the work on-site have a significant impact of terms of how much they're diverting versus buildings that don't. >> i would just ask that you also look at it as a bigger picture of building owners. so for example, himes has 555 california. they can be able to have -- i'm sorry. boston properties and embarcadero, they only have one building that's sorting or over himes building on mission and 2nd street is only -- out of their 28 buildings, they're only recycling at one. they only have one sorter at one of their 28 buildings, and i would look at it in that order. when we are doing our surveys of how many sorters we have in buildings, we look at it by building owner, and these are not just i own one building, these are really property owners that are expansive,

j.l.l. buildings, boston property buildings. now you have himes or whatever, but i would just ask that you look at it by owner and to look at it by sorters to provide that information. >> supervisor safai: we will. any other members of the public wishing to comment on this item, please come forward. seeing none, public comment is closed. [ gavel ]. >> supervisor safai: and i will just say, i appreciate the work the department of environment did. thank you to recology coming out. i think they are a wonderful partner. thank you to the teamsters and the janitors for coming out today. i think we've learned quite a bit. we will continue to work -- we've already started some things working with your office, drar -- director rafael, and i think we will continue in that motion. i think it's interesting to hear the teamsters say they're doing it in south city and other places and they're looking at the black stream. so maybe that's a conversation we can have with recology, and

looking at these large property owners, we've already started a conversation with you. we will reach out to them and the janitors and keep this conversation. thank you -- i guess what do we need to do, make a motion to file this? >> yes. >> supervisor safai: make a motion to file the hearing. >> supervisor ronen: yes. thank you. before i ask you to call item number four, mr. clerk -- i'll wait for one sec. i just wanted to acknowledge and welcome supervisor mar back into the committee room. it's so good to see you back in, supervisor mar. call the next item, mr. clerk. >> clerk: also, i'm going to mention for the benefit of the

public, the house has changed. we have supervisor yee sitting as a member for the remainder of the meeting. [agenda item read] >> supervisor ronen: supervisor yee? >> supervisor yee: thank you very much, supervisor ronen. as you know, may is asian pacific american heritage month, and it's drawing to a close. and i am proud that i was able to partner with the community in this joint legislative effort to remove a racist antiasian legacy from one of our city's public playgrounds, the julius kahn playground in the presidio. our parks and open spaces are meant to be welcoming and open for all to enjoy, regardless of race, religion, gender or other differences. however, former congressman

julius kahn's antiasian immigration policy during the early 1900's did not espouse the values that san francisco stands for today: values of respect for diversity, values of tolerance, and values of -- to be inclusive, and appreciation of the many contributions of our immigrant communities. instead, julius kahn's bill made permanent the chinese exclusion act. he further targeted other asian communities by advocating for legislation to also exclude filipinos, japanese and american indians from entering the united states. todd's motion at this hearing to remove joule cuss kahn's name and rename the playground is very symbolic, especially

during this month where we have been celebrating and recognizing the richl and long history of asian american's contributions to our city and to our country. today, will you please send a powerful message to our fellow san franciscans that san francisco will continue to be a city that values diversity, inclusion, and tolerance? that we will not tolerate racism, bigotry and exclusion? i want to say that my father actually was a paper son, meaning that there was a period where many chinese population i am -- immigrants were coming in under somebody's name mainy because of the exclusion act. and i'm saying this because i remember -- even when my grandfather was already here,

so it was kind of ridiculous that he had to come in as a paper son. but i didn't know the impact of that until i was probably cl e close -- well, being a teenager when laws changed that allowed for somebody like my father to come to gain citizenship and the fear that he had. it's almost living -- i lived through some of the fears that people are living through today with the possibility of being deported because of their status and the relief that i saw in my father's face when it happened when he finally regained citizenship stuck to me today. so -- and i'm going to tell you another story. i mean, i mentioned this earlier, that these issues of intolerance and racism, you might think that it's gone away

and so forth, and -- and it must have been at least a century ago. indeed, when i bought my home in the west side, and most of the west side was pretty much similar to this story, where people that were either negro or livestock or orientals were not allowed to live or purchase homes in the west side -- many parts of the west side, especially those associations that had those bylaws that states this. and when i bought my home a little over 30 years ago, that was still in the books, and it took my effort several years later to say, what is this, you know? and after much debate, was able to get the people that live there to actually change the bylaws, so that was only 30

years ago. and today, we're still facing -- i think this -- with what we're seeing today at the federal government, it just gives us an opportunity to say hey, let's don't stand for what's going on today because look what happened -- look what happened 80, 90 years ago. why are we repeating ourselves? and this is an opportunity as we look at removing this name for us to have dialogue, for us to have a discussion of, is this what we really want? that's what happened. that's part of history that's happened. we don't need to repeat it. we need to also find people that -- that also contributed to our history in a much more positive way to our society that reflects our values today. so this is why i personally feel passionate about doing this, and i'm very happy that commissioner -- the park

commissioner, allen lowe approached me about this as i'm doing a parallel name change for phelan avenue with the same rational2ed. -- rationale. i want to thank him, i want to thank his colleagues for leading this charge. and i want to also thank my cosponsors of this lemgs lation, supervisors fewer, peskin, and kim. and i want to thank the people that came out today for the press conference: jane chin, my former classmate and interim executive director of the chinese historical society, cynthia choi, who's the coexecutive director for chinese affirmative action. and also the asian american bar

association, president david xi. >> supervisor ronen: could i just say a couple words? >> supervisor yee: yes, you may. >> supervisor ronen: thank you so much. i just wanted to thank you for bringing this forward and would ask to be a cosponsor, as well. >> supervisor yee: thank you. >> supervisor ronen: i am so happy that you're making this -- this change in our shameful, racist history here in san francisco. i think it now is exactly the same not only because it is asian american history month, but also because this similar racist xenophobic attack is happening today, every single day, so it's concentrated today on the latino community, but it's part of -- not just the latino community but largely the latino community being the face of these attacks. and it comes from -- it's -- it's -- it's not new.

it's a long history where different communities, the chinese community, the japanese community, the filipino community have been targeted by the federal government with that local officials thcomplic in blaming larger communities which could not be farther from the truth, whether it's crime, unemployment, etcetera. this has never been the fault of immigrant communities. we are a nation of immigrants, and this will never be the fault of immigrant communities. we are stronger, we are better, we are a more informed cohesive community because we are a nation of diversity and immigrants. and i am just very, very proud to be cosponsoring this today and really thank your leadership, supervisor yee. >> supervisor yee: thank you, supervisor ronen for your words, and i see that sharon

chung, staff from supervisor stefani's office is here, and she would like to make a comment. >> thank you, community members of the my name is sharon chung, and i'm the legislative aide to district two supervisor catherine stefani. i want to thank supervisor yee for taking the lead on this. we are eager to work with community leaders and neighborhoods in taking the next steps of renaming this community park. thank you. >> supervisor yee: thank you. i'd like to mention that the julius kahn park is actually in district two, part of supervisor stefani's district, and right now i'd like to ask commissioner, commissioner allen lowe, would you like to come up? [inaudible]

>> supervisor yee: okay. >> good morning. my name is linda zhang chl i'm an associate with the law firm of perkins couie. i want to thank the many organizations and individuals who are here in support of this issue. for 61 years. the chinese exclusion act severely restricted immigration and entrance of chinese people in the united states. in the heart of san francisco one of the most diverse cities in the u.s., we still have a park named after a congressman who pushed to make that exclusion permanent. [inaudible] >> when the act was set to

expire in 1902, kahn introduced the kahn bill to make the act permanent. the chinese exclusion act remained in force until 1943 when the chinese and americans became allies in world war ii. san francisco's a city of inclusion. our parks should celebrate inclusion now and carry that message for generations to come. thank you. >> supervisor yee: thank you. >> good morning, supervisors. my name is lindsey kwak. i'd like to give a little bit more background on julius kahn. he did not stop at the chinese. after the exclusion act was made permanent, he pursued the exclusion of nap knees, asian indians and even said horrible things about filipinos on the

floor. exclusion acts of 1923 and 24 did bar asians, but imposed literacy tests, imposed quotas on people from other nations including eastern europe where julius kahn was from, and julius kahn did not vote in favor of either of those subsequent acts, and so that shows that he had this particular annimus against asians, and so he really did pursue -- he had a racist agenda. we have reached out -- we spoke with the jewish community relations committee, and they reached out to local jewish historians, who have confirmed our research, including a researcher named fred rosenbaum who has gone onto say the jewish communities in the east

looked to jewish leaders in the west and said what's going on? they were horrified at this campaign that was driven from the west coast, and they were concern thad it would spread to the immigration policies would spread to jewish communities, which it ultimately did and was he have, very bad in the end. on a personal note, i am a fourth generation san franciscan who grew up playing at julian kahn playground. i have very fond memories there, and when i learned about julius kahn, i was angered, disappointed and ashamed to know that a park that i had experienced so much joy and fun in was honoring a man who was so racist against people like me. so on behalf of kids like me and the 37 community organizations that have also signed onto this effort, i implore you to move this resolution forward and urge the -- direct the recreation and park commission to rename

the playground. thank you very much. >> supervisor yee: thank you very much. so right now, i'm going to go ahead and call for public comment. so if you want to -- if you want to make public comments, go ahead and lineup to my left, your right. that's okay. they can just lineup. >> supervisor safai: do we do two minutes or one minute? >> supervisor yee: two minutes. >> two minutes. i agree, and i stipulate to this historical move, and i feel the hardship of this type of racism, but we can't stop there. i move for you -- both of you supervisors to put the finishing touches on the removal of james d. phelan. you've already got rid of his name on a street in the city and county of san francisco. i further urge you to remove the statue which is located in

the front door of city hall when you come off polk street and make a hard left, his statue is right there. i move to have you take charge just like the mayor did in new orleans to get rid of those racist statues that condemned and used slavery to build new orleans and kidnap my nationality and made up slaves and then highlight those statues like they're some kind of monument that should be saluted. i further move you to incorporate a hearing pertaining to the ethnic cleaning of my neighborhood, the fillmore western addition which ethically cleansed my nationality, ruined numerous generations of black people from the fillmore area, and this person -- whatever his name is? forgot his name. but any way, justin hermann, who got rid of my nationality.

it's real who are identifying for somebody that's comprehensive on black history because 1964 was the year we got our civil rights, and dr. martin luther king made his "i have a dream" speech, a that was the same time frame when justin herman plaza got rid of the fillmore district, which was 60 square blocks and 5 to 10% was japanese and chinese people. so we need to have a hearing on the fillmore. >> supervisor yee: thank you. >> good morning. i'm jane chin. i'm the interim director of the chinese historical society, and thank you for this opportunity to address you. in the midto late 1800's, this country was lady liberty stands in new york harbor, give me your poor, your hudled masses, yearning to be free, this was

not for the chinese. the exclusion law severely impacted the lives of the chinese people and the tens of thousands of men who were already here. first because the law required chinese to have proper documentation in order to reenter the united states if they were to leave to visit their family in china prohibited them from leaving. and second, without being able to visit their wievs aves and children they left behind in china, their family unit was destroyed. imagine men could not return to their wives and children they left behind. imagine women in china never to lay eyes on their husbands again. imagine children never to know their fathers. nor could these men marry in the u.s. as the page act of 1875 restricted the entry of

chinese women and -- [inaudible] >> -- passed in the states prohibited and prevented men from marrying white men. further racism against chinese forbid them from living outside of the boundaries of chinese neighborhoods. that said, chinatowns were built across the country due to racism is a fact. due to exclusion, family life was exhibited not by choice -- [inaudible] >> supervisor yee: thank you. your time. thank you. nice seeing you again. >> thank you for -- committee members, for hearing our request and hearing the voices of the community today, and thank you to supervisor yee for leading the charge for --

towards truth and reconciliation. i'm here representing chinese affirmative action. i'm also here as a parent and someone who lives in san francisco and enjoys all of our parks and amenities in our great city. and we're here to express our full support in renaming the julius kahn playground, a playground that's enjoyed by many immigrant families, families that would be excluded if julius successfully excluded. and i think the point of this, too, is it's a lesson and opportunity to understand the generational harm that he has caused but also to draw lessons to today. we represent clients who are low-income, limited english speaking, many recent immigrants who are particularly vulnerable under this current administration, and san

francisco can once again lead the way, taking a stand against bigotry and xenophobia and standing by its residents, and that means taking this action. we really do implore supervisors to the renaming and look forward to that opportunity to think about a worthy name to our park for this great city. we are here to stay, we don't have to prove our justification or our worthiness and we're here to also say what happened under julius kahn was wrong and what's happening today is also wrong. thank you. >> good morning. i have a very bad cold, so i was coughing over there. didn't mean to disrupt. i'm speaking as a parent as well as a victim. i think we have all been

victimized by what happened in the 1800's. i applaud supervisor yee, who y disict supervisor, and all the other supervisors, especially our commissioner allen low for taking on this project. i'd like to urge you to go one step further, one step further for the victims: issue an apology. official apology from the city and county of san francisco for the pain and suffering san francisco has caused a generation since then. my son actually graduated from university high school and had a graduation ceremony at julius kahn playground. i feel so victimized to realize that my son's high school celebration occurred in the playground named after a racist who victimized my whole

generation and generations before. so i really urge you to go one step further. i think changing the name has been supported by many people, but it's more significant if you can actually admit following to the victims, to san franciscans, to the citizens of the united states. i want to say that senator mark leno in 2009, he issued on behalf of california to the entire exclusion act that caused pain and suffering to the chinese. please san francisco take lead and do this also. thank you. >> supervisor yee: thank you. and i'd just like to make a comment that although we start talking about exclusion acts and more state and federal legislation, there were actually a lot of local legislation in san francisco that were very racist in itself, and it's something that i'd like to, you know, maybe

pick up in regards to what judge singh just mentioned, maybe in the future resolution, an official apology. >> thanks. good almost noon, lissuperviso. my name is michelle olivas, and i am here to stand in solidarity with them. we also applaud commissioner low for helping to make this happen. names are important, words are important. what buildings are named, what statues are named is concrete examples of institutional racism. this issue is not about erasing history, this is about remembering remembering, lifting up, shining a light on the past, it

is wrong then and it's wrong now. our children shouldn't have to look up at the name of parks or buildings and know that that person not only hated them and spoke hateful words against them but spent their entire career working to exclude them and ban them from this country. so we just urge you to support this resolution. i'm so happy that we're at this point in time when we're having these conversations. there has never been truth and reconciliation about how this woman was talking about how lands were stolen from the natives living here before, things that happened before, slavery, there has to be some kind of discussion, has to be some kind of reconciliation, it's not about forgetting, it's about remembering those people and saying it was wrong then, and it's wrong now. thank you. >> hi. good morning.

my name is karla moreau, and i am the director of west filipino community center. yeah, so this is a very,vy obviously emotional topic for all of us. and the reason why it's really important, as an organization that represents filipino families, asian americans, we've been around for 50 years, so we've served thousands of filipinos, thousands of asian americans, all of whom were -- cambodians, all asian americans that were targeted by this man. and so i just want to urge, i just want to stress that our neighborhood in soma has a few parks that we utilize. over the summer, our summer

programs worked together, and we go to various parks because we don't have a lot of open space. so the thought of our kids going to this park and asking who is this man, and us promoting that is so psychologically terrifying to send a message to our kids about that. so stand in support for this and really urging that we move forward. thank you. >> good afternoon, supervisors. my name is sandy morey, and i'm here as an individual who's active in the japantown community and japanese community as a whole. i'm supporting the resolution that spree yee has put forward and supported by supervisor ronen. my understanding is the rec and park commission has the authority to remove the name from the playground, and so according to -- to according to

its policy, this commission may change the name of an existing recreation and park facility if there are most extraordinary circumstances of city or national interest, and so the exclusion of chinese and other asians from the united states is a shameful and extraordinary part of our nation's history. given similar imminent threats to immigrants today against which the city and county of san francisco has taken a stand. it is important that the city remove the name of a man who represents hateful, racist, antiimmigrant policies from the popular playground in san francisco. so thank you, supervisors, for making this move. >> good morning. my name is roy chan. i am a chinatown community planner at c.d.c.

in 1940, my dad was a teen achbager who worked on a ship in san francisco, and because war broke how the in the pacific, i had to find a way to stay in the city. during that time, the exclusion act was in full effect thanks to julius kahn. he actually called the chinese the most debasing people on the face of the earth. my dad's outlet was tai chi, and he would go to local playgrounds to practice it, as a way to feel he belonged in a city, in a country where he was constantly told he didn't belong and was not welcome. and so if it wasn't for the repeal of the act, he wouldn't have become a citizen, and i wouldn't be standing here

today. i believe that there's power in hist in place and names, and renaming this park is a critical step for our city to work towards one which our public spaces are safe spaces where all feel welcome. so -- so the next time i bring my kids to this park, i sincerely hope that it would be way more than a teachable moment where i have to force them to -- force myself to tell them that this public space was named after a public figure that promoted hate and fear, but rather, it would be a proud moment that our city stood up and renamed this park to something that stands for our values of inclusion. thank you. >> supervisor yee: thank you, supervisor mar. >> thank you. it's great to be on this side of the microphone.

i really appreciate commissioner allen low and chinese historical society and chinese for affirmative action opening up the discussion at this point in history. i am eric mar. i am a former supervisor from the richmond. when my daughter what's graduating from high school in two weeks, i would take her to julius kahn after it was renovated around 2003, 2004. it was a a beautiful place, but it also needs an appropriate mam where communities come to decide -- name where communities come to decide a name that promotes inclusion. i think the 38 organizations that support this effort are really on the right track of looking at history and who represents our values to have parks and memorials named after them as well. i teach at san francisco state, and a lot of what i teach is about laws and policies locally

that supported white supremeacy, and i think julius kahn, as we've learned, exoticized us, he racial eyesed entire groups. he demonized fears, and i think blaming the victim approach is something also that he threw in very similar to what's going on today. this is very important. please rename julius kahn, and thank you to the community coalition that's come together. as an asian american professor at s.f. state, 50 years from now, this is an important issue that we will build on as well. >> supervisor yee: thank you. >> supervisor ronen: congratulations to jad. >> my name is doug chan. i'm here on behalf of the board

of directors of asian american legal outreach. i'm here, of course, to express my board's strong support for the renaming of the julius kahn playground. on a personal note, when julius kahn ran for the 56th congress to which he was elected in march of 1899, during the fall campaign in october of 1898, my grandfather was born in number 12 washington alley. supervisor yee has pointed out that the law that became the asian exclusion act was both a continuation of priorcommunity

progressives, moderates, we're all standing together to say we are one city that values the contributions of immigrants and we are one city to make san francisco the opportunity for all of us so it's time to close this chapter. the chapter is gone but not forgotten. we still have to use this as a teaching moment in the future, but time to rewrite a new chapter to build a park and

name a park for all that reflect the values of the city and county of san francisco. so with that i urge you to pass this resolution on, adopt this resolution at the board, pass it onto the recreation and park commission where i have 100% confidence that we will do the right thing, even though i will not participate in it. thank you. >> supervisor yee: any other public comments? seeing none. >> supervisor ronen: public comment is closed. >> supervisor yee: okay. once again, i really want to thank the public for coming out and also the leaders in bringing this issue forward. as you can see, this not only -- i'm very passionate about this issue, but other supervisors early this morning came at the press conference and expressed the same passion, whether it was supervisor fewer or kim. and i've heard supervisor

peskin discuss this same issue at a different event. i know he's very passionate about seeing this change. and thank you once again to supervisor ronen and skbrujumpn and cosponsoring because your sponsor is very symbolic, and i'm gland that supervisor stefani's office came in and lent their support, also. so what i'd like to do is make a motion to pass this out of committee with a positive recommendation to the full board. >> supervisor ronen: great. without objection. that motion passes. thank you so much all of you who came out. very powerful hearing. mr. clerk, there any further business before the board? >> clerk: madam president, that concludes the calendar. >> supervisor ronen: all right. then this meeting is adjourned. thank you.

>> i want to welcome you here to the civic center hotel. my name is gale dill man, the c.e.o. of community housing partnership. in 2015, this was the second navigation center to open its doors and welcome over 92 individuals living inen ca encampments in the street. this announcement will ensure that before individuals have the opportunity to enter shelter and navigation centers, they can receive vital services and treatments that they so much need and deserve. and on an on going basis. on behalf of all of community housing partnerships, and the 91 navigation center individuals here at this site, we are so excited and honored to introduce our mayor mark farrell. [applause]

>> thank you, gale. good morning, everyone. i want to thank you all for joining us here today. as we all know, san francisco and the rest of our country, and cities around our country, are dealing with an opioid crisis hitting our streets. it's unfolding in our neighborhoods and in our sidewalks in front of our very eyes. fighting this fight means that we not only have to use existing programs but if we're really going to solve the issue and make a dent, we have to be creative. we have to come forward with new policies and new programs that will make a difference on our streets. and that is why we're here today. to announce a significant investment in a new, addiction treatment program with our street medicine team. the street medicine team has long been a part of how san francisco seeks to deal with the health of individuals on our sidewalks and in the streets of san francisco.

the street medicine team is on the front lines every single day here in san francisco. bringing service and treatment to those who need it here in san francisco. the small but vital team works every single day to care for those were in a traditional clinic or hospital, it's simply not the answer and it's not working. their work is rooted in compassion and acceptance and meeting people where they are. including streets, our shelters and our navigation centers here in san francisco. with this new investment of over $3 million a year, we are adding 10 new staff and increasing resources to focus on the drug addiction on our streets of san francisco. and to address the opioid epidemic, right here on the streets of san francisco, the

team will be expanding the work that they started with the pilot that started last year and expanding this program across the entire city. i am proud that san francisco is going to be the first city in the nation to take this approach. san francisco is a leader in so many areas and once again, we are stepping up with professionals that know how to get job run right. leaders willing to take bold approaches to address the issues confronting san francisco residents and those that need our help on our streets. by providing this medicine out of a traditional clinic setting, we're expanding our outreach capacity and taking every opportunity to help those individuals that are on our streets suffering from drug addiction. the program, which sometimes i have trouble saying, is an

important part of our larger strategy here in san francisco and with our department of public-health, to address those struckelling with addiction. which includes detox to residential treatment services. this investment, let me be very clear about this. this investment will ultimately help save lives. and it will improve the conditions on the streets of san francisco. i want to thank a number of people who have brought this program to light today. first of all, director barbara garcia from our department of public-health. [applause] >> dr. sven for his leadership and ingenuity. we knew he would get the loudest applause and he deserves it. our department of homelessness and their partnership in leadership as well. and all the other providers and

healthcare leaders that are behind me here today that are working so hard every single day in san francisco. to get those that are on our streets with the help that they need. whether it's homelessness or drug addiction or the other issues plaguing those on our streets, our goal in san francisco is to be compassionate and get people off the streets, on to their own two feet and on to better lives. thank you for being here today and with that i love to turn it over to director garcia for remarks. [applause] >> good morning. thank you mayor for your commitment to the effort of treatment access for those suffering from opioid addiction. i'm barbra garcia. i want to acknowledge all of the d.p.h. staff here that work every day to heal and support san franciscans who are in need of healthcare. i'd like to give them another round of applause. [applause]

we know science has proven, for a long time, with many personal stories and the medication assisted treatment works. addiction is a challenge of a lifetime treatment and recovery happen and people do get better. mayor lee, a year and a half ago, asked me is there something else that we can do? we need to reach people on the streets who are clearly suffering and in the grips of addiction. what else can we do? we know that some of our traditional approaches of addiction treatment, that is, waiting for people to be ready to come to us to seek help. it doesn't always work for those suffering from addiction and especially if they are homeless. all of our services are voluntary and we have to develop care relations to engage people into care and it does take time. but i really want to thank

dr. barrie sven who took this challenge for mayor lee and myself and add this service to his existing street medicine team. medication assisted treatment. to the streets where he goes daily providing care to the homeless people in need. that is how this program was born. in the fall of 2016. we have served over 95 people since then bringing medications to fight opioid addictions directly to them on the streets. by expanding the program today, we are first taking a big step towards our ability to combat the opioid addiction in this city. the new funding will allow us to directly serve 250 new individuals but we also know that we can serve more once we get those engagements and those relationships because in all of our clinics, we can access the service and medication. so this program is a big step forward to saving lives, lost to

heroine, fentanyl and methamphetamine addictions and overdoses. homeless people who use drugs are especially vulnerable and our health system is adapting going directly to them with compassionate outreach and expertise. we're able to help a group that gets missed in the traditional structure of visits and appointments. our low barrier medication program is just one piece of a city-wide effort to increase treatment. we are also providing emergency rooms at sucker burg general hospital and implementing a new addiction consultant service within our hospital to ensure all physicians at the hospital have access to treatment experts for their patients. the doctors from this service are also here today. so again, i want to thank mayor farrell for supporting all of our efforts to address those with substance abuse disorders and continuing our efforts to save lives. with that i'd like to introduce dr. barrie sven. [applause]

>> well, thank you very much, mayor farrell and director garcia and the city of san francisco for the opportunity to do this. i have been working with people experiencing homelessness in san francisco since 1991. my philosophy in this work is do what works, do what is needed. i didn't come into this work with a preconceived notion of what it is that is going to work. when we see what the problems are, then we develop what are the possible solutions? it doesn't feel like it's a great innovation to say if people are not able to come into a clinic let's go out and see them where they are. i think what feels like an ininnovation about that is many people have the pre conception

or the stereo type that a person experiencing homelessness doesn't care about their health. a person with a substance use disorder isn't very concerned about their health. what we see, day after day, one person after another, is that people are deeply concerned about their health. they may have more compelling concerns. where are they going to eat? where are they going to lay their head down and if they pend on drugs, where will they get drugs to prevent themselves from having severe and awful withdrawals. if we're out there with our team and this is absolutely about a team, not about me as a single physician, doing something, if we're out there as a team we're able to meet people where they are. we see and talk to people about the harms related to their substance use. we also see what the damage to the community related to that

substance use is. and we're talking to people about treatment. you've heard the term bupinorfine. that is our medication that we are primarily using. we're also often recommending and referring and assisting people when it's appropriate, to get to methadone treatments and we're using another medication to treat opioid use disorder. having these medications have changed my attitude towards seeing heroine users. earlier in my career, not that i didn't like heroine users, but i never felt like i had something to offer. now they're my favorite patient. i have something that can

immediately change your recollection with the drugs you use and change what your circumstances are. many people who we see have heard about it and they haven't had the opportunity to talk to medical providers who have expertise and get prescriptions. the basic idea is bring it to people where they are, get people stabilized, and then they're able to move into those next steps because when you are strung out on heroine, when you need to use or else have awful withdrawals, every four to six hours, it's really hard to do anything. what we need to do is provide something that is at least as compelling to people as what is happening to them on the streets. medication is absolutely necessary. human contact, treatment and

caring for people is the other thing necessary. with those things in place, and this program expansion, is allowing us to do that, we have the opportunity not only to reach the 250 additional new patients but that really has an amplifying effect. when one person is on the street felfeeling hopeless and sees thr buddy getting help, that is a tremendous boost to that person being able to take maybe that one more step to say, maybe things aren't absolutely hopeless, maybe there's something i can do. maybe that other person doesn't even have an opioid use disorder. maybe they don't use heroine. maybe they have a problem with alcohol? maybe they have a problem with mental health disorder. seeing that hope where someone is hopeful. the most positive, most effective thing i've seen in

this program is one person telling another, hey, i got this medicine from the street medicine team. i saw dr. evan, i saw one of their nurses. that person saying well, i can't believe it. you were the least likely to succeed guy. you were the worst-off person. you are the person with the worst addiction i know and now you are telling me you are not using? that's tremendous in building hope and that's what we need to do as we address the problems that we see. so i'm going to introduce chris, one of our initial low barrier buprenorp hine patients. someone who will tell you about his experience. so thank you. [applause] >> good morning. my name is christopher rafino and to piggy back on what

dr. svens said, one rainy morning, as i got out of jail, and i contacted dr. sven, via the mail and telephone and to other people, i did not want to use anymore. i had tried many, many attempts unsuccessfully of shaking my addiction to heroine of 28 years. nothing worked. i tried everything. residential programs, everything. well, dr. sven met me out in the rain with my bicycle in hand and the clothes on my back and spoke to me for 25, maybe 30 minutes. he said look, i'm going to do this for you. dodo not let me down. i don't believe i have. three and a half years ago, that occurred right over here. three blocks away from here. my life has changed dramatically. i am a substance abuse councilor

myself. i work in a facility across the bay. my life has changed. i have everything back i lost. i owe my love to dr. sven and buprenorphine. out that i was loosing hope you but i got it. i'd like to introduce someone from the homeless outreach program or the homeless program, jeff >> thank you, chris. [applause] >> my name is jeff with the department of homelessness and supportive housing. i want to thank you all for being here today. i want to thank the department of public-health. homelessness is a complex problem and it requires the partnership amongst many city departments and individuals and people experiencing homelessness to resolve this issue and this is just one of many steps that we need to take. we're very excited about expanding this pilot that we

started with d.p.h. many, many months ago. i believe it was in late 2016. i want to thank mayor farrell for his leadership in expanding this important program. so thank you again for being here today and we'll take questions over at the side. thank you. [applausit. >> shop & dine in the 49 promotes local businesses and challenges resident to do their shop & dine in the 49 within the 49 square miles of san francisco by supporting local services in the neighborhood we help san francisco remain unique successful and vibrant so we're will you shop & dine in the 49 chinatown has to be one the best unique shopping areas in san

francisco that is color fulfill and safe each vegetation and seafood and find everything in chinatown the walk shop in chinatown welcome to jason dessert i'm the fifth generation of candy in san francisco still that serves 2000 district in the chinatown in the past it was the tradition and my family was the royal chef in the pot pals that's why we learned this stuff and moved from here to have dragon candy i want people to know that is art we will explain a walk and they can't walk in and out it is different techniques from stir frying to smoking to steaming

and they do show of. >> beer a royalty for the age berry up to now not people know that especially the toughest they think this is - i really appreciate they love this art. >> from the cantonese to the hypomania and we have hot pots we have all of the cuisines of china in our chinatown you don't have to go far. >> small business is important to our neighborhood because if we really make a lot of people lives better more people get a job here not just a big firm. >> you don't have to go anywhere else we have pocketed of great neighborhoods haul have all have their own uniqueness. >> san francisco has to all

>> let me know when you're ready. >> good evening, and welcome to the may 23rd, 2018 meeting of the san francisco board of appeals. board president frank fung will be the presiding offer. to my left is deputy city attorney who'll provide the board with legal advice. at controls gary. we'll be joined by representatives from the city departments that have cases before the board.