►
Description
City of Charleston Health and Wellness Advisory Committee (Virtual) 12/2/2020
A
B
Welcome
to
everybody-
I
guess
the
last
meeting
of
2020,
so
we're
wrapping
up
the
wrapping
up
a
tough
year,
and
I
appreciate
everybody
being
on
here
and
being
with
us
this
morning,
and
I
guess
the
first
item
on
the
agenda
is
the
approval
of
minutes.
From
november
4th.
I
hear
a
motion
to
approve
the
minutes.
B
Take
it:
okay,
all
in
favor,
aye,
okay,
so
the
motion
to
approve
the
minutes
has
been
approved,
and
so
next
on
the
agenda
is
a
tri-county
health
update.
So
I
don't
have
who's
doing
it.
A
If
I,
if
I
could
I'd
like
to
introduce
renee
linder,
gary
renee
for
many
years
ran
access
health,
how
to
wrote
for
saint
francis,
but
what
really
linked
our
whole
community
to
to
really
starting
looking
at
how
better,
taking
a
vision
of
health
disparities
and
connecting
all
the
dots
in
our
community.
And
we
now
have
her
as
a
director
of
health
at
triardy
united
way
and
as
she
is
leading
the
healthy
tri-county
program
and
renee
I'll
turn
it
over
to
you.
D
Thank
you
paul
and
I'm
just
going
to
go
ahead
and
share
my
screen
for
the
presentation
this
morning.
I
just
wanted
to
give
you.
I
was
asked
by
paul
and
anton
to
just
give
a
brief
overview
of
healthy
tri-county
and
as
well
as
an
update
of
the
work,
that's
been
happening
in
the
community
from
the
lens
of
health,
equity
and
social
determinants
of
health.
D
So
first,
I
just
wanted
to
thank
you
all
for
allowing
me
to
join
you
this
morning,
healthy
tri-county,
many
of
you
on
the
call
today
may
have
heard
about
healthy,
tri
county
from
paul
and
anton
and
others
that
usually
attend
this
meeting.
But
it
is
our
our
tri-county
multi-sector
initiative
to
work
together
for
health
outcomes
in
the
tri-county
area.
D
As
paul
said,
I
have
had
over
10
years
working
with
the
access
health
program
which
focuses
on
those
with
the
greatest
need
are
uninsured
residents
who
are
low-income
residents
of
the
tri-county
area,
and
so
with
the
work
of
healthy
tri-county.
It
just
takes
it
to
another
level
where
we
get
to
look
at
many
of
those
social
determinant
factors
that
lead
to
health
disparities
and
health
inequities
in
health
care
and
in
our
community,
wanted
to
start
just
giving
a
brief
overview
of
our
mission
with
healthy
tri-county.
D
All
this
work
is
through
a
collective
impact
strategy,
and
we
know
that
one
organization
could
not
do
it
alone,
and
so
healthy
tri
county
was
launched
in
2017
powered
by
trident
united
way
in
partnership
with
rupert
st
francis
and
musc,
and
so
our
work
began
really
with
the.
Why
the
why,
when
we
came
together
to
conduct
a
community
health
needs
assessment
in
2016,
why
were
there
so
many
differences
in
health
outcomes
among
groups
of
people,
and
that
starts
with
health
disparities?
D
So
that's
where
I
want
to
start
the
conversation
today
and
then
close
out
with
just
some
updates
about
how
we,
as
healthy
tri
county,
have
come
together
to
focus
on
these
health
disparities
and
build
a
pathway
with
our
health
improvement
plan
and
to
help
our
community
as
well
as
health
providers
and
practitioners
get
to
greater
health
outcomes
collectively,
and
so
those
health
disparities
you
know,
are
affected
by
many
things:
the
health
inequities
and
the
health
behaviors
that
we
see
in
our
community.
D
But
the
covet
19
pandemic
has
shown
where
we
live,
work
and
play
how
it
impacts
the
access
that
we
have
to
care
and
to
services
and
we're
able
to
see
with
that
spotlight
just
how
great
those
gaps
are
in
care
and
we've
seen
many
of
our
partners
in
the
community
address
those
gaps
by
making
sure
that
we
have
mobile
testing
and
various
sites
in
rural
communities
and
opening
up
access
to
testing.
D
So
I
like
to
always
show
that
the
information
that
we're
providing
and
the
information
that
we're
tracking
it's
through
the
responses
from
our
collective
community
and
just
wanted
to
give
you
a
snapshot
of
how
that
information
is
compiled
in
our
community
health
needs
assessment,
and
so
in
charleston
county
in
particular.
D
Access
to
care
was
the
number
one
priority
or
health
concern
of
our
community
through
our
community
health
needs
assessment,
and
then
also
we
want
to
draw
attention
to
the
race
and
ethnic
makeup
of
our
community
because,
as
we
know,
those
health
disparities
are
driven
by
factors
such
as
race
and
with
those
great
gaps.
We
see
a
difference
between
our
african-american
and
hispanic
communities.
Our
minority
populations,
the
gap
in
health
outcomes
is
great
and
vast
and
like,
as
I
stated
before,
we've
seen
it
more
with
the
pandemic.
D
Health
needs
clinical
preventive
services
with
things
like
cancer
screenings,
immunizations
vaccinations,
and
now
those
issues
are
even
more
more
important
and-
and
we
must
address
them
to
make
sure
that
everyone
has
greater
outcomes,
particularly
during
this
time
of
the
pandemic,
and
as
we
see
that
second
wave
approaching
us
and
then
last,
but
certainly
not
least,
the
fifth
priority
in
our
community
health
needs
assessment.
That
we,
as
the
healthy
tri-county
focuses
on,
is
maternal
infant
and
child
health,
inequitable
community
conditions.
D
Respondents
said
they
did
not
have
health
insurance
in
2019,
and
so
that
is
one
of
the
greatest
hurdles
to
getting
care
and
being
able
to
go
and
get
your
well
visits
and
get
your
immunizations
during
this
time
and
then
also
just
even
though
people
with
that
clinical
preventive
services
statistics
there
of
the
respondents.
D
They
view
routine
wellness
checks
as
important,
but
compared
to
those
who
actually
went
and
got
a
physical
examination
in
the
past
12
months.
That
speaks
volumes
like
we
know
that
health
matters,
but
getting
access
to
those
services
and
having
those
exams
are
impacted
by
our
external
social
factors.
D
And
so
I
wanted
to
share
with
you
and
just
the
this
emphasis
model
from
the
cdc
about
paving
the
road
to
health
equity,
because
we
know,
through
our
community
health
needs
assessment
and
many
other
assessments,
that
health
disparities
and
the
gaps
are
there.
But
the
strategies
behind
why
we
develop
programs
like
the
healthy
tri-county
initiative.
D
As
possible,
and
that's
through
our
programming
through
coming
together
under
our
collective
impact
strategy
and
measuring
results
together,
getting
to
that
health
equity
model
and
then
through
policy
and
the
different
councils
that
we
create
in
in
policies
and
practices
that
we
implement
and
therefore
the
infrastructure
that
we
have
created
here
in
the
tri-county
area,
to
support
that
health
equity
work
is
our
healthy
tri-county,
and
in
that
we
have
taken
the
work
and
broken
it
down
into
segments.
D
And
so
we
have
that
health
data
work
group
that
does
that
ongoing
evaluation
and
data
collection
and-
and
then
we
have
our
health
improvement
plan,
work
groups
which
takes
those
top
five
priorities.
I
spoke
about
a
minute
ago
and
we
break
the
work
down
by
focus
area,
and
we
will
talk
about
some
of
that
implementation
strategies
here
shortly.
We
also
have
a
diabetes
coalition.
D
As
we
came
into
the
pandemic.
We
heard
that
individuals
with
those
chronic
illnesses,
such
as
diabetes
and
hypertension,
that
they
were
more
at
risk
and
and
for
not
having
great
outcomes
with
the
coronavirus,
and
so
that
diabetes
coalition
is
something
that
we
had
in
the
community
back
in
2016,
and
we
continue
that
work
in
our
community
to
raise
awareness
about
diabetes
and
pre-diabetes
and
increasing
the
availability
of
the
national
diabetes
prevention
program.
D
A
part
of
this
group
who
sits
as
our
program
manager
and
lead
that
work
effort
where
we
focus
on
the
physical
activity
and
nutrition
to
get
to
prevention
of
chronic
diseases
and
the
underbelly
of
all.
D
This
work,
where
all
this
work
stands
on
is
through
focusing
on
social
determinants
of
health
and
health
equity,
and
we
do
that
in
multiple
ways,
but
one
way
that
we
address
health
equity
under
healthy
tri-county
is
through
our
conversations
on
race
and
health
equity,
as
well
as
dissemination
of
information
and
through
conversations
like
the
one
we're
having
today,
we
adopted
the
principles
from
the
alliance
of
health
equity.
I
think
we
must
first
call
out
that
health
equity
is
important
and
healthy.
D
Racism
imposes
an
added
health
burden
and
that
the
choices
we
make
are
shaped
by
the
choices
we
have,
and
so
just
wanted
to
give
you
an
update
in
the
context
of
healthy
tri-county
and
our
collective
impact
strategy
and
where
we
are
today
we're
currently
in
phase
three,
where
we're
sustaining
action
and
impact
for
change,
and
with
that
there's
many
conversations
that
are
still
being
facilitated,
we're
refining
our
structures
from
time
to
time.
D
We
have
catalytic
projects
and
that's
many
times
where
our
community
is
involved
in
that
work
and
then
the
monitoring
and
evaluation
for
improvement,
so
we're
continuous
continuously
collecting
tracking
and
reporting
our
progress
to
our
community,
as
well
as
our
members
and
stakeholders,
and
through
that
many
times
we
are
able
to
identify
additional
resources
and
supports
based
upon
the
needs
that
we
see
in
our
community.
D
So
to
give
you
that
update
what
is
healthy,
tri-county
doing
to
reduce
health
disparities
in
health,
so
in
july,
2020
try
the
united
way
where
healthy,
tri-county
lives.
Right
now
has
hosted
a
blood
donation
drive
july
24th
in
response
to
covet
19
through
healthy
tri-county,
and
we
partnered
with
the
american
red
cross.
D
And
then
we
also
had
few
food
distribution
support
that
we
gave
through
our
healthy,
healthy
people
have
the
carolina
funding
where
we
were
able
to
take
and
survey
the
community
through
the
need
that
we
saw
through
try
to
united
way
and
we
were
able
to
go
to
communities
that
had
great
need
greatest
needs.
D
Many
of
those
communities
were
communities
of
color
communities
where
their
rule
in
nature,
and
so
we
wanted
to
make
sure
that
we
were
able
to
be
responsive
to
the
populations
that
have
the
greatest
needs,
and
that
is
one
of
the
strategies
and
ways
that
we
build
health
equity
into
our
work.
Then
also
in
august
2020,
we
had
our
conversation
on
race
and
health
equity.
It
was
about
mental
health
disparities
in
our
communities
of
color
vel,
very
much
so
well
attended.
D
We
had
over
a
hundred
individuals
registered
for
that
event,
and
in
that
conversation
we
were
able
to
talk
about
a
lot
of
the
stigma
that
comes
around
mental
health
as
well
as
ways
to
address
those
disparities
in
that
in
that
particular
focus
area.
D
Also,
in
august,
we
had
our
diabetes
training
virtual
lifestyle
training.
When
we
talk
about
the
pandemic
and
we
talk
about
having
to
pivot,
we
were
able
to
continue
to
educate,
engage
those
in
our
community
through
our
faith-based
organizations
and
our
community-based
organizations
to
become
lifestyle
coaches
to
be
able
to
continue
to
implement
and
train
others
on
the
national
diabetes
prevention
programming
as
well
as
we
also
had
in
august
our
healthy
tri-county
community
partnership
and
consultation.
D
There
were
various
opportunities
where
we
were
able
to
sit
in
on
conversations
be
a
part
of
listening
sessions.
When
the
community
comes
to
our
area
and
or
state
affiliates,
come
to
our
area
and
looking
for
information,
they
usually
start
with
healthy
tri-county
in
many
instances,
and
so
we're
very
fortunate
to
be
that
voice
to
our
community
and
sometimes
the
pathway
for
others
to
get
to
individuals
who
have
the
greatest
needs.
And
then,
in
september
we
had
an
additional
blood
drive.
D
I
collectively,
over
the
last
two
opportunities
we've
been
able
to
provide
over
45
units
of
blood
and
that
equates
to
over
100
individuals,
lives
being
saved
by
that
those
donation
drives,
and
then
we
also
had
an
immunization
webinar
that
was
put
on
by
our
clinical
preventive
services
work
group
where
they
titled
it
the
power
to
prevent
they
were
able
to
have
providers
from
our
community,
our
local
community,
particularly
those
that
work
with
adolescents
and
pediatrics,
to
be
able
to
talk
about.
D
How
do
you
strategize
to
address
the
issues
with
children
not
being
able
to
get
immunizations
in
a
timely
manner
or
not
being
coming
to
the
well
visits?
How
do
you
work
around
that?
How
do
you
strike
it
strategize
together
and
for
them
to
hear
from
experts
in
their
field
about
ways
to
make
sure
that
we
continue
to
keep
our
community
healthy
and
well
and
have
the
community
engage
in
the
work?
D
D
D
I
provided
my
information
here
if
you
want
to
reach
out-
and
you
want
to
sit
in
on
that
session,
where
we
give
updates
our
members
join.
We
currently
have
over
73
organizations
involved
in
our
healthy
tri-county
that
they
signed
on
and
committed
to
the
work
that
we
are
moving
through
our
tri-county
health
improvement
plan.
So
we
welcome
you,
we
ask
you
to
join
us
and
be
a
part
of
the
solution,
and
if
you
have
any
further
questions,
please
feel
free
to
reach
out
to
me
or
visit
our
healthy
tri-county
website.
B
You
renee
great
report
presentation
and,
and
thank
you
for
all
the
work
that
you
do.
Thank
you
so
much
and
do
we
have
any
questions
for
renee
right
now.
B
Okay:
well,
if
we
don't
have
any
questions,
the
next
on
the
agenda
is
the
health
health
disparities,
environmental
justice
subcommittee,
kevin.
E
I'm
sorry
I
just
I
just
have
one
quick
question
renee.
That
was
a
fantastic
presentation
and
I
just
wanted
to
ask
if
there
was
anything
that
we
can
do
to
support
your
efforts.
As
a
committee.
D
So
I
I
feel
like
in
our
the
context
of
our
conversations
on
race
and
health,
equity
and
knowing
what
your
focus
is
on
is
that
you
know
the
times
where
there's
time
to
join
those
conversations
needs
that
you
see
that
might
come
about.
We
want
to
be
that
container
for
change
and
support
you
as
well,
so
to
be
in
that
open
dialogue.
I
know
our
health
program
manager
is
a
part
of
this
group
and
has
that
ongoing
engagement.
D
So
I
one
welcome
that
and
thank
you
for
offering
that,
and
we
will
be
sure
to
be
thoughtful
about
that,
but
I
think
when
it
comes
to
our
conversations,
if
I
see
some
of
the
agenda
items
today,
sharing
out
that
information
and
us
being
inclusive
in
that
that
we
can
move
this
work
together,
because
that's
truly
what
our
collective
impact
strategy
is
about.
D
So
I
know
there's
more
to
come
and
greater
greater
things
to
come,
and
now
that
we're
aware
about
the
work
that's
happening
within
each
initiative,
we
can
definitely
come
together
and
collaborate
in
some
way.
Great.
Thank
you.
So
much.
B
E
F
G
B
And
I
think
paul's
checking
with
dr
david
rivers
right
now
who's
next
on
our
agenda.
F
A
A
Yes,
so
why
don't
I
just
introduce
dr
rivers
is
a
medical
university
and
is
chairing
a
special
health
disparities
and
social
justice
subcommittee
of
the
larger
special
committee
that
the
commission
to
the
city
council
as
to
look
at
the
injustice
and
and
and
the
issues
all
around
our
community.
So
I
I
will
just
ask
I'll
turn
it
over
to
dr
rivers.
He
he
shared
the
document
that
I
shared
with
y'all
that
he
gave
us
a
draft.
A
I
hope
everybody's
had
a
chance
to
look
at
that
and-
and
I
can
pull
that
up
or
I'll
just
let
dr
rivers
take
it
from
there
and
we
can
ask
questions
as
as
we
feel
so.
Yes,
thank
you
very.
H
Much
what
I
want
to
do
is
to
provide
an
outline
for
a
direction.
That's
all
we
should
be
about
in
terms
of
this
whole
assignment,
obviously
starting
with
social
determinants,
because
obviously
we
look
at
education,
housing
or
we
look
at
poverty
and
all
those
things
that
contribute
to
our
health
disparity.
H
What's
amazing
to
me,
we've
been
doing
this
work
now
for
about
15
years,
looking
at
disparities
around
the
country
and
child
in
carolina,
georgia,
alabama,
mississippi
virgin
islands
on
native
american
reservations
and
obviously
the
one
thing
we
found
in
common
was
the
fact
that
social
determinants
played
a
major
role
and
and
and
those
disparities,
if
you
know
for
a
fact
region,
four
has
some
of
the
highest
disparities
in
in
the
country
in
in
terms
of
in
terms
of
problems.
H
H
So
that's
the
direction
we
want
to
look
at
in
terms
of
moving
forward.
With
regard
to
our
issues,
so
basically
ascension
outline,
so
we
can
just
look
at
the
outline
and
see
exactly
where
we
want
to
go
now.
That
outline
is
a
draft,
so
obviously
we
can
modify
exchanges
and
do
whatever
we
want.
But
at
least
I
wanted
to
jump
start.
The
discussion.
A
H
What
we
call
community
leaders
institute
in
these
communities
we
did
in
the
past.
Obviously
we
went
out
to
the
community
met
with
community
members
stateholders
and
and
was
the
key
issues
that
they
thought
that
we
should
be
discussing
in
our
leadership
institute
and
always
seem
to
say
that
one
we
want
to
talk
about.
We
want
to
talk
about
jobs,
we
want
to
talk
about
education.
H
We
want
to
talk
about
just
poverty
in
general
in
all
these
communities,
and
we
did
that
so
on
friday,
we
will
talk
about
one
relationship
between
the
feds,
the
state
and
local
government
in
these
areas.
You'd
be
surprised
of
people
who
don't
know
relationship
between
those
entities.
H
So
we'll
talk
about
that
and
then
the
next
day
we'll
talk
about
issues
for
youth.
Obviously
we
know
a
lot
about
that.
Whole
thing
in
terms
of
prison
population
talk
about
some
lack
of
job,
especially
in
the
summertime.
H
Then
we'll
go
into
basically
economic
development.
We
see
economic
development
as
a
major
driver
as
we
move
forward
economic
development
being
one
you
want
to
retain
the
jobs
you
have
in
your
community
two.
H
H
And
then
we
look
at
how
to
put
together
winning
proposals
as
we
move
forward
and
trying
to
get
money
in
the
hands
of
local
communities
too
many
times,
especially
in
the
past.
It's
saying
somewhat
now
we
had
organizations
that
will
come
to
a
local
community.
H
I
ask
them
for
support
letters
and
what
have
you
and
then
when
they
get
resources,
they
don't
go
back
and
try
to
train
people,
give
them
resources.
What
have
you
so
we
we're
looking
to
change
all
that.
So,
basically,
those
are
some
of
the
things
we
try
to
do
people
and
put
together
the
organization
in
the
community.
You'd
be
surprised,
people
are
doing,
but
nobody
knows
about
it.
So
we're
trying
to
get
those
people
together
go
after
grants.
H
Sometimes
you'll
see
solicitation
for
a
grant
for
one
grant
being
awarded
for
a
million
dollars,
and
you
know
sometimes
we
say
that
could
be
wise.
So
what
we
try
to
do
is
to
get
entities
together
and
to
go
and
put
together
a
joint
grant
application
which.
A
Well,
thank
you
are
there,
I
guess
we
would
just
want
to
like
open
it
up.
I
know
one
of
our
our
members
on
the
board,
laura
yarborough
heads
our
recreation
department
and
is
very
interested
in
how
health
disparities
are
addressed
in
her
programs
and
laurie.
I
don't
know
if
you
had
any
questions.
F
Well,
I
mean
I'm
I'm
certainly
reading
and
taking
it
all
in
paul
I
mean
that's
a
huge
concern
of
of
this
department.
We
know
that
that
families
that
have
economic
choices
can
choose
other
recreation
activities
and
programs
wherever
they
want.
If
we're
not
able
to
be
in
the
community
where,
where
we've
got,
we've
got
need
and
and
kind
of
like
where
renee
said
where
people
live
work
and
play.
F
I
love
that
renee
that
you
kept
using
the
word
play
it's
critical
that
we
continue
to
offer
the
programs
that
we
do
in
those
areas
because
there's
not
there's
not
organized
structure
there,
so
I'm
very
interested
in
in
the
city's
role
in
that,
and
especially
given
the
economics
in
our
city
right
now
and
and
taxes
and
cuts,
and
things
like
that,
I
know
that
any
cuts
or
any
changes
are
going
to
only
make
that
situation
more
dire
to
those
communities,
because
those
are
the
areas
that
we
are
serving
that
need
us
the
most.
F
A
B
Well,
thank
you,
dr
rivers.
We
appreciate
you
coming
on
and
and
presenting
this
for
us,
and
you
know
let
us
know
how
we
can
how
we
can
help
from
here
and
and
we'll
be
happy
to
so
again.
Thank
you
very
much.
H
The
key
thing
we
should
be
concerned
about
right
now
is
that
when
they
put
when
they
pass
the
stimulus
money,
jim
clavin
has
a
bill
called
10
20
30
money
that
goes
into
community
who's,
had
poverty
for
the
last
30
years
and
obviously
goes
directly
to
the
community.
But
sometimes
the
problem
is
those
communities
be
talking
about
environmental
justice
communities?
H
Don't
have
full-time
staff
as
grand
prizes
or
what
have
you?
So
we
have
to
be
mindful
of
that.
In
order
to
get
the
resources,
we
have
to
put
some
sort
of
technical
capability
on
the
ground
that
will
have
a
city
go
after
some
of
the
resources
that's
available,
if
not
at
all,
we'll
go
to
the
state
and
the
local
community.
We're
trying
to.
B
Okay,
well,
thank
you
very
much.
We
appreciate
it
and
I
guess
well
paul,
if
you're
ready,
we'll
move
on
to
item
number
five
on
the
agenda.
That's
the
covid
local
health
update.
I
Oh
and
kevin
so
paul:
do
you
want
me
to
talk
about
some
data?
Are
you
hearing
that
from
tracy.
A
There
you
go
katie,
there's
been
a
lot
in
the
news
lately
about
your
app
that
you're
working
with
with
musc
from
dhec,
also
about
the
spikes
a
little
bit
out
there
and
the
schools,
the
the
new
testing
going
on
in
schools
and
how
effective
or
what
we're
expecting.
Now,
I
thought,
maybe
just
a
broad
overview
and
so
that
we
could
understand
so
that
we
could
help
share
and
be
ambassadors
to
help
pass.
Your
word
on
in
the
in
the
community.
I
Sure
so
so
right
so,
as
has
been
spoke
about
in
the
knees
frequently,
our
numbers
are
going
up
just
to
give
some
national
perspective,
all
50
states
have
rising
rates
of
covid.
That
includes
south
carolina
and
charleston
county
has
had
rising
rates
really
since
the
beginning
of
october,
and
they
are
continuing
to
go
up.
I
So
we
had
over
105
cases
yesterday
of
covid
diagnosed
in
charleston,
county
hospitalizations
are
going
up,
thankfully,
deaths
are
staying
fairly,
stable
and
but
we
certainly
have
concerns
that
that
may
not
be
the
case
and
going
forward
with
increasing
hospitalizations
oftentimes
that
that
does
lead
to
increasing
deaths.
So
we
are
seeing
a
spike,
locally,
statewide
and
and
nationally
to
cover
some
of
the
other
updates.
I
You
know
we're
we're.
Certainly
we
did
have
a
big
push
for
testing
prior
to
the
thanksgiving
holiday,
especially
for
those
who
were
going
to
be
with
family
and
friends
over
the
holidays.
I
So
we
did
see
a
spike
in
testing
during
that
time
and
had
a
campaign
called
be
positive
around
that
we
now
have
some
educational
information
out
about
getting
tested
about
a
week
after
any
gatherings
that
might
have
happened
over
the
holidays,
and
I
sent
that
to
paul
yesterday
and
I
I'm
not
sure
if
he
shared
it
with
this
group,
but
certainly
I'm
happy
to
share
it
with
you.
I
If,
if
you
haven't
seen
it-
and
you
would
would
like
that,
so
our
testing
locations
webpage
on
the
dhec
website
continues
to
be
a
place
where
you
can
sort
of
narrow
your
search
by
county
by
wanting
free
testing
by
whether
you
need
an
appointment
or
not
those
sorts
of
things
to
be
able
to
be
able
to
know
where
on
testing
locations
are
in
the
area,
so
that
you
can
get
that
done,
and
we
continue
to
recommend
testing.
I
For
you
know
the
the
three
groups,
anyone
who's
a
symptom,
who's,
a
symptomatic,
anyone
who's
a
close
contact,
and
if
you
remain
asymptomatic
about
a
week
after
that,
close
contact
that
last
exposure
to
the
closed
contact.
And
then
the
third
group
is
really
everyone
else.
Who
is
out
in
the
public
at
least
monthly,
and
so,
if,
if
you
don't
fall
into
one
the
first
two
categories,
we
continue
to
recommend
testing.
I
On
that
note,
we
are
beginning
this
week.
We
hope
to
provide
the
binax
now
the
rapid
anagen
test
to
all
school
districts
who
are
interested
in
beginning
to
test
their
students,
charleston
county,
is
actually
fortunate
that
they
also
have
saliva
testing
capability
through
musc.
That
is
a
pcr
test,
so
that
is
a
a
more
accurate
test
and
they
are
working
now
on
sort
of
protocols
for
how
they're
going
to
use
sort
of
both
tests.
But
again
that
will
only
be
for
symptomatic
students
and
and
staff.
I
We
also
just
continue
to
provide
general
guidance
not
only
to
schools
but
also
other
congregate
settings,
so
nursing
homes
and
other
congregate
settings
do
continue
to
to
do
frequent
testing
as
well.
I
What
el
the
vaccination
is.
Certainly
big
news:
the
acip,
which
stands
for
the
american
committee
advisory
committee
on
immunizations,
met
yesterday
and
provided
guidance
that
the
cdc
director
we
hope
will
accept
today
saying
that
the
first
group
to
get
coveted
vaccinations.
I
We
hope,
which
will
be
this
month,
will
likely
be
health
care
workers
at
increased
risk
for
exposure
to
covet,
as
well
as
residents
and
staff
in
nursing
homes
and
other
similar
long-term
care
facilities,
so
that
decision
will
be
made
on
the
federal
level
and
then
the
states
will
use
that
to
make
specific
plans
which
are
due
to
the
cdc
on
friday
for
for
south
carolina.
I
So
so
that's
certainly
big
news
and
two
of
the
vaccine.
Manufacturers
are
currently
in
the
federal
approval
process,
pfizer
and
moderna.
They
both
seem
to
be
90
or
greater
effective
for
those
groups
that
that
have
you
know
the
testing
has
been
done
for
and
then
astrazeneca
and
others
are
close
behind
and
we
hope
will
be
approved
in
the
or
will
ask
for
approval
in
the
near
future.
I
What
other
I'm
happy
to
answer
any
other
questions
about
kovid.
If
I
have
a
horse.
F
Question
sure:
hey
it's
lori
yarbrough!
This
is
a
personal
setting,
but
does
the
state
will
the
state
have
enough
vaccinations
or
vaccines
to
do
all
of
the
nursing
homes
and
assisted
living
kind
of
situations?
You
think
when
that.
I
Comes
out
not
initially
okay,
so
it
seems
like
there
will
be
probably
around
enough
vaccines
for
about
22
22
and
a
half
million
americans
by
the
end
of
this
year
will
be
allocated
to
states
based
on
the
adult
population
size
of
each
state,
and
so
that
will
really
be
the
task
of
the
state
government
once
once.
The
decision
is
made
by
the
cdc
for
what
is
the
recommendation,
and
once
we
get
a
specific
allocation
number
to
decide.
I
Based
on
how
many
doses
it
is
sort
of
which
group
of
healthcare
workers
will
be
prioritized
first
and
and
how
we
will
work
on
prioritizing
those
in
long-term
care
facilities,
and
then
we
hope
within
two
weeks,
there'll
be
another
shipment,
and
so
I
think
it
was
you
know.
We
hope
that
even
in
january
there'll
be
like
another,
you
know
60
million
doses
or
so
now
all
that
is
dependent
on
the
manufacturing
going
as
planned.
But,
but
so
so
we
hope
that
that
there
will
be
a
significant
number
of
doses.
I
Soon,
probably
the
general
adult
population
come
may
or
june
will
be
when
there
will
be
enough
doses
for
those
who
do
not
fall
into
one
of
the
risk
categories
and
the
risk
categories
that
the
acip
addressed
were
really
what
we
call
sort
of
one
a
or
the
very
first
category,
and
then
they'll
meet
again
to
sort
of
decide
which
groups
you
know
come
after
that
we
expect
essential
workers
will
probably
be
in
one
of
those
groups:
adults
with
chronic
medical
conditions
that
put
them
at
high
risk
for
hospitalization
and
death
from
coved
like
diabetes
and
obesity,
more
healthy,
older
adults,
whether
that
cut
off
as
65
or
75
will
likely
be
in
one
of
those
categories
as
well,
so
those
will
be
sort
of
prioritized
as
vaccination
is
available.
J
J
Actually
one
is,
I
would
love
to
put
in
a
plug
for
you
guys
to
ask
and
recommend
to
the
state
that
police
and
fire
get
lumped
in
with
those
first
with
the
health
care
workers
in
that
first
group,
as
a
recommendation
and
number
two
when
and
I
apologize,
if
I
missed
this,
when
is
the
guidelines
going
to
be
released,
the
isolation
protocol
is
changing
from
14
days
to
seven,
that's
been
on
the
news.
Any
update
on
that.
I
Sure
so
I'll
address
the
first
one.
First,
I
I'll
certainly
pass
that
along,
I'm
not
on
the
group
that
is
making
those
final
decisions.
I
know
that
that
is
a
partnership
with
many
par
many
players
at
the
table,
and
I
know
the
first
responders
if
they're
not
in
that.
I
Very
first
group
will
certainly
fall
in
the
essential
workers
group
that
we
expect
will
come
right
after
that
group
1a,
but
but
that's
not
to
say
that
they
will
or
won't
be
included
in
the
first
group
and
I'll
certainly
pass
along
your
thoughts
there.
We
are
just
waiting
on
the
cdc
to
officially
put
out
the
guidance
on
the
change.
I
It's
not
changing
isolation
guidance,
so
that's
as
far
as
we
know
going
to
continue
to
be
the
10
days
from
symptom,
onset
or
10
days
from
the
date
of
the
test
being
done.
If
the
person
remains
asymptomatic,
but
it
will
likely
be
a
change
in
the
quarantine
guidance
so
that
currently
is
14
days
from
the
day
of
last
exposure
to
the
positive
case,
we.
I
Well,
we
think
it's
going
to
say:
don't
only
do
it
because
we're
going
to
wait
on
the
cdc
to
put
it
out
to
put
a
release,
our
own
guidance,
but
we
think
it's
going
to
say
10
days
of
quarantine
if
the
the
close
contact
chooses
not
to
get
testing
and
seven
days
from
last
exposure
with
a
negative
test.
But
we're
gonna
wait
for
specifically
to
see
what
that
says
and
that
will
then
be
rolled
out
to
to
south
carolinians
from
there.
I
B
Any
other
questions
carolyn.
C
Yeah
I
do
dr
richardson.
It's
always
good
to
see
you
and
always
good
to
listen
to
you,
a
quick
question.
One
of
our
local
hospitals
has
announced
that
they
will
be
administering
the
covet
infusion
therapy
and
lanny
beam
map,
but
I'm
not
I'm
sure.
I'm
messing
that
up.
Can
you
tell
us
more
about
that,
what
it
means
and
what
this
therapy
is
exactly
and
will
it
be
available
to
other
hospitals?
Thank
you.
I
Yes,
it
is
available
to
several
hospitals
in
the
area
off
the
top
of
my
hand,
I'm
a
little
fearful.
I
might
miss
one,
but
I
know
musc,
rupert
and
trident
all
have
access.
I
I
think
that's
true
is
that
true,
meredith
rupert,
yeah,
okay
and
I
think
there
may
be
one
more,
but
I'm
not
positive-
who
it
it
is,
but
it
is
the
antibody
therapy
it
does
require
being
inpatient
to
receive
that
because
it
is
an
infusion
and
and
it's
just
a
treatment
in
short
supply,
but
it
is
to
treat
those
with
a
covered,
positive
diagnosis
and-
and
that's
about
the
extent
of
what
I
know
about
it
off
the
top
of
my
head.
I
If
anyone
else
on
the
call
wants
to
give
more
information,
feel
free.
K
I
Of
course,
so
so
just
other
than
kovit,
just
a
quick
plug
for
if
flu
is
still
out
there,
we
we
are
not
seeing
a
ton
of
cases
yet,
but
this
is
still
very
early
in
the
typical
flu
season.
So
we're
continuing
to
have
flu
clinics
mostly
related
to
our
health
departments,
and
I've
also
sent
paul
clinton
that
information
for
this
week.
Those
are
free
clinics.
I
Some
of
them
are
sort
of
drive
through
or
outdoors,
but
they're
all
free,
they're
really
geared
towards
kids,
because
we
used
to
go
into
schools
to
provide
school,
located
flu
vaccines
and
we're
not
doing
that
this
year.
But
anybody
who
comes
is
welcome,
and
so
it
is
open
to
those
of
all
ages,
even
though
it's
more
advertised
towards
kids,
so
flu
is
is
still
on.
The
horizon.
Yesterday
was
world
aids
day.
I
That
is
a
day
that
we
use
to
bring
attention
to
the
hiv
epidemic
and
to
remember
those
who
have
died
of
hiv
and
aids.
There
was
a
vigil
virtual
vigil
last
night
and
then
there's
a
brunch
and
learn
at
9
00
a.m
on
friday,
and
there
will
be
speakers
from
forget
all
of
them,
but
regina
duggins
and
cora
webb
and
there's
one
more
who
I
can't
remember,
we'll
be
speaking
of
that
branch
and
that
is
on
facebook
at
the
shape,
tri-county
843
site,
as
well
as
on
youtube
through
palmetto
community
care.
I
So
please
join
us
for
that.
If
you
can
regarding
our
fast
track
cities
efforts.
Unfortunately,
our
proposal
for
funding
of
our
community
consortiums
did
not
get
funded
so
we're
sort
of
regrouping
and
and
and
thinking
about
how
to
to
to
fund
our
sort
of
next
steps
with
the
fast
track
cities
to
end
the
hiv
epidemic
initiative,
and
I
think
that's
all
I've
got
so
thanks
for
listening.
A
I
Yeah
sorry,
I
forgot
that
that
was
part
of
your
question
at
the
beginning,
so
that
app
is
being
it
was.
It
was
developed,
I
think,
through
clemson
and
musc.
I
Collaboration
and
similar
apps
are
being
used
in
other
states
and
around
the
world,
but
it's
basically
an
app
my
understanding
and
I'm
not
an
expert
on
it
by
any
stretch,
but
you
download
it
to
your
phone
and
if
you
become,
if
you
test
positive,
then
you
can
put
your
test
result
into
that
app
and
it
it
will
identify
or
it
will
notify
people
who
were
within
a
certain
distance.
I
You
know
from
you
for
a
certain
period
of
time
during
the
time
that
you
were
infectious,
so
you
put
in
your
lab
result
and
the
and
the
the
date
of
the
test,
and
if
other
people
also
have
the
app
on
their
phone,
they
won't
get
your
name
or
you
know
where
exactly
you
were
exposed,
but
it
will
let
you
know
that
you
are
potentially
exposed
to
to
covet
19,
and
so
it
encourages
them.
Those
folks
to
go
out
and
get
tested,
and
I
know
it's
my
understanding
is.
I
This
has
been
used
for
several
weeks
in
two
dorms
at
clemson
and
it
is
available
and
again
this
is
my
understanding
it's
available
for
anyone
to
download,
although
I
don't
have
the
exact
name
of
the
app,
but
it's
not
being
advertised
yet
so.
There's
concerns
with
privacy.
I
I
So
none
of
that
information
is
shared
with
dhec
or
with
musc
it's
on
technology
through
google
and
apple,
and
it's
not
my
hair
of
expertise,
but
it
sounds
like
an
exciting
new
technology
to
be
able
to
to
better
give
people
a
sense
of
what
their
you
know.
I
Risk
might
be,
but
but
it's
very
much
hinges
on
you
know
many
people
having
the
app,
because
if
you
don't
have
the
app
you're
not
going
to
be
notified
and
on
people
being
willing
to
to
put
in
in
that
app
their
positive
result,
feeling
confident
that
it
it
is
going
to
maintain
their
privacy.
A
There
was
a
question
from
maggie
is:
is
this
similar
to
the
exposure
notification
feature
on
the
iphone.
I
But
it
could
be
the
same.
I
guess
I'm
not
sure
what
the
exposure
notification
on
the
iphone
is.
My
understanding
was
apple,
maybe
apple
and
google.
I
don't
know,
provided
this
sort
of
you
know
just
let
everyone
know
know
that
this
technology
was
available
and
then
certain
institutions
like
musc
and
clemson,
decided
to
use
that
with
sort
of
dhec
as
a
partner
to
develop
an
app.
So
I'm
sure
there
are
other
apps
out
there.
It
does
work
through
your
iphone,
although
I
don't
think
you
have
to
have
an
iphone.
I
A
The
mask
is
a
protection,
but
it's
not
a
do-all,
so
social
distancing
and
we
need
to
keep
practicing
social
distancing
not
being
not
get
lost
in
the
fact
that
we're
wearing
a
mask
a
mask
is
only
one
part
of
that
protection.
Correct.
I
Right
absolutely,
thank
you
paul.
I
really
think
that
social
distancing
is
is
the
biggest
component.
You
know
the
if
we
are
able
to
maintain
that
six
feet
or
more
distance.
If
we're
able
to
meet
friends
and
family
outdoors
rather
than
indoors
and
certainly
wearing
our
mask
as
well,
but
but
nothing
really
can
can
trump
the
social
distancing
and
how
large
is
our
bubble?
How
many
people
do
we
and
our
family
members
come
in
our
immediate
family
members
come
into
contact
with.
I
We
certainly
know
that
there
is
aerosol
transmission,
so,
although
the
guidance
is
not
changed
with
that
six
feet
in
a
poorly
ventilated,
you
know
indoor
room.
We
know
that
there
is
additional
risk
even
outside
of
that
six
feet,
so
social
distancing
and
limiting
the
number
of
contacts
we
have
will
continue
to
be
key
until
we
get
enough
people
vaccinated
to
have
herd
immunity
in
our
communities.
I
B
K
Sure,
hey
everybody!
I
don't
have
anything
in
particularly
new
that
that
hasn't
kind
of
I
think
the
the
budding
information
katie
already
covered
with
the
testing
becoming
available
to
symptomatic
staff
and
students
just
to
better
help,
know
right
there
on
the
spot
when
someone's
experiencing
symptoms.
If
they
are
potentially,
you
know
covet
positive,
just
to
be
able
to
take
swifter
action
on
on
that,
but
other
than
that
you
know,
we
welcome
back
another
cohort
of
students
as
we
moved
in
to
our
next
phase.
K
B
A
E
Yeah
paul,
I
believe
you
sent
out
the
invite
and
the
link
we
still
have
spaces
available.
So
the
charleston
healthy
business
challenge
is
hosting
a
seminar
at
one
o'clock
today
on
zoom,
and
we,
our
speaker,
is
kelly
george,
who
is
owner
of
still
soul,
studio
and
she'll,
be
leading
us
through
a
stress-less
mindfulness
meditation
session.
She
does
a
lot
of
work
with
corporate
clients
as
well
as
community
members,
and
she
actually
is
in
the
process
of
transforming
her
studio
into
a
non-profit
with
the
goal
of
expanding
her
reach
across
the
states.
E
I
think
she'll
be
a
great
resource
for
all
of
us,
and
certainly
we
probably
could
all
use
a
little
bit
of
stress,
management's
some
strategies
to
get
us
through
this
month,
and
so
I
welcome
you
feel
free
to
share
the
link
with
your
co-workers.
E
We
would
love
to
to
see
lots
of
you
on
and
then
also
just
another
quick
update
on
the
charleston
healthy
business
challenge.
We
are
now
sponsoring
the
adventure
out
program,
which
is
an
a
program
in
partnership
with
musc
and
the
city
of
charleston.
Lori's
team
has
been
great,
allowing
us
to
do
physical
activity
classes
in
the
charleston
parks,
city
parks,
and
we
are
doing
a
yoga
series.
E
So,
once
a
month
we
have
an
instructor
that
offers
a
free
yoga
class,
currently
we're
doing
them
in
hampton
park,
and
I
can
share
the
flyer
and
more
information
on
that
as
well.
But
that's
available
to
anyone
blue
cross
blue
shield
is
our
sponsor
for
the
charleston,
healthy
business
challenge
and
they've
got
for
yoga
mats
and
masks
and
hand
sanitizer
and,
of
course,
it's
outdoors
and
we're
doing
the
spacing.
So
it
is
a
a
safe
way
for
us
to
come
together
for
a
little
bit
of
exercise.
B
A
Kevin
I
just
didn't
want
to
update.
We
had
the
mayor
was
going
to
try
to
join
us.
That
came
up
had
something
come
up
this
morning
and
he
just
want
to
let
us
know
he
was
thinking
about
him.
Thinking
about
us
that
jane
key,
as
I
said
earlier,
jan
keys
clinic
changed
and
we
now
welcome
dr
annie
andrews
who's
going
to
be
filling
in
from
the
charleston
medical
society
until
we
complete
that
appointment
process
and
so
we're
we're
glad
to
have
annie
and
again
andy.
A
A
In
I'm
sure
we
can
can
redo
another
campaign
to
try
to
help
push
that
around,
because
we're
seeing
the
violence
right
now
pretty
bad
in
our
community
so
and
then
jennifer
from
the
department
of
mental
health,
jennifer
roberts
will
be
doing
part
of
our
program
on
mental
health
and
that
what
they're
offering
in
our
january
meeting,
which
will
be
january,
the
first
wednesday
in
january.
A
I
think
it's
january,
the
6th
but
I'll
put
a
calendar
invite
to
everybody
out
to
to
update
those
and
jamie
haley
who
was
on
our
committee
has
dropped
off
as
she
has
retired
from
local
first
and
she
is
just
taking
a
little
time
away
so
and
then
dan
bornstein
was
absent.
Today,
he's
got
getting
ready
for
exams
doing
them
virtually.
It
sounds
like
it's
a
nightmare,
so
I'm
getting
it
all
that,
but
but
a
lot
of
a
lot
of
good
things
going
on
in
our
community.
A
If
you've
got
documents,
please
reach
out
and
share.
I
saw
dr
reverend
dr
crystal
sears
was
on
from
the
faith-based
community
and
I
really
didn't
know.
We
haven't
really
heard
much
from
our
churches,
how
we
could
reach
out
and
help
or
or
where
they're
going,
but
that's
these
times
of
help
going
on
out
there.
I
just
want
to
make
sure
we
we
keep
our
faith-based
community,
knowing
where,
where
all
that
help
can
be
too
as
well.
So
I
didn't
know
reverend
sears
wanted
to
say
anything
or
not.
G
Thanks
paul
for
the
opportunity
to
say
something
we
we
see
firsthand
just
like
you
all
do
the
needs
in
our
community.
It's
a
matter
of.
If
you
see
where
we
can
assist,
then
we
can
help
and
get
the
word
out.
If
you
need
a
location.
G
You
can
shoot
me
an
email
or
text
me
and
say
you
know
we
need
a
location
for
you
know
this
nat
or
you
know
I
I'd
love
it
if
I
could
get
20
volunteers
for
this
event
or
anything
like
that
and
we
can
assist
my
husband
is
a
videographer
and
runs
a
business
with
virtual
conferences
and
and
stuff
like
that
and
so
to
help
the
community.
I'm
sure
there's
some
pro
bono
stuff
that
we
can
do
just
in
this
time
of
crisis
to
help
wherever
we
can
thanks
paul.
B
Anything
else
from
anybody.
I
just
want
to
say
again.
I
said
before
we
appreciate
the
expertise
from
this
group
and
we
appreciate
your
time.
We
know
your
time
is
valuable.
It's
very
valuable
to
us,
and
we
appreciate
that
when
I
say
us,
the
city
of
charleston-
and
we
know
we're
very,
very
fortunate
to
have
you
and
have
this
committee
together.
So
with
that,
if
there's
nothing
else,
I
want
to
wish
everybody
a
happy
hanukkah.
B
Merry
christmas
happy
new
year,
if
there's
any
of
you
that
are
traveling,
I
hope
you'll
travel
safely
and
keep
your
distance
where
you
mask
and
and
be
safe,
and
if
we
don't
see
you
before
we'll
see
you
next
year.
So
with
all
that,
we
will
call
the
meeting
to
in
the
journal.
Thank
you.