King County Pandemic and Racism Community Advisory Group December 3rd 10:30 am – 12 pmAgenda
Welcome, Yordanos Teferi and guest Sandra Huber 10:30 – 10:35
King County Public Health Updates• Matias Valenzuela
10:35 – 10:50
Community Health Board Coalition panel • Lan T Nguyen, Vietnamese Health Board• Sandra Huber, Latinx Health Board• Yordanos Teferi, Eritrean Health Board
• Presentation & Group Discussion
10:50 -11:15
Updates: State Board of Health—race/ethnicity data for notifiable conditions• LinhPhung Huynh, WA State Department of Health• Kaitlyn Donahoe, State Board of Health• Paj Nandi, Director, Community Relations & Equity, WA State Department of Health
• Updates, Information Sharing, Discussion & Questions• Group discussion with PARCAG members on race, ethnicity and language
categories
11:15– 11:55
Meeting Close & Next Steps
Participation guidelines – creating inclusive conversations
2
• Be present – bring your full attention to the process and listen deeply.
• Try on new ideas and perspectives – remember, “try on” is not the same as “take on.”
• It’s OK to disagree – avoid discounting or judging the beliefs and views of others.
• Check out assumptions – do not assume you know what is meant by a particular communication, especially when it triggers you
• Step up, step back - if you are a person who shares easily, leave space for others to step into. If you are a person who doesn’t speak often, consider stepping forward and sharing your wisdom.
• Practice both/and thinking - making room for more than one idea at a time means appreciating and valuing multiple realities.
• Intent is different than impact – both are important. It is also important to own our ability to have a negative impact in another person’s life despite our best intention.
Based on guidelines by Laurin Mayeno and Elena Featherston, 2006, adapted from VISIONS, Inc
Public Health Updates
3
Matias ValenzuelaEquity Director, Public Health Seattle & King County
4 See all COVID-19 data dashboards at www.kingcounty.gov/covid/data
What We Currently Know:
Pfizer and Moderna have both submitted applications for emergency use authorization with the FDA Both require 2- doses series Pfizer requires ultracold storage Both have a ~95% efficiency
Supplies to Washington state should be low
Provider enrollment Deadline of Friday Dec. 6 for 1a
providers
Interim Washington COVID-19 Vaccine Equitable Allocation & Prioritization Framework
Data Disaggregation as an Anti-Racist PolicyKing County Pandemic and Racism Community Advisory Committee Virtual meeting on 12/03/2020
Presented by: Lan T. Nguyen | [email protected] CHBC and Vietnamese Health Board member
RESPONSE TO COVID-19 AND NOTIFIABLE CONDITIONS
Mission, Vision & Values
• Mission: To advocate for equitable policies and systems by collaborating effectively, building leadership, and serving as conduits for our communities.
• Vision: To foster healthy and thriving communities where equitable systems provide holistic care.
• Values:• Respect for all cultures and
communities• Integrity• Effective collaboration• Collective leadership• Community resilience• Holistic health• Equity
COMMUNITY HEALTH BOARD COALITION12/03/2020 2
15 Health Boards
• Afghan Health Board• African American Health Board• Afro-descendant and Indigenous Health
Board• Cham Health Board• Congo Integration Network• Ethiopian Health Board• Eritrean Health Board
• Khmer Health Board• Iraqi/Arab Health Board• Filipino Community Health Board• Pacific Islander Health Board• Pan African Leaders Health Board• Somali Health Board
• Vietnamese Health Board
12/03/2020 COMMUNITY HEALTH BOARD COALITION 3
400ACTIVE
MEMBERS
COVID-19 POLICY CHANGE & ADVOCACY12/03/2020 COMMUNITY HEALTH BOARD COALITION 1
0
Support actionable race, ethnicity, and language data collection.
Establish anti-racist health protocols.
Invest resources and buildrelationships.
CHBC member organizations
Partners
WADOH and PHSKC agreed to work with CHBC on these policy areas
Permanent rulemaking for notifiable conditions under Chapter 246-101 WAC
12/03/2020 COMMUNITY HEALTH BOARD COALITION 11
RACE / ETHNICITY AND LANGUAGE DATA COLLECTION
GAP ANALYSIS
COM
MU
NITY HEALTH BO
ARDCO
ALITION
12/03/2020 6
New Section – WAC 246-101-017, Novel Coronavirus (SARS-CoV-2), Coronavirus Disease 2019 (COVID-19) Reporting (n.d.)
Patient’sbirthplace
• Demand #1: Add a question about thepatient’s birthplace before section 2e.
• Question:• Where were you (patient) born?
• In the United States (specify nameof state)
• Outside the United States (specifyforeign country or US Territority):
12/03/2020 COMMUNITY HEALTH BOARD COALITION 13
Indigenous identity
12/03/2020 COMMUNITY HEALTH BOARD COALITION 14
• Demand #2: Add a question about thepatient’s indigenous identity after Demand#1.
• Question:• Do you (patient) have ties or
relationship to an indigenous tribe orcommunity?
• Yes (specify): • No• Don’t know
Race / Ethnicity
• Demand #3: Add the following races to section 2e
• Cambodian / Khmer• Cham• Marshallese• Middle Eastern• North African• Oromo• Other (specify)
12/03/2020 COMMUNITY HEALTH BOARD COALITION 15
Language
• Demand #4: Add the following languages tosection 2g
• Cambodian / Khmer• Chuukese• Fijian• Kosraean• Marshallese• Oromo• Samoan• Swahili• Other (specify)
12/03/2020 COMMUNITY HEALTH BOARD COALITION 16
Housing characteristics
• Demand #5: Add questions about thepatients’ housing to section 3.
• Questions:• Do you (patient) live in a multi-
generational home?• How many people live in your (patient)
home including yourself (Select one)?• 1• 2• 3-4• 5 or more
• How many bedrooms does your (patient) home have? (Select one)
• 1• 2• 3 or more
12/03/2020 COMMUNITY HEALTH BOARD COALITION 11
Conclusion
• Covid-19 is disproportionately impacting BIPOC communities.• Data disaggregation is an anti-racist policy.
• Racism is a public health crisis (WADOH, 2020 and PHSKC, 2020)• Resist pressure from healthcare systems to remain the same or make minor
modifications that do not address community concerns.
Collect disaggregated data, understand the disparities, & save lives.
12/03/2020 COMMUNITY HEALTH BOARD COALITION 12
Community Health Board Coalition:Data Disaggregation for Equity
19
Lan T Nguyen, Vietnamese Health Board Sandra Huber, Latinx Health Board Yordanos Teferi, Eritrean Health Board
Presentation & Discussion
Updates: State Board of Health—race/ethnicity data for notifiable conditions
20
LinhPhung Huynh, Division Policy Advisor, Disease Control and Health StatisticsWashington State Department of Health
Kaitlyn Donahoe, MPA, Health Policy Advisor, Washington State Board of Health
Paj Nandi, Director, Community Relations & Equity, Washington State Department of Health
21
Chapter 246-101 WACNotifiable Conditions Rulemaking
Washington State Board of Health
22
Rulemaking Timeline
*Original CR-101 filed in April 2017; the new CR-101 was filed in May 2018 after internal work with subject matter experts.
Washington State Board of Health
Evaluate the feasibility of incorporating additional demographic reporting requirements in the proposed rule.
May 2018: Pre-Proposal
Statement of Inquiry (CR-101) Filed*
Rule Development, Partner Engagement,
TAC Meetings, Informal Comment
January 2020: Proposed
Rulemaking (CR-102) Filed
Formal Public Comment Period
April 2020:Board of Health Public Hearing
June 2020: Supplemental CR-102
Filed
July 2020:COVID-19 Reporting
Emergency Rule Adopted
Formal Public Comment Period
August 2020:Board Delayed
Decision to Adopt Rule
2323
Racism is a Public Health Crisis
“ The Washington State Board of Health (Board) recognizes racism is a public health crisis… The Board has a duty to look inward to identify and understand how our actions and our work contribute to and exacerbate systemic and institutional racism. We cannot do this work alone. The Board commits to listening to, learning from, and partnering with Black, Indigenous, and People of Color-led organizations to dismantle institutional racism...
23
2424Washington State Board of Health
Four Corners of Governmental Public Health
State Board of HealthMission
To provide statewide leadership in developing and promoting policies that prevent disease and improve and protect the public's health for all people in Washington.
Sovereign Tribal Nations & Tribal Health Programs
Local HealthJurisdictions
WA StateBoard of Health
WA StateDepartment of Health
Governmental Public Health
Implementation
The WA State Department of Health and local health jurisdictions implement and enforce the Board’s rules.
2525Washington State Board of Health
Primary Reporters• Laboratories• Health Care Providers
• Health Care Facilities• Local Health Jurisdictions
Healthcare Provider and
Facility
Laboratory
Reference Laboratory
Public Health
Complex system of information flow
2626Washington State Board of Health
• Informal Public Comment Period (through December 2020)
• Participate in Listening Sessions
• Listening Session 1: October 26
• Listening Session 2: December 7
• Send written comments to [email protected] and [email protected] by December 14.
• Board Meeting (January 2021)
• Send public comments by noon on January 8 (instructions here)
• Provide verbal comments at the meeting on January 13.
• Indicate your desire to provide comment upon registration.
Opportunities for Comment
2727Washington State Board of Health
• Formal Comment Period (February-March 2021)
• A formal public comment period will open after the rule is filed with the Code Reviser. Instructions on how to provide public comments will be announced after filing.
• Board Meeting – Public Rules Hearing (March 2021)
• Send public comments by noon on March 5 (instructions here)
• Provide testimony on the proposed rules at the meeting on March 10.
• Indicate your desire to provide comment upon registration.
• To receive invitations and updates:
• https://www.surveymonkey.com/r/JF2PM9D
Opportunities for Comment, continued
28
THANK YOU
Kaitlyn Donahoe, MPAHealth Policy Advisor
Washington State Board of Health [email protected]
360.584.6737
LinhPhung HuynhDivision Policy Advisor
Disease Control and Health StatisticsWashington State Department of Health
Updates: State Board of Health—race/ethnicity data for notifiable conditions
29
• What will the State Board of Health and the state Department of Health do with community suggestions about race, ethnicity and language categories for notifiable conditions?
• If PARCAG members want to support the SBOH’s proposed rules on race, ethnicity and language data reporting for notifiable conditions, how can they register their support? And when should they do so?
• Data disaggregation can be a double-edged sword. While it’s important to report outcomes disaggregated by race and ethnicity to inform policies and systems to improve health, this kind of reporting also emphasizes deficits. What can the State Board of Health and Department of Health do to highlight community assets and well as the risk factors experienced by members of different race, ethnicity and language groups?
• Open discussion with PARCAG members on race, ethnicity and language categories.
For Reference:
COVID-19 Updates & Resources
Pandemic and Racism Community Advisory Group staff contacts:
LaToya Durham [email protected] Wysen [email protected] Valenzuela [email protected]
31
Ways to stay connectedWeekly Covid-19 webinar for Spanish-speaking community• A conversation between community members and Public Health-Seattle & King
County. Facilitated by Giselle Zapata-Garcia and Penny Lara.• Every Tuesday, 5:30 – 6:30 PM • For more info follow https://www.facebook.com/CondadodeKing• Join Zoom Meeting
https://kingcounty.zoom.us/j/95001879122Meeting ID: 950 0187 9122One tap mobile+12532158782,,95001879122# US (Tacoma)+13462487799,,95001879122# US (Houston)
Looking for a speaker about COVID-19?• Speaker’s Bureau - Contact Steve Stamper –
[email protected]• Where possible please give us 48 hours notice of webinar presentations• More at: https://www.kingcounty.gov/depts/health/covid-
19/support/presentation-requests.aspx
32
Ways to stay connectedCommunity Partners Call • Every other Monday 4:00 – 4:45 p.m.• Email [email protected] to receive Zoom call-in information• Hosted by the Community Mitigation Group’s Community and Faith-based Task Force
COVID-19 Homelessness Response • Email [email protected] to be added to list serve and get information on
calls, webinars, and resources.• Visit www.kingcounty.gov/hch for up-to-date information
City of Seattle Department of Neighborhoods COVID-19 Community Webinars• Visit: https://frontporch.seattle.gov/2020/03/24/get-connected-to-our-weekly-covid-19-
community-webinars/
33
Subscribe to Public Health's website: www.kingcounty.gov/covid
Subscribe to the Public Health blog: www.publichealthinsider.com
Anti-stigma resources: www.kingcounty.gov/ncov/anti-stigma
King County COVID-19 data dashboards: www.kingcounty.gov/covid/data
Information on face coverings: www.kingcounty.gov/masks
King County face coverings distribution program: www.kingcounty.gov/maskdistribution
Information about COVID-19 testing: www.kingcounty.gov/covid/testing
Follow us on social media @KCPubHealth Facebook, Insta, and Twitter
Healthier Here COVID-19 Resource Hub: www.healthierhere.org/covid
WA State Dept of Health: www.doh.wa.gov/Emergencies/Coronavirus
WA State: https://www.coronavirus.wa.gov/
Important Resources to Stay Informed on COVID-19
Potential future agenda topics for PARCAGTOPIC Vaccine planning
Contact tracing
Epidemiology, aerosol, COVID disease
Antibody testing
Schools/child care
Disability access issues
Work sessions to capture & document lessons learned from early phases of pandemic in order to improve/not repeat going forward
Advocacy re: addressing racism in health care system
Seroprevalence study design--lengthy survey, text heavy, lack of language access
Update on "The Race Gap" in King County, Black health and well-being data from Marguerite Ro
Recommended
