>> good afternoon. welcome to the san francisco board of supervisors land use and

connective development committee i'm scott wiener to my right so supervisor jane kim and to my left is supervisor david chiu pr i want to thank sftv for brooefrt today's hearings specifically charles and mapping i didn't and our clerk today is andrea we're frigs from ms. miller. thank you, ms. miller for your service and madam clerk any announcements >> yes. please silence all electronic devices. completed speaker cards to be included as part of the file should be submitted to the clerk. >> madam clerk, call item 1.

>> this is the instructions on the academy of scientists in gblg park. >> i will let you know techniques agenda is a beau's one but this is a small item to continue for a week. so is there any public comment? seeing none, public comment is closed. colleagues can we have a motion to continue the motion >> we can do that without opposition. madam clerk, please calls items 2 and 3 together >> item 2 the resolution making changes to the special tax districts 2009 to authorize the retrofit and a item 3 is a resolution for the local goals and policies for the communities district and special tax

district. >> thank you a staff is here from the mayor's office. >> thank you very much for having me. just wanted to reiterate those two items are two more of the administrator steps for the loans for seismic retrofits. happy to answer any questions >> colleagues, any questions. in this case we'll move to public utilities comment seeing none, public comment is closed. colleagues e colleagues i'll entertain a motion to 0 move those with positive recommendations we can do that without opposition. that will be the order. madam clerk any additional business before the committee no additional business. we are adjourned.

thank hub.

>> hi, i'm jean yes my name is jean and sometimes, people call me sir, girl. san francisco has served our sewer system and it's no square feet it's a matter of time. that's why we're planning major upgrades public health depends on it that. see how this important work is

done. i was fascinated by it. we're going to creek. i would recycle you to come up and see the sewer system in minnesota that's why we see this through the plant. a lot of people don't realize how much work sgo goes into cleaning the water were. we offer free service to san

when a resident of san francisco is looking for health care, you look in your neighborhood first. what is closest to you? if you come to a neighborhood health center or a clinic, you then have access it a system of care in the community health network. we are a system of care that was probably based on the family practice model, but it was really clear that there are special populations with special needs. the cole street clinic is a youth clinic in the heart of the haight ashbury and they target youth. tom woodell takes care of many of the central city residents and they have great expertise in providing services for many of the homeless. potrero hill and southeast

health centers are health centers in those particular communities that are family health centers, so they provide health care to patients across the age span. . >> many of our clients are working poor. they pay their taxes. they may run into a rough patch now and then and what we're able to provide is a bridge towards getting them back on their feet. the center averages about 14,000 visits a year in the health clinic alone. one of the areas that we specialize in is family medicine, but the additional focus of that is is to provide care to women and children. women find out they're pregnant, we talk to them about the importance of getting good prenatal care which takes many visits. we initially will see them for their full physical to determine their base line health, and then enroll them in prenatal care which occurs over

the next 9 months. group prenatal care is designed to give women the opportunity to bond during their pregnancy with other women that have similar due dates. our doctors here are family doctors. they are able to help these women deliver their babies at the hospital, at general hospital. we also have the wic program, which is a program that provides food vouchers for our families after they have their children, up to age 5 they are able to receive food vouchers to get milk and cereal for their children. >> it's for the city, not only our clinic, but the city. we have all our children in san francisco should have insurance now because if they are low income enough, they get medical. if they actually have a little more assets, a little more income, they can get happy family. we do have family who come outside of our neighborhood to

come on our clinic. one thing i learn from our clients, no matter how old they are, no matter how little english they know, they know how to get to chinatown, meaning they know how to get to our clinic. 85 percent of our staff is bilingual because we are serving many monolingual chinese patients. they can be child care providers so our clients can go out and work. >> we found more and more women of child bearing age come down with cancer and they have kids and the kids were having a horrible time and parents were having a horrible time. how do parents tell their kids they may not be here? what we do is provide a place and the material and support and then they figure out their own truth, what it means to them.

i see the behavior change in front of my eyes. maybe they have never been able to go out of boundaries, their lives have been so rigid to sort of expressing that makes tremendous changes. because we did what we did, it is now sort of a nationwide model. >> i think you would be surprised if you come to these clinics. many of them i think would be your neighbors if you knew that. often times we just don't discuss that. we treat husband and wife and they bring in their kids or we treat the grandparents and then the next generation. there are people who come in who need treatment for their heart disease or for their diabetes or their high blood pressure or their cholesterol or their hepatitis b. we actually provide group medical visits and group education classes and meeting people who have similar chronic illnesses as you do really helps you understand that you

are not alone in dealing with this. and it validates the experiences that you have and so you learn from each other. >> i think it's very important to try to be in tune with the needs of the community and a lot of our patients have -- a lot of our patients are actually immigrants who have a lot of competing priorities, family issues, child care issues, maybe not being able to find work or finding work and not being insured and health care sometimes isn't the top priority for them. we need to understand that so that we can help them take care of themselves physically and emotionally to deal with all these other things. they also have to be working through with people living longer and living with more chronic conditions i think we're going to see more patients coming through. >> starting next year, every day 10,000 people will hit the

age of 60 until 2020. . >> the needs of the patients that we see at kerr senior center often have to do with the consequences of long standing substance abuse and mental illness, linked to their chronic diseases. heart failure, hypertension, diabetes, cancer, stroke, those kinds of chronic illnesses. when you get them in your 30's and 40's and you have them into your aging process, you are not going to have a comfortable old age. you are also seeing in terms of epidemics, an increase in alzheimer's and it is going to increase as the population increases. there are quite a few seniors who have mental health problems but they are also, the majority of seniors, who are hard-working, who had minimum

wage jobs their whole lives, who paid social security. think about living on $889 a month in the city of san francisco needing to buy medication, one meal a day, hopefully, and health care. if we could provide health care early on we might prevent (inaudible) and people would be less likely to end up in the emergency room with a drastic outcome. we could actually provide prevention and health care to people who had no other way of getting health care, those without insurance, it might be more cost effective >> i want to learn more about it. >> social networking and e-mail. >> i want to know how to use it. ♪ ♪

♪ >> divisional divide is a divide between those with access to use digital tools and those who don't. >> with young people, having computers and i just don't know. they're doing it fast. so, i want to know. >> not knowing how to navigate the internet or at a loss of what to do. >> we don't have a computer. >> we're a nonprofit that unites organizations and volunteers to transform lies through literacy. our big problem right now is the broadband opportunity program. a federally funded project through the department of aging. so, we're working in 26 locations. our volunteers are trained to

be tutors and trainers, offering everything from basic classes all the way to genealogy and job search. >> to me computers, knowing how to use it. >> i think it's really important to everybody and possibly especially seniors to get enough of these skills to stay in touch. >> it's been fun. with seniors, to get them out of their homes. >> so they can connect with their family members. or their family members. >> [speaking in spanish].

>> so, what we focus on is transferring skills from volunteer to learner to help them get onto facebook, find housing in crisis, be able to connect with friends and family. >> i decided to teach what i learn and it made me want to give back. i discovered that seniors do a lot of review. >> i am a beginner, so, little by little i learn. i learn a lot now. >> if you get the basics, you can learn it. it's simple. it's easy. once you know it. and that's what i want to learn, how to make my life easier and more knowledgeable with the computer. >> so, what we need right now are more people who speak

languages other than english or in addition to english who can give their time during the day and who care deeply ideally about helping to close the divide. >> it's a humbling experience. it's something simple to ask in our daily life, but to someone that doesn't know and to help somebody gain that experience in any way is awesome. >> [speaking in spanish]. >> no matter how tired or cranky or whatever i might feel, when i walk into this place i always walk out feeling great. >> if you feel comfortable using computers and you have patience, we want you on our team. >> would you show me how to type? >> [speaking in spanish]. >> will you help me learn more?