►
Description
City of Charleston Health and Wellness Advisory Committee (Virtual) 10/7/2020
B
C
C
B
B
I
know
that
typically
anton
likes
to
take
us
through
a
fun
reflective
exercise,
but
in
the
interest
of
of
keeping
that
his
little
thing
and
in
the
interest
of
keeping
us
on
on
track
for
our
full
agenda,
I'd
like
to
move
through
the
agenda
and
paul,
if
you
wouldn't
mind,
maybe
taking
taking
the
role-
and
we
do
have
some
special
guests
with
us
today
as
the
the
second
item
on
our
agenda-
is
a
results
of
a
study.
That's
been
done
through
a
group.
That's
represented
here
today.
C
Okay,
let
me
in
the
meantime,
I'm
gonna
make
morgan
a
co-host
so
that
she'll
be
ready
to
go
with
her
presentation.
We
have
on
the
on
the
call
today
or
in
our
zoom.
We
have
morgan
huey,
dr
hughes
of
the
college
of
charleston
dan
borenstein,
with
representing
the
solo
kevin
sheeley
is
one
of
our
city
council
members
mark
dixon
represents
the
wrote
for
saint
francis
joe,
is
representing
the
college
of
charleston
and
does
our
adolescence
area
group.
C
C
C
We
have
a
guest
dr
robert
ball
from
musc.
The
infectious
control
probably
didn't
say
that
right
but
robert's
joining
us.
Then
we
have
susan
johnson
from
mdsc
who
represents
our
built
environment
and
we
have
a
special
guest,
tracy
mckee.
Who
will
give
us
an
update
on
the
city's
where
we
are
with
the
health
program
with
the
city,
and
I
believe
the
iphone
is
that
jan?
Are
you
the
one
on
the
iphone.
C
Joyce
green
joyce
welcome
we're
glad
to
have
you
and
I'm
not
sure.
I
think
the
mayor
was
supposed
to
join
in
and
seek
him
at
some
point
so
as
they
come
in,
we
will
welcome
them
and
at
this
time
the
mayor
is
just
coming
on
so
I'll.
Let
him
get
into
the
chat
mayor.
We
welcome
you
we're
getting
ready
to
and
bornstein
is
our
chair
today,
so
we'll
introduce
him.
C
B
B
So
it's
really
in
that
that
latter
vein,
the
idea
of
of
continuing
to
just
generally
be
forward
thinking
in
the
manner
in
which
we
think
about
health
and
wellness.
It's
really
my
pleasure
to
introduce
dr
morgan
huey
from
the
college
of
charleston,
who
put
together
a
really
wonderful
collaborative
team,
to
look
at
bikeability
in
and
around
the
peninsula
area
and
morgan
is
a
is
a
very
well
respected,
scientist
in
the
area
of
physical
activity
and
public
health,
and
it's
a
pleasure
to
welcome
her
today
and
I'll.
B
E
Thanks
dan
hi
everyone
thanks
for
giving
us
a
little
bit
of
time,
we're
just
gonna
present
for
about
10
minutes
here.
I
know
that
you
have
pressing
needs
to
talk
about,
but
we've
had,
like
dan
said:
we've
been
working
as
public
health
professionals
exercise
science
and
civil
and
environmental
engineering
to
work
together
to
think
about
and
study
how
we
can
make
charleston
a
more
active
living
city.
E
E
We
talk
about
our
chronic
diseases
with
heart,
disease
type,
2,
diabetes
and
even
some
cancers,
but
I
also
really
want
to
link
it
to
our
current
covid19
crisis
and
we
see
that
physical
activity
has
been
recommended,
particularly
for
mental
health
and
physical
inactivity,
is
our
risk
factor
for
the
severity
of
covid19.
So
we
really
need
to
promote
physical
activity
for
a
variety
of
health
issues
that
we
face,
and
we
really
need
to
do
that
in
a
lot
of
different
ways.
E
We
need
to
promote
physical
activity
for
individuals
and
communities
based
on
their
individual
needs,
but
more
and
more
work,
including
my
research,
shows
that
the
communities
where
we
live,
work
play
and
pray
can
really
shape
our
behaviors
and
our
overall
health
and
wellness,
and
particularly
the
infrastructure
in
those
communities.
Can
we
walk?
Can
we
bike?
Can
we
be
in
green
space
in
nature,
and
this
infographic
on
the
right
is
from
the
surgeon
general's
step.
E
And
charleston's,
really
no
different.
One
statistic
is
that
20
of
adults
here
in
charleston
report
no
leisure
time,
physical
activity,
which
we
would
like
to
see
change,
and
we
really.
I
I
put
the
statistic
in
the
middle
to
show
the
percentage
of
people
that
use
active
transportation
in
our
city,
so
about
a
little
bit
less
than
six
percent
walk
and
about
2.5
bike
to
work.
E
So
we
really
see.
This
is
an
area
that
we
can
increase
and
improve
to
improve
population,
physical
activity
and
that's
really
linked
to
our
to
transportation
and
how
we
get
around
in
the
city
of
charleston,
and
data
from
the
national
household
transportation
survey
shows
that
45
of
all
car
trips,
so
this
is
to
work
to
school,
to
run.
E
How
active
can
we
be
with
the
bike
share
so
on
this
slide?
The
top
row
are
the
steps
that
we
took
to
estimate
the
specific
physical
activity
of
each
bike
share
ride
and
on
the
second
row
I
provided
an
example
with
one
specific
bike
ride
of
how
we
did
this.
So
if
you
haven't
ridden
the
holy
spokes,
they're
really
fun
to
ride.
I
recommend
it.
If
you
engage
the
bike
and
you
start
your
bike
ride,
every
bike
has
a
gps
unit,
and
so
it
starts
and
tracks
every
single
bike
ride.
E
That's
done
in
the
city
of
charleston,
so
using
data
from
that
gps
monitor,
we
were
able
to
to
estimate
the
physical
activity
two
important
variables
that
the
gps
monitor
captures
is
the
trip
distance.
So
how
long
was
the
was
the
ride
and
that's
captured
in
miles
as
well
as
how
long
was
the
ride?
The
duration?
We
measured
that
in
minutes.
So,
for
example,
one
bike
share
ride
was
a
total
of
3.5
miles
and
it
took
30
minutes
to
complete.
E
So
using
that
data
we
collect
calculated
the
average
speed
of
each
bike
share
ride
in
miles
per
hour,
and
so
this
accounts
for
coming
to
a
stop
at
stop
signs
or
stop
lights
and
acceleration,
and
so
the
average
speed
in
our
example
for
that
bike,
ride
was
seven
miles
per
hour,
and
so,
using
that
seven
miles
per
hour,
we
assigned
a
met
value.
So
a
met
stands
for
metabolic
equivalent,
and
this
is
one
way
we
measure
how
much
energy
expenditure
we
do
during
physical
activity.
E
So,
for
example,
one
met
represents
resting
energy
expenditure,
so
the
what
how
much
oxygen
we're
consuming?
How
much
energy
we're
expending
while
resting
while
sitting
and
another
example
is
3.5
mets-
represents
a
moderate
intensity
which
is
roughly
equivalent
to
a
brisk
walk,
and
so
we
used
one
other
resource
called
the
compendium
of
physical
activities.
E
So
we
took
the
speed
of
the
bike
ride
and
looked
at
the
corresponding
met
value
from
the
compendium
of
physical
activities
and
assigned
that
value.
We
needed
one
more
step.
What
we
really
wanted
to
do
was
have
the
number
of
met
minutes,
because
then
we
could
compare
the
energy
expenditure
of
the
bike
ride
to
national
physical
activity,
recommendations,
which
is
just
the
gold
standard.
E
E
E
E
And
relating
that
to
the
national
physical
activity
recommendations
on
average
we
calculated
each
bike
share.
Ride
was
about
160
minutes.
So
if
we
were,
comparing
that
to
those
recommendations
on
average
about
three
bike
share
rides
would
help
an
individual
accumulate
enough
physical
activity
to
meet
the
weekly
physical
activity
recommendations.
E
You
might
be
thinking
that
the
bike
share.
Do
local
people
use
this,
or
is
it
just
people
that
are
visiting
our
beautiful
city?
So
we
have
the
same
question
and
we
have
this
great
data
set
with
our
partnership
with
gotcha
mobility
that
provided
all
this
data
on
the
bike
share
rides,
so
we
had
very
lit
limited
individual
information
for
privacy
purposes,
which
we
completely
understood.
The
only
thing
that
we
did
have
and
we
used
was
the
membership
type
that
was
used
to
engage
the
bike.
E
So
we
talked
with
staff
there
and
based
on
the
membership
type,
we
were
able
to
classify
local
users
of
the
bikeshare
and
non-local
users
so,
for
example,
a
local
user,
their
membership
types
such
as
annual
musc
and
student
memberships,
and
then
non-local
were
things
like
a
day
pass.
So
someone
that's
visiting
for
one
day.
E
So
we
did
see
pretty
big
differences
which
were
not
surpri
very
surprising
to
us.
The
local
bike
share
users
had
shorter
trips,
but
at
a
much
greater
speed,
so
a
greater
intensity
of
physical
activity,
and
we
really
believe
that
that's
representative,
more
of
the
transportation
element
of
trying
to
get
to
a
point
from
point
a
to
point
b
versus
maybe
a
leisurely,
stroll
to
enjoy
and
see
our
city.
E
So
this
is
one
example.
This
is
one
study
with
concrete
empirical
evidence
that
active
transportation
and
recreation
really
can
be
significant
contributors
to
increasing
physical
activity
levels
here
in
charleston,
for
our
for
individuals
in
our
community,
but
if
you've
walked
and
biked
around
charleston,
which
I
do
every
day
down
here
to
cfc,
we
really
need
to
make
biking
and
walking
accessible
and
safe
for
everyone,
so
combining
with
our
the
health
aspect
of
the
project,
this
data
will
be
put.
E
This
is
the
data
that
will
be
presented
by
my
transportation
engineering
colleagues
to
our
city
planners.
In
about
a
week
and
a
half,
we
looked
at
the
bike
suitability
of
the
street
segments
here
in
charleston,
and
so
they
classified
and
ranked
all
street
segments
and
each
one
got
a
grade
from
a
to
f
on
the
bike.
Suitability,
a
lot
of
green,
a
lot
of
a
and
b
of
local
streets
that
people
can
bike
on.
E
So
we
plan
to
we're
going
to
continue
to
to
work
on
these
issues
that
we
see
with
our
multi-disciplinary
research
team,
strengthen
partnerships
with
key
stakeholders
like
yourselves,
it's
good
to
see
a
lot
of
familiar
faces
and
advocate
for
action.
Ultimately,
we
want
to
see
a
more
active
city
of
charleston,
that's
safe
and
walkable
and
bikeable.
E
Our
next
study
we're
going
to
compare
bikes
and
electric
assist
bikes
that
gotcha
mobility
is
launching
in
different
areas
in
the
us,
and
we
would
also
love
to
evaluate
our
new
infrastructure.
That's
coming
the
ashley
river
bridge
crossing
so
really
appreciate
your
time
today.
I
don't.
We
might
have
a
few
minutes
for
questions,
but
please
feel
free
to
reach
out
to
any
of
us.
Thank
you
very
much.
B
Thank
you
so
much
morgan,
you
know
I'm
I'm
always
struck
when
I,
when
I
see
a
picture
of
the
peninsula,
it's
the
shape
of
a
heart
and
we
want
that
heart
to
be
as
vibrant
and
strong
as
possible,
and
so
just
a
brief
commentary
there.
But
let
me
let
me
open
it
up
to
the
group
and
see
if
there
are
any
questions
for
dr
hughie
with
respect
to
this
particular
study
or
just
general
questions,
maybe
about
bike
ability,
walkability
and
some
of
the
issues
that
we've
been
discussing
over
time.
F
Dan,
this
is
susan,
johnson
morgan.
It's
great
to
see
you.
I
always
love
hearing
about
your
work.
I
have
one
quick
question
about
collaborations:
did
you
by
chance?
I
know
you
said
you
were
presenting,
I
think,
to
the
planning
group,
but
the
city
have
you
been
collaborating
with
charleston
moves,
because
I
know
they
have
a
lot
of
data
as
well.
E
Yeah
we
we
touch
base
as
a
research
team
with
them
about
once
a
quarter
just
to
kind
of
share
updates
and
where
we're
at,
and
they
also
recommended
that
we
maybe
do
a
similar,
very
brief
presentation
to
the
bike
pet
advisory
committee,
but
yeah
we're
in
we're
in
communication
with
them
and
how
maybe
how
they
can
use
our
our
empirical
data
for
advocacy
as
well.
Great.
Thank
you.
A
E
Yeah,
that's
a
great
question.
I
have
learned
a
lot
being
here
in
charleston
and
I
know
that
there
are
some
great
plans
in
place
like
the
people
pedal
plan,
and
I
know
that
this
is
a
big
part
of
the
10-year
comprehensive
plan.
That's
coming
up
and-
and
it
was
great
to
hear
from
city
employees,
they
want
to
see
this
work
and,
of
course,
we've
agreed
to
share
our
data
and
integrate
that.
E
I
think
it's
really
just
putting
those
plans
in
place
and-
and
we
hope
to
be
able
just
to
provide
empirical
evidence
for
maybe
some
priority
areas
that
we
see,
as
maybe
that
have
the
most
issues
or
maybe
ranked
the
lowest
in
our
bike
suitability
index
for
action.
So
I
think
there's
a
lot
of
people
that
agree
and
want
to
take
action
to
make
more
biking
and
walking
friendly.
And
so
it's
just
taking
those
steps.
G
So,
thank
you,
dr
hugh,
for
this
work.
It
will
help
push
our
efforts
along
and
you're
right,
they're
great
plans
in
place
and
we
just
need
to
push
along
and
get
some
more
of
them
accomplished
and
unfortunately,
joey
that
often
comes
down
to
funding
and
also
jurisdictional
bureaucracy,
because
80
of
the
streets
are
dot
streets
and
only
20
are
cities.
So
we
always
have
you
know
issues
with
getting
permission
to
do
things
that
we
would
like
to
do.
G
B
And
let
me
let
me
thank
you
mayor
for,
for
bringing
that
up,
and
I
know
economics
is
always
one
of
the
big
challenges,
and
I
let
me
jeff
davis,
dr
davis,
from
our
civil
engineering
department,
has
also
been
involved
in
this
research,
and
he
and
I
have
collaborated
on
some
different
things
and
one
of
them
being
trying
to
estimate.
You
know
the
economic
impact
of
of
bike
ability
and
walkability
and
and
jeff.
H
Yeah
thanks
dan
and
thanks
so
much
for
letting
us
present
some
of
our
research
today.
I
think
you
know
it's
a
it's
an
overlapping
area
now
between
transportation,
physical
activity
and
public
health
and
and
there's
a
new
paradigm
and
how
we
think
about
mobility
and
all
that
we
want
mobility
to
provide
for
our
communities.
So
you
know
making
decisions
to
to
truly
embrace
multi-mobility
and
and
and
being
able
to
accommodate
short
trips
outside
of
personal
vehicles.
H
B
B
Okay,
well
to
morgan
and
the
team
that
did
this
work
thanks
so
much
for
your
efforts,
not
only
in
this
research
but
but
to
come
and
present
to
us
today,
and
these
are
topics
that
are
very
much
related
to
things
we'll
be
discussing
a
little
bit
later
on
in
the
agenda,
things
like
health
and
all
policies
and
health
equity.
So
so
this
this
will
resonate
through
the
rest
of
our
meeting.
So
thanks
so
much
for
taking
time
today
and
and
we'll
we'll
be
in
touch.
B
Okay
and
with
that
I'd
like
to
move
on
to
the
next
item
in
the
agenda,
which
is
our
our
shifting
from
being
really
forward
thinking
to
thinking
about
some
of
our
immediate
challenges,
which
is
obviously
covet
19
is
our
most
significant
media
challenge.
So
I
wanted
to
ask
tracy
mckee
if,
for
an
update
on
for
the
charleston
area,
tracy.
I
Thank
you
good
morning,
everyone
and
just
really
quickly,
as
an
avid
runner
and
cyclist
and
former
board
member
of
charleston
news.
I'm
really
glad
to
be
here
today
to
to
see
dr
hughie
and
the
team
their
work
and
hear
their
presentation.
So
thanks
for
for
all
that,
you
guys
are
doing
it's
great
stuff.
I
We
seem
to
be
be
hovering
there,
so
so
with
that,
we
we've
been
here
for
a
while.
We've
seen
good
numbers
and
so
part
of
our
you
know.
Phased
reopening
plan
was
to
basically
use
this
data
to
help
dictate
or
help
us
determine
when
we
can
loosen
the
faucet
just
a
little
bit,
and
so
we've
decided
that
we
would.
I
We
are
going
to
move
into
phase
three
and
have
been
making
preparations
for
that
over
the
next
few
weeks
and
it's
a
four-phased
approach
so
so
phase
four,
it
kind
of
gets
us
to
so
what
we've
kind
of
called
our
new
normal
with
phase
with
phase
three,
I
think
kind
of
the
biggest
the
biggest
change.
If
you
will
is
our
our
offices
are
open
to
the
public.
But
when
I
say
that
we
I
want
to
be
clear
that
we
are
encouraging
our
citizens
to
continue
to
do
business
with
us
digitally.
I
We
are
obviously
using
masks.
That's
a
requirement
social
distancing.
We're
also
asking
everyone
to
limit
that
in
person
time
to
less
than
15
minutes.
So
do
everything
possible
over
the
phone
and
through
video
as
much
as
possible
and
we're
also
encouraging
people
to
make
appointments
so
that
we
don't
have
influx
of
people
so
we're.
So
those
are
the
things
that
we
are
really
working
on
in
the
city
this
week.
I
Of
course,
we
are
not
afraid
to
dial
it
back
if
our
numbers
do
start
to
start
to
change.
We
know
we
know
how
to
do
that.
We
know
what
to
do,
and
so
we
are
not
afraid
to
do
that.
I
think
the
biggest
thing
for
me-
and
I
think
for
our
team
is,
is
right.
Now
I
think
everyone's
aware
we're
seeing
some
increase
in
cases
in
europe,
as
well
as
new
york
city,
some
places
that
had
things
very
much
under
control.
I
B
Tracy,
let
me
first
just
give
my
thanks
to
to
you
and
the
group,
and
particularly
the
city,
for
continuing
to
to
make
data-driven
decisions
and
and
to
follow
those
quite
closely
as
we
as
we
take
this
phased
approach.
Knowing
knowing
that
we
need
to
proceed
with
caution,
but
that
we're
always
using
the
data
to
drive
the
decision,
which
I
think
is
quite
commendable,
and
if
there
are
some
questions
for
tracy,
let's
go
ahead
and
have
those
taken
now.
B
B
J
Thank
you.
Thank
you,
mr
mayor
and
tracy,
thank
you
for
your
reports
and
all
that
you
do
with
this.
You
know
that
I
look
at
this
pretty
much
daily
because
when
it
went
wacko
the
other
day,
I
I
got
you,
but
I
wanted
to
just
check.
This
may
be
more
of
a
dr
richardson
question.
I'm
not
sure
just
wondering
how
important
that
seven
percent
positivity
rate
is
because,
in
my
mind,
I'm
thinking.
Okay,
if
we
had
more
well
people
go
and
take
this
thing,
then
we'd
be
at
this
five
percent.
J
That's
this
magical
number
that
puts
us
in
the
green
and
I'm
just
curious
and
as
in
my
mind,
I'm
thinking.
Okay,
as
we
move
into
the
colder
weather
and
people
start
having
non-coveted
illnesses
colds
and
things
like
that.
We're
going
to
have
more
positive
results
on
that,
so
I
guess
I'm
trying
to
figure
out
how
important
that
seven
percent
and
why
five
percent
is
this
magical
percentage
that
puts
us
in
the
green.
I
guess.
D
Well,
it
was
very
difficult
to
get
a
test
and,
and
so
that
access
was
not
there.
We
believe
now
that,
along
with
many
of
the
partners
on
this
call,
we've
been
able
to
improve
that
access
greatly,
particularly
in
this
charleston
area
of
our
state,
and
so
not
only
are
we
continuing
to
recommend
the
diagnostic
testing
for
two
groups,
anyone
with
symptoms-
and
those
include-
you
know
our
normal
cold
symptoms
or
allergy
symptoms,
so
we're
really
trying
to
encourage
those,
even
with
very
mild
symptoms,
to
seek
out
testing.
D
We
are
now
recommending
testing
at
least
once
a
month
and
for
those
of
us
who
are
around
others,
because
we
cannot
or
do
not
wear
a
mask
or
socially
distance.
We're
recommending
more
frequent
testing
to
that
and
again
dhak
has
what
I
hope
is
a
very
user
friendly
web
page
for
testing
location,
saying
which
are
free,
which
require
an
appointment.
You
know
you
can
put.
I
just
want
testing
locations
today.
D
All
on
this
call
do
do
have
available
on
a
daily
basis,
and
so
I
believe
that
that
percent
positivity
rate
and
the
way
that
we're
going
to
get
it
to
go
down
further
is
to
really
encourage
testing
for
all
of
those
categories.
So
thanks
so
much
for
that
question
that
allowed
me
to
to
to
make
those
points
and-
and
I'm
happy
to
take
any
other
questions.
A
I'll
I'll
add
a
little
bit
to
it.
Mr
sheeley
said
you
know.
I.
I
think
that
that
the
percent
positivity
rate
can
be
confusing
for
folks,
sometimes,
especially
as
we
think
about
it.
It's
a
percentage
right,
so
more
people
getting
tested
less
people
getting
tested.
It
will
affect
that
percentage.
Is
there
any
thought
towards
moving
the
metric
to
an
incidence
rate
that
we
want
to
get
below?
Maybe
a
two-week
cumulative
incidence
rate
instead
of
relying
on
that
percentage
of
positive
tests.
D
So
I
don't
know
if
that
question
is
for
tracy
or
for
me,
but
we
do
actually
look
at
both
of
those.
So
we
we
put
out
a
we
call
it
a
school
metrics
report
once
a
week.
It's
really
metrics
that
can
be
used
by
anyone,
but
it
can
be
found
in
accounting
level
data
on
our
school's
webpage.
It
looks
at
two
week
incidents
rate
by
county.
D
It
looks
at
the
trend,
in
that
instance
rate,
so
comparing
the
current
two
weeks
to
the
two
weeks
prior
to
though
so
for
the
second
two
weeks
of
september
to
the
first
two
weeks
of
september,
and
it
looks
at
percent
positivity
rate
and
then
it
provides
an
average
of
those
three.
As
sort
of
you
know,
one
measure
of
you
know
of
you
know
whether
it's
low
medium
or
high
risk.
I
Yeah
I
mean
we,
we
definitely
are
using
a
combination
of
metrics
as
well.
We're
not
I
mean
the
percent.
Positivity
is
a
piece
of
the
puzzle,
of
course,
and
we
felt
like
you
know
after
talking
to
you,
know
some
our
friends
in
the
medical
community
that
that
the
metrics,
the
other
metrics
we're
tracking
are
so
low
and
the
transmission
rate
is
so
low
that
we
that's
why
we
made
the
decision.
We
felt
comfortable
kind
of
loosening
the
faucet
a
little
bit.
If
you
will.
B
Thank
you
joey
for
that
question.
I
think
we're
all
becoming
students
of
public
health
and
and
just
to
clarify
for
those
who
may
be
tuning
in
from
outside
the
group
or
those
maybe
inside
the
group.
So
incidents
in
in
public
health
speak
is
a
measure
of
the
total
number
of
new
cases
of
a
disease
or
an
outcome,
and
the
incidence
rate
is
just
a
number
of
those
new
cases
divided
by
a
certain
number
in
the
population,
a
thousand
ten
thousand,
a
hundred
thousand
whatever
it
may
be.
D
Thank
you
dan.
I
know
we
have
a
full
agenda,
so
I
don't
want
to
take
too
much
time
today,
but
in
addition
to
the
testing,
I
just
wanted
to
mention
a
few
other
sort
of
initiatives
around
covid.
The
first
one
is
related
to
coven,
but
is
actually
the
flu,
and
I
want
to
thank
the
mayor.
I
saw
on
facebook
him
getting
his
flu
vaccine.
I
think
it
was
yesterday.
D
I
also
don't
want
us
to
let
down
our
guard
at
this
time
when
we
know
that
hospitalization
rates
generally
rise
in
fall
and
winter,
so
we
don't
want
to
overburden
when
we
have
a
vaccine
that
can
definitely
help
to
keep
those
who
potentially
are
at
risk
for
flu
out
of
out
of
the
hospital.
In
addition
to
that,
we
continue
to
plan
for
a
covid
vaccine.
D
We've
worked
with
them
and
we'll
continue
to
work
with
them
closely,
and
then
I
just
wanted
to
mention
that
we're
also
beginning
to
I'm
beginning
but
we're
getting
closer
to
having
saliva
testing
available,
not
as
widespread
as
we
would
want
to
be
quickly,
but
are
beginning
to
figure
out
how
to
that
will
increase
access.
It
could
be
it's
sort
of
self-administered,
so
it
decreases
the
risk
to
our
health
care.
B
Katie
thanks
thanks
again
to
to
you
and
the
entire
dhec
team,
for
all
that
you
are
continuing
to
do
to
help
surveil
the
situation
and
keep
us
abreast
of
what's
happening.
I
I
do
have
one
question
about
about
the
you
know
some
of
the
messaging
that's
happening.
You
know
you
mentioned
in
your
previous
brief
here
that
that
the
the
protocols
for
testing
are
evolving
and
changing
and
that
the
recommendations
for
testing
are
are
now
since
the
availability
is
increased.
B
Okay-
and
I
guess
a
follow-up
either
question
or
point
to
make
is
a
question:
is:
is
there
something
that
this
group
can
do?
You
may
not
have
an
answer
to
that
question
right
now,
but
but
if
there
is
I
I
hope
that
you
would
let
us
know
so
that
we
can
try
to
help
disseminate
deliver
that
message
as
broadly
as
possible.
Yeah.
D
Yeah,
thank
you
if
I
assume
that
there
will
be
psas
or
other
announcements
that
are
are
developed
for
this,
and
I
will
definitely
share
those
with
this
group.
In
the
meantime,
really,
the
ask
is
just
to
continue
to
spread
it
to
your
contacts
and
those
that
that
you
come
in.
You
know
those
that
you're
able
to
influence
in
the
community.
B
G
G
G
Of
course,
the
main
responsibility
lies
with
you:
healthcare
professionals
and
dhec.
When
that
gets
done,
the
city
is
willing
to
help
with
facilities
and,
however
else
we
can-
I
saw
on
our
agenda
for
next
week
that
we
have
a
grant
to
buy
this
trailer
that
we're
going
to
be
able
to
move
around
and
provide
another
resource
through
our
fire
department
to
have
vaccine
mobility
so
to
speak.
But
I
I
I
think,
the
more
we
can
do
to
just
get
people
in
in
a
in
a
habit.
B
B
K
Mark
mark
dixon,
with
roper
saint
francis
healthcare.
I
want
to
first
commend
mayor
teklenberg
in
the
charleston
area
for
really
getting
this
right
and
staying
vigilant
on
all
these
issues.
Question
is
about
the
schools.
This
might
be
anecdotal,
but
what
I've
heard
is
other
school
areas
of
the
south
other
states
where
they
have
opened
earlier
than
we
did.
They
have
not
seen
this.
This
might
be
a
good
news,
part
of
it
that
they
have
not
seen
the
spikes
anticipated.
Is
that
true?
D
That's
what
I've
heard
generally,
I'm
you
know,
I'm
sure,
there's
there
is
a
liar.
That's
we've
certainly
heard
of
a
few
clusters
here
and
there,
but
I
think
that
has
generally
been
true,
and
I
think
that
you
know
it's.
Certainly
the
case
in
the
low
country
which
I
know
most
about
is
that
even
those
districts
that
have
opened
earlier
have
really
done
a
good
job.
L
L
One
thing
of
note
for
those
of
you
who
go
onto
the
cdc
website.
The
last
few
weeks
have
had
some
mmwr's
come
out,
showing
that
teenagers
and
young
people
catch
and
spread
the
virus
as
readily
as
adults.
Now
they
don't
get
the
complications
that
older
folks
do
but
they're
spreaders
and
sometimes
they're
super
spreaders.
L
L
So
what
we
are
looking
at
the
next
few
months
of
continued
upward
trends
and
the
the
good
news
is
that
mass
social,
distancing
or
physical
distancing
will
help
keep
the
flu
numbers
down
and
the
cobit
numbers
down.
The
downside
is
that
there
are
still
huge
numbers
of
people
in
the
country
who
don't
believe
in
social
distancing,
mass
vaccines
etc,
and
they
are
going
to
be
the
hardest
to
reach.
B
B
C
Thanks
dan
and
I
I
will
tell
you,
I'm
wearing
a
mask,
because
I
was
fortunate
that
my
intern
who's,
like
a
ghost
behind
me
player
cicerello,
is
joining
us
and
I
we're
socially
distanced,
but
I
wanted
to
make
sure
I
was
wearing
my
mask.
So
excuse
me
for
for
having
that
on.
I'm
going
to
ask
susan
since
susan
really
introduced
us
to
health
and
all
policies,
and
I
pulled
up
one
of
the
two
handouts
that
gave
it
and
susan.
C
F
Thanks
paul
and
thanks
for
putting
this
on
the
agenda
and
bringing
it
back
to
the
forefront,
I
know
we've
been
kind
of
sidetracked
and
dealing
with
covid,
but
if
y'all
recall,
I
think
it
was
in
the
spring
really
right
before
everything
shut
down.
We
had
started
to
move
forward
with
you
know
with
this
group
and
and
looking
at
bringing
some
folks
some
experts
from
the
cdc
from
the
city
of
saint
pete,
who
have
done
this
and
done
it
well
to
provide
us
with
some.
F
I
think
it
was
maybe
a
workshop
so
that
we
could
understand
really
understand
how
why
it's
important
and
how
to
go
about
it
and,
unfortunately,
all
of
that
got
kind
of
put
on
the
side
on
the
back
burner,
but
we
we
do
believe
it's
really
important,
and
just
even
today,
in
this
meeting
you
know
hearing
from
our
researchers
at
our
higher
ed
institutions
within
our
own
community.
We
have
an
amazing
group
of
folks
who
could
really
support
us
in
this
effort.
F
F
F
So
those
are
just
some
things
that
I
wanted
to
highlight,
and
then
I
think
you
know
in
terms
of
next
steps.
I
think
we
all
agree.
This
is
something
that
is
very
important
and
that
it
should
probably
come
from
this
committee,
and
so
you
know,
I'm
not
sure
if
maybe
a
city
task
force
would
be
a
good
way
to
start
to
move
this
forward
so
that
we
could
then
collaborate
outside
of
our
committee
with,
like
I
say,
some
of
the
folks
in
higher
ed
that
are
doing
research
in
this
area.
F
So
I
wanted
to
see
if
that
is
something
that
this
group
thinks
is
a
way
to
start
to
move
this
forward,
and
certainly
we
would
want
to
have
us
have
a
strong
presence
if
we
did
agree
that
a
task
force
was
a
way
to
start
to
move
this
forward.
We
would
certainly
want
to
have
representation,
I
think,
if
not,
then
we
would
need
to
at
least
have
a
sub
group,
a
subcommittee
or
a
work
group
with
representation.
B
Thank
you
for
that
susan.
I
I
think
that
that
is
a
logical
step
that
we
would
take,
and
I
guess
a
question
I
have
for
paul-
and
the
group
is
is,
is
that
you
know
having
that
kind
of
group
established.
Is
that
the
next
logical
step
again,
if
we're
going
to
make
a
motion
here
or
or
is
there
a
step
before
that
that
we
need
to
take
to
simply
make
a
recommendation
to
city
council
that
they
adopt
a
health
and
all
policies
approach,
then
that
that
maybe
lays
the
foundation
for
establishing
that
group?
C
Well,
I
see
councilmember
sheila
on
and
I
I
thought
he
wants
to
add
in,
but
I
my
thoughts
is
that,
while
we're
in
this
10-year
planning,
it's
a
great
opportunity
to
at
least
send
it
to
our
planning
commission
to
take
our
planning
department
to
at
least
take
a
look
at
it
to
see
how
in
their
plans
they
could
figure
out.
Does
it
have
a
path
system
currently
that
they
are
already
working
on
that
it
could
be
incorporated,
because
we
have
so
many
different
people
working
on
health
in
our
community
and
are
in
this
plan.
C
J
C
Yeah
and-
and
we
can
always
put
that-
invite
that
we're
willing
to
step
to
the
table
to
help
out
in
every
direction
and
susan,
I
think
the
training
that
you've
already
started
us
on
discussing
and
the
different
experts
we've
got
in
our
community.
We
have
the
resources,
this
new
committee,
that
commissioned
on
social
justice
and
racial
reference
or
reconciliation.
I
think
it
is,
but
the
those
committees
will
all
be
interested,
because
what
they're
talking
about
is
sort
of
the
same
thing
here
it's.
C
How
do
we
look
at
look
at
health
disparities
in
our
communities
and
into
the
policy
making?
How
do
we
really
look
at
how
we're
going
to
move
that
needle
is
really
the
nearest
one
really
started
all
of
our
discussions
when
we
started
looking
at
the
the
life
expectancy,
issues
that
were
going
on
so
just
just
wanted
to
get
it
out
there,
because
it's
a
shame
for
it
to
sit
on
our
our
desk
right
now.
G
G
I
I
must
say
just
from
a
logistics
point
of
view,
with
all
the
other
task
force
and
commissions
and
everything
that
we've
got
going
on.
I
would
respectfully
suggest
that
we
keep
any
new
group
under
under
this
health
and
wellness
committee,
not
that
you
couldn't
invite
non-committee
members
to
serve
on
a
subcommittee
of
this
group,
but
just
from
an
organizational
point
in
my
mind,
that
would
that
would
be
that
would
be
efficient
and
would
always
allow
the
recommendations
of
any
further
group
to
come
through
health
and
wellness.
B
Thank
you,
mr
mayor,
for
that
for
that
feedback.
So
I'm
I'm
trying
to
craft
here.
I
know
we're
up
we're
already
two
minutes
over
so
paul.
I
don't
know
if
you
have
written
down
a
particular
motion
that
you'd
like
to
put
forward,
if
not
I'd,
be
happy
to
try
to
wordsmith
one
here
pretty
quickly
and
and
maybe
it's
one
that
we
can
have
discussion
on
and
vote
on.
Would
you
like
to.
B
So
I
would
like
to
make
a
motion
that
the
the
planning
committee
for
the
10-year
plan
consider
a
health
in
all
policies
approach
as
they're
developing
and
implementing
the
plan
and
that
in
so
doing,
they
consult
with
the
mayor's
health
and
wellness
committee
and
other
relevant
committees
as
they
take
this
health
in
all
policies.
Approach.
B
B
A
So
sometimes
people
are
can
go
about
it
in
a
very
opportunistic
way
like
like
it
seems
like
we're
looking
at
it,
we're
looking
at
looking
at
this
planning
process
and
inserting
a
health
and
all
policies
approach
to
rolling
it
out.
Other
other
cities
will
look
at
this
from
a
more
like
sector-based
approach.
A
I'll
add
that
there
are
a
lot
of
resources
out
there
which
which
allows
folks
to
take
across
matrix
of
each
section
of
the
city
plan
and
ask
some
really
pertinent
questions
like
is
there
health
language
inserted
in
part
of
you
know
this
section?
Are
there?
Are
there
particular
things
because
we're
not
reinventing
the
wheel
here?
You
know
lots
of
cities
like
we've
seen
with
st
pete
and
others
have
had
lots
of
really
great
success.
B
B
B
Okay,
thank
you.
It's
very
clear
that
that
motion
is
approved
unanimously.
So
thank
you
to
everybody
for
that.
I
think
that
is
a
very
nice
step
forward
again,
as
we
shift
from
immediate
thinking
to
long-term
thinking.
That
is
a
really
important
step
forward.
I
I
recognize
that
we
are
now
seven
minutes
past
our
time.
B
So
I
will,
I
guess,
defer
back
to
paul
paul
is,
is,
is
there
a
way
for
us
to?
First
of
all,
I
want
to
give
anybody
who
really
needs
to
jump
off
the
opportunity
to
do
so
now
and
then
defer
back
to
paul
as
to
whether
or
not
we
can
table
the
health
disparities
special
meeting
date
and
or
general
community
update
to
our
next
meeting,
or
do
we
need
to
cover
those
today.
C
I
would
like
to
set
a
meeting
in
the
next
couple
weeks,
early
november,
the
latest
that
it's
not
just
more
topics,
it's
only
one
topic
on
it
and
health
disparities,
and
he
would
like
to
call
special
committee
meeting
for
that.
But
I
just
don't
have
the
date
on
that.
That's
all
I
just
wanted
to
pour
it
out,
but
he
would
like
to
have
one
and
invite
other
groups
to
listen.