You're confused because the county health information system is being mismanaged and misused as a blog by a crank. He doesn't allow anyone to send public information on his behalf and he requires all of his writings to be distributed verbatim[1]. That's why they all read like incoherent rambles. It's also why every one of his messages begins with the instructions to "reread my previous statements below", because he's top-quoting himself in Outlook! He just does not understand the impact his intentional aversion to clarity is having on the region.

1: https://www.nytimes.com/2020/03/12/us/coronavirus-san-mateo-...