>> san francisco city clinic provides a broad range of sexual health services from stephanie tran medical director at san francisco city clinic. we are here to provide easy access to conference of low-cost culturally sensitive sexual health services and to everyone who walks through our door. so we providestd checkups, diagnosis and treatment. we also provide hiv screening we provide hiv treatment for people living with hiv and are uninsured and then we hope them health benefits and rage into conference of primary care. we also provide both pre-nd post exposure prophylactics for hiv prevention we also provide a

range of women's reproductive health services including contraception, emergency contraception. sometimes known as plan b. pap smears and [inaudible]. we are was entirely [inaudible]people will come as soon as were open even a little before opening. weight buries a lip it could be the first person here at your in and out within a few minutes. there are some days we do have a pretty considerable weight. in general, people can just walk right in and register with her front desk seen that day. >> my name is yvonne piper on the nurse practitioner here at sf city clinic. he was the first time i came to city clinic was a little intimidated. the first time i got treated for [inaudible]. i walked up to the redline and was greeted with a warm welcome i'm chad redden and anna client of city clinic >> even has had an std clinic since all the way back to 1911. at that time, the clinic was founded to provide std

diagnosis treatment for sex workers. there's been a big increase in std rates after the earthquake and the fire a lot of people were homeless and there were more sex work and were homeless sex workers. there were some public health experts who are pretty progressive for their time thought that by providing std diagnosis and treatmentsex workers that we might be able to get a handle on std rates in san francisco. >> when you're at the clinic you're going to wait with whoever else is able to register at the front desk first. after you register your seat in the waiting room and wait to be seen. after you are called you come to the back and meet with a healthcare provider can we determine what kind of testing to do, what samples to collect what medication somebody might need. plus prophylactics is an hiv prevention method highly effective it involves folks taking a daily pill to prevent hiv. recommended both by the cdc, center for disease control and prevention, as well as fight

sf dph, two individuals clients were elevated risk for hiv. >> i actually was in the project here when i first started here it was in trials. i'm currently on prep. i do prep through city clinic. you know i get my tests read here regularly and i highly recommend prep >> a lot of patients inclined to think that there's no way they could afford to pay for prep. we really encourage people to come in and talk to one of our prep navigators. we find that we can help almost everyone find a way to access prep so it's affordable for them. >> if you times we do have opponents would be on thursday morning. we have two different clinics going on at that time. when is women's health services. people can make an appointment either by calling them a dropping in or emailing us for that. we also have an hiv care clinic that happens on that morning as well also by appointment only. he was city clinic has been like home to me. i been coming here since

2011. my name iskim troy, client of city clinic. when i first learned i was hiv positive i do not know what it was. i felt my life would be just ending there but all the support they gave me and all the information i need to know was very helpful. so i [inaudible] hiv care with their health >> about a quarter of our patients are women. the rest, 75% are men and about half of the men who come here are gay men or other men who have sex with men. a small percent about 1% of our clients, identify as transgender. >> we ask at the front for $25 fee for services but we don't turn anyone away for funds. we also work with outside it's going out so any amount people can pay we will be happy to accept. >> i get casted for a pap smear

and i also informed the contraceptive method. accessibility to the clinic was very easy. you can just walk in and talk to a registration staff. i feel i'm taken care of and i'm been supportive. >> all the information were collecting here is kept confidential. so this means we can't release your information without your explicit permission get a lot of folks are concerned especially come to a sexual health clinic unless you have signed a document that told us exactly who can receive your information, we can give it to anybody outside of our clinic. >> trance men and women face really significant levels of discrimination and stigma in their daily lives. and in healthcare. hiv and std rates in san francisco are particularly and strikingly

high were trans women. so we really try to make city clinic a place that strands-friendly trance competent and trans-welcoming >> everyone from the front desk to behind our amazement there are completely knowledgeable. they are friendly good for me being a sex worker, i've gone through a lot of difficult different different medical practice and sometimes they weren't competent and were not friendly good they kind of made me feel like they slapped me on the hands but living the sex life that i do. i have been coming here for seven years. when i come here i know they my services are going to be met. to be confidential but i don't have to worry about anyone looking at me or making me feel less >> a visit with a clinician come take anywhere from 10 minutes if you have a straightforward concern, to over an hour if something goes on that needs a little bit more help. we have some testing with you on site. so all of our samples we collect here. including blood draws. we sent to the lab from here so people

will need to go elsewhere to get their specimens collect. then we have a few test we do run on site. so those would be pregnancy test, hiv rapid test, and hepatitis b rapid test. people get those results the same day of their visit. >> i think it's important for transgender, gender neutral people to understand this is the most confidence, the most comfortable and the most knowledgeable place that you can come to. >> on-site we have condoms as well as depo-provera which is also known as [inaudible] shot. we can prescribe other forms of contraception. pills, a patch and rain. we provide pap smears to women who are uninsured in san francisco residents or, to women who are enrolled in a state-funded program called family pack. pap smears are the recommendation-recommended screening test for monitoring for early signs of cervical cancer. we do have a fair amount of our own stuff the day

of his we can try to get answers for folks while they are here. whenever we have that as an option we like to do that obviously to get some diagnosed and treated on the same day as we can. >> in terms of how many people were able to see in a day, we say roughly 100 people.if people are very brief and straightforward visits, we can sternly see 100, maybe a little more. we might be understaffed that they would have a little complicated visits we might not see as many folks. so if we reach our target number of 100 patients early in the day we may close our doors early for droppings. to my best advice to be senior is get here early.we do have a website but it's sf city clinic.working there's a wealth of information on the website but our hours and our location. as well as a kind of kind of information about stds, hiv,there's a lot of information for providers on our list as well. >> patients are always welcome to call the clinic for there's a lot of information for providers on our list as well. >> patients are always welcome to call the clinic for 15, 40 75500. the phones answered during hours for clients to questions.

>> >> >> they tend to come up here and drive right up to the vehicle and in and out of their car and into the victim's vehicle, i would say from 10-15 seconds is all it takes to break into a car and they're gone. yeah, we get a lot of break-ins in the area. we try to -- >> i just want to say goodbye. thank you. >> sometimes that's all it takes. >> i never leave anything in my

car. >> we let them know there's been a lot of vehicle break-ins in this area specifically, they target this area, rental cars or vehicles with visible items. >> this is just warning about vehicle break-ins. take a look at it. >> if we can get them to take it with them, take it out of the cars, it helps.

>> hi today we have a special edition of building san francisco, stay safe, what we are going to be talking about san francisco's earth quakes, what you can do before an earthquake in your home, to be ready and after an earthquake to make sure that you are comfortable staying at home, while the city recovers. ♪ >> the next episode of stay safe, we have alicia johnson from san francisco's department of emergency management. hi, alicia thanks to coming >> it is a pleasure to be here with you. >> i wonder if you could tell us what you think people can do to get ready for what we know is a coming earthquake in san francisco. >> well, one of the most things that people can do is to make

sure that you have a plan to communicate with people who live both in and out of state. having an out of state contact, to call, text or post on your social network is really important and being able to know how you are going to communicate with your friends, and family who live near you, where you might meet them if your home is uninhab hitable. >> how long do you think that it will be before things are restored to normal in san francisco. >> it depends on the severity of the earthquake, we say to provide for 72 hours tha, is three days, and it helps to know that you might be without services for up to a week or more, depending on how heavy the shaking is and how many after shocks we have. >> what kind of neighborhood and community involvement might you want to have before an earthquake to make sure that you are going to able to have the support that you need. >> it is important to have a good relationship with your neighbors and your community.

go to those community events, shop at local businesses, have a reciprocal relationship with them so that you know how to take care of yourself and who you can rely on and who can take care of you. it is important to have a battery-operated radio in your home so that you can keep track of what is happening in the community around and how you can communicate with other people. >> one of the things that seems important is to have access to your important documents. >> yes, it is important to have copies of those and also stored them remotely. so a title to a home, a passport, a driver's license, any type of medical records that you need need, back those up or put them on a remote drive or store them on the cloud, the same is true with any vital information on your computer. back that up and have that on a cloud in case your hard drive does not work any more. >> in your home you should be prepared as well. >> absolutely. >> let's take a look at the

kinds of things that you might want to have in your home. >> we have no water, what are we going to do about water? >> it is important for have extra water in your house, you want to have bottled water or a five gallon container of water able to use on a regular basis, both for bathing and cooking as well as for drinking. >> we have this big container and also in people's homes they have a hot water heater. >> absolutely, if you clean your hot water heater out regularly you can use that for showering, drinking and bathing as well >> what other things do people need to have aren't their home. >> it is important to have extra every day items buy a couple extra cans of can food that you can eat without any preparation. >> here is a giant can of green giant canned corn. and this, a manual can opener, your electric can opener will not be working not only to have one but to know where to find it in your kitchen.

>> yes. >> so in addition to canned goods, we are going to have fresh food and you have to preserve that and i know that we have an ice chest. >> having an ice chest on hand is really important because your refrigerator will not be working right away. it is important to have somebody else that can store cold foods so something that you might be able to take with you if you have to leave your home. >> and here, this is my very own personal emergency supply box for my house. >> i hope that you have an alternative one at home. >> oh, i forgot. >> and in this is really important, you should have flashlights that have batteries, fresh batteries or hand crank flashlight. >> i have them right here. >> good. excellent. that is great. additionally, you are going to want to have candles a whistle, possibly a compass as well. markers if you want to label things if you need to, to people that you are safe in

your home or that you have left your home. >> i am okay and i will meet you at... >> exactly. exactly. water proof matches are a great thing to have as well. >> we have matches here. and my spare glasses. >> and your spare glasses. >> if you have medication, you should keep it with you or have access to it. if it needs to be refrigerated make sure that it is in your ice box. >> inside, just to point out for you, we have spare batteries. >> very important. >> we have a little first aid kit. >> and lots of different kinds of batteries. and another spare flashlight. >> so, alicia what else can we do to prepare our homes for an earthquake so we don't have damage? >> one of the most important things that you can do is to secure your valuable and breakable items. make sure that your tv is strapped down to your entertainment cabinet or wall so it does not move. also important is to make sure that your book case is secure to the wall so that it does not

fall over and your valuable and breakables do not break on the ground. becoming prepared is not that difficult. taking care of your home, making sure that you have a few extra every-day items on hand helps to make the difference. >> that contributes dramatically to the way that the city as a whole can recover. >> absolutely. >> if you are able to control your own environment and house and recovery and your neighbors are doing the same the city as a whole will be a more resilient city. >> we are all proud of living in san francisco and being prepared helps us stay here. >> so, thank you so much for joining us today, alicia, i appreciate it. >> absolutely, it is my pleasure. >> and thank you for joining us on another edition of building

>> san francisco, the most beautiful city on the planet. let me take a moment to introduce myself. my name is kimmy, and you listen to me every morning on the morning dream team. it is a pleasure to be here. there are events that i do, but there's events that mean a lot to me. i'm born and raised in san francisco san francisco.

i'm a bernal heights baby, courtland kid, so when i hear that galileo high school is not only the city champs but the state champ, it makes me extra excited. and when president london breed asked me to emcee this event, it's clear there's no place i would rather be than right here right now. so we are here to honor you guys. the focus is on you. we are so proud of you, and on behalf of the city and county of san francisco, can we just all say congratulations? cha yes. give these young men a standing ovation for all the times you were tired, you wanted to quit, they didn't you couldn't do it, they didn't believe in you.

what are these guys from san francisco going to do? they're going to bring home the ship. see, bring home the ship. so we have a lot of people here to celebrate all your success, and it is my pleasure, i would love to bring up our first speaker. we have the incredible vice president of the school board, stevon cooke, please. >> it is such an honor to be here to represent the san francisco unified school district at city hall, but i think because the walls are lit with purple, it's somebody else today. whose house? whose house? we have the state champion

g-house to that because these incredible student athletes, as a previous speaker said, won the city championship, but took it all the way to win the 6 a championship state title. i would like to take a moment to recognize some leaders from the school district. we have president hydro-mendoza mcdonald today, our athletic director for the school district, don collins, is also here. and the principal of galileo high school has joined us. dr. matthews, our superintendent, wanted to be here, but unfortunately, his father passed this weekend, so if we can keep his family in our hearts and our prayers as they go through this difficult time. this is a really incredible occasion. the first time in the history

of our city we can gather in honor of a state football champion. so welcome to city hall, congratulations, galileo high school. let's do it again next year. [applause] >> now, as you know, you have a very famous alumni who went out of her way to put this together for you. she's sitting here in the front row. she's been here for all the right reasons, and we all trust her, and if it wasn't for her, i wouldn't be standing here. so ladies and gentlemen, please put your hands together for the

one and only president london breed. [applause] >> the hon. l. breed: all right, all right. it's time for a real celebration, and let me start by saying that galileo is always making history. when i went to galileo, with tyrell and dari, and i don't have any glasses on, so i can't see anyone else back there, but it was the first time in the history of the city and county of san francisco that there was ever a threepeat, where we won turkey day three years in a row. first time in the history. no one, no one has ever broken that record. galileo is known for always having an incredible football team.

and i was there turkey day when you guys beat mission. now i love all the kids, but mission's basketball team was here a couple years ago, and i had to give it to them because they were the first to bring a basketball state champion to san francisco, and the galileo lions are the first to bring a state championship to san francisco. [applause] >> the hon. l. breed: thanks to the leadership of coach huynh, who is a lot older than i am, but we went to galileo at the same time, a at some poico ago when galileo won, we honored them here at the board of supervisors, and what is so incredible about what you did, the hard work, the team work, the commitment, the consistency, the drive. when you were out there playing turkey day, i just felt like i

was a teenager again, routing for the teams that i used to root for when i was a kid. i was so proud, i was so excited, and i was so incredibly grateful that you basically brought the galileo spirit back to the hearts of so many generations of galileo lions. so you're not just inspiring the people you go to school with, you're inspiring the entire city. this is the first time that a school, not just a public school, but a private school, any school in the history of this city, they have never done what the galileo lions have done with the state championship. [applause]. >> the hon. l. breed: and there are so many people here to celebrate. they are alumni, they are

family, they are friends. this is all for you, but i have a surprise, one that you probably didn't anticipate. now, you know, when you win the superbowl, what do you get for winning the superbowl? you won a state championship. you're getting rings for the state championship. [applause]. >> the hon. l. breed: you're getting rings, yes. yes. so i'm so excited. you're getting rings. you're also getting, which is probably not as exciting, certificates of honor from me personally --

[applause]. >> the hon. l. breed: from our assessor-recorder, carmen true, who's here. and the point is i was when at galileo high school, the reason why i even thought about going to college is because there were so many amazing people who supported me, who encouraged me, who looked out for me and who ensured that i stayed the course. you all have inspired so many people, and you've got to continue to work and continue to stay the course. here in the city and county of san francisco, we celebrate and we honor you tonight. and the real work continues the next day when you study and you've got to make sure you go pass those tests. we are counting on you. we are counting on you to be the next generation of leaders. we are counting on you all to go to college. we want to see great things out of each and every one of you, and it is on behalf of the city

and county of san francisco, truly, my honor, as an alumni of galileo, to be here today to celebrate with you and your family and friends. thank you so much for being here, and at this time, i am going to issue the certificates of honor and ask -- am i? i know we have some more speakers here -- or we can do it at the end. we'll do it at the end? okay. so at this time, i'm going to turn it back over to kimmy, and we didn't have the rings tonight because you have to do what? give your ring size, but you're going to have rings, so i want you to wear those rings with pride and show them what the galileo lions are made of. thank you, everyone, for being here. [applause].

>> once again, thank you president london breed. you guys are getting rings. whoo, you guys are getting rings. now, with every team, you have to have a leader, and every leader has a story. in this era, we're talking about dreamers and people with dreams. i bet you $5 at no point did coach huynh ever dream that he would be sitting here in city hall with state champions at his fingertips. you think so? coming from vietnam at the age of seven, making his way up, coming over here, and look at the young men that you've inspired, coach. it is time for us to honor you. san francisco, get on your feet for your championship coach, coach huynh.

[applause] >> i didn't know i was supposed to talk, so i got this prepared. actually, now, before i speak, we have a gift for london. i'll bring it down to you. we have the boys signing this for you, uh-huh. and we have this for you. there you go.

[applause]. >> all right. it's thank you for -- for this. i was telling them earlier, when we came in 2013, we didn't have this. we had upstairs in a quick meeting, we had a picture here. when i first walked in, and i saw this, i was impressed. are you guys impressed? i just want to say, for me, as a coach, you're right. when people ask me, did you ever think you'll win a state championship? no, not in my lifetime. i thought i could help build a program leading up to the state championship. i knew we had a chance to win the city championship, but to move on two more games and win the state championship -- i had a player who always asked me after the day is over, how do you feel, coach? i feel excited. big norcal game, i'm excited.

state championship, i have no words. and it's the fact that you guys, you don't feel it yet, but you guys are part of a tradition at gal, a part of a family at gal. you guys feel it, right? [applause]. >> and it's not -- it's not going to leave, right? nobody's taking this away from you guys, so as a coach, i do appreciate being a part of you guys winning the state this year. so i'm blessed in that way, all right? and other than that, there's nothing to say. honestly, i think we'll do it again next year. so you guys go to class and take care of your class academics. that's it. thank you. thank you. [applause]. >> thanks, coach. now, you guys speak football,

right? and we represent the red and gold all day. 49ers. so who better else to give you a celebratory message than a person who's actually represented that team. galileo high school, the one and only san francisco 49er legend dennis brown. [applause]. >> wow. did you say rings? you guys are getting rings in high school? wow. i don't know -- i don't know about you, but listening to miss breed speak, i was getting fired up, 'cause she was talking football, and she was talking pride. and i think -- i mean, i've come out here every year to be a part of this. and i tell the young men, the young athletes every year, now you're champions, and a lot

comes with being champion -- a champion. folks are looking up to you. your community, they're looking up to you. everywhere you go now, you are -- now, you guys -- first time you guys have won the state championship, correct? you guys are now role models. understand that. a lot of athletes don't get that part. you are now a role model. everything you do in the city, in school, at home, everybody's looking up to you now. huge responsibility. congratulations to you, but understand, there's a lot of responsibility, and everything you did to win that state championship, you've got to do it in the classroom. all that dedication, all that extra work, you've got to do it. that's what's got to happen. now, i wear my ring with pride. everywhere i go, i tell people, i am a former san francisco 49er, but i am a champion, and

i carry myself as a champion. so this day is fun, but understand you guys are role models, and everyone's looking up to you. so congratulations, thank you from the san francisco 49ers, thank you, london for having us out here. thank you, london. understa understand, you've got a responsibility now, and let's do it again. thank you very much. >> thank you very much, and it's at this time may i please call the captains of the championship team to the podium, please. [applause]. >> all right. who's going first? talk to your team.

[applause]. >> i'm not good at speech, so i would like to say thank you for inviting us here, and thank you coach mark for the dedication for four years, saying i want to be a quarter back. coach black, i hate you so much on the field sometimes, but deep in my heart, i love you. i love you so much, coach. especially you guys, i love you guys. and keep it a secret, you'll always be my family. baseball...and yeah, thank you so much. [applause]. >> all right. all right. all right. i say it's been fun, a lot of fun. i didn't think we'd make it to

state, but then i saw, i realized all the talent we had, some of it. and thank you for inviting us here. it's very nice. i've never been here, so it's a good experience. and thank you to my coaches for letting me play. we did all the hard work through my four years here, and it was fun. thank you. [applause]. >> all right. these four years have been really fun. i never -- like, never thought i would get here to this point. i was, like, being a wide receiver, because my freshman year, i want a lineman. now, it's really new to me. and then, i just slowly transitioned over, and i never knew that it was -- like, this can happen. i -- like, we won a championship my freshman year, and i really wanted to win it,

like, either my junior or senior year, too, but i never knew we could go, like, farther than that. okay. thank you. [applause]. >> first of all, i want to say thank you for inviting us. also, i have fun this four years. i never knew it would come this fast, but also, i'd like to thank my whole team for actually showing me what brothers are. but in my freshman year, i wasn't doing so good, and my grades weren't so good. then, my coaches, they motivated me and said i couldn't play because of my grades. so i decided my sophomore year to do better. also my team, they are one of a kind. they are one of a kind. they put what happens in their lives for football, and that's what makes our team special.

we're all different, but when we come on the field, we all act like one, so thank you. [applause] [ inaudible ] >> the captains, they'll look back on this one day: i spoke in there one time. so it's at this point, we are going to award the special certificates, so at this time, i need a little help. president london breed, would you give me a hand, as well as assembly woman carmen chiu, mr. brown, hydro mendoza, as well as council member cooke, we've got a plan.

sure. carmen chiu and steven hsu are up here so handout these certificates. so i'm going to go in alphabetical order. the first name i've got is abdul absahid. joel ali. andr andres -- andre alexander. andres -- reese bickart. copy callantalla.

leon leonel dujardin. ronnie fox. jackie guo. antonio haro. zayru hayes. oh, he had to check -- i'm sorry. brandon ho. andy ix. pedro jaime alas. dason king. joh johan lacayo.

eric larreynaga. roberto lee. brian lee. kingsley mai. max miles. jiovani molina. donny nguyen. rafael oropeza. you are next, adrian poot. thomas santos.

yarvell smith. matthew tu. kyree coleman. oh, cesar garcia. can't forget about you. and of course coach mark huynh.

marcus blackshire, jr., is your offensive coordinator. steven carlton is your head coach, and daniel lynch, please come to the stage, assistant coach. and of course, galileo principal, principal bernal. g.

you guys feeling good? give yourselves a round of applause. but before we get out of here, let's give our time to the woman of the hour, the one who made this all happen, your president -- i love how that sounds -- london breed. [applause]. >> the hon. l. breed: just a few remarks to close it out. again, thank you each and every one of you for being here. thank you, mr. brown for being here, thank you to derek brown for all the work he did to

bring it together. thank you so much. [applause]. so you're getting rings, you got certificates, and tonight, city hall will be lit in purple and gold in your honor. [applause] >> the hon. l. breed: whose house? whose house? whose house? let's get fired up and ready to go. thank you, everybody, for being here this evening. have a wonderful night. [applause]. .

>> please note that executive director shireen mcspadden is present. at this time, we ask that you silence all sound producing devices for this meeting. >> thank you, before i ask for a motion to approve the agenda, there's a slight change in the ordering. under -- instead of taking item 8 first, under 7, we will take item d first. so with that change, may i have a motion to approve the agenda. >> so moved. >> second? >> second. >> all in favor? any opposed? thank you. item 3, approval of the january 3rd, 2018 meeting minutes. do i have a motion to approve? >> so moved. >> second. >> any comments or