►
Description
City of Charleston Health and Wellness Advisory Committee (Virtual) 12/8/2021
A
So
currently,
some
of
the
things
that
we're
doing
in
the
community
is
we
work
to
do
post-overdose
follow-up.
So,
for
example,
if
a
person
in
the
community
has
an
overdose
event,
they
will
be
if
they
don't
want
to
be
taken
to
the
hospital
for
that,
we
will
go
out
the
next
day
or
so,
and
we
have
peer
support
specialists
who
are
amazing
people.
A
So
so
far,
we've
distributed
over
4
000
doses
of
life-saving
narcan
in
our
community,
and
so
we're
very
proud
of
that.
We
can
also
provide
training
to
any
organization
who
wants
to
learn
about
narcan
and
be,
you
know,
receive
the
kits
to
people.
We
also
have
distributed
over
600
fentanyl
test
strips.
A
A
A
We
will
get
them
into
charleston
center,
the
next
day
to
evaluate
and
begin
medication
assisted
treatment.
Okay,
so
that's
our
fast
track
program.
We
also
I'm
very
thrilled
that
I
get
to
go
out
into
the
community
and
one
of
my
favorite
things
is
to
talk
with
law
enforcement
officers.
We
partner
with
dmh,
of
course,
and
national
alliance
for
the
mentally
ill,
and
we
provide.
A
I
provide
training
for
law
enforcement
professionals
on
how
to
recognize
the
things
they
need
to
see
with
people
who
have
mental
health
and
substance
use
issues
how
to
effectively
interact
with
them,
engage
with
them,
help
them
encourage
them.
You
know
to
seek
services
and
to
just
really
decrease
the
stigma
associated
with
substance,
use
and
mental
health
issues
and
to
treat
those
folks
with
so
much.
You
know
dignity
and
kindness
and
respect
as
possible.
A
Once
we
understand
where
overdoses
are
occurring,
we
can
target
those
areas
with
narcan
distribution
so
that
we
can
save
lives.
We
also
have
our
our
our
post
overdose
follow-up
that
I
talked
about.
Charleston
city
police
is
now
a
community
approved
community
distributor
of
narcan,
and
so
we
are
really
thrilled
to
partner
with
cpd
to
identify
places
where
we
can
get
narcan
into
our
community
across
the
city
and
a
course
across
the
county
as
well.
A
So
you
know
that's
just
a
a
little
bit
about
the
the
services,
just
a
quick
overview
of
some
just
a
few
of
the
things
that
we
do
at
charleston
center
to
help
people
to
help
our
citizens,
our
our
goal.
I'll
just
say
our
overall
goal
is
to
save
lives.
We're
we're
here
to
save
lives,
because
these
lives
are
important.
They
matter.
These
are
our
people.
These
are
people
that
you
may
know.
A
These
are
our
our
family
members,
our
friends,
our
you
know,
people
in
the
community
that
we
want
to
to
save
their
lives.
We
want
to
help
them
become
productive
members
of
our
community
and
we
know
that
healthy
individuals
create
healthy
communities.
So
that's
what
we're
here
to
do
is
to
to
save
lives
and
help
people
get
healthy
and
stay
healthy.
A
We
we
also
want
to
really
flood
the
downtown
and
north
charleston
areas
with
both
narcan
and
fentanyl
test
strips.
So
that
is
one
way
that
you
could
really
help
us.
If
you're,
you
know
interested
in
what
you
can
do
and
to
get
involved,
is
we
want
to
be
able
to
distribute
that?
So,
if
you
want
narcan
training,
if
you
can
help
us
to
identify
areas
where
we
can,
we
can
do
narcan
training
where
overdoses
are
happening.
We
would
really
like
to
be
able
to
come
out
and
do
that
for
you.
A
A
As
far
as
gaps
are
concerned,
one
of
the
issues
that
comes
up
frequently
for
us
in
charleston
is
being
able
to
connect
people
to
temporary
or
transitional
housing.
I
know
that
this
is
something
that
we
all
talk
about
on
a
regular
basis
and
mayor
teclenberg.
I
see
you
nodding
your
head,
so
that's
familiar
for
all
of
us.
So
when
people
come
in
for
services,
we
do
work
with
a
lot
of
people
who
don't
have
stable
or
temporary
housing,
and
we
particularly
need
stable
housing
for
people
who
are
allowed
to
be
on
their
medications.
A
You
know
help
people
who
get
it,
people
who
kind
of
brush
into
the
law
on
a
regular
basis
because
they
have
nowhere
to
go
so
they
may,
you
know,
get
in
trouble
with
with
the
law
for
loitering
or
trespassing
and
things
of
that
nature,
and
so,
if,
if
they
had
a
steady,
stable
place
to
go,
that
would
help
tremendously.
So
we
really
want
to
address
that
gap,
and
you
know,
of
course,
housing
that
doesn't
discriminate
against
people
who
are
receiving
medications.
A
We
understand,
based
on
science,
based
on
research,
that
substance
use
and
mental
health
issues
are
really
a
matter
of
brain
disorders,
and
just
like
you
know
somebody
like
me
who
has
asthma,
you
know
I
have
a
problem
with
my
lungs
and
I
have
to
learn
how
to
take
care
of
myself
and
be
well
and
manage
that
I
need
skills.
I
need
support.
A
I
need
good
medical
care.
These
folks
are
no
different,
absolutely
no
different,
because
we
know
these
are
brain
diseases,
but
they
are
they
they're
chronic
and
not
necessarily
curable.
However,
they're
very
treatable-
and
I
know
some
amazing
people
work
with
some
amazing
people
who
are
living
examples
of
when
people
are
in
recovery.
A
A
A
You
know
the
the
health
care
system
here.
People
in
our
community
can
go
through
any
door,
they
can
come
in
through
roper,
they
can
come
in
through
musc.
They
can
come
in
through
dmh
charleston
center
and
many
other
places
and
end
up
finding
a
pathway
to
recovery
that
works
for
that
individual,
because
we
believe
in
multiple
pathways
to
recovery.
A
There's
no
one
right
way,
there's
lots
of
ways
that
we
believe
in
individualizing
what
works
for
that
person,
and
so
we
want
to
you-
know
of
course
help
people
and
and
give
them
all
the
compassion
and
respect
that
we
can.
We
also
have
some
opportunities
I
would
like
to
mention
if
you
would
like
to
get
involved
with
charleston
center,
we
have
a
women's
advisory
board
that
we
would
love
to
hear
from
you
if
you're
interested
in
coming
to
a
meeting.
A
Our
women's
advisory
board
is
specifically
for
our
pregnant
and
parenting
women
who
are
receiving
services
at
charleston
center
and
how
the
community
can
contribute
to
their
their
recovery
and
their
wellness
and
their
sustainability
of
the
recovery
in
the
community.
So
if
you
would
like
to
get
involved
with
that
women's
advisory
board,
I
can
certainly
share
my
email
address
if
you'd
like
in
the
chat
box,
and
then
you
can
contact
me
directly,
and
I
can
give
you
more
information
on
that.
A
And
lastly,
we
have
something
called
the
friends
of
charleston
center.
The
friends
of
charleston
center
is
is
a
board
that
people
in
the
community
can
contribute
to
both
by
serving
on
the
board
or
by
making
donations
to
the
board.
All
of
the
funds
that
go
to
the
friends
of
charleston
center
go
directly
to
the
patients.
A
They
don't
go
to
anyone
else.
They
go
directly
to
our
patients
and
some
of
the
things
we've
been
able
to
do
in
the
past,
for
example,
would
be
we,
the
friends
of
charleston
center,
provided
new
rocking
chairs
for
all
of
our
our
pregnant
moms
and
with
infants.
In
our
women's
program,
which
we
call
new
life
program,
they
also
contribute
to
providing
fun.
A
So
our
patients
can
have
a
a
nice
meal,
a
nice
celebration
for
the
holidays,
which
we
have
coming
up
december
17th
and,
of
course,
it's
certainly
not
too
late
to
contribute
to
that
too.
If
you
would
like
to
get
involved,
so
there
are
opportunities
for
for
more
collaboration
and
partnerships,
so
we
can
have
a
healthier
community,
especially
rolling
into
this
next
new
year
into
2022.
B
D
E
No
surprise
there,
right
with
the
question
rebecca,
thank
you
for
the
great
presentation,
lots
of
good
information
there.
I
was
just
wondering
you
were
encouraging
people
to
participate
in
training.
Who
are
some
people
you
believe,
are
optimal
to
go
through
some
of
the
training
for
narcan
and
have
you
received
any
resistance
to
training
you
know?
Sometimes
people
tend
to
think.
If
I
have
this
training.
If
I
have
this
available,
it
encourages
a
certain
kind
of
behavior.
So
I
was
just
wondering
what
your
experience
has
been.
Thank
you.
A
Thank
you
carolyn
for
your
question.
That's
a
really
great
question.
I
appreciate
questions
so
with
narcan
training.
Obviously
there
is
some
stigma
that
exists
that
if
we
give-
and
I
run
into
this
sometimes
if
we
give
people
life-saving
narcan
that
we
are
actually
encouraging
them
to
continue
to
use
substances
okay,
so
that
is
one
of
the
myths
that
we
really
try
to
dispel
and
reduce
that
stigma
and
understanding
that
sometimes
people
may
overdose
several
times
and
and
be
administered
narcan
several
times
before.
A
So,
yes,
there
is
some
stigma
attached
to
to
narcan
another
concern
that
people
sometimes
have
with
narcan.
Is
that
what
if
I
give
narcan
to
a
person-
and
it
really
wasn't
an
overdose?
Am
I
going
to
be
somehow
liable
for
that
and
what
you
you
need
to
understand
is
there's
sort
of
like
a
good
samaritan
legal
clause
around
narcan
that,
if
you're
giving
narcan
in
good
faith
that
a
person's
having
an
overdose
that
you're
not
going
to
be
liable
for
that
as
well
as
narcan
is
not
going
to
hurt
a
person.
A
A
A
I
have
a
family
member
who's,
elderly
who
is
on
a
lot
of
medication,
and
we
have
to
really
be
careful
about
those
medications
and
they
have
overdosed
before
so.
I
have
it
on
hand.
I
keep
narcan
in
my
purse.
I
keep
narcan
in
my
kitchen,
medicine
cabinet,
so
really
anyone
who
is
involved
or
around
people
in
the
community
is
optimal,
especially
if
you
have
someone
who
you
know
is
using
substances
we
we
want.
You
know,
of
course,
narcan
in
the
hands
of
all
of
our
law
enforcement
officers.
A
A
A
If
you
have
a
cold
or
saline,
and
so
you
get
two
doses
of
that
and
we
will
come
out
and
do
trainings
for
you
and
we
will
also
be
at
training
events-
we
have
those
typically
we've
had
some
in
mount
pleasant
before
and
kaitlyn
kratz.
If
you've
heard
of
caitlyn
she's
wonderful,
she
comes
out
and
does
trainings
in
the
community,
so
we
have
narcan
trainers,
ready
to
come
out
and
and
meet
with
you.
Yes,
sir,
I
see
you're.
D
Here,
thank
you
and
rebecca.
Thank
you
for
that
report
and
we
can.
We
can
feel
your
passion
and
commitment
to
what
you
do.
So
thank
you
for
that.
So
thanks
for
the
partnership,
I
believe
both
our
fire
and
police
departments
or
narcan
distributors.
As
you
say,
I
get
a
little
report
from
at
least
from
the
fire
department
how
many
they
administer
every
week,
which
is
very
low
numbers
like
three
or
four
or
five,
maybe
a
week.
D
So
I'm
curious
over
what
period
of
time
you
we've
administered
4
000.
I
guess
that
would
be
charleston
county
and-
and
I
would
bet
you've
shared
that
map,
I'm
a
very
visual
person
with
our
police
and
fire
department,
but
I
think
it'd
be
interesting.
If
you
could
share
that
overdose
map
with
us,
I
know
and
everybody
on
the
call
probably
knows
this.
You
know
over
dose.
Deaths
are
up
considerably
in
south
carolina
and
nationwide
over
the
last
year.
So
this
this
is
a
direct
way
to
save
lives.
A
A
So
you
know
the
number
of
actual
overdoses
in
the
city
or
in
the
county.
You
know
vary
from
month
to
month
and
we
do
use
the
overdose
map
to
track
those.
So
I
will
work
with
our
director,
dr
chanda
fonsell,
to
make
sure
that
you,
you
know,
have
access
to
that
data.
Okay,
and
we
have
ems,
of
course,
putting
putting
in
the
data
and
hospitals
putting
in
the
data
to
the
od
map
so
that
we
can
track
it
very
carefully.
A
A
D
Yes,
ma'am.
Thank
you
so
the
other
report
I
had
from
our
homelessness
coordinator.
I
think
it
led
to
the
request
for
you
to
join
us
and-
and
this
was
their
need
for
inpatient
services,
and
I
I
know
this
is
related
to
your
comment
about
the
lack
of
stable
and
transitional
housing.
Obviously,
those
who
are
experiencing
homelessness,
you
know
don't
have
that
right
now
and
they
may
get
to
you
through
other
avenues,
but
apparently
of
the
200
and
some
odd
recommendations
that
our
outreach
coordinated
coordinator
had
to
to
refer.
D
Somebody
to
inpatient
y'all
were
always
full
and
I
know
you
only
have
a
limited
number
of
beds
over
there
and
that
might
just
be
the
issue,
but
I
was
just
wondering
if,
if
we
could
almost
reserve
a
bed
or
two
for
for
for
someone
experiencing
homelessness
and
just
see
if
we
can,
you
know,
have
any
success
in
moving
even
a
few
cases
a
year
through,
through
this
outreach
that
we've
got.
Apparently
it
was
frustrating
to
our
folks
that
they
weren't
able
to
help
those
folks.
A
Yeah,
I
I
can
feel
that
mayor
tuckernberg,
I
think
all
of
us
can,
because
we
only
we
do
where
there's
always
going
to
be
a
limited
number
of
vets
in
any
residential
program
in
any
inpatient
program
and
so
oftentimes.
We
have
to
sort
of
triage
those
as
the
referrals
come
to
us
and
if
we
don't
have
beds,
we
do
continue
to
stay
in
contact
with
a
person
and
try
to
provide
some
interim
services
for
them
until
we
can
get
them
into
a
bed,
and
part
of
that,
too,
is
we.
A
We
can
do
a
lot
of
services
for
people
who
don't
necessarily
meet
medical
necessity
for
inpatient
care.
We
have
a
lot
of
outpatient
services,
they
can
start
to
benefit
from
immediately
and
then,
if
they
still
need
a
bad
weekend,
of
course,
don't
have
them
transition
into
residential
care.
If
they
need
to
do
so.
A
A
A
I
believe
north
charleston
pd
is
going
to
have
a
substation
there,
as
well
as
a
bus
loop
with
card,
so
people
can
anyone
who
can
jump
on
the
bus
can
get
to
charleston
center
and
all
of
those
other
services
at
the
social
services
hub.
So
it's
going
to
improve
access
and
we're
going
to
have
more
beds.
B
C
It's
okay,
I'm
actually
massed
up
because
I'm
actually
was
on
the
way
from
francis
to
roper,
and
I
got
all
the
conversation
which
was
amazing,
but
the
car
put
me
in
safe
mode,
so
I
wasn't
allowed
to
jump
in
there.
But
I
just
wanna.
It's
not
really
a
question.
I
just
want
to
sing
praises
for
what
she's
doing
over
the
charleston
center.
I
actually
run
the
narcan
program
here
at
roper,
st
francis
and
I've
had
quite
a
few
classes
that
they
have
that
donna
white.
C
When
she
was
with
you,
she
came
over
and
talked
with
us,
and
recently
I
became
an
actual
instructor
so
for
what
you're
doing
and
through
the
hospital,
through
this
over
six
thousand
teammates,
that
we
have
here
at
robert
saint,
francis
they're,
exp
they're,
helping
with
the
with
the
community
as
well,
and
it
is
spreading.
So
I
encourage
anyone
on
here
that
that
it
doesn't
matter
where
you
are,
what
you're
doing
to
become
a
trainer.
Just
to
show
this
to
someone.
B
All
right
well
now,
we'll
move
on
to
our
fast
track.
Cities
update.
You
know:
we've
got
tri-county
shape
members,
of
course,
dr
katie
richardson,
shannon
hastie,
dr
eric
meisner
and
aaron
o'brien,
not
sure
who
wants
to
lead
off.
I
think
someone
said
aaron
may
lead
off
earlier,
but
if
you
would
take
it
away.
F
Well,
thank
you
all
for
having
us
here
to
give
a
fast
track.
Cities
update,
especially
thanks
to
to
paul
and
mary
teclenberg.
We
really
appreciate
your
ongoing
support,
so
I'm
aaron
o'brien,
I'm
the
quality
and
development
manager
with
the
ryan
white
wellness
center
here
at
roper
apprentice,
healthcare,
we're
an
outpatient,
hiv
clinic
and
rebecca.
We
have
all
been
trained
on
narcan,
so
I
know
you'll
be
happy
to
hear
that,
so
I'm
also
a
member
of
shape,
which
has
really
helped
lead
the
fast-track
cities
activities
here
in
charleston.
F
So
I'm
really
excited
to
to
share
some
stuff
with
you
guys.
So
what
is
fast
track?
Cities?
It's
it's
really
a
collaborative
effort
on
a
municipal
level,
so
so
we're
one
of
over
300
cities
across
the
globe
that
are
pooling
resources,
data
and
expertise
to
help
tackle
hiv
here
in
the
city
of
charleston
and
our
tri-county
area,
and
you
can
see
it's
very
collaborative
effort
with
all
these
folks
here
and
we
need
to
add
trident
united
way
to
this.
F
F
So
where
are
we
in
charleston?
So
since
we
became
a
fast
track,
cities
we've
been
able
to
submit
two
sets
of
data
to
the
collaborative.
So
I'm
sharing
these
here
we've
got
our
2019
data
and
our
recently
updated
data
from
calendar
year,
2020..
So
I'll
walk
you
through
these
84.
That's
the
estimate
of
how
many
people
living
with
hiv
in
our
region
have
been
diagnosed
to
receive
that
diagnosis.
F
Now
this
is
estimated
by
the
cdc
for
the
entire
state
of
south
carolina.
This
is
based
on
2018
data
and
the
cdc,
as
you
know,
over
the
past
couple
years
has
been
pretty
busy,
so
they
have
not
updated
that
estimate.
So
that's
that's.
The
best
estimate
we
have
right
now
is
84,
and
what
that
means
is
that
16
of
people
living
with
hiv
don't
know
they
have
it.
F
So
our
goal
is
to
increase
that
the
second
number
here
for
2019
was
68.
So
68
of
those
folks
who
were
diagnosed
were
in
care
and
receiving
medications,
and
85
percent
of
those
folks
were
virally
suppressed,
which
is
wonderful,
so
you
can
see
for
2020
that
84
has
remained
the
same.
We
did
lose
a
percentage
point
in
our
in
our
number
of
people
who
are
in
care
and
on
medications,
and
that
perhaps
could
be
expected
in
the
the
height
of
covid,
which
was
2020.
F
F
So
this
is
a
snapshot
from
our
fast
track
cities
dashboard
on
the
fast
track,
cities
websites-
you
can
you
can
go
to
this
website.
You
can
see
not
just
our
city,
but
any
city
around
the
world
that
is
participating
and
they've
included.
Some
wonderful
hiv
resources
on
this
map
here
and
as
of
this
year,
they've
added
some
covert
information
and
local
covered
resources
to
this
too.
So
it
really
is
a
great
resource.
F
F
So
this
is
this
is
the
same
information
really,
but
what
I
wanted
to
show
you
was
this
final
set
of
columns
here.
So
over
the
past
three
years
we
have
had
a
nice
upward
trend
in
our
rate
of
people
who
are
virally
suppressed,
which
is
that
the
goal
of
hiv
treatment
so
we're
very
happy
to
share
that,
despite
a
small
drop
here
in
people
who
are
accessing
services
and
care.
But
there
is
a
silver
lining
here
too.
So
this
is
our
out
of
care.
F
You
can
see
for
our
tri-county
region
here.
This
is
october's
map
and
we
actually
had
about
a
30
reduction
in
out
of
care
people
just
since
april
of
2021..
Now
some
of
this
may
be
attributable
to
people
moving
out
of
state.
Dr
meisner
is
going
to
share
some
more
information
on
this,
but
we
know
a
lot
of
these
people.
Post
covid
have
returned
to
medical
care
which
is
really
encouraging.
F
So
in
april
we
had
a
little
over
a
thousand
people
who
were
out
of
care
in
our
region
and
now
it's
down
to
around
700..
So
we
we're
making
progress
on
that
and
now
I'm
going
to
hand
it
over
to
katie
richardson
who's
going
to
share
some
of
the
other
efforts
that
we're
undertaking
to
encourage
people
to
return
to
care
and
and
further
improve
this
number
so
I'll
advance
the
slides
for
you
katie.
If
you
want
to
go
ahead.
G
G
These
are
new
billboards
along
I-26
and
526
here,
and
they
will
be
running
for
three
months
and
this
is
using
a
media
campaign
that
was
developed
through
some
money
from
dhec
and
the
tri-county
shape
initiative
last
year,
and
and
basically
it's
around-
you
can
see
that
the
tag
lines,
but
it's
around
trying
to
decrease
stigma
of
hiv
and
educating
the
public
about?
U,
equals?
U
so
undetectable
equals
untransmittable
for
those
who
are
virally
suppressed.
G
So
we
hope
that
many
of
you
on
this
call
will
will
use
these
images
and
we
can
send
them
to
you
in
another
form,
on
your
social
media
and
and
help
to
sort
of
explain
who
equals
you
and
and
also
we
hope,
to
to
sort
of
increase
the
visibility
of
our
shaped
tri-county
initiative
as
well.
So
look
for
them.
I
saw
my
first
one
earlier
this
week.
G
So
that's
one
initiative
we
have
going
right
now
and
and
then
we
also
want
to
just
talk
a
little
bit
about
how
we
align
in
the
tri-county
with
the
south
carolina
ending
the
epidemic.
So
this
is
a
plan
funded
with
money
from
the
federal
government,
because
south
carolina
is
one
of
seven
states
recognized
for
its
substantial
hiv
burden,
particularly
in
rural
areas,
though
that
does
not
exclude
urban
areas
and
and
through
a
process
involving
many
partners
in
our
communities.
G
This
plan
came
out
with
a
vision
of
a
south
carolina
free
of
new
cases
of
hiv,
stds
viral
hepatitis
and
substance
use
disorders.
So
hiv
is
really
the
first
of
these
to
be
addressed.
We
very
recently
have
a
new
ending
the
epidemics
plan
for
hepatitis
c
as
well,
and
can
certainly
come
back
and
talk
about
that
at
another
time,
but
we
we're
continuing
to
try
to
get
the
word
out
about
this
plan
and
and
aaron.
G
Maybe
if
you
could
put
the
the
website
in
the
chat
for
the
plan,
I
would
be
great
for
for
folks
to
be
able
to
reference
it
in
detail,
but
but
generally
similar
to
the
90
90
90
goals
of
the
fast
track
city.
The
goal
of
ending
the
hiv
epidemic
in
the
united
states
is
a
75
reduction
in
new
hiv
infections
in
five
years,
and
at
least
90
percent
reduction
in
in
10
years,
and
it's
really
based
on
these
four
pillars.
Diagnose,
treat,
prevent
and
respond.
G
The
diagnose
pillar
goes
with
that.
First,
90
that
we
have
84
in
south
carolina
and
we
really
hope
by
the
end
of
2024
to
have
at
least
90
percent
of
south
carolinians
living
with
hiv,
be
aware
of
their
hiv
status
and
several
initiatives
around
trying
to
improve.
This
number
include
home
testing
opportunities
for
testing
for
hiv.
G
G
We
hope
to
use
mobile
units
to
aid
in
improving
testing
availability
across
the
county
and
palmetto
community
care
is
one
of
the
funded
programs
with
one
of
these
mobile
units
and
lastly,
musc
has
been
a
leader
in
opt
out
or
basically
routine,
hiv
and
hepatitis
c
testing
in
our
emergency
departments.
We're
hoping
to
expand
that
initiative
across
the
state,
so
that's
diagnosed,
treat
is
for
people
to
rapidly
and
those
with
hiv
to
rapidly
and
effectively
reach
sustained
viral
impression.
Viral
suppression.
G
The
prevent
pillar
really
looks
at
preventing
that
75
reduction
in
new
infections
and
initiatives
currently
in
south
carolina
and
in
this
region
really
mostly
are
around
increasing
access
to
prep
and
I'll
talk
a
little
bit
about
that
in
a
minute.
But
that's
pre-exposure
prophylaxis,
an
antiretroviral
medication
taken
daily
for
those
who
are
at
risk
for
hiv,
but
not
yet
infected
to
prevent
the
transmission.
G
We're
also
working
to
expand
our
disease,
intervention,
team
or
dis
that
works
with
partners
of
those
who
are
infected
with
a
sexually
transmitted
infection
or
with
hiv
to
ensure
that
they're
getting
tested
and
that
they
have
the
information
needed
to
protect
themselves
and
their
health
and
finally,
respond
really
centers
around
some
new
work
on
looking
at
clusters.
Hiv
clusters
in
the
community
doing
some
molecular
testing
to
to
try
to
figure
out
sort
of
how
the
some
of
these
hiv
infections
might
be
related
and
how
we
can
stop
them.
G
This
sort
of
high
risk
transmission
data
sharing
agreements
are
also
a
big
part
of
this
respond
dhak
because
of
privacy
issues
is
not
able
to
to
share
a
lot
of
information
with
our
partners,
so
the
partners
may
share
it
with
dhec,
but
we're
still
working
around
saying.
You
know
we
cannot
work
in
silos,
dx
not
going
to
solve
this
on
our
own,
and
so
we
have
to
be
able
to
share
information
while
also
protecting
privacy
and
and
that's
more
of
what
that
pillar
is
all
about.
G
So
these
are
some
of
the
people
in
our
division
of
std,
hiv
and
viral
hepatitis
in
colombia,
sort
of
over
each
of
those
pillars.
I'd
be
happy
to
connect
here.
You
could
reach
out
directly
for
anyone
that
you
might
be
interested
in
in
speaking
with
about
any
of
these
initiatives
or
others
in
the
plan.
G
Next
slide,
so
one
program
that
we
have
piloted
here
in
in
the
low
country
is
teleprompt,
so
that's
providing
pre-exposure
prophylaxis.
We
can
go
to
the
next
slide
aaron
through
through
telehealth,
so
through
video
and
phone
visits,
musc's
department
of
family
medicine
are
the
providers
in
this
grant
and
in
dx
low
country,
public
health
region.
G
Our
health
departments
are
referring
clients
so
currently
dhec
does
not
directly
provide
prep
or
hiv
care,
but
we
do
link
those
who
may
be
at
risk
and
and
interested
in
the
in
the
program.
So
basically,
this
is
just
helping
to
increase
access
for
those
who
might
have
trouble
getting
in
providers
in
the
area
it
offers
yet
another
opportunity
for
for
being
able
to
connect.
G
So,
basically,
the
clients
would
come
into
dhec
for
their
labs,
and
that
would
be
looking
for
stis,
as
well
as
any
possible
side
effects
from
the
prep
medication
and
then
see
their
providers
at
musc
through
telehealth.
This
is
funded
by
an
musc
telehealth
center
of
excellence
brand
through
the
federal
government.
You
can
go
to
the
next
slide,
aaron
and
basically
it's
first.
A
pilot
study
was
done
with,
what's
now
called
palmetto
community
care
was
low
country
aid
services.
G
At
the
time
it
was
found
to
be
both
effective
and
and
very
much
desired
by
those
who
participated
in
the
study,
and
so
it's
now
been
been
expanded.
So
it
provides
six
months
of
a
prep
treatment
for
those
who
participate
in
the
program
and
and
then
we
as
well
as
come
out
of
community
care,
worked
with
those
clients
to
ensure
that
if
they
did
want
to
stay
on
prep
that
that
was
an
option
next
slide.
G
So
this
is
the
data.
So
far
from
the
dhak
musc
teleprep
program,
65
referrals
have
been
made
from
dhec
to
this
program.
They
are
from
the
counties
that
are
highlighted
there
on
the
map.
They
include
our
clinics
at
northwoods
and
mount
pleasant
as
well
as
boost
creek,
which
is
just
over
the
border
in
in
berkeley
county
65
referrals,
37
participants
have
enrolled
and
19
to
date,
have
received
a
prep
prescription
and
and
we're
we're
excited
about
the
data
there
on
the
table
in
the
right.
G
H
All
right
well
good
morning,
I'm
eric
meisner,
a
infectious
disease
physician
and
hiv
provider
at
musc,
and
also
a
member
of
shape.
Thanks
for
having
me
as
aaron
mentioned
earlier,
you
know
there's
a
lot
of
people
in
every
county
around
the
state
that
have
known
hiv
infection
but
are
not
currently
receiving
care.
H
G
G
Thank
you
for
the
the
photo
there
and
and
to
remember
those
both
still
living
with
hiv
and
aids
and
those
who
have
passed
away.
So
we
india,
the
four
of
us,
are
happy
to
take
questions.
I
know
we're
running
out
of
time,
but
but
thank
you
for
having
us.
Thank
you
for
your
support,
mayor,
teklenberg
and,
and
we
will
continue
to
come
back
and
hope
to
continue
to
make
progress
on
those
90-90-90
metrics.
D
I'm
just
going
to
say
thanks
and
keep
up
the
good
work
and
idea,
and
those
folks
who
aren't
in
care.
It
just
seems
like
a
great
task
eric
to
get
that
second
number
up
from
67
percent
to
closer
to
90.,
and
that's
terrific
you've
gotten
the
third
number
up
to
88.
So
I
feel
like
we're.
Making
progress
and
y'all
are
doing
terrific
and
and
glad
to
be
of
support
in
any
way.
I
can
thank
you.
B
All
right
very
good,
any
other
questions
before
we
move
on.
I
do
want
to
let
you
know
that
paul
and
dr
richardson
put
some
links
on
the
chat,
so
if
you're
interested
they're
they're
there
for
you
so
and
but
but
thank
you
again,
aaron
dr
meisner
shauna
and
dr
richardson.
Thank
you
for
all
your
work
and
everything
I'm
going
to
call
back
on
dr
richardson
again
for
our
for
our
community
health
update.
G
So
I
always
have
more
to
say
on
this
that
I
have
time
to
say
it,
but
I'll
just
make
a
few
statements
about
covid
and
and
flew
and
and
hopefully
leave
a
couple
minutes
in
the
end.
But,
as
many
of
you
may
already
know,
our
cases
are
beginning
to
rise
across
the
state
as
well
as
in
the
low
country.
That's
also
true
of
hospitalizations
and
and
a
few
admissions.
G
G
Cdc
and
dhec
are
now
recommending
boosters
for
everyone
18
and
over
and
that's
two
months
after
the
johnson
johnson
vaccine
or
six
months
after
the
an
mrna
vaccine
we,
the
cdc
now
has
so
vaccination
is
one
key
part.
Another
is
testing,
and
I
did
want
to
point
out
that
the
cdc
has
now
some
resources
for
at
home
testing
on
their
website
how
to
use
a
self-test.
How
to
interpret
the
results.
G
Dia
continues
to
encourage
folks
to
also
get
a
test
at
a
provider,
whether
that's
a
pcr
or
an
antigen
test
at
home.
Tests
are
not
reported
to
us,
but
providers
are
able
to.
You
know,
guide
guide
their
their
patience
and
sort
of
what
to
do
for
a
positive
test,
and
obviously
anyone
is
welcome
to
reach
out
to
us
if
they
have
a
at
home
test
as
well.
We've
seen
lots
about
the
omicron
variant
in
the
news.
G
It
is
still
quite
new
and,
as
far
as
I
know,
we
have
not
diagnosed
a
case
in
south
carolina.
Yet,
although
georgia
has
and-
and
we
know
it's
just
a
matter
of
time-
we're
beginning
to
see
some
very
preliminary
evidence
that
is
suggesting
that
this
omicron
variant
is
likely
to
out
compete
delta,
so
is
likely
to
lead
to
a
a
winter
surge.
What
we
don't
yet
know
is,
is
it
more
infectious?
Is
it
more
transmittable?
G
Will
it
evade
our
immune
systems
for
those
who
have
had
a
previous
infection
for
those
who
are
vaccinated?
Nbc
did
report
today
that
pfizer
in
a
very
small
preliminary
study
does
believe
that
those
who
are
boosted
against
pfizer
will
mount
an
effective
response
to
this
to
this
variant.
But
what
we
know
is
that
50
mutations
in
the
variant
is
scary
and
is
getting
us
closer
to
a
time
when
our
vaccines
may
not
work
as
well,
so
very
much
a
large
push
and
we'll
take
any
help.
G
So,
unfortunately,
everything
else
doesn't
take
a
break
when
covet
enters
the
scene.
We
are
beginning
to
see
outbreaks,
not
yet
in
low
country,
but
across
the
state,
in
schools
and
daycares,
there's
a
very
large
outbreak
at
the
university
of
michigan.
So
we're
certainly
concerned
about
college
campuses
as
well.
G
Dhec
has
given
over
a
thousand
doses
of
flu
vaccine
in
our
in
in
charleston
county,
and
we
will
continue
to
do
that
and
encourage
everyone
to
get
a
flu
vaccine
that
can
be
given
on
the
same
day
that
you
get
a
cova
vaccine
and-
and
we
just
you
know,
we
believe
that
we
will
have
a
flu
season
this
year,
as
opposed
to
last
year
when
it
was
really
very
low.
We're
already
seeing
some
hospitalizations
we've
already
had
several
deaths,
and
so
please
take
flu
seriously
along
with
covid.
B
Any
questions
for
dr
richardson
well,
thank
you
very
much.
I
appreciate
that
and
we
will
and
thank
you
for
all
your
work.
We
will
move
on
to
our
community
update
instead
of
kind
of
going
around
the
horn.
I
just
have
you
raise
your
hand
if
you
have
something
to
since
we're
running
a
little
late
here,
if
you'll
just
raise
your
hand,
if
you
have
something
to
add
to
our
community
update.
H
I
just
wanted
to
let
everybody
know.
I
know
paul
sent
out
the
invite,
but
we're
having
our
charleston
healthy
business
challenge
holiday,
happy
hour,
networking
event
today
from
five
to
seven
at
new
realm
brewery
on
daniel
island,
and
we
would
love
for
you
all
to
come
and
celebrate
the
season
with
us.
C
Anyone
else
kevin,
I
might
just
remind
everybody-
blood-
drives-
are
essential
in
our
community
there's
low
shortages
everywhere
of
the
need,
and
so,
if
you
get
a
chance,
whether
it's
blood
connection
american
red
cross,
any
of
our
local
groups,
please
just
keep
pushing
that
message
that
we
we
need
to
help
out
our
local
community
hospitals
right
now
with
blood
drives.
Wherever
we
can.
I
Yeah,
I
was
just
going
to
quickly
add:
there's
been
a
a
renewed
focus
on
school
gun
violence
and
a
lot
of
conversation
about
the
importance
of
secure
firearm
storage
in
the
home.
Three
out
of
four
school
shooters
get
their
gun
from
their
home
or
the
home
of
a
friend
or
relative.
So
we
can
all
do
something
right
now,
which
is
securely
store.
The
guns
in
our
own
homes
talk
to
people
in
our
lives
about
secure
firearm
storage,
which
is
keeping
guns
locked,
unloaded,
separate
from
ammunition.