This is the HIV Commission meeting on January 13th, 2026, at 6 .15 p .m.

Commissioner Antilovich, absent.

Commissioner

Baldwin?

Here. Commissioner

Benton, absent. Commissioner Bowman, absent. Chairperson Clark?

Here. Chair, representing those with expertise in supportive services for people living with HIV and have no...

Commissioner Connolly?

Thank you. Here, representing persons from disproportionately affected and historically underserved groups and subpopulations.

Commissioner Cuevas?

Present, representing persons from disproportionately affected and historically underserved groups and subpopulations that have no...

Commissioner Durr?

Hi, representing persons with expertise... Expertise in HIV prevention

and

possible conflicts. All the money comes from my office.

Commissioner

Morse?

Here, representing

people living with or affected by HIV.

Commissioner

Notker?

Here,

representing persons living with or affected by it.

Commissioner

Senn and Smart, absent.

Commissioner

Witt?

I am here, and I represent people living with HIV or AIDS,

and

I have... No conflict of interest.

Commissioner

Walter?

Here,

representing persons with expertise in essential HIV health and medical services. Possible conflict is the organization I work for does receive Ryan White funding.

You

have a quorum.

Okay, item two, public... Any public comment?

Yes,

there's one. We have two public comments.

There's

one public comment for this item.

It

says public comment. Okay.

So,

Paul?

Yes. Can

you go ahead and give us your... You have three minutes.

Okay. I'll try to keep it on track.

I'm here to make you uncomfortable.

Because that makes for the best kind of meeting. I used to participate in a group that was doing some kind of... I used to participate in a group that was doing some kind of activism,

and

the meetings would always start with a 10 -minute segment, at least,

with

some outside person that was going through difficulties in the areas that we were dealing with.

We

would hear a disturbing story of something that didn't work,

and

that was the opener of every single meeting.

I admired that.

It

kept us on our toes. It kept us from being... It kept us from being in the pleasant bubble of sitting

and

being given glowing PowerPoint presentations

with

a lot of pleasantries, and maybe different than the realities that clients had to live with.

The main points I want to make are, well, first of all, I used to participate actively in CAVS. I used to participate in CAVS. Revolving around public health, health cost operations, et cetera.

And

during the pandemic, those got stopped.

Now,

they were uncomfortable.

They

weren't carried out particularly the way I wish they were.

They

consisted mostly of a dog and pony show by providers and the organizer, with a little public comment. The way I see it, a proper CAVS. is 90 % about the clients advising the board or Commission or whatever entity bringing you a dose of reality

and

it's supposed to be uncomfortable but we're all grown -ups

and

the clients are suffering hardships more than the commissioners or board members

so

I I hope that that would be the mission to really pull up with that discomfort and use it productively

currently

caps I know that there's an effort going on about caps

what

disturbs me and I think it should disturb you is that the answer I would get today that there's efforts underway and there's some things and legal has this to say and that and some experts have ideas

it's

been several years not weeks not months years you completely silencing the voice of the client

and

it concerns me that you meet here

and

if all you have are your reports and provide their powerpoints

then that's not that's not as meaningful in terms of making decisions or knowing what to jump on I attended

I

could use a couple more minutes

I

attended a meeting

I

will wrap up

but

basically if I attend a meeting in May

the

area community health was presenting they had a glowing PowerPoint presentation I happen to be a client of some of their services and you know that it's been rocky

but

the PowerPoint was really pleasant

and

that's the word that keeps coming to mind

there's

one slide that is etched in my mind where they talked about compassion

and

it bothered me because here I was a client who had been hit by a bus suffered a spinal cord injury lost both of their parents

had

to deal with the belongings of said parents

and

then they were asserting some kind of authoritarian thing and really posing an existential threat to my housing

that

is any is the opposite of compassion the way I saw it so to see that slide really hurt and it hurts to this day

the

whenever I bring up things like this in several bodies

the

most common answer that everyone has is well we don't have power over XYZ

and

I'd like to surmise to you that it that's probably true

and

I know that you don't have power over housing

but

here's something that you do have you your opinion matters

you're

a commission

you

have suasion the power to persuade

if

you express interest in something that you want to find out more about the situation and you're concerned you say you're concerned

excuse

me that does

we

really need to okay

I

have a few more seconds then

that

does that does have it most definitely has an influence because nobody likes to be under a microscope in the negative way

and

as food for thought for example hapwa is housing opportunities for people with AIDS ponder this every single person who has a disability has a single client of a program like that is by definition within your scope because they all have AIDS and HIV

and

so it's not like you're just being nosy you have a very legitimate reason

my

the amount of resources the government spends to keep me alive and I'm a 31 year survivor is about $10 ,000 a month at this point and over those 30 years so we're talking a couple million maybe I'm grateful for that and my entire care team is pulling for me

and

if one member of the care team is not on board then that's something that deserves to be looked at

another

example because this has come up recently is the meals on wheels medically tailored meals programs

there's

a lag to get started that can be a couple months long but what's more disturbing is they approve in 12 week cycles and then there's a lag before the next 12 weeks that's the typical starts

I'm

in the seventh week and when I brought this up to people working in that part of the benefits this was news to them

and

I realized this is not within the scope of the Commission but I mentioned it to you as an example of something where the people making decisions are in an information bubble and without caps they don't even find out about this and I do have anecdotal stories from other clients that use those programs of being being seven, eight weeks without me. I'll say, between these 12 -week chunks, thank God I'm not so sick that I would depend on it, or else I'd be dead. So I want to urge you to stop thinking that it's okay to put off the cabs, even an unruly cab until you can get it structured is better than no voices at

all. And don't be shy about using your influence. You have standing and the respect that you command if you just express concern, if there's that reserved concern. Trust me, it will have an effect.

And

that's my call to action.

Thank you.

Thank

you for your comment.

I'm curious what makes you think we're not expressing our concern. I was going to

say, what do you think we're doing here?

I

mean, I normally would take this at a regular level, but you're being kind of condescending and rude right now because the reason we are here is to do what you're saying. We have nothing to do with the cab meetings. That's on the organizations that provide the services. So bringing it to a... Bringing it to us means nothing because we're not allowed to intervene with their work. We can dictate in our standards of care what's supposed to happen according to what HRSA wants us to tell them to do, but we can't interfere in any way. It's very well written out. So for you to bring that to us is a slap in our face because we

came here to talk about these particular things. And the way that you put it to us, it makes us sound like we're not doing our job. All of us have... All of us have health issues. All of us have life factors involving things that we do outside of here. But when we're in here, we are here for the people that we're representing. I'm highly offended that you came in here with that. I wasn't going to say anything that I missed out. No, no, you've said enough already. Thank you.

The public comment is closed now, so I think we take your comments on board. We are here to listen to you and to get a wider perspective from the community, and we appreciate that. And our commissioners are also here working really hard to make sure that there is communication between this apparatus and the work that goes on in the community. So I think we'll go ahead and move on. If there are other points in the meeting that pertain to some of the issues that you brought up, you're welcome to make another comment at that time.

Yeah, and I would like everybody to please stick to the time because that is an allocated time, and giving somebody more time, is not meeting the standards of what a fair meeting should be like. So

we're going to go ahead and move on. But you can make a public comment at any other agenda item that pertains to something that you have a concern about.

Another thing, interference, gestuation. Okay. There's a difference.

All

right, we're going to go ahead and move on to item three, approved consent calendar, any changes to commission agenda.

I would

move a mover and a seconder for the consent calendar, which has the minutes of the November 4th meeting.

So

moved. Baldwin.

Seconded.

Moved by Commissioner Baldwin and seconded by Commissioner Witt. Commissioner Baldwin. Yes. Chairperson Clerk. Yes. Commissioner Conley.

Here. Commissioner

Cuevas. Yes.

Commissioner

Durr. Aye. Commissioner Cuevas. Commissioner Morse. Yes. Commissioner Notker. Yes. Commissioner Witt.

Yes. Commissioner

Walter. Yes.

Approved.

Recognize the recipients of the 2025 Burgess Award presented by the Senate Court of Appeals.

Excellent. So I'm going to kick us off. So hi, everyone. Laura Kovalevsky. I'm not trying to decide where the best place to stand is. I'm going to come over here and see if I can move. So I just get to introduce what we're doing here. And then others get to share their thoughts about our awardee. So the Leslie David Burgess Lifetime Achievement Award is presented annually by the County of Santa Clara Public Health Department to an individual who's demonstrated extraordinary commitment and compassion in providing education, prevention, health care, or support services to Santa Clara County residents who are at risk for, affected by, or living with HIV or AIDS. Leslie David Burgess was a health

educator for Santa Clara County, who was a positive advocate for the health of Santa Clara County residents. He was the pioneer of AIDS education in the county. He was the first recipient of this Lifetime Achievement Award in 1991 before he passed in 1992. Anyone in our community can nominate somebody for this award, but it's, among those nominated, it is a committee of all past awardees that need to select the next honoree. And so that group of folks who have received this Lifetime Achievement Award in the past reviewed the nominations and decided who this year would receive it. And so we are very excited to present this award to Barry Knoll from Jerry Larson Blue Basket.

Some of the folks who nominated Barry are here, and I'm going to invite anybody who would like to say a few words before we hand over the award to him. Go on and speak now.

Okay. I'll hold that. I meant that you don't need to have to. I'm more than willing. But so I've known Barry for a long time. But the most significant thing for me, I work at Stanford, and I, the big part of my job is education. And so you kind of nailed it on two fronts for me. One is the community and nutrition for the community. We know nutrition is so important in mental health, having access, but also proper foods. So taking care of the patients that I see, for me, I just thank you so much. But in terms of education, I oftentimes have regrets.

What they call an LASI. LASI.

Thank you. Thank you. Yes. Yes. And for me, it's a huge, I think, feather in my cap, because oftentimes at the end, the big highlights for my students, the residents, are going out into the community. And for that, I thank you so much. And your generosity with your time and explaining exactly how it works has been phenomenal. So I was just surprised you hadn't won this already. Anyway, thank you so much. Thank you.

So I can go next, and I wanted to share a few things that I noted in my nomination. And that's the 20 years that you've been working at the food basket versus a volunteer, and then I believe nine years as an employee. And then just being a constant presence for clients, but also taking the initiative to start new projects. And thank you. You know, you increased, one I noticed, that you helped with the expansion of food recovery programs, what helped, you know, provide more fresh produce, dairy, and culturally appropriate foods. And, you know, working more closely with clients on grocery delivery to make sure that their needs are met. And the welcome corner that you

took the initiative to develop. And I think what I noticed most of all is the joy. You demonstrated, like, you showed, you're clearly enjoying the work and happy and always really busy when I was there, but clearly enjoying your work. So I really admire that. Thank you. Congratulations. Appreciate it. Thank you.

Really

quickly, unfortunately, I work with Mary day in, day out. So every day, he's always learning new things, sharing his great ideas, and implementing it. It's just great. Thank you. And I just see that he's giving back to the community. And anyone be like, is Mary here? They just want to say hi. So every day, we get new bases, returning bases, and everyone's just so glad that he's there as a continent. And he always has, like, a smile on his face. He might be as busy as can be, but he can always count on Mary to have a great attitude and always go in that extra mile for all of our clients. So I'm happy to

have him with me this past couple years. Appreciate it. Thank you. Laura.

Laura. That's it. That's it. Please.

So I know Barry.

I didn't know this was happening. We're acquaintances. We run into each other. We hang out in the same places. This gives us some things to talk about actually later on tonight. Will you be there? Yeah. I'll see you later on tonight. So congratulations. Nice to see this. Thank you. Please.

I agree.

When you walk through the door, you have a smile on your face.

No frown.

No frown. Even

with people that are a little nervous, and I thank you

for that. Do

you think before I cut to the end, I started

going there, I haven't been for a while because fortunately I've been able to not have to rely on the food basket for food, but in that one of my roommates, which is the reason why I don't have to rely, brings home enough between what he brings home and what I get from when I get from my food stamps, I haven't had to worry about that. But I remember the education. The education component of being in there, because you always have information about foods that you have and recipes and stuff like that, which I think goes a long way for people that pay attention to that stuff, because sometimes when you're shopping for food, you can't

think of what to do with it, and that really, I think, helps bridge that gap between, okay, I've got food, but I'm not eating it. I think that really helps a lot.

That's

a good idea. Sorry. I've gotten

all these people on.

Before Christmas, I had the opportunity to go and visit the food basket and just observe Mary and Vicky were doing their surveys. It was a very busy day, but some of the things that I noticed is they took the time to actually give me a tour, and every step of the way that the basket is designed has the client in mind, just thinking about how to make it easier for the clients to, you know, putting the food in a way that makes healthy options more available. It's just very detailed, and I was very impressed, not only just with the disposition of the staff and how helpful and the heart that everyone brings to the work,

but you can tell when someone is passionate about what they do, and so I'm just grateful that you and Nicole are running the place, and we are very, very appreciative of all that you do, and so hopefully you'll be joining us in another capacity as well to get some more of your expertise and knowledge, but yeah, this is a very well -deserved event. Thank you. We do

have some open seats.

It's greatly, it's a huge pleasure for me, and I'll tell you, I've always wanted to work in something as a career that was a passion. Never found that, and then it snuck up on me, and this is truly my passion. I like the fact that others see it. I don't do it for that reason, but my life... If my light is shining, then I want to celebrate that, so thank you all. I do appreciate it. Thank you so much.

So in addition to adding Barry's name to the plaque that we have here in public health, that has everybody's name who's been an awardee since it started in 1991, I'm pleased to present Barry with his own plaque he gets to take home that says, The Leslie David Burgess Lifetime Achievement Award presented to Barry Knoll for having demonstrated extraordinary commitment, and dedication, and compassion in providing HIV education and services to the people of Santa

Clara County. So that's for you. Excellent.

What are you

going to do now?

Any public

comment on the Burgess Award?

Congratulations.

As a client, I've been going to the food basket for 14 years or so, and I can appreciate the changes, and Barry's cheer, and also open -mindedness, and just open to hearing anything that could be better, and then I've gotten to witness him acting on it, and it's much better than it used to be, and continues to improve, and he's just a joy. Thank you. Well deserved.

Appreciate it. And I don't know who's in charge of this, I know I've seen you doing it, Jennifer, but they are now wiping down the carts, which I know was a big issue at a former CAB meeting that we had, because they wouldn't clean the carts before, and they are now wiping them down. So, thank you, for whoever's idea that is.

I'll let you know we're also pressure washing them intermittently, too. Really? They went above and beyond. Not just wiping them down.

Can I bring my car down for a minute?

Good job.

So,

we'll go ahead and move on to Item 5, Received Report from Sexual Health and Harm Reduction Program, relating to PrEP and .

Mm

-hmm.

Sharp.

No bias.

That's the perfect example.

Okay. Thank you. This is going to be fun. I'm going to talk about PrEP. We did the first part of PrEP presentation in September. This will be a part two. So, we'll do a little recap of what we talked about. And then, mostly today, I wanted to talk about barriers to accessing it and resources to accessing PrEP. That's what we're going to talk about. I'm just going to give a second for the slides.

And let me know if you can't hear me. I don't have the loudest voice. So, I'm going to go ahead and get started. I'm going to try to project. So, let me know if you can't hear me. All right. So, you could go to the next slide.

So, let's first talk about, you know, the PrEP options that we have today. We had talked about this briefly last time in September. So, this is a little bit of a recap. So, the first one that was introduced is Truvada, which you've all probably heard of. Typically taken as a pill every day. There are options on PrEP on demand. So, the PrEP -211, which you can take with Truvada. And then, the PrEP -211, which you can take with Truvada. So, those are two options. Then, the next one that came a little later after Truvada is called Descovy. Very, very similar to Truvada, but was really formulated for those people who had lower kidney function. Because

Truvada is contraindicated after kidney function declines to a certain level. Descovy can be given to people with slightly lower kidney function. So, kind of formulated for specific people. Has to be taken as a pill every day. Descovy has not been studied. As a pill, it's not a pill. It's a pill. And then, the next one is the on -demand form. So, on -demand is only Truvada for now because it's just not been studied as on -demand. Cool. Then, the newer ones, which are really exciting, are the injectables. So, we have Apertude, which is an injection that can be given every two months. So, that was the first injectable that came out. And then, the newest

one on the market just got FDA approved for PrEP last year is called Yes2Go, or London Capovir is kind of the generic name, but Yes2Go is the brand name. Okay. And this is really exciting because it can be given every six months. So the most exciting kind of version that we have right now is the Estudo, which is kind of the newest kid on the block, I would call it. So a lot of options, which is really great because people have different preferences, people have different needs, so this allows people to get what they need and what they want. So I think it's a really exciting time for prep because we have so many options.

So if you go next, let's talk about, we talked about this slide last time, too, but let's talk about kind of how we're doing locally in California and nationally in terms of prep coverage. So there's something called a prep -to -need ratio, which is the total number of people in a specific location who are on prep divided by the number of new HIV diagnoses. The higher the number, the better it is because it means that you have more people on prep than people with new HIV diagnoses. So in this figure that I'm showing here, it's showing kind of trend lines for Santa Clara County in orange, California in blue, and the U .S. in green.

And you can see all across the board, like from 2012 to 2023, Santa Clara County has higher prep -to -need ratios than both California and the U .S., which is good. It means that more people in our county have consistently been on prep than people diagnosed. So I think this is a good sign that we do have. Pretty decent prep coverage in Santa Clara County. And if you go to the next slide, so there's this website that I really like. It's called AIDSVU .org. They have a prep version, which is called PrepVU .org. And what these people do is that they get prescription data, and they can tell you kind of nationally how many people

are on prep. And they have interactive maps that you can kind of play around with. So I took a little bit. I looked at kind of how we're doing. We're doing in California and Santa Clara County. And in this map, the areas that are shaded, they're all shaded green. Darker green means more prep coverage. Lighter green means less prep coverage. And the San Jose, like the Bay Area is a little tiny there. But you can see that we are darker green, which means more prep coverage, especially compared to, you know, more rural parts of California, which have lighter green colors. So if you go to the next slide. I wanted to compare us to San

Francisco, which, in my mind, is kind of gold standard for things like prep. I think, you know, they just have a lot more activism, education around prep. So how are we doing compared to San Francisco? So San Francisco has 1 ,262 people per 100 ,000. So per 100 ,000 people, more than 1 ,200 are on prep, whereas our number is 175 per 100 ,000. So again, if we're comparing ourselves to, like, San Francisco, which is a big gold standard, I think we have ways to go and ways to improve. So that's kind of what I wanted to talk about. What are the barriers to getting prep, and what are some things that can be

done to improve

access, and what are some resources out there? So that'll be kind of the next step that I'll talk about. So if you could go next. All right. So potential barriers to prep. We're going to go into each of these in a little bit more detail with some resources. But the first one is, of course, awareness and stigma. A lot of people still don't know about prep. And if they know about prep, they might feel a certain way asking for it, right? So there's still stigma associated with it. So they might not feel comfortable asking their doctor about it or, you know, even asking friends about, like, hey, where do you get prep? Like, people might

not feel comfortable talking about it. So that is one big barrier. Another one is primary care doctors' kind of knowledge and capacity. So we'll talk about this a little bit more. But when I talk about knowledge, it means that, you know, especially doctors who might not have trained in a time where prep was widely available might not know much about it and might not understand who needs it, who can get it, safety profiles, and they might feel hesitant prescribing it. A bigger issue with primary care doctors is that right now, you know, we expect them to do all sorts of stuff. So, like, they're supposed to give, like, vaccines. They're supposed to do cancer screenings.

They're supposed to, and then, of course, when a patient comes in, like, I don't know about you all, but when I go to my primary care doctor, I have a list of stuff I want to do. I want to talk to them about. So it's capacity. Like, they don't have, they have to do so much that they don't have time to talk to someone about prep because they're dealing with all the other stuff. So

those are kind of

primary care barriers. And then the last one, which is super annoying in my mind, is money, right? So there's insurance barriers, how do people pay for this, and we'll talk about that. So go to the next slide. So what can we do about awareness and stigma? I think this is one where definitely, you know, public health, like, we need to focus on that. And I think. Also, I know you all are working on outreach to communities, but this is a big one, is making sure communities know what prep is, making sure that they know who can get it, making sure that they know that, you know, it's not something to feel fear or stigma about.

Sometimes when I talk to patients, like, kind of how I was taught by my mentors about how to talk about prep is to say things like, hey, it reduces the stress around, you know, having a healthy sexual life. It's an added, like. It's an added layer of protection, and it allows you to really have a healthy life. I've seen some people kind of think about it similar to birth control in a way. Like, you know, you're taking something to prevent pregnancy, this is similar. You're taking something to prevent a disease. You're taking charge of your health. So really the way you talk to people about this is going to empower them to feel better about

asking for prep, and also to just know what prep is. If you go to the next slide.

This is one of the brochures that are. Our team has created, and again, it's just a simple one. We have it in different languages, but it just talks about what is prep for someone who doesn't know. Is it safe? A lot of people worry that, you know, whenever they take any medicines, they have side effects. So it really talks about safety, and then kind of talks about, you know, do I need it, and how does it work? So we have these flyers, and, you know, there are multiple other flyers available online for different resources, too, which can be spread for awareness, and then next.

And then a lot of people, I think, you know, you remove the stigma part out of it, and they're like, I want to be on prep, but they just don't know where to get it. So I wanted to talk a little bit about kind of right now, in today's day and age, what are the different ways that someone can get prep if they want access to it? So there's multiple options. I think the first one, which, you know, we'll go into a little bit about what we need to do for primary care providers, but I think the first thing that people should know is that they can always ask their doctor for prep. I think.

Most often, of course, there are exceptions to everything, but very often if someone goes to their primary care doctor and says, hey, I want to be on prep, they should be able to get it. I think what often happens is that nobody brings it up. Patients don't bring it up, and doctors don't bring it up, and it's never discussed. But if someone brings it up themselves, hopefully their doctor should prescribe it. There's also standalone STI clinics. So in the San Jose area, you all know about our public health STI clinic, but we also have a Planned Parenthood present. And I think those are the big kind of standalone things. And STI clinics where prep prescriptions

can be done, and it's kind of their specialty kind of. That's what they do. Then there's this whole slew of telehealth prep providers, which I wanted to talk about. So there's a lot of online companies that offer prep right now. And a lot of people like these options because it's quick. You don't have to physically go somewhere. Some of these companies actually also mail a testing kit to someone's home, so they can do all the testing at home and mail it back in. And prescriptions are delivered. So it's a new option that a lot of people do like, but of course, there's some people who are like, no, I want to talk to someone, you

know, face -to -face, and they don't like this option. But again, it's an option for those who like it.

Is it costly? Sorry? Is it costly? Yes,

we will all get to that, but I think there's insurance can cover it, but I think that's a barrier for people who don't have insurance.

But where to start? I like this. I like this website called pleaseprepme .org. It's a national website, not just focused on California. But if you go next, I have a screenshot from that website. This is what it looks like. It's got a whole bunch of resources. And if you, on the top page, there you have this link for resources. That's literally what it says. And if you click on that and you go next, it can bring up a prep services locator. So you can type in your zip code, and it'll show you a list of clinics that offer prep in your area. Which is really, really cool. So I just played around with it. I

typed our zip code here, and things that popped up for our public health department, Planned Parenthood pops up, Valley pops up as well. So again, it has a combination of options. Again, it has like stand -alone STI clinics there. It also has kind of big healthcare systems that technically can prescribe PrEP, but you have to be more upfront with them if that's what you want. Yeah?

Correct me if I'm wrong, but I think there was an initiative for pharmacists to be able to initiate HIV or PrEP.

Yeah, that is a great point. So for our public health clinic, for example, our main PrEP provider is a pharmacist. Which is really nice, because it allows more healthcare professionals to be able to provide it. And similarly, I think at the ACE clinic as well, their main PrEP provider is their pharmacist. So that's great. Yeah, thanks for bringing that up. I think that's opened up access quite a bit. Yeah.

The last thing I wanted to point out with this website is if you click next, it has two little buttons, which you can click, which say PrEP for uninsured or PrEP access assistance. So if somebody, if you're looking for clinics that specifically will still provide PrEP to people who don't have insurance, you can click that. And PrEP access assistance is if you need kind of navigation assistance to figure out payment programs or insurance access, then there's specific places that can help you in both ways. So it'll filter places you can get PrEP by these criteria too, which I thought was pretty cool.

I've got a question. Yeah. How are people finding out about this? Because if I go anywhere in town right now, that's not something I'm going to see anyplace.

You mean the website? Any of this

information. I know. It needs to be out. The communication, as I say, every time I'm in this meeting, it stinks. We have to get the word out in a way that people are actually hearing and seeing it. It doesn't help us in hearing. We're all public and medicated to hear. So the fact that this is existing is great, but we need to work on a plan or somebody needs to work on a plan to get more information out to the general public because it'll wither and die like many other things have in the past if it's not attended by the people that need it. Absolutely.

And that's a really great point. And I think I would love to hear ideas from you all for like how we could do outreach better.

You too. Right. This is the first thing right off the bat. That shouldn't even be a question. I've seen so much crap from people running around in the county doing this and that. And we have no presence in terms of health care in general. There's a few PrEP commercials that come out, but they're not from the county.

This is something I brought up in the last meeting, so I'm wondering what my HIV commission had this time.

I'm excited about all the new products coming out, but that's the biggest problem is within my community, people still don't know about it. This is 2026 and they still... I don't... I find that so hard to believe sometimes, but then I look around and like Chris is saying, I don't see any advertising in the county, no billboards, nothing on the sides of trains, nothing on the side of buses, nothing. It's like the county doesn't even recognize that it's happening.

Yep. So

I don't know if that... Okay, no. Where am I? Sharp. I don't know if we can do something about it over there. If that's something that we have the power to do, I know money's tight and everything, funding, but this is important. It's a big deal. Yeah. And I think we... I think it... I think it would be in our interest to find that funding wherever it is. I mean, I know it's out there. I know we can get it, but I think we just need to put forth the effort. This has been something I've been trying to deal with for years now and it's just... Same here. Our folks don't know that PrEP even