hotels may only september reservations for people traveling for work purposes including isolation and quarantine. small gathers must limit to 12 people. outdoor gyms limited to 12 people. youth sports can continue with very strict social distancing and facer covering guidelines. low contact adult sports like golf and tennis may continue. i don't want to do any of this. i know this means people's jobs, businesses, livelihoods are at stake. this is going to be painful and we need to fight for any relief we can get from the federal government to do this. our local businesses need this help and despite the fact we

don't have what we need in terms of federal support they've been doing everything they can to keep their doors open, keep our local economy going. i urge you to continue supporting them. it's critically important to them and a way we can have an impact and our community through this. it's hard on our families and kids f. our community hubs will remain open. the schools that are open will remain open. the schools that are closed can reopen with a waiver. we must continue to try to open our public schools. i'm not immune from the stress this pandemic causes on people.

this is the last surge we should face. it is so challenging because we're tired of it. we're facing a reality that we won't be able to treat patients are sick. people will die because we can't treat people who are sick. we need to do everything we can to make sure we don't face unnecessary tragedy right before this is over. i do want to address the issues about the restaurant i visited in napa county. it doesn't matter if i wasn't technically violating local health orders. i know as mayor i should hold myself to a higher standard. my job just isn't to lead by the letter of the law but by the spirit of it. i'm committed to doing better.

this pandemic has been hard on all of us. there's no play book for this. none of us thought in 2020 we'd be in the midst of a global pandemic. who would have thought this would have ever existed in our lifetime. the impact on our emotional and mental health and that includes me. everyday i do this job. the lives i'm responsible for. the impacts to people's jobs and families. i'm doing the best for this city. nobody is perfect and certainly not me. the criticism i received is fair. i learned from this moment. i want everyone to recognize that people all around you are trying. they are trying to follow the orders. they are trying to hold it

together. it is hard people are losing it. we can't lose it on each other. we can't turn on each other. this isn't about me. i can take the criticism. i wouldn't be in this job if i couldn't. to your neighbors and coworkers to the bus drivers, city workers. they are trying to keep us safe and healthy. please, have a little understanding. the coming weeks are going to be harder than ever before. -what we can do is to make sure that we get through this safely. also we've received some very good news on our vaccine. they're coming. that means that there is, as i said, a light at the end of the tunnel. dr. koa fax will share some of

that news. the initial supply will be very limited the roll out is coming this month. i believe in this city. i want to thank each and every one of you for what you've done so far. it's been almost a year that's felt almost like an enteralternatity of putting our lives on pause. it's been very challenging and i do understand completely. i ask for your patience, understanding, as we get through these final weeks of this challenging pandemic. so that we can really look back on this experience and be proud at what we've done to get our city through this. i'm going to let dr. co lfax provide an update on exactly where we are at this time. thank you.

>> good afternoon. thank you mayor breed for your leadership and dedication to the people of san francisco. unfortunately as the mayor has said we're in our worst surge yet of covid 19. it is stressing health care systems across the state and taxing our health care workers. i wish the people in the hospital now with covid 19 exceedy recovery. my condolences of the loved ones of those lost from covid 19. unfortunately the current situation is likely to worsen. in san francisco everyday now 145 people in our city are

testing positive for covid 19. the virus is spreading rapidly throughout the city like never before. the increase in infections has been climbing for over a month now and covid 19 cases have quadrupled in that time. we need to move fast, keeping ahead of this virus as much as possible. and we need to make hard decisions to avoid a truly catastrophic possibility. not be able to adequately care for people who are sick. we need urgent intervention now to dent the trajectory of this surge. to begin to turn things around. we have a window but we estimate that we have about one week left to try and stabilize the current

flow of covid 19 patients in our hospital systems. that is just one week to slow this virus and ensure we can adequately care for sick people in our hospitals. that is why we decided along with our regional partners in the bay area to act quickly and aggressively to implement the state of california stay at home order starting this monday at midnight-sorry. this sunday at 10:00 p.m. we do not make these decisions lightly. we are here to protect our city, neighbors and loved ones. we're here to save lives. first slide, please. i wanted to share this slide of what is happening across the state. this is different from what

happened in previous surges. for the first time since the pandemic began, every county in california is surging and hospital beds are filling up. when i look at this map, when we look at this map we see our home town, our friends and family in as much trouble as we are here in san francisco. ninety nine percent of california's population are living in the purple tear with widespread transition of covid 19. covid 19 cases have increased by fifty eight percent. hospitalizations have increased by eighty two percent. this means that when we in the bay area run out of beds to treat our sick patients there will be no mutual aid. no place to send them.

we will be on our own and struggling to treat sick people. next slide, please. our san francisco icu intensive care unit bed capacity is quickly decreasing. we are in an extremely volatile position for our health care system. the red x's you see here at the top of the curve are the actual number of icu beds occupied. the blue line indicates our projections. in the last month covid 19 hospitalizations have tripled. in the last seven days alone san francisco's covid 19 has increased by thirty five spread. if we allow the virus to keep

spread ing at this space. san francisco will run out of intensive care unit beds on december 26th. at this rate we believe that all hospitals will have a shortage of beds for any sick person. by january 4th there will be approximately 200 sick people in need of a hospital bed. if things continue on this trajectory by february 4th there could be 1600 in san francisco in need of a hospital bed. across the region we estimate some bay area counties including santa c lara will run out in the

next week. if this trend continues and we don't slow the spread of the virus, we will be unable to care for people in san francisco's hospitals. and it's not only because of beds. it's because we will not have enough nurses and doctors to adequately care for people. remember that map of california. unlike in previous surges every hospital in california is under stress. there will be no place to transfer patients. there will be no other place from which to hire more nurses or doctors from which we would otherwise be able to do in another health crisis. three quarters of beds are taken right now. one quarter of them are filled

with covid 19 patients. please understand this, if or when you or your loved one friend gets sick whether with covid 19 or another condition that requires hospitalization, if this trend continues and we do not all do our part to slow the spread of the virus and it hurts me to say this, but there may not be a nurse or doctor or hospital available to care for you. end of slide please. this is why we are taking such aggressive action now. this surge is real. it's happening all around us throughout the city. but we can do something about it. the health order initiating the

changes mayor breed described will be issued today and effective sunday at 10:00 p.m. we hope these urgent interventions coupled with other recent changes can stabilize our case count and hospitalization. if we move now, if we move today we still have a chance to save lives and cases and keep our hospital functional. we can't let this virus get so far ahead of us we can't properly care for the vulnerable and the community. we've done this before. we've beaten back two surges. this time it will be tough. the alternative is unthinkable. while there's a vaccine on the horizontal ihorizontallizeon itp

the current surge. that's what i hope for. what we hope for. we're all indeed here for the vaccine. this week the state informed san francisco that we'll receive just over 12,000 doses of the vaccine in the next two weeks. initial supply will be very limited. vaccine prioritization is dependent on the time line of the state and federal government. california is making sure that these first supplies are provided to those in direct risk of exposure due to their jobs in health care and long term facilities including nursing homes. this includes clinical and non clinical employees from the doctors and nurses to the food delivery staff and janitorial staff. the general population, the general population will not have

access until the vaccine supply is no longer limited. that is expected to be months after initial vaccinations begin. while there is hope for a vaccine we must battle back this latest surge. we need to pull together and protect our family neighbors and community. we need to pull together for the person who breaks a leg, hip, or has a heart attack and needs that hospital bed. for the essential worker who has no other choice but to work. the driver, paramedic, grocery clerk, postal worker, delivery driver and our physicians and nurses. for the older adults who sacrificed for so long the outings and visits with family and friends. the shop owners who are trying to have a holiday business

season. for those who have not been able to work and are desperately trying to get back. our children who crave social interaction and learning. our community who carry a disproportionate burden of suffering in this pandemic. we are san francisco and we have led the world in our values during this pandemic. let's show the world-let's show each other one more time that we can beat back this virus by working together. thank you. >> thanks madam mayor for your time. we'll take a moment as questions are coming in.

at this ties time it seems we ha variety of health care related questions for dr. co lfax. whenever you're ready director. >> i'm ready. >> the first set of questions are from aaron with the san francisco chronicle. how will you decide to lift the stay at home order will it be in place through january 4th. >> the order is effective until january 4th. we will be looking at a couple of key variables with regard to lifting the order. one is we will need to see a consistent decrease in the rate of covid 19 diagnosis and

hospitalizations in san francisco for at least three weeks. we will need to ensure that we have at least a 25% capacity in our intensive care unit beds at the same time. those will be the key variables we'll be looking at to consider lifting this order. if trends continue and we meet the state criteria for going into their stay at home order we'll be subject to those state restrictionrestrictions and whae required to come out of those restrictions. >> thank you. will there be any coordination between the bay area counties in terms of taking care of icu patients. for example if city capacity

falls below 15%. >> we have been work ago cross the state and region in terms of mutual aid. this summer became overwhelmed with hospitalizations we included patients at san francisco hospital. what is extremely concerning about this surge, this is a national state wide and regional surge. again, the reason we're taking aggressive action now regionally is we are very concerned that all the intensive care unit bed dollars and the hospital beds in the region and state can be overwhelmed and there may not be mutual aid available. this surge is so much more serious than what we've seen before. >> the next question come

dollars from mission local. what activities are most tied to new cases and is that how these closures were determined? >> we know that the more we move around, the more we engage, gatherings, interactions, particularly indoors, the more likely it is we'll see a spread of the virus. this action today takes aggressive steps to limit the spread of covid 19 in the city. and we know for activities that do continue, it will be so important to wear those masks, socially distance and use good hygiene. >> thank you director and thank you madam mayor for your time today. that concludes today ed's press conference. for any other question please

e-mail. thank you all for joining us. >> roughly five years, i was working as a high school teacher, and i decided to take my students on a surfing field trip. the light bulb went off in my head, and i realized i could do much more for my students taking them surfing than i could as their classroom teacher, and that is when the idea for the city surf project was born.

>> working with kids in the ocean that aren't familiar with this space is really special because you're dealing with a lot of fear and apprehension but at the same time, a lot of excitement. >> when i first did it, i was, like, really scared, but then, i did it again, and i liked it. >> we'll get a group of kids who have just never been to the beach, are terrified of the idea, who don't like the beach. it's too cold out, and it's those kid that are impossible to get back out of the water at the end of the day. >> over the last few years, i think we've had at least 40 of our students participate in the city surf project. >> surfing helped me with,

like, how to swim. >> we've start off with about two to four sessions in the pool before actually going out and surfing. >> swimming at the pool just helps us with, like, being, like, comfortable in the water and being calm and not being all -- not being anxious. >> so when we started the city surf project, one of the things we did was to say hey, this is the way to earn your p.e. credits. just getting kids to go try it was one of our initial challenges for the first year or two. but now that we've been doing it three or four years, we have a group of kids that's consistent, and the word has spread, that it's super fun, that you learn about the ocean. >> starting in the morning, you know, i get the vehicles ready, and then, i get all the gear together, and then, i drive and go get the kids, and we take them to a local beach.

>> we usually go to linda mar, and then occasionally ocean beach. we once did a special trip. we were in capitola last year, and it was really fun. >> we get in a circle and group stretch, and we talk about specific safety for the day, and then, we go down to the water. >> once we go to the beach, i don't want to go home. i can't change my circumstances at home, but i can change the way i approach them. >> our program has definitely been a way for our students to find community and build friends. >> i don't really talk to friends, so i guess when i started doing city surf, i started to, like, get to know people more than i did before, and people that i didn't think i'd like, like, ended up being

my best friends. >> it's a group sport the way we do it, and with, like, close camaraderie, but everybody's doing it for themselves. >> it's great, surfing around, finding new people and making new friendships with people throughout surfing. >> it can be highly developmental for students to have this time where they can learn a lot about themselves while negotiating the waves. >> i feel significantly, like, calmer. it definitely helps if i'm, like, feeling really stressed or, like, feeling really anxious about surfing, and i go surfing, and then, i just feel, like, i'm going to be okay. >> it gives them resiliency skills and helps them build self-confidence. and with that, they can use that in other parts of their lives. >> i went to bring amy family o

the beach and tell them what i did. >> i saw kids open up in the ocean, and i got to see them connect with other students, and i got to see them fail, you know, and get up and get back on the board and experience success, and really enjoy themselves and make a connection to nature at the same time. >> for some kids that are, like, resistant to, like, being in a mentorship program like this, it's they want to surf, and then later, they'll find out that they've, like, made this community connection. >> i think they provided level playing fields for kids to be themselves in an open environment. >> for kids to feel like i can go for it and take a chance that i might not have been willing to do on my own is really special. >> we go on 150 surf outings a year. that's year-round programming. we've seen a tremendous amount

of youth face their fears through surfing, and that has translated to growth in other facets of their lives. >> i just think the biggest thing is, like, that they feel like that they have something that is really cool, that they're engaged in, and that we, like, care about them and how they're doing, like, in general. >> what i like best is they really care about me, like, i'm not alone, and i have a group of people that i can go to, and, also, surfing is fun. >> we're creating surfers, and we're changing the face of surfing. >> the feeling is definitely akin to being on a roller coaster. it's definitely faster than i think you expect it to be, but it's definitely fun. >> it leaves you feeling really, really positive about what that kid's going to go out and do. >> i think it's really magical

almost. at least it was for me. >> it was really exciting when i caught my first wave. >> i felt like i was, like -- it was, like, magical, really. >> when they catch that first wave, and their first lights up, you know -- their face lights up, you know you have them hooked. >> i was on top of the world. it's amazing. i felt like i was on top of the world even though i was probably going two miles an hour. it was, like, the scariest thing i'd ever done, and i think it was when i got hooked on surfing after

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>> i came in with her impression of what i thought it was good >> what i knew about auditing with the irs spears i actually knew nothing about auditing >> in my mind it was purely financial. with people that audited the pain no one wants to deal with it >> now i see a lot of time explaining auditing is not just about taxes. >> oftentimes most students believe that auditing is only financial whereas when they come into a government environment we do much more than financial audits. we do operational audits that were looking at the operations of the department for economy and efficiency and effectiveness. >> when i hire an intern some of the things that i am looking for first of all is is this individual agile and flexible because i am our environment is so fast-paced and where are switching from project to project depending on what's going on in the government at any given time.

>> primarily i didn't with audits on utilities management across city departments. >> citywide this ods management audit was also been assisting with housing authority audit program >> the homelessness audit >> the it functions >> [inaudible] >> were starting any water on the department of public housing environment allows >> i also assist with the [inaudible] program. >> then additionally i really enjoyed having staff who have some critical thinking skills. because i believe the basis of auditing is not do you know how to audit, but to have critical thinking skills [inaudible] >> [inaudible] even though i've only been here for short time our quick in-depth analysis and research >> analytical skills there's a

lot of taking enlargement of information a compacting it a very concise report because we've a big focus on [inaudible] if you're transmitting this information to the audience you need him to be able to understand it. >> so i work with the sparrow program primarily. broadway stan abused [inaudible] they prepare me for full-time employment because i knew i could not to challenge myself in order to be an auditor. >> at the [inaudible] we are a content feedback and communication and they pointed out areas where i need to grow. >> one of the things i like about working at [inaudible] is that they actually give you quite a bit of autonomy i feel like kevin sage trusted me. >> the environment really [inaudible] to everyone feeling super collaborative and wanting to get to know one another. which i think at the end of the date is a better work environment and gives you a better workflow.

>> i believe that a really is a great experience because it provides an opportunity to have a better understanding of how government works. >> i think what i've learned so far is that every audit is unique everyday. different learning opportunities. >> the recordation we make in on its i can honestly go home at the end of the day and zack and treated [inaudible] in a better way. >> even of not familiar with what auditing is you should deftly find out. it's been really really awesome he was it turns out there's a whole world of auditing that i cannot open file oriented performance and [inaudible] and that's an exciting. audit is a lot broader than i ever knew before. >>

>> ever wonder about programs the city it working think to make san francisco the best place to work and will we bring shine to the programs and the people making them happen join us inside that edition of what's next sf sprech of market street between 6th is having a cinderella movement with the office of economic workforce development is it's fairy godmother telegraph hill engaged in the program and providing the reason

to pass through the corridor and better reason to stay office of economic workforce development work to support the economic vital of all of san francisco we have 3 distinctions workforce and neighborhood investment i work in the tenderloin that has been the focus resulting in tax chgsz and 9 arts group totally around 2 hundred thousand square feet of office space as fits great as it's moved forward it is some of the place businesses engaged for the people that have living there for a long time and people that are coming into to work in the the item you have before you companies and the affordable housing in general people want a safe and clean community they see did

changed coming is excited for every. >> oewd proits provides permits progress resulting in the growth of mid businesses hocking beggar has doubled in size. >> when we were just getting started we were a new business people never saturday a small business owner and been in the bike industry a long needed help in finding at space and sxug the that is a oewd and others agencies were a huge helped walked us through the process we couldn't have done it without you this is sloped to be your grand boulevard if so typically a way to get one way to the other it is supposed to be a beautiful boulevard and fellowship it is started to look like that. >> we have one goal that was

the night to the neighborhood while the bigger project of developments as underway and also to bring bring a sense of community back to the neighborhood. >> we wanted to use the says that a a gathering space for people to have experience whether watching movies or a yoga or coming to lecture. >> that sb caliber shift on the street is awarding walking down the street and seeing people sitting outside address this building has been vacate and seeing this change is inspiringing. >> we've created a space where people walk in and have fun and it is great that as changed the neighborhood. >> oewd is oak on aortas a

driver for san francisco. >> we've got to 23ri7b9 market and sun setting piano and it was on the street we've seen companies we say used to have to accompanying come out and recruit now they're coming to us. >> today, we learned about the office of economic workforce development and it's effort to foster community and make the buyer market street corridor something that be proud of thanks to much for watching and tune in next time for