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From YouTube: COVID-19 Community Update (Sept. 7, 2021)
Description
Learn more at buncombeready.org
A
A
And
is
there
any
other
topic
that
anyone
would
like
to
have
some
discussion
about
at
the
briefing
meeting
today?
That's
not
already
on
the
published
agenda,
all
right,
then
this
will
be
our.
This
will
be
our
we'll
follow
this
agenda
for
the
meeting.
Are
there
any
questions
about
any
items
on
the
agenda
for
this
evening?.
B
Good
afternoon,
commissioners,
thanks
for
having
me
today,
we
are
going
to
do
our
covet
update
and
just
just
some
reminders
that
we'll
go
over
the
current
covid
situation,
we'll
talk
about
our
vaccine
rollout
and
then
what's
on
the
horizon,
I
did
want
to
start
first
with
our
epi
curve
and
give
some
updates
around
that
we
have.
There
have
been
twenty
three
thousand
one
total
cases
of
coveted
19
since
the
pandemic
started.
B
B
B
Percent
positivity
remains
high
as
well,
but
has
remained
below
10
percent.
For
the
last
two
weeks,
the
percent
positivity
has
stabilized
in
the
mid
9,
with
today's
value
being
9.6
percent
again,
while
stable
for
the
last
couple
of
weeks.
This
is
a
far
cry
from
levels
just
in
july
that
we're
well
below
the
desired
five
percent.
B
The
highest
rates
of
infection
remain
in
our
25
to
49
year
old
group.
However,
cases
in
our
school
age
population
has
increased
over
the
last
couple
of
weeks
as
the
school
year
has
begun
and
on
this
particular
slide.
You'll
notice
that
the
green
at
the
bottom
is
the
0
to
17.
So
that's
our
school
age
group
and
they're,
showing
a
larger
proportion
of
cases
than
they
have
in
the
past
and
just
of
reference.
B
B
In
terms
of
regional
hospitalizations,
we
continue
to
see
high
levels
of
hospital
utilization
and,
as
I've
said
several
times
following
a
time
of
rapid
case
increases,
we
will
then
see
an
increase
in
hospitalizations.
Within
a
few
weeks
beginning
in
mid-july,
we
saw
a
rapid
increase
in
new
cases
coming
in,
which
was
then
followed
by
a
significant
increase
in
hospitalizations.
B
Unfortunately,
high
levels
of
cases
also
often
lead
to
high
levels
of
hospitalizations,
which
in
turn
typically
means
an
increase
in
deaths
as
well
and
while
not
at
the
levels
we
saw
in
january,
where
our
deaths
were
at
12
per
100
000
per
week.
Their
rate
of
death
has
increased
to
3.1
per
100
000
per
week
from
1.1
just
last
week,
hospitalizations
a
lagging
indicator
and
with
case
levels
still
really
high.
B
B
So,
before
moving
on
to
vaccination
rates,
our
weekly
metrics
have
been
updated
and
that's
what
you
see
in
front
of
you
now,
as
I
said
cases
continue
to
be
high.
This
indicator
remains
red,
indicating
high
transmission,
the
percent
positivity,
while
stable,
far
exceeds
the
desired
state
of
less
than
5
percent
and
remains
in
the
orange.
B
B
B
B
B
Additionally,
the
unvaccinated
have
a
risk
of
covid19
related
death
that
is
15
times,
that
of
their
vaccinated
counterparts,
and
I
just
want
to
repeat
that
15
times
more
likely
to
die
if
unvaccinated
so
again.
This
is
why
vaccination
is
so
very
important.
Currently
about
63
of
our
total
population
is
partially
vaccinated
and
just
about
60
percent
of
our
total
population
is
fully
vaccinated.
B
In
the
recent
weeks,
we
have
seen
a
slight
uptick
in
vaccination
administration
across
the
county
and
also
in
our
clinics.
Two
weeks
ago,
when
I
talked
to
you
all,
I
was
excited
to
see
the
first
glimpse
of
an
upward
swing
in
vaccination
and
standing
here
today.
It
appears
that
that
has
leveled
off
just
a
bit
and
though
our
clinic
saw
a
very
large
increase
last
week
that
I'll
talk
more
about
in
a
little
bit,
but
I
am
hopeful
that
we'll
see
another
upswing
as
vaccination
data
from
last
week
is
entered
and
added
as
well.
B
B
B
B
And
additionally,
you've
heard
me
talk
about
the
fema
vaccine
resource.
It
has
been
very
successful
in
providing
over
600
doses
of
vaccine
in
its
first
run
during
in
our
region,
and
currently
the
fema
team
is
deployed
to
another
region
in
the
state,
but
will
return,
I
believe,
to
our
area
in
october.
B
I
did
want
to
spend
a
moment
talking
about
the
buncombe
county,
hhs
vaccine
teams
and
other
community
partners
and
vaccine
providers
and
the
efforts
they've
put
into
equitable
distribution
of
vaccine
the
area
vaccine
providers
meet
regularly.
That
includes
the
public
public
health
department,
vaccine
operations,
fqhcs
community
health,
centers,
our
pharmacies,
many
other
vaccine
providers
to
create
plans
and
provide
vaccine
to
needed
areas,
and,
as
a
result
of
this
continued
partnership
between
providers
with
a
focus
on
equity,
we
have
reached
many
vulnerable
areas
by
sharing
information
and
spreading
vaccination
opportunities
amongst
all
the
partners.
B
B
B
To
close
out
the
vaccine
update,
we
have
seen
a
really
good
response
to
the
department
of
health
and
human
services
summer
incentive
program
prior
to
the
program.
We
were
administering
less
than
200
doses
per
week,
but
since
the
program
began,
we
are
averaging
400
doses
per
week
and
last
week
was
a
banner
week
where
almost
550
doses
were
administered
and
almost
310
of
those
were
first
doses.
So
that
was
incredible
to
see
this
morning
when
I,
when
the
numbers
were
pulled.
B
Individuals
must
self-attest
that
they
qualify
for
the
third
additional
dose
by
having
a
condition
or
taking
a
medication
that
causes
them
to
be
moderately
to
severely
immunocompromised
buncombe
county
hhs
can
administer
those
doses
at
our
walk-in
clinic
at
40
cox
and
at
mobile
outreach
events.
Additional
doses
can
be
secured
at
any
vaccine
provider
and
individuals
do
not
need
to
go
back
to
where
they
got
their
original
doses
to
receive
their
third
additional
dose.
B
Should
they
be
eligible
to
get
one
and
just
a
reminder
that
the
recommendation
does
not
include
individuals
who
receive
the
j
j
vaccine
at
this
time
so
before
turning
it
over
to
dr
hathaway,
I
wanted
to
also
remind
everyone
that,
if
you
are
experiencing
symptoms
of
covid19,
please
get
tested
and
isolate
right
away.
While
you
wait
for
your
results,
if
you
have
not
received
your
vaccine,
now
is
the
time
case.
Numbers
are
high,
transmission
remains
high.
Your
risk
of
illness,
hospitalization
and
even
death
is
far
greater.
B
If
you
are
unvaccinated,
don't
take
that
chance
with
your
health,
please
let
co,
please
don't
let
covet
19.
Take
control
of
you
and
I
I'll
end
with
vax
up
and
mask
up.
It
is
this
layered
approach
right
now
that
we
have
in
buncombe
county
that
will
help
us
control
and
manage
kova
19
and
reduce
your
risks
for
spreading
and
becoming
infected
with
covenanting.
A
C
B
So
I
do
expect
that
we
will
continue
to
see
more.
You
know
those
cases
in
in
children.
Many
of
those
the
exposure
is
likely
to
be
outside
of
the
classroom
and
as
they're
coming
back
into
the
classroom.
So
the
big
thing
to
remember
for
families
and
caregivers
is
that,
when
outside
of
the
classroom-
and
that
means,
when
you're
in
extracurricular
activities
sports
out
with
your
family
in
your
neighborhood,
to
continue
to
practice,
distancing
masking
if
you're
going
to
be
indoors
and
if
your
child
is
eligible
for
vaccine
to
get
them
vaccinated.
B
If
they're
not
already
within
the
school
setting
they're
taking
very
many
precautions
with
the
social
distancing,
the
masking
the
way
that
they're
setting
up
classrooms,
the
way
that
they're
ventilating
classrooms
and
taking
you
know
things
outside,
so
that
folks
can
be
spaced
out
and
better
ventilation.
But
we
we
likely
will
see
that
those
cases
coming
in.
C
E
B
C
Show
you
that
I'd
just
like
to
make
sure
we're
on
our
toes
on
this.
It
seems
like
it's
a
program,
that's
working
at
a
time
when
we
need
to
spur
people
getting
a
vaccine
and
would
hate
to
see
that
interrupted.
So
we
won't
meet
again
until
the
21st
unless
we
call
a
special
meeting.
So
if
there's
action
we
need
to
take,
would
we
need
to
add
that
as
an
agenda
item
this
evening,.
C
Okay-
and
I
guess
the
question
for
board
members
to
mull
over
is
whether
we
have
the
unanimous
support
to
add
that
as
an
agenda
item,
the
final
thing,
I'd
love
to
just
ask
is
you
know
you
all
are
just
doing
tremendous
work
through
a
lot
of
different
strategies
and
it's
obviously
working
to
spur
a
lot
of
people
to
get
vaccines.
And
then
we
know
there's
another
group
of
people
in
our
community
who,
under
the
right
conditions,
will
get
vaccinated.
But
they
haven't.
C
But
I
would
love
to
just
hear
staff
thoughts
on
what
feels
feasible
there
and
you
know
it.
I
know
there's
some
funding
that's
been
allocated
at
this
point
I
would
like
I
would
be
open
discussions
about
whether
there's
additional
funding
needs
that
arise
related
to
that.
But
I
think
in
this
period,
especially
as
we
see
concerning
things
happen
like
the
pediatric
cases,
go
up
we're
hearing
at
that.
C
B
F
And
two
specific
things:
sorry,
I
guess
two
specific
things
on
my
mind
would
be.
I
don't
know
that
I've
read
about
a
incentive
that
exists
anywhere
for
12
to
18
year
old
persons,
and
I
don't
know
if
you've,
if
you've
heard
of
those
types
of
examples
and
would
love
to
consider
some
of
those.
Perhaps
at
our
next
meeting.
B
F
It's
broken
up,
so
I
can't
I
can't
do
that
math.
But
what
was
my
other
thought?
Yeah
in
the
past,
stacey
you've
mentioned
that
you've
had
success
at
at
schools
doing
school
outreach.
I
I'd
love
to
hear
if
that's
still
the
case,
I
also
know
there's
you
know
several
dozen
schools
within
the
boundaries
of
buncombe
county,
and
so
I
guess
I'd
love
to
hear.
If
you
would
agree
if
you
would
think
it
would.
B
So
thanks
for
that,
we
have
had
a
lot
of
success
in
partnering
with
schools,
particularly
in
the
summer,
trying
to
get
many
of
the
student
athletes
who
were
eligible
vaccinated
plus
their
families,
and
we
had
quite
a
bit
of
success.
Sometimes
they
were
our
most
visited
and
we
administered
the
most
vaccines
at
those
because
it's
it's
a
familiar
space.
B
It's
a
place
that
folks
trust
it's
a
it's
usually
a
place
that
they
know
how
to
navigate
and
faces
they're
used
to
seeing
because
our
school
partners
were
often
there
with
us
and
so
as
we
think
about
particularly
those
who
are
less
than
12
being
eligible.
At
some
point,
we
are
thinking
through
like
how
do
we
partner
with
our
schools
and
be
as
successful
during
that
time,
as
we
were
in
the
summer,
so
planning
already
trying
to
think
through
that
with
school.
G
G
Stacey
talking
about
schools,
I'd
like
are
you
through,
I'm
sorry,
anyone
here
I
like
to
piggyback
what
parker
was
talking
about,
but
we
hear
a
lot
about
masking
in
the
buncombe
county,
schools,
asheville
city
schools.
We
know
what's
going
on
with
the
public
schools,
but
I
don't
hear
a
lot
about
the
private
schools
and
the
charter
schools
in
the
county.
I
mean
what
is
going
on
there.
Do
we
have
the
same
push
with
them
that
we
have
with
the
public
schools.
B
Thanks
for
the
question,
so
it's
my
understanding
that
the
charter
schools
have
followed
suit
with
the
public
schools
and
have
the
universal
k-12
masking
and
adopted
many
of
the
recommendations
in
the
strong
schools.
Toolkit
private
schools
are
different
and
I
don't
have
the
breakdown
as
to
which
are
requiring
and
which
don't,
but
I'll,
be
glad
to
get
that
for
you
and
share
it.
B
C
H
Stacy
one
of
the
questions
that
I've
continued
to
hear
recently
is
coming
from
larger
employers,
and
I
think
there
just
seems
to
be
a
lot
of
confusion
and
misinterpretation
of
guidance,
particularly
around
isolation
and
quarantining,
and
I
know
a
lot
of
those
folks
tune
into
these
briefings
to
catch
the
the
updated
information
and
for
those
folks
who
have
tuned
in
who
are
asking
those
questions.
Can
you
just
give
a
quick
reminder
to
that
process
of
someone
has
been
exposed
in
a
in
a
conference
room?
B
I
will
try
my
best
to
to
do
sort
of
a
sort
of
one
layer
type,
but
if
you
were
exposed
to
someone
who
is
a
positive
case,
the
quarantine
criteria
is
going
to
be
based
on
your
vaccination
status
at
this
time.
So,
if
you
are
exposed
and
you're
unvaccinated,
your
quarantine
is
usually
for
14
days.
There
are
options
for
a
lesser
quarantine,
but
that
means
that
you
have
to
be
asymptomatic.
B
Don't
have
any
you
know
through
that
time
period
not
having
any
symptoms,
and
so
there
are.
There
are
criteria
that
get
you
a
lesser
one.
If
you
are
vaccinated
and
exposed
to
someone
who
is
positive,
there
is
the
cdc
guidance
is
no
longer
that
you
have
to
quarantine,
but
you
do
still
have
to
self-monitor
for
symptoms,
and
we
do
recommend
that
three
to
five
days
after
the
last
exposure
you
get
tested,
and
so
that's
the
pretty
basic
one.
B
A
Just
a
couple
kind
of
follow-up
questions
you
know
in
terms
of
the
sort
of
suggestions
jasmine
was
making.
I
think
part
of
what
were
we're
interested
in
is
you
know
we
do
have
funding
set
aside
from
arpa
again
got
to
check
all
the
eligibility
stuff,
but
whether
it's
that
phone,
those
funds
or
others
I
mean,
of
course
we
just
you
know
we
want
to
do
anything.
We
can
to
help
continue
to
get
the
vaccination
numbers
up.
A
A
Any
new
things
that
we
might
be
able
to
kind
of
layer
on
on
top
of
what
we're
already
doing,
to
potentially
reach
more
people
and
and
and
try
to
move
some
more
people?
Because
is
it?
Is
it
correct
that,
by
the
fact
that
we
we
know
who's
been
vaccinated
in
buncombe
county
right
for
this?
That,
like
we
know
who
those
folks
are,
I'm
saying
this,
but
it's
really
a
question.
We
also
kind
of
know
who
hasn't
been
vaccinated
yet
right.
We
actually
know
who
those
people
are
in
the
community.
A
Some
of
the
ideas
I
hear
folks
kind
of
talking
about
that.
We
and
it's
not
just
public
health,
but
I'm
thinking
you
know,
can
our
can
the
county's
community
engagement,
folks
and
everyone
kind
of
think
about
if,
if
there
were
additional
resources
available,
what
what
might
some
promising
strategies
potentially
look
like
so.
E
F
H
E
A
It's
a
sense
that,
like
it,
has
moved
people
or
the
folks,
or
is
it
more
like
the
people
who
did
it
were
happy
to
get
the
bonus
that,
like
I
don't
know
any
way
to
quantify
that
I
mean
he
says,
I'm
certainly
happy
to
support
it
or
maybe
even
expand
it
depending
on.
Is
it
a?
Is
it
an
impactful
incentive
in
this
process?
We.
B
Incentive
program
went
into
place.
The
state
continues
to
monitor
and
evaluate
it.
I
can
ask
if
they
have
any
new
data
around
statewide,
how
it
moved
people,
I
can
tell
you
anecdotally.
Yes,
folks
came
in
saying:
is
it
too
late
to
get
one
of
those
incentive
cards?
So
we
know
that
folks
were
coming
specifically
once
they
once
the
dollar
amount
changed.
That
seemed
to
make
a
big
difference
and
that
we
started
in
the
program
once
the
dollar
amount
changed
to
a
hundred.
B
But
what
I
hear
from
folks
across
the
state
is
that
they
were
in
the
program
longer
when
it
was
25.
They
saw
their
numbers
increase
when
it
moved
to
100.
So
there
was
this.
I
guess
the
threshold
had
been
met
where
it
made
it
much
more
motivating
and
enticing
and
more
desirable
to
do
so.
We
do
know
those
things
I'll
be
glad
to
ask
dhhs
if
they've
got
any
new
qualitative
and
quantitative
data
from
their
evaluation
of
the
program
from
the
time
it
started
and
after
the
dollar
amount
changed.
B
But
I
do
appreciate
the
recommendations
about
how
to
reach
others.
I'm
thinking
through
my
brain
right
now,
particularly
around
messaging
and
communications,
particularly
for
18
to
24
and
then
24
to
49,
because
those
tend
to
be
our
workforce
also
tend
to
be
our
rates
of
higher
infection
and
how
to
motivate
and
how
to
reach
those
folks
in
in
innovative
and
creative
ways.
B
Who
loves
them
told
them?
It
was
time
to
get
get
vaccinated.
The
increase
in
cases
that
still
is
the
one
of
the
drivers
as
well.
That
folks
have
said
that
when
we
had
that
summer,
the
beginning
of
the
summer
lol
that
they
thought
they
would
be
fine,
that
it
was
going
to
go
away
and
then,
as
the
delta
variant
increased,
they
felt
a
bit
more
vulnerable
and
so.
F
D
Thank
you.
I
appreciate
the
opportunity
to
be
here
as
always,
and
it's
a
privilege
to
be
able
to
update
the
community
on
what's
happening
in
mission
health
system.
First
and
foremost,
I
want
to
shout
out
a
huge
thanks.
We
have
been
in
this
for
18
months
plus
now
caring
for
patients
in
our
community,
thanks
to
stacy
and
her
team
at
the
health
department,
who've
been
just
fantastic
partners
to
work
with
avril
and
and
the
gang
it's.
D
It's
really
been
it's
one
of
my
silver
linings
of
the
pandemic
that
we've
developed
closer
relationships.
It's
a
tragic
shame
that
has
come
at
the
cost,
so
much
suffering
to
so
many
people,
but
we're
thankful
for
that.
We're
especially
thankful
to
the
individuals
throughout
the
community
to
the
commissioners
here
have
shown
as
much
dedication
as
any
elected
group
towards
fighting
this,
and
it's
really
a
partnership
that
I've
grown
to
appreciate.
D
D
You
can
see
that
there
is
a
slight
improvement
in
terms
of
the
number
of
cases
compared
to
14
days
ago,
is
down
about
26
percent
and,
if
you'll
notice,
to
the
right
of
the
slide
on
the
red
line
that
the
slope
or
the
steepness
of
the
curve
is
leveling
off.
That's
a
reason
for
optimism
on
my
part
and
I'll
share
some
other
similar
looking
graphs,
I
I'm
hesitant
stacy,
use
the
words
cautiously
optimistic.
D
I'm
worried
that
the
opening
of
the
schools
and
that
the
labor
day
weekend,
I'm
a
huge
football
fan,
and
if
you
watched
any
of
the
football
games,
you'll
notice,
there
was
nary
a
mask
to
be
found,
and
that
gives
me
great
pause
that
this
is
not
a
trend
that
necessarily
will
be
sustainable.
But
that
being
said,
we're
down
about
26
in
terms
of
the
rate
of
the
rise.
This
is
hca
data
that
I'm
sharing
with
you
here
that
looks
at
three
separate
groups.
D
One
is
all
of
hca
that
represents
our
187
hospitals
in
multiple
states
from
alaska
to
florida.
We
have
a
high
concentration
of
hospitals
in
texas
and
in
florida,
and
I
think
those
of
you
who
followed
this
closely
know
that
that's
where
the
pandemic
has
really
taken
off.
With
this
most
recent
delta
surge
and
I'm
encouraged
by
the
downward
slope,
we
are
seeing
a
decrease
in
numbers
of
hospitalizations
across
the
board.
D
The
right-hand
graph,
I
believe,
is
one
of
our
florida
divisions
and
you
can
see
a
downward
slope
there
and
the
bottom
graph
is
a
zeroed
in
look
at
what
we're
seeing
here
in
north
carolina.
This
represents
the
hospitalizations
in
our
18-county
region
and
you'll,
see
that
while
we
have
not
rounded
the
curve
as
they
have
in
some
of
the
other
divisions,
it
does
look
to
me
that
we're
flat-
I
don't
know
if
that's
the
beginning
of
a
downward
trend
or
not,
but
we're
hopeful
and
we'll
see
what
happens.
D
This
is
a
blown-up
view
of
what's
happening
exactly
at
mission
hospital
as
of
this
morning,
again
goes
back
to
last
march,
where
we
were,
you
know,
anxiously
awaiting
the
onslaught
and
unfortunately
saw
that
with
the
peak
in
january.
You'll
note
that
the
rate
of
the
rise
in
this
current
surge
that
began
right
around
july
4th
was
steep.
D
At
this
point
in
time,
I
think
it's
really
important
to
understand
that
90
to
95
of
all
those
who
are
hospitalized
right
now
are
unvaccinated,
and
so,
echoing
the
theme
that
you
all
have
put
forth,
what
we
can
do
to
get
people
vaccinated
is
critical
and
key
short
of
that
masking
is
huge
and
that
the
patients
in
the
hospital
who
are
sick
and
who
are
dying
are
the
unvaccinated.
Not
the
vaccinated,
vaccinated
people
can
get
infected,
but
the
severity
of
the
illness
is
dramatically
reduced.
D
D
Group
gray
is
45
to
64
years
of
age,
and
then
the
orange
is
those
older
than
65
years
of
age,
and
you
can
see
that
back
in
july
we
were
less
than
10
cases
a
day
diagnosed
in
our
labs,
and
we
have,
you
know,
gone
up
dramatically
in
all
age
groups,
and
these
are
all
tests
in
any
of
our
facilities.
You'll
note
that
the
biggest
increases
tend
to
be
in
those
in
the
0
to
24
and
25
to
44
year
age
group.
D
Keep
that
visual
image
in
mind,
because
I'm
going
to
break
it
down
here
in
a
moment
where
you
can
see
that
this
is
the
outpatient
setting
all
the
ambulatory
lab
emergency
department
and
other
labs
and
again
it's
that
64
and
under
that's
risen,
not
the
elderly
group.
That
has
seen
the
rise
and
then,
when
you
look
exclusively
at
the
inpatients,
those
who
are
hospitalized.
D
It's
a
dramatic
shift
so
see
this
picture
versus
this
picture.
Cases
are
rising
across
all
age
groups.
Hospitalizations
are
predominantly
in
the
45
year
old
group
and
older.
So
it's
really-
and
these
are
the
vast
majority
of
these
who
are
hospitalized
here,
as
I
said
previously,
are
in
the
unvaccinated
category.
We've
gotten
a
lot
of
questions
about
our
pediatric
hospitalizations.
D
We
have
not
seen
very
many
just
to
be
honest
with
you.
I
think
the
most
that
we
had
in
the
hospital
at
any
given
time
was
three
we're,
typically
averaging
one
to
two
children
who
are
hospitalized
with
covet.
The
other
question
we've
gotten
a
lot
is:
have
we
seen
any
deaths
from
in
our
vaccinated
population?
We
have
not
to
my
knowledge,
unless
someone
has
misinformed
me,
but
I
tried
to
get
that
data
and
we
have
not
seen
a
vaccinated
patient
die.
It
has
happened
in
the
country,
but
it
has
not
happened
here
locally.
D
D
If
you
look
out
towards
the
right
hand,
side
of
the
curve
may
and
june
and
july,
where
we
saw
one
two,
three
four,
maybe
five
or
six
deaths
total
in
a
two-month
period
and
then
it's
not
as
it's
not
surprising
to
me,
nor
to
anyone.
It
shouldn't
be
surprising,
as
the
cases
increase
the
hospitalizations
increase,
the
deaths
follow
and
now
we're
beginning
to
to
look
again
like
we
did
in
january.
D
Similar
data
just
plotted
in
a
different
way.
This
represents
cumulative
deaths.
So
the
denseness
of
the
color
together
represents
deaths
day
after
day
after
day,
you
see
in
december,
through
february
many
deaths,
many
days,
multiple
deaths
on
a
given
day.
We
did
very
well,
as
we
had
vaccines
put
into
people
stretched
out
the
number
of
days
in
between
deaths,
many
days
without
deaths
and
then
boom
august
1st
hits
and
we're
on
this
fourth
wave
with
the
delta
variant,
and
we
see
a
rise.
D
I
don't
think
the
slope
of
the
curve
or
the
denseness
of
the
bars
is
much
different
now
in
this
current
wave
than
it
was
in
december
and
january.
I
think
it's
important
to
remember
that
stacy
pointed
out
that
overall,
the
death
rate
is
lower.
It
was
12
per
100
000
in
january.
I
think,
if
that's
right
and
then
four
per
100
000
now
or
a
little
bit
less
than
four.
So
that's
encouraging.
A
Thank
you,
dr
hathaway,
would
you
mind
going
back
a
couple
of
slides?
If
you
can,
I
appreciate
you
sharing
this
information.
I
think
there's
some
yes
that
one.
So
this
is
just
for
mission
hospital.
This
is
just
mission
hospital,
okay
and
it's-
and
I
know
we
can't
read
all
the
details,
but
just
to
help
us
interpret
it.
This
is
updated
through
september,
the
7th
right,
I'm
reading
the
headline
now
yep
through
yesterday,
okay,
great.
A
A
D
And
I
would
think
just
to
elaborate
on
this
a
little
bit
that
that
I
would
expect,
while
the
mortality
rate
has
declined
over
time
significantly
in
january
and
february
and
march
of
last
year.
If
you
remember,
we
saw
tremendous
numbers
of
deaths
early
on
in
new
york
city.
When
health
systems
were
overwhelmed,
we
didn't
know
how
to
treat
it
very
well.
I
think
we
will
be
very
similar
to
what
we
were
for
hospitalized
patients
in
january.
D
I
think
that
death
rate
will
be
the
same,
but
there'll
be
many,
many
more
cases
that
never
make
it
to
the
hospital,
so
we'll
see
hospital
numbers
which
are
the
same.
While
I
think
overall,
mortality
rates
will
be
be
lower
once
you
get
to
the
hospital,
it's
a
bad
situation,
and
again
these
are
the
unvaccinated.
Yes,.
A
And-
and
I
that
all
makes
sense
to
me,
but
it
is,
it
is
also
I
mean
those
are
alarming
numbers,
though
I
mean
you
know,
because
it's
not
quite
as
bad
as
december
january
I
mean
december
january
was
so
it
was
so
bad.
I've
spent
some
time
just
kind
of
going
back
and
looking
at
this
over.
You
know
from
time
to
time,
and
it's
with.
A
350
deaths
in
the
county
over
the
course
of
this
whole
pandemic,
but
they're
not
evenly
spread.
You
know
that
period
and
when
we've
had
these
peaks
there's
like
a
very
high
percentage
of
the
deaths
occurring
in
fairly
small
percentages
of
the
overall
time
frame
and
we're
in
another
one
of
those.
Now
we
don't
know
exactly
how
to
play
out.
I
hope
I
hope
you're
you're
right
that
it's
going
to
be
leveling
off,
and
maybe
we
see
more
positive
trends,
but
it
is
it
is.
A
A
A
D
That's
absolutely
right.
The
the
age
demographic
has
shifted
so
that
our
hospitalized
patients
are
far
younger
than
they
were
early
on
again,
that's
reflected
the
fact
that
we
vaccinated
the
elderly,
and
so
now
we're
left
with
the
others
and
we've
had.
I
think
our
youngest
death
for
us
was
a
28
year
old
person
and
we
tragically
had
the
death
of
a
woman
who
was
pregnant
and
delivered
prematurely
and
then
died,
leaving
the
newborn
baby
without
a
mother
and
the
two
kids
at
home
without
a
mother.
D
So
you
know
this,
is
it
always
has
been
serious?
It's
just
re-emphasized
by
the
current
surge.
If
the
the
death
rate
in
the
united
states
right
now
overall
is
about
1.62,
which
means
between
one
and
two
people
out
of
every
100
who
get
the
illness
will
die
and
that's
10
times
greater
than
influenza.
We've
had
more
deaths
from
covid
in
this
epidemic
and
pandemic
than
we
have
in
10
years
worth
of
flu
deaths.
A
D
G
D
A
H
Dr
hathaway,
I
appreciate
you
sharing
the
the
local
death
numbers.
I
think
that's
a
great
way
to
build
trust
within
within
the
community
in
the
hospital.
So
thank
you
for
being
willing
to
share
those
most
current
numbers.
You
specifically
mentioned
the
fourth
of
july
spike
and
we're
just
coming
back
from
labor
day
and
you
you
know
you
mentioned
college
football.
You
know
there's
a
lot
of
folks
out
doing
things.
D
D
So
I
suspect
that
we
will
see
a
rise.
I
think,
with
the
opening
of
schools,
we'll
see
a
rise
in
cases
for
sure,
because
there's
an
unvaccinated
population,
that's
back
in
school
and
they'll,
get
the
cases,
I'm
hopeful
but
pessimistic
that
that's
going
to
translate
also
into
an
increased
number
of
of
hospitalizations
and
I
suspect,
that'll
manifest
within
the
next
week
or
so.
Thank
you.
G
Dr
hathaway,
I
have
one
question
but
before
I'd
like
to
just
say
that
we
pro
echo
again,
we
appreciate
the
nurses,
doctors,
everyone
admission,
what
you're
doing,
and
we
know
too
how
this
is
wearing
on
your
staff.
It's
got
to
be,
but
the
question
I
have
is:
let's
set
covet
aside:
let's
talk
about
the
people
who
might
have
strokes,
heart
attacks
other
illnesses.
G
D
It's
been
it's
taken
a
significant
toll
and
it's
been
unfortunate.
What
we
saw
early
on
in
the
pandemic
was
that
there
was
a
decreased
demand
overall
for
services.
People
put
off
what
they
were
normally
would
normally
do
and
stayed
away
from
the
hospital
much
to
their
own
detriment.
In
many
circumstances,
what
that
did
was
create
capacity.
We
had
plenty
of
space
in
our
health
system
for
all
the
patients
who
needed
even
in
january,
while
we
were
full,
we
weren't
at
at
or
near
capacity
as
time
has
gone
on
all
across
the
state.
D
Our
our
demand
rose,
and
now
we've
been
hit
with
the
covet
surge
on
top
of
demand
for
health
care
that
had
already
come
back,
and
so
that's
put
us
all
every
hospital
in
the
state
at
near
capacity
for
our
care.
We
have
been
able
to
handle
it
to
this
date
and
we'll
continue
to
handle
it,
and
we
certainly
have
protocols
in
place
to
care
for
the
most
critically
ill
and
the
sickest
of
the
patients,
but
it
it's.
It's
been
a
challenge.
D
We
have
been
limited
in
large
part
by
not
so
much
physical
space
as
staffing
resources.
All
across
the
board,
I
saw
today
that
there's
an
estimated
15
000
person,
shortage
of
nurses
in
the
state
of
north
carolina
wow,
and
that
creates
huge
demands
not
just
on
availability
of
care,
but
demands
on
the
people
who
are
continuing
to
provide
the
care
they're
burning
out,
they're
they're
working
hard.
It's
been
emotionally
and
physically
difficult
for
them.
D
F
Dr
hathaway,
I
have
a
question
about
community
level,
vaccination
efforts
and
goals.
So
I,
like
everyone
else.
I
expect
I'm
reading
a
lot
about
how
states
and
communities
and
cities
that
have
higher
levels
of
vaccination
are
more
likely
to
keep
their
schools
open,
have
less
hospitalizations
all
the
good
things
that
that
come
with
high
levels
of
the
vaccination
which
is
intuitive.
F
D
Thank
you
one
additional
comment.
There
were
some
questions
about
booster
shots,
and
I
think
it's
important
to
emphasize
that
the
booster
shots
you
know
are
widely
pushed
by
the
biden
administration
as
the
next
step
and
dr
fauci
and
the
cdc
and
others
have
endorsed
that
too.
There
is
not
definitive
guidelines
about
who
or
how
or
what
or
when
or
where
the
guidelines
currently
are.
D
Looking
at
eight
months
after
your
first
vaccine
administration
and
that's
for
the
pfizer
vaccine,
the
data
for
moderna
has
not
been
fully
analyzed
and
nobody
knows
exactly
what
to
do
with
johnson
johnson
at
this
point
in
time.
So
there
will
be,
we
will
work
cooperatively
and
collaboratively.
We
have
a
what
we
call
our
western
north
carolina
vaccine
acceleration
consortium,
state
cni
and
many
many
others
in
the
18
county
region
are
part
of
that
and
we'll
partner
to
bring
a
plan.
D
But
that's
going
to
be
another
major
effort
that
we're
going
to
have
to
be
prepared
for
once
we
start
giving
the
booster
shots
to
brownie's
question.
I
think
that
that's
an
opportunity
to
push
that
campaign,
or
maybe
it
was
jasmine
to
push
the
campaign
for
additional
first
doses
for
people
when
we
get
into
the
booster
booster
side
of
it
too.
C
Dr
hathaway
I'll
echo,
the
thanks
to
you
and
to
all
of
your
colleagues
for
the
frontline
work
you're
doing.
We
are
talking
with
all
of
our
large
partners
in
the
community
about
vaccine
policy
for
employees
and
would
like
to
kind
of
take
a
few
moments
to
revisit
that
topic
with
you.
I
know
we
talked
about
it
last
time
you
were
here.
I
think
you
know
I
think,
from
a
county
perspective.
Certainly
we
are.
We
are
trying
to
explore
different
strategies
and
tactics
that
can
spur.
You
know
the
employee
numbers
to
rise.
C
I'd
like
to
hear
sort
of
the
update
on
the
the
current
policy
admission
and
then
current
thinking
about
whether
mission
would
join
many
of
the
other
large
major
health
systems
in
the
state
and
having
a
vaccine
or
having
a
vaccine
for
clinical
employees,
which
is
sort
of
a
way.
Some
people
have
parsed
the
policy
to
try
to
guard
against
the
fear
of
losing
non-clinical
workforce
as
part
of
a
mandate.
D
D
D
D
The
the
the
downside,
as
you
alluded
to,
is
the
workforce
and
we're
watching
very
very
closely
in
communities
which
we
consider
similar
to
ours,
including
within
our
own
community,
how
that's
affected
their
people
and
whether
they're
leaving
or
not
leaving.
I
I
you
know
if
we
put
in
a
vaccine
mandate
and
have
a
shortage
of
staff
because
of
that
that
doesn't
serve
the
global
purpose
that
we're
all
after.
If
we
fail
to
do
it
and
people
get
infected
and
they
don't
need
to
be
that's
a
problem.
So
it's
a
it's
a
balance.
C
Okay,
well,
I
know
this
isn't
the
forum
for
debate,
but
I
do
think
every
large
employer
in
our
community
has
an
opportunity
and
in
some
cases,
a
responsibility-
and
you
know
it's-
I
it's
just
very
hard
to
look
at
the
recommendations
around
this
and
the
choices
that
large
hospital
systems
within
north
carolina
serving
very
diverse
communities
have
made
and
understand,
understand
why
mission's
not
going
there.
I
hope
that
you
all
in
continued
discussions
will
make
the
decision
to
to
make
that.
D
A
So,
commissioners,
obviously
this
is
a
really
important
conversation
and
I
don't
I
don't
want
to
curtail
it.
We
do,
but
I
also
just
want
to
acknowledge
the
other
items
on
our
agenda
too,
which
so
we're
either
going
to
need
to
maybe
maybe
schedule
some
additional
time
for
them
or
we're
going
to
need
to
move
on
to
them.
So
I
just
wanted
to
say
that
if
there's
other
things,
people
really
want
to
get
out
on
this.
F
A
E
F
A
F
An
implement
vaccination
requirement
within
the
next
month
and
the
same
goes
each
of
these
are
identical
for
asheville
city
schools
and
for
buncombe,
county
schools,
faculty
and
staff
as
well.
There's
just
a
couple
things.
You
know
this
is
a
draft.
These
are
my
thoughts,
a
couple
things
I'd
like
to
see
added,
which
is
a
simple
sent.
You
know
item
at
the
end,
which
would
implor
implore
all
employees
to
do
to
follow
suit.
F
I'd
also
consider
adding
actual
buncombe
technical
community
college
to
this
list,
and
I
just
say
I'll
just
describe
my
intent,
which
is
you
know
not
to
not
to
force
anyone
to
do
anything
in
terms
of
employers.
Nowhere
is
my
intent
to
define
for
people
what
the
definition
of
a
vaccine
mandate
is.
That
comes
in
very
many
different
forms.
There
are
different
various
items
and
and
incentives,
carrots
and
sticks
that
people
can
use.
F
A
I
think
that
our
numbers
show
that
we
do
have
a
you
know,
we're
probably
doing
relatively
well
on
the
vaccination
rates
compared
to
communities
as
a
whole.
So
thank
you.
Everyone
who's
helping
to
meet
those
goals,
but
our
numbers
aren't
where
we
want
them
to
be
either.
So
we
appreciate
the
strategies
that
staff
have
developed
to
help
continue
to
ramp.
A
That
up
and
the
updates
on
that-
and
you
know
my
sense-
is
that
I
hope
then
I
hope
that
they,
you
know
they
continue
to
move
people,
and
I
think
I
think
getting
the
numbers
up
is
is
really
we
have
to
do
that.
I
hope
the
current
efforts
are
successful
in
getting
us.
There
are
very
close
to
there
if
they,
if
they
aren't.
A
An
organization
have
to
consider
other
other
policies.
You
know
around
around
how
we
continue
to
get
something
closer
to
universal
vaccinations
as
well.
So,
but
I
wanted
to
say
thanks
for
all
the
work,
that's
going
into
that
and
and
some
of
the
promising
results
that
we're
we're,
seeing
some
from
some
of
the
new
initiatives.
Thanks.