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From YouTube: COMMUNITY VACCINE ADVISORY COMMITTEE MEETING #8
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B
Great
well,
I
will
jump
in.
I
want
to
welcome
everyone
to
another
meeting
of
the
community
vaccine
advisory
committee.
I
want
to
thank
all
of
you
for
your
commitment,
engagement,
participation
in
this
process
so
far
to
date,
and
we
have
lots
of
material
to
discuss
today,
so
I
want
to
jump
right
in,
but
I
want
to
also
give
an
opportunity
for
my
co-chairs
to
to
offer
a
brief
welcome
as
well.
C
Great,
thank
you
so
much
nadine
good
afternoon.
Everyone
thanks
again
to
all
of
you
for
all
your
time
and
effort
and
as
bobby
often
points
out
incredible
attendance
record.
We
really
appreciate
the
ongoing
partnership
and
feedback.
C
I
think,
before
we
jump
in
there's
a
couple
kind
of
just
key
updates
that
I've
been
asked
to
to
follow
up
on.
As
far
as
some
questions
that
have
come
up,
I
know
one.
One
burning
question
has
been
about
the
moderna
lot
that
we
had
put
on
pause.
C
I
think
we
can
mention
now
where
the
scientific
safety
work
group
met
last
evening,
and
we
have
gotten
input
from
several
other
partners
of
the
cbc
and
others,
some
allergists
that
joined
us
and
working
on
some
statements,
but
I
think
we
are
likely
able
to
release
that
pause.
So
we
will
be
issuing
a
statement
very
soon
on
that
as
well.
C
Essentially,
there
were
some
episodes
of
angioedema
and
the
written
statements
will
have
more
details,
but
we
wanted
to
let
people
know
that
you
know
again,
it's
so
important
to
get
vaccinated
and
that's
the
important
things
that
happened
in
this
situation
is
that
the
right
protocols
were
in
place
and
all
the
individuals
have
been
are
home
and
well
and
so
more
to
come
on
that
and
more
statements
on
that,
and
then
there's
a
lot
of
questions
that
come
up
about
the
pharmacy
partnership
as
well
part
a
our
understanding.
C
C
Our
understanding
is,
they
are
still
on
target
to
finish
going
through
all
those
facilities.
By
mid-february,
we
are
working
really
actively
with
when
our
communication
issues,
either
with
local
health
departments
or
the
festivals
themselves,
trying
to
connect
them
with
our
contacts
at
cvs
and
walgreens.
C
We
are
also
working
with
them
on
some
of
the
data
issues
and
reporting
to
make
sure
that
the
doses
of
their
administering
are
getting
into
the
data
systems
that
we
and
the
cdc
and
others
are
looking
at,
and
you
know
we
recognized
that
with
that
there
were
some
challenges
at
the
start,
but
you
know
we
are
actively
engaged
with
them
and
trying
to
improve
that
program
over
time.
C
So
those
are
just
some
key
issues
that
I
was
asked
to
kind
of
update
people
on
as
well.
Oh-
and
the
last
thing
I
also
do
want
to
highlight
just
there's-
been
a
lot
of
questions
about
a
newer
variant
that
has
been
noted
here
in
california
also
noted
earlier
in
2020
and
in
other
states
and
countries.
C
A
few
of
our
colleagues
that
do
genomic,
sequencing
or
fingerprinting
have
noticed
what
we
call
the
l452r
mutation
in
the
spike
protein
cedar.
Sinai
is
also
calling
it
the
cal
20c
variant
and
it's
very
early
in
our
understanding
of
this
variant
and
what
it
means
for
california,
but
we're
actively
working
again
with
all
of
our
laboratory
partners,
the
cdc,
our
local
health
departments
and
others
to
investigate
this
and
understand
the
impact
of
this
variant.
But
so
far,
there's
no
evidence
to
say
whether
it
is
more
transmissible
or
not.
C
It
is
different
than
the
uk
b117
variant
and
is
also
too
early
to
make
any
any
conclusions
at
all,
but
we
we
do
believe
that
vaccines
should
still
work
against
this
variant
and
we
don't
have
any
evidence
right
now
to
point
to
otherwise.
So
those
are
some
other
key
updates
from
me.
I'll
turn
it
back
over
to
dr
berkares.
B
Thank
you
so
much
dr
pond,
and
I
think
now
we'll
have
bobby
walk
through
our
meeting
protocols.
A
Great,
thank
you,
everyone
and
welcome.
I
just
wanted
to
remind
everybody
that
we'd
like
to
have
you,
if
you're
a
member
of
the
committee,
to
have
your
camera
on,
so
we
can
see
you
and
act
like
we're
in
a
meeting
together
somewhere
in
california.
Please
use
the
hand
raise
icon
to.
Let
us
know
that
you'd
like
to
speak
and
we'll
call
on
you
during
the
discussion
sections
of
each
portion
of
the
agenda.
A
I
want
to
thank
our
two
asl
interpreters,
katie
sales
and
vicki
kennedy
they've
been
with
us
almost
since
the
beginning,
and
we
really
appreciate
their
commitment
to
working
with
us.
We
also
have
closed
captioning
for
members
and
I
believe,
as
everyone
knows,
we
have
a
public
listen
in
telephone
line
in
english
and
in
spanish
and
we
also
are
live
streaming
on
youtube
today.
A
Public
comment
has
been
taken
and
we
will
discuss
it
in
a
few
minutes
and
you
can
see
the
email
address
there,
where
anyone
in
the
public
can
send
comments
that
will
be
distributed
to
members
of
the
committee
and,
as
always,
if
you
have
any
zoom
technical
issues,
if
you'll
put
them
in
the
chat
box,
we'll
do
our
best
to
help
you
resolve
them
during
the
meeting.
B
Thank
you
so
much
bobby
and
now
as
we
move
forward,
I
want
to
open
with
a
few
comments
about
what
we
are
hearing
in
terms
of
how
things
are
going
with
the
vaccine
rollout
and
the
the
the
short
answer
that
the
highlight
here
is
that
we
hear
you
we
have
been
hearing
from
from
the
public
we've
been
hearing
from
our
health
care
providers.
We've
been
hearing
from
our
local
health
officers.
B
We've
been
hearing
about
some
of
the
the
challenges
that
folks
are
experiencing,
some
of
the
the
confusion
about
when
folks
should
sign
up
or
difficulty
actually
getting
appointments
and
really
wanting
to
get
further
clarification
and
understanding
about
how
to
to
to
best
engage
in
our
vaccination
process.
Here
in
california
and
and
one
of
the
things
that
we
are
hearing
in
the
loud
and
clear,
and
that
we
recognize
about
the
current
challenges
with
our
vaccine
rollout.
B
B
We
are
currently
in
the
process
of
really
evaluating
how
we
can
improve
our
process,
how
we
can
strengthen
our
process,
and
we
would
like
to
get
your
feedback
and
your
input
and
suggestions
today
in
this
meeting
to
help
us
in
that
process,
and
so
I
will
and
as
we
focus
and
dive
in
on
that
in
this
meeting,
we
want
to
start
by
once
again
level
setting
in
the
in
the
data
that
we're
using
the
data.
B
That's
driving
a
lot
of
our
thoughtfulness
and
our
decision
making
right
so
so
level
set
in
that
place
and
then
work
together.
As
we
look
at
some
of
the
challenge
challenges
that
we're
trying
to
solve
for
to
gather
your
input
into
that
process.
So
I
will
turn
it
over
to
my
my
colleague,
dr
thomas
aragon,
the
public
health
officer
for
the
state
of
california
and
director
of
the
california
department
of
public
health,
dr
aragon,.
D
A
We
can
go
to
the
next
slide.
I
did
want
to
cover
public
comment
whenever
you'd
like
to
do
that.
D
Yeah,
so
what
I'll
do
is
I
just
want
to
say:
welcome
to
everybody,
we're
really
happy
to
spend
this
time
with
you
to
get
to
get
feedback
a
little
later
in
slide,
six,
I'm
going
to
go
ahead
and
just
give
you
a
a
summer
summary
overview
of
how
we're
thinking
about
the
issues.
Actually,
when
I
go
ahead
and
do
you
want
bobby,
can
I
just
go
ahead
and
do
that
now.
A
D
It's
okay,
so
you
know
we
so
we've
been
getting
a
lot
of
feedback.
That's
one!
That's
one
issue.
The
second
thing
is
that
you
know
we
have
been
in
the
middle
of
this
unprecedented
surge.
That's
had
a
tremendous
impact
on
infections,
hospitalizations,
icu
admissions
and
deaths,
and
when
you
look
at
the
data
and
erica
is
going
to
go
through
the
data
very
very
carefully,
you
will
see
that
it
really
made
us
it
for
it
forced
us
to
to
really
hyper
focus
on.
D
How
can
we
use
the
epidemiologic
data
for
us
to
be
more
effective
in
our
vaccine
strategy
at
the
same
time,
really
integrating
goals
with
what
dr
burke
harris
just
mentioned,
which
was
really
simplicity
and
clarity,
where
it's
very
clear
to
us
exactly
what
we
have
to
do
and
they're
really
four
major
areas:
four
major
thematic
areas:
one
is
an
age-based
approach
that
we've
already
began
to
articulate
the
second
major
area
is
really
strengthening
our
health.
Our
health
systems,
including
clinics
in
the
community
that
can
reach
highly
impacted
areas.
D
Doing
targeted
outreach
getting
people
to
come
in
going
out
and
getting
people
vaccinated
for
those
people
who
are
who
may
not
be
able
to
access
systems
for
a
variety
of
reasons,
and
then
the
last
area
is
the
issue
of
data.
It's
become
clear
to
us
that
we
do
not
have
visibility
on
exactly
what
is
happening
across
the
systems
that
are
delivering
the
vaccines
and
how
it
how
it
distributes
out
across
the
counties.
D
So
there
is
a
big
push
and
a
big
effort
to
really
get
the
data
systems
improved
and
you
may
be.
You
may
have
been
hearing
about
about
some
of
those
areas.
So
those
are
the
four
thematic
areas.
Again
I
just
want
to
emphasize
is
that
we've
become
really
hyper
focused
on
how
do
we
save
lives?
How
do
we
do
it
in
a
way?
That's
simple:
to
roll
out
with
absolute
absolute
clarity,
I'm
going
to
hand
it
over
to
dr
erica
pond.
D
That's
going
to
cover
the
epidemiologic
data
to
really
give
give
us
all
a
shared
understanding
of
how
we're
we're
thinking
about
it
and
why
an
age-based
theme
is
actually
very
important.
Dr
pond,
hey.
C
Thank
you
very
much,
dr
ergon
next
slide.
Please.
C
So,
as
mentioned
we,
and
as
all
of
you,
you
know,
of
course,
no.
We
have
been
really
in
a
really
serious
surge
since
sort
of
the
the
gradual
increase
started
in
november,
really
escalated
in
december
and
has
sort
of,
we
hope
and
think
may
have
peaked
right
around
right
after
the
holidays.
We
are
still
waiting
to
see.
C
You
know
just
a
little
bit
more
kind
of
which
direction
things
are
going,
but
there
are
some
good
signs
actually
that
that
the
cases
may
have
peaked
and
that
some
of
the
hospitalization
numbers
and
icu
are
stabling
stabilizing
or
decreasing.
That
being
said,
as
you
all
also
know,
our
hospitals
are
full
beyond
capacity.
We
are
monitoring
very
closely
our
percent
intensive
care
unit,
capacity
and
healthcare,
staffing
and
surge,
and
we
still
have
over
2
500
additional
healthcare
staff
deployed
from
state
and
federal
resources
across
the
state.
C
So,
as
as
dr
adagon
was
saying,
you
know,
we've
really
been
in
a
very
serious
health
care
system
overwhelm
and
trying
to
do
as
much
level
setting
across
the
state
as
possible
of
that.
But
this
is
kind
of
this
slide.
Just
sort
of
shows
you
compared
to
the
july
surge,
which
seemed
really
big
at
the
time
we've
had
a
much
bigger
surge
more
recently,
next
slide.
C
And
then
this
is
just
kind
of
an
overview
of
again
the
peak
comparing
july
to
more
recently
this
past
winter
november
december
surge
and
hospitalizations,
and
the
dotted
line
is
the
intensive
care
unit
as
well.
This
is
sort
of
total
hospitalizations
and
you
can
see
that's
largely
proportionately
from
the
covid
positives
and
again,
thankfully,
overall
we're
seeing
some
decreasing
trends,
but
but
it's
still
just
starting
to
decrease
and
again
is
currently
still
an
overwhelming
number
in
our
hospitals.
Next
slide.
C
Please
so
you
all
have
seen
these
before,
but
just
reiterate
kind
of
nationally
what
we
see
as
far
as
differences
in
hospitalization
and
mortality
by
age-
and
you
know
this
really
highlights
kind
of
working
backwards
by
age.
Those
people
85
years
or
older,
have
a
630
time
higher
death
rate
compared
to
the
comparison
group
of
the
18
to
24
year
olds,
and
then
the
over
75
years
of
age
have
a
220
time
rate
higher
and
then
90
times
higher
mortality
rate
for
65
and
up
and
again
these
are
dramatic,
especially
for
dust.
C
C
And
continuing
again
to
look
at
cases
in
hospitalizations
and
deaths
related
to
race
and
ethnicity,
again
nationally
we're
seeing
a
much
higher
rate
of
latino
and
black
persons
compared
to
to
others
as
far
as
deaths
and
hospitalizations
as
well.
You
can
see
a
disproportionate
again
in
our
american
indian.
C
And
then
this
also
for
california
data,
you
know
again,
you
can
see.
This
is
the
different
peaks
that
we've
had
in
california
and
how
dramatically
different
by
age.
The
mortality
rate
is
so
you
can
see
the
bright
green
is
the
over
80.,
the
next
line
below
that
is
71
to
80
and
then
below
that
61
to
70
year
olds,
so
much
more
dramatic
deaths
as
far
as
who
this
pandemic
has
impacted
most
severely
next
slide.
C
And
then
again,
looking
kind
of
in
a
different
way
based
on
race
and
ethnicity
and
mortality.
And
again
the
huge
peak
has
been
in
this
december
peak
and
again,
our
our
latino
population,
our
native
wine
and
api
population,
have
had
the
highest
disproportionate
impact,
especially
during
this
peak,
and
then
you
know,
you
can
again
see
across
the
board
as
a
peak
that
we're
having
this
big
surge
in
mortality
as
well.
Next,
one.
C
C
You
know
also
disproportionately
compared
to
you
know
others,
whites
and
asians
are
actually
lower
than
the
california
population
as
far
as
the
deaths
so
again
having
a
higher
impact
and
then
to
call
your
attention
again
to
the
65
plus
75
percent
of
the
deaths
on
this
graph
are
in
the
65
and
older
next.
One
next
slide.
C
And
just
in
one
other
way
to
just
really,
you
know
hammer
this
point
home.
We
have
been
breaking
down
our
data
in
the
decades
rather
than
the
65
versus
75,
but
if
you
look
at
all
icu
admissions
65
or
about
2,
30
of
them
are
people
61
years
of
age
and
older
and
then
83
percent
of
all
deaths
are
age.
61
and
older
next
slide.
C
C
And
then
I
think
you
know
just
to
circle
back
to
the
points
that
dr
barcaris
and
dr
aragon
were
making.
You
know,
as
we've
tried
to
initiate
the
rollout
here
in
california,
hearing
a
lot
of
feedback.
So
again,
as
you
all
know,
we
started
with
what
we
call
phase
1a,
which
is
healthcare
workers
and
residents
and
staff
in
nursing
homes,
which
is
approximately
3
million
persons
overall,
and
then
we
are
estimating
now
that
about
65
people
65
years
and
older,
comprise
about
6.2
million
people
in
california.
C
And
if
we
wanted
to
get
at
least
70
of
them
as
a
target
vaccinated,
and
they
would
each
need
two
doses,
we
would
need
over
eight
and
a
half
million
doses.
The
current
allocation
in
california
right
now
is
about
four
million
and
we're
getting
anywhere
from
400
to
in
a
good
week,
500
000
doses
a
week.
C
C
You
know
we're
estimating
anywhere
from
20
to
22
weeks
to
actually
get
through
just
five
years
of
age
and
older
and
with
the
scarcity
of
supply
combined
with
again,
who
is
most
impacted
as
far
as
hospitalizations
and
deaths,
and
also
a
lot
of
the
confusion
that
has
arisen
around
you
know,
even
within
the
healthcare
worker
population
like
who's
in
the
different
tiers,
we've
been
hearing
a
lot
about
as
far
as
operationalizing
that
that's
been
a
barrier
to
getting
vaccine
out
quickly
and,
of
course,
what
we
all
need
to
get
to
collectively
is
as
much
vaccine
in
arms
as
possible.
C
And
I
also
just
you
know
again
throughout
this
pandemic
and
throughout
this
process
working
with
all
of
you,
we
again
want
to
have
we're
here
with
you
for
some
transparency,
but
some
of
the
challenges,
we're
feeling
and
I've
already
talked
to
you
about
the
safety
issues
and
then
equity
again
is
front
and
center.
C
So
you
know
we
all
want
to
recognize
that
a
lot
of
the
work
we've
been
doing
at
the
drafting
guidelines,
work
group
and
with
this
group
and
thinking
through
who
was
disproportionately
impacted
and
thinking
about
it
by
occupation.
C
The
other
way-
and
we
presented
this
to
you
in
the
past,
but
to
kind
of
reiterate,
look
at
who
and
where
we
look
for
people
who
are
disproportionately
impacted
and
how
to
measure
that
there's
the
healthy
places
index
in
california
and
there's
several
elements
that
contribute
to
that
economic
factors,
education,
housing,
health
care,
access,
the
neighborhood
pollution,
transportation
and
other
social
indexes
all
contribute
to
a
healthy
index
and
healthy
places
index.
So
the
most
advantage
can
have
a
much
higher
number
and
then
the
least
advantage
have
sort
of
a
negative
number
in
this
index.
C
But
unfortunately,
with
case
rates,
you
can
see
a
really
dramatic
disparity
between
persons
in
the
low
hp
or
least
advantage
compared
to
the
most
advantage.
So
our
cases
are
still
you
know.
Our
disparities
actually
have
increased
with
this
big
surge,
and
we
have
this
high
case
rate
compared
to
a
lower
case
rate
and
the
most
advantage
versus
the
least
advantage
next
slide
and
mortality.
C
Also,
again,
you
see
this
huge
disparity,
so
those
persons
who
live
in
a
low
least
advantage
hpi
have
a
much
higher
mortality
rate
compared
to
those
in
the
most
advantaged
hpi
areas.
Next
slide.
C
So
I
think,
with
an
eye
to
all
of
this
really
thinking
about
where
and
how
can
we
have
the
most
impact,
but
also
respond
to
some
of
the
feedback?
We
have
in
again
the
setting
of
very
little
vaccine
for
a
huge
state
like
this,
and
how
can
we
have
consistency
across
the
state?
We've
been
hearing
a
lot
about
confusion
if
certain
places
are
moving
more
quickly
than
others
and
and
how
to
operationalize
even
different
occupations.
C
And
how
do
you
prove
that
when
you
show
up
at
a
clinic
and
how
do
we
make
sure
we're
not
wasting
any
of
the
vaccine
and
getting
it
into
arms
before
it
expires
or
getting
it
out,
especially
when
we're
trying
to
parse
out
very
small
amounts
into
a
large
area?
C
So
we've
been
getting
again
all
the
feedback
that
others
have
mentioned,
and
we
also
brought
this
to
the
drafting
guidelines.
Work
group
yesterday
to
kind
of
get
some
more
feedback,
and
really
you
know
in
combination
of
thinking,
about
the
simplicity
and
consistency
and
frameworks
and
looking
again
at
who
is
most
impacted
in
hospitalizations
and
deaths
really
are
thinking
very
seriously
about
focusing
primarily
on
age
and
not
as
much
on
the
the
sectors
that
we
have
been.
C
You
know
collectively
spending
a
lot
of
time
together
on,
so
I
wanted
to
to
sort
of
pause
there
now
and
I
think
you
know
again
leave
other
comments
to
dr
aragon
or
dr
burkaris,
and
really
get
a
little
bit
more
feedback
from
all
of
you.
C
You
know,
I
think
the
drafting
guidelines
work
group,
despite
a
lot
of
the
work
that
they
have
put
into
over
time,
these
tiers
and
sectors
kind
of
recognize
some
of
the
issues
that
they're
also
seeing
on
the
ground
and
trying
to
administer
vaccines
and
and
supported
this
idea
of
considering
how
how
to
shift
even
more
on
the
age
you
know
we'd
always
put
in
these
different
tiers.
It
is
one
factor,
but
also
had
other
sectors
based
on.
C
You
know
the
other
values
we
talked
about
as
far
as
societal
impact,
equity,
occupational
exposure
and
societal
impact,
but
but
just
really
struggling
with
how
we
do
this
with
scarce
vaccine
and
keeping
it
simple
and
consistent.
C
D
Yeah,
so
one
one
thing
to
realize
is
that
when
the
hospital
surge
gets
as
big
as
it
does
and
you
have
in
the
icu
capacities,
your
is
so
large
that
you
go
into
surge.
You
end
up
canceling
a
lot
of
other
hospital
services,
so
it
has
a
an
impact
that
goes
way
beyond
the
actual
communities
that
are
impacted
as
well,
so
it
really
affects
the
general
general
society
in
general
in
california
anyways.
I
just
want
to
point
that
out.
A
A
C
Sure
yeah,
I
know
excellent
points,
and
I
can
I
can
review
that
again.
So,
as
a
start,
we
have
had
shipped
to
us
about
4
million
vaccines
for
a
million
doses
in
the
state
of
california,
and
I
showed
you
sort
of
let
me
back
into
this
and
say
again:
phase
1a
total
population
is
about
3
million
and
we
are
only
getting
anywhere
from
300
to
500
000
doses
per
week.
You
know,
and
I
think
what
are
we
in
week,
five
or
so
week,
four
or
five
of
vaccine
distribution.
C
Our
understanding
currently
is
that
we
can
at
least
have
at
that
much
but
may
not
get
much
more
than
that
for
at
least
the
next
several
weeks.
We
are
hopeful
that
there
are
a
couple
other
vaccines
that
are,
you
know
going
to
be
applying
for
emergency
use
authorization.
C
My
latest
understanding
is
probably
the
soonest
that
would
happen
is
march,
and
I
don't
know
I
don't
have
have
not
heard
any
really
concrete
information
on
how
much
if
and
when
those
are
approved,
how
much
supply
that
will
add.
One
of
them
is
great.
The
jansen
one
is
only
one
dose,
so
that
will
really
help
a
great
deal
as
far
as
not
having
this
complex
issue
around
the
doses,
although
I
should
also
mention
that
as
well,
because
I
know
there's
been
a
lot
of
confusion
about
that.
C
So
you
know,
as
I
think
you
all
do
know.
Both
pfizer
and
moderna
vaccines
require
two
doses
per
person.
You
know
either
21
or
28
days
apart.
We've
actually
had
our
scientific
safety
group.
Look
at
this
a
couple
times
actually
as
well
as
far
as
do
we
feel
like
we
can
increase
that
interval
and
to
get
does
it
make
sense
to
try
to
get
more
first
doses
in
and
delay.
C
So
the
doses
we
get
have
been
coming
and
then
there
was,
I
know,
a
big
declaration
about
whether
or
not
there
was
kind
of
a
stockpile
of
second
doses,
and
I
think
what
we
want
to
do
collectively,
to
try
to
minimize
confusion
amongst
providers
and
ourselves
and
just
and
even
how
we
look
at
percent
of
doses.
C
But
you
do
have
to
keep
in
mind
when
we
look
at
total
numbers
that
are
out
there
in
the
cdc
tracker
and
in
the
media
they're
talking
about
total
doses,
but
but
a
lot
of
this
half
of
those
doses
need
to
be
second
doses
for
people.
So
again
it's
only
less
than
500
000
a
week
as
our
current
allocation.
We
it
may
increase
slightly,
but
at
the
by
at
the
most.
I
think
for
the
next
several
weeks
I
think
the
most
might
be
another
100
000
a
week.
C
Well,
I
think
that
is,
that
is
the
question
we
have
all
been
very
actively
working
on.
For
the
last
I'd
say
a
long
time
lost
like
10
days
of
really
intense
work
on
that
and
the
data
we
have.
So
I
don't
have
it
right.
We
do
have
our
dashboard.
I
have
it.
B
In
front
of
me,
the
biggest
that
I
saw
was
that
45
of
doses
are
in
people's
arms
now
some
of
those
are
first
doses
and
second
doses
right,
but
we
do
have
yes,
so
we're
at
a
we're
at
a
the
last
setup
yesterday,
I
think
it
was
a
little
over
1.4
million.
C
Yeah
yeah
so,
but
we
do
still
think
that
that's
an
underestimate.
We're
working
really
hard
on
getting
more
data
into
the
systems,
but
whenever
we
make
calls
to
systems
and
providers
and
health
departments
they
you
know
they
have
administered
more
and
we're
really
trying
to
get
those
data.
B
Yes,
and
as
we're
going
to
questions
before
we
jump
in
there,
a
couple
of
questions
from
the
chat
that
I
wanted
to
to
flag
erica.
One
of
the
questions
was
around
whether
we
have
infection,
hospitalization
and
mortality
data
by
disability.
B
In
terms
of
for
for
our
disabled
community.
C
Yeah
no
excellent
question:
we
definitely
don't
have
it
handy
and
I
will
say
a
challenge
again
in
our
surveillance
system.
Is
it's
really?
C
The
clinical
data
in
there
is
not
sort
of
an
automatic
feed
for
things
like
that
from
electronic
health
records,
so
it
would
need
to
be,
and
because
of
the
diversity
of
the
kinds
of
disabilities
there
are.
I,
I
think,
it'll
be
a
challenging
data
point
to
pull
in
the
way
our
surveillance
system
is
set
up.
B
Thank
you,
erica
and,
and
just
as
a
flag.
There
was
another
question
about:
when
are
we
whether
we
had
data
on
sexual
orientation
and
gender
identity?
And
I
I
will
say,
although
that
we
know
the
state
of
california,
collects
this
data?
The
rate
of
reporting
of
this
data
is
so
low
that
we
don't
have
valid
reports
to
share
with
you.
C
Yeah
there's
a
huge
amount
of
missing
data
right,
but
we
are
starting
to
post
that
on
our.
I
believe
it
is
on
our
website
now.
B
A
Yeah
I'd
be
happy
to
so,
let's
start
with
andy
and
then
we'll
go
to
aaron
and
then
charles
and
then
melissa
and
please
remember
to
introduce
yourself
so
that
all
the
members
of
the
public
listening
and
there
are
several
thousand
know
who
you
are.
E
Hi,
it's
andy
imperato
with
disability
rights,
california,
I
guess
I
I
just
want
to
reflect
back
what
I'm
hearing
and
dr
pine.
E
Maybe
you
can
tell
me
if
I
heard
it
wrong
what
I
thought
I
heard
you
say,
and
dr
aragon
also
implied
this-
is
that
the
state
has
decided
to
take
an
age-based
approach
to
focus
on
once
you
get
through
the
1a
populations
to
focus
on
people
over
65
that,
at
the
current
rate,
it
would
take
about
20
to
22
weeks
to
get
through
that
population
and
you're
not
likely
to
be
getting
to
other
populations
if
they're,
not
already
in
1a
or
over
65
until
potentially
may.
If
that
time
frame
stays
in
place.
C
I
think
I
would
slightly
repeat
back
that
we
are
strongly
considering
this.
I
think
we
are
here
today
too,
and
this
is
what
we're
struggling
with
this
really
small
amount
of
vaccine
trying
to
look
at
who
is,
you
know
again,
who's
filling
our
hospitals,
who
is
the
most?
You
know
who's
dying
from
this
disease,
and
what
can
we
prevent
as
soon
as
possible,
with
this
very
small
amount?
Again,
we
do
hope.
C
You
know,
maybe,
in
march
april
may
that
there's
going
to
be
more
vaccine,
but
it's
very
unpredictable
at
this
point
so
trying
to
stick
with
what
is
at
least
what
we
think
is
predictable.
It's
been
a
challenge
for
us
as
well.
I
know
that
this
is
you
know
the
the
providers
keep
asking
us
as
well.
We
need
more
vaccine
and
you
know
we
need
more
vaccine,
it's
true
and
we're
certainly
not
holding
anything
back.
We
are
really
getting
vaccine
out
to
people
as
we
can
but
yeah.
E
I
think
you're
going
to
find
that
there
are
a
lot
of
people
with
disabilities
who
are
under
65,
who
are
dying
from
covet.
The
disability
community
can't
produce
that
data.
For
you,
the
healthcare
community
is
the
community
that
can
produce
that
data
and,
from
our
perspective,
if
we
wait
until
may
to
get
to
other
populations,
a
lot
of
people
with
disabilities
under
65
are
going
to
die
unnecessarily
and
we
feel
like
to
the
extent
that
they
have
an
added
chance
of
dying
from
covet
they're
more
like
people
over
65.
E
A
F
Hello
aaron
for
others
from
the
state
council
on
developmental
disabilities,
and
I
know
that
we've
provided
external
information
and
resources
about
the
impact
of
cobit
on
people
with
disabilities,
and
I
do
want
to
point
out
that
the
state
has
some
good
information
of
its
own
about
how
it's
impacting
californians
and
surgeons.
Harris.
Thank
you
for
posing
my
question
out
of
the
q.
A
about
really
some
good
gratitude
to
the
department
of
public
health
team
reached
out
to
you.
F
Early
on
in
may,
the
team
was
responsive
to
say
we
found
a
way
to
begin
collecting,
disability
information
in
our
own
surveillance,
and
it
seems
that
collecting
it
that
early
on,
you
should
have
some
really
good
information
by
now
about
how
it's
impacting
people's
disabilities.
F
So
I
just
want
to
make
sure
that's
on
your
radar
that
you
know
you
have
that
as
an
internal
resource,
and
I
continue
to
be
glad
to
be
helpful
to
help
interpret
because
the
way
we're
collecting
disabilities
in
a
broad
way
and
I've
been
able
to
come
back
and
work
with
your
team
to
help
at
least
categorize.
Your
group
additionally
department
of
developmental
services,
is
collecting
impact
on
regional
center
consumers.
F
C
Yeah,
thank
you.
Oh
one,
brief
comment
and
I
do
need
to
verify
this,
but
in
some
of
our
data
I've
seen
internally
quoted
the
risk
is
about
three
times
the
general
population
or
the
the
comparison
group,
and
I
think
I
showed
you
some
of
the
other
elderly
is
220
times
or
90
times,
but
I
do
want
to
circle
back
to
your
point
and
make
sure
what
is
our
most
up-to-date
information
that
we
do
have.
A
Thank
you
erica
we're
going
to
go
on
to
melissa,
melissa,
stafford
jones
and
then
we'll
go
to
dr
wasserman,
and
then
I
just
want
to
give
you
the
heads
up
who
I
have
in
line
jose
diana
esther,
anthony
and
then
orville
and
then
we'll
see
where
we
are
melissa.
G
Thanks
bobby
melissa,
stafford
jones
with
the
first
five
association
of
california,
you
know
the
one
of
the
tenets
of
the
work
of
first
fives
with
young
children
and
their
families
is
a
holistic
whole
child
family
approach
and
a
real
systems
approach.
And
I
wanna
my
comments
are
sort
of
in
that
space,
because
the
older
people
we're
talking
about
are
the
grandparents
and
great-grandparents
of
the
children
and
families
that
we
care
about,
often
who
are
also
actually
child
care
providers
for
their
families.
G
The
question
I
wanted
to
ask
was
around
whether
the
approach
of
incorporating
the
healthy
places
index
was
specific
to
thinking
about
an
aids
structure
or
whether
thinking
about
communities
in
the
context
of
vulnerability
is
broader
than
an
aged
based
structure.
I
think
a
lot
of
local
first
fives
have
been
working
in
close
partnership
with
their
local
health
departments
over
the
last
month
or
so
thinking
about
outreach
to
some
of
the
most
vulnerable
workers
that
work
with
children
and
families,
particularly
child
care
workers,
who
are
mostly
black
and
brown
women.
G
And
so
I'm
just
wondering
if
there's
still
an
opportunity
to
from
a
systems,
approach,
sort
of
think
about
the
issue
of
age
that
you're
bringing
forward
in
the
struggle
around
the
prioritizations
and
keeping
it
simple,
but
also
keeping
front
and
center.
These
issues
around
equity
that
we
also
know
are
so
real
in
our
communities.
C
I
think
there
are
two
elements
to
this
that
are
really
important:
there's
allocation
of
the
vaccine
within
whatever
framework
we
have
and
then
there's
also
tracking
sort
of
as
a
metric,
and
then
also
being
able
to
use
that
metric
and
circle
back
to
see
where
there's
disparities
in
other
interventions
and
whether,
if
there's
a
disparity
there
is
it
likely
often
a
combination
of
access,
outreach
and
or
hesitancy,
and
then
I
think,
but
but
really
importantly,
the
allocation
piece,
I
think,
is
what
we
do
need
to
nail
down.
C
Regardless
of
what
framework
we
have,
but
I
think
thinking
about
how
it
goes
within
a
framework
or
as
a
compliment.
I
do
think
we
want
to
have
ongoing
conversations
with
this
group
about
that
too.
Dr
procaris
can
talk
about
some
more
specifics
with
this
as
well.
B
Thank
you,
dr
pond.
Yeah.
That's
absolutely
right
and
I,
as
I'm
thinking
about
your
comment
and
then
also
looking
at
the
chat,
I
think
that
one
of
the
things
so
to
specifically
answer
your
question.
The
hpi
is
to
look
at
a
broader
kind
of
social
vulnerability
right,
but
I
wanna,
I
wanna,
emphasize
something
here
right.
B
So
the
point
that
we're
getting
to-
and
I
see
lots
of
comments
in
the
chat
around
you
know
a
you
know,
our
seniors
are
reaching
out
and
feeling
like
they're
having
a
hard
time
getting
access
to
the
vaccine,
we're
we're
seeing
you
know
these
challenges
and
those
challenges,
and
I
think
that's
the
point
of
this.
This
conversation
and
this
discussion
with
this
body
right
is
that
we
get.
We
absolutely
want
to
look
at
a
community
vulnerability
lens,
but
then
how
we
operationalize.
B
That
has
to
be
really
important.
Looking
at
those
who
are
at
highest
risk
of
morbidity
and
mortality,
right
and-
and
that's
one
of
the
things
that
we're
we're
considering
especially
now
is
we
are
dealing
with
this
significant
surge
right,
and
so
I'm
going
to
talk
more
after
the
break
in
terms
of
how
we
might
looking
at
one
proposal
of
how
we
might
operationalize
the
healthy
places
index.
B
But
to
answer
your
question
when
we
look
at
vulnerability,
what
we're
looking
at
is
is,
for
example,
if
we
look
by
hpi,
we
would
say:
okay,
if,
if
we
are
taking
take,
for
example,
we
have
we
have
this
priority
of
those
65
and
older
right.
Then
it
wouldn't
be
that
we
would
apply
hpi
to
then
identify
someone
who
is
35
but
with
a
high
vulnerability
index.
G
Yeah,
thank
you.
I
mean
I,
I
guess
maybe
there's
more
possibility
of
conversation
to
just
think
about
what
is
the
balance
for
equity
for
other
groups
where
there
really
there
are
no
other
options
and,
in
addition
to
in-person
work,
while,
while
recognizing
the
vulnerabilities
that
you're
describing
in
terms
of
morbidity
and
mortality
for
people
65
and
over,
I
know
it's
just
this
impossible,
really
hard
puzzle,
but
yeah.
B
I
want
to
think
about
that
in
the
way
that
we're
using
the
term
equity
right
as
we're
talking
about
it,
because
one
of
the
things
that
I
think
is
really
important
is
and
what
we've
heard
from
this
group
is
looking
at
the
ways
in
which
discrimination,
marginalization,
historic
racism.
All
of
these
different
pieces
affect
people's
risk.
H
B
And-
and
I
think
as
we're
as
we're
thinking
about
that,
if
you
have,
for
example,
a
group
that
is
at
200
times,
risk
of
death
right
and
then
you're
thinking
about
within
that
group,
one
of
the
things
that
I
want
is
that
we
want
to
factor
all
of
these
factors
right.
We
want
to
factor
in
what
is
the
risk
of
morbidity
and
mortality?
B
How
are
the
historic
and
contemporary
you
know
discriminatory
and
and
oppressive
factors
influencing
that
risk.
So
we
know
that
these
that
it
shapes
the
it
shapes
risk
of
morbidity
and
mortality
right
and
we're
seeing
that
even
in
the
hospitalization
and
death
rate
by
race
and
ethnicity.
B
But
if
we
look
at
the
hospitalization
and
death
rate
by
race
and
ethnicity,
looking
at
the
cdc
data
right,
what
we
see
is
that,
as
a
group,
for
example,
african
americans
are
the
the
the
risk
of
death
is,
let
me
let
me
just
the
the
four
times
0.7
times
the
risk
of
hospitalization
2.1
times
the
risk
of
death.
B
When
we
look
at
those
65
to
70
years
old,
five
times
the
risk
of
hospitalization
90
times
the
risk
of
death
right
so
again,
it's
that
intersectionality
that
we
want
to
pull
together
as
we're
thinking
about
and
as
we
think
together
as
a
group
right
as
we,
the
cvac
think,
together
about.
We
want
to
raise
these
four
words,
but
how
do
we
operationalize
the
concept
of
equity
in
the
context
of
morbidity
and
mortality
right
like
how?
How
do
we
pull
that
together
and
prioritize
that
and
that's
what
we
want
to
hear?
Also
from
you.
I
First,
I
really
want
to
thank
dr
burke
harris
and
dr
pan
pond
and,
and
such
you
guys
are
doing,
I
think,
the
best
job
you
can
under
these
circumstances.
I
You
know
I
read
through
a
lot
of
the
comments,
public
comments
and
they're
heartbreaking
and
and
at
the
same
time
we
don't
have
enough
vaccine,
and
so
I
guess
one
comment
I
have
is
how
we
might
improve
the
transparency
of
the
fact
that
we
don't
have
enough
vaccine
to
help
those
out
there
who
are
freaking
out
to
help
them
understand
and-
and
maybe
this
group
can
help
with
that.
So
that's
number
one
and
number
two.
I
gotta
tell
a
story.
My
dad
called
me
yesterday
I
told
my
parents
in
march
to
stay
home.
I
Folks,
as
we
try
to
prioritize
so
that
guys,
like
my
dad,
will
actually
get
the
vaccine
before
I
do.
You
know
I'm
I'm
61
and
I
you
know,
I
I'm
really
healthy
and
I
don't
you
know.
I
mean
I
think
that
there's
the
balance
there
and
I
think
we
all
need
to
figure
out
how
to
help
make
that
happen.
With
the
caveat
until
we
have
enough
vaccines,
we're
going
to
continue
to
have
a
lot
of
challenges.
So
thank
you
for
what
you're
doing
and
I
know
you're
doing
the
best
you
can.
J
Yeah
bobby,
thank
you
very
much
for
allowing
me
to
make
a
few
comments.
Well,
just
like
mike
mike
just
mentioned.
My
name
is
joseph:
I'm,
the
executive
director
of
an
organization
called
california,
rural
legal
assistance,
cra
large
large
members
of
our
community,
our
farm
workers,
rural
poor.
J
J
That's
why
I
became
the
lawyer
for
farmworkers,
so
when
I
think
about
how
we
are
we're
thinking
about
pulling
away
from
from
from
occupational
approach
to
this
thing,
it's
a
little
bothersome
to
me,
because
I
know
that
the
farmworker
community
has
a
lot
of
both
historic
factors
working
against
people
speaking
up
for
their.
You
speak
up
for
their
interests,
history
of
of
of
racism,
the
way
dr
burke
mentioned,
and-
and-
and
so
here
I
started
thinking
about
the
hpi
in
that
metric,
and
I
said
you
know
what.
J
J
They
have
language
barriers
trying
to
let
them
try
to
secure
or
communicate
with
the
department
of
public
health
in
a
lot
of
these
communities.
Some
of
these
quarter
farm
workers
are
indigenous.
Dph,
doesn't
have
indigenous
translators
for
a
quarter
of
the
farm
workers
that
are
out
there.
J
J
You
know
30
to
a
pickup
30
to
a
van
the
educational
level,
three
to
five
years
from
mexico,
so
to
me,
and
they
have
no
insurance,
they're
immigrants
and
so
to
me,
I
have
I
question
us:
no
longer
valuing
occupational
the
occupation
as
a
metric
or
as
a
factor
when
you
look
at
essential
workers,
and
so
I
I
am
hesitating
about
continuing
to
go
with
age.
When
I
look
at
that
community
that
suffers
for
all
of
these,
these
metrics,
we
look
at
metrics
of
poverty
in
the
way
that
they
suffer.
J
It
just
hurts
for
me
to
think
that,
because
of
age,
more
more
deaths,
there
will
be
a
higher
mortality
and,
as
a
matter
of
fact,
I
don't
even
think
we
keep
date
on
farmworkers,
and
so
I
think
that
that
is.
I
can't
accept
the
fact
that
we're
going
to
continue
to
forget
the
need
of
that
community
who
is
especially
vulnerable
and
I'm
going
to
stop
there.
I
think
I
talk
too
much.
B
Well,
I'm
gonna,
I'm
gonna,
ask
you
one
more
question.
I
know
we
have
a
million
questions,
but
I
want
to
I
want
to
ask
this
question
because
I
think
it's
really
important
and
I
think
that
it's
not
about
forgetting
about
the
needs
of
farm
workers.
It's
far
from
it.
That's
why
we're
having
this
conversation
and
that's
why
we
brought
this
back
to
you
right.
So
I
want
to
ask
you:
how
would
you
solve
that?
Would
you
what
would
be
your
proposal?
B
K
B
And
if
not,
how
what?
What
solution
would
you
because
the
the
this
is
it's
heartbreaking?
It's
heart-rending
for
for
all
of
us
every
day
and
the
the
challenge
that
we
have
is
that
we
don't
have
enough
vaccine
right
so
for
for
every
occupational
group,
that's
get
that
we
move
to
now
right.
That
means
that
those
there's
going
to
be
more
65
year
olds
and
older,
that
that
that
died
right
it
for
every
65
year
old
right
that
that
we
prioritize
now
there's
going
to
be
a
lower
number.
B
J
At
this
point
in
time
I
mean
I
really
was
very
attentive
to
your
articulation
of
equity,
and
I
keep
that
issue
of
equity
right
right
in
front
of
me.
You
know
we're
at
our
sixth
meeting
and
a
lot
of
us
who
work
in
rural
california
are
trying
to
figure
out
how
we're
going
to
be
doing
outreach
to
the
farmworker
community.
Now
that
all
of
a
sudden
they're
there
we
need
to
reach
them
because
they're
they're,
fearful
you
know
they
they
know.
J
What's
around
them,
you
know
their
employers
weren't,
giving
them
masks,
I
mean,
and
and
and
it's
and
it's
and
so
to
me.
I
think
that,
up
until
now,
I
have
no
problem
with
the
with
the
age
decision
that
we
made
at
the
last
meeting.
65
plus,
I
thought
that
was
the
right
way
to
go,
and
I
remember
why
we
were
doing
it
for
a
lot
of
the
same
reasons.
We're
we're
we're
hearing
now,
but
now.
J
Okay,
the
phase
one
phase,
one
a
phase,
one
b:
okay,
now
there
we
are
we're
getting
to
farmworkers,
because
implicit
in
our
discussion
about
equity,
everybody
recognized
that
was
an
essential
workforce
who
who
that
worked
under
really
difficult
conditions,
and
in
that
balancing
act
I
felt
very
comfortable
with
where
they're
going
to
be
now
and
now
it
doesn't
feel
as
comfortable
when
we're
putting
age
once
again
in
front
of
that
farmworker
getting
that
vaccine
in
the
phase
1b
or
whatever.
That
was
that
we
had
decided.
B
L
Yes,
thank
you
so
much
diana
telosen
torres
with
the
united
farm
workers
foundation.
I
I'd
like
to
say
that
I
I
very
much
agree
with
jose
padilla's
comments.
You
know
today's
conversation
about
potentially
moving
exclusively
to
age-based
system
is,
is
definitely
disconcerting.
L
I
found
out
this
morning
that
one
of
the
united
farm
workers
members,
who
has
been
an
amazing
leader
and
worked
in
agriculture
for
decades
now
just
lost
his
life
last
night
to
covet
at
the
age
of
64.,
and
so
you
know
many
colleagues
and
previous
meetings
have
emphasized
that.
Not
all
individuals
who
are
65
and
over
have
the
same
level
of
vulnerability
and
like
jose.
L
L
It
is
a
real
reality
that
the
level
of
vulnerability
is
incredibly
high,
and
so
you
asked
dr
harrisburg
that
you
know
what
are
some
of
the
solutions.
We
really
have
to
have
a
specific
strategy,
a
potential
task
force.
That's
targeting
farm
workers
that
is
coordinated
by
the
state
working
alongside
the
unions
that
represent
farmworkers,
cbo's
and
individuals
within
the
farmworker
community,
so
that
we
can
reach
this
very
vulnerable
population
that
has
huge
disparities.
We
cannot
ignore
that
in
earlier
meetings
we
saw
the
data
that
cdph
presented
that
showed
in
every
level
of
vulnerability.
L
L
B
I
think
that
my
question
that
I
want
to
understand
how
people
are
thinking
about
this
question
is
I
truly
want
to
understand
that
we
recognize
that
when
we
talk
about
keeping
more
sectors
right
in
that
in
that
tier
one
of
phase,
one
b
right
that
that
moves,
that
22
weeks
to
you
know
a
much
different
number
right,
and
so
that
that
and
and
what
the
implications
of
that
are,
and
so
that's
just.
What
I
want
to
understand
is
how
how
folks
are
thinking
about
that.
K
Hello:
everyone,
my
name,
is
health
worker
in
imperial
county
two
hours,
east
of
san
diego.
I
think
here
we
I
really
want
to
mention.
We
cannot
do
rail
and
I,
you
know
again
agree
with
diana
and.
K
We're
talking
about
essential
workers,
we're
talking
about
people
that
cannot
afford
to
stay
home.
My
mother
lives
in
san,
diego
she's,
65
years
old.
She
lives
on
a
hilltop.
She
orders
everything
from
costco.
She
can
wait
for
her
vaccine.
My
father
works
in
the
fields
he's
70
years
old.
He
works
from
12.
She
he
wakes
up
at
midnight
and
goes
back
home
till
60
in
the
afternoon.
K
K
K
K
K
K
What
are
the
communities
that
the
highest
half
you
know
the
deaths
65
and
older,
like
imperial
county,
like
fresno
like
the
central
valley?
Why
don't
we
look
at
the
counties
with
65
and
older
dying
right
and
what
are
the
counties
that
are
not
that
can
wait?
That
is
where
I
would
want
to
shift
myself
to
you
know
again:
we
don't
have.
We
cannot.
K
You
know
we're
looking
at
all
the
data
you're
sharing
here.
All
of
the
data
is
pointing
to
the
farmworkers
they're,
the
most
vulnerable
communities,
the
most
affected
people.
I
just
spoke
to
a
farmworker
last
week,
the
father,
the
the
two
brothers
died
right
and
they
worked
15
hours
a
day
and
they
died
and
so
I'll
stop
there.
K
You
know
I
I
again
we
want
it
to
be
equitable,
but
you
cannot
compare
vulnerability
just
solely
based
on
age
since
the
since
the
vaccine
is
gold
right
now
we
don't
have
enough,
so
we've
got
to
make
sure
that
every
single
one
is
on
that
person.
That
really
needs
it.
No
stop
there.
Thank
you
very.
C
Much
yeah,
thank
you.
So
much
can
I
I
just
want
to
briefly
respond
and
probe
a
bit
too
and
and
just
want
to
share
the
sentiment
that
you
know
absolutely.
This
is
so
hard
for
all
of
us
and
you
know-
and
you
pointed
out
that
that
you
have
a
relative
that
is
a
70
year
old,
essential
worker,
and
I
do
think
very
much.
You
know,
as
I
just
mentioned,
there
are
six
over
six
million
people
over
65
within
that.
C
I
think
the
goal
and
approach
and
again
want
to
continue
to
work
with
you,
and
you
know
my
understanding
is,
there
is
going
to
be
a
task
force
and
we
want
to
start
this
outreach
now
to
get
everything
set
up
when
we
have
more
vaccine.
C
But
even
within
that
and
to
your
point
that
the
priorities
then
are
you
know,
hpi
and
or
you
know,
and
even
what
we
have
posted
now
based
on
the
discussion
from
last
week-
are
that
older
age
again
has
just
the
highest
but
also
occupational
exposure,
so
that
we
do
want
to
make
sure
we're
prioritizing
to
your
point
again
essential
workers
over
65
over
over
65
who
are
not
and
or
you
know,
I
think,
looking
at
hpi.
So
I
think
within
again.
C
We
have
this
really
tough,
very
small
amount
of
vaccine
for
over
six
million
people,
and
I
want
to
agree
with
you
and
and
and
have
ways
that
we
operationalize
all
across
the
board
how
to
prioritize
within
that
group
for
the
highest
most
vulnerable,
which
are
you
know.
I
think
occupational
exposure
and
hpi
as
two
other
key
things.
M
Anthony
wright
from
health
access-
california-
I
you
know
these
are
these-
are
tough
tradeoffs.
I
have
some
clarifying
questions
that
I
hope
will
add
to
the
discussion.
So
just
you
know
number
one
is
just
I
think
you
know.
I
think
I
did
find
compelling
the
age
base
because
of
just
you
know
for
health
access.
M
All
of
our
all
of
our
access
to
the
health
care
system
is
dependent
on
reducing
hospitalization
and
mortality,
and
so
that
is
such
a
important
and
compelling-
and
I
do-
and
I
do
think
simplicity
you
know,
equity
is
actually
some
people
have
tried
to
cast
equity
against
speed,
and
I
think
equity
actually
simplicity,
equity
is
is
aided
by
simplicity,
equity
complexity
can
be,
the
pr
can
be
a
barrier
to
equity.
M
If
we
don't
do
this
right,
but
my
question
is
that,
in
terms
of,
for
clarity's
sake,
my
understanding
is
that
we
we
actually
in
the
governor's
announcements,
move
to
1b
tier
1,
which
includes
not
just
the
age
base,
but
some
of
some
of
the
essential
worker
categories.
But
then
that
would
be
at
the
discretion
of
the
various
entities
you
know
with
a
prioritization
and
age,
but
that
they
could
go
to.
You
know
food
as
well
as
emergency
and
other
workers.
M
So
please
clarify
because
that's
my
understanding
of
reading
the
website,
although
looking
at
the
governor's
statements,
it
hasn't
been
entirely
clear,
so
I
want
to
or
or
other
statements
as
well,
I
would
say
so.
One
question
is
just
where
are
we
on
exactly
that?
M
Those
permissions,
and
I
do
appreciate
that
one
of
the
reasons
is
confusing,
is
because
we're
not
doing
one
implementation
or
even
58,
but
we're,
but
if
we're
doing
it
through
providers
as
well,
we're
doing
we're
literally
have
hundreds
of
implementations
in
the
state
of
california,
and
so
I
think
it
would
be
really
helpful
for
us
to
get
data
about
like
how
of
the
vex
of
the
three
million
that
we
even
have
now
how
much
is
going
through
counties?
How
much
is
going
through
hospitals
and
health
systems?
M
How
many
is
going
through
pharmacies,
so
we
can
have
like
some
granularity
about
this
and
and
then
my
my
my
other
question
is
just:
do
you
have
the
data
to
actually
know
where
who
is
within
those
categories
who
is
getting
75
of
their
vaccine
out
there
versus
who's
at
at
lower
levels?
Because
I
think
that
this
is
a
really
like.
M
M
With
regard
to
that,
I
I
at
the
end
of
the
day,
I
think
that
equity
is
as
much
about
the
logistics
within
these
categories
of
technology
and
transportation
and
other
barriers,
as
it
is
with
these
prioritization
categories.
I
am
so
I'd
love
to
have
further
discussion
about
that,
but
those
are
some
specific
questions.
If
you
have
any
answers
to
them,.
C
Sure
I
can
take
those
thank
you.
Those
are
all
excellent
questions.
I
think
I
think
I
want
to
acknowledge
your
your
first
very
important
one,
which
is
where
are
we
now
and,
and
you
are
you
are
right
on
actually
which,
but
but
and
to
also
your
point,
like
you
actually
understand
that
we
have
said
we
were
moving
to
1b
and
that
we
are
prioritizing
over
65
and
up,
but
there
has
been
this
flexibility.
You
are
absolutely
right
and.
N
C
I
know
there
are
some
you
know,
jurisdictions
and
places
that
have
you
know
something
set
up
now
for
teachers
or
farm
farmworkers
and
we're
getting
this
feedback
about
simplicity
and
confusion
and
and
to
go
to
your
other
questions,
and
we
do
have
on
that
website.
Now
a
breakdown
of
how
much
is
going
to
the
multi-county
entities
and
how
much
is
going
to
local
health
departments
who
then
allocated,
though
to
other
providers,
so
that
breakdown
isn't
on
our
public
website
at
this
moment.
C
But
but
we
have
been
working
on
those
very
same
questions
and
issues
and
trying
to
understand
that
as
well,
so
who
is
getting
more
kind
of
who's
able
to
get
more
out
and
back
to
equity?
You
know
really
understanding
that
you
know
we
want
to
continue
to
get
the
vaccine
out
because
again,
we're
all
going
to
benefit
more
from
overall
community,
but
also
as
we
can
all
imagine.
Those
who
are
getting
it
all
out
also
are
more
resource
than
our
not.
C
Or,
for
example,
in
the
lowest
hpi
so
struggling
with
that
as
well,
but
but
that's
been
a
huge
priority,
as
dr
erdogan
mentioned,
you
know,
as
far
as
data
so
really
trying
to
strengthen
our
data
systems
as
far
as
how
much
we
know
is
going
where
we
have
this
data
from
what's
shipped
and
then
we're
really
trying
to
better
tally.
What's
received,
yeah.
O
C
Much
is
first
to
the
second
post.
How
much
you
have
in
hand?
How
much
have
you
had
to
waste
for
any
particular
reason,
and
then
what
percent
are
each
individual
providers
getting
out,
and
how
do
we
in
this
very
decentralized
system
you
know,
have
a
handle
on
that
versus?
C
Are
there
other
we're
also
looking
at
other
ways
to
better,
not
only
gather
that
data
but
figure
out
how
to
have
some
accountability
to
your
very
questions,
so
all
excellent
questions
and
we'll
keep
you
updated,
but
also
part
of
kind
of
again
to
be
kind
of
really
frank
with
with
you
and
the
public.
This
is
what
we're
we're
looking
at
as
we
speak
and
trying
to
really
improve.
B
I
want
to
just
just
add
to
that
piece
that
you
know
part
of
the
reason
we're
coming
back
to
have
this
conversation.
B
Is
that
we're
hearing
we
hear
from
the
public
that
the
the
system
currently
as
it
is,
feels
confusing
and
is
moving
more
slowly,
we're
also
hearing
from
our
local
health
officers
that
the
more
complications
like
as
complexity
is
a
barrier
to
the
speed
at
which
we
are
getting
the
vaccine
out
right,
and
so
there
is
an
extent
to
which
you
know
think
talking
about
you
know
the
notion
of
intersectionality
right.
B
We
really
want
to
understand
that
if,
if
we
like,
simplifying
saves
lives
right
the
simpler,
it
is
the
easier
it
is
to
implement
the
less
confusion.
It
is
the
less
people
are
wandering
wandering
around
or
wondering
what
they
have
to
do,
then,
the
better
that
we
can
do
this
process,
and
so
as
we're
thinking
about
how
we
simplify
our
systems
right.
This
is
what
the
purpose
of
this
conversation
is
is
to
hear
from
you
all
your
inputs
about.
B
A
P
Yeah,
thank
you
bobby
and
thank
you,
dr
burke
harrison
dr
pond
orville
thomas
california,
immigrant
policy
center.
First,
I
really
want
to
amplify
what
deanna
and
jose
said
you
know
regarding
our
immigrant
essential
workers,
especially
those
in
the
farm
and
ag
and
food.
A
lot
of
this
is
happening
not
because,
like
they
are
part
of
counties
that
have
neglected
public
health
warnings,
it's
because
they
can't
be
in
positions
to
avoid
going
to
work
or
their
corporations
or
businesses
have
not
given
them
the
personal
protective
equipment
needed
for
them
to
stay
safe.
P
You
know
we
understand
that
there
is
obviously
a
lack
of
quantity
in
the
vaccines
and
wanted
to
make
sure
that
these
essential
workers
continue
to
remain
in
1b
and
also,
on
top
of
this
start,
the
amplification
process
and
the
community
education
process
very
early,
and
I
know
it's
going
to
be
later
on
in
this
meeting.
So
I'm
really
excited
to
hear
about
this.
You
know
these
are
also
populations
that
haven't
had
some
political
strongholds.
P
So
we've
seen
some
efforts
to
get
them
protected
with
cal,
osha
for
in-home
workers
or,
for
you
know,
large
farm
and
ag
employers
to
give
them
their
workers
bill
of
rights
on
location
at
the
workforce,
and
that
has
not
been
you
know,
included
last
year,
and
these
are
also
populations
that
aren't
included
in
any
federal
stimulus
or
any
state
economic
packages.
So
they
don't
have
the
luxury
of
being
able
to
stay
home.
You
know
they
are
multi-generational
households,
they
have
large
community
development,
they
don't
have
access
to
health
insurance.
P
You
know
they
are
often
traveling
throughout
the
state
based
on
the
season
and
the
agricultural
crop
that's
in
demand,
and
we
want
to
make
sure
that
all
of
these
are
taken
into
account
and
you
know.
I
think
that
what
you're
hearing
is
the
surprise
in
a
lot
of
advocates,
voices
that
this
is
starting
to
be
considered.
Given
that
you
know,
we've
had
this
equity
conversation
in
place
for
farm
workers
and
we've
realized
with
the
administration
that
the
food
and
ag
essential
workforce
is
very
much
at
risk
when
it
comes
to.
P
You
know
pervasive
practices
that
put
them
in
much
greater
danger
than
those
that
could
avoid
it
and
being
able
to
stay
at
home
safely
in
place.
So
thank
you.
You
know.
I
realize
it's
a
very
tough
topic
to
be
discussing
right
now,
but
I'm
hoping
that
when
we
get
into
these
conversations,
the
spirit
of
all
these
advocates
can
essentially
help
us
plan
an
equitable
way
forward.
A
Thank
you,
orville.
Let's
go
on
to
g
and
then
deborah.
Q
Hi,
I'm
g,
pretty
goodness,
I'm
I'm
representing
seiu
local
1,
000,
96,
000
state
workers
across
the
whole
state
of
california.
I
was
under
the
impression
that
we're
not
moving
out
of
the
essential
worker
criteria
and
then
add
the
65
year
old
criteria
and
that's
simple.
I
understand
the
age
criteria
because
I'm
an
mph
masters
of
public
health
student,
but
I
also
understand
the
equity
side
of
that
criteria.
Q
I
want
to
prioritize
essential
workers.
We
were
deemed
essential
since
almost
like
one
year
now
and
if
we
could
not
get
our
essential
workers
protected
first
then,
and
our
vulnerable
communities
first
then
we're
not
gonna
have
that
equity
factor
in
this
criteria.
Q
That's
my
opinion
and
I
hope
you
would
consider
it
dr
berg
burke
harris
and
dr
penn
and
the
whole.
I
hope
the
committee
will
will
consider
this.
We
do.
We
don't
need
to
move
out
of
the
essential
worker
criteria.
We
just
need
to
high
vote
it
a
little
bit
to
consider
the
age
at
age
to
it.
R
Deborah
shade,
representing
the
california
school
board
association,
just
a
couple
of
comments.
I
understand
the
need
for
age-based.
I
think
it's
really
simplistic.
However,
the
slide
in
the
information
that
you
presented
did
not
show
those
that
have
underlying
conditions,
and
I
think
our
group
had
agreed
that
underlying
conditions
for
somebody
65
and
older,
really
trumps
them
and
puts
them
in
that
higher
risk
category.
R
I
want
to
talk
about
the
10
year
old
that
committed
suicide
in
san
diego
recently
because
of
the
trauma
of
this
connection,
isolation-
and
I
want
to
talk
about
the
future
of
california-
we
have
got
to
get
our
kids
back
to
school
and
you
will
not
find
very
many
unions
that
are
ready
across
that
line
without
a
vaccine
in
development,
because
districts
cannot
afford
the
type
of
coded
19
testing
that
you
would
have
to
put
in
place
to
open
doors
and
keep
school
open.
So
I
again,
I
have
a
public
health
background
as
well.
R
I
understand
the
urgency
for
icu
healthcare
healthcare
for
all,
but
I
do
believe
that
there's
a
disaggregation
of
that
data
that
we
have
not
seen
that
shows
underlying
conditions
when
you
look
at
daily
death
rates
most,
if
not,
the
majority
had
an
underlying
condition,
and
we
approved
that
we
talked
about
that.
We
were
supporting
that,
but
removing
essential
workers
that
are
at
the
front
line
and
prioritizing
a
65
year
old,
like
I
played
tennis
with
yesterday,
who
got
his
covet
19
test
and
he's
fine.
R
That's
where
I
think,
I'm
not
sure
how
the
simplicity
of
those
broad
strokes
are
really
servicing
california
and
moving
us
out
of
this
clothing
19
pandemic.
So
I
really
again,
I
thank
you
for
the
work.
I
think
you
guys
have
very
difficult
decisions,
but
you
needed
to
hear
from
the
california
students
that
are
not
in
class
that
are
not
that
there
is
a
big
risk
there
for
the
future
of
our
of
our
state.
R
O
Thank
you,
jody
hicks,
representing
planned
parenthood,
affiliates
of
california,
and
I
just
want
to
say
I
I
appreciate
this
conversation
is
difficult.
I
appreciate
looking
at
the
hpi
index
to
try
and
get
it
communities.
O
I
appreciate
dr
burke
that
that
it
was
even
brought
up
what
systemic
racism
has
done
and
how
it
affects
all
of
the
communities
and
how
we're
looking
at
this
through
an
equity
lens,
and
I
feel
like
I'm
a
little
bit
of
a
broken
record
on
this
piece,
which
is
the
second
part
of
it,
though,
is
if
we
don't
acknowledge
that
our
the
structure
of
our
public
health
system
is
not
in
a
way
that
can
equitably
give
care
to
our
communities.
Then,
however,
we
prioritize
this
list.
O
O
O
But
you
know
I
don't
know
what
that
means
in
terms
of
opera
operationalizing
that
is
it
the
counties.
How
are
we
doing
that
and
I
think
if
we
decide-
and
I
think
the
other
part
is,
does
the
hpi,
if
you
overlay
it
will-
and
I
don't
know
the
data,
will
that
also
capture-
maybe
broad
swaths
of
farm
workers
and
essential
workers,
and
if
it
does,
then
let's
move
into
that,
but
we
have
to
prioritize
how
we
do
that
and
how
we
reach
them.
O
So
that's
all
I'll
say
I
think
I
think
the
fear
is
we
keep
moving
down
into
that
and
and
people
are
still
not
getting
the
vaccine
because
we
haven't
tackled
that
second
piece
of
it.
Thank
you.
O
A
B
Thank
you
so
much
bobby.
Do
you
mind
just
taking
a
moment
to
summarize
our
public
comments
and
we
can
marinate
with
those
public
comments
and,
along
with
what
we've
heard
so
far
in
our
discussion
this
afternoon,
as
we
go
on
a
for
for
a
brief
break.
A
I'd
be
happy
to
thank
you.
I
just
wanted
to
remind
the
members
of
the
committee
that,
starting
with
this
meeting,
I've
sent
out
a
brief
summary
of
the
public
comment
in
addition
to
the
actual
public
comments,
as
was
requested
in
the
evaluation
that
you
all
completed,
we
received
286
pages
of
public
comments.
A
645
individuals
or
organizations
made
submissions
in
the
period
since
january
5th,
the
day
before
our
last
official
meeting
through
monday,
when
we
had
to
close
the
public
comment
in
order
to
compile
it
and
send
it
out.
A
All
the
major
news
outlets,
the
supreme
court
justice
of
the
the
court
of
california
from
the
la
county
board
of
supervisors.
Chair
a
solice
and
from
many
many
many
others,
including
347
veterinarians.
A
A
We
had
a
number
of
people
who
wrote
in
asking
why
people
needed
second
doses
of
vaccine
and
another
set
of
people
asking
that
everyone
get
their
second
vaccine.
We
had
questions
about
the
federal
long-term
care
partnership
that
was
spoken
about
earlier,
and
we
had
a
thoughtful
long
letter
from
the
california
labor
foundation.
A
B
Thank
you
so
much
for
that
summary
bobby
and
now
we
will
take
a
brief
break.
We'll
it'll
be
seven
minutes
and
we
will
come
back
at
4
35
for
to
start
our
next
session
to
talk
about
practical
methods
for
operationalizing
equity.
B
So,
as
a
reminder,
folks,
please
go
ahead
and
mute
your
lines
and
turn
off
your
cameras,
and
we
will
see
you
at
4
35.
Thank
you.
B
B
All
right,
so
it
looks
like
we
are
at
4,
30
or
4
36
now,
so
we
are
ready
to
to
reconvene
and
I
we
want
to
move
into
a
conversation
about
different
strategies
to
use
a
practical
and
effective
equity
focus
for
vaccine
allocation
and
distribution,
and
so
so
really
thinking
about.
So
I
want
to
start
by
first
again
saying
thank
you
to
this
committee
for
your
passionate,
while
still
remaining
very
respectful.
So
I
appreciate
that
engagement
and
advocacy.
B
I
really
it's
very,
very
much
appreciated
and
as
we're
having
this
conversation
about
thinking
about,
how
do
we
respond
to
the
need
for
simplicity
to
and
the
recognition
of
scarcity,
while
at
the
same
time
addressing
some
of
the
addressing
some
of
the
important
issues
and
holding
the
values
that
we
hold
for
engaging
in
this
effort?
B
And
so
we
heard
at
the
last
meeting
right
and-
and
we
you
know-
we've
been
talking
in
this
meeting
about
equity
and
how
do
we
ensure
that
we
are
maintaining
a
strong
focus
on
equity
and
we
engaged
with
so
our
teams
worked
with
health
economists
and
look
at
different
strategies
for
operationalizing
equity
and
if
we
could
move
forward
to
the
next
slide,
please
one
of
the
potential
mechanisms
that
we're
looking
at
and
we'd
love
to
hear
your
feedback
on.
B
This
is
a
categorized
priority
system
and
a
categorized
priority
system
is
a
data-based
tool
to
calculate
how
to
distribute
a
scarce
resource
equitably,
and
it
supports
a
need
for
both
simplicity
and
equity
and
the
way
that
a
categorized
priority
system
works
is
that
it
takes
a
certain
percentage
of
vaccine
and
and
allocates
it
specifically
according
to
a
a
metric
or
an
indicator,
and
then
the
rest
of
the
vaccine
is
allocated
as
it
would
otherwise
be.
B
So,
for
example,
I-
and
I
will
I
will
go
in
in
retrospect
because
I
think
that's
easier
if
we
were
to
look
at
applying
a
categorized
priority
system
for
phase
1a,
for
example,
and
we
were
looking
at
healthcare
workers,
for
example
right
we
would
look
at
and
we
were
to
use
a
system
where
we
would
say
you
know
we're
doing
a
20
categorized
priority
system,
so
80
of
the
vaccine
supply
when
it
comes
in,
we
get
we
get
100
of
vaccines
that
we
get
100
doses.
B
80
of
those
doses
would
be
allocated
to
the
counties
based
on
their
numbers
of
healthcare
workers,
just
as
if
they
would
have
been
otherwise
and
then
20
of
the
the
vaccine
would
be.
We
would
apply
a
lens
of
looking
at
the.
In
this
case
we
use
the
example
of
the
healthy
places
index
hpi,
looking
at
the
lowest
quartile
hpi,
and
we
would
take
that
20
and
then
allocate
it
to
the
counties,
particularly
prioritizing
those
with
the
lowest
quartile
hpi
next
slide.
B
Please,
and
so
an
example
of
how
that
would
look.
Is
that
again?
As
I
said,
if
you
have
100
of
vaccine
doses
80
allocated
according
to
you
know,
whatever,
whatever
methodology,
we
ultimately
end
up
on
right
and
then
20.
If
that's
the
case
allocated
based
on
this
hpi
index,
and
so
what
that
means
is
that
and
that
number
could
be
20,
it
could
be
10,
it
could
be
15,
it
could
be
5,
it
could
be
25.
So
that
is
a
number
that
needs
to
be
selected.
There's
no
fixed
number.
B
But
if
we're
assuming
in
this
model,
20
right,
then
those
those
doses,
you
would
be
additional
doses
that
would
be
prioritized
to
go
to
the
communities
with
the
the
greatest
risk
as
assessed
by
hpi
next
slide.
Please.
B
And
if
the
categorized
priority
system
results
in
increased
amount
of
vaccine
for
a
county,
that's
facing
operational
challenges,
one
of
the
things
that
we're
really
looking
at
because
we
heard
it
earlier
in
the
conversation
today
we've
been
hearing,
it
is
the
recognition
that
some
communities,
a
capacity,
is
an
issue
right
and
operational.
Support
is
an
issue
and
so
really
looking
at
whether
the
state
could
also
allocate
in
additional
operational
support
and
then
as
we're
thinking
about
an
emphasis
of
folks,
65
and
older
right.
B
The
question
of
whether
allocating
additional
doses
using
a
categorized
priority
system
to
our
most
vulnerable
communities
would
be
a
way
to
address
some
of
the
concerns
around
equity
and,
in
addition,
it
would
the
state
would
provide,
could
provide
guidelines
to
local
health
officers
that
the
additional
vaccine
allocated
based
on
hpi
be
targeted
to
individuals
living
in
the
lowest
hpi
quartile
zip
code.
B
B
And-
and
I
gave
the
example
of
the
healthy
places
index
and
the
reason
I
gave
that
example
is
because
our
teams
looked
at
several
different
metrics
that
could
be
used.
B
The
svi
social
vulnerability
index,
hpi
the
healthy
places
index
and
there's
also
a
sergo
covid
vulnerability
index
covet
community
vulnerability
index,
which,
which
uses
a
slightly
different
set
of
metrics,
and
the
recommendation
from
our
teams
was
that
hpi
be
used
for
several
reasons.
B
One
is
that
hpi
is
already
in
use
for
other
policy
and
equity
tools,
including
our
blueprint
for
a
safer
economy,
our
health
equity
playbook
for
communities
and
the
forthcoming
vaccine
coverage
equity
metric
and-
and
for
that
reason,
and
again
when
we
keep
in
mind
that
simplicity
saves
lives
when
we
think
about
how
we
recognize
that
many
of
our
local
health
jurisdictions
are
are
dealing
with
a
tremendous
amount
of
challenges
and
operational
issues
using
a
metric.
That's
already
in
existence,
we
believe
would
be
helpful
in
facilitating
ease
of
implementation
and
rapid
rapid
implementation.
B
What
we
asked
our
epidemiologist
to
do
was
run
the
numbers
and
see
what
is
the
difference
when
we
use,
for
example,
the
sergo
data
versus
the
svi
versus
the
the
healthy
places
index,
and
what
we
see
is
that
by
and
large,
these
metrics
tend
to
identify
the
same
communities,
and
so
for
that
reason
it's
felt
like
there's
not
a
lot
that
is
missed
by
using
the
hpi,
because
when
it,
when
you
put
it
into
practice,
what
we
see
is
that
they're
identifying
much
of
the
same
communities
next
slide.
B
Please,
and
so,
when
we're
thinking
as
a
state
about
how
we're
operationalizing
equity.
We
wanted
to
share
with
you
a
couple
of
just
the
key
tools,
because
we
see
this
as
part
of
the
overall
package
that
the
state
is
using
to
operationalize
equity.
So
a
part
of
that
is
engagement
and
outreach,
and
you'll
hear
a
little
bit
more
about
that
after
after
this
section
that
includes
media
paid
and
earned
media
multiple
languages,
cbo
engagement,
utilizing
that
census
infrastructure.
B
When
we
think
about
vaccine
allocation
right,
we
recognize
that
our
sector-based
strategy
was
one
way
of
operationalizing
equity.
We
we
recognize
that,
if
we're
thinking
about
you
know
whether,
whether
or
not
we're
going
to
stay
with
that
sector-based
system,
a
categorized
priority
system
based
on
hpi
is
another
way
to
operationalize
equity
as
well.
B
B
We
have
the
vaccine
coverage
equity
metric
that
you
learned
a
little
bit
about
at
the
not
our,
not
our
last
emergency
meeting,
but
the
meeting
prior,
our
last
scheduled
meeting
and
which
is
still
in
development
and
our
local
support,
so
supporting
counties
with
the
covet
19
health,
equity,
playbook
and
then
also
resources
to
reach
vulnerable
communities,
and
that
is
done
in
partnership
with
philanthropy.
B
So
I'm
going
to
go
ahead
and
pause
there
and
open
it
up
for
questions
and
discussions.
We'd
love
to
hear
what
folks
are
thinking.
A
S
Thank
you,
my
sister
from
california
alliance
for
childhood
family
services,
I'll
try
to
pivot
my
comment
to
what
we
just
presented.
S
I
think
that
one
of
the
challenges
that
we've
been
experiencing,
we
represent
150
organizations
throughout
the
state
that
provide
a
range
of
therapeutic
and
mental
health
services
to
youth,
especially
very
vulnerable,
youth
and
families.
And
what
we're
seeing
is
us,
as
we
continue
to
have
this
evolving
methodologies
and
the
lack
of
consistency
that
it
creates
expectations
that
may
lead
sometimes
to
frustration.
S
That
is
absolutely
key,
because
I
think
we
wouldn't
be
having
these
conversations
about
when
and
how
and
who,
if,
if
that
was
not
the
issue,
but
it
seems
to
me
that
whatever
methodologies
identify
and
it
keeps
changing,
it
has
to
be
communicated
in
in
a
way
that
is
very
clear,
but
also
it's
anchored
in
what
we
have
available
in
terms
of
capacity
in
terms
of
number
of
vaccinations
and
also
create
clear
expectations
about,
will
be
the
timelines
and
length
of
time
that
may
take
to
be
able
to
to
implement
these
things,
because
what
we're
seeing
in
the
field
now
is
that
some
of
our
workforce
that
is
considered
1a,
is
trying
to
get
appointments
and
is
not
able
to
be
able
to
have
access.
S
And
then
we
hear
that
another
group
is
being
added
a
large
group,
understandably
so,
based
on
age.
And
now,
as
a
result
of
that,
we
have
bottlenecks
that
are
being
created
for
both
both
groups.
So
I
think
that
that's
creating
a
great
deal
of
frustration
and
expectations
when
we're
also
trying
to
help
our
workforce
understand
the
value
of
vaccination.
S
So
I
am
concerned
as
we
move
forward,
that
that
we
need
to
really
learn
from
what
some
of
the
challenges
that
we've
experienced
now,
which
are
very
understandable
and
use
that
lens
to
be
able
to
identify
how
to
develop
these
strategies
moving
forward,
but
also
how
to
communicate
it
in
a
way
that
is
clear,
is
transparent
and
create
clear
expectations.
T
Going
to
try
to
move
forward
with
what
you
suggested
operationally,
I
think
one
of
the
things
we
might
think
about
is
doing
some
workplace
vaccinations
for
some
of
our
essential
workers,
particularly
our
more
vulnerable
groups.
One
of
the
things
that
strikes
me-
and
I
am
not
a
public
health,
I'm
a
public
health
advocate,
but
not
don't
work
in
public
health
is
when
we're
talking
about
these
communities.
T
T
But
I
asked
my
dad
I'm
like:
can
you
drive
65
miles
because
that's
where
the
place
is
that
I
can
get
you
the
appointment
and
he
could
so
that's
a
difference
between
people
that
can
drive
and
people
that
have
a
car
and
money
for
gas,
and
I'm
not
saying
my
parents
are
wealthy,
but
I'm
just
saying
as
an
example.
T
While
I
was
going
through
this
process,
I
was
thinking
about
our
commitment
to
equity
and
was
thinking
that,
even
though
my
parents
are
older
and
definitely
fit
into
this
category,
they're
in
a
privileged
group
of
people
and
and
as
we
talk
about
our
essential
workers,
making
sure
that
those
that
are
most
vulnerable
are
still
still
have
access,
because
we
might
all
think
that
navigating
computers-
and-
let
me
tell
you-
I
felt
like
I
won
the
lottery,
because
it
was
quite
a
challenging
experience-
happy
to
share
more
details
with
that
about
you
later,
but
but
making
sure
that
our
essential
workers
that
are
most
vulnerable
and
our
populations
that
are
most
vulnerable
are
still
getting.
T
Access
to.
This
vaccine
still
needs
to
be
a
priority,
and
I
understand
simplicity-
and
I
understand
that
age
ranges
that
we're
talking
about
and
the
need
for
that
to
to
free
up
those
icu
beds.
I
completely
understand
that,
but
if
we
just
said
everybody
over
a
certain
age
that
would
be
faster,
but
it
it
wouldn't
be
equitable
and
I
think
it
wouldn't
meet
the
the
difficult
discussions
we've
been
having
throughout
these
past
several
months.
T
So
I
just
want
to
share
that
possibly
workplace
vaccinations
if
you
go
out
to
where
the
farm
workers
are
and
get
them
vaccinated.
If
you
go
to
the
schools
where
the
educators
are
and
get
them
vaccinated,
that
might
also
be
a
simple
way
to
do
things.
U
Sure,
thanks
bobby-
and
I
you
know-
want
to
appreciate
the
work
of
dr
burke
harris
and
everyone
on
this
and
on
bringing
a
place
based
approach
into
this,
and
it's
something
we've
been
asking
for
broadly,
so
I'm
glad
to
see
the
consideration
and
also
the
acknowledgement
that,
if
we're
not
careful,
we
might
end
up
sacrificing
equity
for
speed,
and
we
don't
want
to
do
that
in
california.
So
I
just
want
to
you
know
say
that
I
appreciate
that
I
do
think
there's
some
considerations
one.
U
Is
it
really
matters
what
the
em
is
and
so
without
having
that
defined?
I
think
it's
a
little
hard
to
have
this
conversation
about
what
the
prioritization
should
look
like
when
we
don't
really
know
how
well
the
the
80
percent
em
will
account
for
equity.
So
I
just
want
to
say
that
at
the
outset
I
also
think
generally,
as
I'm
understanding
this
proposal,
that
I
would
say
you
know
20
of
the
vaccine
allocation
going
to
the
equity
strategy.
In
my
mind,
isn't
sufficient,
isn't
really
equity
sort
of
saying?
U
I
also
think
the
formula
is
a
little
bit
unclear
to
me,
and
I
think
it's
gonna
be
really
important,
then,
when
we
identify
the
hpi
based
locations
that
we
look
across
the
entire
state
and
not
just
county
by
county,
because
we
have
counties
that
have
far
more
zip
codes
that
should
be
targeted
that
are
severely
disadvantaged
in
some
counties
than
in
others,
and
I
do
think
we
need
to
look
really
make
sure
that
counties
are
not
only
getting
their
allocation
based
on
that,
but
actually
distributing
the
doses
in
those
neighborhoods.
U
Just
two
more
things,
one
is
on
hpi.
I
do
support
the
use
of
hpi.
I
think
it's
important.
I
also
think
we
might
need
to
supplement
it
for
some
populations
and
so
without
being
overly
complicated.
U
I
think
it
would
be
good
if
there
were
a
way
for
counties
to
propose
additional
communities
that
they
think
they
need
to
focus
on
for
different
reasons
to
the
state,
such
as
our
small
pacific,
islander
communities
that
might
not
be
captured
by
hpi
or
people
with
disabilities.
If
there
were
way
for
counties
to
say
we
have
these
quartiles,
we
want
to
focus
on.
We
also
have
this
community
over
here
that
we
want
to
focus
on
and
get
state
approval,
something
to
supplement.
U
The
hpi,
I
think,
would
be
important
and
then
finally,
just
that
I
really
you
know,
I
appreciate
the
slide
about
operationalizing
equity,
because
the
implementation,
in
my
mind,
actually
matters
more
than
the
prioritization
and
how
people
are
going
to
get
it
and
I'm
still
wondering
how
we
get
to
really
having
community-based
sites
for
the
distribution
once
we've
identified,
where
we
need
the
allocation
to
go,
I'm
I'm
still
not
seeing
that
and
I'm
really
concerned
about
thinking,
even
if
the
doses
are
allocated
for
these
communities
that
they're
going
to
show
up
at
cal
expo,
I
think
it's
not
realistic
and
so
really
want
to
make
sure
we
have
the
implementation
on
there
and
recognize
that
outreach
is
not
going
to
be
sufficient
and
then
finally,
finally,
I
would
hate
for
us
to
be
turning
people
away
in
these
severely
disadvantaged
communities,
because
they
don't
meet
the
priorities,
because
we
already
have
a
huge
amount
of
hesitancy
to
overcome.
U
So
if
someone
shows
up
with
their
family
in
one
of
these
zip
codes,
I
really
would
encourage
us
to
give
health
departments
the
flexibility
to
vaccinate
everyone,
because
turning
people
away
who
already
face
hesitancy.
I
think
is
just
going
to
add
barriers
over
the
long
term
that
we
shouldn't
have
I'll
still.
A
Thank
you.
Thank
you,
kieran
that
was
kieran
savage
sanguine
from
c
pen.
If
everybody
could
introduce
themselves
as
they
start
talking,
that
would
be
great
lisa,
hershey
and
then
we'll
go
to
ronnie,
christina
and
amanda.
V
Thanks
bobby
lisa
hershey
with
housing,
california,
advancing
policy
on
housing,
affordability
and
homelessness,
I'm
gonna
plus
one
what
kieran
just
said,
because
she
made
a
lot
of
the
points
that
I
was
going
to
make,
and
so
I'll
just
acknowledge
two
other
points
and
ask
one
clarifying
question.
First
of
all,
and
I
really
want
to
appreciate
all
the
work
that
dr
burkharis,
dr
pond
and
cdph,
and
everyone
else
has
done,
because
you're
truly
building
the
plane,
while
you're
flying
it
and
having
to
adapt
to
what
you're
learning
from
a
population
based
perspective.
V
And
I
I
understand
why
you're
leaning
in
to
where
we're
seeing
more
morbidity
and
death.
At
the
same
time,
from
my
public
health
background,
I
really
want
to
go
upstream
and
look
at
it
from
a
prevention
perspective
and
really
lean
into
equity
and
my
so.
My
second
point
being
I
am
so
appreciative
appreciative
of
the
operation,
not
operationalizing
equity
and,
as
kieran
just
stated.
I
think
that
is
the
key
and
the
core
part.
V
I
would
love
to
dig
deeper
into
the
categorized
priority
system
and
understanding
the
allocation
of
vaccine
based
on
hpi,
which
I
fully
support.
But
again
I
don't
fully
understand
the
80
20
and
want
to
re-examine
that
and
then.
Thirdly,
I
just
wanted
to
note.
That's
really.
My
question,
I
think,
is
about
having
a
deeper
dive
into
that
and
fully
understanding
it,
because
I
greatly
appreciate
the
opportunity
to
weigh
in
oh.
I
know
my
third
part.
W
V
Was
I
just
want
to
share
on
a
positive
note
that
some
of
our
affordable
housing
developers
who
have
big
communities
of
people
that
are
low
income,
primarily
black
and
brown
and
seniors,
are
able
are
already
just
distributing
the
vaccine,
and
so
we
are
seeing
a
deep
lean
into
equity
in
a
really
positive
place-based
way.
B
Yeah,
thank
you
so
much,
and
so
in
terms
of
the
in
terms
of
the
the
question
in
terms
of
what
does
the
80
20
mean
right
I'll
I'll
see
if
I
can
think
about
explaining
it
in
a
different
way,
but
the
idea.
B
B
But,
as
we
are
allocating
based
on
our
phased
system,
that
we
would,
the
the
20
of
vaccine
would
be
targeted
to
provide
to
enrich
the
communities
that
have
the
the
lowest
that
are
that
are
documented
to
be
at
greater
greater
risk,
as
we
saw
from
the
data
around
vulnerability
and
what
that
means
in
terms
of
increased
risk
of
hospitalization
and
death
right.
B
So
this
would
be
a
way
to
operationalize
getting
additional
doses
to
those
communities,
and
so
essentially,
what
that
means
is
that
it
would
be
a
way
to
allocate
slightly
greater
doses
of
vaccine
to
the
communities
where
the
data
is
telling
us
that
there
is
greater
risk
of
hospitalization
and
death.
So
that
would
be
the
it
would
be
kind
of
an
overlaying
of
both
of
those
things.
A
Great,
thank
you.
Let's
move
on
to
ronnie
and
then
christina.
X
Hi,
thank
you:
ronnie
kelly,
county
behavioral
health
directors
association.
I
really
agree
with
what
moises
was
saying
about
communication
and
thank
you,
dr
burke,
harris
for
pointing
us
towards
operationalizing
because,
as
we
all
know,
this
is
very
difficult
to
do
with
the
current
infrastructure
we
have
with
cdph
and
a
lot
of
the
changes
and
each
individual
county
and
jurisdictions
department
of
public
health,
but
it
would
be
helpful
for
cdph
to
be
very
clear
on
their
website.
Many
of
us
refer
many
people
to
that
website,
and
the
information
still
is
somewhat
vague.
X
If
you
just
look
at
even
1a,
bh
is
not
called
out.
We've
discussed
it
here.
We've
discussed
it
with
the
drafting
and
guidelines
committee.
Everyone
agrees
that
behavioral
health
is
health
care,
but
nowhere
on
cdph's
website
does
it
say
that
and
if
it
doesn't
say
that
what
we've
heard
from
our
other
counties
in
the
state
is
that
behavioral
health
workers
will
stand
in
line
to
get
their
vaccine
it's
their
turn.
X
We
give
them
the
letter
from
the
department
of
health
care
services,
saying
it's
our
turn
and
they're
turned
away
by
either
their
local
hospital
or
the
local
public
health
department,
because
they
reference
cdph's
website,
which
still
says
it
says,
psychiatric
facilities.
That
is
the
only
mention
of
anything
behavioral
health,
and
so
it
would
be
very,
very
helpful
to
simply
have
a
very
simple
message.
X
I
think,
on
cdph's
website
that
says
all
the
things
we've
been
talking
about
even
pulling
out
that
65
plus,
is
because
they
are
dying
at
a
higher
rate,
and
I
know
it's
it's
in
there's
a
lot
of
information
on
the
website,
but
for
those
of
us
who
use
that
to
guarantee
or
to
try
and
get
people
vaccinated,
it
would
be
very,
very
helpful.
Thank
you.
Y
Thanks
bobby
christina
mills
from
the
california
foundation
for
independent
living
centers,
I
just
want
to
start
by
reminding
all
of
us
that
we
were
invited
to
be
a
part
of
this
group
so
that
we
could
represent
the
communities
that
we
work
hard
for
in
the
community,
and
I
think
one
thing
that
has
been
vividly
clear
through
this
process
is
that
the
data
of
people
with
disabilities
is
significantly
lacking
and
that
there's
been
a
very
challenging
time
in
figuring
out
if
there
is
any
research
and
statistics
that
we
can
use
to
actually
prioritize
people
with
disabilities.
Y
While
I
understand
the
statistics
that
we
that
we
are
using
and
why
older
adults
are
being
prioritized,
many
of
us,
with
underlying
health
conditions,
have
been
told
by
our
health
care
providers
that
we
have
more
light.
We
would
be
more
likely
not
to
survive
if
we
had
covid
or
that
we
would
have
additional
medical
issues
if
we
were
to
survive
through
it.
Y
Healthcare
rationing
is
a
reality
for
our
people
and
we
need
to
not
penalize
those
of
us
who
are
at
risk
because
we're
not
over
65
but
do
have
underlying
conditions.
I
want
to
applaud
the
counties
that
are
un,
that
understand
our
issues
and
are
actually
prioritizing
people
with
disabilities
and
understand
the
medical
vulnerability
involved.
We
should,
as
a
committee,
be
lifting
up
those
counties
and
showing
their
best
practices,
especially
those
who
are
doing
mobile
clinics
and
curbside
clinics.
Z
Thanks
bobby
hi,
amanda,
mcallister
walner,
she
her
hers
with
the
california,
lgbtq
health
and
human
services
network.
Really,
you
know
happy
to
see
the
emphasis
on
operationalizing
equity
and
and
the
addition
to
the
the
place-based
approach.
Z
Z
You
know
if
we're
using
hpi
to
allocate
you
know
20
or
some
percentage
of
doses.
How
are
we
tracking
specifically
those
doses
that
that
were
allocated
using
hpi?
How
do
we
know
what
percentage
of
those
have
actually
gotten
into
the
arms?
How
do
we
make
sure
that
those
were
actually
you
know
given
to
people
who
live
within
those
zip
codes
or
work
within
those
zip
codes?
If
that's
also
included
in
you
know,
in
the
definitions,
you
know
how?
Z
How
do
we
make
sure
that
we're
able
to
move
nimbly
if
we're
finding
that
you
know
we're
having
low
rates
of
vaccination
in
certain
zip
codes?
You
know
right
now
the
vaccination
data
that
the
state
is
providing
is
relatively
high
level,
and
so,
if
we
want
to
be
able
to
break
it
down
by
zip
code,
if
we
want
to
be
able
to,
you
know,
take
equity
really
seriously.
W
Thanks
bobby
ron,
ceo
of
the
california
groceries
association,
thank
you
for
all
of
the
great
insight
we
do
have
an
opportunity
to
implement
an
occupation
base
or
a
place-based
vaccine
distribution
system
in
grocery
store
pharmacies,
and
I
think
we're
missing
an
opportunity
here.
We're
talking
a
lot
about
cvs
and
walgreens
as
the
two
retailers
that
are
distributing,
but
the
california
grocers
association
has
a
request
into
cdph
to
open
up
1
000
grocery
pharmacies
that
are
ready,
willing,
able
to
start
distributing
as
soon
as
you
say.
W
Yes-
and
these
are
large
companies
that
operate
pharmacies,
costco,
albertsons,
raley's,
save
mart
and
ralph's.
We've
got
a
tremendous
opportunity
here.
The
state
registration
system,
the
new
one,
is
a
challenge
and
we're
having
a
lot
of
difficulties.
Getting
our
registration
in
so
be
happy
to
work
with
whomever
to
get
that
system
more
efficient,
but
vaccinating
our
own
grocery
workers
in
our
own
pharmacies
makes
a
lot
of
sense
to
me.
W
They
don't
have
to
go
stand
in
line
at
cadillacs
for
anybody
else,
just
go
to
your
pharmacy
and
and
vaccinate
essential
workers
in
grocery
stores
to
take
care
of
a
population
that
has
been
serving
our
community
since
march
of
last
year.
W
I,
I
think,
that's
a
mistake.
I
think
there's
a
better
way.
Grocery
store
workers
are
under
tremendous
pressure
from
our
local
governments
to
say,
stay
safe
and
in
fact
today
there
are
at
least
eight
to
ten
jurisdictions
in
local
government
that
want
grocery
stores
to
give
hazard
pay
because
grocery
store
workers
are
front
line.
We'd
like
to
avoid
that
the
better
solution,
I
think,
is
the
grocery
store.
Workers
are
vaccinated
safely
through
grocery
store
pharmacies,
and
then
we
can
continue
to
serve
the
rest
of
our
community
by
opening
it
up
and
vaccinating
everybody.
AA
Well
ron-
and
I
didn't
plan
this
together
to
ask
our
questions
back
to
back,
but
I'm
the
ceo
for
the
california
pharmacists
association
and
we
have
members
working
in
those
grocery
stores
and
and
also
what
we
could
add,
is
the
existing
network
to
the
thousand
one
thousand
grocery
store
across
the
state.
Are
they
over
800
independent
pharmacies
as
well?
AA
So
just
really
want
to
encourage
as
we're
talking
about
logistics
and
operationalizing
again,
we
have
an
existing
network
in
pl
that
is
there
brick
and
mortar
in
neighborhoods
workers
that
speak
the
language
of
the
neighborhood
within
walking
distance
of
many
of
our
most
underserved
patients
and
residents.
AA
And
yet,
when
we,
what
we're
finding
is
from
county
to
county
most
of
our
independents,
we
I've
heard
of
one
independent
pharmacy,
maybe
two
that
have
an
allocation.
So
it's
it's
critically
important.
I
think
for
us
to
consider,
particularly
with
our
older
populations,
to
make
sure
that
allocations
are
going
to
all
of
our
pharmacies,
whether
they're
in
a
neighborhood,
independent
setting
or
in
a
grocery
store,
setting
or
other
retail
setting.
It's
it's
critically
important.
AA
I
think,
on
the
equity
front,
on
the
age
front
and
as
to
ron's
point
on
the
worker
front
as
well,
I
will
say
too
that
the
board
of
pharmacy
has
approved
mobile
clinics,
which
would
allow
our
pharmacist
once
they
have
an
allocation
that
they
could
actually
go
to
a
school
district
or
to
a
place
of
work
and
help
on
that
front.
As
well
and
again,
a
mobile
clinic
doesn't
mean
they
have
a
van.
It
means
they
don't
have
to
function
only
in
a
licensed
facility.
AA
They
can
go
somewhere
else
to
actually
be
giving
the
vaccination.
So
again,
please,
let's
not
make
the
same
mistake
we
made
with
testing
and
delay
and
delay
and
delay
getting
our
current
network
of
health
providers,
the
access
they
need
into
the
system
enrolled
and
then,
when
the
allocation
comes,
they
can
be
ready
to
go.
Thank
you
so
much.
A
AB
Great
thanks
bobby
jeffrey,
no
so
representing
the
latino
coalition
for
healthy
california.
You
know
it's
such
a
difficult
conversation.
I'll
start
with
latinos
are
the
only
group
where
we've
reached
over
a
million
cases.
1.1
million
cases
double
that
of
why
californians
nearly
15
000
dead.
This
is
such
a
sobering
time
for
for
our
community.
I
think
the
the
thing
that
came
to
mind
around
this
concept
of
operationalizing
equity.
AB
If
we
think
about
the
bar
high
framework
around
health
inequities,
I
think
there's
a
confusion
between
individual
level,
morbidity,
mortality
outcomes
and
risk
and
a
health
inequities
framework
which
is
really
looking
at
place
right.
We
we
often
say
zip
code
is
a
greater
predictor
of
your
morbid
and
your
mortality
than
your
genetic
code,
and
so,
as
we
think
about
operationalizing
equity,
particularly
as
it
relates
to
the
latino
population.
AB
We,
you
know
supported
this
framework
around
the
essential
workers,
because
we
know
that
that
is
producing
the
greatest
risk
in
our
communities,
so
farm
workers,
meat,
packers,
grocery
store
workers,
those
in
trucking
and
distribution.
So
we
are
very
concerned
with
prioritizing
age
over
the
other,
and
a
more
integrated
approach
would
be
useful
in
terms
of
how
we
reach
the
community
and
if
we
think
about
operationalized
equity
and
the
interventions
at
a
zip
code
level
and
prioritizing
vaccines,
then
similar
to
kieran's
point
previously.
AB
The
vaccines
like
it
should
be.
Flipped
right
so,
like
eighty
percent
of
the
vaccine
should
be
going
to
the
zip
codes
with
the
greatest
level
of
risk.
So
I
really
encourage
us
to
think
about
equity
being
at
the
forefront
of
how
we
operationalize
this
and
once
the
vaccine
has
been
identified
to
those
zip
codes.
Thinking
about
who
are
the
providers
that
are
serving
those
communities,
most
impacted
so
I'll
raise
the
community
health
centers.
AB
We
know
that
community
health
centers
are
reaching
the
latinx
community.
They
are
disproportionately
the
providers
of
first
resort
for
for
our
communities
undocumented
in
particular.
So
I
would
really
encourage
us
to
to
prioritize
allocation
of
the
vaccines
for
community
health
center
population
and
then
also
thinking
about
alternative
places
of
care.
You
know,
cal
expo
is
great,
I'm
not.
I
don't
think
latinos
necessarily
go
to
cal
expo.
We
may
be
at
a
swap
meet.
AB
We
may
be
at
a
super
mercado
right,
so
I
really
think
we
need
to
think
about
more
creatively
of
how
we
reach
our
our
latino
communities
in
particular,
and
so
you
know
we
have
a
big
task
ahead
as
a
state,
but
I
really
am
encouraged
by
this
work
around
operationalizing
equity
and
would
love
to
continue
the
conversation.
B
Thank
you
so
much,
and
thank
you
all
for
all
of
these
thoughtful
comments.
I
think
this
is
this.
Is
the
process
that
we
were
hoping
for
to
really
hear
your
best
thinking
and
to
hear
all
of
your
concerns
and
and
what
matters
to
you
and
how
you
feel
we
should
be
thinking
about
this.
So
as
we
move
forward,
we
also
wanted
to
share.
We've
heard
a
lot
about
community
engagement,
equity
and
vaccine
acceptability.
B
He
set
me
up
perfectly
for
that
for
this
next
phase
that
we're
going
to
do,
and
so
we're
going
to
hear
a
little
bit
more
from
our
teams,
maricela
rodriguez
and
marcela
ruiz,
about
about
some
of
the
community
outreach
and.
N
Yeah,
can
you
hear
me
now
sorry,
I
think
my
my
airpods
were
not
connecting
yeah,
yes
bobby.
Give
me
a
green
okay,
got
it
thumbs
up
from
bobby
so
bobby.
As
I
get
into
this,
you
tell
me
how
much
time
I
have.
I
have
a
couple
of
things
I
wanted
to
do
some
show
and
tell
with,
and
if
I
don't
have
time
I
will
want
to
prioritize
so
we
can
go
into
the
next
slide
again.
N
Just
thank
you
for
your
time
to
to
give
folks
an
update
from
our
last
from
the
last
presentation.
So
I
wanted
to
give
a
quick
update
and
do
some
follow-up
from
some
of
the
discussion
we
had
last
time
just
wanted.
To
reiterate.
These
include
some
key
messages.
Some
of
the
content
that
I'm
going
to
show.
You
include
some
of
the
key
messages
that
have
been
raised
by
this
committee.
N
We
have
been
able
to
roll
out
two
psas
one
in
english
and
one
in
spanish,
and
some
of
you
may
have
already
seen
them
and
for
those
who
haven't,
I
actually
did
want
to
show
that
in
the
next
slide
and
is
featuring
one,
our
great
surgeon,
general
and
the
other
in
spanish,
dr
aragon.
N
I
do
have
an
audio
files
that
I
can
play
so
folks
can
hear
how
those
have
been
picked
up
and
are
currently
playing
and
then
just
another
follow-up
that
we
continue
to
work
across
different
partnerships
to
again
with
that
storytelling
piece,
the
testimonials
of
folks
that
are
doing
the
work
of
vaccinating
as
well
as
those
that
are
getting
their
vaccines
talking
about
the
safety
and
why
it's
important
that
storytelling
component
from
trusted
messengers
is
super
key
to
our
strategy
and
that
we
continue
to
do
that.
Work
so
can
go
into
the
next.
N
Okay,
and
so
thank
you
again
to
dr
aragon,
you
gave
us-
I
think,
one
of
your
saturdays,
to
help
us
film.
This
and
again,
this
covers
a
couple
of
the
key
messages
of
safety.
N
And
then
this
is
just
a
fun
way
to
present
the
data
on
our
reach,
so
bobby's
you
can
hit
the
link,
I
can
talk
through
it.
I
wanted
to
show
you
the
different
communities
that
we
are
reaching
the
languages
that
we
are
reaching
and
the
number
of
different
outlets,
I
believe,
are
all
we're
about
76
different
media
outlets,
and
this
covers
our
paid
media
reach,
and
so
it's
just
a
fun
15
second
animation.
N
If
it's,
I
think
I
send
it
as
a
separate
link,
but
can
can
move
on
to
the
next
slide.
If
you
don't
have
it
colleges
if
it
got
lost,
wanted
to
also
just
you
know.
Last
time
we
mentioned,
we
were
also
going
to
ramp
up
our
earned
media
efforts
and-
and
I
guess
before
I
jump
into
the
earned
media-
I
want
to
say
that
we-
the
work
that
I
just
showed
you
is
what
we've
been
able
to
accomplish.
It
doesn't
mean
that
we're
done.
N
We
want
to
continue
to
create
pieces
of
content
that
can
speak
to
specific
issues
that
are
coming
up,
that
again
press
on
some
hesitancy
issues
and
concerns,
and
can
continue
to
look
at
specific
messages
and
approaches
that
will
resonate
with
different
populations.
So
we
are
still
creating
additional
content.
Just
wanted
to
do
a
follow-up
from
the
the
pieces
that
we
had
mentioned
that
were
in
the
works
in
the
last
presentation.
N
N
And
you'll
see
that
in
the
next
two
slides
we
have
some
samples.
Over
the
since
december,
we've
been
able
to
produce
about
80
different
pieces
of
content
related
to
earned
media.
Getting
a
lot
of
different
trusted
messengers
out.
There
can
show
the
next
slide
too.
Thank
you,
so,
working
with
a
broader
list
of
trusted
messengers
who
are
helping
us
cover
local
media
ethnic
media
across
the
state
appreciate
our
surgeon,
general
and
dr
aragon,
who
are
giving
us
a
lot
of
their
time.
N
N
Please
send
them
our
way.
We'd
be
happy
to
invite.
There
isn't
really
a
limit
right
now
in
terms
of
how
many
folks
we
can
invite.
We
want
this
to
be
it's
strong
in
our
reach,
so
we
welcome
feedback
on
any
media
outlets.
You
would
like
us
to
include,
and
we
are
working
with
different
partners
to
help
us
with
this
work,
including
california,
black
media,
ethnic
media
services.
N
In
this
slide,
I
wanted
just
to
give
some
context.
We
know
that
part
of
the
questions
that
are
being
raised
right
now
include.
How
do
I
access
the
vaccine?
Where
can
I
go
for
help?
So
in
no
way
is
this
slide
meant
to
be
a
final
product?
I
wanted
to
show
it
to
you,
because
this
is
something
that
we
are
thinking
about.
N
How
do
we
outline
in
a
in
a
clear
way?
So
this
is
just
a
starting
point
for
us
we
wanted
to
let
you
know
that
we
are
thinking
about
this.
We
want
to
figure
out
how
to
make
this
a
simple
piece
of
content
for
folks,
and
this
is
our
starting
point.
We
also
know
that
folks
need
help
that
is
not
only
online
and
that
people
need
help
over
the
phone
or
in
person,
so
we're
thinking
about
those
things.
N
N
Integrate
messaging
have
already
started
conversations
with
a
few
folks,
including
lisa
lisos,
has
a
tremendous
reach
with
the
work
that
they've
been
doing
over
the
last
year,
with
the
same
folks
that
we're
trying
to
reach,
and
so
we're
starting
to
do
that
leg.
Work
now,
and
so
we
want
to
establish
partnerships
both
inside
state
government,
as
well
as
outside
state
government
who
help
who
can
help
us
reach
older
californians
and
then,
as
we
look
at
our
targeted
pain
and
earned
media.
N
Also,
thinking
about
that
and
being
intentional-
and
I
one
note
for
the
folks
that
are
65
and
above
not
only
just
reaching
them
directly,
but
also
families,
if
there
I'm
sure
that
there
are
a
lot
of
families
like
mine,
where
I'm
the
one
that
helps
my
mom
with
her
health
coverage.
A
Maricella,
this
is
bobby.
You
know
we
had
a
clip
on
one
of
the
earlier
slides
that
we
didn't
show.
It
was
one
of
the
ads
that
you'd
have.
Did
you
want
to
show
that.
A
Can
go
back
to
the
slide
that
has
the
video
on
it?
It
just
takes
a
minute,
but
I
think
people
might
like
to
see
it
that
one
right.
A
AC
H
N
And
that
was
just
a
quick
compilation
of
the
different
pieces
that
we've
worked
on
with
the
different
partners,
and
you
know
at
the
end
of
the
slide.
We
have
the
link
to
our
coven
toolkit
website,
where
we
house
a
lot
of
this
content
and
have
a
special
link
for
partners.
So
you
know
we
try
to
make
it
easy
for
folks
to
just
be
able
to
pick
up
the
content
and
use
it
on.
C
N
Own,
thank
you
bobby
for
that
I'll
go
ahead
and
turn
it
over
to
marcelo.
AE
Hi
good
good
evening,
everyone
first
of
all,
I
would
just
like
to
start
out
with
an
appreciation
for
inviting
me
into
the
space
and
also
for
all
the
work
that
so
many
of
you
are
already
doing
in
terms
of
of
of
covet
outreach.
We
have
partnered
with
many
of
the
organizations
on
this
call
on
other
projects,
and
we
know
how
committed
you
are
to
to
the
communities
that
are
disproportionately
impacted
by
covid.
So
so
thank
you
for
all
of
that
work.
AE
My
name
is
marcela
ruiz,
I'm
the
director
of
the
office
of
equity,
with
the
department
of
social
services,
and
last
week
you
heard
an
update
from
marisela
rodriguez
about
the
covet
outreach
project.
Today
we
wanted
to
take
an
opportunity
both
to
provide
you
with
an
update
on
that
project
and
also
to
share
more
broadly
with
you,
the
framework
for
the
community
engagement
components
of
the
of
the
outreach
work
that
the
state
is
currently
involved
in.
AE
So
we're
really
thinking
about
the
community
engagement
efforts
as
focused
on
individuals,
disproportionately
impacted
by
by
covet
19
through
that
equity
lens,
that
many
of
you
have
lifted
up
throughout
this
conversation
and
we're
thinking
about
it
as
having
three
separate
pillars,
one
of
them
a
critical
one,
is
stakeholder
engagement.
So
these
types
of
efforts,
statewide
efforts
to
engage
community
as
well
as
maybe
department-led
or
agency-led
efforts
to
engage
stakeholders
that
that
are
unique
to
particular
departments,
there's
also
a
component.
AE
That's
a
philanthropic
partnership
that
is
also
focused
on
funding
community
based
organizations
that
are
providing
outreach
to
disproportionately
impacted
communities,
as
well
as
ongoing
fund
development
that
is
being
coordinated
through
the
governor's
office
and,
finally,
there's
the
the
public
funding
component,
which
is
both
happening
at
the
local
level
and
then
at
the
state
level,
and
we'll
talk
more
about
the
state
level
funding
in
just
a
moment.
AE
I
also
just
wanted
to
share
with
you
that,
overall,
the
the
goal
of
all
of
these
of
all
of
these
efforts
is
one
to
build
capacity
through
investment.
We
know
that
the
communities
that
are
disproportionately
impacted
by
covid
are
best
reached
by
trusted
community-based
partners
like
yourselves.
AE
We
also
want
to
leverage
existing
networks
and
partnerships.
The
state
certainly
learned
a
lot
through
its
census
partnership,
and
we
are
leveraging
a
lot
of
that
infrastructure
and
those
partnerships
that
that
made
the
the
council
effective
in
california
and
also
in
partnering
with
philanthropic
institutions.
AE
We
are
leveraging
those
partnerships
that
they
have
and
activating
the
community-based
organizations
that
have
reached
into
community.
We
want
to
coordinate
across
these
efforts
as
much
as
possible
to
ensure
maximum
coverage
and
engage
in
meaningful,
meaningful
partnerships
so
once
again,
at
the
highest
level,
it
means
this
kind
of
conversation
where
you
share
your
your
your
input.
AE
I
think
we'll
talk
more
about
what
it
looks
like
in
terms
of
the
funding
that
we'll
be
administering,
but
we're
really
looking
for
a
partnership
that
informs
the
strategy,
the
tactics
and
and
the
the
policy
for
how
the
programs
are
rolled
out
next
slide.
Please.
AE
So
as
a
reminder,
the
california
department
of
social,
social
services
and
the
labor
workforce
development
agency,
we
are
jointly
administering
an
investment
of
30
million
dollars
to
fund
community-based
organizations
to
focus
on
outreach
to
disproportionately
impacted
populations.
AE
We
are
working
through
philanthropic
institutions
to
contract
with
with
community-based
organizations.
The
outreach
is
going
to
focus
first
on
providing
accurate
information
to
those
populations
around
the
vaccine,
around
public
health
guidance
and
also
around
labor
rights.
The
second
component
of
the
of
the
campaign
is
to
help
people
navigate
toward
those
resources
so
to
the
extent
that
we're
building
the
infrastructure
to
connect
people
with
the
vaccine
or
we
are
building
the
tools
and
the
information
that
people
have
to
ensure
that
they
can
enforce
their
rights
at
work.
AE
The
outreach
is
expected
to
be
digital
online
trainings
online,
also
in
person,
phone
banking,
convincing
again
many
of
the
same
strategies
that
were
used
during
the
census
outreach.
My
colleague,
emilio
vacca,
will
provide
an
update
of
where
we
are
in
the
process
with
the
state
funded
investment.
AE
AE
AF
Thank
you
marcella
good
evening.
Thank
you,
dr
brooke
harris
dr
pan
and
and
bobby
for
the
kind
invitation
to
be
part
of
tonight's
meeting,
and
it
is
so
refreshing
to
see
so
many
familiar
faces.
My
name
is
emilio
vaca.
AF
That
was
currently
am
still
the
deputy
director
of
outreach
for
the
census
office,
and
so
I
have
a
great
admiration
of
folks
that
I
see
on
here
deep
lisa,
genevieve,
christina
mills
as
an
example
just
super
glad
that
you're
also
part
of
these
discussions
and
as
we
move
forward
with
with
what
marcella
and
marisela
have
shared,
is
really
looking
at.
What
are
the
things
that
we
learn
from
senses?
What
are
the?
AF
What
are
the
the
key
takeaways
and
one
of
the
things
that
we
really
were
able
to
leverage
on
was
the
trusted
messengers,
and
I
think
that's
something
that
you'll
begin
to
see
across
the
board,
with
with
all
of
this
messaging
and
also
with
outreach,
and
so
I'm
super
excited
to
share
that.
You
know,
as
marcela
mentioned,
you
know
we,
we
have
the
first
cohort
of
our
of
our
partners
here,
where
amy.
AF
I
know
that
marisela
in
the
last
week's
presentation
mentioned
that
we're
aiming
towards
150
organizations
to
conduct
outreach
across
the
state
and
looking
at
those
those
specific
populations
and
as
of
right
now
we're
looking
at
the
24th
of
this
month.
AF
At
the
end
of
this
week
will
be
announced,
we
will
be
announcing
91
partners
who
have
will
be
joining
us
on
starting
to
come
on
board
and
and
do
onboarding
the
first
week
of
february,
so
we
can
start
conducting
outreach
later
on
and
then
the
second
quarter
is,
in
the
coming
weeks,
we'll
be
sending
invitations
to
organizations
to
focus
on
la
orange
and
ventura
counties
to
help
with
outreach
as
well.
AF
So
again,
once
again
just
want
to
say
thank
you
for
the
time
in
the
space
for
letting
us
be
here
to
share,
as
as
before,
we
also
want
to
thank,
I
know.
Last
week,
maricela
asked
if
folks
had
individual
entities
that
we
should
invite
and
just
wanted
to
say
thank
you
for
those
advisory
committee
members
that
came
forward
and
and
submitted
some
of
the
organizations
to
invite.
AE
A
Great,
we
have
a
number
of
people
who
have
comments
to
make.
So
if
we're
in
nadine,
if
you're,
okay,
we'll
just
get
started
with
that.
AG
Hello:
everyone,
I'm
sylvia
yi,
I'm
with
disability
rights,
education
and
defense
fund.
Thank
you.
I
I
appreciate
the
pieces
on
community
engagement.
I
think
it's
wonderful
to
hear
and
such
fantastic
work.
I'm
sorry
that
the
comment
is
is
only
peripherally
attached
to
that,
because
I'm
sort
of
a
holdover
from
the
last
one,
but
I
I
wanted
to
just
acknowledge.
AG
I
know
that
everyone
is
working
really
hard
from
the
chairs
down
to
all
the
committee
members
and
when
I
applied
to
be
here
on
here,
I
recognized
that
it
was
part
of
my
job
to
be
working
for
everyone
for
all
of
california.
As
such,
and
a
lot
of
the
questions
I've
been
asking
from
a
long
time
ago
on
implementation,
how
things?
AG
Here
to
represent
the
disability
community,
and
it
feels
like
like
we're
just
still
that
much
behind,
because
talking
even
talking
about
in
community
engagement,
we're
not
on
the
list.
There
is
no
disability
category
or
group,
that's
explicitly
on
the
list.
It
was
great
to
see
the
ihss
worker
in
there
because,
as
aaron
wrote
in
the
comments,
ihss
workers
are
being
turned
away
being
told
that
home
care
is
not
a
thing.
AG
So
it's
critical
for
hss
workers
to
be
there
in
the
messages.
We
don't
necessarily
see
a
younger
person
with
significant
disabilities
because
they're
not
again
they're,
not
on
the
list.
They
the
fact
of
exposure
because
they
get
home
in
community-based
services,
the
fact
of
more
severe
consequences
because
of
having
disabilities,
if
they're
not
in
the
list
they
disappear,
and
that
perpetuates
a
long,
lasting
inequality
of
data.
AG
AG
We're
just
not
there
and
I
okay,
so
the
the
broken
record
thing
simplicity,
working
at
the
site.
I
I
appreciate
the
current
suggestions
about
having
counties
add
to
the
healthy
places
index
by
recognizing
particularly
vulnerable
groups
like
indigenous
populations
and
people
with
disabilities.
AG
AG
A
AH
Have
everyone
thanks
bobby
denny's
man
from
justice
and
aging
sylvia
is
a
hard
one
to
follow,
plus
one
everything,
but
I
had
a
couple
of
other
thoughts
that
I
wanted
to
raise,
some
of
which
apply
to
this
issue
of
community
engagement,
some
of
which
are
our
holdover
from
earlier
conversations.
AH
You
know,
I
think
we
are
justice
and
aging
believe
strongly
in
prioritizing
older
adults
who
are
more
likely
to
be
at
risk
in
1b,
and
we
made
that
decision.
Very.
You
know
that
recommendation
very
comfortably
with
frontline
workers
essential
workers.
AH
I
would
encourage
the
state
not
to
prioritize
all
older
adults
over
all
essential
workers
and
that
sort
of
broad
breaststrokes
approach
is
going
to
not
result
in
the
equitable
outcomes
that
we
all
desire,
and
I
think
instead
we
should
really
be
thinking
about.
How
do
we
further
subprioritize
in
one
b?
What
are
the
specific
intersections
that
we
want
to
make
sure
counties
are
considering
when
they're,
you
know
allocating
the
vaccine,
and
you
know
I.
AH
I
will
completely
agree
that
an
older
adult
who
has
the
resources
and
ability
to
order
from
costco
and
amazon
and
shelter
in
place
and
not
have
to
interact
with
many
other
people,
probably
doesn't
need,
probably
can
wait
a
couple
more
weeks
or
a
month
or
two
before
they
get
the
vaccine.
AH
AH
I
also
think
it's
really
important
that
when
we're
talking
about
older
adults,
we're
not
talking
about
a
monolith
of
65
and
up
just
like
we've
said
about
risk
not
being
the
same
for
all
older
adults.
I
think
the
outreach
and
communication
strategies
need
to
be
tailored.
There's
going
to
need
to
be
a
strategy
for
people
with
alzheimer's
and
dementia
and
caregivers
there's
going
to
immediately
need
to
be
a
strategy
for
older
black
adults,
so
that
I
realize
you
came
to
us
with
one
screen.
AH
One
slide
on
all
of
that
and
that's
a
work
in
progress,
but
I
would
hope
that
at
our
future
meeting
we
can
see
more
of
that
fleshed
out
and
then,
finally,
I
want
to
say
just
a
couple
of
things
about
the
how
we,
I
don't
feel
like
we've,
had
a
very
complete
conversation
about
the
how
and
the
how
is
really
important,
because
no
matter
how
much
time
we
spend
on
the
priorities
and
who
should
be
in
1am
1b
if
we
aren't
putting
shots
in
arms
in
a
way
that
makes
sense
that
those
conversations
are
not
going
to
be
as
impactful.
AH
I
wanted
to
share
one
story
because
it's
related
to
language
access,
work
that
that
some
of
the
last
speakers
touched
on
the
ihss
worker
reached
out.
I
heard
about
the
story
and
reached
out
they
got
a
shot.
They
got
the
modernist
shot
shot
earlier
last
week,
they're
a
monolingual,
I
think
chinese
ihss
worker,
so
they
fall
right
into
1a.
They
didn't
have
problems,
they
weren't
turned
away,
so
that
was
great.
AH
AH
She
didn't
know
that
she
needed
to
go
back
and
schedule
an
appointment
three
weeks
later
until
she
found
someone
at
a
seabass
center
who
told
her
that
and
would
work
with
her
to
schedule
that
appointment.
So
when
we're
talking
about
not
wasting
the
shots
that
we
have,
I
mean
this
is
all
about
the.
How
so
we
can't
squeeze
these
conversations
about
the
how
to
the
last
15
minutes
of
the
meeting.
If
that
means
that
we
need
more
time,
I
know
these
meetings
are
long.
AH
Maybe
we
need
extra
breaks,
I
don't
know,
but
I
think
the
how
is
really
important-
and
these
are
challenges
that
we've
known
about.
We
know
this
is
a
hard
reach
population.
We
haven't
even
talked
about
how
to
get
to
homebound.
Folks,
you
know,
cal
expo
is
great.
We
talked
a
little
bit
last
time
about
mobile
testing
and
the
limitations
on
I'm
sorry,
not
mobile,
testing,
mobile
vaccinations
and
limitations
on
that
because
of
the
cold
chain
storage
requirements,
but
that
can't
be
the
answer
that
that
shouldn't
be
the
end
of
the
inquiry.
AH
So
I
have
a
deep
appetite
to
continue
to
engage
on
the
questions
of
how
I
sense
that
my
fellow
colleagues
on
this
committee
very
much
do,
and
so
I
really
hope
at
our
next
meeting.
We
can
not
only
get
a
robust
report
and
q
a
on
the
federal
partnership
because
I
haven't,
even
we
haven't
even
really
gone
into
the
weeds
on
that,
but
also
that
we
spend
some
really
prolonged
time
on
the.
AH
How
you
have
a
lot
of
expertise
on
this
committee
and
I
really
want
encourage
you
to
leverage
it,
because
these
are
real-time
issues
that
you
know
we
can't
just
cabin
in
the
last
20
minutes.
So
thank
you.
I'll!
Stop
talking.
P
With
this
work,
we
see
with
public
charge
that
there
is
a
lot
of
miscommunication
and
misinformation,
and
that
also
happens
within
the
state
government.
So
when
I
see
that
list
of
all
the
organizations
and
agencies
each
one
was
saying
different
things,
so
I
would
like
there
to
be
more
answers.
Maybe
given
to
us,
you
know
one
of
why
priority
or
cohort
two
it
had
a
listing
for
you
know,
kind
of
los
angeles
counties.
Is
there
going
to
be
a
prioritization
for
the
farm
workers
in
the
central
valley?
P
Monterey
salinas
like
all
of
those
areas
like?
Are
we
going
to
get
that
in
cohort
one?
When
do
we
get
to
see
a
list
of
the
organizations?
Are
these
organizations
that
have
a
history
of
the
one
california
network?
Are
they
working
with?
You
know
health
access
and
our
opportunity
to
like
complete
the
health
for
all
health
for
all
kids,
health
for
young
adults
having
those
trusted
partnerships,
you
know:
how
long
are
these
ads
running?
What
does
the
campaign
look
like?
Is
there
social
media?
P
Is
it
going
on
things
that
you
know
our
ethnic
monolingual
communities
are
using
like
wechat,
you
know?
Are
we
seeing
like
all
of
these
trusted
partners
in
that
area?
So
you
know
really
appreciative
of
the
effort
want
to
get
so
much
more
information.
I
think
that's
the
denny's
point
too
and
hoping
that
the
next
time
you
know
if
we
can't
finish
up
with
15
minutes,
we
get
to
like
devote
way
more
of
a
conversation
to
communications,
and
you
know
to
the
last
part
where
we
have
workers
that
are
maybe
monolingual.
P
We
really
have
to
do
focus
on
having
workplace
vaccinations,
and
does
that
mean
that
we
could
reduce?
Maybe
some
of
the
paperwork
necessary,
whether
it's
pay
stubs
that
some
of
our
immigrant
workers
may
not
be
able
to
have
as
easily
accessible
to
get
that
vaccination
for
their
essential
worker
status.
Thank
you.
Looking
forward
to
more
conversation.
A
B
Thank
you
so
much
bobby,
and
thank
you
to
all
of
you
for
your
continued
engagement
today
on
on
today's
meeting.
I
think
we
had
all
but
two
of
our
members
present.
So
thank
you
very
very
much.
We
know
that
you
all
have
are
very
busy
in
the
important
work
that
you
are
doing
every
day
and
the
fact
that
you
make
time
to
participate
and
and
lift
up
your
voice
and
share
the
experiences
and
represent
the
concerns
of
the
communities
that
you
represent.
B
Are
it's
just
really
powerful,
we're
very,
very
grateful
for
it
and
it
certainly
enriches
our
process
as
a
state
I
want
to.
I
started
this
meeting
by
sharing
with
you
all
that
we
are.
We
are
hearing
it.
We
are
hearing
all
of
the
all
of
the
challenges
with
the
current
vaccine
distribution
system
and
that
we
are
working
to
improve
it.
B
Some
of
the
things
that
we
are
hearing
are
consistent
with
things
that
we
are
hearing
that
we've
heard
again
in
this
meeting
around
the
the
important
need
for
clear
and
consistent
communication
to
create
clear
to
help
to
manage
expectations
and,
and
we
we're
hearing
the
importance
of
reaching
out
to
communities
in
the
the
many
different
ways,
particularly
in
language
and
and
reaching
out
to
having
a
a
thoughtful
strand
plan
and
strategy
for
reaching
out
to
our
communities
of
individuals
with
disabilities.
B
B
One
of
the
things
that
I'm
hearing
overwhelmingly
is
that
this
committee
feels
like
the
the
the
sector-based
strategy
that
we
have
employed
and
landed
on
is,
is
really
crucial
and
is
really
crucial
for
advancing
issues
of
equity.
It's
crucial
because
of
issues
of
occupational
exposure,
which
is
what
we
heard
about,
which
is
which
was
really
part
of
the
foundation
of
how
we
designed
our
system
and
and
so,
and
so
that
feel
that
piece
feels
really
important.
B
But
we
still
have
work
to
do
to
simplify
and
clarify
and
what
we
heard
from
what.
What
I
heard
from
this
committee
is
that
there
are
a
couple
of
pieces
that
are
really
key.
One
is
this
last
mile
issue
in
terms
of
increased
attention
to
how
we
are
operationalizing
getting
shots
in
arms,
especially
for
vulnerable
communities
and
sectors
that
are
typically
hard
to
reach,
like
the
farm
worker,
community
and
figuring
out,
really
getting
more
clarity
on?
B
How
do
we
problem
solve
some
of
the
challenges
that
we
have
in
that
last
mile
issue
and
then
also
getting
further
clarity
on
how
we
are
how
we
are
getting
clearer
detail
on
some
of
our
communication
strategies,
because
you
know,
as
we
are,
as
we
have
so,
our
public
health
officers,
so
many
of
our
health
care
workers,
our
leaders,
our
our
partners,
our
advocates
across
the
states,
our
community
based
organizations
who
are
all
have
their
sleeves
rolled
up
and
are
really
part
of
this
effort.
B
A
lot
of
the
challenges,
a
lot
of
the
pieces
around
how?
How?
How
is
it
working
at
point
of
care
right
in
terms
of
operations
in
terms
of
communication?
In
terms
of
follow-up,
all
those
pieces
are
really
key
details
that
this
committee
has
some
thoughtful
suggestions
to
to
share
with
us.
We're
hearing
continuing
to
hear-
and
I
and
I
I
want
to
highlight
we-
we
are
hearing
the
the
concern
for
individuals
with
disabilities
and
the
suggestions
on
ways
that
we
can
operationalize.
B
Ensuring
that
individuals
with
disabilities
have
timely
access
and
and
then
we're
also
hearing
the
the
desire,
the
need
for
for
greater
data
right
and
I-
and
I
recognize
some
of
that
we
are.
We
are
working
very
hard
in.
B
Improving
our
data
systems
and,
at
the
same
time
I
just
wanna
like
talking
about
you,
know
communicating
clearly
to
set
expectations
right.
I
wanna
recognize
that
one
of
the
most
challenging
things
about
responding
to
a
pandemic,
a
novel
pandemic
with
a
novel
virus,
is
that
we
have
to
work
with
the
best
information
that
we
have
right,
and
that
is
one
of
the
biggest
challenges.
B
Is
that
we're
we
we're
constantly
gathering
information,
but
we're
also
working
with
the
best
information
that
we
have,
and
so
my
commitment
to
all
of
you-
and
you
know
our
commitment-
is
that
all
of
this
information
will
be
shared
and
communicated,
hopefully
equally
as
passionately
to
our
drafting
guidelines.
B
Work
group
we've
communicated
to
the
governor's
task
force
and
that
all
of
the
thoughtful
considerations
that
you
all
have
shared
with
us
today
will
be
will
be
passed
on
and
considered
as
we
are
moving
forward
in
the
next
phase
of
decision
making
on
how
to
improve
our
vaccine
roll
out
process
for
the
state
of
california.
B
We're
receiving
the
the
offers
to
to
partner
and
collaborate
and
communicate,
and
I
just
want
to
say
please
continue,
sharing
that
as
much
as
a
and
as
and
as
much
as
we
can.
You
know
we
try
to
to
respond
in
a
in
a
thoughtful
and
timely
way,
and
with
that
I
will
highlight
that
we
have.
B
Our
next
meeting
will
be
on
february
3rd
from
3
to
6
pm
and
then,
following
that,
the
meeting
following
will
be
february
17th
also
from
three
to
six
pm.
We
are
looking
ahead
at
our
march
meetings
and
looking
at.
I
think
we
have
a
a
final
on
whether
we're
having
one
or
two
meetings
in
march,
but
right
now
it
looks
like
we
may.
B
We've
asked
you
all
to
hold
two
dates
and
we-
and
we
may
have
two
meetings
in
march
depending
on
how
things
are
going
with
this
vaccine
roll
out.
So
with
that
bobby,
do
you
have
any
final
comments
to
share
with
the
group
before
we
adjourn.
A
Well,
thank
you
all
so
much
for
all
your
thoughts
and
your
comments,
and
this
is
exactly
what's
needed,
so
please
keep
it
coming.