to be put forth as the pioneer effort and the fact that we needed one, and she has also serviced on the major committees and of the mayor on behalf of our health commission, and on behalf of city government. and so, all of way from also, the challenges dealing with the southerner and the saint lukes issues to even our, to even the planning for the campos initiative and all, she has been in every one of our major initiatives over these last two decades, i think that the commission has been fortunate, to have her formally as a member of the commission, and to have her, informally, then in or on her own, continue to benefit, to the city, and benefit us, with her wisdom. and so, the commission thanks you, very much. >> commissioner i would like to

say something. >> thank you very much. i am having pleased to support this resolution, for roma she was one of the first persons to reach out to me when i came to san francisco. she has had a eye on woman's rights and issues and i applaud her for that and admire her for her service. >> thank you. >> i would like to just congratulate roma guy and she is so deserving and let's say that someone said that she was a giant, i want to say tiny but mighty, because she is, she is so persist ant and that is a lesson that we all need to learn is that you can get things done by being persist ent and she is everywhere so i want to thank you for paving the way and allowing us to carry forth, the torch of all of the great work that you have done, and in particular, i have received the phone calls from other of your colleagues, or

former colleagues who could not be here and in particular, the commissioner of this and she is up in abdomening men abdomening men toe today. sacramento today. >> roma we are family. and i have known roma pretty much from the day that i set foot in san francisco, and some time in the last century. she knew me before my dread locks. and i have always taken great pride in and describing roma, and as a relation to me. i say that i am a child of roma guy. and that i have sat at her knee, and have learned many things about san francisco and her love for san francisco,

but, the woman's movement toward the duration for all women. and not only here in the san francisco bay area. and to the internationally. and so as commissioner soo expressed, just a tiny and just the corridors of san francisco, and and also, sometimes we have been fooled by the year of the dreadlocks by roma and we don't always agree on everything, but we always know that there is a great deal of love, and respect, because we are both committed to doing the right thing and i have learned a lot from you. and you are more deserving of this and all of the other

accolades coming your way. >> and i just want to add, and everything, that the commissioners have said so far, and i can, and i can attest to the international part of it, because, you know, like one of the few places that i did not expect to run into too many of the san francisco colleagues, that have been in the international conferences, and, and the departments of both attending, and you know, like the international conference, and in dc, i believe, and i think that what strikes me the most and what inspires me the most about is her passion and i don't know what her passion that drives her energy or her energy that drives her passion. and i think that only she can answer that, but that is really inspiring for me, and you know, like there are few people that i would really consider an icon but roma is definitely one of them, and i can only hope that

i can have, the same kind of passion for my community, and you know, and to be able to continue to do my work for my community, and on behalf of, you know, the san francisco family, like, roma does,. >> was there any public comment for this item. >> and receive for the vote then, and i am told that both commissioners each one will have to vote separately and so that it becomes each commission's resolution and you will start with your commission, first? >> yeah. >> okay. >> and so we will have the health commission, vote first, all of those in favor of the resolution, please say aye. >> aye. >> all of those opposed it will pass you unanimously. >> on the status of women, all of those in favor? >> aye.

>> opposed? >> unanimous. >> and thank you, commissioners and when i tried to co-here with my energy, commissioner chung, and when i was in the fourth grade and the nuns called my parents and they said, what are we going to do, she can't just run around the school yard 40 times before we call recess and so i ended up taking on the violin, and baseball. and i started up in the northern maine like the

baseball players and let me show you how, and i think that we have life energy and we just need to find where we want to put it, and i did, with your help, i don't think that i know and i know that the health commissioners are better from the commission and at the department of commission on the status of women, i should say, and but, then when i got here, i am like, oh, i could say something, teasing, and just about everybody, here. and so you know, when the commission on the status of women, was formed, it was a task force, originally, and i wanted to go, and ask some

funders for battered women shelter, where i met, former commissioner melara and now the commissioner, and congratulations to the police force and we were both pretenny bopers and we were there as volunteers with our nap, sacks trying to respond and so that was a long time ago and, i think that it is 40 years now, and so, it was the beginning of that and we were a part of the civil rights movement and we want to acknowledge that. and then for the and then you became a commission, and then it is really a thrill to see today, but, of this joint commission, and then this effort, because a place was built in the electoral and the governing system for both the health commission and the commission on the status of women because there was no commission there was no health commission, not so long ago.

i was in my 20s when, it was katherine dodd and kate, cline, right? and said, that we have and we have to do something, because they are going to shut down, san francisco general. and that is really, what happened, and you know, we have to form a commission, and so then, i think that commissioner (inaudible) was probably in medical school when that happens. she is our senior. right? and so, any way, i really acknowledge your significant contribution dr. chow, because san francisco general, and its relationship to public health in the safety net, and your seniority mattered in all of

these years. and certainly, at that time, director garcia you were maybe graduating from high school, i don't know, but it was before you were a community organizer in watsonville that was for sure, but for me it was just like a thrill, and i just, i just want to say, one thing, and you know, as the community organizer and i first got here, and and someone said, you know, we need to put more gay people on the health commission and it can't just be gay men and so someone came to me and said, and you know, that your partner, dion jones and she is a nurse at san francisco general and she is doing incredible work on the emerging aids, and we don't have a definition about it, and it is the aids epidemic and we would like her to be on the commission? you are kidding she does not

qualify. and i said, well, why not. and so this is our fellow, democrats, and i said, because she is an employee of the health department. and i said, you should ask me. and i said, but you don't qualify, you don't know anything about healthcare. and i said, well i am a fast learner, and i am a community organizer. and of course i am a fast learn, right? and well, we will have to check with the democratic party on this, and okay. and so, you know, i said, fine, any way, so i became a commissioner under the director hernandez and she said to me, okay, you have to be, and laguna honda on the finance committee, and i am like, the learning curve? right? >> and so i ended up at laguna honda, and later on and so it has been and it was a wonderful 12 years and i really learned

but the funny part about it is when the chronicle reported the commissioners under mayor brown appointed and before when i was in the chronicle they used to say roma guy, the separatist feminist, no matter what i did. no matter what. and you know, persist ans and energy and passion, thank you for the honor and the praise and i look forward to more energy, and as long as i have

it, and my passion, is attached. thank you. >> commissioners, and let me go to the next item. >> yes, please. >> item 2 b is a resolution recognizing october as breast cancer awareness month. on your agenda it may say september, but the resolution says october and the agenda posted says october and so we are going to say october is breast cancer awareness month. and i believe that you have the resolution before you. in and you can go by the same process. >> okay. >> and my copy says october and so i think that we are okay. >> and so, the resolution, is

before us and at the health commission and could i have a motion to acceptance for the resolution? >> so moved. >> is there a second? >> second. >> is there any public comment? >> and i have not received public comment. >> is there any further discussion? commissioner soo? >> okay that was just, and okay. and thank you. >> and so from the commissioner, side, and all of those fa favor of the resolution, please say aye. and all of those opposed. the resolution is passed. and we will go on to the plan and the status for women. >> great. >> we also have the resolution before us, and so could i have a motion to approve? >> motion to approve. >> is there a second? >> second. >> any public comments? >> no, i have not received any public comment. >> all of those in favor. >> aye. >> okay. >> thank you.

>> next item is a resolution recognizing the 2014, cedaw woman's human rights awardees and these are just for the women commissioners. >> you can proceed. >> great. can we make a motion as approving it? >> so, i guess that i would just, i would just like to say that next monday we will, the friends of the commission on the status of women, will host a luncheon event where we will honor a group of women, who are giants. and in many different fields, and i would just like for the good of the order to read out

their names, alicia kudrow who is the president of mill college and we are recognizing at&t and particularly ken mcneilly for their great work. and we are recognizing becca prowda and a former commissioner, and her work with levi, and we are recognizing another person that i considered giant among giants katherine dodd for her extraordinary work inside and outside of government. we are recognizing elizabeth avar tarchi an amazing city attorney. and for her work. and we are recognizing dr. nancy mulcan who is the director of the ucsf national center on excellence on woman's health. and we are recognizing regina

scully, and among other things has produced the invisible war and she is a incredible supporter of women and we are recognizing rita simel who i am sure that many of you know for her extraordinary interfaith work in this community in bringing many people together. and we are recognizing dr. sue, yun who you may know not is the union representative for the international alliance and the chair of the ngo and the committee on the status of women and for the united nations and a partner to us and our work on cedaw and other things and we are recognizing the great chief justice of the state of california tony cadel. and i am going to mess up her name.

and who we are is the second woman in the first philippine woman and an incredible leader in domestic violence and so i would ask for a motion to approve all of our resolutions from one of the commissioners. >> i so move. >> okay. >> is there a second. >> i second. >> okay. >> is there any public comment? >> seeing none, i will call a vote. all of those in favor? >> aye. >> great. >> thank you. >> item 2 d is the top health issues affecting women in san francisco, and director barbara garcia will introduce the item. >> i will welcome the commissioners from the status of women and the director, and i am sorry from the commission, and from the department, and dphs and multiple roles in the city and and our city wide

responsibility and we are response for protecting and promoting the health of all san franciscan and we also provide a full spectrum of healthcare services through our dph clinic and hospital and our community based organization and in our role to assess and improve the health of all san franciscans we track the health issues city wide and we have two presenters for us today, and shadery and michelle kirian from the population health division that will present the top health issues effecting women in san francisco. >> good afternoon, commissioner and directors. thank you, for the opportunity to present at this special meeting. and i am going to give the

demographic overview. so there are approximately 356,000 adult women living in san francisco and representing 46 percent of the population. and the majority are white are of asian decent and in fact, there are women who are asian in san francisco is much higher than the proportion of the women who are asian state wide which is 23 percent and african american women we have 6 percent and women identifying as hispanic or latino are 17 percent in san francisco compared to 37 percent state wide. the women in san francisco are holder than the women across the state and so the median age here is 38.7 and compared to 37 for women state wide and if you look at this distribution sorry, i don't have a pointer. and if you look at the age distribution, the bars on the bottom shows that among the 18

to 24-year-old group, san francisco which is an orange has fewer women compared to the state and then at the 85 and older all the way at the top we have more than the state's average. >> women in san francisco, are highly educated with over 50 percent being holding a bachelor's degree or a graduate degree and this is much heighter than the state wide, over the 30 percent of women hold the bachelor's or the graduate's degrees, the women in san francisco, are highly likely to have health insurance and this graph shows the present of 18 to 64-year-olds who are uninsured and so on the left you have california men and women and on the right you have san francisco men and women and you will see that shortest bar represents san francisco women, and with only 13 percent unininsured and so they are taking advantage of their employer responsered

public or private insurance options. >> the birthrate in san francisco among women, is generally, lower than that of the state, and so if we look at the group of bars that is the second from the bottom, the over all rate of the women 50, it is 39 per 1,000 women, and state wide, and if you break this down by age and this is the top three bars, you will notice that women in san francisco are giving birth later in life. and so, and among the 35 to 50-year-olds, we have a higher birthrate than the women state wide. >> san franciscans in general will earn more than their peers state wide, however, gender based income disparities do persist, and here you have median and men and women working in san francisco and you will notice that the women are earning ten to 20 percent less for the same work compared to men the graph shows the

gender, i am sorry, the median annual income by gender for the various sectors of the work. and so you will notice that 52 percent of women work in the management business, science or arts and but they are earning $15,000 less than their counter male counter parts and this is true across all sectors. so this may lead to partially why there are more women living in poverty in san francisco than there are men and over all 16 percent of women live in poverty and when we break that down by age, that proportion goes up to 23 percent for women who are 75 or older, and then, for women, who are in families, this is, especially, important issue, because, the bar, all the way to the left is all families, living in poverty and that is at 9 percent and the families living in poverty is 13 percent and if you see the

three bars to the right those are all families that are headed by female householders without another partner, and so the proportion living in poverty, and increases dramatically. and so it is that background and i will turn it over for michelle for the health overview. >> and good afternoon, commissioners, and thank you for allowing me to present. and we are going to present a selection of health specifics on the key health issues for women. and however, before i begin, i do want to acknowledge that much of the work that went into getting these statistics was done by maternal child and adolescent health. >> and the top ten causes of death among women in san francisco are due to chronic diseases and of these, four are cardio vascular diseases and in the top cause of death, is the cardiac disease, which is 12 percent of deaths.

and cancer, and lung, and trachia and breast cancer and colon and alzheimer's and other dementia and diabetes are all causes of cancer among women in san francisco. but not every women is equally to die of one of these diseases. and that is for all of the top colleges, and they are significantly higher among the black women. and the death rate of the heart disease is almost three times higher, among black women than asian women who have the lowest rate of death and heart disease. and however, over all, the rates of death due to the top causes of these, have been decreasing over time. in san francisco. obeesty effects more than a third of women in san francisco. and women, who are live in poverty, here defined as those

under 300 percent of the federal poverty level, are significantly more likely to be over weight or obese than those who are (inaudible). and also, latinos, are more likely to be over weight and obese than whites or asians. and the statistics for the black women are statistically unstable, but they do suggest. the high rates of obesity in over weight. and the low education attainment, income insecurety and workplace conditions are interrelated and important to the health and well-being of women. women are low income families do work on virtually every health measure for which we have data and education and occupation, and income differences underline much of the disparitis in health and health related conditions and behaviors in san francisco. 1 in 4 mothers, i am sorry, 1 in 4 women who gave birth have

high school education or less. 15 percent of the population live below 100 percent of the federal poverty level, 40 percent of mothers do not have more than a high school education, and the majority of black mother haves a high school education or less at the time of giving birth. >> and many mothers experience the financial difficulties during or after pregnancy, 1 in 6, mothers experience job loss to themselves or to their partners, during the pregnancy and ten percent experience reduced hours of pay. and lower income mother and please excuse the labels are switched for the income. and the lower income mothers, are more likely to experience and the races and ethnicities and those who work in the low

income professions are more likely to experience the job loss and unfortunately the quality data on the job loss is not available. and over all, ten percent of all women, and 30 percent of the low income women report food insecurety during the pregnancy. (inaudible) breast feeding and paid leave as well as minimum wage and flexible schedules have been cited during the recent assessment conducted by the maternal and child (inaudible). and significant issues for women in san francisco. and almost, one in four, report needing help for the mental health problems and or alcohol and drug use. and 17 percent reported seeking medical care for emotional health and or alcohol drug

issues eleven percent reported needed medication, for mental health. >> and almost seven percent reported serious psychological distress. and about 1.5 percent of women reported or hospitalized with a mental health diagnosis and another one percent with a mood disorder or a self-inflicted injury, and again, black women are significantly more likely to be hospitalized for any of these. >> the rates of mental health have been increasing recently. >> and they indicate, both safety, and violence and including domestic violence as an important issue for women in san francisco. over all, 3.4 percent of women, experience physical or psychological violence during pregnancy. much higher rates are seen

among imp overished women, 9.5 percent of medical mothers reports violence. violence does not effect all women, equality, rates of assault, and hospitalization and premature deaths due to violence are 19 times higher among african american women compared to whites. and over all 90 percent of pregnant women in san francisco received the prenatal care in the first trimester. >> 27 of those on medical, compared to those with private insurance did not receive timely care. and 63 percent of mothers on medical had a regular source of prepregcy care and only 55 percent of black mothers