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From YouTube: Pittsburgh City Council Post Agenda - 3/19/19
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A
Hello
and
welcome
to
Pittsburgh
City
Council's
post
agenda
for
Tuesday
March
19th
2019.
My
name
is
Kim
Clark,
Baskin
and
I'm
your
deputy
city
clerk
with
us.
Today
we
have
our
sign
language
interpreter
John,
Velasco.
The
following
is
a
topic
to
be
discussed
at
roundtable
discussion.
At
the
request
of
council
member
coreihl
Connor,
there
will
be
discussion
on
the
HIV
and
AIDS
Commission.
B
Aids
Commission
I'm,
councilman
O'connor
I'll
be
chairing
this
meeting.
We
started
the
hiv/aids
commission
probably
about
six,
maybe
seven
years
ago,
right
now
and
we
have
invited
guests
who
give
us
an
annual
briefing
on
what
the
Commission's
up
to
where
the
city
can
take
their
information.
Maybe
some
laws
that
we
can
look
at
changing
and
today
we're
not
only
just
talking
about
that,
but
we're
talking
about
a
lot
to
do
with
public
health
issues
because
they
sort
of
intersect
so
I'll.
Let
the
invited
guests
introduce
themselves
and
then
I,
guess
I'll
pass
it
to
dr.
D
F
C
C
At
the
same
time,
we
have
been
working
very
hard
this
year
in
developing
specific
products
and
been
involved
in
a
number
of
activities
which
I'd
like
to
share
with
with
folks.
Now
this
is
our
20-19
HIV.
Commission
members.
We
have
a
robust
group
of
members
that
represent
various
disciplines
and
different
sectors.
C
Hiv
is
a
very
complicated
issue
and
it's
complicated
because
people
with
HIV
often
have
other
problems
such
as
hepatitis,
mental
illness,
substance
use
and
sexually
transmitted
infections,
and
it's
very
difficult
to
talk
about
HIV.
Without
talking
about
all
of
these
things
and
other
people
today,
and
our
guests
are
going
to
talk
about
that
as
we
move
along
I
wanted
to
remind
you
of
the
2015
national
hiv/aids
strategy,
which
are
now
referred
to
as
the
national
priorities.
And
these
were
this.
C
National
HIV
strategy
was
developed
during
the
Obama
administration
and
has
continued,
and
this
is
what
we're
really
trying
to
do
is
to
reduce
new
infections.
We
try
to
improve
access
to
care
and
health
outcomes,
reduce
health
disparities
and
achieve
a
more
coordinated
response
and
I'm
gonna
be
talking
in
a
little
bit
at
the
end
about
the
new
initiative
that
has
been
put
together
by
dr.
Fauci
at
the
NIH
and
dr.
Redfield
at
the
CDC,
as
well
as
many
others
in
addressing
ending
the
HIV
epidemic
in
America
I'm,
going
to
turn
it
over
now
to
dr.
D
You
dr.
Frank,
so
the
HIV
cascade
of
care,
as
we
call
so
continuum
of
care,
is
really
includes,
in
fact,
five
stages,
and
what
we're
talking
about
is
that
time,
when
people
get
that
until
the
time
they
achieve
what
we
call
like
the
viral
suppression,
which
means
at
the
time
when
they
receive
treatment,
they
stick
to
the
treatment
and
they
are
retained
in
treatment
and,
unfortunately,
in
the
u.s.
we've
been
having
significant,
still
significant
problems.
D
First
of
all,
getting
people
to
be
tested,
and
once
they
are
really
tested
really
getting
them
in
to
treat
them,
what
we
call
the
linkage
to
care
and
after
we
link
them
into
treatment,
getting
them
what
we
call
the
antiretroviral
treatment
and
making
sure
that
they
are
staying
in
treatment
throughout
the
time
and
we've
had
problems
all
across
these
stages
and
the
Cascade
of
care.
That
obviously,
would
need
to
be
addressed,
and
that
start
from
early
on
with
the
HIV
testing
and
also
aggressively
treating
patients
and
making
every
effort
to
retain
them
in
treatment.
D
The
our
priorities
have
been
really
all
across
from
really
the
in
terms
of
the
health
care
in
terms
of
education
bills.
But
we
have
a
lot
of
people
have
been
involved,
whether
in
the
committee
in
the
Commission
who
have
different
experiences,
who
bring
really
different
talents.
I
would
say,
and
and
really
we're
trying
to
really
engage
different
sectors
that
are
really
basically
outlined
in
the
legislation
and-
and
we
have
people
from
diverse,
really
backgrounds,
whether
healthcare,
education
and
business,
and
what
we
have
been
really
doing.
Also
really
working
on
really
establishing
more.
D
What
we
call
I
can
update
some
a
quarterly
update
summaries
for
the
City
Council
to
look
at
and
really
potentially
incorporate.
As
potential
policies,
that
would
really
help
identify
particular
areas
related
to
the
HIV
problem
and
also
all
the
other
intersecting
issues
that
we've
talked
about
earlier
and
the
areas
that
need
to
be
really
addressed
include
resources,
outreach
as
well
as
interventions,
and
also
what
we've
been
trying
to
do,
is
really
to
provide
and
be
the
resource
for
the
City
Council
to
really
disseminate
any
information
to
specific
communities
and
really
share
with
them.
D
Also
any
sort
of
new
policies
or
program
that
we
are
aware
of,
and
obviously
the
whole
point
of
it
is,
is
really
to
continue
that
ongoing
discussion
and
dialogue
with
the
council
to
really
be
able
to
be
providing
whatever
really
needed
quickly.
Here,
we
still
HIV
is
still
a
problem
again
across
Pennsylvania
across
even
the
u.s..
Obviously,
there
are
epicenters
in
the
u.s.
D
C
E
Small
committee
of
commission
members
developed
this
particular
brief
and
it's
highlighting
really
the
issue
of
substance
use
disorders
and
how
it
really
relates
to
HIV
and
the
consequences
of
that.
We
been
talking
about
the
drug
abuse
issues
more
recently,
but
you
know
the
the
intersection
with
HIV
has
to
do
with
the
ability
to
identify
within
the
HIV
system,
substance,
abuse,
disorder
issues,
and
to
be
to
be
aware
that
this
has
important
implications
at
all
levels:
societal
as
well
as
family.
E
We
have
to
think
in
terms
of
the
effects
on
families
and
children
and
the
emotional
and
financial
implications
of
substance
use
disorders
in
intersecting
with
HIV
some
intersection
interventions
have
been
going
on
and
we
have
those
listed
on
brief.
But
in
terms
of
recommendations,
we
highlights
the
fact
that
education
should
be
supported
education
and
harm
reduction
interventions
and
recommendations,
such
as
supporting
psychotherapy
for
treatment
of
substance
use
disorders
in
combination
with
psychosocial
services,
and
we
also
highlighted
the
fact
that
we
need
the
involvement
of
families
in
the
treatment
to
improve
the
outcomes.
E
E
C
F
C
My
one
of
my
first
volunteer
experiences
was
when
there
was
a
Pittsburgh
free
clinic
that
was
over
on
Highland
Avenue,
deep
in
the
last
century,
where
I
volunteered
as
the
STD
nurse
and
evaluated
people
for
sexually
transmitted
diseases.
So
it's
not
onion.
It's
not
a
surprise
that
I
got
involved
in
HIV
and
I
work
in
the
in
the
department
of
infectious
diseases,
but
the
issue
of
sexually
transmitted
diseases
has
not
gone
away.
C
A
hundred
and
fifty-two
reported
cases
of
chlamydia,
gonorrhea
and
syphilis
among
individuals
previously
diagnosed
with
HIV
males
make
up
more
than
ninety
four
percent
of
these
new
cases
of
STDs
in
2017
and
year-to-date
in
2018,
there
were
25
reported
STD
cases
among
newly
diagnosed
HIV,
positive
persons
and
a
hundred
and
forty
three
STD
cases
among
previously
diagnosed
HIV,
positive
persons
and
I'm
not
going
to
read
this
entire
thing
to
you.
But
one
of
the
things
that
we
have
to
think
about
is
when
someone
shows
up
with
an
STD.
C
We
have
to
test
them
and
offer
testing
for
HIV
and
hepatitis,
and
we
got
to
get
them
linked
to
the
services
that
they
need,
because
if
you
have
exposed
yourself
to
one
STD,
there
is
likely
that
you've
exposed
yourself
to
another
STD,
and
so
this
is
something
that
we've
sort
of
got
to
focus
on.
If
we're
going
to
get
ahead
of.
What's
going
on
and
number
six
on,
this
page
I
think
is
important
for
every
HIV
infection
that
is
prevented.
An
estimated
360
thousand
dollars
is
saved
in
a
cost
of
providing
lifetime.
C
Hiv
treatment
and
a
significant
cost
savings
for
the
health
care
system,
so
it
doesn't
just
make
sense
for
the
quality
of
life
and
for
the
the
health
of
individuals
at
risk,
but
it
also
impacts
the
cost
of
health
care.
The
CDC
has
come
out
with
specific,
evidence-based
research
and
best
practices
that
I
think
are
important
to
to
keep
in
mind
for
persons
who
inject
drugs
and
evidence-based
intervention
is
proven
to
reduce
hepatitis
C
transmission,
with
access
to
clean
injection
equipment
and
anonymous
drop-off
places
for
used
injection
equipment.
C
C
It
was
streamed,
live
from
from
Washington
DC
and
the
two
primary
drivers
of
this
20:19
ending
HIV
in
America
are
Tony
Fauci,
who
is
head
of
the
HIV
division
at
NIH
and
dr.
Robert
Redfield
who's.
Now
the
head
of
the
CDC
dr.
Redfield
by
the
way,
was
a
COPI
eye
for
the
mid-atlantic,
a
ATC.
He
was
at
the
University
of
Maryland
and
part
of
my
project
at
the
University
of
Pittsburgh
until
he
left
to
take
the
position
at
the
CDC.
The
three
things
that
I
think
are
really
important
that
we've
been
talking
about
here
today.
C
With
these
briefs
that
we've
developed,
as
well
as
as
the
intersecting
focus
for
this
committee,
is
that
we
now
have
the
right
data.
We
know
we
have
the
data
on
the
epidemiology.
You've
seen
it
for
Pennsylvania,
you've
seen
it
for
the
alley,
cat,
Allegheny,
County
and
in
fact,
CDC,
N
and
NIH
and
hersa
have
have
it
now
for
the
United
States.
So
they
know
where
the
hot
spots
are
in
48
counties
around
the
country
as
well
as
seven
rural
states
in
the
middle
of
the
country.
C
We
have
the
right
tools,
number
two:
we
have
the
right
tools.
Hiv
treatment
is
prevention.
If
you
can
get
people
on
treatment,
get
them
on
antiretroviral
medication.
Keep
them
adherent
to
the
medication,
reduce
their
viral
load
to
undetectable
levels.
You
can
reduce
HIV
transmission
and
I
did
pass
out
an
article
here
that
was
just
published
in
JAMA.
That
says
that
undetectable
equals.
C
Untranslated
below
a
detectable
level,
it
is
prevention.
So
treatment
is
prevention.
Dr.
du
wei,
he
mentioned
prep
pre-exposure
prophylaxis.
What
this
is
is
giving
people
who
are
at
risk
for
acquiring
HIV
antiretroviral
medications
to
prevent
them
from
getting
infected,
and
the
data
shows.
The
data
is
clear
that
this
intervention
works.
So
these
are
two
very
important
tools
that
are
part
and
parcel
of
this
new
ending
HIV
in
America.
C
So
this
is
the
schematic
that
HHS
developed
and
it
talks
about
diagnosing
that
is
getting
everybody
tested
and
the
problem
that
we
continue
to
have
is
not
everybody
is
getting
tested.
Everybody
should
know
their
HIV
status.
We
should
be
doing
this
in
all
healthcare
settings
in
community
health
centers
in
emergency
rooms
in
primary
care.
Everybody
should
be
offering
everybody
should
be
offered
an
HIV
test
and
there's
specific
guidelines
around
that
which
we
don't
have
time
to
go
into
right
now,
but
the
people
who
test
positive.
C
Them
from
getting
HIV
infected
and
prevent
being
spread
to
other
people
and
then
finally
respond,
and
this
response
is
around
outbreaks
where
that
we've
seen
across
the
country
where
we
get
these
clusters
of
HIV
cases
related
to
injection
drug
use,
we've
seen
it
in
Indiana
and
we
also
have
seen
it
in
West
Virginia,
there's.
Actually
an
outbreak,
that's
happening
right
now
down
in
West
Virginia,
that's
been
tied
to
injection
drug
use
in
a
cohort
of
folks
that
are
now
getting
HIV
infected
and
the
goals
I
can't
read
it
from
here.
C
My
eyes
are
really
bad,
but
this
is
the
these
are
the
same
points.
But
if,
but
if
you
look
at
this
map
here,
oops
there's
not
a
pointer
here.
Maybe
there
is
no.
You
can
see
the
dots
on
the
on
the
map
of
the
US,
where
there
is
these
48
counties
that
have
the
highest
HIV
rates
of
new
infection,
and
then
they
have
these
states
in
the
middle
of
the
country
that
our
rural
that
have
high
rates
of
new
HIV
in
fact
infection.
C
C
23
percent
of
people
with
HIV
knew
they
had
HIV
but
were
not
in
care
accounted
for.
43
percent,
and
that
goes
back
to
the
idea
of
getting
people
in
treatment
to
reduce
their
viral
load
really
does
make
a
difference
and
could
make
a
difference.
11
percent
of
people
with
HIV
in
care,
but
are
not
virally
suppressed,
accounted
24.
20
percent
of
the
new
infections
and
51
percent
of
people
with
HIV
taking
HIV
medicines
and
virally
suppressed,
accounted
for
zero
percent
of
the
new
and
transmissions.
C
This
is
really
important
data
and
that's
why
the
issues
of
getting
people
into
care,
keeping
them
in
care
and
getting
them
virally
suppressed,
is
really
important
and
the
reason
that
we're
talking
about
people
with
mental
illness,
people
with
substance
use
people
with
sexually
transmitted
infections.
You've
got
to
deal
with
these
other
things
as
well,
because
those
things
can
be
barriers
to
people
getting
into
treatment
and
staying
in
treatment.
So
that
is
really
the
intersection
that
we've
been
trying
to
talk
about
and
I
have
one
more
slide
and
then
I'll
stop.
C
So
in
summary,
ending
the
HIV
epidemic.
This
is
from
the
CDC,
but
ending
the
HIV
epidemic
in
Pittsburgh
and
Allegheny
County
in
Pennsylvania
in
the
United
States
is
all
the
same.
Diagnosing
people
getting
as
early
as
possible,
treat
them
quickly
and
effectively
protecting
people
at
risk
and
responding
quickly
to
clusters
of
new
cases.
This
is
what
needs
to
happen
everywhere
across
the
United
States
and
a
matter
of
fact
around
the
world,
so
I
will
stop
there.
Thank.
B
You
guys,
for
this
is
a
lot
of
info
for
us,
but
I
think
it's
great,
that
you
broke
it
down
into
steps
and
what
we
can
do.
You
know
recommendations
for
handling.
You
know
the
mental
health
issue
that
relates
to
HIV
as
well,
as
you
know,
HIV
STDs
and
then
obviously
the
substance
use
disorder,
I
mean
I,
think
giving
us
the
guidelines
really
helped
us
a
lot.
You
know,
obviously
we're
not
experts,
that's
why
you
guys
are
here
but
I,
think
giving
us
the
breakdown
and
then
showing
us
the
goals
at
the
end.
B
I
think
that
last
slide
you
showed
me
was
amazing
that
51
percent
of
the
people
that
are
taking
medication
now
have
a
0%
chance
of
transferring
and
the
education
piece
and
I
think
we've
talked
about
it
before
is
the
one
that
really
stands
out
so
for
us,
obviously
we're
not
in
the
schools,
that's
the
school
board,
but
you
know
now
that
this
relates
so
close.
We
should
probably
follow
up
with
a
meeting
with
a
couple
school
board
members
and
talk
to
them
and
see
how
you
know.
B
Maybe
there's
a
briefing
you
could
give
every
once
in
a
while
at
the
school.
Whatever
that
might
be.
You
know
that's
education
on
the
school
level,
I
think
a
lot
of
our
community
groups
would
like
to
see
this
information,
especially
if
you
can
break
it
down
where
these
issues
are
in
certain
communities.
B
You
know.
We
have
community
development
meetings
all
the
time,
but
we
don't
really
talk
about
health
enough,
so
that
would
be
really
important.
The
one
thing
I
would
ask
out
of
the
291
million
that's
being
spent
all
across
the
country
and
I
know:
numbers
are
going
to
differ
in
each
city
in
each
county
that
they're
spending
would
you
have
an
average
of
what
it
is
being
spent
somewhere,
not
I,
know
the
money's
not
being
disbursed
yet,
but
that
would
go
a
long
way
in
helping
us.
B
B
C
B
I
think
again,
what's
and
I
don't
know
if
we've
ever
sponsored
a
bill
like
this,
but
the
biggest
thing
is
when
you
go
in
for
your
annual
checkup
you're,
not
asked
the
question
to
take
a
test.
So
for
us
who
would
would
that
be
the
state
health
department
I
mean
who
would
regulate
that
to
almost
push
to
require
it?
Well.
D
You
know
and
the
HIV
Commission
write
about:
how
can
we
get
through
teen,
HIV
testing
and
primary
care
settings?
You
know
emergency
room,
you
know
I'm,
not
sure
if
you
can
necessarily
regulate
something
like
that,
but
I
think
through
education
as
to
really
basically
the
dissemination
of
some
certain
policies
is
looking
at.
We
we
want
to
make
sure
you
know
that
you're
supporting
as
a
city.
You
know
you
know,
council.
You
know
that
to
really
kind
of
you
know
it
has
to
be
more
of
a
marketing
or
right.
A
C
B
It
more
instead
of
just
a
will
of
council
to
the
state.
Is
it
more
reaching
out
to
clinics?
Let's
say
in
our
districts,
you
know,
I
have
let's
say:
I
have
an
urge
II
care
in
my
neighborhood.
Can
I
write
them
a
letter
or
can
the
Commission
write
them
a
letter
saying
you
know
on
behalf
of
the
city
of
Pittsburgh?
We
know
you
do
great
work,
but
it
would
go
a
long
way.
How
many
times
do
you
and
again
doctors?
You
know
you're
doing
a
million
things.
E
B
E
B
This
is
more
direct
to
a
center.
Can
we
think
about
doing
something
like
that?
I
mean
you'll.
You'll
have
the
heading,
obviously
from
the
city
you're
come
and
then
you
know,
my
centers
in
my
district
I
have
no
problem
sending
a
letter
to
whoever
the
number
one
physician
is
or,
however,
that
works
well.
C
There
still
rocks
in
the
city.
Sorry
scratch
that,
but
but
don't
want
any
Liberty,
but
the
other
thing
is
is
going
sending
letters
to
the
two
major
health
plans:
yeah
hi,
Mark
and
UPMC.
We've
never
actually
done
something
like
that,
because
most
of
the
health
care
is
provided
by
those
two
groups.
There
there's
others.
There's
private
practitioners
as
well,
but
it
would
be
good
to
you
know,
send
something
to
them,
as
well
as
the
model
that
you're
talking
about
is
sort
of
the
door
to
door
to
door
model
of
targeting
specific
clinics
and
I.
B
B
So
in
the
you
know,
if
we
sent
it
out
in
a
month
in
two
months,
what
what
response
did
we
get
and
then
I
think
that's
where
on
us,
the
electeds
to
say
hey,
you
know,
follow
up
with
a
call
to
your
local
center
or
your
local
orgy
care
or
whatever
it
might
be,
and
then
I
don't
know,
and
you
guys
obviously
know
the
health
care
system
better
than
I
do.
Is
there
do
they
offer
and
they
probably
don't
do
this?
Is
there
an
incentive
to
getting
the
test
on
your
regular
checkup.
E
B
Maybe
I
think
incentives,
because
we
do
so
much
with
tax
incentives.
Other
things
like
that,
it's
it's
completely
different,
but
I'm,
just
wondering
okay,
if
I
go
in
and
the
doctors
are,
let's
say
the
doctors
themselves
are
offering
and
they
can
keep
track.
Hey
I
offered
all
hundred
of
my
patients.
That
is
there
anything
from
the
medical
side.
There's
probably
not
I'm.
A
D
You
know
yeah,
but
otherwise
I
mean
I,
think
it's
just.
It
has
to
be
really
more
integrated
as
a
part
of
a
routine
testing
for
anything
like
people
go
and
get
through
thinly
tested
for
cholesterol,
you
know
and
glycemia
you
know
and
to
rule
out
diabetes
or
same
thing
with
high
blood
pressure.
You
check
your
blood
pressure.
You
know
an
HIV
test
wouldn't
take
more
than
ten
twelve.
You
know.
B
C
C
C
Three
hundred
sixty
thousand
dollars-
and
you
know
the
the
things
that
drive
up
health
care
costs-
are
showing
up
in
the
emergency
room
and
being
admitted
to
a
hospital,
and
so
if
you
can
get
people
to
get
tested
and
get
them
to
outpatient
care
and
stay
in
outpatient
care,
they
avoid
hospitalization.
They
avoid
ER
visits,
you
lower
the
cost
of
care
and.
E
B
D
B
Right,
yeah,
okay,
yep
all
right!
Well,
no
I
I
mean
I,
always
think
this
is
informative.
When
you
guys
come
in
and
talk
to
us
about
this,
and
knowing
that
there
are
steps
like
I
said
we
can
do
with
within
our
community
groups
within.
You
know
like
a
door-to-door
approach,
but
also
send
letters
to
UPMC
and
Highmark
and
any
other
health.
E
E
C
C
B
C
If
you
want
any
of
us
to
go
and
meet
with,
you
know
the
school
system
we're
happy
to
do
that.
Meeting
with
teachers,
school
nurses,
school
counselors,
you
know
whatever
we're
happy
to
do
that
and
then
the
letter
will
also
add
the
letters
to
the
health
plans
for
this
year's
agenda
and
then
we're
going
to
maybe
do
a
deeper
dive
into
you
know
putting
some
percentages
and
data
around
these
intersecting
public
health
issues
and
and
really
sort
of
investigate
this
incentive
issue.
Yeah.
B
I
think
that
would
be
really
interesting
if
somebody
would
sign
up
for
that.
You
know
get
everybody
seeing.
Oh
there's
not
only
a
benefit
to
my
health,
but
it
also
you
know:
I
save
50,
bucks
or
whatever
it
might
be.
Who
knows
that
anything
to
do
that
always
makes
sense
to
me
so
well.
Thank
you.
Does
anybody
have
anything
else
to
add?
Thank.