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.