City of Portsmouth, New Hampshire Mayor's Blue Ribbon COVID Response Task Force Committee, 28 Mar 2023

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From YouTube: 3.28.2023 COVID Response Task Force

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3.28.2023 COVID Response Task Force

A

Oh, it's on okay, okay, we're going to call the meeting to order.

A

Welcome everybody: um let's start with the approval of the minutes from way back in february, 14th.

A

Because they're a motion to approve and is there a second second.

A

All in favor [music] I suck into business did.

A

Great so at this point we're going to turn it over to kim mcnamara for an update.

B

Good afternoon today, I'm going to update you on the community health profile and.

B

The needs assessment, progress and review some portsmouth specific data sets that are related.

B

To our vulnerable residents and students and then I would like you to consider some recommendations.

B

That we have um and I'll go through those as well. The community health profile is.

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um 68-Page document that's floating around here somewhere, so if we can pass those around.

B

um You'll see that it's in draft form, so it's not ready to be released. Quite yet there are a.

B

Few minor edits and a couple of additions that we hope to make. But it's just about completed.

B

So that portion is mostly done. The needs assessment is well underway, as I informed.

B

You before we weren't able to hire one agency to to do a needs assessment and it's a lot of work.

B

We had to break it down into pieces in the health department is having to do quite a bit of the work.

B

So it's a slower process than we originally hoped, but we're getting some really critical.

B

Information by meeting with community groups- and I expect that if all of you have not yet.

B

Got a call from maria solari: you will soon to set up interviews with you and and get some further.

B

Information and now I'll share some portsmouth data. um The portsmouth's race statistics are.

B

um Residents that identify as two or more races or 5.3 percent of our population.

B

um Other races, 0.96 or just a little less than one percent 0.04 percent- are native hawaiian.

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Or other pacific islander uh 4.6 asian americans, 0.23 percent american, indian and alaska native and.

B

1.1 percent of us are black or african-american. Yet 87.7 are white. The pie chart on the right.

B

Are these statistics um excluding white just so that you can see the ratios of minorities.

B

And um here is a great visual of languages other than english that are spoken at home.

B

In the portsmouth schools, english is not included on that, and so that you can see.

B

The number of different languages that are spoken, um this is that language list actually.

B

Listed out again, excluding english here so even though our minority populations are are.

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Small in portsmouth, we do have diversity here in portsmouth. When you add english to that list,.

B

There are 22 languages spoken in the portsmouth schools and remember behind those students there.

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Are family members at home that may solely rely on those languages and have no english um skills.

B

And our disability statistics.

B

Overall 9.9 percent of residents of portsmouth report disabilities- that is four par 4.5 percent.

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Have an independent living need: 2.1 percent have a self-care disability, 4.3 percent identify.

B

A cognitive disability, 1.9 percent vision, 2.4 percent hearing what is a self-care disability.

C

Basically, right, certainly yes, so if you need help with your activities of daily.

B

Living or whether that's taking medication, brushing your teeth, preparing meals, any of.

B

That sort of thing, and can you speak into the microphone? Oh I'm sorry! Yes,.

D

There would be overlap right because somebody who has a vision, disability might also have.

D

A self-care, that's right! That's why you can't just add up the numbers and come to 9.9 got it.

B

B

And you've seen this before this is portsmouth age distribution, but just to keep in mind that.

B

Our smallest population age-wise, is our children under five, our largest.

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Population are adults 35 to 54., but we have a sizable population of people 65 and older.

B

These are poverty statistics by different categories; this, the 6.6 percent of our total.

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Population is living at or below the federal poverty line. 6.6 percent of our 18 year olds.

B

Are also 6.5 percent of ages, 18 to 34, 6.2 percent of ages, 35 to 64 and 7.7 percent of our seniors.

B

Or people over 65 are living at or below the federal poverty level. The statistics by race.

B

The 19.5 percent of our hispanic population is living at or below the federal federal poverty.

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Line uh 10.2 percent of black or african-american residents and 6.2 percent of white residents and.

B

You can just see clearly disparity there, given the low numbers of minorities, percentage-wise.

C

Was there even a percentage on the race for hispanic? I didn't see that uh they.

B

Were I believe, they're in the category of other race? On that first side we take this.

B

Information from the census bureau and we have to go with. However, they define things. Thank you.

E

It's to the national average any of this I didn't put those slides in, but um we have in those reports that are being passed.

B

Around you can see it compared to rockingham county new hampshire and the united states.

F

I don't think it I think it's, I think the united states might be a little bit higher.

B

A number of people under the poverty line, but so what what's overall like when you.

G

Say: poverty? What are you talking about in terms of what they live on in the years.

G

Time on average, I have a slide that says that oh you do yep so we'll get to that.

B

um Poverty by education, 2.2 percent of our residents that are living at or below the.

B

Federal poverty line have a bachelor's degree or higher education. Eight percent have some.

B

College or an associate's degree, 9.7 percent completed high school or received their ged.

B

But 47 one percent um didn't graduate high school because so you can see how the effect of education.

B

um Loss affects our population and um families in poverty, so 4.6 percent of our portsmouth families.

B

Overall, have income below the federal poverty line, uh 2.3 percent earn less than 50 percent. Of that.

B

Federal poverty line and families that um make less than 50 percent of the federal poverty level.

B

Of them, 49.6 percent fall in that category. That came out a little confusing. I'm sorry.

B

But you compare it to the median household income. This is. These are 2021 statistics.

B

Because this was again taken by from census data, and so both the federal poverty line.

B

And the median household income are 2021 statistics, but the median household income in.

B

Portsmouth, that year was 91 915 for um portsmouth rockingham's a little bit higher. You can see 101.

B

000 plus, whereas new hampshire is around 76 000 and the u.s is 70 784 dollars for median.

B

Household income, so we have substantially higher income. However, the federal poverty line where we.

B

Know we have residents that fall below that we just talked about a one-person household. That's.

B

Thirteen thousand seven hundred and eighty eight dollars um a three-person family.

B

Twenty one thousand five hundred ninety nine, and even if you have nine or more persons in.

B

Your household and there of course, have to be related. It's not just nine roommates, but fifty six.

B

Thousand dollars is the federal poverty line, so there's a big gap there that you can see as well.

B

There's some interesting information on veterans veterans are 7.1 percent of our total population.

B

And 10.8 percent of them in portsmouth are women. That's a higher percentage than uh new hampshire.

B

Rockingham county in the united states, we have a higher percentage of older veterans than those.

B

Areas as well and 40 percent of our veterans possess a bachelor's degree or have higher.

B

Education, that's that's the highest of rockingham county, new uh new hampshire and the united states.

B

However, we have a higher percentage of veterans living below the federal poverty.

B

Line than in rockingham and new hampshire and um a very disturbing 2016 study found that new.

B

Hampshire had a significantly higher rate of suicide among veterans than the national rate.

B

Detailed information at the county or city level is not available, but the figures were 36 per 100.

B

000 suicides in new hampshire compared to the 31.7 per 100 000 in the u.s.

B

I'm just reminding people these are the groups that we're talking about when we say vulnerable populations, you've seen that before and so.

B

I'd like to talk to you about um our recommendations that we'd like you to consider.

B

Supporting or making yourself so I wanted to make a few concepts clear that providers of a broad.

B

Range of services to our vulnerable populations are part of the larger public health system, so.

B

Day care is seacoast mental health chase home for children, our place, crossroads, safe harbor, etc.

B

Then there are many many more in portsmouth. These are all part of our greater public health system.

B

And it's really important to support these non-profits and not duplicate their functions.

B

In government, so that's very important because one of our recommendations is going to be to.

B

Do exactly that to support the broader public health, social, physical, environmental and economic.

B

Determinants of health are protective factors of public health and many city departments and.

B

Community nonprofits provide these quote social determinants of health. You'll see that term.

B

Used it's in the arpa funding guidelines. It's something that we use to talk about. The bigger.

B

Picture of public health other than just health care and anything the city can do to promote.

B

And support social connections, information and services to our vulnerable populations.

B

Will make them less vulnerable and therefore the city overall will be more resilient and fairer.

B

So one of the recommendations is that if this group would consider supporting a community.

B

Health improvement plan now we've just pretty much completed the community health profile, we're in.

B

The middle of the community needs assessment, which will be done by the summer time. The final leg of.

B

That would be you take all of that information and you work with the local non-profits and.

B

Community members and other stakeholders to come up with a community health improvement plan and.

B

That's a long-term systemic effort. I'm sorry systematic effort to address the public health.

B

Problems in a community based on the results of the community assessment activities there.

B

Are lots of stakeholder input into this? The good thing is where we had to do so. Much of the work.

B

Ourselves, we saved an awful lot of money, and so I don't think we would have to ask the council.

B

For more funding, I think we're going to have it left over, so we're just asking you to consider if.

B

This wouldn't be a good thing and make a consider making a recommendation that the council's support.

B

And approve us to move on to the community health improvement. Has there been one before.

B

Not that I know of there's been a community health profile and assessment done, something like in 2007.

B

This is the first effort since then that there's been funding to do anything. So even if there were.

B

Let me correct that from a city basis, there hasn't been there's been lots of local health.

B

Care related plans, you know so a specific health care entity went where douglas has.

B

Done one I think, goodwin health may have just done one so they're those but we're talking about.

B

Sort of a city based health improvement plan, what can the city and the city nonprofits do.

B

You know, and and others to um do our part in community health improvement. It's developed.

B

Collaboratively and it defines a vision for the community's health, it's important to note that.

B

The improvement plan is the community's plan. It's not the city government's plan for the community.

B

Things that influence health are, you know, personal things, genetics, biology.

B

And behavior, as well as access and barriers to health care, but social economic service.

B

And physical environments also play a huge role, in fact, while clinical care is vitally.

B

Important only a small portion about 15 to 20 percent of overall health and longevity.

B

Can be attributed to clinical care, it's these social determinants of health that.

B

We're talking about that have a far greater impact on how long and how well people live.

B

um And so the interaction between health, social factors and environmental.

B

Factors is very complex and it requires a non-siled approach to policy and planning.

B

These are the non-medical factors that influence health outcomes. Social determinants of health are.

B

The conditions in which people are born, grow, work, live and age and the wider set.

B

Of forces and systems shaping the conditions of that daily life right here in portsmouth.

B

um These forces and systems include economic policies and systems, development agendas.

B

Social norms, social policies, racism, climate change and political systems, to name several.

B

So one of the other recommendations that we'd, like you to consider, is to build city.

B

Services for diversity, equity and inclusion, our vulnerable groups have been reporting to.

B

Us that they feel separated largely unknown to the rest of portsmouth and left behind in.

B

Portsmouth's progress, so these are two examples of policy statements or policies that can go a.

B

Long ways toward the building community health- you know the equity piece here. The city provides.

B

All community members with equal and effective services, resources, opportunities and influence.

B

So that all people achieve their full potential and thrive equity is purposeful and eager journey.

B

Toward well-being, because we've talked about that being part of the definition of public health.

B

By those most negatively impacted inclusion, the city treats all people respectfully values all.

B

People for their distinctive skills, experiences and perspectives engages all people to contribute.

B

To the community's success and leverages resources and city services, where needed,.

B

Two more examples: sustainability meeting the needs of current and future generations and.

B

Advancing environmental conservation, economic prosperity and a high quality of life for all.

B

And health in all policies is something I'd also like you to think about. This is the.

B

Integrated and comprehensive approach to bring health well-being and equity.

B

Considerations into the development and implementation of policies, programs and.

B

Services of traditionally non-health-related government assistance systems or agencies.

B

um Health and all policies is a response to a variety of complex and often intertwined.

B

Problems such as chronic illness, growing inequality and health inequities and aging.

B

Population which we have climate change, which we have and related threats to our natural resources.

B

And the need to meet governmental goals with shrinking resources, so yields innovative and.

B

Effective solutions, a new policy approach and structures that break down the siled nature of.

B

Government to advance cross-discipline thinking for those equitable and sustainable solutions.

B

It is about promoting healthy communities, and it requires that we address the social.

B

Determinants of health, such as transportation, education, access to healthy food, economic.

B

Opportunities and more I've heard all of those things discussed in this group and.

B

So we're just saying that whenever anybody is putting forth policies.

B

Or working on these issues that they remember to include are vulnerable populations in that.

B

Implementation can be very simple and it can start with one that you include consideration.

B

Of the impact of that policy on health and the environment and include our vulnerable populations.

B

Therefore, that brings me to my list of five uh recommendations that I'd like this group.

B

To consider um the first one is um to support and approve a community health improvement plan.

B

To follow this community health profile and needs assessment, that's currently underway and based on.

B

The findings and greater community input- it's number one. I have already requested this and I.

B

Know that this group doesn't really want to get into monies, but I have asked this. I have.

B

Asked through my channels, if three million dollars can be set aside for completion of the community.

B

Health profile needs assessment and improvement plan so that, when we figure out what the best way.

B

Is to approach all of these issues and a lot of these issues, we'll probably talk about the things.

B

We've just been talking about the transportation, the good food, the employment opportunities.

B

That we have something to work with at the end of that. So that's my second, but my third and.

B

This is very important because there are groups of people that um we heard from a year ago. This.

B

You know last spring, there are non-profits local non-profits that need assistance. Now they needed.

B

It then they're needing it now there was never my intent to wait for the health department's.

B

Profiler needs assessment, or whatever else may come in order for those groups to be considered.

B

But my understanding is: there's no mechanism to get those needs known in front of city council. I.

B

Don't you know I could be wrong about that, but I've not heard of it. So I would like.

B

You to consider um asking for a mechanism to be developed so that that people who have these needs.

B

Can get those needs in front of the people that make the decisions about how the money is spent?.

B

Separate from what the health department's asked for, because I have heard people say.

B

Oh well, aren't you asking for that, I'm asking for an end result. These are these. Are agencies.

B

That have already made their needs known and there's many more out there that just.

B

That have needs that that the council doesn't know about, but haven't we heard in these meetings.

A

Though that there's no mechanism for disseminating money um from the city to the nonprofits so.

B

Well, that could be that's a that's about me, but um but how? Even without that? How do you make.

B

Those needs known because how do those decisions get made if people don't know what the needs are.

G

And that could that could be resolved? What you just said, people got to know.

G

About that, and that would have to be resolved.

D

Well, it was about having someone administer grants program. Then the city would have to take on the.

D

Responsibility of administering the grenades, but I do think creating some kind of channel. That's.

H

Communicating between the two, yes, is a great idea whether the city can figure out how to fund the.

H

Request or not, there should be some way that they can make the request right. No, so yeah and it's.

E

Already happening, I mean people go in front of the council, make their requests and then they'll.

E

Get right disbursement so maybe just yeah and publicizing it. I have people that I've spoken to.

B

um Last year you know and said: can you tell me what your needs are? Can you tell me how covet.

B

Affected you and um I got things back from folks, but to my knowledge, none of those things have been.

B

Acted on, and so that I'm just mean there needs to be an outlet yeah, and it's not you know, I'm.

B

A dead end for that stuff, so yeah, it's is the is the three million dollar set aside. Is that.

C

Just for the profile needs assessment and plan, or is it actually implementing part of the plan.

B

Oh yeah, it would be, it would be to implement the plan. um None of that money is being asked for for.

B

The health department, it's for, we make a plan and we say that somehow we have, we have persons living.

B

At crossroads that needs transportation to odeon point so they can enjoy the natural environment.

B

We have three million dollars to you know, maybe part of that three million could be okay. How are.

B

We going to add that one route or are we going to get one company to do that and that's just one.

B

Example and I'm just pulling things out of the air here, but the three million is to implement.

C

The community health improvement plan, when it's done I'll I'll, explain how it came about. No, no.

C

These are great questions so when the government originally announced that they had this money, that.

B

Was coming and portsmouth was going to get more than 12 million dollars? There were four basic.

B

Principles that what it was supposed to be used for and one of them was kind of, dress, inequities.

B

For populations that were disproportionately affected by covid and we never get public.

B

Health money, you know just it's just like the last thing to ever be funded, and so just like.

B

Right after 9 11, I I thought well, you know. Maybe this is now our opportunity to get some and uh 3.

B

Million is one quarter of that amount, because it was one-fourth of the things that they said that.

B

We should be using it on that's how I came up with three million. uh It's not based on any estimates.

B

That I have it just only seems fair to me that public health should have at least that much.

B

And by public health I mean that community public health, not the health department,.

B

Okay, um the other two recommendations are that, if assess and adjust city services to reflect.

B

Bases and diverse, equitable and inclusive practices. We really should you know this.

B

Should be just our part of our ongoing policy, not just on a department level, but if we could.

B

Ask the city council to really um embrace that, and they probably have in many ways that that.

B

We don't interact with so um I I think it should be emphasized, though, um if you're willing and.

B

The last one is to apply a health and all policies, approach to city policy, development and planning.

B

um The health and all policies approach- I don't know if I explained it well enough.

B

But what it really is is that you're thinking about the health impacts of the decisions that.

B

Are made you're also thinking about? How can you overcome that disproportionate.

B

Negative effect on some populations when you're building, so if you're building a.

B

Transportation system for the whole community, you know, how are you also, maybe beefing up.

B

Parts of it that need to be so that all people can use it. It's really just it's.

B

Not that the health department is involved in everything, it's that these global policies are.

B

Adopted and then applied to you know the planning and forward motion of the city.

A

Questions for kim I I just.

G

I've been reading all these different reports like what's going on around our country. This.

G

Is happening everywhere, you know that I mean I mean there areas where you know they talk about.

G

You know 500 people sleeping outside you know in the in you know the open park or places, and it's.

G

Just this is a similar what you just talked to us about. I want to read this whole thing.

B

um Yes, this will this first needs to go to council um uh and um then when they're happy or you know,.

B

They've had their opportunity um to review it. Then it'll go on our website, um so it'll.

B

Be distributed, it's not available now on your website. It's not it's still in draft form. Okay,.

D

So, okay kim sorry, the health in all policies thing you know it's easy for you to say just consider.

D

Health whenever you make policies, but there must be good ways to do that I mean. Is there? Are there.

D

Like here's, a problem, we're going to do a new bus system, so first we make sure that the language is.

D

You know out there, you know, is there a procedure? There are cities all over this country already do.

B

This baltimore boston, california, cities redmond. If you want to look at the redmond california,.

B

um Website they have equity inclusion and you know.

B

All the things that we've been talking about here, um but that's kind of in the implementation.

B

Of the health improvement plan, what we really are asking for right now is that the city say this is.

B

Important- and we want to, we want to include health in all policies, or we want that as part of our our.

B

Policy thinking so we're really just asking for that step, and if the city embraces that, then we.

B

Have our directive to go for it and, yes, there's lots of information about how to do that. Okay,.

G

That or if they're just supposed to read this and then there'll be an open discussion.

B

um The city manager will tell me how to how to address that she's she's on all over that.

G

Okay, so, as far as you know, the city council, they have not had this or read this. uh You are.

B

Only the next set of eyes after mine that have seen it wow, I just want to say, or on behalf of.

E

The you know committee here, thank you more and congratulations on getting through this.

E

Phase of the project is great um and I guess I'm wondering in your opinion, to what extent.

E

Has the city of portsmouth taken public health into account when drafting their master plans.

E

If you can well yeah public health touches so many realms that there are people that have.

B

Really tried to address it through things like the sustainability section and all, but really.

B

um Making the bridge between our our vulnerable populations and our marginalized population.

B

That has been somewhat missed in the past, um but honestly, I can't even recite the whole master plan.

B

To you, I'm sure that there's several places that people have put things in there. Thinking of that.

B

You know we have a lot of very environmentally conscious folks, and um you know people that have.

B

The right framework of mind- so I know it's in there in threads, but it's not stated as such, that.

B

I know, and I think it should be stated as such kim can. I just ask I want to make sure I understand.

H

The community health improvement plan would it be as specific. You gave the example, for example, like.

H

A adding a bus route or something to go a certain direction. Will it be that specific, so, based on the.

H

Needs we want to address these specific things using these community nonprofits. We already have.

H

That's a process that has worked out by people at the table that are making the plan, so it's.

B

Not I don't have a preconceived notion of that, but I think you do have to get fairly specific.

B

Because, sometimes when you're only talking in concepts, the same old things get overlooked, yep so.

B

um I think the more specific a plan is yeah, the the better you can implement. I.

H

Just think saying for us to say that we are um recommending. It makes like perfect sense, since.

H

Everything we've been talking about are all these little kind of finite details and ideas.

H

But that would maybe be the plan, that's really putting them into place. You know, based on the.

H

Needs and that's right, and it's also something that can be done in a um in an approach that you.

B

Don't have to feel overwhelmed, you have to drop everything you're doing to get to a meeting at.

B

12 o'clock, on a tuesday, you know it's something where you know we can come to you or there will.

B

Be work groups things like that or there would be. I shouldn't speak as if it's welcoming actual but.

B

um But there would be you know times when there that would have to happen, but there's.

B

A lot of individual input individual work, because that's really what you, where you get your best.

B

Information right, you know my experience of this has been this, and this is how we could fix it. Okay,.

B

Great all right, so thank you kim, what's going on um so what we are hoping to accomplish in this.

A

Meeting is to finalize kind of the process and the timeline for wrapping all of this up and coming up.

A

With the final report, with some recommendations that will be presented to the city council,.

A

um As far as I know, we only have one other meeting scheduled right on the april 18th.

A

That's the only one I have in my calendar.

A

So why don't we I mean, I feel like it would be helpful to figure out the process and the.

A

Timeline and then work on recommendations and what will be included in that. But my phone's ringing so.

H

When counselor bagley came last time, I feel, like his recommendation, was good of just kind of some.

H

Of the headings he said were too big, like that, we probably wouldn't be able to address anyway, but.

H

Just kind of creating a list you know to present so that they could kind of vote yes or no. So maybe.

H

Taking what we already have and paring it down gets anything new. We have to come up with, but.

A

Yeah, I feel like I feel, like we started. We got all this information, we started looking.

A

Kind of pie in the sky and there's just really not that opportunity through this process, so.

A

I agree if we can kind of come up with some some sort of, is it an either either or like.

C

There is, I can't recall, about five million five million, but if, if uh kim's asking for.

C

Three million to go against this and that that's going to be narrowed down to what.

C

Is the need, and how do we address the need? Are we also talking about setting aside the other.

C

It's it's not that it's not that clear, because we're not the only group making recommendations.

A

Either for the same pot of money right so in 3 million is out of the 5 million yeah. I believe.

A

So yeah, I thought it was separate out of 12. yeah. I thought it was because we got is a city yeah. We.

H

Have five that we're talking? Because it's already been spent on other things, there's other things.

H

Infrastructure, sewage and water, so can we be making specific recommendations that would.

C

Be on top of the specific recommendation that she's going to be making or based on the needs.

C

Assessment, my understanding is that kim is asking for this group to include her recommendations as.

A

Part of our recommendations right so if we had a list of 10 things said yes to that, would we also.

C

Be adding other specific recommendations based on yeah things? We've come up with during this.

H

Last yeah, but then how many months, 2 million yeah right and then minus the arts and yeah but again.

H

I think they've told us a lot of times that we don't. We just make the recommendations and it's.

H

Up to them right, like yeah, I mean I, I envision that whatever this final report looks like it.

A

Identifies you know all of these consistent themes of the pressing issues facing the community that.

A

Then there's just some like what andrew was saying was that the kind of the low dollar ones so below.

A

Dollar high impact, if there's some of those, but I think it's important to mention in the report, the.

A

Truer larger need than right what we're glenn. I think if we have someone if we present this and we.

H

Can say some of the ideas like andrew talked about the scholarship or we talked about even funding.

H

um The website that our the community resources, like just making that more user friendly you.

H

Know I don't know how much that would cost, but those things that one of our recommendations could also be about supporting the health improvement. I think we could talk.

H

Through that one saying a lot of the ideas we have are going to come out in that report.

H

To explain that, but that's why we're not also making like all these line, item recommendations.

A

So do we feel like one like we'll start today, but do we feel like one more meeting, would.

A

Be enough to draft a report and come up with these recommendations.

A

Yeah yeah, I think so yeah we we have number two as a mental health under public health. Remember yeah,.

H

To almost like go through yeah, so it seems like that might be. A good process is to use.

A

The slideshow you created to just kind of go through each of the identified areas of need.

A

Because I just looking through it before I came and we have all of the where we had identified.

H

The need the agencies, the solutions, people involved, so it's almost like if we just go.

H

To these solutions, yeah and what is actually low, cost high impact, because some things we have on.

H

There were really pie in the sky, but we could yeah. I think that's what andrew was saying like.

C

Housing, child care, workforce shortage are just huge right, so yeah. But if we were to look at like.

C

Transportation, for instance, yes, yeah right yeah that touches all those areas right. You just kind.

H

Of make a list of like the top ten right from the whole thing right: um yeah yeah. So um karen also.

A

Mentioned that the city council meetings, where we could present would be since our next meeting.

A

Is not until april 18th, it would probably be the may 1st meeting, um because we would need to get.

A

To get stuff to them the wednesday before okay! So if we meet on the 18th.

A

um Then the following wednesday is the 26th before the may. First meeting: okay.

D

So you're suggesting another meeting just to wrap everything up. Well, we.

A

Have the 18th on our right on our uh karen sunday calendar and invite for that one.

E

Make any kind of like preliminary uh streamline product here where we can.

E

Cross-Reference, what kim recommended with our slideshow, should we just like you know, along.

E

With her recommendations, kind of start with that, because we know we want to support him back her.

E

Recommendations right this is clear and then we can get into okay and then there's you know less.

E

Than 2 million to put towards non-profits and then coordinate, you know- and these are.

E

Our recommendations, specifically in these areas, transportation, right and just draw- I mean, there's.

E

Should we use, I guess my question: should we use her presentation as the template and then paul.

E

Some recommendations from our slideshow. Well, that's why I'm interested to see when, when or.

H

If she is presenting, let me be great if you can present together sort of I mean if she.

B

Was presenting and then we were like? Oh and also we've been working on this for eight months and.

H

These are these are things oh yeah, but I don't know when right. So I think we need clarification.

A

On that, because I don't know if she yeah or is that me first or before or not or well, she said.

H

She was putting what should the slideshow in front of the city council soon. I don't know if.

I

That's something we can master if that's like a private meeting or yeah sound, makes sense right.

D

To go after her, that would be good yeah, because then we wouldn't have to explain what she's doing.

H

What kind of it's like a time effort behind the exactly what she's doing with community.

A

Well- and I do think that even if she's presenting there could be.

A

A section in the report that outlines the recommendations from the public health yeah.

E

Or business with anything non-public health related.

E

Was did we identify anything that wasn't? Oh yeah, no, no right, yeah.

D

So but we don't know we like both to get behind or not get behind.

C

The three million dollars she's recommending.

A

I think I don't think it's a vote thing, because I think it's just what we. What.

A

We are coming up with in our report to recommend so we can decide if we.

A

Want to right right, but to support that recommendation, saying we're supporting it.

A

Or not, maybe can't maybe kim can answer the question about.

A

um Hi what's the question so the question came up about when or if you're presenting.

A

What you just presented here directly to the city council, uh I have a tentative time.

B

To present to the city, council, the community health profile um and uh may 1st or may 15th.

B

um It I can certainly present this sort of stuff, if there's more, that we complete that we think.

B

Which should be included? You know that will be presented as well, so because we're looking at.

A

Trying to wrap up and present our report on them. Perhaps that may first meeting, um but so we were.

A

Looking to see, if you were presenting your recommendations directly to the city council,.

A

Or and asking us to support those recommendations or if you were looking to this group to make those.

A

Recommendations right, um I was looking to this group to support those recommendations because.

B

I don't think that I am in a position to ask for recommendations of city council so I'll make a.

B

Presentation on what the community health profile is, but I think that's the limit of what I should.

D

Do because we were considering that, if you did that, then we should follow you, because you would.

D

Have just presented it well and you are, but yes, your charge, though, is to make recommendations. Mine.

B

Is not right, but then we wouldn't have to explain what it is, because you're going to have just.

D

Presented, yes, I'd be happy to do that. There you go, we were just saying it seemed like it would make.

H

Sense for you to go and then us to follow up with being community members and organizations. We know.

H

All of these are needs, and here are some ideas, and we support this and supporting your records.

B

I I don't think the date for me for my presentation is firm yet so I would just.

B

um Ask the city council, uh the city city manager, okay um about those dates, so even if it wasn't the.

H

First, it could be, it doesn't matter, so I think our question is when it's firmed up for you. If.

A

We can also present on that same meeting and have karen coordinate the day right after the county.

A

Manager yeah well. She had mentioned the first and the 15th of may as the meeting dates so.

A

um I think we can just- and that gives us time also so if we don't get all done on the 18th, we can.

A

Well, actually, if we're, if it's the first, we would need to get done on the 18th, because.

A

We kept her, um will you be using this presentation? You've shown us in its.

E

Exact form at that meeting, or will you be taking out the recommendation slides.

B

I'll probably be uh um editing it a little bit. uh This is the third meeting that I thought I.

B

Was going to attend, switch change three times, so it's a little. You know I just.

B

Want to make sure that it was really nice and crisp yep. It was great okay,.

A

So I don't know if people up there means that there's public comment, but before we get to that.

A

um All right, so it sounds like we're going to keep our meeting on the 18th to really.

A

Push out some recommendations and get the report going.

A

um Yeah, I got it and by ben, hopefully we will know whether or not it's the first or the.

A

um First or the 15th um and can decide who's presenting and what that looks like.

A

um Is there anything we want to talk about today about the recommendations we have about.

A

Five minutes before we have to go to public comment, I was just going to say that it might.

H

Be helpful if people look through what we've already done so that when we come the next.

H

Time you can have your top three top four, I'm happy to make another slide and we can just.

H

Input discuss, you know what we want to put on there so that we could actually get it done. Yeah.

H

Or if you have some great new idea, obviously, but I think we have a lot of things on there.

H

um So you know, if you pick kind of what's the most relevant to you or your organization,.

H

Or whatever, then we could get that done yeah and we can't send those slides out right. Okay,.

H

um Yeah and then I'll just work on adding a blank slide that we can work on in the meeting to put everything.

A

Does sound like a plan? um How do we know if there's people for public comment.

A

um There's a hand she's smarter, yeah.

D

So um you might have to let her yeah. Is she waiting to talk to someone no she's.

C

Unmuted, hello, hello,.

J

Okay, there's no hand on this version. I guess so I apologize for that, but I did hear something.

J

About public comments yeah, so um if you don't mind uh so my name is rick beck said I live.

J

At 1395 visiting the street following post all of your meetings. Unfortunately, I have not been.

J

Able to attend them to my workload schedule, um but I felt it really important as your.

J

I guess getting ready to conclude uh one of the things that council bradley ryan said.

J

About being impactful, I've mentioned this before I will mention it again.

J

um And I know everyone says you can't help with workforce housing, but our workforce imports.

J

Aren't all homeowners, they're renters and I still think it is very doable and possible.

J

At the council level to make a recommendation of say, a million dollars to go and do an exemption.

J

Program either for landlords that keep the numbers at a workforce number based on income at the state.

J

Level for workforce, which is 80 percent median income, or we go about and actually have renters.

J

In the city right that meet a criteria and give them an exemption, we do this for our elderly.

J

Throughout the entire city, we also do this for our veterans to me what was asked of this group.

J

Is to be the most impactful, I understand what kim is uh talking about and planning for the future.

J

um My worry and concern is: it has to be expended by 2026, so it still seems very vague to me for.

J

Such a large number- and I think it's like 4.7 million dollars- you guys have to work with.

J

um I I think it's something that will be difficult to make the recommendations, especially for the.

J

Amount of time that you have put in as a group working together and again myself and I know most.

J

Important, I very much appreciate your time and efforts into this, but I think that would be the.

J

Big bang um and it's something that the council could very easily do, like. I said with the elderly.

J

Exemption with the veterans, I think it's vital and important. I think it would make a huge impact.

J

It could be spent over uh the next couple of years until it is basically extended uh by 2026.

J

um And I apologize also to nan brown. I had a brief conversation with everybody.

J

I was supposed to email her and I lost a piece of paper. [Laughter].

J

To me it just that is the most impactful thing that we can do. Other communities have.

J

Done that manchester, if we need to go and look somewhere else, I know that mayor craig, who I.

J

Know personally, uh actually devised a plan to be able to do this exemption for uh renters.

J

It makes an impact and that's the whole thing I mean the pandemic is over, but the result of.

J

It is not, we are still suffering and we're still going to suffer, along with everything else that.

J

We have in the united states. This would be the most impactful way of doing it. I beg you.

J

Consider, but you guys would make some kind of a recommendation. You want a number say.

J

It's a million dollars and it could be done in the legal department they go and devise.

J

The plan itself and the city council, with three readings, can put into action so again.

J

I just I asked that and again I thank you for letting me speak. Thank you. Thank you. Thank you.

A

um Margo, do we have uh thank you, uh margo doring, 300 jones avenue. um I just wanted to pass along.

I

My big picture thoughts that you have a unique opportunity with a significant amount of one-time.

I

Money to think about um issues that are so difficult to fix on the day-to-day, because.

I

They don't fit easily into an annual budget, low-hanging fruits. You know things that it's a.

I

Little here a little there, those things can happen. It's trying to make these large systemic changes.

I

um Things that kim touched on that need political efforts, but then also an amount of money behind.

I

That political effort to actually have things happen, I'm not making a recommendation as to what.

I

That should be, but I just think there are some things out there that are so daunting that unless.

I

There's a concerted effort and the money behind it to actually tip that rock or get it moving.

I

um It's just never going to move and I think you have an opportunity to look at.

I

One or two of those rocks and see about moving them. Thank you. Thank you. Thank you.

A

um So I also want, since we only have the meeting scheduled on the 18th, I want to make sure.

A

um Is everyone here able to be there because it would be important for us to have the quorum to finalize the report.

A

Great, um is there anything else before we adjourn.

A

So if everybody can just take a look at the slides and really think about with the lens of kind of.

A

The impact, but also all of these pressing needs that we've identified and come with your ideas.

A

That would be great. Can I have a motion to adjourn and second second, all in favor aye aye. Thank you.