the new national health service starts... and a few| health service starts...he work _ health service starts... and a few years after the work in _ health service starts... and a few years after the work in the - health service starts... and a few years after the work in the start i health service starts... and a few| years after the work in the start of the nhs. some themes from this pandemic have played out before over the decades. people queueing up for vaccines. here in 1950, for smallpox. vaccines. here in 1950, for smallpox— vaccines. here in 1950, for smallox. ., , . , , vaccines. here in 1950, for smallox. ., , ., , , ., ,, smallpox. doctors and nurses work in 12 hour relays — smallpox. doctors and nurses work in 12 hour relays to _ smallpox. doctors and nurses work in 12 hour relays to combat _ smallpox. doctors and nurses work in 12 hour relays to combat the - 12 hour relays to combat the scourge. 12 hour relays to combat the scourue. �* , .,' .,, scourge. but first off, the last ear and scourge. but first off, the last year and a _ scourge. but first

and then of course, why has the health service become overrun? whereas in most other countries in europe, it wasn't overrun because we basically been undermining that health service for decades. and of course breakfast also encouraged about 200000 health workers to leave. i did give her medical agency as they keep saying the vaccines agency that allowed us to vaccinate more than we're being yes. yeah. there's that you raise a really interesting question. let's look, we can't do it today, but let's look and see what, what was better, how we actually save more lives we back to nation than we've lost because we haven't heard of health services, etc function. so that's the 1st thing i would say. the 2nd thing i would say, and this is very relevant because i last march and what's not 15 months ago, i wrote an article, but i thought this, i think the consequences of coded in a year's time will not be anything to do with chest infections or or problems with breathing, it'll be jude with a psychological consequences. and these are going to be to fall, th

the be lifted without overwhelming the health service.— health service.h service. the link is not totally broken, there - health service. the link is not totally broken, there are - health service. the link is not i totally broken, there are people health service. the link is not - totally broken, there are people in hospital who have been vaccinated, but it is severely weakened. so the key aim now is to get as many people vaccinated before july the 19th. key aim now is to get as many people vaccinated beforejuly the 19th. but vaccinated before july the 19th. but some are still urging caution. the british medical association has said some measures should be kept in place later this month. labour says it wants to see the evidence. i place later this month. labour says it wants to see the evidence. i want the economy _ it wants to see the evidence. i want the economy and _ it wants to see the evidence. i want the economy and society _ it wants to see the evidence. i want the economy and society to - it wants to see the evidence. i want the economy and socie

and we've lost because we haven't had a health services, etc function. so that's the 1st thing i would say. the 2nd thing i would say, and this is very relevant because i last march and what's not. 15 months ago, i wrote an article which i publicizing the consequences of coded in a year's time, will not be anything to do with chest infections or, or problems with breathing. it'll be june with a psychological consequences. and these are going to be to fall. these are the consequences or actually long coding. we know the virus is getting the brain and we know this virus gets in the brand new. the last every we saying that people who have to deal the health service was over stress. and i had to deal with with that being properly resource and i'm particularly property protected. half of all people working in intensive care, you got p t. do we have a shade to deal with the psychological consequences? oh no, we do not. we still, we don't have any roadmap for the brain until i find that really reprehensible because this, the consequences are not just economic,

hillary kunnis, is the director of behavioral health services and mental health services. i'm joined by my colleague, angelica almeda, and we'll transition into a presentation about the street crisis response team. and i did get some of your questions from during the day today, and i'll try to integrate those into the presentation. next slide. so i'll be briefly providing an introduction, sharing with you some recent highlights as well as some progress areas in mental health san francisco, including some hiring updates and some bed usage, and i'll then transition to angelica and in addition to speaking about the street crisis response team, she will be looking at our health equity impact assessment. next slide. next slide. so i thought i would just start by a few more words about me. i know that you heard about me at the march commission meeting and that i was joining d.p.h. at the end of march. so i, as all of you likely know, i transitioned from new york city where i was at the new york city health department, and just hearing the last presentation, appreciate the challe

. >> contra costa health services deputy health officer stephanie says the delta variant of covid-19 been circulating county wide for a few months, but health services has noticed an alarming spike in cases over the past 2 weeks. a korea says recent sampling shows the delta variant accounts for nearly 50% of new infections. we do know it is more infectious. a korea says disadvantaged communities of color are being disproportionately impacted by the delta variant. >> and that's because vaccination rates are lower in those communities compared to affluent areas, county wide 73% of the population, 12 years of age and older are fully vaccinated. but in richmond bay point, pittsburgh, antioch and oakley less than 60% of those populations are fully vaccinated yet in lafayette rinde alamo san ramon and walnut creek more than 73% of those county residents are fully vaccinated. the county is addressing the disparity by continuing outreach with community organizers and churches mobile vaccination clinics are also making home and office visits for those who book an appointment with health servi

for the vision of those l who pioneered our national health service _ who pioneered our national healthnise mae parsons, service. you might recognise mae parsons. who _ service. you might recognise mae parsons, who read _ service. you might recognise mae parsons, who read out _ service. you might recognise mae parsons, who read out a - service. you might recognise mae parsons, who read out a prayer. l service. you might recognise mae l parsons, who read out a prayer. as the matron who gave the first vaccine outside of clinical trials backin vaccine outside of clinical trials back in december, she represents one of the most helpful moments during the pandemic. but she says, times, it like she was going to war. the hardest one _ it like she was going to war. the hardest one is _ it like she was going to war. the hardest one is the amount of deaths we have _ hardest one is the amount of deaths we have seen, it'sjust terrifyingly bil we have seen, it'sjust terrifyingly big in_ we have seen, it'sjust terrifyingly big in numbers. and those other things— big in numbers. and those other things

all people ages 12 or older can get vaccinated at a contra costa county health services site. even if they do not live or work in contra, costa county. no appointments are required. >> has it made kron. 4 news. >> the cdc and a leading group of pediatricians are at odds over whether people who are vaccinated can go without masks. the american academy of pediatrics yesterday called for schools to enforce universal masking mandates. that's because many children, of course, will not be protected by the vaccine come fall. the group says schools have no way of verifying a person's vaccine status. it says the honor system has failed to keep people safe as the delta variant spreads. but the cdc says vaccinated people are considered safe from having a severe outcome with the breakthrough infection. it says immunized adults and teenagers including 12 year olds can go without a mask. that's a inside schools is a safe place for them. >> the group rescue, california, which supports the of governor newsome spoke in san francisco today. they were joined by family members of murder victims.

. >> and contra costa health services says it is seeing a similar trend locally or public health lab does some sequencing and although it's a sense that the populations of got a full picture. >> we can take those percentages and we have the death of derrion sequenced and over 50% of the samples that they've been sequencing and the contrast county nearly almost half, i should say deputy health officer stephanie mccurry us as the delta variant has been circulating in contra, costa for a few months, but health services has noticed an alarming spike in cases over the past 2 weeks. scenes are the most affected for protection for populations who are eligible. >> and that includes protections against variants and we we continue to encourage everyone to get. >> vaccinated. doctor mccoury assist disadvantaged communities of color are being disproportionately impacted by the delta variant and that's because vaccination rates are lower in those communities compared to affluent areas, county wide 73% of the population, 12 years of age and older. are fully vaccinated. but in richmond bay point, p

and contra costa health services says it is seeing a similar trend locally or public health lab does some sequencing. and although it's a sense that the populations of got a full picture. >> we can take those percentages and we have the death of derrion sequenced and over 50% of the samples that they've been sequencing and the contrast county nearly almost half, i should say deputy health officer stephanie mccurry us as the delta variant has been circulating in contra, costa for a few months, but health services has noticed an alarming spike in cases. >> over the past 2 weeks. back scenes are the most affected for protection for populations who are eligible. >> and that includes protections against variants and we we continue to encourage everyone to that. >> vaccinated. korea says disadvantaged communities of color are being disproportionately impacted by the delta variant and that's because vaccination rates are lower in those communities compared to affluent areas, county wide 73% of the population, 12 years of age and older are fully vaccinated. but in richmond bay point, pittsbu

increasing health services for women in a v.a. facility necessarily includes reproductive care, would you agree? so does this budget in your opinion support reproductive care especially as it relates to women veterans with service-connected conditions that may impact their ability to have children? any of you can respond to that. >> i think the independent budget recommendation supports the necessary increase for ivf and that we fully support that recommendation. >> so the question was specifically whether it is adequate to provide reproductive health services to women veterans. have you been in contact with advocacy groups for women veterans on this point? whether they think it's enough funding? >> we -- we have. and we have spoken -- our contact at pva have spoken with many advocates of women veterans and they support pva's budget recommendations. >> good. we are making progress because at least now we are recognizing this is an important aspect of what should be made available, services to women veterans. for a long time, if i

people who have these multiple long—term conditions, and we really want more attention paid by the health service get asked, do you smoke and you get referred to services, people are very rarely asked about their physical activity, and they are not supported or signposted to take appropriate action, so that would be the one thing that we would like to have the health service to focus on as a result of this study today. the researchers said their findings showed the health of british adults in midlife is actually on the decline. dr nighat arif is an nhs gp. i'm not surprised at all. as a doctor, i see a lot of chronic illnesses that actually come about around midlife and as young as 40. i still feel 40s, 50s, 60s is relatively young. our body is a machinery and as machineries get older, unfortunately these health conditions do come about. so, we should be educating people around what are the signs and symptoms of diabetes, high blood pressure? how to look after your back, how to look after those joints much, much better. the study found that amongst those reporting multiple chronic health problems

when is women's health services.an make an appointment either by calling them a dropping in or emailing us for that. we also have an hiv care clinic that happens on that morning as well also by appointment only. he was city clinic has been like home to me. i been coming here since 2011. my name iskim troy, client of city clinic. when i first learned i was hiv positive i do not know what it was. i felt my life would be just ending there but all the support they gave me and all the information i need to know was very helpful. so i [inaudible] hiv care with their health >> about a quarter of our patients are women. the rest, 75% are men and about half of the men who come here are gay men or other men who have sex with men. a small percent about 1% of our clients, identify as transgender. >> we ask at the front for $25 fee for services but we don't turn anyone away for funds. we also work with outside it's going out so any amount people can pay we will be happy to accept. >> i get casted for a pap smear and i also inform

so is unclear at this stage exactly how many cases all going to lead to problems for the health service. so then the question or the moral ethical question for some of exposing a population young population in particular, who haven't yet had one or both sides of the vaccine to the virus. many outlining the risks of long cove it. and finally, of course, there is the risk that widespread cases could lead to a new variance emerging. so a lot of concern here, the government grits part is arguing if it doesn't lift these restrictions now, then when will it it saying that it is being aided. not just why the vaccination campaign, but also the summer months, more people mixing outside clothing holidays as well. their argument is this has to be, this is the now essentially it's a good a time as any. okay, so, so we're calling this freedom day. it is controversial. what exactly is and is not changing today in england, charlotte yeah. freedom day because nearly all of the legal restrictions are being lifted. here's what you can see. venue cinema spaces for stadiums, for example, are able to operat

mental health, services, providing women veterans but they need. so, we believe and we are all committed as part of the va to eliminate and find the right balance of funding for all of these programs. i think trying to say one she be a priority over another is very difficult to do when they're all just as important as the other. i do agree we do need to increase that commitment and renew it. veterans should not be homeless. when there is a means to get them the help they need. >> i think we need to become a lot more creative of our approach is because homelessness among veterans is not among the issue, there is a lot we have to delve into to figure out. how we can how is the veterans, how we can provide them with the training they need, if any training to get jobs. all of. that it's interconnected. we talk about mental health needs, that relates to homelessness, i would say. suicides also. there is an interconnectedness, and i do not know if the va has really embarked on a much more of an interconnected approach to it limiting homelessness among ve

that was donald trump, health and human services. secretary alex's a congressional hearing in february this year and interesting sites before he was appointed to his rolling government. as i worked as the top lobbyist for the pharmaceutical firm, eli lilly, and company the hunt for a corona virus vaccine has now suddenly become one of the most well funded areas of biomedical research. not only governments and pharmaceutical giants investing in it, the so called super heroes of the corporate world have all stepped into the fray. a ceo of netflix is donating $30000000.00 toward research for a corona virus vaccine. microsoft co founder bill gates has continued to fight against corona, vars investing billions of dollars on the construction of factories working to develop the code 19 vaccine. some of the will these people on a found isn't c major corporations. i'm making headlines for denying to proven causes through their own philanthropic organizations. but it's not just about the money. it's the perception that it comes with all the trappings of the corporate world efficiency return on i

all people ages 12 or older can get vaccinated at a contra costa county health services site. even if they do not live or work in contra, costa county. no appointments are required. >> has it made kron. 4 news. >> governor newsome, i he is not ruling out the possibility of a statewide mask mandate. this is as the delta variant does continue to spread some counties have been taking the problem into their own hands. kron four's ashley zavala has the latest from the governor and how rules covid rules could affect his recall election. >> a growing number of counties across the state are starting to take matters into their own hands either encouraging or requiring mask use indoors regardless of your vaccination status. but governor gavin newsom is not yet ready to say whether that statewide mask mandate will return well, but most will see that the end of the day, the epidemiology, the spread. >> the variance make that determination. governor gavin newsome responding to questions about the possibility his administration will bring back a statewide mask mandate. state data show as of

her personal message today that this award also marks over seven decades in which the national health service life of this country. later today, at st paul's cathedral in london, a service of thanksgiving will take place, marking the 73 years of the nhs and giving thanks for the work of its staff during the pandemic. the service will be attended by the duke and duchess of cambridge. nicholas witchell, bbc news. let's cross to our health correspondent catherine burns. good morning. it is morning of high emotions. good morning. it is morning of high emotions- we _ good morning. it is morning of high emotions. we have _ good morning. it is morning of high emotions. we have been _ good morning. it is morning of high emotions. we have been here - good morning. it is morning of high emotions. we have been here for. good morning. it is morning of high l emotions. we have been here for two hours and we have been speaking to staff and patients, talking about the george cross. what does it mean to them? it is the highest non—military award, it felt every day in the first wave that they were going to wo

services. the next represents united health care plans. united has been our second plan that we offer to our retirees. it has a very small increase this year, and that was through a guarantee last year that we were able to secure a low rate increase. and also, they will be sticking around, if you will, to aid in taking care of some of the companions that are in the united health care medicare that are not medicare eligible. the only people that will be eligible are those that are companion to folks that are enrolled in the medicare plan. the next plan is the most significant plan that we have to offer is a new plan administered by healthnet, in partnership with canopy care with partnerships with some of our very large health care organizations that you can see on the slide. i think the offering also offers a new and much asked for benefit that will include services at zuckerberg san francisco general hospital. it's my understanding from my predecessors in the department of public health that zuckerberg has not been an offering for city emp

. >> operated by gardner health services. more than 11,000 people got their shots here. but it was closed last month after turnout dropped to as low as 10 people per day. several other smaller clinics remain open. the turnout has been low with just 20 to 30 people per day here at gardeners clinic on virginia street we are texting. we are emailing their messaging people, their messaging almost 40,000 people. >> to get the vaccine. >> and we have signs posted we are our web site that we are doing everything we possibly can to get the unvaccinated. >> to get vaccinated while the san jose vaccination rates among people over 50 earn only slightly behind other parts of the county lagging further behind or younger people with covid-19 delta variance the county for more than 40% of all new infections. the county is focused on vaccination outreach efforts says county executive jeff smith real challenge now is to get to the population unwilling or. >> an interested are a little hesitant. and having mass vaccination sites really doesn't do that. you have to reach into the community

the world health organization, how you to care is a crucial part of integrated people, centered health services, relieving serious health related suffering, be a physical, psychological, social, or spiritual. and the agency says it's a global ethical responsibility. but is this ethical responsibility being observed? our health services worldwide providing patients and their families with the right care and services. we'll put that to the chair of the board of directors of the international association for hospice and how you took care. dr. lucas rodro talks to al jazeera ah dr. lucas rod brook chair of the board of directors of the international association for hospice and palliative care. thank you for talking to al jazeera. thank you for having me. look at, let me ask you 1st palliative care is not just a type of medical care for patients living with a serious illness. it's also a philosophy of care. so i want to ask you, what is that overall philosophy? well, 1st of all, it's really patient oriented, so it's not only strict guidelines on symptoms, but it's also about asking people what they

and that is how i feel by having the national health service, ifeel rich by having the national healthremaining section of the partly collapsed apartment block near miami has been demolished over safety fears — as a tropical storm approaches florida. 24 people are known to have died and more than 120 others are still unaccounted for. aru na iyengar reports. the remaining section of champlain towers south complex comes crashing down. demolition experts drilled small explosive charges into columns to bring the remaining unstable structure down in a controlled explosion. neighbours were advised to stay indoors and close their windows until two hours after the explosion. but some came to pray for those still missing. drones with thermal imaging were used to make sure there were no people or pets still inside the building. the approaching tropical storm elsa, which has hit cuba with winds of up to 65 mph, brought forward discussions about when to demolish the remaining building. it's eliminated a looming threat, a dangerous threat for our rescue workers. it will potentially open up probably

and the national health service has been stretched to a breaking point. >> my biggest worry was, when going to end. i think the vaccine came like a big weapon. >> many britons give credit to the national health service. >> they put me on full oxygen. i didn't think i would come home because of how i felt. >> it's been very quiet. i miss my friends, but i am working for my second injection. >> i've sort of learned how to do soon. it's a bit of a strange way of doing it because i am never sure when i can speak and when i can't. >> local residents were keen to share their appreciation for the national health service. >> i think we can go through any situation. i have that confidence. >> as of today, july 19, or freedom day as some are calling it, all lockdown restrictions have been lifted in england. however, cases of the delta variant are rising exponentially, making it 95% of new infections. the government has been accused of sending mixed messagesfee aboutt the danger posed -- mixed messages about the danger posed by the coronavirus. like the rest of the country, here in the valley, p

i know the health and human service focuses on health disparities. can you describe these programs and their goals and how will you ensure these programs work? >> it's great to see you. i see that those digs look really familiar to me. that office of yours. you've been able to come in and do a phenomenal job as a member of congress. >> somebody left me some nice furniture. by the way, thank you for all your work and trying to make sure our district, it's a tale of two cities in many ways. folks working together in many ways. president biden has spoken about equity and made it clear he wants to see results. to now say we're going to demand results as well from the people and the programs we have at health and human services. one of the things we're doing, a couple of quick examples, the emphasis into dealing with mortality and morbidity. we have access to health care. some communities have women who are dying as a result of their pregnancy. the women who have terrible outcomes and it should surprise no one to know that happens in communities of color.

using those funds for mental health services, but also for other services for returning events. for parenting students -- for rural communities, who have from our experience the greatest impact on them because of the lack of technological -- technologies. >> thank you. >> if i may add, i have to agree with my colleague that mental health means have increased covid. but even before covid, we also had already been dealing with the increasing need -- we had -- we were establishing already what we call the student at risk committees to begin to see, not only that students would come when needs arise, or to be able to have many eyes on campus for when it comes. in for one students behavior, performance in classes, screening flags students discussing those communities because those judicial counselors, where they can bring in, to make sure that they're productive -- outside providers available to students, so that we can provide services that were much more diverse and much more wide, and that is something, and i can see the much we learn during the pandemic, some of this we will keep

infection rates, but increasingly suspected cases being reported in remote and rural districts and health services being stretched to the breaking point. the new that anake on bar who is currently i'm worried because we don't have enough health officials to take care of patients. even though case numbers and those a waiting period keep rising with government services under strain, sometimes taking matters into their own hands. this group of volunteers are going door to door testing oxygen levels for those to show curve at 19 symptoms. with many impoverished communities suffering from high levels of infection. they're learning to look after themselves. one of our friend ny he couldn't get any help. you couldn't call anyone. and we don't want that to happen to anyone ever again. hospital beds in the tie capital and now so scarce to the health service has outfitted a special covert train to transport patients for treatment elsewhere. more than 100 patients can be transported to 7 provincial capitals, where there are still beds available on the transfer of patients. these patients are from bangkok who

didn't have to really use indian health service, you know, employees to really -- and some tribes still do that today. our health care really seems self governance funding. we run the health center ourselves with certain amount of federal funding. we do that. i think we've come a long way. our strength is we're located in the city. all we have to do is buy properties and bring the businesses into the tribe. in rural, nevada, may not ruin businesses even if you were to buy piece of land. so the strength of us was to really recognize, what are our strengths, do we have a stable, tribal government. banks want to know how stable you with the government. are you changing chairman every year, some tribes do, if you have to have a stable tribal leadership, stable council, and some councilmember have been on a long time besides myself. so if you have experience and new people they can learn from the people that are on there. so a stable tribal government would be another strength. what would all right weaknesses be? well, you know, there's weaknesses of legislation that could change, you know.

putting us all at risk. >> all people ages, 12 or older can get vaccinated at a contra costa health services site. even if they do not live or work in contra. costa county. there's no appointment required. also in the east bay, a concerned parent is going public with her frustration after learning of a covid outbreak at a church summer camp. at least 3 campers at hume lake. kristin camps have tested positive for covid-19. one mother shares at the can only ask for proof of a test and not proof of a negative result. it asked if a parent thinks their child was in contact with someone who has covid to only evaluate if that child should go to camp. she believes the severe lack of oversight put her daughter and others at risk. >> if a parent knew that their kid was exposed and sent them anyway. singing. i you're fault, too. but i don't play as blame on the parents i please play wants and the churches for letting this be the guidelines. >> he likes as the 3 kids. you tested positive for covid-19 at the camp were not from 3 crosses but a spokesperson for 3 crosses. kids have tested positive since re

and then of course, why has the health service become overrun? whereas in most other countries in europe, it wasn't overrun because we basically been undermining that health service for decades. and of course breakfast also encouraged about 200000 health workers to leave i.

, constrained lry mental health services, constrained by the _ mental health services, constrained bying and infection control~ — social distancing and infection control. , ., social distancing and infection control. ,., .,, social distancing and infection control. , control. the government tos in wales and northern — control. the government tos in wales and northern ireland _ control. the government tos in wales and northern ireland have _ control. the government tos in wales and northern ireland have yet - control. the government tos in wales and northern ireland have yet to - and northern ireland have yet to unveil their plans. scottish ministers say they are on track to lift remaining restrictions next month. hugh pym, bbc news. covid rules are also to be relaxed in england's schools, with the present system of sending whole �*bubbles' home after a positive case set to be scrapped at the end of term. after that, children will only have to isolate if they test positive. new figures show that pupil absence in england due to covid has hit a new high since all students returned to sch

we augmented mental health counseling services by adding more mental health specialist on the ground to help the students, faculty and staff paid the second thing we did was partnered with our county so we could ensure 24/7. the third is be added telehealth services to students could get to a counselor both virtually and in person. and then lastly we added an early alert system or faculty members are the first to really see the change in pattern or withdraw be able to talk to mental health counselors in early alert so we can provide those interventions great thank you for the questions and the opportunity to answer. >> thank you. >> thank you all. again, mr. harris, a echo with burr said, good job and what a great story. i just want to say that. i think that mr. harris also said is that some of his peers, because of the pandemic are faking mental health challenges. i would argue that one way to treat this is to re-create the community that's not created over resume but rather is created by people sitting next to each other going to baseball games and otherwise participating in life. z

according to the spokesperson for contra, costa health services as of monday morning with data stilling in from the state. quote, see chs has so far documented 875 new covid-19 cases in the county. the largest single week total in recent data show the case rate among residents who are not fully vaccinated is about 11 times higher than the case rate for vaccinated residents unquote. >> it's just crazy with new covid-19 cases beginning to surge richmond mayor tom says he's lost his patience with people who are dragging their feet on getting their shots. i think we need to take more stringent and courage or if we have to force people get the surge is virtually a pandemic of the unvaccinated. you know, they're putting us all at risk. >> although wearing mask reduces the risk of infection. officials at contra costa health services at this time are not considering updating their mask guidelines with the mandate. instead, they are mirroring the guidance from the centers for disease control and prevention recommending that masks are worn indoors in public spaces regardless of vaccination sta

but amid fears winter flu could put intense pressure on the health service this year, free flu vaccinesg the programme to include the majority of secondary school pupils up to year 11. it finally feels as if we are giving priority to educational continuity for those young people, so they can start september with the sense that the adults on the room are doing everything they can to look after them right up to the age of 16. significant freedoms for england and scotland are nowjust two days away. this weekend pop—up vaccine hubs have been set up like here in the oval cricket ground to encourage more people to grab a jab. following the easing of restrictions, coronavirus infections are high and rising, but the real focus is how many cases will turn into serious illnesses. hospital admissions are causing real concern at the moment, and the projections of how high they could go are quite alarming, so it is not a situation we wanted to be in, we didn't want to be opening up in quite a dramatic way at a time when we have so many infections and that is why you are hearing many people expressin

. >> and contra costa health services says it is seeing a similar trend locally or public health lab does some sequencing and although it's a sense that the populations of not a full picture. >> we can take those percentages and we have the death of derrion sequenced and over 50% of the samples that they've been sequencing and the contrast county nearly almost half, i should say deputy health officer stephanie mccurry us as the delta variant has been circulating in contra, costa for a few months, but health services has noticed an alarming spike in cases. >> over the past 2 weeks. scenes are the most affected for protection for populations who are eligible. >> and that includes protections against variants and we we continue to encourage everyone to get. vaccinated. korea says disadvantaged communities of color are being disproportionately impacted by the delta variant. >> and that's because vaccination rates are lower in those communities compared to affluent areas, county wide 73% of the population, 12 years of age and older are fully vaccinated. >> but in richmond bay point, pitts

it will let us put money into mental health services and for substance use disorder services. major investments. never would have been possible without your support and we're going to put that to work immediately. secondly to the question about telehealth. do we get to learn things about covid-19, right? and now it's a matter of figuring out how we can deploy some of that long term. we look forward to working with you because some of the authority will have to come through statute and some we will do through administrative regulation. we have to take advantage of telehealth. >> well, thank you, mr. secretary. so many of the problems we face today are tied to mental health. you talk about homelessness and idiction problems. you're going to turn to whatever you can for relief. and sadly, self medication with drugs and alcohol is often what folks turn to. we really need, in a bipartisan way to redouble our efforts to deal with the mental health challenge that faces our communities on a daily basis. thank you and i yield back. >> let me recognize the gentleman from florida. welcom

the first minister of wales has warned that a third wave of coronavirus is already testing the health serviceto announce a relaxation of some covid restrictions. he told the senedd there would not be a "wholesale abandonment" of the current rules. 760 people fell ill with coronavirus in wales yesterday alone. the largest number on a single day for many, many weeks. and the thought that that is a prominent context in which to move rapidly away from the protections that are still there to keep us safe, i am not persuaded that this is the moment for such an approach. with a third of the population of wales living within 20 miles of the welsh border, there has to be an understanding of the obligations and rules that are in place of various parts of the united kingdom, for those rules to be complied with. and it is really important that where possible, common ground can be reached. given that we expect there to be differences between what you will announce tomorrow what has been announced in england, how will you look to try and create that common grounds of the citizens of the countries that are

those states are starting to pass different legislation to make sure community health workers' servicese covered by medicaid, for example. that is a really important step to increase what community health workers are able to do and how much you might get to see them in your own community or within your own health care setting. host: are community health care workers being used in the united states? if so, how many are there? guest: that is a great question about how many there are. i don't have the numbers for that. there is a call from the national association of community health workers to do a survey, because they are volunteers or called by many different types of names like wellness navigator, patient navigator. there is not certainty about the number there are, but there definitely exists in didn't -- in the united states. there is the national association of community health care workers, and they have been prevalent here in the united states for a long time doing work, often unseen, trying to make sure the communities they live in are getting the best health care and mental heal