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From YouTube: Recording of July 10 Meeting
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B
C
D
E
Thank
you
just
rejoining
here,
I
appreciate
the
opportunity
again.
I
finally
saw
it
looks
like
you
have
in-person
meetings,
so
I
definitely
will
make
the
effort
to
be
there
in
person
and
say
hello
to
everyone,
but
drawing
back
on
the
Escapade
that
took
us
forever
to
conquer
the
covid
period.
E
Confronted
us
with
difficult
truths,
growing
growing
by
each
day,
that
many
don't
want
to
believe,
but
they're
becoming
impossible
to
ignore
pharmaceutical
companies
and
governments
colluded
to
suppress
effective
early
treatments
to
enable
an
emergency
youth
use
authorization
for
a
vaccine
that
made
people
and
companies
billions.
Many
lives
could
have
been
saved.
With
these
early
treatments,
lockdowns
crushed
small
businesses.
We
saw
that
in
Boulder
harm
children
and
hurt
and
divided
families,
while
creating
new
billionaires
and
making
existing
ones
richer
for
any
violating
the
First
Amendment.
E
The
federal
government
colluded
with
internet
companies
to
suppress
free
speech
each
on
covid,
natural
immunity,
vaccines,
lockdowns,
mass
and
vaccine
injuries,
and
whether
you
like
to
acknowledge
it
or
continue
to
deny
it.
You
were
pretty
much
wrong
on
all
the
above
truth
from
this
terrible
period
keeps
surfacing
forcing
us
to
look
yet.
We
often
deny
what
we
can't
see
and
turn
away.
It's
not
a
new
phenomenon.
There's
massive
denial
and
I
think
there's
plenty
of
people
that
are
finally
coming
to
the
realization.
E
Now
wow,
we
didn't
quite
get
it
right
with
lockdowns
and
vaccine
passports
and
all
the
above
go
look
to
Missouri
versus
Biden
for
the
acknowledgment
of
the
First
Amendment
and
massive
censorship
that
happened.
I
was
aghast
when
I
was
trying
to
go
about
my
normal
business
in
Boulder
and
could
not
do
so
so.
A
common
feature
of
totalitarian
systems
is
the
prohibition
of
questions
they
monopolize
what
counts
as
rationality.
Cue
misinformation,
as
you
like
to
tournament
in
your
ability
to
debate
and
I,
think
that
was
a
really
unfortunate
piece
that
came
out
of
covid.
E
Was
you
trying
to
force
your
decision
down
everyone's
throat
in
in
Boulder
in
Boulder,
County
and
simply
State
anything
else?
As
oh,
that's,
misinformation?
Well,
it
turns
out
a
lot
of
misinformation.
Two
years
ago,
a
year
ago,
is
now
truth
and
clear
out
in
the
open,
so
I
again
never
lead
with
that.
Hopefully,
those
folks
have
long
since
departed
and
I
certainly
hope.
E
There's
fresh
energy
and
a
more
clear
second
question:
the
next
time,
something
like
this
happens
in
the
stunning
ruling:
I
was
referencing
Fourth
of
July
U.S
district
judge
ordered
numerous
top
federal
officials
to
immediately
cease
contact
with
all
social
media
firms.
For
for
the
purpose
of
urging
encouraging
pressuring
and
inducing
any
manner
of
removal
or
content
containing
protest
and
Free
Speech,
you
did
the
same.
You
said
you
tried
to
suppress
and
coerce
people
into
doing
taking
an
action.
D
F
F
Boulder
and
represent
myself
I
continue
to
be
confused.
Why
messaging?
Around
coveted
shots
is
still
being
promoted
by
the
Board
of
Health
and
Boulder
County.
Given
the
mounting
evidence
after
two
and
a
half
years
of
availability,
coveted
shots
have
shown
poor
outcomes
increase
in
illness
for
those
who
got
them.
Prevalence
of
inner
injuries
reported
to
bears
and
lack
of
prevention
of
transmission,
or
any
other
benefit.
I
commented
a
few
months
ago
about
this
same
issue
and
have
seen
nothing
change
on
the
website
or
in
community
marketing.
D
F
A
B
So
yeah
we
just
have
a
little
statement.
The
Board
of
Health
provides
the
opportunity
for
the
public
to
share
their
viewpoints
and
opinion
on
public
health
matters.
It's
not
the
policy
of
Boh
or
agency
staff,
who
are
experts
in
the
field
to
review,
bet
or
ground.
In
truth,
scientific
evidence
provide
responses
to
public
comments
at
Florida.
College
meetings,
opinions
expressed
by
the
public
should
not
necessarily
be
interpreted
as
accurate.
If
staff
or
the
board
does
not
challenge.
B
G
B
You
item
three
2023
budget
amendment.
I
Thank
you.
We
unfortunately
Catherine
Palmer
couldn't
be
here
this
evening.
She
and
Desiree
kazarusian
and
the
team
have
been
working
very
hard
with
all
of
our
staff
to
provide
an
update
to
our
23
budget.
I
Our
original
budget
was
submitted
in
December,
and
we
have
part
of
the
reason
that
it's
taking
us
a
little
bit
longer
this
year
to
get
to
the
amendment
was
because
we
really
start
wanted
to
start
moving
into
a
more
strategic
place
where
we're
making
decisions
within
the
management
team
around
agency
priorities,
and
so
we
are
at
the
place
where
we
are
ready
to
present
you
with
our
budget.
Amendment
and
Desiree
is
going
to
be
here
tonight
to
take
us
through
it.
J
So
here's
the
comparison
of
our
adopted
and
amended
budget
comparison-
and
you
can
see
the
totals
for
the
general
fund
and
this
little
expenditures
and
if
you
drop
below
to
the
total
revenues,
is
approximately
the
same
on
the
right
hand,
side
I'll,
just
point
out
to
you
on
the
2023
amended
budget.
The
appropriation
is
slightly
less
and
the
County
taxes
slightly
more
so
we
have
some
County
taxes
that
we
have
for
some
programming.
That
was
being
inaccurately
reflected
in
the
Boulder
County
appropriation
that
we've
now
split
out
and
dropped
to
the
county
tax
line.
J
G
Yeah,
thank
you.
This
Morgan
on
the
County
tax
is
that
a
reflection
of
is
that
sustainability
tax,
or
what
is
the
tax,
that's
being
reflected
in
that
it's.
J
The
there's
the
hs-1b
tax
is
reflected
in
that
and
then
trying
to
think
there's
another
tax
that
would
be
included.
You
can
check
on
that.
Real
quick
I
can
check
on
that
and
get
back
to
with
the
other
one
would
be,
but
there
are
taxes
that
are
built
and
they're.
They
were
voted
on
so
they're,
continuous
taxes
and
I
know
that
one
of
them
has
been
renewed.
So
that's
taxes
that
we
use
towards
Genesis
and
Jenna's
sister
and
some
other
programming.
I
J
D
J
I
think
this,
so
it
looks
like
there's
duplicates
one
that
has
the
the
highlighted
areas.
So
this
one
shows
the
differences
between
the
adopted
resolution
and
the
amended
resolution,
and
you
can
see
there's
just
some
slight
differences
in
strategic
initiatives.
It
was
plus
one
employee
and
employee
health.
It
was
minus
one
and
then
Family
Health.
It
had
the
biggest
jump.
It
went
up
by
six
employees,
and
that
was
largely
due
to
the
new
family
connects
programming.
J
These
are
the
2023
program,
exception,
requests
that
have
been
approved
or
initially
not
by
you
all,
but
if
I
know
this
was
in
some
of
your
study
documents.
I
just
wanted
to
point
out
the
eert
response.
Pagers
and
the
meth
contamination
response
were
things
that
we
did
initially
request
in
the
budget
process
this
year
and
were
denied
we've
requested
them
because
they
were
statutory
requirements
that
were
not
being
covered
by
our
funding.
But
the
denial
was
based
on
the
fact
that
these
were
pre-existing
2023.
J
I
I
Oh
yeah,
just
this
is
this
really
summarizes
the
additional
spending
that
we've
approved
internally
since
the
previous
budget
approval
in
December.
Sorry.
H
Please
go
ahead.
No,
it's
okay!
What
is
the
ERT
response
pager.
Is
that
our
emergency
response
texting
system,
I'm
I'm,
just
not
sure
what
that
is
so.
J
I
So
so
the
left
contamination
we
were
requesting
to
move
one
of
our
staffers
from
0.75
FTE
to
1.0,
really
as
just
needing
some
extra
support
to
address
what
we're,
seeing
as
a
significant
shift
in
Matthews
in
the
community.
That's
resulting
in
Environmental
exposures
and
contamination
and
creating
a
pretty
complex
situation
in,
especially
in
relation
to
the
unhoused,
with
working
with
housing
authorities.
I
Recognizing
that
many
of
the
standards
and
regulations
that
are
on
the
books
really
aren't
evidence-based
in
the
way
that
we
would
like
them
to
be
much
more
directly
tied
to
human
health
and
so
working
with
the
state
and
with
the
School
of
Public
Health
to
advance
research
on
kind
of
what
those
standards
should
be.
But
yes,
it
also
included
that
kind
of
responsiveness
to
issues
like
the
situation
at
the
library
and
a
couple
of
other
spaces
too
got.
L
Was
just
going
to
provide
Clarity
that
it's
for
the
environmental
hazards,
so
it's
on
the
environmental
side
such
as
like,
if
there's
a
asthma
spill
or
some
kind
of
rollover
of
a
tanker
or
something
like
that.
The
the
environmental
health
team
has
a
response
team
that
goes
in
and
and
provides
technical
assistance
to
the
First
Responders
and
the
Hazmat
teams
to
make
sure
that
we
don't
have
like
big
environmental
spills
and
they're
really
important.
That
group
I
just
wanted
to
give
some
context.
L
J
So
this
shows
some
requests
that
we
have
made
of
the
board
of
accounting
Commissioners
that
were
not
covered,
but
the
cph
was
able
to
ship
some
funding
to
cover
the
majority
of
these
that
are
highlighted,
and
you
can
see
there's
a
couple
outside
of
this
I
think
if
you
go
one
more
Rita,
there
might
be
some
highlight
for
the
bottom
as
well.
There
we
go
so
the
highlighted
items
are
being
covered.
J
The
Jen
Brown
funds
that
are
down
below
currently
those
are
sitting
with
the
county
and
it's
a
category
ship
that
we're
trying
to
make
between
operating
and
personnel
and
the
county
hasn't
accepted
that
yet
because
personal
Personnel
costs
would
rise
over
time.
So
that's
something
still
to
be
decided
and
negotiated.
The
vector-borne
disease
investigation
peace
hasn't
yet
started.
So
that's
why
they're
not
included,
and
these
highlighted
areas
any
questions
on
that.
A
G
I
J
J
With
our
2022
audit
numbers
you
can
see
down
below.
We
go
from
7.9
total
fund
balance
to
11.1,
so
there
is
a
slight
increase
in
the
current
fund
balance.
These
numbers
aren't
yet
finalized
we're
still
in
our
2022
audit,
so
they're
subject
to
some
changes.
Does
anyone
have
any
questions
on
components
of
this.
G
I
I
know
that
we
have
this
this
discussion
at
one
point
about
what
is
the
goal
of
bcph
in
terms
of
fund
balance
and
I
know
there
are
different
schools
of
thought
on
that
is.
Is
that
we
do?
We
have
a
percentage
that
we're
that
we
aim
for
on
an
annual
basis.
I
So
that's
a
great
question
this,
where
we
are
right
now
is
we
still
have
a
number
of
expenses
that
we
are
expecting
and
hoping
that
the
county
is
going
to
cover
that
we
do
not
have
you
know
a
final
thumbs
up
that
are
quite
significant,
largely
related
to
the
salary
increases
that
the
County
Commissioners
approved
at
the
end
of
last
year
and
kind
of
the
impact
that
that
had
on
all
of
the
county
budgets,
including
public
Health's
budget,
and
that
we
were
invited
to
present
a
request
to
cover
that
deficit
for
23,
recognizing
that
we
would
have
to
cover
our
own
deficit
for
24
going
forward,
and
until
that
request
has
been
approved
by
the
county,
we're
a
little
hesitant
to
want
to
spend
any
more
of
the
balance
that
we
have
and
feel
like
a
conversation
about
what
the
Reserve
balance
should
be
might
be
a
bit
premature
until
we
have
a
little
Clarity
on
that.
G
Yeah
thanks
Lexi
I
I
mean
I,
know
that
we
had
talked
about
it
and
it
you
know.
Maybe
it's
part
of
that
sort
of
long-term,
looking
at
what
programs
or
really
essential
and
how
we
pay
for
all
of
it
and
the
workforce
shifting.
So
it's
just
something
to
keep
in
mind
and
for
the
board
also
to
think
about.
J
Thank
you.
So
this
is
the
final
slide
in
this
part
of
the
meeting.
This
is
there's
ships
currently
and
Arbor
related
funds,
there's
a
decrease
in
coveted
arpa
going
forward,
and
we
also
did
get
an
increase
in
our
Arco
funding
for
mental
and
Behavioral
Health,
which
was
approximately
1.3
million
dollars.
We
will
see
a
larger
decrease
in
arpa
in
2024
the
majority
of
our
Boko.
Our
arpa
needs
to
be
spent
down
in
2023,
however,
the
MBH
portion
will
go
out
into
2025.,
there's
ships
and
grants.
J
So
we
saw
some
funding
shifting
and
it
includes
increases,
decreases
termination,
new
funding,
Amendment
to
the
S
tax,
we're
largely
keeping
our
amount
of
our
ask
the
same
this
year.
J
Utilize
Bacon's
role,
savings
to
cover
funding
for
other
eligible
expenses
and
wage
increases
is
something
that
has
been
mandated
by
the
county
and
we
did
a
study
on
how
that
would
affect
us
and
it
impacts
14,
hourly
and
one
FTE,
with
roughly
a
25
000
impact
and
that
minimum
wage
is
going
to
be
increasing
from
1946
to
22
22.44
an
hour
and
the
other
component
of
the
wage
increase.
J
I
J
Right,
oh,
that's,
I,
remember
what
my
point
was.
The
the
14
excuse
me,
the
14
hour
they
are
are
largely
Grant
funded
positions,
so
this
would
be
part
of
Gap.
The
Gap
funding
request,
possibly.
J
I
We
have
included
a
an
updated
budget
resolution
in
your
packet
for
you
to
visibility
on
if
you're,
comfortable.
G
Well,
thanks
thanks
desert
and
Catherine
and
abstentia
for
all
the
work
that
went
into
this,
and
this
is
Morgan
I've
moved
to
adopt
the
draft
resolution.
202301.
B
I
Okay,
so
we
have,
you
will
have
noticed
that
we
are
working
hard
to
take
your
request
into
account
in
terms
of
providing
you
with
more
materials
about
the
presentation
with
the
director's
report,
so
that
we
don't
spend
quite
as
much
time
during
the
meeting
itself
presenting
all
of
the
information.
We
are
very
pleased
to
talk
this
evening
about
the
policy
and
legislative
session
wrap
up.
I
M
Good
evening
board,
Lane
Draeger
I'm,
going
to
start
off
and
Heather
will
jump
in
and
share
more
of
what
our
staff
were
doing.
I'm
going
to
give
you
an
overview
of
kind
of
what
happened
within
the
session
working
with
our
partners
at
the
Colorado
Public
Health
Association
and
the
Colorado
Association
of
local
public
health
officials
next
slide,
please
I
think
you
got
the
slides
in
your
packet,
so
I
won't
spend
a
lot
of
time
going
through
a
lot
of
the
details,
and
you
can
certainly
ask
any
questions
anytime.
M
But
this
is
just
kind
of
an
overview
of
what
happened
in
this
session
a
little
a
little
less
in
bills
than
there
were
the
previous
year,
but
very
similar
I
guess,
overall
and
similar
kind
of
overall
rate
of
Passage
120
day
session
and
10
beat
bills,
end
up
being
vetoed,
not
I,
think
a
ton
related
to
to
ours,
but
just
that's
an
overview
of
all
the
bills
in
the
session
and
then
we'll
jump
into
kind
of
what
what
happened
with
stuff
related
to
Public
Health
next
slide.
M
Please
and
so
I'm
going
to
jump
into
areas
that
both
align
with
our
strategic
priorities,
as
well
as
our
partners
at
cpha
and
calfo.
So
this
is
some
information
shared
by
cpha
and
their
annual
summary.
So
here's
some
of
the
the
major
bills
related
to
behavioral
health,
mental
health.
That
kind
of
you
can
see
how
cpha
took
positions
and
the
ultimate
results
of
those
bills,
and
these
align
a
lot
I
think
with
information
you're
going
to
see
or
hear
later
from
Heather
or
two
that
our
staff
worked
on
many
of
these
same
areas.
M
The
last
sort
of
summary
are
some
gun
control,
which
kind
of
fits
into
into
I
think
some
of
the
behavioral
stuff.
But
there
was
a
a
suite
of
gun
bills
that
were
introduced
that
also
passed
that
will
hopefully
address
some
of
them
again.
Violence
issues
that
we've
been
experiencing
next
slide.
Please.
A
M
M
1167
support
and
past
overdose
prevention
was
a
monitor
and
failed.
So
I
didn't
get
that
one
so
that
that
should
be
1202
is
the
the
one
that
was
monitored
and
failed.
M
That
was
a
controversial
one.
That's
the
one
where
Denver
I
think
was
the
the
municipality
really
positioned
to
potentially
start
to
Pilot
and
really
expand
on
that,
and
unfortunately
it
did
not
have
enough
support
to
move
forward,
so
that
should
be
House
Bill,
1202
overdose,
prevention,
centers,
the
this
the
third
item
and
then
next
slide.
M
It
was
like
climate
change,
another
one
of
our
priorities
and
you
can
see
several
bills
that
were
actively
supported
by
her
supported
by
cpha
at
all,
all
in
the
passing,
which
is
very
good
next
slide,
please
Public
Health
infrastructure.
So
this
is
a
significant
area
that
I
think
will
be
an
ongoing
Focus
for
for
calfo,
certainly
and
cpha,
and
obviously
is
critically
important
to
us.
M
But
there's
a
number
of
areas
that
end
up
creating
additional
opportunities
for
revenue
and
funding
and
support
for
how
Public
Health
infrastructure
is
set
up,
and
so
here's
some
of
the
topic
areas
where
those
those
bills
that
were
successful,
passed.
M
Next
slide,
please
and
a
summary
of
California
on
their
end,
they
ended
up
taking
position
on
16
bills
and
seven
budget
requests.
They
had
12
support
positions
and
11
of
those
12
bills
passed
and
know
that
this
is
just
going
to
be
a
high
level
summary.
M
We
shared
with
you
an
in-depth
annual
report
from
calfo
which
really
walks
through
all
of
this
walks,
through
all
the
detail
of
all
the
different
bills
that
they
supported
and
then
all
the
different
bills
that
they
were
monitoring
and
looking
at
throughout
this
session,
but
and
then
of
the
four
bills
that
they
were
monitoring
three
of
those
past.
M
The
priority
area
is
again
that
calfo
had
for
this
last
legislative
session,
the
public
health,
Workforce
behavioral,
health
and
substance
use
and
immunizations,
and
then
there
are
long-term
overarching
kind
of
priorities,
are
public
health
infrastructure
and
local
public
health
funding,
and
so
again,
I
think
those
those
efforts
to
really
hone
their
their
limited
resources
on
priority
areas,
I
think,
will
continue
to
to
help.
N
M
Be
successful
in
the
future
next
slide,
please,
the
2024
session
will
begin
January
10th
and
go
through
May
9th.
So
the
work
to
get
in
position
for
that
will
well
will
and
already
kind
of,
has
been
begun
for
for
different
topic
areas,
but
that
will
be
when
the
next
session
kicks
off
and
Heather
I'm
going
to
hand
over
the
reins
to
share
kind
of
the
details
about
what
we
did
as
bcph
staff
for
various
areas.
O
Thanks
Lane,
so
I
wanted
to
go
over
well,
first
off
good
evening
board
Heather
crate
they
them
theirs
and
I'm
the
community
health
division
manager,
along
with
Lane
working
to
support
policy,
Within
bcph,
so
first
I
just
wanted
to
go
over
some
of
the
steps
that
we've
taken
in
this
last
past
legislative
session
to
grow
our
work
with
policy
you
all,
as
Board
of
Health,
adopted
our
2023
legislative
priorities.
O
We
worked
with
y'all
to
identify
your
board
member
interests,
try
to
coordinate
better
some
engagement
with
legislative
work
that
was
coming
up.
We
did
work
Elaine
and
I
together
to
develop
a
bcph
policy
work
group.
We
had
an
internal
bi-weekly
standing
meeting
during
the
legislative
session,
which
was
something
new
for
us
and
that
was
open
to
any
staff
who
were
engaged
in
or
interested
in
policy
staff,
attended,
kind
of
on
a
rotating
basis
based
on
what
was
coming
up,
but
we
did
see
overall
staff
participation
really
increase
this
year
around
legislative
activities.
O
We
created
our
own
internal
tracking
system
for
bills,
similar
to
kind
of
the
tracking
that
lane
just
showed
you
from
calfo.
So
we
specifically
actively
tracked
over
50
bills,
including
different
timelines,
our
agency
positions,
staff
Point
person.
What
the
outcome
was,
how
we
were
engaging
with
the
bill
active
role
in
advocating
for
over
I
think
right
around
30
bills.
So
that's
either
providing
talking
points
written
testimony,
speaking
providing
testimony
or
signing
on
to
letters
of
support.
O
O
One
cool
thing
that
we
got
access
to
was
that
the
bocc
policy
team
got
the
Commissioners
to
pay
for
us
to
have
an
account
to
online
resource
called
Stateville
Colorado.
Basically,
it's
a
comprehensive
legislative
Bill
tracking
service,
so
we
could
just
type
in
a
bill
and
get
all
of
the
info
in
one
spot.
Instead
of
having
to
click
through
all
the
state
websites.
O
We
have
started
some
conversations
with
our
Municipal
County
and
Regional
Partners
around
Public
Health
policy
leadership,
and
we
did
a
new
edition
this
year.
That's
been
really
cool.
Is
we
have
a
public
health
associate
Eliana?
Who
is
tracking
all
of
our
Municipal
and
School
Board
public
health
related
policy
next
slide,
please.
O
So,
as
far
as
thinking
about
infrastructure,
moving
forward
Lane
and
I
and
everyone
else
in
the
agency,
a
special
shout
out
to
everyone
who
provided
any
kind
of
testimony
or
work,
especially
Dave
larocca,
he
stepped
it
up
quite
a
bit.
O
O
Further,
developing
our
internal
workflows
for
how
we
take
action.
What
that
looks
like
we're,
really
hoping
to
identify
resource
needs,
including
a
potential
job
description
and
funding
for
a
policy
lead
position.
We
really
think
that
would
be
helpful
to
have
someone
who
this
was
their
primary
focus.
O
As
far
as
our
policy
priorities
we're
looking
at
the
community
health
profile
and
our
draft
strategic
plan
to
help
us
inform
agency
policy
priorities,
we
have
continued
to
identify
kind
of
broad
priority
areas
that
relate
to
Public
Health
and
the
types
of
programs
and
supports
that
we
provide
as
bcph
and
then
as
far
as
enhancing
equity
and
Community
engagement.
We
have
been
working
with
the
county
policy
team
around
continued
collaboration
for
supporting
Community
Partners
and
engaging.
O
We
did
have
I
believe
a
couple
of
clients
from
Genesis
give
some
talking
points,
and
we
had
some
youth
testify
at
the
Capitol
this
year
as
well,
but
working
to
to
build
that
out.
Additionally,.
D
Sorry,
the
room
got
muted
Lexi.
Oh.
I
No
thanks
very
much
for
the
summary
I
think
we
just
wanted
to
spend
a
little
time
with
you
all
to
hear
your
Reflections
about
how
this
process
went
this
year,
whether
you
feel
like
we're
going
the
right
directions,
any
additional
thoughts
you
have
about
the
future
in
this
workspace
for
for
bcph,.
A
Yeah
I
enjoyed
talking
to
some
about
the
addiction
bills
that
were
coming
up,
but
it's
hard
I
guess
it's
hard
to
know.
When
they're
coming
up
to
be
available
to
speak,
I'm,
not
sure,
there's
another
way
we
could
Maybe
do
a
video
recording
or
something
I.
Don't
know,
I,
don't
know
how
you
go
about
that
or
testifying
except.
B
M
There
is
opportunity
for
remote
testimony,
there's
also
an
opportunity
for
written
testimony,
so
there's
sort
of
two
different
options:
I
think
that
yeah,
the
nimbleness
that's
needed
for
the
session
is
challenging.
What
what
we
have
and
I
think
some
of
the
software
that
the
commissioner's
office
has
also
provided
is
the
bills
that
we're
interested
in
you
can
kind
of
see
where
things
are
at,
and
you
know
when
they're
scheduled
for
the
next
committee.
That
being
said,
that
isn't
always
still
a
huge
timeline
of
forecasts.
Sometimes
it's
still.
M
You
know
days
at
most
advanced
notice,
but
for
bills
that
you're
specifically
interested
in
we
can.
We
can
provide
those
kind
of
hyperlinks
where
you
can
go
in
and
see
when
things
are
scheduled
or
we
can
think
about
what
other
sorts
of
information
might
be
helpful
and
useful.
M
M
That
would
be
something
that
we
can
try
to
think
about.
Doing.
More
updates
on
on
those
specific
bills.
L
I've
been
doing
this
for
a
number
of
years
and
I
just
want
to
say
thank
you
to
Lane
and
Heather
for
coordinating
everything,
because
it
was
a
lot
to
keep
up
with,
especially
in
the
mental
and
Behavioral
Health
space
this
year,
I've
never
seen
so
many
overdose
related
bills
or
legislation
that
was
introduced.
L
I
did
want
to
share
with
you
Landry
that
Judy
Mobley
who's,
a
local
representative,
a
state
representative,
is
going
to
be
meeting
with
the
substance,
use,
Advisory,
Group,
I,
believe
next
Wednesday
and
I
can
forward
you
that
email
but
she's
going
to
be
asking
for
What
legislation.
People
want
to
see
so
it's
nice
to
see
that
we're
not
going
to
be
on
the
response
side,
but
actually
helping
to
craft
and
draft
that
legislation.
L
G
Yeah
thanks
and
thanks,
Lane
and
Heather
for
taking
the
lead
on
this
work
and
I
know
it's
so
busy
when
the
legislative
session
is
in
session
and
just
thinking
about
the
questions
that
you've
put
forward,
I
mean
I.
Think
it's
really
helpful
that
you
send
sort
of
regular
updates
about
where
bills
are
in
the
session
and
and
I.
Think
in
the
past
we've
talked
about.
You
know
if
there
are
specific
opportunities
for
the
Board
of
Health
to
weigh
in
that
would
be
helpful.
G
I
think
we're
always
interested
in
that.
But
again
you
know
we
are
not.
We
are
not
as
Nimble
as
we
would
like
to
be
sometimes
in
turning
things
around,
but
if
there
are
opportunities
and
I
think
it's
great
that
you're
continuing
to
explore
with
the
county
policy
Team
how
to
engage
community
members
in
in
that
in
their
testimony,
because
I
think
those
are
so
powerful,
they're
really
difficult,
I
think
sometimes
logistically
to
pull
off
but
so
powerful.
G
When
you
can
so
it's
great,
if
you're
continuing
to
try
to
strategically
build
out
a
team
of
potential
testimony
and
and
I
think
you
know
for
me
also.
How
are
we
ensuring
that
there's
coordination
between
all
the
various
departments
that
have
policy
work
with
their
following?
How
are
we
coordinating
that
between
the
Departments
and
thinking
about
if
we
have
our
own
weed
from
the
Department
that
we're
Staffing
and
paying
for
you
know?
How
does
that?
Where
do
where
do
those
funds
come
from
and
then
thinking
about?
G
How
do
we
make
sure
that
policy
is
a
key
part
of
our
strategic
plan
and
where
every
element
that
we're
trying
to
impact?
What
are
the
potential
policy
goals
that
we
have
and,
and
how
can
we
be
more
proactive
in
pushing
those
forwards
forward.
O
Yeah
thanks
Morgan
I,
would
say
for
the
coordination
piece.
The
bocc
policy
team
definitely
helps
with
that
between,
like
us
and
Community
Services
housing
and
Human
Services
any
of
the
different
agencies
really
tracking.
Who
are
the
experts
who's,
giving
testimony
what's
needed?
They
do
take
the
lead
on
that
piece
and
I
think
they
would
continue
to
be
helpful.
In
that
sense,.
M
Yeah
I
agree:
I,
think
the
the
benefit
would
be
not
just
doing
what
Heather
and
I
have
been
doing,
but
expanding
it.
You
know
we're
we're
trying
to
do
our
best
to
stay
on
top
of
the
legislative
session,
which
is
really
challenging
and
and
and
the
staff
that
testified
did
an
amazing
job.
M
They
were
in
very
challenging
situations
under
duress
in
some
situations,
up
super
late,
contentious
bills
and
did
an
amazing
job
we're
not
even
looking
at
at
least
Heather
and
I
at
all
the
different
other
policy
issues
that
could
be
happening
within
the
county
at
the
municipal
level.
You
know
looking
at
the
Consortium
of
cities
and
all
those
different
kind
of
components.
M
I
know
a
lot
of
Adams,
County
and
Jefferson.
County
have
policy
people,
and
you
know,
there's
just
more
bandwidth
for
them
to
be
plugged
into
a
lot
of
different
components
and
again
being
in
that
proactive
spaces.
I
think
are
our
Big
Goal,
we've
really
I'd
say
been
largely
reactive.
You
know
we
we
have
in
some
cases,
areas
where
we're
able
to
work
on
on
groups
and
help
introduce
bills,
but
the
bandwidth
for
that
is
is.
C
M
You
know
good
intentions,
but
it
comes
down
to
the
actual
verbiage
they
put
in
their
draft
bills
and
so
I
think
there's
still
a
huge
space
to
be
in
that
proactive
world
and
do
do
more
good,
but
I
think
you
you
hit
it
on
the
head.
It
is
going
to
be
part
of
our
strategic
plan.
It
is
going
to
be
I
think
how
a
lot
of
the
divisions
and
programs
continue
to
make
that
impact
is,
is
through
policy
kind
of
community
level
work.
G
Yeah
and
thanks
Lane
I
think
that's
a
really
important
reminder
too,
of
all
the
local
Municipal
policy
and
then
School
Board
policy
too.
B
Yeah
I
mean
I
I,
definitely
support
the
concept
of
somebody
dedicated
a
staff
person
dedicated
to
tracking
coordinating,
and
especially
if
you're
talking
about
expanding
Beyond,
Public
Health,
the
Italians.
It's
like
a
public
works
to
a
health
yeah
and
it's
a
lot
of
work
and
Heather
in
Lane
great
job,
but
you
guys
have
other
jobs
to
do
and
it
is
difficult
to
stay
on
top
of
all
the
moving
pieces
of
the
legislature,
so
so
I
may
not
be
here
to
vote
on
it
I
definitely
support.
H
Yeah
I
have
a
second
what
Greg
just
said.
It
would
be
nice
if
you
had
a
dedicated
person
to
monitor
this
I
really
appreciate
it.
I
do
feel.
I
can
stayed
a
lot
more
informed
this
year
in
the
past,
which
I'm
very
thankful
for
so
thank
you,
but
yeah.
It
would
be
even
better
if
there
was
a
full-time
person
that
could
monitor
it
all
the
time.
O
We
agree
we're
glad
too,
that
we
had
our
Public
Health
associate.
She
did
a
lot
of
the
tracking
as
well
and
helped
us
keep
our
tracking
system
up
to
date.
So
definitely
a
team
effort,
but
I'm
glad
we
have
just
growing
interests
too
and
policy
across
the
agency
and
and
how
that
can
be
helpful
in
our
work.
H
Yeah
and
I
think
in
the
outcomes
to
gauge
the
success.
I
think
that's
a
tough
thing
to
measure
when
you
don't
have
a
dedicated
employee
working
on
this
I
think
that
if
you
had
a
dedicated
employee,
then
you
could
be
more
proactive
with
some
of
this.
Instead
of
just
being
completely
reactionary
and
at
that
point,
I
think
you
could
have
some
better
measures
of
success
there,
but
I
think
it's
a
pretty
tough
thing
to
do
with
just
people
doing
it
part-time.
B
And
I'll
just
I'll
just
add
my
my
statement
with
just
that.
I
did
think
that
the
communication
throughout
the
session
was
better,
whether
that
came
from
calfo
or
whether
that
came
from
Frontline
I,
just
yeah
I,
just
appreciated
being
seeing
more
updates,
even
though
you
know
you
generally
are
going
to
skim
to
what's
my
subject
matter
area
that
I'm
really
the
most
interested
in,
because
it
is
a
lot
of
work.
So
thank
you
to
all
of
you
for
who
helped
make
that
happen.
H
Yeah
I
talk,
my
summary
would
be
nice,
but
again
I.
Don't
think
we
can
ask
that
if
people
are
doing
this
part
time
so
I
thought
that
that
was
completely
reasonable
for
who
was
doing
the
work.
Yeah.
I
We
do
have
some
thoughts
about
where
we
might
be
able
to
raise
some
funds
for
this
kind
of
a
position,
hopefully
sooner
rather
than
later
it.
Actually,
it
wouldn't
necessarily
be
a
brand
new
position.
We've
had
the
position
before,
but
had
to
kind
of
reallocate
the
space
for
other
priorities
and
we'd
really
just
like
to
recapture
that
function
in
our
agency,
as
we
continue
to
kind
of
come
out
of
covet
and
recover
and
and
build
stronger.
B
Yeah,
you
know
it's
it's
interesting,
that
with
policy,
especially
the
advocacy
around
policy,
a
lot
of
jurisdictions,
including
my
including
Denver,
look
to
Boulder
County,
especially
Boulder
County
Public
Health,
because
of
you
know
you
have
that
support
from
the
commissioners
right,
whereas
in
a
lot
of
jurisdictions,
it's
like,
oh,
no,
no,
no,
no
advocacy
for
or
against
unless
it
has
a
direct
operational
impact
on
our
budget.
Well
in
public
health,
I
mean
that
that
happens
sure,
but
that's
the
whole
kind
of
point
is
we're
trying
to
move
toward
these
improved
outcomes.
B
That
generally
require
policy,
and
you
know
I
I'm
jealous
that
you
guys
get
that
kind
of
freedom,
but
you
still
need
the
resources
right.
So
I
would
definitely
you
know,
encourage
you
to
push
back
hard
and
often
in
terms
of
you
know,
if
you
meet
resistance
to
that
request,.
M
Well,
I
I
know
you
mentioned
being
more
active
as
a
board.
I
don't
want
to
slight
what
you
already
do.
We
we
don't
take
for
granted
that
we
have
a
board
of
health
that
supports
the
work
that
we're
doing
and
allows
us
to
engage
in
this
policy
work,
and
we
know
that
that
is
not
common
across
the
board.
We
know
we
have
peers
exactly
like
you
described
Greg
that
do
not
have
that
support
or
even
given
direction
to
to
not
have
any
action
in
those
areas.
M
So
I,
don't
I,
don't
know
that
you
maybe
know
that
all
as
a
board,
but
it
is
not
that
common.
So
we
very
much
appreciate
the
the
support
we
have
of
the
board
for
staff
to
do
the
the
work
that
they've
been
doing.
B
Oh,
we
got
a
lot
of
good
things
done
over
the
last
10
years.
So
here's
here's
more
good
things
to
come.
I
K
Q
K
You
so,
following
with
the
format
that
Lexi
talked
about
earlier,
we
provided
a
lot
of
updates
in
your
packet
like
to
really
Jam
a
lot
of
information
in
there,
for
you
guys,
so
the
slides
tonight
are
just
I
pulled
out
a
few
slides
to
kind
of
refresh
what
we
talked
about
in
the
packet
and
then
really
wanted
to
kind
of
focus.
Our
time
on
asking
for
your
feedback
on
some
things,
like
Lexi,
mentioned,
to
kind
of
spend
some
time
opening
it
up
to
you
guys
for
discussion.
K
Okay,
perfect,
so
this
is
just
kind
of
showing
the
progress
that
we've
made
on
our
strategic
plan
as
a
reminder,
we're
developing
our
strategic
plan
for
the
next
five
years
from
2024
through
2028.,
so
there's
some
activities
that
we
have
completed
and
then
what
we're
working
on
moving
forward.
So
some
really
exciting
things
that
so
we
do
have
six
strategic
priorities
and
four
out
of
the
six
work
groups
started
meeting
recently
to
work
on
the
goals
and
objectives
for
those
strategic
priorities.
K
We
did
modify
the
timeline
a
little
bit
to
account
for
some
delays
that
we
had
just
in
getting
the
work
groups
going
due
to
the
staff
capacity
and
scheduling
and
kind
of
just
getting
the
work
groups
working
together.
K
I
was
maybe
a
little
aggressive
in
my
initial
timeline
of
wanting
us
to
finish
earlier,
so
we
have
adjusted
some
things.
Originally,
we
had
planned
to
have
our
final
strategic
planned.
The
entire
document
done
by
the
end
of
the
year,
we'll
have
the
draft
done
by
the
end
of
the
year,
but
it's
looking
like
our
final
document
will
be
ready
until
the
beginning
of
the
year,
January
February.
K
K
K
Moving
on
to
our
Public
Health
Improvement
plan,
so
again
some
activities
that
were
completed,
we
did
hold
our
community
event
back
in
May
to
get
some
feedback
on
our
strategies
and
activities
that
were
identified
for
our
Public
Health
Improvement
plan,
which
was
a
success.
I,
don't
remember
the
exact
number,
but
over
60
community
members
stopped
by
to
give
us
some
feedback,
which
we
were
really
excited
to
see,
that
kind
of
a
turnout,
our
chocolate
work
group,
a
group
of
Staff,
that's
been
working
on
our
cha
and
our
fifth.
K
So
then,
moving
forward
in
the
next
few
months,
we'll
be
finalizing
our
community
health
assessment.
That's
just
getting
kind
of
our
final
review.
Now
the
chocolate
group
is
going
to
be
finalizing
our
FIP
and
the
action
plans
and,
of
course,
celebrating
the
success
of
finishing
this
process
and
developing
our
plan
and
then
we're
going
to
start
looking
at
how
we're
going
to
implement
our
Public
Health
Improvement
plan.
K
Once
everything
is
finalized,
we
will
of
course
submit
our
fit
to
you,
the
Board
of
Health
for
approval
and
then,
ultimately,
that
gets
submitted
to
cdphe,
as
it
is
a
requirement
for
us.
Please.
K
This
slide
I
pulled
out
from
your
packet
just
to
kind
of
highlight.
This
is
the
first
time
that
you
guys
are
seeing
this.
There
are
draft
objectives
for
our
Public
Health
Improvement
plan.
That's
something
I
should
have
referenced
on
the
previous
slide.
As
a
reminder,
we
are
focusing
on
mental
behavioral
health
for
our
public
health
group,
and
so
these
are
the
draft
objectives
that
that
kind
of
the
high
level
areas
that
we
are
focusing
on
policy,
social
connectedness,
strategic
Communications
sustainability
and
funding
and
technical
assistance
and
training.
K
K
Foreign
and
then
this
is
just
kind
of
a
an
image
for
you
all
again.
This
was
in
your
packet.
This
is
similar
to
an
image
you've
seen
before,
but
just
to
kind
of
show,
try
and
give
a
visual
of
how
everything
is
connected.
So
with
our
strategic
plan
right
in
the
middle
again,
we
have
our
six
strategic
priorities
around
that
and
mental
Behavioral
Health.
K
You
can
kind
of
see
how
that
aligns
with
our
Public
Health
Improvement
plan,
focusing
on
mental
Behavioral
Health,
as
well
as
dolder,
County's,
Behavioral,
Health
roadmap
and
they're
all
working
together
with
alignment
where
it's
feasible
and
kind
of
feeding
into
each
other,
so
just
to
kind
of
again
show
that
visual
representation
of
how
all
these
strategic
plans
fit
together
strategic
priorities.
Yes,
not
multiple,.
I
Strategic
plans
and
just
a
reminder,
and
that
in
BH
space
that
we're
working
with
our
County
Partners
as
part
of
Boulder
County,
Behavioral
Health
roadmap,
that
our
strategic
priority
is
reflected
in
that
road
map.
The
fifth
is:
are
the
pieces
of
our
middle
and
Behavioral
Health
Plan
that
we're
wanting
to
really
go
deeper
into
the
work
that
we're
not
doing
as
much
of
yet
that
we
feel
like
really.
We
need
to
invest
more
into
be
more
transformative
in
the
mph
space.
K
K
We
kind
of
threw
out
some
questions
for
well
as
the
Board
of
Health
just
kind
of
getting
some
feedback
on
a
few
different
things
or
if
you
have
any
other
questions
about
things
that
were
in
the
packets
happy
to
answer
those
as
well
read
the
questions
there's
any
place,
you
want
to
start.
Q
Q
And
little
partners
the
organization,
so
they
are
one
of
the
Community
Partners
that
have
been
engaged
in
the
behavioral
health.
Sorry,
the
behavioral
health
roadmap
process
overall,
which
is
largely
where
we've
sourced
not
largely
almost
exclusively,
where
we've
sourced
our
qualitative
data
from
so
they've,
been
kind
of
in
that
umbrella
of
broad
Community
Partners
that
have
been
engaged
in
both
the
behavioral
health
roadmaps
process
and
therefore
funneled
kind
of
into
our
process
as
well.
Does
that
help
answer
your
question
and
that's
very
high
level?
Well.
I
I
We
one
of
the
things
that's
nice
about
the
way
that
the
road
map
is
laid
out
is
that
it
gives
Public
Health
an
opportunity
to
really
be
transparent.
About
saying
this
is
kind
of
our
work
and
kind
of
the
limits
of
our
work,
and
this
is
where
we
would
want
other
partners
to
step
in
and
so
MHP
does
an
awful
lot
of
service
provision,
which
really
is
not
public
Health's
charge.
I
We
really
are
trying
to
stay
focused
as
much
as
we
can
in
prevention,
harm
reduction
and
visit
prevention,
harm
reduction
and
earlier.
D
I
Q
Fairly
similar
yeah
yeah
I
mean
in
that
to
Lexi's
point.
Clinica's
has
primarily
and
please
anyone
jump
in
if
I'm
misspeaking
has
primarily
been
focused
on
that
direct
service
which,
again
to
Lexi's
point
we're
trying
to
be
clear
in
our
FIP
slash
strategic
plan,
clearly
delineating
the
roles
of
like
what
is
public
health,
Public
Health
sphere
of
influence
versus
how
are
those
Partners
being
incorporated
into
the
County's
broader
Behavioral
Health
efforts.
I
But
I
will
say
there
are
also
some
spaces
where
you
see
more
collaboration,
so,
for
instance,
I
mean
MHP.
Clinica
are
you
know
very
interested
in
supporting
the
community
and
having
access
to
naloxone,
for
instance?
And
so
you
know,
how
do
we
coordinate
on
training?
How
do
we
coordinate
on
distribution?
How
do
we
make
sure
that
we
are
our
spreading
the
resources
to
the
right
populations
collectively,
as
a
group.
R
Yeah
I'd
like
to
add
to
that
too,
is
that
I
mean
we
all
basically
said
it,
but
I
think
there's
a
part
where,
where
how
do
we
map
out
those
linkages
with
that
space
right,
there's
referral
linkages,
there
is
training
pieces
like
like
Lexi
mentioned,
while
at
the
same
time
sort
of
Lexi
said
keeping
what
is
public
health
charge
in
that
and
I
think
we're
looking
at
the
County's
road
map
in
that
team,
which
has
a
significant
amount
of
resources
to
help
sort
of
facilitate
some
of
those
linkages
as
well.
R
I
mean
that
spectrum
is
huge
right
and
there's
a
lot
of
work
being
done,
and
so
it's
about
you
know,
being
able
to
look
across
that
and
see
where
there's
linkages
and
where
we
back
off.
Are
we
going
to
go
forward
more
and
that
type
of
thing
like
that,
and
so
we're
not
down
that
path
totally
yet
I
think
this
is
part
of
this
effort
is
being
able
to
to
understand
better
those
spaces,
and
so
we
can
work
smarter
and
and
Focus
resources
in
a
smarter
way.
That's
the
disjointed
with
those
other
folks
back.
H
Okay,
I
had
a
question
on
the
technical
assistance
and
training
part.
So
is
that
do
you
all
envision
that
being
similar
to
what
they
were
just
talking
about
in
Denver
with
the
the
mental
health
Outreach
to
schools?
So
is
the
idea
to
train
individuals
from
the
priority
populations
to
reach
out,
or
is
this
training
to
specifically
Target
the
needs
of
priority
populations?
H
K
I
will
say
that
hasn't
all
been
determined
yet,
but
really
looking
at
Technical
and
training
assistance
as
the
first
step
kind
of
developing
a.
K
Provide
Technical
and
training
technical
assistance
and
training,
but
I
think
a
lot
of
it
was
looking
at
either
General
Community
training,
Community
Partners,
our
expertise
to
train
Community,
Partners
skill
building
trainings.
That
kind
of
a
thing,
but
the
short
answer
would
be
both.
R
Also,
you
know,
part
of
this
also
is
like
when
you
look
at
the
work
we've
done,
for
example
with
Oasis
right.
How
do
we
work
with,
for
example,
lgbtq
youth
example
of
what
sort
of
things
or
what
are
sort
of
some
of
the
skill
sets
that
we
bring
to
the
table
that
we
could
work
with
providers
on
that
we
can
work
in
other
spaces
like
that,
I
think
is
really
critical
right.
R
So
it's
not
deep
training,
necessarily
on
everything
around
mental
Behavior,
Health
I
think
there's
certain
spaces,
particularly
around
prevention,
and
what
that
looks
like
and
those
you
know,
just
of
course,
the
impact
of
populations,
whoever
those
may
be
as
well
in
that
space
I
think
they're
still
like
Rachel
said
that
just
a
lot
of
discussion
being
had
in
that
work
group.
But
what
does
that
mean
and
what?
What?
How
do
we
pull
those
out?
And
if
it's
always
going
to
be
a
moving
sort
of
planning?
D
D
L
I
just
wanted
to
add
to
a
couple
comments.
One
is
we
have
been
working
really
closely
with
MHP
and
the
federally
qualified
Health
Centers
to
make
sure
that
we
are
collaborating
on
a
system
of
naloxone
distribution,
including
looking
at
vending
machines,
and
that
becomes
really
important,
because
you
need
that
clinical
linkage.
So
people
understand
how
to
administer
naloxone.
They
understand
when
to
use
it.
What
to
what
signs
to
look
for
and
then
being
able
to
have
a
vending
machine
within
the
building
for
them
to
for
the
individual
to
be
able
to
go
and
access.
L
We
have
been
working
really
closely
with
the
addiction
recovery
center
for
many
years
and
in
fact,
some
of
our
largest
harm
reduction
service
they're,
our
largest
provider,
in
terms
of
how
many
people
are
seen
through
MHP
and
they
they
are
really
critical
to
all
of
our
work.
So
I
just
wanted
to
share
that
in
terms
of
the
training.
The
harm
reduction.
Work
has
really
really
taken
off
because
of
the
federal
crisis
that
we're
seeing
and
so
we
initiated
with
Allison
Bailey
who
works
in
the
prevention
and
run
csap
and
Heather's
team.
L
We
don't
want
to
just
be
dealing
with
it
on
the
back
end
and
so
there's
a
lot
of
Investments
and
collaboration
and
prevention
and
harm
reduction
spaces
which
involve
not
only
training
community
members
who
are
disproportionately
impacted
in
those
priority
settings
and
those
priority
populations,
but
also
kind
of
training.
The
larger
community
in
general
there's
a
lot
of
stigma
against
people
who
use
drugs.
There's
a
lot
of.
Sometimes
people
just
don't
understand.
There
may
be
a
lack
of
empathy
that
the
community
is.
L
You
know
not
really
understanding,
because
they're,
maybe
coming
from
a
place
of
privilege
that
people
who
use
drugs
are
often
feeling
shame,
often
feeling
very
much
more
marginalized
from
society.
And
so
I
did
want
to
share
those
comments,
because
I
think
that
the
work
that
this
team,
the
hpe
team
has
been
doing,
has
really
been
fabulous
in
pulling
it
all
together
and
collecting
it
so
that
we
have
a
collective
vision
for
the
next
five
years.
A
Is
to
get
really
concrete,
as
probably
many
people
know,
that
X
waiver
is
gone
and
I've
been
surprised
at
how
many
providers
at
Clinica
are
not
willing
or
open
to
prescribing
Suboxone,
and
it's
been.
It's
certainly
been
a
battle
that
I've
been
taking
up
at
Clinica,
but
I
recall
a
training
that
I
think
was
connected
to
to
you
guys
at
Salud
through
Carlos,
who
is
doing
it
up.
It's.
He
was
the
primary
Behavioral
Health
coordinator
up
at
salute
a
few
years
ago.
A
This
is
pre-coded,
but
I
think
that
would
be
good
too
to
have
a
program
where
you
go
into
the
health
centers,
because
without
that
X
waiver
requirement
now
any
really
any
doctor,
but
it's
Primary
Care
primarily
can
prescribe
Suboxone.
A
So
the
the
barrier
has
been
dropped,
but
people
aren't
prescribing
it.
So
I
think
doing
another
thing:
raising
awareness
and
I'm
being
thrilled
to
hear
what
the
progress
is
on
vending
machines,
because
we
could
benefit
from
having
a
vending
machine.
Yeah.
L
I
was
just
at
a
meeting
today
and
I
learned
that
the
State
Health
Department
got
20
million
dollars
to
purchase
naloxone,
so
we're
gonna,
probably
just
see
lots
of
vending
machines
in
naloxone
flowing
more
freely
in
the
community,
because
that
was
a
barrier
not
having
a
consistent.
You
know
flow
of
naloxone.
L
Butt
yeah
and
I
think
you
bring
up
a
really
good
point:
Landry
around
training
just
for
healthcare
providers
and
I.
Think
Kelly
was
mentioning
this
too,
and
that
is
a
lot
of
training
has
to
be
done
with
Healthcare,
Providers
and
I
know
that
we
are
working
closely
with
the
Consortium
to
make
sure
that
they
are
because
they
that's
kind
of
what
they
do
to
make
sure
that
we
can
get
some
training
within
the
community.
L
So
I
think
excellent
points
and
I
do
feel
like
this
is
a
you
know:
we've
kind
of
taken
an
approach
with
harm
reduction.
Now
that
the
community
has
to
be
part
of
the
solution,
we
we
can't
just
run
a
Works
program
and
pass
out
naloxone.
The
community
actually
has
to
be
engaging
and
be
part
of
the
solution,
because
the
drug
Supply
is
changing,
it's
it's
changing
not
for
the
better
and
because
it's
not
a
consistent
drug
Supply,
it
puts
people
at
risk
for
dying,
and
so
we
want
to
prevent
that.
C
Q
I
Those
things
are
not
about
programs
right.
They
are
apply
to
the
range
of
work
that
we
do
in
the
mdh
space
and
they
also
are
intended
to
kind
of
support
this
bigger
vision
of
like
how
do
we
activate
the
community?
How
do
we
get
the
community
involved?
How
do
we
recognize
where
there
are
resources
in
the
community
that,
if
we're
you
know
providing
data
to
them,
that
that
really
helps
them
to
do
their
jobs
and
step
into
the
space?
I
All
for
you
know
an
aligned
vision
of
the
work
getting
you
know
into
that
proactive
policy
space
recognizing
that
middle
and
Behavioral
Health
interventions,
don't
look
the
same
to
every
Community
I
mean
the
indigenous
Community,
has
very
different
ideas,
often
about
what
supports
mental
and
Behavioral
Health
than
other
populations,
so
just
really
trying
to
break
open
some
of
those
more
tactical
approaches,
and
some
of
those
assumptions
that
we
have.
Q
Q
Right
is
to
like
again
be
very
intentional
about
the
spaces
in
which
Public
Health
needs
to
be
present
and
also
very
intentional
about
the
spaces
and
where
Public
Health
maybe
needs
to
take
it
back
seat
and
play
a
more
supportive
role,
and
so
that's
been
really
wonderful
to
have
those
ongoing
conversations
and
have
you
know
our
other
County
Partners
be
very
open
to
that
and
receptive
to
that
feedback.
So
you
want
to
say
something:
Kelly,
no,
oh
I'm,
good,
okay,.
R
And
also
you
know
also
if
you,
if,
if
any
of
you
all
have
any
questions
particular
for
for
Rachel
and
Elise,
feel
free
to
reach
out
to
us
right,
I
mean
this.
Is
you
know,
I
think
we
feel
that
this
is
an
agency
plan
and
people
have
to
have
buy-in,
and
that
includes
from
y'all
to
to
our
regular
staff
right,
including
Frontline
staff,
and
things
like
that.
You
have
to
see
yourselves
in
this
space
and
that's
what
we're
trying
to
accomplish.
Q
C
I
Take
you,
through
step
by
step
of
the
director's
report,
did
try
to
include
responses
to
some
of
your
questions
from
the
last
meeting,
particularly
Brook's
questions
about
I
think
it
was
Brooke
about
the
difference
between
the
healthy
kids
Colorado
survey
and
the
work
that
Saint
Vrain
does,
which
is
quite
a
different
process,
with
difficult
to
compare
materials
and
also
responding
to
Lindy's
questions
about
vector
control
kind
of
clarifying
where
public
Health's
role
is,
and
here
we
are
on
that
and
probably
saw
in
the
last
week
that
we
did
do
a
press
release
that
we
did
identify
West
Nile
in
the
in
the
mosquito
population
recently
so-
and
we
happen
to
have
lady
here.
M
Not
yet
this
year
not
identified
last
year
was
a
was
a
really
bad
year.
Colorado
actually
was
the
leading
state
for
West
Nile
cases,
and
we
know
that
we're
not
one
of
the
biggest
population
states
in
the
country.
So
that's
a
that's
very
always
concerning
to
us
that
we,
those
are
not
the
things
we
want
to
lead
in
and
I
I
think.
There
was
also
some
questions
around
the
mosquito
District,
which
I'm
happy
to
to
share
at
least
a
high
level
overview.
M
That's
a
very
unique
program.
It's
it
was
created
by
a
special
district,
so
a
vote
to
create
that
tax
district
and
it's
a
program
that
we
provide
Staffing
to,
but
it
is
overseen
by
the
Commissioners.
So
it's
one
of
the
few
public
health
related
programs.
It
didn't
start
that
way.
It
started
really
just
as
a
nuisance
control
for
mosquitoes,
but
with
2003
West
Nile
arriving,
and
we
did
have
some
Encephalitis
diseases
that
were
spread
by
mosquitoes,
but
nothing
to
the
degree
really
of
what
West
Nile
has
kind
of
created.
M
B
Somebody
was
complaining
about
this
spring
and
not
being
notified
and
and
so
I
like
I,
went
to
I,
ended
up
I,
think
at
the
vdci
website,
or
whoever
they're
called
now
yeah,
but
I
looked
at
Boulder,
County
and
I
didn't
see
any
notifications
of
previous
or
future,
and
so
is
that
something
that
the
city's
control
within
their
jurisdiction.
M
They
do
so
we
do
put
all
of
our
information,
so
there
is
a
Boulder
County
page
on
pdci,
who
is
our
contractor,
as
Greg
mentioned.
They
also
work
with
nearly
all
of
the
municipalities
so
and
I.
They
all
do
notifications.
They
all
I,
think
also
offer
like
we
do
voluntary
shut
off
for
people
who
do
not
wish
to
to
have
that
control.
The
adult
control
specifically
they're,
all
still
getting
the
larval
control,
which
is
the
bulk
of
what
we
do.
M
But
yes,
they
all
have
sites
and
do
the
similar
things
where
they're
sharing
their
their
spray
schedules.
Longmont
I
think
this
will
be
the
first
week
that
they
start
adult
control.
So
there
has
not
been
adult
control
in
Longmont
yet
this
year,
even
though
their
numbers
have
been
very
very
high,
but
that
that
is
going
to
start.
We've
we've
been
in
contact
with
their
new
program
manager
and
kind
of
share
the
concern.
M
It's
largely
a
Permethrin,
so
it's
a
it's
a
we
have
I
can
share
I'm
happy
to
share
a
lot
more
detail
on
that.
We
have
all
the
information
on
our
our
website,
so
I
can
get
that
to
the
board.
But
it's
it's
it's
challenging.
As
Greg
mentioned
next
door
again
Google
you
can
find
anything,
and
even
just
looking
up
Permethrin
doesn't
necessarily
give
you
what
we
do
in
mosquito
control,
because
it's
also
used
in
many
agricultural
applications
at
much
higher
concentrations.
M
You
know
we're
trying
to
kill
mosquitoes
while
they're
flying
versus
applying
it
to
crops,
to
kill
much
larger
insects
on
contact
or
have
any
residual
or
our
spray
is
not
not
a
barrier
spray.
It's
not
a
long,
lasting.
It's
really
hitting
that
night
when
the
mosquitoes
are
out
and
active,
and
so
again
it's
at
night
time.
So
when
you
hear
next
door,
complaints
about
killing
all
the
pollinators,
we
don't
spray
during
during
the
day,
but
weed
control
and
agricultural
products.
M
They
they
spray
during
the
day
when
pollinators
are
present,
sometimes
so
so
yeah,
it's
it's
definitely
the
the
least
favorable
I,
think
or
most
contentious
component
of
the
program.
But
it's
also
one
of
the
smallest
components
of
our
program.
The
bulk
of
what
we
do
is
is
larval
control
and
the
habitat
assessment,
and
then
the
surveillance
work
and
then
the
last
line
of
our
you
know
you
know
IPM
program
is,
is
that
adult
control-
and
there
still
is
a
component
of
nuisance
control.
M
M
A
M
It's
gonna
be
bad
everywhere,
I
live,
you
know,
just
south,
just
south
of
Boulder
in
Jefferson
County
and
usually
don't
see
much
mosquito
activity.
I
mean
it's
already
been
pretty
bad
near
me
and
we're
just
at
the
beginning
of
July.
So
we
are
pretty
concerned
about
what
this
this
year
shapes
up
to
being.
R
M
M
Is
that
it's
a
disease
where
once
people
are
feeling
bad
enough
to
go
to
a
doctor
that
there's
already
the
the
latency
between
your
when
you're
infected
and
when
you
show
symptoms,
then
you
get
worse
and
you
start
to
feel
bad
and
go
to
a
doctor
and
then,
if
they
actually
do
diagnostic
tests
and
then
report
that
so
we
typically
see
cases
two
weeks
after
people
were
infected
and
we're
we're
still
not
at
as
high
a
risk
as
we
will
be
in
into
August
and
possibly
even
to
September.
M
So
we'll
still
see
cases
that
we
get
reported
to
us
into
October
and
later
so,
but
yeah.
The
bulk
of
infection
that
you
know
certainly
can
start
into
July.
But
we
probably
won't
see
those
cases
if
there
are
some
of
July
exposures
until
August
and
then
August
into
September.
So
again,
there's
that
kind
of
latency.
M
Not
here,
so,
please
don't
make
sure
that
that's
clarified.
We
do
not
have
the
mosquitoes
and
we
currently
don't
have
a
habitat.
Although
this
summer
is
producing
more
humidity
than
I,
think
I've
experienced
in
my
19
years
in
Colorado
but
yeah.
We
we
do
not
have
the
mosquitoes
to
support
malaria
in
Colorado,
but
it
has
been
acquired
in
in
in
Southeast
U.S.
D
H
B
I
guess
I
had
a
question
on
on
the
water
quality
and
Joe
still
on
the
phone
yeah,
maybe
joking
and
chime
in
here,
but
for
the
for
the
Marshall
fire
impacted
properties
that
had
septic
is
it
I
mean
are
a
lot
of
them?
Do
they
need
to
be
rebuilt,
I
mean
since
they're,
mostly
below
ground.
Is
it
mostly
just
the
parts
that
stick
above
the
surface
or
or
did
it
was
it
just?
B
N
We
are
seeing
a
mix
of
permits
from
the
Marshall
fire
and
what
we're
finding
is
a
lot
of
the
homes
that
may
even
had
a
permitted
system
are
wanting
to
expand
the
footprint
of
the
home
or
add
an
accessory
dwelling,
which
the
county
is
is
approved
for
these
rebuilds,
which
doesn't
tell
expanding
the
septic
system,
which
requires
they
come
back
to
us.
For
a
you
know,
an
actual
review
of
complete
new
septic
system
or
addition
to
what
they
already
have.
We
do
offer
just
to
be
able
to
hook
to
an
existing
system.
N
B
Our
friends
at
cdphe
and
I
saw
that
Jeff
zayak,
as
the
interim
director
at
Jefferson
County
is
that
is
that,
because
of
that
long,
since
Don
Comstock
resigned,
I
mean
has
they
been
out
a
health
director
ever
since
right.
I
M
M
M
Yeah,
it
was
really
really
to
to
provide
that
relief
to
their
senior
leadership
team
and
some
continuity
and
then
hopefully
a
much
smoother
transition
for
a
new
executive
director
which
the
Board
of
Health
has
announced
a
final
candidate.
C
D
Have
it
roughly
an
hour
to
an
hour
and
a
half
before
the
August
Board
of
healthy
I
also
sent
an
email
to
the
Board
of
Health
members
of
facts.
If
that
will
work,
we
just
wanted
to
reduce
the
amount
of
readings,
but
it
kind
of
adds
a
meeting
before
that,
so
we
can
kind
of
play
around
with
it
and
I'll
just
get
your
availability
and
start
planning
that
or
if
you
would
rather
yeah
yeah.