►
From YouTube: COVID-19 Community Update (Jan. 19, 2021)
Description
BuncombeReady.org
A
Good
afternoon,
thank
you
for
your
time
and
attention
today,
as
we
provide
the
covet
19
situational
report,
with
an
update
on
vaccine
rollout
and
max
whenever
you're
ready.
Thank
you
so
much
so
we'll
begin
with
how
many
cases
and
other
indicators
those
indicators
that
we've
been
looking
at
and
as
of
today.
A
A
So,
as
of
today,
we've
identified
12
040,
confirmed
cases
in
buncombe
county.
Since
the
pandemic
start
230,
coveted
19
deaths
have
been
identified
and
our
current
new
cases
per
100
000
per
week
is
368.,
and
now
that
is
actually
down
from
the
previous
week
after
several
weeks
of
consistently
increasing
percent
positivity
locally,
we
are
seeing
our
first
week
of
significant
decrease
in
the
number
of
tests
that
are
coming
back
positive.
B
A
A
A
Our
current
metrics
have
shown
some
improvements
since
last
week
and
currently,
as
I
mentioned,
the
new
cases
per
100
000
remains
high,
but
we
did
see
that
decrease,
and
these
are
the
numbers
as
of
today,
since
the
state
did
not
update
the
dashboard
yesterday,
I
went
ahead
and
pulled
them
for
you
today,
so
you
had
the
most
recent
new
cases
per
100.
000
population
did
decrease
in
the
last
week,
but
it
still
remains
high.
A
A
A
A
So
the
first
is
the
current
epicure
for
buncombe
county.
You
can
clearly
see
the
post
thanksgiving,
thanksgiving
surge
that
continued
into
the
december
holidays
and,
following
that
surge
in
the
recent
days.
This
is
where
we
can
start
to
see
that
high-level
plateau
emerge,
that
if
we
were
to
draw
a
trend
line
there,
that
we
would
start
to
see
that
very
high
but
start
to
level
out
just
a
bit.
A
A
A
So
when
we
looked
at
right
before
christmas,
we
were
seeing
our
8.2
percent
and
that
had
a
steady
incline
until
just
about
right
before
new
year's,
where
we
saw
it
increase
significantly
and
now,
we've
started
to
see
that
come
down
as
we've
entered
the
post
holidays
and,
as
I
mentioned
earlier,
our
current
rate
is
about
95
9.5
percent.
This
is
the
first
week
over
week
that
we've
seen
a
significant
decrease.
Last
week,
when
I
reported
to
you,
it
was
still
11
point
something
11.7,
which
was
a
change
from
10.5.
A
A
C
Thank
you
so
much
stacy
and
it's
good
to
hear
some
positive
news,
even
though
it's
in
the
context
of
an
awful
lot
of
coveted
transmission
and
sickness
occurring
in
the
community.
At
least
it's
not
growing
in
the
way
that
we
saw
it
at
the
end
of
the
year
in
the
beginning
of
2021.
So
that's
that's
great
to
hear
so
just
to
maybe
just
kind
of
summarize
what
I'm
hearing
in
terms
of
the
process,
so
the
health
team
kind
of
reviews,
all
the
data
on
mondays
each
week.
D
C
C
Okay,
so
that
review
would
be
on
monday,
the
25th,
and
if
it
looks
positive,
then
we
could
consider
going
ahead
and
making
the
decision
at
that
time
to
go
with
the
state
policy,
and
the
commission
also
has
a
meeting
the
following
day
too.
So
if
we
I
mean,
of
course
I
could,
I
could
use
my
authority
to
go
to
the
state
policy
or
the
commission
commute
the
next
day.
So
if
we
could
also
have
a
commissioned
discussion
about
it
at
that
meeting
as
well,
if
we
desire
to
commissioners,
are
there
any
questions
or.
C
All
right,
I
think,
we're
good
on.
Thank
you
for
the
updates
and
we'll
hope
for
continued
good
news
and
continue
to
ask
for
the
community's
support
in
keeping
these
numbers
going
in
a
more
positive
direction,
and
hopefully
that'll
allow
us
to
to
make
a
decision
next
week
that
I
know
a
lot
of
folks
would
like
to
have
us
do
in
terms
of
the
restrictions
policy
on
indoor
dining,
so
all
right,
stacy.
What's
what's
next
all.
C
C
A
So,
just
a
reminder
that
the
north
carolina
department
of
health
and
human
services
did
change
their
prioritization
plan
on
january
14th
to
align
with
the
federal
administration
recommendations.
This
change
went
into
effect
january
15th
this.
This
change
did
come
as
locally.
We
had
already
implemented
and
scheduled
our
appointments
under
the
previous
iteration
of
the
vaccine
prioritization.
A
So
we
will
begin
really
incorporating
the
new
phases,
which
were
really
just
amended
phases
at
the
end
of
this
week
and
beginning
next
week,
and
so
just
as
a
reminder
aligning
to
the
federal
recommendations,
the
first
group
one
what
what
they're
calling
now.
So
they
collapsed
many
of
those
subgroups
that
we
were
seeing
prior
and
group.
One
now
is
healthcare
workers
and
long-term
care
facility
staff
and
residents
with
group
two
being
65
years
and
older.
A
A
We
are
looking
forward
to
having
two
other
community
health
centers
anticipated
this
week,
which
would
be
winches
and
appalachian
health.
It
is
expected
that
they
will
be
receiving
small
vaccine
allotments
and,
in
anticipation
of
their
onboarding,
we
actually
invited
winches
to
come
shadow,
our
vaccination
site,
so
that
they
could
get
an
understanding
of
float
like
how
does
the
clinic
flow?
What
are
the
operations
like?
What
are
best
practices.
A
And
then
leading
into
that,
I
just
wanted
to
share
that
in
addition
to
the
collaborative
health
and
human
services
has
worked
with
mission
health
to
initiate
vaccine
transfer,
to
increase
the
number
of
vaccine
that
we
can
get
out
into
the
community.
And
what
you
see
here
is
our
inventory
of
first
dose
what
it
looked
like
earlier
today.
A
A
And
I
wanted
to
also
state
that
we
did
receive
our
notification
last
friday
of
what
we
would
receive
this
week.
Our
regular
doses
of
975
pfizer
are
coming
to
us
and
another
500
bump
from
the
western
north
carolina
collaborative
that
we're
doing
as
a
region
that
arrived
at
least
one
of
those
arrived
today,
and
we
will
be
working
to
utilize
that
500
moderna
doses
as
a
that
bump
to
help
expand
our
reach
into
healthcare
workers
and
utilize,
our
40
cox
site.
For
that.
A
B
A
A
A
There
are
no
more
of
that
shipment
on
the
shelf,
so
we
have
depleted
our
first
three
shipments
and
are
moving
into
the
later
shipments
you're.
Not
I
don't
have
second
dose
on
here
yet
because
those
just
came
and
we're
starting
to
get
people
their
second
dose
that
were
in
the
old
version
of
phase
one
a
which
were
medical,
first
responders,
health
care
workers,
critical
to
covet
19
care
and
long-term
care
facilities,
staff
and
residents.
So
they're.
C
A
We
have
a
separate
allocation
of
second
doses
right
now.
The
state
is
still
sending
designated
second
doses
that
match
your
first
dose
allocation,
so
we
received
our
second
doses,
which
would
have
been
700
of
moderna
and
975
of
pfizer
you're,
not
seeing
that
there
here.
This
is
all
first
dose
because
we
just
started
second
doses.
A
C
C
A
D
A
Very
good
question,
so
we
have
to
be
very
careful
and
make
sure
that
we
are
as
careful
drawing
up
the
second
doses
as
we
were
the
first
so
that
we
can
get
those
additional
doses
out
of
them.
So
that
is
absolutely
at
the
forefront
of
our
minds
and
our
nurses
and
pharmacists,
who
are
drawing
that
up
that
you
have
to
be
very
careful.
You
have
to
be.
You
have
to
know
what
you
gave
the
first
time
and
make
sure
that
you're
drawing
up
just
as
much.
D
A
So
that's
where
that
first
bump
came
from,
I
think
that's
where
the
second
bump
was
coming
from
because
they
suspended
it
for
a
second
week
to
allow
those
cvs
and
walgreens
to
start
using
the
doses
that
were
on
their
shelf.
So
we
we,
as
the
I
was
the
western
north
carolina
collaborative,
got
some
of
those
doses.
Some
hospital
systems
got
some
of
those
doses
in
the
triad
and
triangle
to
do
different
types
of
events.
Okay,.
D
A
They
are
responsible
for
allocating
to
them,
so
the
federal
government
tells
the
state
of
north
carolina.
You
get
x,
amount
of
doses
off
the
top
of
that
allotment
to
north
carolina
has
to
go
the
long-term
care
facility
federal
program
and
then
the
rest
is
distributed
throughout
the
state.
So
the
state
has
indicated
to
the
federal
government
that
they
would
suspend
that
allocation
to
the
long-term
care
facility,
federal
programs,
as
they
have
many
doses
on
their
shelves
and
have
not
vaccinated
all
all
their
doses.
Yet.
C
F
Just
a
quick
question
on
the
slide
you
just
we're
on.
If
we
look
at
this
data
and
then
look
at
the
new
vaccine
dashboard
on
the
state
site,
I
just
want
to
make
sure
I
understand
how
to
track
those
two
pieces
of
data.
My
understanding
is
that
on
the
state
site
that
would
be
inclusive
of
these
shots,
reflected
here,
plus
what
mission
hca
has
administered
but
not
including
long-term
care,
so
on
a
daily
basis.
F
A
F
A
They
they
have
received
that
those
additional
health
care
workers
that
were
not
in
in
the
initial
1a
category
have
received
a
notification
from
our
medical
director
and
those
appointments
were
opened
at
40
cox
for
our
healthcare
workers,
yes,
careful
and
as
far
as
working
with
our
hospital.
Yes,
we
have
been
in
talks
with
mission
hospital
about
how
they
may
be
able
to
utilize
some
of
their
vaccine
to
also
help
provide
vaccinations
for
that
now.
Expanded
health
care
worker.
A
Group-
and
I
just
wanted
to
give
you
an
example
of
what
what
it
looks
like
and
so
for
just
one
week
of
planning
or
allocations-
and
this
is
just
for
this
week
of
january
18th-
that
we
had
2
845
appointments
scheduled
for
this
week.
We
actually
have
2285
vaccines
scheduled
for
use
that
were
in
our
inventory
at
that
time,
which
means
that
we
had
560
vac
vaccine
appointments
that
had
to
be
covered
by
the
next
shipment,
which
is
the
one
that
came
in
today.
A
So
we
open
up
appointments
ahead
of
time,
at
least
two
weeks
out
for
a
minimum
of
500
and
that
will
likely
increase
over
time
as
our
as
our
projections
increase
and
then,
as
we
receive
notification
of
our
shipment,
we
increase
those
are
add
to
those
appointments
so
that
it
becomes
much
more
than
just
500
a
week.
It
becomes
2845
and
then
even
doing
that
we
still
always
have
a
deficit
until
the
next
shipment
comes
in,
and
so
we
are
always
running
from
week
to
week.
A
A
A
They
will
be
placed
on
the
list
and
then,
as
we
open
appointments,
our
call
team
will
call
them
and
give
them
an
appointment,
so
they
don't
have
to
keep
calling
back
and
those
those
appointments
remember
are
based
on
what
phases
we
are
in
right.
So
if,
if
you
don't
meet
the
criteria
for
phase
one
and
two,
the
the
wait
list
is
meant
to
give
appointments
for
those
who
are
in
those
phases.
So
the
pros
here
is
that
it
eliminates
the
need
to
call
in
for
or
to
continually
try
to
call
in
for
an
appointment.
A
We
hope
that
it
will
reduce
the
call
volume
and
the
stress
and
you'll
be
placed
on
a
wait
list
based
on
the
current
phases
potential
cons
that
we
did
want
to
make
folks
aware
of
that.
It's
it's
still
not
a
perfect
system,
so
the
new
phases,
as
the
new
phases
are
rolled
out,
they
will
immediately
be
at
the
bottom
of
the
list.
But
then
what
happens?
A
Is
that
once
a
phase
opens,
then
all
the
phases
are
kind
of
equal,
and
so,
if
right
now
we're
in
phase
one
and
two
and
when
we
open
phase
three
they'll
be
at
the
bottom.
But
if
someone
else
from
phase
one
and
two
called
in
after
the
fact
they
will,
they
will
be
time
stamps.
So
it's
all
a
continuous
time
stamp.
A
We
do
anticipate
that
folks
might
sign
up
for
multiple
lists
and
accept
multiple
appointments
which
could
hinder
some
of
that
ability
to
make.
We
do
not
want
folks
to
make
appointments
with
multiple
providers
and
then
become
no
shows
at
vac
sites,
because
it
is
very
important
that
people
understand
that
we
thaw
out
and
get
enough
vaccine
ready
for
that
day.
Wasting
vaccine
is
not
an
option,
and
so
we
would
just
want
that
to
be.
C
Stacey
have
a
question
and
thank
you
for
for
working
on
this.
I
think
this.
This
sounds
really
positive.
So
with
the
waitlist
process,
that
means
when
we
get
new
shipments
on
fridays,
there
won't
be
a
call
like
basically,
the
process
is
to
get
on
the
waitlist.
It's
not
to
call
when
we
get
new
new
doses
that
week
it's
get
on
the
list
and
and
you'll
be
scheduled
and
we'll
get
to
everyone
as
soon
as
we
can
based
on
the
supplies,
increasing
that's
the
process.
A
That's
correct
so
when
we
open
up
those
new
appointments,
you
won't
have
to
rush
in
to
call
we'll
work
off
that
list,
that
we
have
and
call
you
and
say
all
right.
We
have
appointments.
Here's
your
available!
Here's
your
first
available
appointment,
all
right!
Great
we've
got
you!
We've
got
you
in
there
so,
but
we
do
anticipate
that
as
new
phases,
open
and
folks
want
to
get
on
that
wait
list,
because
the
new
phase
is
open.
We
might
still
see
a
lot
of
call
volume.
We
might
see
a
lot
of
traffic
on
the
website.
I.
D
B
D
A
A
Yet
we
had
already
scheduled
out
all
of
our
available
vaccine
at
that
time.
So
we,
you
know,
we
try
really
hard
to
help
help.
People
understand
that
you're.
Yes,
we
are
incorporating
you,
but
we
we
had
given
all
of
the
appointments
for
our
vaccine
at
this
time,
so
we're
going
to
work
to
try
to
find
more
vaccine
and
then
open
appointments
for
you,
so
that
that's
where
you
saw
the
bump.
A
We
decided
to
use
our
bump
this
week
from
the
western
north
carolina
collaborative
specifically
for
our
health
care
workers
and
then
now
with
the
implementation
of
a
wait
list
this
week
that
we'll
be
able
to
get
through
some
of
those.
But
that's
one
of
the
challenges
is
that
as
soon
as
they
change
it
at
the
state
level,
it's
much
harder
to
change
it
at
a
local
level.
When
you've
put
appointments
out,
you
have
folks
getting
ready
to
show
up,
and
your
vax
plan
is
in
place.
D
A
A
Are
you
a
health
care
worker
and
if
the
answers
are
yes,
then
you
clearly
meet
the
phases.
If
you
are,
you
know,
under
65
and
not
a
health
care
worker,
then
you
don't
meet
the
phases
right
now
and
you'll
have
to
wait
until
the
wait
list
for
phase
three
opens
up
if
you're
a
frontline
essential
worker.
So
yes,
there's
some
screening
questions.
A
And
so
just
what's
the
plan
for
the
wait
list,
and
so
we
are
already
training
and
getting
our
ready
team
and
they'll
be
notified
and
queued
up
for
calls.
The
website
will
be
updated
to
reflect
the
current
phases.
I
just
sort
of
mentioned
that
on
the
website
we
call
them
the
big
buttons.
They'll
be
big
buttons
that
say.
Are
you
a
healthcare
worker?
Are
you
65
or
older?
A
If
are
you?
You
know
there
will
be
a
button
for
folks
who
are
neither
one
of
those
things,
so
they
can
understand
where
they
are
in
the
process
and
then
the
phone
tree
message
will
be
updated
to
reflect
those
weight
that
wait
list
option
as
well.
Mass
notifications
will
be
sent
out
when
the
new
phase
when
we
enter
a
new
phase
in
the
wait
list,
is
open
for
that
new
phase
and
the
wait
list
again.
You
can
get
on
the
wait
list
when
it's
launched
through
buncombe
county
of
buncomberready.org
or
by
calling
2505
000.
A
Later
this
week
later
this
week,
yes,
please
be
patient
as
we
are
building
this,
and
we
want
to
be
sure
that
it
is
as
right
as
it
can
be
for
folks
to
be
able
to
use
it
as
most
effectively.
So
you
will
see
notification
coming
out
when
it's
ready
for
folks
to
be
able
to
call
so
vaccine
roll
out
for
the
second
doses,
just
quickly
that,
beginning
january
25th,
second
doses
will
be
provided
at
our
drive-through
sites
at
designated
high
schools.
A
E
C
Yet
it's
going
to
be
ready
to
go
later
this
week
and
folks
can
call
or
go
to
our
website
to
get
on
the
wait
list,
and
then
the
county
will
follow
up
with
them
to
schedule
an
appointment
as
our
vaccine
supplies
increase,
and
we
have
enough
shots
to
give
to
additional
people
so
more
details
than
that.
But
I
think
those
were
kind
of
some
of
the
important
important
updates.
I've
heard.
Okay,
oh
sorry
and.
C
And
this
is
kind
of
in
the
weeds
kind
of
detail,
but
in
terms
of
people
getting
a
follow-up
phone
call
that
that'll
probably
be
from
a
from
a
human
being,
as
opposed
to
recordings
like
it'll,
actually
be
someone
calling
to
talk
to
them
and
talk
through
the
scheduling
of
the
vex,
their
second
vaccines.
I.
A
H
Good
afternoon
I'm
going
to
roll
into
the
vaccine
operations,
but
I
didn't
want
to
address
a
couple
of
questions
earlier
from
an
operations
standpoint.
One
was
about
with
the
waitlist.
I
just
want
to
make
it
clear
trying
to
set
expectations
for
you
guys,
because
a
lot
of
times
the
responses
we
see
from
the
public
you
guys
see
as
well.
So
we
do
know
you
know
with
the
wait
list
once
that
list
gets
to
tens
of
thousands
of
people.
H
Theoretically,
with
our
input
of
vaccines.
You
know
people
are
going
to
be
scheduled
out
to
february
to
march
to
april.
Just
make
sure
you
guys
are
aware,
there's
going
to
be
some
consternation
from
that
and
the
other
part
for
commissioner
edwards
about
your
question
earlier
from
from
dentists
and
commissioner
sloan
your
question
about
how
those
changing
phases
affects
us
in
operations.
I
think
a
really
good
example
is
probably
what
prompted
your
question
is
from
the
dental
community.
H
H
So
now
we
have
a
community
who's,
been
jerked
back
and
forth
because
of
federal
and
state
guidance
who
we've
already
allocated
vaccines,
who
probably
are
in
high
demand
and
we're
doing
the
best
we
can
with
that
extra
bump
to
compensate
for
that,
and
but
it
all
comes
down
again
to
a
supply
and
demand
issue.
We've
got
thousands
of
people
in
the
dental
field
and
their
offices
in
town,
and
we
have
you
know
500
allotted
to
a
health
community
group.
So
it's
just
competition.
H
So
I'm
going
to
go
into
a
vax
operations
overview
so
at
the
ab
tech
we're
receiving
overwhelmingly
positive
feedback
from
people
and
clients
who
pass
through
there
on
a
week-to-week
basis.
We
are
now
administering
100
percent
of
our
first
dose
weekly
allotments
on
that
wednesday.
The
wednesday
schedule
today's
throughput,
where
we're
seeing
about
600
at
the
vac
site.
By
the
time
I
left
our
average
entry.
The
vaccination
time
is
12
minutes.
That
means,
when
somebody
arrives
from
the
time
they
walk
into
the
door.
H
I
also
want
to
point
out
that
stacey
kind
of
alluded
to
this,
but
we're
currently
vaccinating
over
a
thousand
more
a
week
than
as
our
standard
allotment
from
the
state.
Our
standard
allotment
from
the
state
is
only
975
of
pfizer,
we're
getting
that
500
bump
from
the
western
north
carolina
collaborative
that
stacy
talked
about
and
for
the
last
couple
of
weeks
we're
getting
a
bump
of
9.75
from
mission.
So
that's
public
health
going
out
and
advocating
to
the
state
and
local
partners
that
we
need
more
vaccines
because
we're
ready
to
give
them
out.
H
It's
a
week
to
week
right
now,
so
we
received
it
last
week
and
we
just
we
just
worked
with
them.
They
receive
it
again
this
week,
oh
wow,
okay,
so
that
that's
that's
us
with
our
partnership
with
mission
system,
dr
hathaway,
advocating
and
saying
we
need,
you
have
doses,
we're
ready
to
give
them
out
share
those
with
us
yeah,
and
this
week
should
be
here
by
the
end
of
the
week
and
that's
going
to
go
to
our
appointments
for
the
following
week.
H
today
with
is
the
highest
throughput
we've
had
so
far,
and
what
we're
seeing
is
that
we're
even
more
efficient
than
we
were
calculated
on
paper
and
so
what
we
thought
was
four
thousand
a
week
from
what
we've
seen.
I
think
we
can
easily
do
a
thousand
a
day
there
for
a
total
of
five
thousand
a
week
and
potentially
once
we
see
those
numbers,
I
have
a
pretty
good
feeling.
H
H
H
There's
a
different
administrative
burden
for
first
doses
versus
second
doses
and
there's
different.
It
just
removes
a
lot
of
complications
from
having
to
have
multiple
vaccines,
multiple
doses
at
the
same
site
for
scheduling
purposes,
so
those
second
doses
will
start
being
administered
at
the
vehicle-based
site
at
reynolds.
High
school
vehicle
base
works
really
well
for
this,
because
there's
much
less
of
administrative
burden.
Basically,
if
they
already
have
their
vax
card,
they're
fast
tracked
right
through
they
don't
even
have
they
never
have
to
get
out
of
the
car.
Very
minimum
paperwork.
H
So
when
we're
at
full
capacity
of
those
schools,
we
think
each
one
should
have
a
throughput
of
roughly
five
thousand
a
week
so
between
the
five
000
plus
at
our
fixed
site
and
the
5000
at
those
vehicle
base
sites
with
one
that
gives
us
a
max
throughput,
weekly
from
public
health
of
10,
000
or
potentially
15
000.
If
we
have
two
sites
in
the
hybrid
model,
there
are
some
planning
assumptions
here.
H
The
first
is
that
these
projected
throughputs
are
based
on
what
we're
seeing
so
far
at
current
operations.
As
we
scale
up,
you
know,
those
mathematics
might
not
always
work
out.
We
did
see,
fortunately,
this
time
that
were
more
efficient
than
we
would
thought
on
paper,
but
you
know
with
vehicle
base.
H
You
know
it
may
be
less
efficient
than
we're
planning,
but
we
won't
really
know
until
we
get
those
in
full
swing,
and
the
other
assumption
is
that
at
some
point
right
now
we're
having
these
conversations
about
first
and
second
dose
at
some
point
that
only
becomes
relevant
at
an
individual
level
and
what
that
means
is
at
some
point.
We
have
enough
supply
on
hand
where
we
just
open
up
a
site,
and
then
you
come
and
whether
it's
your
first
dose
or
second
dose
you
go
through.
H
H
So
this
is
a
statement
from
the
some
of
the
conversations
we
had
last
week.
This
is
our
public
health
burden
to
get
us
to
70
vaccinating
the
community.
There
are
some
notional
assumptions
here
that
we
know
aren't
necessarily
true
or
will
change,
but
this
is
a
good
way
to
kind
of
conceptualize
what
we
have
to
do
for
the
community
and
response
that
I
think
some
of
the
questions
and
conversation
we
had
last
week.
H
So
this
is
assuming
that
public
health
is
the
only
provider
in
the
community,
so
this
is
before
we
account
for
any
additional
providers
which
we
know
and
hope
more
will
come
online.
This
isn't
accounting
for
the
mission
hospital
system.
We
also.
This
is
the
assumption
that
as
much
as
we
could
push
out
will
be
supplied
from
the
state,
and
this
is
also
the
assumption
that
all
the
vaccines
we're
going
to
be
working
with
have
the
two
dose
regimen,
meaning
we
have
a
three
week
or
four
week
period
between
first
and
second
dose.
H
H
So
if
you
in
the
far
left
you
see
if
we
have
those
two
sites
open
just
for
public
health,
doing
10
000
a
week,
40
000
a
month
that
takes
us
37
weeks
to
get
to
70,
assuming
there's
that
appetite
in
the
community,
so
nine
and
a
half
months.
If
we
have
those
three
sites
functional
which
gives
us
notionally
fifteen
thousand
a
week
for
sixty
thousand
a
month.
H
That
puts
us
at
six
and
a
half
months
and
then
that
this
last
slide
is
the
reality
based
on
our
current
allotments,
where
we're
getting
14.75
a
week
with.
No,
that's
that
that's
from
the
state,
not
accounting
the
mission
transfer,
which
is
5900
a
month
which
puts
us
at
60
months
to
completion,
and
we
know
that's
going
to
change.
We
know
we're
going
to
start
seeing
more
vaccine
and
more
providers
come
online,
but
from
what
we're
seeing
right
now
just
for
perspective.
This
is
this.
Is
the
hurdle
we're
seeing.
H
We're
looking
at
this
through
an
equity
lens.
So
if
we
give
it
to
providers,
it
means
more
locations,
geographically
dispersed
throughout
the
community.
It
means
different
hours
and
it
means
more
opportunities
for
community.
Just
just
like
flu
clinics,
you
could
go
to
a
supermarket
a
pharmacy,
some
local
provider
and
get
flu.
It's
not
just
all
of
public
health,
low
distribution.
H
H
And
finally,
it
gives
a
good
ramp
up
time
for
for
providers
doing
max.
Vaccination
is
a
pretty
complex
operation.
So
if
we
start
them
early,
it
gives
them
time
to
learn
the
process,
train
their
staff
and
go
through
their
own
process
improvement.
And
then
we
can
verify
as
we
pass
the
providers
that
they
do
have
the
appetite
and
the
capacity
to
push
what
we're
given
and
then
we
can
slowly
ramp
them
up
at
a
local
level.
H
So
currently,
there's
only
a
handful
of
providers
approved
in
buncombe
county
we're
hoping
very
quickly.
More
of
those
providers
are
approved
by
the
state.
What
we
don't
know
yet
is
even
once
they're
approved,
will
the
state
be
giving
them
direct
allotments,
or
will
they
be
given
allotments
to
us
and
mission
who
then
have
to
transfer
to
them?
I
don't
think
we
have
a
clear
picture
on
that
process.
Yet
and
that's
part
of
our
our
hurdles
we
see
in
our
planning
process.
Is
we
just
don't
know
that
it.
D
A
A
We
do
have
a
couple
who
have
been
brought
on
board
and
with
the
north
carolina
with
the
western
north
carolina
collaborative
one
did
receive
that
was
blue
ridge
did
receive
a
vaccine
transfer
for
them
to
be
able
to
start
doing
it
as
others
come
on
board.
The
hope
is
that
they
will
receive
their
vaccine
allotments
directly
from
the
state,
but
the
state
has
said
to
be
determined
because
they
only
have
a
small
for
the
state.
They
only
have
a
small
amount,
so
they
may
divvy
it
up
to
counties
or
hospitals.
A
A
And
so
we
talk
about
that
almost
weekly
with
the
state
about
firming
up
that
plan
and
fast
tracking
those
providers,
particularly
as
we
think
about
what
fletch
was
saying
when,
when
we
think
about
flu
and
those
types
of
you're
going
to
be
able
to
get,
you
know
you
get
a
flu
shot
at
your
pharmacy
at
your
medical
home
and
particularly
with
our
populations,
who
are
65
and
75
and
above
they
have
medical
homes.
They
have
trusted
places
they
like
to
get
their
medical
care
that
they
may
feel
more
familiar
with
that.
A
And
so
we
want
those
providers
to
have
access,
and
we
want
those
providers
to
be
practicing
mass
vaccination
or
at
least
their
vaccine
protocols,
but
without
enough
vaccine.
It's
kind
of
hard
so
what's
been
happening.
So
far,
is
a
provider
other
providers
getting
transfers
of
small
doses,
small
amounts
or
getting
a
small
allocation
straight
from
the
state.
F
As
we
think
about
who
will
be
providing
vaccines
down
the
road,
do
we
have
any
sense
of
what
hca's
plan
is?
I
know
they
are
closed,
pod,
meaning
they
would
just
vaccinate
their
employees
and
then
do.
We
know
whether
they
would
plan
to
stop
at
that
point
or
whether
they
would
continue
to
operate
as
a
provider
of
vaccines
at
the
community
level.
A
I'm
not
aware
of
their
long-term
plans.
I
can
tell
you
what
we've
been
talking
through
most
recently,
so
in
the
first
first
phases
they
were
dedicated
to
their
to
those
phase,
1a
health
care
workers,
critical
to
covet
care,
which
was
most
certainly
their
charge
and
then,
as
time
has
gone
on,
as
you
heard
tonight
or
today,
they
have
been
talking
with
us
about
transferring
more
of
their
vaccine
to
the
community.
So
we
received
one
transfer
of
9.75.
Last
week
we
are
set
to
the
transfer
was
initiated
today.
A
It
usually
takes
a
couple
of
days,
so
we
are
likely
to
see
that
physical
transfer,
meaning
it
comes
into
our
possession
by
the
end
of
the
week.
The
mission
has
been
really
open
about
discussing
that
with
us,
particularly
if
they
have
vaccine
that
they
can
give
being
able
to
give
that
to
us,
and
we
are
discussing
with
mission
2
about
their
possibility
of
not
just
in
a
closed
pod.
A
But
how
can
they
also
help
us
with
our
health
care
workers,
particularly
with
groups,
as
you
heard,
fletch
sort
of
describe
that
you
know
we're
in
we're
out
we're
in
like
how
do
we
reach
this
group
that
clearly
now
in
in
this
more
simple
vaccination
prioritising
plan
are
a
priority
in
phase
one
and
so
we're
discussing
that
we
have
our
weekly
calls
on
wednesday.
So
I
imagine
I'll
hear
more
tomorrow
about
what
their
plan
is
to
help
go
out
into
the
community.
F
Okay,
thank
you
that
follow-up
on
that
quickly
is
just.
It
seems
like
following
up
on
parker's
question,
where
there
is
a
scenario
where
we
could
actually
be
the
local
distributor
to
various
satellite
sites
and
then
also
looking
at
scenario
a
and
b
on
this
last
slide.
Any
way
you
look
at
it.
The
county
is
playing
a
central
key
leadership
role,
correct
in
how
this
is
actually
going
to
move
and,
in
fact,
probably
the
largest
leadership
role
in
our
county,
as
we
think
about
the
entities
that
exist
here.
So
that's.
G
B
F
Our
charge
right
now
is
to
figure
out
how
we
step
into
that
fully
and
y'all.
Thank
you.
This
is
a
really
crisp
accessible
presentation
of
I
know,
there's
a
tremendous
amount
of
data
and
logistics
to
distill
down
to
something
that
we
can
digest
and
the
community
can.
So
thank
you
for
the
hard
work
and
and
and
the
sort
of
I'm
guessing
a
lot
of
work
over
the
weekend
that
went
into
getting
ready
for
today
so
appreciate
it
most
appreciate.
A
It
includes
health
departments,
community
health,
centers
and
hospitals
in
the
area,
and
so
I
should
say
I
I'm
sorry
that
dr
hathaway
couldn't
be
with
us,
and
I
won't
go
into
great
detail
because
I
do
not
know
it.
But
in
addition
to
transferring
vaccine
to
us
here
in
buncombe
county
at
the
health
department
mission
also
transferred
it
to
other
groups
within
the
collaborative.
So
it's
not
just
here
in
our
community
but
mission
is
seeing
the
importance
of
getting
it
out
into
the
region.
C
C
Heard
kind
of
anecdotally
that
some
of
them
are
applying
to
be
part
of
the
get
get
certified
as
well
to
be
able
to
distribute
the
vaccines
to
the
general
public,
as
the
vaccine
supplies
increase
is
it
are.
Is
there
any
way
that
we
could
kind
of
find
out
what
their
plans
are?
To
I
mean,
of
course,
they
have
to
get
approved
by
the
state,
but
it's
correct,
but
they
I'm
sure
within
their
organizations,
they're
thinking
about
assuming
we're
approved,
here's
what
we
think
we
could
probably
do
at
our
different.
C
You
know
retail
locations
and
things
like
that,
but
I
mean
it's
potentially
a
significant
capacity
as
well
right
I
mean,
I
think,
there's
like
a
dozen
ingles
and
then
like
another
dozen
cvs's
and
walgreens,
so
you
know
maybe
25
or
30
sites.
Potentially
that
could
be
sites.
So
how
do
we
ascertain
what
they're
thinking
so
it
can
be
kind
of
you
know,
part
of
the
overall
picture
of
what
community
capacity
could
look
like
so.
A
I'm
going
to
step
back
just
a
second
and
say
that,
yes,
in
the
north
carolina
department
of
health
and
human
services
plan,
they
started
with
hospitals
and
health
departments,
and
then
the
next
wave
is
fqhc's
community
health
centers.
And
then
it's
my
understanding
that
large
retail
pharmacies
are
next,
and
so
many
of
those
large
retail
pharmacies
have
already
started
creating
their
plans
they're,
putting
up
their
websites
they're
getting
themselves
ready
in
anticipation.
A
And
so
I
do
not
at
this
point,
have
a
very
good
picture
of
what
that
landscape
looks
like
locally
only
that
they
have
not
been
onboarded
yet
and
so
in
our
not
receiving
vaccine.
Yet,
as
far
as
the
department
of
health
and
human
services
plan
is,
but
that
our
next
wave
will
be
those
community
health
centers,
so
that,
as
fletch
mentioned,
that
they
are
reaching
populations
that
we
are
eager
to
serve
either
through
our
historically
marginalized
populations
or
our
equity
lens
or
create
medical
homes
where
this
can
happen
too.
A
And
then
the
plan
is
to
go
into
the
large
retail
pharmacies.
I
can
ask
the
state
if
they
have
better
indications
about
when
that
will
happen
and
who
they've
been
talking
to
and
and
what
their
plan
is.
But
I
that
has
not
been
broached
in
great
detail
right
now,
but
to
your
point.
Yes,
the
assumption
is
that
they
will
be
brought
on
board
and
will
provide
much
opportunity.
A
Yes,
the
hope
is
by
the
time
we
get
to
that
level
of
provider
onboarding
that
those
providers
will
be
receiving
direct
allocations
from
the
state.
If
not
yes,
if
those
allocations
are
sufficient
and
they're
coming
to
the
county,
then
we
would
be
able
to
transfer
if
they
were
approved
through
the
state
as
a
cvms
covid
enrolled
provider.
G
I
have
another
question:
I
I'm
really
pleased
to
hear
about
the
equity
work
in
particular,
and
I
think,
with
winches
and
appalachian
health,
hopefully
coming
online
soon.
That
will
start
to
address
some
of
those
challenges,
and
I
certainly
appreciate
the
work
that
is
being
done
in
other
languages.
However,
my
concern
is
what
other
types
of
relationships
are
being
built
to
specifically
reach
our
non-native
english
speakers.
As
we
know,
that's
a
significant
portion
of
the
residents
of
buncombe
county.
G
I
know
these
are
done
in
both
language.
You
know
in
multiple
languages.
Videos
have
been
done
in
other
languages.
Eight
to
five,
however,
is
a
prime
time
for
that
particular
population
of
our
community
to
be
working,
and
they
don't
necessarily
have
access
to
watching
these
at
a
later
date,
and
the
relationships
that
they
have
in
their
community
is
where
they
tend
to
get
their
information
and
building.
Those
relationships
are
really
important
for
them
to
trust
the
government,
hong
kong
county
government
in
particular,
to
issue
vaccinations.
A
When
are
they
happening,
and
how
can
you
access
them?
We
continue
to
work,
particularly
with
vaccine
with
community
health
workers
that
are
in
the
community
and
have
reached
out
our
equity,
and
our
communications
team
have
worked
at
worked
with
not
only
our
community
health
workers
that
are
in
buncombe
county,
but
again
those
community
stakeholders
who
have
close
ties
to
help
folks
understand
how
they
can
get
vaccine.
What
are
the
options
for
them?
What
phases
they
are
in
that
work.
D
H
That
we're
also
we've
provided
interviews
and
we'll
continue
to
provide
interviews
directly
to
jm
pro,
which
is
the
largest
spanish
language,
based
latinx
media
platform
in
the
community,
and
also
for
six
or
seven
months
now,
every
messaging
for
coming
from
public
health,
whether
it's
at
our
community
briefings
or
this
briefing
right
now,
is
being
live
cast
in
spanish
on
on
our
facebook
channels.
So
we're
we're
constantly
striving
to
make
sure
we
reach
our
non-language
non-english
language.
Speakers.
G
And
please
note
it's
not
a
criticism.
I
appreciate
what
is
being
done
and
has
been
done
and
how
it's
being
looked
towards
in
the
future.
I'm
concerned
that
that
is
a
target
population
that
is
not
tuned
in
to
these
briefings
and
such
during
the
eight
to
five
work
day
and
how
we
continue
to
reach
them
when
they
are
not
at
work.
I
You
know
a
question
I
have
as
we
look
ahead
and
hopefully
we've
got
a
lot
of
vaccine.
We
have
a
lot
of
different
organizations
in
the
community
given
vaccines.
Are
you
going
to
have
any
way
for
these
organizations
to
talk
to
each
other?
Because
what
happens
if
al
whiteside
said
well,
we
got
10
locations
or
you
know
other
than
the
county,
I'm
going
to
sign
up
with
all
10
and
see
who
I
can
get
to
first.
I
A
I
feel
like
you
are
inside
my
brain
space
already,
so
I
can
tell
you
for
the
actual
vaccine
administration
piece.
All
vaccine
providers
in
north
carolina
must
be
enrolled
through
the
vac
through
the
covet
vaccine
management
system.
That's
the
thing
we
call
cvms
when
you
get
your
vaccine,
you
have
to
be
put
into
that
cvms
system.
So
if
you
got
your
first
vaccine
with
us,
but
then
you
move
to
another
county
or
whatever
happened,
and
you
had
to
go
somewhere
else.
A
A
That
is
a
great
concern
to
me
that
folks
might
be
on
wait,
lists
everywhere,
and
I
some
of
that
will
work
itself
out.
As
we
call
people
back
and
say
we
have
an
appointment
available
for
you
and
they
may
say,
as
other
providers
get
on
board.
Oh
I'm
getting
mine
at
cvs
or
I'm
getting
mine
with
my
fqhc
and
and
we'll
just
mark
through.
A
You
know,
we'll
check
them
off
the
list
and
move
on
to
the
next
person,
but
as
far
as
your
vaccine
administration,
that
is
precisely
the
reason
the
cvms
system
is
supposed
to
be
is
in
place
and
you
must
be
enrolled
not
only
as
a
provider
in
that
to
be
able
to
give
out
vaccine
but
as
a
recipient.
You
are
logged
into
that
system.
C
I
have
maybe
maybe
one
last
question
just
go
into
this
going
to
this
slide
about
the
public
health
burden.
Seventy
percent
of
the
slide
that
fletch
went
over.
I
think
this
is
a
it's
an
important
slide.
It
kind
of
shows
the
order
of
magnitude.
You
know
that
this
kind
of
whole
initiative
ultimately
is
going
to
have
to
encompass
for
a
county
with
more
than
a
quarter
of
a
million
people,
and
people
need
to
get
two
vaccines.
C
It's
just
it's
just
a
it's
a
lot,
and
so
you've
got
these
three
different
scenarios
of
kind
of
this.
The
kind
of
status
quo,
very
limited
vaccine
supply.
You
know
if
that
doesn't
change
which
it
will,
but
if
it
didn't
it
would,
you
know,
be
a
very
long
haul
and
then
looking
at
if
we
had
the
ability
to
get.
C
C
H
Correct
not
ideal
and
frankly,
not
anticipated,
but
part
of
my
role
as
director
is
these
worst
case
scenario,
plannings
and
so
yeah.
So
if
if
we
were
getting
the
vaccine,
that's
the
again
the
long
term
in
this
poll,
if
we
had
the
vaccine
that,
to
that
rate,
we
could
over
the
six
and
a
half
months,
we
could
do
it
or
over
the
nine
and
a
half
months,
depending
on
the
rate
right.
H
C
Great
well,
that's
been
that's
fantastic
and
very
encouraging.
This
may
be
a
question
more
for
avril
than
for
flesh
I'll
just
ask,
and
anybody
can
feel
it.
So
are
there
other
things
that
the
staff
need
from
the
commission
in
order
to
make
planning
for,
assuring
that
we
could,
if
the
supply
chain
is
out
there
to
do
it,
that
we
could
achieve
the
six
and
a
half
months
time
frame
in
terms
of
the
70
goal.
C
H
We
do
if
this
this
burden
plays
out
a
little
bit
where
you
know
we're
not
getting
the
assistance
we
anticipate
from
community,
but
I
think
we'll
also
be
speaking
to
this
a
little
bit
at
five
o'clock.
But
I
think
when
we're
looking
at
multiple
sites,
where
we
have
not
just
a
b
tech
but
one
or
two
vehicle-based
sites,
we
do
need
to
increase
that
footprint
a
little
bit.