>> 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 individ have the opportunity to enter shelter and navigation centers, they can receivit 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 91

navigation center individuals here at this site, we are so excited and honored to introduce our mayor mark farrell. [applause] >> t gal onod morning, ee. i want tkan 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 f th 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 withew 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 s hrancisco seeks to deal th oal 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'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 incasing 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 ing tt nrancisco is 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 clini 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 tro saying, is an porimnt 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 svices. 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 sa. to thank a number of people who have brought 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 issu plaguing tho 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 adction is a challenge of a lifetime treatment and recovery happen and people do get better. mayor lee, a year and af 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 ated tatment. the streehe 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 sincen bringing medications to fight opioid addictions directly to them on t 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 fundingillllow 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 rvice 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 especiallynerale and our health system is adapting going directly to them with compassionate outreach a ise. 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 tncreas treatm 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, thaou mayor fll 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 thi work is do what works, do what is needed. i didn't come int this work with a preconceived notion of what it is that is going to work. when we see wha the problems are, then we develop what are itoesn'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 v concerned about their health. what we see, day after day, one person afternother, 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 peopleho we see have heard about it and they haven't had the opportunity to lk 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 foreo is theer thing necessary. with tho things in place, and this program expansion, is allowing us to do that, we have the opportunity not only to the 250 additional new patients but that really has an amplifying effect. when one person is on the st 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. mahat 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 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 w e 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 christopherafino 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 a 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 meone from the homeless outreach program or the homeless program, jeff >> thank you, chris. [applause] >> my name is jeff with the department of homelessness and supptive 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 bie itas 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. [applause][music] >> 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 entirel 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 hereat 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. t that time, the clinic 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 ar 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 acce 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 s hiv positive i do not know what it was. i felt my life would be just ending there but all the support they gave anmeall

the information i need to know was very helpful. so i [inaudible] hiv care with their health areomen. e rest, r of 75% are men and about half of the men o come here are gay men or other men who have sex with men. a small percent about 1% of our clients, identify as transgender. >> 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. >> get casted fopap ear 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 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 sotimes 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 drs. 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 e 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 ers fofolks while they are here. whenever we have that 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 were ableo 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 doors rly 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. >> >>

>> good morning, i want to giv a special welcomeo mayor ferrell, andvis sheehy and san francisco general hospital and this incredibly special place ward 86. it is special for so many reason. it has played such a pivotal historic role in addressing the hiv-aids epidemic and now in ending the same epidemic and very excited to welcome mayor ferrell to this podium to address the group on this very wonderful day. >> thank you dr. ehrlich. i want to thank everybody for joining us here today and i wt erethank dr. ehrlich and all the

at san francisco geal hospital a hosting us here today. this hospital, our city in particular where we have been through the aids crisis dating back to the 1980s and it is fitting that we are hereth to and to highlight your continuing commitment to fighting the epidemic. our lawmakers community leaders, providers and advocates and many of whom are standing here with me today we are closer than ever to getting to our goal. zero infections, zero deathst and zero stigma. in 2016 we had a reportow of 223 new hiv infections in san francisco. these accomplishments are the result of strategic investments

in prevention, treatment and social services that we will continue here in the city of san francisco. this requires a sustained commitment to funding in our city, which is why since 2012 the city has backfilled more t $12 million in federal hiv cuts. today our spending approaches $60 million every single year, but we have a lot more to accomplish. we have to reduce december decer parties between the african-american and latino community. this discussion will highlight and help those in youth communities, lgbftg community.

includes 2.8 million to offset cuts made through the federal center for diseasetro these support prevention programs and increased community access to testing an linkage across the community. also includes 1.4 million to support getting to zero. this will increase prep outreach and navigate outreach and employment for those wit hiv these are critical to ending hiv and aids here in fran. i am can feel that the people behind me and the working working here in san francisco, researchers, providers and members of our community women puwillput these funds to good u. i want to bring up someone that is a former colue and a

friend but the first time i got to know this individual is because he was an advocate for getting to zero and a leader for that move. here in san francisco when i was budget chair, we had earnest and strong conversations about the topic, but i have not met a more convincing and a more proactive advocate getting the zero than that individual. i want to welcome supervisor jeff sheehy. [applause] >> this is the first time i have been back here since being appointed by mayor lee, so it's a special moment. this was the first outpatient hiv clinic in the country and some of the people are still here and still working 30 years

plus into the epidemic. the vy first patients who came in,one of them made it out. there are stories of people will tell of the doctors and nurses and caregivers sitting around the table and everybody crying because there was nothing they could do. this place has special meeting because it's the place where getting to zero is hatched. madestanti progress and couldn't have done it without the support of the city, mayor lee and now mayor ferrell. i really want to thank mayor ferrell for his commitment that goes back to being on the board forhe finance committee the idea of no new hiv infectionst and no hiv deathst and no

stigma, people thought we didn't know what we were talking about, but the great thing is we did get new tool. we did find out that if somebody who mans toontrol hiv in their blood undetectable, so there is no hiv detected that they cannot pass the virus on to someone else who is not hiv positive, that is an amazing thing. undetectable equals uninfectious. we had the tool that shows if you take this pill every day and you don't have hiv, you are greater than 95% protecte against infection. in fact at kaiser since they have implemented this and thousands of patients later, they have yet in san francisco to see an infection. if you do both at the statement,

you test them, tat the successfully until they are undetectable and reach out to everybody and get them on pre prophylaxis, you can send the epidemic and that is the program that we have been doing. first of all, getting this funding to sustain this effort is huge because as people and many folks behind me are involnved i this consortium, there are communities that we are still not reaching both in terms of testing, in terms of treating and getting on pre exposure prophylaxis. this is the hard work now. thank you to president obama and the affordable care act which pays for these treatments but the hard slog is talking to people who historically have not had good access to the health

care system and historically experienced disparities. we will be bring r. bringing people into the health care sim system who have not been served by it. hivis theate waisway. we will be able to treat a whole bunch of symptom. i want to give a salute to the department of public health, the finest in the country. i am so proud of the work that we do this tremendous institution. dr. ehrlich is here. i worked here and i couldn't get treated here because this hospital serves the under the served and has historically done that, so if you didn't have insurance you were here, but they didn't take insurance. these are the best doctor.

people don't realize we have the finest docks, they have ucf doc. they come with the best credentials in the country and they come here to serve those at suffer the greatest disparity. i want to thank the mayor for not only getting to zero but the bacbackfills because we have toe able to continue to test and link people to care. i want to thank everybody for being here. it's emotional being back here and it's the first time i have been back on this ward since i left and became supervisor. i want to salute the people that work onward 86 and work at my hospital. they are my hero. thank you [applause] i need to introduce the next speaker.

i would like to introduce dr. thomas aragon. >> good morning, how is everyone? my name is dr. thomasn, i am the public health officer in the city of san francisco and i grow up in this neighborhood. in 1988 i started clinical training here so i am very proud to be here today as your health officer. in san francisco in the department of public dealtdeparr approach is based on embodying and promoting uniersal dignity and equity for all.

our new mission statement is protect health and well-being for all in san francisco. our vision, mak fsancisco the heahiest place on ear. mayor mark ferrell and my strict supervisor jeff sheehy. what's up. sorry. embody and promote these values and the biggest champions of making san francisco the healthiest place on earth. we owe a huge gratitude them. yoheard about the racial disparities. in african-american men it is 2.5 higher and for latinos it is

2.1 higher a our campaigns we are goin doing. when you have a chance look at some of these amazing posters. this was done with a lot of work doing ethnographic research in the community and figuring out how t do this a strength-based perspective. efort at the department ofis public health. first san francisco deemploys a world class syringe access and osasp program because it is the best evident-based practice that reduces sharing among persons and reducing hiv,

titiscnd hepatitis b. second, for reducing risk of infection syringes they are the most important group to reduce infectionsauseechey have the highest risk of getting multiple pathogen. i want to end by reminding us by keepin the prevalence of inion a low a possible by persons who inject are important to all of us and moves us toward our vision ofg fran the healthiest place on earth. thank you. [applause] >> my name is himen scott.

i am asi here and i moved to san francisco to train and work at ucsf to work at this clinic, so i am a proud provider here and i am proud of the staff --ere we take care of patients living with hiv and at risk for hiv offering prep. i started a young african-american on prep who moved to san francisco and heifehadnever heard of it. he heard about it from his friends and sex partner. this is the power of how networks and friends and families and partners can influence individual's uptake of prep. i think campaigns are a great way to encourage this conversation and prep is more than taking a pill. it's a program and for this

young man we were able to get him connected to primary care and get him his vaccinations and ensure he had other support he needed, access to housing and case math and some structural barriers that african-american and latino man are facing on a daily base. basis. the prep navigation was supported by the getting to zero program and our navigators communicate with this patient almost daily when he initiated prep in an efforto keep him on help. we have seen severalo conversions particularly among afric.we have seen this challenh

uptake and pir cis tense and staying on prep and the getting to zero campaigns are in place to support these individuals staying in care, along the navigator text with my patient frequently to help him stay engaged and meeting him where he is and i think that is the ethos for all the work that we do here and not just forcing people into a system that might not work for them but trying to change the system so it dsoe woror them because we want to help people stay in care whether living with hiv or wanting to access prep. i want to turn the podium over to diane halvelier for remarks and closeout. >> good morning. i am diane halvelier and i am a professor and physician and have been working in the aids

response since the epidemic. people com from all over the world to see our beautiful city. people from the health world come from all around the world to see getting to zer as you heard getting to zero is an imwish effort to get to zero new infections, zero death from hiv and zero stigma and we have set a target o 90% reductions by 2020 an 2020 aut less than 30 infections per year. this was launched by many of the people standing up here in 2013 when we met together at the lgbt center and realized we could do mo with strategy and coordina acrtnss sectors. when we launched getting to

zero, we had a first few flagship programs and the first was expanding prep. we also have a program where we are trying to strengthen care, people who have fallen out of care and we need to welcome them and we sponsor add progra sponsm called rapid. between the time someone gets tested and tta care they fall out of the system. here right down the hall, ground zero for hiv care, we started a rapid program where we offer treatment on the same day that people are infected with hiv. this is good for the individual and keeps them healthier and reduces transmission.

dr. coffee, the director is standing at the back of the room and i'm sure would love to answer any question. last week i was at the united nations at a meeting for fornevs who runs the program in ban rock. they startebangkok.they startedr results are betr than ours and it shows you the exten extent ad impa are having. back to san francisco are we getting results from getting to zero? i think we do have. we have 50% in reduction. contrast that tohe united states where over 6 years we only had 16% reduction. it is going to get harder because we are going to need to

address disparities in our city. everyone knows about these and that is wher thisunding is so important because this funding is going to be target as you heard on prevention and treatment for populations that are disproportionatelyect by the epidemic including african-americans, transgender, hihiicnd transgendered youth. just to step back and summarize and say this funding is crucial because of the status quo we are not going to make it and secondly this funding reflecting the values of our city. finally, this funding is going to benefit the citizens of our city, but also the hiv community around the world and for that

you are fulfilling your service to others and we ever deep gratitude, so thank you very much. [applause] >> that's it everyone. the press conference is over and i think all of us would be happy to answer any questions on the side. thank you. food in san francisc just about expensive eat but sc food for everyone and there's organizations in the city that are doing really good work making sure that healthy food it

assessable to everyone. more and more as follows are are becoming interested in upper arlthd they want to joy the open green pace sea know where their food it coming from we'll look at 3 programs talking ushering agricultural and garden to new heights. so what exactly it,r agricultural >> it the growing food or flowers within city limits traditionally we've been referring to communities gardener that is a raised bed over and over upper argument has a more a farming way of farming.

>> so tell me 0 what's growing in this garden. >> a really at all plant. in the oneth rare places, you know, people have access to green space 24 is one ofhe places to grow things like the purple floor. it is sort of recognizing that the more diversity in given space the better not just have one thing by everything supported each another >> it provides the community with an opportunity to get their hands dirty and reach 0 out and congressmen with the community in ways they might have not otherwise to engage with one other. >> now the dpw urban planning

program so see how the garden community. >> so i grew up on a far in air force base we picked the fo trees and share with other families and as i drive around san francisco i see any trees with apples or mrumdz and lemon trees i can see the food going to waste and brought that idea back to the departm ny oe trees where the fruit would go to waste we origin or crop and pick other fruits and delivery this to food banks or shelters to people who need them. >> i'm here with nang wong hello nang. >> hello. >> i need tonderstan house this gleaning work.

>> we come and harvest like for example, we'll come over here this is the lemon and plug it like this. >> (laughter). . made that good, good and >> the trick is how not t hurt the branches. >> like the thing. >> i'm so excited about this. the peoe are so passionate about where the food goes to the private property owners give us the food they're happy that no of a t is going twaste >> oh. thank you. thank you. again job aura natural

>> (laughter). >> from backyards to back lots let's take a look at the food and community bonding at the free farm. >> my idea was start growing food and giving it away. and having kind of bors to who event that brings people together not to run our food program this time around but to share the wealth of the abundance of our welfare. we were all divorce and as part of our philosophy of working thertogend working together. >> what's the most rewarding aspect of volunteering for the free farm stand. >> well, we could is a

generalic satisfaction but something about giving food ay it's giving something i brought t'st in and sort it and gave it primitive t be able to give something some basically to someone else. >> now serving number to 49 come on down. >> we have the capability of ing this food and in san francisco you can grow food all year round so the idea we're capable of prougdz food in our ownkyards we're here demonstrate an bans of food and i think that giving it away for free we show individuals it in have to be a comedy. >> we build time t and it's the strength of any ideas

of the connections we'll turn that connection and the more connections you make no mistake about it the more you can have a stronger power and not have to rely on money that's the people power. >> in this episode we've seen the urban farms and gardens provide more in fruits and vegetation people can have the special produce available it can be a place to give back by donating food to others and teach our children the connection to the earth and environment it's tru

adjourned. >> shop & dine in the 49 promotes ll busesses and challenges residents to do their shop & dine in the 49 with within the 49 square miles of san francisco by supporting local within the neighborhood we help san francisco remain unique successful and vibrant th where will you shop & dine in 49 my name is jim woods i'm the founder of woods beer company and the proprietor of woods copy k open 2 henry adams what makes us unique is that we're reintegrated brooeg the beer and serving that cross the table people are sitting next to the xurpz drinking alongside we're hang a lot of ingredient that get there's a lot to do the district of retail shop having that really close connection with the consumer allows us to

do exciting things we decided to come to treasure island because we saw it as an amazing opportunity can't be beat the views and real estate that great county starting to develop on treasure island like minded business owners with last week products and want to get on the ground floor a no-brainer for us when you you, you buying local goods made locally our supporting small business those are not created an, an sprinkle scale with all the machines and one person procreating them people are making them by hand as a result more interesting and can't get that of minor or anywhere else and san fcois a hot bed for local manufacturing in support that is what keeps your city vibrant we'll make a compelling place to live and visit i think that local business is the lifeblood of san francisco and a vibrant

community

. >> good morning, ladies and gentlemen. i want to welcome you back to the budget and finance committee. i want to thank our friends at sfgov tv who are assisting us with today's broadcast. madam clerk, are there any announcements? >> ,please silence all cell phones and