►
Description
City of Charleston Health and Wellness Advisory Committee 3/2/2022
B
Okay,
great
well,
good
morning,
everybody
thank
you
for
joining
us
for
the
march
2nd
2022
health
and
wellness
committee
meeting.
I
think
it's
the
61st
day
of
the
year,
it's
hard
to
believe.
We've
been
through
that
much
of
2022,
but
remember
last
meeting
was
groundhog
day.
Punk's
county
phil
probably
didn't
get
it
right
for
our
area,
because
forecasted
high
is
76
degrees.
Today,
azaleas
are
blooming.
Things
are
starting
to
look
like
springtime
out
there.
B
C
B
Okay,
thank
you
andrews
to
admit
the
minutes
have
been
approved.
We've
got
a
busy
schedule
today,
so
I'm
going
to
jump
right
into
it.
We're
going
to
start
off
with
most
of
you
know,
joey
current
the
health
program
manager
for
trident
united
way
and
joey's
going
to
be
leading
us
through
a
great
presentation
about
you
know
some
disappearance,
the
disparities
in
life
expectancy
and
some
things
that
we've
been
talking
about,
but
I'm
excited
to
hear
from
from
joey,
so
joy,
if
you
would
take
it
away
from
there.
D
Sure,
thank
you
so
much
for
the
opportunity
to
come
speak
so
for
folks
who
have
been
on
these
calls.
You
know
that,
as
a
as
a
group,
we
have
all
been
looking
at
the
life
expectancy,
data
that
come
that
comes
from
dhec
around
our
region
and
so
to
continue
that
conversation
and
to
maybe
have
some
discussion
about
what
next
step
we
might
take
to
address
these
disparities.
D
D
D
All
right,
so
this
is
our
familiar
map
of
life
expectancy.
This
comes
from
the
city,
health
dashboard.
We
have
similar
maps
that
have
come
directly
from
dhek
that
we've
looked
at,
which
show
the
same
things
that
are
that
are
the
darker
areas
of
blue
that
you
see
in
this
map
are
zip
codes
and
census,
tracts
where
the
average
life
expectancy
is
much
lower
on
average
than
the
lighter
zip
codes
and
census
tracts
that
you
can
see
here.
D
D
So
then,
the
next
logical
question
would
be
what
are
the
leading
causes
of
these
disparities
and
what
we
look
at
to
to
find
that
out.
We
look
at
our
leading
causes
of
what
is
known
as
premature
death,
so
in
on
in
south
carolina
last
year,
this
data
comes
from
the
national
hunter
center
for
health
statistics.
D
D
So
then,
the
next
question
we
have
to
ask
is:
what
are
the
factors
that
impact
these
these
causes
of
premature
death?
And
you
might
be
surprised
to
know
that
of
all
the
factors
that
affect
premature
death.
Health
care,
the
the
care
that
we
receive
when
we
go
to
the
hospital
or
to
a
clinic
only
accounts
for
about
10
percent
of
the
of
the
risk
for
these
premature
deaths.
And
so
we
see
that
genetics
obviously
play
some
part
and
there's
not
a
whole
lot
that
we
can
do
about
that.
D
But
then
you
see
this
60.
More
than
half
of
the
risk
factors
for
premature
death,
come
from
our
individual
behaviors
and
the
social
and
environmental
factors
or
the
the
environment
that
we
live
in,
and
so
the
the
diagram
on
the
right
just
basically
gives
you
a
a
description
of
of
what
are
called
upstream
and
downstream
factors.
So
downstream
factors
are
the
things
that
we
are
looking
at,
like
life
expectancy
infant
mortality.
D
D
Those
would
be
a
lot
of
times
the
programs
that
we
support,
that
our
organizations
and
government
offers
to
folks.
Those
programs
can
affect
people's
knowledge,
skills
and
attitudes
that
those
can
affect
those
health
behaviors.
And
then
we
have
policy
change
that
can
really
affect
policies,
systems
and
environments.
D
So
how
do
we
accomplish
this?
This
several
of
the
members
of
this
committee
have
come
together
and
looked
at
a
framework
which
can
help
us
address
these.
These
disparities
in
life
expectancy
and
this
framework
is
called
the
health
in
all
policies
framework.
There
are
five
elements
that
make
this
up
and
what
we
would
strive
to
do
as
a
group
would
be
to
promote
health,
equity
and
sustainability,
support,
intersectoral
collaboration.
D
Well,
there's
a
whole
list
of
of
mutually
beneficial
collaborative
ways
that
we
can
establish
these
priorities,
but,
of
course
we
have
to
consider
the
cost
effectiveness,
feasibility
and
honestly
what
what
things
our
city
has
has
power
over
and
then,
of
course,
we
want
to
consider
what
the
magnitude
of
those
health
impacts
are.
So
I've
g
I've
listed
just
a
few
examples.
D
A
guidance
or
best
practice
might
be
incorporating
strategies
that
promote
community
health
into
comprehensive
land
use,
which
we've
already
done
some
of
with
our
comprehensive
plan,
and
there
are
other
examples
in
there
too.
There
are
ways
that
we
can
affect
this
change
through,
permitting
and
licensing
through
regulation,
through
legislation,
ordinances
and
and
so
on.
So
there
are
lots
of
ways
that
we
can
do
this,
and
it
really
is
all
about
what
works
best
and
how
we
can
work
collaboratively
with
collaboratively
with
our
partners,
who
are
already
doing
this
work.
D
So,
as
I
mentioned,
we
have
already
done
some
pre-work
here
to
try
to
incorporate
health
and
wellness
in
our
comprehensive
plan.
That
would
be
one
of
the
tools
that
we
have
in
our
tool
belt
to
try
to
address
these
health
disparities,
and
so
I've
listed
out
on
the
screen
a
few
of
those
places
where,
in
the
city
plan,
we
have
incorporated
our
health
and
all
policies
approach.
D
You
can
see
that
it
mostly
focuses
around
transportation
and
built
environment
at
this
time.
Although
we
do
have
some
opportunities
built
into
our
city
plan
to
promote
things
like
community
gardens
in
addressing
food
deserts,
and
then
we
have
some
environmental
health
peppered
in
there
as
well.
Looking
at
the
effects
of
extreme
heat.
D
So
at
this
point,
I'm
going
to
turn
it
back
over
to
paul,
because
we
had
to
talk
previously
that
you
know
in
having
this
conversation
and
laying
the
groundwork,
for
you
know
what
we
might
want
to
do,
how
we
might
want
to
prioritize
our
work
and
what
steps
we've
already
taken.
It
would
be
a
good
time
for
us
to
kind
of
talk
about
what
partners
we
have
around
the
table
and
and
with
within
the
city
that
might
help
us
to
address
some
of
these
causes
of
premature
death,
so
paul
I'll
turn
it
over
to
you.
A
You
showed
what
some
of
those
metrics
were
of
of
where
the
numbers
were.
But
you
know
when
we
initially
were
talking
back
in
november,
we
were
talking
about
three
specific
areas
that
we
thought
were
going
to
be
the
leading
areas
that
that
we
should
focus
on
and
and
they
were
around
the
food
desert
areas
that
we
could
look
at
different
policies
with
that
we
were
looking
and
I'm
glad
nick
is
on
on
here
with
the
low
country
food
bank
that
maybe
we'll
have
some
more
to
to
add
in.
A
But
we
were
looking
at
food
deserts
in
these
locations
where
the
the
numbers
were
low.
We
were
looking
at
access
to
health
care
and
and
how
how
where
our
our
resources
are
located,
how
how
are
we
making
sure
people
are
getting
access
and
then
we're
looking
at
our
built
environment?
What
are
our
parks
and
recreation?
What
are
our
connectivity?
What
is
our
transportation
around
those
areas?
A
A
A
E
Hey
so
I'm
not
a
part
of
this
committee,
I'm
just
joining
out
of
just
sheer.
This
is
obviously
near
and
dear
to
my
heart
and
parks
and
rec
is
near
and
dear
to
my
heart
as
well,
but
so
I
know
for
me
one
thing
to
answer
your
question
again:
I'm
I'm
not
a
part
of
this
committee,
but
you
talk
about
connectivity
to
parks
and
recreation.
E
I
mean
this
is
certainly
something
that
I'm
dealing
with
in
my
community
and
something
that
I
hope
to
work
on
in
the
future
is
the
the
fact
that
you
know
par
half
of
my
island
part
of
my
district.
You
know
we
don't
have
sidewalks
walkways
bike
paths,
buses,
transportation-
that
can
get
some
of
these
children
to
our
recreation
center.
So
I
know
if,
if
you're
looking
for
a
place,
you
know
you're
asking
if
you
need
more
metrics
or
things
like
that,
but
you
know
I
think
you
can
look
district
in
in
specific
districts.
E
B
E
Yeah
and
one
thing
that
I'm
hoping
to
whether
it's
private
sector
I
mean
I,
I
know,
I'm
not
sure
exactly
what
y'all
are
working
on
as
far
as
having
the
city
get
involved,
but
whether
it's
city
wide
buses
that
can
help
get
these
children.
You
know
to
the
fields.
I
know
my
my
son
participated
on
with
a
football
team
that
you
know
offered
rides
to
and
from
the
games,
because,
obviously
all
of
these
parents
couldn't
get
their
kids
to
and
from
the
games
now
that
was
all
done.
E
I
think
privately
through
churches
and
you
know,
but
we
have
the
option
of
doing
that,
I'm
just
hoping
for
the
city's
support
getting
the
some
of
these
children
and
some
of
these
constituents
in
parts
of
my
district
that
you
know
either
have
you
know,
are
a
lot
of
what
I
heard
of
are
single
moms.
You
know
who
can't
get
their
kids
to
and
from
practice
things
like
that,
so
I'm
hoping
as
a
community
that
we
can
help
salt.
You
know
work
on
that
in
my
district.
B
Yeah
sure-
and
I
mean
that's-
certainly
something
that
we
can
bring
to
traffic
and
transportation
parks
and
recreation
committees
and
and
certainly
work
on
that
you
know
it.
It
has
been
a
discussion
in
the
past
in
some
areas,
but
yeah
we
can.
We
can
bring
that
you
know
bring
that
to
those
committees
which
will
of
course,
roll
right
into
city
council
as
well.
E
B
C
F
I
I
think
those
are
great
ideas.
Thank
you
annie,
and
I
mean
that
just
brought
to
mind
to
me
that
maybe
a
next
step
is
having
some
of
the
departments
that
representative
sheila
was
talking
about,
come
and
address
what
what
measures
or
what
they
might
already
be
doing
or
be
planning
to
do
in
these
specific
census,
tracts
that
have
the
greatest
disparities
around
the
issues
that
joey
sort
of
laid
out
from
the
comprehensive
plan.
F
G
Hey
councilmember
shealy,
dr
richardson
great
comment,
so
parks
and
recreation
I'll
speak
for
our
parks
department
as
well.
We've
just
finished
with
city
council's
backing
a
a
pretty
thorough
parks
and
rec
master
plan,
and
it
has
certainly
told
us
the
same
things
that
your
map
just
showed,
where
we
have
a
deficit
in
parks
and
rec
facilities
where
we
have
a
deficit
in
participation
in
city.
Sponsored
programs
is
in
those
same
areas
of
joey's,
joey's
tracks
and
graphs.
G
So
it's
very
obvious
that
those
two
things
are
linked,
and
so
I
think
that,
as
we
move
forward-
and
I
know
council
member
sheila
is
not
only
sharing-
this
valuable
committee
he's
also
chairing
the
standing
rec
committee.
I
know
that's
an
area
he's
looking
at
is:
where
do
we
start
with
those
policies
and
health?
Obviously,
we
have
parks
and
recreation
needs
city-wide,
but
when
you
look
at
29405
and
up
in
the
neck
area
and
those
kind
of
things,
it
certainly
plays
into
the
longevity
issues
for
life
and
some
of
the
health
disparities.
G
B
Very
good,
thank
you
lori.
I
appreciate
that
and
and
council
member
parker
is
also
on
that
recreation
committee,
so
we're
very
excited
to
have
her
on
there
as
well,
and
you
know-
and
I
know
that
laurie
and
jason
will
be
talking
a
little
bit
tomorrow
with
some
people
about
that
about
that
plan
and
we'll
have
our
recreation
committee
meeting
on
monday
as
well,
so
very
good.
So
thank
you.
H
May
I
add
something
yes
yeah,
so
that
was
great
information
and
I
wanted
to
kind
of
add
to
what
andy
was
talking
about,
because
with
suicide
I
just
emailed
paul.
Yesterday
there
was
some
new
research
put
out
by
the
office
of
suicide
prevention
with
dmh
and
usc
school
of
medicine,
and
I
do
think
education
around.
This
is
really
important.
H
Charleston
was
number
one
in
all
46
counties
for
suicidal
ideation
and
for
the
suicide
the
for
the
rate,
so
it
was
like
65.5
out
of
every
10
000
and
we
were
number
three
in
numbers
for
suicide
attempts,
and
you
know
there's
been
things
in
the
news
about
you
know.
Ems
calls
have
gone
up,
40
for
self
harm
calls,
but
in
charleston
I
think
it
was
85
from
2020
to
2021
for
self
harm
calls.
So.
H
Be
the
best
at
stuff,
but
I
don't
like
to
be
the
top
of
the
suicide
list,
but
yeah.
So
I
think,
and
I
offered
paul
you
know
I
could
get
our
dmh
suicide
prevention,
folks
or
myself
to
present
some
of
this
data
to
you
to
you
all,
but
I
do
think
it's
a
it's.
An
educational
campaign
and
people
need
to
know
and
they
need
to
know
where
their
resources
are.
You
know
musc
us
everybody
anybody
to
help
them,
but
it's
pretty
it's
pretty
shocking
data,
so
I
do
think
that's
really
important.
E
H
I
Happy
to
add
something
from
the
low
country
food
bank,
if
it's
helpful
as
well.
Thank
you
yeah.
No,
I
think
paul,
as
you
mentioned,
in
terms
of
food
access
and
obviously
we
we
work
with
a
number
of
different
partners,
partner,
food,
pantries
and
those
can
be
found.
We
have
access
to
where
those
could
be
found
on
our
website.
There's
a
find
a
food
pantry
and
that's
that's
clearly
indicated
in
terms
of
addresses,
but
also
on
a
map
as
well
with
with
contact
data.
I
So
that's
certainly
something
that's
easily
accessible
and
certainly
can
look
at
ways
and
means
in
which
we
can
share
that
more
broadly,
so
that
that
can
be
accessed,
but
that's
some
very
clear
information
in
terms
of
where
food
could
be
found
at
a
variety
of
different
pantries
throughout
throughout
charleston.
So
in
terms
of
access
to
food,
I
mean
the
other.
The
other
thought
that
I'm
thinking
about
as
well.
I
And
how
is
that
therefore,
linked
more
broadly
to
other
broader
opportunities
in
terms
of
economic
opportunities
in
terms
of
employment
opportunities,
when
we
think
about
transport
as
well,
how
transport
networks
enabling
people
to
be
able
to
access
employment
opportunities
to
be
able
to
have
a
guaranteed
and
secure
income
that
enables
people
to
have
access
to
services
like
food
and
health
care,
etc?
So,
that's
a
bit
complicated.
B
G
A
A
Whatever
is
going
on
in
those
areas.
Transportation!
That's
been
worked
on,
so
I
can
just
compile
that
list
at
the
same
time
for
you
and
then
then.
Finally,
we
can
we
after
we
come
back
with
some
recommendations,
but
I
do
think
one
of
the
things
we
had
talked
about
three
years
ago
when
the
pandemic
hit
us.
A
We
were
about
ready
to
have
a
little
symposium
to
start
talking
about
health
and
all
policies
and
inviting
we
needed
these
stakeholders
from
these
communities
at
the
table
with
us,
so
maybe
between
department,
headers
department,
heads
and
our
stakeholders.
We
could
all
at
least
then
begin
that
conversation
with
the
expertise.
That's
not
on
that's
on
this
commission,
as
well
as
in
our
other
areas
or
this
our
advisory
committee.
A
Here
I
think,
then
we
at
least
can
can
start
narrowing
down
what
those
metrics
are
and
and
how
each
each
group
is
going
to
work
toward
improving
those
metrics.
But
you
know
whether
it's
working
on
diabetes,
whether
it's
the
access
to
health
care,
which
is
working
with
transportation
connectivity,
whether
it's
to
food
deserts,
are
there
policies
that
could
be
put
in
place
to
try
to
attract
or
make
it
accessible
more
sort
of
leading
into
what
nick
says
about
where
food
access
is
and
where
we
have
vacancies
that
we
can.
A
What
kind
of
policies
do
we
have
to
put
in
to
try
to
move
the
needles
to
improve
move
the
progress?
Let's
get
rid
of
the
word
needles,
but
move
the
word
progress
in
those
areas
that
we
can
really
start
to
see
a
change
in
what
we,
what
we
can
do
as
a
community
and
that
try
to
you
know
the
mayor's
goal
is
to
take
these
60s
and
70s
and
let's
get
them
working
toward
the
80s
and
life
expectancy.
So
we
can't
do
it
by
just
talking.
A
We
got
to
make
sure
that
we
know
what
we're
measuring
and
how
we're
measuring
it
to
make
it
happen.
So
I'll
work
on
that,
I'm
I
keep
saying
I'm
being
aggressive,
but
this
is
bridge
run
month.
So
I
will
put
out
a
lot
of
memos
but
and
we'll
try
to
get
the
health
and
all
policies
together.
That
susan
is,
I
think,
still
cheering,
but
we'll
get
that
group
together
and
anybody
that
would
like
to
join
in
there.
A
It's
going
to
have
to
be
a
public
meeting
anyway,
so
we'll
just
put
out
a
notice
that
we're
having
the
meeting
and
invite
you
to
join
in.
If
you'd
like
to
learn
more
about
the
health
and
all
policies
and
and
specifically
the
metrics,
I
think
that's
what
we've
got
to
focus
on
is
every
one
of
these
items
that
we've
talked
about.
A
We
need
to
go
back
and
see
what
are
the
chronic
diseases
or
health
disparities
that
we're
really
talking
about
in
these
communities,
so
that
we
understand
is:
is
it
diabetes
in
this
one
community
just
driving
down
or
is
it
suicide?
Is
it
you
know
what
are
the
areas
that
are
being
hit
the
hardest,
and
so
we
know
how
to
address
them
to
to
really
make
a
difference.
It's
not
there's
not
a
one
solution
for
any
any
specific
area.
It's
a
combination
of
things,
so
we
just
need
to.
A
We
need
to
understand
all
those
and
we'll
we'll
work
on
that
over
the
next
month,
or
so
we
do
have
jennifer.
We
are
going
to
do
your
suicide
discussion
in
april
and
and
try
to
to
bring
in
some
of
the
discussions
there.
So
we
can
keep
that
on
the
focus
of
everything,
but
I
just
want
to
there's
some
things.
We
can
do
real
quickly
to
try
to
deal
with
it.
B
You
paul,
I
appreciate
that
very
much
all
right.
Well,
if
there's
nothing
else
on
that
agenda
item,
I'm
going
to
move
on,
I'm
actually
going
to
ask
dr
richardson
if
she
would
introduce
ashley
greene
who's,
a
a
data
analysis
analyst,
I'm
sorry
with
dx,
so
dot
richardson.
If
you
would
introduce
ashley,
I
would
appreciate
it.
F
Absolutely
thank
you.
So
ashley
has
been
a
cova
19
epidemiologist
with
us
pretty
much
for
for
most
of
the
two
years
that
the
pandemic
has
been
here
in
south
carolina.
She
came
to
us
from
musc
and
has
a
strong
background
in
data
analysis.
So,
basically
daily
she's
been
giving
us
reports
as
well
as
weekly
exposure
site
reports.
F
She's
really
been
helping
both
dhak
and
our
external
partners
be
able
to
understand
where
we
have
been
during
the
pandemic,
to
be
able
to
make
decisions
around
testing
and
vaccine
clinics,
preventive
measures
and
sort
of
things
and
for
our
management
team
meeting.
Last
week
she
put
together
a
sort
of
pandemic
in
review
for
low
country
region,
and
I
am
happy
to
say
that
she
was
available
to
present
it
to
us
today
so
ashley.
The
floor
is
yours.
Thanks
for
joining
us.
J
There
we
go
well
great,
just
just
a
little
bit
of
technical
difficulties
to
get
me
started
right,
a
few
more
seconds
to
gather
my
my
nerves
in
good
morning.
Everyone
and
thank
you
so
much
for
allowing
me
the
opportunity
to
share
some
of
the
data
that
was
collected
throughout
the
low
countries
pandemic.
Experience
over
the
past
two
years.
J
Awesome:
okay,
perfect,
like
perfect
all
right,
so
you
know
really
in
thinking
about
what
the
covet
19
experience
has
been
here
in
the
low
country.
I
was
quite
tickled
when
I
saw
an
image
that
was
shared
in
a
previous
presentation
that
was
delivered
by
dr
jane
kelly.
She
is
the
assistant
state
epidemiologist
for
for
dhec,
and
in
this
picture
it
depicts
the
the
parable
of
some
blindfolded
people
in
an
elephant,
and
this
would
have
been
the
first
time
that
they'd
come
across
the
cell
event
and
so
natural
curiosity
of
course
arose.
J
J
The
perception
that
ultimately
lead
came
from
them
ultimately
led
to
them,
making
an
inaccurate
decision
as
to
what
they
thought.
The
speak
thing
was,
and
so
in
my
mind
when,
when
I
saw
this,
I
thought
perhaps,
if
we
think
about
all
of
the
pieces
as
one
we
put
all
the
parts
together
and
we
removed
blindfolds
those
that
we
want
to
have
and
those
that
were
involuntary,
then
we
can
see
the
full
picture
and
the
conclusions
that
are
drawn
and
the
decisions
that
are
made
would
be
more
accurate.
J
We
must
remember
to
gather
the
parts
those
lessons
learned,
the
elements
of
humanity,
from
our
experience
and
in
those
we
we
have
great
hope,
will
give
us
the
the
optimal
success
that
we're
all
looking
for.
What
I
hope
is
gained
from
today's
presentation
of
the
covet
19
data
is
that
we
use
the
data
to
paint
a
picture
and
a
full
picture
in
order
for
us
to
maybe
think
about
not
only
what
we've
experienced,
but
what
er,
what
we,
we
hope
not
to
experience
again
and
how
we
can
plan
from
that.
J
So,
dr
richardson,
I
must
thank
you
for
sharing
this
this
source
with
us
and
this
taps
into
the
the
feelings
and
the
facts.
So
when
we
remove
our
differences
and
every
other
factor
and
focus
on
what's
in
front
of
us,
I
think
we
can
all
agree
on
two
things.
None
of
us
ask
for
this
pandemic
and
all
of
us
would
love
to
see
it
go
away.
J
What
we
must
remember
is
that
the
pandemic
is
about
people
all
people
everywhere.
So
today,
in
a
few
moments,
I
will
do
my
best
to
connect
the
number
to
the
people
and
the
data
presented
are
people.
So
this
this
image
comes
from
a
project
called
the
intimate
portraits
of
a
hospital
covenanting
unit
from
a
photo
journalist
turned
nurse
by
alan
hawes
and
allen.
J
J
Let's
take
a
look
at
some
of
the
numbers
which
are
people
so
over
the
past
two
years.
Momentous
two
years
would
be
an
understatement.
We
have
had
a
we're,
gonna
look
at
the
low
country,
rear
view
mirror
here,
and
this
data
is
up
to
february
the
19th.
So
I
want
to.
I
want
to
make
sure
I
state
that-
and
I
also
want
to
to
note
that
you
know
our
data
is
live
data
and
sometimes
there
are
reporting
delays
inside.
J
J
J
J
J
Orangeburg
county
had
the
highest
cases
per
hundred
thousand
at
twenty
two
thousand
four
hundred
and
four
cases
per
hundred
thousand
and
calhoun
county
had
the
lowest
at
one
thousand.
Two
hundred
and
eighty
nine
cases
per
hundred
thousand
right
next
to
it
in
red,
is
the
death
per
capita
and
collison
county
had
the
highest,
which
is
523
deaths
per
100,
000
and
beaufort
county
had
the
lowest
at
161
deaths
per
100,
000
and
just
next
to
the
column
that
has
the
desk
per
hundred
thousand
is
the
case.
J
Fatality
rate
case
fatality
rate
has
not
been
a
metric
for
decision
making,
but
it
certainly
has
been
one
that
has
been
helpful
in
comparing
the
indus
in,
like
an
indicator
for
outcomes
and
being
able
to
compare
counties
in
terms
of
death
as
an
outcome
within
in
those
counties,
and
that
helps
to
highlight
things
like
where
we
need
areas
where
they
take
areas
are
for
maybe
increased
testing
or
to
promote
earlier
testing
and
vaccine
uptake
so
on
and
so
forth.
So
just
to
sort
of
define
case.
J
Fatality
rate,
though
case
fatality
rate,
is
the
number
of
people
out
of
all
of
the
people
that
have
had
copied
and
been
confirmed.
It's
the
number
of
people
that
have
have
died
from
covid,
so
we're
looking
at
the
number
of
people.
Who've
died
from
covet
out
of
all
of
the
people
who
who
had
coveted
and
that's
how
we
derive
our
case,
fatality
rate.
J
J
That
just
went
that
that
occurred
with
a
variant,
and
so
this
is
a
epicurve
which
illustrates
the
confirmed
cases
for
the
full
pandemic
and
we're
going
to
be
looking
at
confirmed
cases
a
little
bit
more
closely
and
and
that's
because
the
the
definition,
and
sometimes
the
the
meaningful
use
of
the
probable
cases,
has
changed
and
been
updated
throughout
the
course
of
the
pandemic.
But
the
confirmed
definition
is
is
what
is
standard
across
the
board
right
so
for?
If,
if
we're
looking
at
2020.
J
And
we're
looking
at
the
confirmed
cases,
so
the
confirmed
cases.
This
is
226
720.
in
2020,
we've
had
50
000,
59
105
cases
and
that's
26
of
the
total
number
of
cases
that
we've
had
from
the
beginning
of
the
pandemic.
To
february
the
19th
in
2021,
we've
had
98
669
cases
that
were
confirmed,
which
is
44
of
the
cases
and
we're
cheers
at
the
beginning
of
of
march,
and-
and
we
talked
about
the
the
data
coming
from
february
so
in
in
february.
J
At
the
time
that
this
this
data
was
generated,
we
had
already
seen
68
946,
confirmed
cases
which
is
30
so
just
within
the
first
really
month
and
a
half
in
the
new
year
2020,
and
we
still
have
10
months
to
go.
Nine
and
a
half
months
ago,
we've
already
seen
30
of
the
covet
19
cases
overall
30
from
the
overall.
J
C
J
That
the
waves
they
didn't
get
smaller,
those
surges
got
higher,
but
how
we
responded
to
them.
You
know
that
that
also
changed
over
time
and
it's
it's.
It
is
evolving.
It
continues
to
evolve,
even
though
we've
seen
higher
case
numbers,
and
that
has
to
do
with
like
the
severity
of
the
disease
and
decision
making
that
follows
the
trends
of
the
data,
so
we'll
we'll
take
a
look
at
that.
J
There's
a
couple
of
areas
that
we
should
talk
about
with
this
slide,
and
that
is
with
each
of
these
surges,
as
we
said
that
the
peaks
got
higher.
We
also
got
to
look
at
when
we
look
at
the
the
wave.
We
want
to
look
at
the
the
size
of
the
waves
if
we
were
to
compare
the
size
of
this
surge
wave,
that
falls
under
the
omicron
variant
and
we
compare
it
to.
J
A
J
D
B
J
Oh,
absolutely,
absolutely
and
and
I'll
make
sure
that
the
slide
deck
is
available
and
we're
always
available.
So
if
you
have
any
questions
or
any
concerns
that
you
know
that
you
would
like
to
to
discuss
with
us,
we're
always
there
to
do
that
and
then
also
we're
always
available
to
make
any
sort
of
specialized
reports
for
you.
J
So,
thank
you
sure,
so,
that's
a
epic
curve
of
the
deathsman
and
and
of
course,
if
we
wanted
to
look
at
the
deaths,
we
will
see
that
109
was
at
our
peak
and
for
our
most
recent
omicron
variant
surge.
We
at
this
point
had
82
deaths
per
week
and
those
do
come
in,
like
we
said
late,
depending
on
coroner
report
and
vital
statistic
reports
and
so
on.
J
J
Vaccination
still
is
a
our
leading
public
health
cova
19
prevention
strategy,
so
we
definitely
want
to
still
promote
vaccination.
The
low
country
is
when
it
comes
to
completed
covenanting
vaccinations,
we're
doing
a
bit
better
than
the
overall
vaccination
percentage
here
for
the
state
at
this
time.
At
this
time
we
had
13.6
of
south
carolina
children,
five
to
11
that
had
been
completely
vaccinated,
so
still
a
large
area
for
improvement
out
of
all
of
the
children
that
are
eligible
for
vaccination.
J
As
we
have
probably
become
all
aware,
there
is
emerging
updates
being
made
to
our
guidance
and
recommendations,
and
the
cdc
has
been
briefing
us
on
how
at
this
point,
the
guidance
has
changes
and
changed,
and
how
they're
going
to
be
the
method
that
they're
going
to
be
using
to
sort
of
gauge
our
covet
19
pandemic
experience
at
the
time
and
and
the
positive
is
that
we're
not
locked
into
one
way
or
another
built
into
those
plans
are
opportunities
for
us
to
re-engage
in
and
re-uptake
public
health
mitigation
measures.
Should
we
see,
increases.
J
Present
themselves,
and
and
some
of
those
metrics
that
they're
going
to
be
looking
at,
is
what's
happening
in
the
hospital
system
and
the
severity
of
disease
is
going
to
be
very
important
for
how
we
manage
during
those
times,
but
this
is
this
is
valuable
for
us
at
this
time,
because
it
does
allow
us
to
give
a
very
fatigued
community,
an
opportunity
to
return
to
some
normalcy
while
we
can,
and
during
this
period
of
time.
So
I
certainly
appreciate
having
the
opportunity
to
share
this
with
you,
like.
J
B
F
Yeah,
I
I
don't,
I
think
ashley
ended
by
mentioning
the
new
cdc
guidance
and
d
hack.
Everyone
just
received
that
on
monday
of
this
week,
and
so
dhec
is
processing
that
and
working
on
putting
out
south
carolina's
specific
documents
around
those
three
new
metrics
and
that's
new
cases
per
capita
over
the
last
seven
days
and
then
two
related
to
hospitalizations
new
coca-19
admissions
per
capita
and
the
percent
of
staff
to
inpatients
inpatient
beds
occupied
by
cover
19
patients.
F
That
date
is
already
it
will
come
out
from
the
cdc
every
thursday.
So
the
map
that
looks
by
counting
and
divides
up
into
three
indicators:
low,
medium
and
high
charleston
county.
This
is
the
first
week
it's
been
provided
and
is
in
the
medium
risk
group.
So
I
think
I'll
stop
there,
just
in
the
interest
of
time
and
I'm
happy
to
take
questions
now
or
feel
free
to
reach
out
to
me
after
this
meeting.
Thank
you.
E
F
I
can
I
can
address
that,
so
I
mean
we
didn't
provide
that
in
the
in
the
presentation,
we're
trying
to
keep
it
short
and
sweet
to
to
get
it
in
and
allow
everyone
to
give
feedback,
but
we
certainly
have
numbers
of
total
hospitalizations
as
death
and
deaths
in
the
low
country
region.
Dhec
on
the
website
does
put
out
monthly
of
those
who
have
died,
what
percentage
were
vaccinated?
What
percentage
have
had
other
chronic
diseases?
F
E
I
know
mrs
green
said
it,
but
you
know
we
had
immense
amounts
of
forced
testing
tests
being
inaccurate
and
we
also
had
fraudulent
testing
sites.
I
mean
none.
I
just
feel
like
those
type
of
things
aren't
really
mentioned
in
in
those
surges.
You
know
and
a
lot
of
people
who
are
making
decisions
surrounding
this
are
looking
at
this
one
metric,
seeing
this
huge
rise,
but
I
don't
feel
like
a
lot
of
that
is
ever
mentioned.
F
I
mean
no
test
is
perfect.
I
think
these
tests
are
actually
very
good
in
general,
both
the
pcr
and
the
antigen
test.
I
do
think
that
they
look
at
slightly
different
things
and
we
can
certainly
you
know,
talk
more
about
that,
but
but
I
do
think
that
the
tests
are
generally
accurate.
I
certainly
that
is
true.
With
the
number
of
tests
done
across
the
nation,
there
is
going
to
be
some
very
small
percentage
of
vendors
who
you
know
take.
F
F
E
Clearly
there's
a
metric
that
certain
organizations,
whether
it's
school
district
city,
county
whatever
it
is
to
forced
testing.
I
think
that
that's
an
important
data
point
when
we
see
a
huge
spike
like
that,
but
again
I'm
not
a
data
girl
and
I'm
not
in
the
medical
profession.
But
when
we're
talking
about
whole
picture
elephant,
I
think
those
things
are
important.
F
I
certainly
think
the
testing
has
risen
with
each
of
our
surges,
as
the
community
has
had
more
symptoms
and
and
been
concerned
about
their
health
and
gone
in
for
testing.
Certainly,
some
organizations
and
schools
have
decided
that,
whether
it's
screening,
testing
or
testing
for
symptoms
to
return
to
school
was
the
best
thing
to
keep
their
communities
safe.
That
has
certainly
happened.
Some.
What
we're
seeing
is
we're
really
moving
away
from
pcr
testing
to
at
home
testing.
E
Okay
and
I
would
love
to
see
the
vaccinated
verse
unvaccinated,
I
mean
I
still
you
know
I
get
that
this
is
a
big
part
of
the
health
and
wellness
committee.
I
mean
I,
but
I'm
I'm
still
a
little
confused,
but
obviously
not
to
go
on
a
tangent.
I
mean
these.
These
metrics
are
certainly
what
you
know
our
hr
department,
our
mayor,
whatever
are
looking
at
you
know
for
our
employees.
So
that's
why
it's
really
important
that
I
am
looking
at.
E
You
know
obviously
vaccinated
first
unvaccinated
because,
like
you
said
we're
y'all
are
headed
towards
the
at-home
test,
but
our
city
is
not
allowing
our
employees
to
do
so.
So
these
type
of
metrics
and
numbers,
I
think,
are
really
important
to
have
that
big
picture
conversation,
because
you
know
we're
implementing
strategies,
and
you
know
these
aren't
really
inclusive
decisions
for
looking
at
the
big
picture.
If,
if
we're
not
including
that
type
of
those
type
of
metrics.
F
I'm
happy
to
provide
you
any
information.
You'd
like
you
can
just
reach
out
to
me
through
paul
after
after
this
call,
but,
as
I
said,
the
vaccine
versus
the
unvaccinated.
I
think
there's
lots
of
data
that
those
who
are
unvaccinated
are
suffering
more
of
the
severe
consequences,
both
hospitalizations
and
deaths.
B
B
All
right
and
I'll
share
this
little
link
that
I
just
shared
with
everybody,
but
I
know
alan
hawes
was
brought
up,
but
there's
a
great
news
story.
Most
of
you
probably
seen
it,
especially
those
that
are
connected
with
musc,
but
I
think
it
was
david
begneau
and
aisha.
Tyler
did
a
great
presentation
on
what
was
going
on
inside
musc.
B
B
All
right
paul
is
there
anything
else
that
we
need
to.
Oh,
I
do
want
to
ask
one
question
on
here
before
we
go.
We
don't
have
everybody
on
here,
but
I
wanted
to
kind
of
get
a
sense
of
whether
we
wanted
to
stay
with
our
zoom
meetings
or
whether
we
want
to
go
back
to
meeting
in
person.
Does
anybody
have
an
opinion
on
that
and
where
we
are
with
that.
B
Okay,
well
zoom's
more
convenient
that
that's
great
that'll
that'll
be
fine.
We
can
continue
with
that.
Maybe
we
even
go
with
a
hybrid
type
situation
if
we
want
to
in
the
future,
but
I
kind
of
just
wanted
to
get
a
feeling
from
everyone,
so
I
apologize
that
we
ran
over
a
lot
of
great
information,
great
meeting,
and
I
appreciate
it
as
always
everybody's
time.
I
know
your
time
is
very
valuable
and
we
appreciate
you
giving
your
time
to
this
committee.
It
helps
us
a
bunch.