1 00:00:05,720 --> 00:00:08,400 THANK YOU FOR JOINING TODAY'S 2 00:00:08,400 --> 00:00:10,920 LISTENING SESSION HOSTED BY THE 3 00:00:10,920 --> 00:00:13,360 NIH RESEARCHING COVID TO ENHANCE 4 00:00:13,360 --> 00:00:15,440 RECOVERY INITIATIVE ALSO KNOWN 5 00:00:15,440 --> 00:00:15,880 AS RECOVER. 6 00:00:15,880 --> 00:00:18,320 THIS EVENT IS BEING RECORDED AND 7 00:00:18,320 --> 00:00:22,560 ALL PARTICIPANTS HAVE BEEN 8 00:00:22,560 --> 00:00:22,760 MUTED. 9 00:00:22,760 --> 00:00:24,200 BEFORE WE BEGIN WE'LL SHARE A 10 00:00:24,200 --> 00:00:32,600 FEW HOUSEKEEPING NOTES. 11 00:00:32,600 --> 00:00:33,880 AS A PARTICIPANT YOU'LL HAVE THE 12 00:00:33,880 --> 00:00:35,400 ABILITY TO UNMUTE YOURSELF AND 13 00:00:35,400 --> 00:00:38,720 TURN ON YOUR CAMERA AND VIEW 14 00:00:38,720 --> 00:00:40,080 PARTICIPANTS AND PARTICIPATE IN 15 00:00:40,080 --> 00:00:40,840 THE CHAT. 16 00:00:40,840 --> 00:00:41,880 WHEN WE GET TO THE DISCUSSION 17 00:00:41,880 --> 00:00:44,000 PORTION OF TODAY'S AGENDA WE'LL 18 00:00:44,000 --> 00:00:46,800 ENCOURAGE YOU TO TURN YOUR 19 00:00:46,800 --> 00:00:49,360 CAMERA ON TO ENGAGE IN THE 20 00:00:49,360 --> 00:00:50,600 DISCUSSION AND YOU'RE WELCOME TO 21 00:00:50,600 --> 00:00:52,880 TYPE IN THE CHAT PANEL. 22 00:00:52,880 --> 00:00:55,120 DURING THE Q&A AND DISCUSSION, 23 00:00:55,120 --> 00:00:56,920 WE WILL ASK YOU VIRTUALLY RAISE 24 00:00:56,920 --> 00:00:58,320 YOUR HAND TO SPEAK. 25 00:00:58,320 --> 00:01:01,520 YOU CAN DO SO BY CLICKING ON THE 26 00:01:01,520 --> 00:01:05,000 REACTION BUTTON AND THEN RAISE 27 00:01:05,000 --> 00:01:06,640 HAND. 28 00:01:06,640 --> 00:01:08,560 ONE OF THE HOSTS WILL THEN 29 00:01:08,560 --> 00:01:10,920 INVITE TO YOU UNMUTE YOURSELF. 30 00:01:10,920 --> 00:01:12,400 FINALLY, WE ENCOURAGE EVERYONE 31 00:01:12,400 --> 00:01:16,000 TO CHANGE YOUR NAME AS IT 32 00:01:16,000 --> 00:01:17,000 APPEARS IN ZOOM IN ORDER TO ADD 33 00:01:17,000 --> 00:01:19,880 YOUR ORGANIZATION AND LOCATION. 34 00:01:19,880 --> 00:01:22,520 TO CHANGE YOUR NAME, YOU CAN 35 00:01:22,520 --> 00:01:25,080 CLICK ON PARTICIPANTS, THEN 36 00:01:25,080 --> 00:01:26,160 MORE, RENAME AND THEN FROM THERE 37 00:01:26,160 --> 00:01:30,200 YOU CAN CHANGE YOUR NAME. 38 00:01:30,200 --> 00:01:32,600 THANK YOU ALL AND NOW I WILL 39 00:01:32,600 --> 00:01:35,000 TURN IT OVER TO DR. WILLIAMS TO 40 00:01:35,000 --> 00:01:38,920 INTRODUCE TODAY'S SPEAKERS. 41 00:01:38,920 --> 00:01:39,680 >> GOOD AFTERNOON. 42 00:01:39,680 --> 00:01:41,440 THANK YOU FOR JOINING US FOR 43 00:01:41,440 --> 00:01:44,280 TODAY'S LISTENING SESSION FOR 44 00:01:44,280 --> 00:01:47,440 THE NIH RESEARCHING COVID TO 45 00:01:47,440 --> 00:01:48,440 ENHANCE RECOVERY INITIATIVE ALSO 46 00:01:48,440 --> 00:01:53,920 CALLED NIN -- NIH RECOVER. 47 00:01:53,920 --> 00:02:00,360 I'M NASA TASHA WILLIAMS FOR THE 48 00:02:00,360 --> 00:02:02,280 INSTITUTE FOR EXCELLENCE AND 49 00:02:02,280 --> 00:02:04,720 HEALTH EQUITY AND THE LEAD FOR 50 00:02:04,720 --> 00:02:06,040 THE CLINICAL SCIENCE CORPS. 51 00:02:06,040 --> 00:02:07,960 I'M REALLY HAP TO BE HERE WITH 52 00:02:07,960 --> 00:02:09,120 YOU ALL TODAY AND I AM ONE OF 53 00:02:09,120 --> 00:02:11,680 THE CO-HOSTS FOR THE SESSION. 54 00:02:11,680 --> 00:02:13,400 TODAY'S SESSION IS THE SECOND IN 55 00:02:13,400 --> 00:02:16,640 A SERIES OF DISCUSSIONS TO HEAR 56 00:02:16,640 --> 00:02:19,040 FROM PATIENT, COMMUNITY AND 57 00:02:19,040 --> 00:02:22,800 OTHERS AFFECTED BY POST-ACUTE 58 00:02:22,800 --> 00:02:25,720 SEQUELAE OF SARS COV2 OR PASC 59 00:02:25,720 --> 00:02:27,080 INCLUDING LONG COVID. 60 00:02:27,080 --> 00:02:31,520 IN THIS CASE WE ARE SPECIFICALLY 61 00:02:31,520 --> 00:02:33,920 INTERESTED IN HOW LONG COVID IS 62 00:02:33,920 --> 00:02:36,320 AFFECTING BLACK AND INDIGENOUS 63 00:02:36,320 --> 00:02:36,920 COMMUNITIES OF COLOR. 64 00:02:36,920 --> 00:02:39,720 RECOGNIZING COMMUNITIES OF COLOR 65 00:02:39,720 --> 00:02:43,920 ARE DISPROPORTIONATELY AFFECTED 66 00:02:43,920 --> 00:02:45,560 BY COVID-19 AND MAY SIMILARLY 67 00:02:45,560 --> 00:02:47,440 EXPERIENCE A BURDEN OF LONG 68 00:02:47,440 --> 00:02:47,800 COVID. 69 00:02:47,800 --> 00:02:49,760 HISTORICALLY, WHAT WE KNOW IS 70 00:02:49,760 --> 00:02:50,680 MISINFORMATION AND STRUCTURAL 71 00:02:50,680 --> 00:02:54,840 FACTORS SUCH AS ACCESS TO HEALTH 72 00:02:54,840 --> 00:02:56,800 CARE MAY POSE AS BARRIERS FOR 73 00:02:56,800 --> 00:02:58,800 RACIAL AND ETHNIC COMMUNITIES. 74 00:02:58,800 --> 00:03:02,200 IT'S ALSO LIKELY THAT THESE 75 00:03:02,200 --> 00:03:03,520 BARRIERS EXIST WHEN ADDRESSING 76 00:03:03,520 --> 00:03:04,640 LONG COVID. 77 00:03:04,640 --> 00:03:06,920 AS WE SEEK TO BETTER UNDERSTAND 78 00:03:06,920 --> 00:03:08,400 THE NEEDS AND PRIORITIES OF 79 00:03:08,400 --> 00:03:09,840 APPRECIATES WHO ARE MOST 80 00:03:09,840 --> 00:03:14,080 AFFECTED BY LONG COVID, YOUR 81 00:03:14,080 --> 00:03:17,000 ORGANIZATION'S VOICE IS A 82 00:03:17,000 --> 00:03:17,480 VALUABLE PART OF THIS 83 00:03:17,480 --> 00:03:17,800 CONVERSATION. 84 00:03:17,800 --> 00:03:22,400 I WILL NOW TURN IT OVER TO MY 85 00:03:22,400 --> 00:03:26,800 CO-HOST DR. ANDREA LERNER TO 86 00:03:26,800 --> 00:03:27,960 INTRODUCE HER SELF. 87 00:03:27,960 --> 00:03:29,400 OVER TO YOU. 88 00:03:29,400 --> 00:03:31,240 >> THANK YOU, DR. WILLIAMS. 89 00:03:31,240 --> 00:03:32,400 GOOD AFTERNOON, EVERYONE AND 90 00:03:32,400 --> 00:03:33,160 THANK YOU FOR JOINING. 91 00:03:33,160 --> 00:03:45,120 MY NAME IS ANDREA LERNER AT THE 92 00:03:45,120 --> 00:03:46,000 NATIONAL INSTITUTE OF ALLERGY 93 00:03:46,000 --> 00:03:48,280 AND INFECTIOUS DISEASES PARTS OF 94 00:03:48,280 --> 00:03:50,000 THE NATIONAL INSTITUTES OF 95 00:03:50,000 --> 00:03:50,200 HEALTH. 96 00:03:50,200 --> 00:03:52,400 BACK TO YOU, DR. WILLIAMS. 97 00:03:52,400 --> 00:03:55,080 >> THANK YOU, DR. LERNER. 98 00:03:55,080 --> 00:03:57,040 NOW I WANT TO INTRODUCE THE 99 00:03:57,040 --> 00:03:57,800 DISCUSSION MODERATOR. 100 00:03:57,800 --> 00:04:00,920 WE'RE DELIGHTED TO HAVE 101 00:04:00,920 --> 00:04:04,120 DR. JAMES HILLDRETH THE 102 00:04:04,120 --> 00:04:06,720 PRESIDENT AND CHIEF EXECUTIVE 103 00:04:06,720 --> 00:04:09,040 OFFICER OF THE NATION'S LARGEST 104 00:04:09,040 --> 00:04:11,400 PRIVATE INDEPENDENT HISTORICALLY 105 00:04:11,400 --> 00:04:14,320 BLACK ACADEMIC HEALTH SCIENCES 106 00:04:14,320 --> 00:04:14,560 CENTER. 107 00:04:14,560 --> 00:04:17,320 HE IS ALSO A TEMPORARY VOTING 108 00:04:17,320 --> 00:04:19,880 MEMBER OF THE VACCINES AND 109 00:04:19,880 --> 00:04:20,800 RELATED BIOLOGICAL PRODUCTS 110 00:04:20,800 --> 00:04:23,000 ADVISORY COMMITTEE, A MEMBER OF 111 00:04:23,000 --> 00:04:24,600 THE ADVISORY COMMITTEE TO THE 112 00:04:24,600 --> 00:04:28,040 NIH DIRECTOR AND SERVED ON THE 113 00:04:28,040 --> 00:04:28,680 PRESIDENT'S COVID-19 TASK FORCE. 114 00:04:28,680 --> 00:04:29,720 WE ARE HONORED TO HAVE HIM JOIN 115 00:04:29,720 --> 00:04:36,440 US TODAY. 116 00:04:36,440 --> 00:04:38,840 NOW THAT WE FINISHED OUR 117 00:04:38,840 --> 00:04:40,040 INTRODUCTIONS, WE WILL BEGIN 118 00:04:40,040 --> 00:04:42,880 WITH A BRIEF OVERVIEW OF THE 119 00:04:42,880 --> 00:04:44,440 RECOVER INITIATIVE AND THEN THE 120 00:04:44,440 --> 00:04:46,680 REMAINING SESSION WILL FOCUS ON 121 00:04:46,680 --> 00:04:53,120 OUR DISCUSSION. 122 00:04:53,120 --> 00:04:56,320 I'LL HAND IT OVER TO YOU, 123 00:04:56,320 --> 00:04:56,600 DR. LERNER. 124 00:04:56,600 --> 00:04:57,120 >> THANK YOU VERY MUCH. 125 00:04:57,120 --> 00:04:59,240 SO I'LL JUST TAKE A FEW MOMENTS 126 00:04:59,240 --> 00:05:03,160 TO TALK ABOUT THE PURPOSE OF 127 00:05:03,160 --> 00:05:06,120 ZA'S LISTENING SESSION. 128 00:05:06,120 --> 00:05:08,400 AS DR. WILLIAMS MENTIONED, TODAY 129 00:05:08,400 --> 00:05:11,200 WE ENGAGE WITH PATIENTS AND 130 00:05:11,200 --> 00:05:12,720 ORGANIZATIONS REPRESENTING 131 00:05:12,720 --> 00:05:14,800 COMMUNITIES OF COLOR INCLUDING 132 00:05:14,800 --> 00:05:16,640 THOSE HARDEST HIT BY COVID TO 133 00:05:16,640 --> 00:05:19,000 BETTER UNDERSTAND THE LEVELS OF 134 00:05:19,000 --> 00:05:20,720 AWARENESS OF LONG COVID AND 135 00:05:20,720 --> 00:05:21,880 DISCUSS OPPORTUNITIES TO PROMOTE 136 00:05:21,880 --> 00:05:23,840 DIVERSE AND INCLUSIVE 137 00:05:23,840 --> 00:05:25,240 PARTICIPATION IN THE RECOVER 138 00:05:25,240 --> 00:05:31,800 INITIATIVE STUDIES. 139 00:05:31,800 --> 00:05:35,000 NOW I'LL JUST GIVE A BRIEF 140 00:05:35,000 --> 00:05:36,240 OVERVIEW OF THE RECOVERY 141 00:05:36,240 --> 00:05:37,640 INITIATIVE AND WHAT IT'S 142 00:05:37,640 --> 00:05:37,920 STUDYING. 143 00:05:37,920 --> 00:05:41,600 SO I'D LIKE TO JUST CLARIFY SOME 144 00:05:41,600 --> 00:05:43,480 TERMINOLOGY. 145 00:05:43,480 --> 00:05:46,880 SO THE RECOVER INITIATIVE IS 146 00:05:46,880 --> 00:05:48,320 STUDYING THE POST-ACUTE SEQUELAE 147 00:05:48,320 --> 00:05:49,760 OF SARS COV2 INFECTION. 148 00:05:49,760 --> 00:05:56,000 THIS ABBREVIATED P-A-S-C, PASC. 149 00:05:56,000 --> 00:05:59,000 THIS TERM REFERS TO THE EFFECTS 150 00:05:59,000 --> 00:06:00,680 OF COVID-19 THAT -- THE EFFECTS 151 00:06:00,680 --> 00:06:02,440 COVID-19 HAS ON THE BODY AFTER 152 00:06:02,440 --> 00:06:03,920 THE INITIAL PARTS OF THE 153 00:06:03,920 --> 00:06:05,080 ILLNESS. 154 00:06:05,080 --> 00:06:08,920 SO THE LATER TERM AFFECTS OF 155 00:06:08,920 --> 00:06:10,880 COVID-19 AND SARS COV2 INFECTION 156 00:06:10,880 --> 00:06:12,840 THE VIRUS THAT CAUSES COVID-19. 157 00:06:12,840 --> 00:06:20,360 UNDER THIS UMBRELLA, IS ALSO 158 00:06:20,360 --> 00:06:22,600 WHAT IS REFERRED TO AS LONG 159 00:06:22,600 --> 00:06:22,800 COVID. 160 00:06:22,800 --> 00:06:25,320 PASC IS MEANT TO REFER TO A 161 00:06:25,320 --> 00:06:26,680 BROAD VARIETY OF AFFECTS. 162 00:06:26,680 --> 00:06:27,880 WHAT IS OFTEN REFERRED TO AS 163 00:06:27,880 --> 00:06:34,480 LONG COVID YOU MAY HAVE HEARD 164 00:06:34,480 --> 00:06:35,240 PEOPLE DESCRIBING ONGOING 165 00:06:35,240 --> 00:06:36,560 SYSTEMS, WAXING AND WANING 166 00:06:36,560 --> 00:06:38,240 SYSTEMS THAT IMPACT QUALITY OF 167 00:06:38,240 --> 00:06:41,120 LIFE AFTER THE INITIAL PERIODS 168 00:06:41,120 --> 00:06:42,640 OF COVID-19. 169 00:06:42,640 --> 00:06:45,080 SO PATIENTS VARY IN THE TIMING 170 00:06:45,080 --> 00:06:47,920 AND EXTENT OF RECOVERY. 171 00:06:47,920 --> 00:06:49,320 PEOPLE REPORT SYMPTOMS RANGE 172 00:06:49,320 --> 00:06:52,680 FROM MILD TO TRULY 173 00:06:52,680 --> 00:06:55,960 INCAPACITATING AND THESE 174 00:06:55,960 --> 00:06:56,760 SYMPTOMS CAN INVOLVE MULTIPLE 175 00:06:56,760 --> 00:06:59,440 PARTS MUCH THE BODY AND AFFECT 176 00:06:59,440 --> 00:07:01,120 OVERALL QUALITY OF LIFE. 177 00:07:01,120 --> 00:07:02,800 SYMPTOMS REPORTED DUE TO LONG 178 00:07:02,800 --> 00:07:04,520 COVID CAN RANGE FROM THINGS LIKE 179 00:07:04,520 --> 00:07:07,400 FATIGUE, SHORTNESS OF BREATH, 180 00:07:07,400 --> 00:07:10,600 BRAIN FOG OR DIFFICULTY THINKING 181 00:07:10,600 --> 00:07:19,440 OR CONS -- CONCENTRATING, 182 00:07:19,440 --> 00:07:20,640 GASTROINTESTINAL PROBLEMS AND 183 00:07:20,640 --> 00:07:22,960 ANXIETY AND DEPRESSION AND 184 00:07:22,960 --> 00:07:25,120 SOMETIMES CAN LAST A LONG TIME. 185 00:07:25,120 --> 00:07:27,600 PEOPLE MAY HAVE ONGOING SYMPTOMS 186 00:07:27,600 --> 00:07:29,000 SIMILAR TO THE SYMPTOMS THEY HAD 187 00:07:29,000 --> 00:07:34,120 EARLIER WITH COVID-19 THAT 188 00:07:34,120 --> 00:07:36,560 PERSIST OR PEOPLE CAN DEVELOP 189 00:07:36,560 --> 00:07:41,040 NEW SYMPTOMS THAT CAN WAX AND 190 00:07:41,040 --> 00:07:41,240 WANE. 191 00:07:41,240 --> 00:07:43,000 WHILE WE DON'T FULLY UNDERSTAND 192 00:07:43,000 --> 00:07:45,920 THE IMPACT OF POST-ACUTE 193 00:07:45,920 --> 00:07:47,360 SEQUELAE AND SARS COV2 AND LONG 194 00:07:47,360 --> 00:07:52,240 COVID, WE KNOW GIVEN THE SCOPE 195 00:07:52,240 --> 00:07:55,200 OF COVID-19, THIS IS LIKELY A 196 00:07:55,200 --> 00:07:56,200 LARGE PUBLIC HEALTH IMPACT AND 197 00:07:56,200 --> 00:08:00,720 IMPORTANT TO ACKNOWLEDGE THAT. 198 00:08:00,720 --> 00:08:04,000 SO NOW I'LL JUST PAUSE TO SEE IF 199 00:08:04,000 --> 00:08:05,680 THERE ARE ANY QUESTIONS ABOUT 200 00:08:05,680 --> 00:08:09,040 PASC OR LONG COVID THAT I'VE 201 00:08:09,040 --> 00:08:13,040 JUST DISCUSSED. 202 00:08:13,040 --> 00:08:13,240 OKAY. 203 00:08:13,240 --> 00:08:17,120 I'M NOT SEEING HANDS RAISED OR 204 00:08:17,120 --> 00:08:29,400 ANYTHING IN THE CHAT. 205 00:08:29,400 --> 00:08:31,000 SO NEXT I TOLD YOU A LITTLE BIT 206 00:08:31,000 --> 00:08:33,200 ABOUT WHAT RECOVER IS STUDYING. 207 00:08:33,200 --> 00:08:35,440 NEXT I'LL TALK ABOUT THE GOALS 208 00:08:35,440 --> 00:08:40,720 AND STRUCTURE OF THE RECOVER 209 00:08:40,720 --> 00:08:41,160 INITIATIVE STUDIES. 210 00:08:41,160 --> 00:08:44,840 SO THE GOAL OF RECOVER IS TO 211 00:08:44,840 --> 00:08:46,600 IMPROVE RAPIDLY OUR 212 00:08:46,600 --> 00:08:48,600 UNDERSTANDING OF AND ALSO THE 213 00:08:48,600 --> 00:08:51,600 ABILITY TO PREDICT, TREAT AND 214 00:08:51,600 --> 00:08:53,400 PREVENT PASC AND UNDER THAT 215 00:08:53,400 --> 00:08:56,840 UMBRELLA INCLUDING LONG COVID. 216 00:08:56,840 --> 00:08:59,400 SO THE KEY SCIENTIFIC AIMS WE 217 00:08:59,400 --> 00:09:01,520 WOULD LIKE TO UNDERSTAND THE 218 00:09:01,520 --> 00:09:03,000 FULL CLINICAL SPECTRUM. 219 00:09:03,000 --> 00:09:06,560 SO ALL THE DIFFERENT 220 00:09:06,560 --> 00:09:07,920 MANIFESTATIONS OF PASC AND THE 221 00:09:07,920 --> 00:09:10,920 BIOLOGY THAT UNDER LIES THE 222 00:09:10,920 --> 00:09:12,120 RECOVERY FROM COVID-19. 223 00:09:12,120 --> 00:09:15,400 WE'D LIKE TO DEFINE THE RISK 224 00:09:15,400 --> 00:09:18,520 FACTORS, THE INCIDENTS AND 225 00:09:18,520 --> 00:09:21,040 PREVALENCE AND DIFFERENT 226 00:09:21,040 --> 00:09:23,120 SUBTYPES OF PASC BECAUSE WE'RE 227 00:09:23,120 --> 00:09:24,280 CALLING EVERYTHING BY ONE NAME 228 00:09:24,280 --> 00:09:25,840 NOW BUT AS WE LEARN MORE ABOUT 229 00:09:25,840 --> 00:09:27,400 IT, THIS IS LIKELY MULTIPLE 230 00:09:27,400 --> 00:09:31,280 DIFFERENT CONDITIONS. 231 00:09:31,280 --> 00:09:34,840 WE AIM TO STUDY THE PATHOGENESIS 232 00:09:34,840 --> 00:09:38,320 OF PASC AND LONG COVID OVER 233 00:09:38,320 --> 00:09:38,520 TIME. 234 00:09:38,520 --> 00:09:41,520 AND THIS MAY BE ABLE TO BE 235 00:09:41,520 --> 00:09:45,360 RELATED TO OTHER NONE DISORDERS 236 00:09:45,360 --> 00:09:47,240 AND INFORM OUR KNOWLEDGE ABOUT 237 00:09:47,240 --> 00:09:48,040 OTHER DISORDER. 238 00:09:48,040 --> 00:09:50,600 AND ULTIMATELY WE'D LIKE TO 239 00:09:50,600 --> 00:09:51,600 IDENTIFY INTERVENTION TO TREAT 240 00:09:51,600 --> 00:10:00,760 AND PREVENT PASC. 241 00:10:00,760 --> 00:10:05,600 SO WHAT IS THE RECOVER RESEARCH 242 00:10:05,600 --> 00:10:06,160 APPROA 243 00:10:06,160 --> 00:10:06,400 APPROACH. 244 00:10:06,400 --> 00:10:07,640 THE GOALS OF THE INITIATIVE ARE 245 00:10:07,640 --> 00:10:10,600 TO UNDERSTAND PASC INCLUDING 246 00:10:10,600 --> 00:10:11,720 LONG COVID, ADVANCE CLINICAL 247 00:10:11,720 --> 00:10:16,560 TRIALS AND INFORM TREATMENT AND 248 00:10:16,560 --> 00:10:17,200 PREVENTIVE STRATEGIES FOR PASC. 249 00:10:17,200 --> 00:10:19,320 SO THIS WILL BE ACCOMPLISHED BY 250 00:10:19,320 --> 00:10:21,040 MULTIPLE DIFFERENT TYPES OF 251 00:10:21,040 --> 00:10:21,520 STUDIES. 252 00:10:21,520 --> 00:10:24,640 SO AT THE HEART OF THE RECOVER 253 00:10:24,640 --> 00:10:26,600 INITIATIVE IS WHAT WE'RE CALLING 254 00:10:26,600 --> 00:10:30,120 THE RECOVERY COHORT. 255 00:10:30,120 --> 00:10:31,760 TO GET INTO THIS MORE IN THE 256 00:10:31,760 --> 00:10:35,440 NEXT SLIDE, BUT THIS IS A COHORT 257 00:10:35,440 --> 00:10:38,600 OF INDIVIDUALS WITH COVID-19 AND 258 00:10:38,600 --> 00:10:41,960 PASC AND THEY'LL BE FOLLOWED 259 00:10:41,960 --> 00:10:43,400 OVER TIME TO UNDERSTAND THE 260 00:10:43,400 --> 00:10:46,520 PROGRESSION OF THEIR RECOVERY. 261 00:10:46,520 --> 00:10:48,720 COMPLIMENTS AND IN ADDITION TO 262 00:10:48,720 --> 00:10:51,040 THE RECOVERY COHORT AND PART OF 263 00:10:51,040 --> 00:10:53,880 THE RECOVER INITIATIVE WILL BE 264 00:10:53,880 --> 00:10:56,440 STUDIES OF ELECTRONIC HEALTH 265 00:10:56,440 --> 00:10:58,400 RECORDS, STUDIES OF REAL WORLD 266 00:10:58,400 --> 00:11:01,960 DATA AND INCLUDED IN THAT ARE 267 00:11:01,960 --> 00:11:06,000 THINGS LIKE MOBILE HEALTH AND 268 00:11:06,000 --> 00:11:07,200 WEARABLE TECHNOLOGIES THAT CAN 269 00:11:07,200 --> 00:11:09,960 RECORD DATA AS PEOPLE RECOVER. 270 00:11:09,960 --> 00:11:14,000 AND ALSO STUDIES OF HUMAN 271 00:11:14,000 --> 00:11:14,240 TISSUE. 272 00:11:14,240 --> 00:11:16,040 AND SOME FEATURES UNDER PINNING 273 00:11:16,040 --> 00:11:18,360 ALL THESE TYPES OF STUDIES ARE 274 00:11:18,360 --> 00:11:21,360 THEY INVOLVE HUNDREDS OF 275 00:11:21,360 --> 00:11:23,640 RESEARCHERS AND SITES ACROSS THE 276 00:11:23,640 --> 00:11:25,040 WHOLE COUNTRY. 277 00:11:25,040 --> 00:11:28,560 WE AIM FOR INCLUSIVE AND DIVERSE 278 00:11:28,560 --> 00:11:30,120 PARTICIPATION IN THESE STUDIES. 279 00:11:30,120 --> 00:11:32,480 THEY'LL ENROLL CHILDREN, ADULTS 280 00:11:32,480 --> 00:11:36,200 AND PREGNANT INDIVIDUALS. 281 00:11:36,200 --> 00:11:45,000 COMMUNITY ENGAGEMENT IS A 282 00:11:45,000 --> 00:11:47,120 CENTRAL TENET AND MULTIPLE 283 00:11:47,120 --> 00:11:49,800 RESEARCHERS WITH MULTIPLE TYPES 284 00:11:49,800 --> 00:11:52,200 OF EXPERTISE ARE INVOLVED. 285 00:11:52,200 --> 00:11:55,360 NOW I'LL TURN IT BACK OVER TO 286 00:11:55,360 --> 00:11:57,040 DR. WILLIAMS TO TALK ABOUT THE 287 00:11:57,040 --> 00:11:58,000 NATIONAL SCOPE OF THE RECOVER 288 00:11:58,000 --> 00:12:01,000 INITIATIVE. 289 00:12:01,000 --> 00:12:03,200 >> THANK YOU SO MUCH, 290 00:12:03,200 --> 00:12:03,640 DR. LERNER. 291 00:12:03,640 --> 00:12:05,840 AS YOU CAN IMAGINE, A STUDY OF 292 00:12:05,840 --> 00:12:08,880 THIS MAGNITUDE REALLY WILL TAKE 293 00:12:08,880 --> 00:12:11,400 PLACE ACROSS THE COUNTRY. 294 00:12:11,400 --> 00:12:14,600 THE RECOVER COHORT ANTICIPATE 295 00:12:14,600 --> 00:12:16,600 ENROLLING, ADULTS, CHILDREN AND 296 00:12:16,600 --> 00:12:18,200 THEIR CAREGIVERS AND PREGNANT 297 00:12:18,200 --> 00:12:21,240 PARTICIPANTS AND THEIR NEWBORN 298 00:12:21,240 --> 00:12:22,000 INFANTS. 299 00:12:22,000 --> 00:12:23,920 IT WILL HAVE HUNDREDS OF 300 00:12:23,920 --> 00:12:24,960 CLINICAL SITES ACROSS THE NATION 301 00:12:24,960 --> 00:12:32,400 TO REFLECT THE ETHNIC AND RACIAL 302 00:12:32,400 --> 00:12:34,120 DIVERSITY AND REACHING ALL 303 00:12:34,120 --> 00:12:36,000 REGIONS AND AIMED TO ADDRESS THE 304 00:12:36,000 --> 00:12:37,440 FUNDAMENTAL QUESTIONS IN THE 305 00:12:37,440 --> 00:12:39,520 FIRST 12 MONTHS, PROVIDE 306 00:12:39,520 --> 00:12:40,600 LONGITUDINAL FOLLOW-UP AND LAY 307 00:12:40,600 --> 00:12:46,480 THE FOUNDATION FOR STUDIES OF 308 00:12:46,480 --> 00:12:48,320 PATHOBIOLOGY AND CLINICAL 309 00:12:48,320 --> 00:12:48,640 INTERVENTIONS. 310 00:12:48,640 --> 00:12:49,840 AND ANALYSIS OF ELECTRONIC 311 00:12:49,840 --> 00:12:51,560 HEALTH RECORDS OF MORE THAN 36 312 00:12:51,560 --> 00:12:53,240 MILLION ADULTS AND PEDIATRIC 313 00:12:53,240 --> 00:12:58,040 PATIENTS. 314 00:12:58,040 --> 00:13:00,200 THE RECOVER CONSORTIUM INCLUDES 315 00:13:00,200 --> 00:13:02,880 A MAIN PROTOCOL DEVELOPMENT. 316 00:13:02,880 --> 00:13:05,040 DEVELOPING THE MAIN PROTOCOL 317 00:13:05,040 --> 00:13:06,600 INCLUDED COLLABORATION WITH OVER 318 00:13:06,600 --> 00:13:09,640 200 INVESTIGATORS, 33 PATIENTS 319 00:13:09,640 --> 00:13:13,000 WITH INPUT FROM NIH SUBJECT 320 00:13:13,000 --> 00:13:15,400 MATTER EXPERTS, PROVIDED PHASE 1 321 00:13:15,400 --> 00:13:17,400 AWARDS TO 30 CLINICAL COHORTS 322 00:13:17,400 --> 00:13:19,520 AND THREE LARGE SCALE ELECTRONIC 323 00:13:19,520 --> 00:13:21,920 HEALTH RECORD STUDIES. 324 00:13:21,920 --> 00:13:24,360 IT IS ESSENTIAL FOR HARMONIZING 325 00:13:24,360 --> 00:13:27,520 THESE STUDIES AND THAT INVOLVES 326 00:13:27,520 --> 00:13:29,000 STANDARDIZING SCIENTIFIC AIMS, 327 00:13:29,000 --> 00:13:30,520 TESTS AND PROCEDURES. 328 00:13:30,520 --> 00:13:32,880 A UNIFIED ENTRY CRITERIA BASED 329 00:13:32,880 --> 00:13:35,600 ON THE WORLD HEALTH ORGANIZATION 330 00:13:35,600 --> 00:13:38,720 FOR ALL COHORTS MAKING 331 00:13:38,720 --> 00:13:39,800 CONSISTENT DATA STRUCTURE ACROSS 332 00:13:39,800 --> 00:13:43,040 ALL COHORTS AND A HARMONIZED 333 00:13:43,040 --> 00:13:44,880 DATA MANAGEMENT AND ANALYSIS 334 00:13:44,880 --> 00:13:45,160 PLAN. 335 00:13:45,160 --> 00:13:46,800 WE'LL CREATE TIERED PHENOTYPING 336 00:13:46,800 --> 00:13:48,560 APPROACH FOR ADULTS AND 337 00:13:48,560 --> 00:13:51,400 PEDIATRIC COHORTS AND PLANNED 338 00:13:51,400 --> 00:13:54,200 ADAPTIVE DESIGNS REALLY BASED ON 339 00:13:54,200 --> 00:13:55,600 CONTINUING ANALYSIS AND THE 340 00:13:55,600 --> 00:13:56,920 EVOLVING SCIENCE AS WE CONTINUE 341 00:13:56,920 --> 00:14:03,440 TO LEARN ABOUT COVID. 342 00:14:03,440 --> 00:14:06,480 IN SUM, ALL COHORT AND SITE 343 00:14:06,480 --> 00:14:09,040 STUDIES ARE HARMONIZED UNDER A 344 00:14:09,040 --> 00:14:13,720 MAIN PROTOCOL. 345 00:14:13,720 --> 00:14:15,600 AS WE MENTIONED THE RECOVER 346 00:14:15,600 --> 00:14:17,400 INITIATIVE IS PATIENT FOCUSSED. 347 00:14:17,400 --> 00:14:21,080 SOME FEATURES INVOLVE INCLUDING 348 00:14:21,080 --> 00:14:30,560 OVER 400 ATTENDEES AND THE 349 00:14:30,560 --> 00:14:33,240 DISCUSSION AND REPRESENTATION 350 00:14:33,240 --> 00:14:38,280 ACROSS THE GOVERNANCE STRUCTURE 351 00:14:38,280 --> 00:14:39,640 AND COMMUNITIES AND 352 00:14:39,640 --> 00:14:40,600 REPRESENTATIVES WILL BE INCLUDED 353 00:14:40,600 --> 00:14:43,040 AND COMMUNITY ENGAGEMENT ADDS 354 00:14:43,040 --> 00:14:43,640 VALUE TO EVERY ELEMENT OF THE 355 00:14:43,640 --> 00:14:48,720 INITIATIVE. 356 00:14:48,720 --> 00:14:51,600 WE'LL TAKE A BRIEF PAUSE TO SEE 357 00:14:51,600 --> 00:14:57,040 IF THERE'S ANY QUESTIONS AT THIS 358 00:14:57,040 --> 00:14:59,240 POINT. 359 00:14:59,240 --> 00:15:01,680 >> I HAVE ONE QUESTION, IF I MAY 360 00:15:01,680 --> 00:15:02,080 ASK. 361 00:15:02,080 --> 00:15:05,040 IT SEEMS LIKE YOU'LL BE USING 362 00:15:05,040 --> 00:15:06,320 ELECTRONIC HEALTH RECORDS. 363 00:15:06,320 --> 00:15:11,400 I KNOW CERNA AND EPIC ARE THE 364 00:15:11,400 --> 00:15:11,920 TWO UTILIZED. 365 00:15:11,920 --> 00:15:13,760 FLORIDA PROVIDERS THAT AREN'T ON 366 00:15:13,760 --> 00:15:16,720 THOSE SYSTEMS, WILL THAT BE 367 00:15:16,720 --> 00:15:18,160 ALTERNATIVE WAYS TO PARTICIPATE 368 00:15:18,160 --> 00:15:20,400 IF THEY DON'T HAVE ACCESS TO 369 00:15:20,400 --> 00:15:29,920 THOSE SYSTEMS? 370 00:15:29,920 --> 00:15:32,160 >> WE WOULD BE HAPPY TO WORK 371 00:15:32,160 --> 00:15:34,400 WITH ANY OF TO THE SITES DOING 372 00:15:34,400 --> 00:15:35,760 RECRUITMENT TO BETTER UNDERSTAND 373 00:15:35,760 --> 00:15:37,960 THEIR NEEDS BUT MANY OF THESE 374 00:15:37,960 --> 00:15:41,840 SITES ARE PART OF THE ELECTRONIC 375 00:15:41,840 --> 00:15:44,840 HEALTH RECORDS AND WE WELCOME 376 00:15:44,840 --> 00:15:45,520 DISCUSSIONS TO BETTER UNDERSTAND 377 00:15:45,520 --> 00:15:47,600 THOSE NEEDS. 378 00:15:47,600 --> 00:16:02,040 THANK YOU FOR YOUR QUESTION. 379 00:16:02,040 --> 00:16:03,760 SO NOW I WILL JUST LIKE TO 380 00:16:03,760 --> 00:16:06,280 REMIND US AGAIN ABOUT OUR 381 00:16:06,280 --> 00:16:08,600 MODERATOR FOR TODAY'S LISTENING 382 00:16:08,600 --> 00:16:08,800 SESSION. 383 00:16:08,800 --> 00:16:13,000 DR. JAMES HILLDRETH AND SHARE IN 384 00:16:13,000 --> 00:16:16,400 ADDITION TO HIS POSITION, HE 385 00:16:16,400 --> 00:16:17,720 GRADUATED FROM OXFORD UNIVERSITY 386 00:16:17,720 --> 00:16:20,840 WITH A Ph.D. IN IMMUNOLOGY AND 387 00:16:20,840 --> 00:16:25,120 OBTAINED HIS M.D. FROM JOHNS 388 00:16:25,120 --> 00:16:26,600 HOPKINS UNIVERSITY AND LATER 389 00:16:26,600 --> 00:16:27,240 BECAME THE FIRST AFRICAN 390 00:16:27,240 --> 00:16:28,880 AMERICAN IN THE 125-YEAR HISTORY 391 00:16:28,880 --> 00:16:32,520 OF JOHNS HOPKINS SCHOOL OF 392 00:16:32,520 --> 00:16:34,120 MEDICINE TO EARN FULL 393 00:16:34,120 --> 00:16:35,480 PROFESSORSHIP AND TENURE IN THE 394 00:16:35,480 --> 00:16:38,000 BASIC SCIENCES AND ALSO SERVED 395 00:16:38,000 --> 00:16:39,400 AS THE FIRST AFRICAN AMERICAN 396 00:16:39,400 --> 00:16:41,080 DEAN OF THE COLLEGE OF 397 00:16:41,080 --> 00:16:44,120 BIOLOGICAL SCIENCES AT 398 00:16:44,120 --> 00:16:45,640 UNIVERSITY OF CALIFORNIA DAVIS. 399 00:16:45,640 --> 00:16:47,480 AND OCTOBER, 2008 HE WAS HONORED 400 00:16:47,480 --> 00:16:49,720 FOR HIS CONTRIBUTIONS TO MEDICAL 401 00:16:49,720 --> 00:16:51,480 SCIENCE BY ELECTION TO THE 402 00:16:51,480 --> 00:16:53,360 INSTITUTE OF MEDICINE. 403 00:16:53,360 --> 00:16:55,160 PART OF THE NATIONAL ACADEMY OF 404 00:16:55,160 --> 00:16:56,400 SCIENCES. 405 00:16:56,400 --> 00:17:01,040 AND HE ALSO EARNED AN HONORED 406 00:17:01,040 --> 00:17:03,760 DOCK RAT FROM THE UNIVERSITY OF 407 00:17:03,760 --> 00:17:06,880 ARKANSAS AND INDUCTION IN THE 408 00:17:06,880 --> 00:17:07,520 ARKANSAS BLACK HALL OF FAME. 409 00:17:07,520 --> 00:17:10,600 WE ARE HONORED TO HAVE DR. JAMES 410 00:17:10,600 --> 00:17:34,160 HILLDRETH JOIN US TODAY. 411 00:17:34,160 --> 00:17:37,360 >> AS YOU HEARD I WAS PART OF 412 00:17:37,360 --> 00:17:38,160 THE PRESIDENT BIDEN EQUITY TASK 413 00:17:38,160 --> 00:17:43,440 FORCE AND SPENT A LONG TIME 414 00:17:43,440 --> 00:17:52,560 DISCUSSING LONG COVID AND THE 415 00:17:52,560 --> 00:17:58,880 MINE MINE ORTIZED COMMUNITIES. 416 00:17:58,880 --> 00:18:02,440 WE THING LONG COVID-19 WILL 417 00:18:02,440 --> 00:18:04,600 DISPROPORTIONATELY AFFECT 418 00:18:04,600 --> 00:18:06,080 COMMUNITIES OF COLOR AND FROM MY 419 00:18:06,080 --> 00:18:07,000 PERSPECTIVE AS A PHYSICIAN 420 00:18:07,000 --> 00:18:08,360 SCIENTIST WE KNOW THERE'S A LONG 421 00:18:08,360 --> 00:18:10,480 HISTORY FOR WOMEN AND MINORITIES 422 00:18:10,480 --> 00:18:12,560 WHEN THEY PRESENT WITH 423 00:18:12,560 --> 00:18:14,120 CONDITIONS NOT READY DIAGNOSED 424 00:18:14,120 --> 00:18:15,920 BY OBJECTIVE MEASURES SUCH AS 425 00:18:15,920 --> 00:18:17,760 TESTS OR PROCEDURES. 426 00:18:17,760 --> 00:18:19,840 OFTEN TIMES THEY'RE NOT TAKEN 427 00:18:19,840 --> 00:18:22,160 VERY SERIOUSLY BY THE PROVIDERS 428 00:18:22,160 --> 00:18:26,000 AND CHRONIC FATIGUE SYNDROME IS 429 00:18:26,000 --> 00:18:27,280 AN EXAMPLE OF THAT. 430 00:18:27,280 --> 00:18:30,400 AS YOU HEARD FROM MY COLLEAGUE, 431 00:18:30,400 --> 00:18:32,080 LONG COVID ENCOMPASSES 432 00:18:32,080 --> 00:18:33,120 CONDITIONS THAT IMPACT MULTIPLE 433 00:18:33,120 --> 00:18:35,440 SYSTEMS IN OUR BODIES WHICH 434 00:18:35,440 --> 00:18:38,320 MEANS TEAMS OF INVESTIGATORS AND 435 00:18:38,320 --> 00:18:39,960 PHYSICIANS ACROSS MULTIPLE 436 00:18:39,960 --> 00:18:42,800 SPECIALTIES AND VIROLOGISTS AND 437 00:18:42,800 --> 00:18:43,640 PULMONOLOGISTS WILL BE INVOLVED 438 00:18:43,640 --> 00:18:47,720 IN FINDING ANSWERS AND TAKING 439 00:18:47,720 --> 00:18:52,440 CARE OF PATIENTS. 440 00:18:52,440 --> 00:18:54,960 MINOR TIED COMMUNITIES WON'T 441 00:18:54,960 --> 00:18:56,360 HAVE ACCESS TO SPECIALISTS. 442 00:18:56,360 --> 00:18:57,520 IT'S VERY IMPORTANT AND THIS IS 443 00:18:57,520 --> 00:18:59,120 ONE OF THE RECOMMENDATIONS THAT 444 00:18:59,120 --> 00:19:01,800 CAME FROM THE TASK FORCE THAT WE 445 00:19:01,800 --> 00:19:06,400 MAKE SURE UNINSURED PERSONS IN 446 00:19:06,400 --> 00:19:07,640 COUNTRY HAVE ACCESS TO THE 447 00:19:07,640 --> 00:19:09,800 TREATMENT THEY'LL NEED AND THE 448 00:19:09,800 --> 00:19:10,360 APPROPRIATE DISABILITY 449 00:19:10,360 --> 00:19:12,240 CONSIDERATIONS BE GIVEN TO THOSE 450 00:19:12,240 --> 00:19:15,160 INDIVIDUALS TO MAKE SURE THE 451 00:19:15,160 --> 00:19:18,080 IMPACT ON LONG COVID IS NOT A 452 00:19:18,080 --> 00:19:19,360 DISPROPORTIONATE BURDEN ON THEM. 453 00:19:19,360 --> 00:19:20,600 THOSE ARE JUST A FEW OF THE 454 00:19:20,600 --> 00:19:21,760 THINGS WE TALKED ABOUT AND 455 00:19:21,760 --> 00:19:23,800 RECOMMENDED IN OUR REPORT TO THE 456 00:19:23,800 --> 00:19:25,040 PRESIDENT. 457 00:19:25,040 --> 00:19:26,720 WE INVITE YOU TO GO TO THE 458 00:19:26,720 --> 00:19:28,840 WEBSITE THERE AND LOOK AT THE 459 00:19:28,840 --> 00:19:29,440 REPORT AND RECOMMENDATIONS WE 460 00:19:29,440 --> 00:20:04,480 MADE. 461 00:20:04,480 --> 00:20:06,000 TURN ON YOUR VIDEO BEFORE YOU 462 00:20:06,000 --> 00:20:07,440 ASK YOUR QUESTION IF YOU'D LIKE 463 00:20:07,440 --> 00:20:08,880 TO BE SEEN BY THE COMMUNITY AND 464 00:20:08,880 --> 00:20:10,800 PLEASE INTRODUCE YOURSELF BY 465 00:20:10,800 --> 00:20:12,600 NAME AND TELL US WHAT 466 00:20:12,600 --> 00:20:13,600 ORGANIZATION YOU ARE FROM. 467 00:20:13,600 --> 00:20:14,600 IN OTHER WORDS TO MAKE SURE AS 468 00:20:14,600 --> 00:20:17,640 MANY VOICES CAN BE HEARD AS 469 00:20:17,640 --> 00:20:19,440 POSSIBLE, WE ASK YOU MAKE ONLY 470 00:20:19,440 --> 00:20:22,760 ONE COMMENT OR ASK ONLY ONE 471 00:20:22,760 --> 00:20:24,920 QUESTION AND LIMIT YOUR TIME TO 472 00:20:24,920 --> 00:20:26,520 TWO MINUTES AND THAT WAY ALL OF 473 00:20:26,520 --> 00:20:32,120 US CAN TAKE PART OF THIS VERY 474 00:20:32,120 --> 00:20:37,040 IMPORTANT CONVERSATION AND WAIT 475 00:20:37,040 --> 00:20:37,880 TO UNMUTE. 476 00:20:37,880 --> 00:20:43,360 WE CAME UP WITH QUESTIONS TO 477 00:20:43,360 --> 00:20:44,000 ORGANIZATION OUR CONVERSATION 478 00:20:44,000 --> 00:20:44,200 TODAY. 479 00:20:44,200 --> 00:20:45,720 THE FIRST ONE IS REALLY 480 00:20:45,720 --> 00:20:46,000 IMPORTANT. 481 00:20:46,000 --> 00:20:48,400 IT RELATES TO OUR PERCEPTIONS OF 482 00:20:48,400 --> 00:20:48,920 THIS. 483 00:20:48,920 --> 00:20:50,440 THE QUESTION IS WHAT IS YOUR 484 00:20:50,440 --> 00:20:52,600 PERCEPTION OF THE LEVEL OF 485 00:20:52,600 --> 00:20:55,400 AWARENESS AROUND LONG COVID AND 486 00:20:55,400 --> 00:20:57,400 ITS SYMPTOMS IN YOUR COMMUNITY? 487 00:20:57,400 --> 00:21:01,000 WE ALL KNOW THAT AS WE TALKED 488 00:21:01,000 --> 00:21:02,800 ABOUT BEFORE, MANY PEOPLE DON'T 489 00:21:02,800 --> 00:21:03,840 RECOGNIZE LONG COVID FOR WHAT IT 490 00:21:03,840 --> 00:21:04,200 IS. 491 00:21:04,200 --> 00:21:05,560 THERE'S A GREAT NEED TO MAKE 492 00:21:05,560 --> 00:21:07,000 SURE WE HAVE AN UNDERSTANDING OF 493 00:21:07,000 --> 00:21:08,800 THE LEVEL OF UNDERSTANDING FOR 494 00:21:08,800 --> 00:21:10,640 OUR COMMUNITIES ABOUT THIS. 495 00:21:10,640 --> 00:21:12,400 AND SOME OF THE THINGS WE MIGHT 496 00:21:12,400 --> 00:21:14,760 ASK AS PART OF THAT QUESTION IS 497 00:21:14,760 --> 00:21:21,040 ARE THERE SPECIFIC GROUPS OR 498 00:21:21,040 --> 00:21:22,040 INDIVIDUALS THAT WE MIGHT FOCUS 499 00:21:22,040 --> 00:21:23,600 ON AND MIGHT WANT TO REACH AS WE 500 00:21:23,600 --> 00:21:30,720 DO THIS WORK? 501 00:21:30,720 --> 00:21:33,000 AND WHAT HAVE PEOPLE HEARD ABOUT 502 00:21:33,000 --> 00:21:38,040 RECOVER AND LONG COVID? 503 00:21:38,040 --> 00:21:41,840 AND RECOGNIZING ALL OF US MAY 504 00:21:41,840 --> 00:21:43,160 NOT RECOGNIZE THE LEVELS AND 505 00:21:43,160 --> 00:21:44,600 SYMPTOMS OF LONG COVID, WHAT 506 00:21:44,600 --> 00:21:49,840 HAVE YOU HEARD IN YOUR COMMUNITY 507 00:21:49,840 --> 00:21:51,800 PEOPLE TALK ABOUT UP GETTING 508 00:21:51,800 --> 00:21:52,880 OVER COVID. 509 00:21:52,880 --> 00:21:54,520 A LOT OF TIMES THERE'S LONG 510 00:21:54,520 --> 00:21:55,400 COVID HAPPENING BUT PEOPLE 511 00:21:55,400 --> 00:21:58,760 AREN'T AWARE THERE'S A NAME FOR 512 00:21:58,760 --> 00:21:59,640 THIS PHENOMENA. 513 00:21:59,640 --> 00:22:01,400 BASED ON ALL THAT AND YOUR 514 00:22:01,400 --> 00:22:02,640 KNOWLEDGE OF WHAT IS AH 515 00:22:02,640 --> 00:22:03,760 HAPPENING, WHAT DO YOU THINK ARE 516 00:22:03,760 --> 00:22:08,600 THE BEST MODALITIES FOR GETTING 517 00:22:08,600 --> 00:22:09,480 THE WORD OUT DELIVERING 518 00:22:09,480 --> 00:22:12,040 INFORMATION ABOUT LONG COVID FOR 519 00:22:12,040 --> 00:22:15,440 THE COMMUNITIES YOU'RE HEAR 520 00:22:15,440 --> 00:22:15,800 REPRESENTING. 521 00:22:15,800 --> 00:22:17,200 WITH THAT I'LL OPEN IT UP FOR 522 00:22:17,200 --> 00:22:28,360 COMMENTS AND QUESTIONS. 523 00:22:28,360 --> 00:22:32,480 YOU CAN ENTER YOUR QUESTION IN 524 00:22:32,480 --> 00:22:35,480 THE CHAT OR -- OH, I SEE. 525 00:22:35,480 --> 00:22:39,400 DR. MUNOZ, I BELIEVE, FROM NIH. 526 00:22:39,400 --> 00:22:40,240 >> YES. 527 00:22:40,240 --> 00:22:43,240 I'M ONE OF THE FOUR CO-CHAIRS OF 528 00:22:43,240 --> 00:22:47,440 THE STEERING COMMITTEE OF NIH 529 00:22:47,440 --> 00:22:48,200 SEAL. 530 00:22:48,200 --> 00:22:51,480 DO WE HAVE AN ESTIMATES OF THE 531 00:22:51,480 --> 00:22:52,760 PEOPLE WHO SUFFER FROM COVID WHO 532 00:22:52,760 --> 00:23:00,240 GO ON TO SUFFER FROM LONG COVID? 533 00:23:00,240 --> 00:23:02,600 >> MY UNDERSTANDING IS THAT 534 00:23:02,600 --> 00:23:05,560 SOMEWHERE BETWEEN 20% AND 30% OF 535 00:23:05,560 --> 00:23:08,440 INDIVIDUALS WHO GET COVID-19 536 00:23:08,440 --> 00:23:11,160 WILL GO ON TO SUFFER FROM LONG 537 00:23:11,160 --> 00:23:11,400 COVID. 538 00:23:11,400 --> 00:23:14,200 I BELIEVE ONE OF MY COLLEAGUES 539 00:23:14,200 --> 00:23:14,880 MAY HAVE ADDITIONAL INFORMATION 540 00:23:14,880 --> 00:23:17,680 TO SHARE SO I WELCOME THEM TO 541 00:23:17,680 --> 00:23:19,000 RESPOND AS WELL. 542 00:23:19,000 --> 00:23:30,080 >> THANK YOU. 543 00:23:30,080 --> 00:23:31,960 >> ESTIMATES FOR THE INCIDENTS 544 00:23:31,960 --> 00:23:37,040 AND PREVALENCE OF LONG COVID, 545 00:23:37,040 --> 00:23:39,760 MANY STUDIES FALL AROUND THE 546 00:23:39,760 --> 00:23:43,000 RANGE DR. HILLDRETH MENTIONED. 547 00:23:43,000 --> 00:23:46,000 IT'S IMPORTANT TO ALSO RECOGNIZE 548 00:23:46,000 --> 00:23:47,400 WIDELY RANGING IN THE LITERATURE 549 00:23:47,400 --> 00:23:49,840 AND IT DEPENDS ON SPECIFICALLY 550 00:23:49,840 --> 00:23:55,400 WHAT THE STUDIES ARE LOOKING AT. 551 00:23:55,400 --> 00:23:57,040 WHICH SYMPTOMS, WHICH AFFECTS 552 00:23:57,040 --> 00:24:03,080 AND IN WHICH POPULATION. 553 00:24:03,080 --> 00:24:05,400 SOME STUDIES HAVE SHOWN PEOPLE 554 00:24:05,400 --> 00:24:08,440 WITH MORE SEVERE DISEASE SUCH AS 555 00:24:08,440 --> 00:24:10,080 HOSPITALIZED PATIENTS HAVE A 556 00:24:10,080 --> 00:24:17,400 GREATER BURDEN OF LINGERING 557 00:24:17,400 --> 00:24:28,600 AFFECTS SO IT'S VERY VARIABLE. 558 00:24:28,600 --> 00:24:33,240 >> I SEE WANDA ALTMAN. 559 00:24:33,240 --> 00:24:33,560 PLEASE. 560 00:24:33,560 --> 00:24:35,760 >> I HAD A COMMENT NOT A 561 00:24:35,760 --> 00:24:43,560 QUESTION SO MUCH. 562 00:24:43,560 --> 00:24:47,440 I WAS STRUCK WITH COVID IN JULY 563 00:24:47,440 --> 00:24:50,600 2020 AND ANYTHING LONG COVID AND 564 00:24:50,600 --> 00:24:52,440 LONG HAULERS UNTIL ONE NIGHT I 565 00:24:52,440 --> 00:24:54,560 WAS HAVING INSOMNIA AND TURNED 566 00:24:54,560 --> 00:24:56,760 THE TV TO FULL-COURT PRESS AND 567 00:24:56,760 --> 00:25:03,400 THERE WAS A YOUNG WOMAN ON THERE 568 00:25:03,400 --> 00:25:05,480 SPEAKING TO LONG HAULERS AND THE 569 00:25:05,480 --> 00:25:09,040 WORK SHE HAD DONE AROUND LONG 570 00:25:09,040 --> 00:25:11,040 COVID AND TALKED ABOUT THE 571 00:25:11,040 --> 00:25:13,000 SYMPTOMS THAT I EXPERIENCE NOW. 572 00:25:13,000 --> 00:25:15,400 I WOULD SAY IN THE COMMUNITY 573 00:25:15,400 --> 00:25:20,640 THERE'S NOT A HIGH LEVEL OF 574 00:25:20,640 --> 00:25:25,280 AWARENESS AROUND LONG COVID AND 575 00:25:25,280 --> 00:25:26,280 ITS SYMPTOMS. 576 00:25:26,280 --> 00:25:27,720 I'VE SPOKEN WITH PERSONS WHO SAY 577 00:25:27,720 --> 00:25:29,400 I STILL HAVE THIS COUGH. 578 00:25:29,400 --> 00:25:31,720 I CAN'T GET RID OF THIS COUGH. 579 00:25:31,720 --> 00:25:35,120 I'M STILL NOT ABLE TO TASTE OR 580 00:25:35,120 --> 00:25:36,600 SMELL BUT DONT HAVE AN IDEA AND 581 00:25:36,600 --> 00:25:39,320 I COULDN'T TELL THEM WHAT IT WAS 582 00:25:39,320 --> 00:25:41,000 OTHER THAN SOMETHING THAT 583 00:25:41,000 --> 00:25:41,640 LINGERS AROUND AFTER COVID 584 00:25:41,640 --> 00:25:44,880 BECAUSE I WAS NOT AWARE LONG 585 00:25:44,880 --> 00:25:48,560 COVID UNTIL I WAS INVITED. 586 00:25:48,560 --> 00:25:51,680 I WAS AWARE OF LONG COVID WHEN I 587 00:25:51,680 --> 00:25:54,720 TURNED TO THE TV PROGRAM BUT 588 00:25:54,720 --> 00:25:56,280 RECOVER I WAS ONLY AWARE OF IT 589 00:25:56,280 --> 00:25:58,240 WHEN I WAS INVITED TO 590 00:25:58,240 --> 00:25:59,480 PARTICIPATE IN THE LISTENING 591 00:25:59,480 --> 00:26:04,400 SESSION. 592 00:26:04,400 --> 00:26:05,440 >> THANK YOU. 593 00:26:05,440 --> 00:26:06,760 YOU RAISE AN IMPORTANT POINT 594 00:26:06,760 --> 00:26:07,960 WHICH IS HOW TO GET THE WORD OUT 595 00:26:07,960 --> 00:26:11,800 TO COMMUNITIES NOT AWARE OF THIS 596 00:26:11,800 --> 00:26:12,920 PHENOMENON THAT'S A REAL THING 597 00:26:12,920 --> 00:26:14,200 WE NEED TO FOCUS ON SO YOUR 598 00:26:14,200 --> 00:26:17,440 POINT IS DEFINITELY WELL TAKEN. 599 00:26:17,440 --> 00:26:27,320 I SEE DR. HECKMAN AND DR. ECHO 600 00:26:27,320 --> 00:26:27,600 -HAWK. 601 00:26:27,600 --> 00:26:31,600 >> DID WE LOSE DR. HECKMAN? 602 00:26:31,600 --> 00:26:32,840 ABIGAIL, WOULD YOU LIKE TO GO 603 00:26:32,840 --> 00:26:34,280 WHILE WE GET HIM BACK? 604 00:26:34,280 --> 00:26:37,280 >> SURE, THANK YOU SO MUCH. 605 00:26:37,280 --> 00:26:41,520 ABIGAIL ECHO-HAWK THE ONLY 606 00:26:41,520 --> 00:26:44,400 CENTER FOCUSSING ON URBAN 607 00:26:44,400 --> 00:26:48,280 DWELLING NATIVE AMERICANS AND 608 00:26:48,280 --> 00:26:52,680 ALASKAN NATIVES IN SEATTLE 609 00:26:52,680 --> 00:26:53,600 WASHINGTON SERVING AMERICAN 610 00:26:53,600 --> 00:26:55,880 INDIAN AND ALASKAN NATIVES. 611 00:26:55,880 --> 00:26:58,400 I WANT TO ADDRESS MY CONCERNS 612 00:26:58,400 --> 00:27:00,000 AROUND THE METHODS OF THE STUDY 613 00:27:00,000 --> 00:27:01,120 THAT RAISED SOME AWARENESS FOR 614 00:27:01,120 --> 00:27:03,800 ME OF THINKING ABOUT HOW THE 615 00:27:03,800 --> 00:27:05,480 STUDY MAY HAVE SOME LIMITATIONS 616 00:27:05,480 --> 00:27:08,640 PARTICULARLY WHEN IT LOOK AT THE 617 00:27:08,640 --> 00:27:12,320 INFORMATION RELATED TO AMERICAN 618 00:27:12,320 --> 00:27:19,360 INDIAN AND ALASKAN NATIVES AND 619 00:27:19,360 --> 00:27:22,800 WE FOUND THERE WAS A LACK OF 620 00:27:22,800 --> 00:27:25,720 DATA AS A DIRECT RESULT WE FOUND 621 00:27:25,720 --> 00:27:28,200 NON-COLLECTION OF RACE AND 622 00:27:28,200 --> 00:27:30,480 ETHNICITY OF AMERICAN INDIANS 623 00:27:30,480 --> 00:27:31,800 AND OTHER BIPOC COMMUNITIES AND 624 00:27:31,800 --> 00:27:34,200 WHEN YOU LOOK AT THE EHR RECORDS 625 00:27:34,200 --> 00:27:36,560 AND TRYING TO TRACK WHETHER OR 626 00:27:36,560 --> 00:27:38,840 NOT THEY HAD A COVID INFECTION 627 00:27:38,840 --> 00:27:40,400 AND THEN LONG COVID AFTER THAT 628 00:27:40,400 --> 00:27:44,400 SAY DIRECT RESULT OF THAT, THOSE 629 00:27:44,400 --> 00:27:45,800 LIMITATIONS IN THE DATA ARE 630 00:27:45,800 --> 00:27:50,080 GOING TO SKEW AND NOT PROPERLY 631 00:27:50,080 --> 00:27:53,080 REPRESENT THE AMERICAN INDIAN 632 00:27:53,080 --> 00:27:54,480 AND ALASKAN NATIVE EXPERIENCE 633 00:27:54,480 --> 00:27:56,480 AND THERE'S WORK TO BE DONE ON 634 00:27:56,480 --> 00:27:59,000 THE MISCLASSIFICATION AND 635 00:27:59,000 --> 00:28:00,360 POSSIBLE LINKAGES IN ORDER TO 636 00:28:00,360 --> 00:28:02,840 MAKE THE STUDIES RELEVANT TO A 637 00:28:02,840 --> 00:28:03,640 POPULATION THAT'S BEEN ONE OF 638 00:28:03,640 --> 00:28:04,840 THE MOST IMPACTED BY COVID-19. 639 00:28:04,840 --> 00:28:07,400 IN ADDITION THE RECRUITMENT 640 00:28:07,400 --> 00:28:08,800 STRATEGY MAY BE USING HOSPITAL 641 00:28:08,800 --> 00:28:10,880 RECORDS IN WHICH TO SEND LETTERS 642 00:28:10,880 --> 00:28:13,040 OUT TO FOLKS TO ENGAGE OR 643 00:28:13,040 --> 00:28:17,040 HOWEVER YOU'RE LOOKING TO ENGAGE 644 00:28:17,040 --> 00:28:18,920 PARTICIPANTS WE FIND WHEN PEOPLE 645 00:28:18,920 --> 00:28:21,920 USE HOSPITAL RECORDS ALASKAN 646 00:28:21,920 --> 00:28:32,280 NATIVES OFTEN GO OFF RESERVATION 647 00:28:32,280 --> 00:28:34,400 LANDS AND WHEN YOU CONTACT 648 00:28:34,400 --> 00:28:37,800 THERE'S THE ABILITY TO LIMIT TO 649 00:28:37,800 --> 00:28:39,960 ENGAGE IN AND TO REGULATE ANY 650 00:28:39,960 --> 00:28:41,400 RESEARCH HAPPENING ON TRIBAL 651 00:28:41,400 --> 00:28:42,760 LAND SO I WOULD SUGGEST YOU LOOK 652 00:28:42,760 --> 00:28:46,600 AT YOUR METHODS TO ENSURE YOU'RE 653 00:28:46,600 --> 00:28:51,880 NOT IMPINGING ON TRIBAL 654 00:28:51,880 --> 00:28:59,320 SOVEREIGN TI AND ETHICAL 655 00:28:59,320 --> 00:28:59,600 RESEARCH. 656 00:28:59,600 --> 00:29:01,400 WE'RE STILL IN THE MIDST OF A 657 00:29:01,400 --> 00:29:03,120 CRISIS AND PEOPLE ARE TRYING TO 658 00:29:03,120 --> 00:29:04,120 OVERCOME THE CRISES AND HAVEN'T 659 00:29:04,120 --> 00:29:06,520 BEEN ABLE TO ENGAGE IN WHAT LONG 660 00:29:06,520 --> 00:29:09,480 COVID IMPACTS CAN LOOK LIKE BUT 661 00:29:09,480 --> 00:29:10,080 YET WITHIN MY OWN CLINIC 662 00:29:10,080 --> 00:29:11,440 POPULATION AND THE WORK WE DO 663 00:29:11,440 --> 00:29:12,600 AROUND THE NATION WE'RE SEEING 664 00:29:12,600 --> 00:29:15,680 LONG COVID AND WHEN OUR FOLKS GO 665 00:29:15,680 --> 00:29:19,160 INTO NON-INDIGENOUS HOSPITALS 666 00:29:19,160 --> 00:29:20,320 AND CLINICS, NOBODY'S BELIEVING 667 00:29:20,320 --> 00:29:20,520 THEM. 668 00:29:20,520 --> 00:29:23,520 WE'RE THE IMPACT OF IMPLICIT 669 00:29:23,520 --> 00:29:25,680 BIAS, RACISM AND PREJUDICE AND 670 00:29:25,680 --> 00:29:27,360 THE NON-BELIEF OF THOSE 671 00:29:27,360 --> 00:29:27,920 EXPERIENCING SYMPTOMS. 672 00:29:27,920 --> 00:29:30,560 ONE OF THE THINGS WE HAVE FOUND 673 00:29:30,560 --> 00:29:33,920 IS THAT THE MAINSTREAM 674 00:29:33,920 --> 00:29:34,600 STRATEGIES PARTICULARLY AROUND 675 00:29:34,600 --> 00:29:36,120 COVID VACCINATION AND 676 00:29:36,120 --> 00:29:36,960 INFORMATION AROUND COVID-19 677 00:29:36,960 --> 00:29:39,680 SINCE THE BEGINNING OF THE 678 00:29:39,680 --> 00:29:40,800 PANDEMIC FROM THE MAINSTREAM 679 00:29:40,800 --> 00:29:45,000 PERSPECTIVE DID NOT REACH OUR 680 00:29:45,000 --> 00:29:45,400 COMMUNITY. 681 00:29:45,400 --> 00:29:47,200 MY ORGANIZATION DID THE ONLY 682 00:29:47,200 --> 00:29:48,360 SURVEY ON VACCINE HESITANCIES 683 00:29:48,360 --> 00:29:50,600 AND PERCEPTIONS AND FOUND THE 684 00:29:50,600 --> 00:29:52,200 OPPOSITE OF THE STRATEGY THAT 685 00:29:52,200 --> 00:29:54,240 WAS BEING USED BY MAINSTREAM 686 00:29:54,240 --> 00:29:58,200 STRATEGIES AROUND ENGAGING 687 00:29:58,200 --> 00:30:00,480 PEOPLE AND COVID-19 VACCINES 688 00:30:00,480 --> 00:30:02,720 WHEN YOU THINK OF THE BEST 689 00:30:02,720 --> 00:30:03,560 MODALITIES FOR COMMUNITY 690 00:30:03,560 --> 00:30:07,600 INFORMATION HAS TO BE COMMUNITY 691 00:30:07,600 --> 00:30:07,800 DRIVEN. 692 00:30:07,800 --> 00:30:08,520 THERE'S COMMUNITIES WHERE YOU 693 00:30:08,520 --> 00:30:10,640 NEED TO HAVE ONE UNIFIED MESSAGE 694 00:30:10,640 --> 00:30:12,360 AND HAS TO BE NOT ONLY ADAPTABLE 695 00:30:12,360 --> 00:30:15,000 BUT SOMETIMES JUST COMPLETELY 696 00:30:15,000 --> 00:30:16,040 DIFFERENT IN THE WAY THE 697 00:30:16,040 --> 00:30:18,320 INFORMATION HAS GATHERED. 698 00:30:18,320 --> 00:30:19,600 IT HAD TO BE DONE THROUGH TRUE 699 00:30:19,600 --> 00:30:21,760 COMMUNITY ENGAGEMENT FOR TRIBAL 700 00:30:21,760 --> 00:30:23,520 COMMUNITIES THAT MEANS IN 701 00:30:23,520 --> 00:30:26,920 ADDITION TO NATIONAL INDIGENOUS 702 00:30:26,920 --> 00:30:27,640 ORGANIZATIONS LIKE NATIONAL 703 00:30:27,640 --> 00:30:29,640 CONGRESS AND INDIAN HEALTH BOARD 704 00:30:29,640 --> 00:30:31,440 AND THE INDIAN HEALTH INSTITUTE 705 00:30:31,440 --> 00:30:32,400 AND MY OWN ORGANIZATION. 706 00:30:32,400 --> 00:30:34,840 WE'RE THE TRUSTED MESSENGERS 707 00:30:34,840 --> 00:30:36,360 WITHIN OUR COMMUNITY. 708 00:30:36,360 --> 00:30:37,040 SO THANK YOU. 709 00:30:37,040 --> 00:30:38,160 >> SORRY, ABIGAIL. 710 00:30:38,160 --> 00:30:40,320 I WANT TO POINT OUT ALL THOSE 711 00:30:40,320 --> 00:30:44,480 THINGS YOU RAISED AS CONCERNS 712 00:30:44,480 --> 00:30:47,320 WERE ADDRESSED IN THE HEALTH 713 00:30:47,320 --> 00:30:51,400 EQUITY TASK FORCE. 714 00:30:51,400 --> 00:30:52,040 DISAGGREGATED DATA IS IMPORTANT 715 00:30:52,040 --> 00:30:53,800 AND HOW TO GET THE BEST DATA TO 716 00:30:53,800 --> 00:30:57,480 FIND THE SOLUTIONS YOU NEED TO 717 00:30:57,480 --> 00:30:59,800 ALL THE POINTS YOU RAISED ARE 718 00:30:59,800 --> 00:31:01,320 VALID AND I WOULD INVITE YOU TO 719 00:31:01,320 --> 00:31:03,640 GET A COPY OF THE FULL REPORT 720 00:31:03,640 --> 00:31:05,680 BECAUSE I ASSURE YOU THOSE 721 00:31:05,680 --> 00:31:07,400 CONSIDERATIONS YOU RAISED WERE 722 00:31:07,400 --> 00:31:10,400 ALL WORK WE DID TO FIND 723 00:31:10,400 --> 00:31:11,960 RECOMMENDATIONS ON SOLUTIONS BUT 724 00:31:11,960 --> 00:31:14,000 THANK YOU AND THE TRUSTED 725 00:31:14,000 --> 00:31:16,400 MESSENGER PIECE IS CRITICAL AND 726 00:31:16,400 --> 00:31:19,560 I THINK THE FOLKS AT NIH AND HHS 727 00:31:19,560 --> 00:31:23,320 UNDERSTAND THAT SO THANK YOU 728 00:31:23,320 --> 00:31:24,400 VERY MUCH, ABIGAIL. 729 00:31:24,400 --> 00:31:26,480 DR. HECKMAN, YOU'RE BACK. 730 00:31:26,480 --> 00:31:27,320 GO AHEAD, PLEASE. 731 00:31:27,320 --> 00:31:29,520 >> CAN YOU HEAR IS THE 732 00:31:29,520 --> 00:31:30,640 >> YES. 733 00:31:30,640 --> 00:31:31,720 >> -- HEAR ME? 734 00:31:31,720 --> 00:31:33,000 >> YES. 735 00:31:33,000 --> 00:31:33,800 >> WONDERFUL. 736 00:31:33,800 --> 00:31:36,640 THANK YOU FOR ORGANIZING THIS 737 00:31:36,640 --> 00:31:39,520 AND TAKING INTO ACCOUNT 738 00:31:39,520 --> 00:31:40,160 EVERYBODY'S PERSPECTIVE AND 739 00:31:40,160 --> 00:31:42,720 TACKING THIS LARGE ISSUE. 740 00:31:42,720 --> 00:31:44,680 NOT TO FURTHER COMPLICATE IT BUT 741 00:31:44,680 --> 00:31:48,000 I'M KIND OF WORRIED ABOUT THE 742 00:31:48,000 --> 00:32:00,000 DIRECT AND INDIRECT CYCLES IF 743 00:32:00,000 --> 00:32:04,520 SOMEONE'S BIOLOGICAL SYSTEM IS 744 00:32:04,520 --> 00:32:06,920 INTERRUPTED IMPACTING ACCESS TO 745 00:32:06,920 --> 00:32:08,280 HEALTH SERVICES OR 746 00:32:08,280 --> 00:32:11,200 DISPROPORTIONATELY IMPACT OF 747 00:32:11,200 --> 00:32:12,000 DEATH IN HIGHER COMMUNITIES 748 00:32:12,000 --> 00:32:14,800 COULD LEAD TO TRAUMA AND CYCLE 749 00:32:14,800 --> 00:32:16,960 INTO DEPRESSION AND ANXIETY AND 750 00:32:16,960 --> 00:32:21,040 LESS BEING ABLE TO WORK OR BEING 751 00:32:21,040 --> 00:32:22,280 PHYSICALLY HEALTHY FURTHERING 752 00:32:22,280 --> 00:32:26,920 THE EQUITY GAP IN TERMS OF THE 753 00:32:26,920 --> 00:32:27,560 SOCIAL DETERMINATES OF HEALTH 754 00:32:27,560 --> 00:32:31,760 AND COME FROM THIS AS THE STUDY 755 00:32:31,760 --> 00:32:32,640 OF SOCIAL DETERMINATES OF HEALTH 756 00:32:32,640 --> 00:32:34,480 AND THE CLINICAL PSYCHOLOGIST. 757 00:32:34,480 --> 00:32:36,120 I GUESS I'M CURIOUS, IS THAT 758 00:32:36,120 --> 00:32:38,120 OUTSIDE THE SCOPE OF RECOVER 759 00:32:38,120 --> 00:32:41,000 BECAUSE IT'S NOT DIRECTLY THE 760 00:32:41,000 --> 00:32:43,960 BIOLOGICAL ASPECT OR THINKING 761 00:32:43,960 --> 00:32:45,840 ABOUT THE MULTI-LEVEL COMPLEX 762 00:32:45,840 --> 00:32:47,400 SYSTEMS WHICH PROVIDE THE 763 00:32:47,400 --> 00:32:49,040 FEEDBACK LOOPS THAT KEEP PART OF 764 00:32:49,040 --> 00:32:52,760 THE PROBLEM GOING OR NOT AND 765 00:32:52,760 --> 00:32:53,520 FURTHER THINKING THROUGH 766 00:32:53,520 --> 00:32:55,720 POTENTIAL BUFFERS THAT MIGHT BE 767 00:32:55,720 --> 00:32:58,720 DIFFER IN ADDITION TO THE 768 00:32:58,720 --> 00:33:00,480 DIFFERENTIAL PATHWAYS FOR THE 769 00:33:00,480 --> 00:33:01,360 DISEASE ITSELF. 770 00:33:01,360 --> 00:33:02,560 SIMILAR TO WHAT OTHERS HAVE 771 00:33:02,560 --> 00:33:04,560 MENTIONED HERE SO I WON'T GO IN 772 00:33:04,560 --> 00:33:08,320 GREATER DEPTH AND I'D BE REMISS 773 00:33:08,320 --> 00:33:10,240 TO NOT ALSO THINK THIS AS AN 774 00:33:10,240 --> 00:33:12,000 OPPORTUNITY TO ENHANCE CAPACITY 775 00:33:12,000 --> 00:33:14,280 BUILDING AND WORKFORCE 776 00:33:14,280 --> 00:33:18,400 DEVELOPMENT THROUGH UNIQUE 777 00:33:18,400 --> 00:33:20,640 PARTNERSHIPS AMONG HISTORICALLY 778 00:33:20,640 --> 00:33:21,680 MINORITY INSTITUTES AND THE 779 00:33:21,680 --> 00:33:23,000 PAIRING UP WILL ALLOW FOR THE 780 00:33:23,000 --> 00:33:24,160 STRONG ARE CONNECTION WITH THE 781 00:33:24,160 --> 00:33:26,000 COMMUNITY AND ALLOW FOR A MUCH 782 00:33:26,000 --> 00:33:29,560 MORE COMMUNITY-ENGAGED, HOLISTIC 783 00:33:29,560 --> 00:33:30,680 APPROACH MORE BROADLY. 784 00:33:30,680 --> 00:33:32,320 I'LL LEAVE IT THERE. 785 00:33:32,320 --> 00:33:32,760 THANK YOU. 786 00:33:32,760 --> 00:33:34,960 >> THANK YOU, DR. HECKMAN. 787 00:33:34,960 --> 00:33:40,080 CERTAINLY I KNOW FOR SURE 788 00:33:40,080 --> 00:33:42,600 BEHAVIORAL HEALTH AND BEHAVIORAL 789 00:33:42,600 --> 00:33:47,520 HEALTH CONSEQUENCES OF THIS IS 790 00:33:47,520 --> 00:33:51,520 WHAT THEY'RE LOOKING TO ADDRESS. 791 00:33:51,520 --> 00:33:53,960 I BELIEVE IT'S PART OF THE 792 00:33:53,960 --> 00:33:56,560 STRATEGY TO ADDRESS THE ASPECT. 793 00:33:56,560 --> 00:33:58,080 >> THANK YOU FOR THAT QUESTION, 794 00:33:58,080 --> 00:33:59,400 DR. HECKMAN. 795 00:33:59,400 --> 00:34:02,840 I'LL ASK WE CERTAINLY INCLUDED 796 00:34:02,840 --> 00:34:03,440 THE SOCIAL DETERMINATES OF 797 00:34:03,440 --> 00:34:05,520 HEALTH BECAUSE WE RECOGNIZE THIS 798 00:34:05,520 --> 00:34:07,080 IS BEYOND THE BIOLOGICAL 799 00:34:07,080 --> 00:34:09,520 MECHANISMS OF RECOVERY AND 800 00:34:09,520 --> 00:34:10,600 DEALING WITH LONG COVID. 801 00:34:10,600 --> 00:34:12,240 WE HAVE ADDRESSED THOSE ISSUES. 802 00:34:12,240 --> 00:34:30,400 THANK YOU FOR THAT QUESTION. 803 00:34:30,400 --> 00:34:31,160 NEXT QUESTION. 804 00:34:31,160 --> 00:34:38,400 >> THANK YOU FOR THE HELPFUL 805 00:34:38,400 --> 00:34:41,000 BRIEFING AND LIFT UP WHAT 806 00:34:41,000 --> 00:34:43,200 ABIGAIL SAID EARLIER ABOUT 807 00:34:43,200 --> 00:34:44,480 AMERICAN INDIANS AND I WAS 808 00:34:44,480 --> 00:35:10,720 TAKING COPIOUS NOTES. 809 00:35:10,720 --> 00:35:13,240 HAVE YOU LOOKED AT DATA 810 00:35:13,240 --> 00:35:14,160 DISAGGREGATION AND THE 811 00:35:14,160 --> 00:35:15,000 INDIVIDUALS AND CHILDREN WHO 812 00:35:15,000 --> 00:35:20,000 SUFFER FROM LONG COVID. 813 00:35:20,000 --> 00:35:23,200 I ASK THAT BECAUSE PART OF THE 814 00:35:23,200 --> 00:35:23,800 CONVERSATION ABOUT COMMUNITY 815 00:35:23,800 --> 00:35:26,440 REACH AND STRATEGIES AND TRUSTED 816 00:35:26,440 --> 00:35:27,600 NAVIGATORS AND PART OF 817 00:35:27,600 --> 00:35:29,560 UNDERSTANDING OUTREACH AND 818 00:35:29,560 --> 00:35:30,920 ACCESSIBILITY IS ALSO 819 00:35:30,920 --> 00:35:32,440 UNDERSTANDING THE DATA AND WHERE 820 00:35:32,440 --> 00:35:35,360 THERE MAY BE GAPS FALLING SHORT 821 00:35:35,360 --> 00:35:40,120 BOTH BECAUSE WE DON'T HAVE IT OR 822 00:35:40,120 --> 00:35:42,920 SOME OF MENTIONING OF RACES 823 00:35:42,920 --> 00:35:43,240 MISCLASSIFIED. 824 00:35:43,240 --> 00:35:43,800 CURIOUS IF THERE'S MORE 825 00:35:43,800 --> 00:35:46,400 INFORMATION ON THAT. 826 00:35:46,400 --> 00:35:50,480 I APOLOGIZE, I'M WITH THE 827 00:35:50,480 --> 00:35:59,200 CHILDREN'S DEFENSE FUND AND MY 828 00:35:59,200 --> 00:36:01,400 FANTASTIC COLLEAGUE ON THE CALL. 829 00:36:01,400 --> 00:36:03,440 >> SINCE THERE'S NOT A LEVEL OF 830 00:36:03,440 --> 00:36:05,320 AWARENESS OF LONG COVID AS A 831 00:36:05,320 --> 00:36:06,800 PHENOMENON AND CONDITION, I DO 832 00:36:06,800 --> 00:36:10,920 THINK THOSE WHO PRESENTED 833 00:36:10,920 --> 00:36:15,800 THEMSELVES WITH THIS DISORDER 834 00:36:15,800 --> 00:36:17,400 PREDOMINANTLY NON-MINORITY WE 835 00:36:17,400 --> 00:36:18,520 HAVE TO RAISE AWARENESS IN THE 836 00:36:18,520 --> 00:36:19,160 MINORITY COMMUNITY AND FOR 837 00:36:19,160 --> 00:36:22,600 PEOPLE TO COME FORWARD. 838 00:36:22,600 --> 00:36:25,000 I'LL LET MY COLLEAGUES SPEAK TO 839 00:36:25,000 --> 00:36:27,800 THAT, DR. WILLIAMS AND 840 00:36:27,800 --> 00:36:28,120 DR. LERNER. 841 00:36:28,120 --> 00:36:31,800 >> YEAH, I AGREE. 842 00:36:31,800 --> 00:36:33,680 THERE ARE REAL GAPS IN TO THE 843 00:36:33,680 --> 00:36:34,840 DATA WE HAVE ABOUT LONG COVID 844 00:36:34,840 --> 00:36:36,400 FOR MANY REASONS AND ROBUST 845 00:36:36,400 --> 00:36:38,240 DATA'S NEEDED AND RECOVER IS 846 00:36:38,240 --> 00:36:40,760 HOPING TO FILL SOME OF THOSE 847 00:36:40,760 --> 00:36:52,440 GAPS. 848 00:36:52,440 --> 00:36:56,440 >> WE HAVE JOHN KALEEKAL. 849 00:36:56,440 --> 00:36:58,000 TAKE IT AWAY. 850 00:36:58,000 --> 00:36:58,920 >> GOOD AFTERNOON. 851 00:36:58,920 --> 00:37:02,400 I'M PEDRO MARTINEZ AND 852 00:37:02,400 --> 00:37:08,440 REPRESENTING UNIDOS U.S. FOR 853 00:37:08,440 --> 00:37:10,360 SENIOR PREPAREDNESS AND RESPONSE 854 00:37:10,360 --> 00:37:11,280 AND I APPRECIATE THE OPPORTUNITY 855 00:37:11,280 --> 00:37:12,400 TO BRING OUR PERSPECTIVE. 856 00:37:12,400 --> 00:37:14,600 THE LONG AND SHORT OF IT HERE IS 857 00:37:14,600 --> 00:37:17,240 THAT AS WE'VE BEEN DISCUSSING, 858 00:37:17,240 --> 00:37:19,800 THERE IS LOW AWARENESS WITHIN 859 00:37:19,800 --> 00:37:21,240 THE LATINO COMMUNITY IN REGARDS 860 00:37:21,240 --> 00:37:23,080 TO WHAT LONG COVID IS. 861 00:37:23,080 --> 00:37:24,680 I THINK A LOT OF THAT STEMS FROM 862 00:37:24,680 --> 00:37:31,240 THE EARLIER MESSAGING WITHIN THE 863 00:37:31,240 --> 00:37:33,160 PANDEMIC THIS COVID-19 VIRUS WAS 864 00:37:33,160 --> 00:37:37,000 NOT ANYMORE SEVERE THAN THE FLU. 865 00:37:37,000 --> 00:37:39,120 I THINK FOLKS HAD A 866 00:37:39,120 --> 00:37:40,480 MISUNDERSTANDING FROM THE 867 00:37:40,480 --> 00:37:41,400 BEGINNING AND THE SCIENCE OF 868 00:37:41,400 --> 00:37:43,920 COURSE WASN'T THERE AT THAT 869 00:37:43,920 --> 00:37:44,160 TIME. 870 00:37:44,160 --> 00:37:47,200 THAT BEING SAID, THE FOLKS WHO 871 00:37:47,200 --> 00:37:48,800 POTENTIALLY HAVE BEEN IMPACTED 872 00:37:48,800 --> 00:37:51,040 THE MOST WOULD BE ESSENTIAL 873 00:37:51,040 --> 00:37:52,960 WORKERS. 874 00:37:52,960 --> 00:37:55,000 THOSE WHO HAVE BEEN OUT WORKING 875 00:37:55,000 --> 00:37:56,640 IN THE FIELDS, WORKING IN 876 00:37:56,640 --> 00:37:58,520 SERVICE INDUSTRY JOBS. 877 00:37:58,520 --> 00:38:00,440 THOSE WHO ARE IN THE POULTRY 878 00:38:00,440 --> 00:38:03,160 PROCESSING PLANT AND SO FORTH 879 00:38:03,160 --> 00:38:04,920 THAT MAY BE THOSE WHO COULD BE 880 00:38:04,920 --> 00:38:10,440 MOST IMPACTED BY LONG COVID BUT 881 00:38:10,440 --> 00:38:11,800 HOWEVER, THEY MAY NOT EVEN BE 882 00:38:11,800 --> 00:38:13,400 AWARE OF LONG COVID AND WHERE 883 00:38:13,400 --> 00:38:15,600 THE JARGON COMES INTO PLAY, WHAT 884 00:38:15,600 --> 00:38:18,040 IS LONG COVID AND WHAT'S THAT 885 00:38:18,040 --> 00:38:20,480 MEAN AND SEQUELAE, MOST FOLKS 886 00:38:20,480 --> 00:38:23,640 DON'T UNDERSTAND WHERE THAT 887 00:38:23,640 --> 00:38:23,840 MEANS. 888 00:38:23,840 --> 00:38:25,360 I COME FROM A VIOLENCE AND 889 00:38:25,360 --> 00:38:27,120 PREVENTION BACKGROUND SO I'M 890 00:38:27,120 --> 00:38:28,000 AWARE BUT IT DOESN'T MEAN WHAT 891 00:38:28,000 --> 00:38:34,320 THE GENERAL PUBLIC IS. 892 00:38:34,320 --> 00:38:36,520 FINDING THE WAYS TO COMMUNICATE 893 00:38:36,520 --> 00:38:38,400 WHAT LONG COVID IS AND WHAT THE 894 00:38:38,400 --> 00:38:40,040 SYMPTOMS ARE COULD BE HELPFUL. 895 00:38:40,040 --> 00:38:42,920 IN ADDITION TO THOSE WHO 896 00:38:42,920 --> 00:38:43,800 POTENTIALLY MIGHT BE IDENTIFIED 897 00:38:43,800 --> 00:38:46,000 IN HAVING LONG COVID ARE THOSE 898 00:38:46,000 --> 00:38:47,880 WHO HAVE ACCESS TO HEALTH CARE 899 00:38:47,880 --> 00:38:50,600 DISCOVERY AND HAVE HEALTH CARE 900 00:38:50,600 --> 00:38:51,720 INSURANCE AND HAVE PERHAPS DOING 901 00:38:51,720 --> 00:38:54,800 WELLNESS CHECKUPS ON A YEARLY 902 00:38:54,800 --> 00:38:55,000 BASIS. 903 00:38:55,000 --> 00:38:56,800 IF THOSE INDIVIDUALS DO NOT HAVE 904 00:38:56,800 --> 00:39:00,400 ACCESS TO HEALTH CARE OR LOW 905 00:39:00,400 --> 00:39:01,400 ACCESS TO HEALTH CARE THEY MAY 906 00:39:01,400 --> 00:39:06,280 NOT HAVE THE ABILITY TO EVEN 907 00:39:06,280 --> 00:39:08,440 KNOW THIS IS AN EXTENDED COST OR 908 00:39:08,440 --> 00:39:10,560 MENTAL HEALTH ISSUES OR 909 00:39:10,560 --> 00:39:12,360 CHALLENGES OR WHATEVER THE LONG 910 00:39:12,360 --> 00:39:13,880 COVID SYMPTOMS MIGHT BE ARE 911 00:39:13,880 --> 00:39:15,440 RELATED TO LONG COVID BUT MAY 912 00:39:15,440 --> 00:39:17,160 THINK IT'S RELATED TO SOMETHING 913 00:39:17,160 --> 00:39:17,360 ELSE. 914 00:39:17,360 --> 00:39:18,920 I THINK THOSE ARE POINTS I 915 00:39:18,920 --> 00:39:22,560 WANTED TO MAKE AND HOW CAN WE 916 00:39:22,560 --> 00:39:25,800 BEST DELIVERY THIS INFORMATION. 917 00:39:25,800 --> 00:39:27,000 ONCE AGAIN REEMPHASIZE TRUSTED 918 00:39:27,000 --> 00:39:29,440 COMMUNITY MESSENGERS ARE GOING 919 00:39:29,440 --> 00:39:32,360 TO BE THE BEST WAY TO BE ABLE TO 920 00:39:32,360 --> 00:39:33,760 ADDRESS LONG COVID AND TO BRING 921 00:39:33,760 --> 00:39:36,200 THE POINTS FORWARD TO THE 922 00:39:36,200 --> 00:39:37,800 COMMUNITY FOR THEIR AWARENESS 923 00:39:37,800 --> 00:39:40,520 AND TO ADDRESS MISINFORMATION 924 00:39:40,520 --> 00:39:43,000 AND A NUMBER OF OTHER THREATS TO 925 00:39:43,000 --> 00:39:46,400 THAT WILL BE COMING DOWN THE 926 00:39:46,400 --> 00:39:46,600 ROAD. 927 00:39:46,600 --> 00:39:47,440 ONCE AGAIN I APPRECIATE THE 928 00:39:47,440 --> 00:39:49,120 OPPORTUNITY TO CONTRIBUTE AND 929 00:39:49,120 --> 00:39:50,680 LOOKING FORWARD TO PROVIDING 930 00:39:50,680 --> 00:39:54,920 MORE FEEDBACK. 931 00:39:54,920 --> 00:39:56,800 >> THANK YOU. 932 00:39:56,800 --> 00:39:59,400 >> NEXT WE HAVE JOHN. 933 00:39:59,400 --> 00:40:06,920 >> THIS IS JOHN KALEEKAL 934 00:40:06,920 --> 00:40:13,480 REPRESENTING THE ASIAN PACIFIC 935 00:40:13,480 --> 00:40:15,640 ISLANDER POPULATION AND WANTED 936 00:40:15,640 --> 00:40:16,920 TO ADDRESS MODALITIES FOR 937 00:40:16,920 --> 00:40:17,440 DELIVERING INFORMATION. 938 00:40:17,440 --> 00:40:19,200 I'M THINKING ABOUT YESTERDAY WE 939 00:40:19,200 --> 00:40:22,360 JUST HOSTED A WEBINAR WHERE WE 940 00:40:22,360 --> 00:40:23,440 DISCUSSED VACCINE EQUITY AMONGST 941 00:40:23,440 --> 00:40:28,840 THE API COMMUNITY AND FOCUSSED 942 00:40:28,840 --> 00:40:31,400 IN ON TWO ORGANIZATIONS AND ONE 943 00:40:31,400 --> 00:40:33,240 OF THE BIG TAKEAWAYS I'M 944 00:40:33,240 --> 00:40:33,960 THINKING ABOUT IS THERE'S A LOT 945 00:40:33,960 --> 00:40:37,880 OF DISPARITIES WITHIN THE BROAD 946 00:40:37,880 --> 00:40:40,440 COMMUNITY AMONGST OUR SOUTHEAST 947 00:40:40,440 --> 00:40:42,760 ASIAN COMMUNITY AND HAWAIIAN AND 948 00:40:42,760 --> 00:40:45,200 PACIFIC ISLANDER COMMUNITIES AND 949 00:40:45,200 --> 00:40:46,760 WHAT THEY HAD RECOMMENDED WAS -- 950 00:40:46,760 --> 00:40:52,400 AND I DON'T THINK THIS IS 951 00:40:52,400 --> 00:40:54,720 ANYTHING GROUNDBREAKING BUT 952 00:40:54,720 --> 00:40:56,280 TAILORING TO THESE COMMUNITIES 953 00:40:56,280 --> 00:40:58,720 DEVELOPING RESOURCES IN MULTIPLE 954 00:40:58,720 --> 00:40:59,720 LANGUAGES, MAKING SURE THEY'RE 955 00:40:59,720 --> 00:41:01,160 SUFFICIENTLY AND ADEQUATELY 956 00:41:01,160 --> 00:41:04,400 TRANSLATE AND COMPREHENSIBLE IN 957 00:41:04,400 --> 00:41:06,600 THOSE LANGUAGES. 958 00:41:06,600 --> 00:41:08,440 AND THEN ONE OF OUR COLLEAGUES 959 00:41:08,440 --> 00:41:10,760 SHARED IF YOU, FOR EXAMPLE, SHE 960 00:41:10,760 --> 00:41:11,960 WORKS WITH THE FILIPINO 961 00:41:11,960 --> 00:41:14,320 COMMUNITY IN HAWAI'I AND SAID IF 962 00:41:14,320 --> 00:41:16,600 YOU WANT TO REACH FILIPINOS YOU 963 00:41:16,600 --> 00:41:18,480 HAVE TO SEND FILIPINOS AND 964 00:41:18,480 --> 00:41:21,280 WORKING WITH THOSE COMMUNITIES 965 00:41:21,280 --> 00:41:23,480 TO FURTHER THE EFFORTS OF THIS 966 00:41:23,480 --> 00:41:23,800 PROGRAM. 967 00:41:23,800 --> 00:41:27,080 I THINK THAT APPLIES WITH 968 00:41:27,080 --> 00:41:28,600 VACCINES AND ALSO WHAT YOU'RE 969 00:41:28,600 --> 00:41:30,200 TRYING TO DO WITH INFORMATION 970 00:41:30,200 --> 00:41:31,200 WITH LONG COVID AND REACHING 971 00:41:31,200 --> 00:41:32,000 THESE COMMUNITIES. 972 00:41:32,000 --> 00:41:34,080 AGAIN, I DON'T THINK IT'S 973 00:41:34,080 --> 00:41:34,720 GROUNDBREAKING BUT WORTH SHARING 974 00:41:34,720 --> 00:41:44,440 WITH THE TEAM. 975 00:41:44,440 --> 00:41:46,600 >> THERE'S A FEW QUESTIONS IN 976 00:41:46,600 --> 00:41:52,400 THE CHAT WE CAN TURN TO. 977 00:41:52,400 --> 00:41:58,880 ONE IS FROM TERESA. 978 00:41:58,880 --> 00:42:00,880 SHE WRITES, ARE THERE 979 00:42:00,880 --> 00:42:01,560 SIGNIFICANT DIFFERENCES IN THE 980 00:42:01,560 --> 00:42:04,320 NUMBER OF INSTANCES OF LONG 981 00:42:04,320 --> 00:42:08,560 COVERED BASED ON WHEN PEOPLE 982 00:42:08,560 --> 00:42:34,160 INITIALLY CAUGHT COVID? 983 00:42:34,160 --> 00:42:36,480 >> I HAVEN'T SEEN EVIDENCE WITH 984 00:42:36,480 --> 00:42:38,200 LONG COVID BUT DEPENDING ON YOUR 985 00:42:38,200 --> 00:42:40,920 EXPERIENCE YOU'RE MORE LIKELY OR 986 00:42:40,920 --> 00:42:42,360 LESS LIKELY TO GET LONG COVID. 987 00:42:42,360 --> 00:42:44,120 >> YOU'RE UNDERSTANDING IS THE 988 00:42:44,120 --> 00:42:49,040 SAME AS MINE. 989 00:42:49,040 --> 00:42:50,160 THAT'S ANOTHER KNOWLEDGE GAP 990 00:42:50,160 --> 00:42:52,440 AND, YES, THAT'S A GAP IN OUR 991 00:42:52,440 --> 00:42:56,400 DATA. 992 00:42:56,400 --> 00:43:00,760 >> I WOULD JUST ADD MANY OF THE 993 00:43:00,760 --> 00:43:02,200 PATIENT REPRESENTATIVES WE WERE 994 00:43:02,200 --> 00:43:05,480 WORKING WITH WERE DIAGNOSED WITH 995 00:43:05,480 --> 00:43:07,720 COVID IN EARLY 2021. 996 00:43:07,720 --> 00:43:09,600 THERE SEEMS TO BE AN ASSOCIATION 997 00:43:09,600 --> 00:43:11,080 WITH THE EARLY VARIANTS BUT IT'S 998 00:43:11,080 --> 00:43:16,240 STILL UNKNOWN. 999 00:43:16,240 --> 00:43:18,480 >> THE NEXT QUESTION OR COMMENT 1000 00:43:18,480 --> 00:43:19,880 IS FROM EDWARD. 1001 00:43:19,880 --> 00:43:23,680 IT RELATES TO WHETHER OR NOT 1002 00:43:23,680 --> 00:43:25,400 PERSONS WHO HAD COVID-19 THAT 1003 00:43:25,400 --> 00:43:30,800 WERE NOT DIAGNOSED BY PCR TEST 1004 00:43:30,800 --> 00:43:34,120 ENTERED INTO EHR, WHAT IS THE 1005 00:43:34,120 --> 00:43:36,440 WAY TO DEAL WITH THAT. 1006 00:43:36,440 --> 00:43:38,480 AS YOU PROBABLY KNOW OR HEARD OR 1007 00:43:38,480 --> 00:43:40,920 READ, FOR EVERY PCR DIAGNOSED 1008 00:43:40,920 --> 00:43:42,520 CASE OF COVID THERE'S OTHERS 1009 00:43:42,520 --> 00:43:43,840 THAT OCCURRED THAT WERE NOT 1010 00:43:43,840 --> 00:43:44,160 DIAGNOSED. 1011 00:43:44,160 --> 00:43:46,920 IN FACT, ONE OF THE ISSUES WE 1012 00:43:46,920 --> 00:43:49,920 HAVE WITH THE AT-HOME ANTIGEN 1013 00:43:49,920 --> 00:43:51,520 TESTING KIT IS THOSE CASES ARE 1014 00:43:51,520 --> 00:43:55,520 NOT BEING REPORTED TO THE CDC 1015 00:43:55,520 --> 00:43:56,800 NECESSARILY SO IT'S ANOTHER 1016 00:43:56,800 --> 00:43:58,200 MAJOR CHALLENGE WE HAVE KNOWING 1017 00:43:58,200 --> 00:44:01,200 THE FULL SCOPE OF THE PROBLEM IS 1018 00:44:01,200 --> 00:44:03,160 SOMEWHAT CHALLENGING GIVEN THE 1019 00:44:03,160 --> 00:44:05,320 POINT YOU JUST RAISED. 1020 00:44:05,320 --> 00:44:08,240 ONE OF THE RECOMMENDATIONS WE 1021 00:44:08,240 --> 00:44:09,320 MADE IN OUR REPORT OUR 1022 00:44:09,320 --> 00:44:10,880 RECOMMENDATIONS TO THE PRESIDENT 1023 00:44:10,880 --> 00:44:11,800 FROM THE HEALTH EQUITY TASK 1024 00:44:11,800 --> 00:44:14,800 FORCE IS WHETHER OR NOT THE CASE 1025 00:44:14,800 --> 00:44:22,840 WAS DIAGNOSED WITH A PCR TEST OR 1026 00:44:22,840 --> 00:44:24,560 NOT AND SHOULD BE ENTITLED TO 1027 00:44:24,560 --> 00:44:27,240 TREATMENT AND YOU RAISE A GOOD 1028 00:44:27,240 --> 00:44:31,360 POINT THERE'S A LOT OF COVID-19 1029 00:44:31,360 --> 00:44:33,080 CASES NOT FORMALLY DIAGNOSED 1030 00:44:33,080 --> 00:44:35,120 WITH A PCR TEST. 1031 00:44:35,120 --> 00:44:37,320 I DON'T KNOW IF THERE'S A 1032 00:44:37,320 --> 00:44:38,080 COMMENT ON THAT. 1033 00:44:38,080 --> 00:44:39,680 >> EXCELLENT POINT. 1034 00:44:39,680 --> 00:44:42,000 INDIVIDUALS WHO GO THROUGH THESE 1035 00:44:42,000 --> 00:44:42,760 PROTOCOLS WILL BE TESTED BUT 1036 00:44:42,760 --> 00:44:46,960 THERE'S ALSO A LIST OF SYMPTOMS 1037 00:44:46,960 --> 00:44:50,480 THAT ARE ACCESSED AS WELL. 1038 00:44:50,480 --> 00:44:51,440 >> OKAY. 1039 00:44:51,440 --> 00:44:54,600 AND THE NEXT ONE I'LL READ IT 1040 00:44:54,600 --> 00:44:57,000 AND INVITE MY COLLEAGUES TO 1041 00:44:57,000 --> 00:44:58,920 COMMENT. 1042 00:44:58,920 --> 00:45:02,960 THIS IS FROM DR. HECKMAN. 1043 00:45:02,960 --> 00:45:08,200 CONTINUOUS STREAMS WITH STRONG 1044 00:45:08,200 --> 00:45:09,880 POTENTIAL FOR CLINICAL VALIDITY 1045 00:45:09,880 --> 00:45:13,000 AND EXTERNAL VALIDITY WITH 1046 00:45:13,000 --> 00:45:16,200 ACCEPTABLE ADHERENCE WILL BE 1047 00:45:16,200 --> 00:45:18,840 HIGHLY IMPORTANT AND MINIMALLY 1048 00:45:18,840 --> 00:45:20,160 INVASIVE SUCH AS -- I CAN'T READ 1049 00:45:20,160 --> 00:45:25,640 THAT. 1050 00:45:25,640 --> 00:45:27,480 STRONGLY PREDICTIVE OF COVID-19. 1051 00:45:27,480 --> 00:45:32,480 POSITIVE TEST THREE DAYS IN 1052 00:45:32,480 --> 00:45:34,960 ADVANCE, MORBIDITY AND OTHER 1053 00:45:34,960 --> 00:45:37,000 MEASURES THAT CAN BE COLLECT. 1054 00:45:37,000 --> 00:45:38,520 I THINK WHAT YOU'RE REFERRING TO 1055 00:45:38,520 --> 00:45:40,520 IS THE IMPORTANCE OF WEARABLES 1056 00:45:40,520 --> 00:45:42,320 AND DR. LERNER MENTIONED THAT IS 1057 00:45:42,320 --> 00:45:43,560 GOING TO BE AN IMPORTANT 1058 00:45:43,560 --> 00:45:45,560 COMPONENT OF THIS WORK THAT'S 1059 00:45:45,560 --> 00:45:46,880 GOING TO BE DONE. 1060 00:45:46,880 --> 00:45:47,680 YOUR POINT IS DEFINITELY WELL 1061 00:45:47,680 --> 00:45:54,280 TAKEN. 1062 00:45:54,280 --> 00:45:58,200 THERE'S ONE MORE IN THE CHAT. 1063 00:45:58,200 --> 00:46:00,120 HOW DOES THIS MIRROR OTHER 1064 00:46:00,120 --> 00:46:05,160 CHRONIC CONDITIONS MANAGEMENT 1065 00:46:05,160 --> 00:46:11,200 VERSUS OR DIVERGENCE AND HOW CAN 1066 00:46:11,200 --> 00:46:14,000 IT BE COMPARED ACROSS THE 1067 00:46:14,000 --> 00:46:15,600 FRAMEWORK, ATTACHED WORK LOAD 1068 00:46:15,600 --> 00:46:16,920 CAPACITY MODEL. 1069 00:46:16,920 --> 00:46:21,720 I'M NOT FAMILIAR WITH THAT MODEL 1070 00:46:21,720 --> 00:46:23,840 BUT DR. WILLIAMS MIGHT BE. 1071 00:46:23,840 --> 00:46:25,040 DO YOU WANT TO COMMENT ON THAT? 1072 00:46:25,040 --> 00:46:26,600 >> I'M NOT SURE. 1073 00:46:26,600 --> 00:46:27,400 DO THEY WANT TO ELABORATE ON 1074 00:46:27,400 --> 00:46:38,240 THIS? 1075 00:46:38,240 --> 00:46:39,000 >> I WAS JUST THROWING OUT 1076 00:46:39,000 --> 00:46:40,960 COMMENTS IF YOU YOU HAVE A 1077 00:46:40,960 --> 00:46:43,200 STARTED FRAMEWORK YOU SEE THE 1078 00:46:43,200 --> 00:46:45,320 REFERENCE POINT TO A BASELINE. 1079 00:46:45,320 --> 00:46:46,960 THERE'S LOTS OF DIFFERENT FRAME 1080 00:46:46,960 --> 00:46:49,000 WORKS OUT THERE SO IT'S ONE 1081 00:46:49,000 --> 00:46:49,240 EXAMPLE. 1082 00:46:49,240 --> 00:46:52,800 >> WE CERTAINLY CAN COME BACK TO 1083 00:46:52,800 --> 00:46:54,760 THIS QUESTION BUT TO KEEP OUR 1084 00:46:54,760 --> 00:46:55,840 CONVERSATION MOVING ALONG, CAN 1085 00:46:55,840 --> 00:46:56,800 WE GET TO THE NEXT SLIDE, 1086 00:46:56,800 --> 00:47:04,560 PLEASE. 1087 00:47:04,560 --> 00:47:05,240 WHAT YOUR COMMUNITY'S MOST 1088 00:47:05,240 --> 00:47:08,800 PRESSING NEEDS WHEN IT COMES TO 1089 00:47:08,800 --> 00:47:12,800 COMMUNICATION AND INFORMATION 1090 00:47:12,800 --> 00:47:14,080 REGARDING LONG COVID? 1091 00:47:14,080 --> 00:47:16,120 WHAT ARE THE AVERAGE APPROACHES 1092 00:47:16,120 --> 00:47:16,880 AND INTERVENTIONS YOU FEEL WOULD 1093 00:47:16,880 --> 00:47:18,600 BE MOST EFFECTIVE IN YOUR 1094 00:47:18,600 --> 00:47:20,400 COMMUNITIES AND HOW MIGHT 1095 00:47:20,400 --> 00:47:22,320 RECOVER PARTNER WITH OTHER 1096 00:47:22,320 --> 00:47:23,000 ORGANIZATIONS LIKE YOURS TO 1097 00:47:23,000 --> 00:47:24,400 BETTER UNDERSTAND THE IMPACT OF 1098 00:47:24,400 --> 00:47:30,320 LONG COVID IN YOUR COMMUNITIES? 1099 00:47:30,320 --> 00:47:31,720 AND BETTER MEET YOUR PRESSING 1100 00:47:31,720 --> 00:47:32,440 RELATED NEEDS. 1101 00:47:32,440 --> 00:47:33,760 WE'LL OPEN THAT UP FOR COMMENT 1102 00:47:33,760 --> 00:47:35,000 AND DISCUSSION. 1103 00:47:35,000 --> 00:47:36,040 WHAT ARE THE MOST PRESSING NEEDS 1104 00:47:36,040 --> 00:47:37,400 WHEN IT COMES TO COMMUNICATION 1105 00:47:37,400 --> 00:47:38,560 AND GETTING INFORMATION TO THOSE 1106 00:47:38,560 --> 00:47:39,280 WHO NEED TO HAVE THAT 1107 00:47:39,280 --> 00:47:50,640 INFORMATION? 1108 00:47:50,640 --> 00:47:51,760 YOU CAN RAISE YOUR QUESTION IN 1109 00:47:51,760 --> 00:47:56,240 THE CHAT AND WE'LL TAKE IT FROM 1110 00:47:56,240 --> 00:47:56,440 THERE. 1111 00:47:56,440 --> 00:47:58,000 I WANT TO MAKE A POINT IN OUR 1112 00:47:58,000 --> 00:48:03,280 TASK FORCE WE FOCUSSED ON 1113 00:48:03,280 --> 00:48:10,480 SOMETHING MENTIONED BY A POINT 1114 00:48:10,480 --> 00:48:16,160 THAT THE MATERIALS PRODUCED BE 1115 00:48:16,160 --> 00:48:19,040 CULTURALLY EFFECTIVE I WANT TO 1116 00:48:19,040 --> 00:48:20,440 ACKNOWLEDGE THAT'S SOMETHING WE 1117 00:48:20,440 --> 00:48:27,280 SPENT A LOT OF TIME ON. 1118 00:48:27,280 --> 00:48:36,280 TER AUTO -- TERESA. 1119 00:48:36,280 --> 00:48:40,400 >> I'M FOUNDER OF BLACK COVID-19 1120 00:48:40,400 --> 00:48:43,480 SURVIVORS SPORT GROUP. 1121 00:48:43,480 --> 00:48:45,880 IN RELATION TO THE BEST WAY TO 1122 00:48:45,880 --> 00:48:52,320 GET INFORMATION OUT, ONE THING I 1123 00:48:52,320 --> 00:48:59,800 HAVE SEEN IS THAT THERE'S A 1124 00:48:59,800 --> 00:49:01,000 DISTRUST IN GENERAL FROM THE 1125 00:49:01,000 --> 00:49:04,400 GOVERNMENT AND IF THERE COULD BE 1126 00:49:04,400 --> 00:49:08,960 LIKE A CACHE OF INFORMATION OF 1127 00:49:08,960 --> 00:49:10,920 GRAPHICS, THINGS THAT ARE 1128 00:49:10,920 --> 00:49:15,440 APPROPRIATE FOR A VARIETY OF 1129 00:49:15,440 --> 00:49:17,680 AGES FOR COMMUNITY MEMBERS LIKE 1130 00:49:17,680 --> 00:49:20,400 MYSELF AND OTHERS ON THE 1131 00:49:20,400 --> 00:49:24,880 GRASSROOTS LEVEL TO PULL FROM 1132 00:49:24,880 --> 00:49:27,040 THE CACHE FOR DISSEMINATION 1133 00:49:27,040 --> 00:49:28,440 WOULD REACH PEOPLE THROUGH 1134 00:49:28,440 --> 00:49:29,880 SOCIAL MEDIA AND THAT SEEMS TO 1135 00:49:29,880 --> 00:49:32,800 BE THE BIGGEST DRIVER OF 1136 00:49:32,800 --> 00:49:34,920 INFORMATION AS WELL AS 1137 00:49:34,920 --> 00:49:35,560 MISINFORMATION. 1138 00:49:35,560 --> 00:49:41,240 WHEN IT COMES TO LONG COVID, I'M 1139 00:49:41,240 --> 00:49:44,200 SEEING SOME THINGS WHERE A LOT 1140 00:49:44,200 --> 00:49:46,080 OF PEOPLE MAY HAVE LONG COVID 1141 00:49:46,080 --> 00:49:46,880 BUT ATTRIBUTING THEIR PROBLEMS 1142 00:49:46,880 --> 00:49:55,600 TO THE VACCINE. 1143 00:49:55,600 --> 00:49:58,400 THAT'S A CONTINUATION OF THE 1144 00:49:58,400 --> 00:50:00,400 DISTRUST FACTOR AND 1145 00:50:00,400 --> 00:50:04,880 MISINFORMATION AND RELUCTANCE 1146 00:50:04,880 --> 00:50:06,880 FOR PEOPLE IN THE BLACK 1147 00:50:06,880 --> 00:50:08,000 COMMUNITY TO GET THEIR 1148 00:50:08,000 --> 00:50:10,040 VACCINATION AND/OR BOOSTERS. 1149 00:50:10,040 --> 00:50:13,600 >> SO IF YOU DON'T MIND, TERESA, 1150 00:50:13,600 --> 00:50:16,880 COULD YOU ELABORATE ON THE LAST 1151 00:50:16,880 --> 00:50:19,440 POINT OF CONFLATING LONG COVID 1152 00:50:19,440 --> 00:50:20,600 WITH THE CONSEQUENCES OF GETTING 1153 00:50:20,600 --> 00:50:21,600 THE VACCINE? 1154 00:50:21,600 --> 00:50:22,160 I THINK THAT'S AN IMPORTANT 1155 00:50:22,160 --> 00:50:32,640 THING. 1156 00:50:32,640 --> 00:50:33,280 >> SURE. 1157 00:50:33,280 --> 00:50:40,000 FOR THOSE WHO HAD BREAKTHROUGH 1158 00:50:40,000 --> 00:50:42,600 CASES THEY'RE NOT ALWAYS AWARE 1159 00:50:42,600 --> 00:50:43,520 LONG COVID EXISTS. 1160 00:50:43,520 --> 00:50:48,400 SO ONCE THEY HAVE GOTTEN THE 1161 00:50:48,400 --> 00:50:49,840 VACCINE, SECOND SHOT OR BOOST 1162 00:50:49,840 --> 00:50:51,760 ARE BECOME MORE CONSCIOUS AND 1163 00:50:51,760 --> 00:50:56,920 AWARE OF WHAT THEY'RE OWN 1164 00:50:56,920 --> 00:51:00,720 AILMENTS AND CONDITIONS ARE AND 1165 00:51:00,720 --> 00:51:04,000 AUTOMATIC TO ATTRIBUTING TO 1166 00:51:04,000 --> 00:51:06,480 HAVING RECEIVE THE SECOND VAX OR 1167 00:51:06,480 --> 00:51:06,720 BOOSTER. 1168 00:51:06,720 --> 00:51:08,160 AND SO FROM WHAT I'M SEEING, 1169 00:51:08,160 --> 00:51:11,480 FROM CONVERSATIONS AND SO FORTH 1170 00:51:11,480 --> 00:51:15,880 IN MY GROUP, THERE'S A STRONG 1171 00:51:15,880 --> 00:51:17,400 POSSIBILITY A LOT OF THOSE 1172 00:51:17,400 --> 00:51:19,080 ATTRIBUTES ARE DUE TO LONG COVID 1173 00:51:19,080 --> 00:51:20,040 AND NOT BECAUSE THEY'RE 1174 00:51:20,040 --> 00:51:22,520 SUFFERING SIDE EFFECTS BUT THAT 1175 00:51:22,520 --> 00:51:24,440 IS A GROWING CONCERN. 1176 00:51:24,440 --> 00:51:26,640 PEOPLE WHO HAVE BEEN VACCINATED 1177 00:51:26,640 --> 00:51:28,480 ARE OFTEN NOW NOT WANTING TO 1178 00:51:28,480 --> 00:51:31,160 HAVE THE BOOSTER. 1179 00:51:31,160 --> 00:51:32,920 THAT'S BECAUSE OF THE SIDE 1180 00:51:32,920 --> 00:51:36,440 EFFECTS WHICH IN REALITY JUST 1181 00:51:36,440 --> 00:51:39,720 MAY BE LONG COVID SO MORE 1182 00:51:39,720 --> 00:51:41,920 INFORMATION ABOUT LONG COVID 1183 00:51:41,920 --> 00:51:46,360 NEEDS TO BE OUT SO PEOPLE WILL 1184 00:51:46,360 --> 00:51:47,160 DIFFERENTIATE SIDE EFFECTS 1185 00:51:47,160 --> 00:51:52,800 VERSUS PASC. 1186 00:51:52,800 --> 00:51:53,280 >> THANK YOU. 1187 00:51:53,280 --> 00:51:54,360 THOSE ARE EXCELLENT POINTS WE 1188 00:51:54,360 --> 00:52:00,000 NEED TO CONSIDER SO I APPRECIATE 1189 00:52:00,000 --> 00:52:03,600 YOUR THOUGHTS ON THAT. 1190 00:52:03,600 --> 00:52:05,840 I THINK I SEE ABIGAIL'S HAND UP. 1191 00:52:05,840 --> 00:52:07,560 >> THIS SAY GREAT QUESTION AND 1192 00:52:07,560 --> 00:52:10,680 ONE THAT'S IMPORTANT. 1193 00:52:10,680 --> 00:52:14,960 WHEN I THINK ABOUT THE AMERICAN 1194 00:52:14,960 --> 00:52:18,400 INDIAN AND ALASKAN NATIVE 1195 00:52:18,400 --> 00:52:19,800 COMMUNITY AND THERE'S BEEN FOCUS 1196 00:52:19,800 --> 00:52:23,240 ON INTERNET ACCESS AND WE HAVE 1197 00:52:23,240 --> 00:52:26,000 AN INCREDIBLE DIGITAL DIVIDE. 1198 00:52:26,000 --> 00:52:28,080 WE FOUND THE MOST EFFECTIVE WAY 1199 00:52:28,080 --> 00:52:30,360 WAS TO SEND LETTERS FROM A 1200 00:52:30,360 --> 00:52:32,640 TRUSTED TRIBAL ORGANIZATION 1201 00:52:32,640 --> 00:52:34,560 VERSUS EVEN A PAMPHLET AND 1202 00:52:34,560 --> 00:52:37,040 SIMPLY DIDN'T HAVE ACCESS TO 1203 00:52:37,040 --> 00:52:37,880 INTERNET. 1204 00:52:37,880 --> 00:52:39,120 AS A RESULT OF THAT THEY WEREN'T 1205 00:52:39,120 --> 00:52:39,880 GETTING THE INFORMATION THEY 1206 00:52:39,880 --> 00:52:41,400 NEEDED IN ORDER TO PREVENT, 1207 00:52:41,400 --> 00:52:45,200 TREAT AND GET VACCINATED AGAINST 1208 00:52:45,200 --> 00:52:45,400 COVID. 1209 00:52:45,400 --> 00:52:51,000 DEFINITELY RECOGNIZE THERE'S A 1210 00:52:51,000 --> 00:52:52,240 DIGITAL DIVIDE AND MAKING SURE 1211 00:52:52,240 --> 00:52:53,600 THAT'S ADDRESSED WHEN LOOKING AT 1212 00:52:53,600 --> 00:52:53,960 COMMUNICATION. 1213 00:52:53,960 --> 00:52:55,800 WHEN WE THINK OF OUTREACH 1214 00:52:55,800 --> 00:52:58,200 APPROACHES AND ANY KINDS OF 1215 00:52:58,200 --> 00:53:00,040 INTERVENTIONS, THEY NEED TO BE 1216 00:53:00,040 --> 00:53:02,440 COMMUNITY DRIVEN AND INFORMED 1217 00:53:02,440 --> 00:53:03,480 AND OPERATED. 1218 00:53:03,480 --> 00:53:04,600 WHICH MEANS THE ALLOCATION OF 1219 00:53:04,600 --> 00:53:05,760 RESOURCES NEEDS TO GO TO THE 1220 00:53:05,760 --> 00:53:06,320 COMMUNITIES. 1221 00:53:06,320 --> 00:53:09,000 WHAT WE FOUND IS THAT IT REALLY 1222 00:53:09,000 --> 00:53:10,400 TOOK KEY INTERVIEWS AND FOCUS 1223 00:53:10,400 --> 00:53:12,160 GROUPS ACROSS THE COUNTRY 1224 00:53:12,160 --> 00:53:13,360 ENGAGING WITH THE COMMUNITIES 1225 00:53:13,360 --> 00:53:16,400 AND AGAIN RECOGNIZING SIMPLY 1226 00:53:16,400 --> 00:53:19,000 BECAUSE WE'RE AMERICAN INDIANS 1227 00:53:19,000 --> 00:53:24,320 AND ALASKAN NATIVES THAT WE LIVE 1228 00:53:24,320 --> 00:53:26,400 IN URBAN ORGANIZATIONS BUT OUR 1229 00:53:26,400 --> 00:53:27,840 HEALTH DISPARITIES REMAIN THOSE 1230 00:53:27,840 --> 00:53:30,200 IN LINE OF OUR BROTHERS AND 1231 00:53:30,200 --> 00:53:31,400 SISTERS ON THE RESERVATIONS SO 1232 00:53:31,400 --> 00:53:33,480 THERE'S ALSO A GAP IN 1233 00:53:33,480 --> 00:53:35,960 INFORMATION SO TARGETED 1234 00:53:35,960 --> 00:53:37,600 INFORMATION AND RESOURCE AND 1235 00:53:37,600 --> 00:53:39,040 FUNDING ARE ESSENTIAL. 1236 00:53:39,040 --> 00:53:44,520 THE OTHER THING THAT WE FOUND 1237 00:53:44,520 --> 00:53:46,360 THAT WORKS WELL AND CONTINUALLY 1238 00:53:46,360 --> 00:53:48,240 SEARCHING FUNDING FOR IS 1239 00:53:48,240 --> 00:53:52,440 PEER-TO-PEER. 1240 00:53:52,440 --> 00:53:54,640 TRAINING, OUTREACH WORKERS 1241 00:53:54,640 --> 00:53:56,320 TRAINING YOUR SISTER AND AUNTIE 1242 00:53:56,320 --> 00:53:58,640 TO TALK TO COMMUNITY MEMBERS. 1243 00:53:58,640 --> 00:54:00,840 THAT'S WHO THEY BELIEVE. 1244 00:54:00,840 --> 00:54:02,800 THERE'S NO TRUSTWORTHINESS IN 1245 00:54:02,800 --> 00:54:03,840 THE FEDERAL GOVERNMENT 1246 00:54:03,840 --> 00:54:05,720 GOVERNMENT AND WHEN THEY SAY HHS 1247 00:54:05,720 --> 00:54:07,400 AT THE BOTTOM OR CDC NOBODY 1248 00:54:07,400 --> 00:54:08,160 REALLY CARES. 1249 00:54:08,160 --> 00:54:11,200 THAT HAS BEEN A KEY GAP AND WE 1250 00:54:11,200 --> 00:54:15,480 NEED TO BE ABLE TO WORK WITH 1251 00:54:15,480 --> 00:54:16,120 COMMUNITY TRUSTWORTHY 1252 00:54:16,120 --> 00:54:19,440 ORGANIZATIONS AND BEGIN TO BUILD 1253 00:54:19,440 --> 00:54:20,200 THE TRUSTWORTHINESS OF OUR 1254 00:54:20,200 --> 00:54:21,000 FEDERAL SCIENTIFIC PARTNERS SO 1255 00:54:21,000 --> 00:54:23,800 WE BEGIN TO DO THAT WORK TO HEAL 1256 00:54:23,800 --> 00:54:26,040 SOME OF THE THINGS AFFECTING 1257 00:54:26,040 --> 00:54:27,520 WHETHER OR NOT INFORMATION GETS 1258 00:54:27,520 --> 00:54:34,240 TO US. 1259 00:54:34,240 --> 00:54:34,840 >> THANK YOU VERY IMPORTANT 1260 00:54:34,840 --> 00:54:36,440 POINTS YOU RAISED. 1261 00:54:36,440 --> 00:54:51,200 I APPRECIATE THAT. 1262 00:54:51,200 --> 00:54:53,720 >> AND THINKING ABOUT THE 1263 00:54:53,720 --> 00:54:59,000 MODALITIES IS IMPORTANT SO EVEN 1264 00:54:59,000 --> 00:55:00,240 AMONGST SOCIAL MEDIA THERE'S 1265 00:55:00,240 --> 00:55:01,800 DISPROPORTIONATE USE OF PLATFORM 1266 00:55:01,800 --> 00:55:02,680 DIFFERENT MINORITY POPULATIONS 1267 00:55:02,680 --> 00:55:04,400 USE RELATIVE TO OTHERS. 1268 00:55:04,400 --> 00:55:06,720 MAYBE YOU WANT TO BE TARGETING 1269 00:55:06,720 --> 00:55:08,360 THROUGH INSTAGRAM OR TWITTER 1270 00:55:08,360 --> 00:55:10,680 VERSUS OTHER ASPECTS AND MAYBE 1271 00:55:10,680 --> 00:55:12,680 WANT TO THINK ABOUT A DRIP 1272 00:55:12,680 --> 00:55:16,000 CAMPAIGN THAT CREATES MULTIPLE 1273 00:55:16,000 --> 00:55:16,920 AVENUES THROUGH WHICH MESSAGES 1274 00:55:16,920 --> 00:55:18,680 ARE COMING TO PEOPLE AND MAYBE 1275 00:55:18,680 --> 00:55:19,800 THROUGH DIFFERENT FORMS AND THE 1276 00:55:19,800 --> 00:55:21,480 OTHER THING THAT'S IMPORTANT IS 1277 00:55:21,480 --> 00:55:24,000 THINKING ABOUT THIS ITERATIVELY 1278 00:55:24,000 --> 00:55:26,320 AND THROUGH BEHAVIORAL ECONOMIC 1279 00:55:26,320 --> 00:55:26,600 FRAMEWORK. 1280 00:55:26,600 --> 00:55:28,600 WHY WOULD SOMEBODY WANT TO COME 1281 00:55:28,600 --> 00:55:30,040 BACK FOR MORE INFORMATION IS 1282 00:55:30,040 --> 00:55:30,600 BECAUSE THEY'RE GETTING 1283 00:55:30,600 --> 00:55:32,200 SOMETHING POSITIVE AND REWARDING 1284 00:55:32,200 --> 00:55:34,440 TO INCENTIVIZE WANTING TO 1285 00:55:34,440 --> 00:55:36,000 FURTHER ENGAGE AS WELL. 1286 00:55:36,000 --> 00:55:37,400 AGAIN, COMING FROM THE 1287 00:55:37,400 --> 00:55:38,600 PERSPECTIVE IF WE ASK WHAT 1288 00:55:38,600 --> 00:55:40,840 THEY'RE NEEDS AND PRIORITIES 1289 00:55:40,840 --> 00:55:42,320 ARE, WE COULD START PROVIDING 1290 00:55:42,320 --> 00:55:45,800 SOME OF THOSE WHICH THEN NOW ARE 1291 00:55:45,800 --> 00:55:47,600 CREATING A POSITIVE RELATIONSHIP 1292 00:55:47,600 --> 00:55:49,280 WHICH CAN FURTHER ENHANCE THAT 1293 00:55:49,280 --> 00:55:54,080 TRUST AND BUILD MOMENTUM TOWARDS 1294 00:55:54,080 --> 00:55:54,800 LONGER TOMORROW ENGAGEMENT AND 1295 00:55:54,800 --> 00:55:56,440 THAT CAN EXTEND TO OTHER HATH 1296 00:55:56,440 --> 00:55:57,040 BEHAVIORS. 1297 00:55:57,040 --> 00:56:01,680 I'LL LEAVE IT THERE. 1298 00:56:01,680 --> 00:56:03,800 THANK YOU. 1299 00:56:03,800 --> 00:56:06,640 >> FOR THOSE WHO ARE NOT 1300 00:56:06,640 --> 00:56:10,400 BOOMERS, WHAT IS A DRIP 1301 00:56:10,400 --> 00:56:10,680 CAMPAIGN. 1302 00:56:10,680 --> 00:56:12,200 >> YOU BUILD RESPONSE AND YOU 1303 00:56:12,200 --> 00:56:13,600 PROBABLY GET THIS MANY THROUGH 1304 00:56:13,600 --> 00:56:14,400 E-MAILS WHERE THEY'LL SAY GET 1305 00:56:14,400 --> 00:56:15,680 READY FOR THE UNVEIL BUT YOU 1306 00:56:15,680 --> 00:56:18,000 DON'T KNOW WHAT THE UNVEIL IS 1307 00:56:18,000 --> 00:56:20,080 YET AND GIVE MORE INFORMATION 1308 00:56:20,080 --> 00:56:22,120 AND IT KEEPS YOU HOOKED IN BUT 1309 00:56:22,120 --> 00:56:24,000 IT'S ABOUT THE FREQUENCY SO IT'S 1310 00:56:24,000 --> 00:56:25,520 ALWAYS IN THE BACK OF YOUR MIND 1311 00:56:25,520 --> 00:56:27,800 YOU WANT TO BE ENGAGED WITH THE 1312 00:56:27,800 --> 00:56:29,320 RECOVER INITIATIVE BUT DON'T 1313 00:56:29,320 --> 00:56:31,320 KNOW WHY BECAUSE IT'S VERY 1314 00:56:31,320 --> 00:56:31,840 SUBTLE. 1315 00:56:31,840 --> 00:56:32,800 IT'S NUDGING, ESSENTIALLY AND 1316 00:56:32,800 --> 00:56:33,040 MARKETING. 1317 00:56:33,040 --> 00:56:48,920 >> THANK YOU. 1318 00:56:48,920 --> 00:56:50,360 >> I'M WITH THE CHILDREN'S 1319 00:56:50,360 --> 00:56:52,000 DEFENSE FUND SOUTHERN REGIONAL 1320 00:56:52,000 --> 00:56:53,440 OFFICE AND DO WORK IN RURAL 1321 00:56:53,440 --> 00:56:55,760 COMMUNITIES ACROSS ALABAMA, 1322 00:56:55,760 --> 00:56:57,720 GEORGIA AND MISSISSIPPI WITH A 1323 00:56:57,720 --> 00:57:03,880 NETWORK OF BLACK WOMEN AND 1324 00:57:03,880 --> 00:57:04,720 GIRLS. 1325 00:57:04,720 --> 00:57:12,080 WE HAVE AND IDENTIFYING WHO 1326 00:57:12,080 --> 00:57:15,440 THOSE ARE WITHIN THE COMMUNITY 1327 00:57:15,440 --> 00:57:18,440 TO PUT INFORMATION THROUGH. 1328 00:57:18,440 --> 00:57:23,840 BLACK WOMEN AND MOTHERS OF ANY 1329 00:57:23,840 --> 00:57:28,280 KIND ARE LISTENED TO WHEN IT 1330 00:57:28,280 --> 00:57:29,680 COMES TO THINGS ABOUT HEALTH. 1331 00:57:29,680 --> 00:57:31,400 BLACK WOMEN AND MOTHERS ARE 1332 00:57:31,400 --> 00:57:33,320 GENERALLY IN CHARGE OF HEALTH 1333 00:57:33,320 --> 00:57:34,400 CARE ARRANGEMENTS AROUND THEIR 1334 00:57:34,400 --> 00:57:35,280 FAMILY. 1335 00:57:35,280 --> 00:57:39,560 WE WOULD LIKE TO SEE GREATER AND 1336 00:57:39,560 --> 00:57:41,680 REACHING DEEPER INTO COMMUNITIES 1337 00:57:41,680 --> 00:57:42,920 AND THINK ABOUT THE 1338 00:57:42,920 --> 00:57:46,440 INFRASTRUCTURE THAT'S BEEN PUT 1339 00:57:46,440 --> 00:57:47,600 IN COMMUNITIES AROUND HEALTH 1340 00:57:47,600 --> 00:57:47,800 CARE. 1341 00:57:47,800 --> 00:57:49,280 THOSE ORGANIZATIONS THAT WERE 1342 00:57:49,280 --> 00:57:51,920 PUT IN PLACE TO DO OUTREACH AND 1343 00:57:51,920 --> 00:57:56,480 NAVIGATION FOR THE ACA ALREADY 1344 00:57:56,480 --> 00:57:59,680 HAVE CONTACTS AND HAVE AND ARE 1345 00:57:59,680 --> 00:58:02,120 RECOGNIZED FOR BEING CONNECTED 1346 00:58:02,120 --> 00:58:07,600 TO HEALTH CARE DELIVERY. 1347 00:58:07,600 --> 00:58:11,000 THEN FINALLY AND AS WE THINK OF 1348 00:58:11,000 --> 00:58:16,440 LONG COVID AND ALL THE OTHER 1349 00:58:16,440 --> 00:58:19,960 THINGS WE'RE TALKING ABOUT WE'RE 1350 00:58:19,960 --> 00:58:20,520 LOOKING AT THIS TOWARDS 1351 00:58:20,520 --> 00:58:23,920 LONG-TERM STRATEGIES FOR HOW WE 1352 00:58:23,920 --> 00:58:27,280 DEVELOP PUBLIC HEALTH SYSTEMS. 1353 00:58:27,280 --> 00:58:27,880 OBVIOUSLY OUR PUBLIC HEALTH 1354 00:58:27,880 --> 00:58:28,920 SYSTEM NEEDS A LOT AND NEEDS TO 1355 00:58:28,920 --> 00:58:32,400 BE CONNECTED MORE INTO 1356 00:58:32,400 --> 00:58:32,720 COMMUNITIES. 1357 00:58:32,720 --> 00:58:38,760 THOSE ARE COMMENTS I HAVE. 1358 00:58:38,760 --> 00:58:41,480 >> THANK YOU. 1359 00:58:41,480 --> 00:58:43,200 I WANT TO RAISE A POINT I SEE IN 1360 00:58:43,200 --> 00:58:46,240 THE CHAT I THINK IS REALLY GOOD. 1361 00:58:46,240 --> 00:58:48,720 WITH THE ORGANIZATION ABC POINTS 1362 00:58:48,720 --> 00:58:53,160 OUT AND WANTS TO KNOW WILL THE 1363 00:58:53,160 --> 00:58:54,800 INITIATIVE TAKE INTO ACCOUNT A 1364 00:58:54,800 --> 00:58:56,200 GLOBAL PERSPECTIVE THAT IS HOW 1365 00:58:56,200 --> 00:58:58,000 WILL DATA AND INFORMATION FROM 1366 00:58:58,000 --> 00:59:01,760 OTHER COUNTRIES BE INCORPORATED 1367 00:59:01,760 --> 00:59:04,000 INTO THIS PROJECT? 1368 00:59:04,000 --> 00:59:11,640 I WOULD INVITE DR. LERNER AND 1369 00:59:11,640 --> 00:59:13,800 WILLIAMS TO SPEAK ON THIS AND 1370 00:59:13,800 --> 00:59:15,400 THANK YOU FOR THAT QUESTION. 1371 00:59:15,400 --> 00:59:16,600 >> THANKS VERY MUCH FOR THAT 1372 00:59:16,600 --> 00:59:22,080 QUESTION AND IT'S A REALLY 1373 00:59:22,080 --> 00:59:23,680 IMPORTANT CONSIDERATION. 1374 00:59:23,680 --> 00:59:25,440 WHILE THE RECOVER INITIATIVE 1375 00:59:25,440 --> 00:59:27,880 SITES ARE ACROSS ALL 50 STATES 1376 00:59:27,880 --> 00:59:29,280 THE INITIATIVE IS DESIGNED TO BE 1377 00:59:29,280 --> 00:59:31,600 ADAPTABLE AND NIMBLE AS WE LEARN 1378 00:59:31,600 --> 00:59:35,560 MORE ABOUT LONG COVID AND PASC 1379 00:59:35,560 --> 00:59:41,000 AND OF COURSE THAT MEANS DATA 1380 00:59:41,000 --> 00:59:47,080 FROM AROUND THE WORLD. 1381 00:59:47,080 --> 00:59:52,440 AND AS THE SCIENCE EVOLVES SO 1382 00:59:52,440 --> 01:00:02,120 WILL THE RECOVER INITIATIVE. 1383 01:00:02,120 --> 01:00:04,080 >> THANK YOU ONCE AGAIN. 1384 01:00:04,080 --> 01:00:06,200 I'D LIKE TO PROVIDE COMMENTS AND 1385 01:00:06,200 --> 01:00:09,800 WHAT COMES TO MIND IS THE 1386 01:00:09,800 --> 01:00:12,240 APPROACHES IS A CHALLENGE IN THE 1387 01:00:12,240 --> 01:00:13,480 LATINO COMMUNITY AND COMMUNITIES 1388 01:00:13,480 --> 01:00:16,400 OF COLOR IS LITERACY ISSUES AND 1389 01:00:16,400 --> 01:00:18,040 ASIDE FROM LITERACY IT'S HEALTH 1390 01:00:18,040 --> 01:00:20,000 LITERACY, THE LACK OF 1391 01:00:20,000 --> 01:00:22,880 UNDERSTANDING OF HOW VIRUSES 1392 01:00:22,880 --> 01:00:25,000 SPREAD, SYMPTOMS TO BE LOOKING 1393 01:00:25,000 --> 01:00:30,480 OUT FOR AND HOW VACCINES WORK 1394 01:00:30,480 --> 01:00:34,160 AND WHAT'S A VACCINE VERSUS THE 1395 01:00:34,160 --> 01:00:36,400 COVERED SYMPTOM AND THE HEALTH 1396 01:00:36,400 --> 01:00:38,800 LITERACY PIECE IS A WAY TO 1397 01:00:38,800 --> 01:00:40,200 ELEVATE OUR COMMUNITY 1398 01:00:40,200 --> 01:00:41,400 UNDERSTANDING OF HOW OUR BODIES 1399 01:00:41,400 --> 01:00:42,760 WORK AND DON'T WORK TO COMBAT 1400 01:00:42,760 --> 01:00:46,880 THE MISINFORMATION THAT IS OUT 1401 01:00:46,880 --> 01:00:48,240 THERE THAT SOUNDS RIDICULOUS 1402 01:00:48,240 --> 01:00:50,360 BECAUSE WE ALL COME FROM A 1403 01:00:50,360 --> 01:00:52,200 BACKGROUND WHERE WE HAVE 1404 01:00:52,200 --> 01:00:54,000 BASELINE UNDERSTANDINGS OF HOW 1405 01:00:54,000 --> 01:00:54,480 OUR BODIES WORK. 1406 01:00:54,480 --> 01:00:56,440 I BELIEVE A WAY TO GET AROUND 1407 01:00:56,440 --> 01:01:04,040 THAT IS TO USE SIMPLIFIED TEXT 1408 01:01:04,040 --> 01:01:06,920 AND USING PICTURES VERSUS USING 1409 01:01:06,920 --> 01:01:07,240 TEXT. 1410 01:01:07,240 --> 01:01:10,880 I LOVE THE IDEA OF THE PAM IN 1411 01:01:10,880 --> 01:01:12,920 THE AND DOING THE MAILINGS AND 1412 01:01:12,920 --> 01:01:16,400 SO FORTH AND THE DIGITAL DIVIDE 1413 01:01:16,400 --> 01:01:18,360 IS REAL DEPENDING ON WHAT YOUR 1414 01:01:18,360 --> 01:01:19,600 ZIP CODE IS. 1415 01:01:19,600 --> 01:01:21,200 I WANTED TO PROVIDE THAT 1416 01:01:21,200 --> 01:01:21,440 FEEDBACK. 1417 01:01:21,440 --> 01:01:24,480 IN TERMS OF WHICH PARTNER 1418 01:01:24,480 --> 01:01:25,760 ORGANIZATIONS TO CONSIDER, WHAT 1419 01:01:25,760 --> 01:01:30,200 COMES TO MIND IS OUR COMMUNITY 1420 01:01:30,200 --> 01:01:33,800 HEALTH WORKERS, THOSE FOLKS WHO 1421 01:01:33,800 --> 01:01:36,320 ARE ON THE GROUND, TRUSTED 1422 01:01:36,320 --> 01:01:37,480 MESSENGERS WORKING WITH THE 1423 01:01:37,480 --> 01:01:38,960 COMMUNITY FOR YEARS AND DECADES. 1424 01:01:38,960 --> 01:01:41,360 THOSE ARE THE INDIVIDUALS THAT 1425 01:01:41,360 --> 01:01:43,520 WE COULD PROVIDE THOSE PAMPHLETS 1426 01:01:43,520 --> 01:01:45,000 TO OR PUBLIC HEALTH NURSES ALSO 1427 01:01:45,000 --> 01:01:47,400 IN THE RURAL COMMUNITIES WHO ARE 1428 01:01:47,400 --> 01:01:48,400 THE FRONT LINE PUBLIC HEALTH 1429 01:01:48,400 --> 01:01:50,800 WORKERS WHERE THERE IS NO HEALTH 1430 01:01:50,800 --> 01:01:52,560 DEPARTMENT BECAUSE THOSE RURAL 1431 01:01:52,560 --> 01:02:02,440 COMMUNITY SO SMALL. 1432 01:02:02,440 --> 01:02:04,400 AND THE WELLNESS VISITS FOR 1433 01:02:04,400 --> 01:02:08,800 PREGNANT WOMEN. 1434 01:02:08,800 --> 01:02:11,120 THERE'S ALSO A LOT OF WOMEN WHO 1435 01:02:11,120 --> 01:02:13,040 ARE PREGNANT AND THERE'S A LOT 1436 01:02:13,040 --> 01:02:15,800 OF MISINFORMATION ABOUT COVID 1437 01:02:15,800 --> 01:02:22,000 AND CDC JUST RELEASED A STUDY OF 1438 01:02:22,000 --> 01:02:23,120 IMPACT OF COVID OF PREGNANT 1439 01:02:23,120 --> 01:02:25,120 WOMEN AND INFANTS AND GOING BACK 1440 01:02:25,120 --> 01:02:28,120 TO WHAT PARTNER ORGANIZATIONS I 1441 01:02:28,120 --> 01:02:29,800 WOULD SAY THE NATIONAL 1442 01:02:29,800 --> 01:02:34,800 ASSOCIATION OF HEALTH WORKERS 1443 01:02:34,800 --> 01:02:36,200 AND THE NATIONAL HISPANIC 1444 01:02:36,200 --> 01:02:38,600 MEDICAL ASSOCIATION AND NATIONAL 1445 01:02:38,600 --> 01:02:40,000 ALLIANCE OF HISPANIC HEALTH. 1446 01:02:40,000 --> 01:02:41,600 THESE ARE A COUPLE PARTNERING 1447 01:02:41,600 --> 01:02:45,000 ORGANIZATIONS THAT CAN HELP 1448 01:02:45,000 --> 01:02:47,560 CARRY THIS MESSAGE FORWARD AND 1449 01:02:47,560 --> 01:02:48,800 INCREASE THE COMMUNITY HEALTH 1450 01:02:48,800 --> 01:02:49,400 LITERACY AND ADDRESS LITERACY 1451 01:02:49,400 --> 01:02:52,600 ISSUES IN GENERAL. 1452 01:02:52,600 --> 01:03:00,880 THANK YOU. 1453 01:03:00,880 --> 01:03:04,880 >> YOUR HAND WAS UP? 1454 01:03:04,880 --> 01:03:10,080 >> I'M A LOCAL PASTOR IN 1455 01:03:10,080 --> 01:03:10,440 WASHINGTON, D.C. 1456 01:03:10,440 --> 01:03:18,320 ONE OF THE THINGS THAT WE ARE 1457 01:03:18,320 --> 01:03:19,800 HAVE FOUND VERY EFFECTIVE IS 1458 01:03:19,800 --> 01:03:21,720 BEGINNING TO LOOK AT INTEGRATIVE 1459 01:03:21,720 --> 01:03:22,400 SERVICES. 1460 01:03:22,400 --> 01:03:25,280 WHAT I MEAN BY THAT IS THE 1461 01:03:25,280 --> 01:03:33,880 SEARCH DOING THE ORDINARY FOOD 1462 01:03:33,880 --> 01:03:35,640 DISTRIBUTION INCLUDE INFORMATION 1463 01:03:35,640 --> 01:03:36,680 SESSIONS IN AND AROUND PROVIDING 1464 01:03:36,680 --> 01:03:41,440 INFORMATION WITH COVID. 1465 01:03:41,440 --> 01:03:43,000 WE DO NEED IT TALK ABOUT LONG 1466 01:03:43,000 --> 01:03:44,400 COVID MORE BECAUSE OUR 1467 01:03:44,400 --> 01:03:45,400 COMMUNITIES DON'T REALLY KNOW 1468 01:03:45,400 --> 01:03:46,720 MUCH ABOUT THAT. 1469 01:03:46,720 --> 01:03:48,440 USING THE INTEGRATIVE SERVICES, 1470 01:03:48,440 --> 01:03:56,400 WE ALSO FOUND WHEN WE BRING 1471 01:03:56,400 --> 01:04:02,040 ALONG FOOD DISTRIBUTION AND HAVE 1472 01:04:02,040 --> 01:04:04,160 KIDNEY DISEASE SCREENING AS WELL 1473 01:04:04,160 --> 01:04:05,600 AS HEALTH RELATED MATTERS AS 1474 01:04:05,600 --> 01:04:07,120 NOTED FROM OTHER SPEAKERS, WE 1475 01:04:07,120 --> 01:04:09,600 FIND IT'S A GREAT WAY TO 1476 01:04:09,600 --> 01:04:13,080 COMMUNITY IN A PRACTICAL WAY 1477 01:04:13,080 --> 01:04:13,800 ABOUT COMMUNITY HEALTH. 1478 01:04:13,800 --> 01:04:16,120 I WOULD RECOMMEND WE DO THAT 1479 01:04:16,120 --> 01:04:18,360 BECAUSE THAT IS SOMETHING THAT 1480 01:04:18,360 --> 01:04:22,560 IS HELPFUL WHEN WE BEGAN TO 1481 01:04:22,560 --> 01:04:24,840 THINK ABOUT WHAT THE HOUSES OF 1482 01:04:24,840 --> 01:04:25,880 WORSHIP CAN DO AND 1483 01:04:25,880 --> 01:04:26,960 COMMUNITY-BASED ORGANIZATIONS 1484 01:04:26,960 --> 01:04:28,360 CAN DO. 1485 01:04:28,360 --> 01:04:30,760 I WOULD SAY WE SHOULD JUST NOT 1486 01:04:30,760 --> 01:04:31,960 STOP WITH THE INTEGRATIVE 1487 01:04:31,960 --> 01:04:35,200 SERVICES BUT LOOK AT AND USE 1488 01:04:35,200 --> 01:04:37,120 THINGS LIKE THE ARTS. 1489 01:04:37,120 --> 01:04:37,840 FOR EXAMPLE, WITH BLACK 1490 01:04:37,840 --> 01:04:39,240 COALITION AGAINST COVID, WE'VE 1491 01:04:39,240 --> 01:04:41,600 DONE POETRY SLAMS, WE'VE DONE 1492 01:04:41,600 --> 01:04:43,280 OTHER THINGS TO BEGIN TO TALK 1493 01:04:43,280 --> 01:04:46,600 ABOUT COVID AND VACCINATIONS AND 1494 01:04:46,600 --> 01:04:48,200 TESTING WE CAN USE THE SAME SORT 1495 01:04:48,200 --> 01:04:49,760 OF THING AS IT RELATES TO LONG 1496 01:04:49,760 --> 01:04:50,080 COVID AS WELL. 1497 01:04:50,080 --> 01:05:01,840 THANK YOU. 1498 01:05:01,840 --> 01:05:02,920 >> THANK YOU. 1499 01:05:02,920 --> 01:05:08,440 THERE WAS A COMMENT ABOUT 1500 01:05:08,440 --> 01:05:18,760 SCHOOLS. 1501 01:05:18,760 --> 01:05:21,920 >> SCHOOLS ARE A MAJOR 1502 01:05:21,920 --> 01:05:24,480 DISSEMINATOR OF INFORMATION. 1503 01:05:24,480 --> 01:05:34,280 AND WHETHER IT'S PAMPHLETS OR 1504 01:05:34,280 --> 01:05:35,200 FLIERS, POST CARDS I THINK 1505 01:05:35,200 --> 01:05:40,680 THEY'RE A GREAT PARTNER TO MAKE 1506 01:05:40,680 --> 01:05:44,000 IT HOME THROUGH CHILDREN FROM 1507 01:05:44,000 --> 01:05:44,240 SCHOOLS. 1508 01:05:44,240 --> 01:05:45,640 WHETHER IT'S PASSING OUT 1509 01:05:45,640 --> 01:05:50,520 LITERATURE OR PROVIDING SOME 1510 01:05:50,520 --> 01:05:55,480 DEGREE OF CURRICULUM THAT SCHOOL 1511 01:05:55,480 --> 01:05:59,320 COUNSELORS OR TEACHERS CAN 1512 01:05:59,320 --> 01:06:03,160 UTILIZE TO INFORM THROUGH PARENT 1513 01:06:03,160 --> 01:06:09,480 MEETINGS AND PTA ARE ADDITIONAL 1514 01:06:09,480 --> 01:06:10,840 AVENUES THAT COULD HAVE 1515 01:06:10,840 --> 01:06:12,440 WIDESPREAD EFFECT. 1516 01:06:12,440 --> 01:06:17,120 >> THANK YOU FOR THAT. 1517 01:06:17,120 --> 01:06:19,000 >> MAY I ASK A FOLLOW-UP 1518 01:06:19,000 --> 01:06:25,320 QUESTION FOR TERESA. 1519 01:06:25,320 --> 01:06:26,200 SHE PRESENTATIONED PREVIOUS 1520 01:06:26,200 --> 01:06:28,880 ONLINE SUPPORT GROUPS AND 1521 01:06:28,880 --> 01:06:30,800 WONDERING IF YOU CAN SHARE ANY 1522 01:06:30,800 --> 01:06:31,760 SPECIFIC TO BLACK AND INDIGENOUS 1523 01:06:31,760 --> 01:06:32,480 PEOPLE OF COLOR YOU ARE AWARE 1524 01:06:32,480 --> 01:06:35,680 OF. 1525 01:06:35,680 --> 01:06:40,760 >> SUPPORT GROUPS? 1526 01:06:40,760 --> 01:06:46,960 SO THERE'S A COUPLE ON FACEBOOK 1527 01:06:46,960 --> 01:06:49,360 BUT I'M NOT SURE HOW MUCH 1528 01:06:49,360 --> 01:06:50,400 TRACTION THERE IS IN 1529 01:06:50,400 --> 01:06:50,760 PARTICIPATION. 1530 01:06:50,760 --> 01:06:53,000 I KNOW IN MY GROUP WE HAVE A 1531 01:06:53,000 --> 01:06:58,680 GOOD AMOUNT OF ENGAGEMENT. 1532 01:06:58,680 --> 01:07:00,480 MY GROUP IS MORE OF A SOCIAL 1533 01:07:00,480 --> 01:07:01,840 SUPPORT GROUP AND THAT'S WHAT 1534 01:07:01,840 --> 01:07:04,200 I'M LOOKING TO CHANGE AND WHERE 1535 01:07:04,200 --> 01:07:09,800 I WAS ADDING THAT FOR ALL OF 1536 01:07:09,800 --> 01:07:16,520 THESE SOCIAL SUPPORT GROUPS AND 1537 01:07:16,520 --> 01:07:21,560 HAVE THE GRAPHICS AND 1538 01:07:21,560 --> 01:07:22,400 INFORMATION WE COULD HAVE WOULD 1539 01:07:22,400 --> 01:07:24,120 GO A LONG WAY. 1540 01:07:24,120 --> 01:07:25,960 A LOT OF TIME INSIDE THE GROUPS 1541 01:07:25,960 --> 01:07:28,960 IS SPENT IN MODERATING IS SPENT 1542 01:07:28,960 --> 01:07:35,000 TAKING DOWN MISINFORMATION AND 1543 01:07:35,000 --> 01:07:36,520 DELETE I 1544 01:07:36,520 --> 01:07:39,880 DELETING INFORMATION FROM 1545 01:07:39,880 --> 01:07:41,040 UNRELIABLE SOURCES AND HAVING 1546 01:07:41,040 --> 01:07:43,280 SIDE CONVERSATIONS WITH PEOPLE 1547 01:07:43,280 --> 01:07:45,200 ABOUT THE BASIC HEALTH EDUCATION 1548 01:07:45,200 --> 01:07:50,640 AS SOMEONE MENTIONED EARLIER 1549 01:07:50,640 --> 01:07:52,960 THERE NEEDS TO BE MORE KNOWLEDGE 1550 01:07:52,960 --> 01:07:55,880 AND EDUCATION ABOUT HEALTH IN 1551 01:07:55,880 --> 01:07:56,600 GENERAL AS WELL WHAT RESEARCH 1552 01:07:56,600 --> 01:08:08,000 AND SURVEYS ARE. 1553 01:08:08,000 --> 01:08:09,360 WHEN WE HEAR ABOUT RESEARCH IT'S 1554 01:08:09,360 --> 01:08:11,800 I DON'T WANT TO BE YOUR GUINEA 1555 01:08:11,800 --> 01:08:11,960 PIG. 1556 01:08:11,960 --> 01:08:13,600 IN GROUPS LIKE MINE THAT WOULD 1557 01:08:13,600 --> 01:08:15,240 BE THE PERFECT AVENUE FOR 1558 01:08:15,240 --> 01:08:17,240 EDUCATING PEOPLE AND TRYING TO 1559 01:08:17,240 --> 01:08:19,080 GET MORE PARTICIPANTS WILLING TO 1560 01:08:19,080 --> 01:08:21,200 BE A PART OF THESE COHORTS AND 1561 01:08:21,200 --> 01:08:23,120 OTHER TYPES OF RESEARCHING 1562 01:08:23,120 --> 01:08:25,640 STUDIES THAT HAVE NOTHING TO DO 1563 01:08:25,640 --> 01:08:28,520 WITH FORCING MEDICATIONS AND 1564 01:08:28,520 --> 01:08:36,440 EXPERIMENTAL DRUGS ON PEOPLE. 1565 01:08:36,440 --> 01:08:38,800 >> I'D LIKE TO INVITE AN 1566 01:08:38,800 --> 01:08:40,440 EXPANSION ON THE POINT MADE 1567 01:08:40,440 --> 01:08:43,720 ABOUT CONVERSATIONS LIKE THIS 1568 01:08:43,720 --> 01:08:45,640 BEING SIMILAR TO EFFORTS AROUND 1569 01:08:45,640 --> 01:08:46,600 THE CHILD TAX CREDIT. 1570 01:08:46,600 --> 01:08:47,800 WOULD YOU MIND SPEAKING TO THAT 1571 01:08:47,800 --> 01:09:02,200 FOR US, PLEASE. 1572 01:09:02,200 --> 01:09:04,400 >> WHEN THE ACA WAS FIRST 1573 01:09:04,400 --> 01:09:05,680 ENACTED TRYING TO FIGURE OUT HOW 1574 01:09:05,680 --> 01:09:09,960 TO GET PEOPLE INTO THE SYSTEM 1575 01:09:09,960 --> 01:09:13,920 AND HOW WE USE NAVIGATORS. 1576 01:09:13,920 --> 01:09:16,880 THERE'S BEEN A LOT OF 1577 01:09:16,880 --> 01:09:19,160 IMPROVEMENTS ON TO WHO ARE 1578 01:09:19,160 --> 01:09:19,920 TRUSTED MESSENGERS AND HOW DO 1579 01:09:19,920 --> 01:09:27,280 YOU DEFINE NAVIGATORS. 1580 01:09:27,280 --> 01:09:28,680 TO ME PART OF THE CONVERSATION 1581 01:09:28,680 --> 01:09:30,680 IS HOW IS THIS OUTREACH A WHOLE 1582 01:09:30,680 --> 01:09:32,320 OF GOVERNMENT APPROACH AND HOW 1583 01:09:32,320 --> 01:09:37,400 ARE WE REACHING PEOPLE WHO MAY 1584 01:09:37,400 --> 01:09:51,600 BE IN OTHER PLACES OR OTHER 1585 01:09:51,600 --> 01:09:53,440 LOCAL AGENCIES AND REACHING 1586 01:09:53,440 --> 01:09:55,800 PEOPLE IN MULTIPLE WAYS SO WE 1587 01:09:55,800 --> 01:09:58,040 DON'T REACH THEM IN DIFFERENT 1588 01:09:58,040 --> 01:10:00,000 AVENUES THAT MAY NOT BE BEST NOR 1589 01:10:00,000 --> 01:10:00,320 COMMUNITIES. 1590 01:10:00,320 --> 01:10:01,880 I'M JUST COMMENTING ON THE FACT 1591 01:10:01,880 --> 01:10:03,880 THAT A LOT OF THESE STRATEGIES I 1592 01:10:03,880 --> 01:10:06,720 THINK ARE SIMILAR STRATEGIES 1593 01:10:06,720 --> 01:10:08,280 THAT MANY GRASSROOTS AND 1594 01:10:08,280 --> 01:10:09,320 DISTRICT SERVICE ORGANIZATIONS 1595 01:10:09,320 --> 01:10:11,120 WERE IMPLEMENTING OVER THE LAST 1596 01:10:11,120 --> 01:10:13,400 SIX MONTHS LAST YOU'RE TO GET 1597 01:10:13,400 --> 01:10:18,200 FAMILIES TO SIGN UP FOR THEIR 1598 01:10:18,200 --> 01:10:19,680 MONTHLY PAYMENT IF THEY HAVEN'T 1599 01:10:19,680 --> 01:10:21,640 ALREADY AND MAYBE THERE'S 1600 01:10:21,640 --> 01:10:24,920 LESSONED LEARNED AND WAYS TO 1601 01:10:24,920 --> 01:10:28,480 STRATEGIZE AND IMPLEMENT THEM 1602 01:10:28,480 --> 01:10:34,480 TOGETHER. 1603 01:10:34,480 --> 01:10:36,440 MAYBE THERE'S SIMILARITIES AND 1604 01:10:36,440 --> 01:10:37,360 OVERLAP AND YOU DISCUSSED 1605 01:10:37,360 --> 01:10:38,800 THERE'S NOT COMPREHENSIVE DATA 1606 01:10:38,800 --> 01:10:39,760 ON WHO HAS LONG COVID BUT JUST A 1607 01:10:39,760 --> 01:10:45,440 THOUGHT. 1608 01:10:45,440 --> 01:10:46,560 I HAVE AN ADDITIONAL QUESTION. 1609 01:10:46,560 --> 01:10:49,200 IS THE PURPOSE OF THE OUTREACH 1610 01:10:49,200 --> 01:10:51,360 JUST TO EDUCATE INDIVIDUALS IN 1611 01:10:51,360 --> 01:10:52,920 COMMUNITIES ABOUT LONG COVID OR 1612 01:10:52,920 --> 01:10:57,480 ALSO TO TAKE A FURTHER STEP TO 1613 01:10:57,480 --> 01:10:59,040 GET FOLKS INTO CARE WHO MAY NOT 1614 01:10:59,040 --> 01:11:00,880 BE ALREADY UP CARE? 1615 01:11:00,880 --> 01:11:08,400 I'M THINKING OF IF I WERE 1616 01:11:08,400 --> 01:11:09,600 SOMEBO 1617 01:11:09,600 --> 01:11:14,160 SOMEBODY AND THOUGHT IF I THINK 1618 01:11:14,160 --> 01:11:18,760 I HAVE THIS WHAT SE IS THE NEXT 1619 01:11:18,760 --> 01:11:23,920 STEP AND IF I DON'T HAVE A 1620 01:11:23,920 --> 01:11:28,600 DOCTOR OR UNINSURED OR UNDER 1621 01:11:28,600 --> 01:11:28,960 INSURED. 1622 01:11:28,960 --> 01:11:33,440 >> THE TASK FORCE THE PRESIDENT 1623 01:11:33,440 --> 01:11:35,600 APPOINTED WE WERE CONCERNED 1624 01:11:35,600 --> 01:11:37,000 ABOUT THOSE WITHOUT INSURANCE 1625 01:11:37,000 --> 01:11:38,000 AND DISADVANTAGED COMMUNITIES 1626 01:11:38,000 --> 01:11:39,360 WHERE THERE'S NOT INSURANCE OR 1627 01:11:39,360 --> 01:11:40,440 ACCESS TO PROVIDERS. 1628 01:11:40,440 --> 01:11:45,800 IF YOU YOU MAKE PEOPLE AWARE 1629 01:11:45,800 --> 01:11:49,920 THEY HAVE A CONDITION AREN'T YOU 1630 01:11:49,920 --> 01:11:52,640 ETHICALLY OBLIGED TO HELP THEM 1631 01:11:52,640 --> 01:11:54,240 FIND TREATMENT SO THINK IT'S 1632 01:11:54,240 --> 01:11:56,320 IMPERATIVE AS WE RAISE AWARENESS 1633 01:11:56,320 --> 01:11:58,000 WE MAKE PLANS TO PROVIDE FOR THE 1634 01:11:58,000 --> 01:12:03,600 CARE OF THOSE INDIVIDUALS AND 1635 01:12:03,600 --> 01:12:10,480 RELATED TO THAT IS SOME PEOPLE 1636 01:12:10,480 --> 01:12:14,400 MAY NOT BE ABLE TO RETURN TO 1637 01:12:14,400 --> 01:12:16,440 WORK AND MAKE SURE THE ECONOMIC 1638 01:12:16,440 --> 01:12:18,280 IMPACT TO THE FAMILY IS NOT 1639 01:12:18,280 --> 01:12:19,560 SOMETHING THEY CANNOT RECOVER 1640 01:12:19,560 --> 01:12:19,760 FROM. 1641 01:12:19,760 --> 01:12:25,280 YOUR POINT IS WELL TAKEN. 1642 01:12:25,280 --> 01:12:27,280 LIKE IN THE EARLY DAYS OF THE 1643 01:12:27,280 --> 01:12:30,840 HIV EFFORT WHEN WE WERE TURNING 1644 01:12:30,840 --> 01:12:32,480 TO GET PEOPLE TEST BEFORE THERE 1645 01:12:32,480 --> 01:12:35,800 WERE TREATMENTS AVAILABLE AND IF 1646 01:12:35,800 --> 01:12:38,000 YOU HAVE EVERYONE TESTED AND NO 1647 01:12:38,000 --> 01:12:38,920 TREATMENT, WHAT DO YOU DO IN 1648 01:12:38,920 --> 01:12:40,200 THAT SITUATION? 1649 01:12:40,200 --> 01:12:42,280 YOU YOU RAISE A GREAT POINT 1650 01:12:42,280 --> 01:12:44,040 WE'VE LIVED THERE BEFORE. 1651 01:12:44,040 --> 01:12:45,240 I THINK THAT'S AN IMPORTANT 1652 01:12:45,240 --> 01:12:48,760 CONSIDERATION COMING OUT OF THE 1653 01:12:48,760 --> 01:12:52,440 TASK FORCE I WAS A MEMBER OF. 1654 01:12:52,440 --> 01:12:55,520 THANK YOU FOR THAT. 1655 01:12:55,520 --> 01:12:58,800 >> ONE QUICK FOLLOW-UP. 1656 01:12:58,800 --> 01:13:00,440 TO CLARIFY THEN, WILL THE 1657 01:13:00,440 --> 01:13:03,960 COMMUNICATION STRATEGIES AND THE 1658 01:13:03,960 --> 01:13:04,800 OUTREACH STRATEGIES AND 1659 01:13:04,800 --> 01:13:08,320 EDUCATION STRATEGIES AND AGAIN 1660 01:13:08,320 --> 01:13:09,200 EVERYONE'S SAID THIS BUT YOU 1661 01:13:09,200 --> 01:13:14,280 HAVE TO TAILOR MESSAGES TO THE 1662 01:13:14,280 --> 01:13:17,280 COMMUNITY BUT WILL THAT 1663 01:13:17,280 --> 01:13:19,400 INCLUDE -- IT IS THE GOAL OF 1664 01:13:19,400 --> 01:13:20,440 RECOVER COVID AND THIS 1665 01:13:20,440 --> 01:13:22,600 INITIATIVE AND OTHERS TO ENSURE 1666 01:13:22,600 --> 01:13:26,160 WE INCLUDE TARGETED MESSAGES 1667 01:13:26,160 --> 01:13:27,720 THAT GET PEOPLE INTO CARE JUST 1668 01:13:27,720 --> 01:13:32,960 TO MAKE SURE I UNDERSTAND AND 1669 01:13:32,960 --> 01:13:37,720 ARE YOU RECOMMENDING THAT. 1670 01:13:37,720 --> 01:13:47,200 >> SO I THINK AND NIH'S ROLE IS 1671 01:13:47,200 --> 01:13:50,760 HOW TO DEAL WITH LONG COVID. 1672 01:13:50,760 --> 01:13:51,960 THERE'S OTHER AGENCIES LIMITED 1673 01:13:51,960 --> 01:13:53,720 TO ENSURE PEOPLE WHO NEED THE 1674 01:13:53,720 --> 01:13:55,240 CARE WILL GET IT. 1675 01:13:55,240 --> 01:13:56,440 BUT ONE OF THE OTHER 1676 01:13:56,440 --> 01:13:57,760 CONSEQUENCES OF THIS WILL BE TO 1677 01:13:57,760 --> 01:14:01,160 MAKE SURE THAT PEOPLE OF COLOR 1678 01:14:01,160 --> 01:14:03,800 ARE PART OF IMPORTANT STUDIES 1679 01:14:03,800 --> 01:14:09,760 THAT NEED TO HAPPEN BECAUSE AS 1680 01:14:09,760 --> 01:14:11,480 YOU KNOW AND ONE THEIR GOALS OF 1681 01:14:11,480 --> 01:14:13,840 RECOVER AND I'LL LET MY 1682 01:14:13,840 --> 01:14:15,480 COLLEAGUES WHO ARE RESPONSIBLE 1683 01:14:15,480 --> 01:14:17,600 FOR THIS BUT I THINK IT'S A 1684 01:14:17,600 --> 01:14:19,040 REALLY IMPORTANT PART OF WHY 1685 01:14:19,040 --> 01:14:21,760 IT'S SO IMPORTANT THAT THESE 1686 01:14:21,760 --> 01:14:24,400 OUTREACH EFFORTS ARE HAPPENING 1687 01:14:24,400 --> 01:14:32,800 TOIANIAN TOIAN ENSURE 1688 01:14:33,280 --> 01:14:33,400 1689 01:14:36,680 --> 01:14:39,680 -- TO ENSURE THE ANSWERS WE FIND 1690 01:14:39,680 --> 01:14:41,560 BENEF 1691 01:14:41,560 --> 01:14:43,240 BENEFIT EVERYONE. 1692 01:14:43,240 --> 01:14:45,800 >> AND TO ENSURE DIVERSE 1693 01:14:45,800 --> 01:14:47,320 POPULATION AND UNDERSTAND THE 1694 01:14:47,320 --> 01:14:48,720 CONDITION WITH AN EYE TOWARDS 1695 01:14:48,720 --> 01:14:53,200 CLINICAL TRIALS AS WELL. 1696 01:14:53,200 --> 01:14:58,000 >> I WANT TO ACKNOWLEDGE IN THE 1697 01:14:58,000 --> 01:14:59,200 CHAT AN IMPORTANT POINT MADE 1698 01:14:59,200 --> 01:15:03,520 ABOUT WORKING WITH CHURCHES. 1699 01:15:03,520 --> 01:15:05,320 THE FAITH COMMUNITY HAS HELPED 1700 01:15:05,320 --> 01:15:08,160 GET THE WORD OUT ABOUT COVID AND 1701 01:15:08,160 --> 01:15:10,160 MAKING SURE PEOPLE GET 1702 01:15:10,160 --> 01:15:10,480 VACCINATIONS. 1703 01:15:10,480 --> 01:15:13,000 WE ACKNOWLEDGE THE FAITH 1704 01:15:13,000 --> 01:15:13,600 COMMUNITY PLAYS AN IMPORTANT 1705 01:15:13,600 --> 01:15:20,520 ROLE IN THIS EFFORT AS WELL. 1706 01:15:20,520 --> 01:15:23,840 I WOULD LIKE TO TAKE US TO THE 1707 01:15:23,840 --> 01:15:24,760 THIRD QUESTION WHICH MEANS WE'RE 1708 01:15:24,760 --> 01:15:26,200 NOT CLOSING THE DISCUSSION ON 1709 01:15:26,200 --> 01:15:28,520 THIS BUT TO KEEP THINGS MOVING. 1710 01:15:28,520 --> 01:15:32,200 THE THIRD QUESTION THAT WE WERE 1711 01:15:32,200 --> 01:15:37,920 TALKING ABOUT WE TOUCHED ON IN A 1712 01:15:37,920 --> 01:15:43,440 COUPLE WAYS BUT BASED ON THE 1713 01:15:43,440 --> 01:15:44,480 KNOWLEDGE YOU HAVE ON LONG COVID 1714 01:15:44,480 --> 01:15:46,400 ARE MEMBERS WILLING TO STUDY IN 1715 01:15:46,400 --> 01:15:51,280 PERSON OR DIGITALLY USING THE 1716 01:15:51,280 --> 01:15:54,720 DEVICES WITH SPOKE ABOUT EARLIER 1717 01:15:54,720 --> 01:15:55,480 AND FURTHER CONSIDERATIONS ARE 1718 01:15:55,480 --> 01:15:57,240 WOULD THEY BE WILLING TO SHARE 1719 01:15:57,240 --> 01:15:58,440 THEIR PERSPECTIVE WITH DOCTORS 1720 01:15:58,440 --> 01:16:03,080 AND SCIENTISTS BY JOINING A 1721 01:16:03,080 --> 01:16:04,000 NATIONAL DIALOGUE OR GROUP AND 1722 01:16:04,000 --> 01:16:05,840 ARE THERE OTHER WAYS WE MAY NOT 1723 01:16:05,840 --> 01:16:07,560 HAVE THOUGHT ABOUT WE'D LIKE TO 1724 01:16:07,560 --> 01:16:09,080 ENGAGE WITH THE COMMUNITIES IN 1725 01:16:09,080 --> 01:16:09,800 TERMS OF RECOVER. 1726 01:16:09,800 --> 01:16:14,080 AND VERY IMPORTANTLY, ARE THERE 1727 01:16:14,080 --> 01:16:16,320 OTHER GROUPS YOU FEEL SHOULD BE 1728 01:16:16,320 --> 01:16:17,920 DRAWN INTO RECOVER WE HAVE NOT 1729 01:16:17,920 --> 01:16:20,800 REACHED OUT TO OR MADE REFERENCE 1730 01:16:20,800 --> 01:16:27,040 TO? 1731 01:16:27,040 --> 01:16:29,000 PLEASE RAISE YOUR HAND OR PUT 1732 01:16:29,000 --> 01:16:30,680 YOUR COMMENTS IN THE CHAT AND 1733 01:16:30,680 --> 01:16:32,000 WE'LL KEEP THE CONVERSATION 1734 01:16:32,000 --> 01:16:32,240 GOING. 1735 01:16:32,240 --> 01:16:33,200 SOME ALREADY MADE REFERENCE TO 1736 01:16:33,200 --> 01:16:36,480 THE FACT THAT UNLESS THE 1737 01:16:36,480 --> 01:16:39,560 MATERIALS ARE CULTURALLY AND 1738 01:16:39,560 --> 01:16:40,160 LINGUISTICALLY APPROPRIATE IT 1739 01:16:40,160 --> 01:16:41,400 WILL CREATE A CHALLENGE FOR US 1740 01:16:41,400 --> 01:16:42,800 BUT IF WE'RE ABLE TO ACHIEVE 1741 01:16:42,800 --> 01:16:47,000 THAT TO MAKE SURE WE DO HAVE 1742 01:16:47,000 --> 01:16:47,640 INFORMATION AND MATERIALS THAT 1743 01:16:47,640 --> 01:16:50,520 MEET THAT CRITERIA, WHAT DO YOU 1744 01:16:50,520 --> 01:16:52,200 THINK WOULD BE THE LIKELIHOOD OF 1745 01:16:52,200 --> 01:16:53,560 YOUR COMMUNITY BEING WILLING TO 1746 01:16:53,560 --> 01:17:19,760 PARTICIPATE IN THOSE STUDIES? 1747 01:17:19,760 --> 01:17:21,680 >> MAKING SURE THE COMMUNITY IS 1748 01:17:21,680 --> 01:17:23,880 ENGAGED EARLY ON AND 1749 01:17:23,880 --> 01:17:26,040 PARTICIPATING IN THE EARLIER 1750 01:17:26,040 --> 01:17:30,920 DIALOGUES AND WITH RESPECT TO 1751 01:17:30,920 --> 01:17:34,560 BLACK COMMUNITIES ACKNOWLEDGING 1752 01:17:34,560 --> 01:17:37,120 THE PAST AND REPAIR SOME OF THE 1753 01:17:37,120 --> 01:17:40,480 TRUST THAT'S OCCURRED AND MAKE 1754 01:17:40,480 --> 01:17:48,920 SURE TO LET COMMUNITIES KNOW 1755 01:17:48,920 --> 01:17:52,000 THEY CAN HELP SHAPE COMMUNITY 1756 01:17:52,000 --> 01:17:54,440 HELP AND AMPLIFYING THEIR VOICE 1757 01:17:54,440 --> 01:17:57,080 IS A CRITICAL MESSAGE TO MAKE 1758 01:17:57,080 --> 01:17:58,360 SURE IT'S COMMUNITY AND PATIENT 1759 01:17:58,360 --> 01:18:00,680 CENTERED TO KEEP THAT ENGAGEMENT 1760 01:18:00,680 --> 01:18:10,720 HIGH. 1761 01:18:10,720 --> 01:18:11,640 >> GO AHEAD, ABIGAIL. 1762 01:18:11,640 --> 01:18:14,760 >> IF WE LOOK AT WHAT'S GOING ON 1763 01:18:14,760 --> 01:18:16,400 JUST COVID-19 STUDIES IN 1764 01:18:16,400 --> 01:18:18,560 PARTICULAR THE RAD X STUDIES 1765 01:18:18,560 --> 01:18:21,080 BEING CONDUCTED BY DIFFERENT 1766 01:18:21,080 --> 01:18:25,720 INVESTIGATORS ACROSS FUND BY THE 1767 01:18:25,720 --> 01:18:28,200 NIH PARTICULARLY IN AMERICAN 1768 01:18:28,200 --> 01:18:29,920 INDIAN AND ALASKAN NATIVE 1769 01:18:29,920 --> 01:18:31,560 RESEARCH AND WE TALK ABOUT IT IN 1770 01:18:31,560 --> 01:18:34,440 THE PAST AND I'M TALKING ABOUT 1771 01:18:34,440 --> 01:18:34,960 YESTERDAY. 1772 01:18:34,960 --> 01:18:35,920 AS A RESULT OF THAT THERE 1773 01:18:35,920 --> 01:18:37,120 CONTINUES TO BE MISTRUST. 1774 01:18:37,120 --> 01:18:39,480 I KNOW THERE'S HESITATION IN 1775 01:18:39,480 --> 01:18:40,760 TRIBAL COMMUNITIES ABOUT THE WAY 1776 01:18:40,760 --> 01:18:44,080 THE RAD X STUDIES MAY BE USING 1777 01:18:44,080 --> 01:18:46,240 SAMPLES COLLECTED FOR BIO 1778 01:18:46,240 --> 01:18:46,920 SPECIMEN RESEARCH THEY DIDN'T 1779 01:18:46,920 --> 01:18:48,160 UNDERSTAND WOULD BE PART OF. 1780 01:18:48,160 --> 01:18:50,720 YOU HAVE TO LOOK AT THE 1781 01:18:50,720 --> 01:18:51,480 IMPLICATIONS OF CURRENT COVID-19 1782 01:18:51,480 --> 01:18:52,920 STUDIES AND THE IMPACT ON THAT 1783 01:18:52,920 --> 01:18:56,800 AS YOU MOVE FORWARD WITH THIS 1784 01:18:56,800 --> 01:18:58,400 NEXT ITERATION AROUND LONG COVID 1785 01:18:58,400 --> 01:19:00,120 BUT THE ANSWER TO THIS QUESTION 1786 01:19:00,120 --> 01:19:01,160 FROM THE NATIVE PERSPECTIVE IS 1787 01:19:01,160 --> 01:19:02,160 YES AND NO. 1788 01:19:02,160 --> 01:19:04,400 YOU'LL HAVE HESITANCY AND 1789 01:19:04,400 --> 01:19:05,920 WILLINGNESS TO ENGAGE. 1790 01:19:05,920 --> 01:19:07,200 ONE OF THE MOST IMPORTANT THINGS 1791 01:19:07,200 --> 01:19:09,440 TO DO WILL BE ENGAGE TRIBAL 1792 01:19:09,440 --> 01:19:11,440 COMMUNITIES, THOSE ON 1793 01:19:11,440 --> 01:19:14,280 RESERVATIONS AND VILLAGES FROM A 1794 01:19:14,280 --> 01:19:15,640 NATION TO NATION RESPECTING 1795 01:19:15,640 --> 01:19:18,080 THEIR TRIBAL SOVEREIGNTY AND 1796 01:19:18,080 --> 01:19:21,200 ENGAGING WITH THE NIH OFFICE AND 1797 01:19:21,200 --> 01:19:22,360 THE TRIBAL ADVISORY FOLKS ARE 1798 01:19:22,360 --> 01:19:24,040 GOING TO BE WILLING BUT THERE IS 1799 01:19:24,040 --> 01:19:27,840 GOING TO BE HESITANCY. 1800 01:19:27,840 --> 01:19:28,520 AS A RESULT OF THAT THERE WILL 1801 01:19:28,520 --> 01:19:32,800 BE LIMITATIONS AND ENGAGING WITH 1802 01:19:32,800 --> 01:19:33,840 NATIONAL AND INDIGENOUS 1803 01:19:33,840 --> 01:19:34,960 ORGANIZATIONS AND I'LL WILLING 1804 01:19:34,960 --> 01:19:36,880 TO SHARE A LIST IF YOU'RE 1805 01:19:36,880 --> 01:19:37,880 INTERESTED, WILL BE KEY. 1806 01:19:37,880 --> 01:19:42,000 AND WE HAVE TO ACKNOWLEDGE THE 1807 01:19:42,000 --> 01:19:45,520 HISTORICAL MISSTEPS FROM 1808 01:19:45,520 --> 01:19:47,520 YESTERDAY AND PROBABLY WILL BE 1809 01:19:47,520 --> 01:19:49,640 TODAY AND IT'S AN ONGOING TRUST 1810 01:19:49,640 --> 01:19:50,760 BUILDING EXERCISE THAT WILL BE 1811 01:19:50,760 --> 01:19:51,920 IMPORTANT BECAUSE THE ENGAGEMENT 1812 01:19:51,920 --> 01:19:56,400 OF THE COMMUNITY IN THE RESEARCH 1813 01:19:56,400 --> 01:20:06,440 STUDIES WILL BE KEY. 1814 01:20:06,440 --> 01:20:09,160 >> THANK YOU, ABIGAIL, YOU'RE 1815 01:20:09,160 --> 01:20:10,880 POINTS ARE WELL TAKEN. 1816 01:20:10,880 --> 01:20:12,400 >> I THINK SOME COMMUNITY 1817 01:20:12,400 --> 01:20:13,680 MEMBERS WOULD PARTICIPATE AND 1818 01:20:13,680 --> 01:20:18,680 SOME WOULDN'T. 1819 01:20:18,680 --> 01:20:19,480 IT DEPENDS ON FUTURE 1820 01:20:19,480 --> 01:20:23,000 PARTICIPANTS WILL ALWAYS HAVE 1821 01:20:23,000 --> 01:20:26,600 THE RISK VERSUS BENEFIT MOMENTS 1822 01:20:26,600 --> 01:20:28,360 WHERE THEY'RE LEARNING WHAT THIS 1823 01:20:28,360 --> 01:20:33,840 STUDY IS AND HOW IT'S GOING TO 1824 01:20:33,840 --> 01:20:38,720 BENEFIT THEM BUT ALSO THERE'S 1825 01:20:38,720 --> 01:20:40,800 ONLY SO MUCH ALTRUISM THAT WILL 1826 01:20:40,800 --> 01:20:48,280 GOT PEOPLE TO PARTICIPATE AND 1827 01:20:48,280 --> 01:20:51,000 THERE'S TOUCH POINTS WITH THE 1828 01:20:51,000 --> 01:20:51,360 PARTICIPANTS. 1829 01:20:51,360 --> 01:20:55,640 WILL THERE BE CHILDCARE COVERAGE 1830 01:20:55,640 --> 01:20:57,840 AND TRANSPORTATION COVERAGE AND 1831 01:20:57,840 --> 01:20:59,120 THAT COULD FACTOR PARTICIPATION 1832 01:20:59,120 --> 01:21:00,360 AND RETENTION. 1833 01:21:00,360 --> 01:21:08,160 RETENTION IS A MAJOR ISSUE. 1834 01:21:08,160 --> 01:21:11,400 ALSO THE ABILITY FOR RAPPORT AND 1835 01:21:11,400 --> 01:21:14,000 WHEN PARTICIPANTS CHANGE PHONE 1836 01:21:14,000 --> 01:21:16,200 NUMBERS YOU CAN MAINTAIN 1837 01:21:16,200 --> 01:21:16,920 COMMUNICATION IS ANOTHER 1838 01:21:16,920 --> 01:21:18,720 CHALLENGE FOR RETENTION AND 1839 01:21:18,720 --> 01:21:21,400 GOING BACK TO THE RISK-BENEFIT 1840 01:21:21,400 --> 01:21:22,280 CALCULATION IF THERE'S A 1841 01:21:22,280 --> 01:21:25,560 MONETARY BENEFIT THAT COULD BE 1842 01:21:25,560 --> 01:21:28,400 AN INCENTIVE TO PARTICIPATE AND 1843 01:21:28,400 --> 01:21:30,920 IN TERMS OF DIFFERENT MODALITIES 1844 01:21:30,920 --> 01:21:31,800 OF PARTICIPATION IT DEPENDS ON 1845 01:21:31,800 --> 01:21:35,400 THE AGE GROUP AND DIGITAL 1846 01:21:35,400 --> 01:21:35,640 DIVIDE. 1847 01:21:35,640 --> 01:21:37,800 YOU HAVE FOLKS WILLING TO 1848 01:21:37,800 --> 01:21:38,800 PARTICIPATE ON A FACEBOOK CALL 1849 01:21:38,800 --> 01:21:42,440 AND ZOOM CALL AND THOSE WHO WANT 1850 01:21:42,440 --> 01:21:44,800 SOMETHING IN PERSON FACE TO FACE 1851 01:21:44,800 --> 01:21:47,400 AND IN BETWEEN. 1852 01:21:47,400 --> 01:21:49,400 TEXT MESSAGING PARTICIPATION AND 1853 01:21:49,400 --> 01:21:50,680 WAYS TO CONNECT FOLKS DEPENDING 1854 01:21:50,680 --> 01:21:58,960 ON THE AGE GROUPS AND ACCESS IN 1855 01:21:58,960 --> 01:22:01,200 ADDITION TO HAVING DATA 1856 01:22:01,200 --> 01:22:02,360 COLLECTORS OR THOSE WHO LOOK 1857 01:22:02,360 --> 01:22:04,400 LIKE THE COMMUNITY THEY'RE 1858 01:22:04,400 --> 01:22:06,280 TRYING TO CONNECT WITH. 1859 01:22:06,280 --> 01:22:08,400 IF IT'S SPANISH SPEAKING 1860 01:22:08,400 --> 01:22:10,080 PARTICIPANTS AND SPANISH 1861 01:22:10,080 --> 01:22:14,920 SPEAKING DATA COLLECTOR THAT'S 1862 01:22:14,920 --> 01:22:21,440 ALSO IMPORTANT TO CONSIDER AND 1863 01:22:21,440 --> 01:22:23,000 THOSE THE COMMENTS I'D LIKE TO 1864 01:22:23,000 --> 01:22:26,440 PROVIDE. 1865 01:22:26,440 --> 01:22:28,520 >> EDWARD IVY WITH THE 1866 01:22:28,520 --> 01:22:29,760 ORGANIZATION OF CARDIOLOGISTS 1867 01:22:29,760 --> 01:22:32,480 AND WE HAVE BEEN WORKING WITH 1868 01:22:32,480 --> 01:22:34,320 THE COMMUNITY DURING THIS 1869 01:22:34,320 --> 01:22:39,320 PANDEMIC USING ZOOM PLATFORMS 1870 01:22:39,320 --> 01:22:40,560 AND OTHERS TO EDUCATE 1871 01:22:40,560 --> 01:22:42,120 PARTICIPANTS AND THEY HAVE BEEN 1872 01:22:42,120 --> 01:22:46,800 VERY ENGAGED. 1873 01:22:46,800 --> 01:22:49,000 THEY WANT THE KNOWLEDGE BUT IT'S 1874 01:22:49,000 --> 01:22:50,800 GOING IT TAKE USING THE 1875 01:22:50,800 --> 01:22:51,800 INDIVIDUALS ON THE GROUND THAT 1876 01:22:51,800 --> 01:22:52,960 UNDERSTAND THE GAPS AND 1877 01:22:52,960 --> 01:22:55,040 CHALLENGES THAT EXIST IN THAT 1878 01:22:55,040 --> 01:22:56,840 COMMUNITY TO BE A PART OF THE 1879 01:22:56,840 --> 01:22:57,200 PROCESS. 1880 01:22:57,200 --> 01:22:59,760 AND I THINK WITH THAT WE HAVE TO 1881 01:22:59,760 --> 01:23:02,200 INCLUDE THEM EARLIER ON. 1882 01:23:02,200 --> 01:23:03,160 ENGAGING COMMUNITIES LIKE YOU'RE 1883 01:23:03,160 --> 01:23:04,960 DOING RIGHT NOW IS VERY 1884 01:23:04,960 --> 01:23:07,000 EFFECTIVE BUT MAKING SURE WE 1885 01:23:07,000 --> 01:23:08,480 CONTINUE TO ENGAGE THE 1886 01:23:08,480 --> 01:23:10,360 INDIVIDUALS ON THE GROUND 1887 01:23:10,360 --> 01:23:15,400 INTERACTING DIRECTLY WITH THE 1888 01:23:15,400 --> 01:23:15,840 COMMUNITY. 1889 01:23:15,840 --> 01:23:17,160 IT'S COMMUNITY HEALTH TRAINING 1890 01:23:17,160 --> 01:23:20,480 PARTICIPANTS WE BEEN ABLE TO 1891 01:23:20,480 --> 01:23:22,040 INCREASE KNOWLEDGE ABOUT 1892 01:23:22,040 --> 01:23:22,960 CARDIOVASCULAR DISEASE BECAUSE 1893 01:23:22,960 --> 01:23:24,040 IT'S STILL THE NUMBER ONE CAUSE 1894 01:23:24,040 --> 01:23:26,320 OF DEATH IN THE U.S. AND USING 1895 01:23:26,320 --> 01:23:29,720 OUR NETWORK OF CARDIOLOGISTS AND 1896 01:23:29,720 --> 01:23:30,760 PROVIDERS FOR OUR COMMUNITY HAS 1897 01:23:30,760 --> 01:23:32,920 BEEN A WAY TO ENGAGE THE 1898 01:23:32,920 --> 01:23:34,240 COMMUNITY AND GET MORE 1899 01:23:34,240 --> 01:23:34,560 PARTICIPATION. 1900 01:23:34,560 --> 01:23:37,120 I WANT TO ECHO LIKE EVERYONE HAS 1901 01:23:37,120 --> 01:23:39,800 SAID, PEDRO AND OTHERS, IT WILL 1902 01:23:39,800 --> 01:23:42,960 TAKE THE ENGAGING THE COMMUNITY 1903 01:23:42,960 --> 01:23:44,440 EARLIER ON AND KEEPING THAT 1904 01:23:44,440 --> 01:23:52,440 ENGAGEMENT MOVING FORWARD. 1905 01:23:52,440 --> 01:23:53,040 >> JENNIFER. 1906 01:23:53,040 --> 01:23:54,200 >> I THINK PEDRO TOOK EVERYTHING 1907 01:23:54,200 --> 01:23:56,000 I WAS GOING TO SAY AND SAID IT 1908 01:23:56,000 --> 01:24:02,240 REALLY WELL SO I WON'T REPEAT 1909 01:24:02,240 --> 01:24:05,080 TOO MUCH AND I DON'T SPEAK FOR 1910 01:24:05,080 --> 01:24:12,000 ALL ASIAN AMERICAN AND PACIFIC 1911 01:24:12,000 --> 01:24:13,240 ISLANDERS AND THERE'S MANY 1912 01:24:13,240 --> 01:24:17,440 LANGUAGES AND ETHNICITIES AND WE 1913 01:24:17,440 --> 01:24:23,000 LEARNED IS WE NEED TO ENGAGE 1914 01:24:23,000 --> 01:24:26,520 COMMUNITIES THROUGH BILINGUAL 1915 01:24:26,520 --> 01:24:28,440 CULTURAL NURSES AND THOSE ARE 1916 01:24:28,440 --> 01:24:31,280 THE FOLKS PEOPLE WILL TRUST. 1917 01:24:31,280 --> 01:24:32,880 TRUSTED COMMUNITY ORGANIZATIONS 1918 01:24:32,880 --> 01:24:40,320 LIKE WHAT EVERYONE SAID ARE THE 1919 01:24:40,320 --> 01:24:42,560 GROUPS THAT ASIAN AND PACIFIC 1920 01:24:42,560 --> 01:24:43,520 ISLANDERS WILL GRAVITATE TOWARDS 1921 01:24:43,520 --> 01:24:47,360 AND YES, PEOPLE FROM OUR 1922 01:24:47,360 --> 01:24:52,520 COMMUNITIES WILL JOIN IN THIS 1923 01:24:52,520 --> 01:24:58,560 DIALOGUE AND PARTICIPATE IN YOUR 1924 01:24:58,560 --> 01:24:59,200 ENGAGEMENT EFFORTS AND THERE'S 1925 01:24:59,200 --> 01:25:01,280 GOING TO BE VARIATIONS BECAUSE 1926 01:25:01,280 --> 01:25:02,760 OF HEALTH LITERACY AND LITERACY 1927 01:25:02,760 --> 01:25:04,080 IN GENERAL AND YOU'LL HAVE 1928 01:25:04,080 --> 01:25:10,080 YOUNGER FOLKS WHO WILL ENGAGE IN 1929 01:25:10,080 --> 01:25:11,800 MORE SOCIAL MEDIA AND WITH THE 1930 01:25:11,800 --> 01:25:13,200 OLDER POPULATION I KNOW FROM MY 1931 01:25:13,200 --> 01:25:14,560 OWN WORK WITH COMMUNITY HEALTH 1932 01:25:14,560 --> 01:25:16,040 WORKERS, YOU REALLY HAVE TO HAVE 1933 01:25:16,040 --> 01:25:18,280 SOMEONE WHO SPEAKS THE LANGUAGE 1934 01:25:18,280 --> 01:25:23,000 WHO THEY SEE AND TRUST IS GOING 1935 01:25:23,000 --> 01:25:25,800 TO BE ABLE TO HELP THEM NAVIGATE 1936 01:25:25,800 --> 01:25:27,120 THESE DIALOGUES. 1937 01:25:27,120 --> 01:25:30,560 I JUST WANTED TO ADD THAT PIECE. 1938 01:25:30,560 --> 01:25:33,880 >> THANK YOU, VERY MUCH AND I 1939 01:25:33,880 --> 01:25:36,480 THINK WE ARE COMING CLOSE TO THE 1940 01:25:36,480 --> 01:25:38,920 END OF OUR TIME HERE. 1941 01:25:38,920 --> 01:25:42,240 I BELIEVE IT'S TIME FOR ME TO -- 1942 01:25:42,240 --> 01:25:44,480 OH, DR. WILLIAMS, PLEASE, I SEE 1943 01:25:44,480 --> 01:25:48,520 YOUR HAND IS RAISED. 1944 01:25:48,520 --> 01:25:50,160 >> I'M SORRY, I HAVE THIS 1945 01:25:50,160 --> 01:25:50,920 QUESTION OR STATEMENT BECAUSE 1946 01:25:50,920 --> 01:25:53,200 IT'S COME UP MULTIPLE TIMES. 1947 01:25:53,200 --> 01:25:55,480 I REALLY APPRECIATE WANTING 1948 01:25:55,480 --> 01:25:57,200 DOCUMENTS TO BE IN PLAIN 1949 01:25:57,200 --> 01:25:58,560 LANGUAGE AND TAKE INTO 1950 01:25:58,560 --> 01:26:02,000 CONSIDERATION HEALTH LITERACY 1951 01:26:02,000 --> 01:26:05,400 AND REALLY AT THE CSC WE SPEND A 1952 01:26:05,400 --> 01:26:06,560 LOT OF TIME ON OUR DOCUMENTS 1953 01:26:06,560 --> 01:26:10,000 FROM THE PROTOCOL CONSENT FORMS, 1954 01:26:10,000 --> 01:26:10,920 RECRUITMENT MATERIALS WHERE WE 1955 01:26:10,920 --> 01:26:14,360 SEND A SIGNIFICANT AMOUNT OF 1956 01:26:14,360 --> 01:26:15,240 TIME ADDRESSING HEALTH LITERACY 1957 01:26:15,240 --> 01:26:17,280 AND PLAIN LANGUAGE SO THANK YOU 1958 01:26:17,280 --> 01:26:17,960 FOR THAT COMMENT. 1959 01:26:17,960 --> 01:26:32,680 >> THANK YOU, DR. WILLIAMS. 1960 01:26:32,680 --> 01:26:34,200 >> AS FAR AS PEOPLE 1961 01:26:34,200 --> 01:26:35,880 PARTICIPATING IN THE STUDIES I 1962 01:26:35,880 --> 01:26:39,280 THINK THEY NEED TWO THINGS TO 1963 01:26:39,280 --> 01:26:40,200 MOTIVATE THEM. 1964 01:26:40,200 --> 01:26:42,960 ONE IS ANONYMITY BECAUSE OF THE 1965 01:26:42,960 --> 01:26:44,920 CONCERN OF UNSCRUPULOUS SCIENCE 1966 01:26:44,920 --> 01:26:46,200 THAT'S HAPPENED IN THE PAST. 1967 01:26:46,200 --> 01:26:49,400 AND ALSO PEOPLE WANTED TO BE 1968 01:26:49,400 --> 01:26:51,080 ASSURED THAT THEIR INFORMATION 1969 01:26:51,080 --> 01:26:54,480 WON'T BE HELD AGAINST THEM OR 1970 01:26:54,480 --> 01:26:55,360 PUT SOME PLACE WHERE IN THE 1971 01:26:55,360 --> 01:27:01,760 FUTURE IT CAN COME BACK TO BE A 1972 01:27:01,760 --> 01:27:05,240 PROBLEM WITH THEIR EMPLOYMENT OR 1973 01:27:05,240 --> 01:27:12,240 ANY OTHER CASE AND INCENTIVES. 1974 01:27:12,240 --> 01:27:15,000 THERE'S A FEELING OF RIGHT NOW 1975 01:27:15,000 --> 01:27:16,160 THE MEDICAL AND RESEARCH 1976 01:27:16,160 --> 01:27:18,160 COMMUNITY IS ASKING, ASKING, 1977 01:27:18,160 --> 01:27:18,400 ASKING. 1978 01:27:18,400 --> 01:27:19,200 THERE'S A LOT OF GIVE US 1979 01:27:19,200 --> 01:27:25,400 INFORMATION, GIVE, GIVE, GIVE 1980 01:27:25,400 --> 01:27:28,400 WITHOUT AN OBVIOUS RECIPROCATION 1981 01:27:28,400 --> 01:27:34,040 OF WHAT THE PARTICIPANT CAN 1982 01:27:34,040 --> 01:27:35,840 EXPECT IN RETURN AND GETTING 1983 01:27:35,840 --> 01:27:38,000 MORE TO PARTICIPATE, CONSIDER 1984 01:27:38,000 --> 01:27:39,800 THE TIME FRAME IN WHICH THE IN 1985 01:27:39,800 --> 01:27:41,600 PERSON MEETINGS OR DIGITAL 1986 01:27:41,600 --> 01:27:46,280 MEETINGS WOULD TAKE PLACE 1987 01:27:46,280 --> 01:27:47,880 BECAUSE A LOT OF PEOPLE ARE 1988 01:27:47,880 --> 01:27:48,560 WORKING CLASS. 1989 01:27:48,560 --> 01:27:51,120 MISSING WORK MIDDAY FOR MEETINGS 1990 01:27:51,120 --> 01:27:53,080 LIKE THIS, FOR EXAMPLE IS NOT 1991 01:27:53,080 --> 01:27:58,160 CONVENIENT FOR A LOT OF PEOPLE. 1992 01:27:58,160 --> 01:28:02,200 WE HAVE TO CONSIDER THE TIMING 1993 01:28:02,200 --> 01:28:05,000 AND LATER EVENING TO ACCOMMODATE 1994 01:28:05,000 --> 01:28:06,320 A LOT OF PEOPLE'S WORK AND HOME 1995 01:28:06,320 --> 01:28:08,160 SITUATIONS AND THAT COULD HELP 1996 01:28:08,160 --> 01:28:12,960 INCREASE THEIR DESIRE TO 1997 01:28:12,960 --> 01:28:13,240 PARTICIPATE. 1998 01:28:13,240 --> 01:28:14,720 FINALLY, WHEN YOU THINK OF 1999 01:28:14,720 --> 01:28:16,240 HAVING A NATIONAL DIALOGUE, THAT 2000 01:28:16,240 --> 01:28:20,440 CAN FEEL AND SOUND WEIGHTY TO 2001 01:28:20,440 --> 01:28:25,160 THE AVERAGE PERSON. 2002 01:28:25,160 --> 01:28:27,000 DO YOU WANT TO ATTEND A 2003 01:28:27,000 --> 01:28:29,040 LISTENING SESSION WITH THE NIH. 2004 01:28:29,040 --> 01:28:32,720 THERE'S PRECONCEIVED NOTION 2005 01:28:32,720 --> 01:28:33,680 THERE'LL BE CONVERSATION OVER 2006 01:28:33,680 --> 01:28:36,440 OUR HEAD AND PONTIFICATING FROM 2007 01:28:36,440 --> 01:28:37,360 EXTREMELY EDUCATED PEOPLE AND 2008 01:28:37,360 --> 01:28:38,400 THE AVERAGE JOE MAY NOT HAVE A 2009 01:28:38,400 --> 01:28:48,040 PLACE AT THAT TABLE. 2010 01:28:48,040 --> 01:28:50,960 BEING ABLE TO FRAME THESE 2011 01:28:50,960 --> 01:28:54,920 MEETINGS WOULD HELP INCREASE 2012 01:28:54,920 --> 01:28:56,240 PARTICIPATION AND ALSO POSSIBLY 2013 01:28:56,240 --> 01:28:58,360 HOW CAN THE SAME MEETINGS BE 2014 01:28:58,360 --> 01:29:02,240 ORGANIZED IN A MORE LOCAL ASPECT 2015 01:29:02,240 --> 01:29:04,400 WHETHER IT'S TRAINED OPERATIVES 2016 01:29:04,400 --> 01:29:06,680 AND FACILITATORS WHO COULD DAO 2017 01:29:06,680 --> 01:29:08,400 DO COMMUNITY MEETINGS AT THE 2018 01:29:08,400 --> 01:29:10,160 CHURCHES OR SCHOOLS SO IT'S A 2019 01:29:10,160 --> 01:29:14,440 MORE INTIMATE AND FAMILIAR 2020 01:29:14,440 --> 01:29:16,280 SETTING WITH PEOPLE PARTICIPANTS 2021 01:29:16,280 --> 01:29:25,880 CAN FEEL RELATABLE TO. 2022 01:29:25,880 --> 01:29:26,600 >> THANK YOU. 2023 01:29:26,600 --> 01:29:27,640 THOSE ARE EXCELLENT POINTS. 2024 01:29:27,640 --> 01:29:28,960 I APPRECIATE IT. 2025 01:29:28,960 --> 01:29:30,240 EDWARD, DID YOU HAVE YOUR HAND 2026 01:29:30,240 --> 01:29:30,400 UP? 2027 01:29:30,400 --> 01:29:32,200 >> I SHOULD HAVE SAID IT HIT AT 2028 01:29:32,200 --> 01:29:37,200 THE CONCLUSION OF MY PREVIOUS 2029 01:29:37,200 --> 01:29:40,680 COMMENT BUT WE NEED TO BE CLEAR 2030 01:29:40,680 --> 01:29:43,000 ON WHAT YOUR ASK IS AND WHAT YOU 2031 01:29:43,000 --> 01:29:44,400 WANT COMMUNITY MEMBERS TO DO AND 2032 01:29:44,400 --> 01:29:46,720 PARTICULARLY IF YOU'RE GOING TO 2033 01:29:46,720 --> 01:29:48,200 ENGAGE GROUPS. 2034 01:29:48,200 --> 01:29:49,800 I HEARD LET'S GET COMMUNITY 2035 01:29:49,800 --> 01:29:51,240 HEALTH ADVOCATES BUT WHAT IS IT 2036 01:29:51,240 --> 01:29:53,400 YOU WANT THOSE ADVOCATES TO DO. 2037 01:29:53,400 --> 01:29:55,600 WHAT MESSAGE DO YOU WANT THEM TO 2038 01:29:55,600 --> 01:29:56,400 DELIVER TO THE COMMUNITY? 2039 01:29:56,400 --> 01:30:00,400 AND IT WOULD BE WONDERFUL IF 2040 01:30:00,400 --> 01:30:02,760 THERE IS FOLLOW-UP IN TERMS MUCH 2041 01:30:02,760 --> 01:30:04,880 HEY, I THINK I HAD LONG COVID 2042 01:30:04,880 --> 01:30:06,800 WHAT SHOULD I DO IN TERMS 2043 01:30:06,800 --> 01:30:07,120 GETTING CARE. 2044 01:30:07,120 --> 01:30:08,040 THAT NEEDS TO BE FLUSHED OUT 2045 01:30:08,040 --> 01:30:09,000 BEFORE YOU START GOING TO 2046 01:30:09,000 --> 01:30:10,880 COMMUNITIES WHERE ACCESS MAY BE 2047 01:30:10,880 --> 01:30:13,440 LOW ALREADY AND THEY START 2048 01:30:13,440 --> 01:30:21,480 FEELING MORE DISENFRANCHISED 2049 01:30:21,480 --> 01:30:22,920 BECAUSE YOU'RE NOT GIVING THEM 2050 01:30:22,920 --> 01:30:24,280 SOLUTIONS OR STEPS TO TAKE AND I 2051 01:30:24,280 --> 01:30:25,920 WANT TO MAKE SURE YOU'RE ASK OF 2052 01:30:25,920 --> 01:30:27,200 A COMMUNITY IS VERY CLEAR AND 2053 01:30:27,200 --> 01:30:28,560 ANY FOLLOW-UP THAT NEEDS TO 2054 01:30:28,560 --> 01:30:29,200 HAPPEN, THAT PROCESS IS VERY 2055 01:30:29,200 --> 01:30:32,920 CLEAR AS WELL. 2056 01:30:32,920 --> 01:30:40,440 >> EXCELLENT, THANK YOU, EDWARD, 2057 01:30:40,440 --> 01:30:52,200 VERY MUCH FOR THAT. 2058 01:30:52,200 --> 01:30:53,960 THERE'S A QUESTION WOULD THE 2059 01:30:53,960 --> 01:30:56,800 RECOVER WEBSITE BE A ONE STOP 2060 01:30:56,800 --> 01:30:58,400 SHOP WITH OUTREACH MATERIALS, 2061 01:30:58,400 --> 01:31:00,400 SOCIAL MEDIA, ETCETERA. 2062 01:31:00,400 --> 01:31:03,400 WOULD IT BE HELPFUL -- IT WOULD 2063 01:31:03,400 --> 01:31:07,480 BE HELPFUL TO HAVE SUCH A 2064 01:31:07,480 --> 01:31:09,160 ONE-STOP SHOP. 2065 01:31:09,160 --> 01:31:12,920 DR. WILLIAMS, DR. LERNER, DO YOU 2066 01:31:12,920 --> 01:31:16,720 WANT TO COMMENT ON THAT? 2067 01:31:16,720 --> 01:31:19,560 >> THAT'S THE IDEA TO HAVE THE 2068 01:31:19,560 --> 01:31:20,760 CONVENIENCE ONE STOP SHOP TO GO 2069 01:31:20,760 --> 01:31:26,120 FOR EVERYTHING RECOVER. 2070 01:31:26,120 --> 01:31:28,760 WE'RE ALSO GOING TO BE SHARING 2071 01:31:28,760 --> 01:31:29,880 AT THE CLOSE OF MEETING TO SIGN 2072 01:31:29,880 --> 01:31:31,000 UP FOR UPDATES ABOUT THE 2073 01:31:31,000 --> 01:31:33,160 INITIATIVE SO THAT'S ANOTHER WAY 2074 01:31:33,160 --> 01:31:35,680 TO KEEP TABS ON THINGS BUT YEAH, 2075 01:31:35,680 --> 01:31:40,520 WE HEAR YOU ABOUT THE EASE OF A 2076 01:31:40,520 --> 01:31:43,720 ONE-STOP SHOP. 2077 01:31:43,720 --> 01:31:46,840 >> AT THIS POINT IT MAY BE 2078 01:31:46,840 --> 01:31:47,800 APPROPRIATE TO ASK IF THERE'S 2079 01:31:47,800 --> 01:31:49,720 ANY OTHER COMMENTS OR QUESTIONS 2080 01:31:49,720 --> 01:31:51,280 ON ANY ONE OF THE THREE MAIN 2081 01:31:51,280 --> 01:31:52,960 QUESTION OR JUST SOMETHING YOU 2082 01:31:52,960 --> 01:31:54,400 THINK THE RECOVERY TEAM NEEDS TO 2083 01:31:54,400 --> 01:31:55,640 KNOW IN TERMS OF THE WORK 2084 01:31:55,640 --> 01:31:57,760 THEY'RE TRYING TO DO RELATED TO 2085 01:31:57,760 --> 01:32:04,400 THIS COMMUNITIES YOU REPRESENT? 2086 01:32:04,400 --> 01:32:07,640 I'LL OPEN IT UP FOR GENERAL 2087 01:32:07,640 --> 01:32:09,320 COMMENTS BEFORE I TURN IT BACK 2088 01:32:09,320 --> 01:32:10,960 TO DR. WILLIAMS. 2089 01:32:10,960 --> 01:32:12,400 DID ANYONE HAVE CLOSING THOUGHTS 2090 01:32:12,400 --> 01:32:17,400 OR QUESTIONS OR CONCERNS? 2091 01:32:17,400 --> 01:32:20,480 SO I WANT TO SAY I'M GRATEFUL 2092 01:32:20,480 --> 01:32:23,000 FOR THE OPPORTUNITY FOR THIS 2093 01:32:23,000 --> 01:32:24,280 CONVERSATION. 2094 01:32:24,280 --> 01:32:25,920 I THINK THE WORK THAT RECOVER IS 2095 01:32:25,920 --> 01:32:27,200 GOING TO DO AND THE RESEARCH IS 2096 01:32:27,200 --> 01:32:30,800 GOING TO DO IS GOING TO BE 2097 01:32:30,800 --> 01:32:38,000 REALLY IMPORTANT BUT WILL NOT BE 2098 01:32:38,000 --> 01:32:39,200 SUCCESSFUL UNLESS OUR 2099 01:32:39,200 --> 01:32:40,440 COMMUNITIES PARTICIPATE. 2100 01:32:40,440 --> 01:32:42,120 WE HOPE YOU'LL ENGAGE TO MAKE 2101 01:32:42,120 --> 01:32:44,600 THIS HAPPEN AND THIS IS REALLY 2102 01:32:44,600 --> 01:32:47,000 IMPORTANT BUT FROM THE SARS 2103 01:32:47,000 --> 01:32:48,760 PANDEMIC OF 2003, THERE ARE 2104 01:32:48,760 --> 01:32:50,400 INDIVIDUALS WHO COULD NOT GO 2105 01:32:50,400 --> 01:32:52,200 BACK TO WORK FOR AS LONG AS TWO 2106 01:32:52,200 --> 01:32:52,720 YEARS. 2107 01:32:52,720 --> 01:32:54,240 I'M NOT SAYING THAT'S GOING TO 2108 01:32:54,240 --> 01:32:56,520 BE THE CASE HERE BUT THIS WILL 2109 01:32:56,520 --> 01:32:57,800 BE A REALLY IMPORTANT PROBLEM 2110 01:32:57,800 --> 01:32:58,960 FOR SOME TIME TO COME. 2111 01:32:58,960 --> 01:33:06,360 THIS WORK IS REALLY IMPORTANT 2112 01:33:06,360 --> 01:33:09,360 AND HOPE UP ENGAGE WITH US TO 2113 01:33:09,360 --> 01:33:10,160 GET THIS DONE. 2114 01:33:10,160 --> 01:33:11,280 I'LL TURN IT BACK TO 2115 01:33:11,280 --> 01:33:12,120 DR. WILLIAMS. 2116 01:33:12,120 --> 01:33:13,480 THANK YOU VERY MUCH FOR THE 2117 01:33:13,480 --> 01:33:14,400 CHANCE TO BE A PART OF THIS 2118 01:33:14,400 --> 01:33:19,880 REALLY IMPORTANT CONVERSATION. 2119 01:33:19,880 --> 01:33:22,600 >> I'D LIKE TO ECHO 2120 01:33:22,600 --> 01:33:24,480 DR. HILLDRETH'S COMMENTS AND SAY 2121 01:33:24,480 --> 01:33:25,800 THANK YOU VERY MUCH. 2122 01:33:25,800 --> 01:33:26,680 WE APPRECIATE THE SESSION TODAY 2123 01:33:26,680 --> 01:33:28,400 AND ALL THE FEEDBACK THAT YOU 2124 01:33:28,400 --> 01:33:31,280 ALL HAVE PROVIDED. 2125 01:33:31,280 --> 01:33:33,120 WE HAVE THE SITE HERE WHERE YOU 2126 01:33:33,120 --> 01:33:34,280 CAN SEE OTHER WAYS TO BE IN 2127 01:33:34,280 --> 01:33:36,960 TOUCH AND LEARN MORE ABOUT THE 2128 01:33:36,960 --> 01:33:38,000 RECOVER INITIATIVE AND ALSO TO 2129 01:33:38,000 --> 01:33:41,000 SHARE THAT WE DO PLAN TO HAVE 2130 01:33:41,000 --> 01:33:42,600 ADDITIONAL LISTENING SESSIONS 2131 01:33:42,600 --> 01:33:44,640 FOR SPECIFIC COMMUNITIES AND WE 2132 01:33:44,640 --> 01:33:46,120 WELCOME PARTNERING WITH YOU AS 2133 01:33:46,120 --> 01:33:48,440 WE ROLL OUT THOSE OTHER SESSIONS 2134 01:33:48,440 --> 01:33:49,080 AS WELL. 2135 01:33:49,080 --> 01:33:52,280 SO THANK YOU ALL SO MUCH. 2136 01:33:52,280 --> 00:00:00,000 HAVE A WONDERFUL AFTERNOON.