* This transcript was created by voice-to-text technology. The transcript has not been edited for errors or omissions, it is for reference only and is not the official minutes of the meeting. [00:00:04] SO, WE'LL CALL THE ORDER AT SEVEN 50 THIS MORNING. UM, GOOD MORNING. AND ALEJANDRA, WHEN SHE'S READY, WE'LL TAKE ROLL. OKAY. CHAIR THIS HERE. VICE CHAIR HERE. BOARD MEMBER HERE. BOARD MEMBER GUPTA. YEAH. BOARD MEMBER SANDERS. BOARD MEMBER MC HERE. BOARD MEMBER. BOARD MEMBER DEJA ABSENCE BOARD MEMBER VANCOUVER. ABSENCE BOARD MEMBER . ABSENCE AND BOARD MEMBER EZ. YOU HAVE A COURT. OKAY. UM, NEXT ORDER TO BUSINESSES TO, I'LL ENTERTAIN A MOTION TO APPROVE THE MINUTES FOR THE MEETING ON FRIDAY THE 13TH. FRIDAY THE 13TH. I DIDN'T EVEN REALIZE IT WAS FRIDAY THE 13TH. MM-HMM . BACK THEN. WHENEVER FOLKS ARE READY, I WILL ENTERTAIN A MOTION. I MOVE THIS. ACCEPT. MOVED BY LAUREN. I SECOND. SECOND BY PAULA. THANK YOU. ALL IN FAVOR? AYE. ANY OPPOSED? GREAT. . LOVELY. UM, MOVING ON. I'LL ENTERTAIN A MOTION TO RE OH. OH, NO, NO, NO, NO. I WILL NOT. . OKAY. JUST KIDDING. I THOUGHT I WAS IN OTHER MEETINGS. I HAVE TO APPROVE THE AGENDA. SO I WAS JUST GOING TO APPROVE THE AGENDA, BUT THIS IS NOT THAT KIND OF MEETING. UM, ALLISON'S NOT HERE. DO WE HAVE A WRITTEN REPORT IN HER ACTION? UH, NO. OKAY. WONDERFUL. WONDERFUL. THANK YOU. UM, GOOD MORNING EVERYONE. GOOD MORNING. GOOD MORNING. JUST TO HIGHLIGHT A FEW THINGS. UM, SO, UH, JULY 8TH, THE LOS ANGELES COUNTY BOARD OF SUPERVISORS APPROVED THE APPOINTMENT OF SARAH MAKIN AS THE FIRST DIRECTOR OF THE NEW DEPARTMENT OF HOMELESS SERVICES AND HOUSING. SO, UM, THIS NEW DEPARTMENT IS GOING TO, UH, OVERSEE THE TRANSITION OF SERVICES FROM MULTIPLE COUNTY DEPARTMENTS INTO A CENTRAL AGENCY. I'M NOT EXACTLY SURE HOW THAT IS GONNA AFFECT LONG BEACH. WE HAVE OUR OWN MM-HMM . HOMELESS SERVICES, WHATEVER THAT STANDS FOR. UM, BUT IT SOUNDS LIKE IT'LL BE, IT'S A BIG THING. MM-HMM . SO THEY'RE REALIGNING HOW TO . UM, OKAY. MOVING ON TO POLICY AND BUDGET UPDATES. SO THE, THE BUDGET RECONCILIATION BILL, THE OBB ACT, UM, WAS SIGNED ON JULY 4TH. AND SO, UH, THE PRESIDENT'S BILL FOCUSES ON ADVANCING NEW AND EXPIRING TAX, UM, AND THEN INVESTING HUNDREDS OF DOLLARS ENFORCEMENT ROLLING BACK ENERGY INITIATIVES AND SIGNIFICANT CUTS TO THE SAFETY NET IN ORDER TO FUND, EVEN THOUGH THERE'LL STILL BE A $3 TRILLION DEFICIT OR AN ADD 3 TRILLION TO THE DEFICIT, UM, THEY ARE MITIGATING THOSE TAX CUTS BY, UH, CUTTING THE SAFETY NET. SO, UM, MEDICAIDS FUNDING CHANGES UNDER LAW AREN'T SCHEDULED TO TAKE PLACE UNTIL 2028, EXCEPT FOR THE WORK REQUIREMENTS LIKE SOONER. UM, I THINK NO LATER THAN DECEMBER OR 31ST, 2026. UM, AND LET'S SEE. AND THEN THERE MIGHT BE SOME MORE RECONCILIATION BILLS UP FOR DISCUSSION IN THE FALL IN THE SPRING TO ADDRESS SOME OF THE MEDICAID LANGUAGE THAT GOT TAKEN OUT. UM, AND THIS LANGUAGE WOULD INCLUDE PROHIBITING MEDICAID COVERAGE FOR GENDER AFFIRMING SURGERIES, AND THEN ALSO BANING NON-CITIZENS FROM TAPPING TO MEDICAID RESEARCH. SO THAT MIGHT GIVE, PUT LATER THAT LANGUAGE BECAUSE IT'S OUT RIGHT NOW. UM, THEN ANNUAL APPROPRIATIONS. SO THE HOUSE APPROPRIATIONS COMMITTEE ADVANCED, ITS, UM, 2026 FUNDING BILL FOR THE USDA AND THE, UM, FOOD DRUG ADMINISTRATION. UM, AND IT JUST, IT WOULD BE 10% CUT TO WIC, UM, TO PARTS THAT SUPPORT FRESH FRUITS AND VEGETABLES. OKAY. LET'S SEE. UH, IMMIGRATION. [00:05:01] SO SINCE THE START OF THE ICE RAIDS IN JUNE IN SOUTHERN CALIFORNIA, UM, ABOUT 2,792 UNDOCUMENTED IMMIGRANTS HAVE BEEN DETAINED IN THE LOS ANGELES REGION. UM, A FEDERAL JUDGE BLOCKED, UM, DONALD TRUMP'S EXECUTIVE ORDER PREVENTING ILLEGAL IMMIGRANTS FROM SEEKING ASYLUM. UM, SO THAT'S WHERE THAT IS. UM, AND THEN THERE'S JUST THIS WHOLE CHALLENGES. UM, SO THE SUPREME COURT LIFTED A JUDGE ORDER THAT PREVENTED THE TRUMP ADMINISTRATION FROM CONDUCTING MASS LAYOFFS AROUND FEDERAL BUREAUCRACY. SO NOW THEY CAN DO MASS LAYOFFS AROUND FEDERAL BUREAU, UM, AND LET THE SUPREME COURT LEFT THE DOOR OPEN FOR PLAINTIFFS TO CHALLENGE ANY AGENCY SPECIFIC PLAN DOWN THE ROAD. SO THAT WAS EVEN MORE INDIVIDUAL LAWSUITS AS WE GO FORWARD. UM, DEMOCRATIC LED STATES PERSUADED A JUDGE TO WALK AN IR A REDUCTION IN FORCE IMPACTING NEARLY 10,000 DEPARTMENT OF HEALTH AND HUMAN SERVICE WORKERS. SO THAT'S HAPPENING. UM, SIX MEDICAL ORGANIZATIONS. OKAY, I'M GONNA SAY THAT ONE. PLANNED PARENTHOOD, UM, PLANNED PARENTHOOD SUIT THE TRUMP ADMINISTRATION OVER PROVISION IN ITS NEW STATE AND SPENDING LAW THAT WOULD STRIP MEDICAID. SO BASICALLY WHAT THEY WANT TO DO IS PREVENT PEOPLE WHO HAVE MEDICAID FROM USING PLANNED PARENTHOOD FOR OTHER THINGS BESIDES ABORTION. BUT THE PLANNED PARENTHOOD OFFERS ABORTION SERVICES, THEN THEY CAN'T GO THERE FOR ANYTHING. SO IT'S A WAY FOR THEM TO POSSIBLY ESTABLISH PLANNED PARENTHOOD, BECAUSE A LOT OF PEOPLE GO TO PLANNED PARENTHOOD BASIC MEDICAL CARE MM-HMM . UM, SO THEY FEEL LIKE 200 CLINICS AND 24 STATES WOULD BE. UM, BUT THEY WANT TEMPORARY INJUNCTION TO CONTINUE TO RECEIVE MEDICAID FUNDING FOR SERVICES THAT ARE UNRELATED TO ABORTION. UM, THERE'S ALSO A TEMPORARY RESTRAINING ORDER BLOCKING A PROVISION, UM, THAT WOULD BE, THAT WOULD MAKE PLAN PARENT ELIGIBLE FOR MEDICAID ONE YEAR. UM, THAT'S ONLY FOR TWO WEEKS. AND THEN A FEDERAL JUDGE ORDERED THE TRUMP ADMINISTRATION TO RESTORE CERTAIN HEALTH DATA PAGES FOCUSED ON, UM, FOCUSED ON, UH, HEALTH AND HUMAN SERVICES WEBSITES. SO THEY'RE GONNA HAVE TO PUT SOME OF THESE HEALTH DATA PAGES BACK. AND THEN SIX MEDICAL ORGANIZATIONS HAVE FILED A LAWSUIT AGAINST RFK JUNIOR IN THE DEPARTMENT OF HEALTH AND HUMAN SERVICES, UM, AROUND THEIR, UH, DECISIONS AROUND VACCINES, UH, COMMITTING ACCESS TO VACCINES SAYING THAT IT NOT SCIENTIFIC AND HARMFUL TO THE, SO IT SEEKS TO RESTORE VACCINE TO RECOMMENDED COMMUNICATIONS FOR CHILDREN RIGHT NOW. AND, UM, LOCALLY, WE'RE STILL WORKING. SO OUR PLAN IS TO HAVE LIKE A CENTRALIZED WEBSITE FOR EVERYTHING FEDERAL FUNDING RELATED MM-HMM . UM, SO WE'RE STILL WORKING ON THAT, AND THEN ALSO WORKING ON AN COMMUNITY. UM, THE OTHER, UM, THING IS THAT IN THE FY 26 FEDERAL BUDGET, UM, SNAP ED IS COMPLETELY ELIMINATED AND SNAP. SO THAT'S LIKE, UM, FORMALLY KNOWN AS FOOD STAMPS, BUT THIS PART OF IT FUNDS ALL THE STATE AND LOCAL HEALTH DEPARTMENTS AROUND CHRONIC DISEASE. SO IT'S BASICALLY ELIMINATING THAT FUNCTION OF PUBLIC HEALTH. SO THAT WOULD GO INTO EFFECT OCTOBER 1ST. THERE HASN'T BEEN LIKE A, UM, FORMAL LIKE DECLARATION THAT THIS IS ENDING, BUT IT'S NOT IN THE BUDGET. SO KIND OF THE WAY THAT IV PREVENTION GOT STRIP, THIS IS THE NEXT THING. WE'LL, SO WE'LL SEE HOW THAT GOES. UM, THEY DID PUT BACK SOME OF THEIR HIV PREVENTION FUNDING, NOT TO THE SAME LEVEL. UM, IT, THERE'S A LOT GOING ON WITH HIV V PREVENTION FUNDING BECAUSE THERE'S LIKE THIS YEAR OF FUNDING AND THEN THE NEXT, UH, COHORT OF MONEY, WHICH I THINK IN THE NEXT THREE YEARS. AND, UM, SO THERE'S A LOT OF DISCUSSIONS AROUND THAT. IT'S DEFINITELY NOT, AND WE LET GO OF OUR STAFF BECAUSE, SO THAT'S IT FOR THE DIRECTOR. ANY QUESTION OTHER THAN THAT? MRS. LINCOLN, HOW WAS THE PLAY? NO, ON THE QUESTION I HAVE. UM, UM, OTHER, OTHER THAN THAT, MRS. LINCOLN, HOW DID YOU ENJOY THE PLAY? IT'S AN OLD, YEAH. UM, ANY QUESTIONS FOR DR. DAVID? GOOD MORNING. OKAY. SEEING NONE, UM, THAT WAS THE, THAT WAS THE DIRECTOR, THE DIRECTOR'S REPORT. SO I'LL RECEIVE A MOTION TO RECEIVE THE DIRECTOR, THE DIRECTOR'S REPORT [00:10:03] FIRST. THANK YOU. I'LL SECOND. THANK YOU. ALL IN FAVOR? A A ANY OPPOSED? . ALL RIGHT. MOTION PASSES. UH, AND NOW GOING BACK TO DR. DAVIS, THE CITY HEALTH OFFICER'S REPORT. YEAH. OKAY. SO FROM OTHER, UH, HEALTH AND HUMAN SERVICES UPDATES, UH, FEDERAL UPDATES. SO, UM, THE CC ENDED IT TO EMERGENCY RESPONSE TO THE E FLU, UM, SITUATION BECAUSE, UM, ANIMAL INFECTIONS ARE DEFINING, WE HAVEN'T HAD ANY INFECTIONS SINCE FEBRUARY. THERE HAVE BEEN 70 CASES, UM, IN HUMANS SINCE THE BEGINNING OF ALL OF THIS. UM, SO THAT'S A GOOD THING. UM, THERE'S STILL HAVING A LOT OF, UH, DEBATE ADVOCACY AND ACTIVITY AROUND FUNDING NIH GRANTS. UM, THE FEDERAL JUDGE DID RESTORE HUNDREDS OF MILLIONS OF DOLLARS OF NIH GRANTS. UM, AND, BUT THEY'RE STILL NOT BEING ABLE TO GET THE, UM, MONEY AND THE, THEY'RE SAYING THAT THERE'S OTHER HURDLES BECAUSE THEY'RE RESTARTING I PROJECTS. UH, THEY HAVE DISCARDED BIOLOGICAL SPECIMENS. THERE'S FEWER STAFF, AND THEN SUBJECT PARTICIPANTS PARTICIPATE AS MUCH BECAUSE MUCH UNCERTAINTY. UM, SO, UH, WE'LL KEEP WATCHING FOR THAT. UM, AND THE, THE FEDERAL GOVERNMENT IS TRYING TO APPEAL THE, THE JUDGE'S DECISION. AND THEN, UM, THE US HAS BROKEN ITS RECORD FOR THE HIGHEST NUMBER OF MEASLES CASES IN THE COUNTRY SINCE THE DISEASE WAS ELIMINATED IN 2000. SO WE HAVE 88 CASES IN THE UNITED, UM, SO FAR THIS YEAR. UM, THINGS ARE SLOWING DOWN THE OUTBREAK IN, UM, TEXAS AND THE RELATED STATES ARE SLOWING DOWN, BUT IT'S STILL, IT'S STILL THERE. UM, WE HAVE 17 CASES IN CALIFORNIA. UH, WE DID HAVE OUR, THE CASE THAT I THINK I TALKED ABOUT THE LAST TIME, THERE WERE NO SECONDARY CASES, SO NO FURTHER TRANSMISSION. SO THAT'S GREAT. UH, WE, WE ASSIGNED 35 STAFF TO WORK ON IT. THERE WERE 400 AND SOME ODD, UH, PEOPLE WHO WERE EXPOSED. WE HAD TO PUT 22 ON QUARANTINE. I THINK WE INTERVIEWED 130 PEOPLE. UM, SO A LOT OF, A LOT OF STUFF WENT INTO, INTO THAT, UM, INTO THAT, UH, RESPONSE. AND THEN WE ALSO FOLLOWED UP WITH 81 POTENTIALLY EXPOSED CITY STAFF. UM, SO JUST A LOT OF WORK IN A SHORT AMOUNT OF TIME TO MAKE SURE THAT WE DIDN'T HAVE SECONDARY TRANSMISSION. UM, SO HHS SECRETARY KENNEDY, HE, UM, POSTPONED A SCHEDULED MEETING OF THE US PREVENTATIVE SERVICES TASK FORCE. THAT'S THE TASK FORCE THAT DECIDES KIND OF LIKE PREVENTATIVE SERVICES. SO THEY'LL SAY LIKE, SHOULD GET A PAP SMEAR EVERY THREE YEARS, OR YOU SHOULD GET A COLONOSCOPY, YOU KNOW, EVERY 10 YEARS. UM, YOU SHOULD GET SCREENED FOR TP, YOU SHOULD GET VACCINATED FOR THE FLU. ALL THESE KIND OF THINGS. SO, UM, THERE WAS A MEETING SCHEDULED, UH, THURSDAY, THE JULY 10TH AND PEAK KIND OF AT THE LAST MINUTE. PEOPLE WANTED AFTER PEOPLE HAD LIKE TRAVEL ARRANGEMENTS AND THINGS LIKE THAT. SO THERE'S CONCERN, 'CAUSE THIS IS SORT OF WHAT HAPPENED WITH THE AMERICA, AMERICAN COLLEGE OF IMMUNIZATION PRACTICES, UM, THAT CDC VACCINATION ADVISORY GROUP. UM, THEY'RE WORRIED THAT THE SAME THING IS GONNA HAPPEN TASK FORCE, THAT HE'S GONNA GET RID OF EVERYBODY. PEOPLE WHO, UM, FOLLOW HIS MM-HMM . ALIGNED WITH HIS, UM, IDEAS. UM, THEY DID HAVE THE PCIP MEETING THE END OF JUNE, AND, UM, ALTHOUGH THE, ONE OF THE, THEY DID CONTINUE TO SAY WE SHOULD GET VACCINATED FOR THE FLU SIX MONTHS AND NO. SO THAT'S A BIG WIN. . MM-HMM . UM, AND THEY ALSO SAID THAT THERE'S THIS LITTLE TINY AMOUNT OF MERCURY THAT GOES INTO A MULTI-DOSE, UH, VACCINES BECAUSE IT, FOR, AS A PRESERVATIVE, SO YOU DON'T, UM, CONTAMINATE THE BILE. AND IT'S BEEN PROVEN TO BE SAFE. MULTIPLE STUDIES HAVE SHOWN THAT IT'S SAFE, IT'S LITTLE MICROSCOPIC COME OUT. UM, AND DURING THIS MEETING, IN SPITE OF THAT, THEY VOTED NOT TO DO THAT. LIKE, I THINK THREE AND UNDER USE, UM, OL. UM, SO THERE'S A LOT OF DEBATE AROUND THAT. CALIFORNIA STILL, I THINK WE DON'T USE IT IN, WELL, WE DON'T USE IT IN LESS THAN THREE YEARS OLD, AND THEY VOTED TO PREVENT IT IN LESS THAN 18 YEARS OLD. SO I DUNNO WHAT'S GONNA HAPPEN WITH THAT. UM, AND THEN THERE'S JUST THIS WHOLE VACCINE INTEGRITY [00:15:01] PROJECT. SO THERE'S A WHOLE OTHER PROJECT THAT'S GOING ON WHERE ALL OF THE NATIONAL ORGANIZATIONS ARE GETTING TOGETHER TO PROVIDE GUIDANCE AND DATA TO BASICALLY UPHOLD VACCINE INTEGRITY, UM, AND INFORMATION IN LIGHT OF, UM, WHAT'S GOING ON. AND THAT'S IT. SO IF THE RECOMMENDATIONS, I HAVE A QUESTION. UM, SO IF THE RECOMMENDATIONS, UM, FOR THINGS LIKE ANNUAL MAMMOGRAMS AND PAP SMEARS AND THINGS LIKE THAT, IF THAT GROUP TURNS OVER AND THE CHANGE, THERE ARE CHANGES MADE TO THE RECOMMENDATIONS, I'M ASSUMING, CORRECT ME IF I'M WRONG, THAT WILL DETERMINE WHAT HEALTH INSURANCE COMPANIES COVER. THAT'S THE BIG FEAR WITH BOTH THE A CIP AND WITH THE PREVENTIVE TASK FORCE. UM, SO YEAH, THAT'S ONE OF THE, THE BIGGEST THINGS. UM, THE, THERE'S ACTUALLY, IT'S PART OF THE A CA, THE AFFORDABLE CARE ACT. LIKE ONE OF THE, THE POLICIES OF THAT IS IF THE US PREVENTIVE TASK FORCE SAYS AN A OR B RECOMMENDATION OR SOMETHING LIKE THAT. SO YOU HAVE TO COVER IT AT NO COST TO THE PATIENT MM-HMM . SO THAT WOULD, THAT COULD POTENTIALLY GO AWAY. RIGHT, RIGHT. UM, SO YEAH, IT HAS SOME BIG, SOME BIG IMPLICATIONS FOR EVERYONE. NOT JUST PEOPLE ON MEDICAID. EVERYONE, EVERYONE, EVERYONE, ALL INSURANCES THEY USE, THEY USE THAT TO, THEY GRADE DOCTORS AND INSURANCES THROUGH THAT STUFF. MM-HMM . SO LIKE, YOU KNOW, DID YOU SCREEN PEOPLE FOR CHLAMYDIA? AND THAT'S BECAUSE IT'S IN THIS. YEP. YOU KNOW, UM, SO IT COULD BE THAT THEY SAY, WELL, YOU KNOW, WE DON'T HAVE TO USE THAT AS A FACTOR ANYMORE BECAUSE THEY YEAH. YOU DON'T NEED A PAP ANYMORE. YEAH. ONE'S EVERY FIVE YEARS PROBABLY. YEAH. YEP. I MEAN, AND THE SAME THING WITH VACCINATIONS. THEY LOOKED AT THE A CIP GUIDANCE TO DECIDE WHAT TO COVER. SO IT'S NOT THE GUIDANCE ANYMORE. LIKE, LIKE IT ISN'T IN THE GUIDANCE FOR PREGNANT PEOPLE TO GET COVID. SO INSURANCE COMPANIES COULD SAY, WELL, WE'RE NOT GONNA COVER IT. IT'S NOT RECOMMENDED. RIGHT. SO THEY HAVEN'T DONE THAT YET. ARE WE STILL USING COVID VACCINE? YES. HAVE ANY COVID CASES? ALL OH YEAH. YES. IT'S STILL LIVE. OH YEAH. UM, THERE IS, THERE IS SOME, IT'S LOW, BUT THERE IS, UH, CONCERN THAT WE MIGHT HAVE LIKE A SUMMER WAVE. THERE'S A NEW VARIANT THAT'S OUT THERE, WHICH DOESN'T SEEM TO BE MORE SEVERE THAN WHAT WE'VE HAD IN THE PAST, BUT JUST ANYTIME THERE'S A NEW VARIANT, IT MEANS MORE PEOPLE ARE SUSCEPTIBLE. SO COVID COVERED BY INSURANCE. IT IS. AND WITH, SINCE WE'RE ON COVID WITH THE NEW VARIANT, ARE THE, IS THE, ARE THE TRADITIONAL TESTS MM-HMM . STILL, THEY STILL FIND IT. THEY STILL FIND IT. EVEN THE OVER THE COUNTER ONES. LIKE IT'S NOT NO DIFFERENT. OKAY. YEAH. IT'S NOT DIFFERENT ENOUGH. AND THEY'RE EVEN SAYING IT'S NOT DIFFERENT ENOUGH TO WARRANT A NEW FORMULATION OF THE VACCINE. GREAT. WE HAVE, AND THAT'S WHAT WE USE FOR THE FALL. GREAT. I WAS IN THE DANA LIBRARY YESTERDAY AND THEY, THERE WAS A TABLE SET UP WITH TEENAGERS DOING CRAFTS AND ALSO GIVING AWAY FREE COVID TESTS, WHICH I THOUGHT WAS REALLY GREAT THAT THEY WERE DOING THAT AT THE LIBRARY AND JUST WONDERING IF IT WAS STILL USEFUL. YES. , IT'S GREAT THAT THEY'RE GIVING, I COULD SEE THAT. EXACTLY. THESE DON'T WORK. ALREADY GOT THREE VACCINES. WE STILL RECOMMEND EVERY SIX MONTHS, UM, ESPECIALLY IF YOU'RE AT HIGHER RISK EVERY SIX MONTHS. YEAH. YOUR COMMUNITY WILL THE IMMUNITY TO THE VACCINE. YEAH. SO IF YOU'RE LIKE SEVERELY, YOU KNOW, DEPRESSED OR PREGNANT, UM, OR OLDER, THEN THE RECOMMENDATION IS TWO A YEAR. AND DO YOU THINK YOU WE DO, YOU CAN, UM, IT'S HARDER TO FIND, SO A LOT OF LIKE PEDIATRIC PLACES AREN'T CARRYING IT, SO YOU JUST HAVE TO GO TO A PHARMACY. YEAH. WE STILL GIVE IT . WHATEVER HAPPENED TO THE TB ISSUE THAT WE HAD, DO WE STILL HAVE THAT GO AWAY? UM, SO THE OUTBREAK IS FORMALLY OVER MM-HMM . WE HAVE NOT HAD AN OUTBREAK RELATED CASE, I WANNA SAY LIKE AUGUST OF LAST YEAR, I WANNA SAY. UM, I FEEL LIKE EVERYBODY'S BEEN TREATED, SO WE'RE, SO WE'RE KIND OF DONE WITH ALL OF THAT. UM, THERE ARE SOME CONTACTS WE'RE STILL TRYING TO ENCOURAGE TO TAKE THEIR PREVENTIVE MEDICINE. LIKE THEY HAVE, YOU KNOW, THE LITTLE BIT LIKE THEY WERE EXPOSED [00:20:01] AND THEY HAVE, YOU KNOW, THEY'RE INFECTED AND THEY'RE NOT SICK, THEY'RE NOT CONTAGIOUS. UM, SO THERE ARE A FEW STRANGLERS WHO CONTINUE TO, YOU KNOW, HAVE YOU CHANGED MIND? I CAN DO THIS. UM, BUT FOR THE MOST PART, UH, SO NOW IT'S JUST LIKE NORMAL. WE'RE BUSY. WE'RE JUST, I THINK WE HAVE LIKE 17 OR 18 CASES, WHICH IS ABOUT LIKE, THAT'S GONNA BE ON, ON PAR TO BE KIND OF WHERE WE WERE LAST YEAR. JULY. YEAH. AND HOW ABOUT THAT MEASLES SITUATION? YEAH, SO THE MEASLES SITUATION WAS, WAS WHAT I TALKED ABOUT. SO, OH, DID I MISS IT? I'M SORRY. NO WORRIES. OKAY. SO BASICALLY LIKE, I THINK THE LAST TIME SOMEBODY COULD GET INFECTED WAS JUNE 27TH. SO WE MADE IT TO JUNE 27TH AND THERE WERE NO FURTHER PATIENTS. WE'RE GOOD. DONE. OKAY. SO WE DID TERRIFIC. YEAH. TERRIFIC. THESE ARE THE THINGS THAT AS WE MOVE TOWARD BRINGING STUDENTS BACK TO A RESIDENCE HALL, I'M VERY INTERESTED IN KNOWING YEAH. WHERE WE ARE WITH THESE THINGS. YEAH. SO I WOULD SAY LIKE WE ALL NEED TO GET REALLY FIRM WITH OUR MEASLES. LIKE WE GOT THROUGH THIS OUTBREAK, WE GOT THROUGH THIS ONE CASE, IT WAS 470 EXPOSED PEOPLE AND SOME OF THEM WERE REALLY SICK BECAUSE IT WAS AN EMERGENCY ROOM. SO THEY'RE LIKE, IN CANCER TREATMENT, THEY'RE ALL, THEY HAVE RHEUMATOID ARTHRITIS. LIKE THERE WAS A LOT OF SICK PEOPLE. UM, AND SO MEASLES ISN'T GONNA GO AWAY. LIKE IT'S JUST GONNA BE AN ISSUE. YEAH. AND UM, AND SO FOR, WE JUST HAVE TO BE FIRM WITH LIKE MAKING SURE PEOPLE ARE VACCINATED, GETTING THEIR RECORDS. BECAUSE THAT'S WHAT THE BIG ISSUE IS AFTER YOU HAVE A CASE IS LIKE, ARE YOU VACCINATED SO YOU CAN GO TO WORK? AND SOMETIMES THEY DON'T. SOMETIMES THEY DON'T. ALL THIS STUFF AND THIS, THAT'S ONE OF THESE BROKEN HERD IMMUNITY SITUATIONS RIGHT. WHERE PEOPLE WHO ARE VACCINATED WILL STILL CONTRACT IT BECAUSE WE WERE RELYING ON HERD IMMUNITY. SO YEAH. SO BECAUSE MEASLES IS SO CONTAGIOUS, IT'S THE MOST CONTAGIOUS VIRUS. YOU NEED TO HAVE ABOUT 95% OF THE COMMUNITY VACCINATED MM-HMM . IN ORDER TO PREVENT TRANSMISSION WITHIN A COMMUNITY. SO IF YOU HAVE LESS THAN THAT, AND THERE'S SOME LIKE REALLY CLOSE KNIT COMMUNITIES THAT DON'T HAVE THAT, WHETHER IT'S FROM LIKE EXEMPTIONS YEAH. OR AS A RELIGIOUS YEAH. UM, COMMUNITIES, IT'LL JUST TEAR RIGHT THROUGH. THEN IT JUST TEARS RIGHT THROUGH. YEAH. SO, UM, BUT LIKE EVEN IN OUR CASE, IT STILL CAN BE REALLY LABOR INTENSIVE EVEN WHEN YOU HAVE GOOD COMMUNITY, COMMUNITY. UM, AND ALSO LIKE WHEN THERE'S A OUTBREAK OR WHEN THERE'S A SECONDARY CASE. SO WHEN THERE'S A CASE SAYING YOU WERE VACCINATED VERSUS SHOWING YOUR DOCUMENTATION YEAH. ARE TWO DIFFERENT THINGS. SO SAY YOU, LIKE, I KNOW I GOT THAT I HAD TO GET LABS IN SCHOOL AND LIKE, IF YOU CAN'T SHOW ME YOU HAVE TWO DOSES, YOU HAVE TO STAY IN YOUR HOUSE. AND IF YOU ARE VACCINATED, THAT LASTS FOR YOUR LIFETIME. IT'S FOR YOUR LIFETIME. YOU DON'T NEED TO GET A BOOSTER LATER IN LIFE. DON'T NEED TO THE BOOSTER. SO IF WE HAVE, FOR EXAMPLE, COLLEGE STUDENTS WHO DON'T HAVE DOCUMENTATION, THEY COULD GET TITERS. THEY COULD GET TITERS. OKAY. YEAH. BUT YOU STILL HAVE TO, IT'S STILL A PROCESS. YEAH. AND WHAT WE LEARNED DURING THIS HEALTH THING IS HEALTHCARE PROVIDER, THEY'RE NOT REALLY ALL THAT EXCITED ABOUT HAVING SOMEBODY WHO WAS EXPOSED TO MEASLES IN THEIR OFFICE. NO. , IT WAS NOT THAT EASY TO, I'M LIKE, THEY'RE NOT SICK, THEY'RE NOT CONTAGIOUS. THEY DON'T HAVE ANYTHING, BUT I DON'T CARE. YEAH, I GET THAT. YEAH. SO REALLY LIKE IT'S AN OUNCE OF PREVENTION AS ACURE, LIKE JUST SAYING NOW YOU NEED TO GET YOUR , GO FIND IT OR GET YOUR TIGERS NOW, UM, HELPS. UH, YOU CAN GET, YOU CAN GET THESE EVEN THOUGH YOU'RE FULLY VACCINATED. YEAH. IT'S STILL, IT'S MUCH MILDER. YOU USUALLY DON'T TRANSMIT IT, BUT YOU CAN, YOU CAN GET IT. MM-HMM. YES. IT'S VERY LIKE 95% OF THE PEOPLE HAVE NO VACCINATION AND THEN, BUT IT HASN'T HIT KIDS. IT LIKE, IT'S NOT GONNA BE IN THE SCHOOLS YET. AS FAR AS WE CAN TELL IN OUR SCHOOLS, LIKE, I THINK SO BECAUSE WE HAVE A GOOD VACCINATION LEVEL MM-HMM . THERE ARE SOME SCHOOLS, SOME PRIVATE SCHOOLS WHERE THERE'S NOT A GOOD LEVEL. YEAH, FOR SURE. SO THEN, UM, HOMESCHOOL COMMUNITIES WHERE THERE'S NOT A VACCINATION REQUIREMENT. YEAH. MAYBE A RELIGIOUS PRIVATE. YEAH. AND THEN TRAVEL IS A BIG, BIG RISK FACTOR. SO IF YOU GO OUT AND COME BACK WITH IT, GREAT, GREAT. BUT THERE'S NOT CURRENTLY FORMAL RECOMMENDATION TO GET MEASLES VACCINE PRIOR TO TRAVELING THERE IS THERE, THERE IS A FORMAL RECOMMENDATION. YEAH. SO ESPECIALLY FOR INTERNATIONAL TRAVEL, THE RECOMMENDATION IS LIKE, MAKE SURE YOU'RE FULLY VACCINATED. SO YOU HAD YOUR TUBE AND THEN IF YOU'RE SIX TO 11 MONTHS, BECAUSE USUALLY WE DON'T START VACCINATION UNTIL YOU'RE OVER 12 MONTHS OF AGE. YEAH. UM, BUT IF YOU'RE TRAVELING INTERNATIONALLY AND YOU'RE SIX TO 11 MONTHS, THEN WE WOULD [00:25:01] RECOMMEND THE DOSE BEFORE YOU INTERNATIONALLY TRAVEL. AND IF YOU'RE GREATER THAN 12 MONTHS OF AGE, WE RECOMMEND THAT YOU GET THE ONE. AND THEN IN 28 DAYS YOU GET THE OTHER ONE. UM, INSTEAD OF WAITING UNTIL FOUR TO SIX, WHICH IS WHAT THE USUAL, UM, SCHEDULE IS LIKE ONE AT ONE AND THEN THE NEXT MONTH RIGHT BEFORE KINDERGARTEN. SO WE WOULD CONVINCE THAT, BUT WE'D BE FULLY VACCINATED. SO YEAH. BEFORE YOU TRAVEL INTERNATIONALLY, THE RECOMMENDATION IS TO MAKE SURE YOU'RE FULLY VACCINATED. AND THEN, I DUNNO, I MEAN THIS, THERE ARE TWO DIFFERENT DISEASE PROCESSES, BUT, UM, THER VACCINE, I DUNNO IF THERE'S LIKE DATA ABOUT USING IMMUNITY AS A PROXY FOR MEASLES IMMUNITY JUST BECAUSE WE DO A LOT OF LIKE REHABILITATORS PREGNANCY, A LOT OF PEOPLE ARE NOT IMMUNE FOR, BUT I DUNNO IF THAT THEN TRANSLATES TO YEAH. NON. YEAH. I HAVEN'T HEARD THAT. THAT'S INTERESTING. EVEN AFTER BEING VACCINATED, THEY'RE NOT IMMUNE. YEAH. ALLEGED VACCINATED. MM-HMM . A LOT OF 'EM DON'T DUNNO OR DON'T HAVE THEIR PAPERWORK. AND SO WE AUTOMATICALLY WILL VACCINATE EVERYONE POSTPARTUM WHO IS REBELL NOT IMMUNE, BUT THAT INCLUDES INTERESTING. ANY OTHER QUESTIONS FOR DR. DAVIS? WE'VE MADE OUR WORK FOR IT TODAY. WHAT? THANK WE COMPLIMENT THE TEAM ON, ON BUILDING THE TV SITUATION MM-HMM . YEAH. AND A LOT OF SUPPORT FROM THE CASE STUDY. RIGHT, RIGHT. YEAH. UM, YEAH. I WAS NOT LOOKING GOOD UNTIL LIKE ALL THESE RESOURCES. THANK YOU. IF THERE ARE NO OTHER QUESTIONS, I'LL ENTERTAIN A MOTION TO RECEIVE AND FILE THE REPORT FROM THE CITY HEALTH OFFICER. THERE AREN'T THAT MANY OF US. THANK YOU. YOU CAN, IT'S YOUR TURN. . ANY SECONDS. THANK YOU. IN FA ALL IN FAVOR? AYE. ANY OPPOSED? EIGHT PASSES. UM, WELL NOW LET'S TALK ABOUT THE STRATEGIC PLAN. SABRINA, WE LIKE PURPOSEFULLY WAITED. YEAH. LASTLY ON WE REVIEWED, BUT WE DIDN'T WANNA VOTE ON ANYTHING BECAUSE WE WANTED, WE ACTUALLY WANTED YOU AND BARBARA TO BOTH BE HERE. UM, BUT WELL, I MEAN, NUMBER OF OUR FOLKS HAVE BEEN HERE SINCE FOR A MINUTE. UM, WE HOST RETREAT, WE BROUGHT IN A MISSION CONVERSATION, FELT LIKE WE JUST KIND OF GOING THROUGH REPORTS, BUT HOW COULD WE BE UTILIZED WITH ALL THE DIFFERENT DIVERSITY EXPERTISE AND RESOURCES AND KNOWLEDGE HERE, UM, AND BE MORE ACTIONABLE, UM, FOR SERVING THE COMMUNITY SERVING. AND SO THAT WE KIND OF LAY MISSION STATEMENT, UM, AND VISION STATEMENT AND GOT US ALL KIND OF TALKING ABOUT WHAT WE SEE AS OUR DIFFERENT ROLES. AND OF COURSE LIKE ANYTHING GOES ON ALL THE, YOU KNOW, SAME WORLD, EVERYTHING. BUT, UM, AFTER THAT WE KIND OF DEVELOPS AND NOTES, NOTES SAVED. AND THAT WAS JAMES ONE, COMMUNITY BASED ORGANIZATIONS HERE IN THE COMMUNITY. HE WAS AN FACILITATOR AS WELL. AND HE HAD A GOOD FOR HEALTH, PUBLIC HEALTH ORGANIZING. I THINK THAT WAS SOME GREAT SKILLS TO HELP US FORWARD AS WELL. KNOWLEDGE OF THE CITY AND HOW THE COMMUNITY WORKS, THEIR KNOWLEDGE OF OUR BOARDS WITHIN THE CITY. FROM THERE WE HAD A WORK GROUP AND DR. WALTON, BARBARA, PAULA, UM, MILES, MR. AND MYSELF, WE MET A COUPLE TIMES AND WE TALKED ABOUT WHERE DO WE, YOU KNOW, PRIORITIZE. AND SO WE DRAFT KIND OF A REAL GENERAL STRATEGIC PLAN THAT TOOK ALL THE DIALOGUE, EVEN GOING BACK TO OUR FIRST MEETING AND PRIORITIZE THOSE THINGS. UM, BASED UPON ALL THE CONVERSATIONS. WE DIDN'T WANT TO BE SUPER WORD BECAUSE NOBODY EVER READS, UM, HOW WE COULD BE MORE INTENTIONAL WITH WHAT WE, UH, SAW, UH, BEYOND JUST A MONTHLY MEETING. AND, UM, BRING BACK, UM, SOME RESOURCE SKILLS, EXPERTISE, KNOWLEDGE, UM, RELATIONSHIPS THAT FURTHER HELP, UM, PUSH, UH, THE AGENDA OF AGENDA OF THIS GROUP AND [00:30:01] SUPPORT HEALTH DEPARTMENT. SO WHAT YOU SEE HERE IS A MISSION, UM, THAT WAS KIND OF AGREED UPON BY THE GROUP. AND THEN I DID A WHOLE BUNCH OF CUT AND PASTING OF THIS CHAPTER, BOARD CHARTER AND I JUST FELT LIKE, JUST PUT THAT IN FRONT OF US SO WE KNOW, SO WE'RE NOT REPEATING. I DON'T THINK ANY OF US KNEW ABOUT SOME OF THIS CITY CHARTER. WE BROUGHT UP QUESTIONS LIKE HOW DO WE CHANGE THIS? HOW WE CHANGE THIS? WHY IS THIS, THIS? AND SO THAT IS, UM, PAGE ONE AND TWO. AND THEN IS KIND OF WHAT WE, READING THOSE FROM OUR DISCUSSIONS AND THEN MOVING INTO BOARD OF BOARD ROLES AND RESPONSIBILITIES, UM, IDEAS FOR ONBOARDING BECAUSE WE FELT LIKE WE KIND OF STARTED SHOWING UP AND KIND OF FOLLOW ALONG, BUT NOT HAD A GROUP. SO KIND OF DELINEATING, UM, WHAT AN ONBOARDING ORIENTATION PROGRAM COULD LOOK LIKE. UH, OF COURSE WE, WE WOULD NEED MORE WORK GROUPS OR, UH, INDIVIDUAL, SOME WORK THAT, UM, HOW WE ENGAGE FURTHER WITH THE COMMUNITY FEEDBACK GOALS AND THEN, UM, KIND OF HOW WE WOULD ASSESS OURSELVES. AND THERE IS, UM, AN ANNUAL PLAN THAT'S, UM, SORRY, ANNUAL EVALUATION THAT'S GIVEN BACK TO THE CITY FROM CHAIR AND WHAT WE KIND, THE TITLE KIND OF A SUMMARY OF THE YEAR. UM, THIS KIND OF ASSESSES RECOMMENDS AN ASSESSMENT OF OUR GOALS FROM THIS, UH, THE STRATEGIC PLAN. SO IF ANYTHING, I THINK THE NEXT STEP BE REVIEW THIS, COME BACK AND DISCUSS IT, REVIEW IT NOW, UM, WALK THROUGH IT OR WE REVIEW IT OWN, WHICH I DON'T THINK ANYBODY WILL. SO RIGHT. REVIEW IT DOWN. YEP. UM, YOU KNOW, ASK QUESTIONS, UH, STRIKE ADD. UM, BUT I THINK THE MAIN THING WAS WHAT'S REALLY GONNA HAPPEN. WE CAN BARELY SOMETIMES PEOPLE HERE, UM, BEING AUTHENTIC TO WHAT WE REALLY HAVE TO GIVE WHEN IT COMES TO DOING WORK. AND IT COMES TO BEING CALLED UPON, UM, OR ANYTHING RELATED TO THIS. UM, ESPECIALLY KNOWING HOW COMMITTED EVERYBODY IS SO THAT FOLKS ARE SO BEING COGNIZANT THAT, UM, AND THEN WHAT THE NEEDS ARE, OF COURSE, OF THE HEALTH DEPARTMENT. WE'RE NOT HERE TO SUPERVISE, WE'RE HERE TO SUPPORT LIFT UP, UM, AND HOLD ACCOUNTABLE, YOU KNOW, AS, UM, AS IT RELATES TO SERVING. I THINK THAT'S KIND OF WHAT I REPRESENTED. YEAH. IT WAS EXCELLENT. DR. , THAT'S EXACTLY WHAT WE WANTED TO HEAR FROM YOU. AND DR. WALTON. MR. ADD? NO, I I, YEAH. I THANK YOU FOR TAKING THE LEAD ON ON THAT. UM, IT'S ALWAYS GREAT TO HAVE A REALLY GREAT ACADEMIC PERSON TO SYNTHESIZE THINGS AND YEAH. A LOT OF GREAT WORK FROM THE TEAM. THANK YOU MR. MCNEELY FOR TAKING ON. YEAH. SOME OF THE PROJECTS AND PAULA AS WELL. AND BARBARA WAS REALLY ACTIVE TOO. IT WAS A GREAT COLLABORATIVE EFFORT. SO I THINK THIS IS SPEAKS FOR ITSELF. I I DID WANNA, WHILE YOU WERE AWAY LAST, AT LAST MEETING, UM, AALIYAH HAYES CAME AND TALKED AGAIN ABOUT THE PUBLIC HEALTH FUND THAT THEY HAVE AND WE ACCEPTED HER REPORT AND THEN WE ACCEPTED A MOTION WAS MADE, UM, TO EXERCISE OVERSIGHT OVER THE LONG BEACH COMMUNITY FOUNDATION HEALTH AND HUMAN SERVICES. SO AS WE LOOK THROUGH THIS, WE'RE GONNA VOTE ON GRANT PROPOSALS. YEAH. WE'RE GONNA, YEAH. SO IT MAY BE A WAY TO ACTUALIZE RIGHT WHAT WE ARE SAYING THAT WE ARE ABOUT. SO KEEPING THAT IN MIND, UM, MIGHT GIVE IT A LITTLE BIT THAT MAKE IT MORE SENSE. SO DO WE WANT TO WALK THROUGH THIS DOCUMENT? I'M COGNIZANT THAT BARBARA WORKED ON IT WITH YOU AND THAT SHE'S NOT HERE. YEAH. AND I'M ALSO COGNIZANT THAT IF WE WAIT UNTIL EVERYONE'S HERE, WE MAY NEVER WALK THROUGH IT. SO I'M KIND OF LEAVING IT OPEN TO ALL OF YOU TO DECIDE, UM, WHETHER YOU WANNA WALK THROUGH IT DURING THIS MEETING OR IF YOU WANNA WAIT UNTIL THE NEXT ONE. I THINK BARBARA'S PLANNING ON BEING BACK FOR THE NEXT ONE, BUT I DON'T KNOW. I THINK WE SHOULD DO THAT. ALL THINK ABOUT IT. WE HAVE QUESTION THEN WE SHOULD DISCUSS IN THE NEXT MEETING. OKAY. DO WE WANNA WALK THROUGH IT JUST A LITTLE BIT SO THAT WE, WE'VE GOT A LITTLE GUIDANCE FOR OUR AT HOME READING. YEAH. AND I WON'T BE HERE, SO I'M SORRY, NEXT MEETING. I WON'T HAVE A BIRTHDAY, BUT I'M GONNA ASSUME THAT YOU'RE GONNA VOTE IN FAVOR OF THIS. I'M CERTAINLY GONNA VOTE IN FAVOR, BUT IF WE'RE LOOKING TO HAVE EVERYBODY IN THE ROOM, I'M JUST SAYING IT WON'T HAPPEN. WON'T HAPPEN NEXT WEEK EITHER, SO WON'T OKAY. IF THAT WAS YEAH. BUT I UNDERSTAND WE WANNA BE THOUGHTFUL. WELL, AND WE CAN ALSO, UM, BREAK IT UP AND [00:35:02] WALK THROUGH PART OF IT THIS TIME AND PART OF IT ANOTHER TIME. SOUNDS GOOD. WE HAVE, UM, HOW MANY OTHER ITEMS HAVE LIKE, NONE? UM, I WOULD SAY MAYBE WE TAKE FIVE MINUTES. YEAH. REVIEW, WRITE YOUR QUESTIONS AND THEN WE CAN GO BACK THROUGH AND THEN ASK YOU QUESTIONS AND WE CAN THROUGH. YEAH. I THINK WE, WE HAVE NO OTHER AGENDA ITEMS AND IT'S 8 25, SO WE'VE GOT TIME. SIX MONTHS, RIGHT? YEAH. YEAH. AND, AND WE'VE GOT SOME TIME TO DO IT, SO WE MAY AS WELL GET RIGHT ON IT. I THINK WE'LL STILL BE ABLE TO END BY NINE. MM-HMM . I GOTTA GO AT 8 45. WE'LL BE ABLE TO END BY 8 45. IS THAT OKAY? JUST BECAUSE I WANT US TO VOTE WITHOUT ME MESSING UP THE COURT. YEAH, YEAH. NO, I'M SORRY. NO, WE'VE GOT PLENTY OF TIME. WELL, YOU'VE BEEN VERY EFFICIENT TODAY. YEAH. ZIPPING RIGHT THROUGH. WE DON'T HAVE THE LEGISLATIVE, WE DON'T HAVE THE LEGISLATIVE REPORT. [00:42:10] ALL RIGHT. ANYBODY ELSE? MORE TIME. AS I WENT THROUGH, I FOUND MYSELF WITH TWO DIFFERENT SETS OF QUESTIONS. ONE SET WAS, UM, ABOUT THE DOCUMENT ITSELF. LIKE WOULD THIS EVER REALLY HAPPEN? WHEN HAVE WE EVER DONE THIS? WHAT, WHEN WOULD WE DO THIS? WHAT WOULD THIS LOOK LIKE? AND ANOTHER SET OF QUESTIONS LOOKED MORE LIKE CONTENT QUESTIONS. LIKE, YOU KNOW, HOW WOULD, HOW WOULD WE EXECUTE THIS? SO THE, THE KINDS OF QUESTIONS THAT ARE MORE CONTENT ORIENTED QUESTIONS I DON'T THINK ARE THE PURPOSE OF THIS CONVERSATION RIGHT NOW BECAUSE THOSE ARE ACTUALLY PLANNING CONVERSATIONS THAT GETS US INTO OUR ANNUAL CYCLE PLANNING. RIGHT. UM, BUT THE, THE QUESTIONS ABOUT THE ACTUAL DOCUMENT ITSELF, LIKE WHETHER SOMETHING SHOULD BE IN IT OR I THINK ARE MORE WHAT WE'RE TRYING TO GET AT TODAY. AM I ACCURATE ON IN THAT? YEAH. YEAH. THERE'S SOME THINGS THAT, YOU KNOW, STRIKE, STRIKE STRIKE AND SOME THINGS LIKE WHAT DOES THIS MEAN? AND THEN THERE'S SOME OPEN-ENDED, OKAY, WE NEED WORK GROUPS THAT WE NEED TO DELINEATE WHAT THIS LOOKS LIKE. RIGHT. I THINK THE SPIRIT WAS, OKAY, I WANT MORE. YOU KNOW, GIVE US SOME LITTLE BIT MORE CHALLENGE, GIVE SOME DIRECTION. AND THAT DIDN'T SEEM TO THIS, UH, PAGE ONE AND TWO BASED ELIMINATED OR WHAT WE'RE ABOUT A CHARGE. MM-HMM . PARAMETERS. SO GIVE US MORE PARAMETERS FOR COMMISSION. SO THE, SO THE PLAN KIND OF OR CHARGE OR CHARGE I GUESS. YEAH. UM, HOW WE CHARGE WITH THAT I THINK IS TO BE DETERMINED AND I THINK THAT'S WHY IT'S PREACHING. YEAH. 'CAUSE THAT MAY FLOW. IT MAY GO ONE YEAR. MAYBE OUR SPRING MAY BE BASED UPON THE ISSUES THIS YEAR, MAY BUDGET OR WHATEVER IT MIGHT BE. RIGHT. SO THEN THE THIS, THE CHARGE FOR THIS YEAR. RIGHT. THIS MAY BE FOCUSED ON THAT, THE OUTREACH ADVOCACY FOR THE BUDGET WHERE THE NEXT YEAR MAY BE SOMETHING ELSE. MM-HMM . AND SO KEEPING IT REALLY GENERAL, I THINK WITH THE RETENTION GOAL. MM-HMM . UM, SO TO THAT END, I HAD A COUPLE OF QUICK QUESTIONS. UNDER ATTENDANCE REQUIREMENTS. THAT FIRST SENTENCE, IT SAYS BOARD MEMBERS ARE EXPECTED TO ATTEND TO DISCUSS AND MAKE DECISIONS ON PUBLIC HEALTH ISSUES. RIGHT. FINE. YEAH. YEAH. AND MY, MY QUESTION RIGHT THERE, UM, I HAD A COUPLE OF QUESTIONS. ONE WAS FOR DR. DAVIS, THE MAKING DECISIONS ON PUBLIC HEALTH ISSUES PART, I DON'T, I DON'T KNOW IF WE'VE EVER MADE DECISIONS ON PUBLIC HEALTH ISSUES FOR AS LONG AS I'VE BEEN HERE [00:45:01] AND I DON'T KNOW WHAT WE WOULD MAKE DECISIONS ON. THAT WAS CORRECT IN HOW WE WORDED THAT BEFORE THAT. YEAH. IT'S RIGHT UNDER ATTENDANCE REQUIREMENTS, THE FIRST SENTENCE ON PAGE THREE, UNDER SCOPE AND BOARD ROLES AND RESPONSIBILITIES, ATTENDANCE REQUIREMENTS PER SENTENCE, MEMBERS EXPECT TEAM MEETINGS TO DISCUSS AND MAKE DECISIONS ON PUBLIC HEALTH ISSUES TO PROVIDE INPUT ON PUBLIC HEALTH ISSUES WOULD BE THE ALTERNATIVE. RIGHT? YEAH. I DON'T THINK WE EVER MAKE DECISIONS ON PUBLIC HEALTH. ABSOLUTELY. ISSUES PROVIDE RECOMMENDATION. YEAH. MM-HMM . AND OFFER OFFER. YEAH. OFFER FEEDBACK OFF SOMETHING, BUT WE DON'T DO THAT. UM, SURE, YEAH. WE CAN WRITE IT, BUT WE HAVE TO HAVE SOME PLAN. MM-HMM . WAS WORKING. YEAH. UM, I WANTED TO MAKE A COMMENT ON THAT. THAT SAME SECTION, WE'RE JUST, WE'RE TALKING ABOUT THE SAME. THE NEXT SENTENCE MEMBERS ARE REQUIRED TO ATTEND AT LEAST A DESIGNATED PERCENTAGE MEANS ANNUALLY. MM-HMM . HIGHLIGHT THE PART IS THOSE ARE QUESTIONS. MM-HMM . OKAY. AND SO I DIDN'T, I DON'T KNOW. YOU DON'T KNOW WHAT IT'S, I THINK THAT WAS MY OPENING QUESTION TO FIND OUT WHERE THE ANSWER IS BECAUSE REMEMBER THAT WAS A CONVERSATION MM-HMM . MEETING. THAT'S RIGHT. MM-HMM . BECAUSE IT ONLY, BECAUSE, NOT BECAUSE WE'RE DRACONIAN FOR NEW MEMBERS, IT'S JUST SO THAT IT DOESN'T PREVENT US FROM BEING ABLE TO GET QUORUM. SO WE CAN'T MEET MM-HMM . SO I THINK THAT'S WHAT THAT WAS. UM, TO REITERATE WHAT THAT IS, IF THAT INDEED IS EVEN A POLICY. AND IF IT'S NOT, CAN WE, CAN WE JUST CREATED, SO I FEEL LIKE THEY SAID THERE WAS SOMETHING SIMILAR, BUT I DIDN'T FIND THAT. I WONDER IF ALEJANDRA MIGHT BE ABLE TO HELP US LOOK FOR IT BEFORE THE NEXT MEETING. FOR SURE. I CAN FIND OUT. THANK YOU. THAT WOULD BE HELPFUL IF, IF WE, IF WE CAN'T FIND IT OR CAN WE MAKE IT UP THIS, WELL, CAN WE SAY EXPECTED TO ATTEND AT LEAST 50%? BECAUSE I DUNNO IF WE CAN REQUIRE, I MEAN, I THINK, I THINK AT LEAST 50% IS A REASONABLE EXPECTATION. 51%. IT'S VERY GENEROUS. IF YOU CAN ATTEND AT LEAST HALF THE MEETINGS, THEN ARE YOU REALLY EVEN ON THIS COMMISSION, I WOULD SAY THAT WOULD BE WHAT FOR SOME OF THE PEOPLE THAT AREN'T WITH US. THAT WAS, THAT WOULD'VE BEEN A NICE BAR. YEAH. BECAUSE IT WAS LIKE, IT WASN'T EVEN, IT WAS MAYBE THREE OUT OF YEAH. SO 50% WOULD'VE, WOULD'VE ACTUALLY HAVE HELD, I HAVE TO SAY, NOT APROPOS OF, MAYBE NOT DIRECTLY APPROPRIATE TO THIS, BUT WHEN I JOINED THE COMMISSION, SO THIS TIME AROUND THE MAYOR'S OFFICE, SOMEONE FROM THE MAYOR'S OFFICE CALLED ME AND ASKED ME TO TALK WITH THE PEOPLE WHO WERE CANDIDATES TO JOIN THE COMMISSION. LIKE I TALKED WITH YOU ON THE PHONE. UM, AND THAT WAS NOT DONE WHEN I JOINED THE COMMISSION. AND WHAT CAME OF IT, IT WAS, I SAID, OH, OKAY, SURE. I HAVE NO IDEA WHAT TO EVEN TALK TO THEM ABOUT BECAUSE I DIDN'T HAVE A CONVERSATION LIKE THAT WITH ANYONE. SO I MADE IT UP. UM, BUT THE GOOD NEWS WAS THAT ONE OF THE CANDIDATES WAS NOT ABLE TO MAKE THIS TIME AND SAID, OH, I CAN'T DO THAT. AND I WAS LIKE, THEN YOU SHOULDN'T, YOU SHOULD NOT JOIN THE COMMISSION. AND HE DIDN'T. AND THAT'S APPROPRIATE. SO THE DENTIST YEAH. YEAH. UNFORTUNATELY HE SHOWS THESE PEOPLE ON FRIDAY MORNINGS. YEAH. HE'S MY DENTIST. I WAS GONNA SAY, HOW'S HE GONNA DO THIS? I'M SURE HE'S GREAT. I'M SURE HE IS GREAT. BUT HE LIKE, I CAN'T DO IT. HE'S GREAT. AND I SAID, I'M SO GLAD WE FIGURED THIS OUT NOW BECAUSE IT WOULD'VE MESSED WITH OUR, WITH OUR, UM, ABILITY TO MEET. AND HE SAID, I SAID, ENJOY ANOTHER COMMISSION. UM, HE WAS LIKE, IS THERE ANY WAY TO CHANGE THE TIME? I SAID, OH, I'VE TRIED THAT . LIKE THAT'S NEVER GONNA HAPPEN. I TRIED THAT. UM, AND HE SAID, OKAY, I GOT IT. I SAID, I HATE 7 45 IN THE MORNING. SO, AND I TOTALLY ALREADY GAVE THAT A SHOT AND I FAILED. SO NO, IT'S NOT GONNA HAPPEN. UM, SO THE, THE CONVERSATION HAS BEEN USEFUL ALREADY TOWARD LIMITING THE NUMBER OF PEOPLE WHO WIND UP ON THE COMMISSION AND NOT ABLE TO REALLY SHOW [00:50:01] UP FOR THE MEETINGS. SO I WONDER IF WE COULD EVEN CODIFY THAT, THAT CANDIDATES, I DON'T KNOW IF WE CAN, IF, IF, IF THAT'S WITHIN OUR POWER TO SAY CANDIDATES WILL HAVE CONVERSATION WITH THE CHAIR PRIOR TO JOINING THE BOARD. I THAT MAY BE ABOVE OUR PAY GRADE WITH THE MAYOR. SECTION TWO IS THAT ONBOARDING ORGANIZATION PROGRAM, WHICH I'M NOT SURE WHO EXACTLY IT'S REFERRING TO, BUT IT IT, IT'S REFERRING TO LIKE WHAT YOU'RE TALKING ABOUT. UM, I THINK THESE THINGS ARE SERENDIPITOUS. YEAH. AND I THINK LIKE THAT CONVERSATION MAYBE FALLS UNDER, UH, MENTORSHIP PROGRAM OR WELCOME PACKAGE. YEP. UM, BECAUSE THIS ALL SOUNDS REALLY GREAT AND I'M LIKE, OOH, WHEN AM I GONNA GO SEE A COMMUNITY SITE ? YEAH. LIKE, NO, I NEVER DID. I'VE NEVER BEEN TAKEN TO ANY COMMUNITY SITE FOR A TOUR. IT SOUNDS GOOD. GREAT VACATION CASE FOR ALL THE NEW MEMBERS. YES. THEY SHOULD KNOW THEIR RESPONSIBILITY. THEY SHOULD KNOW HOW MANY THEY HAVE TO ATTEND. YES. IT'S NOT THAT I DON'T SHOW. I AGREE. YEAH. AND THEN YOU IS THE MOST IMPORTANT THING. OTHERWISE YOU CANNOT CONTEST. THAT IS EXACTLY HOW I FEEL ABOUT IT. LIKE YOU SAID. I AGREE. CASE FOR THEM AND TELL THEM ORIENTATION PACKAGE. YEAH. AND WE DO, IF YOU HAVE ANY QUESTION, ASK US ALL THIS ONBOARDING, ONLINE ORIENTATION, LIKE THE SMALLER LAW MODULES TO START, BUT IT'S NOT SPECIFIC TO THIS MOVE. RIGHT. UM, THERE ARE ABOUT 7,000 ONLINE TRAININGS THAT HAVE YOU ALREADY STARTED DOING THEM? OH YES. OKAY. YES. . UM, I WISH I COULD TELL YOU THAT THEY GO AWAY, BUT THEY DON'T. YOU'LL BE TAKING THEM OVER AND OVER AGAIN. YOU BECOME AN ETHICIST AT THE END. WE YESTERDAY EVERY VIDEO IN FACEBOOK FOR SURE, BECAUSE IT'S THE SAME CONTENT FOR CSU. YEAH, SAME. YEAH, SAME. WE COULD TEACH THESE CLASSES. SAME. WE COULD TEACH CLASSES ON THEM. YEAH. SO IT'S, IT'S UM, BUT YOU'LL BE DOING THEM EVERY YEAR. YEAH. CAN I SUGGEST THAT MAYBE FOR THE CITY'S PROCESS OF HOW THEY REFER CANDIDATES TO US, THAT THAT BE AN ACTION ITEM FOR LIKE THIS? YEAH. WELL THAT'S MY QUESTION THIS TERM, LIKE WE WRITE A LETTER TO THE MARRIAGE OFFICE, WHOEVER DOES THE SCREENING SAYING THIS IS WHAT WE RECOMMEND OF HOW YOU DO THIS PROCESS FOR ALL FUTURE BOARD MEMBERS, FOR BOARDS IN GENERAL. WE COULD, I THINK WE COULD DO THAT. WHY WOULDN'T WE BE ABLE TO DO THAT? DOES THIS EXIST FOR ANY OTHER, I DON'T KNOW. THAT'S A GOOD QUESTION. I'VE A COUPLE. OKAY. AND THEN LIKE, DO YOU KNOW IF THEY HAVE BEEN ABLE TO LIKE SUCCESSFULLY EXECUTE HORRIBLE HOUSING? I HAVE A BINDER, THIS EVERYTHING. OH WOW. THAT WAS SOMETHING THEY, YEAH. AND THEN ANOTHER ONE THAT THE PORT HAS A HAS A PROCESS. THE PORT COMMISSION, THEY HAVE SOME SOME STUFF. AND IN SUMMER IT DEPENDS. BUT WITH MY EXPERIENCE WITH THE CITY, I HAD JEFF WILLIAMS. YEAH. YEAH. HE REACHED OUT. I MEAN WE TALKED, WE WENT THROUGH SURE. YOU KNOW, WE WENT BACK AND FORTH. UM, BUT I HAVE SEEN FOUR PREVIOUS IN THAT SAME OFFICE. YES. THAT WAS MY EXPERIENCE. SO WE REALLY, JEFF, WELL RIGHT NOW IT'S JEFF. YES. BUT WHEN THE, WHEN THE MAYOR TURNS OVER, THEN SOME OF THESE POSITIONS TURN OVER TOO. SO, YOU KNOW, IT'S INTERESTING TO SEE HOW MUCH OF THIS IS OUR PURVIEW AND HOW MUCH OF IT HAPPENS IN THE MAYOR'S OFFICE. AND CAN WE, TO YOUR POINT, CAN WE AS THE BOARD, AS THE COMMISSION WRITE A NOTE SAYING TO THE MAYOR'S OFFICE, WE LIKE THIS COULD FOR CONTINUITY SAKE, WHEN THE, WHEN THE POSITION TURNS OVER, WHEN THE OFFICE TURNS OVER, CAN THAT BE CODIFIED SO THAT GOING FORWARD THIS CONTINUES TO HAPPEN? I THINK THAT'S WHERE PART OF THIS IS KIND OF DELINEATING HOW WE CAN TAKE A GREATER ROLE. WE PUT TOGETHER WORK THE OFFICE. [00:55:05] I JUST WANNA CHECK IN REALLY QUICKLY. I'M SORRY, ALEJANDRA, IF LAUREN LEAVES NOW WE STILL HAVE QUIET. WE'RE GOOD. YOU ARE AWESOME. THANK YOU. THANK YOU GUYS. HAVE A GREAT WEEKEND. THANK YOU. YEAH. SO, UM, WE CAN CON AS UM, DR. GUPTA SAID WE ARE DEFINITELY GONNA CONTINUE THIS CONVERSATION NEXT WEEK. WE'VE ALREADY MADE A COUPLE OF ADJUSTMENTS. SO WE CAN, IF YOU'RE INTERESTED, WE CAN, UM, ENTERTAIN A MOTION TO FILE THIS DISCUSSION, RECEIVE, FILE THIS DISCUSSION AND CONTINUE WHERE WE LEFT OFF NEXT MEETING. DOES THAT FEEL GOOD TO EVERYONE? THEN I WILL ENTERTAIN A MOTION. I'M EXCITED THAT WE'RE ACTUALLY WORKING ON THIS NOW. THIS IS FUN. I HAVE QUESTIONS ABOUT CYCLES AND WHEN DO WE START MAKING OUR, UM, YOU KNOW, WHAT WILL THE CALENDAR LOOK LIKE FOR US? DO WE START IN JANUARY OR DO WE START KIND OF IN AN ACADEMIC CALENDAR? DO WE DO IT LIKE AN ANNUAL SET OF GOALS? AND THEN I'M VERY EXCITED TO GET INTO THE NITTY GRITTY OF THAT, BUT WE'LL DO IT NEXT TIME. SO A MOTION PLEASE. I MOTION TO ACCEPT, RECEIVE AND FILE. RECEIVE AND FILE. THANK YOU. I SECOND. GREAT. ALL IN FAVOR? AYE. AYE. AYE. ANY OPPOSED? MOTION CARRIED. ANYTHING ELSE FOR THE GOOD OF THE GROUP FOR TODAY? LIKE I SAID, I'M REALLY EXCITED TO GET GOING ON THE STRATEGIC PLAN. AND BIG, BIG THANKS TO THOSE OF YOU WHO WORKED ON IT. UM, SEEING NO ADDITIONAL COMMENTS FOR THE GOOD OF THE GROUP. UM, WE CAN ADJOURN AT 8 47. THANK YOU ALL FOR SHOWING UP. SO WE HAVE A QUORUM AND GOT A CHANCE TO HAVE THIS WONDERFUL MEETING THIS MORNING AND I'M SUPER EXCITED THAT I STILL GET TO MAKE MY 10 O'CLOCK. Y'ALL ARE THE BEST. GOOD. * This transcript was created by voice-to-text technology. The transcript has not been edited for errors or omissions, it is for reference only and is not the official minutes of the meeting.