►
Description
City of Charleston Health and Wellness Advisory Committee (Virtual) 9/2/2020
A
And
anton
before
ashley
before
y'all,
I
can
give
you
back
the
screen
to
be
the
sharing
screen,
we're
trying
to
get
it
turned
onto
youtube,
so
I'm
not
a
host
yet,
but
so
maybe
you
just
talk
and
introduce
a
person,
then
I'll
I'll.
Let
you
I'll
share
the
screen
with
you
in
just
a
second.
B
Okay,
so
I
see
the
screen
shared
now
so
somebody's
on
mute.
D
C
All
right,
so
I'm
just
going
to
jump
right
in
and
talk
to
you
a
little
bit
about
a
proposed
program
that
we've
been
working
on
for
a
number
of
months
to
get
off
the
ground
at
both
medical
university
and
with
our
community
to
help
address
youth
and
community
violence
and
so
really
quickly.
I
think
you
know
a
lot
of
us
know
this,
but
our
community
and
our
state.
C
It
has
a
problem
with
violence
and
so
based
on
the
most
recently
available,
2018
cdc
data
between
the
ages
of
zero
and
24.
We
have
the
fourth
highest
homicide
rate
in
the
country,
we're
tied
for
fourth
sixth
highest
overall
amongst
all
the
age
groups,
and
unfortunately
our
numbers
went
up
in
that
last
year
of
the
vital
statistics
that
are
available
compared
to
a
lot
of
other
areas
of
the
country
that
actually
went
down
in
that
time
period.
C
This
is
a
geospatial
map
that
I
created
using
some
of
the
cases
that
are
reported
in
the
media
that
are
picked
up
in
terms
of
firearm,
assaults
and
homicides,
and
we
know
that
this
frequently
clusters
in
communities
and
really
in
neighborhoods
down
to
the
street
level,
and
certainly
we
have
police
data
that
helps
us
understand
this
as
well.
But
what
we
know
is
that
there
are
communities
that
are
higher
risk
in
addition
to
individuals
that
are
high
risk
based
on
the
data
just
from
this
year
alone.
C
We
know
that
our
homicides
are
up,
and
this
is
based
on
police
com,
stat
data.
Our
homicides
are
up
80
within
the
charleston
police
department
precinct,
and
I
did
an
analysis
of
our
data
between
may
and
july
of
this
year
and
our
gunshot
injuries
are
up
70
percent.
We
hear
a
lot
about
what's
happening
in
other
parts
of
the
country
and
in
other
urban
areas,
but
this
is
happening
in
our
community
right
now,
and
this
is
profoundly
costly.
C
Last
year,
there
was
a
really
fantastic
report
published
by
a
congressional
committee,
doing
an
analysis
financially
of
the
cost
just
of
firearm
violence,
not
even
of
all
types
of
mechanisms,
and
found
that
the
cost
in
south
carolina
is
over
four
billion
dollars.
Almost
a
thousand
dollars
per
person
and
studies
estimate
that
the
cost
of
a
single
homicide
to
a
community
is
just
short
of
half
a
million
dollars
and
that
doesn't
really
count
a
lot
of
the
other
costs.
C
We
know
that's
just
the
tip
of
the
iceberg
right
and
so,
when
we
think
about
the
immediate
effects,
we
know
what
they
are
death
injury,
the
psychological
trauma
of
an
individual
that
experiences
it,
but
what
does
it
do
to
them?
After
what
does
it
do
to
their
families?
What
does
it
do
to
their
communities?
C
C
It's
really
for
patients
and
their
families,
and
these
are
children
and
young
adults
primarily
to
help
prevent
and
reduce
violent
injury,
really
break
cycles
of
recidivism
and
perpetration
of
violence,
and
also
to
improve
their
outcomes
socially,
economically
and
also
their
health
after
violent
injury.
So
what
does
it
look
like?
Really?
C
Typically
someone
with
a
master's
in
public
health,
social
work,
education,
psychology
or
even
community
health
workers,
sit
down
with
that
individual
and
really
try
to
understand
what
is
it?
That's
put
them
at
risk
of
violence,
and
how
can
we
help
them
never
come
back
again
with
a
violent
injury.
We
identify
their
risks,
their
traumas,
their
needs.
C
What
resources
they
have
and
create
a
very
detailed
individualized
action
plan
for
that
individual,
identifying
what
resources
we
have
in
the
hospital
setting
in
the
community
setting
and
provide
very
intensive
follow-up
months
and
sometimes
years
and
integrate
in
with
their
family
and
their
community
support
systems
to
help
address
the
underlying
roots
of
violence
and
what
these
services
look
like.
Are
things
like
education,
ged
opportunities
if
they
did
not
finish
high
school
tutoring
coordination
with
their
school
counselors,
providing
employment
opportunities,
employment
counseling?
C
Sometimes
they
need
tattoo
removal
if
they've
been
in
a
gang
right
and
they
have
got
a
tattoo
on
their
face
and
that's
a
barrier
to
getting
a
job,
providing
job
training,
conflict
resolution
work,
providing
outlets
for
creative
and
maybe
recreational
outlets
mentorship,
whether
it's
through
a
faith-based
group
or
mentorship
non-profits,
providing
them
with
health
care,
hooking
them
up
with
primary
care
services,
mental
health
services,
finding
ways
to
access
health
insurance.
C
It
might
be
if
they
have
a
condition
of
parole.
That
enrollment
in
this
program
can
be
a
condition
of
that
parole.
We
also
coordinate
with
the
solicitor's
office
and
help
them
get
victims
of
crime
assistance.
So
these
are
some
of
the
things
that
are
put
in
place
by
hospital
and
community
violence,
intervention
programs
that
truly
address
the
underlying
risks
of
violence
and
get
them
on
a
path
of
recovery
and
better
outcomes,
there's
also
opportunities
to
team
up
with
violence
intervention
within
the
communities
themselves.
C
And
so,
like
I
mentioned,
though,
this
has
to
be
a
community
partnership
right.
It
can't
just
be
services
within
the
hospital.
The
programs
that
have
the
best
success
are
integrated
into
the
community,
and
this
means
partnerships
with
local
government
entities,
education
and
employment
entities
and
non-profit
and
anti-violence
groups,
and
so
this
is
our
proposed
model.
C
So
let
me
just
break
down
what
this
might
look
like
for
a
client,
and
this
is
actually
someone
that
I
took
care
of-
and
I
would
say,
did
not
have
the
resources
in
place
to
adequately
take
care
of
this
person,
because
we
currently
don't
have
a
formalized,
hospital-based
violence
intervention
program,
but
we
pieced
together
what
opportunities
we
did
have.
But
I
want
you
to
think
about
what
we
might
be
able
to
do
for
all
of
these
people
that
we
interact
with.
C
C
These
are
red
flags
for
experiencing
violence
and
potentially
perpetrating
violence,
and
also
he's
on
a
path
educationally
and
economically
right.
That
might
cause
a
whole
host
of
other
negative
outcomes.
What
might
our
plan
look
like?
Well,
we
have
trauma
psychologists
that
work
specifically
with
both
children
and
adults
that
we
could
potentially
hook
him
up
with
that
specialize
in
treatment
of
violence
victims.
Obviously,
a
cps
referral
for
concern
of
child
abuse.
We
might
engage
with
him
to
coordinate
with
his
school
counselor
to
help
put
him
on
a
plan
to
address
his
grades
and
performance
in
school.
C
We
might
find
him
a
peer
mentor
in
the
community,
hook
him
up
with
a
parks
and
rec
program
and
maybe
find
him
a
scholarship
for
an
outlet
for
something
that
might
interest
him
or
a
summer.
Internship
right
lethal
means
counseling
tell
his
family,
hey,
there's
a
firearm
in
the
home
and
he's
high
risk.
Let's
talk
about
a
way
to
secure
that
firearm
or
take
it
out
of
the
home
temporarily
until
we
can
get
him
help,
okay,
and
what
that
follow-up
might
look
like
is
weekly
touch-ends.
C
Our
client
advocate
would
see
him
in
his
community
have
contact
via
phone
email.
Virtual
visits
follow
up
with
all
the
programs
that
we
get
him
hooked
up
with
and
ongoing
mental
health
support
in
coordination
with
his
family,
and
this
sometimes
is
months
and
months
of
work
to
help
someone
like
this,
I
will
say
it
took
a
lot
of
work
given
our
minimal
resources,
and
we
were
able
to
do
a
few
of
these
things
for
this
individual
to
help
get
them
on
a
better
path.
C
A
lot
of
our
patients
hit
our
doors
right
and
sometimes
with
a
gunshot
wound
and,
and
sometimes
people
are
judgmental
right
and
forget
to
be
trauma-informed
and
what
they
need
is
to
be
cared
for
and
loved
and
given
opportunities
for
prevention
and
intervention
right,
and
so
this
is
a
great
example
of
that
that's
low
cost
and
very
high
yield
that
can
help
in
recovery.
So
what
this
looks
like
is
these
programs
typically
function
on
a
budget
of
around
300
000
a
year?
Most
are
funded
typically
initially
by
a
hodgepodge
of
funding
opportunities.
C
You
know,
put
their
life's
work
towards
helping
prevent
it
and
get
trained
as
community
health
workers
to
do
this,
and
we
would
utilize
interns
and
trainees
and
obviously
have
connections
with
the
city.
Typically,
these
programs
function
so
that
they
have
a
monthly
check-in
meeting
with
people
from
criminal
justice.
Perhaps
a
mayor
or
someone
from
a
mayor's
office,
in
addition
to
all
these
stakeholders
to
really
hold
each
other
accountable
and
help
specifically
talk
about
high-risk
individuals
and
again
we
have
an
opportunity.
When
you
look
at
where
hospital-based
violence
intervention
programs
are.
C
Interestingly,
a
lot
of
them
are
in
states
that
have
made
headway
in
their
violence.
We
are
one
of
the
states
that
are
not
right,
and
so
a
lot
of
the
states
that
have
some
of
the
highest
homicide
rates
in
the
country
do
not
have
a
lot
of
these
interventions
and
I
think,
to
no
surprise.
A
lot
of
them
are
in
the
southeast.
C
We
have
a
really
fantastic
opportunity
to
capitalize
on
our
resources
here
to
address
this
public
health
problem
and
there's
really
fantastic
examples
in
other
communities
that
I
think,
provide
a
lot
of
framework
for
this,
and
so
I'll
say
that
we've
secured
some
money
money
from
dhec,
a
one-time
amount
of
150
000
we've
been
applying
for
grants
and
have
a
few
grants
in
line
right
now
that
we're
waiting
to
hear
back
from
and
there's
interest
amongst
the
institution
to
partner
whether
it's
through
a
partnership
with
another
grant
partnership
with
the
city
to
help
provide
some
sustainable
funding.
C
I
think,
as
a
way
to
provide
a
very
needed
public
health
service
that
we're
currently
not
doing
in
our
community,
and
I
think
it's
important
to
remember
that
the
department
of
public
health
has
almost
zero
resources
dedicated
towards
violence
prevention
in
the
state
of
south
carolina,
and
so
this
is
a
meaningful
way
and
that's
multi-disciplinary
and
addresses
the
roots
of
violence
right
and
improves
outcomes
for
individuals
and
doesn't
rely
entirely
on
policy
which
can
take
a
long
time,
especially
related
to
violence
and
firearm
prevention.
C
And
so,
if
we
want
to
do
something,
that's
evidence-based,
this
is
a
great
opportunity
to
do
that,
and
so
with
that
said,
thank
you
for
your
attention
and
I
would
be
happy
to
entertain
any
questions.
B
Great
thank
you
very
much
for
that
presentation,
dr
hank.
I
know
I
got
like
a
15
billion
questions,
but
I'm
I'm
not
going
to
ask
them,
but
I'm
gonna
open
it
up
for
members
of
the
health
and
wellness
advisory
committee.
That
may
have
questions
about
this
and
I
see
a
hand
raised
from
carolyn
murray,
so
carolyn,
please
go
ahead.
E
Good
morning,
everyone
glad
to
see
everyone
on
the
call.
This
morning,
dr
hink,
thank
you
for
an
outstanding
presentation.
I
have
a
couple
of
questions
for
you
too,
but
I
will
be
limited.
E
As
this
group
knows,
I
always
have
tons
of
questions,
but
I
I
heard
you
describe
what
sounded
like
a
situation
that
became
very
personal
for
you
and
I'm
wondering
if
you
take
a
lot
of
this,
the
weight
of
what
you're
doing
and
trying
to
do
home
with
you
at
night
it
sounds
like
teachers
being
forced
to
dig
into
their
pockets
to
support
their
classrooms
and
it
sounds
like
that's
some
of
what
you've
had
to
do.
C
Oh
absolutely-
and
you
know
I
think,
what's
frustrating
for
us-
I
think
in
all
of
our
professions
right
and
especially
as
healthcare
providers,
because
we
want
to
try
to
fix
everything
right
and
there's
a
lot
that
we
can't
and
what
we
know
is
that
when
it
comes
to
health
outcomes,
most
of
it
actually
isn't
in
our
control
right.
A
lot
of
it
is
related
to
social
determinants
of
health,
economics
policy,
access
to
care,
and
I
think,
there's
going
to
be
a
shift
in
the
future
right
where
that's
really,
where
we
go.
C
You
know
public
health
investment
matters
if
we
want
to
make
outcomes-
and
it
does
become
very
frustrating
when
we
don't
have
the
tools
and
the
resources
to
help
address
those
things.
And
yes,
I
think
that
is
personal
and
plus.
This
is
work
that
takes
a
lot
of
time
right
and
we've
been
meeting
people
talking
to
anyone.
We
can
right
and
lots
and
lots
of
late
nights,
writing
grants
and
trying
to
put
together
resources
to
help
my
patients
that
currently
do
not
have
services
in
place
and
also
convince
people
to
care.
E
E
Question
of
the
morning,
dr
hink,
I
imagine
that
you
probably
recognize
that
people
who
are
incarcerated
could
also
use
some
of
these
services,
and
some
of
these
interventions
is
there
a
possibility.
Is
that
something
that
you've
been
looking
at
as
well.
C
C
However,
what
I
will
say
is
that
there
have
been
some
programs
that
have
worked
with
individuals
who
might
be
released
right
and
are
integrating
back
into
the
community
and
definitely
individuals
who
might
be
on
parole
and,
for
instance,
in
baltimore.
That
was
something
that
they
did
was
they
targeted
people
who
were
on
parole
and
made
it
a
condition
of
their
parole
to
participate,
and
they
had
significantly
improved
outcomes
not
only
in
violence,
recidivism
reduction.
But
a
lot
of
those
individuals
were
more
likely
to
stay
out
of
the
criminal
justice
system.
A
C
Yeah,
well,
I
think
that
well,
let's
just
be
frank,
money
right,
and
so
everyone's
budget
is,
we
know
compromise
this
year,
but
this
this
is
an
opportunity
for
the
city
to
perhaps
contribute
some
portion
of
funding
with
the
medical
university
right
as
we
work
on
other
outlets,
whether
it's
philanthropy
grants,
but
from
a
sustainability
standpoint.
C
The
programs
that
are
the
most
sustained
and
the
most
effective
in
other
cities
tend
to
have
some
degree
of
city
support,
if
not
all,
of
their
budget
being
city
support,
and
so
that's
one
way,
but
I
also
think
right
as
a
matter
of
coordination,
our
stakeholders,
so
people
from
parks
and
recreation,
criminal
justice,
identifying
other
individuals
who
might
be
able
to
contribute
and
say
hey.
We
have
this
program
that
might
be
able
to
help.
Let
me
tell
you
about
it
right,
so
we
can
get
individuals
referred
to
it.
C
Perhaps
it's
you
know
coordinating
to
get
in
front
of
the
department.
You
know
people
that
work
in
the
better
business
bureau
or
commerce
to
talk
about
ways
to
get
individuals,
jobs
right
that
might
have
barriers
to
getting
them
and
how
investment
in
this
is
helpful.
For
the
community-
and
so
I
think,
there's
a
variety
of
ways
outside
of
just
financial
support,
but
then
also
coordination
of
stakeholders
and
services.
F
Paul
it's
lori,
dr
hank,
I'm
the
recreation
director
for
the
city
of
charleston
I'll,
ask
paul
to
share
your
contact
information,
and
maybe
we
can
set
up
something,
so
I
can
share
with
you
the
parks
and
recreation
programs
that
we
have
answer
some
questions
about
where
things
are
in
the
community
to
help
you
and
also
maybe
work
out
a
way
that
we
can
financial
assistance.
If
money
is
a
barrier
to
get
to
get
folks
into
our
recreation
programs,
we'll
be
happy
to
do
that.
B
So,
in
the
spirit
of
time
I
I'm
gonna
keep
us
moving,
dr
hink,
I'm
I'm
gonna
probably
connect
with
you
since
we're
both
at
musc.
Yes,
because
I
have
lots
of
lots
of
questions,
but
I
do
know
a
lot
about
what
johns
hopkins
has
been
doing
as
a
part
of
this
one
of
the
things
that
they
did
to
also
address
this
issue
is
that
they
they
ban
the
box
on
all
of
the
applications
so
to
apply
for
a
job
at
johns
hopkins.
B
You
don't
have
to
disclose
that
you
have
a
criminal
record
or
that
you
are
a
convicted
felon
at
all,
and
this
has
been
a
way
for
them
to
be
able
to
bring
more
people
in
their
workforce,
and
I've
always
learned
as
an
organizer
community
organizer
that
the
biggest
and
most
effective
anti-poverty
program
in
america
is
a
good-paying
job
and
that's
what
a
healthcare
job
is.
So
I'm
gonna
go
to
the
next
agenda
item
and
I
see
mayor
teckenberg
has
joined
us
so
welcome
mayor
thanks.
B
To
the
fast
track,
cities
shape,
update
with
aaron
o'brien
and
give
us
an
update
and
then
we're
gonna.
Let
mayor
say
a
few
words
after
this
presentation.
H
Modern
folks,
thanks
for
having
me
again
this
morning,
paul
do
you
want
to
drive
with
the
slides
or
okay.
H
I'll
just
I'll
share
my
screen
how's
that.
H
So
again,
thank
you
for
having
us
back
to
give
a
quick
update
on
our
fast
track
cities.
Activities
we've
been
invited
to
do
this
every
couple
months
or
so
to
give
you
an
update
on
what
we're,
what
we're
doing
as
we
make
progress
also
on
the
call
today
is
someone
you're
all
very
familiar
with
dr
katie
richardson,
a
local
public
health
superstar
and
dr
eric
meisner
who's,
also
at
musc
infectious
disease
rockstar
in
his
own
right,
and
so
the
three
of
us
kind
of
make
up
the
core
of
this
fast-track
cities.
H
So
just
a
little
background.
This
seems
like
an
absolute
lifetime
ago.
Now
this
was
june
of
last
year
and
little
little
did.
We
know,
then
how
much
would
change
in
the
upcoming
year,
but
this
is
mertekelenburg
signing
the
paris
declaration
which
officially
made
us
the
united
states,
24th
fast-tracked
city
and
fast
track.
Cities
is
really
a
collaborative
effort
to
use
data,
to
inform
strategists,
to
improve
the
diagnosis,
diagnosis
and
treatment
of
people
living
with
hiv
and
to
prevent
transmission
of
hiv.
H
So
it's
really
a
wonderful
thing
that
we
all
came
together
to
rally
around
this
to
help
move
some
of
our
numbers
on
hiv
and,
as
this
is
kind
of
truly
based
in
data
I'll
start
with
this,
this
was
our
first
fast-track
cities.
Activity
was
to
figure
out
what
exactly
is
kind
of
the
state
of
hiv
in
our
local
area.
So
when,
for
the
purposes
of
fast-track
cities,
when
we
say
city
of
charleston
we're
really
talking
about
the
tri-county
area,
so
you
can
see
in
an
in
an
ideal
world.
H
This
is
called
a
an
hiv
cascade.
You
can
see
why
and
in
an
ideal
world,
all
of
these
bars
would
be
the
same
height
right.
So
the
first
one
is
the
amount
of
people
that
we
estimate
are
living
with
hiv
in
our
region.
The
second
bar
there
is
how
many
of
those
people
we've
actually
tested
and
diagnosed.
H
The
third
bar
is
is
all
of
those
people
who
are
in
medical
care
and
getting
medications,
and
the
last
bar
is
kind
of
the
the
goal
of
hiv
treatment,
which
is
viral
suppression,
which
means
that
patient
is
much
more
likely
to
stay
healthy
and
much
less
likely
to
transmit
that
virus
onto
other
people
and,
as
you
can
see,
the
biggest
drop-off
for
us
in
our
region
is
between
diagnosis
and
receiving
care.
H
The
good
news
is,
there's
already
some
really
great
efforts
going
on
in
charleston
around
this
all
of
the
major
players:
palmetto
community
care,
musc
d,
heck
and
my
clinic,
the
ryan
white
wellness
center
at
roper,
saint
francis
healthcare,
are
all
engaging
in
outreach
efforts
to
bring
people
back
into
care,
and
I've
actually
interviewed
all
of
the
staff
around
the
city
as
part
of
the
fast
track
cities
initiative-
and
there
are
some
great
best
practices
going
on.
We
have
really
great
skills
staff,
but
there
are
some.
There
are
some
barriers
that
we
face
too.
H
Also,
the
patients
that
we're
trying
to
reach
often
are
transient
or
unstable
house
they've
got
a
lot
going
on
so
they're
off
they're,
often
difficult
patients
to
reach,
but
as
part
of
the
part
of
the
fast
track,
cities,
implementation
and
planning.
We
hosted
this
meeting
just
last
week
on
thursday
and
paul
wieders
was
with
us
for
that
meeting,
which
was
really
great,
and
this
was
really
a
strategic
planning
meeting.
This
was
hosted
by
ipac
who's,
the
international
organization
that
heads
up
fast
track
cities.
H
It
was
very
well
attended
by
a
number
of
stakeholders-
and
this
was
one
of
four
national
meetings
that
they've
held
so
far
across
cities
across
the
united
states
and
what
really
kind
of
rose
to
the
top
for
us
during
this
meeting,
as
we
were,
as
we
were,
planning
was
a
lack
of
representation
from
the
people
we're
serving
right,
so
people
living
with
hiv,
with
specific
emphasis
on
young
people
of
color,
who
are
disproportionately
impacted
by
hiv,
but
are
underrepresented
on
planning
bodies
and
agencies
actually
serving
the
community.
H
So
what
we
proposed
as
a
fast-track
city
committee
and
what
we'd
like
to
bring
to
the
city
for
for
input
is,
we
would
propose
a
city-wide
advisory
group
comprised
of
people
living
with
hiv.
Now
there
is
some
precedence
for
this
in
the
ryan
white
hiv
world,
but
it's
almost
always
on
an
agency
or
an
individual
clinic
level.
H
So
this
is
quite
unique
to
create
this
for
an
entire
city
jurisdiction
and
so
we're
really
looking
for
a
partnership
in
this
between
shape,
which
is
our
hiv
public
health
group
and
the
city
of
charleston,
and
particularly
because
hiv
doesn't
exist
in
a
bubble.
We
really
want
this
to
kind
of,
or
we
feel
it'll
fit
really
well
in
the
office
of
diversity,
racial
reconciliation
and
tolerance,
because
there
are
so
many
social
determinants
of
health
that
impact
hiv,
including
discrimination,
racism,
poverty
and
so
we've
actually
already
spoken
to
amber
johnson.
H
She
has
a
real
interest
in
this,
and
we've
spoken
to
a
very
dynamic
young
woman
who
is
actually
heck
employee
and
serves
on
shape
and
they're,
both
interested
in
a
partnership
between
the
city
of
charleston
and
shape
to
make
this
group
happen.
One
of
the
things
we'd
really
like
this
to
become
is
kind
of
a
leadership
incubator.
So
we
would
like
to
compensate
the
members
for
their
contribution.
H
We're
asking
a
lot
for
them
and
we
really
want
to
use
this
as
an
opportunity
to
build
skills
and
kind
of
work
force
development
for
these
folks
who
are
underrepresented
in
the
work.
We
do
so
that
the
goal
of
this
group
will
really
be
identifying
better
ways
to
reach
and
engage
people
living
with
hiv
who
have
fallen
out
of
care
and
to
give
us
that
first-hand
experience
of
what
it
means
to
be
living
with
hiv
and
really
inform
what
we're
doing
as
medical
providers,
with
a
lens
of
kind
of
real
community
involvement.
G
H
That's
that's
kind
of
our.
Our
request
from
the
city
is
to
carve
out
a
little
bit
of
amber's
time
to
help
us
coordinate
this
we've
got
a
great
team
of
people
that
will
help
support
this
effort
too,
and,
of
course,
I'll
end
with
this
slide.
So
as
part
of
doing
this,
we
we
really
want
to
have
a
press
release
to
kind
of
showcase
the
city
of
charleston's
involvement.
H
The
involvement
of
you
mayor
teklenberg
for
for
signing
us
on
to
this
fast
track
cities
effort
and
to
showcase
this
dashboard,
which
is
on
the
fast
track
city's
website,
there's
a
whole
host
of
information
on
the
charleston
page,
including
now
covet
19
numbers
resources,
as
you
can
see,
for
people
who
are
trying
to
identify
testing
and
treatment
services
in
our
region,
so
I'll
leave
it
at
that
I'll.
Let
katy
richardson
and
eric
meisner
answer
any
questions
that
we
might
have.
B
Yeah,
thank
you
very
much
aaron
for
that
that
update
a
lot
of
great
work,
of
course,
some
challenges
to
overcome,
but
the
fact
that
we
are
one
of
24
cities
in
the
country
who
are
as
a
part
of
this
effort,
I
think,
is
pretty
impressive
and
important
and
something
that
I
don't
think
most
city
citizens
in
the
city
know
about
or
even
in
the
state
know
about,
and
you
know
I
always
look
for
an
opportunity
to
toot
our
own
horn,
because
sometimes,
if
you
don't
toot
it,
nobody
else
is
gonna
toot
it
for
you,
that's
my
philosophy
at
least
so.
B
G
Thank
you,
mr
chairman,
but
aaron
was
katie
or
eric
going
to
add
to
your
presentation,
maybe
not.
I
Thank
you
mayor.
I
we
did
work
on
it
together,
and
so
I
think
you
know
we
just
we
wanted
to
present
the
idea
to
this
group.
We
wanted
to
see
if
there
were
questions.
If
there
is
interest
in
supporting
a
community
wide
sort
of
you
know,
advisory
group
of
people
living
with
hiv
and
and
if
you
personally
would
be
in
support
of
of
amber
helping
us
out
with
this-
and
you
know,
we'd
be
happy
to
to
talk
more
about
this
idea.
I
G
Great
well,
I
think
it's
a
grand
idea-
and
I
want
to
thank
you
and
aaron
and
eric
for
all
of
your
efforts
in
keeping
keeping
our
fast
track
cities,
initiative
going
and
really
getting
it
up
off.
The
ground
I
gotta
admit
amber,
is
gonna
be
a
little
busy
over
the
next
few
months.
We
just
had
our
first
meeting
last
night
of
our
commission
on
diversity
and
racial
conciliation.
G
So,
honestly,
I
might
ask
paul
or
or
somebody
else
on
staff
to
help
you
over
the
next
few
months,
because
she
really
is
going
to
be
covered
up
with
that
chore,
and
I
also
I
I
saw
the
presentation
just
recently.
G
It
looks
like
they've
gotten
off
the
line
already,
but
I
wanted
to
thank
doctors,
hank
and
and
andrew
for
bringing
the
presentation
on
to
this
committee,
because
I
thought
that
a
lot
of
the
things
that
that
are
encompassed
in
in
their
program,
their
project
are,
are
impactful
and
are
all
things
goals
of
the
city
to
reduce
domestic
violence
and
provide
some
educational
opportunities
and
try
to
catch
some,
some
kids
before
before
it's
too
late.
G
So
those
are
all
good
things,
and
I
you
know
right
now
is
a
difficult
time
for
the
city
in
terms
of
committing
extra
dollars
that
those
kinds
of
resources,
but
there
are
other
ways
that
we
can
support,
and
so
I
I'd
like
to
garner
the
support
of
this
committee
and
recommendation
to
council
to
support
that
program
in
any
way
we
can
as
well
so
getting
back
to
amber
and
the
commission
on
racial
conciliation
they'll
be
looking
at
really
all
aspects
of
our
community
life
and
where
racial
inequities
exist
and
how
to
address
them
in
future.
G
So
so
we
have
some
track
record,
but
but
you
know
it's
so
clear
that
their
health
disparities,
so
many
health
conditions
where,
if
you
look
at
statistics,
african
americans
particularly
are
more
prone
for
whatever
reasons
to
those
diseases,
and
then
it
manifests
itself
when
a
virus.
When
an
epidemic
comes
along
like
cova
19
and
you,
you
see
the
imbalance
and
statistics
of
those
who
have
died
from
covert
19
and
it's
because
of
those
underlying
health
inequities
that
existed
in
the
first
place.
G
So
I
would
like
to
challenge
the
committee
when
you
all
meet
either
in
october
or
november
at
the
latest,
to
to
spend
a
full
session
on
on
bringing
us
up
to
date
on
on
where
our
community
stands
with
regard
to
racial
inequities
in
in
our
health
care
system
overall,
and
use
that
forum
to
inform
this
commission
as
to
any
recommendations
that
we
may
have
for
our
city
and
our
community.
G
You
know
kind
of
focusing
in
on
on
that,
mr
chairman,
if
that's
okay,
I'd
like
to
and
and
this
might
be
in
short
order
november
would
be
okay,
because
I
know
you'll
need
a
little
time
to
put
put
it
together.
November
would
be
just
fine,
but
I
I
I
would
like
to
ask
y'all
to
engage
in
that
and
help
inform
this
commission.
B
Mayor,
you
will
get
no
argument
and
pushback
from
me
and
I
don't
suspect
most
of
the
committee
with
as
well.
So
I
I
thank
you
for
the
challenge
and
I
definitely
think
it's
worthy
of
us
to
not
only
inform
you
but
the
entire
entire
city
on
what
we
can
do
in
that
space
and
to
be
thoughtful
in
that
space.
B
To
your
previous
point
about
supporting
our
very
first
presentation
that
we
had
this
morning
that,
unfortunately
you
missed
and
that's
the
community-based
violence
and
intervention
and
prevention
program,
I
think
the
city
and
I'm
gonna
just
kind
of
ask
the
will
of
the
group.
If
we
will,
I
think
the
city
we
would.
B
This
group
would
recommend
that
anything
around
violence
prevention,
we
know,
has
a
disproportionate
positive
impact
on
racially
diverse
communities,
particularly
underserved
communities,
and
I
think
you
know
the
committee
would
be
very
supportive
of
the
city
doing
everything
in
his
power
to
support
those
efforts,
as
well
as
the
fast-track
cities.
Efforts
in
this
in
this
next
step
of
setting
up
this
core
group
because
again,
hiv
and
aids
is
also
a
disease
that
has
a
disproportionate
impact
on
people
of
color.
I
remember
about
10
years
ago,
when
I
was
actually
longer
than
that.
B
12
years
ago,
when
I
was
living
in
colombia,
the
fastest
growing
hiv-positive
population
were
black
women
aged.
You
know,
like
you
know,
under
the
age
of
44,
which
was
you
know,
you
know
unconscionable
that
that
was
happening.
So
I
think
both
of
these
initiatives
should
have
the
full
support
of
the
health
and
wellness
advisory
committee
as
a
next
step,
and
then
also
encouraging
the
city
council
and
you
as
a
city
to
do
whatever
you
can
to
help
operationalize
both
of
these
efforts
to
take
them
to
the
next
level.
B
So
we
can
have
a
positive
impact
on
our
entire
community,
but
particularly
those
who
many
times
are
disproportionately
impacted,
and
that
is
people
of
color,
particularly
black
people.
So
is
there
a
motion
to
those
ends
from
anybody
that
I
I
could
get
a
second
for
and
then
we
can
just
kind
of
vote
on
that.
K
G
Thank
you,
mr
chairman,
and,
and
I
agree,
those
are
all
great
initiatives
for
us
to
work
on
and
thank
you
all
for
your
service
as
well.
B
Thank
you.
So
dr
richardson,
I'm
going
to
go
back
to
you
or
go
to
you
and
if
you
could
give
us
a
covert,
update
and
we'll
leave
the
last
five
minutes
of
the
agenda
for
dr
susan
johnson
to
give
us
an
update,
as
paul
mentioned,
that
she
wanted
to
this
morning
so
coy
dr
richardson.
I
I'm
gonna
let
tracy
give
the
first
few
minutes
and
then
I
gotta
fill
in
the
rest
of
the
time.
Thank
you.
L
Good
morning,
everyone,
I
hope,
everyone's
having
a
having
a
great
morning,
I'm
gonna
share
my
screen,
not
that
I'm
gonna
talk
for
very
long,
but
I'm
a
visual
person.
So
I
like
to
I
like
to
see
all
the
charts
and
whatnot
so
just
really
quickly.
I
know
that
I
believe
I
showed
this
to
you
all
the
last
time.
L
So
this
is
a
live
dashboard
that
we
have,
and
this
is
really
driving
everything
that
we
are
doing
in
our
decision
making
internally
in
the
city.
L
So
we
can
see
that
we've
got
a
couple
of
yellow
items
on
our
dashboard,
which
means
that
we
don't
move
forward
to
the
next
phase
until
they
are
showing
green
for
14
to
21
days,
and
if
I
think
one
thing
that
we've
added
since
I
was
last
with
this
group
is,
if
you
scroll
down
to
the
bottom
of
the
dashboard,
we've
got
some
more
information
at
the
zip
code
level.
L
L
Oh
just
like
I
said
a
couple
of
a
couple
of
slides
here,
just
to
give
everybody
a
brief
update
on
what
we're
seeing
here
recently
and
dr
richardson,
please
feel
free
to
jump
in
so
you
know
our
phase
reopening
of
the
city
whoops.
You
know
this
was
developed
as
a
flexible
and
data-driven
approach
right.
So
all
those
metrics
have
to
be
green,
based
on
our
stop
light
indicator
for
14
to
21
days.
In
order
for
us
to
determine
to
move
ahead,
we
are
still
in
phase
two.
L
Recently,
like
our
seven
day,
growth
rate
has
been,
has
been
on
the
rise,
it's
still
less
than
one
percent
which
still
keeps
that
in
the
green,
using
our
stoplight
approach,
you
know,
but
we
over
the
last
seven
days
to
the
pre
compared
to
the
previous
seven
days,
we've
seen
a
46
increase
in
the
number
of
new
cases
so
trying
to
do
that
on
a
kind
of
a
seven-day
basis.
Instead
of
because
then
we
all
know
the
daily
numbers
are
very
volatile.
L
So
that's
a
that's
a
that's,
a
big
little
jump
that
we've
seen
and
so,
of
course
we
don't
really
anticipate
moving
forward
anytime
soon
and
I'll
get
to
kind
of
why
that
is
in
just
a
moment
what
we've
started
to
look
at
and
thank
you,
dr
richardson
and
dhec,
for
for
starting
to
put
out
a
number
of
tests
at
the
county
level.
So
we've
started
to
kind
of
keep
track
of
that
and
and
graph
these
out.
So
the
top
line
is
the
number
of
tests,
and
this
is
charleston
county.
L
The
orange
is
then
the
county
new
cases
and
then
the
darker,
blue
or
the
or
the
city
level,
so
at
the
city,
zip
code
level,
so
just
kind
of
interesting
to
see
how
that's
how
that's
trending.
L
Employee
cases,
I
believe,
jan's
on
the
phone,
so
I
definitely
welcome
jan
park
or
paul
to
jump
in
here.
We've
been
very
fortunate.
We've
had
zero
hospitalizations
from
employee
cases.
We
currently
have
three
active
cases,
which
is,
which
is
great.
L
We
were,
we
were
hitting
some
fairly
high
numbers
for
people
for
active
cases,
as
well
as
people
out
waiting
for
test
results,
kind
of
the
end
of
july,
so
that's
been
a
drastic
improvement.
We've
had
120
total
cases
in
employees
and
620
total
employees
actually
tested.
L
Since
the
beginning
of
this,
I
alluded
to
some
to
why
we,
you
know
to
us
not
thinking
that
we're
going
to
be
able
to
move
to
the
next
phase
anytime
soon,
and
this
kind
of
highlights
why
so,
as
you
might
see
here,
so
we
had
college
of
charleston
the
off-campus
students
starting
to
move
back
in
on
august
15th,
two
weeks
after
that
was
august
29th.
Interestingly,
we've
seen
we've
seen
a
little
jumping
cases
already
citadel.
Their
cadets
are
all
back
on
campus.
L
They
are
keeping
those
guys
pretty
close
on
to
campus,
though
so,
but
they've
had
their
own
issues,
as
we
all
know,
and
as
we
all
know,
labor
day
is,
is
upon
us,
so
that's
kind
of
a
date
that
we're
looking
at
as
well
as
ccsd,
first
day
of
classes
and
college
of
charleston
move
in
weekend
and
their
first
day
of
classes
along
with
those
we've
kind
of
taken
those
two
weeks
out.
So
you
can
see
this
end
of
september.
L
You
know
it's,
it's
probably
a
good
good
to
plan
for
the
fact
that
we
might
see
some
increase
in
cases
still
yet
at
the
end
of
the
month.
So
those
are
things
that
are
on
our
radar
that
we're
thinking
about
and
we're,
of
course
talking
to
the
all
the
local
colleges
and
universities.
L
But
I
think
what
we
are
seeing
happening
in
colombia
is
alarming,
and-
and
so
I
think
that
preparedness
is
our-
is
our
best
course
of
action
at
the
moment
so
and
I'm
happy
to
take
questions
and
dr
richardson,
please
feel
free
to
to
insert
or
correct
me
for
in
any
places
I
might
have
gotten
gotten
wrong.
So
thanks
everybody.
B
I
Okay
thanks,
I'm
gonna
see
if
I
can
share
my
screen
as
well,
and
I
so
I
paul-
and
I
were
part
of
a
populate
population
health
summit
on
this
past
wednesday,
that
was
sponsored
by
the
south
carolina
hospital
association
and
the
south
carolina
alliance
and
josh
sellner
is
an
epidemiologist
with
dhak,
and
I
think
this
is.
I
I
That
paul
can
share
out
with
the
minutes,
but
I
think
you
know
the
the
the
sort
of
theme
I
think
of
all
of
the
presentations
today
has
really
been
health
disparities,
and
so
this
is
really
speaks
to
the
health
disparities
within
the
covid
epidemic,
and
I
just
think
it's
you
know
it's
information
I
wanted
to
share.
I
don't
think
it's
presented
this
way
on
the
dhec
website.
This
is
not
information,
that's
not
out
there.
Otherwise,
it's
just
not
really
sort
of
presented
in
this
way.
I
I
Here,
where
we
see
that
many
young
people
have
been
tested
and
then
on
the
right,
I
think
we
begin
to
look
at
the
the
real
disparities
which
is
yes,
we
have
tested
more
black
residents
than
white
in
in
south
carolina
with
covid.
Our
percent
positivity
continues
to
to
be
high,
and
here
we
begin
to
see
this
is
looking
at
cases
and
how
the
disparities
really
widen
when
we
started
to
see
this
bump
that
really
sort
of
peaked.
I
You
know
a
couple
of
weeks
after
fourth
of
july,
the
disparities
really
skyrocketed
when
we
look
at
at
race
during
during
that
time,
and
they
continue
to
be
much
wider
than
than
we
were
seeing
earlier
in
the
in
the
epidemic.
I
I
At
large
we
see
that
the
average
age
of
those
diagnosed
with
covid
is
lower
in
our
black
residents
and
and
to
me
this
speaks
not
only
to
and
we'll
look
at
the
comorbidity
information,
but
it
also
speaks
to
to
who
our
frontline
workers
are
in
our
community
and
who
has
had
to
go
to
work
face
to
face
with
the
public
on
day
after
day
since
since
the
epidemic
began,
this
looks
at
on
the
left.
We
see
kova
case
rates
overall
and
then
on
the
right.
I
I
Here
we
look
at
the
the
pre-existing
condition
data
and
that
certainly
we
knew
before
covid,
but
we
see
the
the
significant
morbidity
that
is
added
to
covid
with
pre-existing
conditions,
and
we
see
that
those
are
much
higher
in
african-american
residents.
I
Hospitalizations
too
are
much
higher
and
certainly
that
is
in
large
part
related
to
the
the
pre-existing
conditions.
But
we
know
the
social
determinants
of
health
also
play
a
role
here
and
again
with
death,
so
not
only
cases
show
significant
disparities
hospitalizations
as
well
and
and
deaths.
Finally,
and
tragically
due
here
and
on
the
left,
you
see
that
the
covet
has
climbed
to
being
a
leading
cause
of
death
in
south
carolina.
I
If
we
looked
at
rates
compared
to
other
conditions
in
2018
covert
would
have
been
the
seventh
leading
cause,
but
here
just
in
six
months
of
covid
being
in
south
carolina,
it's
already
the
third
leading
cause
of
death
among
our
residents
again,
the
latino
community
is
also
disproportionately
affected,
and,
and
finally,
we
look
and
see
that
the
average
age
of
death
among
black
residents
is
is
much
lower
than
than
white
death.
I
So
again
as
we're
talking
about
you
know,
I
just
wanted
to
share
this
to
to
help
you
to
to
see
that
you
know.
Obviously,
we've
we've
talked
about
violence.
We've
talked
about
hiv
and
and
sexual
health
issues,
and
now
this
is
covid,
I
think
very
starkly
showing
that
it
is
disproportionately
affecting
our
our
communities
of
color,
and
you
know
I.
I
I
hope
that
as
we
commit
to
working
on
these
other
issues,
what
we
see
is
really
we
need
to
be
looking
at
health
disparities
across
the
spectrum
and
that
I
hope
what
we
do
for
one
much
of
what
was
presented
with
violence
prevention
would
certainly
also
improve
the
health
in
other
arenas
as
well,
and
so
thanks
for
that
time
and
then
sorry,
I
didn't
give
you
quite
the
five
minutes
that.
B
You
we
definitely
should
talk
a
lot
more
about
that
and
I
think
it
fits
great
to
the
challenge
that
the
mayor
laid
out
before
us.
So
what
I'm
gonna
do
is
I'm
gonna
turn
it
over
to
susan
johnson
for
the
last
two
minutes.
I
know
we
had
a
couple
other
people
we
want
to
get
to
so
jennifer.
I
want
to
make
sure
that
we
have
the
opportunity
to
understand
how
mental
health
is
happening
in
our
community.
B
So
I
want
to
see
if,
if
everybody
could
do
an
extra
five
minutes,
I
know
I
cannot,
because
I
got
a
hard
stop,
because
I
got
people
in
a
waiting
room
now
for
me.
So
dan,
I'm
gonna
turn
it
over
to
you
to
kind
of
you,
the
man
in
uniform
today.
So
you
can.
You
can
carry
us
the
rest
of
the
way,
so
susan,
then
jennifer
and
then
we'll
have
a
heart.
Stop
at
1005.
M
Thanks
anton
thank
you
for
giving
me
a
few
minutes
on
the
agenda.
I'm
actually
wanted
to
just
share
a
message
from
councilman
seekings.
He
could
not
join
us
today
and
mike
wanted
me
to
give
an
update.
Some
of
you
may
know
mike
was
really
unexpectedly
diagnosed
with
throat
cancer
the
beginning
of
june,
and
has
been
battling
this
in
the
midst
of
covid,
which,
as
you
can
imagine,
presents
its
own
set
of
challenges
and
problems.
M
He
has
successfully
completed
eight
weeks
of
radiation
and
chemotherapy
and
is
now
kind
of
just
struggling
through
the
effects
of
all
that,
so
he
has
not
been
able
to
eat
any
solid
foods
since
the
end
of
june,
so
he's
very
much
looking
forward
to
getting
back
to
eating
and
he's
in
a
lot
of
pain
right
now.
But
I
wanted
to
me
to
share
this
with
you
and
he
hopes
to
be
back
next
month
and
here's
a
you
can
see
my
phone.
M
This
is
him
right
now
he
had
to
go
to
roper
for
infusion
this
morning,
but
he
has
a
really
great
attitude
and
I
think
if
we
can
all
just
kind
of
share
our
well
wishes
with
him.
He
would
certainly
appreciate
that
and
I'm
really
looking
forward
to
having
him
back
and
joining
us
again
in
the
near
future.
K
Thank
you,
susan,
that
that
actually
was
news
to
me
and
obviously
on
behalf
of
this
committee
and
I'll
reach
out
to
mike
personally,
but
please
do
send
him
our
our
our
well
wishes.
He's
certainly
been
steadfast
in
his
commitment
to
this
committee
and
and
the
public
health,
so
we're
certainly
going
to
wish
him
our
best
for
his
individual
health.
So
thanks
thanks
for
that
update.
So
with
that,
let
me
turn
it
over
to
jennifer,
so
she
can
tell
us
a
little
bit
about
some
of
the
mental
health
aspects
of.
J
I
will
try
to
be
fast,
but
I
I'm
also
going
to
send
paul
after
this
meeting
just
kind
of
a
overview
of
all
the
services
we
have
going
on
at
charleston,
dorchester
mental
health
center
and
even
at
berkeley,
because
we
do
have
a
lot
of
opportunities
to
help
people
in
many
many
programs,
but
for
today
I
just
wanted
to
remind
you-
and
I
sent
paul
a
flyer
for
this,
but
department
of
mental
health
and
deiotis
joined
together
in
a
grant
called
south
carolina
hopes
and
it's
a
free
call
line
for
people
who
are
under
anxiety
and
stress
depression
because
of
covet.
J
It's
for
it's
for
health
care
workers,
it's
for
people
affected
by
covid.
It
even
helps
people
transitioning
out
of
jail
to
help
with
medications
and
I'm
and
we'll
send
out
the
the
flyer
again.
But
it's
one
eight
four
four
dash
sc
hopes
is
the
phone
number.
J
So
please
call
they
they're
happy
to
talk
to
you
on
the
phone
and
or
and
or
hook
people
up
with
other
resources,
and
when
dr
hink
got
off
the
the
call
I
was
just
gonna
mention.
We
have
several
programs
here
too.
That
can
help
with
people
that
have
experienced
violence
or
are
part
of
doing
violence,
but
we
do
have.
We
have
school-based
counselors
in
in
the
three
counties
here
and
over
120
schools.
J
We've
got
jail,
transition
teams
and
and
teams
that
can
help
people
get
jobs
alongside
their
mental
health
treatment.
We
have
people
embedded
in
mental
health,
counselors
and
all
of
the
police
stations
and
sheriff's
departments
in
all
three
counties
that
are
working
with
people
with
victims
of
crime.
So
I'll
give
you
all
like
kind
of
an
overview
of
lots
of
things
that
we're
doing
but
remember
we
are
here
for
you.
Our
clinics
are
open
for
walk-in
appointments
every
single
day.
You
don't
even
have
to
have
an
appointment
and
it
doesn't
have
to
be
an
emergency.
J
K
Thank
you
jennifer
for
for
you
and
and
and
all
that
everybody's
doing
in
the
mental
health
community
to
keep
us
sane
and
and
well,
as
we
say,
sometimes
in
the
military
side
of
things
well
from
the
neck
up.
Obviously,
we
know
the
challenges
that
are
being
posed
right
now,
so
in
an
effort
to
try
to
wrap
up
relatively
quickly.
I
just
I
want
to
thank
everybody
who
presented
today.
K
I
very
much
appreciate
that
the
data
driven
element
to
that
which
was
presented
in
particular
you
know
katie
and
tracy
thanks
so
much
to
you
and
dhec
for
continuing
to
provide
good
epidemiological
evidence
for
the
tremendous
work
that
the
city
is
doing
towards
prevention,
and
I
I
encourage
and
appreciate
the
city
and
staying
steadfast
in
its
efforts
to
continue
to
limit
the
spread
of
this
virus
and
take
it
katie,
as
you
said,
as
as
a
as
a
lesson
for
how
we
can
continue
to
use
prevention
to
a
as
the
most
effective
form
of
treatment.
K
So,
thanks
to
everybody
on
this
committee,
thank
you
to
the
city
and
let's
continue
to
be
a
model
for
the
state
and
the
nation
on
how
we
in
charleston
can
take
efforts
towards
prevention
to
improve
the
health
and
wellness
of
all
of
our
residents
and
unless
there's
anything
else
for
the
good
of
the
order.
I
would
ask
for
a
motion
to
adjourn.
I
Before
we
meet
again,
they
will
become
increasingly
available
and
every
year
they're
important,
but
this
year
I
think
they're
particularly
important.
So
please
use
whatever
platforms.
You
have
to
encourage
flu
vaccination
for
all
in
our
communities
thanks
dan.
K
K
Thank
you
mayor
make
a
motion
to
to
adjourn
for
today.