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From YouTube: Committee on Public Health and Human Services 11-13-2020
Description
The Committee on Public Health and Human Services of the Council of the City of Philadelphia held a Public Hearing on Friday, November 13, 2020, at 1:00 PM to hear testimony on the following items:
200338 Resolution authorizing City Council’s Committee on Public Health & Human Services to hold hearings regarding the disproportionate numbers of seniors in congregate care settings who have passed away as a result of the COVID 19 pandemic.
B
I
now
know
that
the
hour
has
come
has
come
and,
madam
clerk,
will
you
please
call
the
roll
call
to
take
attendance
members
that
are
in
attendance?
Will
please
indicate
that
you
are
present
when
your
name
is
called
also.
Please
say
a
few
brief
remarks
when
responding,
so
that
your
image
will
be
displayed
on
screen
when
you
speak.
B
G
B
Topic,
thank
you
for
being
here
councilman.
We
appreciate
your
presence.
A
quorum
of
the
committee
is
present
and
the
hearing
is
now
called
to
order.
This
is
the
public
hearing
of
the
committee
on
public
health
and
human
services
regarding
resolution.
Number
two:
zero:
zero.
Three,
three
eight!
Madam
clerk,
will
you
please
read
the
title
of
the
resolution.
B
By
continuing
to
be
in
the
meeting,
you
are
consenting
to
being
recorded
additionally
prior
to
recognizing
members
for
the
questions
or
comments
that
they
have
for
witnesses.
I
will
note
for
the
record
at
this
time
that
we
will
use
the
chat
feature
available
in
microsoft
teams
to
allow
members
to
signify
that
they
wish
to
be
recognized
in
order
to
comply
with
the
sunshine
act.
The
chat
feature
must
only
be
used
for
this
purpose.
B
D
I
I
Once
the
kova
19
is
introduced
into
these
facilities,
it
can
spread
quickly
from
one
resident
to
others
in
philadelphia
and
in
the
united
states
as
a
whole.
The
copenhagen
pandemic
struck
congregate
care
facilities
very
hard
in
philadelphia.
There
are
47
skilled
nursing
facilities,
typically
referred
to
as
nursing
homes
and
66
personal
care
homes
and
assisted
living
facilities
in
the
spring
of
2020,
all
47
skilled
nursing
facilities
had
outbreaks
of
covenant.
19
with
over
3
300
covenant
19
cases
in
residence.
I
Approximately
27
of
these
residents
died,
personal
care
homes
and
assisted
living
facilities
were
affected
to
a
lesser
extent,
with
125
resident
cases
of
copa.
19
and
24
deaths
reported
in
many
facilities.
The
introductory
covenant
19
was
from
an
infected
staff,
member,
many
of
whom
had
symptoms
had
no
symptoms
of
their
infection.
I
The
department
of
public
health
is
not
fun
to
regulate
these
congregate
care
facilities.
However,
we
have
supported
these
facilities
since
march
by
designating
response
teams
for
each
site
that
offer
outbreak
management,
support
infection
prevention
and
control
guidance,
coven,
19
testing
and
personal
protective
equipment.
I
In
a
couple
of
instances,
we
have
provided
staffing
support
through
the
medical
reserve
corps,
in
addition
to
frequent
and
ongoing
guidance
by
phone,
our
infection
prevention
experts
have
conducted
site
visits
to
assess
infection
control
practices
in
43,
separate
long-term
care
facilities
and
six
personal
care
homes.
We
recognize,
though,
that
these
facilities
need
additional
support
during
this
pandemic.
I
With
this
additional
support,
we
believe
that
congregate
care
facilities
now
have
much
stronger
infection
control
practices
and
are
in
a
better
position
to
limit
the
spread
of
cover
19
virus.
The
health
department
has
collaborated
with
these
hospital-based
support
teams
on
site
visits,
weekly
coordination
meetings,
creation
of
an
infection
prevention,
educational
toolkit
and
providing
influenza
vaccination.
I
I
Steps
to
strengthen
the
facilities
defenses
against
this
virus
for
the
coming
fall
and
winter
wave
of
cover
19.
two
key
steps
are
defining
minimum
requirements
that
facilities
must
meet
to
care
for
residents
with
copa
19
and
then
creating
the
philadelphia
covenant.
19
relief
unit,
a
specialized
facility
that
can
care
for
residents
with
covenant
19.
If
the
facilities
cannot
meet
these
requirements,
we
hope
that
by
separating
residents
who
have
covert
19
from
those
who
do
not
will
reduce
the
spread
of
the
virus
within
facilities.
I
In
addition,
the
copenhagen
relief
unit
may
also
serve
to
decompress
acute
care
facilities,
this
fall
and
winter
if
they
become
full
because
of
patients
with
cover
19..
As
we
approach
this
dangerous
period,
we
will
continue
to
work
with
the
congregate
care
facilities
and
we'll
work
closely
with
the
health
system.
Support
teams
as
long
as
they're,
funded
and
operational
I'll
be
happy
to
answer
any
of
your
questions.
G
Thank
you,
madam
chair.
I
appreciate
it
and
thank
you
to
dr
farley.
We
appreciate
your
leadership
and
your
support
on
this
matter.
I
think
when
I
first
introduced
the
resolution
we
were
in
the
midst
of
the
pandemic,
as
it
relates
to
the
spring
and
summer
time,
and
the
timing
of
the
hearing,
unfortunately,
couldn't
be
better,
because
this
week
we've
seen
rising
cases,
unlike
no
other.
I
Right
so
we
are
seeing
a
very
rapid
rise
in
cases
right
now.
It
is
growing
exponentially
and
people
often
use
that
term
incorrectly,
but
this
is
truly
exponential
spread.
That
means
that,
if
it
case
rates
double
daily
case
counts
double
over
14
days,
then
they'll
double
again
over
the
next
14
days,
we're
already
at
the
highest
daily
case,
counts
we've
seen
in
the
entire
epidemic.
I
So
I'm
very
concerned
about
the
epidemic's
effect
on
the
city
as
a
whole
and
then
I'm
very
effect
very
concerned
about
the
effect
on
these
congregate
care
facilities,
nursing
homes,
particularly
especially
because
we
saw
how
hard
they
were
hit
in
the
spring.
We
are
no
question
that
we
are
much
better
prepared
now
than
we
were
in
the
spring
and
the
nursing
homes
individually
and
both
us
as
a
system
that
they've
they've
got
ppe
they've
trained
their
staff
on
how
to
do
things.
I
The
staff
are
careful
and
we
have
these
regional
rrchp.
I
think
exactly
the
word
that
I
said
in
the
testimony,
but
the
support
from
the
health
systems
to
the
nursing
homes.
I
think
that
that
is
crucial
support
and,
and
I'm
very
appreciative
of
all
those
health
systems
provide
that
support.
Nonetheless,
even
with
all
that
I'm
worried,
but
I
feel
like
we've
done
everything
we
could
to
try
to
protect
them
for
this
wave.
G
Thank
you,
and
so,
when
we're
seeing
the
increase
in
numbers
again,
I
know
specifically
right
now,
we're
talking
about
nursing
homes
are,
are
they
are
the
is
the
spread
that
we're
watching
right
now
does
any
of
it
have
to
do
with
nursing
homes?
So-
and
I
know
you
talked
about
this
in
press
conferences,
but
I'm
trying
to
get
it
on
the
record
for
the
purposes
of
today's
hearing,
why
are
we
seeing
a
spread
right
now?
Where
are
the
places
that
we're
seeing
a
lot
of
confirmed
cases
again
earlier
in
the
year?
G
I
Yeah,
so
it
appears
that
the
coronavirus
is
following
the
same
pattern
of
other
respiratory
viruses
like
influenza.
Each
year
influenza
gets
starts
out
slowly
in
the
fall,
and
then
it
rises
throughout
the
fall
and
it
peaks
around
january
february,
and
then
it
tends
to
subside
in
the
spring
there's
something
about
the
winter
weather.
That
makes
it
easier
for
these
viruses
to
spread.
We
don't
know
if
it's
just
because
people
are
inside
more
because
it's
colder
because
the
air
is
drier,
but
for
whatever
reason
those
viruses
are
worse.
I
So
so
behavior
and
situations
that
were
safe
a
couple
of
months
ago
are
no
longer
safe.
As
for
where
it's
spreading,
this
virus
is
spreading
right
now,
a
little
bit
everywhere,
a
lot
in
small
social
gatherings.
Just
a
few
people
get
together
in
somebody's
house
to
parties
and
a
large
number
of
people
in
somebody's
house.
People
go
out
to
restaurants,
it's
spreading
in
office
workplaces
when
people
get
together
over
lunch
and
they
don't
wear
their
masks.
I
The
we
have
definitely
seen
cases
in
nursing
homes
on
this
wave,
but
they've
been
relatively
small
and
relatively
contained
so
far,
so
the
nursing
homes
are
not
the
cause
of
the
epidemic
wave
at
this
point
by
any
means,
but
I'm
worried
that
they
will
we.
We
know
that
covert
will
be
introduced
in
those
nursing
homes
by
the
staff,
if
nothing
else
and
and
so
we're
doing
everything
we
can
to
try
to
protect
it.
So
if
it's
introduced
it
doesn't
spread
to
residents.
G
G
So
you
already
answered
the
the
follow-up
questions,
so
thank
you
for
that.
I
assume
you
knew
where
I
was
going
with
that
that's
a
very
important
matter
that
I
definitely
wanted
to
get
on
the
record,
and
I
know
that
myself,
along
with
a
lot
of
my
colleagues
and
councils,
staying
with
you
as
it
relates
to
advocating
for
that
federal
support.
So
programs
like
that
and
other
programs
that
we
have
in
place
to
stop
the
spread,
can
continue
to
exist.
The
last
question
I
have
and
then
I'll
pass
it
back
to
our
chairwoman.
G
When
do
you
think
we
will
be
communicating
new
guidelines?
We
are
like
you
said
this
week
has
been
the
worst
week,
we've
seen
so
far,
I'm
pretty
sure,
knowing
you
and
your
team
and
the
administration,
you
all
are
probably
huddling
and
talking
about
what
we
need
to
do
to
stop
the
spread
and
flatten
the
curve.
When
can
we
anticipate
an
announcement
from
the
health
department
as
it
relates
to
the
direction
the
city
is
going
to
go
in
as
we
fight
this
virus
this
winter.
G
D
Thank
you,
madam
chair,
and
thank
you
member
thomas
for
introducing
his
so
important
resolution
and
I
want
to
say
thank
you.
We
don't
have
valci,
but
we
do
have
a
farley
in
philadelphia
and
if
I
had
to
go
into
such
dangerous
times
of
this
pandemic,
I
am.
I
am
thankful
that
we
have
you
at
the
head
of
our
health
department
that
is
led
by
science
and
not
by
fears
or
not
by
false
promises
of
a
better
day,
but
dealing
with
the
hard
truths
and
hard
facts.
D
A
lot
of
the
prisons
got
a
lot
of
the
attention
because
they
were
quote
a
captured
audience
and
people
rallied
the
power
rallied
and
churches
rallied
to
get
the
prison
population
reduced,
but
our
our
our
most
vulnerable
seniors
had
no
place
to
go
and
what
I
found
out
in
the
early
part
of
it.
I
was
I
started
getting
calls
madam
chair
from
workers
that
worked
at
these
facilities,
and
they
said
first
and
foremost
they
didn't
have
ppe's.
D
D
Kirsley
house
hayes
manor
park
tower
the
pavilion
ivy
residence,
the
wind
place,
balor,
nursing,
home
belmont,
behavioral
health,
simpson,
house,
english
house
and
opportunity
towers.
You
mentioned
24
deaths,
most
of
them
were
in
those
areas,
but
to
our
doctor's
credit,
when
we
got
these
folks
together
along
with
pcom,
to
start
to
talk
about
this,
and
we
talked
about
the
lack
of
ppe's,
I
want
to
tell
you
the
next
day
a
ambulance
full
of
ppe's
arrived
based
on
dr
farley's
effort
to
assist
those
workers.
D
I
couldn't
have
I
mean
number
45
up
in
the
white
house,
wasn't
coming
over
a
hill
riding
a
white
horse,
but
our
doctor,
our
health
commissioner,
did
that
this
is
something
I
saw
him
do.
What
has
happened
since
then?
Is
people
have
put
into
place?
They
were
trying
to
build
a
plane,
madam
chair,
and
fly
it
at
the
same
time
and
land
it.
D
I
was
looking
at
reports
from
other
counties
where
they
were
bringing
in
the
national
guard
to
assist
in
in
well
what
could
only
be
called
as
a
mashup
dealing
with
some
of
these
problems?
So
he's
very
modest
and
humble,
but
I
don't
have
to
be
for
you
and
I
don't
have
to
be
for
your
staff
and
when
remember
thomas
said
he
was
going
to
have
this
hearing
and
chair
woman
bass
decided
to
do
it.
D
I
wanted
that
story
on
the
record
and
thank
you
so
now,
we've
evolved
to
we're
giving
senior
citizens
with
the
help
of
university
of
p,
common
and
university,
append
flu
shots
with
your
assistance
with
your
staff's
assistant,
so
that
we
can
minimize
some
of
this
second
wave.
So
all
I
wanted
to
do
was
say
thank
you
and
have
it
on
the
record.
I
Thank
you
very
much
councilmember.
If
I
could
say
I
want
to
acknowledge
my
colleagues
at
the
office
of
emergency
management,
they're,
really
the
ones
who
procured
all
that
ppe
and
had
it
in
storage,
and
they
said.
Where
does
it
need
to
go?
And
we
said:
okay,
here's
where
we
need
to
go
so
the
other
ones
who
really
delivered
it
and
did
the
hard
work
on
that.
B
You're
very
welcome,
and
I
want
to
echo
that
thanks
because
I
think
that
it's
under
dr
farley's
leadership
that
we've
had
you
know
we,
we
didn't
turn
into
the
the
hot
zone,
that
some
of
those
folks
in
washington
said
that
philadelphia
would
be
next.
I
remember
that,
and
you
know
they
said
that
and
and
and
you
know
there
were
other
folks
who
were
just
sort
of
watching
and
waiting
what
we
did-
and
this
is
a
perfect
example
of
where
philadelphians
and
particularly
our
health
department
oem
our
first
responders.
I
I
I
will
say
this
that
still
no
matter
what
we
talk
about
as
far
as
restrictions.
Most
of
this
is
spread
in
private
gatherings
and
private
settings,
so
the
individual,
individual
philadelphia
residents
still
has
to
change,
and
what
I
started
saying
today
is
think
how
you
behaved
in
late
march
and
early
april
during
the
lockdown.
That's
how
you
ought
to
behave
right
now.
B
F
F
Okay,
I'll
I'll
try
just
a
little
bit
but
quickly,
dr
harley,
what
guidance
for
decisions
going
into
the
holiday
season?
Reference
are
visiting
relatives
who
may
be
in
constant
care
whether
they
should
or
should
not
do
that
because
of
this
spike
and
increase
in
covet
and
how
to
try
to
maintain
and
keep
senior
pain.
I
Yeah,
you
know
the
upcoming
holidays
is
going
to
be
a
tough
time
for
everybody.
That's
a
wonderful
time
of
the
year,
ordinarily,
where
we
get
together
and
express
our
love
for
the
people
that
we
care
so
much
about,
and
everybody
wants
to
do
that
again
this
year
and
I've
had
to
say
you
shouldn't
do
that
this
year.
So
I
we're
saying
if
you
want
to
celebrate
thanksgiving
or
other
holidays,
do
it
with
your
immediate
household
members.
I
G
Of
my
colleague,
councilman
jones
and
councilman
green
as
well
as
councilmember
bash,
just
also
communicate
my
support
for
the
health
department.
Everybody
knows
I'm
a
big
sports
person,
I
still
coach,
high
school
basketball
and
the
health
department
really
made
themselves
readily
available,
just
to
put
it
out
there.
G
For
the
record,
we
had
a
number
of
different
listening
sessions
with
sports
providers
throughout
the
city,
so
that
we
can
make
sure
that
they
were
up
the
breast
as
related
to
the
guidelines
and
restrictions
for
participating
in
physical
activity,
and
I
think
that
again
that's
another
example
of
how
dr
farley
and
his
team
stepped
up
to
the
plate
stepped
outside
of
their
dorm
and
put
us
in
a
position
to
make
sure
that
people
were
safe.
So
I
just
wanted
to
throw
that
out
there
before
we.
Let
you
go
dr
farley
real
quick.
G
Can
you
just
talk
to
us
a
little
bit
about
the
contact
racing
that
took
place
the
last
time
we
had
a
conversation
with
you.
We
didn't
really
get
a
chance
to
dive
into
contact
tracing
because
we
still
had
too
many
confirmed
daily
cases.
So
I
don't
believe
we've
heard
from
you
since
contact
tracing.
Can
you
just
talk
a
little
bit
about
how
contact
tracing
is
going
and
what
we
can
do
to
support
you
as
it
relates
to
that
initiative,
and
I
promise
you,
madam
chair,
I'm
done
after
that.
I
I
If
you
are
positive
so
that
we
don't
need
to
guide
you
individually,
because
we
can't
don't
have
the
staff
time
to
do
that,
and
then
we
will
at
some
point
be
on
the
other
side
of
this
epidemic.
Wave
and
as
case
counts
start
to
go
down
again.
Then
contact
facing
will
take
on
much
greater
importance
again.
G
B
B
J
J
J
J
Then,
a
few
years
ago
a
company
called
vita
healthcare
from
new
jersey,
bought
the
building
and
voided
our
contract.
We
negotiated
with
them
for
more
than
a
year,
and
it
was
just
take.
Take
take
they
cut
our
wages
to
the
bone,
took
away
our
vacation
time
and
made
our
health
care
too
expensive
for
almost
anyone.
J
J
J
If
anything,
we
should
be
looking
at
these
companies
with
a
magnifying
glass.
We
should
be
inspecting
their
records
carefully
and
holding
public
hearings,
so
they
have
to
answer
to
the
community
before
they
can
move
in
here
and
take
over
I'm
here
today
to
ask
you
to
protect
those
people.
They
are
vulnerable
people.
They
are
our
mothers
and
fathers,
our
brothers
and
sisters,
our
friends
and
neighbors.
They
need
our
help
and
we
are
letting
them
down.
They
deserve
better.
Our
community
deserve
better.
J
B
Thank
you.
Thank
you
so
much
for
your
testimony
and
I
have
to
say
it's
really
moving.
You
know,
you're
doing
the
work
to
take
care
of
folks
that
can't
take
care
of
themselves,
and
I
just
really
want
to
say
thank
you.
I
mean
my
heart
really
means
it
means
every
word
of
it.
Thank
you
for
all
that
you're
doing
because,
but
for
the
grace
of
god,
there
go
any
one
of
us
and
the
work
that
you're
doing
making
sure
that
people
have
good,
nutritious
food.
You
know
and
caring
for
for
folks.
B
G
I
just
want
to
echo
your
sense
of
miss
madam
chair
and
I'm
not
going
to
go
into
questions
until
we
get
through
the
whole
panel.
I
know
that
there's
one
person
who
has
to
leave
at
one
o'clock
that's
on
this
particular
panel,
so
once
we
go
through
okay,
I'll,
come
back
and
ask
questions
for
this
panel,
but
thank
you.
Okay,
okay,.
B
B
C
K
Hi,
my
name
is
julie,
moore,
hello,
guys
and
thank
you
all
for
having
me
today.
I'm
julie,
moore,
nursing,
home
cna
here
in
the
city
of
philadelphia.
I
am
also
a
leader
in
my
union
seiu
healthcare
pennsylvania
and
served
as
a
member
political
organizer.
Over
the
past
several
weeks
I
have
been
a
caregiver
for
many
years,
but
never
in
my
life
experienced
anything
like
covert
19
nursing
homes.
F
K
Being
called
ground
zero
for
pandemic
deaths
in
this
country,
and
I'm
here
to
tell
you
that
it
is
excellent.
It's
very
accurate
everyone
who
works
in
a
nursing
home
knows
they
will
deal
with
death.
It
comes
with
a
job
that
doesn't
mean
it's
easy.
I
do
this
job
because
I
love
caring
for
people.
My
residents
are
my
family.
Every
day
I
go
to
work.
I
want
to
bring
a
smile
to
their
face
care
for
them
and
comfort
them.
Comfort.
K
Them
is
a
job
we
take
very
seriously
every
day
you
can
ask
anyone
who
works
in
a
nursing
home.
We
do
not
let
people
die
alone,
we
will
sit
in
a
residence
room,
hold
their
hand
and
be
with
them
for
as
long
as
it
takes
until
they
pass,
and
I've
done
that
many
times
covet,
however,
has
changed
that
it
was
impossible
to
keep
up
with
the
deaths
when
cobit
swept
through
my
building.
K
My
co-workers
and
I
were
putting
in
16
hour
days
watching
those
we
care
for
it
suffer
and
die.
There
was
no
time
to
mourn
no
time
to
rest,
it's
very
unacceptable
and
we
cannot
let
this
happen
again.
The
long-term
care
industry
needs
to
change.
The
problems
we
saw
beginning
in
march,
didn't
come
out
of
nowhere
for
years.
Nursing
home
workers
like
me,
have
founded
the
alarm
on
inadequate
staffing
and
poor
conditions.
K
K
These
managers
in
my
building
were
hiding
and
hoarding
ppe
that
they
did
have
in
the
basement
during
this
pandemic,
and
we
need
to
go
to
the
media
when
these
conditions
get
this
bad.
These
are
businesses
operating
within
philadelphia
in
charge
of
caring
for
the
most
vulnerable
citizens
of
our
city.
As
the
city
council
of
philadelphia,
you
should
be
holding
them
accountable
to
being
a
good
employer
that
treats
its
workers
well
and
providing
the
care
that
every
resident
needs
and
deserves
corporate
numbers
are
on
the
rise
again.
B
Thank
you
julie.
Thank
you
so
much
for
your
testimony
and
I
really
do
appreciate
all
the
work
that
you're
doing
with
seiu
all
of
the
work
that
they've
been
doing
just
making
sure
that
workers
are
protected
which
protects
the
public
which
protects
the
patient,
which
protects
all
of
us,
those
who
need
assistance
in
nursing
homes,
those
who
are
not
of
need
in
need
of
assistance,
but
seiu
has
certainly
done
their
part
and
then
some,
and
we
want
to
say
thank
you,
okay,
next
person
to
testify.
A
A
A
This
year
has
been
the
most
difficult
and
stressful.
By
far
across
the
commonwealth,
more
than
4
700
long-term
care
residents
died
from
covet
19
between
the
beginning
of
the
outbreak
and
august
68
of
all
deaths.
To
that
point,
though,
we
have
fallen
into
a
relative
low
in
the
number
of
cases
and
deaths
in
philadelphia.
Cases
are
now
back
on
the
rise.
The
city
reported
761
new
cases
on
wednesday
11th
of
november,
bringing
the
number
of
cases
above
a
grim
milestone
of
50
000.
A
Yesterday,
for
the
first
time,
pa
reported
for
the
first
time,
5
000
cases,
philadelphia,
has
now
seen
1904
deaths
from
colbert
19.
918
of
those
deaths.
Nearly
50
percent
have
occurred
in
long-term
care
facilities
nationwide.
The
situation
is
no,
better,
cases
are
rising
to
all-time
highs
and
hospitals
are
running
out
of
beds
in
states
like
texas,
massachusetts
and
michigan.
A
A
A
Though
we
work
in
full
ppe,
there
is
still
always
a
risk
that
we
could
pick
up
the
virus
somewhere
else,
bring
it
into
our
homes
and
affect
our
families,
leaving
our
home
carriers
inherent
risks.
Mental
health
is
challenging
for
care
workers
too.
Those
things
have
improved,
as
my
employer
and
others
have
brought
in
counselors.
A
Personally,
I
have
some
questions
about
the
distribution
process
and
the
safety
of
this
vaccine,
and
I
know
for
sure
that
I
am
not
alone,
though,
leaders
of
operation
warp
speed,
the
federal
government's
vaccine
program
have
expressed
optimism
on
delivering
the
vaccine
to
states.
It
will
be
up
to
the
state
and
local
officials
to
run
that
program
here.
A
I
want
to
make
sure
that
everyone
is
on
the
same
page
when
it
comes
to
vaccine
vaccination
program
because
it's
a
matter
of
life
and
death,
while
things
have
certainly
improved,
there
is
still
progress
to
be
made
to
ensure
that
long-term
care
facilities
are
safe
and
secure
for
residents,
staff
and
others.
I
know
the
city
has
our
back,
though
these
last
months,
but
we
need
your
support
to
continue
doing
our
jobs
safely
and
effectively.
A
H
A
B
So
I
I
really
thank
you
and
all
of
the
panelists
for
all
of
the
work
that
you
all
are
doing.
You
are
really
and
truly
the
front
line,
putting
yourselves
and
your
families
in
harm's
way
in
risk
as
well
to
make
sure
that
other
people
are
are
taken
care
of.
So
again,
many
many
thanks.
Much
love
to
you,
councilman
thomas.
G
Thank
you,
madam
chair,
and,
of
course,
thank
you
to
all
the
witnesses
who
tested
witnesses
who
testified.
I
appreciate
your
service.
I
appreciate
you
putting
your
life
on
the
line.
I
had
a
chance
to
be
at
a
press
conference
and
they
said
that
everybody's
being
called
essential
workers
now,
but
you
are
the
only
ones
who
are
considered
contact
workers
because
you're
actually
forced
to
come
in
contact
with
the
virus
and
whoever
said
that
this
was
a
war.
I
think
you're
absolutely
right.
G
Mrs
miss
martin
talked
a
little
bit
about
the
mental
health
side
and
I
did
document
all
your
suggestions.
Ms
martin
and
I
want
to
be
honest
with
you.
I
wish
we
could
do
something
about
a
lot
of
the
things
you
said,
but
a
lot
of
those
things
will
require
our
state
partners,
we're
where
we
could
step
up
to
the
plate
and
provide
paid
sick
leave
and
other
support
initiatives.
G
We
tried
our
best
to
step
up
to
the
plate
and,
like
you
said
it
definitely
was
not
good
enough,
but
with
that
being
said,
miss
martin.
You
talked
a
little
bit
about
mental
health
support.
I
would
love
to
hear
what
mental
health
support
did
or
did
not
take
place
for
employees.
Mr
jones,
you
can
answer
that
question.
There's
more,
you
can
answer
that
question.
I'm
not.
K
Hi,
yes,
I'm
julie,
moore.
I
work
at
the
care
pavilion
in
philadelphia
and
I
said
that
about
the
10
deaths.
As
far
as
the
mental
health
side,
I
didn't
receive
any
type
of
therapy
or
got
a
chance
to
talk
to
anybody,
because
I
was
on
autopilot
the
entire
time.
You
know
you
just
didn't
have
it
was
like
a.
It
was
almost
similar
to
like
a
fight
or
flight
instinct,
and
I
chose
I
had
the
option.
I
have
two
children,
I
chill.
K
K
K
Am
I
going
to
die
from
this
and
we
didn't
know
what
to
say
so?
Every
night
you
know
I
would
come
home
and
I
would
have
to
undress
on
the
porch.
You
know
with
things
underneath
my
clothes
and
put
them
in
a
trash
bag,
because
I,
like
my
daughter,
had
respiratory
dis
issues
and
I
didn't
want
to
get
them
sick
and
it
was
just
unbelievably
unbelievably
just
disgusted
how
we
were
treated
by
management.
We
had
to
fight
to
get
a
new
mask
and
we
were
scared
to
death.
K
So
we've
got
a
three
three
three
staff
on
the
floor
with
with
40
residents
and
we're
just
running
crazy.
You
know
we
didn't
even
make
the
regular
assignments
of
who
gets
what
we
just
all
kind
of
work
together,
because
the
next
thing
you
know
we
hear
that
ambulance
coming
in
and
we
would
all
get
scared
and
run
to
the
other
units
like
well
who's
next
and
announced
another
england,
and
it
was
it
was.
It
was
very,
very
overwhelming,
and
sometimes
I
would
just
you
know,
have
to
go
in
the
bathroom
and
I
would
sit.
K
You
know
sit
in
the
bathroom
on
the
floor
and
just
cry
because
it
was
very
scary
and
it
seemed
like
at
that
time.
Nobody,
nobody
understood,
you
know
nobody
understood
like
what
was
going
on.
It
was
nobody
to
reach
out
to
nobody
to
talk
to,
and
it
was
it
was.
It
was
a
hard
time
for
me
and
my
kids
would
look
at
me
every
day
and
say
mom.
Please
don't
go
to
work
because
they
were
afraid.
K
You
know,
I
have
asthma,
they
were
afraid,
but
I
still
got
up
every
day
and
I
would
layer
my
clothing
and
I
would
go
in
there
and
I
just
got
the
job
done.
So
I
never
got
a
chance
to
talk
to
any
anybody,
but
platforms
like
this
and
being
able
to
speak
out,
you
know
has
helped
me
in
ways
and
knowing
that
everybody
on
this
call
and
another
organization's
care.
K
B
I
was
just
going
to
say:
please
know
that
you're
not
alone
and
that
we're
with
you.
We
stand
with
you.
We
we
we're
going
to
like
I
said
we
take
our
cues
from
you
direct
us,
and
we
will
follow
your
lead
on
this
because
you're,
you
are
on
the
front
line.
You
are
on
the
ground
and
the
the
directives
really
should
come
from
the
folks
who
are
most
impacted
and
and
know
exactly
what's
going
on.
I'm
sorry,
councilman
thomas,
I
just
jumped
in
front
of
you.
This
was
your
question.
G
No,
I'm
I'm
I'm
just
not
in
my
head
with
you,
I
mean
these
are
the
narratives
that
we
need
to
hear.
This
is
the
tough
part
about
our
job,
but
all
we
can
do
is
commend
you
and
listen
to
your
recommendations.
You
know
we
have
all
of
your
recommendations
from
the
sick
time
to
the
hazardous
time
to
the
mental
health
support
to
the
training
to
the
ppe.
You
know,
as
a
municipality,
we
can
support
with
the
ppe.
G
So
please
know
that
your
testimony
has
not
fallen
on
deaf
ears,
and
I
really
really
want
to
thank
you
for
taking
the
time
to
not
just
share
but
to
be
vulnerable.
This
stuff
is
not
easy
to
share
at
all,
and
I
can
only
imagine
you
know
reliving
the
trauma
that
you
didn't
essentially
get
support
for.
Okay,
thank
you.
Man.
B
H
Yep
yeah,
I
just
want
to
also
let
judy
kathy
and
nelson.
You
know.
I
also
want
to
acknowledge
your
statements
and
acknowledge
the
work
that
you
do
at
working
in
nursing
homes.
I
worked
in
a
nursing
home
for
several
years
as
a
nursing
assistant,
and
I
it
wasn't
during
the
pandemic,
and
I
remember
how
bad
things
were
then,
and
I
can
only
imagine
what
your
experiences
were
like
during
this
pandemic.
H
E
Yes,
thank
you
very
much,
madam
chair.
I
also
just
wanted
to
add
my
voice
to
this
panel
and
just
express
my
gratitude
to
all
of
you
for
several
of
you.
I
know
that
we
there
were
early
town
halls
and
dialogue
that
that
a
number
of
health
care
workers,
1199
c
among
others,
conducted
with
members
of
council,
so
it
helped
a
lot
to
have
to
hear
from
all
of
you
in
part.
E
If
your
place
of
business
is
not
following
or
abiding
by
mandates,
you
can
file
a
complaint
with
the
department
of
labor
if
there's
any
retaliation
taken
against
you
for
for
having
raised
these
things.
So,
but
once
again
I
just
want
to
thank
this
panel.
We
know
that
there's
some
serious
times
in
the
days
and
weeks
ahead,
and
we
want
you
to
know
that
we
are
going
to
be
here
listening
all
the
way.
B
Thank
you,
councilwoman
and,
as
you
mentioned,
there's
some
serious
times
ahead,
but
I
think
we're
all
in
agreement
we're
all
going
to
do
our
part
and-
and
I
thank
you
for
always
being
out
front
on
these
issues
and
for
your
hard
work
on
behalf
of
all
the
members
of
council
and
for
most
importantly,
you
know
the
the
people.
So
thank
you.
Thank
you
very
much.
If
we
can
have
the
clerk
call.
The
next
panel
forward.
L
L
My
name
is
nina
o'connor
and
I'm
the
chief
medical
officer
of
penn
medicine
at
home,
and
I'm
also
the
clinical
lead
for
the
penn,
rigp
or
regional
response
health
collaborative
program
that
dr
farley
spoke
of
earlier,
and
it's
really
been
my
honor
and
my
privilege
during
this
pandemic,
to
lead
penn
medicine's
efforts
to
support
long-term
care
facilities
in
the
city.
So
I
really
appreciate
the
invitation
this
afternoon.
L
L
They
need
a
lot
of
personal
care
and
the
residents
also
have
multiple
medical
conditions,
so
once
covid19
gets
into
a
facility,
there's
a
greater
risk
that
the
patients
will
have
complications
or
do
poorly
with
covid19,
but
there
are
some
factors
that
we
really
struggled
with
in
the
spring
that
are
starting
to
get
better
and
dr
farley
mentioned
some
of
these.
These
are
things
like
ppe
and
testing
and
making
sure
that
the
staff
are
equipped
with
all
the
right
information
and
knowledge
and
support
that
they
need
to
be
safe.
So
we
are
making
some
headway.
L
You
know,
I
think
our
long-term
care
partners
also
face
some
other
challenges.
They
are
financially
burdened
by
the
pandemic
and
everything
that
is
related
to
testing
and
supplies.
That's
a
real
challenge,
and
I
think
the
residents
are
also
challenged
by
the
isolation
that
this
has
imposed,
and
so
there's
so
many
things
that
are
difficult
about
this.
L
From
from
penn
medicine,
we
started
working
with
our
facilities
on
a
voluntary
basis
in
the
spring.
I
think
dr
farley
mentioned
this.
We
reached
out
to
the
philadelphia
department
of
public
health
because
we
were
seeing
residents
from
long-term
care
coming
in
large
numbers
to
our
emergency
departments,
and
we
wanted
to
be
more
proactive,
not
wait
until
they
were
coming
to
the
hospital,
but
instead
go
out
into
the
community
and
understand
what
was
happening.
L
So
I
personally
went
on
site,
along
with
the
team
from
penn
and
members
of
the
health
department
to
the
10
nursing
homes
in
west
philadelphia,
and
we
we
did
a
combination
of
a
listening
tour
to
understand
what
the
challenges
were
and
then
each
nursing
home
we
put
together
a
plan
with
whatever
resources
we
could
put
together
for
that
nursing
home.
Sometimes
they
needed
ppe.
Sometimes
they
needed
help
with
testing.
L
Sometimes
they
needed
bereavement
care
for
their
staff.
Sometimes
they
needed
staff
recognition.
We
put
together,
lunches
and
other
ways
to
just
really
celebrate
the
heroes
in
long-term
care,
and
it
was
a.
It
was
a
very
powerful
experience
for
us
as
a
health
system
and
for
me
personally,
but
we
learned
a
lot
about
what
it
takes
for
a
nursing
home
or
a
long-term
care
facility
to
really
battle
covet.
L
19
and
then
in
july,
the
state
created
the
regional
response,
health
collaborative,
which
is
a
program
which
matches
long-term
care
facilities
within
with
a
health
system
partner
as
their
go-to
resource
for
coven
19..
It's
been
incredibly
impactful.
Penn
medicine
is
in
partnership
with
temple
health.
We
work
together
for
this
and
we
have
313
nursing
homes,
assisted
living
facilities,
personal
care,
homes,
treatment
facilities
that
we
support
through
the
pandemic,
and
we
provide
a
lot
of
different
services.
We
provide
them
with
tangible
resources
like
access
to
a
lab
help
with
the
testing
costs
swabbing.
L
L
You
know,
I
think
one
of
the
other
challenges
during
an
outbreak
is
sometimes
staff
are
infected
and
then
they
need
to
be
home
quarantined,
which
leaves
staffing
gaps
and
makes
this
all
that
much
more
difficult
to
do,
and
so
we
also
can
work
with
agencies
and
even
provide
financial
support
to
get
extra
staff
into
the
building.
When
that's
needed.
L
You
know
more
recently,
we've
been
reflecting
on
other
ways.
We
can
support
our
long-term
care
partners.
I
think
recognizing
these
staff
is
really
critical,
so
we're
working
on
ways
to
do
that.
Bereavement
care
and
the
mental
health
resources.
You
heard
about
are
something
else
I
think
is
absolutely
essential
and
then,
lastly,
we're
starting
to
think
about
the
resident
isolation.
L
You
know:
are
there
facilities
that
need
ipads
or
other
technology
solutions
to
be
able
to
connect
better
with
loved
ones,
so
we're
going
to
be
spending
some
time
on
that
in
the
next
month.
So
overall,
I
think
this
model
of
of
a
partnership
between
the
health
department,
the
health
systems
in
the
city
that
are
dedicated
to
the
health
of
the
residents
and
then
the
long-term
care
facilities
is
a
really
fruitful,
fruitful
partnership.
L
I
do
want
to
also
give
the
philadelphia
department
of
public
health
some
recognition.
They
often
join
us
on
our
site
visits.
We
speak
with
them
on
an
almost
daily
basis
and
we
make
sure
that
we're
not
duplicating
services
that
we're
not
both
calling
the
same
facility
and
overwhelming
them,
but
that
we're
integrating
in
our
care.
So
that's
been
really
successful.
L
So,
in
conclusion,
I
I
wanted
to
share
just
a
few
take-homes
first,
even
though
the
numbers
are
very
overwhelming,
I
actually
have
a
lot
of
hope
about
how
this
will
go.
The
second
time
around
in
long-term
care,
because
we've
learned
so
much
and
even
though
there
will
be
outbreaks
when
we
take
this
approach
of
testing
very
aggressively
understanding
who's
positive
having
all
the
right
services
in
places.
The
outbreaks
are
not
getting
as
large
as
they
were
in
the
spring,
and
I
really
think
that
if
we
all
work
together,
we
can
keep
the
outbreaks
contained.
L
We
may
not
avoid
all
the
outbreaks,
but
we
can
keep
them
much
smaller.
So
I
think
that's
really
important,
but
we
can't
let
down
our
guard
and
our
long-term
care
partners
continue
to
need
these
tangible
resources.
They
need
ppe,
they
need
testing,
they
need
staffing,
they
need
support,
they
need
clinical
experts
who
may
have
questions
who
are
available
just
picking
up
the
phone.
They
really
need
our
support
and
then
lastly,
I
would
encourage
us
to
think
broad
when
we
think
about
long-term
care.
L
K
L
Residential
drug
and
alcohol
treatment
programs
there
are
group
homes
for
individuals
with
autism
and
I
think
we
need
to
include
all
of
those
in
our
umbrella
thinking
and
and
not
to
take
any
resources
or
attention
from
nursing
homes.
That's
critical,
but
to
also
just
widen
our
scope
and
really
make
sure
we're
meeting
the
needs
of
all
these
different
types
of
facilities
in
our
planning.
B
B
C
M
M
M
So
I
feel
that
there
needs
to
be
some
incentives
for
nurses
and
health
care
providers.
I
feel
that
a
wage
needs
to
be
increased.
I
feel
that
a
health
care
provider
a
cna
should
should
have
a
starting
weight
age
of
no
less
than
25
an
hour,
as
opposed
to
the
15
that
the
the
certain
ladies
now,
because
I
really
feel
that.
M
We
understand
that,
like
I
feel
that
the
ratio
of
of
our
resident,
the
caregiver
needs
to
be
dropped
significantly.
A
caregiver
should
not
be
responsible
for
more
than
three
bedrooms.
I
really
feel
that
time
to
stop
just
because
of
clovis
the
earth
kept
spinning,
and
so
I
feel
that
we
need
to
put
these
things
in
place
now.
We
need
more
staffing,
more
staffing,
to
have
adequate
help
to
do
the
job
and
do
it
to
the
best
of
their
ability.
B
G
Want
a
question:
yes,
so,
first
of
all,
thank
you
to
all
the
witnesses
and
I
definitely
want
to
get
to
time
in
a
little
bit,
but
dr
o'connor
before
you
leave.
I
did
want
to
ask
you
about
what
your
practices
were.
So,
if
cares
dollars
were
to
dry
up
similar
to
what
dr
farley
said.
How
would
that
impact
the
work
that
you're
doing
right
now.
L
That
would
really
be
a
challenge.
You
know
when
we
were
doing
this
work
on
a
voluntary
basis.
In
the
spring
we
were
able
to
help
with
some
things.
You
know
we
were
able
to
provide
a
ppe.
We
could
spare
from
our
hospital
system.
We
provided
with
consultants
and
and
support,
but
to
really
do
this
well,
it
takes
it
takes
funding,
for
example,
testing
an
entire
building,
all
of
the
staff
and
all
the
residents,
that's
hundreds
of
tests,
and
we
do
that
in
most
of
buildings
every
single
week
same
thing
with
emergency
staffing.
L
You
know
if
a
facility
has
10
staff
that
are
out-
and
we
want
to
put
10
individuals
in
to
make
sure
that
the
residents
are
getting
enough
care
that
requires
funding.
So
the
program
can't
continue
past
december
1st
december
31st
without
additional
funding.
We
we
wish
we
had
staff
from
the
hospitals
to
be
able
to
just
lend
to
the
long-term
care
facilities,
but,
as
everybody
knows,
the
hospital
capacity
is
also
really
full
right
now
and
the
labs
are
busy
and
and
that
sort
of
thing.
L
G
So
before
you
leave-
and
I
wish
we
could
dive
deeper
into
the
conversation,
but
I
know
you
have
to
go
before
you
leave
real
quick.
What
best
practices
have
you
found
that
applied
to
you're
working
in
nursing
homes
that
we
can
also
apply
to
the
work
that
we're
doing
in
general
as
it
relates
to
this
new
wave
of
coronal
viruses
that
we've
seen
and
the
tasks
ahead
of
us
to
flatten
the
curve.
L
Yeah
so
first
thing:
I'd
really
encourage
is
testing.
That
is
absolutely
the
tool
that
we've
been
using
to
keep
these
outbreaks.
Small
and
the
same
thing
applies
in
in
our
personal
lives.
So
in
a
nursing
home,
if
there's
one
positive
case,
resident
or
staff,
we
test
all
the
residents
and
all
the
staff
immediately
to
understand
who's
positive
and
that
way
we
can
send
staff
who
are
sick
home.
We
can
isolate
residents
who
are
positive,
and
I
think
we
all
need
to
have
a
similar
approach
to
testing
and
isolation
in
our
personal
lives.
L
L
The
second
thing
is
the
long-term
care
facilities
have
gotten
really
good
at
infection
control
practices,
and
some
of
these
are
basic
things,
but
rigorous
attention
to
hand
hygiene
wearing
a
mask
perfectly
all
the
time
this
virus
just
doesn't
give
us
a
lot
of
room
for
error.
If
you
take
your
mask
down
for
a
while
and
you're
eating
with
other
individuals
and
there's
coronavirus
in
the
room,
people
will
become
infected.
B
B
B
N
Thank
you.
My
name
is
kathy
cubit,
I'm
the
advocacy
manager
from
cary
the
center
for
advocacy
for
the
rights
and
interests
of
the
elderly.
I'd
like
to
thank
you,
chairwoman,
bess
councilmember,
thomas
and
the
other
members
of
the
committee
for
the
opportunity
to
provide
carrie's
perspective
today
on
why
older
adults
living
in
congregate
care
settings
have
suffered
disproportionately
during
this
pandemic,
for
the
carries.
N
We
respond
to
all
types
of
inquiries,
whether
housing,
the
health
care
issues,
and
we
also
work
with
the
philadelphia
corporation
for
aging
and
center
in
the
park
to
provide
long-term
care
on
bud's
budsmen
services.
That
advocates
for
long-term
care,
consumers
and
carey
represents
thousands
of
residents
and
nursing
facilities,
personal
care
homes,
domiciliary
care,
as
well
as
life
and
adult
day.
Participants
in
part
of
philadelphia
and
center
in
the
park
represents
folks
in
the
other
sections
they
have
northeast
and
northwest
philadelphia.
N
215-545-5728
or
help
is
free
and
confidential
in
philadelphia
there
are
47
nursing
facilities
and
61
personal
care
homes.
The
pandemic
has
had
drastic
and
tragic
effects,
as
we've
heard
today
on
residents
and
staff
who
care
for
them
about
almost
6
000
long-term
care
residents
have
died
because
of
covid,
which
represents
68
of
all
deaths
in
pennsylvania
of
the
a
little
over
1900
1900
deaths
in
reporting
in
philadelphia,
918
or
48
were
in
long-term
care
from
long-term
care
facility
residents.
N
There
are
a
multitude
of
reasons
why
there's
been
this
disproportionate
amount
of
death
and
suffering.
As
we've
heard
today
at
the
start
of
the
pandemic,
the
federal
government
failed
to
educate
the
public
about
the
threat,
provide
needed,
testing,
distribute
ppe
or
provide
other
needed
supports
to
long-term
care
facilities.
N
N
Carrie
and
community
legal
services
quickly,
partnered
and
we've
been
advocating
for
policy
changes
in
around
pennsylvania's
long
term
care
facilities
and
we've
written
a
couple
of
issue
briefs
and
one
related
specifically
to
the
problems
with
isolation,
severe
isolation
and
another
that
took
a
more
comprehensive
view.
That
includes
more
than
40
recommendations
that
are,
but
based
on
research
and
base
best
practices
and
the
recommendations
fall
under
nine
categories,
many
of
which
we've
we've
already
heard
about
today.
N
N
The
newly
implemented
regional
response,
health
collaboratives
rex,
which
dr
o'connor
and
farley
spoke
of,
have
been
a
big
help
to
facilities
in
terms
of
their
response
and
preparedness.
But,
as
we've
heard
without
funding,
they
will
not
continue
past
december
31st,
since
the
authority
for
licensing
regulations
and
oversight
of
facilities,
long-term
care
facilities
falls
on
the
state
and
federal
government.
N
As
we've
heard,
the
state
is
trying
to
seek
additional
funds
for
the
ricks,
as
well
as
continuing
support
for
the
national
guard,
which
needs
authorization
from
president
trump,
and
that
is
also
that
support
is
also
expected
to
expire
december.
31St
and
they've
been
a
key
member
of
the
response
team.
N
So
the
the
entire
long-term
care
system
needs
financial
support
to
survive,
we're
beginning
to
see
and
we'll
continue
to
see.
Long-Term
facilities
might
start
to
close,
and
there
are
people
living
in
the
community
that
will
also
rely
upon
long-term
care
services
and,
quite
frankly,
providers
like
adult
day
may
not
survive
much
longer
without
financial
relief,
and
that
would
be
a
major
loss
to
support
people.
That
needs
needs.
N
This
kind
of
help,
hoping
that
facilities,
especially
with
the
ric
support,
ending,
should
be
required
to
develop
covet
19
mitigation
plans
and,
and
we've
heard
dr
farley
and
hope.
Hopefully
they
could
help
review
or
oversee
these
plans,
and
we
need
to
support
and
enhance
virtual
visitation,
including
training
residents,
how
to
be
self-sufficient
if
possible.
But
this
does
not
work
for
all
and
we've
been
advocating
for
essential
caregivers,
which
will
allow
all
residents
who
wish
to
identify
one
or
two
essential
caregivers
who
can
visit
in
person
following
the
same
safety
protocols
as
staff.
N
As
mentioned.
Some
residents
are
dying
from
social
isolation
and
restrictive,
safe
these
safety
protocols,
so
the
workforce
issues
as
described
pre-date
coveted,
but
that
certainly
is
worsened
during
the
pandemic.
So
we
encourage
support
of
the
workforce
as
well
and
through
measures
such
as
council
members,
brooks's
public
health,
emergency
leave
bill.
N
This
would
be
a
tremendous
help
to
our
ombudsmen,
as
well
as
families
and
and
residents
that
often
aren't
hearing
this
important
information.
So
I
want
to
thank
you
for
your
concern
for
the
life,
health
and
well-being
of
long-term
care
residents
and
count
on
us
on
any
of
your
efforts
to
support
older
philadelphians.
B
B
O
When
I
think
about
the
philadelphia
residents
in
in
congregated
settings,
I
certainly
think
about
nursing
home
residents,
many
of
whom
are
85
and
older.
They
have
an
average
of
six
chronic
conditions
and
they
need
assistance
with
most
activities
of
daily
living,
such
as
dressing
and
bathing.
There
are
also
older
adults
in
assisted
living.
O
O
There
must
also
be
an
ability
to
isolate
those
infected,
but
I
think
that
anything
and
everything
that
we
can
do
to
reduce
infection
rates
in
the
communities
where
staff
live
will
make
a
critical
difference.
There's
not
a
lot
of
research
out
yet,
but
there
is
research.
That's
supporting
all
of
these
things
that
one
of
the
strongest
predictors
of
cases
and
outbreaks
and
nursing
homes
was
the
level
of
infection
within
the
surrounding
community.
We
all
have
a
role
to
play
in
reducing
infection
and
death
in
nursing
homes.
O
There
are
studies
in
california
and
west
virginia
that
find
the
top-rated
nursing
home
facilities
were
less
likely
to
have
covet
19
cases
what
staff
do
and
how
they
do.
It
is
important,
there's
also
a
relationship
between
having
staff
who
are
symptomatic
and
not,
unsurprisingly,
the
number
of
residents
with
confirmed
and
or
suspected
covet
19.
O
Regular
testing
is
the
best
way
to
ensure
that
exposure
is
not
from
positive
exp
from
positive
individuals
who
are
asymptomatic
as
hard
as
restrictions
are
they
the
evidence
is
that
they
work
looking
at
across
all
of
the
states.
What
was
fine
was
that
restrictions
helped
to
reduce
the
daily
growth
rates
of
coca-19
deaths
and
of
hospitalizations
as
difficult
as
restrictions
like
reductions
in
visiting
hours
have
been,
they
work
to
reduce
infection
and
to
reduce
mortality,
but
there's
there
are
other
consequences
as
well
that
we
need
to
be
concerned
about.
O
There
are
reports
of
symptoms,
of
anxiety
and
depression,
stress
and
disturbed
sleep,
and
that
this
is
particularly
high
among
people
who
have
limited
support
available
to
them,
such
as
from
family
members,
and
that
includes
those
who
are
widowed.
Those
without
children
or
close
relatives
are
those
for
whom
we've
restricted
visitation.
O
Many
of
these
individuals
relied
successfully
in
the
past
on
community
and
often
church-based,
social
participation
and
engagement,
and
the
loss
of
that
is
being
felt
really
hard.
There's
also
fear
among
many
individuals
for
themselves
and
for
their
family
members
about
contracting
the
virus,
and
people
do
talk
about
its
deep
sense
of
isolation
and
loneliness,
particularly
due
to
restrictions
placed
on
visiting
many
use,
phones
and
computers
to
keep
in
touch.
But
too
many
of
the
individuals
we're
talking
about.
O
It
can
be
done
by
supporting
more
virtual
friendly
visiting
and
companionship
programs,
providing
technology
and
internet
access
and
delivering
supportive
physical
activity,
recreational
good
nutrition
and
conversational
programming,
which
will
make
a
difference
for
those
living
in
congregated
care.
There
are
good,
evidence-based
models
of
such
program
available.
B
Thank
you
so
much
for
your
testimony.
It's
really
really
helpful
and
insightful
and
I'm
sure
there's
gonna
be
some
questions
before
at
the
end
of
this
panel,
the
last
person
that
we
have
to
testify
from
liberty,
resources,
nancy,
seldrak,
salandra,
nancy,
salandra.
I'm
sorry
for
messing
up
your
last
name
from
liberty,
resources.
P
Our
mission
is
to
ensure
that
people
of
all
disabilities
have
the
same
civil
rights
and
equal
access
to
every
aspect
of
life
in
the
community.
As
do
other
members
of
society,
lri
has
been
providing
nursing
home
transition
services
for
30
years,
moving
people
back
into
the
community
to
their
homes,
to
a
new
home
people
in
nursing
homes
are
not
just
seniors,
but
people
with
disabilities
of
all
ages.
We
have
spent
decades
trying
to
change
the
institutional
bias,
so
more
people
can
live
in
the
community
with
services
if
they
need
them.
P
Somehow
we
believe
people
living
in
nursing
homes
are
not
lives
worth
living,
but
that
is
simply
not
true.
They
are
someone's
family,
they
have
loved
ones,
they
can
be
contributing
members
of
society
with
abilities,
skills,
dreams
and
life's
worth
living
for
every
person.
That's
in
a
nursing
home
that
same
person
is
living
out
in
the
community
as
one
of
many
providers
in
philadelphia
providing
nursing
home
transition
services.
P
We
lost
six
consumers
in
two
months,
which
had
never
happened
in
the
30
years
of
doing
this,
we
have
a
list
of
59
people
just
on
our
nursing
home
transition
list
that
their
ages
range
from
28
to
75,
getting
them
out
of
nursing
homes.
Since
the
start
of
covet.
It's
been
difficult
and
frustrating
time.
P
For
many
months
we've
tried
working
with
the
state
to
get
people
out
of
nursing
homes
sooner
to
help
people
do
a
30-day
therapeutic
leave
if
someone
could
take
them
home
and
if
services
could
be
provided
from
the
state,
but
that
is
not
necessarily
the
case
to
find
funding
to
get
people
from
nursing
homes
into
hotels.
Just
like
we're
doing
with
the
homeless
population.
We've
been
working
on
that
for
months
with
the
state
not
moving
very
far.
P
P
Many
nursing
homes
also
have
contracts
to
take
people
recovering
contracts
with
the
city
to
take
people
recovering
from
covid
and
put
them
into
nursing
homes,
while
they're
doing
that,
they've
actually
removed
people
who
were
on
our
nursing
home
translation
list
and
moved
them
outside
of
the
county,
and
then
they
can
no
longer
be
working
with
us,
and
that
is
not
just
a
problem.
Here's
a
problem
across
the
state
and
that
needs
to
stop
some
of
the
things
we're
trying
to
work
on,
because
this
is
the
perfect
time
to
do.
P
P
So
for
us,
what
what
we've
been
looking
at
is
that
philadelphia,
three
of
its
counties
are
in
the
top
20
nationwide
cova
deaths.
Philly
ranks
number
six
nationally
as
of
september
17th,
for
the
amount
of
deaths
in
nursing
homes.
We
have
another
report
that
our
staff
did
that
I
can
certainly
send
on
of
how
bad
things
are.
But
yes,
50
of
the
people
who
died
in
philadelphia
are
in
nursing
homes.
P
We
want
things
to
change
for
our
consumers
that
are
on
nursing
homes,
transitions
lists
to
when
these
response
teams
come
in
that
people
look
at
people
where
they're
at
and
for
some
of
our
people.
They
were
told
on
the
day
that
they
were
moving
and
killing
patients
that
they
were
going
to
be
leaving
that
nursing
and
moving
somewhere
else.
So
they
really
did
not
have
any
choice
and
they
had
to
to
move
for
other
people.
P
They
found
out
that
day
they
were
moving
in
the
coven
patients
and
they
had
to
put
them
on
the
first
floor.
So
this
whole
thing
is
devastating.
We've
been
involved,
as
I
said,
for
30
years,
so
people
need
to
understand
people
move
out
of
nursing
homes
and
need
to
understand
they're
on
these
lists
and
that
they
should
be
talked
to
about.
What's
going
on
in
these
nursing
homes
and
work
with
providers,
there's
also
managed
care.
P
Now
also
is
providers
of
many
majority
of
people
in
nursing
homes
and
majority
of
people
and
waivers
in
the
community,
so
they
are
another
partner
out
there.
I
can't
say
that
they're
necessarily
doing
all
the
things
we
would
like
to
have
happen,
but
they
are
out
there.
That's
it.
If
there's
any
questions.
B
B
As
we
talk
about
the
need
for
housing
and
various
housing
needs
in
the
city
of
philadelphia,
that
we
really
just
cannot
make
sure
that
we
cannot
forget
that
there
are
people
with
different
abilities
who
need
housing,
that
we
we
just
really
have
to
make
more
of
a
focus
and
a
commitment
to
folks
who
are
low
income
who
need
housing,
but
also
people
who
have
different
availabilities
and
who
need
housing
as
well.
So
thank
you
for
your
testimony.
Do
we
have
questions
from
the
members
of
council
for
this
panel.
G
Thank
you,
councilmember
bass.
I
was
getting
to
you
beat
me
to
it.
I
didn't
have
to
do
that.
I
just
wanted
to
thank
the
panel,
everybody
for
their
expertise,
their
perspective
and
their
testimony
here
today.
I
think
we
got
a
lot
of
great
information,
a
lot
of
important
insight.
There
are
some
things
that
we
you
know
again
that
was
discussed
that
we
feel
like
we
can
act
on
and
kind
of
push
the
initiative.
G
Now
there
were
other
things
that
I
felt
like
yeah
we're
gonna
have
to
do
some
advocacy
more
than
actual
action
items,
and
so
with
that
being
said,
I
know
that
there
was
a
lot
of
testimony.
I'm
just
wondering-
and
it
was
this
question
was
answered
somewhat,
but
I'm
wondering
if
anybody
wants
to
give
us
as
council
members
or
people
in
the
general
public,
any
best
practices
or
or
things
that
they
may
not
necessarily
have
an
opportunity
to
communicate,
we're
talking
specifically
about
nursing
homes
and
senior
facilities
and
home
care
facilities.
G
Right
now,
but
again
the
timing
couldn't
be.
I
guess
you
could
say
any
better
or
worse.
It's
looking
at
the
fact
that
we're
we
are
in
the
midst
of
our
worst
wave
right
now.
So
what
other
advice
do
you
feel
like
the
citizens
of
philadelphia
here?
What
do
we
need
to
know
and
what
are
some
other
best
practices?
G
You
know
that
we
need
more
education
sessions
around,
not
just
the
virus,
but
how
to
wear
a
pants
and
and
making
sure
you
wear
it
the
entire
time-
and
you
know
just
a
brief
second
of
taking
it
off,
and
that
could
be
enough
to
expose
somebody.
So
anybody
who
wants
to
comment
that
I
appreciate
it
and.
N
Well,
this
is
kathy
from
cary.
If
I
could
just
take
the
opportunity
to
again
thank
you
for
this,
and
if
people
are
interested
in
our
issue
paper,
they
can
find
that
on
our
website
at
cary.org-
and
I
just
want
to
everyone's
there's
a
lot
of
suffering-
that's
going
on
right
now,
especially
among
residents,
but
also
their
families
and
members
of
the
community,
and
I
just
want
folks
to
know
that
we
are
here
as
an
advocate
and
don't
go
through
things
alone.
N
If
you
need
connections
with
to
mental
health
services,
there
there's
there's
any
kind
of
conversation
that
you
might
need
to
talk
about
options
or
problems.
Please
don't
hesitate
to
contact
us
and
also
any
of
your
offices.
If
we
can
help
through
your
constituent
services
just
know
we
don't
want
people
going
through
this
alone.
H
Yes,
thank
you.
My
question
is:
rob
I'm
not
really
sure
who
would
be
able
to
answer
this,
but
it's
mainly
around
someone
mentioned
the
opportunity
for
transitioning
from
nursing
home
into
independent
living
or
housing
outside
of
people's
homes.
What
is
the
available
stock
housing
stock?
Look
like.
I
know
we
talked
about
lack
of
low-income
housing,
but
I
want
you
to
tell
us
more
about
low-income,
accessible
housing,
which
is
something
that
we
run
into
when
we're
trying
to
have
special
needs
and
some
of
our
elder
populations.
P
B
P
The
city
of
philadelphia
does
do
10
percent
accessible
when
they
build
new
housing,
which
is
great.
We
have
been
working
on
trying
to
get
13
because
our
population
of
people
with
mobility
disabilities
is
13
percent
of
the
city
of
philadelphia.
You
know
we
have
one
of
the
highest
populations
of
the
top
10
cities,
our
disabled
people,
in
the
city
of
philadelphia.
P
So
if
we
could
increase
that,
we
also
have
basic
system
repair,
I
mean
adaptive
bond
program.
We
have
a
large
one
larger
than
most
cities,
so
for
now
for
nursing
home
transition,
it
will
take
anywhere
from
six
months
to
a
year
and
housing
is
the
biggest
issue
so
that
people
are
stuck
in
the
facilities
waiting
for
that
we
do.
There
is
priority
of
four
vouchers
for
nursing
home
transition,
but
they
run
out
really
quick,
there's
also
an
811
pra
program,
but
that's
not
easy
to
necessarily
access.
P
B
B
P
Yeah
we
have
spent
years
developing
that
so
one
of
our
staff
actually
just
works
on
the
housing
part
of
that
and
has
developed
relationships
with
landlords
everywhere,
so
they
know
to
contact
us
or
if
they
have
some
thought
about,
how
to
make
something
accessible.
So
we
work
on
that.
I
sit
on
the
housing,
trust
fund
oversight
board,
so
I'm
always
letting
them
know
constantly
that
this
is
a
huge
need
and
they're
aware
of
what's
happening.
B
C
B
C
B
P
B
G
Thank
you,
madam
chair.
No,
I
I
actually
don't
have
any
more
questions.
I
just
wanted
to
thank
the
all
the
panel
panelists
and
participants
in
today's
conversation.
I
think
it's
an
important
one.
I'm
glad
there's
a
lot
more
information.
In
fact,
I'm
pretty
sure
this
was
informative
to
all
of
us
as
members
of
council
to
other
panelists.
Of
course,
the
listening
audience
I
didn't
know
if
there
were
any
other
final
question
or
comments
from
any
of
the
panel
who
are
still
here
with
us.
But
again
I
appreciate
this
conversation.
G
I
think
it's
really
important
and
as
city
leaders
I'm
hoping
that
we
can
again
address
some
of
the
issues
advocate
for
other
issues
and
in
the
midst
of
this
current
wave
of
the
coronavirus
that
we're
essentially
fighting
put
ourselves
in
a
position
where
we
could
save
as
many
lives
as
possible.
I
know
somebody
said
it
before.
G
I
think
we've
kind
of
transitioned
into
this
phase
of
life,
where
we're
saying
well
we're
just
going
to
live
with
it
and
that's
very
dangerous,
because
the
more
of
us
who
decide
that
we're
going
to
try
to
live
with
it,
the
more
of
others
who
consequentially
will
die
because
of
that
decision.
So
I
want
to
thank
everybody
for
being
here
today.
Thank
you,
madam
chair.
So
much
I
appreciate
it.
G
F
Madam
chair
yeah,
I'll
just
be
brief.
I
just
want
to
thank
all
of
the
panelists
for
providing
information
on
this
important
topic.
This
is
a
a
timely
conversation,
that's
so
important,
especially
considering
what
is
happening
right
now,
with
the
increase
in
infections
of
the
virus
and
how
it's
impacting
our
city,
especially
those
who
are
more
vulnerable.
So
thank
you,
councilmember,
thomas
for
this
hearing
this
conversation
for
having
this
discussion
this
afternoon.
B
And
there
being
no
more
comments
or
no
further
questions
from
members
of
the
committee
and
no
other
witnesses
to
testify,
and
we've
already
asked
that
in
hearing
none,
I
want
to
thank
all
the
panels
and
witnesses
for
your
participation
today.
We
value
your
opinions
and
will
certainly
take
all
of
your
recommendations
to
heart.
This
concludes
the
business
before
the
committee
on
public
health
and
human
services.
I
want
to
thank
you
all
very
much
for
your
attendance
and
wish
everyone
a
safe
and
happy
and
healthy
weekend.