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started the meeting and I will call the

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meeting to order. It is 6:06 p.m. on

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February 5th. Our first item of business

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is approval of the minutes. Um we

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actually have two sets of minutes, one

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from December and one from January. Do

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we have a motion to approve the minutes

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as written?

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» So move for both of them.

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» Second. Okay.

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» Any discussion?

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Any changes? No. Okay. All in favor,

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please say I or raise your virtual hand.

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» I

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» I

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» Okay, the eyes have it. We will move to

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our next order of business. Uh

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vacancies.

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Um so, Dr. Ruddy of course had stepped

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down. Um Dr. Wingert, our vet had

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stepped down earlier also. Uh believe

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last August, Dr. Dr. Winger stepped

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down. Uh just this last week, Dr.

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Muleman contacted me to say that um

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unexpectedly he was moving and he'd be

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moving out of jurisdiction, so he needed

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to step down. Um so we are down a

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physician, down a lay person, and down a

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vet.

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Um the council members have also been

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advised of this and asked to assist in

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recruiting efforts.

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Um, but I am also letting our board

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members know if you have anyone that you

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believe you can convince, those are our

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current openings. I can also send out

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again um the links to apply to become

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members um and who are we looking for?

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» Um, so Oh, sorry. Go ahead, Jason.

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» Okay. Yeah. one. Well, one of my

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questions for

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um physicians is I mean there's so few

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physicians that live in independence.

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There's

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a rare physician that practices in

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Independence unless they're employed by

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a hostel hospital entity. So, have have

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they ever thought about broadening the

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criteria

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of uh qualifications for a physician?

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So right now um the members just need to

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either work in Independence or um live

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in Independence. So if they work for a

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hospital in Independence, if they work

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for Centerpoint, that works. If they

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work for a private practice here in

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Independence, that works. If they have

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their own practice, that works. Um they

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can be retired. Um they can be currently

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practicing. All of those things will

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will count. towards the the requirements

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for this.

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» Any other questions?

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» You know, which I mean in my case almost

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every physician I know does not either

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live in independence or practice in

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independence. So it's that's uh that's

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going to be a challenge.

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» Jason, did you have a question?

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» I I did. Well, I did get a nudge um um

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and I don't know where uh you're going

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to update us on the the letter we sent

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in and where the city's headed with the

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status of the health department, but I

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did get a nudge from a council member

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who commented that we were short three

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board members and and I'd been

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encouraging them to realize this body

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could review the I'm hopeful of an RFP

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for a consultant and then engage with

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them and And sort of their response was,

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well, we need to make sure we get the

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board full. So, it's it's uh you know,

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the diversity of of the me of a

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membership of a board is is applied to

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this effort that I I think is about to

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come forward. And I thought that was a

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good comment. So, but I I share the same

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I haven't thought about it, but I

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nothing jumps to mind, but guess I'll

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have to work on it.

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Okay, there's no further discussion. The

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next item on the agenda is the

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department update.

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Um, I do want to say of course we did

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share the letter with the council. Um,

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and then it was also an information item

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last night on council agenda. Uh, there

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was no public comment on it. Um, I am

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still waiting to see how that moves

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forward. I know, uh, Council Member Dr.

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McCandless wasn't able to join us this

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evening. She was going to try to join,

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but she had, um, a conflict at this time

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right now, so she was going to try to

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hurry and jump on if she can. Um, she

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might have a better knowledge of where

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they're going with this. Or Jason, you

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it sounds like you might have a little

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bit that they're trying to fill the

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board first.

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» I Well, I I I don't I I didn't take it

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that way. I but the comments I've heard

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from uh three of them were positive. So

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I I have not been direct in okay are we

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moving forward with an RFP? Yes or no. I

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was just accepting the general

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supportive comments as indicative that

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they were directing the city manager to

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find the funds to to do the assessment.

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Uh so I I take it from your comment.

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You've not heard anything from city

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management and we need to be more direct

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and explicit in in our qu inquiries.

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» You are correct. I have not heard any

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additional information being passed down

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about their next steps um if any that

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they have.

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Might I ask are are you all is the

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department remaining in the structure

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that it was last year? Did is that

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conversation

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um

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where did that end?

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That is that is unclear right now. So as

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of now the structure remains the same. I

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do not know if that's going to be going

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forward. Um there are still a lot of

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pieces and nothing has been finalized.

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So

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» So I reached out to a couple of folks

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fairly directly and um

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» I was

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very pleased with the reaction of one

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after the discussion and the other one

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uh comment was they thought the only

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thing in question was where they were

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going to move you all to. So I assumed

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that that was resolved. So, uh, just for

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the benefit of the board, there was some

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rumors about my words, not anyone

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else's. Uh, there was some intention on

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the behalf of some in city management to

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go ahead and gut out the health

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department. Uh, while before we even had

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the consultant come in and and in an

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evaluation of services needed and and

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best way to proceed with offering those

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services. Um uh I'm I strenuously

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objected to that to two of them invoking

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communic communication and and I just

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told you the response. So, um, I I I

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know we're recorded here and respectful

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for the board, so I'm speaking for

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myself and I'm not inferring I'm

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speaking for the board, but I I didn't

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appreciate the games uh on behalf of the

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city management uh because clearly we

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were working above board and

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recommending a consultant and a route to

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do an evaluation and to have others

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undermining that by trying to radically

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change the uh reassign health

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professionals to work for non-health

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health professionals uh uh made no sense

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and it it was indicative of the games

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that are occasionally played in in local

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government. So uh I apologize for not

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having followed up on the loop. Uh I

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will do so and I will report back to

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everybody this time. Uh I think I got

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everybody's emails.

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» Sorry I Christina that may create a open

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records issue for you but um I I it

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should have been clear by now. Sorry

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about that.

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» Not a problem.

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I was going to ask Lauren to also just

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give a general update on communicable

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disease that we're seeing right now

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because I know everybody be sick right

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now um around there. So Lauren, I don't

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know what you have prepared to update.

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» Yeah, I've got a little bit. Uh it is in

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fact respiratory virus season. So we are

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still seeing a decent amount of flu

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cases. Last week we saw 164 reported

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cases. Uh for contacts the same time

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last year we saw 93 cases. So we're

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close to double right now. These are of

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course just the reported cases. So

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people who are actually getting tested

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and the doctor's offices that are

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reporting to us. Uh COVID is also

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increasing right now. Um it's still

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lower than flu but it is um up from

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December. Outside of influenza, we are

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still seeing a couple of ptasessus

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cases. We're managing some active TB

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cases and we are seeing campalobacttor

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um cases. That's my general CD update if

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anyone has any questions on that.

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» Could I ask a question on the

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communicable diseases and of course some

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that are vaccinations that are

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available.

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My understanding is just recently

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have they has it come down that the

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health department is being instructed

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that polio vaccines are optional now? Um

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my understanding that's from the CDC,

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but is that the uh is that what the

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health department is is following? Is

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that advice?

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We are currently following the American

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Academy of Pediatrics vaccination

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schedule. Um, and as no none of the

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school uh vaccines have changed, we are

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still sticking with that normal

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schedule. The advice we received from

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our VFC coordinator was just to continue

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with the same schedule we've always been

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following um and just do a little bit

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more consulting with parents before we

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do it. So, we'll go through the

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information sheet a little bit more in

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depth uh for that shared decision-

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making that's required um to do most of

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these vaccines, but we have not changed

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how we're um doing our schedule or

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recommendations at this time.

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» Okay. Thank you.

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» Yeah.

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Any other questions?

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» We'll move on new business. I don't know

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if there's anything anyone wants to

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share about any of the work that is

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going on. Anything else that going on in

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the community community that they want

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to share?

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Of

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» Course. Go ahead. Anyone?

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» Okay. Well, then that is short and easy.

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Um I will entertain a motion for

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adjournment.

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Jason waved his hand. I will take that

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as a motion. Do we have a second?

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» Second.

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» Okay.

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» Third.

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» Well, it sounds like uh the majority are

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in favor. We will go ahead and adjourn.

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It is 6:18. You guys have a lovely

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evening and take back the rest of your

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evening. Thanks. All right. Thank you.

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» Bye.

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» Bye.