calls related to the arson. as noted in the earlier description, this series of incidents began for two calls of service in the 400 block of ellis street at 3 tim at 3:38 p. this audio is provided to the sfpd from the san francisco department of emergency management, commonly referred to as d.e.m.

d.e.m. provides dispatch services for the fire and police departments in san francisco. this arson incident occurred at 3:38 p.m. this is approximately one hour and 25 minutes before the knife incident that was reported on market and 5th street at 5:09 p.m. >> san francisco 911. >> can you send the police and the fire... [bleep] somebody just ran out of here with a skillet and they were fighting in the hallway and the fire alarms are going off. >> fighting in the hallway -- >> i don't know, there was a mexican guy -- i don't know, he's a mexican guy with curly hair and he's about 5'8", has a jean jacket on and gray sweats and he's running down the street with a skillet in his hand. >> okay, we'll get the police and the fire department out there for you. >> thank you. >> all right, bye-bye.

>> we'll now play the second 911 call that was received from the arson incident in the 400 block of ellis street, also received at 3 tim 3:38 p.m. >> san francisco 911. >> there's a fire right now in the hallway of some building on ellis, and the address is [bleep] and yelling out the window that there's a fire. >> do you see flames or smoke? >> no, i don't right now but there's somebody yelling out of the window and saying that there's a fire on the second floor. >> what is your name? [bleep] what is your phone number? [bleep] >> some dude looks like he's about to jump out the window. [bleep] >> stay on the line, okay? you said this is the second floor? >> yeah, second floor. somebody is hanging out the window. >> okay, stay on the line. >> he's standing on the ledge.

and there's people -- >> stay on the line, okay, is that the alarm that i hear in the background? >> yes. >> stay on the line. okay, i do have the fire department on the way there, okay, i just need to ask you a few questions, all right? >> yep. >> you said that you do not see flames or smoke though? >> i don't. >> okay. >> but it's -- the guy yelling out the window said that the second hallway is on fire. >> all right, stay on the line. all right, i'm just updating the fire department, okay. >> um-hmm. >> you're outside obviously, correct? >> yeah. i don't live at the building. >> is it an apartment building? >> [bleep] >> stay on the line, all right?

>> can you tell me about how many floors you see? >> five floors. >> five? okay. >> yeah. >> stay on the line with me, all right? and you said that they're, thate building? just a yes-or-no question there. >> (indiscernible) >> we're going to let you go then. >> all right. >> the following is a short surveillance video provided from the interior hallway of the apartment building where the arson incident took place.

the next incident occurred at 5:08 p.m., one hour and 25 minutes after the incident. at 5:08 p.m., they received multiple 911 calls regarding a confrontation with a knife that was occurring on the 800 block of market street. we will now play three of those 911 calls that were received at this location between 5:08 and 5:13 p.m. these calls were received from witnesses who described the behavior of a subject who was later identified as mr. estrada.

>> san francisco 911, what is the exact location of your emergency? >> the corner of market street and 5th street. there are two guys fighting and one of them has a knife. they're in the middle of the street right now. >> okay, two guys fighting and one has a knife and in the middle of street? >> yeah, one is a hispanic young guy and one has a knife and he's running around and trying to fight this other guy. >> the one with the knife, what race is he? >> it looks like he's mexican. he has a long knife and -- or a frying pan -- it's a frying pan. >> it's actually a frying pan. >> oh, he has a knife and a frying pan. they're right at the intersection. >> sir, i know -- i am getting a description. police are on the way. a latin male -- >> a gray sweater and black pants with white stripes on the side. and the other black guy is wearing like black sweat pants. there's three of them trying to get this guy with the knife down. >> so the one with the knife has a big knife, how big?

>> six inches, six or seven inches. >> one moment, police are on the way. >> they're right in front of the westfield mall. >> in front of the westfield mall? >> yeah. >> in the middle of the street? >> yeah. the man is proceeding towards -- yeah, he's still in front of the westfield mall door. >> okay, so there's two other males involved and one is a black male adult. >> the other three are black. they're about in their 20s or 30s. >> okay. >> yeah. >> so three black males, 20s to 30s. >> yeah. and one guy looks like he's hispanic, he's walking down the street now and he's moving away down towards 4th street. the guy with the knife is moving down towards 4th street now and now he's in the middle of the street. >> going from market towards 4th? >> towards 4th, yes. oh, there's a cop right there or

a security guard. i think that there's a cop here already and seeing him. there's a security guard or a cop right here. >> are they in an unmarked vehicle? >> no, he's just on foot. >> he's on foot, okay, give me one moment. so were they physically fighting, sir, or what happened? >> yeah, not sparring -- didn't really hit him or anything with it, they were just running around in circles but he has i really long knife. >> okay, where is he at right now? >> right now he's headed down towards 4th street. >> still on market and 4th? >> he's on the sidewalk, he's slowly heading towards 4th street. >> does he still have the knife and in what hand? >> yes, yes, ma'am. in his right hand and has a frying pan in his left hand. >> give me one moment. anyone injured? >> no. as far as i know, no. those three black guys are trying to fucking corral him

again and they're coming around but they're going towards 4th street and market. >> what is the description of one of the black males, what is he wearing? >> they're all wearing like sweats -- there's a cop car going over there right now. >> he sees him? >> not right now because he's behind the bushes. it's toward his right. >> the officer got it. thank you. >> all right, thanks. >> bye-bye. >> san francisco 911, what is the location? >> (indiscernible) this is san francisco 911, hello? (indiscernible) >> there's a guy with a knife out there. >> hello? hello? >> okay, good, that's been going on for a while. >> hello? >> sir, he has a knife.

>> hello? >> (indiscernible) >> hello? >> they were out there fighting with it. he kept chasing people. >> hello? >> there was a guy out there with a knife and he was chasing people and there were a big fight with like eight people out there. and he kept provoking them and he kept running at them. >> you can call back. >> hello? >> hi, this is san francisco 911, do you have an emergency? >> hi, there was just a big fight outside, um, with a guy with a knife. and it was like five people -- >> where? >> what is this address again? >> it's right outside of 865 market street. >> okay, it looks like there's multiple callers. do you have a description of the guy with a knife? >> he was asian, about 5'4". and he had a gray sweater.

>> you know roughly how old he was? >> he looks like he was in his mid-30s. >> mid-30s, okay. do you know how long the knife was? >> oh, my gosh, it was pretty big. it was like a seven inch knife, it was wide. >> do you still see him or no? >> no, i'm inside the store now because he was coming in my direction and i took cover in a store. and they locked the doors behind me. and he walked past the store. >> got it. okay, all right. and your name? >> [bleep] >> phone number? >> [bleep] >> okay. [bleep] okay. [bleep] okay, all right. did you want to contact police? >> yeah, i am open to it. >> okay, they'll give you a call if they need to, okay? >> okay, thank you.

>> okay, bye-bye. >> bye. >> san francisco 911, what is the location of your emergency? >> there's a guy outside the westfield mall and he has a knife. >> what is your location, sir? >> the westfield mall on market and 5th. >> one more time for the location. >> westfield mall. what is the address? >> okay. okay, give me a description, is he white, asian, black, what is he? >> it looks like 365 market street. >> give me a description, white, asian, black? >> not sure. he looks mixed race. >> how old is he, 20s, 30s? >> 20s. >> how tall is he?

>> 5'9". >> medium or large build? >> say again? >> slim, medium or large build? >> slim -- medium. >> what was he wear something >> wearing a black sweat pants and gray shirt below it. gray sweatshirt. >> which hand is he holding the knife in? >> the knife in the right hand and a pan in the left hand. >> how big is the knife? >> it's like a 12-inch really big knife. and there are some black guys surrounding him and taunting him. >> okay. >> so now they moved towards the building and they're in front of -- >> the market? >> market away -- now -- >> going towards the building? >> yeah, yeah. and they're on the street now and i see some cops already.

>> okay, let me know if you see the officers with him, okay? i'll stay on the line. what is your name? >> my name is [bleep] [bleep] >> okay. >> now they have surrounded him. they have surrounded him. >> okay. did you want to talk to the officer, sir? okay, sir? hello? hello, sir? >> they just shot him. >> okay. can you stick around and talk to the officers after this? >> okay, yeah. >> where will you be at? >> i'm near the officers. >> what address is that?

>> it's in front of the james (indiscernible) building. >> what address are you in front of? >> i can't see the numbers here. >> okay, it's fine. okay. just stay in a safe place, okay, sir? >> okay. >> call us back if you get any new information, okay? okay, bye-bye. >> the following is a cellphone video of the events that occurred near the time that the 911 calls were received. this video will be played once in the manner in which it was received. the video will then be played a second time and highlighted in locations to identify specific objects that are visible to the viewer. the video is taken from the southside of the 800 block of market street facing north.

>> (indiscernible) >> oh, my god. oh, my god. >> (indiscernible)

>> (indiscernible) >> in the following segments we will play police dispatch video, body worn camera and cellphone video of the sfpd response to this incident. during the response, officers utilized multiple force options which we will briefly show now to orient the viewer to the options they will see and hear during the following segments. sfpd officers are trained to deploy the following less lethal weapons while paired with an

officer equipped with a lethal force option. this less lethal cover officer is designated to protect the less -- this lethal cover officer is designated to protect the less lethal covered officer and have ready to deploy if necessary lethal force options. this is an sfpd issued extended range impact weapon also known as an eriw. the eriw is a less lethal force option which deploys a less lethal super sock bean bag projectile -- bag projectile -- known also as a bean bag. the eriw is recognizable in the following videos by the orange stock and foregrip. this is an sfpd issued less lethal impact weapon. this eriw deploys a less lethal

foam projectile. it's recognizable in the following videos by the increased diameter barrel with orange stripes. this is a photograph of the this is a photograph of the projectiles from the eriw and the 40-mm eriw. on left is the super sock projectile. also commonly referred to as a bean bag projectile. this projectile is discharged from the eriw with the orange stock in foregrip. the projectile on the right is the 40-mm foam baton projectile. this projectile is discharged from the eriw with the large diameter barrel with the orange stripes. during the audio and the video recordings, the sounds of less lethal weapons are heard being deployed. please note that the deployment of less lethal weapons sounds very similar to the sound of

gunfire. we will now play a radio transmission from the incident on the 800 block of market street. this audio was provided by the deputy of emergency management and consists of the radio transmission of multiple officers involved in this incident. the audio consists of their observations, coordination of resources, and associated actions from dispatch to the emergency medical response. a still photo of the incident map and associated area will be shown for perspective. you will hear several communications by officers for assistance with managing the large crowd which was present at the time of this incident. >> on 222 market and 5th.

>> (indiscernible) >> copy, all we have is two males fighting and one has a knife. >> hold on a minute. >> copy, waiting for that description. >> (indiscernible) >> 11 david, (indiscernible) >> (indiscernible) >> thank you. >> 222 being described as latin male, gray situater and black pants with white stripes and he's got a big knife and a frying pan. knife is described as about a 6-inch blade. >> (indiscernible) >> market and 5th. subjects are in the middle of the street in front of westfield, possibly three other b.m.s involved as well.

>> 222 on market and 5th. the advice of 222 is walking on market towards 4th in the middle of the street. and there's a adult with black pantpants with white stripes frm the side and a big knife and a frying pan, a 6-inch knife. >> can i get a code 33. >> david is requesting a code 33, two suspects in the middle of the road. what is your 20? john, david, confirming are you at market and 5th or an updated location? >> we have one at gun point at 35 market street. >> one at gun point we need an ambulance. shots fired. code 3. >> (indiscernible)

>> copy. (indiscernible) >> (indiscernible) >> all right, copy -- >> 835 market street >> 35 market, units clear the area, 835 market. >> safe avenue approach, what is it? >> the (indiscernible) avenue of approach. >> (indiscernible) >> shots have been fired. >> last unit, what is the safe avenue of approach? >> (indiscernible) shots have been fired. >> still not compliant. >> [shouting] >> shut down market between 5th and 4th. >> still trying to get up and advance on us. >> subject still trying to get up and advance on him. >> he's raising the knife and he's trying to -- >> he's raising the knife.

>> (indiscernible) have been deployed. >> erw is deployed. >> (indiscernible) from 5th street -- >> safe avenue of approach is from 5th street. >> (indiscernible) deployed (indiscernible) >> deployed to no effect. >> (indiscernible) let's get a shield up here. >> requesting a shield. >> (indiscernible) >> we gave him command to drop the knife and he's complying with fuck you. >> not compliant. >> john, 213 -- >> i need more units for crowd

control. >> we need more units for crowd control. >> john, paul, david, can we get a few more shields? >> three, john, paul, david, requesting more shields. >> (indiscernible) >> cars needed to block the east side and the west side of the suspect. >> john, 213, i'm on scene and we're moving a car up to put in between us and the suspect. he will not drop the knife. [shouting] we'll need standby and outside districts to cover (indiscernible) and i have notified the 300. >> copy. suspect still has the knife and refusing to put it down.

>> (indiscernible) >> copy. >> john, 213, the suspect is still refusing to drop the knife. [shouting in background] >> copy. >> multiple verbal commands and (indiscernible) looks to have a sustained -- at least one bullet to the midsection. advicadvise 408 to clear and gem in here. >> copy. >> john 213, we have -- when you have time or a partner, letting you know that this will be closed for a long time. >> copy. >> (indiscernible) >> (indiscernible) >> 4109, copy. >> 41 (indiscernible) secondary (indiscernible) >> 5th and market, copy.

safe at 5th and market. >> (indiscernible) >> 46 and 91, 98, copy. >> 419, i'm trying to clear out 5th street, 5th and market is where the site has been staged as well. >> a 40-mm and still hasn't dropped the knife. >> copy. >> (indiscernible) >> 767. >> copy. >> (indiscernible) somebody brief me quick. >> john 213, sheriff's department here with a taser. this guy is still refusing to drop the knife and suffering from at least one gunshot wound that we know.

i'll have the sheriff's department utilize the taser. >> copy. >> yeah, we're going to need more units. we need crowd control and traffic control. >> requesting more units for crowd control. >> (indiscernible) >> hhe is on 5th. >> 5th and market. >> 5th and market, safe avenue of approach -- 5th and market. >> at headquarters i am getting ready to roll out there. >> we're taking the suspect into custody, give you a 408 please now. >> copy. >> 408 --

>> copy. >> (indiscernible) >> got a lot on 5th street, they have to come probably from 4th street. >> come from 4th street. >> truck one is northbound -- (indiscernible) >> yeah, we're trying to move all of you guys cars out of the way. >> coming down market street. >> copy. >> from 4th to 5th. >> john 213 dispatch. fire is coming 97 -- officer is rendering first aid to the suspect. the weapon has been recovered. officers involved in the o.i.s. are getting public safety statements read to them, separated and we're taking to cameras. >> 213, copy.

>> john 213. >> 213 yeah. >> do you have muni -- they have an hysterical driver driver, wee that the driver had seen what happened. >> we have about 16 buses stuck in traffic here and we'll have the officers out getting as many statements and talking to as many people as we go. these buses aren't going to anywhere. >> 197 -- >> (indiscernible) >> the units at market and 4th, market and 4th open for the 408, that will be their exit route. >> 41 and 36, copy. >> i'm down here, it's open. >> john 4 --

>> john paul david >> john, paul, david go. >> i have (indiscernible) riding with the suspect. >> john, paul, david, your case is 200695388, copy. >> copy. >> (indiscernible) >> to 213 -- >> you're about to see relevant video footage and learn about other evidence related to this case so that you can have a better understanding of what occurred based upon what we know right now. we are still in the very early stages of an investigation that can take months to complete and our understanding of the incident may change as additional evidence is collected and reviewed. we do not draw any conclusion as to whether the officers acted consistent with our policies and the law until all of the facts

are known and the investigation is complete. a word of caution -- the images and the information that you're about to see and hear may be disturbing. when a police officer uses force to arrest a suspect or defend against attack, the images are graphic and may be difficult to watch. in addition there may be strong language used by those in the video. viewer discretion is advised, especially for young children and sensitive viewers. we encourage those in need of help to contact the san francisco department public of health crisis line at 415-970-3800. again, that is the san francisco department of public health crisis line, 415-970-3800. the following videos were recorded by the body worn cameras of the officers involved in the officer-involved

shooting. there's a buffering period of approximately 30 seconds during which time there's no audio with the footage. buffering is in accordance with the department policy. some footage is blurred to protect information in accordance with state law. we're now going to play four body worn camera videos. the videos are played in the original format and also replayed to identify the weapons and the movements of the officers and the suspect. the first video is from the prospective of the officer number one who deploys an eriw during the course of the incident.

>> drop the gun! drop the gun! [gunshot sounds] >> fire -- i need an ambulance. >> get on the ground! get on the ground! drop the knife! drop the gun! drop the knife! drop it! [sirens] drop the knife! drop the knife! drop it! >> no. >> drop the knife! >> drop it. drop it.

>> don't shoot. please don't. [gunshot sounds] >> drop the knife! drop the knife! drop the knife! >> drop the knife! drop the knife! drop the knife! >> get back! get back! get back! [sirens] >> code red. >> drop the knife! drop the knife! >> drop the knife! [sirens in background] >> drop the knife! drop the knife! >> don't get up! don't get up! stay down! >> drop the knife! >> stay down. >> drop the knife! >> stay down. stay down! don't get up! >> captain, captain, captain! >> drop the knife!

drop the knife! [gunshot sounds] >> this is from officer two, the partner of officer one. this officer was the designated cover officer and utilize the department issued firearm during the course of this incident. note the use of the term dac, this is used to describe the deployment of a less lethal weapon.

>> (indiscernible) >> drop the knife! >> fuck you. >> back up, back up, back up. >> drop the knife! drop the knife! [gunshot sounds] >> shots fired. i need an ambulance. code 3. >> get down! >> he still has the knife. >> get down! >> drop the knife! drop the knife! drop the knife! drop it! drop it! >> get back. everyone get back!

>> (indiscernible) >> drop it! >> no. >> drop the knife! >> drop the knife! >> drop the knife! [gunshot sounds] >> drop the knife! drop the knife! drop the knife! drop the knife! >> get someone over there to stop them. stay there. no. stay here on hand. >> drop the knife! >> drop the knife! [sirens in background] >> drop the knife! drop the knife! drop the knife! >> don't get up! >> drop the knife, man. drop the knife!

>> stay down! >> drop the knife! >> over there. i want you to block off walgreen. >> drop it. >> get out of the way, move back. >> back up. >> drop the knife! >> do you have anymore -- (indiscernible) put that over your shoulder. it's useless. >> get back! >> drop the knife! drop the knife! >> drop the knife! don't do it. >> sir, drop the knife. we want to help you. >> we want to help you, man, drop the knife. >> drop the knife. >> get back! >> sir, drop the knife.

>> drop the knife! >> come on, sir. >> drop the knife! >> officers open -- >> move it, get those guys back. >> (indiscernible) >> all right. o.c. is being deployed. >> drop the knife! >> drop it! >> drop it. we're trying to help you. we're trying to help you. drop the knife! >> hey! >> we need one person to talk. >> drop the knife! >> back up, give him room. >> (indiscernible) >> hey, guys, one person talk. one person talk to him.

we're trying to help you, man. please drop the knife. >> (indiscernible) >> [police radio playing in background] >> drop the knife. >> (indiscernible) yeah. >> are you in it?

>> okay. [sirens in background] >> who shot? >> i did. >> you did? okay. where is our 408. >> drop the knife! >> fuck you. >> drop the knife! >> shots fired. i need an ambulance. code 3. he still has a knife.

>> the next video is from officer three. officer three responds to the scene and deploys the 40-mm less lethal eriw during the course of the incident. >> drop the knife! drop the knife! [gunshot sounds]

>> get on the ground! get on the ground! >> [sirens in background] >> drop the knife! drop the knife! drop it. drop it. >> get back. everybody get back! [sirens in background] >> [police radio playing in background] >> drop the pan, drop the knife. >> drop the knife! >> drop the knife. drop the knife. >> drop the knife! drop the knife! drop the knife. drop the knife. drop it. get back! get back! get back!

drop the knife. drop the knife. drop the knife. >> shots have been fired. >> drop the knife. don't do it. drop the knife. don't do it. drop the knife! drop the knife! >> drop the knife! >> drop the knife! drop the knife! >> drop it. [sirens in background] >> [police radio playing in background] >> drop the knife! >> drop it! >> [police radio playing in background] raising the knife... >> drop the knife. >> drop the knife! >> deployed -- >> drop the knife. >> 5th street -- >> drop the knife. don't do it. >> approaching from 5th street -

>> we want to help you, drop the knife. >> we want to help you but drop the knife >> 340 deployed, no effect. >> drop the knife. >> get back! get back! >> deployed, no effect. >> sir, drop the knife. >> f-you. >> drop the knife. >> please drop the knife. >> any officers open, push those guys back. >> (indiscernible) >> you need to drop the knife for us to help you. drop the knife so we can help you. >> drop the knife! drop the knife! drop the knife! drop it. >> we're trying to help you. we're trying to help you. >> we have enough units, i need people for crowd control.

>> units for crowd control. >> we can help you. >> hey, guys -- back up, back up. >> we need a shield. >> hey, guys, one person to talk. >> can i get a few more shields -- >> we're trying to help you, man, you have to drop the knife. >> "[radio]" requesting more shields. >> blocking the east side and the west side of the suspect >> blocking the east side and the west side of the suspect. >> (indiscernible) we're moving a car up to put it between the suspect -- he won't drop the knife. >> three times, no effect. >> stand by.

>> (indiscernible) >> drop it. >> copy. suspect still has the knife. >> drop the knife! >> watch out, watch out. start shifting, start shifting, start shifting. >> (indiscernible) >> hold on, hold on. >> john king 13, the suspect is still refusing to drop the knife. >> got it. >> (indiscernible) verbal commands -- >> you need to drop the knife, man, so we can help you. there's an ambulance ready to help you. >> you need to drop the knife.

>> we can help you. you need to drop the knife. >> drop it. >> [radio transmissions in background] >> hold on. >> [sirens in background] >> [radio transmissions in background] >> drop the knife. >> copy. >> drop the knife.

>> (indiscernible) >> stand by. >> drop the knife, buddy, drop it. >> i got 40, i got 40. yep. >> we're live, we're live, this is lethal. drop the weapon. drop the knife. drop the knife! drop it! drop the knife! drop the knife right now. >> sammy, sammy -- sit this right here. >> hey, toomey -- >> drop the knife! drop the knife! >> you're going to get another lethal round. drop it now. >> what do you think of the taser? >> we got one?

>> yeah -- (indiscernible) >> hey, guys, guys, our other agency with the taser is coming around the other side. >> i'm going to do one more to the hand. >> this guy is still refusing to drop the knife and suffering from at least one gunshot wound that we know. >> can you go? >> taser. taser. >> (indiscernible) crowd control and traffic control -- >> drop the knife! drop it! or you will get it again. drop the knife! drop it. drop the knife! >> (indiscernible) >> you are going to get the taser again, drop the knife. [bleep] now, drop it. you're going to get another taser round. drop the knife. drop it. drop it. drop it.

(indiscernible) >> (indiscernible) >> go, go, go, go. >> both hands. (indiscernible) >> render aid. are the medics coming? >> (indiscernible) >> ambulance is coming? >> we got him, we got him. >> truck one is northbound -- >> (indiscernible) >> [crying sounds]

>> hey, someone take his legs -- [crying sounds] >> inside his right knee. inside his right knee. [painful crying sounds] >> go, go, go. here goes. >> we're taking the cameras. >> 213, copy. [painful sounds] >> i got another one.

>> [sirens] >> what about his left arm? >> i got it. >> he got it. >> got it. >> his right leg. calm down, dude. stay down. >> tourniquet. we've got one there. >> we got one already, it's okay. >> tourniquet, tourniquet. >> i got three -- i got two right here. >> tourniquet on his right leg.

tourniquet on his left arm. >> (indiscernible) >> one in his bicep. >> i will check the back. throw him over and check the back real quick. look towards you? >> towards me, easier. >> [painful sounds] >> (indiscernible) >> the phone number is... (indiscernible) >> [bleep] >> john, get him on that and get

the hell out of here. (indiscernible) >> keep breathing. >> copy. (indiscernible) >> hey, somebody -- (indiscernible) >> [radio transmission in the background] >> (indiscernible) >> sorry, it's all right, sir. >> drop the knife! drop the knife!

>> drop the knife! drop the knife! [gunshot sounds] >> drop the knife. >> drop the knife! drop the knife! >> final footage is from officer 4. this officer responds to the scene and is the de the designad cover for officer 3 officer 4 discharges his firearm during the course of the incident.

>> code 333, we have one at gun point on market street. [gunshot sounds] shots fired. suspect down. get down! get on the ground! stay on the ground! >> drop the knife! drop the knife! >> stay on the ground! drop the knife! >> get back, everybody get back! >> 835 market street. drop the knife. >> no. >> drop the knife! drop the knife. drop the knife. >> drop the knife! [gunshot sounds]

>> drop the knife! drop the knife! >> suspect non-compliant. drop the knife! >> get back! get back! >> hey, move them out of the way. move them out of the way. >> stay down. stay down. >> drop the knife! >> drop the knife! >> drop the knife. don't do it. drop the knife! drop the knife want >> everybody back up! everybody take themselves back, back up a little bit. drop the knife!

drop the knife! drop the knife! >> get back! >> (indiscernible) >> drop the knife! drop the knife! don't do it. >> sir, drop the knife. we want to help you. drop the knife. >> we want to help you, man, drop the knife. >> drop the knife. >> drop the knife. >> get back! get back! >> sir, drop the knife. drop the knife, sir. >> drop the knife. >> hey, get officers over there. >> move this way, move this way, shift this way. i want you right here. you are right here.

>> drop the knife so we can help you. >> drop the knife. >> drop the knife. >> drop the knife. >> we want to help you. >> drop it. >> drop it so we can help you. we're trying to help you. >> sir, drop the knife. >> [radio transmission playing in background] >> (indiscernible) >> drop it so we can help you. drop the knife. drop the knife. >> we're trying to help you, man. you need to drop the knife. >> we're trying to help you. >> (indiscernible)

>> block the east side and the west side of the suspect. >> he will not drop it. we need a 408 on outside. (indiscernible) i have already notified the 300. >> drop it. >> copy. looks like he still has the knife. refuses to put it down. >> i need you to drop the knife. >> he still has the knife, okay? >> 213, the suspect is still

refusing to drop the knife. >> drop the knife! >> copy. >> given multiple verbal commands and hit with the eriw. looks to have a sustained -- at least one bullet to the midsection. advise 408. we'll get them in here. >> copy. >> we're trying to help you. please drop the knife. we're here to help you. just drop it. >> copy 213, when you have time, and you have a partner, let me know that this will be closed for a long time. >> copy. >> drop the knife. >> (indiscernible) [radio transmissions in background] >> [sirens in background]

>> copy. (indiscernible) 5th and market. >> we want to help but you have to drop the knife. you need to drop the knife. >> it's going to be less lethal? >> yes. >> why aren't you dropping the knife? (indiscernible) >> red light, red light. red light. lethal. >> hold on. hold on. >> [radio transmissions in background] >> 419... 5th and market. >> [radio transmission in background] >> drop the knife. >> drop the knife. drop the knife right now.

>> (indiscernible) >> copy. >> drop the knife. drop the knife. >> switch over... >> [sirens in background] >> hey, guys, guys, taser cover on the other side. the other agency with the taser. >> john 213, i have the sheriff's department here with tasers. this guy is still refusing to drop the knife. and is suffering from at least one gunshot wound that we know. i have the sheriff's department utilize the taser. >> copy. >> taser. >> (indiscernible) unit b, crowd control and traffic control. >> drop the knife! drop the knife!

>> (indiscernible) >> drop the knife. >> a taser -- >> eastbound -- >> drop the knife. >> drop it. >> 5th and market... (indiscernible) >> headquarters i have the unit getting to roll out there. >> copy. >> we're taking the suspect into custody. give a 408 please now. >> 408 -- >> copy, are. >> render aid. >> are the medics coming? >> there's a logjam at 5th street, they have to come from

4th. >> truck one is northbound -- >> did anyone ask -- >> we're trying to move the cars out of the way. >> is there anybody else? >> i don't -- i think that either toomey or -- >> coming down market street... >> copy. >> (indiscernible) >> (indiscernible) >> we can help you. >> john 213, we're moving a car up to put in between us --

>> he will not drop the knife. >> 5th and market. >> 5th and market... (indiscernible) >> headquarters i have units getting ready to roll out there. >> two cellphone videos. this cellphone video was taken by a witness to the incident. the video is taken from the west of the incident looking east. the video will be shown in the manner in which it was received. >> get back. get back. get back.

>> the taser -- (indiscernible) >> drop it. drop it. drop the knife, dude. >> hey, get out of the street.

everybody back. everybody back. >> back up. back up, let's go. go, go, back up. back up, sir. back up. >> the cellphone video was taken by a witness to the incident and the video was taken from east of the incident looking west. the video will be played in the manner in which it was received and then highlighted and rotated 90 degrees to provide an upright view of the incident. [gunshot sounds]

[sirens in background] >> drop the knife! [sirens in background] >> drop the knife. >> i'm so sorry. i apologize.

>> drop the knife. drop the knife! drop the knife! >> [sirens in background] >> drop the knife. >> (indiscernible) >> you need -- (indiscernible) >> [sirens in background]

>> drop the knife. [gunshot sound] [gunshot sounds] [gunshot sounds]

>> drop the knife. drop the knife. drop the knife. get back! get back! get back! >> come on, guys, let's back up. >> drop the knife. >> i'm so sorry. i apologize. >> drop the knife. drop the knife. drop the knife. drop the knife. >> we will now show six photographs by the crime scene investigation unit and the after-scene processing. this photograph of mr. estrada's

knife taken at the scene. the second photograph of the knife. this photograph was taken by c.s.i. at their unit. this is a photograph of the frying pan as located at the scene. this is the second photograph taken by c.s.i. at their unit. and mr. estrada's screwdriver as it was located at the scene. this is our final photograph, again, taken by c.s.i. at their unit. our presentation is now

concluded. >> thank you, commander o'sullivan. now we will open up the phone lines for public comment and we will, as i said earlier, take questions. please note that i will not -- myself or commander o'sullivan -- will not be able to answer any questions regarding conclusions or the final outcomes of this investigation as this investigation is just at its beginning stage. >> good afternoon. the public comment portion of this town hall meeting will now begin. each public comment caller will have up to two minutes to speak. if you wish to join the queue

for public comment please listen to the following instructions. those who wish to provide public comment should call 1-(415)-655-0001. again, the phone number for public comment is 1-(415)-655-0001. to provide public comment in english please enter access code 1461581628. again, the access code for english will be 1461581628. please note that you must press star, 3, to raise your hand to offer public comment. language interpretation services are available for public comment in both spanish and cantonese. for spanish interpretation, please enter code 1466346455.

again, for spanish interpretation, please enter access code 146634, 6455. this number will also appear on the screen. remember that you must press star, 3, to raise your hand to speak. would the interpreters on the line please relay this message to any callers on the spanish interpretation line. for cantonese interpretation enter code 1462098585. again, for cantonese interpretation please enter access code 1462098585. this number will also appear on the screen. remember that you must press star, 3, in order to raise your hand to speak. will the interpreters on the line please relay this message to any callers that may be on the cantonese interpretation line. as a reminder to all callers,

there is a 30-second broadcast delay. if you are calling in for public comment, please mute or lower the volume on the device in which you are watching the broadcast to ensure that your public comment can be heard clearly. you will be able to hear the broadcast from calling into the phone line. if you have a question that you would like answered, please state your question clearly in your allotted two minutes for public comment. chief scott will address questions as he is able to. once again you must press star 3, to get in the queue for public comment. at this time i ask the moderators to allow the first caller in the queue to speak. again, the phone number for public comment is 1-(415)-655-0001.

1-(415)-655-0001. for english please enter code 1461581628 and press star, 3 to raise your hand to offer public comment. those who wish to provide public

comment should call 1-(415)-655-0001. to provide public comment in english please enter access code 1461581628. please note that you must press star, 3, in order to raise your

hand to offer public comment. language interpretation services are also available for tonight's public comment. in both spanish and cantonese. for spanish interpretation enter access code 1466346455. this number is also on the screen. remember that you must press star, 3, to raise your hand to speak. for cantonese interpretation enter access code 1462098585. this number is also on the screen. please remember that you must press star, 3, in order to raise your hand to speak. at this time i will ask the moderators to please allow the first caller in the queue to speak. >> caller: hello? >> hello, we can hear you. your two minutes begins now.

>> caller: hi, sorry if i missed this, but i was wondering what the -- what the status of the man who was shot is? >> yes, thank you for that call. he remains in the hospital with life-threatening injuries. >> those who wish to provide public comment should call 415-655-0001. to provide public comment in

english enter access code 1461581628. please note that you must press star, 3, to raise your hand to offer public comment. for interpretation in spanish, please enter access code, 1466346455. remember that you must press star, 3, in order to raise your hand to speak for public comment. for cantonese interpretation please enter access code 14620 # 8585. remember that you must press star, 3, in order to raise your hand for public comment. will the interpreters on the line please relay this message to any callers that may be on the cantonese interpretation line.

>> once again if you wish to provide public comment call 1-(415)-655-0001. to provide public comment in english please enter access code 1461581628. remember that you must press

star, 3, to raise your hand to offer public comment. language interpretation services are available in both spanish and cantonese. enter access code 1466346455 for spanish. remember that you must press star, 3, in order to raise your hand to speak. for cantonese interpretation, please enter access code 1462098585. you must press star 3 in order to raise your hand to speak. at this time i will ask the moderators to please allow the next caller in the queue to speak. >> can you repeat your question,

caller? >> [no audio] >> caller, can you please repeat your question? >> caller: hi, yes. two questions. one, what were the total number

of officers fired and how many lethal shots? the deescalation -- >> at one point there were multiple officers shouting and one of the officers suggested that one person at a time speak. i wasn't sure if that was -- that officer's initiative were part of the department policy. thank you. >> thank you, caller, for your question. i heard that your question -- you asked how many officers fired lethal and how many fires fired less lethal and the answer is two fires fired lethal and two officers fired less lethal. to your latter question, on the video where you heard the officer repeatedly say (indiscernible) that is a part of our coordination as the way that our officers are trained. and as you have heard on the video, the officers were trying to communicate with mr. estrada and they were trying to as much as they could do that to make

sure that only one person was speaking. so that is a part of training. and it is -- it was heard on the video repeated several times so i hope that answers your question. if it didn't, please ask it again. thank you, caller. >> caller: hello. i would like to ask a question directly to chief scott. it's regarding the trauma induced incidents. i remember hearing chief scott speak about how officers are trained with trauma induced incidents when someone is under the influence of either a psychotic break or a threat to themselves or someone else. from watching the incident i know that it seemed to build

this man up and swearing at the officers and refusing to put down his weapon. what i saw was a person in severe pain crying with each wound and the actual communication with lethal weapon attempt to use trauma-induced training. and, obviously, the communication is said to be over 90% non-verbal, the person didn't receive the message that was being sent when only lethal force was used. very, very confusing. i say a whimpering person crying in pain with every blow of non-lethal weapons and lethal weapons. so what is trauma-induced interaction and deescalation? thank you. >> thank you, caller, for your question. as in any investigation, we will look at this investigation from

top to bottom and we will look at and examine the communication, the tactics as it compares to our training and policies. and those areas where we find that we might need improvement, we will work to improve. so i know that doesn't answer your question directly about trauma induced. and i'm not able to go into much of the details or investigative findings as to whether or not that was appropriate for this particular case because i have not seen all of the statements. we have not had an opportunity to even have access to mr. estrada. and even when we do have an opportunity, it's up to mr. estrada whether or not he will provide any insight in terms of, you know, the trauma question but to your question -- we are -- and we always will strive to look at these incidents and we try to learn from them and be

better for the next one. and hopefully to prevent the next one from happening. >> thank you. will the moderators please allow the number member of the public to provide public comment. >> caller: hi. my name is lawrence and i'm with district 9 or i live in district 9. the similarities between this incident and the incident with mr. vargas recently are shockingly similar. we have an individual in crisis with a knife, who is approached with -- by extreme violence from sfpd. so my question is -- what specific steps will the sfpd take to ensure that this doesn't happen again? >> thank you, caller, for your question. again, similar to the last caller's question, you know, we have to look at this and we have to analyze every aspect of this

investigation. if we find that there are gaps in either training or gaps in equipment or how we deal with people in crisis, that's when we go to work and try to identify how to address those gaps, i.e., i do not disagree with you about the similarities of this incident and the last one. in fact, in the last three incidents. however, each one of those incidents they had their own particular nuances and we always look at these to get better. our training over the last several years has paid dividends. when you look at the aggregate number of incidents which we use force for people in crisis is very, very low. however, with that said, i don't disagree that we always are striving to get better to prevent these incidents from happening and we will do that on this incident when it's all said and done, we'll analyze. we'll look at every aspect of our training division and our

investigators and analyze this case and the department of police accountability and others who will weigh in and give us feedback. so that is the process. as we have seen for the last several years, we believe that our processes have made us better and we will continue to try to get better to prevent these types of incidents from happening. >> hi, i'm a (indiscernible) resident. you said that only one officer is part of your deescalation training and we heard multiple officers shouting commands at th at the t who was sobbing and that was one of the most horrifying things that i have ever seen. if you tell us that you're correctly implementing your deescalation, you are a death squad that terrorizing people with mental illness and others.

i can't believe that you could see someone weeping on the ground like that, someone who is supposed to be trained to deal with such a situation. i agree with the previous caller who said that this is very similar to the vargas incident which was only last month. this is horrifying and extremely disturbing. that's all i have to say. coyl >> caller: hello. so i live near the area where this happened. and i just -- i guess that i have questions about how this occurred. and what is being done after the fact to support the person who was shot by police multiple times and seemed to be faced and shot with the bean bags and the

baton. does this person remain in restraints? i know that you mentioned charges, so, you know, if they're in the hospital with life-threatening injuries, do they remain in restraints or given any care? and what is the follow-up for caring for this person? thank you. >> thank you, caller, for your call. the person is still hospitalized and it's really up to the hospital staff to determine what's appropriate for their patient. and i can't speak, i'm not a part of the staff and i can't speak to what is appropriate, because i'm not there. but i will say that typically the hospital staff in our city do not restrain patients unless there's a need to do that. and typically that is not what they do, so like i said i can't speak to whether or not that is the case or not. what i can tell you is that typically they don't. in terms of you asked about charges.

there are changes filed on the arson that was mentioned in commander o'sullivan's presentation the other charges are still being evaluated by the district attorney office. >> for those who wish to provide public comment this evening please call 1-(415)-655-0001. to provide public comment in english please enter access code 1461581628. please note that you must press star, 3, in order to raise your hand to offer public comment. language interpretation services are also available for public comment in both spanish and

cantonese. for spanish interpretation please enter access code 1466346455. this number is also on your screen. please remember that you must press star, 3, in order to raise your hand to speak. will the interpreters on the line please relay this message to any callers that may be on the spanish interpretation line. for cantonese interpretation, please enter access code 1462098585. remember that you must press star, 3, to raise your hand to speak. will the interpreters on the line please relay this message to any callers that may be on the cantonese interpretation lines. at this time i will ask the moderators to please allow the next caller in the queue to speak. >> caller: hello, my name is jason and i'm with district 10.

i have lived in san francisco for over 20 years and i am losing count of how many times that i've called on public comment about san francisco police officers either fatally shooting someone or in a way putting them in the hospital. and i'm just at a loss for how you're supposed to train this out of sfpd at this moment. it just keeps happening and happening and happening and i have no question other than disappointment that this is the city and this is a police force here and it just keeps happening. and i just want to know when will it actually end, instead of just reviewing, and reviewing and reviewing, when will it actually end? we don't need more reviews to

know what is happening is wrong. >> thank you, caller. >> caller: hi, i work in a local hospital here and i was wondering if the city is doing anything to help with mental health problems and drug use? as far as i'm aware that any assaults that happen when a person voluntarily takes drugs or alcohol, they can be charged for that? however, we're not -- staff have repeatedly been assaulted and nothing is happening. >> thank you, caller. that is a very challenging issue for our city. there are arrests and enforcement done for possession of controlled substances and particularly for sales of controlled substances. but it's a very pervasive

problem and, definitely, we hear you. we're working as hard as we can and working with the other city agencies and collaborating with the other city agencies to address this problem in a more effective manner. but it is a challenge for our city. so we will continue to work on it is what i can tell you at this point, but we're working with our public health officials and our district attorney's office and as far as the criminal justice system is concerned and our sheriff's office and working with our community-based organizations and we have been working very hard to come up with better solutions. so we definitely understand your frustration. we'll continue to work on it, but i will freely admit and agree that it's a problem for our city. >> caller: yeah, good evening. first i wanted to just commend your officers on how you guys have dealt with this case and

the vargas case, i know that is not an easy task. also with this video and the footage that was shown, i think that you guys did a great job up until about the discharge from the officer number 4 who discharged his firearm. i thought that might have been a little excessive. i don't understand how with all of this police reform legislation coming into play, how any civilians would be able to deal with this responding to a case like this, so i don't know if you can speak to that. and also why didn't your officers have tasers? that's all that i have. >> thank you, caller. we are constantly working -- for our mayor's direction and for the will of the people of san francisco. working for better solutions. and speaking specifically on your question about how the

civilian individuals would deal with that type of situation, what we see at this point -- because there are cases where there is not violence at hand and there's not a weapon seen and people are in a mental crisis and they cause, you know, calls for service to be called. and we are really working hard with our other city partners and our fire department and the public health officials on finding ways to have those calls addressed absent a police response. that's a work in progress. and there is a crisis response team that you probably have heard about that will be rolled out here shortly. but that's going to be an evolution and it's going to take time to build that program up. we do -- we have looked at models across the country, other models in other states and other cities, where that type of solution has been effective for them. but then there comes a point where there is violence and criminal activity and weapons seen and people -- either people's health or safety is in jeopardy, or somebody's actual

life is in jeopardy. and on those calls, we do believe that police response is appropriate for that. we are trained for that. i mentioned earlier to one of the other callers about our crisis intervention training and all of the deescalation training and other things that we're doing to try to get better at that. and i think that the data really bears out that we're better at that than we were in years past. so that's an evolution that will continue. and i think that there is work to be had to create a model where we, the police department, aren't responding to calls, where we're not needed. calls where there's not violence and there's not a threat to anybody's safety and there's not criminal activity but a person is in a mental crisis. as it stands right now we get those calls as well and we do respond. so do think that there's room to work with our partners and our community-based partners. the crimes that have violence and weapons and the like, those calls i think are appropriately handled by police departments and we're definitely working as

hard as we can to be as good as we can to handle those calls without bad outcomes. >> caller: hello, district 9 resident. i would like to echo the previous caller's statement showing disappointment with the sfpd and it's my pleef that this crisis could have been handled and deescalated. the sfpd doesn't make me or my community feel safe and doing the same thing over and over again, and yelling at a man in crisis and expecting different results seems like a flawed response. this occurred on busy market street, what precautions to protect innocent bystanders were taken or was it luck that no one else was hurt? >> thank you, caller, for your question. without dissecting and going into the statements of the

officers, what i will say on that is that you look at our videos that have now been posted or will be posted online once this town hall is over and i think that you will be able to see some of the commands that were given to try to protect the bystanders that were standing around. again, we're a week into this investigation. it's premature for me to make an assessment on everything that happened in that investigation. as commander o'sullivan said, you know, there's over 85 videos and statements that we have to do. there were hundreds of people. but i think that if you look at the video at this point you will be able to see what the officers were doing in terms of trying to keep the crowd safe. >> caller: hello, i'm a resident

of district 11. the overarching disappointment and the genuine seething anger that we all in this city have -- after having to watch you abuse people in these town halls once a month, i cannot believe that we are in the middle of a civil rights uprising asking for police to be less brutal and twice in the span of essentially a month the san francisco police department touted as the liberal bastion of all police departments, has shot people twice. twice. twice in a month. twice in a month. i can't believe that you are all paid as much as you are to do what you do. my genuine question is simply this -- do you legitimately think that people deserve to die at the hands of the police? let me repeat -- do you

genuinely think that people deserve to die at the hands of the police? >> thank you, caller, for your question. our ultimate objective is to protect the sanctity of life. that is our ultimate objective. >> caller: i'm appalled, and disgusted, and moved to tears and nausea. i can't believe that i live in a liberal bastion of san francisco where people are tortured in the streets. he was on the ground and you all shot him numerous more times. how is this okay?

he's a human being. what makes you all any fucking better? abolish police. you all are a public safety hazard. you kill people. i don't know how you -- you will be abolished. we will get rid of you.

>> caller: hi, i live in district 9 and i want to say that a person remains in the hospital in critical condition with life-threatening injuries because the police responded to a crisis event and escalated the trauma. this is a failure of the police and a failure of our city. why are we choosing this over actually helping people? why are we choosing to respond to people with guns and threatening to kill them instead of actually simply helping people?

it's sick. you're never going to help a person in crisis by responding with an armed militia. you never are. it's just inhumane. police shot at a human being several times while he was laying on the ground. they thought that the idea that he did not follow a command -- i saw one person crying in pain while police pointed guns at him and threatened his life. i agree with the majority of the previous callers this is tragically similar to the police and shooting of vargas last month who was also a person in crisis. i'm sick of these reviews and bureaucratic approaches to justifying violence. sfpd killed someone last month and sfpd will continue to be a violent force in our city until we abolish all of the police. so defund the sfpd and the sheriffs and all of the cops and implement the community services that we need that could actually help people, help our neighbors.

and you say that you will, quote, to be better for the next one, quote? so, yeah, i have an idea as how you can make sure that this doesn't happen again and it's the only way that it's going to work because these videos and this event was just failed reform over and over again. failing people, and by failing them and killing them and putting them in the hospital. so be better for the next one? quit your job and abolish the police and my question is how do you expect to deescalate trauma with a gun? >> thank you be, caller.

>> okay, there are no more callers in the queue. i would like to thank all of our

callers who called in today and asked questions today. again, our videos from this evening's town hall are posted on our website at sanfranciscopolice.org and we welcome your feedback so that we can always look to improve. thank you very much for attending this afternoon's town

>> chair fewer: this is the november 18, 2020 rescheduled budget and finance committee meeting. i am sandra lee fewer, chair of

the budget and finance committee. i am joined by supervisors shamann walton and raphael mandelman. madam clerk, do we have any announcements? >> clerk: yes. [agenda item read].

>> chair fewer: thank you very much.

madam clerk, can you please call item number one. >> clerk: yes. item one, retroactive hearing on updates related to the economic landscape f [inaudible] on march 1, 2021 through february 28, 2022. members of the public who wish to provide public comment should call 415-455-0001, enter meeting i.d. 146-734-7302. press pound, and pound again, and press star, three to enter the queue. >> chair fewer: thank you very much. we have the department of

public health. colleagues, you may remember, we heard this item and continued it to today to get some more demographic information on our hiv and aids. >> these are the areas that we understood you were interested in hearing more about, and this is what we'll cover today. the first area will be just a

little fit for you all to have -- little bit for you to all have a little bit better understanding of d.p.h. as well as hiv and aids services are provided. we're going to talk a little bit about the latinx community and african american men and women and health outcomes. finally, some information about testing for hiv and aids and community health services collaboration across the bay. next slide, please. so tracey and i will share this together, and i'll start on the far left. i want to draw your attention first just to notice about ten years ago, that we were in all one office. as you guys can imagine, a restructure, and hiv services, when a person tests positive

for all of their services, it's actually within a part of the san francisco health services. and then, the other services around education, prevention, testing for hiv, as well as s.t.i.s fit within the population health services. so we are funded at a federal level. we also get state money and local money, and what we do is provide support care and wraparound services. so i'll turn it over to tracey for more on what the other branches and programs do. >> good morning, everyone. so the community health equity promotion branch is part of the health equity side which is [inaudible]. we have several grants from the centers for disease control and prevention for hiv prevention. that includes providing hiv

testing and linkage and also navigation for people who have a positive test, giving people care and support. in addition, we provide prep three personal access and needing disposal and services through our general grant. as you know, we have a fund that supports the work. the disease prevention control group also has their own grants for sexually transmits infections or disease prevention services. they fund the links team which is linkage, integration, navigation, and communication services and navigate people to

care, and at city clinics, they provide rapid access to antiretrovirals and primary care. and all of this stems around we are very integrated and have an hiv council that informs us in the community. we also, as you know, is getting to zero [inaudible] we have ending the epidemic funding from c.d.c. that we're working together on, and as noted, we have the [inaudible] and c.d.c. funded. >> next slide, please. so this is -- supervisor mandelman had kind of asked us some questions about the numbers and also the services for the latinx community, so you can see a number of the programs and services which are targeted to provide services to

the latinx community. and if you scroll within the green box, you can see the different cadres of services that are provided. on the right-hand side, you can see what viral load suppression is like for the latinx community compared with all -- all folks that receive hiv health services whether it's d.p.h. or funded services. the latinx is the blue bar, and all other individuals is in the orange bar, and you can actually see, within san francisco, there's an overall trend of increased viral load suppression, which is what we want, and that the latinx group tends to outperform the other groups of individuals within our city.

next slide, please. the next was -- this is one of three slides, that supervisor fewer, you had asked some questions about both services and outcomes for african american women, so this is responding to that question. you -- if you look -- this is, again, looking at viral suppression, and we have kind of three categories on the -- if you trace across, it goes up by each year and then percentage of suppression. the blue bar is all african americans that are receiving services funded through hiv health services. if i could note here, there's a difference than the entire population. this is data of people that are actually getting either a ryan white, a federal funded service or a general fund for hiv dedicated services. so the -- the orange bar is african american, and then, the

gray bar is all population groups combined. as you can see we have about 225 african american women, which is about 12% of the population we serve, and you can see that african americans are less virally suppressed than other groups, and again, we can see the bars are trending up each successive year. we're hoping to get everyone to a minimum of 86.5% suppression, which is what studies have indicated would be getting to the end of the hiv and aids epidemic. next slide, please. this is people living with hiv

and african american services. this is just to give you a sense of the range of services, including special services provided by city clinic, which i believe we'll talk a bit about more later. i know we're on a very tight timeline, so do speed me up or slow me down as needed. next slide, please. tracey will share about the prevention testing and linkage services. >> yeah, thank you. so one thing to note, as bill mentioned, among african american women in care and health services, we see a better load suppression than we do among the population as large, so that's an area we need to focus on, and some of the ways that we reach black african american women are through targeted testing, mobile outreach, and testing in the community and encampment testing sites and street-based locations. we have collaboration with

community-based organizations. we fund our community-based organizations for what we call a special project, which is a holistic focus on african americans. we have an r.f.p. in process right now that will be focusing more broadly on african american communities to address the issues that we're discussing here today and the data that needs to be addressed. and then, we do have the new ending epidemic funding, which is while it's supporting the work in san francisco, it's also developing a regional approach and other functions of hiv prevention. this really includes really working very closy with alameda county. we've been working with closely with them -- closely with alameda county. we've been working closely with them for quite a while. in the check branch, we've

integrated hiv and s.t.d.s, so services will be provided for all diseases in location, and we developed a program -- jackie mcwright developed a program called sistas leadership for african american youth, and we brought young women together for a group on s.t.d. among african american women prevention. and then, we have a working group to address congenital syphilis, which unfortunately, african american are affected by it disproportionately. >> next slide, please. so supervisor mandelman had some questions about the numbers that were presented in the packet, and great

questions. we're trying to find the information on the slide, so we're here to kind of address that question about -- it's understanding that it was 200 newly tested positives in 2018. as i shared last time, we're funded as the grantee of an eligible area, which includes san francisco, san mateo, and santa clara counties, so t-- s marin counties. this shows you just the overall trend, which you see the new positives here. the blue bar showing you san francisco, and the orange bar showing you the three counties together. next slide, please.

tracey, you want to share a little bit of work about san francisco city clinic? >> yeah. so as i mentioned earlier, san francisco city clinic is also providing clinical services, it has really strong services in community, and then, it provides services at the municipal s.t.d. clinics. an incredible group of people, you'll see some of them in this photo. this is from their website, and they provide same day sexual health services, hiv and s.t.d. screening, prep and pep. as i mentioned, primary care, family planning, and women's health, and they see a diverse population. almost half of their population is african american or latino, and 15% are asian, so really

core of diverse services here. >> next slide, please. this is actually our last slide. tracey, you want to start, and then i'll add in. >> yeah. this is a collaboration with alameda county, which is important because i've seen, since working in san francisco, the importance of working together broadly. [inaudible]. we had been working -- the ending hiv epidemic allowed us to apply for funding through the state with al ameameda cou

[inaudible] and we have monthlily meetings where we coordinate best practices and support work together. as you know, we cohosted the international aids conference in june or july, actually, and it was virtual, but i think quite effective, and one of the strengths that came from that -- first of all, we had meetings of the two counties working really closely together, and through that, we developed cross bay together, which is a cross sector collaboration that will be ongoing to build on the strengths of the collaborations that we built during the international aids conference, which i think is an exciting conference. and looking at the population, there are african american and latino communities living in both counties, and we need to look at improving our services. is there anything to add? >> no.

unfortunately, sad news. we didn't get a continuation of the cfar grants, but i know that the work that was started with that will continue [inaudible]. >> i think that concludes -- hopefully responded to the questions you all raised, but is there other information you would like to hear about or questions [inaudible]. >> chair fewer: yeah, i think this is thorough. thank you so much. supervisor mandelman, any comments or questions? i see you in the queue? >> supervisor mandelman: yeah. i guess this is -- i guess this is confirming what that slide kind of looked like, the explanation that it's the two counties together is useful. but we really, really do have this kind of seemingly pretty disproportionate representation of latinx presumably men, and

i've been paying attention to this conversation, you know, forever, on the board of supervisors for a couple of years, and i feel like that hasn't necessarily been what has come through in discussing how to get to zero, now that we're under 200. i don't know that it's been -- and maybe i just missed it. but 109 of the 272 cases in that year were latino or hispanic, right? 40%. >> yes, yes. so i am delighted that that's a concern of yours. this year, i think we're -- is it 163 or 164 in terms of new case diagnosis in san

francisco, which is still tooal

said. we -- the highest rates continue to be among latino and communities -- and black communities, but we do see a decrease in new infections. so it's actually different from what we see in the new infections, so there is a decrease in new diagnoses in all populations except those over 50 and also trans women. but the number of new diagnoses

decreased among latinx or latinos and also black americans. overall -- i'm talking about just san francisco, the city, in all populations. so that's good news, but we still need to be thinking about what programs need to be strengthened to address the new infections in the latinos and black-african americans, and that's something that we're working on in our new r.f.p. >> chair fewer: i think there is greg. he had his hand up from d.p.h. >> thank you, supervisors. sorry for interrupting. >> chair fewer: go ahead. >> we would just like to submit an amendment to the resolution. >> chair fewer: oh, that's fine. what is the amendment that you would like to submit? >> on page one, lines 1, 2, and

3, [inaudible] its most recent [inaudible] we are putting the grant application, including supporting documents as required on file with the clerk of the board of supervisors. does it indicate that you have the most current grant application. >> chair fewer: okay. thank you very much. >> thank you. >> chair fewer: madam city attorney, that's not substantive, is it? >> no, madam chair, it's not. >> chair fewer: being okay. so we can do a vote on that before, but supervisor mandelman, i think this might warrant a separate hearing about it because i think, quite frankly, it probably warrants a deeper discussion, and what they presented to us was just sort of the trip of the iceberg, i think, so my

suggestion would be that you probably -- folks should probably delve deeper to get a deeper understanding of what we can do with the city to get a safety net sort of around this group that we see a high number of occurrences. madam clerk, open this up for public comments, please. >> clerk: yes. operations is checking to see if there are any public callers in the queue. for those already in the queue, please wait until the system indicates you have been unmuted. mr. q., please let us know if there are any callers that wish to comment on item number one. >> operator: yes, i have one caller in the queue. >> chair fewer: okay. caller? >> can you hear me now? >> chair fewer: yes. >> great, david pilpell. just wanted to say hi to tracey

parker and dean goodwin. i'm a tracey packer backer. just wanted to say good work, and i support the resolution. >> operator: madam chair, that completes the queue. >> chair fewer: okay. the fan club has spoken, and public comment is now closed. i'd like to make a motion to approve the amendments. can i have a roll call. >> clerk: yes. on the motion -- [roll call] >> clerk: there are three ayes. >> chair fewer: now i'd like to move this to the board with a positive recommendation. do we move this as a committee report? no, not necessary, right, madam clerk? move this forward to the full board with a positive recommendation. could i have a roll call vote. >> clerk: on the motion -- [roll call] >> clerk: there are three

ayes. >> chair fewer: thank you very much, and thanks for the presentation and all the information. >> thank you for your time. >> chair fewer: thank you, thank you, and thank you, supervisor mandelman, for pushing us to get more information on this. okay. m madam clerk, can you please call item number 2? >> clerk: yes. item 2 is resolution approving amendment number three to the amendment between color genomics and the department of public health corcovid-19 testing services to increase the agreement by $74,482,042 for a total not to exceed amount of 84,382,042,