►
Description
Minneapolis Public Health, Environment, Civil Rights, and Engagement Committee Meeting
A
Good
afternoon,
everyone
and
welcome
to
this
regularly
scheduled
meeting
of
the
public
health,
environment,
civil
rights
and
engagement
committee.
My
name
is
Philippe
Cunningham
and
I.
Am
the
City
Council
member
representing
the
4th
Ward
at
North
Minneapolis,
as
well
as
get
to
serve
as
the
chair
of
this
esteemed
committee
with
me
at
the
Dyess.
Are
my
colleagues
councilmember
Cano
Schrader
vice-chair
Gordon
as
well
as
council,
member
Johnson
and
council
vice-president
Jenkins?
Please
let
the
record
reflect
that
we
have
a
quorum
and
can-can
conduct.
The
business
of
this
committee
before
getting
started.
A
I
also
want
to
make
sure
to
give
a
shout
out
in
big
thank
you
to
our
committee
coordinator,
Kelly,
geese
alert
as
well
as
say.
Thank
you
to
our
city
attorney
for
this
committee,
Andrea
Neff
on
our
agenda.
Today
we
have
five
items
for
our
four
consent
and
one
is
for
discussion,
so
we'll
go
ahead
and
dive
into
the
consent
agenda.
First,
we
have
approving
the
mayoral
appointees
for
two
years
of
john
Turnipseed
and
dr.
A
Rachel
Harden,
as
well
as
a
one-year
term
for
MPs
director
Kimberly
Cabrini,
as
well
as
within
that
item
waiving
the
residency
requirements
for
mr.
turnip
seed
and
dr.
Hardman.
The
second
item
is
accepting
a
grant
from
the
Pew
Charitable
Trust
in
the
amount
of
$50,000
to
implement
resilience
model
replication.
A
It
minneapolis
public
housing
sites
through
mou
based
emergency
preparedness,
resident
engagement
strategies,
healthy
home
visits,
solar
installations
and
energy
audits
for
eligible
properties,
owned
and
maintained
by
little
earth
of
united
tribes
item
number
three
is
a
grant
from
the
Minnesota
Department
of
Health
for
in
the
amount
of
$15,000
to
conduct
blood,
lead
testing.
Events
in
neighborhoods
that
have
low
rates
of
lead,
screening
and
number
five
is
setting
a
public
hearing
for
May
629
teen
to
consider
the
neighborhoods
2020
framework
recommendations.
A
A
Seeing
no
other
comments
or
questions
I
move
approval
of
these
four
items,
all
those
in
favor,
please
signify
by
saying
aye
aye,
those
opposed,
say,
nay,
the
eyes
have
it
in
those
items.
Carry
so
r1
discussion
item
for
today
is
receiving
in
for
us
receiving
and
filing
a
presentation
on
recommendations
from
the
mayor's
multi-jurisdictional
task
force
and
the
health
department's
efforts
to
address
the
opioid
addiction
issue.
So
I
do
believe
who's
gonna
be
kicking
us
off
here.
Noah,
please,
the
floor
is
yours.
Please
come
up
on
up
and
introduce
yourselves.
Thank
you
so
much.
C
Thank
You,
chair
Cunningham
and
thank
you,
council
members,
I'm
going
to
go.
Take
us
through
a
PowerPoint
slide
here.
That
just
has
some
summary
information
about
the
task
force
and
the
recommendations.
Then
I'll
be
talking
a
little
bit
about
the
work
that
the
Health
Department
has
been
doing
and
will
be
doing.
C
So
I
just
wanted
to
take
two
slides
to
talk
a
little
bit
about
the
numbers
for
the
epidemic
here
in
Minneapolis.
On
this
first
slide,
the
larger
of
the
charts
that
you
see
talks
about
the
disproportionate
impact
of
opioid
on
different
communities.
Here
in
Minneapolis.
These
numbers
are
for
2011
to
2018.
C
The
blue
bar
that
you
see
is
the
rate
of
overdose
deaths
and
the
green
bar
that
you
see
is
actually
the
percentage
of
population
in
Minneapolis
for
that
particular
community.
So
you
can
see
for
the
white
community
that
the
population
of
Minneapolis,
that
is
white,
is
59
point
nine
percent
and
the
percentage
of
overdose
deaths
is
56.1%.
C
Where
you
see
the
real
disparities
show
up
is.
If
you
look
at
the
left
hand,
side
of
the
chart,
the
American
Indian
communities,
those
that
identify
solely
as
American
Indian-
are
those
that
identify
as
American
Indian
in
combination
with
some
other
race
and
then
in
the
african-american
and
Hispanic
communities
are
two
other
areas
where
we
see
some
significant
inequities
in
how
the
opioid
issue
impacts
them,
particularly
as
it
relates
to
death
from
overdose.
C
This
next
one
is
the
crude
mortality
rate.
So
there's
a
you
have
to
look
at
these
numbers
when
I.
First
looked
at
the
numbers,
I
was
like
wow
709
deaths
in
the
American
Indian
community.
That's
709
deaths
per
100
in
American,
Indian
people.
We
know
that
there's
not
a
hundred
thousand
American
Indian
people
in
Minneapolis
or
even
Minnesota.
So
you
have
to
take
that
into
consideration.
But
again,
you'll
still
see
that
American,
Indian
and
African
American
experience.
Some
of
the
higher
rates
of
mortality
due
to
opioid
use.
C
Next,
a
little
bit
about
the
task
force
itself,
just
a
summary.
It
was
formed
in
April
of
2018
had
its
initial
meeting,
then
that
was
prior
to
my
starting
with
the
Health
Department
during
the
summer
months.
The
subcommittee's
that
were
formed
at
that
initial
meeting
met
to
come
up
with
recommendations,
those
subcommittees
our
prevention
treatment,
recovery
and
peer
support,
community
systems,
integration
and
child
protection
and
criminal
justice
reform.
C
Those
subcommittees
came
back
together
as
a
large
group
in
February
of
this
year,
and
they
came
for
forward
with
18
recommendations
in
51
action
steps.
You
should
have
a
copy
of
the
full
set
of
recommendations
that
was
provided
to
you
earlier
a
little
bit
summary
of
the
recommendations.
There
is
some
crossover
between
recommendations
coming
from
each
of
those
four
subcommittees,
but
I
just
tried
to
pull
together
some
of
the
highlights.
C
So
there
are
a
fair
number
of
recommendations
in
the
area
of
Education,
both
educating
the
general
community
about
the
opioid
epidemic,
about
who
it's
impacting
and
how
it's
impacting
them,
and
what
we,
as
an
average
citizen,
can
do
to
help
keep
our
neighbors
safe
from
this
epidemic.
There's
a
focus
on
educating
youth
in
particular
both
those
youth
that
might
be
at
risk
for
opioid
abuse
at
some
time
or
for
those
youth
that
have
people
in
their
lives
that
are
active,
opioid
users.
C
There
was
a
couple
recommendations
having
to
do
with
law
enforcement,
mostly
making
sure
that
we
are
enforcing
drug
laws
to
the
fullest
extent
and
adding
some
officers
to
be
able
to
do
that.
It's
a
fair
number
of
policy
issues
that
are
in
the
recommendations,
so
some
policies
around
testing,
strips
and
needle
exchange
limits.
So
there
are
testing
strips
out
there
to
test
fentanyl.
The
presence
of
fentanyl
and
opioids
and
fentanyl
is
the.
C
Chemical
I
suppose
that's
been
added
to
heroin.
That
makes
the
heroin
high
a
better
one
for
those
that
use
heroin,
but
fentanyl
is
also
the
thing
that
is
most
likely,
causing
the
overdose
and
the
mortalities
because
of
the
strength
of
it,
and
there
are
testing
strips
that
people
can
use
to
test
whether
or
not
their
drug
has
fentanyl
in
it.
C
These
testing
strips,
though,
are
considered
drug
paraphernalia,
and
if
this
person
were
to
be
picked
up
on
a
chronic
crime
that
could
be
listed
as
paraphernalia
and
used
as
evidence
in
some
way,
yet
it's
a
tool
that
we
would
like
people
to
have
in
order
to
help
keep
them
safe
same
with
needle
exchange.
So
there
are
a
lot
of
individuals
and
organizations
that
do
needle
exchange,
but
right
now
the
law
reads
that
you
can
have
as
an
individual.
You
can
have
ten
needles
on
your
person.
C
If
you
have
more
than
ten
needles,
that's
a
legal
number
of
needles
to
have
so,
if
you're
doing
a
needle
exchange
program
for
one
of
the
organizations
in
Minneapolis,
north
or
south,
you
are
often
going
to
have
more
than
ten
needles
on
you,
because
you
need
to
be
handing
out
more
than
that,
and
you
will
definitely
be
collecting
more
than
that.
And
so
we
need
to
look
at
the
law
as
it
pertains
to
needle
limits.
C
We're
also
looking
at
workforce
development
there's
just
generally
a
lack
of
people
that
provide
treatment,
recovery
and
peer
support
services.
To
folks
who
are
experiencing
chemical
issues.
There
is
specifically
a
shortage
of
people
of
color
that
provide
these
services
and
in
our
efforts
to
provide
culturally
specific
services,
that's
really
important,
and
then
in
the
programming
area.
C
All
four
of
the
subcommittee's
recommended
that
we
look
at
the
next
step
program
and
replicate
that
for
opioid.
Next
step
is
the
program
that's
located
in
Hennepin
County,
Health
and
North
Memorial,
which
is
geared
towards
victims
of
gun
violence.
So
there's
a
desire
to
take
that
and
remodel
it
to
work
on
the
opioid
issue.
C
There
is
a
desire,
a
need
for
greater
availability
of
medication
for
opioid
use
disorders.
So
that's
a
medically
assisted
treatment
model
there's
a
desire
to
have
safe
places
for
people
to
just
dispose
of
their
pharmaceuticals
that
they
might
have
been
prescribed
and
no
longer
need,
and
then
harm
reduction
in
jail
to
community
services.
C
If
you
follow
the
link,
that's
noted
here,
you'll
get
to
the
Health
Department
website
and
Maria
and
Karl
will
all
introduce
in
a
bit
have
put
together
a
whole
bunch
of
resources
that
people
can
access
on
the
website
for
treatment
and
harm
reduction
and
medication
disposal
and
anything
else
related
to
opioids.
The
Minneapolis
Health
Department
has
partnered
with
Minneapolis
Police
and
the
Minnesota
Department
health.
C
For
that
last
fall,
we
worked
with
more
core
minnesota
opioid
response
core
and
we
secured
two
core
members:
Maria
Clark
right
here
in
Karl,
noise
they've
been
with
us
since
November
and
really
without
them.
I
wouldn't
be
I'd,
have
two
blank
pages
here.
So
I
really
thank
them
for
all
the
work
that
they've
done
and
we've
been
approved
to
receive
two
more
starting
in
November
again
of
this
year,
and
then
we
are
looking
at
creating
an
advisory
committee
to
help
advise
our
work
as
we
move
forward.
C
C
C
C
The
funding
picture
right
now
we
do
have
the
200,000
that
we'll
be
getting
from
NATO.
We
have
pending
applications
into
the
Minnesota
Department
of
Human
Services,
with
the
medica
foundation,
we're
currently
working
on
a
proposal
to
Samsa,
and
then
we
do
have
budget
requests,
they're
going
forward
for
general
fund
in
2020
a.
C
Few
things
that
we
wanted
to
put
in
front
of
you
for
consideration,
so
the
Advisory
Committee
that
we
are
forming
is
going
to
be
made
up
of
community
members.
Specifically,
we
will
seek
representation
from
the
American
Indian
and
the
African
American
community,
and
we
would
like
to
have
representation
from
people
that
have
lived
experience
with
opioids.
So
one
question
for
you
all
to
consider
would
be:
are
there
others
that
you
believe
should
specifically
be
represented
on
this
Advisory
Committee
in
reviewing
the
recommendations
from
the
task
force?
C
Are
there
ones
that
you
believe
should
be
prioritized
as
you
look
at
all
of
them?
Is
there
more
information
that
we
could
share
with
you
about
the
opioid
issue
in
general,
and
would
you
like
to
receive
regular
updates
on
the
progress
that
we're
making
on
the
recommendations
and
then
in
your
wards
there
are
neighborhood
associations
and
other
groups
that
meet
regularly?
C
Are
there
specific,
specific
ones
that
you
would
like
us
to
would
like
to
see
us
go
to
and
do
a
presentation?
For
example,
two
weeks
ago,
I
went
to
the
Hawthorn
huddle
in
North
Minneapolis
and
did
a
presentation
with
that
group.
So
those
are
some
things
for
your
consideration
as
we're
moving
forward
and
then
just
lastly,
here
are
any
of
the
people
that
you
can
contact.
Heidi
did
want
to
make
sure
that
I
apologized
on
her
behalf.
She
had
another
engagement
at
this
time.
C
A
Just
to
let
my
colleagues
know
that
on
at
the
Dyess
there
is
a
letter
that
starts
off
with
dear
mayor
FRA
and
if
you
flip
to
beyond
the
letter,
you'll
see
the
recommendations
that
are
listed
out
so
that
folks
are
to
have
an
opportunity
to
take
a
look
at
that
and
be
able
to
answer
some
of
the
can
go
back
to
the
last
slide.
Some
of
those
questions
that
are
in
red
with
that
I
open
up
to
my
colleagues
for
any
questions
or
comments.
Councilmember
Gordon.
B
Thank
you
so
much
I
really
appreciate
the
the
report
and
coming
here
today
and
bringing
this
forward
to
the
committee
I
think
it's
important
that
we
get
involved
and
get
engaged
in
this
work.
This
is
such
a
serious
problem
may
be
unexpected,
unplanned
for
but
obvious
and
clear
need
in
our
community
and
I.
Think
it's
important.
B
Some
interest
in
having
the
advisory
committee
have
a
bridge
back
to
that
Advisory
Committee,
so
that
they're
connected
somehow
and
I'm
not
quite
sure
how
to
work
that
out.
I'm,
also
interested
in
how
you're
going
to
how
we
can
better
connect.
This
work
to
the
council
itself
and
I.
Don't
know
if
there's
a
role
for
somebody
in
a
council
office
to
be
on
the
advisory
committee
or
really
how
you're
envisioning
that,
but
that's
just
a
possible
suggestion.
B
One
thing
that
I'd
like
to
do
here
today
is
give
a
staff
direction
kind
of
indicating
that
we're
supportive
of
this
work
that
we
want
the
department
to
move
forward
with
this
work
and
been
trying
to
figure
out
exactly
how
to
draft
that
I
think
you're
asking
about
priorities-
and
some
of
these
things
really
stand
out
to
me-
is
having
a
lot
of
potential
to.
We
could
name
some
of
them.
B
I
I,
really
like
looking
at
how
we
could
replicate
the
next
step
program
and
when
somebody
shows
up
at
a
hospital
can
we
actually
intervene
and
bring
them
some
services
there
and
I'd
offer
them
things.
I
think
that's
critically
important
I
also
think
this
idea
of
navigators
for
services
has
shows
a
lot
of
promise.
I
think
education
and
harm
reduction
services
in
general
are
also
really
important
and
I've
I'm
very
curious
about
this
overdose
mortality
review
program.
B
I
think
it
offers
us
some
potential
to
look
back
at
where
we
could
have
intervened
earlier
in
somebody's
trajectory
towards
that
tragic
moment,
to
make
a
difference
and
I
I'm
also
interested
in
having
a
report
back
to
the
Committee
on
some
regular
kind
of
basis.
So
I'm
mum,
I,
sent
around
and
via
email
and
I'll.
Read
it
out
loud,
make
sure
it's
on
the
public
record
and
everything
a
possible
staff
direction.
A
B
D
Thank
you
come
summer,
Cunningham
just
a
quick
question.
It
might
be
a
little
early
but
I'm
curious
if
you
can
help
us
anticipate
or
foresee
what
some
budgetary
conversations
might
be
relating
to
this
work.
I
know
this
work
has
been
happening
for
a
while
and
I'm
speaking
specifically
about
the
task
force
and
just
curious.
C
One
of
the
pending
proposals
that
we
have
submitted
and
the
one
that
we
are
working
on
submitting
will
help
fund
replication
of
next
step,
but
between
the
two
of
them
we
still
won't
quite
make
that
350
to
400
thousand.
So
there
is
a
request
going
in
a
general
fund
starting
the
process
for
2020
to
help
support
that
particular
program.
C
We
do
have
my
time
committed
to
the
project,
but
my
time
is
thin
and
spread
all
over
the
place,
and
then
we
have
Maria
and
Karl
who
are
working
on
project.
The
the
one
thing
that
we
would
like
is
a
coordinator
type
person
that
works
in
the
health
department
that
really
takes
the
lead
and
heads
the
charge
on
this
work.
A
person
like
that,
including
benefits,
would
probably
cost
around
80
to
90
thousand
dollars.
One
of
the
pending
proposals
that
we
have
in
would
allow
us
to
hire
that
person.
C
We
tentatively
plan
to
use
some
portion
of
that
$200,000
that
we
are
receiving
from
nature
to
get
that
person
hired
with
the
assumption
fingers
crossed
that
some
of
this
other
funding
will
come
in.
That
would
allow
us
to
keep
that
person.
So
that's
another
cost.
The
other
request.
That's
going
starting
down
the
pipeline
of
the
budget
process
for
2020
is
some
money
to
do
some
of
that
youth
education
work
and
then
we're
just
continually
looking
for
other
funding
sources
that
we
can
apply
for
state
federal,
private,
you
name
it.
A
A
Was
really
appreciated,
I'm,
just
curious
as
as
to
what
we
would
be
seeing
there
also
so
I'm
curious
about
what
kind
of,
if
there's
been
conversations
or
if
there's
any
work,
that's
already
happening
around
business
supports
because
one
of
the
things
I
have
had
quite
frequently
as
actually
business
owners,
particularly
on
Broadway
Avenue,
West
Broadway,
to
be
able
to
get
some
additional
support
because
they
have
people
who
are
OD'ing
in
their
bathrooms
and
so
I'm
curious.
If
that
was
something
that's
been
discussed,
or
that
if
there's
been
any
work
on
that
particular
area,
sure.
C
Cunningham,
so
as
the
June
staff
meeting
for
the
Health
Department,
we
plan
to
have
a
little
bit
of
an
extended
conversation
about
the
opioid
issue.
The
purpose
of
that
conversation
will
be
to
look
at
all
things
that
health
does
in
all
places
and
people
that
health
engages
with
to
see
where,
where
else
are
we
seeing
impacts
from
the
opioid
issue,
I
suspect
that
through
our
environmental
health
programs,
particularly
the
inspectors
that
get
out
there
to
businesses
that
will
hear
stories
like
this
I'd
not
heard
about
it
so
much
in
North
Minneapolis.
C
A
Thank
you,
yeah.
That
is
something
that
I've
heard,
at
least
with
West
Broadway,
so
also
I'm,
curious
to
hear
more.
If
there
has
been
any
thoughts,
kind
of
fleshed
out
more
concretely
around
the
jail
to
community
supports,
because
I
know
that
when
folks
are
coming
out
of
incarceration
that
they
have
astronomically
higher
chances
of
overdosing
because
they
women
at
a
certain
level
of
tolerance
and
then
are
coming
out
without
that
same
level
and
then
try
to
use
at
that
level
and
then
end
up
OD'ing.
A
C
Chair
Cunningham,
so
we
met
with
truly
abolish
from
Hennepin
County,
who
is
the
young
woman?
That's
heading
up
their
opioid
response,
work
and
Hennepin
County
for
the
jail
downtown
here
and
for
the
workhouse,
both
women
and
men,
side
of
the
workhouse.
They
have
implemented
a
suboxone
program
in
those
facilities.
So
if
someone
enters
either
the
jail
or
the
workhouse
and
is
demonstrating
signs
of
opioid
addiction,
they
are
offered
the
opportunity
to
get
on
suboxone,
which
will
help
them
wean
off
of
the
pills
or
the
heroin.
C
Whichever
their
drug
of
choice
is,
then
there
are
supports
within
the
workhouse
and
the
jail
that
will
help
connect
these
people
to
ongoing
treatment
once
they
leave
the
facility
and
ongoing
services.
So,
through
our
conversation
with
Hennepin
County
and
with
Julie,
we
understand
that
that
particular
issue
for
the
two
Hennepin
County
facilities
or
the
three
hannahb
and
colony
facilities,
is
mostly
managed
and
taken
care
of.
C
When
we
talk
to
her,
though
we
agree
that
jointly
Hennepin
County
in
Minneapolis
could
approach
the
state
system
to
see
what
the
state
is
doing
in
their
system
and
we've
heard
that
there
is
some
work,
some
beginning
work
going
on
in
the
state
system.
But
we
just
we
need
to
figure
that
out
whether
or
not
it's
happening
and
how
it's
happening.
And
then
the
one
other
thing
that
we're
gonna
do
is
to
look
at
whom
Hennepin
County
is
referring
to
for
services.
A
Thank
you
and
the
last
question
I
have
is
so:
we've
been
hearing
more
and
more
about
kids
who
are
struggling
with
addiction
as
well
wearing
fentanyl
patches,
while
at
school,
for
example.
Right
and
so
will
there
be
or
is
there
space
for
specifically,
youth
representation
is
one
piece
of
it
and
then
the
second
is
have
we
thought
about
utilizing
the
youth
street
outreach
team
that
you
know
our?
We
have
kids
folks
who
are
going
to
be
over
in
Cedar
Riverside.
C
Cunningham,
that's
an
excellent
idea.
We
had
not
thought
of
that.
We
were
really
geared
towards
the
school
and
the
community-based
organization
and
our
education
efforts,
but
it
is
a
good
reminder
about
the
outreach
work,
that's
being
done,
and
that
would
be
a
good
Avenue
for
us
to
take
some
of
this
information
and
make
sure
it's
getting
out.
Thank
you.
Thank.
A
B
Yes,
please.
Thank
you
very
much.
This
is
what
I
have
so
far
and
I
welcome
any
input,
so
this
would
be
to
direct
the
Commissioner
of
help
to
further
evaluate
the
opioid
task
force,
recommendations,
explore
further
options
and
determine
priorities
based
on
potential,
positive
results
and
feasibility
of
the
recommendations.
A
B
A
A
So
with
that
motion,
do
any
of
my
colleagues
have
any
comments
or
questions
on
the
staff
direction
anyway,
anyway,
all
right
so
he'll
be
sending
that
over
shortly
and
with
that
motion
with
that
staff
direction
and
that
motion
I
move
approval,
all
those
in
favor,
please
signify
by
saying
aye
aye,
those
opposed,
say,
nay,
the
eyes
have
it,
and
that
item
is
passed.
Thank
you
so
much
everyone
for
all
of
your
work
on
this.
A
It's
a
huge
task
and,
on
top
of
all
of
the
other
work
that
you
are
doing
in
the
health
department,
one
of
the
things
I
love
about
being
the
chair
of
this
committee-
is
that
I
get
to
look
into
all
of
the
work
that's
happening
in
the
health
department.
So
to
add
this,
on
top
of
it,
I
just
think
it's
necessary.
A
For
us
to
mean
this
is
an
additional
line
of
business,
that's
going
into
the
health
department
and
you
all
stepped
up
with
with
no
hesitation
stepped
into
it,
made
the
request
so
that
we
got
a
little
bit
of
money
in
this
past
budget
for
this
year
and
looking
forward
to
next
year.
So,
thank
you.
All
so
much
for
your
leadership
in
this
area,
for
stepping
up
and
for
doing
some
really
amazing
work
with.
A
So,
and
for
the
viewers
at
home,
I
just
want
to
take
a
moment
to
remind
everyone
to
check
out
limbs,
l
ims,
minneapolis
spelled
out
MN
gov
to
be
able
to
learn
out
and
learn
about
more
of
what
we're
doing
here,
a
City
Council,
and
to
be
able
to
make
sure
that
you
know,
and
let
us
know
what
you
think,
reach
out
to
your
council
members
with
that
with
no
further
business
in
front
of
this
committee.
We
are
adjourned.