review of the plan document that there was one situation that the plan could terminate that was not included in our rules but we are following operationally. that is a healthcare f.s.a. or dependent care f.s.a. that can terminate situation if the participant does not make the required f.s.a. contribution. and the last change is in section d5 and this is annual changes every year. we update the amount of flex credit amounts for employees who have the flex credit benefit right now. they get extra flex credit earnings for benefits. again, that's updated -- this is updated every year based on the rates you approve in may and june. that concludes the changes for 2019. do you have any questions? >> president breslin: any questions from the board?

>> i adopt remove the changes as presented. >> second spew on any public comment? all those in favor? aye. >> president breslin: all those opposed? it is an economist is unanimous -- it is unanimous to be eight item tennis action item. vote whether to cancel november 9th, 2018 health service board meeting and hold an educational forum. >> i understand that this is tradition at this point and we will have a packed agenda for the november forum. >> i move that we council the regular november board meeting and hold an educational forum. >> second. >> second. >> president breslin: any public comment on this item? all those in favor? >> aye. >> president breslin: anyone opposed? it is unanimous. >> vice president follansbee: may i raise a question to the chair? i heard references to the october meeting.

are we meeting in october? >> yes. >> vice president follansbee: all right. [laughter] >> president breslin: we will discuss the strategic plan and have an action item. all right. item number 11, please. >> clerk: item 11, discussion item. report on network and health plan issues, if any,. >> good afternoon. i am with the sp spe. wanted to provide an update on the progressive coverage that we discussed during the last meeting. the reason that we rolled out this coverage, effective midyear , was because we felt that overall it was a positive or an add-on to existing plants. we wanted to get that out as soon as possible. i did go back to my management team and we did approve to

reimburse those members. there were 16 claims in total from january 1st through the end of june. surge of reimburse those 16 members who received standard progressive lenses. we are in the process of doing that and they will be receiving a reimbursement, in the mail -- check in the mail along with an explanation letter as to why they are receiving this. >> president breslin: thank you. >> vice president follansbee: thank you very much for your prompt response. [laughter] >> thank you. >> president breslin: very good. anybody else? >> i'm from united healthcare. after the august meeting, with the concerns raised about jewish home, we took that back to our organization and did some research on their license. there was some confusion there. i am happy to report that we have been negotiating with them. they have accepted our terms and we are in the contracting face

of that. we are bringing in that work for future. >> vice president follansbee: excellent. >> also, towers, i was advised by my network team that they are also in the work as of june first, 2018. they are a contracted provider now. >> president breslin: excellent. very good. good work. >> vice president follansbee: thank you. >> president breslin: any public comment on this item? so was towers and before? or was it just something new? june 1st. ok. >> good afternoon. i am a retiree and representative of protect our benefits. i want to thank united healthcare for utilizing jewish home for the aging at the tower

tower. and not to appear at terribly greedy, i am wondering about the progress on that sequoia and the heritage. >> i am with united healthcare. i don't have any information or any update on those two at this point but i will take it back and try to report back at the october meeting. >> thank you. >> you're welcome. >> president breslin: thank you. >> president breslin: that was good news. [laughter] >> president breslin: any other public comment on this item? we will move on to the next item >> clerk: item 12. discussion item. opportunity to place items on future agendas, public comments on matters within the board's jurisdiction. >> president breslin: any ideas on future agendas?

ok. nothing from the public on this. any public comment on this pretty all right. item number 13. >> clerk: item 13, discussion item. opportunity for the public to comment on any other matters within the board's jurisdiction. >> president breslin: you can comment on anything you want here. would anybody like to comment? last chance. i don't see anyone out there. ok. any board comments? all right. moving on cap next item. >> clerk: item 14, action item vote on whether to have a closed session of member appeal. president breslin. >> president breslin: i will need a motion to go into closed session. >> vice president follansbee: i am rules we go into closed session to consider an item. >> second. >> president breslin: ok. any public comment?

all those in favor? >> aye. >> president breslin: any opposed? no. we will now go into closed session. >> we have to vote on number 15 as well. >> president breslin: excuse me, there is one more. >> clerk: we have one more. >> president breslin: ok. >> clerk: item 15, action item vote on whether we have closed session with legal council. one case. president breslin? >> president breslin: i need a motion. >> vice president follansbee: i move we go into closed session for a conference with the legal council on anticipated litigation as the defendant. >> president breslin: ok. >> second. >> president breslin: goods. all those in favor? >> aye. >> president breslin: any opposed? no. >> president breslin: all right, we are back in session. item number 18, please. >> item 18 is action a time.

vote to elect whether to disclose any or all discussion held in closed session. president breslin? >> president breslin: do i have a motion? >> vice president follansbee: i move we do not disclose any of our discussion relative to the closed session. >> second. >> president breslin: . all those in favor? >> aye. >> president breslin: any opposed? it is unanimous. item number 19 please. >> clerk: item 19 just devote to erect any or all discussion held in closed session regarding anticipated litigation, san francisco administrative code 67.12. >> president breslin: ok. i will need a motion on this too >> vice president follansbee: i move that we do not disclose any of the discussion held in closed session regarding anticipated litigation item. >> second. >> president breslin: ok. it has been moved and seconded. all those in favor?

>> aye. >> president breslin: any opposed? it is unanimous. now we have item number 20. >> clerk: eight and 20, action item, possible report on action taken in closed session, governmental code 54957.185. >> president breslin: do i have a motion on this one? >> vice president follansbee: i move that we do not report on any action taken in closed session. >> second. >> president breslin: ok. all those in favor? >> aye. >> president breslin: all those opposed? it is unanimous. item number 21, please. >> clerk: item 29 is action item, possible report on action taken in closed session regarding anticipated litigation >> president breslin: i need a motion on this item.

>> vice president follansbee: i move wheat not report on discussion or actions taken in closed session regarding anticipated litigation. >> second. >> president breslin: all those in favor? >> aye. >> president breslin: no one opposing. we are finished with that. >> i move that we adjourn. >> second. >> president breslin: everyone is in favor of that. >> let's get out of dodge -- dodge.[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 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.

>> >> >> good morning. thank you, everyone, for coming to our first mayor's disaster council meeting of the year, the fiscal year, the first under the leadership of our new mayor, london breed. and the first for me as director of emergency -- department of emergency management. appreciate you all being here today. i'm going to call the meeting to order and i'm going to pass it on for opening remarks. >> thank you. and thank you, everyone. you know, i know there's been

previous disaster council meetings, but this is a very special occasion for me and for the mayor. it's really an honor to be here representing the mayor and also too be here with all of you to be part of this critical conversation around keeping our communities resilient and prepared. and i know we'll be talking a lot about connected communities today. and, you know, as we all know with san francisco, it's not if a disaster will strike. it's really when a disaster will strike. by continuing the flow of information and also communication amongst all of us here who play a critical role in keeping our city safe and resilient, we will ultimately be prepared to protect and engage and keep our communities connected. for me personally, in my household, i have people in there from 5 years old to 75 years old, plus three pets. so it's very -- keeping --

looking at that through a larger community lens and how we prepare and how we -- whether it's 911, 311, in-home supportive services, all of those and more are just so important to ensuring that san francisco -- san franciscans through preparing for a disaster and through bouncing back after a disaster is why we're here today and why it's such a critical conversation to have. the term and the theme of connected communities is really so much more than that. and i'm really honored to be here and to continue this conversation around how we cannot only protect, but also prepare and strengthen our citizenry around disaster preparedness. thank you, all, for taking the

time. >> thank you. i'm excited to work with this council to prepare san francisco to be resilient and connected. i agree that connectivity and community is the key to resiliency. and i think you will hear in the different presentations today about how we're making great strides in that direction. because we are challenged, as noted, by a disaster that will come at some point, those connections will be the difference between our success and failure. and i know that everybody in this room is already committed to this and i'm excited to hear about more innovations that you have in this area and will hear a few today. and part of this council really is about learning from each other. i've been a member of the council probably for the last 15

years, and sat in the seats that you're in. and so i have -- i've experienced that and have a sense of what i'm hoping will be an interesting and helpful presentation and use of our time during this meeting. so thanks again for all of your hard work. and we're going to jump into our first presentation, which is going to be from the director of the mayor's office on disability. nicole and her team have been working closely with our team at d.e.m. and others to enhance the integration of access and functional needs, a.f.n., as you will hear, into our city's emergency plans. and this is something that's been needed for many years. and i'm so happy to learn of the progress really that i have over the last few weeks being at d.e.m. so, nicole, i invite you to begin the presentation and thank you so much for being here. >> great.

thank you, everyone. i'm going to be talking today about our two efforts that the mayor's office on disability helps to co-facilitate. one, the disabilities access and functional needs work group. and the other is the age and disability friendly task force implementation work group and we'll be focusing on the emergency response strands of both of these efforts today. so first i'm going to start talking about the functional needs work group. it's a work group that was established in march, 2017, as a way to make sure that we are atraceying folks with disability around the areas of communication, transportation, evacuation and sheltering. our group meets every other month. and consists of city agencies

and nonprofits and community-based organizations who all have stake holders who would be impacted in the event of an emergency. next slide. so when we're talking about the disabilities and access and functional needs population, we're talking about a really broad group of folks. so we're talking about individuals that have developmental, intellectual, functional or sensory disabilities, blind or low vision, chronic illnesses and conditions, and folks who are limited english proficient or nonenglish speaking or older adults, children, those who are pregnant, living in institutional settings, low income, homeless, transportation disadvantaged or from diverse cultures. as you can see, that encompasses many, many of us in the city and

these definitions were set forward for us through the california government code that talks about at the state level who qualifies as a disability and functional needs population. i'm going to talk for a few minutes about upcoming efforts. before i get into that, when we started in 2017, we were working on some pretty specific things around making sure that our transit operations were updated and he to speed. we were looking at lessons learned from significant local emergency events, including the north bay fires and really starting to identify disability and access and functional needs population demographics by boards of supervisor districts.

we're continuing those efforts and moving forward in the next two-year plan, looking at some specific things around updating our processes and procedures for durable medical equipment access and that's things like wheelchairs, electric wheelchai wheelchairs, scooters, walkers, canes, oxygen tanks, that kind of thing and what's happening with these devices during an emergency event. we're also working with our colleagues in the fire department and d.b.i. on policies and procedures per towning to safe and effective evacuation, especially in multistory buildings, which was identified as something we need to address. and then we're also continuing our efforts citywide in mapping,

the sharing of the disability access and functional needs facilities and resources throughout san francisco and especially paying attention to deaf and hard of hearing and blind/low vision populations that have been sometimes not intentionally but left out of the conversation. we really want to make sure that effort is inclusive to the needs of those two specific populations along with everyone else. and, finally, we're moving forward with the implementation of recommendations that came out of the aging and disability task force, which is what i will talk about next. that leads to the next slide, which is about san francisco's age and disability friendly efforts, which has been a collaborative process to make sure that san francisco is inclusive to older adults and folks with disabilities and i'm very proud that san francisco is

the first municipality in this effort, which developed its framework through the world health organization to also be incorporating disability as part of that effort. so we're looking at our rapidly aging population in urban settings, who are focused on community-based living and looking at environmental impact as part of the process. so on the next slide, we have a little bit about the world health organization framework for global, age-friendly communities. so we base our domaines on the domaines assigned by world health and right now in our -- in the phase we're in is implementation. and we're in the middle of a five-year planning process. the first year was specific task force of 27 members and members of the public, who then develop

up to 200 recommendations across eight domains, which somehow we narrowed into 24 recommendations and goals for the next three years. it was a very exciting and thoughtful process to be a part of. so, again, in this effort, we're looking at seniors, folks with disabilities, those with age-related cognitive impairment and also caregivers, so we can maintain a collaborative strategy. so on the next slide, talks about our eight domains. and i will be focusing in a second on resiliency and emergency preparedness. other domains that we're looking at with defined goals is around community support and health, engagement, technology, employment, housing, transportation and outdoor spaces. --

some of the gaps that exist is making sure that these specific populations, including caregivers know what to do in the event of an emergency? so we're focusing on that.

we also know that alert sf is a strong tool to help our city maintain connection, so we are trying to prioritize outreach through a campaign to get as many folks as possible registered with alert sf. and then finally looking at ensuring that we have a strategy for how we evacuate those with challenges in multistoried buildings. there are many agencies that are part of this effort. and these are the three where we're going to be beginning. and then into the year or so, we're going to be evaluating where we are and then the process will continue to be iterative and we'll see what's next. that's a very kind of brief overview. i'm wondering if anybody has any questions. >> just a request.

i serve on the commission of aging and adulter er ier i ere adult services. i know that my colleagues would appreciate this presentation. perhaps we can schedule a time for to you come in there. >> great. sounds great. >> thank you, nicole. as nicole is talking, i'm looking around the room and learning more about the planning process. there are a few departments involved in the planning, i don't know that there is any of us not involved in the response around this issue and it's really going to take all of us. everything from transportation, h.s.a., 311. so it was really important to share the information on this and appreciate everyone's coordination around it. next we are going to hear from captain from the fire department. one of the most important things

is nert. if everybody was nert-trained, we would hands down be the most prepared city in the world. erica is the program coordinator. and her commitment -- i've known and worked with her for years. it's outstanding. thank you for all you do. and so she's going to speak us to and then we're going to watch a video. >> thank you. i really appreciate the support and being included in this first meeting of the new fiscal year. so thank you. i also want to say that i speak for the firefighters that stand behind me and instruct the community in this important training in nert and administration of the fire department that's supported this program for 28 years. there are very few initiatives like that. and so i like to remind the room that innovation and all that is great, but sometimes supporting the tried and true gets lost in looking for the new, shiny

thing. and so i want to remind all of us that this is the only training program that includes hands-on disaster skills in responding to an emergency and it's the oldest community development in san francisco. i know that term gets bounced around and i use it, too, but this is where the rubber meets the road, in terms of an individual that lives or works in our city that comes and gets practical skills. it's 18 hours of training. it's a commitment on the part of our residents. i want to thank everyone that has gone through the program. your commitment to 20 hours of training is very, very impressive. beyond training, the real success of our program will be a robust retention program, where volunteers not just have 18 hours of training and leave, but where we have them involved in

an ongoing basis. and that takes resources and, of course, in a room like this, that's where i will ask for your investment, in making sure that we not only rely on the fire department and coordinator to make this happen, but collectively, this is an effort that we get behind that we support and we don't bounce ideas off of, but we get real investment in our city. this will allow the resource to be the most robust and effective when we need nert. so there are many of you in the room that i've worked with at rec and park, at building inspection, with our police department, and our co-operative volunteers that are nert-trained and know what the police department needs or with the water department, department of public health, where we train in psychological first aid and

supporting survivors around them, with the interfaith council where we're working with churches to support us. so i'm very aware that i work with you in the room and i want to thank you for that continued support. and i want to let you know there is so much more to do to get us where we want to be. the fact is, we have about 1% of san franciscans trained and if we could even push that to 5% -- of course, the goal is everyone's trained. that's so juicy and exciting. [laughter] but if we even could push it over to 5% and that's going to take a lot of people's effort, rowing in the same direction. i appreciate the opportunity. i will not belabor you with what actually is taught in nert. i feel like many of you know that already, bum appreciate the support and look forward to working more with you. thank you.

>> buffering. >> nert came out of the earthquake. in 1990, neighbors asked to be shown what to do. i took nert training because i came from the midwest. we don't have earthquakes. i knew how to deal with snowstorms and a little bit about tornadoes. i had no idea what to do with earthquakes. >> our neighborhood association decided this past year at our annual meeting that we needed to have more of a preparedness for our neighborhood. >> i heard about nert through a flier that i saw on a bulletin board and i thought, this is something that i never really thought about. >> there are consistent reminders that something could happen at any time and it's incumbent on me to be responsible for myself, my

family, my pets, and i want to make sure that there is an emergency, a problem, we make it through without falling apart. >> every year we host an annual activation of volunteers citywide and we choose a schoolyard because it's a large open space and assign teams to work together. it's real simple. to get to this point, you need to take a class. it's about 18 or 20 hours of class work and we offer it throughout the city, all year long. >> the whole point of this, is to make your mistakes now. that way when there is a real earthquake, you will be prepared and you will be like, i've done this five times. i know what to do. >> we have black smoke. >> the nert training was so great because it caught us how to get prepared for ourselves

and also to be prepared in our neighborhoods. >> it's a journey and the training is fun and the people that take the training get to know the firefighters and people in our neighborhood and it's really critical, who you know after something happens. >> the class goes into, how do you help your neighbors? how do you make sure that a building is safe and how do you go in and do search and rescue. how do you lift stuff off of people that are crushed? how do you make sure that the people that are the most injured get the care immediately. people that can wait are set aside and then first responders can help them. >> one thing i didn't realize, i probably wouldn't be able to communicate, because cell phone service goes down and telephone service is overwhelmed. >> we found out quickly that the commune cautions between the battalion stations and staging areas is a must. >> that's the most critical. to make sure that we're in the loop, we know what's going on, the communication is slowing. >> we're training just under

2,000 people per year and i would like to have 3,000 people per year. >> i think people should sign up for nert because you will never know how you will be able to respond in the case of a real emergency, but if you are more prepared, it gives you peace of mind. and it helps you help other people. >> we're privileged to get a grant from the state of california and it allows us to train nert volunteers, some of them to be deployable. we'll have 250 deployable volunteers by the end of april full yes funded by the state and able to deploy. we will be able to share volunteers wherever the emergency happens. becoming a nert first is the vehicle if you want to do more in a disaster. >> it's really nice to know that there are people i can rely on. people that will be helping out to make sure that for your little space of the universe,

we'll all be okay. >> how about that? our little space of the universe. [applause] i think she nailed it. so our drill is coming up on october 20 and all the activities will be listed in the quarterly report for the disaster council. if there is any role you want it play or come participate, we absolutely love that. the last thing that i will close with is that the training is free for anyone who lives or works here in san francisco. there is no charge to the participants of the program. so don't let that be a hindrance to joining us with our training program. the program doesn't have a minimum age. accompanied by a parent or guardian up to the age of 14. 15, 16 and 17 can participate with a parent's authorization

signature. jade was 7 when she took the training with her mom. are there other questions? okay. thank you. >> thanks so much. next on our agenda, i'm really excited about this, just this week on wednesday, in partnership with san francisco unified school district, we had a big announcement, win is the first of its kind earthquake curriculum that is being introduced to kids within the school district and their families around seismology, so it's part of the science curriculum and emergency preparedness. one of the stats about this i think is amazing -- this is curriculum that will hopefully be part of the school district for the next 20 years. and that means it will touch over 800,000 san francisco kids and their families, which is a

big number. for anyone that has kids, when they are introduced something like this in school and they're instructed to come home and get their parents on board, it is really effective. i've been on the other side of that. i think it's great. we had an excellent day, got to hang out with 7th graders. and it's such a way, talking about connectedness and also from a perspective of equity, going through our public school district and touching every kid in the 7th grade. it's a great, innovative program, for which i can take no credit, but my team that worked on this and the school district for the last three years to bring this to fruition, just really proud of you and kudos to everyone who had a part in it. without further ado, we have a

short, little clip of what happened on wednesday. >> today we're highlighting the curriculum that was developed in collaboration between san francisco unified teachers and science education experts at stanford university. what is exciting about this curriculum, is across the city, 7th grade students are learning about earthquakes and how to be prepared for earthquakes and doing it in a project-based way, in thinking about where to develop and design a music venue that will be earthquake-safe, given the geological system and soil types. >> the students are doing a card source. there were 18 items that were revealed in the pamphlets that they got that are items that will be needed to survive 72 hours in a major disaster. so i had them try to divide up the 18 items in things that are

necessary or useful or nice to have, and personal items. i think students were surprised how they matched or didn't match. what the city recommends for riding out this period of time after an earthquake. >> i learned that a manual can opener is more essential than other items like personal things of the purpose in the lesson was to open cans of food, which you might store for emergencies and use in earthquakes. some of the items that i placed in essential, so i was confused at first and then i realized why they weren't essential. >> the kids are required to take the planning materials home and talk with their parents about what they can do and what they should do to prepare themselves to be resilient and safe after an earthquake.

and this is just an amazing way that we are able to get into the community within san francisco to educate our kids at a fairly early age and then share that with our parents. this is exciting. we're rolling out this curriculum and it is really taking advantage of our city as classroom and opening the doors, so students are talking on real world challenges. and they're not just learning facts, but learning science to apply to real world challenges. >> thank you. [applause] many thanks to the unified school district for the partnership here and also to sfgov tv, because this happened on wednesday and they had this ready for us today. so thank you so much. [laughter] yeah.

thanks. any questions on that? okay. sfo annual exercise. is anybody from -- would you like to say a few words about the exercise, also this week, hot off the press. >> we had a great day yesterday. we did our annual exercise. the requirement of the f.a.a. is that we conduct it every three years, but in an abundance of preparation, we do one every year. last year it was active shooter. this year it was a water crash. departing aircraft hitting a flock of birds and ditching in seaplane harbor right off the runways there. big thanks to the fire department and the police department, great response and great leadership from both. and d.e.m., thanks for coming down and supporting that as well and showing -- having the collaboration. we had 40 federal, state and local agencies involved in this.

we had over 20 watercraft respond from all parts of the community, as far south as redwood city and the coast guard and very successful and very integrated from a mutual assist perspective. one of the things we wanted to exercise was, of course, the establishment of incident command and unified command and transfer of command over to coast guard and that was very successful. we also have a new triage system that we developed and we were able to exercise that as well and it proved to be a very robust system. because that's something we learned about the tracking of the victims and taking sure that we had all the necessary information. red cross, thank you for being there and feeding everyone yesterday. we appreciate the red cross's support. really, i was out on the water in one of the boats and it was very impressive just to see the

amount of response and participation and that certainty that we can rely on, the mutual assist partners we have in the community. yeah. it was a good day. beautiful day. >> thank you. >> thanks. >> next, we are going to talk a little bit about yellow command. it was a full-scale exercise that was activated last week, two weeks ago, that engaged all members of emergency operations center. the objectives were to -- our goal is to promote collaboration and coordination between jurisdictions and agencies that will be needed during a catastrophic earthquake. the regional impacts are estimated to be over 300,000 people, requiring shelter in the bay air yes after a 7.9 on the

san andreas, so it is significant. we're going to talk about the -- she was the commander-in-chief of the whole thing for the region. she will talk about the region and relevance of yellow command. and delores barone will talk about the activities that took place in san francisco. thanks. >> thank you. good morning. great to be here. i'm the exercise director for yellow command portion of urban shield program and it is our annual opportunity to sker -- exercise in the bay area region. and so we always take on a catastrophic event for a scenario. 7.9 earthquake this year and we practice coordination across counties, when everybody is

impacted by this catastrophic event. so our intent this year, the exercise was on september 6. our intent was to build local government capabilities to provide mass care and shelter services for those 300,000 plus folks throughout the bay area region. and we had -- across the bay area, we had 18 full-scale operation exercises like you are seeing here in san francisco. we had 55 local emergency operation centers and department operation centers activated throughout the 12 counties and close to 3,000 participants across the bay area. we had several state agencies, california department of social services, california public health, participating with us. they activated the state-level mass care and shelter task force. so this was a very wonderful example in partnership and practicing together and, of course, our partners at red

cross and salvation army, the various humane societies and spcas around the area were all involved. you will hear the areas that san francisco focused on. we were looking at integrating medical services, sheltering animals, public information and messaging from the shelter about the sheltering opportunities. shelter staffing from local government resources and then, of course, coordination of resources throughout the bay area. >> what you are seeing up there is just the b roll of the activation at saint marmary's a the activation of the drill. >> as part of yellow command, san francisco participates every year. this year in partnership with the human services agency and

department of public health, we activated a local shelter. you've seen it on the screen. and what we -- our goal was to test the city's ability to set up and manage a shelter here in san francisco. and so that was a big goal. we wanted to integrate services into the cathedral. it's a step where department of health has taken the lead in putting this together. so we were excited to test and activate for the exercise. and so in addition to the shelter, we activated the human services agency's department operations center as well as department of public health. and our san francisco emergency operation center. the focus was to support any needs. so personnel, equipment or social service needs that were coming in, so that was the role at the d.o.c. and e.o.c. level

to coordinate and fill the gaps, so that's what we were doing during the sker sues as well. in terms of the activation of the shelter -- st. mary's is one of over 100 pre-identified shelters we have in san francisco. we chose st. mary's because of its size and because it allowed us to fit the medical portion into the exercise, which we really wanted to exercise. we staffed the shelter with city staff, which in the time of the event would be d.s.w. so we had a great collaboration and great test as to how we co-lead or co-manage a shelter here in san francisco. and one of the highlights is we had over 80 volunteers. so one of the things we practiced at the shelter site is the doctor or was the ability to

process our survivors. and so we reached out to sales force, red cross, salvation army, inter-faith council as well as the access community and next door, which is where we got a lot of volunteers from. we had over 80 people come out and act as survivor-actors. we provided some education around what disaster response and sheltering looks like. and that was a valuable piece of the exercise in providing that education and awareness to our city residents. the last piece is that we were able to train our h.s.a. and d.p.h. shelter staff on site. it was a just-in-time training. we focused on, how do we train our staff in the time of an event to be able to provide the services to run the shelter. and that was a really, really

great outcome. next year, yellow command will focus on transportation. and so i'm really looking forward to moving to the transportation and working with many of you on that project as well. thanks. >> thank you, guys. thanks so much. and just to highlight, this is really meant to test our ability and our capability in the first days after an emergency assuming that we get no outside help. just to highlight how critical that is, we depend on red cross -- i know red cross is here somewhere. we depend on you so much and it will take time to get that up and running. thanks, trent, you guys are big players in this. next, we're moving on to fleet week, next week. we're all very excited about it. jill raycroft, go ahead. >> thank you. i think the great theme that we can look at through this is the city and county of san francisco

will do fairly well for the first three to four days. after that, we're going to need a lot of help. the efforts at sfo, the work done around yellow command san francisco and region-wide is essential. the work that i do around san francisco fleet week program is looking at that seven-day point. we work with the department of defense in the defense support of civil authorities construct, meaning when we have a federally declared disaster, the department of defense can come up from san diego and assist us. this is the eighth year of our program. it's definitely growth. i've talked to colleagues throughout the country and, you know, very few cities run exercises for the department of defense. so i think it's kudos to us that we can sort of tell them what we need and work with them side by side. mike dayton, deputy director, stresses that. practicing it, if you can see

this photo in the lower corner. we have folks in civilian uniforms, fire, police, also folks in military uniforms. the bay area does not have a lot of military personnel in it right now. this is a great opportunity for us to work with them directly. this is a landing craft utility in the middle. it comes out of our navy ships and delivers trucks from the marine corps. this is pier 96. pier 96 is out in the southern part of the city. and this is one of the federal staging areas outlined in the bay area earthquake plan. this year on monday, october 1, we'll be exercising our federal staging area, as well as our fueling requirements and needs. so through leadership with brian strong, lifeline council, we've create add fuel working group and worked through a lot of the issues of, what is a blue sky day of fuel look like