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CC 2020-07-14_11a Supplemental No 1 MEMORANDUM TO: CITY COUNCIL FROM: BILL ROBESON, ACTING CITY MANAGER WHITNEY McDONALD, ACTING DEPUTY CITY MANAGER JESSICA MATSON, DEPUTY CITY CLERK SUBJECT: SUPPLEMENTAL INFORMATION AGENDA ITEM 11.a. – JULY 14, 2020 CITY COUNCIL MEETING CONSIDERATION OF ADOPTION OF AN UNCODIFIED URGENCY ORDINANCE PROVIDING THAT ALL STATE AND COUNTY ORDER AND REGULATIONS APPLICABLE WITHIN THE JURISDICTION OF THE CITY OF ARROYO GRANDE AND ISSUED IN RESPONSE TO COVID-19 AS BEING EXPRESSLY ENFORCEABLE BY CITY OFFICIALS; AN URGENCY ORDINANCE ADDING CHAPTER 1.18 TO TITLE 1 OF THE ARROYO GRANDE MUNICIPAL CODE RELATING TO ADMINISTRATIVE CITATIONS, FINES AND PENALTIES; AND A RESOLUTION ESTABLISHING ADMINISTRATIVE FINES AND PENALTIES DATE: JULY 13, 2020 Attached is correspondence received for the above referenced item. cc: Acting City Manager City Attorney City Clerk City Website (or public review binder) From:Sydney Dunbar To:public comment Subject:sales tax increase and face mask fines Date:Monday, July 13, 2020 2:57:32 PM Good Afternoon, I am very disappointed in the thought of your raising our sales tax. This really can not be happening at this time when many people aren't even able to work and received no support from the government. The timing of this is punitive and must be stopped or addressed after our economic recovery. The face mask fines are outrageous and I do not need to be told what to do with my body if people are afraid to get Covid-19 they can surely stay home. My family has been through enough and it is not your job to put health above the constitution. I have been continually harassed about the mask issue and I am not allowed to wear a mask due to my current health condition. Do you realize if you have a mask excuse signed by a Doctor it doesn't change how others will respond to you. Pleases don't allow this to happen as there will be many lawsuits and create more strife for everyone. We have been through enough! Sydney Dunbar From:Melinda Couch To:public comment Subject:Tax increase and mask fines Date:Monday, July 13, 2020 10:54:21 AM To my city council, I will keep this short and sweet. I do not support the tax increase. I do not support you using the chaos of the Covid- 19 issue and the mandates coming from Newsom to strip us of our rights. Fining your community for not wearing a mask is the wrong direction. Being fiscally conservative with our tax dollars would be a good place to start. Thank you for your time, we will be calling in as well. Smiles, Melinda Couch From:Kenneth Peterson To:public comment Subject:Sales tax increase and fines for non-mask wearers Date:Monday, July 13, 2020 11:13:59 AM I say no to both! This is not a way to compensate for poor budgeting by the city. The citizens of Arroyo Grande didn’t create this problem so don’t feel we should all be punished with extra sales taxes and mask fines. Ken A Peterson, OD Pismo Beach CA 93449 ( The information contained in this e-mail may be privileged and confidential under applicable law. It is intended solely for the use of the person or firm named above. If the reader is not the intended recipient, be advised that any unauthorized disclosure, copying, distribution, or the taking of any action in reliance on the contents of this information is strictly prohibited. If you received this message in error please notify us immediately by returning the e-mail to the origination e-mail address. Thank you. From:Julie Roeloffs To:public comment Subject:July 14 Agenda - Enforcement of Face Covering Order Date:Monday, July 13, 2020 2:39:36 PM Good evening! Thank you very much for your service to the wonderful community of Arroyo Grande and thank you for taking the time to listen to my thoughts. I am writing today concerning Governor Newsom’s statewide mandate requiring face coverings in public and the city of Arroyo Grande’s enforcement thereof. Because the Governor’s order requires face masks only when social distancing is not possible and because the order lists numerous other exemptions, it seems unlikely that it would be possible to enforce the order without turning our sweet Village into a police state of sorts. Following are some examples of people who are exempt from the face covering. • Persons with a medical condition, mental health condition, or disability that prevents wearing a face covering. Persons for whom wearing a face covering would create a risk to the person related to their work. Persons who are hearing impaired, or communicating with a person who is hearing impaired. Persons who are seated at a restaurant or other establishment that offers food or beverage service. Persons who are engaged in outdoor work or recreation. According to the SLO County health department, we have had 905 cases of covid. This is out of a population of 283,111 - about a .3% infection rate. This is total cases. Very few of these cases are active right now. With statistics like these, it just doesn’t make sense to pour precious resources into the enforcement this latest order. It doesn’t make sense to turn The idyllic Village of Arroyo Grande into a dystopian town where exempt citizens would need to show compliance officers their papers. Or a town where a rushed mother who forgot to bring her daughter’s mask to run a quick errand would be approached by police and have to explain herself. Please don’t move us in that direction. There is so much more here to be lost than to be gained here. I beg of you, keep The Village sweet. Keep The Village small town. Please. All the best to you and thank you for your time, Julie Roeloffs Sent from my iPhone From:Juel Kulinski To:Jessica Matson Subject:Thank you for masks Date:Monday, July 13, 2020 2:27:28 AM Thank you for having the courage to enforce mask usage and reduce this outbreak and make our people safe. I would suggest a first fine of $25 instead of $100 to give people a chance to understand the gravity and importance without getting angry and rebellious Sent from my iPhone From:Jacie Caballero To:public comment Subject:Proposed Tax hike and fines Date:Monday, July 13, 2020 11:41:06 AM Dear AG City Council, I just want to take a minute to voice my concerns regarding the proposed tax hike and face mask fines that will be voted on tomorrow. As a resident and business owner, I feel that this is the wrong approach to increasing revenue. Many businesses, including my own, have taken a financial hit with this continuing shut down of our economy and many clients losing their jobs or sources of income has caused a trickle down affect to well, pretty much everyone else. Adding additional taxes when money is already so tight will only create the reverse affect and keep people from spending their already limited finances. I highly encourage you to reconsider the timing of this and find another resource to pull from other than the over burdened taxpayers. Second, mandating face masks is illegal and unconstitutional. Even Dr. Fauci, the leading infectious disease specialist according to NBC, has stated multiple times that face masks don’t work and no one should be wearing them. Regardless of how someone feels about the issue or even if they work or not, its not legal to mandate it and then fine people for not following the mandate as its not a law. If you do this, the city will face multiple law suits and most likely the fines will not have to be paid since the courts cannot enforce this, so it will lead to increased costs to the city and be a complete waste of time, money and resources for all. People need to take personal responsibility and do what is right for them and the safety of those around them. Government needs to stay out of the way. Thank you for allowing me to voice my opinion. Please do the right thing. Jacie Caballero Jacie Caballero Health Insurance Broker #0G70010 Coast Cities Insurance Solutions, Inc. https://link.edgepilot.com/s/5407cc51/n-JYXZ2s40uiPp2gYjVCHQ? u=http://www.coastcitiesins.com/ Links contained in this email have been replaced. If you click on a link in the email above, the link will be analyzed for known threats. If a known threat is found, you will not be able to proceed to the destination. If suspicious content is detected, you will see a warning. From:Gary Borsos To:public comment Subject:For the July 14, 202 City Council Meeting Date:Monday, July 13, 2020 3:16:05 PM Dear Arroyo Grande City Council Members, I am strongly in favor of an ordinance requiring people to wear masks in public. As you know, on March 4, 2020, Governor Newsom declared a State of Emergency due to COVID-19. On March 13, 2020 The White House declared a National Emergency due to COVID-19. At those times, the county sheltered-at-home. Our daily new cases were on the order of 0 – 4, with 1 COVID-19 death. Now that we’ve opened, our daily new cases are on the order of 30 – 40, with 5 deaths. The prudent thing to do, is what we can to stop the spread. If we do nothing, COVID-19 cases will continue to rise, deaths will continue to rise, and we will be shutting down the economy again. With today’s announcement from Governor Newsom, the shutting down of the economy has already started. One thing we can easily do now to slow the spread is for everyone to wear a mask in public. Most people are already wearing a mask in public. Unfortunately, there are a few people in this city that need an additional incentive to wear a mask. A city ordinance will provide this incentive. I hope you will pass this ordinance. Thank You, Gary Borsos Arroyo Grande, CA 93420 From:Christine Miller To:public comment Subject:tax hike face masks Date:Monday, July 13, 2020 2:38:43 PM Good afternoon, I am voicing my displeasure that you are even considering increasing sales tax. Our businesses and personal finances have been hugely impacted already with the continuing support from our elected officials keeping our state closed. The rise in suicide, spousal, and child abuse has not even gotten a blip on the radar. We will all be voting this election, and will not forget how you handle this. The subject of face mask fines is absolutely unthinkable. It is unconstitutional, unhealthy and is not a law. You will face lawsuits collectively, and individually if you enact this ridiculous over reach. We have very few deaths, and not to mention we the people have our rights. It is not your job to fine me for using my constitutional rights as to choice. It is not your job to put health above the constitution. Please remember that you swore an oath when you were elected to uphold the CONSTITUTION OF THE UNITED STATES OF AMERICA. Enforcing unlawful orders as the color of law will bring more division. I have the choice to stay home if I am not well. Do not tell me as a grown adult what to put on my body. Christine Miller From:Dennis & Claudine Lingo To:public comment Subject:MASK ORDINANCE AND ENFORCEMENT OF THE ORDINANCE Date:Monday, July 13, 2020 3:07:07 PM Attachments:Sales Tax Increase Ballot Measure - comments for 7-14-20 council meeting.pdf I urge the Mayor and City Council to approve the mask ordinance on the City Council's 7/14/20 agenda and ensure it is enforced. This and other steps should have been taken months ago by the City since it was apparent that the County wouldn't. As a result of not taking measures to curtail the spread of CV-19, the County is up to 1006 CV-19 cases today; an increase of 101 cases over the weekend. The delay was irresponsible, disregarded the health of residents, and will further damage the economy of the County. The County's economy would not be in such bad shape had the County and cities' elected offices as well as community service district's elected officials taken appropriate steps much earlier! Also, attached are my comments on the sales tax Increase ballot measure. Claudine & Dennis Lingo From:Chris Cucchiara To:public comment Subject:Fwd: Peggy Hall Scores a Victory Against Face Masks Date:Monday, July 13, 2020 8:45:04 AM I encourage each of you to review what Peggy has done which has caused Orange County to not enforce any mask mandate. There is a LARGE contingency of people on the Central Coast, mostly in AG that are in support of this. We hope you take our input seriously when looking at proposing any mask mandates/fine. Thank you! NEW CALIFORNIA STATE You Are Invited Presents Peggy Hall The Healthy American Scores a Victory in Her County Against Face Masks Monday, July 13th Agenda 21 Talk Radio Guest Speaker with Paul Preston: 8:00 – 9:00 a.m. About Peggy Hall: Activist and educator, Peggy Hall, shares her story of successfully lobbying her local County Supervisors/ Commissioners to strike down mandatory face masks in Orange County, California. Deputy Health Director Nichole Quick resigned from her office after Peggy Hall and her supporters applied pressure. The local health emergency was unlawfully prolonged so the county could collect federal and state emergency funds. This, however, is fraud, and Peggy threatened to sue. Now she wants to teach other activists across the country how to replicate her victory. “There is no threat of an epidemic that overwhelms the resources of thestate, and therefore according to the Emergency Services Act, section8558(b) there are no grounds for a State of Emergency in California.” We hope you can join us on line by Live Stream:RedStateTalkRadio(https://link.edgepilot.com/s/0f2c9b36/BUHFySdK5U__pWEnKse8eQ?u=https://s2.radio.co/s572ad25f7/listen)Agenda21TalkRadio(https://link.edgepilot.com/s/c2764019/vHRMQkEzfEK6t2JWWwddBQ?u=https://www.agenda21radio.news/) If you do not have access to a computer, you can also listen by phone.Live Political Call: 215 Top-Talk (215 867-8255)Free Listen Line: 605 313-0599 Visit Our Website: NewCaliforniaState.com ‌ ‌ Links contained in this email have been replaced. If you click on a link in the email above, the link will be analyzed for known threats. If a known threat is found, you will not be able to proceed to the destination. If suspicious content is detected, you will see a warning. From:Caren Ray Russom To:Jessica Matson Subject:For mask item Date:Sunday, July 12, 2020 7:13:41 PM From Facebook/ Chris Cucchiara I sent an email with research last week to the address you gave me above. I hope you and others read the research! Has anyone looked at the potential work comp claims that will start stacking up due to employees being forced to wear mask during an 8 hour work day? Rest assured people will start passing out due to low oxygen levels not to mention weakening their immune systems will cause them to get sick! All resulting in lawsuits to the employer and the City because of the local mandates (not laws) that are being put in place. Below please find a very informative video interview that everyone should watch. I'll be working with local doctors helping get the word out that there are inexpensive cure for COVID-19 when caught early. This would give everyone the confidence to stop the fear driven mask wearing and social distancing. If the City of AG follows through with the ridiculous fines they are proposing you will see more and more businesses closing resulting in lost revenue to the City. Not to mention the financial ruin to the individuals that own these business! Have you studied the amount of increase in suicides, child abuse, domestic violence, drug and alcohol consumption due to people locking themselves in doors, child not in school, etc. https://youtu.be/eDSDdwN2Xcg Thank you for taking time to allow me to share. Hopefully this won't fall on deaf ears. From: Terese Tewalt [tmkapp@sbcglobal.net] Sent: Saturday, July 11, 2020 2:36 PM To: Caren Ray Russom Subject: Fines for not wearing a mask Hi Mayor, I live in AG and on occasion have to go inside a business and I am tired of seeing so many people not wearing masks . When I ask why the person isn’t wearing one the answer seems to be it’s against my 1st amendment rights. What about my rights ? Don’t these people care how their actions effect everyone around them ? When I actually can have a conversation with these people I give them the example of next time they, family member or friend needs to have surgery , make sure when they are in the operating room to tell the surgeon, nurses and anesthesiologist that they don’t need to wear a mask because as a patient I wouldn’t want to take away their first amendment rights. Let’s face it, if our President had been wearing a mask this whole time there wouldn’t be an issue . Please enact a fine for not wearing a mask. Thanks, Terese Tewalt Sent from my iPhone From:Michele Hamilton To:public comment Subject:Face masks Date:Saturday, July 11, 2020 7:58:40 PM The ada sent me this in an email — maybe has these out when you ticket someone for not wearing one They also sent me a list of constitutional attorneys in this area - I have made an appointment to talk with one Thursday On Jul 10, 2020, at 9:15 PM, Linda Busek < wrote: Hello Mayor and City Councillors, I was pleased that KSBY-TV covered mask the issue in AG by reporting Councillor Jimmy Paulding's Facebook post. We have just a few options to defeat the virus - wearing a mask being an essential action. (And it's NOT THAT HARD!) On Tuesday, July 14th, please vote to enforce the state mandate to wear a mask with an enforceable citation. And with a meaningful fine - at least $50 for the first infraction, escalating from there. Thank you! Linda Busek On Jul 10, 2020, at 3:39 PM, m lee < wrote: Unable to attend the meeting. Please pass mask enforcement for AG! Should be for the entire county but... Walked in the Village this morning and saw very few stores that even had signs stating - wear masks to stand in line or come in the store. Can the City can get the stores on board? The State guidelines do say "Must" not "Should" to stand in line or enter businesses. This is the only thing we can all do now to stop the spread. Thank you, M. Lee Links contained in this email have been replaced. If you click on a link in the email above, the link will be analyzed for known threats. If a known threat is found, you will not be able to proceed to the destination. If suspicious content is detected, you will see a warning. SONIA Y. ANGELL, MD, MPH GAVIN NEWSOM State Public Health Officer & Director Governor California Department of Public Health P.O. Box 997377, MS0500 ● Sacramento, CA 95899-7377 Department Website (www.cdph.ca.gov) State of California—Health and Human Services Agency California Department of Public Health •Inside of, or in line to enter, any indoor public space;1 •Obtaining services from the healthcare sector in settings including, but not limited to, a hospital, pharmacy, medical clinic, laboratory, physician or dental office, veterinary clinic, or blood bank;2 •Waiting for or riding on public transportation or paratransit or while in a taxi, private car service, or ride-sharing vehicle; •Engaged in work, whether at the workplace or performing work off-site, when: •Interacting in-person with any member of the public; •Working in any space visited by members of the public, regardless of whether anyone from the public is present at the time; 1 Unless exempted by state guidelines for specific public settings 2 Unless directed otherwise by an employee or healthcare provider Released June 18, 2020 •Revised on June 29, 2020 to clarify that children under two years old are exempt from wearing face coverings due to risk of suffocation GUIDANCE FOR THE USE OF FACE COVERINGS Because of our collective actions, California has limited the spread of COVID-19 and associated hospitalizations and deaths in our state. Still, the risk for COVID-19 remains and the increasing number of Californians who are leaving their homes for work and other needs, increases the risk for COVID-19 exposure and infection. Over the last four months, we have learned a lot about COVID-19 transmission, most notably that people who are infected but are asymptomatic or pre- symptomatic play an important part in community spread. The use of face coverings by everyone can limit the release of infected droplets when talking, coughing, and/or sneezing, as well as reinforce physical distancing. This document updates existing CDPH guidance for the use of cloth face coverings by the general public when outside the home. It mandates that face coverings be worn state-wide in the circumstances and with the exceptions outlined below. It does not substitute for existing guidance about social distancing and handwashing. Guidance People in California must wear face coverings when they are in the high-risk situations listed below: •Working in any space where food is prepared or packaged for sale or distribution to others; •Working in or walking through common areas, such as hallways, stairways, elevators, and parking facilities; •In any room or enclosed area where other people (except for members of the person’s own household or residence) are present when unable to physically distance. •Driving or operating any public transportation or paratransit vehicle, taxi, or private car service or ride-sharing vehicle when passengers are present. When no passengers are present, face coverings are strongly recommended. •While outdoors in public spaces when maintaining a physical distance of 6 feet from persons who are not members of the same household or residence is not feasible. The following individuals are exempt from wearing a face covering: •Persons younger than two years old. These very young children must not wear a face covering because of the risk of suffocation. •Persons with a medical condition, mental health condition, or disability that prevents wearing a face covering. This includes persons with a medical condition for whom wearing a face covering could obstruct breathing or who are unconscious, incapacitated, or otherwise unable to remove a face covering without assistance. •Persons who are hearing impaired, or communicating with a person who is hearing impaired, where the ability to see the mouth is essential for communication. •Persons for whom wearing a face covering would create a risk to the person related to their work, as determined by local, state, or federal regulators or workplace safety guidelines. •Persons who are obtaining a service involving the nose or face for which temporary removal of the face covering is necessary to perform the service. •Persons who are seated at a restaurant or other establishment that offers food or beverage service, while they are eating or drinking, provided that they are able to maintain a distance of at least six feet away from persons who are not members of the same household or residence. •Persons who are engaged in outdoor work or recreation such as swimming, walking, hiking, bicycling, or running, when alone or with household members, and when they are able to maintain a distance of at least six feet from others. •Persons who are incarcerated. Prisons and jails, as part of their mitigation plans, will have specific guidance on the wearing of face coverings or masks for both inmates and staff. Note: Persons exempted from wearing a face covering due to a medical condition who are employed in a job involving regular contact with others should wear a non-restrictive alternative, such as a face shield with a drape on the bottom edge, as long as their condition permits it. Background What is a cloth face covering? A cloth face covering is a material that covers the nose and mouth. It can be secured to the head with ties or straps or simply wrapped around the lower face. It can be made of a variety of materials, such as cotton, silk, or linen. A cloth face covering may be factory-made or sewn by hand or can be improvised from household items such as scarfs, T-shirts, sweatshirts, or towels. How well do cloth face coverings work to prevent spread of COVID-19? There is scientific evidence to suggest that use of cloth face coverings by the public during a pandemic could help reduce disease transmission. Their primary role is to reduce the release of infectious particles into the air when someone speaks, coughs, or sneezes, including someone who has COVID-19 but feels well. Cloth face coverings are not a substitute for physical distancing, washing hands, and staying home when ill, but they may be helpful when combined with these primary interventions. When should I wear a cloth face covering? You should wear face coverings when in public places, particularly when those locations are indoors or in other areas where physical distancing is not possible How should I care for a cloth face covering? It’s a good idea to wash your cloth face covering frequently, ideally after each use, or at least daily. Have a bag or bin to keep cloth face coverings in until they can be laundered with detergent and hot water and dried on a hot cycle. If you must re-wear your cloth face covering before washing, wash your hands immediately after putting it back on and avoid touching your face. Discard cloth face coverings that: •No longer cover the nose and mouth •Have stretched out or damaged ties or straps •Cannot stay on the face •Have holes or tears in the fabric ### From:Michele Hamilton To:public comment Subject:ADA violation Date:Friday, July 10, 2020 2:50:18 PM I think it is also important to note and that the public should be very much aware- that mandating masks be worn is a violation of the ADA rules and procedures! Hippa Laws protect our medical conditions- and WE DO NOT have to disclose why we are unable to wear a mask.; we have a CONSTITUTIONAL RIGHT TO PRIVACY! IF a business denies someone from entering - everyone needs to file an ADA complaint on any business that deny's entry because of not wearing a mask. 1-800-541-0301- and it is a violation punishable up to 75,000! I am going to begin printing this into flyers- and handing them out---so the public KNOWS what their rights are! From:Chris Cucchiara To:public comment Subject:Upcoming Agenda Tuesday, July 14, 2020 Date:Friday, July 10, 2020 5:49:58 PM Attachments:Facts About Facemasks.pdf Dear Mayor and Council Members: The word on the street is the council is moving forward with the proposed mask policy which is unconstitutional. Elected officials should be making policy decisions based on the constitution, by doing so, it eliminates political bias. Case in point, the Pit in AG. They were within their constitutional right to protect their property. This is why we have a constitution. Implementing your proposed mask mandate with fines is a slippery slope. Where does it end? If this is really about health, why has the City allowed all the BLM protests? No masks, no social distancing. Is the virus really that smart? I am encouraging you to review the attached research with an open mind so you can understand the negative health issues associated with wearing masks. Wearing masks actually causes the virus to spread. If masks and social distancing helped slow the spread of the virus, why is it that most people testing positive for COVID-19 have been wearing masks and sheltering-in-place? Local businesses have suffered enough, this type of policy you are wanting to implement and enforce will further destroy these businesses. You are giving people the opportunity to continue socially shaming businesses that are not compliant with the “mask guidance”. For many reasons, this could open-up potential lawsuits against you as individuals as well as the City. I am asking you to postpone the vote until the City has done sufficient research to ensure you are doing what’s right for the community you serve. Thank you for your consideration in postponing the vote. Until we meet again; have a great and healthy day! Coach Chris Cucchiara ReGenesis 360 Founder and CEO Office: 805.202-2077 coachchriscucchiara@gmail.com "Productive people don't have time to waste on exercise that doesn't work. At ReGenesis 360, we deliver 22-minute workouts, once or twice per week in a private setting with an expert Coach." www.ReGenesis360.com Confidentiality Notice: The electronic mail and/or documents accompanying this transmission contain confidential information belonging to the sender which is legally privileged. The information is intended only for the individual(s) or entity named above. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution or taking of any action in reliance on the contents of this information is strictly prohibited. If you have received this transmission in error, please immediately notify us by telephone at the number above to arrange for return or to destroy the original document. Thank You. Links contained in this email have been replaced. If you click on a link in the email above, the link will be analyzed for known threats. If a known threat is found, you will not be able to proceed to the destination. If suspicious content is detected, you will see a warning. Facts About Face Masks It is important to note that wearing a face mask of any kind can be dangerous because one is inhaling one’s own CO2. ​CO2 is meant to be exhaled​. Inhaling CO2 can cause respiratory acidosis. An unbalanced PH in the blood can result in decreased blood pressure, shortness of breath, headache, heart dysrhythmias, drowsiness, dizziness, disorientation, muscle weakness and many other life threatening symptoms. A mask also causes inhalation of viruses and bacteria which can cause an activation of an otherwise dormant infection. From: anitpollutionsmask.files.wordpress.com ANTI-POLLUTION FACE MASK WARNING on the Back of a 3M Anti-pollution face mask: This mask provides relief from typical house dust. It is not a government approved respirator and should not be used for workplace/ occupational use in regulated workplaces or exposures to airborne germs, influenza, or other contagious diseases. Misuse may result in ​sickness​ or ​death​. SURGICAL FACE MASK ​(text from FDA.gov) If worn properly, a surgical mask is meant to help block large-particle droplets, splashes, sprays, or splatter that may contain germs (viruses and bacteria), keeping it from reaching your mouth and nose. Surgical masks may also help reduce exposure of your saliva and respiratory secretions to others. While a surgical mask may be effective in blocking splashes and large-particle droplets, a face mask, by design, does not filter or block very small particles in the air that may be transmitted by coughs, sneezes, or certain medical procedures. Surgical masks also do not provide complete protection from germs and other contaminants because of the loose fit between the surface of the face mask and your face. N95 RESPIRATOR​ (text from FDA.gov) People with chronic respiratory, cardiac, or other medical conditions that make breathing difficult should check with their health care provider before using an N95 respirator because the N95 respirator can make it more difficult for the wearer to breathe. All FDA-cleared N95 respirators are labeled as "single-use," disposable devices. If your respirator is damaged or soiled, or if breathing becomes difficult, you should remove the respirator, discard it properly, and replace it with a new one. To safely discard your N95 respirator, place it in a plastic bag and put it in the trash. Wash your hands after handling the used respirator. N95 respirators are not designed for children or people with facial hair. Because a proper fit cannot be achieved on children and people with facial hair, the N95 respirator may not provide full protection. Created by: A. Whalen RN, BSN STUDIES​: A cluster randomised trial of cloth masks compared with medical masks in healthcare workers “​Conclusions This study is the first RCT of cloth masks, and the results caution against the use of cloth masks. This is an important finding to inform occupational health and safety. Moisture retention, reuse of cloth masks and poor filtration may result in increased risk of infection. Further research is needed to inform the widespread use of cloth masks globally.” https://bmjopen.bmj.com/content/5/4/e006577?fbclid=IwAR0aFllpWPt-Tclhixx6PuEgCfBAwFr3FetkZG lu2kqlxhNlP-yKHjnX-6g Data do not back cloth masks to limit COVID-19, experts say “homemade fabric masks may capture large respiratory droplets, but there is no evidence they impede the transmission of aerosols implicated in the spread of COVID-19” https://www.cidrap.umn.edu/news-perspective/2020/04/data-do-not-back-cloth-masks-limit-covid-19-exp erts-say?fbclid=IwAR0K56scOhNy1StrqhpUrD7DnH5S3j57ZWFqFzAcjy_s9R6B7j40Y7TBoiE Testing the Efficacy of Homemade Masks: WouldThey Protect in an Influenza Pandemic? Improvised homemade face masks may be used to help protect those who could potentially, for example, be at occupational risk from close or frequent contact with symptomatic patients.However, these masks would provide the wearers little protection from microorganisms from others persons who are infected with respiratory diseases. As a result, we would not recommend the use of homemade face masks as a method of reducing transmission of infection from aerosols. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7108646/pdf/S1935789313000438a.pdf WHO: Advice on the use of masks in the context of COVID-19 “The following potential risks of public wearing of masks should be carefully taken into account (for the use of mask by healthy people in the community setting) in any decision-making process: • self-contamination that can occur by touching and reusing contaminated mask • depending on type of mask used, potential breathing difficulties • false sense of security, leading to potentially less adherence to other preventive measures such as physical distancing and hand hygiene • diversion of mask supplies and consequent shortage of mask for health care workers • diversion of resources from effective public health measures, such as hand hygiene” https://www.who.int/publications-detail/advice-on-the-use-of-masks-in-the-community-during-home-care -and-in-healthcare-settings-in-the-context-of-the-novel-coronavirus-(2019-ncov)-outbreak Effectiveness of Surgical and Cotton Masks in Blocking SARS–CoV-2: A Controlled Comparison in 4 Patients “Virus-contaminated aerosols can pass through cloth and medical masks with coughing and sneezing... In conclusion, both surgical and cotton masks seem to be ineffective in preventing the dissemination of SARS–CoV-2 from the coughs of patients with COVID-19 to the environment and external mask surface.” https://annals.org/aim/fullarticle/2764367 Facemasks and similar barriers to prevent respiratory illness such as COVID-19: A rapid systematic review “The evidence is not sufficiently strong to support widespread use of facemasks as a protective measure against COVID-19.” https://www.medrxiv.org/content/10.1101/2020.04.01.20049528v1 ARTICLES​: Masks Don't Work: A review of science relevant to COVID-19 social policy “There have been extensive randomized controlled trial (RCT) studies, and meta-analysis reviews of RCT studies, which all show that masks and respirators do not work to prevent respiratory influenza-like illnesses, or respiratory illnesses believed to be transmitted by droplets and aerosol particles.” https://www.researchgate.net/publication/340570735_Masks_Don't_Work_A_review_of_science_relevan t_to_COVID-19_social_policy Wearing masks may increase your risk of coronavirus infection, expert says “Dr. Jenny Harries, England's deputy chief medical officer, has warned that it was not a good idea for the public to wear face masks…” https://www.news-medical.net/news/20200315/Wearing-masks-may-increase-your-risk-of-coronavirus-in fection-expert-says.aspx Cloth masks—dangerous to your health? “The widespread use of cloth masks by healthcare workers may actually put them at increased risk of respiratory illness and viral infections and their global use should be discouraged, according to a UNSW study.” https://medicalxpress.com/news/2015-04-masksdangerous-health.html Does wearing a mask while traveling ward off illness? Here's what experts say "‘There isn’t a lot of data to support if there is any benefit to wearing a mask in the public setting. It is currently unclear,’ advised Dr. Jonathan Grein, a board-certified infectious disease physician and director of Hospital Epidemiology at Cedars-Sinai Medical Center in Los Angeles.” https://abcnews.go.com/Health/wearing-mask-traveling-ward-off-illness-experts/story?id=68502930 Masks may actually increase your coronavirus risk if worn improperly, surgeon general warns “US Surgeon General Dr. Jerome Adams not only wants people to stop buying facemasks to prevent the novel coronavirus, but warns that you actually might increase your risk of infection if facemasks are not worn properly.” https://www.cnn.com/2020/03/02/health/surgeon-general-coronavirus-masks-risk-trnd/index.html Covid-19: These doctors are saying face masks may do more harm than good “According to the chairwoman of the Public Health Committee for the Infectious Diseases Society of America, Dr Julie Vaishampayan, masks should be considered as “the last line of defence” that could contribute to a false sense of security for wearers. She said: “We worry about people feeling they’re getting more protection from the mask than they really are. Washing your hands and avoiding people who are ill is way more important than wearing a mask.” http://theindependent.sg/covid-19-these-doctors-are-saying-face-masks-may-do-more-harm-than-good/ Blaylock: Face Masks Pose Serious Risks To The Healthy “Now that we have established that there is no scientific evidence necessitating the wearing of a face mask for prevention, are there dangers to wearing a face mask, especially for long periods? Several studies have indeed found significant problems with wearing such a mask. This can vary from headaches, to increased airway resistance, carbon dioxide accumulation, to hypoxia, all the way to serious life-threatening complications.” https://www.technocracy.news/blaylock-face-masks-pose-serious-risks-to-the-healthy/ Neurosurgeon Says Face Masks Pose Serious Risk to Healthy People “Blaylock says studies have also shown that face masks impair oxygen intake dramatically, potentially leading to serious problems.” https://pjmedia.com/news-and-politics/megan-fox/2020/05/14/neurosurgeon-says-face-masks-pose-seriou s-risk-to-healthy-people-n392431 VIDEOS: Two doctors discuss the dangers of wearing a mask “We can’t breath back in our own toxic air… it is immune draining not immune boosting” Dr. Fauci advocates NOT wearing masks Fauci refers to wearing masks as a False sense of prevention https://www.youtube.com/watch?v=PRa6t_e7dgI Leigh Dundas, Human Rights Attorney Leigh Dundas, human rights attorney, summarized numerous studies showing masks to be not only ineffective, but harmful to the wearer, as well as subvert in the stated health goal by actually INCREASING rates of viral transmission before the Board of Supervisors in Orange County. https://www.facebook.com/536803388/posts/10158146461983389/ CORONAVIRUS UNMASKED The HighWire with Del Bigtree https://youtu.be/mtnaZyyxQtA HARM ASSOCIATED WITH WEARING MASKS​: Two boys drop dead in China while wearing masks during gym class “The students, who were both 14, were each running laps for a physical examination test when they suddenly collapsed on the track.” https://youtu.be/F6B96XoBboc Driver in NJ crash may have passed out from wearing N95 mask too long: Police “Police said the driver apparently passed out behind the wheel "due to insufficient oxygen intake/excessive carbon dioxide intake." https://6abc.com/amp/n95-mask-car-crash-medical-ask-coronavirus-news/6129475/?fbclid=IwAR1UXQc VPJFkioTrFtxvlSrQK9roCOrNCOEeggTtEtASO-X2U8EuKgUXe94 A COMMON-SENSE APPROACH TO PROTECTING THE MOST VULNERABLE​: The data is in — stop the panic and end the total isolation “In fact, infected people without severe illness are the immediately available vehicle for establishing widespread immunity. By transmitting the virus to others in the low-risk group who then generate antibodies, they block the network of pathways toward the most vulnerable people, ultimately ending the threat. Extending whole-population isolation would directly prevent that widespread immunity from developing.” https://thehill.com/opinion/healthcare/494034-the-data-are-in-stop-the-panic-and-end-the-total-isolation From:Michele Hamilton To:public comment Subject:Mask wearing in this area Date:Thursday, July 09, 2020 10:52:12 PM I have lived in Arroyo Grande for the past 44 out of my 50 years. I grew up in a time where most of the roads in Arroyo Grande were still dirt- and houses were blocks apart. I have always loved this area- and have always felt so blessed to be able to grow up and grow old in this area. I understand this year has been scary for everyone. A pandemic, accredited to a virus that scares everyone- but yet no one fully understands how it spreads, and its impact on day to day life in this world. Protests happening daily all across our country- with people fighting over race, beliefs, how departments should be ran, and who should be the " correct" people to walk in and defuse situations. I have never seen our "small' town so divided over day to day life. I have lost life time friends- over beliefs on the second amendment recently. I have COPD- because ever since I was 2- I have gotten phenomena at least once a year and my lungs are scarred- that even a simple cold makes breathing difficult for me. I have tried to wear masks out in public- but after several minutes with them on- I am not able to breathe in enough air- and I begin to feel like I am having an asthma attack. I've talked with my doctors, all advising me to not wear a mask- that the lack of oxygen can cause me to feel faint, and even pass out. In the beginning stores- "suggested " you wear masks while shopping inside of them- I tried- I couldn't - and so I did not. Yes, I would get "dirty" looks from people, and twice a concerned person went and told a manager- and they came to talk with me.. When I explained the situation, both times the managers said, " it's no problem, we all social distance, just do you best.". Now Arroyo Grande is Mandating ALL businesses to require all patrons wear a mask if they enter their business. The Stores are facing fines if people don't, and now citizens are being confronted with facing fines if they are " out' and not wearing a mask. What is someone in my situation, supposed to do? I live alone - I have to be able to shop, to walk my dog, to get gas in my car. I can not afford the added fees of getting things delivered. And if I can't afford added delivery fees- how will I ever afford to get citation after citation for not wearing a mask. Will I be required to do Jail time to pay off fines? As the Arroyo Grande city council you are asking to establish being able to issue an administrative citation- which in its legal definition is a citation with a fine attached. Yes- the Governor of California issued " mask wearing as mandatory"; but it is my understanding he is not able to create new laws without going through the process of submitting them to be heard, and debated on. He does have more power when california is in a "state of emergency" but I do not believe we are in one. We can all debate and present information on why Masks work- and why they do not. Because at the end of the day- No one really knows. I am asking you to please not impose administrative citations being given to business and citizens in this city. If this is something that is going to become the new normal- then please give California citizens the ability to educate, inform, and debate this issue into become a law- or not. We live and love in the United States because we are granted freedoms here. Please do not take this freedom away. Even at it's slightest measure. HItler was loved and supported for every single thought he had- until he wasn't- History is always going to repeat itself, if it is never learned from and forgotten. From: Jimmy Paulding [ Sent: Wednesday, July 8, 2020 5:31 PM To: Jimmy Paulding Subject: Fwd: New Jimmy Paulding Contact Submission ---------- Forwarded message --------- From: Veronica Cota Date: Wed, Jul 8, 2020 at 1:32 PM Subject: New Jimmy Paulding Contact Submission To: < Name Veronica Cota Email Message I'd like to speak with you about the possible masks mandate and fees which is highly unconstitutional. We live in a free society where we can make our own health choices. please email me at your convenience. This is not about a mask, it is about social conditioning and control. I have read the health orders for the County and the exemptions. This NOT law and the Governor has no authority to condemn us to do anything. Mask wearing goes against my strong religious beliefs. God gave me the breath of life! I breathe in oxygen and breath out carbon dioxide. I have much more to share so if you have time please email me. I don't care for phone calls nor do I have zoom - email is best. Here are the exemption for our County. Exemptions to facial covering order Certain people are exempt from wearing a face covering under specific circumstances, including: Persons age two years or under. These very young children must not wear a face covering because of the risk of suffocation. Persons with a medical condition, mental health condition, or disability that prevents wearing a face covering. This includes persons with a medical condition for whom wearing a face covering could obstruct breathing or who are unconscious, incapacitated, or otherwise unable to remove a face covering without assistance. Persons who are hearing impaired, or communicating with a person who is hearing impaired, where the ability to see the mouth is essential for communication. Persons for whom wearing a face covering would create a risk to the person related to their work, as determined by local, state, or federal regulators or workplace safety guidelines. Persons who are obtaining a service involving the nose or face for which temporary removal of the face covering is necessary to perform the service. Persons who are seated at a restaurant or other establishment that offers food or beverage service, while they are eating or drinking, provided that they are able to maintain a distance of at least six feet away from persons who are not members of the same household or residence. Persons who are engaged in outdoor work or recreation such as swimming, walking, hiking, bicycling, or running, when alone or with household members, and when they are able to maintain a distance of at least six feet from others. Persons who are incarcerated. Prisons and jails, as part of their mitigation plans, will have specific guidance on the wearing of face coverings or masks for both inmates and staff. Best Regards, Veronica Cota From: Susan [ Sent: Tuesday, July 7, 2020 10:29 PM To: Jimmy Paulding Subject: Face Coverings I hope Tuesday’s City Council meeting will have an agenda item on face coverings and potential penalties for failure to use them according to guidelines. From mandatory seat belts to ‘no shirt’ no shoes, no service’, there was little outcry especially of constitutional rights. Establishing monetary penalties in this case fall within those parameters. They are especially critical for tourists from surrounding counties which are already on Newsom’s watch list. Susan Crosson AG ( From: Linda Drummy [ Sent: Wednesday, July 8, 2020 2:25 PM To: Jimmy Paulding Subject: Mask wearing Good afternoon Jimmy, I was the one that called into your meeting in June. And it was my understanding that you all were going to mandate mask wearing beginning July 14 and then implement that with fines if necessary on the 15th. Now I understand you’re opting for just “education”? Where is the teeth to this mandate that the governor has set forth for all of California? And I’m very concerned that if you water this down and just tell people to wear masks instead of fineing them, then there still won’t be compliance. And that’s what’s going on now. So what’s the difference? It’s important having The ability to ticket and or cite people for not wearing mass. I am tired of being a guinea pig in this city and county where we’re just waiting for more people to get sick and die before anything is going to happen. I am very concerned about the direction that the council is moving in, especially with a huge rise in numbers. And the tourists coming in from Bakersfield and Fresno with a much higher incidence than we have. I would Appreciate it if you could call me so we can have a discussion on this. Cheers Linda Drummy Sent from my iPhone From: Lynn [ Sent: Wednesday, July 8, 2020 8:32 AM To: Jimmy Paulding Subject: Wall mart I went to Wal Mart yesterday for only the second time, first time a few weeks ago I was most alarmed by the behavior of the patrons I had hoped for better yesterday but 5 people walked in in front of me with out masks 4 young men and 1 older lady Something needs to be done I will not go back Lynn Dorland Sent from my iPad From: JOHNNY and TANYA WYATT [ Sent: Wednesday, July 8, 2020 10:56 AM To: Jimmy Paulding Subject: gym mask mandate Hi Jimmy this is Johnny Wyatt IBEW#639. I recently started back at planet fitness. I was surprised that they do not mandate face mask. I thought this was mandated inside any business. I heard that the city was going to get the non-compliant businesses in compliance. the staff are wearing mask so should the members. with all the exertion heavy breathing going on and two 20 ft fans circulating the air it would seem the smart thing to do. thank you for your consideration Johnny Wyatt Arroyo Grande From:Caren Ray Russom To:Jessica Matson Subject:Mask letter Date:Tuesday, July 07, 2020 4:51:13 PM Received via Facebook from Gromet Evans: Hello Mayor. I am going to keep this brief. I heard recently that the Arroyo Grande City Council is in discussion to create a fine for not wearing a mask in public. This is the worst idea I have heard come forth in a long time. It is a massive violation of HIPAA and a total waste of city resources. In the whole of the county there are less than 200 active cases as of now. Most of those in north county. This is a tremendous overreach. I said I was going to be brief and I lied apparently. Thank you for your time. Caren Ray Russom Mayor, City of Arroyo Grande From: Christine Klopfer < Sent: Tuesday, July 7, 2020 8:13 AM To: crayrussom@arroyogrande.org; kbarneich@arroyogrande.org; jpaulding@arroyogrande.org; kstorton@arroyogrande.org; lgeorge@arroyogrande.org Subject: Mask ordinance Madam Mayor, Mayor Pro Temp & Council Members, We were pleased to hear an article on the radio that the Council is considering a mask ordinance for Arroyo Grande. It is becoming increasingly difficult to move around the City and patronize local businesses because of all the people who don’t believe they need to wear a mask. With the surge in Covid cases all over the southwest public health officials have warned if we don’t wear masks & social distance we could look like Arizona or Texas. The worst thing for our economy would be another shut down or people feeling so unsafe they stay home. Please help our area avoid this scenario! A second piece of this is that SLO county IS a tourist destination, like it or not. Many people I encounter are coming from areas with much higher Covid case counts. I was confronted by a couple from the valley at Saturday’s Farmer’s market for asking them to distance from us as we waited to buy our produce. They were not wearing masks and were putting the entire market, vendors & customers, in danger. When I pointed out our Governor had issued a mask mandate they replied “it’s not a law, it’s a choice.” Please please help protect us: my children who grew up here, my grandchildren, my 99 year old mom & her helpers and all your constituents who just want to get on with our lives as safely as we can. Masks can make the difference! Sincerely, Christine Klopfer Emily Howard Marjorie Klopfer Paul & Melissa Phillips, Penelope & Melody Kate Phillips Sent from my iPad From: Mark Makinney [ Sent: Monday, July 6, 2020 5:30 PM To: Jimmy Paulding Subject: For Face Mask discussion July 14 Hello Councilor Paulding, I am writing to you individually because writing a group seems so impersonal. TI remember meeting you at the Harvest festival a few years ago. You are very tall, I remember. I am writing to offer some points to consider during your discussion on face masks on July 14th as I have to work evenings and will not be able to attend. First of all I would like to urge you to consider science not hysteria, as I am sure you are under alot of pressure to create some city ordinance regarding mandatory face masks. And when I say science, I don't mean 'according to Dr. Fauci or Dr. Borenstein' but according to peer reviewed studies as there have been many on face masks as they have been used for decades by the medical community. Here is a sample from the New England Journal of Medicine May 21, 2020 “We know that wearing a mask outside health care facilities offers little, if any, protection from infection. Public health authorities define a significant exposure to Covid-19 as face-to-face contact within 6 feet with a patient with symptomatic Covid-19 that is sustained for at least a few minutes (and some say more than 10 minutes or even 30 minutes). The chance of catching Covid-19 from a passing interaction in a public space is therefore minimal. In many cases, the desire for widespread masking is a reflexive reaction to anxiety over the pandemic.” If you look solely at the evidence (attached 2pg document) you will find the following 1) There is NO evidence that suggests masks, even N95 masks, inhibit the transmission of a virus as a virus is only 1 micron thick and to filter out such small particles would suffocate the individual 2) Masks have a damaging effect as they lower oxygen levels (hypoxia) to below OSHA standards. OSHA requires an oxygen reading of 19 and a face mask lowers the oxygen level to 17.5. Please read the attached. It's not long. Why would AG want to do something far more stringent then the California Dept of Public Health which admits on its website that there is 'There is limited evidence to suggest that use of cloth face coverings by the public during a pandemic could help reduce disease transmission."? And look around, most people do not have N95 masks which in themselves do not inhibit viral transmission, most people have loosely fitted cloth coverings that only serve to restrict their oxygen intake. And lastly, I question whether any municipality has the legal authority to command all of its healthy residents to wear a face mask in any circumstance let alone in a situation in which TWO people have died in the entire county of 270,000 people (one 82 year old and one 94) and NONE have died in Arroyo Grande and if you do command this, by use of financial penalties for non compliance, I assume the City is willing to take the responsibility for any ill effects upon any individual under this order? By the way 15 people died of the seasonal flu in 2017. Please vote no on this. Councilor, I honestly cannot believe I am writing to my city asking for the right to NOT wear a mask. If people who are immuno compromised which to wear a mask, they should have the freedom to do so, but I do not believe ordering a healthy resident to do this is reasonable, right or just. Thank you for your time. Mark Makinney Excerpts Taken from GreenMedInfo.com Dr. Russell Blaylock, author of The Blaylock Wellness Report newsletter, is a nationally recognized board-certified neurosurgeon, health practitioner, author, and lecturer. Dr. Russell Blaylock warns that not only do face masks fail to protect the healthy from getting sick, but they also create serious health risks to the wearer. The bottom line is that if you are not sick, you should not wear a face mask. By wearing a mask, the exhaled viruses will not be able to escape and will concentrate in the nasal passages, enter the olfactory nerves and travel into the brain. Russell Blaylock, MD As for the scientific support for the use of face mask, a recent careful examination of the literature, in which 17 of the best studies were analyzed, concluded that, "None of the studies established a conclusive relationship between mask/respirator use and protection against influenza infection."1 It is also instructive to know that until recently, the CDC did not recommend wearing a face mask or covering of any kind, unless a person was known to be infected, that is, until recently. Non-infected people need not wear a mask. When a person has TB we have them wear a mask, not the entire community of non-infected. The recommendations by the CDC and the WHO are not based on any studies of this virus and have never been used to contain any other virus pandemic or epidemic in history. Now that we have established that there is no scientific evidence necessitating the wearing of a face mask for prevention, are there dangers to wearing a face mask, especially for long periods? Several studies have indeed found significant problems with wearing such a mask. This can vary from headaches, to increased airway resistance, carbon dioxide accumulation, to hypoxia, all the way to serious life-threatening complications. The bulk of the evidence points toward hypoxia and/or hypercapnia as the cause. That is, a reduction in blood oxygenation (hypoxia) or an elevation in blood C02 (hypercapnia). It is known that the N95 mask, if worn for hours, can reduce blood oxygenation as much as 20%, which can lead to a loss of consciousness, as happened to the hapless fellow driving around alone in his car wearing an N95 mask, causing him to pass out, and to crash his car and sustain injuries. I am sure that we have several cases of elderly individuals or any person with poor lung function passing out, hitting their head. This, of course, can lead to death. While most agree that the N95 mask can cause significant hypoxia and hypercapnia, another study of surgical masks found significant reductions in blood oxygen as well. In this study, researchers examined the blood oxygen levels in 53 surgeons using an oximeter. They measured blood oxygenation before surgery as well as at the end of surgeries.4 The researchers found that the mask reduced the blood oxygen levels (pa02) significantly. The longer the duration of wearing the mask, the greater the fall in blood oxygen levels. The importance of these findings is that a drop in oxygen levels (hypoxia) is associated with an impairment in immunity. This sets the stage for contracting any infection, including COVID- 19 and making the consequences of that infection much graver. In essence, your mask may very well put you at an increased risk of infections and if so, having a much worse outcome.2,3,4 There is another danger to wearing these masks on a daily basis, especially if worn for several hours. When a person is infected with a respiratory virus, they will expel some of the virus with each breath. If they are wearing a mask, especially an N95 mask or other tightly fitting mask, they will be constantly rebreathing the viruses, raising the concentration of the virus in the lungs and the nasal passages. We know that people who have the worst reactions to the coronavirus have the highest concentrations of the virus early on. And this leads to the deadly cytokine storm in a selected number. It is evident from this review that there is insufficient evidence that wearing a mask of any kind can have a significant impact in preventing the spread of this virus. The fact that this virus is a relatively benign infection for the vast majority of the population and that most of the at-risk group also survive, from an infectious disease and epidemiological standpoint, by letting the virus spread through the healthier population we will reach a herd immunity level rather quickly that will end this pandemic quickly and prevent a return next winter. During this time, we need to protect the at-risk population by avoiding close contact, boosting their immunity with compounds that boost cellular immunity and in general, care for them. One should not attack and insult those who have chosen not to wear a mask, as these studies suggest that is the wise choice to make. References 1. bin-Reza F et al. The use of mask and respirators to prevent transmission of influenza: A systematic review of the scientific evidence. Resp Viruses 2012;6(4):257-67. 2. Shehade H et al. Cutting edge: Hypoxia-Inducible Factor-1 negatively regulates Th1 function. J Immunol 2015;195:1372-1376. 3. Westendorf AM et al. Hypoxia enhances immunosuppression by inhibiting CD4+ effector T cell function and promoting Treg activity. Cell Physiol Biochem 2017;41:1271-84. 4. Sceneay J et al. Hypoxia-driven immunosuppression contributes to the pre-metastatic niche. Oncoimmunology 2013;2:1 e22355. From:Ashley Toste To:Jessica Matson Subject:Mask enforcement. Date:Tuesday, June 30, 2020 10:10:36 PM Good evening: I have heard that this meeting on July 14th will address the mask ordinance in arroyo grande. I am not sure if I need to email someone specific or call, but I am highly against this. The fact that our little town allowed for our freedoms to be exercised was amazing. I am asking to please not allow this ordinance to pass. Fines/tickets are not what we need. As business owners we are struggling to stay a float, on top of keeping up with everything. Thank you. Again if there is anyone else I need to reach out to please let me know. Ashley Toste Sent from my iPhone