1 00:00:05,440 --> 00:00:09,320 >> WELCOME, EVERYONE. 2 00:00:09,320 --> 00:00:11,400 I'M WITH THE RADX-UP CDC 3 00:00:11,400 --> 00:00:12,840 POPULATION. 4 00:00:12,840 --> 00:00:14,280 AND IT'S GREAT TO WELCOME YOU 5 00:00:14,280 --> 00:00:19,360 HERE TO OUR 2023 RADX-UP 6 00:00:19,360 --> 00:00:23,440 SCIENTIFIC MEETING. 7 00:00:23,440 --> 00:00:28,520 FOR THIS ZOOM, WE WILL BE USING 8 00:00:28,520 --> 00:00:29,760 BREAKOUT ROOMS FOR CONCURRENT 9 00:00:29,760 --> 00:00:31,760 SESSIONS WHEN WE GET TO THAT 10 00:00:31,760 --> 00:00:31,960 POINT. 11 00:00:31,960 --> 00:00:34,720 AND PLEASE FEEL FREE TO POSE 12 00:00:34,720 --> 00:00:36,680 YOUR QUESTIONS IN CHAT. 13 00:00:36,680 --> 00:00:42,520 I'M LOOKING FORWARD TO HEARING 14 00:00:42,520 --> 00:00:43,240 YOUR COMMENTS. 15 00:00:43,240 --> 00:00:44,000 SORRY ABOUT THAT. 16 00:00:44,000 --> 00:00:47,440 THERE WE GO. 17 00:00:47,440 --> 00:00:51,800 AND SO, THIS REALLY IS RADx 18 00:00:51,800 --> 00:00:57,960 FOR UNDER SERVED POPULATIONS. 19 00:00:57,960 --> 00:00:58,880 GROUNDBREAKING PROGRAM CREATED 20 00:00:58,880 --> 00:01:00,320 BY THE NATIONAL INSTITUTES OF 21 00:01:00,320 --> 00:01:02,160 HEALTH IN RESPONSE TO THE 22 00:01:02,160 --> 00:01:05,040 COVID-19 PANDEMIC. 23 00:01:05,040 --> 00:01:05,600 THE NATIONAL INSTITUTES OF 24 00:01:05,600 --> 00:01:08,000 HEALTH WANTED TO ENSURE ALL 25 00:01:08,000 --> 00:01:09,480 AMERICANS HAVE ACCESS TO 26 00:01:09,480 --> 00:01:13,080 COVID-19 TESTING AND SO THEY 27 00:01:13,080 --> 00:01:17,960 FUNDED 138 DIFFERENT PROJECTS 28 00:01:17,960 --> 00:01:20,680 ACROSS THE UNITED STATES IN THE 29 00:01:20,680 --> 00:01:22,720 U.S. TERRITORIES AND TRIBAL 30 00:01:22,720 --> 00:01:31,200 NATIONS. 31 00:01:31,200 --> 00:01:32,960 THE RESEARCH TEAMS AND THE 32 00:01:32,960 --> 00:01:35,320 PEOPLE MOST ASSOCIATED WITH THE 33 00:01:35,320 --> 00:01:36,520 PANDEMIC, IMPROVING THEIR ACCESS 34 00:01:36,520 --> 00:01:39,800 TO COVID-19 TESTING AND LEARNING 35 00:01:39,800 --> 00:01:42,000 WHAT WORKS BEST TO RESPOND TO 36 00:01:42,000 --> 00:01:42,960 THEIR NEEDS. 37 00:01:42,960 --> 00:01:45,960 AND ON BEHALF OF THE CDCC, LET 38 00:01:45,960 --> 00:01:47,640 ME THANKS OUR NIH LEADERS, 39 00:01:47,640 --> 00:01:50,280 PROGRAM OFFICERS AND PROGRAM 40 00:01:50,280 --> 00:01:51,880 SCIENTISTS FOR SUPPORT AND 41 00:01:51,880 --> 00:01:53,400 GUIDANCE THEY HAVE GIVEN TO US 42 00:01:53,400 --> 00:02:03,920 AS WE CARRIED OUT THE RESEARCH. 43 00:02:06,080 --> 00:02:11,760 WE HAVE 138 COVID-19 PROJECTS. 44 00:02:11,760 --> 00:02:16,080 232 COMMUNITY-ENGAGEMENT 45 00:02:16,080 --> 00:02:18,040 RESOURCES THAT ARE AVAILABLE ON 46 00:02:18,040 --> 00:02:21,000 THE RADX-UP.ORG WEBSITE. 47 00:02:21,000 --> 00:02:27,480 WE HAVE 110 PROJECTS SUBMITTING 48 00:02:27,480 --> 00:02:29,880 DATA TO THE CDCC. 49 00:02:29,880 --> 00:02:33,720 WE HAVE MORE THAN 3 UN72,000 50 00:02:33,720 --> 00:02:35,200 ENROLLED PARTICIPANTS. 51 00:02:35,200 --> 00:02:40,960 WE HAVE MORE THAN 424,000 TESTS 52 00:02:40,960 --> 00:02:42,720 THAT HAVE BEEN BEEN THROUGH 53 00:02:42,720 --> 00:02:44,200 RADx FOR UNDER SERVED 54 00:02:44,200 --> 00:02:44,560 POPULATIONS. 55 00:02:44,560 --> 00:02:48,840 WE HAVE 199 PUBLIC RESEARCH 56 00:02:48,840 --> 00:02:51,400 ARTICLES AND 6 WRITING TEAMS FOR 57 00:02:51,400 --> 00:02:53,040 INITIATIVES AND WE HAVE 55 58 00:02:53,040 --> 00:02:56,960 COMMUNITY COLLABORATION 59 00:02:56,960 --> 00:02:57,840 MINIGRANTS. 60 00:02:57,840 --> 00:03:00,080 AND ALL THE TEAMS AND GRANT 61 00:03:00,080 --> 00:03:02,160 RECIPIENTS ARE THROUGH NIH 62 00:03:02,160 --> 00:03:04,880 RADx UNDER SERVED POPULATIONS 63 00:03:04,880 --> 00:03:06,120 DATA ON IT. 64 00:03:06,120 --> 00:03:08,600 AND THAT PROVIDES A STANDARD SET 65 00:03:08,600 --> 00:03:11,320 OF STUDY QUESTIONS FOR COVID-19 66 00:03:11,320 --> 00:03:12,560 TESTING STUDIES. 67 00:03:12,560 --> 00:03:16,080 IT ALLOWS THE CONSORTIUM TO 68 00:03:16,080 --> 00:03:17,200 EDUCATE ALL THE POPULATIONS WE 69 00:03:17,200 --> 00:03:19,280 ARE WORKING IN AND THE 70 00:03:19,280 --> 00:03:28,560 COMMUNITIES OF STUDY TODAY WE 71 00:03:28,560 --> 00:03:30,400 WILL HEAR ABOUT A NUMBER OF 72 00:03:30,400 --> 00:03:31,840 RESEARCH PROJECTS THROUGH THE 73 00:03:31,840 --> 00:03:32,080 COMMUNITY. 74 00:03:32,080 --> 00:03:34,200 THIS YEAR WE RECEIVED 38 75 00:03:34,200 --> 00:03:37,600 PROPOSALS FROM PROJECT TEAMS TO 76 00:03:37,600 --> 00:03:38,480 PRESENT AT THE SCIENTIFIC 77 00:03:38,480 --> 00:03:39,680 MEETING. 78 00:03:39,680 --> 00:03:42,240 WE SELECTED 16 PROJECTS THAT 79 00:03:42,240 --> 00:03:47,880 WILL SHARE THEIR WORK TODAY AS 80 00:03:47,880 --> 00:03:50,200 YOU CAN SEE ON THE MAP, THE 81 00:03:50,200 --> 00:03:53,280 PROJECTS REPRESENT THE WIDE 82 00:03:53,280 --> 00:03:55,440 DIVERSITY OF COMMUNITIES ACROSS 83 00:03:55,440 --> 00:03:58,360 THE COUNTRY. 84 00:03:58,360 --> 00:04:00,560 THEY WILL BE SHARING HIGHLIGHTS 85 00:04:00,560 --> 00:04:02,000 THROUGH SHORT POSTER SESSIONS. 86 00:04:02,000 --> 00:04:04,480 THE THEME OF TODAY'S MEETING, 87 00:04:04,480 --> 00:04:05,920 NEXT SLIDE, PLEASE. 88 00:04:05,920 --> 00:04:12,720 IS ENGAGING COMMUNITIES WITH 89 00:04:12,720 --> 00:04:20,360 ADVANCED HEALTH EQUITIES. 90 00:04:20,360 --> 00:04:27,920 THANK YOU FOR JOINING US TODAY. 91 00:04:27,920 --> 00:04:29,920 WE ARE EAGER TO APPROACH 92 00:04:29,920 --> 00:04:30,720 COMMUNITY ENGAGEMENT. 93 00:04:30,720 --> 00:04:35,280 WE WILL HAVE BILINGUAL 94 00:04:35,280 --> 00:04:35,640 PRESENTATIONS. 95 00:04:35,640 --> 00:04:38,400 FOR THOSE WHO ARE INTERESTED IN 96 00:04:38,400 --> 00:04:40,760 ATTENDING AND GIVING US FEEDBACK 97 00:04:40,760 --> 00:04:43,480 ON HOW THOSE SESSIONS WORK, I 98 00:04:43,480 --> 00:04:44,880 APPRECIATE THAT. 99 00:04:44,880 --> 00:04:48,800 WE WILL HEAR A DIVERSE SET OF 100 00:04:48,800 --> 00:04:52,640 PERSPECTIVES AND INSIGHTS. 101 00:04:52,640 --> 00:04:54,640 I WANT TO THANK MAGDALENE 102 00:04:54,640 --> 00:04:55,560 WELLMAN FROM THE COMMUNITY 103 00:04:55,560 --> 00:04:56,520 CAMPUS PARTNERSHIP FOR HEALTH 104 00:04:56,520 --> 00:04:59,360 FOR BEING OUR MC TODAY. 105 00:04:59,360 --> 00:05:01,280 SHE'LL GUIDE US THROUGH OUR 106 00:05:01,280 --> 00:05:04,440 SESSIONS AND INDIVIDUAL PROJECT 107 00:05:04,440 --> 00:05:08,600 PRESENTATIONS. 108 00:05:08,600 --> 00:05:10,720 THANK YOU FOR BEING HERE FOR 109 00:05:10,720 --> 00:05:12,000 RADX-UP SCIENTIFIC MEETING. 110 00:05:12,000 --> 00:05:14,000 WE LOOK FORWARD SHARING AND 111 00:05:14,000 --> 00:05:15,920 LEARNING DAY TODAY. 112 00:05:15,920 --> 00:05:18,000 AND I LOOK FORWARD TO HEARING 113 00:05:18,000 --> 00:05:24,560 FROM ALL OF YOU. 114 00:05:24,560 --> 00:05:24,920 >> THANK YOU. 115 00:05:24,920 --> 00:05:26,400 WELCOME WE ARE EXCITED TO HAVE 116 00:05:26,400 --> 00:05:27,240 YOU. 117 00:05:27,240 --> 00:05:28,560 I'M MAGDALENE WELLMAN, A PROGRAM 118 00:05:28,560 --> 00:05:30,240 MANAGER WITH COMMUNITY CAMPUS 119 00:05:30,240 --> 00:05:31,320 PARTNERSHIPS FOR HEALTH. 120 00:05:31,320 --> 00:05:33,040 AND I WILL BE SERVING AS YOUR 121 00:05:33,040 --> 00:05:34,240 MEETING HOST TODAY. 122 00:05:34,240 --> 00:05:38,800 SO REALLY QUICK BEFORE WE JUMP 123 00:05:38,800 --> 00:05:41,160 INTO OUR CONCURRENT BREAKOUTS, I 124 00:05:41,160 --> 00:05:41,840 WANTED TO GO OVER A FEW 125 00:05:41,840 --> 00:05:42,920 HOUSEKEEPING THINGS. 126 00:05:42,920 --> 00:05:44,640 SO ONE, THIS IS A ZOOM SESSION. 127 00:05:44,640 --> 00:05:46,680 SO WE'LL BE USING BREAKOUT ROOMS 128 00:05:46,680 --> 00:05:48,320 FOR CONCURRENT SESSIONS AND ALSO 129 00:05:48,320 --> 00:05:50,920 LATER ON FOR THE POSTER SESSION. 130 00:05:50,920 --> 00:05:53,400 BUT WE ASK THAT ALL ATTENDEES 131 00:05:53,400 --> 00:05:56,000 PLEASE KEEP YOUR MICROPHONES 132 00:05:56,000 --> 00:05:56,600 MUTED UNLESS YOU'RE SPEAKING. 133 00:05:56,600 --> 00:05:58,280 WE WILL PROVIDE OPPORTUNITIES TO 134 00:05:58,280 --> 00:06:05,200 ASK QUESTIONS AT THE END OF EACH 135 00:06:05,200 --> 00:06:05,960 PRESENTATION FEEL FREE TO PUT 136 00:06:05,960 --> 00:06:07,600 YOUR QUESTIONS IN THE CHAT AND I 137 00:06:07,600 --> 00:06:09,080 AND THE TEAM WILL TRY TO MAKE 138 00:06:09,080 --> 00:06:12,160 SURE THAT WE GET TO YOUR 139 00:06:12,160 --> 00:06:12,400 QUESTION. 140 00:06:12,400 --> 00:06:13,360 IF YOU HAVE ANY TECHNICAL ISSUES 141 00:06:13,360 --> 00:06:15,440 OR YOU JUST HAVE ANY GENERAL 142 00:06:15,440 --> 00:06:17,680 QUESTIONS ABOUT RADX-UP, PLEASE 143 00:06:17,680 --> 00:06:19,600 FEEL FREE TO USE THE CHAT TO 144 00:06:19,600 --> 00:06:22,160 ALERT OUR TEAM AND SOMEONE WILL 145 00:06:22,160 --> 00:06:22,680 HELP YOU. 146 00:06:22,680 --> 00:06:24,640 ALL RIGHT, SO I'M EXCITED TO GET 147 00:06:24,640 --> 00:06:25,560 OUR MEETING STARTED. 148 00:06:25,560 --> 00:06:29,280 WE ARE GOING TO START WITH 149 00:06:29,280 --> 00:06:33,720 CONCURRENT SESSIONS. 150 00:06:33,720 --> 00:06:34,760 THE FIRST WILL FOCUS ON IMPACTS 151 00:06:34,760 --> 00:06:37,680 OF COMMUNITY PARTNER RESEARCH 152 00:06:37,680 --> 00:06:38,400 AND THE SCIENTIFIC PROCESS BEING 153 00:06:38,400 --> 00:06:40,960 LED BY ONE OF OUR WORKING 154 00:06:40,960 --> 00:06:43,400 GROUPS, SOCIAL, ETHICAL AND 155 00:06:43,400 --> 00:06:48,440 BEHAVIOR WORKING GROUPS IF 156 00:06:48,440 --> 00:06:49,400 YOU'RE INTERESTED IN THIS 157 00:06:49,400 --> 00:06:51,480 SESSION, STAY IN THE MAIN ROOM. 158 00:06:51,480 --> 00:06:53,280 OUR SECOND SESSION IS IMPACT OF 159 00:06:53,280 --> 00:06:54,320 COVID-19 AMONG SCHOOL 160 00:06:54,320 --> 00:06:54,680 POPULATIONS. 161 00:06:54,680 --> 00:06:56,480 AND IF YOU'RE INTERESTED IN THAT 162 00:06:56,480 --> 00:06:59,960 SESSION, THEN YOU CAN SELECT 163 00:06:59,960 --> 00:07:01,520 BREAKOUT ROOM 2 - EYE BELIEVE IT 164 00:07:01,520 --> 00:07:03,720 IS STILL BREAKOUT ROOM 2, AND 165 00:07:03,720 --> 00:07:06,760 THAT SESSION IS BEING LED BY OUR 166 00:07:06,760 --> 00:07:08,200 SCHOOL DIAGNOSTIC TESTING 167 00:07:08,200 --> 00:07:09,920 INITIATIVE PROJECTS. 168 00:07:09,920 --> 00:07:12,040 SO, WE WILL BE IN BREAKOUT ROOMS 169 00:07:12,040 --> 00:07:15,120 FOR APPROXIMATELY 35 MINUTES. 170 00:07:15,120 --> 00:07:17,360 YOU WILL CHOOSE THE ROOM OF YOUR 171 00:07:17,360 --> 00:07:18,040 CHOICE AND THEN AT THE END, 172 00:07:18,040 --> 00:07:19,440 YOU'LL COME BACK TO THE MAIN 173 00:07:19,440 --> 00:07:20,720 BREAKOUT ROOM AND WE WILL START 174 00:07:20,720 --> 00:07:22,560 WITH OUR PROJECT PRESENTATIONS 175 00:07:22,560 --> 00:07:24,120 AT THAT TIME. 176 00:07:24,120 --> 00:07:27,320 SO GO AHEAD AND CHOOSE THE ROOM 177 00:07:27,320 --> 00:07:27,880 YOU WOULD LIKE TO JOIN AND I 178 00:07:27,880 --> 00:07:34,880 WILL SEE YOU WHEN YOU RETURN. 179 00:07:34,880 --> 00:07:35,840 >> GOOD AFTERNOON, EVERYBODY. 180 00:07:35,840 --> 00:07:40,520 THANK YOU FOR JOINING US TODAY. 181 00:07:40,520 --> 00:07:42,400 I'M A SOCIAL EPIDEMIOLOGIST AT 182 00:07:42,400 --> 00:07:44,280 EASTERN VIRGINIA MEDICAL SCHOOL 183 00:07:44,280 --> 00:07:45,880 IN NORFOLK, VIRGINIA. 184 00:07:45,880 --> 00:07:47,600 TODAY I'M REPRESENTING THE STUDY 185 00:07:47,600 --> 00:07:50,920 FOR SOCIAL,ECT CALL AND 186 00:07:50,920 --> 00:07:53,920 BEHAVIORAL COHORT WHICH I 187 00:07:53,920 --> 00:07:54,200 CO-CHAIR. 188 00:07:54,200 --> 00:07:54,760 ONE OF OUR GOALS IS TO BUILD 189 00:07:54,760 --> 00:07:55,760 DIALOGUES BETWEEN COMMUNITY 190 00:07:55,760 --> 00:07:57,240 MEMBERS AND RESEARCHERS AROUND 191 00:07:57,240 --> 00:07:59,320 ETHICAL CONCERNS RELATED TO THE 192 00:07:59,320 --> 00:08:03,000 COVID-19 RESPONSE. 193 00:08:03,000 --> 00:08:04,960 WE HEAR THAT LOTS OF PROJECTS 194 00:08:04,960 --> 00:08:06,560 HAVE HAD CONCERNS ABOUT WHETHER 195 00:08:06,560 --> 00:08:08,080 THEY HAVE BEEN ABLE TO LIVE UP 196 00:08:08,080 --> 00:08:11,160 TO WHAT THEY FEEL ARE THEIR 197 00:08:11,160 --> 00:08:13,200 OBLIGATIONS THAT ARE COMMUNITY 198 00:08:13,200 --> 00:08:13,480 PARTNERS. 199 00:08:13,480 --> 00:08:14,920 OUR GOAL ASK TO HAVE A 200 00:08:14,920 --> 00:08:15,600 CONVERSATION ABOUT THAT. 201 00:08:15,600 --> 00:08:17,720 WE WANTED TO MAKE SURE WE 202 00:08:17,720 --> 00:08:20,000 PRIORITIZE OUR PARTNER VOICES 203 00:08:20,000 --> 00:08:21,840 AND HAVE INVITED FOLKS FROM 204 00:08:21,840 --> 00:08:22,720 SEVERAL PROJECTS WITH THE 205 00:08:22,720 --> 00:08:25,760 WORKING GROUP TO DISCUSS HOW WE 206 00:08:25,760 --> 00:08:26,880 DO COMMUNITY ENGAGEMENT. 207 00:08:26,880 --> 00:08:29,480 SO THANKS TO OUR PANEL MEMBERS 208 00:08:29,480 --> 00:08:30,240 FOR JOINING US. 209 00:08:30,240 --> 00:08:34,000 WE HAVE SEVERAL QUESTIONS 210 00:08:34,000 --> 00:08:34,560 PREPARED ON OUR END TO START 211 00:08:34,560 --> 00:08:35,440 WITH WHO ARE REALLY ALSO 212 00:08:35,440 --> 00:08:36,680 INTERESTED IN HEARING WHAT 213 00:08:36,680 --> 00:08:37,760 QUESTIONS THE AUDIENCE MIGHT 214 00:08:37,760 --> 00:08:37,960 HAVE. 215 00:08:37,960 --> 00:08:41,400 SO PLEASE FEEL FREE TO ASK THOSE 216 00:08:41,400 --> 00:08:42,360 IN THE CHAT. 217 00:08:42,360 --> 00:08:46,880 SO TO START, I'M GOING ASK OUR 218 00:08:46,880 --> 00:08:47,720 PANELISTS TO INTRODUCE 219 00:08:47,720 --> 00:08:50,240 THEMSELVES BY STATING THEIR 220 00:08:50,240 --> 00:08:52,960 NAME, THEIR ROLE ON THE PROJECT 221 00:08:52,960 --> 00:08:53,720 THEY ARE WORKING ON, INCLUDING 222 00:08:53,720 --> 00:09:00,800 ANY ORGANIZATIONS THEY REPRES 223 00:09:00,800 --> 00:09:02,800 REPRESENT, AND THE COMMUNITY 224 00:09:02,800 --> 00:09:03,360 ENGAGEMENT. 225 00:09:03,360 --> 00:09:08,280 ANYBODY LIKE TO JUMP IN JAVIER, 226 00:09:08,280 --> 00:09:10,920 WOULD YOU LIKED TO -- 227 00:09:10,920 --> 00:09:11,800 >> THANK YOU. 228 00:09:11,800 --> 00:09:16,360 I'M JAVIER GARCIA, I'M WITH THE 229 00:09:16,360 --> 00:09:17,160 REACH OUT. 230 00:09:17,160 --> 00:09:18,680 I'M A COMMUNITY COLLECTOR AND 231 00:09:18,680 --> 00:09:20,520 DATA COLLECTOR AND I WORK FOR 24 232 00:09:20,520 --> 00:09:21,080 YEARS FOR THEM. 233 00:09:21,080 --> 00:09:27,120 AND I WORK WITH THE URBAN LATINX 234 00:09:27,120 --> 00:09:27,520 COMMUNITY. 235 00:09:27,520 --> 00:09:30,680 >> THE GREAT. 236 00:09:30,680 --> 00:09:31,320 THANK YOU. 237 00:09:31,320 --> 00:09:33,640 AND WE'LL GO IN ORDER ON THE 238 00:09:33,640 --> 00:09:36,040 SLIDE HERE. 239 00:09:36,040 --> 00:09:46,240 SO DEBARA? 240 00:09:57,880 --> 00:10:04,320 >> WE'LL GIVE DEBRA A MOMENT TO 241 00:10:04,320 --> 00:10:07,040 UNMUTE HERSELF. 242 00:10:07,040 --> 00:10:09,760 GLEEN ARE YOU THERE? 243 00:10:09,760 --> 00:10:13,000 >> YES, I'M HERE. 244 00:10:13,000 --> 00:10:15,440 MY NAME IS GLEEN TURNER. 245 00:10:15,440 --> 00:10:25,720 I'M HERE IN RICHMOND VIRGINIA 246 00:10:25,720 --> 00:10:27,760 AREA. 247 00:10:27,760 --> 00:10:28,640 I DON'T KNOW -- SORRY. 248 00:10:28,640 --> 00:10:34,960 >> NO WORRIES AT ALL. 249 00:10:34,960 --> 00:10:39,400 THANK YOU, SIR. 250 00:10:39,400 --> 00:10:39,600 DEBRA? 251 00:10:39,600 --> 00:10:40,040 >> GOOD AFTERNOON. 252 00:10:40,040 --> 00:10:42,680 MY NAME IS DEBRA GRANT. 253 00:10:42,680 --> 00:10:49,240 AND I AM ON THE HOUSING 254 00:10:49,240 --> 00:10:49,840 COLLABORATIVE COMMUNITY ADVISORY 255 00:10:49,840 --> 00:10:53,840 BOARD AND I LIVE IN VIRGINIA 256 00:10:53,840 --> 00:10:54,800 BEACH. 257 00:10:54,800 --> 00:11:00,200 AND I REPRESENT OUR COMMUNITY OF 258 00:11:00,200 --> 00:11:00,800 VIRGINIA BEACH. 259 00:11:00,800 --> 00:11:09,760 >> THANK YOU, MA'AM. 260 00:11:09,760 --> 00:11:14,480 MARGUERITE? 261 00:11:14,480 --> 00:11:24,920 ARE YOU THERE MARGUERITE? 262 00:11:30,720 --> 00:11:33,000 WILL YOU INTRODUCE YOURSELF, 263 00:11:33,000 --> 00:11:33,240 PLEASE. 264 00:11:33,240 --> 00:11:36,520 I'M MARGUERITE EDMONGS AND I'M 265 00:11:36,520 --> 00:11:39,440 ALSO ON THE HOUSING 266 00:11:39,440 --> 00:11:40,200 COLLABORATIVE ADVISORY BOARD. 267 00:11:40,200 --> 00:11:45,360 I REPRESENT THE CITY OF NEWPORT 268 00:11:45,360 --> 00:11:47,560 NEWS REDEVELOPMENT AND HOUSING 269 00:11:47,560 --> 00:11:50,280 AUTHORITY WHERE I HAVE BEEN IN 270 00:11:50,280 --> 00:11:53,600 THE ROLE AS COUNCIL PRESIDENT. 271 00:11:53,600 --> 00:11:56,440 >> THANK YOU, MA'AM. 272 00:11:56,440 --> 00:12:06,840 AND EDNY, ARE YOU THERE? 273 00:12:17,600 --> 00:12:19,120 >> CAN YOU HEAR ME? 274 00:12:19,120 --> 00:12:19,960 >> YES WE CAN. 275 00:12:19,960 --> 00:12:24,240 >> SO I'M EDNY GONZALEZ AND I 276 00:12:24,240 --> 00:12:25,640 WORK WITH THE PROJECT THAT IS IT 277 00:12:25,640 --> 00:12:26,600 A TEAM OF COMMUNITY HEALTH 278 00:12:26,600 --> 00:12:28,960 WORKERS WHO DID THE COVID 279 00:12:28,960 --> 00:12:32,760 TESTING ON SITE. 280 00:12:32,760 --> 00:12:33,120 >> THANK YOU. 281 00:12:33,120 --> 00:12:36,680 AND TINA? 282 00:12:36,680 --> 00:12:38,000 >> HI, GOOD MORNING. 283 00:12:38,000 --> 00:12:40,280 IT'S 7:00 A.M HERE IN HONOLULU. 284 00:12:40,280 --> 00:12:43,600 MY NAME IS TINA 285 00:12:43,600 --> 00:12:44,320 TAUASOSI-POSIULAI. 286 00:12:44,320 --> 00:12:46,040 I'M ONE OF THE COINVESTIGATORS 287 00:12:46,040 --> 00:12:47,800 FOR PROTECTING LIFE. 288 00:12:47,800 --> 00:12:52,280 I STUDY AT THE UNIVERSITY OF 289 00:12:52,280 --> 00:12:54,360 HAWAII AND I'M ALSO A EXECUTIVE 290 00:12:54,360 --> 00:12:56,440 DIRECTOR FOR A COMMUNITY 291 00:12:56,440 --> 00:12:59,800 ORGANIZATION CALLED PACIFIC 292 00:12:59,800 --> 00:13:02,440 EMPOWERMENT THAT PARTNER WITH 293 00:13:02,440 --> 00:13:05,560 THE UNIVERSITY IN CONNECTING THE 294 00:13:05,560 --> 00:13:08,080 STUDY. 295 00:13:08,080 --> 00:13:09,880 >> THANK YOU VERY MUCH EVERYBODY 296 00:13:09,880 --> 00:13:11,480 FOR INTRODUCING YOURSELF. 297 00:13:11,480 --> 00:13:13,640 SO THE QUESTION WE WANTED TO GET 298 00:13:13,640 --> 00:13:17,440 STARTED WITH TODAY: WONDERING IF 299 00:13:17,440 --> 00:13:19,480 YOU ALL WOULD DESCRIBE WHAT YOU 300 00:13:19,480 --> 00:13:20,520 SEE AS THE STRENGTHS AND 301 00:13:20,520 --> 00:13:22,320 SUCCESSES OF YOUR PROJECTS, 302 00:13:22,320 --> 00:13:26,360 ESPECIALLY AS IT RELATES IN 303 00:13:26,360 --> 00:13:29,320 COMMUNITY ENGAGEMENT AND 304 00:13:29,320 --> 00:13:29,840 INTERACTING WITH COMMUNITY 305 00:13:29,840 --> 00:13:30,120 PARTNERS. 306 00:13:30,120 --> 00:13:32,560 DO YOU HAVE THOUGHTS ON THAT? 307 00:13:32,560 --> 00:13:33,160 I KNOW SOME OF YOU DO, BECAUSE 308 00:13:33,160 --> 00:13:35,960 WE TALKED ABOUT IT. 309 00:13:35,960 --> 00:13:36,600 ANYBODY WANT TO SHARE THOUGHTS 310 00:13:36,600 --> 00:13:44,480 ON THAT? 311 00:13:44,480 --> 00:13:45,000 >> I WILL GO, FIRST. 312 00:13:45,000 --> 00:13:48,320 ONE OF THE THINGS THAT WE 313 00:13:48,320 --> 00:13:49,640 LEARNED THROUGH CONNECTING THE 314 00:13:49,640 --> 00:13:55,320 COMMUNITY AND WORKING WAT 315 00:13:55,320 --> 00:13:56,120 RESEARCH ENGAGEMENT OF COVID-19. 316 00:13:56,120 --> 00:13:59,880 THE COMMUNITY REALLY WANTS TO BE 317 00:13:59,880 --> 00:14:00,960 INFORMED. 318 00:14:00,960 --> 00:14:03,080 THEY WANTED TO LEARN AND CONNECT 319 00:14:03,080 --> 00:14:03,360 WITH THEM. 320 00:14:03,360 --> 00:14:06,400 SO THAT WAS ONE OF THE BENEFITS 321 00:14:06,400 --> 00:14:08,400 THAT I LEARNED WHILE WORKING ON 322 00:14:08,400 --> 00:14:13,840 THE PROJECT. 323 00:14:13,840 --> 00:14:15,080 >> GREAT. 324 00:14:15,080 --> 00:14:15,440 >> I'LL GO. 325 00:14:15,440 --> 00:14:18,120 FOR THE STUDY, WE DID MAYBE FIVE 326 00:14:18,120 --> 00:14:18,360 THINGS. 327 00:14:18,360 --> 00:14:19,760 WE ESTABLISHED COMMUNITY 328 00:14:19,760 --> 00:14:23,520 ADVISORY BOARD. 329 00:14:23,520 --> 00:14:28,320 WE HIRED, TRAINED, EMPLOYED AND 330 00:14:28,320 --> 00:14:29,680 MENTORED PACIFIC ISLANDERS AND 331 00:14:29,680 --> 00:14:32,040 SPEAKING DIFFERENT LANGUAGES WHO 332 00:14:32,040 --> 00:14:34,960 WORK WITH OUR COMMUNITIES AND 333 00:14:34,960 --> 00:14:35,760 LEADERS. 334 00:14:35,760 --> 00:14:36,760 WE WORKED WITH CULTURAL 335 00:14:36,760 --> 00:14:38,800 COMMUNITY LEADERS. 336 00:14:38,800 --> 00:14:40,040 AND PARTNERED WITH A LOT OF 337 00:14:40,040 --> 00:14:40,560 NONPROFIT COMMUNITY 338 00:14:40,560 --> 00:14:41,960 ORGANIZATIONS THAT WE ARE DOING 339 00:14:41,960 --> 00:14:45,600 A LOT OF OUTREACH TO THE PI 340 00:14:45,600 --> 00:14:49,760 COMMUNITY IN 2022-2023. 341 00:14:49,760 --> 00:14:53,520 THANK YOU. 342 00:14:53,520 --> 00:14:53,880 >> THANK YOU. 343 00:14:53,880 --> 00:14:57,840 HOW ABOUT YOU, EDNY? 344 00:14:57,840 --> 00:14:59,200 >> OUR WORK WAS GETTING PEOPLE 345 00:14:59,200 --> 00:15:01,160 FROM THE COMMUNITY AND HAVING 346 00:15:01,160 --> 00:15:03,360 THEM GET THE INFORMATION OUT TO 347 00:15:03,360 --> 00:15:07,280 THEM AND GIVING THEM TESTING SO 348 00:15:07,280 --> 00:15:10,080 MAKING THEM FEEL COMFORTABLE 349 00:15:10,080 --> 00:15:16,320 LIKE WE WERE, YOU KNOW, ALL 350 00:15:16,320 --> 00:15:17,280 TOGETHER AND JUST BEING ONE OF 351 00:15:17,280 --> 00:15:17,640 THEM. 352 00:15:17,640 --> 00:15:21,440 SO I THINK THAT THAT WAS WHAT WE 353 00:15:21,440 --> 00:15:24,520 SAW WORKED. 354 00:15:24,520 --> 00:15:27,840 >> GREAT. 355 00:15:27,840 --> 00:15:29,600 THANK YOU. 356 00:15:29,600 --> 00:15:32,680 DID YOU WANT TO SAY SOMETHING, 357 00:15:32,680 --> 00:15:33,720 MARGUERITE? 358 00:15:33,720 --> 00:15:34,240 >> YES. 359 00:15:34,240 --> 00:15:36,640 THE ADVISORY PORT ALSO PROVIDED 360 00:15:36,640 --> 00:15:41,720 OUR TECHNOLOGY -- REPORT -- AND 361 00:15:41,720 --> 00:15:44,760 INFORMATION SO THAT WHERE WE 362 00:15:44,760 --> 00:15:45,960 BUILD TRUST IN TOWER COMMUNITIES 363 00:15:45,960 --> 00:15:49,680 BY RELAYING OUR UPDATED 364 00:15:49,680 --> 00:15:53,360 INFORMATION DURING THE COVID-19 365 00:15:53,360 --> 00:16:03,680 PANDEMIC SHUTDOWN. 366 00:16:04,000 --> 00:16:04,320 DEBRA? 367 00:16:04,320 --> 00:16:05,880 DO YOU HAVE ANYTHING YOU WOULD 368 00:16:05,880 --> 00:16:13,880 LIKE TO ADD TO THAT? 369 00:16:13,880 --> 00:16:17,720 OR GLEEN? 370 00:16:17,720 --> 00:16:24,200 >> YES, SO I GATHER A LOT OF 371 00:16:24,200 --> 00:16:27,400 INFO MYSELF BY JUST 372 00:16:27,400 --> 00:16:32,720 PARTICIPATING IN GROUP MEETINGS. 373 00:16:32,720 --> 00:16:39,160 AND A LOT OF GREAT INFO THAT 374 00:16:39,160 --> 00:16:46,320 PEOPLE REALLY NEED ARE LOOKING 375 00:16:46,320 --> 00:16:46,600 FOR. 376 00:16:46,600 --> 00:16:49,720 SO IT'S VERY INTERESTING TO THE 377 00:16:49,720 --> 00:16:57,240 PEOPLE THAT WANT TO HELP AND C 378 00:16:57,240 --> 00:16:57,720 CAN. 379 00:16:57,720 --> 00:16:58,040 THANK YOU. 380 00:16:58,040 --> 00:16:59,240 ANYTHING YOU WOULD LIKE TO ADD 381 00:16:59,240 --> 00:17:05,720 TO THAT, DEBRA? 382 00:17:05,720 --> 00:17:08,600 >> YES, I DO. 383 00:17:08,600 --> 00:17:15,280 WE FELT LIKE THAT AS A 384 00:17:15,280 --> 00:17:21,360 COMMUNITY, WE WERE A FAMILY. 385 00:17:21,360 --> 00:17:23,400 WE WERE LIKE -- WE GOT TO KNOW 386 00:17:23,400 --> 00:17:25,800 ONE ANOTHER AND BEING ABLE TO 387 00:17:25,800 --> 00:17:29,240 HELP ONE ANOTHER IN DOING THE 388 00:17:29,240 --> 00:17:34,040 TESTING, COVID TESTING AND ALSO 389 00:17:34,040 --> 00:17:38,120 GETTING IN OUR COMMUNITY, BEING 390 00:17:38,120 --> 00:17:40,520 ABLE TO LET OUR COMMUNITY KNOW 391 00:17:40,520 --> 00:17:43,800 WHAT IS GOING ON WHEN WE WERE 392 00:17:43,800 --> 00:17:46,480 ABLE TO -- WHEN THE PANDEMIC WAS 393 00:17:46,480 --> 00:17:49,160 OVER WITH. 394 00:17:49,160 --> 00:17:49,800 AND IT WAS VERY INTERESTING. 395 00:17:49,800 --> 00:17:57,320 WE WENT TO A LOT OF SCIENTIFIC 396 00:17:57,320 --> 00:17:58,120 LEAGUES AND MARGUERITE WAS ABLE 397 00:17:58,120 --> 00:18:01,720 TO AND ALSO OUR COMMUNITY MOVED 398 00:18:01,720 --> 00:18:05,720 FORWARD BOARDS THAT WE ARE ON, 399 00:18:05,720 --> 00:18:13,040 NOT ONLY WITH THIS ONE. 400 00:18:13,040 --> 00:18:13,400 >> THANK YOU. 401 00:18:13,400 --> 00:18:16,720 I THINK MAYBE MARGUERITE 402 00:18:16,720 --> 00:18:17,880 MENTIONED THAT BUILDING TRUST 403 00:18:17,880 --> 00:18:19,640 WAS ONE OF THE SUCCESSES. 404 00:18:19,640 --> 00:18:23,160 I WONDER, DID THAT HAPPEN WITH 405 00:18:23,160 --> 00:18:25,560 ANY OF THE OTHER PARTNERS? 406 00:18:25,560 --> 00:18:26,840 THAT TRUST BUILDING? 407 00:18:26,840 --> 00:18:28,200 DO YOU THINK THAT WAS SOMETHING 408 00:18:28,200 --> 00:18:31,320 THAT YOU WERE ABLE TO DO? 409 00:18:31,320 --> 00:18:32,560 >> I THINK SO. 410 00:18:32,560 --> 00:18:36,840 FOR OUR STUDY HERE AND FOR 411 00:18:36,840 --> 00:18:38,200 PACIFIC ISLANDERS, THE TRUST WAS 412 00:18:38,200 --> 00:18:38,560 VERY IMPORTANT. 413 00:18:38,560 --> 00:18:39,800 SO WE DID A LOT OF LEG WORK 414 00:18:39,800 --> 00:18:42,760 BEFORE WE EVEN STARTED OUR 415 00:18:42,760 --> 00:18:43,000 SURVEY. 416 00:18:43,000 --> 00:18:45,280 AND THAT WAS REALLY IMPORTANT 417 00:18:45,280 --> 00:18:46,840 FOR US. 418 00:18:46,840 --> 00:18:47,840 >> SO DOING LEG WORK, GETTING 419 00:18:47,840 --> 00:18:50,200 OUT THERE AND TALKING TO FOLKS? 420 00:18:50,200 --> 00:18:54,680 >> YES, WE DID A LOT OF 421 00:18:54,680 --> 00:18:55,560 PRESENTATIONS ABOUT COVID BEFORE 422 00:18:55,560 --> 00:18:56,440 WE STARTED THE STUDY. 423 00:18:56,440 --> 00:18:58,320 AND THE TRYING TO GET PEOPLE TO 424 00:18:58,320 --> 00:18:59,320 UNDERSTAND AND INTRODUCE THE 425 00:18:59,320 --> 00:19:00,680 STUDY AT THE SAME TIME, BEFORE 426 00:19:00,680 --> 00:19:05,720 WE ACTUALLY STARTED THE FIELD 427 00:19:05,720 --> 00:19:07,760 RESEARCH. 428 00:19:07,760 --> 00:19:08,080 >> OKAY. 429 00:19:08,080 --> 00:19:11,680 HOW DID THAT WORK OUT FOR YOU 430 00:19:11,680 --> 00:19:13,440 ALL, JAVIER? 431 00:19:13,440 --> 00:19:14,400 >> YES, THANK YOU. 432 00:19:14,400 --> 00:19:18,040 SO SOMETHING ELSE THAT WE 433 00:19:18,040 --> 00:19:18,880 LEARNED WHILE BUILDING TRUST, 434 00:19:18,880 --> 00:19:21,000 WAS THE COMMUNITY REALLY TRUSTED 435 00:19:21,000 --> 00:19:25,400 THE PEOPLE THAT WERE DOING DATA 436 00:19:25,400 --> 00:19:25,760 COLLECTION. 437 00:19:25,760 --> 00:19:28,600 BY BEING INFORMED AND I THINK IT 438 00:19:28,600 --> 00:19:32,120 COMES DOWN TO THE RESPONDING THE 439 00:19:32,120 --> 00:19:33,200 TRUSTED MESSENGERS THAT WERE 440 00:19:33,200 --> 00:19:35,400 RELAYING INFORMATION BACK TO THE 441 00:19:35,400 --> 00:19:37,200 COMMUNITY THAT WAS THE CORRECT 442 00:19:37,200 --> 00:19:37,480 INFORMATION. 443 00:19:37,480 --> 00:19:38,360 WE KNOW A LOT OF THE INFORMATION 444 00:19:38,360 --> 00:19:40,240 THAT CAME OUT AT THE BEGINNING 445 00:19:40,240 --> 00:19:41,320 OF COVID WAS BEING SHARED 446 00:19:41,320 --> 00:19:44,720 THROUGH FACEBOOK AND WASN'T 447 00:19:44,720 --> 00:19:45,120 CORRECT INFORMATION. 448 00:19:45,120 --> 00:19:46,280 SO WE LEARNED THE COMMUNITY 449 00:19:46,280 --> 00:19:50,800 REALLY TRUSTED THOSE MESSENGERS 450 00:19:50,800 --> 00:19:51,360 THAT WERE RELAYING THE 451 00:19:51,360 --> 00:19:51,640 INFORMATION. 452 00:19:51,640 --> 00:19:53,520 IT HELPED TO BUILD THE TRUST 453 00:19:53,520 --> 00:19:54,200 BECAUSE THEY BELIEVED THE STUFF 454 00:19:54,200 --> 00:19:57,320 WE WERE SHARING WAS TO THEIR 455 00:19:57,320 --> 00:20:00,200 BENEFIT. 456 00:20:00,200 --> 00:20:00,520 >> GREAT. 457 00:20:00,520 --> 00:20:04,240 DO YOU ALL HAVE ANY INSIGHT ON 458 00:20:04,240 --> 00:20:04,520 THAT, EDNY? 459 00:20:04,520 --> 00:20:08,200 >> SO THE SAME THING. 460 00:20:08,200 --> 00:20:11,680 WE WOULD CALL EVERYONE AFTER 461 00:20:11,680 --> 00:20:12,680 THEY TESTED, WHETHER THEY WERE 462 00:20:12,680 --> 00:20:17,000 POSITIVE OR NEGATIVE, AND TO ASK 463 00:20:17,000 --> 00:20:17,680 THEM IF THEY WERE OKAY OR NEEDED 464 00:20:17,680 --> 00:20:19,840 ANYTHING, IF THEY HAD NEEDED 465 00:20:19,840 --> 00:20:21,960 RESOURCES. 466 00:20:21,960 --> 00:20:22,600 SO THAT WAS PART OF THE BUILDING 467 00:20:22,600 --> 00:20:24,640 THAT TRUST, BECAUSE THEY GOT TO 468 00:20:24,640 --> 00:20:25,960 SEE US AT THE EVENT WHEN THEY 469 00:20:25,960 --> 00:20:28,200 TESTED AND THEN THEY GOT TO HEAR 470 00:20:28,200 --> 00:20:30,960 FROM US, THE PERSON THAT DID 471 00:20:30,960 --> 00:20:33,040 THEIR TEST AFTERWARDS. 472 00:20:33,040 --> 00:20:35,680 AND THEN GIVING THEM RESOURCES. 473 00:20:35,680 --> 00:20:38,840 SO THAT HELPED BUILD TRUST. 474 00:20:38,840 --> 00:20:42,440 >> SO FOLLOW-UP AND CONTINUING 475 00:20:42,440 --> 00:20:43,280 THE COMMUNICATION AND BUILDING 476 00:20:43,280 --> 00:20:44,800 RELATIONSHIPS? 477 00:20:44,800 --> 00:20:46,360 >> YES, SO THAT -- NOW THEY HAD 478 00:20:46,360 --> 00:20:47,320 OUR NUMBER. 479 00:20:47,320 --> 00:20:48,680 WE WOULD ALWAYS TELL THEM IN 480 00:20:48,680 --> 00:20:50,920 THEY NEEDED SOMETHING ELSE OR IF 481 00:20:50,920 --> 00:20:52,040 THEY NEEDED A RESOURCE -- I MEAN 482 00:20:52,040 --> 00:20:54,240 THERE WERE TIMES WHEN PEOPLE 483 00:20:54,240 --> 00:20:56,960 THAT WERE POSITIVE NEEDED MAYBE 484 00:20:56,960 --> 00:20:58,920 A FOOD BOX SO WE WOULD ORDER OR 485 00:20:58,920 --> 00:21:00,280 DELIVER TO THEIR FRONT DOOR. 486 00:21:00,280 --> 00:21:03,440 SO BUILDING THAT HELPED US 487 00:21:03,440 --> 00:21:06,040 BECAUSE NOW WE HAVE THAT 488 00:21:06,040 --> 00:21:07,520 CONNECTION. 489 00:21:07,520 --> 00:21:10,880 AND TRUSTED INFORMATION. 490 00:21:10,880 --> 00:21:11,920 >> THAT SOUNDS PRETTY GOOD. 491 00:21:11,920 --> 00:21:14,200 THANK YOU FOR ANSWERING TO THAT 492 00:21:14,200 --> 00:21:14,760 QUESTION. 493 00:21:14,760 --> 00:21:16,880 SO ON THE FLIP SIDE, ON -- WERE 494 00:21:16,880 --> 00:21:19,000 THERE ANY BARRIERS AND 495 00:21:19,000 --> 00:21:20,440 CHALLENGES THAT YOU ALL 496 00:21:20,440 --> 00:21:22,120 EXPERIENCED AS COMMUNITY 497 00:21:22,120 --> 00:21:24,600 PARTNERS ON YOUR PROJECTS? 498 00:21:24,600 --> 00:21:28,640 I'M MANAGING SO. 499 00:21:28,640 --> 00:21:29,880 JAVIER, YOU WANTED TO SHARE. 500 00:21:29,880 --> 00:21:31,440 GO AHEAD. 501 00:21:31,440 --> 00:21:32,800 >> YES, THE REASON I WANTED TO 502 00:21:32,800 --> 00:21:35,800 SHARE IS BECAUSE IT CONNECTS 503 00:21:35,800 --> 00:21:36,880 WELL WITH US. 504 00:21:36,880 --> 00:21:39,160 ONE OF THE CHALLENGES WE SEE IN 505 00:21:39,160 --> 00:21:40,640 COMMUNITIES, WHAT HAPPENS WHEN 506 00:21:40,640 --> 00:21:41,240 FUNDING ENDS? 507 00:21:41,240 --> 00:21:42,640 WHAT HAPPENS WHEN THE RESEARCH 508 00:21:42,640 --> 00:21:44,240 IS COMING TO AN END? 509 00:21:44,240 --> 00:21:46,240 WE LEARNED THROUGH WORKING IN 510 00:21:46,240 --> 00:21:47,840 COMMUNITY THAT IT TAKES A LOT OF 511 00:21:47,840 --> 00:21:52,360 TIME AND ENERGY AND EVEN MONEY 512 00:21:52,360 --> 00:21:52,840 TO BUILD SOME OF THOSE 513 00:21:52,840 --> 00:21:53,160 RELATIONSHIPS. 514 00:21:53,160 --> 00:21:54,040 AT LEAST VERY STRONG 515 00:21:54,040 --> 00:21:54,360 RELATIONSHIPS. 516 00:21:54,360 --> 00:21:56,360 BUT THE CHALLENGE THAT WE SEE 517 00:21:56,360 --> 00:21:57,720 IS, THEN WHAT HAPPENS WHEN THERE 518 00:21:57,720 --> 00:22:01,360 IS NO MORE MONEY FOR THAT FUNDED 519 00:22:01,360 --> 00:22:02,000 RESEARCH? 520 00:22:02,000 --> 00:22:03,920 WHO IS GOING -- HOW ARE THEY 521 00:22:03,920 --> 00:22:06,440 GOING TO FUND? 522 00:22:06,440 --> 00:22:08,040 TIME FOR RESEARCHERS TO CONTINUE 523 00:22:08,040 --> 00:22:09,600 TO BUILD THOSE RELATIONSHIPS AND 524 00:22:09,600 --> 00:22:10,720 SHOW UP IN THE COMMUNITY THAT 525 00:22:10,720 --> 00:22:12,040 TOOK TIME TO BUILD. 526 00:22:12,040 --> 00:22:14,320 THAT WAS ONE THE CHALLENGES THAT 527 00:22:14,320 --> 00:22:14,840 PEOPLE WERE ASKING. 528 00:22:14,840 --> 00:22:19,880 ARE YOU COMING BACK? 529 00:22:19,880 --> 00:22:24,400 SO I STAY CONNECTED WELL THEM 530 00:22:24,400 --> 00:22:25,000 AND BUILD THOSE RELATIONSHIPS 531 00:22:25,000 --> 00:22:28,120 AND CONNECTING COMMUNITY 532 00:22:28,120 --> 00:22:31,920 RESOURCES. 533 00:22:31,920 --> 00:22:33,120 >> JAVIER, YOU HAD FOLKS 534 00:22:33,120 --> 00:22:35,680 ASKING -- HOW ARE YOU GOING TO 535 00:22:35,680 --> 00:22:36,960 KEEP THIS GOING? 536 00:22:36,960 --> 00:22:38,520 HOW ARE WE GOING TO IDENTIFY 537 00:22:38,520 --> 00:22:38,720 THIS? 538 00:22:38,720 --> 00:22:42,720 SO WHATNESS IN YOUR BEEN, IF 539 00:22:42,720 --> 00:22:44,320 SOMEONE THAT DOES LAPS AND 540 00:22:44,320 --> 00:22:46,400 YOU'RE UNABLE TO SUSTAIN A 541 00:22:46,400 --> 00:22:47,640 RELATIONSHIP IN THE SAME WAY? 542 00:22:47,640 --> 00:22:50,640 >> I THINK IT TAKES A LOT OF 543 00:22:50,640 --> 00:22:51,480 TIME, PERSONAL TIME AND ENERGY 544 00:22:51,480 --> 00:22:54,760 FROM THE PEOPLE THAT WORK IN THE 545 00:22:54,760 --> 00:22:55,200 COMMUNITY. 546 00:22:55,200 --> 00:22:56,520 BUT OFTEN OTHER THINGS COME UP 547 00:22:56,520 --> 00:22:58,600 AND I FEEL LIKE THAT'S WHERE 548 00:22:58,600 --> 00:23:01,400 COMMUNITY GETS AFFECTED. 549 00:23:01,400 --> 00:23:03,840 I GUESS RESEARCHERS WON'T BE 550 00:23:03,840 --> 00:23:05,120 GOING AS MUCH BACK TO THE 551 00:23:05,120 --> 00:23:08,840 COMMUNITIES AS A RESULT OF 552 00:23:08,840 --> 00:23:09,080 FUNDING. 553 00:23:09,080 --> 00:23:10,880 >> SO MAYBE IT COULD HARM THOSE 554 00:23:10,880 --> 00:23:14,400 RELATIONSHIPS THAT WERE BUILT? 555 00:23:14,400 --> 00:23:15,000 >> CORRECT. 556 00:23:15,000 --> 00:23:16,480 >> COULD WE GO AS FAR AS SAYING 557 00:23:16,480 --> 00:23:19,520 THAT COULD CAUSE DISTRUST TOO? 558 00:23:19,520 --> 00:23:22,160 >> YES, IT COULD CAUSE DISTRUST 559 00:23:22,160 --> 00:23:23,240 BECAUSE WE ARE SHOWING UP AND 560 00:23:23,240 --> 00:23:25,000 THEN ALL OF A SUDDEN, IN A WAY, 561 00:23:25,000 --> 00:23:28,120 LACK OF FUNDING IS BREAKING THIS 562 00:23:28,120 --> 00:23:31,000 RESEARCHER, SO THESE DATA 563 00:23:31,000 --> 00:23:31,640 COLLECTORS THAT WERE GOING INTO 564 00:23:31,640 --> 00:23:32,640 THESE COMMUNITIES AND THEY HAVE 565 00:23:32,640 --> 00:23:33,880 TO START OVER FROM SCRATCH IF 566 00:23:33,880 --> 00:23:36,320 THEY DON'T COME BACK. 567 00:23:36,320 --> 00:23:37,960 AND ALSO, COMMUNITIES NOT GOING 568 00:23:37,960 --> 00:23:41,160 TO TRUST THAT WE'LL COME BACK IF 569 00:23:41,160 --> 00:23:43,760 WE ACTUALLY DON'T SHOW UP. 570 00:23:43,760 --> 00:23:45,400 >> SO FIND A WAY TO BRIDGE THAT 571 00:23:45,400 --> 00:23:48,600 GAP AND KEEP IT GOING SOMEHOW, 572 00:23:48,600 --> 00:23:50,880 SEEMS PRETTY IMPORTANT? 573 00:23:50,880 --> 00:23:53,840 >> I THINK SO, YES. 574 00:23:53,840 --> 00:23:58,320 >> WHAT DO YOU THINK ABOUT THAT, 575 00:23:58,320 --> 00:23:58,520 DEBRA? 576 00:23:58,520 --> 00:24:04,280 >> I AGREE WHOLEHEARTEDLY WITH 577 00:24:04,280 --> 00:24:04,840 JAVIER. 578 00:24:04,840 --> 00:24:13,680 AND WE WERE ABLE TO BRING THAT 579 00:24:13,680 --> 00:24:15,360 CONNECTION THROUGH ZOOM. 580 00:24:15,360 --> 00:24:18,000 SO WE DIDN'T HAVE A LOT OF 581 00:24:18,000 --> 00:24:21,360 PERSONAL CONNECTIONS TWO DID A 582 00:24:21,360 --> 00:24:25,800 LOT OF WORK WHO REALLY HAD 583 00:24:25,800 --> 00:24:29,680 MEETINGS ON ZOOM. 584 00:24:29,680 --> 00:24:34,720 AND WE WERE ABLE TO KIND OF TEST 585 00:24:34,720 --> 00:24:37,880 OURSELVES THE -- LIKE GUINEA PIG 586 00:24:37,880 --> 00:24:41,560 ON OUR OWN SELFS TO FIGURE OUT 587 00:24:41,560 --> 00:24:48,520 HOW WE -- YOU KNOW HOW WE LET 588 00:24:48,520 --> 00:24:51,080 THE COMMUNITY -- WERE ABLE TO 589 00:24:51,080 --> 00:24:54,440 ADMINISTER COVID TO THEMSELVES. 590 00:24:54,440 --> 00:24:56,400 AND IN FACT, WHEN WE WERE ABLE 591 00:24:56,400 --> 00:25:04,240 TO GO OUT IN THE COMMUNITY, WHEN 592 00:25:04,240 --> 00:25:05,160 COVID -- THE PANDEMIC WAS KIND 593 00:25:05,160 --> 00:25:08,080 OF OVER AND EVERYTHING, WE GOT 594 00:25:08,080 --> 00:25:11,240 THE OPPORTUNITY TO GET TO A LOT 595 00:25:11,240 --> 00:25:15,440 OF THE COMMUNITIES, A LOT OF -- 596 00:25:15,440 --> 00:25:18,960 WE BUILT A LOT OF TRUST IN 597 00:25:18,960 --> 00:25:22,760 LETTING THEM KNOW THAT WE WERE 598 00:25:22,760 --> 00:25:29,200 THERE FOR THE LONG HAUL. 599 00:25:29,200 --> 00:25:31,880 WHATEVER WE WERE DOING -- 600 00:25:31,880 --> 00:25:34,600 WHATEVER NEEDED AND NOT JUST -- 601 00:25:34,600 --> 00:25:38,640 WE WERE A PART OF THE COMMUNITY 602 00:25:38,640 --> 00:25:45,960 AND WE WERE ALSO A PART OF THE 603 00:25:45,960 --> 00:25:48,160 COMMUNITY IN VIRGINIA BEACH AND 604 00:25:48,160 --> 00:25:52,840 LETTING PEOPLE KNOW, HEY, THIS 605 00:25:52,840 --> 00:25:57,600 FUNDING IS MEANING MORE TO US 606 00:25:57,600 --> 00:25:58,760 THROUGH THE NATIONAL INSTITUTE 607 00:25:58,760 --> 00:26:04,240 OF HEALTH AND WE THANK THEM FOR 608 00:26:04,240 --> 00:26:05,560 THAT, FOR GIVING -- LETTING US 609 00:26:05,560 --> 00:26:12,240 BE ABLE TO GIVE BACK TO THE 610 00:26:12,240 --> 00:26:21,040 COMMUNITY. 611 00:26:21,040 --> 00:26:21,320 COMMUNITY. 612 00:26:21,320 --> 00:26:23,040 >> I WAS INVITED TO PARTICIPATE 613 00:26:23,040 --> 00:26:26,720 IN A YouTube PARTICIPATION, 614 00:26:26,720 --> 00:26:30,960 ENCOURAGING THE COMMUNITIES WHO 615 00:26:30,960 --> 00:26:36,240 PARTICIPATED IN GETTING THEIR 616 00:26:36,240 --> 00:26:46,480 BOOSTER SHOTS. 617 00:26:55,240 --> 00:26:57,240 THAT BUILT TRUST SHOWING THAT I, 618 00:26:57,240 --> 00:26:59,560 MYSELF HAD ALREADY DONE MINE AND 619 00:26:59,560 --> 00:27:05,680 ENCOURAGED OTHERS TO GET THEIRS. 620 00:27:05,680 --> 00:27:08,880 >> THEY THINK SOUNDS REALLY 621 00:27:08,880 --> 00:27:11,640 HELPFUL. 622 00:27:11,640 --> 00:27:15,560 SO, AS I'M THINKING ABOUT THIS 623 00:27:15,560 --> 00:27:22,760 ISSUE OF TRUST AND ENGAGEMENT, 624 00:27:22,760 --> 00:27:24,600 THE QUESTION I HAVE, THINKING 625 00:27:24,600 --> 00:27:26,680 OUT LOUD HERE -- YOU ALL 626 00:27:26,680 --> 00:27:29,360 PERSONALLY WANT TO KEEP ON 627 00:27:29,360 --> 00:27:30,640 PARTICIPATING IN THE SAME 628 00:27:30,640 --> 00:27:31,120 CAPACITY YOU HAVE BEEN? 629 00:27:31,120 --> 00:27:33,320 WORKING ON RESEARCH, PARTNERING 630 00:27:33,320 --> 00:27:35,160 ON THESE KINDS OF ACTIVITIES 631 00:27:35,160 --> 00:27:40,200 MOVING FORWARD? 632 00:27:40,200 --> 00:27:41,840 >> FOR MYSELF, THIS IS 633 00:27:41,840 --> 00:27:44,320 DIFFERENT. 634 00:27:44,320 --> 00:27:45,080 YES, I DO. 635 00:27:45,080 --> 00:27:49,720 IT WAS VERY EDUCATIONAL BECAUSE 636 00:27:49,720 --> 00:27:53,840 NOT ONLY AM I TEACHING, LEARNING 637 00:27:53,840 --> 00:27:58,200 TO TEACH OTHER PEOPLE HOW TO DO 638 00:27:58,200 --> 00:28:01,240 THE TESTING, BUT ALSO I'M 639 00:28:01,240 --> 00:28:03,200 TEACHING MY FAMILY TOO. 640 00:28:03,200 --> 00:28:06,720 I'M TEACHING NOT ONLY THE 641 00:28:06,720 --> 00:28:08,120 COMMUNITY. 642 00:28:08,120 --> 00:28:08,760 I'M TEACHING MY LOVED ONES ON 643 00:28:08,760 --> 00:28:11,160 HOW TO PROTECT THEMSELVES AND 644 00:28:11,160 --> 00:28:14,560 THEN HOW TO MAKE SURE LIKE WE 645 00:28:14,560 --> 00:28:16,520 SAID, WHEN IT WAS TIME TO GET 646 00:28:16,520 --> 00:28:20,880 THE BOOSTER, TO GO AHEAD ON AND 647 00:28:20,880 --> 00:28:22,920 GET THE BOOSTER, BECAUSE MYSELF, 648 00:28:22,920 --> 00:28:26,560 I HAD THE BOOSTER. 649 00:28:26,560 --> 00:28:29,160 SO I GUESS WE DID -- I DID IT 650 00:28:29,160 --> 00:28:32,000 FIRST HAND AND THEN I SHOWED 651 00:28:32,000 --> 00:28:34,880 THEM THAT IT WAS OKAY FOR THEM 652 00:28:34,880 --> 00:28:38,880 TO DO IT TOO. 653 00:28:38,880 --> 00:28:43,760 >> HOW ABOUT YOU, TINA? 654 00:28:43,760 --> 00:28:46,320 >> OF COURSE. 655 00:28:46,320 --> 00:28:46,800 I THINK FOR THIS STUDY 656 00:28:46,800 --> 00:28:47,440 PARTNERING WITH THE UNIVERSITY 657 00:28:47,440 --> 00:28:50,880 AND KNOWING THAT NIH IS PART OF 658 00:28:50,880 --> 00:28:54,840 THIS STUDY, I THINK IT'S 659 00:28:54,840 --> 00:28:56,840 IMPORTANT THAT WE CONTINUE. 660 00:28:56,840 --> 00:28:58,560 WE CONTINUE BECAUSE FOR US, A 661 00:28:58,560 --> 00:29:03,080 LOT OF PACIFIC ISLANDERS HERE, 662 00:29:03,080 --> 00:29:03,680 THEY ARE NOT REPRESENTING A LOT 663 00:29:03,680 --> 00:29:05,080 OF THOSE CASES WHERE THERE IS 664 00:29:05,080 --> 00:29:07,360 VOICE FOR THEM -- WHERE NIH 665 00:29:07,360 --> 00:29:08,480 NEEDS TO HEAR OUR VOICE. 666 00:29:08,480 --> 00:29:11,560 BUT FOR THIS STUDY, WE ARE AT 667 00:29:11,560 --> 00:29:11,840 THE TABLE. 668 00:29:11,840 --> 00:29:15,920 WE ARE AT THE TABLE TRYING TO 669 00:29:15,920 --> 00:29:16,560 EXPLAIN THE SITUATIONS THAT IS 670 00:29:16,560 --> 00:29:18,040 AFFECTING OUR POPULATION. 671 00:29:18,040 --> 00:29:20,360 FOR THE STUDY, THE BARRIERS WE 672 00:29:20,360 --> 00:29:22,000 FACE, THE SURVEY WAS VERY LONG, 673 00:29:22,000 --> 00:29:23,680 MORE THAN 30 PAGES FOR A 674 00:29:23,680 --> 00:29:27,320 POPULATION THAT IS SO 675 00:29:27,320 --> 00:29:28,200 UNDERREPRESENTED IN COLLEGE 676 00:29:28,200 --> 00:29:29,640 EDUCATION AND HIGH SCHOOL 677 00:29:29,640 --> 00:29:29,920 GRADUATION. 678 00:29:29,920 --> 00:29:31,920 SO WE NEED TO CONTINUE THIS 679 00:29:31,920 --> 00:29:32,120 WORK. 680 00:29:32,120 --> 00:29:35,880 BUT NIH AND THE INSTITUTIONS 681 00:29:35,880 --> 00:29:36,560 HAVE TO SUPPORT. 682 00:29:36,560 --> 00:29:41,120 WE CANNOT JUST LEAD THIS STUDY. 683 00:29:41,120 --> 00:29:43,040 AND A LOT OF THIS WORK FOR THE 684 00:29:43,040 --> 00:29:44,360 NON-PROFIT ORGANIZATIONS OR FOR 685 00:29:44,360 --> 00:29:45,200 COMMUNITY ORGANIZATIONS, BECAUSE 686 00:29:45,200 --> 00:29:47,560 LIKE ONE OF MY COLLEAGUES WAS 687 00:29:47,560 --> 00:29:49,480 SAYING, THAT MEANS WE ARE GOING 688 00:29:49,480 --> 00:29:50,520 TO GO BACK AGAIN. 689 00:29:50,520 --> 00:29:53,000 SOMEBODY HAS TO LIFT US UP. 690 00:29:53,000 --> 00:29:54,520 THESE COMMUNITY ORGANIZATIONS. 691 00:29:54,520 --> 00:29:56,440 BECAUSE FOR US, WE KNEW, WE KNEW 692 00:29:56,440 --> 00:29:57,400 THE SITUATION. 693 00:29:57,400 --> 00:29:59,800 WE KNEW THE PACIFIC ISLANDERS 694 00:29:59,800 --> 00:30:02,040 THAT HAVE INEQUITY IN OUR 695 00:30:02,040 --> 00:30:04,040 POPULATION, WE KNEW IT AS A 696 00:30:04,040 --> 00:30:04,320 COMMUNITY. 697 00:30:04,320 --> 00:30:05,680 BUT THIS HAS ELEVATED OUR VOICE 698 00:30:05,680 --> 00:30:07,160 AND WE ARE GLAD WE ARE PART OF 699 00:30:07,160 --> 00:30:09,720 THIS BECAUSE IT ALLOWS THE 700 00:30:09,720 --> 00:30:10,480 INSTITUTION AND THE STATE AND 701 00:30:10,480 --> 00:30:11,960 EVEN NIH TO KNOW THAT THIS IS 702 00:30:11,960 --> 00:30:13,440 WHAT THE POPULATION KNOWS. 703 00:30:13,440 --> 00:30:16,840 YOU JUST HAVE TO HELP US. 704 00:30:16,840 --> 00:30:17,920 YOU HAVE TO TAKE ACTIONS. 705 00:30:17,920 --> 00:30:20,200 AND WE -- THE OTHER THING 706 00:30:20,200 --> 00:30:20,760 FOLLOWING THIS POPULATION IS 707 00:30:20,760 --> 00:30:23,320 THAT A LOT OF PACIFIC ISLANDERS, 708 00:30:23,320 --> 00:30:24,800 IT WAS A CHALLENGE TRYING TO 709 00:30:24,800 --> 00:30:26,760 TRAIN AND WORKING WITH OUR STAFF 710 00:30:26,760 --> 00:30:28,320 BECAUSE A LOT OF THEM, THIS IS 711 00:30:28,320 --> 00:30:30,320 NEW TO THEM. 712 00:30:30,320 --> 00:30:32,240 BUT NOW WE HAVE THIS RESEARCH 713 00:30:32,240 --> 00:30:33,400 TEAM. 714 00:30:33,400 --> 00:30:36,800 WHAT CAN NIH AND OUR 715 00:30:36,800 --> 00:30:40,120 INSTITUTIONS HELP TO ELEVATE AND 716 00:30:40,120 --> 00:30:42,600 TO CLOSE THIS HEALTH INEQUITY IN 717 00:30:42,600 --> 00:30:44,880 THIS POPULATION? 718 00:30:44,880 --> 00:30:46,160 >> SO YOU MENTIONED YOU HAVING A 719 00:30:46,160 --> 00:30:48,040 VOICE AT THE TABLE. 720 00:30:48,040 --> 00:30:50,440 DO YOU THINK THAT YOUR 721 00:30:50,440 --> 00:30:53,440 COMMUNITIES FELT LIKE THAT WAS 722 00:30:53,440 --> 00:30:54,440 NEW? 723 00:30:54,440 --> 00:30:54,720 >> YES. 724 00:30:54,720 --> 00:30:56,560 DURING COVID -- BECAUSE I WAS 725 00:30:56,560 --> 00:30:59,760 PART OF THE NATIVE HAWAIIAN 726 00:30:59,760 --> 00:31:01,400 PACIFIC ISLANDER COVID RESPONSE 727 00:31:01,400 --> 00:31:05,920 TEAM, IT WAS REALLY, REALLY HARD 728 00:31:05,920 --> 00:31:08,200 FOR US TO -- FOR US TO GET THE 729 00:31:08,200 --> 00:31:10,920 SUPPORT FROM THE STATE. 730 00:31:10,920 --> 00:31:12,160 AND THE LOCAL GOVERNMENT. 731 00:31:12,160 --> 00:31:15,120 BUT I THINK THIS STUDY IS 732 00:31:15,120 --> 00:31:17,280 HIGHLIGHTING THE ISSUES THAT WE 733 00:31:17,280 --> 00:31:21,960 WERE TALKING ABOUT DURING COVID. 734 00:31:21,960 --> 00:31:23,480 SO, WE NOW FEEL -- BECAUSE I 735 00:31:23,480 --> 00:31:24,600 THINK ONE OF THE SUCCESSES FOR 736 00:31:24,600 --> 00:31:27,920 OUR STUDY IS THAT THE 737 00:31:27,920 --> 00:31:30,880 INSTITUTION, ESPECIALLY OUR 738 00:31:30,880 --> 00:31:32,760 FACULTY AT JACKSON -- WE HAD A 739 00:31:32,760 --> 00:31:33,360 MUTUAL UNDERSTANDING. 740 00:31:33,360 --> 00:31:34,280 TRUST AND RESPECT FOR THE VOICE 741 00:31:34,280 --> 00:31:36,480 OF THE COMMUNITY. 742 00:31:36,480 --> 00:31:37,800 AND THAT REALLY CONTRIBUTED TO 743 00:31:37,800 --> 00:31:40,520 THE SUCCESS OF THE STUDY. 744 00:31:40,520 --> 00:31:42,960 WE DIDN'T REALLY -- ALL THESE 745 00:31:42,960 --> 00:31:46,560 SCIENTIFIC ISSUES -- I MEAN 746 00:31:46,560 --> 00:31:48,200 RESPONSIBILITIES THAT WE NEEDED 747 00:31:48,200 --> 00:31:51,600 TO FOCUS ON, WE HAVE TO MEET THE 748 00:31:51,600 --> 00:31:52,600 COMMUNITY AT THE LEVEL THEY WERE 749 00:31:52,600 --> 00:31:55,160 AT DURING THE STUDY. 750 00:31:55,160 --> 00:31:56,680 ESPECIALLY THE LIMITATION OF THE 751 00:31:56,680 --> 00:31:59,120 SURVEY, COVID-19 TESTING AND THE 752 00:31:59,120 --> 00:31:59,800 POST-SURVEY. 753 00:31:59,800 --> 00:32:02,760 AND EVEN OUR EDUCATIONAL 754 00:32:02,760 --> 00:32:03,000 SESSIONS. 755 00:32:03,000 --> 00:32:08,240 SO THAT WAS A BIG SUCCESS FOR 756 00:32:08,240 --> 00:32:08,400 US. 757 00:32:08,400 --> 00:32:09,200 IT WAS THE MUTUAL TRUST. 758 00:32:09,200 --> 00:32:14,200 >> SO ONE OF THE QUESTIONS THAT 759 00:32:14,200 --> 00:32:15,840 I JUST GOT SENT -- I THINK IT'S 760 00:32:15,840 --> 00:32:17,560 A PRETTY INTERESTING ONE BECAUSE 761 00:32:17,560 --> 00:32:21,080 IT BUILDS ON THIS IDEA OF -- SO 762 00:32:21,080 --> 00:32:23,920 WE MADE SOME CHANGES. 763 00:32:23,920 --> 00:32:25,280 WE GOT SOME -- WE GOT FOLKS AT 764 00:32:25,280 --> 00:32:27,800 THE TABLE, MAYBE WHO DIDN'T 765 00:32:27,800 --> 00:32:31,560 NECESSARILY HAVE VOICES AND WE 766 00:32:31,560 --> 00:32:32,320 BUILT SOMETHING, RIGHT? 767 00:32:32,320 --> 00:32:35,920 WE CREATED SOMETHING NEW THAT 768 00:32:35,920 --> 00:32:38,080 WAS IMPORTANT. 769 00:32:38,080 --> 00:32:38,800 AND WHAT WOULD KIND OF 770 00:32:38,800 --> 00:32:41,000 UNIVERSITIES OR OTHER 771 00:32:41,000 --> 00:32:42,840 INSTITUTIONS -- WHAT CAN OUR 772 00:32:42,840 --> 00:32:43,600 UNIVERSITIES OR OTHER 773 00:32:43,600 --> 00:32:48,080 INSTITUTIONS DO TO HELP KEEP 774 00:32:48,080 --> 00:32:48,400 THAT GOING? 775 00:32:48,400 --> 00:32:50,440 AND SOME OF US MAY NOT BE 776 00:32:50,440 --> 00:32:54,600 AFFILIATED WITH THE 777 00:32:54,600 --> 00:32:54,920 UNIVERSITIES. 778 00:32:54,920 --> 00:32:55,280 I DON'T KNOW. 779 00:32:55,280 --> 00:32:57,080 DO YOU HAVE ANY THOUGHTS ON 780 00:32:57,080 --> 00:32:57,280 THAT? 781 00:32:57,280 --> 00:32:59,200 >> I THINK THAT ONE OF THE 782 00:32:59,200 --> 00:33:00,440 THINGS WE LEARNED IS THAT PEOPLE 783 00:33:00,440 --> 00:33:03,240 REALLY WANT TO CONTINUE THOSE 784 00:33:03,240 --> 00:33:03,560 RELATIONSHIPS. 785 00:33:03,560 --> 00:33:07,440 SO REALLY UNIVERSITIES OR -- I 786 00:33:07,440 --> 00:33:07,960 WOULD SAY THE PEOPLE THAT 787 00:33:07,960 --> 00:33:08,920 REPRESENT THE UNIVERSITIES, HAVE 788 00:33:08,920 --> 00:33:10,880 TO CONTINUE TO SHOW UP IN THE 789 00:33:10,880 --> 00:33:14,880 COMMUNITY, TO SHOW UP GENERALLY, 790 00:33:14,880 --> 00:33:16,400 HONESTLY, RESPECTFULLY. 791 00:33:16,400 --> 00:33:17,840 I FEEL LIKE UNIVERSITIES HAVE TO 792 00:33:17,840 --> 00:33:20,520 HIRE PEOPLE THAT REPRESENT THE 793 00:33:20,520 --> 00:33:24,240 COMMUNITIES THEY ARE IN. 794 00:33:24,240 --> 00:33:26,800 I DON'T SEE REPRESENTATION OF 795 00:33:26,800 --> 00:33:28,080 THEM FROM MY OWN COMMUNITY. 796 00:33:28,080 --> 00:33:31,080 AT THE UNIVERSITY LEVEL, I THINK 797 00:33:31,080 --> 00:33:32,240 THAT THAT IS DEFINITELY A CHANGE 798 00:33:32,240 --> 00:33:34,080 THAT IS HAPPENING, BUT I THINK 799 00:33:34,080 --> 00:33:35,560 THAT IS ONE OF THE THINGS I 800 00:33:35,560 --> 00:33:35,920 WOULD SUGGEST. 801 00:33:35,920 --> 00:33:38,280 JUST CONTINUE TO SHOW UP AND BE 802 00:33:38,280 --> 00:33:42,880 HONEST WITH THE WORK THAT IS 803 00:33:42,880 --> 00:33:43,640 BEING DONE. 804 00:33:43,640 --> 00:33:47,240 >> WHAT DO YOU THINK, EDNY? 805 00:33:47,240 --> 00:33:50,760 >> I AGREE WITH WHAT HE SAID. 806 00:33:50,760 --> 00:33:52,320 I THINK JUST MEETING COMMUNITY 807 00:33:52,320 --> 00:33:56,240 WHERE THEY ARE AT. 808 00:33:56,240 --> 00:33:57,040 HAVING REPRESENTATION. 809 00:33:57,040 --> 00:34:00,640 AND THEN JUST TAKING INTO 810 00:34:00,640 --> 00:34:02,160 CONSIDERATION WHAT THAT 811 00:34:02,160 --> 00:34:03,680 COMMUNITY HAS TO SAY. 812 00:34:03,680 --> 00:34:09,920 AND I THINK THAT GOES A LONG 813 00:34:09,920 --> 00:34:10,080 WAY. 814 00:34:10,080 --> 00:34:10,320 >> OKAY. 815 00:34:10,320 --> 00:34:14,040 I SEE YOU MUTED YOURSELF, DEBRA. 816 00:34:14,040 --> 00:34:14,680 DID YOU HAVE SOMETHING YOU WOULD 817 00:34:14,680 --> 00:34:18,000 LIKE TO ADD? 818 00:34:18,000 --> 00:34:23,600 >> WELL, AS BEING A PART OF THE 819 00:34:23,600 --> 00:34:26,040 MEDICAL SCHOOL, I FEEL THAT WE 820 00:34:26,040 --> 00:34:33,160 ARE GETTING AN EDUCATION ALL THE 821 00:34:33,160 --> 00:34:34,400 TIME, INFORMATION, ESPECIALLY 822 00:34:34,400 --> 00:34:36,280 ABOUT THE COVID ON THE MEDICAL 823 00:34:36,280 --> 00:34:40,240 SIDE AND GOING INTO OUR 824 00:34:40,240 --> 00:34:40,960 COMMUNITY, IN THE HOUSING 825 00:34:40,960 --> 00:34:42,320 COMMUNITY WHERE A LOT OF PEOPLE 826 00:34:42,320 --> 00:34:47,000 DON'T HAVE A CHANCE TO MAYBE SAY 827 00:34:47,000 --> 00:34:51,640 WHEN COVID WAS GOING ON, AND WE 828 00:34:51,640 --> 00:34:53,840 WERE ABLE TO GET TO THEM BY ZOOM 829 00:34:53,840 --> 00:34:56,200 OR GET TO THEM BY TELEPHONE AND 830 00:34:56,200 --> 00:34:59,600 LETTING THEM KNOW, YOU KNOW, 831 00:34:59,600 --> 00:35:01,400 WHAT IS GOING ON. 832 00:35:01,400 --> 00:35:05,240 AND I THINK THAT WITH US 833 00:35:05,240 --> 00:35:07,440 CONTINUING DOING THIS KIND OF 834 00:35:07,440 --> 00:35:10,800 WORK, IT IS HELPING THE WHOLE 835 00:35:10,800 --> 00:35:11,240 COMMUNITY. 836 00:35:11,240 --> 00:35:18,920 IT'S HELPING THE INCOME-BASED 837 00:35:18,920 --> 00:35:23,360 HOUSING, PUBLIC HOUSING, ANY 838 00:35:23,360 --> 00:35:26,760 PLACE THAT WE NEED TO BE ABLE TO 839 00:35:26,760 --> 00:35:32,360 HELP OUR COMMUNITY. 840 00:35:32,360 --> 00:35:32,920 >> GREAT. 841 00:35:32,920 --> 00:35:33,920 THANK YOU. 842 00:35:33,920 --> 00:35:35,120 I THINK THAT'S PROBABLY GETTING 843 00:35:35,120 --> 00:35:38,440 CLOSE TO WRAPPING US UP. 844 00:35:38,440 --> 00:35:43,840 I'M NOT QUITE SURE HOUSE THIS IS 845 00:35:43,840 --> 00:35:44,680 GOING TO END. 846 00:35:44,680 --> 00:35:46,560 STARTING OFF WITH GREAT 847 00:35:46,560 --> 00:35:48,320 CONVERSATION HERE AND I WISH WE 848 00:35:48,320 --> 00:35:50,720 COULD GO LONGER. 849 00:35:50,720 --> 00:35:53,200 I DO WANT TO THANK EACH AND 850 00:35:53,200 --> 00:35:54,840 EVERY ONE OF THE PANELISTS WHO 851 00:35:54,840 --> 00:35:56,000 JOINED US. 852 00:35:56,000 --> 00:35:58,400 I THINK SUPER IMPORTANT THAT WE 853 00:35:58,400 --> 00:36:01,800 ARE ABLE TO HAVE THIS 854 00:36:01,800 --> 00:36:02,440 CONVERSATION AND THANK YOU VERY 855 00:36:02,440 --> 00:36:03,960 MUCH FOR BEING HERE AND BEING A 856 00:36:03,960 --> 00:36:09,640 PART OF THIS CONVERSATION. 857 00:36:09,640 --> 00:36:11,600 >> YOU'RE WELCOME. 858 00:36:11,600 --> 00:36:11,920 I ENJOYED IT. 859 00:36:11,920 --> 00:36:12,680 >> THANK YOU FOR THE INVITATION. 860 00:36:12,680 --> 00:36:15,880 >> THANK YOU FOR HAVING US. 861 00:36:15,880 --> 00:36:17,720 >> THANK YOU VERY MUCH. 862 00:36:17,720 --> 00:36:18,480 >> THANK YOU THANK YOU FROM THE 863 00:36:18,480 --> 00:36:20,880 WORKING GROUP, FOR ALL OF THE 864 00:36:20,880 --> 00:36:22,120 PANELISTS JOINING US, ESPECIALLY 865 00:36:22,120 --> 00:36:23,480 OUR COMMUNITY PARTNERS. 866 00:36:23,480 --> 00:36:24,520 WE REALLY APPRECIATE ALL THE 867 00:36:24,520 --> 00:36:25,040 WORK YOU DO. 868 00:36:25,040 --> 00:36:27,200 WE KNOW ALL OF THE HARD WORK 869 00:36:27,200 --> 00:36:30,200 THAT YOU WERE DOING O ON THE 870 00:36:30,200 --> 00:36:33,400 GROUND IN YOUR COMMUNITIES. 871 00:36:33,400 --> 00:36:35,320 AND WE OF COURSE WANT ANYONE WHO 872 00:36:35,320 --> 00:36:38,080 IS INTERESTED IN JOINING THE 873 00:36:38,080 --> 00:36:38,720 WORKING GROUP. 874 00:36:38,720 --> 00:36:39,920 I DROPPED THE LINK IN IF YOU 875 00:36:39,920 --> 00:36:41,040 WANT TO JOIN THE WORKING GROUP, 876 00:36:41,040 --> 00:36:43,400 IF YOU WANT TO LEARN MORE ABOUT 877 00:36:43,400 --> 00:36:44,720 THIS PARTICULAR STUDY WORKING 878 00:36:44,720 --> 00:36:46,440 GROUP AND WE HAVE OTHERS AS 879 00:36:46,440 --> 00:36:46,640 WELL. 880 00:36:46,640 --> 00:36:51,160 SOME OF THEM WILL BE 881 00:36:51,160 --> 00:36:52,360 TRANSITIONING TO DIFFERENT GROUP 882 00:36:52,360 --> 00:36:55,200 FORMATS, BUT THEY WILL EXIST IN 883 00:36:55,200 --> 00:36:56,240 THE LONG RUN, OF COURSE, GET IN 884 00:36:56,240 --> 00:37:00,200 TOUCH WITH ME AT CDCC AT DUKE 885 00:37:00,200 --> 00:37:02,960 UNIVERSITY DCRI, AND WE HOPE YOU 886 00:37:02,960 --> 00:37:04,760 ENJOY THE REST OF YOUR TIME WITH 887 00:37:04,760 --> 00:37:05,240 THE REST OF THE SCIENTIFIC 888 00:37:05,240 --> 00:37:08,200 PANELS. 889 00:37:08,200 --> 00:37:10,600 >> ALL RIGHT, WELCOME BACK, 890 00:37:10,600 --> 00:37:10,880 EVERYONE. 891 00:37:10,880 --> 00:37:12,880 I HOPE WE HAVE EVERYONE BACK AT 892 00:37:12,880 --> 00:37:13,160 THIS TIME. 893 00:37:13,160 --> 00:37:15,560 WE ARE GOING TO GO AHEAD AND 894 00:37:15,560 --> 00:37:17,800 MOVE FORWARD TO OUR FIRST 895 00:37:17,800 --> 00:37:18,240 PROJECT PRESENTATION. 896 00:37:18,240 --> 00:37:20,400 BUT BEFORE WE DO THAT, I WANTED 897 00:37:20,400 --> 00:37:22,440 TO MAKE A NOTE, IF YOU ARE 898 00:37:22,440 --> 00:37:24,560 HAVING ANY KIND OF TECHNICAL 899 00:37:24,560 --> 00:37:25,920 ISSUES AND YOU NEED TECHNICAL 900 00:37:25,920 --> 00:37:30,480 SUPPORT, PLEASE MESSAGE ALLEY, 901 00:37:30,480 --> 00:37:31,080 AMANDA OR LAUREN AND THEY CAN 902 00:37:31,080 --> 00:37:33,280 HELP YOU WITH THOSE ISSUES. 903 00:37:33,280 --> 00:37:35,960 SO LET'S GET STARTED WITH OUR 904 00:37:35,960 --> 00:37:36,720 FIRST PROJECT TEAM. 905 00:37:36,720 --> 00:37:39,480 WE ARE NOW GOING TO HEAR FROM 906 00:37:39,480 --> 00:37:39,920 THEM. 907 00:37:39,920 --> 00:37:43,040 THE TEAM PROJECT IS ENTITLED. 908 00:37:43,040 --> 00:37:45,080 REACH, ADOPTION, AND 909 00:37:45,080 --> 00:37:49,600 IMPLEMENTATION OF MOBILE HEALTH 910 00:37:49,600 --> 00:37:50,200 FOR MIGRANT HEALTH, 911 00:37:50,200 --> 00:37:50,720 MHEALTH-4-MHEALTH PROGRAM. 912 00:37:50,720 --> 00:37:51,480 PORTIONS OF THIS PROGRAM WILL BE 913 00:37:51,480 --> 00:37:53,000 IN ENGLISH AND SPANISH. 914 00:37:53,000 --> 00:37:57,400 PLEASE PUT QUESTIONS IN THE CHAT 915 00:37:57,400 --> 00:37:58,000 OR IF YOU HAVE QUESTIONS THAT 916 00:37:58,000 --> 00:37:58,920 YOU WOULD LIKE TO ASK AT THE END 917 00:37:58,920 --> 00:38:00,440 OF THE PRESENTATION, WE WILL 918 00:38:00,440 --> 00:38:03,000 PROVIDE TIME FOR YOU ALL TO DO 919 00:38:03,000 --> 00:38:03,200 THAT. 920 00:38:03,200 --> 00:38:05,280 IF THERE IS ENOUGH TIME LEFT AT 921 00:38:05,280 --> 00:38:06,480 THE END. 922 00:38:06,480 --> 00:38:07,600 SO WE'RE GOING TO HOLD ON JUST 923 00:38:07,600 --> 00:38:10,120 ONE SECOND BEFORE WE GET STARTED 924 00:38:10,120 --> 00:38:12,240 I'M GOING TO INVITE THE TEAM TO 925 00:38:12,240 --> 00:38:19,280 SHARE YOUR WORK WITH US. 926 00:38:19,280 --> 00:38:19,760 >> HELLO, EVERYBODY. 927 00:38:19,760 --> 00:38:20,920 THANK YOU VERY MUCH FOR BEING 928 00:38:20,920 --> 00:38:21,120 HERE. 929 00:38:21,120 --> 00:38:23,880 REALLY APPRECIATE YOU TAKING THE 930 00:38:23,880 --> 00:38:24,480 TIME TO LISTEN TO EVERYTHING 931 00:38:24,480 --> 00:38:26,080 THAT WILL BE SHARED TODAY. 932 00:38:26,080 --> 00:38:28,720 SO I WANTED TO START OFF WITH A 933 00:38:28,720 --> 00:38:30,480 INTRODUCTION. 934 00:38:30,480 --> 00:38:32,120 I'M FERNANDO SANCHEZ, RESEARCH 935 00:38:32,120 --> 00:38:33,920 COORDINATOR FOR THE NEBRASKA 936 00:38:33,920 --> 00:38:35,160 MEDICAL CENTER AND I HAVE MY 937 00:38:35,160 --> 00:38:36,480 TEAM WITH ME. 938 00:38:36,480 --> 00:38:38,760 >> GOOD MORNING, MY NAME IS JANA 939 00:38:38,760 --> 00:38:40,720 BROADHURST, A FACULTY MEMBER IN 940 00:38:40,720 --> 00:38:42,520 PATHOLOGY AND MICROBIOLOGY 941 00:38:42,520 --> 00:38:45,200 DEPARTMENT AT THE UNIVERSITY 942 00:38:45,200 --> 00:38:47,160 NEBRASKA MEDICAL CENTER AND 943 00:38:47,160 --> 00:38:49,960 SERVE AS CO-PI. 944 00:38:49,960 --> 00:38:50,520 >> HI, EVERYONE. 945 00:38:50,520 --> 00:38:54,080 THIS IS LISVEY RIVERA, AND I'M 946 00:38:54,080 --> 00:38:58,680 PROVIDER FOR IMMIGRATION PROG 947 00:38:58,680 --> 00:38:59,600 PROGRAM. 948 00:38:59,600 --> 00:39:01,200 >> THANK YOU VERY MUCH. 949 00:39:01,200 --> 00:39:05,440 SO TODAY'S PROJECT IS THE REACH 950 00:39:05,440 --> 00:39:06,400 ADOPTION AND IMPLEMENTATION OF 951 00:39:06,400 --> 00:39:09,040 THE MOBILE HEALTH FOR MIGRANT 952 00:39:09,040 --> 00:39:10,320 HEALTH PROGRAM. 953 00:39:10,320 --> 00:39:11,880 OR MHEALTH-4-MHEALTH PROGRAM. 954 00:39:11,880 --> 00:39:12,240 NEXT SLIDE. 955 00:39:12,240 --> 00:39:15,280 SO HERE IS A QUICK OVERVIEW OF 956 00:39:15,280 --> 00:39:16,360 WHAT ENTAILS FOR OUR PROGRAM. 957 00:39:16,360 --> 00:39:18,000 SO FIRST THING TO NOTE IS WE ARE 958 00:39:18,000 --> 00:39:22,040 WORKING CLOSELY AND PRIMARILY 959 00:39:22,040 --> 00:39:23,160 WITH SPANISH-SPEAKING MIGRANT, 960 00:39:23,160 --> 00:39:24,200 AGRICULTURAL WORKERS BECAUSE WE 961 00:39:24,200 --> 00:39:25,800 NOTICE THAT SOME OF THE SOCIAL 962 00:39:25,800 --> 00:39:28,200 ECONOMICAL DISPARITIES THAT THEY 963 00:39:28,200 --> 00:39:29,840 TEND TO FACE CAN BE A LITTLE BIT 964 00:39:29,840 --> 00:39:30,600 DIFFERENT THAN WHAT SOMEBODY 965 00:39:30,600 --> 00:39:34,680 THAT HAS BEEN HERE FOR 966 00:39:34,680 --> 00:39:35,000 GENERATIONS. 967 00:39:35,000 --> 00:39:35,480 THAT KNOW AND SPEAK THE 968 00:39:35,480 --> 00:39:35,760 LANGUAGE. 969 00:39:35,760 --> 00:39:36,440 THEY KNOW HOW TO WORK THE SYSTEM 970 00:39:36,440 --> 00:39:37,920 AND NAVIGATE THROUGH THESE 971 00:39:37,920 --> 00:39:38,200 CHALLENGES. 972 00:39:38,200 --> 00:39:40,080 SO IT'S EASIER FOR THEM. 973 00:39:40,080 --> 00:39:41,240 SO WE WANT TO BRIDGE THAT GAP. 974 00:39:41,240 --> 00:39:43,120 THEN WE ARE GOING TO OFFER 975 00:39:43,120 --> 00:39:44,320 MOBILE HEALTH TECHNOLOGIES FOR 976 00:39:44,320 --> 00:39:45,760 THEM TO INCREASE THEIR 977 00:39:45,760 --> 00:39:47,960 RESILIENCY AND THIS WILL BE DONE 978 00:39:47,960 --> 00:39:50,920 THROUGH SOME SCREENING TOOLS IN 979 00:39:50,920 --> 00:39:53,120 OUR HEALTH GUIDANCE, SOME 980 00:39:53,120 --> 00:39:55,200 AT-HOME TESTING KITS AND 981 00:39:55,200 --> 00:39:56,200 COMMUNITY RESOURCE NAVIGATION. 982 00:39:56,200 --> 00:39:58,040 THIS IS BEING DONE CLOSELY WITH 983 00:39:58,040 --> 00:39:59,760 WORKING WITH OUR PARTNERS IN 984 00:39:59,760 --> 00:40:02,520 COLLABORATION WITH NEBRASKA 985 00:40:02,520 --> 00:40:03,520 TITLE I C MIGRANT EDUCATION 986 00:40:03,520 --> 00:40:04,920 PROGRAM AND OUR BUFFALO COUNTY 987 00:40:04,920 --> 00:40:07,360 COMMUNITY PARTNERS AND THE 988 00:40:07,360 --> 00:40:10,720 OVERARCHING GOAL IS, OUR BELIEF 989 00:40:10,720 --> 00:40:11,280 AS LONG AS THE FAMILIES ARE 990 00:40:11,280 --> 00:40:13,120 HEALTHY AND THEY HAVE TEST KITS 991 00:40:13,120 --> 00:40:14,720 READY TO TEST, THEY HAVE ACCESS 992 00:40:14,720 --> 00:40:17,760 TO COMMUNITY RESOURCES, IT WILL 993 00:40:17,760 --> 00:40:20,320 KEEP THE FAMILIES HEALTHY AND IT 994 00:40:20,320 --> 00:40:21,800 WILL KEEP ALL THE KIDS HEALTHY 995 00:40:21,800 --> 00:40:24,160 AND BY THAT, KEEPING THEM ALL IN 996 00:40:24,160 --> 00:40:26,440 SCHOOL AND NOT AFFECTING THEIR 997 00:40:26,440 --> 00:40:31,280 SCHOOL ATTENDANCE. 998 00:40:31,280 --> 00:40:34,520 NEXT WE'LL HAVE AN OVERVIEW ON 999 00:40:34,520 --> 00:40:36,640 THE MIGRANT AND EDUCATION 1000 00:40:36,640 --> 00:40:42,080 PROGRAM. 1001 00:40:42,080 --> 00:40:45,080 >> MIGRANT IMMIGRATION PROGR 1002 00:40:45,080 --> 00:40:45,320 PROGRAM -- 1003 00:40:45,320 --> 00:40:55,680 [ SPEAKING SPANISH ] 1004 00:41:01,600 --> 00:41:05,200 >> DID THE INTERPRETER GIVE YOU 1005 00:41:05,200 --> 00:41:07,040 REFERENCE? 1006 00:41:07,040 --> 00:41:11,560 >> I'LL HAVE TO DEFER TO THE 1007 00:41:11,560 --> 00:41:12,240 ORGANIZER. 1008 00:41:12,240 --> 00:41:16,520 I THINK WE CAN GO AHEAD AND 1009 00:41:16,520 --> 00:41:16,800 CONTINUE. 1010 00:41:16,800 --> 00:41:17,680 THANK YOU. 1011 00:41:17,680 --> 00:41:18,600 >> FOR THE SAKE OF TIME WE'LL 1012 00:41:18,600 --> 00:41:21,840 HAVE TO DO IT IN SPANISH AND 1013 00:41:21,840 --> 00:41:24,720 THEN MAYBE SEND OUT NOTES IN 1014 00:41:24,720 --> 00:41:29,160 ENGLISH IF ANYONE WANTS SOME 1015 00:41:29,160 --> 00:41:31,320 MORE INFORMATION. 1016 00:41:31,320 --> 00:41:31,760 [ SPEAKING SPANISH ] 1017 00:41:31,760 --> 00:41:42,080 [ SPEAKING SPANISH ] 1018 00:42:07,080 --> 00:42:17,360 [ SPEAKING SPANISH ] 1019 00:42:45,200 --> 00:42:47,440 >> I'M THE INTERPRETER. 1020 00:42:47,440 --> 00:42:51,280 I HAVE GOT SOME PROBLEMS IN 1021 00:42:51,280 --> 00:42:51,840 CONNECTING. 1022 00:42:51,840 --> 00:42:54,720 SO I COULDN'T HEAR THE FIRST 1023 00:42:54,720 --> 00:43:00,480 PART OF THE PRESENTATION. 1024 00:43:00,480 --> 00:43:01,040 >> IT'S OKAY. 1025 00:43:01,040 --> 00:43:02,520 I THINK FOR THE SAKE OF TIME, 1026 00:43:02,520 --> 00:43:04,880 SHOULD WE JUST CONTINUE? 1027 00:43:04,880 --> 00:43:06,400 >> SURE, OF COURSE. 1028 00:43:06,400 --> 00:43:10,520 >> OKAY, THANK YOU. 1029 00:43:10,520 --> 00:43:15,680 NEXT SLIDE. 1030 00:43:15,680 --> 00:43:23,680 NEXT SLIDE, PLEASE. 1031 00:43:23,680 --> 00:43:24,480 THANK YOU. 1032 00:43:24,480 --> 00:43:26,000 SO HERE IS A LITTLE BIT ABOUT 1033 00:43:26,000 --> 00:43:28,480 OUR ENROLLMENT IN THE STUDY 1034 00:43:28,480 --> 00:43:29,560 INTERVENTION WE HAVE HERE IN THE 1035 00:43:29,560 --> 00:43:29,840 COMMUNITY. 1036 00:43:29,840 --> 00:43:31,360 FIRST THING TO NOTE HERE IS THAT 1037 00:43:31,360 --> 00:43:35,440 FOR MYSELF AND MY COWORKERS, FOR 1038 00:43:35,440 --> 00:43:36,040 THE RESEARCH COORDINATORS, WE 1039 00:43:36,040 --> 00:43:37,160 ARE ALL BILINGUAL AND 1040 00:43:37,160 --> 00:43:39,240 BICULTURAL, WHICH HAD HAS PLAYED 1041 00:43:39,240 --> 00:43:42,320 A HUGE IMPACT IN JUST THE WAY WE 1042 00:43:42,320 --> 00:43:44,680 INTERACT WITH FAMILIES. 1043 00:43:44,680 --> 00:43:45,280 SOME OF OUR CONNECTIONS ARE WE 1044 00:43:45,280 --> 00:43:46,040 HAVE BEEN ABLE TO ESTABLISH WITH 1045 00:43:46,040 --> 00:43:47,480 THEM HAS MADE IT PRETTY QUICK. 1046 00:43:47,480 --> 00:43:48,720 I KNOW THERE ARE TIMES WHERE 1047 00:43:48,720 --> 00:43:51,400 MYSELF AND COWORKERS, WE'VE HAD 1048 00:43:51,400 --> 00:43:53,160 THE OPPORTUNITY TO HAVE OR GO 1049 00:43:53,160 --> 00:43:54,440 VISIT FAMILIES AND THEY INVITE 1050 00:43:54,440 --> 00:43:55,720 US OVER FOR A MEAL. 1051 00:43:55,720 --> 00:43:58,560 THEY WANT US TO BE THERE. 1052 00:43:58,560 --> 00:44:01,600 I THEY SHARE THEIR LIFE STORIES 1053 00:44:01,600 --> 00:44:03,480 AND HAVE THAT RAPPORT HAS BEEN 1054 00:44:03,480 --> 00:44:03,880 HUGE. 1055 00:44:03,880 --> 00:44:05,560 ALL THE STUDY MATERIALS WE HAVE 1056 00:44:05,560 --> 00:44:07,680 ARE AVAILABLE IN ENGLISH AND 1057 00:44:07,680 --> 00:44:07,920 SPANISH. 1058 00:44:07,920 --> 00:44:09,720 AND I TELL YOU WHAT, WHAT WE 1059 00:44:09,720 --> 00:44:13,960 HAVE IN ENGLISH, WE MAINLY USE 1060 00:44:13,960 --> 00:44:16,120 MATERIALS THAT IS IN SPANISH FOR 1061 00:44:16,120 --> 00:44:16,440 OUR FAMILIES. 1062 00:44:16,440 --> 00:44:17,880 AND THEN AS FAR AS INTERVENTION 1063 00:44:17,880 --> 00:44:19,280 WE HAVE, SO THE FIRST STEP HERE 1064 00:44:19,280 --> 00:44:20,880 IS ONCE THEY CONSENT, WE HELP 1065 00:44:20,880 --> 00:44:24,720 THEM DOWNLOAD THE TOOL AND THEN 1066 00:44:24,720 --> 00:44:27,160 COVID TESTS ARE SHIPPED OUT TO 1067 00:44:27,160 --> 00:44:29,840 THEIR HOME AND RECEIVED IN A FEW 1068 00:44:29,840 --> 00:44:30,200 DAYS. 1069 00:44:30,200 --> 00:44:31,520 FROM THIS CONNECTING HEALTH 1070 00:44:31,520 --> 00:44:32,840 KOREANING ON THEIR HEALTH 1071 00:44:32,840 --> 00:44:34,280 TOOL -- SCREENING -- TO ASSESS 1072 00:44:34,280 --> 00:44:35,880 THE RISK OF COVID. 1073 00:44:35,880 --> 00:44:37,240 RISK AND EXPOSURE AND THEN IF 1074 00:44:37,240 --> 00:44:39,560 THEY WERE TO RECEIVE A POSITIVE 1075 00:44:39,560 --> 00:44:42,440 COVID TEST, IT PROMPTS ALL THE 1076 00:44:42,440 --> 00:44:45,080 HOUSEHOLD TO CONDUCT THE TEST AS 1077 00:44:45,080 --> 00:44:45,440 WELL. 1078 00:44:45,440 --> 00:44:46,440 THEN WE ARE ALSO SCREENING FOR 1079 00:44:46,440 --> 00:44:47,080 HOUSEHOLD CHALLENGES. 1080 00:44:47,080 --> 00:44:49,120 SO THIS IS WHERE OUR FAMILY 1081 00:44:49,120 --> 00:44:50,920 NAVIGATOR WOULD COME IN. 1082 00:44:50,920 --> 00:44:54,360 IN THE IVENT THEY NEED HELP WITH 1083 00:44:54,360 --> 00:44:56,600 LIGHT BILL, HAVE TO CUT BACK ON 1084 00:44:56,600 --> 00:44:58,800 MEALS, CAN'T AFFORD CLOTHES, ANY 1085 00:44:58,800 --> 00:45:00,200 TYPE OF NEED LIKE THAT, THEY 1086 00:45:00,200 --> 00:45:01,640 HAVE THE OPTION IF THEY SELECT 1087 00:45:01,640 --> 00:45:03,240 ONE, THEY HAVE TWOY REQUESTS 1088 00:45:03,240 --> 00:45:04,200 AFTER THAT. 1089 00:45:04,200 --> 00:45:07,120 ONE IF, THERE WAS A RESOURCE 1090 00:45:07,120 --> 00:45:08,920 AVAILABLE AND IF THEY WANT TO BE 1091 00:45:08,920 --> 00:45:10,280 CONTACTED BY OUR FAMILY NURSE 1092 00:45:10,280 --> 00:45:13,520 NAVIGATOR IF THEY SELECT YES 1093 00:45:13,520 --> 00:45:17,160 THEY WANT TO BE CONTACTED, THEN 1094 00:45:17,160 --> 00:45:20,160 OUR NURSE NAVIGATOR SPECIALIZING 1095 00:45:20,160 --> 00:45:22,160 ACROSS THE STATE OF NEBRASKA, 1096 00:45:22,160 --> 00:45:24,160 SHE REACHES OUT TO THEM AND 1097 00:45:24,160 --> 00:45:25,120 HELPS THEM FIND THAT RESOURCE 1098 00:45:25,120 --> 00:45:26,000 THAT WILL HELP THEM WITH THAT 1099 00:45:26,000 --> 00:45:28,160 NEED. 1100 00:45:28,160 --> 00:45:29,200 AND LASTLY, WE CONDUCT INTRODUCE 1101 00:45:29,200 --> 00:45:30,800 TO ENSURE THE QUALITY AND 1102 00:45:30,800 --> 00:45:33,880 SUCCESS OF THE PROGRAM ALONG 1103 00:45:33,880 --> 00:45:36,600 WITH CONSISTENT COMMUNICATION SO 1104 00:45:36,600 --> 00:45:37,160 THEY ALSO DON'T FEEL LIKE A 1105 00:45:37,160 --> 00:45:38,960 NUMBER ADDEDDED TO OUR PROJECT. 1106 00:45:38,960 --> 00:45:41,200 WE ENSURE COMMUNICATION IS OPEN 1107 00:45:41,200 --> 00:45:44,880 BOTH WAYS. 1108 00:45:44,880 --> 00:45:49,720 NEXT SLIDE. 1109 00:45:49,720 --> 00:45:50,200 >> THANK YOU. 1110 00:45:50,200 --> 00:45:53,400 SO WE HAVE ORGANIZED THE 1111 00:45:53,400 --> 00:45:56,240 EVALUATION OF OUR PROGRAM 1112 00:45:56,240 --> 00:45:58,040 PERFORMANCE ACCORDING TO THE 1113 00:45:58,040 --> 00:46:02,040 RE-AIM FRAMEWORK WITH EFFICACY 1114 00:46:02,040 --> 00:46:03,200 ADOPTION, IMPLEMENTATION AND 1115 00:46:03,200 --> 00:46:03,680 MAINTENANCE. 1116 00:46:03,680 --> 00:46:05,520 WE WILL TALK ABOUT OUTCOMES 1117 00:46:05,520 --> 00:46:08,880 RELATED TO REACH, ADOPTION AND 1118 00:46:08,880 --> 00:46:09,720 IMPLEMENTATION. 1119 00:46:09,720 --> 00:46:13,160 NEXT SLIDE. 1120 00:46:13,160 --> 00:46:15,880 I'LL MOVE QUICKLY THROUGH DATA 1121 00:46:15,880 --> 00:46:18,360 OUTPOINTS SO WE CAN CONTINUE TO 1122 00:46:18,360 --> 00:46:21,120 FOCUS ON OUR COMMUNITY 1123 00:46:21,120 --> 00:46:22,040 ENGAGEMENT PIECE. 1124 00:46:22,040 --> 00:46:25,960 BUT TO SUMMARIZE, WE HAVE CHOSEN 1125 00:46:25,960 --> 00:46:28,840 METRICS FOR REACH AND ADOPTION 1126 00:46:28,840 --> 00:46:31,960 THAT SPEAK TO OUR ENROLLMENTS 1127 00:46:31,960 --> 00:46:34,200 AND OUR REPRESENTATION OF 1128 00:46:34,200 --> 00:46:38,160 FAMILIES AND STUDENTS ACROSS THE 1129 00:46:38,160 --> 00:46:38,720 MIGRANT EDUCATION PROGRAM. 1130 00:46:38,720 --> 00:46:40,680 TO DATE, WE HAVE ENROLLED 69 1131 00:46:40,680 --> 00:46:42,600 HOUSEHOLDS WITH 266 1132 00:46:42,600 --> 00:46:43,240 PARTICIPANTS. 1133 00:46:43,240 --> 00:46:47,200 SO OUR ENROLLMENT STRATEGY IS 1134 00:46:47,200 --> 00:46:47,560 HOUSEHOLD-BASED. 1135 00:46:47,560 --> 00:46:49,440 AND THOSE FAMILIES AND 1136 00:46:49,440 --> 00:46:51,280 HOUSEHOLDS REPRESENT 14 RURAL 1137 00:46:51,280 --> 00:46:53,520 COUNTS AND 18 SCHOOL DISTRICTS 1138 00:46:53,520 --> 00:46:55,320 ACROSS THE STATE OF NEBRASKA. 1139 00:46:55,320 --> 00:46:57,200 JUST OVER HALF OF OUR 1140 00:46:57,200 --> 00:46:58,680 PARTICIPANTS ARE CHILDREN AND 1141 00:46:58,680 --> 00:47:02,760 THEY REPRESENT GRADES ACROSS 1142 00:47:02,760 --> 00:47:04,440 KINDERGARTEN THROUGH 12th 1143 00:47:04,440 --> 00:47:04,640 GRADE. 1144 00:47:04,640 --> 00:47:09,600 OUR REPRESENTATIVENESS OF THE 1145 00:47:09,600 --> 00:47:13,240 MIGRANT EDUCATION PROGRAM WITH 1146 00:47:13,240 --> 00:47:15,200 RESPECT TO IDENTIFICATION TO 1147 00:47:15,200 --> 00:47:17,880 HISPANIC/LATINO AND SPANISH 1148 00:47:17,880 --> 00:47:19,600 ORIGIN, AS WELL AS SPANISH AS A 1149 00:47:19,600 --> 00:47:20,240 PREFERRED LANGUAGE FOR THE HEAD 1150 00:47:20,240 --> 00:47:21,880 OF HOUSEHOLD AS SHOWN IN THE 1151 00:47:21,880 --> 00:47:22,560 TABLE HERE. 1152 00:47:22,560 --> 00:47:26,520 SO IN FACT WE ARE CURRENTLY 1153 00:47:26,520 --> 00:47:30,760 OVERREPRESENTED FOR THESE 1154 00:47:30,760 --> 00:47:31,200 DEMOGRAPHICS AND OUR 1155 00:47:31,200 --> 00:47:32,040 PARTICIPANTS. 1156 00:47:32,040 --> 00:47:34,360 AND WE HAVE HAD SUCCESS IN 1157 00:47:34,360 --> 00:47:36,480 HAVING 100% OF OUR HOUSEHOLDS 1158 00:47:36,480 --> 00:47:38,000 SUCCESSFULLY DOWNLOAD THE 1159 00:47:38,000 --> 00:47:39,120 MHEALTH TOOL AND RECEIVE 1160 00:47:39,120 --> 00:47:39,800 ANTIGEN KITS. 1161 00:47:39,800 --> 00:47:41,920 THESE ARE REALLY THE BASIC TOOLS 1162 00:47:41,920 --> 00:47:46,440 FOR ADOPTING THE 1163 00:47:46,440 --> 00:47:47,040 MHEALTH-4-MHEALTH PROGRAM. 1164 00:47:47,040 --> 00:47:50,240 NEXT SLIDE, PLEASE. 1165 00:47:50,240 --> 00:47:52,640 WITH RESPECT TO IMPLEMENTATION, 1166 00:47:52,640 --> 00:47:54,880 WE HAVE BEEN TRACKING THE USE OF 1167 00:47:54,880 --> 00:47:57,720 THE mHEALTH TOOL FOR BOTH 1168 00:47:57,720 --> 00:47:58,320 HOUSEHOLD SYMPTOM SCREENING AS 1169 00:47:58,320 --> 00:48:01,720 WELL AS HOUSEHOLD CHALLENGES 1170 00:48:01,720 --> 00:48:05,400 SCREENING THAT FERNANDO 1171 00:48:05,400 --> 00:48:05,680 DESCRIBED. 1172 00:48:05,680 --> 00:48:07,480 WE SEEN ROBUST UPTAKE IN 1173 00:48:07,480 --> 00:48:09,720 UTILIZATION OF THESE TOOLS WITH 1174 00:48:09,720 --> 00:48:13,600 MORE THAN 4000 HOUSEHOLD SYMPTOM 1175 00:48:13,600 --> 00:48:16,320 SCREENINGS TAKING PLACE, WHICH 1176 00:48:16,320 --> 00:48:19,640 IS JUST ABOUT TWO SCREENING 1177 00:48:19,640 --> 00:48:20,520 EVENTS PER HOUSEHOLD PER WEEK, 1178 00:48:20,520 --> 00:48:25,560 WHICH WE THINK IS A GREAT 1179 00:48:25,560 --> 00:48:26,080 OUTCOME. 1180 00:48:26,080 --> 00:48:29,320 SO WHEN HOUSEHOLD SYMPTOM SCREEN 1181 00:48:29,320 --> 00:48:30,920 IS POSITIVE, THEN THE ENTIRE 1182 00:48:30,920 --> 00:48:33,080 HOUSEHOLD IS PROMPTED TO UTILIZE 1183 00:48:33,080 --> 00:48:35,960 THE HOME ANTIGEN TESTING KISS. 1184 00:48:35,960 --> 00:48:40,360 AND ABOUT 3% OF OUR SCREENS HAVE 1185 00:48:40,360 --> 00:48:42,360 PROMPTED TESTING IN ALMOST HALF 1186 00:48:42,360 --> 00:48:45,320 OF THE PARTICIPATING HOUSEHOLDS. 1187 00:48:45,320 --> 00:48:48,400 OF THOSE FOR WHICH SCREENING -- 1188 00:48:48,400 --> 00:48:50,000 FOR WHICH TESTING WAS PROMPTED, 1189 00:48:50,000 --> 00:48:54,240 BY THE SCREENING TOOL, MORE THAN 1190 00:48:54,240 --> 00:48:55,520 90% OF OUR HOUSEHOLDS HAVE BEEN 1191 00:48:55,520 --> 00:48:58,480 AGREED TO TEST WHEN PROMPTED. 1192 00:48:58,480 --> 00:48:59,920 AND INTERESTINGLY, EVEN THOUGH 1193 00:48:59,920 --> 00:49:01,520 JUST UNDER HALF OF HOUSEHOLDS 1194 00:49:01,520 --> 00:49:02,880 HAVE BEEN PROMPTED TO TEST BY 1195 00:49:02,880 --> 00:49:05,120 THE SCREENING TOOL, TWO-THIRDS 1196 00:49:05,120 --> 00:49:06,080 OF HOUSEHOLDS HAVE UTILIZED THE 1197 00:49:06,080 --> 00:49:08,240 TEST KITS WHEN MADE AVAILABLE TO 1198 00:49:08,240 --> 00:49:09,520 THEM. 1199 00:49:09,520 --> 00:49:10,960 SO I THINK THIS SHOWS THAT THE 1200 00:49:10,960 --> 00:49:13,000 WILLINGNESS TO UTILIZE HOME 1201 00:49:13,000 --> 00:49:16,560 TESTING TOOLS IS HIGH. 1202 00:49:16,560 --> 00:49:20,480 THE SECOND COMPONENT OF OUR 1203 00:49:20,480 --> 00:49:22,240 MHEALTH SCREENING PHASE II 1204 00:49:22,240 --> 00:49:22,720 HOUSEHOLD CHALLENGES. 1205 00:49:22,720 --> 00:49:25,080 AGAIN WE HAVE SEEN ROBUST UPTAKE 1206 00:49:25,080 --> 00:49:28,240 IN UTILIZATION OF THIS TOOL WITH 1207 00:49:28,240 --> 00:49:29,360 ALMOST 1600 SCREENS OR AROUND 1208 00:49:29,360 --> 00:49:32,760 ONE PER WEEK PER HOUSEHOLD. 1209 00:49:32,760 --> 00:49:34,640 AND THIS HAS RESULTED IN OVER A 1210 00:49:34,640 --> 00:49:37,760 THIRD OF HOUSEHOLDS REQUESTING 1211 00:49:37,760 --> 00:49:39,040 FAMILY NAVIGATOR ASSISTANCE. 1212 00:49:39,040 --> 00:49:42,320 THIS IS AN ASPECT OF OUR PROGRAM 1213 00:49:42,320 --> 00:49:44,000 THAT CONTINUES TO BE TRACKED AND 1214 00:49:44,000 --> 00:49:44,280 ANALYZED. 1215 00:49:44,280 --> 00:49:48,680 NEXT SLIDE, PLEASE. 1216 00:49:48,680 --> 00:49:50,520 FINALLY, WITH RESPECT TO 1217 00:49:50,520 --> 00:49:54,000 TESTING, THE SCREENING AGAIN HAS 1218 00:49:54,000 --> 00:49:57,400 PROMPTED MANY TESTING EVENTS NOW 1219 00:49:57,400 --> 00:49:59,640 AND WE'VE RECORDED 25 HOUSEHOLD 1220 00:49:59,640 --> 00:50:00,920 TESTING EVENTS. 1221 00:50:00,920 --> 00:50:03,840 OF THESE, THE POSITIVITY RATE IS 1222 00:50:03,840 --> 00:50:09,000 AT 16% SO ACTUALLY QUITE HIGH 1223 00:50:09,000 --> 00:50:09,600 MEMBERSHIPPING THAT I THINK WE 1224 00:50:09,600 --> 00:50:11,560 ARE IDENTIFYING AN APPROPRIATELY 1225 00:50:11,560 --> 00:50:13,400 TARGETING AT-RISK HOUSEHOLDS FOR 1226 00:50:13,400 --> 00:50:13,800 SCREENING. 1227 00:50:13,800 --> 00:50:17,160 AND I DO WANT TO ALSO NOTE THAT 1228 00:50:17,160 --> 00:50:20,320 NEARLY A QUARTER OF THESE 1229 00:50:20,320 --> 00:50:22,560 SCREENING EVENTS OR TEST EVENTS 1230 00:50:22,560 --> 00:50:26,760 THAT HAVE BEEN RECORDED HAVE 1231 00:50:26,760 --> 00:50:32,040 RESULTED IN AN INDETERMINATE 1232 00:50:32,040 --> 00:50:34,320 RESULT AND COMPLEXITIES OF THE 1233 00:50:34,320 --> 00:50:36,520 GUIDANCE AND NEED FOR SERIAL 1234 00:50:36,520 --> 00:50:38,920 TESTING TO HAVE A VALID NEGATIVE 1235 00:50:38,920 --> 00:50:40,600 RESULT WITH ANTIGEN TESTING. 1236 00:50:40,600 --> 00:50:44,560 SO WE HAVE PROVIDED TESTING 1237 00:50:44,560 --> 00:50:46,520 GUIDANCE AND EDUCATION IN AN 1238 00:50:46,520 --> 00:50:48,880 APPROPRIATE AT-HOME TESTING TO 1239 00:50:48,880 --> 00:50:49,760 FOLLOW FDA GUIDANCE. 1240 00:50:49,760 --> 00:50:51,360 OF COURSE THIS IS CHALLENGING. 1241 00:50:51,360 --> 00:50:56,520 SO, WE ARE CONTINUING TO LEARN 1242 00:50:56,520 --> 00:50:58,120 HOW BEST TO SUPPORT APPROPRIATE 1243 00:50:58,120 --> 00:51:01,000 USE OF ANTIGEN TESTING TOOLS IN 1244 00:51:01,000 --> 00:51:02,520 OUR PARTICIPANT POPULATION AND 1245 00:51:02,520 --> 00:51:05,200 THIS WILL ULTIMATELY HIGHLIGHT 1246 00:51:05,200 --> 00:51:07,040 SOME OF THE CHALLENGES HERE. 1247 00:51:07,040 --> 00:51:15,160 NEXT SLIDE, PLEASE. 1248 00:51:15,160 --> 00:51:16,880 >> SORRY, WE DON'T HAVE MUCH 1249 00:51:16,880 --> 00:51:18,440 TIME LEFT SO I'LL BE QUICK HERE. 1250 00:51:18,440 --> 00:51:20,240 I WANT TO TALK ABOUT SOME OF THE 1251 00:51:20,240 --> 00:51:21,680 COMMUNITY IMPACT WE HAVE BEEN 1252 00:51:21,680 --> 00:51:22,240 ABLE TO HAVE HERE. 1253 00:51:22,240 --> 00:51:25,440 SO ONE OF THE THINGS WE FIRST 1254 00:51:25,440 --> 00:51:27,200 WERE TOLD IS THAT THE 1255 00:51:27,200 --> 00:51:28,760 DEMOGRAPHICS WE WERE TRYING TO 1256 00:51:28,760 --> 00:51:31,080 REACH IS JUST SOMETHING -- 1257 00:51:31,080 --> 00:51:33,400 CULTURALLY DIFFICULT AND ALSO IN 1258 00:51:33,400 --> 00:51:34,320 NEBRASKA GEOGRAPHICALLY, I DON'T 1259 00:51:34,320 --> 00:51:35,800 KNOW IF YOU CAN TELL BUT LIKE 1260 00:51:35,800 --> 00:51:37,600 BETWEEN THE WEST TO THE EAST, 1261 00:51:37,600 --> 00:51:39,840 IT'S A HUGE -- IT'S LIKE AN 8 1262 00:51:39,840 --> 00:51:42,560 HOUR DRIVE TO COVER THOSE TWO 1263 00:51:42,560 --> 00:51:42,800 POINTS. 1264 00:51:42,800 --> 00:51:44,640 SO IT'S QUITE THE DRIVE. 1265 00:51:44,640 --> 00:51:46,520 BUT, FROM THE PROGRAM, SOME OF 1266 00:51:46,520 --> 00:51:50,040 THE FEEDBACK WE HAVE BEEN ABLE 1267 00:51:50,040 --> 00:51:51,720 TO RECEIVE IS THAT IT'S BEEN A 1268 00:51:51,720 --> 00:51:53,200 LOT HELP HAVING SOMETHING TO 1269 00:51:53,200 --> 00:51:55,200 WALK THEM THROUGH THE RESOURCE 1270 00:51:55,200 --> 00:51:56,000 NAVIGATION. 1271 00:51:56,000 --> 00:51:58,400 THE USE OF THE GIFT CARDS THEY 1272 00:51:58,400 --> 00:51:59,200 RECEIVE FOR COMPENSATION FOR 1273 00:51:59,200 --> 00:52:00,560 THEIR TIME HAS MADE A HUGE 1274 00:52:00,560 --> 00:52:02,680 IMPACT IN THEIR LIVES THAT THEY 1275 00:52:02,680 --> 00:52:05,160 NOW RELY ON IT AND COUNT ON 1276 00:52:05,160 --> 00:52:07,800 HAVING THAT MONEY AFTER THE 1277 00:52:07,800 --> 00:52:10,600 MONTH IS OVER FOR EXPENSES THAT 1278 00:52:10,600 --> 00:52:11,400 AT OTHER TIMES THEY WOULDN'T BE 1279 00:52:11,400 --> 00:52:12,760 ABLE TO AFFORD. 1280 00:52:12,760 --> 00:52:14,440 AND ALSO THE IMPACT IT HAS HAD 1281 00:52:14,440 --> 00:52:17,200 BEING ABLE TO HAVE THOSE COVID 1282 00:52:17,200 --> 00:52:18,760 TESTS AT HOME HAS SAVED THEM A 1283 00:52:18,760 --> 00:52:22,000 LOT OF TIME AND A LOT OF STRESS. 1284 00:52:22,000 --> 00:52:23,680 AND I KNOW MOVING FORWARD, I 1285 00:52:23,680 --> 00:52:25,280 KNOW WE'LL BE ABLE TO CONTINUE 1286 00:52:25,280 --> 00:52:27,520 TO WORK WITH THE MIGRANT 1287 00:52:27,520 --> 00:52:28,480 EDUCATION PROGRAM AND OTHER 1288 00:52:28,480 --> 00:52:30,000 AGENCIES HERE IN CENTRAL 1289 00:52:30,000 --> 00:52:32,840 NEBRASKA TO CONTINUE TO PROVIDE 1290 00:52:32,840 --> 00:52:34,400 PROGRAMS AND RESOURCES FOR THESE 1291 00:52:34,400 --> 00:52:42,520 UNDERSERVED POPULATIONS IN THE 1292 00:52:42,520 --> 00:52:45,680 STATE. 1293 00:52:45,680 --> 00:52:47,200 ARE WE DOING QUESTIONS NOW? 1294 00:52:47,200 --> 00:52:50,120 DO WE HAVE TIME FOR QUESTIONS? 1295 00:52:50,120 --> 00:52:50,480 >> THANK YOU. 1296 00:52:50,480 --> 00:52:51,760 IF ANYONE HAS ANY QUESTIONS, I 1297 00:52:51,760 --> 00:52:55,040 THINK WE HAVE TIME FOR ONE 1298 00:52:55,040 --> 00:52:55,280 QUESTION. 1299 00:52:55,280 --> 00:52:56,360 ANYONE HAVE QUESTIONS? 1300 00:52:56,360 --> 00:52:58,480 I DO WANT TO SAY I APPRECIATE 1301 00:52:58,480 --> 00:53:01,120 YOU ALL'S INCORPORATION OF THE 1302 00:53:01,120 --> 00:53:01,560 COMMUNITY NAVIGATORS. 1303 00:53:01,560 --> 00:53:07,960 I THINK THAT IS SO IMPORTANT AND 1304 00:53:07,960 --> 00:53:18,520 SO CRUCIAL SO I APPRECIATE THAT. 1305 00:53:23,000 --> 00:53:26,800 ANY QUESTIONS BEFORE WE MOVE 1306 00:53:26,800 --> 00:53:27,040 FORWARD? 1307 00:53:27,040 --> 00:53:27,680 I'M SO GRATEFUL FOR THE WORK 1308 00:53:27,680 --> 00:53:29,960 YOU'RE DOING. 1309 00:53:29,960 --> 00:53:40,200 SO THANK YOU. 1310 00:54:08,560 --> 00:54:09,480 >> SO I'LL INTRODUCE OUR TEAM. 1311 00:54:09,480 --> 00:54:13,480 SO MY NAME IS CICI BAUER AND I'M 1312 00:54:13,480 --> 00:54:14,040 A ASSOCIATE PROFESSOR IN THE 1313 00:54:14,040 --> 00:54:17,400 DEPARTMENT OF BIOSTATISTICS DATA 1314 00:54:17,400 --> 00:54:20,720 SCIENCE TO UNIVERSITY OF TEXAS 1315 00:54:20,720 --> 00:54:26,040 HEALTH SCIENCE CENTER IN HOUS 1316 00:54:26,040 --> 00:54:26,280 HOUSTON. 1317 00:54:26,280 --> 00:54:29,200 GATHERED HERE WITH ME IS OUR 1318 00:54:29,200 --> 00:54:30,440 PIs FOR THIS PROJECT. 1319 00:54:30,440 --> 00:54:37,920 COULD YOU QUICKLY INTRODUCE 1320 00:54:37,920 --> 00:54:38,200 YOURSELF? 1321 00:54:38,200 --> 00:54:40,360 >> MY NAME IS RACHEL ROY FROM 1322 00:54:40,360 --> 00:54:41,880 HARRIS COUNTY PUBLIC HEALTH SO 1323 00:54:41,880 --> 00:54:49,040 I'LL BE GIVING THE COMMUNITY 1324 00:54:49,040 --> 00:54:49,360 PERSPECTIVE. 1325 00:54:49,360 --> 00:54:51,960 >> AND THIS IS REALLY A 1326 00:54:51,960 --> 00:54:53,200 COLLABORATION WITH HARRIS COUNTY 1327 00:54:53,200 --> 00:54:54,200 PUBLIC HEALTH DEPARTMENT, 1328 00:54:54,200 --> 00:54:55,760 CAMERON COUNTY PUBLIC HEALTH 1329 00:54:55,760 --> 00:54:58,000 DEPARTMENT AND NORTHEAST TEXAS 1330 00:54:58,000 --> 00:55:07,400 PUBLIC HEALTH DEPARTMENT. 1331 00:55:07,400 --> 00:55:08,760 OUR GOALS TO UNDERSTAND AND 1332 00:55:08,760 --> 00:55:17,040 ADDRESS COVID TESTING 1333 00:55:17,040 --> 00:55:22,520 DISPARITIES IDENTIFYING 1334 00:55:22,520 --> 00:55:25,400 VULNERABLE COMMUNITIES IN THOSE 1335 00:55:25,400 --> 00:55:26,000 NEIGHBORHOODS BASED ON SOCIAL 1336 00:55:26,000 --> 00:55:27,600 DETERMINANTS OF HEALTH AS WELL 1337 00:55:27,600 --> 00:55:28,880 AS COVID DISEASE BURDEN. 1338 00:55:28,880 --> 00:55:34,800 AND YOU CAN TELL THAT WE HAVE 1339 00:55:34,800 --> 00:55:39,480 CAMERON COUNT THEY IS SHOWN IN 1340 00:55:39,480 --> 00:55:41,440 THESE PARTS IN SOUTH TEXAS AND 1341 00:55:41,440 --> 00:55:43,840 IT HAS A LARGE POPULATION WITH 1342 00:55:43,840 --> 00:55:45,800 HISPANIC AND IN PARTICULAR 1343 00:55:45,800 --> 00:55:49,120 MEXICAN AND HISPANICS. 1344 00:55:49,120 --> 00:55:54,520 MEXICAN-AMERICANS. 1345 00:55:54,520 --> 00:55:55,280 WE HAVE HARRIS COUNTY AND THE 1346 00:55:55,280 --> 00:55:55,960 CITY OF HOUSTON. 1347 00:55:55,960 --> 00:55:58,400 THIS IS A VERY DIVERSE AND VERY 1348 00:55:58,400 --> 00:56:01,400 POPULATED CITY AND WE HAVE 1349 00:56:01,400 --> 00:56:02,000 NORTHEAST TEXAS INDICATED BY 1350 00:56:02,000 --> 00:56:04,400 THAT ORANGE COLOR AND THIS IS IN 1351 00:56:04,400 --> 00:56:06,240 NORTH TEXAS WHERE WE HAVE 1352 00:56:06,240 --> 00:56:08,200 RELATIVELY LARGE PERCENT OF 1353 00:56:08,200 --> 00:56:11,480 BLACK POPULATION AND ALSO MUCH 1354 00:56:11,480 --> 00:56:12,400 MORE RURAL COMMUNITIES COMPARED 1355 00:56:12,400 --> 00:56:22,760 TO THE OTHER REGIONS. 1356 00:56:26,200 --> 00:56:28,560 HOW DO WE USE SOME OF OUR 1357 00:56:28,560 --> 00:56:30,920 CURRENT PARTNERSHIP AND DATA 1358 00:56:30,920 --> 00:56:33,440 SETS TO IDENTIFY THE VULNERABLE 1359 00:56:33,440 --> 00:56:43,640 POPULATION? 1360 00:56:44,320 --> 00:56:46,520 AND INCREASING COVID TESTING 1361 00:56:46,520 --> 00:56:48,560 FROM 21 TO 22. 1362 00:56:48,560 --> 00:56:50,200 THE FIGURE ON THE RIGHT SHOWS WE 1363 00:56:50,200 --> 00:56:53,000 PLAN TO DO THE RANDOMIZED TRIAL 1364 00:56:53,000 --> 00:56:55,920 AND THEIR DIFFERENT ROUNDS ON 1365 00:56:55,920 --> 00:57:02,160 STARTING FROM GOING TO THE 1366 00:57:02,160 --> 00:57:09,640 COMMUNITIES AND IMPLEMENT THESE 1367 00:57:09,640 --> 00:57:10,360 INTERVENTIONS AND THEN HAVE TO 1368 00:57:10,360 --> 00:57:12,160 MOVE TO THE NEXT SET OF ROUNDS 1369 00:57:12,160 --> 00:57:13,440 AFTER THE SELECTION. 1370 00:57:13,440 --> 00:57:14,440 SO FROM THE FIGURES THAT YOU 1371 00:57:14,440 --> 00:57:16,840 ALREADY SEE, THERE IS DYNAMIC 1372 00:57:16,840 --> 00:57:18,200 PART OF THE SELECTIONS AND WE 1373 00:57:18,200 --> 00:57:22,480 REALLY WANTED TO BE ABLE TO 1374 00:57:22,480 --> 00:57:23,360 IDENTIFY THIS REALTIME 1375 00:57:23,360 --> 00:57:26,000 IDENTIFICATION OF THE VULNERABLE 1376 00:57:26,000 --> 00:57:26,320 POPULATION. 1377 00:57:26,320 --> 00:57:28,240 SO THE LAST PART IS PARTNER WITH 1378 00:57:28,240 --> 00:57:38,800 OUR COMMUNITIES AND STAKEHOLDERS 1379 00:57:43,480 --> 00:57:46,800 TODAY THE FIRST ITEM, HOW DO WE 1380 00:57:46,800 --> 00:57:54,480 IDENTIFY THE VULNERABLE 1381 00:57:54,480 --> 00:57:59,960 COMMUNITIES. 1382 00:57:59,960 --> 00:58:01,040 A COUPLE OF THINGS WE WANT TO 1383 00:58:01,040 --> 00:58:02,520 MAKE SURE WE CAPTURE. 1384 00:58:02,520 --> 00:58:03,360 THE FIRST THING I MENTIONED IS 1385 00:58:03,360 --> 00:58:05,640 WE KNOW THAT IN TEXAS, 1386 00:58:05,640 --> 00:58:07,760 GEOGRAPHICALLY IT'S VERY LARGE 1387 00:58:07,760 --> 00:58:09,440 AND VERY DIVERSE POPULATIONS. 1388 00:58:09,440 --> 00:58:11,000 WE ALSO KNOW FROM A LOT OF THE 1389 00:58:11,000 --> 00:58:12,880 STUDIES THAT THE SOCIAL 1390 00:58:12,880 --> 00:58:15,520 DETERMINANTS OF HEALTH PLAY A 1391 00:58:15,520 --> 00:58:17,600 SIGNIFICANT ROLE IN COMMUNITY 1392 00:58:17,600 --> 00:58:19,880 BURDEN AND HOW COVID MIGHT 1393 00:58:19,880 --> 00:58:20,440 IMPACT THEM. 1394 00:58:20,440 --> 00:58:22,240 AND THE OTHER PIECE WITH COVID 1395 00:58:22,240 --> 00:58:26,080 INFECTION AS YOU SEE ON THIS 1396 00:58:26,080 --> 00:58:27,480 TIME SERIES TREND OF THE COVID 1397 00:58:27,480 --> 00:58:29,600 CASES IN HARRIS COUNTY IS VERY 1398 00:58:29,600 --> 00:58:29,840 DYNAMIC. 1399 00:58:29,840 --> 00:58:40,360 AND IT COMES WITH -- WHAT IS 1400 00:58:40,360 --> 00:58:41,520 REQUIRED IS HOW TO CAPTURE THIS 1401 00:58:41,520 --> 00:58:52,040 DYNAMIC ASPECT OF A COVID CASE? 1402 00:58:58,560 --> 00:59:01,360 AND THE SOCIAL DETERMINANTS OF 1403 00:59:01,360 --> 00:59:02,720 HASHES ACTUALLY INCLUDED MORE 1404 00:59:02,720 --> 00:59:04,800 THAN 12 VARIABLES IN ACCESSING 1405 00:59:04,800 --> 00:59:06,040 THE SOCIAL DETERMINANTS OF 1406 00:59:06,040 --> 00:59:09,160 HEALTH ASPECT AND WE USED A 1407 00:59:09,160 --> 00:59:11,080 COMPONENT ANALYSIS COMBINING ALL 1408 00:59:11,080 --> 00:59:11,960 THESE MEASURES TOGETHER. 1409 00:59:11,960 --> 00:59:15,160 AND THAT GAVE US THIS MAP 1410 00:59:15,160 --> 00:59:18,400 SHOWING AT THE VERY GEOGRAPHIC 1411 00:59:18,400 --> 00:59:20,040 GRANULAR LEVEL WHERE THE MOST 1412 00:59:20,040 --> 00:59:21,440 IMPACTED COMMUNITIES ARE. 1413 00:59:21,440 --> 00:59:24,120 AND THAT IS INFORMATION SOURCED 1414 00:59:24,120 --> 00:59:26,200 INTO THE DESIGN OF THE 1415 00:59:26,200 --> 00:59:26,640 INTERVENTION TRIAL. 1416 00:59:26,640 --> 00:59:33,360 NEXT SLIDE, PLEASE. 1417 00:59:33,360 --> 00:59:36,240 JUST ILLUSTRATION OF THE DYNAMIC 1418 00:59:36,240 --> 00:59:45,360 ASPECT OF -- THESE ARE IN HARRIS 1419 00:59:45,360 --> 00:59:46,800 COUNTY, CAMERON COUNTY AND 1420 00:59:46,800 --> 00:59:48,720 NORTHEAST TEXAS COUNTIES. 1421 00:59:48,720 --> 00:59:52,400 AND WE ILLUSTRATED WHERE WE HAVE 1422 00:59:52,400 --> 00:59:52,680 IDENTIFIED. 1423 00:59:52,680 --> 00:59:54,520 WE CALLED THE UNIT MARKERS AND 1424 00:59:54,520 --> 00:59:56,520 THAT MEANS THESE ARE THE CENSUS 1425 00:59:56,520 --> 01:00:00,880 BLOCK GROUPS AND THESE ARE VERY 1426 01:00:00,880 --> 01:00:01,520 GEOGRAPHICALLY GRANULAR LEVEL OF 1427 01:00:01,520 --> 01:00:05,000 UNITS WHERE AT DIFFERENT REALMS 1428 01:00:05,000 --> 01:00:05,520 WE IDENTIFY THESE ARE THE 1429 01:00:05,520 --> 01:00:08,160 COMMUNITIES THAT ARE BEING 1430 01:00:08,160 --> 01:00:10,480 IMPACTED BY COVID THE MOST. 1431 01:00:10,480 --> 01:00:13,280 AND FROM THIS UNIVERSE, WE 1432 01:00:13,280 --> 01:00:15,800 IDENTIFIED AND SELECT THE CENSUS 1433 01:00:15,800 --> 01:00:17,360 BLOCK GROUPS FOR INTERVENTION 1434 01:00:17,360 --> 01:00:20,280 AND BECAUSE OF THE DYNAMIC 1435 01:00:20,280 --> 01:00:20,840 SELECTION NATURE OF THE 1436 01:00:20,840 --> 01:00:24,040 COMMUNITIES, WE ALSO HAVE TO 1437 01:00:24,040 --> 01:00:28,280 TAKE CONSIDERATION THAT THESE 1438 01:00:28,280 --> 01:00:29,200 UNITS FROM DIFFERENT REALMS HAVE 1439 01:00:29,200 --> 01:00:31,240 SUFFICIENT GEOGRAPHICAL 1440 01:00:31,240 --> 01:00:34,080 SEPARATIONS ALLOW US TO EVALUATE 1441 01:00:34,080 --> 01:00:44,560 THE INTERVENTIONS LATER ON. 1442 01:01:04,400 --> 01:01:06,160 THIS IS SHOWING SOCIAL 1443 01:01:06,160 --> 01:01:08,520 DETERMINANTS OF HEALTH AND COVID 1444 01:01:08,520 --> 01:01:09,080 BURDEN. 1445 01:01:09,080 --> 01:01:10,920 THERE IS JUST WITHIN HARRIS 1446 01:01:10,920 --> 01:01:13,000 COUNTY A SUBSTANTIAL GEOGRAPHIC 1447 01:01:13,000 --> 01:01:13,280 VARIATION. 1448 01:01:13,280 --> 01:01:15,960 AND ON THE RIGHT SIDE IS ANOTHER 1449 01:01:15,960 --> 01:01:17,200 DASHBOARD WE BUILT BUT NOW WE 1450 01:01:17,200 --> 01:01:22,520 ARE ACTUALLY PUTTING A LOT OF 1451 01:01:22,520 --> 01:01:33,000 ADDITIONAL RESOURCES SO OUR 1452 01:01:34,280 --> 01:01:35,920 WORKERS AND PARTNERS WILL HAVE 1453 01:01:35,920 --> 01:01:38,480 MORE INFORMATION TO HELP THEM DO 1454 01:01:38,480 --> 01:01:39,240 THE WORK. 1455 01:01:39,240 --> 01:01:41,560 AND I'LL PASS IT TO RACHEL TO 1456 01:01:41,560 --> 01:01:44,680 TALK MORE FROM THE COMMUNITY 1457 01:01:44,680 --> 01:01:47,200 PERSPECTIVE HOW THEY USE THESE 1458 01:01:47,200 --> 01:01:49,080 DASHBOARDS AND THEIR 1459 01:01:49,080 --> 01:01:51,520 PERSPECTIVE. 1460 01:01:51,520 --> 01:01:52,320 RACHEL. 1461 01:01:52,320 --> 01:01:52,840 >> THANK YOU DR. BAUER. 1462 01:01:52,840 --> 01:01:56,120 PLEASE, NEXT SLIDE. 1463 01:01:56,120 --> 01:01:57,920 SO I WANTED TO FIRST SAY THAT 1464 01:01:57,920 --> 01:02:01,440 HARRIS COUNTY PUBLIC HEALTH WAS 1465 01:02:01,440 --> 01:02:03,520 RESPONSIBLE FOR DISTRIBUTING, 1466 01:02:03,520 --> 01:02:05,000 TESTING FOR COVID AND 1467 01:02:05,000 --> 01:02:05,360 VACCINATIONS. 1468 01:02:05,360 --> 01:02:08,880 I WAS ACTIVATED IN THE COVID-19 1469 01:02:08,880 --> 01:02:11,680 RESPONSE AND THE INFORMATION THE 1470 01:02:11,680 --> 01:02:12,440 DASHBOARD JUST PRESENTED WAS 1471 01:02:12,440 --> 01:02:13,240 VERY HELPFUL. 1472 01:02:13,240 --> 01:02:15,360 AND SO, WE HAVE WHAT WE CALL 1473 01:02:15,360 --> 01:02:17,200 MOBILE UNITS, WHICH YOU WILL SEE 1474 01:02:17,200 --> 01:02:19,760 IN THESE PICTURES, WHICH DID GO 1475 01:02:19,760 --> 01:02:22,800 OUT FOR TESTING AND VACCINATION. 1476 01:02:22,800 --> 01:02:24,880 WE ALSO HAD STABLE SITES FOR 1477 01:02:24,880 --> 01:02:26,800 TESTING AND VACCINATION AS WELL. 1478 01:02:26,800 --> 01:02:29,880 AND SO, WE APPROACHED THIS WITH 1479 01:02:29,880 --> 01:02:32,120 A MULTI-LEVEL INTERVENTION 1480 01:02:32,120 --> 01:02:32,960 STRATEGY. 1481 01:02:32,960 --> 01:02:35,360 SO FIRST, DR. BAUER SHOWED A 1482 01:02:35,360 --> 01:02:35,960 DASHBOARD. 1483 01:02:35,960 --> 01:02:36,800 THIS HELPED THE COMMUNITY 1484 01:02:36,800 --> 01:02:38,560 UNDERSTAND WHERE THEY CAN GO FOR 1485 01:02:38,560 --> 01:02:41,400 TESTING AND VACCINATION. 1486 01:02:41,400 --> 01:02:43,440 AND WE INCLUDED MAPS LIKE THIS 1487 01:02:43,440 --> 01:02:46,520 ON OUR PUBLIC WEBSITE SO THAT 1488 01:02:46,520 --> 01:02:53,000 COMMUNITY MEMBERS COULD SEE 1489 01:02:53,000 --> 01:03:00,040 THEIR NEAREST LOCATION. 1490 01:03:00,040 --> 01:03:05,160 WHEN VACCINES BECAME AVAILABLE. 1491 01:03:05,160 --> 01:03:06,520 WE ALSO DELIVERED NAVIGATION AND 1492 01:03:06,520 --> 01:03:07,920 HAPPENS SO PEOPLE COULD FIND 1493 01:03:07,920 --> 01:03:10,520 WHERE THEIR TESTING AND 1494 01:03:10,520 --> 01:03:13,440 VACCINATION SITES WERE. 1495 01:03:13,440 --> 01:03:16,000 WE DID TRADITIONAL MEDIA, 1496 01:03:16,000 --> 01:03:21,240 FLYERS, POSTED THEM AT VARIOUS 1497 01:03:21,240 --> 01:03:31,600 COMMUNITY SHOPS AND. 1498 01:03:35,280 --> 01:03:36,320 >> THIS MULTILEVEL APPROACH 1499 01:03:36,320 --> 01:03:39,160 TOWARDS VACCINATION TESTING WAS 1500 01:03:39,160 --> 01:03:49,320 IMPROVED BY THIS OCCURRED WITH 1501 01:03:49,320 --> 01:03:50,400 UT SCHOOL OF PUBLIC HEALTH. 1502 01:03:50,400 --> 01:03:53,800 THIS HELPED US TO USE INNOVATIVE 1503 01:03:53,800 --> 01:03:55,920 WAYS TO IMPLEMENT THIS STRATEGY 1504 01:03:55,920 --> 01:04:06,320 AT THE COMMUNITY LEVEL. 1505 01:04:08,800 --> 01:04:10,520 -- PROVIDING DISTRIBUTION IN THE 1506 01:04:10,520 --> 01:04:12,040 COUNTY AND TARGETING THE MOST 1507 01:04:12,040 --> 01:04:14,720 VULNERABLE POPULATIONS AND THIS 1508 01:04:14,720 --> 01:04:15,360 INFORMATION THAT WE HAVE BEEN 1509 01:04:15,360 --> 01:04:17,400 TALKING ABOUT REALLY HELPED US 1510 01:04:17,400 --> 01:04:20,400 TO IDENTIFY THOSE NEIGHBORHOODS 1511 01:04:20,400 --> 01:04:23,240 AND EVEN LARGER GEOGRAPHIC UNITS 1512 01:04:23,240 --> 01:04:25,040 LIKE ZIP CODES AND BRING OUR 1513 01:04:25,040 --> 01:04:29,320 TESTING SITES AND VACCINATION 1514 01:04:29,320 --> 01:04:29,800 SITES. 1515 01:04:29,800 --> 01:04:33,560 SO SPECIFICALLY WE USED THESE 1516 01:04:33,560 --> 01:04:34,480 TYPES OF MAPS TO TARGET OUR 1517 01:04:34,480 --> 01:04:36,480 PUBLIC HEALTH INTERVENTIONS AND 1518 01:04:36,480 --> 01:04:39,280 THIS EXCHANGE REALLY ENABLED 1519 01:04:39,280 --> 01:04:47,760 COMMUNITY ENGAGED COLLABORATIVE 1520 01:04:47,760 --> 01:04:58,000 INTERVENTION. 1521 01:05:26,200 --> 01:05:28,520 >> SELECT AND RANDOMIZE 1522 01:05:28,520 --> 01:05:29,160 COMMUNITIES FOR INTERVENTION AND 1523 01:05:29,160 --> 01:05:30,560 TAKE CONSIDERATIONS OF THE 1524 01:05:30,560 --> 01:05:41,080 SOCIAL DETERMINANTS OF HEALTH. 1525 01:06:42,200 --> 01:06:42,440 >> THANK YOU. 1526 01:06:42,440 --> 01:06:43,360 ARE THERE ANY QUESTIONS? 1527 01:06:43,360 --> 01:06:46,480 FEEL FREE TO TYPE THEM IN THE 1528 01:06:46,480 --> 01:06:56,600 CHAT. 1529 01:07:06,160 --> 01:07:08,040 WE HAVE A SYMPOSIUM COMING UP 1530 01:07:08,040 --> 01:07:08,800 THIS MONTH. 1531 01:07:08,800 --> 01:07:09,920 SO EVERYONE, ESPECIALLY BECAUSE 1532 01:07:09,920 --> 01:07:12,240 OF COVID, BUT BEFORE COVID IS 1533 01:07:12,240 --> 01:07:13,640 REALLY STARTING TO RECOGNIZE THE 1534 01:07:13,640 --> 01:07:16,120 IMPORTANCE OF COMMUNITY HEALTH 1535 01:07:16,120 --> 01:07:17,040 WORKERS AND NAVIGATORS AND THEIR 1536 01:07:17,040 --> 01:07:19,000 ROLLS IN HELPING WITH HEALTH 1537 01:07:19,000 --> 01:07:21,320 OUTCOMES WITH DIFFERENT 1538 01:07:21,320 --> 01:07:31,520 POPULATIONS. 1539 01:07:42,280 --> 01:07:44,080 I DON'T KNOW IF YOU RECEIVED 1540 01:07:44,080 --> 01:07:45,560 FEEDBACK AND WANT TO SPEAK TO 1541 01:07:45,560 --> 01:07:55,680 THAT? 1542 01:07:58,800 --> 01:08:00,520 >> THIS IS SOMETIMES A BAD HABIT 1543 01:08:00,520 --> 01:08:02,920 WE GET INTO USING THAT LANGUAGE 1544 01:08:02,920 --> 01:08:04,480 BUT PRIORITY POPULATIONS AND 1545 01:08:04,480 --> 01:08:07,800 THAT'S THE WHOEL POINT OF 1546 01:08:07,800 --> 01:08:08,400 DR. BAUER'S PRESENTATION WHEN 1547 01:08:08,400 --> 01:08:10,480 YOU HAVE LIMITED RESOURCES AND 1548 01:08:10,480 --> 01:08:17,200 TIME, IT'S REALLY IMPORTANT TO 1549 01:08:17,200 --> 01:08:18,000 PRIORITIZE ONE OF THE 1550 01:08:18,000 --> 01:08:20,680 INFORMATIONAL -- ONE OF THE 1551 01:08:20,680 --> 01:08:23,800 REALLY IMPORTANT AND USEFUL 1552 01:08:23,800 --> 01:08:25,680 COMPONENTS OF THE COLLABORATION 1553 01:08:25,680 --> 01:08:27,800 WAS THE ABILITY FOR THE LOCAL 1554 01:08:27,800 --> 01:08:35,200 HEALTH DEPARTMENTS TO MAKE 1555 01:08:35,200 --> 01:08:45,760 DECISIONS AND THEY WERE ALREADY 1556 01:08:46,280 --> 01:08:47,360 THE MOST VULNERABLE. 1557 01:08:47,360 --> 01:08:56,760 THANK YOU FOR POINTING THAT OUT. 1558 01:08:56,760 --> 01:08:58,440 >> WE HAVE ONE ADDITIONAL 1559 01:08:58,440 --> 01:08:58,720 QUESTION. 1560 01:08:58,720 --> 01:09:00,160 PLEASE DESCRIBE HOW YOU SET UP 1561 01:09:00,160 --> 01:09:02,480 YOUR DASHBOARD VIA ESRI? 1562 01:09:02,480 --> 01:09:07,720 DEVELOPED IN HOUSE? 1563 01:09:07,720 --> 01:09:09,560 >> YES, WE DO EVERYTHING IN 1564 01:09:09,560 --> 01:09:10,960 HOUSE AND THAT'S WHY WE HAVE A 1565 01:09:10,960 --> 01:09:15,160 REALLY EXCELLENT TEAM THAT HAVE 1566 01:09:15,160 --> 01:09:17,800 THE DATA EXPERTISE AS WELL AS 1567 01:09:17,800 --> 01:09:20,560 THE DASHBOARD DEVELOPMENT. 1568 01:09:20,560 --> 01:09:23,800 SO THE DASHBOARD WE DEVELOPED 1569 01:09:23,800 --> 01:09:27,320 HAS THAT GS I SHOWED AND WE HAVE 1570 01:09:27,320 --> 01:09:30,040 OUR DASHBOARD WHICH USE A LOT OF 1571 01:09:30,040 --> 01:09:31,400 DATA SCIENCE TOOLS THAT BRING 1572 01:09:31,400 --> 01:09:39,240 ALL THE DATA PROCESSING ANALYSIS 1573 01:09:39,240 --> 01:09:40,840 AND DASHBOARD IN THE PIPELINE TO 1574 01:09:40,840 --> 01:09:49,360 ALLOW US TO DO DASHBOARD 1575 01:09:49,360 --> 01:09:51,760 DEVELOPMENT. 1576 01:09:51,760 --> 01:09:53,560 >> THAT WAS EXCITING TO LEARN 1577 01:09:53,560 --> 01:09:55,920 MORE ABOUT THE WORK GOING ON IN 1578 01:09:55,920 --> 01:09:57,240 TEXAS. 1579 01:09:57,240 --> 01:09:58,800 SO, WE WILL MIGHT HAVE TO OUR 1580 01:09:58,800 --> 01:10:05,920 THIRD PRESENTATION FOR THIS 1581 01:10:05,920 --> 01:10:06,160 SESSION. 1582 01:10:06,160 --> 01:10:06,720 COMMUNITY ENGAGED TESTING 1583 01:10:06,720 --> 01:10:09,600 POSITIVITY AND VACCINATION IN 1584 01:10:09,600 --> 01:10:10,200 MIAMI, FLORIDA. 1585 01:10:10,200 --> 01:10:20,680 RADX-UP PROJECTS 18 AND 87. 1586 01:10:29,040 --> 01:10:30,360 I'M IN COLLEGE OF PUBLIC HEALTH 1587 01:10:30,360 --> 01:10:33,000 AND MY CO-PRESENTER AND 1588 01:10:33,000 --> 01:10:37,040 DR. BROWN WHO SAY PROFESSOR AND 1589 01:10:37,040 --> 01:10:37,720 CHIEF OF FAMILY AND COMMUNITY 1590 01:10:37,720 --> 01:10:38,680 MEDICINE AT THE COLLEGE OF 1591 01:10:38,680 --> 01:10:38,960 MEDICINE. 1592 01:10:38,960 --> 01:10:41,960 WE ARE AT THE FLORIDA 1593 01:10:41,960 --> 01:10:43,400 INTERNATIONAL UNIVERSITY. 1594 01:10:43,400 --> 01:10:46,920 DR. BROWN IS A LEADER OF 1595 01:10:46,920 --> 01:10:47,520 NEIGHBORHOOD HEALTH WHICH IS A 1596 01:10:47,520 --> 01:10:50,520 COMMUNITY SERVICE PROGRAM WITH A 1597 01:10:50,520 --> 01:10:52,880 NETWORK OF 150 COMMUNITY PARTNER 1598 01:10:52,880 --> 01:10:53,960 ORGANIZATIONS AND ALSO THE CHAIR 1599 01:10:53,960 --> 01:10:59,000 OF THE COMMUNITY ADVISORY BOARD 1600 01:10:59,000 --> 01:11:00,680 AND COINVESTIGATOR IN RADX-UP. 1601 01:11:00,680 --> 01:11:11,040 NEXT SLIDE, PLEASE. 1602 01:11:21,160 --> 01:11:21,920 MOSTLY BLACK AND HISPANIC ADULTS 1603 01:11:21,920 --> 01:11:24,040 LIVING WITH CHRONIC DISEASES AND 1604 01:11:24,040 --> 01:11:26,960 WITH AND WITHOUT HIV IN THE MOST 1605 01:11:26,960 --> 01:11:29,480 VULNERABLE ZIP CODES OF 1606 01:11:29,480 --> 01:11:31,480 MIAMI-DADE COUNTY. 1607 01:11:31,480 --> 01:11:35,160 IN FLORIDA, OUR OVERALL AIM IS 1608 01:11:35,160 --> 01:11:37,560 TO INVESTIGATE ACCESS TO AND USE 1609 01:11:37,560 --> 01:11:40,280 OF COVID-19 PREVENTION. 1610 01:11:40,280 --> 01:11:45,720 TESTING AND TREATMENT AND 1611 01:11:45,720 --> 01:11:46,280 VACCINATION IN COLLABORATION 1612 01:11:46,280 --> 01:11:48,760 WITH COMMUNITY PARTNERS. 1613 01:11:48,760 --> 01:11:51,800 SO, YOU SEE THE MAP WHICH SHOWS 1614 01:11:51,800 --> 01:11:58,520 PRETTY MUCH THE DOWNTOWN AREA OF 1615 01:11:58,520 --> 01:12:08,720 DADE COUNTY. 1616 01:12:09,000 --> 01:12:14,320 WE WERE TO RECRUIT ONE HOURS 6 1617 01:12:14,320 --> 01:12:15,880 PARTICIPANTS AND ANOTHER 1600 1618 01:12:15,880 --> 01:12:17,160 PARTICIPANTS FOR PHASE II 1619 01:12:17,160 --> 01:12:25,200 PROJECT 87 WITH COMMUNITY 1620 01:12:25,200 --> 01:12:35,720 PARTNERS AND NEW PARTICIPANTS 1621 01:12:42,040 --> 01:12:45,800 AND TO GIVE SURVEY TO THE 1622 01:12:45,800 --> 01:12:47,360 PARTICIPANTS THAT WERE ALREADY 1623 01:12:47,360 --> 01:12:51,680 TESTED AND SURVEYED BEFORE. 1624 01:12:51,680 --> 01:12:55,400 AND WE ARE CONDUCTING A 1625 01:12:55,400 --> 01:12:57,600 LONGITUDINAL ANALYSIS ON THE 1626 01:12:57,600 --> 01:13:01,680 PARTICIPANTS WHO WERE TESTED 1627 01:13:01,680 --> 01:13:02,040 MORE THAN ONCE. 1628 01:13:02,040 --> 01:13:12,400 NEXT SLIDE, PLEASE. 1629 01:13:19,360 --> 01:13:21,160 A GREAT MAJORITY OF INFECTIONS 1630 01:13:21,160 --> 01:13:22,800 ARE FOUND IN MIAMI-DADE, AS YOU 1631 01:13:22,800 --> 01:13:28,040 CAN SEE BY THE DARK COLORS ON 1632 01:13:28,040 --> 01:13:30,560 THE MAP. 1633 01:13:30,560 --> 01:13:32,240 THIS WILL COUNTY EXPERIENCED -- 1634 01:13:32,240 --> 01:13:34,000 ALSO EXPERIENCES A 1635 01:13:34,000 --> 01:13:35,560 DISPROPORTIONATE BURDEN OF 1636 01:13:35,560 --> 01:13:38,520 SOCIAL VULNERABILITY WITH HIGH 1637 01:13:38,520 --> 01:13:42,960 RATES OF POVERTY HOUSING 1638 01:13:42,960 --> 01:13:45,640 INSTABILITY, FOOD INSECURITY AND 1639 01:13:45,640 --> 01:13:48,200 DISABILITY AS WELL AS SUBSTANCE 1640 01:13:48,200 --> 01:13:50,920 ABUSE. 1641 01:13:50,920 --> 01:13:52,160 THE UNDER SERVED MINORITY 1642 01:13:52,160 --> 01:13:57,680 POPULATIONS EXPERIENCE MORE 1643 01:13:57,680 --> 01:13:58,480 DISPARITIES IN SOCIAL 1644 01:13:58,480 --> 01:13:59,960 DETERMINANTS OF HEALTH AND MAY 1645 01:13:59,960 --> 01:14:03,800 BE MORE EXPOSED IN TRANSMISSION. 1646 01:14:03,800 --> 01:14:07,640 WE WILL BE ABLE TO CONDUCT THE 1647 01:14:07,640 --> 01:14:10,040 STUDY BY LEVERAGING THE LARGE 1648 01:14:10,040 --> 01:14:12,480 EXISTING NETWORK OF STRONG 1649 01:14:12,480 --> 01:14:15,240 COMMUNITY PARTNER RELATIONSHIPS 1650 01:14:15,240 --> 01:14:17,560 AS WELL AS LEVERAGING AN 1651 01:14:17,560 --> 01:14:20,680 EXISTING NIH-FUNDED PROSPECTIVE 1652 01:14:20,680 --> 01:14:24,200 COHORT STUDY NAMED MIAMI ADULT 1653 01:14:24,200 --> 01:14:30,520 STUDIES ON HIV COHORT. 1654 01:14:30,520 --> 01:14:40,040 DR. BROWN PLEASE TAKE OVER. 1655 01:14:40,040 --> 01:14:40,760 >> SO IS THE NEIGHBORHOOD HEALTH 1656 01:14:40,760 --> 01:14:43,320 PROGRAM IS A COMMUNITY ENGAGED 1657 01:14:43,320 --> 01:14:45,320 PROGRAM INTEGRATED INTO THE 1658 01:14:45,320 --> 01:14:49,120 COLLEGE OF MEDICINE. 1659 01:14:49,120 --> 01:14:53,000 WE PARTNER WITH THESE DIFFERENT 1660 01:14:53,000 --> 01:14:53,520 COMMUNITY ORGANIZATIONS, 1661 01:14:53,520 --> 01:14:55,200 CHURCHES AND DAY CARE CENTERS 1662 01:14:55,200 --> 01:15:00,920 ET CETERA AND OUR OUTREACH TEAM 1663 01:15:00,920 --> 01:15:01,600 SPECIALISTS AND PROGRAM MANAGERS 1664 01:15:01,600 --> 01:15:02,320 WORK WITH THOSE ORGANIZATIONS 1665 01:15:02,320 --> 01:15:04,960 AND GET TO KNOW THEM, VOLUNTEER 1666 01:15:04,960 --> 01:15:06,640 AT THEM AND HAVE THEM REFER 1667 01:15:06,640 --> 01:15:07,680 PEOPLE WHO AREN'T HAVING THEIR 1668 01:15:07,680 --> 01:15:13,520 NEEDS MET INTO OUR PROGRAM. 1669 01:15:13,520 --> 01:15:15,320 OUR PROGRAM IS BASED ON TEAMS 1670 01:15:15,320 --> 01:15:18,680 MAKING LONGITUDINAL SERIES OF 1671 01:15:18,680 --> 01:15:19,760 HOME VISITS TO HOUSEHOLDS IN 1672 01:15:19,760 --> 01:15:20,200 MEDICALLY UNDERSERVED 1673 01:15:20,200 --> 01:15:21,400 NEIGHBORHOODS FOCUSING ON THE 1674 01:15:21,400 --> 01:15:25,040 SOCIAL DETERMINANTS OF HEALTH 1675 01:15:25,040 --> 01:15:29,360 AND BOTH MULTIDISCIPLINARY 1676 01:15:29,360 --> 01:15:31,560 OUTREACH TEAM AND COMMUNITY 1677 01:15:31,560 --> 01:15:33,440 UNIVERSITY COALITION WORK TO 1678 01:15:33,440 --> 01:15:34,920 ASSESS AND UNDERSTAND THE SOCIAL 1679 01:15:34,920 --> 01:15:36,720 NEEDS AND THEN TO PROVIDE 1680 01:15:36,720 --> 01:15:38,640 SERVICES EITHER DIRECTLY OR BY 1681 01:15:38,640 --> 01:15:42,160 REFERRAL BACK TO THIS COMMUNITY 1682 01:15:42,160 --> 01:15:44,680 NETWORK. 1683 01:15:44,680 --> 01:15:48,160 WE REACHED OUT TO OUR EXISTING 1684 01:15:48,160 --> 01:15:50,000 PARTNERS TO PARTICIPATE IN THE 1685 01:15:50,000 --> 01:15:50,560 COMMUNITY ADVISORY BOARD AND 1686 01:15:50,560 --> 01:15:57,360 ENGAGE THEM TO HELP US SET UP 1687 01:15:57,360 --> 01:16:02,760 TESTING EVENTS AND DEVELOPED 1688 01:16:02,760 --> 01:16:04,720 QUESTIONNAIRES VIA INFO GRAPHICS 1689 01:16:04,720 --> 01:16:06,520 AND LANGUAGES AND ENGAGING 1690 01:16:06,520 --> 01:16:08,240 COMMUNITY PARTNERS ON OUR TEAM. 1691 01:16:08,240 --> 01:16:12,000 ONE OF OUR PARTNERS PROVIDES 1692 01:16:12,000 --> 01:16:13,800 FOLLOW-UP CARE AND PUBLIC HEALTH 1693 01:16:13,800 --> 01:16:14,360 MITIGATION. 1694 01:16:14,360 --> 01:16:18,560 NEXT SLIDE. 1695 01:16:18,560 --> 01:16:25,720 SO, FOR RECRUITMENT, WE WENT TO 1696 01:16:25,720 --> 01:16:26,880 THESE SOCIOECONOMICALLY 1697 01:16:26,880 --> 01:16:28,640 DISADVANTAGED PREDOMINANTLY 1698 01:16:28,640 --> 01:16:29,760 BLACK AND HISPANIC 1699 01:16:29,760 --> 01:16:30,280 NEIGHBORHOODS. 1700 01:16:30,280 --> 01:16:33,240 WE PARTNERED WITH OUR COMMUNITY 1701 01:16:33,240 --> 01:16:34,960 ORGANIZATIONS TO IDENTIFY THE 1702 01:16:34,960 --> 01:16:36,480 BEST SITES FOR US TO HAVE 1703 01:16:36,480 --> 01:16:38,720 TESTING EVENTS GOING TO SCHOOLS 1704 01:16:38,720 --> 01:16:40,800 AND CHURCHES, FOR EXAMPLE. 1705 01:16:40,800 --> 01:16:49,280 BUT WE ALSO USED DR. BROWN'S 1706 01:16:49,280 --> 01:16:51,040 COHORT TO REACH OUT FOR TESTING 1707 01:16:51,040 --> 01:16:51,680 OF PEOPLE THAT HAVE BEEN 1708 01:16:51,680 --> 01:16:53,560 FOLLOWED UP AND SNOWBALL 1709 01:16:53,560 --> 01:16:55,760 SAMPLING TO OBTAIN ADDITIONAL 1710 01:16:55,760 --> 01:16:59,920 PARTICIPANTS FOR TESTING. 1711 01:16:59,920 --> 01:17:00,760 OUR PARTICIPANTS COMPLETED THE 1712 01:17:00,760 --> 01:17:02,960 COMMON DATA ELEMENTS AND HAD 1713 01:17:02,960 --> 01:17:06,600 TESTING DONE WITH RCPCR. 1714 01:17:06,600 --> 01:17:09,400 PARTICIPANTS WERE COMPENSATED 1715 01:17:09,400 --> 01:17:10,720 FOR COMPLETION OF THE DIFFERENT 1716 01:17:10,720 --> 01:17:14,120 STAGES OF THE PROJECT. 1717 01:17:14,120 --> 01:17:16,080 WE CONFIRMED VACCINATION OVER 1718 01:17:16,080 --> 01:17:17,640 80% OF THOSE WHO REPORTED THEY 1719 01:17:17,640 --> 01:17:21,080 HAVE BEEN VACCINATED BY REVIEW 1720 01:17:21,080 --> 01:17:23,280 OF MEDICAL RECORDS. 1721 01:17:23,280 --> 01:17:26,640 NEXT SLIDE. 1722 01:17:26,640 --> 01:17:30,520 SO WE ARE ABLE TO COLLECT CDS 1723 01:17:30,520 --> 01:17:33,840 AND TESTING FROM ALMOST 1800 1724 01:17:33,840 --> 01:17:34,440 PARTICIPANTS. 1725 01:17:34,440 --> 01:17:36,960 PROJECT 87 IS STILL ONGOING. 1726 01:17:36,960 --> 01:17:39,720 BEGAN COLLECTING CDEs IN MAY 1727 01:17:39,720 --> 01:17:40,920 OF 2022. 1728 01:17:40,920 --> 01:17:44,840 AND HAVE COMPLETED ABOUT 1200 1729 01:17:44,840 --> 01:17:54,720 PARTICIPANTS DOING THE TESTING 1730 01:17:54,720 --> 01:17:55,560 IN THE COMMUNITY AND COLLECTING 1731 01:17:55,560 --> 01:17:58,600 THE CDEs WAS VERY COMPLEX 1732 01:17:58,600 --> 01:18:00,120 ENDEAVOR SO WE WORKED WITH 1733 01:18:00,120 --> 01:18:02,120 PARTNERS TO RECRUIT PEOPLE IN 1734 01:18:02,120 --> 01:18:06,240 ADVANCE AND TO COMPLETE THE 1735 01:18:06,240 --> 01:18:11,480 QUESTIONNAIRES BY PHONE AND THEN 1736 01:18:11,480 --> 01:18:12,840 TO GO BACK AT A LATER TIME TO DO 1737 01:18:12,840 --> 01:18:15,000 A TESTING EVENT OR HAVE PEOPLE 1738 01:18:15,000 --> 01:18:25,520 COME TO OUR CLINIC FOR TESTING. 1739 01:18:58,320 --> 01:19:03,240 44% ARE HISPANIC. 1740 01:19:03,240 --> 01:19:06,120 63% HAD HIGH SCHOOL EDUCATION OR 1741 01:19:06,120 --> 01:19:12,120 LESS AND MORE THAN 1/3 ARE 1742 01:19:12,120 --> 01:19:13,800 LIVING WITH DISABILITY. 1743 01:19:13,800 --> 01:19:15,440 ANNUAL INCOME IS LESS THAN 1744 01:19:15,440 --> 01:19:25,840 15,000 DOLLARS PER YEAR. 1745 01:19:38,120 --> 01:19:41,320 THESE ARE VARIABLES ASSOCIATED 1746 01:19:41,320 --> 01:19:51,360 WITH TESTING. 1747 01:19:51,360 --> 01:19:52,440 WERE ADJUSTED FOR AGE, SEX, RACE 1748 01:19:52,440 --> 01:20:02,400 AND ETHNICITY AS WELL AS INCOME. 1749 01:20:02,400 --> 01:20:09,080 THIS SHOWS YOU THAT THOSE WHO 1750 01:20:09,080 --> 01:20:09,680 PERCEIVE POSITIVE RESULT IN 1751 01:20:09,680 --> 01:20:13,720 TESTING ARE 1 1/2 TIMES MORE 1752 01:20:13,720 --> 01:20:16,520 LIKELY TO BE TESTED FOR COVID-19 1753 01:20:16,520 --> 01:20:22,560 THAN THOSE WHO DID NOT THINK 1754 01:20:22,560 --> 01:20:29,400 POSITIVE RESULTS WERE ACCURATE. 1755 01:20:29,400 --> 01:20:34,400 THOSE WHO ARE CURRENTLY EMPLOYED 1756 01:20:34,400 --> 01:20:36,640 HAD INSURANCE COVERAGE, WERE 1757 01:20:36,640 --> 01:20:39,600 ALSO MORE LIKELY TO BE TESTED 1758 01:20:39,600 --> 01:20:43,200 AND FINALLY, THOSE WHO HAD 1759 01:20:43,200 --> 01:20:44,440 HIGHER EDUCATIONAL LEVEL WERE 1760 01:20:44,440 --> 01:20:46,200 ALMOST TWICE AS LIKELY TO BE 1761 01:20:46,200 --> 01:20:56,560 TESTED FOR COVID-19. 1762 01:20:58,720 --> 01:21:09,040 SO, NEXT SLIDE, PLEASE. 1763 01:21:10,760 --> 01:21:12,800 SO, I'M SORRY. 1764 01:21:12,800 --> 01:21:19,080 I GOT LOST HERE IN BETWEEN THESE 1765 01:21:19,080 --> 01:21:21,840 SO ON THE LEFT SIDE AGAIN, 1766 01:21:21,840 --> 01:21:24,120 REGRESSION ANALYSIS ADJUSTED FOR 1767 01:21:24,120 --> 01:21:28,560 THE SAME VARIABLES SHOW THAT 1768 01:21:28,560 --> 01:21:32,640 COVID-19 VACCINATIONS WHICH WE 1769 01:21:32,640 --> 01:21:43,000 OBTAIN EITHER WITH. 1770 01:21:49,880 --> 01:21:51,920 THOSE WHO LOST EMPLOYMENT INCOME 1771 01:21:51,920 --> 01:21:54,640 HAD CHALLENGES WITH 1772 01:21:54,640 --> 01:21:56,040 TRANSPORTATION. 1773 01:21:56,040 --> 01:22:00,040 CHALLENGES WITH FOOD INSECURITY 1774 01:22:00,040 --> 01:22:03,440 AND CHALLENGES WITH HOUSING AND 1775 01:22:03,440 --> 01:22:04,120 HEALTH CARE ACCESS WERE 1776 01:22:04,120 --> 01:22:07,680 SIGNIFICANTLY LESS LIKELY TO BE 1777 01:22:07,680 --> 01:22:11,320 VACCINATED AGAINST COVID-19. 1778 01:22:11,320 --> 01:22:15,240 ON THE OTHER HAND, THOSE WHO HAD 1779 01:22:15,240 --> 01:22:19,600 HIGH COVID RELATED WORRY AND HAD 1780 01:22:19,600 --> 01:22:20,880 HEALTH INSURANCE COVERAGE WERE 1781 01:22:20,880 --> 01:22:25,000 FAR MORE LIKELY TO BE VACCINATED 1782 01:22:25,000 --> 01:22:26,480 AGAINST COVID-19. 1783 01:22:26,480 --> 01:22:31,200 AND THEN, THOSE WHO BELIEVE THAT 1784 01:22:31,200 --> 01:22:33,480 COVID-19 VACCINATION WAS 1785 01:22:33,480 --> 01:22:35,600 EFFECTIVE, ALMOST 13 TIMES MORE 1786 01:22:35,600 --> 01:22:38,120 LIKELY TO HAVE BEEN VACCINATED 1787 01:22:38,120 --> 01:22:42,520 AS THOSE WHO DID NOT HAVE THAT 1788 01:22:42,520 --> 01:22:44,440 BELIEF. 1789 01:22:44,440 --> 01:22:46,520 AS FAR AS COVID-19 POSITIVITY, 1790 01:22:46,520 --> 01:22:50,760 WE HAD A TOTAL OF 22% WHO WERE 1791 01:22:50,760 --> 01:22:53,000 COVID-19 POSITIVE EITHER FROM 1792 01:22:53,000 --> 01:22:56,280 OUR OWN TESTING OR FROM THEIR 1793 01:22:56,280 --> 01:22:56,520 REPORTS. 1794 01:22:56,520 --> 01:23:00,120 AND THERE WAS SOME VARIABLES 1795 01:23:00,120 --> 01:23:02,440 ASSOCIATED WITH TESTING POSITIVE 1796 01:23:02,440 --> 01:23:04,840 ON COVID-19 TEST. 1797 01:23:04,840 --> 01:23:07,160 BELIEF THAT COVID-19 VACCINATION 1798 01:23:07,160 --> 01:23:10,640 IS EFFECTIVE ACTUALLY PREVENTED 1799 01:23:10,640 --> 01:23:12,920 APPROXIMATELY HALF OF THE 1800 01:23:12,920 --> 01:23:13,280 POSITIVE TESTS. 1801 01:23:13,280 --> 01:23:15,960 ON THE OTHER HAND, LOSS OF 1802 01:23:15,960 --> 01:23:22,120 HEALTH INSURANCE AND LOSS OF 1803 01:23:22,120 --> 01:23:27,240 EMPLOYMENT WAS ALMOST TWICE AS 1804 01:23:27,240 --> 01:23:30,840 MUCH ASSOCIATED WITH BEING COVID 1805 01:23:30,840 --> 01:23:38,640 POSITIVE. 1806 01:23:38,640 --> 01:23:41,160 WHAT ARE THE CHALLENGES? 1807 01:23:41,160 --> 01:23:44,680 RECRUITMENT HAD SOME CHALLENGES 1808 01:23:44,680 --> 01:23:47,680 BUT WE ALSO HAVE CHALLENGES WITH 1809 01:23:47,680 --> 01:23:48,720 TIMELY NOTIFICATION OF THIS HARD 1810 01:23:48,720 --> 01:23:49,720 TO REACH POPULATION. 1811 01:23:49,720 --> 01:23:53,280 THIS TOOK A LOT OF EFFORT 1812 01:23:53,280 --> 01:23:54,720 SOMETIMES MORE THAN 20 PHONE 1813 01:23:54,720 --> 01:24:02,480 CALLS AND OTHER WAYS OF CONTA 1814 01:24:02,480 --> 01:24:03,520 CONTACTING THIS INDIVIDUALS. 1815 01:24:03,520 --> 01:24:06,160 SEEMS PEOPLE ARE POOR, MAY NOT 1816 01:24:06,160 --> 01:24:08,640 HAVE PHONES OR MAY NOT ANSWER. 1817 01:24:08,640 --> 01:24:10,880 SO REACHING THEM TO REPORT THE 1818 01:24:10,880 --> 01:24:15,560 RESULTS WAS VERY TIME CONSUMING. 1819 01:24:15,560 --> 01:24:21,400 OUR KEY TAKEAWAYS WERE THAT 1820 01:24:21,400 --> 01:24:22,600 HAVING PARTNERSHIPS WERE CENTRAL 1821 01:24:22,600 --> 01:24:26,480 TO OUR COMMUNITY ENGAGEMENT 1822 01:24:26,480 --> 01:24:28,040 EFFORTS. 1823 01:24:28,040 --> 01:24:32,920 OUR FINDINGS ALSO REINFORCE THE 1824 01:24:32,920 --> 01:24:33,640 HEALTH BELIEF MODEL, BELIEFS 1825 01:24:33,640 --> 01:24:38,480 ABOUT VACCINATION, EFFICACY AND 1826 01:24:38,480 --> 01:24:39,000 TEST ACCURACY PREDICTED 1827 01:24:39,000 --> 01:24:39,720 BEHAVIORS AND OUTCOMES. 1828 01:24:39,720 --> 01:24:43,240 AND FINALLY, OUR FINDINGS ALSO 1829 01:24:43,240 --> 01:24:45,680 DEMONSTRATED THE IMPACT OF 1830 01:24:45,680 --> 01:24:47,200 SOCIAL DETERMINANTS OF HEALTH 1831 01:24:47,200 --> 01:24:49,240 WITH EMPLOYMENT AND HEALTH 1832 01:24:49,240 --> 01:24:53,360 INSURANCE IMPACTING BOTH TESTING 1833 01:24:53,360 --> 01:24:58,360 AND VACCINATIONS. 1834 01:24:58,360 --> 01:24:59,600 THAT CONCLUDES OUR PRESENTATION 1835 01:24:59,600 --> 01:25:06,600 AND I WOULD LIKE TO THANK THE 1836 01:25:06,600 --> 01:25:07,920 MIAMI-DADE COMMUNITY AND STUDY 1837 01:25:07,920 --> 01:25:09,040 PARTICIPANTS AND THE COMMUNITY 1838 01:25:09,040 --> 01:25:12,480 PARTNERS THAT HAVE PARTICIPATED 1839 01:25:12,480 --> 01:25:15,840 IN US BEING ABLE TO RECRUIT 1840 01:25:15,840 --> 01:25:16,400 THOUSANDS OF PARTICIPANTS. 1841 01:25:16,400 --> 01:25:24,760 THANK YOU VERY MUCH. 1842 01:25:24,760 --> 01:25:26,080 >> GREAT PRESENTATION. 1843 01:25:26,080 --> 01:25:31,600 ANY QUESTIONS? 1844 01:25:31,600 --> 01:25:34,080 AGAIN, FEEL FREE TO TYPE IN THE 1845 01:25:34,080 --> 01:25:42,960 CHAT OR RAISE YOUR HAND. 1846 01:25:42,960 --> 01:25:46,520 SOMEONE IS ASKING WHAT IS YOUR 1847 01:25:46,520 --> 01:25:50,520 SAMPLE SIZE? 1848 01:25:50,520 --> 01:25:53,320 >> SO WE SAW ALMOST 1,800 1849 01:25:53,320 --> 01:25:54,520 PARTICIPANTS. 1850 01:25:54,520 --> 01:26:01,800 WE EXCEEDED OUR GOAL AND PHASE 1851 01:26:01,800 --> 01:26:05,280 II WE ARE NOW 1,2000 1852 01:26:05,280 --> 01:26:06,080 PARTICIPANTS. 1853 01:26:06,080 --> 01:26:07,880 >> THERE IS ANOTHER QUESTION, 1854 01:26:07,880 --> 01:26:09,480 WHY IS HEALTH INSURANCE 1855 01:26:09,480 --> 01:26:11,640 IMPORTANT WHEN VACCINES ARE 1856 01:26:11,640 --> 01:26:11,840 FREE? 1857 01:26:11,840 --> 01:26:14,160 WERE YOU ABLE TOL DETERMINE THAT 1858 01:26:14,160 --> 01:26:16,000 FROM YOUR STUDY? 1859 01:26:16,000 --> 01:26:18,800 >> MOST LIKELY PEOPLE WERE NOT 1860 01:26:18,800 --> 01:26:22,520 AWARE THAT TESTING AND 1861 01:26:22,520 --> 01:26:26,560 VACCINATIONS WERE FREE. 1862 01:26:26,560 --> 01:26:28,120 >> ILS ALSO THINK THAT HEALTH 1863 01:26:28,120 --> 01:26:30,080 INSURANCE STAT SUSA MEASURE OF 1864 01:26:30,080 --> 01:26:34,600 SOCIOECONOMIC STATUS TO A DEG 1865 01:26:34,600 --> 01:26:34,800 DEGREE. 1866 01:26:34,800 --> 01:26:37,080 >> CAN YOU ELABORATE ON THAT 1867 01:26:37,080 --> 01:26:40,520 JUST A LITTLE BIT? 1868 01:26:40,520 --> 01:26:44,040 >> SO, PEOPLE -- IN FLORIDA, WE 1869 01:26:44,040 --> 01:26:46,880 HAVE NOT GOT MEDICAID EXPANSION. 1870 01:26:46,880 --> 01:26:49,040 SO THE UNINSURED OFTEN 1871 01:26:49,040 --> 01:26:54,000 REPRESENTS WORKING POOR 1872 01:26:54,000 --> 01:26:54,440 POPULATION. 1873 01:26:54,440 --> 01:26:54,960 THAT ISN'T POOR ENOUGH TO 1874 01:26:54,960 --> 01:26:56,720 QUALIFY FOR MEDICAID. 1875 01:26:56,720 --> 01:26:58,440 DOESN'T HAVE EMPLOYER-BASED 1876 01:26:58,440 --> 01:27:00,680 HEALTH CARE, ISN'T MAKING 1877 01:27:00,680 --> 01:27:04,080 SOMEHOW NOT ENOUGH MONEY FOR 1878 01:27:04,080 --> 01:27:05,080 SUBSIDIES AND SO WE SEE A LOT OF 1879 01:27:05,080 --> 01:27:08,000 PEOPLE AND THOSE WHO ARE 1880 01:27:08,000 --> 01:27:10,240 UNINSURED ARE OFTEN STRUGGLING 1881 01:27:10,240 --> 01:27:11,840 ON MANY DIFFERENT -- IN MANY 1882 01:27:11,840 --> 01:27:14,120 DIFFERENT WAYS. 1883 01:27:14,120 --> 01:27:16,680 MAYBE TRANSPORTATION, SECURITY, 1884 01:27:16,680 --> 01:27:18,840 HOUSING INSECURITY ET CETERA. 1885 01:27:18,840 --> 01:27:20,080 >> SO ALL OF THESE OTHER FACTORS 1886 01:27:20,080 --> 01:27:22,080 ALSO COME INTO PLAY. 1887 01:27:22,080 --> 01:27:22,680 NOT REALLY JUST ONE. 1888 01:27:22,680 --> 01:27:25,040 AND THEN ONE FINAL QUESTION. 1889 01:27:25,040 --> 01:27:25,880 IT SAYS ALL THE VARIABLES WERE 1890 01:27:25,880 --> 01:27:27,320 SIGNIFICANT IN YOUR PLOT. 1891 01:27:27,320 --> 01:27:29,440 WERE THERE ANY NON SIGNIFICANT 1892 01:27:29,440 --> 01:27:30,720 PREDICTORS AS WELL? 1893 01:27:30,720 --> 01:27:31,760 >> YES. 1894 01:27:31,760 --> 01:27:36,120 WE TESTED ALL THE CDEs THAT 1895 01:27:36,120 --> 01:27:39,520 WERE RELEVANT TO THESE 1896 01:27:39,520 --> 01:27:45,840 PARTICULAR RESULTS. 1897 01:27:45,840 --> 01:27:47,280 AND PRESENTED ONLY THE THE 1898 01:27:47,280 --> 01:27:47,680 SIGNIFICANT ONES. 1899 01:27:47,680 --> 01:27:48,080 >> THANK YOU. 1900 01:27:48,080 --> 01:27:49,040 THAT WAS A WONDERFUL 1901 01:27:49,040 --> 01:27:49,400 PRESENTATION. 1902 01:27:49,400 --> 01:27:51,040 AND THANK YOU FOR TAKING TIME TO 1903 01:27:51,040 --> 01:27:57,280 SHARE ABOUT YOUR WORK WE ARE 1904 01:27:57,280 --> 01:28:00,120 GOING TO MOVE ON TO OUR FINAL 1905 01:28:00,120 --> 01:28:00,480 PRESENTATION. 1906 01:28:00,480 --> 01:28:01,640 THEY WILL TALK ABOUT THEIR 1907 01:28:01,640 --> 01:28:04,080 STUDY, INCREASING COVID-19 1908 01:28:04,080 --> 01:28:06,760 TESTING WITH AFRICAN-AMERICAN 1909 01:28:06,760 --> 01:28:07,760 CHURCH, HEALTH AND ACADEMIC 1910 01:28:07,760 --> 01:28:09,960 PARTNERS, A FAITHFUL RESPONSE TO 1911 01:28:09,960 --> 01:28:10,240 COVID-19. 1912 01:28:10,240 --> 01:28:13,920 SO I'M GOING TO PASS IT TO YOU 1913 01:28:13,920 --> 01:28:15,520 ALL. 1914 01:28:15,520 --> 01:28:15,800 THANK YOU. 1915 01:28:15,800 --> 01:28:19,200 >> THANK YOU. 1916 01:28:19,200 --> 01:28:19,560 HELLO, EVERYONE. 1917 01:28:19,560 --> 01:28:20,120 I'M JANNETTE BERKLEY-PATTON. 1918 01:28:20,120 --> 01:28:20,760 I'M A PROFESSOR AT THE 1919 01:28:20,760 --> 01:28:22,160 UNIVERSITY OF MISSOURI, KANSAS 1920 01:28:22,160 --> 01:28:25,520 CITY IN THE SCHOOL OF MEDICINE. 1921 01:28:25,520 --> 01:28:27,600 MY DIRECT HEALTH EQUITY 1922 01:28:27,600 --> 01:28:28,920 INSTITUTE ALONG WITH OUR 1923 01:28:28,920 --> 01:28:30,960 COMMUNITY RESEARCH GROUP. 1924 01:28:30,960 --> 01:28:33,480 AND WE ARE GOING TO SHARE WHAT 1925 01:28:33,480 --> 01:28:35,240 WE ARE LEARNING WITH OUR 1926 01:28:35,240 --> 01:28:38,000 FAITHFUL RESPONSE TO COVID-19 1927 01:28:38,000 --> 01:28:38,520 PROJECT, PROJECT 44. 1928 01:28:38,520 --> 01:28:42,720 AND THE REST OF OUR TEAM WILL 1929 01:28:42,720 --> 01:28:43,280 INTRODUCE THEMSELVES AS THEY 1930 01:28:43,280 --> 01:28:44,160 BEGIN TO PRESENT. 1931 01:28:44,160 --> 01:28:45,280 I'D LIKE TO START BY SHARING 1932 01:28:45,280 --> 01:28:48,080 SOME OF OUR PROJECT GOALS. 1933 01:28:48,080 --> 01:28:49,200 SIMILAR TO THE OTHER STUDIES, WE 1934 01:28:49,200 --> 01:28:51,000 WANTED TO EXPAND COVID-19 1935 01:28:51,000 --> 01:28:52,880 TESTING WITH OUR 1936 01:28:52,880 --> 01:28:55,040 AFRICAN-AMERICAN CHURCHES AND 1937 01:28:55,040 --> 01:28:57,040 THE URBAN KANSAS CITY, MISSOURI 1938 01:28:57,040 --> 01:28:57,240 AREA. 1939 01:28:57,240 --> 01:29:00,280 WE WANTED TO EXAMINE OUR 1940 01:29:00,280 --> 01:29:02,080 RELIGIOUSLY AND CULTURALLY 1941 01:29:02,080 --> 01:29:04,240 TAILORED INTERVENTION AND IMPACT 1942 01:29:04,240 --> 01:29:06,080 ON TESTING RATES ALONG TO 1943 01:29:06,080 --> 01:29:07,760 UNDERSTAND THE DIFFERENT FACTORS 1944 01:29:07,760 --> 01:29:09,240 IN STRATEGIES THAT COULD 1945 01:29:09,240 --> 01:29:10,320 CONTRIBUTE TO WHETHER OR NOT A 1946 01:29:10,320 --> 01:29:12,720 PERSON WOULD RECEIVE TESTING IN 1947 01:29:12,720 --> 01:29:14,440 THE CHURCH SETTING. 1948 01:29:14,440 --> 01:29:15,440 AND THEN ULTIMATELY, WE WANTED 1949 01:29:15,440 --> 01:29:17,040 TO INCREASE THE COVID-19 TESTING 1950 01:29:17,040 --> 01:29:20,360 RATES WITH OUR AFRICAN-AMERICAN 1951 01:29:20,360 --> 01:29:21,000 CHURCHMEMBERS AND THE COMMUNITY 1952 01:29:21,000 --> 01:29:23,400 MEMBERS THAT THEY SERVE THROUGH 1953 01:29:23,400 --> 01:29:25,200 THEIR OUTREACH MINISTRIES LIKE 1954 01:29:25,200 --> 01:29:27,880 FOOD PANTRIES AND SOCI SOCIAL 1955 01:29:27,880 --> 01:29:29,920 SERVICES AND RECOVERY PROGRAMS. 1956 01:29:29,920 --> 01:29:31,160 NEXT UP WE'LL HAVE REVEREND 1957 01:29:31,160 --> 01:29:33,640 WILLIAMS WHO WILL TALK ABOUT HOW 1958 01:29:33,640 --> 01:29:36,280 OUR FAITH LEADERS SERVE AS FIRST 1959 01:29:36,280 --> 01:29:37,760 RESPONDERS TO COVID-19. 1960 01:29:37,760 --> 01:29:41,160 NEXT SLIDE. 1961 01:29:41,160 --> 01:29:42,280 >> THANK YOU DOCTOR JANNETTE 1962 01:29:42,280 --> 01:29:42,800 BERKLEY-PATTON. 1963 01:29:42,800 --> 01:29:45,120 MAYBE THE TERM, FIRST RESPONDERS 1964 01:29:45,120 --> 01:29:46,960 DOESN'T QUITE CLICK WHEN YOU 1965 01:29:46,960 --> 01:29:49,960 TALK ABOUT PREACHERS AND FAITH 1966 01:29:49,960 --> 01:29:51,520 LEADERS BUT THE REALITY IS THAT 1967 01:29:51,520 --> 01:29:57,240 IN MOST CASES, OUR COMMUNITIES 1968 01:29:57,240 --> 01:29:57,840 EXPECT US TO BE ON THE FRONT 1969 01:29:57,840 --> 01:29:58,040 LINE. 1970 01:29:58,040 --> 01:30:00,280 THEY EXPECT US TO BE THERE WHEN 1971 01:30:00,280 --> 01:30:01,280 SOMEONE IS ILL. 1972 01:30:01,280 --> 01:30:04,440 THEY EXPECT US TO CHIME IN WHEN 1973 01:30:04,440 --> 01:30:06,280 PEOPLE ARE HUNGRY AND SO, THIS 1974 01:30:06,280 --> 01:30:08,680 WAS ABSOLUTELY NO DIFFERENT. 1975 01:30:08,680 --> 01:30:12,120 AND WE HAD THE OPPORTUNITY TO 1976 01:30:12,120 --> 01:30:22,560 ACT AS FIRST RESPONDERS TO 1977 01:30:22,840 --> 01:30:23,800 EXPAND FOOD PROGRAMS. 1978 01:30:23,800 --> 01:30:24,960 WE FED SO MANY PEOPLE DURING 1979 01:30:24,960 --> 01:30:28,080 THIS INTERIM. 1980 01:30:28,080 --> 01:30:28,640 OF COURSE GRIEVE COUNSELING. 1981 01:30:28,640 --> 01:30:30,760 WHO ARE YOU GOING TO CALL? 1982 01:30:30,760 --> 01:30:33,080 IT'S YOUR PASTOR. 1983 01:30:33,080 --> 01:30:37,320 AND THE ROLE THAT WE PLAY, FAITH 1984 01:30:37,320 --> 01:30:38,800 LEADERS PLAY IN URBAN 1985 01:30:38,800 --> 01:30:45,000 COMMUNITIES IS ESPECIALLY 1986 01:30:45,000 --> 01:30:47,160 IMPORTANT AS WE ARE ABLE TO SIGN 1987 01:30:47,160 --> 01:30:49,320 PEOPLE IN AND ACT AS A LIAISON 1988 01:30:49,320 --> 01:30:53,320 BETWEEN ACADEMIC AND HEALTH AND 1989 01:30:53,320 --> 01:30:54,880 JUST ON THE GROUND PEOPLE THAT 1990 01:30:54,880 --> 01:30:58,840 NEEDED HELP, WE DEVELOPED THE 1991 01:30:58,840 --> 01:31:00,640 CLERGY RESPOND NETWORK SO WE CAN 1992 01:31:00,640 --> 01:31:03,240 ENGAGE MORE OF MY COLLEAGUES IN 1993 01:31:03,240 --> 01:31:04,240 FIGHTING THE BATTLE. 1994 01:31:04,240 --> 01:31:05,720 WE WANTED THEM TO HAVE THE RIGHT 1995 01:31:05,720 --> 01:31:08,000 TOOLS, THE INFORMATION AND THE 1996 01:31:08,000 --> 01:31:10,640 RESOURCES TO SHARE WITH THEIR 1997 01:31:10,640 --> 01:31:11,600 PARISHIONERS AND THEIR COMMUNITY 1998 01:31:11,600 --> 01:31:14,520 THAT SURROUNDED THEM. 1999 01:31:14,520 --> 01:31:18,080 I'D LIKE TO INTRODUCE CAROLE 2000 01:31:18,080 --> 01:31:20,200 THOMPSON WHO WILL TAKE IT FROM 2001 01:31:20,200 --> 01:31:20,400 HERE. 2002 01:31:20,400 --> 01:31:21,680 >> THANK YOU REVEREND OF 2003 01:31:21,680 --> 01:31:22,080 REVEREND WILLIAMS. 2004 01:31:22,080 --> 01:31:23,720 MY NAME IS CAROLE THOMPSON AND 2005 01:31:23,720 --> 01:31:26,920 I'M THE PROJECT DIRECTOR FOR OUR 2006 01:31:26,920 --> 01:31:28,560 COMMUNITY HEALTH RESEARCH GROUP. 2007 01:31:28,560 --> 01:31:31,600 AS OF MANY OF YOU, WE DEVELOP 2008 01:31:31,600 --> 01:31:34,400 OUR RESEARCH INTERVENTIONS USING 2009 01:31:34,400 --> 01:31:35,120 A COMMUNITY-BASED PARTICIPATORY 2010 01:31:35,120 --> 01:31:37,800 RESEARCH APPROACH WITH OUR 2011 01:31:37,800 --> 01:31:40,320 AFRICAN-AMERICAN FAITH LEADERS. 2012 01:31:40,320 --> 01:31:42,040 WE SAY WE DRINK THE CDPR 2013 01:31:42,040 --> 01:31:42,640 KOOL-AID BECAUSE WE BELIEVE IN 2014 01:31:42,640 --> 01:31:44,320 THE PROCESS AND HAVE WITNESSED 2015 01:31:44,320 --> 01:31:46,480 INFLUENCE AND IMPACTS ON OUR 2016 01:31:46,480 --> 01:31:46,840 PARTNERSHIPS. 2017 01:31:46,840 --> 01:31:49,520 FOR THIS STUDY, LIKE REVEREND 2018 01:31:49,520 --> 01:31:52,400 WILLIAMS SAID, HE PULLED 2019 01:31:52,400 --> 01:31:55,120 TOGETHER THIS. 2020 01:31:55,120 --> 01:31:56,320 HE IS SELFED NAMED CLERGY 2021 01:31:56,320 --> 01:31:58,000 RESPONSE NETWORK AND INVITED US 2022 01:31:58,000 --> 01:32:00,240 TO THE TABLE WHERE WE WORKED 2023 01:32:00,240 --> 01:32:01,560 WITH THEM TO SET THE RESEARCH 2024 01:32:01,560 --> 01:32:03,920 AGENDA AND DESIGN THE 2025 01:32:03,920 --> 01:32:06,160 INTERVENTION, EVALUATE THE 2026 01:32:06,160 --> 01:32:07,800 INTERVENTION'S IMPLEMENTATION 2027 01:32:07,800 --> 01:32:09,280 PROCESS, DISSEMINATE OUTCOMES 2028 01:32:09,280 --> 01:32:10,880 AND ULTIMATELY PROVIDE A PROJECT 2029 01:32:10,880 --> 01:32:13,200 TO HAVE DEEP IMPACT WITH A LONG 2030 01:32:13,200 --> 01:32:16,200 TERM SUSTAINABILITY IN OUR FAITH 2031 01:32:16,200 --> 01:32:26,600 COMMUNITY TOOLS WOULD BE 2032 01:32:49,480 --> 01:32:51,120 NEEDED TO SUPPORT THEIR EFFORTS 2033 01:32:51,120 --> 01:32:53,520 TO ENCOURAGE COVID-19 PREVENTION 2034 01:32:53,520 --> 01:32:56,120 AND TESTING ACTIVITIES AT THEIR 2035 01:32:56,120 --> 01:32:56,400 CHURCHES. 2036 01:32:56,400 --> 01:32:57,840 TOGETHER WE DEVELOPED A 2037 01:32:57,840 --> 01:33:00,080 RELIGIOUSLY AND TAILORED AND 2038 01:33:00,080 --> 01:33:01,440 CULTURALLY TAILORED TOOLKIT WITH 2039 01:33:01,440 --> 01:33:04,160 THE INNOVATION BEING HOW THESE 2040 01:33:04,160 --> 01:33:05,320 TOOLS AND MATERIALS COULD BE 2041 01:33:05,320 --> 01:33:06,760 DELIVERED NATURALISTICALLY WITH 2042 01:33:06,760 --> 01:33:09,960 THEIR NEW WAY OF CONVENING THEIR 2043 01:33:09,960 --> 01:33:11,760 CONGREGATES. 2044 01:33:11,760 --> 01:33:12,400 TOOLS LIKE BROCHURES AND FACT 2045 01:33:12,400 --> 01:33:13,880 SHEETS WERE CREATED IN 2046 01:33:13,880 --> 01:33:16,960 ELECTRONIC VERSIONS ABLE TO BE 2047 01:33:16,960 --> 01:33:18,440 UPLOADED ON OUTLETS AND TO 2048 01:33:18,440 --> 01:33:19,720 PROJECTION SCREENS WHILE THEY 2049 01:33:19,720 --> 01:33:22,440 ARE SOCIALLY DISTANCED IN THEIR 2050 01:33:22,440 --> 01:33:22,640 PEWS. 2051 01:33:22,640 --> 01:33:24,600 THEY ALSO HELPED US DESIGN A 2052 01:33:24,600 --> 01:33:25,920 CATALOG OF CULTURALLY AND 2053 01:33:25,920 --> 01:33:27,520 RELIGIOUSLY TAILORED TEXT 2054 01:33:27,520 --> 01:33:28,600 MESSAGES DELIVERED DAILY AND 2055 01:33:28,600 --> 01:33:30,920 INCLUDED MESSAGES LIKE, GOD 2056 01:33:30,920 --> 01:33:32,560 KNOWS YOUR HEART BUT DO YOU KNOW 2057 01:33:32,560 --> 01:33:32,960 YOUR STATUS? 2058 01:33:32,960 --> 01:33:35,640 GET TESTED FOR COVID-19 AND STAY 2059 01:33:35,640 --> 01:33:35,840 SAFE. 2060 01:33:35,840 --> 01:33:37,520 FIND OUT WHEN TESTING IS OFFERED 2061 01:33:37,520 --> 01:33:40,360 AT YOUR CHURCH. 2062 01:33:40,360 --> 01:33:42,600 WE STRONGLY BELIEVE THAT PASTORS 2063 01:33:42,600 --> 01:33:46,080 NEEDED TO ROLE MODEL IN FRONT OF 2064 01:33:46,080 --> 01:33:49,200 CONGREGATES TO REDUCE THE FEAR. 2065 01:33:49,200 --> 01:33:52,440 WE ALSO WANTED TO BE SURE THE 2066 01:33:52,440 --> 01:33:53,920 TESTING PROCESS WAS COMFORTABLE, 2067 01:33:53,920 --> 01:33:54,520 RESULTS WERE RECEIVED QUICKLY 2068 01:33:54,520 --> 01:33:56,320 AND THAT PROVIDING DRIVE UP 2069 01:33:56,320 --> 01:33:58,000 TESTING WOULD BE AN OPTION. 2070 01:33:58,000 --> 01:34:01,400 SO NEXT OUR PARTNER, LESHA DENNY 2071 01:34:01,400 --> 01:34:05,760 WILL TALK ABOUT THE TESTING 2072 01:34:05,760 --> 01:34:16,160 PROCESS -- YOU'RE MUTED. 2073 01:34:18,480 --> 01:34:20,760 >> THANK YOU, CAROLE. 2074 01:34:20,760 --> 01:34:22,960 AGAIN, I'M LESHA DENNIS, 2075 01:34:22,960 --> 01:34:25,880 EPIDEMIOLOGIST WITH THE KANSAS 2076 01:34:25,880 --> 01:34:26,400 CITY HEALTH DEPARTMENT. 2077 01:34:26,400 --> 01:34:27,880 WE WANTED TO LEVERAGE TECHNOLOGY 2078 01:34:27,880 --> 01:34:31,240 TO EFFICIENTLY MEET PROJECT 2079 01:34:31,240 --> 01:34:31,440 DEMANDS. 2080 01:34:31,440 --> 01:34:33,280 WE COLLABORATED TO CUSTOMIZE 2081 01:34:33,280 --> 01:34:37,320 SOFTWARE THAT ALLOW FOR ONLINE 2082 01:34:37,320 --> 01:34:38,360 REGISTRATION BOTH PRE EVENT AND 2083 01:34:38,360 --> 01:34:39,480 ON SITE. 2084 01:34:39,480 --> 01:34:41,520 WE WORK WITH CHURCH LIAISONS TO 2085 01:34:41,520 --> 01:34:44,000 NOT ONLY COORDINATE TESTING 2086 01:34:44,000 --> 01:34:46,960 EVENT DATES BUT ALSO MAP OUT 2087 01:34:46,960 --> 01:34:47,960 LOGISTICS OF SERVICE DELIVERY 2088 01:34:47,960 --> 01:34:49,240 FOR EACH EVENT. 2089 01:34:49,240 --> 01:34:52,160 AGAIN, WE WANTED TO INCREASE 2090 01:34:52,160 --> 01:34:55,200 COVID ACCESS TO COVID-19 TESTING 2091 01:34:55,200 --> 01:34:58,320 SO TESTING WAS OFFERED AFTER 2092 01:34:58,320 --> 01:35:01,200 SUNDAY CHURCH SERVICES, DURING 2093 01:35:01,200 --> 01:35:03,520 MID-WEEK SERVICES AND DURING 2094 01:35:03,520 --> 01:35:04,840 COMMUNITY OUTREACH EVENTS N 2095 01:35:04,840 --> 01:35:06,440 CHURCH PARKING LOTS AND 2096 01:35:06,440 --> 01:35:07,920 FELLOWSHIP HALLS. 2097 01:35:07,920 --> 01:35:10,080 TO ENSURE WE HAD ENOUGH STAFF TO 2098 01:35:10,080 --> 01:35:15,520 EFFICIENTLY PROVIDE TESTING, WE 2099 01:35:15,520 --> 01:35:16,120 WORK WITH THEM TO TRAIN THEIR 2100 01:35:16,120 --> 01:35:17,160 MEDICAL STUDENTS ON SITE BEFORE 2101 01:35:17,160 --> 01:35:19,000 EACH EVENT. 2102 01:35:19,000 --> 01:35:21,120 ADDITIONALLY, UNIQUE TO THIS 2103 01:35:21,120 --> 01:35:23,040 STUDY, OUR HEALTH DEPARTMENT 2104 01:35:23,040 --> 01:35:24,960 CONTACT TRACERS INTRODUCE 2105 01:35:24,960 --> 01:35:27,080 THEMSELVES AT EACH TESTING EVENT 2106 01:35:27,080 --> 01:35:29,920 AND ALSO SERVED AS COMMUNITY 2107 01:35:29,920 --> 01:35:33,400 HEALTH WORKERS IN PROVIDING 2108 01:35:33,400 --> 01:35:34,720 SERVICES. 2109 01:35:34,720 --> 01:35:39,240 LASTLY, TO ADDRESS FAITH-HELD 2110 01:35:39,240 --> 01:35:41,400 LEADERS CONCERNS ABOUT 2111 01:35:41,400 --> 01:35:45,040 UNCOMFORTABLE NASAL TESTING, 2112 01:35:45,040 --> 01:35:45,800 SELF-ADMINISTERED PCR TEST THAT 2113 01:35:45,800 --> 01:35:48,480 ONLY NEEDED TO GO INTO THE 2114 01:35:48,480 --> 01:35:49,640 NOSTRIL ABOUT A QUARTER OF AN 2115 01:35:49,640 --> 01:35:51,400 INCH WAS USED. 2116 01:35:51,400 --> 01:35:52,160 TEST RESULTS WERE AVAILABLE 2117 01:35:52,160 --> 01:36:02,520 WITHIN 24-48 HOURS. 2118 01:36:02,520 --> 01:36:04,880 DR. JANNETTE? 2119 01:36:04,880 --> 01:36:05,320 >> NEXT SLIDE. 2120 01:36:05,320 --> 01:36:05,600 THANK YOU. 2121 01:36:05,600 --> 01:36:07,800 SO I WANT TO TAKE A LITTLE BIT 2122 01:36:07,800 --> 01:36:10,440 OF TIME AND REVIEW OUR RESEARCH 2123 01:36:10,440 --> 01:36:13,040 DESIGN DRIVEN BY OUR RESEARCH 2124 01:36:13,040 --> 01:36:15,160 QUESTION WHICH WAS, CAN A 2125 01:36:15,160 --> 01:36:18,160 RELIGIOUSLY AND CULTURALLY 2126 01:36:18,160 --> 01:36:18,600 TAILORED FAITH-BASED 2127 01:36:18,600 --> 01:36:19,760 INTERVENTION INCREASE TESTING 2128 01:36:19,760 --> 01:36:25,240 RATES COMPARED TO A STANDARD 2129 01:36:25,240 --> 01:36:25,720 COVID-19 INTERVENTION? 2130 01:36:25,720 --> 01:36:28,240 WE ANSWERED USING A RANDOMIZED 2131 01:36:28,240 --> 01:36:29,960 CONTROL TRIAL WITH 16 AFTERCAN 2132 01:36:29,960 --> 01:36:32,640 AMERICAN CHURCHES. 2133 01:36:32,640 --> 01:36:33,400 OUR ANALYSIS -- AFRICAN-AMERICAN 2134 01:36:33,400 --> 01:36:34,520 CHURCHES. 2135 01:36:34,520 --> 01:36:36,720 WE NEEDED 960 PARTICIPANTS AND 2136 01:36:36,720 --> 01:36:38,520 THE 16 CHURCHES WERE RANDOMIZED 2137 01:36:38,520 --> 01:36:42,520 TO TWO STUDY ARMS. 2138 01:36:42,520 --> 01:36:43,680 EITHER TAILORED FAITHFUL 2139 01:36:43,680 --> 01:36:45,560 RESPONSE OR NON TAILORED 2140 01:36:45,560 --> 01:36:47,280 EDUCATION INTERVENTION. 2141 01:36:47,280 --> 01:36:49,440 EACH CHURCH PARTICIPATED FROM 2142 01:36:49,440 --> 01:36:51,120 ABOUT 4-6 MONTHS. 2143 01:36:51,120 --> 01:36:54,320 EACH CHURCH ALSO CONDUCTED TWO 2144 01:36:54,320 --> 01:36:56,720 COVID-19 TESTINGS AT THEIR 2145 01:36:56,720 --> 01:36:56,960 CHURCH. 2146 01:36:56,960 --> 01:36:59,520 AND THEN WE ASSESSED THE 2147 01:36:59,520 --> 01:37:01,160 OUTCOMES OF THE STUDY USING A 2148 01:37:01,160 --> 01:37:03,000 BASELINE AND 6 MINUTE FOLLOW-UP 2149 01:37:03,000 --> 01:37:05,360 SURVEY WITH OUR PRIMARY OUTCOME 2150 01:37:05,360 --> 01:37:08,000 BEING RECEIPT OF COVID-19 TEST. 2151 01:37:08,000 --> 01:37:11,760 AND WE COLLECTED DATA FROM OUR 2152 01:37:11,760 --> 01:37:13,880 HEALTH DEPARTMENT ON THE NUMBERS 2153 01:37:13,880 --> 01:37:14,520 OF PEOPLE TESTED WHICH WILL BE 2154 01:37:14,520 --> 01:37:16,920 SHARED WITH YOU TODAY. 2155 01:37:16,920 --> 01:37:18,560 ALONG WITH SELF REPORT FROM OUR 2156 01:37:18,560 --> 01:37:20,880 PARTICIPANTS. 2157 01:37:20,880 --> 01:37:23,600 NEXT SLIDE. 2158 01:37:23,600 --> 01:37:25,280 AS FAR AS OUR STUDY PARTICIPANTS 2159 01:37:25,280 --> 01:37:28,040 ARE CONCERNED, OUR CHURCHES WERE 2160 01:37:28,040 --> 01:37:29,040 IN THE URBAN KANSAS CITY, 2161 01:37:29,040 --> 01:37:31,920 MISSOURI AREA. 2162 01:37:31,920 --> 01:37:32,720 150 CHURCHMEMBERS OR THAT'S WHAT 2163 01:37:32,720 --> 01:37:34,280 THE PASTORS TOLD US. 2164 01:37:34,280 --> 01:37:37,360 THEY DID NEED TO HAVE ONGOING 2165 01:37:37,360 --> 01:37:38,480 COMMUNITY OUTREACH MINISTRY 2166 01:37:38,480 --> 01:37:41,400 ALONG WITH COMMITTED PASTOR AND 2167 01:37:41,400 --> 01:37:42,080 CHURCH HEALTHILY A SONS WHO WERE 2168 01:37:42,080 --> 01:37:43,960 PAID ALONG WITH OUR PARTICIPANTS 2169 01:37:43,960 --> 01:37:45,960 WHO WERE ADULT 2170 01:37:45,960 --> 01:37:46,600 AFRICAN-AMERICANS. 2171 01:37:46,600 --> 01:37:49,040 THEY NEEDED TO BE A REGULAR 2172 01:37:49,040 --> 01:37:50,400 CHURCH MEMBER WHICH WE 2173 01:37:50,400 --> 01:37:53,760 IDENTIFIED AS ATTENDING CHURCH 2174 01:37:53,760 --> 01:37:54,400 AT LEAST ONCE A MONTH OR A 2175 01:37:54,400 --> 01:37:55,920 COMMUNITY MEMBER RECEIVING 2176 01:37:55,920 --> 01:37:57,280 OUTREACH SERVICES ABOUT 4 TIMES 2177 01:37:57,280 --> 01:37:57,880 A YEAR. 2178 01:37:57,880 --> 01:37:59,880 THEY NEEDED TO BE ABLE TO SPEAK 2179 01:37:59,880 --> 01:38:01,440 ENGLISH AND COMPLETE THE SURVEY 2180 01:38:01,440 --> 01:38:02,680 INDEPENDENTLY BUT OF COURSE WE 2181 01:38:02,680 --> 01:38:06,280 PROVIDED SUPPORT WHEN NEEDED. 2182 01:38:06,280 --> 01:38:07,480 NEXT SLIDE. 2183 01:38:07,480 --> 01:38:08,760 SO HERE IS SOME OF OUR RESULTS 2184 01:38:08,760 --> 01:38:11,040 AS FAR AS OUR PARTIS PAINTS ARE 2185 01:38:11,040 --> 01:38:11,320 CONCERNED. 2186 01:38:11,320 --> 01:38:16,800 OUR GOAL WAS 960. 2187 01:38:16,800 --> 01:38:19,840 WE RECRUITED 981 PARTICIPANTS. 2188 01:38:19,840 --> 01:38:21,160 WE WERE EXCITED ABOUT THAT IN 2189 01:38:21,160 --> 01:38:22,320 DOING SO DURING THE HEIGHT OF 2190 01:38:22,320 --> 01:38:23,640 THE PANDEMIC. 2191 01:38:23,640 --> 01:38:26,640 THOSE PARTICIPANTS WERE 2192 01:38:26,640 --> 01:38:28,480 PRIMARILY CHURCHMEMBERS AND 2193 01:38:28,480 --> 01:38:28,720 FEMALES. 2194 01:38:28,720 --> 01:38:31,680 WE TYPICALLY SEE ABOUT 60-70% OF 2195 01:38:31,680 --> 01:38:34,400 FEMALES IN OUR STUDIES. 2196 01:38:34,400 --> 01:38:39,520 AND THE AVERAGE AGE WAS 51. 2197 01:38:39,520 --> 01:38:40,440 NEXT SLIDE. 2198 01:38:40,440 --> 01:38:43,000 I LIKE TO HIGHLIGHT A FEW OF OUR 2199 01:38:43,000 --> 01:38:44,240 COVID-19 RISK AND SOCIAL 2200 01:38:44,240 --> 01:38:45,680 DETERMINANTS THAT WERE REPORTED 2201 01:38:45,680 --> 01:38:48,840 BY OUR PARTICIPANTS. 2202 01:38:48,840 --> 01:38:50,520 ONE BEING THAT 70% OF OUR 2203 01:38:50,520 --> 01:38:52,480 PARTICIPANTS REPORTED THEY WERE 2204 01:38:52,480 --> 01:38:53,800 LIVING WITH EXISTING HEALTH 2205 01:38:53,800 --> 01:38:54,520 ISSUES. 2206 01:38:54,520 --> 01:38:56,440 WHICH REALLY TELLS US WE WERE IN 2207 01:38:56,440 --> 01:38:57,840 THE RIGHT PLACES IN CHURCHES 2208 01:38:57,840 --> 01:38:59,320 REACHING PEOPLE WHO WOULD BE AT 2209 01:38:59,320 --> 01:39:02,680 RISK FOR COVID-19 AND POSSIBLY 2210 01:39:02,680 --> 01:39:04,480 OTHER HEALTH CONCERNS. 2211 01:39:04,480 --> 01:39:06,800 AND ALSO ABOUT A THIRD OF OUR 2212 01:39:06,800 --> 01:39:07,920 PARTICIPANTS REPORTED HAVING 2213 01:39:07,920 --> 01:39:11,040 FOOD INSECURITY AND ALMOST 20% 2214 01:39:11,040 --> 01:39:12,600 WITH TRANSPORTATION CHALLENGES. 2215 01:39:12,600 --> 01:39:14,040 AGAIN HIGHLIGHTING THE FACT THAT 2216 01:39:14,040 --> 01:39:16,280 SOCIAL DETERMINANTS WERE IN PLAY 2217 01:39:16,280 --> 01:39:17,040 THAT COULD GET IN THE WAY OF 2218 01:39:17,040 --> 01:39:20,520 PEOPLE GETTING TESTED AND HAVING 2219 01:39:20,520 --> 01:39:24,760 BASIC NEEDS MET. 2220 01:39:24,760 --> 01:39:25,520 NEXT SLIDE. 2221 01:39:25,520 --> 01:39:27,560 THEN ALSO AS FAR AS OUR REASONS 2222 01:39:27,560 --> 01:39:30,520 WHY PEOPLE REPORTED GETTING 2223 01:39:30,520 --> 01:39:31,800 TESTED, I'LL HIGHLIGHT A COUPLE. 2224 01:39:31,800 --> 01:39:33,360 ONE BEING THAT PEOPLE WERE 2225 01:39:33,360 --> 01:39:34,960 CONCERNED IF THEY TESTED 2226 01:39:34,960 --> 01:39:37,680 POSITIVE, THAT PEOPLE WILL 2227 01:39:37,680 --> 01:39:38,520 CONTACT PEOPLE THEY KNEW. 2228 01:39:38,520 --> 01:39:42,120 WE WERE TOLD THIS EARLY ON IN 2229 01:39:42,120 --> 01:39:42,960 CONCEPTUALIZING THE STUDY WITH 2230 01:39:42,960 --> 01:39:46,480 THE CRN AND SO PLANNED FOR OUR 2231 01:39:46,480 --> 01:39:47,280 CONTACT TRACERS TO BE AT THOSE 2232 01:39:47,280 --> 01:39:49,440 TESTING EVENTS AND THEN ALSO 2233 01:39:49,440 --> 01:39:51,320 ABOUT 50% SAID THEY DIDN'T HAVE 2234 01:39:51,320 --> 01:39:51,560 SYMPTOMS. 2235 01:39:51,560 --> 01:39:53,560 WE WANTED TO ENCOURAGE TESTING 2236 01:39:53,560 --> 01:39:54,640 FOR ANYONE WHO DIDN'T HAVE 2237 01:39:54,640 --> 01:39:57,080 SYMPTOMS EVEN IF THEY DIDN'T 2238 01:39:57,080 --> 01:40:02,040 HAVE SYMPTOMS TO NORMALIZE THE 2239 01:40:02,040 --> 01:40:02,280 TESTING. 2240 01:40:02,280 --> 01:40:03,040 NEXT SLIDE. 2241 01:40:03,040 --> 01:40:08,480 SO AS FAR AS OUR NUMBERS WHO -- 2242 01:40:08,480 --> 01:40:09,160 NUMBERS OF TESTS GIVEN, OVER ALL 2243 01:40:09,160 --> 01:40:11,080 THE TEST IS 635 PEOPLE. 2244 01:40:11,080 --> 01:40:13,760 YOU CAN SEE OUR INTERVENTION ARM 2245 01:40:13,760 --> 01:40:18,520 AND TESTING 414 AND DELIVERING 2246 01:40:18,520 --> 01:40:20,320 414 TESTS OUTPERFORMED THE 2247 01:40:20,320 --> 01:40:22,480 COMPARISON ARMS BY NEARLY TWICE 2248 01:40:22,480 --> 01:40:26,080 AS MANY TESTS. 2249 01:40:26,080 --> 01:40:27,160 NEXT SLIDE. 2250 01:40:27,160 --> 01:40:31,120 AND THEN LASTLY, SOME OF OUR 2251 01:40:31,120 --> 01:40:32,000 LESSONS LEARNED. 2252 01:40:32,000 --> 01:40:34,800 OUR FAITH COMMUNITY AS FIRST 2253 01:40:34,800 --> 01:40:37,320 RESPONDERS IS CRITICALLY 2254 01:40:37,320 --> 01:40:37,600 IMPORTANT. 2255 01:40:37,600 --> 01:40:39,480 CERTAINLY HISTORICALLY AND EVEN 2256 01:40:39,480 --> 01:40:41,160 NEEDED NOW. 2257 01:40:41,160 --> 01:40:42,960 WE FOUND THAT PROVIDING COVID-19 2258 01:40:42,960 --> 01:40:44,520 TESTING AT A NON TRADITIONAL 2259 01:40:44,520 --> 01:40:46,720 TIME AND NON TRADITIONAL PLACES 2260 01:40:46,720 --> 01:40:47,840 WAS HIGHLY FEASIBLE. 2261 01:40:47,840 --> 01:40:50,520 WE KNOW THAT WHAT THE PASTOR 2262 01:40:50,520 --> 01:40:50,960 SAYS MATTERS. 2263 01:40:50,960 --> 01:40:53,200 IF THE PASTOR SAYS GET IN LINE 2264 01:40:53,200 --> 01:40:54,280 AND GET TESTED, USUALLY PEOPLE 2265 01:40:54,280 --> 01:40:55,800 WILL LINE UP. 2266 01:40:55,800 --> 01:40:56,800 AND THAT USING THIS TYPE OF 2267 01:40:56,800 --> 01:40:57,960 PARTNERSHIP BETWEEN CHURCHES, 2268 01:40:57,960 --> 01:41:00,080 HEALTH AGENCIES AND ACADEMIC 2269 01:41:00,080 --> 01:41:02,440 INSTITUTIONS MAY BE PART OF THE 2270 01:41:02,440 --> 01:41:06,400 SECRET SAUCE FOR INCREASING 2271 01:41:06,400 --> 01:41:07,960 ACCESS TO HEALTH SERVICES. 2272 01:41:07,960 --> 01:41:09,640 AND THAT CONCLUDES OUR 2273 01:41:09,640 --> 01:41:10,480 PRESENTATION. 2274 01:41:10,480 --> 01:41:13,320 THANK YOU. 2275 01:41:13,320 --> 01:41:14,240 >> THANK YOU. 2276 01:41:14,240 --> 01:41:14,880 THAT WAS AN AMAZING 2277 01:41:14,880 --> 01:41:16,000 PRESENTATION. 2278 01:41:16,000 --> 01:41:18,160 WE HAVE A QUESTION IN THE CHAT. 2279 01:41:18,160 --> 01:41:20,040 SO THEY WANTED TO KNOW HOW WERE 2280 01:41:20,040 --> 01:41:21,840 YOU ABLE TO NAVIGATE AROUND THE 2281 01:41:21,840 --> 01:41:26,520 COVID RESTRICTIONS FOR CHURCHES 2282 01:41:26,520 --> 01:41:27,760 LIKE GOING VIRTUAL SO YOU COULD 2283 01:41:27,760 --> 01:41:29,320 MEET YOUR GOAL? 2284 01:41:29,320 --> 01:41:30,760 >> YOU WANT TO ANSWER THAT? 2285 01:41:30,760 --> 01:41:31,800 >> ABSOLUTELY. 2286 01:41:31,800 --> 01:41:33,120 SO YOU KNOW, WHEN DESIGNING THE 2287 01:41:33,120 --> 01:41:35,200 TOOLS, WE TRIED TO FIGURE OUT 2288 01:41:35,200 --> 01:41:39,400 HOW TO DEVELOP TOOLS THAT WOULD 2289 01:41:39,400 --> 01:41:41,720 NATURALISTALLY INTEGRATE IN HOW 2290 01:41:41,720 --> 01:41:42,320 THE CHURCH WAS DOING BUSINESS 2291 01:41:42,320 --> 01:41:43,560 DURING COVID. 2292 01:41:43,560 --> 01:41:44,480 THAT WAS ELECTRONIC. 2293 01:41:44,480 --> 01:41:48,280 MANY OF THE TOOLS WERE DEVELOPED 2294 01:41:48,280 --> 01:41:51,480 TO BE PRESENTED ON A PROJECTOR 2295 01:41:51,480 --> 01:41:51,720 SCREEN. 2296 01:41:51,720 --> 01:41:53,760 ALSO THOSE TOOLS WERE DEVELOPED 2297 01:41:53,760 --> 01:41:56,080 TO BE UPLOADED INTO THE SOCIAL 2298 01:41:56,080 --> 01:41:57,720 MEDIA PLATFORMS WITH LIVE LINKS 2299 01:41:57,720 --> 01:42:01,120 SO THEY COULD LINK TO MORE 2300 01:42:01,120 --> 01:42:02,160 RESOURCES AND EDUCATION OUTLETS 2301 01:42:02,160 --> 01:42:04,040 THROUGH THE CDC. 2302 01:42:04,040 --> 01:42:06,520 AND SO, ALL OF THOSE TOOLS WERE 2303 01:42:06,520 --> 01:42:09,120 DEVELOPED ELECTRONICALLY AND 2304 01:42:09,120 --> 01:42:09,720 INTEGRATED INTO THE CHURCHES. 2305 01:42:09,720 --> 01:42:10,320 SO IT WAS ON THE CHURCHES TO 2306 01:42:10,320 --> 01:42:13,040 KIND OF CONNECT WITH THEIR AUDIO 2307 01:42:13,040 --> 01:42:14,520 VISUAL TEAM AND MAKE SURE THESE 2308 01:42:14,520 --> 01:42:16,440 TOOLS WERE UPLOADED AND 2309 01:42:16,440 --> 01:42:16,720 UTILIZED. 2310 01:42:16,720 --> 01:42:18,760 AND THEY DID A REALLY GOOD JOB. 2311 01:42:18,760 --> 01:42:21,480 I MEAN A GREAT JOB OF 2312 01:42:21,480 --> 01:42:23,880 INTEGRATING THE TOOLS 2313 01:42:23,880 --> 01:42:24,840 ELECTRONICALLY. 2314 01:42:24,840 --> 01:42:25,400 >> AWESOME. 2315 01:42:25,400 --> 01:42:26,680 SO ANOTHER QUESTION THAT CAME 2316 01:42:26,680 --> 01:42:26,880 IN. 2317 01:42:26,880 --> 01:42:28,000 THIS WAS DONE AT THE HEIGHT OF 2318 01:42:28,000 --> 01:42:29,240 THE PANDEMIC. 2319 01:42:29,240 --> 01:42:30,640 BUT HAVE THE CHURCHES YOU ALL 2320 01:42:30,640 --> 01:42:32,920 WORKED WITH CONTINUED TO PROMOTE 2321 01:42:32,920 --> 01:42:39,120 TESTING AND THE BOOSTERS? 2322 01:42:39,120 --> 01:42:41,920 >> REVEREND WILLIAMS? 2323 01:42:41,920 --> 01:42:42,920 >> LET ME TRY TO ANSWER THAT. 2324 01:42:42,920 --> 01:42:44,400 I THINK THE ANSWER WOULD BE 2325 01:42:44,400 --> 01:42:44,800 DEFINITELY YES. 2326 01:42:44,800 --> 01:42:46,680 I THINK ESPECIALLY SINCE MANY OF 2327 01:42:46,680 --> 01:42:48,520 US HAD TO LOCKDOWN. 2328 01:42:48,520 --> 01:42:50,760 IT WAS THE WAY THAT WE COULD 2329 01:42:50,760 --> 01:42:53,560 KEEP TRACK AND WE COULD KEEP IN 2330 01:42:53,560 --> 01:42:55,200 COMMUNICATION WITH FOLKS. 2331 01:42:55,200 --> 01:42:58,320 AND OF COURSE YOU HAVE THE 2332 01:42:58,320 --> 01:42:59,600 TRACKERS AND PEOPLE THAT DON'T 2333 01:42:59,600 --> 01:43:03,520 BELIEVE THAT THIS PANDEMIC EVER 2334 01:43:03,520 --> 01:43:04,720 EXISTED. 2335 01:43:04,720 --> 01:43:06,440 BUT WE CONTINUE TO BE TRUSTED 2336 01:43:06,440 --> 01:43:09,600 PARTNERS IN HELPING PEOPLE MOVE 2337 01:43:09,600 --> 01:43:14,000 TO THE NEXT LEVEL AND THINKING. 2338 01:43:14,000 --> 01:43:16,040 SO IT'S STILL TREMENDOUS. 2339 01:43:16,040 --> 01:43:16,360 >> GREAT. 2340 01:43:16,360 --> 01:43:17,680 I HAVE ANOTHER QUESTION. 2341 01:43:17,680 --> 01:43:19,720 DID YOU ALL INVOLVE HEALTH CARE 2342 01:43:19,720 --> 01:43:20,200 PROFESSIONALS WITHIN THE 2343 01:43:20,200 --> 01:43:22,040 CHURCHES IN THE PLANNING OR 2344 01:43:22,040 --> 01:43:25,960 OTHER PARTS OF THE STUDY? 2345 01:43:25,960 --> 01:43:29,240 >> I'LL TAKE THAT ONE. 2346 01:43:29,240 --> 01:43:29,800 OUR CHURCH HEALTHILY A SONS, 2347 01:43:29,800 --> 01:43:30,800 MANY OF THEM WERE JUST PEOPLE 2348 01:43:30,800 --> 01:43:34,560 WHO WERE REALLY CONCERNED ABOUT 2349 01:43:34,560 --> 01:43:35,160 COVID-19. 2350 01:43:35,160 --> 01:43:35,920 WE TRAINED THEM. 2351 01:43:35,920 --> 01:43:37,520 THEY PARTICIPATED IN AT LEAST 2352 01:43:37,520 --> 01:43:40,960 TWO GROUP TRAININGS AND THEN ONE 2353 01:43:40,960 --> 01:43:43,960 VIRTUAL TRAINING AND THEN 2354 01:43:43,960 --> 01:43:45,960 ONE-ON-ONE TRAININGS AS WELL. 2355 01:43:45,960 --> 01:43:48,200 IN SOME CASES THEY MAY HAVE BEEN 2356 01:43:48,200 --> 01:43:49,600 HEALTH PROFESSIONALS BUT WE WERE 2357 01:43:49,600 --> 01:43:52,000 TRYING TO DEMONSTRATE THAT THIS 2358 01:43:52,000 --> 01:43:54,520 INTERVENTION COULD BE EASY TO 2359 01:43:54,520 --> 01:43:54,800 IMPLEMENT. 2360 01:43:54,800 --> 01:43:56,520 LIKE CAROLE SAID, USING A LOT OF 2361 01:43:56,520 --> 01:43:58,760 THE ELECTRONIC TOOLS AND ALSO 2362 01:43:58,760 --> 01:44:01,360 EVEN WHEN THEY DECIDED TO COME 2363 01:44:01,360 --> 01:44:03,880 BACK IN PERSON, THE TOOLS COULD 2364 01:44:03,880 --> 01:44:05,440 STILL BE DELIVERED AS THEY 2365 01:44:05,440 --> 01:44:07,280 FOLLOWED THEIR RESTRICTION 2366 01:44:07,280 --> 01:44:07,840 GUIDELINES WHETHER THAT WAS 2367 01:44:07,840 --> 01:44:10,400 HAVING PEOPLE SIT IN EVERY OTHER 2368 01:44:10,400 --> 01:44:13,560 PEW, HAVING PEOPLE COME ON EVERY 2369 01:44:13,560 --> 01:44:16,600 OTHER HEALTH EVENT AS FAR AS 2370 01:44:16,600 --> 01:44:17,160 LAST NAME WAS CONCERNED. 2371 01:44:17,160 --> 01:44:21,320 OUR CHURCHES DID PARKING LOT 2372 01:44:21,320 --> 01:44:21,600 SERVICES. 2373 01:44:21,600 --> 01:44:23,240 AND REALLY GOT CREATIVE IN HOW 2374 01:44:23,240 --> 01:44:24,200 TO CONVENE THEIR PEOPLE. 2375 01:44:24,200 --> 01:44:26,440 SO WE WANTED TO MAKE SURE THAT 2376 01:44:26,440 --> 01:44:28,120 NO MATTER HOW THEY REACHED OUT 2377 01:44:28,120 --> 01:44:31,160 TO THEIR PARISHERSERS AND 2378 01:44:31,160 --> 01:44:31,800 COMMUNITY MEMBERS THAT THEY HAD 2379 01:44:31,800 --> 01:44:33,880 THE TOOLS AND TRAINING TO DO 2380 01:44:33,880 --> 01:44:35,920 THAT, WHETHER OR NOT THEY WERE A 2381 01:44:35,920 --> 01:44:36,360 HEALTH PROFESSIONAL. 2382 01:44:36,360 --> 01:44:36,840 >> ALL RIGHT. 2383 01:44:36,840 --> 01:44:40,560 SO WE'LL TAKE A COUPLE MORE 2384 01:44:40,560 --> 01:44:40,920 QUESTIONS. 2385 01:44:40,920 --> 01:44:42,280 SOMEONE WANTED TO KNOW DID YOU 2386 01:44:42,280 --> 01:44:44,720 FIND CERTAIN DENOMINATIONS WERE 2387 01:44:44,720 --> 01:44:46,240 MORE RECEPTIVE TO THE COVID-19 2388 01:44:46,240 --> 01:44:46,640 MESSAGING? 2389 01:44:46,640 --> 01:44:49,680 OR WAS THIS PRIMARILY FOCUSED 2390 01:44:49,680 --> 01:44:50,920 WITHIN ONE DENOMINATION? 2391 01:44:50,920 --> 01:44:54,520 >> REV, DO YOU WANT TO ANSWER 2392 01:44:54,520 --> 01:44:56,240 THAT? 2393 01:44:56,240 --> 01:44:57,120 >> MULTIPLE DENOMINATIONS. 2394 01:44:57,120 --> 01:45:00,320 AND AGAIN, IT'S ABOUT TRUST. 2395 01:45:00,320 --> 01:45:02,320 AND SINCE WE HAVE BEEN DOING 2396 01:45:02,320 --> 01:45:05,400 THESE COMMUNITY COLLABORATIONS 2397 01:45:05,400 --> 01:45:08,600 FOR YEARS WITH HIV AND DIABETES 2398 01:45:08,600 --> 01:45:13,120 AND HEART DISEASE, IT'S JUST A 2399 01:45:13,120 --> 01:45:13,440 NATURAL FIT. 2400 01:45:13,440 --> 01:45:16,520 THEY TRUST US AND THEY FOLLOW 2401 01:45:16,520 --> 01:45:17,040 ALONG. 2402 01:45:17,040 --> 01:45:18,120 >> AND I DO REMEMBER JUST BEFORE 2403 01:45:18,120 --> 01:45:19,520 WE GET TO THE LAST QUESTION, YOU 2404 01:45:19,520 --> 01:45:21,640 ALL TALKING ABOUT IN A PREVIOUS 2405 01:45:21,640 --> 01:45:23,160 PRESENTATION HOW THIS HAS BEEN A 2406 01:45:23,160 --> 01:45:24,000 LONG TERM PARTNERSHIP. 2407 01:45:24,000 --> 01:45:25,040 YOU HAD THIS RELATIONSHIP EVEN 2408 01:45:25,040 --> 01:45:26,360 BEFORE COVID. 2409 01:45:26,360 --> 01:45:28,480 SO I THINK THAT SPEAKS TO THE 2410 01:45:28,480 --> 01:45:29,920 IMPORTANCE OF BUILDING 2411 01:45:29,920 --> 01:45:31,800 PARTNERSHIPS AND THEN CONTINUING 2412 01:45:31,800 --> 01:45:32,760 THOSE PARTNERSHIPS EVEN OUTSIDE 2413 01:45:32,760 --> 01:45:35,600 OF FUNDING TIMES AND THINGS LIKE 2414 01:45:35,600 --> 01:45:36,240 THAT. 2415 01:45:36,240 --> 01:45:36,440 SO -- 2416 01:45:36,440 --> 01:45:36,840 >> ABSOLUTELY. 2417 01:45:36,840 --> 01:45:38,240 I WANT TO COMMENT REAL QUICKLY 2418 01:45:38,240 --> 01:45:41,680 THAT WE HAVE PARTNERED WITH THE 2419 01:45:41,680 --> 01:45:43,960 HEALTH DEPARTMENT AND LESHA AT 2420 01:45:43,960 --> 01:45:46,040 THE HEALTH DEPARTMENT FOR MORE 2421 01:45:46,040 --> 01:45:47,200 THAN 12 YEARS ON A NUMBER OF 2422 01:45:47,200 --> 01:45:50,120 DIFFERENT STUDIES THAT REVEREND 2423 01:45:50,120 --> 01:45:51,320 WILLIAMS NAMED OFF. 2424 01:45:51,320 --> 01:45:53,600 SO MAINTAINING THOSE 2425 01:45:53,600 --> 01:45:54,480 RELATIONSHIPS WERE KEY, 2426 01:45:54,480 --> 01:45:57,040 ESPECIALLY IN ADDRESSING 2427 01:45:57,040 --> 01:45:57,320 COVID-19. 2428 01:45:57,320 --> 01:45:58,560 >> AND WE HAVE LIKE ONE MORE 2429 01:45:58,560 --> 01:46:01,600 QUESTION I'D LIKE TO TAKE TOO. 2430 01:46:01,600 --> 01:46:02,320 I THINK IT'S -- HOW DID YOU 2431 01:46:02,320 --> 01:46:04,320 REACH OUT TO PEOPLE WITHOUT 2432 01:46:04,320 --> 01:46:04,600 HOUSING? 2433 01:46:04,600 --> 01:46:09,040 AND SO, OUR CHURCHES HAVE THEIR 2434 01:46:09,040 --> 01:46:10,760 TENTACLES IN THE COMMUNITY. 2435 01:46:10,760 --> 01:46:13,800 THEY HAVE THEIR FOOD PANTRIES. 2436 01:46:13,800 --> 01:46:15,520 CLOTHING DRIVES AND AS REVEREND 2437 01:46:15,520 --> 01:46:17,760 WILLIAMS SAID, A LOT OF FOOD WAS 2438 01:46:17,760 --> 01:46:18,040 DELIVERED. 2439 01:46:18,040 --> 01:46:19,920 OUR CHURCHES REACHED OUT TO ALL 2440 01:46:19,920 --> 01:46:22,520 OF THOSE FOLKS THAT RECEIVE 2441 01:46:22,520 --> 01:46:24,120 SERVICES THROUGH THEIR OUTREACH 2442 01:46:24,120 --> 01:46:25,520 MINISTRIES AND THAT IS HOW WE 2443 01:46:25,520 --> 01:46:28,120 CONNECTED WITH THE HOMELESS 2444 01:46:28,120 --> 01:46:29,840 POPULATION AS WELL. 2445 01:46:29,840 --> 01:46:30,360 THEY CAME IN THROUGH THOSE 2446 01:46:30,360 --> 01:46:32,160 OUTREACH MINISTRIES AND WE HAD 2447 01:46:32,160 --> 01:46:35,080 SPECIFIC TESTING EVENTS, TWO 2448 01:46:35,080 --> 01:46:37,000 TESTING EVENTS WITHIN A 6 MONTH 2449 01:46:37,000 --> 01:46:37,240 PROJECT. 2450 01:46:37,240 --> 01:46:38,520 AND FOR BOTH THE INTERVENTION 2451 01:46:38,520 --> 01:46:40,400 AND COMPARISON CHARGES AS TO 2452 01:46:40,400 --> 01:46:42,440 THOSE POINTS EARLIER. 2453 01:46:42,440 --> 01:46:46,000 AND WE TARGETED THE CONGREGANTS 2454 01:46:46,000 --> 01:46:47,200 WITH ONE TESTING EVENT AND THE 2455 01:46:47,200 --> 01:46:48,280 OUTREACH MEMBERS WITH ANOTHER 2456 01:46:48,280 --> 01:46:48,680 TESTING EVENT. 2457 01:46:48,680 --> 01:46:50,880 SO THAT IS HOW THEY WERE EXPOSED 2458 01:46:50,880 --> 01:46:52,880 TO THE INTERVENTION. 2459 01:46:52,880 --> 01:46:53,880 >> OKAY. 2460 01:46:53,880 --> 01:46:54,120 AWESOME. 2461 01:46:54,120 --> 01:46:55,960 I THINK THAT SPEAKS TO THE LAST 2462 01:46:55,960 --> 01:46:57,120 QUESTION ABOUT IF THE 2463 01:46:57,120 --> 01:46:58,720 PARTICIPANTS IN THE STUDY 2464 01:46:58,720 --> 01:46:59,480 REPRESENTED A SIGNIFICANT 2465 01:46:59,480 --> 01:47:00,920 PORTION OF MEMBERS OF THE 2466 01:47:00,920 --> 01:47:02,560 PARTICIPATING CHURCHES OR WERE 2467 01:47:02,560 --> 01:47:05,400 THEY COMING FROM OTHER AREAS OR 2468 01:47:05,400 --> 01:47:07,000 CONGREGATIONS? 2469 01:47:07,000 --> 01:47:08,840 >> YES, MOST OF THE PARTICIPANTS 2470 01:47:08,840 --> 01:47:12,040 IN THE STUDY WERE MEMBERS OF THE 2471 01:47:12,040 --> 01:47:12,360 CHURCHES. 2472 01:47:12,360 --> 01:47:14,280 OR THOSE COMMUNITY MEMBERS USING 2473 01:47:14,280 --> 01:47:15,760 OUTREACH MINISTRIES. 2474 01:47:15,760 --> 01:47:17,960 I DO HAVE TO SAY FOR THE TESTING 2475 01:47:17,960 --> 01:47:19,320 NUMBERS THAT WE SHARED, THOSE 2476 01:47:19,320 --> 01:47:22,400 ARE OBJECTIVE DATA AT THIS 2477 01:47:22,400 --> 01:47:23,160 POINT. 2478 01:47:23,160 --> 01:47:24,560 AND THOSE ARE REPRESENTING 2479 01:47:24,560 --> 01:47:25,760 ANYBODY WHO RECEIVED A TEST. 2480 01:47:25,760 --> 01:47:28,600 YOU DID NOT NEED TO BE A STUDY 2481 01:47:28,600 --> 01:47:30,520 PARTICIPANT TO TAKE ADVANTAGE OF 2482 01:47:30,520 --> 01:47:34,480 FREE TESTING IN ONE OF THE 2483 01:47:34,480 --> 01:47:35,120 PARTICIPATING CHURCHES, WHETHER 2484 01:47:35,120 --> 01:47:36,600 IT WAS INTERVENTION OR 2485 01:47:36,600 --> 01:47:37,120 COMPARISON CHURCH. 2486 01:47:37,120 --> 01:47:38,440 WE WANTED TO MAKE SURE THAT 2487 01:47:38,440 --> 01:47:40,040 ANYONE WHO WANTED TO GET TESTED 2488 01:47:40,040 --> 01:47:42,520 COULD GET TESTED AS WE TRACKED 2489 01:47:42,520 --> 01:47:44,280 THOSE WHO WERE ENROLLED AS 2490 01:47:44,280 --> 01:47:45,240 PARTICIPANTS IN OUR STUDY. 2491 01:47:45,240 --> 01:47:46,400 WE WILL BE ABLE TO ANALYZE AND 2492 01:47:46,400 --> 01:47:49,440 SHARE THAT DATA AT A FUTURE 2493 01:47:49,440 --> 01:47:49,640 TIME. 2494 01:47:49,640 --> 01:47:50,480 >> ALL RIGHT. 2495 01:47:50,480 --> 01:47:50,880 WELL, THANK YOU. 2496 01:47:50,880 --> 01:47:52,840 WE REALLY APPRECIATE IT. 2497 01:47:52,840 --> 01:47:54,480 WONDERFUL WORK. 2498 01:47:54,480 --> 01:47:56,360 SO, NOW WE ARE GOING TO TAKE A 2499 01:47:56,360 --> 01:47:56,560 BREAK. 2500 01:47:56,560 --> 01:47:58,960 THIS CONCLUDES THE FIRST SESSION 2501 01:47:58,960 --> 01:47:59,520 OF PRESENTERS. 2502 01:47:59,520 --> 01:48:02,360 I WANT TO THANK ALL THE 2503 01:48:02,360 --> 01:48:03,080 PRESENTERS FOR COMING SHARING 2504 01:48:03,080 --> 01:48:03,480 THEIR WORK. 2505 01:48:03,480 --> 01:48:06,240 SO WE'LL TAKE A 20-MINUTE BREAK 2506 01:48:06,240 --> 01:48:07,840 AND THEN WHEN WE RETURN, WE ARE 2507 01:48:07,840 --> 01:48:08,840 GOING TO START WITH OUR POSTER 2508 01:48:08,840 --> 01:48:10,600 SESSION, WHICH IS THE FIRST FOR 2509 01:48:10,600 --> 01:48:11,160 US THIS YEAR. 2510 01:48:11,160 --> 01:48:14,400 WE ARE REALLY EXCITED ABOUT 2511 01:48:14,400 --> 01:48:14,600 THAT. 2512 01:48:14,600 --> 01:48:15,160 AND THEN AFTER THE POSTER 2513 01:48:15,160 --> 01:48:16,000 SESSION WE WILL HAVE OUR FINAL 2514 01:48:16,000 --> 01:48:18,400 BLOCK OF PRESENTERS. 2515 01:48:18,400 --> 01:48:19,960 SO, TAKE 20 MINUTES, STRETCH 2516 01:48:19,960 --> 01:48:21,680 YOUR LEGS AND WE WILLY SEE YOU 2517 01:48:21,680 --> 01:48:25,040 BACK. 2518 01:48:25,040 --> 01:48:26,440 WE ARE GOING TO START THE NEXT 2519 01:48:26,440 --> 01:48:28,320 SESSION OF PRESENTATIONS. 2520 01:48:28,320 --> 01:48:30,880 SO WE'RE GOING TO CONTINUE WITH 2521 01:48:30,880 --> 01:48:33,080 FOUR MORE PRESENTATIONS AS 2522 01:48:33,080 --> 01:48:33,800 BEFORE. 2523 01:48:33,800 --> 01:48:34,440 EACH WILL BE APPROXIMATELY 10 2524 01:48:34,440 --> 01:48:36,000 MINUTES AND THEN WE'LL HAVE 2525 01:48:36,000 --> 01:48:41,200 APPROXIMATELY 5 MINUTES FOR Q&A 2526 01:48:41,200 --> 01:48:42,680 IF YOU HAVE QUESTIONS, PUT THEM 2527 01:48:42,680 --> 01:48:43,800 IN THE CHAT OR IF YOU WANT TO 2528 01:48:43,800 --> 01:48:46,560 RAISE YOUR HAND AND ASK YOUR 2529 01:48:46,560 --> 01:48:47,360 QUESTION, FEEL FREE TO DO THAT. 2530 01:48:47,360 --> 01:48:49,880 SO OUR NEXT PRESENTATION IS FROM 2531 01:48:49,880 --> 01:48:52,200 THE PROJECT TEAM WORKING WITH 2532 01:48:52,200 --> 01:48:54,400 THE NORTHERN PLAINS TRIBE AND 2533 01:48:54,400 --> 01:48:55,120 THE TITLE IS THE PROOF IS IN THE 2534 01:48:55,120 --> 01:48:58,200 PUDDING: VALIDATION OF COVID-19 2535 01:48:58,200 --> 01:48:59,240 MONITORING METHODS, BUILDING 2536 01:48:59,240 --> 01:49:04,160 CAPACITY AND INDIGENOUS DATA 2537 01:49:04,160 --> 01:49:05,200 SOVEREIGNTY WITH THE NORTHERN 2538 01:49:05,200 --> 01:49:06,240 PLAINS TRIBE AND THE FUTURE OF 2539 01:49:06,240 --> 01:49:06,480 PANDEMICS. 2540 01:49:06,480 --> 01:49:09,200 I HAND IT OFF TO YOU ALL. 2541 01:49:09,200 --> 01:49:11,240 >> THANK YOU RADX-UP FOR HAVING 2542 01:49:11,240 --> 01:49:12,720 US HIGHLIGHT SOME OF OUR KEY 2543 01:49:12,720 --> 01:49:16,480 WORK AND ADVOCACY BUILDING WITH 2544 01:49:16,480 --> 01:49:19,560 THE NORTHERN PLAINS TRIBE. 2545 01:49:19,560 --> 01:49:24,680 I'M JENNIFER AND I'M THEY WOULD 2546 01:49:24,680 --> 01:49:26,520 TO HAVE COPRESENTING KALI DALE 2547 01:49:26,520 --> 01:49:31,840 WHO IS THE POSTDOC AT THE 2548 01:49:31,840 --> 01:49:32,560 CONSORTIUM AS WELL AS JOSEPH 2549 01:49:32,560 --> 01:49:34,400 YRACHETA, IN THE DATA 2550 01:49:34,400 --> 01:49:36,440 SOVEREIGNTY PIECE AND THE 2551 01:49:36,440 --> 01:49:38,240 EXECUTIVE DIRECTOR. 2552 01:49:38,240 --> 01:49:39,960 AND WE REALLY HAVE A SPECIAL 2553 01:49:39,960 --> 01:49:40,280 COLLABORATION. 2554 01:49:40,280 --> 01:49:43,400 NEXT SLIDE, PLEASE. 2555 01:49:43,400 --> 01:49:46,520 AS A RESEARCHER WORKING WITH THE 2556 01:49:46,520 --> 01:49:47,120 NORTHERN PLAINS TRIBE FOR WELL 2557 01:49:47,120 --> 01:49:49,760 OVER A DECADE, WE OFTEN SEE 2558 01:49:49,760 --> 01:49:50,920 TRIBES AS SPECIAL POPULATIONS 2559 01:49:50,920 --> 01:49:53,440 THAT RETAIN A CULTURE CUSTOMS 2560 01:49:53,440 --> 01:49:54,600 LANGUAGES AND BECAUSE OF THEIR 2561 01:49:54,600 --> 01:49:56,880 RELATIVE ISOLATION THEY ARE 2562 01:49:56,880 --> 01:49:58,960 USUALLY OF GREAT INTEREST TO 2563 01:49:58,960 --> 01:50:01,640 RESEARCHERS BECAUSE OF GENETIC 2564 01:50:01,640 --> 01:50:03,440 UNIQUENESS AND INDIGENOUS 2565 01:50:03,440 --> 01:50:06,000 COMMUNITIES ARE VERY INTERESTED 2566 01:50:06,000 --> 01:50:07,640 IN BIG DATA SCIENCE. 2567 01:50:07,640 --> 01:50:10,440 WE ALSO NEED TO BE COGNIZANT 2568 01:50:10,440 --> 01:50:14,040 THAT DNA IS SACRED, WITH A DEEP 2569 01:50:14,040 --> 01:50:14,640 RELIGIOUS SIGNIFICANCE AS WELL 2570 01:50:14,640 --> 01:50:15,560 AS PART OF ESSENCE OF THE 2571 01:50:15,560 --> 01:50:15,800 PERSON. 2572 01:50:15,800 --> 01:50:24,480 SO THIS LED TO -- NEXT SLIDE. 2573 01:50:24,480 --> 01:50:25,480 THANK YOU. 2574 01:50:25,480 --> 01:50:26,520 COLLABORATION WITH SPHERE, WHICH 2575 01:50:26,520 --> 01:50:28,560 HAD THREE PROJECTS AND THE FIRST 2576 01:50:28,560 --> 01:50:30,840 BEING THE BIOREPOSITORY 2577 01:50:30,840 --> 01:50:31,640 BUILDING. 2578 01:50:31,640 --> 01:50:33,680 AND THAT BOTH SPEAKS TO BUILDING 2579 01:50:33,680 --> 01:50:34,280 CAPACITY AS WELL AS THE DATA 2580 01:50:34,280 --> 01:50:35,400 SOVEREIGNTY PIECE BECAUSE IT'S 2581 01:50:35,400 --> 01:50:37,720 THE FIRST-OF-ITS-KIND BIOBANK 2582 01:50:37,720 --> 01:50:39,240 HELD WITHIN THE TRIBE. 2583 01:50:39,240 --> 01:50:42,640 NOW THAT BIOBANK IS THE NATIVE 2584 01:50:42,640 --> 01:50:43,520 BIODATA CONSORTIUM. 2585 01:50:43,520 --> 01:50:45,480 HERE ON THE RIGHT YOU CAN SEE 2586 01:50:45,480 --> 01:50:48,560 THAT THIS IS FIRST-OF-ITS-KIND 2587 01:50:48,560 --> 01:50:48,800 BIOBANK. 2588 01:50:48,800 --> 01:50:51,320 RUN BY INDIGENOUS COMMUNITY AND 2589 01:50:51,320 --> 01:50:55,320 HELD WITHIN INDIGENOUS LAND. 2590 01:50:55,320 --> 01:50:58,400 NEXT SLIDE, PLEASE. 2591 01:50:58,400 --> 01:51:00,880 SO THIS IS SOUTH DAKOTA NINE 2592 01:51:00,880 --> 01:51:02,520 TRIBES HERE AND WE HAVE 2593 01:51:02,520 --> 01:51:06,920 PERMISSIONS TO WORK WITH THE 2594 01:51:06,920 --> 01:51:08,000 SIOUX TRIBE AT THE CENTER OF THE 2595 01:51:08,000 --> 01:51:08,600 MAP IN BROWN. 2596 01:51:08,600 --> 01:51:12,320 AND AS MOST TRIBES WERE HEAVILY, 2597 01:51:12,320 --> 01:51:13,440 HEAVILY DISPROPORTIONATELY 2598 01:51:13,440 --> 01:51:16,880 AFFECTED BY COVID-19 IN 2020, 2599 01:51:16,880 --> 01:51:18,840 EVEN THE ABILITY TO DO TESTING 2600 01:51:18,840 --> 01:51:22,440 HAD TO BE SENT TWO HOURS AWAY 2601 01:51:22,440 --> 01:51:23,040 FROM THE TRIBE TO GET RESULTS 2602 01:51:23,040 --> 01:51:24,720 BACK. 2603 01:51:24,720 --> 01:51:28,920 AND WITH POSITIVE RATES OF 37%, 2604 01:51:28,920 --> 01:51:30,480 DEATHS IN THE SPRING OF 2020, 2605 01:51:30,480 --> 01:51:34,920 HEAVILY HIT AND THIS IT HAPPENED 2606 01:51:34,920 --> 01:51:37,040 THROUGHOUT 2021 TO 2022 WITH A 2607 01:51:37,040 --> 01:51:39,800 DIFFERENT VARIANCE ALSO 2608 01:51:39,800 --> 01:51:40,400 AFFECTING THE TRIBE HEAVILY. 2609 01:51:40,400 --> 01:51:41,720 WITH THE NATIVE BIODATA 2610 01:51:41,720 --> 01:51:43,520 CONSORTIUM, WE WERE ABLE TO 2611 01:51:43,520 --> 01:51:47,240 IMAGINE THIS PIECE, WHICH IS 2612 01:51:47,240 --> 01:51:49,800 HAVING A LOCAL ABILITY TO DO 2613 01:51:49,800 --> 01:51:52,600 DIFFERENT TYPES OF MONITORING, 2614 01:51:52,600 --> 01:51:53,800 TESTING IN THE TRIBE WITH THE 2615 01:51:53,800 --> 01:51:55,560 LAB COMPONENT OF THE NATIVE 2616 01:51:55,560 --> 01:51:56,000 BIODATA CONSORTIUM. 2617 01:51:56,000 --> 01:51:59,520 NEXT SLIDE, PLEASE. 2618 01:51:59,520 --> 01:52:01,720 AND SO WITH THIS TRIBAL BUILD 2619 01:52:01,720 --> 01:52:04,800 OUT OF COVID-19 BRANCH OR VIRAL 2620 01:52:04,800 --> 01:52:07,680 TESTING BRANCH, THIS IS OUR MAIN 2621 01:52:07,680 --> 01:52:08,120 FOCUS OF THIS WORK. 2622 01:52:08,120 --> 01:52:10,000 NOT ONLY BUILD THE LAB BUT ALSO 2623 01:52:10,000 --> 01:52:13,040 GAIN INSIGHTS FROM OUR LOCAL 2624 01:52:13,040 --> 01:52:14,800 COMMUNITY ADVISORY BOARD AS WELL 2625 01:52:14,800 --> 01:52:16,760 AS SCIENCE ADVISORY GROUP AND I 2626 01:52:16,760 --> 01:52:18,920 MENTIONED SPHERE, DR. BONNIE 2627 01:52:18,920 --> 01:52:21,240 MALDONADO IS THE HEAD SCIENTIST 2628 01:52:21,240 --> 01:52:24,920 AND THE HEAD PI AND ALSO 2629 01:52:24,920 --> 01:52:27,360 INFECTIOUS DISEASE SCIENTIST AND 2630 01:52:27,360 --> 01:52:29,760 EXPERT HERE AT STANFORD ON THE 2631 01:52:29,760 --> 01:52:30,280 SCIENCE ADVISORY GROUP. 2632 01:52:30,280 --> 01:52:33,760 WE HAD KEY ENGAGEMENT EXPERTS, 2633 01:52:33,760 --> 01:52:34,560 TRIBAL VENTURES BEING ONE OF 2634 01:52:34,560 --> 01:52:36,760 THEM AND WE WERE ABLE TO BOTH 2635 01:52:36,760 --> 01:52:38,280 LEARN WITH THE TRIBAL COMMUNITY 2636 01:52:38,280 --> 01:52:41,000 OF WHAT THE PANDEMIC WAS -- HOW 2637 01:52:41,000 --> 01:52:44,480 IT WAS AFFECTING THEM AS WELL AS 2638 01:52:44,480 --> 01:52:46,000 THE DIFFERENT TYPES OF LATEST 2639 01:52:46,000 --> 01:52:46,520 AND THE GREATEST OF THE 2640 01:52:46,520 --> 01:52:47,440 STANDARDS OF TESTING. 2641 01:52:47,440 --> 01:52:49,880 THIS INCLUDED THE GOLD STANDARD 2642 01:52:49,880 --> 01:52:50,160 YPCR. 2643 01:52:50,160 --> 01:52:55,600 SO I'LL FORWARD THIS TO CALI. 2644 01:52:55,600 --> 01:52:58,000 >> NEXT SLIDE, PLEASE. 2645 01:52:58,000 --> 01:52:59,600 SO LIKE JENNIFER SAID, THE MAIN 2646 01:52:59,600 --> 01:53:00,880 PART OF THE PROECT JUDGE WAS 2647 01:53:00,880 --> 01:53:02,280 ABOUT BUILDING CAPACITY AND WE 2648 01:53:02,280 --> 01:53:04,920 BUILT CAPACITY IN FOUR DIFFERENT 2649 01:53:04,920 --> 01:53:05,880 WAYS. 2650 01:53:05,880 --> 01:53:06,840 AND I'LL BE SPECIFICALLY TALKING 2651 01:53:06,840 --> 01:53:08,320 ABOUT HOW WE BUILT LAB TESTING 2652 01:53:08,320 --> 01:53:12,600 FACILITY CAPACITY ON THE 2653 01:53:12,600 --> 01:53:14,600 RESERVATION. 2654 01:53:14,600 --> 01:53:15,360 AND THEN HEALTHPOLOGIY CAPACITY. 2655 01:53:15,360 --> 01:53:17,760 WE ARE USING OUR CAPACITY, THE 2656 01:53:17,760 --> 01:53:20,560 CAPACITY THAT WE BUILT WAS USING 2657 01:53:20,560 --> 01:53:22,280 CERTIFICATION WITH 2658 01:53:22,280 --> 01:53:23,440 STATE-OF-THE-ART GENOMIC AND 2659 01:53:23,440 --> 01:53:26,040 COVID SEQUENCING. 2660 01:53:26,040 --> 01:53:28,880 WE ARE ALSO BUILDING SUSTAINABLE 2661 01:53:28,880 --> 01:53:32,680 HEALTH RESOURCES BY STORING AND 2662 01:53:32,680 --> 01:53:34,280 PROTECTING TRIBAL DATA SO THAT 2663 01:53:34,280 --> 01:53:36,080 THE COMMUNITY CAN AT A MOMENT'S 2664 01:53:36,080 --> 01:53:39,640 NOTICE, USE THIS DATA TO -- IT 2665 01:53:39,640 --> 01:53:41,240 HELPED THE COMMUNITY IN THE WAYS 2666 01:53:41,240 --> 01:53:43,440 IT NEEDS TO AND WE ARE -- 2667 01:53:43,440 --> 01:53:45,440 WORKING WITH EXPERTS ON 2668 01:53:45,440 --> 01:53:46,720 PROTECTING THAT DATA AND SO THAT 2669 01:53:46,720 --> 01:53:52,600 IT STAYS ON OWNED BY THE TRIBE. 2670 01:53:52,600 --> 01:53:54,400 NEXT SLIDE, PLEASE. 2671 01:53:54,400 --> 01:53:58,080 SO SPECIFICALLY, NATIVE BIODATA 2672 01:53:58,080 --> 01:53:59,640 CONSORTIUM IS PROVIDING HIGH 2673 01:53:59,640 --> 01:54:02,880 RESOLUTION MONITORING THE COVID 2674 01:54:02,880 --> 01:54:03,640 BEFORE AND AFTER THE PANDEMIC 2675 01:54:03,640 --> 01:54:04,400 STATUS. 2676 01:54:04,400 --> 01:54:06,080 AND FOR THE COMMUNITY'S HEALTH. 2677 01:54:06,080 --> 01:54:10,680 WE ARE SEQUENCING THE SARS-COV-2 2678 01:54:10,680 --> 01:54:13,960 VIRUS FOR VARIANT DETECTION AND 2679 01:54:13,960 --> 01:54:14,200 CALLING. 2680 01:54:14,200 --> 01:54:16,840 AND WE ARE IMPLEMENTING THIS 2681 01:54:16,840 --> 01:54:17,960 BECAUSE IT'S IMPORTANT TO 2682 01:54:17,960 --> 01:54:19,520 UNDERSTAND WHERE THIS VIRUS IS 2683 01:54:19,520 --> 01:54:21,560 COMING FROM AND WHERE IT'S GOING 2684 01:54:21,560 --> 01:54:23,280 AND HOW IT'S CHANGING. 2685 01:54:23,280 --> 01:54:25,720 AND THE U.S. HASN'T BEEN ABLE TO 2686 01:54:25,720 --> 01:54:28,520 IMPLEMENT THIS WIDELY. 2687 01:54:28,520 --> 01:54:32,280 WE ARE ALSO ABLE TO PROCESS 2688 01:54:32,280 --> 01:54:33,960 SAMPLES AT A HIGH LEVEL AND WE 2689 01:54:33,960 --> 01:54:36,040 ARE JUST AN ALLY IN THIS 2690 01:54:36,040 --> 01:54:37,680 MONITORING PROCESS BECAUSE WE 2691 01:54:37,680 --> 01:54:39,520 ARE COMMUNICATING WITH OUR 2692 01:54:39,520 --> 01:54:41,080 TRIBAL HEALTH FACILITIES TO 2693 01:54:41,080 --> 01:54:42,040 DESCRIBE AND RECOMMEND WHAT IS 2694 01:54:42,040 --> 01:54:44,680 HAPPENING WITH LONG COVID. 2695 01:54:44,680 --> 01:54:48,360 NEXT SLIDE, PLEASE. 2696 01:54:48,360 --> 01:54:50,840 THE TESTING INTERVENTIONS THAT 2697 01:54:50,840 --> 01:54:51,800 WE ARE USING IS THE GOLD 2698 01:54:51,800 --> 01:54:55,120 STANDARD QPCR USING A RAPID QPCR 2699 01:54:55,120 --> 01:54:56,720 METHOD USING THIS INSTRUMENT AND 2700 01:54:56,720 --> 01:55:00,600 WE ARE USING THE ALUMINA NEXT 2701 01:55:00,600 --> 01:55:04,440 GENERATION SEQUENCER TO SEQUENCE 2702 01:55:04,440 --> 01:55:05,840 SARS-COV-2 FOR DETECTION AND 2703 01:55:05,840 --> 01:55:06,120 CALLING. 2704 01:55:06,120 --> 01:55:08,520 NEXT SLIDE, PLEASE. 2705 01:55:08,520 --> 01:55:09,560 OTHER DIAGNOSTIC INTERVENTIONS 2706 01:55:09,560 --> 01:55:12,640 THAT WE ARE WORKING ON BUT WILL 2707 01:55:12,640 --> 01:55:13,600 NOT TALK ABOUT TODAY IS LOOKING 2708 01:55:13,600 --> 01:55:16,920 AT PLASMA SERUM TO LOOK AT THE 2709 01:55:16,920 --> 01:55:21,240 IMMUNE RESPONSE OF COVID 2710 01:55:21,240 --> 01:55:22,040 PATIENTS. 2711 01:55:22,040 --> 01:55:23,280 AND WEARABLES FOR DETECTION OF 2712 01:55:23,280 --> 01:55:25,560 INFECTION AND ULTRARURAL AREAS. 2713 01:55:25,560 --> 01:55:28,480 NEXT SLIDE, PLEASE. 2714 01:55:28,480 --> 01:55:29,880 WE ARE BUILDING TRUST IN OUR 2715 01:55:29,880 --> 01:55:32,000 COMMUNITY BY HAVING THIS LOCAL 2716 01:55:32,000 --> 01:55:33,480 TESTING CAPACITY. 2717 01:55:33,480 --> 01:55:36,000 HERE IS THE STANDARD OPERATING 2718 01:55:36,000 --> 01:55:38,640 PROCEDURE THAT IS THE GOLD 2719 01:55:38,640 --> 01:55:40,080 STANDARD DEVELOPED BY THE W.H.O. 2720 01:55:40,080 --> 01:55:40,400 AND THE CDC. 2721 01:55:40,400 --> 01:55:43,440 WE ARE USING QPCR NOT JUST FOR 2722 01:55:43,440 --> 01:55:45,240 COVID BUT TO ADAPT IT FOR FUTURE 2723 01:55:45,240 --> 01:55:47,960 VIRUSES FOR THE FUTURE OF 2724 01:55:47,960 --> 01:55:49,880 PANDEMICS AND EPIDEMICS IN OUR 2725 01:55:49,880 --> 01:55:50,120 COMMUNITY. 2726 01:55:50,120 --> 01:55:53,000 AND WE ARE ABLE TO DO THIS WITH 2727 01:55:53,000 --> 01:55:56,720 OUR CERTIFICATION HAVING 2728 01:55:56,720 --> 01:55:57,800 BIOBANKING TO CREATE 2729 01:55:57,800 --> 01:56:00,120 INSTITUTIONAL MEMORY AND 2730 01:56:00,120 --> 01:56:07,720 SUSTAINABLE HEALTH RESOURCES. 2731 01:56:07,720 --> 01:56:12,360 THIS DATA IS CORROBORATED BY THE 2732 01:56:12,360 --> 01:56:12,720 STANFORD CLINIC. 2733 01:56:12,720 --> 01:56:18,160 100% OF THE QPCR RESULTS HAVE 2734 01:56:18,160 --> 01:56:18,560 BEEN CORROBORATED. 2735 01:56:18,560 --> 01:56:23,920 A SMALL SUB SET OF THE COVID-19 2736 01:56:23,920 --> 01:56:27,120 SAMPLES ARE NOT BEING DETECTED 2737 01:56:27,120 --> 01:56:29,280 AT THE GOLD STANDARD QPCR DUE TO 2738 01:56:29,280 --> 01:56:30,320 LOW VIRAL LOAD. 2739 01:56:30,320 --> 01:56:32,160 BECAUSE IT HAS HIGHER 2740 01:56:32,160 --> 01:56:33,720 SENSITIVITY TO DETECTING THIS. 2741 01:56:33,720 --> 01:56:35,440 SO WE'RE WORKING ON SPECIFICITY 2742 01:56:35,440 --> 01:56:39,120 AND SENSITIVITY ISSUES TO FIX 2743 01:56:39,120 --> 01:56:39,320 THIS. 2744 01:56:39,320 --> 01:56:41,880 IN THIS GRAPH IT'S SHOWING OUR 2745 01:56:41,880 --> 01:56:44,240 TESTING RATES FOR THE PAST FEW 2746 01:56:44,240 --> 01:56:46,440 MONTHS AND YOU CAN SEE IT WAS 2747 01:56:46,440 --> 01:56:48,640 HIGHEST BACK DURING HOLIDAYS AND 2748 01:56:48,640 --> 01:56:51,600 THE TESTING DECREASING 2749 01:56:51,600 --> 01:56:52,480 SIGNIFICANTLY. 2750 01:56:52,480 --> 01:57:00,840 NEXT SLIDE, PLEASE. 2751 01:57:00,840 --> 01:57:04,080 >> SO ONE OF THE GOD OUTCOMES OF 2752 01:57:04,080 --> 01:57:07,360 THIS WORK IS THAT THE NVDC ALONG 2753 01:57:07,360 --> 01:57:09,600 WITH OTHER INDIGENOUS GROUPS 2754 01:57:09,600 --> 01:57:11,800 THROUGHOUT THE UNITED STATES 2755 01:57:11,800 --> 01:57:14,200 HAVE HELPED RADX-UP DEVELOP A 2756 01:57:14,200 --> 01:57:18,360 TRULY TRIBALLY SOVEREIGN DATA 2757 01:57:18,360 --> 01:57:20,960 POLICY AND WE HAVE WORKED WITH 2758 01:57:20,960 --> 01:57:22,960 THE CDCC AND THE NIH BEFORE. 2759 01:57:22,960 --> 01:57:25,960 WE STARTED COLLECTING DATA AND 2760 01:57:25,960 --> 01:57:29,480 TOWARDS THE FINAL POLICY DRAFT. 2761 01:57:29,480 --> 01:57:30,760 WE ALSO WORKED ON A SUBCONTRACT 2762 01:57:30,760 --> 01:57:34,920 BETWEEN THE NVDC WITH STANFORD 2763 01:57:34,920 --> 01:57:37,640 THAT ALIGNED WITH THE NIH 2764 01:57:37,640 --> 01:57:39,920 RADX-UP POLICY AND THEN LOCALLY 2765 01:57:39,920 --> 01:57:42,480 WE ALIGNED THE TRIBAL PUBLIC 2766 01:57:42,480 --> 01:57:45,920 HEALTH ORDINANCE WITH THESE 2767 01:57:45,920 --> 01:57:48,000 FEDERAL POLICIES AND HAVE GONE 2768 01:57:48,000 --> 01:57:51,000 FURTHER TO PROTECT TRIBAL DATA 2769 01:57:51,000 --> 01:57:52,480 IN THIS PUBLIC HEALTH SPHERE. 2770 01:57:52,480 --> 01:57:56,440 AS MANY OF YOU KNOW, BECAUSE OF 2771 01:57:56,440 --> 01:57:57,000 THE COVID URGENCY, LOTS OF 2772 01:57:57,000 --> 01:57:59,320 REGULATIONS WERE PUT ON HOLD 2773 01:57:59,320 --> 01:58:04,840 MIXING DATASETS TO GET A HOLD ON 2774 01:58:04,840 --> 01:58:07,520 COVID AND THOSE SORT OF MIXINGS 2775 01:58:07,520 --> 01:58:09,200 WERE NEVER DONE PROPERLY WITH 2776 01:58:09,200 --> 01:58:10,360 TRIBAL CONSULTATION IN MIND 2777 01:58:10,360 --> 01:58:11,840 PRIOR TO THIS PANDEMIC. 2778 01:58:11,840 --> 01:58:14,640 SO WE ARE TRYING TO MAKE SURE 2779 01:58:14,640 --> 01:58:15,840 THAT THOSE THINGS ARE GOING TO 2780 01:58:15,840 --> 01:58:18,520 BE ALIGNED IN THE FUTURE SO THAT 2781 01:58:18,520 --> 01:58:20,440 THE TRIBES CAN FEEL SAFE IN 2782 01:58:20,440 --> 01:58:24,640 SHARING DATA GOING FORWARD. 2783 01:58:24,640 --> 01:58:25,440 NEXT SLIDE. 2784 01:58:25,440 --> 01:58:29,640 SO THIS IS ALL SUPPORTED BOY THE 2785 01:58:29,640 --> 01:58:33,320 CLINTON ADMINISTRATION, OBAMA 2786 01:58:33,320 --> 01:58:34,600 ADMINISTRATION AND BIDEN 2787 01:58:34,600 --> 01:58:35,280 ADMINISTRATION BY EXECUTIVE 2788 01:58:35,280 --> 01:58:35,480 ORDER. 2789 01:58:35,480 --> 01:58:37,920 THIS DATA SHOULD BE PART OF 2790 01:58:37,920 --> 01:58:40,960 TREATY NEGOTIATIONS BUT THAT NOT 2791 01:58:40,960 --> 01:58:44,120 BEING DONE RIGHT NOW AT THIS 2792 01:58:44,120 --> 01:58:45,160 TIME, THAT IS DEFINITELY 2793 01:58:45,160 --> 01:58:46,560 RECOGNIZES THE RESERVE RIGHT OF 2794 01:58:46,560 --> 01:58:48,840 TRIBES THAT ANY DATA THAT WASN'T 2795 01:58:48,840 --> 01:58:52,440 SEATED IN ANY TREATED OR LEGAL 2796 01:58:52,440 --> 01:58:55,080 DOCUMENT BEFORE NOW REMAINS THE 2797 01:58:55,080 --> 01:58:57,240 OWNERSHIP OF THE TRIBE. 2798 01:58:57,240 --> 01:58:59,600 NEXT SLIDE. 2799 01:58:59,600 --> 01:59:02,080 SO SOME OF THE CHALLENGES OF 2800 01:59:02,080 --> 01:59:05,880 COURSE WERE TIME DELAYS IN 2801 01:59:05,880 --> 01:59:06,880 GETTING APPROVAL FROM THE TRIBE 2802 01:59:06,880 --> 01:59:09,520 BUT ALSO DELAYS IN WORKING OUT 2803 01:59:09,520 --> 01:59:13,880 THE POLICY WITH STANFORD AND THE 2804 01:59:13,880 --> 01:59:14,440 CDCC AS WELL AS SOME OF THE 2805 01:59:14,440 --> 01:59:17,880 DELAYS IN GETTING FUNDING TO 2806 01:59:17,880 --> 01:59:21,960 START THE WORK. 2807 01:59:21,960 --> 01:59:22,600 ACROSS TONSALATION BARRIERS TO 2808 01:59:22,600 --> 01:59:23,120 OUTSIDE AFFILIATES IN 2809 01:59:23,120 --> 01:59:24,400 UNDERSTANDING THE ALL OF THESE 2810 01:59:24,400 --> 01:59:26,520 PROCESSES, NOT ONLY TECHNICAL 2811 01:59:26,520 --> 01:59:28,080 BARRIERS BUT POLICY BARRIERS AND 2812 01:59:28,080 --> 01:59:30,440 THEN LOGISTICAL BEAR WHYERS AND 2813 01:59:30,440 --> 01:59:32,040 ACCESSING ESPECIALLY ORDERING 2814 01:59:32,040 --> 01:59:34,520 SUPPLIES IN A RURAL INDIGENOUS 2815 01:59:34,520 --> 01:59:36,800 COMMUNITY MAKING SURE THEY GET 2816 01:59:36,800 --> 01:59:39,360 HERE ON TIME AND HAVE NOT BEEN 2817 01:59:39,360 --> 01:59:42,560 SUBJECT TO ANY SORT OF 2818 01:59:42,560 --> 01:59:44,480 ENVIRONMENTAL DEGRADATION. 2819 01:59:44,480 --> 01:59:47,000 NEXT SLIDE. 2820 01:59:47,000 --> 01:59:49,520 SO CONCLUSIONS AND KEY 2821 01:59:49,520 --> 01:59:49,800 TAKEAWAYS. 2822 01:59:49,800 --> 01:59:51,440 THE BIGGEST TAKE AWAY FROM THIS 2823 01:59:51,440 --> 01:59:53,880 IS THAT WE ARE BUILDING LOCAL 2824 01:59:53,880 --> 01:59:55,520 CAPACITY BECAUSE THAT WAS ONE OF 2825 01:59:55,520 --> 01:59:57,560 THE BIGGEST PROBLEMS IN THE 2826 01:59:57,560 --> 01:59:59,240 PANDEMIC FOR TRIBES IS TRYING TO 2827 01:59:59,240 --> 02:00:04,240 FIND OUT WHAT THE LEGAL AND 2828 02:00:04,240 --> 02:00:05,240 SCIENTIFIC PERMISSIONS WOULD 2829 02:00:05,240 --> 02:00:07,200 ALLOW THIS STUFF TO BE RAPIDLY 2830 02:00:07,200 --> 02:00:09,440 DEPLOYED ON A RESERVATION 2831 02:00:09,440 --> 02:00:11,200 BECAUSE AS YOU KNOW, STATES DO 2832 02:00:11,200 --> 02:00:14,320 NOT GET INTO THE BUSINESS OF 2833 02:00:14,320 --> 02:00:14,560 TRIBES. 2834 02:00:14,560 --> 02:00:18,760 AND AT LEAST IN SOUTH DAKOTA, 2835 02:00:18,760 --> 02:00:19,520 THE TENSION BETWEEN THE GOVERNOR 2836 02:00:19,520 --> 02:00:24,560 AND THE TRIBES IS VERY 2837 02:00:24,560 --> 02:00:25,640 HIGH-TENSION POOR COOPERATIVE. 2838 02:00:25,640 --> 02:00:28,080 SO WE ARE BUILDING THAT LOCAL 2839 02:00:28,080 --> 02:00:30,080 CAPACITY SOY THEY CAN RESPOND AS 2840 02:00:30,080 --> 02:00:32,000 QUICKLY IF NOT QUICKER THAN 2841 02:00:32,000 --> 02:00:34,280 NEW YORK STATE. 2842 02:00:34,280 --> 02:00:35,160 WE ALSO HAVE INCREASED CAPACITY 2843 02:00:35,160 --> 02:00:37,000 BY LEADING WITH INDIGENOUS 2844 02:00:37,000 --> 02:00:38,200 SCIENTIST AND HEALTH LEADERS AND 2845 02:00:38,200 --> 02:00:41,080 THEN WE ARE GOING TO CREATE 2846 02:00:41,080 --> 02:00:46,600 HOPEFULLY, A MODEL THAT OTHER 2847 02:00:46,600 --> 02:00:49,360 TRIBES CAN FOLLOW AND RADx CAN 2848 02:00:49,360 --> 02:00:51,200 REFERENCE IN THE FUTURE. 2849 02:00:51,200 --> 02:00:52,280 NEXT SLIDE. 2850 02:00:52,280 --> 02:00:58,360 SO WE LIKE TO SAY THANK YOU TO 2851 02:00:58,360 --> 02:00:59,400 THE TRIBE, TO STANFORD AND THE 2852 02:00:59,400 --> 02:01:02,240 MIKE SNYDER LAB AND BONNIE 2853 02:01:02,240 --> 02:01:04,040 MALDONADO AS WELL AS TRIBAL VEN 2854 02:01:04,040 --> 02:01:07,360 TORS, OUR LOCAL COMMUNITY 2855 02:01:07,360 --> 02:01:07,760 ENGAGEMENT GROUP. 2856 02:01:07,760 --> 02:01:09,880 AND THE STANFORD CLIA LAB. 2857 02:01:09,880 --> 02:01:14,000 THANK YOU VERY MUCH. 2858 02:01:14,000 --> 02:01:14,360 >> THANK YOU. 2859 02:01:14,360 --> 02:01:15,640 THIS IS EXCITING WORK. 2860 02:01:15,640 --> 02:01:18,000 ARE THERE ANY QUESTIONS? 2861 02:01:18,000 --> 02:01:18,680 YOU CAN FEEL FREE TO PUT THEM IN 2862 02:01:18,680 --> 02:01:20,880 THE CHAT OR YOU CAN RAISE YOUR 2863 02:01:20,880 --> 02:01:24,120 HAND AND ASK YOUR QUESTION OUT 2864 02:01:24,120 --> 02:01:33,360 LOUD. 2865 02:01:33,360 --> 02:01:42,680 ANY QUESTIONS? 2866 02:01:42,680 --> 02:01:44,440 WILL THE COLLECTION OF TESTING 2867 02:01:44,440 --> 02:01:48,840 DATA AND MAINTENANCE OF DATA BE 2868 02:01:48,840 --> 02:01:49,320 ONGOING? 2869 02:01:49,320 --> 02:01:50,560 >> YES, WE WILL WORK TO FIND 2870 02:01:50,560 --> 02:01:54,240 OTHER FUNDING TO CONTINUE THE 2871 02:01:54,240 --> 02:01:57,000 WORK THAT IS A PART OF THAT THE 2872 02:01:57,000 --> 02:01:58,320 NBDC IS LOCAL. 2873 02:01:58,320 --> 02:02:00,520 IT'S RIGHT IN THE CENTER OF THE 2874 02:02:00,520 --> 02:02:00,840 RESERVATION. 2875 02:02:00,840 --> 02:02:04,520 SO WE WILL HAVE TO -- IDENTIFY 2876 02:02:04,520 --> 02:02:07,000 FUNDING FUR SUSTAINABILITY BUT 2877 02:02:07,000 --> 02:02:08,640 YES, WE ARE HERE FOR THE LONG 2878 02:02:08,640 --> 02:02:10,160 HAUL. 2879 02:02:10,160 --> 02:02:10,520 >> AWESOME. 2880 02:02:10,520 --> 02:02:12,200 >> LORI YOU HAVE YOUR HAND UP. 2881 02:02:12,200 --> 02:02:15,480 YOU NOTED TO ASK A QUESTION? 2882 02:02:15,480 --> 02:02:16,320 >> YES, THANK YOU. 2883 02:02:16,320 --> 02:02:20,320 GREAT PRESENTATION. 2884 02:02:20,320 --> 02:02:20,920 I'M CURIOUS IF THERE IS IN THE 2885 02:02:20,920 --> 02:02:23,880 WORK SOME SORT OF A TOOLKIT OR A 2886 02:02:23,880 --> 02:02:26,280 GUIDE WHERE OTHER TRIBAL 2887 02:02:26,280 --> 02:02:27,440 COMMUNITIES COULD SORT OF 2888 02:02:27,440 --> 02:02:30,520 DUPLICATE WHAT YOU HAVE BUILT 2889 02:02:30,520 --> 02:02:30,720 HERE? 2890 02:02:30,720 --> 02:02:35,200 IT FEELS LIKE THIS WOULD BE 2891 02:02:35,200 --> 02:02:37,680 SOMETHING THAT WOULD BE VERY 2892 02:02:37,680 --> 02:02:40,640 VALUABLE TO BE DISSEMINATED MORE 2893 02:02:40,640 --> 02:02:42,360 AS A PRACTICAL GUIDE. 2894 02:02:42,360 --> 02:02:43,800 AND I'M CURIOUS IF THAT IS IN 2895 02:02:43,800 --> 02:02:44,440 THE WORKS? 2896 02:02:44,440 --> 02:02:46,560 >> NO, WE DON'T HAVE ANY PLANS 2897 02:02:46,560 --> 02:02:48,920 YET BECAUSE A LOT OF THE 2898 02:02:48,920 --> 02:02:50,760 INFRASTRUCTURE TO DO THIS 2899 02:02:50,760 --> 02:02:53,520 PROJECT WAS ALREADY IN EXISTENCE 2900 02:02:53,520 --> 02:02:54,560 THROUGH OTHER FUNDING AND OTHER 2901 02:02:54,560 --> 02:02:54,840 MECHANISMS. 2902 02:02:54,840 --> 02:02:58,520 SO WE HAVE BEEN BUILDING THE 2903 02:02:58,520 --> 02:03:00,920 NATIVE BIODATA CONSORTIUM SINCE 2904 02:03:00,920 --> 02:03:01,280 2015. 2905 02:03:01,280 --> 02:03:02,480 THIS IS JUST ONE OF THE THINGS 2906 02:03:02,480 --> 02:03:02,840 WE DO. 2907 02:03:02,840 --> 02:03:04,600 WE DO LOTS OF OTHER THINGS. 2908 02:03:04,600 --> 02:03:07,560 SO I THINK IT WOULD BE HARD FOR 2909 02:03:07,560 --> 02:03:10,880 OTHER TRIBES TO MIMIC, AT LEAST 2910 02:03:10,880 --> 02:03:14,000 IN THE SHORT TERM, BECAUSE IT 2911 02:03:14,000 --> 02:03:16,640 DID TAKE US 12 -- 10-12 YEARS TO 2912 02:03:16,640 --> 02:03:18,120 GET MOST OF THIS STUFF OFF OF 2913 02:03:18,120 --> 02:03:19,760 THE GROUND. 2914 02:03:19,760 --> 02:03:21,800 SOME OF THIS STUFF WAS DONE WITH 2915 02:03:21,800 --> 02:03:24,560 FUNDING THAT WE'VE GARNERED FROM 2916 02:03:24,560 --> 02:03:24,960 OTHER PLACES. 2917 02:03:24,960 --> 02:03:28,080 AND SO RADx HELPED US WITH THE 2918 02:03:28,080 --> 02:03:29,280 SPECIFICS OF COVID BUT THERE IS 2919 02:03:29,280 --> 02:03:33,480 A LOT MORE THAT GOES INTO THIS 2920 02:03:33,480 --> 02:03:35,200 THAN JUST THE PARTICULAR TESTING 2921 02:03:35,200 --> 02:03:36,680 FOR COVID. 2922 02:03:36,680 --> 02:03:40,360 SO, WE PROBABLY COULD MAKE SOME 2923 02:03:40,360 --> 02:03:41,960 RECOMMENDATIONS IN TERMS OF 2924 02:03:41,960 --> 02:03:44,320 POLICY AND SOURCES FOR OBTAINING 2925 02:03:44,320 --> 02:03:47,760 FUNDING AND EXPERTISE BUT IT'S A 2926 02:03:47,760 --> 02:03:50,320 LARGE PROJECT THAT TOOK A LONG 2927 02:03:50,320 --> 02:03:51,480 TIME TO DO. 2928 02:03:51,480 --> 02:03:52,000 >> OKAY. 2929 02:03:52,000 --> 02:03:54,840 AND THEN WE HAVE A COUPLE MORE 2930 02:03:54,840 --> 02:03:55,640 QUESTIONS. 2931 02:03:55,640 --> 02:03:56,240 FIRST, THEY WANTED TO KNOW IF 2932 02:03:56,240 --> 02:03:57,640 THERE ARE ANY PRELIMINARY 2933 02:03:57,640 --> 02:03:59,840 FINDINGS RELATED TO LONG COVID 2934 02:03:59,840 --> 02:04:04,160 THAT YOU CAN SHARE? 2935 02:04:04,160 --> 02:04:06,600 >> NO, NOT RIGHT NOW. 2936 02:04:06,600 --> 02:04:06,880 >> OKAY. 2937 02:04:06,880 --> 02:04:08,320 AND THEN FINAL QUESTION. 2938 02:04:08,320 --> 02:04:09,720 SOMEONE WANTS TO KNOW, CAN YOU 2939 02:04:09,720 --> 02:04:12,280 SHARE THE DUA? 2940 02:04:12,280 --> 02:04:15,640 >> YES, WE CAN DO THAT. 2941 02:04:15,640 --> 02:04:16,120 >> ALL RIGHT. 2942 02:04:16,120 --> 02:04:18,080 AND THE DATA SHARING POLICY, 2943 02:04:18,080 --> 02:04:20,440 THAT CAME IN LAST. 2944 02:04:20,440 --> 02:04:22,560 DUA AND DATA SHARING POLICY. 2945 02:04:22,560 --> 02:04:24,400 >> WE'LL HAVE THEM REACH OUT TO 2946 02:04:24,400 --> 02:04:26,200 YOU AS WELL SEPARATELY. 2947 02:04:26,200 --> 02:04:27,080 >> THANK YOU, THANK YOU FOR YOUR 2948 02:04:27,080 --> 02:04:29,840 WONDERFUL WORK AND WE APPRECIATE 2949 02:04:29,840 --> 02:04:30,000 IT. 2950 02:04:30,000 --> 02:04:32,040 AND NOW WE ARE GOING TO 2951 02:04:32,040 --> 02:04:34,840 TRANSITION TO OUR NEXT PROJECT. 2952 02:04:34,840 --> 02:04:36,920 SO OUR NEXT PROJECT TITLED 2953 02:04:36,920 --> 02:04:39,000 FACILITATORS AND BARRIERS IN 2954 02:04:39,000 --> 02:04:41,000 IMPLEMENTING A COVID-19 2955 02:04:41,000 --> 02:04:41,920 EDUCATION INTERVENTION: FINDINGS 2956 02:04:41,920 --> 02:04:47,600 FROM A MULTI-SITE RANDOMIZED 2957 02:04:47,600 --> 02:04:48,320 CONTROL TRIAL. 2958 02:04:48,320 --> 02:04:49,400 THEY WILL NOW DISCUSS THEIR 2959 02:04:49,400 --> 02:04:49,600 WORKS. 2960 02:04:49,600 --> 02:04:54,400 SO I HAND IT OFF TO YOU. 2961 02:04:54,400 --> 02:04:58,880 >> I'M WITH THE UNIVERSITY OF 2962 02:04:58,880 --> 02:04:59,520 OKLAHOMA HEALTH SCIENCES CENTER, 2963 02:04:59,520 --> 02:05:01,720 ASSISTANT PROFESSOR OF 2964 02:05:01,720 --> 02:05:02,520 EPIDEMIOLOGY AND I'M HERE WITH 2965 02:05:02,520 --> 02:05:06,720 ASHLEY COMIFORD, EPIDEMIOLOGIST 2966 02:05:06,720 --> 02:05:07,240 WITH THE CHEROKEE NATION. 2967 02:05:07,240 --> 02:05:08,840 WE CALL IT CHEROKEE PROTECT. 2968 02:05:08,840 --> 02:05:12,480 NEXT SLIDE, PLEASE. 2969 02:05:12,480 --> 02:05:13,600 SO WE'RE GOING TO TALK ABOUT TWO 2970 02:05:13,600 --> 02:05:15,880 OF OUR OBJECTIVES FOR THIS 2971 02:05:15,880 --> 02:05:16,160 PROJECT. 2972 02:05:16,160 --> 02:05:18,600 SO FIRST EP ABLING 2973 02:05:18,600 --> 02:05:19,720 COMMUNITY-BASED COVID-19 TESTING 2974 02:05:19,720 --> 02:05:21,960 CONTACT TRACING AND EDUCATION 2975 02:05:21,960 --> 02:05:23,120 WITH THE PUBLIC HEALTH AND 2976 02:05:23,120 --> 02:05:24,920 ASHLEY WILL GO OVER THAT WORK 2977 02:05:24,920 --> 02:05:25,760 AND I'LL TALK ABOUT HOW TO 2978 02:05:25,760 --> 02:05:27,160 IDENTIFY BARRIERS AND 2979 02:05:27,160 --> 02:05:30,200 FACILITATORS TO COVID-19 TESTING 2980 02:05:30,200 --> 02:05:30,800 WITHIN CHEROKEE NATION TO HELP 2981 02:05:30,800 --> 02:05:34,040 DEVELOP A TAILORED EDUCATIONAL 2982 02:05:34,040 --> 02:05:34,560 CAMPAIGN. 2983 02:05:34,560 --> 02:05:36,640 INCREASED TESTING, CONTACT 2984 02:05:36,640 --> 02:05:38,480 TRACING AND DECREASED SPREAD OF 2985 02:05:38,480 --> 02:05:38,680 COVID. 2986 02:05:38,680 --> 02:05:40,160 THROUGH OUR SURVEYS AND 2987 02:05:40,160 --> 02:05:41,440 INTERVIEWS AND WE'LL TALK ABOUT 2988 02:05:41,440 --> 02:05:42,800 HOW WE EXPECT TO IDENTIFY 2989 02:05:42,800 --> 02:05:43,960 DIFFERENCES IN AVAILABILITY AND 2990 02:05:43,960 --> 02:05:46,760 UPTAKE OF TESTING ACROSS 2991 02:05:46,760 --> 02:05:47,840 DEMOGRAPHIC FACTORS WITHIN THE 2992 02:05:47,840 --> 02:05:51,000 CHEROKEE NATION RESERVATION. 2993 02:05:51,000 --> 02:05:53,920 NEXT SLIDE. 2994 02:05:53,920 --> 02:05:55,680 >> SO I'LL GO OVER A LITTLE BIT 2995 02:05:55,680 --> 02:05:56,760 OF BACKGROUND ABOUT CHEROKEE 2996 02:05:56,760 --> 02:05:57,360 NATION. 2997 02:05:57,360 --> 02:05:59,520 IT'S THE LARGEST FEDERALLY 2998 02:05:59,520 --> 02:06:00,160 RECOGNIZED TRIBE IN THE UNITED 2999 02:06:00,160 --> 02:06:03,240 STATES WITH NEARLY HALF A 3000 02:06:03,240 --> 02:06:04,880 MILLION REGISTERED TRIBAL 3001 02:06:04,880 --> 02:06:05,520 MEMBERS. 3002 02:06:05,520 --> 02:06:08,000 ABOUT 140,000 RESIDE WITHIN THE 3003 02:06:08,000 --> 02:06:09,800 RESERVATION OF CHEROKEE NATION 3004 02:06:09,800 --> 02:06:11,560 LOCATED IN THE NORTH EAST CORNER 3005 02:06:11,560 --> 02:06:14,760 OF OKLAHOMA WITHIN ABOUT 14 3006 02:06:14,760 --> 02:06:16,240 COUNTIES WITHIN OKLAHOMA. 3007 02:06:16,240 --> 02:06:20,520 NEXT SLIDE, PLEASE. 3008 02:06:20,520 --> 02:06:23,080 CHEROKEE NATION DOES RUN ITS OWN 3009 02:06:23,080 --> 02:06:27,160 HEALTH SYSTEM AND IT CONSISTS OF 3010 02:06:27,160 --> 02:06:29,880 ONE HOSPITAL, ONE IN-PATIENT 3011 02:06:29,880 --> 02:06:30,520 ADOLESCENT TREATMENT CENTER AND 3012 02:06:30,520 --> 02:06:34,040 NINE CLINICS LOCATED 3013 02:06:34,040 --> 02:06:34,840 STRATEGICALLY AROUND CHEROKEE 3014 02:06:34,840 --> 02:06:36,880 NATION TO KIND OF REDUCE THE 3015 02:06:36,880 --> 02:06:42,360 BARRIER OF TRAVEL THAT TRIBAL 3016 02:06:42,360 --> 02:06:43,720 CITIZENS MAY COME ACROSS TRYING 3017 02:06:43,720 --> 02:06:47,240 TO TRAVEL TO GET HEALTH CARE. 3018 02:06:47,240 --> 02:06:52,160 WE DON'T -- CHEROKEE NATION 3019 02:06:52,160 --> 02:06:53,080 DOESN'T JUST SERVE CHEROKEE 3020 02:06:53,080 --> 02:06:53,440 NATION CITIZENS. 3021 02:06:53,440 --> 02:06:54,000 WE SERVE ALL CITIZENS AND 3022 02:06:54,000 --> 02:06:56,480 MEMBERS OF FEDERALLY RECOGNIZED 3023 02:06:56,480 --> 02:06:59,960 TRIBES. 3024 02:06:59,960 --> 02:07:01,000 NEXT SLIDE. 3025 02:07:01,000 --> 02:07:04,160 SO CHEROKEE NATION PROTECT 3026 02:07:04,160 --> 02:07:05,720 UNITES TRIBAL, ACADEMIC AND 3027 02:07:05,720 --> 02:07:07,320 COMMUNITY PARTNERS UNDER THE 3028 02:07:07,320 --> 02:07:09,160 RELATIONSHIP OF CHEROKEE NATION 3029 02:07:09,160 --> 02:07:09,760 AND IT WAS DESIGNED TO ADDRESS 3030 02:07:09,760 --> 02:07:13,600 THE NEED FOR COVID-19 TESTING 3031 02:07:13,600 --> 02:07:15,160 CONTACT TRACING, VACCINATION AND 3032 02:07:15,160 --> 02:07:17,320 INFORMED EDUCATION AND THEN 3033 02:07:17,320 --> 02:07:18,880 UNDERSERVED AND VULNERABLE WORLD 3034 02:07:18,880 --> 02:07:20,240 POPULATION. 3035 02:07:20,240 --> 02:07:23,800 NEXT SLIDE. 3036 02:07:23,800 --> 02:07:26,520 THE REASON WHY THIS POPULATION 3037 02:07:26,520 --> 02:07:28,320 WAS TARGETED IS AMERICAN 3038 02:07:28,320 --> 02:07:30,440 INDIANTS DO HAVE A HIGHER RISK 3039 02:07:30,440 --> 02:07:32,560 OF SEVERE COVID COMPLICATIONS 3040 02:07:32,560 --> 02:07:35,720 DUE TO CO-MORBIDITIES. 3041 02:07:35,720 --> 02:07:39,400 FIVE COUNTIES ARE IN THE TOP 20% 3042 02:07:39,400 --> 02:07:42,320 OF U.S. COUNTIES AT RISK TO 3043 02:07:42,320 --> 02:07:43,440 SEVERE COVID DUE TO UNDERLYING 3044 02:07:43,440 --> 02:07:44,080 MEDICAL CONDITIONS. 3045 02:07:44,080 --> 02:07:46,400 THIS POPULATION HAS A HIGH 3046 02:07:46,400 --> 02:07:53,480 POVERTY RATE AND GEOGRAPHIC 3047 02:07:53,480 --> 02:07:55,640 BARRIERS AND THEN PEOPLE LIVING 3048 02:07:55,640 --> 02:07:56,640 IN RURAL AREAS OF CHEROKEE 3049 02:07:56,640 --> 02:08:00,400 NATION MAY HAVE TO TRAVEL FAR TO 3050 02:08:00,400 --> 02:08:03,120 GET TESTING. 3051 02:08:03,120 --> 02:08:05,240 NEXT SLIDE. 3052 02:08:05,240 --> 02:08:07,080 SO JUST A LITTLE BIT ABOUT THE 3053 02:08:07,080 --> 02:08:08,560 CHEROKEE NATION VIRAL TESTING. 3054 02:08:08,560 --> 02:08:13,080 AS OF MARCH 20, 2023, WE HAD 3055 02:08:13,080 --> 02:08:14,160 NEARLY 400,000 VIRAL TEST THAT 3056 02:08:14,160 --> 02:08:16,760 WERE CONDUCTED WITH MORE THAN 3057 02:08:16,760 --> 02:08:19,200 55,000 TESTED POSITIVE. 3058 02:08:19,200 --> 02:08:21,160 WE OFFERED BOTH ANTIGEN POINT OF 3059 02:08:21,160 --> 02:08:24,480 CARE TESTING AND PCR TESTS. 3060 02:08:24,480 --> 02:08:25,840 THIS HAS BEEN DONE THROUGH 3061 02:08:25,840 --> 02:08:28,240 DRIVE-THROUGH TESTING, DRIVE-UP 3062 02:08:28,240 --> 02:08:30,320 TESTING AND INPATIENT AND 3063 02:08:30,320 --> 02:08:32,200 CLINIC-BASED TESTING AND 3064 02:08:32,200 --> 02:08:34,320 PROVIDING AT-HOME TESTING KITS 3065 02:08:34,320 --> 02:08:36,200 AS WELL AS A FEW COMMUNITY 3066 02:08:36,200 --> 02:08:38,440 TESTINGS, ESPECIALLY WITH 3067 02:08:38,440 --> 02:08:40,480 CHEROKEE NATION BUSINESSES AND 3068 02:08:40,480 --> 02:08:40,920 EVEN CHEROKEE NATION 3069 02:08:40,920 --> 02:08:44,240 GOVERNMENTAL EMPLOYEES. 3070 02:08:44,240 --> 02:08:46,760 NEXT SLIDE. 3071 02:08:46,760 --> 02:08:47,840 SO WITH COMMUNITY ENGAGEMENT, WE 3072 02:08:47,840 --> 02:08:50,160 HAVE MAILED OUT AT-HOME TESTING 3073 02:08:50,160 --> 02:08:50,520 KITS. 3074 02:08:50,520 --> 02:08:52,480 WE MAILED OUT EDUCATIONAL 3075 02:08:52,480 --> 02:08:53,640 BROCHURES ABOUT TESTING AND 3076 02:08:53,640 --> 02:08:55,440 VACCINATION AVAILABILITY AND 3077 02:08:55,440 --> 02:08:56,880 ALSO PROVIDED EDUCATION ON POINT 3078 02:08:56,880 --> 02:09:02,280 OF CARE TESTING, COVID 3079 02:09:02,280 --> 02:09:02,880 MITIGATION EFFORTS, QUARANTINE 3080 02:09:02,880 --> 02:09:03,640 AND ISOLATION GUIDANCE. 3081 02:09:03,640 --> 02:09:05,560 AND A FEW OF THE COMMUNITY 3082 02:09:05,560 --> 02:09:07,400 PARTNERS THAT WE HAVE DONE THIS 3083 02:09:07,400 --> 02:09:11,440 WITH INCLUDE CHEROKEE NATION 3084 02:09:11,440 --> 02:09:12,960 ASSOCIATED SCHOOLS, YOUTH 3085 02:09:12,960 --> 02:09:16,520 SHELTERS, EMS,ELEDDER CARE PACE 3086 02:09:16,520 --> 02:09:18,760 PROGRAM, HEAD START CENTERS AND 3087 02:09:18,760 --> 02:09:21,080 THE JACK BROWN YOUTH TREATMENT 3088 02:09:21,080 --> 02:09:22,320 CENTER AS WELL AS BUSINESSES, 3089 02:09:22,320 --> 02:09:25,800 CHEROKEE NATION BUSINESSES. 3090 02:09:25,800 --> 02:09:29,600 NEXT SLIDE. 3091 02:09:29,600 --> 02:09:31,480 >> SO AS PART OF OUR PROJECT WE 3092 02:09:31,480 --> 02:09:33,840 CONDUCTED A POPULATION-BASED 3093 02:09:33,840 --> 02:09:35,800 SURVEY WITHIN CHEROKEE NATION. 3094 02:09:35,800 --> 02:09:39,680 WE PURCHASED ADDRESSES THROUGH 3095 02:09:39,680 --> 02:09:40,640 THE MARKETING USING GEOGRAPHIC 3096 02:09:40,640 --> 02:09:43,640 BOUNDARIES OF THE RESERVATION SO 3097 02:09:43,640 --> 02:09:45,680 WITHIN THE ZIP CODES AND CENSUS 3098 02:09:45,680 --> 02:09:49,480 BLOCKS THAT DESIGNATE THE 3099 02:09:49,480 --> 02:09:50,640 RESERVATION. 3100 02:09:50,640 --> 02:09:51,200 WE OVERSAMPLED IN GEOGRAPHIC 3101 02:09:51,200 --> 02:09:53,320 AREAS WITH HIGH NUMBER OF 3102 02:09:53,320 --> 02:09:54,960 AMERICAN INDIAN RESIDENTS USING 3103 02:09:54,960 --> 02:09:55,240 CENSUS DATA. 3104 02:09:55,240 --> 02:09:58,320 WE WANTED TO HAVE FEEDBACK FROM 3105 02:09:58,320 --> 02:10:00,200 ALL AMERICAN INDIANS RESIDING 3106 02:10:00,200 --> 02:10:02,280 WITHIN CHEROKEE NATION NOT ONLY 3107 02:10:02,280 --> 02:10:04,240 THOSE WHO ACCESS THE HEALTH 3108 02:10:04,240 --> 02:10:04,600 SERVICES. 3109 02:10:04,600 --> 02:10:06,120 SINCE ALL THESE PEOPLE ARE 3110 02:10:06,120 --> 02:10:08,680 ELIGIBLE TO RECEIVE SERVICES BUT 3111 02:10:08,680 --> 02:10:11,120 NOT ALL OR WILL COME TO THE 3112 02:10:11,120 --> 02:10:11,880 CHEROKEE NATION HEALTH SYSTEM. 3113 02:10:11,880 --> 02:10:14,280 WE WANTED TO CAPTURE ALL THOSE 3114 02:10:14,280 --> 02:10:15,360 OPINIONS AND FEEDBACK ABOUT 3115 02:10:15,360 --> 02:10:18,080 TESTING AND COVID ISSUES. 3116 02:10:18,080 --> 02:10:20,400 SO WE FOR ELIGIBILITY CRITERIA 3117 02:10:20,400 --> 02:10:21,680 WE INCLUDED THOSE WITH A 3118 02:10:21,680 --> 02:10:23,680 HOUSEHOLD MEMBER WHO SELF 3119 02:10:23,680 --> 02:10:25,840 REPORTED AS AMERICAN INDIAN OR 3120 02:10:25,840 --> 02:10:28,000 ALASKA NATIVE, 18 YEARS OF AGE 3121 02:10:28,000 --> 02:10:31,120 AND LIVED WITHIN THE 14 3122 02:10:31,120 --> 02:10:31,400 COUNTIES. 3123 02:10:31,400 --> 02:10:33,360 THIS WAS A MAIL SURVEY. 3124 02:10:33,360 --> 02:10:37,200 PARTICIPANTS COULD RESPOND USING 3125 02:10:37,200 --> 02:10:39,640 PRE-STAMPED ENVELOPE OR ON LINE 3126 02:10:39,640 --> 02:10:40,000 THROUGH RED CAP. 3127 02:10:40,000 --> 02:10:40,800 MOST MAILED THEIR SURVEYS BACK 3128 02:10:40,800 --> 02:10:43,840 AND THEN WE HAD JUST DESCRIPTIVE 3129 02:10:43,840 --> 02:10:44,160 STATISTICS. 3130 02:10:44,160 --> 02:10:48,160 NEXT SLIDE, PLEASE. 3131 02:10:48,160 --> 02:10:49,320 WE ARE WORKING ON DOING 3132 02:10:49,320 --> 02:10:50,760 STATISTICAL WAITING OF OUR 3133 02:10:50,760 --> 02:10:52,640 SURVEY DATA SO WE WILL BE 3134 02:10:52,640 --> 02:10:54,480 UPDATING RESULTS SOON. 3135 02:10:54,480 --> 02:10:55,120 INITIAL DESCRIPTIVE RESULTS, WE 3136 02:10:55,120 --> 02:10:57,520 HAD 761 ELIGIBLE PARTICIPANTS IN 3137 02:10:57,520 --> 02:10:58,600 OUR STUDY. 3138 02:10:58,600 --> 02:11:01,560 MOST OF THEM WERE FEMALE AND 3139 02:11:01,560 --> 02:11:04,400 THEN HALF WERE 60 YEARS OF ANAL 3140 02:11:04,400 --> 02:11:04,640 AND OLDER. 3141 02:11:04,640 --> 02:11:07,360 ABOUT 45-46% WERE IN THE LOWER 3142 02:11:07,360 --> 02:11:10,400 INCOME CATEGORY SO LESS THAN 3143 02:11:10,400 --> 02:11:12,040 35,000. 3144 02:11:12,040 --> 02:11:15,320 MAJORITY HAD A TEST, COVID-19 3145 02:11:15,320 --> 02:11:16,160 TEST AND ONE DOSE OF A COVID 3146 02:11:16,160 --> 02:11:16,760 VACCINE. 3147 02:11:16,760 --> 02:11:20,000 AMONG THOSE WHO HAD NEVER BEEN 3148 02:11:20,000 --> 02:11:20,880 VACCINATED, 60% SAID THEY WERE 3149 02:11:20,880 --> 02:11:23,240 UNLIKELY TO RECEIVE A VACCINE. 3150 02:11:23,240 --> 02:11:25,160 SO THINGS WE WERE HAPPY TO SEE 3151 02:11:25,160 --> 02:11:27,200 IS MOST KNEW WHERE TO GET TESTED 3152 02:11:27,200 --> 02:11:29,680 AND IT WAS EASY TO GET A TEST. 3153 02:11:29,680 --> 02:11:32,640 AMONG THOSE WHO HAD A TEST, MOST 3154 02:11:32,640 --> 02:11:33,760 WERE TESTED AT CHEROKEE NATION. 3155 02:11:33,760 --> 02:11:35,920 WE FOUND THAT NEARLY ALL 3156 02:11:35,920 --> 02:11:37,520 RESPONDENTS TRUST THEIR DOCTOR 3157 02:11:37,520 --> 02:11:38,840 OR HEALTH CARE PROVIDER, 3158 02:11:38,840 --> 02:11:40,000 SOMEWHAT OR A GREAT DEAL, WHICH 3159 02:11:40,000 --> 02:11:41,800 WAS MORE THAN OTHER SOURCES OF 3160 02:11:41,800 --> 02:11:44,240 INFORMATION WE ASKED ABOUT 3161 02:11:44,240 --> 02:11:44,920 INCLUDING MEDIA, FRIENDS AND 3162 02:11:44,920 --> 02:11:46,040 FAMILY, SOCIAL MEDIA AND THAT 3163 02:11:46,040 --> 02:11:47,200 SORT OF THING. 3164 02:11:47,200 --> 02:11:50,480 AND GOVERNMENT LEADERS AS WELL. 3165 02:11:50,480 --> 02:11:51,240 THE MOST COMMON REASONS TO GET A 3166 02:11:51,240 --> 02:11:54,000 VACCINE TO KEEP THEIR FAMILIES 3167 02:11:54,000 --> 02:11:54,720 SAFE AND THEMSELVES SAFE AND 3168 02:11:54,720 --> 02:11:56,080 VACCINE CONCERNS INCLUDED SIDE 3169 02:11:56,080 --> 02:11:58,320 EFFECTS, LACK OF TRUSTED SAFETY 3170 02:11:58,320 --> 02:12:00,120 AND LACK OF KNOWLEDGE OF HOW THE 3171 02:12:00,120 --> 02:12:01,280 VACCINE WORKS. 3172 02:12:01,280 --> 02:12:05,160 WHICH WE SEEN CONSISTENTLY IN 3173 02:12:05,160 --> 02:12:06,840 OUR OTHER STUDIES AS WELL. 3174 02:12:06,840 --> 02:12:11,160 WE CONDUCTED INTRODUCE AND 3175 02:12:11,160 --> 02:12:11,800 INTERESTED IN RESOURCES. 3176 02:12:11,800 --> 02:12:13,560 WE WANTED TO HEAR WHAT THE 3177 02:12:13,560 --> 02:12:14,880 COMMUNITY MEMBERS WERE HEARING 3178 02:12:14,880 --> 02:12:16,800 ABOUT TESTING AND VACCINE UPTAKE 3179 02:12:16,800 --> 02:12:20,080 AND ALSO HOW COMMUNITY MEMBERS 3180 02:12:20,080 --> 02:12:20,600 PERCEIVED PUBLIC HEALTH 3181 02:12:20,600 --> 02:12:21,640 MITIGATION MEASURES. 3182 02:12:21,640 --> 02:12:23,440 WE STARTED THESE INTERVIEWS 3183 02:12:23,440 --> 02:12:26,240 BEFORE VACCINES CAME OUT. 3184 02:12:26,240 --> 02:12:27,560 SO I THINK AROUND DECEMBER OF 3185 02:12:27,560 --> 02:12:29,600 2020 IS WHEN WE STARTED AND 3186 02:12:29,600 --> 02:12:32,160 CONTINUED DOING THESE THROUGHOUT 3187 02:12:32,160 --> 02:12:34,080 THE PANDEMIC FOR AT LEAST -- 3188 02:12:34,080 --> 02:12:34,720 PROBABLY ABOUT A YEAR. 3189 02:12:34,720 --> 02:12:36,760 SO, WE INCLUDED THOSE WHO WERE 3190 02:12:36,760 --> 02:12:37,680 COMMUNITY MEMBERS OR WITHIN 3191 02:12:37,680 --> 02:12:40,040 CHEROKEE NATION LEADERSHIP, HAD 3192 02:12:40,040 --> 02:12:41,920 TO BE 18 YEARS OF AGE AND ALSO 3193 02:12:41,920 --> 02:12:42,840 LIVING WITHIN THE CHEROKEE 3194 02:12:42,840 --> 02:12:44,200 NATION RESERVATION. 3195 02:12:44,200 --> 02:12:48,400 SO I'LL GIVE YOU OUR PRELIMINARY 3196 02:12:48,400 --> 02:12:49,800 ANALYSIS RESULTS THERE AS WELL. 3197 02:12:49,800 --> 02:12:50,600 NEXT SLIDE. 3198 02:12:50,600 --> 02:12:54,880 SO WE CONDUCTED 32 INTERVIEWS. 3199 02:12:54,880 --> 02:12:55,800 MOST WERE CHEROKEE NATION 3200 02:12:55,800 --> 02:12:57,520 EMPLOYEES AND SO WE REALIZING WE 3201 02:12:57,520 --> 02:12:59,200 TRIED TO WORK HARD TO IDENTIFY 3202 02:12:59,200 --> 02:13:00,080 NON-CHEROKEE NATION EMPLOYEES TO 3203 02:13:00,080 --> 02:13:02,520 GET VARYING PERSPECTIVES USING 3204 02:13:02,520 --> 02:13:04,400 PEOPLE WORKING IN SCHOOLS, 3205 02:13:04,400 --> 02:13:05,960 WITHIN THE JUSTICE SYSTEM AND 3206 02:13:05,960 --> 02:13:08,080 ALSO BUSINESS LEADERS, BUSINESS 3207 02:13:08,080 --> 02:13:11,160 OWNERS IN THE COMMUNITY. 3208 02:13:11,160 --> 02:13:13,360 SO THOSE WHO -- ONE FINDING IS 3209 02:13:13,360 --> 02:13:16,200 THOSE WHO ACCESSED THE INDIAN 3210 02:13:16,200 --> 02:13:17,120 HEALTH SERVICES CLINIC INSTEAD 3211 02:13:17,120 --> 02:13:21,160 OF CHEROKEE NATION-RUN CLINIC 3212 02:13:21,160 --> 02:13:21,680 EXPRESSED MORE BARRIERS TO 3213 02:13:21,680 --> 02:13:22,360 TESTING WITH SUPPLY SHORTAGES 3214 02:13:22,360 --> 02:13:23,920 AND NEEDED AN APPOINTMENT. 3215 02:13:23,920 --> 02:13:27,440 AND WE DIDN'T FIND A LOT OF 3216 02:13:27,440 --> 02:13:29,840 REASONS OR METHODS TO HELP 3217 02:13:29,840 --> 02:13:31,480 ENCOURAGE VACCINATION, WHETHER 3218 02:13:31,480 --> 02:13:32,520 CAMPAIGNS COMING FROM 3219 02:13:32,520 --> 02:13:34,480 EDUCATIONAL CAMPAIGNS, SOCIAL 3220 02:13:34,480 --> 02:13:36,040 MEDIA, THAT SORT OF THING, 3221 02:13:36,040 --> 02:13:37,720 WORKING WITH CHEROKEE NATION 3222 02:13:37,720 --> 02:13:39,400 NATIVE SPEAKERS AND ELDERS WAS 3223 02:13:39,400 --> 02:13:41,800 THE MOST COMMON SUGGESTION WE 3224 02:13:41,800 --> 02:13:43,120 HEARD FROM PARTICIPANTS WITHIN 3225 02:13:43,120 --> 02:13:44,600 OUR INTERVIEWS. 3226 02:13:44,600 --> 02:13:47,800 AND ESPECIALLY THE CHEROKEE 3227 02:13:47,800 --> 02:13:49,880 SPEAKERS ARE A GROUP OF PEOPLE 3228 02:13:49,880 --> 02:13:51,440 WHO ARE VALUED AND THAT WE NEED 3229 02:13:51,440 --> 02:13:54,280 TO WORK TO HELP KEEP THEM SAFE 3230 02:13:54,280 --> 02:13:56,760 IN TERMS OF INCREASING 3231 02:13:56,760 --> 02:13:57,960 VACCINATION. 3232 02:13:57,960 --> 02:13:59,720 NEXT SLIDE, PLEASE. 3233 02:13:59,720 --> 02:14:02,080 SO OUR KEY TAKEAWAYS. 3234 02:14:02,080 --> 02:14:05,080 WE WERE ABLE TO SEND OUT 100,000 3235 02:14:05,080 --> 02:14:07,720 COVID TESTING AND VACCINATION 3236 02:14:07,720 --> 02:14:09,920 INFORMATION BROCHURES. 3237 02:14:09,920 --> 02:14:12,200 WE OBSERVED FROM OUR SURVEYS AND 3238 02:14:12,200 --> 02:14:13,440 INTERVIEWS THERE WAS 3239 02:14:13,440 --> 02:14:14,080 SATISFACTION WITH EASE OF 3240 02:14:14,080 --> 02:14:16,000 ACCESSING THE CHEROKEE NATION 3241 02:14:16,000 --> 02:14:19,000 HEALTH SERVICES FOR COVID 3242 02:14:19,000 --> 02:14:19,240 TESTING. 3243 02:14:19,240 --> 02:14:20,640 SURVEYS WERE TRUSTED -- 3244 02:14:20,640 --> 02:14:21,840 IDENTIFIED THAT HEALTH CARE 3245 02:14:21,840 --> 02:14:24,000 PROVIDERS ARE TRUSTED SOURCE OF 3246 02:14:24,000 --> 02:14:25,360 COVID-RELATED INFORMATION. 3247 02:14:25,360 --> 02:14:27,360 SO FUTURE INTERVENTIONS SHOULD 3248 02:14:27,360 --> 02:14:28,720 FOCUS ON PROVIDER EDUCATION, 3249 02:14:28,720 --> 02:14:29,920 WORKING WITH PROVIDERS TO HELP 3250 02:14:29,920 --> 02:14:32,520 ENCOURAGE UPTAKE OF TESTING AND 3251 02:14:32,520 --> 02:14:34,400 ALSO VACCINES, COVID AND 3252 02:14:34,400 --> 02:14:35,480 NON-COVID RELATED. 3253 02:14:35,480 --> 02:14:38,280 CHEROKEE NATION SUCCEEDED IN 3254 02:14:38,280 --> 02:14:38,920 MAKING TESTING READILY AVAILABLE 3255 02:14:38,920 --> 02:14:39,920 FOR THE COMMUNITY AND CAN SERVE 3256 02:14:39,920 --> 02:14:42,520 AS A MODEL FOR OTHER TRIBAL 3257 02:14:42,520 --> 02:14:46,680 HEALTHS IS SYSTEM. 3258 02:14:46,680 --> 02:14:46,920 ASHLEY? 3259 02:14:46,920 --> 02:14:49,160 >> CHEROKEE NATION DID A REALLY 3260 02:14:49,160 --> 02:14:51,560 GOOD JOB IN TESTING AND 3261 02:14:51,560 --> 02:14:54,560 VACCINATION EFFORTS ACROSS A 3262 02:14:54,560 --> 02:14:55,080 VARIETY OF DIFFERENT WAYS. 3263 02:14:55,080 --> 02:14:56,320 AND I THINK THAT WAS REFLECTED 3264 02:14:56,320 --> 02:15:00,080 IN THE SURVEYS -- FEEDBACK WE 3265 02:15:00,080 --> 02:15:01,600 GOT IN THE SURVEYS. 3266 02:15:01,600 --> 02:15:03,640 SO I THINK THE TRIBE CAN SERVE 3267 02:15:03,640 --> 02:15:06,120 AS A MODEL FOR OTHER HEALTH 3268 02:15:06,120 --> 02:15:07,000 SYSTEMS AND TRIBAL ORGANIZATIONS 3269 02:15:07,000 --> 02:15:12,520 ON HOW TO IMPLEMENT THIS KIND OF 3270 02:15:12,520 --> 02:15:13,120 PANDEMIC, EMERGING INFECTIOUS 3271 02:15:13,120 --> 02:15:14,440 DISEASES AND HOW TO GET PEOPLE 3272 02:15:14,440 --> 02:15:16,480 TESTED AND TREATED FOR THOSE 3273 02:15:16,480 --> 02:15:17,280 DISEASES. 3274 02:15:17,280 --> 02:15:20,480 SO THE GOAL WILL BE TO DEVELOP 3275 02:15:20,480 --> 02:15:23,320 SOME GUIDANCE FOR OTHER 3276 02:15:23,320 --> 02:15:24,880 TRIBES -- SO THEY MAY FACILITATE 3277 02:15:24,880 --> 02:15:26,560 OR DEVELOP THEIR OWN PROGRAMS IN 3278 02:15:26,560 --> 02:15:31,120 RELATION TO EMERGING INFECTIOUS 3279 02:15:31,120 --> 02:15:31,400 DISEASES. 3280 02:15:31,400 --> 02:15:35,320 >> NEXT SLIDE, PLEASE. 3281 02:15:35,320 --> 02:15:35,600 THANK YOU. 3282 02:15:35,600 --> 02:15:38,480 WE LOOK FORWARD TO YOUR 3283 02:15:38,480 --> 02:15:39,240 QUESTIONS. 3284 02:15:39,240 --> 02:15:40,080 OUR CONTACT INFORMATION IS HERE 3285 02:15:40,080 --> 02:15:42,280 IF YOU WISH TO REACH OUT TO US 3286 02:15:42,280 --> 02:15:42,840 LATER. 3287 02:15:42,840 --> 02:15:44,280 >> ALL RIGHT, THANK YOU. 3288 02:15:44,280 --> 02:15:44,600 GREAT WORK. 3289 02:15:44,600 --> 02:15:48,000 WE HAVE A QUESTION IN THE CHAT. 3290 02:15:48,000 --> 02:15:48,560 THEY WANT TO KNOW, HAVE YOU 3291 02:15:48,560 --> 02:15:50,800 CORRESPONDED WITH IHS TO DISCUSS 3292 02:15:50,800 --> 02:15:51,920 BARRIERS TO TESTING THAT YOU ALL 3293 02:15:51,920 --> 02:15:57,840 FOUND IN YOUR WORK? 3294 02:15:57,840 --> 02:15:58,960 >> NO, WE HAVEN'T DISCUSSED THAT 3295 02:15:58,960 --> 02:16:03,160 WITH IHS. 3296 02:16:03,160 --> 02:16:04,480 I DON'T KNOW IF -- WHAT 3297 02:16:04,480 --> 02:16:06,920 DISCUSSIONS LIKE LEADERSHIP 3298 02:16:06,920 --> 02:16:07,720 LEVELS WOULD BE DISCUSSING 3299 02:16:07,720 --> 02:16:09,200 BARRIERS THAT IHS MAY FOUND BUT 3300 02:16:09,200 --> 02:16:10,800 WE HAVEN'T COORDINATED ANYTHING 3301 02:16:10,800 --> 02:16:13,240 WITH IHS SO FAR. 3302 02:16:13,240 --> 02:16:13,480 >> OKAY. 3303 02:16:13,480 --> 02:16:15,040 >> AND I CAN ADD, WE ARE STILL 3304 02:16:15,040 --> 02:16:17,280 WORKING ON THOSE ANALYSIS SO WE 3305 02:16:17,280 --> 02:16:18,320 HAVEN'T DEVELOPED A REPORT YET 3306 02:16:18,320 --> 02:16:20,440 TO SHARE WITH CHEROKEE NATION 3307 02:16:20,440 --> 02:16:20,720 LEADERSHIP. 3308 02:16:20,720 --> 02:16:22,440 WE HAVE OUR STAFF THAT ARE 3309 02:16:22,440 --> 02:16:24,160 CURRENTLY GOING INTO THOSE 3310 02:16:24,160 --> 02:16:24,800 INTERVIEWS AND DOING THE MORE 3311 02:16:24,800 --> 02:16:28,920 DETAILED QUALITATIVE ANALYSIS TO 3312 02:16:28,920 --> 02:16:29,560 GENERATE THE ADDITIONAL THEMES. 3313 02:16:29,560 --> 02:16:35,160 SO THAT IS SOME INFORMATION THAT 3314 02:16:35,160 --> 02:16:35,800 WE'LL BE ABLE TO PREPARE IN OUR 3315 02:16:35,800 --> 02:16:36,440 REPORT THAT CHEROKEE NATION CAN 3316 02:16:36,440 --> 02:16:39,440 HAVE THOSE CONVERSATIONS WITH AS 3317 02:16:39,440 --> 02:16:39,640 WELL. 3318 02:16:39,640 --> 02:16:49,920 >> ALL RIGHT. 3319 02:16:50,600 --> 02:17:00,440 ANY ADDITIONAL QUESTIONS? 3320 02:17:00,440 --> 02:17:06,160 I'M GOING TO HAND OFF TO OUR 3321 02:17:06,160 --> 02:17:07,520 NEXT PRESENTATION, FACILITATORS 3322 02:17:07,520 --> 02:17:10,360 AND BARRIERS IN IMPLEMENTING 3323 02:17:10,360 --> 02:17:11,160 COVID-19 EDUCATION INTERVENTION, 3324 02:17:11,160 --> 02:17:13,720 FINDINGS FROM A MULTI-SITE 3325 02:17:13,720 --> 02:17:14,640 RANDOMIZED CONTROL TRIAL. 3326 02:17:14,640 --> 02:17:25,160 I'LL HAND IT OFF TO THIS TEAM. 3327 02:17:25,680 --> 02:17:26,520 >> THANK YOU VERY MUCH FOR BEING 3328 02:17:26,520 --> 02:17:27,080 HERE TODAY. 3329 02:17:27,080 --> 02:17:30,880 OUR PRESENTATION IS ON 3330 02:17:30,880 --> 02:17:31,480 FACILITATORS AND BARRIERS IN 3331 02:17:31,480 --> 02:17:33,720 IMPLEMENTING COVID-19 EDUCATION 3332 02:17:33,720 --> 02:17:34,200 INTERVENTION. 3333 02:17:34,200 --> 02:17:37,600 WE HAVE SOME FINDINGS AND WE 3334 02:17:37,600 --> 02:17:39,560 WANT TO SHARE THAT WITH OTHER 3335 02:17:39,560 --> 02:17:40,920 PEOPLE WHO MIGHT BE IMPLEMENTING 3336 02:17:40,920 --> 02:17:44,040 A RANDOMIZED CONTROL TRIAL OR 3337 02:17:44,040 --> 02:17:44,680 IMPLEMENTING THE STUDY AT THEIR 3338 02:17:44,680 --> 02:17:45,920 RADx SITE. 3339 02:17:45,920 --> 02:17:52,600 WE WANTED TO SHARE THAT 3340 02:17:52,600 --> 02:17:52,880 INFORMATION. 3341 02:17:52,880 --> 02:17:53,440 I'M SONIA AND I WORKY WITH 3342 02:17:53,440 --> 02:17:54,080 UNIVERSITY OF CHICAGO AND I WORK 3343 02:17:54,080 --> 02:17:54,720 WITH THE OPERATIONS TEAM AT THE 3344 02:17:54,720 --> 02:17:55,680 UNIVERSITY OF CHICAGO TO PUT 3345 02:17:55,680 --> 02:17:56,320 TOGETHER THIS RESEARCH STUDY AND 3346 02:17:56,320 --> 02:18:00,480 I'LL LET MY CO-PRESENTER 3347 02:18:00,480 --> 02:18:05,880 INTRODUCE HERSELF. 3348 02:18:05,880 --> 02:18:14,560 >> HELLO, EVERYONE. 3349 02:18:14,560 --> 02:18:25,040 WE WORK TO HELP WITH SERVICES 3350 02:18:25,480 --> 02:18:26,040 HELPING TO STOP -- I'M SORRY. 3351 02:18:26,040 --> 02:18:26,320 I'M NERVOUS. 3352 02:18:26,320 --> 02:18:32,280 WE ARE A COMMUNITY-BASED 3353 02:18:32,280 --> 02:18:32,840 ORGANIZATION AND WE PROVIDE 3354 02:18:32,840 --> 02:18:38,520 SERVICES AND WE AIM AT HELPING 3355 02:18:38,520 --> 02:18:39,680 WITH -- SORRY. 3356 02:18:39,680 --> 02:18:43,360 I NEED TO LOOK AT MY NOTES. 3357 02:18:43,360 --> 02:18:43,560 SORRY. 3358 02:18:43,560 --> 02:18:44,160 TO PRODUCE HEALTH DISPARITIES 3359 02:18:44,160 --> 02:18:48,640 AMONG PEOPLE WHO INJECT DRUGS IN 3360 02:18:48,640 --> 02:18:49,120 THE LGBT+ INDIVIDUALS. 3361 02:18:49,120 --> 02:18:51,960 SO THAT IS WHAT WE DO. 3362 02:18:51,960 --> 02:18:52,600 WE PROVIDE THE SERVICES AND 3363 02:18:52,600 --> 02:18:53,960 PROGRAMS AND WE PROVIDE SERVICES 3364 02:18:53,960 --> 02:19:00,240 AS FAR AS TESTING FOR HIV. 3365 02:19:00,240 --> 02:19:00,520 THANK YOU. 3366 02:19:00,520 --> 02:19:01,200 >> THANK YOU VERY MUCH, CYNTHIA. 3367 02:19:01,200 --> 02:19:02,600 WITH THAT, I'LL BE ABLE TO TALK 3368 02:19:02,600 --> 02:19:04,520 A LITTLE BIT ABOUT OUR STUDY. 3369 02:19:04,520 --> 02:19:10,080 NEXT SLIDE, PLEASE. 3370 02:19:10,080 --> 02:19:10,800 SO FOR OUR OVERVIEW AND 3371 02:19:10,800 --> 02:19:17,320 METHODS -- NEXT SLIDE. 3372 02:19:17,320 --> 02:19:17,920 FOR THE RADx SITES WE WANTED 3373 02:19:17,920 --> 02:19:21,120 TO TEST WITHIN THE CGI, CRIMINAL 3374 02:19:21,120 --> 02:19:22,960 JUSTICE IN RURAL POPULATIONS AND 3375 02:19:22,960 --> 02:19:24,160 HISPANIC AND LATINX COMMUNITIES. 3376 02:19:24,160 --> 02:19:31,640 WE USE THE COMMUNITY NETWORK 3377 02:19:31,640 --> 02:19:32,200 DRIVEN COVID-19 TESTING OF 3378 02:19:32,200 --> 02:19:32,800 VULNERABLE POPULATIONS IN THE 3379 02:19:32,800 --> 02:19:33,240 U.S., CAN WHICH IS C3. 3380 02:19:33,240 --> 02:19:43,760 WITH THAT WE ARE HOPING TO -- 3381 02:19:50,640 --> 02:19:51,520 EDUCATE THEM ABOUT COVID-19 TO 3382 02:19:51,520 --> 02:19:53,120 SEE HOW EFFECTIVE THAT IS. 3383 02:19:53,120 --> 02:19:56,080 NEXT SLIDE, PLEASE. 3384 02:19:56,080 --> 02:19:59,600 AND SO, SOME OF OUR STUDY SITES 3385 02:19:59,600 --> 02:20:00,160 YOU CAN SEE HERE. 3386 02:20:00,160 --> 02:20:02,240 AT THE UNIVERSITY OF CHICAGO 3387 02:20:02,240 --> 02:20:03,880 IDENTIFIED CERTAIN AREAS THAT 3388 02:20:03,880 --> 02:20:07,040 ALREADY WERE USING C3 IN THEIR 3389 02:20:07,040 --> 02:20:08,360 STUDY SITES SO YOU CAN SEE THERE 3390 02:20:08,360 --> 02:20:10,680 IS ARKANSAS, ILLINOIS, INDIANA, 3391 02:20:10,680 --> 02:20:11,960 LOUISIANA, TEXAS. 3392 02:20:11,960 --> 02:20:15,160 SO THESE WERE THE SITES THAT HAD 3393 02:20:15,160 --> 02:20:15,760 COMMUNITY CONNECTIONS WHERE WE 3394 02:20:15,760 --> 02:20:16,640 KNEW WE WOULD BE ABLE TO GET 3395 02:20:16,640 --> 02:20:19,400 THIS DATA AND WORK IN THESE 3396 02:20:19,400 --> 02:20:23,520 COMMUNITIES AND HOPEFULLY MAKE 3397 02:20:23,520 --> 02:20:23,800 AN IMPACT. 3398 02:20:23,800 --> 02:20:24,240 NEXT SLIDE, PLEASE. 3399 02:20:24,240 --> 02:20:25,560 SO DURING OUR IMPLEMENTATION, WE 3400 02:20:25,560 --> 02:20:29,520 DID SOME FOCUS GROUPS TO 3401 02:20:29,520 --> 02:20:30,120 UNDERSTAND FROM PROJECT SITES 3402 02:20:30,120 --> 02:20:31,160 WHAT THEY NEEDED IN ORDER TO 3403 02:20:31,160 --> 02:20:34,120 IMPLEMENT THIS STUDY 3404 02:20:34,120 --> 02:20:34,440 SUCCESSFULLY. 3405 02:20:34,440 --> 02:20:39,360 SO WE FOUND THAT PEOPLE WANTED 3406 02:20:39,360 --> 02:20:40,880 TO UNDERSTAND RECRUITMENT 3407 02:20:40,880 --> 02:20:41,520 STRATEGIES, HOW TO BUILD STRONG 3408 02:20:41,520 --> 02:20:42,080 PARTNERSHIPS, HOW TO ENGAGE 3409 02:20:42,080 --> 02:20:42,760 THEIR COMMUNITIES AND HOW TO 3410 02:20:42,760 --> 02:20:44,320 COMMUNICATE EFFECTIVELY. 3411 02:20:44,320 --> 02:20:46,960 SO OUR QUALITATIVE STUDY THAT 3412 02:20:46,960 --> 02:20:49,040 WAS EVALUATING OUR RADx STUDY 3413 02:20:49,040 --> 02:20:52,320 WAS TO IDENTIFY BARRIERS AND 3414 02:20:52,320 --> 02:20:53,080 FACILITATORS TO THE 3415 02:20:53,080 --> 02:20:53,680 IMPLEMENTATION OF THIS STUDY. 3416 02:20:53,680 --> 02:20:56,680 NEXT SLIDE, PLEASE. 3417 02:20:56,680 --> 02:20:59,240 SO WE DID THREE 3418 02:20:59,240 --> 02:20:59,920 POST-IMPLEMENTATION FOCUS GROUPS 3419 02:20:59,920 --> 02:21:02,560 AND AN INTERVIEW WITH 18 STAFF 3420 02:21:02,560 --> 02:21:03,880 AND SUPERVISORS REPRESENTING 3421 02:21:03,880 --> 02:21:04,440 SEVEN SITES. 3422 02:21:04,440 --> 02:21:07,000 SO THERE WERE ABOUT THREE-FOUR 3423 02:21:07,000 --> 02:21:10,640 PEOPLE IN EACH FOCUS GROUP. 3424 02:21:10,640 --> 02:21:12,440 AND WE AIM FOR PLANNING AND 3425 02:21:12,440 --> 02:21:15,680 EVALUATION BUT WE MAINLY USE THE 3426 02:21:15,680 --> 02:21:16,640 CONSOLIDATED FRAMEWORK FOR 3427 02:21:16,640 --> 02:21:20,240 IMPLEMENTATION RESEARCH IN ORDER 3428 02:21:20,240 --> 02:21:22,320 TO CREATE OUR EVALUATION 3429 02:21:22,320 --> 02:21:22,680 QUESTIONS. 3430 02:21:22,680 --> 02:21:24,080 SO WE ASKED PEOPLE QUESTIONS 3431 02:21:24,080 --> 02:21:25,720 RELATED TO IMPLEMENTATION, SUCH 3432 02:21:25,720 --> 02:21:26,880 AS HOW DO YOU THINK 3433 02:21:26,880 --> 02:21:27,720 IMPLEMENTATION WENT? 3434 02:21:27,720 --> 02:21:28,920 WHAT DO YOU THINK OPERATIONS 3435 02:21:28,920 --> 02:21:32,720 TEAM CAN DO TO SUPPORT YOU FOR 3436 02:21:32,720 --> 02:21:33,160 RECRUITMENT? 3437 02:21:33,160 --> 02:21:34,000 WHAT WERE SOME CHALLENGES? 3438 02:21:34,000 --> 02:21:36,440 WHAT WERE SOME FACILITATORS TO 3439 02:21:36,440 --> 02:21:38,400 RECRUITMENT FOR THE RADx STUDY 3440 02:21:38,400 --> 02:21:39,640 AND PROJECT STOP. 3441 02:21:39,640 --> 02:21:41,120 HOW WELL DO YOU FEEL SUPPORTED? 3442 02:21:41,120 --> 02:21:42,720 WHAT ARE SOME OTHER THINGS THAT 3443 02:21:42,720 --> 02:21:43,840 YOU WOULD NEED IN ORDER TO 3444 02:21:43,840 --> 02:21:45,960 IMPLEMENT THIS STUDY? 3445 02:21:45,960 --> 02:21:47,720 SO WE DID THE STANFORD LIGHTNING 3446 02:21:47,720 --> 02:21:49,920 METHOD FOR ANALYSIS AND THAT 3447 02:21:49,920 --> 02:21:51,800 ALLOWED US TO DO A RAPID 3448 02:21:51,800 --> 02:21:53,280 ANALYSIS IN ORDER FOR US TO 3449 02:21:53,280 --> 02:21:54,960 INFORM OUR IMPLEMENTATION FOR 3450 02:21:54,960 --> 02:21:57,320 PHASE II FOR RADx AS SOON AS 3451 02:21:57,320 --> 02:21:58,320 POSSIBLE. 3452 02:21:58,320 --> 02:22:00,040 AND THEN FOR THE SITE SELECTION 3453 02:22:00,040 --> 02:22:00,640 AGAIN WE CHOSE SITES THAT WE 3454 02:22:00,640 --> 02:22:02,280 KNEW WERE ALREADY DOING THIS 3455 02:22:02,280 --> 02:22:02,520 WORK. 3456 02:22:02,520 --> 02:22:07,120 NEXT SLIDE, PLEASE. 3457 02:22:07,120 --> 02:22:10,760 SO, FOR OUR FINDINGS, NEXT 3458 02:22:10,760 --> 02:22:11,160 SLIDE, PLEASE. 3459 02:22:11,160 --> 02:22:13,600 WE IDENTIFIED A FEW FACILITATORS 3460 02:22:13,600 --> 02:22:15,320 AND CYNTHIA WAS WORKING ON THE 3461 02:22:15,320 --> 02:22:17,440 GROUND SO SHE CAN TALK A LITTLE 3462 02:22:17,440 --> 02:22:19,640 BIT MORE ABOUT THESE BULLET 3463 02:22:19,640 --> 02:22:20,240 POINTS ABOUT WHAT WORKED WELL 3464 02:22:20,240 --> 02:22:22,720 AND WHAT WERE SOME BARRIERS. 3465 02:22:22,720 --> 02:22:23,000 >> OKAY. 3466 02:22:23,000 --> 02:22:23,240 THANK YOU. 3467 02:22:23,240 --> 02:22:26,560 SO YES, WE ARE -- AND I'M THE 3468 02:22:26,560 --> 02:22:28,480 RESEARCH COORDINATOR ON THE 3469 02:22:28,480 --> 02:22:29,520 RADx PROJECT. 3470 02:22:29,520 --> 02:22:30,480 I DON'T KNOW IF I SHARED THAT 3471 02:22:30,480 --> 02:22:31,880 THE FIRST TIME. 3472 02:22:31,880 --> 02:22:34,600 BUT WE PARTICIPATED IN PHASE I 3473 02:22:34,600 --> 02:22:37,280 OF THE RADx PROJECT AND NOW WE 3474 02:22:37,280 --> 02:22:39,720 HAVE STARTED INTERVENTION FOR 3475 02:22:39,720 --> 02:22:39,960 PHASE II. 3476 02:22:39,960 --> 02:22:43,200 AND WE HAVE FOUND THAT THE EARLY 3477 02:22:43,200 --> 02:22:46,600 TRAININGS, THEY WERE HELPFUL IN 3478 02:22:46,600 --> 02:22:48,720 HELPING US TO UNDERSTAND HOW TO 3479 02:22:48,720 --> 02:22:50,360 IMPLEMENT THE PROJECT, BEING ON 3480 02:22:50,360 --> 02:22:52,440 THE ZOOM CALLS, THOSE ZOOM 3481 02:22:52,440 --> 02:22:54,520 MEETINGS, GETTING THAT 3482 02:22:54,520 --> 02:22:56,840 CONSISTENT FEEDBACK ON OUR RED 3483 02:22:56,840 --> 02:22:57,160 CAP ENTRIES. 3484 02:22:57,160 --> 02:23:00,440 ALL WE FOUND THAT VERY HELPFUL. 3485 02:23:00,440 --> 02:23:01,200 AND OUR AGENCY REPUTATION. 3486 02:23:01,200 --> 02:23:02,720 IT WAS HELPFUL WITH RECRUITING. 3487 02:23:02,720 --> 02:23:04,480 WE HAVE SEVERAL METHOD THAT IS 3488 02:23:04,480 --> 02:23:08,200 WE USE TO RECRUIT. 3489 02:23:08,200 --> 02:23:09,560 WE SHARED ON SOCIAL MEDIA. 3490 02:23:09,560 --> 02:23:12,440 WE DISTRIBUTED FLYERS IN THE 3491 02:23:12,440 --> 02:23:14,200 COMMUNITY AT PUBLIC 3492 02:23:14,200 --> 02:23:16,080 ESTABLISHMENTS SUCH AS THE LOCAL 3493 02:23:16,080 --> 02:23:16,440 LIBRARY. 3494 02:23:16,440 --> 02:23:19,200 BUT FOR THE MOST PART, WE GET 3495 02:23:19,200 --> 02:23:20,600 MOST OF OUR RECRUITS FROM 3496 02:23:20,600 --> 02:23:21,000 WORD-OF-MOUTH. 3497 02:23:21,000 --> 02:23:22,400 THOSE THAT ENROLLED IN THE STUDY 3498 02:23:22,400 --> 02:23:24,520 THAT HAVE WENT THROUGH THE 3499 02:23:24,520 --> 02:23:24,880 RESEARCH STUDY. 3500 02:23:24,880 --> 02:23:27,160 THEY GO OUT AND SHARE WITH THEIR 3501 02:23:27,160 --> 02:23:28,400 FAMILY, FRIENDS AND NEIGHBORS 3502 02:23:28,400 --> 02:23:29,960 ABOUT THE RESEARCH STUDY. 3503 02:23:29,960 --> 02:23:33,560 SO THAT'S HOW WE GET MOST OF OUR 3504 02:23:33,560 --> 02:23:33,840 RECRUITS. 3505 02:23:33,840 --> 02:23:36,080 AND THE CONSISTENCY OF 3506 02:23:36,080 --> 02:23:36,840 COMMUNICATION WITH THE 3507 02:23:36,840 --> 02:23:39,440 COORDINATOR CALLS, THE RA CHECK 3508 02:23:39,440 --> 02:23:40,520 INS, SITE CALLS, HAS BEEN 3509 02:23:40,520 --> 02:23:42,960 HELPFUL FOR US IN IMPLEMENTING 3510 02:23:42,960 --> 02:23:44,920 THE PROJECT. 3511 02:23:44,920 --> 02:23:46,760 NEXT SLIDE. 3512 02:23:46,760 --> 02:23:49,560 AND WE HAVE A FEW PHOTOS HERE. 3513 02:23:49,560 --> 02:23:53,520 THIS IS FROM OUR FIRST 3514 02:23:53,520 --> 02:23:54,000 INTERVENTION SESSION. 3515 02:23:54,000 --> 02:23:54,720 HERE IN THE FIRST PHOTO THAT IS 3516 02:23:54,720 --> 02:23:56,640 ONE OF THE PARTICIPANTS. 3517 02:23:56,640 --> 02:23:58,800 SHE IS RECEIVING HER CASH AT THE 3518 02:23:58,800 --> 02:23:59,440 END OF THE SESSION AND WE HAVE 3519 02:23:59,440 --> 02:24:03,440 THE MOTIVATIONAL AND EDUCATIONAL 3520 02:24:03,440 --> 02:24:05,560 SESSION GOING ON HERE. 3521 02:24:05,560 --> 02:24:07,840 THEY ARE EATING THEIR LUNCH. 3522 02:24:07,840 --> 02:24:09,320 BUT WE FIND THE PARTICIPANTS, A 3523 02:24:09,320 --> 02:24:11,360 LOT OF OUR PARTICIPANTS THEY 3524 02:24:11,360 --> 02:24:12,720 HAVE NEVER PARTICIPATED IN A 3525 02:24:12,720 --> 02:24:14,560 RESEARCH STUDY BEFORE BUT WE DO 3526 02:24:14,560 --> 02:24:20,840 FIND THAT THEY WERE EXCITED TO 3527 02:24:20,840 --> 02:24:21,200 PARTICIPATE. 3528 02:24:21,200 --> 02:24:21,800 A LITTLE CURIOUS BECAUSE THEY 3529 02:24:21,800 --> 02:24:22,800 DIDN'T KNOW WHAT TO EXPECT. 3530 02:24:22,800 --> 02:24:25,640 FOR THE MOST PART, THEY ENJOYED 3531 02:24:25,640 --> 02:24:26,320 PARTICIPATING IN THE STUDY. 3532 02:24:26,320 --> 02:24:27,440 AT THE END, THEY GO BACK AND 3533 02:24:27,440 --> 02:24:29,520 TELL THEIR FAMILY, FRIENDS, TELL 3534 02:24:29,520 --> 02:24:31,600 EVERYBODY ABOUT PARTICIPATING. 3535 02:24:31,600 --> 02:24:34,360 SO WE HAVE HAD GREAT TURNOUT SO 3536 02:24:34,360 --> 02:24:34,800 FAR. 3537 02:24:34,800 --> 02:24:36,440 EVERYBODY EVERYBODY IS EXCITED 3538 02:24:36,440 --> 02:24:37,640 ABOUT PARTICIPATING. 3539 02:24:37,640 --> 02:24:41,360 AND NEXT SLIDE. 3540 02:24:41,360 --> 02:24:46,080 SO THE NEXT SLIDE HERE SHOWS ONE 3541 02:24:46,080 --> 02:24:48,520 OF OUR RESEARCH FLYERS WE USE TO 3542 02:24:48,520 --> 02:24:50,760 RECRUIT AND WE SHARED THIS FLYER 3543 02:24:50,760 --> 02:24:55,280 ON SOCIAL MEDIA, WE KEEP SOME IN 3544 02:24:55,280 --> 02:24:56,400 THE LOBBY, AT OUR OFFICE. 3545 02:24:56,400 --> 02:24:59,160 WE DISTRIBUTE IN THE COMMUNITY 3546 02:24:59,160 --> 02:25:00,320 TO ENROLL. 3547 02:25:00,320 --> 02:25:02,200 THEY CALL US AND WE GET THEM 3548 02:25:02,200 --> 02:25:03,560 SIGNED UP FOR THE RESEARCH 3549 02:25:03,560 --> 02:25:04,240 STUDY. 3550 02:25:04,240 --> 02:25:08,040 SO THAT IS JUST A FLYER THAT WE 3551 02:25:08,040 --> 02:25:12,480 HAVE INCLUDED THERE. 3552 02:25:12,480 --> 02:25:15,560 NEXT SLIDE. 3553 02:25:15,560 --> 02:25:16,920 AND HERE I'M GOING TO SHARE SOME 3554 02:25:16,920 --> 02:25:20,000 OF THE BARRIERS THAT WE FOUND 3555 02:25:20,000 --> 02:25:23,040 SINCE IMPLEMENTING THIS STUDY. 3556 02:25:23,040 --> 02:25:25,200 ONE BARRIER WE FOUND IS 3557 02:25:25,200 --> 02:25:26,040 TECHNOLOGY WITH OUR 3558 02:25:26,040 --> 02:25:26,840 PARTICIPANTS. 3559 02:25:26,840 --> 02:25:31,320 A LOT OF THEM, NOT ALL, BUT -- 3560 02:25:31,320 --> 02:25:32,080 BECAUSE WE DO OUR INITIAL 3561 02:25:32,080 --> 02:25:33,360 SCREENING OVER THE PHONE ONCE 3562 02:25:33,360 --> 02:25:35,000 THEY CONTACT US. 3563 02:25:35,000 --> 02:25:36,200 THEY DO THE SCREENING TO FIND 3564 02:25:36,200 --> 02:25:38,240 OUT IF THEY ARE ELIGIBLE OR NOT. 3565 02:25:38,240 --> 02:25:41,640 WE ARE FINDING A LOT OF OUR 3566 02:25:41,640 --> 02:25:44,560 ENROLLMENTS ARE COMPUTER 3567 02:25:44,560 --> 02:25:45,960 ILLITERATE OR DON'T HAVE E-MAIL 3568 02:25:45,960 --> 02:25:46,200 ADDRESS. 3569 02:25:46,200 --> 02:25:47,640 SO WE ARE FINDING THAT WE HAVE 3570 02:25:47,640 --> 02:25:49,960 TO WORK CLOSELY WITH THEM TO 3571 02:25:49,960 --> 02:25:52,400 HELP THEM TO COMPLETE THEIR 3572 02:25:52,400 --> 02:25:53,920 INFORMED CONSENT AND HELP THEM 3573 02:25:53,920 --> 02:25:54,640 COMPLETE THEIR SURVEY. 3574 02:25:54,640 --> 02:25:56,480 WE HAVE TO WORK CLOSELY WITH 3575 02:25:56,480 --> 02:25:58,040 THEM IN PERSON TO GET THEIR 3576 02:25:58,040 --> 02:26:00,000 INFORMATION COMPLETED PRIOR TO 3577 02:26:00,000 --> 02:26:02,160 THE INTERVENTION SESSIONS. 3578 02:26:02,160 --> 02:26:03,120 ANOTHER BARRIER WE ARE FINDING 3579 02:26:03,120 --> 02:26:04,680 IS WITH TRANSPORTATION. 3580 02:26:04,680 --> 02:26:06,880 A LOT OF THEM JUST DON'T HAVE 3581 02:26:06,880 --> 02:26:11,760 TRANSPORTATION TO COME TO THE 3582 02:26:11,760 --> 02:26:19,440 INTERVENTION SESSIONS. 3583 02:26:19,440 --> 02:26:20,120 NEIGHBORS WILL RIDE TOGETHER. 3584 02:26:20,120 --> 02:26:22,080 THOSE ARE THE TWO MAIN BARRIERS 3585 02:26:22,080 --> 02:26:22,880 WE FOUND. 3586 02:26:22,880 --> 02:26:25,840 TECHNOLOGY AND TRANSPORTATION. 3587 02:26:25,840 --> 02:26:26,520 AND SENSITIVE QUESTIONS AS WELL. 3588 02:26:26,520 --> 02:26:28,920 WE DON'T GET THIS A WHOLE LOT 3589 02:26:28,920 --> 02:26:33,000 BUT WE HAVE FOUND THAT POTENTIAL 3590 02:26:33,000 --> 02:26:34,040 TRAINING ON ENGENDERING TRUST 3591 02:26:34,040 --> 02:26:35,960 WITH PARTICIPANTS CAN BE HELPFUL 3592 02:26:35,960 --> 02:26:36,960 BECAUSE WE FOUND SOME OF THE 3593 02:26:36,960 --> 02:26:38,720 PARTICIPANTS WHEN WE ASK THOSE 3594 02:26:38,720 --> 02:26:39,640 QUESTIONS -- BECAUSE THE 3595 02:26:39,640 --> 02:26:41,680 POPULATION THAT WE FOCUS ON ARE 3596 02:26:41,680 --> 02:26:43,320 CRIMINAL JUSTICE INVOLVED SO 3597 02:26:43,320 --> 02:26:44,800 WHEN WE ASK THOSE QUESTIONS 3598 02:26:44,800 --> 02:26:46,800 ABOUT THEIR CRIMINAL JUSTICE 3599 02:26:46,800 --> 02:26:48,240 HISTORY, WHEN WE ASK THOSE 3600 02:26:48,240 --> 02:26:51,240 QUESTIONS ABOUT THEIR GENDER 3601 02:26:51,240 --> 02:26:52,600 IDENTITY, SOMETIMES THEY ARE 3602 02:26:52,600 --> 02:26:57,680 HESITANT ANSWER THOSE QUESTIONS. 3603 02:26:57,680 --> 02:26:59,920 SO WE PROBABLY CAN BENEFIT FROM 3604 02:26:59,920 --> 02:27:01,480 TRAINING ON ENGENDERING TRUST 3605 02:27:01,480 --> 02:27:02,120 WITH PARTICIPANTS. 3606 02:27:02,120 --> 02:27:07,720 NEXT SLIDE. 3607 02:27:07,720 --> 02:27:26,440 >> QUI WANT TO KEEP OUR 3608 02:27:26,440 --> 02:27:27,440 RECOMMENDATIONS PRETTY SHORT AND 3609 02:27:27,440 --> 02:27:29,520 SWEET AND WITHIN THE THREE 3610 02:27:29,520 --> 02:27:31,360 BUCKETS WE IDENTIFIED FOR 3611 02:27:31,360 --> 02:27:32,000 IMPLEMENTATION, RECRUITMENT AND 3612 02:27:32,000 --> 02:27:33,000 PROJECT STAFF. 3613 02:27:33,000 --> 02:27:34,000 SO SOME OF THE RECOMMENDATIONS 3614 02:27:34,000 --> 02:27:35,800 WE HAVE FOR ANYBODY WHO WOULD 3615 02:27:35,800 --> 02:27:37,640 LIKE TO IMPLEMENT THIS KIND OF 3616 02:27:37,640 --> 02:27:40,800 STUDY IS FOR IMPLEMENTATION 3617 02:27:40,800 --> 02:27:42,280 TRAININGS FOR ENGENDERING TRUST 3618 02:27:42,280 --> 02:27:43,560 WITHIN PARTICIPANTS COULD BE 3619 02:27:43,560 --> 02:27:44,760 HELPFUL. 3620 02:27:44,760 --> 02:27:49,040 ESPECIALLY WORKING WITH CGI 3621 02:27:49,040 --> 02:27:49,480 POPULATIONS OR CERTAIN 3622 02:27:49,480 --> 02:27:52,520 POPULATIONS YOU MAY WANT TO 3623 02:27:52,520 --> 02:27:53,360 CONSIDER HOW TO ENGENDER THAT 3624 02:27:53,360 --> 02:27:53,560 TRUST. 3625 02:27:53,560 --> 02:27:56,360 FOR RECRUITMENT, WE SAW CERTAIN 3626 02:27:56,360 --> 02:27:57,880 BARRIERS, FOR EXAMPLE THERE CAN 3627 02:27:57,880 --> 02:27:59,840 BE TRANSPORTATION BARRIERS. 3628 02:27:59,840 --> 02:28:02,160 THERE CAN BE TECHNOLOGICAL 3629 02:28:02,160 --> 02:28:04,600 BARRIERS SO CONSENT IN 3630 02:28:04,600 --> 02:28:05,640 INTERVENTIONS AND LOCATIONS 3631 02:28:05,640 --> 02:28:06,760 HAVING DIFFERENT LOCATIONS CAN 3632 02:28:06,760 --> 02:28:08,400 BE HELPFUL. 3633 02:28:08,400 --> 02:28:09,240 ALONG WITH PARTNERSHIPS WITH 3634 02:28:09,240 --> 02:28:11,160 LOCAL PARTNERS. 3635 02:28:11,160 --> 02:28:12,000 SO SHE HAD THAT ESTABLISHED 3636 02:28:12,000 --> 02:28:15,360 TRUST IN THE COMMUNITY AND THAT 3637 02:28:15,360 --> 02:28:17,400 REALLY HELPED THIS PROJECT. 3638 02:28:17,400 --> 02:28:18,480 ALSO PROJECT STAFF LOVE TO LEARN 3639 02:28:18,480 --> 02:28:18,880 FROM EACH OTHER. 3640 02:28:18,880 --> 02:28:21,480 SO HAVING A WAY TO FACILITATE 3641 02:28:21,480 --> 02:28:22,600 THAT COMMUNICATION WHETHER 3642 02:28:22,600 --> 02:28:26,840 THROUGH MEETINGS, OR THROUGH 3643 02:28:26,840 --> 02:28:28,000 WRITTEN COMMUNICATION TO MAKE 3644 02:28:28,000 --> 02:28:29,440 SURE THAT PEOPLE CAN COMMUNICATE 3645 02:28:29,440 --> 02:28:30,680 WITH EACH OTHER IS VERY 3646 02:28:30,680 --> 02:28:32,720 IMPORTANT. 3647 02:28:32,720 --> 02:28:35,080 NEXT SLIDE, PLEASE. 3648 02:28:35,080 --> 02:28:37,880 AND STOW LASTLY, SUMMARIZING THE 3649 02:28:37,880 --> 02:28:39,840 KEY TAKEAWAYS FOR PEOPLE TO 3650 02:28:39,840 --> 02:28:40,600 BRING HOME. 3651 02:28:40,600 --> 02:28:44,360 HAVING A TRAINING CAN BE REALLY 3652 02:28:44,360 --> 02:28:45,080 HELPFUL FOR ENGENDERING TRUST. 3653 02:28:45,080 --> 02:28:46,520 PEOPLE CAN USE TECHNOLOGY TO 3654 02:28:46,520 --> 02:28:48,760 ADAPT TO LOCAL CONTENTS AND 3655 02:28:48,760 --> 02:28:51,800 CHALLENGES. 3656 02:28:51,800 --> 02:28:52,320 AND THAT PEOPLE SHOULDN'T 3657 02:28:52,320 --> 02:28:52,880 UNDERESTIMATE HOW EXCITED 3658 02:28:52,880 --> 02:28:54,160 PROJECT STAFF ARE TO COMMUNICATE 3659 02:28:54,160 --> 02:28:55,360 WITH EACH OTHER. 3660 02:28:55,360 --> 02:28:57,680 SOME OF THE FEEDBACK THAT WE GOT 3661 02:28:57,680 --> 02:28:58,320 WAS THAT PEOPLE LOVED TO ENGAGE 3662 02:28:58,320 --> 02:28:59,800 WITH STAFF, THE OPERATIONS TEAM 3663 02:28:59,800 --> 02:29:06,880 AND THEY WANTED THAT TO CONTI 3664 02:29:06,880 --> 02:29:10,720 CONTINUE. 3665 02:29:10,720 --> 02:29:11,760 THANK YOU VERY MUCH. 3666 02:29:11,760 --> 02:29:14,800 THIS IS OUR CONTACT INFORMATION. 3667 02:29:14,800 --> 02:29:16,000 >> THANK YOU. 3668 02:29:16,000 --> 02:29:16,560 THAT YOU BOTH. 3669 02:29:16,560 --> 02:29:18,440 YOU MADE IT THROUGH AND YOU DID 3670 02:29:18,440 --> 02:29:23,040 A GREAT JOB. 3671 02:29:23,040 --> 02:29:26,080 SO, SOMEONE MADE A COMMENT. 3672 02:29:26,080 --> 02:29:27,800 ONE AROUND LIKE THEM SEEING THE 3673 02:29:27,800 --> 02:29:28,880 SAME LEGSITATION REGARDING THE 3674 02:29:28,880 --> 02:29:30,520 GENDER SEXUALITY QUESTIONS FROM 3675 02:29:30,520 --> 02:29:34,160 THE CDE AMONG IMMIGRANT 3676 02:29:34,160 --> 02:29:34,520 PARTICIPANTS. 3677 02:29:34,520 --> 02:29:35,440 SO I GUESS THAT IS SOMETHING 3678 02:29:35,440 --> 02:29:37,920 THAT YOU ALL WERE SEEING A CROSS 3679 02:29:37,920 --> 02:29:40,120 PROJECTS SO EACH THOUGH IT'S 3680 02:29:40,120 --> 02:29:40,560 DIFFERENT POPULATIONS. 3681 02:29:40,560 --> 02:29:45,600 ANOTHER THING THAT CAME UP WAS 3682 02:29:45,600 --> 02:29:48,280 AROUND THE CASH ON THE FLYER. 3683 02:29:48,280 --> 02:29:49,840 BUT DID YOU FIND ADDS PEOPLE 3684 02:29:49,840 --> 02:29:50,880 PARTICIPATED THAT IT WAS STILL 3685 02:29:50,880 --> 02:29:52,840 PRIMARILY ABOUT THE MONEY THAT 3686 02:29:52,840 --> 02:29:54,880 WAS PRIMARILY DRAWING PEOPLE IN? 3687 02:29:54,880 --> 02:29:57,040 AND KEPT THEM INVOLVED? 3688 02:29:57,040 --> 02:29:57,880 OR ONCE THEY WERE INVOLVED WAS 3689 02:29:57,880 --> 02:30:08,400 IT NOT AS MUCH ABOUT THE MONEY? 3690 02:30:09,080 --> 02:30:10,640 >> I WOULD THINK IT WAS ABOUT 3691 02:30:10,640 --> 02:30:10,920 THE MONEY. 3692 02:30:10,920 --> 02:30:12,200 ONCE THEY COME TO PARTICIPATE, 3693 02:30:12,200 --> 02:30:14,360 WE FIND THEY ARE HAVING 3694 02:30:14,360 --> 02:30:15,320 CONVERSATIONS AROUND COVID THEY 3695 02:30:15,320 --> 02:30:15,920 HAVEN'T HAD BEFORE. 3696 02:30:15,920 --> 02:30:18,200 I THINK IT WAS THE MONEY THAT 3697 02:30:18,200 --> 02:30:20,480 DREW THEM IN AND -- BECAUSE JUST 3698 02:30:20,480 --> 02:30:21,640 CONSIDERING THE POPULATION THAT 3699 02:30:21,640 --> 02:30:24,000 WE WORK WITH, THEY ARE CRIMINAL 3700 02:30:24,000 --> 02:30:26,760 JUSTICE INVOLVED, UNDERSERVED 3701 02:30:26,760 --> 02:30:27,240 POPULATIONS. 3702 02:30:27,240 --> 02:30:28,520 SO I THINK IT WAS INITIALLY 3703 02:30:28,520 --> 02:30:28,880 ABOUT THE MONEY. 3704 02:30:28,880 --> 02:30:30,120 THE ONES THAT CAME IN. 3705 02:30:30,120 --> 02:30:32,080 THEY WERE CURIOUS AND A LOT OF 3706 02:30:32,080 --> 02:30:33,280 THEM HAVE NEVER PARTICIPATED IN 3707 02:30:33,280 --> 02:30:35,880 A RESEARCH STUDY BEFORE. 3708 02:30:35,880 --> 02:30:37,760 SO JUST DIDN'T KNOW WHAT TO 3709 02:30:37,760 --> 02:30:38,000 EXPECT. 3710 02:30:38,000 --> 02:30:38,680 ONCE THEY COME INTO THE 3711 02:30:38,680 --> 02:30:40,440 INTERVENTION, I THINK THEY 3712 02:30:40,440 --> 02:30:41,400 REALLY APPRECIATE THE EDUCATION 3713 02:30:41,400 --> 02:30:44,600 THAT THEY ARE RECEIVING AROUND 3714 02:30:44,600 --> 02:30:46,040 HELPING TO PREVENT THE SPREAD. 3715 02:30:46,040 --> 02:30:49,160 AND OF COURSE THE MONEY IS A 3716 02:30:49,160 --> 02:30:52,600 GREAT MOTIVATOR BUT I THINK THEY 3717 02:30:52,600 --> 02:30:53,200 APPRECIATE THE EDUCATION THAT 3718 02:30:53,200 --> 02:30:56,040 THEY ARE RECEIVING AS WELL. 3719 02:30:56,040 --> 02:30:57,480 >> I WAS GOING TO SAY, A BIG 3720 02:30:57,480 --> 02:30:59,640 PART OF OUR STRATEGY WAS THE 3721 02:30:59,640 --> 02:31:00,960 SOCIAL NETWORKING STRATEGY. 3722 02:31:00,960 --> 02:31:03,080 WE WANTED TO SEE HOW PEOPLE 3723 02:31:03,080 --> 02:31:03,600 WOULD BE ABLE TO SPREAD 3724 02:31:03,600 --> 02:31:04,080 INFORMATION TO OTHERS. 3725 02:31:04,080 --> 02:31:07,600 SO WE FOUND THAT PEOPLE, WHEN 3726 02:31:07,600 --> 02:31:09,720 THEY SAID THERE IS CASH 3727 02:31:09,720 --> 02:31:11,080 INCENTIVE, THEY WERE LIKELY TO 3728 02:31:11,080 --> 02:31:11,640 TELL THEIR FRIENDS AND THOSE 3729 02:31:11,640 --> 02:31:14,200 FRIENDS WERE LIKELY TO TELL 3730 02:31:14,200 --> 02:31:14,800 THEIR FRIENDS AND SO THAT WAS 3731 02:31:14,800 --> 02:31:15,760 PART OF OUR STRATEGY TO 3732 02:31:15,760 --> 02:31:18,000 EMPHASIZE THAT TO GET THE 3733 02:31:18,000 --> 02:31:18,440 WORD-OF-MOUTH GOING. 3734 02:31:18,440 --> 02:31:19,600 >> ALL RIGHT. 3735 02:31:19,600 --> 02:31:19,880 THANK YOU. 3736 02:31:19,880 --> 02:31:26,680 ANY OTHER QUESTIONS? 3737 02:31:26,680 --> 02:31:28,480 OR THOUGHTS? 3738 02:31:28,480 --> 02:31:29,080 GREAT WORK. 3739 02:31:29,080 --> 02:31:30,480 THANK YOU FOR COMING TO SHARE 3740 02:31:30,480 --> 02:31:33,640 YOUR WORK TODAY. 3741 02:31:33,640 --> 02:31:35,400 WE APPRECIATE IT. 3742 02:31:35,400 --> 02:31:36,840 SO WE ARE NOW GOING TO MOVE ON 3743 02:31:36,840 --> 02:31:41,080 TO OUR FINAL PRESENTATION I'D 3744 02:31:41,080 --> 02:31:43,920 LIKE TO WELCOME THE TEAM TO TALK 3745 02:31:43,920 --> 02:31:46,520 ABOUT SARS-COV-2 TESTING IN 3746 02:31:46,520 --> 02:31:51,160 DIALYSIS FACILITIES. 3747 02:31:51,160 --> 02:31:55,600 I AM HANDING OFF TO YOU ALL. 3748 02:31:55,600 --> 02:31:58,000 >> HI, I'M NIV, ONE OF THE 3749 02:31:58,000 --> 02:31:58,720 NEPHROLOGY FELLOWS AT STANFORD. 3750 02:31:58,720 --> 02:32:01,080 AND I'M HERE WITH DR. SHUCHI 3751 02:32:01,080 --> 02:32:04,360 ANAND WHO I'M JUST GOING TO SEE 3752 02:32:04,360 --> 02:32:09,040 IF SHE IS ON. 3753 02:32:09,040 --> 02:32:10,880 WE ARE VERY EXCITED TO PRESENT 3754 02:32:10,880 --> 02:32:12,680 THIS RESEARCH PROJECT AND VERY 3755 02:32:12,680 --> 02:32:13,080 HONORED TO BE HERE. 3756 02:32:13,080 --> 02:32:14,400 THANK YOU FOR HAVING US. 3757 02:32:14,400 --> 02:32:15,800 I THINK WE WERE UNDER THE 3758 02:32:15,800 --> 02:32:18,680 IMPRESSION WE MIGHT HAVE BEEN AT 3759 02:32:18,680 --> 02:32:19,160 1:30. 3760 02:32:19,160 --> 02:32:21,520 BOTH OF US ARE ATTENDING ON 3761 02:32:21,520 --> 02:32:21,760 SERVICE. 3762 02:32:21,760 --> 02:32:23,160 SO LET ME JUST TEXT HER VERY 3763 02:32:23,160 --> 02:32:23,400 QUICKLY. 3764 02:32:23,400 --> 02:32:24,400 >> NO PROBLEM. 3765 02:32:24,400 --> 02:32:25,880 WE ARE A LITTLE AHEAD OF 3766 02:32:25,880 --> 02:32:26,160 SCHEDULE. 3767 02:32:26,160 --> 02:32:36,320 GO AHEAD. 3768 02:32:37,880 --> 02:32:38,560 JENNIFER, I SEE YOUR QUESTION 3769 02:32:38,560 --> 02:32:40,200 ABOUT ACCESS TO THE RECORDINGS 3770 02:32:40,200 --> 02:32:41,440 AND HONESTLY, I'M NOT SURE. 3771 02:32:41,440 --> 02:32:44,080 I DON'T WANT TO TELL YOU THE 3772 02:32:44,080 --> 02:32:44,680 WRONG THING. 3773 02:32:44,680 --> 02:32:46,280 BUT, I'M SURE THE TEAM, WHEN 3774 02:32:46,280 --> 02:32:49,000 THEY FOLLOW-UP, BECAUSE THEY 3775 02:32:49,000 --> 02:32:50,720 WILL FOLLOW-UP AFTER THE 3776 02:32:50,720 --> 02:32:51,680 SCIENTIFIC MEETING, WILL THEN BE 3777 02:32:51,680 --> 02:33:02,240 ABLE TO PROVIDE MORE INFORMA 3778 02:33:02,880 --> 02:33:10,680 INFORMATION. 3779 02:33:10,680 --> 02:33:13,960 >> DR. SHUCHI ANAND IS COMING. 3780 02:33:13,960 --> 02:33:18,280 >> SORRY ABOUT THAT. 3781 02:33:18,280 --> 02:33:22,360 >> WE ARE DELIGHTED TO BE 3782 02:33:22,360 --> 02:33:25,000 PRESENTING ON SARS-COV-2 TESTING 3783 02:33:25,000 --> 02:33:26,240 IN DIALYSIS FACILITIES. 3784 02:33:26,240 --> 02:33:30,000 COULD YOU GO TO THE NEXT SLIDE, 3785 02:33:30,000 --> 02:33:30,240 PLEASE. 3786 02:33:30,240 --> 02:33:31,880 SO THIS IS A RESEARCH PROJECT 3787 02:33:31,880 --> 02:33:34,280 THAT INVOLVED MULTIPLE DIFFERENT 3788 02:33:34,280 --> 02:33:34,920 COMMUNITIES COMING TOGETHER. 3789 02:33:34,920 --> 02:33:35,880 MEMBERS OF THE ACADEMIC 3790 02:33:35,880 --> 02:33:39,520 COMMUNITY WHO WERE INVOLVED 3791 02:33:39,520 --> 02:33:40,080 PRIMARILY FROM STANFORD AND 3792 02:33:40,080 --> 02:33:41,400 THESE INCLUDED NEPHROLOGISTS, 3793 02:33:41,400 --> 02:33:42,200 RESEARCHERS AND INFECTIOUS 3794 02:33:42,200 --> 02:33:44,360 DISEASE, FOLKS WHO WERE INVOLVED 3795 02:33:44,360 --> 02:33:46,960 IN EPIDEMIOLOGY AND ALSO 3796 02:33:46,960 --> 02:33:47,520 BIOSTATISTICIANS WHO CAME 3797 02:33:47,520 --> 02:33:49,440 TOGETHER TO DESIGN THIS REACH 3798 02:33:49,440 --> 02:33:49,720 PROJECT. 3799 02:33:49,720 --> 02:33:53,160 WE ACTUALLY WORKED WITH DIALYSIS 3800 02:33:53,160 --> 02:33:54,200 FACILITIES MOSTLY FROM U.S. 3801 02:33:54,200 --> 02:33:56,280 RENAL CARE, A LARGE CONSORTIUM 3802 02:33:56,280 --> 02:33:58,720 OF DIALYSIS FACILITIES ACROSS 3803 02:33:58,720 --> 02:34:00,680 THE UNITED STATES. 3804 02:34:00,680 --> 02:34:03,360 SERVING IN 35 STATES OVER 22,000 3805 02:34:03,360 --> 02:34:04,600 FACILITIES AND WE'LL TALK A 3806 02:34:04,600 --> 02:34:06,320 LITTLE BIT LATER ABOUT WHICH 3807 02:34:06,320 --> 02:34:09,040 SPECIFIC FACILITIES WE PARTNERED 3808 02:34:09,040 --> 02:34:09,240 WITH. 3809 02:34:09,240 --> 02:34:09,760 AND A HUGE PART OF THESE 3810 02:34:09,760 --> 02:34:11,600 DIALYSIS FACILITIES ARE VERY 3811 02:34:11,600 --> 02:34:12,160 THANKFUL TO THE INDIVIDUAL 3812 02:34:12,160 --> 02:34:14,040 PATIENTS AND TO THE MEDICAL 3813 02:34:14,040 --> 02:34:16,280 STAFF WHO ARE INTEGRAL TO THIS 3814 02:34:16,280 --> 02:34:17,680 RESEARCH PROJECT. 3815 02:34:17,680 --> 02:34:19,000 WE ALSO PARTNERED WITH ABBOTT 3816 02:34:19,000 --> 02:34:21,000 LABORATORY TO OBTAIN THE COVID 3817 02:34:21,000 --> 02:34:22,600 PCR TESTS THAT WERE USED FOR 3818 02:34:22,600 --> 02:34:26,080 THIS STUDY AND THEN A SET OF 3819 02:34:26,080 --> 02:34:26,640 CLINICAL LABORATORY EASE WAS 3820 02:34:26,640 --> 02:34:27,960 GRACIOUS ENOUGH TO RUN THESE 3821 02:34:27,960 --> 02:34:32,280 TESTS FOR US. 3822 02:34:32,280 --> 02:34:36,120 SO THE SHARED GOAL IS OVERALL TO 3823 02:34:36,120 --> 02:34:36,600 IMPROVE TESTING IN EARLY 3824 02:34:36,600 --> 02:34:38,680 DETECTION OF SARS COVID 2 IN A 3825 02:34:38,680 --> 02:34:40,920 MEDICALLY VULNERABLE AND HARD TO 3826 02:34:40,920 --> 02:34:41,320 REACH POPULATION. 3827 02:34:41,320 --> 02:34:45,160 NEXT SLIDE, PLEASE. 3828 02:34:45,160 --> 02:34:48,480 SO WE WANTED TO TAKE ONE STEP 3829 02:34:48,480 --> 02:34:51,000 BACK TO -- GET DEEPER INTO WHY 3830 02:34:51,000 --> 02:34:51,480 DIALYSIS PATIENTS ARE SO 3831 02:34:51,480 --> 02:34:52,040 MEDICALLY VULNERABLE. 3832 02:34:52,040 --> 02:34:53,720 AND WE PUT THIS SLIDE HERE FOR 3833 02:34:53,720 --> 02:34:54,800 INDIVIDUALS WHO MAY NOT BE AS 3834 02:34:54,800 --> 02:34:58,200 FAMILIAR WITH DIALYSIS. 3835 02:34:58,200 --> 02:34:59,760 AS EVERYONE KNOWS, DIALYSIS IS A 3836 02:34:59,760 --> 02:35:01,440 RENAL REPLACEMENT THERAPY. 3837 02:35:01,440 --> 02:35:03,640 WHEN THE KIDNEYS AREN'T WORKING, 3838 02:35:03,640 --> 02:35:05,000 DIALYSIS SERVES AS A 3839 02:35:05,000 --> 02:35:05,560 REPLACEMENT. 3840 02:35:05,560 --> 02:35:06,920 THE GOAL IS TO HELP CLEAN THE 3841 02:35:06,920 --> 02:35:08,520 BLOOD AND HELP REMOVE EXTRA 3842 02:35:08,520 --> 02:35:09,520 FLUID. 3843 02:35:09,520 --> 02:35:11,320 DIALYSIS FACILITIES OFTENTIMES 3844 02:35:11,320 --> 02:35:12,760 ARE DESIGNED IN THIS WAY. 3845 02:35:12,760 --> 02:35:14,680 PEOPLE ARE SEATED IN CLOSE 3846 02:35:14,680 --> 02:35:16,360 PROXIMITY TO ONE ANOTHER WHILE 3847 02:35:16,360 --> 02:35:17,800 GETTING DIALYSIS. 3848 02:35:17,800 --> 02:35:19,320 AND THERE IS ALSO A LOT OF 3849 02:35:19,320 --> 02:35:21,360 MEDICAL STAFF WHO THEY ARE IN 3850 02:35:21,360 --> 02:35:22,600 CONSTANT CONTACT WITH. 3851 02:35:22,600 --> 02:35:24,120 THESE ARE NURSES, TECHNICIANS 3852 02:35:24,120 --> 02:35:25,160 CHECKING UP ON THE PATIENTS, 3853 02:35:25,160 --> 02:35:26,880 MAKING SURE THEY ARE DOING OKAY 3854 02:35:26,880 --> 02:35:28,600 WHILE ON DIALYSIS. 3855 02:35:28,600 --> 02:35:30,880 THE CHAIRS ARE IN RELATIVE 3856 02:35:30,880 --> 02:35:31,760 PROXIMITY TO ONE ANOTHER AND 3857 02:35:31,760 --> 02:35:33,720 PATIENTS ARE OFTENTIMES ON 3858 02:35:33,720 --> 02:35:36,520 DIALYSIS FOR THREE-FOUR HOURS, 3859 02:35:36,520 --> 02:35:37,840 THREE-FOUR TIMES A WEEK ON 3860 02:35:37,840 --> 02:35:38,080 AVERAGE. 3861 02:35:38,080 --> 02:35:41,120 SO THIS IS OVERALL HIGH-RISK 3862 02:35:41,120 --> 02:35:42,280 SETTING FOR THE SPREAD OF 3863 02:35:42,280 --> 02:35:44,560 INFECTIOUS ILLNESSES LIKE SARS 3864 02:35:44,560 --> 02:35:45,360 COVID 2. 3865 02:35:45,360 --> 02:35:49,160 NEXT SLIDE, PLEASE. 3866 02:35:49,160 --> 02:35:50,160 THEN THE QUESTION ARISES LIKE 3867 02:35:50,160 --> 02:35:52,400 WHO EXACTLY IS ON DIALYSIS? 3868 02:35:52,400 --> 02:35:54,560 AND THIS IS A GRAPH LOOKING AT 3869 02:35:54,560 --> 02:35:58,240 THE INCIDENTS OF DIALYSIS FROM 3870 02:35:58,240 --> 02:36:00,600 2000 TO 2020 STRATIFIED BY AGE. 3871 02:36:00,600 --> 02:36:01,880 THE HIGHEST INCIDENCE IS REALLY 3872 02:36:01,880 --> 02:36:04,160 IN OUR OLDER POPULATION IN 3873 02:36:04,160 --> 02:36:06,080 INDIVIDUALS WHO ARE 65 AND 3874 02:36:06,080 --> 02:36:06,280 ABOVE. 3875 02:36:06,280 --> 02:36:08,760 NEXT SLIDE, PLEASE. 3876 02:36:08,760 --> 02:36:09,840 THERE ARE ALSO RACIAL 3877 02:36:09,840 --> 02:36:13,080 DISPARITIES IN DIALYSIS. 3878 02:36:13,080 --> 02:36:14,280 THE HIGHEST INCIDENCE OF 3879 02:36:14,280 --> 02:36:15,720 DIALYSIS IS AMONG PATIENTS WHO 3880 02:36:15,720 --> 02:36:18,360 ARE BLACK, FOLLOWED BY 3881 02:36:18,360 --> 02:36:19,440 NATIVE-AMERICAN, THEN HISPANIC, 3882 02:36:19,440 --> 02:36:21,840 FOLLOWED BY ASIAN AND FINALLY 3883 02:36:21,840 --> 02:36:24,640 WHITE INDIVIDUALS. 3884 02:36:24,640 --> 02:36:25,400 NEXT, PLEASE. 3885 02:36:25,400 --> 02:36:27,600 IN ADDITION, THERE IS A HIGH 3886 02:36:27,600 --> 02:36:30,240 ACCESS MORTALITY IN OUR DIALYSIS 3887 02:36:30,240 --> 02:36:32,640 PATIENTS DURING THE COVID 3888 02:36:32,640 --> 02:36:32,920 PANDEMIC. 3889 02:36:32,920 --> 02:36:34,360 THIS IS A GRAPH THAT WAS LOOKING 3890 02:36:34,360 --> 02:36:37,480 AT PREDICTED DEATHS WHAT 3891 02:36:37,480 --> 02:36:41,800 OCCURRED FROM FROM 2016-2020. 3892 02:36:41,800 --> 02:36:43,960 IN 2020, THERE WAS A SIGNIFICANT 3893 02:36:43,960 --> 02:36:45,920 EXCESS DEATH RATE IN OUR 3894 02:36:45,920 --> 02:36:47,400 DIALYSIS POPULATION AND IT WAS 3895 02:36:47,400 --> 02:36:51,400 ESTIMATED TO BE ABOUT 10,000 3896 02:36:51,400 --> 02:36:52,960 EXCESS DEATHS. 3897 02:36:52,960 --> 02:36:53,560 AND PART OF THE REASONS FOR THIS 3898 02:36:53,560 --> 02:36:55,000 JUST TO SUMMARIZE WHAT PRIOR 3899 02:36:55,000 --> 02:36:57,120 SLIDES HAVE SHOWN, IS THAT THIS 3900 02:36:57,120 --> 02:36:59,200 IS OVERALL A VERY MEDICALLY 3901 02:36:59,200 --> 02:37:01,000 VULNERABLE POPULATION WHO ARE 3902 02:37:01,000 --> 02:37:02,760 GENERALLY OLDER, HAVE MULTIPLE 3903 02:37:02,760 --> 02:37:03,640 CO-MORBIDITIES, PATIENTS ARE 3904 02:37:03,640 --> 02:37:06,160 EXPOSED MORE READILY TO COVID 3905 02:37:06,160 --> 02:37:07,880 AND ALSO RESEARCH OUT IN PRIOR 3906 02:37:07,880 --> 02:37:09,120 LITERATURE THAT SHOWS THAT 3907 02:37:09,120 --> 02:37:13,040 PATIENTS ON DIALYSIS DON'T 3908 02:37:13,040 --> 02:37:13,920 MOUNTAIN ADEQUATE IMMUNE 3909 02:37:13,920 --> 02:37:15,440 RESPONSE TO INFLUENZA AND 3910 02:37:15,440 --> 02:37:15,920 HEPATITIS. 3911 02:37:15,920 --> 02:37:18,600 NEXT SLIDE, PLEASE. 3912 02:37:18,600 --> 02:37:22,360 THIS IS JUST TO POINT OUT THE 3913 02:37:22,360 --> 02:37:24,760 2020 EXCESS. 3914 02:37:24,760 --> 02:37:25,560 NEXT SLIDE. 3915 02:37:25,560 --> 02:37:29,560 SO THESE ARE TWO EXAMPLES OF HOW 3916 02:37:29,560 --> 02:37:31,960 PATIENTS ON DIALYSIS GOT EXPOSED 3917 02:37:31,960 --> 02:37:34,440 TO SARS COVID 2 AND THESE ARE 3918 02:37:34,440 --> 02:37:35,480 REAL-LIFE EXAMPLES THAT HAPPENED 3919 02:37:35,480 --> 02:37:36,360 IN OUR UNITS. 3920 02:37:36,360 --> 02:37:38,080 IN THE INTEREST OF TIME I WON'T 3921 02:37:38,080 --> 02:37:39,840 GO INTO WHAT EACH CASE EXAMPLE 3922 02:37:39,840 --> 02:37:42,240 IS BUT BASICALLY THE GIST IS 3923 02:37:42,240 --> 02:37:44,040 PATIENTS PRESENTED TO DIALYSIS, 3924 02:37:44,040 --> 02:37:47,000 GOT THE FULL SESSION AND THEN 3925 02:37:47,000 --> 02:37:47,640 UNFORTUNATELY BECAME SYMPTOMATIC 3926 02:37:47,640 --> 02:37:49,720 WITH SARS COVID 2, PRESENTED TO 3927 02:37:49,720 --> 02:37:51,440 THE ED AND TESTED AND THEY CAME 3928 02:37:51,440 --> 02:37:53,600 BACK POSITIVE. 3929 02:37:53,600 --> 02:37:54,320 IT WASN'T B. UNTIL ABOUT 36 3930 02:37:54,320 --> 02:37:58,360 HOURS LATER OR LONGER THE 3931 02:37:58,360 --> 02:37:59,280 FACILITIES DIALYSIS FACILITIES 3932 02:37:59,280 --> 02:37:59,960 WERE NOTIFIED ABOUT THE POSITIVE 3933 02:37:59,960 --> 02:38:01,120 TESTS AND ULTIMATELY THERE WAS 3934 02:38:01,120 --> 02:38:02,720 SORT OF SCRAMBLE AS THE DIALYSIS 3935 02:38:02,720 --> 02:38:05,600 FACILITY TRIED TO TRACK DOWN ALL 3936 02:38:05,600 --> 02:38:06,520 OF THE INDIVIDUAL PATIENTS, 3937 02:38:06,520 --> 02:38:07,920 OTHER PATIENTS WHO WERE EXPOSED 3938 02:38:07,920 --> 02:38:12,040 TO THE FIRST PERSON WHO WAS 3939 02:38:12,040 --> 02:38:12,680 INFECTED AS WELL AS IDENTIFYING 3940 02:38:12,680 --> 02:38:14,000 OTHER STAFF MEMBERS WHO MIGHT 3941 02:38:14,000 --> 02:38:16,040 HAVE BEEN EXPOSED. 3942 02:38:16,040 --> 02:38:18,080 AND UNFORTUNATELY IN THE SECOND 3943 02:38:18,080 --> 02:38:18,880 SITUATION, I THINK THE PATIENT 3944 02:38:18,880 --> 02:38:21,480 WHO WAS INFECTED WAS IN CLOSE 3945 02:38:21,480 --> 02:38:23,800 CONTACT WITH A STAFF MEMBER WHO 3946 02:38:23,800 --> 02:38:25,040 WAS ALSO HEAVILY PREGNANT. 3947 02:38:25,040 --> 02:38:27,120 THIS WAS THE BASIS FOR WHY WE 3948 02:38:27,120 --> 02:38:28,320 FELT THIS WAS AN IMPORTANT STUDY 3949 02:38:28,320 --> 02:38:31,920 IN COMING UP WITH A WAY TO TEST 3950 02:38:31,920 --> 02:38:34,680 OUR PATIENTS IN THESE DIALYSIS 3951 02:38:34,680 --> 02:38:34,960 FACILITIES. 3952 02:38:34,960 --> 02:38:38,680 NEXT SLIDE, PLEASE. 3953 02:38:38,680 --> 02:38:39,880 I'LL HAND THIS OVER TO 3954 02:38:39,880 --> 02:38:40,480 DR. SHUCHI ANAND. 3955 02:38:40,480 --> 02:38:42,440 >> THANK YOU. 3956 02:38:42,440 --> 02:38:42,720 EXCELLENT. 3957 02:38:42,720 --> 02:38:43,280 I WANT TO SAY THANK YOU FOR 3958 02:38:43,280 --> 02:38:45,400 INVITING US AND IT'S SUCH A 3959 02:38:45,400 --> 02:38:46,040 PLEASURE TO BE IN THE GREAT 3960 02:38:46,040 --> 02:38:49,000 COMPANY OF AMAZING COMMUNITY 3961 02:38:49,000 --> 02:38:50,840 PARTICIPATORY WORK THAT OCCURRED 3962 02:38:50,840 --> 02:38:52,680 THROUGH THE RADX-UP CONSORTIUM. 3963 02:38:52,680 --> 02:38:54,000 IT'S EYE-OPENING TO WATCH ALL 3964 02:38:54,000 --> 02:38:56,200 THE WORK IN CHURCHES, SCHOOLS, 3965 02:38:56,200 --> 02:38:58,320 THAT'S BEING PERFORMED. 3966 02:38:58,320 --> 02:38:59,320 AND WE HAVE A UNIQUE ACCESS TO 3967 02:38:59,320 --> 02:39:02,760 OUR PATIENTS ON DIALYSIS AND AS 3968 02:39:02,760 --> 02:39:05,640 LAID OUT, THEY ARE OF MEDICALLY 3969 02:39:05,640 --> 02:39:06,080 VULNERABLE. 3970 02:39:06,080 --> 02:39:08,720 THEY CAN OR ARE 3971 02:39:08,720 --> 02:39:09,360 DISPROPORTIONATELY DISADVANTAGED 3972 02:39:09,360 --> 02:39:11,280 FROM RACIAL, ETHNIC MINORITY 3973 02:39:11,280 --> 02:39:11,520 GROUPS. 3974 02:39:11,520 --> 02:39:17,440 SO WE THOUGHT THAT OUR PATIENT 3975 02:39:17,440 --> 02:39:18,920 POPULATION VERY RIGHTLY, BELONGS 3976 02:39:18,920 --> 02:39:21,880 IN THE PATIENT POPULATION OF 3977 02:39:21,880 --> 02:39:22,720 UNDERSERVED PERSONS. 3978 02:39:22,720 --> 02:39:24,600 AND SO, WHAT WE WERE TRYING TO 3979 02:39:24,600 --> 02:39:27,640 DO AT THE START OF THIS STUDY 3980 02:39:27,640 --> 02:39:30,480 WAS TO SEE WHETHER A TEST 3981 02:39:30,480 --> 02:39:32,000 STRATEGY -- TO INCREASE TESTING 3982 02:39:32,000 --> 02:39:34,280 AND DIALYSIS UNITS AND ALSO TRY 3983 02:39:34,280 --> 02:39:36,280 TWO DIFFERENT TESTING 3984 02:39:36,280 --> 02:39:36,560 STRATEGIES. 3985 02:39:36,560 --> 02:39:37,920 ONE TO OFFER TESTING EVERY TWO 3986 02:39:37,920 --> 02:39:41,280 WEEKS IN THE FACILITY VERSUS 3987 02:39:41,280 --> 02:39:42,160 ANOTHER WOULD BE MORE DYNAMIC 3988 02:39:42,160 --> 02:39:44,920 BASED ON THE LEVEL OF COMMUNITY 3989 02:39:44,920 --> 02:39:45,360 TRANSMISSION. 3990 02:39:45,360 --> 02:39:49,600 AND OUR PRIMARY OUTCOME WAS TEST 3991 02:39:49,600 --> 02:39:50,640 ACCEPTABILITY AND WE ALSO WOULD 3992 02:39:50,640 --> 02:39:53,640 LIKE TO LOOK AT DEATH AND 3993 02:39:53,640 --> 02:39:56,800 HOSPITALIZATIONS. 3994 02:39:56,800 --> 02:40:03,280 NEXT SLIDE. 3995 02:40:03,280 --> 02:40:07,320 SO THE MAIN OBJECTIVE IS TO 3996 02:40:07,320 --> 02:40:08,760 EVALUATE ACCEPTABILITY AND 3997 02:40:08,760 --> 02:40:09,080 FEASIBILITY. 3998 02:40:09,080 --> 02:40:12,920 THESE ARE VULNERABLE PATIENTS 3999 02:40:12,920 --> 02:40:13,760 BUT ALSO COMING INTO A 4000 02:40:13,760 --> 02:40:15,160 FREESTANDING FACILITY THAT IS 4001 02:40:15,160 --> 02:40:16,400 ALREADY PRETTY BUSY. 4002 02:40:16,400 --> 02:40:18,200 THEY HAVE A HIGH VOLUME OF 4003 02:40:18,200 --> 02:40:20,240 PATIENTS THEY ARE SEEING. 4004 02:40:20,240 --> 02:40:23,520 SO, TRYING TO ACCEPT THE 4005 02:40:23,520 --> 02:40:26,920 FEASIBILITY -- EVALUATE THE 4006 02:40:26,920 --> 02:40:27,560 FEASIBILITY AS WELL. 4007 02:40:27,560 --> 02:40:30,440 AND ALSO LOOK AT THE POPULATION 4008 02:40:30,440 --> 02:40:32,800 THAT WE TALKED ABOUT, PATIENTS 4009 02:40:32,800 --> 02:40:33,880 RECEIVING DIALYSIS AND WE ARE 4010 02:40:33,880 --> 02:40:38,520 AIMING TO LAUNCH OUR STUDY 4011 02:40:38,520 --> 02:40:40,520 ADDICTED TO DIALYSIS, NATIONWIDE 4012 02:40:40,520 --> 02:40:42,320 AND OFFER THE TESTS TO THE 2200 4013 02:40:42,320 --> 02:40:42,720 PEOPLE. 4014 02:40:42,720 --> 02:40:43,880 AND LIKE I SHOWED YOU, WE ARE 4015 02:40:43,880 --> 02:40:46,200 LOOKING AT WHETHER A DYNAMIC 4016 02:40:46,200 --> 02:40:47,960 TESTING STRATEGY IN COMMUNITY 4017 02:40:47,960 --> 02:40:50,320 TRANSMISSION RATES WILL HAVE A 4018 02:40:50,320 --> 02:40:51,120 TIER TEST ACCEPTABILITY. 4019 02:40:51,120 --> 02:40:54,880 NEXT SLIDE, PLEASE. 4020 02:40:54,880 --> 02:40:57,560 SO THIS IS OUR FANTASTIC 4021 02:40:57,560 --> 02:40:58,840 COMMUNITY PARTNER, U.S. RENAL 4022 02:40:58,840 --> 02:40:59,920 CARE. 4023 02:40:59,920 --> 02:41:02,600 AND THIS IS THE SPREAD OF THEIR 4024 02:41:02,600 --> 02:41:03,040 DIALYSIS FACILITIES. 4025 02:41:03,040 --> 02:41:03,720 YOU CAN SEE THEY ARE LOCATED 4026 02:41:03,720 --> 02:41:06,880 NATIONWIDE AND WE SAMPLED FROM 4027 02:41:06,880 --> 02:41:09,120 THIS RANDOMLY BUT TRIED TO 4028 02:41:09,120 --> 02:41:10,800 SAMPLE TWO FACILITIES WITHIN THE 4029 02:41:10,800 --> 02:41:11,680 SAME COUNTY TO TRY TO CONTROL 4030 02:41:11,680 --> 02:41:14,520 FOR WHAT IS HAPPENING IN THE 4031 02:41:14,520 --> 02:41:16,280 COMMUNITY IN TERMS OF BOTH TEST 4032 02:41:16,280 --> 02:41:18,760 ACCEPT BUILTY AND THAT MIGHT BE 4033 02:41:18,760 --> 02:41:20,400 INFLUENCED BY COMMUNITY FACTORS 4034 02:41:20,400 --> 02:41:23,280 BUT ALSO IN TERMS OF DISEASE 4035 02:41:23,280 --> 02:41:26,200 TRANSMISSION. 4036 02:41:26,200 --> 02:41:26,760 NEXT SLIDE. 4037 02:41:26,760 --> 02:41:29,320 AND WHEN WE WERE TRYING TO 4038 02:41:29,320 --> 02:41:31,240 INVESTIGATE HOW TO PUT TOGETHER 4039 02:41:31,240 --> 02:41:36,360 OUR DYNAMIC TESTING FREQUENCY, 4040 02:41:36,360 --> 02:41:37,040 WE STUMBLED INTO THE ISSUE AS 4041 02:41:37,040 --> 02:41:38,120 AND OTHERS MAY HAVE AS WELL THAT 4042 02:41:38,120 --> 02:41:41,880 LATER IN THE PANDEMIC, CASE 4043 02:41:41,880 --> 02:41:42,480 COUNTS ARE NOT AS RELIABLE AS 4044 02:41:42,480 --> 02:41:43,400 THEY PREVIOUSLY WERE BECAUSE 4045 02:41:43,400 --> 02:41:46,800 PEOPLE ARE TESTING MORE OFTEN AT 4046 02:41:46,800 --> 02:41:48,160 HOME OR TESTS ARE NOT BEING 4047 02:41:48,160 --> 02:41:50,160 REPORTED TO PUBLIC HEALTH 4048 02:41:50,160 --> 02:41:50,480 AUTHORITIES. 4049 02:41:50,480 --> 02:41:54,840 AND SO, WASTEWATER HAS CLEARLY 4050 02:41:54,840 --> 02:41:55,480 EMERGED AS THE POTENTIAL BETTER 4051 02:41:55,480 --> 02:41:58,800 MARKER FOR DISEASE TRANSMISSION. 4052 02:41:58,800 --> 02:42:02,920 SO WE WORKED WITH THE HELP OF 4053 02:42:02,920 --> 02:42:05,880 POSTDOC IN OUR LAB, TO 4054 02:42:05,880 --> 02:42:08,480 INCORPORATE WASTEWATER TESTING 4055 02:42:08,480 --> 02:42:12,240 AS A THRESHOLD DEFINER FOR OUR 4056 02:42:12,240 --> 02:42:14,080 COMMUNITY TRANSMISSION RATES. 4057 02:42:14,080 --> 02:42:17,520 AND THE CDC HAS DONE A FANTASTIC 4058 02:42:17,520 --> 02:42:20,400 JOB PUTTING TOGETHER THESE DATA 4059 02:42:20,400 --> 02:42:22,640 PUBLICLY THROUGH THE WASTEWATER 4060 02:42:22,640 --> 02:42:23,280 SYSTEM AND SHE WAS ABLE TO LOOK 4061 02:42:23,280 --> 02:42:24,360 AT THAT DATA CAREFULLY AND 4062 02:42:24,360 --> 02:42:25,720 EVALUATE IT AND HELP US 4063 02:42:25,720 --> 02:42:28,400 DETERMINE THRESHOLDS FOR 4064 02:42:28,400 --> 02:42:28,960 COMMUNITY TESTING WHICH ARE 4065 02:42:28,960 --> 02:42:32,880 SHOWN ON THE NEXT SLIDE. 4066 02:42:32,880 --> 02:42:37,720 SO, WE USED A VIRAL PERCENTILE 4067 02:42:37,720 --> 02:42:38,440 WILLFUL, THE PERCENT OF VIRUS 4068 02:42:38,440 --> 02:42:39,720 CIRCULATING IN THE COMMUNITY 4069 02:42:39,720 --> 02:42:40,840 RELATIVE TO THE HIGHEST PEAK IN 4070 02:42:40,840 --> 02:42:44,200 THAT COMMUNITY. 4071 02:42:44,200 --> 02:42:46,840 AS THRESHOLD TO DETERMINE 4072 02:42:46,840 --> 02:42:47,720 WHETHER SOMEONE WOULD BE OFFERED 4073 02:42:47,720 --> 02:42:52,320 A TEST IN THE DYNAMIC -- ON A 4074 02:42:52,320 --> 02:42:54,520 WEEKLY BASIS, THE HIGH CATEGORY 4075 02:42:54,520 --> 02:42:55,760 EVERY TWO WEEKS AND THE MODERATE 4076 02:42:55,760 --> 02:42:58,920 CATEGORY OR LOW TRANSMISSION 4077 02:42:58,920 --> 02:42:59,520 BASED ON WASTEWATER THEY WOULD 4078 02:42:59,520 --> 02:43:00,640 BE OFFERED THE TEST LESS THAN -- 4079 02:43:00,640 --> 02:43:04,560 ONCE A WEEK -- ONCE A MONTH. 4080 02:43:04,560 --> 02:43:07,280 THEN WE ALSO STILL ENGAGED WITH 4081 02:43:07,280 --> 02:43:09,800 THE COMMUNITY CLINICAL 4082 02:43:09,800 --> 02:43:10,920 INDICATORS BECAUSE SOME 4083 02:43:10,920 --> 02:43:11,720 COMMUNITIES STILL DID NOT HAVE 4084 02:43:11,720 --> 02:43:12,320 WASTEWATER SURVEILLANCE BUT A 4085 02:43:12,320 --> 02:43:14,840 MAJORITY OF OUR SELECTED 4086 02:43:14,840 --> 02:43:19,560 COUNTIES DO HAVE WASTEWATER 4087 02:43:19,560 --> 02:43:21,160 SURVEILLANCE. 4088 02:43:21,160 --> 02:43:24,440 AND THESE ARE PILOT DATA THAT WE 4089 02:43:24,440 --> 02:43:26,600 CONDUCTED -- A PILOT WE 4090 02:43:26,600 --> 02:43:27,960 CONDUCTED IN FOUR STATES AND 4091 02:43:27,960 --> 02:43:30,280 FOUR FACILITIES. 4092 02:43:30,280 --> 02:43:30,920 FACILITIES RANGE FREQUENTLY SIZE 4093 02:43:30,920 --> 02:43:34,760 FROM 13-111 ELIGIBLE PEOPLE. 4094 02:43:34,760 --> 02:43:36,680 IN WHOM WE OFFERED TESTING. 4095 02:43:36,680 --> 02:43:38,800 THIS IS ONLY TESTING THE STATIC 4096 02:43:38,800 --> 02:43:41,280 ARM AND WILL WE'LL SEE THIS WORK 4097 02:43:41,280 --> 02:43:42,800 WAS DONE TO DETERMINE 4098 02:43:42,800 --> 02:43:44,520 FEASIBILITY OF OUR LARGER STUDY, 4099 02:43:44,520 --> 02:43:45,960 WHICH IS IT STILL ONGOING. 4100 02:43:45,960 --> 02:43:48,720 AND WHAT WE SAW? 4101 02:43:48,720 --> 02:43:52,000 THIS PILOT WAS THAT WE WERE -- 4102 02:43:52,000 --> 02:43:54,000 ALTHOUGH THERE IS DISTRIBUTION 4103 02:43:54,000 --> 02:43:56,800 OF ANAL, ABOUT 40% IN THIS 4104 02:43:56,800 --> 02:43:58,680 OVERALL WERE OLDER AS WE WOULD 4105 02:43:58,680 --> 02:44:00,880 PREDICT BASED ON WHO IS ON 4106 02:44:00,880 --> 02:44:01,120 DIALYSIS. 4107 02:44:01,120 --> 02:44:04,400 A MAJORITY WERE HISPANIC AND 4108 02:44:04,400 --> 02:44:05,040 ABOUT 17% WERE BLACK. 4109 02:44:05,040 --> 02:44:10,720 A MAJORITY HAD DIABETES. 4110 02:44:10,720 --> 02:44:11,160 AND THEN NEXT SLIDE. 4111 02:44:11,160 --> 02:44:15,000 WE THEN LOOKED AT TEST 4112 02:44:15,000 --> 02:44:15,520 ACCEPTABILITY -- THESE ARE 4113 02:44:15,520 --> 02:44:16,200 PICTURES OF THE DIALYSIS BECAUSE 4114 02:44:16,200 --> 02:44:18,160 ONE OF THE DIALYSIS FACILITIES 4115 02:44:18,160 --> 02:44:20,800 WHERE WE PILOTED OUR WORK AND 4116 02:44:20,800 --> 02:44:23,560 YOU CAN SEE WE NEED YOU POSTER, 4117 02:44:23,560 --> 02:44:25,480 WHICH GETS THE PATIENT A LINK TO 4118 02:44:25,480 --> 02:44:30,040 THE RADX-UP CDE SURVEY, WHICH 4119 02:44:30,040 --> 02:44:31,440 THE PATIENT COULD EITHER USE THE 4120 02:44:31,440 --> 02:44:33,120 FACILITY iPAD THAT WAS 4121 02:44:33,120 --> 02:44:34,920 AVAILABLE FOR TELEMEDICINE IN 4122 02:44:34,920 --> 02:44:39,040 THE FACILITY OR USE THEIR OWN 4123 02:44:39,040 --> 02:44:41,040 SMARTPHONE TO DO THAT SURVEY. 4124 02:44:41,040 --> 02:44:42,520 NEXT SLIDE. 4125 02:44:42,520 --> 02:44:44,360 AND THEN THESE ARE TWO NURSES. 4126 02:44:44,360 --> 02:44:46,480 IT'S A NURSE AND A TECH WHO 4127 02:44:46,480 --> 02:44:48,200 ACTUALLY OFFERED THE TEST, 4128 02:44:48,200 --> 02:44:48,800 PERFORMED THE TEST. 4129 02:44:48,800 --> 02:44:50,960 THIS IS THEM PACKAGING UP THE 4130 02:44:50,960 --> 02:44:53,440 TEST AND SENDING IT OUT TO 4131 02:44:53,440 --> 02:44:54,760 PARTICIPANTS. 4132 02:44:54,760 --> 02:45:00,040 NOW OUR PARTNER LABORAT LABORATD 4133 02:45:00,040 --> 02:45:02,280 WE USED PCR TESTING FROM ABBOTT 4134 02:45:02,280 --> 02:45:02,920 WHO DONATED THE TESTING SUPPLIES 4135 02:45:02,920 --> 02:45:06,960 TO US. 4136 02:45:06,960 --> 02:45:07,840 NEXT SLIDE. 4137 02:45:07,840 --> 02:45:09,120 AND SO WE OFFERED THE TESTING 4138 02:45:09,120 --> 02:45:09,920 EACH FACILITY TWICE. 4139 02:45:09,920 --> 02:45:14,360 SO THIS IS JUST TESTING THE 4140 02:45:14,360 --> 02:45:15,960 STATIC ARM MOSTLY FOR TESTING 4141 02:45:15,960 --> 02:45:16,240 FEASIBILITY. 4142 02:45:16,240 --> 02:45:17,600 AND YOU CAN SEE WE WERE ABLE TO 4143 02:45:17,600 --> 02:45:19,800 OFFER THE TEST TO PRETTY MUCH 4144 02:45:19,800 --> 02:45:20,400 EVERYONE THAT WAS ELIGIBLE IN 4145 02:45:20,400 --> 02:45:20,920 THE FACILITY. 4146 02:45:20,920 --> 02:45:23,120 SO ABOUT 213 PEOPLE WERE 4147 02:45:23,120 --> 02:45:24,080 ELIGIBLE AND WE WERE ABLE TO 4148 02:45:24,080 --> 02:45:27,800 OFFER THE TEST 198 IN THE FIRST 4149 02:45:27,800 --> 02:45:31,280 ROUND AND 209 IN THE SECOND 4150 02:45:31,280 --> 02:45:32,440 ROUND. 4151 02:45:32,440 --> 02:45:33,080 AND WE SAW -- THIS WAS IN THE 4152 02:45:33,080 --> 02:45:35,480 FALL OF 2022. 4153 02:45:35,480 --> 02:45:38,080 THERE WAS STILL A LOT OF COVID 4154 02:45:38,080 --> 02:45:40,560 AROUND AND WE SAW ABOUT 70% TEST 4155 02:45:40,560 --> 02:45:42,800 ACCEPT BUILTY WHICH DID NOT SEEM 4156 02:45:42,800 --> 02:45:44,600 TO DECLINE BY THE SECOND TEST 4157 02:45:44,600 --> 02:45:44,920 OFFER. 4158 02:45:44,920 --> 02:45:52,000 BUT ALSO NOTABLY WE SAW ABOUT 7% 4159 02:45:52,000 --> 02:45:56,800 POS POS ACTIVITY I RATE IN THE 4160 02:45:56,800 --> 02:45:58,600 FIRST ROUND AND -- POSITIVITY 4161 02:45:58,600 --> 02:46:02,280 RATE -- HIGH DETECTION RATES. 4162 02:46:02,280 --> 02:46:06,160 SO WHAT THE PILOT DATA INFORMED 4163 02:46:06,160 --> 02:46:08,600 US IS THAT WE CAN SCREEN THIS 4164 02:46:08,600 --> 02:46:10,800 UNDERSERVED MEDICALLY VULNERABLE 4165 02:46:10,800 --> 02:46:11,080 POPULATION. 4166 02:46:11,080 --> 02:46:11,480 IT IS FEASIBLE. 4167 02:46:11,480 --> 02:46:12,840 IT DOES REQUIRE SIGNIFICANT 4168 02:46:12,840 --> 02:46:13,120 RESOURCES. 4169 02:46:13,120 --> 02:46:14,920 THERE WAS A LOT OF WORK THAT OUR 4170 02:46:14,920 --> 02:46:15,920 PARTNER ORGANIZATION DID TO 4171 02:46:15,920 --> 02:46:18,360 INTEGRATE THE TESTING INTO THEIR 4172 02:46:18,360 --> 02:46:20,560 ROUTINE WORK FLOW AND THE TEST 4173 02:46:20,560 --> 02:46:21,280 OFFERING INTO THEIR WORK FLOW 4174 02:46:21,280 --> 02:46:22,800 DOWN TO THE LABELING OF THE 4175 02:46:22,800 --> 02:46:23,360 LABS. 4176 02:46:23,360 --> 02:46:28,000 ALL OF THAT HAS TO BE COMPLIANT 4177 02:46:28,000 --> 02:46:29,400 WITH THEIR HIGH STANDARDS OF 4178 02:46:29,400 --> 02:46:30,520 ROUTINE LAB TESTING. 4179 02:46:30,520 --> 02:46:34,520 SO LABELING THE LABS, SENDING 4180 02:46:34,520 --> 02:46:38,120 THEM OFF TO THE CENTRAL 4181 02:46:38,120 --> 02:46:38,720 LABORATORY IN THE RIGHT WAY. 4182 02:46:38,720 --> 02:46:41,160 AND ALSO GETTING THE RESULTS 4183 02:46:41,160 --> 02:46:44,840 RETURNED IN A WAY THAT WAS 4184 02:46:44,840 --> 02:46:45,720 CLINICALLY FORMATTED AND TIMELY. 4185 02:46:45,720 --> 02:46:47,840 SO THAT REQUIRED A LOT OF LEG 4186 02:46:47,840 --> 02:46:50,720 WORK WHICH WE ARE SO GRATEFUL TO 4187 02:46:50,720 --> 02:46:53,880 OUR COMMUNITY PARTNERS FOR 4188 02:46:53,880 --> 02:46:55,600 WORKING TOGETHER TO ACCOMPLISH 4189 02:46:55,600 --> 02:46:56,160 THAT. 4190 02:46:56,160 --> 02:46:57,840 AND I THINK IN THE PILOT 4191 02:46:57,840 --> 02:47:00,400 FACILITIES WE SAW REASONABLY 4192 02:47:00,400 --> 02:47:03,480 HIGH ACCEPT BUILTY AND WE ARE 4193 02:47:03,480 --> 02:47:08,200 NOW RULED OUT OF THE 62 DIALYSIS 4194 02:47:08,200 --> 02:47:18,360 STUDIES,. 4195 02:47:39,480 --> 02:47:41,520 WE THINK THIS WORK HIGHLIGHT 4196 02:47:41,520 --> 02:47:44,560 THAT THE DIALYSIS FACILITIES ARE 4197 02:47:44,560 --> 02:47:46,520 UNTAPPED PUBLIC HEALTH 4198 02:47:46,520 --> 02:47:50,280 SURVEILLANCE TOOL BECAUSE THEY 4199 02:47:50,280 --> 02:47:51,080 HOST A VULNERABLE POPULATION. 4200 02:47:51,080 --> 02:47:51,720 POPULATIONS ARE HARD TO REACH. 4201 02:47:51,720 --> 02:47:54,120 THEY TEND TO BE SOCIALLY 4202 02:47:54,120 --> 02:47:54,760 DISADVANTAGED AND YOU KNOW, BUT 4203 02:47:54,760 --> 02:47:57,720 YET THEY ARE COMING TO THIS AREA 4204 02:47:57,720 --> 02:47:59,320 REGARDLESS OF INSURANCE STATUS, 4205 02:47:59,320 --> 02:48:01,400 REGARDLESS OF OVERALL POVERTY. 4206 02:48:01,400 --> 02:48:03,440 THEY ARE STILL COMING TO OUR 4207 02:48:03,440 --> 02:48:04,640 FACILITY TO GET TREATMENT. 4208 02:48:04,640 --> 02:48:08,800 AND THEREFORE IF WE CAN TAP THIS 4209 02:48:08,800 --> 02:48:11,000 RESOURCE AND INTEGRATE MORE INTO 4210 02:48:11,000 --> 02:48:12,960 A PUBLIC HEALTH SURVEILLANCE 4211 02:48:12,960 --> 02:48:14,840 SYSTEM, THAT WOULD BE AN OVERALL 4212 02:48:14,840 --> 02:48:18,360 NET GAIN FOR FUTURE PANDEMICS. 4213 02:48:18,360 --> 02:48:20,520 AND I JUST WANT TO END BY 4214 02:48:20,520 --> 02:48:22,680 THANKING THE GROUP OF PEOPLE 4215 02:48:22,680 --> 02:48:27,720 THAT HAVE BEEN INVOLVED IN THIS 4216 02:48:27,720 --> 02:48:29,720 WORK. 4217 02:48:29,720 --> 02:48:31,840 THE LEADERSHIP AT U.S. RENAL 4218 02:48:31,840 --> 02:48:37,040 CARE WHO PROVIDED SIGNIFICANT 4219 02:48:37,040 --> 02:48:38,560 SUPPORT EATING ALL THE PERFORM 4220 02:48:38,560 --> 02:48:40,880 COSTS ENGAGED WITH THIS SO WE 4221 02:48:40,880 --> 02:48:41,440 ARE GRATEFUL FOR THEM AND 4222 02:48:41,440 --> 02:48:42,680 RECOGNIZING THE IMPORTANCE OF 4223 02:48:42,680 --> 02:48:44,840 THIS WORK AND FOR SUPPORTING IT. 4224 02:48:44,840 --> 02:48:46,760 AND ALSO, LAST BUT NOT LEAST, IF 4225 02:48:46,760 --> 02:48:49,480 YOU COULD PUT THE NEXT BUTTON, I 4226 02:48:49,480 --> 02:48:50,520 WANT TO THANK THE PEOPLE, THE 4227 02:48:50,520 --> 02:48:52,120 STAFF, WHO HAVE BEEN 4228 02:48:52,120 --> 02:48:52,880 ENTHUSIASTICALLY OFFERING THE 4229 02:48:52,880 --> 02:48:54,560 TEST TO OUR PATIENTS AND THEN 4230 02:48:54,560 --> 02:48:57,280 PERFORMING THE EXTRA WORK OF 4231 02:48:57,280 --> 02:48:58,680 GETTING THE TEST DONE AND 4232 02:48:58,680 --> 02:49:00,880 SENDING IT OFF AND PULLING UP ON 4233 02:49:00,880 --> 02:49:01,160 THE RESULTS. 4234 02:49:01,160 --> 02:49:01,800 SO THANK YOU VERY MUCH FOR YOUR 4235 02:49:01,800 --> 02:49:05,120 TIME AND I LOOK FORWARD TO 4236 02:49:05,120 --> 02:49:09,960 QUESTIONS. 4237 02:49:09,960 --> 02:49:11,720 >> ALL RIGHT, THANK YOU! 4238 02:49:11,720 --> 02:49:15,040 I HONESTLY NEVER THOUGHT ABOUT 4239 02:49:15,040 --> 02:49:17,520 DIALYSIS FACILITIES AND PEOPLE 4240 02:49:17,520 --> 02:49:18,160 UNTIL DIALYSIS FACILITIES. 4241 02:49:18,160 --> 02:49:20,240 SO VERY GOOD POINT MADE. 4242 02:49:20,240 --> 02:49:24,440 ANY QUESTIONS? 4243 02:49:24,440 --> 02:49:25,840 FEEL FREE TO PUT THEM IN THE 4244 02:49:25,840 --> 02:49:28,000 CHAT OR RAISE YOUR HAND AND ASK 4245 02:49:28,000 --> 02:49:35,520 THEM OUT LOUD. 4246 02:49:35,520 --> 02:49:40,640 GOING ONCE, GOING TWICE -- ALL 4247 02:49:40,640 --> 02:49:41,120 RIGHT, WELL THANK YOU. 4248 02:49:41,120 --> 02:49:44,320 THAT WAS A GREAT PRESENTATION. 4249 02:49:44,320 --> 02:49:45,400 I LEARNED A LOT. 4250 02:49:45,400 --> 02:49:48,600 AND SO NOW WE HAVE REACHED THE 4251 02:49:48,600 --> 02:49:49,600 END OF OUR PRESENTATIONS. 4252 02:49:49,600 --> 02:49:52,160 I WANT TO THANK ALL OF OUR 4253 02:49:52,160 --> 02:49:53,080 PRESENTERS BOTH WITHIN OUR 4254 02:49:53,080 --> 02:49:55,080 SESSIONS AND ALSO IN THE POSTER 4255 02:49:55,080 --> 02:49:55,320 SESSION. 4256 02:49:55,320 --> 02:49:57,840 THANK YOU FOR TAKING TIME TO 4257 02:49:57,840 --> 02:49:58,680 COME AND TALK ABOUT YOUR WORK. 4258 02:49:58,680 --> 02:50:00,680 I THINK WE HAVE ALL LEARNED A 4259 02:50:00,680 --> 02:50:01,760 LOT MORE. 4260 02:50:01,760 --> 02:50:02,680 WHOMEVER THOUGHT THERE WOULD BE 4261 02:50:02,680 --> 02:50:08,560 MORE TO LEARN ABOUT COVID, BUT 4262 02:50:08,560 --> 02:50:09,200 WE ARE CONTINUING TO LEARN MORE. 4263 02:50:09,200 --> 02:50:09,840 COVID IS THE GIFT THAT KEEPS ON 4264 02:50:09,840 --> 02:50:10,360 GIVING AROUND EDUCATION. 4265 02:50:10,360 --> 02:50:11,040 SO NOW WE'RE GOING TO TAKE SOME 4266 02:50:11,040 --> 02:50:13,960 TIME TO HEAR CLOSING REMARKS 4267 02:50:13,960 --> 02:50:16,840 FROM ELISEO PEREZ-STABLE, 4268 02:50:16,840 --> 02:50:17,360 DIRECTOR OF THE NATIONAL 4269 02:50:17,360 --> 02:50:19,360 INSTITUTES ON MINORITY HEALTH 4270 02:50:19,360 --> 02:50:19,840 AND HEALTH DISPARITIES. 4271 02:50:19,840 --> 02:50:24,400 SO NOW I TURN IT OVER TO YOU. 4272 02:50:24,400 --> 02:50:26,080 >> THANK YOU VERY MUCH. 4273 02:50:26,080 --> 02:50:28,400 I WANT TO THANK BOTH THE 4274 02:50:28,400 --> 02:50:29,600 LEADERSHIP OF CDCC AND ALL THE 4275 02:50:29,600 --> 02:50:32,440 STAFF FOR ORGANIZING WHAT HAS 4276 02:50:32,440 --> 02:50:35,040 BEEN REALLY A STELLAR AFTERNOON 4277 02:50:35,040 --> 02:50:38,080 OF LISTENING TO THESE WONDERFUL 4278 02:50:38,080 --> 02:50:38,520 PRESENTATIONS. 4279 02:50:38,520 --> 02:50:40,360 I WANT TO START JUST BY 4280 02:50:40,360 --> 02:50:44,640 BASICALLY CONGRATULATING ALL OF 4281 02:50:44,640 --> 02:50:46,360 YOU FOR YOUR EFFORTS IN WORKING 4282 02:50:46,360 --> 02:50:50,120 FROM THIS. 4283 02:50:50,120 --> 02:50:50,680 IT'S HARD TO REMEMBER THREE 4284 02:50:50,680 --> 02:50:54,200 YEARS AGO WHEN WE WERE JUST 4285 02:50:54,200 --> 02:50:57,480 STANDING THIS PROGRAM UP AT NIH. 4286 02:50:57,480 --> 02:50:58,640 AND ALL THE CHALLENGES THAT WE 4287 02:50:58,640 --> 02:51:02,360 WERE THINKING ABOUT, ALL THE 4288 02:51:02,360 --> 02:51:05,040 FEAR, REALLY, THAT EXISTED AMONG 4289 02:51:05,040 --> 02:51:07,160 ALL OF US WHETHER RECOGNIZING IT 4290 02:51:07,160 --> 02:51:09,280 OR NOT, ABOUT WHAT WAS HAPPENING 4291 02:51:09,280 --> 02:51:13,160 AND WHAT COULD HAPPEN. 4292 02:51:13,160 --> 02:51:16,120 AND SO, I THINK THAT THE 4293 02:51:16,120 --> 02:51:17,840 COMMUNITY, OUR COMMUNITY HAS 4294 02:51:17,840 --> 02:51:23,120 REALLY STEPPED UP. 4295 02:51:23,120 --> 02:51:24,080 THEY MOBILIZED. 4296 02:51:24,080 --> 02:51:25,120 THEY TOOK -- THIS WAS A 4297 02:51:25,120 --> 02:51:27,280 PARTICULAR PROGRAM THAT WE 4298 02:51:27,280 --> 02:51:29,440 FUNDED BUT SEPARATE FROM THAT, 4299 02:51:29,440 --> 02:51:32,520 TO REALLY IMPACT OUR POPULATION 4300 02:51:32,520 --> 02:51:35,840 HEALTH IN A WAY THAT REALLY HAS 4301 02:51:35,840 --> 02:51:38,800 MADE ME VERY PROUD OF ALL OF 4302 02:51:38,800 --> 02:51:39,280 YOU. 4303 02:51:39,280 --> 02:51:44,320 I WANT TO EMPHASIZE THAT RADx 4304 02:51:44,320 --> 02:51:46,680 FOR UNDERSERVED POPULATIONS IS 4305 02:51:46,680 --> 02:51:49,320 REALLY PART OF THIS SOLUTION. 4306 02:51:49,320 --> 02:51:51,800 WE DID SEE IMPROVEMENT. 4307 02:51:51,800 --> 02:51:56,800 WE HAD TREMENDOUS LOSS OF LIFE, 4308 02:51:56,800 --> 02:52:01,960 TREMENDOUS DISPARITIES AMONG 4309 02:52:01,960 --> 02:52:02,560 COMMUNITIES OF COLOR IN 2020, 4310 02:52:02,560 --> 02:52:02,760 2021. 4311 02:52:02,760 --> 02:52:06,240 SLOWER UPTAKE OF VACCINES 4312 02:52:06,240 --> 02:52:08,440 INITIALLY BUT BY THE FALL OF 4313 02:52:08,440 --> 02:52:11,680 2022, WE WERE PRETTY EVEN IN 4314 02:52:11,680 --> 02:52:13,280 TERMS OF VACCINE UPTAKE AND IN 4315 02:52:13,280 --> 02:52:15,680 TERMS OF AGE ADJUSTED DEATH 4316 02:52:15,680 --> 02:52:15,880 RATES. 4317 02:52:15,880 --> 02:52:18,320 AND AS WE LOOK AT THE EVOLUTION 4318 02:52:18,320 --> 02:52:19,920 OF COVID AND PEOPLE DON'T WANT 4319 02:52:19,920 --> 02:52:21,040 TO TALK ABOUT COVID ANYMORE. 4320 02:52:21,040 --> 02:52:23,160 THEY KIND OF SAY, THAT WAS -- 4321 02:52:23,160 --> 02:52:25,240 THAT'S IN THE PAST. 4322 02:52:25,240 --> 02:52:31,760 IT WILL BECOME PART OF OUR 4323 02:52:31,760 --> 02:52:33,000 RESPATORY INFECTIONS WE DEAL 4324 02:52:33,000 --> 02:52:34,280 WITH, WE THINK. 4325 02:52:34,280 --> 02:52:37,560 MAYBE SEASONAL, WE THINK. 4326 02:52:37,560 --> 02:52:40,520 MAYBE WE'LL NEED A REGULAR DOSE 4327 02:52:40,520 --> 02:52:41,320 OF VACCINE. 4328 02:52:41,320 --> 02:52:44,280 SO THE ISSUES WILL NOT DISAPPEAR 4329 02:52:44,280 --> 02:52:50,320 OR GO AWAY WITH THE END OF THE 4330 02:52:50,320 --> 02:52:52,520 PUBLIC HEALTH EMERGENCY OR THE 4331 02:52:52,520 --> 02:52:53,320 END OF YOUR GRANTS. 4332 02:52:53,320 --> 02:52:54,000 BUT I DO WANT TO MAKE SURE THAT 4333 02:52:54,000 --> 02:52:55,160 EVERYONE ACKNOWLEDGES THE 4334 02:52:55,160 --> 02:52:58,840 SUCCESS THAT HAS BEEN ACHIEVED 4335 02:52:58,840 --> 02:52:59,520 THROUGH ALL OF THESE EFFORTS. 4336 02:52:59,520 --> 02:53:00,120 I DON'T KNOW THAT ANYTHING 4337 02:53:00,120 --> 02:53:02,760 SPECIFIC WE DID IN RADX-UP OR 4338 02:53:02,760 --> 02:53:04,760 ANY OF THE OTHER PROGRAMS LED TO 4339 02:53:04,760 --> 02:53:06,320 A BETTER OUTCOME. 4340 02:53:06,320 --> 02:53:08,800 BUT I'M CONVINCED THAT THE 4341 02:53:08,800 --> 02:53:10,240 ACCUMULATIVE AFFECT OF ALL THAT 4342 02:53:10,240 --> 02:53:13,480 HAPPENED REALLY MADE A 4343 02:53:13,480 --> 02:53:13,800 DIFFERENCE. 4344 02:53:13,800 --> 02:53:16,240 IF WE HADN'T DONE MUCH OF 4345 02:53:16,240 --> 02:53:17,680 ANYTHING, HOW MANY LIVES WOULD 4346 02:53:17,680 --> 02:53:18,040 HAVE BEEN LOST. 4347 02:53:18,040 --> 02:53:21,720 WE LOST WELL OVER A MILLION 4348 02:53:21,720 --> 02:53:23,360 PEOPLE. 4349 02:53:23,360 --> 02:53:24,000 WOULD IT HAVE BEEN TEP MILLION? 4350 02:53:24,000 --> 02:53:24,280 5 MILLION? 4351 02:53:24,280 --> 02:53:24,880 I DON'T KNOW. 4352 02:53:24,880 --> 02:53:28,480 BUT I THINK WE SHOULD ALL BE 4353 02:53:28,480 --> 02:53:31,840 REFLECTIVE ON THE LAST THREE 4354 02:53:31,840 --> 02:53:33,040 YEARS, LOOK FORWARD TO WHAT WE 4355 02:53:33,040 --> 02:53:35,200 HAVE LEARNED FROM THIS 4356 02:53:35,200 --> 02:53:37,880 EXPERIENCE, AND REALLY BE PROUD 4357 02:53:37,880 --> 02:53:39,640 OF OUR COMMUNITIES AND OF THE 4358 02:53:39,640 --> 02:53:42,040 WORK WE HAVE DONE. 4359 02:53:42,040 --> 02:53:45,600 A COUPLE OF OTHER THEMES 4360 02:53:45,600 --> 02:53:46,000 ACROSS-THE-BOARD. 4361 02:53:46,000 --> 02:53:46,720 IT'S CLEAR FROM THESE 4362 02:53:46,720 --> 02:53:52,720 PRESENTATIONS THAT WE HAVE VERY 4363 02:53:52,720 --> 02:53:54,000 STRONG COMMUNITY PARTNERSHIP AT 4364 02:53:54,000 --> 02:53:54,680 THE TABLE. 4365 02:53:54,680 --> 02:53:58,880 I BELIEVE EVERY PROJECT HAD A 4366 02:53:58,880 --> 02:54:01,040 COMMUNITY LEADER REPRESENTING 4367 02:54:01,040 --> 02:54:01,680 PARTNERSHIP IN A TRUE WAY AND 4368 02:54:01,680 --> 02:54:03,600 THAT WAS REFLECTED IN THE 4369 02:54:03,600 --> 02:54:05,920 CONTENT OF THE PRESENTATIONS. 4370 02:54:05,920 --> 02:54:08,480 SO, I THANK YOU FOR THAT. 4371 02:54:08,480 --> 02:54:10,160 I WAS PROUD TO SEE THE TRIBAL 4372 02:54:10,160 --> 02:54:11,960 COMMUNITIES REPRESENTED. 4373 02:54:11,960 --> 02:54:14,240 I WAS PARTICULARLY HAPPY TO SEE 4374 02:54:14,240 --> 02:54:16,440 PUERTO RICO REPRESENTED. 4375 02:54:16,440 --> 02:54:21,880 AS WELL AS OUR AFRICAN-AMERICAN 4376 02:54:21,880 --> 02:54:23,640 AND NATIVE HAWAIIAN PACIFIC 4377 02:54:23,640 --> 02:54:24,400 ISLANDER COMMUNITIES. 4378 02:54:24,400 --> 02:54:26,600 THE SCIENTISTS NEED TO BE 4379 02:54:26,600 --> 02:54:29,760 ENGAGED IN THE COMMUNITY. 4380 02:54:29,760 --> 02:54:35,080 WE CANNOT AFFORD TO DELEGATE 4381 02:54:35,080 --> 02:54:35,840 THIS. 4382 02:54:35,840 --> 02:54:37,000 WE NEED SCIENTISTS OF ALL COLORS 4383 02:54:37,000 --> 02:54:40,840 TO ROLE UP THEIR SLEEVES AND GO 4384 02:54:40,840 --> 02:54:42,200 TO THE HOOD. 4385 02:54:42,200 --> 02:54:43,400 OR GO TO THE COMMUNITIES. 4386 02:54:43,400 --> 02:54:47,560 WHEREVER THEY ARE. 4387 02:54:47,560 --> 02:54:50,680 AND BE THERE WITH OUR 4388 02:54:50,680 --> 02:54:52,000 POPULATIONS BECAUSE THAT IS THE 4389 02:54:52,000 --> 02:54:55,280 ONLY WAY TO BUILD THAT TRUST 4390 02:54:55,280 --> 02:54:58,320 THAT WAS DISCUSSED EARLIER IN 4391 02:54:58,320 --> 02:54:59,240 ONE OF THE PROJECT 4392 02:54:59,240 --> 02:54:59,760 PRESENTATIONS. 4393 02:54:59,760 --> 02:55:03,000 THAT'S THE ONLY WAY THAT WE CAN 4394 02:55:03,000 --> 02:55:06,640 CREATE A BOND TO ADDRESS ISSUES 4395 02:55:06,640 --> 02:55:08,560 OF MISS INFORMATION TO REALLY 4396 02:55:08,560 --> 02:55:11,920 GET CLARITY ON COMMUNICATION. 4397 02:55:11,920 --> 02:55:16,200 THIS IS NOT SOMETHING WE CAN 4398 02:55:16,200 --> 02:55:16,840 DELEGATE. 4399 02:55:16,840 --> 02:55:21,400 AND UNDERSTANDING THERE IS A 4400 02:55:21,400 --> 02:55:22,920 LACK OF UNREPRESENTED SCIENTISTS 4401 02:55:22,920 --> 02:55:25,560 TO WORK IN OUR COMMUNITIES, WE 4402 02:55:25,560 --> 02:55:30,040 REALLY DEPEND ON ALL SCIENTISTS 4403 02:55:30,040 --> 02:55:33,400 AND CLINICIANS TO BE ON THE 4404 02:55:33,400 --> 02:55:33,880 FRONT LINES HERE 4405 02:55:33,880 --> 02:55:35,840 SHOULDER-TO-SHOULDER WITH OUR 4406 02:55:35,840 --> 02:55:39,840 COMMUNITY ORGANIZATIONS AND 4407 02:55:39,840 --> 02:55:40,800 LEADERSHIP AND STAFF. 4408 02:55:40,800 --> 02:55:43,720 THE COMMON DATA ELEMENTS ISSUES 4409 02:55:43,720 --> 02:55:47,840 WERE RAISED A COUPLE OF TIMES, 4410 02:55:47,840 --> 02:55:49,400 ALTHOUGH NOT EMPHASIZED. 4411 02:55:49,400 --> 02:55:52,960 THIS WAS A REQUIREMENT THAT CAME 4412 02:55:52,960 --> 02:55:55,120 FROM NIH. 4413 02:55:55,120 --> 02:55:58,800 WE DIDN'T DO BADLY IN GETTING 4414 02:55:58,800 --> 02:56:00,240 PEOPLE TO ADMINISTER THEM AND 4415 02:56:00,240 --> 02:56:01,800 REPORT THEM. 4416 02:56:01,800 --> 02:56:04,280 BUT OF COURSE, IT WASN'T 100% AS 4417 02:56:04,280 --> 02:56:08,040 YOU MIGHT EXPECT. 4418 02:56:08,040 --> 02:56:09,400 AND THIS IS SEPARATE FROM THE 4419 02:56:09,400 --> 02:56:12,240 RESPECT FOR TRIBAL DATA 4420 02:56:12,240 --> 02:56:12,520 SOVEREIGNTY. 4421 02:56:12,520 --> 02:56:18,000 BUT I WANT TO EMPHASIZE WHAT AN 4422 02:56:18,000 --> 02:56:20,520 IMPORTANT PART RADx UPUSING 4423 02:56:20,520 --> 02:56:23,600 THE SAME SURVEY INSTRUMENTS WAS. 4424 02:56:23,600 --> 02:56:25,600 AND WHAT AN IMPORTANT COMPONENT 4425 02:56:25,600 --> 02:56:27,880 IT WAS TO ASK QUESTIONS THAT IN 4426 02:56:27,880 --> 02:56:31,200 THE PAST PEOPLE WOULD DISMISS AS 4427 02:56:31,200 --> 02:56:33,800 NOT APPROPRIATE FOR MY 4428 02:56:33,800 --> 02:56:34,200 POPULATION. 4429 02:56:34,200 --> 02:56:37,000 BECAUSE THEY NEVER HAD REALLY 4430 02:56:37,000 --> 02:56:38,840 BEEN TESTED AND ALTHOUGH THAT 4431 02:56:38,840 --> 02:56:40,920 MAY BE THE CASE SOMETIMES, WE 4432 02:56:40,920 --> 02:56:45,840 NEED TO MORE AND MORE ADDRESS 4433 02:56:45,840 --> 02:56:47,520 THESE FUNDAMENTAL IDENTITY 4434 02:56:47,520 --> 02:56:52,000 FACTORS, THESE FUNDAMENTAL 4435 02:56:52,000 --> 02:56:53,040 ELEMENTS, SOCIAL DETERMINANTS OF 4436 02:56:53,040 --> 02:56:57,040 HEALTH, THAT WE ALL REFER TO IN 4437 02:56:57,040 --> 02:57:00,240 OUR WORK, GROWTH OUR RESEARCH 4438 02:57:00,240 --> 02:57:02,960 AND OUR GENERAL WORK, AND REALLY 4439 02:57:02,960 --> 02:57:06,000 MEASURE THESE FACTORS THE SAME 4440 02:57:06,000 --> 02:57:06,200 WAY. 4441 02:57:06,200 --> 02:57:07,680 OTHERWISE HOW DO WE COMPARE? 4442 02:57:07,680 --> 02:57:11,640 WE CAN'T REALLY COMPARE IF WE 4443 02:57:11,640 --> 02:57:13,600 KEEP ALL USING DIFFERENT 4444 02:57:13,600 --> 02:57:13,840 MEASURES. 4445 02:57:13,840 --> 02:57:15,080 I DON'T LIKE THAT QUESTION, I'LL 4446 02:57:15,080 --> 02:57:16,800 ASK THREE OUT OF FOUR QUESTIONS. 4447 02:57:16,800 --> 02:57:18,880 THESE KINDS OF APPROACHES. 4448 02:57:18,880 --> 02:57:21,920 SO, THIS IS, I THINK, WAS A 4449 02:57:21,920 --> 02:57:24,720 MAJOR STEP IN THE RIGHT 4450 02:57:24,720 --> 02:57:25,520 DIRECTION. 4451 02:57:25,520 --> 02:57:29,560 LOTS TO REFLECT ON. 4452 02:57:29,560 --> 02:57:31,680 THE SPECIFIC PROJECTS IN THE 4453 02:57:31,680 --> 02:57:32,560 INITIAL PRESENTATION. 4454 02:57:32,560 --> 02:57:36,640 I CHOSE TO GO TO THE SCHOOL 4455 02:57:36,640 --> 02:57:38,080 POPULATIONS PANEL IN PART 4456 02:57:38,080 --> 02:57:40,240 BECAUSE I THINK I FELT I KNEW 4457 02:57:40,240 --> 02:57:44,840 LESS ABOUT IT AND THIS IS REALLY 4458 02:57:44,840 --> 02:57:47,360 A CRITICAL AREA. 4459 02:57:47,360 --> 02:57:49,120 WE HEARD FROM -- A DISCUSSION 4460 02:57:49,120 --> 02:57:52,240 FROM DIFFERENT REPRESENTATIVES, 4461 02:57:52,240 --> 02:57:54,440 PARTICULARLY FASCINATED BY THE 4462 02:57:54,440 --> 02:57:56,720 DIFFERENT REGIONS, GEOGRAPHIC 4463 02:57:56,720 --> 02:57:59,920 EVENS, ISSUES IN FLORIDA, 4464 02:57:59,920 --> 02:58:01,920 HAWAII, CALIFORNIA. 4465 02:58:01,920 --> 02:58:06,280 THERE WAS INTENSE PARTNERSHIP 4466 02:58:06,280 --> 02:58:09,520 WITH SCHOOL DISTRICTS WHERE A 4467 02:58:09,520 --> 02:58:10,680 SCHOOL DISTRICT WASN'T TOO 4468 02:58:10,680 --> 02:58:12,520 THRILLED WITH WHAT THE PROJECT 4469 02:58:12,520 --> 02:58:14,440 WAS DOING. 4470 02:58:14,440 --> 02:58:18,040 AND LOOKING BACK, I THINK BOTH 4471 02:58:18,040 --> 02:58:20,280 AS A SCIENTIFIC COMMUNITY AS 4472 02:58:20,280 --> 02:58:23,880 WELL AS A SOCIETY, WE HAVE TO 4473 02:58:23,880 --> 02:58:26,280 THINK ABOUT WHAT HAPPENED WITH 4474 02:58:26,280 --> 02:58:29,720 OUR SCHOOLS. 4475 02:58:29,720 --> 02:58:32,640 I THINK THAT MANY, AND I SHARE 4476 02:58:32,640 --> 02:58:35,840 MUCH OF THIS, THINK THAT WE KEPT 4477 02:58:35,840 --> 02:58:41,520 THEM CLOSED FOR WAY TOO LONG. 4478 02:58:41,520 --> 02:58:43,800 MANY -- THE IMPACT ON OUR 4479 02:58:43,800 --> 02:58:44,760 CHILDREN, PARTICULARLY THOSE 4480 02:58:44,760 --> 02:58:47,200 FROM ECONOMICALLY DISADVANTAGED 4481 02:58:47,200 --> 02:58:48,760 BACKGROUNDS, IS GOING -- IT'S A 4482 02:58:48,760 --> 02:58:53,440 COST THAT WE WILL BE DEALING 4483 02:58:53,440 --> 02:58:54,040 WITH FOR YEARS. 4484 02:58:54,040 --> 02:58:56,720 A YEAR LOST OF LEARNING AND 4485 02:58:56,720 --> 02:58:57,040 SOCIALIZING. 4486 02:58:57,040 --> 02:59:00,040 A YEAR PLUS IN SOME CASES. 4487 02:59:00,040 --> 02:59:03,320 AND YES, THE ISSUES OF MENTAL 4488 02:59:03,320 --> 02:59:04,080 HEALTH RECEIVE SOME ATTENTION 4489 02:59:04,080 --> 02:59:07,760 AND WILL CONTINUE TO RECEIVE 4490 02:59:07,760 --> 02:59:08,040 ATTENTION. 4491 02:59:08,040 --> 02:59:10,760 BUT OVERALL, SOME SELF 4492 02:59:10,760 --> 02:59:12,280 REFLECTION AS A SCIENTIFIC 4493 02:59:12,280 --> 02:59:15,440 COMMUNITY, AS LEADERS, AS TO 4494 02:59:15,440 --> 02:59:18,000 WHAT WAS -- WHAT DID WE DO? 4495 02:59:18,000 --> 02:59:19,800 WHAT DID WE DO RIGHT? 4496 02:59:19,800 --> 02:59:23,440 WHAT DID WE NOT DO RIGHT? 4497 02:59:23,440 --> 02:59:25,040 AND I DON'T BELIEVE THAT WE 4498 02:59:25,040 --> 02:59:27,840 HEARD ENOUGH ON THAT. 4499 02:59:27,840 --> 02:59:31,480 I ENJOYED HEARING ABOUT THE ROLE 4500 02:59:31,480 --> 02:59:35,040 OF MOBILE HEALTH IN MIGRANTS IN 4501 02:59:35,040 --> 02:59:37,600 THE AGRICULTURAL AREA OF 4502 02:59:37,600 --> 02:59:37,880 NEBRASKA. 4503 02:59:37,880 --> 02:59:40,640 THIS WAS PREDOMINANTLY 4504 02:59:40,640 --> 02:59:42,240 SPANISH-SPEAKING IMMIGRANTS OR 4505 02:59:42,240 --> 02:59:45,600 AGRICULTURAL WORKERS AND THEIR 4506 02:59:45,600 --> 02:59:46,240 FAMILIES. 4507 02:59:46,240 --> 02:59:49,520 I THINK TO BREAK THE MYTH ABOUT 4508 02:59:49,520 --> 02:59:51,360 SOME POPULATIONS DON'T KNOW OR 4509 02:59:51,360 --> 02:59:53,600 KEPT USE TECHNOLOGY, IS 4510 02:59:53,600 --> 02:59:53,920 IMPORTANT. 4511 02:59:53,920 --> 02:59:57,840 FREQUENTLY IT'S AN ISSUE OF COST 4512 02:59:57,840 --> 03:00:00,040 RATHER THAN OF WANTING TO OR 4513 03:00:00,040 --> 03:00:01,520 ABLE TO USE IT. 4514 03:00:01,520 --> 03:00:04,000 AND THE PARTNERSHIP WITH 4515 03:00:04,000 --> 03:00:06,520 COMMUNITY NAVIGATORS, COMMUNITY 4516 03:00:06,520 --> 03:00:09,240 HEALTH WORKERS, WAS CONSTANTLY 4517 03:00:09,240 --> 03:00:12,640 RAISED IN MANY OF THESE 4518 03:00:12,640 --> 03:00:14,520 PROJECTS, NOT JUST IN THAT ONE. 4519 03:00:14,520 --> 03:00:18,120 THE MAPPING OF GEOSPATIAL 4520 03:00:18,120 --> 03:00:21,360 METHODS THAT WERE SHOWN TO US IN 4521 03:00:21,360 --> 03:00:23,880 TEXAS IS A GREAT EXAMPLE OF HOW 4522 03:00:23,880 --> 03:00:25,560 WE SHOULD BE THINKING IN TERMS 4523 03:00:25,560 --> 03:00:28,080 OF THE PUBLIC'S HEALTH, NOT JUST 4524 03:00:28,080 --> 03:00:31,280 WITH PANDEMIC LIKE WOE VID, BUT 4525 03:00:31,280 --> 03:00:31,840 ALL THE TIME. 4526 03:00:31,840 --> 03:00:35,600 WE SHOULD LOOK AT DISTRIBUTION 4527 03:00:35,600 --> 03:00:36,960 OF CASES OF DIABETES OR NEW 4528 03:00:36,960 --> 03:00:41,000 CASES OF THE MOST COMMON CANCERS 4529 03:00:41,000 --> 03:00:42,880 OR INTIMATE PARTNER VIOLENCE. 4530 03:00:42,880 --> 03:00:47,280 ALL KINDS OF INFORMATION THAT WE 4531 03:00:47,280 --> 03:00:50,440 HAVE TO GUIDE WHERE RESOURCES 4532 03:00:50,440 --> 03:00:55,480 FOR PUBLIC HEALTH PARTLY WITH 4533 03:00:55,480 --> 03:00:58,480 CLINICAL SERVICES, NEED TO 4534 03:00:58,480 --> 03:00:58,960 EMPHASIZE. 4535 03:00:58,960 --> 03:01:00,600 AND LEVERAGING OUR UNDERSTANDING 4536 03:01:00,600 --> 03:01:02,840 OF SOCIAL DETERMINANTS OF HEALTH 4537 03:01:02,840 --> 03:01:05,160 TO REALLY ADDRESS THESE 4538 03:01:05,160 --> 03:01:07,840 FUNDAMENTAL ISSUES. 4539 03:01:07,840 --> 03:01:14,040 IN A REPORT FROM FLORIDA, FROM 4540 03:01:14,040 --> 03:01:16,000 SOUTH FLORIDA, WITH THE FLORIDA 4541 03:01:16,000 --> 03:01:19,280 INTERNATIONAL UNIVERSITY ON 4542 03:01:19,280 --> 03:01:21,320 COMMUNITY ENGAGEMENT APPROACH TO 4543 03:01:21,320 --> 03:01:22,920 PROMOTE TESTING AND VACCINATION, 4544 03:01:22,920 --> 03:01:25,120 THEY LEVERAGED AN EXISTING 4545 03:01:25,120 --> 03:01:27,280 COHORT OF PERSONS WITH HIV. 4546 03:01:27,280 --> 03:01:30,240 AND I THINK THIS IS A GREAT WAY 4547 03:01:30,240 --> 03:01:32,520 OF ADDRESSING -- HOW DO WE GO 4548 03:01:32,520 --> 03:01:34,320 ABOUT DOING A STUDY IN A NEW 4549 03:01:34,320 --> 03:01:38,120 AREA BUT WE HAVE THIS EXISTING 4550 03:01:38,120 --> 03:01:39,680 STUDY WE COULD USE BOTH. 4551 03:01:39,680 --> 03:01:42,040 WE COULD LEVERAGE THAT TO 4552 03:01:42,040 --> 03:01:43,920 ENHANCE OUR SAMPLE SIZE. 4553 03:01:43,920 --> 03:01:46,440 THEY HAD A CURIOUS FOUNDING 4554 03:01:46,440 --> 03:01:49,080 ABOUT PEOPLE WITH HEALTH 4555 03:01:49,080 --> 03:01:51,440 INSURANCE BEING MORE LIKELY TO 4556 03:01:51,440 --> 03:01:52,920 OBTAIN THE VACCINE. 4557 03:01:52,920 --> 03:01:54,720 AND I ASKED ABOUT THAT BECAUSE I 4558 03:01:54,720 --> 03:01:56,960 WAS PERPLEXED BY THAT GIVEN THAT 4559 03:01:56,960 --> 03:02:00,360 THE VACCINE WAS FREE TO 4560 03:02:00,360 --> 03:02:00,640 EVERYONE. 4561 03:02:00,640 --> 03:02:05,840 NO ONE WAS BEING ASKED FOR 4562 03:02:05,840 --> 03:02:06,400 DOCUMENTATION PAPERS. 4563 03:02:06,400 --> 03:02:07,840 THE PHARMACIES OFTEN ASKED ABOUT 4564 03:02:07,840 --> 03:02:08,600 IF YOU HAVE HEALTH INSURANCE SO 4565 03:02:08,600 --> 03:02:11,440 THEY CAN GET REIMBURSED FOR 4566 03:02:11,440 --> 03:02:13,080 FACILITY COSTS. 4567 03:02:13,080 --> 03:02:15,120 BUT IT WASN'T A NECESSARY STEP. 4568 03:02:15,120 --> 03:02:18,200 AND YET, MANY IN OUR 4569 03:02:18,200 --> 03:02:19,840 COMMUNITIES, MANY HAVE THOUGHT 4570 03:02:19,840 --> 03:02:21,680 THAT YOU NEEDED TO HAVE 4571 03:02:21,680 --> 03:02:22,760 INSURANCE OR WHAT IF I GOT A 4572 03:02:22,760 --> 03:02:24,440 PROBLEM AND THEN I HAVE TO SEE 4573 03:02:24,440 --> 03:02:26,240 SOMEONE AND THEREFORE I'M 4574 03:02:26,240 --> 03:02:27,480 AVOIDING THE VACCINE? 4575 03:02:27,480 --> 03:02:31,760 YET IF THEY GOT COVID, OBVIOUSLY 4576 03:02:31,760 --> 03:02:33,360 IT COULD BE MUCH WORSE. 4577 03:02:33,360 --> 03:02:36,040 IT MAY HAVE ALSO JUST BEEN A 4578 03:02:36,040 --> 03:02:38,360 SOCIOECONOMIC MARKER FOR OTHER 4579 03:02:38,360 --> 03:02:38,600 FACTORS. 4580 03:02:38,600 --> 03:02:43,240 I WAS ALSO DELIGHTED TO HEAR THE 4581 03:02:43,240 --> 03:02:47,040 FIRST RESPONDERS FAITH-BASED 4582 03:02:47,040 --> 03:02:47,640 LEADERS AS FIRST RESPONDERS. 4583 03:02:47,640 --> 03:02:49,040 I THOUGHT THAT WAS A PRETTY GOOD 4584 03:02:49,040 --> 03:02:51,480 CONCEPT AND OF COURSE THERE IS 4585 03:02:51,480 --> 03:02:56,840 HISTORY BEHIND IT. 4586 03:02:56,840 --> 03:03:00,360 AND OFTENTIMES AS A CLINICIAN, 4587 03:03:00,360 --> 03:03:03,080 IN MY PRIOR POSITION, I WOULD 4588 03:03:03,080 --> 03:03:07,840 CROSS PATHS WITH LEADERS, 4589 03:03:07,840 --> 03:03:10,320 FAITH-BASED LEADERS DEALING WITH 4590 03:03:10,320 --> 03:03:11,720 PATIENTS WHO WERE DYING 4591 03:03:11,720 --> 03:03:14,000 FREQUENTLY AND DEALING WITH 4592 03:03:14,000 --> 03:03:16,720 FAMILIES IN THEIR HOMES. 4593 03:03:16,720 --> 03:03:19,280 SO THERE IS CLEARLY A PLACE IN 4594 03:03:19,280 --> 03:03:19,480 THIS. 4595 03:03:19,480 --> 03:03:21,520 AND IT MADE ME REMEMBER AN EVENT 4596 03:03:21,520 --> 03:03:23,840 THAT I PARTICIPATED IN, IN 4597 03:03:23,840 --> 03:03:28,560 FEBRUARY OF 2021 WITH NIH 4598 03:03:28,560 --> 03:03:29,840 LEADERSHIP DR. COLLINS WAS 4599 03:03:29,840 --> 03:03:31,840 THERE, DR. FAUCI. 4600 03:03:31,840 --> 03:03:35,200 THERE WAS A FAITH-BASED LEADER'S 4601 03:03:35,200 --> 03:03:38,080 INITIATIVE TO VACCINATE THE 4602 03:03:38,080 --> 03:03:38,360 COMMUNITY. 4603 03:03:38,360 --> 03:03:43,320 IT WAS DONE AS A MULTI-FAITH 4604 03:03:43,320 --> 03:03:44,800 ALLIANCE TO ILLUSTRATE THE 4605 03:03:44,800 --> 03:03:46,440 IMPORTANCE OF GETTING THE 4606 03:03:46,440 --> 03:03:47,280 VACCINE. 4607 03:03:47,280 --> 03:03:50,280 THIS IS IN THE EARLY PHASE OF 4608 03:03:50,280 --> 03:03:52,720 THE FIRST VERSION OF THE COVID 4609 03:03:52,720 --> 03:03:53,240 VACCINE. 4610 03:03:53,240 --> 03:03:55,840 BUT IT WAS, I THINK, A VERY 4611 03:03:55,840 --> 03:03:57,880 IMPORTANT EVENT IN THE NATIONAL 4612 03:03:57,880 --> 03:04:02,560 CATHEDRAL HERE IN WASHINGTON, 4613 03:04:02,560 --> 03:04:02,720 D.C. 4614 03:04:02,720 --> 03:04:05,240 THERE WAS A PRESENTATION IN 4615 03:04:05,240 --> 03:04:08,520 SPANISH AND IN ENGLISH BY THE 4616 03:04:08,520 --> 03:04:09,280 GROUP FROM PUERTO RICO THAT I 4617 03:04:09,280 --> 03:04:10,840 LIFT END TO OF THE POSTERS THAT 4618 03:04:10,840 --> 03:04:11,840 I WENT TO. 4619 03:04:11,840 --> 03:04:14,600 I SELECTED THAT ONE. 4620 03:04:14,600 --> 03:04:17,160 AND ONE OF THE INTERESTING 4621 03:04:17,160 --> 03:04:19,400 POINTS MADE IS THE MOST OF THEIR 4622 03:04:19,400 --> 03:04:23,840 PARTICIPANTS IN THEIR STUDY 4623 03:04:23,840 --> 03:04:26,640 ACTUALLY IDENTIFIED AS BLACK IN 4624 03:04:26,640 --> 03:04:27,640 A COMMUNITY IN NORTHEASTERN 4625 03:04:27,640 --> 03:04:30,520 PUERTO RICO THAT IS A 4626 03:04:30,520 --> 03:04:32,360 CONCENTRATION OF PUERTO RICANS 4627 03:04:32,360 --> 03:04:35,160 WITH AFRICAN ANCESTRY. 4628 03:04:35,160 --> 03:04:41,080 WE HEARD FROM THE NATIVE BIOBANK 4629 03:04:41,080 --> 03:04:42,520 DATA CONSORTIUM AND THEIR 4630 03:04:42,520 --> 03:04:45,360 ALLIANCE AND HOW THEY SET UP 4631 03:04:45,360 --> 03:04:50,200 CAPACITY BUILDING IN SOUTH 4632 03:04:50,200 --> 03:04:54,000 DAKOTA RELATING TO BOTH TESTING, 4633 03:04:54,000 --> 03:04:58,400 GENE SEQUENCING AND POLICY 4634 03:04:58,400 --> 03:05:01,720 ADVOCACY, PARTICULARLY AROUND 4635 03:05:01,720 --> 03:05:03,040 DATA SOVEREIGNTY AND HOW THESE 4636 03:05:03,040 --> 03:05:06,120 BUILDING THIS CAPACITY WAS A 4637 03:05:06,120 --> 03:05:08,120 VERY IMPORTANT PART AND TO BE 4638 03:05:08,120 --> 03:05:08,400 CONTINUED. 4639 03:05:08,400 --> 03:05:11,080 AND ALSO FROM CHEROKEE NATION 4640 03:05:11,080 --> 03:05:13,520 AND OKLAHOMA WHERE TESTING AND 4641 03:05:13,520 --> 03:05:15,800 CONTACT TRACING WAS WIDELY 4642 03:05:15,800 --> 03:05:16,440 IMPLEMENTED AND THERE WAS MORE 4643 03:05:16,440 --> 03:05:19,360 OF A QUALITATIVE REPORT ON WHAT 4644 03:05:19,360 --> 03:05:20,040 THE CHALLENGES WERE. 4645 03:05:20,040 --> 03:05:23,040 IT ALSO MADE ME THINK ABOUT 4646 03:05:23,040 --> 03:05:25,600 URBAN INDIANS JUST LIKE I 4647 03:05:25,600 --> 03:05:28,400 FREQUENTLY THINK ABOUT IN 4648 03:05:28,400 --> 03:05:30,120 LATINOS, 70% ARE BORN IN THE 4649 03:05:30,120 --> 03:05:32,280 U.S. AND YET WE FREQUENTLY FOCUS 4650 03:05:32,280 --> 03:05:36,080 ON THE LATINO HISPANIC COMMUNITY 4651 03:05:36,080 --> 03:05:38,280 AS IMMIGRANTS OR AGRICULTURAL 4652 03:05:38,280 --> 03:05:38,480 WORKERS. 4653 03:05:38,480 --> 03:05:42,360 AND YET THE MAJORITY REALLY ARE 4654 03:05:42,360 --> 03:05:46,360 U.S.-BORN AND GROWING UP IN THIS 4655 03:05:46,360 --> 03:05:46,600 COUNTRY. 4656 03:05:46,600 --> 03:05:48,520 AND HOW ARE WE GETTING TO THEM? 4657 03:05:48,520 --> 03:05:52,000 SIMILARLY THE 70% OF AMERICAN 4658 03:05:52,000 --> 03:05:54,880 INDIANS LIVE IN CITIES AND NOT 4659 03:05:54,880 --> 03:05:57,160 IN PROXIMITY TO THE TRADITIONAL 4660 03:05:57,160 --> 03:06:00,520 TRIBAL LANDS OR THE RESERVATION 4661 03:06:00,520 --> 03:06:05,240 LANDS IN THE AREAS AROUND THEM. 4662 03:06:05,240 --> 03:06:08,480 AND I WILL SAY THAT FIGURING OUT 4663 03:06:08,480 --> 03:06:09,600 HOW TO GET BETTER EDUCATION TO 4664 03:06:09,600 --> 03:06:12,520 OUR COMMUNITIES IS GOING TO BE 4665 03:06:12,520 --> 03:06:14,640 AN ONGOING CHALLENGE. 4666 03:06:14,640 --> 03:06:17,800 I'M NOT SURE THAT THE COVID 4667 03:06:17,800 --> 03:06:20,440 EXPERIENCE IS GOING TO TELL US 4668 03:06:20,440 --> 03:06:21,600 WHAT TO DO. 4669 03:06:21,600 --> 03:06:25,800 THERE IS A TREMENDOUS AMOUNT OF 4670 03:06:25,800 --> 03:06:27,280 MISINFORMATION OR DISINFORMATION 4671 03:06:27,280 --> 03:06:28,600 THAT GETS DISSEMINATED. 4672 03:06:28,600 --> 03:06:34,400 THE PERSPECTIVE OF SCIENTISTS, 4673 03:06:34,400 --> 03:06:35,240 SOMETIMES IS NOT CLEAR, IN PART 4674 03:06:35,240 --> 03:06:37,160 BECAUSE IT'S IN OUR NATURE. 4675 03:06:37,160 --> 03:06:38,840 WE SAY THERE IS A POSSIBLY OF 4676 03:06:38,840 --> 03:06:40,560 THIS AND POSSIBLY OF THAT. 4677 03:06:40,560 --> 03:06:42,480 SO RE-THINKING OF HOW WE 4678 03:06:42,480 --> 03:06:45,560 COMMUNICATE THINGS IN A 4679 03:06:45,560 --> 03:06:49,920 FUNDAMENTAL WAY THAT IS 4680 03:06:49,920 --> 03:06:50,960 CONCRETE, CLEAR AND WILLING TO 4681 03:06:50,960 --> 03:06:54,800 BE MODIFIED AS INFORMATION COMES 4682 03:06:54,800 --> 03:06:54,960 OUT. 4683 03:06:54,960 --> 03:06:58,880 BUT SOMEHOW WE DIDN'T GET IN A 4684 03:06:58,880 --> 03:06:59,720 COORDINATED SPACE. 4685 03:06:59,720 --> 03:07:01,160 MANY WILL BLAME THE FACT THAT 4686 03:07:01,160 --> 03:07:03,520 U.S. DOESN'T HAVE A PUBLIC 4687 03:07:03,520 --> 03:07:05,320 HEALTH -- NATURAL PUBLIC HEALTH 4688 03:07:05,320 --> 03:07:05,560 SYSTEM. 4689 03:07:05,560 --> 03:07:08,560 THEY WERE REALLY 50 DIFFERENT 4690 03:07:08,560 --> 03:07:10,600 STATES THAT DO THINGS THEIR OWN 4691 03:07:10,600 --> 03:07:11,680 WAY. 4692 03:07:11,680 --> 03:07:12,520 OUR COORDINATION IS OFTEN 4693 03:07:12,520 --> 03:07:14,200 LACKING AND MANY FACTORS. 4694 03:07:14,200 --> 03:07:15,400 BUT THIS DOESN'T MEAN THAT WE 4695 03:07:15,400 --> 03:07:17,560 SHOULDN'T BE THINKING ABOUT HOW 4696 03:07:17,560 --> 03:07:18,040 TO ADDRESS THIS. 4697 03:07:18,040 --> 03:07:22,480 AND FINALLY, I REALLY WAS 4698 03:07:22,480 --> 03:07:23,760 PLEASED TO SEE A COMMUNITY IN 4699 03:07:23,760 --> 03:07:28,560 THE CLINICAL SETTING GIVEN THAT 4700 03:07:28,560 --> 03:07:31,000 CLINICAL SETTINGS ACTUALLY 4701 03:07:31,000 --> 03:07:33,320 EXCEPT FOR CHRONIC CARE 4702 03:07:33,320 --> 03:07:35,120 FACILITIES, AND SKILLED NURSING 4703 03:07:35,120 --> 03:07:36,680 FACILITIES, REALLY DID WELL 4704 03:07:36,680 --> 03:07:38,400 DURING THE PANDEMIC. 4705 03:07:38,400 --> 03:07:43,320 THEY WERE VERY FEW CASES OR 4706 03:07:43,320 --> 03:07:45,840 OUTBREAKS IN HOSPITALS OR 4707 03:07:45,840 --> 03:07:46,360 CLINICS. 4708 03:07:46,360 --> 03:07:48,440 NOW DIALYSIS SETTINGS WOULD BE 4709 03:07:48,440 --> 03:07:51,120 ONE THAT WOULD BE PARTICULARLY 4710 03:07:51,120 --> 03:07:52,480 VULNERABLE GIVEN THAT PATIENTS, 4711 03:07:52,480 --> 03:07:55,800 AS YOU SAW, IN PROXIMITY, SIT 4712 03:07:55,800 --> 03:08:00,520 THERE FOR FOUR HOURS AND TOL 4713 03:08:00,520 --> 03:08:03,800 SOME EXTENT NOT FULLY IMMUNE 4714 03:08:03,800 --> 03:08:04,080 COMPETENT. 4715 03:08:04,080 --> 03:08:08,560 MANY HAVE OTHER COMPLICATIONS. 4716 03:08:08,560 --> 03:08:10,360 AND RENAL REPLACEMENT THERAPY IS 4717 03:08:10,360 --> 03:08:10,640 LIFE-SAVING. 4718 03:08:10,640 --> 03:08:11,720 THEY DON'T HAVE A CHOICE. 4719 03:08:11,720 --> 03:08:13,680 THEY CAN'T POSTPONE IT LIKE MANY 4720 03:08:13,680 --> 03:08:15,800 PEOPLE POSTPONE THEIR ROUTINE 4721 03:08:15,800 --> 03:08:17,480 VISITS FOR MULTIPLE CONNICK 4722 03:08:17,480 --> 03:08:17,840 DISEASES. 4723 03:08:17,840 --> 03:08:19,480 PEOPLE ON RENAL REPLACEMENT 4724 03:08:19,480 --> 03:08:19,840 COULDN'T. 4725 03:08:19,840 --> 03:08:22,040 SO IT WAS A PARTICULARLY 4726 03:08:22,040 --> 03:08:25,280 RELEVANT IN THAT WAY. 4727 03:08:25,280 --> 03:08:27,840 ALSO MADE ME REMEMBER THE FACT 4728 03:08:27,840 --> 03:08:31,640 THAT MASKING EFFECTIVE MASK DO 4729 03:08:31,640 --> 03:08:31,840 WORK. 4730 03:08:31,840 --> 03:08:34,640 AND THAT'S A CONTEXT WHERE ONE 4731 03:08:34,640 --> 03:08:35,720 WOULD, ESPECIALLY WOULD PROMOTE 4732 03:08:35,720 --> 03:08:40,360 IT AS A MITIGATION INTERVENTION. 4733 03:08:40,360 --> 03:08:44,760 AND THEN VENTILATION. 4734 03:08:44,760 --> 03:08:47,200 VENTILATION WORKS AS WELL. 4735 03:08:47,200 --> 03:08:51,080 I KNOW THAT SOME HOSPITALS ENDED 4736 03:08:51,080 --> 03:08:55,120 UP MAKING UNEXPECTED 4737 03:08:55,120 --> 03:08:55,640 CONSTRUCTION CHANGES LIKE 4738 03:08:55,640 --> 03:08:59,120 BREAKING HOLES IN WALLS TO BE 4739 03:08:59,120 --> 03:09:02,560 ABLE TO INSTALL VENTILATION TO 4740 03:09:02,560 --> 03:09:07,760 GET AIR FLOW GOING IN THE 4741 03:09:07,760 --> 03:09:10,320 HOSPITAL ROOMS OUTSIDE OF THE 4742 03:09:10,320 --> 03:09:10,760 INTENSIVE CARE UNIT. 4743 03:09:10,760 --> 03:09:14,200 SO ALL OF THESE FACTORS, I 4744 03:09:14,200 --> 03:09:16,840 THINK, ARE THINGS THAT WE HAVE 4745 03:09:16,840 --> 03:09:17,360 LEARNED OUR EXPERIENCE. 4746 03:09:17,360 --> 03:09:21,600 SO I WANT TO AGAIN THANK ALL OF 4747 03:09:21,600 --> 03:09:24,120 THE PRESENTERS, ALL OF THE 4748 03:09:24,120 --> 03:09:26,360 ORGANIZERS, THE NATIONAL 4749 03:09:26,360 --> 03:09:28,440 INSTITUTES OF HEALTH IS VERY 4750 03:09:28,440 --> 03:09:31,680 PROUD OF ALL THE ACCOMPLISHMENTS 4751 03:09:31,680 --> 03:09:32,000 OF RADX-UP. 4752 03:09:32,000 --> 03:09:33,240 YOU'RE NOT DONE YET. 4753 03:09:33,240 --> 03:09:38,720 AND SO WE LOOK FORWARD TO SEEING 4754 03:09:38,720 --> 03:09:40,760 MORE RESULTS AND GREATER 4755 03:09:40,760 --> 03:09:42,160 BENEFITS FROM ALL OF THE 4756 03:09:42,160 --> 03:09:43,000 INFORMATION AND DATA THAT HAS 4757 03:09:43,000 --> 03:09:47,200 BEEN COLLECTED AND SHARED WITH 4758 03:09:47,200 --> 03:09:47,920 OUR COORDINATING CENTERS. 4759 03:09:47,920 --> 03:09:51,800 SO THANK YOU VERY MUCH FOR THIS 4760 03:09:51,800 --> 03:09:52,600 AFTERNOON. 4761 03:09:52,600 --> 03:09:55,440 >> THANK YOU AND AGAIN, THANK 4762 03:09:55,440 --> 03:09:58,240 YOU TO EVERYONE WHO CAME TODAY 4763 03:09:58,240 --> 03:10:00,080 WHETHER YOUR PRESENT OR CAME TO 4764 03:10:00,080 --> 03:10:01,840 SHARE ABOUT YOUR WORK. 4765 03:10:01,840 --> 03:10:03,640 I WANTED TO JUST REMIND YOU ALL 4766 03:10:03,640 --> 03:10:05,320 THAT OUR NEXT BIG EVENT IS THE 4767 03:10:05,320 --> 03:10:06,680 COMMUNITY HEALTH WORKER 4768 03:10:06,680 --> 03:10:09,000 SYMPOSIUM ON MAY 24 FROM 4769 03:10:09,000 --> 03:10:09,760 WOB:00-3 P.M. 4770 03:10:09,760 --> 03:10:11,680 AS WE LEARNED EARLIER TODAY IN 4771 03:10:11,680 --> 03:10:13,320 SEVERAL PRESENTATIONS, THE ROLE 4772 03:10:13,320 --> 03:10:14,320 OF THE COMMUNITY HEALTH WORKER 4773 03:10:14,320 --> 03:10:15,880 IS REALLY IMPORTANT AND SO 4774 03:10:15,880 --> 03:10:19,720 PLEASE REGISTER AND ENJOY AT THE 4775 03:10:19,720 --> 03:10:19,960 SYMPOSIUM. 4776 03:10:19,960 --> 03:10:22,040 FINALLY JUST A REMINDER TO 4777 03:10:22,040 --> 03:10:23,800 COMPLETE THE SCIENTIFIC MEETING 4778 03:10:23,800 --> 03:10:25,000 FEEDBACK SURVEY. 4779 03:10:25,000 --> 03:10:26,480 YOUR FEEDBACK IS REALLY 4780 03:10:26,480 --> 03:10:28,760 IMPORTANT AND HELPS SPEAK TO HOW 4781 03:10:28,760 --> 03:10:30,240 FUTURE EVENTS LOOK AND THE 4782 03:10:30,240 --> 03:10:31,240 DIFFERENT THINGS THAT ARE ADDED, 4783 03:10:31,240 --> 03:10:32,680 THE POSTER SESSION IS ONE 4784 03:10:32,680 --> 03:10:35,120 EXAMPLE OF THAT. 4785 03:10:35,120 --> 03:10:36,760 SO PLEASE PROVIDE YOUR FEEDBACK 4786 03:10:36,760 --> 03:10:38,120 THROUGH THE FEEDBACK SURVEY. 4787 03:10:38,120 --> 03:10:39,840 THE LINK HAS BEEN PLACED IN THE 4788 03:10:39,840 --> 03:10:41,400 CHAT SEVERAL TIMES. 4789 03:10:41,400 --> 03:10:43,520 I THINK IT WILL GO IN THE CHAT 4790 03:10:43,520 --> 03:10:44,120 ONE MORE TIME. 4791 03:10:44,120 --> 03:10:45,000 SO THANK YOU FOR TAKING TIME 4792 03:10:45,000 --> 03:10:47,520 TODAY TO SHARE PART OF YOUR DAY 4793 03:10:47,520 --> 03:10:47,720 WITH US. 4794 03:10:47,720 --> 03:10:50,200 WE APPRECIATE IT. 4795 03:10:50,200 --> 03:10:50,760 AND WE LOOK FORWARD TO 4796 03:10:50,760 --> 03:10:52,600 INTERACTING WITH YOU AGAIN 4797 03:10:52,600 --> 03:10:53,120 SOMETIME IN THE FUTURE. 4798 03:10:53,120 --> 03:11:03,600 HAVE A GREAT ONE, EVERYBODY.