►
Description
City of Charleston Health and Wellness Advisory Committee 1/5/2022
A
People
that
haven't
been
on
here
before
and
just
just
kind
of
making
a
little
introduction.
So
if
you
tell
us
a
little
bit
about
yourself
well
good
morning,
happy
new
year
friends,
I
am
dr
kim
butler-willis
director
of
community
health
at
robert
st
francis
healthcare,
and
I've
been
there
for
seven
years
now.
Great.
Thank
you.
A
Okay,
great
well
we're
gonna,
I'm
gonna
call
the
meeting
to
order.
Then
we
are
now
up
on
youtube.
So
I
appreciate
everybody
joining
us
happy
new
year
hope
everyone
had
a
good
holiday
and
and
hopefully
got
to
spend
some
time
with
family
and
friends
and
and
hopefully
everybody's
ready
to
jump
back
in
and
get
back
to
work
but
happy
new
year,
and
thank
you
so
much
for
for
being
here.
I
know
it's
busy
for
a
lot
of
people
when
we
jump
back
after
taking
some
time
off.
A
C
A
All
right
any
objections,
okay,
great
so
so
we
are
fortunate,
as
I
was
saying
earlier,
to
have
a
group
here
from
nyu
and
they're,
going
to
be
talking
to
us
about
using
data
on
health
and
it's
drivers
to
understand
and
take
action
on
health
disparities,
and
I
guess
I'm
going
to
call
on,
and
hopefully
I'm
pronouncing
this
right.
Shashana
levine
and
let
shashana
take
it
from
here.
If
you
would.
D
I'm
I've
been
with
the
dashboard
for
about
four
and
a
half
years
here
and
I'm
joined
today
by
becky
ofron
who's,
our
manager
of
engagement
and
partnerships
and
jacqueline
vetro.
Who
is
our
our
newest
team
member
literally
started
on
monday
and
is
our
our
senior
project
coordinator?
So
we're
really
excited
to
be
here
to
tell
you
more
about
your
about
our
work
and
really
learn
about
ways
that
we
can
support
you
as
well.
D
You
know
cities
were
collecting
some
of
their
own
data
and
big
cities,
especially
like
new
york
city,
new
york
city
department
of
health
has
an
amazing
epidemiology
department
and
they
they
collect
a
lot
of
their
own
data.
But
once
you
get
much
below
that,
it's
really
hard
to
get
the
really
robust
types
of
data
that
was
being
released
by
these
national
national
surveys
and
national
organizations.
D
So
we
developed
the
city
health
dashboard,
which
initially
launched
in
january
2017
as
a
pilot
for
four
cities,
and
then
in
may
2018
we
launched
for
the
largest
500
cities
across
the
u.s
and
then
just
in
april
2020.
So
just
under
a
year
ago,
we
were,
we
lowered,
our
population
bound
and
we
now
have
over
750
cities
included
on
the
dashboard
and
it's
all
cities
with
populations
greater
than
50
000.
So
when
we
say
cities
some,
you
know
people
think
of
new
york
or
chicago
or
some
of
these
big
cities.
D
But
we're
really
talking
about
about
a
range
of
different
types
of
communities
across
the
country,
and
we
really
wanted
to
put
these
health
data
in
context
and
you'll,
see
what
I
mean
in
just
a
second
I'll,
pull
up
the
site
and
show
it
to
you.
And
so
we
have
about
40
measures
and
we
have
traditional
measures
of
health
like
obesity,
diabetes,
high
blood
pressure,
things
like
that,
but
we
also
want
know
that
there's
so
many
community
factors
that
impact
health.
D
So
I'm
going
to
dive
in
and
give
you
all
an
overview
of
the
site,
I'm
going
to
go
through
it
really
quickly.
Just
to
make
sure
that
I
can
show
you
as
much
as
I
want
to
show
you,
but
I
think
there'll
be
or
there'll
definitely
be
time
for
questions
and
if
I'm,
if
I'm
going
too
fast,
feel
free
to
stop
me
and
and
jump
in,
even
even
while,
I'm
going
so,
I
will
bring
this
up
now.
I'm
gonna
share
my
screen
and
you
all
can
see
city
health
dashboard
great.
D
So
it's
a
free
website.
So
all
you
need
is
an
internet
connection
to
be
able
to
access
all
of
these
data
cityhealthdashboard.com
and
you
come
in
and
the
idea
is
to
be
able
to
kind
of
get
right
into
your
city,
so
we're
in
charleston
today.
So
that's
where
we'll
go.
You
start
typing
click
here
and
I'll.
D
Just
pause
here
for
a
minute
I
mentioned
kind
of
all
of
those
factors
are
40
measures
that
impact
or
those
health,
health
outcomes,
and
then
drivers
of
health,
and
so
you
can
see
here,
there's
there's
a
lot
going
on
and
I'll.
Let
you
all
just
take
it
in
for
a
second
and
then
you
can
explore
on
your
own
time
as
well,
but
we
have
measures
like
breast
cancer
deaths,
high
blood
pressure,
excessive
housing
cost
two
different
measures
of
unemployment,
which
I
can
go
into
later.
D
If
you're
interested
there
physical
inactivity,
a
number
of
measures
of
the
physical
environment
lead
exposure
park
access,
as
well
as
a
number
of
clinical
care
measures.
So
I'm
going
to
start
with
life
expectancy,
which
we
often
think
of
is
kind
of
this
really
totalizing
measure
of
health
in
the
community.
So
we
don't,
we
don't
necessarily
you
know,
rank
or
compare
cities,
but
we
know
that
this
measure
can
be
important
for
understanding
kind
of
this
overall
picture
of
health
within
your
city.
So
just
to
orient
you
a
little
bit
to
the
site.
D
Here's
just
a
little
bit
of
information
on
the
city,
our
navigation
bar
up
here,
some
information
about
the
measure,
and
if
I
expand
that
you
can
get
a
little
more
detail
and
then,
if
you
click
here
with
this
complete
metric
information,
that
will
take
you
to
a
one
pager
that
we
developed
for
all
of
our
measures.
It
really
gets
into
how
we
measure
it.
Why
we
measure
it
and
some
of
the
pros
and
cons
of
choosing
this
particular
metric
to
get
at
that
construct.
D
D
D
The
data
is
broken
down
by
census
tract,
so
these
are
areas
they're,
smaller
they're,
generally
smaller
than
zip
codes,
and
they
have
somewhere
around
4
000
people
in
them
in
their
administrative
units.
I'm
sure
most
of
you
are
familiar
with
them,
but
not
everyone
is,
but
you
can
see
here
and
I'm
sure
this
map
will
look
familiar
to
you.
D
If
you,
if
you
know
your
city
well,
we
can
see
a
lot
of
these
patterns
with
measures
such
as
life
expectancy
or
or
a
number
of
our
other
measures
where,
where
we
know
that
the
communities
that
are
struggling,
one
area
in
one
area
can
often
be
struggling
in
another
area
as
well.
So
if
we
hover
over,
we
can
see.
So
this
is
looks
like
the
darkest
census
tract
in
zip
code.
29405
life
expectancy
is
only
66.6
years.
D
If
I
click
that
to
scroll
a
little
bit,
we
can
see
it
adds
it
to
the
list
here
and
on
either
side
of
it.
The
census
tracts
right
here.
The
value
is
77.4
years.
I
can
click
that
and
line
it
up
there
and
on
the
other
side,
it's
81.1,
and
so
you
can
see
here
that
these
census
tracts
that
are
literally
right
next
to
each
other.
Have
such
a
range
in
life
expectancies.
D
D
D
So
I'm
gonna
go
back
to
life
expectancy
and
go
to
our
compare
cities.
Now
our
compare
cities
feature
it's
taking
a
minute
to
load,
so
we
heard
a
lot
when
we
were
developing
the
site.
You
know
we
always
get
compared
to
the
city,
just
because
it's
right
next
to
us
and
we
don't
think
it's
a
great
comparison,
they're
much
bigger,
they're,
much
smaller
they're,
much
wealthier,
and
we
you
know
we
can't
ever
do
as
well
as
them
and
it's
just
frustrating
and
and
we
wanna
have
a
better
comparison
city.
D
So
we
have
two
ways
to
do
that.
You
can.
If
you
know
the
city
that
you
want
as
your
comparison,
you
can
type
it
in
here
and
pull
it
up
or
we
have
a
number
of
different
filters
and
you
can
choose
maybe
a
city
of
a
similar
population
size
in
the
same
region,
and
you
can
see
here.
Those
numbers
went
down
here
and
we
have
14
cities
that
map
or
that
match
us
here
and
we
can
choose.
D
Maybe
coral
springs,
which
is
actually
right
near
where
I
grew
up
and
savannah
georgia
and
as
we
click
on
those,
it
actually
adds
them
down
here,
and
we
can
see
that
coral
springs
is
doing
better
than
that
dashboard
city
average
and
better
than
charleston,
where
savannah
is
not
doing
as
well.
So
we
can
use
these
as
a
benchmark.
D
D
We
also
have
the
ability
to
compare
metrics
so
for
something
I
heard
a
lot
of
physical
activity
when
people
were
talking
about
where
they're
from
and
what
they
do.
So
we
can
choose
our
physical
inactivity
measure
here
and
compare
these
two
measures
and
we
have
two
ways
of
doing
that.
One
is
a
map
which
can
sometimes
be
a
little
bit
hard
to
interpret,
but
you
can
see
here.
This
is
kind
of
gonna.
D
Give
you
a
visual,
a
visual
trend
where
those
darker
colors
will
be
poorer
outcomes
and
the
lighter
colors
will
be
better
outcomes,
and
it
looks
like
the
the
where
there
are
the
darker
blue,
polygons
or
synthesis
tracks.
I
tend
to
have
also
the
the
darker
red
dots,
so
we
would
interpret
that
as
places
with
lower
life
expectancy
also
tend
to
have
more
physical
inactivity,
and
if
we
also
present
that
information
this,
I
find
a
little
bit
easier
to
interpret.
D
Sometimes
the
scatter
plot
view,
so
we
can
see
that
there
is,
if
we
kind
of
visually,
put
a
line
in
there.
There
is
a
trend
here
that
we're
seeing
with
tracks
that
have
again
more
physical
inactivity
with
lower
life
expectancy,
and
so
we
can
also
click
into
any
of
these
dots
see
the
information
the
life
expectancy
and
physical
inactivity
rates
in
there
and
get
more
information
there
and
then.
D
Finally,
we
wanted
to
show
you
our
take
action
page
because
we
heard
a
lot
of
you
know
great.
So
you
told
us
we're
not
doing
well
in
this
area.
We
obviously
need
to
do
better.
We
need
to
do
something.
What
do
we
do
now,
so
we
didn't
want?
We
wanted
to
really
fill
in
that
now.
What
so?
We
have
a
number
of
different
ways
that
you
can
do
that.
D
Do
you
want
a
policy
change,
programmatic
change
and
filter
it
down
and
scroll
through
in
there,
and
if
you
do
know,
perhaps
again
that
you
wanted
to
look
at
physical
inactivity
as
a
way
to
impact
life
expectancy,
you
could
change
your
metric
and
that
would
give
you
a
smaller
number
of
maybe
local
government
policies
you
could
implement
there.
We
also
have
you
know
the
what
you
can
do
and
also
how
you
can
do
it
so
thinking
about
the
partners
who
should
be
at
the
table
different
strategies.
D
We
try
to
keep
up
different
funding
streams
here
and
we
know
there's
never
enough
funding
for
public
health
work
and
then,
finally,
how
do
you
measure
the
impact
of
what
you're
doing,
because
we
always
want
to
make
sure
that
what
we're
doing
is
is
actually
working
and
having
impact.
So
we
have
some
evaluation
resources
in
there
as
well
and
then
also
just
wanted
to
draw
your
attention.
D
I
won't
be
able
to
show
you
everything
here
today,
but
we
have
a
number
of
different
resources:
kind
of
non-data
resources
here,
including
impact
stories
where
you
can
hear
how
others
have
used
the
dashboard
and
and
what
they've
done
in
their
communities.
This
is
a
new,
a
new
feature
of
the
site
and
we're
really
exciting.
It
are
really
excited
about
it
and
really
trying
to
grow
it.
And
if
there
are
any
data
wonks
on
the
call
with
us
today.
D
All
of
these
data
are
downloadable
and
accessible
either
through
csv
files
or
through
an
api.
So
you
can
pull
it
all
down
into
your
own
system
and
and
do
any
sort
of
analyses
that
you
that
you
want
and
if
the
data
isn't
there
kind
of
in
a
format
that
that
you
need
we're,
always
happy
to
work
with
you
and
cut
different
files
to
help
you
do
your
own
analyses,
yeah
and
then
again
there's
a
number
of
different
other
resources
there
as
well.
D
B
D
That
is
a
great
question
and
it's
actually
a
point
that
I
always
try
and
make-
and
I
I
forgot
to
say
today,
all
of
our
data
comes
from
big
national
data
sets.
So
the
idea
is
that
we're
not
one
going
out
to
cities
and
asking
them
to
give
us
their
data,
because
it's
just
a
huge
burden
with
this
number
of
cities.
D
Actually,
since
I
think
about
1985
and
then
these
data
are
modeled
for
every
census
tract
in
the
country,
and
I
can-
or
maybe
if
one
of
my
colleagues
could
drop
a
link
to
the
places
site
into
the
chat,
you
can
get
some
more
information
there
and
then
all
of
our
measures
on
those
one
pagers
and
even
on
just
kind
of
in
that
metric
information
up
top,
you
can
find
the
data
source.
We
have
a
really
comprehensive
technical
document
that
goes
through.
D
You
know
where
to
find
the
data
for
you
know
which,
which
acs
tables
these
are
pulled
from,
are
our
different
calculation
measures,
so
we
want
to
be
as
transparent
as
possible
for
for
all
of
this,
it's
really
important
to
us.
Thank
you,
and
I
saw
a
question.
How
often
is
our
data
updated
and
that's
also
a
great
question,
so
our
data
is
updated
as
soon
or
as
soon
as
we
can
as
the
underlying
source
updates
the
data.
D
We
pull
it
into
our
systems
clean
it
and
then
put
it
up
on
the
site,
and
so
they
just
released
a
new
year
of
data
for
for
that
measure
very
recently,
and
we're
working
on
a
data
release
for
for
early
spring
that
will
include
new
places,
measures
or
new
years
of
data
for
places,
as
well
as
a
few
other
measures.
So
we
have,
we
tend
to
have
about
two
or
three
data
releases
a
year.
We
don't
do
it
all
at
once,
because
we
know
that
the
data
is
released
on
different
schedules.
B
A
C
B
It's
where
did
you
come
from?
This
is
wonderful
hey,
so
this
seems
like
a
great
tool
for
for
us
to
use.
Frankly,
we've
been
talking
about
health
disparities
and
and
focused
on
that
life
expectancy
map
of
our
own
that
that
d,
it
mirrors
what
what
you've
just
shown
us,
how
many
cities
have
actually
used
this
tool
to
come
up
with
that
quote
action
plan
to
you
know
address
those
disparities
that
exist.
D
D
D
You
know
what
our
most
popular
measures
are,
what
our
most
popular
cities
are,
and
but
it's
it's
really
hard
to
put
that
together
with
with
kind
of
a
really
comprehensive
understanding
of
how
people
are
using
it.
But
if
you
are,
if
you're
interested
in
using
it
in
a
particular
way,
we
can
talk,
we
can
think
through
what
cities
that
we
are
in
closer
touch
with
that
we
are
in
contact
with
more
regularly.
D
B
Well,
that
would
be
great.
It
would
seem
to
me
a
a
wise
thing
for
us
to
do
if
we
want
to
pursue
using
this
as
a
tool
to
come
up
with
that
action
plan
to
talk
to
two
or
three
other
cities
that
you
know
well
of
that
have
have
been
down
this
road
and
just
get
some.
You
know
pointers
from
them
and
advice.
It
might
be
helpful.
Thank
you.
C
I'll,
just
chime
in
and
and
say
good
morning,
thanks
for
having
us
and
please
do
feel
free
to
reach
out,
you
have
all
of
our
emails.
I
think
on
the
calendar,
invite
we're
really
happy
to
connect
and
walk
folks
through
the
data
individually
or
connect
you
to
other
cities.
So,
thanks
again
for
taking
a
look.
A
Great,
thank
you
so
much
and
shashana.
Thank
you.
I've
saved
that
site
in
my
favorites
on
my
desktop
and
I'll
play
with
it
a
little
bit
and-
and
I
know
I'll,
learn
a
lot
from
that.
So
thank
you
very
much
for
that
information.
There
are
a
couple
of
website
links
in
the
chat,
so
just
just
to
mention
that
as
well
for
everyone,
so
shashana
you're,
welcome
and
everybody's
welcome
to
stay
on.
I
see
paul
has
his
hand
up.
B
I
just
I
was
curious.
I
pulled
it
up
on
my
computer
while
we
were
talking
and
and
the
if
you
went
into
the
life
expectancy
and
you
to
take
action,
there's
some
good
suggestions
under
fine
policies
and
programs
and
different
areas
that
we
could
could
look
at,
and
I
just
think
those
are
the
good
options.
B
So
we
look
forward
to
reaching
out
to
you
to
just
see
how
we
can
try
to
help
connect
some
of
those
dots
with
us,
so
we
could
open
some
of
those
doors
to
to
spread
it
out,
but
but
I
do
think
us
thinking
smaller
into
those
tracks
where
we
see
those
large
numbers
or
the
lowest
populations
is,
is
probably
what
we
had
talked
about
as
our
focus
for
the
for
the
coming
years.
So
thank
you.
A
E
B
I
I
won't
offer
too
much,
except
to
let
everybody
know
that
the
city
rolled
back
to
requiring
mass
for
all
employees
as
well
as
visitors
on
tuesday.
I
guess
yesterday,
and
so
hopefully
this
is
just
a
temporary
action
while
we're
in
this
search.
But
that's
I
happy
to
try
to
answer
any
questions.
Anyone
might
have
about
city
operations,
but
with
that
I'll
turn
it
over
back
to.
E
So
so
we
all
know
that
we
are
in
a
spike
of
coca-19
cases.
Most
of
them
now
are
known
to
be
the
omicron
variant.
So
we
are
following
the
trend
that
we
saw
in
south
africa
and
great
britain,
with
omicron
being
a
more
transmissible
variant
and
quickly
taking
over
as
the
dominant
variant
in
most
parts
of
of
the
world.
E
E
D
E
Over
the
past
three
weeks
we
were
at
339
the
next
week
1056
and
this
past
week
over
3
000
3002
cases
and
again
we
do
expect
those
to
continue
to
increase
and
then,
when
we
look
at
how
many
people
are
testing
we're
also
seeing
some
of
the
highest
percent
positivity
rates
that
we
have
on
during
the
pandemic.
We're
at
more
than
one
in
four
people.
Testing
are
testing
positive
at
at
this
point
in
time.
So
that's
sort
of
a
brief
rundown
of
the
numbers.
E
E
But
what
we
know
is
that
the
sheer
numbers
of
positive
cases
could
still
overwhelm
our
hospitals,
and
I
do
see
meredith
on
and
we'll
look
forward
to
hearing
sort
of
his
his
take
on.
What's
going
on
at
roper
right
now,
musc
also
stated
that
they're
having
so
many
employees
call
out
and
no
doubt
all
of
you
on
this
call
know
that
is
happening
in
your
own
organizations.
E
At
the
same
time,
I
would
be
remiss
if
I
did
not
mention
flu
and
that
south
carolina
is
now
in
the
highest
transmission
category
for
flu
now
and
the
numbers
do
continue
to
increase.
So
we
are,
potentially,
you
know,
entering
a
perfect
storm
of
not
only
rapidly
increasing
cases
of
copen,
but
but
flu
as
well,
and
the
hospitalizations
that
do
a
company
flew
every
year.
E
So
so
just
moving
on
to-
and
I
do
see
something
in
the
chat.
So
I
just
want
to
make
sure
that
no
that's
not
something
that
someone's
asking.
So
I
want
to
move
on
to
guidance.
So
there's
been
a
lot
of
changes
in
guidance
coming
from
bbc
on
the
27th
of
december,
the
cdc
did
release
in
the
media,
updated
and
shortened
recommendations
for
both
isolation
and
quarantine
for
the
general
public
world
populations.
E
We
can
talk
more
specifically
about
that,
but
the
dhec
did
release
our
school
guidance
document
revised
document
yesterday,
and
it
does
say
that
these
isolation
and
quarantine
guidelines
do
apply
to
sports
and
other
high-risk
activities
such
as
vocal
and
vocal
performances
and
and
theater.
And
so
I
we're
still
waiting
on
the
cdc's,
updated
school
guidance
and
they
may
also
have
weigh
in
on
sports
participation
at
that
time.
But
but
as
far
as
our
school
guidance
around
sports,
we'll
talk
more
about
it.
E
Questions,
no
doubt
you
have
all
gotten
a
lot
of
questions
I
certainly
have,
and
so
just
briefly
what
the
isolation
guidance
is
is
that,
regardless
of
vaccination
status,
someone
who
tests
positive
four
coping
does
need
to
isolate.
I
stay
home
for
at
least
five
days
at
that
time
if
they
have
nose
or
if
their
other
their
symptoms
are
significantly
improving,
along
with
no
fever
for
24
hours,
without
fever,
reducing
medication,
then
that
person
could
leave
their
home
at
that
time.
E
E
E
On
you
know
various
categories,
so
so
there
is
the
person
who
is
not
maximally
vaccinated.
So
that's
that's
a
term.
That
means
if
you
are
eligible
for
a
booster.
I
it's
been
five
months
since
you
had
your
pfizer
primary
series
and
that's
a
recent
change
from
six
months
to
five.
If
you
and
we
don't
know,
what's
gonna
happen
with
modernist.
So
currently,
it's
six
months
out
from
your
primary
series
of
modern
are
two
months
out
from
your
primary
series
of
johnson
johnson
to
be
maximally
vaccinated.
E
That
quarantine
begins
after
the
last
known
closed
contact.
So
we
again
have
the
household
contact
recommendations
that
the
person
cannot
isolate
from
the
person.
Who's
positive
in
their
home
quarantine
does
not
begin
until
after
that
person
is
released
from
isolation,
so,
for
instance,
doesn't
begin
until
day
six,
if
that
person
meets
the
the
criteria
for
for
release.
E
After
five
days
of
isolation-
and
we
do
recommend
a
negative
antigen
test
or
pcr
test
prior
then
to
being
released
from
quarantine
at
that
time
and
then
still
the
mask
wearing
for
the
additional
the
additional
sort
of
10
days
of
the
traditional
quarantine
so
paul,
I
see
that
you
say
what
does
fully
vaccinated
mean.
Today
we
did
get
that
question
and
you
know
to
the
letter
of
the
law
fully
vaccinated.
E
E
I
think
so,
for
the
purposes
of
quarantine,
fully
vaccinated
now
means
needing
that
booster,
if
you're
eligible
for
it,
for
you
know
purposes
of
organization,
saying
you
must
be
vaccinated
not
to
have
weekly
tests
and
that
sort
of
thing
I
don't
know
that
that
has
been
fully
clarified.
So
I
don't
know
that
the
definition
of
fully
vaccinated
has
changed
across
the
board,
but
for
the
purposes
of
quarantine,
it
has
now
changed
to
include
that
that
booster
and
then
so
the
the
five
days
include
two
days
prior.
E
No
so
so
the
two
days
prior
and
three
days
after
is
really
the
evidence
that
cdc
is
using
to
base
the
five
days.
So
we
believe
that
that
a
person
is
most
infectious
most
likely
to
transmit
their
infection
two
days
prior
to
their
symptoms,
beginning
up
through
three
days
after
their
their
symptoms
continuing,
but
the
five
days
begins
the
first
full
day
after
the
last
exposure
and
so
or
or
the
or
after
the
you
know,
positive
test
or
after
the
symptoms
begin.
E
E
E
There
is
some
concern
that
that
omicron
variant
people
who
have
had
a
recent
infection
with
delta,
for
instance,
may
be
more
susceptible
omicron.
That
being
said,
the
cdc
chose
to
include
this
group,
the
recent
prior
infection
in
the
group.
That
does
not
mean
to
quarantine,
but
again
we
do
recommend
testing
on
day
five
prior
after
the
last
exposure,
and
so
I
think
those
are
sort
of
three
three
big
groups
for
quarantine
that
I
want
to
to
cover.
So
just
finishing
up.
E
E
We
recommend
anyone
16
and
over
get
a
booster
as
soon
as
they
are
eligible,
and
we
talked
about
that
criteria.
As
of
this
week,
the
fda
also
granted
eua
approval
for
a
booster
for
those
ages,
12
to
15,
who
are
now
five
months
out
of
their
primary
series.
They
also
granted
approval
for
those
who
are
immunocompromised
in
ages,
5
to
11
to
get
a
booster
one
month
after
their
primary
series.
E
The
acip,
which
is
a
group
of
the
cdc
that
recommends
on
immunization
practices,
is
meeting
today.
They
may
extend
this
sort
of
five
months
after
pfizer
to
moderna
as
well,
we'll
just
have
to
wait
and
see,
but
what
we
know
is
that
south
carolina
continues
to
be
well
below
the
national
average
in
boosters
and
and
so
we,
we
have
a
lot
of
work
to
do
to
ensure
that
those
who
are
eligible
for
their
boosters
or
receiving
them
in
our
state.
E
We
continue
to
have
over
at
51
of
our
eligible
residents,
having
completed
their
primary
series.
Point
three
percent
of
those
ages
five
to
eleven,
and
I
don't
have
the
specifics
about
how
many
are
boosted,
but
it
is
well
under
half
more
like
a
third
of
those
who
are
eligible
have
received.
Their
booster
testing
continues
to
be
very
important.
E
Certainly
masking
is
very
important,
and
I
continue
to
recommend
that
well-fitting
is
so
important
now
that
the
omicron
is
more
transmittable.
So
if
you
have
access
to
kn95s,
I
think
that
it
that
is
certainly
very
worthwhile
as
a
consideration
for
wearing
when
I
went
out
in
the
community
and
then
finally,
flu
vaccination
continues
to
be
extremely
important,
so
I'm
gonna
just
go
to
the
questions
again
and
joey
says:
do
we
know
if
vaccination
and
booster
rates
differ
greatly
in
ethnicity?
E
E
I
don't
know
if
I've
seen
those
results
about
boosters,
yet
I
you
know,
I
would
suspect
that
there's
more
disparity
in
boosters
than
the
primary
series
at
this
point
in
time.
I
do
believe
that
there's
you
know,
we've
certainly
seen
long
lines
for
testing
and
we've
heard
about
people
having
difficulty
finding
testing.
I
personally
have
not
heard
that
with
vaccinations.
E
E
They
saw
us
immediately
and
we
were
in
and
out
of
there
in
you
know
less
than
half
an
hour
even
with
the
15-minute
wait.
So
I
believe
that
access
to
vaccinations
is
still
widely
available.
We
can
always
do
more
to
taking
vaccines
to
where
people
are
and
dhea
continues
to
work
with
organizations
across
the
low
country
across
the
state.
E
So
if
you
do
know
of
organizations
that
would
like
to
have
vaccination
clinics-
but
certainly
you
know
reach
out
to
us
about
that-
our
backs
locator
and
testing
locator
sites
have
gotten
a
lot
of
traffic
recently
and
continue
to
be
great
sources
for
where
to
be
able
to
get
testing
in
our
communities
and
where
vaccinations
are
available
and,
and
it
includes
which
vaccines
are
available.
Where
for
those
looking
for
a
particular
vaccine
for
the
booster
all
right,
let
me
go
back
up
and
see.
E
Do
you
know
the
status
on
the
federal
government's
plan
to
mail
at
home
covet
tests
for
free?
I
I
have
heard
that
that
is
happening.
I
don't
have
a
specific
date
for
when
that
would
be
rolled
out.
I
had
heard
originally
january
sort
of
middle
to
late
january,
but
I
have
not
had
heard
an
update
in
the
past
week
or
two
and
then
you
know
we
didn't
touch
on
treatments,
but
what
I
can
say
generally
is
our
recommendation
is
to
reach
out
to
your
provider.
E
There
are
now
two
oral
medications
as
well
as
one
of
our
monoclonal
antibodies
continues
to
be
effective
against
omicron,
and
the
bottom
line
is
that
all
of
those
are
in
short
supply.
Now
there
are
many
more
people
who
qualify
who
could
benefit
from
them,
but
they
are
just
there's
too
many
people
that
that
are
in
need.
That
being
said,
there
is
availability
in
south
carolina
of
all
of
those
options
and
that,
as
always,
is
through
your
provider,
and
so
that's
I
did
wanna
just
mention
that.
E
F
Hi
there
good
morning-
and
I
think
my
laptop
actually
has
covered,
because
I
can
get
the
camera
to
work,
but
actually
that
we're
we
kind
of
felt
a
little
break
after
delta,
pretty
much
it
didn't
die
down,
but
I
mean
we.
We
got
a
lot
of
our
patients
healthy
and
out
and
now
we're
having
now
we're
ramped
up
again.
So
it's
we've
gone
back
to
square
one.
F
Where
we're
limiting
limiting
patients
coming
in
visitors
coming
in
to
see
patients,
we
we
have
an
average
of
about
50
patients
a
day
waiting
outside
of
our
express
cares
to
to
be
treated
to
be
seen
to
be
tested,
and
sometimes
in
our
ers.
Our
physicians
are
evaluating
the
patients
and
in
the
side,
waiting
rooms
just
just
on
the
outside.
So
it's
we
we've.
We
have
a
I'd
say
we
just
in
saint
francis
there's
16.
F
in
our
system.
Right
now
we
have
53
caring
for
inside
the
the
and,
like,
like
you,
said,
the
the
scare.
Isn't
we
don't
know
if
it's
going
to
be
like
delta,
but
just
by
way
of
how
ill
is
going
to
make
each
person,
but
it
is,
it
is
more
you're
more
susceptible
to
getting
it.
It
is
highly
transmissible.
F
So
I
know
I
know
our
world
is
sick
of
masks,
but,
like
katie
was
saying
it's
so
important
this
and
the
masks
people
don't
really
take
for
granted,
they
don't
understand
or
the
masks
are
for
everyone
else,
you're
helping
other
people.
So
if
everyone's
doing
it
helping
someone
else,
then
everyone
keeps
a
mask
on
and
we
keep
it.
F
We
keep
what
we
have
to
ourselves
and
that's
the
whole
point
so
yeah
we're
we're
seeing
the
spike
again
and
we're
preparing
for
it,
and
but
we
did
very
well
through
the
last
mic
and
we're
hoping
to
do
the
same
here.
But
we
are:
we've
limited
our
our
meetings
with
just
internal
just
internal
leaders
and
whatnot,
so
everything's
going
back
to
square
one
like
it
was
with.
Well,
it
wasn't
initially
where
we
didn't
get
the
big
hit,
then
we
got
the
hit
with
delta.
A
Meredith,
I
think,
can
I
add
something
to
that
at
roper,
saint
francis.
So
it's
not
even
the
patients
that
are
coming
in,
but
our
teammates
we've
seen
a
great
big
spike
in
teammates
that
are
out,
and
so,
if
you
visit
any
of
our
facilities,
you'll
notice
that
wait
times
are
much
longer,
not
just
because
of
patient
volume,
but
because
of
personnel
volume,
and
so
we're
struggling
in
our
express
cares,
especially
because
there
are
in
our
outpatient
facilities,
because
they
tend
to
be
in
contact
with
more
people.
F
Yeah
thanks
kim
actually,
but
they
just
had
the
saint
francis
just
did
their
update
this
morning
and
about
every
second
or
third
department
that
that
chimed
in
it
was.
I
have
one
out
with
kova
too
out
with
coven,
so
it
is.
It
is
spreading
our
system
too,
but
we're,
but
I'm
sure,
like
you've,
seen
we're
extremely
clean
to
the
point
of
ocd,
clean
and
in
our
in
our
systems.
F
So
we
want
everyone
to
come,
see
us
because
that's
what
we're
here
for,
but
we
are,
we
are
very
clean
and
how
we
and
how
we
take
care
of
ourselves
and
and
our
teammates
so
yeah.
But
it's
it's
it's
the
first
one.
That's
actually
spread
heavily
through
our
system
too,
but
those
teammates
know
what
to
do.
Like
katie
said
you
stay
home,
you
isolate
yourself
quarantine
and
we
get
through
this
together.
B
Katie,
I
want
to
go
back
to
the
isolation,
because
I
just
want
to
make
sure
I
understood
it
if,
if
I
had
cobid,
I
tested
positive
for
cobit,
but
it
was
asymptomatic
when
I
tested
if,
on
day,
four,
I
started
having
symptoms
like
a
cold
or
something
am
I
still
able
and,
and
my
cold
clears
up
on,
say
day
five
or
day
six
am.
I
still
gonna
have
to
do
additional
days
for
isolation.
E
Yes,
so
so
the
cdc
has
changed
their
guidance
to
say,
given
the
shortened
isolation,
those
who
are
asymptomatic
at
the
time
that
they
test
positive
but
subsequently
become
symptomatic
that
five
days
begins
again
at
the
time
that
symptom
onset
happens.
So
that
is
a
caveat
for
those
who
are
asymptomatic.
E
We're
certainly
because
there's
just
more
testing
going
on
some
of
that
required
by
people's
organizations.
We
are
picking
up
symptoms,
asymptomatic
cases
that
then,
in
the
coming
days,
become
sentiment
symptomatic.
We
do
recommend
we
d
hec
and
the
cdc
that
then
that
corn,
that
five-day
time
clock
restarts
at
that
time.
B
E
E
If
you
know
you
did
not
have
that
same
exposure,
then
our
recommendation
is
to
test
five
days
after
the
known
exposure
and
then
again,
five
days
after
your
last
exposure.
So
if
you're
not
able
to
isolate,
that
is
testing
at
least
twice
and
if
you
potentially
at
the
same
exposure
as
your
wife,
that
would
really
be
probably
three
times
where
you're
testing
immediately
in
your
testing
after
five
days
and
then
you're
testing
again
after
another
five
days,
and
that's
really,
you
know
whether
it's
an
at-home
test,
it's
an
antigen
test
with
the
provider.
A
Thank
you
all
right,
great
any
other
questions
for
dr
richardson.
I
did
want
to
just
call
on
maggie
dangerfield
for
charleston
county
schools,
because
she
just
charlson
county,
obviously
just
opened
back
up
yesterday
to
thousands
of
students,
teachers
and
staff,
so
maggie
just
wanted
to
see
if
you
had
anything.
C
Sure,
thank
you
so
much
for
the
opportunity
to
share.
We
did
welcome
back
staff
on
monday
in
students
yesterday
for
the
start
of
the
new
year
kind
of
to
echo
everything
dr
richardson
explained.
We
are
aligning
our
quarantine
and
isolation
guidelines
with
those
that
dhec
has
shared
for
schools
that
were
revised
on
december
31st
2021.
C
So
all
of
that
is
available
on
our
website.
Our
board
of
trustees
has
policy.
Add
that,
prior
to
the
break,
they
had
said
based
on
the
the
dhec
incident
rate
and
metrics.
If
we
were
in
medium
and
high
that
our
our
mass
requirement
and
enforcement
would
go
into
effect
when
we
came
back,
so
we
are
in
that
period
again,
and
our
mass
requirement
is
in
effect
from
january
3rd
through
at
least
january
14th.
C
We
have
an
upcoming
board
of
trustees,
committee
of
the
whole
meeting
and
special
called
meeting
on
monday,
the
10th
and
and,
of
course,
they'll
reassess
that,
based
on
our
current
data
as
well,
we
also
have
had
some
coded
testing
sites
at
our
facilities
for
staff
and
students
over
the
break,
with
monday
being
a
large
effort
to
kind
of
help.
Our
staff
and
students
get
a
test
before
coming
back
to
school.
On
tuesday,
we
before
the
break
had
ongoing
testing
sites
monday
wednesday,
friday
and
tuesday,
thursdays
and
saturdays
at
certain
locations
around
the
county.
C
I
do
believe
the
plan
is
to
continue
those.
I
don't
have
confirmation
on
that.
I
was
asking
about
that
this
morning
and
dr
richardson,
you,
you
may
know
more
on
that,
but
certainly
if
those
are
still
going
there
after
school,
different
parts
of
our
county
to
help
support
those
efforts
and
and
then
probably
the
biggest
piece
of
news
over
the
break,
our
superintendent
resigned,
and
so
we
have
a
new
interim
superintendent
of
schools,
don
kennedy.
C
E
C
A
A
All
right
we
are
at
1005.,
I
won't
go
around
the
horn,
but
I
do
want
to
make
sure
that
everybody
that
needed
to
say
something
has
had
an
opportunity
if
anyone
else
has
anything
all
right.
Well,
if
not,
I
want
to
say
thank
you
to
everybody
for
joining
in.
I
know
it's
a
busy
week
for
a
lot
of
people.
So
thank
you
for
your
time
and
thank
you
for
all
that
you
do
in
our
community
and
wish
everybody
a
happy
new
year,
and
we
will
see
you
next
month,
if
not
before.
So.