should stay there, if there is a better location and a hospital that patient should be transported. right now the cdc is in the process of developing some screening tool, and to help hospitals assess how well prepared they are. and the dallas example is for us a event because all of us have a lot of capacity and a lot of capability, with the details that matter and so the texas case sort of got the people thinking they started to see some of the details, one of the things that we are learning from the patients that are being cured, in the u.s. hospitals is the amount of waste that has to be disposed and the amount of infection control equipment and the amount of training and doing things appropriately because you don't want the workers to become infected and so we are realizing that this is from the cdc now is that it is not practical to expect every single hospital, in the u.s. to have the highest level of preparedness. and that we know and we need to

really do an assessment to really figure out which one are going to be better prepared than others and make and so they will probably come out with some stratification to really determine which ones might be better prepared. and to really think about the details that we need to pay attention to. in san francisco, the hospitals are really beginning to drill in detail including the training and the staff and how to dawn, the infection control, and the personal protected equipment and how to take care of the patient and how to transport them and so having that concrete practice, sthaoe if a patient does show up, they will be more confident. >> dr. sanchez. >> yeah. >> i was just going to ask you, personally, i think that it is an excellent presentation and i

just wanted to site that i know that a lot of our crew out at sfgh have been involved and especially this week with fleet week. and with our med core staff and docs from the arranged navy and the coast guard doing various clinical trials and even opening up and bring in the whirly birds out to the marina greens and out at sfgh and you can't get in there because that is in violation of petrero hill, you can't bring in the helicopter and that was a long decision here, and what i am saying is that sfgh and the department of public health has been involved in what is on the radar pertaining to this and we have a new ship, called the uss america which has a fleet of supportive services and that are involved in surveillance, and obtaining to not only

trauma, and but also, infection disease, and the things that will be effecting familiaritilies throughout the world this will be involved in that and the service and gives us a real great network pertaining to communication both as an example of i know that there is a number of teams from south they were california, and both from the navy and marine corps who have been sharing and continuing education programs with our docs and nurse and support staff and our staff also have been teaching them. it is a two way street and this year is a structural fleet week has been restored and a lot of the focus will be on types of trainings, screening prevention, and do we get from point a to point b, questions about dropping the materials in with some of the new military equipment that will be used on some of these ships.

and is a real critical problem, doctors at boarders have been concerned about this, where there is four or six cargos, that have been sitting in a port, for three months, and the materials and could have been used but somehow, it has not been disseminated because of the problems over there and in essence, the president and others have taken the shortcut and saying that we will look at some ways that we can provide these resources but they are including our county health department and they are including the level one trauma center and san francisco general has been a key player with that and so wuls have a member of the senior offices and the past general folks who are very much involved and i just want to say that the department is involved in this training exercise, and it will continue to be and i really think that it is an excellent opportunity for many of the citizen to go and visit the

ships and go out to the greens and see what the protocols there and they are there to communicate and whatever, and so a job well done. and hopefully we don't go to a real case here. and we agree with that thomas. >> thank you, thank you. >> all right. i was just going to ask in terms of the hospital preparations, and it was mentioned that you were working with the hospital and so what type of work are they doing? and is it that this is voluntary, that hospitals are you know, preparing or are we taking a more organized fashion to see that each hospital has either a process of referral or a process of intake? >> we have not had the meeting yet with the hospital counsel and we are plan thating and there is a lot of federal funding that comes down that goes to the hospitals and so

the hospital haves been since 9/11 the hospitals there has been a lot of preparedness happening at the hospitals and just leveraging on top of all of that prepareness that occur, and we had sarses and influenza and the hospitals and the ics approach is very robust and we are very fortunate to have san francisco general hospital, and because we have the best disease doctors right here in staoet and i would say that we are very strong, okay. >> any further comments from the committees here? >> if not, director, we appreciate the update, and just a couple of things, and we were identifying all of our staff who have the disease control investigation backgrounds and experience, and they are already discussing with them to be prepared if any or that will be part of the ics system and so we are already identifying the expertise of the department.

and this is just the yir that i worry the most about, is because there are not a lot of people in the disease area but they have hundreds of team that can support them in the department and so we are working on that as well. just a couple of updates for you, we did, want to acknowledge our researcher from the public health division, milo, who mas been awarded a national institute of health director early independence award and this is a highly competitive award for scientist and identified them for the award is a proposal for a grapt aimed at intersection for binge drinking men who have sex with men and a five year study to evaluate taking a medication on a as-needed basis to reduce binge drinking and we will also learn a lot from his work, and also we did get an award to expand on the prescribing of

aloxon and this was a pilot and to increase it for opiot overdose and considering the length of the last report i will leave it there, unless you have any other questions for any other report. >> commissioners any questions? on the remainder of the report, was there any public comment on the director's report? >> no, there was no, public comment request for this item. >> so we certainly would appreciate the update, on the virus, and we anticipate that we will get further updates as warranted. >> thank you very much. >> next item, is general public comment and we have several folks who have turned in requests, and yes we will go on to general public comment and public comment will be a two-minute process, please for everyone. today. since there are a number of public comments. we will begin with it looks

like george patrick but i could be wrong. and it is from sciu, ten 21 george. and it would be first, and carletta jackson lane, and terry lang and as we get to third speaker i will call three more names, you will have two minutes and you want to explain how you will be using the timer. >> yes, speakers i will be holding a timer, when the beep goes off, know that is your time to stop speaking. >> good evening, commissioners. this is not george, it is david (inaudible) and my handwriting was bad but i didn't realize it was that bad. >> okay. >> it is not george, my name is david and i am the san francisco director for fcis local one and i want to give you the context of why we were here yesterday and yesterday with the community organizations and the community

leaders from the african american community, in the past nine months, sione has been meeting with the members and community groups to talk about the inequality in general and also, inequality and how it impacts the members in in the african community. >> and we called with a list of demands around 14 areas and we will have them being helped and the others being around housing and the other on education, and incarceration and that in the past nine months, we have engaged hundreds of new members and community members and members of the community as i said in the african american community to come up with a list of grievances or demands that we want to bring to you especially the house disparity, concerns that we have. and tonight, the folks that are with me, will speak after me will expand on what some of those demands are, and how we think that you as a commission, could be addressing all or

working with us around the meetings some of those or addressing some of the concerns that will be raised here tonight, thank you. >> thank you. >> our next speaker, please? >> and maybe, you better identify it, i seem to be having trouble with it. i apologize. >> good afternoon commissioners and thank you so much for this opportunity. my name is carletta jackson wane and i am the director for the foster family agency and also a member of the african american health collaborate, and we would like to let you know that the african american in san francisco, stuck disproportionally from a range of health ailments and including not limited to asthma, diabetes and health disease and hypertension, and cancer and hiv and aids. and it is a lung cancer rate for blacks and it is 85.5

percent, per 85.5 per 100,000, and compared to 49.6 for whites. and the asthma rate for blacks is 21.5 percent, and compared to 13.3 percent for them and the death rate for black mails due to heart disease is 219 per 100,000.

and it is targeted and the african american community, and it leaves them without the infrastructure to function and it allows them, and almost a set up for failure and the other piece that i want to talk about was ear marking funds for developing a marketing and anti-stigma campaign and a anti-literal health campaign and it does not take much to get down the street and see what the issues are and last but not least, we want this body to truly consider along with the board of supervisors,

a bill to tax drug stores or pharmacis in relationship to giving dollars toward this effort. and i thank you for your time. >> thank you very much. >> next speaker, please? >> good afternoon, commissioners. i am jeanie woods and i am a member of the african american health equity council. and i stand to say that i am in total support of the health commission's recommendations and i hope that you support the recommendations also. thank you. >> thank you. and our next speaker, please? >> good afternoon, commissioners, i am maxine and the member of the african american, council and we are not here asking for a hand out and or something for nothing, but we are asking for support and for resources tha, will provide us some health equity and it will allow us to help ourself and to be self-sufficient, and this is prevention, and as we know, and an ounce of prevention is worth a pound of cure, thank you.

>> thank you. >> and as dr. ramon comes in and the nkt three and actually the next speakers would be, and i found davis here and so it will be swift and cathy davis. please. >> hold this up. >> maybe not. commissioners, good afternoon. and nice to see old friends, still. and some of the commissioners and i first met and i have the privilege of working with doctor tamas a while back, 20 years plus now and neither one of us had gray hair and i actually had hair on my ahead. i come before you today to address the issue of the under funding of the african american cbos. and as former member of san

francisco state and uc berkeley, for several years. and that, my colleagues were kind of run away from me. at times they love me, but they know that i have the certain projects in terms of community based research that i will be engaged in, and the money is inefficient that is being funded towards them and you asked us to operate under friendship rather than need and the true economic equity and it is almost as it is racism for a better work and every time, i go before even with the feds or the state and it is like, your people and you people, just like when we had in the 90s, for the breast cancer. and the data came out of bay view hunter's point and we would debate with dr. gillis here and did the initial and the women in morin county got

the money. i am looking at the women and i am going to the funerals and they have seen the children die and the women who work, 22, 23, 25, and 27 and there were no 26-year-old women, dying, too soon, in the children going without and you are asking the cbos to work miracles and some of the physicians in the private practice, who are black and grew up in the neighborhood and i will not mention names and you wish that i can, i can't afford to practice in the community they grew up in. we are under funded and the cbos are under funded and if you have a problem with the cbos hold at countbility and no problem. but if we are doing an excellent job and then pay us and quit discriminating against us and we have a right to live and we think that it is a human right, and i wish that you would take the consideration in this discussion, thank you. >> thank you, very much. >> and the next speaker, would

be matel swift and cathy davis and those are the last two slips that i have and if anybody else wishes to speak during the public comment let us know. >> good afternoon, commissioners i am cathy davis and i am the executive director of bay view hunter's point services and i have been with the agency for 34 years, and in those 34 years, i have seen a lot of the same thing that i still see today. we run an adult day healthcare center that is about to be 30 years old and in those 30 years, the same issues are the same issues and i don't need to give you the statistics and you don't need to hear this one more time. but as the organizations that are out there, and really tried to do things and really trying to make the change happen, we need to see that support for the african american, cbos and we are really taking on what the gentleman just said, miracles and, creating miracles for nothing. and i for one am tired of seeing the african american community having to rise up and

do something with nothing. we do it all of the time. and i really under score what mr. lang said about the one percent you know, the drug companies and the people that are making money are making money off of my seniors because they take ten or 15 or 20 medications at a time and they are, the consumers of all of this drug medication. i would also like to see us really work together in the community to make some change happen, and as a group. and we are really trying to come together in the african community, and the organization that work together to say that we stand for something and we want to see the change happen and the support that has not been there for many many years and we are going to do what we do and we need more support and back up and the thing that i will say that i am so frustrated with and i am so tired of seeing the people in the bay view getting studied. and people analyzing and spending all of this money to

figure out how to help people, matty scott. >> it could be matty scott. >> good afternoon, commissioners it is good to be here and thank you. and hi, barbara it is good to see you, and i too stand here on behalf of the address and the grievances for the african american community i lost my son for gun violence in 96 and we are at 33 homicides with one recent that just happened and now, bay view hunter's point this past saturday.

and this, and these homicide and violence has increased and not stopped, the migration of the black folks in the city is out rate yus and the opportunity for the cbo and like myself and others and, just so you know the look and it is griefs me for a city like san francisco that represents such diversity, and unity, is shutting the door and closing its eyes to what is happening in to my community, and the communities of color that are suffering from health and disparity and so i really hope that we look at this grievance and that you take it into consideration to help us so that we can be the city that we both love, thank you. >> thank you. >> i like to thank the public for coming and addressing, and letting the commission know about the issues that you have raised, as you know under the brown act, we are not permitted to actually discuss any item that is not on the agenda, however, i am asking that the

director address this, and we do have budget considerations coming up in the next several months, for the future, and you have raised that issue, and i am sure that if you speak with the director garcia, she will be able to also, assist in the issues. director garcia, do you see any comments? >> no, but we definitely will work with the group and i know many of them and we will look at the budget process and also, to know that we did reach some dollars recently that i believe that some of these organization kaos definitely qualify for and that is our reach program, and so, we will be talking to them about that as well. >> i appreciate that and an update from you. >> absolutely. >> thank you. >> our next item please? >> yes, the next item is the report back from the finance and planning committee for

today. commissioner chow? >> good afternoon, commissioners. the finance and planning committee met just before the commission meetings and we had a presentation on the business intelligence unit. and also we were looking over some contracts and that is all on the consent calendar for the commission for approval. and we also have a discussion that is a small discussion about a site that is going to move and it is the momentless advocacy project that will be moving from mission to hyde street and also, one additional thing that we actually looked at, was how we have been doing

contract review, and tried to come up with, you know, more contemporary policies to really reflect on all of the changes that have already happened within the city and to reflect on how we can continue to work on more of the policy level, and and mission-driven discussion and we will have more updates and possibly a new policy draft for the commission to approve in a month. >> commissioners any questions or comments to the chair of the finance planning committee or additional comments? were there any public comments? >> we did not receive public comments for this item. >> if not, thank you very much. and it was a very productive meeting, and we will move on to the next item, please?

>> yes, item 6 is the consent calendar as commissioner just noted there are four items. >> commissioner chow are you recommending approve of all of these on the consent calendar. >> yes, mr. president, and but, the finance and planning committee has voted on extending all of the items for the commission's approval. >> okay, does anybody, othe consent calendar is before us, does anyone want to extract anything from the calendar? all of those in favor? >> aye. >> all opposed, the consent calendar is accepted. >> the next item on the agenda is the health commission vice president election and there is public comment. >> and there is public comment, and it is at two public comments on here. >> yes, sir. >> but the yellow piece of paper.

>> yes the yellow paper. >> okay. so i have two public comments, and again, two minutes, please? and first it will be cathy davis, and followed by terry lang. hello again, and i am the executive director of bay view hunter's point senior services and i just want to say something about commissioner mcgee because she really is the first commissioner i have ever seen, willing to come out to the community and ask what we need and find out what is going on. and she could be voted in as the vice president and i just want to say that would be a great choice to have someone who is a champion and an advocate for the people, thank you. >> and thank you, next please?

>> mr. terry lang, please? >> great, thank you. >> and i also want to voice support for consideration of commissioner mcgee as vice president and she has come out to our office on numerous occasions and just to see the dance classes overflow and she did not dance but she was there. and she came out to sort of ask what the issues were and i am just grateful for that kind of leadership. and for that relationship also, i have a great relationship with barbara but i want to talk about that because it has been too long, since the commissioner came out and to spend some time with our organization and we appreciate it and i think that she has a good grasp on the issues and i think that she is willing to roll up her sleeves and work with the community to get a better understanding of how the politics of all of this works, and so i just say that on behalf of commissioner mcgee.

>> i would like to thank her for the support and my mother who is the ceo and founder jackson and they have done, years and years of work, around at risk yoegt. and both in the san francisco business professional woman, as well as in the national coalition of 100 women and she is the leader in the community and highly respected and we are very grateful that you are on the commission and we wish you the best. and to see that you guys support her for the vice president. thank you. >> thank you. >> is there any further public comment? on this subject of the vice president election? >> if not, we