challenges. i support clients in accessing food, water, housing, clothing. i escort them to doctors appointments and make referrals and advocate for clients to get treatment and medical care. i intervene in in criseses to deescalate and make safety plans and as you can see my role does not translate in custody. of course we know clients receive services in custody but can be provided with more intensive services out of custody but deeply support them to stabilize in the community. i have faith if more individuals are released to programs like ours they're serviceful in the ways they hope for -- successful in the ways they hope for. thank you. >> commissioner: thank you very

much. next speaker, please. >> hello. i'm the program assistant at san francisco pre-trial diversion project. we provide clients with an alternative to jail time mandate the court including case management groups and therapy. the majority of the population we serve has mental health and substance abuse challenges. what i've realized in my time is incarceration ends up being a health hazard for the community and we want to guide them to the right path. this kind of stabilization is not currently found in the jail system which is why incarceration winds up back firing and we need to help the population succeed. a prime example is good housing.

we use f.o.o.s but they do not provide support for substance abuse challenges and are not a great place to live. we have clients that would rather be on the street than be them and we're back where we started. it seems to be a cycle where clients are being released from jail and they see there's a lack of supportive housing services and they're once again out on the street or back in jail. this never ending cycle ends up become health issue because incarceration holds many disadvantages and it contribute to future health problems such as hiv-aids and high cholesterol and ptsd. if the children are effected the people around the child is

affected and it's a health hazard to the community. i've been in the field the past two or three years and i'm still a student and con ly learning at school and work. i still a lot of to learn but one thing i can say with full conviction is incarceration say massive public health issue to the individual and community. thank you. >> commissioner: thank you very much. >> my name's david lawrof. thank you for taking on the important item. it's great to see you adopt this issue. they kind of stole my thunder so i'll go back to make up a script here. when you do the work they do, we can use the needs of our clients. i was talking to our lead case managers. that was his request.

he wanted me to come here and ask you for that. i said i'd do my best but that's not what we're here for today. the needs of our clients are extreme particularly in the pre-trial space. year in a unique area because our clients are innocent before proven guilty but they have to wait in jail. they're likely to lose their jobs and housing. the longer time someone stays in jail pre-trial the less likely they are to show up for their trial which is contradictory. the longer someone stays in jail the more likely they are to commit another crime. the of the process of being inci incarcerated increase the issues. and i cant say enough about our

partnership with the sheriff's department and they keep us honest. in the current time of bail reform right now in a couple of days we're looking at an increase in jail population due to a recent court decision. this is an area that has to stay on the radar screen. we can't afford for it to increase because it just leads and exacerbates all the issues related to public health. again, thank you for your consideration and we look forward to working together. >> our last speaker. if anybody else wants to speak submit your card. >> i'm sophia simon ortiz. a public health researcher and advocate at human health advocates but proud graduate of the program and born and raised in san francisco. i'm here representing public

health justice collective. an organization of about 300 public health workers in academe yeah, research and non-profit and clinic settings throughout the bay area with large groups in san francisco and also almeida county. we want to echo in commending you all for the support and the discussion around the resolution before you. i want to commend you in taking strong leadership around the critical health equity issue and a was an author on the health association health equity around policing as a health issue and i say different issue but related and outlines the same impacts to individuals and communities outlined in the resolution. i want to echo it's support

public health evidence and the research and in practice of course, too. we want to commend the ac steps related to preventing incarceration and supporting all efforts around jailing and jailing expansion. jails don't make people well. we want to commend efforts like supportive housing and pre-trial diversion and other decriminalization efforts to prevent the harms if the first place. lastly, we want to also include support for working with the most impacted communities and other community stakeholders and we're happy to share information around that. as part of the process of coming up with the working plan and the action steps. thank you very much. >> commissioner: thank you. one more speaker, joe calderon.

>> how's the commission doing today? i didn't plan on speaking but i was listening to comrades speak on this and i previously worked for the transitions clinic in the city and feel the work we do is great and a love san francisco being at the cutting edge. our goal is to help men and women getting out of prison navigate the medical system. we're not a clinic where you just get a shot but look at your needs and the social determinates and i'm sorry, i'm losing my voice, i have a cold. i wanted to stay we truly support this. san francisco's always at the cutting edge. and like earlier, ms. roma said we have more work to do and we have more things to do policy wise and i love that you guys are addressing this and i wanted to thank you for that.

>> commissioner: commissioners, no other speakers so comments or discussion from the commission before we move forward on the resolution. we're incorporating a number of comments during the initial hearing is before you. if there are no comments. commissioner loyce. >> commissioner: first, thank you for the work done in this and the social service -- sheriffs department and dr. pratt works in the environment many providers would not choose to work in and she is doing what she can to her patients who are

incarcerated folks. sometimes folks considered to be disposable and not important to society. i want to thank her and acknowledge her for the work she continues to do regardless of what the circumstances may be politically and financially in san francisco. i think that's important. and dr. bobba for her work in he administration around these issues. the notion that these events lead to incarceration. abused children abuse. the data is there to support it. the children that come from substance abuse families become substance abusers. if you're family has been in jail, the likelihood of you going to juvenile hall is pretty good. i hope we can continue the

partnership we developed and this is a departure point fot -- is not a destination. it's not a discussion for jail services. that's a pipe dream. we need to acknowledge it and do the work necessary to ensure high-quality services for those incarcerated. this is an issue we've been discussing all those years and we have come to the place where the health department not only is actively engaged but is going to take on the leadership role in nishg -- pushing the city and county of san francisco in acknowledging health care as it relates to the jail population. i also want to point out, we

said violence is a public health issue many years ago. jailing folks say public health issue no matter how they got there or who they are we have a responsibility to take care of those folks in the best way we can. i want to acknowledge dr. pratt and say thank you. >> commissioner: thank you, commissioner. >> commissioner: i'm reminded it is over 20 some odd years ago when the jails were under a court order for us to improve the health of those who had been jailed. we were taking on those who were trained to assist and keep out of an area in which they could become even more ill. we're now looking into doing

work that would be preventive though it may be secondary prevention that would try to break the cycle that so clearly comes when one comes to jail after two or three days or weeks you then have a great deal of reluctance to bring yourself back out and that then creates the issues society feels obviously are a stigma that makes it more difficult for an individual to try to recover from what could have been simple mistakes. inadvertent and perhaps inappropriate direction at one time.

it's not an either/or. it's a collaboration. such as we have collaboration in developing a healthy population in the jail we have an opportunity to collaborate and say perhaps people don't have to be in jail and some don't need or should be in jail if in fact we are trying to respond to their own social needs their own social circumstances. i encourage our colleagues would support this resolution. commissioner sanchez. >> i'd like to conquer with the comments and from the last meeting. again, in thanking this community for bringing together an issue that has been an

achilles heel here in the city and in california in particular. the jail system can be a physical site and a mental public health site when parents are assigned to one room and two children are taken away and put into a center in another state and the parents will not see that child for three to six months to a year, etcetera. when an apartment or little place in the mission or excelsior or in bay view hunters point or tenderloin. that's the tipping point where visitors come and take away a parent or guardian in the middle of the night and will not be seen again. all i want to say is as we look at the totality of this injustice which is not a

positive of our democracy, we need to look at what's happening today and the other forms that go under different names but yet are destroying the whole mission and the reason why we're here as a city and as a nation. for freedom and dignity and human rights and respect and the rule of law but we can all work together to move forward. the fact you've done this so many years and we know so many families where you want to be four years ago and his family was incarcerated with the japanese homes and we can go on and on and site histories. the missions here with the number of our native americans, i know it's affected our

families and veterans that were taken away and put into a particular hostile or shipped back to a country they were here. all these things are part of the dialogue as you look at public health and you look at the issues coming across us. what i'm saying is the challenges will be greater, i think, as you take a look at this. identifying as a public health issue and epidemic we need to address and levels bring it to a higher focus for inclusiveness and measured outcome. continue the journey and again thank everybody who is involved in this and thank our colleagues for continuing this but it's a journey that will happen. we thank you all.

>> commissioner: thank you commissioner, sanchez. any further discussion or comments? if we're prepared for the resolution a motion is in order. and a second. further discussion? if not, we'll take a vote on the motion. all in favor please say aye. >> aye. >> commissioner: opposed? the motion has been approved. thank everybody who has worked so hard on this and we appreciate that. there's much more work to be done and we're looking forward to that report in regards to what we'll do. >> how about a round of applause for this great policy [applause] >> clerk: commissioners item 9 is the vision zero 2019 action strategy update.

>> good evening, commissioner. thanks so much nor opportunity to be here today. my name is megan wier and i co-chair the vision zero task force and glad to be here to provide a report of our action strategy. i also want to take a motion to acknowledge my director of environmental health, patrick tis dale and thank my directors and my co-chair chava

kronenberg. san francisco adopted vision voe in 201437 -- 2014. we were the second city in the country and we have 40 cities who also adopted the goal of adopting this on our streets and reducing severe injuries. san francisco to our knowledge is the only city in the country in which public health has the opportunity to co-chair the task force with our transportation agency. my presentation will focus on the key goals. we had 23 traffic-related deaths in 2018. our second lowest number of deaths in recorded history of over 14 100 years in san francisco. as dr. colfax acknowledged, each traffic fatality is a tragic loss of life on our streets and

hits home with respect to our friends, family, loved ones and co-workers. for that reason alone we're committed to ensuring that there's no loss of life on our city streets. vision zero is co-chaired by dph and sfmta. we have a task force that meets for accountability we also report to the board of supervisors and offices of the transportation authority committee and are organized by safe streets, safe people, safe vehicles and vision contribute to all those that are critical to contributing to safe streets and legislative agenda is what i'll be describing. core principles align with public health. a focus on saving lives. on prevention and on equity.

we we know we will not realize vision zero with respect to our streets without equity and a focus on streets. speed is the leading predictor whether or not someone survives a crash and vision zero focuses on speeds and the tip of the spear is creating safe streets for engineering and education and enforcement and engagement through safe people and creating safe people in our city fleet and also with respect to emerging technologies and san francisco being front and center with respect to those issues nationally. this is our third action strategy. our first action strategy defining what vision zero was and aligning more to what we call the safe systems approach. the systematic approach to safety. and we're focussing on what does it take to eliminate traffic in san francisco. i'm excited to share our

approach to doing so. the strategy had the deepest community engagements to date. and we had two workshops attended by 70 to 100 people. one that really focussed on the transformative policy agenda i'm about to share and community and family workshop we held last summer where we looked at our progress to date and identified priority action to move forward. sfmj admirably committed resource to coffee chats and tea talks in every district in the city that were multilingual and interpretation services to cast a wide need to understand what we need to do to achieve the goal. this slide depicts the three pillars. one is the strategic action that's been the focus of our strategy to date. what can the city family do to realize vision zero and the next

is transformative policy where we need the state to implement the data-driven evidence-based tools we have and talking about complimentary goals. san francisco has important goals that all point in the same direction. how can vision zero realize through advancing and leveraging the goals. and fundamentally a focus on equity. the most vulnerable people or public health are the same most vulnerable on our streets and our initiatives have to understand and address those unique vulnerabilities. with respect to complimentary goals. in addition to eliminating traffic deaths our city has goals for equity with respect to increasing walking and biking. improving our use of transit. addressing our climate emergency as a world and also addressing land use and housing and to me that speaks to our affordable

housing crisis as our city addresses these goals we're decreasing a reliance on driving which is really critical to reducing the vehicles on our streets which are primarily what contributes to severe and fight fightal -- vital injuries and we're setting the stage for those healthy behaviors to be advanced in our city. the transformative policy agenda focuses on four policies we know are required to reach zero deaths on our streets. one is automated enforcement, red light cameras and radar and other technologies so enforcement is automated and this is something that's a force multiplier. we hear how we need more enforcement and something our police department supports. other is pricing to manage driving and reducing driving. these types of pricing programs

also generate revenue that can be re-invested in safety infrastructure on our streets. urban speed limit setting. it's shocking how speed limits are currently set based on state law. it's essentially however fast the prevailing speed is on our city streets is the determination. we're asking for speeds to be set for health and safety instead. that could be significant and finally, local regulation in the transportation universe transportation network companies. that's uber and lyft on our street. the city has no regulatory authority over that industry. it's at the state level and asking how it can be advanced through local regulatory control. we've been doing work to identify our most vulnerable

communities, community of color and marginally housed residents, seniors, people with disabilities and our focus is how to deepen our community engagement with the communities to inform our vision zero initiatives and go to streets where this is most concentrate and ensuring the transformative policies address equity impacts and don't unintentionally introduce additional burdens on communities already experiencing them. focussing on culturally competent engagement and developing and institutionalizing data systems to help us address the identity concerns. and i handed out our new things and new glossy action strategy where you can get into the meat of all the actions. i'm going hit highlights with respect to the actions then i'm

happy to go into more detail on whatever is of interest. with respect to safe streets. the focus is really again on our network and implementing high impact proven effective engineering measures on those streets. we did a lot of work to make sure they're measurable and we evaluated effectiveness of the high-impact project. with respect to safe people, d.p.h. action highlighted. we'll work with the police department on a cannabis and driving safely campaign in the coming year. and they've done amazing work with engaging seniors and senior service providers through the program. we know approximately half our pedestrians injured each year

are seniors. deeper engagement with that community is critical. we're also work the marries office in looking at similar efforts that could help inform the disability community and d.p.h. coordinates a traffic response for every fatality to ensure the victims' families receive support and coordinating with m.t.a. on the engineering improvements and community outreach. with respect to safe vehicles. this is an area we put more focus on in our latest strategy. issues like autonomous vehicles and micromobility and hover boards and unicycles. market street being a great place to see the new vehicles on display. better understanding safety within the mobility modes and work more with our city family and seeing how safety can be

advanced on our city fleets. d.p.h. is the lead on the data system. we were the first city to link and map our hospital data for prioritization on the high-injury network and 13% of city streets with 75% of severe injuries were concentrate. we'll be refreshing that network. doing more to highlight equity issues. focussing on work supporting integration of crash data ny warehouse to effective share the data across departments and also issuing our annual report on severe injuries. we established our research collaborative to bring epidemiologists, trauma surgeons and nurses an analysts that

representative the -- represent the breadth of the people working this side of it and the funds help us have a great foundation so as for example, scooters were launched under our city streets we were well poised to develop tracking systems to help evaluate the impacts of these new mobilities. finally measure progress is critical for our strategy. we have a number of key metrics and we'll do work this year to make them more publicly transparent on our vision zero website. i work closely across agencies on the monitoring and i wanted to conclude to acknowledge that really an over arching theme is our vision zero core team cannot do this alone.

it's an ambitious goal that requires city, community partner and working with our state and regional partner to advance the proven policies we know are required. i wanted to okay knowledge the staff across many divisions in the department i have the honor of coordinating with vision zero and i have on my co-chair and ryan reef -- reeves who recently had a little boy and is not here today. i'm happy to respond to questions. >> commissioner: we have one public speaker. cathly delucca. >> she had to leave. the bay area family for safe streets meets tonight and that meeting started. >> commissioner: thank you for your presentation.

commissioners, questions. >> this is a good report. i appreciate you coming and giving it to us on an annual basis. i have a question and comment. comment has to do with i spend a lot of time in the fillmore and on mission street and valencia street. on fillmore street there's a couple spots where it goes first and then people can cross and they're able to get across the street. how does m.t.a. to determine where to put those because fillmore and pine is a raceway and doesn't have a delay nor community. how do you determine or make decisions on the timed lights. >> i'm so grateful to be able to co-lied an issue like this.

>> i'm the traffic engineer with the sfmta. we tall -- call them leading pedestrian intervals. typically four sessions before we bring up the concurrent green. we have a large retiming project concentrated in the northeast quadrant of the city including the western addition, fillmore, knob hill, tenderloin touching approximately one-third of our signals city wide and they'll be getting l.p.i.s for the crossings. we started implementation and we're on track for another year, year and a half to retime all 400 traffic signals. our standard right now is to install an l.p.i. by default when we touch a traffic signal

unless there's a compelling reason. we have to balance the need of tra transit versus pedestrian but on the whole we're installing city wide. >> work with james and i'm the pedestrian program manager. important to note is those are part of a toolbox proven to save lives and we use the high injury network as our baseline where we put most of our energy in funding. >> commissioner: thank you. commissioner green. >> do you have data on the extent where the accidents

involve mobile devices and if drivers are looking at the phone in the middle of their dashboard figuring out which way to go and they're distracted though they're not conversing on the phone or texting per se. have these companies stepped up and volunteered to work collaboratively with you and how much would be regulation versus collaboration and what about data on the issue of texting and driving. >> the issue of texting and driving data i'll start with first is not easily kept. by law enforcement it's not easily captured and the only way to assess it is with a search warrant and it's a concern but not well studied. we worked on a campaign and

despite lack of data it's been a focus of national and state education outreach initiatives. we worked with them to use the best available data to inform the work. >> we would love and welcome any collaboration we could have with the many drivers on the road for uber and lyft and any other transportation network company. we've been providing them with driver training videos for them to provide to drivers. we continue to work withing them -- with them go to other

mobility services and bike share systems. we're hopeful they'll be partner at the table. that said, we can't regulate their vehicle so whether their vehicles are safe, we can't regulate whether the drivers have been provided with any training or regulate the drivers on the street in a given time. they're things we think are critical to safety and the ability they be interested in collaborating, we're available and otherwise we're looking for local regulatory authority. >> commissioner sanchez. >> i want to congratulate you on the efforts and positive changes. i want to mention a couple things. i suggested and there's concerns for a number of folks including many of us, we're talking about

w.g.c. and the school of the art. you is the 48 this way and traffic and people crossing. and red light when you're going by laguna honda or y.g.c. you'll have the busses stopped. the kids will get off and some kids, not all kids will cross immediately behind the bus, in front of the bus and stop traffic. bikes will go through the kids whatever. and then have you even some of the lyft drivers letting passengers off right there in the crosswalk. you see people going where do we walk now. it's a real challenge.

there were flashing lights and then it went back to normal and have you people not stopping and people going through and even seniors trying to run across the street in between to get to the other side because they know they'll have to wait a while. we go to laguna honda where we lost a reporter in the crosswalk where you walk from laguna honda to the muni lines laguna honda and then you have to cross over and that's where the cars come around and though it says you don't turn right on red, some do and many patients there and is

there a way to say that's a real zone we need to take a look at? we brought it up before and if you put a walkway over, no. but something needs to be done whether it's enforcement and not by y.g.c. but there's real potential areas we need to be concerned about and i want to say i know you've been doing great parts but these are scary as we look at public safety and vision zero, etcetera. hopefully we continue to think creatively whatever it is to resolve that.

>> you're hitting on to local tools that can address those issues and a lot of what you also described are congestion or issues with uber and lyft and speeding. as we're working to do what we can to look at the micro level these can help address the issues on a city wide scale. >> commissioner: commissioner bernal. >> thank you for the presentation. this is an area of great concern. most of us know somebody who's been killed cutting mr. carasco we lost earlier this year. are there traffic calming or other strategy could be put in place we're not considering or there are barriers to using them

in san francisco or are we employing every possible strategy out there? >> with respect to traffic engineering engineering improvements there's certain ones that are dictated by certain street conditions. i think san francisco, i know san francisco is leading wing implementation of different traffic calming measures and innovative improvements. to the extent that's a response to your question and involved and there's transportation officials and our sfmta is leading and rethinking how urban

streets can protect the most vulnerable. >> commissioner: i'm reminded we had a motion to support the automatic ticketing of the red lights that was a state issue to which we have no control. we're still fighting that, right? >> this year the state a zero deaths task force to advance the issues but it's not going as fast we'd hoped and looking at automated enforcement etcetera to be discussed and we hope to be back next year to have a resolution to move forward with the policy. >> commissioner: i was hoping commissioner bernal can help.

>> commissioner: i do have a concern that's perplexing. the system in chinatown on stockton street i think has worked very well. i was watching it this week. people don't cross unless they get the opportunity for the most part. it used to be theri it was running -- it was running across the street because the traffic was all porch it's ironic, stockton street is almost empty because of construction and that could be a time people could cross and they're not. i think people have been trained to really wait for the slides. its also helps there's a traffic

monitor on each corner being managed by the construction people on the subway. recently there's been new lights at pedestrian crossings sometimes at the middle of the street. one at the diamond heights shopping center. this is kind of confusing as a driver you don't know anybody's there. it may be something new. i'm wondering what the intent is because the lights flash and nobody's in the crosswalk which might lend people to ultimately ignore these. it is a new feature and i'm trying to figure out how it's functioning. >> it's called a hawk signal. it's a human activated sorry, a

reg -- sorry, a rectangular flashing beacon and they're activated by a person there. traditionally in most the signals in san francisco especially in the downtown in chinatown we assume someone is there who wants to go and deserve the opportunity to go and we say go ahead. in other areas of the city there may not be a pedestrian there at every cycle. it's intended to tell cars there's somebody in the crosswalk and nay ned to stop. however, we've heard concerns about the beacons. i'm hearing new things on the street and we're constantly evolving our state of practice at m.t.a. if you prefer to the strategy --

refer the strategy. there's new videos about tools you're seeing on the street and we'll promote it through social media. i know that i last went to a d.m.v. for a driving test 20 years ago and i'm relatively young. i can only imagine how many people are there who haven't taken a test on the d.m.v. and we encourage anyone watching to check out our videos on driving in today's s.f. and we'll promote that gut in general, if you see red, stop. if it's yellow, it means proceed with caution. that's our typical rule of thumb. >> i want to add one thing. that's a legitimate concern we time the flashing light sequence

for the slowest walker two and a half feet per second somebody with disabilities an elderly and a more able-bodied walker walking at a faster speed is long gone and we want to ensure they're active for vulnerable users who are crossing. >> i'm sure with good intent i'm concerned people driving might find since many times it's empty they may ignore them. >> it is nice to see the entire report. there are many things that you're in the process of doing and i think what you have shown is much of the work you're doing

is showing results. we can only continue to encourage and support the vision zero program here. >> thank you. >> commissioner: it's thor for the safety of pedestrians and drivers. dr. chow. >> it's often hard to get within the department different groups working together and produce a positive outcome because of all the difference pieces. this is a remarkable example of different departments in the city working together with an equity-focussed outcome goal and i think this is not just inherently valuable in the work being done but an example of how departments across the city can work together in different and new ways in order to further the public health goals and other shared goals of our communities. i'm proud of the work that's being done here. in my short tenure this is an

inspiring initiative and proud the department is a good partner in this work. >> commissioner: thank you. i think director colfax is right. there's many initiatives. you're one of the two we came up with including the one on the incarceration of the jails. we're going need that same type of collaboration across our departments and e.m.s. with that attitude and if we can get the city continue to work together collaboratively the city will benefit and our department will be able to continue to do the work it needs to do. thank you. thank you very much. we appreciate all the work you're doing and we'll remember you as we look at all the flashing yellow, red and once in a while a grown light.

-- green light. >> item 10 is other business. >> commissioner: other business? >> clerk: you have the calendar before you. there's no surprises or anything to mention other than what's before you. >> commissioner: well, we have the calendar before us. does anybody wish to add anything to the calendar or any items before we go on to our next report? seeing none, we'll move on. >> clerk: item 11 is the report back from the march laguna honda meeting. >> our g.c.c. met march 12 at laguna honda. the first was the executive administrator's report in which we discussed a number of issues range from diversion to safety to c.m.s. responses. many have taken 18 months to

respond because it was back and forth and it covered the whole number of issues that had been from different sections of the c.m.s. group. that was presented and discussed and reviewed. we also had an excellent presentation of the safety prevention program and injuries and workplace violence. we had further on the epic implementation and had discussions including the collaboration with faculty with sfgh and laguna honda and a great deal of discussion on what we'll be doing and approved the hospital-wide policies and procedures and updated which have taken three and a half year to what our standards should be based on the federal and state

requirements. in closed session the committee approved the credentials report and additional matters were discussed but not voted upon. we adjourned in memory of our reporter, josé carasco who was killed and we heard it was a fatality there. it was last year our director was injured in a pedestrian crossing at golden gate park where three intersections crossing three stop lights and three stop signs and she was injured and fractured. the main thing is everybody again is part of a village and everybody there was supportive services in the director's

report. thank you for including that because it shows how everyone within the department think about our staff when bad things happen especially a young family with three children. we adjourn on that and that completes my report unless any of our two colleagues who were there would like -- >> thank you for chairing an important committee meeting. >> clerk: a motion for adjournment is in order. >> commissioner: those in favor? opposed? this meeting is now adjourned.

>> ladies and gentleman, the chair has called the meeting to order. turn off your electronic devices. can you please rise for the pledge of allegiance. >> i pledge allegiance to the flag of the united states of america and to republic for which it stands. >> good evening, everybody, this is the march 202,019th meeting of the san francisco police commission. we have a heavy closed session so i'll limit public comment to two minutes a