>> yeah, i'd like to sever item number 23. >> okay. clerk, on the remaining balance of the items call the roll. >> clerk: this is for 23? 23 and 24. >> i'm sorry. supervisor fewer? >> i'm sorry president yee and i forgot the protocol and i would like to add to sponsor item number 23 and item number 24. should i do it at this time? >> president yee: right now we have severed item number 23. somebody want to sever item 24? so that you can add your name? >> thank you very much, president. >> president yee: okay, supervisor safai? >> yes, i just wanted to be added as a sponsor of 23 as

well. >> we still need to call the item though. >> why don't you call it. >> president yee: right. what about -- okay. okay, let's get back to where it is. madam clerk on the remaining balance of the items which is 22 and 24, please call the roll. cloi>> clerk: supervisor mar, a. and supervisor peskin, peskin abcenter. and supervisor ronen, ronen aye. and supervisor safai, supervisor safai, aye. and supervisor walton? walton aye. and supervisor yee? yee, aye. and supervisor brown, brown aye. and supervisor fewer? supervisor fewer, aye. and supervisor haney. haney aye. and supervisor mandelman. mandelman aye. there's 10 ayes. >> president yee: it's adopted unanimously. call item 23.

>> clerk: item 23, a resolution to condemn the attempted assassination of brandon lee in the philippines by suspected elements of the armed forces of the philippines, support the immediate evacuation of lee to ensure his safety and access to adequate medical care. and urge our federal representatives to initiate a federal investigation into the shooting. and urge our federal representatives to support a congressional hearing on consequences of the united states tax dollars going to the philippine military and police, and to advocate for suspension of the united states aid to the duterte regime until lee's case is resolved and the perpetrators are brought to justice. >> president yee: i see several people wanting to speak but i would like to take that honor to speak first. supervisor moore? >> thank you, president yee. and, really, thank you so much to all of brandon's family, friends and comrades, for your

powerful and beautiful comments this afternoon. all of that really makes it crystal clear that this resolution is before us because brandon -- brandon lee is still in critical condition, fighting for his life. fighting an infection with bull bullets still in his body. brandon is still subject to military and police surveillance in the philippines. even though we know that it was military or police agents who shot him multiple times in the back. this is before us because the attack on brandon has gotten too little attention here in the united states, even when a united states citizen was subjected to an assassination attempt by a foreign powers military that we as taxpayers continue to subsidize. this is before us because the attack on brandon has been met with silence by far too many, because the u.s. embassy in the philippines is failing to protect him, because the federal government is failing to acknowledge or to address the

systematic human rights abuses under the philippine president duterte that led to this. and, to fran be frank, because y are failing to have the ability to adequately defend brandon or to bring him home. i appreciate the partnership and the assistance that we have received from speaker pelosi's office and senators harris and finestein and i want to be clear that it's insufficient and we are running out of time. we need to bring brandon home. we need to ensure that he receives adequate medical care, care that we here can give him. we've added to the record to this file a letter from the san francisco health commission supporting this request. and recognizing brandon's mother, louise lee, has been a dedicated staff member at the department of public health for the last 40 years. alongside supervisor haney we have been advocating on this issue for over a month. in that month, community members have come together to raise

funds and to send a delegation to the philippines to visit brandon, including supervisor haney and to organize an incredible breadth of grassr509s advocacy, fueled by hope, anger and love. in that month we haven't seen enough from our federal government or national media. in addition to security for brandon, and an investigation, with this resolution we are calling on congress to end u.s. military aid to duterte's regime until the extradition killings and -- and to provide immediate support to bring brandon back to san francisco, away from his assailants and that he can receive the medical care that he needs and deserve. we call on the conscience of this country to stop subsidizing abuses and violence that have now hit so close to home. so thank you again, everyone, for turning out and not just this afternoon, but so often and in such a powerful way over the past month.

and, colleagues, thank you so much for your support on this. >> president yee: okay, supervisor safai? >> i will be brief and i appreciate the speakers who came out today and thank you to the leadership from haney on this. and i think that one of the things to underscore is that a threat to democracy anywhere is a threat to democracy everywhere. and this young man being a u.s. citizen and being an environmental advocate and being one that wants to fight for justice around the world in his country of, you know, where his mother is from and family is from, i think that it's an important thing. and so i want to thank you to all of the advocates who came out here today and say that we stand firmly shoulde shoulder-to-shoulder with him and we want to see the speedy return of brandon to the united states. so thank you for all of your hard work on this. >> president yee: supervisor stefani? >> thank you, president yee. i want to thank my colleagues

for their passion and relentless courage to speak out and to thank all of those who came out. i'm so sorry for what you're going through. and i wanted to be added. >> president yee: supervisor brown? >> yes, thank you. it's pretty powerful when you come out and you speak about it, friends, family, and advocates. and i would like to also be added to item number 23. thank you. >> president yee: supervisor haney. >> thank you, president yee. i want to thank supervisor mar for your leadership, as well as your staff, edward wright, for being there for brandon and his family from the beginning. and for preparing this resolution. it's been, you know, humbling to partner with you as well as brandon's friends and family who are here. i want to thank them. i want to thank all of the organizations. i know that brandon was very

much a part of san francisco and was raised in and politicized in many of the organizations that are here. the malai movement, and c.p.a. and the league of filipino students. i want to thank you all for fighting for brandon. when i visited him and his family i was able to share with him that you are all fighting for him, that you are sending your love and your solidarity. and he was able to mouth back, thank you. so i wanted to be able to share that with all of you. and i know that he knows that you're fatin fighting for him. his strength is incredible. i can't imagine the level of resilience and strength that it takes to survive being shot four times, three bullets that are still in his body. eight cardiac arrests.

and he will not give up. and so i know that this conversation and it's in this spirit that he sai is leading ho continue to fight. and i know that you are all fighting for him. what we do know is that the work that we're doing to raise attention and to put this on the agenda of our federal representatives and the u.s. embassy is making a difference. they are responding. they weren't before, but they are now. but as supervisor mar said, there's so much more that they can do and we finally got a response related to how they can do a humanitarian evacuateion and they said something about providing a loan to the family and so this is information that wasn't previously provided. it should have been provided immediately to the family. and because of the attention they're now responding.

brandon represents the best of san francisco. he -- his cross cultural and cross national solidarity represents a tradition and a history and a legacy in this city that i think that we should all be very proud of. and the last thing that i want to say is that we -- during our time in the philippines we were able to meet with many of brandon's comrades and his colleagues, indigenous leaders, leaders within manila and in all of them they shared with us that what happened to brandon should not be viewed as an isolated and random incident. but it's part of a campaign of targeting people who are standing up for environmental rights and for human rights across the philippines. and i think that brandon would want us to connect with what happened to him with what is happening with so many people,

especially poor people, especially indigenous people in the philippines. and to say that -- that their stories and their experiences are not going to be silenced and that to the extent that our government is quiet about this, we're going to be louder, we're going to demand that we no longer be complicit by funding such mass murder and political assassination that now has impacted one of our own in brandon lee. so thank you all for your leadership with the passing of this resolution and we have a lot more work to do to make sure that brandon comes home safely and that this campaign of terror and murder that the philippine government has been responsible for -- that we do everything that we can to end it. thank you for being here. >> president yee: supervisor mandelman. >> 5d aadd me as a co-sponsor.

>> president yee: supervisor? >> i asked to be a co-sponsor and if i'm not already on there and i would like to be added. and i wanted to thank everyone so much for coming out today. your love and your fight for brandon and for all of the people of the philippines that are being abused by the government came across so clearly. and we're with you. and just really appreciate all of your work on this issue and your fight for brandon. so, thanks. >> president yee: supervisor walton? >> i would love to be a co-sponsor. >> president yee: supervisor fewer? >> i just wanted to say thank you for coming out today. and i have already added my name as a co-sponsor and to include me in any of your fundraising efforts. thank you. >> president yee: okay. i also want to add my voice to

this, which is to thank the friends and relatives and organizations that came out to support brandon lee. and as you can see we stand in solidarity with the community on this issue. i think -- i believe that everybody has added names as a co-sponsor. and so thank you very much. and right now, madam clerk, i say that we take this item, same house, same call. without objection. then this item passes unanimously. thank you very much. let's see... madam clerk, read the memorial. >> clerk: today's meeting will be adjourned in the memory of the following beloved individuals... on behalf of supervisor peskin for the late jerry crawly, and on behalf of president yee, for the late lawrence joseph fonk and on

behalf of supervisor brown for the late marcia marcela harvey. >> president yee: colleagues that is the end of our agenda. madam clerk, any other further business before us today? >> clerk: that concludes our business for today. >> president yee: okay, thank you. we are adjourned. (♪)

>> san francisco and oakland are challenging each other in a battle for the bay. >> two cities. >> one bay. >> san francisco versus oakland. are you ready to get in on the action? >> i'm london breed. >> and i am oakland mayor libby schaff. >> who will have the cleanest city? >> we will protect our bay by making our neighborhoods shine. >> join us on september 21st as a battle for the bay. >> which city has more volunteer spirit? which city can clean more neighborhoods? the city with the most volunteers wins. sign-up to be a bay protector and a neighborhood cleaner. go to battle fofofofofofofofofo.

san francisco department of environment is a place where climate hits the street. we know that we don't have all

the answers. we need to support our local champions, our local community to find creative solutions and innovations that help us get to zero waste. >> zero waste is sending nothing to landfill or incineration, using reuse and recovery and prevention as ways to achieve zero waste. the grant program is a grant program specifically for nonprofits in san francisco to divert material from landfill. it's important to find the san francisco produce market because there's a lot of edible food that can be diverted and they need positions to capture that food and focus on food recovery. >> san francisco produce market is a resource that connects farmers and their produce with businesses in the bay area. i think it's a basic human right

to have access to healthy foods, and all of this food here is available. it's a matter of creating the infrastructure, creating jobs, and the system whereby none of this goes to waste. since the beginning of our program in july 2016 to date, we've donated over 1 million pounds of produce to our community partners, and that's resulted in over 900,000 meals to people in our community, which we're very proud of. >> carolyn at the san francisco produce market texts with old produce that's available. the produce is always excellent. we get things like broccoli, brussels sprouts, bell peppers. everything that we use is nice and fresh, so when our clients

get it, they really enjoy it, and it's important to me to feel good about what i do, and working in programs such as this really provides that for me. it's helping people. that's what it's really about, and i really enjoy that. >> the work at the produce market for me representing the intersection between environment and community, and when we are working at that intersection, when we are using our resources and our passion and our energy to heal the planet and feed the people, nothing gets better than . >> the san francisco carbon fund was started in 2009. it's basically legislation that was passed by the board of supervisors and the mayor's office for the city of san francisco. they passed legislation that

said okay, 13% of the cost of the city air travel is going to go into a fund and we're going to use the money in that fund to do local projects that are going to mitigate and sequester greenhouse gas emission. the grants that we're giving, they're anywhere from 15,000 to, say, $80,000 for a two year grant. i'm shawn rosenmoss. i'm the development of community partnerships and carbon fund for the san francisco department of environment. we have an advisory committee that meets once or twice a year to talk about, okay, what are we going to fund? because we want to look at things like equity and innovative projects. >> i heard about the carbon fund because i used to work for

the department of environment. i'm a school education team. my name is marcus major. i'm a founding member of climate action now. we started in 2011. our main goal it to remove carbon in the public right-of-way on sidewalks to build educational gardens that teach people with climate change. >> if it's a greening grant, 75% of the grant has to go for greening. it has to go for planting trees, it has to go for greening up the pavement, because again, this is about permanent carbon savings. >> the dinosaur vegetable gardens was chosen because the garden was covered in is afault since 1932. it was the seed funding for this whole project. the whole garden,ible was about

84,000 square feet, and our project, we removed 3,126 square feet of cement. >> we usually issue a greening rft every other year, and that's for projects that are going to dig up pavement, plant trees, community garden, school garden. >> we were awarded $43,000 for this project. the produce that's grown here is consumed all right at large by the school community. in this garden we're growing all kinds of organic vegetables from lettuce, and artichokes. we'll be planting apples and loquats, all kinds of great fruit and veggies. >> the first project was the dipatch biodiesel producing facility. the reason for that is a lot of

people in san francisco have diesel cars that they were operating on biodiesel, and they were having to go over to berkeley. we kind of the dog batch preferentials in the difference between diesel and biodiesel. one of the gardens i love is the pomeroy rec center. >> pomeroy has its roots back to 1952. my name is david, and i'm the chamber and ceo of the pomeroy rehabilitation and recreation center. we were a center for people with intellectual and development cal disabilities in san francisco san francisco. we also have a program for individuals that have acquired brain injury or traumatic brain injury, and we also have one of the larger after school programs for children with special needs that serves the

public school system. the sf carbon fund for us has been the launching pad for an entire program here at the pomeroy center. we received about $15,000. the money was really designed to help us improve our garden by buying plants and material and also some infrastructure like a drip system for plants. we have wine barrels that we repurposed to collect rain water. we actually had removed over 1,000 square feet of concrete so that we could expand the garden. this is where our participants, they come to learn about gardening. they learn about our work in the greenhouse. we have plants that we actually harvest, and eggs from our chickens that we take up and use in cooking classes so that

our participants learn as much as anybody else where food comes from. we have two kitchens here at the pomeroy center. one is more of a commercial kitchen and one is more setup like a home kitchen would be, and in the home kitchen, we do a lot of cooking classes, how to make lasagna, how to comsome eggs, so this grant that we received has tremendous value, not only for our center, for our participants, but the entire community. >> the thing about climate, climate overlaps with everything, and so when we start looking at how we're going to solve climate programs, we solve a lot of other problems, too. this is a radical project, and to be a part of it has been a real honor and a privilege to work with those administrators with the sf carbon fund at the department of environment. >> san francisco carbon grant to -- for us, opened the door

to a new -- a new world that we didn't really have before; that the result is this beautiful garden. >> when you look at the community gardens we planted in schools and in neighborhoods, how many thousands of people now have a fabulous place to walk around and feel safe going outside and are growing their own food. that's a huge impact, and we're just going to keep rolling that out and keep rolling thattoday >> (clapping.) >> i've been working in restaurants forever as a blood alcohol small business you have a lot of requests for donations if someone calls you and say we

want to documents for our school or nonprofit i've been in a position with my previous employment i had to say no all the time. >> my name is art the owner and chief at straw combinations of street food and festival food and carnival food i realize that people try to find this you don't want to wait 365 day if you make that brick-and-mortar it is really about making you feel special and feel like a kid again everything we've done to celebrate that.

>> so nonprofit monday is a program that straw runs to make sure that no matter is going on with our business giving back is treated just the is that you as paying any other bill in addition to the money we impose their cause to the greater bayview it is a great way for straw to sort of build communicated and to introduce people who might not normally get to be exposed to one nonprofit or another and i know that they do a different nonprofit every most of the year. >> people are mroent surprised the restaurant it giving back i see some people from the nonprofit why been part of

nonprofit monday sort of give back to the program as well answer. >> inform people that be regular aprons at straw they get imposed to 10 or 12 nonprofits. >> i love nonprofits great for a local restaurant to give back to community that's so wonderful i wish more restrictive places did that that is really cool. >> it is a 6 of nonprofit that is supporting adults with autism and down syndrome we i do not involved one the wonderful members reached out to straw and saw a headline about, about their nonprofit mondays and she applied for a grant back in january of 2016 and we were notified late in the spring we would be the recipient of straw if you have any questions, we'll

be happy to answer thems in the month of genuine we were able to organize with straw for the monday and at the end of the month we were the recipient of 10 percent of precedes on mondays the contribution from nonprofit monday from stray went into our post group if you have any questions, we'll be happy to answer theming fund with our arts coaching for chinese and classes and we have a really great vibrate arts program. >> we we say thank you to the customers like always but say 0 one more thing just so you know you've made a donation to x nonprofit which does why i think that is a very special thing. >> it is good to know the owner takes responsibility to know your money is going to good

cause also. >> it is really nice to have a restaurant that is very community focused they do it all month long for nonprofits not just one day all four mondays. >> we have a wall of thank you letters in the office it seems like you know we were able to gas up the 10 passenger minivan we were innovate expected to do. >> when those people working at the nonprofits their predictive and thank what straw is giving that in and of itself it making an impact with the nonprofit through the consumers that are coming here is just as important it is important for the grill cheese kitchen the more restrictive i learn about what

is going on in the community more restrictive people are doing this stuff with 4 thousand restaurant in san francisco we're doing an average of $6,000 a year in donations and multiply that by one thousand that's a lot to

my name is doctor ellen moffett, i am an assistant medical examiner for the city and county of san francisco. i perform autopsy, review medical records and write reports. also integrate other sorts of testing data to determine cause and manner of death. i have been here at this facility since i moved here in november, and previous to that at the old facility. i was worried when we moved here that because this building is so much larger that i wouldn't see people every day. i would miss my personal interactions with the other employees, but that hasn't been the case. this building is very nice. we have lovely autopsy tables and i do get to go upstairs and down stairs several times a day

to see everyone else i work with. we have a bond like any other group of employees that work for a specific agency in san francisco. we work closely on each case to determine the best cause of death, and we also interact with family members of the diseased. that brings us closer together also. >> i am an investigator two at the office of the chief until examiner in san francisco. as an investigator here i investigate all manners of death that come through our jurisdiction. i go to the field interview police officers, detectives, family members, physicians, anyone who might be involved with the death. additionally i take any property with the deceased individual and take care and custody of that. i maintain the chain and custody for court purposes if that becomes an issue later and notify next of kin and make any additional follow up phone

callsness with that particular death. i am dealing with people at the worst possible time in their lives delivering the worst news they could get. i work with the family to help them through the grieving process. >> i am ricky moore, a clerk at the san francisco medical examiner's office. i assist the pathology and toxicology and investigative team around work close with the families, loved ones and funeral establishment. >> i started at the old facility. the building was old, vintage. we had issues with plumbing and things like that. i had a tiny desk. i feet very happy to be here in the new digs where i actually have room to do my work. >> i am sue pairing, the

toxicologist supervisor. we test for alcohol, drugs and poisons and biological substances. i oversee all of the lab operations. the forensic operation here we perform the toxicology testing for the human performance and the case in the city of san francisco. we collect evidence at the scene. a woman was killed after a robbery homicide, and the dna collected from the zip ties she was bound with ended up being a cold hit to the suspect. that was the only investigative link collecting the scene to the suspect. it is nice to get the feedback. we do a lot of work and you don't hear the result. once in a while you heard it had an impact on somebody. you can bring justice to what happened. we are able to take what we due to the next level.

many of our counterparts in other states, cities or countries don't have the resources and don't have the beautiful building and the equipmentness to really advance what we are doing. >> sometimes we go to court. whoever is on call may be called out of the office to go to various portions of the city to investigate suspicious deaths. we do whatever we can to get our job done. >> when we think that a case has a natural cause of death and it turns out to be another natural cause of death. unexpected findings are fun. >> i have a prior background in law enforcement. i was a police officer for 8 years. i handled homicides and suicides. i had been around death investigation type scenes. as a police officer we only

handled minimal components then it was turned over to the coroner or the detective division. i am intrigued with those types of calls. i wondered why someone died. i have an extremely supportive family. older children say, mom, how was your day. i can give minor details and i have an amazing spouse always willing to listen to any and all details of my day. without that it would be really hard to deal with the negative components of this job. >> being i am a native of san francisco and grew up in the community. i come across that a lot where i may know a loved one coming from the back way or a loved one seeking answers for their deceased. there are a lot of cases where i may feel affected by it.

if from is a child involved or things like that. i try to not bring it home and not let it affect me. when i tell people i work at the medical examiners office. whawhat do you do? the autopsy? i deal with the a with the enou- with the administrative and the families. >> most of the time work here is very enjoyable. >> after i started working with dead people, i had just gotten married and one night i woke up in a cold sweat. i thought there was somebody dead? my bed. i rolled over and poked the body. sure enough, it was my husband who grumbled and went back to sleep. this job does have lingering effects. in terms of why did you want to go into this? i loved science growing up but i

didn't want to be a doctor and didn't want to be a pharmacist. the more i learned about forensics how interested i was of the perfect combination between applied science and criminal justice. if you are interested in finding out the facts and truth seeking to find out what happened, anybody interested in that has a place in this field. >> being a woman we just need to go for it and don't let anyone fail you, you can't be. >> with regard to this position in comparison to crime dramas out there, i would say there might be some minor correlations. let's face it, we aren't hollywood, we are real world. yes we collect evidence. we want to preserve that. we are not scanning fingerprints in the field like a hollywood

television show. >> families say thank you for what you do, for me that is extremely fulfilling. somebody has to do my job. if i can make a situation that is really negative for someone more positive, then i feel like i am doing the right thing for the city of san francisc adjourned.f san francisc >> shop & dine in the 49 promotes local businesses and challenges residents to do their shop & dine in the 49 with within the 49 square miles of san francisco by supporting local services within the neighborhood we help san francisco remain unique successful and vibrant so where will you shop & dine in the 49 my name is jim woods i'm the founder of woods beer company and the proprietor of woods copy k open 2 henry adams what makes us unique is that we're reintegrated brooeg the beer and

serving that cross the table people are sitting next to the xurpz drinking alongside we're having a lot of ingredient that get there's a lot to do the district of retail shop having that really close connection with the consumer allows us to do exciting things we decided to come to treasure island because we saw it as an amazing opportunity can't be beat the views and real estate that great county starting to develop on treasure island like minded business owners with last week products and want to get on the ground floor a no-brainer for us when you you, you buying local goods made locally our supporting small business those are not created an, an sprinkle scale with all the machines and one person procreating them people are making them by hand

as a result more interesting and can't get that of minor or anywhere else and san francisco a hot bed for local manufacturing in support that is what keeps your city vibrant we'll make a compelling place to live and visit i think that local business is the lifeblood of san francisco and a vibrant community >> my passion for civil service is inspired by a tradition. scda stands for supervisorory control and data acquisition. we can respond to an alarm, store history, so we can look at previous events and see what

went wrong and if we can improve it. operations came to scda and said, can you write a program that would run the pumps at crystal springs pump station to eliminate peak power usage during daytimes, and we performed that function. i love the puzzle. every time there's a problem that comes up, it's a puzzle that has to be solved, and we do it. >> travis writes all the code for the original water system. he is super passionate. he knows every little detail about everything. he's a great troubleshooter. he can walk into the plant, we can tell hem an issue, and he'll nail down what the problem is, whether it be electrical, mechanical or

computer. he works very well with others, he knows how to teach, very easygoing, great guy to work with. >> my passion for civil service is inspired by a tradition. i'm performing a task that has been done for thousands of years. the aztec had their aqueducts and water supply for the city. we bring water from the hetch hetchy reservoir, and we don't pump it. the romans would have been proud. my name is travis ong. i'm a senior i.s. engineer[mus] >> san francisco city clinic provides a broad range of

sexual health services from stephanie tran medical director at san francisco city clinic. we are here to provide easy access to conference of low-cost culturally sensitive sexual health services and to everyone who walks through our door. so we providestd checkups, diagnosis and treatment. we also provide hiv screening we provide hiv treatment for people living with hiv and are uninsured and then we hope them health benefits and rage into conference of primary care. we also provide both pre-nd post exposure prophylactics for hiv prevention we also provide a range of women's reproductive health services including contraception, emergency contraception. sometimes known as plan b. pap smears and [inaudible]. we are was

entirely [inaudible]people will come as soon as were open even a little before opening. weight buries a lip it could be the first person here at your in and out within a few minutes. there are some days we do have a pretty considerable weight. in general, people can just walk right in and register with her front desk seen that day. >> my name is yvonne piper on the nurse practitioner here at sf city clinic. he was the first time i came to city clinic was a little intimidated. the first time i got treated for [inaudible]. i walked up to the redline and was greeted with a warm welcome i'm chad redden and anna client of city clinic >> even has had an std clinic since all the way back to 1911. at that time, the clinic was founded to provide std diagnosis treatment for sex workers. there's been a big increase in std rates after the earthquake and the fire a lot of people were homeless and there were more sex work and were homeless sex workers. there were some public health experts who are pretty progressive for their time

thought that by providing std diagnosis and treatmentsex workers that we might be able to get a handle on std rates in san francisco. >> when you're at the clinic you're going to wait with whoever else is able to register at the front desk first. after you register your seat in the waiting room and wait to be seen. after you are called you come to the back and meet with a healthcare provider can we determine what kind of testing to do, what samples to collect what medication somebody might need. plus prophylactics is an hiv prevention method highly effective it involves folks taking a daily pill to prevent hiv. recommended both by the cdc, center for disease control and prevention, as well as fight sf dph, two individuals clients were elevated risk for hiv. >> i actually was in the project here when i first started here it was in trials. i'm currently on prep. i do prep through city clinic. you

know i get my tests read here regularly and i highly recommend prep >> a lot of patients inclined to think that there's no way they could afford to pay for prep. we really encourage people to come in and talk to one of our prep navigators. we find that we can help almost everyone find a way to access prep so it's affordable for them. >> if you times we do have opponents would be on thursday morning. we have two different clinics going on at that time. when is women's health services. people can make an appointment either by calling them a dropping in or emailing us for that. we also have an hiv care clinic that happens on that morning as well also by appointment only. he was city clinic has been like home to me. i been coming here since 2011. my name iskim troy, client of city clinic. when i first learned i was hiv positive i do not know what it was. i felt my life would be

just ending there but all the support they gave me and all the information i need to know was very helpful. so i [inaudible] hiv care with their health >> about a quarter of our patients are women. the rest, 75% are men and about half of the men who come here are gay men or other men who have sex with men. a small percent about 1% of our clients, identify as transgender. >> we ask at the front for $25 fee for services but we don't turn anyone away for funds. we also work with outside it's going out so any amount people can pay we will be happy to accept. >> i get casted for a pap smear and i also informed the contraceptive method. accessibility to the clinic was very easy. you can just walk in and talk to a registration

staff. i feel i'm taken care of and i'm been supportive. >> all the information were collecting here is kept confidential. so this means we can't release your information without your explicit permission get a lot of folks are concerned especially come to a sexual health clinic unless you have signed a document that told us exactly who can receive your information, we can give it to anybody outside of our clinic. >> trance men and women face really significant levels of discrimination and stigma in their daily lives. and in healthcare. hiv and std rates in san francisco are particularly and strikingly high were trans women. so we really try to make city clinic a place that strands-friendly trance competent and trans-welcoming >> everyone from the front desk to behind our amazement there are completely knowledgeable. they are friendly good for me being a sex worker, i've gone through a

lot of difficult different different medical practice and sometimes they weren't competent and were not friendly good they kind of made me feel like they slapped me on the hands but living the sex life that i do. i have been coming here for seven years. when i come here i know they my services are going to be met. to be confidential but i don't have to worry about anyone looking at me or making me feel less >> a visit with a clinician come take anywhere from 10 minutes if you have a straightforward concern, to over an hour if something goes on that needs a little bit more help. we have some testing with you on site. so all of our samples we collect here. including blood draws. we sent to the lab from here so people will need to go elsewhere to get their specimens collect. then we have a few test we do run on site. so those would be pregnancy test, hiv rapid test, and hepatitis b rapid test. people get those results the same day of their visit. >> i think it's important for

transgender, gender neutral people to understand this is the most confidence, the most comfortable and the most knowledgeable place that you can come to. >> on-site we have condoms as well as depo-provera which is also known as [inaudible] shot. we can prescribe other forms of contraception. pills, a patch and rain. we provide pap smears to women who are uninsured in san francisco residents or, to women who are enrolled in a state-funded program called family pack. pap smears are the recommendation-recommended screening test for monitoring for early signs of cervical cancer. we do have a fair amount of our own stuff the day of his we can try to get answers for folks while they are here. whenever we have that as an option we like to do that obviously to get some diagnosed and treated on the same day as we can. >> in terms of how many people were able to see in a day, we say roughly 100 people.if people are very brief and

straightforward visits, we can sternly see 100, maybe a little more. we might be understaffed that they would have a little complicated visits we might not see as many folks. so if we reach our target number of 100 patients early in the day we may close our doors early for droppings. to my best advice to be senior is get here early.we do have a website but it's sf city clinic.working there's a wealth of information on the website but our hours and our location. as well as a kind of kind of information about stds, hiv,there's a lot of information for providers on our list as well. >> patients are always welcome to call the clinic for there's a lot of information for providers on our list as well. >> patients are always welcome to call the clinic for 15, 40 75500. the phones answered during hours for clients to questions. >>

good afternoon, welcome to the september 10th, 2019 regular meeting of the san francisco board of supervisors. madam clerk, will you please call roll. [ roll call ]