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From YouTube: COMMUNITY VACCINE ADVISORY COMMITTEE MEETING #12
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A
Welcome
everyone
happy
st
patrick's
day,
I'm
wearing
the
only
green
item
of
clothing
in
my
wardrobe,
and
I
I
just
want
to
start
by
thanking
you
for
your
continued
commitment
to
helping
the
state
of
california
have
a
safe
and
equitable
and
transparent
vaccine
rule
out
helping
us
improve
our
allocation
and
distribution
efforts,
and
we
have
accomplished
quite
a
bit
since
we
started
first
convene
this
group
in
the
the
wednesday
before
thanksgiving,
and
I
just
want
to
express
our
gratitude
for
your
continued
commitment
to
this
effort
and
as
we
begin
this
meeting,
I
do
want
to
take
one
moment
to
express
my
deep
sadness
and
distress
about
the
attacks
on
our
asian
american
community.
A
A
A
833-317-4673
and
with
that,
I
would
love
to
pass
it
over
to
dr
pond
for
any
welcoming
remarks.
B
Thank
you
very
much
need
dean
and
good
afternoon.
Everyone,
and
I
of
course
want
to
ask
you
echo.
Excuse
me
my
thoughts,
and
this
is
really
a
difficult
time.
I
think
hearing
about
this
situation
and
again
just
you
know,
I
think
it's
hard
for
everyone
and
I
think,
really
appreciate
the
unity
that
we
can
all
have
together
and
really
standing
against
these
kinds
of
hate
crimes.
No
matter
what
race
you
are.
B
I
also
been
reflecting
you
know,
there's
been
a
lot
of
anniversaries
in
the
last
couple
months
and
so
reflecting
on
on
this
this
committee
and
when
we
started,
but
actually
you
know
this
week
is
the
week
that
we
we
issued
our
kind
of
first
bay
area
and
then
california
stayed
home
and
it
was
a
really
really
different
time
a
year
ago.
So,
just
reflecting
and
thinking
how
optimistic
I
am
now,
you
know,
we've
come
a
really
long
way.
B
I
will
say
I
was
doing
an
interview
earlier
and
I
I
I
told
the
media
at
the
time.
I
did
think
it
would
be
longer
than
two
weeks,
but
I
didn't
think
it
would
be
as
long
as
we
are
experiencing
now,
but
here
we
are
with
a
vaccine
advisory
committee
and
three
amazing
vaccines
that
have
really
high
protection
from
hospitalization
and
death
and
just
really
excited
to
be
here
and
we'll
talk.
B
Actually,
as
I
move
forward
about
some
of
the
great
landmarks
we've
met
with
our
vaccinations,
so
thanks
to
all
of
you
for
all
that,
you've
done
to
contribute
to
that
both
advising
us
as
this
part
of
this
committee
and
a
lot
of
you
are
working
on
the
front
lines
as
well.
Helping
make
sure
people
get
vaccinated
and
doing
their
part,
and
the
last
opening
mark
is
just.
I
think
I
want
to
just
say
that
we're
really
close
and
we're
it's
very
exciting,
a
lot
of
optimism,
but
we
can't
let
our
guard
down.
B
Yet
we
are
so
close,
but
if
we
we
could
get
intercepted
like
this
virus
is
a
smart
one
and
it's
very
wily
and
as
as
we
are
hearing,
is
changing
frequently.
So
I
think
we
can.
If
we
stay
diligent,
we
can
outpace
this
this
race
with
this
virus,
but
I
think
we
we
can't
let
our
guard
down
so
just
want
to
make
sure
people
you
know
are
still
masking
still
distancing,
especially
those
of
you
who
aren't
vaccinated.
I
think
really.
B
We
need
to
keep
it
up
until
we
really
can
get
more
people
vaccinated,
and
on
that
note
we'll
be,
you
know
we're
talking
a
lot
here
at
the
state
about
what
is
beyond
kind
of
the
blueprint,
and
we
hope
to
have
more
information
on
that
in
the
very
near
future.
So
you
can
stay
tuned
on
that
and
have
more
to
look
forward
to
so
I'll
pause
there.
Thank.
C
Yeah,
thank
you.
So,
just
as
a
reminder
to
all
of
you,
the
members,
I
think,
know
the
process,
but
members
of
the
public
who
might
be
listening
just
as
a
reminder,
the
cameras
for
the
members
we
appreciate
them
being
on,
and
everyone
keeping
your
microphones
unmute
until
you're
ready
to
speak.
C
C
I
think,
as
everyone
knows,
the
public
is
listening
in
via
english
and
a
spanish
telephone,
listen
only
telephone
line
and
also
watching
the
proceedings
of
the
meeting
through
our
live
stream.
And
again,
if
any
of
you
have
members
have
difficulty
with
your
zoom.
If
you
could
put
your
question
in
the
chat,
we'll
do
our
best
to
help
you
fix,
whatever
the
technical
difficulties
are
and
dr
burke
harris
and
dr
pontiff,
it's
okay
I'll
just
go
on
to
a
summary
of
the
public
comments
that
we've
received
since
the
last
meeting.
A
C
Our
last
meeting,
which
was
on
march
5th
the
public
comments
closed
on
march
1st,
because
of
course,
as
all
the
members
know,
we
expected
to
meet
on
the
third
and
then
we
needed
to
push
that
meeting
off
several
days.
So
the
public
comments
that
you
all
received
on
tuesday
and
the
summary
that
I'll
give
today
represents
the
comments
we
received
since
five
o'clock
march
5th
until
five
o'clock
on
march
15th,
we
received
48
pages
of
public
comment
with
links
to
additional
materials.
C
We
heard
from
218
individuals
and
organizations,
all
of
whom
wrote,
passionate
and
thoughtful
comments
that
I'm
going
to
summarize
very
quickly
here.
But
you
all
have
the
full
text
of
their
comments,
and
I
know
you've
had
a
chance
to
review
them
and
we
had
one
comment
asking
that
public
messaging
and
communications
for
the
whole
state
needed
improvement
about
where
to
get
vaccines.
C
We
had
another
individual
who
wrote
concern
that
inaccurate
information,
in
their
opinion,
was
being
distributed
by
the
los
angeles
county,
public
health
department
about
the
johnson
and
johnson
vaccine.
We
had
four
individuals
writing
to
find
out
where
and
when
people
50
to
60
years
old
could
get
vaccinated.
C
We
had
eight
statewide
organizations
write
in
to
ask
the
department
of
public
health
to
provide
more
detail
on
where
people
with
serious
mental
illness
fit
into
the
prioritization
guidelines.
We
have
63
individuals
and
organizations
write
in
asking
us
to
prioritize
people
living
in
congregate
settings,
especially
in
prisons,
county
jails
and
immigrant
detention
facilities.
C
We
had
three
individuals
writing
to
ask:
cdcr
the
california
department
of
corrections
and
rehabilitation
to
reduce
incarceration
in
state
prisons,
to
below
50
capacity
and
to
prioritize
vaccinations
for
staff
and
inmates.
C
The
following
organizations
and
individuals
wrote
in
asking
us
to
prioritize
higher
on
the
list.
These
sectors,
workers
and
occupations
all
essential
workers
based
on
governor
newsom's
march
2020
list
aviation
workers,
hardware
store
and
home
improvement
store,
employees,
automotive
retailers,
cosmetologists
hairstyle,
personal
services,
non-profit
organizations
working
with
refugees,
court
workers,
food
workers,
plumbers.
C
C
C
We
had
a
letter
from
one
of
our
cvac
members
organizations
asking
that
people
with
alzheimer's
and
dementia
be
higher
on
the
priority
list.
One
individual,
who
is
a
native
american
who
has
asthma,
asking
to
be
prioritized
higher,
43
individuals
with
type
1
diabetes,
6
individuals
with
cystic
fibrosis,
one
individual
with
asthma
and
an
autoimmune
disease
combined
one
person
with
copd
one
person
with
a
bone
marrow
transplant
and
one
individual
who
is
blind
all
asking
to
be
higher
up
on
the
prioritization
list.
Another
individual
wrote
and
asked
that
california
are
stated.
C
Three
people
wrote
in
and
said
they
weren't
able
to
get
their
second
dose
of
the
vaccine
that
they
already
received,
and
a
group
of
pharmacists
wrote
in
act
asking
that
pharmacists
be
paid
appropriately
for
for
providing
coveted
vaccines
to
the
public
and
that's
our
summary
today
of
the
public
comment
that
was
received
through
march
15..
A
Thank
you
very
much
bobby
and
now
I'd
like
to
to
head
into
our
our
abundant
business
for
the
meeting
at
our
last
meeting.
We
started
out
really
by
highlighting
the
many
ways
in
which
march
is
a
time
of
transition,
and
it
certainly
has
been
a
very
busy
time.
A
We
fortunately
are.
We
were
very
excited
about
the
announcement
last
week
that
the
president
is
anticipating
that
our
vaccine
supply
will
substantially
increase
by
made
first
and
that
there's
an
expectation
that
on
may
1st
eligibility
eligibility
will
open
to
everyone,
and
so
that's
that's
very
exciting
and
promising
news.
A
I
think
in
advance
of
that
we
certainly
want
to
highlight
what
the
current
eligibility
is
and
kind
of
the
plan
to
get
between
now
and
may,
and
and
as
a
result,
you,
you
all
know
that
we
work
very
hard
to
try
to
get
all
of
your
questions,
answered
and
be
responsive
to
the
questions
that
this
body
raises
about
the
eligibility
and
the
allocation
process.
A
So
we
all
so
we
sent
out
a
list
of
responses
to
many
of
the
questions
that
have
been
raised
by
this
body
with
answers,
so
you
all
should
have
received
that,
but
I
want
to
specifically
highlight
a
few
to
pull
out
and
there
at
a
previous
meeting,
you
all
heard
me
say
that
when
it
comes
to
the
question
of
who
will
vaccinate
detainees
of
federal
facilities
in
california
federal
immigration
facilities,
my
answer
at
the
time
was,
I
don't
know.
A
Now
we
have
an
answer,
as
many
of
you
saw,
california
department
of
public
health
release
released
guidance
last
week
that
ice
detainees
will
be
vaccinated
by
the
state
of
california.
So
thank
you
for
continuing
to
ask
that
question.
I'm
really
glad
that
we
were
able
to
get
you
an
answer,
and
that
is
the
answer
on
that
response.
A
In
addition,
we're
very
excited
about
many
of
the
farm
worker
vaccination
efforts
that
are
happening.
We
sent
out
information
to
members
of
this
committee
earlier
about
a
number
of
vaccination
events
that
are
happening
today,
all
around
the
state
and
through
the
weekend,
and-
and
so
I
just
wanted
to
to
bring
that
to
attention,
because
there
were
multiple
questions
about
farm
worker,
vaccination
efforts
and
we
just
wanted
to
highlight
some
of
the
excellent
work
that's
happening
on
behalf
of
our
counties
and
our
employers
here
in
california.
A
We
will
also
hear
more
from
our
tpa
partners
on
achieving
and
monitoring
equity.
So
we
look
forward
to
that
conversation
and
as
well,
we'll
hear
more
about
our
community
engagement
and
outreach
efforts,
how
we
are
reaching
out
to
our
vulnerable
and
hard
to
reach
communities,
and
with
that
I
will
turn
it
over
to
dr
pond.
B
Great
thank
you
again
and
yeah.
Let's
move
to
the
next
slide,
so
I
think
it's
helpful
as
well
to
have
heard
a
lot
of
those
public
comments.
In
addition
to
some
of
the
questions
we
were
answering
directly
from
all
of
you,
I
think
some
of
these
things
will
be
answered
in
some
of
these
upcoming
slides
and
some
things,
we'd
already
kind
of
noted,
but
just
to
reiterate
as
far
as
eligibility
and
phases
etc.
B
So
you
know
I
like
to
always
start
with
all
of
you
and
as
the
state
epidemiologist,
it's
always
kind
of
looking
at
our
numbers
and
we
we
have
hit
over
3.5
million
cases
as
of
today,
but
our
new
cases
are
actually
much
lower
it's
about
1260.
Today
it's
been
ranging
around
the
2000s
and
a
nice.
B
Other
statistic
I
was
just
noting
another
local
county
had
highlighted,
was
sort
of
the
ratio
of
vaccinations
to
cases,
and
I
I'm
very
pleased
to
say
looking
at
our
numbers,
we
are
vaccinating
about
a
hundred
times
as
many
people
as
doses
as
new
cases
every
day.
So
we're
probably
you
know
our
average
is
about
200
000
doses
a
day
and
we're
you
know
currently
at
about
2000
cases
a
day
we're
seeing
really
good
trends.
B
B
B
We
thought
that
was
a
large
surge
and
then
you
can
see
a
really
large
surge
here
over
the
holidays
in
the
november
december
time
range,
but
that
we
are
really
on
the
down
slope
from
that
and
you
can
see
we
are
similar
to
the
kind
of
nader
last
fall
that
we
had
when
we
are
at
our
lowest
number
of
cases,
so
we're
at
a
similar
point
we're
not
quite
at
the
very
lowest,
I
think,
but
again
encouraging
to
see
we're
close
to
that
meter.
B
I
will
also
just
again
give
caution
that
last
time
we
started
reopening
around
the
beginning.
B
Could
you
please
mute
if
you're,
not
speaking
so
so
you
know,
we
do
anticipate
and
we'll
be
watching
very
closely
to
see
if
these
trends
turn
around.
But
now
we
have
vaccine
under
our
belt,
as
well
as
another
tool.
Next
slide.
B
So
this
is
a
nice
sort
of
data
to
show
as
well.
You
can
see
we
had
you
know
very
early
on
kind
of
what
our
numbers
were
per
day.
This
is
basically
the
numbers
of
doses
administered
per
day
and,
as
I
mentioned,
we're
reaching
on
an
average
around
200
000
doses
per
day,
there's
also
a
little
bit
of
a
time
lag
still
in
when
you
know
these
doses
get
sort
of
registered
in
our
system.
B
So
I
fully
expect
that
a
lot
of
these
you
know,
yellow
and
blue
peaks
here-
will
start
to
fill
out
as
we
get
more
of
the
data,
but
as
of
yesterday
12.6
million
doses
administered,
which
is
really
really
exciting
again
next
slide.
B
And
to
see
how
are
we
doing
on
equity
so
that
again
is
one
of
the
the
prime
missions
of
of
this
committee
to
help
advise
us
on
this,
and
we
know
that
we
have
a
lot
of
room
to
go.
But
this
is
what
we're
starting
to
show
so
that
we
can
monitor
together
and
you
can
monitor
with
us
how
we're
doing
on
equity.
So
this
is
a
comparison
of
our
coven
19
vaccinations,
both
the
first
doses
and
then
second
doses
amongst
our
four
different
levels
of
community
health.
B
So
again,
as
you
all
sort
of
know,
we've
been
talking
about
a
healthy
places.
Index
developed
by
the
public
health
alliance
of
southern
california,
and
it
can
measure
based
on
a
geographic
area,
looks
at
impacts
of
health
like
income,
education,
access
to
health,
and
then
areas
are
given
a
score
ranging
from
the
least
healthy
community
conditions
to
the
most
healthy
community
conditions,
and
then
we're
also
looking
at
an
equity
metric
for
areas
that
don't
have
an
hps
score.
B
So
there's
a
lot
of
epidemiology
behind
that,
but
you
can
see
that
in
our
least
healthy
community
conditions,
we've
gotten
almost
950
000
doses
or
almost
12
percent
for
our
first
dose
and
then
a
little
over
nine
percent
for
that
second
dose.
B
So
as
far
as
how
does
that
compare,
you
know
we
are
at
about
15.5
in
the
most
advantage
and
18.8
on
the
second
doses,
so
definitely
not
an
equity
here,
but
it
was
actually
almost
double
a
few
weeks
ago
as
far
as
the
the
ratio,
so
I
do
think
we're
making
slow
progress
and
again
these
are
benchmarks,
we're
following
closely
next
slide
and
then
again
really
exciting
to
share.
This
came
out
on
march
5th,
from
the
cdc
advisory
committee
on
immunization
practices,
but
the
new
johnson
or
johnson
vaccine.
B
We
like
to
call
it
the
one
and
done
vaccine
and
really
great
to
have
yet
another
tool
in
our
toolbox,
like
the
other
two
johnson
johnson,
is
safe
and
highly
effective
against
preventing
death
and
severe
covid,
it's
just
one
dose,
so
that
makes
it
just
so
much
more
convenient
that
people
don't
have
to
come
back
for
a
second
dose.
It's
easier
to
transport
and
store,
and
so
again
a
really
great
tool
for
helping
us
end.
The
pandemic
there's
also
good
evidence
of
this
vaccine
that
does
decrease
transmission.
B
That's
been
a
big
question
about
a
lot
of
these
new
vaccines
and
had
done
pretty
well
compared
to
other
vaccines
against
certain
variants,
like
the
south
african
variant.
So
really
the
best
vaccine
is
the
one
you
can
get
when
you're
eligible,
and
many
of
you
may
have
seen
that
dr
burke
harris
and
dr
aragon
and
dr
gally-
and
I
all
actually
you
know,
showed
our
faith
and
and
trust
in
this
vaccine
by
getting
our
doses
last
thursday.
B
Next
slide,
please.
So
this
is
our
overall
vaccine
dashboard.
So
you
saw
the
breakdown
by
equity
quartiles
and
we
already
talked
about
overall
doses
administered
the
other
nice
thing
here
that
we're
starting
to
show
you
is
how
many
people
are
fully
vaccinated,
so
over
4
million
people
in
this
sort
of
fourth
row
here
are
fully
vaccinated.
So
this
is
almost
13
of
our
population
that's
eligible,
so
that
is
super
exciting,
and
then
this
also
tells
you
you
know,
doses
delivered
how
many
of
them
are
cdc
pharmacy
doses
and
then
there's
breakdowns
by
county.
B
Oh
and
actually
sorry,
the
the
dashboard
is
a
little
outdated,
because
our
number
on
the
far
right
is,
as
of
yesterday
so
4.3
million
with
two
doses,
which
is
13.4
of
californians
over
16
years
old,
so
huge
progress
there
and
again,
over
4
million
that
are
partially
vaccinated
as
well.
Next
slide.
B
B
Due
to
these
severe
health
conditions,
I
think
are
on
the
next
slide
and
then
disabilities
or
illness,
and
then
we
did
just
also
note
that,
as
of
march
15th
as
of
this
week,
actually
sorry
back
a
slide
again
that
high-risk
congregate
living
spaces
are
also
eligible
for
vaccinations.
So
this
includes
all
our
incarceration
and
detention
facilities,
as
dr
barcaros
mentioned,
also
homeless,
shelters
other
congregate,
residential
settings
where
we've
seen
outbreaks
are
all
eligible
as
of
this
week,
and
then
public
transit
workers
have
been
clarified
as
part
of
our
emergency
services.
B
Workers
and
a
few
other
updates
have
been
posted
on
our
website
around
that
we
did.
I
did
just
hear
that
public
comment
loud
and
clear
about
the
health
conditions.
Those
are
also
on
our
website,
the
the
detailed
list
of
which
health
conditions
were
a
subset
of
the
cdc
at
risk
conditions
for
the
next
slide,
I'll,
introduce
nancy
bargmann
to
talk
about
implementation
and
the
disability
community.
E
Regional
centers
did
receive
a
directive
from
dds
that
outlined
kind
of
the
priorities,
but
also
provided
a
sample
letter
that
families
and
self-advocates
could
take
to
a
location
if
there
is
a
need
for
verification.
While
it's
it's
not
required,
there
may
be
instances
that
that
letter
may
be
of
support
to
them
in
accessing.
So
we
wanted
to
make
sure
that
that
was
was
available.
E
The
regional
centers
are
making
individual
contacts
with
all
of
their
consumers
and
families
for
those
that
are
between
16
and
64.
Right
now
is
the
focus
because
they
already
had
made
contact
with
those
that
were
65
and
over
and
also
those
in
congregate
settings.
E
Regional
centers
and
independent
living
centers
are
working
together
in
the
geographic
areas
where
they
can
make
those
contacts
to
be
able
to
have
connections
when
the
clinic
is
set
up.
So
there's
there's
a
coordination,
that's
going
to
be
of
value
and
and
making
sure
that
we
are
able
to
open
the
door
for
other
individuals
beyond
the
regional
centers,
as
they're
they're
doing
their
their
local
work.
E
Blue
shield
has
assisted
with
the
department
with
being
able
to
connect
the
regional
centers
with
their
local
county
public
health
departments,
so
we
could
really
start
addressing
in
those
high
risk
and
equity
focus
areas,
specifically
within
those
zip
codes,
and
we
have
five
different
regional
centers
that
have
been
identified
as
a
priority
based
on
some
of
the
geographic
areas
that
are
harder
to
reach
communities
and
working
to
have
some
very
targeted
approaches
and
coordination.
E
I'm
also
really
pleased
to
see
that
we've
been
in
contact
with
la
county
they're,
doing
a
coordination
with
all
seven
regional
centers
in
la
county,
and
we
provided
l.a
county
information
regarding
the
independent
living
centers
in
that
area
to
have
assisted
that
coordination,
a
vaccination
as
far
as
the
data
we
are
collecting
by
regional
center
for
those
families
and
self-advocates
that
are
willing
to
report.
If
they've
received
the
vaccine,
we've
had
some
really
good
success
with
families
reporting.
E
We
are
requiring
the
congregate
settings
to
provide
this
information
as
well,
but
we
have
had
some
instances
where
families
have
chosen
to
not
share
that
information.
We're
able
to
collect
that.
We
are
going
to
be
posting.
The
information
on
our
website
as
to
how
many
individuals
have
received
the
vaccine,
but
understanding
that
some
of
the
data
is
limited.
As
I
was
just
stating,
we
also
have
a
little
bit
of
a
lag
in
our
data
entry
and
we
will
make
note
of
that
on
our
website
when
we
have
that
information
posted.
E
You
know
the
health
provider,
an
individual's
health
provider
going
to
the
through
the
county
or
city,
there's
federal
sites,
there's
targeted
clinics,
there's
mobile
options
and
so
to
do
a
coordination
at
the
local
level
is
really
really
critical
and
that
information,
often
changes
and
so
regional
centers,
are
updating
and
making
that
outreach
to
their
community
to
provide
that
that
information
as
frequently
as
possible,
also
then
making
sure
that
we're
updating
any
information
on
our
website
that
would
be
of
assistance
just
some
examples
of
some
of
the
targeted
clinics
that
have
been
set
up
specifically
for
individuals
who
are
regional
center
consumers.
E
I
have
several
of
those
listed
san
andreas
regional
center.
As
of
this
week
had
600
doses
that
were
able
to
be
delivered
central
valley.
Regional
center
has
about
700
golden
gates,
updated
number
is
actually
1100
and
then,
as
I
noted,
with
l.a
county,
I
do
want
to
just
also
share
that
you
can
see
that
local
connections
between
people
is
really
making
a
difference.
E
La
county
sheriff
there
is
a
news
report
last
night
about
la
county
sheriff
is:
has
a
mobile
team,
that's
going
out
to
communities
to
distribute
vaccines
and
they
had
some
extra
that
they
wanted
to
go
ahead
and
support
the
community,
and
so
they
were
connected
with
a
regional
center
and
they
connected
the.
E
There
was
a
really
great
family
member
who
was
able
to
make
this
connection,
and
so
they
had
gone
out
to
some
individuals,
homes
yesterday
and
were
able
to
deliver
the
johnson
and
johnson
vaccine
and
were
able
to
do
so
to
individuals
who
would
have
struggled
in
being
able
to
go
to
a
public
site
so
really
really
pleased
to
see
the
coordinated
effort
and
so
we're
continuing
to
pivot
as
the
need
comes
forward.
So
dr
pan.
B
Great
thank
you
very
much
director
bargman
and
I
think
another
thing
I'll
just
add
and
I
put
in
the
chat
for
people.
We
have
a
fact
sheet
that
we
issued
at
the
end
of
last
week
around
again
listing
kind
of
the
high-risk
medical
conditions
or
disabilities
and
information
about
verification
which,
just
to
read
out
loud,
too
verification.
Documentation
of
the
diagnosis
or
type
of
disability
is
not
required,
but
instead
anyone
meeting
the
eligibility
requirements
will
be
asked
to
sign
a
self-attestation
that
they
meet
the
criteria
for
high-risk
medical
conditions
or
disabilities.
B
So
again,
I
think
there's
been
a
lot
of
good
and
healthy
discussion
about
balancing
not
having
barriers
to
people
who
can
get
the
vaccine,
who
are
prioritized
with
verification,
so
this
is
sort
of
where
we
have
landed
and
again
there's
a
lot
of
great
information
on
the
fact
sheet
that
I
posted
in
the
chat
there
next
slide.
B
And
then
you
know
the
other
great
thing
around
our
overall
equity
approach
is
we
have
really
used
equity
as
a
benchmark
to
help
us
move
our
whole
state
board,
because
we
know,
as
we've
been
talking
in
this
group
as
well,
that
the
largest
amount
of
disease
is
in
sort
of
the
lowest,
the
least
advantaged
quartile
the
hp
quartile
one.
So
we
need
to
be
vaccinating
in
that
place
and
really
monitoring
that.
So
we
met
our
first
benchmark
of
two
million,
which
is
really
exciting.
B
I've
shown
you
where
we
are
in
that
our
next
one
will
be
four
million
and
what
happened
when
we
met
the
two
million.
Was
we
changed
that
threshold
between
the
red
tier
and
the
purple
tier
to
give
a
little
bit
more
room
between
seven
to
ten
cases
per
hundred
thousand
per
day?
So,
as
you
also
may
have
seen
from
some
announcements
yesterday
about
a
tier
tuesday,
we
had
a
lot
more
counties
come
into
the
red
tier
there's
only
about
11
counties
left.
I
believe
that
are
still
in
the
purple
tier.
B
So
our
state
is
really
making
huge
progress
there.
What
will
happen
when
we
meet
the
4
million
benchmark
of
four
million
doses
in
the
hpi
cartel
one?
Is
that
the
threshold
between
orange
and
yellow
will
change
just
a
little
bit
as
well,
so
that'll
be
other
exciting
news,
and
it
just
sort
of
means
again
that
we're
on
our
way
to
our
slow
but
stringent,
reopening
and
returning
ourselves
to
our
better
normal
next
slide.
B
Oh
and
then
this
is
also
on
our
dashboard
just
to
show
you.
This
is
the
number
again
as
of
today,
two
point:
almost
2.4
million,
so
working
our
way
towards
the
four
million
doses,
and
you
can
again
look
at
the
just
at
pure
doses
by
quartile
and
this
dashboard
next
slide.
B
And
then
a
lot
of
people
have
been
wanting
to
hear
more
updates
on
the
federal
pharmacy
programs.
So
there
are
a
few
different
ones.
The
federal
retail
pharmacy
program
is
just
sort
of
where
people
can
walk
into
different
retail
pharmacies,
so
there's
cumulative
doses
administered
at
retail
stores
in
california
as
of
march
8th.
B
So
you
can
see
these
numbers
here
over
300
000
at
cvs,
almost
200
000
at
rite
aid
over
120
000
at
walgreens
and
over
200
000
albertsons,
and
at
these
pharmacies
they
are
vaccinating
the
current
eligible
group,
so
that
includes
again
65
and
over
healthcare
workers,
long-term
care
residents
and
staff.
And
then
our
three
major
sectors
that
are
eligible
and
then
also
a
federal
directive,
was
that
the
pharmacy
partners
needed
to
prioritize
pre-k
through
12,
educators
and
staff
and
child
care
workers.
B
During
the
month
of
march,
so
during
this
whole
month,
educators
are
prioritized
at
these
four
pharmacy
sites
and
then,
as
we
mentioned
again
on
monday,
the
group
of
individuals
under
64
years
of
age
with
those
comorbidities,
those
high-risk
conditions,
are
eligible
as
well
next
slide.
B
So,
let's
see
and
as
of
march
7th,
an
additional
36
000
doses
of
pfizer
were
allocated
with
this
federal
retail
pharmacy
program
and
then
cvs
has
just
expanded
an
additional
119
store
locations.
B
So
as
there's
more
supply,
the
program
will
expand
to
more
locations
and
over
280
000
doses
were
allocated
for
the
week
of
march
7th
and
we
are
entering
the
week
of
march
14th
right
now,
and
these
are
the
doses
that
are
being
allocated
here
this
week,
so
janssen
doses
as
well
as
an
increase
in
pfizer
doses
are
coming
to
to
us
and
with
the
expansion
of
jansen
doses,
there
are
four
long-term
care
facility,
pharmacy
partners
that
will
be
activated
this
week
and
those
are
mha
innovatics,
gerrymad
and
cardinal
and
then
for
america
is
under
the
innovative
network.
B
B
The
sniffs
started
at
the
end
of
december
and
then
the
assisted
living
facilities
started
a
couple
weeks
later
on
january
11th.
So
as
of
the
12th,
according
to
our
cdc
data,
there
have
been
almost
850,
000,
total
doses
administered,
and
you
can
see
the
breakdown
here
of
first
and
second
doses,
how
many
resident
and
how
many
staff,
and
then
a
nice
graph
here
as
well.
B
The
cumulative
doses
administered
in
this
program
next
slide
and
then
the
other
pharmacy
initiative
from
the
federal
government
is
the
fqhc
initiative,
so
hersa
and
the
cdc
put
together
a
partnership
to
directly
allocate
a
limited
supply
of
vaccine.
This
is
a
separate
allocation
outside
of
our
normal
state
allocations
and
it's
deployed
in
coordination
with
us.
Incrementally
it
started
at
selected,
hearsa
funded
health
centers
that
specialize
in
caring
for
hard
to
reach
populations
and
disproportionately
affected
populations.
B
A
Erica
there
are
a
few
questions
in
the
chat
that
I
think
that
we
can
jump
to
very
quickly
before
we
get
to
the
overall
q.
A
one
question
for
the
federal
pharmacy
partnership
should
eligible
people,
use
the
federal
vaccine
finder
site
to
make
an
appointment,
or
is
that
system
connected
to
my
turn?.
A
Okay
and
another
question:
does
the
federal
retail
pharmacy
program
follow
cdph
guidelines
or
the
federal
cdc
acip
guidelines
for
eligibility.
B
A
Great
thank
you,
and
I
just
want
to
if
you
could
check
me
erica,
because
I
believe
that
this
was
in
the
information
that
was
sent
out
previously,
but
the
the
numbers
on
the
numbers
on
the
the
county
vaccine
rates.
They
do
include
the
federal
partnership
numbers
correct.
The
federal
vaccine
numbers.
A
I've
got
like
50
pieces
of
paper
here,
but
I
believe
that
this
is
it
is
it
is
here,
so
I
think
it's
in
the
information
that
got
sent
out
yesterday.
A
Yes,
and
with
that,
I
think
those
are
the
primary
ones
I
think
directed
at
you
and
the
other
confirming
that
the
case
rate
to
move
from
yellow
to
from
orange,
to
yellow
once
we're
over
4
million.
That
goes
to
less
than
two
correct,
based
on
the.
C
Yeah,
that's
great
okay.
First,
I'd
like
to
just
check
with
david
lownde
david:
did
you
we're
gonna,
keep
the
slide
down
just
for
a
few
minutes
david.
I
just
want
to
make
sure
you
didn't
have
a
question.
You
had
your
hand
raised
earlier
and
it's
gone
and
after
david
whether
he
asks
a
question
or
not
we'll
go
to
kieran
and
then
aaron
and
then
andy
david.
H
Yeah,
david
california,
association
of
public
hospitals
and
health
systems,
I
put
it
in
a
chat.
Dr
aragon's
provider.
Information
notice
explicitly
stated
that
smi
and
severe
sud
are
be
considered
under
the
disability
list,
but
those
are
not
included
in
the
cdph
public
fact
sheet
or
other
notices,
and
it
also
calls
out
the
attestation,
which
is
also
not
listed
on
anything
else.
That's
public,
so
is
his
notice
published
anywhere
on
the
website.
I
couldn't
find
it
on
cdph
or.
B
You
think
you
always
just
get
this
right,
so
the
fact
sheet
I
had
already
put
the
link
in
and
I
can
put
the
other
link
to
it,
but
yeah
the
provider
bulletins
are
also
on
the
cdph
site
and
those
are
listed
on
the
I
think
they're
listed
on
that
fact
sheet.
H
B
C
Great
thanks
david
for
raising
that
and
the
fact
sheet
was
sent
out
to
all
the
members
on
march
11th
and
just
so
you
know
it's
it's
sometimes
very
hard
to
find
the
provider
bulletins
on
the
cdph
website.
So
there's
a
lot
of
navigation,
that's
needed!
So
let's
go
on
to
karen
and
then
aaron
don't
forget
to
introduce
yourselves.
I
Sure,
thanks
bobby
and
thanks
to
the
co-chairs,
karen
savage
from
cpen
first
really
want
to
thank
you
for
work
on
getting
the
ice
detention
facilities
issues
sorted
out.
It
means
a
lot
to
the
probably
2
000
folks
there
right
now,
and
so
I
really
appreciate
the
work
on
that.
I
know
it
wasn't
easy
and
then
sort
of
a
question
on
the
equity
data
that
was
presented.
I
One
thing
just
to
note
what
wasn't
presented
was
the
race,
ethnicity,
data
and
if
you
look
at
the
most
updated
data,
it
isn't
significantly
improved
from
a
month
ago,
despite
the
focus
in
those
lowest
hpi
quartiles,
which
I
think
is
surprising
and
also
worth
paying
attention
to
there's
a
slight
improvement
for
the
latino
population,
but
otherwise
more
or
less
the
same
in
equity
that
we
saw
a
month
ago,
which
I
think
is
also
worth
paying
attention
to,
given
that
the
eligible
population
now
is
bigger
and
more
diverse,
so
it's
potentially
even
more
of
an
inequity
than
we
had
a
month
ago.
I
So
just
want
to
point
that
out
and
hopefully
in
future
meetings.
You
know
be
great
to
look
at
that
data
along
with
the
hpi
data,
because
I
think
it
tells
us
in
some
ways
two
different
things.
The
other
thing
we
see
in
there
is
still
the
really
poor
data
collection,
a
lot
of
missing
data,
and
so
we
would
love
to
talk
about
how
we
can
improve
that.
I
Maybe
in
the
next
section
today
and
then
the
question
is
looking
at
the
data
you
had,
dr
pond
by
hpi
quartile
in
the
lowest
quartile,
there's
a
bigger
difference
between
people
who
are
partially
vaccinated
and
people
who
are
fully
vaccinated
or
really
a
very
low
number
of
people
who
are
fully
vaccinated.
B
Yeah
thanks
for
all
of
that,
I
think
for
your
last
question,
I
my
hypothesis,
but
we
need
to
look
into
this.
So
I
agree.
We
need
to
take
a
closer
look
at
it,
but
is
that
we've
got
started
late
and
that
we
are,
you
know,
sort
of
just
now
really
attending
to
those
first
doses,
because
you
know
we
did
just
start
that
higher
level
allocation.
I
was
trying
to
remember
which
date
it
was,
but
so
so
yeah,
but
we
need
to
to
take
a
look
and
make
sure
that
there's
good
level.
B
I
have
heard
excellent
at
at
least
one
of
the
fema
sites.
There's
been
excellent
follow-up
on
the
second
deuces
there,
and
that
has
been
again
a
mix
of
of
reaching
the
populations
we
need
to,
but
it
is
a
non-traditional
site
as
far
as
not
you
know
a
healthcare
clinic
or
thing
that
I've
heard
there's
over
over
90.
I
think
it's
actually
better
than
that
who
have
returned
for
the
second
dose,
but
we
will
be
taking
a
look
at
that
and
yeah.
A
I'll
just
add
to
that,
karen
that
we
are,
we
are
looking
for
data
by
hpi
and
also
looking
at
the
data
by
race
and
to
to
your
point.
We
are
looking
at
where
our
strategies
are
and
where,
where
they're,
they're
not
adequate
to
the
task
of
reducing
inequities
and
how
we
can
double
down.
So
it
wasn't
presented
today,
but
we're
looking
at
that
and
importantly-
and
you
may
hear
more
about
this
from
our
tpa
partners.
But
the
the
tpa
is
building
that
into
their
dashboard.
J
J
Glad
to
hi
everybody,
I'm
aaron
carruthers,
the
executive
director
of
the
state
council
on
developmental
disabilities.
I
want
to
just
really
say
thank
you
today.
This
week
was
was
monumental,
was
phenomenal
in
the
state's
leadership
about
inclusion,
about
equity
and,
and
really
thank
you
for
listening
and
responding,
especially
around
the
issues
of
self-attestation.
J
The
the
guidance
that
came
out
on
march
11th
really
addressed
a
lot
of
worries,
a
lot
of
concerns,
and
it
made
sure
the
state
adopted
a
an
abundance
model
approach
to
vaccinations.
I
know
where,
even
though
we're
in
a
scarcity
time,
we
still
needed
to
establish
systems
and
create
approaches
that
anticipates
the
abundance.
That's
coming
so
also
really
appreciate
seeing
the
inclusion
of
other
populations
that
are
very
much
in
need
of
the
vaccine.
J
My
question
so
want
to
say
thank
you
and
thank
you
to
director
bargeman
for
her
continued
leadership
as
we're
looking
and
monitoring
how
systems
are
signaling
to
people
with
high
risk
health
conditions
or
developmental
disabilities.
We
know
some
of
the
health
care
plans
will
be
monitoring
and
sunday.
We
also
think
that
it's
necessary
that
the
departments
continue
their
plans
and
their
leadership
to
send
the
letters,
so
people
know
how
to
get
the
access
and
are
receiving
those
supports.
So
thank
you,
director,
bargeman
and
thank
you.
Doctors,
pawn
and
burke.
J
Harris
question
is
with
the
addition
of
the
additional
populations
on
march
11th.
What's
the
estimated
range
of
californians
who
are
now
stated
in
the
eligibility
population.
B
So
I'm
going
to
tell
you
what
I
think
I
know,
and
then
we
will
also
follow
up
in
any
follow-up
emails,
but
I
know
that
with
the
high-risk
medical
conditions
we
were
estimating
about
4.4
million
and
then
the
congregate
settings
was
less
than
it
was
a
few
hundred
thousand.
I
want
to
say
it
was
less
than
500
000,
I
think
so
around
another
four
and
a
half,
almost
five
million,
I
think,
was
the
addition
on
march
15th.
B
There
are
some
new
groups
that
got
sort
of
clarified
as
part
of
emergency
service
workers
or
right
and
added,
and
those
were
also
smaller
numbers.
So
we
can
get
back
to
you
with
the
the
updated
total.
J
J
My
presentations
to
the
community
have
been
about
eligibility
versus
you're
eligible,
it's
not
available,
but
here's,
the
numbers
and
the
realities
of
who's
eligible
and
the
numbers
of
vaccines
are
actually
in
the
state
and
so
far
it's
been
you
know
a
little
bit
less
than
50
and
that
helps
people
really
understand
the
situation.
So
thank
you.
A
And
thank
you
for
your
work
and
your
your
leadership
and
communication.
K
Yes,
hi
andy
imperato
with
disability
rights,
california,
I
just
want
to
echo
aaron's
thanks,
especially
on
the
the
broad
categories
that
are
categorically
eligible
people
with
disabilities
between
16
and
64
and
the
self
attestation
we're
very
grateful
for
where
you
all
landed
on
both
of
those
issues
and
thank
you
for
engaging
with
us
around
that.
I
also
just
wanted
to
let
everybody
know
that
next
friday,
the
the
biden
harris
covet,
19
health
equity
task
force
is
meeting
publicly
and
we're
going
to
be
voting
on
recommendations
related
to
vaccines
and
equity.
K
So
I
I
just
wanted
for
the
folks
here
from
the
california
department
of
public
health
and
then
all
the
other
stakeholders.
If
you
all
have
ideas
of
things,
the
feds
can
do
that
would
advance
equity
and
and
help
california
achieve
some
of
its
goals.
I
love
your
ideas.
I
put,
I
put
my
email
address
in
the
chat
for
people
listening
in
the
public,
come
andy
dot,
emperor
disabilityrightsca.org,
but
welcome
ideas,
I'm
one!
Member
of
that
task
force.
K
C
Thanks
andy
and
I'll
send
the
members
your
email,
along
with
myra
alvarez
from
the
children's
partnership,
who's
also
represented
by
gabrielle
on
this
task
force
he's
on
the
equity
group
with
you.
So
thank
you
carol,
let's
go
to
you
and
then
linea.
Did
you
take
your
hand
down?
Did
you
want
to
say
something
after
carol?
L
Hi,
I'm
carol
green
with
california
state
pta.
I
just
had
a
couple
of
points
self
attestations
new
for
me,
I
I
was
loved
when
I
learned
something
new.
I
want
to
just
also
tell
you.
I've
been
seeing
ads
the
past
few
days,
come
to
the
doctor's
office
and
get
your
doctor's
note.
So
I'm
not
sure
that
message
that
you
don't
need
a
doctor's
note
has
gotten
out
there
and
I'm
also
concerned
there
might
be
some
people
that
are
trying
to
profit
off
of
this
system.
L
L
B
But
it's
definitely
a
huge
issue
and
I
think,
have
heard
a
lot
of
great
success
stories
actually
about
health
departments
or
fqhcs
working
with
partners
to
enroll
and
help.
You
know
sort
of
use
the
phone
under
in
person
and
enter
for
people
to
get
their
their
clinic
appointments.
But
it's
absolutely
you
know
an
issue.
B
You
write
that
we
are
trying
to
address
sort
of
at
that
local
level,
and
I
think
it
then,
if
we
as
we
do
that,
if
we
can
do
it
successfully,
we're
collecting
the
data
as
well,
which
is
again
early
on,
has
been
a
huge
challenge,
and
you
know,
as
karen
brought
up,
we
have
data
completion
issues
and
so
trying
to
again
always
do
to
check
all
the
boxes
that
we
can
to
to
get
where
we
want
to
be,
which
is
vaccinating
our
most
disproportionately
impacted
people.
B
A
You
for
raising
that
carol
and
thank
you
also.
There
was
a
a
comment
in
the
chat
around
pharmacies
charging
for
vaccine
and
we
know
that
vaccines
should
be
free
for
everyone,
including
at
pharmacies,
and
so
it's
an
it's
an
opportunity
for
for
all
of
us.
For
all
of
you
to
reinforce
to
your
networks
that
there
should
be
no
charge
for
getting
access
to
a
vaccine
for
receiving
the
vaccine.
A
Either
genuine
mistakes
or
unscrupulous
individuals
who
are
seeking
the
charge.
M
Yeah
linnea
koopmans,
I'm
the
interim
ceo
for
the
local
health
plans
of
california,
and
I
did
take
my
hand
down
because
my
comments
about
equity
that
I'll
I'll
I'll
say
it
now
and
I'll
be
brief.
But
I
I
just
wanted
to
to
urge
the
state
to
continue
considering
medi-cal
penetration
as
another
proxy
for
equity.
M
So
while
the
hpi
is,
you
know,
of
course,
related,
I
don't
think
they're
equivalent,
and
so
I
really
do
want
to
urge
us
to
continue
looking
at
medical
penetration
and
maybe
more
formally
incorporating
that
into
how
we're
measuring
equity.
C
Thank
you
lynnea,
and
we're
going
to
talk
more
about
equity
with
the
tpa
in
just
a
minute,
sylvia
one
more
question
in
this
section
and
then
we'll
go
to
our
next
presentation.
N
N
Oh
yes,
of
course,
sorry,
I'm
sylvia
yi
with
disability
rights,
education
and
defense
fund.
I
think
the
comment
actually
relates
to
what
dr
pond
actually
said
earlier,
talking
about
like
assisting
partners,
pharmacies
etc.
Some
of
the
issues
I've
heard
around
self-attestation,
which
is
a
great
thing,
I'm
really
happy
about
that.
But
that
pharmacies
have
checked
down
this.
N
You
can't
any
more
indicate
that
that's
an
issue
which,
which
is
problematic,
obviously
because
there
are
other
ways
of
us
of
being
a
high-risk
person.
So
I
think
that,
especially
for
those
who
are
receiving
homely
community-based
services
for
medi-cal
individuals,
that,
if
that's
the
case,
then
they're
they're,
stuck
and
to
the
degree
that
the
tpa
that
the
state
can
provide
assistance,
maybe
some
kind
of
clear
screening
tool
that
pharmacies
or
other
vaccine
providers
can
use.
N
B
A
Thank
you,
and
so
now
we'll
have
an
opportunity
to
dive
deeper
into
a
conversation
about
equity
and
hear
from
our
tpa
partners,
peter
long
from
blue
shield
of
california
and
kimberly
good.
O
Opportunity
to
be
here,
I
echo
the
appreciation
to
dr
burke
harris
and
dr
pan,
and
really
everyone
in
the
community
that
has
worked
together
to
get
us
to
some
milestones,
we're
still
in
the
thick
of
this.
But
we
have
to
all
feel
good
about
the
fact
that
cases
are
going
in
the
right
direction.
Deaths
are
going
in
the
right
direction.
We've
got
more
vaccine
options
and
I
love
the
phrase
I
heard
about
getting
closer
to
a
better
normal.
O
That
is
absolutely
our
goal
to
help
us
build
the
network
that
will
prepare
us
for
the
abundance
that
we
hope
is
to
come
and
certainly
to
work
with
all
of
the
partners
in
each
of
the
local
health
jurisdictions
and
across
the
state
and
in
the
community
to
do
all
we
can
to
meet
our
equity
goals
and
ensuring
that
the
distribution
of
the
vaccine
absolutely
lines
up
with
the
disease
burden,
which
is
such
an
important
way
to
ensure
that
we
do
get
to
that
better
normal.
O
O
We
also
have
play
a
role
on
the
data
in
analytics
side.
There's
certainly
been
a
push
for
us
to
get
providers
on
the
my
turn
system.
The
reason
for
that
is
that
we
want
to
make
sure
that
we
have
a
complete
data
set
and
that
we
have
robust
data,
transparent
reporting,
so
that
we
can
know
where
we
are
know
how
we're
doing
against
our
objectives
and
can
make
necessary
adjustments
along
the
way.
O
And
then
we
work
together
to
figure
out
how
to
action
that
and
we're
just
in
the
early
phases
of
that,
because
those
plans
were
just
developed
in
the
last
week,
but
that
certainly
is
going
to
be
a
helpful
way
for
us
to
know
that
on
the
ground,
we're
actually
meeting
our
goals.
So
on
the
allocation
side,
we
all
know
that
the
state
has
made
a
determination
around
how
we
should
equitably
distribute
the
vaccine.
That's
straightforward
that
our
job
is
to
make
sure
that
that
happens.
O
We
also,
then,
will
be
doing
the
data
collection
and
monitoring
to
do
to
make
sure
that
we
can
account
for
if
the
vaccines
were
distributed
to
the
first
quartile
in
the
appropriate
manner.
What
was
the
uptick
rate?
How?
How
much
are
we
vaccinating
in
those
quartiles
so
that
we're
able
to
know
how
we're
doing
and
be
transparent
about
that?
O
We
also
need
to
make
sure
that
we're
utilizing
tools
to
ensure
access
to
the
vaccine
for
closed
clinics
or
other
groups
that
may
help
us
meet
our
equity
goals.
We
know
that
there
was
some
preliminary
gaps.
This
was
not
necessarily
as
a
result
of
the
the
tpa,
but
it
was
a
learning
for
us
to
use
going
forward
that
we
needed
to
tighten
up
the
process
of
of
how
that
worked,
and
I
think
the
the
teams
are
working
together
to
do
that.
O
But
those
closed
clinics
will
enable
us
to
provide
a
coded
clinic
access
so
that
we
can
go
to
targeted
areas
as
a
way
of
meeting
our
needs.
We
also
know
that
you
know
we
want
to
be
ready
from
an
allocation
point
of
view,
as
the
abundance
phase
starts
for
the
state.
So
we
want
to
make
sure
that
even
as
we
open
up
eligibility,
we
are
able
to
accommodate
and
direct
people
and
get
them
signed
up
in
the
right
proportion.
O
You
know,
as
the
state
does
become
more
open.
We
picked
up
on.
I
think
someone
else's
messaging
that
it's
great
to
be
eligible,
but
until
we
get
to
the
abundance
phase,
it
doesn't
mean
that
eligibility
will
directly
result
into
access
because
we
still
do
have
a
supply
issue,
so
we're
partnering
very
closely
with
all
parties
to
make
sure
that
the
communications
piece
is
clear
in
that
regard.
O
From
a
network
perspective,
as
I
already
mentioned,
we
certainly
have
goals
around
proximity
to
providers,
but
we
had
a
really
rich
discussion
even
this
morning
on
the
leadership
team.
Call
that
you
know
proximity
is
not
the
only
measure
of
adequacy,
because
clearly
the
needs
of
some
who
can
get
across
town
as
dr
berk
harris
represented
on
the
call
today
can
be
easier
than
for
others.
O
So,
there's
more
work
that
we
need
to
do
to
make
sure
that,
even
if
there's
a
clinic,
that's
easily
accessible
and
meets
the
standard
that
there
are
the
access
supports
in
place
for
those
circumstances.
For
folks
that
may
not
have
a
car
in
the
home
or
other
criteria,
I
will
say
that
the
proximity
standards
we
are
using
are
narrower.
There's
then
than
what
was
prescribed
by
others.
So
we
we
are.
We
do
have
more
sites
even
than
what
had
been
established
as
a
guideline,
but
we
don't
think
that's
sufficient
in
and
of
itself.
O
We
know
that
there
needs
to
be
some
additional
access
support
and
we're
working
to
do
that
in
partnership
with
local
health
jurisdictions.
O
One
of
the
ways
that
we
are
increasing
access
to
meet
our
equity
goals
is
through
the
multi-county
entities,
those
providers
that
serve
across
the
state.
They
have
agreed
to
vaccinate
all
community
members,
not
just
their
own
members
and
we
think
that's
a
huge
way
of
making
the
vaccine
accessible
to
all.
O
O
We
did
hear
someone
talk
about
technology
as
a
possible
barrier.
So
again,
we
consider
that
one
of
the
supports
that
we
have
to
have
in
place
to
help
people
who
may
not
have
access
to
technology.
We
have
a
1
800
number
or
what
whatever
the
number
is.
I
don't
know
if
it's
800
or
888
whatever
the
number
is,
there's
a
number
that
people
can
call
if
they
need
help,
and
there
are
other
tools
that
will
be
put
in
place
through
community
organizations
to
facilitate
reaching
folks
that
that
may
have
a
technology
barrier.
O
We
also
are
trying
other
provider
approaches
like
local,
independent
pharmacies,
where
there
might
be
limited
access
to
providers,
mobile
solutions
that
can
address
particular
needs,
and
obviously
we
want
to
make
sure
that
we've
got
enhanced
coverage
in
the
first
quartile
hpi
quartile.
That
could
include
things
like
extended
hours
and
on-site
solutions.
O
So
this
gives
you
a
sense
as
to
how
we're
approaching
the
our
recommendation
and
input
into
the
allocation
part.
I
always
have
to
remind
people
that
the
tpa
makes
allocation
recommendations
in
partnership
with
our
local
health
jurisdictions,
but
the
final
decision
always
is
the
the
state's
decision.
We
don't
make
allocation
decisions
with
that.
I
want
to
turn
it
over
to
my
colleague
peter
long
who
will
talk
about
that
third
area,
where
the
tpa
plays
a
role
and
that's
in
the
data
analytics
side.
O
So
he
can
walk
you
through
a
little
bit
of
how
we
will
approach
measuring
our
progress
and
things
that
we
will
do
to
hold
ourselves
accountable.
D
Thanks
very
much
kimberly,
so,
let's
see
second
time's
a
charm.
I
think
I
put
the
dogs
elsewhere
today,
so
I'm
trying
to
be
a
learning
in
this
in
this
process,
along
with
all
of
us,
the
headline
for
the
data
dashboards-
and
I
think
you
all
have
been
talking
about
what
information
do
we
need
to
know
so:
we've
we've
gotten
information.
The
state
has
had
information
through
for
several
months
now
on
what
the
impact
is
right.
D
So
what
is
the
equity
impact
in
the
first
quartile
around
the
vaccination
distribution,
but
we
haven't
always
known
why
and
what's
underneath
that
we
have
some.
You
know
theories
around
that
we've
in
some
ideas,
but
we
haven't
had
the
information
to
tell
us
what's
happening
we
also
haven't
had.
I
think,
you've
also
raised
this
around
race
and
ethnicity,
potentially
around
insurance
and
medi-cal
other
cuts
of
the
data
that
allow
us
to
understand
what's
happening
underneath
those
bottom
line
results.
D
So
what
you're
seeing
here
are
dashboards
operational
dashboards
that
we've
developed
as
a
third
party
administrator
that
help
us
begin
to
answer
those
questions.
They
don't
provide
all
the
answers,
because
I
think
you
all
with
your
you
know,
kind
of
human
insights
and
your
on
the
ground.
Experience
will
be
able
to
interpret
the
data
and
understand
how
do
we
take
action
to
to
achieve
our
goal
of
equitable
vaccine
distribution,
but
this
gives
you
a
sample
of
a
couple
of.
D
I
have
two
slides
here
of
a
couple
of
different
dimensions
in
the
on
the
left.
Here
it
is
around
vaccine
hesitancy
or
vaccine
confidence
willingness
to
take
the
vaccine,
so
understanding.
In
that
case,
you
can
imagine
how
that's
actionable
of
informing
the
public
outreach
campaigns
right
and
how
do
we
have
more
folks,
like
dr
pawn
and
dr
burke
harris
and
dr
aragon
being
vaccinated
publicly
and
working
on
those
issues
you
can
see
on
the
right
we're
looking
at
issues
of
race
and
ethnicity.
D
I
think
karen
you
raised
earlier
that
we're
not
necessarily
it's
we're
not
making
up
ground
on
that,
but
we
need
to
know
and
understand
by
age
group.
Is
it
a
particular
what's
happening
by
age
group?
Is
it?
Is
it
seniors
of
color?
Is
it
younger
adults
where
are
we
falling
behind
and
where
are
we
tracking?
So
the
purpose
of
this
is
not
the
end-all
be-all
and
I'm
actually
going
to
ask
for
your
input
on
this
one.
D
But
this
gives
you
it
gives
us
a
couple
of
other
cuts
of
the
data
and
ways
to
look
at
it,
so
that
then
we
can
take
action
to
actually
drive
closer
to
our
equity
goals.
So
next
slide.
You
know
I'll
give
you
a
couple
of
more
examples
and
then
actually,
at
the
end,
I'm
going
to
ask
your
input
of
other
cuts
of
the
data
that
you
think
would
be
important,
particularly
to
drive
action
and
inform
action
to
achieve
equity.
D
So
these
are
a
couple
around
the
the
allocation,
so
we
can
actually
track.
Was
it
an
allocation
issue
and
then
did
it
flow
all
the
way
through
to
actual
vaccinations
and
how
did
that
play
out?
So
maybe
we
have
an
issue
that
we're
distributing
in
a
certain
way
and
we're
not
actually
getting
for
appointments
or
it's
you
know:
how
do
we
market
it
or
how
do
we
get
folks
into
the
vaccination
sites
to
map
and
match
up
where
we've
done
allocations?
D
The
second
is
to
look
at
the
the
mix
as
kimberly
showed.
We
now
have
an
incredible
array:
a
mixture
of
delivery
mechanisms
for
the
vaccine,
mobile
in-home
in
clinic.
We
have
federally
qualified
health
centers.
We
have
a
diverse
set
of
tools,
and
so
this
on
the
right
here
again
it's
illustrative
and
we're
working
on
the
data,
but
can
show
us
that
federally
qualified
health
centers.
We
have
a
good
clue
that
they
would
be
very
important
or
good.
Evidence
historically,
they'd
be
very
important
in
reaching
the
first
quartile.
D
But
how
does
that
mix
play
itself
out
in
different
quartiles
and
different
geographies
with
the
goal
then
of
informing
future
actions?
And
then
this
gives
us
and
kimberly
had
mentioned.
While
we
did
set
a
geographic
target
of
vaccine
accessibility,
how
does
that
play
out
against
quartile?
So
these
are
some
of
the
dashboards.
D
The
intention
here
is
that
they're
operational
they'd
be
fed
back
to
state
leaders
through
the
third
party
administrator
and
then
across
government
to
local
health
jurisdictions
to
drive
future
action
so
that
we
actually
target
the
vaccines
even
more
effectively
I'll.
Do
the
next
slide
and
then
we're
going
to
I'm
going
to
ask
for
your
input
of,
because
I'm
sure
you
have
lots
of
ideas
of
other
types
of
data.
We
should
be
collecting
other
things.
We
should
be
learning
so
that
we
can
be
more
effective.
D
It
allows
us
to
actually
make
the
adjustments
in
different
pieces
of
the
delivery
system
and
the
the
data
and
the
support
structures
so
that
we
can
actually
then,
as
I
said,
work
and
have
this
process
continue
to
improve
over
time
as
it
has
been
doing,
and
what
we've
done
here
is
lay
out
in
different
ways.
It's
a
version
of
kimberly's
slide.
What
role
the
state
plays
in
setting
eligibility,
the
equity
framework
allocation
and
methodology,
as
kimberly
said,
the
local
health
jurisdictions.
D
D
How
do
we
achieve
a
high
priority
populations
and
meet
those?
What
are
the
resources
that
they
need
in
order
to
be
successful?
So
it's
an
incredibly
comprehensive
look
county
by
county
jurisdiction
by
jurisdiction
of
what
it
will
take
to
achieve
equity,
there's
also
the
local
provider
insight
and
the
local
networks,
and
then
those
community
partnerships
and
then
kimberly
outlined
the
role.
D
The
three
primary
roles
that
the
third
party
administrator
is
playing
allocation
recommendations,
the
network
adequacy
and
making
sure
that
we're
the
network
meets
the
needs
and
then
what
I
just
went
through
data
and
reporting.
And
then
what
we'll
hear
about
next
is
the.
I
think
we
have
incredible
resources
through
the
state's
planning
and
wisdom
around
access
supports
so
with
community-based
organizations.
D
The
outreach
campaign
and
what
the
goal
I
think
going
forward
as
we
move
into
an
era
of
abundance
is
how
do
we
make
this
work
like
a
system
so
any
thoughts
as
well
and
input
you
have
there?
What
can
we
do
better?
What
is
the
right
feedback
loop?
What's
the
cadence
for
that,
I
think
would
be
really
appreciated,
because
I
think
this
will
determine
whether
we
take
our
potential
and
all
the
inputs
we
have
to
achieve
equity
and
whether
it
actually
shows
up
over
the
next
month,
two
months
and
beyond.
D
C
Peter,
if
I
could
suggest
that
everyone
put
into
the
chat
their
ideas
about
the
answers
to
your
questions,
because
we
won't
be
able
to
hear
from
everyone-
and
we
already
have
a
few
questions
lined
up.
So
if
you
want
to
just
repeat
your
questions,
so
people
can
start
giving
you
input
through
the
chat
and
while
you're
doing
after
you
do
that,
then
we'll
hear
from
debra
and
then
diana.
D
So
two
questions:
one
is
yeah
inputs
on
data,
so
we
heard
about
medi-cal.
We
heard
about
race
and
ethnicity
by
age.
If
there
are
other
things
that
will
drive
our
action
towards
greater
equity
and
then
the
second
is:
what's
the
right
cadence
in
a
feedback
loop,
how
do
we
make
all
of
the
elements
that
we
now
have
ready
to
go
and
actually
are
working?
How
do
we
develop
that
feedback
loop
so
that
we
can
continue
to
learn
and
improve
as
quickly
as
possible
to
achieve
our
goals.
C
Great,
thank
you
so
in
the
chat
already
from
before
you
started
speaking,
a
number
of
members
raised
up
the
issue
of
sexual
identity
and
gender
orientation:
sorry,
sexual
orientation
and
gender
identity.
Just
so
you
don't
forget
those
on
your
list
so
deborah.
Why
don't
you
introduce
yourself
and
let's
get
started
with
your
questions
for
the
for
kimberly
and
peter.
P
Okay
and
thank
you
for
that
presentation
of
deborah
shade
from
the
california
school
board
association,
I
guess
a
general
question
that
I'm
still
struggling
with
is
the
relationship
between
your
work
that
you're
doing
as
a
third
party
administrator
and
the
county.
I
know
I'm
hearing
and
reading
in
the
paper
and
getting
news
reports
and
information
from
our
county.
They
don't
want
to
work
with
a
third
party
administrator.
I
know
there
was
la
county
san,
diego
county,
santa
clara.
I
think
there
are
multiple.
P
I
really
think
it
would
be
good
for
the
group
as
a
whole
to
get
a
pretty
good
understanding.
Is
that
an
opt-out
situation?
How
it's
all
going
to
come
to
is
how
will
the
county
be
responsible
for
this
work
if
they
don't
work
with
you
and
how
that
would
affect
the
equity
work,
as
you
see
it
rolling
out
in
california?
O
Peter
you're
on
me,
I
know
I
just
figured
that
out.
Let
me
provide
a
third
party
administrator
response.
Normally
marta
green
would
be
with
me
as
my
partner
on
the
state
side
but
she's
unable
to
join
us.
We
are
committed
to
continue
working
with
every
local
health
jurisdiction.
We
have
met
with
every
local
health
jurisdiction.
All
61
and
together
have
built
the
transition
plans
that
include
the
equity
plans
that
we
talked
we
were
talking
about.
O
O
A
And
deborah
I'll
add
from
the
state
perspective
that
it
is
certainly
our
hope
that
the
counties
will
work
with
the
third
party
administrator
to
ensure
that
our
you
know,
californians
get
vaccinated
and-
and
I
think
that
any
time
where
you're
launching
an
initiative
as
as
as
large
as
this
and
such
a
such
a
substantial
vaccine
campaign,
I
think
there
are
always
going
to
be
efforts
to
be.
A
You
know,
negotiating
and
be
back
and
forth,
but
the
this
you
know
we
really
the
state
is
in
partnership
with
the
tpa.
So
in
terms
of,
for
example,
I
know
that
one
of
the
the
the
issues
that
has
been
brought
up
is
an
issue
of
you
know:
allocation,
for
example,
the
the
the
tpa
is
is
enacting
the
states
allocation
guidelines,
and
so
it's
really
a
you
know
we're
setting
the
guidelines.
So
so
I
think
that
there's
a
matter
of,
I
think
negotiation.
A
C
Okay:
let's
go
on
and
hear
from
diana.
Q
I
did
bring
up
during
the
last
call
the
concern
regarding
occupation
of
being
captured
as
food
and
agriculture
and
not
separating
out
farm
workers
from
other
food
workers.
This
is
going
to
be
very
important.
I
did
see
in
the
q
a
document
that
was
sent
prior
to
the
call
that,
in
the
cares,
2
site
you're
not
allowed
to
store
occupational
data,
which
I'm
not
really
understanding
at
this
point,
but
you
know,
is
there
an
update
about
when
we're
going
to
be
able
to
capture
data
specific
to
agricultural
workers?
Q
I
would
also
say
from
a
practical
standpoint,
having
now
done,
multiple
events
with
farmworkers,
where
we're
both
doing
pre-registration
and
allowing
for
walk-ins
that
there
are
multiple
steps
where
farmworkers
are
asked
are
getting
asked
the
same
questions
on
different
sites,
so
we'll
pre-register
them.
They're
asked
the
same
question
by
the
medical
provider
and
it's
like
two
or
three
times
they're
being
asked
the
same
number
of
questions,
and
so
we
got
a
a
lot
of
feedback
from
the
workers
like.
Q
Why
are
you
guys
asking
me
this
over
and
over
and
over
again,
we've
already
answered
these
questions,
I'm
so
just
wondering
if
there's
a
way
to
also
streamline
the
process,
especially
as
we're
looking
at
an
equity
lens
for
those
who
might
not
be
able
to
call
in
to
get
a
registration
or
have
access
digital
access
doing
the
walkthrough
process
was
a
little
bit
painful
and
so
to
say
the
least
because
of
those
multiple
steps,
so
just
wondering
what
it
is
that
can
be
done
on
that
end
as
well.
O
C
R
Yes,
thank
you
amanda
mcallister
walner.
She
her
hers
is
the
california
lgbtq
health
and
human
services
network.
Two
two
thoughts
on
the
second
part
of
your
question.
What
do
you
do
with
that
feedback?
You
know:
how
do
we
create
that
feedback
loop?
What
do
we
do
once
we
have
that
data?
The
first-
and
I
I
put
this
in
the
chat,
so
I
won't
go
into
you
know
extreme
detail,
but
I
think
you
know
one
part
of
that
feedback.
R
Loop
has
to
be
data,
quality,
improvement
and
and
completeness,
for
instance,
you
know
we
know
that
since
the
summer
since
last
summer
we
haven't
had
a
great
completeness
on
sexual
orientation
and
gender
identity
data,
you
know
we're
only
getting,
I
think
under
10
of
counties,
providers,
etc,
reporting,
sexual
orientation
data,
and
so
what's
the
plan.
What
are
the
different
actors
within
the
system
doing
to
to
address
the
various
different
points
where
that
data
is
being
lost
or
is
not
being
reported
up
the
chain?
R
You
know,
I
think
that
you
know
we.
We.
R
Are
problems,
and
so
I
think
with
getting
that
data,
and
we
know
that
there
are
problems
that
are
preventing
us
from
being
able
to
to
do
that
analysis
by
sexual
orientation
and
gender
identity.
So
you
know
what
are
the
steps
to
to
address
that
so
that
we
can
start
using
that
in
our
analysis
of
equity
and
then
the
second
thing
you
know
within
this,
this
feedback
loop,
I
think,
is
that
that
I
just
want
to
highlight.
R
I
think
it's
transparency
and
communication,
so
you
know
we're
doing
you
know
we're
we're
doing
this
work.
The
folks
on
this
call
and-
and
others
are,
you
know,
identifying
problems
in
the
system,
access
problems
or
you
know
where
we're
not
reaching
communities.
You
all
have
identified
a
solution
or
someone's
identified
a
solution.
How
do
we
make
sure
that
we're
communicating
to
the
public?
R
This
problem
you
were
having
you
know
has
been
addressed
and
so
that
so
that
folks,
you
know,
know
how
to
navigate
that
system
and
have
the
most
up-to-date
and
current
information,
because.
R
Are
you
know
and
that
that
everyone
is
working
really
hard
to
to
handle
all
of
these
issues,
to
make
sure
to
make
this
process
as
smooth
as
possible
and
as
equitable
as
possible,
and
we
need
to
make
sure
that
our
communities
are
getting
that
information
and
that
people
know
you
know
what's
happening
so
that
they
are
not
going
to
run
into
those
problems
anymore
and
that
they
can
try
again
now
where
they
can,
you
know,
do
it
this
other.
You
know
this
other
way.
That's
been
implemented.
C
Health
administrators
and
who's
on
our
committee,
just
to
say
a
few
words
about
her
response
to
the
question
was
asked
about:
where
are
the
counties
and
are
they
on
board
or
not
so
kim?
Do
you
want
to
just
introduce
yourself
and
just
take
a
minute
to
respond
to
that
and
then
we're
going
to
move
on
to
our
next
agenda
item
so
for
those
of
you
that
had
your
hands
raised?
If
you
don't
mind
putting
your
comment
or
your
question
in
the
chat,
it
would
be
great.
T
Bobby
so
I'm
kim
sarutari,
director
of
public
health
for
riverside
county-
and
I
also
know
dr
sergenko-
is
on
the
call
too
from
he
has
two
counties
that
he
represents.
But
I
will
say
I
think
that
there's
a
tremendous
amount
of
credit
that
goes
to
the
state
and
to
blue
shield
for
working
through
this
with
the
counties
there.
T
We
were
very
far
apart
when
we
started
this
this
process,
and
I
think
that
all
of
the
parties
really
negotiated
in
good
faith
and
came
together
and
addressed
what
the
issues
are
for
the
county.
And
so
now
we
went
from
a
contract
with
blue
shield.
T
To
now
we
have
an
mou
with
gov-ops
at
the
state
level,
and
it
was
as
recent
as
last
night
that
clarifying
pieces
came
out
that
gave
counties
some
additional
flexibility
written
down
in
terms
of
being
able
to
redistribute
within
clinics
that
we
are
contracting
with
or
controlling
staffing,
so
public
health
type
clinics,
and
so
we
were
really
happy
with
with
the
way
that
the
state
and
blue
shield
worked
with
us
on
this,
and
I'm
happy
to
say
that
we
actually
signed
our
agreement
this
morning
and
got
it
fully
executed
back
from
the
state.
T
Shortly
after
that.
So
I
feel,
like
we've
come
a
long
way
and
now
that
we're
kind
of
over
that
hurdle,
I
think
most
counties
are
fairly
happy
with
the
way
that
the
mou
came
out.
You
know,
I
certainly
don't
speak
for
everybody,
but
at
least
in
the
conversations
I've
been
involved
with-
and
I
think
everybody
now
is
just
looking
forward
to
okay,
let's,
let's
get
our
focus
back
on
getting
vaccine
in
arms.
So.
C
Thanks
kim
for
jumping
in
and
nadine
I'll
turn
it
back
to
you
for
our
next
section
on
community
engagement
and
outreach.
A
Thank
you
bobby,
so
it's
my
pleasure
now
to
introduce
maricela
marcela
ruiz
from
cdss
from
the
california
department
of
social
services
and
dr
martha
dominguez
from
cdph.
U
U
Okay,
then,
I
will
turn
off
my
video,
which
doesn't
seem
to
be
working.
I
I
actually
believe
that
martha
is
at
first,
so
let
me
pass
it.
V
Over
to
her
yeah
no
worries
good
afternoon,
everybody
thank
you
for
allowing
us
to
be
in
your
space
for
those
that
are
celebrating
st
patrick's
happy
st
patrick's
super
excited
to
give
you
some
update
on
our
progress
and
share
some
of
our
goods
that
we
have
been
producing.
V
Just
as
a
recap,
I
know
I
have
talked
about
in
the
last
couple
of
meetings
on
the
research
framework
just
wanted
to
give
you
sort
of
a
bird's
eye
on
what
that
research
framework
works
in
terms
to
monitor
attitudes
and
beliefs
across
the
the
duration
of
this
campaign,
but
specifically
within
our
just
disproportionate
affected
communities.
V
We
have
two
approaches:
a
qualitative
and
quantitative
I've,
already
shared
literature,
reviews,
stakeholder,
in-depth
information
interviews,
which
a
lot
of
you
supported
us
in
that
process.
We
also
did
diets
and
trans
generational
online
sessions.
V
We
also
did
online
discussion
boards
and
we
did
also
multi-ethnic
focus
groups,
and
then
we
will
continue
to
our
research
will
continue
with
some
quantitative
monthly
tracking
survey
collecting
information
across
the
12
months
along
the
duration
of
the
campaign.
Next
slide.
V
So
what
is
the
quantitative
tracking
survey,
so
the
tracking
survey
really
is
encompassed
of
a
pre-campaign
benchmark
way
which
we're
calling
wave
zero
and
then
they're
followed
by
a
monthly
waves.
The
type
of
survey
questions
that
we're
going
to
be
tracking
as
really
direct
questions
on
the
likelihood
of
getting
vaccinated.
V
We
know
that
this
is
constantly
changing,
as
people
are
obtaining
information,
but
really
to
monitor
the
hesitancy
of
how
that's
fluctuating
with
within
communities.
We
will
also
have
direct
questions
about
covet,
19
and
vaccines,
to
gauge
the
truthfulness
to
answer
direct
questions
on
the
likelihood
to
get
vaccinated,
just
some
logistics
about
the
survey.
The
survey
is
conducted
online
and
it's
via
telephone
to
ensure
coverage
of
the
hard
to
reach
residents.
V
Our
minimum
sample
size
which
we
will
supersede
is
1200
participants
across
california,
primarily
in
three
regions
or
as
we're
dicing,
california,
northern
central
and
southern
california.
What
we
hope
to
learn
is
really
to
measure
and
track
the
shifts
of
vaccine
hesitancy
throughout
the
year,
which
will
be
really
important.
V
We
will
also
measure
and
be
provided
of
how
californian
population
as
a
whole
and
also
some
subpopulations
selected,
based
on
the
findings
in
in
regards
to
vaccine
hesitancy.
More
specifically,
we're
interested
in
tracking
the
african-american
community
asian
pacific,
islander
english,
dominant
and
bilingual
latino
households
and
spanish
dominant
latino
households.
V
Keeping
all
the
research
that
we've
been
talking
in
the
last
couple
of
weeks
or
in
the
last
meetings
that
we
have
just
wanted
to
underscore
that
research
has
really
indicated
to
us
that
there
are
key
factors
that
can
empower
us
to
get
the
communities
to
get
vaccinated.
Really.
Is
trust
making
sure
that
we
connect
people
with
the
right
messengers.
V
We
know
promoters
or
people
within
their
community
are
becoming
the
trusted
and
right
messenger
that
can
deliver
that
information
for
them
and
and
have
that
conversation
we
want
to
be
super
transparent
about
the
various
different
angles
of
the
vaccine
process
or
just
vaccine
information
that
people
have.
So
we
want
to
disseminate
that
information,
but
we
also
want
to
uplift
any
humanized
lived
experiences.
V
We
know
that
a
lot
of
our
communities
are
what
we're
calling
in
the
wait
and
see
category
they're
waiting
for
others
to
get
vaccinated
until
they
get
so
they
can
get
vaccinated
and
the
more
that
we
use
an
approach
of
testimonials
and
show
people
that
people
like
them
are
getting
vaccinated
or
people
like
them
were
part
of
the
clinical
trials
or
part
of
the
process.
People
are.
Are
that's
resonating
and
it's
allowing
them
to
really
make
an
informed
decision
to
for
vaccine
acceptance
next
slide.
V
So
we
wanted
to
unveil
our
campaign
strategy.
We
have
gone
through
creative
testing,
we've
talked
to
various
communities
and
we
feel
that
this
campaign
named
let's
get
to
immunity
and
there's
an
emphasis
on
unity,
we'll
meet
people
where
they're
at
but
most
importantly,
it
really
will
provide
that
information.
V
V
The
findings
of
during
our
creative
testing
really
validated
and
quantifying
that
this
work
really
is
really
important
and
the
messaging
and
the
approach
of
it
can
reach
the
the
audience
that
we're
hoping
to
reach
and
also
to
see
people
like
them
across
the
campaign
represented
and
the
imagery
and
the
messaging
along
the
way
so
wanted
to
unveil
this.
For
you,
let's
get
to
immunity,
is
our
brand
to
deliver
our
message
in
the
next
couple
of
months.
V
Within
our
let's
get
to
immunity
count
brand
campaign,
we
are
developing
multicultural,
latino,
pacific
islander
and
asian
creative.
That
really
has
imagery,
as
I
indicated
before,
people
that
reflect
like
them.
We
want
to
make
sure
that
people
can
see
themselves
in
the
imagery
and
that
the
information
and
the
messaging
is
right
for
them.
V
We
are
working
with
very
robust
and
sophisticated
ethnic
media
partners
that
are
helping
us
to
ensure
that
the
messaging
and
the
creative
assets
really
meet
people
where
they're
at
these
are
sample
creatives
that
will
be
going
digital
at
a
home,
which
is
a
billboard
but
you'll
also
see
them
in
grocery
stores.
You'll
also
start
to
see
them
in
print
ads.
Last
week
we
unveiled
our
radio.
V
This
week
we
also
launched
our
paid
and
our
digital
search.
Next
week
we
will
be
launching
our
tv
and
print
and
at
a
home,
so
we
will
have
a
full-blown
campaign
in
the
next
couple
of
days.
Next
slide.
V
We
wanted
to
share
with
you
one
of
our
pieces,
it's
called
anthem,
radio
and
the
reason
why
it's
called
anthem
is
really.
We
want
to
make
sure
that
people
really
understand
that
we're
hearing
them.
We
know
a
lot
of
people
have
questions.
V
A
lot
of
people
have
concerns,
and
then
we
want
to
make
sure
that
they
understand
that.
That's
okay,
that
there's
hope
and
the
vaccine
is
hope
on
its
way.
So
I
wanted
to
showcase
today
our
english
radio,
so
bobby.
If
you
don't
mind
clicking
on
the
little
speaker
for
the
for
the
team,
I
would
love
to
share
the
radio
spot.
W
You
don't
want
to
be
forced
to
give
them
a
vaccine.
You
want
it's
okay
to
have
questions.
Everyone
deserves
answers,
it's
okay
to
be
excited
or
worried,
or
both
all
your
feelings
are
valid.
It's
okay
to
hate
needles,
but
love
band-aids.
It's
fine
to
do
it
because
your
kid
misses
her
soccer
team
like
nothing
else,
it's
all
right
for
it
to
take
whatever
it
takes
for
you
to
be
ready.
Let's
get
you
there.
Let's
get
to
immunity,
learn
more
at
vaccinate.
All
58.com.
V
V
We
also
teamed
up
with
our
big
champion,
dr
brooke
harris
specifically
around
various
types
of
messages,
but
this
one
in
particularly.
We
wanted
to
make
sure
that
people
understood
the
importance
of
the
johnson
and
johnson
vaccine.
We
learned
that
the
community
had
a
lot
of
questions.
People
wanted
to
get
clarity
and
we
released
this
video
for
social
and
digital
to
both
in
english
and
spanish.
V
To
really
allow
the
community
to
understand
and
see
someone
that
is
so
credible,
like
dr
berkara
is
to
deliver
that
information
and
to
really
get
that
peace
of
mind
of
underscoring
and
that
reassurance
that
the
vaccine
is
effective.
So,
with
that
said,
I
would
like
to
showcase
with
you
the
video
so
bobby.
Do
you
want
to
hit
play.
X
We've
reached
an
important
milestone
for
californians
as
a
third
covit
19
vaccine
has
been
supported
for
use
the
fda,
along
with
an
independent
group
of
nationally
acclaimed
scientists
with
expertise
in
immunization
and
public
health,
have
completed
rigorous
reviews
and
concluded
the
johnson
johnson
covet.
19
vaccine
is
both
safe
and
effective.
X
V
Yes,
this
type
of
messaging
really
really
hit
home
for
a
lot
of
our
latino
communities
and
also
the
previous
english
message.
People
really
had
a
lot
of
questions
and
concerns,
but
this
really
underscored
for
them
that
sort
of
reassurance.
So
we're
very
appreciative-
and
I
know
we
will
be
tapping
to
a
lot
of
your
expertise,
but
this
type
of
messaging
and
that
reassurance
is
really
critical
and
with
social
media
and
digital,
which
we
often
see
as
a
first
line
of
defense
to
deliver
messaging.
V
It's
super
critical,
so
thank
you,
dr
burke,
harris
for
lending
your
voice
and
allowing
us
to
do
this
piece
next
slide.
The
other
factor
that
I
underscored
earlier
in
the
presentation
is
people
want
to
see
people
like
them.
They
want
to
see
people
like
them,
really
understand
and
feel
that
same
emotion.
V
We
know
this
has
been
very
emotional
for
the
various
communities,
but
testimonials
is
a
really
great
approach
for
us
to
get
that
message
out
and
amplify
that
that
movement
within
various
communities
to
ensure
that
they
can
feel
confident
and
secure
by
getting
a
vaccine.
So
I
want
to
show
you
a
clip.
This
is
in
spanish,
but
we
also
have
other
farmworker
testimonials
in
hmong
and
in
other
languages.
So
for
this
one
we'll
be
in
spanish,
so
bobby,
do
you
want
to
hit
and.
S
V
Just
to
underscore
her
message
is
really
the
sense
of
relief
of
getting
vaccinated
to
see
and
hug
and
and
see
their
families,
and
this
is
a
sentiment
that
we're
seeing
across
various
communities
within
the
farmworker
community
is
something
that
really
is
resonating.
So
we
will
be
showcasing
this
more
as
a
campaign
develops
next
slide.
V
Also
wanted
to
share
with
you
guys
that
our
pr
team
has
been
hard
at
work
around
the
arrival
of
the
johnson
johnson
vaccine,
especially
doing
some
surgical
pr
efforts,
which
really
included
proactive
pitching
of
interviews
with
their
subject
matter,
experts
both
mainstream
and
multicultural
media.
It
really
resulted
in
a
great
great
cross-section
of
coverage.
As
you
can
see
here,
these
tactics
were
designed
to
build
confidence
on
the
johnson
and
johnson
shot
positioning.
V
Not
only
is
it
safe
and
effective,
along
with
the
pfizer
moderna,
but
also
highlighting
that
it's
easier
to
transport
and
store
because
of
the
freezer
requirements
aren't
so
stringent
and
because,
as
you
heard,
is
just
one
and
done
next
slide,
we
also
did
a
johnson
and
johnson
pr
tour
and
you'll
see
some
familiar
faces
here,
but
really
further
to
produce.
We
produced
two
media
events,
one
in
oakland
and
one
in
la
where
media
were
able
to
come
and
fill
and
cover
the
vaccination
of
our
state
doctors.
Dr
pan,
dr
barcares,
dr
thomas.
V
V
I
just
wanted
to
also
share
and
highlight
that
the
governor's
nuisance
most
recent
on
the
record
column
highlight
not
only
the
safety
of
the
vaccine,
but
also
california's
commitment
and
distributing
the
vaccine
in
an
equitable
manner.
Equity,
of
course,
is
a
north
star
for
all
the
work
that
we're
doing,
and
thanks
to
the
collaboration
of
our
our
campaign,
ethnic
media
partners,
the
column
ran
and
more
than
40
outlets,
including
many
in
language.
Next
slide.
V
On
our
ethnic
media
briefings,
our
earned
media
team
also
developed
and
produced
another
series
of
ethnic
media
briefings
for
multicultural
journalists
to
continue
the
education
around
covet
vaccines.
We
held
four
separate
briefings,
one
in
for
african
media,
another
for
asian-american,
pacific
islander
media,
another
for
latino
media
and,
finally,
a
briefing
for
native
american
media.
In
total,
we
have
hosted
117
news
outlets
and
earned
a
lot
of
informative
and
positive
coverage
for
multicultural
and
ethnic
audiences.
V
The
newsletter
includes
a
lot
of
goodies,
such
as
key
messages
and
includes
highlighting
some
of
our
assets
that
we
will
be
sharing.
We
also
will
be
develop
various
types
of
toolkits,
so
you
can
help
us
amplify
that
information
and
your
social
media
channels,
but
also
to
ensure
that
collectively
we
have
a
one
unified
messaging
for
our
communities.
So
please
send
us
an
email.
We
would
love
to
have
you
in
our
distribution
next
slide.
V
So
I
think
I'm
going
to
pass
it
to
marcela,
but
before
I
do
bobby,
I'm
not
sure
if
you're
able
to
tee
up
our
our
new
tv
ad
if
time
permits,
I
would
love
to
see
share
this
with
the
committee.
We're
very
proud
of
their
tv
ad
that
launches
on
monday.
So
here
is
our
biggest
proud
enjoy.
M
W
V
Yes,
thank
you.
Thank
you
for
your
time.
We
hope
that
you
love
our
products
and
I'm
happy
to
take
any
feedback.
You
also
have
my
email,
I'm
constantly
making
an
assessment
to
ensure
that
we
do
work
and
in
a
good
way,
but
also
make
some
improvements
along
the
way.
With
that
said,
I
will
punt
it
to
my
colleague,
marcella.
U
Thank
you
martha
and
my
video
is
still
not
working,
so
I
apologize
for
that
and
I
have
to
say
that
I
think
it's
a
little
bit
unfair
that
I
have
to
go
after
martha.
I
always
get
a
little
bit
choked
up
with
the
videos
and
the
messages,
and
I
think
we
can
all
relate
to
the
hope
and
the
joy
that's
expressed
from
the
idea
right
that
we
will
be
able
to
come
together
as
community
in
unity
soon
enough.
U
So
I
get
the
task
of
giving
you
an
update
on
the
work
that
many
of
you
are
doing.
So
I
get
the
opportunity
to
reflect
back
to
you
the
great
work
that
you
are
doing
to
get
the
word
out
about
covid
19.,
a
few
updates
on
the
community-based
outreach
efforts
that
are
funded
through
the
state
and
also
in
partnership
with
philanthropy.
U
Last
week
we
announced
49
new
partners
through
the
california
community
foundation,
who
are
focused
in
orange
county,
los
angeles
and
ventura.
So
this
brings
the
total
state
funded
partners
to
157
and,
as
you
remember,
these
are
the
partners
who
are
funded
through
the
department
of
social
services
and
also
our
sister
agency
labor
workforce
development.
U
U
Our
partners
in
philanthropy
with
the
fund
that
is
administered
through
the
public
health
institute
continue
to
make
awards
two
community-based
organizations
as
well
as
of
mid-february.
They
have
made
awards
to
180
plus
partners
and
collectively
between
our
efforts
at
the
state
and
our
efforts
and
the
efforts
through
the
public
health
institute.
U
We
have
awarded
52.7
million
dollars
through
337
cbos,
so
that
is
quite
a
significant
effort
and
really
proud
of
that
really
proud
to
be
able
to
to
partner
with
many
of
you
who
are
on
this
on
on
this
committee
next
slide,
please.
U
So
here
is
really
where
I
do
get
to
tell
you
what
you've
been
up
to
in
the
the
first
two
to
three
weeks
of
the
of
the
partnership
with
the
center
at
sierra
health
foundation.
U
Organizations
on
this
call
and
other
organizations
who
are
receiving
funding
reached
over
80
000
individuals
through
phone
banking,
door-to-door
outreach,
canvassing
booths
and
tabling,
and
what
you
will
see
on
your
right
are
the
activities
the
number
of
activities.
What
you
see
on
the
left
are
the
number
of
people
reached
in
that
short
time
span.
The
organizations
are
reporting
on
a
weekly
basis,
we're
happy
to
share
that
information
with
you
at
the
c-vac
so
that
you
can
see
how
active
our
partners
are
in
getting
the
word
out
about
cobit19
next
slide.
Please.
U
Oh
so,
just
as
a
kind
of
a
a
reminder
and
to
situate
this
this
project,
I
think
it's
really
important
to
remember
that
this
project
was
initiated
before
the
vaccine
was
really
a
a
reality
right.
And
so
this
partnership
with
our
community-based
partners
began
as
an
effort
to
do
outreach
around
covet
19
mitigation
strategies
and
on
the
labor
workforce
development
agency
side.
U
So
I'm
just
lifting
up
some
of
the
practices
that
are
emerging
and-
and
we
are
in
a
phase
right
now,
where,
with
our
project,
where
we
are
piloting
some
of
these
efforts
across
the
state
to
learn
how
to
connect
the
cbo's
more
tightly
with
the
with
the
vaccine
supply
as
vaccine
ramps
up.
So
we
really
do
think
it's
going
to
be
a
terrific
opportunity,
as
the
vaccine
supply
increases
as
the
third
party
as
the
tpa
connects
with
the
counties
as
the
county
sign
on
to
the
tpa.
U
We
are
also
working
very
closely
in
partnership
with
the
tpa
to
understand
how
to
make
that
connection
more
more
tighter.
And
so
I
do
wanna
also
thank
peter
and
kimberly
for
the
partnership
and
really
thinking
through
how
we
connect
the
community
based
organizations
with
with
the
network
next
slide,
and
so
I
am
looking
here
to
bobby
for
cues.
U
I
know
we're
almost
we're
almost
at
time
and
I
and
we
wanted
to
put
a
few
questions
on
the
table,
but
bobby
I
I
don't
know
if
we
want
to
go
to
the
overall
q
a
and
table
this
conversation
or
if
we
want
to
share
the
questions,
have
folks
kind
of
write
in
with
responses
or
how
you
would
like
to
handle
the
the
amount
of
time
we
have
left
thanks.
C
You
can
see
them
if
you
have
comments
you'd
like
to
make
in
the
chat,
we'll
make
sure
that
marcella
and
martha
get
your
comments
and
if
you
want
to
talk
further
with
either
of
them,
if
you
can
just
put
that
in
the
chat
as
well-
and
we
probably
have
time
for
one
or
two
verbal
comments
if
anyone
wants
to
raise
their
hand
and
either
ask
marcella
and
martha
a
question
or
a
comment
on
the
questions
that
are
on
the
screen,
so
we'll
leave
these
questions
on
the
screen.
C
If
that's,
okay
and
we'll
take
we'll
see
how
much
time
we
have
left
we'll
take
at
least
one
comment:
if
maybe
we
have
a
second
one,
we'll
have
time
for
it.
U
Thanks
for
that
bobby
and
so
I'll,
just
preface
the
questions
by
by
saying,
as
we
understand
how
to
connect
the
cbo
network
and
other
cbo
partners
that
may
not
be
part
of
the
state
funded
network
with
the
vaccine
sites.
We're
really
interested
in
hearing
from
you
what
effective
strategies
you
have
identified,
connecting
individuals
with
the
vaccine
and
what
supports
you
think
are
most
necessary
to
make
sure
that
someone
who
receives
an
appointment
is
actually
able
to
show
up
for
for
the
appointment.
C
G
Hi
everyone
good
afternoon,
genevieve
flores,
holo,
associate
director
with
museco
and
the
hyuna
community,
organizing
project
or
my
comp.
For
short,
she
her
they
them.
I
wanted
to
touch
on.
The
second
question
supports
for
to
make
sure
someone
shows
up
for
their
appointment
what
we're
seeing,
especially
now
that
it's
open
to
farmworkers,
at
least
with
the
state
portal,
as
it
is
right
now,
it's
still
requiring
an
email
address
and
the
confirmations
are
getting
sent
via
email
so
that,
as
we're
registering
from
workers,
we've
had
to
make
an
email
address.
G
I
don't
know
if
that's
allowed,
but
we
made
an
email
address
so
that
our
promoters
can
make
sure
to
remind
them
directly
via
telephone,
so
maybe
taking
that
out
of
whatever
platform
gets
developed
next
and
secondly,
you
know
I
went-
and
I
visited
one
of
our
vaccine
sites
out
here
and
just
wanting
to
really
really
impress
the
importance
of
language
access.
G
The
vaccine
side
I
went
to
I
asked
you
know:
if
there
was
a
monolingual
spanish
speaker,
how
would
they
be
processed?
I
was
told
someone
at
registration
speaks
spanish,
but
all
the
nurses
spoke
english.
All
the
instructions
were
in
english
and
just
wanted
to
lift
that
up.
I
know
equity
language
access
and
these
spaces
are
really
really
important.
G
We
just
got
to
make
sure
that
implementation
occurs
on
the
ground,
and
so,
if
it's
not
there
for
spanish,
it's
not
going
to
be
there
for
our
indigenous
languages
as
well,
like
mistakes
so
again,
really
good
stuff
coming
from
these
meetings
and
now
is
the
time
to
make
sure
that
they
get
implemented.
Thank
you.
C
F
Thanks
ronnie
kelly
county
behavioral,
health
directors
association,
so
for
the
first
we
actually
have
just
set
up
for
county
behavioral
health.
Our
own
clinics
we've
gone
through
calvex
did
the
whole
system,
because
we
knew
that
our
patients
who
have
disabilities
were
not
going
to
wait.
They
were
not
going
to
be
able
to
access
other
systems
in
order
to
input
all
the
information.
F
We
know
that
health
literacy
is
very
low
nationally,
certainly
within
our
populations,
and
we
we
really
listened
to
what
they
said
to
us.
We
actually
held
listening
sessions
with
our
communities
and
said
to
them.
What
do
you
want
to
know
and
how
do
you
want
to
receive
information?
And
we
didn't
say?
Well,
no,
no,
that's
not
true.
We
didn't
interrupt
them,
we
just
listened
to
them
and
then
we
did
it.
F
So
that's
been
very
effective
for
us
and
even
to
make
sure
that
they
showed
up
for
the
appointments
we
have
their
caregivers,
who
are
part
of
it.
We
have
their.
You
know
their
favorite
clinician
or
their
psychiatrist
who's,
seeing
them
anyway,
and
that's
how
we're
doing
it
just
so.
It's
a
one,
stop
and
isn't
requiring
multiple
screens
or
multiple
sort
of.
C
Processes,
thank
you
ronnie
for
bringing
that
up
a
great
example,
and
I
think
we'll
turn
the
meeting
back
to
dr
burke
harris
and
dr
pond
to
close
us
out
and
get
ready
for
our
next
session.
A
Thank
you
so
much
bobby
and
thank
you
again
to
all
of
you
for
another,
really
really
excellent
meeting,
really
thoughtful
feedback.
I
want
to
reflect
on
some
of
the
things
that
we
heard.
A
We
made
a
commitment
to
bring
back
to
you,
data
by
race
and
ethnicity,
by
age
and
also
to
share
with
you
at
the
next
meeting,
information
on
the
role
of
kaiser
and
the
tpa,
their
workflows,
their
dissemination
in
terms
of
accessibility
and
prioritization.
So
we'll
we'll
look
to
finding
those
answers.
A
I
want
to
lift
up
the
voice
of
my
sister
maria
limas,
who
is
you
know,
continues
to
found
on
the
table
about
promotoras,
and
I
want
to
emphasize
that
cdph
has
given
that
guidance.
That
promoters
are
eligible
as
healthcare
workers
and
make
sure
that
everyone
is
aware
of
that.
A
We
had,
we
heard
a
great,
a
great
recommendation
about
developing
messaging,
about
waiting
for
the
preferred
vaccine
and
in
fact,
what
we
heard
so
eloquently
from
our
public
health
officer,
dr
aragon,
at
our
event
last
week,
is
that
the
best
vaccine
is
the
first
one
you
have
access
to
right.
So
that's
folks
are
wondering
which
is
the
best
one
to
get
it's
the
first
one
you
can
get.
We
also
heard
a
request
to
learn
more
about
the
state's
plan
for
accessibility
for
the
home
bound,
and
so
we
can.
A
We
can
work
to
bring
more
information
back
on
that
at
our
next
meeting,
I
will
say
my
own.
My
own
mom
is
homebound
and
received
her
vaccination.
Last
week
I
was
very
I
was.
I
was
amazed
to
see
how
how
well
that
happened
for
folks
without
access
to
computers.
There
was
that
question
raised.
A
The
information
was
put
in
the
chat,
but
I
just
want
to
reiterate
that
the
the
number
is
one,
eight,
three,
three,
four,
two,
two
four,
two:
five
five
for
folks
who
wanna
sign
up
for
a
vaccine
who
don't
have
access
to
a
computer.
A
Thank
you
for
all
of
your
suggestions
on
what
data
to
track
and
how
we
can
operationalize
equity
for
our
tpa
partners
at
blue
shield.
We
also
heard
a
request
for
to
send
out
information
about
eligibility
for
families
engaging
in
the
ccs
program.
A
I
want
to
thank
christina
for
lifting
up
the
resource
and
the
roadmap
for
individuals
with
disabilities
to
navigate
the
system,
and
we
will
make
sure
to
include
that
in
the
materials
that
we
are
sharing
and
finally
reflect
back,
that
we
heard
the
recommendation
about
having
information
about
getting
vaccinated
in
american
sign
language.
A
I
want
to
thank
you
all
for
sharing
these
messages
with
your
constituencies
and
and
lifting
up
the
excellent
work
that's
happening.
I
really
want
to
give
a
huge
shout
out
to
our
teams
at
dss
and
and
and
the
geo
and
cdph
in
terms
of
this
very,
very
powerful
and
nuanced
messaging.
I
think
I
saw
many
messages
in
the
chat
reflecting
on
the
excellent
work.
A
That's
happened
there
and
and
finally,
I
want
to
say
that,
in
light
of
the
president's
announcement
about
broadening
accessibility
to
the
vaccine
by
may
1st,
as
we
look
forward,
we
will
have
our
next
meeting
on
april
14th
as
we
transition
now
to
monthly
meetings,
and
then
we
will
likely
wind
down
the
work
of
this
committee
by
summer
time
likely
in
june.
A
So
we
I
want
to
thank
everyone
again
for
a
really
wonderful
and
robust
meeting
and
offer
to
the
florida,
dr
pond,
to
close
us
out
with
a
few
final
words.
B
Great,
thank
you
so
much
nadine.
I
just
wanna
again
really
appreciate
the
thoughtful
input
of
all
of
you.
I
think
we
wouldn't
be
where
we
are
and
we
won't
continue
to
get
better
unless
we
get
this
amazing
feedback,
and
I
also
just
I'm
equally
so
touched
by
the
immunity
campaign.
I
just
it's
so
right
on.
I
really
look
forward
to
hearing
more
feedback
on
that
and
and
hope
all
of
us
can
continue
to
get
those
words
out
and
and
again
just
reflect.
B
You
know
we're
in
such
a
different
place
after
a
year
ago,
having
just
had
been
told,
we
all
would
need
to
stay
at
home,
and
and
now
we
are
vaccinating
away.