we hear about the traffic deaths when more folks choose to take their own lives. in san francisco there is approximately 100 or 110 suicides annually, and about 10% are related to bridge deaths. most suicides are skewed towards older male and the bridge although it is a destination place to take one's own life it's also one of the most lethal means to take one's life. the bridge opened in 1937 and somewhere between 1600 and 2,000 people have taken their own lives onlet bridge. 1600 of these bodies were recovered.

there are survivors who jump. one of the concerns about putting a barrier was the fact -- or the non fact that people held the belief that if people don't jump from the bridge because there's a barrier that they will find another means to take their own lives and this is not true. there was a study of 500 individuals that had jumped . >> >> in the 70's that survived and it was determined that the majority were still alive or died of natural causes. in may 2014 our mental health board passed a unanimously a

resolution of the barrier and one of the concerns was the cost and we will go to the budget in a bit but millions are spent annually controlling the bridge helping make sure people don't jump so here's the budget of the project total is projected to be around $83 million. you will see that the funding came from various sources. $7 million came from california's prop 63. those were state dollars, not dollars designated to san francisco. so some of the opposition -- some people thought it wouldn't be attractive to have a suicide prevention barrier on the bridge. others believed as i said earlier that people that are suicidal will go elsewhere to take their over lives, and

studies are showing that indeed is not true. it is also not true that someone who opts jump from a bridge will go to another bridge. a bridge in washington, the duke ellington bridge and a visible bridge and when a suicide prevention barrier was placed there there were no transfers of jump to the neighboring bridge, so here's an artist's rendition of what the project will look like when it's completed in 2014. and we're both here to answer any questions. >> commissioners. commissioner singer. >> so congratulations on getting this done. this is 10%

of the suicides in san francisco. what's next on your list? >> the two most sail yenlt things you can to do is removing lethal means and educating primary care physicians so we would like to move into linkages with health care and institutions and emergency facilities, so that there is an educational cross fertilization there and people can recognize the signs of suicide. of people that tried suicide 75% saw a physician three months prior to their death. >> thank you. >> commissioner sanchez. >> again along with my colleagues i would just like to

complement you for your sustained and critical efforts over the years in really addressing and providing a focus on this illness, and your commitment has paid off as you hoped it would and paid off in the context it was approved by the board. they are putting money into the golden gate and we want to commend you on it. i think you were steadfast here and consistent and focused, and a prime mover and thank you very much. >> thank you commissioner sanchez. i actually cannot take total credit for this. there were a lot of other people involved. starting 50 years ago with our founder bernard mays who founded kqmd and in the 1970's he held a demonstration which reverend jim jones of all

people participated on a march on the bridge to get a barrier and those efforts continued over the years. in the last three or four years the dominant force became parents of children who had been lost, mostly teenagers, on the bridge who came before the bridge directors over and over again, and that really turned the corner. >> great. thank you. >> thank you. definitely it's nice to hear an important outcome like this after all the discussion about what we can do and our commission congratulates you for your persistence and your success. is there any further comment at this point? thank you very much. and we will move on to the next item. >> yes and i will note that haven't received any public comment for that item. the next

item 10 is a resolution honoring sonia melara and commissioners i placed in front of you a slightly revised version. i took out the "e" misspelling of former mayor gavin newsom's name and added words reappointment to give a schedule of the appointment as a health commissioner. >> commissioners we have before us a resolution to commend commissioner melara's service here on the commission. is there a motion to accept? >> so moved. >> so moved. >> okay. moved and acceptance. a second already. any further discussion? we definitely will be missing commissioner melara and we are wishing her well of course at the police commission. i look forward to improved relationship with the police

commission that serves us so well already so if we're prepared for the vote. all those in favor please say aye. >> aye. >> all those opposed. the resolution is passed and we hope to present it to her at our planting meeting at our next meeting. >> item 11 is other business. >> okay. we're at other business, and commissioners i would note though that with commissioner melara leaving the position of vice president is vacant and we will then be entertaining nominations and a vote for that on september 2 our next regular meeting date and we will let the other commissioners who are unable to be here also notified of that. >> yes. we will make sure that happens commissioner. >> thank you. so that is an agenda item on september 2. >> the next item 12 is a report back from the joint conference

committee and committees and the only committee that met was laguna honda on july 29. >> okay. i noted the typo here and looks like laguna honda will report on the sfgh. >> yeah, i apologize. >>i was wondering how we're going to do this. okay. yes. >> through the chair. she had to leave -- >> yes. >> for the graduation of master students but we had a full committee at laguna honda meeting with our commissioners there and we reviewed the reporting of compliance report. we also heard the quality measures for 2014 and what is reported here is what was the last result of the visits namely five stars for nursing staff, five for quality measure and

four overall and two stars for health inspection so we were anticipating hoping this visit this year will result in elevating back to the five stars again across all sectors. we approved the 2014-15 budget and had discussions -- comments and good community input pertaining to hospital wide policies and procedures of that. as a follow up from the request of the commission the discharge rate from 2013 to 2014 was 10%. the total discharges were 292 and again the chart shows we're in fact -- in county, out county, et cetera. it was actually stated in our full board meeting there and committed to the laguna honda joint conference committee. we had a closed

session pertaining to medical approvals and credentials and a vote taken, and closed after a two hour session. >> i guess we have to approve the credential report. >> no -- [inaudible] >> okay. >> all right. >> okay. questions to commissioner sanchez? we should note here i think also that san francisco general did undergo its cal survey process with the joint commission and we were informed that the hospital will remain fully accredited and a number of items recorded for corrective action like normally there is, but the surveyor at the conference did announce we

will have full accreditation so congratulations to sf general for that work. do we have -- oh next item. >> yes. item 13 is the committee agenda setting. >> okay. any further items for this except to remind you the next meeting is the planning meeting and we have a number of items we hope that will be worth while for discussion. that will be at -- mark, do you want to announce where it is. >> 25 van ness, the third floor conference room. i will email that out. >> i think we were there last year. >> same location as last year. >> and begin at 2:00 o'clock. >> 2:00 o'clock. i will send out a suggestion about menus and i will do that again so i accommodate your needs. >> question. do we still park here and it's a block down? >> yeah, you can park here and walk down. okay. any other items for

committee agenda setting? if not then we're prepared for the next item which say motion for adjournment is in order. >> so moved. >> i will second. >> okay. no further discussion. all those in favor please say aye. all right. opposed. this meeting is adjourned. [gavel] . thank you. .

>> good afternoon, everyone. this is a pretty thrilling day that for us it's another milestone in the progress of connecting the great city of san francisco from one end to another about economics development and about clean environment, pittsburgh that's about building consensus i'm sure the mayor will agree he served as the che administration officer it to took years to get

this to a third street rail of central subway thousands even if hours of volunteers coming together to make their point of view known. we've been here 5 wants on the total of this project but making progress again and every step of the way all along i'll say whoever we were appealing to our hopes are riding on the third street rail and our hopes on the street subway for all to be a model to the country of economic development while we improve the quality of life and sflrs customers and create good paying jobs that's today is a sad day because of the loss of robin williams i was oncoming over mayor we were together in 2012 with another phase we are that

altogether with ray la hood the secretary of transportation and while we were listening to each other's speeches we were on our i preponderance watching the last of the games to dorm who would be in the playoffs and while we were celebrating the; correct construction we were cheering the victory of the giants that day to go on to the world series and robin williams was a great giant fan my daughter christine right-minded me in after 2001 that was by and large the first time god bless america took place some may have done is but a tradition across our country and robin williams was a great giants fan but in

2004 he sank god bless america urging the 7th ending stretch we've lost a genius and san francisco has lost a great friend we made contributions to life. two weeks ago on the steps of the k358 the democrats launched the jump start to create good paying jobs in our country a rock the entrepreneurship begins in the classroom to make college affordable and early child onsite hood evaluation affordable and in some ways when with yes, ma'am succeeds america succeeds a version of growing the economy by this each week this week is make that on

america where we say we want american made companies invest in good paying jobs here in america by removing tax credits to send jobs overseas what is what the law is now, it's ridiculous we want to over turn that with the savings we want to invest in building america and building the infrastructure and that means roads and brigades and cr=certainly mass transit and water supply and broad band the infrastructure of the future so this the the job the parlor we're sthifls all over the country what better place to start where the innovation has begun it's begun with the consensus over time with the community involvement i've said

to the city i want to give you every option but if we allocate the sources we need the dirt to underlie this consensus building over time has been very, very central to our success and, of course, the recovery act that president obama took the lead on made a difference in getting hundreds and hundreds of million dollars nearly a billion dollars for the completion of the project while it started local it was local and state funding under the leadership of the leaders today, i'm honored to be here with the mayor how important this jump start for the class is and how important building infrastructure is to the jump start. roadway there's a installing felt be middle-class because of the stalling of those kinds of initiatives h initiates we want

it to be non-barn we know the american people overwhelmingly support an nishlt that improves the quality of life and to get the products to and from work and employees to and from home and again to clean and protect the virnlt as we create jobs we have have to build consensus i salute the people in san francisco for the rolls they've played over the years really decades to make many of the projects that are emerging now projects so that's consecutively the quail valley and hunters point and the transbay terminal with the enter connections with the parkway and the longtime in the planning and consensus building many of them possible because of president obama

recognition this buildings infrastructure of america is essential to growing our economy with that, i'm pleased to give this podium oh, by the way, did i introduce thomas and paling their construction is they're game they know about machinery i don't know about their teaching me and wanted to see how it's going my grandchildren from new york. they've ridden on the subway they wanted to see how one is built in california had a they're my special vip pits i've said his role as mayor and the chevy administration officer knows how to get the job done an operational manager it's not

mystery i continued the great work of the previous mayors but he was effective working with the mayors before so thank you that mayor for honoring us with your leadership i yield to the that distinguished mayor >> (clapping) >> thank you leader pelosi and it's a delight to have you here also with those young kids michael i think we can get him a my own card right-of-way. i'm delighted i know leader pelosi is absolutely right and chosen one of the most exemplar projects certainly our city has seen here today with the san francisco mta xhishsz, the planning commission folks and our sf leader katie is here as well its a milestone after

milestone when in the backdrop the central subway project is so important i remember leader pelosi when we began this conversation in the early years really to trying to figure out how we could access those american recovery act to be a dumb u jump start for us in san francisco we needed it at the height felt great recession and it came at the right time with the initial investments now over a billion dollars in the project you see what has come about this project has been one of the critical foundation but why today a few years later we'll boast about a 4.5 employment rate i putting americans to work is so important in project is a couple of months ago director

reiskin and i looked at the tunnel borrowing machines helping them get out of the ground a huge milestone it's burn a safe project for the men and women they know about safety what their tunneling very deep underground and marcus making sure this station with union square and the scare station and along with the chinatown station we're doing well, that the conversation has literally changed they want this done all the way to fisherman's wharf that's why leader pelosi is here today, we need to brag about the success stories those kinds of projects not only the jobs and investments we've made but you look at the 8 hundred and 50 thousand of hours construction hours that are logdz on this project so far look at it's investment in small businesses.

over $1275 million has been contracted to the small business expires because of this project it's done well and right (clapping) yourselves local people that have been trained and sits across from the conference center and continues to feed that great, great hospitality industry that is at the head of a lot of industries in san francisco hiring more people in the hotel and i'm proud for a multitude of reasons but people took risks for american workers that's why we want to talk about the build american bonds that lorp was talking about we need american to continue building we can build nor roads and bridges

we can take this to clean energy and solar raise and other types of buildings that america needs we can take this further that's why the principles that go along with that this frontage exemplifies all of those triblts he at the same time, we can have a national conversation about raising people's minimum wage the lowest wage earners in america we've got that on the ballot in which it honors laborers and businesses and people that workout nonprofits we've brought them together and america can did do that request leader pelosi's help and the point they'll have the ability to raise minimum wage inventing

here and across the have a r country so build americans bond acts and director reiskin will talk about that but i want to introduce someone i've had the privilege of working with to get things done he's the guy that gets things done despite the challenges a long way but gets to work with an array of agencies that are committed not only to build but to do it to get more jobs out there and to help our needy to make sure we raise the minimum wage. i give you and i yield to him the director of our mta director reiskin (clapping) >> thank you mr. mayor and ma'am, leader the central subway was a jump start for san

francisco when we started work here it's a great veemgs felt kind of infrastructure environmentalist we're capable of chief of police in the great united states a project like this doesn't just happen the leader said we've been through presidential terms even through many secretaries of transportation many mayors but leader pelosi has from the start been a steadfast champion for this project and it's really one of the key reigns wearable to stand here and demonstrate to sfro san francisco and say to the country our progress. this project is critically important to the future of transportation therefore the future of our economy and city and making great progress we've completed the tuning $255 million contract the project got done ahead of

schedule and created jobs behind us the mucus station which will connect to the muscone conference center that will be expanding but most critically making the corrections this central subway for the light rail the first phase in completed in 2007 that resorted san francisco after a 50 year hiatus the central subway will be 50 blocks south of here connecting southeast of the city to the most illegally populated neighborhoods in the united states the day the subway opens for obispo that will be a busy day with the right planning and the right leadership what we can make investments that help our cities and our economy but in

the meantime, we're going to put people to work that will inspire fire chief generation i want to acknowledge my board they make the budget and contracts we've got a great chairman tom nolan and others that have joined us they're working hard everyday everyday and want to acknowledge cindy wu and others this are working with the mayor to make sure that we were able to get this investment in san francisco. we're extremely supportive and the leadership that leader pelosi is bryan object the national stage we're trying to demonstrate what this can do and asking the san franciscans in november to accept the bond like the subway investments will create jobs and