that account for 50 periods of time of injuries injuries are concentrated in san francisco that's important if a prevention prospective. the map at the right we see when are looking the facility and serious injuries there's in district 6 and 3 south of market and chinatown and the tenderloin. and importantly those are community where we have the highest transmissions e concentrations they walk a lot and people in those communities are reliant on public transportation but important susceptible to people with disables disabled and the department of public health is really involved from the prevention through the treaty of

patient that are injured on tour streets i'm going to turn it over to now to dr. rochelle dicker of the san francisco general who's going to share things about the cost of injuries >> thank you directors my appreciate thank you for the opportunity to speak i'm wear my surgeon hat first pedestrians injury in our beloved city a a public health crisis and staring at thirty percent of our populations and admitted going straight city of attorney's office to the icu people get struck in the legs and flipped down and have head injuries so only 55 percent of our population pa a that's admitted get to go straight home usually

go to nursing facilities a lot of people never get their lives back and because of the great team we have with the department of public health and megan we landmark splo into this more. we did we looked at not only the burden of disease in san francisco and as megan appointed where we need to focus but the crust 76 percent of the cost that's born for pedestrian injury that's dick cost to hospitals comes from public funding we also know that district 6 and district 3 and 4 are heavy burdened by not only again, the injury essentialist we see on a daily because but the funding situation. i'm absolutely in direct

partnering partnership with my frenzy at the department of public health to help strengthen our prevention efforts in san francisco i'm going to turn it over to with my colleague with the health prospective branch in san francisco >> commissioners i've been working with the department over 12 years for pedestrian safety he work in the equity and promotion branch to do educational campaigns and i manager the safe rocks school program. i'm going to talk about our role we've been a key partner and pay a leadership role megan was the co-chair but now it in vision zero task force.

this task force is really interested in looking at how to collectively change our practices in improving pedestrian safety as a whole. i will see there are a number of city departments working on this in the past we've been working individually and doing go collectively we are much more effective and efficient in reducing the deaths and injuries. so we at the public health department have been participating in the task force and the inner agency initiatives we've been sharing a lot of the outcome in support of the grants and any projects are happening we support a number of community groups we'll be meeting the walkable folks and the staff of

the agency we award provide small wards to community partners we've worked with chinatown development and the castro benefit district stae the bayview hunters point and the community foundation a number of them to work in their individual neighborhoods to work on walking and pedestrian and traffic safety we've got american people foocht to focus on youth in school the transportation improvements that we are talking about is public health prevention it's a core function of the health department to prevent disease and injury we're collectively presenting it will feed into that core mission of our department so anything we're talking about is public health prevention.

last year the mayor's office worked the pedestrian safety task force and the mayor released the san francisco pedestrian strategy in april of 2013 you have in our pact the handout of the tvng but i want to highlight the goals of the task force and you can see the four of them here to reduce pedestrian injuries and reduce neighborhood inequalities and provide high quality walking environment those are directly related to public health we want people to be walking and biking there are healthy ways but we have to provide a safe environment so i encourage you to a lot through our pact and look at the process and how we're going to expand our work and i'm going to turn it over to

nicole snider and another colleague with the bicycle coalition >> good afternoon and thank you for the opportunity to present. i'm nicole the director of walk san francisco our mission is to make walking in san francisco more liveable and healthyer that. if people are not safe they wointd won't be walking and if they're walking we know we need to prevent injuries their preventable. as a colleague i'd like to highlight the positive progress that the duty has made we've been working s with sf ph with pedestrian safety and sf dph has

been a critical partner first and foremost as of the data has been important in highlighting this as an issue in the first place and under scoring the impact it has on san franciscans lives everyday. 3 pedestrians are hit by cars everyday in our city. we know from sf t ph protecting community and seniors people with disabled are the most vulnerable and our communities are suffering the biggest burden we wouldn't have known that without our support. dpw has been a critical partner in evaluating this and gauge or community partners to create solutions. we've worked with sf dph with

safe routes to school and without your support our work won't have happened to slaets this is to the public attention it's gotten today. through the leadership we've been able to increase score the environmental changes to prevent accidents from happening in the first time and with that said, i'd like to introduce my colleague with the bicycle coalition >> good afternoon, commissioners and director garcia i'm a community organizer at the bicycle coalition this turns or thursday is the 20th anniversary to bike to work you've cordially invited it's by far our busiest work the year and as a number of people bicycling biking on our street

it consistingly going up every year this is a healthy and affordable way to get around san francisco it's having results with tragedies in bicyclists getting hit. we want to eliminate the tragedy in san francisco in 10 years it impacts impacts our road users and must be eliminated we are exist that the department of public health is add through the corridor map we are using to help to advocate for battery and safer streets and looking forward to seeing this in the transbay effort that will be talked about later and other ways based on the needs and times of the community. thank you for considering this resolution we hope to continue to work with you and the rest of

the family in san francisco continuing to look at streets that require special attention to accomplish vision zero thank you very much. >> so thanks and no small part to the hard work of walk san francisco and the bicycle coalition we're at vision zero it's a concept that's on exported in sweden and the vision is zero traffic related deaths. san francisco has a goal of zero deaths by 2024 and its it shared value of human life is the same value saving the human lives is the highest appropriate we need to have a transmission system in our city that understands there will be mistakes and the

thinking of it we need to think about the children of our streets that don't understand the risks of traffic think about our family and neighborhood who may not be able to move as fast being injured or any of us. so really vision zero gives us an ambitious goal to revalue our transportation system to make it safer and fundamentally protection in life. this is again, the behind recorder network it includes the blue are high pedestrians corridor and recently, we added the cyclist corridors where they overlap is the purple. that's really an example of how our health department can contribute the data where the targets of highest concentration

of accidents are happening. this is another example of the current inequalities we see in our transportation system on the left walking and biking is 20 percent of all trips but at the rate you see the pedestrians and cyclists are approximately 70 percent of fatalities on our streets. this is the core of the vision zero is protecting osmosis vulnerable folks. with that, i'd like introduce any co-chair of the vision zero task force >> good afternoon, commissioners and director garcia i'm the director of strategic planning for the san francisco transportation agency. also wear the hat of the vision zero task force with megan and dpw. there's been a lot of talk about

improving traffic safety we've found those 5 keyes key areas that will help us most of this requires collaboration and working together. i have to spend just a little bit of time thanking megan and the public health you should be proud of those employees that have gone beyond the call of duty and educating us we're there with the training to see the way they see things and we can design anything that can solve hi problem but with the data of the lens of the public health has helped to achieve things. it's helped us to improve our collaboration skills at times we tend to work in sill losses and this effort as helped us to

getting together and understand the differences and we speak different transportation languages but we speak the common language of public health. it's important to note we're cautious that when we are talking about this it is not about pedestrians or bicyclists or moistures but we're all people and we need to get around as safe as possible i was in washington, d.c. talking about all the things we're looking at and at the national level their intithd and we're the leaders through the tragic programs that the health department has been spearheading the surgeons and health professionals even from the federal level to be looking

at what's the role of the transportation how, how to longshoremen that there are grant opportunity to help us so there's a lot of opportunities to do more but the heart of this vision zero program is really the kwofrpgs to look at better ways to have enforcement and commander lee is refocusing their efforts on let's small percentage of injury focus and that can get to more enforcement outcomes and prosecuting traffic crimes in those areas and we are hard working on engineering things but we can reduce the speeding and megan said people make mistakes but at least make it a frerpd bender not a injury

pr and understanding our role and how he navigate the transportation system and educating our community we don't want to say this is dangerous just all the incidents where unfortunately, we've had those tragic situations and better ways to engage our community groups but to hold up accountability as public staff what we can achieve and the trade offices how we fund things one things that gets me is the cost that the general hospital is dealt with $15 million a year. i'm dpooeg if we got up load that we could reduce the cost we're paying for that every year so let's do something to help the community and people.

lastly is our evaluation analysis we treasurer what we measure and having an epididymis lost on board is a way to monitor the progress. you can the the organization below but it's the team effort were trying to get together a as a city team and with the doctor helping us to get the time commitment that the staff needs. with that, i'll pass it on to john rocks and that's for the education and to the engineering expert who's helping on a lot of the public safety solutions >> good afternoon, commissioners thank you. i'm john concoction white also the

co-chair of the committee ate a subcommittee of several agencies throughout the city public health and the transportation authority the police department and the district attorney's office and the department of the environment and itself school district as well as sfmta. really quickly i know i have a big agenda afterwards the city has been one up programs or ongoing programs like safe routes to school your public health does a great job and the bicyclist projects programs and pedestrian safety campaigns that's been done throughout the year we are trying to do now starting with a larger pedestrian safety and encouragement program that will be rolling out this summer and bloom into a caption this fall is identify the education and

awareness campaign that will be more comprehensive for all users how to use our streets satisfactory and it is multiple year we're going in the midst of commissioner illig for grants and we have received funding for prop k to expand the bicyclist awareness and the chiropractor training we're going to be creating a curriculum the city will be offering to all it's truck and large vehicle drivers but getting commitments in organizations lifework pg&e and fedex and ups and he can a number of companies that drive trucks in our city that offers those training to their drivers not only through the set the

record straight city of san francisco but we will i'm sure as we get the campaigns developed i'll second with tithing any your staff is a great resource thank you. ms. reynolds >> i'm selena reynolds with the sfmta. i'm also the chair of the vision zero engineering subcommittee. so just taking a baby step back about a year ago we initiative an effort you called walk first was one of the try partnerships of the financial arm of the city and the department of public health and the mta to really take a comprehensive look at pedestrian safety in order to come up with a capital plan so

we looked over 23 pedestrian crash records from around the city my looked at the combination of the police reporting and the physical environment to categorize all those crashes and get a better understanding of who were involved and looked at the practice in terms of research on a national level on the specific engineering issues would result in a reduction of pedestrian crashes and took those those data points and prioritized the projects based on the orderly adults and children who were involved in the fatality crashes and giving special emphasis on the community concerns to make sure we were getting a broad coverage for the community in

the past were neglected so you have a $50 million package of improvements that came out of that work. the sort of yellow dots median we need to do something else comprehensive and the blue dots there's something we can do right now with the painted or retiming signals that will have an immediate effect on people walking in the street, you know, road users are all sort of connected and the things you do for the most vulnerable have the effects and benefit everyone on the streets the streets are safe for a 4-year-old to walk on will benefit everyone and this stretches to everyone. so this is what the package of improvements we hope to deliver in the first 5 years. about three-quarters or really disposing close to the end our

board passed vision zero in february of this year as part of the work that was extremely encouraging vision zero takes walk first and broolgdz it no matter how people traffic and it causes us to implement 24 projects in 24 months the clock started clicking we have to get that many out so we took our walk first and it's been hard to pick 24 united states current list is 40 postage's probation officer promotions so i hope to get to 24 for sure say hope we far exceed that. you have in front of you on this map is the sort of the list of 24. the green dots indicate projects that are spot improvements that

will benefit walking and people pike and the irony is for people biking and the blue is improvements that are focused on people walking and then tell her corridor projects megan mentioned speed is a critical thing for us to address and getting people to driving more slowly ate a is a corridor strategy we want to include a mix so we picked projects that are visible and driven by data and promotions we have a high-level of confidence we can deliver in the timespan we have. so this is our current list that's expand and we're going to bring it to our policy and ignorance committee on may 16th next friday so get the final blefrgz and the whole city will

have their marching orders led and the department of public works and it will require the whole city family to go