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The timing of this ordinance makes all these predictable, negative outcomes even worse. We <br />are in the midst of a pandemic that has placed a particular burden on vulnerable populations. The <br />CDC has issued extensive guidance on how to mitigate the impact of coronavirus infection and its <br />spread among persons experiencing homelessness. According to the CDC, displacing homeless <br />people from their customary routines is particularly harmful, because it 'can cause people to disperse <br />throughout the community and break connections with service providers. This increases the potential <br />for infectious disease sprear' " (CDC, Updated Feb 26, 2021) Not only are our homeless patients <br />worse off, but the broader community is put at greater risk just as we try to emerge from this <br />pandemic. <br />Following in the footsteps of Everett's Safe Streets plan that emphasizes diversion and "housing <br />first," we suggest the following approach: <br />1. Perform a needs assessment of the people staying outside in this area. As with any <br />legislation that would affect your constituents, understanding their needs and the potential <br />impact should be clarifying. They may already have potential solutions to the crowded <br />sidewalks issue of which we are not aware. Constituents with lived experience with <br />homelessness can provide a vital perspective. <br />2. Accept federal funding for hotel rooms. You may not be aware, but FEMA is now <br />providing 100% reimbursement for hotel rooms for medically vulnerable people experiencing <br />homelessness during the pandemic. Many of the people in this area are likely to qualify, as <br />homelessness disproportionately affects the aged and disabled. Communities in our region <br />that have accepted this help have found the individual rooms have helped people stabilize <br />their lives and more quickly move to permanent housing. This is a win all around. <br />3. Reassess. As with any intervention, whether you choose to go with your initial <br />criminalization ordinance or a different approach, it's important to define and measure <br />success. Will success be measured solely by the sidewalks in this area, or will it also include <br />the cost to local medical services, the cost to the criminal justice system, and most <br />importantly, the cost to those people who are moved or fined? <br />If you do choose to pursue this particular ordinance, we would also ask that an equity <br />assessment be performed. We know that due to systemic racism and discrimination, homelessness <br />falls disproportionately on people who are Black, Native, LGBTQ and disabled. While the intent may <br />be non-discriminatory, the impact of the ordinance might well be. We would also suggest you perform <br />a more thorough legal and cost analysis. In light of recent Supreme Court and Ninth Circuit rulings, <br />we are concerned with the plan to ask people to move along when stable shelter is not available at <br />the scale required. <br />Finally, as Anatole France first ironically noted in 1894, "The law, in its majestic equality, <br />forbids the rich as well as the poor to sleep under bridges, to beg in the streets, and to steal bread." <br />This ordinance targets the most vulnerable at a time when they are most in need of help. <br />We are confident the Mayor and Council will find a more practical and humane approach <br />forward. We are happy to discuss this in further detail or help you in any way we can. Thank you for <br />your attention. <br />Sincerely, <br />Tom Robey, MD, PhD <br />2 <br />