>> commissioner: a new process with new skills and improved services and improved collection. thank you. let me go on to one or two other questions mostly on my tone get clarification. on the contingency proposal, there are salary savings reductions. to put that into some perspective, what percentage is $6.5 million over our total salaries now? >> our current salaries are about $900 million to $1 million. salary represents half the department's budget. it should be in terms of actual -- i can't do the calculation but that's the context for the salary savings. >> commissioner: so it's a small percent of our total salaries. >> yes. and i'd add for context on this,

jenny, described it a little bit but we're putting this up as a place holder. as you know in the past, sometimes the contingency proposals are factors into our balancing. for example, if you look at our last year's budget proposal, we had sufficient revenue projects to be able to meet our target and meet our contingency. in this case, we don't have the revenue projection that allows us to cover both of those. we've kind of put this in as a place holder. we know there's a real financial concern on the city's behalf because there's uncertainty about big items. the one being the cost of almost every labor contract being budgeted in the labor season. it means there's a possibility there'll be a need for the

contingency proposal but we haven't fully get fined -- defined this. we put this out as a place holder and communicated with the mayor's office about the fact that we're presenting a general proposal. if it does come to be the case that we need to actually implement a proposal, we will work with the mayor's office and come back to the commission with more details about how we would profoes -- propose to implement it but at this moment we're not defining it as the level saying how we'd operationalize the savings until we know we are actually going to need to operationalize and need that contingency proposal. >> part of my reason for asking some of the down grading of the employee status is at one time

salary proposal. i wanted to make sure it was not locked in stone. that was the only way we were going to need to meet a contingency because that sends different signals about being prudent about the $6 million. the department lost some time in doing our initiatives because we lost part of the expertise within the department to do that when we had to then take the entire budgets when there were other areas that should be looked at. >> for the moment it's a place holder. if there's need for to us implement this we'll refine it and come up with something we feel we can operationalize

versus something to be unspecified proposal that ends up harming us. >> commissioner: my last question is because of my total ignorance, i cannot understand under the breaking newsing slide, i -- the balancing slide, i don't understand revenue growth assumed in deficit. what really does that mean? >> from the prior budget proposal we showed you the mayor's five-year financial plan. what you saw in the five-year financial plan was assumed growth in revenue as well as assumed growth in baseline

growth in expenditures and there's this gap expenditures were outpacing the growth. and so the assumption behind the 12.9 going to $29 million is a 2.5% increase in baseline revenue growth for capitation and fee for service and some adjustments related to laguna honda baselines. because it's already assumed as the solution for a portion of it was assumed to close the deficit, we didn't want to double count it and we had to back it out. >> commissioner: so we're taking out what was an assumed growth and that's what you mean by

reducing the revenue growth. >> again with the assumed growth and expenditures you'll see what you don't see in the d.p.h. proposal is increasing infringe benefits lithe health care costs and pension costs or m.o.u. related to overall salary increases currently being negotiate order inflationary costs such as pharmaceuticals. it goes both ways. where we lost some credit in terms of revenue we're putting forward but in terms of what we get back in support in our expenditure growth, you're not seeing that in the def fit or proposal. >> commissioner: that's just what a needed was the definition, thank you. commissioners, further

questions? we have a delayed submitting this to the mayor's office in order to allow our director to also envision the budget as the director happy with the -- >> i'm grateful to the team for the work and they make it seem to clear but it's tremendous clear up front and in the background. i want to thank craig wagner who did much of the work and being acting director and jenny louie to help me understand the budget process so just to acknowledge them and their team. >> commissioner: realize with that this is now your budget. >> thank you, commissioner. i appreciate that responsibility. thank you. >> commissioner: if there's no

further discussion a motion for approval is in order. >> so moved. >> second. >> commissioner: is there a further discussion? if not all those in favor say aye. opposed? dr. colfax' budget has been submitted. >> clerk: item eight is incarceration as a public health issue and this was considered at the community and public health committee twice in january and february. >> good afternoon commissioners. naveena bobba the health direct. you have the updated resolution in front of you. i wanted to talk about the process from here.

so you have an idea where we're headed. one of the things we've been looking at is the risk factors for incarceration. you'll see from the slide the risk factors are on the individual level, family level, peer level and community level. it's going to be incumbent on us from a health perspective to look at the risk associated with each level and what's the work happening in the department to address he's risks. some things the department is directly responsible for and some are working with partner but on the individual level, substance use, mental illness, physical and emotional abuse or neglect which stems from the aces, trauma, prior incarceration, sexual abuse as well and risk factors for incarceration and prior

substance use or mental health issues, pregnancy and on the peer level and this is talking for adolescent population peer groups that engage in risky behaviors, adverse learning environments, gang involvement and a low socioeconomic status, neighborhood violence and crimes, poor housing and living conditions and discrimination. they're all risk factors and incarceration impacts all these levels. when somebody is incarcerated the community is all impacted. in looking at that -- this is a sample of the initiatives on the prevention, what we do to prevent people potentially being traumatized or getting into a violate situation or being incarcerated and some prevention efforts you heard about. the nurse family partnership,

hope s.f., school-based programs and our treatments and substance use and mental health and the people in risk. comprehensive crisis services, street violence intervention program, street medicine and mental health diversion. for the incarcerated population the jail health services is fundamental in providing services and our collaborative core connections. and post incarceration in the re-entry process. there's several initiatives including the center treatment program and the clinic network. these are a snapshot of the ways we're looking at incarceration. the goal is after this is for us to take an internal catalog and

determine the goals of the group and objectives and time line. after those are set ensuring there's a mechanism we incorporate and partner feedback. and to develop the backbone needs of the work group. though it's interm there'll be a significant amount of effort include need for a consultant and we're hoping to have a kickoff in the late summer or fall around this. we'll provide updates to the health commission as progress is made. that's the general overview once the resolution is passed. and i'm happy to answer any questions. >> thank you very much. we do have a number of public speakers. we'll take each in the groups and i'll call the names and i'll

call the names. [reading names] >> to those that are new, i have an egg timer and when it goes off, your time is up and let the next person speak. >> taxpayers for public safety. president chow and to the commissioners and new director colfax, thank you for taking us through and letting us contribute to this proposed resolution. incarceration is a public health issue. we have dearly appreciate the two critical committee meetings we had chaired by commissioner

loyce and members bernal and chung. and the robust may 5th discussion here and so we really believed that the resolution has been improved and we really like the action plan. thank you for that. in addition i want to thank the staff leadership of dr. pratt and their teams and dr. bobba because without them we wouldn't have been able to go through the robustness of this and the exchang exchanges back and forth in plowing the interest and developing our relationship to preventing incarceration and inappropriate incarceration. so we look forward to that and appreciate your ability and

commitment to include in the 2019, 2020, 2021 budget of the jail replacement project recommendations from 2016, 2017 and 2018. we appreciate you're not waiting for the kickoff but are accepting what the consensus of the jail replacement project already brought forth. thank you and my last comment is to quote mayor breed who says as often as she can, thank you for your leadership and your service and we still have a lot of work to do. thank you very much. >> commissioner: thank you for coming to continue the work i

understand our social service is here and wondering if at this time we can recognize her and ask her if she'd like to say a few words and then we'll proceed with the rest of public comment. i'm sorry i didn't recognize you out of uniform. >> but i am wearing clothes. thank you, commissioner chow and commissioners. dr. colfax, good to see you. i work very hard on the work group to reenvision -- re-envision the jail and working hard with the people here and the recommendation recommendations i can support. i do have to say i was listening and talking about appropriate and inappropriate incarceration. i know we have a lot of work to do. i also realize it's been over three years since we started this process and county jail

still has the same count and the same issues going on and i have to stay that i am as a person in charge i hate the facility is still open. as a person who accepts people in jail and my role as social service, that's my responsibility is to run the jail in a humane and safe way and safety being the top priority for everything we do. i'd like to see more movement in the direction of the other part of the resolution that created the re-envisioning the work group to re-envision the jail. we have beds being operated in a way i don't like to operate. do i think eventually as the years pass and time passes and as we decide to close the hauls

-- halls of justice completely we'll have people in another county jails possibly alameda because it's the only place with room. and one more note, in san francisco, we have more people out on pre-trial release than anywhere. 53% of people on felonies, mostly felonies are out on pre-trial release. san francisco has been at the forefront of reducing the jail population. i'm hoping the steps we're taking here will result in the population going down and people being more appropriately housed i support that fully but in the meantime i'm concerned about the people remaining in the facility i think is pretty bad. so that's all i have to stay. i do support the resolution though in the fact it's building

upon the hard work everybody did, community members, people in service to the city and others. they worked hard to put this together and i do think everything has value they put together in the resolution. >> commissioner: thank you very much. proceed with our continuation to public testimony, please. >> clerk: good afternoon, i live in san francisco and work at help rate 360 a non-profit health care provider offering mental health services to more than 30,000 california ans. last year we served over 500 people in seven jails and prisons throughout california. we appreciate the department of public health's department to provide health interventions for those incarcerated dealing with trauma and other identified health needs. it's encouraging to d.p.h.

recognizing social inequities are involved and recognizing the wrongful homelessness and other situations lead to incarceration and we should help improve their lives not punish them for the help they need. we know those in california lose their medi-cal upon incarceration and it's a major obstacle for our clients needing treatment after imprisonment. we applaud the interventions offering help to those after release. we believe community-based treatment is the best way to address behavioral health or substance use disorder. we look forward to d.p.h.'s

report and looks to evidence-based practices for expanding care and improving re-entry services. thank you. >> commissioner: as we wait for the next speaker, i'll call four more. [reading names] >> good afternoon, commissioners i want to join in thanking you. >> commissioner: identify yourself for your records if you wish. >> i'm kate monaco cline. i worked as the director of the friends of gate project until a few years ago a program of jail

health services. i also worked in the sheriff's department as well. i want to thank you for taking on this issue. i've looked at this many years and it's exciting to see it to move to public health where i believed for a long time it belonged. i was going say more about this but we talked about a discussion in the last haith commission meeting about data. one of the things that struck me is in all the years we talked about jail overcrowding, data always comes up as a reason we're unable to move forward. i don't think that's going to happen this time and i don't want to minimize the significance of good data but in looking at this from a public health perspective we can't let the data slow us down. secondly, there's a new book

that's come out written by the director of the richter's island health service and by san francisco is by no means at all -- [indiscernible] there is one commonality the author raises and that's jail confers simply by virtual being in custody confers new public health risks. the sooner we move the discussion about incarceration into the public health venue, the sooner we'll have a healthier city. thank you very much. >> commissioner: thank you. next speaker, please. >> good afternoon. i'm javier bomond. we're a supportive housing

provider based in the tenderloin. i want to thank everyone who put in the work to bring this resolution to light. because with the residents we work with in our buildings, there's been countless people i've worked with who have been effected by the incarceration system and have been formally incarcerated and it's good to know san francisco is on its way to showing it's communities and recognizing some of our biggest issues such as homelessness and substance use and mental health issues and incarceration and our justice system are linked and our low-income communities face the most.

i think one of the great things about recognizing incarceration as a public health issue, what our residents face when they get in the system is an incredible sense of isolation and to know the city is treating this as a public health issue and looking at the wired community as opposed to singling out individuals and keeping them in cycles of poverty and they'll be able to get the help they need and they can reintegrate to society in a more just way. i want to appreciate the work in the resolution and i'm in full support of it. >> commissioner: thank you. next speaker, please. we had one more speaker i want to call, sophia simon ore it's and those are the only speaker

cards i have now. if anyone else wishes to speak, then please turn it in to our executi executive sect -- secretary to the list. >> i'm ron perez. i am formerly with the sheriff's department and i left in approximately about eight years ago, 10 years ago. the sheriff's department made a bold move that originated in our san francisco county jail. they recognized we had a significant population of veterans. again i'm with plows shares and

you've aware of the work we've done with the veterans population addressing swords plow shares and we identified veterans in the county jail and providing services but the social service created a special housing unit just for veterans and we had a unit that housed 48 veterans and we were able to show we warranted having a veterans court. three years later we were able to get a veterans court up and operating and because of the combination of works, plow shares and the veterans administration and the community, the program i run now in the county jail which once had 48 beds and a waiting list, i now average between 15 to 20 veterans on a daily basis.

we currently have approximately 90 veterans that would have been incarcerated now in veterans court. one think they received was obviously getting shelter, treatments and continuing care and this has had a dramatic impact on our veteran population in the county jail as i said before. we started with a housing unit of 48 and now we're down to 15 as of today. >> commissioner: thank you very much. next speaker, please. >> good afternoon, commissioner.

i'm the city wide social work at pretrial die -- diversion. i work with those with schizophrenia and bipolar disorder and i was brought on to access services for them in mental illness. as it turns out none of my clients are only dealing with their mental health. they're all experiencing homelessness, chronic homelessness, addiction, zero family or community support. many are survivors of complex trauma such as financial abuse, sexual abuse and institutionalism and much more. when folks are taken by police and taken into custody they lose support. i have seen them lose medi-cal and social benefits and families have cut them off financially and emotionally. if a client was lucky enough to

have housing they often lose it and back on the streets. many clients are too disorged disorganized to deal with the 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.