►
From YouTube: Board of Health Meeting November 14, 2022
A
Welcome
to
the
regular
meeting
of
the
Boulder
County
Board
of
Health,
the
date
is
Monday
November,
14th
2022.,
and
we
are
meeting
and
still
in
a
hybrid
fashion
per
our
bylaws
board.
Members
are
here:
some
staff
are
here
and
the
rest
of
the
folks
are
online,
so
we
first
on
the
agenda
public
comment.
I
believe
we
have
four
people
lined
up
to
give
public
comment:
Jordan,
yep.
C
Hello,
can
you
hear
me?
Yes,
they
can
okay,
I'm
Carolyn,
beninski
and
I'm
here,
representing
novax
mandates
Colorado
in
the
last
several
months,
bcph
held
focus
groups
to
convince
vaccine,
hesitant
parents
of
small
children,
particularly
Latinos,
to
inject
their
children
with
the
coveted
shot.
The
public
heard
about
these
focus
groups
from
Indira
at
the
June
Board
of
Health
meeting
at
the
next
Boh
meeting
I
emphasize
that
the
experimental
designation
of
the
covet
shot
required
you
to
represent
both
the
benefits
and
risks
to
parents.
C
This
information
is
required
both
by
the
Nuremberg
code
and
by
federal
law.
The
public
has
informed
the
board
on
repeated
occasions
about
the
adverse
effects
of
the
shots,
including
pericarditis
and
myocarditis
in
children.
These
risks
are
listed
on
the
manufacturer's
inserts
novax
mandates
sent
both
the
board
and
the
executive
director
a
six-page
document
outlining
the
dangers
and
lack
of
necessity
of
the
shots
for
children.
Shots
do
not
stop
infection
or
transmission
according
to
the
CDC,
and
therefore
they
are
not
vaccines.
C
It
is
very
clear
that
the
risks
of
these
shots
for
children
far
away
outweigh
the
benefits.
The
focus
groups
were
not
brought
up,
except
briefly
at
subsequent
Boh
meetings
and
a
September
12th
email
from
Miss
Nolan.
We
were
told
that
the
focus
groups
were
over
and
that
the
information
gained
is
helping
us.
This
is
what
she
said
in
our
public
Communications.
To
answer
questions
and
address
misinformation.
C
The
state
was
very
statement
was
very
concerning
to
us,
given
the
known
risks
of
the
vaccine,
no
vaccine
Colorado
sent
an
email
on
September
26,
with
several
questions
through
the
board
and
to
Lexi
Nolan
about
the
focus
groups.
We
have
received
no
answers.
We
filed
a
core
request
on
October
31st
with
our
specific
questions
and
we're
told
that
we
could
take
25
hours
and
would
cost
700
120
dollars
on
November
November
8th.
We
filed
another
Coral
request
and
requested
only
three
existing
documents,
which
were
to
focus
group
summary
report
to
the
invoice
for
expenses.
C
Well,
what
we
would
has
become
clear
to
us
that
the
bcph
does
not
want
the
public
to
know
what
happened
in
the
focus
groups
and
how
much
it
costs.
It
appears
that
bcph
is
actively
trying
to
discourage
us
from
a
tape
obtaining
these
documents.
That
would
take
one
hour
to
retrieve
and
send
to
us.
This
stonewalling
is
in
violation
of
quora
and
violates
state
law,
and
we
ask
you
to
intervene
and
to
ask
bcph
to
send
us
the
documents.
Three
existing
documents.
D
Super
thanks
much
Caroline
for
speaking
up
that
was
great
I,
always
admire
those
folks
in
the
community
that
are
speaking
out
as
of
this
week.
Just
as
a
recap,
the
vaccine
adverse
Reporting
System
v-a-e-r-s
bars
is
now
logged
over
1.4
million
Adverse
Events
associated
with
covid-19
shots,
including
more
than
30
000
in
deaths,
half
of
which
are
from
the
United
States.
D
No
other
vaccine
has
ever
caused
this
many
injuries
for
those
that
tune
in
or
watch
this
go
to
vacsafety.org
and
also
look
at
Children's
Health
defense
to
gain
a
different
perspective
than
what
bcph
and
cdphe
is
pushing.
As
of
this
week,
There's
a
billboard
outside
the
CDC
headquarters
in
Atlanta
that
reads
how
many
more
kids
have
to
die
before
the
CDC
stops,
stops
the
covid
shot
and
there's
another
one
that
reads
the
death
safety
signal
in
vars
was
triggered
a
long
time
ago.
D
Why
didn't
anyone
at
the
CDC
notice-
and
this
is
with
their
own
calculations
from
their
own
data-
clearly
not
many
eyes
on
vaccine
safety
and
clearly
zero
harms
that
you
could
ever
acknowledge
from
vaccines,
which
is
really
really
unfortunate.
While
the
harms
are
undeniable.
Health
authorities
are
still
doing
what
they
can
to
deny
the
risks
associated
with
covid
shots,
U.S
Center
for
Disease
Troll
and
prevention
fought
for
15
months
to
avoid
releasing
v-safe
data.
D
This
would
just
be
making
data
transparent
to
everyone
seems
a
bit
Shady
like
ongoing
things,
FDA
and
CDC
approvals
based
on
reading
self-reports
from
pharmaceutical
companies
about
the
impact
of
a
vaccine
on
a
single
proxy
antibodies
that
everyone
acknowledges
is
not
a
correlate
of
protection.
Thus,
the
stupidity
we've
gone
through
with
PCR
tests
and
everything
related
to
high
cycle
thresholds,
with
all
the
PCR
tests
and
lockdowns,
and
everything
that
you
thrust
upon
this
community.
Hence
the
reason
we're
speaking
out.
People
are
angry.
You
you
defied
common
logic.
D
You
vilified
certain
groups
unvaccinated
you've
permanently
traumatized
folks,
I
hope
you
can
read
that
those
would
be
the
folks
driving
wearing
a
mask
in
their
own
car
defies
all
logic
sanity.
These
are
just
traumatized
people
unfortunate
for
Mass
to
break
through
cases
to
alternative
treatments.
The
so-called
experts
have
amassed
a
track
record
of
incorrect
judgments
that
make
political
pollsters
look
good
by
comparison,
even
in
the
fog
of
a
once.
D
In
a
century,
these
decisions
were
just
born
of
inexpert
and
incorrect
scientific
knowledge,
but
just
rather
driven
by
a
rush
to
push
a
medical
agenda,
one
that,
unfortunately
you're
still
propagating
cdphe
is
still
propagating.
Get
vaccinated.
That'll
save
the
world,
that'll
save
everybody,
it's
just
incessant.
It
gets
tiring.
The
community
is
sick
of
it
and
I'm
engaging
with
as
many
folks
as
I
can
around
town
as
a
small
business
owner
myself
and
we'll
continue
to
apply
pressure
on
your
group.
Thanks.
B
A
F
G
A
G
Thank
you
so
much
okay,
so
my
name's
Marty
Hopper
I
live
here
in
Boulder
and
I'm
speaking
tonight,
because
I
have
very
serious
concerns
about
Boulder,
County,
public
Health's,
continuing
promotion
of
the
covet
vaccines
for
children
and
infants
as
young
as
six
months
old.
As
we
all
know,
covid-19
is
not
a
childhood
illness
and
in
fact,
National
Data
demonstrate.
The
likelihood
of
a
child
surviving
covet
is
99.997
percent.
G
If
you
go
to
Boulder
County
public
Health's
website
and
click
on
the
link
called
covid-19,
Children
and
Youth.
The
very
first
thing
that
pops
up
is
the
recommended
covet
vaccination
schedule
for
each
age
group
by
manufacture,
along
with
information
on
where
to
get
vaccinated.
Where
is
information
on
healthy
eating,
exercise,
playing,
Outdoors,
vitamin
D
and
human
connection?
The
only
intervention
promoted
is
vaccination
directly
under
the
schedule.
Is
this
statement
quote
the
FDA
has
authorized
covid-19
vaccines
for
children
as
young
as
six
months
old
period.
G
G
G
It
turns
out
that
the
CDC
and
fda's
Joint
vaccine
safety,
Reporting
System,
there's
that
Ryan
mentioned
reports
the
following.
As
of
November
4th
for
children.
Six
months
to
17
years
old,
there
have
been
59
000
reports
of
vaccine
injuries,
including
deaths,
permanent
disabilities,
2
000
cases
of
myocarditis
and
thousands
of
hospital
visits.
Are
you
informing
parents
of
these
risks?
Also
in
the
Children
and
Youth
page?
Is
the
statement
quote?
There
are
no
long-term
side
effects
from
the
vaccine.
G
End
quote
the
FDA
approved
covet
vaccines
for
children
as
young
as
six
months
old
on
June
17th
of
this
year,
which
is
exactly
five
months
ago.
How
can
Boulder,
County,
Public
Health,
possibly
30
seconds
with
any
good
conscience
or
ethics
State?
This
ass
fact,
when
no
data
can
possibly
be
available
in
the
period
of
only
five
months?
G
Finally,
what
has
happened
to
the
precautionary
principle
when
it
comes
to
the
health
and
safety
of
Boulder
County
residents,
when
infants
and
children
are
being
induced
to
receive
an
experimental
injection
with
emergency
use,
authorization
and
unknown
long-term
side
effect
side
effects?
I
ask
you,
at
the
very
least,
to
revise
your
website.
A
A
H
H
So
with
these
changes,
you
know
the
the
foundation
of
the
ordinance
with
respect
to
the
board
of
Health's
role
requiring
rabies
vaccinations
that
is
not
changing
that
that
primary
piece
is
not
changing.
What
is
changing
is
some
other
aspects
of
the
ordinance,
so
I'll
just
touch
upon
the
changes
really
briefly
and
then,
if
anyone
has
any
questions,
please
let
me
know
so.
H
The
primary
change
that
is
being
incorporated
into
the
ordinance
is
to
permit
Personnel
Beyond
veterinarians
to
administer
rabies
vaccines
so
long
as
the
Personnel
are
trained
and
are
indirectly
or
directly
supervised
by
a
veterinarian.
So
this
contemplates,
you
know
other
staff
and
events
office,
it's
a
veteran
appropriately
trained
them
and
supervises
them,
whether
directly
or
indirectly,
then
those
other
staff
would
be
able
to
administer
the
rabies
vaccines.
This
is
especially
important
for
Humane
Societies
and
in
the
like,
where
you
know
they
might
have
one
vet
for
for
a
lot
of
animals.
H
So
it
pretty
much
covers
the
the
major
changes
I'm
happy
to
answer
any
questions
about
the
ordinance,
but
otherwise,
if
the
board
approves
and
adopts
this
ordinance,
it'll
just
sort
of
be
passed
on
to
the
board
of
County
Commissioners
in
the
event
they
were
to
request
any
changes.
We
would
bring
the
changes
back
to
the
board
to
reapprove,
but
hopefully
you
know
smooth
sailing
from
here.
So
does
anybody
have
any
questions?
H
E
H
E
H
H
H
So
from
my
understanding
that
you
know
there
were
efforts,
I
I
know
that
it
was
intended
to
in
part,
help
Humane
Societies
that
you
know
just
aren't
able
to
keep
up
with
the
demand
with
you
know:
a
single
vet
on
site,
but
yeah.
So
there
was
a
there,
was
a
push
to
to
sort
of
help
them
out
in
that
way
also
did
run
these
changes
by
public
Health's
communicable
disease
division
and
they
were
comfortable
with
the
language
as
it
stands.
B
A
B
I
Bcph
leadership
is
currently
discussing
a
number
of
approaches
to
better
support
our
strategic
goals
as
an
agency
as
part
of
our
strategic
planning
process,
including
a
stronger
investment
in
supporting
pro-health
and
pro-equity
policy,
particularly
at
the
state
and
local
levels.
Although
bcph
has
engaged
policy
work
in
the
past,
we
do
not
have
a
have
dedicated
resources,
nor
goals
related
to
our
strategic
plan.
I
This
year,
we'd
like
to
explore
what
it
would
take
to
more
effectively
support
this
kind
of
policy
work,
including
in
terms
of
Staffing
and
operational
resources,
as
well
as
the
kinds
of
goals,
work
plans
and
processes
needed.
The
presentation
tonight
will
review
development
of
pro-health
policy
as
an
essential
Public
Health
Service
review,
and
provide
examples
of
how
we've
engaged
policy
work
in
the
past
and
provide
some
early
ideas
of
what
it
might
look
like
going
forward.
F
I
So,
just
as
a
reminder,
policy
is
part
of
the
public
health,
the
10
essential,
Public
Health
functions.
It
shows
up
in
a
number
of
ways.
It
is
considered
poor
to
Public
Health
work
and
it
really
helps
Public
Health
to
not
just
address
problems
after
the
fact,
but
to
really
get
into
the
business
of
primary
prevention.
Addressing
root,
causes
improving
systems
and
processes
in
a
variety
of
ways
in
that
allow
us
to
better
address
poverty,
racism,
gender
discrimination,
other
forms
of
Oppression
that
result
in
health
inequities.
F
I
B
I
K
So,
as
you
just
mentioned,
Morgan
we've
worked
very
closely
with
the
commissioner's
policy
team,
typically
from
program
to
program,
when
there
are
initiatives
that
they
have
they
reach
out
and
talk
to
the
policy
team
and
and
work
with
them
on
our
position
and
share
all
that
Insight,
so
that
our
commissioner's
team
can
actively
work
on
our
behalf
as
well.
So
I
think
that
is
work
that
we
have
done
historically
and
absolutely
see
moving
forward.
So
we
have
a
good
relationship.
K
I
think
we
have
three
former
public
health
staff
as
part
of
the
commissioner's
policy
team,
so
they
are
they're
very
connected
to
Public
Health
in
the
staff
that
they've
selected,
so
public
health
is,
is
pretty
essential
to
a
lot
of
the
work
that
the
the
county
as
a
whole
is
doing.
They
also
have
been
convening
the
human
services
policy
group,
so
that
is
as
a
group
where
Public
Health
has
been
actively
engaged
along
with
our
you
know,
our
peers
at
housing,
Human,
Services
and
community
services.
E
K
I
would
it's
both
so
I
think
the
work
that
our
programs
have
done
with
the
policy
team
at
the
commissioner's
office
has
been
very
much
proactive
and
and
also
somewhat
reactive,
when
there's
stuff
that
we
essentially
don't
want
to
see,
get
passed.
So
so
it's
been
a
combination,
I
think
our
our
thoughts,
though
moving
forward
we'd
like
to
see
more
bandwidth
and
capacity
to
do
to
do
more
proactive
work,
but
we
have
absolutely
been
engaged
in
in
proactive
work
historically
and
see
that
as
still
a
critical
need
moving
forward.
K
We
still
would
also
Envision
working
with
other
public
health
officials
and
the
other
public
health
departments.
So
calfo
is
that
professional
association
they
are
likely
going
to
continue
to
have
a
focus
on
infrastructure
and
our
sustainable
funding.
So
that's
something
that
is
still
critical
to
us
as
well.
As
you
hear,
from
programs
and
as
you've
heard
from
programs
over
time,
there's
really
a
lack
of
resources
across
the
board,
so
that
is
still
a
fundamental
need,
but
calf
full
only
has
so
much
capacity.
K
So
again,
all
these
different
partners,
I
think,
will
play
key
roles
and
we'll
be
continuing
to
work
with
with
many
of
them.
The
Colorado
Public
Health
Association
also
has
a
policy
committee
and
they
also
employ
a
lobbyist,
and
they
have
been
very
proactive
in
the
in
the
public
health
space,
given
their
sort
of
limited
budget,
so
I
think
I
would
still
see
us
being
very
active
with
them
and
weighing
in
on
their
surveys
for
priorities,
as
as
Lexi
has
already
done
for
Alpha's
priorities
so
trying
to
make
sure
that
our
voice
is
heard
there.
K
K
Partnerships
I
think
has
always
been
one
of
the
strengths
of
bcph
programs.
We
have
a
long
history
of
working
with
our
community.
You
know
this
was
the
biggest
year
ever
for
recognizing
our
healthy
Community
Awards
Partners,
but
it
just
is
a
snapshot
as
every
year
is,
of
of
all
that.
Amazing
work
that's
happening,
but
another
area
that
I
think
we
really
can
augment,
especially
with
more
concerted
effort,
is
bringing
those
voices
so
that
they
can
be
heard
too
and
and
and
well
informed
and
when
they
are
being
heard.
K
So
you
know
you
heard
public
comment
about
various
database
and
we
won't
get
sidetracked
too
much
on
that.
But
there's
huge
disclaimers
on
anyone
can
report
anything
and
there's
people
that
have
gotten
snake
bites
and
gunshots
from
the
vaccine
too,
because
that's
what
people
can
write
and
report
and
it
all
goes
into
the
database.
So
an
informed
Community
is
a
critical
importance
too
and
I
think
Heather's
got
the
next
slide.
L
L
About
it,
okay,
yeah,
so
Kratom
is
often
sold
as
kind
of
a
natural
herbal
additive
or
for
folks
to
use
one
of
the
main
concerns.
That
was
an
issue.
Is
that
there's
no
real
regulation
of
what's
in
it
and
what
makes
it
up
and
there
were
some
cases
in
Colorado
where
it
was
being
added
to
food
as
a
nutritional
supplement,
and
it
caused
a
lot
of
health
issues
for
folks.
L
So
there's
instead
of
the
legislation
going
through,
there's
sort
of
more
of
a
study
happening
around
Kratom
and
what
regulation
should
look
like,
so
we've
been
working
on
that
our
tobacco
program
manager
within
public
health
is
pretty
well
versed
on
on
what
regulation
might
look
like
another
piece
of
effort.
That's
more
at
the
local
level
is
Our
Generations
and
Genesis
stuff
within
the
community.
L
Health
division
testified
at
city
of
Boulder
and
are
working
at
the
Boulder
County
level
to
reduce
well
to
remove
taxation
of
menstrual
products,
and
that
would
include
baby
diapers
and
adult
incontinence
products
as
well.
There
was
legislation
that
happened
at
the
state
level,
so
we
feel
pretty
good
about
the
county
and
city
of
Boulder.
L
Removing
those
taxes
as
well
in
this
past
legislative
session
at
the
state
level,
some
of
our
leadership
and
Oasis
staff
worked
with
out
Boulder
County
to
coordinate
testimony
to
help
pass
legislation
that
will
now
include
gender
and
sexual
orientation
on
public
health
data
collection,
which
is
a
real
big
win
and
then
more
of
a
school
district
or
school
education
level
policy.
Some
of
our
youth,
which
is
part
of
that
Community
engagement
from
youth
advocating
for
exchange
within
the
Oasis
program.
L
Just
recently
gave
public
comment
at
the
Colorado
State
Board
of
Education
meeting
to
discuss
the
importance
of
inclusion
of
the
histories
of
lgbtq
plus
and
black
indigenous
people
of
color
in
the
Colorado
social
studies
standards.
There
was
a
vote
on
whether
or
not
those
things
should
be
omitted
from
fourth
grade
and
below
and
happy
to
report
that
the
board
decided
to
keep
them
in
the
standards,
and
it
was
really
great
to
have
youth
advocating
on
that
front.
L
L
L
Health
and
Environmental
Protection
regulations
are
needed
for
after
fire.
Cleanup
I
think
this
is
one
where
we're
going
to
be
taking
more
of
that
proactive
role
and
working
to
put
together
what
that
would
look
like.
So
that's
in
the
environmental
health
division,
our
programs,
in
particular
in
the
family
health
division,
are
looking
at
how
to
help
aid
in
the
rollout
of
universal
Pre-K
expansion.
L
So
looking
at
issues
of
quality
of
pre-K
programs,
Workforce
affordability
and
access,
so
that's
some
of
the
work.
That's
likely
coming
up
this
session
and
then
overall,
as
we
know,
Public
Health
funding
a
lot
of
our
work
around
covid
or
emergency
response
was
beefed
up
over
the
last
couple
of
years.
We
hired
a
lot
of
staff.
L
L
That
will
be
interesting
to
see
what
legislation
and
potent
around
regulation
and
what
that
whole
process
will
look
like
and
what
public
Health's
role
is
and
defining
regulation
similar
to
a
lot
of
our
work.
Early
on
with
the
regulation
of
marijuana
I
think
we
are
anticipating
some
pieces
around
that.
O
L
L
That
I
think
is
going
to
help
either
set
up
specific
funding
for
mental
health
or
a
grant
process
to
become
funded.
In
some
of
the
specific
work
there
will
likely
be
new
mental
health
legislation.
I
do
I
did
hear
that
one
Colorado
was
potentially
looking
at
some
legislation,
specifically
around
youth,
mental
health
and
lgbtq
youth,
mental
health.
L
I
Yeah
and
honestly,
this
Slide,
the
purpose
of
the
slide,
was
just
to
show
that
some
examples
of
it.
It
crosses
every
division.
In
the
agency,
there
isn't
a
division
that
doesn't
have
the
policy
priorities
that
they
would
like
to
pursue,
and
this
is
not
at
all
to
be
taken
as
as
a
as
a
list
that
specificity
will
get
to
more
in
January.
L
O
I
Yes,
I
think
I.
Think
part
of
the
purpose
of
recognizing
the
value
of
policy
is
the
Strategic
priority
is
recognizing
that
it's
a
piece
of
how
we
create
change.
That's
missing
from
our
arsenal
of
tools
right
now,
so
absolutely
part
of
the
the
vision
is
that
we
are
thinking
of
it
in
relation
to
our
strategic
plan,.
B
O
L
I
think
that's
part
of
the
challenge
currently
with
there
not
being
a
designated
staff
who
does
policy
work
right
now,
a
lot
of
the
policy
were
involved
with
or
responsive
to
is
related
to
a
programmatic
area.
So
we
have
a
program
manager,
a
staff
who
are
engaged
either
at
a
local
or
a
state
level
with
any
type
of
advocacy
group,
and
so
those
tend
to
be
the
pieces
that
rise
up,
because
you
know,
while
Lane
and
I
are
doing
our
best
to
sort
of
monitor
everything
as
it
comes.
L
L
I
know
last
legislative
session
I
would
help
from
the
Boulder
County
policy
team
would
email
some
of
the
legislators
if
we
needed
to
provide
talking
points
or
information
to
help
with
we
work
with
when
it
feels
like
there
might
need
to
be
a
public
health
director
voice
at
the
table
versus
maybe
Wayne
or
myself
or
programmatic
staff.
Just
to
provide
talking
points
for
Testimony,
one
of
the
I.
F
F
F
I
I
L
Go
ahead,
Heather
I
was
just
going
to
say,
I
do
believe
at
the
county
level,
some
staff
are
more
focused
on
sort
of
the
so
I
think
summer.
Laws
in
particular
is
more
for
Human
Services,
related
policies,
so
she's,
who
usually
reaches
out
to
us
and
Community,
Health
and
I
know
she
works
closely
with
HHS
and
Community
Services
I,
don't
believe
and
likely.
I
I
think
part
of
it
is
that
structure
of
other
departments
being
so
much
more
integrated
with
the
county
right.
The
County
Commissioners
the
because
the
the
policy
team
is
embedded
within
the
commissioner's
office,
and
your
point
about
the
overlap
is
absolutely
right.
It's
like
that's
where
we
see
this
opportunity
to
like
be
really
clear
about
who's.
Taking
this
piece
right.
Are
you
all
doing
it
are
redoing
it
who's
leading
in
these
spaces
when
they
have
situations
where
they
need
to
pick
and
choose,
and
prioritize
too.
This
allows
them
to
focus
on
on.
I
You
know,
policies
that
may
be
a
little
bit
less
Public
Health
specific
and
gives
us
a
chance
to
really
lean
into
the
public
health
work
so
that
we
don't
fall
through
the
cracks
or
whatever.
So
I.
Think
that
that's
part
of
the
question
is
you
know
what
we're
really
looking
at
and
that
that
Lane's
going
to
talk
about
in
just
a
minute
is
like
how
do
we?
I
How
do
we
test
some
processes
over
the
next
year
and
get
a
feel
for
what
this
work
might
look
like
and
would
require
so
that
we
can
make
kind
of
some
decisions
based
on
piloting
for
work
about
you
know
what
are
the
resources
needed?
Is
it
a
half-time
person?
Is
it
a
full-time
person,
or
is
it
something
else
that
we
haven't
figured
out
yet
so
I
think
that's
that's
exactly.
What
we're
kind
of
trying
to
figure
out
is
what
is
the
structure
and
the
resources
that
would
make
this
work
more
effective.
L
K
Yeah
and
I
think
that
Heather
mentioned
this.
Our
peers
do
have
positions,
I,
don't
know.
If
all
of
them
do
I
know,
Tri-County
did
before
they
dissolved
and
I
know.
Adams
has
already
created
that
I'm,
not
sure
if
all
the
other
individual
Counties
have
have
also
followed
suit.
I
know:
Jefferson
County
has
policy
position,
so
those
are.
K
It
is
going
to
be
limited
to
the
bandwidth
within
the
programs
where
the
policy
is
going
to
impact
of
how
much
bandwidth
they
have
and
expertise
they
have
so
so.
Those
are
are
some
of
our
limiting
factors
right
now,
but
some
of
the
things
that
were
kind
of
envisioning
is
trying
to
create,
for
you
at
least
a
timeline
and
of
some
activities
that
we
think
are
going
to
be
important
for
us
to
do
as
well.
K
As
you
know,
starting
to
feel
out
what
would
it
look
like
if
we
had
more
more
internal
capacity
if
we
had
more
staff
dedication
to
doing
this
work,
but
similarly
things
that
we've
done
in
the
past?
You
know
we
we
do
bring
together.
Actually,
the
Commissioner's
Office
brings
together
all
the
boulder
delegates
and
get
to
hear
the
their
priorities
for
the
upcoming
legislative
session.
K
They
do
a
legislative
breakfast,
that's
very
insightful
for
us
to
have
a
good
read
and
with
the
recent
election
just
to
get
in
touch
with
all
the
different
folks
that
are
going
to
be
representing
any
part
of
Boulder
County,
and
so
that
is
an
important
kind
of
Leaping
off
point
for
us
to
all
be
on
the
same
page
and
I.
Think
that's
really
been
an
important
piece
of
why
we've
been
so
successful.
K
K
We
have
in
the
past
and
we
still
would
expect
bringing
to
you
some
form
of
the
of
the
County
legislative
priority
agenda
which
really
aligns
with
with
ours.
It
has
so
much
Public
Health,
we've,
we've
kind
of
moved
away
from
creating
our
own
specific
one,
because
the
the
one
that
the
county
puts
together
is
so
comprehensive,
and
so
many
of
the
issues
do
overlap
with
with
our
peers.
K
Looking
at
our
policies
and
again,
the
idea
of
a
policy
work
group
that
had
that
brought
up
something
that
would
also
align
with
the
interest
that
we've
heard
from
the
board
and
how
we
can
further
coordinate
with
the
board.
Really
find
ways
to
engage
the
board
and
even
get
you
active
where
it
makes
sense.
So
any
any
areas
that
you
have
expertise
that
you
want
to
be
more
active
in
policy.
This
would
give
us
more
bandwidth
to
dig
into
those
and
really
make
sure
we
can
get
the
right
voices
to
the
table.
K
K
We
can
share
a
lot
of
Statistics,
but
those
real
world
cases
also
are
impactful,
so
really
leveraging
the
real
life
stories,
in
addition
to
just
the
data
that
we
are
able
to
generate
and
then
obviously
the
legislative
session
is
kind
of
fast
and
furious.
It
kicks
off
this
next
year,
January
9th
and
runs
until
May,
barring
kind
of
delays
or
unforeseen
circumstances.
K
So
so
that's
a
that's
a
time
period
where
we
do
need
to
be
very
well
coordinated
and
that's
been
a
challenge
for
us
in
the
past
is
really
making
sure
that
we
are
in
touch
with
who
who
the
right
person
internally
is.
Who
knows
about
issues
who
could
testify
with
very
short
turnarounds,
so
that
that
kind
of
need
to
be
be
more
streamlined
and
be
more
coordinated,
has
been
evident.
K
I
think
we've,
we've
done
an
okay
job,
but
I
know
there's
a
lot
of
improvement
that
can
be
done
during
session,
so
that's
really
kind
of
a
critical
time
to
be
organized
and
then
the
idea
of
training
others
to
testify
is
because
there
is.
There
is
some
art
and
there's
some
nuances
to
testifying
that
make
people
uncomfortable
so
really
getting
people
through
the
nuances
of
how
you
testify
in
a
committee
and
how
they
they
operate.
K
I
think
is
something
that
we
could
put
some
more
bandwidth
in.
If
we
had
had
more
resources
and
and
again
it's
something
that
needs
to
be
done
well
in
advance,
you
can't
train
someone
minutes
before
they
go
testify.
So
again,
those
are
those
proactive
steps
that
we
would
want
to
be
doing
on
an
online
basis
in
preparation
for
the
legislative
session.
K
Then
thinking
of
of
our
efforts,
you
know,
as
the
board
mentioned,
we
want
these
all
to
be
connected
and
aligned.
So
as
we
do
our
community
health
profiles
and
we
can
build
out
our
strategic
plan
and
set
those
priorities,
there
have
to
be
clearly
policy
priorities
connected
to
those.
So
that
really
helps
us
weigh
in
on
all
right.
K
How
are
we
making
sure
whatever
we
do
is
is
evaluated
and
connected
so
again,
thinking
of
piloting
what
we've
talked
about
some
of
these
efforts.
Looking
at
building
out
a
more
comprehensive
cycle
of
what
activities
we
would
do,
what
kind
of
resources
are
going
to
be
needed?
What
what
really
would
it
take
to
do
these
kind
of
things
and
and
how?
How
can
we
be
most
effective?
K
So
that's
that
Inc,
where
we're
at
kind
of
launching
into
this
next
year,
is
we'd
like
to
start
to
to
put
some
more
time
and
effort
into
into
building
that
out
and
then
again
we'd
be
back
where
we
are
sort
of
now
at
this
time,
as
working
with
the
partners
and
looking
at
what
their
priorities
are
and
who's
putting
energy
into
which
efforts.
So
that
again,
we're
maximizing
efforts
and
really
leveraging
the
collective
voice
of
Public
Health.
K
E
O
O
Where
do
we
need
to
potentially
invest
differently
more
Etc,
but
yeah
I
appreciate
that
and
I
also
Elaine
I
really
appreciate
you
laying
out
kind
of
the
sequence
of
events
right
so
helping
me
understand
the
expectations
of
where
we
are
today
versus
where
we
all
will
be
for
the
next
planning
session.
So
thanks
for
laying
that
out,
I
really
appreciate
that.
K
Welcome
and
and
I
know
the
the
larger
agenda
that'll
be
coming
to
you.
You
will
see
mental
health
still
outline
there.
We
were
just
given
a
snapshot
of
some
of
the
things
that
we
do
know
about,
but
it
is
I
mean
we.
We
saw
it
with
the
fire.
You
know
when
the
the
youth
hospital
was
evacuated,
they
were
evacuated
to
Colorado
Springs,
that's
the
closest
available
resource.
So
you
know
now:
families
are
going
another
hour
and
a
half
away
during
a
tragedy
with
already
dealing
with
and
versus.
K
L
L
Community
Justice
HHS
Public
Health
to
look
at
the
different
funding
sources
what's
coming
out,
who
should
apply?
Who
should
apply
in
Partnership
all
of
the
different
types
of
Mental
Health
legislation
or
Appropriations
that
are
coming
out
just
to
make
sure
that
we're
we're
doing
that
strategically.
K
F
Yeah
I
mean
I
I'm
I
mean
I.
Think
policy
like
hugely
important
right
to
bcph's
goals,
to
our
strategies
to
Public,
Health
and
Equity,
so
I
totally
am
supportive
of
putting
resources
towards
tracking
policy
reacting
to
policy
proactively.
Putting
policy
out
I
think
my
I
just
want
to
be
sure
that
we're
sort
of
keeping
an
eye
on
all
the
coordinating
that
has
to
happen
between
all
the
various
parties.
F
So
there's
the
commissioner's
policy
team,
which
you
know
they
are
tracking
public
health
and
other
public
health
related
issues
that
they
come
to
present
to
us
and
they're
working
on
this
all
the
time
and
they're
down
there
with
the
capital,
then
there's
as
I
mentioned
the
HHS
and
the
community
services
folks
and
then
there's
the
sustainability
office
or
Oscar
or
whatever
in
the
commissioner's
office.
Right.
That's
doing
because
my
I
mean
I
have
an
interest
in
air
quality,
which
is
also
a
public
health
issue.
F
But
then
there's
this
whole
department
within
the
commissioner's
office
that
took
some
Public
Health
people
with
them
and
they're
very
active
on
the
policy
right.
So
I
I
think
that,
like
the,
what
comes
up
for
me
again
is
like
how
do
we
support
bcph
in
having
a
strong
policy
presence
without
overwhelming
whatever
staff
person?
This
is
going
to
be
with,
like
all
the
different
meetings
you'd
have
to
be
in
to
coordinate
between
all
the
various
parties
within
the
county
that
are
working
a
policy,
so
I
think
that's
for
me.
F
L
I
think
the
two
committee
meetings
that
the
county
policy
team
has
so
the
Human
Services
committee
and
now
the
new
climate
and
environmental
policy
committee
that
really
helps
with
the
alignment
who's
doing
what
who's
advocating
for
what?
Where
do?
They
need
Public
Health,
to
weigh
in
where,
where
other
departments
taking
leadership,
it
is
a
lot
of
meetings
that
Elaine
and
I
go
to,
but
that
really
helps
with
coordination.
I
And
I
I,
your
point
is
so
well
taken
Morgan
because
I
mean,
as
I
was
saying
to
someone
the
other
day.
Public
health
is
in
everything.
It's
embedded
in
decisions,
all
kinds
of
departments
make
all
the
time
and
I
think
what
we
really
want
to
get
sharper
on
is.
Where
is
our
input
and
our
leadership
useful
and
valuable?
I
F
Yeah
and
and
and
I
think
also
I
mean
Public
Health
when
I
think
about
I
mean
all
you
know,
Community
Services,
all
I
think
I
say,
has
a
lot
of
strong
Community
Partnerships
too,
but
this
whole
idea
of
how
do
we
leverage
more
directly
impacted
Community
Voices?
Also
in
the
policy
work
I
think
Public
Health
could
take
a
real
leadership
role
on
so
it
would
be
great
to
see
that
and
I
like
it
sounds
like
there
is
not
enough
time
right
now
designated
from
staff
to
be
able
to
really
a
time
about.
A
Expertise,
I
can't
really
speak
much
to
higher
level
policies,
State
bills,
State
legislation,
maybe
even
like
County
legislation,
and
so
but
but
I-
do
know
that
in
certain
times
that
Crush
of
work-
it's
not
sometimes
it's
sporadic.
So
the
subject
matter
expert
can
be
in
and
be
out
in
a
relatively
short
time.
But
then
other
times
it's
like
the
calendar
is
always
full.
So
you're
moving
from
one
meaty
topic
to
the
next
media
regulation,
and
it's
just
like,
if
you,
if
that's
only
part
of
your
job,
that's
really
difficult
to
stay.
A
B
A
A
struggle
I
totally
get
the
need
to
have
that
you
know,
have
a
coordinating
presence
around
policy,
especially
when
it's
not
just
in
one
subject
area
so
but
but
I
do
agree
with
Morgan.
Is
that
you
know
I.
Think
hearing
the
County's
priorities
in
January
I
think
will
be
helpful
as
a
springboard
for
us
to
kind
of
think
a
little
bit
further
about
this
in
23.
E
J
E
I
K
Yeah
I
do
think
that
would
also
be
an
advantage.
Is
spending
more
time
with
the
board
to
understand
the
things
that
are
most
important
to
you.
So
then
we
can,
if
we
add
more
dedicated
staff,
Whittle,
that
down
to
get
you
the
summaries
on
the
things
that
are
are
high
priorities
for
the
Board
of
Health.
I
I
We
are
trying
to
really
reinforce
last
month's
director's
report,
provided
a
preview
of
the
middle
and
Behavioral
Health
framework
that
we're
using
and
that
we
will
leave,
will
help
us
go
deeper
into
primary
prevention
and
better
support
the
Boulder
County
Community
as
part
of
a
wider
strategic
plan,
and
as
we
mentioned
it's
the
first
time
that
we've
done
a
middle
and
Behavioral
Health
strategic
plan
with
our
County
Partners.
So
it's
a
really
fabulous
opportunity
for
public
health
to
really
kind
of
clarify.
This
is
our
role.
This
is
what
we
do.
I
C
I
I
You
know
if
expensively
trained
training
that
takes
a
long
time,
professionals,
which
is
part
of
our
bottleneck
right
now
in
the
in
the
response
to
the
community's
needs.
Is
we
don't
have
that
Workforce
in
place
and
so
the
more
that
public
health
can
kind
of
work
in
that
space,
the
better
we
can
kind
of
lighten
that
load
as
we
get
that
Workforce
through
the
pipeline.
So
at
this
point,
I
will
turn
it
over
to
you
all.
P
Thank
you
Lexi
and
welcome
Board
of
Health
this
this
Indira
I'm,
sorry
that
I
am
participating
by
phone.
I
am
actually
at
one
of
my
many,
my
children's
many
different
activities,
and
so
I'm
shuttling
in
between
and
I
am
joined
here
with
Georgia
babatzikos
and
Georgia.
Is
our
harm
reduction
coordinator.
P
P
I
believe
we
came
to
this
board
in
January
of
2020,
in
which
we
said
gosh,
you
know,
harm
reduction
is
just
getting
so
big
and
we
want
to
make
some
organizational
changes
and
create
an
actual
harm
reduction
program
because,
prior
to
that,
it
had
been
embedded
with
Carol
Helwig
as
part
of
communicable
disease
control
and
what
has
happened
over
the
past.
You
know
10
years
this.
The
program
has
really
been
in
place
since
1989,
but
over
the
last
five
to
ten
years.
P
P
So
what
we
wanted
to
focus
on
today
was
just
a
quick
overview
of
what's
happening
with
fentanyl
in
particular,
because
the
drug
landscape
is
changing
so
I'm
just
going
to
share
some
data
on
the
fentanyl
overdoses
and
what
we're
seeing
in
Colorado
and
Boulder
County
and
then
George
is
going
to
share
some
of
the
data
from
The
Works
program.
So
you
can
see
how
that
has
been
changing
over
the
past
few
years
and
then
this
past
January.
P
We
had
an
interdepartmental
meeting
and
really
got
concerned
about
what
we
were
seeing
with
fentanyl,
and
so
we
formed
an
interdepartmental
fentanyl.
Planning
Group
with
with
the
county
commissioner,
participates,
and
so
does
our
district
attorney
and
others
from
across
the
different
agencies,
including
K-12
School,
District
partners,
and
really
it's
that
that
is
just
really
for
functioning
as
a
really
smart
group
to
to
identify
strategies
and
and
to
start
working
on
implementing
them.
P
So
we've
got
some
exciting
things
to
share
there
and
then
Georgia's
also
going
to
share
just
a
bit
about
what
is
happening
with
funding
because
there's
just
an
explosion
of
money.
This
is
a
program
where
we
had
volunteers
who
had
to
run
our
program
because
we
had
no
money
to
pay
them
and
now
George
has
been
able
to
successfully
bring
in
a
lot
of
great
grants.
So
really
just
excited
to
share
that
with
you.
P
So
if
you
can
go
to
the
next
slide,
I'm
just
going
to
kick
off
with
some
some
data
next
side,
please.
So
this
graph
represents
the
emergency
department.
Visits
for
fentanyl
overdoses
among
Colorado
residents
and
2019
is
represented
in
purple
and
2020
is
represented
in
green
and
2021
is
represented
in
red.
So
since
last
year
this
this
is
Colorado
data.
The
state
has
experienced
two
and
a
half
times
the
rate
of
phenol
overdoses
in
Colorado
and
a
tenfold
increase
since
2019.
P
This
graph
represents
the
emergency
department
visits
for
fentanyl
overdoses
among
Boulder
County
residents
for
2019,
again
in
purple,
2020
in
green
and
2021
in
red,
so
in
2021,
38
residents
presented
at
to
local
emergency
departments
with
a
fennel
overdose,
and
this
is
a
three-fold
increase
since
2020
in
a
five-fold
increase
since
2019.
next
slide.
When
we
took
a
closer
look
at
some
of
the
opioid
overdose
data
in
Boulder
County
next
slide,
please
we
looked
at
all
different
types
of
opioids,
so
in
this
case
this
includes
things
like
heroin,
Oxycontin,
Oxycontin
and
other
forms.
P
P
So
keep
in
mind
that
98
cases,
because
what
we
are
going
to
do
is
in
the
next
slide.
We
break
that
down
by
different
age
groups.
So
a
lot
of
people
think
that
these
types
of
opioid
overdoses
really
impacts
younger
people.
This
is
the
18
to
24
year
olds,
and
you
can
see
from
this
that
they
represent
20
of
those
98
cases
and
believe
it
or
not.
The
data
for
under
18
is
completely
suppressed,
because
that
means
that
we
have
fewer
than
three
individuals
presenting
to
the
emergency
department
with
an
overdose.
P
When
you
go
to
the
next
slide,
you
start
to
see
where
some
of
the
numbers
are
increasing,
and
this
one
this
is
the
25
to
29
year
olds.
They
were
they're
21
of
those
cases
and
again
in
rad,
and
when
you
go
to
the
next
slide,
the
data
really
shows
that
the
majority
of
what
we're
seeing
with
opioid
overdoses
is
actually
among
this
age
group
of
30
to
39
year
olds,
so
really
kind
of
a
middle-aged
problem.
That
doesn't
mean
that
we're
not
concerned
about
young
people.
P
So
this
is
definitely
a
doubling
of
what
we've
observed
in
this
age
group
from
2019
and
when
you
go
to
the
next
slide,
it
will
show
that
when
we
take
a
closer
look
at
that
30
to
39
year
olds
that
the
maturity
when
you
look
at
by
gender
identity,
we
see
that
that,
among
those
30
to
39
year
old,
males
in
Boulder
County
present
more
of
an
opioid
overdose
compared
to
females.
So
definitely
impacting
males
almost
twice
the
rate
next
slide.
P
Please,
and
then
this
bar
graph
is
just
looking
at
the
visits
for
opioid
overdose
by
race
and
ethnicity,
for
2019
to
2020
compared
to
the
percent
of
the
boulder
population.
So
what
we
can
see
here
is
that
the
majority
of
the
cases
for
opioid
overdoses
presenting
our
are
typically
white
non-hispanics,
but
we
are
starting
to
see
in
that
20
to
20
each
year
range
and
2021
to
the
right.
We
are
starting
to
see
an
increase
in
our
Hispanic
of
any
race
showing
up
at
the
emergency
department
at
much
higher
rates.
P
So
this
is
definitely
something
that
we're
gonna
we
keep
track
of.
George
has
also
got
some
programming
updates
to
to
share
about
what
we're
doing
differently
to
address
this
next
slide.
Please,
okay,
and
then
this
last
one
is
just
about
data
from
the
vital
statistics.
So
next
slide
please
this
date
is
a
lagging
data.
P
It
just
means
that
it
takes
a
while
for
us
to
get
the
death
records
from
the
State
Health
Department,
and
so
what
we
know
is
that
in
looking
at
this
this
graph,
it
represents
deaths
from
all
poisonings
in
Colorado
and
that
drug
poisonings,
including
alcohol,
cocaine
and
methamphetamines,
but
we
know
that
deaths
from
drug
poisonings
are
definitely
trending
up
substantially
every
year
since
2018.
So
you
can
see
that
2021
is
at
the
very
top.
P
B
N
Ahead:
okay,
so
we
can
see
on
this
graph
how
the
number
of
unique
clients
that
we
get
has
increased
dramatically
since
2010.
So
over
the
last
20
years,
we
can
see
it's
gone
from
149
people
to
around
1600
participants.
So
that
is
really
a
lot
and
then
now
the
number
of
times
they
come
into
the
actual
Services
a
lot
more
than
this.
So
they
might
come
in
four
or
five
or
six
times
per
year
so
and
about
our
numbers
in
2022
are
going
to
be
around
the
same
amount.
N
N
N
So
in
terms
of
the
strategies
that
we're
looking
at
first
of
all
with
funding,
our
current
funding
is
through
two
grants
through
Colorado
Department
of
Public
Health,
one
focusing
on
harm
reduction
and
the
other
focusing
on
HIV
prevention.
But
they
fund
very
similar
activities.
We
also
have
case
management
now
funded.
N
We're
looking
at
securing
ongoing
non-grant
Reliant
funding
through
the
opioid
litigation
funding,
including
for
our
partners,
that
we
work
closely
with
such
as
bcap
mental
health
partners,
the
jail
and
Recovery
Cafe,
and
we
also
are
looking
at
the
new
fentanyl
Bill
to
secure
funding
for
the
implementation
of
the
plan.
That
Indira
is
going
to
be
talking
about
in
more
detail,
soon
program
strategies
that
we
have
been
using
in
addition
to
the
syringe
access
and
Street
Outreach
that
we
typically
do
in
the
HIV
testing
is
to
introduce
case
management
and
peer
Educators.
N
That's
been
our
more
recent
introduction.
We've
also
recently
hired
a
latinx
community
educator
and
we're
going
to
be
working
with
the
consultant
to
really
reach
out
more
to
the
Native
American
Community,
because
we
actually
our
statistically
the
people
who
come
into
our
program
represent
higher
than
average
in
the
population
number
of
people
from
the
Native
American
community.
N
We
are
also
spending
a
lot
of
time,
doing
trainings
on
naloxone
and
overdose
prevention
and
anti-stigma
training
to
a
lot
to
professionals,
but
also
to
parents
and
some
other
participants
and
that's
been
hugely
successful,
reporting.
The
understanding
of
what
is
harm
reduction
and
having
people
sort
of
ready
to
administer
naloxone,
because
once
people
really
understand
harm
reduction,
they're
really
on
board
with
being
prepared
to
at
any
moment
at
any
time
to
reverse
it
overdose.
N
In
terms
of
future
strategies,
we
are
expanding
our
anti-stigma
campaign
to
move
to
the
next
level
of
really
working
with
professionals
on
how
to
interact
with
people
who
use
drugs
so
targeting
First,
Responders
law
enforcement
and
medical
personnel
and
we're
just
nearly
done
with
that
training.
That's
a
follow-up
to
the
initial
introduction,
training,
we're
also
exploring
and
developing
a
drug
checking
program
because
that's
considered
best
practice
in
preventing
drug
overdoses
and
particularly
with
the
fentanyl
being
in
a
lot
of
different
other
drugs
that
people
aren't
expecting
those
drug
checking.
N
Programs
are
essential
preventing
over
this
this
and
then
finally,
we're
looking
at
OD
mapping,
which
is
a
sort
of
real-time
program
that
we
are
just
now
having
access
to
to
help
make
data-driven
decisions
about
where
to
target
prevention,
harm
reduction
activities
and
respond
to
where
that
happening.
In
the
past.
Again,
as
Indira
said,
we
we
have
a
lab.
P
So
this
past
I
think
it
was
the
last
December
the
substance
use,
Advisory
Group
was
meeting
and
we
started
talking
about
Fentanyl
and
we
start.
We
have
really
some
amazing
relationships
with
the
Sheriff's
Office,
the
drug
task
force,
the
district
attorney
their
office
has
been
super
supportive
and
then
through
covid,
we've
just
built
stronger
and
stronger
relationships
with
a
lot
of
key
Partners,
both
at
CU
and
K-12,
and
also
you
know
just
having
run
the
substance,
use
Advisory
Group
out
of
Public
Health
that
was
born
out
of
Public
Health
many
years
ago.
P
We've
built
a
lot
of
relationships
within
the
treatment
Community
as
well,
and
so
we
got
concerned
about
the
fentanyl
data
that
we
were
seeing.
We
were
also
hearing
from
community
members
that
my
son
overdosed
or
we
would
hear
random
Community
comments
at
one
point.
Last
fall
the
drug
task
force
reached
out
to
us
and
said:
we've
got
some
bad
stuff
in
the
community.
We
need
to
get
this
word
out,
so
we
have.
P
Who
has
been
very
open
to
recognizing
that
people
of
color
have
been
disproportionately
impacted,
and
so
this
plan
also
prioritizes
our
black
indigenous
and
people
of
color,
as
well
as
as
individuals
with
language
access
issues.
So
these
are
kind
of
the
tenets
which
this
plan
was
built
next
slide.
And
then
these
are
of
the
partners
who
are
at
the
table.
We
have
Partners.
Sometimes
people
just
join
us
and
that's
okay
too,
and
we
started
meeting
every
month
and
then
what
we
accomplished
a
lot
in
five
months,
and
so
we
started
moving
to
quarterly
meetings.
P
But
these
individuals
that
on
this
slide
right
here,
they
take
this
very
seriously
and
they
all
attend
the
meeting.
It's
a
high
functioning
meeting
it's
only
an
hour,
but
we
get
a
lot
done
and
I
just
want
to
give
a
shout
out
to
the
Sheriff's
Office
and
the
drug
task
force
because
they
have
really
taken
on
some
amazing
work.
Next
slide,
please!
P
So
one
of
the
challenges
that
we
have
with
public
health
using
their
our
data
is
that
our
data,
our
Vital
Records
data
and
our
hospitalization
data-
is
really
a
lagging
indicator.
It's
sometimes
a
year
out.
So
it's
not
really
good
at
being
able
to
respond
in
the
present.
Another
limitation
is
that
CDC
uses
a
resident's,
zip
code
to
assign
like
a
death.
Well,
the
problem
is
is
that
we
could
have
a
CU
student
who's.
P
Actually,
a
resident
of
California
who
dies
in
you
know
Bolder,
but
they're
not
counted
within
our
numbers,
so
we're
not
actually
capturing
all
the
deaths
in
the
community,
and
this
came
up
with
the
District
Attorney's
office
because
they
were
like
hey.
You
know
what
I
invested
I
investigated
this
many
cases
I
investigated
I'm.
Just
going
to
use
a
random
number
I
investigated
40
cases
last
year,
but
you're
only
counting
20
deaths,
and
so
it
doesn't
really
show
the
true
burden
on
the
system
when
we
are
using
some
of
these
traditional
Public
Health
Data
sources.
P
So
we're
really
working
closely
with
the
Sheriff's
Office
to
leverage
a
new
system.
It's
called
odmap,
it's
a
system
in
which
law
enforcement
and
Emergency
Medical
Services,
so
our
local
EMS
providers
are
able
to
enter
information
in
real
time
and
the
map
actually
updates
in
real
time
so
to
look
at
if
it
is
a
save
how
many
naloxone
was
administered
stirred
if
it
wasn't
administered
if
there's
a
death,
and
so
all
of
that
data
will
be,
is
being
entered
by
law
enforcement
Partners
who
believe
it
or
not.
F
J
F
P
How
are
we
going
to
use
this
new
data
to
really
help
us
figure
out
how
to
respond
to
emergencies,
and
that
also
includes
some
new
strategies
such
as
you
know,
all
the
work
Lane
did
with
building
the
relationships
with
the
business
community.
So
we're
looking
at
even
like
how
do
we
get
into
business
community
and
let
them
know
that
there's
tainted
drugs
out
there,
so
that
people
who
work
in
those
sectors
are
aware
that
they
need
to
be
really
careful
and
then
the
other
strategy
that
we're
looking
at
is
training.
P
Madeline
evanoff
who
works
in
Georgia's
team,
has
been
absolutely
amazing,
working
with
Allison
Bailey
from
Community
Health
division
under
Heather
crate,
and
they
have
really
done
an
amazing
job
of
doing
a
train.
The
trainer
model
in
harm
reduction
and
naloxone,
and
really
just
doing
the
prevention
messaging,
particularly
for
young
people
and
their
parents.
So
a
lot
of
parents
have
signed
up
for
get
understanding.
They
want
to
know
what
do
we
do
to
prevent
these
overdoses
from
happening?
P
So
a
ton
of
work
can
still
happen
in
this
piece
in
the
training
space
we
just
heard
today
from
Boulder
Community
Hospital,
the
Dave
start
started
initiating
a
training
for
their
staff
and
they're
completely
booked
when
they
opened
it
up
the
they
completely
booked
out
until
the
end
of
February.
So
we're
looking
at
trainings,
also
with
George's
new
hire
in
the
like.
P
P
We
don't
really
want
to
focus
on
just
the
privilege
of
being
able
to
have
access
to
naloxone,
so
we
are
really
focusing
on
how
to
figure
out
how
to
make
it
more
accessible
so
that
OD
mapping
software
is
important,
because
it
also
helps
us
figure
out
if
we
get
some
funding
from
the
opioid
legislation
on
to
get
some
naloxone
vending
machines.
Where
do
we
place
them
right?
If
we're
seeing
overdoses
in
places
like
Lafayette?
Maybe
we
need
to
put
a
vending
machine
there.
P
If
there's
no
accessibility
to
naloxone
up
in
the
mountain
communities,
do
we
need
to
add
one
there
so
we're
using
all
this
data
to
help
us
make
decisions,
but
the
access,
the
decisions
of
where
to
put
naloxone
and
how
to
get
more
community-based
access
is
going
to
be
driven
by
this
substance
use
Advisory
Group,
which
has
been
with
public
health
for
a
long
time.
It
got
moved
over
to
Community
Services
during
the
pandemic,
but
we're
going
to
bring
it
back
and
then
the
last
piece
is
just
around
reducing
stigma.
P
There's
a
lot
of
stigma
and
we
really
need
to
get
out
of
this
abstinence.
Only
kind
of
approach,
particularly
with
youth,
who
are
really
struggling
and
move
into
that
harm
reduction
approach.
So
those
are
the
four
big
areas
that
we're
working
on
and
next
slide.
I
think
I
think
we're
done
and
I'll
stop
talking
and
see.
If
there's
any
questions
for
either
Georgia
or
myself,.
M
I
was
just
gonna
say
this
is
great,
as
you
may
know,
I'm
also
boarded
an
addiction
and
harm
reduction
is
a
passion
of
mine.
I
moved
here
from
Massachusetts
and
I
feel
like
Colorado
is
about
10
years
behind
in
terms
of
the
fentanyl
epidemic.
You
know,
I
think
that
we're
ahead
and
mess
and
behind
it
and
now
it's
now
it's
catching
up
with
Colorado
as
well.
M
J
M
P
N
M
M
So
if
somebody's
ready
and
engaged
and
ready
to
start
Suboxone
Monday
mornings
or
where
we're
blocking
time
and
I'm
using
that
time
to
train
some
of
my
colleagues
who
are
Suboxone,
hesitant,
I
would
say,
and
that's
so
that's
that's.
What
we're
doing
right
now
so
Monday
Monday
mornings
would
be
great.
I
can
almost
always
find
a
way
if
there's
someone
I
just
think
we
should
capture
people
when
they're
ready
and
it's
just.
J
P
M
Have
a
good
contact,
you
probably
know
her
Annabelle
Perez
in
the
Longmont
Police
Department
I,
don't
know
if
you
work
with
her
directly
anyway.
She
she
helps
with
diversion
from
jail
for
so
she's
she's,
one
of
their
case
managers
in
Longmont,
I
I
worked
with
her
when
I
was
at
salute.
I,
don't
have
a
direct
contact
at
Boulder,
but.
A
Can
I
ask
a
question:
I,
don't
know
if
it
was
Georgia
or
Indira.
You
said
that
more
people
are
smoking,
fentanyl
now
and
shooting
it
and
that
I
guess
that's
good
from
a
I'm,
an
overdose
or
a
deaf
perspective
right.
It
sounds
like
it's
better,
but
what
about
like
secondary
exposure
for
like
first
responder
type?
Do
you
get
those
questions,
or
is
this
all
too
new.
N
We
basically
the
secondary
exposure
yeah
unless
they're
ingesting
it
or
directly
sort
of
starting
it
into
their
nose
that
that
exposure
is
not
possible
and-
and
because
of
you
know
the
program
that
we
operate.
If
that
were
so
that
we
would
all
be
exposed,
but
we're
not.
So
that's
there's
a
myth
about
that
and
we
actually
have
a
specialist
who,
from
the
Colorado
Consortium
who'll,
be
speaking
to
that
I.
Think
it's
this
Wednesday
if
anyone's
interested
in
coming.
N
J
D
N
N
M
F
P
So
one
of
the
beauties
of
this
OD
map
is
it's
going
to
track.
All
of
that
and
I'll
give
you
an
example,
because
I
sit
on
the
city
of
Boulders
Community
engagement
panel
with
Brooke
and
they
saved
19
lives
last
year,
administering
naloxone,
just
the
city
of
Boulder
PD,
and
that
doesn't
include
city
of
Longmont
or
Louisville
or
Erie.
P
But
there
are
a
lot
of
law
enforcement
who
get
to
a
scene
before
EMS
gets
there
and
so
they're
often
able
to
report
how
many
lives
that
they've
saved
and
it's
very
powerful
for
law
enforcement
because
they
they
know
they
see
they
can
physically
see.
You
know
the
reversal
in
real
time
and
I,
don't
know
Georgia
about
the
works
program.
Are
you
collecting
numbers
on
participants
who
report
reversals.
N
Absolutely
and
that's
a
big
gap,
because
oftentimes
participants
will
report
to
us
and
they
have
not
reported
it
to
any
First
Responders.
So
we
get
between
10
and
15
people
a
month
that
come
in
and
say
that
they've
used
naloxone
to
you
know
reversing
overdose.
So
we
definitely
get
that
feedback
and
definitely
that's.
One
of
the
issues
with
the
data
is
that
there
are
people
participants
in
the
community
who
are
not
reporting
that
to
law
enforcement.
N
F
That's
great
I
mean
I
feel
like
that's
a
story
that
we
need
to
tell
more
broadly
I
mean
not
just
to
help
encourage
people
to
take
naloxone
kids,
but
but
just
in
the
media
coverage.
You
know
we,
we
had
some
not
great
coverage
last
year
or
in
the
last
year
for
overdose
deaths
in
about
Boulder
County,
but
just
to
be
able
to
tell
the
story
about
all
the
positive
intervention
work,
that's
being
done
too.
E
I
guess,
along
those
same
lines
because
Indira
had
asked
about
if
you're
tracking
people
who
are
noting
a
reversal
that
are
of
those
unique
clients
to
the
works
in
addition
to
an
OD
map,
are
you
also
tracking
demographics
of
the
unique
clients
like
we
see
this
number
that
are
located
in
this
area,
where
there
could
likely
be
an
overlap
with
a
higher
rate
of
Overdose
I?
Guess
how
many?
How
much
demographic
information
do
you
track
for
Unique
clients
in
the
works.
N
We
definitely
track
that
information.
What
we
don't
track
is
like,
where
the
overdose
took
place,
and
so
often
that's
not
where
they're
living
so
because
people
do
move
around
a
lot,
but
we
definitely
have
demographic
information
and
we
actually
had
a
student
recently
analyze
some
of
that
information.
N
So
what
we
saw
not
so
much
with
demographics,
but
we
saw
that
the
longer
people
are
in
our
program,
the
lower
the
chance
of
them
overdosing
so
that
you
can
say
like
in
the
first
year,
reported
because
often
people
overdose
and
survive,
as
we
know
so.
The
longer
they're
in
the
program,
the
less
chance
there
is
of
them
reporting
an
overdose,
but
in
terms
of
demographics,
specifically
around
that
we
don't
really
have
an
update
about
where
the
overdose
occurs.
N
P
State
as
the
harm
reduction
program
started,
expanding
Carol
used
to
collect
the
information
for
each.
You
know
unique
user
so
and
then
the
state
came
in
and
said:
let's
use
Red
Cap.
So
there
is
this
whole
Red
Cap
system
in
which,
when
you
come
in
as
a
Works
participant
each
year,
you
actually
have
to
kind
of
re-enroll,
and
you
have
your
own
unique
initials
and
you
have
your
own
kind
of
unique
information
that
you
used
to
be
able
to
access
the
system.
P
But
you
have
to
fill
out
a
demographic
form,
and
so
we
do
have
all
of
that
data.
If
that's
what
you're
suggesting,
because
we
can
look
at
age,
race,
ethnicity-
and
we
have
to
be
careful
with
people
when
they
overdose
of
not
asking
for
an
address,
because
people
can
get
very
kind
of
paranoid
about
is-
am
I
going
to
have
like
a
law
enforcement
officer
show
up
at
my
door
even
in
the
OD
map
system,
where
you
know
that
system
is
not
going
to
be
made
publicly
available.
P
E
J
P
Running
out
of
money
like
we
had
run
out
of
money
to
buy
supplies
because
the
numbers
had
just
been
jumping
and
jumping
every
year
and
then
the
other
thing
is
that's.
When
we
initiated
the
substance,
use
Advisory
Group,
so
we're
really
actually
very
lucky,
because
we
we
were
able
to
see
the
numbers
in
the
works
program
go
up
so
rapidly,
and
then
we
have
been
working
on
these
kind
of
interagency
relationships.
The
substance
use,
Advisory,
Group
is
really
connecting
to
community
and
getting
people
into
recovery.
P
I
N
I
was
just
gonna
say:
there's
a
statistic
that
is
used
that
we
use
in
our
presentations
that
people
in
syringe
access
programs
are
five
times
more
likely
to
go
into
treatment.
So
if
I,
can
you
know
by
being
there
for
them?
You
know
they
might
come
in
for
two
years
and
then
suddenly
say
I'm,
just
tired,
I'm
ready
for
you
know
to
get
treatment.
So
that's
why
these
programs
are
so
effective.
N
We
reach
the
people,
we're
there
for
them
when
they're,
ready
versus
somebody
who's,
just
you
know
not
connected
and
doesn't
have
that
resource.
So
it
definitely
is
is
an
important
connection
for
people
when
they're
ready.
We
never
push
treatment
on
people,
but
we
in
response
to
these
sorts
of
Demands.
We
have
added
a
case
manager
and
getting
funded
for
a
case
manager
to
do
that
work.
So
we
have
a
lot
more
time
to
spend
with
people
to
make.
Those
connections
like
you
know.
So
that's
been
super
helpful.
A
M
N
N
A
A
O
E
A
O
Really
quick
and
Lexi.
Thank
you
for
those
reports.
They
were
fabulous,
a
fantastic
work,
fascinating
and
really
helpful
to
hear
so.
I
think
two
questions.
The
first
is
this
is
mentioned
in
the
executive
report,
but
when
is
the
che
and
the
phip
being
administered
again,
if
you
can
just
remind
me
of
that,
the
timing.
I
So
there's
there's
two
election
processes.
One
is
the
community
profile,
which
is
the
broad
look
at
a
wide
variety
of
Community
needs
that
should
be
completed
by
the
end
of
the
calendar
year
and
the
planning
for
the
community
health
assessment,
which
is
this
more
specific
focus
on
mental
and
Behavioral
Health.
That
will
inform
the
planning
for
our
Public
Health
Improvement
plan
focused
on
middle
behavioral.
Health
will
be
a
little
bit
longer
because
we'll
use
a
community
engaged
process.
O
Okay,
thanks
for
that,
the
other
unrelated
questions
is
I
noticed
that
there
were
several
key
positions
that
are
getting
filled
and
thank
you
for
those
updates,
including
the
mental
Behavior
Health
coordinator,
Emergency,
Management,
planner,
Etc,
I.
Think
I.
What
I'd
like
to
understand
Lexi
is:
is
it
possible
to
get
a
list
right
now
of
your
key
positions
that
are
still
unfilled?