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From YouTube: February 15, 2023 Public Health & Safety Committee
Description
Additional information at:
https://lims.minneapolismn.gov
Submit written comments about agenda items to: councilcomment@minneapolismn.gov
A
B
A
The
record
reflect
that
we
have
a
quorum
with
that.
The
agenda
for
today's
meeting
is
before
us.
Our
first
item
is
a
public
hearing
considering
the
mayor's
nomination
of
Damon
chaplain
to
Commissioner
of
Health
for
a
term
ending
January
2026.
welcome
mayor
Frye.
The
mayor
is
here
and
would
like
to
speak
on.
The
nomination.
I
also
want
to
acknowledge
that
councilmember
Chuck
Tai
is
joining
us.
C
C
I
want
to
give
you
a
bit
of
a
background
on
who
Damone
is
and
why
he
is
an
extraordinary
candidate
for
this
role,
but
first
I
I
did
want
to
give
my
my
deepest
thanks
and
gratitude
to
Heidi
Ritchie
Heidi
Ritchie
LED,
his
interim
Health
director
from
January
of
2022
she's,
served
as
the
health
commissioner,
where
she
led
the
Department's
coveted
response.
Moving
back
to
a
new
normal.
She
does
extensive
work
on
childhood,
lead,
poisoning,
expanding
the
green
cost,
share
and
green
careers
program
and
and
bringing
the
city
back
to
now.
C
What
is
a
new
normal
around
our
health-based
approach,
so
deeply
appreciate
her
work
and
we're
thrilled.
You
know
that
she
will
now
take
on
duties
as
the
deputy
Health
director,
potentially
and
hopefully
under
Mr
Damon
chaplain
Mr
Damon
Chaplin
has
over
20
years
of
Public
Health
leadership
and
experience
working
in
New
Bedford
Massachusetts.
He
has
a
deep
understanding
of
the
racial
Equity
impact
that
has
it
plagued
so
many
communities
throughout
our
city
and
throughout
the
country,
and
it
hasn't
just
been
in
words
but
in
action.
C
If
you
look
at
the
work
that
he
has
done,
especially
over
these
last
several
years,
it's
indicative
of
a
kind
of
person
that
we
want
in
the
city
he
takes
on
a
racial
Equity
health
approach.
He
he
sent
through
his
treatment,
recovery
and
drop-in
centers
for
issues
like
opioid
addiction.
During
the
beginning
of
the
covid
pandemic.
He
organized
points
of
contact
throughout
the
New
Bedford
fishing
industry,
which
is
pretty
substantial
there
to
enhance
reporting
between
businesses
and
then
the
local
Health
Department.
His
work,
in
fact,
on
Fish
Houses,
was
nationally
renowned.
C
He
has
done
quite
a
bit
of
work
as
well
on
the
opioid
task,
work
task,
force,
coordinating
with
partner
organizations
to
develop
strategies
to
engage
with
our
substance,
abuse
populations,
increasing
Narcan
distribution
and
education
and
Outreach
as
well.
He's
also
served
on
a
long-term
Community,
Advisory
Board
to
help
end
addiction
and
that
agency-wide
approach
to
speed
scientific
solutions
to
the
National
opioid
crisis
has
gained
quite
a
bit
of
renown.
He
is
also
advised
Massachusetts
on
how
to
spend
about
500
million
dollars
worth
of
opioid
remediation
money.
C
That's
on
an
advisory
Council
and
as
nachos
director
not
show
is
the
National
Association
of
County
and
City
Health
officials.
He
represents
presently
local
Health
departments
in
Connecticut,
Massachusetts,
Maine,
New,
Hampshire,
Rhode,
Island
and
Vermont,
and
works
to
advance
their
Public
Health
priorities
on
a
national
scale.
All
this
to
be
said,
he
has
a
ton
of
experience.
C
He
wants
to
make
a
difference
in
our
city
in
Minneapolis
at
this
particular
time
and
moment,
and
we
know
that
we
are
at
a
critical
juncture
right
now
and
so
I'm
so
pleased
to
put
forward
his
his
nomination
he's
an
individual
with
quite
a
bit
of
talent
and
expertise
that
will
lead
our
health
department
into
the
next
phase
and
I'm.
So
appreciative
of
his
willingness
to
step
up
Mr
Chaplin.
We
are
proud
to
have
you
here
in
Minneapolis.
At
this
moment,
council
members
I
I
ask
for
this
support.
C
A
A
D
D
That's
a
verse
in
the
Quran
in
the
Jewish
tolmen
I
spent
the
last
five
months
doing
Outreach
on
the
West
Broadway
Corridor,
where
you
see
so
many
of
the
unsheltered
who
are
struggling
with
opiate
addiction,
September
6
I
shared
with
you.
My
concerns
that
those
lives
matter
that
they're
too
often
forgotten
everything's
about
gun
violence
when
in
reality
we're
losing
more
people
to
overdose
than
gun,
violence
and
disproportionately
impacts.
D
Those
were
families
and
you
had
a
responsibility
when
you
cleared
out
those
encampments
to
make
sure
that
they're
sheltered
for
them,
and
we
got
all
these
folks
going
into
the
ERS
with
frostbite
thank
God.
No
one
froze
to
death,
so
opiate
epidemic.
We
need
to
have
a
warming
shelter
like
Ramsey
County.
Has
they
have
three
of
them?
D
D
A
E
Mr,
it's
about
African-Americans
and
and
I
want
you
to
have
one
of
these
books
and
to
the
city
council,
because
I
want
to
say
these
disparities
as
African-Americans,
but
nobody
want
to
recognize
it.
So
I'm
gonna
keep
doing
this.
We
got
to
talk.
We
got
to
talk
about
us
one
time
and
they
and
they
do
things
here
so
I
thought
your
health
department
was
doing
good,
but
you
get
to
make
decisions
now
that
that
that
that
that
you
can
make
these
decisions.
E
But
when
we're
talking
about
the
health
of
African-American
Community
I
was
at
Harding
High
School
I'm
watching
what's
happening,
the
the
government
and
the
City
from
the
government
from
Governor
walls
to
the
county,
to
the
state
to
the
city
you're
going
to
have
to
begin
to
listen
to
African-Americans
tell
you.
We
know
what
to
do
and
you
in
our
community
in
every
area
in
these
focused
areas
in
this
book
and
I'm
gonna
continue
to
walk
it
around
and
I'm
gonna
get
our
community
to
understand,
what's
happening
with
government
and
they
got
to
stand
up.
E
They
got
to
be
here.
They
should
be
here
when
you're
going
to
have
a
health
department
with
with
some
of
the
trauma
that
our
community
is
going
through
in
violence
and
the
the
when
you
say,
500
people
shot
last
year,
it's
going
to
be
over
80,
some
percent
African-American
African-American,
not
people
of
color,
not
minority.
It's
African-American
and
everybody
know
this.
So
you
get
at
some
point.
This
government
got
to
listen
to
African-Americans.
We,
the
only
one
can't
say
our
name.
You
could
fake
Latino
native
Asian
of
Somali
Liberian
Nigerian.
E
You
could
say
all
these
names,
but
when
you
say
out,
you
want
to
you're
going
to
tell
us
what
to
do.
Then.
That's
why
we
continue
to
die
it's
time
for
somebody
to
take
some
leadership
and
let
African-Americans
Believe
in
Us
to
invest
in
African-American
or
we
are
never
well.
We
will
never
get
out
there.
I
came
down
here
for
this
two
minutes
to
say
to
you-
and
this
is
what
we're
going
through
here,
and
so
you
got
to
listen
to
African-Americans.
E
E
A
F
Hi,
my
name
is
Mike:
I
tend
to
be
suspicious
of
anybody
from
the
West
Coast
or
the
East.
Coast
I
see
zero.
There's
no
City,
that's
getting
better
from
any
program.
It's
just
being
managed
lots
of
government
workers
are
being
hired,
lots
of
high
priced
government
workers
are
being
hired
and
the
problem
is
just
getting
managed.
I
have
no
doubt
that
within
a
year
or
two
there's
going
to
be
open-air
drug
markets,
needle
exchange
programs
everywhere.
The
only
thing
I
care
about
is
kids
having
to
plan
parks
with
needles
everywhere.
F
When
are
we
going
to
stop
what
I'm
going
to
start
dealing
with
the
people
who
are
dealing
this
poison
to
kids,
to
people
who
are
who
are
legitimately
in
stress
as
it
is
I
see?
I,
see
no
progress
anywhere
in
the
United
States
about
this
opioid
Pro
program
or
problem.
It's
just
one
more
program,
one
more
solution
getting
to
root
problems
that
don't
exist.
You
gotta
you
gotta,
cut
this
snake
off
at
the
head.
F
A
Thank
you
seeing
no
one
else
wishing
to
speak
on
the
item.
I'll
now
close
the
public
hearing
I'd
like
to
thank
those
of
you
who
came
to
speak
today
at
this
point.
I
will
invite
Mr
Chaplin
up
to
address
the
community
well
Committee
in
community
that
too
the
community
is
watching,
but
the
committee,
thank
you,
Mr
Chapman
welcome.
Thank.
G
So
good
afternoon,
before
I
begin,
I
would
first
like
to
thank
the
city
council
and
the
mayor
for
the
warm,
welcome
and
introduction
to
Minneapolis.
It's
been
an
honor
to
meet
with
all
of
you
individually
over
the
last
two
or
three
days
and
I'm
grateful
for
this
opportunity
to
share
my
experiences,
interests
and
qualifications
to
serve
as
the
next
Health.
Commissioner.
My
name
is
Damon
Chaplin
pronounced
like
Ramon,
but
with
the
D
and
my
family
in
my
life's
work
has
been
public
health
for
the
past
25
years.
G
G
It
was
a
driving
force
in
a
labeling
the
state
to
reach
its
covid-19
vaccination
goals.
I
have
also
had
the
pleasure
of
serving
on
the
nature
board
with
the
former
Minneapolis
commissioner
Gretchen
music
camp
commissioner
musing
Kent
and
I
enjoyed
spending
time
discussing
advocacy
and
management
strategies
while
serving
on
the
board.
Nature
is
a
National
Organization
representing
over
3
000
local
Health
departments
and
an
instrumental
partner
navigating
for
National
policy
design,
technical
assistance
and
resource
development.
G
So
why
Minneapolis
I've
asked
myself
this
question
as
well,
and
every
time
I
made
it
one
step
farther
over
the
past
five
months
in
the
most
in-depth
and
intense
hiring
process,
I
have
even
gone
through.
I
have
ever
gone
through.
I
have
learned
a
lot
about
how
amazing
Minneapolis
is
I,
believe
there
is
an
alignment
of
Mission,
Vision
and
values
between
myself
in
the
City
of
Minneapolis.
G
In
addition,
I
also
have
several
family
members
who
are
unprescribed
drug
users
and
have
been
incarcerated
or
killed
because
of
gang
violence,
drug
use
or
all
of
our
other
illicit
Acts
I
have
also
spent
several
of
my
formative
years
in
the
rural
South
and
have
developed
a
deep
appreciation
for
the
different
ways
in
which
poverty
and
racism
is
experienced
between
regions
and
among
people
of
color.
In
2004,
my
father
passed
away
at
the
age
of
54
from
cancer.
In
nearly
11
years
later,
my
mother
passed
away
at
the
age
of
64
from
unknown
causes.
G
With
the
appeal
approval
and
under
my
leadership,
the
Minneapolis
health
department
will
be
using
its
expertise
and
local
Partnerships
with
health
care
providers,
community-based
organizations,
schools
and
businesses
to
protect
us.
Natural
resources
prevent
premature
death
and
educate
the
public
about
how
to
say
how
to
State
how
to
stay.
Safe.
Local
Health
departments
have
been
an
essential
partner
in
coordinating
a
successful
response
to
the
covid-19
pandemic
and
will
continue
to
supplement
Community
level
engagement
with
Grant
funded
opportunities
to
help
mitigate
the
potential
inequities
experienced
in
our
housing,
business
and
other
congregate
settings.
G
Our
approach
to
organizational
growth
and
development
will
incorporate
the
Department's
core
values
of
togetherness,
inclusivity
and
community.
We
will
continue
to
invest
in
a
healthier
and
more
Equitable
Community
by
listening
learning
and
exercising
leadership,
which
is
responsive,
effective
and
accountable
at
all
levels.
G
And,
lastly,
we
will
establish
an
authentic
atmosphere
of
appreciation,
recognition
and
acknowledgment,
which
we
hope
will
inspire
others
to
do
the
same.
It
is
necessary
to
co-design
interventions
with
Community
organizations
using
a
two-way
approach,
soliciting
ideas,
strategies
from
community
members,
while
also
educating
them
on
how
to
use
data
and
policy
to
promote
Health
Equity
data
can
and
should
be
used
as
an
advocacy
tool,
making
the
uncontrovertible
case
to
key
decision
makers
that
current
health
outcomes
are
inequitable
once
this
case
is
made,
data
Canon
should
be
used
to
help
inform
Equity
driven
policy.
G
G
We
save
lives
by
raising
the
minimum
standards
for
all
communities-
black
white,
rich
poor
and
proclaiming
that
every
resident
has
a
right
to
live
in
a
community
supported
by
a
set
of
minimum
Public
Health
standards.
We
save
lives
by
developing
good
leadership
in
promoting
and
providing
them
with
the
tools
necessary
to
be
successful.
In
the
midst
of
crisis
in
emerging
situations,
we
save
lives
by
strengthening
the
local
public
health
capacity
to
collect
analyze
and
share
data.
G
We
save
lives
by
embracing
Humanity,
which
means
that
we
acknowledge
that
we
cannot
exist
in
isolation
and
that
we
are
tied
to
this
Universal
Force
called
community
at
each
stage
of
my
career.
I
have
found
myself
gravitating
towards
leadership
opportunities
where
I
could
share
my
public
health
story
and
connect
people
to
resources
and
opportunities
that
would
ensure
them
an
equal
opportunity
to
their
full
measure
of
life
and
I,
see
these
same
opportunities
here
as
health
commissioner
for
the
Minneapolis
Health
Department
I.
Thank
you
again
for
your
time
and
this
opportunity
to
share
with
you.
A
H
Thank
you,
madam
chair
Mr.
Chaplin.
Thank
you
for
your
words
today.
These
are
hard
and
personal
details
to
share
some
of
them.
A
lot
of
us
don't
put
those
out
into
the
environment
and
have
difficulty
do
doing
that.
I've
appreciated
getting
an
opportunity
to
visit
with
you
and
learn
more
about
you
as
a
person
as
a
human
being
and
and
learn
more
about
your
life
Journey.
Could
you
share
a
bit
about
whom
you've
met
with
around
our
city
to
start
to
inform
or
help
you
learn
more
about
local
issues.
G
We
have
spent
some
time
getting
it
getting
to
understand
what
are
some
of
the
key
issues
that
are
facing
the
community,
some
of
the
key
issues
that
are
facing
the
department
and
listening
to
all
the
city
councilors
about
what's
happening
in
their
particular
wards
and
so
from
that
I've
been
able
to
get
a
pretty
good
idea
of
of
what's
happening
in
the
city
or
where
the
city
is.
But
it's
going
to
take
a
lot
more
time
to
really
get
a
feel
for
what's
really
going
on
in
the
neighborhoods.
G
I
Thank
you,
chair
Vita
I
have
a
couple
of
questions,
so
the
first
one
being
around
you
know,
I
know
my
constituents
as
well.
As
you
know,
just
me,
we've
been
very
disturbed
by
the
city's
persistence
in
executing
traumatizing
evictions
to
unhoused
Residents.
In
the
last
several
months.
There
has
been
documented.
I
You
know,
incidents
around
these
in
the
media
of
the
city's
failed
response,
especially
as
it
relates
to
exasperating
the
health
issues
of
an
already
vulnerable
Community
I
will
not
get
into
the
plethora
of
details
of
how
we
felt
at
this
and
how
we've
been
detrimental
in
our
response
to
a
house.
Residence,
but
I
will
recommend
if
you
have
not
yet
read
the
many
articles
that
have
been
brought
forward
in
our
media,
local
media.
That
has
outlined
every
clearly
the
ways
that
we
continue
to
fail
at
addressing
this
issue
meaningfully.
I
But,
prior
to
this
Council,
this
body
here
entering
into
City
Hall
I,
believe
that
you
know
the
health
department
had
a
more
prominent
role
in
determining
how
the
city
responded
to
our
unhoused
community.
Since
early
last
year.
That
responsibility
has
been
delegated
from
the
mayor's
office
to
regulatory
Services,
who
have
to
demonstrated
a
unwillingness
to
treat
this
crisis
through
a
public
health
land.
So
I
would
love
for
you
to
share
or
speak
to
the
plans
that
you
imagine.
I
You
will
be
able
to
move
forward
with
in
supporting
the
city
and
responding
in
a
more
Humane,
dignified
and
evidence-backed
way
towards
you
know,
supporting
our
unhoused
population
and
the
ways
in
which
you
intend
to
use
your
expertise.
Your
knowledge
as
a
public
health
leader
to
guide
this
body
and
staff
towards
making
better
informed
decisions
and
how
we
treat
our
unhoused
residents.
G
G
That
process
has
always
been
a
collaborative
process
between
the
health
department,
other
City
departments,
and
engaging
with
the
unhoused
individuals
we
treat
through
the
heart
protocol.
We
treat
our
own
house
residents,
those
locations,
those
encampments
as
their
homes,
and
so
we
provide
notice
prior
notice
to
them.
When
we
go
to
an
encampment,
we
provide
Street
sheets,
which
is
information
and
resources
on
where
they
can
provide.
They
can
get
get
services
within
the
city,
but
in
addition
to
that,
we
try
to
engage
with
them
and
develop
relationships
with
these
with.
G
This
is
a
topic
that
we're
all
discussing
is
the
unhoused
issue,
and
there
are
several
strategies
that
have
been
discussed
in
New
Bedford,
while
one
of
the
strategies
that
we're
discussing
is
around
a
regional
approach
to
homelessness,
developing
a
regional
model
to
end
homelessness,
long-term
and
the
convening
is
around
getting
to
functional
zero.
How
do
we
get
to
a
place
where
we
have
almost
eliminated
the
occurrence
of
homelessness
in
cities?
One
of
the
issues
that
we
have
seen
is
that
even
the
urban
center
is
the
largest
cities.
G
They
develop
capacity
to
engage
with
the
homeless
population
or
the
unsheltered
population
on
house
population,
but
the
capacity
is
based
on
the
city's
needs,
but
we
all
know
that
this
issue
goes
far
beyond
the
boundaries
of
the
city,
and
so
we
have
begun
to
discuss
this
idea
of
having
a
regional
approach
or
a
county
approach
to
engaging
with
homelessness
and
developing
these
wraparound
services.
So
that
not
only
are
we
providing
shelter
for
these
individuals,
but
we're
also
providing
them
with
the
mental
health
and
substance
abuse
services
that
they
also
may
need
as
well.
I
I
You
know,
Minneapolis
crisis,
but
one
that's
happening
regionally
across
the
state
around
the
country,
but
knowing
that
it
is
going
to
have
to
take
a
shared
approach,
but
we're
also
going
to
need
leaders
at
the
table
to
exert
the
political
will
to
see
something
through
so
really
looking
forward
to
see
how
you
press
forward
and
those
very
strenuous
conditions
right
now.
But
my
next
question
is
around
racism,
because
that's
not
new
to
this
city,
so
much
so.
I
The
last
Council
declared
racism
as
a
public
health
emergency
and
unfortunately,
despite
that
declaration,
almost
two
years
ago,
little
progress
has
been
made
in
building
the
infrastructure
to
support
the
systemic
changes
needed
to
address
racial
inequities
in
the
city.
So
can
you
speak
to
some
of
the
policy
changes
or
project
Investments?
You
have
seen
in
other
parts
of
the
country
that
you
would
like
to
you
know
or
would
consider
as
successful
demonstrations
of
centering
racial
justice
as
it
relates
to
Public
Health.
G
Yeah,
thank
you
again.
Councilor
wansley
I
can
speak
to
the
what
we're
doing
currently
in
New
Bedford
and
how
this
is
kind
of
promulgated
throughout
the
state
in
New
Bedford
number
one
I'm
part
of
a
Health
Equity
compact,
which
we're
taking
a
very
strategic
approach
to
dismantling
racism,
both
in
the
Health
Care
System,
but
also
structurally
as
well
within
communities,
but,
more
importantly,
and
locally.
G
What
we've
done
is
we
have
developed
a
platform
for
educating
the
general
public
about
the
history
of
racism,
structural
racism,
systemic
racism
that
has
led
to,
in
the
last
oh
I'd,
say
six
or
seven
months
more
than
300
individuals
in
New
Bedford
attending
these
trainings.
Those
trainings
were
ended
with
the
Capstone
training
from
Dr
Kamara
Jones.
We
invited
her
down.
G
She
spent
two
days
with
us
and
we
invited
legislators
and
policy
makers
to
this
particular
meeting
this
training,
and
that
was
very
helpful
and
from
that
training
we
developed
these
breakout
groups
and
we
had
over
a
hundred
people
at
one.
At
one
sitting
we
had
over
100
people
who
attended
the
initial
breakout
group.
G
That
group,
then,
was
developed
into
our
Health
Equity
community
of
practice
and
that
actual
Health
Equity
community
of
practice
became
and
we're
developing
an
advocacy
and
policy
Development
Group
from
the
ground
up,
and
so
we've
invited
all
community
members
to
be
a
part
of
this.
We
facilitated
meetings
where
we're
able
to
get
the
most
pressing
issues
on
the
table,
and
then
we
are
training
them
on
how
to
become
advocates
for
those
issues
and
also
how
to
develop
policies
for
us
in
New
Bedford.
G
The
health
department
has
its
own
board
separate
board
from
city
council
and
we're
able
to
develop
policies
for
the
city,
and
so
through
that,
as
I
had
mentioned
before,
we
have
developed
a
Health
Equity
framework
within
the
health
department,
and
so
all
those
policies
that
come
before
us
as
a
board
will
go
through
that
Health
Equity
framework
that
discussion
process
of
how
we
develop
those
policies.
And
then
hopefully
we
get
to
a
point
where
we
have
a
policy
that
both
fits
the
needs
of
the
city
and
also
the
needs
of
the
government
as
well.
I
I'm
really
glad
to
hear
applied
of
the
health
department
we
have
here
in
you
know
the
City
of
Minneapolis,
a
number
of
boards
and
commissions
that
all
play
advisory
role,
especially
around
policy
creation
regarding
a
number
of
issues
and
what
has
actually
come
up
time
and
time
again
across
a
number
of
our
committees.
Is
many
of
these
advisory
boards?
I
Come
to
us
as
council
members
and
say
we're
doing
this
great
work,
volunteering,
creating
policies
and
they're
not
being
heard
so
I'm
really
excited
to
see
how
you
you
know,
navigate
those
boards
and
commissions
here
that
many
of
them
feel
like
the
great
work,
the
expertise
that
they're
leaning
into
to
help
guide
the
city
towards
better
directions
is
actually
tended
to
and
uplifted
and
executed
meaningfully.
So
glad
to
hear
about
that
experience.
My
next
question
is,
you
know.
I
The
health
department
here
is
one
of
the
most
diverse
departments
in
the
city
entreprize,
and
it's
a
critical
component
of
our
Public
Safety
work
that
we
do
as
a
city.
Again,
you
may
be
aware
of
of
this,
but
I
would
like
to
put
on
your
radar
that
you
know
the
city
has
a
documented
history
of
being
a
toxic
place
for
workers
of
color,
as
well
as
their
allies.
I
The
impacts
of
that
toxicity
is
also
causing
problems
with
keeping
talented
employees
who
do
not
want
to
work
in
a
space
that
is
reluctant
to
change,
especially
when
it
comes
to
changing
the
Status
Quo.
Something
that
I
hear
constantly
from
our
staff
is
that
you
know
we
have
poor
leadership.
Who
are
you
know
not
willing
to
stand
up
for?
What's
right
when
it's
very
clear,
this
is
a
disturbing
Trend
throughout
the
Enterprise
in
our
constituents
are
very
much
aware
of
it
and
they
see
the
impact
of
this.
You
know
type
of
poor
leadership.
I
Can
you
share
how
you
plan
to
leave
the
department
in
a
way
that
embodies
the
principles
that
you
know
our
city
supposedly
stands
for
in
terms
of
you
know,
treating
and
leading
your
staff
in
the
way
that
supports
them,
as
they
do
work
that
might
not
might
come.
You
know
against
some
of
the
I
would
say
more
political
motives,
driven
motives
or
the
status
quo
motives
because
it
sounds
like
you
know.
I
The
work
that
you've
LED
is
really
Innovative
is
really
about
grounding
Equity
grounding
the
community
that
is
not
often
receptive
in
this
place.
There's
also
a
lot
of
hostility
towards
those
type
of
efforts,
so
really
interested
to
hear
how
you,
as
the
leader
of
this
department,
will
plan
to
support
your
staff
as
they
lean
into
doing
that
type
of
work.
In
this
this
place
here,
yeah.
G
Thank
you
again
to
that
question:
I've
been
a
person
being
a
person
of
color
and
having
gone
through
many
of
those
changes
like
the
first
thing
that
comes
to
mind,
as
you
were
finishing,
the
question
is
courage
right
and
you
have
to
create
a
space
where
you
can
have
those
courageous
conversations
and
that
is
developed
through
creating
safe
spaces
in
the
way
that
you
create
safe
spaces.
Is
you
have
you
know,
transparency
and
the
way
you
develop?
G
G
How
do
we
identify
barriers
and
identify
obstacles
and
remove
barriers
to
Peak
Performance?
You
have
to
get
to
a
place
where
you
can
trust,
what's
happening,
trust
information,
that's
being
shared
from
your
staff
and
then
really
do
the
best
that
you
can
to
support
their
efforts.
There
is
no
silver
bullet
or
Secret
Sauce
to
making
this
work.
J
It's
a
great
pleasure
to
meet
you
and
we
had
a
short
conversation.
I
hope
hope.
We
have
time
in
the
future
that
we
can
speak
longer,
but
I
do
have
a
series
of
questions
as
well
and
I
and
but
I
have
to
start
that
by
giving
my
opinion
is
that
our
regulatory
service
department
is
doing
one
heck
of
a
job
with
the
homeless
situation.
J
It
is
an
unwinnable
situation
until
we
get
the
resources,
we
need
to
help
this
Addiction
in
our
encampments
and
and
I
think
not
only
regulatory
services,
but
our
city
coordinator's
office
is
doing
a
great
job
and,
and
my
opinion
is,
there
is
a
great
environment
to
work
in
the
city.
That
is
not
toxic.
So
that's
what
I
wanted
to
start
with,
but
could
you
please
talk
a
little
bit
about
what
you
did
on
this
fentanyl
crisis
in
New,
Bedford.
G
We
had
a
number
of
you
know:
tasks
I
mean
subcommittees
that
you
know
for
prevention
and
intervention,
treatment
and
Recovery,
but
we
didn't
have
a
subcommittee
that
really
focused
on
getting
the
voices
of
the
folks
who
were
most
affected
and
that
that
came
to
me
as
I
I'm,
a
walker
I
walk.
That's
how
I
get
to
know
the
cities.
I
walk
everywhere,
and
you
know
my
my
stepfather
would
say
you
know.
Damon
has
never
met
a
person.
G
And
so
in
addition
to
that,
in
having
that
conversation,
we
also
learned
that
we
also
need
to
make
sure
that
we
have
the
folks
who
English
may
not
be
their
first
language,
and
so
in
that
communication
platform
was
also
important.
So
we
recognize
that
a
lot
of
folks.
We
were,
we
were
providing
a
lot
of
treatment,
providing
a
lot
of
services,
but
it
was.
It
wasn't
really
getting
to
the
folks
who
were
being
most
impacted,
and
so
we
begin
to
change
and
and
revise
the
way
that
we
do
the
work
that
we
do.
J
Thank
you,
I
I'm,
another
question.
One
of
the
issues
we're
having
here
in
Minneapolis
is
our
vaccination
rate
has
been
getting
lower.
What
type
of
success
did
you
have
in
New
Bedford
with
making
sure
our
children,
your
the
children
of
New
Bedford,
were
getting
our
children?
Okay,
they
are
our
children
yep
getting
vaccinated,
yeah.
G
G
We
didn't
have
really
the
best
ability
to
communicate
with
those
folks,
and
so
we
went
to
a
block
by
block
strategy
where
we
went
to
Neighborhood
by
neighborhood
and
we
kind
of
modified
our
vaccination
vaccination
programs
by
those
particular
neighborhoods,
and
that
worked
very
well.
We
recognized
that
parents
who
don't
get
vaccinated
oftentimes
will
have
kids
that
aren't
vaccinated,
and
so
it
really
began
to
to
talk
about
increasing
our
vaccination
rates
neighborhood
by
neighborhood
and
again
increasing
our
ability
to
communicate
with
those
neighborhoods.
J
G
Was-
and
we
are,
we
were
in
the
process
of
hiring
a
violence,
intervention
and
prevention
coordinator.
We
just
received
a
grant
from
the
state
and
we
just
got
an
earmark
for
the
same
amount
from
the
federal
government
called
Equitable
approaches
to
Public
Safety,
which
was
a
collaboration
between
our
crisis
intervention
and
our
crisis,
intervention
teams
and
the
police
department
and
the
health
department.
And
so
we
were
looking
at
different
ways
on
one
of
the
programs
that
we
have
around
one
of
the
things
that
happened
with
violence,
particularly
gang
violence,
gun
violence
and
youth.
G
And
so
those
are
programs
that
we're
currently
working
on.
We
also
have
we're
also
looking
at
the
mentorship
program
which
we've
which
we're
developing.
Now
we
work
very
closely
with
ssyi
or
the
Shannon
program,
which
is
a
youth
engagement
program
and
they
go
out
and
they
engage
with
at-risk
at-risk
youth
in
the
community.
So
we
work
very
closely
with
them
as
well.
J
One
last
thought:
Madam
chair,
I,
really
appreciate
your
your
thoughts
on
public
housing
and
just
housing
in
general
and
how
important
that
is
to
Public
Health,
and
we
have
a
great
chair
in
our
public
housing
department.
I
encourage
you
to
get
to
know
him
as
well
as
some
good
board
members
there.
So
thank
you.
A
Thank
you,
councilmember
rainville,
and
thank
you
Mr
Chaplin
for
answering
my
colleagues.
Questions.
I
have
some
questions
myself.
As
I
told
you
when
we
met
privately
I
have
over
20
years
experience
in
public
health.
This
is
probably
the
most
important
department
to
me
because
it's
so
personal
most
of
the
people
that
are
in
this
room
in
the
audience
with
you,
I've
worked
with
for
decades
and
I've
always
seen
Minneapolis
and
Minnesota.
As
leaders
in
public
health
I
know,
you
said
you
belong
to
Nature
I,
always
call
it
nacho
I,
don't
know
why.
A
G
G
G
In
addition
to
that,
nature
also
supports
the
Big
Cities
Health
Coalition,
which
also
helps
to
support
the
Massachusetts
law,
Cities,
Health,
Coalition,
and
so
those
types
of
those
types
of
coordination,
collaborations
policy
adjustments.
Those
are
things
that
you
don't
always
see,
but
they
have
a
direct
impact
on
the
way
a
local
Health
departments
function.
A
G
Our
first
step
would
be
to
engage
with
my
staff
engage
with
the
mayor's
office
and
to
stabilize
the
organization.
My
second
step
would
be
to
synchronize
and
to
get
an
understanding
of
how
meetings
and
how
business
gets
done
in
Minneapolis
and
in
municipal
government,
and
then
we
can
begin
to
talk
about
a
strategy.
G
A
G
I
think
the
LED
program
has
a
lot
of
right
now.
The
LED
program
that
they're
working
on
eliminating
lead,
poisoning
very,
very,
very
interested
in
the
strategies
that
they're
using
to
eliminate
lead
programs,
the
rental
licensing,
the
way
that
we
should
be
coordinating
inspections
with
regulatory
services.
G
G
Local
Health
departments
are
following
in
those
footsteps
and
then
there's
also
the
large
cities
help
coalition
I
began
that
with
my
work
at
the
state
level,
and
now
it's
a
board,
it's
a
coalition
that
has
membership
agreements
and
an
sop
and
it's
a
vital
board.
I'm.
A
vital
commission
excuse
me
coalition
to
the
state
and
that
we
have
impact
over
2
million
residents
in
Massachusetts.
That
was
that
was
started
under
my
leadership.
A
G
Larger
scale,
but
the
processes
are
very
similar.
It's
the
three-legged
stool
that
you
have
to
make
sure
that
each
Community
has
available
to
them:
drop-in
centers
recovery,
centers
and
treatment
centers.
If
you're
dealing
with
opioids,
you
have
to
have
those
resources
available
to
those
communities.
The
other
strategies
that
we've
implemented
is
heat
Maps,
using
those
heat
maps
and
asset
maps
to
identify
those
locations
within
neighborhoods
and
communities
where
the
services
are
being
provided,
and
then
the
heat
map
showing
us
where
the
opioid
overdoses
and
our
deaths
have
happened.
A
Thank
you
and
then
my
last
question
is:
how
would
you
describe
your
leadership
style
I
know
that
you've
answered
this
question
for
me
before
in
our
private
meeting
you
told
me
that
it
was
transitional.
I
didn't
really
understand
what
that
meant.
So
can
you
just
go
a
little
further
about
what
that
means.
G
Yeah,
my
leadership
style
now
has
been
I,
have
a
deeper
perspective
on
how
I
lead
a
transitional
situational
leadership
style,
meaning
that
I'm
able
to
really
adapt
and
change
my
leadership
style
based
on
what's
needed
within
the
organization.
So
in
some
organizations,
when
you
come
in,
you
might
have
to
leave
from
the
front,
which
means
that
you
may
have
to
really
provide
a
lot
more
Direction.
You
may
have
to
provide
a
lot
more
instruction
if
you
have
a
younger
staff
or
younger
a
younger
staff
or
more
less
less
experienced
staff
and
other
other
organizations.
G
You
can
lead
from
the
back
when
meaning
that
you
have
staff
who
have
a
lot
more
experiences.
They've
been
running
programs
for
long
periods
of
time,
and
so
therefore,
your
role
really
becomes
championing
the
work
that
they're
already
doing,
and
sometimes
that
also
can
mean
identifying
barriers
and
removing
barriers
from
Peak
Performance,
and
so
it
really
depends.
There's
not
a
single
leadership
style
that
I
have
learned.
That
applies
to
every
situation,
so
you
have
to
be
able
to
adapt
your
leadership
style
to
the
situation.
Thank.
A
A
K
J
K
A
Motion
carries
and
it
will
be
moved
forward
to
the
full
Council
without
recommendation.
Thank
you,
Mr
Chapman.
Next
up
we
have
the
consent
agenda.
There
is
one
item
on
today's
consent
agenda
item
two
is
accepting
a
grant
from
the
Food
and
Drug
Administration
to
create
videos
in
three
languages
on
hand
washing.
Is
there
any
discussion
on
these
items.
A
Seeing
none
I
will
move
for
approval
of
the
consent
agenda.
All
those
in
favor
say
aye
aye,
those
opposed,
nay,
that
carries
in
the
consent
agenda
is
approved.
Our
next
item
is
a
discussion
item.
The
next
item
is
receiving
and
filing
a
presentation
on
340
OB
drug
pricing
program
here
to
present
on
the
item,
our
representatives
of
Allina
Health
and
Abbott
Northwestern,
Hospital,
Tony,
Collins,
Quang
and
Allison
Pence.
Thank
you
for
being
here
and
I
know.
I,
say
the
name
of
the
program
wrong.
All
the
time.
Is
it
three?
Four
zero?
A
M
So
I'd
like
to
start
by
providing
a
brief
overview
of
Abbott
Northwestern
Hospital,
which
is
located
at
800,
East,
28th
Street
in
Minneapolis,
and
then
I'll
follow
with
a
quick
overview
of
the
340b
drug
pricing
program
and
how
the
memorandum
of
understanding
plays
an
important
role
in
maintaining
eligibility
for
the
program
and
then
finally,
I'll
turn
it
over
to
Allison
for
an
overview
of
Abbott
northwestern's.
Community
engagement.
M
So
on
this
slide,
you
can
see
Abbott
Northwestern
serves
a
wide
range
of
patients
and
has
a
wide
range
of
services
offered
in
the
community,
several
of
which
are
listed
here
on
this
slide.
As
you
can
see,
annually
Abba
Northwestern
serves
over
200
000
patients
and
their
families
Additionally.
The
payer
mix
is
51
percent,
public
and
49
private
and
of
note.
The
public
payer
mix
has
increased
from
44
percent
in
2021.
So
this
continues
to
demonstrate
the
need
in
the
community
and
the
importance
of
this
program.
M
Hersa
requires
memorandum
of
understanding
between
the
hospital
and
local
government.
The
memorandum
of
understanding
is
Abbott
northwestern's
commitment
to
continue
providing
free
and
reduced
Health,
Care
Services
to
the
Indigent,
uninsured
and
underinsured
residents
of
Minneapolis
and
the
surrounding
communities.
Just
of
note,
I
wanted
to
point
out
that
again,
this
is
a
federal
program,
so
there's
no
direct
Financial
relationship
with
the
City
of
Minneapolis.
M
M
And
then
you
can
also
see
the
number
of
applications
for
free
or
reduced
cost
Services,
which
has
gone
up
considerably
from
2020
to
2021.
and
then
the
last
bullet
point.
There
is
the
Allina
free
drug
program,
so
the
opportunity
for
Lina
to
assist
with
medication
costs
and
now
I'll
turn
it
over
to
Allison
to
discuss
Abbott
northwestern's
Community
involvement.
N
Thank
you,
Jeremy
hello,
I'm,
Allison,
Pence
I'm,
the
director
of
community
engagement
for
Abbott,
Northwestern
and
Allina
Health
I
was
thrilled
to
hear
Mr
Chapman
just
talk
about
how
his
priorities
for
the
City
of
Minneapolis
are
going
to
be
Equity,
environment
and
an
economy,
because
that
is
actually
what
I'm
going
to
talk
about.
How
that
is
a
big
part
of
the
community
engagement
program
and
Community
benefit
that
we
extend
to
community
as
a
hospital
sitting
in
South
Side
Green
zones.
N
We
understand
and
appreciate
the
role
and
responsibility
that
we
have
to
play
in
helping
to
address
sustainability
issues
in
the
neighborhood.
So,
as
we
were
looking
at
our
upcoming
and
recent
construction
projects
in
the
community,
we
really
wanted
to
make
sure
we
were
addressing
sustainability
issues
in
this
community.
One
of
the
things
we
recently
added
to
the
campus
is
a
pollinator
Garden.
N
We
acquired
a
slope
of
the
greenway
next
to
our
brand
new
parking
structure
and
we
installed
a
5
000
square
foot,
pollinator
Garden
on
that
slope
with
the
intent
that
that
will
try
to
collect
as
much
runoff
as
possible.
So
it
is
right
on
the
greenway
right
next
to
Chicago
Avenue,
it's
a
pollinator
Garden.
It's
designed
to
attract
pollinators
and
really
beautify
the
space
that
same
parking
structure.
We
are
also
in
the
process
of
adding
a
solar
roof
to
the
very
top
of
it
that
solar
roof
is
going
to
become
a
community
solar
garden.
N
The
goal
is
that
eventually,
it
will
generate
one
megawatt
of
electricity
every
year
which
we
intend
to
turn
around
and
use
to
fund
the
energy
costs
of
about
250
homes
in
the
Phillips
neighborhood,
so
that
is
a
contract
with
Community
Energy
Futures,
which
is
a
South
Minneapolis
business.
They
are
in
the
process
of
putting
in
the
structure.
Construction
is
going
to
start,
probably
in
a
few
months,
and
our
goal
is
to
have
that,
hopefully,
wrapped
up
by
the
end
of
this
year,
there's
a
lot
of
supply
chain
components
to
that.
N
But
that
is
our
goal
and
then
we're
also
looking
at
our
construction
project.
In
terms
of
how
can
we
reuse
some
of
the
things
that
we
no
longer
need?
An
example
of
this
is
we
recently
took
took
apart.
A
seating
area
ended
up
with
a
lot
of
extra
benches.
We
donated
them
to
Stewart
Park
and
they
now
line
the
soccer
fields
on
Stewart
Park.
N
So
this
kids,
who
are
playing
soccer,
don't
have
to
sit
on
the
ground
anymore
when
they're,
not
playing
in
terms
of
our
investment
in
community
in
20,
2021,
Elena
intentionally
created
an
impact
investing
portfolio.
We
set
aside
30
million
dollars
from
our
own
Investment
Portfolio,
with
the
intention
that
these
dollars
would
go
directly
into
Community,
focusing
on
organizations
that
are
working
towards
economic
stability,
housing,
neighborhood
and
physical
environment
Community
stabilization.
N
To
date,
we
have
funded
about
15
of
that
30
million
initial
commitment.
Investments
include
Twin
Cities
list,
little
Earth
Metropolitan,
Economic
Development,
Association
media
Minnesota
and
the
Greater
Minnesota
housing
fund,
specifically
with
the
intent
that
housing
will
be
built
or
supported
in
the
neighborhood
around
Abba
Northwestern
Hospital
we're
also
looking
at
construction
diversity.
We
are
about
to
embark
on
a
significant
construction
project
at
Northwestern
Hospital,
and
we
know
the
importance
that
of
building
up
the
construction
community
in
addition
to
the
actual
facility.
N
Our
goal
is
to
and
hopefully
provide
jobs
for
we're
still
trying
to
land
on
a
number
are
going
to
need
it
probably
50
to
65
people
from
the
community
will
be
able
to
actually
get
jobs
with
no
previous
construction
experience
whatsoever.
We
are
going
to
train
them
on
the
job
site
and
then
they
will
go
right
to
work
on
the
actual
project.
The
Illini
board,
when
they
gave
the
capital
funding
for
this
project
was
very
intentional
that
this
project
could
not
just
benefit
Abbott
Northwestern.
N
N
And
then
we
are
also
the
facilitator
of
a
program
called
the
early
youth,
Eye
Care
Program,
where
we
go
into
every
single
Minneapolis,
Public,
School,
Elementary
and
Middle
School.
At
this
point,
and
we
screen
every
child
in
the
Minneapolis
public
schools
for
their
for
vision,
we've
screened
about
15,
000,
Minneapolis,
public
schools,
kids
every
year.
Anyone
who
screens
as
needing
follow-up
care
will
either
be
referred
to
a
provider
who
can
provide
that
care
or
we
will
come
back
with
our
automobile
and
provide
vision,
full
vision,
exam
and
glasses
as
needed
on
the
vehicle.
N
As
we
look
at
our
role
in
community
as
a
anchor
institution
as
part
of
this
community
for
almost
25
years,
we
have
donated
more
than
25
million
dollars
to
organizations
schools,
Community
Partners,
really
with
the
intent
that
we
are
here
to
be
a
partner,
and
that
is
important
that
all
of
us
are
healthy
together,
and
that
is
the
end
of
our
presentation.
Thank.
A
M
Yep
great
question:
so
it's
a
situation
where,
for
certain
covered
patients
eligible
patients
of
that
eligible
Department
in
the
in
the
hospital
we're
able
to
purchase
the
drugs
up
front
at
a
discount.
So
there
isn't
necessarily
any
sort
of
reimbursement
that
comes
back
just
the
opportunity
to
purchase
discount.
J
Thank
you,
madam
chair,
thank
you
for
what
you
do
for
the
community.
This
is
a
very
impressive
report.
You
should
be
very,
very
proud
of
it.
The
amount
of
money
you
donate,
the
health
care
issues,
the
pollinator
so
you're,
just
you're
doing
a
great
job,
so
it's
so
good
to
have
a
responsible
corporate
citizen
like
you
involved
in
our
city.
Thank
you
very
much.
A
You
all
so
much
for
being
here
and
sit
through
the
the
public
hearing.
Seeing
no
further
discussion.
I
will
direct
the
clerk
to
receive
and
file
that
report.
Thank
you
all.
Thank
you.
Our
next
discussion
item
is
receiving
a
filing
a
presentation
on
the
work
of
the
epidemiology,
research
and
evaluation
unit
within
the
health
department
here
to
present
on
this
is
Luisa
Luisa.
How
do
you
say
your
last
name?
A
L
P
Okay,
so
Vita
co-chair
Payne
and
council
members.
Thank
you
for
inviting
me
to
speak
today
about
our
epidemiology
research
and
evaluation
work
as
well
as
sdis
and
immunization.
So
we
have
a
whole
series
of
topics.
I
first
want
to
just
introduce
our
ere
unit
as
we
call
ourselves.
It
is
six
full-time
staff
and
one
part-time
staff,
and
we
come
with
backgrounds
in
statistics,
epidemiology
sociology
and
all
with
a
strong
passion
for
public
health
and
the
importance
of
data
in
making
good
decisions
for
for
Community
Health.
P
We
strive
to
provide
the
information
needed
on
the
health
status
of
Minneapolis
residents
so
that
we
can
do
evidence,
make
evidence-based
decisions
and
also
provide
programs
in
the
health
department
and
Community
Partners
with
the
information
that
they
need
to
make
those
same
decisions.
So
epidemiology
is
defined
as
a
study
and
Analysis
of
the
distribution
patterns
and
determinants
of
health
and
disease
conditions
in
a
defined
population,
but
we
interpret
it
as
a
much
broader
body
of
work.
P
So
for
us
we,
you
know,
do
the
analysis
of
the
Health
Data
such
as
covid
STIs,
HIV
Vital
Statistics,
but
we
also
investigate
cases
of
infectious
disease
in
collaboration,
for
example,
as
foodborne
illnesses,
in
collaboration
with
our
Health
Inspectors.
We
also
investigate
cases
of
pertussis
varicella
other
infectious
disease.
We
led
the
case
investigation
and
contact
tracing
for
covid-19
it
from
the
beginning
of
the
pandemic
in
2020.
Through
until
case
investigation,
contact
tracing
was
no
longer
sustainable
because
of
the
numbers.
P
We
also
provide
assistance
to
our
partners
at
the
Minneapolis
public
schools
and
other
community
organizations
in
answering
questions
related
to
prevention
and
control
of
infectious
disease
and
just
providing
education.
We
recently
did
a
whole
series
of
winter
Wellness
meetings
with
our
Minnesota
high-rise
councils
in
the
Minneapolis
public
housing
to
talk
about
covid
flu
and
prevention
of
respiratory
diseases,
so
sort
of
a
winter
wellness.
And
what
you
see
there
is
the
picture
in
the
middle
is
we
did
showed
how
to
do
covet
testing.
P
Under
our
research
work,
we
dive
deeper
into
the
issues
that
we
see
impact
the
health
of
Minneapolis
residents.
We
look
at
connections
between
policy
and
diseases
and
policies
and
health,
and
we
also
ensure
that
the
health
department
abides
by
all
data
practices
in
when
collecting
data
and
ensuring
that
we
are
informing
residents
of
why
we're
collecting
the
data,
how
we're
collecting
it
and
what
it'll
be
used
for,
so
that
we
are
making
sure
that
that
information
is
collected
in
a
correct
way.
P
Some
examples
of
this
work
are
actually
funded
by
Nature,
a
grant
around
health
and
all
policies
focusing
on
doing
doing
a
deeper
dive
into
our
lead,
illumination
data
and
as
well
as
a
work
that
we'll
be
taking
on
looking
at
issues
that
impact
the
health
of
the
lgbtq
plus
Community,
where
we
don't
have
very
solid
data
because
of
the
way
data
is
collected
within
the
Healthcare
Systems.
It's
not
necessarily
the
you
know.
Sexual
orientation
is
not
necessarily
something
that
is
collected
consistently.
P
So,
looking
at
what
is
needed,
how
can
we
give
a
better
handle
on
what
impacts
the
health
of
that
community
and,
finally,
evaluation?
We
have
presented
to
you
on
our
value
work,
evaluation,
work
with
the
office
of
violence
prevention,
but
our
goal
in
that
is.
We
believe
that
every
program
needs
to
know
if
they
are
being
successful
if
they're
meeting
their
goals
and
objectives.
P
An
evaluation
is
an
important
part
of
how
you
do
that,
and
so
we
tend
try
to
provide
technical
assistance
to
other
parts
of
the
health
department
and
work
with
them
to
develop
evaluation
plans
and
then
Implement.
Those
plans
do
the
data
collection.
Do
the
analysis
and
the
reporting
to
then
use
that
information
to
re
review
the
program
revise
the
activities
and
decide.
You
know
whether
to
move
forward.
P
Just
I
am
very
proud
of
the
work
that
my
unit,
the
ere
unit,
does
we
have
a
tremendous
staff
and
I
wanted
to
just
give
you
an
overview.
So
now,
what
I'm
going
to
present
is
some
information
on
SDI
Trends
in
in
Minneapolis,
which
is
a
bit
of
a
you
know,
left
turn
here,
I'm
going
to
focus
on
chlamydia
and
gonorrhea.
P
We
also
have
data
on
syphilis
and
HIV,
but
I
did
not
I'm
not
focusing
on
that
today,
and
the
data
that
is
used
in
this
presentation
comes
to
us
on
a
yearly
basis
from
the
Minnesota
Department
of
Health
through
their
STD
surveillance
system.
So
every
positive
case
of
chlamydia
gonorrhea
syphilis
has
to
be
reported
to
the
State
Health
Department
according
to
the
communicable
disease
reporting
rules,
and
so
we
on
a
yearly
basis,
received
the
data
for
Minneapolis
and
then
do
our
own
analysis.
P
So
I
want
to
first
start
by
situating
Minneapolis
in
in
our
current
context,
both
nationally
and
within
the
state,
and
as
you
can
see,
this
is
our
chlamydia
rates.
You
can
see
that
the
rates
for
Minnesota
and
the
nationally
of
State
pretty
much
flat
for
the
past
five
years.
There
is
a
slight
dip
in
2020,
but
that
is
likely
due
more
to
the
fact
that
the
pandemic
hit
and
people
were
not
seeking
care.
P
Then
the
fact
that
the
rates
have
actually
gone
down-
chlamydia
is
75
percent
of
the
cases
are
asymptomatic,
so
it's
very
rare
you
know
people
may
be
infected
and
never
actually
get
tested.
So
so
that's
that's
probably
a
reflection
of
that
for
Minneapolis.
You
know
our
rates
have
gone
slightly
down
and
it's
a
it.
They
started
going
down
before
the
pandemic,
although
they
are
still
twice
as
high
as
both
the
state
and
National
rates.
P
P
The
other
concern
is
that
gonorrhea
has
become
resistant
to
the
majority
of
medications
that
are
used
to
treat
it
so
most
most
isolates
that
are
most
tests
that
are
done
and
most
isolates
that
are
tested
are,
are
resistant
to
at
least
two
of
the
three
drugs
that
are
currently
used
to
treat
gonorrhea.
So
that
is
a
concern
as
we
go
forward
and
if
we
continue
to
see
this
increases
as
with
chlamydia,
our
rate
for
the
city
is
quite
a
bit
higher
than
this.
The
state
and
National
rate.
P
These
Maps
show
the
distribution
of
chlamydia
and
gonorrhea
in
Minneapolis
in
2021,
so
this
is
just
a
I.
The
trends
were
a
five-year
Trend.
This
is
just
the
2021
data.
We
won't
have
the
2022
data
until
later
in
May.
Is
that
that's
when
the
state
releases
it
so
it
2021
is
what
we
have
most
recently
and
you
can
see
so.
The
darker
Shades
represent
a
higher
rate
and
you
can
see
that
neighborhoods
in
the
north
and
sort
of
the
South
and
Central
Area
are
have
higher
rates
both
for
gonorrhea
and
chlamydia.
P
The
distribution
is
very
similar.
I
think
you
know.
This
reflects
the
fact
that
in
Minneapolis,
when
we
look
at
our
numbers
are
cases
in
Youth
and
among
our
community
of
colors
represent
the
majority
of
cases,
and
we
know
if
we
look
at
population
distribution,
this
the
in
mirrors
our
population
distribution.
P
So
it's
not
surprising,
but
it's
not
good,
and
it
is
something
that
we
are
continuing
to
work
to
address
and,
as
I
said,
if
we
look
at
chlamydia
rates
by
race,
ethnicity
and
the
trend
over
the
last
few
years,
we
see
that
you
know
mostly
they've
stayed
flat.
But
we
we
can
see
that
the
rates
for
Hispanic
black
and
American
Indian
residents
are
higher
than
the
City
rate
overall
and
so
again
a
concern
and
needing
to
address
how
we're
going
to
bring
those
down
to
be
closer
to
where
we
see
the
rates
for
other
groups.
P
Same
thing
for
gonorrhea
and
unfortunately,
as
as
we
as
I
mentioned,
our
rate
for
gonorrhea
has
continued
to
increase,
and
so
we
see
that
steady
increase
both
for
black
and
American
Indian
residents
as
well.
You
don't
you
know
the
the
white
and
Hispanic.
You
cannot
tell
as
well
as
much
the
how
the
the
line
goes,
because
the
rates
are
are
lower,
but
there
is
a
slight
increase
seen
in
all
racial
ethnic
groups.
P
Foreign
as
I
mentioned,
are
youth
rates.
Our
youth
numbers
are
very
concerning
for
chlamydia,
Youth
and
Young
adults,
which
we
Define
as
15
to
24
account
for
over
50
percent
of
cases
of
chlamydia
on
a
regular
basis,
and
you
can
see
that,
but
they
represent
only
16
percent
of
the
City's
population
according
to
2021
Census
Data
ACS
data,
so
both
the
chlamydia
and
gonorrhea
rates
for
15
to
19
year
olds
are
much
higher
than
the
rate
for
the
city
and
are
significantly
higher.
P
You
know
so
three
times
for
cl
for
chlamydia
and
twice
twice
twice
the
the
rate
for
gonorrhea.
We
also
are,
while
we're
not
able
to
do
rates
by
age
and
race.
When
we
look
at
the
number
of
cases
over
80
percent
of
our
chlamydia
and
gonorrhea
cases
in
the
15
to
19
age
group
are
among
our
youth
of
color.
So
we
need,
you
know,
that's
a
kind
of
all
all
groups,
and
so
the
work
needs
to
have
be
happening
with
those
commune
communities.
P
Same
thing,
similar
picture
for
young
adult,
that's
20,
to
24,
same
distribution
and
again
over
80
percent
of
cases
among
young
adults
of
color.
So
I
wanted
to
just
talk
a
little
bit
about
the
programmatic
work
that
we
have
in
within
the
health
department,
and
that
is
currently
being
done.
So
through
our
school-based
clinics,
we
provide
health
education
around
sdis.
There
is
a
SDI
testing
day
that
is
happening
that
happens
in
each
High
School
each
year
and
I
believe
I.
Think
the
Edison
High
School
might
have
just
happened
recently.
P
So
that
is
an
opportunity
to
educate
our
you
know:
Youth
and
50,
the
that
15
to
19
age
group,
around
testing
and
symptomology
and
making
sure
you
know
how
to
protect
themselves
and
normalizing
getting
tested
for
chlamydia
and
gonorrhea.
If
you
are
sexually
active,
also
providing
education
around
how
to
protect
yourself
doing
you
know
in
how
to
to
have
to
be
safe,
we
also
are
Contracting
with
the
partners
just
to
focus
on
providing
culturally
responsive
sex
education
at
youth
serving
locations
mostly
focused
on
our
youth
of
color.
P
Now,
moving
to
immunizations,
which
is
another,
you
know
little
turn
here
before
I
present
any
of
the
data
on
immunizations
I
want
to
let
you
know
that
it
is
very
difficult
for
us
to
get
city
level
data
on
immunizations
the
way
the
information
is
reported
into
Mick,
and
then
the
reports
that
we
can
get
the
lowest
level
of
data.
The
area
we
can
get
is
a
zip
code
which
we
can
use,
but
it's
not
ideal.
Also.
P
It
is
very
challenging
to
get
race
and
ethnicity
data
from
the
Minnesota
immunization
registry
and
that's
partly
about
the
way
that
providers
report
the
information
in
so
we
were
able
to
get
it
for
covid.
There
was
some
CDC
and
and
federal
government
made
some
requirements
on
how
data
needed
to
be
reported
for
coveted
vaccination,
but
that
is
not
translated
into
the
other
areas
of
immunizations
and
so
I'm
not
able
to
at
this
point
provide
any
race,
ethnicity,
breakdowns
around
immunization
rates.
P
We
are
continuing
to
push
mdh
on
one,
getting
us
better
city
data
and
two
looking
at.
How
can
we
get
more
specific
data
on
Race
ethnicity
on
so
that
we
can
better
Target?
What
you
know
the
communities
that
are
falling
behind
with
immunization
rates,
so
this
is
the
immunization
schedule
for
children,
and
you
know
I'm
going
to
focus
on
the
birth
through
four
and
the
you
know:
School
Readiness.
So
what
kids
need
to
do
to
enter
kindergarten
so
where
we
are
at
those
two
points.
P
The
childhood
Series,
so
that's
what
some
a
child
as
if,
when
they're
four-year-olds
would
the
vaccinations
that
are
supposed
to
have
so
and
and
that's
the
schedule
that
I
just
showed
in
the
previous
slide,
as
you
can
see
most
of-
and
this
is
again
zip
code-
it's
a
zip
code
map,
but
this
map
shows
that
the
percentage
of
four-year-olds
that
are
up
to
date
on
their
childhood
series,
vaccination
and
you
can
see
that
there
is
no
rape
area
in
the
city
that
is
above
50
percent.
So
we
are
part
of
that.
P
P
We
you
know,
we
would
hope
that
we
would
have
at
least
80
80
to
90
percent
is
what
we
want
to
see
to
really
have
vaccinations,
provide
the
protection
that
we're
looking
for
and
have
that
you
know
herd
immunity,
as
we
heard
so
often
with
covet
19..
We
are
not
as
a
city
overall
we're
at
40
40.8
percent.
Hennepin
County
is
at
44
percent
in
the
state
at
46.9.
P
So
that
is
a
concern
we
are
slightly
lower
than
both
hanapan
and
the
state,
but
again
nobody's
doing
fantastic
other
than
for
Hepatitis
B
I'm,
not
really
sure
I
can't
explain
why
we
are
doing
so
well
with
hepatitis
B,
but
not
with
all
of
the
other
vaccinations.
It's
it
I.
There's
not.
We
don't
so
the
data
that
we
get
doesn't
say
why
someone
gets
a
vaccine
or
why
they
don't
get
a
vaccine.
P
We
know
that
our
issues
with
MMR
that
people
have
concerns,
but
some
of
these
other
ones
I,
don't
I'm,
not
really
sure
what
the
the
issue
is,
and
then
we
also
I
also
looked
at
the
Adolescent
Series.
So
that
is,
you
know
as
when
you're
18
and
you're
leaving
school
sort
of
where
you're
supposed
to
be,
and
at
that
point
only
16
percent
of
Minneapolis
adolescents.
So
as
a
as
of
when
they're
18
are
caught
up
on
all
of
their
vaccinations,
it's
about
18
for
the
state
and
Hennepin
County.
P
So
again,
all
of
our
numbers
are
not
looking
good
and
I
think
and
they
were
better
prior
to
coved.
So
hopefully
we
can
get
people
back
into
into
getting
their
their
vaccinations
and
the
last
one
I
wanted
to
show.
You
is
just
the
covet
up-to-date
vaccination.
So
this
is
looking
at
covid
for
someone
that
has
all
the
boosters
that
have
been
recommended
for
for
their
age
group
and
and
so
again
we
are
not
doing
so
well.
P
We
have
34
percent
of
City
residents,
I,
think
that
is
not
that
off
of
what
the
state
is
seeing
for
the
state
I
wasn't
able
to.
There
was
some
issue
with
the
State
website
today
and
I
couldn't
get
their
value,
but
the
last
time
I
had
looked
at.
They
were
about
36
percent
for
up
to
date,
with
covet
vaccination,
we
will
We,
are
continuing
to
do
vaccination,
clinics
and
so
and
encouraging
people
to
get
vaccinated
and
up
to
date
with
their
covid.
P
P
For
at
least
21
days,
which
is
a
long
time
and
impacts
families,
and
then
we're
also
looking
at
developing
a
plan
to
do
some
pop-up
pediatric
vaccination
clinics
with
an
idea
for
to
catching
kids
up
as
as
school
starts,
fall
of
2023,
so
trying
to
work
and
figure
work
with
MPS
and
and
figure
out
what
the
best
way
to
do
those
will
be
instead
of
in
2019
prior
to
the
pandemic.
We
did
a
what
we
called
operation
maxvax
and
we
had
two
sites,
one
in
north
and
one
in
South
to
do
that.
P
But
we
are
looking
at
doing
something
where
it's
more
neighborhood
based
and
maybe
it's
within
in
each
school,
so
that
it's
a
place
that
families
are
familiar
with
and
know
their
kid
is
going
to
be
going
to
and
so
doing
that
and-
and
that's
all
I
had
I
just
want
to.
Thank
you
for
your
time
and
happy
to
take
any
questions.
I.
A
Want
to
thank
you-
and
you
know
you
said
a
couple
times
that
we
were
going
into
some
different
territory
with
those
with
the
STDs
and
the
vaccinations.
It
was
important
for
me
to
hear
that
information,
because
it's
something
I've
been
following
over
the
years.
So
thank
you
so
much
for
providing
that
information
and
now
I'm
going
to
open
it
up
for
questions
council,
member
Payne.
O
P
I
P
I
I
You
on
that,
that
would
be
great
also
in
building
on
the
the
research
and
tracking
that
you're
doing
around
covet,
something
that
has
been
brought
to
our
office
attention
time
and
time
again,
especially
since
we
have
two
large
Health
Care
Centers
in
my
war
in
hospitals
is
around
just
the
the
lack
of
response
to
to
Lone
covet.
So
you
know,
we've
absolutely
been
pressed
on.
You
know
what
is
the
city
also
doing
in
partnership
with
the
county
with
Statewide?
I
You
know,
agencies
that
are
in
charge
of
human
services
around
uplifting
the
seriousness
of
loan
covid
and
also
you
know
we
had
Hospital
reps
here
having
Health
Care
leaders.
Also,
you
know
start
to
take
this
serious
and
having
the
city
kind
of
be
part
of
that
role.
Do
you
also
do
any
type
of
tracking,
as
of
now
around,
like
long
covet.
P
P
Is
that
it's
a
diagnostic
of
exclusion
and
there's,
you
know,
even
though
there's
a
definition
it
there's
not
so
that
they're
looking
there's
been
a
I,
think
some
work
with
the
Council
of
state
and
territorial
epidemiologists
to
get
a
definition
for
what
is
long,
coveted
to
start
to
be
able
to
track
so
that
it.
You
know
we
have
more
specific
data.
P
The
state
does
have
a
unit
that
is
looking
at
long
covet
issues
and
there
is
I
know
in
the
state
legislatures
right
now,
some
bills
to
support
work
on
long
covid
that
will
include
working
with
local
Health
departments,
but
right
now,
most
of
the
time
that
is
happening
at
the
state
level.
We
are
supportive
of
that
work
and
we
are
interested
in
looking
at
that
work
and
we're
definitely
educating
when
we
are
out
talking
to
people
about
covid.
P
P
I
Okay,
so
it's
fine,
okay,
so
sounds
good
and
then
last
question.
So
at
the
end
of
last
year
the
National
Health
Care
for
homeless
for
the
homeless
Council
released
a
briefing
on
how
encampment
Suites
negatively
impacts.
You
know
public
health
or
unhoused
residents.
Does
your
division
also
maintain
data
on
you
know
our
City's
approach
towards
homeless,
homelessness
and
encampments
in
regards
to
like
public
health
outcomes,
because
we've
been
seeing
that
kind
of
float
around
too
for
even
the
past
week
around
some
some
additional
reports
coming
out
around
that
yeah.
P
So
we
we
don't
have
any
data
that
is
specifically
given
to
us
around
our
health
outcomes.
We,
you
know
if
there
are
any
kind
of
infectious
disease
that
would
be
detected
in
a
encampment,
we
would
work
with
our
colleagues
at
Hennepin
County
to
understand
what
was
happening
and
what
need
to
be
done.
As
you
know,
the
homeless
response
team
is
now
situated
in
regulatory
Services.
We
do
meet
with
them
on
a
regular
basis
and
try
to
talk
through
what
are
some
of
the
issues
that
they're
seeing
from
a
public
health
standpoint.
P
Most
of
those
have
been
focused
on
substance,
use,
disorder
issues
and
providing
you
know
kits
for
syringe,
cleanup
and
and
things
like
that,
not
necessarily
on
other
health
outcomes.
But
you
know
we
are
aware
of
the
reports
and
we
are
aware
of
the
issues
we
also
talk
about.
You
know
providing
if
we
need
to
provide
hygiene
stations
and
things
like
that
to
ensure
that
there
isn't
an
outbreak
of
different
infectious
disease
such
as
norovirus,
or
something
like
that.
P
J
Thank
you,
madam
chair,
great
presentation,
very
informative,
so
thank
you
for
coming
today.
Two
quick
questions.
The
vaccine
vaccination
rate
is
is
concerning
to
me.
So
is
there
a
contingency
plan?
Do
how
do
you
get
help
if
a
measles,
all
break
or
polio
is
that
you
could
help
them
from
the
state
and
County?
So.
P
If
I
mean
when
there
is
a
measles
outbreak,
we
do
there's
follow-up
with
every
case
and
also
recommendations
are
given
to
families
to
for
vaccination
of
the
kids
that
are
are
not
infected
to
those
exposed.
So,
yes,
we
would
work
with
a
county
with
a
state
to
respond,
if
necessary.
If
it
were
necessary
to
create
a
vaccination
clinic
for
that
particular
disease.
We
would
work
with
our
you
know
with
our
contracts
that
we
have
for
vaccine
to
provide
vaccinations.
J
P
You
have
money
to
do
it
I
think
you
know
I
I,
think
resources
are
important
both
for
outreach,
but
also
you
know
so.
Outreach
and
education
is
an
important
piece
and
that's
not
necessarily
that
would
be
the
health
department
doing.
We
would
be
working
with
Partners
in
the
community
that
our
trusted
Messengers
around
those
issues
to
provide
that
message,
but
we
would
need
resources
to
either
provide
to
our
partners
or
for
us
to
do
it
as
well
as
access
I.
P
Can
we
do
some
of
these
pop-up
clinics
have
some
place
other
places
that
people
can
that
come
with
their
families,
where
they
don't
need
to
make
an
appointment.
They
can
just
come
and
show
up
and
we're
able
to
look
up
their
kids
vaccine
history
and
we
were
able
to
get
them
the
vaccines
that
they
need.
So
there's
both
the
education
and
the
Outreach
and
then
access.
L
A
Thank
you
so
much
for
this
presentation
and
providing
us
with
this
great
information.
Keep
up
the
good
work
again.
I
want
to
thank
you
and
I
want
to
ask
the
clerk
to
receive
and
file
this
presentation.
This
report
and
see
no
further
business
before
us.
I
will
declare
this
meeting
adjourned.
Thank
you.