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[00:00:02]

WELL, GOOD EVENING AND WELCOME TO THE DECEMBER 6, 2021 WORK SESSION FOR THE GARLAND CITY COUNCIL. WE WILL GET RIGHT INTO OUR AGENDA THIS EVENING.

[1. Public Comments on Work Session Items]

FIRST ITEM, ITEM ONE PUBLIC COMMENTS ON WORK SESSION ITEMS. IT IS MY UNDERSTANDING WE DO NOT HAVE ANY VIRTUAL SPEAKERS TONIGHT, AND I DON'T KNOW IF THERE'S ANYONE HERE WHO WOULD LIKE TO ADDRESS THE COUNCIL AT THIS TIME ON A WORK SESSION ITEM. I DON'T THINK WE'VE HAD ANYONE SIGN UP.

WE DO NOT HAVE ANYONE SIGNED UP, NOR DO WE HAVE ANY VIRTUAL SPEAKERS.

VERY GOOD. THANK YOU, MA'AM. WE'LL MOVE ON TO ITEM TWO, CONSIDER THE CONSENT AGENDA.

[2. Consider the Consent Agenda]

THIS WILL BE FOR TOMORROW NIGHT.

I'VE NOT HAD ANY REQUEST TO HAVE ANY ITEMS PULLED TO BE CONSIDERED SEPARATELY.

AND IF ANYONE HAS ONE, IF YOU CAN LET US KNOW AHEAD OF TIME.

SO THAT WAY WE CAN MAKE SURE TO HAVE STAFF HERE THAT CAN REVIEW IT.

THEY'LL MOVE US ON TO WRITTEN BRIEFINGS, ITEM THREE THREE A, WEST KINGSLEY ROAD RAILROAD

[3. Written Briefings]

CROSSING REHABILITATION AGREEMENT.

ITEM 3 B, WEST MILLER ROAD RAILROAD CROSSING COST REIMBURSEMENT AGREEMENT.

ITEM 3C, MILLER PARK ROAD RAILROAD CROSSING IMPROVEMENTS.

SORRY. ITEM 3D, SOUTH JUPITER ROAD RAILROAD CROSSING IMPROVEMENTS.

ALL RIGHT. ITEM 3E NEIGHBORHOOD VITALITY MATCHING GRANT FALL 2021 APPLICATIONS.

ITEM F, IMPACT FEE STUDY RE-ADOPTION.

ALL RIGHT. AND LAST ITEM THREE G, DONATION REQUEST FROM GARLAND EMERGENCY CORPS, EXCUSE ME.

COUNCIL MEMBER AUBIN SORRY.

THERE WE GO. THANK YOU, MAYOR.

I JUST I NOTED THAT THIS ITEM REQUIRED SOME COUNCIL DIRECTION.

SO I DIDN'T KNOW IF THERE WAS DISCUSSION THAT THE COUNCIL WANTED TO HAVE OR IF THEY JUST WANT IT TO GO WITH THE DEFAULT.

I HAVE NOT HEARD ANY DISCUSSION.

I MEAN, AS FAR AS GOING WITH, AS YOU SAY, THE DEFAULT.

COUNCIL MEMBER SMITH, THANK YOU, SIR.

THIS CAME FROM GC, WHICH IS AN LOCATED IN DISTRICT EIGHT.

THEY'RE LOOKING AT AUGMENTING THEIR ABILITY TO RESPOND TO DISASTERS THROUGH TWO DONATED ITEMS. AS YOU MAY KNOW, EDMUND SERVICES IS WORKING ON POLICY SURROUNDING THIS TYPE OF ISSUE, BUT WE'RE PROBABLY SIX MONTHS OUT FROM BRINGING ANYTHING TO COUNCIL.

IT'S IT'S AT THE BACK OF OUR QUEUE, AND THEY WERE HOPING TO GET THIS EQUIPMENT UP AND RUNNING BY THE START OF STORM SEASON.

AND SO I ASKED FOR THIS TO BE BROUGHT THROUGH TO THE TO THE COUNCIL FOR WORK SESSION AND I'D LIKE TO TO SEE IT PASS.

SO THANK YOU, MAYOR.

THANK YOU, SIR. COUNCILMAN AUBIN, YOU HAVE ANY ADDITIONAL? HANG ON, THERE WE GO.

BUTTON CHALLENGED.

ARE THERE ANY CONDITIONS? AND I DON'T KNOW IF STAFF WOULD ANSWER THIS OR LAWYER ANYTHING.

ARE THERE ANY CONDITIONS ASSOCIATED WITH THE DONATION REGARDING HOW IT, HOW IT IS USED OR WHETHER THEY'RE ALLOWED TO TURN AROUND? I MEAN, IF WE'RE GOING TO GIVE IT TO THEM, I DON'T HAVE AN OPPOSITION FOR.

WELL, I HAVE SOME CONCERNS ABOUT JUST A GENERAL POLICY ISSUE WHEN WE START DONATING STUFF, HOW WE MAKE THAT AVAILABLE.

ARE THERE OTHER NONPROFITS THAT WOULD BE INTERESTED IN THIS OR OTHER THINGS? PERSONALLY, I THINK THE GARLAND EMERGENCY CORPS IS A VERY GOOD USE FOR THESE THINGS TO THE BENEFIT OF THE CITIZENS.

BUT ARE THERE GOING TO BE ANY RESTRICTIONS ON SUBSEQUENT TRANSFERS OR ANYTHING LIKE THAT? I WOULDN'T WANT TO, AND I DON'T THINK GEC WOULD DO THIS, AND I KNOW YOU WANT TO COME UP WITH A POLICY ON I ASSUME THE POLICY WOULD BE THAT IF WE DONATE SOMETHING TO A NONPROFIT AND GARLAND FOR THE USE, GENERALLY FOR THE BENEFIT OF THE CITIZENS THAT THAT IT'S NOT GOING TO BE, I MEAN, I'D HATE TO TRANSFER IT AND THEN HAVE SOMEBODY TURN AROUND AND PUT IT UP FOR AUCTION OR SELL IT THEMSELVES.

FIND IT ON CRAIGSLIST TWO WEEKS LATER.

MITCH.

YES, SIR. SO OUR CURRENT PLAN WITH THESE DONATIONS WOULD BE FOR THE EMERGENCY CORPS TO ASSUME THE RESPONSIBILITY FOR AND ONE OF THEM THE TRAILER SIMPLY A FLATBED TRAILER.

THE OTHER ONE'S A DUMP TRUCK, SO THEY WOULD ASSUME THE RESPONSIBILITY FOR THE USE AND MAINTENANCE OF THAT.

THAT WOULD BE REFLECTED IN A FURTHER DONATION IF COUNCIL APPROVES BOTH OF THESE ITEMS

[00:05:02]

BEING DONATED. THERE WOULD BE A RESOLUTION AT THE NEXT MEETING.

WE COULD BRING IT BACK A WEEK FROM TOMORROW AT THE NEXT MEETING FOR FORMAL APPROVAL BY COUNCIL. BUT IN THAT RESOLUTION, WE COULD CLARIFY IN THERE THAT IT WOULD BE THE RESPONSIBILITY OF THE EMERGENCY CORPS FOR THOSE VEHICLES.

NOW, FROM A POLICY STANDPOINT, WOULD BE A COUNCIL DECISION ON A FUTURE POLICY ON, YOU KNOW, FOR OTHER DIFFERENT NONPROFITS IN THAT TYPE OF THING.

OK, I GUESS AT A MINIMUM, IN THE INTERIM, I WOULD LIKE SOME KIND OF AGREEMENT THAT YOU KNOW, WE'RE TRANSFERRING OWNERSHIP OF THIS TO THEM.

THEY'RE RESPONSIBLE AND THEY AGREE NOT TO, YOU KNOW, THEY AGREE TO HOLD THE VEHICLE FOR A PERIOD OF WHETHER IT'S TWO YEARS OR FIVE YEARS OR SO IT DOESN'T JUST GET FLIPPED IMMEDIATELY. NOT THAT THEY WOULD DO THAT, BUT I THINK THAT'S GOING TO BE A BARE MINIMUM OF ANY POLICY THAT WE HAVE.

I DO HAVE A LITTLE BIT OF CONCERN BECAUSE WE DO HAVE A LOT OF NONPROFITS THAT OPERATE IN GARLAND THAT WOULD LIKE THE OPPORTUNITY TO HAVE WHATEVER SURPLUS MATERIAL WE HAVE.

BUT BUT THESE ARE FAIRLY SPECIALIZED.

THEY'RE NOT A LOT OF NON-PROFITS WHO IN GARLAND WHO HAVE USED FOR THINGS LIKE DUMP TRUCKS, AS FAR AS I KNOW.

BUT THEN I'LL PROBABLY GET A CALL TOMORROW.

SO. SO THAT'S KIND OF WHERE I GO ON THAT.

THE OTHER ITEMS THAT ARE ON THERE ARE THOSE GOING TO BE THOSE ARE PAST THEIR SERVICE LIFE. ARE THOSE THINGS THAT WE NORMALLY DO PUT UP FOR AUCTION OR HOW DO WE DISPOSE OF THOSE? SO ONE OF THEM WAS GRANT FUNDED, THE VEHICLE THAT WAS USED, A DECONTAMINATION TRAILER THAT WAS OBTAINED THROUGH FEDERAL GRANT FUNDING IS THERE, AND THERE WAS A FEDERAL PROCESS FOR THE EVENTUAL DISPOSAL OF THOSE OF THAT VEHICLE, SO THAT ONE'S NOT ELIGIBLE FOR A DONATION.

THE OTHER VEHICLE, THAT BOX TRUCK THAT WAS OBTAINED ACTUALLY THROUGH NARCOTIC SEIZURE MANY YEARS AGO. BUT THERE ARE SPECIFIC, AS YOU REMEMBER, THROUGH THE NARCOTICS SEIZURE BUDGET EACH YEAR. BUT WHEN A VEHICLE IS SEIZED AND UTILIZED BY THE CITY, WHEN IT'S USEFUL LIFE IS UP, IT WOULD GO TO AUCTION, WHICH IS A SCHEDULED TO DO NOW, BUT THOSE PROCEEDS HAVE TO GO BACK INTO THE NARCOTIC SEIZURE ACCOUNT.

SO THOSE TWO VEHICLES AREN'T ELIGIBLE FOR DONATION.

WE PERMITTED UNDER THE UNDER ANY OF THOSE LAWS TO HAVE SOME KIND OF INITIAL AUCTION WHERE WE OFFER THOSE TO QUALIFIED GROUPS, FOR EXAMPLE.

YOU KNOW, WE GET TO AS A CITY, GET TO PARTICIPATE IN VARIOUS WE HAVE FIRST DIBS, SO TO SPEAK ON. WE STILL HAVE TO BUY IT.

BUT SURPLUS MATERIALS FROM THE TEXAS STATE AGENCY, I CAN'T REMEMBER THE NAME OF IT.

AND THEN THERE'S ALSO THE FEDERAL GOVERNMENT.

IS THERE ANY CAN WE DO SOMETHING LIKE THAT AND SAY, IF YOU'RE A NONPROFIT, WE HOLD AND WE HOLD AN AUCTION FIRST AND IT'D BE A QUALIFIED BIDDER.

YOU'RE A NONPROFIT AND YOU CAN BID ON IT AND GET IT.

AND IF NOBODY BIDS ON IT, THEN IT GOES OUT TO A GENERAL PUBLIC AUCTION.

IS THAT AN OPTION? I BELIEVE THAT'S THE EXACT ISSUE THAT WILL BE LOOKING AT IN COMMITTEE LOOKING AT.

IS THERE AN OPTION FOR NONPROFITS TO HAVE AN EARLY AUCTION PERIOD? AND IT DEPENDS ON STATE LAWS, AND WE'VE HAD SOME PRELIMINARY DISCUSSIONS, BUT WE HAVEN'T DISCUSSED IT IN DETAIL YET.

OK, GREAT.

WELL, I LOOK FORWARD TO HEARING FROM THE COMMITTEE AND YOU ALL ON THAT.

BUT OTHER THAN THAT, I MEAN, I DO SUPPORT AT LEAST THOSE TWO ITEMS AS LONG AS WE HAVE SOME KIND OF SUBSEQUENT TRANSFER RESTRICTIONS.

THANK YOU. THANK YOU, SIR.

CUSTOMER SMITH THANK YOU, MAYOR.

JUST TO ANSWER THAT ONE POINT I HAD TALKED WITH GEC ABOUT THAT EXACT THING.

THEY'RE VERY COMFORTABLE WITH THREE OR FIVE YEARS.

WHATEVER THE COUNCIL'S DESIRE IS BASED ON THE AGE OF THE EQUIPMENT, I'D SAY THREE, BECAUSE IT'LL PROBABLY BE READY FOR THE SCRAP HEAP AFTER THAT.

SO I THINK THREE YEARS IS PLENTY, BUT IF YOU WANT TO SEE FIVE, FIVE IS OK TOO.

SO NO PREFERENCE. THANK YOU, MAYOR.

THANKS, SIR. DEPUTY MAYOR PRO TEM WILLIAMS. THANK YOU, MAYOR. YEAH.

MAYOR COUNCILMAN AUBIN REMINDED ME OF A QUESTION I GOT, IN FACT, JUST THIS PAST SATURDAY IN DRAFTING THE POLICY.

DOES THIS INCLUDE WILL THIS INCLUDE SURPLUS FURNITURE, FURNISHING FURNITURE EQUIPMENT? THAT QUESTION CAME UP, YOU KNOW, AS WELL AS HEAVY EQUIPMENT.

WOULD WE CONSIDER BECAUSE NOT PARTICULARLY NONPROFIT FURNITURE AND STUFF? DOES IT NOT? I BELIEVE THE ITEM THAT'S IN COMMITTEE IS DONATIONS IN GENERAL.

IN GENERAL, I THINK IT'S BROAD ENOUGH I'LL HAVE TO GO BACK AND DO THAT, BUT I BELIEVE IT'S BROAD ENOUGH TO LOOK AT ALL DONATIONS.

YEAH. IT WAS JUST IT WAS JUST INTERESTING, AND I COUNCILMAN AUBIN QUESTION REMINDED ME OF THE QUESTION THAT I GOT SATURDAY ABOUT FURNITURE.

RIGHT? WELL, WE'LL AND WE'LL HAVE THOSE DISCUSSIONS FURTHER WHEN THE ACTUAL POLICY COMES FORWARD. THANKS.

OK. AND I THINK WE SHOULD NOTE ALSO THAT AS FAR AS THE FOLKS VIEWING OR WHERE THESE TWO PIECES OF EQUIPMENT ARE LONG PAST THEIR INTENDED LIFE AND ARE PRETTY MUCH INOPERABLE

[00:10:08]

ALMOST AT THIS POINT IN, AND WE'LL REQUIRE SOME SIGNIFICANT REPAIRS.

SO THESE AREN'T NEW, NECESSARILY.

THESE ARE THESE ARE WELL-USED PIECES OF EQUIPMENT THAT THAT THE GARLAND EMERGENCY CORE WILL ALSO BE SPENDING THE MONEY TO REPAIR.

IT'S NOT CITY FUNDS OR NOT ARE NOT GOING TO REPAIR THEM BECAUSE THEY'RE THEY'RE WELL PAST USEFUL. YES, SIR.

BOTH OF THE ITEMS THAT ARE BEING DONATED OR BASS WELL PAST THEIR USEFUL LIFE.

YES. ALL RIGHT.

THANK YOU. ANY OTHER ITEMS OR ANY OTHER DISCUSSION ON THAT ITEM? ALL RIGHT. ITEM FOUR B COVID 19 BRIEFING.

THIS. WHAT DID I ASK YOU? I'M SORRY. NO.

HELLO, SORRY.

YOU KNOW. ALL RIGHT.

YES. SORRY.

WE ARE ON TO. WE ARE NOW ON TO ITEM FOUR VERBAL BRIEFINGS FOR A COMMUNITY PUBLIC SAFETY

[4A. Public Safety Committee Update - EMS Transports]

COMMITTEE UPDATE. EMS TRANSPORT.

SORRY ABOUT THAT, CHIEF.

IT'S OK. SO I WAS ASKING HEALTH OVER THERE.

WHAT DID THAT COST TO THEM? I'D HAVE TO SIT THROUGH MY PRESENTATION.

OK? MR. MAYOR, COUNSEL, THANKS FOR THE OPPORTUNITY TO BE HERE BEFORE YOU TODAY.

THIS IS A REPORT.

I'M KIND OF STEPPING ON CHIEF BRYAN TOES A LITTLE BIT.

THIS IS A PUBLIC SAFETY COMMITTEE ITEM THAT THAT WENT TO THE COMMITTEE AND WE FIGURED WE'D CUT OUT ALL THE MIDDLE PEOPLE AND NOT JUST GET UP HERE AND TELL YOU WHAT'S GOING ON.

SO IT CAME TO THE DEPARTMENT'S ATTENTION THROUGH FEEDBACK FROM COUNCIL, IN PARTICULAR COUNCILMAN WILLIAMS AND A COUPLE OF OTHERS THAT THERE WAS CONCERN ABOUT OUR PRACTICE OF WHERE WE WERE TAKING PEOPLE TO HOSPITALS AND HOW WE WERE DETERMINING HOW TO GET THERE AND AND WHEN WE WOULD GO TO WHICH FACILITY.

SO WE WANTED TO TALK A LITTLE BIT ABOUT HOW WE GOT TO.

THAT POLICY OF GOING TO THE CLOSEST APPROPRIATE MEDICAL FACILITY IS HOW IT'S IT'S PHRASED AND IT CAME DOWN TO WHEN BAYLOR GARLAND WAS CLOSING.

WE WERE REALLY CONCERNED ABOUT THE IMPACT THAT WAS GOING TO HAVE ON OUR COMMUNITY.

SO WE'RE WORRIED ABOUT HOSPITAL OFF LOADING TIMES, TRANSPORT TIMES AND OVERALL RESPONSE TIME BECAUSE OF HOW THE DISTRICT AMBULANCES HAVING TO MAKE MAKE CALLS.

SO THE BEST WAY TO CONTROL THAT INFORMATION WAS TO TURN THEM AROUND AND GET THEM BACK TO THEIR DISTRICT AS FAST AS POSSIBLE.

THE WAY YOU DO THAT IS GO TO THE CLOSEST APPROPRIATE MEDICAL FACILITY.

SO THROUGH THAT FEEDBACK, WE WERE HEARING THAT FOLKS WERE NOT HAPPY WITH WHERE THEY WERE GOING AND POTENTIALLY CONCERNED ABOUT THEIR MEDICAL RECORDS AND EVERYTHING ELSE.

SO THE THE ACTUAL IMPACTS THAT CAME FROM BAYLOR GARLAND CLOSING, SLIGHT INCREASE IN RESPONSE TIMES, YOU CAN SEE THEIR RUNNING TOTAL FROM 17, 18, 19, 20 AND 21.

THE BAYLOR/GARLAND CLOSED IN FEBRUARY OF 18.

WE'VE SEEN ABOUT A 10 SECOND INCREASE IN OVERALL RESPONSE TIME.

AS A RESULT OF THAT, THE HOSPITAL THAT WE'VE BEEN TAKING PATIENTS TOO, I WANTED TO SHOW YOU IN OCTOBER OF 17, AND THAT'S REALLY FINE PRINT.

MY APOLOGIES VERSUS OCTOBER 21.

YOU CAN SEE BAYLOR/GARLAND IN OCTOBER OF 17 WAS OUR NUMBER ONE DESTINATION, WITH FOUR HUNDRED AND SEVENTY NINE PATIENTS RECEIVED FOR THAT MONTH.

IN OCTOBER OF TWENTY ONE, YOU CAN SEE RENNER ON BUSH THAT RECEIVED FOUR HUNDRED AND NINETEEN PATIENTS. SO WE IN ESSENCE HAVE REPLACED BAYLOR/GARLAND WITH METHODIST RENNER ON GEORGE BUSH. THE OTHER HOSPITALS HAVE FLUCTUATED A LITTLE BIT IN THEIR CURRENTLY CITY HOSPITAL IS ABOUT OUR NUMBER FOUR DESTINATION MONTH IN, MONTH OUT WITH ABOUT 75 PATIENTS PER MONTH. MEDICAL CITY DALLAS SAW AN INCREASE A NUMBER OF PATIENTS THEY'RE RECEIVING, AND THEY'VE MOVED AROUND A LITTLE BIT.

SO THE CLOSING OF BAYLOR GARLAND DID HAVE AN IMPACT.

IT DID RAISE RESPONSE TIMES BY ABOUT 10 SECONDS, BUT THE WORLD DID NOT CRUMBLE.

AND WHEN WE FOUND OUT WE HAD A WHOLE BUNCH OF PATIENTS THAT WERE NOT HAPPY WITH THE SERVICES THAT THEY WERE RECEIVING, THEY WERE NOT HAPPY WITH THE DESTINATION'S EVER BEING TRANSPORTED TO AND TOLD BY SOME OF OUR MEDICS THAT YOU HAVE TO GO TO THAT FACILITY, THEN WE WANTED TO EVALUATE IT.

SO AT THAT POINT, SIT DOWN WITH MY COMMAND STAFF.

[00:15:01]

WE KICKED IT AROUND AND WE DECIDED THAT WE'RE GOING TO GO BACK TO THE POLICY THAT WE HAD IN PLACE BEFORE.

THAT ALLOWS US TO TAKE THEM TO THE HOSPITAL OF CHOICE AS LONG AS IT'S MEDICALLY APPROPRIATE. NOW THERE'S A VERY FINE LINE IN THERE, AND I WANT COUNCIL TO UNDERSTAND THAT THE MEDICAL APPROPRIATENESS CAN BE TIMELINE.

IT CAN BE CONDITION WISE, THEY CAN BE FACILITY CAPABILITY WISE.

SO MORE THINGS THAT WE DID THERE WERE, AS I MENTIONED EARLIER, MEAN, GET BACK TO MY SLIDE SHOW HERE REQUIRED TO GO WHERE THEY DON'T WANT TO GO, WHERE THE MEDICAL RECORDS AREN'T EASILY ACCESSED AND THE RESPONSE TIMES OFFLOAD TIMES.

TOTAL COMMITMENT TIMES DIDN'T HAVE THAT SIGNIFICANT IMPACT.

SO WE LAUNCHED A NEW MEDICAL DIRECTOR BACK IN OCTOBER WITH COUNCIL'S APPROVAL ON THAT.

WITH THE LIST OF MEDICAL FACILITIES BY CAPABILITY AND HAVE REMOVED THE CLOSEST APPROPRIATE FACILITY REQUIREMENT, WE CONTINUE DELIVERING THE RIGHT PATIENT TO THE RIGHT FACILITY AND THE RIGHT AMOUNT OF TIME.

SO IF YOU'RE HAVING A HEART ATTACK, WE'RE GOING TO TAKE YOU TO A HEART HOSPITAL IF THERE'S TWO THAT ARE CLOSE BY.

WE'RE GOING TO ASK YOU WHICH ONE OF THOSE TWO YOU WANT TO GO TO AND WE'RE GOING TO GET YOU TO THAT FACILITY.

IF THERE'S THREE ALL WITHIN REASONABLE SAME TIME FRAMES, WE'LL GIVE YOU A CHOICE OF THREE IF THERE'S ONLY ONE LOGICAL CLOSE CHOICE BECAUSE WHEN YOU'RE DEALING WITH HEART MUSCLE, YOU'RE DEALING WITH WITH TIME.

EVERY MINUTE THAT PASSES THAT YOU'RE NOT CIRCULATING BLOOD THROUGH THAT MUSCLE TISSUE IS CAUSING MORE AND MORE DAMAGE.

WE'RE NOT GOING TO GIVE YOU A CHOICE IF THERE'S ONLY ONE LOGICAL PLACE TO GO.

SO AS YOU COMMUNICATE BACK TO YOUR CONSTITUENCIES, BE SURE THAT THEY KNOW WE'RE GOING TO DO THE BEST THAT WE CAN TO ACCOMMODATE THEM.

BUT THERE WILL BE TIMES THAT WE'RE STILL GOING TO TAKE THEM WHERE WE THINK THEY NEED TO BE TO GET THE RIGHT PATIENT TO THE RIGHT HOSPITAL IN THE RIGHT TIME.

THIS IS AN OLD MAP.

AS YOU CAN SEE, BAYLOR GARLAND WAS THE CENTER OF IT.

WE CALLED THIS THE DONUT BACK IN 2018 WHENEVER WE WERE LOSING BAYLOR GARLAND, THE HOSPITALS THAT SURROUND US.

AGAIN, THE SIZE OF THIS IS REALLY HARD TO SEE, BUT YOU CAN, WE'VE GOT CATH LABS AT RENNER BUSH, MEDICAL CITY, PLANO, BAYLOR HEART, PRESBY HOSPITAL, DOCTORS HOSPITAL, WHICH IS NOW A CITY HOSPITAL, AND DENTON REGIONAL ON GALLOWAY AND LAKE POINTE ARE ALL CATH LABS.

SO WE'VE GOT A PRETTY GOOD SELECTION THERE BASED ON WHERE YOU'RE AT IN TOWN TO GET YOU TO THE RIGHT FACILITY.

HERE'S A BETTER WAY TO SEE IT.

THIS IS THE LIST OFF OF OUR CURRENT TRANSPORT MATRIX.

METHODIST, RENNER, SCOTT AND WHITE LAKE POINT, BETTER SCOTT AND WHITE SUNNYVALE, DALLAS REGIONAL AND GALLOWAY, CITY HOSPITAL WHITE ROCK, THR DALLAS, WHICH IS THE BIG PRESBY, MEDICAL CITY, HEART AND SPINE.

THE HEART HOSPITAL OF PLANO AND MEDICAL CITY, PLANO ARE ALL CATH LAB CAPABLE HOSPITALS, SO WE'LL BE TRANSPORTING TO THAT LIST FOR CARDIAC EVENTS STROKES.

THESE ARE THE FACILITIES WE CAN PICK FROM MEDICAL CITY, PLANO SCOTT AND WHAT? PLANO MEDICAL CITY, DALLAS METHODIST, RENNER, AIR DALLAS AND THEN PRIMARY STROKE CENTERS.

WE TYPICALLY GO TO A COMPREHENSIVE UNLESS THE SYMPTOMS STARTED QUITE EARLIER, AND IT'S NOT AS CRITICAL TO GET TO A COMPREHENSIVE CENTER.

AT THAT POINT, WE COULD GO TO SCOTT AND WHITE LAKE POINT, SUNNYVALE CITY HOSPITAL, WHITE ROCK OR DALLAS REGIONAL, AND THOSE ARE CALLED PRIMARY STROKE CENTERS, WHICH MEANS IF THERE'S ANY INTERVENTIONS IT CAN BE DONE, THEY'LL DO THEM THERE AND THEN TRANSFER TO A COMPREHENSIVE.

TRAUMA FACILITIES THAT LIST.

I CAN REMEMBER THE DAYS THAT TRAUMA FACILITIES AND THE DALLAS METRO AREA WHERE PARKLAND, BAYLOR AND METHODIST DOWN IN SOUTH DALLAS, YOU CAN SEE THAT LIST IS SIGNIFICANTLY INCREASED. WE NOW HAVE MEDICAL CITY, PLANO, PRESBY, PARKLAND, BAYLOR, SCOTT AND WHITE LAKE POINT, CHILDREN'S DALLAS FOR CHILDREN'S TRAUMA, DALLAS REGIONAL GALLOWAY, MEDICAL CITY DALLAS, MEDICAL CITY CHILDREN'S AND METHODIST RENTER FOR DIFFERENT LEVELS OF TRAUMA.

SO WE'VE GOT A LOT OF OPTIONS NOW THAT WE DIDN'T HAVE BEFORE.

SO WE'LL SEE THOSE CHOICES INCREASING AS WELL.

AND THEN ADULT MEDICAL IS THE FINAL LIST THERE.

THESE ARE THE HOSPITALS THAT WE KEEP ON THE ADULT MEDICAL.

IF THEY WEREN'T LISTED AS A STROKE CENTER OR A CARDIAC CENTER, WE HAD THESE IS JUST BASIC GENERAL MEDICAL, ADULT MEDICAL.

SO IF YOU GOT STOMACH PAIN, IF YOU'VE GOT A LACERATION, THEN THESE ARE THE HOSPITALS THAT WILL BE ADDED TO THE LIST AS WELL.

[00:20:01]

WITH THAT, I WILL ENTERTAIN ANY QUESTIONS.

OK. AND YOU AND I HAD A CONVERSATION ON FRIDAY, SO WE DO HAVE A NEW HOSPITAL THAT HAS OPENED UP IN THE AREA IN SACHSE, TRINITY REGIONAL AND YOU AND I TALKED ABOUT WHAT IS.

YOU'VE HAD CONTACT WITH THEM.

AND SO THEY'RE GOING THROUGH THEIR ACCREDITATION PROCESS.

AND SO THEN WE WILL BE EVALUATING AS FAR AS WHAT OUR TRANSPORT CAPABILITIES MAY BE THERE.

WE'VE HAD THE OPPORTUNITY TO MEET WITH THE MEDICAL DIRECTOR OF TRINITY REGIONAL AS WELL AS THEIR MARKETING FOLKS THAT CAN TELL US WHAT THEIR CAPABILITIES ARE GOING TO BE IN THAT FACILITY, THEIR FUTURE PLANS.

AND I RELY HEAVILY ON THE WORD FUTURE ARE TO HAVE A CARDIAC CATH LAB THERE.

SO WHEN THEY OPEN UP, THEY ARE OPENING UP FOR EMERGENCY TRAFFIC.

THEY WILL ADMIT SOME PATIENTS THEY'LL GET THEIR MEDICARE MEDICAID CERTIFICATION GOING.

THEY MAY HAVE ALREADY ACHIEVED THAT IN THE LAST WEEK OR TWO.

THEY ARE SETTING UP ALL OF THE INSURED INSURANCE PROVIDERS TO GET IN-NETWORK FOR AS MANY NETWORKS AS THEY POSSIBLY CAN AND GET ALL OF THAT TAKEN CARE OF.

AND THEN THEY'RE GOING TO LET US KNOW THAT THEY'RE READY TO START RECEIVING EMERGENCY AMBULANCE TRAFFIC, AT WHICH POINT WE'LL GET WITH OUR MEDICAL DIRECTOR, DR.

TICE, AND WE'LL GO OVER AND VISIT THE FACILITY, DO A WALK THROUGH, SIT DOWN WITH THEIR MEDICAL DIRECTOR AND THOSE DOCTORS, THE DOCTOR STUFF, AND WE'LL TAKE TAKING COOKIES OR SOMETHING. AND WHILE THEY'RE VISITING AND THEN WHENEVER THEY'RE DONE, ANTICIPATE WE WILL ADD THAT TO OUR TRANSPORT MATRIX UNDER ADULT MEDICAL SO THAT THAT GENERAL MEDICAL CATEGORY, WE CAN BEGIN TRANSPORTING FOLKS TO THAT SACHSE HOSPITAL AS THEY GET THEIR CENSUS COUNT UP AND START SEEING MORE AND MORE PATIENTS.

THEY WILL GO FOR THEIR CARDIAC ACCREDITATION THROUGH JCO TO BECOME A A CARDIAC CENTER.

AND WHENEVER THEY DO THAT, IF THE ACCREDITATION BOARDS COME IN AND SAY THEY HAVE ALL THE PIECES NECESSARY TO BE A CATH LAB AND TO RUN A CARDIAC HOSPITAL, ALL THEY NEED IS CENSUS COUNT. AT THAT POINT, NUMBER OF PATIENTS TO SOLIDIFY AND SHOW THAT THEY GOT IT ALL IN PLACE.

ONCE THEY GET THE ACCREDITATION TO START THE CENSUS COUNT, OUR MEDICAL DIRECTOR TYPICALLY WILL ALLOW US TO START TRANSPORTING THOSE TYPE PATIENTS TO HOME, SO I WOULD ANTICIPATE WITHIN PROBABLY A TWO YEAR TIME FRAME THAT WE WOULD ADD THEM TO OUR CARDIAC HOSPITAL LIST. AND FOR THOSE YOU KNOW, IT'S THE HOSPITAL IS BASICALLY RIGHT ALONG 190 IN SACHSE THERE. SO I MEAN, IT'S IT'S CERTAINLY CLOSE TO US.

I MEAN, IT'S YOU KNOW, AS YOU AND I TALKED ABOUT, IT'S A LITTLE IT'S KIND OF ODDLY PLACED AS FOR US TO GET TO, BUT BUT STILL WOULD BE CLOSE AND AND COUNSEL.

I JUST TO LET YOU KNOW THAT AND WE'LL BE SENDING OUT THEY HAVE OFFERED FOR TO HAVE US THERE FOR A TOUR AND AND SO WE'LL WE'LL BE LOOKING AT THE CALENDAR AND MAYBE PICK A COUPLE OF DATES THAT WE CAN THAT WE CAN ALL GO OVER THERE ON.

SO. ALL RIGHT, COUNCIL LADY MORRIS.

THANK YOU, MAYOR, AND THANK YOU, CHIEF AND BOY, THERE'S A LOT YOU DID A YOU DID AN EXCELLENT JOB OF OF STANDING IN FOR CHIEF BRYAN.

SO I JUST WANT TO SAY THANKS TO DEPUTY MAYOR PRO TEM BJ WILLIAMS FOR BRINGING THIS ISSUE UP AND SENDING IT TO COMMITTEE.

IT WAS, I THINK, A VERY IMPORTANT THING.

THANKS TO YOU FOR.

AND TO THE OTHER CHIEF FOR WORKING THROUGH THE DETAILS.

I GOT A LOT OF CALLS FROM MY DISTRICT WHO SAW THIS ON THE AGENDA.

AND SO FROM DISTRICT TWO, IT IS A LOUD AND UNANIMOUS.

YES, EXCELLENT.

VERY HAPPY ABOUT THIS.

I WOULD ASK IF YOU CAN SEND US THE PRESENTATION SO THAT WE CAN BE ABLE TO SHARE IT OUT WITH CITIZENS IN SOMEWHAT MORE DETAIL.

SO I'M TOTALLY HAPPY ABOUT THIS.

EXCITED ABOUT IT. I'M ALSO EXCITED ABOUT THE HOSPITAL IN SACHSE.

AND THIS IS JUST GOOD NEWS ALL THE WAY ACROSS THE BOARD.

AND I THINK IT'LL BE A FAR BETTER SERVICE TO MANY OF OUR CITIZENS WHO HAVE IN FACT COMPLAINED ABOUT THAT.

SO THANK YOU.

THANK YOU, MAYOR. THANK YOU MA'AM.

DEPUTY MAYOR PRO TEM WILLIAMS, THANK YOU, MAYOR CHIEF.

THANKS. JOB WELL DONE TO BOTH OF OUR CHIEFS, EVEN THOUGH YOU KNOW YOU STATE UPSTAGED HIM TONIGHT AND WOULDN'T LET HIM TALK.

BUT SERIOUSLY, THANK YOU AND CHIEF BRYAN FOR YOUR LEADERSHIP AND AND YOUR TEAMS FOR WORKING ON THIS.

AND MORE IMPORTANTLY, FOR LISTENING TO TO THE CONSTITUENTS AND, YOU KNOW, SOMETIMES

[00:25:07]

PERCEPTION IS REALITY AND PARTICULARLY THE FOLKS THAT THAT LIVE AROUND THE SOUTHERN SECTOR OF THE CITIES.

YOU KNOW, IT'S A PERCEPTIONS THAT THE PLAYING FIELD AS FAR AS MEDICAL OPTIONS WAS NOT WAS NOT EQUITABLE.

AND SINCE MOST OF OUR NEW MEDICAL FACILITIES WERE LOCATED NEAR THE NORTHERN SECTION OF OUR CITY AND THIS CHANGE IS THAT LIKE KIND OF COUNCIL MEMBER MORRIS, FOLKS WHO SAW THIS ON THE AGENDA I'VE HAD AND CALLS AND EMAILS AND AND I WOULD, I WOULD SAY PROBABLY 110 PERCENT. THE FAVORABLE RESPONSE AND THE MAIN THINGS THAT I'VE THE MAIN FEEDBACK THAT I'VE GOTTEN WAS THANKS FOR LISTENING TO US OUR CONCERNS BECAUSE THE QUALITY OF CARE ISSUE, AS WE DISCUSSED WAS THE OTHER WAS A BIG ISSUE, YOU KNOW, AND THAT'S PERCEPTION.

THAT'S WHERE PERCEPTION AND WHERE THE RUBBER MEETS THE ROAD.

SO JOB WELL DONE ON THIS, AND I THINK THIS WILL GO A LONG WAY TO BRIDGING THE PERCEIVED GAP THAT WE HAVE.

AND SO I'M EXCITED ABOUT IT.

AND AGAIN, THANK YOU IN CHIEF BRYAN FOR YOUR WORK AND TO OUR COMMITTEE CHAIR FOR ITS WORK ON THIS. THANK YOU, MAYOR.

THANK YOU, SIR. COUNCIL MEMBER AUBIN.

THANK YOU, MAYOR. THANK YOU CHIEF FOR FOR GOING THROUGH THIS AND THANK YOU THE PUBLIC SAFETY COMMITTEE.

I JUST HAD A QUICK QUESTION ABOUT THE TRINITY REGIONAL HOSPITAL, WHICH IS, DO YOU KNOW IF THEY'RE IF THEY'RE PLANNING ON THEIR EMERGENCY ROOM BEING LEVEL RATED AS A TRAUMA FACILITY? I DON'T THINK THAT THEY'RE MAKING PLANS FOR THAT AT THE CURRENT TIME.

IN THEIR WORDS, THEY'RE REGIONAL HOSPITAL, SO THEY MAY LOOK AT THAT SOMEWHERE DOWN THE ROAD. BUT INITIALLY IT'S GET OPEN.

NEXT UP, GET THEIR CARDIAC CERTIFICATION, OK? AND ACTUALLY, WHILE I MENTIONED THAT, CAN YOU, I GUESS FOR THE FOLKS WATCHING AT HOME EXPLAIN WHAT A WHAT A LEVEL RATED TRAUMA FACILITY IS WITH RESPECT TO EMERGENCY ROOMS? AND KNOW, I GUESS, AND WE HAD A SLIDE UP ABOUT THAT THAT SHOWED WHICH WHICH ONES ARE THE THE TRAUMA FACILITIES, THE THEY'RE TYPED FROM TYPE ONE DOWN TO PROBABLY TYPE FIVE I BELIEVE WITH TYPE ONE BEING THE MOST COMPREHENSIVE TRAUMA CARE THAT ONE CAN POSSIBLY ACHIEVE.

MY UNDERSTANDING AND ITS LIMITED UNDERSTANDING AND TIME HAS NOT SERVED ME WELL AT TIMES.

BUT THE DIFFERENCE BETWEEN A LEVEL ONE AND A LEVEL TWO TRAUMA CENTER IS A LEVEL ONE IS A TEACHING FACILITY, SO THEY'RE AFFILIATED WITH A MEDICAL SCHOOL WHERE THEY TAKE MEDICAL RESIDENTS. AND THAT SITUATION AND THEN BUT THE LEVEL OF CARE, THE STAFFING THAT'S REQUIRED, THE SURGICAL SUITE, STANDBY STAFF THAT'S IN FACILITY TWENTY FOUR HOURS A DAY IS THE SAME AS A LEVEL TWO.

IT'S JUST LEVEL TWO WOULD NOT BE A TEACHING HOSPITAL AND THEN A LEVEL THREE STARTS TO STEP IT DOWN A LITTLE BIT.

AND IT MAY BE THAT THEY HAVE CERTAIN SERVICES, IF YOU WILL, THAT ARE ON CALL AND THEY CAN STAND THEM UP WITH AN X NUMBER OF MINUTES HOURS FOR FOUR SURGICAL CARE.

SO ON THIS LIST, THE FROM CHILDREN'S HOSPITAL UP.

WELL, EXCUSE ME, I'M NOT SURE.

I'M NOT CERTAIN ON LAKEPOINT, BUT BAYLOR, DALLAS, PARKLAND, PRESBY, MEDICAL CITY, PLANO, THEY ALL HAVE VERY HIGH LEVEL OF TRAUMA CARE.

IT'S VERY COMPREHENSIVE.

IT'S ROUND THE CLOCK.

THEIR SERVICES ARE IN IN-HOSPITAL AT TIMES.

THE OTHER HOSPITALS LISTED HERE ARE IN THOSE LEVEL THREE FOUR CATEGORIES THAT YOU SEE RENNER IS ON THERE.

RENNER IS SEEKING THEIR TRAUMA DESIGNATION, SO THIS IS ONE OF THOSE SCENARIOS THAT ARE TALKED ABOUT THAT, DR.

TICE HAS SAID.

JAYCO SAYS THEY HAVE ALL THE ELEMENTS, THEY HAVE ALL THE POLICIES, ALL THE PROCEDURES, ALL THE FACILITIES.

THEY JUST NEED PATIENTS NOW TO SOLIDIFY THEIR RANKING.

SO THEY'RE GOING FOR A LEVEL FOUR.

I BELIEVE IT IS, AND I'M SPEAKING OUT OF TURN, BUT I THINK IT'S A LEVEL FOUR THAT THEY'RE GOING FOR. SO WE'LL START TAKING LOWER ACUITY TRAUMA TO RENNER SO THAT THEY CAN GET THEIR NUMBERS AND GET THEIR CERTIFICATION.

AND THEN, I GUESS ON THE ON THE MAP THAT YOU SHOWED EARLIER, JUST TO BE CLEAR, BAYLOR GARLAND WAS WAS NOT A TRAUMA RATED FACILITY AT ALL.

IS THAT CORRECT? IT WAS A CARDIAC CENTER AND ADULT MEDICAL, AND THAT WAS ABOUT IT.

SO IF YOU SUFFERED A. TRAUMA LIKE A BAD CAR, WHATEVER, I MEAN, AND FOR FOLKS, IF YOU

[00:30:02]

SUFFERED A BAD CAR WRECK, A TREE FALLS ON YOU WHILE YOU'RE WORKING AROUND YOUR HOUSE OR SOMETHING, YOU WERE NOT GOING TO GO TO BAYLOR GARLAND.

YOU WERE GOING TO GO TO ONE OF THESE OTHER TRAUMA RATED FACILITIES.

THAT IS CORRECT, SIR. OK, THANK YOU.

THANK YOU, CHIEF. THANK YOU, SIR.

ANY ADDITIONAL QUESTIONS ON THIS ITEM? I WOULD ASK MR. MAYOR THAT IF YOU ALL CONTINUE TO RECEIVE CALLS, THE [INAUDIBLE] OF MY STAFF, WE GET ABOUT ONE CALL A MONTH FROM PEOPLE THAT ARE UPSET ABOUT WHERE WE TOOK THEM, AND WE COMMUNICATE WITH THEM AND LOOK UP THE CALL AND LOOK AT THEIR MEDICAL CONDITIONS AND EXPLAIN THE RATIONALE THAT THE MEDICS HAD FOR GOING TO THAT LOCATION.

AND IN MOST CASES, THOSE FOLKS ARE VERY SATISFIED WITH THAT REASON AND ARE GRATEFUL FOR IT. SO I'M HOPEFUL THAT THE PHONE CALLS TO Y'ALL JUST DISAPPEAR.

BUT IF THEY DON'T BE SURE AND SHARE WITH THEM TO GIVE US A CALL SO THAT WE CAN LOOK AT THOSE CASES AND MAKE SURE THAT WE'RE MEETING THE DESIRED GOAL OF GETTING THE RIGHT PEOPLE TO THE RIGHT HOSPITAL AND THE RIGHT TIME WHEN WE CAN TO THEIR RIGHT CHOICE.

SO. VERY GOOD, DEPUTY MAYOR PRO TEM WILLIAMS. ONE QUICK QUESTION, CHIEF.

YES, SIR. WHERE CAN A MEMBER OF THE PUBLIC GO TO SEE THIS INFORMATION, PARTICULARLY THE LIST OF HOSPITALS ON YOUR WEBSITE.

DO YOU HAVE ANY GUIDANCE FOR THE FOLKS THAT ARE LISTENING IF THEY WANTED TO GO AND LOOK AT THIS INFORMATION? WHAT DO YOU SUGGEST? HOW COULD WE WITH PMR AND WORK ON OUR WEBSITE AND SEE IF WE CAN GET A SPOT? CAN WE GET SOME OF THE OK? YEAH, AND THAT GAVE ME A LITTLE BIT, BUT WE'LL GET IT UP THERE ON THAT WEBSITE.

OK, CHIEF, YEAH, YOU'LL SEND THE PRESENTATION OUT TO US SO WE CAN WE CAN HAVE IT ON HAND IF WE'LL HAVE IT TO, AND THEN IT'LL BE ON THE WEBSITE AND PEOPLE CAN GO IN FOR THEMSELVES. YES. OK, THANKS, CHIEF.

THANK YOU, MAYOR. THANK YOU, SIR.

ALL RIGHT. THANK YOU, SIR.

THANK YOU ALL. AND NOW ITEM 4 B, COVID 19 BRIEFING.

[4B. COVID-19 Briefing]

OK. GOOD EVENING, MAYOR AND COUNCIL, I THINK WHAT IT IS, I'VE JUST GOTTEN SO Y'ALL ARE ALWAYS FIRST AND JUST IN MY MIND, WE'VE BEEN DOING THIS FOR A LITTLE BIT OF TIME NOW AND YOU'RE ALWAYS THE FIRST PRESENTATION.

SO MY MIND JUST DEFAULTED TO THAT.

YEAH, YEAH.

YOU COULDN'T WAIT TO HEAR OUR PRESENTATION.

SO THE JUST REAL QUICKLY FOR THE LAST CALENDAR WEEK, WHICH WAS NOVEMBER 28 THROUGH DECEMBER 4TH, WE ADDED 211 CONFIRMED CASES AND ONE DEATH.

YOU COMPARE THAT TO 104 CONFIRMED CASES THE WEEK PRIOR.

YOU KNOW, THAT'S DOUBLE THE NUMBER OF CASES IN A WEEK'S TIME.

BUT I WILL NOTE THAT THAT WEEK PRIOR WAS THE WEEK OF THANKSGIVING.

SO I WOULD I WOULD SUGGEST THAT WE PROBABLY SHOULD WAIT A WEEK OR TWO JUST TO SEE WHERE THOSE NUMBERS GO. I WOULDN'T BE ALARMED BECAUSE YOU KNOW THAT PRIOR WEEK WAS THE WEEK OF THANKSGIVING, SO THE TOTAL NUMBER OF CASES WE HAVE SURPASSED FORTY THOUSAND OVER THE PAST WEEK. THREE HUNDRED AND FIFTEEN OF THOSE CASES REMAIN ACTIVE.

SO A FAIRLY AT LEAST IN COMPARISON TO THE PRIOR PEAKS, A LOW LEVEL OF COVID 19 ACTIVITY IN THE COMMUNITY. AND AS I MENTIONED, WE DID HAVE ONE ADDITIONAL DEATH, WHICH IS UNFORTUNATE, BUT THANKFULLY THE NUMBER OF DEATHS HAS DECREASED LATELY WEEK BY WEEK.

WE CERTAINLY HOPE THAT CONTINUES STAFF IMPACTS.

WE ARE AT CURRENTLY 10 EXCLUDED EMPLOYEES, SEVEN FOUR POSITIVE TESTS, THREE FOUR EXPOSURES WE DID HAVE ONE CITY EMPLOYEE SUCCUMBED TO COVID 19 OVER THE PAST WEEK.

I KNOW YOU ALL ARE AWARE OF THAT, BUT THAT'S A TOTAL OF FOUR FATALITIES.

ONE RECENT RETIREE, OF COURSE, A FIRE DEPARTMENT STAFF MEMBER AND TWO FROM OUR FACILITIES MANAGEMENT DEPARTMENTS.

AND THE EMPLOYEE EXCLUSION CHART HERE, YOU CAN SEE, AGAIN, IT MIRRORS THE OVERALL COVID 19 LEVELS IN THE COMMUNITY VERY WELL.

WE WE'VE SORT OF SETTLED INTO, I SUPPOSE, WHAT IS THE NEW BACKGROUND OF SOMEWHERE AROUND 10 EMPLOYEES AT ANY GIVEN TIME EXCLUDED? OR AT LEAST THAT'S BEEN THE CASE SINCE OCTOBER, AS YOU CAN SEE HERE.

VACCINES WE ADMINISTERED ALMOST 11 HUNDRED VACCINES LAST WEEK, SO THAT ACTIVITY HAS PICKED UP SIGNIFICANTLY, NO DOUBT DUE TO PROBABLY THE NOTORIETY WITH OMICRON VARIANT AND THE BOOSTERS BEING AVAILABLE TO EVERYBODY THAT'S OVER 18 YEARS OLD.

[00:35:04]

SO THAT'S REALLY GOOD.

WE'D LIKE TO SEE THOSE NUMBERS CONTINUE TO INCREASE.

THE MORE PEOPLE VACCINATED, OBVIOUSLY, THE BETTER, AND WE STAND PREPARED TO DO THAT.

WE SURPASSED 45000 TOTAL VACCINES.

I WILL SAY THAT WE WENT TO ABOUT 10 PRIMARY SCHOOLS FOR GISD FOR THE SECOND TIME LAST WEEK. AND OF COURSE, WE'RE WRAPPING THAT UP THIS WEEK, THE REMAINING 10 OR 11 SCHOOLS TO PROVIDE DOSES TO THE KIDDOS.

AND THAT'S BEEN FAIRLY SUCCESSFUL, AS YOU SEE ON THE EVENTS HERE.

MOST OF THOSE SCHOOLS ARE LISTED.

WE'VE PRIMARILY OUR POP UP EVENTS.

THE EVENTS OUTSIDE OF OUR PUBLIC HEALTH CLINIC HAVE ALMOST ALL BEEN AT SCHOOLS OVER THE LAST FEW WEEKS BECAUSE WE HAVE POURED A LOT OF RESOURCES INTO SERVING THOSE KIDDOS IN GISD. AND YOU'LL SEE MORE OF THOSE SCHOOLS ON THE ON THE UPCOMING SCHEDULE.

WE DO HAVE CAPACITY FOR ADDITIONAL POP UP CLINICS.

IF YOU ALL ARE AWARE OF COMMUNITY GROUPS IN YOUR DISTRICT OR ANYWHERE IN THE CITY THAT WOULD LIKE THESE EVENTS, WE'VE GOT THE CAPACITY TO DO THAT WOULD BE HAPPY TO SERVE THEM.

OMICRON, SO THIS SLIDE IS ALREADY OUT OF DATE.

I PULLED THE SLOT OFF CDC THIS MORNING AND THERE WERE 16 STATES WITH CONFIRMED CASES.

I COUNTED ABOUT FIVE O'CLOCK THIS AFTERNOON AND MAY HAVE CHANGED SINCE THEN, BUT WE WERE UP TO 18 STATES WITH CONFIRMED CASES.

NO DOUBT YOU ALL IN THE VIEWING PUBLIC HAVE SEEN MANY REPORTS IN THE MEDIA ON THIS NEW VARIANT. EARLY INDICATIONS ARE THAT IT IS MORE PERHAPS MORE CONTAGIOUS THAN DELTA, BUT PERHAPS LESS SEVERE IN ILLNESS.

NOW I WILL CAUTION THAT THAT'S VERY EARLY.

OF COURSE, THESE ARE THE ONLY WAY THAT PUBLIC HEALTH CAN LEARN ABOUT NEW VARIANTS IS THROUGH OBSERVATION. WE HAVE TO IDENTIFY PEOPLE THAT ARE SICK AND THEN OBVIOUSLY OBSERVE HOW THEY'RE AFFECTED BY THE DISEASE, BUT ALSO OBSERVE THE PEOPLE THAT THEY'RE EXPOSED TO, BOTH VACCINATED AND UNVACCINATED TO SEE HOW RAPIDLY IT SPREADS.

AND YOU CAN'T SPEED THAT PROCESS UP.

IT'S THROUGH OBSERVATION.

SO I WOULD I WOULD SAY THAT WE'RE PROBABLY STILL A FEW WEEKS OUT FROM HAVING A REALLY FIRM IDEA OF HOW CONTAGIOUS THIS DISEASE REALLY IS, HOW SEVERELY IT AFFECTS THOSE THAT ARE INFECTED AND HOW WELL OR NOT THE VACCINE PROTECTS YOU.

AND I WILL PASS IT OVER TO MISTY.

SO TO TACKLE THE HOSPITAL NUMBERS AND THE TRENDS, SO THE SAME GRAPH WE'VE BEEN SHOWING FOR A WHILE NOW, THREE SPIKES SINCE WE BEGAN TRACKING THIS IN MAY OF TWENTY TWENTY.

ONE IN JULY, ONE IN JANUARY OF 2021 AND THEN SEPTEMBER OF 2021 WITH DELTA.

SO TODAY'S NUMBERS ARE THERE AT THE TOP.

WE HAD 239 ACTIVE COVID CASES.

CASES, SORRY, MY APOLOGIES FOR DALLAS COUNTY, WITH THE COVID CAPACITY BEING FOUR POINT FIVE SEVEN PERCENT.

THIS IS HOSPITALIZATION COMPARISON FOR TRAUMA SERVICE AREA E, WHICH IS BASICALLY THE NORTH TEXAS AREA.

AND TODAY'S NUMBERS WERE AT 870 AT SIX POINT TWENTY FOUR PERCENT.

BUT YOU CAN SEE THE TREND OVER THE LAST 30 DAYS HAS STAYED BELOW THE 10 PERCENT MARK.

ALSO COMPARING THAT WITH THE LINE BELOW, WHICH IS THE DALLAS COUNTY NUMBERS THAT WE JUST TALKED ABOUT.

SAME NUMBERS, THERE ARE FOUR POINT FIVE, SEVEN PERCENT AND THEN TWO HUNDRED AND THIRTY EIGHT, BUT AGAIN OF NOTE IS THE 30 DAY BELOW 10 PERCENT CAPACITY.

AND THEN THIS IS THE LOOK AT ALL OF THE COUNTIES AND THE TRAUMA SERVICE AREA E.

YOU CAN SEE DALLAS THERE AT FOUR POINT FIVE PERCENT.

AGAIN, SAME NUMBERS FOR TODAY AND WE'RE THERE IN THE BOTTOM.

AS FAR AS PERCENTAGES GO COMPARED TO THE OTHER COUNTIES.

AND WITH THAT, I WILL TURN IT OVER FOR QUESTIONS.

VERY GOOD. ANY QUESTIONS ON THE SIDE? YES, COUNCIL LADY MORRIS.

THANK YOU, MAYOR. I GUESS I'M GOING TO ASK THIS OF JASON SINCE I ASKED IT LAST TIME.

JASON, AT OUR LAST WORK SESSION LAST MONTH, I HAD ASKED YOU A QUESTION ABOUT WHICH UNFORTUNATELY I HADN'T THOUGHT TO PREP YOU IN ADVANCE ABOUT THE RECOMMENDED DELAYS OR INTERVALS BETWEEN SOMEONE WHO HAS RECEIVED THE COVID ANTIBODY TREATMENT AND THEN WANTS TO BE VACCINATED AFTERWARDS.

AND YOU HAD RESPONDED TO COUNCIL WITH THE APPROPRIATE INFORMATION AFTERWARDS, BUT I WANTED TO MAKE SURE THAT CITIZENS GOT TO HEAR THAT AS WELL.

SURE. AND THAT INFORMATION, IT WAS KIND OF BURIED ON THE CDC WEB PAGE, BUT IT IS THERE FOR THERE'S ESSENTIALLY TWO GROUPS OF PEOPLE FOR INDIVIDUALS THAT RECEIVED INFUSIONS AS A

[00:40:06]

RESULT OF EXPOSURE.

SO THEY HAVEN'T COME DOWN WITH COVID 19, BUT THEY'VE BEEN EXPOSED.

AND FRANKLY, I'VE NEVER HEARD OF ANYBODY WHO RECEIVED AN INFUSION FOR THAT, BUT EVIDENTLY IT'S AVAILABLE SOMEWHERE.

THOSE FOLKS NEED TO WAIT 30 DAYS.

THE SECOND GROUP OR THE GROUP THAT WE'RE PROBABLY ALL FAMILIAR WITH, THE FOLKS THAT RECEIVED INFUSIONS FOR TREATMENT OF COVID 19, THOSE ARE THE FOLKS THAT ARE SICK.

THEY NEED THE INFUSION TO HELP THEM GET BETTER.

THOSE INDIVIDUALS, THE RECOMMENDATION IS TO WAIT 90 DAYS UNTIL THEY RECEIVE A VACCINE.

OK, THANK YOU FOR THAT.

AND I HAD ASKED YOU SEVERAL DAYS BACK FOR AN UPDATE ON THE LATEST BREAKTHROUGH NUMBERS.

AND IS THAT SOMETHING YOU HAVE WITH YOU? AND THAT'S EASY TO ACCESS.

I DO. ALL RIGHT.

AND IF YOU HAVE THOSE CHARTS, THOSE WERE GREAT CHARTS.

SO SO WE'VE GOT WE'VE GOT IT BROKEN DOWN INTO VACCINE BREAKTHROUGH FATALITIES, VACCINE BREAKTHROUGH CASES IN GENERAL AND HOSPITALIZATIONS.

SO I'LL START WITH THE BREAKTHROUGH CASES NOW.

THESE ARE COUNTS FROM FEBRUARY OF 2019 BECAUSE THAT'S THE FIRST DATE THAT ANY INDIVIDUAL THOSE REMEMBER THOSE FOLKS BACK IN PHASE.

PHASE 1A, RIGHT? GROUP 1A IT'S THE FIRST POINT WHERE PEOPLE COULD ACTUALLY BE FULLY VACCINATED.

SO SINCE FEBRUARY OF THIS YEAR, WE'VE HAD A TOTAL OF FOURTEEN THOUSAND NINE HUNDRED THIRTY THREE CONFIRMED CASES, SO ALMOST 15000 CASES.

NINETY FOUR PERCENT OF THOSE WERE UNVACCINATED VERSUS SIX PERCENT FULLY VACCINATED, SO A TOTAL OF NINE HUNDRED AND TWENTY VACCINE BREAKTHROUGH CASES.

NOW THAT IS FULLY VACCINATED, SO SOMEONE THAT'S PARTIALLY VACCINATED WOULD NOT COUNT AS A VACCINE BREAKTHROUGH.

IN TERMS OF HOSPITALIZATIONS, WE'VE HAD A TOTAL OF 857 REPORTED.

NOW I WILL SAY THIS WITH THE CAVEAT THAT WE AREN'T ALWAYS IN THE POSITION TO HAVE AN ACCURATE COUNT ON HOSPITALIZATIONS.

SO I WANT TO GET THAT OUT.

THE NUMBER IS PROBABLY HIGHER, BUT IN TERMS OF PERCENTAGES.

ABOUT 15 PERCENT OF THE HOSPITALIZATIONS SINCE FEBRUARY INCLUDED INDIVIDUALS THAT WERE FULLY VACCINATED, SO ABOUT ONE HUNDRED AND TWENTY SEVEN OUT OF THAT EIGHT, FIFTY SEVEN, 15 PERCENT AND THEN FATALITIES.

WE'VE SINCE AGAIN SINCE FEBRUARY OF TWENTY TWENTY ONE, WE'VE HAD A TOTAL OF TWO HUNDRED AND EIGHTY FOUR FATALITIES.

ABOUT SEVEN PERCENT OF THOSE FATALITIES WERE VACCINE BREAKTHROUGH CASES.

SO TWENTY ONE TOTAL AND I SHOULD SAY TWENTY THREE.

LET ME LET ME REPHRASE THAT, LET ME BACK UP.

WE HAD 23 TOTAL FATALITIES THAT WERE VACCINE BREAKTHROUGH CASES.

TWENTY THREE TOTAL, TWENTY ONE OF THOSE HAD WHAT WE CONSIDER UNDERLYING CONDITIONS.

SO EVEN VACCINE BREAKTHROUGH CASES, ALMOST ALL OF THEM WERE INDIVIDUALS THAT WERE IN A FRAGILE STATE OF HEALTH.

ONLY TWO INDIVIDUALS SUCCUMBED TO COVID 19 WHO WERE FULLY VACCINATED AND HAD NO UNDERLYING CONDITIONS, WHICH IS A STRONG ILLUSTRATION OF HOW WELL THE VACCINE WORKS.

IT, THE VACCINES PROTECT YOU FROM DISEASE IN GENERAL.

IF YOU GET SICK, YOU TEND TO HAVE LESS SEVERE CASES, AND IT'S ALMOST UNIVERSALLY PROTECTS YOU FROM DEATH, EXCEEDINGLY RARE FOR A FULLY VACCINATED PERSON WHO IS IN GOOD HEALTH TO SUCCUMB TO COVID 19.

SO A GOOD CASE TO MAKE FOR VACCINES, OBVIOUSLY.

OK, WELL, THANK YOU FOR THAT.

AND IF YOU WOULDN'T MIND, WOULD YOU MIND PROVIDING COUNCIL AFTERWARDS WITH JUST A SUMMARY OF THAT INFORMATION AND THE CHARTS THAT YOU WERE USING BECAUSE THAT THAT VISUAL, WHICH IS SOMETHING WE MIGHT BE ABLE TO SHARE OUT, I THINK IT'S VERY HELPFUL SO.

BE HAPPY TO. ALL RIGHT. THANK YOU.

LAST QUESTION, DO WE HAVE WE HAVE QUITE A FEW PEOPLE IN GARLAND WHO HAVE RECEIVED THE FIRST DOSE OF A TWO DOSE VACCINE AND OF COURSE, NOW WITH THREE WITH BOOSTERS, AND THEY NEVER CAME BACK FOR THEIR SECOND DOSE.

WE HAVE QUITE A FEW.

SO I'M GOING OFF MEMORY, WHICH IS ALWAYS A REALLY BAD IDEA.

BUT I'M THINKING IN IN THE ZIP CODE THAT'S PREDOMINANTLY MY DISTRICT SEVEN FIVE FOUR ZERO. I THINK IT'S JUST OVER SIXTY FIVE SIXTY FIVE POINT SEVEN PERCENT OF THAT ZIP CODE IS FULLY VACCINATED, BUT IN GARLAND AS A WHOLE, EIGHTY ONE PERCENT OF OUR RESIDENTS HAVE HAD 18 AND OVER HAVE HAD AT LEAST ONE DOSE.

SO THERE'S A GAP, AND I'VE HAD SEVERAL PEOPLE ASK ME WHAT IF ANYTHING, WE'RE DOING TO REACH OUT, BRING PEOPLE IN WHO HAVE HAD ONE DOSE AND THEY MIGHT HAVE HAD IT, YOU KNOW,

[00:45:05]

EIGHT MONTHS AGO.

AND FOR WHATEVER REASON, THEY NEVER CAME BACK AND GOT A SECOND DOSE.

SO DO WE HAVE ANY KIND OF A REACH OUT PROGRAM? SO WHEN WE WERE GOING HOT AND HEAVY, WE WERE SENDING TEXT NOTIFICATIONS AND SAYING, YOU KNOW, TIME FOR YOU TO COME BACK AND GET IT.

BUT NOW THAT SO MUCH TIME HAS PASSED, IS THERE ANY WAY WE CAN DO ANOTHER ANOTHER REACH OUT TO GET PEOPLE TO GO AHEAD AND COME BACK AND GET THEIR SECOND DOSE? THE SHORT ANSWER IS YES.

WE HAVE STAFF THAT ARE DOING THOSE RECALLS NOW.

NOW I'LL SAY THAT THOSE ARE OUR PATIENTS.

AND OF COURSE, WE'RE ONE OF MANY PROVIDERS IN TOWN.

SO THE THE PATIENTS THAT WE SERVE, WE ARE REACHING OUT TO THEM.

AND I SUSPECT IT MAY BE GOING OUT ON A LIMB HERE, BUT I SUSPECT THERE'S A NUMBER OF PEOPLE WHO MAY HAVE CHOSEN TO DELAY OR NOT GET THE SECOND DOSE BECAUSE OF SYMPTOMS, RIGHT? THE GOOD NEWS IS THE SECOND DOSE IS EFFECTIVE.

THERE'S NO END DATE.

SO AND WITH A NEW, SEEMINGLY MORE VIRULENT VARIANT OUT THERE FOR THOSE WHO MAY HAVE SKIPPED THEIR SECOND DOSE OR HAVE NOT RECEIVED A BOOSTER DOSE, I WOULD I WOULD STRONGLY ENCOURAGE YOU TO RECONSIDER THAT.

WE'RE ABLE TO SERVE THOSE FOLKS ON A WALK IN BASIS AT THE PUBLIC HEALTH CLINIC.

SO BUT YES, TO GET BACK TO YOUR QUESTION, WE ARE REACHING OUT TO THOSE FOLKS WHO HAVE NOT RECEIVED THEIR SECOND DOSE AND CERTAINLY WILLING TO SERVE THEM.

OKAY, THANK YOU VERY MUCH.

THANK YOU MISTY.

THANK YOU, MAYOR. VERY GOOD.

ANY ADDITIONAL QUESTIONS? I SEE NONE, THANK YOU.

AND THAT WAS OUR LAST BRIEFING FOR THE EVENING.

ITEM FIVE ANNOUNCED FUTURE AGENDA ITEMS THERE, ANYONE WHO HAS ANY FUTURE AGENDA ITEMS THEY'D LIKE TO BRING FORWARD TONIGHT.

I DON'T SEE ANY, BUT OBVIOUSLY IF IF YOU DO COME UP WITH SOMETHING WE MEET NEXT WEEK, SO IT MIGHT BE A KIND OF A QUICK TURNAROUND, BUT WE CAN WE CAN CERTAINLY ADDRESS THOSE THINGS. AND THAT BRINGS US TO ITEM SIX.

[6. Council will move into Executive Session]

COUNCIL WILL MOVE INTO EXECUTIVE SESSION.

COUNCIL WILL ADJOURN INTO EXECUTIVE SESSION PURSUANT TO SECTIONS FIVE FIVE ONE POINT ONE THREE THREE AND FIVE FIVE ONE POINT ZERO SEVEN, ONE OF THE TEXAS GOVERNMENT CODE TO DELIBERATE, DISCUSS, VOTE AND TAKE FINAL ACTION WITH REGARD TO COMPETITIVE MATTERS ON THE FOLLOWING A RESOLUTION RELATED RELATING TO ELECTRIC UTILITY COMPETITIVE MATTERS APPROVING FIRST AMENDMENT TO SOLAR RENEWABLE ENERGY PURCHASE AGREEMENT WITH DELILAH SOLAR ENERGY LLC AND AUTHORIZING THE CITY MANAGER TO EXECUTE THE SAME UNDER FIVE FIVE ONE POINT ONE THREE THREE AND ATTORNEY CLIENT MATTERS CONCERNING PRIVILEGE AND UNPRIVILEGED CLIENT INFORMATION UNDER FIVE FIVE ONE POINT ZERO SEVEN ONE.

COUNCIL, WE'VE ONLY BEEN HERE FOR A BRIEF TIME, SO WE'LL HAVE A QUICK TURNAROUND IF EVERYBODY CAN JUST STAY IN THEIR PLACES.

WE WILL RECESS THIS WORK SESSION AND WE WILL RECONVENE IN EXECUTIVE SESSION IN JUST A FEW MINUTES. THANK YOU.

* This transcript was compiled from uncorrected Closed Captioning.