
I'll
cut
everybody
loose.
So
counselor
may
hear
the
floor.
Is
yours.
B
Hi
good
afternoon,
sorry
for
my
tardiness.
Thank
you
chair
for
hosting
this
and
to
the
nominees
for
being
here.
I
you
know.
We
know
that
when
it
comes
to
all
things
pandemic,
this
conversation
in
terms
of
public
health
is
is
crucial.
I'm
hoping
to
hear
a
little
bit
more
about
kind
of
what
you
have
learned
in
your
term
that
you
from
your
previous
term.
B
As
a
member
of
the
board
of
health,
I
mean
how
would
you
like
to
take
what
you've
learned
into
your
second
term
and
I'd
love
for
you
to
answer
that
really
looking
at
it
from
a
racial
justice
lens
specifically
in
the
time
of
covet,
so
we'd
love
to
hear
kind
of
what
your
thoughts
are
moving
there
and
you
know,
counselor
arroyo
did
declare
public
health
racism,
a
public
health
crisis
and
having
worked
in
the
public
health
space
150
years
ago,
I'm
just
so
incredibly
grateful
for
his
leadership
and
really
calling
it
out,
because
my
hope
is
is
that
by
doing
so,
it
will
apply
that
type
of
pressure
that
we
need
to
not
just
call
it
and
declare
it,
but
really
put
some
systems
and
resources
behind
it
so
that
we
can
once
and
for
all
eradicated.
B
So
with
that,
I'm
also
curious
to
similar
to
counselor
arroyo's
question.
How
do
you
see
the
board
of
health
using
its
voice
to
offer
support
for
hospital
workers,
many
of
whom
experience
systemic
racism
and
harassment
in
the
work
place
would
love
to
drill
in
a
little
bit
more
on
that,
and
then
I
have
one
more
follow-up
question,
so
I
don't
want
to
overwhelm
you
with
too
much,
but
if
we
can
do
those
two
questions
and
then
one
more
after
that.
B
Unstable,
no
and
also
sorry-
and
I
just
talked
no-
no-
don't
don't
apologize.
I
talk
too
much.
Of
course
that's
going
to
happen.
You
probably
forgot
what
I
said
earlier.
So
I'm
curious
similar
to
counselor
arroyo's
question.
How
do
you
see
the
board
of
health
using
its
voice
to
offer
support
for
hospital
workers,
many
of
whom
experience
systemic
systemic
racism
and
harassment
in
the
work
place.
D
E
I
was
hoping
that
john
would
jump
in
with
the
hospital
question,
but
I'm
happy
to
answer
the
first
one.
If
it
gives
you
a
little
time.
John.
E
Yeah
all
right,
so
I
think
you
know
I
think
the
last
there's
so
many
lessons
learned
from
this
pandemic
and
I
think
you
know
I
I
I'm
not
sure
if
you
were
on
when
I
said
it
before,
and
I
don't
want
to
repeat
myself
too
much,
but
I
feel
so
strongly
about
the
community-based
approach
and
the
the
resourcing
communities
to
be
able
to
do
the
work
that
they
know
that
that
they
need
to
support
their
communities
and
not
to
say
here,
go.
E
Do
it
yourselves,
but
to
say
what
is
it
that
you
need?
How
can
we
help?
What's
the
data
that
you
need?
What
are
the
resources
you
need?
Let's
you
know
what
expertise
do
you
bring
to
the
table?
What
expertise
can
we
bring
to
the
table
to
really
you
know
really
make
sure
that
no
community
in
boston
is
left
behind.
You
know,
for
whatever
reason
they
may
be
so
to
to
me.
That's
a
big,
I
think,
a
big
takeaway
and
then
you
know,
I
think
I'll.
E
Let
john
talk
about
the
hospital-based
workers,
but
what
I
would
just
say
a
little
bit
towards
that,
since
we
have,
I
think
you
know
our
frontline
staff
not
quite
the
same
as
the
hospital,
but
but
you
know,
I
think
that
the
behavioral
health
impact
of
the
of
the
of
the
pandemic
cannot
be
underestimated.
I
think
on
the
front
line
folks
and
not
just
health
care
workers,
but
you
know
folks
are
in
the
grocery
stores.
E
All
of
that
you
know,
I
I
think
that
we
need
to
make
sure
that
we
have
enough
systemic
care.
I
think
for
behavioral
health.
I
think
there's
a
whole
bunch
of
folks
who
are
experiencing
and
will
be
experiencing
post-traumatic
stress
related
to
everything.
That's
happened
with
the
pandemic
from
illness.
To
you
know
inability
to
get
care
to
housing
loss
to
job
loss.
E
So
I
think
you
know
being
really
prepared
to
handle
this
post-pandemic
care
for
the
people
who
have
been
caring
for
all
of
us,
I
think
is
going
to
be,
is
going
to
be
really
important
and
I
you
know
I
do
know
that.
That's
something
that
the
health
commission
has
always
prioritized,
but
it,
I
think,
when
we
think
about
budgets
and
priorities
and
resources.
E
D
B
D
We're
equal,
I
first
first
thing
I'd
say,
is
that
the
behavioral
health
thing
is
is
a
huge.
I
think
we
have
seen
the
tip
of
the
iceberg
from
what
what
this
pandemic
has
done
to
not
only
health
care
workers,
but
the
stress
on
home
life.
It's
just.
I
I
just
I'm
very
worried
that
that's
a
something
that
we
are
like.
Oh
yeah,
we'll
get
more
counseling,
it's
good.
It's
we
see
it
at
in
the
hospitals
and
big
time
with
our
staff.
But
let
me
answer
your
question
about
what.
D
How
can
we
focus
on
this
matter
that
you
bring
up
on
both
the
staff
at
the
hospitals,
but
also
race
and
the
intersection
with
health
care?
I
think
the
biggest
thing
we
can
do
where
a
city
council
or
boston
public
health
commission
can
do
is
what
I
said
earlier,
which
was:
let's
try
to
set
the
priorities
and
not
make
them
so
broad
that
they
capture
everything.
What
are
the
specific
things
that
we,
as
hospitals
have
committed
to
do,
or
maybe
haven't
committed?
D
So,
for
example,
we've
committed
in
at
least
in
the
mass
general
brigham
system,
training
for
staff,
how
we
hire
and
what
are
the
results
of
how
we
hire
getting
more
diverse
staff
in
our
organizations,
and
those
are
all
things
that
we
can
work
together
and
what
what
are
those
you
know?
What
are
those
key
items?
Whoops,
I
think
we
lost
the
city
councilor
I'll,
stop
answering
her
question
so
that.
B
Oh
well,
I'm
just
gonna,
let
you
know,
mr
fernandez,
that
I'm
gonna
have
to
go.
Look
through
the
tape,
because
I
know
that
you
probably
gave
the
most
compelling
testimony
to
my
question
and
I
was
not
here
for
any
of
it,
but
I
will
promise
you
that
I
will
I
will
take.
I
don't
want
to
occupy
any
more
space
counselor.
I
rojo,
do
I
have
time
for
one
more
question.
B
So
that
I'm
not
you,
don't
see
two
two
people,
sorry
about
that.
So
I'm
I'm
just
curious
jen!
You
had
talked
about
the
the
whole
trauma
piece,
which
is
definitely
something
that
my
office
has
been
really
pounding
the
pavement
around
the
recovery
and
we
have
seen
that
a
lot
of
in
in
in
terms
of
the
workforce,
we're
looking
at
boston,
public
schools,
we're
looking
a
lot
of
a
lot
of
our
city
agencies.
B
We've
had
this
whole
mentality
that
we're
just
gonna
do
business
as
usual
and
just
kind
of
transition
back
into
work,
and
so
I'm
curious
in
terms
of
when
you
start
thinking
about
this
work.
B
How
do
you
see
the
role
of
the
boston,
public
health,
commission
and
and
your
work
and
in
in
your
appointment,
really
being
a
leader
in
in
supporting
and
fighting
for
those
dollars,
because
I
know
a
lot
of
it
is
going
to
be
come
down
to
the
how
much
money,
but
I
also
think
that
there's
an
opportunity
to
engage
other
stakeholders,
I
think
about
barber
shops
and
hair
salon
owners.
I
think
about
bodegas.
B
You
know,
I
think,
about
these
non-traditional
places
and
spaces,
where
a
lot
of
conversations
are
being
had
around
mental
health,
but
they're,
not
they're,
informal
spaces.
So
I'm
just
curious
about
what
you
all
are
thinking
in
terms
of
strategy
for
engaging
these
non-traditional
groups
in
conversations
and
mental
health
and
when
you
think
about
the
budget
season,
which
is
down
around
the
corner.
What
what
are
we
looking
at
in
terms
of
securing
additional
funding
for
mental
health
and
wellness
support.
E
Yeah,
so
that's
a
great
question
I,
which
I
I
wish.
I
had
the
answer
to
exactly
what
the
budget
line
item
was,
but
I
I
think
you
know
you
are
so
right
about
those.
E
You
know
hesitate
to
say
non-traditional,
because
it
is
traditional
right
I
mean
those
are
the
places
people
have
those
conversations
and-
and
we
I
think,
need
to
resource
them
and
then
also
you
know
have
people
know
like
well
what
information
they
can,
if
someone's
talking
to
you
in
the
hair
salon
to
be
able
to
say
well,
not
just
I'm
a
you
know
listening
to
you
and
I'm
going
to
give
you
some
support,
but
here's
actually,
some
you
know
here's
here's
a
phone
number.
You
could
call.
E
I
mean
I
think
it's
it's
creating
creating
those
resources
for
those
community
contacts
to
then
be
able
to
to
move
people
along.
But
in
terms
of
your
very
concrete
question
about
money,
you
know
I
I
think
I
would
defer
that
to,
I
think,
to
rita
and
jerry
as
to
what
where
the
word
is
in
the
budget,
but
I
do
think
it
has
to
be
it
has
to
be
prioritized.
E
I
also
think
that-
and
this
is
something
that
came
up
in
the
transition-
the
mayoral
transition
group
around
public
health-
that
I
was
honored
to
be
part
of.
You
know,
there's
money
coming
from
other
sources
too,
and
I
think
there's
some
real
opportunity
to
focus
in
on
where's.
Where
are
those
grants?
Where
are
those
resources
federal?
You
know
state.
You
know
it's
almost
like
a
full-time
job.
I
think
to
sort
of
track
down
track
down
that
money
so
that
it's
not
just
sort
of
business
as
usual
the
city
budget.
E
D
D
I
could
say
hola
and
things
like
that,
but
my
high
school
spanish
is
leaving
me.
B
Okay,
well,
I
just
want
to
make
a
note
that
when
it
comes
to
language
access
and
interpretation
and
translation
as
a
board
of
health,
I'm
really
looking
to
you
all
to
making
sure
that
we're
able
to
communicate
with
people
in
languages
that
they
can
understand,
then
it's
culturally,
competent
and
and
and
john
the
next
time
you
come
through.
You
better
learn
a
few
words
okay,
because
I'm
going
to
call
you
out
again.
D
C
Thank
you
councilman.
Thank
you
both
both
of
you
and
I'll
be
moving
for
you
both
to
be
reappointed
at
our
next
council
meeting.
So
thank
you
both
for
being
here.
I
appreciate
you
taking
the
time,
I'm
gonna,
let
everybody
go.
Thank
you
miss
thomas
and
so
much
appreciated,
and
with
that
this
meeting
is
adjourned.
Thank
you.
Everybody.