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>> the meeting will come to order and the secretary will call the roll. >> commissioner pating commissioner president chow commissiioner sanchez item 2 the approval of two sets the minutes december 4th, 2014 which is the joint commission meeting and december 16, 2014

so commissioners let's take december 4th first a motion for the approval of the december 4th joint meeting minutes. >> motion to approve. >> second. >> are there any correction or another items the only correction under page 2 public comment to clarify that it is not a clipper car but a clipper card that is. >> oh, i apologize i'll back and correct that. >> just so it's clear. >> any other corrections if not all in favor, say i. >> i opposed those minutes are passed we'll go on to december 16th minutes of our commission a motion please is in order. >> so moved ii heard that a second. >> second. >> all in favor, say i.

any other comments if not all in favor, say i. of the minutes. >> i opposed the minutes are passes. >> item 3 thank you, commissioners the director's report. >> happy new year commissioners i wanted to share that dr. joel was presented a certificate of honor by board of supervisors by supervisor campos on december 19th acknowledging his upcoming retirement iments dr. gold even the jail health services he is leaving and has devote much of his health career for the krarsz the margin society and his contributions is greatly improving the standard of care of incarcerated folks in san francisco and throughout the

country and asked numerous times throughout the country to work on problems in other areas and does an incredible job of that he'll be surely missed in the department and he was presented a certificate of honor that from the health commission and certificate of health of appreciation in the last several in about the last month the homeless population as increased in the number of case in the city last month, a bacteria that causes diarrhea that lasts a few days and can cause more serious illness but that 0 impacts the homeless on the street who have limited access to washing and bathrooms have done a tremendous

job of the homelessness outreach team urging u using its model to provide the issues and the health department is working with the soup kitchens to make sure they have washing facilities and information we'll be working with the homeless organizations to insure they understand the need for antion for the individuals sleeping on our street san francisco height network and another will expansion has announced a partnership with the northeast facilities they have a new health option and san francisco announced on december 30th a partnership are the northeast medical services that allows the patience to receive their care from the hospital trauma center i want to thank eddy chang who

has been a great supporter of the department and done a green great job of the relationship the relationship in s ms is available to medi-cal to healthy care tips the nims patient will join the hospital services including the labor and emergency and trauma care and specialist services and be able to select the new network as part of december 30th and they'll be able to use our speciality hospital services as january 2nd i'm sure you're aware of president obama signed a think a executive order for immigrants invading the largest groups for people that entered the united states with

undominated children and undominated parent or immigrant children and some in california some of the individuals could be eligible for medi-cal our main issue has an executive order ordinary person january 1st for the immigration affairs to align and cooperate all the departments to insure question have a citywide plan for anti fraud application for people that are eligible for the administrative relief we hope we have this implemented in the stripping of 2015 a warm line is the continued coverage opening in august of 2015 and the triage warm line has taken more than 14 hundred calls with a steady increase in calls as more people learn about the calls and

holidays people turn to the lines for someone to talk to several of the decreases were featured in the latest magazine and those included from the general dr. deborah colon and others and one from the laguna hospital hold hold green grace they shared their story that shows you the human side how to treat people i was able to go to a press conference regarding our shape up san francisco bayview hills don that was granted $2 million by kaiser permanente the infinite was announced along with several of the programs there was also a our primary care received $20,000 from

kaiser to provide chronic education so and last year the end of last year we celebrated 10 years of project homeless connect and that was the 57th service that we have been providing for the last 10 years the last month includesed the cities for the holes homeless and they assist with the event i want to thank particularly my assistant who organized the deprive and honda. >> thank you, commissioners questions. >> dr. sanchez. >> i want to thank the director for an excellent report especially regarding the highlights of many of our colleagues that have been servicing our department for

many, many years for the jails and the outreach for the homeless, etc. i was wondering i happened to hear that there's more community discussion on how quote the old candle stick park will be going from the old area i was wondering if, in fact, any of our people are providing information or if, in fact they take it down forevermore the reason i'm saying that over the years that community is really been hit hard by a number of issues especially with the old navy base and you know a lot of the dirt going out and rising asthma and cancer we know what's been been involved in the department it's been there as a key resource but i know it happened here, etc. but i was i

want to make sure we are involved we can make some really good insight property owner to the outcomes and the communities that are going through this and they'll come to some discussion. >> we're involved and i asked the dr. to give us an update of the air quality group has been engaged with. >> good afternoon so the planning department does have to do an environmental impact report which they completed a few weeks ago now the health department is getting involved there's changes the whole thing len hard and the planning department how the demolition is going to happen originally a discussion about it being mechanic deconstruction and the discussion of the demolitions like what you see on youtube we're actually meeting where where the r with the

planning department tomorrow to go over the documents and see what we need to be able to need better determination of what the health risks between the two different options you'll be hearing more it will be several more weeks before we have definite ideas. >> i know that a number of the families fitzgerald street we've been concerned about a lot of the things this provides us input. >> correct we agree. >> also i wanted to acknowledge the doctor in the audience she was put into the position of our medical officer we announced it last time but she wasn't here (clapping) so we want to welcome her she'll

bring in a tremendous amount of energy to the network so i wanted to acknowledge her today. >> commissioners further questions i was going to ask it on the mosaic active relieve for immigrants and it will be occurring, of course, in the spring what would be our rule or the output and how is it that we know you know be of help. >> one of several ways we've been a safe harbor important the undocument for many, many years there's a question for the undocumented about taking a public benefit so it's going to be important one not all undocumented people are going to quality for the relieve we have the safety nets for the undocumented that are seeking

medical services of course, we've provide that through our healthy san francisco but today some could be eligible for medi-cal that will be an area we're working with on our mill areas, of course that's one of the things we want to push there are individuals in the community that don't seek service because of the taking a public benefit or being exposed to the government we will part of the departments to make sure the work itself we had one meeting with the office of the services and we'll continue to work with them on the projects but an area we're starting to work with and we'll give you more update as we get those. >> great, thank you commissioner pating did you have a question okay oh, commissioners. >> i'm sorry again, this sort of will follow-ups but at some

point our health department or national organizations can help validate ory fin e define refugees status it's outstanding to see areas where a revenge status and yet we have papers talking about the you know families losing not only family members but i mean literally go having their family members decapitated and trying to come here as refugees and hear the undocument and unwanted and let's build a bigger we'll somewhere we reach a tipping point we have to say this is what a refugee is and would you

it gets to me the fact we've also been such a leadership have played a leadership roll in working with our diverse communities although we'll have historical events but again in today's age it could come from our health department i mention that violence for years and years was noted mentioned so the medicine is saying we need to look at the violence not much has changed but redefine that at the state and national level. >> we certainly will immigration is a national issue and the fact we've had a city in san francisco for many years huntington park help is with that, i totally agree with you