francisco that will win out i want to say congratulations to this incredible start i know at the heart of that as well is the kickoff with a fantastic donation of someone who says we'll make a big effort here i know we're excited about it because quite frankly that's how things get started and navigation centers started with a big few moments ago from someone that's how big doomthsz come through and maybe san francisco general or zuckerberg san francisco general hospital or usf that has a bev i didn't have donors to be part of this and sf can attache case 5 historically problem death can you see cancers and then having people from the community identify and getting early care

and attention and screening and predictions and people in to take care of this early many of the members of the community has not had the opportunity to be invited early to have this discussion early and by the way, we'll do that dooebs so congratulations, everyone and with that, i think we will have public health coming. >> (clapping.) >> thank you very much for those inspirational words we're here because cancer is a problem worldwide and in our city that is the number one cause of death in san francisco it outweighs everything else but people are astonished we know how to prevent half of cancer but not how to implement we need of a to

figure out and that's why this program is so exciting we cannot just figure it out as researchers and can't figure out as public health organizations or community we need to do this together it is very important that everyone understands this is a troy pinching a city that is the department of health it is the communities and the people of san francisco and it is usf providing the research felt facilities and the backbone of sf asking can coming together at an incredibly diverse way that's why san francisco is the right place to do this is the center of innovation when you come up with a new ideas people don't tell you to go away they embrace new ideas and have is a

strong sense of social justice in doing what's right putting that together i can't think of that better place in the world to do this san francisco is a lightning laboratory we figured out things how to help people improve their own heartache in terms of cancer and teach others and good around the bay area and california it is for us to take up this challenge he know in the past we're incredibly proud of really san francisco playground in the aids crisis i building we can play a similar roll in cancer and making that huge impact i need to thank all the partners organization and now i'll put on my glasses to read the list of the partners the city and county of san francisco, san francisco

department of health san francisco consortium the eastern cancer society and the medical society and northern california hospital council kaiser permanente and sf health and chinese hospital and the projects and lastly ucsf this is trying to bring as many people pot center this is to be routine by the planning commission, and may be acted upon by a single roll call vote executive list we'll partner with anyone where we think this is value who think they can benefit and contribute to sf can having said that, i know move on to introduce tom of the san francisco that department of health. >> thank you. >> (clapping.) >> good morning how are you doing one thing to recognize all of us

are personally touched by cancer every single one of us my sister died of breast cancer when she was only 48 years old she had an uncommon - form of cancer that is more prevalence in latino woman and what is the diagnosed it is very aggressive and tends to effect latino women my mom died of lung cancer her on exposure was second-hand smoke okay. so for me this is very personal while we may not have been able to save may sissy know we could have prevents the

lung cancer my mom had this is very important i've been with the health department since 1988 i was here at the peek of the hiv epidemic we want to commend ucsf at ucsf came together with the city and we worked with the city and we impacted the whole world okay and that's what i see ♪ initiative it that not just phone call focusing on doing research that adds to the general knowledge felt world but using san francisco as a laboratory to really fourth how to do this right this is a win-win san francisco wins the world wins we've produce amazing research that will be helpful

the way we are addressing those complex problems no off the shelf solution none of us individually or as agencies have the specific answer to pull off the shelf we have to come together to put our best minds and experiment and the rat problem southern california how to do this together people bring to the table things they aspire to do when we align our efforts and communicate and coordinate we can really make a big difference this is what we call collective impact i believe for us this is a future avenue public health department but i think that is the future how we get things done a lot of health ordinances have social deternlts we say to work together and so i have a huge amount of gratitude with ucsf i get all my clinic

training and born and raised in san francisco i'm proud that ucsf is doing this and we know they'll take a holistic approach with that, we want to introduce dr robert hostility who's the chair of the epidemiology will continue the conversation thank you >> thank you on exciting moment for me i'm a physician and taken care of of physicians most of my life and an epidemiologist and concerned about the population that led me working with allen and others which is other people have said really a unique initiative in the acceptance

that that is bringing together all aspects of health interested parties in san francisco to do something that is really hard and complex and only done if we have a collective impact on the process cancer is the number one killer in san francisco as allen said by car more important as a public health medical on or about than other problems might maybe 13 hundred san franciscans die every year from some sort of cancer and 4 thousand plus new cases every year so in one sense it is is manageable number and a big number we shouldn't have a tolerant in a city with the kind of resources and expertise and willingness to work together and willingness to build something

with a collective impact this is something where we are starting with cancers which effect the most people in the city their may not be one and 40 types of cancers but a small amount of cancer 50 percent of the dedicates overall we know how to prevent them and what to do there are individual efforts across the city and across the country to do that the most effective thing is patrolling tobacco use excellent expertise here to further our work with tobacco control for many other types of cancer we have expertise in the city for many teaches screening early detention for colin and breast cancer and prostate skrg secretary of interior and expertise in programs to detect

and do something that hip it's and sustain our efforts over time we can make a huge impact sustaining the efforts over time this is it is a research project this is not something funded currently or anticipated to be funded by the national institute over a 3 or 5 year period and then over we intend for this to be sustained for 10, 15, 20 years to really see an impact over the period of time we need to have everyone's participation that's the idea of collective impact so not just ucsf or the department of health it is all the hospitals and the clinics and the community groups that all have an interest ♪ tomas has given a personal

perspective that is important to remember if we look at it the community it is one of the biggest problems it should effect us personally the things we're focused on we see the slut numbers and reducing disparities tailor difference across the city and across the country with the groups and social groups and lgbt community members and geographic areas we have the data that allows us to describe cancer in san francisco very accurately in terms of numbers and disparities and trends, social status >> economic so those are the measures we want to impact over time and we have turn off all electronic devices. focused on every single one of those areas but many members in the audience currently working on this to focus what la be the steps to take to see progress

down the line to join the collective efforts something we're esteeming excited people will heart of that effort and i'm just looking forward to next steps and really making a difference one of the key partners in this effort are community members and i'd like next to introduce arnold perkins a close friend of the current charger of our community advisory board and psa and arnold say a couple of words. >> (clapping.) >> mayor ed lee thank you for your partnership with the city ♪ effort it is good seeing you

this is an important effort to be on the ground floor and sometimes getting in on the ground floor you have to have someone from the outside and say something is not right and allen came in if england and observed that cancer is not attacked as it should be within the community ambassador more importantly in the community that underserved so we talk about health it is equity that creates disparity and people have not been treated in an equitable fashion especially people of color within the last to be diagnosed and the first to die and this effort is an important effort to stop that one one-size-fits-all does not fit all this focuses on the

cultural aspects of those communities and addresses where people sit and stand that is exciting we're building something new allen said be bold those words stuck with me my father used to say more said than is done i want to make sure with we do not just say this kickoff effort is a great feeling but a better feeling in time which i see the results of us serving the community that is underserved that year i've had - >> (clapping.) >> - 9 friends who have passed its from cancer 9 since thanksgiving and to me that is an outrage epidemic we have to stop and giving me to rest with all of us coming th