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From YouTube: Community Vaccine Advisory Committee Meeting #6
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B
Wonderful,
let's,
let's,
let's
see
bobby,
do
you
mind
just
pulling
down
the
the
slide,
so
we
can
see
everyone
all
right.
Well,
I
want
to
welcome
everyone
to
another
meeting
of
our
community
vaccine
advisory
committee.
B
I
want
to
thank
all
of
you
for
being
here
as
as
we
get
started,
I
I
want
to
start
by
making
a
brief
mention
of
you
know
some
of
the
remarkable
events
that
have
been
transpiring
across
the
country
today,
and
I
want
to
recognize
that
for
for
many,
it's
quite
distressing
and
encourage
folks
who
you
know
to
reach
out
to
practice
that
self-care
to
reach
out
to
those
that
we
that
we
trust
our
sources
of
support
and
for
anyone
who's
needing
additional
support
their
resources
at
our
covet19.ca.gov
website,
the
surgeon
general's
playbook
for
stress
relief.
B
So
I
just
wanted
to
highlight
that,
as
we
start
this
meeting
and
also
offer
my
gratitude
to
all
of
those
who
are
participating
in
this
process
for
really
coming
to
the
table
with
that
spirit
and
grounding
in
the
values
of
safety,
equity
and
transparency,
as
we
come
together
to
work
to
end
this
pandemic
and
really
to
protect
all
californians
as
as
we're
working
together
on
this
vaccine
advisory
process.
B
So
I
just
wanted
to
start
with
a
a
note
on
that
and
invite
my
co-chair
dr
erica
pond,
to
offer
her
words
as
well.
A
welcome
as
well.
C
Great,
thank
you,
dr
burkharis,
and
I
just
want
to
appreciate
as
well
what
you
just
said
about
how
stressful
what
is
going
on
and
how
stressful
this
whole
year
has
been
and
again
thanking
all
of
you
for
your
time
spent
today
with
us
and
contributing
to
our
efforts
and
our
statewide
efforts
together.
C
I
thought
it
would
start
today
as
well.
Just
giving
a
few
highlights.
The
the
governor
just
had
a
press
conference
and
a
lot
of
the
the
highlights
were
about
vaccines.
So
I
wanted
to
just
sort
of
share
share
much
of
that
as
well,
and
I
know
this
may
answer
some
of
the
questions
that
have
come
up
as
well.
C
I
think
we
are,
you
know
clearly
recognizing
that
we
need
to
accelerate
our
administration
of
vaccines
in
california
and
nationwide,
and
so
we
have
really
stepped
up
in
the
last
several
days,
kind
of
our
commitment
to
finding
other
resources
to
help
support,
what's
happening
on
the
ground
and
at
the
local
level
from
the
state.
So
we
are
working.
You
know
to
continue
with
our
equitable,
safe
and
transparent
work
as
again
has
been
working
with
you,
but
as
far
as
operationalizing
all
of
this
we're
we've
thought
a
lot
about
flexibilities
within
the
priority
system.
C
We've
gotten
a
lot
of
feedback
over
the
last.
You
know,
couple
weeks
after
the
vaccine
had
arrived,
that
you
know
we
continue
to
want
to
balance
the
priorities
and
making
sure
we
get
to
the
highest
risk
people
soon,
as
when
we
do
have
this
scarce
resource,
but
but
I
think,
as
as
the
reality
has
hit,
and
especially
as
the
vaccine
gets
disbursed
across
a
large
state
like
this
in
certain
smaller
jurisdictions,
you
can
get
through
those
higher
priority
groups
much
more
quickly
than
others.
C
It
just
depends
on
the
the
the
makeup
of
the
local
community,
so
we
really
want
to
make
sure
people
are
understanding
that
you
can
be
flexible
with
our
priorities.
C
You
can
move
through
those
groups
after
you've
done
a
good
job
offering
to
all
the
people
and
making
sure
that
vaccine
is
accessible
to
to
those
in
those
highest
groups,
so
we're
creating
more
flexibility
and
making
sure
we
have
communications
about
that.
To
move
through
the
priority
tiers-
and
you
know
we
have-
we
have
vaccinated
a
lot
of
people
in
a
higher
proportion,
but
we
do
need
to
move
faster,
especially
in
the
middle
of
this
surge,
and
these
are,
as
we've
talked
about
many
times
on.
These
committee
calls
as
well.
C
You
know
this
is
our
light
at
the
end
of
the
tunnel,
so
we're
really
doubling
down
also
in
our
partnership
with
other
healthcare
leaders
again
to
really
expedite
getting
vaccine
into
people.
So
a
few
of
the
things
that
we
are
are
working
on
are,
including
you
know,
expanding
our
flexibility
around
this,
as
I
just
mentioned,
we're
working
really
hard
in
creating
a
larger
pool
of
vaccine
administrators,
again
heard
a
lot
of
very
concrete
feedback
from
the
local
level
and
healthcare
systems.
C
You
know
in
the
middle
of
this
surge
we're
already
as
you've
been
hearing
from
other
communications
from
us.
Our
health
care
system
is
really
stretched
right
now,
so
those
would
be
people
we
had
been
relying
on
to
do.
A
lot
of
vaccinations
are
busy
taking
care
of.
C
You
know
ill
patients
in
the
hospital,
so
creating
a
larger
pool
of
vaccine
administrators,
adding
more
state
support
to
help
do
kind
of
on
the
ground
clinics
making
sure
we're
vaccinating
the
vaccinators
you
may
have
heard
earlier
this
week
about
you
know
making
sure
dentists
are
trained
to
vaccinate
and
get
out
there
and
vaccinate,
and
we
are
working
with
partners
to
reach
1
million
vaccinations
in
10
days.
C
So
that's
kind
of
our
our
latest
goals,
so
we
have
almost
2
million
doses
have
been
shipped
to
california.
We
still,
I
think,
a
lot
of
people
are
asking
a
lot
about
data.
It's
we.
We
know
it
shipped
and
then
the
data
systems
are
a
little
bit
more
challenging
on
exactly
when
it's
been
received
and
all
these
different
providers
across
the
state.
But
that's
the
number
that
have
been
shipped
and
then
we
know
we
have
administered.
C
As
of
yesterday,
almost
490
000
doses
of
vaccine,
and
I
think
you
know
that
is
a
constantly
changing
number
as
well.
There
may
or
may
not
be
there.
We
think
there
might
be
some
data
lag
in
reporting
that,
but
so
almost
you
know
getting
close
to
a
half
million
doses
administered
and
again,
our
goal
is
to
administer
another
million
in
the
next
10
days
and
then
just
to
reiterate,
as
we'll
be
talking
more
about
the
phases
I
think
later
on.
C
C
So,
and
then,
I
think
I
know
there
had
been
some
questions
about
funding.
That's
coming
this
way.
I
actually
also
wanted
to
mention
too
we're
really
emphasizing.
We
want
to
use
every
single
dose
so
again
trying
to
balance
the
the
unique
challenges
of
especially
these
first
two
vaccines
that
have
been
out,
as
many
of
you
have
heard,
are
that
they
have
unique
storage
as
far
as
ultra
cold
freezing
and
then
once
you
bring
them
out,
you
have
to
use
them
a
certain
amount
of
time
or
hours.
C
So
we
really
want
to
make
sure
that
frontline
providers
realize
once
you've
covered
as
many
people
as
possible
in
your
community,
that
that
are,
in
that
current
tier
to
move
to
the
next
group
and
continue
to
offer
vaccine
to
all
the
higher
priority
groups,
but
once
you've
done
that
to
and
if
any
demand
subsides.
And
if
your
doses
are
going
to
expire.
To
again,
the
priority
is
to
get
vaccine
into
people
and
not
waste
vaccine.
C
So
and
then
funding
wise.
I
know
there
are
a
lot
of
questions.
There
is
to
the
tune
of
about
300
million
dollars.
That's
we
are
receiving
for
vaccines,
and
people
are
wondering
what
that's
going
into
so
there's
three
big
buckets
as
far
as
that
goes.
C
A
lot
of
information
technology
has
been
really
crucial
and
something
we
need
to
really
also
make
sure
you
know
everything
from
these
mass
vaccination
clinics
and
getting
providers
enrolled
getting
people
in
their
appointments
to
have
their
vaccines
are
all
important
technology
being
able
to
report
back
to
the
cdc.
So
calvex
is
our
main
system
to
do
a
lot
of
that
and
investing
in
that
making
sure
it's
successful
and
then
there's
a
lot
of
logistics
and
commodities.
C
Funding
that
you
know
continues
to
be
needed,
so
everything
from
containers,
dry
ice
freezers,
all
of
those
things
take
funding
as
well,
and
then
certainly
public
education
campaigns,
so
engaging
our
public
through
culturally
competent
campaigns
and
making
sure
we
do
the
right
research
to
inform.
That
is
all
an
important
part
of
the
funding
and
where
that's
going
so
those
are
some
big
highlights.
C
I
wanted
to
share
from
the
state
and
then
it
is
my
huge
pleasure
to
introduce
our
new
director
and
state
health
officer,
dr
tomas
aragon,
who
joins
us
from
san
francisco,
and
I've
had
the
pleasure
of
working
with
a
lot
over
my
public
health
career
as
well,
and
really
thrilled
to
be
working
with
him
again
more
closely.
So
with
no
further
ado,
I
will
introduce
dr
aragon.
D
D
Both
of
them
have
inspired
me,
so
I
I
feel
incredibly
grateful
to
be
able
to
work
with
with
all
with
all
of
you,
so
my
name
is
thomas
aragon,
so
I've
been
in
public
health
for
for
over
20
years,
and
my
core
training
is
in
infectious
diseases,
and
I
never
imagined
that
we
would
ever
be
where
we
are
today,
even
though
I
spent
many
years
planning
for
this,
and
so
we
we
are
really
making
history
and
you're,
making
history
and
so-
and
I
think
right
now
today
is
today.
D
It
really
is
a
transition
phase
for
all
of
us,
both
nationally
and
here
locally,
with
the
change
of
administration,
the
emphasis
on
vaccinating
people
as
many
as
much
as
possible,
with
a
real
focus
on
equity.
I
want
to
mention
a
a
couple
of
things
a
little
bit
about
the
way,
my
leadership
style,
which
I
think
really
aligns
with
what
you're
the
way
you're
running
this
committee,
and
that
is
really
emphasizing
what
I
call
universal
values,
which
is
dignity,
equity
and
compassion.
D
For
everyone,
every
single
person,
including
people
who
we
may
have
disagreements
with
that,
if
we
treat
everybody
with
dignity,
equity
and
compassion,
we're
going
to
find
the
common
ground
and
solve
problems
we
really
have
to
reach
out
and
make
sure
that
we
connect
with
everybody
and
then
from
the
equity
component.
I
do
want
to
just
emphasize
is
that
we
do
have
incredible
equity
challenges
across
the
straight,
the
state
in
the
country,
especially
with
the
latino
and
the
black
african-american
community.
D
So
I
really
want
to
express
my
gratitude
that
that
I
know
that
that's
being
addressed,
it's
it's
so
incredibly
important.
I
mean,
I
think,
there's
a
lot
more
to
do
in
that
area,
and
so,
and
so
we
have
a
long
path,
and
so
this
is
really
an
opportunity
to
hopefully
shed
light,
not
just
on
the
problems,
but
also
how
it's
been
amplified
with
covet
pandemic.
D
The
last
thing
I
want
to
mention
is
that
I'm
on
the
vaccine,
safety
review
committee
and
recently
the
committee
met
on
monday
to
discuss
a
couple
of
issues
that
have
been
popu
that
you
may
have
read
in
the
newspaper
about
the
possibility
of
extending
doses
by
two
different,
actually
three
potential
strategies.
One
is
using
a
half
dose.
The
other
potential
strategy
is
delaying
the
second
dose
and
the
third
one
is
mixing
and
matching
the
different
mrna,
which
is
the
pfizer
or
the
moderna.
D
These
are.
These
are
strategies
that
you
may
see
you
may
read
about,
and
you
may
see
other
countries.
I
know,
for
example,
in
the
uk
they
may
be
doing.
They
may
be
doing
some
of
these
right
now.
The
vaccine
safety
committee-
and
this
is
also
true
with
the
fda-
is
that
the
currently
we
will
be
sticking
with
the
current
recommendations.
D
There
is
not
enough
scientific
evidence
at
this
moment
to
adopt
a
new
approach,
although
I
think
what
you
will
see
is
that
people
will
be
studying
this
to
gather
more
information
to
see
if
we,
if
we
can,
if
this
is
a
strategy
that
might
be
implementable
in
the
future,
I
did
want
to
mention
that
the
committee
is
is
working
on
writing
this
up
to
really
explain
the
rationale,
so
I
want
to
make
sure
that
everybody
was
up
to
date
on
that,
so
I
I
don't
have
anything
else
to
say,
except
for
thank
you.
D
Thank
you.
Thank
you.
I'm
gonna.
This
is
my
third
day,
I'm
learning
so
much
and
I'm
gonna.
I
know
I'm
gonna
be
learning
a
lot
more,
so
I
look
forward
to
working
with
all
of
you
and
and
us
making
impact
in
the
area
of
equity.
So
thank
you.
B
Me
thank
you
so
much
dr
aragon
and
dr
pan,
and
now
I
will
pass
it
on
to
bobby
wunsch
to
walk
us
through
again.
The
meeting
guidelines.
A
Great,
thank
you,
everyone
and
welcome
and
happy
new
year
to
everyone
what
a
way
to
start
the
new
year.
I
just
wanted
to
quickly
review
our
meeting
protocol.
Everyone,
I
think,
is
well
familiarized
with
this
by
now
we'd
love
for
the
members
of
the
community
vaccine
advisory
committee
to
keep
their
cameras
on.
So
we
can
pretend
that
we're
all
together
in
the
room
and
see
each
other
and
keep
your
speakers
on
mute
until
you're
ready
to
speak.
A
I
think
everyone
pretty
much
has
learned
how
to
use
the
hand
raise
icon
when
you're
ready
to
speak
it's
in
the
participant
icon
down
at
the
bottom
of
your
screen,
and
I
want
to
welcome
our
two
asl
interpreters,
katie,
sayles
and
vicki
kennedy,
who
will
be
assisting
us
today.
A
We
also
have
closed
captioning,
as
you
can
all
see
at
the
bottom
of
the
screen,
for
those
who
prefer
to
use
that
the
public,
as
everyone
knows,
is
in
listen
only
mode
via
telephone,
both
in
english
and
spanish,
and
we
are
all
being
live
streamed
through
our
own
youtube
channel.
At
our
last
meeting
on
december
23rd,
we
had
over
1900
people
watching
the
meeting.
A
Public
comments
are
welcome,
email
to
the
email
address,
covid19
vaccine
outreach
at
cdph.ca.gov
and
as
we'll
discuss
in
a
few
minutes.
All
of
those
public
comments
in
their
entirety
are
sent
out
in
advance
to
members
of
the
community
vaccine
advisory
committee
for
their
review
and
I'll
be
summarizing
them
in
a
few
minutes.
If
any
of
the
members
have
any
technical
difficulties
with
zoom.
A
If
you
can
put
your
question
in
chat,
our
wonderful
it
support,
aaron
matlin
will
see
if
he
can
help
you
during
the
meeting
with
any
issues
that
you've
got
so
with
that
nadine
I'll
turn
it
back
to
you.
Thank
you.
B
Thank
you
so
much
bobby,
and
actually
I
think
right
now.
Sorry
bobby
did
you
want
to
go
ahead
and
summarize
the
public
comments,
yeah.
A
Why
don't
we
go
on
to
the
public
comment
slide
and
I
know
all
you
have
spent
the
last
few
days
reading
the
summary
of
public
comments
that
I
sent
out
yesterday
morning.
Those
public
comments
were
submitted
between
december
22nd
and
january
4th,
as
I
think
everyone
knows
now.
A
We
closed
the
public
comment
at
about
five
o'clock,
two
nights
before
the
meeting,
so
that
we
can
compile
all
of
the
public
comment
and
send
it
out
the
next
morning,
a
day
before
the
meeting
to
the
members
of
the
community
vaccine
advisory
committee,
so
that
you
can
review
them.
A
I
will
do
a
quick
summary
for
those
of
you
that
haven't
had
a
chance
to
read
all
387
pages
of
public
comment
comments
from
1034
individuals
and
organizations.
The
comments
that
were
received
have
not
been
summarized.
They
were
sent
out
to
the
committee
members
and
they
are
now
posted
on
the
cbph
website
again
in
their
entirety.
A
A
We
had
four
individuals
and
organizations
offering
to
provide
vaccines
or
offer
their
locations,
including
music
venues
as
a
location
for
vaccine
sites,
where
vaccines
could
be
administered.
Aarp
wrote
about
an
educational
campaign
that
they
are
about
to
embark
upon.
We
had
three
public
comments
about
the
health
and
safety
of
the
vaccines.
We
had
two
comments
describing
the
slow
distribution
process.
We
had
five
comments
describing
what
five
individuals
thought
was
poor
messaging
by
the
state
of
california
about
how
to
get
vaccines
and
where
to
get
them.
A
We
had
two
individuals
write
in
to
ask
what
kind
of
identification
do
individuals
need
to
bring
to
prove
their
eligibility
when
it's
their
turn
to
receive
their
vaccine?
A
Many
questions
are
still
coming
in
about
phase
1a
phase
1a
being
healthcare
workers
which
we're
in
the
middle
of
right.
Now
we
had
88
questions
from
healthcare
workers
who
can't
figure
out
how
to
get
vaccines
for
themselves
or
their
staffs
and
which
part
of
phase
1a
they
belong
in,
and
that
includes
people
who
are
not
part
of
health
systems,
so
they
don't
know
where
to
or
who
to
contact
about.
A
The
vaccine
includes
private
doctors
who
are
not
affiliated
with
hospitals,
oncology,
centers,
physical
therapists,
audiologists
midwives,
anesthesiologists
nurses,
school
nurses,
nursing
students,
psychologists,
optometrists,
optometrists
and
ophthalmologists
behavioral.
Health
providers,
assistive
technology
providers,
surgeons,
nurses
at
border
patrol
stations,
dentists,
medical
interpreters,
hospice
workers,
jail
medical
providers,
pharmacy
staff,
dialysis
centers,
alcohol
and
drug
treatment,
centers
acupuncturists
all
wanting
to
know
where
they
fit
in
phase
1a.
A
A
number
of
requests
for
how
non-licensed
senior
living
facilities
and
hud
facilities
could
receive
the
vaccine
43
comments
from
ihss
workers,
home
health
agencies,
non-ihss,
private,
caregivers
for
the
elderly
and
the
disabled
and
other
informal
caregivers
wanting
to
know
where
they
could
get
their
vaccines
and
who
was
going
to
call
them.
A
We
had
a
number
of
questions
from
seniors
and
people
with
disabilities
about
being
prioritized
first
for
the
vaccines,
69
individuals
urging
us
to
prioritize
people
over
75.
First
85
comments
asking
us
to
prioritize
people
over
65.
First
with
another
11
individuals,
commenting
on
the
age
ranges
between
55
and
72
as
high
priority.
A
We
had
12
comments
asking
us
to
prioritize
adults
with
disabilities.
First,
including
people
in
the
home
and
community
based
services,
waiver
programs.
We
had
another
10
individuals
urging
us
to
prioritize
first
adults
with
intellectual
and
developmental
disabilities
as
the
allocation
process
continues.
We
had
a
number
of
comments
about
the
allocation
process.
Why
can't
we
keep
it
simple?
A
It
seems
too
complicated
to
three
individuals
who
wrote
in
11.
People
commented
that
we
should
follow
the
process
being
used
in
the
united
kingdom,
where
allocation
and
prioritization
is
done
simply
by
age.
We
had
physicians
writing
in
asking
if
they
could
have
discretion
as
to
who
gets
the
vaccine
rather
than
following
the
guidelines.
A
A
We
had
41
comments
requesting
that
people
with
underlying
medical
conditions
that
put
them
at
high
risk,
including
immunocompromised
individuals,
people
living
with
hiv
aids,
people
with
cancer
people
with
weight
issues,
people
with
type
1
and
type
2
diabetes
that
they
be
prioritized
to
receive
the
vaccine.
First,
we
had
one
person
comment
that
we
should
only
allocate
by
job
categories
and
not
by
age.
We
had
seven
comments
who
said
that
essential
workers
who
were
60
and
older
should
receive
the
vaccine.
A
A
Two
landlords
wrote
in
asking
that
they
could
be
vaccinated.
We
had
13
comments
from
people
urging
us
not
to
vaccinate
people
who
were
homeless
or
incarcerated.
A
A
So
I
I
would
really
urge
everyone
to
read
the
public
comment.
The
letters
and
comments
are
very
passionate
and
heartfelt
and
serious,
and
there
are
still
many
many
questions
amongst
the
public
about
how
the
process
is
going
to
unfold.
Thank
you.
B
Thank
you
so
much
bobby
and
thank
you
for
all
of
your
thoughtful
work
around
that.
B
So
next
we
will
hear
from
dr
oliver
brooks
co-chair
of
the
drafting
guidelines,
work
group
as
well
as
dr
rob
schechter,
who
is
also
co-chair
of
the
drafting
guidelines,
work
group
and
before
we
jump
into
that
conversation,
I
want
to
remind
folks
that
the
purpose
of
the
drafting
guidelines
work
group
is
really
to
take
the
conversation
that
we
generate
here
to
to
take
into
consideration
both
the
the
science,
the
data,
the
public
health
information,
as
well
as
the
issues
that
are
raised
by
you
all
by
our
diverse
communities
from
across
california,
and
put
that
together
into
our
guidelines,
that
we
then
share
for
approval
with
the
governor.
B
And
the
purpose
of
that
is
because
we
recognize
that,
while
we
are,
you
know
getting
more
doses
every
week
and
moving
this
process
forward,
that
we
don't
expect
it
to
have
enough
vaccine
to
vaccinate
everyone
all
at
once.
And
so
we
need
to
prioritize,
which
is
really
the
purpose
of
the
drafting
guidelines,
work
group.
And
so
with
that,
I
want
to
go
ahead
and
introduce
dr
brooks
and
dr
and
dr
schechter,
as
well
as
dr
ron
chapman
from
the
department
of
public
health.
E
All
right
well,
thank
you,
surgeon,
general
burke,
harris
and
appreciate
your
comments,
and
I
will
reflect
them
again.
I
also
want
to
say
thank
you
to
the
co-chair,
the
community
vaccine
advisory
committee,
dr
pan,
for
your
information
and
then
welcome
to
dr
aragon.
He
stepped
into
a
seat
that
I
believe
is
hot,
but
he
knows
how
to
have
asbestos
in
his
pants,
so
I
believe
that
he
will
handle
it
well.
We
know
he
will
thank
you
for
taking
on
the
role
that
you
have
as
the
cdph
director.
E
So
what
we
will
look
at
now
will
be
the
recommendations,
bnc
phase,
one
b
and
c
phase,
one
a
is
already
on
the
books
and
in
action
we
are
working
very
hard
to
ensure
that
we
get
those
vaccinate.
I
appreciate
dr
penn
stating
the
goal
of
one
million
in
the
next
10
days.
E
That's,
that
is
a
goal
that
can
be
met
and
we
hope
will
be
met.
Vaccines,
don't
save
lives,
vaccinations
save
lives,
so
we
got
to
get
them
out
of
the
refrigerator
freezer
and
into
those
arms.
I
will
note
that,
in
addition
to
what
bobby
wants
mentioned
and
thank
you
bobby
for
your
update
with
the
comments
from
the
public
that
we
received
four
letters
directly
from
you
all
from
the
cvac
california,
teachers,
association,
disability
groups
twice
and
then
health
access.
E
So
we
do
get
that
information
and
we
review
it
and
we
take
it
too
hard.
So
thank
you
for
submitting
your
information.
What
what
we'll
discuss,
as
I
said,
is
phase
b
and
c,
one
b
and
c.
We
will
note
that
when
you
hear
it,
if
you
haven't
gotten
it
directly
from
the
governor
already
or
reviewed
that
that
it
will
directly
reflect
again
what
the
surgeon
general
said,
your
suggestions
were.
E
It
is
excellent
that
your
suggestions,
aligned
with
what
the
drafting
guidelines
had
in
mind
and
what
the
acip
had
in
mind
also
so
it's
almost
people
with
like
minds
coming
together
and
again,
based
on
equity,
transparency,
excuse
me
and
and
the
exposure
and
the
workplace,
so
that's
very
much
appreciated.
So
I'm
going
to
turn
it
over
to
dr
schechter
to
give
the
report,
but
before
he
comes
in
trisha,
blocker
will
give
a
report
on
the
impact
of
federal
funding
on
vaccine
distribution
in
california.
E
So
we'll
go
from
the
federal
perspective
to
the
state
perspective,
so
trisha,
please
take
it.
A
Erica,
do
you
want
to
say
any
other
words
about
the
federal
funding?
I
know
you
mentioned
them
in
your
opening
comments.
E
So
then,
we'll
move
on.
That's
fine!
So
then
we'll
move
on
to
a
very
important
aspect.
As
I
said,
the
update
on
the
vaccine
allocation
distribution,
so
dr
schechter.
F
Thank
you,
dr
brooks,
and
greetings
to
you
all
happy
new
year
in
these
in
these
difficult
but
hopeful
times.
So
I
just
want
to
briefly
talk
about
the
guidelines
for
phase
1b
in
phase
1c,
as
announced
by
governor
newsom
on
earlier
this
week
in
his
press
conference,
and
these
should
look
very
similar
to
our
our
discussions
over
the
last
weeks
with
a
few
with
a
few
changes.
F
Similarly,
there's
a
lot
of
overlap
between
these
state,
this,
these
state
phases
and
the
national
ones
reached
by
the
federal
advisory
command
immunization
practices,
with
some
notable
differences
as
well
so
for
phase
1b,
is
broken
into
two
tiers
with
efforts,
starting
for
tier
one
and
then
proceeding
to
tier
two
and
tier
one
are
persons
75
years
of
age
and
older,
and
then
california,
essential
critical
workers
with
at
risk
of
occupational
exposure
in
three
sectors:
education
and
child
care,
food
and
agriculture.
Emergency
services
for
these
four,
these
four
groups,
either
by
age
or
occupation.
F
G
F
Our
last
discussion,
I
think,
in
front
of
in
front
of
you
in
the
proposal,
since
that
time
has
gone
to
all
persons
aged
65
years
of
age
to
74,
as
well
as
additional
critical
sectors,
including
transportation,
industrial
residential,
commercial
sheltering
facilities
which
includes
construction
and
a
number
of
other
occupations
and
then
critical
manufacturing
also
included,
are
certain
congregate
settings
at
high
risk
of
outbreak
and
spread
of
instead
of
disease,
including
incarcerated
individuals
and
persons.
F
For
phase
c,
there
also
a
some
switch
to
some
adjustments
in
the
age
groups
included
in
phase
one
c
in
including
both
by
by
age
and
underlying
medical
conditions
or
disability,
which
increase
risk
of
severe
coveted
disease.
F
So
the
age
cut
off
now
is
50
to
64
for
phase
1c
and
then
persons
at
the
minimum
age
for
immunization
current,
which
is
currently
16
years
through
49
years,
who
have
conditioned
underlying
medical
conditions
or
disabilities,
which
increase
their
risk
of
severe
disease.
F
As
bobby
indicated,
a
number
of
questions
coming
in
around
where,
where
do
I
fit
in
the
phasing
and
tearing
and
when
when
and
how
will
I
get
my
my
dose
of
vaccine?
When
will
I
have
access?
F
And
I
think
that's
the
end
of
my
brief
slides,
but
certainly
welcome,
welcome
your
comments
and
questions.
H
Thanks
bobby
and
dr
schechter
happy
new
year
to
everybody,
I
have
two
slides
to
present.
These
are
to
update
you
on
some
work
that
we're
doing
and
get
some
feedback.
The
the
first
slide
is
to
let
you
know
how
we're
responding
to
yours
and
the
rest
of
the
public's
increasing
demand
for
information
on
vaccine
eligibility.
H
There
are
other
states
that
have
some
systems
that
they're
putting
in
place
washington,
new
mexico,
new
jersey,
new
york,
several
states
trying
to
figure
out
how
to
push
information
out
as
much
as
possible
and
and
keep
people
informed
when
it
comes
to
moving
into
the
next
phase.
It's
a
much
bigger
group
of
people,
much
bigger
population
than
what
we're
seeing
in
phase
1a.
H
So
we're
going
to
be
communicating
through
a
number
of
channels,
not
the
least
of
which
is
hopefully
all
of
you
on
this
advisory
committee
and
your
organizations
and
associations.
But
we've
been
meeting
with
health
plans
and,
of
course,
the
health
departments
and
health
systems
and
a
number
of
entities
to
to
push
the
eligibility
information
out
to
the
people
that
need
it.
H
And,
of
course
the
the
information
has
to
be
user
friendly.
You're
you're
going
to
be
hearing
a
lot
more
about
the
the
campaign.
That's
coming
up
at
the
end
of
the
agenda
here
today.
H
The
occupations
in
these
sectors
that
dr
schechter
just
shared
are
on
this
website,
covid19.ca.gov
essential
dash
workforce
and
dr
schechter.
The
previous
slide
showed
you
what
one
of
those
sectors
looked
like
the
example
was
emergency
services
and
the
bottom
line
is
you
know
if
you're
a
personal
care
assistant
or
attendant?
H
H
H
In
terms
of
eligibility,
determination,
resources,
we
do
have
our
coven
19
hotline,
which
is
1-833-422-4,
there's
an
email,
email
box
there
as
well,
which
is
covid
call
center.
All
one
word
at
cdph.ca.gov:
we're
also
exploring
the
possibility
of
an
online
tool.
There's
a
team
just
starting
to
look
at
some
tools
from
other
states
where
you
could
actually
go
online
and
answer
a
few
questions
and
know
immediately
whether
you're
in
the
eligible
phase.
At
that
moment.
In
time,
so
that's
something
that
we're
exploring
and
you'll
hear
more
about
as
we
learn
more
next
slide.
Please.
B
Thank
you
so
much
dr
chapman,
and
so
we
heard
a
number
of
things
and
I
want
to
highlight
there
are
a
number
of
questions
that
came
up
in
the
chat
as
well,
but
for
now,
as
dr
chapman
mentioned,
we
want
to
hear
from
you
particularly
around
this
question
of
the
equity
measure,
the
vaccine
equity
measures.
How
do
we
measure
that?
And
and
if
whether
or
not
the
healthy
places
index
sounds
to
folks
like
a
thoughtful
measure
or
whether
folks
have
might
recommend
some
other
potential
metrics.
B
And
have
suggestions
that
maybe
either
we
hadn't
thought
of
or
we
hadn't
I'm
sure
our
team
in
the
department
of
public
health
has
certainly
thought
about
it,
but
just
to
hear
your
thoughts
on
the
pros
and
cons.
Thank
you.
A
I
know
a
couple
of
people
have
their
hands
up,
but
you
had
your
hands
up
before
the
questions
were
posed,
so
I'm
gonna.
A
A
Okay,
great
or
I'll,
we'll
come
back
to
you,
so
any
feedback
to
dr
paris
and
dr
chapman's
question
about
how
do
we
look
at
equity
in
terms
of
vaccine
distribution
and
is
the
healthy
places
index
the
metric
that
we
should
look
to
or
are
there
other
thoughts
that
you
have
about
this
issue?.
A
J
J
I
do
not
think
it
works
very
well
for
people
with
disabilities
and
in
particular
I
I
think
that
the
ordering
of
this
the
degree
to
which
people
with
disabilities
have
exercised
their
civil
rights
winds
up
working
against
them
when
they've
exercised
their
civil
rights
to
be
in
the
community
instead
of
in
a
nursing
home,
it
works,
it's
been
working
against
them
when
it
comes
to
vaccination
and
part
of
their
civil
rights
has
been
the
very
strong
desire
to
live
in
integrated
housing
distributed
throughout
a
community
not
to
be
in
a
particular
place,
and
that
has
resulted
in
scattered
housing.
J
I
think
there
is
a
correlation
that
a
lot
of
people
with
disabilities
find
that
their
only
options
are
in
lower
income
communities,
poor
housing,
et
cetera
and
those
people
should
be
vaccinated
and
could
and
will
be
included
and
addressed.
But
in
some
parts
I
don't.
I
don't
think
that
the
the
places
index
will
reach
a
very
disproportionately
effective
populations
in
terms
of
disability.
K
So
this
is
karen
savage
california,
pan
ethnic
health
network
and
sylvia's
point
is
well
taken.
I
do
think
the
healthy
places
index
so
holds
value
in
terms
of
identifying,
particularly
historically
and
currently
underserved
racial
and
ethnic
linguistic
communities,
although
it
doesn't
actually
use
race
and
language,
and
so
there
are
other
measures
that
do
incorporate
race
and
language,
but
I
do
think
because
the
state
is
already
using
healthy
places
index
in
the
reopening.
K
It
might
make
sense
to
stick
with
that,
so
we're
identifying
sort
of
the
same
places
for
these
sort
of
different
processes
and
issues.
I
I
don't
agree
with
the
sort
of
benchmark
of
success.
I
think
it
was
called
in
terms
of
equal
coverage
or
equal
distribution,
and
this
is
where
I
think
it's
important
and
remember,
there's
a
difference
between
equality
and
equity,
and
I
think
it
would
be
more
equitable
to
look
for
a
vaccine
distribution
that
is
actually
aligned
with
the
covid.
Both
transmission
and
death
rates
in
the
communities.
K
I
think
saying
we
want
to
have
communities
that
are
much
harder
hit
by
covet,
have
the
same
vaccination
rate
as
communities
that
have
not
been
hard
hit
by
covet.
In
my
mind,
that's
not
equity,
it's
equality,
but
it's
not
equity
and
I
think
we're
striving
for
equity
here,
and
so
I
would
encourage
the
benchmark
for
success
to
really
focus
on
equity.
L
Thanks
hi
everyone:
this
is
christina
from
the
california
foundation
for
independent
living
centers.
Yes,
I
want
to
agree
with
sylvia
and
I
I
don't
want
to
speak
on
behalf
of
all
of
the
disability
organizations
here,
but
I
think
that
for
the
most
part,
we
would
all
agree
that
that
index
would
not
be
an
equitable
tool
to
use
in
making
sure
that
people
with
disabilities
are
included.
L
Secondly-
and
this
is
more
to
the
reality
of
implementation,
is
there
any
way
it
feels
like
there's
a
disconnect
still
between
what's
happening
on
a
statewide
level
and
what
we're
suggesting
and
advising
on
versus,
what's
really
happening
on
the
ground,
and
I'm
just
wondering,
as
we
continue
to
have
these
really
important
discussions.
L
How
are
we
ensuring
that
implementation
is
happening
in
the
way
that
we
are
working
towards
trying
to
make
happen
during
all
of
these
meetings?.
A
C
I
can
take
a
first
pass
of
that.
I
think
you
know
this
is
absolutely
something
that's
really
important
to
us
at
the
department
and
the
state
level,
and
I
think,
along
with
some
of
the
challenges
on
data
collection,
you
know
related
to
the
many
of
the
things
we're
talking
about
that
we
all
care
about.
I
think
we
are
looking
at
this
as
well,
and
how
do
we
collect
data
so
that
we
can
track
this?
C
Well,
I
think
we're
taking
a
first
pass
of
that
as
far
as,
what's
in
our
immunization
registry,
a
lot
of
the
pros
and
cons
of
what
have
happened
over
time
with
our
immunization
registries.
Is
there
a
transfer
of
records
between
electronic
health
records
and
the
immunization
registries?
C
Local
health
departments
and
local
jurisdictions
is
really
looking
at
kind
of
what
are
their
needs
to
improve
and
accelerate
vaccination,
but
we're
very
much
as
as
dr
chavin
mentioned
interested
in
this,
the
the
sort
of
equity
metric
and
we're
going
to
talk
a
little
bit
about
that
in
the
next
section
too.
As
far
as
you
know
how
how
this
is
getting
immediate
at
the
local
level
and
then
how
we're
also
tracking
that-
and
I
think,
really
importantly
to
your
point-
how
we
continue
to
get
good
information
out.
C
You
know
to
all
of
our
different
stakeholders
and
partners,
so
an
ongoing
work
and
absolutely
appreciate
all
the
feedback
and
input
on
that
process.
Thanks
erica.
M
B
Like
to
can
I
just
ask
a
clarifying
question:
we're
definitely
hearing
the
the
sylvia's
comment
around
the
hpi
index,
whether
or
not
that
that
is
the
appropriate
tool
for
assessing
perhaps
risk
for
the
communities
with
disabilities.
One
of
the
questions
is:
is
there
kind
of
another
tool?
That
folks
would
recommend,
and
I
want
to
understand-
are
sylvia?
Are
you
thinking
about
reaching
folks
with
disabilities,
or
are
you
thinking
about
understanding
the
degree
of
risk
right?
B
So
one
of
the
things
that
we
understand
about
the
hpi
tool
is
that
we
do
have
some
data
around
the
assessment
of
what
is
the
covid
risk
for
individuals
at
different
hpi
quartiles,
for
example,
so
we're
looking
at
the
rate.
So
are
we
thinking?
How
are
we
thinking
about
that?
And
and
and
what
do
we
think
might
be
a
better
tool
for
assessing
risk
for
individuals
with
disabilities.
J
I
I
I'm
I'm
meeting
myself
because
I
think
that
was
a
question
to
me
to
sell
you.
Okay,
I
what's
so
hard
about
this.
Is
that
there's
been
such
a
data
lag
around
disability
and
we've
talked
to
doctors,
and
we've
talked
about
like
trying
to
figure
out
what
are
the
risks
for
specific
for
people
with
specific
conditions
for
people
with
significant
disabilities
for
people
who
are
taking
medications
and
there's
this
well,
don't
know,
don't
know,
and
it's
not
that
I
blame
anyone.
J
J
I
don't
have
a
tool
that
that
will
make
up
for
that
lag,
except
that
I
mean
gradually
we're
getting
more
information
about
people
with
intellectual
and
developmental
disabilities,
for
example,
and
the
kind
of
risks
that
they
have
of
more
severe
severe
illness-
and
I
I
mean
some
of
it
is
it's
just
that
we
we
know
who
has
who
is
living
in
the
community
with
significant
disabilities.
J
We
have
an
idea
of
people
who
are
really
have
disabilities
and
are
at
risk
of
death,
whether
from
covered
or
19,
or
something
else,
because
they
can't
get
to
a
hospital
and
can't
get
their
treatments.
I
mean
that's
the
tool
I
can
see.
If
we
can
figure,
we
can
have
some
idea
of
that
and
prioritize
them.
I
I
don't
know
if
I
can
come
up
with
another
tool
to
assess.
B
Okay,
thank
you.
Thank
you.
I
just
wanted
to
to
offer
an
opportunity
to
clarify
sorry
bobby,
go
ahead.
A
No,
no,
that
that
was
really,
I
think,
important,
and
I
think
I
think
there
are
a
few
comments
in
the
chat
about
other
ideas
about
how
to
address
the
issue
and
if
others
have
more
ideas,
please
put
them
in
the
chat.
Let's
go
to
anthony
and
then
I
know
that
lance
hastings
had
a
question
early
on
and
charles,
so
did
you
and
so
did
danny.
So,
let's
try
and
see
if
we
can
get
through
that
before
the
next
agenda
item
go
ahead,
anthony.
N
Thank
you
and
thank
you
for
both
the
opening
comments
and
all
the
information
provided.
I
want
to
support
kieran's
comments
with
regard
to
equity
inequality
and
the
healthy
places
indexes
and
metrics
we
have.
I
also
do
agree
that
other
metrics
are
important
and
I
do
think
we
are
constrained
by
two
factors.
Number
one
is
what
data
exists,
because
there's
lots
of
things
that
we
would
like
to
do,
but
just
there's
no
such
data
set
and
then
two
is:
how
would
we
rectify
it
if
we
do
find
that
there
is
an
issue
and
like
what?
N
What
is
our
remedy,
and
so
one
thing
I
would
potentially
suggest
is-
and
I'm
also
I
would
like
to
to
to
see
that
if
we
are
and
I'd
like
to
focus
on
the
issue
of
the
remedy,
because
it's
not
good
enough
just
to
collect
the
information
and
know
there's
a
problem,
but
we'd
also
like
to
know
like
okay.
If,
if
something
triggers,
what
what
are
we
going
to
do
about
it,
and
so
like
the
the
thing
that
is
useful
about
the
healthy
places
index?
N
Is
that
if
there
is
a
region
that
is
underserved,
especially
given
its
risk
factors,
then
I
would
like
there
to
be
in
1c
or
wherever,
where
ever
it
fits
in
the
hierarchy?
Some
allowance
for
the
public
health
officer
to
do
aggressive
regional
efforts.
You
know
site-based
efforts
and
allowance
for
greater
immunization
vaccinations
in
that
area,
and-
and
I
I
if
it's
just
about
collecting
the
data,
then
I'm
not
sure
what
the
point
is.
N
So
I
would
be
I
I'm
assuming
that
there's
a
a
remedy
piece
of
it,
but
then
we
should
explain.
Make
that
clear.
I
do
think
that
another
way
to
do
it,
the
data
we
might
have
is
if
we
are
getting
information
from
the
contact
tracing
or
from
icu
use,
that
there
are
outbreaks
happening
in
certain
situations
and
certain
efforts,
whether
it
is
multi-generational
housing
apart
apartment
buildings
in
certain
areas,
et
cetera,
et
cetera.
N
That
then
again
the
that,
then
the
public
health
officers
haven't
have
an
ability
to
then
you
know
do
that
apartment
build.
You
know,
do
these
apartment
buildings
that
fit
these
criteria
or
whatever
is
possible,
but
I
would
say
we
do
need
to
it.
Would
be
helpful
to
sort
of
do
that
in
comparison
to
both
the
data
we
have
and
also
the
remedies
that
we
have
available
and
that's
my
and
my
last
point
is
just
to
just
come
back
to
these
very
practical
questions
that
christine
and
others
raise,
which
is.
I
still.
N
N
How
does
the
pharmacy
or
the
clinic
verify
that
I'm
say
who
I
am
and
because
I
do
think
that
that
has
a
huge
impact
on
equity
if
the
well
resource
can
or
the
well
connected
can
get
in
and
others
that
are
maybe
less
connected
can't,
and
I
would
just
welcome
if
there's
further
clarity
on
that
direction.
Thank
you.
A
Anthony,
I
think,
we'll
be
able
to
answer
some
of
those
questions
in
the
next
section
on
the
agenda
we'll
be
talking
with
eric
and
kim
from
the
counties
and
how
they're
approaching
those
issues
very
specifically
lance.
Are
you
back
lance
hastings.
O
A
O
Okay,
thank
you
very
much.
I
appreciate
it
particularly
at
the
front
end
with
dr
pond's
comments
about
training.
More
people
to
administer
the
vaccine,
and
one
thing
I'd
like
to
get
on
to
the
table
is
the
larger
employers
in
the
state
that
are
already
equipped
with
health
professionals
on
staff
that
we
can
assist
with
large-scale
vaccinations
when
we
get
to
our
sections
within
1b
that
we
can
help
enable
that
system,
and
I
just
wanted
to
convey
that
make
that
offer
and
get
it
known
that
within
the
manufacturing
community.
O
We
are
well
well
positioned
to
do
that
and
offer
some
assistance.
So
please
have
that
on
the
record
for,
for
the
conversation.
A
Okay:
okay,
let's
see,
I
think,
we'll
go
to
maria
lamos
and
then
we'll
go
to
denny
chan.
Thank
you.
M
Bobby
I
wanted
to
just
get
a
little
clarification.
I
did
go
to
the
cova
19
website
and
where
it
says,
community
health
workers,
public
health,
slash
and
my
concern
about.
That
is
not
enough
detail,
because
I
do
see
where,
in
many
places,
clinics
and
plans
are
vaccinating
community
health
workers
that
they
hired.
But
there
are
hundreds
and
hundreds
of
promoters
who
are
working
with
cbo's,
doing
frontline
work,
they're
working
in
food
distribution
and
working
outreach
and
that
they
have
now.
M
A
Great
question
maria
thank
you
for
bringing
that
up.
Let's
go
to
denny
and
please
remember
to
introduce
yourself
and
your
organization,
so
the
public
knows
who's
talking.
We
all
know
you,
but
we
want
everybody
else
to
too.
R
Thanks
bobby
hi,
everyone,
denny
chan
from
justice
and
aging
happy
new
year,
I
had
one
comment
and
then
two
quick
questions.
My
comment
is
about
equity,
with
respect
to
what
was
what's
been
proposed
for
1b,
and
I
think
it
was
during
the
announcement
or
during
the
presentation
that
someone
said
that
there's
there's
not
really
a
sub
prioritization
among
the
different
occupations
and
older
adults
who
are
75
plus.
I
really
hope
that
we
think
about
equity
when
we
talk
about
sub-prioritization.
R
So
even
if
we
haven't
sub-prioritized
specific
occupations,
but
that
equity
is
still
a
factor.
I
I
really
appreciated
that
we
were
able
to
come
to
that
agreement
in
1a
and
that
we're
able
to
use
sort
of
an
equity
lens
to
be
able
to
dole
out
the
allocations
when
appropriate.
So
I
really
hope
that
that's
at
least
made
clear,
even
if
there
aren't
specific
occupations
or
age
bands
within
the
75
and
plus
group,
that
that
is
clear.
That
equity
is
still
a
metric.
R
I
think
I
said
before
at
our
last
meeting
that
you
know
for
older
adults,
not
older
adults
are
equally
at
risk,
and
so
it's
clear
that
older
adults
and
communities
of
color
are
disproportionately
at
risk,
and
that
needs
to
be
a
factor
in
how
we
think
about
the
allocation,
particularly
in
light
of
secretary
azar's
comments
today,
encouraging
that
you
know
if
there's
leftover
vaccines.
R
That
should
be
that
that
that
local
health
department
should
be
sort
of
administering
them
as
quickly
as
possible,
because
when
that
happens,
things
like
implicit
bias
really
do
creep
in.
So
that's
my
point
about
equity.
My
two
questions
hopefully
can
get
some
quick
answers.
One
is
there
was
a
hotline
that
was
presented,
who
is
staffing
that
hotline?
What
are
they
you
are
they
taking
calls
like?
Which
phase
am
I
in
and
how
are
they
answering
those
calls?
R
Are
they
just
using
the
guidance
that
has
been
released
so
far,
so
any
color
that
we
can
shed
on?
That
would
be
extremely
helpful
and
then
two
is
for
phase
one
c
with
respect
to
people
with
disabilities
and
certain
chronic
conditions
that
put
them
at
higher
risk.
How
is
that
being
operationalized?
R
A
Thanks
denny,
why
don't
we
start
with
ron
answering
the
question
about
the
hotline
and
then
we'll
go
to
rob
schechter
about
both
your
point
about
phase
one
c,
but
also
to
answer
or
to
clarify
how
1b
is
integrating
the
equity
sub
prioritization
ron?
Could
you
talk
just
for
a
minute
about
how
the
hotline's
being
staffed
and
what
kind
of
questions
are
they
receiving.
H
This
this
is
the
covid
call
center,
so
they
it's
basically
state
staff
that
are
there
to
answer
a
lot
of
questions
about
covin,
not
just
vaccine,
but
there
is
a
number
you
push
to
get
answers
about
vaccines,
and
so
you
talk
to
a
live
person
and
you
can
share
with
them.
You
know
what
kind
of
work
you
do
and
they
tell
you
what
phase
we're
in
now.
What
phase
is
coming
next
and
what
sectors
and
workers
are
in
those
phases
it
it
doesn't
have
a
level
of
specificity.
H
R
And
in
terms
of
the
hotline,
just
a
quick
follow-up
question
on
that,
because
I
remember
jeffrey
had
asked
a
question
that
I
thought
was
really
important.
I'm
assuming
that
the
state
workers
who
are
staffing,
the
hotline
are
speaking
at
least
the
medi-cal
threshold
languages
to
be
able
to
take
callers
from
with
limited
english
proficiency.
H
So
I
think
that's
required
by
law.
I
you
know,
I
don't
run
that
call
center,
I'm
not
involved
with
it,
but
again
I
did
call
it
and
in
the
beginning
it
there's
a
lot
of
languages
that
are
spoken,
so
there
are
different
options
that
way,
but
I'm
pretty
sure
it's
required
by
law
that
we
do
that.
A
Yes,
that
that'll
be
very
important
thanks
ron
rob,
would
you
mind
clarifying
the
phase
1c
populations
and
then
also
how
the
sub
prioritization
is
going
to
work
in
phase
1b
where
there
are
tiers,
but
the
tiers
aren't
in
priority
order
of
which
group
gets
the
vaccine
first.
F
Thanks
bobby
and
and
thanks
for
the
questions
so
along
with
the
the
skeletal
outline
of
which
groups
are
are
eligible
in
each
tier
and
phase,
there
will
be
additional
guidance
with
some
parallel
language
to
what
was
in
1a
about
subprioritizing
at
the
site
of
either
during
the
allocation
decision
or
at
the
site
of
where
vaccines
being
provided
on
available.
Information
on
similar
sort
of
risk
factors
or
criteria
that
were
included.
O
F
1A,
including
including
occupational
level
of
occupational
risk
underlying
conditions
or
age
race,
ethnicity,
residence
in
a
vulnerable
community
using
those
somewhat
similar,
similar.
F
For
subpriorization
during
scarcity,
the
for
phase
one
see
where
the
underlying
medical
conditions
are
disabilities.
F
Currently
we
are
pointing
to
the
the
cdc
list
of
of
associations
of
factors
associated
with
high
risk
conditions
and
disabilities,
which
is
an
evolving
which
is
an
evolving
list,
but
also
appreciate
that
that
there
will
be,
as
folks
are
going
to,
the
medical
providers
or
the
regular
sources
of
immunization,
as
vaccine
becomes
increasingly
available,
that
there
was
clinical
judgment
or
clinical
discretion
and
making
those
and
making
those
successes.
B
Thank
you
so
much
dr
schechter,
and
and
now
as
we
are
at
the
the
time
on
the
agenda,
we're
going
to
take
a
moment
for
a
short
break.
B
So
we
will
take
a
10
minute
break
and
when
we
come
back,
we
will
have
the
opportunity
to
have
a
conversation
with
leaders
of
our
local
health
department
to
and
continue
the
discussion
from
our
last
meeting
around
how
this
is
really
being
deployed
on
the
ground.
In
that
conversation,
maria.
We
will
not
forget
your
question
about
promotora,
so
we
can
jump
in
with
that
question
out
the
gate.
B
When
we
hear
from
our
local
health
directors
and
as
we
head
into
the
break,
we
want
to
remind
everyone
to
mute
your
lines
and
turn
off
your
turn
off
your
cameras,
and
we
will
see
you
back
here
at
4.
B
A
A
B
There
we
go
and
now
in
our
agenda,
so
welcome
back.
B
I
hope
everyone
had
a
restorative
break
and
and
now
in
our
agenda,
we're
going
to
continue
our
conversation
from
our
last
meeting,
with
our
local
health
leaders
about
operationalizing
the
distribution
of
vaccines
on
the
ground,
and
we
have
with
us
this
afternoon,
dr
eric
sergi
sergienko,
the
health
officer
for
mariposa,
county
and
and
also
a
representative
for
from
the
california
conference
of
local
health
officers,
the
cc
lho
and
as
well
kim
saruwatari,
who
is
the
director
of
the
riverside
county,
public
health
department
and
she's.
B
Also
a
representative
of
the
county
health
executives
association
of
california
chiak,
and
I
want
to
to
welcome
them
both
and
open
a
conversation
about
and
invite
them
to
hear
from
them
about
the
distribution
of
of
the
vaccine
on
the
ground.
And
there
were
two
questions.
Eric
and
kim.
As
you
are
teeing
up
your
comments
that
I
want
to
make
sure
that
we're
responding
to
one
was
maria's
question
about
the
promotoras
and
where
promotora
sit
in
the
in
the
in
the
process,
whether
they're
considered
community
health
workers.
B
And
then
there
was
another
question
about
truck
drivers
and
where
truck
drivers
may
the
the
distribution
of
vaccines.
How?
What
is
that
allocation
or
distribution
process
for
reaching
truck
drivers?
So
I'll
I'll,
lift
those
questions
up
to
the
to
the
discussion
and
turn
it
over
to
eric
and
kim.
T
Great
so
good
afternoon,
everyone
again
and
good
to
be
back
and
again
taking
copious
amounts
of
notes,
because
again
recognizing
that
the
work
that
you're
doing
is
critical
in
informing
how
we
at
the
local
level
will
get.
T
You
know,
do
that
final
step
of
getting
needles
into
people's
arms,
because
that's
really
where,
where
it's
happening,
if
we
can
get
vaccines
into
the
into
the
field,
that's
a
great
thing,
but
it
really
it's
that
last
step.
That's
most
important.
So
the
question
about
promotorus.
I
will
direct
folks
to
the
cdph
webpage,
which
talks
about
recommendation,
b1
subprioritization
by
type
of
facility
or
role
and
promotorists
are
actually
called
out
in
tier
two
of
phase
1a,
along
with
all
community
health
workers
and
that's
regardless
of
the
sector.
T
So
if
they're
we're
doing
work
with
cbo's
and
not
necessarily
with
health
departments
or
some
other
closely
aligned
with
someone
who's
doing
vaccinating,
they
are
in
that
tier
and,
and
the
challenge
would
be
is
if
we
have
not
reached
out
to
them,
ensuring
that
linkage
occurs
between
the
cbo
and
the
vaccinator,
and
I
think
that's
really.
The
challenge
for
all
of
these
things
is
making
that
connection.
I
think
that's
the
the
valuable
part
there
and
then
the
other
question,
which
I
rapidly
forgot.
T
Truck
drivers,
I
think
ron
talked
about
those
in
the
phase.
1
br1c,
I'm
going
to
say
1c
and
the
only
question
I
would
have
there
are
not
the
question.
T
The
thought
I
have
back
is-
and
ron
has
talked
about
this
before
is
think
about
not
in
terms
of
actual
individual
roles,
but
rather
the
sector
in
which
that
person
works,
and
so,
if
you
have
a
person,
who's,
a
commercial
driver's
license
as
a
truck
driver,
but
is
working
in
food
and
ag
that
that
person
might
actually
be
more
in
that
sector
than
in
the
1c.
And
so
that's,
I
think,
some
of
the
nuances.
T
And
so
as
an
example,
a
bus
driver
who
does
school
buses
would
actually
be
not
in
transportation,
but
in
education.
T
Good
point.
So
all
right
did
that
address
the
question
or
we'll
we'll
we
can
loop
back
to
it.
Where
we've
got.
We
got
time
all
right
again
good
afternoon,
and
I
think
you
bobby
just
next
slide
is.
I
think
this
captures
all
of
our
discussion
to
date
is
how
will
I
as
an
individual
or
as
a
sector?
No
one
is
my
turn
to
get
vaccinated.
Where
will
I
go
to
get
it
and
if
we
solve
that
problem
for
everybody?
T
Next,
we
did
get
a
number
of
questions
and
thank
you
to
bobby
for
digging
these
out
for
us
going
through
all
the
conversations
that
we've
had
over
the
last
several
weeks
and
in
addition
to
kim-
and
I
erica
will
answer
some
of
these
as
well,
because
we
do
recognize
it's
a
partnership
between
not
only
the
state
and
the
county,
but
the
federal
government,
the
states
down
to
the
counties
down
to
those
multi-county
enterprises
or
entities
that
are
distributing
vaccines
down
to
the
individual
clinics
down
to
those
people
that
can
help
us
augment
and
reach
into
those
populations.
T
So
she'll
answer
some
of
the
questions.
I'll
answer,
some
of
them
and
kim
will
answer
some
of
them
so
with
the
long-term
care
facilities.
T
What
we
do
know
now-
and
actually
it's
gotten
pretty
regular
now-
is
the
covet
vaccine
task
force
at
the
state
has
been
distributing
spreadsheets
of
dates
to
the
counties
and
also
notifying
the
individual
long-term
care
facilities,
and
that
does
include
both
sort
of
broken
down
into
two
categories:
the
skilled
nursing
facilities
and
the
assisted
living
facilities,
and
that
notification
has
gone
reasonably
well.
I
think
we've
got
another
slide
here
about
talking
about
how
well
it
goes
when
we
get
to
that
slide.
T
We'll
talk
a
little
bit
more
about
how
it's
actually
rolled
out
over
the
last
week
in
a
number
of
our
skilled
nursing
facilities
and
give
you
some
feedback
on
that
with
informed
consent,
I'm
going
to
defer
that
to
erica
if
she's
got
a
good
answer,
but
at
this
point,
within
my
facilities
it's
been
we've
been
able
to
identify
persons
that
have
that
durable
power
of
attorney,
and
I
think
that's
been
fortuitous.
We've
not
had
to
work
where
we've
had
sort
of
an
implied
consent
situation.
C
Yeah,
I
think
all
I
would
add
is
that
they
require
consent,
similarly
to
any
other
medical
care,
that's
provided
in
that
facility,
and
so
they
get
consent
from
patients
or
those
who
have
legal
powers
or
consent
for
them.
And
again
it's
precaution
required,
but
that
isn't
required
by
federal
or
state
law,
but
want
to
make
sure
that
there
is
some
form
of
consent
and
we
do
understand
it's.
It
is
paper-based.
C
So
there
are
some
challenges
to
that,
but
I
think
you
know
there
are
pros
and
cons
to
electronic
consent
as
well
as
far
as
being
clear
that
that's
you
know
validated
consent.
U
Eric,
maybe
I
can
just
jump
in
here
to
to
give
a
little
bit
of
what
we're
seeing
in
our
county
just
to
give
everybody
a
flavor
of
how
it's
working,
so
we
so
I'm
from
riverside
county.
So
we
have
weekly
calls
with
our
skilled
nursing
facilities
and
long-term
care
providers,
and
so
pretty
good
dialogue
in
terms
of
feedback.
All
of
our
skilled
nursing
facilities
in
riverside
have
been
contacted
and
clinic
dates
are
set
up
and
we've
had
first
visits
for
29
of
our
58
skilled
nursing
facilities.
U
22
of
those
have
been
with
cvs
and
7
with
walgreens,
so
so
things
are
moving
forward.
One
of
the
big
lessons
that
we've
learned
is
just
that
we
need
to
have
identified
two
to
three
deep
people
at
each
facility
that
can
assist
with
the
coordination,
particularly
somebody
on
site
that
can
help
with
that,
because
the
logistics
and
the
paperwork
is
is
quite
a
load,
and
I
I
think
dr
pond
mentioned
this,
that
it
is
manual
paper,
and
so
that
makes
the
the
paperwork
piece
of
this
pretty
labor-intensive.
U
B
Thank
you
so
much
I
want
to.
I
want
to
pull
up
a
question
that
was
in
the
comment
previously.
B
I
think
mike
dark
asked
the
question:
how
do
we
know
when
we're
moving
from
one
phase
to
the
next,
and
it
sounds
like
you
touched
on
that,
but
if
we
could
maybe
be
a
little
speak
specifically
to
that
question,.
T
So
I
was
gonna
say:
that's
gonna
be
our
very
last
slide,
so
so
dramatic
foreshadowing.
But
we
will
talk
about
that.
So
yeah.
T
All
right
next
slide,
I'm
gonna,
say
and
kim's
going
to
talk
more
about
this
because
again,
she's
got
a
much
larger
jurisdiction
than
either
of
the
two
that
I'm
health
officer
for
and
how
to
do.
Subprioritization.
C
Sure
yeah,
I
wanted
to
you,
know
in
the
document
that
dr
sergenko
referenced
and
I
put
the
link
in
the
chat
the
current
during
the
current
phase,
1a
recommendations.
There
are
in
that
guidance
it
talks
about
sub-prioritization
and
thinking
about
on
the
facility
level,
making
sure
that
if
there
are
inadequate
doses
to
reach
everyone
that
actually
the
priority
is
given
to
facilities
that
serve
the
greatest
proportion
of
vulnerable
persons
in
their
catchment
in
their
area
as
measured
by
either
the
healthy
places
index
or
a
comparable
health
department.
C
Knowledge
followed
by
facilities
serving
fewer
vulnerable
persons.
So
you
know
that
is
that
guidance
in
there
and
then
I
think
kim
yeah
can
talk
to
more.
How
like
riverside
is
using
this
healthy
places
index
we're
again
working
on
kind
of
surveying
as
well
and
how
that's
going,
and
then
I
I'll
just
jump
in
for
this
moment
too
and
say
that
at
the
state
level,
as
we're
thinking
about
supporting
the
local
health
departments
and
local
communities,
we're
certainly
looking
at
the
hpi
on
the
statewide
level
as
well.
C
So
during
the
health
equity
metric
for
the
blueprint,
for
example-
that's
been
within
a
county,
but
we're
also
thinking
about
this
and
using
that
map
statewide
to
think
about
where
the
most
resources
are
needed.
Absolutely
so,
and
we
appreciated
the
input
all
of
you
had
earlier
as
well
and
one
other
quick
thing
a
little
bit
off
topic,
but
I
just
wanted
to
say
earlier.
I
thought
the
governor
had
already
has
had
his
press
conference
and
I
think
a
lot
of
the
key
points
he
was
going
to
mention.
C
I
I
did
mention
and
I
think
it
was
postponed
because
of
the
other
situation,
the
capital,
so
that
has
not
happened
to
you
all
we're
the
first
to
preview.
Some
of
those
key
points
so
I'll
turn
it
over
to
ken,
though,
to
refer
back
to
healthy
places,
and
I
just
kept
forgetting
to
mention
it.
Thanks.
U
All
right
thanks,
dr
pond,
just
briefly,
so
we
are
using
the
healthy
places
index
in
riverside
county.
We
actually
are
monitoring
positivity
right
now
by
each
of
the
the
zip
codes
and
the
tracks
in
the
lowest
quartile,
and
so
we
are
doing
very
specific
testing
in
those
lowest
quartile
zip
codes
and
just
as
unfortunately,
we've
come
to
learn
across
the
country.
U
We're
experiencing
positivity
rates
up
to
like
41
in
some
of
those
areas,
they're
very,
very
high,
and
so
we
are
working
as
as
part
of
kind
of
using
that
that
umbrella
context
of
the
healthy
places
index
we're
working
with
the
catholic
church.
I
think
I
mentioned
that
last
time
because
they
have
a
very,
very
large
footprint
in
in
much
of
our
county
and
then
other
faith-based
organizations
as
well,
but
then
with
our
community-based
organizations
and
so
maria.
U
Just
to
add
on
to
the
answer
that
dr
sergenko
gave
earlier,
we
are
actually
vaccinating
promotors
and
community
health
workers
this
week,
and
so
what
we
have
done
is
we've
reached
out
to
the
cbo's
that
we
regularly
work
with
and
even
those
that
we
don't
and
ask
for
a
list
of
promotoras
and
community
health
workers
so
that
we
can
reach
out
directly
to
them
and
and
share
the
clinic
dates
and
times
with
them.
U
So
that
is
happening
in
our
county
locally,
because
we
recognize
the
fact
that
they
are
out
on
the
front
lines.
We're
asking
them
to
be
there
when
we're
doing
testing
events
and
we're
asking
them
to
spread
the
message
about
vaccination
and
and
get
the
community
excited
about
getting
vaccinated,
and
so
we're
vaccinating
them
consistent
with
phase
1a.
So
so
that
will
be
happening
this
week.
And
so
that's
thank.
M
T
And
actually,
we've
drilled
down
on
a
couple
of
these
already
is
but
yeah.
I
probably
if
you'll
remember
back
to
when
we
talked
last
time,
is
every
local
health
jurisdiction
has
some
differences
in
how
they
do
their
outreach
and-
and
I
I
like-
the
idea
of
sharing
best
practices
and
learning
from
successes,
but
we've
been
using
for
those
independent
practitioners.
T
What
has
been
successful
for
us
is
outreach
through
social
media
and
outreach
through
professional
societies,
and
then
you
know,
sort
of
lowest
common
denominator
is
using
our
call
centers
and
then
being
able
to
take
those
calls
and
route
them
to
the
vaccine
teams
so
that
we
can
align
the
persons
that
are
fitting
into
our
tier
1a
right
now
our
correction
phase
1a
and
and
making
sure
that
those
people
get
the
vaccine
so
having
as
open
as
system
as
possible.
T
T
Yes,
I'm
doing
outreach
with
them
in
the
counties
that
I'm
working
with.
I
don't
know
kim
I
am
assuming
she's
yeah
same
there
is
that
you
know,
if
someone
has
is,
has
is
a
frontline
healthcare
worker,
including
behavioral
health,
that's
critical
for
us
and
then
last
bullet
personal
care
attendance
is
that
we've
been
treating
them
as
as
ihss
like
workers,
and
that
is
they
perform
the
same
scope
and
scale
of
work.
And
so,
while
notification
has
been
a
challenge,
I've
considered
them
eligible.
U
And,
as
you
probably
have
gathered
now,
so
dr
sojenko
gives
kind
of
the
the
big
picture,
and
then
I
dive
into
the
details
a
little
bit
so
just
to
kind
of
give
you
an
idea
of
how
we're
thinking
of
the
vaccination
campaign
at
the
local
level
we're
thinking
of
it
in
three
buckets.
So
we
have
the
provider
bucket
where
we're
leveraging
providers,
as
they
are
approved,
to
distribute
vaccine
to
vaccinate
their
own
staff
in
the
appropriate
phases.
U
So
healthcare
workers
right
now
and
then,
as
we
move
through
the
phases,
they
would
be
able
to
vaccinate
more.
So
that's
one
bucket
is
the
existing
provider
network.
The
second
is
the
points
of
dispensing
or
pods,
and
so
that's,
where
we're
partnering
with
schools,
nursing
schools,
pa
schools,
pharmacy,
whatever
we
can
get
to
partner
with
us
to
staff
those
pods
and
making
those
available
throughout
the
county,
and
so
we
launched
that.
U
Actually
today
was
our
first
pod
for
phase
1a
and
then
the
third
bucket
are
community
vaccination
teams,
and
so
those
are
teams
that
will
go
into
areas
that
we
feel
would
not
be
coming
to
our
pods
for
whatever
reason:
either
they
don't
have
schedules
that
are
conducive
to
that
or
they
don't
have
transportation
and
so
we'll
be
sending
teams
out
into
the
field.
So
one
one
example
is
it's
much
easier
for
us
to
send
a
team
to
some
of
the
growers
and
vaccinate
farm
workers
than
to
ask
them
to
come
to
us.
U
So
that's
kind
of
how
we're
thinking
about
vaccination
and
dr
serginko
mentioned
using
the
medical
association,
the
dental
association,
any
of
the
associations
that
are
out
there,
where
we
can
get
consistent
messaging
to
different
groups
we're
using.
But
we
also
have
a
whole
group
of
people
that
are
literally
combing
the
internet
for
all
the
different
home
health
providers,
all
the
different
urgent
care
providers
and
coming
up
with
lists
and
then
we're
reaching
out
from
those
lists.
And
some
of
that
is
labor
intensive.
U
But
we
want
to
make
sure
that
we're
being
as
complete
and
comprehensive
as
we
can
and
then
just
another
example
for
the
ihss
part.
So
we
met
with
our
department
of
public
social
services,
which
is
involved
with
our
ihss
workers
as
well
as
udw
matthew,
maldonado
on
the
committee,
came
and
and
well
virtually
met
with
us
as
well,
and
so
we
were
able
to
talk
about
our
33
000
workers
and
how
we're
gonna.
We
are
in
the
process
now
of
surveying
them.
U
We're
going
to
be
sending
out
messaging,
both
through
social
services
and
you
and
working
together
to
make
sure
that
we're
vaccinating
their
folks.
Udw
was
able
to
provide
amazing
data
about
density
of
ihss
providers
throughout
the
county
by
zip
code,
so
that
was
also
really
helpful
and
then
personal
care
attendants
in
general.
We're
working
reaching
out
to
home
health
agencies
so
that
we
can
identify
care
providers
and
things
like
the
inland
regional
center,
which
is
kind
of
an
overarching
umbrella
that
that
works
to
get
personal
care
attendance
for
clients.
U
And
then
we
know
that
there
are
those
independent
care
practitioners
out
there
that
are
not
part
of
a
network
and
that's
really
a
big
challenge
in
terms
of
how
do
we
identify
those
and
reach
them
other
than
the
ways
that
dr
serginko
already
described
through
social
media.
Our
website
and
and
different
things
like
that.
So.
T
So
with
the
planning
that
we're
doing
for
our
eligible
people
we're
building
out
registries-
and
I
know
that
at
the
county
level,
numerous
counties
are
doing
this,
whether
it
be
on
a
google
form
or
microsoft
form
or
some
other
sort
of
database
and
using
that
same
outreach
that
both
kim
and
I
have
mentioned-
to
introduce
people
to
those
registries
and
at
least
for
the
counties
I'm
working
with
the
intent-
is
to
do
individual
scheduling
once
they're
in
the
registry
based
upon
the
information
they
put
in
that
registry.
T
So
as
much
as
possible,
we
want
to
schedule
vaccinations
recognizing
that
one
of
the
logistic
hurdles
or
one
of
the
things
that
we
need
to
consider
in
administering
this
is
you
have
to
observe
people
for
15
to
30
minutes
post-vaccination,
and
so
you
actually
need
the
physical
space
to
observe
people,
and
that's
some
of
the
hiccups
that
we
have
found
in
the
first
couple
of
weeks
of
vaccination.
Is
you
can't
run
people
through
these
as
fast
as
you
do,
with
mass
vaccination
clinics
for
influenza
or
other
exercises
that
we've
conducted?
T
So
it
needs
that
level
of
scheduling.
Another
question
was:
how
will
cbo's
cdac
members
and
other
trusted
messengers
be
utilized
by
the
local
health
jurisdictions?
T
T
And
so,
if
you
have
not
heard
from
us,
we
would
love
to
hear
from
you
and
and
mike
you
can
kim,
had
asked
if
you
could
get
my
email
and
I'll
just
put
in
the
chat
box.
And
anyone
who
wants
to
reach
out
to
me
by
all
means,
but
more
important
to
reach
out
to
your
local
health
officer
or
director.
T
The
other
point
of
contact
that
I
think
is
critical
is
that
joint
information
center
or
call
center,
if
you
can't
get
a
hold
of
one
of
us
in
the
senior
leadership
position,
my
jic
lead
sits
20
feet
over
there
and
she
does
not
hesitate
to
get
a
hold
of
me.
If
there's
a
reason
to
get
a
hold
of
me-
and
I
think
that's
true
for
any
of
the
health
officers
or
directors
and
as
usual
kim
will
fill
in
all
the
blanks
that
I've
managed
to
skip
over.
T
Righty,
so
let's
go
to
the
next
one
and
it's:
how
does
a
local
health
jurisdiction,
local
health
district
department
know
when
it's
time
to
move
to
the
next
phase
or
the
next
tier
of
a
phase?
T
And
really
it
is
a
it's
a
feedback
loop
with
both
the
state
as
the
supplier
of
the
vaccine
and
with
the
vaccinators
who
are
out
there.
Vaccinating
people
and
I
have
a
smaller
feedback
loop
than
a
large
county
and
so
recognizing.
Well,
how
many
more
people
do
we
need
to
vaccinate
within
that
current
tier
or
tiers?
T
Recognizing
that
we
may
be,
you
know
with
phase
one
a
looking
at
how
do
we
do
tier
one
and
tier
two
at
the
same
time
or
tier
two
and
tier
three
at
the
same
time,
and
so
thinking?
What's
the
unmet
need
there
based
upon
feedback
from
our
vaccinators
and
working
with
the
supply
we
get
from
the
state?
And
then
one
thing
we
did
recognize
when
we
started
vaccinating
is
there
was
a
preference
on
some
of
the
healthcare
workers
to
receive
the
moderna
vaccine
over
the
pfizer
vaccine?
T
So
although
we
got
the
pfizer
vaccine
first,
there
were
some
vaccine
hesitancy
over
that.
But
then,
when
we
came
back
with
the
moderna
a
week
and
a
half
later
that
we
had
some
new
takers
there,
so
we
always
have
to
go
back
to
the
previous
tiers
and
say:
are
there
any
takers
for
a
different
vaccine
or
vaccine
product
or
have
they
addressed
their
concerns
and
are
now
ready
to
get
vaccinated?
T
So
if
all
those
demands
have
been
met
for
the
previous
tiers,
then
we
consider
going
forward
into
the
next
tier
or
even
the
next
phase.
You
know
we're
we're
sort
of
incipient
phase
1b
here
in
mariposa,
and
so
that
requires
coordination
with
the
state
and
with
our
adjacent
local
health
jurisdictions,
because
we
do
not
want
to
get
too
far
ahead
of
our
neighbors.
T
We
want
to
make
sure
things
are
happening
in
an
equitable
fashion
and
making
sure
that
the
doses
are
going
to
the
right
place,
meeting
the
right
needs
and
that
everyone
has
the
right
resources
to
to
get
things
done.
And
then
you
know,
as
we
think,
about
those
additional
doses
as
we
move
more
into
calvax
and
away
from
going
into
the
health
department,
then
coordination
with
the
vaccinators
on
that
ordering
of
new
doses.
T
So
it's
really
not.
How
do
we?
How
do
we
know
because
the
state's
telling
us
or
how
do
we
know,
because
the
feds
are
telling
us
it's
really
that
feedback
loop
with
the
local
communities
and
recognizing
that
we've
met
the
demand
for
the
current
tier
and
then
being
able
to
move
into
the
next
tier
based
upon
available
available
supplies.
U
And
I
think
the
only
thing
I
would
add
to
this,
dr
sergenko
described
that
I
think
that
food
that
feedback
loop
exists,
whether
you're,
a
small
county
or
a
large
county.
The
loop
is
just
varies
in
size
right,
but
I
do
think
you
know
across
the
state.
U
Our
goal
is
to
get
vaccines
safely
into
people's
arms
as
quickly
as
we
possibly
can,
and
so,
as
we
are
moving
through
this,
we
are
getting
faster
and
you
know
identifying
the
logistical
challenges
and
and
ways
to
overcome
those
challenges,
and
I
think
that
it
is
only
going
to
improve
as
we
move
forward,
and
you
know.
Ultimately,
our
goal
is
to
make
sure
that
we
are.
U
We
are
leveraging
that
traditional
infrastructure
that
we
use
for
vaccines
and
the
providers
that
regularly
vaccinate
folks
we
want
to
get
vaccine
into
their
hands
when
at
the
appropriate
time
when
they
can
vaccinate
according
to
the
phase
that
we're
in
and
and
really
utilize
that
infrastructure,
so
that's
dependent
on
the
amount
of
vaccine
that
we
have
coming
in,
but
that,
ultimately,
those
are
our
two
big
goals.
As
we
move
forward.
C
And
just
one
last
comment
from
the
state
perspective,
I
think
you
know
just
to
kind
of
reiterate
how
important
all
of
these
partnerships
are
and
these
feedback
loops-
and
I
think
from
the
state
level-
and
I
think
you
know-
we've
all
learned
so
much
in
an
ongoing
basis
in
this
pandemic
and
as
dr
sergenko
mentioned,
you
know
many
many
people
in
health
care,
centers
and
certainly
local
health
departments
have
done
mass
vaccine
clinics.
C
You
know
for
various
things,
flu
clinics
for
sure
and
sometimes
for
things
like
meningococcal
vaccine,
but
there's
just
new
challenges
that
have
shown
up
that
people
were
thinking
about,
but
the
devil
is
always
once
you
actually
start,
and
so
I
think
it's
really
great
for
you
all
to
hear
some
of
the
nitty
gritty
things
that
happen
that
you
know
and
the
vaccine
arrived
in,
the
middle
of
our
you
know
huge
surge.
C
So
a
lot
of
our
health
care
system
again
is
is
stretched
and
in
the
middle
of
the
holidays,
and
people
are
so
tired
after
this
pandemic.
I
think
if
it
had
just
hit,
everyone
would
have
rallied
on
you
know
christmas
day,
but
I
think
you
know
so
much
of
our
system.
You
know,
and
all
of
you
and
our
communities
are
so
tired
of
this
pandemic.
C
So
I
think
you
know,
I
think
it's
been
a
little
bit
slower
ramp
up
than
many
of
us
hoped,
but
I
think
just
as
ken
has
mentioned,
I
really
do
think
you
know
things
are
really
ramping
up
and
and
on
the
state
level
as
well.
As
I
mentioned
in
the
beginning
of
this
committee
meeting.
We're
also
really
trying
to
look
at
where
some
gaps
are,
that
we
can
help
fill
help,
provide
resources.
Think
about
that
with
the
equity
lens
as
well
to
to
get
doses
into
people.
C
So
thanks
for
the
the
community
patience
on
this-
and
I
think
you
know-
we
continue
to
get
better
with
every
step.
B
Thank
you
so
much
dr
pon,
and
I
want
to
thank
eric
and
kim
for
their
leadership
every
day
and
doing
this
very,
very,
very
hard
work
and
open
it
up
for
some
questions.
I
know
there
are
lots
of
questions
in
the
chat
and
we'll
try
to
get
to
as
many
as
we
can
and
if
we
don't
have
a
chance
to
get
to
your
question,
just
go
ahead
and
throw
it
in
the
chat
and
we
will
respond.
B
Try
commit
to
getting
a
response
to
you
so
bobby.
If
you
want
to
facilitate
our
discussion.
A
Thank
you.
So
we
have
lots
of
questions
and
I
want
to
ask
you
to
do
two
things.
Don't
ask
six
questions
when
you
have
time
for
one
please,
because
it
just
cuts
off
what
everybody
else
can
do
and
don't
forget
to
introduce
yourselves
so
first,
I
want
to
start
with
jake
snow
and
see
jake
from
the
aclu.
If
you,
your
question,
got
answered
or
if
you'd
like
to
ask
it
to
dr
ponn
or
any
of
the
other
cdph
staff
that
are
available.
G
Thanks
so
much,
I
really
appreciate
it
again:
jake
snow
with
the
aclu
of
northern
california.
My
question
is
about
the
information
collected
about
vaccine
recipients
who
get
the
vaccine
through
through
a
pharmacy
or
or
maybe
another
private
partner.
G
You
know
we've
seen
indications
that
pharmacies
are
actually
requiring
social
security
numbers
or
some
other
state
identification
number
as
part
of
the
form
in
order
to
get
a
vaccine
and
cbs,
for
example,
has
posted
a
form
that
includes
a
requirement
of
that
information,
and
it
says
that
it's
necessary
in
order
to
get
a
vaccine
paid
for
for
an
uninsured
person.
So
two
things
about
that.
G
First
of
all,
as
far
as
I
can
tell
it's
not
necessary
to
get
a
vaccine
to
have
a
social
security
number,
it
might
speed
the
process,
but
it's
not
necessary.
If
you
look
at
the
website
for
the
health
resources
and
services
administration
and
then
second,
some
communities
might
be
hesitant
to
get
a
vaccine.
If
they
see
government
identification
numbers
social
security
numbers
state
driver's
license
numbers
being
a
requirement
on
the
form
when
they
go
to
get
a
vaccine
from
a
pharmacy.
G
So
my
question
is:
how
can
california
department
of
health
or
or
state
departments
of
health
address
that
hesitance
avoid
that
hesitance
and
ensure
that
private
partners
are
doing
the
same
thanks
very
much.
U
C
A
question
I
will
need
to
take
back.
I
think,
that's
really
helpful
to
know
I.
I
have
been
hearing
more
about
other
regional
pharmacy
partnerships
that
the
cdc
has
started
to
work
on
where
there
are
different
things.
Pharmacies
are
doing
so
I
think
that
is
important
unless
dr
schechter
wants
to
add,
or
has
other
information
to
share
about.
C
That
all
right,
we'll
come
back
to
you
all
with
with
that
in
the
next
meeting.
A
V
Yeah,
thank
you
bobby,
and
I
saw
denny
responded
in
the
chat
that,
if
you're
on
medi-cal
medi-cal
can
help
pay
for
you
to
get
transportation
to
the
vaccine.
This
question
came
from
the
president
of
my
board,
who's
blind
and
I
think
it's
an
issue.
That's
come
up
in
the
blindness
community,
but
I'm
sure
it
actually
comes
up
for
lots
of
communities
that
have
transportation
barriers.
B
That's
a
great
question
andy,
and
I
want
to
loop
into
that.
I
want
to
just
ping
that
to
our
public
health
officers
and
loop
into
that
there
was
a
question
about
whether
ihss
workers
might
be
part
of
distributing
the
vaccines
possibly
to
persons
in
their
home.
I
wanted
to
ask
the
question
of
are:
are
there
kind
of
because
of
the
cold
chain
requirements
and
the
the
desire
not
to
waste
any
vaccine?
Does
that
put
limitations
on
the
ability
to,
for
example,
distribute
vaccines
to
individuals
in
their
homes.
T
But
it
really
does
become
a
challenge
for
two
reasons:
one
is
maintaining
the
cold
chain.
Both
the
moderna
and
pfizer
vaccines
have
a
requirement
for
a
cold
chain,
even
though
there
is
some
survivability
after
it
comes
after
the
pfizer's
been
reconstituted,
you
have
to
use
it
within
six
hours
after
the
the
modernity
vial
has
been
punctured.
I
believe
it's
an
eight
hour
window,
so
it
makes
it
a
challenge
to
do
operations
like
that,
where
you're
going
to
door-to-door
or
going
to
clients.
T
The
other
concern
I
would
have
is
that,
even
though
it's
rare
adverse
effects
do
happen
and
if
you're
in
a
rural
setting
or
you're
in
an
area
far
away
from
ems,
if
you
have
an
adverse
reaction-
and
you
aren't
prepared
to
deal
with
that,
it
becomes
a
challenge-
an
ihss
provider,
as
an
example
probably
doesn't
have
that
experience
to
deal
with
an
adverse
reaction.
Should
it
happen?
T
So
I
think
getting
to
andy's
question
is:
is
arranging
for
transportation
to
where
the
vaccine
is
being
administered?
Is
the
logistics
hurdle
and
something
that
we've
been
doing
in
our
registry
is
is
asking?
Do
we
need
to
support
your
coming
to
the
to
the
vaccine
site
and
making
arrangements
for
that?
Yeah
medi-cal
does
pay
for
transportation,
but
there
has
to
be
an
exist,
existing
transportation
system
so
we're
actually
even
building
out
within
our
health
and
human
services
agency.
W
Sorry
about
that
delay,
hi
thanks,
heather
harrison
with
the
california
assisted
living
association.
Thank
you,
everybody
for
the
work
here.
I
wanted
to
circle
back
to
the
discussion
about
health
care
workers
and
seniors
in
congregate.
Settings
we're
tier
one
of
round
one
a.
I
know
the
pharmacy
partnership
part
b
just
got
activated
and
the
clinics
will
start
sometime
next
week.
W
A
Thanks
heather,
this
is
a
continuing
saga
here.
I
know
erica
had
to
jump
off
anything
you
want
to
add
to
heather's
or
ron.
F
Our
understanding
is
that
with
the
schedule
starting
next
week
that
that
the
two
pharmacies
will
be
trying
to
reach
those
facilities
over
for
first
visits
over
a
period
of
closer
to
a
month
of
three
to
four
weeks
and
we'll
certainly
be
watching
that
closely,
along
with
our
local
health
department
partners,
to
to
watch
for
for
any
delays
beyond
that.
But
the
current
schedule
would
be
for
for
a
quicker
start
and
reaching
more
places
soon.
W
Thanks
for
that
yeah,
I
think
it's
important
to
keep
an
eye
to
that
what
options
are
available
if
we're
looking
at
a
month,
while
we
start
vaccinating
other
other
populations,
what
can
we
do
to
bring
those
vaccines
to
these
seniors
and
these
frontline
workers
in
the
meantime,
so
that
they're
we're
not
waiting
another
month
to
get
their
first.
F
F
Certainly,
local
health
departments
are
looking
at
their
resources
and
their
options
for
for
bringing
staff
in
or
getting
doses
out
to
the
facilities
and
are
watching
that
calendar
closely
as
well.
Well,.
T
Yeah
I'll
volunteer
that
it
in
tuolumne
we
made
the
decision
with
one
of
our
skilled
nursing
facilities,
recognizing
when
they
would
be
on
the
calendar
for
walgreens
cvs
to
do
their
work.
There
is
that
we
identified
the
more
at-risk
clients
within
that
sniff
and
then
the
health
care
workers
and
went
ahead
and
used
the
county
distribution
to
address
that.
T
The
downside
of
that
is
that,
in
terms
of
the
calculations
that
were
done
for
vaccine
distribution
is
the
numbers
for
the
sniffs
in
the
assisted
living
facilities
were
apportioned
to
cvs,
walgreens
and
not
to
the
county.
We
may
not
be
able
to
reclaim
those
doses
down
the
road,
but
again
we
felt
like
protecting
our
most
at
risk.
Most
vulnerable
population
was
important.
U
And
I
think
we're
doing
something
similar
in
riverside
we're
tracking,
where
we
have
the
number
of
cases
by
facility
by
staff
and
by
residents,
and
so
if
it
looks
like
it's
going
to
be
far
out
before
we
get
to
those
through
the
pharmacy
partnership,
then
we
would
definitely
be
open
to
looking
at
doing
them
ourselves.
Resources
are
stretched
tight,
but
this
is
our
very
vulnerable
population,
and
you
know
the
state
has
been
a
great
partner
and
I'm
sure
that
we
could
figure
out
the
the
allocation
piece
after
the
fact.
W
That's
great
that's
great
to
hear
we
certainly
want
to
be
as
creative
and
nimble
as
possible.
A
Thanks
heather
for
continuing
to
bring
this
issue
up
lisa
did
you
want
to
make
a
comment
still.
X
I'm
kind
of
piggyback
on
what
heather
was
saying,
and
I
really
hope
that
that
robert,
you
are
right
because
I
had
conversations
just
this
morning
with
ombudsman
coordinators
from
some
large
counties
and
they're
getting
literally
frantic
phone
calls
from
administrators
of
assisted
living
facilities
that
are
being
told
march,
and
so
not
not
30
days
we're
looking
at
90
days
and-
and
my
fear
is
that
there's
going
to
be
so
much
pressure
from
these
other
tiered
organizations
to
to
get
the
vaccine
out
to
them
that
we're
just
going
to
plow
and
skip
over
the
long-term
care
residents.
X
So
I
had
a
real
specific
question:
cdph
issued
a
a
you
know
their
massive
spreadsheet
on
january.
Third,
that
listed
all
of
the
list,
all
of
the
assisted
living
facilities
and
skilled
nursing
facilities
that
were
participating
in
the
walgreens
cvs
pharmacy.
So
I
was
just
focusing
on
the
skilled
nursing
because
we
haven't
really
triggered
the
assisted
living,
so
we've
got
1230
skilled
nursing
facilities
to
date.
X
X
But
I
appreciate
that
this
is
really
hard.
I
appreciate
that
there
were
two
major
holidays
between
december
24th
and-
and
so
I
I
don't
mean
to
sound
so
incredibly
harsh
and
then
my
camera
freezes.
So
I
I'm
looking
really
funny,
as
I'm
saying
these
things
too,
but
yeah
so
out
of
out
of
1230
465
should
have
been
done.
F
We
have
we
have
data
from
from
yesterday
of
around
200
within
the
pharmacy
partnership
program
and
another
few
hundred
in
los
angeles,
and
I
don't
know
how
up
to
date,
those
those
data
are
so
below
the
below
the
one-third
mark
that
that
you're
quoting,
but
I'm
not
sure
where,
in
between
the
200
and
400
we
are
as
of
this
afternoon,.
A
So
rob
can
you
advise
lisa
and
everybody
else
on
the
committee?
What's
the
best
way
to
keep
up
to
date
with
or
as
up
to
date,
as
the
data
is
with
how
the
program
is
unfolding
across
the
state.
A
Okay,
well,
I
guess
we
all
have
to
take
a
deep
breath.
This
is
a
tough
one
and
I
know
there's
so
many
people
on
the
committee
and
listening
in
that
are
concerned
about
this
issue,
as
as
we
all
are.
Unfortunately,
we
have
lots
more
questions,
but
we've
already
run
over
on
this
section
of
the
agenda.
A
So
for
those
of
you
that
still
have
questions,
if
you
could
put
them
in
the
chat
and
if
we
have
time
at
the
end
of
the
meeting,
we
can
cover
a
couple
more
and
we
will
circle
back
with
more
answers
to
more
questions
over
the
next
couple
of
days.
Nadine.
B
B
Next
slide,
please
in
our
last
meeting
you
all
heard
a
bit
or
not
last
meeting,
but
the
meeting
before
you
heard
more
a
bit
about
our
vaccinate,
all
58
campaign,
and
we
heard
a
bit
from
maricela
rodriguez
about
from
the
governor's
office
about
how
we
are
planning
and
and
beginning
to
to
some
of
our
communications
work,
and
I
wanted
to
highlight
that
when
we
talk
about
you,
we
recognize
you
know
again
coming
back
to
our
key
foundational
principles
of
safety,
equity
and
transparency
when
we
think
about
what
that
means
and
our
framework
around
equity.
B
In
this
conversation,
I
want
to
just
highlight
and
reflect
to
everyone
that,
when
we're
talking
about
equity,
there
are
a
couple
of
different
ways
that
we
operationalize
that-
and
we
heard
earlier
anthony,
asked
the
question
about.
What's
the
remedy
right
when
we're
we're
identifying
issues
of
equity
and-
and
one
part
of
that
is,
as
anthony
mentioned
us
tracking
the
data
to
understand?
How
are
we
doing
do
you
know?
B
Where
are
we
in
terms
of
equity,
and
that
is
what
dr
chapman
introduced
at
the
beginning
in
terms
of
looking
at
potential
metrics
looking
at
the
healthy
places
index
and
hearing
your
feedback
about
other
potential.
B
Measures
for
addressing
understanding,
you
know
what
we
can
use
for
a
vaccine
equity
metric.
So
we're
very
grateful
to
dr
chapman
for
all
the
work
that
he
and
his
teams
are
doing
in
cdph
around
developing
a
vaccine,
equity
metric
and
then
once
we
have
that
data.
B
Once
we
have
that
information,
there
are
a
couple
of
different
ways
that
we
use
that
one
of
the
ways
that
we
incorporate
equity
into
this
process
is
through
the
work
of
the
drafting
guidelines
committee
right
and
consideration
of
equity
in
our
tiering
framework
and
looking
at
the
data
and
using
that
to
incorporate
that
into
our
tiering
framework.
So
this
is
the
work
that
has
already
happened.
B
Your
input
into,
and
this
conversation
being
taken
back
to
the
drafting
guidelines,
work
group
and
being
incorporated
in
the
the
tiering
frameworks,
as
we
are
pulling
them
together
and
then.
Another
key
part
of
how
we
are
operationalizing
equity
is
with
our
communication
framework
and
that's
what
we're
going
to
hear
a
little
bit
more
about
now
right,
so
making
sure
that
we
are
effectively
communicating
to
make
sure
that
every
californian
has
access
to
information
about
how
to
how
they
get
the
vaccine,
evidence-based
information
and
and
and
culturally
relevant
information.
B
And
as
we
move
forward
next
slide.
Please
taking
into
into
that
that
process
right.
We
we
spoke
about
our
our
framework,
our
communications
framework,
which
includes
an
acknowledgement
of
the
complex
and
nuanced
personal
and
community
experiences,
and
an
understanding
that
lived
experiences,
shape
willingness
to
accept
the
vaccine,
a
commitment
to
engagement
by
partnering,
with
diverse
communities
across
the
state
to
share
knowledge
and
information
about
the
covet,
vaccines
and
action
by
providing
everyone
living
in
california
with
culturally
competent
facts,
fact-based
messages
so
that
they
can
make
an
informed
decision
to
vaccinate.
B
And
you
know
following
our
presentation
of
that
framework.
What
we
heard
back
from
you
was
that
you
also
wanted
us
to
see
that
the
this
framework
informed
with
principles
of
safety,
equity
and
transparency,
and
so
that
has
been
shared
back
with
all
of
our
teams
and
that
is
being
incorporated
as
part
of
our
efforts.
B
Next
slide,
please
what
we
also
heard
from
you
was
feedback
on
what
some
of
the
the
barriers
are
and
then
also
what
are
the
some
of
the
motivating
factors
that
help
people
make
the
decision
to
vaccinate,
and
so
we
heard
lots
of
different
factors:
some
logistics,
some
personal
about
you,
know
payment
criteria,
special
conditions,
trust
you
know,
risk
and
protective
factors,
cultural,
social
and
historic
factors,
confidentiality
safety
concerns,
capacity,
building,
general
safety,
cost
accessibility,
eligibility
all
of
these
things
and
also
clear
communication
about
when
and
how
to
receive
the
vaccine
next
slide,
please,
and
so
as
we.
B
What
we
would
like
to
do
now
is
share
with
you
all
what
we've
heard
in
some
of
the
research
that
we
have
done
here
within
the
state
from
our
department
of
public
health
and
for
that
I'll
turn
it
over
to
martha.
Who
will
be
able
to
share
a
little
bit
more
about
some
of
the
data
that
we've
received
and
then
hear
from
you
all.
B
Y
Yes,
thank
you.
Yes,
we
wanted
to
kind
of
highlight
couple
of
key
takeaways
from
the
literature
review
we've
been
doing.
We
still
have
an
ongoing
literature
review.
We
are
committed
to
do
a
very
robust,
especially
on
the
latest
and
greatest
of
the
academic
findings,
but
we
wanted
to
kind
of
just
sort
of
share
that
this
resonates
with
the
feedback
that
you
guys
had.
The
literature
has
told
us
that
communities
want
access
to
credible
information
and
they
want
detailed
information.
They
also
want
to
know
about
the
transparency
of
the
vaccine
development.
Y
They
want
to
get
educated
on
the
types
of
vaccines
they
want
to
make
that
informed
decision
on
which
vaccine
really
would
work
best
for
them
and
for
their
families.
They
want
to
know
about
the
phase
distribution
timing,
the
safety,
the
eligibility,
the
costs.
Where
can
I
get
it
sort
of
the
common
things
that
we've
been
hearing
the
risk
and
the
benefits
of
the
vaccine?
Any
potential
side
effects
short
term
long
term.
They
really
want
to
have
that
clear
understanding.
Y
A
really
important
and
critical
one
has
been
cultural
and
social
factors.
They
really
want
to
know
if
the
research
based
on
the
vaccine
trials
was
really
under
steady
among
the
communities
that
reflect
their
communities.
Y
Did
doctors
like
them
approve
the
vaccine?
Did
they
have
an
input?
The
communities
really
want
to
know
detailed
steps
on
the
development
and
process.
We
also
know
that
attitudes
and
perceptions
are
divided
and
are
changing.
They
also
just
and
the
point
about
efficacy.
They
really
want
to
understand.
Y
You
know
the
safety
around
the
vaccine
and
they
really.
That
has
been
a
very
strong
theme
that
the
communities
are
asking
a
lot
of
questions.
The
willingness
to
adopt
continues
to
be
fluctuating
and
has
fluctuated.
So
it's
something
that
we're
monitoring
through
the
various
data
sources
and
research
next
slide.
Y
We
wanted
also
kind
of
we
were
able
to
find
additional
insights
from
some
of
our
partners
from
the
kaiser
family
foundation,
the
dubant
and
ppic
organizations
that
they've
been
doing
national
surveys,
and
also
here
in
california,
but
some
key
motivators
that
we
found
that
we
want
interesting,
and
we
wanted
to
share-
is
that
you
know
communities
want
to
return
to
normal.
The
safety
of
the
vaccine
and
the
immunity
family
has
become
and
shown
as
a
very
powerful
motivator.
Y
Y
They
also
want
to
understand
and
hear
that
the
vaccines
will
help
bring
that
pandemic
to
an
end,
we're
we're
hearing
about
the
hesitation
and
the
tiredness
that
communities
have.
They
really
are
looking
for
this
solution.
They
also
want
to
the
message
that
also
is
resonating
quite
well
with
them.
Is
that
vaccine
will
help
them
keep
themselves
their
family
and
their
communities,
health
and
safety?
They
really
want
that
reassurance
and
assurance
along
the
way.
Next
slide.
Y
Specifically,
we
have
also
looked
at
some
of
the
disproportional
communities.
We
will
continue
to
monitor
other
communities
but
key
insights
among
the
latino
latinx
community.
This
is
one
particular
group
that
is
more
motivated
by
the
statement
about
taking
the
vaccine
and
and
knowing
that.
That's
the
right
thing
to
do,
then,
by
getting
the
vaccine,
keep
your
family
and
friends
healthy
and
safe.
So
the
the
message
or
the
statement
that
it's
the
right
thing
to
do
really
resonated
with
them.
Y
There
are
also
more
motivated
than
the
general
public
by
the
potential
stop
of
wearing
a
mask,
and
they
really
are
looking
forward
to
that
vaccine.
They
want
to
change
their
their
social
norm
of
what
they've
been
practicing
regarding
the
consequences
for
not
getting
a
vaccine.
There
was
a
series
of
statements.
Y
The
latinx
americans
really
ranked
that
the
potential
for
their
family
and
friends
to
become
ill
was
something
that
concerned
them,
and
that
was
something
that
also
potentially
would
motivate
them,
as
opposed
to
a
statement
about
damaging
the
economy
which
ranked
the
highest
by
all
respondents,
but
for
the
latino
community.
Y
Y
Key
insights
on
the
african-american,
the
black
community:
this
is
a
community
that,
within
the
vaccine,
it's
there's
a
generational
divide
and
it's
more
pronounced
among
black
americans
when
it
comes
to
what
outcomes
matters
most
in
this
pandemic.
Y
This
is
like
latinos
they're,
not
monolithic,
because
it's
something
that
we
continue
need
to
monitor,
but
the
also
the
statements
about
returning
to
normal,
the
desire
about
that,
especially
among
african
americans
under
50,
but
those
that
were
over
50
saving
lives
seem
to
be
the
highest
priority.
So
there's
you
can
start
to
see
some
differences
on
the
messaging
that
within
the
community
they
want
regarding
the
consequences
similar
to
the
latino.
Y
They
really
ranked
the
potential
of
their
family
and
friends
to
become
ill.
That
was
as
opposed
to
the
economy.
So
you
can
see
some
similarities
between
the
two
communities
next
slide.
Please.
Y
Some
key
insights
in
progress
on
we're
still
continuing
to
monitor
research,
for
you
know
the
black
community,
indigenous
community,
people
of
color
asian
pacific,
islander
middle
eastern
north
african.
We
also
want
to
have
some
more
insights
on
diverse
audience.
Segmentation,
such
as
people
with
disability,
lgbtq
plus
people
with
pre
existing
conditions,
people
experience
homeless,
farm
workers,
we're
still
exploring
and
getting
additional
more
data.
Y
We're
also
going
to
be
looking
at
in
culture
and
language
findings
within
the
communities,
because
messaging
within
those
languages
will
also
matter,
and
I
think
I
punch
it
back
to
you.
Thank
you,
dr
burke,
harris.
B
Thank
you
so
much
martha.
Thank
you
for
doing
this
important
work,
and
so
we
want
to
take
a
moment
to
get
your
input
and
insights.
We'll
move
to
the
next
slide.
We'd
love
to
hear
your
feedback.
Do
these
insights
resonate,
and
you
know
what
communications
tools
do
you
all
think
would
be
beneficial,
so
we'd
like
to
go
one
question
at
a
time
if
we
want
to
jump
in
first
with
whether
or
not
these
insights
are
resonating
or
and
and
if
so,
how.
A
Great
okay:
we've
already
got
lots
of
people
who
want
to
talk
so,
let's,
let's
start
with
dr
tom
and
then
we'll
go
to
melissa,
stafford
jones
and
then
we'll
go
to
ronnie
kelly
and
then
to
deborah.
Z
Thanks
bobby,
I
would
say
that
this
very
much
resonates
with
my
experience,
and
I
want
to
just
thank
you
for
doing
that.
Literature
search,
I
learned
quite
a
bit
as
well.
So
thank
you
very
much.
I
think
one.
One
thing
that
I
would
also
emphasize
is
so
we
talked
a
lot
about
what
the
message
is.
Z
I
also
want
to
raise
that
it's
important
in
terms
of
who
the
messenger
is
right,
and-
and
so
I
think
that
that
we've
talked
about
this
in
in
other
conversations,
but
but
the
importance
of
having
people
of
color
health
care
providers
from
the
torres
community
health
workers
that
that
identify
with
the
populations
in
in
dialogue
is,
is
very
important
and
that's
also
backed
up
in
in
the
literature
as
well
I'll
just
say
that
one
of
my
patients,
I
had
a
conversation
with
her
about
vaccine
hesitancy
and
she
was
very
concerned
about
how
the
vaccine
was
developed
for
white
folks
and
not
for
black
folks,
and
I
shared
with
her
that
I,
with
a
group
of
people
meet
with
dr
burkharis
every
other
week
and
dr
brooke
harris
has
really
emphasized
the
importance
of
equity
and
she
was
like
okay,
okay,
let's
talk
more
about
this,
and
that's
really,
I
think
I
mean
it's.
Z
You
know
the
surgeon
general
is,
you
know,
holds
a
lot
of
weight,
that's
you're
a
great
messenger,
but
but
also
because
my
patient
felt,
like
you,
you
know
you're
part
of
the
community
that
she
belongs
to,
and
so
that's
that's.
This
credibility
that,
I
think
is
is
really
important,
cannot
be
understated.
A
Thanks
dr
todd,
melissa.
AB
Hi
ronnie
kelly
county
behavioral
health
directors
association.
I
would
say
that
everything
all
of
these
points
are
really
resonating
in
our
communities
in
the
county
that
I'm
in
in
san
bernardino
county.
We
have
done
listening
sessions
to
our
communities
of
color
and
it's
very
difficult
not
to
jump
in
when
someone
says
something
like
well,
it's
not
been
tried
on
my
people
to
to
refute
it
and
come
up
with
an
answer
when
what
they
want
is
to
be
heard.
AB
So
I
think
that
is
a
great
way
to
really
address
equity
and
do
it
in
a
really
transparent
way,
and
then
also
the
mental
health
community
has
a
long
history
like
our
just
our
other
disabled
communities,
of
really
being
mistreated
by
the
medical
system.
You
know
writ
large,
especially
when
you
think
about
things
like
psychosurgery,
that's
been
done
to
them,
and
so
what
we've
found?
AB
What
we've
heard
from
our
clients,
the
people
who
have
serious
mental
illness
that
we
are
serving
in
the
the
state
is
that
they
trust
their
providers,
so
they
trust
their
their
therapist.
They
they
trust
their
psychiatrist
because
they
don't
see
them
as
being
part
of
the
bigger
medical
system.
And
so
I
think,
if
we
listen
to
them
like
what
we're
listening
with
the
research
that
will
really
help
advance
the
ability
for
these
folks
to
make
that
decision
and
get
vaccinated.
A
Thanks
ronnie
deborah.
I
I
I
think
that's
a
barrier
and
I
also
feel,
like
we've
got
to
figure
out
a
way
to
message
over
that,
given
the
pathways
and
and
also
given
the
you
know,
information
that
you
replied
which
completely
resonates
with
our
communities
as
well,
you
just
need
to
find
some
a
well-trusted
mentor,
a
well-trusted
person
that
can
deliver
the
message,
I'm
getting
the
vaccine.
You
should
get
it
too,
because
I
do
know
that
that
chatter
is
in
the
community.
A
lot
of
people
know
that
health
care
systems
are
not
getting
really
high
rates
of.
A
Thanks
debra
carol,
do
you
want
to
comment
on
the
question
about
do
the
insights
that
were
presented
resonate
with
you
and
your
constituents.
AC
Sure
I'm
carol
greene
with
california
state
pta,
I
was
going
to
say
something
sort
of
what
deborah
just
said
about
about
the
people
hearing
about
the
medical
community,
not
all
jumping
on
and
quickly
taking
the
vaccines.
I
think
that
the
points
resonate
for
the
most
part.
I
just
think
that
we
need
to
also
have
a
strategy
for
combating
the
misinformation.
AC
That's
out
there
we're
just
on
a
call
today
and
someone
said
to
me:
well,
I
heard
that
it
it
it
sterilizes
people-
and
this
is
the
fourth
person
I
took
that
from,
and
I
said
well
there,
and
so
I
just.
I
would
really
like
for
us
to
have
some
ways
to
combat
the
this
information
and
the
person
who
told
this
other
person
was
a
teacher
at
a
school
that
was
having
a
conversation
with
the
class
that
we
just
don't
know
very
much
about
it.
AC
So
I
just
really
think
we
need
to
get
some
tools
to
combat
the
misinformation
and,
and
then
they
said
well.
Where
did
it
come
from?
And
I
said
well:
where
did
all
these
conspiracy
theories
things
come
from,
but
but
we
still
have
to
have
some
tools
that
so
I
think
that
the
messages
are
great
and
I
think
we
just
need
to
also
have
some
tools
for
the
misinformation.
That's
out
there.
B
Thank
you
thank
you
carol,
and
I
just
because
this
is
a
public
meeting.
I
just
want
to
be
on
the
record
and
being
very
clear
that
that
is
false.
It
is
a
myth.
The
the
vaccine
does
not
sterilize
people,
and
the
second
thing
I
actually
wanted
to
speak
to
was
something
from
the
slide
around
the
not
wearing
mass,
and
I
just
want
to
be
clear
that
at
this
point,
even
when
people
are
vaccinated,
we
still
need
to
wear
masks,
and
so
I
just
wanted
to
get
those
points
clarified.
A
AA
Bobby
melissa,
stafford
jones
with
the
first
five
association
of
california,
I
wanted
to
just
share
a
few
reflections
from
our.
AA
AA
S
AA
Lessons
learned
from
the
census,
I
wanna
just
reiterate
what
was
stated
before
around
having
targeted
messages
that
really
resonate
with
specific
groups
in
localities
as
well
as
from
trusted
messengers.
We
know
is
critical,
but
I
just
want
to
share
a
few
other
lessons
learned
from
our
census
work
and
from
that
of
our
our
partners
around.
AA
That
one
is
that
the
use
of
short
videos
15
to
30
second
videos
from
trusted
messengers
that
can
be
used
in
a
variety
of
formats,
whether
it's
social
media
or
right
in
the
moment
on
a
phone
talking
to
someone,
we
really
found
to
be
a
very
useful
and
powerful
tool,
and
that
can
be
really
from
trusted
messengers,
very
customized,
really
short
and
so
hoping
that
that's
part
of
the
toolkit
and
the
campaign
thinking
that
people
are
thinking
about
and
also
I
noted
that
there
was
use
of
psas,
and
I
just
want
to
say
we
also
found
that
particularly
in
areas
with
limited
internet
access
or
limited
social
media
access.
AA
Psas
are
very
important,
so
just
want
to
express
appreciation
that
that's
there
and
that
keeping
that,
as
sort
of
a
vital
part
of
the
campaign
we
found
in
the
census,
work
is
really
critical.
Thank.
Q
Hi
there
crystal
crawford
western
center
on
law
and
poverty.
My
comment
is
really
related
to
the
first
question,
but
relates
to
the
second
one
too.
Q
The
the
framing
that
worked
for
folks
around
protecting
their
family
and
friends
to
me
connects
to
this
notion
that
we
need
to
lift
up
for
folks
that
this
is
the
right.
It's
a
it's
a
good
choice
for
them
to
make
to
take
the
vaccine
as
opposed
to
us
telling
them
that
they
must
take
the
vaccine
and
if
they
don't
they're,
not
responsible
it.
Q
It's
your
decision
kind
of
like
the
tools
in
your
toolkit
approach,
right
that
we
use
in
sexual
health
and
prevention
work,
and
I
think
that's
just
a
really
important
nuance
to
what
you've
heard
from
folks
in
in
your
survey
and
questioning.
AD
Hi,
can
you
hear
me
sorry,
yeah,
hello,
hi?
My
name
is
carolyn
tomorrows,
I'm
from
the
indian
health
service
here
in
the
california
area
office.
I
wanted
to
address
the
type
of
communication
mode
that
could
be
that
should
be
taken
into
account
when
communicating
to
native
american
communities.
A
lot
of
our
communities
are
located
in
rural
areas.
That
may
not
have
wi-fi,
so
they
may
not
be
able
to
get
email
or
certain
internet
capabilities
where
they
can
access
this
information.
AD
A
Thank
you,
carolyn,
really,
good
suggestion
voices.
Why
don't
we
take
a
comment
from
you
and
then
we
have
another
short
presentation
on
this
topic.
AE
Yeah.
Thank
you.
This
says
that,
on
with
the
california
alliance
for
childhood
family
services,
I
was
thinking
people
were
talking
about
the
messenger
somebody
that
would
be
credible,
but
I
think
that
in
some
communities
we
need
to
identify
what
that
means
and
that
frequently
somebody
that
it's
emulated
or
that
may
have
star
power,
for
example,
latino
community.
If
you
were
to
take
a
soccer
star
being
able
to
really
show
that
they're
doing
this
and
be
able
to
communicate
the
reasons
why
they're
doing
it.
AE
You
know
in
a
brief
message,
could
have
a
lot
of
power
where
you
don't
have
to
go
into
a
lot
of
details.
The
same
something
similar
in
san
diego,
the
department
of
behavioral
health.
I
could
develop
a
whole
program
using
the
concept
of
telenovelas,
which,
as
a
means
to
be
able
to
communicate
these
messages
in
a
way
that
feels
congruent
to
to
the
community
without
having
again
to
address
a
lot
of
the
the
specifics,
but
rather
doing
in
a
manner
that
resonates
and
also
with
people
that
resonate
with
the
community.
A
Thank
you
for
that.
Okay,
I
think
we're
ready
to
hear
from
maricela
rodriguez
from
the
governor's
office
about
the
continuation
of
this
discussion
on
community
engagement,
maricela.
AF
Hi
are
the
slides
going
to
go
up
great
there.
They
come,
and
I
just
want
to
give
martha
a
shout
out,
because
I
feel
like
that.
There's
been
comments
on
census
now
and
then
before
and
she's
helped
spearhead
the
communications
work
over
at
the
census
office
and
she's
now
stepping
in
to
help
with
the
ongoing
work
that
we
do
on
the
communications
front
as
it
relates
to
the
public
education
campaign.
AF
So
we
do
want
to.
We
are
intentional
about
how
we
leverage
our
knowledge,
our
learnings,
our
infrastructure,
to
give
us
a
leg
up
in
developing
this
campaign,
so
appreciation
to
her
and
other
folks
in
the
census
office
who
have
been
working
with
us
to
help
and
provide
insights
to
how
we
move
forward.
AF
So
just
quick
reminder
that
you
know
when
we,
when
I
presented
last,
we
launched
with
the
campaign
we
launched
with
just
a
few
tools
that
we
put
into
the
toolkit.
We
had
some
social
media
messages,
graphics
fact
sheet
that
was
translated
and
we
continue
to
translate
in
additional
languages
and
as
they
get
translated
they're
plugged
into
our
toolkit.
AF
As
you
may
recall,
the
logos
also
were
created
logos
for
each
each
county,
so
they
could
quickly
be
lifted
and
adopted
for
those
who
choose
to
do
so,
trying
to
make
it
as
easy
as
possible
for
folks
to
jumpstart
their
own
campaigns
and
communications.
AF
I
wanted
to
mention
that
you
know,
as
we
move
into
the
next
phase,
we
we
want
to
recognize
that
we
have
sort
of
a
multi-pronged
approach.
We
have
two
major
audiences.
We
have
all
californians
right.
Everyone
knows
the
vaccine
is
here.
We
need
to
continue
to
relay
so
those
basic
informations
that
we've
talked
about
before,
but
we
also
have
this
one.
We
have
a
phased
approach,
so
we
also
want
to
be
targeted
and
intentional
about
reaching
those
populations.
AF
So
we
have
two
tracks
that
are
running
at
a
pair
on
parallel
tracks
and
just
wanting
to
highlight
that's
the
approach
that
we're
taking
and
so
in
the
previous
presentation
that
we
did.
Some
of
the
information
that
was
collected
was
you
know
those
key
messages
that
we
need
to
continue
to
relate
to
everybody,
to
build
confidence
in
the
vaccine
target.
You
know
tackle
some
of
the
myths
and
disinformation
that
was
raised
earlier
in
the
conversation
around
safety
effectiveness,
it's
at
no
cost.
AF
AF
For
for
all
audiences,
this
is
just
again
just
to
begin
with
this.
This
campaign
will
continue
to
develop
additional
assets,
but
moving
quickly.
Two
basic
assets
that
we
want
to
have
is
one
is
a
general
public
service
announcement
that
covers
the
basics,
just
the
facts,
those
key
messages
that
we've
talked
about
before
and
then
based
on
the
the
conversation
we
had
with
this
committee
previously
having
something
that
can
also
be
very
visual
for
folks
that
highlights
those
key
messages
and
simple
form,
simple
and
gives
us.
AF
AF
And
so
as
we
look
at
1b
populations,
you've
heard
you
know
this
is
going
to
be.
You
know
a
very
big
challenge,
and
so
we
we
want
to
create
content
that
is
tailored
to
particular
audiences,
as
you
heard,
martha
run
through
there's
particular
messages
that
are
going
to
resonate
more
with
specific
populations.
We
want
to
ensure
that
we're
also
leveraging
trusted
messengers
to
those
particular
populations.
So
thinking
about
how
we
tailor
content
to
reach
specific
populations
in
a
way
that's
going
to
resonate
with
them.
AF
We
also
want
to
continue
to
work
with
ethnic
and
multicultural
media.
You
know
we
can.
We
can
we're
building
a
campaign
that
needs
to
be
surgical
and
nimble,
and
so
we
have
to
leverage
assets
that
allow
us
to
do
so,
and
so
that's
going
to
include
things
like
regional
media
briefings
that
reach
both
press
and
folks
across
the
state.
AF
We
want
to
generate
content
and
articles
that
help
us
walk
through
information.
That
people
need
to
understand
in
more
detail.
We
want
to
do
live
reads
across
different
ethnic
media
outlets.
You
know
those
are
done
through
djs
that
are
also
considered
trusted
messengers.
It
also
allows
us
to
move
faster
and
it
allows
us
to
be
nimble
as
we
need
to
change
information
or
update
information.
AF
So
we
want
to
continue
to
leverage
those
kinds
of
tactics,
so
we're
looking
at
both
paid
and
organic
media
tactics
wanted
to
mention
that,
as
part
of
our
own
ongoing
efforts
and
and
also
just
give
credit
to
some
of
the
folks
that
are
sit
on
this
committee,
we
mentioned
that
we
wanted
to
put
out
testimonials
of
health
care
workers
who
are
receiving
their
vaccinations,
because
we
recognize
that
there
is
some
hesitancy
even
within
that
population
and
want
to
make
sure
that
there's
a
positive
narrative
out
there,
because
there
are
folks
that
are
taking
their
vaccine,
understand
the
importance
of
how
it
can
protect
their
family,
protect
their
community
move
us
forward
and
ending
this
pandemic.
AF
So
there
have
been
a
couple
of
organizations
that
have
helped
us
with
collecting
those
testimonials
putting
them
out
organically,
as
well
as
us
being
able
to
collect
them,
create
specific
content
and
put
it
out
through
social
and
digital
paid.
So,
and
that
includes
folks,
like
uc
davis,
medical
sciu
kaiser
is
a
partner.
That's
going
to
be
working
with
us
moving
forward,
cma
the
california
hospital
association,
among
others,
so
really
appreciate
the
the
work
that
folks
are
doing
to
really
help
us
build
a
positive
narrative
around
vaccine.
AF
Also
wanted
to
mention
also,
you
know
we
the
importance
of
reaching
folks
where
they
are
and
through
trusted
messengers
is
going
to
require
working
with
cbo's.
We
have
been
engaging
folks
along
the
way,
but
in
a
more
formal
manner
we
are
mana.
We
are
working
with
lwda
and
cdss
to
build
a
very
coordinated
cohort
of
cbo's
in
a
similar
way
that
we,
we
thought
about.
AF
The
work
of
the
senses
having
both
the
air
game
and
the
ground
game
is
very
important
and
to
have
those
two
things
coordinated
is
even
more
important,
so
we
do
have
coordination
across
all
of
these
different
departments
and
agencies.
AF
So,
right
now
we
have
a
state
investment
that
will
allow
us
to
invest
approximately
30
million
dollars
and
fund
approximately
150
cbos,
and
we
are
working
closely
with
philanthropy
to
also
coordinate
efforts
around
their
investments
as
well,
and
so
30
million
is
just
a
state.
Investment
philanthropy
also
has
their
own
investment
and
we're
in
in
conversations
to
have
a
coordinated
effort.
Moving
forward
next
slide.
AF
Just
a
quick
snapshot
of
our
timeline,
we
did
to
try
and
move
in
an
expedited
manner.
We
both
dss
and
lwd,
as
part
of
the
coordinated
effort,
have
reached
out
to
specific
organizations
that
have
a
strong
track
record
and
reaching
the
specific
populations
we're
aiming
to
reach.
AF
That
process
should
conclude
in
january
looking
to
onboard
quickly
in
february,
so
that
you
know
the
insights
that
you
are
sharing
about.
What
tools
and
information
and
messages
are
important
will
help
inform
as
we
create
toolkits
for
those
cbo's
as
they
come
on
board,
so
they
can
be
ready
as
soon
as
we
have
them
in
this
onboarding
process.
AF
We
are
also
working
with
census,
tab
to
help
us
understand
the
things
and,
as
it's
just
a
reminder,
I
helped
oversee
the
census
campaign,
which
helps
also
facilitate
sort
of
those
conversations
with
the
census
team.
What
worked
as
well
as
what
didn't
work
so
well
and
so
leveraging
those
learnings,
especially
outreach,
is
much
different.
During
a
pandemic,
we
are
going
to
be
providing
ppe
to
partners
who
are
going
to
be
doing
outreach
so
that
they
can
do
it
in
a
safe
manner.
AF
The
partners
that
are
coming
on
board
are
part
of
our
cova
19
response
overall,
but
vaccination
is
part
of
their
efforts,
and
so
that's
going
to
be
a
key
priority
as
they
come
on
board.
We,
you
know
if
there
are
organizations
that
that
you
would
like
to
raise
to
our
attention
for
consideration,
please
let
us
know,
as
as
we
continue
to
move
forward,
we
would
love
to
have
those
insights.
AF
B
Thank
you
so
much
maricela
and
I
think
that
we
can
kind
of
lower
the
slides
for
a
second
so
that
we
can
facilitate
seeing
each
other.
When
we're
having
this
conversation,
I
I
wanted
so.
First
of
all,
I
want
to
thank
you
marisela
for
your
tireless
work,
because
I
know
that
you
are
an
another
person
who
has
been
working
around
the
clock
really
with
very
little
rest
and
very
grateful
for
your
leadership
in
moving
this
work
forward.
B
I
wanted
to
also
share,
in
addition
that,
yes,
we
have
been
working
very
hard
and
maricela,
and
her
team
have
been
working
very
hard
to
to
move
this
process
forward
as
quickly
as
possible
and
really
recognize
that
part
of
the
process
of
you
know
reaching
out
to
having
having
the
the
governor's
office
and
having
our
teams
reach
out
to
partners
who
have
been
extremely
effective
messengers
in
the
past
to
move
forward
in
this
expedited,
expedited,
expedited
process
so
that
we
can
get
you
know,
partners
on
board
and
and
and
get
those
contracts
flowing
by
february
has
been
really
critical,
and
but
we
also
recognize
that
in
doing
that
process
right
that
there
may
be
other
community-based
organizations
that
are
really
doing
excellent
work.
B
And
I
see
in
the
chat
there's
a
question.
How
can
cbo's
and
smaller
grassroot
organizations
apply
for
some
of
this
funding
to
be
doing
the
community
outreach
and
the
governor's
office
in
coordination
with
cdph
is
working
closely
with
philanthropic
partners
on
a
pool
fun
on
a
pooled
fund,
as
maricela
mentioned,
of
roughly
27
and
a
half
million
dollars
to
support
covet
response,
which
includes
funding
cbos,
to
promote
public
awareness
on
vaccines
and
particularly
for
vulnerable
communities,
and
this
work
is
happening
in
partnership
with
the
public
health
institute.
B
So
if
the
members
of
the
committee
have
recommendations
for
community-based
organizations
who
you
believe
are
well
positioned
to
educate
communities,
we
invite
community
members
to
share
those
ideas
with
us
by
the
the
process
of
emailing,
bobby
or
emailing
us
through
this
committee
process,
and
we
will
pass
those
names
on
to
the
public
health
institute
for
consideration.
B
And
for
that
I
want
to
open
it
up
if
there's
any
additional
questions.
A
Thank
you,
nadine
and
thank
you
for
adding
that
last
comment,
because
I
know
a
lot
of
people
were
interested
in
knowing
how
they
could
participate
in
this.
So,
let's
start
with
andy
and
then
we'll
go
to
deep
and
then
we'll
go
to
lisa.
V
Thank
you
thanks.
It's
andy
imperato
with
disability
rights,
california,
in
the
communications
around
the
1b
phase
implementation.
Can
you
clarify,
I
think
I
must
have
misheard
at
the
beginning,
but
the
different
tiers
within
one
b
is
tier.
One
gonna
go
before
tier
two
or
are
all
of
the
tears
in
one
be
to
happen.
At
the
same
time,.
A
That's
a
great
question:
andy!
I
rob.
Would
you
just
quickly
go
over
the
tiering
process
in
phase
1b,
because
it's
a
little
different
than
the
process
in
1a.
F
So
tier
one
tier
one,
those
who
are
in
tier
one
get
access
before
those
in
in
tier
two
within
one
b
tier
one
goes
before
tier
two,
but
within
the
tiers
there's
equal
access.
V
B
P
Thank
you
bobby.
I
just
wanted
to
go
back
to
kim
and
eric's
comment
very
quickly
about
people
so.
P
Oh,
I'm
sorry,
I'm
dean
chalius
with
the
california
association
for
health
services
at
home,
we're
the
home
health
and
hospice
and
home
care
aid.
Folks,
sorry
bobby.
I
just
wanted
to
go
back
to
eric
and
kim's
presentation
and
there's
a
lot
of
discussion
about
long-term
care
facilities
and
sniffs
and
others,
and
I
want
to
make
sure
that
we
remember
that
those
that
are
being
treated
in
home
health
would
otherwise
be
in
those
facilities.
P
So
they
are
equally
vulnerable
and,
of
course,
home
health
agencies
have
nurses
and
per
dr
brooks
get
us
the
vaccine
and
we'll
get
the
vaccinations
done,
and
so
I
just
want
to
make
sure
that
we
remember
that
and-
and
also
I
think,
kim.
You
made
a
comment
about
some
folks
at
the
county
level
or
the
local
level
scouring
the
internet
for
a
list
of
home
health
agencies
and
home
care
aid
agencies
and
the
like,
and
we
can
get
that
for
you
very
quickly.
So
please
connect
with
us.
Thank
you
bobby.
AG
Sure,
thank
you
so
much.
This
is
a
deep
sing
from
the
jakarta
movement
and
I
just
wanted
to
thank
you
marisa,
for
you
know
just
the
the
sort
of
thoughtful
presentation
and
finding
different
ways
to
include
community
and
supplement
that
was
sort
of
the
ongoing
sort
of
engagement,
specifically
your
office.
I
just
want
to
highlight
in
terms
of
just
how
receptive
and
and
how
immediate
they've
been
in
terms
of
taking
feedback
from
from
us
from
other
community
partners.
AG
I
I
really
appreciated
the
effort
specifically
saying
what
were
the
best
practices
with
a
census
and
really
kind
of
tying
similarities
in
terms
of
the
messaging,
especially
for
the
most
hard
to
reach
communities
and
even
to
dr
tan's
point
earlier
about
really
empowering
and
trust
trusted
messengers.
AG
I
was
wondering
if
you
could
just
kind
of
highlight
that
component,
especially
that
that
senseless
learning,
I
know
you,
you
highlighted
martha
and
others
from
the
census
team
that
were
part
of
that,
but
but
if
you
could
kind
of
just
underscore
some
of
those
points,
because
I
think
it's
really
important
for
this
advisory
committee
to
hear
for
the
general
public
to
hear.
AG
But
I
think
there
were
some
key
key
learning
lessons
and,
and
the
success
of
the
census
really
informs
a
an
evidence-based,
a
data
informed
and
sort
of
best
practices
model
that
that
we're
all
trying
to
do
here
at
the
state.
AF
Yeah,
I
appreciate
appreciate
that
comment
deep
and
and
your
work
on
census
and
and
your
willingness
to
always
provide
feedback
on
our
questions
so
martha.
I
don't
know
if
you
want
to
jump
in
or
if
you
want
me
to
take
that
question
on
the
insights
on
census
and
the
trusted
messengers
yeah.
Y
Hey
good
evening
deep,
I
think
one
of
the
best
lessons
learned
and
best
practice
that
worked
well
within
this
census
campaign
was
that
we
use
a
multi-layer
approach.
We
had
on
the
ground,
trusted
credible
individuals
and
organizations
that
were
community
communicating
with
the
communities,
and
then
we
complemented
that
with
the
air
game
and
we
use
various
different
partners
from
general
market
ethnic
media
was
really
something
that
we
focused
a
lot.
We
also
use
the
trusted
messengers
within
that
media
practice.
We
use
key
host
or
or
tv
personalities.
Y
We
also
use
social
media
influencers
that
really
resonated
with
the
communities.
So
we
had
a
multi-tier
level
approach
that
really
was
able
to
target
and
reach
at
census
was
the
hardest
to
count,
communities
that
traditionally
or
historically,
don't
participate
in
the
census.
So
that
is
a
lesson
that
has
been
learned
and
it's
something
within
public
health.
It's
also
been
emulated
with
other
programs,
but
also
in
the
best
practice.
AF
Yeah-
and
I
would
add
that
you
know,
I
think,
the
the
why
the
cbo's
are
so
important
is
because
you
know
these
are
organizations
that
deal
with
and
communicate
and
engage
the
communities
that
we're
aiming
to
reach
on
a
daily
basis
and
so
having
them
talk
about
this
issue
is
going
to
be
critical
in
this
effort
as
much
as
the
influencers
are
and
like
trusted
anchors
and
djs,
and
things
like
that.
AF
We
know
that
you
know
the
stakeholders
that
reach
these
communities
are
are
trusted
messengers
and
we
want
to
engage
them
intentionally
moving
forward,
and
I
actually
you
know
you
reminded
me
of
something-
that's
not
necessarily
totally
related,
but
just
because
you
mentioned,
like
best
practices,
you
know
with
the
census,
we
use
it.
We
created
a
harsher
account
index
and
we
want
to.
Since
there
was
a
conversation
earlier
about.
AF
AF
We
want
to
leverage
data
at
covid
covet
positivity
rates,
the
healthy
places
index,
using
a
very
data
driven
approach
to
help
us
ensure
that
our
outreach
targets,
both
in
the
folks
that
we're
trying
to
reach
and
where
we're
trying
to
reach
them,
is
also
informed
by
that
data
and
that
we're
being
intentional
of
working
with
organizations
that
reach
those
communities
and
duly
noted
it
and
have
in
the
in,
in
our
plans
to
work
with
organizations
that
work
with
people
with
disabilities
and
all
those
hearts
hard
to
reach
communities.
AF
So
thank
you
for
allowing
me
to
mention
that
note
that
I
forgot
in
my
presentation.
AF
A
Mighty
seller,
lisa
hershey.
AH
AH
The
complete
committee
worked
very
closely
on
all
that
for
a
significant
amount
of
time,
and
so
grateful
from
a
public
health
practice
perspective
that
we
are
building
on
the
infrastructure,
we're
building
on
the
lessons
learned
and
I'm
super
grateful
to
maricela
and
martha
and
department
of
public
health
as
well
that
you
are
using
that
and
rolling
out
a
very
clear
and
consistent
campaign,
and
I
was
going
to
offer
from
my
perspective
at
housing,
california,
we
helped
bring
home
base
to
the
census
because
there
was
no
state-wide
entity
that
was
really
connecting
with
the
continuous
care
and
would
like
to
emulate
that
or
build
on
that
marcel.
AH
I
know
mark
that
also
has
that
relationship
and
then
also
you
know,
we
work
with
affordable
housing
developers
who
have
huge
multi-family
housing
developments
with
a
lot
of
people
that
are
disproportionately
impacted
by
these
inequities
and
a
lot
of
seniors
in
different
groups,
and
our
developers
are
very,
very
interested
in
helping
with
the
outreach
and
engagement
as
they
did
with
census,
to
make
sure
that
both
their
staff
that
are
essential
workers
that
also
tend
to
have
low
income
and
are
disproportionately
impacted,
are
vaccinated,
but
also
can
help
engage
their
their
communities
as
trusted
messengers
and
do
it
on
kind
of
a
population
based
scale.
AH
A
AI
Yeah
thanks
bobby
this
world
tom
is
from
the
california
immigrant
policy
center,
and
this
is
from
maricela.
You
know,
just
as
we
think
through
this.
You
know
hoping
that.
Obviously,
the
involvement
with
the
one
california
program
and
service
providers
from
cdss
is
there.
We've
obviously
learned
that
there
are
a
lot
of
asks
to
be
made,
especially
with
the
disaster
relief
assistance
that
was
rolled
out
and
how
it
kind
of
overwhelms
some
organizations
at
certain
points.
AI
A
Right,
thank
you
and
maria
lamos.
Are
you
still
on
and
do
you
have
a
comment
you'd
like
to
make
here?
I
am
on
good
where's,
your
camera.
We
can't
see
you.
M
It's
here
I'm
here.
I
think
that
I
think
that
it's
really
important
to
I
love
what
what
martha
and
maricela
in
terms
of
the
the
you
know
going
deep
into
the
community
I'd
like
to
see
that
expanded
a
little
bit
more.
I
think
that
would
be
really
important
and
the
diversity
of
our
communities,
not
just
the
latino.
M
I
don't
know
if
they
spoke
to
any
of
the
indigenous
groups,
for
instance,
how
deep
they
went
into
that,
but
the
messaging.
We
have
a
lot
of
agencies
that
do
messaging
already,
and
I
hope
that
we
can
engage
just
us
at
the
cbo
level.
I
do
have
one
question
about
public
health
institute.
Is
the
criteria
for
the
review
of
who
participates
in
these
grants?
So
is
that
going
to
be
established
by
phi
or
by
dphs
or
by
the
funders
or
who.
AF
Let
me
circle
back
on
the
phi
comment.
I
I
want
to
make
sure
I
gave
you
the
right
information.
AF
Okay
and
on
the
previous
comment,
we
you
know
we
are
looking
at
how
to
reach
all
diverse
communities.
You
know,
so
we
also
work
with
like
radio
and
and
and
are
looking
at.
You
know
we
have
a
pretty
extensive
list
of
ethnic
media
that
reaches
api
communities
and
and
and
broader
than
that,
so
we
are.
We
do
have
a
pretty
extensive
and
robust
list
of
ethnic
and
multicultural
partners.
M
M
But
and
the
reason
I
ask
the
the
question
about
the
criteria
and
who
establishes
that
is,
is
you
know
the
devils
and
the
details,
and
sometimes
the
establishment
of
that
criteria
can
leave
out
or
or
not
include
community-based
organizations,
for
instance
in
the
contact
tracing
requirements
and
for
those
there
is
one
requirement
that
they
have
to
have
a
high
school
degree,
and
I've
been
talking
with
them
about
changing
it,
because
that
leaves
out
a
lot
of
the
promotoras
and
the
possibility
of
them.
You
know
getting
involved
and
so
who
there's
no
one?
M
Who
assumes
responsibility
for
that
because
they
put
it
back
on
health.
Health
puts
it
back
on
them,
and
I
think
that
if
there's
somebody
who's
overseeing
the
little
details
like
that,
that
really
can
for
us
from
community-based
organizations
can
fully
participate.
I
think
that
would
be
really
an
important
oversight.
A
B
I
can
say
that
I,
I
don't
have
the
that
information
directly
in
front
of
me
right
now.
I
know
that
it's
a
pooled
fund,
so
there
are
several
philanthropic
partners
who
are
involved,
and
the
governor's
office
of
social
innovation
has
been
helping
with
this
effort,
and
I
can
certainly
commit
to
coming
back
to
this
group
at
the
next
meeting,
with
with
more
information.
A
Right,
I
think
people
would
be
very
interested
in
that
for
sure.
S
Hi
folks,
sorry
it's
brian
moore,
I
was
on
mute
from
the
california
endowment.
I
I
put
into
the
chat
that
I'm
happy
to
help
provide
information
on
the
public
health
institute
and
their
role
in
the
criteria
and
whatnot
and
provide
it
to
bobby
and
staff
for
distribution.
A
Great,
thank
you
brian.
So
one
last
question:
that's
come
up
over
and
over
again
in
our
chat
and
in
the
public
comment
and
before
we
end,
maybe
we
could
reiterate
this
there's
many
questions
about.
When
will
phase
1b
begin
and
I
know
we've
talked
about
it
but
rob.
I
wonder
if
you
could
just
clearly
restate
sort
of
the
timeline
for.
A
F
So
right
now
we're
in
we're
in
1a
through
and
there's
access
to
to
eligible
eligible
health
care
workers
and
residents
in
in
all
tiers
of
of
1a,
to
the
extent
that
supplies
and
clinics
can
reach
them
and
and
very
soon,
as
the
supply
increases
over
the
next
weeks
would
be
expecting.
A
formal
announcement
of
of
when
1b
is
is
in
effect.
A
B
Wonderful
well,
thank
you
so
much
bobby,
and
I
want
to
close
out
by
sharing
a
little
bit
about
some
of
the
key
themes
that
we
heard
today.
Really
thinking
about
the
importance
of
trusted
messengers
and
and
really
sharing
with
you.
Our
plans
for
engaging
with
trusted
messengers
engaging
with
our
community-based
organizations
both
directly
through.
You
know,
our
effort
that
is
funded
by
the
state
of
california
and
then
also
by
partnering,
with
our
philanthropic
partners
as
well.
B
And
we
also
heard
from
you
today
support
for
the
the
healthy
places
index
and
for
the
notion
of
using
a
social
vulnerability
index
and
also
a
request
for
further
consideration
for
tools
that
that
can
also
better
serve
individuals
with
disabilities.
B
And-
and
you
know,
we
started
off
the
meeting
hearing
about
the
from
dr
pan
about
the
balance
between
really
focusing
on
the
opera
operationalization
of
getting
those
vaccines
out
and
trying
to
get
as
many
doses
out
as
possible,
while
ensuring
also
that
we
are
adhering
to
the
concepts
of
priority
right,
that
we
are
making
sure
that
we're
getting
that
vaccine
to
to
the
communities
that
have
been
prioritized.
B
But
then
also
recognizing
that
there
may
need
to
be
some
flexibility
as
we're
going
into
that
process,
and
so
I
really
want
to
just
thank
all
of
you
for
all
of
your
time.
All
of
your
excellent
suggestions
in
making
this
community
vaccine
advisory
committee
just
a
really
strong,
useful
and
productive
process
where
we
can
hear
from
you.
How
do
we
constantly
improve?
How
do
we
constantly
make
this
process
better?
B
We
know
that
everyone
in
government
is
working
tirelessly
right
now
on
on
so
many
different
levels
in
fighting
this
pandemic
in
in
addressing
the
the
outbreaks
and
the
surge
and
contact
tracing
and
providing
ppe
and
providing
resources
to
you
know
all
of
our
providers
and
our
essential
workers
and
and
folks
on
the
ground
and
at
the
same
time,
launching
this
vaccination
effort,
which
requires
a
tremendous
amount
of
logistics
and
and
operationalization.
B
And
from
that
standpoint,
we're
incredibly
grateful
to
hear
from
you
what
we
can
be
doing
better,
how
we
can
be
doing
it
better
hearing
your
suggestions
of
how
some
of
these
things
are
landing
on
the
ground,
recognizing
and
hearing
from
you
where
things
can
be
going
better
and
how
we
can
be
more
thoughtful
in
approaching
this
process.
So
we're
incredibly
grateful
for
you
all
showing
up
meeting
after
meeting
after
meeting
their
long
meetings
and
but
with
this
in
this
strong
sense
of
commitment
to
our
communities.
B
And
with
that
in
mind,
our
next
meetings
are
january,
20th
from
three
to
six
pm,
then
february
3rd
from
3
to
6
p.m,
and
the
next
after
that
being
february
17th
from
free
3
to
6..
As
has
been
the
case,
you
all
will
receive
the
agenda
before
the
next
meeting
and
I
want
to
invite
members
of
the
public.
Thank
you
so
much
for
tuning
in.
Thank
you
for
sharing
your
public
comments.
We
we
read
these
public
comments.
B
T
P
E
A
A
C
A
AJ
Oh
yeah,
there
should
be
a
three
dots
in
the
bottom
right
of
the
chat
and
then
you
can
save
chat.
AJ
And
then
you
can
do
ctrl
c.