►
Description
Docket #0964 - Order for a hearing to address the Monkeypox virus and the City's strategy for the breakout
A
A
Murphy
and
I
am
the
chair
of
the
Committee
on
Public,
Health,
homelessness
and
Recovery.
I
want
to
remind
you
that
this
public
hearing
is
being
recorded
and
broadcasted
live
on
Xfinity
8,
RCN,
82
and
FiOS
964
and
streamed
on
www.boston.gov
backslash,
City,
Dash,
console
Dash
TV.
Please
silence
your
cell
phones
and
other
devices.
We
will
also
take
public
testimony
and
would
appreciate
it
if
you
sign
into
the
testify
or
to
register
your
attendance.
If
you
do
I,
don't
think
there's
anyone
here
who
wants
to
testify.
A
A
This
is
an
order
for
a
hearing
to
address
the
monkey
pox
virus
and
the
city's
strategy
for
the
Breakout
I
am
joined
by
my
colleagues
council
president
Ed
Flynn.
Thank
you.
Council
president
flim
I
will
start
with
opening
statements
and
then
I
will
pass
it
off
to
council
president
Flynn
for
his
opening
statements.
A
Last
month
on
August
4th,
the
federal
government
declared
a
public
health
emergency
against
the
monkey
pox
virus
to
bolster
the
response
to
the
outbreak,
which
would
free
up
money
and
other
resources
to
fight
fight
the
virus.
There
have
been
409
confirmed
monkey
pox
cases
in
the
state,
since
the
state's
first
case
was
announced
in
mid-may
vaccination
efforts,
Nationwide
have
been
criticized
as
slow
and
lackluster
the
federal
government
said
it
had
limited
supply
of
the
genius
vaccine
in
its
stockpile.
A
A
The
city
council
should
be
up
to
date
with
all
available
information
regarding
monkey
box
in
order
to
best
protect
and
educate
their
constituents.
We
learned
many
lessons
dealing
with
covid-19
over
the
past
two
years.
So
now
is
the
time
to
implement
what
worked
and
become
a
role
model
for
other
cities
on
how
to
deal
with
a
public
health
threat.
A
We
do
in
our
office
and
I
believe
other
councils
also
get
a
lot
of
calls
and
emails
from
concerned
teachers
and
students,
parents
of
students
in
schools.
Knowing
that
you
know
we
just
are
kind
of
coming
out
of
the
covid-19
pandemic.
So
before
I
pass
it
off
to
counselor
Flynn
I.
Do
you
are
Dr
Sanchez?
Yes,
so
welcome
from
the
Boston
Public
Health
commission
infectious
disease
Bureau.
Thank
you
for
being
here.
We
did
invite
Denny
Lobo
Lopes,
who
is
the
senior
director
of
health
services
for
the
Boston
Public
Schools?
A
B
Madam
chair,
thank
you
for
bringing
this
important
issue
to
the
city
council
and
to
the
public.
Thank
you
to
the
panelists,
also
for
being
here
for
the
important
work
you're
doing
on
this
issue.
When
monkey
pox
first
appeared,
I
had
the
opportunity
to
coordinate
several
meetings
with
my
city,
council
colleagues,
and
we
had
a.
B
So
I'm
here
to
continue
to
learn
more
about
this,
learn
more
about
what
the
city's
plan
is
and
how
we're
providing
the
best
medical
care
and
coverage
we
possibly
can
to
Residents
I'm
also
here
to
learn
more
about
prevention,
also
addressing
stigma
and
misinformation
and
making
sure
that
we
treat
this
as
a
as
as
a
public
health
challenge,
major
challenge
so
again,
thank
you,
madam
chair,
for
the
important
work
you
are
doing
on
this
on
this
issue.
Thank
you.
C
C
We
do
not.
We
cannot
be
left
behind
I
too
I'm
part
of
the
LGBT
community,
and
so
we
could
not
be
left
as
an
afterthought.
And
so
the
moment
bphc
was
able
to
do
a
lot
more
of
the
data
collection
and
get
ready
to
to
share
more
information.
We
did
our
first
town
hall
in
July
26th
our
target
audience
because
we
made
a
couple
of
phone
calls.
I
always
spoke
with
Fenway
Health.
We
spoke
with
a
couple
of
the
different
party
promoters
club
Owners
Etc.
C
We
decided
that
the
target
audience
first
should
be
those
people,
and
so
we
invited
some
of
the
community
health
centers
as
well
as
different
bar
promoters
and
party
promoters,
and
it
was
over.
It
was
very
well
attended.
We
have
more
than
50
people
there
and
actually
that
for
Sanchez
was
the
one
that
just
did
a
basic
like
101.
What
does
monkey
pox?
How
and
how
do
we
keep
our
community
safe
from
the
the
feedback
was
loud
and
clear
that
they
wanted
to
make
sure
that
we
continued
the
conversation
so
that
it
doesn't.
C
It
doesn't
turn
into
something.
That's
six
months
ahead.
We
we
look
back
and
say:
oh,
we
didn't
do
enough,
and
so
from
that
town
hall
street
team
was
developed,
and
that
was
actually
fully
an
idea
from
the
community
and
it
was
over
five
people
up
to
I.
Think
eight
people
from
the
town
hall
just
got
together
and
helped
be
phc
as
well
as
Quincy
Roberts
handout,
the
different
flyers
and
QR
codes
to
the
different
bars
that
we
know
a
lot
of
our
community
members.
C
Frequent
and
after
that
there
was
another
town
hall
on
the
29th
more
open
to
different
folks,
especially
black
and
brown
community
members.
In
the
lgbtq
spaces.
We
had
another
one
and
around
the
time
of
back
to
school,
with
local
colleges
and
universities
where
it
would
be.
Phd
was
the
main
lead
there
and
we
had
over
70
colleges
and
universities,
and
one
thing
that
we
want
to
highlight
is
since
we
started
working
with
the
phc
and
really
targeting
the
lgbtq
community.
We
had
the
one
of
the
one
of
the
first
vaccine
clinics.
C
I
remember
Quincy
was
like,
like
30
people
showed
up,
but
only
one
person
like
was
black
and
after
all
of
the
work
that
he's
been
doing
on
the
ground
with
community
members
and
with
the
support
of
bphc,
he
was
able
to
organize
with
Partners
another
vaccine
clinic,
and
there
was
just
like
a
lot
of
moment.
It
was
a
clear
moment
of
why
it's
necessary
to
have
the
different
departments
that
we
have.
C
D
That
underlie
our
efforts
as
well
as
some
of
our
Partnerships
as
mentioned
I
do
have
slides,
I'm
trying
to
see
if
they
thank
you
perfect
next
slide,
please
so
just
to
talk
a
little
bit
about
monkey
pox
monkey
pox
is
a
viral
infection
and
it
is
caused
by
infection
with
the
monkey
pox
virus.
It
is
a
disease
that
often
begins
with
can
begin
with
flu-like
symptoms
that
are
Then,
followed
by
the
classic
rash,
and
that
is
really
the
symptom
that
most
people
develop
is
a
rash
that
can
look
like
pimples
sores
scabs.
D
It
really
can
be
present
at
any
point
in
the
body
or
throughout.
With
this
outbreak.
We've
particularly
seen
a
lot
of
genital
lesions,
but
they
can
be
in
other
parts
of
the
body,
including
the
arms
legs
and
face,
and
it
is
really
these
scabs,
these
rashes
that
have
the
most
virus
and
that
are
the
most
infectious
and
so
really
as
we
think
about
transmission.
D
It
really
is
sort
of
through
particularly
contact
with
the
rash
that
people
often
can
get
infected.
Now
the
rash
can
take
anywhere
from
7
to
14
days
to
scab
off
and
heal
completely
and
that's
important
to
know,
because
that
is
when
people
are
considered
to
be
infectious
and
monkey.
Pox
is
a
reportable
disease,
meaning
that
it
requires
for
people
to
isolate
for
this
time
period.
While
they
are
infectious
at
home
to
avoid
infecting
others
While
most
people
recover
completely.
D
The
rash
can
be
painful,
it
can
be
severe
at
times
and,
as
we
all
know,
prolonged
isolation
can
carry
significant
mental
health.
Emotional
aspects
for
individual
health,
as
well
as
for
organizations
having
to
Think
Through
absenteeism
among
other
sort
of
public
health
concerns
and
has
highlighted
the
rash,
can
often
be
stigmatizing.
The
disease
has
been
stigmatized
and
we
have
been
working
very
closely
to
avoid
stigma
in
retail
vulnerable
communities.
Next
slide,
please
so.
As
mentioned
monkey
pox
virus
is
most
commonly
transmitted
through
direct
skin
to
skin
contact
with
the
infected
lesions,
scabs
or
body
fluids.
D
It
can
also
spread
through
less
commonly
through
indirect
contact,
and
that
can
include
clothing
and
other
surfaces
that
have
been
that
have
been
in
very
close
contact
with
the
scabs
rashes
and
very
much
less
commonly
through
respiratory
droplets,
very
prolonged
face-to-face
contact,
but
really
what
we've
seen
with
this
outbreak
is
primarily
the
first
direct
skin
to
skin
contact.
Next
slide,
please
so.
Globally,
as
of
last
week,
we've
had
70
over
70
000
cases.
We've
had
over
25
000
cases
in
the
United
States,
as
mentioned
previously
by
councilor
Murphy.
D
D
So
this
was
an
analysis
that
we
published
on
the
bphd
website,
highlighting
the
cases
that
were
that
we
that
were
reported
from
June
to
September
and
we
had
a
total
of
146
cases
of
we
say
confirmed
and
probable
cases,
and
that's
really
due
to
the
type
of
lab
testing.
But
these
These
are
146
cases
of
monkey
pox
virus
that
were
reported.
D
Our
first
case
was
reported
in
June
in
Boston
and
when
you
see
here
pictured
as
a
graph
highlighting
the
number
of
cases
per
week
across
all
the
different
weeks
in
this
time
period
and
you'll
note
that
most
cases
really
occurred
in
July
sort
of
the
week
of
July
20th
to
July
26th.
We
had
23
cases
and
we've
seen
cases
steadily
decline
thereafter
and
really
sort
of
come
down,
which
has
been
reassuring
next
slide.
Please.
D
Now,
when
we
look
at
more
closely
at
the
demographic
characteristics
of
our
cases,
we
see
that
white,
non-hispanic
and
Hispanic
individuals
really
do
comprise
the
majority
of
cases
you
know
42
and
four
and
30
percent
of
respectively.
We've
also
been
very
closely
monitoring
the
impact
by
neighborhood,
as
we
have
with
covet
and
other
diseases,
and
we've
noted
that
the
Dorchester
particularly
has
the
highest
amount
of
cases
with
32
cases
followed
by
the
South
End
Neighborhood.
That
has
had
18
cases
and
then
sort
of
pictured.
D
Our
other
neighborhoods
that
we've
seen
impact,
including
East,
Boston
and
others
neighborhoods
that
are
not
pictured,
are
neighborhoods
that
have
less
than
five
cases,
including
Hyde,
Park,
West,
Roxbury,
Charlestown
and
South.
Boston
next
slide,
please
so
as
as
mentioned,
or
there
is
treatment
for
monkey
pox,
and
you
know
it's
there's
an
in
well
there's
treatment
for
smallpox
that
has
been
used
for
monkey
pox
and
that
is
called
to
cover
a
matter
teapots
now.
This
is
an
antiviral
treatment
that
is
under
an
investigational
drug.
D
Permit,
that's
being
allowed
for
treatment
of
monkey
pox
is
we
learn
more
and
acquire
more
data
about
its
Effectiveness
in
Monkey,
pox,
specifically,
and
we've
been
looking
very
closely
to
try
to
ensure
that
access
to
this
drug
is
Equitable
and
sort
of
making
sure
that
individuals
have
access
to
information
and
so
out
of
our
146
cases.
62
have
been
treated
with
teapots
now.
I
will
add
that
not
everyone
is
considered
often
eligible
for
teapots.
D
You
know
this
drug
has
often
been
clinicians
have
been
instructed
to
use
in
the
setting
of
lesions
that
are
considered
to
be
more
disseminated
to
be
in
high
risk
areas
or
individuals
who
are
immunocompromised.
However,
high
risk
areas
off
often
include
genital
and
anal
lesions,
and
we
know
that
those
have
been
quite
common
in
this
outbreak,
so
many
cases
likely
would
have
qualified
per
our
understanding.
Now.
D
We
did
also
note
that
uptake
increased
across
time
as
well.
Next
slide.
Please,
and
what
we
did
have,
however,
see
note
is
that
treatment
has
not
been
occurring
as
consistently
by
neighborhood
I
mean
that's
a
little
bit
of
what
we're
trying
to
delve
into
and
analyze
a
little
bit
more
closely,
but
as
I
mentioned,
Dorchester
had
the
highest
number
of
cases
at
32
cases,
and
despite
that,
only
11
of
those
cases
received
treatment.
Again,
we
are
still
analyzing
this
data
quite
closely
to
analyze.
D
You
know
the
time
and
sort
of
the
weeks
that
these
cases
might
have
been
diagnosed,
because
we
do
know
that
uptake
increased
by
time.
However,
we
also
know
that
again,
Geographic
access
is
critical
and
we
continue
to
partner
with
healthcare
providers
in
the
area
and
we
actually
hosted
a
provider
call
with
city
of
Boston
Healthcare
Providers
towards
the
end
of
August
next
slide
so
oftentimes.
If
individuals
have
symptoms
of
monkey
pox,
you
know
I
think
we've
we've
centered
our
education
efforts
in
a
few
key
categories
prevention.
D
So
one
of
our
key
efforts,
as
mentioned
previously,
has
been
that
transmission
can
be
prevented
through
vaccination,
and
that
is
in
a
few
key
ways.
One
individuals
who
are
vaccinated
even
after
they're
exposed,
especially
if
it's
closely
after
their
exposure
vaccine,
can
prevent
infection
and
that's
called
post-exposure
prophylaxis.
Now
that
has
been
the
main
Public
Health
strategy,
supported
by
the
federal
government
in
the
past
months,
and
really
trying
to
reach
with
vaccination
individuals
who
have
been
knowingly
exposed.
D
You
know
have
known
contacts
in
the
household
known,
close
contacts,
sexual
contacts
or
those
who
believe
that
they
might
be
at
risk
for
contact
either.
You
know
individuals
who
have
been
sexually
active
in
the
past
two
weeks
in
sort
of
a
jurisdiction
with
known
monkey
pox,
so
that
has
been
the
primary
two
categories
under
which
individuals
have
been
eligible
for
vaccination
and
then
recently
the
CDC
has
expanded.
D
That
criteria
to
now
include
more
efforts
around
pre-exposure
vaccination
due
to
increased
supply
of
vaccination,
and
so
this
is
actually
quite
recent
in
the
past
two
weeks
and
will
be
an
ongoing
area
where
bphc
will
continue
to
collaborate
with
agencies
to
ensure
that
there
is
education
for
communities
on
on
when
they
are
eligible.
So,
for
example,
this
includes
individuals
who
have
had
are
living
with.
Hiv
have
had
a
diagnosis
of
a
sexually
transmitted.
Illness
have
recently
had
more
than
one
sex
partner
or
individuals
who
have
been.
D
You
know,
attending
certain
private
activities
or
sort
of
activities
that
might
have
been
linked
to
a
case
with
monkey
pox
so
again
really
trying
to
expand
vaccination
criteria
next
slide.
Please.
So.
We've
also
been
working
closely
to
identify
and
provide
information
about
vaccination
sites
in
Boston.
D
So
this
the
sites
that
mainly
currently
are
operating
include
Boston
Medical,
Center,
Codman,
Square,
Health,
Center,
East,
Boston,
Neighborhood,
Health,
Center,
Fenway
Health,
the
MGH
sexual
health
clinic
and
we've
also
been
partnering
with
health
Innovations
to
provide
vaccinations
either
after,
for
example,
if
we,
as
a
public
health
agency,
have
identified
known
contacts
of
some
monkey
pox
and
we've
provided
vaccine
to
that
to
a
certain
group.
If
there
are
more
than
one
individual
or
at
home,
vaccinations
for
families
and
others
who
are
impacted
by
a
case
of
monkey
pox
in
the
home.
D
D
You
know
this
has
been
a
critical
part
of
many
organizations,
covid-19
mitigation
efforts
and
so
really
sort
of
building
on
on
the
systems
that
we
have
built
with
covet.
I
think
is
really
critical
here
and
thinking
about
it
as
large,
again
communicable
disease
prevention.
Next
slide,
please
so
again,
I
think
I
I'll,
our
Public
Health
response
has
been
multifaceted
and
I.
Think
a
really
important.
D
So
that
has
been
one
of
our
core
efforts.
However,
I
think
that
our
health
education
efforts
really
have
been
enriched
by
our
Partnerships
at
other
City
agencies,
including
Boston
public
schools
and
sort
of
including
our
office
of
lgbtq
plus
advancement
to
really
reach
our
communities
that
are
being
impacted
and
provide
education
and
access,
and
you
know
to
resources,
including
vaccine
and
so
I
think
I'll
talk
a
little
bit
more
about
that
as
I.
Think.
A
lesson
learned
as
we
think
about
how
to
build
on
additional
infectious
disease
threats
next
slide.
D
Please
so
on
our
website.
We
one
of
our
other
kind
of
really
guiding
you
know
guiding
values,
as
we
think
about
Health
Equity
has
been
to
ensure
that
we
have
multilingual
health
education
materials.
So
our
fact
sheets
are
available
in
the
nine
Boston
languages
and
really
we
have
several
infographics
on
prevention,
as
well
as
information
on
vaccine
and
some
of
the
data
that
I
presented,
and
this
is
all
available
in
a
multilingual
form
which
again
is
critical
as
we
think
about
the
fact
that
this
is
particularly
impacted.
D
So
again,
just
a
little
bit
of
you
know
the
our
work
on
undressing
stigma
and
misinformation
again
through
our
Partnerships,
as
well
as
like
through
our
resources.
Next
slide,
please,
where
our
resources
are
available
at
boston.gov,
Monkey
pox
in
in
all
the
link
in
the
languages
I
mentioned
next
slide,
please
and
actually
sort
of
one
of
our
current
one
of
our
efforts
that
I
believe
was
was
mentioned.
D
You
know
locations,
and
so
this
has
been
distributed
to
vendors
across
the
city
as
again,
an
Innovative
and
collaborative
partnership
to
really
directly
reach
our
lgbtq
plus
bar
and
Club
venues
next
slide.
Please-
and
you
know
I
think
as
the
the
coasters
are
really.
In
addition
to
other
calls
that
we've
hosted
with
school,
you
know:
School
nurses
I
actually
spoke
at
sort
of
BPS
opening
opening
Health
Services
day
to
our
school
nurses
around
monkey
pox.
D
We
also
provided
a
session
to
our
Early
Education
Centers
information
session
on
monkey
pox
and
how
to
support
families
or
think
about
education.
If
there
isn't
a
reported
case,
as
well
as
our
colleges
and
so
again,
I
think
one
of
the
critical
Lessons
Learned
is
the
importance
of
innovative
Partnerships,
the
need
for
ongoing,
multilingual
health,
education
resources
and,
importantly,
really
thinking
about
accessible
sexual
health
and
communicable
disease
prevention
Services
across
the
city
and
how
critical
it
really
has
been,
as
we
think
about
Health
Equity.
D
A
A
So
I
I
have
a
feeling
to
some
of
these,
but
knowing
that
you
know
I'm
not
in
that
Community
as
much
say
as
you
directly
or
Quincy
and
others
so
wondering
if
the
the
stigma
associated
with
it
has
the
name
at
all
impacted
the
community
or
the
stigma
associated
with
it.
And
if
there's
other
things
I
know.
You
talked
about
some
great
Outreach
with
the
community
and
Quincy.
A
Has
that
you
know
Street
teen
developed
like
wondering
how
we
can
help
our
office
can
help
make
sure
that
we're
getting
out
into
the
right
communities
and
the
right
places
to
give
them
the
information
needed
or,
if
they're,
already
infected
or
concerned
about
it,
that
we
can
lead
them
to
the
right
places.
Because
there's
lots
of
supports
out
there,
and
you
mentioned
many
of
the
health
care
centers
which
council
president
Flynn.
A
C
That's
a
I
would
say
that
at
the
beginning
there
was
because
there
wasn't
enough
information
out
there,
I'm
talking
about
like
Mar
or
March
or
April
before
we
even
saw
our
first
case
here
in
Massachusetts.
Yes,
I
think
there
was
a
lot
of
misinformation
or
lack
of
information
and
not
really
understanding
where
this
was
coming
from
and-
and
you
know
in
spaces,
especially
thinking
of
our
the
older
communities
within
the
lgbtq
spaces.
C
I
will
say:
I
mean
we're
trying
to
follow
the
data
right
like
if
we're
seeing
positive
numbers.
Well,
I
guess,
like
you
get
the
point
and
when
I
think
the
biggest
thing
is
when,
if
hopefully
not,
but
if
we
do
see
it
as
another
search,
it
would
just
be
a
matter
of
like
us
reaching
out
to
you
so
that
you
can
help
us
ensure
and
that
we're
getting
the
word
out.
C
A
D
So
so
the
vaccine
criteria
are
set
forth
by
the
CDC
based
on
supplies
of
federal
strategy
and
then
States,
then
operationalize
that
strategy
and
sort
of
implement
those
criteria.
So
the
Massachusetts
Department
of
Public
Health
has
been
receiving
genio's
vaccine
and
recently
also
updated
their
website
and
eligibility
criteria
to
reflect
the
CDC
recommendations,
and
now
that
we
have
more
Supply
I,
you
know
I
do
think.
You
know
I
think
this
is
really
critical,
because
even
though
cases
are
coming
down,
I
do
think
that
what
we
you
know,
we
continue
to
see.
D
I
think
still,
vaccination
uptake,
it
is
not,
you
know,
is
not
necessarily
Equitable
and
I
think
oftentimes
as
we.
It
was
just
reading.
Even
today,
that
you
know
we
see
other
countries
that
are
also
seeing
monkey
pox
cases,
and
we
have
many
Travelers
and
many
individuals
who
travel
to
home
countries
and
come
back
to
Boston
and
particularly
in
our
immigrant
communities,
and
so
I
do
think
that,
with
this
expanded
criteria,
I
I
I
am
looking
to
collaborate
more
with
providers,
so
think
about
how
to
integrate
vaccination
within
other
services.
D
You
know
we
know
that
many
people
it's
hard
to
just
come
for
one
appointment
to
get
vaccinated
and
actually
it's
two
shots
with
genius
and
so
I
think
more
educa
I
think
it'll
be
more
an
issue
around
making
sure
that
people
know
that
they're
eligible
and
really
weaving
this
with
other
services
so
that
we
don't
miss
opportunities
to
vaccinate
individuals
who
are
at
risk.
I
think
those
are
going
to
be
some
of
the
critical
challenges
moving
forward.
B
Thank
you,
madam
chair,
and
again
thank
you
to
the
panel
I
know
at
the
beginning,
when
monkey
pox
first
appeared
and
public
appeared
and
then
it
was
also
reported
in
the
public
in
the
media.
Also,
there
was
some
perception
that
Boston
and
and
many
other
cities
as
well,
including
the
federal
government,
were
not
as
prepared
for
the
virus,
as
we
should
have
been
is.
Is
that
accurate
doctor
and
what
could
we
have
done
differently.
D
D
Do
think
that
a
part
of
the
work
that
lies
ahead
for
us
as
we
move
forward
from
this
is
thinking
in
the
future,
how
we're
able
to
leverage
vaccine
more
quickly
in
some
of
these
neighborhoods
I
do
think.
That's
an
area
that
we
can
improve
upon,
including
the
Dorchester
neighborhood,
for
example,
that
came
up
in
our
sort
of
city
hall
session
in
our
sort
of
town
hall
session
was
you
know
there
aren't
enough
vaccine
information
or
access
to
our
communities
of
color,
so
I
do
think.
That's
an
area
that
we
can
improve
upon.
B
How
can
we
make
changes
so
the
next
time
it
does
happen,
or
there
is
some
type
of
similar
situation,
how
we
can
how
we
can
do
Lessons
Learned,
basically,
I've
I
served
25
years
in
the
military
overseas
and
after
every
assignment
we
do.
We
always
do
a
Lessons
Learned
and
we
study
what
went
well
and
what
didn't
it?
Well
didn't
what
didn't
go
well,
so
we
can
improve
on
the
next
phase.
So
I
appreciate
your
your
honesty.
B
So
how
are
we
doing
now
with
I
know?
Councilor
Council
Murphy
addressed
this,
but
how
are
we
doing
now
in
terms
of
providing
potential,
potentially
impacted
residents
with
the
needed
public
education,
Public
Health
guidelines
or
information?
Two
residents
in
various
languages,
especially
hard
to
reach
communities.
D
D
Is
that
you
know
it
is
really
general,
not
just
you
know,
targeted
or
focused
education
on
our
lgbtq
plus
Community,
but
really
thinking
about
schools,
families
and
sort
of
our
our
overall
communities
and
how,
through
trusted
Partners,
we
can
sort
of
get
the
information
there.
So
that
has
been
you
know
some
of
our
past
strategies
and
I
do
think
now,
with
the
expanded
eligibility
criteria
and
part
of
of
your
question.
D
Councilor
Flynn
is
really
trying
to
engage
more
with
our
providers
directly
to
make
sure
that
they
have
the
tools
and
the
resources
to
be
able
to
offer
vaccines
and
sort
of
Education.
You
know
this
is
a
time
when
Healthcare
institutions
are
so
taxed
with
covid
with
other
flu
and
others.
So
I
think
those
ongoing
conversations
are
really
going
to
be
critical.
Moving.
B
D
The
beginning,
you
know
when
the
Massachusetts
Department
of
Public
Health
First,
received
vaccine
and
prior
to
it
being
able
to
be
administered
in
a
different
way.
The
intradermal
sort
of
technique
that
allowed
for
more
vaccine
from
a
vial.
There
was
a
limited,
Supply
and
I
do
think
that
that
was
a
limiting
factor
for
many
in
terms
of
calling
to
get
an
appointment,
and
so
we
did
work
at
least
throughout
the
first
few
weeks,
with
a
limited
Supply
mdph
continues
to
directly
receive
the
supply.
D
Our
understanding
is
that
supply
has
not
been
as
much
of
an
issue
in
the
past
weeks
and
that
really
I.
Think
more
of
the
challenge
now
is
just
making
sure
that
individuals
are
coming
to
get
vaccinated,
especially
as
we
think
about
now:
booster
covid-19
vaccines
and
flu.
Like
it's
a
lot,
you
know
trying
to
make
sure
that
individuals
prioritize
this
as
well.
If
they
are
at
risk.
A
Thank
you,
I
just
have
tap
from
that
yesterday.
It
was
yesterday
that
you
had
a
very
effective
multi-shot
Clinic
which
had
the
covet
testing,
covid
vaccine
and
then
also
the
flu
shot
and
wondering-
and
you
had
just
talked
about
that-
is
it
possible
to
add
those
multi-shock
clinics?
Maybe
include
the
monkey
pox
vaccination
also,
so.
D
It
could
be
we've.
We've
talked
to
our
partners
at
mdph.
You
know
often
are
sort
of
the
ones
who
receive
the
vaccine
directly,
we've
partnered
with
health
Innovations,
which
is
one
of
the
vendors
that
they've
utilized
to
provide
vaccine.
So,
for
example,
you
know
we
had
a
case
that
had
multiple
contacts
quite
a
few
and
we
had
health
Innovations
come
directly,
so
I
do
believe.
We
can
Envision,
potentially
a
scenario
where
we
offer
those
vaccines
as
well,
in
conjunction
with
our
state
partners.
A
D
So
we
don't
have
that
data
there,
but
a
large
part
of
of
my
sense
has
been
I
mean
Dorchester
is,
as
you
mentioned,
one
of
our
our
large
large
neighborhood,
and
we
often
see
higher
numbers.
That
being
said,
you
know
it
really
has
been.
The
majority
like
nearly
more
nearly
a
quarter
are
actually
more
nearly
a
quarter
of
our
cases,
and
so
I
do
think.
A
piece
of
this
might
be
that
we
know
that
we
have.
It
is
a
community
of
color.
D
D
A
Thank
you
well,
thank
you
for
coming
today.
Oh
before
I,
don't
think,
but
is
there
any
public
testimony
online?
There
is
not.
Thank
you
just
want
to
make
sure.
Thank
you
for
coming
today
and
answering
our
questions.
I
do
want
to
say
that
this
docket
will
stay
in
committee.
We're
going
to
schedule.
Another
hearing
I
did
hear
you
say
a
few
times
how
you
have
a
partnership
with
BPS
you're,
providing
the
education
and
access
to
resources.
A
You
also
mentioned
that
it's
not
just
an
lgbtq
that
it's
schools
also
that
you're
working
with
that
you
met
with
the
school
nurses
in
Earth,
also
the
Early
Childhood
Educators,
with
to
help
also
with
questions
that
families
have
support.
So
we're
going
to
keep
this
Docket
in
committee
and
we
will
schedule
another
meeting
and
hopefully
BPS
can
be
here
and
others,
and
maybe
some
of
the
community
centers
as
we
go
forward,
but
I
do
say
that
thank
you
for
being
here
and
this
meeting
is
adjourned.
Thank
you.
Thank.