laguna honda are working closely with us advising how we should do contact tracing investigations and giving us recommendations for further improved preparedness going forward. we are all working together on the preparedness and response plan for the long-term care facilities in san francisco. i also want to give you an update as of today laguna honda has 12 confirmed cases of coronavirus. 10 are among staff and two are residents. of the staff, seven are in patient care positions and three have not. as we speak the california department of public health and centers for disease control are on site helping us with contact tracing and investigations. to date 94 patients have been tested throughout the hospital. to date 278 staff members have been tested.

either by dph or their own provider. every staff member on the two units where staff have been sick have been tested. every patient where there was a sick patient has been tested. we are working with cdc to identify and test those that are most concerned may have had exposure to coronavirus. why don't we test everyone on campus? we must prioritize the clinical decisions and resources. first to be tested will be those showing symptoms or who have been exposed to a person with coronavirus. the contract tracings will tell us who these people are and drive further action and decision making. we are committed to keeping you all informed. testing has been taking places every day this week. it has taken place on the four south among patients with

symptoms or identified having risk of exposure. cdc advices about additional tests on campus. we will act on those recommendations. we have talked at the meetings, dr. colfax and mayor breed kept you informed about testing supplies. if we had unlimited supplies we could do more tests. we want our testing to go by science. we have taken steps to place the entire laguna community under quarantine to limit opportunities for the virus to be brought to campus. we stopped rotation of staff to various units and limited impacted areas to essential personnel. we made the hard but necessary decision in early march to

restrict visitors on site. this week in partnership with the cdc we have escalated action to further decrease movement to a minimum to fight the outbreak and reduce spread. >> it served 1700 staff. we have restricted access to the hospital by closing all but twoence transes tight limontored and controlled. staff are medically screened as they enter. residents are not allowed to leave. we restricted access to areas where residents may gather, including the library. they are providing much needed clinical leadership and support to our very strong dph team to strengthen the approach including contact and tracing. we continue to test staff and residents. they have joined the ongoing discussions about other

long-term care facilities and how we can strengthen them to prevent outbreaks. laguna honda is a top priority and we are working to protect the residents and staff there. we want to thank everyone who has been involved in this very large and important effort. these teams brought knowledge and resource from the work all over the country and world shared city-wide. we are fortunate to have their help at laguna honda. thank you. >> now, i would like to introduce chief scott, who will say a few words.

>> good afternoon everyone. i want to follow the mayor's lead and talk about positives. i must say overall we have seen really good compliance in our city. we had good compliance overall with social distancing last week. thanks to the proactive leadership of our mayor, director of public health and city leaders who jumped out in front of this. we had rain last week, and that probably helped as well. this is a week of good weather. we are still continuing to see for the most part compliance with the public health orders and social distancing. there are challenges, and i will discuss those in a little detail to make sure we all understand what is at stake here.

there have been a couple of instances or several rather where we have seen social distancing challenges. we are talking about public plazas in some parts of the city, we have seen as this has progressed we have seen people playing on playgrounds and playing team sports and soccer in the parks. thanks to our director of rec and parks we have closed many of those parks so we are not having those issues. we are working as hard as we can to educate the public. the police department, city workers, emergency operations center has a community branch. through the leadership of mary ellen carol and her team we reached out to people to really give the education to the public about what needs to happen with this pandemic.

what needs to happen is we need to stay true to the social distancing that public health officials have mandated. six feet apart, no gathering, social distancing when you go to grocery stores and the like, make sure you social distance and you practice those things. last time i was here i predicted there will be a time where we have to site. that time has come. we have begun citing. i will make this clear for the business owners and the mayor has done everything and continues to do everything possible to lighten the blow and we know this is a drastic impact to people's leaves. we have to abide by public health orders. we warned businesses, many of them, several of them rather,

that they were nonessential and when those businesses have been contacted we have taken incident reports. those incident reports can lead to criminal or civil action, but if we have to go back, we are not going to ask twice. we have had to cite a business in the last 24 hours and we have cited individuals in the last 24 hours. these are people that have been warned before. i would like to ask again for the public's help and compliance. let's help each other and help ourselves. this is serious. we need to abide by the public health orders. if we have to go back, and you have been warned, you will not get a second warning.

we understand not everybody has access to the internet or social media or gets the newspaper. that is why we are warning and educating where we can and where that is appropriate. as i said a couple days ago and again today we are not warning you twice. please heed these orders. we are trying to save lives and keep everybody safe and healthy. this weekend, it might rain. right now it is nice and people want to go out and get exercise. we respect that. if you live in the same household still practice social distancing. in the same hose how ol the -- e rules are different. please abide by it. you will not be asked twice. there are situations, and the city is doing everything it can.

the mayor, director of public health, director of homelessness, we are working together to work with these impacted populations that don't have shelter, don't have a home. we are being very patient and educating. we need you all, those individuals in those populations to practice social distancing. this is really important, and i can't stress it enough. we have begun to site. we will not ask you twice. we have been extremely patient. we want to stay ahead like we have done at this point. we want to flatten the curve and save lives. there are a few updates in terms of the general policing in the city. as we have reported, crime has been drastically reduced since the stay at home order was

issued. we are continuing to see that trend. for those that have to go out, be careful. social distance. we had a significant drop in property crimes and violent crimes. the overall crime is down over 26% from this time last year when you do a month to missouri comparison. that is -- a month to missouri h comparison. report crimes if you experience them. we are doing what we can to try to limit exposure to officers, general public and general public to officers. you can call in if it is nonviolent call the emergency line (415)553-0123 to report the crimes. you can utilize 311 or utilize

the website. some crimes you can report online as well. we have started a call in center for crime reporting to make it easier to report those crimes. if you have suffered a crime, report it. if it is violent we will respond to those crimes in person. i ask everyone watching this add he'd the public health orders, keep your distance, listen to what the professional in the public health department and around the country are saying, and we will save lives in our city and country. i thank you in advance for your coulyourcooperation. please stay safe and stay healthy. thank you.

>> questions for mayor breed from nbc bay area. earlier this week you explained the city doesn't have the resources to provide wraparound services needed to allow just any homeless person in the shelter in the city-leased hotel. yesterday five supervisors made the argument the city does have the resources so long as they

can self-care. are the supervisors wrong or are you wrong? >> mayor breed: let me start by talking about moscone west. we opened a day later, almost 400 shelter beds because we didn't have sufficient staffing to cover what we know we need as it relates to those sellter beds as well as other locations that we need to house people. it is not as simple as we can open up a hotel room except for those who we know can basically self-care, people that we are working within our shelter systems and other places. it is a real challenge. the fact is if there is someone who is diagnosed or suspected of coronavirus they have to stay in that particular hotel room, and we have to make sure that there

are resources there, including food, cleaning, security to make sure they don't leave those locations. there is a lot that goes into not only having the resources but making sure the people working with other people, we have to keep them safe. we have to make sure everyone understands the protocol. social distancing applies in the shelters. social distancing applies when people are cleaning and doing things that need done because there will continue to be challenging, but i want to be clear that we have a system by which we are focusing on making sure that we are helping the most vulnerable homeless population. that is people in the shelters,

people who are over the age of 60 and have underlying conditions, people who we know have no place to go or may live in a congregate setting and have no place to shelter-in-place. we have to prioritize those people, and that is what is most important. we are hopeful that we will, of course, be able to do more, but it is going to require more money and staffing. there are limitations what we can cover but what we get reimbursed for from the federal government. it is a lot more complicated than what some are trying to imply, and this is why we have professionals in our public health industry. this is why we have departments where people have been doing this work for many, many years. the folks who are part of the

emergency operation center are the professionals with the expertise and understanding. the city's office and others have a building what we need to do and we are putting what we need to do into place based on what we know we can deliver on. >> next questions for doctor susan phillips. >> i want to take a moment to make sure i said the numbers of cases across the city and people in the hospital in case i didn't say it clearly. as of today there are 497 san francisco residents with

confirmed cases of coronavirus. 60 of them are in hospitals across the city. half of those are in i c .u. sadly, 7 people from san francisco have died from the virus. >> california is 50th in terms of testing with only oklahoma testing fewer people than california as of this morning. california has a huge number of tests pending, close to 60,000. why can't california process these tests and what is being done about this? >> the situation in san francisco and the people in leadership in the state of california and public health can answer about pending tests. i can talk about what we are doing and how we responded in san francisco. doctodr. colfax and the mayor td about expanding testing in the sites we work with and control

the public health and clinical laboratory at zuckerberg general hospital. we have had very strong partnerships with university of california california and u.c.s.f. lab has capacity to test. we are increasing our local capacity to test. that is our focus. we do not have a backlog of tests for residents in san francisco testing at the sites we are working with. as the mayor and dr. colfax have said. everyone across the country is facing a limitation on the collection kits needed to do testing. tainmenthe tests in the lab ares good to get the tests from patients and to the laboratory. we are working to allow for

different types of test kits and swabs to be used. that is going on with the eoc and department of health laboratory experts and u.c.s.f. staff. we are in a challenge. we are increasing every week the numbers of tests available. later today we will have information available to the public to see the progress on testing. >> related to that question from the "san francisco chronicle." how many tests does the department of public health have every day? how are you rationing and prioritizing the tests. >> the issue is not the tests and kits. it is the collection supplies. we are working to get hands around the numbers of those supplies. in normal situations many of these would be at clinics and locations throughout dph. we are gathering that together

to understand what we have. those will be prioritized based where we see the most vulnerable populations. we talked about laguna honda hospital and how we are in discussion with california department of public health and our experts about testing there. as we decide on the need for testing we will prioritize that population for the tests we center. we continue to increase capacity for testing. we are bringing on experts to help optimize the work flow and get the most out of our equipment and bring on more people. we are ramping up capacity in the lab. we work to make sure we have more collection kits needed for testing. we are trying to partner and bring on new ways of doing testing with partners in sites that may be new that we haven't fried before such as walk up or drive up testing.

you will hear more about that in the coming weeks as well. >> another question from the "san francisco chronicle." the number at laguna hospital has remained at 12. is it under control or too early to tell? >> too early to tell. we take the situation seriously. that is why we are briefing the public about it on a regular basis. we asked for expertise from c dc to be added to our own we want he are glad there have been only 12 cases identified. we continue to be thinking about additional patients and staff that might require testing, and we know we have to be vigilant based on what we have seen about how vulnerable patients are and because of the size and scope

and sheer number of people involved we want to be very cautious how we proceed. we pay the highest amount of attention to laguna hospital. it is encouraging that we have not seen more than 12 cases. we need to keep that level of vigilance up. >> are you considering making mask wearing in public mandatory and under what circumstances might that happen? >> i want to clarify we are not talking about masks. we are talking about face coverings. any type of homemade cloth, a scarf, bandanna, we are not talking about masks. specifically isolation masks and n7979595 masks should be reservr healthcare workers.

we are trying to decrease the amount of unwittingly how we are spreading virus particles to other people even if we don't feeling safe. we are protecting people around us. we are not considering mandatory covering of space. this is a good tool and we know that people in san francisco have been doing their part by staying home, keeping distance, limiting outings to essential services and looking for additional ways to protect the community and work to flatten the curve. this is in addition to those important activities san francisco is already undertaking. it is not mandatory at all at this time. >> have you personally started wearing a mask when you go out? if so, when, what kind, how has the experience been? >> i have started covering my

face when i go out. i have used a scarf on some occasions. i do have an isolation mask that i use as part of the eoc and doc being an essential worker for the city and needing to come to work every day. if you do have a mask that ushusing, if you are not just using a homemade face cover extend the use. i have had the same mask for two weeks. there is no need to discard it to have a new one every day. it is an odd thing at first as we walk around the streets we see more people doing it, and we think it will become the norm. that is the way in which san franciscans are giving us the courtesy to move out of the way and the mask will be a reminder that life is not normal yet. we are looking forward to the time when we can go back to the

city more normal. for now it is a reminder to keep our physical space, reminder to stay home as much as possible. i don't want to overlook washing hands and using hand sanitizer is one of the best things to do to keep ourselves healthy and others around us. >> last question. from the "new york times." how familiar icu beds and ventilators have been made available in san francisco? will the city hospitals be securing more of them? >> in san francisco advance planning has been going on for weeks, very early in our planning as the city. as the mayor has said through her leadership we declared an emergency early on on february 25th. since this time there are teams doing advanced planning for i c .u. availability and beds. later today we will have up

information available to the public about just that. we know people are very interested in hospitals, capacity and surge. we currently do not need to use any of our surge capacity. as we said there are 60 people hospitalized throughout the city with covid-19 at this time. 30 are in i c .u. that is well with in our capacity as a city. the full numbers are percent occupied and all of that will become available later. as we get additional information, it will be shared. there is ongoing planning about surge, ongoing planning about how we would accommodate that. there are requests put in by the mayor to secure additional beentilators and surge capacity. that has been going on for a long time in san francisco.

>> thank you. next questions are for abigail stewart conn. >> . >> as i get started here, i want be to introduce myself. i am the interim director of the department of homelessness and supportive housing. before i respond to questions, i want to note a couple things. this pandemic gives us the opportunity to keeply understand that housing is healthcare. that is clear now more than ever. thanks to the leadership of

mayor breed before the crisis hit, she supercharged our homelessness response system with expansion. as i was visiting many housing and shelter and navigation site yesterday i saw 9,000 homeless that are safer because of that housing. immediately after the homelessness response after the coronavirus became evident we pivoted the response system to care, prevention and response. echoing mayor breed's note about positivity our system of care is tremendously grateful for the h.h.s. staff, guests, tenants and clients and people living unsheltered in our community, to our city partners annan profits and community we see you out there thanking us. i know my family has been out at

7:00 cheering with musical instruments and putting signs in windows. that is deeply helpful to all of the amazing front line workers in the homelessness response system. >> first question. what is the current number of homeless people that have been moved into hotels? >> that is an excellent question. at the direction of the department of public health, the first hotels have been used for people coming out of hospitals and medical care when they don't need to be in the beds. you heard that from the deputy health officer earlier. trent rhorer provided the update 120 people, 90 to 95% of those individuals are homeless or formerly homeless. that number increases a bit each day but will decrease as those individuals through the direction of public health have

completed their isolation or quarantine period and are able to move to other locations. >> when do you expect more will be moved in and how many total by when? >> that is a great question. let me be clear. from the beginning of this issue, the mayor and all of the leadership of the city has put housed public health and unsheltered public health on equal footing. our sheltered and unsheltered population on the list of people receiving services from day one. first from the hospitals, the individuals now in the hotels. in the coming days we will stand up hotels with the support of human services agency responsible for mass care and shelter to rapidly expand the hotel capacity they have already obtained those hotels. we are pivoting to moving to

staffing, supplying and transporting those individuals. we are be beginning this process with people vulnerable to covid-19 among the homeless. we hear you and know that being homeless makes you vulnerable, and we need to start somewhere. at the direction of public health that is people who are over 60 or who have an underlying health condition that makes you vulnerable to covid. >> i know you have a priority to keep hospital beds open, would families with young children or pregnant women be eligible for the hotel rooms you are talking about? >> we are spending a tremendous amount of time on the single adult to population. our staff and partners are working tirelessly with young people and families.

let me talk how that looks. san francisco under the mayor breed attained functional zero in unsheltered homelessness. we maintained that through the covid-19. that doesn't mean somebody is sleeping in their car and not wanting to come into shelter. it means we have the capacity to take them in when we outreach to them and they say yes. that continues today. families, women who are pregnant can come indoors immediately into a congregate setting and through a partnership with human services increasingly to hotel rooms through cal works and additional hotels coming online. >> last question for you. cathy novak k cbs radio. how many people from the

navigation center have been moved to the hotels and what is the plan for the rest of the residents? >> thank you for the question. thank you for your compassion. i am going to use this opportunity to speak about the full response of the city to our first covid positive individual staying at a navigation center. immediately upon learning of the diagnosis the shelter site was supplied with masks. they are wearing them at all-time and they initiated contact tracing to identify who that special, we call them guests. the individual i am not sure we should share the gender, has initiated contact tracing with the individual who is now a patient in very good condition. that allows us to understand who is considered exposed, vulnerable and so on at our site. in response to the positive test

the department of public health rapidly employed a physician and health workers to conduct system as and temperature screening beyond what was already in place. any guest with symptoms with covid-19 will be tested and relocated to staff quarantined rooms immediately. other guests will be moved to hotel rooms based on exposure and risk of disease. they will be provided medical support and space to self-isolate. they are considered healthcare workers in this situation. the city is deploying a professional cleaning crew in addition to the cleaning resources led by may or breed at the beginning of this epidemic and that is ongoing. staff will be on site to answer questions.

they will guide social distancing and implement shelter health screening pro pocols. i am with that community. division circling is near my children's school. it is a favorite spot of mine. it is important to understand this is not a place those not staying there should visit. we bring our germs to people experiencing homelessness when we try to show up to help. you can help by going out to cheer for people on the streets, you can help in all of the ways to donate. don't try to enter the site. it is not allowed at this time. that is reserved for guests and staff there. thank you for your compassion for that community. >> final question. have people started moving to the facilities at moscone west? >> that is happening today. as mayor breed said setting up a shelter because of the 1,000 shelter bed challenge is not a

small feat. we need to do this with care and compassion. we need this to be succes succel for people to shelter-in-place. thanks to human services agency we are rapidly expanding the sites and people are moving in there today. >> next questions are for the chief. >> chief a question about the citations you referenced. how many people and businesses have been cited.

are these misdemeanor citations? >> with the businesses we have taken six incident reports for businesses that were not essential this should have been closed apweren't. one of those six had to be cited. we have stated publicly that our enforcement posture is progressive. we educate initially, sometimes at the beginning we educated more. we still do everything we can to educate. with the businesses, if they are not supposed to be open, we ask them to close. we are asking for compliance. this is not a race to see how many we can cite. we are trying to get compliance. when the businesses close we take an incident report. those can lead to criminal or civil action. the people that review those cases make that determination. if we have to come back, we are

citing, particularly with businesses. with the individuals there has been one individual cited. as i said we put out the enforcement protocol a week ago we vetted through the city attorneys. again we look for compliance. by and large most people when approached by a police officer will comply. that is what we have seen. that is the trend. there are areas that are sub born. stubborn. if we have to use citations and enforcement that is what we will do. i want to emphasize the positive. most people in the city have been compliant. >> thank you. that concludes our press conference. >> thank you.

>> good afternoon. it is 1:02 p.m. i thi this is the regular meetif the commission on community investment and infrastructure for tuesday, april 7, 2020. chair will be joining us later. go on head and mute your