material. so one side is a dragon kite, and then there are several different kites in the sky with the clouds, and a little girl below flying it. [♪] >> there are pieces that are particularly meaningful to me. during the time that we were working on it, my son was a disaffected, unhappy high school student. there was a day where i was on the way to take them to school, and he was looking glum, as usual, and so halfway to school, i turned around and said, how about if i tell the school you are sick and you come make tiles with us, so there is a tile that

he made to. it is a little bird. the relationship with a work of art is something that develops over time, and if you have memories connected with a place from when you are a child, and you come back and you see it again with the eyes of an adult, it is a different thing, and is just part of what makes the city an exciting place. >> shop and dine in the 49 promotes local businesses and challenges residents to do their business in the 49 square files of san francisco. we help san francisco remain unique, successful and right vi. so where will you shop and dine in the 49? >> i'm one of three owners here

in san francisco and we provide mostly live music entertainment and we have food, the type of food that we have a mexican food and it's not a big menu, but we did it with love. like ribeye tacos and quesadillas and fries. for latinos, it brings families together and if we can bring that family to your business, you're gold. tonight we have russelling for e community. >> we have a ten-person limb elimination match. we have a full-size ring with barside food and drink. we ended up getting wrestling here with puoillo del mar.

we're hope og get families to join us. we've done a drag queen bingo and we're trying to be a diverse kind of club, trying different things. this is a great part of town and there's a bunch of shops, a variety of stores and ethnic restaurants. there's a popular little shop that all of the kids like to hanhang out at. we have a great breakfast spot call brick fast at tiffanies. some of the older businesses are refurbished and newer businesses are coming in and it's exciting. >> we even have our own brewery for fdr, ferment, drink repeat. it's in the san francisco garden district and four beautiful muellermixer ura alsomurals. >> it's important to shop local because it's kind of like a circle of life, if you will.

we hire local people. local people spend their money at our businesses and those local mean that wor people willr money as well. i hope people shop locally. [ ♪ ] good morning. thank you all for being here and i'm happy to be join bid >> i'm happy to be joined by our supervisor and our new director of public health dr. kofax. also here are people from my office working tirelessly helping san francisco youth. that work has been lead by my chief assistant. eeisneburg.

in december, the u.s. surgeon general, jerome adams, issued a warning of the epidemic of ecigarette use and called this a cause of great concern. know the risks, take action, protect our kids. he was absolutely correct and we're heeding that warning. today we are taking action to protect our young people. the steps we are taking are necessary and all the more urgent because another arm of the federal government has failed to do its job. the food and drug administration is the entity responsible for revealing new tobacco products to determine whether they are appropriate for the protection of public health. by law, before a new tobacco product goes to market, the fda is supposed to conduct a review to evaluate risks and benefits of the product on the population as a whole. that's common sense.

if the fda determines this poses a threat to public health, it should never hit the shelves. inexplicably, in the case of ecigarettes,s that has not happened. despite the fact in 2016, the fda deemed this a product subject to the jurisdiction. these products were on the street even though the premarket reviews have never been done. in fact, fda has given the ecigarette industry a pass. for no clear reason, they have given the nicotine companies until 2022 to apply for a premarket review. the result is that millions of children are already addicted to ecigarettes and millions more will follow if we don't act. until recently, we had made great strides in reducing youth tobacco use. the percentage of youth was an all-time low in 2017.

there had been a generation of success, kid wer kids were gettf of nicotine. but last year, according to the centre for disease control and prevention, tobacco use among youth rose for the first time since the 1990s. this dramatic reversal is directly attributable to the nation-wide surge in ecigarette use by talents. adolescentses. the use in 2016 increased 14% and 4.9 million america students reported they were using tobacco products up from 3.6 million students in 2016. use of ecigarettes increased by 27% for high school students and 48% for middle school students. nearly five million american students were using tobacco products. that's a generation of kids,

addicted kids facing lung cancer and heart disease and thousands will likely die of preventible diseases if we don't act and that's not high perso hyperbole. tobacco kills more than 480,000 people a year. that's more than aids, alcohol, car accidents, illegal drugs, murders and suicides combined. that is why we're acting now to reverse the tide of ecigarettes. let's be clear, they're product is addiction. they're in the business of getting people addicted or keeping them addicted. a relatively small number of adults may switch switc from ant useful to turn another

generation of kids into addicts and it's up to a government like san francisco to protect our children and today we are announcing we're taking four concrete step. first, san francisco along with the city of chicago and the city of new york sent a letter to the fda that demands that the fda do it's job. we are jointly telling fda to immediately conduct the required public health review of ecigarettes that by law was supposed to happen before these products were on the market. a companion letter includes a rey for the fda to turn over records to my servic office so n francisco can determine if we need to take legal action if they don't take the public required health review. second, we can't wait on the fda to act. so in coordination and partnership with supervisor walton and i want to thank him for his leadership and vision on this issue, we are introducing today ground-breaking legislation at the board of

supervisors to prohibit the sale in san francisco of any ecigarettes that has not undergone pre-fda market review. my ecigarette that has not received fda premarket review cannot be sold at a store in san francisco or bought online and shipped to a san francisco address. this is not an outright ban on ecigarettes. it's a prohibition against any ecigarettes. so far none have been through the review process required by law. this is a prudent step to know the health and safety implications of products sold here. if the fda has an not approved it and reviewed it, it shouldn't be sold in san francisco. third, on a more local level, we're introducing a separate piece of legislation today,

again in card natio in coordinah supervisor walton. this would protect the sale and manufacture of all products including in sanfrancisco, including port property. fourth, my office as part of our review of juuls, operations sent notice to juul seeking an explanation for why juul holds a license when it maintains it does not engage in sale or cigarette products on the premises. san francisco has never been afraid to leave and we're not afraid to do so when the health and lives of our children are on the line. with that, i would like to turn it over to supervisor walton, who has been a fearless partner and visionary leader both on the

school board and now on protecting our city's youth. >> first, i want to thank the city attorney for his fierce leadership on this. i am really sick and tired of the predatory practices for our young people where people are tryintrying to set them up for d habits for a lifetime. this has to stop and ecigarettes are contributing that. when we passed prop 10 in 19198, which wa1998go out and educate t preventing tobacco use, preventing nicotine addiction and we showed record numbers that we were able to do that and accomplish that. and now we have more predatory practices going after our young people and this, again, has to stop. so i want to thank the city attorney for his leadership on this. as you know we're going to be announcing legislation at this afternoon's meeting. you've heard a lot of the data in terms of the change and

shifts from winning people off tobacco to having more and more young people using tobacco and nicotine products. i want to say this, that ecigarettes have been targeting our young people with their colours and their flavours and enticing adolescentses and this is pulling them forked nicotine addiction. we have people addicted to nicotine who would never have smoked a cigarette had it not been for the attractive products that target our young people. so we can see and understand why it's so important to make sure that if things are not approved by the fda, if products have not been given the stamp of approval by the government, then we know they're not safe and until the fda does that, we have to make sure that these products are not sold in our stores here in san francisco. the city has already enacted ordinance 140-117 prohibiting

retail establishments from selling flavoured tobacco products. ecigarettes are flavoured nicotine products. nicotine is what addicts all of our young people and addicts everybody. it is the addictive chemical in tobacco and nicotine and the effect of nicotine is what we have to combat as well. until the fda rules on approval of ecigarettes, we need to prohibit all sales for anyone under the age of 21 and anyone here in the city and we need to make sure that we have a ban on selling products, vaping products on any city property here in san francisco. what juul is doing is irresponsible and claimed to not be a part of the tobacco industry. i meant with them and they swore up and down they were not connected to the tobacco industry and a week and a half

later, they merged with a tobacco company. therefore, not only are they not truthful but irresponsibly focused and working to addict young people on nicotine products so they will be long-time users of nicotine products to make a profit and harm their health. we won't stand for that and that's why we'll fight har in san francisco to avoid predatory products to our young people. i want to thank you all for coming out and we will combat this towards our young people. thank you. >> thank you, supervisor walton. i would like to ask our new director of the department of public health, dr. grant kofax to say a few words, as well. >> well, thank you. i just want to reiterate this is a major step forward for public health in san francisco, continuing the leadership that san francisco has historically shown in addressing major public health issues. i want to offer my gratitude to

city attorney herarra and we know this has been reiterated in the remarks today, that mechanic teethat nicotineaddiction is das damaging affecdamaging effects s brain and it's attracting a whole different generation the youth to nicotine. we know that tobacco is the greatest cause of preventible deaths in this country. ecigarettes are responsible for the increasing levels of tobacco use that we're seeing in youth. we know that we need to do better. we need to turn this epidemic around. ecigarettes are a gateway drug to tobacco use and that has been shown in numerous studies. so we're here not only addressing the numerous affects being addicted to a substance,

the direct effects on nicotine but taking a major step in that gateway from ecigarettes addiction. this is going to save hundreds, if not thousands of lives in san francisco and is a major step forward in breaking this epidemic. again, i'm grateful from the health department's perspective. this is a move in the right direction and major policy advance and the health department is very supportive of that. thank you. >> thank you, dr. kolfax and with that, we're happy to take any questions anybody has. >> is won't happens to the establishments that has the products on the shelves? do they take them down? >> we have to go through the legislative process and i have every confidence that supervisor walton will sheppard this

legislation through as quickly as possible. once that legislation passes and works with the final product, then, yeah, until such time as the fda gave its premarket review and approval, there would not be allowed in either a hard brick and mortar store the sale of distribution manufacturer of ecigarettes and you wouldn't send it online until one or the other products had received the premarket review by the fda. >> so would this be two months, six months? >> it will be introduced today and we'll be working hard with colleagues to make sure this becomes law. when it does become law, it will take affect 30 days after this is complete. with that said, we'll be working hard to move as fast as

possible. i can give you a better answer and response in a couple of weeks. >> why do you all think that the federal government has given a pass to ecigarettes so far and what is the power in strength in numbers? san francisco and chicago all pleading with the ftda to crack down on this. >> i can't answer for the fda but it's pretty darn expoliticcable they have failed to act. the tobacco control act was passed in 2009 and in 2016, the fda said that these products were subject to fda jurisdiction. yet, they said that they didn't have to first file their premarket review until 2018. and then they extended that to 2022. in the meantime, we've known that ecigarettes, we're

talking about 15 years with no premarket review for a product that we know is addicting our kids, a whole other generation of kids to a deleterious drug threatening public health and safety. it is inexplicable and inexcusable to me that the fda has failed to act. the fact that we got chicago and new york to sign this letter in no time should be a message to the federal government that municipalities and localities are not going to tolerate this and we're going to act as quickly as we can to protect our young people. i have no doubt that as a result of today as action, both that letter and legislation, you will see other jurisdictions step up to demand action from the federal government. if we can't expect that the fda will protect the health and safety of our young people, then i don't know what the function of the fda really is. so hopefully they'll get the

message. >> in terms of targeting juuls, would this grandfather them in? will they continue do what they do there. >> good question. under the terms of their -- they have a sublease down at the port and they have said that they are not manufacturing, distributing, doing anything through that facility. at this point, we don't have any evidence that they are in violation of the terms of their lease agreement. but that's why i sent the insmith demantheinspection demae it's areas they havit's curioust doing any sale on property. if i find they're in violation, i would take action of breaking the terms of their lease.

but the legislation that supervisor walton is championing with respect to what is occurring on port property will enshire we will never have a similar circumstance that we have a company like this operatinoperating on similar pr. >> this should be a message to juul or any other corporation that thinks they can come into san francisco and operate in accordance that is against our values here as a city and so, this legislation is going to be focused, of course, and making sure this never happens again on any city property but it's also a warning to juul. it's also a statement to juul that we don't want them here. we don't want them in our city and so we're going to be fighting to make sure that we figure out and learn if there's anything that they're doing that is not in accordance with san francisco laws and regulations. >> would you eventually want to see juul leave the city? >> i would like for them to have

been gone yesterday. we have been clear about that and our neighbors have been clear about that and we definitely would like for them to conduct business somewhere else. >> so excuse me, when the city signed a contract with juul, did they not know what the company did or why did they enter into a contract with the company? >> the city didn't enter into a contract. there's a massive lease developer at pier 70 that had a lease with another tenant and as part of that, there was a sublease between juul and that tenant and under the terms of the agreement that we had with master developer, there were certain rights that were given up by the city unless there was certain milestones and square footage. so we didn't know about it and weren't aware about it but it has been a lesson learned about how it is that the city engages with massive developers. i can assure you and i'm supervisor walton will, as well, this is a circumstance that will not happen again.

>> any other questions? >> thank you very much. [ ♪ ] we spoke with people regardless of what they are. that is when you see change. that is a lead vannin advantage. so law enforcement

assistance diversion to work with individuals with nonviolent related of offenses to offer an alternative to an arrest and the county jail. >> we are seeing reduction in drug-related crimes in the pilot area. >> they have done the program for quite a while. they are successful in reducing the going to the county jail. >> this was a state grant that we applied for. the department is the main administrator. it requires we work with multiple agencies. we have a community that includes the da, rapid transit police and san francisco sheriff's department and law enforcement agencies, public defender's office and adult

probation to work together to look at the population that ends up in criminal justice and how they will not end up in jail. >> having partners in the nonprofit world and the public defender are critical to the success. we are beginning to succeed because we have that cooperation. >> agencies with very little connection are brought together at the same table. >> collaboration is good for the department. it gets us all working in the same direction. these are complex issues we are dealing with. >> when you have systems as complicated as police and health and proation and jails and nonprofits it requires people to come to work together so everybody has to put their egos at the door.

we have done it very, very well. >> the model of care where police, district attorney, public defenders are community-based organizations are all involved to worked towards the common goal. nobody wants to see drug users in jail. they want them to get the correct treatment they need. >> we are piloting lead in san francisco. close to civic center along market street, union plaza, powell street and in the mission, 16th and mission. >> our goal in san francisco and in seattle is to work with individuals who are cycling in and out of criminal justice and are falling through the cracks and using this as intervention to address that population and

the racial disparity we see. we want to focus on the mission in tender loan district. >> it goes to the partners that hired case managers to deal directly with the clients. case managers with referrals from the police or city agencies connect with the person to determine what their needs are and how we can best meet those needs. >> i have nobody, no friends, no resources, i am flat-out on my own. i witnessed women getting beat, men getting beat. transgenders getting beat up. i saw people shot, stabbed. >> these are people that have had many visits to the county jail in san francisco or other institutions. we are trying to connect them with the resources they need in the community to break out of

that cycle. >> all of the referrals are coming from the law enforcement agency. >> officers observe an offense. say you are using. it is found out you are in possession of drugs, that constituted a lead eligible defense. >> the officer would talk to the individual about participating in the program instead of being booked into the county jail. >> are you ever heard of the leads program. >> yes. >> are you part of the leads program? do you have a case worker? >> yes, i have a case manager. >> when they have a contact with a possible lead referral, they give us a call. ideally we can meet them at the scene where the ticket is being issued. >> primarily what you are talking to are people under the influence of drugs but they will all be nonviolent. if they were violent they

wouldn't qualify for lead. >> you think i am going to get arrested or maybe i will go to jail for something i just did because of the substance abuse issues i am dealing with. >> they would contact with the outreach worker. >> then glide shows up, you are not going to jail. we can take you. let's meet you where you are without telling you exactly what that is going to look like, let us help you and help you help yourself. >> bring them to the community assessment and services center run by adult probation to have assessment with the department of public health staff to assess the treatment needs. it provides meals, groups, there are things happening that make it an open space they can access. they go through detailed

assessment about their needs and how we can meet those needs. >> someone who would have entered the jail system or would have been arrested and book order the charge is diverted to social services. then from there instead of them going through that system, which hasn't shown itself to be an effective way to deal with people suffering from suable stance abuse issues they can be connected with case management. they can offer services based on their needs as individuals. >> one of the key things is our approach is client centered. hall reduction is based around helping the client and meeting them where they are at in terms of what steps are you ready to take? >> we are not asking individuals to do anything specific at any point in time. it is a program based on whatever it takes and wherever it takes. we are going to them and working

with them where they feel most comfortable in the community. >> it opens doors and they get access they wouldn't have had otherwise. >> supports them on their goals. we are not assigning goals working to come up with a plan what success looks like to them. >> because i have been in the field a lot i can offer different choices and let them decide which one they want to go down and help them on that path. >> it is all on you. we are here to guide you. we are not trying to force you to do what you want to do or change your mind. it is you telling us how you want us to help you. >> it means a lot to the clients to know there is someone creative in the way we can assist them. >> they pick up the phone. it was a blessing to have them when i was on the streets. no matter what situation, what pay phone, cell phone, somebody

else's phone by calling them they always answered. >> in office-based setting somebody at the reception desk and the clinician will not work for this population of drug users on the street. this has been helpful to see the outcome. >> we will pick you up, take you to the appointment, get you food on the way and make sure your needs are taken care of so you are not out in the cold. >> first to push me so i will not be afraid to ask for help with the lead team. >> can we get you to use less and less so you can function and have a normal life, job, place to stay, be a functioning part of the community. it is all part of the home reduction model. you are using less and you are

allowed to be a viable member of the society. this is an important question where lead will go from here. looking at the data so far and seeing the successes and we can build on that and as the department based on that where the investments need to go. >> if it is for five months. >> hopefully as final we will come up with a model that may help with all of the communities in the california. >> i want to go back to school to start my ged and go to community clean. >> it can be somebody scaled out. that is the hope anyway. >> is a huge need in the city. depending on the need and the data we are getting we can definitely see an expansion. >> we all hope, obviously, the program is successful and we can implement it city wide. i think it will save the county millions of dollars in emergency

services, police services, prosecuting services. more importantly, it will save lives.

>> the goal is simple. it's to raise women's voices. >> learn a little bit about what you should be thinking about in the future. >> we had own over 300 -- over 300 people who signed up for the one-on-one counseling today. >> i think in the world of leading, people sometimes discount the ability to lead quietly and effectively.

the assessor's office is a big one. there are 58 counties in the state of california and every single county has one elected assessor in the county. our job is to look at property taxes and make sure that we are fairly taxing every single property in san francisco. one of the big things that we do is as a result of our work, we bring in a lot of revenue, about 2.6 billion worth of revenue to the city. often, people will say, what do you do with that money, and i like to share what we do with property taxes. for every dollar we collect in property taxes, about 68 cents of it goes to support public sstss, our police officers, our fire departments, our streets, our cleaning that happens in the city. but i think what most people don't know is 34 cents of the dollar goes to public education. so it goes to the state of california and in turn gets allocated back to our local

school districts. so this is an incredibly important part of what we do in this office. it's an interesting place to be, i have to say. my colleagues across the state have been wonderful and have been very welcoming and share their knowledge with me. in my day-to-day life, i don't think about that role, being the only asian american assessor in the state, i just focus on being the best i can be, representing my city very well, representing the county of san francisco well. by being the only asian american assessor, i think you have a job to try to lift up and bring as many people on board, as well. i hope by doing the best that you can as an individual, people will start to see that your assessor is your elected leaders, the people that are making important decisions can look like you, can be like you, can be from your background.

i grew up with a family where most of my relatives, my aunties, my uncles, my parents, were immigrants to the united states. when my parents first came here, they came without any relatives or friends in the united states. they had very little money, and they didn't know how to speak english very well. they came to a place that was completely foreign, a place where they had absolutely nobody here to help them, and i can't imagine what that must have been like, how brave it was for them to take that step because they were doing this in order to create an opportunity for their family. so my parents had odd jobs, my dad worked in the kitchens, my mom worked as a seamstress sewing. as we grew up, we e

. >> clerk: all right. commissioner hirsch, we are back on the record for open session, and you still have a quorum. >> president hirsch: okay. we are looking for a motion -- let's see, vote to elect to disclose. >> clerk: line item seven, vote to whether or not to disclose all items discussed in closed session, action. >> i move to not disclose. >> president hirsch: is there a second? >> second. hirs >> president hirsch: all in favor? opposed? carries unanimously. >> clerk: and line item eight, action item. >> president hirsch: all in favor? all opposed? we're done.