the first, we're going to have to tally of your shopping list and see what you actually spend that the farmer's market. >> and go for it. >> incredible. you have shown us how to make super healthy, refresh chapino from the farmers market on the budget, that for the whole family. that is outstanding. >> thank you peter i am glad that you like it. i think anybody can do it. >> if you like the recipe for this dish, you can e-mail us at sfgtv@sfgov.org or reach out to us on facebook or twitter and we

>> the commission will please come to the order and the secretary will call roll and commissioner matsuda councilmember taylor commissioner president chow commissioner sanchez commissioner karshmer second item is the approval of the minutes of april 7th, 2015, i need to add that commissioner king commissioner singer left the session early the version of the minutes is a revised version for the presentation of the april 7th month to month. >> so commissioners the revised minutes are before you we're prepared to accept a motion for the minutes. >> so moved. >> second. >> are there any further corrections on to the minutes or

further edition that any of the commissioners would like in not we're prepared for the vote all in favor, say i. opposed? and the minutes are accepted sew the director's report. >> good afternoon, commissioners i wanted to let you know i think we send this to you a pbs on zero to get to the zero hiv infection zero deaths and no stag ma i wanted to you know this is in and delegation of state and federal delegation came to california to see how it is implemented in san francisco a that's it godfather it vision zero so no pedestrian fatalities

we're leading an effort inform traffic deaths the san francisco health care needs of san francisco residents the service center will be the public because of the public health plan a place for health care cover-up and assess options to their families in san francisco county the enrollment will be to provide no applications no city options for certain plans and various training groups are leading on effort to phase out paper prevails the depending has initiate this and public utilities commission are collaborative departments for their emerge system called

people soft for the electronic mod loll in the suit we do want to insure that the we're trying to educate our employees the importance of the patients and patients ongoing education effort to make sure we're keeping public health information secure from others who may want to use perm information and dpw labor christina will be the labor relation manager for laguna from the employee relations division coming to the health commission and now i'll

leave high report to that i'll try to answer any questions commissioners. >> commissioners any questions to the director and her report. >> i had one to begin with on the highlights of the climate changes on one hand if that is a report that will go our public health committee. >> happy to make that a report and the committee can decide the information we'll receive and how to come to the commission okay. any further questions to the director? >> i'd like to add something to director garcia report i attended the african-american health initiative meeting last friday or thursday that was one year after the whole initiative began and i was really enclosed with the progress that was made in barry raze leadership i think

this is worth noting. >> okay. we'll have our secretary note it that commissioner has made. >> thank you commissioner taylor-mcghee we'll bring the update you're absolutely right the areas we're working on is clinic office of economic workforce development and training we've made good process we'll bring that to the attention of the commission. >> very good. >> along the line of different reports we had i made a comment earlier at the committee with dr. argon we would like to continue to look at how we follow at the commission level the population health progress

so a number of report that have bun given to those of today could be presented to the commission similar to what we're asking in terms of the san francisco health networked report we'll see the offer arching progress being made from on both of our major divisions we'll be working on that as part of our progress in terms of getting the key reports to the commission. >> commissioner president chow. >> one last comment i don't know if if this goes the director's report i really enjoyed the latino coalition report that we heard at the last meeting i find it very enlightening food for thought and thank you, director garcia and others for pulling that

together and our coalition members i guess fall on what commissioner taylor-mcghee is saying it is nice to hear something similar to the african-american initiative if 23, do visits to the bay area or whatever that initiative is underscore the value of hearing very directly the problems and solutions we're hearing. >> good thank you, commissioner and that was why we added the points into our minutes so we know that not only did we receive the packet with that but those who are reading the minutes will see the points point community wanted to make and we'll be working on different neighborhood or different disparity initiatives

how to present. >> future comments at this time and particularly director if not next item. >> yes. we have general public comment and there's been one request by dr. tompkins. >> you have 3 minutes please. dr. tompkins i have a beeper when you here it beep know that is time. >> i'm dr. tompkins one of the officer of the clean air initiative i believe you have a copy of the document that marks greatly distributed. >> thank you. i wish that was a happyer note the bottom line the organization is asking that the current dust mitigation plan be rejected this is i think

effective for several reasons we've been no negotiation trying not only with the healthy and with the air quality district and ocii with building and permits their voted the commissioner have voted if not considering pulling the permit on the project there is dust in the homes right now the current plan being obey implemented the standards are lower than the state of texas i'm going to repeat that. >> the standards that are being applied in southeast sector for candle stick that lower than the state of of texas we know the governor has no love for dpa we've made several lengthy recommendations as you look in there we went through the report

ear on that document and chart it wasn't one person writing we all as i and commissioners review the data and that made recommendations we were dismissed we hear the service of the lip serve to be honest of community participation but in terms of the actuality and enforcement it didn't exist i went to the site investigations over here at alice griffith park where the monitors were incorrectly installed behind the sewage power plant the karnlz were for the asbestos monitor was a quarter inch above the monitor ininhibiting airflow in the so-called independent evaluations and he have a ton of

those i did not see anywhere in the city in terms of public health has ever read that i've not seen the elevation if someone read it from this department you'll see a physical combroblt for the independent inspector from candle stick parking lot a under four minutes and 24 second and done an inspection the apply we're asking for a special meeting to resend this it is not working not including the water flare they've tapped into a frrtd no report was from healthy or water department those are health

issues. >> thank you, sir i mean general public comment is open and the commission is prevent into discussing any items it was in the calendar but we're going to ask the director of health to investigate this and give us back a response. >> thank you very much. >> thank you. >> commissioner we move on to item 6 the health actually did i skip an item yes 5 the report back from the committee and commissioner taylor-mcghee. >> commissioner. >> thank you very much i'm going to ask one of my colleagues that was here during the pollution presentation to talk about that i'll talk about vision zero additional we received an update with vision zero and for those of you not aware the whole goal of vision zero to 50 have zero fatality

and death in san francisco by traffic by 2024 it is a community wide effort and disturbing statistics of people impacted 50 percent of san francisco traffic deaths were on seniors and so what happened then over the last year since this this program was initiated some declined but not enough one of the things they need is more surveillance is not only a public health but getting the mopes to fund it it something they're looking at but some legislation in terms of lower the speedometer in school zones to like 15 more like so it is safer for kids i found

interesting thirty percent apparently of school children in san francisco actually walk to school certainly that has to be addressed in terms of the safety and one other things the public education campaign not only neighborhood groups city officials but also law enforcement and emergency medical services so dr. chow. >> right commissioner. >> would you like to describe the air pollution initiative. >> yes. so there were two items to main items in the community and mental health committee one of the items that the commission recorded back on vision zero that was about zero fatalities of traffic related

fatalities you know the other one is the presentations from the environmental health branch you you know on air quality and tobacco regulatory program to look at where we are in terms of the air quality and also some of the regulations that we have we actually have all the different ordinances that was like sent to us also to see what we are overseeing it was really a great conversation you know to really look at what is contributing to the air pollutions in the city including you know the air pollutions caused by a lot of the vehicles you know and high

traffic corridors and what's been done to help the residents in those corridors and in addition to that we talked about some of the regulations that we are you currently overseeing around you know like smoking regulations and guess something about that and who is being regulated and who is not i think what we really get out of that is to me to really the part about the smoking like it's fascinating to learn that month people started smoking before the age of 25 and very few

adults after 25 that start smoking there you have it and what else? i think we have discussions around, you know who is overseeing some of the regulations and for san francisco's local jurisdiction you know there are some you know that need to have conversations with the state level in terms of how to control emissions vehicle emissions that is more of a state regulatory other than a local regulation so that's about it. >> that's nothing we needed to vote on. >> thank you so commissioner questions to either of our presenters in regards to the community i have one related to vision zero

and i see the good work in documenting where we are and there's a collaboration of a large number of agencies but i'm wondering because now i guess it is in the second or third year of this what strategies really are being used from at least the department how is the department contributing payrolling being one of the two xhoernz. >> i'd like to defer many that to director garcia in response to that. >> i'd like to refer that the other dr. >> the streams i think there are four or five e education comboeshgs or endorsement and engagement and policy and the elevation where the healthy

being the co-sponsor co-chair and the component and the 0 language component sfmta has worked with the endemocrat lost that works on the data analysis and working with sf general and the last component the development is very initiative online subcontract called transbay self-.org there's a interactive website to interact and map across the city it is really if - you can use the open software we're the first in the world to put this together and over time more will do you want

that and dr. e.r. gone it is great to map out what was happening but you're telling me the department it helping to elevate how do they come up with initiative aid engineering and whatnot is that involving any of us you know putting in more signals or do you all also have something to do with that that or just taking the data. >> there's a citywide task force the police are focusing on sfmta engineering we're focusing on elevation so for example if you look at the maps now we know that about 10 to 11 percent of the street corridors are responsible for 70 percent of the fatalities so actually, it's been a huge help for sfmta to focus on those corridors we know

that most of risk is occurring and now pacific analysis as the hot spots what's going on it is people running red lights or people getting hits ones right turns or left turns the other things sfmta is then urging it proactively to look at the school to go out and improve the safety around the schools rather than in the past things were complaint driven now evidence based it helps to make informed policy decision. >> thank you any further questions on the presentation? if not we'll move on to the next item and 6 the health officer elections >> so the officer elections

were poisoned from 9 stated time in our reducing until day we're open for the first office the office of president are there any nominations that is mr. chair arrest commissioner sanchez. >> yes. at this time i'm thinking about noopgsz pertaining to how we're going to continue and finish the critical work that is being done not only in the department of public health but the completion and the touchdown so to speak of sf depression h in december of this year and i always feel as in the past we have a lot of talent on this commission but it is a great opportunity to have them rotating through the chairs but we have a number of unique challenges we want to really complete during this year and i

really think that dr. chow has not only chaired the ucsf at general but been the commissioner and has provided unique oversight i was thinking of the past which one of the ex-president spent the last two years of the president of the commission for oversight with the luggage hospital i think that is, i think that is a great honor at this point to nominate for president dr. ed chow to complete the business of the general and many challenges effectively this department. >> thank you, dr. sauna sanchez nominations don't require a

second. >> there being no further nominations a motion important nomination to be closed. >> i move the nominations of the wanting to be closed. >> a second please. second. >> okay all in favor, say i. of closing the nominations i. >> opposed? we'll proceeded to the vote and all in favor, say i. of the nomination of dr. chow as president i. >> opposed? and so i'll just take a moment to attaining the commission for the honor that is continued to give me it is only a position of equals and i'm hoping to continue to follow that rule and give everybody the equal opportunity that they actually have as a commissioner on this commission and i have accepted this as a obligation to complete where we

are going with sf general and our rebuild of the department into our two major divisions that really have appreciated the opportunity to have been working on this with our director and the opportunity to have one more year to help move our agenda so we will continue to have an even stronger department for the city i thank you for that (clapping.) so we're prepared for nominations for vice president they're in order please anyone wishes to make a nomination. >> commissioner chung. >> thank you commissioner president chow i have before city of san francisco left for his business trip he had asked me to nominate him for vice

chair position i have agreed to do so i'm nominating commissioner singer to the president position for a second term are there further nominations for possession of vice president. >> if there are no firefighter nominations will someone move that the nominations be closed. >> so moved. >> second. >> second all in favor, say i. of closing the nomination please i. >> i opposed? and so we'll precede with the vote candidate is commissioner singer all in favor, say i. for commissioner singer as vice president all opposed. >> so we'll record with one opposition am i correct. >> we need to record always

yes as as a matter of fact, we have to remember that open all the votes i'm supposed to indicate that is a new rule we need to indicate the tally and any disinventing votes so we do with that then commissioner singer has been re-elected as vice president for the coming year thank you very much this should conduct the item next item. >> item 7 the affordable health care act enrollment update.

>> good afternoon. i'm with the dpw of policy and planning and pleased to present our fairly enrollment update i believe the last time the commission heard an update was in the fall of 2014 i wanted to start off with an overview of the calendar year and california led the nation in ac a enrollment for the first time prelims to stating we have over 4 million people enrolling the majority k3wr0r8d through medi-cal to many people were added to the total combrofrment of 12 million people and only 8 million before the roll out

and another 1.4 million enrolled in cover california and estimate the uninsured rate drops by 50 percent in san francisco we had similar success we had had about 46 thousand people enrolled in medi-cal expanded coverage the total caseload which does the enrollment has almost doubled over the past year and another 41 enrolled in medi-cal and we saw the healthy enrollment drop by 60 percent ems covered california recently closed up u up it's second enrolled in the middle of february i kind of wanted to do a comparison between last year's open enrollment and this year's