►
Description
Actualización del condado de Buncombe el dia 7 de septiembre de 2021 sobre COVID-19
A
B
B
With
this,
the
commissioners,
thanks
for
the
invite
today,
we
are
going
to
do
our
update
on
kobe.
We
have
reminders
that
we
are
going
to
talk
about
the
current
situation
of
cobb
and
we
are
going
to
talk
about
reconnection
and
progress
and
what
comes
next.
I
wanted
to
start
with
our
curve
and
update
that
we
have
seen
a
total
of
23
thousand
and
1
kobe
19
cases.
B
Since
the
pandemic
began,
351
of
our
neighbors
in
little
more
county
died
due
to
kobe
19,
and
while
we
have
seen
a
decrease
in
the
increase
in
cases
in
the
last
two
weeks
show
a
little
bit
or
more
over
that.
In
the
last
two
weeks,
we
are
seeing
levels
similar
to
mid-January
of
this
year,
with
case
rates
closer
to
400
per
1,000
per
week
or
almost
1,000
per
week.
The
current
incidence
rate
is
At
about
three
hundred
and
sixty
six
cases
per
100,000
per
week.
B
This
is
virtually
no
change
from
last
week
when
we
had
365
on
average.
We
are
seeing,
though
these
cases
are
declining
very
little
and
on
average
we
are
seeing
about
129
cases
in
the
stream
work
of
the
public
health
department.
This
is
an
increase
of
120
in
relation
to
last
week,
so
we
are
seeing
a
decrease.
It
is
about
the
increase
in
cases,
and
that
is
encouraging,
but
it
should
also
give
us
caution,
because
the
number
of
cases
continues
to
be
very
high
at
this
time.
B
The
percentage
of
positivity
is
still
high
as
well,
but
has
remained
below
10%.
For
the
last
two
weeks.
The
por
percent
positivity
has
stabilized
at
half
9%,
with
a
current
value
today
of
96
percent
and
again,
while
the
situation
remains
stable.
This
is
a
long
way
from
the
levels
we
saw
in
July,
which
were
well
below
the
5%,,
which
is
the
percentage
that
we
want
to
see,.
Can
you
remember
that
we
were
seeing
percentages
of
2%,?
B
Within
a
few
weeks
from
mid-July,
we
saw
a
rapid
increase
in
new
cases,
which
is
followed,
which
was
quickly
followed
by
a
major
increase
in
hospitalizations
within
a
few
weeks.
Unfortunately,
when
we
have
high
levels
of
cases,
high
numbers
of
cases,
often
these
result
in
higher
respiratory
acronyms,
which
in
turn
usually
means
an
increase
in
the
number
of
deaths.
If
well,
we
are
looking
at
the
goods
that
we
saw
in
january
when
the
death
rate
was
12%
per
100,000
people
per
week.
B
The
death
rate
has
increased
from
11
to
31
per
100,000
people,
since
last
week,
hospitalizations
are
lagging
indicator
and,
with
levels
of
cases
still
very
high.
We
expect
to
see
a
high
number
of
e
hospitalizations
well
into
September.
The
doctor
will
talk
about
the
current
situation
of
comic
19
within
the
hospital
system.
B
Before
talking
about
vaccination
rates,
our
weekly
metrics,
we
have
decided
updated
and
you
can
see
them
at
the
top
of
the
cases
remain
high.
This
indicator
remains
red,
indicating
high
transmission
percentage
positivity,
while
still
stable,
far
exceeds
the
desired
state
of
less
than
5%
and
remains
orange.
B
Weeks
hospitalizations
continue
to
increase
from
last
week
and
they
are
still
high
and
they
are
putting
difficulties
in
the
capacity
that
we
have
in
our
hospital
system.
We
are
going
to
talk
more
about
vacu
rates
nation.
Now,
one
of
the
most
important
tools
to
control
and
manage
kobe
19
are
vaccines.
Vaccines
are
not
only
a
tool
to
control
kobe
19,
but
it
is
our
best
tool
to
summarize
3
reduce
the
number
of
diseases,
hospitalizations
and
deaths
of
our
population.
This
slide
shows
the
large
risk
gap
between
the
vaccinated
people
who
are
vaccinated.
B
People
who
have
not
been
vaccinated
for
their
disease.
People
who
have
not
been
vaccinated
are
at
risk.
The
orange
line
is
people
who
have
been
vaccinated
and
the
line
dark.
Blue
people
who
have
not
been
vaccinated,
people
who
have
not
been
vaccinated
have
a
four
times
greater
risk
of
contracting
cover
than
people
who
have
been
vaccinated
right
now.
People
who
have
not
been
vaccinated
have
a
risk
of
dying
from
kobe
15
times
higher
than
people
who
have
been
vaccinated,
15
times
higher
if
they
don't
get
vaccinated
again.
B
This
is
why
that
vaccines
are
so
important
today.
63%
of
our
population
has
received
at
least
one
vaccine
and
60
percent
of
the
total
population
has
received
both
vaccines.
This
leaves
a
large
proportion
of
the
population
still
unvaccinated
and
at
risk
of
getting
even
more
sickness,
who
then
also
have
a
higher
risk
of
being
hospitalized
or
dying.
In
recent
weeks,
we
have
seen
a
slight
increase
in
vaccine
administration
across
the
county
and
also
in
our
clinics.
Two
weeks
ago,
when
I
spoke
to
you,
I
was
feeling
excited
to
see
that
we
live.
B
We
have
an
increase
in
vaccines
as
of
today.
It
seems
that
that
rate
has
not
continued
to
increase,
but
we
have
still
seen
a
very
high
increase
since
last
week
we
are
going
to
talk
about
it
and
I
hope
it
is
text.
We
will
continue
to
see
an
increase
in
vaccines,
as
the
information
from
last
week
is
added.
As
I
said,
the
vaccine
is
one
of
our
best
tools
in
this
time
of
trans
mission
is
so
high.
B
B
County
bank
county
human
resources,
health
department
has
administered
2900
vaccines.
We
continue
to
include
offering
vaccines
in
our
fixed
office
that
is
located
at
40
cox
avenue
in
nashville,
and
if
we
have
continued
to
have
vaccine
events
throughout
the
area
this
week,
I
think
we
will
be
in
workplaces
and,
in
addition
to
community
outreach,
the
hong
kong
health
department,
kong
has
been
working.
My
inner
shoulders
for
people
who
can't
get
out
of
your
home
vaccine
services
are
available
through
plan
county
health
department
committed
area
wide.
B
B
B
B
As
a
result
of
this
ongoing
partnership
between
providers
and
with
a
focus
on
equity,
we
have
linked
many
vulnerable
areas
to
share
information
and
spread
vaccination
opportunities
among
all
The
partners.
This
map,,
although
it
has
many
colors,,
shows
the
census
sections
due
to
social
vulnerabilities
and
vaccination
rates,.
B
We
can
see
the
box,,
the
black
box,,
which
is
our
area,,
to
give
you
an
idea
of
where
the
blue
colors
of
this
map,,
ranging
from
blue
to
ocher,,
should
be
focused.
and
indicates
areas
of
high
social
vulnerability,
while
the
blue
colors
indicate
straw
and
back
social
vulnerability,
even
with
a
high,
although
the
red
color
that
is
in
the
east
of
us
and
to
the
west,
also,
those
colors
indicate
high
social
vulnerability
and
low
rates
of
vaccination.
B
To
close
the
update
on
vaccines,
we
have
seen
a
good
response
to
the
incentive
program
of
the
summer
from
the
health
department
before
starting
the
program.
We
are
giving
less
than
200
doses
per
week,
but
since
the
program
started,
we
are
promoting
an
average
of
400
doses
per
week
and
last
week
was
a
banner
week
where
we
gave
almost
550
doses
and
almost
300,
and
it's
one
of
those
two
is
was
the
first
dose
for
many
people.
B
B
Incentives
that
came
to
see
us
and
to
come,
see
us
or
as
soon
as
possible
before
the
program
ends
or
before
we
run
out
of
stock,
a
reminder
that
to
be
eligible
to
receive
the
$100,
a
person
must
be
18
years
of
age
and
receive,
and
you
are
getting
your
first
dose
to
receive
the
$25
gift
card.
Person
must
be
18
or
older
and
bring
a
person
who
is
getting
the
first
dose
or
that
the
first
dose
is
going
to
be
given.
B
So
what
remains
and
next
steps,
given
the
stabilization
of
the
percentage
of
positivity
and
the
slower
increase
in
cases,
there
are
no
new
recommendations
at
this
time,
but
we
will
look
to
review
and
evaluate
the
is
the
need
to
extend
the
facial
disclosures
requirement
at
the
meeting
of
25
21
september.
Any
further
recommendations
in
case
the
kobe
19
landscape
changes
from
that
time.
B
Bangkok,
county
public
health
sector
continues
to
provide
consultation
to
our
local
schools.
Now
that
school
is
back
to
school,
both
public
schools
have
implemented
universal
masking
from
kindergarten
to
grade
12
and
have
adopted
a
lot
making
all
the
numbered
recommendations
in
the
strong
schools
toolkit
regarding
social
licensing,
ventilation,
etcetera,
plus
the
department
of
pont
com,
county
health.
B
In
addition
to
their
current
vaccination
efforts
at
fixed
and
outreach
sites,
we
are
planning
to
activate
advance
boosters
for
people
who
have
immune
problems
and
for
people
in
the
general
public,
and
while
we
have
provided
official
guidance
or
directive
pongo
county
is
planning
me
now
to
be
able
to
better
meet
the
needs
of
the
public.
This
plan
includes
operations
specifically
for
boosters
the
vaccine
pack,
as
well
as
maintenance
operations
at
fixed
sites
for
those
who
still
need
the
first
dose
more
details
to
come
as
nuances
largely
depend
on
official
announcement
and
the
eligibility
criteria.
C
For
those
who
are
compromised
through
cdc,
those
who
receive
modern,
baiser
and
are
moderately
or
severely
compromised
can
receive
an
extra
dose
to
better
protect
themselves.
Individuals
have
to
give
their
own
will
that
they
qualify
for
that
third
dose,
who
have
a
condic
ion.
They
are
not
taking
any
medication
that
causes
them
to
have
shown.
Immunocompromise,
asserted.
C
The
ponto
never
county
health
department
because
it
can
be
administered
in
the
office
and
also
in
the
40
suites,
and
the
dose
can
be
from
any
vaccine
provider,
and
you
do
not
have
to
go
back
to
where
they
received
the
first
or
second
dose
to
receive
the
third
dose
if
they
are
eligible.
Nor
a
reminder
that
that
recommendation
does
not
include
people
who
received
the
johnson
vaccine
in
chance
before
passing
the
word
of
data
for
hardware.
C
I
wanted
to
remind
you
if
you
are
experiencing
symptoms
of
kobe
19,
please
take
a
test
and
do
not
wait
for
the
results
to
isolate
yourself
but
to
still
receive
the
vaccine.
Now
is
the
time
the
cases
are
high,
the
transmission
is
high
and
the
disease
and
hospitalization
and
death
is
much
higher.
If
you
do
not
have
vaccination
do
not
take
this
case
s.
C
The
risk
with
your
health
does
not
allow
that
as
19
take
control
of
you,
I
am
going
to
say,
get
vaccinated
and
po
ngala
plus
karina
mask.
That
is
what
the
only
way
we
can
control
with
19
and
reduce
the
risks
to
spread
and
transmit
kobe
19
infection.
Now
I
invite
doctor
hardware
to
drop
by
to
give
your
system
update.
I
think
there
are
some
questions
before
that.
C
C
We
have
two
schools
that
they
have
masks
for
kindergarten
through
12th
grade,
and
that
is
the
best
way
to
protect
against
chs
in
l
The
mission,
and
they
are
one
of
the
recommendations
that
we
have
in
our
culture
and
he
anticipated
that
we
will
continue
to
see
cases
in
children,.
Many
of
the
exposures
are
probably
outside
the
study
room
and
they
achieve
the
important
point
for
families
and
those
who
care
for
the
children.
C
children
who
are
out
of
school
that
when
they
are
doing
extracurricular
activities
or
going
out
with
the
family
in
the
neighborhood,
you
have
to
continue
practicing
the
most
expensive
physical
distancing
and
they
will
be
inside.
And
if
the
boy
or
girl
has
eligibility
for
vaccines,
they
can
receive
them
and
not.
They
have
still
received
inside
the
schools.
They
are
taking
many
precautions
in
terms
of
physical,
dispensing
the
masks
as
they
are
organizing
the
classrooms
and
taking
things
outside,
so
that
they
can
be
with
more
space
and
with
better
ventilation.
C
But
we
will
probably
continue
to
see
these
cases
in
the
future.
Thank
you
for
this.
In
terms
of
vaccination
efforts,
if
the
funding
of
the
e
The
state
is
going
to
end
on
September
13.
Is
there
any
authorization
to
use
local
financing
to
ensure
the
continuity
of
the
vaccines?
I,
don't
know
if
I
can
answer
that.
Question.
C
C
So
if
there
is
or
action
to
take,
we
add
it
to
a
point
on
the
agenda
and
you
can
make
it
contingent.
I
will
try
to
breathe
and
receive
answers
before
that,
and
the
question
before
the
group
is:
if
we
have
knowledge
and
encouragement,
and
the
last
point
I
want
to
make
is
that
you
are
doing
a
wonderful
job
with
different
strategies
and
it
is
working
for
many
people
to
receive
the
vaccine.
C
But
when
When
there
are
people
experiencing
fatigue
about
these
issues,
it
is
easy
to
not
pay
attention
and
I
think
it
is
worth
making
a
push
to
do
everything
we
can
do
to
make
vaccines
accessible
and
hopefully
the
vaccine
for
children
will
be
available
soon
and
we
can
focus
attention
there.
But
I
would
like
to
hear
if
that
seems
to
be
feasible
and
I
know
that
there
is
financing
that
has
been
designated
for
this
point
and
I
am
open
to
conversation
to
see
if
there
is
a
need
for
additional
funds.
C
We
are
doing
everything
we
can
to
reach
these
people,
so
I
would
like
to
hear
from
the
staff
about
this
at
the
next
meeting.
If,
at
the
next
time
we
meet,
in
particular
with
the
focus
e
from
18
to
25
years
and
45
years
of
age,
we
are
going
to
bring
more
information
on
ideas
for
communications
and
mass
media.
C
I
have
two
points
in
my
mind:
I
don't
know
if
I
have
read
about
an
incentive
for
people
from
12
to
18
years
of
age.
I,
don't
know
if
you
have
heard
of
this
I
would
like
to
see
if
we
can
know
more
about
it
in
the
next
meeting.
It
is
in
communications
and
messages,
not
incentives.
For
example,
gift
cards
are
for
people
18
years
of
age
and
15
percent.
Fifty
percent
of
people
from
18
to
17
from
12
to
18
years
old.
C
They
have
received
the
vaccine,
7
I,
think
it
is
15
50%
39
to
50.
It
is
divided.
I
can't
do
the
math
for
this,
which
was
my
other
thought
in
the
past
this.
If
you
have
mentioned
that
you
have
had
success
in
schools,
doing
outreach
in
schools.
I
would
like
to
know
if
this
is
still
the
case,
because
I
know
there
are
dozens
of
schools
within
the
bacum
county
border,
and
I
would
like
to
know
if
you
think
it
is
helpful
that
you
need
us
to
help
increase
the
double
efforts.
C
We
are
thinking
about
how
we
collaborate
with
the
schools
and
be
successful
during
that
time,
like
we
had
in
the
summer,
and
now
we
are
thinking
about
that.
You
know,
and
since
the
schools
just
started
session,
we
have
stepped
back
to
allow
them
to
get
used
to
the
year
school
and
then
return
to
communicate
to
us
about
the
most
alc
ance
about
vaccines.
C
Would
like
to
follow
up
on
what
pablo
was
mentioning.
We
are
hearing
a
lot
about
masks
in
schools
in
bancos,
county
and
also
in
algiers
in
the
city
of
asheville.
We
know
what
is
happening
in
public
schools,
but
I
am
not
listening
a
lot
about
the
private
schools
and
the
charter
schools
in
the
county.
What
is
going
on
there?
We
have
the
same
effort
there
with
them
with
the
public
schools.
Thanks
for
the
question,
it
is
my
understanding
that
it
is
the
charter.
Schools
are
following
the
public
schools
with
masks.
C
Fully
cut
outs
on
the
private
schools
is
different
and
I
don't
have
the
information
you
are
looking
for,
but
I
can
look
it
up
and
share
it.
Private
schools
may
or
may
not
be
wearing
masks
public
and
charter
schools
if
they
are
wearing
a
mask,
and
it
is
one
of
the
layered
approaches
and
it
is
a
very
important
approach
for
children
under
12
years
of
age
who
cannot
get
the
vaccine,
and
I
think
we
all
have
the
public
suv
were
very
happy
when
the
public
schools
decided
to
wear
the
mask.
C
The
universal
mask
reduces
the
risk
so
that
children
can
stay
in
a
learning
environment
that
is
healthy
and
safe
and
we
continue
to
meet
with
people
in
our
school
system
and
they
would
kick
us
out
and
shut
us
down
to
talk
about
the
recommendations,
so
we
can
help
them
figure
out
how
to
implement
the
recommendations
and
they
can
see
some
challenges
or
or
talking
about
new
directions.
So
we're
often
talking
to
the
school
systems
I'm
asking
the
questions
What
I
keep
hearing
is
coming
from
large
employers.
C
There
seems
to
be
a
lot
of
confusion
in
the
interpretation
of
the
guidance,
particularly
when
it
comes
to
isolation
and
quarantine,
and
there
are
a
lot
of
people
who
watch
those
meetings.
So
those
who
have
those
questions
might
remember
what
the
process
is.
If
anyone
has
experienced
expos
Iation
in
a
conference
room,
what
are
the
guidelines
for
isolation
and
quarantine
and
I
know?
It
is
very
basic,
but
I
am
hearing
a
lot
of
questions.
C
I
will
try
to
give
guidance
if
you
are
exposed
to
a
person
with
a
positive
case,
the
quarantine.
The
quarantine
criteria
is
According
to
your
vaccination
status,.
If
you
are
exposed
and
without
vaccination,,
your
quarantine
should
be
14.
Days.
There
are
other
options
for
a
shorter
quarantine,,
but
that
has
to
be
symptomatic
and
you
do
not
have
any
symptoms,
and
there
are
criteria
for
you
to
have
a
longer
quarantine.
short
and
have
received
vaccination
and
have
been
exposed
to
a
positive
person.
C
Cdc
guidance
is
that
you
have
to
quarantine,
but
still
have
to
self
monitor
for
symptoms,
and
we
recommend
that
3-5
days
after
last
exposure
that
you
receive
a
test,
that's
something
pretty
basic
and
that
criteria
becomes
very
detailed.
If
you
don't
have
vaccination
and
try
to
have
a
quarantine
ena
shorter,
but
that
is
the
most
basic
thanks.
I
appreciate
it
very
much.
C
C
Think
one
of
the
questions
that
we're
asking
ourselves
is:
can
there
be
new
tactics
where
there
would
be
additional
resources
that
we're
willing
to
invest
to
build
on
top
of
what
we're
already
doing
and
to
Being
able
to
reach
more
people
would
be
correct,
and
we
know
the
people
who
have
received
the
vaccines
we
know
who
they
are.
I
am
saying
it,
but
it
is
a
question
and
we
know
that
they
have
not
received
the
vaccine.
C
We
know
who
these
people
are
currently
in
the
community
and
if
we
were
to
invest
resources,
additional
community
outreach
and
communication
would
be
possible
and
receive
funding,
in
addition
to
the
re
free
courses
from
the
county,
our
website
and
the
other
collaborators.
If
there
were
other
events
for
vaccination,
there
would
be
an
opportunity
to
do
outreach
afterwards,
focused
on
those
people
who
do
not
receive
the
vaccine.
C
That
perhaps
there
is
a
reason
that
they
perhaps
do
not
have
a
totally
closed
mind
and
that
they
were
available
to
do
it
with
the
indicated
conditions
if
they
receive
more
information
about
the
easy
opportunities
are
some
ideas
that
I
am
hearing
that
we
have
been
talking
about,
and
it
is
not
only
the
public
suv,
but
also
those
who
are
working
in
the
community
situation.
If
there
were
more
resources
that
we
could
do
more
to
activate
those
people.
B
B
B
B
B
B
When
we
saw
the
numbers
go
down
In
the
summer
I
do
people
who
thought
nothing
was
wrong.
I
had
to
get
vaccinated,
and
now
they
are
seeing
each
other
as
or
more
vulnerable.
We
have
seen
someone
who
says
that
the
subway
policies
in
their
workplace
or
employment
have
prompted
them
to
get
the
vaccine
where
we
have
seen
a
lot
of
that.
Thank
you
hathaway.
Thank
you
for
being
here
also.
C
Very
much
I
want
to
go
through
the
numbers
here
that
is
increasing
and
sometimes
repeating
the
information
that
has
been
presented.
These
is
an
average
of
seven
days
in
carolina
from
the
north.
As
of
today,
you
can
see
that
there
is
an
improvement
in
terms
of
the
number
of
cases
compared
to
14
days
ago,.
It
has
decreased
by
16%
and
if
you
can
see
the
red
line
at
that
level
downwards,
it
is
a
reason
for
optimism,
because
we
have
seen
some
graphics
that
are
quite
early.
C
Worrying
stacy
I
use
the
phrase
optimistically
for
caution
and
during
the
holidays
last
week
there
were
many
football
games
and
there
were
no
masks
in
the
entire
public,
and
that
makes
me
worry
but
saying
that
we
have
seen
a
26%
reduction.
That's
the
data
from
our
our
system
of
three
separate
groups.
One
is
the
entire
health
care
system
that
represents
187
hospitals
from
alaska
to
florida.
We
have
a
high
concentration
of
hospitals
in
texas
and
florida,
and
those
that
have
followed
that
very
closely
is
where
the
pandemic
has
been
strongest.
C
With
the
in
expert
cases,
we
are
happy
to
see
a
reduction
in
the
number
of
redux
hospitalizations
in
all
the
places.
The
graph
on
the
right
hand,
side
is
one
of
the
divisions
of
florida
and
they
can
a
lower
part.
A
drop
down
and
at
the
bottom,
is
what
we
are
seeing
in
north
carolina
that
represents
hospitalizations
in
the
18
counties
and
while
we
have
not
passed
the
curve
in
other
places
does
not
seem
to
me
that
we
are
at
a
level
or
level
or
if
we
are
seeing
the
beginning
of
a
downward
trend.
C
C
Up
and
down
in
March
and
April
and
the
numbers
of
people
in
intensive
care,
the
number
of
people
on
ventilators
are
pretty
high
compared
to
the
pandemic,
and
it's
important
to
understand
that
90
to
95
percent
of
the
people
in
the
hospital
right
now
are
unvaccinated,
and
it's
an
issue
you've
mentioned
so
often
.
Finding.
How
to
vaccinate
those
who
have
not
received
it
is
critical
because
bhaskar
and
mask
wearing
is
also
important
and
the
people.
The
people
in
the
hospitals
who
are
sick
and
dying
are
the
unvaccinated.
C
People
who
have
been
vaccinated
may
be
sick,
but
the
disease
It
is
quite
reduced.
Now
these
graphs
have
the
age
groups
and
in
order
to
understand
what
we
are
seeing,
these
are
the
results
of
tests
in
our
laboratories
by
age
groups.
The
youngest
are
blue,
orange
is
25
to
44,
gray,
is
45
to
64
and
yellow.
C
You
are
over
65
years
of
age
and
you
can
see
in
July
we
had
less
than
10
cases
a
day
diagnosed
in
our
labs,
and
it
has
increased
dramatically
across
all
age
groups,
and
that
is
testing
at
all
of
our
facilities,
and
you
are
going
to
see
the
largest
increases
are
in
the
group
of
25
to
44
and
45
to
64.
Keep
that
visual
image,
because
I
am
going
to
be
more
specific
in
a
moment.
C
These
are
the
case
d
e
ambulatory
people
in
which
they
arrive
at
the
emergency
room
to
the
laboratories
and
ambulatory
patients.
That
is
the
same
group
that
have
seen
the
increase
and
when
we
see
exclusively
the
people
admitted
it
is
a
dramatic
change.
They
see
that
image.
The
cases
are
rising
among
all
groups.
Age
with
hospitalization
is
among
people
45
years
of
age,
and
above
and
this
is
the
vast
majority
of
people
hospitalized.
As
I
said,
this
is
in
the
category
of
unvaccinated
people.
We
are
very
concerned
about
hospitalizations
of
pediatricians
pediatric
cases.
C
We
have
not
seen
much
increase
there,
we're
seeing
one
or
two
kids
a
day
that
are
hospitalized
with
cobain.
The
other
question
we've
gotten
a
lot
is,
if
we've
seen
death
in
the
vaccinated
population,
we
haven't
seen
it
as
far
as
I
know,
unless
you've
given
me
bad
information,
but
I
try
to
get
this
information,
but
we
have
not
seen
a
vaccinated
patient
who
has
died,
has
happened
in
another
part
of
the
country,
but
not
in
our
system.
C
Now
I
want
to
share
two
slides,
plus
one
is
mortality
to
see
the
death
curve.
This
is
an
epidemiological
curve
that
shows
deaths
per
day
since
the
beginning
of
the
pandemic.
The
dates
are
on
the
axis
below,
and
each
blue
bar
represents
the
number
of
deaths
that
occurs
on
that
day
when
there
are
more
deaths
and
when
they
are
closer.
There
are
more
days
in
a
row
day
by
day
by
day,
and
if
we
see
in
January
it
is
in
the
/
I
apologize
that
the
font
is
very
small.
C
You
can
see
we
had
5
to
7
deaths
on
each
day
in
that
period
in
the
third
wave
of
infections.
For
several
months.
If
you
look
to
the
right
side
of
the
curve,
May
and
June,
when
we
saw
34
to
6
deaths
in
a
two
month
period
and
I'm,
not
surprised
It
should
not
come
as
a
surprise
to
me
or
anyone
else
that,
with
the
increase
in
cases,
hospitalizations
increase
and
deaths
as
well,,
and
now
we
are
beginning
to
see
how
we
were
in
January,.
C
There
were
many
deaths
many
days
and
we
did
much
better
with
the
start
of
vaccinations.
We
saw
days
in
between
experiencing
a
death
and
then
august
starts
a
big
increase
with
the
presentation
of
the
delta
variant.
I
don't
think
that
the
curve
has
changed
much
from
january
to
january
in
december
and,
as
stacy
said
in
total,
the
death
rate
is
lower
between
100,000
people
and
4%
thousand
people
or
a
little
less
of
four,
and
that
gives
you
encouragement.
C
C
C
C
C
B
We
see
percentages,
very
low
deaths,
I
hope
you
are
right
and
see
more
positive
trends,
but
I
do
feel
like
we
keep
talking
about
this
all
the
time
and
in
a
way,
I
think
when
people
start
to
die.
I
think
it
draws
attention.
Unfortunately,
it
has
to
get
to
that
point,.
But
what
I
have
heard
before
is
that
when
people
start
to
die,
we
do
not
have
the
opportunity
to
rectify,
and
that
is
not
always
true.
B
If
the
people
who
die
are
older
residents
because
of
the
people
who
are
admitted
to
the
mission
hospital
are
people
who
generally
have
things
in
good
health
and
who
have
become
seriously
ill
very
seriously.
It
is
true,
the
age
of
people
who
end
up
being
admitted
has
changed
and
it
has
become
more
and
more
young
people
so,
but
we
have
dealt
with
the
older
people
and
now
we
are
dealing
with
the
younger
people,
I
think
the
youngest
person
who
he
passed
away.
He
was
28
years
old
in
a
very
tragic
way.
B
He
ended
up
dying
prematurely.
We
had
a
newborn
baby
who
died
after
his
mom
passed
away.
So
this
has
always
been
a
very
serious
situation,
but
it
emphasizes
how
so
Serious
is
the
situation,
and
the
number
of
deaths
in
the
US
right
now
means
that
between
one
and
two
people
out
of
every
100,000
people
die,
and
that
number
is
ten
times
more
serious
than
the
flu
than
the
flu.
B
So
in
the
school-age
population
of
this
population
that
transmits
the
disease
to
their
closest
relatives-
and
these
are
the
people
we
have
to
take
care
of
tutor,
hathaway
I-
appreciate
the
numbers
you
have
shared
I
think
it
is
a
very
good
way
to
see
what
to
present
in
our
community.
He
is
in
the
hospital.
Thank
you
for
share
those
numbers
specifically
now
that
we
are
coming
back
after
book
day.
We
know
a
lot
of
people
were
playing
soccer
and
a
lot
of
people
came
from
out
of
town.
B
Every
holiday
we
have
been
through
so
far
has
been
seen,
has
seen
an
increase
that,
after
10
or
14
days
after
the
event,
we
began
to
see
an
increase
in
hospitalizations
and
in
fact
the
number
is
seven
or
eight
days
later.
So
I
expect
to
see
an
increase
in
cases,
especially
with
the
fact
that
we
have
opened
the
schools.
We
are
going
to
see
an
increase
in
cases.
B
B
Thank
all
the
work
that
all
the
health
personnel
have
done,
and
we
know
that
this
is
causing
discomfort
among
the
members
of
your
staff.
The
question
I
have
is
without
talking
about
kobe.
Let's
talk
about
people
who
have
already
had
heart
attacks.
Other
types
of
diseases
and
I
was
talking
with
a
member
of
my
church
who
had
to
undergo
surgery,
and
he
told
me
I
have
to
expect
a
lot
due
to
kobe.
B
So
what
effects
has
the
kobe
hospitalizations
had
on
the
other
patients
who
don't
have
kobe?
Who
have
other
issues?
Yes,
it
has
been
a
very
significant
hardship.
What
we
saw
early
on
during
the
pandemic
is
that
less
demand
for
services,
people
decided
not
to
go
to
the
hospital,
and
that
was
a
decision
to
their
own
detriment,.
B
What
this
caused
is
that
we
it
gave
more
space
and
our
health
system
for
everything
to
stop
the
patients
that
we
had
to
attend
to
in
January,
particularly
but
with
time
throughout
the
state.
We
have
seen
the
demand
that
has
increased
and
the
demand
for
health
services
is
returning
to
normal
as
well
that
this
causes
all
the
hospitals
in
the
state
to
not
have
enough
capacity
to
provide
health
care.
So
we
have
been
dealing
with
the
state
and
we
are
going
to
continue
to
do
so.
B
We
have
been
dealing
with
people
who
have
more
critical
and
serious
illnesses,
but
it
has
been
difficult.
We
have
seen
ourselves
greatly
limited
by
problems
with
this
physical
space,,
as
well
as
problems
with
the
number
of
staff.
Members.
We
are
missing:
18,000
nurses
in
the
state
of
North
Carolina,
and
that
is,,
that
is
the
problem,.
It
affects
not
only
the
people
who
have
kobe
but
the
other
people
who
use
our
system.
B
B
B
In
their
experience,,
seeing
the
entire
state,
there
is
some
minimum
level
of
the
adult
population
that
has
been
vaccinated
in
the
community
that
they
have
seen
is
necessary
to
see
general
immunity.,
not
necessarily
yes,
no,
but
something
similar
a
minimum
level.
Well,
one
is
an
interesting
graph.
I
just
saw
the
vaccination
rate
compared
to
infection
rates
and
espn.
It
is
very
obvious
that,
while
people
are
vaccinated,
the
infection
rate
is
lower.
I
am
concerned.
B
I
think
that
the
northern
states,,
although
they
have
higher
vaccination
rates,,
no,
it
doesn't
take
a
long
time
for
it
to
spread
to
those
states,
but
no
doubt
as
more
people
get
vaccinated
that
will
protect
the
community
and
wearing
masks
is
about
as
effective
as
getting
vaccinated,
but
still
very
effective,
even
dealing
with
delta
variant
to
questions
about
additional
vaccines.
I
think
it's
important
to
emphasize
that
additional
vaccines.
B
B
But
I
don't
know
has
said
nothing
about
modern
or
jones,
the
swelling.
So
far
we
have
an
acceleration
program,
In
the
northern
terminal
state.
There
are
many
organizations
that
are
part
of
this
effort
and
we
are
going
to
have
to
prepare
to
be
able
to
do
those
additional
vaccines
to
the
other.
Question.
I
think
this
gives
us
the
opportunity
to
promote
a
campaign.
B
Away
thanks
to
you
and
your
colleagues
for
the
work
you're
doing
on
the
front
lines,
we've
been
talking
to
our
partners
in
the
community
about
their
vaccination
policies
and
we'd
like
to
talk
to
you
about
this.
A
bit
more
I
think
that,
from
the
county's
perspective,
we
are
exploring
all
possible
strategies.
B
B
B
B
B
B
I
have
a
resolution
that
has
to
do
with
the
kobe
vaccines,
and
we
can
do.
I
can
talk
about
that
now
or
later
or
at
the
end.
If
we
have
time,
why
don't
you
do
it
now,
because
I
think
we
should
start
moving
forward
with
the
open
discussion,
so
we
are
going
to
do
it
if
we
are
going
to
do
it
right
now,.
B
B
B
C
Given
by
a
wolters
words
survey
that
52
percent
and
more
employers
in
the
united
states
have
a
vaccination
requirement
in
effect
by
the
third
or
fourth
quarter
of
the
year,
is
an
increase
from
the
current
21
percent
in
the
USA.
Now
it
is
not
resolved
as
commissioners
in
ban
county
with
having
a
request
to
me,
if
you
mention
but
executives
to.
C
Identify
staff
for
and
hires
tates
that
I
have
not
received
a
vaccination
to
have
a
vaccine
within
the
next
month,
and
the
same
would
be
for
other
state
schools
and
other
schools,
faculties
and
ii
staff.
It
is
a
draft,
it
is
my
thoughts
things
that
I
wish
I
had
added
to
an
item
that
I
would
like
to
implore
all
state
employees,
and
we
could
also
consider
adding
some
of
the
bank
community
college
con
country,
and
my
intention
with
this
is
not
to
force
anyone
to
do
anything
in
terms
of
employers.
C
C
That
is
all
thank
you,
commissioners,
long
and
on
the
bright
side.
Thank
you
for
being
here.
Thank
you
for
what
you
are
doing,
and
I
also
want
to
thank
the
county
manager
for
the
updates
you
have
given
are
things
that
we
are
also
a
large
employer
and
I
think
our
numbers
indicate
that
we
have
a
pretty
good
vaccination
rate
compared
to
the
community
in
general.
C
So
thank
you
very
much
to
all
of
you
who
are
helping
to
achieve
these
goals
and
we
are
not
where
we
need
to
be
yet,
but
the
staff
should
have
taken
some
action
and
we
have
an
update
on
this
and
I
hope
that
keeps
moving
people
because
I
think
increasing
the
numbers
is
necessary.
I
hope
the
efforts
help
get
us
to
where
we
need
to
be,
and
if
not
as
an
organization,
we
are
going
to
have
to
consider
other
policies
as
to
how
we
continue
something
closer
to
universal
vaccination.
C
So
I
want
to
say
thank
you
very
much
for
all
this
and
for
many
promising
results
that
we
are
seeing
and
I
would
like
to
ask
that
the
commissioner
with,
if
you
consider
a
vaccination
at
5,
can
you
say
yes
or
no?
You
don't
have
to
have
a
vote
amendment,
but
it
would
help
me
then
we
will
add
to
that.
If
there
is
no
objection,
we
will
have
with
conversation
with
new.