►
Description
City of Charleston Health and Wellness Advisory Committee 9/1/2021
A
African
american
descent-
and
so
one
thing
that
I
wanted
to
mention,
is
that
today,
four
percent
of
our
donors
are
black
donors.
It's
very
important
because,
as
you
just
mentioned,
you
talked
a
lot
about
antigens
in
your
opening.
Antigens
of
those
african
american
donors
and
hispanic
donors
are
very
important
to
help
those
with
sickle
cell
so
again,
sickle
cell.
The
transfusion
is
something
that
is
essential
to
patients
with
sickle
cell.
I
just
want
to
mention
is
that
this
is
not
just
a
professional
mission,
but
also
a
personal
mission
as
well.
A
I
have
a
family
member
that
has
sickle
cell
when
you
have
a
family
member,
it's
like
the
entire
family.
Has
sickle
cell
we've
been
in
the
hospital
on
many
occasions,
waiting
for
a
unit
of
blood,
and
so
what
I
would
like
to
say.
It's
very
important
to
know
your
status,
knowing
your
status,
my
family
member,
when
she
did
not
realize
that
she
had
the
sickle
cell
trait
and,
of
course,
her
husband
did
not
know
he
had
the
sickle
cell
trait,
so
something
that
we're
doing
right
now,
with
american
red
cross
through
june
of
next
year.
A
A
B
Thank
you
very
much
yeah.
Thank
you,
mr
mayor.
I
hate
to
ask
you
to
do
this,
but
when
you
were
reading
the
proclamation
earlier,
our
youtube
was
not
on
or,
and
it
wasn't
recording.
I
don't
believe
so
wanted
to
see.
If
you
would
mind
reading
it
again,
I
can
share
it
on
my
screen.
If
you
need
me
to
do
that
too,
but.
C
Well,
do
you
want
me
to
just
do
it
after
at
the
end
of
the
meeting,
so
we're
we're
not
taking
up
the
time
of
the
meeting
again
but
whatever
whatever
you
like,.
B
No,
we
can
do
it
at
the
end.
All
right
it'll
be
fine.
Okay!
Well,
thank
you
appreciate
that.
Okay,
and
now,
if
I
see
dr
katie
richardson
there,
she
is
okay
great.
If
we
can
ask
for
you
to
give
your
report
at
this
time,
we
would
appreciate
it.
Thank
you.
D
Thank
you
again
for
having
me
this
morning.
I
know
we
all
wish
that
that
covered
were
not
the
majority
of
our
agenda
yet
again
today,
but
I
will
present
some
information.
I'll.
Have
dr
andrews
give
some
information
specifically
about
our
pediatric
population
and
hospitalizations,
and
then
open
it
up
for
quite
I'd
like
maggie
to
to
chime
in
as
well.
There's
certainly
been
a
lot
going
on
with
the
school
districts
around
proven,
so
I
just
want
to
start
with
a
little
data.
D
South
carolina
is
now
ranked
sixth
in
the
nation
for
our
case
rates,
and
some
of
those
states
around
us
are
decreasing,
including
louisiana,
mississippi
in
arkansas,
but
that
is
not
yet
the
case
for
south
carolina,
so
our
death
rates
and
our
case
rates
are
significantly
higher
than
the
national
rates,
and
that's
true
for
many
of
our
partners.
Southern
states
as
well
cdc
gives
us
a
forecast
every
week
for
from
looking
at
modeling
for
what
the
cases
will
be
doing
for
the
coming
weeks.
D
That
comes
out
every
monday,
and
this
monday
the
cdc
stated
that
they
believe
that
our
cases
will
continue
to
increase
for
the
next
three
weeks
and
at
that
point,
may
level
out
or
even
begin
to
decrease,
but
that
our
deaths
will
continue
to
increase
for
that
entire
four
week
period
and
that's
as
far
out
as
they
go.
D
D
We
have
over
4.5
million
doses
of
the
coca-19
vaccine,
given
in
south
carolina
that
represents
56.6
of
south
carolina's
eligible
residents
that
have
received
one
dose
and
47.6
percent
that
are
fully
vaccinated
and
that's
of
the
eligible
pocket.
D
Our
positivity
rate
is
still
very
high
at
15.8
percent
of
all
tests
on
coming
back
positive
when
we
looked
at
age,
age,
ranges
or
age
groups
with
these
numbers
sort
of
over
the
summer.
So
we
looked
at
sort
of
an
11
week,
period
from
mid-june
to
mid-august
or
early
june
to
later
august,
and
what
we
saw
is
the
case
rates
are
currently
highest
in
the
11
to
20-year
age
range
and
that
is
followed
by
the
10
and
under
age
range.
D
Hence
all
the
effects
that
we're
seeing
on
our
school
schools
and
school-aged
children.
When
we
look
at
hospitalization
rates,
case
rates
have
increased
most
in
the
under
10
age
range
during
that
time
and
that
sorry,
that's
case
rates.
Hospitalization
rates
have
increased
most
in
the
age
31
to
40
year.
Age
range,
followed
by
the
21
to
30
year
age
range,
so
our
hospitalizations
are
definitely
we're
seeing
more
younger
people,
young
adults
in
this
case
involved,
and
then
death
rates
have
increased
most
in
the
51
to
60
year
age
range.
D
So
again,
those
deaths
are
are
moving
down
getting
younger,
partially.
That's
due
to
vaccination
rates
in
our
older
citizens,
but
also
that
is
due
to
the
the
delta
variant
and
its
increased
severity.
So
charleston
had
191
confirmed
cases
yesterday
and
95
probable
on
cases.
Charleston
county
has
not
been
rising
as
steeply
over
the
last
week,
the
cases
as
in
previous
weeks,
but
we
don't
it's
too
soon
to
know
if
that
is
a
trend,
but
we
certainly
hope
that
is
the
case.
D
So
what
we
know
about
delta
variant
is,
it
is
more
transmissible
sick
person
can
transmit
to
up
to
well
to
many
people,
but
an
average
of
around
six
to
nine
people,
which
is
much
higher
than
the
wild
type
or
alpha
variant,
and
we
also
know
from
recent
studies
that
it
is
more
severe
than
other
variants.
It
causes
a
higher
risk
of
hospitalizations
as
well
as
deaths.
D
And
again
we
see
not
only
are
people
younger
being
hospitalized,
they're
sicker,
there's
a
higher
need
for
for
oxygen,
and
finally,
we
know
that
risk,
hospitalizations
and
deaths
for
those
who
are
unvaccinated
is
much
higher
29
times
higher
than
those
who
are
vaccinated.
That's
a
recent
study
out
of
los
angeles
county,
so
our
hospitalization
rates
continue
to
increase.
We
have
over
22
100
people
now
impatient
across
the
state.
D
That's
almost
25
of
our
entire
hospital
population
are
diagnosed
with
covid
at
this
time,
and
we
know,
and
meredith
and
and
annie
can
speak
to
this,
but
when
we
over
burden
our
health
care
systems,
it
affects
all
of
us,
because
if
we
need
care
for
ourselves
or
our
families,
hospitals
that
are
full
of
covey
patients
are
not
able
to
take
care
of
the
very
sick
in
our
communities.
D
We
are
seeing.
The
death
rates
are
somewhat
lower
than
they
were
in
january
of
this
year,
but
death
rates
can
lag
up
to
four
weeks
from
case
rates,
and
so
unfortunately,
we
are
expecting
increases
in
that,
but
hope
that,
with
the
increased
vaccination
rates
in
our
older
populations,
we
may
be
spared
having
sort
of
all-time
highs
in
in
deaths.
Although
that
remains
to
be
seen,
vaccinations
are
slightly
up.
That
is
certainly
a
silver
lining,
but
they
are
not
increasing
as
much
as
we
need
them
to.
D
D
So
we
are
already
seeing
and
think
we
will
continue
to
see
more
in
the
way
of
vaccine
incentives
and
vaccine
mandates
from
our
local
businesses
and-
and
I
think
that
will
be
a
welcome
development-
and
I
know
the
city
of
charleston
is
providing
incentives
to
their
city,
employees
and,
additionally,
thinking
of
of
policy
changes
around
sick
leave
that
may
further
incentivize
those
employees.
D
So
thank
you
for
being
a
leader
in
that
dhec
recently
put
out
some
some
data
looking
at
those
cases
hospitalizations
and
deaths
between
the
vaccinated
and
unvaccinated.
So
this
data
looks
at
the
last
month,
mid
july
to
to
mid
august.
D
85.5
of
our
cases
were
in
those
not
considered
fully
vaccinated.
71.6
percent
of
those
hospitalized
with
covid
were
not
vaccinated
and
78.4
percent
of
those
who
had
died
from
coving
or
not
were
not
fully
vaccinated.
And,
moreover,
when
we
look
at
that
group
who
was
vaccinated
among
those
cases
that
were
hospitalized
with
covet
and
fully
vaccinated,
we
were
able
to
determine
the
93
of
those
had
pre-existing
or
co-morbid
conditions
and
among
the
deaths.
94.7
had
pre-existing
or
comorbid
conditions.
D
That
leads
me
into
vaccinations
and
the
good
news
that
on
august,
the
23rd,
the
fda
did
provide
full
approval
for
the
pfizer
vaccine
for
all
ages,
16
and
older.
We
do
not
yet
have
defended
news
about
the
vaccine
for
those
in
the
age
5
to
11
age
group.
There
is
some
talk
that
perhaps
eua
applications
will
go
to
the
fda
in
october
for
their
review
for
that
age
group,
and
that
would
put
us
on
track
to
hopefully
have
vaccine
for
that
age
group
by
the
end
of
the
year.
D
But
that
is
all
still
remains
to
be
seen.
D
There
has
been
some
talk
about
vaccine
effectiveness
as
we
see
more
breakthrough
cases
and
dr
renert,
who
is
a
professor
at
clemson
university,
presented
at
the
covid
grand
rounds
yesterday.
He
did
a
wonderful
job
really
showing
that
you
know.
32
studies
were
assessed
by
the
cdc,
showing
basically
a
vaccine
effectiveness
with
mrna
vaccines
of
90
overall
83
for
even
asymptomatic
infections
95
for
preventing
hospitalizations,
but
some
of
those
were
done
prior
to
the
delta
variant.
So
there
is
some
evidence
suggesting
that
vaccines
are
less
effective
against
delta.
D
But
it's
important
to
remember
that
less
effective
does
not
imply
ineffective.
The
cdc
continues
to
say
and
so
does
see,
heck,
that
the
back
all
vaccines
that
are
authorized
are
effective
against
severe
disease
hospitalizations
and
deaths,
including
the
delta
variant.
A
recent
new
england
journal
of
medicine
study
showed
88
protection
against
symptomatic
disease
in
england,
and
some
of
us
may
have
heard
of
an
israeli
study
that
just
came
out
earlier
this
week
and
his
his
take
on
this.
D
As
of
our
esthetician,
is
that
the
failure
to
account
for
vaccination
rates,
given
the
percent
that
are
vaccinated
in
israel,
as
well
as
the
age,
leads
to
incorrect
conclusions
on
vaccine
effectiveness?
D
So
knowing
that
those
who
are
vaccinated
are
more
likely
to
be
an
older
population
compared
to
those
unvaccinated
and
and
knowing
that
you
know
with
increasing
numbers
of,
or
percentages
of
our
population
being
vaccinated,
we
are
going
to
see
more
breakthrough
cases.
So
that's,
I
think,
worthwhile
to
to
check
out
if
you
haven't,
but
basically
he
says
that,
and
I
believe
that
this
study
says
that,
regardless
of
previous
infection
or
vaccination,
sorry,
regardless
of
whether
previous
infection
or
vaccination,
provide
better
protection.
D
The
study
concludes
that
people
who
had
a
prior
infection
still
benefit
from
vaccination
to
boost
their
immune
response.
So
this
is
an
observational
study.
It's
yet
to
be
peer
reviewed.
It
does
not
is
not
consistent
with
the
prior
literature.
So
certainly
our
research
needs
to
be
ongoing.
D
D
But,
but
certainly
we
do
not
recommend,
and
I
think
this
is
a
huge
point
that
we're
trying
to
get
across
anyone
to
deliberately
get
infected
with
with
code
19
as
opposed
to
to
getting
a
vaccine.
That's
extremely
dangerous
and
just
doesn't
make
sense.
So
what
else
did
I
want
to
say?
Oh,
I
did
want
to
speak
to
the
third
doses
and
the
booster
doses.
D
There's
been
some
a
lot
of
talk
about
that,
so
a
third
dose
is
currently
recommended
of
one
of
the
mrna
vaccines
for
those
individuals
who
are
immunocompromised
and
they're
very
specific
definitions
for
who
meets
that
criteria.
As
long
as
they
self
attest
onto
meeting
one
of
those
criteria,
we
do
currently
recommend
that
they
receive
a
third
dose
of
an
mrna
vaccine.
D
However,
providers
who
administer
a
third
dose
to
someone
who
does
not
self-attest
to
these
these
various
criteria
may
be
running
the
risk
of
losing
liability
protection
under
the
prep
act.
So
we
are
encouraging
providers
and
the
public
to
wait
for
that.
Booster
dose
wait
for
more
information
from
the
fda
and
the
cdc
prior
to
seeking
that
third
dose
or
that
booster
dose
of
a
vaccine.
D
Unless
you
meet
the
immunocompromised
criteria,
jansen
or
the
johnson
johnson
vaccine,
there
are
no
recommendations
around
the
third
dose
or
the
booster
dose
currently
for
that,
but
that
should
be
coming
in
the
in
the
next
few
weeks.
I
wanted
to
briefly
just
touch
on
testing
and
clemson
again
doctor.
Well,
there
were
several
presenters
from
clemson
but
they're,
doing
weekly
testing
of
all
students
and
and
staff,
and
have
great
data
showing
how
much
that
has
decreased
their
infection
rates.
D
He
recommended
targeted
testing
if,
if
weekly
testing
was
not
an
option,
basically,
when
when
two
students
were
found
to
be
positive
in
a
in
a
residence
hall,
then
they
would
test
everyone
in
that
residence
hall.
So
that's
obviously
a
massive
undertaking
to
to
test
everyone
on
a
college
campus
or
or
in
an
organization,
but
that
targeted
testing
may
make
a
difference
or
likely
would
make
a
difference,
even
if,
if
the
full
weekly
testing
were
not
available
and
lastly,
I
just
want
to
mention
the
ivermectin.
D
This
is
a
medication
that
is
being
studied,
but
currently
there
is
no
evidence
to
show
that
it
prevents
our
treats
covid19.
D
There
have
been
several
with
side
effects,
including
severe
side
effects,
especially
when
taking
the
increased
doses
given
to
farm
animals,
and
we
definitely
recommend
against
on
turning
to
ivermectin
monoclonal
antibody
therapy
has
been
studied
and
has
been
found
to
be
effective
and
is
increasingly
available
in
our
communities
for
those
who
meet
criteria
either
for
having
copio
19
or
even
for
being
a
close
contact.
D
If
it
is
someone
that
is,
is
at
increased
risk.
So
thank
you
for
continuing
to
do
what
you
can
to
have
your
family
friends,
colleagues
vaccinated,
and
I
would
like
to
turn
it
over
to
dr
andrews,
if
that's
okay
at
this
point
in
time,
to
to
look
a
little
further
at
our
pediatric
data.
E
Thank
you,
katie
yeah,
I'm
just
going
to
add
a
few
points
to
that.
So,
first,
the
national
organization,
the
american
academy
of
pediatrics,
has
released
some
numbers.
We
know
that
in
the
week
ending
in
august
26
204
000
children
were
diagnosed
with
coping
just
in
that
week
and
that's
over
five
times
the
number
of
cases
we
saw
several
weeks
before
so
the
week
ending
july
22nd,
there
were
only
38
000
cases
of
pediatric
covet
and
then
fast
forward
to
august
26,
204
000
cases.
E
E
You
can
see,
there's
eight
children
in
critical
care
beds
across
the
state
and
four
of
those
are
on
ventilators.
So
this
is,
unlike
anything,
we
saw
at
any
other
point
during
the
pandemic
and
just
anecdotally.
I
was
on
service
at
musc
last
week
and
up
to
half
of
the
patients
I
was
caring
for
were
coveted
positive
and
at
the
beginning
of
this
pandemic
I
did
not
care
for
covet
positive
patients,
because
there
were
so
few
they
all
were
located
in
the
icu,
and
so
we
really
are
seeing
a
huge
uptick
in
cases.
E
Lastly,
I
will
say
that,
along
with
the
children's
hospital
collaborative
the
south
carolina
chapter
of
the
aap
is
doing
some
unprecedented
things.
As
well,
because
that
is
our
level
of
concern,
so
we
held
a
press
conference
a
couple
weeks
ago
with
molly
spearman
and
linda
bell
to
talk
about
the
fact
that
our
goal
is
to
get
children
back
in
the
classroom.
E
B
A
D
That
is
a
good
question.
I
I
don't
I
mean
we
were.
We
were
reporting
that
at
the
beginning,
sort
of
when,
when
vaccines
were
only
available
for
that
group,
there
is
data
around
nursing,
home
staff.
D
I
know
that
that
is
the
case
and
we're
we're
seeing
increasing
outbreaks
again,
unfortunately
in
our
long-term
care,
but
I
don't
know
if
there
is
data
anymore
around
your
workers
in
general.
I
do
know
that
musc
now
requires
the
vaccine
and
roper
just
as
of
last
week,
right
after
pfizer
was
fully
approved,
is
also
requiring
the
vaccine,
as
is
the
va
in
the
charleston
area,
but
I
yeah.
Let
me
see
what
I
can
find.
I
will
get
back
to
you
about
that.
F
Thank
you
a
couple
of
questions
along
that
healthcare
katie.
We
talked
about
the
the
booster
shot
and-
and
I
guess
you
know
the
city-
we
get
a
lot
of
questions
from
our
staff,
especially
our
public
safety
group.
There
they
had
their
shots
in
january,
so
they're
about
at
that
eight
month
process,
and-
and
so
I
guess,
what
is
that?
What
what
is
the
messaging?
What
is
a
clear,
definitive,
any
kind
of
expectations
recommendations?
The
city
should
be
looking
at
as
we
we
get
to
this
eight
month.
The
nine-month
process.
D
D
The
federal
government
did
set
a
tentative
date
for
september
20th
to
begin
boosters
for
those
who
have
had
their
second
vaccine
eight
months
or
more
ago,
and
that
is
one
of
the
two
mrna
vaccines,
but
that
is
still
being
studied
for
a
defendant
recommendation
by
the
fda
and
the
cdc
the
fda
met
earlier
this
week
and-
and
we
do
expect-
because
obviously
there's
planning
involved
in
in
taking
on
this-
we
do
expect
some
more
definitive
recommendations
soon
and
then
for
those
who
receive
the
johnson
and
johnson
vaccine
there's.
D
Basically,
we
hope
that
several
studies
will
be
completed
shortly.
Already
one
has
come
out
that
did
show
an
increase
in
antibody
levels,
with
a
booster
dose
of
the
johnson
johnson
vaccine,
so
so,
basically
more
information
to
come
on
all
three
vaccines,
whether
it
will
be
recommended
for
everyone
are
only
certain
groups
and
and
when
exactly
those
on
those
boosters
will
roll
out.
I
feel
pretty
confident
that
there
will
be
a
recommendation
for
boosters
for
at
least
some
population
groups
and
that
that
will
begin
sometime
in
september.
B
Paul
did
you
have
another
question?
Well,.
C
Thank
you,
dr
richardson,
for
that
informative
report
and-
and
I'm
gonna
say
it
one
more
time
that
one
of
the
saddest
things
of
this
whole
pandemic
is
that
what
is
should
be
purely
a
public
health
issue
has
become
a
political
issue,
and
so
we
await
the
ruling
from
the
supreme
state
supreme
court
in
the
matters
that
they
heard
yesterday
about
cities
and
school
districts
having
jurisdiction
over
having
mass
mandates
and
the
like,
and
I
I
think
I
heard
you
right
but
honestly,
a
couple
of
weeks
ago,
when
I
was
speaking
with
a
couple
of
other
very
trusted
medical
professionals
about
the
delta
variant
and
how
it
plays
out.
C
I
guess
the
hope
at
the
time
two
or
three
weeks
ago
was
based
on
what
has
happened
in
other
places
in
the
world
that
it
peaks
out,
and
then
it
falls
off
pretty
rapidly,
and
the
expectation
a
few
weeks
ago
was
that
we
would
be
peaking
about
now
and
but
you're
telling
me
that
the
cdc
is
saying
in
south
carolina.
We
still
got
maybe
two
to
three
more
weeks
to
go
before
we
even
get
to
that
peak
is.
Am
I
hearing
you
right.
D
Yes,
so
the
cdc
as
of
monday
did
say
that
south
carolina
to
their
best
understanding
of
the
modeling
would
it
would
be
three
more
weeks
of
increases
prior
to
to
reaching
that
peak.
That
may
not
be
true
in
all
of
south
carolina.
We
would
certainly
like
to
see
it
sooner.
Modeling
is
not
an
exact
science,
but
we
certainly
we
did
continue
to
see
increases
you
know
over
the
past
week
and
and
so
that
that
is
their
best
understanding
of
the
modeling.
C
And
so
I
think
I
know
the
answer
to
this
question,
but
just
for
the
record
and
and
again
I'm
presuming
that
the
supreme
court
might
give
us
a
clearance
so
to
speak,
to
to
control
our
own
destiny.
C
D
Absolutely
it
doesn't
and
our
dx
board,
dr
simmer,
our
director
have
continued
to
say
that
masking
math
mandates
are
very
important,
that
until
our
children
under
the
age
of
12
can
be
vaccinated,
this
is
really
their
best
protection
and
and
chance
of
staying
in
school
is
to
to
have
universal
or
as
close
to
possible
and
to
universal
masking
in
those
areas.
F
Paul
katie,
my
my
question
is
two
questions.
The
the
first
one
is
protocols
for
close,
distancing,
vaccinated
and
unvaccinated,
and
especially
with
children,
we're
seeing
in
our
workforce
and
in
our
community
a
lot
of
close
contacts
every
single
day,
people
that
have
been
vaccinated,
but
some
small
offices
that
are
really
concerned
about
having
a
vaccinated
person
that's
been
exposed
even
that
are
wearing
the
mask
in
the
office
and
while
they're
waiting
to
get
tested
on
day.
F
Three
to
five
and
I'd
just
like
to
hear
your
thoughts,
because
close
contacts
are
really
troublesome
with
whether
people
should
be
in
the
office
or
shouldn't
be
in
the
office.
Sometimes,
even
though
we
know
the
vaccination,
we've
had
some
breakthroughs.
So
we
know
that
that
is
something
to
be
concerned
about.
D
Yes,
so
the
first
part
of
your
question
was
about
distancing
and
children
versus
adults,
so
there
is
now
guidance
that
if
students
are
three
to
six
feet
apart,
but
both
students
have
a
well-fitting
mask
on
that
student
does
not
is
not
considered
a
closed
contact.
So
that
is
the
only
group
student
to
student,
for
which
that
one
caveat
is
true
and
again
they
must
both
be
wearing
masks
so
for
everyone
else.
D
It
continues
to
be
six
feet,
and
that
includes
teacher
to
student
adult
to
adult
college
students,
anyone
other
than
k
through
12
students
who
are
amassed.
That
being
said,
we
certainly
understand
more.
That
aerosol
spread
is
also.
You
know,
a
a
mode
of
transmission
for
a
covid,
so
so
the
more
distancing
you
know
possible,
certainly
the
better
there's
nothing
magic
about
six
feet
that
it's.
We
just
have
to
draw
the
line
somewhere.
D
So
then,
your
question
was
about
sort
of
vaccinated
quarantine
for
vaccinated
versus
unvaccinated
closed
contacts,
so
the
cdc
and
dhec
do
not
recommend
quarantine
for
those
who
are
fully
vaccinated
as
long
as
they
are
able
to
mask
as
long
as
they
physically
distance
as
much
as
possible
and
I've.
Given
the
the
example
of
you
know,
if
you're
meeting
in
in
a
space,
those
that
are
those
who
have
been
exposed,
even
if
they're,
fully
vaccinated,
my
recommendation
is
sit
as
far
away
from
up
here
as
possible.
D
D
So
certainly,
I
think
that
the
city
of
mount
pleasant
has
gone
above
and
beyond
that
and
does
ask
for
even
vaccinated
contacts
to
be
out
until
that
negative
test
comes
back
at
day
three
to
five.
So
we're
certainly
never
going
to
say,
don't
do
more
than
our
recommendation,
but
as
as
a
foundation
as
a
base.
If
those
who
are
contacts,
if
they
are
allowed
to
and
choose
to
return
to
work
or
to
school,
we,
it
is
definitely
with
a
mask
at
all
times
and
physical,
distancing
and
great
hand.
Hygiene.
F
D
D
We
will
be
returning
to
schools
to
provide
a
flu
vaccine,
so
dhec
will
be
doing
that
the
flu
best
will
be
available
again
this
year.
Some
children
prefer
that
and-
and
so
that
will
be
an
option.
But
yes,
it
is
going
to
really
tax
our
health
care
system.
D
We're
worried
about
flu
being
worse
this
year
because
of
it
being
so
low
last
year,
due
to
the
the
masking
and
and
that
those
symptoms
have
so
much
overlap
that
it's
going
to
be
very
difficult
to
tease
out
without
testing
a
whole
lot
of
people
with
with
respiratory
symptoms.
So
definitely
flu
vaccine
will
be
important
as
will-
and
we
talked
about
the
boosters,
but
the
priority
is
definitely
still
needs
to
be
on
the
biggest
bang,
for
our
buck
is
getting
those
who
are
unvaccinated
through
their
first
series.
B
B
So
thank
you
to
to
all
of
you
so
we'll
move
on
now,
dr
kimberly
butler
willis
is
with
us
she,
as
most
of
you
know,
she
serves
on
the
health
disparities
and
environmental
justice
subcommittee,
which
is
a
special
which
is
part
of
the
special
committee
on
equity,
inclusion
and
racial
reconciliation.
G
Thing
thanks
kevin,
so
an
update
this
morning
we
were
able
to
present
the
final
report
our
amber
presented
on
our
behalf,
the
final
report
at
the
city
council
meeting
on
august
17th,
and
it
was
it
was
a
meeting
to
say
the
least.
G
We
had
about
80
plus
citizens
that
came
up
to
speak
during
the
meeting,
so
it
made
it
very
long,
but
this
was
also
the
time
when
we,
where
the
city
had
just
announced
the
mass
mandate,
which
we
were
pretty
grateful
for,
but
not
everyone
had
the
same
sentiments,
so
it
was
a.
It
was
an
overwhelming
meeting,
but
yet
there
were
still
some
comments
about
the
report.
G
In
general,
some
people
were
a
little
bit
unhappy
with
word
choices
that
weren't
really
in
the
report,
but
they
assumed
they
were
like
reparations
or
critical
race
theory.
Those
were
the
two
words
that
I
heard
most
often,
which
I'll
tell
you
guys.
Critical
race
theory
is
not
in
our
defund.
The
police
is
not
in
the
final
report,
and
so
we
also
asked
at
that
meeting
if
the
city
would
consider
creating
a
commission
that
was
long-standing
so
right
now.
G
This
commission
is
a
special
commission
and
so
mayor,
please
correct
me
with
my
terminology,
but
it's
just
supposed
to
be
temporary,
so
it
was
suggested
that
they
create
a
commission
that
would
be
long-standing
for
city
council
and
then
it
was
also
asked
that
they
would
act
on
the
recommendations
within
that
report,
so
that
was
tabled
so
that
we
have
more
time
for
conversation
discussion,
not
just
among
the
council
but
also
with
constituents,
so
that
they
have
a
better
understanding
of.
G
What's
in
that
report,
it's
a
dense
document,
and
so
it
takes
some
time
to
work
through,
and
so
I'm
encouraging
you
guys
to
read
the
report
as
well
host
listening
sessions.
If
you
can
invite
people
from
that
commission
to
come
on
out
and
speak
to
their
parts,
if
anyone
has
any
questions
about
the
health
disparities
and
environmental
justice
section,
you
can
reach
out
to
me
our
paul.
He
worked
with
me
on
that
subcommittee
as
well,
but
there's
some
information.
G
C
We're
back
to
first
and
third,
I'm
sorry
we're
back
to
second
and
fourth,
second
and
fourth,.
G
Okay,
so
on
second
and
fourth,
tuesdays
are
city
council
meetings,
and
so,
if
you
do
want
to
add
conversation,
thoughts
and
opinions
about
that
report,
we
encourage
you
to
go
to
those
meetings.
Make
sure
you
sign
up
so
that
you
can
have
an
opportunity
to
speak
and
you
can
do
that
virtually
or
in
person.
C
I
I
did
want
to
make
clear:
we
gave
first
reading
to
the
formation
of
a
more
permanent
commission
to
to
take
up
all
these
matters
and
if,
if
there
was
any
doubt
about
the
city
accepting
or
receiving
the
recommendations
for
further
review,
I
I
did
that
personally
and
I
am
directing
the
recommendations
back
out
to
the
appropriate
city
council
committees
in
in
the
case
of
wellness,
related
recommendations.
I'm
going
to
refer
them
back
to
this
very
committee
right
here.
C
So
I
I
do
ask
for
you
all
to
take
the
recommendations
from
dr
willis
and
and
read
them
over
and-
and
I
think
we
ought
to
have
like
either
the
next
meeting
or
two
like
a
dedicated
meeting
just
to
go
over
these
one
by
one
and
and
really
brainstorm
about
actions
that
we
would
recommend
to
council.
You
know
as
a
result
of
of
the
recommendations.
Does
that
make
sense.
G
Perfect
sense
and
that's
a
great
idea,
I
think
most
of
what
we
have
in
there.
You
guys
will
already
know,
but
it
would
be
great
to
have
your
feedback
because
I'm
sure
everything
can
always
be
improved.
C
That's
right,
and
I
I'd
like
you-
know
it
to
become
an
official
review
of
of
this
body
and
and
so
that
you
can
report
back
to
city
council,
the
ones
that
you
you
really
feel
strongly
about
are
those
the
ones
that
you
feel
like.
We
ought
to
prioritize
and
and
try
to
move
forward
with
and
kind
of
help
us
quell
this
conversation.
C
Honestly
about
the
work
of
the
commission.
It
was
really
positive
work
and,
as
dr
willis
said,
some
some
people
pick
up
on
buzzwords
and
they
they
want
to
crash
and
burn
things
and
there's
a
lot
of
good
work,
a
lot
of
good
recommendations
in
the
commission's
work.
Thank
you.
G
Thank
you,
mayor
and
paul.
Maybe
I
can
send
out-
or
we
can
send
this
out
to
the
to
the
committee
so
that
you
guys
have
time
to
review
prior
to
our
next
meeting
so
that
when
we
come
back
together,
just
as
the
mayor
suggested,
we
can
answer
questions,
but
we
can
walk
through
each
strategy
one
by
one
and
rather
than
going
through
each
objective
under
the
strategy
or
each
point
under
the
strategy,
we
can
use
more
time
on
q
a
so
if
you
have
a
month
to
review
the
document.
G
Email
me
any
immediate
questions
you
have,
but
we
can
certainly
discuss
when
we
come
back
together
in
october,
it's
october,
y'all
october.
F
Yeah
I
I
did
share
that
in
our
email
out
on
when
on
monday,
and
I
also
put
a
link
to
the
entire
document
of
the
500
page
document
as
well
too
so,
but
they
do
have
a
copy
of
what
I
just
put
on.
The
screen
was
sent
to
them.
G
B
All
right
well,
thank
you,
dr
butler
willis.
We
appreciate
your
report
and
all
that
you're
doing
so.
Thank
you
very
much.
If
there's
no
other
questions
there,
we
will
move
on
to
our
community
updates.
I
know
holly
left
a
little
bit
early.
She
apologized
on
the
chat,
but
I
do
see
maggie
here.
If
maggie
wants
to
maggie,
do
you
have
anything
from
charleston
county
schools.
H
Hi,
yes
thanks
so
much
so
as
dr
richardson
was
sharing,
you
know
we
we
are
certainly
excited
to
have
students
back,
but
also
you
know,
working
as
hard
as
possible
to
keep
all
of
our
staff
and
students
and
families
as
safe
as
possible.
H
We
do
currently
have
three
schools:
virtually
learning
early
college,
high
school
and
starting
today,
sullivan's
island
elementary
in
charleston
pinkney,
elementary
due
to
the
number
of
cases
in
those
areas,
and
so
those
schools
will
learn
virtually
for
14
days
and
with
increased
sanitization,
while
the
students
are
out
of
the
building
in
an
effort
to
keep
everyone
as
safe
as
possible,
and
certainly
we'll
continue
making
decisions
on
a
case-by-case
school
by
school
basis,
in
an
effort
to
to
protect
the
health
and
safety
of
our
students,
but
also
still
afford.
H
You
know,
in-person
learning
opportunities
where
it's
safe
to
do
so,
we
do
have
a
covet,
19
dashboard.
We
have
that
last
year.
We
have
it
this
year.
Again
it's
on
our
ccsdschools.com,
due
to
the
high
incidence
rate
and
the
enormous
effort
of
our
nurses,
doing
around
the
clock,
literally
around
the
clock.
Contact
tracing
that
dashboard
is
now
updated.
Twice
a
day
once
at
9,
00
am
and
once
at
5
00
pm
in
order
to
get
the
most
accurate
numbers
on
there
as
possible.
H
H
As
you
know,
we
have
a
mask
requirement
that
our
board
of
trustees
passed
and
our
board
chairman
made
a
statement
at
our
last
board
of
trustees
meeting
on
august,
the
23rd
just
sharing
the
importance
of
that
requirement
and
the
plan
encouragement
for
everyone
to
follow
that
requirement,
and
so
you
know
we
remain
dedicated
to
having
our
our
students
be
safe
and
encouraging
that
requirement
across
all
of
our
facilities.
B
H
Sure
so
we
you
know,
are
still
using
our
cohorting
protocols,
where
possible,
with
all
of
our
athletic
teams.
Where
we're
you
know
putting
our
quarterbacks
together
and
our
alignment
together
to
minimize
how
many
students
need
to
go
and
quarantine
when
a
positive
case
arises.
H
I
do
believe
we
have
a
jv
football
team
in
quarantine
right
now.
I'm
I'm
not
totally
certain,
but
we
have
had
several
varsity
and
jb
teams
go
in
and
out
of
quarantine
since
beginning
of
school,
and
then
we've
had
several
athletic
matches
cancelled
either
because
our
team
was
in
quarantine
or
the
opponent
was
in
quarantine.
B
Thanks,
no
no
conversations
or
any
kind
of
calls
to
sports
or
anything
like
that.
At
this
point
it's
just
been.
H
As
has
popped
up,
yes,
I
am
correct
just
case-by-case
basis
currently
and
really
trying
to
minimize
the
number
of
students
that
are
affected
by
continuing
cohort.
We
do
follow
in
our
superintendent's
report.
We,
you
know
we
are
following
the
10-day
quarantine
recommendation
from
dhak
with
four
days
of
monitoring.
Once
students
come
back
to
school
for
their
their
health
bibles
as
they're
there
just
to
ensure
that
they're
not
transitioning
to
a
positive
case.
F
Maggie,
I
just
want
to
ask
a
question:
I
want
katie
and
you
both
to
weigh
in
on
it
outdoor
events,
football
games,
high
school
level,
even
the
state
level,
where
these
large
crowds
are
going
on
or
other
big
events
like
that.
What
what
are
we
doing
to
try
to
help
minimize
spreads
of
those
areas.
D
Well,
d
hec
continues
to
recommend
the
same
things
that
we
have
been
recommending
as
far
as,
and
you
know
when,
when
unable
to
distance
wearing
masks,
so
that
would
be
you
know
coming
in
and
out
of
events
where,
where
people
may
be
closer
together
than
that
six
feet
range,
the
distancing
does
not
change
you
know
outside
versus
inside
we
know.
Certainly
outside
is
less
risk
generally,
but
we
know
that
the
delta
is
more
transmissible,
and
so
we
as
much
as
possible,
physically
distancing,
is,
is
vital.
D
Sanitation
around
frequently
used
areas
such
as
bathrooms
and
and
then
we're
not
we're
not
putting
any
sort
of
the
worst.
I
come
to
mean
right
now,
but
we're
not
going
to
say
at
this
point
in
time.
You
know
that
that
certain
prizes
are
prohibited
for
for
gatherings,
but
that
would
be
something
that
we
certainly
would
hope
that
municipalities
and
counties
would
consider
based
on
transmission
rates,
as
well
as
at
schools.
F
Do
we
know
what
the
colleges
like
clemson
and
all
these
big
carolina
are
doing
with
their
football
games?
Are
they
doing
anything
in
the
bleachers
or
anything
special.
I
Paul,
as
far
as
I
know,
most
major
colleges,
including
the
citadel
when
it
comes
to
football
games,
they
have
encouragement
of
wearing
masks
and
they'll
provide
sanitation,
but
I
believe
what
I
found
is
most
of
them
will
not
require
that
you
wear
a
mask
and
there
will
be
no
spacing
out
in
the
crowd.
So
most
stadiums
or
most
schools
are
planning
full
capacity
for
this
football
season.
B
H
From
our
standpoint,
certainly
in
our
mass
requirement
applies
to
in
inside
of
our
facilities,
and
so
you
know
certainly
with
any
events,
they'll
follow,
distancing
protocols
in
terms
of
capacity,
I
believe
it's
three
foot
center
to
center
for
those
for
indoor
facilities,
outdoor
facilities.
I
do
believe
I
do
believe
that
we
still
have
some
capacity
requirements
in
place,
especially
when
it
comes
to
ticketing
of
our
events.
So
we'll
you
know
continue
to
try
to
provide
a
safe
environment
there
and,
of
course
we
we
have.
H
J
I
do
thank
you
I'll,
be
I'll,
be
quick,
because
I
see
it's
10
o'clock.
I
just
I
wanted
to
share
with
everyone.
That
september
is
also
suicide
awareness
month
with
september
10th,
being
suicide
awareness
day
and
just
wanted
to
share
some
statistics,
since
this
group
loves
numbers.
So
much
not
good
numbers
on
this
one,
but
suicide
is
the
10th
leading
cause
of
death.
J
It's
second
leading
cause
for
ages,
10
to
20
or
10
to
34.,
fourth
leading
cause
of
death
for
35
to
44.
and
interestingly,
this
is
two
2019
statistics.
Two
and
a
half
suicide
was
two
and
a
half
times
more
likely
that
or
happened
more
often
than
homicides
in
2019
and
males
are
3.7
times
more
likely
to
die
by
suicide.
So
with
all
that
being
said,
there's
a
lot
there'll
be
a
lot
of
suicide
awareness
events
and
things
happening
in
september.
J
F
No
just
just
say
jennifer
said
I'll:
keep
that
keep
that
quick.
We
out
of
two
days
ago.
We
have
139
code
cases
in
house
and
the
majority
of
those
are
are
not
vaccinated,
so
dr
richards
and
and
in
israel.
You
know
just
talking
about
the
the
that's
turning
into
a
necessity
and
there's
a
lot
of
talk
between
then
hospitals
we
have,
we
do
have
stem
teammates
out.
We
do
like
they're
asking
about
the
the
number
of
healthcare
providers.
That
would
be
a
great
stat
to
know,
but
we
don't.
F
I
don't
have
that
information
as
well,
but
two
of
my
teammates
have
actually
gone
out
with
kobet
recently,
so
it's
starting
to
it's
starting
to
affect
the
rest
of
us
as
well,
so
we
don't
want
to
push
anybody
that
actually
have
other
health
care
concerns
and
other
health
care
emergencies
not
to
visit
your
hospital.
That's
we're
still
here
for
that.
We
are
very
busy
yes,
but
we
still
care
for
our
community
and
we
don't
want
people
to
think.
Well,
I
have
this.
F
I
can't
just
go
to
that
hospital
because
they
have
clothing.
We
have
their.
Those
patients
are
in
different
and
safe
areas
for
all
of
us,
so
we're
we're
taking
care
of
everybody
just
like
we
always
have,
and
we
just
want
to
spread
that
if
you
do
have
other
health
emergencies
that
that's
what
we
are
here
for
and
that
we
will
do
the
best
we
can.
B
Thank
you
very
much
kimbo.
I
know
you
spoke
on
on
football,
but
did
you
have
anything
else
you
wanted
to
report
from
the
citadel.
I
Yeah
so
currently,
the
citadel
does
have
a
masked
man
day
for
faculty
staff
and
students
in
place.
That's
different
from
when
we
last
met.
Most
major
colleges
and
institutions
now
have
a
mass
mandate
of
some
sort
for
our
campus
communities.
Orgs
is
for
free
weeks
until
september
7th
and
then
at
that
time,
we'll
be
looking
at
the
data
to
decide.
I
If
we
want
to
renew
it,
this
matches
what
clemson
university
is
doing,
as
well
as
what
their
public
health
experts
have
said
in
terms
of
where
we're
going
to
hit
that
peak
after
that
three
week
period
to
start
the
semester.
Currently
our
cases
are
pretty
high
or
as
high
as
where
they
were
in
january.
So
if
the
cases
still
stay
high
or
continue
to
go
high,
we'll
likely
renew
for
another
three
weeks,
we're
still
encouraging
vaccine
for
our
community
we're
providing
incentives
for
students
to
get
vaccinated
about
400.
I
Our
students
are
actually
being
mandated
to
get
the
vaccine
because
they
are
military
deployment.
So
the
department
of
defense,
the
pentagon,
have
said
that
all
military
service
personnel
by
september
15th
need
to
be
met
vaccinated.
So
that
includes
about
400
of
our
students-
and
I
guess
the
last
thing
I'll
say
is
just
every
wednesday.
I
We
normally
have
open
covet
testing
and
we
weren't
able
to
do
that
today
because
of
what
we're
seeing
in
the
community
and
what
we're
seeing
around
the
state
that
there's
just
been
such
an
increase
in
the
demand
for
copic
testing
that
there's
no
supplies
available
for
us
to
do
that.
So
appointments
are
filling
up
everywhere.
Lines
are
very
long,
so
we
hope
to
restart
that
again
next
week,
but
we'll
see
what
is
going
on
with
testing
around
the
county.
So.
B
Thank
you
very
much.
Anyone
else
who
would
like
to
report
out
on
our
community
update.
K
Councilman
sheely,
this
is
quentin
from
musc
I'll
just
I
know
we're
short
on
time
just
want
to
throw
out.
We
still
have
sites
around
the
city
where
we
are
providing
testing
some
were
vaccine
sites
and
we've
now
converted
them
over
to
testing
sites,
because
the
demand
has
gone
up,
but
just
to
throw
out
a
few
that
we
have
running
and
you
can
check
our
website
to
see
exactly
what
we're
offering
at
those
sites
we
are
at
the.
K
I
think
the
meeting
street
visitor
center
edmonds
oas
once
a
week,
the
airport
lockwood
our
lockwood
at
the
old
dmv
facility,
we're
continuing
to
offer
vaccines
each
day,
earhart
street
we're
offering
testing
each
day
we're
also
doing
some
testing
was
vaccines,
but
now
I'm
testing
at
180
place
and
we,
I
know,
you've
probably
heard
over
the
last
few
weeks
that
there's
a
shortage
of
folks
that
are
offering
the
monoclonal
antibody
treatment,
the
infusion
that
helps
to
treat
covet.
K
We
have
now
expanded
our
capacity
out
at
the
citadel
mall
at
the
old
tattoo
moose
facility
there,
and
so
now
we
have
expanded
our
operations
to
be
able
to
offer
more
infusions
out
there.
At
that
facility,
so
again
you
can
just
check
our
website
to
get
the
days
the
times
and
what's
offered
at
those
sites,
but
just
want
to
let
you
know
that
we're
still
out
and
about
trying
to
make
sure
that
we
do
our
part
with
testing
and
vaccines
throughout
the
city
of
charleston
and
the
state.
So.
F
Clinton
are
there
any
special
qualifications
to
be
able
to
get
the
antibody
infusions.
K
Well,
I'd
leave
it
up
to
the
clinicians
to
give
you
the
specific
details
of
it,
but
it
is
time
sensitive.
You
need
to
catch
it
early
and
I
would
just
say,
consult
with
your
physicians
about
what
that
time
frame
is,
but
it's
it's
early
on
when
you're
first
diagnosed
so.
D
The
right
conditions
are
on
the
dhec
website
and
and
I'm
sure,
on
the
musc
website
as
well.
It
has
it
has
broadened
so
there's
both
an
age
I
think
8165
and
over,
but
many
of
those
younger
with
comorbid
conditions
also
qualify,
even
even
children,
and
so
that
I
would
encourage
anyone
to
to
look
into
whether
they
qualify
speak
to
their
provider.
As
clinton
said.
B
All
right
anyone
else
on
community
update
if
we
could,
mr
mayor,
if
we
can
read
that
proclamation
on
sickle
cell,
if
we,
if
we
could
still
do
that,
so
that
we
have
that
on
youtube,
I'll,
be
right
back,
okay,
all
right
yeah!
I
just
thank
you
to
everybody,
while
he's,
while
he's
grabbing
that
for
being
here
a
lot
of
great
information,
I
apologize
that
we've
gone
over
a
few
minutes
and,
like
I
always
say,
we
really
appreciate
your
time.
You
add
so
much
value
to
the
city
of
charleston.
B
So
thank
you
to
everybody
for
putting
in
your
time
today
and
and
reporting
out
and
giving
us
some
great
information.
C
Thank
you.
Everybody
we're
not
through
this,
yet
all
right,
no
need
for
y'all
to
stay
on
I'll,
read
the
proclamation
again
for
the
record.
This
proclamation
from
the
city
of
charleston,
whereas
sickle
cell
disease,
is
a
chronic
debilitating
inherited
condition
that
affects
approximately
a
hundred
thousand
americans,
primarily
african
americans
and
hispanic
americans,
and
whereas
one
in
13
african
americans
and
approximately
one
in
100
hispanic
americans
carry
the
gene
for
this
disease,
whereas
while
there
is
no
cure
the
most
effective
treatment
for
sickle
cell
disease,
patients
is
a
blood
transfusion.
C
Many
patients
are
able
to
locate
a
blood
type
match
through
donors
of
the
same
race
or
ethnicity,
and
whereas,
in
order
to
make
blood
transfusions
for
sickle
cell
patients
available,
our
nation's
hospitals
and
medical
centers
must
have
a
sufficient
readily
available
blood
supply.
Whereas
charleston
is
home
of
a
number
of
committed
public
and
private
organizations.
B
All
right,
thank
you,
mr
mayor.
I
appreciate
you
doing
that
a
second
time
and
appreciate
everybody
that
that
stayed
on
one
more
time.
So
thank
you
and
I
hope
you
have
a
great
rest
of
your
week.
If
there's
nothing
else
for
this
committee,
we
are
adjourned.
Thank
you.
So
much.