►
Description
City of Charleston Health and Wellness Advisory Committee 2/2/2022
A
All
right
kevin
all
right,
well
good,
wednesday
morning
to
everyone.
Thank
you
all
for
joining.
We
appreciate
it
I'd
like
to
call
this
2
2,
2,
2,
meeting
of
the
health
and
wellness
advisory
committee
to
order
so
we're
all
twos
today
I
know
I
sound
like
it,
I'm
not
a
tv
attorney,
so
please
don't
disconnect.
You
got
the
right
link
and
we
do
want
to
wish
this
morning,
meredith
belinsky
a
very
happy
birthday
to
dr
meredith
golinski.
A
A
I
know
it's
it's
hard
to
believe
that
we're
already
through
january
heading
into
the
second
month
of
2022,
and
I
hope
the
new
year's
off
to
a
good
start
for
all
of
you
and
that
you're
still
committed
to
your
new
year's
resolutions
days
are
getting
longer
spring's
around
the
corner.
So
it's
a
good
time
right
now.
I
hope
it
is
for
all
of
you
but
paul
sent
out
to
you.
I
think,
to
each
of
you
a
few
notes
that
he
had
received
via
email
and
some
calls
concerning
this
next
topic.
A
We
have
on
our
agenda,
which
is
childhood
immunizations,
as
you
read,
there's
a
concern
around
covet
vaccine
mandates
and
the
science
around
the
vaccine
shot,
and
we
appreciate
all
the
concerns
that
have
been
sent
to
us
that
we've
received.
But
our
role
today
is
to
discuss
routine
pediatric
immunizations
and
how
we
can
help
share
the
messaging
of
those
valuable
resources
in
our
community
to
help
remove
barriers
such
as
transportation,
financial
and
health
inequities.
A
We're
very
fortunate
to
hear
from
all
of
our
experts
about
health
issues
as
well
as
advances
in
medicine
and
the
care
that
our
community
is
seeing
right
now
and
while
we
ve
very
much
value
the
knowledge,
expertise
and
all
of
the
recommendations
of
this
committee,
we
as
a
committee
don't
have
the
authority
to
pass
ordinances
or
make
decisions
on
ordinances
within
the
city
of
charleston.
So
with
that
being
said,
paul
weeders
had
sent
out
the
minutes
from
our
january
meeting.
I
think
he
sent
those
out
last
friday.
A
A
A
B
C
A
C
C
All
this
technology-
oh
that's,
better,
perfect!
Okay,
thank
you
now.
I
know
for
next
time
learn
something
every
day.
Well,
it's
I'm
really
glad
to
join
you
guys.
Today
I
am
a
physician
at
dhec
and
I
work
in
the
central
office
which
is
based
in
columbia,
but
I
actually
live
in
charleston
and
so
I
kind
of
know
the
area
a
bit.
I
have
a
five-month-old,
a
three-year-old
and
six-month-old
or
sorry
a
six-year-old
and
he's
in
first
grade
here
in
the
public
school
district.
So
I'm
happy
to
be
part
of
this.
C
This
community-
and
I'm
also
you
know,
besides
being
a
dad
and
a
physician,
I'm
a
pediatrician
by
my
clinical
training
background.
So
childhood
immunizations
is
something
that's
kind
of
near
and
dear
to
my
heart,
and
I
think
what
I
wanted
to
do
this
morning
was
take.
You
know,
15
20
minutes,
maybe
to
kind
of
go
back
and
kind
of
say
why
immunizations
matter,
I
think,
rather
than
just
saying
oh
here
what
the
trends
are
in
childhood
immunizations
in
the
state
and
in
this
region
and
in
this
county.
C
I
think
it's
important
to
kind
of
take
a
step
back
given
kind
of
where
the
discussion
and
tenor
has
gone
around
immunizations
and
why
they
really
matter
and
how
we
got
to
having
these
amazing
life-saving
preventative
treatments
medications.
So
I
just
wanted
to
cover
some
of
those
things
this
morning.
So,
let's
see,
if
this
will,
can
you
see
my
second
slide
now
or
no
yeah?
C
C
Essentially
they
would
do
is
they
would
take
the
pus
from
one
of
these
pox
and
rub
it
on
a
thread
or
piece
of
cloth
and
make
a
small
wound
on
the
person
who's
healthy
at
that
time
and
introduce
what
would
be
hopefully,
a
mild
form
of
the
disease
and
that
wasn't
without
some
risk
it
didn't
always.
It
didn't
always
work,
but
it
had
more
success
than
not
and
so
general
washington,
george
washington,
had
to
kind
of
decide.
What
was
he
going
to
do?
Is
this
going
to
work,
or
is
it
going
to
backfire?
C
You
know
you
ready,
you're,
risking
your
benefits
and
he
said
well,
it
makes
more
sense,
let's
go
with
this
inoculation
and
it
worked,
and
you
know
it
was.
It
was
a
benefit.
So
another
famous
american
benjamin
franklin
also
had
a
difficult
time
around
smallpox
smallpox
and
he
wrote
his
autobiography
about
losing
his
son
to
smallpox.
He
said
in
1736,
I
lost
one
of
my
sons,
a
fine
boy
of
four
years
old
by
the
smallpox
taken
in
the
common
way.
C
I
long
regretted
bitterly
and
still
regret
that
I
had
not
given
it
to
him
by
inoculation.
This
I
mentioned
for
the
sake
of
parents
who
omit
that
operation
on
this
supposition
that
they
should
never
forgive
themselves
that
the
child
die
under
it.
My
example
showing
that
their
regret
may
be
the
same
either
way
and
that
therefore
the
safer
should
be
chosen.
C
So
again,
this
is
you
know,
I
think,
a
recognition
that
you
have
a
risk
decision
to
make
around
vaccinations
to
vaccinate,
carry
some
risk
and
not
to
vaccinate
also
carries
risk,
and
this
is
something
that
benjamin
franklin
recognized
and
then
they
didn't
actually
again,
this
wasn't
technically
a
vaccine.
This
was
an
inoculation,
so
it
was
trying
to
give
them
a
form
of
the
disease.
Actually,
so
vaccines
really
came
up
about
as
a
quote:
unquote
vaccine
in
the
late
1700s,
1794
or
1796.
I
think
it
was
on
this
doctrine.
C
In
britain,
edward
jenner,
he
noticed
that
there
were
milk
maidens
who
weren't
getting
smallpox,
who
weren't
dying,
but
he
postulated
that
the
reason
they
weren't
getting
smallpox
is
because
they
were
getting
cowpox,
which
is
a
similar,
related
virus
to
the
smallpox
virus,
and
he
postulated
that
they
were
protected
because
they
were
getting
cow
pox,
and
so
they
had
these
pox.
You
know
marks
on
their
hands,
but
they
were
otherwise
fine
and
they
didn't
get
smallpox
or
dive
smallpox.
So
he
did
an
experiment
and
essentially
kind
of
showed
that
this
is.
C
C
So
that's
how
we
have
this
this
term,
and
so
this
really
spread
around
europe.
It
came
to
the
us
as
well
and
it
saved
a
lot
of
lives,
but
it
wasn't.
Without
some
you
know
controversy.
There
was
no
social
media
then,
but
you
know
there
were
definitely
people
who
said
this
is
not
something
that
we
should
do
and
if
you
get
a
vaccination
with
this
cow
pox,
you
might
turn
into
a
cow,
and
so
these
this
is
one
of
the
drawings
that
was,
you
know
published.
C
You
can
see,
you
know,
people
have
a
cow
coming
out
of
their
nose
and
out
of
their
arm,
and
you
know
really
sort
of
this
anti-vaccination
campaign,
even
all
the
way
back
then
200
some
years
ago.
So
history
repeats
itself,
I
suppose
in
different
ways,
but
I
wanted
to
point
out
some
other
things.
Historically,
from
a
vaccine
preventable
disease
standpoint,
so
presidents,
abraham,
lincoln
rover,
cleveland
and
james
garfield
all
had
children
who
died
from
diphtheria
before
there
was
a
vaccine
available
and
mark
twain
almost
died
of
measles.
C
Going
through
his
hometown
and
he
felt
like
he
was
prisoner,
so
he
went
to
one
of
his
buddies
houses
and
said:
I'm
just
going
to
get
it.
So
I
can
get
out,
you
know,
might
get
out
of
jail
free
card
and
he
almost
died
from
me
and
he
wrote
about
it
in
one
of
his
books
about
you
know
his
turning
point
in
his
life.
F
B
F
B
Fdr
got
polio
in
1921
and
was
completely
paralyzed
from
the
legs
down
and
roosevelt
realized
that
there
was
going
to
have
to
be
an
organization
that
would
be
in
place
basically
to
deal
with
the
survivors
of
polio
to
give
them
rehabilitation
and
also
to
find
a
vaccine.
The
march
of
dimes
was
formed
by
franklin,
roosevelt
and
his
law
partner,
basil
o'connor.
It
was
the
most
revolutionary
philanthropic
organization
in
our
history,
really
the
gold
standard,
it
revolutionized
the
way
we
raised
funds
in
the
united
states
and
it
revolutionized
the
way
we
did.
B
Medical
research
on
fundraising.
The
march
of
dimes
was
the
first
group
to
use
the
poster
child.
They
were
the
first
group
to
use
celebrities
and
they
were
the
first
group
to
have
what
was
called
the
mother's
march
on
polio,
where
they
basically
have
grassroots
people,
unpaid
volunteers,
by
the
millions
going
out
into
the
field
and
raising
money.
So.
C
I
share
that
I
know
there's
a
couple
longer
clips,
but
to
show
just
how
devastating
some
of
these
diseases
were,
and
I
think
we've
forgotten
about
them
as
a
society
as
a
community,
because
they've
really
faded
from
our
memory,
and
I
think
you
know
when
that
happens,
there's
some
dangers
that
that
that
result
where
people
say
I
don't
see
this
anymore,
and
rather
than
seeing
mothers
marching
to
get
vaccines
for
polo,
you
see
the
opposite.
People
marching
against
vaccinations,
and
it's
just
you
know
in
a
relatively
short
time-ish.
You
know,
generation
we're.
C
Removing
the
pendulum
is
swinging,
the
other
direction.
So
you
know
from
1796
to
you
know
the
first
smallpox
vaccine.
There
have
been
so
many
that
have
been
developed
here
in
the
50s
when
we
had
the
march
of
dimes
that
movement
going
on
to
the
60s
is
when
we
really
saw
the
first
live
vaccine
for
polio
and
the
inactivated
polio
vaccine
and
then,
as
you
know,
diseases
fade.
You
know
smallpox
was
eliminated
from
the
world,
and
so
people
might
you
might
know
people
who
have
smallpox
vaccines.
C
It
was
taken
out
of
circulation
in
the
u.s
in
1972.
So
you
know
things,
you
know
things
change
and
some
you
know
different
vaccines
come
and
go,
but
these
are
the
ones
that
you
know.
The
kind
of
the
timeline
in
the
last
100
years
is
just
remarkable.
The
number
of
diseases
that
we're
able
to
prevent
you
know
among
children.
You
know
like
diphtheria,
measles
and
all
these
things
that
ravaged
communities
before
polio.
C
You
know
the
only
person
I
saw
with
polio
was
a
vet.
When
I
was
a
medical
student
at
the
university
of
wisconsin-
and
I
don't
see
it
in
pediatrics,
I
don't
see
any
kids
with
color
anymore.
You
know
you
don't
have
to
worry
about
going
swimming
in
the
summer
anymore.
You
know
we
were
in
park
circle.
We
would
go
to
danny
jones
in
the
summer.
I
couldn't
imagine
having
sanctioned
my
kids
or
we
can't
go
it's
the
summer
time.
We
can't
go
because
there
might
be
pole.
C
You
might
not
walk
again
right
like
these
things.
We
don't
think
about
as
a
community
anymore
because
of
these
vaccines
and
they
work
because
people,
you
know,
get
them
as
a
society,
and
you
know
so
anyways
part
of
the
recognition
is
that
these
work
and
they
protect
a
community.
They
protect
a
population
and
that's
why
there
are
these
vaccines
that
are
required
for
school
across
the
country
and
south
carolina.
You
know
most
most
states
have
the
same
requirements.
C
But,
as
I
said,
I
think,
as
we
have
these
vaccine-preventable
diseases
fading
from
the
public's
consciousness
and
their
memory.
You
get
these
outbreaks
because
vaccination
rates
start
to
decline,
and
so
you
know,
I
think
we
all
heard
about
measles
outbreaks
in
disney
there
they
had
another
one.
You
know
pop
up
again.
Recently:
we've
had
our
own
outbreaks
here
in
south
carolina.
There
have
been
some
outbreaks
in
the
upstate.
I
think
there
were
six
or
more
kids
we
weren't
vaccinated,
and
then
we
had
the
outbreak
in
charleston
as
well.
C
C
So
that's
a
little
bit
of
the
history
and
background
about
why
how
we
got
here
with
vaccines,
why
the
matter
and
that
they
make
a
difference,
and
I
wanted
to
just
go
over
a
few
trends
here
in
south
carolina
with
our
vaccine
coverage
right.
So
this
is
information
prevented
presented
by
the
cdc
you
can
find
this
on
their
website
and
I
just
pulled
out
the
tap
vaccines
at
bm
and
the
mmr
vaccine.
So
this
is
vaccine
coverage
among
kindergarten
by
their
spy
by
school
year.
C
C
Again,
things
like
you
know,
tdap
mmr
and
hepatitis
b.
The
lower
ones
are
vaccines
that
are
not
required
in
south
carolina
for
school
entry.
Some
other
states
require
these
vaccines.
We
currently
do
not,
but
the
lowest
cluster
is
hpv
vaccines
that
those
bottom
three
that's
looking
at
males
females
and
males
and
females
combined,
and
that
prevents
you
know
different
kinds
of
cancers
caused
by
the
human
papillomavirus,
so
cervical
cancers,
penile
cancers
and
then
the
lighter
blue
line
above
that
is
the
meningococcal
vaccine.
It's
not
required
currently
in
south
carolina.
C
C
And
this
site
this
is
from
our
website.
I
pulled
it
out
to
present
it
a
little
bit
differently,
because
I
wanted
to
be
able
to
pull
out
state
trends
and
charleston
county
trends.
So
you
can
see
the
very
bottom.
Green
line
is
charleston
county
and
this
is
the
school
required
immunization
rates
from
2016
to
2020.,
so
the
pd
in
general
has
done
better
they're,
that
gray
line
on
the
on
the
top,
and
then
you
can
see
the
low
country
in
the
yellow
and
then
charleston
county
and
green.
C
C
Because
I
think
we've
heard
a
lot
in
the
last
year
about
people's
reluctance
to
follow
public
health
measures
and
their
their
concerns
about
the
copa
vaccine
in
particular,
and
so
I
wondered
you
know,
might
we
be
seeing
an
impact
on
a
flu
vaccine
uptake
because
those
aren't
necessarily
required
for
kids
to
go
to
school
they're
required
for
some
people
to
go
to
work?
If
you
work
in
healthcare,
you
know
these.
These
can
still
be
required
to
keep
not
only
yourself
safe,
but
the
people
around
you
safe.
So
anyways.
C
If
you
look
at
the
the
the
graph
here,
it's
looking
at
the
flu
doses
in
total
by
age
group
for
the
last
four
or
four
year,
flu
seasons.
So
the
less
than
one
and
the
one
to
18
group.
You
know
that's
the
pediatric
population,
you
know
you,
kids,
under
one,
don't
qualify
unless
they're
six
months
or
older,
so
I
have
a
five
month
old.
C
Now,
if
we
do
this
for
charleston
county,
you
see
a
similar
trend
where
the
pediatric
flu
uptake
by
this
age
group
over
the
last
four
years
looks
like
it's
declined,
whereas
in
the
adult
population
it
looks
like
it's
gone
up
and
I
don't
know
exactly
why
that
is.
I
mean
this
is
something
you
have
to
postulate.
Probably
you
know
I
think
people
are
over.
65
are
at
greater
risk
and
maybe
people
that
were
getting
their
kobe
vaccine
were
getting
their
flu
shot
at
the
same
time
or
felt
like
they're
at
increased
risk.
C
I
don't
know,
but
I
do
think
I
know
focusing
on
the
childhood
piece
of
it.
The
numbers
are
going
down,
so
I
think
there
are
challenges
around
childhood,
immunizations
and
also
opportunities.
So
I
wanted
to
talk
about
those
a
little
bit,
so
I
think
some
of
the
common
challenges
you
hear
about
our
access.
You
know
if
parents
can't
get
there
because
they're
working
the
clinic
hours
aren't
just
don't
jive
with
their
family
schedule.
They
have
to
wait
too
long
and
and
to
get
them
to
see
the
doctor.
C
C
You
know
he
still
said
to
me
a
couple
years
ago:
oh
I'm
not
going
to
get
my
flu
shot
because
you
know
I
get
the
flu,
I'm
like.
No
dad
you
don't
actually
get
the
flu
the
symptoms
you're
getting
after
your
vaccine
is
actually
your
body
mounting
response,
it's
working
so
that
when
the
roflu
comes
along,
you'll
be
protected
or
if
you
do
get
it
you'll
be
less
impacted
and
won't
be
hospitalized.
C
So
sometimes
that
you
know
has
an
impact
on
on
people
wanting
to
get
their
vaccine
mistrust
people,
maybe
don't
trust,
different
sources
of
information,
whether
it's
coming
from
an
agency
like
dhec.
They
think
you
know,
I'm
my
neighbors
know
me
and
they
know
that
I'm
I'm
a
good
guy
and
then
you
know
I'm
a
pediatrician.
I
care
about
my
kids.
It's
like
they
care
about
their
kids,
but
they're.
C
But
I
think
that
this
has
also
shown
us
ways
that
we
need
to
work
on
improving
communication
with
parents,
about
vaccines
as
well
so
from
for
me.
You
know
I
look
at
it
as
as
a
parent.
I
think
it's
an
opportunity
for
us,
as
parents
to
educate
our
children
as
well.
I'm
gonna
do
a
shameless
dad
plug
these
are
my.
C
These
are
my
three
kids
so
on
the
left
and
all
the
way
on
the
right
are
my
six-year-old
and
three-year-old,
and
this
is
at
musc
that
we
enrolled
them
in
the
phase
two
trial
of
the
modern.
You
know
trial
there
and
you
know
my
son
hates
needles
and
he
cried,
and
you
know
we
talked
about
what
he
was
doing
was
a
brave
thing
and
a
courageous
thing.
C
He
was
helping
protect
other
kids
to
get
this
vaccine
so
they're
not
winding
up
in
the
hospital
and
they're
not
dying,
and
when
we
got
them
their
flu
shot.
We
said
you
know
we're
giving
you
this
flu
shot,
because
it's
good
for
you,
but
we're
also
getting
it,
because
your
little
sister
can't
get
her
vaccine.
So
you
getting
your
flu
shot
is
protecting
her.
I
think
it's
a
really
good
lesson
for
us
as
parents
to
take.
C
You
know
our
baby
sister,
who
can't
get
vaccinated,
who
might
be
at
increased
risk,
and
I
think
that's
a
good
lesson
for
them
to
learn.
I
think
that
makes
them
more
caring
and
responsible
citizens.
So
I
think
vaccination
is
an
opportunity
for
us
to
talk
to
our
kids
about
caring
about
not
just
yourself
but
caring
about
those
around
you
and
I,
and
I
said
to
somebody
else.
You
know
the
thing
about
vaccines.
That's
different
from
other
practices.
Is
it
impacts
everybody
else?
You
know
I.
C
I
could
give
my
kids
twinkies
and
ho
ho's
all
day
and
it's
gonna
be
really
bad
for
their
health.
You
know
they're
gonna,
get
obesity
and
then
there's
heart
disease
and
all
these
things,
but
it
really
only
impacts
them
but
vaccines,
it's
good
for
them,
but
it
also
protects
the
people
around
them.
So
it's
one
of
these
health
decisions.
That's
unique
that
it's
not
just
a
decision
in
isolation.
It's
a
decision
that
impacts
everybody
in
your
community.
I
think
that's
important
to
recognize
all
right.
C
It's
an
opportunity
for
health
care
providers
to
have
discussions
with
with
patients
with
kids,
and
we
know
that
the
thing
that
parents
trust
the
most
in
general
when
it
comes
to
these
decisions
is
their
physician
or
their
primary
care
provider
to
be
able
to
sit
down
and
have
this
one-on-one
discussion
say:
hey
I'm
concerned
about
this
vaccine.
You
know
I
I
heard
something
about
autism.
Is
that
really
true?
I
heard
about.
E
C
Is
that
really
you
know?
Do
I
really
need
to
be
worried
about
that?
What
about
this
preserve
and
really
talk
those
things
through
I
mean
I
don't
practice
clinical
pediatrics
anymore,
but
I
did,
and
these
are
the
discussions
that
you
have,
and
I
think
this
is
what
builds
rapport
and
builds
trust,
and
it
builds
trust.
C
So
that's
really
something
special.
I
think
ellen's
probably
going
to
talk
about
that.
But
you
know
if
people
want
to
try
and
find
a
vaccine
for
their
child,
they
don't
have
insurance.
This
is
bfc
program.
It's
a
vaccine
for
children.
There's
you
know
these.
They
can
be
found.
We
have
a
map
on
our
website.
You
can
find
somebody
if
you
know
kids
don't
have
insurance.
C
The
federal
government
provides
funds
for
kids
to
be
able
to
get
vaccines
at
no
cost,
so
there
are
challenges,
but
I
think
there
are
real
opportunities
and
I-
and
I
hope
that,
given
everything
that's
been
going
on
for
the
last
two
years
that
we're
not
going
to
see
a
negative
impact
that
we'll
see
routine
immunizations
kind
of
come
back
up.
I
know
some
some
parents
were
were
avoiding
going
to
the
physician
just
because
you
know
people
felt
like
they
were
in
lockdown.
C
They
couldn't
go
out
there,
avoiding
care
if
they
didn't
need
to.
They
didn't
want
to
go
to
the
doctor
and
maybe
get
covered
while
were
there
waiting.
So
I
get
those
things
and
I
think
that
might
have
been.
You
know
some
of
the
impact
we
saw
on
some
of
our
routines,
so
I'm
kind
of
hopeful.
My
fingers
are
crossed
that
we
won't
see
you
know
a
negative
impact
on
routine
child
immunizations,
but
I
I
hope
that
ellen
has
some
good
things
to
share
about.
E
That's
great,
thank
you
so
much
so,
and
you
lined
it
up
beautifully
for
us.
As
you
can
see,
we
started
seeing
that
we
were
seeing
a
decrease
in
the
required
vaccinations
with
our
students
and
there
were
a
lot
of
different
things
going
on
and
one
of
the
things
that
we
saw
over
and
over
again
was
the
access
piece
and
we
needed
to
be
able
to
get
our
kids.
E
You
know
access
to
these
vaccines,
so
we
began
looking
towards
d-hat
for
more
guidance
about
becoming
a
vaccine
for
children,
provider
and
learning
more
about
that,
and
as
we
did,
we
started
that
in
2019
went
ahead
and
got
our
vfc,
but
unfortunately,
as
we
all
are
very
aware,
covet
hit.
The
pandemic
was
here,
so
we
do
have
our
vaccine
for
for
children
program
in
place.
E
E
We've
really
tried
to
make
great
efforts
in
making
sure
that
we
continue
to
push
this
program
so
this
year,
I'm
very
pleased
to
say:
we've
been
able
to
provide
over
800
vaccinations
for
kids
and
that's
in
conjunction,
that's
just
for
the
required
vaccinations
in
addition
to
that,
we've
also
been
working
very
diligently,
making
sure
that
we
offer
the
covered
vaccines
for
our
kids
as
well.
So
one
of
the
things
that
I
know
that
was
brought
up
before
was
the
trust
issue.
E
Schools
are
normally
a
place
where
our
families
do
trust,
and
so
we're
really
really
utilizing
the
role
of
the
school
nurse
as
being
able
to
be
that
health
care
provider
that
can
talk
to
parents,
explain
the
importance
of
it
and
really
get
the
buy-in
there.
I
do
want
to
emphasize
that,
of
course,
we
would
always
have
to
have
parental
consent
for
any
vaccination
that
was
given.
That
would
be
whether
it
was
a
required
or
recommended,
or
if
it
was,
you
know
the
covered
vaccine.
E
So
we
have
processes
in
place
to
make
that
happen.
We
are
working
towards
our
next
year
being
even
more
access
friendly.
I
guess
by
being
able
to
possibly
secure
a
mobile
van,
that
would
allow
us
to
be
able
to
get
to
more
sites
a
little
bit
with
easier
access,
and
our
big
thing
is
just
making
sure
that
you
know
all
of
our
kids.
Have
you
know,
access
to
required
and
recommended
vaccines,
so
just
a
quick
wrap
up
with
our
numbers
being
like,
like
I
said,
with
the
vfcs
being
almost
800.
E
We
also
with
the
800
vaccines
that
were
given
that
gave
to
over
250
our
kit
of
our
kids
complete
status
for
having
all
of
their
vaccines
done.
So
that's
enormous,
and
then,
with
our
coven
vaccines,
we
were
able
to
go
to
the
schools
on
site
and
for
staff
high
school
middle
and
our
five
to
11
year
olds.
We
gave
over
13
000
coveted
vaccines
during
the
pandemic.
G
We
have
a
work
group
of
members
who
you
know
consist
of
school
nurses
and
doctors
and
and
different
folks
who
are
actively
trying
to
solve
for
this
access
to
these
medications.
Problems
and
so
really
appreciate
that-
and
I
just
wanted
to
point
out
on
something
that
we
learned
in
that
process-
is
that
you
know
in
lieu
of
schools
being
able
to
provide
those
vaccines
for
kids.
Through
that
vfc
program,
many
school
nurses
were
were
forced
to
send
children.
You
know
home
and
and
said
you
know
many
times.
G
The
recommendation
was
we'll
go
to
your
local
cvs
or
go
to
your
local.
You
know
walgreens
or
or
something
like
that.
Excuse
me
well.
We
then
realized
that
those
cvs's
were
not
vfc,
certified
and,
and
so
kids
were
being,
you
know
turned
away
because
they
they
couldn't
afford
those
those
important
vaccines,
and
so
we've
really
been
working
with
trying
to
get.
G
Also,
our
local
pharmacies,
like
our
cvs,
minute
clinics
and
those
to
get
vfc
certified
as
well,
because
that
process
is
it's
available
and
it's
provided
by
dhec,
and
it's
really
important.
So
once
again,
thank
you.
So
much
for
for
all
that,
you've
done
and
just
for
folks
on
the
caller
know
that
that
work
is
continuing
elsewhere.
E
And
I
would
like
to
say
thank
you
to
all
of
our
partners,
such
as
trident
united
way,
federer
healthcare
on
this
shifa
clinic
we
have
had.
Indeed,
of
course,
we
have
just
had
such
a
great
partnership,
as
it
was
said
before
we
had
to
kind
of
you
know,
think
outside
of
the
box,
and
because
charleston
is
just
an
amazing.
E
A
You
very
much
any
any
other
questions
before
we
move
on.
Well,
I
want
to
thank
dr
kanoka
and
ellen
nitz.
Thank
you
very
much
for
this
information.
It's
great
information
and
we
appreciate
your
time.
We
know
your
time
is
valuable
and
we
appreciate
you
giving
the
time
to
help
educate
us
a
little
bit
on
what's
going
on,
so
we
and
thank
you
for
all
that
you
do
for
our
community.
We
really
really
appreciate
it.
So
thank
you
all
right.
D
C
The
answer
is
yes,
so
there
are
some
that
are
made
here
and
there
are
some
that
are
made
internationally
as
well.
I'm
trying
to
remember
there's.
We
just
had
a
meeting
with
all
the
different
manufacturers.
Last
week
from
you
know,
claxton
smith
klein
to
pfizer
to
to
choose
our
routine
immunizations
for
the
health
department,
and
you
know
at
least
one
of
them
for
their
flu
vaccine.
They
they
manufacture
in
two
locations.
One,
I
think
is
in
belgium.
C
A
H
H
D
Morning,
everyone
and
good
morning,
dr
richardson,
and
just
thank
you
for
all
that
you
do
for
the
city
of
charleston.
We
really
appreciate
the
partnership
just
really
quickly.
You
know
just
trying
to
navigate
this
omicron
surge
masks
are
currently
required
for
employees
as
well
as
visitors
when
they're
unable
to
social
distance,
and
we
are
currently
discouraging
any
in-person
meetings
so
just
trying
to
do
our
best
to
keep
everybody
safe.
H
Thank
you,
tracy
and
if
anyone
else
has
you
know
wants
to
chime
in
at
any
time,
please
do
so
so
I
always
like
to
start
with
some
data
and
just
brief
overview,
as
tracy
said
nationally
and
in
south
carolina
cases
and
test.
Positivity
rates
are
beginning
to
decrease,
although
deaths
continue
to
increase
and
hospitalizations
are
stabilizing.
So
here
in
the
low
country,
we
saw
a
39
decrease
over
the
last
week
for
our.
H
Although
death
rates
rose,
57
percent
hospitalizations
for
covid
statewide
decreased
about
2
percent
over
the
past
week,
although
those
requiring
icu
stays
did
rise.
Two
percent
and
charleston
county
similar
to
the
state
in
the
nation
has
seen
on
decreases
over
the
past
several
weeks.
However,
in
south
carolina
there
were
4
137
new
cases.
Yesterday,
26
confirmed
new
deaths
and
two
new
probable
deaths.
H
As
we
know,
and
as
tracy
mentioned,
the
vast
majority
of
cases
in
south
carolina
and
around
the
world
are
now
due
to
the
omicron
and
then
specifically,
we've
seen
about
24
of
our
cases
in
children
here
in
south
carolina
over
the
duration
of
the
pandemic.
This
puts
us
fourth
in
the
nation
for
the
number
of
kids
diagnosed,
we've
seen
827
children,
hospitalized
and
29
child
deaths
here
due
to
due
to
coven
19..
H
So
with
the
pediatrician
and
the
school
nurse
speaking
before
I
want
to
to
continue
to
let
you
know
that
that
coved
does
affect
kids
as
well
as
adults.
There
was
a
new
york
times
article
this
morning,
showing
that
the
u.s
has
had
a
far
higher
death
rate
from
kova
19
than
other
wealthy
countries
around
the
world,
and
this
is
both
throughout
the
pandemic
as
well
as
during
this
omicron
surge
and
experts
that
they
interviewed.
For
the
article
say.
H
So,
just
going
to
south
carolina,
we
have
62
percent
of
our
eligible
south
carolina
residents
have
received
at
least
one
cova
vaccine
and
53
percent
have
completed
that
primary
vaccination
series
for
those
age
5
to
11,
so
those
that
were
were
last
approved
for
the
vaccine.
17
had
received
at
least
one
vaccine
with
12
completing
their
series.
When
we
look
at
teenagers
12
to
19
35
of
that
age
group
are
now
vaccinated.
H
However,
that
shows
that
we
have
a
ways
to
go,
and
particularly
with
boosters
nationally.
Only
44
of
those
eligible
have
received
a
booster
and
even
more
worrisome.
Only
about
65
of
those
65
and
over
have
received
a
booster
and
that's
even
more
worrisome,
because
that
age
group
is
more
likely
to
suffer
severe
consequences
from
a
breakthrough
case
of
of
coven.
H
But
I
believe
the
story
continues
to
be
clear.
The
boosters
do
help
against
infection
against
hospitalizations
and
against
death,
although
certainly
that
is
not
as
much
so
as
getting
vaccinated.
Initially,
it
is
continuing
to
make
a
difference.
I
want
to
briefly
talk
talk
about
three
recent
this
week.
Actually
mmwr
cdc
reports,
they've
come
out.
H
It
looked
from
august
to
december
21
hospitals
across
18
states
and
found
that
three
doses
of
the
vaccine
were
97
effective
in
preventing
hospitalization
compared
to
82
percent.
For
those
who
had
received
two
doses
and
were
eligible
for
the
third
but
didn't
get
it,
those
are
people
with
competent
or
immune
systems
that
are
functioning
normally.
When
we
looked
at
those
who
are
immunocompromised,
the
three
doses
was
88
percent
effective
in
preventing
hospitalization
versus
69.
H
Just
a
brief
review
of
booster
recommendations.
Pfizer
can
be
given
to
those
12
and
over
and
that
booster
can
be
given
five
months
after
the
completion
of
the
primary
series.
Moderna
can
be
given
to
those
18
and
over
and
also
can
be
given
five
months
after
the
primary
series
and
johnson
and
johnson
or
jansen
vaccine
can
be
given
to
those
18
and
over,
and
it
can
be
given
two
months
or
more
after
that,
first
dose
of
the
johnson
johnson
vaccine.
H
There
is
now
a
recommendation,
preferring
pfizer
or
moderna,
as
the
booster
dose
for
those
who
initially
got
jansen,
but
jansen
is
also
available,
and
there
is
some
studies,
some
research
that
shows
that
mixing
and
matching
of
of
vaccines
for
that
booster
dose.
So
getting
a
different
vaccine
for
the
booster
as
compared
to
your
primary
series
may
be
beneficial
both
in
increasing
antibody
titers,
as
well
as
t-cell
response.
H
Group
pfizer's
also
continuing
to
look
at
a
third
dose
of
that
vaccine
for
the
zero
to
four
age
population
that
those
results
won't
be
available
until
the
end
of
march,
and
so
at
that
time
they
will
also
present
that
data
and
those
who've
gotten
the
head
start.
If
indeed
it
is
approved
in
february,
would
they
be
able
to
to
receive
a
a
third
dose
at
that
time?
H
The
pcr
test
is
more
sensitive
and
can
remain
positive
for
longer
and
thankfully,
access
is
increasing
for
the
rapid
antigen
test.
They
are
now
available
through
the
federal
government,
also
through
private
insurance,
reimbursement,
local
health
departments
and
and
soon
schools
will
also
have
tests
to
give
out.
H
So
those
would
all
be
good
times
to
use
them
as
we
have
more
access
more
home
tests,
hopefully
in
in
people's
homes
and
then
again,
the
timing.
The
recommendation
is
really
not
testing
do
not
test
in
the
first
two
days
after
your
exposure.
It's
unlikely
to
be
positive
at
that
point
in
time.
Unless
someone
is
symptomatic
anytime,
they're
symptomatic,
we
do
recommend
testing,
but
the
optimal
testing
time
is
really
five
to
seven
days
after
that
exposure
or
again
any
time
of
symptomatic.
H
Treatments
are
also
available
in
the
local
area
through
infusion
centers,
and
so
all
that
is
to
say,
you
know,
speak
to
your
provider
earlier,
the
better
when
diagnosed
about
treatment
options.
Those
are
not
available
for
everyone,
but
those
that
are
highest
risk
for
severe
progression
to
hospitalization
or
death.
H
I
was
going
to
cover
the
future
of
the
pandemic,
but
I
think
I'll
do
that
next
time,
because
I
don't
think
that's
we're,
certainly
not
gonna
end
the
pandemic
in
the
in
the
next
month,
but
I
did
just
want
to
mention
the
the
ba
two
covid
variant,
that
is
a
a
concern,
may
decrease
or
may
slow
our
our
decrease
from
the
surge
may
cause
a
small
bump.
It
is
a
sort
of
subtype
of
the
omicron
variant.
H
H
A
You
so
much
dr
richardson,
a
lot
of
good
information,
appreciate
you
handing
that
to
us.
Thank
you
so
much,
and
while
she
reads
through
that,
we'll
kind
of
move
on
with
our
community
updates
and
I'll
just
kind
of
let
you
raise
your
hands
or
notify
me
some
way
that
you
want
to
give
a
community
update
from
your
area.
A
D
Paul
just
a
couple
of
things
and
one
I
want
to
thank
our
presenters
first
of
all
again
for
for
being
here
today.
There's
the
american
cancer
society
reached
out
to
me
this
past
week,
and
they
were
just
had
looked
at.
Our
recently
had
looked
at
our
smoking
ordinance
that
we
had
on
on
our
in
our
for
the
city,
and
we
just
wanted
to
ask
that
that
we
take
a
maybe
look
at
our
fresh
review
of
it.
There
that
was
written.
I
think
back
in
2007.
D
2013
is
probably
lancaster,
has
the
most
current
ordinances
out
there
and
they
just
asked
us
to
maybe
go
back
and
look
at
it.
They
were
concerned
with
two
items
that
that
are
in
particular,
where
the
mayor
could
decide
if
a
building
is
has
to
be
smoke
free
or
not
at
his
discretion,
and
the
other
clause
was
for
for
allowing
non-hospitality
workplaces,
and
I
just
I
thought
it
would
be
good.
A
D
D
H
So
I
did
read
through
one
one:
question
was
about
mask
wearing
and
and
does
it
make
a
difference,
and
why
then
does
the
cdc
not
include
that
in
its
in
its
definition
of
close
contact?
I
believe
it
certainly
makes
a
difference
but
agree
that
it
is
not
included
in
the
close
definition,
so
decreased
risk
of
transmission
when
masks
are
worn.
Schools
certainly
take
that
into
account
when
determining
who
needs
to
quarantine
but
agree.
H
That's
it's
not
included
at
this
point
in
time
in
the
close
contact
definition.
The
other
question
was
about
booster
vaccines
for
those
who've
already
had
a
booster,
so
people
are
now
getting
out.
You
know
several
months
from
their
booster,
those
who
got
it
when
it
was
first
available.
There
is
currently
no
recommendation
for
an
additional
booster
for
those
who
are
immunocompromised.
H
There
is
a
recommendation
for
that
third
dose
and
then
a
booster
after
the
third
dose,
but
for
those
who
have
been
maximally
vaccinated,
we
continue
to
follow
the
evidence
from
other
countries
who
are
offering
that
booster.
But
we
believe
at
this
point
in
time
those
who
are
maximally
vaccinated
are
well
protected,
using
the
other
preventive
strategies
as
well
for
for
preventing
the
severe
effects.
Thank
you.
A
F
Yeah,
I
just
had
a
quick
update.
I
don't
know
if
you
all
remember.
Last
year
for
earth
day
we
participated
in
a
statewide
campaign.
It
was
called
power
plant
sc,
where
we
handed
out
trees,
seeds
and
saplings
that
same
group
we've
continued
to
work
under
the
direction
of
the
flood
water,
commissioner,
and
we
have
been
gifted
18
000
bare
roots.
We
want
to
get
in
the
ground
during
this
planting
season,
which
you
know
kind
of
wraps
up
in
march.
F
So
if
you
have
an
interest,
these
are
free
and
we've
got
they
come
in
bundles
of
100
per
species
and
we've
got
like
eight
different
species.
So
if
your
community
group
or
your
workplace,
if
you
want
to
try
and
do
a
giveaway,
we
would
love
to
get
you
involved.
So
you
can
just
reach
out
to
me
directly.
A
All
right,
thank
you
very
much.
Anything
else
on
community
update,
okay,
well
great,
it's
just
after
10
o'clock,
so
I
appreciate
those
of
you
that
could
hang
in.
I
know
that
some
people
had
to
leave
for
a
10
o'clock
meeting
and
I
appreciate
everybody's
time.
Your
time
is
very,
very
valuable
to
us
paul
sent
out
something
on
a
5k
run
if
you'll
take
a
look
at
that.
If
you
have
anybody
that
may
be
interested
in
that,
we
would
like
their
participation
in
that
5k
run.
A
Some
of
you
have
saw
that
punxsutawney
phil
saw
his
shadow,
went
back
in
we've
got
more
months
of
cold
weather,
I'm
not
buying
it.
I
think
spring's
around
the
corner,
and
hopefully,
we've
got
warmer
days
coming
ahead
so
anyway.
Thank
you
so
much
appreciate
your
time
and-
and
I
wish
you
a
good
rest
of
the
day-
thank
you
so
much.