understanding of what antibody tests really mean and whether neutralizing antibodies confirm long-term, medium term or short-term protection, our toolbox of testing options will likely grow and be implemented as quickly and as effectively as possible. again, supplies continue to be a challenge, but we are making progress and we will continue to do everything we can to ensure that people in san francisco have what we need. and it is very important that we recognise the testing is an important piece, but it just one piece of an overall approach to fighting the coronavirus. the mayor emphasized the importance of contact tracing and this is a vital component and must be paired effectively

and over the long-term with our testing strategies. it is also crucial to continue to do everything we can to prevent people from getting sick in the first place. that includes staying at home, social distancing covering your face around other people and frequent handwashing. it is also important that we continue to ensure that the healthcare system is on high alert and prepared to handle a surge of cases and to be able to treat everyone safely. and it is critical that we do all of this work with an eye towards equity. the health department is commit to the health and well-being of all people in san francisco and to do everything we can to

support the health and full recovery of all communities in our city during and after this pandemic. thank you. is and now police chief bill scott who has been incredible partner to this pandemic will make a few weeks. remarks.

>> thank you and good afternoon. i'm bill scott, chief of police of the san francisco police department and i would like to start off as i always do by thanking our mayor, london breed, and director of public health, grant colfax to for their outstanding leadership during this ver very challenging time. i want to thank the members and the people of san francisco for their support and for their compliance. the vast majority of the public are compliant with the measures that are meant to stop the spread of the covid-19 virus. with that said, we do have some instances in which we've had to issue citations to people and businesses who after being

warned continued to flout the order. to date, we've issued 1 16 citations, seven businesses and nine individuals for violating the county public health order or the state public health order. we admonished or warned 71 people which breaks down to 48 businesses or business owners or managers and 23 individuals. our enforcement will continue and in addition to those figures that i just mentioned, we've informally reached out and contacted hundreds of individuals for warnings to gain voluntary compliance. we've already received press inquiries about how we will enforce the updated public health order regarding the face coverings. from the outset of the original public health order that was issued in mid-march, the sfpd

paid it clear oudmade it clear t has been an option of last resort, but i have stated and continue to state that we will use that option for those who flout the order. that motto has been largely successful and we will continue to use that motto going forward in the issuance of the latest public health order which requires face coverings. our compliance pathway, again, started with educating the public and asking for voluntary compliance. we then issue warnings and formal warnings come with an incident report that our officers take if they issue a formal warning and as a last resort, particularly for those who continue to disobey the order after being warned, we have cited those individuals or

businesses. i want to say that we are working with director cheryl davis, who you heard from during wednesday's press conference. director davis has mobilized key stakeholders in the community and, basically, those stakeholders along with director davis is other city workers plan to distribute face coverings thanks to the mayor's gift to sf campaign. those face coverings have been donated and we think that will go a long way in preventing the spread of covid-19 as well as voluntary combines. scompliance.thank you to directd the others who have been involved that effort because we think that will make a difference. for those interested in our enforcement protocols, visit our covid-19 website on our department's web page and read the department notices that lay out all of our enforcement

protocols. as we've stated before, the purpose of the public health order is not to arrest or cite. it's about promoting the public health practises that will help to prevent the spread of the virus and the san francisco police department's role in that is to help our community get through this extremely difficult time in ways that don't make the situation worse. by working with our community members and by working with our other city partners, we have been largely successful and we ask for continued cooperation and support to stop the spread of this virus. now i want to turn to our crimes to give you an update. we saw an 18% update and that was mainly fueled by 11

additional robberies and two additional assaults. there was a 31% decrease in part one property crime, which equates to 154 fewer property crimes this past week. and overall, there was a 25% decrease in part one crime which equated to 142 fewer crimes from the previous week. as we've stated, we have had burglaries and vandalisms of businesses and we want to ensure the public and let the public know and let those would-be criminals know that we take this extremely seriously. we've made progress on several of those investigations and are well on our way to identify the perpetrators so those individuals can be brought to justice is held accountable for those crimes. we want our business owners to know that during this difficult time, that the san francisco police department will be out patrolling, particularly during

the night-time, because that's when we've seen many of these crimes occur and our field operation's bureau chief, as well as our operation's assistant chief, michael redman, and their teams are working tirelessly to make sure we do everything possible so that we don't have people being victimized during this difficult time and in some cases our investigators by working with the district attorney's office have been able to get additional charges for looting, which is section 463 of the california penal code and we've had 22 instances where individuals have been arrested and charges of looting have been brought fort anbrought forth.so thank you tot attorney for working with us on that. as always, we encourage people to report crimes but do so in a

way that decreases face-to-face contract in the midst in the spread of the coronavirus. call 9-1-1 to report violent crimes and crimes in progress. we will respond to those crimes as we always do and we will be there for you. please also make use of our newly implemented text 911 service if you are unable to make the phone call but need emergency help. particularly for those that might be experiencing domestic violence, if you are unable to get to the phone to make the call, please take advantage of the text 9-1-1 service. for crimes that have already happened, use our nonviolent property crimes, use our nonemergency line at (415)553-0123. that's (415)553-0123. you can also call 3--1 or utiliz-1-1 orrequest a copy of g

police report. as a reminder, this is national crime's victim's right week is we want to honor crime victims and raise awareness for victim's crimes victims for what they have gone through. lastly, the men and women of the san francisco police department want everyone infected by crime to know that we are always here to provide the service that you need with dignity, compassion and respect. please listen to the direction of our public health officials under the leadership of dr. grant colfax. if you must go outside, please wear a face covering as the most recent order mandates. also, maintain six foot of social distancing and stay six feet apart.

let all do our part for the prevention of the spread of the covid-19 virus and flatten the curve. thank you. >> thank you, chief scott. the first question is for you. from marco gonzalez, kqed, how will sfpd enforce the new public health order regarding face coverings? >> as i stated, our motto has not stated from where we started when the first issue was ordered. i want to make something clear. when i talk about progresstive e pathways to combines, admonished, warnings, it doesn't mean we're not engaging. our officers are engaging on a daily basis and engaging with many, many people.

and i want to let you know, that, yeah, you might be contacted with a san francisco police officer who might ask questions about either where you are or why you don't have your face covering on. please be patient with us because we are here to help. our goal is to further promote the public health orders. our goal is not to write a bunch of citations and arrest a bunch of people. our goals are actually to keep our public healthy is safe. be patient, and understand the orders are there to keep us all healthy and safe and please don't mistake the fact that progresstive enforcement or progressive pathway to compliance equates to lack of engagement. we are engaging thousandsch people and will continue to do so because we want to get to voluntary compliance. in order to do that, it takes engagement.

>> thank you, chief scott. the next set of questions are for mayor london breed madam mayor, the first question, the san francisco county committee chair, david compose switchewageswitch to all mail fs election and what is made to make this a reality? >> to be clear, as someone comes from a community who,

unfortunately, has a history in thiscallinthis country of not hg access to the voting booth, we, of course, take the ability for people in san francisco and others to have access to voting very seriously. in fact, we've already started this process over a month ago, working with the department of elections to prepare for what could happen if in november we still are in a very similar situation to the one we're in. we want to make sure that this in no way impedes anyone's ability to vote. so preparing to have access to more mail-in ballots and also more outreach around voting will be critical to ensuring that everybody has the ability to vote in this election and it's something we've beesomething wen for over a month and we will continue to do so. >> the next question is from joyce cutler, bloomburg law.

the board of supervisors passed requirements for companies to pay for or reimburse gig workers for protective equipment and sanitizing products. will you be signing the legislation? >> i want to be clear that it's important that not only does any other company or business in san francisco provide the appropriate support to their employees, including soap and hand sanitizer and protective equipment, especially to those essential workers. it's important that we do so at a city level. the legislation was just passed and so, we're still reviewing it, but it's definitely something overall that i agree with. >> thank you. also from joyce, what is the proposed level of budget cuts and how many positions will be eliminated to deal with the upcoming $11 billion deficit? >> as i said earlier, we anticipate based on the controllers' report that there will be a budget deficit of anywhere between 1.1 and

$1.7 billion and i think that what that means in the upcoming budget and next year's budget, we'll have to look at the financial projections and where we could make specific changes in order to cut the budget. we don't have the specifics as to what positions or what programs or anything of that nature might be impacted. because that is something we will continue to discuss as we move through this crisis based on what we're spending and based on what we would receive in federal or state reimbursements, as well as some of the resources we've allocated, some of the revenue loss. it's not as simple as being able to answer a question like that right now to say that definitively something is going to happen. but the fact is, close to

$1.7 billion projected deficit means there will be major shift in priorities and definitely some significant financial impacts on services in our city. thank you. thank you, madam mayor. the next set of questions are for dr. grant colfax.

the first question is from kt u.s. tvu. are there any measures to address the black latino americans who have been disproportionately impacted by the pandemic? >> welling, yes. >> yes. these populations have been a focus of our work since the beginning of the pandemic. there are resources to ensure that they have the educational materials, the support and access to the care that they need in order to pi to mitigatee effects and get the testing, care and treatment they need. one example would be at southeast health center. we have established a field

clinic so that people can get their primary care and urgent care needs met there rather than going to another medical setting. we've established a testing site there and i mentioned that maxine hall center, we will start testing site there tomorrow. and within the mission district, which has a high proportion of latin x residents, zuckerburg san francisco hospital is right there and we will continue to care for the population, for all of san francisco, but especially and including the mission . and an example of a collaboration with regard to learning more about what we can do better, we are collaborating with ucsf on a study of a census track in the mission which has many latin x residents to better

understand the prevalence of the virus there. so the goal there is to test thousands of residents in that track over a relatively short period of time to better understand the dynamics of the pandemic in that community. but i think beyond that, that's a study and i think the important thing is that we are reasoarereinforcing and buildinh community leaders and stakeholders and ensuring everyone in sanfrancisco, regardless of where you live in san francisco has access to testing and care during this time. and also general healthcare overall. >> the next question is from dominick from search f chronicle. sf chronicle. is the volume of swabs keeping capacity with the testing

capacity and what is needed for ppe and frontline healthcare workers? so this remains a huge challenge, a challenge locally, regionally, state-wide and nationally. our aspirational goal for universal testing is further complicated in amendmen implemeg because on a day-to-day basis, i do not have the metrics needed to plan as intent fullfully as d because it's unclear of the supplies will arrive and there is simil simply no centralized m to help local jurisdictions to figure out in a clear way how do we expand. right now, where we stand, we have enough testing materials

and equipment to of course pan to that next set of eligiblability criteria and mean have any symptoms consistent with covid-19, close contacts with people who are known to have covid-19 and then, as we expand to these broader populations and testing, it's going to be an iterative process and it will be dependent on the supply chains stabilizing over time. >> the next question, based on the facts this was weeks earlier than believed, are there any indications that san francisco's first death may have been earlier than we believe? >> i do not have indications of that. it a theoretically possible and we are having conversations with our medical examiner to determine what retrospective

analyses can be done. from the beginning of this pandemic, we have been vigilant in testing unexplained cases of death for covid-19. but it's certainly something given the data that was released yesterday that we will be looking at. >> thank you. the next question is from kathy novack. will essential workers seeking tests at the two sites need a referral? >> so with regard to this testing program, people can go online and are screened online for eligibility and then they can take the next steps depending on their answers with regard to receiving testing at those sites. >> can the city start to reopen before we reach the goal of universal testing for all people in san francisco? >> so i think there are a number of factors that will help us

determine based on data, science and facts how we will potentially relax the shelter-in-place order. certainly expansion of testing is one important tool and another important tool that is linked to that testing is the ability to do aggressive contact tracying stracing, so that in pg where there are outbreaks, we can quickly response. then we need to ensure there's a consistent methodology to how we ensure there's capacity in our healthcare system in the event of an outbreak or a surge in need. there are many other components that will help us to determine relaxation of shelter-in-place orders and the number of switches we turn on overtime, we need to be flexible and have the capacity to shut those down if, indeed, we start seeing coronavirus cases increase.

>> thank you. the next question is from mission local. dr. colfax, you mentioned that lab testing has increased four-foal. four-told. four-followed. whafour-fold. what is the testing capacity in numbers now? >> at our public health lab, we increased from being able to do 50 a day to 200 tests a day. and that's with regard to the machines that are used to do the tests. the mechanical capacity to actually run the test is generally not the right step here. it's around the supplies and around ensuring that seven-day s are expansive are most at need and the most vulnerable.

>> to clarify, the expanded testing for essential workers can be conducted at two city sf sites as well as those who exhibited positive covid cases. >> the two testing sites are focused on providing city workers and other essential workers with access to testing if they have any symptom consistent with covid-19. and then through our public health work and collaboration with partners across the city, we will be testing people who have come into close contact with somebody covid-19, even if they do not exhibit symptoms of covid-19. >> thank you, dr. colfax. the next set of questions are from abigail stewart kahn, homelessness and supportive housing.

>> the next question is from the public press. in recent weeks, city officials have discussed the possibilities of opening sanctioned cabinets to help homeless people better socially distance themselves. does the city have a time table for opening these incantments?

>> we know living in shelters put you at risk that many experienced before the global pandemic. meal as this became an issue, the healthy street's operation center paused their resolutions and began providing under the leadership of just kazitki to work with our unsheltered neighbors to physically distanced while unsheltered. i want to implore those living unsheltered to take heed of our hr stock partner's request and to physically distance as much as possible and to continue to ask all partners who are out there how to access the

resources that are available. there a isto get to the questie sleeping, we know that it isn't always possible in sidewalk spaces or in tight areas to safely sleep. the healthy street's operation center is evaluating the possibility of safe sleeping and weather the global pandemic of coronavirus warrants the movement in that direction by the city. i want to note that many cities across the country have had mixed success and safety. and so the city is evaluating whether the coronavirus makes that more urgent now and is working towards plans, towards safe-sleeping sites for the most impacted neighborhoods and vids

individuals in san francisco. we'll be able to provide more information in the coming weeks. the most final thing to note is the reality here. the reality is that the very people who will help us open these safe sleeping sites are the same talented individuals helping us to open hotels and so we cannot, without the help of our providers and all of our dsws and city workers open an of these thing at ths safely. we have to have a conversation how do we bring individuals into hotels in a safe way and we've spent a lot of time talking about the steps required there. as we also consider safe sleeping sites . >> thank you, director. that concludes today's press conference. .

>> mayor breed is joined by the director of public health, grant colfax. the director of the department of human services, trent noor. today's numbers for the number of people who are infected by covid-19 here in san francisco are at 1,340. sadly, we have had 22 people who lost their lives to the virus. as a reminder, you can find the

full dashboard of information at datasf.org/covid-19. there is a lot of great information on the number of people who have been infected by zip code, race, and other information that members of the public expressed interest in. as a city, we have mobilized to combat this public health crisis. we've been focusing on our frontline responders, our healthcare workers, and our essential employees and what they need to protect themselves. these are the people who are of course our healthcare professionals, our first responders, and people who are actually our essential city workforce. the folks who are driving the muni buses, the people who are

managing traffic. the people who are providing -- the grocery store clerks and others who continue to support the city as we deal with these real challenges. i want to be clear that from the very beginning we knew that it was important to ensure that we were protecting the people that we expected to show up to work in their various capacities. the sad reality is what we've had to deal with around a lack of coordination on the federal level around p.p.e. has made it really very challenging. today i want to talk just a little bit about those challenges and what we've faced as we continue to provide the resources necessary to try and protect our workforce, but i want to start by -- and i want to start by thanking the city

administrator naomi kelly and her team and the office of contract administration. because of their efforts, we have been able to purchase 15 million pieces of p.p.e. that's the n95 masks, general masks, the gowns, and the other personal protective equipment necessary to keep people safe as they work and as they support our population of people who sadly may be hospitalized due to covid-19. the gloves, the gowns, the surgical masks, and those -- the face shields. and we've received donations from our give to s.f. program and we truly appreciate the contributions. our governor, the state, has provided us with 1 million pieces of p.p.e.

so we have really been very diligent about getting access to p.p.e. to make sure, as i said, our frontline workers are protected and people have what they need to provide essential services to the city. you hear the conversations that take place not only here in san francisco but all over the state. the fact that we have declared a state of emergency even in san francisco as of february 25 of this year, the fact that we have been struggling to get access to p.p.e. even before then and this has been at the forefront of every conversation that every city has had, expressing a strong need for this personal protective equipment. yet again, and this is no

excuse, but the challenges we continue to face as a result of a coordinated response from our federal government has really put us all at a disadvantage. in fact, i want to talk a little bit about some of the challenges that we've had. we've had issues of our orders being relocated by suppliers in china. for example, we had isolation gowns that were on their way to san francisco and they were diverted to france. we've had situations when things that we've ordered that have gone through customs were compensated by fema to be diverted to other locations. because again we know that everyone is dealing with a very serious challenge. even when we've been fortunate enough in some cases to see p.p.e. get through customs, we've had situations where those items have been taken and put out on the market for the

highest bidder, putting cities against cities and states against states. it has been really, i've got to tell you, one of the most frustrating things to deal with. the fact that during the height of this pandemic we're still having a conversation about p.p.e. is -- it really does blow my mind and it is nothing that has been more frustrating. because when we talk about the need to get back to opening up our cities and our country, one of the most important things we need is to make sure that people have what they need to protect themselves. that we have p.p.e. and that we have swabs and testing kits so that we're able to test more people. so we are -- i want you to know that we are working tirelessly on this. we are pushing for creative solutions to get what we need.

in fact, ucsf through their generosity in providing san francisco general some additional equipment has been amazing. and dignity health and having access to their suppliers. we've all locally here in the hospital community have been working together to get everything that we need because we know how critical all of this is now as we go through this and as we have this shelter-in-place order. but what happens when we start to look at ways and solutions to get our cities back on track and to get our cities open, it's going to be necessary even then because it's going to take us a while before we get a vaccine, which means testing and p.p.e. and having not only sufficient supply, but access to get sufficient supply will be critical to the future of this city. we won't give up.

we will continue to do what we can to access the equipment and supplies that we need. dr. colfax talked about our efforts to expand testing, which is something that we will continue to ramp up. as he mentioned on wednesday, the bottleneck we face right now is often due to the lack of the basic swabs and not necessarily the testing capacity. so we just wanted to make sure that as you hear about some of these challenges that you're aware of why they are challenges. i know it seems as though it should be a lot simpler. we have the money to purchase the p.p.e. why can't we purchase the p.p.e.? the fact is it is clearly complicated. you hear mayors and governors talk about this on a regular basis. we are getting as creative as we can to get what we need to support our city.

in many instances, we have been fortunate beneficiary of the generosity of flex port and facebook and sell force and others who continue to be incredible partners in helping to advocate for and get access to p.p.e. to help our cities move forward. so i want to thank them. i want to just talk a bit -- dr. colfax will get into the testing and the p.p.e. and some of the things we need to do that are critical to public health. also in addition to the public health crisis that we are in the midst of, there is another crisis that has emerged and that is the economic crisis. the fact is this has been a long time for people who have no other means of access to money. this is a long time to be out of

work and to figure out what we're going to do. it's one of the reasons we felt it was important, despite what's happening with access to unemployment, to have resources available so that people can get food through give to sf and to provide support for our small business community. in fact, we've been able to add another $1 million to the flexible grant program that we started a couple of months ago to provide some initial assistance to our small businesses. and we will continue to raise private dollars and look for other resources to help support our small business community. as we think about the future and what this means, we set up a recovery task force a couple of weeks ago. they are going to be convening today to talk specifically about where do we go once we reopen.

even as we look at what's happening with other states that are opening now. as far as i'm concerned, we don't want to move that quickly. we want to make sure that we have systems in place to protect people. this is going to require an approach where we are working hand in hand with our public health professionals. when we look at various industries and we analyze what could be done in order to protect people to allow those industries to move forward, we want to make sure that we are thoughtful in our recommendations, but we are also getting the support and the clearance from our public health experts to move in that direction. we know that this weekend is coming up. today is a beautiful day in san francisco. this weekend is going to be a beautiful weekend in san francisco. and i want to really take this opportunity to caution people about wanting to get back to

things that are more familiar. i know your kids want to play with their friends. i know you want to see your friends. i know so many of you want to have interactions with one another in person rather than over the phone or online. i want to just say that we hear about san francisco and how great san francisco is doing all over the world and we're being used as an example of how to manage this situation right. but i want to just remind you, we have 1,340 people who have tested positive with the virus. it is estimated that about 12% of the people we've tested overall have the virus, which means that there's a possibility clearly that there are others who are asymptomatic in our community that have the virus and have the ability to infect

other people. what we don't want to see on nice days, on days like this, out in the communities and infecting other people. they don't have a mask and not social distancing and going back to the habits that are familiar and engaging with one another and not socially distancing and getting comfortable and complacent. and then a week from now we wonder why our numbers from shot up from 1,340 to 2,000 or more with even more deaths. this is what is at stake. as good as it might seem, the situation we're in now, the numbers are still going up. the number in i.c.u. have gone up. the number of people who are -- who have passed away continues to rise.

that means that now more than ever we can't give us and we have to move forward. i know -- as i say, i know i say every time we have a press conference i know it's hard. i know it's hard, which is why it's important that as we are talking and convening in our economic recovery task force, we are developing ways to make recommendations to the department of public health of things that we could potentially make available to the public. so next week we'll have some more announcements about that, but the goal is we definitely want to work with our public health experts and our various industries to figure out are there things we can do. because the reality is and people are asking about this, will the public health order get

extended. the likelihood that that will happen is very likely. what that means is another few weeks or even a month of asking you all to comply and to remain at home as you continue to follow the social distancing orders that we put forth. but what it also means is an opportunity for us with our economic recovery task force to start to explore ways in which we can make some things available that are currently unavailable to all of us. so it is a process. because how we reopen is going to be important to ensuring that we do it responsibly so we don't go backwards. we also have to make sure that we have enough of the p.p.e. and the testing necessary so that if we do decide to allow a particular industry or something

to become available that we're able to deal with that, that we put the appropriate requirements into place of social distancing and we also have the appropriate p.p.e. so that they're able to protect themselves. and, more importantly, we have the testing and we have the capacity in our hospitals necessary to deal with a surge at any time. it's a process. it's a process that requires patience. it's a process that requires resources. so i want to thank the people in san francisco especially for just supporting the process and being responsible and helping us through this pandemic because it is important that as many of us as we possibly can, that we comply with this order and that we continue to do our very best to stay at home, go out and get

fresh air if we need it, and keep our distance from people when we're outside. the mask does not mean that you can come closer to people. it means we're asking you to wear a mask to protect yourself and to protect other people, but we're still asking you to keep a distance of 6'. the mask does not take the place of social distancing. i also just want to say i also heard of a number of situations where people have been walking and they're not wearing a mask and they're just outside walking and they've had people make comments and threatening comments in some particular instances. i want to be clear. we are not asking or requires that people wear masks when they're out walking their dogs or taking a walk or they're

doing their jogging or maybe riding their bike. we're asking when you are at the grocery store or in line at the grocery store or at the gas station or in line at the gas station, at the pharmacy or in line at the pharmacy. any facility where you are in contact for the most part in line with other people, that's when we're asking you to wear a mask. i also want you to reiterate if you're not a police officer, please don't ask like you are a police officer. we have police officers to police our streets. what we don't want to have happen is the continued animosity towards someone who appears to not be following the directive and an altercation occurs and tension occurs and it goes worse. more than ever, we need people to be understanding and nicer to one another. we need goodness and we need kindness. we need you to focus on you.

we need people to focus on the fact that they and their family should be complying with wearing a mask or keeping their distance. we don't need people to police other people because that could turn into an even worse situati situation. we understand it might be frustrating to see someone violating the rules, but again i guarantee you if you are following the rules and doing everything that you can, you are setting the example. others will follow and we'll be better off for it. i appreciate if we all continue to do our very best, we all continue to put some goodness and positive energy out there in the universe. this is challenging for all of us. it is difficult for all of us. none of us is immune from the

physical and emotional impacts that this is taking on our city. i want us to remember that and do the very best we can as we weather this storm. thank you for your cooperation and understanding. if there is any information you're looking for, please feel free to check out our website, sfgov.org. or call 311 if you have any concerns or need help or support or food. please call us. we really are in this together. what impacts one person in our community impacts all of us. that's why it's so critical. we have been in this situation for some time now. now is not the time to give up. now is the time to roll-up our sleeves and just keep it moving and do the very best we can

because what we want to do is look back on this pandemic and be proud of what we've been able to do here in san francisco to protect and to save lives. thank you again for your cooperation. at this time, i would like to introduce our director of the department of public health, dr. grant colfax.

>> thank you, mayor breed. good afternoon. i'm dr. grant colfax, director of public health for san francisco. i would like to express my gratitude and thanks to the mayor for her leadership and the work she's done with regard to to ensuring that our frontline workers, our teams throughout the health department, and the patients who we care for has had access always to the necessary personal protective equipment, the p.p.e., according to c.dc. guidelines for them to be safe and for our patients and their families to be as safe as possible. the p.p.e. continues to be an issue. our supplies have sometimes gotten quite low, given the challenges across the city,

across the region, across the nation. it's taken tremendous amount of work. i just want to express gratitude again for ensuring that people have consistently and had and always have had the p.p.e. that they need that is necessary and in accordance with the science, the data, and the facts. today i want to provide you with the facts and the effects of the coronavirus in our community. even as we continue to make progress as we flatten the curve, we continue to see impacts on our most vulnerable population. the story here in san francisco, the data and facts condition to tell the story here in san francisco and will always guide

our response. today there are 1,340 san francisco residents with confirmed cases of coronavirus. of these, 134, or about 10%, are people experiencing homelessness or living in s.r.o.s. that is, unfortunately, a large proportion. we also know, as we have said from the beginning, that older people and people with underlying health conditions are more vulnerable to covid-19 and are at greater risks for bad outcomes, including unfortunately, death. of the people who have died of the coronavirus, 21 of them were over 60 years old and all 22 had underlying health conditions. this is consistent for what we know about who is most at risk.

so even as we expand testing, add capacity to our healthcare system, and watch the number of hospitalized patients closely, we know that many members of our community remain at risk of significant harm from the coronavirus. and as we move forward in our response and look at the next steps in terms of reopening, we will continue to protect those most vulnerable populations. we simply must do so. one of my chief concerns and a top priority for the health department is mitigating the outbreaks that are occurring in the homeless population, long-term care facilities, and other congregate living settings. this is a challenge not only within san francisco, but across

the region and indeed across the nation. in san francisco, we will continue to work diligently on these settings where the virus presents the greatest threat. in the last few weeks, we have responded to several outbreaks. these are unfortunately, but also unfortunately not surprising. outbreaks are part of the pattern of this pandemic and they are happening in every place where the coronavirus is spreading in the country and again here in our community. the virus looks for opportunities where people are gathered together. for example, across california there are 258 skilled nursing facilities that have reported one or more coronavirus cases among residents or staff.

here in san francisco, the department of health staff called every skilled nursing facility in the city several times a week to check on the covid status of residents and staff. we hold weekly calls with them to provide education on infection control, prevention, and outbreak preparedness. from the start we have published guidelines for long-term and residential facilities that are up-to-date with c.d.c.'s and the state's latest information. we want to support these institutions to be as prepared as possible. when there are outbreaks in congregate settings, we take immediate action based on evidence and c.d.c. and state guidelines. in san francisco there have been outbreaks at laguna hospital as

well as other facilities. we have responded in each situation based on the evidence. we have supported the organizations with contact investigations, testing, and screening. we have provided masks and other personal protective equipment as required. we have imposed quarantines and, in some cases, temporarily closed facilities for deep cleaning and evaluation. we have moved residents to hotels or medical care settings dependant on their needs. all of this work has been done in collaboration with local, state, and federal partners. and in particular, our partnership with the state is highly relevant with the long-term care facilities in the city because the state has overnight on their licensing and responsibility for inspecting them to ensure that they are complying with state guidelines.

and i would like to point out that we have outbreaks that have been minimized due to advance planning and quick responses. at laguna honda hospital we asked for experts from the disease control center and the state to come in early to support our response. the c.d.c. remains on site and continues to help and advise our efforts. to date we have had 19 positive cases at laguna honda hospital, 15 among staff and four among residents. and laguna honda hospital is one of the largest, if not the largest, skilled nursing facility in the nation with over 750 residents. is -- of the four residents who tested positive for covid-19, all are in good condition.

we have not had a new resident case since april 7, which is an indication that our aggressive efforts undertaken with c.d.c. guidance, to isolate, quarantine, test, and screen for now have been effective. the c.d.c. recommendations we recommended at laguna honda are now being and will continue to be applied to protect staff and residents at other nursing home facilities across the city. in our jail system we took aggressive steps to protect inmates and staff. we expanded jail health services to include testing and quarantine of all new bookings that are housed in jails. this allowed us to identify two asymptomatic and related cases of coronavirus to date. this practice combined with enforcing social distancing protocols and masking of all

staff has likely prevented an outbreak so far. the two confirmed cases will be released and there are no known cases of covid-19 at this time in the county jail. now, of course this could change and the situation in laguna honda could change rapidly as well, but my point is that we are establishing very specific protocols and taking very specific action and being flexible in our response based on responding to the very specific circumstances under which these outbreaks in vulnerable populations occur. we will continue in partnership with other city departments, community members, and other stakeholders that oversee and in some cases run these institutions. most recently, on wednesday this

week, we confirmed a second case of coronavirus at the division circle navigation center. three weeks after the first case was reported there. we are currently conducting a contact investigation, as we do for cases we discover. at this point, it is unlikely that the two cases are linked, given what we know about the virus. testing of the 59 remaining guests and staff is underway. at division circle we moved swiftly and after the first case, in partnership with h.s.a. and h.s.h. to relocate vulnerable people out of the center and to isolation and quarantine and shelter in place, hotels. so the population there has been reducing lowering the risks.

these examples reflect why it is so important to prioritize vulnerable populations in these settings from the start, people over the age of 60, people with co-morbid conditions. here are some of the steps that we have taken to protect vulnerable populations. you know about the efforts to mitigate the spread of the virus, to slow the spread of the virus in the community. canceling large gatherings, requiring face coverings, and issuing the stay-at-home order. these actions are about protecting vulnerable populations as well as of course our entire community. we have also issued health orde orders restricting people from visiting long-term care facilities and residential facilities. we have required cleaning of

s.r.o.s. we have worked in partnership with the human services agency and the department of homelessness and supportive housing to increase social distancing and other precautions and shelters and to move people into hotels. outreach teams continue to go out every day to communicate with people who are living on the streets and to provide them with resources and information. for people experiencing homelessness, living in s.r.o.s, or in crowded conditions, we are fortunate to have options like isolation quarantine hotels to relocate people safely. as of today, thanks to the partnerships with the other department, 864 people who are over 60 or who have chronic illnesses or underlying health conditions have been moved to hotels.

and it is very important to realize that in all of these settings we have been able to test everyone who has shown symptoms, all close contacts of confirmed cases. and when mask testing was warranted, we have been able to carry that out. i am proud of this work and grateful to the staff of truly, compassionate, world-class experts who have been working around the clock since january to accomplish these efforts. and yet, i know and we know that outbreaks are likely to continue as long as the virus is here in our community. i want to ensure you that we are doing everything we can to reduce the spread of the virus, protect vulnerable populations, and healthcare workers and first responders. we need all san franciscans to

keep doing everything you can to protect them as well. that means, again, stay home, cover your face, practice physical distancing. you are not just protecting yourself. you are contributing to the overall health of the community in making it a safer place for people who are most vulnerable to the virus. you are literally saving lives. and i want to reassure you that we are planning for the future. our ability as a community to return to a new normal will rely on everyone continuing to do their part. it will rely on a system to respond to outbreaks, increase testing, have adequate personal protective equipment, and have

contact tracing to slow the spread of the virus. in san francisco, i know we can do this and we must do this together. i thank you all for your ongoing hard work and effort to keep san francisco safe and to slow the spread of the coronavirus. thank you. director abigail stewart-khan of the department of homelessness and housing will now make some remarks.

>> hello. providing safe places for people experienci experiencing homelessness to isolate, quarantine, or shelter in place is a top priority for the department of homeless and supportive housing, the department of public health, and the entire city. additionally, the city is working to expand testing city-wide with a focus on vulnerable communities, as dr. colfax just shared in detail, including people experiencing homelessness. as we expand testing capacity, we know that we will need more places for people experiencing homelessness who test positive for covid-19 to go to isolate, receive care, and to recover. so that end, h.s.h., in

connection with our partners, are opening new facilities. you've heard about this. to date we've opened five shelter-in-place hotels as well as multiple quarantine hotels with more planned rapidly. this has been incredibly hard and incredibly a critical expansion. i want to share a story of a voicemail i received from a colleague of someone who moved from the streets to the inside and said he hadn't been near a bed in over many years and that he was going to sleep for 24 hours to try to recover and not get sick with covid. he offered thanks to my colleague and all of san francisco for this place to be safe. additionally, we're expanding congregate capacity to meet this need. we opened s.m.c. south as

post-covid congregate shelters for people experiencing homelessness who have tested positive for covid-19 and no longer need medical attention and have cleared their isolation period. this week as dr. colfax reminded us, a second case of covid-19 was confirmed at the division circle center. we had already completed shelter equilibrium, meaning the vulnerable individuals had been moved into our shelter in place sites. through thorough and immediate contact investigation has led us to test all remaining guests and staff and all guests of the center are being transferred to isolation and quarantine hotels. given that this shelter will very soon be empty, it will be reopened as a shelter for people experiencing homelessness who have tested positive for

covid-19, but who do not require hospitalization. as we expand testing, we anticipate we will have more people who are asymptomatic and living with covid and who will need a resource like this one. in its revised capacity, division circle will function similarly to existing isolation and quarantine sites, with on-site department of public health support, 24-hour staffing and security, meals, and social services. the shelters and hotels do not increase risks for the surrounding community and neighbors, both because we know that many are positive in all of san francisco and because guests are educated and supported on how to best care for themselves and will remain in isolation in care for the course of their illness. the mayor, the department of public health, the police department, and all of the city have and continue to implore every san franciscan to practice

precautions, such as staying at home, physical distancing, covering your face and nose, and washing your hands. these are important for all of us. thank you to the partners that have made these expansions possible to open hotels and congregate facilities, including the department of public health, human services agency, the emergency operations center, and all of the exceptional non-profits who are stepping up to provide that support. thank you. we will now have remarks from chief william scott of the san

francisco police department. >> thank you, director stewart-khan. good afternoon, everyone. as always, i will start my remarks by thanking our mayor london breed for her leadership and dr. grant colfax. their leadership has been instrumental in getting us through this challenging time. i want to again thank the people of san francisco as well. it was for gratifying for this 4/20 people stayed home and did not come to the parks to

celebrate 4/20. i want to thank everyone for working with us on that and your efforts are actually making a difference and saving lives. we are seeing that the vast majority of the public is committed to stopping the spread of covid-19. we have had people and businesses who have been warned continuing to flout the order. to date we have 17 citations that have been issued by san francisco police officers. that breakdown is eight businesses and nine individuals. we've admonished 73 people where incident reports have been taken and, as i have stated previously, there have been hundreds upon hundreds of informal warnings. for the most part, i want to thank the people of san francisco for complying by and large when officers interact with them. from the outset of the original public health order in

mid-march, the san francisco police department has made it clear that our focus is voluntary compliance. enforcement has been an option of last resort and that has been ultimately largely successful in those times when we have had to do that to get compliance. we will continue to use a progressive compliance pathway which starts with education, asking for voluntary compliance, warning, and citations if and when necessary. you can use the covid-19 website on our web page to learn about our enforcement protocols, our department policies and notices are posted on our website. the purpose of the public health order is not to arrest or cite, but it's about promoting the health and welfare of our communities and our cities by preventing the spread of the virus. as i've said before, we are here to help. we want to get through this

situation in a way that does not make this situation worse for the people of our city. as the mayor said and i will reiterate it, we all have a personal responsibility to help stop the spread of this virus. the people we are working with is human rights commission under the leadership of executive director sheryl davis. the h.r.c. is providing community stakeholders with face coverings thanks to the mayor's gift to s.f. campaign. we are out with commissioner davis and community stakeholders issuing face coverings today as we speak. we were out in the bayview community yesterday. we want people to know we understand how difficult this is and there are people in our city who are having a very difficult time -- most people are having a difficult time through this. there are people who don't have

access to face coverings. we want to do everything we can as a city to help those who need help. that's why we're out helping, to make sure people have what they need to stay safe and healthy. this is enabling the city to help those vulnerable populations and will go a long way towards preventing the spread of covid-19. we see today is a beautiful day and the weather is nice and we expect that to continue into the weekend. we know there are people who want to exercise and get fresh air and enjoy the nice weather. if you are going to leave your homes, please follow the advice of the public health officials. maintain a distance of at least 6'. wear face coverings when you're waiting in line or shopping as the mayor has emphasized and dr. colfax and his colleagues have emphasized. as the weekend progressing,

you're probably going to see a large group of people out. be respectful and mindful and do the rest for the people you love. our volunteers are working with our work program. we will be out in the parks promoting the educational information and reminding people to keep the distance of 6' and wear your face coverings. again, our goal is to help and gain voluntary compliance. now i want to shift to crime. no update from our wednesday press briefing. we've had an increase in 18% by violent crimes. we've had a 31% decrease in property crimes over last week. that was a decrease of 154 fewer property crimes. we've had a 25% decrease in our

total part 1 crimes, which is a decrease of 142 total part 1 crimes. we've had some burglaries and vandalisms as i have reported, and we want the public to be sure we are still out there. we have made several arrests on burglaries in our city. we want to thank the attorney's office to add the charges of burglary and vandalism during this time of a state of emergency. despite our drop in overall part 1 crimes, i want to highlight that we are taking this issue very seriously. and i also want to highlight and remind people about driving. the california highway patrol has reported that they've seen an 87% jump in violations of

people driving more than 100 mph. that is completely unacceptable. we want to remind people that this pandemic does not give anyone the license to drive in a reckless and dangerous manner. please slow down. we know that the streets are easier, but please slow down. we have not had any focus on the deaths since this pandemic started and we want to keep it that way. personal responsibility, as the mayor stated, we all have a personal responsibility to do what is needed, that means driving at lower speeds. those folks who are conducting their travel in a safe way, we thank you and hope everyone else does the same. the slow streets program has

also been rolled out. please done down. you have to share the roads with pedestrians, bicyclists, and people who are going to be out enjoying the weather and trying to get fresh air and exercise. so please again slow down. as a reminder, we also want to encourage everyone to report crimes. if you see a violent crime in progress, please call 911. if the crime has already been committed or it's a property crime or a crime you don't need an immediate response you can call 415-553-0123 or you can also call 311 or utilize our sfpd website to make a police report. also, i want to reemphasize the

message about scams and not having the public falling for scams. unfortunately during this very difficult time there are people who will take advantage of the situation and take advantage of you. normally they focus on vulnerable populations such as our elderly. we know that the federal trade commission says they have received four times the complaints about identity fraud this past mant than the three months prior. the f.b.i. has seen scams online selling things that don't exist. this can take the form of robo calls and people coming to your door. people claiming to be with the

centers for disease control and our own department of public health. nobody will be coming to your house from our department or the centers for disease control and asking to get into your house. please don't let them in. if you get an individual like that knocking at your door or ringing your doorbell and you think that is suspicious, please call 911. we will respond. we've heard of this before and we don't want people victimized. people that you know and love, know that the scammers are out there. please beware. if you believe you have been a victim or are experiencing an online scam, you can call or e-mail the federal train station commission. their number is 877-382-4357.

i want, i want to wish everyone a great weekend. as a reminder, please social distance, stay 6' away, wear your masks, and let's stay the course. thank you. >> thank you, chief scott. we will begin the q-and-a portion with questions february dr. grant colfax.

>> question: our first question is from christian captain. can the san francisco department of public health provide more details about the four deaths at central garden? >> answer: so the state is leading that investigation. as i had mentioned earlier, we are working very closely with central gardens and the similar institutions across the city, ensuring that they have the most up-to-date information, that they have their resources, including p.p.e., the training materials. i can't comment specifically on those four deaths. >> question: we understand the california department of public health is spearheading the issue, but is san francisco launching an investigation? and are other long-term care facilities facing similar risks? >> answer: so long-term care facilities across the country, including here in san francisco, are facing risks. as we have said from the beginning of our response, this

population is particularly vulnerable. we saw that in the outbreak in the nursing home in washington state, in kirkland. i think the important piece here is we need to ensure we're following the best guidance possible with regard to c.d.c. and the state. in terms of how we protect residents and staff, we have infectious disease experts consulting with us and with other nursing homes with regard to doing the best we can to prevent and slow the spread of the virus in these nursing homes. there are vulnerabilities here. we are taking lessons learned from the outbreak at laguna honda and the input and expertise from the c.d.c. to apply those lessons to ensure the nurses have every opportunity and the resources

they need to apply those guidelines to protect their institutions. >> question: are all residents at casa casada being tested and how many will be moved into hotels? >> answer: so as of -- everyone there has been moved to or has been offered an alternative place to stay, and that includes isolation and quarantine at various sites, depending on their conditions and needs. as of april 23rd, 71 residents and staff were tested. 22 residents and two staff had tested positive. so the bottom line is we have offered testing to everyone. we have offered alternative sites to everyone. people who have tested positive have been offered isolation and quarantine sites if they have not been able to find

alternatives to isolation and quarantine. >> question: how quickly does d.p.h. notify s.r.o.s of cases? >> answer: so we notify the person as quickly as possible in a way that maintains the privacy of that individual. we notify the s.r.o. owners or managers that there is a case. we obviously have to be very thoughtful as how that's done to protect the confidentiality of the case. but we are in constant contact with s.r.o.s. we have a task force making sure that they have the information they need, that they're applying cleaning policies to their hotels. if people who need testing and have access to timely testing. and