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From YouTube: Committee on Ways & Means on May 17, 2018
Description
Dockets #0559-0565 - Fiscal Year 2019 Budget: Boston Public Health Commission
A
District
city
councilor
today
is
Thursday
May
17th.
We
are
here
again
with
our
friends
from
the
Boston
Public
Health
Commission,
and
today's
topics
of
this
afternoon's
topics
of
discussion
are
I'm,
sorry,
child
and
family
health,
infectious
disease
and
community
initiatives,
as
they
pertain
to
dockets
zero.
Five,
five,
nine
through
zero,
five,
six,
three
orders
for
the
fiscal
year.
A
I'd
like
to
remind
folks
in
the
chamber
that
this
is
a
public
hearing
both
being
broadcast
live
in
recorded
on
our
CN
80
Comcast,
channel
8
and
Verizon
1964,
and
streamed
on
Boston
gov,
backslash
city
council,
TV
I'd:
ask
you
all
in
the
chamber
to
silence
any
electronic
devices
at
the
conclusion
of
the
departmental
presentation
and
questions
from
my
colleagues,
we
will
take
public
testimony.
There
is
a
sign-in
sheet
off
to
my
left.
We
ask
that
you
state
your
name,
affiliation,
residence
and
please
check
the
box.
Yes,
if
you
do
wish
to
testify
publicly.
A
B
Thank
You
chairman
CEO
m''e
and
all
the
councillors
for
hosting
us
for
part
two
of
our
hearing
with
you
this
afternoon
again
my
name
is
Monica
Valdes,
Lupi
and
I'm.
The
executive
director,
the
Boston
Public
Health
Commission
I'm,
joined
this
afternoon
by
grace
Connolly,
who
is
our
director
of
administration
and
finance.
Thank
you
for
the
opportunity
to
highlight
all
the
important
work
that's
being
done
at
the
Commission
and
in
particular
these
three
bureaus
this
afternoon.
We're
proud
of
the
budget
that's
being
proposed
on
before
you.
B
Today,
we've
been
working
diligently
around
our
spending
and
managing
our
resources
in
accordance
with
mayoral
and
organizational
priorities.
One
of
the
things
that's
not
directly
related
to
our
budget
process,
but
which
has
been
one
of
our
key
accomplishments.
This
year
is
the
fact
that
we've
received
public
health
accreditation
from
the
public
health
Accreditation
Board
on
this
slide,
our
this
is
our
organizational
chart
and
again
we'll
review
the
work,
that's
being
led
by
our
child,
adolescent,
Family,
Health,
Bureau,
community
initiatives
and
infectious
disease
Bureau.
B
What
I
would
like
to
leave
all
of
you
with
in
terms
of
a
key
takeaway
following
our
presentation
and
discussion?
This
afternoon
is
that
these
three
bureaus
in
particular
and
overall,
the
Commission,
but
these
three
in
particular,
work
very
hard
to
build
healthy
communities
and
the
the
things
that
we'll
highlight
will
just
be
a
snapshot
of
the
different
ways
that
our
bureaus
work
together
with
our
partners
to
impact
the
community
around
us
through
engagement,
youth
development
and
safe
and
resilient
communities.
B
In
this
slide,
will
you
have
some
highlights
from
our
child
adolescent
and
Family
Health
Bureau,
or
a
calf
Bureau,
which
works
to
address
the
physical
and
mental
health
needs
of
our
children,
youth
and
families,
especially
those
whose
health
is
compromised
by
social
inequity
by
collaborating
with
different
programs
at
the
Commission
and
with
external
partners?
We
provide
public
health,
education,
training
and
professional
development
for
youth
workers
and
young
people
in
an
effort
to
increase
their
competencies
and
skills.
B
We
work
really
hard
to
ensure
that
our
youth
related
programs
reflect
a
youth
development
model,
incorporating
both
youth
development
principles
and
public
health
standards
of
practice.
Our
programs
all
operate
on
a
principle
that
our
youth
and
our
students
are
leaders
in
our
community.
They
help
drive
action
in
these
programs
and
throughout
the
Commission
and
because
of
their
leadership,
serve
as
ideal
messengers
of
the
public
health
information
that
we're
trying
to
push
out
among
their
classmates
and
their
peers.
B
In
this
slide,
you
can
see
some
of
our
youth
at
a
Child
and
Adolescent
Health
Division
event
where
they
hosted
their
first
and
extremely
successful.
Boston
youth
health,
fair,
the
youth
development
network
completed
its
fourth
year
of
Summer
Youth
Employment
programs
for
high
school
students
that
require
summer
term
classes
and
through
the
network
we've
been
able
to
hire
eight
teen
youth
who
completed
their
summer
coursework
and
life
skills
training.
These
students
have
all
engaged
more
successfully
in
this
academic
year
because
of
their
involvement
in
this
program.
B
The
network
also
continues
to
address
chronic
absenteeism
in
four
of
our
high
schools:
the
Jeremiah
Burke
Madison
Park
Brighton
high
schools
in
Charlestown
high
through
case
management
and
mentoring
throughout
the
year.
In
this
slide,
we
have
some
highlights
of
the
work
from
the
work
that
our
neighborhood
trauma
teams
are
doing
throughout
the
city
and
I
know.
Several
of
you
have
met
with
our
familiar
with
this
network
of
providers.
Through
this
initiative
we're
able
to
offer
critical
services
for
individuals,
families
and
communities
that
have
been
impacted
by
violence.
B
We
work
with
community
health,
centers
and
community-based
organizations
and
have
a
mobile
team
through
jay-ar
ice
smart
team,
where
we're
able
to
provide
Crisis
Response
services
to
individual
any
individuals
that
have
been
impacted
by
community
violence.
Connections
to
community
support,
support
for
individuals
and
families
during
community
events
that
include
vigils
memorials
and
funeral
services
and,
most
importantly,
are
as
important
referral
to
ongoing
behavior
health
services
for
individuals
and
families
who
need
ongoing
support
and
recovery
services
for
the
trauma
that
they've
experienced.
B
Thanks
to
the
investments
included
in
Mayor
Walsh's
budget,
we'll
be
able
to
expand
the
neighborhood
trauma
teams
Network
from
five
to
six
neighborhood
teams
with
one
additional
team
in
Dorchester
pending
final
approval
of
our
FY
19
funding.
Other
goals
for
FY
19
for
the
program
include
implementing
a
trauma,
response
and
recovery
learning
community,
offering
more
evidence-based
treatment,
training
and
then
increasing
the
capacity
to
demonstrate
the
effectiveness
of
the
program
by
creating
a
stronger
data
collection
and
analysis
of
the
work
that
our
teams
do.
B
Through
this
bureau,
the
caf
Bureau.
We
also
operate
school-based
health
centers
through
the
health
centers
we're
able
to
deliver
health,
education
and
health
care
to
students
in
eight
public
schools.
The
some
of
the
services
include
primary
medical
care,
as
well
as
mental
health
and
reproductive
health,
education
and
care
they're
able
to
with
the
team
of
staff
there
provide
accessible,
culturally
and
linguistically
confident
and
developmentally
appropriate
health
care
services
for
youth
in
their
schools.
In
FY
18,
the
center's
implemented
several
initiatives
to
improve
billing
and
operations
to
more
effectively
deliver
mental
health
services.
B
Six
out
of
eight
of
our
mental
health
clinicians
have
completed
credentialing
with
BMC
and
clinicians
have
been
trained
on
how
to
use
the
hospital's
electronic
medical
record
system
and
billing
systems.
Mental
health
billing
for
services
started
on
a
pilot
basis
in
one
school-based
health
center
in
April
to
assess
some
logistical
and
workflow
issues,
and
the
current
plan
is
to
expand
that
to
three
more
sites
by
next
month.
B
In
FY
19,
there
is
an
investment
from
Mayor
Walsh
to
support
efforts
at
the
Commission
in
developing
a
marijuana
communications
campaign,
particularly
after
and
as
the
laws
around
recreational
marijuana
are
rolled
out,
and
we
know
that
by
talking
with
other
colleagues
and
other
cities
and
states
that
young
people
are
vulnerable,
as
access
is
opened
up
and
so
we'll
be
working
with
other
partners
and
other
departments
to
ensure
that
the
information
that
we
develop
is
comprehensive
and
meeting
the
needs.
Our
young
adults,
shifting
to
Community
Initiatives
Bureau
in
this
particular
area
of
the
Commission.
B
They
work
to
address
health
issues
affecting
Boston
through
community
and
home
based
services.
The
bureau
supports
our
commitment
to
community
engagement,
environmental
health
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
really
excited
that
we'll
be
working
with
Commissioner
cook
in
our
Parks
and
Rec
Department
again
this
year
to
launch
the
summer
fitness
series
and
that
kickoff
event
is
on
May
31st
in
Copley
Square.
B
So
we
hope
you'll
all
join
us
in
this
slide.
It
looks
a
little
busy
but
wanted
to
show
you
some
numbers
in
terms
of
the
bureau
in
action.
So
you
you
can
see
that
we
have
environmental
health
inspectors
who
are
out
in
the
field
responding
to
environmental
health
hazards,
inspecting
businesses
issuing
permits
and
doing
a
lot
of
training
and
technical
assistance
to
the
communities.
B
The
business
communities
that
we
regulate,
there's
also
information
about
our
safe
shops
program,
and
so
this
is
just
one
another
way
of
looking
at
the
work
that
they
do
in
the
community
for
FY
19.
Some
of
the
activities
that
we
wanted
to
highlight
is
that
are
include
that
we'll
be
working
to
develop
prostate
health
campaign.
Also
working
on
you
know
strengthening
the
work
that
we
do
through
our
office
of
food
initiatives.
B
On
the
farm
fresh
Boston
campaign
and
we're
also
going
to
be
rolling
out
a
new
online
app
and
payment
process
for
the
permits
that
we
issue
through
this
Bureau
in
FY,
19
and
rounding
out,
the
group
are
some
highlights
from
our
infectious
disease
Bureau.
So
this
particular
Bureau
works
with
diverse
communities
in
Boston
to
reduce
the
impact
of
infectious
diseases,
prevent
morbidity
or
sickness
associated
with
those
diseases
and
create
healthier
lives
for
our
residents.
B
As
you
can
see
from
this
slide,
our
staff
works
really
hard
to
ensure
that
Boston
residents
linguistically
and
culturally
competent
information
that
they
need
to
know
what
they
can
do
to
protect
themselves
from
different
communicable
diseases.
Additionally,
the
bureau
provides
funding
and
technical
assistance
grants
to
community-based
providers
in
the
city
who
deliver
community-based
prevention
and
education,
mostly
aimed
at
designing
mostly
aimed
at
raising
community
awareness
around
how
to
prevent
and
lower
infection
rates.
Funding
is
also
targeted
around
culturally
and
linguistically
confident
service
providers.
B
Here
are
some
highlights
from
some
of
our
work
and
FY
18
in
this
bureau.
Our
communicable
disease
control
division
investigated
9000
over
9000
reports
of
communicable
diseases
in
the
city.
They
responded
to
over
a
hundred
exposures
clusters
and
outbreaks,
and
the
division
also
developed
an
electronic
data,
analytic
and
visualization
platform
to
provide
near
real-time
information,
an
FY
19.
The
bureau
plans
on
continuing
to
work
to
reduce
chlamydia
rates
among
boston
residents
between
the
ages
of
15
and
24,
and
to
also
reduce
the
gap
in
chlamydia
rates
between
black
Latino
and
white
residents.
B
Between
that
same
age,
group
by
25
percent
they'll
also
be
working
with
our
colleagues
from
the
recovery
services
bureau
to
reduce
hepatitis,
C
and
HIV
rates
among
people
who
inject
drugs
by
increasing
awareness
of
safer
injection
practices
and
encouraging
more
testing
they'll
also
be
collaborating
with
our
a
hope
or
harm
reduction
and
Neila
exchange
program
to
assist
individuals
who
inject
drugs
with
linkage
to
care
for
treatment.
They
also
plan
on
completely
rolling
out
their
data
visualization
platform
in
FY
19.
B
So
in
closing,
I
want
to
thank
mayor
Walsh,
our
colleagues
at
the
Office
of
Budget
management
team
for
this
important
service.
One
also
thank
our
board
members,
the
Board
of
Health
for
their
continuing
guidance
and
leadership
during
the
sky'
of
this
budget
process.
We've
worked
closely
with
our
board
members
in
terms
of
preparing
our
budget
submission
and
want
to
all
of
you
for
your
support
throughout
the
year.
At
this
point,
I'm
going
to
turn
it
over
to
our
an
eff
director,
grace
Connolly
Thank,
You
Monica.
C
D
Thank
You
counselor
andnot,
thank
you
for
being
with
us
today,
I
noticed
in
in
one
of
your
charts.
There
was
about
40
cases
of
tuberculosis
in
the
city
I
know
years
ago,
that
used
to
be
a
common
disease
with
with
a
lot
of
Irish
immigrants.
My
my
grandfather
had
tuberculosis,
but
why?
Why,
in?
How
are
people
getting
tuberculosis
today
in
what
is
being
done
to
to
help
them.
B
So,
thanks
for
your
question,
we
actually
we
work
with
Boston
Medical
Center,
where
we
operate
our
TB
clinic
and
what
we
see
is
very
in
the
city
of
Boston
is
actually
very
different
than
what
other
cities
see.
So
in
terms
of
active
cases,
we
actually
have
fewer
active
cases
in
FY
18.
We
have
42
confirmed
cases.
What
we
we
do
see
in
the
clinic
are
more
cases
of
what
they
call
sleeping.
Tb
is
you've
already
appropriately
pointed
out,
given
your
grandparent
with
the
experiencing
TB.
B
D
B
In
terms
of
I
would
have
to
get
back
to
you
on
the
second
condition,
scar,
derma
and
then
in
terms
of
asthma.
It
is,
we
actually
have
seen
decreases.
So
this
is
one
of
those
when
I
was
thinking
about
progress.
Since
the
last
time
we
visited
you
all
for
the
budget
hearing
that
we
actually
have
seen
progress
in
terms
of
a
decrease
in
the
rates
of
our
asthma
eg
visits
in
the
city
between
this
time
period.
D
I
guess
my
final
question
for
this
round
is
I
just
want
to
thank
you
for
agreeing
to
work
with
me
on
developing
or
pursuing
a
comprehensive
public
health
study
for
the
residents
of
Chinatown,
and
that's
something
that's
important
to
the
community
and
I
know
it's
important
to
my
fellow
councillors
as
well.
So
we
just
want
to
thank
you
for
your
commitment
on
that
as
well,
and.
B
I
appreciate
your
commitment
and
your
elevating
issues
for
asian-americans,
particularly
as
an
asian-american
Filipino
American
myself,
I'm
really
impressed
that
you've
taken
this
cause.
Is
that
one
of
your
priorities?
And
yes,
we
look
forward
to
working
with
you
and
I
had
already
reached
out
to
our
colleagues,
sherry
dong
at
Tufts,
and
she
directs
the
community
benefits
Community,
Programs
and
happy
to
work
with
you
to
to
look
at
what
an
assessment
might
look
like
for
the
health
of
Chinatown
residents.
Thank.
A
E
It's
a
chair
and
now
welcome
back
good
afternoon.
It
was
good
morning
a
couple
hours
ago.
First
I
always
like
to
say
thanks
to
Berto
Sanchez
around
this
point
in
time
who
comes
around,
and
does
this
not
can
thing
he's
been
outstanding?
We've
had
him
at
a
couple
of
libraries
and
some
of
the
places
in
District
five
and
he's
been
outstanding,
so
I
always
like
to
give
I
was
like
to
give
him
a
shout-out,
so
I
the
the
marijuana
communications
campaign,
I'm
very
interested
in
this.
E
As
you
know,
a
bunch
of
us
went
out
to
Denver.
They
didn't
get
ahead
of
it.
Clearly
there
was
an
article
I
want
to
say
it
was
in
the
Washington.
Is
that
I
do
have
it?
Basically,
it's
the
50-year
anniversary
of
the
the
Denver
social
experiment,
I
like
to
call
it
and
how
it's
it
hasn't
been
a
good
experiment
for
Denver,
dropouts,
higher
pregnancies,
higher
birth
rates,
defects,
higher
accidents
due
to
due
to
marijuana
consumption
while
driving,
is
higher.
So
there's
a
lot
of
points
that
make
me
very
concerned.
E
That's
why
I
was
know
on
that
question
from
the
get-go,
but
that
horse
is
out
of
the
bond,
as
we
know
so.
I
think
it's
really
important
as
we're
starting
to
see
already
on
Clear
Channel
billboards.
You
know
whether
it's
remap
so
there's
a
bunch
of
them.
I'm
not
gonna,
give
them
in
the
public
air
time
but
already
advertisements.
E
E
B
B
This
was
last
spring
I
think
when
we
invited
them
to
present
before
our
board
is
we
were
anticipating
what
our
role
might
be
and
and
clearly
when
they're
I
would
say
that
there
are
two
key
roles
that
we
play
in
this
space
prevention
and
the
messaging
around.
It
is
one
of
them.
The
second
is
around
surveillance
and
data,
and
so
our
colleagues
in
Colorado's,
one
of
their
main
tips
to
us,
was
make
sure
that
you
have
good
baseline
data.
B
So
I
can
share
with
you
that
in
our
health
of
Boston
report,
through
a
survey
that
we
do
called
the
behavioral
risk
factor,
surveillance
survey
and
then
in
partnership
with
Boston
Public
Schools,
they
run
a
similar
survey
for
youth.
The
YRBS
we've
got
good
baseline
data
already
on
sort
of
pre
recreational
implementation
terms
of
use.
B
The
amount
that
has
been
proposed
in
FY
19
is
$75,000
to
develop
that
campaign,
and
there
I
wanted
to
also
highlight
then
an
FY
19.
There
was
also
funding
to
support
2
FTEs
that
were
focused
on
prevention,
I,
believe
one
was
related
to
the
work
that
gen
Tracy
in
our
mayor's
office
for
recovery
services
is
leading
related
to
her
prevention,
a
report
that
will
be
released
and
then
the
second
position
prevention
will
sit
within
our
bureau
of
recovery
services.
B
But
obviously
you
know
across
the
bureau
and
across
the
organization
it's
all
hands
on
deck
in
terms
of
the
campaign
in
terms
of
the
role
or
support,
we
would
love
to
work
with
the
City
Council
in
getting
your
feedback
from
your
constituents.
We
haven't
really
planned
it
out.
Yet
we've
been
having
discussions
internally,
just
looking
at
how
other
cities
and
states
have
designed
the
different
materials
but
I.
B
E
There's
there's
some
great
partners
in
this
building.
I
see
chief
Martinez
up
there
and
you
know:
Boston
stands
for
youth
and
families.
Clearly
all
the
community-based
organizations
that
we
work
with
during
the
summer
times
you
know
162,
CBO's
I,
think
we're
working
with
this
summer
time.
You
also
have
the
faith-based
organizations
I
think
this
is
one
of
those
issues
that
it
really
needs
to
be
in
all
hands
on
deck,
where
possible,
schools
get
involved,
as
well
as
parochial
and
private
schools.
E
It's
important
and
I
think
that
some
of
the
the
Clear
Channel's
of
the
world
this
is
where
they
need
to
step
up
and
help
us
out
with
the
PSAs,
and
things
like
that.
So
I
know
that
my
office
will
certainly
be
great.
You
know,
I
with
with
two
boys,
myself,
I
I,
think
that
you
know
tinea
just
needed
another
auction
for
a
vice-like.
E
F
B
B
To
know
yeah,
let's
see
for
both
2003
to
2009
and
then
2011
to
2017.
The
percentage
of
Asian
students
reporting
using
marijuana
in
the
past
30
days
was
lower
compared
to
white
students.
Black
students
and
white
students
had
similar
percentages
for
that
same
period
of
time,
but
this
is
certainly
information
that
we
can
work
with
Assistant
Superintendent,
Amalia,
Nieves
and
Jill
Clark
and
packaging
for
you,
so
that.
F
You
have
that
and
then
also
the
perception
of
risk,
so
it's
marijuana
use,
but
then
also
measuring
what
they
think
is
or
perceived
the
risk
to
be
of
marijuana,
use
and
I
know.
When
we
were
out
when
we
went
to
Denver
I
met
with
I,
think,
probably
they
are
equivalent
to
a
Molly
Molly
own
Nieves
counterpart
and
dad
were
a
similar
counterpart.
B
I
think
that
is
that
actually
a
reminder
of
some
of
that
they
raised
that
you
know
the,
because
you've
got
medical
and
recreational.
You
know
throughout
the
country
that
people
become
it
becomes
normalized
in
terms
of
perceptions,
so
I'd
have
to
go
back
and
double-check
on
whether
we
have
specific
questions.
F
B
F
B
We
there
is
a
network
of
school-based
health
centers,
and
we
work
really
closely
I'm
trying
to
find
the
tab
because
we're
not
in
all
of
the
high
schools,
as
I
said
on
the
slide
we
listed
out,
which
ones
we
listed,
which
ones
we're
in
we
actually
do
work
really
closely
with
the
school
operated
health
centers
on
wellness
policies.
We
often
work
collaboratively
with
them
around
insuring
we're
on
this
that
were
aligned
in
terms
of
the
resources
and
materials
that
we're
developing.
F
There
a
way
to
have
a
greater
presence,
especially
thinking
about
mental
health
services
in
our
schools
through
the
Commission,
because
we
are,
we
often
have
in
many
of
our
schools
the
mental
many
of
the
mental
health
and
behavioral
health
specialists
that
are
that
work
in
our
schools
are
often
working
with
a
fee-for-service
model.
So
they're
not
necessarily
able
to
see
every
student
I,
don't
know
whether
or
not
the
Commission
can
get
more
involved
in
some
of
that
work.
In
particular,
I.
B
Seem
to
think
that
we
have
because
have
provided
some
additional
capacity
when
needed
if
there's
been
a
particular
incident
or
event
at
the
school,
because
you're
right
I
mean
even
in
our
own
school-based
health,
centers
I
believe
the
top
two
primary
reasons
for
the
visits
are
related
to
behavioral
health
and
then
family
planning.
So
I
can
check
back
with
staff
to
confirm
what
types
of
formal
processes
we
have
in
place
around
connecting
our
behavioral
health.
We
have
several
social
workers
who
work
across
the
school-based
health
centers.
F
B
F
B
Can
follow
up
and
double-check,
but
I
know
that
we've
been
working
with
so
one
way
that
we
work
with
that
zero
to
three
0
to
5
population
is
that
be
PSN.
Bphc
were
involved
in
advisory
capacities
to
Children's
Hospital
Boston,
as
they
were
developing
their
determination
of
need
funding.
So,
if
you
recall,
under
the
state
diem
process,
Children's
Hospital
had
about
53
million
dollars
in
community
health
initiatives
that
they
were
going
to
distribute.
B
The
the
request
for
proposal
is
actually
out
on
the
street
now
and
there
is
a
category
of
funding
that's
available
for
that
0
to
5.
A
lot
of
the
evidence
shows
that,
and-
and
you
know
this
from
your
educational
background
right-
counselor-
that
focusing
on
the
that
early,
those
early
childhood
years
are
critical
for
long
term
success,
especially
when
we
have
so
many
children
that
experience
adverse
childhood
events,
that
impact
learning
and
ability
to
succeed.
B
G
It's
not
even
disturbing
is
that
we
had
very
little
Asian
data
if
any
at
all
and
and
what
the
chief
had
shared
is
that
there
hasn't
been
enough
or
maybe
actually
you
said
that
there's
a
not
a
big
enough
sample
universe
or,
and
so
I
just
want
I
just
wanted
to
revisit
that.
Just
to
to
think
about
how
we
might
address
that,
because
we
don't
want
to
feel
that
an
entire
segment
of
the
city
is
not
being
represented
in
our
data
and.
B
And
I
think
you're
right
I
mean
some
of
it
was
sample,
size
and
I
believe
our
director
of
evaluation
and
research
Dan
Dooley
had
mentioned
that
in
this
next
round
that
we
knew
that
that
was
a
gap
in
the
last
report
that
we
had
issued
in
this
next
round.
I
can
confirm,
but
I
think
he
had
mentioned,
that
we're
actually
doing
over
sampling
so
that
we
can
generate
more
Asian
specific
data
to
address
the
issues
around
those
small
sample
sizes.
B
So
on
the
question
around
the
state,
so
we
spend
a
lot
of
time
working
with
our
state
colleagues
on
trying
to
get
more
real-time
access
and
our
infectious-disease
Bureau
were
able
to
use
one
platform
to
more
rapidly
access
infection
infection,
disease
related
data
in
real
time,
we're
working
with
them.
Now
on
some
of
the
data
challenges
around
tracking
and
the
way
we
look
at
our
opioid
overdose
data,
so
it
has
been
collaborative
I.
B
Think
having
worked
at
the
state
I
have
this
appreciation
for
the
kind
of
data
cleaning
and
scrubbing
that
they
do,
but
I
think
I
can
also
speak
on
behalf
of
all
the
local
health
departments
that,
when
we're
trying
to
generate
community
health
needs
assessments
and
provide
that
data,
when
you
know
our
elected
officials
asked
for
it,
you
know
having
a
five
five
ten
year.
Data
lag
is
not
helpful.
You
know,
and
some
of
the
data
I
think
you
know
2015.
They
have
been
sharing
and
it
has
been
improving
in
terms
of
sharing
some.
B
Really
about
in
terms
of
getting
closing
doing
what
they
need
to
do
on
the
state
side
to
ensure
that
the
the
sample
side
is
set
and
final
before
they
share
it
with
us
and
then
on
the
coordination
piece
before
we
do
any
publications
or
reports
really
doing
a
good
job
of
coordinating
and
communicating
with
them
before
we
do
that,
especially
if
the
datasets
aren't
closed,
but
we're
happy
to
do
another
follow-up
discussion,
tics
so
I'm,
not
it's
all.
We
can
accurately
share
how
that
works,
because
it
is
really
different
depending
on
the
dataset.
What.
B
B
Can't
remember
now
what
Dan
said
he
had.
The
number
I'll
have
to
confirm
that
sounds
right.
I
know
it's
less
than
ten
or
twelve,
but
then
New
York
City
is
huge.
That's
not
comparable.
I
think
a
comparable,
City
I
think
I
put
out.
There
was
Seattle
and
I
believe
they
have
twice
as
many
individuals
who
specifically
are
doing
research
and
epidemiology
so
and
we're
more
comparable
to
a
Seattle,
King
County
Health
Department,
that's
nine
and
Dan
Dooley's
unit.
G
Anything
that
you
could
walk
us
through
the
on
the
trauma
support
side
in
terms
of
the
role
that
the
health
commissioner's
playing
with
that
and
I
know
that
work
is
across.
You
know,
agency
and
we've
been
working
diligently
to
improve
communication
and
coordination
to
make
sure
that
we're
supporting
families
impacted
by
violence
in
the
city.
So
what
is
the
the
role
the
Commission
is
playing
so.
B
B
I
had
the
opportunity
to
actually
sit
with
the
teams
during
the
aftermath
of
the
DOMA
double
homicide
at
Bromley
Heath
and
got
to
see
the
neighborhood
trauma
teams,
not
just
the
ones
in
JP,
but
really
the
other
teams
come
together
to
provide
additional
support
to
that
team.
The
attended
community
vigils
they.
B
We
were
there
one
evening
during
a
cookout
to
provide
resources
materials
a
few
days
after
the
the
shootings,
and
we
also
I
got
to
see
how
that
worked
in
terms
of
the
the
mobile
response
unit
and
then
our
community
based
partners
from,
for
example,
from
Tree
of
Life
and
Bashar
and
his
colleagues
there.
We
also
had
the
unfortunate
Robert
I,
don't
know
if
opportunities
it
was
actually
terrible,
but
we
engaged
the
neighborhood
trauma
team
after
the
fatal
stabbing
outside
of
112
Southampton
Street.
B
Last
week
and
they
you
know,
we
made
the
call
I
made
the
call
through
our
staff
to
the
hotline.
They
were
there
within
an
hour,
came
to
the
shelter
to
console
and
provide
support
to
staff
who
are
clearly
traumatized
by
witnessing
something
that
none
of
the
staff
and
clients
had
ever
experienced,
and
so
the
neighbourhood
trauma
teams
were
actually
actually
there.
Prior
to
the
arrival
of
our
EAP
colleagues,
they
continued
to
provide
ongoing
support
to
clients
and
staff.
B
B
We've
done
a
lot
of
work
to
try
to
figure
out
how
the
response
works
when
that
call
comes
in
because
that
was
I
know
an
opportunity
for
improvement
for
us
and
we
have
a
much
larger
team
that
is
helping
with
the
response
and
I
know
that
they're
in
the
process
they
had
mentioned.
Charlene
luma
had
mentioned
that
in
the
next
couple
of
weeks,
they've
already
begun
to
figure
out
ways
to
engage
twenty
more
additional
community
responders.
G
Partner
up
here,
just
that
encourage
that
we
have
made
great
strides
when
it
comes
to
trauma
response.
I,
think
what
we're
still
trying
to
figure
out
is
trauma,
recovery
and
that's
harder
because
you
know
obviously
trauma
manifests
itself
in
many
different
ways:
some
people
it's
more
forward
presenting
you
know
you
know
others
and
may
take
weeks
or
months,
and
so
we're
doing
a
better
job
at
being
there
and
that
first
sort
of
critical
you
know
24
to
72
hours.
But
how
do
we
build
the
resiliency
up
in
these
communities
so
that
that
support
is
there?
B
And
the
one
I
was
looking
for
it
in
terms
of
the
data
point,
because
I
know
that
when
we
redesigned
the
program,
we
knew
that
the
community
response
factor
was
something
that
we
had
to
staff
up
design,
but
on
the
recovery
side,
with
the
community
health
centers
between
March
of
2017
and
August
of
August
31st
of
2017,
they
were
able
to
enroll
249
new
clients,
just
in
that
period
of
time.
These
were
new
clients
that
had
not
been
seen
a
community
health
at
those
community
health
centers.
B
B
Don't
think
this
is
news
to
the
councilmembers
that
74%
of
those
new
clients
that
we
engage,
reported
being
or
experiencing
chronic
exposure
to
violence
and
and
that
you
know,
considering
that
these
were
new
clients
and
to
care,
is
important
for
us
to
address
and
to
hopefully
provide
recovery
services
to
help
break
the
cycle
of
violence.
That
they're
experiencing
thank.
I
B
B
I
B
H
That's
helpful,
so
I
came
in.
You
were
talking
a
little
bit
about
what
had
happened
to
Mildred
Haley
two
weeks
ago
and
was
there
with
my
staff
as
well
and
one
to
publicly
thank
you
and
commend
your
folks
for
being
there
the
trauma
response
team.
It
was
heartbreaking
and
it's
one
of
the
reasons
why
I
can't
sir
Janey
and
I've
called
for
a
hearing
on
violence
in
the
summertime,
because
obviously,
is
that
thermometer
rises
so
to
do
these
these
horrific
incidents?
H
B
I
B
Will
also
be
able
to
do
a
stronger
evaluation
and
data
collection
with
these
new
funds
and
this
learning
community
a
lot
of
them
there's
a
heavy
component
around
training
and
education
for
the
trauma
response
teams
and
they
really
appreciate
being
trained
on
trauma-informed
care.
I.
Think
in
terms
of
capacity
I
mean
we've
been
able
to
do
more
through
the
the
smart
team.
We
would
love
to
be
able
to
increase
capacity
in
terms
of
the
materials
that
we
develop
right
now,
it's
available
in
English
and
Spanish,
and
we've
had
requests
for
translating
and
developing.
B
H
B
It's
a
combination
of
tobacco
cessation,
so
I
don't
believe
the
way
that
they
provide
its
comprehensive.
So
it's
a
combination
of
you
know
the
medication
gums
a
gum,
so
it
is
a
number
of
different
things
and
then
I
think
counselling
is
also
part
of
that
when
they're
they're
providing
tobacco
cessation
support
services,
how.
H
General
I
think
I
think
this
is
one
of
the
programs
that
we
do
not
tell
enough.
Obviously,
rates
of
smokers
have
dropped,
you
know
from
where
they
were
thirty
years
ago
or
even
fifteen
years
ago,
but
it
is
increasingly
more
expensive
to
quit
smoking.
So
any
support
that
we
can
do
and
again
I
think
this
is
something
that
you
and
your
team
do
exceptionally
well.
I
every
time
I
go
to
a
PHA.
H
You
know
coffee
hour
or
pizza
party
I
remind
residents
that
there
are
opportunities
and
resources
out
there.
So
I
I'd
be
interested
to
see
how
many
people
have
taken
advantage
and
what
the
follow-up
has
been,
because
I
think
the
program
is
too
and
it's
sort
of
the
counseling
thesis
key
I
wish.
We
didn't
include
the
the
chantix
or
whatever
the
drugs
are
because
I
don't
think.
That's
necessarily
a
good
way
to
quit.
Smoking,
certainly
the
gum
and
some
other
things
may
be
a
better
way
to
do
it.
H
H
B
Is
part
of
that
and
I
might
be
confusing
it
with
my
State
Health
Department
days,
but
I
will
confirm
that
and
we
have
I
think
we
we're
really
proud.
It
should
be
of
the
strides
that
we've
made.
You
know
in
terms
of
progress.
We've
seen
decrease
in
youth
cigarette
smoking,
a
decrease
in
the
percentage
of
adults,
as
you've
mentioned,
the
VHA
exposed
to
secondhand
smoke
and
I
know.
Some
of
this
is
because
of
the
regulate.
A
lot
of
it
is
because
of
the
regulations
in
the
support
of
the
council.
Sure.
A
J
You
mr.
chair
and
thank
you
and
I
think
I
will
continue
just
on
these
questions
around
smoking,
so
great
to
see
the
decrease
with
youth
cigarette
smoking
I'm
wondering
if
that
also
includes
things
like
the
e-cigarettes
and
what
is
it
vaping
or
something
that
people
are
doing?
Is
it
called
vaping?
It
is
yes
using
vaping,
yes,
and
so
does
that
figure
then
include
that
cuz
I'm
always
amazed
at
the
number
of
young
people
who
I
see
smoking
cigarettes.
I
know
when
I
way
back
when
when
I
was
young,
cigarette
smoking
was
considered
cool
but
I.
B
We
agree
in
terms
of
the
e-cigarette
being
harmful
among
our
young
people.
I
think
one
of
the
things
I
think
and
I.
Don't
I'm.
Sorry,
I,
don't
have
the
the
specific
data
point
in
front
of
me,
but
I
believe
in
the
health
of
Boston
or
the
most
recent
YRBS.
We
did
have
data
again,
there's
a
delay
at
lag
in
terms
of
what
we
see
that
showed
that
there
was
a
decrease
in
terms
of
youth
using
e-cigarettes.
However,
that
was
from
2015.
B
There's
been
a
lot
in
the
news,
and
we've
been
hearing
anecdotally
from
several
of
our
schools
in
Boston
that
they've
observed
students
eat
vaping
or
jeweling.
So
this
is
actually
something
that
I
had
asked
our
research
dot
to
help
us
understand
more
so,
I
can
share
with
you
more
up-to-date
information
about
e-cigarettes.
Following
the
hearing
that.
J
Would
be
helpful,
I'm
also
seeing
an
increase
in
the
number
of
smoke
shops
that
are
in
different
commercial
areas
or
neighborhoods
and
I'm,
not
sure
you
know
whether
or
not
they're
really
being
monitored
and
watched
in
terms
of
whether
young
people
can
access
their
products
at
these
places.
But
I
worry
that
this
is
kind
of
the
new
trend
and
because
there's
still
not
a
lot
of
information
out
there,
that
you
know
young
people
are
just
opting
or
anyone.
It's
just
opting
for
the
e-cigarette
or
the
vaping.
So.
B
We
in
2015
passed
a
law
through
our
Board
of
Health
tobacco
21
and
it
also
included
flavored
x'
and
the
state
is
I
think
that's
poised.
The
governor
is
poised
to
pass
a
state
law
around
access
under
21
to
tobacco,
but
through
our
through
our
community
initiatives
Bureau,
we
actually
do
have
environmental
health
inspectors
that
do
enforce
the
regulations
that
we
have
around
access
of
sales
of
tobacco
to
minors.
Sometimes
we
use
minors
to
try
to
purchase
tobacco,
so
there's
an
enforcement
activity
that
we
do
through
the
Health
Department.
J
That's
great
last
thing
on
just
on
the
the
trauma
piece
you
know,
I
would
think
that
we
certainly
need
more
I'm,
not
sure
if
you
think
that
the
staffing
is
adequate
but
would
hope
that
we
could
have
additional
staff.
You
know
I
worry
about
whether
or
not
there's
a
system
in
place
that
really
looks
at
the
trauma
that
families
and
young
people
experience
when
they
are
not
directly
connected
to
a
victim
of
a
violent.
You
know
shooting
or
crime.
So,
for
example,
and
I
think
I
raised.
I
J
J
So,
for
that
immediate
child
in
that
household,
you
know
I
think
there
are
some
supports,
but
for
the
additional
children
and
families
who
are
also
impacted
by
that
situation,
if
there's
a
way
to
kind
of
close
those
those
holes,
because
the
entire
community,
the
entire
street,
is
as
impacted
when
these
incidents
happen,
not
just
the
immediate
family
and
so
I'm
just
wondering
how
we
can
get
the
information
out
to
the
schools
that
you
know.
We
know
that
in
this
area
this
happened
and
that
these
children
are
affected
and
they're
attending
these
schools.
J
Is
there
something
in
place
now
that
then
those
schools
are
notified,
that
students
who
live,
who
come
to
the
school
lived
in
this
area
and
may
have
witnessed,
may
have
experienced
this,
and
that
the
teachers
and
the
school
staff
are
then
prepared
to
address
this
issue
and
work
with
those
young
people.
So.
B
It's
a
it's
a
great
question
that
you
raised,
because
the
one
thing
that
I
would
just
underscore
is
that
the
neighborhood
trauma
teams.
They
actually
do
a
lot
of
work
with
the
community
kind
of
at
large.
So
if
you
didn't
necessarily
have
to
be
there
to
witness
the
violence,
but,
as
you
said
exactly,
you
know,
if
you're
hearing
gunshots
fired
in
your
neighborhood,
that
is
traumatic,
even
though
you
might
not
have
looked
out
the
window
and
seen
someone
hurt
or
shot
anyone
can
call
our
hotline
for
the
neighborhood
trauma.
B
B
When
we
were
conceptualizing,
they
had
a
staff
are
involved
with
us
when
we
were
brainstorming
and
redesigning
the
new
process,
but
certainly
I
think
we
can
work
harder
and
the
issues
that
are
the
concerns
that
you
raised
did
come
up
in
a
recent
sit-down
that
I
had
with
our
young
people,
who
are
part
of
our
peer
Leadership
Institute
and
our
Youth
Advisory
Board.
They
talked
about,
and
these
are
young
people
high
school
students
who
go
to
school
in
the
city,
the
exam
schools
charter,
schools.
B
It
was
a
safe
space
and
then
once
school
is
out,
you
know
in
the
summers
out.
They
were
concerned
that
the
violence
was
gonna
ramp
up
just
like
councilor
O'malley
had
relayed,
so
I
think
that
we
can
do
a
better
job.
We
can
work
more
closely.
We
have
been
sharing
information
about
the
neighborhood
trauma
teams,
but
happy
to
think
through
with
you,
and
maybe
the
superintendent
about
how
to
expand
awareness
of
the
different
services
that
are
available
not
only
at
the
Commission
but
through
BC
YF
and
other
departments.
Yeah
and.
J
I
can
I
can
appreciate
that
and
I
know
that
not
everyone
who
hears
gunshots
is
going
to
follow
up
and
call
a
hotline,
and
so
I
guess.
My
question
really
is:
how
do
we
ensure
that
these
receiving
schools
know
the
very
next
day
that
you
know,
students
have
experienced
this
or
may
have
experienced
this,
and
if
there's
a
way
to
kind
of
just
close,
that
gap
certainly
I,
think
getting
more
awareness
and
making
sure
that
folks
understand
what
resources
are
available
is
helpful.
But
you
know,
my
sense
is
a
lot
of
folks.
J
I
mean
I've,
experienced
I've,
heard
gunshots
from
my
home
and
I've
never
called
a
trauma
hotline,
though
it
is
very
traumatizing
and
traumatic,
but
I'm
particularly
concerned
about
our
young
people,
who
have
to
go
to
school
the
next
day,
having
experienced
this
and
school
communities
not
being
aware,
because
our
children
go
to
so
many
different
schools
from
that
particular
any
particular
any
given
street
that
they
may
be
experiencing
things
throughout
the
classroom.
That
school
staff
may
not
be
ready
to
kind
of
understand,
what's
happening
if
they,
if
they're,
not
clear
that
something
has
happened.
J
So
I
wouldn't
want
any
behavior
for
a
young
person
to
be
looked
at
as
acting
out
without
really
understanding
the
root
cause
and
I
know
that
the
school
department
has
done
a
lot
and
their
cell
wall
program
to
really
kind
of
unpack
issues
of
trauma
and
understanding
that
acting
out
is
as
a
symptom
of
something
deeper
and
not
necessarily
something
that
we
should
try
to
penalize,
but
I'm.
Just
hoping
that
there's
more
collaboration
and
opportunity
to
make
sure
that
when
young
people
do
experience
trauma
that
our
schools
are
ready
to
respond
and.
B
D
Thank
You,
council,
suma
I,
know
in
one
of
your
slides.
You
highlighted
you
know.
Frequent
marijuana
use
makes
it
hard
to
learn
pay
attention
in
memory
issues.
Are
we
tracking
students
in
the
public
schools
that
may
be
that
are
that
are
using
marijuana
and
if
they
are
using
marijuana,
how
can
we
get
them?
You
know
medical
care
or
or
any
type
of
assistance,
knowing
that
they're
going
to
eventually
have
some
of
these
memory
loss
issues
or
health
related
issues.
So.
B
I,
actually
don't
to
defer
to
the
schools
about
how
they
reach
out
to
their
students
that
they
know
might
be
using
marijuana
or
other
substances,
but
that's
not
information
that
we
would
have
at
the
Health
Commission.
But
you
know
I,
think.
The
campaign
that
we
would
be
working
on
is
will
be
hopefully
trying
to
get.
The
message
out
that
you
just
said,
which
is
long-term
use
of
marijuana
affects
brain
development,
that
the
evidence
is
clear
on
that,
but
how
the
schools
deal.
That's
with
that
Challenger
issues,
specifically
with
the
students
I'd,
have
to
defer.
Okay.
D
D
D
Okay,
I
had
the
opportunity
recently
to
visit
the
South
Boston
health
center.
Yes
and
the
South
End
health
center
I
know
they
have
some
great
programs
there
as
to
as
does
South
Cove
I,
know
eight.
The
ancient
community
has
it
two
times
higher
rate
of
diabetes
and
there's
a
lot
of
substance,
abuse
issues
and
South
Boston
other
issues
in
the
South
End,
but
are
we?
Are
we
doing
enough
for
our
community
health
centers
across
the
city?
Are
we
giving
them
the
right
amount
of
funding?
D
B
Good
question
and
we
work
really
closely
with
our
communities.
The
health
centers
across
our
different
programs
at
the
Commission
I
can
talk
to
you
about
funding
in
a
couple
of
different
ways,
so
they
receive
direct
funding
through
up
through
the
Health
Commission,
and
we
can
give
you
that
amount.
If
you
want
I
can
see
graces,
thumbing
through
her
binder
to
get
that,
and
then
there
is
so
some
of
the
health
centers
receive
grants
directly.
B
There
are
also
grants
that
we
issue
or
distribute
through
a
request
for
proposal
process
we're
community
health
centers
like
the
neighborhood
trauma
teams.
They
were
in
order
to
be
eligible
to
apply.
They
had
to
be
the
lead
organization.
There
are
also
funds
and
initiatives
that
we
get
to
the
community
health
centers,
because
we
receive
a
grant,
for
example,
from
the
state.
B
So
one
example
of
that
who
is
with
our
funding
that
we
received
from
the
state
around
prevention,
wellness,
trust,
fund
resources,
we've
partnered
with
several
community
health
centers
to
help
us
work
on
falls
prevention,
hypertension
and
pediatric
asthma.
So
they
receive
some
of
them,
receive
a
direct
grant.
Some
receive
grants
because
they
apply
for
those
grants
and
then
some
are
partners
with
us
on
both
state
and
federal,
and
you
know
other
types
of
grants.
I
don't
know
if
we
have
the
specific
if
we
can
provide
it
to
you
offline.
If
you'd
like.
D
B
D
C
D
I,
don't
I
wanted
to
follow
up
on
something
councillor.
Janey
was
focusing
on
trauma
and
people
experiencing
trauma
or
people
observing
trauma
or
or
violence
as
well.
I
I
served
I
serve
25
in
the
in
the
military
and
I
know
a
lot
of
people
in
the
military
do
experience,
trauma
or
violence,
and
they
have
to
almost
stay
in
ongoing
counseling
for
the
longest
period
of
time.
But
you
know
these
young
people
that
are
also
experiencing
violence
or
trauma
they're,
probably
also
experiencing
PTSD
related
symptoms,
and
it's
a
long-term
recovery
for
for
many
people.
D
B
And
that's
through
the
the
key
services
that
we
offer
to
deal
with,
that
on,
come
on
going
trauma.
Recovery
work
is
through
the
neighborhood
trauma
teams
and
those
go
out
to
the
five
health
centers,
so
JP
Matapan,
East,
Boston,
Roxbury
and
Dorchester,
and
in
FY
nineteen
will
plan
on
issuing
another
grant
for
a
Dorchester,
Health,
Center
and
community
based
organization.
But
those
you're
right,
I
mean
I.
Think
that's.
B
D
Then
my
final
final
question
is,
you
know,
just
being
a
long
time,
Boston
resident
I've
seen
the
tremendous
work
of
our
EMS
staff
responding
to
so
many
difficult
situations
across
the
city.
Being
the
F
row
of
residents,
many
difficult
environments.
Are
we
doing
enough
to
make
sure
that
they
have
the
services
that
they
need
they
paid
enough?
Are
they
today
of
the
right
training
but
they're
there
they're,
exceptional
and
they're
dedicated,
and
we
want
to
make
sure
that
we
can
provide
them
with
any
tools.
We
can
I
think.
A
I
B
F
B
So
the
health
line
has
several
staff
they're
multilingual.
It's
a
free
service
that
we
offer.
You
can
call.
Many
of
the
calls
that
we
get
particularly
of
late
are
around
the
impacts
of
the
state's
changes
to
the
health
insurance
plans
because
of
the
accountable
care
organization.
So
they
help
individuals
if
they
are
trying
to
figure
out
how
to
access
different
benefits
that
they
might
have
understand.
You
know
the
benefits
that
they
have
if
they
need
to
enroll
or
re-enroll.
They
help
guide.
B
The
individuals
who
call
several
of
the
staff
are
also
there's
also
certified
patient
navigators,
and
so
they
have
done
this
in
terms
of
enrolling
individuals
on
two
different
MassHealth
programs
trying
to
think
as
I
said,
they're
multilingual
they
also
have
just
so.
You
know,
there's
an
app
that
they
have
created
called
health,
healthy
I,
think
it's
health
steps
with
Children's
Hospital.
We
can
get
you
a
copy
of
that
app.
So
if
you
called-
and
you
had
would.
B
B
We
actually
worked
with
Children's
Hospital
to
create
this
app
so
that
if
I
called
and
I
needed,
you
know
I'm
a
single
mom
and
I
came
back
from
my
primary
care
visit
and
need
to
find
a
place
that
I,
you
know,
accepts
my
insurance
so
that
it
can
exercise,
but
I
also
need
daycare.
That's
close
to
it.
This
app
literally,
you
can
put
in
different
parameters,
and
it
will
generate
different
options
for
you,
so
they're,
using
technology
to
help
individuals
navigate
both
clinical
and
community-based
resources
to
be
well
and.
C
B
F
B
F
Great
and
and
I
would
wonder
if
there
is
any,
especially
because
it's
acts
accessible
through
three
one
one.
If
there
were
any
questions
that
were
significantly
asked
over
and
over,
that
are
easy
to
answer
that
three
one
one
good
idea
could
become
a
little
bit
more
interactive
mm-hmm
I'd
also
like
to
see-
and
this
is
I
think
more
related
to
our
earlier
hearing
today,
but
it
just
dawned
on
me
now
is
I'd
love
to
see
our
needle
disposal
kiosks
listed
on
three
one,
one,
some
house,
somehow
that's
just
easier.
F
Could
we
get
a
lot
of
calls
in
our
office
but
where
we
could
just
where
individuals
could
dispose
of
needles?
Okay,
but
I've,
just
totally
totally
digressed
councillor
Flynn
was
asking
a
lot
about
asthma
and
the
reduction
of
asthma
in
the
city,
which
is
great,
but
when
I
went
back
and
looked
at
some
of
the
dollar
amounts
that
were
spending
on
asthma
prevention
in
healthy
homes.
There's
it
seems
like
there's
a
total
reduction
in
specific
funding
towards
asthma
prevention,
I'm,
sorry,
to
jump
to
a
whole
new
topic
so
quickly.
F
F
C
Always
applying
for
grants,
sometimes
the
grants
have
come
to
an
ends.
There
has
been
a
delay
in
the
federal
funding
being
released.
We
actually
just
saw
a
couple
weeks
ago
some
new
funding
from
CDC
being
released.
So
part
of
this
was
the
neverending
continuing
resolutions
now
that
they
actually
have
a
permanent
budget
for
the
rest
of
this
federal
fiscal
year
or
actually
seeing
the
money
come
out.
So
we
are
actively
pursuing
that
all.
F
C
The
public
health
preparedness
funding
has
been
decreased,
that
is,
a
pass-through
from
the
state,
the
CDC
and
the
assistant
secretary
for
preparedness
and
response
that
funding
has
decreased
and
under
community
initiatives.
The
prevention
and
wellness
trust
fund
has
is
set
to
expire
this
year,
and
that
was
that's
supported.
Not
only
the
commission
but
also
a
lot
of
the
community
health
centers
as
well
and.
F
F
B
F
B
I
will
tell
you
yes,
I
can
tell
you
right
now
that
they
actually
did
apply
for
grant
I'm
aware
of
through
MassHealth.
So,
as
grace
said,
they
are
our
staff
with
our
pre-award
development
director.
They
aggressively
pursue
funding
to
help
sustain
programs
that
actually
there
have
been
effective,
so
I
know
the
mayor's
hotline
had
submitted
a
grant
recently.
So
we
should
be
finding
out
about
right.
B
F
B
And
so
what
we
do
is
we
do
encourage
people
to
interview
when
there
are
vacancies
and
at
the
Commission
to
try
to
interview
for
other
positions
in
which
they're
qualified
and
there
where
there
might
be
a
good
skill
set
match.
But
we're
still
trying
to
find
funding
to
continue
some
of
the
core
elements
of
the
DCI
program,
because
it
has
been
highly
successful.
C
F
A
You
know
I
I,
it
probably
should
have
been
asked
this
morning,
but
I
was
wondering
what
the
trends
are
with
Odie's
overdoses
in
narcan
applications-
and
you
know
just
recently
saw
the
state
of
Massachusetts-
are
a
slight
decline
in
opioid,
particularly
opioid
overdoses
and
I.
Don't
think
that
was
I,
don't
think
it
was
asked
this
morning
and
if
you
don't
have
it
I
apologize
for
not
asking
it
the
appropriate
hearing,
but
I
thought
it
it.
You
know
likes
it
like
to
see
those
shoppers
went.
A
B
The
overdose
numbers
this
you,
you
are
correct
and
the
last
I
think
the
state
will
be
issuing
their
next
chapter,
55
quarterly
report
and
I.
Don't
think
we've
seen
it
yet,
but
in
the
last
report
they
reported
that
there
was
a
12%
decline
statewide
in
terms
of
non
fatal
overdoses,
and
that
is
probably
consistent
with
what
we
see
in
terms
of
people
being
with
the
overdose
reversals
with
narcan.
A
I
B
B
It
was
co-sponsored
by
Michael
Botticelli
at
the
great
concentr
Barry
Bock
from
health
care
for
the
homeless
gentry
see
and
and
the
Public
Health
Commission.
It
was
a
small
group,
but
we
zeroed
in
specifically
on
what
we
have
been
seeing
in
Boston,
which
is
an
increasing
trend
in
terms
of
overdoses
and
we've
only
focused
on
overdoses.
B
So
some
of
the
key
themes
that
came
out
of
that
gathering
was
that
there
needs
to
be
a
better
system
of
coordinating
all
the
services
across
our
different
sectors
and
our
different
resources,
because
there's
a
lot
of
energy
and
investment
of
resources
being
made
around
the
opioid
epidemic,
so
chief
Martinez
here
and
Jen
will
be
leading
the
convening
of
a
cross-sectoral
task
force,
specifically
looking
at
opioid
overdoses.
And
then
there
are
three
Action
Teams
that
are
being
stood
up.
The
Public,
Health
Commission
will
be
leading
the
action
team.
B
That's
going
to
be
focused
on
how
do
we
use
data
in
more
real-time
ways
to
address
what
happens
after
a
non
fatal
overdose
and
are
there
opportunities
to
intervene
right
and
prevent
another
overdose
for
that
patient,
Michael
Botticelli
and
the
great
concentr
will
be
leading
the
efforts
around
Hospital
based
opioid
treatment
and
how
to
ensure
that
all
of
our
hospitals
in
Boston
are
working
together
in
a
systematic
way
around
providing
treatment
in
Edie
and
different
hospital
settings.
And
then
the
third
action
team
will
be
led
by
Barry
Bock
and
dr.
B
Gaeta
at
health
care
for
the
homeless
and
they'll
be
focused
on
an
issue
that
came
up
in
terms
of
frontline
staff
and
self
care
and
workforce
development.
So
for
those
staff
who
many
times
all
of
us
in
public
health
and
healthcare
for
the
homeless
and
our
homeless
shelters,
we
often
we
hire
people
with
lived
experience
to
be
recovery,
coaches
and
navigators,
and
the
work
takes
its
toll
on
the
staff.
And
so
how
do
we
do
a
better
job
to
promote
and
create
opportunities
for
self
care?
So
those
are
the
things.
B
A
B
Know
it
depends
on
the
point
in
time
that
we
measure
it
chief
and
I
just
met
at
the
beginning
of
this
week
to
look
at
the
fatal
overdoses
because
and
you'll
hear
more
from
chief.
So
you
can
get
into
it.
But
we
can,
through
the
NRI
system,
look
at
week
to
week
and
then
aggregate
throughout
the
year.
And
when
you
look
at
the
year,
it's
probably
comparable
on
track.
But
at
any
given
time
the
numbers
could
spike
in
terms
of
what
we're
seeing
in
terms
of
transports
right.
B
And
then
we
also
worked
with
our
communications
team
and
the
mayor's
office
to
push
out
an
alert
and
a
advisory
to.
Let
people
know
that
they
shouldn't
use
alone,
that
they
should
have
someone
who
has
narcan
and
obviously
encourage
people
who
are
ready
to
seek
treatment
and
care
to
get
engaged
with
care.
So
when
there
are
instances
where
we
do
see
a
spike
or
something
that
is
different
than
what
we've
seen
in
the
past
in
terms
of
trends,
we
work
across
the
team.
Great.
A
B
A
B
Grace
had
just
shared
some
more
specifics
in
case
you're
interested
our
environmental
health
inspectors
that
I
mentioned
they
were
able
to
convey,
did
64
home
inspections
for
lead
paint
hazards
in
homes
of
children
who
were
referred
to
us
because
they
had
elevated
blood
lead
levels.
They
did
203
educational
home
visits
and
they
were
able
to
make
73
children
to
be
seen
at
pediatric
led
clinics.
They
were
able
to
go
to
32
community
outreach
events
and
distributed
thousands
of
different
educational
materials
to
make
sure
that
people
knew
how
to
link
to
care
great.