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[roll call] at this time we ask that you silence also phones and sound producing devices. Thank you. May i have a motion to approve the agenda . So moved. Second. Any discussion . All in favor . Aye. The motion carries. May i have a motion to approve the august 7th, 2019 Meeting Minutes . So moved. Second. Any comments or changes . All in favor . Aye. The motion carries. Item four, directors report. Good morning, commissioners. I just want to start with the Older Americans act. I usually start with the federal level and i wanted to give you a report that the Older Americans the Congress Passed...

En. I have four good Success Stories via e. M. S. 6, but ill read you the last two. We had a 46yearold male with alcohol history who completed treatment and is now in a step down unit. In 2018, he had 105 sffd transports, and in the previous 12 months, he has had 88 transports. E. M. S. 6 shepherded this person through treatment and he has not used alcohol since june of this year. Also, a 66yearold with chronic medical condition showed a rapid decline over the last three years as showed in this ambulance indication. E. M. S. 6 placed him in the Navigation Center and assisted him with Housing A...

Second. Any comments or changes . All in favor . Aye. The motion carries. Item four, directors report. Good morning, commissioners. I just want to start with the Older Americans act. I usually start with the federal level and i wanted to give you a report that the Older Americans the Congress Passed a shortterm continuation of the Older Americans act. As i mentioned before, it was some set it on september 30th so they passed a shortterm resolution to keep it going until november 21st. In the meantime, we are hoping to work out the appropriation differences that they have, so we had really news...

Good morning, commissioners. I just want to start with the Older Americans act. I usually start with the federal level and i wanted to give you a report that the Older Americans the Congress Passed a shortterm continuation of the Older Americans act. As i mentioned before, it was some set it on september 30th so they passed a shortterm resolution to keep it going until november 21st. In the meantime, we are hoping to work out the appropriation differences that they have, so we had really news on the house side that there were actually they were proposing some increases for the Older Americans ...

Important things. That was it. Good report, as usual, chief wyrsch. Thank you very much, commissioner. President nakajo thank you very much. Commissioner cleaveland, please. Commissioner cleaveland thank you very much, chief wyrsch, for your report. Couple of quick questions. Do you track the type of overdosing that people are having on the streets . We have this huge uptick of narcan distribution. What percentage are fentanyl based and what percentage are heroin based and do you track the reason for the overdose or the cause . So if i may interject, when we give someone narcan, and it reverse...