being here today as we celebrate the individuals that i just had a chance to meet here right behind us. and today is really an amazing day for the city of san francisco. we're showing that once again our city employees, our residents, but our city employees are stepping up to the task. and want to welcome, i know there are 14 individuals that came from our department of public health that went to puerto rico to help the victims of hurricane maria and really dedicated their time and effort

to helping those that are in need. as the city of san francisco, these are the values that we embrace as a city. we've had our own incidents, whether it's earthquake in particular, where we're the beneficiaries of other cities and jurisdictions coming to our help and participating in the rescue efforts here in the city of san francisco. and now we're paying it forward and replicating it in kind. i want to thank all of you personally for representing the city the way that you did. the doctors, nurses, mental health professionals, they are representing our city on the international stage and showing what our city is all about. it's an honor to be here to recognize them for their efforts, for their volunteerism, and really, barbara, to thank you, because i think this is about the testimony of the department that you have created as well. and that you are supporting. we're so lucky to have barbara garcia running our department of health here in san francisco and

the values that we are part of our dna here in san francisco, that we own as a city government, as city employees, are represented here in your department. i'm going to turn it over to you, but as mayor of the city of san francisco, i am so proud today to be here to recognize these individuals. i know we have certificates of honor. i was able to do this the other day, but we have a unique thing called the heart of the city pins, that we're going to give each of these individuals, that did the heroic work in puerto rico. i want to say thank you to each and every one of you for what you did and know how proud we are as a city, but as mayor, proud you represented us so well. congratulations. [applause] we'll give them their gift in a minute, but i want to turn it over to barbara garcia who runs our department of health. [applause]

>> thank you, good morning. and thank you, mr. mayor. we should be proud of all our staff and we're really proud of the support that the city has given our staff to be able to go to puerto rico. you know, we depend on the electricity and water every day. and the people in puerto rico still cannot depend on these fundamental services. the impact of hurricane maria had a detrimental effect on the people and the medical assistance in puerto rico. this is one of the main reasons we sent our 14-member health team to provide support to one of the community clinic organizations. in the northwestern part of puerto rico. the response to emergencies is one of the core responsibilities of any health department and san francisco health department has had decades of experience, so we felt obligated to assist the puerto rican people and their communities medical providers.

you'll hear more from the staff, they supported the clinical staff and continued to provide care to thousands, the clinics in puerto rico. our staff crossed rivers and climbed mountains with local clinic staff to provide medical and psychological support in people's homes. we want to continue to support these clinics and we encourage catastrophens to help us. -- san franciscans to help us. we set up a fund at our public health foundation and all the dollars go to the clinics to continue their efforts. i'm so proud today. and i had my own experience of running a community clinic in a middle of a disaster. i know how important it is to get the support we provided to these clinics, so i want to ask the staff to come up and talk about their experience. the first one is ramona. she'll give opening remarks. [applause] >> hello, everyone. my name is ramona, i'm

registered further at the family health center. i work in the complex care management team at zuckerberg general hospital. i would like to thank everyone who had a hand in putting this together. this was a wonderful medical relief mission. and i speak for everyone when i say this was truly an amazing experience, we feel so blessed to work the staff. the community offers primary care and home care services to patients at risk in the surrounding area. and it's truly serving its community in a time of need. i'm hopeful that the relationships we made there will continue to grow. our time in puerto rico was spent working alongside our brothers and sisters, providing care to patients in their homes. these home visits were in remote mountain areas. our team of nurses, doctors, mental health professionals, pharmacists, outreach team and community leaders would travel

up to two hours every morning along hazardous roads, trying to outreach these vulnerable residents. it's been 217 days since hurricane maria hit. and the people we visit still have no electricity. some no water. and many still have the blue temporary tarps as roofs. these people are still struggling. what i found especially tragic, in these remote areas, many of the patients were elderly. as a result, many of these seniors are taking care of their geriatric parents. from a nursing perspective, patients in need of skin care, wound care, a lot of foot care, nail-trimming, reconciliation. much needed teaching and education around chronic disease management, these were some of the prevalent diseases.

these diseases are made much worse by the stress, anxiety and fear related to this hurricane. we visited a gentleman in his 70s dealing with the stress of the hurricane maria aftermath, no electricity, his hypertension and diabetes and he's the primary caregiver for his mother in her 90s. upon entering the home, our physician recognized that his elderly mother was not well. she had the signs and symptoms of sepsis, it's complicated because of delayed medical attention. we jumped into action, recognizing the signs of this complicated infection and the possible risk of death. the team facilitated medical attention and intervention. everyone working together to improve the outcome of this family. this is just one of many of the success stories we brought back with us. the most healing intervention we

provided was our presence, our time. we provided a sense of humanity, it reminded us them that puerto rico has not been forgotten, seven months after hurricane maria, we still care and wanted to help. puerto rico. [applause] >> good morning. so i'm ricardo, i work for comprehensive crisis services here at the department of public health and feel fortunate to assist in the disaster relief as a senior psychologist. one of the things that happens is that you have the honor of hearing people's pain. you have the honor of

maintaining the confidentiality of what people are suffering. yet in a disaster there is no confidentiality, everybody knows everything. one of the things that happened, this team, none of us really know each other, some of us colleagues, some didn't know each other as well. we blended seamlessly. and became a topnotch primary care clinic on the road that included behavioral health and we found some very chronic conditions. a lot of anxiety. a lot of depression that existed before the hurricane, but exacerbated because of the lack of water, lack of electricity. one of the behavioral health interventions was to get a generator started. a woman could not pull the generator. that is the only way to get

electricity. she's by herself. lost her husband 11 years ago. depressed by herself. children don't visit and there was nobody there to pull her generator. so two of us did. a younger guy than me, he was able to pull it, make it happen. [laughter] so that was our behavioral intervention for her, but we were left with lots of different thoughts about follow-up. one of the beautiful things, the agency responsible for that community took our recommendations and will follow-up, so hopefully this woman will do care. i was in the middle of doing a panic attack treatment when they say, sorry, we got to hospitalize your mom. so he needed medical attention.

he got treated for that. and the mother, yeah, she was really in grave situation. and had this agency not been there, this team, or the other team that was serving them, a number of those people might have died because they just really needed that attention. so i think, i want to support this effort and any other further efforts to continue to do that. we do that at crisis. we respond to disasters, we do the fires up north. i got deployed to katrina and rita and that's the kind of think we do in the city and county of san francisco and we're able to do it. the fact that we're able to spare the staff helped them and gave us the psychological boost. they taught us a great deal on how to be humble, responsive, responsible, ethical. and i'm glad that we in the city

and county of san francisco were able to do that. thank you so much. [applause] >> i want to introduce dr. hammer, i asked her to find a group, identify the group and to lead the group. i'm really proud she did that and she did that with so much pride and also i think, i'm really proud of the work and her leadership. doctor? [applause] >> thank you. thank you for sharing your stories. and to the other members of our amazing team for your service to the department of public health and the people of puerto rico. and sincere gratitude to the mayor and director garcia and everyone at dph for giving us the opportunity to represent the city and county of san francisco on this important mission. our team spent seven days in puerto rico, working alongside

colleagues, a group of four federally qualified health centers based in the northwest part of the island. they're sister clinics to us in many ways. the clinics in san francisco are federally qualified health centers with a mission to serve the most vulnerable members of the community. we each came back from our time with so many stories and images. houses and cars washed down mountainsides, broken bridges and roads. dark living rooms, empty fish tanks. but i think and hope that our most lasting memories are the incredible resilience and sense of hope we encountered. speaking for the clinicians, this mission was a natural extension of our mission in the dph. each of us is called to service. and to a person, we were deeply

honored to have the honor to serve in puerto rico. we rode vans deep into the forest, where we stopped in tiny communities and attended to people in their homes. all of us were left of a renewed connection of what brought us to the healing profession in the first place. our ambassador of hope, as i like to think of them, were the puerto rican partners at csm. they are health care professionals working tirelessly since the hurricane seven months ago to do anything in their power to help their community. ever since the storm passed, their teams have traveled every day to find people in need and bring them whatever they can. food, water, medicine, generators, or just a healing presence. we feel honored to work alongside them. we learned from their example. many people have asked us what they can do to support puerto rico's recovery effort? first and foremost, we should

remember puerto rico and visit there. it's alive, but suffering, and definitely recovering. it's a beautiful and great place to live and work. also, we encourage san franciscans who want to support the relief effort to donate to the clinics we worked with on our trip. you can do that through the san francisco public health foundation. we handed out this flyer. the public health foundation has set up an account to support the clinics and the outreach efforts. please take one of the flyers with you in you want -- if you want to get information how to donate. one of the most enduring memory from our time in puerto rico is families welcoming us into their home, so grateful for the care, medicine, water and food we provided. thank you for coming, these beautiful elders would say to us as they gave us coffee. thank you for not forgetting us. and they expressed their

gratitude not just to us, but the people of san francisco. it was a great honor to represent the department and the people of san francisco. it's also an honor for us to bring back a certificate of honor from the executive director of csm to present to mayor farrell and gift to present to director garcia. [applause] >> this is a certificate of recognition dedicated to the honorable mark farrell, for your initiative of sending aid with health professionals from the city of san francisco to assist those affected by hurricane maria in puerto rico. thanks for your support. it is signed by the executive director of csm. thank you. [applause]

beautiful neck and we bring a gift for director garcia. we acknowledge and appreciated your support everywhere we went when we were in puerto rico. you were the spark that made this happen, so thank you so much for giving us this opportunity and a necklace for you from csm. [applause] ellen davis. [applause]

ricardo. [applause] richard santana. [applause] ann daleman. [applause]

ramona. [applause] steven delgado. [applause] vita mullins. [applause]

jody scottniss. [applause] kenneth pilon. [applause] jesus pestano. [applause] last but not least, halle hammer. [applause]

we're going to do a picture, but how about one more round of applause for everyone here? [applause] i see that vivian is here. and she was our connection to puerto rico. and so i really want to thank her, she also worked for the health center in california. thank you, vivian. [applause]

and this ends the program. [musi]

>> 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. >> >> hi, i'm lawrence. we are doing a special series about staying safe. let's look at issues of water and sewer. we

are here at the san francisco urban center on mission street in san francisco and i'm joined today by marrielen from puc and talk about water and sewer issues. what are things we should be concerned about water. >> you want to be prepared for that scenario and the recommendation is to have stored 1 gallon per person per day that you are out of water. we recommend that you have at least 3-5 days for each person and also keep in consideration storage needs for your pets and think about the size of your pets and how much water they consume. >> the storage which is using tap water which you are going to encourage. >> right. of course at the puc we recommend that you store our

wonderful delicious tap water. it's free. it comes out of the tap and you can store it in any plastic container, a clean plastic container for up to 6 months. so find a container, fill it with water and label it and rotate it out. i use it to water my garden. >> of course everyone has plastic bottles which we are not really promoting but it is a common way to store it. >> yes. it's an easy way to pick up bottles to store it. just make sure you check the label. this one says june 2013. so convenient you have an end date on it. >> and there are other places where people have water stored in their houses. >> sure. if you have a water heater or access to the water heater to your house, you can drink that water and you can also drink the water that the in the tank of your toilet. ;

not the bowl but in your tank. in any case if you are not totally sure about the age of your water or if you are not sure about it being totally clean, you can treat your water at home. there is two ways that you can treat your water at home and one is to use basic household bleach. the recommendation is 8 drops of bleach for ever gallon of water. you add 8 drops of bleach into the water and it needs to sit for 30 minutes. the other option is to boil water. you need to boil water for 5-10 minutes. after an earthquake that may not be an option as gas maybe turned off and we may not have power. the other thing is that puc will

provide information as quickly as possible about recommendations about whether the water is okay to drink or need to treat it. we have a number of twice get information from the puc through twitter and facebook and our website sf water.org. >> people should not drink water from pools or spas. but they could use it to flush their toilets if their source are not broken. let's look at those issues. >> sanitation is another issue and something people don't usually or like to think about it but it's the reality. very likely that without water you can't flush and the sewer system can be impeded or affected during an earthquake. you need to think about sanitation. the options are simple. we recommend a set up if you are able to stay in your building or house to make sure

that you have heavy duty trash bags available. you can set this up within your existing toilet bowl and once it's used. you take a little bit of our bleach. we talked about it earlier from the water. you seal the bag completely. you make sure you mark the bag as human waste and set it aside and wait for instruction about how to dispose of it. be very aware of cleanliness and make sure you have wipes so folks are able to wash up when dealing with the sanitation issue. >> thank you so much,

i want to thank everybody for joining me here today for this special announcement. we're all here today because we care about our home. we care about the city of san francisco. san francisco is a world class city. we have world class attractions. world class institutions. we have world class residents. and a world class civic leaders. but we have a world class problem right now. our streets are filthy. filled with debris, litter, human waste and drug

paraphernalia. it's unacceptable. the status quo on our streets today is unacceptable. a child should not have to walk over a needle on their way to school in the morning. a business owner should never see garbage strewn across their store front in the mornings. this is not confined to one neighborhood or district, it's plaguing communities across the entire city of san francisco and affecting residents and families in every part of our city. and we need to act as a city government. so that is why today, i'm introducing our city-wide and comprehensive street cleaning plan. a far ranging plan that seeks to address these challenges across the entire city of san francisco. over the next two years, i'm committing over $13 million in new funding that will make our city cleaner, safer, and healthier for all residents. and i am making clear today that

this is a top priority for me. and i will work every day as mayor to see this plan through. these new investments will include 44 new neighborhood cleaning workers. which means every single supervisor -- and i want to thank supervisor safai for being here, supervisor kim for being here, who has started atlantic lot of the -- a lot of the conversation inside city hall. they will be able to allocate where the street cleaners will go, because it is our neighborhood supervisors and their district supervisors that know their own neighborhoods. that know their own districts. they will target corridors that are most in need of this help. we're also going to have a dedicated cleanup team in the south of market district. the area where we have the most residents, visitors and people working in our city than any

other neighborhood in san francisco. if you've taken a walk there lately, you will understand the need for street cleaning in that area. in addition, we're going to be extending our pit stop system. pit stops which are safe monitored public toilets, or proven model to reduce human waste in our industry. let's be clear, san francisco resume departments, our visitors, the people who work here should not be seeing human waste on our streets. when people defecate and urinate on our streets, the city has to do something about it. we're increasing the pit stop hours at five of our existing pit stops. they're going to be added to high risk communities, where we see the most amount of human waste in the city. we want to make sure people have a dignified place to use the bathroom, in a dignified environment. an environment that will keep

our city streets clean. we're also supporting these additional new staffing and operations with additional equipment. our two-year budget will include over $3 million for new equipment which includes some of these rival street cleaners that you see today. after we're done, there will be a demonstration of the new street cleaners if you would like to be here and stick around. these street cleaners make a difference in our neighborhoods, they make a difference on our streets and that's what we want to do with the funding initiative. these are all great new investments and we're also pairing them with other initiatives. so we have a great fix-it team here in the city of san francisco, led by sandra. i want to thank her for being here today. there she is. [applause] these fix-it teams have been created for a specific reason, to respond to our neighborhood needs and respond quickly. each community in san francisco, each neighborhood in san francisco we know has its own

issues. whether it's broken streetlights, graffiti, needle pickup. our fix-it team is pounding the pavement every day, addressing quality of life concerns in a quick and efficient manner. i know every single neighborhood that has seen a fix-it team has been overwhelmed with response and positive by the effect we're having in the neighborhoods. i want to thank sandra who is here today for leading the team. she does an amazing job listening to our community and coming up with specific plans for every single neighborhood. because of her team success, we'll grow from 25 to 35 teams across the entire city of san francisco. and these new street cleaning investments where we see the fix-it team expanded will build upon the existing efforts we're leading on our streets today. earlier this week, we announced the creation of a new rapid response team specifically dedicated towards picking up our

needles and syringes. they'll be canvassing hot spots, identified by residents, and they will address this health epidemic in our city. we have a needle epidemic and we're finally doing something about it. so together this is an ambitious effort. and i know i only have a few months left as the mayor of this great city of san francisco, but i plan on sprinting to the finish. i know i'm surrounded by dedicated city officials, elected officials and committed people who want to see our city cleaned up and who are eager to carry out these initiatives. i want to thank mohammad, our department of public works director, and your entire team, many of which are behind us today. [applause] again, i want to thank supervisor safai, whose district we're in today, as well as

supervisor kim, who has been pressing on these issues or some time. this is an issue that affects every single resident of san francisco. this will be a sprint to the finish. but i want to make sure that san francisco residents know that as mayor of this city, i am committed to make sure i leave our streets in a cleaner, safer environment than they've been before. with that, i want to thank you all for coming and i'm going to bring up muhammad nuru, head of the department of public works. >> let me begin by thanking mayor farrell for the leadership who has shown in providing some of the resources that we need to clean up all the things that the mayor said. our city is a beautiful city and we have some areas, challenges we're faced with every day. these resources will definitely go towards helping change some

of those concerns that we have. those 44 sweepers that will be in the various neighborhoods in san francisco, i will work with the various supervisors and they'll tell us some of the areas they're concerned about. those sweepers will be block sweepers. many cities all over the world, paris, london, shanghai, it's this model they have used, having someone on the block that takes care of several blocks and that person makes sure it's clean, free from graffiti, but more importantly build a relationship with the people on the blocks so there is communication and dialogue and then we're able to get that back to the department level and bring our partners in to respond. i know this will make a difference, because it's on the block, block by block, we'll take our city back. the additional hours to the pit stops will also make a huge difference. when we started this program,

since two years, 2014, we have seen a huge increase in the number of flushes. so increasing hours will definitely make more bathrooms available to people who want to use them. it's for everybody, not just the homeless or just a certain group of people, all people can use them, they're staffed, clean and they're a good place. when you want to go, there is a new place for you. five new locations also. we will look for those locations all around the city and that will make a difference. our fix-it teams, we're really excited about the work that they do. they're the arm that really gets into the neighborhood and gets to hear the concerns that people have about the city and they work with all the city departments to address those problems. so it's not just the quality of streets, or the trees, it's also the parking signs, the crosswalks. it's all the things that affect the quality of life. all these programs, in addition

to the funding for new equipment will help us. right now, because of all of the demands, we're getting hundreds and hundreds of calls every day and we're double and trip-shifting our steam cleaners and a lot of our equipmentment with this funding we'll be able to buy more equipment and focus in the many hot spots in the areas that we get calls. and i'm really excited about that. i want to thank the supervisors for their leadership, but most importantly mayor farrell has taken a step in the right direction for this city and i'm proud to lead the department of public works, because we're ready to do what san francisco expects from us from public works. thank you. [applause] thank you. welcome to district 11, i'm supervisor safai. i want to start by saying that this is a real proposal. this is a real solution. i happen to have started my career in the department of

public works working for muhammad and we started ambassador program under mayor newsom. we gave people an opportunity to work and to focus on areas of the city that needed the most focus for cleaning up. it's not just about trash on the street, it's about working with businesses, working with residents to educate them on their responsibilities. people think that it's just the city's responsibility to clean the streets. it is the city's responsibility and i want to thank mayor farrell for the massive commitment in the right direction. 44 people will make a difference in what we see. but they will also be about educating people. in the past year i've worked with director nuru and our former mayor lee. we redoubled our efforts from silver to geneva, we've increased the amount of people cleaning on our streets, but i get calls daily about illegal

dumping. i get calls daily about how the trash has increased all over our city. and particularly in my district, obviously because that's the calls i get the most. but the thing i like most about this proposal and i'll end with this, this is a balanced proposal. this is spreading out resources all over the city, because trash is not just located and the frustration and filthy streets are not just located in one part of san francisco. it's all of san francisco that is feeling this frustration. so thank you to mayor farrell, thank you to director nuru and sandra and the fix-it team, they have made a difference, but this money, street sweepers and pit stops will make a difference and every neighborhood should benefit, so thank you very much, mayor farrell. i'm going to bring up a neighborhood resident, linda, she's going to talk about things from the neighborhood perspective.

>> thank you, supervisor. thank you, mayor farrell. and supervisor kim. and all the other city officials who have worked so hard to make street cleaning and our neighborhoods a priority for this type of life experience. i am just one resident, but i'll tell you, there are dozens and dozens of folks like me who want to see our communities cleanedup and want to pitch in. and want to know what we can do to help. i agree, this is a very balanced proposal and this shows what we can do when we put our heads together. we've talked for years in our neighborhood about anti-littering campaigns through the schools and with the kids. and in our parks. pack it in, pack it out, leave no trace. those kinds of things can work. and those campaigns, but with the extra money and the extra feet behind that, that is going to make it even better.

so as a 20-year resident of this neighborhood who loves our community and wants to see it thrive as we know it can, we need this assistance and i appreciate everyone who is here to bring this together. thank you so much. [applause] >> i also just want to thank mayor farrell for taking a leadership role in ensuring that we'll have the investments that are needed in all of our neighborhoods in san francisco. we know that street cleaning has become an issue and we see it in the e-mails we get in our office, but also when we walk in our own neighborhoods. but the data showings it as well. in 2015, we had roughly 40,000 additional calls for services. and two years later, that number has doubled to close to 80,000. so we know that we're seeing a need for additional street cleaners. so i'm so excited about the 44 new sweepers that we'll have on

the block that will be manually cleaning our busiest corridors. i'm very excited about the machines and the performance that we'll be getting after the press conference. but finally, i'm incredibly excited about the expansion of the pit stop stop. i want to thank mayor farrell for investing the money. we have 18 pit stops currently throughout the city and they started in the tenderloin neighborhood. i was proud to lead that with director nuru and it has been a tremendous success. in every block, we've put one in, we've had reduction of cleaning request, which led us to save water, which is a precious commodity here in the state of california and san francisco. so thank you again to everybody. i want to thank all the men and women at public works. they do the hard job of picking up the trash, the litter, the needles and to sandra, who personally visits our businesses and our residents on a daily

basis and responds to a lot of very difficult complaints. i just want to thank you for your leadership and thank all of the members of your team. thank you very much. [applause] >> thank you, supervisor kim. supervisor safai, linda, muhammad, the entire team, everyone helping with the effort, this press conference is over. we are going to a demonstration of the ravo machine, i don't know if muhammad is driving it, we'll see, but i'll stick around for questions after as well. thanks, everyone.

>> good morning. i love this day. it's wonderful to be here with all of you. so many people in the room who are my favorite people in the planet. thank you for joining us this morning. every year we try and make this breakfast as special as possible to celebrate our work together. on behalf of the environment, on behalf of our city and on behalf of our plan secretary this year is of course no