1
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was like

2
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in my mind I was like, "Oh god, he's
going to suffer through that." But I saw

3
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like he's
just, you know, babies. Yeah. Like we

4
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just

5
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So, um, Bernardo wrestled him down this
morning. Let us pray.

6
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Russell, he was not having this morning.

7
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No, I'm like

8
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» I think

9
00:06:42,639 --> 00:06:47,000
travel.
>> Yes.

10
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» Yes. It snowed again on Monday. You
know,

11
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» bring you while you live here. So, you
have farm clothes.

12
00:07:01,759 --> 00:07:08,400
» You need like
a farm.

13
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» My dad's like that, too. All
right. So, let's go ahead and everyone

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00:07:10,560 --> 00:07:16,720
uh we're going to go ahead and get
started here.

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00:07:13,840 --> 00:07:21,360
» Welcome. Let's go ahead and get the
>> I call them we need to order. So,

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welcome everyone. Um
we it does after discuss discussing with

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uh Dina um it does it does seem like oh
my gosh [laughter] I'm thinking of

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» yes
>> um we do it does look like we do have

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today. So, let's get started with just
um reorganization of the board. Um oh, I

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think we
>> Yeah, that was accidentally left on

21
00:07:45,360 --> 00:07:50,880
there from uh the January meeting. I
apologize about that. There doesn't need

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to be a reorganization because y'all
settled that in January.

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» Perfect. So, let's go ahead and start
with just um some updates from our

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community partners. So, uh let's start
with Be County Tobacco Prevention and

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Beta Chain Proex Coalition
Spotlight.

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So, first
SA, she's our new

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project coordinator, uh, executive
director, so we can call her director,

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project coordinator at Be the Change
406. Um, she's got a degree in

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communications. Chelsea's really good at
speaking and guiding and gets a lot of

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communicating. Um, and she actually came
over. I had

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presentations, daily presentations in
ENS with elementary kids and middle

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schoolers who take it over with me and
kind of saw how that works and how it

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goes. And then she's been getting all
trained back before she gets her

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talk to you guys about. But before she
does that, I'll give a quick update for

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some of our other stuff. So,

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um has asked to come do a little cross
on market at the Wednesday senior lunch

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here. Um so that'll be different because
usually when we go when we talk about

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that it's like to young people. So we're
going to like show them how to properly

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dispose of things and kind of research
how you talk to because that age group

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needs to be up to date. They a lot of
them are taking opiates for maintenance,

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pain maintenance and things like that.
So, that would be cool. Um, and then

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let's see. I've got three days with the
discipliners

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um here in Dylan coming up in next week
actually. And JB's going to um go there

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00:09:48,160 --> 00:09:57,600
with me as well. Um the third day once
again I'll bring some uh road

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to talk to the fifth graders. So we'll
have three days of that which I I love.

46
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That's so fun. Uh what else do we have?
We've got

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as for tobacco. We still I just talked
to uh the county attorney's office.

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We're still on for our 30 foot distance.
So the kids,

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a lot of our kids in our coalition and
we want them to be a part of it. Um they

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are really engaged in everything in the
spring. I mean plus they've got like

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travel ball going at the same time as
all their regular sports and I'm going

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and we've got a couple kids practicing
for the the western play which is

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awesome. One of them got the roll of
really long. So, we're thinking

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it's preg.
And so, I think that we're going to prep

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for that
>> and then I know we've been talking about

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it for like a year, but we're going to
prep for it on our own and then bring

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the kids in in in June once that's all
set. So, we will want your buy in on

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that at that time. Uh we also wanted to
know if

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um Megan if you would be maybe
interested in talking to the kids about

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how the like vaping and these other
things actually affect your body

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internally. And like one thing that I
keep saying is you go to the doctor, you

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go to the dentist and there's signs and
people can recognize um like already as

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a teenager or as a young adult that the
damage that you're already incurring. So

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yeah, if you want if you don't get in
touch.

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» Yeah, that'd be fine.
>> Okay. Yeah, perfect.

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Um I guess I could go on and on. like
it's a lot of good stuff. It's kind of

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fun. So,
anything you guys want to um work on my

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stuff? Yes, please.
>> So, I have a question and I guess I

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didn't realize this. I was talking.
>> Yeah. And he's going to do all the um

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things where they go in and have

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compliance. Yeah.
>> Yeah.

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» For that. How does that work with you
guys? We don't I don't do that cuz we're

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I was DPA test so we're not supposed to
do that.

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» She
is a different

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» she was she did she did my job in the
past. We're not supposed to

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» we're supposed to go in and check but
we're not supposed to send we don't send

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people in. The gambling control division
weirdly enough is actually the one

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» that must be her boss. She's been doing
it for seven years. I did not know.

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» Oh,
>> yeah.

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» They do that. Um, we just we just uh
work with the businesses themselves,

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» but I don't send kids in. So, she that
must be where she

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» Okay. I was just confused. I thought,
"Oh, so

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» yeah, that's crazy. I didn't know that."
>> So, I was just wondering how that was.

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So if if it happened, we I would get a
report

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that and then uh address it with a local
business.

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But as far as um doing that work, I do
that.

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00:13:37,360 --> 00:13:46,079
on the baking thing. Another thing I
wish I would like to do communitywide

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and I've started doing my plans
because there is a huge amount of people

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that think, "Oh, I'll just give up
cigarettes. I'll start vaping." And they

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think it's better somehow and it's not.
>> They're still exposing their baby to

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harmful chemicals. So,
>> um it's really interesting. I mean, that

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is a huge misconception that is very
much so happening on a pretty large

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scale.
>> And it's interesting cuz it's like this

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generation, the generation of people who
could be pregnant right now because the

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the young kids know [clears throat]
when I go talk to the young kids are

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like worse than smoking,
>> but I think we're still confused.

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» So that's really I don't think it's
confusion or

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» denial.
Exactly. denial because they want

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something to replace that cigarette or
something that's better and they're

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telling me like, "Well, my doctor said
it's okay." I'm like, "No, they didn't."

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[laughter]
>> Is there something that shows you can

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use vaping to, you know, as long as you
off to ease off? Yes. Like it can't. But

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the problem is is that people don't
follow like the nicotine milligram and

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the vaping allows for so much higher
dosing that then that's what usually

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happens. So this like theoretically
could help you but

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» it doesn't in the end right
>> like my program

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has a pregnancy
but that's dedicated to it and they get

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every time they make the phone call it

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» call me if if they agree only but
offering them to talk to them and then I

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can come in and chat with them from the
book club. So I would love I'd actually

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love to do that.
>> That'd be a little bit of a different

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deal. Um as far as the recycling and
stuff um the vape recycling, we still

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want to work on that. Also, my uh
seventh graders in Mis really want to

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take a part of and I told them
>> that that maybe they

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» recommended
maybe

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have somebody
somebody else do it.

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» Joe Revel said that he would do it.
>> That's what I was going to say. It's

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like, you know, somebody that's got some
experience

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on the outside.
>> Yeah.

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Um,
another thing that's really neat to do

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is for a training lesson is stab one of
those batteries, which you know people

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doing that.
>> We went through a whole training on

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those um lithium ion batteries.

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» Years ago, I had to try it for myself.
It's not insect stuff.

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» It's not.
>> It's a good learning experience. But

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» that's the real problem with those those
bays. Well, of course, you know the

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chemicals in them.
>> But those under the right conditions,

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those batteries get punctured, they will
burn and they will burn hot

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» and they are really difficult to hell.
>> Yeah. I mean, there's a family that once

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that happened in their whole house.
So it happens.

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» Oh, it happens.
>> They really want to see that. They just

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want to see what's in it. They're just
kids and they want a really

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» Yeah. I mean, I'm just saying that first
of all, be good science experience for

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kids because you wouldn't want them
doing it.

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» Yeah.
>> If you can get somebody like Rumble to

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do it or, you know, me and some of the
other people on fire here or something

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like that.
>> That's what I was thinking. I was like,

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I'll just talk to the DS guy. They're
both crazy and all that stuff.

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» So maybe uh so I have to go back to now
so we can take a part of me and uh maybe

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we're I think J had a good idea maybe to
video it. But maybe if the fifth graders

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are interested maybe you could help them
out.

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and you thought you might start putting
out some video.

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00:17:59,679 --> 00:18:05,440
» So, I'm going to go ahead and talk about
her.

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00:18:03,760 --> 00:18:09,840
» Um,
uh, forgive me. I've only been in the

145
00:18:07,120 --> 00:18:15,280
role about a month, so not a lot of
updates on my end, but did partner with

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00:18:12,720 --> 00:18:19,840
public health to get all of the Narcan
supply at the middle school and

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elementary school back up to date. Um,
so we got the stickers that were

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required, put them all in the boxes. We
have our CADKA midyear conference in

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Orlando this year. Kids are super
excited. The actual um heavy focus this

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year is fentanel. So that'll be really
interesting to see what the kids take

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back from that especially. I think it's
just a small amount that's so legal.

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00:18:40,960 --> 00:18:46,400
» We're partnering it's they're partnering
with the DEA. So the DEA is bringing

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anticipation.
So, it'll be really really good to see.

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And then, um, freedom seems to be
popping up in a lot of different places.

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We know Idaho right now is trying to
make it a a substrolled substance. Um,

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they're trying to get that passed
through their legislation. I know it's

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failed in our legislation previous state
level, but um, there's a lot of

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misconception
that is not yet in our county, but I'm

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00:19:12,000 --> 00:19:19,440
hearing otherwise. So we Aaron has a
scavenger hunt already for other things

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00:19:17,840 --> 00:19:23,840
that we're going to tweet and make for
freedoms and see if we can go around

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town and find it.
>> So please help keep your eyes open.

162
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» Yeah. Yeah. Um, you want to say
something here?

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» You and I,
>> the Well, they just had a presentation

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on it at the state um conference in
Billings and um there are some things

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that are being presented to the
legislature about banning it in Montana.

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Um it is addictive as apparently heroin
and it they're selling it, but the

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problem is I think it was used in Asia.
That's like a

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» T
a natural. But then in the United

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States, what they've done is take the
one chemical and isolate it and make it

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really strong and they're putting it in
these energy drinks and they're causing

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major health problems. People are are
ending up in the ER. People have died um

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because it interacts with other drugs
that they're taking. Um and so um

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Riverstone Health, which is the
Yellowstone County, uh health

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department, the herb sanitarians, uh
have put together, in fact, in their

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county, it's banned. Um if we could get
it banned in this county, it would be

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great. Um, I think it's being sold
really in a sneaky way and that a lot of

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people don't read labels and it it could
be on the label and they're just

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thinking it's an energy drink when it
might have caffeine, but it really has

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gluten in it, too. And it could do a lot
of damage. So, um, it's it's definitely

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something that's at the front of
everyone's mind as far as trying to

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maybe get the legal. Um but I think the
legislature still clearly they're the

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industry itself is promoting this cradle
rights that you know so that people have

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00:21:14,320 --> 00:21:20,960
the right to take it but it's a drug I
mean pretty much so it's like there's

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all this other medical proof that it's
very dangerous to be an overthe-counter

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product and that apparently on some
levels it's used for addiction

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withdrawal from opioids but that's under
medically supervised situations. It's

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00:21:33,440 --> 00:21:39,440
not like um I actually talked to an
anthropath doctor who was a friend of

188
00:21:36,880 --> 00:21:44,240
ours and he told me he was never he
never used it. He we knew of other

189
00:21:41,360 --> 00:21:49,600
anthropaths that did um use it but he
never thought it was something safe to

190
00:21:46,559 --> 00:21:55,039
give to his patients. And so it went
from being this thing that was a natural

191
00:21:51,360 --> 00:22:01,120
thing to being processed to something at
the level of really being a dangerous

192
00:21:58,640 --> 00:22:04,640
substance that's being put in things.
Energy drinks. You should see the

193
00:22:02,400 --> 00:22:07,960
packaging. It looks harmless. It looks
really good.

194
00:22:14,559 --> 00:22:21,600
» I mean, you don't I've gotten so well
being a sanitarian so obsessed with

195
00:22:19,120 --> 00:22:26,960
reading ingredients out because
ingredients are snuck into things

196
00:22:24,400 --> 00:22:32,320
» and let me see because we
>> it's out of

197
00:22:28,960 --> 00:22:35,840
» the packaging. Yes. And then just pass
this around. This is what Riverstone

198
00:22:34,240 --> 00:22:40,000
Health and I'm going to make a copy of
this and give this out too just when I

199
00:22:37,600 --> 00:22:45,600
go out and inspection. And if Megan
wants some copies, I mean because it is

200
00:22:43,039 --> 00:22:53,200
being marketed
>> um in a really attractive way. It sounds

201
00:22:50,720 --> 00:22:58,159
good. And the thing the beverage
distributor is really who got it um this

202
00:22:56,080 --> 00:23:03,200
beverage that has it in there and
started putting it in these mini marks

203
00:23:00,559 --> 00:23:08,559
right like gas stations and people
thinking it's harmless when they put up

204
00:23:06,480 --> 00:23:12,559
some data when people were I mean people
calling it

205
00:23:10,400 --> 00:23:17,840
I mean they just it was just interactive
so it's not harmless and and so we went

206
00:23:15,760 --> 00:23:22,159
around in Yellowstone County and they
actually have three people that are

207
00:23:19,360 --> 00:23:28,720
trying to still sell it because it's
addictive and they sell out of it

208
00:23:25,440 --> 00:23:33,200
» because it's
>> I also talked about like when you're

209
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doing your inspections that maybe you'll
go around and look and kind of get a

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gauge of what's going on around here if
anybody in your head is selling again.

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» Yeah, email us all and let us know if I
see it anywhere. I mean, you know, I'm

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thinking like Town Pump apparently,
according to Beverh Hill, has banned it

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from all their stores. So, Town Pump is
a big one to say, man, it opens up a lot

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of liability for these, you know, store
owner. I don't think they see it that

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way, but you sell something that ends up
killing somebody. And I will tell you

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right now, there's
>> Should we be talking about doing

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something here?
>> We're steady in the counter.

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» I think so. Because when I did that
little presentation with the confluence

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people
um and I the other on the other was

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Riverstone Health and like she said a
big reason they got that pushed through

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was because of the sanitariums
and it's still legal in vape shops in

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Riverstone
um or I mean in Yellowstone County. It's

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still legal in a vape shop, but it's not
legal in places where food is sold. So

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that means gas stations, bars, things
like that. So they're trying to figure

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out how to also make it legal across the
board because their loophole, how they

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got in is through the sanitarian's
office because they were able to get in

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there because of the
>> when they started legalizing marijuana,

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okay, they started to put it in things
like brownies and cookies. So when we

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inspect places and we look at food, we
have to look at ingredients. And when an

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ingredient in a food is a drug,
considered a drug, it's considered an

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altered food. And so sanitarians have
hands off when it comes to altered food

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products. We can't inspect them. We
can't inspect how they're made. However,

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we can by law pull from the shelves of a
retail food establishment because

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restaurants and grocery stores cannot
sell altered food products like Tom and

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Country. You can't sell pot
>> altered or you can't sell in the law.

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So, you
adored

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food product. So like we have the right
to take it away from food establishments

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because it's not a food. It's actually a
drug that's in a food and but a vape

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shop is not under our jurisdiction at
all. Like we don't license them. That's

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the department of revenue and they
handle all the tobacco products like

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that. So that's where we might get in
there and

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you see this
>> look at labels when you're buying these

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energy products because if it says
create them on it you're killing

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yourself you drink it. I'm not kidding
you like just

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» and the narcan like we said last time it
takes a lot more narc

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00:26:37,120 --> 00:26:45,520
what what I mean anybody in this room
can you talk about the symptoms or how

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they're going to present if they are
under the influence of this stuff

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because you see I'm an EMT also usually
what we're looking for when we apply or

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00:26:54,480 --> 00:27:01,440
introduce
Maran is pinpoint high and they're going

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to be, you know, really pretty much in
all of it. I already made a presentation

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for this that I gave in February and so
we could look at that and use it just as

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a foundation because it would need to be
expanded a lot cuz I didn't have a lot

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00:27:14,080 --> 00:27:21,760
of time to talk but we could look at
that and expand it out so that you could

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00:27:19,039 --> 00:27:28,600
get it out to the EMTs and stuff so that
they have a base knowledge and then know

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what to look for or just come in

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and commissioners are all on board with
Can we ban it from Beaverhead County so

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00:27:34,559 --> 00:27:40,720
that it's easier from for us to just say
not even big chops can have it? I mean

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00:27:39,200 --> 00:27:48,400
like we could take it out of here like
we don't want it here. It's dangerous.

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00:27:44,640 --> 00:27:51,520
Um I mean it would be kind of put in the
park before the horse before the

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00:27:49,840 --> 00:27:56,559
legislature actually passes it in
statewide. But we don't know when that's

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00:27:53,600 --> 00:28:00,480
going to happen and until that happens
if we can get supportive Tom can talk to

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the commissioners and I'll get copies of
that about about the dangers of it and

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then we can

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you know
I would get we kill some kindly

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legal one.
>> Yeah.

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And Tom, um, actually the Black Indian
reservation,

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» but that's Blackbeard Indian res,

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but in Yellowstone County, it's not
banned from big shops. You can still

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legally walk in. So, I'm wondering if we
look at the language.

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Well, we could call Riverstone and get
whatever was our primary attorney

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together for it and then
>> well be county

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they were successful. They obviously
they're they have the biggest

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» the biggest law firm in the state.
>> Okay. But they have the most

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» research.
I would follow suit with him before I

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» would love to help because the guy that
is the head of it is really really nice.

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Um you might know who he is but he um he
was like very generous about they're not

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00:29:24,960 --> 00:29:33,279
trying to gauge. I I'm sticking like too
like one of the

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00:29:30,559 --> 00:29:38,240
easier ways to get things people to
comply by things is to scare them into

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00:29:35,679 --> 00:29:42,240
compliance which I hate to give up but
you know if you're in a a establishment

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and you see them in there you say you
realize here's all this information

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00:29:43,840 --> 00:29:51,200
about what to do to people do you want
to be liable for that because that is

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00:29:49,360 --> 00:29:56,960
going to be on you if something bad
happens and if you don't think people

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00:29:53,200 --> 00:30:00,880
will turn around and sue you they
I just want you to know that this

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settled once
debts and according to what I heard it

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settled for more than the insurance
company

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00:30:07,279 --> 00:30:14,240
was covering them for. So someone got
taken into cleaners after that. That's

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00:30:12,720 --> 00:30:18,480
what Boseman that happened a couple
years back where two people died from

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00:30:16,480 --> 00:30:22,000
undercooked morale mushrooms. The point
is if you don't think when someone dies

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00:30:20,399 --> 00:30:26,320
from eating something that from your
establishment that the big lawyers come

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00:30:23,679 --> 00:30:32,000
in, they will come in and there's people
that just just lawyers that concentrate

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00:30:28,559 --> 00:30:37,279
on that will come in and take you to the
CL. This is a great thing that I tell

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00:30:34,000 --> 00:30:39,840
people to like try to get them to do the
right thing.

293
00:30:38,320 --> 00:30:43,440
» This is so it sounds like
>> creative is dangerous. I think we could

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make a little committee to work on it
and then we could talk about it copies

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of this decide it included on our
>> I think that'd be wonderful. I think we

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need our first steps because there's
going to be I mean this is a great

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00:30:52,240 --> 00:30:59,440
discussion that even came up at the last
board of health meeting um maybe just

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even connecting with Yellowstone
names all of the

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00:31:01,760 --> 00:31:08,559
» so maybe let's just start by connecting
and getting all of information and then

300
00:31:06,320 --> 00:31:12,159
um yeah we we can establish a
subcommittee after we have everything

301
00:31:10,240 --> 00:31:15,600
put together to see exactly what our
actions could be moving forward. So

302
00:31:14,320 --> 00:31:20,799
thank you so much.
>> Thank you. That's a rare opportunity to

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00:31:18,480 --> 00:31:24,320
actually do prevention instead of
intervention.

304
00:31:23,120 --> 00:31:29,360
» Right.
>> Proactive.

305
00:31:26,720 --> 00:31:34,640
» So yes, because we can move on. We can
talk hours regarding that [laughter]

306
00:31:32,399 --> 00:31:37,279
discovery, but let's
>> Yes. So let's go ahead in with our

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00:31:36,480 --> 00:31:40,799
public health update.
>> Yeah. So our main project right now

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00:31:39,440 --> 00:31:47,279
working on the community health needs
assessment with their hospital. Um we

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00:31:44,640 --> 00:31:50,720
basically survey is closed on the 15th
of this month, but we do the community

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00:31:49,120 --> 00:31:56,080
health needs assessment to keep us in
mind and to figure out what our like

311
00:31:53,519 --> 00:32:00,159
next um
pro like next project's going to be for

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00:31:58,640 --> 00:32:04,960
public health and the community, what
needs what we can improve realistically.

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00:32:02,960 --> 00:32:09,200
Um so we've been doing that with Barrett
Hospital the last few times. We they do

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00:32:07,519 --> 00:32:14,320
them every two years and we just partner
with them. It makes more sense to work

315
00:32:11,200 --> 00:32:19,279
together. um so we can tackle whatever
it is together rather than just alone.

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00:32:17,360 --> 00:32:23,919
And that's how a lot of the counties
operate too. We found just from going to

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00:32:21,519 --> 00:32:29,120
the conference, a lot of counties made
healthy assessments with their

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00:32:25,760 --> 00:32:33,919
hospitals. So um we've had our first
steering committee. We're going to have

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00:32:30,399 --> 00:32:40,240
a second one. Um, and then this is how
we were able to uh hire our behavioral

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00:32:37,600 --> 00:32:45,200
health coordinator to relay uh was
through identifying that there's a lack

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00:32:42,559 --> 00:32:49,360
of behavioral health services um just
across the board. So, we were able to

322
00:32:47,039 --> 00:32:55,200
get funding um to bring her on and she's
been working a lot with uh getting focus

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00:32:52,720 --> 00:32:59,919
groups put together trying to get in
beyond what we've been able to reach in

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00:32:57,600 --> 00:33:05,840
the past. So, she's been busy with that.
And then from the results of what we get

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00:33:02,399 --> 00:33:10,640
this year, um she can identify, you
know, like a priority of projects and

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00:33:07,760 --> 00:33:18,240
then um work on it for the next year or
so cuz our funding is only 2 years. So

327
00:33:14,320 --> 00:33:26,399
we're already a year in basically.
Uh as far as activity goes, we have had

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00:33:22,240 --> 00:33:30,640
112, right? 112 cases since January,
which is a lot for us, I think. I don't

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00:33:29,120 --> 00:33:34,320
know what numbers have been in the past,
but it hasn't been they haven't been up

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00:33:32,640 --> 00:33:41,600
in the hundreds, I don't think. So,
that's a lot. And it's been a

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00:33:35,919 --> 00:33:47,519
combination of everything. So, A B um
is there.

332
00:33:43,519 --> 00:33:52,799
» Um there's like subar. It's mostly that
>> I mean, so just to make sure of

333
00:33:48,799 --> 00:34:00,559
everything. So, we had a I guess a high
flu activity year. Um so, I hope

334
00:33:58,240 --> 00:34:06,559
we get more people vaccinated for this
next coming year. And I don't know what

335
00:34:03,600 --> 00:34:10,639
the efficacy of the vaccine was this
year. Do you know?

336
00:34:07,360 --> 00:34:16,159
» I don't think we'll know until
the K variant was not that was one that

337
00:34:13,679 --> 00:34:24,359
got missed. So we did see a lot of
influenza A. It was K.

338
00:34:19,679 --> 00:34:24,359
» H3. It was um

339
00:34:26,079 --> 00:34:30,720
» the symptom very severe
so much AMD.

340
00:34:29,839 --> 00:34:35,919
» Yes.
>> And so much RSD so much RSC been very

341
00:34:34,480 --> 00:34:40,480
delayed this year.
>> So yeah, so those have been cases that

342
00:34:38,560 --> 00:34:45,760
have been reported to us. So it doesn't
count everything else that reported. So

343
00:34:43,679 --> 00:34:51,280
we we can expect that it's just been
really high across the board.

344
00:34:48,079 --> 00:34:56,240
Um it was subplate. It was H but sub
plate K that didn't get caught early

345
00:34:54,079 --> 00:35:00,000
enough for the vaccine to cover it. So
that'll be in the next vaccine for next

346
00:34:58,320 --> 00:35:06,440
year. Supposedly the next year's vaccine
is supposed to be much better matched.

347
00:35:01,599 --> 00:35:06,440
» Yeah. So that's what we keep hearing.

348
00:35:06,504 --> 00:35:12,800
[laughter]
>> So So I mean that's the hope you know

349
00:35:09,760 --> 00:35:18,079
hopefully we can do better vaccination
coverage for this for this coming fall.

350
00:35:15,520 --> 00:35:23,119
I don't know. I I don't know. I haven't
heard a lot on CO. Have you

351
00:35:20,800 --> 00:35:24,400
» Not there's been a little bit of but not
as much.

352
00:35:23,599 --> 00:35:30,000
» Um for sure.
>> But as far as co vaccination goes. Oh, I

353
00:35:27,119 --> 00:35:33,520
think um Karen was telling me that I
think that it's coming out with a

354
00:35:31,920 --> 00:35:39,440
different they're matching that too in
the fall and that Madna I think they

355
00:35:36,160 --> 00:35:43,119
have a a combo for CO that's going to
come out and then they have Madna has a

356
00:35:41,760 --> 00:35:46,560
new one that's going to have a little
lower dose which might be nice for

357
00:35:45,280 --> 00:35:51,599
people who have a really aggressive
vaccine reaction you know so that might

358
00:35:49,440 --> 00:35:54,560
» be really nice Fiser has had a lower
dose than the

359
00:35:53,040 --> 00:35:59,280
» and Karen's not here today so I
apologize she left

360
00:35:56,800 --> 00:36:03,599
conference this week
>> um out of town. So, um, she would have

361
00:36:01,920 --> 00:36:08,160
the, you know, the other updates that
she's the one, she's our disease

362
00:36:05,040 --> 00:36:13,040
investigator and is really good at.
>> That's where I'm getting all my

363
00:36:10,480 --> 00:36:17,520
exactly. So,
um, but other than

364
00:36:15,839 --> 00:36:21,200
» um I know the other things he's been
seeing a lot of

365
00:36:19,680 --> 00:36:26,160
a large part of that is increased
testing. Um, adults are at high risk for

366
00:36:24,880 --> 00:36:31,440
it. Like a lot of people have been
living with it and don't know. So

367
00:36:28,240 --> 00:36:35,599
definitely, you know, something to be
aware of and promote. Our doctors are

368
00:36:34,160 --> 00:36:41,200
doing a really good job of testing for
it now. So mostly for women. Yeah. Very

369
00:36:38,400 --> 00:36:46,160
good. Yep.
>> Thank you. Um and other than that, we're

370
00:36:43,599 --> 00:36:50,160
just doing business as usual. Our
clinics, um we've seen an uptick in

371
00:36:48,560 --> 00:36:53,839
travel vaccinations, but I feel like
that's just been great.

372
00:36:51,920 --> 00:36:59,520
» Yeah, it's great sign. Everyone's How
can they afford to travel?

373
00:36:57,520 --> 00:37:05,359
That was your credit card. [laughter]
>> Exactly. Um is um

374
00:37:03,680 --> 00:37:09,760
um
Oh my gosh. As Joyce mentioned, we we

375
00:37:08,320 --> 00:37:14,720
went to confluence this week, which was
a conference put on by three

376
00:37:11,200 --> 00:37:18,160
organizations at the state level. Um not
state level, but three different

377
00:37:16,320 --> 00:37:22,079
organizations from that. So we had
Montana public health association,

378
00:37:20,160 --> 00:37:25,920
environmental health association and
then um public health official

379
00:37:24,480 --> 00:37:30,640
association and they had a board of
health track this year which they had a

380
00:37:28,320 --> 00:37:34,880
year ago as well and it was really good.
Uh we had Damian attend from the board

381
00:37:32,640 --> 00:37:42,480
of health and I attended a few of the
sessions and they were very very useful.

382
00:37:38,400 --> 00:37:46,320
Um my favorite one was the um budgeting
and board of health and then just

383
00:37:44,640 --> 00:37:50,960
learning about the funding at the state
level and what's going on with public

384
00:37:47,920 --> 00:37:59,280
health. Um we knew we knew that we you
know we got a lot of money during CO and

385
00:37:53,440 --> 00:38:03,760
how that has gone from 274 million to 29
million now. So you can see where all

386
00:38:01,680 --> 00:38:12,160
the budget cuts are happening with
public health. Um and that is true for

387
00:38:07,440 --> 00:38:17,680
us too. Our workforce, we get funding to
um have Karen as a disease investigator

388
00:38:15,440 --> 00:38:23,119
and that is going to come to an end next
year, so 2027.

389
00:38:20,079 --> 00:38:30,640
Um there is so we don't know what's
going to happen. Um I talked to the the

390
00:38:26,720 --> 00:38:35,839
gal that kind of is in charge of that
and she's like, "Yeah, that one's my

391
00:38:32,160 --> 00:38:43,119
position, too." Um but you know there's
a sliver of hope um that something else

392
00:38:39,760 --> 00:38:47,280
will will come through. Um and she kind
of has been hearing a little talk about

393
00:38:45,440 --> 00:38:52,320
it but not much. So we'll just see where
it goes. Um and that's going to be huge.

394
00:38:50,880 --> 00:38:59,040
I mean I feel like we were a three
person you know three person um operate

395
00:38:56,320 --> 00:39:03,119
we were operating with three people co
you know co came and now we were able to

396
00:39:00,800 --> 00:39:08,960
hire a fourth person and it's been
wonderful like it's it is a full-time

397
00:39:05,520 --> 00:39:14,800
job um it's you know disease
investigation goes beyond co you know so

398
00:39:11,680 --> 00:39:19,119
like you know uh Karen handles all the
communicable diseases in Beaverhead

399
00:39:16,640 --> 00:39:23,119
County um coordinating those and
investigating those. So, it's so we're

400
00:39:21,760 --> 00:39:26,320
we don't know what's going to happen,
but I mean, we just know that funding

401
00:39:24,800 --> 00:39:30,640
for public health in general obviously
is down. Um, they did talk about talk

402
00:39:28,880 --> 00:39:33,119
about a rural health transformation
grant that we're going to be getting.

403
00:39:31,920 --> 00:39:39,839
Montana's going to be getting in the
next 5 years and that's 233 million. So,

404
00:39:38,079 --> 00:39:44,880
um, we'll see what comes of that and
what projects. I feel like that's what

405
00:39:42,079 --> 00:39:49,839
public health is. we just kind of like
hop from one grant to the other to see,

406
00:39:47,040 --> 00:39:55,680
you know, we take on projects that um
continue to fund us because just like

407
00:39:52,400 --> 00:40:03,280
other counties, like a major part of our
expenses is our staff. You know, we we

408
00:39:59,280 --> 00:40:09,119
we utilize our funding to pay our staff.
And then I'd say,

409
00:40:06,480 --> 00:40:12,400
you know, we're pretty much the same as
other counties. They do the same. like

410
00:40:10,800 --> 00:40:20,800
it costs a lot of money to have
staffing. So probably 70% is for um

411
00:40:18,880 --> 00:40:26,079
you know for staffing and then the other
30 for operational. So so that's what

412
00:40:23,280 --> 00:40:30,400
we're looking at. Um
it is going to be the end of the year so

413
00:40:27,839 --> 00:40:35,119
July 1st of the new year. Um I'm going
to be working on the budget uh for this

414
00:40:33,040 --> 00:40:40,240
year probably in the next coming month.
I haven't started it yet. Um, but I can

415
00:40:38,320 --> 00:40:47,200
expect it to be pretty much the same as
last year and I had all that. Um, you

416
00:40:44,240 --> 00:40:53,200
know, during co we didn't utilize all
all of our mill levies and this year we

417
00:40:49,839 --> 00:40:58,880
did uh which is five mill levies but the
rest of our funding is grant funding. So

418
00:40:55,280 --> 00:41:05,440
like I you know a little less than 3/4
or around 3/4 of our funding comes from

419
00:41:01,440 --> 00:41:13,920
grants and like keeps us going. So, um
I'll be um working on that and

420
00:41:11,359 --> 00:41:18,240
um you know, one of the presentations
that confluence was presenting it to the

421
00:41:16,000 --> 00:41:23,680
board of health.
So, I will be working on that, but you

422
00:41:21,040 --> 00:41:27,839
know, I don't know how you guys want to
proceed going forward.

423
00:41:26,160 --> 00:41:30,960
» We'll better develop that process when
we get a pool board. Right now, we're

424
00:41:29,520 --> 00:41:34,480
just trying to get everyone on board.
>> Okay. So, I'll just keep working. you

425
00:41:32,880 --> 00:41:41,480
know, it gets approved with the
commission. Um, and then I can share

426
00:41:37,520 --> 00:41:41,480
that with you all.

427
00:41:41,520 --> 00:41:48,880
» I have a question.
>> So, I see the $15,000 grant through the

428
00:41:46,079 --> 00:41:51,920
institute is coming up again. Yes, you
guys have plans. Can How many times can

429
00:41:50,880 --> 00:41:54,640
you It's
>> apply for that.

430
00:41:52,960 --> 00:42:00,240
» You can apply for it once.
>> Oh, just once.

431
00:41:55,680 --> 00:42:04,880
» Once. Um, and initially I had applied
for the resource from centers to get

432
00:42:02,400 --> 00:42:08,720
funding, but it didn't really work out
cuz it was a little bit more entailed

433
00:42:06,400 --> 00:42:12,560
than just funding the RAC. So, it would
require more work on our part. So, we

434
00:42:11,040 --> 00:42:18,319
kind of, you know, it wouldn't get
approved for it. Um, yeah, this next

435
00:42:15,200 --> 00:42:22,480
round closes the 22nd, so next week, and
I am planning to submit it to get

436
00:42:21,040 --> 00:42:29,040
funding for the community health needs
assessment.

437
00:42:24,800 --> 00:42:33,920
So, I'm wrapping that up. Um, and should
be it next week. I'm just waiting on one

438
00:42:31,040 --> 00:42:40,160
little piece from uh the office of rural
health.

439
00:42:36,079 --> 00:42:44,400
» Thank you. Have you guys gone to the one
institute summer conference? I know it's

440
00:42:42,240 --> 00:42:49,680
in June at Big Sky. Have you guys gone
to that before? Because I am registering

441
00:42:47,200 --> 00:42:52,880
to go to that and
>> Oh, okay.

442
00:42:50,720 --> 00:42:56,960
» RB coordinator will be going to that.
receiving it as the public health stuff.

443
00:42:55,599 --> 00:43:02,000
» Um,
>> yeah, that's one of our like kind of

444
00:43:00,160 --> 00:43:05,920
requirements for this grant that we got
with her. She attends that. So, and it's

445
00:43:04,800 --> 00:43:09,359
an expensive one.
>> It's really expensive.

446
00:43:07,200 --> 00:43:14,160
» So, we're kind of limited to just
sending her. We do have the funding for

447
00:43:11,680 --> 00:43:17,160
it under that behavior.
>> Yeah.

448
00:43:17,280 --> 00:43:25,200
We don't know.
>> Um,

449
00:43:22,800 --> 00:43:30,359
» I think that's all I have right now. I
mean, as far as public health goes. Um,

450
00:43:33,119 --> 00:43:41,440
» and thank you. I I don't um I don't I I
really like listening to the updates and

451
00:43:39,359 --> 00:43:46,480
they're very important for just
education for a community that reads our

452
00:43:43,520 --> 00:43:54,960
minutes. Uh, but today um Dr.
does have to uh leave us at um in a

453
00:43:50,000 --> 00:44:00,640
minuteish. Um so um I will go ahead and
do you think it's appropriate to um come

454
00:43:57,440 --> 00:44:06,599
back to the discussion or um
>> yeah [snorts]

455
00:44:02,480 --> 00:44:06,599
we need to get that through

456
00:44:07,040 --> 00:44:14,640
» um because
ultimately ultimately if we aren't able

457
00:44:12,560 --> 00:44:18,480
if we do have to leave we can go ahead
and do the action items at the next

458
00:44:17,119 --> 00:44:20,880
point too. So
>> okay

459
00:44:19,359 --> 00:44:25,680
» is that okay? That's fine.
>> Okay. Wonderful.

460
00:44:21,920 --> 00:44:30,400
» Um the I can So as far as the lab
specimen plan, but next time I'll just

461
00:44:28,240 --> 00:44:34,960
bring it around to you guys is okay.
>> It doesn't have to be We went over it at

462
00:44:33,040 --> 00:44:41,040
the board of health meeting. Nobody had
any objections to it, so we can I just

463
00:44:38,160 --> 00:44:43,920
need Damian and Dr. Evans and I think on
it

464
00:44:42,640 --> 00:44:48,000
already signed it.
>> The last specimen transport. Yeah.

465
00:44:46,160 --> 00:44:51,920
» Yeah. So I'll just bring it I'll just
bring it to you guys. Okay,

466
00:44:50,240 --> 00:45:00,680
» that's easy enough.
>> All right. Um, so, um, let's go ahead

467
00:44:55,839 --> 00:45:00,680
and move forward with DES update.

468
00:45:01,440 --> 00:45:04,440
» Yes.

469
00:45:04,800 --> 00:45:15,119
» There you go.
Where to start? [laughter]

470
00:45:10,319 --> 00:45:20,560
Well, they have hired a new um,
fire chief for Dylan. He's not fully on

471
00:45:17,520 --> 00:45:26,560
board yet. So, that's a step in the
right direction. Um, I've met with him a

472
00:45:23,920 --> 00:45:31,839
little bit. It hasn't been
really much, but uh, you know, this will

473
00:45:29,680 --> 00:45:37,680
be
it'll take a while to phase into,

474
00:45:34,000 --> 00:45:39,520
obviously. Um,
>> what's his name?

475
00:45:38,720 --> 00:45:41,920
» Yeah.
>> What's that?

476
00:45:40,480 --> 00:45:45,400
» What's his name?
>> J. Eperson.

477
00:45:45,839 --> 00:45:54,960
» Is he a local person? No, he's out of
somewhere by like Salem or what?

478
00:45:52,800 --> 00:45:58,800
» So, they put the the advertisement out
there. Well, I mean, first of all,

479
00:45:56,880 --> 00:46:05,760
anybody locally and they didn't get any
takers on it and then they had to move

480
00:46:01,839 --> 00:46:11,119
on and spread out and so we wish them
the best of luck and hit the ground

481
00:46:08,160 --> 00:46:16,000
running with that. We all know
um

482
00:46:13,520 --> 00:46:19,839
what was about two weeks ago I attended
the state of Montana. It's called the

483
00:46:17,839 --> 00:46:27,280
county assist team, state incident
management training. I'm

484
00:46:24,000 --> 00:46:31,359
a liaison officer traininee with that
team.

485
00:46:28,960 --> 00:46:35,920
So that's kind of to get everybody on
the ground, have a premeating to see

486
00:46:33,440 --> 00:46:42,960
what is going to potentially happen this
year with uh fire season. And I think

487
00:46:40,319 --> 00:46:48,800
you run into this every time with that
group of people over there that I mean

488
00:46:45,440 --> 00:46:53,760
right now things well even two weeks ago
things look really bad with the moisture

489
00:46:51,599 --> 00:46:58,640
that we be been getting around the state
in the last couple weeks. I mean we look

490
00:46:55,680 --> 00:47:05,047
better. So, nobody really wants to put a
prediction on this. And you ask a lot of

491
00:47:01,839 --> 00:47:08,960
these season fire guys, what's this,
[clears throat] excuse me, fire season

492
00:47:07,440 --> 00:47:12,160
going to be like? And they're going to
say that they'll tell you about

493
00:47:10,400 --> 00:47:18,960
September.
So, right now, things don't look good. I

494
00:47:15,520 --> 00:47:24,560
mean, we don't have snow pack in in a
lot of areas around the state.

495
00:47:21,520 --> 00:47:29,359
um it has very bad potential as us kind
of every year. But if we see this trend

496
00:47:27,359 --> 00:47:37,040
to where we have higher humidities and
precipitation and less wind, then you

497
00:47:33,119 --> 00:47:41,119
know, maybe we'll we'll luck out.
Um

498
00:47:39,200 --> 00:47:45,440
dealt with a couple truck wrecks here
recently. This is kind of both

499
00:47:42,800 --> 00:47:51,200
sanitation.
One of them just weird stuff that we end

500
00:47:47,760 --> 00:47:56,240
up dealing with. This particular truck,
I think it was March 3rd,

501
00:47:54,240 --> 00:48:03,200
Jack
here by Clark Canyon Dam. Didn't do a

502
00:47:59,040 --> 00:48:09,119
whole lot of damage to the the trailer.
They towed it back, sat attorney shop

503
00:48:06,480 --> 00:48:14,319
under refrigeration.
the um

504
00:48:11,359 --> 00:48:18,560
Cardi Towing told the company to come
and get it that the trailer wasn't

505
00:48:16,079 --> 00:48:23,839
damaged that bad. And I'm using this as
a really good example of stuff that we

506
00:48:20,560 --> 00:48:30,079
end up dealing with. It is still sitting
there today under refrigeration

507
00:48:27,760 --> 00:48:37,440
waiting for the insurance companies to
do something about it.

508
00:48:32,640 --> 00:48:43,440
» This is about 40,000 pounds of pork.
And I have we we tried to get the

509
00:48:40,000 --> 00:48:48,960
Montana food bank to take it, but it sat
a little too high. It is at 25 degrees

510
00:48:46,240 --> 00:48:54,319
is kind of a higher freeze. It it sat
too long at a higher freezing temp and

511
00:48:51,839 --> 00:48:59,119
so they wouldn't take it. So it wasn't
good for human consumption. So then I

512
00:48:56,559 --> 00:49:03,839
called the yellow the grizzly discovery
center in West Yellowstone and an animal

513
00:49:01,920 --> 00:49:07,920
feed it to grizzly bears or wolf because
the fat content of pork is too high.

514
00:49:10,160 --> 00:49:18,000
I called the building zoo. I called I
called another grizzly bear place near

515
00:49:15,839 --> 00:49:25,040
Boseman. Again, the same story, but
these wild animals don't name that

516
00:49:20,559 --> 00:49:28,480
fatty. And so, uh, it was ready as then
what happened.

517
00:49:26,640 --> 00:49:35,680
» So, I've been talking to somebody out of
Edmonton, this broker. Yeah. It

518
00:49:32,079 --> 00:49:41,559
originated out of out of uh
out of Red Deer, Alberta, [laughter] and

519
00:49:37,440 --> 00:49:41,559
it was going somewhere in Mexico.

520
00:49:42,079 --> 00:49:51,680
» We're talking 404 $40,000 of pork, which
is well, they said at a minimum that it

521
00:49:48,240 --> 00:49:56,079
was worth about uh they said about
$40,000, $38,000 US.

522
00:49:55,680 --> 00:50:01,119
» Yeah.
>> But that is in the form that it's in,

523
00:49:58,559 --> 00:50:07,200
which is what is it by like by cut
shank. So it was it was hit with fresh

524
00:50:05,200 --> 00:50:12,720
» and then they set the reapfer unit at
like 25° F

525
00:50:09,920 --> 00:50:17,280
so it just slightly freezes it so it's
not frozen solid as a frozen load.

526
00:50:15,280 --> 00:50:21,520
Otherwise it'd be a big ice cube out
there and we wouldn't worry about it so

527
00:50:19,599 --> 00:50:28,640
much. There is another point to this
story that I tell. So then it comes up

528
00:50:25,920 --> 00:50:33,599
that we're you know I'm pressuring them.
Hey, you know, we want that thing gone

529
00:50:30,800 --> 00:50:39,280
now because we locally don't want people
going in there and grabbing it now. And

530
00:50:36,640 --> 00:50:43,839
then I get the word back out of Edmonton
that they sold it to a hoodterite colony

531
00:50:42,160 --> 00:50:46,559
in Manitoba.
>> So now it's got

532
00:50:44,720 --> 00:50:47,920
» So it's supposed to get shipped from
here

533
00:50:47,119 --> 00:50:53,599
» back to Canada.
>> Back to Canada back to Manitoba

534
00:50:51,200 --> 00:50:57,280
for human consumption.
>> And then are they going to resupply

535
00:50:56,000 --> 00:51:01,079
there?
I

536
00:50:57,680 --> 00:51:01,079
» there's an outbreak.

537
00:51:05,040 --> 00:51:12,880
» We've we've done our duty here. Like we
documented it like we're not

538
00:51:09,680 --> 00:51:16,880
recommending that this goes anywhere now
>> and nobody's giving us the direct in

539
00:51:15,359 --> 00:51:20,079
order to say, you know, you're going to
watch it bury it in the dub so we know

540
00:51:19,040 --> 00:51:22,720
that it's gone.
>> Yeah.

541
00:51:20,640 --> 00:51:27,920
» Because technically, you know, we don't
own it. insurance company or the

542
00:51:25,200 --> 00:51:34,000
trucking company or whatever else it
>> so this is just it's a better example

543
00:51:30,800 --> 00:51:38,559
but this is kind of a typical example of
what we deal with when we have a load of

544
00:51:36,079 --> 00:51:43,280
perishables that goes into an accident
and then you also see kind of the

545
00:51:40,559 --> 00:51:49,839
potential there for you know um
foodborne illnesses to to arise in the

546
00:51:46,880 --> 00:51:55,760
community from something like this and
this is common really all over the state

547
00:51:53,040 --> 00:52:00,880
and it's insurance companies don't want
to pay out on it. It it seems more like

548
00:51:58,480 --> 00:52:06,319
they don't want to do anything. So, they
just let it sit there and then it ends

549
00:52:03,200 --> 00:52:13,280
up costing them more and more money and
storage fees and putting fuel in that

550
00:52:09,599 --> 00:52:17,680
refrigerate the the reefer unit and on
and on. It It makes no sense to anybody.

551
00:52:16,160 --> 00:52:21,599
» Yeah.
Um,

552
00:52:18,880 --> 00:52:26,640
» that's crazy.
>> With fire. I don't know. That's that's

553
00:52:23,920 --> 00:52:30,960
kind of all I have. I guess I've been
working on emergency operations plans

554
00:52:29,200 --> 00:52:36,720
trying to get those going a little bit
further and that's always a work in pro

555
00:52:34,240 --> 00:52:42,800
progress. Um, so
>> um, is there any coordination with the

556
00:52:39,599 --> 00:52:49,160
military on the munition cleanup by
Hispanics? Yeah,

557
00:52:44,079 --> 00:52:49,160
» I was like, "Wow, that's interesting."

558
00:52:49,200 --> 00:52:59,920
» Yes, there is. So, Dylan Fire and DNRC
are actually the ones that found that

559
00:52:55,920 --> 00:53:04,960
there was a fire out there probably,
how long ago was that? Four or five

560
00:53:02,400 --> 00:53:10,160
years ago, I bet.
And as it burned into the grass,

561
00:53:07,200 --> 00:53:15,760
somebody was up there. I don't remember
whether it was still fire, guys. I think

562
00:53:12,400 --> 00:53:20,400
it was actually low and they had a low
you know what moment with them saying

563
00:53:17,920 --> 00:53:25,760
the word and they found this really
strange thing laying there in the out

564
00:53:22,800 --> 00:53:31,760
the grass and sage brush burn up and
they did the right thing and they didn't

565
00:53:28,240 --> 00:53:36,079
go play with it. They backed off like
we're trying to do and then as the

566
00:53:34,480 --> 00:53:40,640
ground crews were up there looking
around that that site, they found more

567
00:53:38,079 --> 00:53:44,880
of it. And then come to find out, you
know, through some kind of like local

568
00:53:42,319 --> 00:53:49,680
history, somebody said, "Yeah, they used
to fire a tail artillery at that

569
00:53:47,280 --> 00:53:56,800
hillside right there."
>> So then it was recorded through state DS

570
00:53:53,280 --> 00:54:01,520
like it's supposed to be. Um the guard
went down and did an assessment on it.

571
00:53:59,200 --> 00:54:07,280
They sent me several letters on it
letting me know what's going on. And you

572
00:54:05,040 --> 00:54:11,280
know, it's it's taken a lot of years,
which is

573
00:54:09,359 --> 00:54:16,160
kind of strange because, you know, when
people when you find something like

574
00:54:14,160 --> 00:54:19,599
that, especially in the area that it's
in, I mean, there's a lot of people that

575
00:54:17,920 --> 00:54:24,400
want to go up there and see if they can
find more.

576
00:54:22,319 --> 00:54:30,160
I guess that's what they want to do, but
I'm not going to recommend it because

577
00:54:26,480 --> 00:54:37,040
there is some potential that there
could be live rounds up there and it's

578
00:54:33,520 --> 00:54:44,400
probably not really high
um explosive rounds, but the fuses are

579
00:54:41,040 --> 00:54:50,559
are enough or you know the little the
smaller rounds are are enough for a lot

580
00:54:46,960 --> 00:54:54,880
of damage. So they have this plan where
they're going to go an accessible site

581
00:54:52,880 --> 00:54:58,720
and if they find something they'll
remove it remove it and disclose the

582
00:54:57,520 --> 00:55:04,480
property.
>> I just thought that was a lot of large

583
00:55:01,520 --> 00:55:07,480
site. I mean 3,000 over 3,000 acres.
>> Yeah.

584
00:55:13,839 --> 00:55:19,280
» Nice sanitation bar too.
>> Yeah. And then after that we can

585
00:55:17,040 --> 00:55:25,839
transition to Joyce. Yeah.
>> Okay. So

586
00:55:22,000 --> 00:55:31,839
usual stuff and we have
it's not a big rush of building going on

587
00:55:29,680 --> 00:55:37,359
recently, but there's definitely kind of
a steady flow of new septic permits

588
00:55:35,280 --> 00:55:42,160
being applied for. Not a whole lot of
subdivisions.

589
00:55:39,280 --> 00:55:49,520
Um, we've had some pretty major
violations here of people building RV

590
00:55:46,240 --> 00:55:54,760
spaces. People
over a period of time have done some

591
00:55:55,920 --> 00:56:05,440
built where they weren't supposed to
build in flood floodprone areas

592
00:56:02,799 --> 00:56:10,559
and we have had to go to enforcement on
a bunch of these things.

593
00:56:08,000 --> 00:56:16,319
um out in my
tours around the county and going into,

594
00:56:13,599 --> 00:56:21,920
you know, different areas, it seems like
every time that I take a little bit of a

595
00:56:18,240 --> 00:56:28,880
drive, I find another violation of
something. Somebody pulling in, you

596
00:56:25,200 --> 00:56:36,799
know, new RVs into a site that's that's
on a property and obviously living in

597
00:56:32,319 --> 00:56:43,680
them. The state of Montana, the rules on
RV or trailer spaces are two or two or

598
00:56:40,240 --> 00:56:50,960
more open to the public are required to
be licensed. Then that requires a DEEQ

599
00:56:47,280 --> 00:56:54,640
approval as well as the DPHS
planning and licensing approval.

600
00:56:53,899 --> 00:57:01,760
[snorts]
um if they're not open public for a rent

601
00:56:59,440 --> 00:57:07,520
then it becomes sanitation and
potentially a subdivision violation.

602
00:57:04,880 --> 00:57:11,599
And the other one is people just
starting to build things without getting

603
00:57:09,440 --> 00:57:18,799
any kind of permissions
and if it snowballs um lawyers get

604
00:57:16,240 --> 00:57:24,160
involved in a lot of cases.
We had to tell somebody to tear out a

605
00:57:22,240 --> 00:57:30,880
foundation that was built in the wrong
spot and these things get very very

606
00:57:27,359 --> 00:57:35,839
contentious and expensive. So we always
want the word out there to people that

607
00:57:33,440 --> 00:57:39,839
if you're going to do something, if
you're going to build something, please

608
00:57:37,520 --> 00:57:48,319
get a hold of us and ask the questions
first because prevention is a lot easier

609
00:57:43,359 --> 00:57:53,599
and cheaper than the aftermath.
Then moving on, um, Commissioner Rice

610
00:57:51,680 --> 00:57:58,880
just got a hold of me on, you know,
another big sanitation violation of

611
00:57:55,760 --> 00:58:02,960
somebody that's collecting
everything that you can imagine. Junk

612
00:58:00,880 --> 00:58:08,880
vehicles, junk equipment. This has been
going on for a long, long time.

613
00:58:06,160 --> 00:58:13,280
Countyy's rules and regulations on this
are

614
00:58:10,480 --> 00:58:18,880
kind of difficult to enforce,
but we've got several of these big um

615
00:58:16,559 --> 00:58:23,680
kind of boring cases of
>> just junk

616
00:58:20,720 --> 00:58:26,160
and there are several there are many
around the county and

617
00:58:25,359 --> 00:58:31,280
» and in the city
>> we we and in the city

618
00:58:28,799 --> 00:58:36,480
» and we have had some success of
pressuring them to clean some of the

619
00:58:33,200 --> 00:58:42,240
stuff up. We have we do have a fund that
we work jointly with Montana EQ and it

620
00:58:39,839 --> 00:58:48,000
kind of administers that is for a little
while called our junk vehicle fund. So

621
00:58:45,119 --> 00:58:56,440
if it's a vehicle that is supposed to be
licensed we can use that funding to pay

622
00:58:52,640 --> 00:58:56,440
for it to be removed

623
00:58:58,160 --> 00:59:06,319
all these other things.
So, we're gradually working on this with

624
00:59:04,079 --> 00:59:10,960
some mixed success, I guess, would be
the way to put it.

625
00:59:08,720 --> 00:59:16,000
» Reporting cases in the city limits, too,
and I've made the city aware of it. No

626
00:59:13,200 --> 00:59:20,400
one from the city is here this morning.
Um, but uh that that that the

627
00:59:18,960 --> 00:59:26,240
enforcement for that, there is an
ordinance in the city for us. And these

628
00:59:24,400 --> 00:59:29,040
uh hoarding cases in the city are
actually more dangerous, I think,

629
00:59:27,680 --> 00:59:33,359
sometimes than the ones out in the
county because the properties are real

630
00:59:31,280 --> 00:59:39,359
close together. And so somebody has a
lot of fire um hazard stuff sitting

631
00:59:36,480 --> 00:59:43,440
there piled up um old vehicles, things
like that. It it's a harbor. It it

632
00:59:41,599 --> 00:59:48,480
basically makes homes for our rodents.
We have problems with um Jessica had

633
00:59:46,160 --> 00:59:53,280
that problem with her neighbor and I
written letters to the city about it and

634
00:59:50,960 --> 00:59:59,359
I' not there's been no enforcement um
from them on these cases. I have to I

635
00:59:56,799 --> 01:00:03,440
can't enforce it myself because it's not
within the city limit. So, but um you do

636
01:00:01,760 --> 01:00:07,200
have and I did go to a hoarding
workshop. I'd like to let this person

637
01:00:05,520 --> 01:00:13,599
come talk to us. Um but they have a
hoarding task force and it went last

638
01:00:09,760 --> 01:00:17,520
year. Um, a lot of times, you know,
people like hoard that have like these

639
01:00:15,680 --> 01:00:22,319
huge amounts of things that they can't
get rid of, there's a mental aspect to

640
01:00:20,160 --> 01:00:26,000
that and you have to really coach them
in getting rid of their stuff and

641
01:00:24,559 --> 01:00:31,040
understand the bigger picture of the
hazards they're creating around that.

642
01:00:29,280 --> 01:00:34,240
And then it helps them understand why do
we need to clean some of that out

643
01:00:32,640 --> 01:00:39,119
sometimes and sometimes they won't be
written but and you have to you know

644
01:00:36,799 --> 01:00:44,559
citations and stuff but there are
there's a lot to learn about wording

645
01:00:41,599 --> 01:00:49,200
itself like when it is becoming more of
a problem. It's kind of it's definitely

646
01:00:46,319 --> 01:00:54,880
public. Well, you know, our little that
little building in Lyman next to the

647
01:00:51,680 --> 01:01:00,359
post office that broke down in
>> February that made it a little bit

648
01:01:09,839 --> 01:01:16,079
» um do you want to ask Megan if she
approved you approved the minutes that

649
01:01:12,880 --> 01:01:19,839
were sent out?
Yeah, there's a

650
01:01:17,760 --> 01:01:28,520
» long
approve. Thank you.

651
01:01:23,520 --> 01:01:28,520
» You're okay with my best

652
01:01:29,440 --> 01:01:38,559
sanitarian stuff. Um, one of the biggest
things Todd and I have tried to do is

653
01:01:35,839 --> 01:01:43,520
make all of our forms accessibility. I
like accessibility as one of our goals

654
01:01:40,880 --> 01:01:48,000
to make sure that the public because we
are, you know, government is a service

655
01:01:46,079 --> 01:01:53,200
to the people. That's why they pay
taxes. And so to give them a service to

656
01:01:50,880 --> 01:01:57,839
be able to access all the current forms
and information that they need for their

657
01:01:55,760 --> 01:02:02,960
businesses on the environmental health
page on the website, which you can

658
01:02:00,319 --> 01:02:06,799
access by going to behike countym.gov
and then go to environmental health.

659
01:02:04,559 --> 01:02:10,720
There's drop- down menus on that page. I
know some of you are very familiar with

660
01:02:08,480 --> 01:02:15,839
them. They have everything, all the
licensing information, septic permitting

661
01:02:13,599 --> 01:02:19,359
information, other information, but it
makes it really easy when I'm on a hold

662
01:02:17,520 --> 01:02:23,200
with people to just tell them, "Okay,
get off your computer and go to this

663
01:02:21,119 --> 01:02:28,400
place, get this form, and print it out."
So, it's really been a big thing to keep

664
01:02:25,520 --> 01:02:32,559
these forms updated. Um, the other thing
is we also are one of the only counties,

665
01:02:30,720 --> 01:02:37,119
if not the only county, and I'm not
kidding you, I talked to the lady that's

666
01:02:34,240 --> 01:02:41,760
in charge of the Missoula Health
Department this week and she was

667
01:02:39,359 --> 01:02:45,920
impressed and we offer a food handler
certificate course on our website and

668
01:02:44,079 --> 01:02:52,160
you can take it. It's a half an hour
course. It's actually hosted by the

669
01:02:49,200 --> 01:02:58,400
Tacoma Pierce Health Department who was
actually noticed it by Nationwide by

670
01:02:55,680 --> 01:03:03,920
their cutting edge food safety stuff and
they were featured on PBS um for so it's

671
01:03:01,520 --> 01:03:09,119
a food code course. They're hosting it
but we're linked into the course and you

672
01:03:06,400 --> 01:03:14,160
get a card a two-year food handler card
for Beaverhead County for $25 and it's

673
01:03:11,920 --> 01:03:18,400
only a half an hour class. Anybody
that's touching food should take this

674
01:03:16,160 --> 01:03:23,039
class. If you are wanting a more
in-depth class, there's actually a law

675
01:03:19,920 --> 01:03:27,440
in Montana that anybody that owns a food
establishment, one person should have a

676
01:03:25,200 --> 01:03:32,559
food manager level course and that's a
little more intense. And that's an all

677
01:03:29,440 --> 01:03:36,559
day course. I offered it in January. We
had it cut off registration because we

678
01:03:34,640 --> 01:03:41,440
had so many people wanted to take it. We
had 20 people take it. Of those 20

679
01:03:38,799 --> 01:03:44,880
people, 17 passed it and the other
remaining three hopefully will come back

680
01:03:43,359 --> 01:03:49,680
because I talked to the Stillwater
County. We did a joint last for nine

681
01:03:47,440 --> 01:03:53,839
Stillwater County Extension and we
co-taught it and she's planning on

682
01:03:51,920 --> 01:03:57,680
coming back in early October. We just
had to solidify the date with the Elks

683
01:03:55,680 --> 01:04:02,079
because they donated the room that day.
And that is a all day course. Um it's

684
01:04:00,160 --> 01:04:06,079
usually that class, I'm not kidding,
there's up in Boseman a company that

685
01:04:03,839 --> 01:04:12,400
charges like over $200 for it. We got
her down to 75 bucks a so this is a

686
01:04:10,400 --> 01:04:16,319
gallant. We need to give people a gift.
So $75.

687
01:04:14,400 --> 01:04:21,200
Um hopefully she'll still be able to
keep that cost for the October course,

688
01:04:18,240 --> 01:04:26,319
but it details will be coming on our
Facebook page for that. In climate, the

689
01:04:24,480 --> 01:04:31,760
kids are opening. We expanded our
concession stand in our gym area and the

690
01:04:29,680 --> 01:04:35,039
kids uh worked on that as part of like a
CT

691
01:04:33,359 --> 01:04:41,760
and so this summer they're going to
operate a beverage bar and everything

692
01:04:37,280 --> 01:04:46,880
and I wanted to see if they could do
surf day with you and we could donate

693
01:04:44,240 --> 01:04:50,400
the space at the school and anything
else. I don't know if we have time for

694
01:04:49,280 --> 01:04:53,520
something like that or what it would
take, but maybe we wait till October.

695
01:04:53,039 --> 01:04:56,079
But
>> yeah,

696
01:04:54,000 --> 01:05:01,359
» I think the kids that would be working
in there, it would be really great. And

697
01:04:57,760 --> 01:05:04,559
most especially Mrs. Bernard and the the
business teacher is going to be running

698
01:05:02,799 --> 01:05:09,760
everything. That way she has the
capacity to kind of um have her agency

699
01:05:08,400 --> 01:05:12,880
over what they're doing instead of the
line.

700
01:05:11,200 --> 01:05:16,240
» Yeah. And I think what we maybe should
do is just do the $25 food handler for

701
01:05:15,760 --> 01:05:20,480
them.
>> Would that be enough? Yeah, for just

702
01:05:18,319 --> 01:05:25,440
beverages and and snack prepaid prep
preackaged stuff that they're selling.

703
01:05:22,640 --> 01:05:29,280
» Yeah, they want to cook some stuff like
stuff over there in the cafeteria and

704
01:05:27,599 --> 01:05:33,760
then bring it over. So,
>> because the only reason I would hesitate

705
01:05:31,039 --> 01:05:38,000
to open up another Surf Safe manager is
there's a little bit involved with

706
01:05:34,960 --> 01:05:41,920
ordering the exams and the booklets from
Surf Safe and Okay,

707
01:05:39,359 --> 01:05:46,160
» it'd be better if we had a whole like we
could certainly reserve a couple spots

708
01:05:44,079 --> 01:05:50,480
and not fill the class. So they just go
later

709
01:05:48,559 --> 01:05:54,160
and then the kids.
>> Yeah. Have them have most of them take

710
01:05:52,319 --> 01:05:57,359
the food handler and then the person
that's kind of in charge we'll get them

711
01:05:55,520 --> 01:06:01,680
in that other class later.
>> Okay.

712
01:05:57,680 --> 01:06:06,000
» That way. Yeah. So um and then uh good
though. I'm glad that you're thinking

713
01:06:03,039 --> 01:06:09,680
about that. And then uh
we're enrolled in the FDA food standards

714
01:06:07,920 --> 01:06:16,400
again this year for four years. We got a
grant um this year uh 20 or I I asked

715
01:06:13,680 --> 01:06:21,119
for 26,000. They gave us 14,000. The
programs have all been cut. So we were

716
01:06:18,000 --> 01:06:24,240
lucky to get the boards that uh 4,000 of
it is going to go to training. It has to

717
01:06:22,799 --> 01:06:31,359
go to training. So Tom and I are going
to go to the NIH um annual um meeting

718
01:06:28,640 --> 01:06:38,319
which is basically a really informative
nationwide food safety um which will be

719
01:06:34,400 --> 01:06:42,000
in um oh August, early August. um we're
already enrolled for that and that is

720
01:06:40,079 --> 01:06:47,760
paid for by this grant and then the
remaining funds 10,000 will go toward

721
01:06:45,119 --> 01:06:53,359
our general fund in our department which
we will we use for salaries and also

722
01:06:51,039 --> 01:06:56,960
supplies like I buy pro thermometers and
give them out at every inspection cuz

723
01:06:55,359 --> 01:07:00,880
believe me every time I ask people if
they're using their probe thermometer

724
01:06:58,480 --> 01:07:05,280
they go look in a junk drawer and try to
find it and tell me that they're using

725
01:07:02,240 --> 01:07:09,119
it every day and I'm like really it's
that available to you that you're You

726
01:07:07,440 --> 01:07:15,839
see it get every day that you have to go
look for them. Anyway, um yeah. Anyway,

727
01:07:11,920 --> 01:07:20,079
so then uh and then let's see. Oh yeah.
So then office constantly works with

728
01:07:17,920 --> 01:07:23,359
public uh least water compliance. Miss
Farmer and I have been writing letters.

729
01:07:21,599 --> 01:07:28,240
I've been sending out letters about
people parking our lease on their win.

730
01:07:25,359 --> 01:07:33,839
And then some of these people, we have
found one already. This tapped into it

731
01:07:31,599 --> 01:07:39,520
just opened up the lid of their septic
and put the se the septic tank tube from

732
01:07:37,599 --> 01:07:44,559
their RV that's parked in their yard
flowing in so that when these houses are

733
01:07:41,920 --> 01:07:50,319
originally designed, the septic system
is usually designed just for the house.

734
01:07:47,440 --> 01:07:55,200
Unless when they design the septic
knowing there's going to be an extra pad

735
01:07:52,319 --> 01:07:59,839
next door, they already design it for
the additional load, but a lot of times

736
01:07:57,200 --> 01:08:06,640
that's not the case. And we've been
checking up on these ones that were

737
01:08:03,760 --> 01:08:10,319
» parked and people do say I can do
whatever I want with my land. Yeah, you

738
01:08:08,160 --> 01:08:13,599
can, but you also your contain is going
to fail. We should help you with that,

739
01:08:12,559 --> 01:08:19,040
right? you guys talking about
>> with a lot of these cases like that,

740
01:08:15,359 --> 01:08:25,040
what Joyce is talking about, they um
they're in subdivisions and

741
01:08:22,400 --> 01:08:29,359
the safety system is designed for one
single family residence. So then they're

742
01:08:26,960 --> 01:08:33,199
out of compliance with that. then
they're also out of compliance with your

743
01:08:31,440 --> 01:08:40,400
subdivision
um covenant and then you're expecting or

744
01:08:38,000 --> 01:08:45,679
kind of that authority falls onto the
the homeowners association to enforce

745
01:08:43,199 --> 01:08:50,480
that covenant and then usually this
falls to pieces right there. Then they

746
01:08:48,239 --> 01:08:55,759
throw it back on us and it becomes just
the circle and and it's difficult to get

747
01:08:54,159 --> 01:09:00,640
something done with it. Most of the
time, 90% of people really want to do

748
01:08:58,319 --> 01:09:04,319
the right thing. We do have occasions
where they don't want to do the right

749
01:09:02,640 --> 01:09:08,560
thing. And those who are the ones that
take up most of our time

750
01:09:06,319 --> 01:09:13,120
» cuz we have to really
>> kind of massage them into like doing the

751
01:09:11,759 --> 01:09:16,640
right thing. Like, yeah, you really need
to do the right thing because if there's

752
01:09:14,480 --> 01:09:21,679
a bunch of septage on your yard and
somebody's dog runs or a little kid's

753
01:09:18,799 --> 01:09:25,199
balloons or when your neighbor's kids
are out playing and they get sick,

754
01:09:23,839 --> 01:09:30,000
that's going to be a problem for you,
you know. So, you have to really, like,

755
01:09:26,400 --> 01:09:33,120
again, scare them to comply
all the time.

756
01:09:30,640 --> 01:09:38,080
» Uh, then we have a Facebook page.
Environmental health has had one for

757
01:09:35,679 --> 01:09:42,319
four years now, and it's grown on every
year. we get more people that like our

758
01:09:39,920 --> 01:09:46,159
page and repost things on that. Then we
repost it on pages with more traffic

759
01:09:44,239 --> 01:09:50,080
like the middle community page has like
what 15,000 followers. So that way we

760
01:09:48,239 --> 01:09:55,120
get the word out about things like this
thing. I'm going up there and then the

761
01:09:53,040 --> 01:09:59,920
hass training Tom and I went to last
year in Iowa which is a hazard analysis

762
01:09:57,760 --> 01:10:03,440
critical control point. This is actually
really good because we have a lot of we

763
01:10:01,120 --> 01:10:07,679
have meat processors in this county. Um
people that are manufacturing their own

764
01:10:05,520 --> 01:10:14,560
foods, they have to follow certain
guidelines. They have to fill out uh

765
01:10:09,920 --> 01:10:20,000
HASA plan. Um the only state inspected
meat processing plant in this county is

766
01:10:17,120 --> 01:10:25,360
Del. And they're the only ones that can
sell their meat to a grocery store. The

767
01:10:22,480 --> 01:10:30,000
other places are just custom processors
and they do it for private parties only.

768
01:10:27,600 --> 01:10:34,480
That's through not just other ones,
that's through USDA.

769
01:10:32,560 --> 01:10:38,960
There's like some strict laws about meat
in the state of Montana. Um, so but ASIP

770
01:10:36,800 --> 01:10:41,679
is really something
in that training was really great

771
01:10:40,080 --> 01:10:45,440
because the forms that one of those out
that are crazy long and now we have all

772
01:10:43,600 --> 01:10:50,080
the blank templates and so I can help
people with that. Uh, work to create

773
01:10:47,600 --> 01:10:53,920
positive relationship with people in our
area. people that are not doing things

774
01:10:51,840 --> 01:10:57,520
that they should be. We really try to um
get them to understand doing the right

775
01:10:55,760 --> 01:11:01,920
thing is in the best interest of
everyone like uh so that's what we're

776
01:11:00,000 --> 01:11:06,719
doing is of course there's people that
don't like our health department because

777
01:11:04,640 --> 01:11:10,640
we try to change their thoughts on how
they're doing something but we're trying

778
01:11:08,719 --> 01:11:14,480
to work on that with people that are the
most difficult and again they take a lot

779
01:11:12,640 --> 01:11:20,640
of our time off but that's part of our
job. Anyway, okay. Thank you.

780
01:11:18,880 --> 01:11:24,640
» We appreciate you.
>> She reminded me of something. Okay.

781
01:11:23,280 --> 01:11:34,080
» Oh, here.
>> So, um, disaster and emergency services.

782
01:11:29,440 --> 01:11:39,040
You see the I'm a halftime coordinator
and um

783
01:11:37,199 --> 01:11:43,280
Michelle Or is the halftime
administrator

784
01:11:40,719 --> 01:11:48,480
and we do in the past have received
quite a bit of money to to fund this

785
01:11:45,520 --> 01:11:54,719
program. So for example about three
years ago $50,000 two years ago it was

786
01:11:51,920 --> 01:12:03,920
about $40,000.
Last year it was $15,000.

787
01:11:59,199 --> 01:12:13,440
um that less than $15,000 figure just
got we've been running on that grant

788
01:12:08,480 --> 01:12:17,360
for this past fiscal year. Um and it was
just approved probably about two weeks

789
01:12:15,520 --> 01:12:23,360
ago.
Um, usually the grant for the what's

790
01:12:20,880 --> 01:12:29,600
called the EMPG, which I'm talking about
now, emergency planning grant opens up

791
01:12:27,199 --> 01:12:36,960
probably usually around I don't know
beginning of uh wait a minute

792
01:12:33,600 --> 01:12:42,239
beginning mid January somewhere in there
as well as the state homeland security

793
01:12:39,679 --> 01:12:48,960
grant which that's the one that we've
used to put the generator in over at the

794
01:12:46,080 --> 01:12:54,640
uh at the courthouse which thankfully
has just been completed.

795
01:12:51,600 --> 01:12:59,920
Um we've received quite a bit of funding
to do different things even to kind of

796
01:12:57,360 --> 01:13:05,520
do some upgrades on this building. Well,
we received the grant. Didn't receive

797
01:13:01,679 --> 01:13:11,520
the funding yet. Back to that. So the
point being here is

798
01:13:08,640 --> 01:13:18,080
the grants that were supposed to open up
about January and close probably the

799
01:13:15,040 --> 01:13:21,679
beginning of March still have a lock on
them that says that the federal

800
01:13:19,600 --> 01:13:27,920
government is not giving any information
on these grants. So we don't know what

801
01:13:24,880 --> 01:13:33,440
the future of these programs are. And
with that being said, it's just not

802
01:13:30,480 --> 01:13:38,719
that's not just Beaverhead County. Yes,
every jurisdiction that is under

803
01:13:35,600 --> 01:13:45,199
disaster and emergency services within
the state if not the whole nation. And

804
01:13:42,719 --> 01:13:51,199
right now, I think kind of the word out
there on the street is that if we have a

805
01:13:48,800 --> 01:13:56,719
natural disaster, we don't know the
status of FEMA.

806
01:13:54,560 --> 01:14:01,840
Yeah, we tried to log on there to do
like our yearly just a yearly IC

807
01:13:59,600 --> 01:14:05,840
training and the website is down because
we don't have access and the online

808
01:14:03,600 --> 01:14:11,840
courses at this point totally.
>> Yeah, that's concerning for sure.

809
01:14:08,719 --> 01:14:17,840
» Um, how much Joyce, how much of your
salary is grant funed? Well, exceeds

810
01:14:15,440 --> 01:14:25,199
like almost a good portion of the money.
So, like we get I mean the FDA grant is

811
01:14:22,560 --> 01:14:29,600
isn't as much as what we get back from
the state because every inspect and the

812
01:14:27,520 --> 01:14:34,080
fees went up uh because the legislature
passed increase in fees last year. So,

813
01:14:32,159 --> 01:14:39,120
all the fees for licensed establishments
went up and they needed to. I mean, it

814
01:14:35,679 --> 01:14:43,120
was like ridiculously low. And so, um
every quarter I do an audit and I have

815
01:14:41,120 --> 01:14:47,840
to send in a sampling. They they send me
a list of inspections I entered and then

816
01:14:45,520 --> 01:14:52,000
they send me a sampling and I have to
send them back those inspections that

817
01:14:50,400 --> 01:15:00,159
they asked for and then they reimburse
me 90% of the fees that are paid. So um

818
01:14:58,320 --> 01:15:04,640
of all the licensed establishments I
haven't actually come up with a number

819
01:15:01,520 --> 01:15:08,560
but I would say probably about um 80% of
my salaries funded by grants.

820
01:15:06,640 --> 01:15:13,360
» So how much should we save back from
those licensing fees? Right now I can't

821
01:15:11,520 --> 01:15:19,239
meet everything changed for this year.
I'm gonna guess that everything almost

822
01:15:15,760 --> 01:15:19,239
double. So

823
01:15:20,880 --> 01:15:28,640
» $40,000 a year now.
>> 40.

824
01:15:24,719 --> 01:15:32,320
» Oh, I mean I don't probably
>> 80%.

825
01:15:29,760 --> 01:15:37,440
» I just say that because because I feel
like everyone needs to know how much

826
01:15:34,159 --> 01:15:40,080
work goes into what you do and
>> a lot of running around. I don't think

827
01:15:38,719 --> 01:15:44,159
people realize that part,
>> right? Why do you need a car?

828
01:15:42,400 --> 01:15:49,600
» Well, again,
>> the the really good thing with Joyce's

829
01:15:46,239 --> 01:15:53,920
position is um it's sort of like the
harder that she works with with reaching

830
01:15:51,760 --> 01:15:59,040
out to the establishments,
the more she raises that percentage, the

831
01:15:56,640 --> 01:16:06,239
more money that we receive back into
that fund, the ends of going to the

832
01:16:02,000 --> 01:16:13,199
department. And I guess her salary and
then she's been bringing in a pile of

833
01:16:09,440 --> 01:16:15,840
that grand honey through USDA. So she's
Joyce is kind of selfplugged her

834
01:16:14,880 --> 01:16:20,360
position.
>> Yeah.

835
01:16:16,480 --> 01:16:20,360
» Which we've never done.

836
01:16:21,122 --> 01:16:23,142
[laughter]

837
01:16:26,363 --> 01:16:33,199
[laughter] This was the answer why you
don't see Joyce in the office all that

838
01:16:30,719 --> 01:16:35,520
much because her office is the whole
county.

839
01:16:33,840 --> 01:16:39,679
» And just as a reminder, we do have the
biggest county in Montana. She has a lot

840
01:16:37,679 --> 01:16:43,600
of
>> Yeah. take me longer way longer to get

841
01:16:42,239 --> 01:16:45,840
it somewhere.
>> Well,

842
01:16:44,080 --> 01:16:50,800
» but you know what? I also want you to
know that one of the things that I've

843
01:16:48,239 --> 01:16:54,960
worked on is making people not afraid of
this. I mean, there's always people that

844
01:16:53,360 --> 01:16:58,400
and I'm working right now with someone
that's resistant to it. Like, why do I

845
01:16:56,800 --> 01:17:01,520
need to make selfies?
>> Well, for safety,

846
01:17:00,159 --> 01:17:06,080
» like, don't you want to do the same
thing?

847
01:17:03,360 --> 01:17:09,440
Like, I mean, in other words,
>> yeah. But most of the time, like today,

848
01:17:07,920 --> 01:17:12,800
I got somebody that said, "Hey, I'm
going to be in this UI shop." Like, it's

849
01:17:11,440 --> 01:17:16,000
already a business owner and they're
already contacting me ahead of time

850
01:17:14,480 --> 01:17:20,320
saying, "We're going to be calling you
in a couple weeks to come in and do this

851
01:17:18,080 --> 01:17:24,719
inspection of licenses." So if you're on
that term with people that they like

852
01:17:21,920 --> 01:17:28,000
you, they're definitely going to not be
afraid of you. I mean, when I see

853
01:17:26,320 --> 01:17:33,239
something establishment says, scary, I
tell them. I'm like, you know, I don't

854
01:17:29,280 --> 01:17:33,239
know if I do this because

855
01:17:33,920 --> 01:17:39,199
» I don't, you know, try to be there are
sometimes when some things are really

856
01:17:37,840 --> 01:17:42,400
out of control and I'll go in and be
like, what are you guys going to do? Cuz

857
01:17:40,480 --> 01:17:46,800
like this cooler does not look good.
Holy crap. What's there some stuff in

858
01:17:44,239 --> 01:17:52,159
here that's pretty scary? Like I get
like that a little bit but you know

859
01:17:49,679 --> 01:17:56,320
try to not be so awful that they don't
want to call you. You know what I mean?

860
01:17:53,679 --> 01:18:02,000
And then they don't tell you stuff. So
we have that same outlook with the land

861
01:17:59,199 --> 01:18:05,600
use side of it as well as with planning
because uh you know if somebody's

862
01:18:04,080 --> 01:18:11,600
getting ready to do a subdivision or
just a survey or whatever or put in a

863
01:18:08,960 --> 01:18:17,679
septic you know that there is a history
of it in this area that they literally

864
01:18:15,600 --> 01:18:22,320
put something in and then they ask for
forgiveness.

865
01:18:19,199 --> 01:18:27,920
And like what I was mentioning earlier,
when it come when it comes to like these

866
01:18:24,239 --> 01:18:33,280
flood plane issues, we're on three major
ones right now. They literally built in

867
01:18:30,239 --> 01:18:37,280
this area and when we have to go to
enforcement on something like that, it

868
01:18:35,280 --> 01:18:43,920
it's horrible. It's horrible for
everybody and it costs a lot of money.

869
01:18:40,560 --> 01:18:52,080
So we we kind of think of ourselves more
like teachers and a resource. We want

870
01:18:48,480 --> 01:18:57,679
the public to come in and ask us if it's
about a septic, whatever it is. And

871
01:18:55,280 --> 01:19:02,159
we've gotten like like with the way that
I work that we're on pretty much a

872
01:18:59,600 --> 01:19:10,159
firstname basis with every one of the
contractors out there that's doing this

873
01:19:04,000 --> 01:19:16,159
work, the surveyors, um probably 98% of
the railers. And we want them to know

874
01:19:13,280 --> 01:19:21,600
that they could be, can be, should be,
are welcome to get a hold of us at any

875
01:19:19,120 --> 01:19:25,120
point with questions to try and, you
know, re resolve these issues

876
01:19:23,600 --> 01:19:28,880
beforehand.
And it works well for the most part.

877
01:19:27,199 --> 01:19:35,440
» I mean, I think a building permit down
the road could be a good idea tied to

878
01:19:32,080 --> 01:19:39,920
your septic permit because people start
construction before they contact you and

879
01:19:38,239 --> 01:19:43,600
they might even put a level in in the
wrong spot. because they think they know

880
01:19:41,760 --> 01:19:49,280
what they're doing. And I think a
building permit process, we could pass

881
01:19:45,760 --> 01:19:56,239
it in this county uh would help with a
lot of mis perception that it's the wild

882
01:19:54,159 --> 01:20:00,800
west and people do whatever they want
because they can't just build. We've had

883
01:19:59,120 --> 01:20:05,199
stuff built in flood planes. I mean,
there's people doing things that they

884
01:20:02,640 --> 01:20:09,360
shouldn't be
permit. They have to ask ahead of time

885
01:20:06,880 --> 01:20:12,960
before they start construction. And that
would be

886
01:20:10,560 --> 01:20:18,400
» the word of the assumption out there is
we don't have any building permits.

887
01:20:14,800 --> 01:20:24,320
Well, we don't have code enforcement.
We don't have building permits, but

888
01:20:21,360 --> 01:20:29,040
that's only partially true. You have to
go through subdivision. You have to get

889
01:20:26,080 --> 01:20:34,400
the proper survey done. In some cases,
you have to have an electrical permit.

890
01:20:31,360 --> 01:20:39,280
You have to have um plumbing is supposed
to be permitted and expect and

891
01:20:36,320 --> 01:20:45,679
inspected. If it's commercial, it's
subject to coding with the state of

892
01:20:41,199 --> 01:20:51,040
Montana. There to say that there is no
building permits out there is not 100%

893
01:20:49,600 --> 01:20:55,280
true.
>> But people don't know that. But you see

894
01:20:53,440 --> 01:20:59,679
the county
and

895
01:20:56,719 --> 01:21:04,560
» people people say that and that is kind
of the answer that they get

896
01:21:01,679 --> 01:21:10,520
» cuz we don't have any building and that
leads them to believe that they can do

897
01:21:06,800 --> 01:21:10,520
anything that they want.

898
01:21:11,040 --> 01:21:19,360
» Yeah. Well, thank you all for that
update for those updates and um

899
01:21:16,719 --> 01:21:24,239
hopefully at the next meeting or even
the city council have better better

900
01:21:22,480 --> 01:21:26,719
recommendations at the federal level in
regards to some of the programs that

901
01:21:25,520 --> 01:21:32,880
we're just waiting to see if they're
going to be reopening. So um regardless

902
01:21:29,760 --> 01:21:37,280
I think all of you that are in our
public service because I realized um

903
01:21:35,760 --> 01:21:42,080
even after attending this conference
like even here in Vera County we're

904
01:21:38,880 --> 01:21:48,960
quite fortunate to have such a great
team of just resource and um you all are

905
01:21:46,000 --> 01:21:53,440
subject matters and what you do and I
was um I was very impressed at how you

906
01:21:51,679 --> 01:21:59,120
all represented county at that
conference. So I appreciate it all. All

907
01:21:56,560 --> 01:22:03,440
right. So yes, thank you.
>> I agree.

908
01:22:01,199 --> 01:22:09,679
» Um so let's go ahead and move forward
with um some discussion. And so with

909
01:22:06,800 --> 01:22:14,239
with action items with Dr. Evans leaving
and saying that she uh went ahead and

910
01:22:12,000 --> 01:22:21,840
approved the is an approval of the
minutes and the transfer plan, what do

911
01:22:17,120 --> 01:22:27,440
we need to do? Um, so you discuss it as
you usually would, but when it's time to

912
01:22:24,800 --> 01:22:31,440
motion and second and all in favor, you
just count Dr. Evans that she's already

913
01:22:29,920 --> 01:22:34,440
in favor of.
>> Okay.

914
01:22:41,199 --> 01:22:48,400
» When Dr. Evans was here, they did
because only two members are absent

915
01:22:45,120 --> 01:22:53,719
right now because we're short. to
>> Yeah.

916
01:22:50,719 --> 01:22:53,719
» And

917
01:22:54,000 --> 01:22:57,000
» yes,

918
01:22:59,280 --> 01:23:05,120
» Tom Rice sits on the board, but he
doesn't vote. Yeah.

919
01:23:02,560 --> 01:23:10,719
» Dr. Evans and then Jeremy Crawford is
the city appointed right now. And um

920
01:23:08,000 --> 01:23:16,719
Dena from L.
>> All right. So, um, for the approval of

921
01:23:13,920 --> 01:23:22,480
the January minutes, um, is there any
discussion or any motion?

922
01:23:19,199 --> 01:23:27,760
» I move to approve the January.
>> Second. All right.

923
01:23:25,199 --> 01:23:28,800
Without any change. So, all in favor say
I.

924
01:23:28,159 --> 01:23:36,719
» I.
>> All right. Um, that motion passes. So,

925
01:23:33,840 --> 01:23:41,120
um, the second discussion is a
foundational public health information

926
01:23:38,800 --> 01:23:45,360
sessions.
This was an email that Sue sent to me

927
01:23:43,520 --> 01:23:52,560
and she asked me to add it to the
agenda. I'm not It's a Sue.

928
01:23:48,400 --> 01:23:55,639
Take it away, Sue. Get to it.
All right.

929
01:24:17,679 --> 01:24:27,360
Okay. So, I don't know if um everyone
got a chance to look at it, but I found

930
01:24:25,280 --> 01:24:32,159
this interesting. is through the Montana
Public Health Institute and they send

931
01:24:30,000 --> 01:24:39,280
out a newsletter
and um in that newsletter it has little

932
01:24:35,760 --> 01:24:45,440
snippets of what's going on with them.
And

933
01:24:40,880 --> 01:24:52,000
this one that I sent you out, they do
um Montana Board of Health member calls

934
01:24:49,840 --> 01:24:57,440
and
they they're quarterly and so it's

935
01:24:54,960 --> 01:25:00,800
training basically
and I just thought maybe that is

936
01:24:59,280 --> 01:25:08,960
something
that we could do with our board of

937
01:25:03,600 --> 01:25:16,560
health meetings. I think that
they are some of the training is um

938
01:25:14,800 --> 01:25:21,199
recorded
but you do have to register for those

939
01:25:18,880 --> 01:25:29,239
calls
um

940
01:25:23,760 --> 01:25:29,239
that looks like oh I got to be connected

941
01:25:29,840 --> 01:25:37,199
and I didn't hurry
>> yeah

942
01:25:34,320 --> 01:25:41,280
so Sue I will go ahead and and I think
that um we did have that sent out to the

943
01:25:39,440 --> 01:25:44,719
whole board and participate in that
first quarterly call and I would

944
01:25:43,120 --> 01:25:50,719
encourage the rest that are on the board
to join that as well. Um it's just

945
01:25:47,440 --> 01:25:54,400
basically just um um as soon as I
receive it because she's going to be

946
01:25:52,080 --> 01:25:58,239
sending me sending all the chairs that
email for that invitation on their

947
01:25:56,560 --> 01:26:02,159
email. I will forward it to the rest of
the board. So there is participation

948
01:26:00,159 --> 01:26:05,840
because it's not necessarily just
training, but it is a great place to

949
01:26:04,080 --> 01:26:10,159
discuss with other Ber board of health
members throughout the state of Montana

950
01:26:07,600 --> 01:26:15,760
and a great just share and knowledge of
resources that we might not have here in

951
01:26:12,800 --> 01:26:19,440
in Dylan. So um I did feel that that
skull was very beneficial as just an

952
01:26:17,600 --> 01:26:23,520
introduction. But moving forward, we
really hope to expand that to all of the

953
01:26:22,080 --> 01:26:28,159
board of health members to the state of
Montana as a great place for us to come

954
01:26:26,320 --> 01:26:33,040
together and have discussions on things
that might be a little bit tricky for us

955
01:26:30,400 --> 01:26:37,040
in smaller communities, right? Um there
is also um they have been developing

956
01:26:35,199 --> 01:26:41,520
through many resources in the state of
Montana um great training for both board

957
01:26:40,159 --> 01:26:46,560
of health members that I am going to
recommend uh we we go ahead and take and

958
01:26:43,920 --> 01:26:52,880
then there's one even for Dr. Evans as a
um as a officer of our board. Uh so um

959
01:26:51,040 --> 01:26:57,600
there there's a lot of great resources
that are generating from even from this

960
01:26:55,199 --> 01:27:00,880
last conference and I will go ahead and
share that information with everyone but

961
01:26:59,120 --> 01:27:04,960
those become available soon. I think for
sure

962
01:27:01,440 --> 01:27:08,639
» and I do think if we can do a training
during our meeting

963
01:27:07,040 --> 01:27:09,679
it would be a good idea if it's a short
one.

964
01:27:09,280 --> 01:27:15,040
» Okay.
>> Because we all know how

965
01:27:12,080 --> 01:27:18,719
» I can I can I do have some resources
from the conference that I will I'll

966
01:27:17,360 --> 01:27:21,679
reach out to them and see if they can
make that possible. That'd be wonderful.

967
01:27:20,239 --> 01:27:28,320
Thank you. So that's a great idea.
>> And I know they talked about going

968
01:27:24,000 --> 01:27:33,360
putting um trainings online July 1st I
think is what they said. Oh, July 1. Um,

969
01:27:30,159 --> 01:27:38,000
» they have them available already.
>> They are. They're available.

970
01:27:35,520 --> 01:27:42,960
» So, I'll share that information. So, all
right.

971
01:27:39,199 --> 01:27:49,760
» Well, thank you. Um, we did go ahead and
the board did receive um the um specimen

972
01:27:47,280 --> 01:27:54,159
transport plan uh that Katie from public
health had sent out and it was it was

973
01:27:52,560 --> 01:27:57,760
actually recently.
>> Was it last year?

974
01:27:55,040 --> 01:28:04,000
» It was last year. We did review it, but
um July,

975
01:28:00,800 --> 01:28:07,440
» is there any
everything's the same?

976
01:28:04,960 --> 01:28:12,880
» It's the same as last year. Yeah. Um we
just had to go through Karen and I went

977
01:28:10,480 --> 01:28:18,320
through the checklist and Damian and I
have gone through it last year and

978
01:28:14,320 --> 01:28:24,639
everything was um in line with the state
requirements. So,

979
01:28:21,840 --> 01:28:26,880
does everybody know what that is? We
talked about it. We talked about it in

980
01:28:26,080 --> 01:28:31,440
New York.
>> Yeah, I guess. Yeah, I know we didn't go

981
01:28:30,000 --> 01:28:35,440
through it word by word last year.
Basically, it's just the way we

982
01:28:33,040 --> 01:28:38,960
transport lab specimen. So, if there was
an infectious disease or a food form

983
01:28:37,360 --> 01:28:44,080
illness outbreak, we would be able to
send specimens in a timely manner

984
01:28:41,840 --> 01:28:50,239
appropriately to the state lab for
testing. Um, it can be pretty

985
01:28:47,840 --> 01:28:56,239
multiaceted if we don't have the courier
from the state coming. So, I think they

986
01:28:51,920 --> 01:29:02,080
come on like 100. Yeah. Um, and so if it
was a Saturday, you know, we might have

987
01:28:57,920 --> 01:29:06,080
to get one of us or an officer or
highway patrol even I believe has worked

988
01:29:04,000 --> 01:29:10,400
with Sue in the past um to get
specimens. They won't anymore. They

989
01:29:08,560 --> 01:29:15,040
won't do it, but one of us would be able
to fill in.

990
01:29:11,679 --> 01:29:19,120
» Yeah, it was a good um
it was a good thing to have in place

991
01:29:16,800 --> 01:29:24,560
during CO because we were sending
estimates all the time and on the

992
01:29:21,760 --> 01:29:28,320
weekend too. So, um, it's just not one
of those plans that we had to do just

993
01:29:26,719 --> 01:29:32,800
because they said we had to do, you
know,

994
01:29:30,800 --> 01:29:36,560
» I will add it's I mean it's it's not
just public health. It's like all the

995
01:29:34,400 --> 01:29:39,840
all the medical community partners that
are the organization that have to have a

996
01:29:38,080 --> 01:29:43,199
chance to review it and say yes, we do
have this is how we're going to manage

997
01:29:41,360 --> 01:29:49,600
this and this would happen at the
hospital or community health or health.

998
01:29:46,880 --> 01:29:53,600
So, um, it was a great collaboration a
year ago and it sounds like when I was

999
01:29:51,760 --> 01:29:56,080
reading it, there just wasn't any
changes from when it was like

1000
01:29:55,040 --> 01:30:01,440
thoroughly.
>> Yeah. So, big changes inside, but

1001
01:29:58,639 --> 01:30:04,480
» Exactly.
>> So, all right.

1002
01:30:02,639 --> 01:30:09,520
» There's one more thing I want to
remember or to say about the [snorts]

1003
01:30:07,120 --> 01:30:15,040
online food safety class we have on our
website. There's a food handler course.

1004
01:30:11,520 --> 01:30:20,400
It's a half an hour. It costs $25. $4 of
it goes to the Tacoma Health Department

1005
01:30:17,679 --> 01:30:24,719
for hosting and the $21 goes to
Beaverhead County. So, it is a small

1006
01:30:22,560 --> 01:30:30,000
revenue stream for [laughter] us. I will
say that I got a call from Chad over in

1007
01:30:27,040 --> 01:30:34,800
Nikana who is in the Tri County Deer
Lodge. I think it's Granite, but he

1008
01:30:32,080 --> 01:30:39,760
covers three counties. He asked me if he
could send people from restaurants over

1009
01:30:37,840 --> 01:30:48,679
there that need food handling to our
website to use our course and pay us to

1010
01:30:43,760 --> 01:30:48,679
take our course and I will pay.

1011
01:30:49,679 --> 01:30:57,360
So, uh we're getting people from out of
our area that are accessing it and

1012
01:30:54,320 --> 01:31:02,639
that's a big deal like to increase
safety all over the region. Um

1013
01:31:00,639 --> 01:31:07,360
and other counties don't have access to
that. So that's even Missoula County who

1014
01:31:04,880 --> 01:31:11,120
has elated or budget. So anyway,
>> all right. Thank you, Joyce.

1015
01:31:08,960 --> 01:31:16,080
» Regarding the specimen transplant plan,
is there any other discussion in regards

1016
01:31:12,719 --> 01:31:18,800
to it before we go ahead and open for
motions?

1017
01:31:17,600 --> 01:31:22,880
All right.
>> I move to approve the uh specimen

1018
01:31:21,840 --> 01:31:29,440
transport plan.
>> Okay. All those in favor?

1019
01:31:25,760 --> 01:31:34,320
» I. All right. The motion passes. Um,
wonderful. Thank you all. So, I will go

1020
01:31:31,760 --> 01:31:38,639
ahead and open this up now to any public
discuss discussion or comments. Um,

1021
01:31:37,040 --> 01:31:43,880
remember these are subjects under the
board of health jurisdiction that are

1022
01:31:40,000 --> 01:31:43,880
not listed on the agenda.

1023
01:31:44,560 --> 01:31:50,760
» All right, wonderful. Well, seeing none,
any new business,

1024
01:31:50,880 --> 01:31:55,218
guys, now you guys are all quiet.
[laughter]

1025
01:31:55,840 --> 01:32:03,520
Tom is
>> again being sick.

1026
01:32:00,480 --> 01:32:08,560
» Again, I I do want to reiterate what a
wonderful public health team that we

1027
01:32:05,679 --> 01:32:13,679
have here and I'm very am very thankful
for all of you and what you do. So, the

1028
01:32:10,960 --> 01:32:19,600
last the last thing on the agenda is we
do have our next meeting scheduled for

1029
01:32:15,679 --> 01:32:22,639
July 17th in Lima. Think that works for
everyone?

1030
01:32:21,120 --> 01:32:26,159
» Oh, yes.
>> All right. [laughter]

1031
01:32:23,760 --> 01:32:29,360
» We will see you there.
Wonderful.

1032
01:32:27,520 --> 01:32:35,880
» Maybe it won't be an adventure this
time. [laughter]

1033
01:32:30,880 --> 01:32:35,880
» All right. All right. help

1034
01:32:38,719 --> 01:32:45,280
» if you want to give us an update before
you go.

1035
01:32:42,800 --> 01:32:50,880
» Anyone here ever is interested in coming
to one of those conferences

1036
01:32:48,320 --> 01:32:54,360
to take community members who are in
prevention and

1037
01:32:55,840 --> 01:33:01,400
» all right so we will go ahead and return
the meeting. Thank you all.

1038
01:33:01,520 --> 01:33:05,480
expectations.
>> Yes.