►
Description
City of Charleston Health and Wellness Advisory Committee (Virtual) 4/7/2021
A
A
A
A
Thank
you.
Okay.
We
have
a
medium
agenda
today
and
we
have
a
good
crowd
here.
So,
let's
move
through
it
for
those
who
are
on
the
committee.
The
first
thing
is
approval
of
the
minutes
from
march
3rd
2021..
I
saw
that
paul
has
distributed
them.
Do
I
have
a
motion
on
the
minutes.
A
A
Looks
like
all
right
any
opposed
the
eyes.
Have
it
all
right.
Next,
I
see
you've
got
the
agenda
up
there.
Paul
all
right.
Next
on
our
agenda
is
gun
violence
in
the
community,
musc
hospital-based
violence,
intervention
program-
dr
hank,
is
dr
hank
with
us.
She.
A
Awesome
there
she
is
hi
everyone
good
morning.
How
are
you
thank
you
for
joining
in?
If
you
need
a
moment
of
breather,
if
not
we're
ready
for
you.
D
Yeah,
nothing
like
a
long
night's
work
and
jumping
on
so
I
got
everything
ready
to
go.
I'm
going
to
share
my
screen.
If
that's
okay,
it's
perfect.
D
Okay,
everyone,
so
thank
you
for
having
me
back.
D
And
so
I
mean
this
is
constantly
a
discussion
right.
I
think,
as
health
care
providers
we
see
and
we
treat
victims
of
violence
every
day,
and
you
know,
quite
frankly,
I
think
are-
are
tired
of
waiting
for
policies
to
catch
up
and
funding
to
catch
up,
to
really
invest
in
violence
prevention.
D
And
so
what
we
know
is
that
hospitals
and
communities
can
come
together
to
really
put
put
forward
evidence-based
violence,
intervention
programs
that
identify
high-risk
individuals
and
support
victims
of
violence
to
help
break
these
cycles
right,
and
so
I
we,
we
know
the
numbers,
so
charleston
saw
doubling
of
homicides
in
the
last
year
and
there's
been
a
lot
of
discussion
in
the
national
media
about
jumps
and
violent
crime
and
homicides
all
over
the
country.
But
you
even
look
at
cities
like
chicago
st
louis.
They
have
thirty
percent
forty
percent.
D
We
had
a
hundred
percent
increase
at
our
trauma
center.
Our
firearm
injuries,
which
were
overwhelmingly
due
to
assault,
were
up
thirty
percent
in
2020.
It's
now.
The
second
leading
mechanism
of
injury
for
children,
which
should
be
very
upsetting
to
us
and
now,
based
on
cdc
data
firearm
injuries,
most
of
which
are
due
to
assault,
are
the
leading
cause
of
death
for
children
in
the
united
states.
D
Not
motor
vehicle
collisions
not
other
unintentional
injuries.
Firearm
deaths
mostly
due
to
assault,
and
we
have
a
significant
racial
disparity
in
south
carolina
with
black
children
being
more
likely
to
be
shot
than
white
children,
fivefold
and
so
far
you
know,
I
think,
there's
been
a
lot
of
things
that
have
happened
in
the
year
of
covid
that
we
knew
as
violence.
Researchers
would
exacerbate
the
risk
of
violence
right.
So
there's
been
a
lot
of
people
increasing
their
access
to
firearms,
more
children
at
home,
perhaps
children
that
have
higher
risk
factors
they're
not
in
school.
D
They
don't
have
protective
mechanisms.
There's
economic
uncertainty,
distrust
in
a
lot
of
systems,
both
political
and
in
the
criminal
justice
and
system,
and
so
we
thought
maybe
we
would
start
to
see
things
get
better,
but
so
far
the
trend
is
certainly
not
holding
up
in
2021
and
we're
still
seeing
elevated
rates
of
specifically
firearm
violence
and
community
violence,
okay,
and
so
hence
what
we
are
doing,
because
this
is
what
I
can
control.
D
Is
we
really
identify
individuals
that
come
in
with
a
violent
injury
or
with
a
lot
of
risk
factors
for
violence,
and
we've
got
more
research
where
we
can
really
look
at
someone's
history
and
say
gosh.
This
person
is
significantly,
you
know
a
high
risk
of
experiencing
a
violent
injury
in
the
future.
Maybe
we
need
to
focus
on
them
and
provide
them
supported
intervention
and
so
in
the
hospital
in
the
healthcare
setting
we're
able
to
really
capture
someone
right
at
a
very
vulnerable
moment.
D
Never
experience
this
violence
again,
which
also
typically
helps
prevent
violence
perpetration
because
a
lot
of
times
they
can
go
in
this
in
the
same
setting
right,
and
so
we
identify
their
risk
factors,
mental
illness,
substance,
abuse,
exposures
to
violence
in
their
home,
normalization
of
violence
prior
traumas
right
and
we
identify
these
risks
and
identify
what
resources
we
have
in
the
health
care
setting
and
in
the
community,
setting
to
help
create
an
action
plan
for
the
patient
and
his
or
her
family.
D
Okay
and
there's
intensive
wrap
around
and
follow-up
for
months
after
they
leave
the
hospital.
We
think
a
lot
about.
You
know
children,
and
perhaps
you
know
child
protective
services
right
and
they
have
social
workers
that
work
for
them
a
period
of
time.
Most
of
our
children
who
are
victims
of
violence
are
victims
of
community
violence
from
similarly
aged
people
right,
but
there's
not
a
system
in
place.
D
D
Employment
is
very,
very
important,
helping
with
conflict
resolution
providing
mental
health
services,
mentorship,
helping
people
get
health
care,
access,
transitional
or
stable
housing,
getting
services
through
the
criminal
justice
system
or,
if
they're
involved
in
the
criminal
justice
system,
coordinating
with
their
parole
officers,
to
engage
them
in
this
program
and
actually
help
keeping
them
out
of
the
criminal
justice
system
in
the
future.
And
so
it's
really
whatever
service
the
individual
and
the
family
needs
to
help
address
their
risk
factors
and
promote
recovery,
socially,
economically,
health-wise,
etc.
D
And
really,
I
think
the
key
part
of
this
right
is
relationships.
A
lot
of
victims
of
violence
right
aren't
treated
necessarily
in
what
we
would
call
a
trauma-informed
way.
There's
a
lot
of
biases
and
assumptions
made
about
them,
and
what
we
know
is
that
these
programs
help
identify
people
as
worthy,
and
we
know
that
when
people
have
self-worth,
they
are
more
likely
to
be
successful
and
be
hopeful
about
their
future
right.
D
And
so
what's
the
evidence
about
these
programs,
we
know
that
they
reduce
violence
recidivism.
Some
programs
have
demonstrated
reductions
of
20
percent
down
to
less
than
four
percent,
which
is
profound:
okay,
improved
access
and
utilization
to
resources,
both
health
and
mental
health
services,
education
and
jobs,
training,
mental
health
services
and
employment
tend
to
be
the
most
important
services
for
keeping
people
healthy
and
out
of
cycles
of
violence.
These
programs
have
found
better
social
outcomes.
D
People
have
better
quality
of
care
and
there's
cost
savings,
and
so
some
of
the
studies
have
found
that,
for
every
dollar
invested,
four
is
saved
in
health
care
alone
and
there's
reduction
in
criminal
justice
system
involvement
as
well
in
these
programs.
So
there's
a
lot
of
great
evidence
in
the
research
that
really
shows
that
these
programs
work.
There
are
not
many
in
the
southeast.
D
There
are
really
great
examples
in
the
northeast
there's.
Some
in
philadelphia
ucsf
in
san
francisco,
which
is
really
the
gold
standard,
boston
and
a
lot
of
these,
have
been
well
researched
and
are,
I
think,
importantly,
incredibly,
well
respected
and
integral
in
their
community
once
they
start
the
hospitals
and
the
communities
say
we
can't
do
without
this.
D
Okay,
and
so
what
we're
targeting
is
to
serve
anywhere
initially
from
80
to
100
victims
a
year
and
that's
based
on
our
data
at
our
trauma
center
on
the
individuals
that
we
most
frequently
see
that
are
victims
of
severe
community
violence.
Okay,
it
tends
to
be
males
we're
focusing
on
ages
13
to
30,
because
we
are
seeing
younger
and
younger
victims
and
we
need
to
intervene
early
because
we
frequently
see
them
back,
and
that
is
the
goal
right
is
to
stop
those
cycles
early.
D
We
aim
to
reduce
risk
factors,
and
so
we
assess
them
at
their
baseline
and
then
follow
them
and
look
for
reduction
of
risk
factors
in
addition
to
making
sure
that
they're
getting
the
services
that
we
are
setting
them
up,
for,
we
will
be
tracking
violence
recidivism
and
certainly
perceive
quality
of
hair
quality
of
care
and
some
quality
of
life
and
mental
health
measures.
D
D
D
In
addition,
we're
putting
together
a
stakeholder
committee
because,
like
I
said
this,
isn't
just
hospital
resources,
this
is
working
with
the
community
to
make
sure
that
we
can
get
services
to
the
people
that
we're
helping
here,
and
so
this
is
kind
of
our
internal
timeline
and
so
right
now
we're
in
sort
of
the
final
stages
of
of
our
interviews
and
we'll,
hopefully
be
hiring
people
here
in
the
next
few
weeks,
we
have
formal
training
from
the
health
alliance
for
violence
intervention,
which
is
a
national
group
that
supports
the
the
training
and
technical
support
of
violence,
intervention
programs,
we're
setting
up
all
of
our
outreach
material
platform
for
data
collection,
etc
and
then
come
may
and
june.
D
We
will
have
our
individuals
set
up
to
really
start
serving
our
patients
in
our
community
by
that
time.
So
we're
very
excited
to
roll
this
out
this
summer
and,
of
course
summer
is
when
we
see
upticks
and
violence.
D
For
instance,
a
lot
of
programs
actually
provide
arts
therapy
and
arts
outlets
for
visual
arts
and
performing
arts
for
for
individuals,
which
is
great
in
terms
of
the
therapeutic
outlet,
and
so
there's
a
lot
of
ways
that
the
community
has
the
ability
to
support
victims
of
violence.
It's
currently
not
being
utilized
and
thought
about
in
a
creative
way,
and
so
I
think,
when
we
think
about
how
the
city
can
help
well.
D
I've
talked
to
the
mayor
about
this
before
and
I'll
continue
saying
it
right.
These
programs
across
the
country
frequently
end
up
being
supported
by
cities.
It's
an
investment
in
public
health,
an
investment
in
disparities
in
inequity
prevention
and
keeping
people
out
of
the
criminal
justice
system,
and
so
this
is
something
that
really
could
be
an
investment
in
our
future.
D
There's,
obviously,
a
lot
of
stakeholder
partnerships,
I'm
working
closely
with
people
with
charleston
police
department.
They
are
aware
of
this
program.
We've
met
multiple
times,
they're
very
excited
and
supportive,
I've
communicated
with
people
in
parks
and
recreation
about
ways
that
we
can
get.
Perhaps
our
youth
and
at-risk
in
for
for
programmatic
support,
and
we
can
help
provide
them
too,
with
with
reduced
cost
scholarships
etc,
and
I
think
we
have
an
opportunity
to
engage
local
businesses.
D
D
There's
opportunities
to
provide
community
level
intervention
so
that
employers
know
that
they
have
a
role
too
in
helping
support,
individuals
and
and
really
recognizing
when
someone
might
be
at
risk
and
then,
alternatively,
providing
people
jobs
after
they
perhaps
suffer
an
injury,
especially
if
they
might
have
a
disability
after
because
this
can
be
profoundly
life
altering
if
they
then
feel
like
they
can't
care
for
themselves
and
their
families-
and
I
think,
what's
very
important-
is
a
very
vocal,
visible
commitment
to
non-violence
and
firearm
safety
as
a
priority
for
its
citizens,
its
visitors
and
the
most
vulnerable
youth
in
our
community.
D
I
think
that
charleston
has
an
opportunity
to
probably
step
up
and
vocalize
this
even
more.
It
frequently
gets
turned
into
a
police-related
issue,
a
criminal
justice
issue.
Well,
really,
you
know
at
the
heart
of
it.
We
have
people
in
our
communities
being
shot
and
being
killed
and
their
lives
are
being
taken
and
children
and
other
people
are
hearing
these
bullets
being
fired.
D
They're
seeing
people
die
in
their
communities,
the
impact
to
other
individuals
is
profound
and
quite
frankly,
we
can't
put
a
cost
to
it,
but
when
our
people
don't
feel
safe
here
and
people
don't
feel
safe
visiting
here,
that's
a
problem
for
all
of
us
right
and
so
there's
really
an
opportunity
for
us
to
embrace
a
non-violent
message
and
say
that
we're
committed
as
a
city
to
these
efforts
and
investment
now
means
a
higher
likelihood
of
sustainability
in
the
future.
D
D
But
there
are,
there
are
proposals
in
the
infrastructure
and
jobs
plans
to
actually
support
funding
for
individuals
that
do
specifically
violence,
intervention
work,
and
so,
if
we
have
programs
already
up
and
going
we're
more
likely
to
get
support
in
the
future,
there's
also
opportunities
in
the
future
to
potentially
get
support
from
things
like
cms
reimbursement
is
a
recognition
that
this
is
an
important
aspect
of
health
care
and
public
health.
So
I'm
going
to
stop
there.
A
Well,
thank
you
very
much.
That's
a
lot
of
information
and
some
things,
I'm
sure
that
many
of
us
didn't
know
and
anything
that
we
can
do
to
help
any
questions
for
dr
hinck,
who
has
quite
the
task
ahead
of
her
and,
I
think,
could
use
anybody
who
wants
to
sign
up
to
help.
I
think
it's
yes.
B
I
have
a
comment,
so
dr
hink,
I'm
jennifer
roberts,
I'm
the
executive
director
of
the
charleston
dorchester
mental
health
center
and
we'd
love
to
be
part
of
this,
because
we
have
six
and
soon
to
be
seven
clinicians
housed
in
police
departments
and
the
sheriff's
department
working
with
victims
of
crime
through
a
grant
that
we
got
actually
two
different
grants.
B
And
so
it
sounds
like
a
perfect
match
for
us
to
work
together
and
maybe
refer
people
to
you.
We
do
have
clinicians
and
they're
working
with
the
victims
advocates
in
each
of
those
locations
and
they're
at
charleston
city
police
department
as
well.
So
I
will
reach
out
to
you
and
when
you
get
to
a
place
where
you
want
partners
or
people
as
part
of
your
task
force,
please
include
us.
E
Hank,
my
name
is
kenneth
ray,
I'm
with
the
center
for
black
health
and
equity.
E
I
participated
in
the
evaluation
of
the
beacon
project
out
of
new
york
city
and
the
beacon
project
is
a
a
a
partnership
between
the
city
council
of
new
york
city
and
and
in
the
business
community,
to
fund
after
school
programs
to
extend
the
day
of
middle
school
and
high
school
buildings
to
serve
as
community
centers,
not
only
for
young
people
but
for
adults.
E
That
program
has
gone
through
numerous
evaluations
and
has
shown
to
be
effective
in
reducing
maladaptive
behavior
in
young
people.
These
beacons
are
in
various
communities,
they're
spread
out
throughout
the
new
york
city,
fiber
area,
and
they
look
at
impact
on
white,
black
latino
and
asian
young
people.
So
consider
looking
at
the
data
from
that
that
project.
D
Thank
you
so
much,
and
I
agree,
I
think,
one
of
the
things
that
we're
very
interested
in
right,
because
there's
only
so
much
that
we
can
do
when
we
capture
people
in
the
healthcare
system,
and
so
ideally,
we
need
to
also
capture
people
in
the
school
system,
right
juvenile
justice
in
their
communities
right,
and
so
I
think
what
we
really
need
are
community-based
interventionalists
and
intervention
programs
that
also
really
aim
to
prevent,
rather
than
waiting
for
the
injury
to
happen
and
we've
been
in
talks
with
a
group
called
yap.
D
That's
very
interested
youth
advocacy
program
that
has
programs
in
other
communities
that
provide
a
lot
of
similar
services
and,
I
think,
would
be
a
very
promising
partnership
and
in
something
like
that
as
well.
Thank
you
for
pointing
that
program
out
to
me.
A
Anything
else
for
dr
hank
one
question:
if
you
don't
mind
doctor,
would
you
share
your
presentation
with
paul
just
there's
great
facts
and
figures
in
there,
especially
internally
in
the
city
and
drumming
up
support?
I
think
something
that
would
be
very
helpful.
If
we
have
access
to
it,
it
would
be
greatly
appreciated.
D
A
Okay,
next
on
our
agenda
is
that
johnson
and
kenneth
ray-
I
believe,
am
I
right
about
that
paul?
I
just
lost
my
here.
It
is
yeah
building
capacity
and
tobacco
nation
to
promote
health
equity.
That's
then
kenneth
the
floor.
F
All
right
well
good
morning,
I
I
think
I'm
on
the
agenda
here.
First
so
kenny,
if
that's
good
with
you
I'll,
just
kind
of
give
a
broad
overview
and
then
and
turn
it
over
to
our
good
friend
kenny
thanks
for
for
letting
me
share
a
little
bit
about
what's
happening
with
tobacco
control
and
prevention
efforts
locally
and
at
the
state
level-
and
I
just
want
to
say
goodness,
you
guys
have
a
really
heavy
morning-
gun
control
and
tobacco
on
the
same
agenda.
F
That's
a
deep
breath
and
and
pretty
hot
topics
this
year
at
the
state,
the
state
house,
as
well
so
a
little
bit
about
what's
happening
with
tobacco
control
efforts
pertaining
specifically
to
cities
and
our
state
as
a
whole.
I'm
sure
you
all
are
familiar
with
the
youth
vaping
epidemic.
That's
kind
of
has
has
an
uptick
over
the
past
few
years,
as
we've
seen,
electronic
cigarettes
being
introduced
into
the
market
and
and
really
the
electronic
cigarettes
have
been
around
for
quite
a
while.
But
they've
become
more
appealing
to
you.
F
That's
now
they're
in
flavors,
like
creme,
brulee
and
strawberry
and
bubble
gum,
and
cherry
and
grape,
all,
of
course,
which
are
very
attractive
to
our
youth,
our
children,
young
adults,
kids,
really
as
early
as
fifth
graders
middle
school
kids,
who
can
use
these
tobacco
products
and
and
be
very,
very
cunning
and
using
these
products
in
classrooms,
at
schools
and
and
wherever,
because
they
are
shaped
like
a
usb
drive.
So
you
guys,
may
you
know
just
think
about
your
small
usb
drive
just
like
this.
F
These
some
of
the
products
are
shaped
very
much
like
this,
and
the
kids
just
hold
them
in
their
hand,
and
they
just
take
a
hit
and
they
pass
these
products
around.
So
south
carolina
has
a
higher
than
national
average
of
high
school
students
who
are
using
e-cigarettes
and
about
85
percent
of
those
students
say
that
they
use
flavored
products.
F
So
the
work
that
the
american
cancer
society,
as
well
as
other
tobacco
control
partners
are
really
trying
to
to
do,
is
to
focus
on
local
efforts
and
how
we
can
work
together
to
to
combat
what
the
youth
are
doing.
There
was
a
federal
law
that
passed.
That
said,
you
know
we
have
to
the
fda
said
that
you
have
to
take
these
flavors
off
the
market.
Well,
that
wasn't
really.
It
didn't
really
apply
to
all
of
the
tobacco-flavored
products
that
only
deploy
applied
to
disposable
cartridges,
and
so
flavors
are
still
on
the
market.
F
In
south
carolina.
We
are
not
able
to
enforce
the
tobacco
21
law
that
was
passed
at
the
federal
level,
so
we
still
see
in
our
communities.
We
still
see
you
know,
youth
under
18,
purchasing
the
product
they're
purchasing
flavors.
So
it
really
has
been
our
local
communities
who
are
doing
the
good
good,
solid
work
of
trying
to
prevent
and
control
youth
tobacco.
F
F
F
You
know
I
could,
if
I,
if
I
so
choose,
I
could
take
a
pop
tent
and
I
could
put
it
up
in
my
my
yard
and
I
could
sell
all
the
vape
products
I
wanted
to
sell
and
no
one
could
stop
me
because
I
don't
have
to
have
a
license
to
sell
those
products
which
makes
it
really
really
hard,
then
for
us
to
control,
to
regulate,
to
see
who's
purchasing
the
product
and
to
really
try
to
again
bring
down
that
number
of
youth
who
are
engaged
with
with
tobacco
at
an
early
age.
F
So
the
build
the
state
level,
it's
it's
house,
bill,
3681
and
I'm
taking
a
deep
side
because
goodness
it's
flying
through
fast,
it
has
has
flown
through
the
judiciary,
the
house
judiciary
committee,
which
chairman
chris
murphy
from
the
charleston
area,
chairs
that
that
committee
it
flew
through
his
committee,
and
they
had
a
little
bit
of
debate
on
it
again
yesterday
and
some
amendments
added
that
would
potentially
help
the
cities
in
order
to
create
special
zones.
F
They
are
the
only
city
in
the
state
that
has
has
taken
that
action
and
there's
actually
a
lawsuit
against
them.
With
a
few
few
of
the
shops
saying
you
can't
really
do
that.
F
However,
it's
it's
what
they
are
trying
to
do
to
to
to
protect
their
city,
to
protect
their
citizens
and
to
do
something
about
the
youth,
the
youth
epidemic
with
with
with
vaping,
so
this
bill
of
the
house
it
passed
yesterday.
It
should
be
likely
heard
on
the
floor
today
and
we're
expecting
a
vote
on
the
floor
today.
I'm
expecting
it
to
pass.
It
would
limit
your
control
as
a
city
of
charleston.
It
would
say
to
you
the
city
of
charleston.
F
Only
the
state
has
that
authority
and,
of
course
we
know
this
most
commonly
as
home
rule,
and
so
it
would
remove
home
rule
for
this
particular
issue,
and
so
we
are
trying
our
best
to
fight
big
tobacco
and,
if
you've
ever
been
down
this
road
before
you
know
it
can
be
very
difficult
and
and
very
trying-
and
some
of
the
things
that
I
heard
yesterday
in
committee
were
very
frankly
speaking
just
lies,
and
I
just
had
to
shake
my
head
and
say
this
is
not
true.
This
is
not
correct.
F
I'm
not
sure
where
these
folks
are
pulling
their
data
from,
but
but
it's
not
accurate.
So
that's
where
we
are
with
with
the
bill.
3681
really
really
important
this
week
is
that
it's
crossover
week
and
it
has
to
to
cross
through
the
house
to
get
to
the
senate
and
we
are
trying
our
hardest
to
stop
this
bill.
F
So
what
I
would
encourage
you
guys
to
do
is
to
you
know,
reach
out
if
you
haven't
already-
and
I
know
that
some
of
you
already
have
to
reach
out
to
chairman
chris
murphy-
to
reach
out
to
other
members.
You
know
of
the
house,
your
member
and
and
also
the
senate,
because
the
senate
has
a
similar
bill.
Actually,
it's
the
exact
same
bills,
the
companion
bill
in
the
senate,
reach
out
to
them,
and
let
them
know
that
this
is
bad
for
local
tobacco
control
efforts.
And
let
me
just
you
know,
remind
everyone.
F
I
don't
have
to
remind
this
group,
but
you
know
we
in
south
carolina
can
go
into
a
restaurant
and
enjoy
a
smoke-free
environment
because
of
our
cities
and
our
towns,
not
because
of
the
state.
We
do
not
have
a
statewide
tobacco
smoke-free
law,
it
is
our
cities,
towns
and
local
communities
who
have
done
that
good
good
work,
and
so
this
again
just
limits.
Well,
it
doesn't
limit.
It
removes
the
city's
power
to
do
anything
with
tobacco
issues
on
flavors
and
retail
licensing.
E
Morning
to
everyone
in
charleston,
my
name
is
kenny
gray.
I
am
the
director
of
programs
at
the
center
for
black
health
and
equity.
There
are-
and
I
support
everything
that
beth
has
said,
and
I
also
support
everything
that
was
said
by
dr
hank
earlier.
E
There
is
some
data
that
suggests
that
criminal
activity
there's
an
association
between
criminal
activity
and
smoking,
and
and
so,
if
you
want
to
address
the
perceived
nature
of
young
people
getting
into
trouble
and
getting
into
violent
behaviors,
you
will
also
find
that
there's
an
association
with
to
cigarette
smoking,
marijuana,
smoking
and
illicit
drug
use.
E
There
are
federal
state
and
local
laws,
and
beth
mentioned
a
few
of
them,
but
there's
the
the
fda
was
and
is
responsible
and
given
authority
by
the
obama
administration
to
regulate
tobacco
products
in
this
country
and,
as
best
said,
it
only
regulated
some
products
in
some
flavors,
and
so
there
are
still
products
on
the
market.
E
There
are
still
flavors
on
the
market,
menthol
being
one
of
them
that
is
allowed
to
be
sold
and
young
people
who
are
who
would
gravitate
towards
grape
and
strawberry
and
mango
and
passion
would
gravitate
towards
menthol.
If
those
other
flavors
are
eliminated,
and
so
when
the
tobacco
industry
says
we're
not
targeting
young
people,
there
is
evidence
that
they
are
targeting
young
people
and
the
other
evidence
that
they're
targeting
young
people
is
that
they're
fighting
at
the
state
level
to
prevent
local
municipalities
and
improving
their
health
outcomes.
E
Assessments
would
be
important
for
local
municipalities
and
states
to
determine
what
are
their
concerns
from
from
health
outcome
point
of
view
and
what
are
the
evidence-based
strategies
to
address
those
concerns,
and
so,
when
those
states
have
conducted
those
health
needs
assessments
at
the
state
and
local
level,
they
have
found
that
tobacco
is
a
leading
risk
factor
for
the
chronic
diseases
in
their
state,
and,
as
a
result
of
that,
there
are
evidence-based
strategies
on
how
to
mitigate
the
impact
of
tobacco.
E
What
you
think
in
terms
of
chronic
diseases
in
your
state,
most
municipalities,
most
state
legislatures,
most
state
health
departments,
are
aware
that
the
disparate
populations
that
they
are
finding
in
their
health
outcome
assessments
are
decades
decades-long
populations
that
have
been
impacted
so
likely.
E
The
the
populations
that
you're
find
that
have
the
highest
rates
of
illness
and
disease
of
chronic
disease
in
1970
are
the
same
populations
here
in
2021
that
are
impacted
and
what
links
them
from
the
1970s
to
current
day
is
tobacco
use,
poor
health,
nutrition
and
the
lack
of
physical
activity
with
tobacco
use
being
the
leading
risk
factor.
So
we
know
what
works.
We
know
what
works.
E
We
know
what
how
to
reduce
the
impact
of
of
tobacco
use
when
you
think
in
terms
of
chronic
disease
and
poor
health
outcomes,
but
it
takes
political
will
and
beth
was
speaking
to
the
lack
of
political
will
across
the
country
in
some
cases,
but
in
perhaps
in
the
state
of
south
carolina
where
you
will,
where
you
would
put
something
in
place
that
would
prevent
local
municipalities
from
improving
their
own
health
outcomes.
E
We
questioned
that
the
level
of
of
thinking,
so
these
this
is
real
young
people
will
continue
to
show
up
in
your
emergency
rooms.
Those
numbers
will
continue
to
increase
in
your
poison
control
centers.
When
and
it's
it's
sad
when
that
does
happen,
because
sometimes
those
those
addictions
will
lead
to
lifelong
health
problems.
E
That
could
be
a
a
cost
issue
within
your
state,
so
we
support
local
decision
making
and-
and
we
support
the
american
lung
american
cancer
american
heart
association
in
their
pursuit
for
social
justice
in
the
state
of
south
carolina
yeah.
A
Well,
kenny,
thank
you.
I
couldn't
have
said
it
better
or
agreed
with
you
any
more
than
the
summation
you
just
gave,
particularly
the
home
rule,
part
of
it,
which
seems
to
be
constantly
eroded
here
in
south
carolina
at
the
state
house
and
the
example
that
of
hr
was
at
3681
is
just
another
and
the
many
examples
of
the
state
house
trying
to
pull
away
from
us
our
ability,
especially
in
the
health
care,
business
and
sort
of
taking
care
of
our
community.
A
It's
unbelievable
anyway,
with
that
soliloquy
I'll
turn
it
over
to
the
committee
and
see
if
there's
any
questions
for
either
beth
or
kenny,
who
have
been
gracious
enough
to
join
us
here
today.
C
Mike
I
just
one
question
before
we
start,
I
did
want
to
introduce
cynthia
from
mo
mwanga.
I
just
butchered
his
last
name,
but
anyway,
cynthia
spoke
to
us
about
cigarettes,
the
flavored
cigarettes
and
advertising
before
he
also
is
sharing
the
smoke-free
low
country
force,
and
I
didn't
know
if
cynthia
wanted
to
to
jump
in
real,
quick,
great.
A
If
you're
there
please
jump
in
with
any
additional
comments,
you
might
have
see
still
needed.
Yeah
beth
well
we're
waiting
for
him
to
come
on
if
he
does
on
the
legislative
end
of
the
senate.
I
I
caught
my
ear
that
myrtle
beach
has
already
enacted
an
overlay
zoning
overlay.
A
F
Well,
it's
very
interesting
because
yesterday
on
judiciary,
house,
judiciary
committee
there's
several
myrtle
beach
legislators
who
serve
on
that
committee
and
they
are
concerned
because
of
the
lawsuits
that
have
been
brought
against
myrtle
beach.
Saying
that
you
know
they
cannot
create
the
special
overlay
district
and
in
2019
they
voted
against
preemption,
which
is
what
we
want.
However,
we're
seeing
a
change
and
we're
seeing
those
same
lawmakers
that
voted
against
in
2019
support
it
this
year,
and
I
don't
understand
why
I'm
not
really
sure
what
what
their
thinking
is
on
that.
C
F
Yeah
it's
you
know.
Tobacco
is
a
big
industry
in
south
carolina
and
they
have
a
ton
of
money
and
they
spend
millions
in
our
state
every
year.
It
was
really
interesting
to
me
and
I'll
just
say
this.
Yesterday
it
was
brought
up
about
the
excise
the
tobacco
excise
tax,
that's
generated
from
the
cigarette
tax
that
was
passed
in
2010
in
our
state
and
how
much
money
that
brings
in
to
the
state
budget
and-
and
it
is
a
significant
amount.
F
You
know
it's
it's
in
the
millions
of
dollars,
however,
tobacco
healthcare
expenditures,
cost
south
carolina,
1.9
billion,
with
b
and
and
that
number
wasn't
brought
up
yesterday,
so
yeah
the
myrtle
beach
legislators
are
kind
of,
I
mean,
just
very
frankly,
speaking,
they're
kind
of
being
wishy-washy
right
now
on
it.
A
F
Yes,
the
senate
is
we've
said
all
along
the
senate.
You
know
there,
they
have
some
different
rules
and
then
the
house-
and
it
just
takes
one
person.
F
It,
and
so
we
are
hoping
that
we
can
stop
this
in
the
senate.
The
senate
is
known,
of
course,
as
the
more
deliberative
body,
so
we're
we're
hoping
that
we
can
stop
it
in
the
senate.
It's
a
bad
bill,
you
know,
and
it
leads
to
a
lot
of
other
things.
Of
course,
you
guys
have
dealt
with
the
plastics
issue
as
well,
and
so
it's
the
same
type
of
plastics
tobacco
there's
a
few
other
bills
that
are
popping
up
home
rule.
Actually,
I
think,
there's
about
seven
home
rule
bills
right
now
that
are
floating
around.
A
Oh
yeah,
well,
thank
you
for
your
hard
work
and
go
forward
and
prosper.
I
hope
you're
successful
on
this,
and
really
I
mean
it's
bad
precedent,
plus
it's
just
bad
policy.
I
mean
we
really
need
to
get
after
the
smoking
and
the
vaping
is
just
bad
news.
It's
great.
F
It
is
we
had
a
student
in
north
charleston
whose
mom's
a
volunteer
for
us.
She
called
me
a
few
weeks
ago
and
she
said
that
her
son
had
been
admitted
into
the
hospital
at
musc
for
some
lung
issues,
not
sure
what
was
going
on.
They
thought
it
was
coveted.
It
wasn't.
Covid
come
to
find
out
the
18
year
old
had
been
vaping
two
to
three
pods
a
day
which
would
be
equivalent
to
two
to
three
four
packs
of
cigarettes
a
day
and
the
mom
didn't
know
about
it.
F
She
just
didn't
know,
and
so
you
know,
here's
here's,
this
young
man
who's
in
the
hospital
with
severely
damaged
lungs,
likely
to
be
correlated
with
his
vaping
uptake.
A
Crazy
all
right
any
questions
around
for
for
beth
or
kenny.
F
Yeah,
so
our
friends
at
the
municipal
association,
they
have
been
working
to
try
to
carve
out
an
opportunity
for
cities
and
counties
or
cities
specifically
to
to
keep
the
authority
to
create
a
special
zoning
overlay
district,
and
so
an
amendment
was
offered
yesterday
in
the
full
committee
that
would
allow
cities
some
leeway
to
carve
out
a
special
zone
that
would
prevent
what
allowed
you
then
the
to
prevent
so
many
vape
shops
from
popping
up
in
a
specific
district,
very
similar
to
what
myrtle
beach
has
done.
So
that
amendment
was
offered
yesterday.
F
It
did
pass,
and
the
municipal
association
supports
that
amendment
and
they
worked
with
rj
reynolds
the
tobacco
lobbyist
at
the
state
house.
On
that
amendment
it
I
think
today,
representative
frye
from
the
myrtle
beach
area,
is
going
to
offer
another
amendment
on
the
bill
that
may
carve
out
some
more
room
for
cities
and
counties.
F
A
It's
interesting
as
a
matter
of
policy
there's
here
in
the
city,
we're
big
on
overlay
zones
and
restrictive
zoning,
and
we
have
limitations
on
the
bars
and
the
entertainment
district
per
linear
foot
on
street
fronts
and
all
that
so
there's
precedent
out
there
for
cities
to
manage
their
own
business.
Yeah.
E
A
Do
it
in
a
way,
that's
responsible?
I
just
hope
the
legislature
doesn't
get
in
the
way
of
that,
because
what's
next
right
next
is
going
to
be
bars
everywhere,
and
I
mean
anyway,
all
right
any
other
questions.
This
is
a
highly
interesting
and
very
topical
subject.
So
thank
you
very
much
and
please
keep
us
up
to
date
on
how
this
all
goes
short
and
long
term.
Great.
Thank
you.
Thank
you
very
much.
A
A
C
On
mute
just
like
to
do
a
quick
go
around
and
see
who
had,
because
I
know
aretha's
on
here
and
hopefully,
she's
been
had
some
good
input
about
what
what's
going
on
with
federer
and
the
vaccinations
and
then
at
the
end,
tracy
will
help
close
it
all
up
with
a
just
a
covet
update
for
us.
Okay
sounds.
A
G
So
we
have
been
busy,
I
think
we
just
hit
the
25
000
mark,
so
we've
administered
about
25
000
vaccines
throughout
the
low
country.
We
have
concentrated
a
lot
on
the
rural
communities
and
next
week
we
have
some
events
in
north
charleston
at
the
trident
center
and
then
on
that's
tuesday
and
on
wednesday.
We
have
an
event
at
the
longshoremen
hall.
G
Both
of
those
events.
We
plan
to
see
about
1500
individuals,
we're
going
to
do
a
big
marketing
push
for
both
of
those.
At
the
trident
event,
we
will
administer
the
walk-in
vaccines
and
then
we
partner
with
dhec
they're,
going
to
have
appointment,
vaccines
and
that's
our
appointment
for
vaccines
and
that's
our
effort
to
try
to
reach
everyone.
Individuals
who
hurt
prefer
appointments
and
individuals
who
prefer
to
walk
in.
So
that
will
be
a
very
interesting
event.
So
that's
kind
of
where
we
are
it's
all
about
vaccines
for
better.
A
C
Thank
you
and,
and
then
on.
The
21st
show
we'll
be
back
to
city
gym
where
you
hope
y'all
did
919
vaccines
in
a
five
hour
period.
Back
on
march,
the
25th
and-
and
I
know
you're
trying
to
you-
use
the
johnson
and
johnson
and
you're
gonna
be
looking
for
another
large
crowd,
so
we're
just
so
thankful
to
have
you
as
a
community
partner.
A
A
H
Very
very
brief,
so
kind
of
at
the
at
the
zip
code
level
covet
cases
seem
to
be
fairly
stable.
Here
are
operational
indicators.
You
can
see
we're
really
holding
the
line.
At
least
three
of
our
four
indicators
are
our
green.
H
We
are
still
kind
of
in
a
yellow
zone
for
kind
of
the
trend,
just
because
we
have
a
positive
slope
in
number
of
cases
from
two
weeks
ago,
so
we
you
know
we
seem
to
be
holding
holding
well
on
cases
at
the
charleston
city,
city,
zip
code
level,
which
is
great.
Of
course.
The
impacts
of
spring
break
and
easter
remain
to
be
seen.
Hospitalizations
also
seem
to
be
stable,
which
is
which
is
very
good
news.
I'd
love
to
see
those
go
down,
but
we
are.
H
We
aren't
seeing
that
yet,
but
at
least
they
are,
they
do
seem
to
be
holding
stable.
I
did
just
want
to
bring
your
attention
to
some
updates
in
our
dashboard,
so
we're
reporting
on
vaccine
demographics
now
pulling
this
information
directly
from
from
d-hex.
So
thank
you
to
dhec
for
providing
us
with
some
with
some
amazing
data.
H
So
on
this
page
you
can
see
by-
and
this
is
by
county,
so
the
default
is
charleston
county,
but
you
can
look
statewide
or
by
county
and
see
how
many
people
been
vaccinated-
and
this
is
just
the
number
of
people
that
have
received
a
first
dose
total
cova
cases
from
testing,
and
then
I
put
the
population
in
there
simply
because
we're
actually
tracking
kind
of
the
percent
immunity
through
vaccination,
as
well
as
percent
of
natural
immunity
through
through
positive
covid,
test
testing.
H
And
so
and
then
you
can
see
the
the
combination
of
that
in
this
in
this
little
gauge
board
here
and
then
you
can
drill
down
to
see
percentage-wise
by
sex
by
race
and
then
down
at
the
bottom
age,
distribution
of
vaccines
by
by
whatever
county
you
have
selected.
H
So
I
just
kind
of
wanted
to
bring
some
sunshine
to
that
and
we're
happy
to
hear
input
on
if
that's
useful
to
folks
and
what
else
we
can
do
to
provide
useful
information
to
the
community.
Just
one
last
little
point
you
know
the
city
team
has
been
working
really
hard
through
the
leadership
of
our
emergency
management
office.
H
H
A
Any
questions
any
questions
for
tracy.
She
has
been
hard
at
work
at
this.
Like
she
said
for
a
year,
it's
been
I'd
like
to
say
a
labor
of
love.
It's
certainly
been
informative
and
very
helpful
in
the
community.
I
have
a
question
for
you
tracy
before
we
turn
over
the
committee.
Is
there
somewhere
in
the
dashboard?
That
shows
is
there's
there's
a
clearinghouse
on
a
list
of
places
that
you
can
go
that
someone
can
go
to
get
the
vaccination.
A
H
Yeah
the
best
source
for
that,
and
we
don't
have
a
link
on
our
dashboard,
and
I
can
certainly
add
that
is
the
vax
locator
through
dhec.
Really
the
providers
are
updating
that
daily,
and
so
you
can
see
immediately
where
certain
locations
are
taking
appointments
currently,
and
that's
really
the
the
most
up-to-date
and
best
source
of
information
for
to
find
a
vaccine
location.
C
Mike
I
just
want
to
what
tracy's
talking
and
laurie's
on.
We
were
so
proud
of
the
recreation
department
starting
last
week
with
their
outreach,
and
I
didn't
know
if
laurie
maybe
just
want
to
give
us
an
update
of
how
busy
they've
been.
I
Morning,
something
like
that,
our
phone
started
ringing,
the
minute
that
that
press
release
came
out
of
our
pio
office,
folks
from
a
lot
of
our
underserved
communities
asking
where
and
how
and
all
those
kind
of
questions.
So
we've
had
a
big
uptick
since
last
wednesday
of
folks
talking
to
us
at
the
seven
sites
that
we've
we've
got,
and
I
hope
that
we're
allowing
more
people
to
get
in
and
get
get
appointments
made,
but
a
lot
of
information
flowing
from
those
places.
So
it's
been
a
good
exchange
for
us.
A
J
Hey
tracy,
this
is
joey
current
with
with
healthy
track,
county
and
trident
united
way.
We
have
been
working
hard
to
try
to
educate
and
work
with
various
communities
around
vaccine
hesitancy.
Are
you
noticing
any
disparities
in
the
data
that
you
can
see
around?
You
know
any
any
particular
groups
that
are
having
lower
rates
or
disproportionate
rates
of
uptake.
H
Yeah,
that's
a
that's
a
great
question.
Obviously
you
know
our
black
communities
are
are
not
as
represented
represented
in
the
in
the
data,
as
as
you
would
like
to
see,
you
know
they
are.
It
is
catching
up,
though,
and
so
getting
closer
more
representative
of
what
the
population
demographics
actually
are.
So
we
have
that
has
been
increasing,
but
but
ever
so
slowly,
honestly
kind
of
the
the
bigger
piece
is
kind
of
that
hispanic
population.
H
They
are
way
under
kind
of
what
the
population
representation
is
of
that
group,
and
we
d-hect
doesn't
give
us
that.
But
if
you
actually
go
to
the
d-hec
website,
they
actually
show
that
information
for
for
the
latin
community,
hispanic,
latin
community
and-
and
you
and
that's
kind
of
the
biggest
difference
that
I
see.
But
you
know
male
female
you.
Definitely
it
it's
it's
pretty
close
to
representing
the
the
current
population,
demographic,
so.
C
Renee
was
on
that
specifically
was
dealing
with
the
latinx
community
and
and
how
there's
a
lot
of
great
digital
stuff
out
there
and
resources.
But
what
we
heard
last
night
was
yesterday
was
that
we
need
to
get
more
into
the
grassroots,
because
those
are
great
finds
if
you
got
a
computer
and
access,
but
you
really
need
to
be
down
talking
on
a
more
local
level
down
on
and
to
do
it.
So
I
was
really
encouraged
with
the
team
efforts.
C
I
mean
the
we
know
what
federer
is
doing
in
the
rural
communities
and
how
they're
reaching
out
to
them
and
what
they
their
resources,
but,
but
really
that
whole
team
has
a
great
approach
and
they're
going
to
start
working
together
to
eliminate
silos
and
try
to
do
more
partnering
where
they
can
to
to
they're
already
doing
that.
But
I
think
it's
going
to
they're
going
to
try
to
make
a
bigger
effort
to
figure
out
how
to
better
communicate
in
those
local
areas
wherever
possible.
C
So
that
was
with
the
latin
x
group,
so
very,
very
energetic.
Yesterday.
A
C
B
Yeah
thanks
paul,
so
south
carolina
hopes
is
a.
We
got
a
grant
for
the
kid
from
the
cares
act
and
it
we.
We
are
serving
anyone
who
has
mental
health
symptoms
that
are
created
from
covid
or
have
worsened
because
of
covin.
It
helps
pay
for
people's
deductibles
and
co-pays.
If
they
get
therapy
it
can
help
people
coming
out
of
jail,
get
medications
paid
for
it
is
it's
a
group
effort
with
daiotus,
so
we
were
referring
to
deotas
that
people
need
drug
and
alcohol
treatment
or
mental
health.
B
So
if
you
know
anyone
who
needs
us
and
obviously
it
will
help
pay
for
all
services
for
people
who
don't
have
insurance,
which
is
a
lot
of
the
people
that
we
serve.
So
if
you
know
anyone
out
there
that
needs
help
and
thinks,
maybe
they
don't
have
the
money
and
they
can't
get
the
help
they
need
they
can
and
south
carolina
hopes
is
how
they
can
get
it.
So
please
share
this
flyer
with
people
that
you
know
and
we're
here
to
help
them
and
charleston
center,
and-
and
so
please,
please
pass
the
word.
A
A
C
Will
meet
the
the
first
monday
and
wednesday
in
april
and
but
in
the
meantime
I
know
the
health
and
all
policies
group
will
be
pulling
together.
A
subcommittee
meeting
here
very
sometime
around
that
to
talk
about
what
our
next
steps
will
be
and,
and
so
they'll
hopefully
have
a
report
for
our
meeting.
But
I
know
it's
from
somewhere
right
around
that
time.
A
Sounds
great
well,
as
always
for
those
who
take
time
out
of
your
day
to
participate
in
the
health
and
wellness
committee.
Thank
you.
It's
greatly
appreciated
and
makes
a
huge
difference
in
our
community,
so
this
is
a
els
for
the
greater
good
we'll
stand
adjourned
until
we
meet
again
next
month.
In
the
meantime,
if
you
need
anything,
please
get
with
paul
and
we'll
make
sure
we
spread
the
word
accordingly,
all
right,
y'all
thank.