incorporating the comments made. if not, we'll prepare for the vote. all those in favor of the resolution please say aye. >> aye. >> all those opposed. the resolution has been adopted. thank you very much. >> thank you, commissioners. >> clerk: item 9 is an update from the san francisco medical services administration. good afternoon, commissioner. i'm james stern, ems administrator. >> i'm john brown a medical director. >> i'd like to acknowledge and thank the staff that is behind our -- >> commissioner: would you please speak in the microphone so the whole public could here. thank you. >> i want to take the opportunity to thank our wonderful staff behind all the work we're doing. they're dedicate and passionate about create world class ems system for a world-class city.

if i can get them to stand up and be recognized. it's a collaborative effort we're undertaking here to change the ems system and to make it a more of a patient outcome-driven system we have the san francisco fire department and king american ambulance and the corporate partner that provide research and technology to make the system better.

>> i wanted to talk about some of the accomplishments we made since transferring from december 1 and i was able to consolidate slides but there's actually three pages of work we have done in this incredible team behind me has put in and made some changes. but just to highlight a few, our staffing and we're working on some training and individual development training and team training. we've moved offices. we went from 30 vaness to 90 vaness that was a tenant improvement project. activations. we've been involved with motorcycle activation and the fires in the state. it's been really a schlg for us to do that. ems trainings, we've been putting on free continuing education training to the providers and to increase the

level of medical practice in the community. and we've also developed or redid our policies. i think we had 11 policies we rewrote and enhance the care being delivered. we've developed a new medical plan approval process to streamline when we get on these major events how we process that and make sure the right reasons are there to take care of patients that might be delivered from that event. and in ambulance we created a lean process for analyzing the ambulances. city. >> in the next slide we wanted to point out the structure and the broad areas we're working

on. both in conjunction with state law and regulations and our duties for the department of public health to carry forward the mission of good ems care for san franciscans. we do public and professional education. one highlight is we we've now entered into our sixth year of an ems medicine fellowship training program and we have a number of graduates working as ems physicians inside and outside of california so i'm happy with that progress and it's helped us to work on projects with us and we have worked on improvement continuously. we've had a committee that meets regularly. we've analyzed one of the procedures the paramedic were was doing and wasn't as effective that was newer for nasal treatment and airway pressure ventilation. we've moved to the latter as a more effective and safer methods

to help patients in airway crises successfully. we do policies for the ems providers and policy affect hospital partner and one example we've had recently is a standardization in our equipment policy of all of our defibrillators and we've been successful at taking care of patients with heart attacks in progress and send ekgs to the hospital and have them take action based on that. certification investigation. we have about 2,000 ems personnel both paramedics and ement -- emts responsible for maintaining levels of their credentials and have done that seamlessly before and after the move. in research, i'm happy we have more providers involved in the research program. we have a research committee that meets quarterly. we have four active pilot projects in the system and we're

applying to be a node for a pediatric research component that would be both ems and hospital wide. we're making strides in improving our research stance. for the system overview, many are familiar with the system already. just in a nutshell we have approximately 100 people we care for during the workday and 9,000 all the time. there's about 100,000 ems calls and 80,000 result in transfers to hospitals or other centers. we're work innovatively to improve our disposition to patients where not everyone is sent to the emergency clinic and we're working on that more effectively. i mention the number of paramedics and emts.

and the cardiac arrest is a small amount but it's so time sensitive. you to have the right gear delivered to the patient quickly and bring them to the right facility to maximize their chances of full recovery. so there's a small number of patients but they're an important part and the 600 number refers to the type of heart attack patient where specific care can be delivered to them. we'll have an example in a few moments and it's sensitive to good dispatch, fast response and accurate time and care. with all that we're focussed on

cardiovascular health. 1.2 million people each year from cardiovascular disease and some are healthy individuals an their heart just stops. that's the focus we're looking at. the research shows if the patients are treated early or recognized and treated early with citizen involvement and early access defibrillation we have the highest chance of them to go back to a good standard and quality of life. with that we started two initiates. the first is the cardiac arrest initiative we call 2020/50. at the end we'd like a 50% survival rate of somebody with a witness cardiac arrest with some type of cpr or aed from the citizens and is a shockable

rhythm. they're resuspect -- resuscitated with a cpc score of 1 or 2 and neurlogically intact. why's that important? we looked at the data and over the last four years we've had a decline in cardiac arrest survival rate. part is citizen involvement, early access to the system. so 24% of all cardiac arrests get some kind of citizen cpr. about 5% get public access defib -- defibrillation knowing they have the biggest impact on survivability. >> and what i'll describe to you is a little bit counterintuitive and you're comparing colors to colors and the dark and purpose and red and orange color. you can see with bystander cpr

there's significant increases in each category. the one we shoot for is survive to discharge with neurological function intact. this is in the national data not specific to san francisco. if you look nationally at the effect of that adding a public access defibrillator you see a boost in the numbers. what we're looking for is the chart on the far left. we want to get the bystander cpr and automatic defibrillator involved for a higher chance of survival. >> this graph basically shows where cardiac arrests occurs by zip code within the city and county of san francisco. the red dot is the number of cardiac arrests and the blue dot correspon corresponds to public access

defibrillators. in the embarcadero area there's a lot of defibrillators. as we move west and south we see more cardiac arrest but less public access defibrillators. if you look to hunter's point area you'll see a large blue dot in the middle. that's deceiving because you look at the total number of aeds. one company has 13 registered thane location. that's misleading in a sense. that number is fairly small. our goal is to provide equal access to everybody in the city for proper tools for resuscitation. >> this graph illustrates timeliness and while we're not

overemphasizing response interval times they're important in assure survival. as the minutes go by from the time of the event to the point at which the patient receives the defibrillation the chance of survival decreases by 10%. we want to get to people quickly and identify them accurately and get a defibrillator to them quickly. we're involved with the dispatch center on two initiative to have rapid identification so the dispatcher can coach the individual to do cpr or bystander cpr until response or a defibrillator arrives and to reassess what's happening and if not a cardiac arrest it's called off but no time is lost in trying to actively identify the cardiac arrest to get care there

quickly. >> we talked with the citizen involvement. now we'll talk with the professional involvement. we put on a resuscitation clinic. we did a blind study we had them come in and do two minutes of cpr and gave them the tools necessary to be successful. we probably had a 70% shift in quality factor and compressions at the end of the day. it doesn't take a lot but it's a coordinated effort to increase resuscitation. we looked at each cardiac arrest and annotated and come up with performance measures to give

feedback to the crew. this slide emphasizes what we're trying to do to improve our survival in cardiac arrest and i already talked about the place of aeds in the community and where you saw the different colored dots the red and blue, in an a deal world we'd have the same amount the amount needed for cardiac arrests so that's a tar get we have going forward and how we'll distribute further aed's in their community and people are using different apps. allow someone training cpr and willing to assist with the response. it lets them know there's one

within a short distance from you. if you want you can respond and grab the defibrillator trying to get that defib rilation to the patient as quick as possible. the last is the research-driven policy and protocol revision. currently we have four pilot projects, excuse me, three and a fourth in the works coming april. looking at ways to improve et. we want to make better database decision making. we don't want to have what we did before drive us or the brightest shiny object we get people's attention focussed on or a negative reaction to an event. we're trying to improve our research and up our ability to make database decisions.

>> this is our 2020 initiative and our true north initiatives to reduce congestive heart failure and diabetes and those who are myo cardial infarctions increase the risk factor. this gives an idea of the data points we're looking at. we're doing phase 1 and phase 2. phase 1 we're taking six months of the myocardial infarction data and putting it into a lean process and looking at the data points and this is from first medical contacts so the first medical provider that shows up on the scene to the point the patient gets taken care of in 60

minutes and it shows a real decrease in congestive heart failure and hypertension. that's one of the reasons why we picked 60. this is hard to see on this picture. this is a picture on the far left. it shows a vessel that's somewh somewhat owe ocluted and this shows complete reprofusion of that vessel. >> we wanted to decrease disparities that can happen geographycally and in terms of

the types of services the patient needs. we have a large number of calls gen rated by a small number of patients with behavioral health and medical needs. and we're working with other agencies in the state to i am proch care targeted for those appreciates. the ekg transmission important to the stemmi cases. in july of last year we were having almost 0% transmitted after years of trying to get it going and now we're up to 80%. it helps our hospital partner get the data earlier, make the decision on what types of therapies to initiative including the bringing the patient directly there and you probably heard the stroke protocols including san francisco general to speed

delivery of the patient directly to the ct scanner. get it identified and identify the best way to get the patient out with full function. we used to have a pain policy with one medication and now have four for pediatric and adults. now we're monitoring if patient's main is being appropriately treated and relieved before they get to the hospital. it's not a life-saving or life-threatening problem but we want to give that level of care so they have a better experience and better outcome so they have less trauma with us.

>> we want to train equally among providers. we need to spread high-performance cpr in the professional providers and cities and schools, workplace and communities, faith-based organizations. medical documentation improvement and ways to capture the pertinent medical information and transmit that patient to the hospital. hospital diversion is something we're cooperately -- currently working on and with us and we're taking steps to improve that process. the decision quality by data science. using data helps drive our decisions. thank you.

>> commissioner: now we'll receive any public comment requests for this item. >> thank you for returning. i remember when you first introduced and hoping to be able to see the type of work we're doing. if you've shown a disparity of defibrillators in the city i don't see anything how you were hoping to overcome that. >> you're asking among the disparities of the d defibrillators. >> they're in various areas and probably office building and there's those not happening in that area. if you're going to want to try to balance that, then one part

of that question is are we working on ways of having placement of defibrillators in the other areas. >> we have a small grant we were able to purchase some equipment and we're looking for places to place those equipments. and working with the communities and fund raisers and corporate partnerships and how to get defibrillators donate head to city to increase access to them. >> i think in the long-range strategy we'd like to pursue legislative solutions. in san diego county there's certain triggers at which defibrillators have to be involved in businesses and large dense home settings so in the future that's a direction we want to go in. in san francisco we don't have

the updated number but i estimate we have 1,000 defibrillators. san diego has close to 5,000 now. i think the way they have incorporated that into the development plans is something we can look at and learn from to increase numbers in the long run. but we do need community partner. the fallacy is if you have the device sitting there, someone has to know the problem exists and be willing to help and apply it to the patient. it's a multi-step process. it's not just a matter of putting out the machine. >> commissioner: commissioner bernal. >> because the dots are an equal size is because san francisco state university have those? it looks like it meets the need.

and my other question is devices expire and how do you monitor where these devices that we're aware of, where they are on their life cycle and is there a plan for placing them. >> i'll take the first part and turn the second over to jim. i don't have knowledge of where those are placed in that jurisdiction and part is it's not quite as densely packed. the university has less of a footprint and there are specific legislative requirements. all health clubs have to have defibrillators. so that's an automatic and schools have a health requirement for healthy heart living which includes not just cardiac arrest but dietary choices and avoidance of tobacco

product. there's requirements around that so that also accounts for the number. some of the larger retail establishments and large hotels, malls, tend to have them as well for risk management purpose but it's not a legislative requirement. >> to answer your second question there's businesses an corporate partners we've been working with developing systems to monitor your aeds. it will let you know or help manage them. they'll let you know when you put it in place, when the defibrillator pads are expiring and when the battery will expire. they can give you an update. the newer systems are connected to an overall system which every time it tells you that aed is functioning or not. >> thank you. >> commissioner: commissioner loyce.

>> i'd like to thank you for your presentation. i thought it was insightful and learned a lot. i have a question for clarification and then a follow-up. did i hear you say there's citizens out there you'll notify there's an arrest going on in the community and you'll tell them where the aed is and if they want participate. tell me about that process and how it happens. >> there's an app we're in the final stages of in getting it setup. you download the app to your smartphone and can put in the parameters in if you want to be notified within a block, two blocks or half a mile. it's in a public location and tied to our dispatch center. it's like an amber alert. it puts it out and recognizes where you are in the community and registers the aeds.

it will say cardiac arrest a block away and the nearest aed is in this location. it can give you just-in-time training so if you're rusty on your cpr skill it can give you training as well. >> commissioner: thank you. mr. sanchez. >> thank you for an excellent presentation. talked about the innovations in the schools. i want to stress i think as you looked at the data we presented today a lot of these communities where as an example kids are bussed from one part to the other and from one program to having to wait for the busses at 5:30, their parents and others may be in other parts of the city in different languages.

i know a number of people and professionals and others have said it's so important for a lot of the kids even in elementary school from seco 2nd grade on ao on to know the protocol for an emergency. they have iphones for after school or whatever and so there's a unique opportunity to do prevention and follow-up and the boys and girls clubs are critical. kids go before and after schools and for meals. many staff and they have boys and girls groups and there's kids from different places. last thing are senior community

centers are great places to discuss the issues. especially those with multi-lingual capabilities. we're talking about diabetes and talking about cpr and what you do in an emergency and now some of the staff and volunteers and the people who participate themselves, many who come from different sections of the city for meals or recreation or dance could be a key protocol for us to expand the knowledge we need to to respond as a city to these cases which come up. you've done a lot of work and moving forward. hopefully we can pull together even more as we move on a critical area. >> commissioner: those are great recommendations. i want to add two things. one is research from our colleagues done in alameda county that found the ideal age

range to target was in the junior high school group and by doing that, every person they trained, trained four and a half people. when kids are younger they may be not able to process the information but when they're older they don't think it's cool enough but that's a sweet spot if we can reach that age range we can have them do that the rest of their life and inform or training others. there's an interesting development i'm reading more and more about on training kiosks. i had to get my real i.d. at the department of motor vehicles. i thought what a great idea to put kiosks because people could engage with other effects and maybe it wouldn't get them through the line faster but they could maybe enroll in a pulse

point for us and be agent in the community to get high survival statistics we like to see. >> commissioner: just a quick follow-up is we're working with american heart association and they're pulling up data showing at risk areas in the city. for a minimal amount of money we can purchase kits and put them in the grade schools. they have them in the high schools but we're shooting for the middle schools and we're working closely to identify schools we can put these kits in and start educational process. >> commissioner: thank you. it's interesting. maybe we'd not only learn cpr but complete it by the time you get through the dmv. i appreciate the update and in

terms of the public work you were doing at this point. i know we have a regulatory side we want to give you time to work on and ask staff to calendar appropriately a report and specifically what the pillars are doing. you've highlighted several programs. you aloud -- alluded to the work you're beginning to do with strokes which is fascinating and general's own data shows they were able to accomplish quite a bit. how that translates to the rest of the city is interesting too in terms of are the other stroke centers as proven and is that worth simulating. as we look at individual projects it's also important to get a report on our regulatory

responsibility as the agency and we will work with you and staff to calendar that at an appropriate time as i know you're all still working on developing the data. does that make sense and is that appropriate? so thank you, very much. >> clerk: item 10 which is other business. the calendar's before you in case have you questions. hearing none i will go to item 11 he report back from the january 22, 2019 jcc meeting. >> it showed if we missed the meeting we'll have a lengthy meeting taking on two months' worth of reports in term of the

various routine reports we had. we also actually had additional presentations with the report card and updates and the amazing amount of work a hospital and particularly general has to do to meet something like seven different scorecards and dozens of measures. the fact they accomplished this well and placed it into an order even the jcc members can understand. at the time we also approved the primary care clinical guidelines and rules and regulation the dermatology department and additional medical staff policies and within closed session approved the credentials report and so we had a lengthy

but productive meeting. it shows what happens when we miss a meeting. thank you. >> commissioner: any questions on that or anything anybody wants to add from the meeting we had? >> too >> it's remarkable the progress they've made and having a monetary reward this year when in 2011 it was all real uncertainty. the accomplishments through the lean program is amazing and incredible and i hope they all know how impressed we are with those accomplishments. >> for those who may not have been able to see it, it would be appropriate to present the matrix that we've had and the

type of work they are doing in terms of six or seven different scorecards and we keep track of that and it's sort of like inside baseball when you look at the statistic. i think the staff has somehow accomplished an almost impossible task of making it understandable. i think we want to look at doing a presentation of as a model in which the incorporation of that data and its ability to understand how it affects the entire organization with a good exercise for us. >> i'll make note of that for a future meeting. >> commissioner: thank you. we'll go to our next item then, please. >> clerk: consideration of a closed session. >> commissioner: so under the closed session, which topics are we taking up?

>> clerk: there's just one topic. there's a conference with legal council to discuss anticipated litigation. >> commissioner: okay. so counsel is what we're asking? >> clerk: yes. >> commissioner: a motion for moving into closed session. >> motion to move into closed session. >> commissioner: i second. >> second. >> commissioner: all in favor please say aye. >> aye. >> commissioner: we will now move into closed session and so the public is not part of the closed session. we are excusing at this point and we will proceed with closed session as as so soon as we hav vacate the room of >> commissioner: a motion to disclose or not disclose the discussion in closed session sin order. >> motion not to disclose. >> commissioner: there's motion not to disclose and a second.

all in favor of not disclosing the discussion please say aye. >> aye. >> commissioner: all those opposed? we will not discuss. a motion for adjournment is in order. all in favor of adjournment please say aye. >> aye. >> commissioner: this meeting is now adjourned.

shop and dine in the 49 promotes local businesses and challenges residents to do their shopping and dining within the 49 square miles of san francisco. by supporting local services within our neighborhoods, we help san francisco remain unique, successful, and vibrant. so where will you shop and dine in the 49? >> my name is ray behr.

i am the owner of chief plus. it's a destination specialty foods store, and it's also a corner grocery store, as well. we call it cheese plus because there's a lot of additions in addition to cheese here. from fresh flowers, to wine, past a, chocolate, our dining area and espresso bar. you can have a casual meeting if you want to. it's a real community gathering place. what makes little polk unique, i think, first of all, it's a great pedestrian street. there's people out and about all day, meeting this neighbor and coming out and supporting the businesses. the businesses here are almost all exclusively independent owned small businesses. it harkens back to supporting

local. polk street doesn't look like anywhere u.s.a. it has its own businesses and personality. we have clothing stores to gallerys, to personal service stores, where you can get your hsus repaired, luggage repaired. there's a music studio across the street. it's raily a diverse and unique offering on this really great street. i think san franciscans should shop local as much as they can because they can discover things that they may not be familiar with. again, the marketplace is changing, and, you know, you look at a screen, and you click a mouse, and you order something, and it shows up, but to have a tangible experience, to be able to come in to taste things, to see things, to smell things, all those things, it's very important that you do so.

>> hi. welcome to san francisco. stay safe and exploring how you can stay in your home safely after an earthquake. let's look at common earthquake myths. >> we are here at the urban center on mission street in san francisco. we have 3 guest today. we have david constructional engineer and bill harvey. i want to talk about urban myths. what do you think about earthquakes, can you tell if they are coming in advance? >> he's sleeping during those earthquakes? >> have you noticed him take

any special? >> no. he sleeps right through them. there is no truth that i'm aware of with harvey that dogs are aware of an impending earthquake. >> you hear the myth all the time. suppose the dog helps you get up, is it going to help you do something >> i hear they are aware of small vibrations. but yes, i read extensively that dogs cannot realize earthquakes. >> today is a spectacular day in san francisco and sometimes people would say this is earthquake weather. is this earthquake weather? >> no. not that i have heard of. no such thing. >> there is no such thing. >> we are talking about the weather in a daily or weekly

cycle. there is no relationship. i have heard it's hot or cold weather or rain. i'm not sure which is the myth. >> how about time of day? >> yes. it happens when it's least convenient. when it happens people say we were lucky and when they don't. it's terrible timing. it's never a good time for an earthquake. >> but we are going to have one. >> how about the ground swallowing people into the ground? >> like the earth that collapsed? it's not like the tv shows. >> the earth does move and it bumps up and you get a ground fracture but it's not something

that opens up and sucks you up into haddes. >> it's not going anywhere. we are going to have a lot of damage, but this myth that california is going to the ocean is not real. >> southern california is moving north. it's coming up from the south to the north. >> you would have to invest the million year cycle, not weeks or years. maybe millions of years from now, part of los angeles will be in the bay area. >> for better or worse. >> yes. >> this is a tough question. >> those other ones weren't tough. >> this is a really easy

challenge. are the smaller ones less stress? >> yes. the amount released in small earthquakes is that they are so small in you need many of those. >> i think would you probably have to have maybe hundreds of magnitude earthquakes of 4.7. >> so small earthquakes are not making our lives better in the future? >> not anyway that you can count on. >> i have heard that buildings in san francisco are on rollers and isolated? >> it's not true. it's a conventional foundation like almost all the circumstances buildings in san francisco.

>> the trans-america was built way before. it's a pretty conventional foundation design. >> i have heard about this thing called the triangle of life and up you are supposed to go to the edge of your bed to save yourself. is there anything of value to that ? >> yes, if you are in your room. you should drop, cover and hold onto something. if you are in school, same thing, kitchen same thing. if you happen to be in your bed, and you rollover your bed, it's not a bad place to be. >> the reality is when we have a major earthquake the ground shaking so pronounced that you are not going to be able to get up and go anywhere. you are pretty much staying where you are when that earthquake hits. you are not going to be able to stand up and run with gravity.

>> you want to get under the door frame but you are not moving to great distances. >> where can i buy a richter scale? >> mr. richter is selling it. we are going to put a plug in for cold hardware. they are not available. it's a rather complex. >> in fact we don't even use the richter scale anymore. we use a moment magnitude. the richter scale was early technology. >> probably a myth that i hear most often is my building is just fine in the loma prieta earthquake so everything is fine. is that true ? >> loma prieta was different. the ground acceleration here was quite moderate and the

duration was moderate. so anyone that believes they survived a big earthquake and their building has been tested is sadly mistaken. >> we are planning for the bigger earthquake closer to san francisco and a fault totally independent. >> much stronger than the loma prieta earthquake. >> so people who were here in '89 they should say 3 times as strong and twice as long and that will give them more of an occasion of the earthquake we would have. 10 percent isn't really the threshold of damage. when you triple it you cross that line. it's much more damage in earthquake. >> i want to thank you, harvey,

thanks pat for >> my name tom hewitt. first of all, i would like to welcome everyone to come to this fair. this safety fair, we trying to educate the public regarding how to prepare themselves during and after the earthquake and then to protect themselves for next 72 hours. >> hi. my name's ed sweeney. i'm the director of services at department of building inspection, and we put together a great fair for the city of san francisco to come down and meet all the experts. we've got engineers, architects. we have builders, we have

government agencies. >> well, we have four specific workshops. we have the accessible business entrance. >> my name is leah, and i am the assistant manager with the department of small business. i am leading the new accessibility ordinance that helps existing owners better comply with existing access laws. so all buildings that have places of public accommodation in san francisco, they must comply with this ordinance. >> the a.d.e. was setup by the board of supervisors, and the ordinance was passed about a year ago. >> one of the biggest updates that we have is that the deadlines were extended, so all of the deadlines were extended by six months. >> and it's really to help the

public, the business community to be specific, to cut down on the amount of drive by lawsuits. >> so on this workshop, we're going to be covering what the compliance looks like, what business examiand property owne need to know how to comply with the ordinance. we'll also talk about the departments that are involved, including the office of small business, department of building inspection, planning department, as well as the mayor's office on disability. >> hi. i'm marselle, and i manage a team at the building department. today, we'll cover the meaning of a.d.u.s, more commonly known as accessory dwelling units. we'll talk about the code and permitting processes, and we'll also talk about legalizing

existing dwelling units that are currently unwarranted. >> this is the department of building inspection's residential remodelling workshop. my name is senior electrical inspector cheryl rose, and at this workshop, we're going to be answering questions such as do i need an electrical permit when i'm upgrading my dwelling, when do i need to have planning involved in a residential remodel, and what's involved with the coerce process? we're going to also be reviewing inspection process, and the permitting process for residential remodel in san francisco. there's always questions that need answers. it's a mystery to the general public what goes on in construction, and the more we can clarify the process, the more involved the consumer can be and feel comfortable with the contractors they're working with and the product they're getting in the results. if you have questions that

aren't addressed in this workshop, you're always welcome to come up to the third floor of 1660 mission street, and we're happy to discuss it with you and find out what you need to do. >> the program is very successful. the last piece is already 60% in compliance. >> well, we have a very important day coming up. it's sept 15. last four has to be compliance, which means that the level four people that have to register with us and give us a basic indication of how they're going to deal with their seismic issues on their building. >> i'm francis zamora, and i'm with the san francisco department of emergency management, and today we talked about how to prepare for emergencies in san francisco. and so that's really

importantiimportant. in san francisco, it's no secret. we live in earthquake country. there's a big chance we will be involved in a major earthquake in the next 30 years, but we don't have to be afraid. these are going to be your first responders outside of the police officers, paramedics, first responders, these are going to be the people that come to your aid first. by getting to know your neighbors, you're going to know who needs help and who can help in case of an emergency. one of the great ways to do that is for signing7for nert, san francisco neighborhood emergency response team. it teaches you how to take care of yourself, your loved ones, and your neighborhood in the case of an emergency. information is just as important as water and food in an emergency. san francisco has an emergency text message alert system, called text sf. if there's some kind of an

emergency happening in san francisco or your neighborhood, it could be a police action, a big fire, a tsunami or an earthquake. all you have to do is text your citizenship code to 888777, and your mobile phone is automatically registered for alert sf. >> my name is fernando juarez, and i'm a fire captain with the san francisco fire department. we have a hire extinguisher training system. you want to pull the pin, stand at least 8 feet away, aim it at the base. if you're too close, the conical laser that comes out, it's too small, and the fire won't go out

on the screen. if you step back, the conical shape on the screen is bigger, and it will take the fire go out faster. so it can tell when you're too close. >> my name is alicia wu, and i'm the director of a san francisco based nonprofit. since 2015, we go out to the public, to the community and provide training in different topics. today we're doing c.p.r., controlling external feeding and how to do perfect communications in each topic, and also, i hope that they can bring it home and start gathering all the supplies for themselves to. >> on any given day in san francisco, we're very well resourced in terms of public safety professionals, but we all know in the event of a large

scale disaster, it will be hours and days before the public safety professionals can get to you, so we encourage people to have that plan in place, be proactive. there's websites. we have a wonderful website called 72hours.org. it tells you how to prepare yourself, your family, your pets, your home, your workplace. we can't emphasize enough how important it is to be[gavel].

>> chair peskin: good morning and welcome to the transportation authority board meeting for february 12, 2019. our clerk is mr. albert qui quintanilla. mr. quintanilla, could you please call the roll. [roll