>> present. >> vice president elias. here. >> president cohen you have a quorum. >> thank you i appreciate that. ladies and gentlemen, will you join me in pledge ago allegiance to the flag. place your right hand over your heart and repeat after me. i pledge allegiance to the flag of the united states of america and to the republic for which it stands, one nation, under god, indivisible with liberty and justice for all. folks, also it's a new day. today is inauguration day. we have a new administration in place and president joe biden has been busy ushering into a flurry of new agreements.

i want to just acknowledge sfgovtv is saying there's a network error so we may have some technical difficulties on the sfgov as well. sergeant, could you please call the first item. >> also we have chief william scott from the san francisco police department and paul helpedder son from police henderson from police accountability. we have general public comment. the public is now welcome to address the commission regarding items that do not appear on tonight's agenda but that are within the subject matter jurisdiction of the commission. speakers shall address their remarks to the commission as a whole and not to individual commissioners or department or

dpa personnel. under police commission rules of order, the police or d.p.a. personnel nor commissioners are required to respond to questions presented to the public. that may provide a brief response, individual commissioners and police and d.p.a. personnel should refrain however from entering into debate or discussion with speakers doing public comment. at this time, the public is now welcome to address the commission for up to two minutes on items that do not appear on tonight's agenda by calling (415)655-0001. and enter access code 146 806 8536. press pound and pound again or dial star 3 if you wish to make

a comment. you have one caller commissioner cohen. >> thank you. >> caller: good evening, caller. >> caller: hi. hello. i'm a volunteer with the black community and i'm calling because we have recently been aware that supervisor safai has been proposed a resolution at the board of supervisors that would roll back the pace of reform with the doj process here so i'm calling to ask one, whether the police commission would make it clear to the board of supervisors that the further delays to the doj reform are unacceptable and as called for in this very resolution and two, to wonder what roles of the sfpd has played in crafting this

resolution. i would hope that they did not connect with supervisor safai and call even for the delays in critical reform but we do want to be very sure. thank you. >> thank you, caller. >> thank you, speaker. >> next caller. >> caller: yes, good evening, this is is star child i'm chair of the local chapter of liberaltarian party of san francisco. can everyone hear me? >> hello? >> yes. >> you can hear me. ok, thank you. i had a couple things i want to

mention. i second the caller proceeding with the department of justice row form and they've been delayed too long and i also wanted to make a suggestion. i don't know actually to what extent, well, i suspect the police commission could do this whether you would get that involved or not i don't know. i think the sfpd, when there's an incident any persons arrested or detained along with victims and witnesses should be september a police report when it comes backs. i was a victim several months ago and?

n would help shine a greater light on police expressions censure that things are happening in a proper manner and officers are putting the truth in their reports allowing witnesses to get copies of those reports to verify that and officers are saying in the record is announcing what they saw with the major important reform that would stem abuses and i had a quick question for the commissioners. i wanted to refer you to a group called the institute for justice at ij.org and they released a report on policing for profit also known as as asset forfeiture and this is a practice whereby police departments and law enforcement agencies will cease property or cash and someone not so valuable but they cease stuff from poor people and the laws are set up it's difficult -- >> thank you, caller. commissioner cohen, it looks

like you have one more caller. good evening, caller. you have two minutes. >> my name is paulette brown and i'm calling concerning my son who was murdered august 14th, 2006. to this day, his case is not solved. i've been calling for the last 14 years and this is something i'm going to continue to do. i'm just trying to keep my son's memory alive so that you know, when i do call in the police commission, sf gov can also -- the people that are turning into sf gov can hear my story about my son. i am still working on getting the pictures out there. the homicide posters out there to bring awareness to all the

unsolved homicides that are happening here in san francisco. my son, being one. my son was shot 30 times with a semi automatic gun. no mother should have to go through this for the rest of her life. my kids are grown now and i'm just fighting. i want to bring my son's memory back into -- i don't have his case number with me that i can say but i was just hoping that the police commission keeps my son's memory alive and if anyone i know the other person was there that usually called out my son's name but i don't know if commissioner -- the new president will do it.

if she decides to, i would appreciate it. ms. cohen, if she would do it i would really appreciate it. she doesn't have to but it's ok. i just wanted to keep my son's memory alive. i'll be glad when i can show my pictures. >> thank you, caller. >> good evening, caller. you have two minutes. good evening, caller. you have two minutes. >> caller: good evening. this is barrie toronto. i'm a taxi driver and i work

late-night hours. you know, as you know, there's not a lot of business anywhere because the restaurants are closed to indoor dineing and no nightclubs and bars and music venues. so, we have to rely on the business where people are going to actually need a cab. i work oust the cab stand we have next to wall greens on castro. it's 24 hours. castro and 18th. i had a officer with two officers, price and dejarme. the problem is they treated me horribly. they parked in the red zone at the front of the stab stand and i asked them nicely to give a ticket to the car, illegally parked in the cab stand and i had to be double parked because i couldn't use the cab stand. they refused to give the person a ticket and they said well, we don't want to give tints tickety

is having a hard time. i said i'm not even making minimum wage and you want to not support me using my cab stand. they were extremely rude. in fact, they threatened to give me a double parking ticket if i didn't move my car. that's the opposite of two officers that help me when i had my tires slashed when i threatened to call the police on someone parking in the cab stand in the same location. not every officers are like this. those two were extremely rude. i tied to make a police accountability complaint and i've been waiting for a week to do it and no one has returned my call. a guy named elmore is supposed to call me back. i called today and this very nice woman who answered the phone, pat, wanted to help me. but they're not giving me a call back. so why do you even have an office if we can't even file complaints. but the office of police accountability. thank you, very much.

>> thank you, caller. >> caller, you have two minutes. >> thank you. my name is susan buckman and i'm also a member of the wealth and disparities in the black communities and i want to second what the first public commenter that was kit hodges and what she said and so that's condemning supervisor safai's resolution. i can't even think what to say about that. i mean, it really came oust left field and it shows a real cluelessness about what is needed in the city and it's just shocking welcome disparities has been working on this for so long and if you would come to us, we could have the mayor will take

the right path and reject this resolution. thank you. >> we want the resolution slowed down sfpd reform. we want the police commission to be aware of this since you've been working so much on sfpd reform so while it's full out flowery language and support of black lives, it extends it's

really, no mechanism for insuring sfpd meets reforms besides just their own self-reports so that is not holding them accountable. it's making things worse. despite a year of reinvigorating up rising calling for the end of structural anti black racism i'm appalled that supervisor safai is actually putting things in the wrong direction whether he realizes or not. thank you. >> thank you, caller. >> i am folks on staff ready to

speak to callers. i don't know how to link the two but if you have the phone numbers for folks that have called in i'm happy to have my staff reach out to them directly. >> director henderson, they're anonymous. >> oh. ok. well, maybe then just -- perhaps director henderson can you they can contact the staff and it's (415)241-7711 is the direct line and my staff will follow-up with you directly. thank you. >> that concludes.

>> thank you, very much, director henderson. if you can call item 2. >> item 2, adoption of minutes action. for the meeting of january 6th, 2021. thank you. colleagues, i think this could be pretty much adopted. there's one administrative slight typo that i want to bring to our attention. i know 2021 is new but in the mint in the minutes, as of january 17th, there is a minor typo error in the public notice. it lists a january 6th, 2020 when it should be january 6th, 2021. it's very slight and inok lus

but if we can make that correction, that would be great. so, i make a motion to correct the date in the minutes and we can vote on that as amended. i'll make a motion to attend the minutes. can you guys hear me? >> yes. >> so moved. >> thank you. >> i'll make a motion to amend the minutes. thank you. looks like we can take this without objection. without objection to the minutes pass unanimously. thank you, colleagues. sergeant, please call item 3. >> item 3. reports to the commission discussion. weekly crime friends after

overview of provided summary of the planned events. this is a brief overview of any unplanned events or activities occurring in san francisco having an impact on public safety. commissioner discussion on unplanned events and activities the chief describes will be limited to determining whether to calender for a future meeting. >> ok. >> thank you. sergeant, just as a reminder, please set your timer. each speaker has 10 minutes. at this time, chief. >> thank you, president cohen. good evening, commissioners, vice president elias, director henderson and the public. this week i'll start with crime trends as of january 18th, 2021. starting with part 1 crime over all up. property crime is up 9% from last week year to date, however,

we are down 39%. again, it's early in the year and these numbers will swing -- the percentages will swing greatly early in the year because the numbers are smaller. we continue to see an uptick in burglaries and we're up 46% in burglary and we went from 266 this time last year to 388 this year. in terms of motor vehicle theft, we're up 12% and arson we're up 82% arson is up nine from 11 last year to 20 this year. our auto burglaries are down 54% early in the year but our auto burglar he's are down 54% a these numbers will move greatly at the beginning of the year. in terms of violent crimes,

we're down from last week. someone is on mute. i'm getting feedback. if we can -- can you hear me ok? >> again, we are homicides were even with where we were this time last year two homicides for the year. compared to last month, we had three homicides. we're actually down from last month. poth of our cases this year vo been clear. one by arrest and one by an appearance for the public exceptional clearance is situation where we're unable to prosecute because of circumstances beyond our control and in this case, the individual that committed the homicide also took his own life. our gun violence is up significantly from last year. the percentage is over 800% and the numbers as they pan out is

19 victims of gun violence this year compared to two last year. i'll give the breakdown of the individual district stations in a second. 17 of our shootings have been non fatal and as i said, two of them have been fatal. in terms of the gun violence by station, we have had four shooting incidents in the bayview, two in the mission, throw in the northern, one in the park, one in ingleside and 3 in the tenderloin and one that resulted in multiple people being shot. the biggest number in the bayview districts with four. as far as significant incidents, as i said, this involves a murder-suicide on the 1500 block of scott and northern district

and our officers arrived and conducted a well-being check and discovered that two individuals were deceased. the first was a 9-year-old child and second was a 49-year-old man. they were father and son. it was deemed this was a murder-suicide and the well-being request it was in the area of mission and persia and that incident resulted in a fatal shooting. three people were shot and one fatally. our suspect identified in this case area.

two accounts of assault with a semi automatic firearm and discharging a firearm in public. he was in custody from an attempted murder charge in sacramento. this is being prosecuted in sacramento county as there's a next us from the sacramento violent crimes and the san francisco homicide and these decisions were made with consultations with members of our district attorney office here in san francisco. there were seven shooting incidents this week causing 11 victims. one was injured from glass shattered from the shooting. of there was one in bayview and one on january 11th. there was one in ingleside on january 12th. there was one in

january 16th glen and bayview on january 16th. one in bayview on january 17th n tenderloin on january 17th. the tenderloin shooting resulted in five people being shot and we do have four individuals in custody for that shooting. that shooting was in front of a liquor store. we believe that shoot asking shs linked to a homicide. the first one occurred in the tenderloin district and it involved two groups who engage in a fight and gunfire was exchanged and five individuals were shot. there were two shooting incidents. the last thing on the report, is there was one incident with a serious traffic collision and that was at 20th and potrero

at that location. our victim was a 82-year-old pedestrian who was struck by a vehicle near the crosswalk. the driver remained at the scene and a pedestrian was transported with life-threatening injuries. that will conclude my report for this week. thank you. >> thank you. all right. colleagues. let me see. i'm going to the chat to see if there are any questions. commissioner brookter is that your hand? >> i have a question in regards to arson. i know we said that the number isn't large but the 82% just really caught my eye and i was just really wondering, you know, when we're capturing this, is it arson at homes, vehicles, public property? do we capture that type of

information? >> we do. i will say, there's no common theme to these arsons. it can be any of the ones -- any of the categories you mentioned. we've had city property set on fire. we've had people's homes or arson started intended for someone's home. it could be any of those. i think last year a lot of what drove our arson statistics was what happened with the civil unrest and there were many fires set for that, done that period, anyway. we're not really seeing any def net trends at this point of the year, commissioner. it's a hodge podge of different arson-related events. >> thank you, chief. any other colleagues interested in speaking?

>> all right. hamasaki, is that you? would you like to add anything to the chief's report? >> sorry, thank you. the one thing i did want to raise was the press release that i e-mailed. i was e-mailed from the department today, friday, regarding the shooting, the homicide that arose out of the side show, probably earlier this year our last year. that was the one that i raised at last meeting recording the case that was charged out of county for a crime that occurred here. a homicide that occurred here. are you familiar with what i'm talking about? >> yes, that's the one i just mentioned, commissioner. >> ok. >> and did you have a understanding or explanation as to why it was filed in

sacramento when it's san francisco case? >> my understanding is that two things, there was a connection with the attempted murder i just mentioned in sacramento and the second thing is that my standing there's a consultation with the san francisco district attorney on their decision to have the sacramento d.a. file everything there, it's my understanding. >> ok. so, this is something that was approved by our district attorney? >> my understanding is that the conversation with our district attorney. not the district attorney but whoever filed the case. >> whoever in the district attorney's office who would handle these types of matters. so, i think i'd like to -- and maybe you don't know tonight but i'd like to get a little bit more understanding as to why a

san francisco case that was, you know, i think we all heard about it. it was a shooting that someone that happened at a side show one of those car events that we've talked about. why it was brought to another county because i do believe that crimes that occur in san francisco should be prosecuted in san francisco as well. >> that was in consultation with our district attorney office. the juvenile in question was already in custody for an attempted murder in san francisco. as you know there's a whole process with extradition and all so it was done with consultation, which is not uncommon in these cases. i've seen cases here in san francisco where we have prosecuted based on crimes that occurred in other countries and vice versa and there is those

cases have been conversations with district attorney staff on with this instance as well. >> it was a case that was investigating according to the press release by the homicide division. >> by our homicide unit, yes, yes. our case. you are talking about our case, yes. >> right. thank you. and you know, let me just briefly follow-up because a caller asked about to my understanding, that is not something we really do here. is that the department's -- i don't know the specifics of the department policy on that. >> there is as set forfeiture that is not administered by us. we don't take property and keep their money.

and certain investigations, particularly when forfeiture on federal investigations there is an as set forfeiture distribution so, this city has for years been a part of that and it's still is but it's not anything that we administer. we don't have an as asset forfeiture policy because we do don't take money and dop that into city departments account. that is distributed by the federal -- whoever does it. the federal authorities distribute where it comes from at that forfeiture. >> let me interject because we're getting off topic here. if you would like to agenized this discussion, we can do so for the next meeting. >> i'm done, thank you, very much. >> ok. >> all right. is there any other colleagues

that would like to ask questions? >> chief, i just had one question. it was just for my understanding and clarification, with respect to commissioner hamasaki's question, when you say there was consultation with the district attorney's office, i guess the district attorney refused to prosecut this individual as an adult. i'm not understand what is it means when you say there was a consultation. >> no. i have no knowledge of that being the case, commissioner. when these cases are filed when someone is in custody and another county and in this case there was, there's decisions that have to be made. whether we're going the other counties is going to extradite because they're in custody in that county as you all know.

there's usually consultation about the best way to handle that case whether it should be handled in the other counties or san francisco counties. since i've been there, there's been case that's have been handled here that were crimes commit inside other counties and that's usually with the permission and consultation of that county district attorney and that process does exist. and in this case, my understanding is that consultation did happen and it was decided to pursue the filing of these changes in sacramento county. >> i'm a waiver the special provisions with respect to juvenile. let's agenized this so we can have this discussion. >> absolutely, consider it done.

>> consider it done. >> first, i would appreciate it if you could report to the commission the moment the usdoj comes back into the collaborative reform initiative, please. now that we have transition of administration of power. i am optimistic that engagement will happen again. also, if you could incorporate a section on your report out to us about domestic terrorism. anything you hear or any chatter or any act of violence, please bring it to the commission's attention. >> yes, commissioner. >> thank you, sir. >> and if i may, just for 30 seconds, you asked for that last week and i ran out of time. we don't have anything to report this week as far as domestic

terrorism. there's a lot going on with the inauguration and what was on the internet and social media across the country but nothing has transpired here or nothing major in any other reports that i've gotten from cities across the country. >> got it. >> that's good to know. thank you. >> thank you. >> all right. seeing that there are no other colleagues that have questions, and the chief is finished his report, we can continue. i believe the next is department of police accountability. >> line item 3, dpa director's report. report on recent d.p.a. activities and announcements, d.p.a. report will be limit today a brief description of d.p.a. different tease and announcements. commission discussion will be limited to whether to calender any of the issues raised for future commission meetings. >> thank you. >> i have, for my staff, this

week, for the new year we are at 23 new cases that have come in. this time last year we're at 35 cases. we've closed 31 cases so far this year and this time last year we closed 59 cases. compared to this time we have 401. we've sustained two cases so far this year which is the same number of two case that's had been sustained this time last year. we have 35 cases who is investigations have gone past nine months so far still below the 33 deadline and there have been no cases that have gone past that deadline. this time last year, we were at 25 cases.

we have not mediated any cases this year nor had we mediated cases this time last year. we have a number of cases that are with the commission and they're 14 cases with the commission. and we have 38 cases that are pending currently with the chief. we did outreach this week for mlk. dpa hosted a virtual panel discussion and it involved members of my staff and our outreach coordinator and the moderator and help panelists from my legal team, and also from my legal team and outreach team for community organizations. we have, on tonight's calender, two cases that are in closed session just as a flag for the rest of the commissioners.

and that concludes my report. >> president cohen: let me see if there are any questions. colleagues, any questions for director henderson? >> i don't see any. >> president cohen: all right. let's continue moving forward. next item. >> commission reports. commission reports will be submitted to a brief description of activities and announcements. commission discussion will be limited to determining whether to calender any of the issues raised for future commission meetings. commission president report, commission's report, commission announcements and scheduling of items identified for consideration as future commission meetings, action. >> president cohen: all right. commissioners, we'll start with you. a few of you have been very busy. do you want to report out? >> all right, mr. hamasaki i see your name first.

>> thank you. it's been a busy week. i don't know why she madam vice are grinning so broadly but myself, commissioner elias and commissioner brookter attended a preview presentation to center for policing equity which was very interesting how to refine the report. we're not aware of they have signed an m.o.u. to the department regarding future work and that is something that i think the commissioners, we were interested in learning more

about and this has been an ongoing challenge learning about agreements and the department has entered into m.o.u.s and i think there's -- i believe they are in our purview and so, i would like to understand that better. that's it. >> all right. commissioner brookter. >> thank you, president cohen. also i wanted to give you an update that commissioner hamasaki and i had our ninth meeting with the working group for djo7.01. so members of the public and the commission that were really working to push that dgo forward to bring it to the commission and back to the public and i also just had a statement. i think before we got into covid, i was backing as a

liaison for the commission and for my colleagues, working alongside d.p.a. so i wanted to get that in the record. we get our meetings back on the calender to continue to have that dialogue and be that liaison with d.p.a. >> great, i look forward to. >> president cohen: all right. commissioner elias. >> i was smiling because commissioner hamasaki jumped the line. i think commissioner brookter was first. >> president cohen: i'm sorry. >> i do that from time to time. >> exactly. >> commissioner dejesus was perhaps in front of me as well. [laughter] >> president cohen: hold on. i'm going to get to petra, ok. commissioner dejesus, please --

>> so, commissioner brookter and i met with the chiefs and others regarding the -- we haven't had our d.g.o. regarding awards to officers. so, we have this d.g.o. that is going to come before us to approve. we have this committee that is set up to review it and we met and we're not done and we have to meet again. what started is a new process to meet with the chief and others to go through these and then when they come in front of the commission, they've been screened by a couple commissioners. the d.g.o. itself has to be amended accordingly. i wanted to report on that. >> president cohen: all right. that's good. it's good to know. commissioner elias, you are up. >> thank you president cohen. i think that if commissioner hamasaki covered my updates so thank you. [laughter] >> that's funny.

hamasaki covers everything for everybody. >> president cohen: ok so, i don't have much to report on. hopefully i'll have more next week in terms of policy suggestions. i would like to ask the chief if any review has been conducted on the sfpd twitter links and other social media platforms to determine whether or not there's been any similar linkages between sfpd and the activities like -- well, let me back up. i'd like to ask if there's a review on the connection on twitter between the san francisco police department tenderloin twitter account and congresswoman bowbert there was an interesting report about the connections following her -- you might recall congresswoman

bowbert was the one tweeting the whereabouts the speaker pelosi. if there is an investigation, let me know. if there's not, i would just like to know. the curiosity. i'm curious. >> yes. that is being reviewed and i don't have anything to report but it's being reviewed and looked into. >> so upon completion. >> the question you asked about the tenderloin and the congresswoman. >> that's right. so upon review of this connection, i'd like you to bring it to the commission. again, to satisfy my curiosity. i don't think that's out of line or in violation of anything. >> yes, commissioner, we can do that. we will do that. >> president cohen: all right. i appreciate that.

it's a pretty disturbing link and a curious one. are you still investigating officers that may have participated in the. >> they were not involved in any of the washington activities and we talked to our federal partners here connecting the criminal investigation but there's a federal criminal investigation going on. our federal partners here have advised me there's no indication of any sfpd personnel. we haven't gotten any word or rumors that any of our personnel were involved in any of our members were involved so, at this point, there's no indication at all that any of our members were involved in anything that happened in d.c. and in particular, the criminal activity there was no indication

at all that any of our members were involved in that activity. >> president cohen: i'm very pleased to hear that. did you ask directly or is this just kind of an informal -- [please stand by]

>> commissioner hamasaki: so that's a suggestion that i raised with the chief, and i would encourage that it be implemented. i was trying to think of a way that would be more -- less confrontational, and this seems like it would be more of an invitation to identify yourselves and, you know, as law enforcement officers, anybody who is in the presence of criminal activity would want to aid in an investigation, so i'm making that request tonight, and i think it should be acted on. thank you, madam president. >> commissioner cohen: no problem. thank you for making that in the record.

all right. let 'continue moving forward, sergeant reynolds. please call item number 5. >> clerk: we have public comment on-line item 3-c, so any caller who is interested in speaking, please call 415-655-0001. enter access code 146-806-8536. press pound, and then press pound again or dial star, three. okay. looks like we have a couple callers. >> commissioner cohen: okay. >> clerk: caller, good evening. you have two minutes. >> yes. i am somewhat concerned about, you know, i think the police department has a lot of things on its hand, and i wonder if --

why it's do being things like notifying the f.b.i. about peaceful demonstrations. that seems a little bit like an overreach when we have things like open air drug dealing and cars being broken into, and my neighbor had their house broken into in broad daylight, and so why you're worrying about peaceful demonstrations that might have remote link to, you know, right wing activism, that's kind of concerning. and so -- and why is the san francisco police department involved in the investigation

into congressman boebert because what? she's from colorado and pelosi is in d.c., so i don't know why san francisco has anything to do with it unless twitter is based in san francisco. so is the san francisco police department going to get involved in every single case of harassment that's involved in twitter because that seems like a lot of work for san francisco police department when people's houses are getting broken into in broad daylight, so yeah. i feel like the police department really needs to focus its priorities and not turn into some sort of surveillance tool, so yeah. thank you. >> clerk: thank you, caller. good evening, caller. you have two minutes.

>> good evening again. this is miss paulette brown. i was giving the case number to my son's case for his homicide for the $250,000 reward and for the capture of the perpetrators that murdered my son, and that case number is 060862038. if anybody knows anything of this case concerning my son, even though it's been many years, and it's a cold case, i would love them to call in. the perpetrators that murdered my son -- and i got this from my homicide inspector a little bit after my son was murdered when i walked into the room and had to view the books if i knew any of those perpetrators.

and the names of those perpetrators are thomas hannibal, thomas moffatt, jason thompson, anthony hunter, and marcus carter. one of them is deceased. hannibal is still walking around. he was the one bragging about murdering my son. paris moffatt is still walking around. these are the perpetrators on my son's posters. they shot him because they were walking up to see someone else, and he said something to them. we don't want to wait until it hits our home before we open

our mouth because our silence is continuing to kill us, so we want to do something about it. >> clerk: thank you, caller. good evening, caller. you have two minutes. >> good evening, thank you. this is starchild again, chairman of the libertarian party of san francisco, but i thank commissioner hamasaki for following up on my comment. locally, the departments often can't get away with doing this themselves. basically, the feds do it for them, and then, the locals get a cut of the proceeds, so it's still prioritizing crimes and property fees for law

enforcement. this is according to ij.org. individual cash forfeitures are individually usually small, usually a few thousand dollars. more than that, the data show quite often makes little economic sense for property owners to fight. the cost of hiring an attorney to navigating complex civil forfeiture processes often outweighs the value of seized property, and there's been many, many documented cases of horrible abuse like loaning someone else their car and that person commits a crime, and then, the car is seized even when the crime is something, you know, very minor, so you would encourage commissioner hamasaki or one of the other commissioners to indeed follow up and agendize this item for the next meeting. i think there ought to be an

audit. if the commission doesn't know how much money is coming in from being seized, they ought to know, and yeah, something is drawing increasing attention to many states, but yeah, it's a lot of -- >> clerk: thank you, caller. president cohen, it looks like that concludes public comment. >> commissioner cohen: was there anything else on this agenda? next line item. >> clerk: next line item number 4, presentation of the sfpd audit of electronic communication devices for bias, fourth quarter 2020. reminder, there is a ten-minute limit for presentations. >> president cohen, it's good

to see you. >> commissioner cohen: likewise. how are you? i'm sorry to interject here. i just wanted just to give you the rules of engagement. ten-minute presentation. >> i'm going to do it in under ten minutes. >> commissioner cohen: you're going to make my night.

>> -- concerning the use of communication devices in systems. there are three. number one, department general order 10.08, use of computers in peripheral equipment, number two, department bulletin should be department notice 19-051, which is titled sfpd members expectation of privacy, use of computers, peripheral equipment, and facilities, and finally here within the risk management office, specifically, the internal affairs division, we have a unit order 18-02 that speaks to actually the audit process. it is important to note the audits are limited to devices the department owns and not any member personal devices. the audits do capture electronic messages that are captured from department devices to personal devices. there are three items, and they are as follows.

level two, the california law enforcement telecommunications systems, most commonly referred to as clets within the department, e-mails, and text messaging of department-issue cellular phones. beginning with clets, a program was established that investigates all messages in the system using a word list, and we use the same word list across all three mediums. the system is passive and runs continuously. if a member uses one of the flagged words, a hit is automatically generated and is sent to level two personnel. each hit is printed, scanned, and saved to a file. the level two audit process has been fully operational since

december 2016. we're starting our fifth year. so the fourth quarter results. from october 1 through december 31, there were 49 hits involved in the program, and after investigation, none of the hits were determined to be bias oriented. second system, e-mail. all e-mails received both externally and internally in the system is scanned. if the e-mail contains a hit word, it's sent to investigative personnel. staff analyzes every hit, and those determined to be potentially biased are investigated. so our fourth quarter results. again, from the period october 1 through december 31, there

were 222 hits returned by the program, and after review by i.a.d. members, one of the 22 hits was determined to be bias oriented. we have opened an investigation into this matter. our third and final system, messages via department-issued cellular phones. audits of messages sent and received externally and internally are conducted by i.a.d. every 30 days, a search is done of all text using the established word list. additional terms can be used, as well. staff analyzes every hit to determine the context in which the term was used. those hits determined to be potentially biased are investigated, and all false positive hits are saved by

at&t. for the period october 1 through december 31, there were 33 hits returned from the program, and again, after review by i.a.d. members, none of the 33 hits were determined to be bias oriented. that concludes my presentation. >> president cohen: wow. that's a really good time stop -- job, commander. >> thank you. >> president cohen: let me see if my colleagues have any questions. i see no names in the chat. colleagues? okay. it doesn't look like we have any questions. >> clerk: we have one card for public comment. >> president cohen: yes, please. >> clerk: good evening, caller. you have two minutes. >> good evening, president

cohen, commissioners, police chief scott, and director henderson. i was surprised to find that it actually returned a hit. digging deeper, i found that it's been more than four hit -- found that in the more than four years of audits, there were only five hits. they sound more like a substantive error than a statistical finding. why does sfpd continue to invest in this test when it doesn't provide any meaningful way to probe for bias, and why is the commission allowing to waste the time for bias instead of investigating officers social media profiles for bias? the public loses confidence that bias will be rooted out just hidden behind the thin

veil of confidentiality. if we take the view seriously that bias has no place in sfpd, more needs to be done to find out how to root out bias. the commission should establish a working group off a plan of action to -- or a plan of action to replace this clearly limited audit. thank you. >> clerk: thank you, caller. good evening, caller. you have two minutes. >> good evening. thank you. this is starchild again with the libertarian party. i would like to echo everything the previous caller just said. i think he made some extremely cogent comments both about the lack of findings and the waste of time that this seems to be

taking place under the current method of auditing of social media. i was wondering if there's any kind of audit of how police are using things like stingray devices that mimic cell phone towers, basically spying on people's phone calls, whether it's the actual phone calls or just the geolocation, whether there may be those kinds of items being used in a biased manner, and i think that's maybe a question for the commissioners or chief. if the commissioners don't know the answer to that, i'd be interested to know if there's anything going on with regards to that. another thing would be electronic license plate readers that would be tied to a vehicle or specific location. when bias is uncovered, i think

it's vital the public get to know those details. officers shouldn't be able to hide behind the confidentiality or qualified immunity or whatever it gets called in a particular instance. we need to know who the misbehaving officers are, and that needs to be public. thank you. >> clerk: thank you, caller. good evening, caller. you have two minutes. good evening, caller. you have two minutes -- oh, looks like they're gone. that concludes public comment, president cohen. >> president cohen: all right. thank you. thank you to the members of the public that have called in to

this evening. is there any other business before this committee? >> clerk: president cohen? >> president cohen: yes. i asked if there's any other business before this commission? i asked if there was anything else on the agenda. >> clerk: yes. line item 5, presentation of the sfpd fdrb findings and recommendations and o.i.s. investigative summaries, fourth quarter 2020, discussion. >> president cohen: great. thank you. >> good evening, president cohen.

should i proceed? >> president cohen: yes, please. the floor is yours. thank you. >> good evening, president cohen, vice president elias, commissioners, chief scott, executive director henderson, and members of the community. greg gee, the chairman of the firearms commission and the firearms discharge review board. so in fourth quarter 2020, the firearms discharge review board reviewed the following officer involved shooting, o.i.s. 20-0001. on april 12, at approximately

5:45 in the morning, san francisco police sergeant just finished his tour of duty and was on his way home. prior to going home, the sergeant stopped at the chevron station located at -- [inaudible] >> -- in south san francisco to fuel his vehicle. while fueling his vehicle, he heard a scream of help me, help me. he looked over and saw a vehicle parked in the first row of pumps. he did not see anything or anyone and continued to fuel his vehicle. a few seconds later, the sergeant heard a second loud scream and believed there may be a possible domestic situation or some type of assault that was in progress. the sergeant ran to the driver's side of the vehicle parked in the first row of pumps. he observed a person on the ground face up with their feet still inside the vehicle and 1 foot was barefoot, covered in

blood. the sergeant observed a second person, later identified as the suspect, was on top of the person on the ground. the sergeant, not knowing what was going on, yelled "stop, knock it off!" the suspect backed up and took a few steps back. the suspect struck the officer in the face. the officer drew his weapon and ordered the suspect to get down on the ground. the sergeant pulled out his star and identified himself as a police officer. the suspect said i don't give a [bleep] about your badge. the sergeant ordered the suspect to get on the ground, but he did not comply. the sergeant holstered his weapon since he did not see a weapon in the suspect's hands. he continued to give orders to

the suspect to get down on the ground and that he was under arrest. the suspect did not comply and the sergeant attempted to walk backwards in an attempt to deescalation the situation and create time and distance. the sergeant focused attention back on the suspect and observed a box cutter in his hand. the sergeant drew his firearm again, and as the suspect continued to walk towards him, the sergeant continued to give orders to drop the weapon and get down on the ground. the sergeant warned the suspect he would be shot if he did not follow orders. the suspect did not comply and continued to advance. the sergeant, fearing for his life, fired his firearm one time, striking the suspect in the abdomen. the suspect fell to the ground but continued to try to get up with a box cutter in hand. the sergeant made his way back towards the cash register window and asked if they could call the police. the suspect, after being shot,

continued to try to get up. sergeant continued commands to drop the knife and stay on the ground. after several minutes, the south san francisco police department arrived. the suspect, now on his feet, approached south san francisco police officers with the box cutter still in hand. they ordered him to drop the weapon, but he did not comply. the suspect was tased by south san francisco police department three times and still managed to get up. the suspect stole a south san francisco police car, and the south san francisco police department pursued the suspect. at the termination point of the pursuit, an officer involved shooting with the south san francisco police department occurred, and the suspect succumbed to the injuries. the sergeant remained at the scene and provided aid to the suspect. the suspect and the sergeant were referred for injuries.

after review, the san francisco police department determined that this incident was in policy. the status of o.i.s. investigations. currently, there are nine o.i.s. investigations pending, and they are active investigation -- and there are active investigations underway. currently, there are five death investigations that have active criminal or administrative investigations underway, and that is the conclusion of the report. >> president cohen: thank you very much for your presentation, deputy chief. colleagues, are there any

questions? this is the first time i've heard of such a report. what happens? you report the finding and then what are the next steps? >> there are no next steps. the recommendation is made to the chief of police. chief scott will then either concur with the findings or he will not concur or he could send it back for any further review. >> president cohen: i appreciate that. thank you. all right. seeing no other questions -- >> clerk: madam president, there's no public comment pending. line item 6, presentation of the sfpd's family code 6228 quarterly report, fourth quarter 2020 discussion. >> good evening, president cohen, vice president elias,

commissioners, executive director henderson, chief scott, and members of the public. my name is captain david falzon. as a result of a police commission working group, we present quarterly to outline our progress as far as our timeliness to response requests relating to family code section 6228. during the last quarter, october, november, december, we had 95 requests for 6228. all other requests exceeded 7,000. the -- i'm pleased to announce that of those 95 requests, all 100%, 95 of the requests were fulfilled within five days,

which was our goal when we set out to do this working group, so we're well within that commitment. i would also point out that i think this is particularly rewarding for the staff and quite heartfelt. the bulk of our requests now came from victims. 75 of those requests came from victims, so i think it speaks volumes to the relationship we're building with the public. on a side note, i did want to extend a thank you to vice president elias. during the month of december, she was kind enough to stop by our unit, and we brought everyone together. and i cannot stress enough how much we appreciated her visit. i think staff was quite surprised that she was so well informed with the work they were doing and the importance of it, and i just want to send a special thanks to her. i think often -- i think the staff doesn't really think that everyone's watching this and

the importance of the work that they're doing, so vice president elias, a special thank you to you. but in closing, i'd just like to reiterate that we did meet 100% compliance, and i think if we take a great reflection of where we were a year ago today, we've come leaps and bounds. i'd just like to thank those supporting us. we have a public-facing system that the public is now using. we're consistently seeing requests increase. this last quarter, we were up to 65 requests through the website, so i really think -- which is now the number one way to request a police report from us. so it's efficient, and not only is it efficient, it documents the entire process. so we know when the request comes in, we know when they sent it, we know when we

processed it. i think that symbolizes great accountability, so that is my report, and i'm happy to answer any questions. >> president cohen: i'm going to see if commissioner elias has any questions. >> vice president elias: thank you, president cohen. i don't have a question, but i wanted to extend a thank you for captain falzon for his leadership in this department. when i was able to visit this department, i was able to view all the great work that your department is doing and have a great conversation that led to the great work that your department is doing, and the turnaround time. it's really great to see the turnaround times, especially for victims who have already suffered and been the victims of trauma, and they come into contact with your staff. and mind you, this department is only working at 50% capacity physically because they have to

rotate in and out of the office because of covid. and even with that restriction, they're able to turn these requests around in days. so thank you for your leadership, captain falzon. thank you for the great work you're doing, and please extend that to the staff and i appreciate all the hard work they're doing. >> very much appreciated. no, you're always welcome as is any other commissioners. we're doing great work down here, and we'd love to share it with you commissioners. thank you very much. >> president cohen: all right. thank you. seeing that there are no other names on the roster, sergeant reynolds, please call the next item. >> commissioner hamasaki: sorry. president cohen, this is commissioner -- >> president cohen: oh, yes, commissioner hamasaki. >> commissioner hamasaki: thank you, and i just wanted to join

in commissioner elias' praise of the unit. commissioner elias and i were present when the domestic violence officers presented before the commission about the difficulty that domestic violence survivors were having in getting the reports. it was amazingly productive. we had a little bit of issues at the end, but we got to this point, and i'll say there was a great, great buy-in from the members of the department. to go from that -- you know, it was a real -- people were very hurt and upset because, you know, survivors need these reports in order to get restraining orders, and so there was a lot of -- it was a very emotional process to get to this point and to have this

report. i just wanted to say congratulations, and this is a really great work that you're doing for the community. i'm really just proud to see this -- this got -- get to this stage, to thank you again. >> thank you, commissioner hamasaki. and i've got to say, you know you were originally part of our original group. i just have one other comment. i think what you helped, and commissioner elias, was make contact with the human being. you nailed it. the people have already been victimized, and the staff truly gets that. i don't know if they got that in the past, but now, they truly get that connection, and the relationship that they've been able to build with those victim survivors. this was a cultural shift. the software is great, but it's only as good as the people running it. this is a credit to my team

here, the supervisors. again, commissioner elias right -- coming prior to christmas was really the icing on the cake for us. they hear from me all the time that everyone is watching, but having one of you walk in unannounced was pretty awesome, and it was great for the staff. thank you. >> commissioner hamasaki: thank you. we're all excited when commissioner elias shows up anywhere. >> i agree. i feel the same way. >> commissioner hamasaki: thanks again, captain falzone. >> president cohen: thank you. i wish people were excited. >> i'm excited. you know i am. >> vice president elias: no, i had a great time. thank you. >> president cohen: great. we'll deploy commissioner elias to the p.o.a. i'm sure they'll be excited to see her there, too. >> good choice. >> president cohen: all right. i'm kidding, tony. please don't text me or call me tomorrow. sergeant, what's next on the

agenda? >> clerk: we now have public comment. the public is welcome to call in and press pound, three or dial star, three to make public comment. looks like we do not have any callers for public comment. so the next line item is line item 7, public comment on all matters pertaining to item 9 below: closed session, including public comment on item 8, vote whether to hold item 9 in closed session. >> president cohen: any public comment? >> clerk: no, ma'am, there's no public comment. >> president cohen: okay.

all right. well, let's call the next item. >> clerk: line item 8, vote on whether to hold item 9 in closed session. san francisco administrative code section 67.10, action. >> commissioner hamasaki: so moved. >> president cohen: all right. thank you. a motion moved by commissioner hamasaki, seconded by -- >> vice president elias: second. >> president cohen: -- by commissioner elias. and can we take that same house,

>> there's a new holiday shopping tradition, and shop and dine in the 49 is inviting everyone to join and buy black friday. now more than ever, ever dollar that you spend locally supports small businesses and helps entrepreneurs and the community to thrive. this holiday season and year-round, make your dollar matter and buy black. >> we are providing breakfast, lunch, and supper for the kids. >> say hi. hi. what's your favorite? the carrots.

>> the pizza? >> i'm not going to eat the pizza. >> you like the pizza? >> they will eat anything. >> yeah, well, okay. >> sfusd's meal program right now is passing out five days worth of meals for monday through friday. the program came about when the shelter in place order came about for san francisco. we have a lot of students that depend on school lunches to meet their daily nutritional requirement. we have families that can't take a hit like that because they have to make three meals

instead of one meal. >> for the lunch, we have turkey sandwiches. right now, we have spaghetti and meat balls, we have chicken enchiladas, and then, we have cereals and fruits and crackers, and then we have the milk. >> we heard about the school districts, that they didn't know if they were going to be able to provide it, so we've been successful in going to the stores and providing some things. they've been helpful, pointing out making sure everybody is wearing masks, making sure

they're staying distant, and everybody is doing their jobs, so that's a great thing when you're working with many kid does. >> the feedback has been really good. everybody seems really appreciative. they do request a little bit more variety, which has been hard, trying to find different types of food, but for the most part, everyone seems appreciative. growing up, i depended on them, as well, so it reminds me of myself growing up. >> i have kids at home. i have six kids. i'm a mother first, so i'm just so glad to be here. it's so great to be able to help them in such a way because some families have lost their

job, some families don't have access to this food, and we're just really glad to be >> good morning, welcome. i'm michael lambert, your city librarian. on behalf of the library commission, we're so delighted that you could join us today for this important announcement. i would like to acknowledge our library commissioners that are present, teresa, tanya, pete, john, and dr. lopez. thank you all for being here. madam mayor, welcome. we are so honored that you could

participate in this event. we appreciate your leadership of our city and we are super excited about your announcement today. with that, i will invite you to get us started. maybe i was premature on that. oh, there she is. [laughter] >> did we start already? [laughter] >> i was just welcoming you and thanking you for honoring us with your presence and your leadership. we're super excited about your announcement today. with that, i invite you to get us started. >> all right thank you michael. i appreciate that. good morning everyone. i'm really excited to share some incredible news. as you may know, before i was

mayor and even before i was on the board of supervisors, i served as the executive director in the western edition. i saw how deeply important arts are and in creating a vibrant and diverse community. believe it or not, i used to sing in a choir, dance, and perform, but i was not the best at it. however, the arts connects us to one another. it bridges the gap in our culture by helping us understand each other. they are how we express ourselves during our brightest and happiest moments, and sometimes some of our darkest ones. for people of all ages, arts and culture can help us navigate a world that can be confusing and strange. they can also provide opportunity not only for jobs and income, but for people who are in under served communities to find their voices and to make sure they are heard. that includes the role of our city's poet laureate.

since lauren was made our first poet laureate in 1998, this prestigious honor has showcased san francisco's finest poets from many diverse backgrounds. their work has reminded us how it means to be a san franciscan, it reminus -- reminds us of our diversity and calls attention to our most pressing issues and inspires us to create a more equitable and just society. it inspires young people to search for their voice in a way that may not have -- that they may not have thought was possible before. it opens doors of opportunities for them to pursue their dreams. that is why i'm so excited today to announce our eighth poet laureate. before we get to the big announcement, i would like to

thank and recognize our outgoing poet laureate kim shuck for her imcredible service for our city. she represented our city beautifully through her work and has given her time over the past few years to serve our community. whether teaching at the local colleges, universiies and public schools or helping the library launch their first ever american indian initiative, kim on behalf of the city and county of san francisco, thank you for your service and we would be honored if you close out your tenure with one last reading as poet laureate. >> thank you mayor breed. there we are. i do have a poem. it's called san francisco has a new poet laureate.

pick any bench, stoop, any fourth star in this city or over it. sit quietly, you'll hear the water of time. keys rattling, heart and innovation, war and colonization that only grows on the south side of that mountain right there. you'll hear the poetry of place, popsicle sticks scratching on the curb, jump rope songs, chess moves and love curses. every night in some back room, the future and past in autopsied words, gorilla words shouted at unsuspecting somewhere in north beach. the skyline mutters poems that have been and poems to come. if you stand at the cafe's door too long, you will hear what they choose to call in this moment a poem. old wives tales along valencia,

you can hear the purring of fog as they pass through, the paintings comment quietly on every new show and if your hearing is very good, ambrose's dictionary runs on a certain bar on a certain bar stool and the faint laughter from one of sam's jokes will still grind breath. victims in more languages that you can see, and the unbound seat 3. there are songs of varying and unbaring to found all over the richmond, every bench, every head stone under the sand. paula talks stories at state, at tables and cafes that turned to bars. john's words rattled justice and the voices of those taken in captain jack's war has made them into their own songs too. there is an eighth poet laureat

of san francisco and with the title comes more wealth and words than all the great libraries that have ever been. i would like to add that you will hear a lot about honor and responsibility. there are a couple of tricky things. one of them is that people will steal your pens. i had some pens printed up. i'm not going to say what they say and i don't think they will prevent your pens from being stolen, but they will raise the value of their resale on ebay. i'm going to share with you just very briefly what dr. jose said to me a couple of days after i was named the seventh poet laureate. he said that everything you have done up until this point got you here and none of that will matter. what matters now is what comes next. have a great time and you do know where my kitchen table is when you want to hide. take care.

>> thank you so much kim for that amazing poem. thank you for representing san francisco so well over the past few years. we look forward to seeing what comes next for you. now, it is my great honor to announce our eighth poet laureat. i had the privilege of knowing this individual for many years as he worked and volunteered at the african american art and culture complex. he has mentored men young men and women that came through our doors and taught them how to find their own vote and make themselves heard. his poems are just one of the many ways he fights for racial justice, equity, and human rights. he has shown our community what it means to be a successful poet, as a black man from san francisco. we are incredibly proud of the work he has done so far, especially his commitment to inspiring black men and boys and providing support for young

people in our community. he will continue the work that our ancestors did as they fought for their own voices to be heard. i am beyond excited to see what he accomplishes as the san francisco's eighth poet laureate. i am happy to present tongo martin, the eighth poet laureate. >> thank you madam mayor for this incredible, incredible honor. i prepared some words that i hope i make it through. i'm already filled with tears. >> i'm going to let you have the floor, it's so great to have you. thank you for all the magic you created over the years. as i said earlier, when we work

together at the complex, there were a lot of challenges, especially with our boys and we had unfortunately a lot of violence in the community and just seeing you as this literary figure and inspiring these young people to look at other ways besides, you know, being out in the streets and doing stuff that was happening then, focusing on how poetry, how music is poetry, and how they can really shift their voices to tell their own stories. you brought that to their lives and i know they continue to carry it with them today. so, you have been an inspiration for so many years, directed at so many generations of people. i'm so grateful that you accepted this honor so now i want to turn the floor over to you so that people can know who you are.

if they don't know, now they know. we're looking forward to the work that we know you're going to do to make san francisco proud. so the floor is yours tongo. >> thank you. thank you very much. incredibly humbled and honored. also, deep appreciation to the selection committee. i want to send love to my mother and brother as i am only an extension of their love, imagination, and revolutionary commitment, love to my two powerful sisters and the whirlwind that has nothing on us, love to my family above mud and lava, love to my father and the rest of the village that is not here in the physical form.

i would also like to thank kim shuck for being a leader of poets and beautiful force of the people. a poet of any station is secondary to the people. a poet of any use, that belongs to the energy and consciousness of the people, one of arts most important incarnation is that expression of mass resistance but really what art teaches us with its dominantable energy, the indominantable energy of an idea is evident that it is oppressors themselves who are in the position of resistance. it's bigger than any

imperialistic, cognitively reflected in any generation. the power is ours and it is oppressors who are resisting us, resisting humanity, resisting us pretty well. it's resisting our right to determine our reality, resisting a coming epoch of liberation. mass participation in art is what is always created in san francisco, futurism. san francisco has legend too fearless for me to count myself as one of them. i am from this legendary collection of thousands and thousands of participants, revolutionary history and culture. i'm proud to be one of the anonymous thousands in san francisco who have road these

buses all night, who has been raised in marcus's bookstore, who wants justice for mario woods and alex, who wants freedom. what the people taught me is that unity is the only thing and taught me that individualism, as it is practiced and codified, romanticized in this society is not really about your adventure through life but at its core, unfortunately, individualism is about practicing the selective humanization. other people are only human beings when it suits individual interest. civilism of sorts, that is deeply connected to slavery, both from what the society evolved from and process that addicts you to and power

struggle that alienates ourselves, and at no point do we find the dehumanization of other people, the deanimation of people acceptable, are let alone necessary for an individual journey. so as much as i would love to assign the rest of my days to an individual invention, that time is over. history is heightening, showing us more and more everyday that we're part of people, a people beyond systemic description, and we need the entire pallet of protecting human rights and nurture human curiosity. the madness we see today shouldn't be surprising. these apartheid nativity scenes come home to roast and a

capitalism in crisis, what is mixed in with the parole papers and the environmental racism and program deliverables and passivism. we're in a time of epochal shift where this is opening its arms if we don't open the historical process more critically. where do we go from here? what is our revolutionary practice or more conveniently, it begins with cultural work. it transforms the way that we relate to each other, transforms the way we relate to the earth, to a way that is conducive to liberation. a poet belongs to the energy and consciousness of the people, respecting their spirit.

my only aim as poet laureate is to join with that energy, join with that consciousness in order to create vehicles of unity. events, workshops, readings, publications, these are all just vehicles of unity. i will never tire in building as many as the city can handle. so, meet me at the library. [laughter] >> if you can't make it, i will for sure meet you wherever you are. let me now say rest in power to cure junior and diane, and i will conclude with this poem titled faithless. a tour guide, through the

robbery, he also is. cigarette stand, look at what i did. ransom water and box spring gold, this decade is only for accent grooming, i guess. ransom water and box spring gold to corner store, war gangs, all these rummage junk. you know, the start of mass destruction begins and ends in restaurant bathrooms as some people use and other people clean. are you telling me there is a rag in the sky waiting for you? yes. we should have fit in. warehouse jobs are for communists and now the whistling is less playful and if it is not a city, it is a prison. it has a prison. it's a prison, not a city. when a courtyard talks on behalf of the military issue, all walk

takes place outside the body. a medieval painting to your right, none of this makes an impression. you have five minutes to learn. when a man goes sideways barb wire becomes the roof. did you know they killed the world for the sake of giving everyone the same back story? watching indiana, fight yourself into the sky, oh penny for when. it goes up and over your headache, marking all aspirations, the first newspaper i ever read and the storefront, they left us down where the holy spirit favors the bathroom. for those in the situation offer 100 ways to remain a loser. watching those clock, what are we talking about again? the narrater at the graveyard, 10 minute flat. the funeral only took 10 minutes. you're going to pin the 90s on me, all 30 years of them? why should i know the difference

between sleeping and the pyramid of corner stores on our head. we die right away. that building wants to jump off other buildings, those are down tone decisions. what evaporated on earth that we can be sent back down? thank you all again, much love. i want to give the whole roll call right now but that's too many. much love to all my family and thank you again madam mayor. thank you. san francisco for better for worse, which you are raised, you know? >> thank you so much tongo. just so you know, the chat is blowing up. there is so much love and excitement for what you will bring to san francisco and i just want to thank you so much.

thank you for the incredible poem and your inspiration and just everything that you continue to do. i look forward to what you will accomplish as our city's poet laureate. i can't wait. it's going to be exciting, especially when we open up. when you talk about meet me at the library, it's like that's your slogan now. [laughter] >> so we're going to take it to another level. that's your slogan, meet me at the library. hitting all the libraries all over san francisco. >> that's right. >> just inviting the people in and really bringing it back to some of the basics. you know, with the way technology is nowadays, sometimes we get away from just picking up a book or picking out a book or looking through an index card. i guess we don't look through index cards to find books anymore. sitting there and having discussions, i'm looking forward to what you're going to bring

and really excited about that. i really want to thank the people that nominated you. you know, there was a really compelling, you know, letter of support that you know, went into all the details about your work. you have a lot of fans out there. i want to thank the selection committee, the people who served and had to go through all of those applications because i got to tell you, it was a hard decision and i was so excited that so many people in san francisco, you know, really embraced and support poets in such an incredible way. there are so many wonderful nominees. i'm looking forward to you connecting with all of them as well and really the outgoing poet laureate kim shuck, thank you for that poem and your commitment to san francisco and the role you have played over the years. thank you to san francisco public library and the commissioners who are joining us here today and our librarian, michael lambert.

so many amazing people and i think that based on your comments today, meet me at the library, that's going to be a new part of the campaign to really bring people together, to inspire and to really you know, set things off on a whole other level. thank you tongo for your work and commitment. we're so honored that you will be san francisco's eighth poet laureate and if there is anything left to say, you're welcome to have the floor. if not, we can turn it back over to michael lambert. >> i just want to say much love and appreciation. >> great. >> thank you so much madam mayor. my heart is full, #meetmeatthelibrary. congratulations tongoo. i want to thank all of you for joining us this morning. our public affairs office is happy to help facilitate any

interviews with our new poet lawyer -- laureate, thank you all and have a great day. [♪♪♪] [♪♪♪] san francisco is surrounded on three sides by water, the fire boat station is intergal to maritime rescue and preparedness, not only for san francisco, but for all of the bay area.

[sirens] >> fire station 35 was built in 1915. so it is over 100 years old. and helped it, we're going to build fire boat station 35. >> so the finished capital planning committee, i think about three years ago, issued a guidance that all city facilities must exist on sea level rise. >> the station 35, construction cost is approximately $30 million. and the schedule was complicated because of what you call a float. it is being fabricated in china, and will be brought to treasure island, where the building site efficient will be constructed on top of it, and then brought to pier

22 and a half for installation. >> we're looking at late 2020 for final completion of the fire boat float. the historic firehouse will remain on the embarcadero, and we will still respond out of the historic firehouse with our fire engine, and respond to medical calls and other incidences in the district. >> this totally has to incorporate between three to six feet of sea level rise over the next 100 years. that's what the city's guidance is requiring. it is built on the float, that can move up and down as the water level rises, and sits on four fixed guide piles. so if the seas go up, it can move up and down with that. >> it does have a full range of travel, from low tide to high tide of about 16 feet. so that allows for current

tidal movements and sea lisle rises in the coming decades. >> the fire boat station float will also incorporate a ramp for ambulance deployment and access. >> the access ramp is rigidly connected to the land side, with more of a pivot or hinge connection, and then it is sliding over the top of the float. in that way the ramp can flex up and down like a hinge, and also allow for a slight few inches of lateral motion of the float. both the access ramps, which there is two, and the utility's only flexible connection connecting from the float to the back of the building. so electrical power, water, sewage, it all has flexible connection to the boat. >> high boat station number 35 will provide mooring for three fire

boats and one rescue boat. >> currently we're staffed with seven members per day, but the fire department would like to establish a new dedicated marine unit that would be able to respond to multiple incidences. looking into the future, we have not only at&t park, where we have a lot of kayakers, but we have a lot of developments in the southeast side, including the stadium, and we want to have the ability to respond to any marine or maritime incident along these new developments. >> there are very few designs for people sleeping on the water. we're looking at cruiseships, which are larger structures, several times the size of harbor station 35, but they're the only good reference point. we look to the cruiseship industry who has kind of an index for how much

acceleration they were accommodate. >> it is very unique. i don't know that any other fire station built on the water is in the united states. >> the fire boat is a regional asset that can be used for water rescue, but we also do environmental cleanup. we have special rigging that we carry that will contain oil spills until an environmental unit can come out. this is a job for us, but it is also a way of life and a lifestyle. we're proud to serve our community. and we're willing to help people in any way we can.

>> good morning, everyone. the meeting will come to order. welcome to the wednesday, january 20, special meeting of the public safety and neighborhood services committee. i'm supervisor gordon mar, the chair of the committee. we are also joined by our colleagues. i would like to note that the agenda has included notification that we could have a quorum of the board of supervisors. however, this meeting will in all respects be conducted as a committee meeting. i would like to thank this committee's clerk john carroll and sfgov tv for staffing this meeting. mr. clerk, do you have any announcements? >> yes, i have. thank you, mr. chair.

in order to protect the public, board members and city employees during the covid-19 health emergency, the board of supervisors legislative chamber and committee room are closed. this precaution is taken pursuant to various local, state, and federal order, declarations and directives. committee member wills attend through video conference and participate in the meeting to the same extent as if they were present in the chamber. public comment will be available for each item on the agenda. san francisco cable channel 26 and sfgovtv.org are streaming the public call-in number to speak at this time. your opportunity to speak already available to you by phone. you will dial into our meeting by dialling 415-655-0001. and once you have connect and prompted, enter the meeting i.d. for today's meeting. the meeting i.d. is 146 286 5807. following that, press the pound

symbol twice. when connected, you will hear the meeting discussions but the line will be muted and in discussion mode only. when the item comes up, dial star followed by 3 to be added to the line. the prompt will indicate that you have raised your hand. wait until the system indicates that you are unmuted and begin your comments. turn down the television, radio or streaming device as best practices. everyone must account for time delays and speaking discrepancies between live coverage and public streaming. you may also email me to submit your comments at john carroll and is john.carroll@sgvog.org. if you submit your public comment by email, i will include it as the legislative file. the written comments may also be sent by u.s. postal service to the office at city hall, 1 dr.

carlton b. goodlett place, san francisco. and mr. chair, one final thing, i note that supervisor safai is joining us, and we are now still in panel, but we have presently a quorum with the board of supervisors present. that concludes my remarks. >> thank you so much, mr. clerk. please call the item. item number with. >> agenda item number one is a hearing on the mass vaccination strategy in the city and county including but not limited to capacity, partnerships with the state of californiaened a private health care systems and plans for expansion, and members of the public who wish to provide public comment should call it now. i know i just said it, but will repeat it. 415-655-0001. and enter the meeting i.d. for today's meeting which is 146 286 5807. press pound symbol twice to connect to the meeting.

and then press the star key followed by the number 3 to enter the queue to speak. the system prompt will indicate that you have raised your hand. wait until the system indicates that you have been unmute and you may then begin your comments. >> supervisor: the roll out of the covid-19 vaccine last month is unquestionably the most hopeful and important response to the public health crisis that ease had such a devastating impact on our lives, and it is extremely critical as we continue to cope with another coronavirus surge that is much more severe than before. the first phase of the vaccine distribution is reaching priority populations including acute care and colleagues, like all of you, our office has been hearing from residents about the urgency in rolling this out much more broadly to other vulnerable

groups, essential workers and everyone as soon as possible. this is an incredibly complex undertaking involving coordination between local, state, and federal government with numerous health care provideers and coordinating the overall vaccination strategy and plan locally. we absolutely need this to be a top priority and that is why i called the special meeting because timing is of the essence. supervisor haney, i will turn it over to you for your opening remarks. >> thank you so much, chair mar, for your leadership and co-sponsorship and for urgently

scheduling this meeting. thank you for being willing to have this hearing today and vice chair stefani for your litership on ensuring adequate transparency on the vaccine distribution. i want to thank you everyone who has joined us today and most importantly for all the health care workers, all the city staff, everyone at covid command and really all our residents who have done incredible work and made incredible sacrifices. today's hearing is specifically about san francisco's covid-19 vaccine distribution strategy and rollout. for nearly a year our businesses and restaurants have been shutdown. our students and teachers kept out of the classroom. tens of thousands of san franciscans unemployed and many more struggling to pay rent as

we have all tried to survive this pandemic. people have lost family members and loved ones. they have been separated from parents and grandparents. the health care workers have put themselves at risk taking double and triple shifts to save lives. each day this virus continues to spread unchecked and has enormous immeasurable costs on the physical, mental, and economic being of our residents. and this vaccine is the moment that you bring an end to all of it. this is the last race in many ways. and because of the lives it can save, it is in many ways the most important one. there is nothing more important, and i think that on this we all agrow that the immediate mass distribution of this vaccine as soon as we can secure it to every single san franciscan who needs and wants it. this will take all of us working

together not only the local, state, and federal authorities and thankfully i want to acknowledge a new president and vice president and in the context of this a new partner in washington to work with to get this done. but also public officials, elected official, all of our city departments and also our health care providers. we know that most people in san francisco do not have a health care provider that is the county. and so so we need transparency and coordination together with the other health care provideers. san francisco is one of the early to shelter in place and covid infections here have been at lower rates than most other cities. we have been conducting mass

testing including citywide operations and provided detailed data. with the demonstration of the will and capacity to carry out a mass administration of covid-19 vaccines a vaccine we have known for months was coming. while we understand that # supply and state and federal guidelines may is limit or capacity, we we should have the availability to roll this out in a wide distribution. and how do i ensure that i receive adequate, up to date information? unfortunately t questions of those -- the answer to those

questions thus far have been inawed kwat, sometimes entirely inaccessible and constantly shifting. there are many requires that require improvements and provide a clear information to the residents, and it wasn't until last friday that we announced large vaccination sites and yesterday that we finally released a publicly available dashboard tracking how we are doing. until the middle of the day yesterday, there was no way for san franciscans to sign up for regular updates or information. that system went up, went down, and in some cases sent dozens of text messages or no confirmation at all. there is still no public plan and i hope this changes in the near future for the rollout that i have seen no clear plan for outreach and no way for people to volunteer or help. so far too many of our residents have one of the most anxious, scary, traumatic moments in hair

lives with no clear answers. in many cases they were told to talk to the doctor or provider who turned around and told them to go back and talk to the county. some waited five hours on the phone to be told they couldn't be schedules for an appointment. and with others getting no clear answer at all. we want the immediate supply of the vaccine and not everybody is going to be able to receive it immediately that will lead to a lot of disappointment and frustration. but this cannot be an excuse for us to leave our residents in the dark without answers and because we know a large supply is coming, we have to make sure that we are prepared to get it into the arms the moment we have it. and it is my hope that at today's hearing we can have a clearer understanding of where we are with vaccine distribution and plan to quickly scale up the distribution and outreach efforts and what solutions to bring to address the concerns

and questions that our constituents and residents have. the challenges we are going to face two weeks from now, two months from now, we have to be figuring out and working together on now. and lastly what will happen in today's hearing so my colleagues understand by i turn it over to others who may have introductory remarks is we will hear from covid demand and department of public health. i want to thank the hardworking staff who have been working day and night for the last 10 months to respond to this pandemic. and we are also going to hear from the private provideers and i should say the health care providers because this is a public health epidemic and the county is implementing measures with drastic measures with a dree of coordination and communication needed between the health providers that in many

ways unusual and extraordinary. but we are living in unusual and extraordinary times so for us to get this right, we have to work together. and we have representatives from ucsf, kaiser permanente, dig dignity health and department of public health and the hospital council is also here. they won't present but will be available for questions. our intent here and i want to thank the co-sponsors on this hearing will begin with short presentations, no longer than 5 minutes from the provider who is can detail the current vaccination efforts, and clarity for the patients on how to access the vaccine. there will be questions for the health care providers from the committee and others and mover on to a presentation and questions for the department of public health and covid command center. again, thank you, colleagues, for allowing us to have this

hearing today. thank you to the co-sponsors of the hearing. >> vice chair stefani? >> thank you. thank you, chair mar, for calling this hearing and special meeting. thank you, supervisor haney, for introducing the hearing. i want to begin my remarks by acknowledging just how important this moment is. we know that our residents lives have been devastated this last year. tens of thousands have been unable to work. those who can continue to work are the essential workers and i have a sister who is a respiratory therapist and another sister who is a nurse and the stories are incredible and the safety and welfare is on my mind every single day.

more than 400,000 americans have died. most of us haven't been able to hug our friend or families in nearly a year. and i have said this before to people that i have a father who is in merced and i haven't been able to see since the last health order. and i know how devastating it is for people not to be able to be in touch with their families. >> an i know that everyone feels the incredible burden of that obligation. i want to thank all of you for taking it on. san francisco has had the best outcomes and the lowest death rate. it's not because we got lucky. it didn't happen by accident.

it is really thanks to the incredible work of everyone in this city and i want to acknowledge those working so hard since this pandemic and epidemic city our city and our country. as we look at this virus raging through other parts of california, we have a window into pedestrian on what could have been if we had done things differently. i cannot thank you enough for the work that has been done. so i personally want to thank you, director carroll. i know the frustration with not enough vaccine and i have been briefed by the department of public health. also not knowing exactly how

many vaccines are in the with the vaccine the final challenge and we need to come together to meet it. in the important and incredible day in the spirit of unity and where we are at now is so to disspell misinformation and with a clear path forward to find ways that we can support other supervisors and thank you for calling this hearing. >> thank you, vice chair

stefani. board president walton? >> president: thank you. i will be brief in my comments. thank you for hosting the hearing today. it is very important that the residents know and understand where we are in terms of supply with the vaccine and categories and tiers the vaccine will be available to them. and so i just want to thank you, supervisor, haney and all of the co-sponsors to move the vaccine through the city as soon as possible and as quick as possible to continue to battle this virus. thank you so much, chair mar, for making sure this happens so quickly. >> supervisor: thank you. supervisor safai. >> thank you, chair mar. thank you, supervisor haney for walling this hearing and the co-sponsors. at the end of the day, this is something that the people of san

francisco have been waiting for for a long time. the quicker were coordinate this better, we can move our city, our society, our state and our country back to some type of normalcy. i know for a fact that families that have been the most impacted by this, many of them frontline health care workers and many of them frontline workers in the grocery and food sector, bus drivers, all the essential workers in this city, janitors have been on the front line and never taken a day off. never had one day off in the context of the crisis and lives disrupted like the small business owners who have struggled with the life savings, small lan landlords, renters, and anybody who has had their life turned upside down and is waiting for this information to

be rolled out to have us in a place to move to some type of normalcy. i want to commend the covid command center as many have done already. the equity team within that department that has worked to ensure that those that have been the hardest hit, predominantly the latino community, many of them mono lingual speaking immigrant communities have been the most devastated not just in san francisco but across the state of california. and as a result of that, the san francisco department of public health and the city and mayor coordinated the response of over 5.5 million to open up community response hubs in our most impacted areas. the nine communities. the excelsior and the lakeview, bayview, petero hill, the

mission, and tenderloin hubs have been the glue in identifying new covid cases in the communities most impacted by this covid-19 spread. for nearly a year we have been leaning on these community-based organizations and agencies as part of the testing process. and now that we're moving into mass vaccination, we need to continue to use the expertise and work with the community planning table and cannot allow them to be left out of the conversation. it cannot be an afterthought and we move to mass vaccination and they have to continue to be at the table. each of the community table hubs needs to be involved in the community partners involved in the planning and working with the city agencies. and how to be part and have them be a part of the fixture and part of the mass vaccination.

and use the community to identify and walgreens, c.v.s., and other areas that can participate in doing these vaccinations. and to work with the community hub as a way to communicate and get to these places to move to mass vaccination. and work with specialty pharmacies that have a history of working with the immigrant and undocumented populations. the duty is not just on the department of public health but the covid command center and also on the responsibility of our private sector hospitals as well. ucsf has taken a proactive role and i want to commend them for working with the latino task force and others in the community to be part of the testing process and to learn how to better respond to this. we need more private employers

and i am glad they are here today to be part of this process about how we're going to move toward ensuring that the most impacted areas of san francisco are part of the response and are part of the vaccination process. and my district is in many ways a medical desert. i have some of the largest private home care provider residential senior and outside laguna honda and half of the residents are over the age of 60. and it is imperative that all parties were sensitive to working with the community and the department of public health and have this be a coordinated effort and appreciated the help order that went out and have a plan together and as many of them could have to be done sooner and just be ready for

this in a much more accelerated fashion. but at the end of the day, i want to also acknowledge the president that was just sworn in along with the vice president for the first time the president has to acknowledge through a moment of silence over 400,000 individuals that pass away as a result of covid over the past year. and i know that with the coordination, with the ability of the president and the work that dr. fauci and the c.d.c. have done, we will accelerate the increase of vaccinations, and that is why we have to be 100% ready to distribute it in a fair and equitable manner to ensure that all of the most impacted communities and individuals have access to the vaccine. thank you, mr. chair. >> thank you, supervisor safai. and i know supervisor ronen has also joined this important hearing.

and with the opening remarks? >> just briefly. thank you so much. and chair mar and i want to thank supervisor haney for calling this hearing and finally having a public conversation about the literal race for our lives, which is what this is. we have to vaccinate enough people in a fast enough period and so that the virus doesn't mutate and doesn't become immune to the vaccine and that is no small feat. and i appreciate all of the work of our city leaders to do that, but of course, there are millions of questions that we all have about how we're going to win this race against time. and how we are going to vaccinate people in a clear and equitable way. and i want to note that if we

had a single pair of health care system in the country this would be a lot easier. instead we are distributing vaccine to so many different parties and we don't know how much vaccine is in the city. we don't know, and there are different rules for every single provider that is straited in this vaccine. and it is a bureaucratic mess. and that mess started with and the greatest amount of blame goes to the trump administration who clearly wasn't up to the task. thank goodness to celebrate this day, this glorious day that we finally have a federal administration that i know is up to this task. and that from the feds on down, this process is going to get clearer, easier, more streamlined, etc. and from the feds to the state to the local level, so far it's been a mess. and we need clarity and answers

and we need plans to be able to give clear information to the constituents asking us questions every day and for all of us to know that our place in line is secured and is coming and we have an idea of when it is and a clear place to go and get the vaccine. and we are up to the task and we will accomplish this and so excited to have this conversation to get answers. thank you so much. >> great. thanks. thank you to all the colleagues for the opening remarks and highlighting the incredible importance of this hearing and the discussion that we are having and i want to thank the presenters and from the private health care providers and leadership and d.p.h. and covid command center for the presentations and participation in this discussion.

and i will turn it back over to supervisor haney. thank you, chair mar. thank you, colleagues for all of your comments. i agree with everything that was said. so i appreciate the urgency and generally the spirit of collaboration, and all of us working together to do what we can to make sure this gets done right and quickly. so again, colleagues, we are going to hear first from our health care providers and what i would prefer is we hear from all of them and after their presentation to please go ahead and ask those and so ask questions and provide first and from there to move on to d.p.h. and covid command. first, we have dr. josh adler who is the executive vice

president of physician services from ucfs. thank you very much, supervisor haney and good morning to everyone. let me start by sharing my screen. and i am delighted to be here to talk about ucsf health and covid vaccine program. and could not agree more that collaboration with everyone is necessary to get this substantial and critically important task donement as most of you know, ucsf has been collaborating with san francisco and california throughout the pandemic from laboratory testing from providing testing to all 58 counties in california in the early months and contact tracing by coordinating with d.p.h. and cdph on statewide training program. local testing has been eluded to

and we work together in the mission and bayview, tenderloin, and increasing capacity for in-patients by reopening the healthline hospital which is critically necessary in the most recent surge. and of course, our contributions and collaboration on research anywhere from genetic sequencing and clinical trials with new therapies and of course the epidemiologic studies to identify the health disparities so well known. so turning to the facts about vaccine as of last night and ucsf has administered of those 18,653 were first doses, which is 92% available first doses. and we have also now given about 4200 second doses.

and this slide shows with the supply of vaccine and divided by the two manufactureers and we perceived 9750 doses from pfizer and 22,880 from moderna. and these are designated as first or second dose by the vendor. and i highlighted here just a note that many have heard in san diego and last week and the severe reaction and a lot of vaccine is pulled and has the quarantine throughout the state of california and the ultimate destination for that lot is noted that that is 330,000 doses on hold in the state of

california and ucsf health, that is 8400 doses and we don't know how to use them. and well into phase 1a and toward the end of it we began on december 16. and we have given vaccine to 80% of the health care work force and 20% have received the second dose and moving into phase 1b and the beginning of it and we began on january 15 and as of last night vaccinated close to 1100 patient and been focussing on patients over the anal over the age of 75. and vaccinated a number of ucsf affiliated community health care workers and net 185 received the

first doses and moving on to the second dose and in addition have recently opened up the program starting yesterday to all san francisco health care workers via a web tool and we have got in the first 24 hours 367 scheduled for the first vaccine. so phasing status as i noted, 80% complete first dose in 1a and begin 1b and just to give a bit of scale and my colleagues at the other system wills do the same. just ucsf has a part of the size of the scale downtown that we are facing. and from ucsf is part of the u.c. system and mce or known as a multi-county entity.

which means that we are requested to provide through the u.c. office of the president we provide an estimate of our needs to the office of the president. and the office of the president submits a complete request to the california department of health to the entire u.c. system. and ucsf received the vaccine directly from the vendors based on the cdph distribution. and that's how we have received the vast majority of the vaccine, but i will note that in the days just before and ucsf got the doses via the department of public health and in january, we received 2400 from moderna and based on the urgent request and we had submitted at that time and we are grateful for those doses.

question came about communications and ucsf is using the patient portal my chart to communicate with our patients with patients over 75 thus far have been invited to schedule an appointment using this portal. the portal itself provide information about the vaccine phasing and what phase we are in and what patients can expect next. and information about the vaccine itself and the safety and efficacy and what to expect on the day of vaccination. and is provided on the ucsf public vaccine website. these are the two primary vehicles as far as disseminating information. and i wanted to take a moment to talk about the challenges we are facing and will face together in

implementing a wide and mass vaccine program. why is this different than the flu vaccine? and many know this already, but many may not. and the first is vaccine dose management. and the actual drug itself requires more management than any other vaccine. in particular, this careful attention to thawing the vaccine in a time frame where you know you can get it into a number of patients or people before the vaccine is no longer viable. that takes a fair bit of planning and oversight. second is the fact that we are required with good reason to monitor patients for 15 minutes after the vaccine is administered. this is not part of the flu vaccine in any flu vaccine program. that requires a lot of space and more staff and emergency response team that are not part

of the typical team and program. and third and perhaps most impactful is the second dose and moderna and within 28 days and that does require robust information systems for scheduling and tracking so every person gets the vaccine to not get the second vaccine in the proper time frame as well as getting only the vendor that they got the first time. so a moderna patient must get moderna on the second vaccine as well. just concluding in coordination with sfdph, we have been sharing all the vaccine data via the care system that is the california immunization registry and cool age data and locally with san francisco via the hospital council and where data are shared on vaccines

administered as well as vaccine supply. and then we are very excited to be working together on one of many mass vaccine sites to work with dignity health and organizing and drive through city of san francisco to implement this on friday the 22nd of january. and i just want to finish with a point that's been raised many, many times but a key challenge for all of us has been access to both sufficient but also predictable vaccine supply. one of the key points in planning and implementing the mass vaccine programs is to know when vaccine is coming. that has been a struggle to date. i am hopeful that the new administration will make great strides in making us'dier for all of us. thank you.

>> thank you so much, dr. adler. and before i move to the next presentation, just some quick is verifying questions because i think this will be important to see if there is a different approach across the different provideers. you mention there are some set of moderna vaccines that are now being held back. is that a decision that ucsf makes yourselves or does that come with a guidance from the state? and how long does that expect to last and what are the consequences for the next steps? and the california department of public health which is being advised by their own department of pharmacy as well as moderna itself and we are hopeful that this vaccine could ultimately be released for use and we are

awaiting guidance from cdph, moderna, and possibly the f.d.a. i wish i could tell you we would all love to know when this will be resolved, but we don't know. >> is the guidance that you should actually not distribute the moderna vaccine? >> yes, that is correct. and i should specify only this one particular lot of the moderna vaccine. and so the numbers i gave you were just for this one lot, although it's a very big lot. 330,000 throughout the state. >> supervisor: okay. and i wonder if you can clarify and help us understand your approach to the second dose. what percentage of patients are you holding back the second dose for? is it 1:1? is it a certain other

percentage? and how do you make that decision? is there guidance that is coming to you from the state or federal? or is that a decision you made yourself? there has not been definitive guidance but most of us i believe and i certainly ucsf is holding back doses on a 1:1 match. that is, in fact, how we receive doses. we are given a lot of 100 first doses and you can expect what to get from the vendor and the equivalent number in about two to three weeks. so that, we aren't holding back from day one and when we get that second crunch, those are reserved for the first 100 people that got the first 100. >> supervisor: when we see a set of doses that you have, we should expect that you are

keeping back a sufficient number of dose, second doses for everyone that is given the first dose. and that has been our approach. and i believe it is a common approach. >> supervisor: got it. and the other -- i think those are the two main questions that i had. oh, the other question, i remember it now. your decision to choose to move on to 75 plus. is that a -- how did you make that decision? some other providers seem to have gone to 65 plus because they were authorized to do that. you're also describing it as moving on to 1b. can you describe how you decide who to move on to and whether you are describing that as actually a new priority tier?

or a priority and tier. i heard other folks and other providers and this is some of the confusion. other providers who are doing 65 plus saying they haven't moved from 1a yet. you are saying you have moved to 1b. can you clarify that? >> we are largely following -- we are following the california department of public health phasing recommendations and so patients over the age of 75 are at least on the cdph website in 1b. and we know that the c.d.c. and ultimately california expanded and originally going to be 75 only and change the recommendation relatively recently to 65. and we very much want to move there as fast as we can. the reason we didn't immediately and we have 70,000 people over the age of 75 who are our

patients. so we knew we didn't have the vaccine to go up and hoping to move there as soon as we possibly can. so 75 was really a practical matter of this is where we're going to start this group and move to 65 as soon as we can. and is that a decision that you're able to make yourselves in the sense that could you move to other 1b priority groups? or is it only because the state has said that you can do 65 and older that you can move to that segment of 1b. >> yes. that is -- i'm sorry. i didn't mean to interrupt. >> supervisor: could you start to vaccinate teachers now from him? and i think we could if we were directed to by local authority

or partnering with the department of public health and san francisco to do so, and we are otherwise adhering as best we can to the state guidance. and local guidance. and these are some of the questions that we are getting to sort through and taking different approaches here and thanks, colleagues, for letting me ask those questions. supervisor safai and then we'll move on to the next presenter. >> thank you. i just have one thing in terms of the data and i know this will be one of the requirements that the health order. and you mention 70,000 patients and the 75 and older and 150,000 and 65 and older. and obviously those overlap, right? and the number gets bigger when you go to 65. and how many of those do you know? i know you will have to report

them and how many live and work in san francisco. and that is one of the things we are concerned about is ensuring the people who live and work in san francisco and are vaccinated in accelerated fashion given the fact that is the county priority. and how many of those live and work in san francisco? and thank you very much for the supervisor. to provide that data and at the individual level and we know that you serve ucsf and serve a large fraction of the patients and certainly more than half are from san francisco and the exact number i don't have at this time. i know we will be providing that to you. and is there a level of flexibility from the state guidelines to prioritize those that live and work in san francisco? i understand there is sub categories and a lot of essential workers and who

mention one of them and in terms of a priority and how does ucsf plan on approaching that? so to appreciate guidance on that point. with the number of patients that we have reported to the state and that number includes a large fraction that live or work in san francisco and some who don't. the vaccine doesn't say that it's open to x percent. we are open to guidance. we have assumed it's all in and serving the patients and counting on us for vaccine.

and i would say just at least from this member, i would say that hopefully our county health department and would make some type of prioritization for those who live and work in san francisco and being one of the leaders and community partners who would prioritize those most impacted those working with our community, and our community partners. and i would say hopefully i understand that you have to seek guidance. i would hope that since the covid command center and department of public health and there would be some type of direction and i know the state will come with a broader guideline and be more restrictive and not less restrictive. that would be something i imagine we would have the flexibility to be more restrictive percentage wise. we wouldn't want you to exclude the patients but in term of

prioritization and at least initially and we have a much larger pool of vaccine to work with. my second question is you have been helpful in educating us. dr. fauci taught this past weekend about christine johnson moving forward and do you have any insight to share on that in terms of whether where they are in the process? have you heard anything in terms of where that would be? and help increase the pool of vaccine tremendously. and in terms of where we are in terms of sheer numbers. >> i don't have any information beyond what information reported for and we are hopeful that the j&j vaccine will move quickly in part to be an easier partner and the logistical points made on the last slide may not be as important with the j&j vaccine>> supervisor: in term of the cooling and the freezing and the

dosage. what is it that you have heard anecdotally? the j&j vaccine will be a single vaccine and doesn't have the freezer-thawing issues. i don't have inside moj. and this is speculation. >> we will find out according to dr. fauci. thank you, supervisor haney. thank you, mr. chair. that is all i have for right now. >> thank you. great questions. raek quick, dr. adler, you said in some ways you look to guidance from the county as well as the guidance from the state. there are some things where the county's guidance to decide how to prioritize, etc. >> absolutely. >> great. thank you so much for your

presentation and appreciate your work and you sharing. chair mar, is it okay if i move to the next presenter? >> i'm sorry, supervisor haney. i had a couple of questions myself for dr. adler. good to hear about your announcement that ucsf is working with dignity and one medical on the high volume vaccination site at college campus and to have that open as soon as friday. and that is great news. i had a question. who is going to be able to be vaccinated at that sight? and what the source of the vaccines is out from ucsf supply to urge the other source. and as of now, ucsf will be providing the vaccine for friday. as i said, i do think it's important that the vaccine supply is really so uncertain. we don't know what and chain wi

for that site. but we're starting with friday and hopefully beyond. we have a couple of days left to get more vaccine in. i think the plan will be to, again, focus on people in the, at least initially in the phase 1b as well as phase 1a and is another option for health care workers who haven't been able to find a place to be vaccinated. it would be people over the age of people over 75 and 65 initially as well as health care workers who are looking for the option. and when these patients in phase 1b could be vaccinated at this site and patients we are planning as the first trial to focus on ucsf patients because

we know who they are and find them at a specifically invite them and give them direction. our hope with any of the sites is, no, they would not be restricted to the health system. our hope is we can provide people, personnel and expertise and coordination to serve everybody in san francisco. >> so it sound like for the patients to potentially start being vaccinated on that site and to go there by ucsf and not -- >> yeah. >> thanks. >> thank you. >> supervisor. >> i'm sorry. i'm sorry. i just have one last question that i missed.

and this is about messaging and i want to clarify and supervisor haney talked about that a little bit with you, too. and we have the guidelines that came out locally and there is an interpretation on your end and you believe that you could stick with 75 and older. did you let the department of public health now that you were going to stick with that? and some of that causes confusion because i was constituents that were under 75 that reached out and were not able to get an appointment because they were going with the city's messaging of 65, so can you just talk about that one last moment? >> sure. and we certainly understand that there is not a consistent approach across the board yet, but we definitely did all of our guidelines and approaches the

publicly available on the vaccine website. and that doesn't get to every citizen and is confusing with the family and the family member is 65 and can be vaccinated and with the system at 75. and it is confusing and not trying to make a policy decision and is a matter of practicality and how much vaccine do we have and who are the highest risk people and the goal is to get to 65 quickly. >> are you going to keep a waiting list? >> yes. and the goal is to allow everybody who is over the age of

65 to simply try to get an appointment to self-schedule the appointment and will be a system that will ultimately work better for us and for patients because it will be clearer about whether you are in the group that's vaccinating now or not. the challenge there will be do we have enough vaccine to open enough slots to accommodate the size of the population. >> thank you. thank you, mr. chair. thank you, supervisor. >> supervisor: thank you, supervisor safai. with that we are going to move onto our next presenter, and thanks, dr. adler. because you went first, you addressed some of the questions that we would have had for any of the particular providers so thank you for taking that on. i appreciate it. so with that, our next presenter will be the senior vice

president and area manager for kaiser permanente. >> good afternoon, supervisor haney and the remainder of the supervisors. i'm ron groper, and the senior vice president and for kaiser here in the greater san francisco area. i have a short statement and i will be happy to answer any questions that you might have. and kaiser permanente is working with mayor breed in partnership with other health care organizations to create a mass vaccination site as quickly as possible. and as quickly as vaccine supplies are made available to us. kaiser permanente will bring significant resources to the effort including clinical staff and operational expertise. our planning is underway, but progress is significant. we are not supportive of the mass vaccination model that the san francisco department of health has laid out and

appreciative of the spirit of service, and inclusion that inspired it. coordination between kaiser permanente and the san francisco department of public health around mass covid-19 vaccinations has been cohesive and collaborative. kaiser permanente, san francisco leaders and the san francisco department of public health are in close, daily contact and are actively refining operational plans for mass vaccination of our residents and workers. eligibility is increased to six people people in the state. unfortunately t vaccine supply as you have heard has not been increased to vaccinate that number of people. right now vaccines are in extremely short supply for all of the distributors, including kaiser permanente. [please stand by]

>> we are also vaccinating external healthcare personnel in phase 1a who are not kaiser permanente members or who are

not affiliated with our health plan membership. as a vaccine distributor, kaiser permanente is organized and prepared to distribute the vaccine that we supply as of january 16th, we have administered more than 170,000 doses in california. our ability to expand and speed vaccine distribution depends on entirely the vaccine supply made available through the state. kaiser permanente cares for more than 1.5 million members age 65 and older and last week, we received a vaccine supply of just 20,000 doses. at the current rate, we are looking at vaccine distribution that is much slower than any of us find acceptable. we're doing all we can to get additional vaccine supply as soon as possible. to date, kaiser permanente has

given first doses of vaccine to 117,000 healthcare workers with second doses, we are now up to 170,000 doses thus far. we have vaccinated more than 9000 healthcare workers who are not kaiser permanente staff or members. as supply becomes available, we will begin offering vaccine appointments to age 75 and older in alignment with the california department of public health guidelines. we have a covid-19 vaccination site and we can send that to you that we're publishing. we also support the city's notification website and plan to notify community members of our vaccine availability. at this point, we've added capacity so as supplies become available, we'll be able to activate staff members and scale

vaccination operations to maximum a number of community members. we will be ensuring appropriate culturally competent outreach and education to our vulnerable communities, assessing placement of vaccine sites to ensure there's ready access. we will engage with community organizations to determine if there's additional ways to bring those vaccines to them. we are committed to the city's goal of 10,000 vaccinations a day. we applaud this goal and share the city's enthusiasm for vaccinating as many san francisco residents and workers as possible. we intend to continue to work collaboratively with department of public health to ensure that mass vaccinations can roll out quickly. i will be happy to answer any question us guys might have. >> thank you very much, i appreciate that statement.

i have a few questions, some of which are similar. when you receive a set of doses, what's your understanding of how it's determined, how many doses you'll receive. when you receive those doses, is it provided to you as a network as a whole and then in that case, how would you decide how many of those doses to allocate to san francisco versus another county? are you how are you making those decisions within the network? >> dr. adler did nice job explaining that vaccine distribution. therefore, we get doses allocated through that multicounty entity by the state specific to san francisco.

>> so the state is determining how many you all are getting as a multicounty entity. they give you a very specific allocation, a number that is for san francisco specifically? is that right? >> that is correct. >> even though you're a multicounty entity, the state is saying how many that is for san francisco. then those doses are -- have to be provided to people who work or get their healthcare within san francisco? >> as you know, kaiser permanente has a robust health delivery system. the system that we have tracks our members by the zip code in which they live.

in san francisco, we have zip codes for everybody that lives here and the san francisco delivery system, we target those individuals of that age category in the san francisco zip code and make those appointments available to them. we notify them electronically through whatever mechanism they have told us when they initially set up their membership with us and then we send them notification that okay, you're eligible for your vaccine, they go on our website and then there's a myriad of choices they can make on the website in terms when they can get vaccinated. >> supervisor haney: it's my understanding, you are sharing all of this data with the county and with the state? is that correct in terms of how many vaccines you receive and how many you distributed and

kaiser is going to participate with the data sharing on all of that? >> your statements are accurate. absolutely. >> supervisor haney: okay. can you speak to -- obviously we hear a lot from our constituents about challenges in getting information and getting appointments. how are you making sure that patients have information about how and when and where to get vaccines? can you clarify that a bit and sort of as a connected question, are you only providing vaccines to people who are within the kaiser network? can people who are not kaiser patients -- how do you define that? somebody get some services through kaiser, how are you

defining who is able to access your services and how are you making sure it's accessible? >> i don't want to too wonky in terms of how the system works. let me try this at a high level. we got a vaccine website called kp.org/covid-19. we pushed that out to all our members. at any point you as a private citizen can go out there and get vaccine information about kaiser and where we're at in terms of the tiering system, etcetera. your second question was, are you willing, as i understood it, are you willing to do non-members. people that aren't per se affiliated with us. what we're doing is sending out to the people that are our members, electronic communication saying, we've got an appointment for you, you fall

into the category, the age group now that we're able to vaccinate. you can schedule an appointment, go to this website, choose a time and date of place and set up your first appointment. when you come in, we give you your second appointment before you go home. you know before you leave come back at this time and place. if you are a non-member and not affiliated, we have pushed out a separate number to you, which goes to our national call center and that call center will give you a medical record number just for vaccination. it will allow you then, once you have that medical record number, it will allow you as a non-member to do exactly the same thing as the member did, go to the electronic site, plug

your m.r.n. in and you'll get cared for that way. did i answer your question? >> supervisor haney: yes. i learned something here. you're saying, people who are non-member kaiser members are given vaccine through kaiser as well. when you're giving the doses as a multicounty entity, the expectation from the state is that you also serve non-kaiser members. are people who are not kaiser patients given equal access, or are you prioritizing kaiser patients above people who are not kaiser patients? >> if you're a kaiser member, we got about 240,000 members out of the 800,000 population in san francisco. you're going to find it really easy to get into the kaiser system as a member. you've got your medical record

number in front of you. you know about that access point. you know how to access our system, you can call your primary care doctor. it's going to be really easy. if you are a non-member, then you got to go through the call center, you got to get your medical record number before you can go to where the members are. i won't say we're prioritizing, but certainly a member is going to have an easier experience with it. >> supervisor haney: thank you for that. i appreciate everything you all are doing. i know that everyone needs to step up and improve access and distribution and everything. obviously it seems there has been a shift in what kaiser has done, even in the last few days where there was a number that was put out and ton of people were calling in and long waits and lot of confusion.

now it sounds like because of the more limited supply, it's being done more through this sort of electronic system, more direct outreach to people who qualify, except if you're not a kaiser patient, there's a number for you to call so you can begin to access that. that's very helpful information. it's a shift and important for us to tell our constituents. we definitely have a lot of kaiser members who we all collectively represent and many of us are kaiser patients. colleagues, any questions before we move on to the next presentation? >> supervisor mar: looks like supervisor safai has a question. >> supervisor stefani: thank

>> supervisor safai: do you know the concentration area? >> i apologize for interrupting. i do know. i don't have it at my fingertips. that is information by zip code that is provided to me. i would say every other week. >> supervisor safai: that will be good to know for our own information. we have a lot of residents in our own districts that are kaiser, supervisor haney said. for us, it seems that with sudden death of your ceo, kaiser has been slow to really engage

and continue to engage in medical equity in many of the underserved neighborhoods in san francisco. sorry for his loss. my district throughout this pandemic, has had the third or fourth highest rate of positivity. like ucsf had, this is not to diminish opening non-kaiser patients with online system, what are you doing proactively to engage community that are the most impacted and underserved using an equity lens? >> our vaccine coordinator is dr. maria. she is responsible for the overall physician-led efforts around vaccination. she's the individual we used as

our lead on testing. we have done extensive work with the bayview community and now doing work with the city and department of public health setting up mass vaccination sites that will ensure access to everybody in those communities as quickly as possible. personally, i hope we reach a point here quickly that this whole tiering system fundamentally goes away. the access point will be so sufficient that will take everybody on a first come first serve basis. we clearly are not there yet. we clearly don't have the supply for that yet. there is at least hope and thought that we will get there relatively quickly. to answer your question, kaiser is committed to the health of our communities and we want to work with the city. we want to work with d.p.h. to meet the needs of the communities. that is part of our mission.

>> supervisor safai: appreciate what you done. areas like the excelsior, we continue to be right there at the top, third and fourth highest rate of positivity. we would appreciate greater engagement from kaiser in serving our community. thank you. >> so noted. i'll make a point to follow-up on that. >> supervisor safai: thank you, sir. >> supervisor ronen: this is a quick question. so extra confusing because there's so many different providers with different access to vaccine, different processes, we're getting vaccinated through the provider. it's unbelievably complicated and unnecessarily so.

given that there was a public message put out by the state and repeated locally that all individual 65 and older are now eligible for the vaccine. given that kaiser is only providing now the vaccine to those individuals 75 and above, i know several of my volunteers in my office who are seniors who are below 75 that are above 65, we're able to get appointments by waiting five hours from the phone line, i'm wondering if there are any messaging from kaiser or any entities when actuality 65-year-olds will be able to get access to appointments for the vaccine? >> that's a really great question. the governor came out with that announcement and those tiers were prioritized 75 based on the

risk factor. he caught us by surprise a little bit, what happened with us is the waits and the phone lines, etcetera. we've gone back to the 75 at this point just in an effort to make sure that our vaccine supply can meet the demand of the schedules that we posted out there for our members and the individuals that have gone through the process on the non-member. your question, unbelievably good question. i wish i could answer it. you heard the same thing from dr. adler that supply is just not consistent enough for us at this point in time to know. kaiser has the staff, and logistics to produce a mass vaccination program.

we don't have the vaccine spot. your question is spot on in terms of what the heart of this issue is. >> supervisor ronen: thank you. >> supervisor haney: just last question. you mentioned that you're prepare to support the city's goal to do over 10,000 doses a day. is it your understanding that goal is inclusive of kaiser and all of the providers. is there coordination from d.p.h. or others to accomplish that and have they communicated to you about that goal? >> roland pickens and grant colfax has been good partners with us. we meet with them on a regular. that goal has been communicated to all of us. we have gone through multiple meetings, talking through what do you think you'll be able to do, how many you will get at

this site or that site. absolutely, the answer to that question, yes that goal is a common community goal for everyone. i believe you'll hear that from every health system you talk to today. >> supervisor haney: thank you. i appreciate your time and for you being here in the hard work of your staff. >> supervisor walton: just a quick question, i'm wondering, did you state that non-members have to cost to get an m.r.n.? >> that is correct. there's a telephone number, it goes to our call center. because you are non-member, we are starting almost from scratch with getting you set up with an electronic card that then get you access into kaiser. the non-member at this point is provide you a medical record

number that is specific to the vaccination process and when you get that number, that then puts you into the same place as the other members of the system. >> supervisor walton: how efficient is that for someone calling in? >> well, last week, friday, it wasn't very efficient because we were overwhelmed at the call center with calls. our call volume at that call center when the governor announced 65 plus were nearly four times what our normal volume is. on a normal day, if you're calling in for that number, you should probably in the hold on 20, maybe 30 minutes maximum. we heard stories about people that on call for eight or nine hours waiting for that over the weekend. >> supervisor walton: thank you. 20 and 30 minutes is sufficient?

sound like we need to provide more jobs. >> thank you. i hear what you're saying. >> supervisor mar: i have a question or two. thank you so much for sharing the update and engaging in the discussion with us mr. groper. obviously kaiser is one of the largest and not the largest healthcare provider in the city. all of your work is incredibly important. i had a question about the data. just sharing data around your vaccine doses that kaiser received and the vaccinations that you're doing delivering to the priority population.

is that data being shared with d.p.h.? >> yes. we have now set up a new system and able to report just the san francisco data. i think we started doing that on wednesday or thursday of this week. we might be lagging just a little bit. but the new system is in place and we are able to do that. and want to do that. >> supervisor mar: you're sharing that data, san francisco aggregated data with d.p.h. is that also available to the

public? just so there's -- you can kind of see what the san francisco specific numbers. >> i would assume that d.p.h. is going to make that information available publicly. we're assuming when we sent it, it would be a public feed and that public would have access to that. >> supervisor mar: kaiser had roughly 240,000 patients that you care for in san francisco. do you have -- i appreciate your many remarks about how kaiser is committed to serving the broader population and broader need in our city beyond your own members. do you have any projection when you would be able to adequately cover your members and start to

also help with the broader vaccine need outside kaiser membership in san francisco? >> we have put together fairly sophisticated excel spreadsheet based on our members based on what is a reasonable throughput that we can do. the issue is that is the variable, the issue is the vaccine delivery. if you can get adequate vaccine delivery, we can get that 240 done relatively quickly. we want to. >> supervisor mar: thank you. >> supervisor haney: thank you

again vice president groper. i'm going to move on. we have two more healthcare providers before we get to the department of public health. our next presenter is dr. norgen. >> good afternoon folks. thank you very much for having me this afternoon. i'm an attorney pediatrician. covering san francisco. in san francisco, our medical foundation, which is focused on outpatient services, we collaborate closely with our colleagues, cpmc. in san francisco, we have a unified effort to be doing this work. we are committed as everybody is in this meeting to the urgency of vaccinating the community.

we are looking forward to and we are today collaborating with our healthcare colleagues and folks in the city. i'm going to divide my comments really into three areas. give you a snapshot some of our numbers in terms of doses, itself. talk a little bit about the communication efforts that we have that are really going out to the community and our patients and then our planning as we go forward with the san francisco vaccine task force. in terms of numbers, if we look at san francisco, we have about 200,000 patients attributed to us. thus far, san francisco, we've given about 7500 doses to employees and by the end of this

week, we will have given about 1000 doses to patients. we're in a similar spot to the other health systems that are reported on january 14th, last week, we opened to 75 and older as has been discussed. we are looking forward like the others to going down to 65 but really, the exact same answer as dr. adler and mr. groper, we really are trying to determine how far and how quickly we are opening up based on our vaccine supply and capacity to immunize. if we look across sutter health, we've given out over 62,000 doses. but again focusing on the city, over 7000 employee doses. as of this week, about 1000 patient doses. we are ramping up that patient capacity very quickly.

in terms of communication, again, very similar to the report from kaiser and ucsf, we have outgoing messages to our patient via e-mail and what we call, my health online. which is really the portal through our electronic record. when we opened up to patients last week, we experienced very high call volumes and very lot of activity obviously over my health online. we've been ramping up capacity to meet that volume. we're in a much better place today than we were a week ago when it comes to those volumes. we're going to continue to aggressively and consistently be

communicating out to the community just about signing up and getting the vaccine. like others, if you're a patient of sutter health, you're going to be receiving those messages. if you're not a patient of sutter health, you can register with us to get the vaccine. i think that's the attitude to the approach that's been mentioned by the others. as i alluded earlier, we're actively participating in the san francisco mass vaccine task force. we are also looking forward to collaborating with the city in terms of the mass vaccination center. we're doing site visits today and friday. right now, most of our vaccine efforts in san francisco are focused on the van ness, geary campus. we are active it will exploring

other site. my hope is by end of this week in conjunction and in collaboration with the city, we've decided on which sites we're going to be opening up. we need to be doing about 3000 a day, that's the capacity. >> this is the clerk of the the committee. we should take a brief pause for a moment. sound like the public comment line dropped you have our call for a moment. we're working now to reestablish the line. mr. chair, i would recommend that we take a five minute recess. >> supervisor mar: okay thank you. why don't we do that. we'll take a five minute

>> supervisor mar: we are back in session. after brief recess to address technical issues to make sure that the public is was able to continue following the important presentation. >> just couple of other comments. we're working closely with the task force and looking forward to really honing in on which sites will be best for us to be collaborating at and ramping to up that volume target. i want to mention, we are very committed to the equity in terms of the distribution and administration of this vaccine. not only our own patients actively in our system but

certainly collaborating with community organizations whether it's through these mass vaccination centers or other methods of outreach to make sure everyone in san francisco has equal access to the vaccine. i thank you again and we are looking forward to the work ahead. this is incredibly important work. i really appreciate all the comments that were made at the beginning of this hearing in terms of just the suffering being felt in our communities. we're committed to partnering to get the vaccine out as quickly as possible. happy to answer any questions. >> supervisor haney: thank you, i have couple of quick ones. one of the things that in terms of cooperation and we asked other providers this, just

making sure you all are willing to share the data that you have in terms of the vaccine you're receiving and who they're going out to. i noted that we all want more vaccine doses to san franciscans. what's your understanding of the process or formula that is used to decide how many you all have receive at sutter? i could have asked anyone, i would love your perspective. seem like you agree that you would like more. in terms of how many you received, what was that based on? >> again, probably similar answer to mr. groper.

sutter health, we received 167,000 doses. we're also multicounty entity. we are putting those orders in based on the numbers of patients that we have as an m.c.e. then we're distributing those out throughout our system. i will emphasize, the way i look at this operationally we got three barriers, one is space and that's the best where vaccine clinics come in. the second is the logistics and staffing and the third is the vaccine. i share the sentiments of the others who testified right now, the biggest uncertainty is vaccine and the amount of vaccine that we have. right now this goes back to we are just open up to 75 and

above. >> supervisor haney: in terms of reaching, let's say that you were to receive designated for san francisco, tens of thousands of additional doses, god willing in this next few weeks, what vision those will be distributed mainly through traditional, existing infrastructure that you have at sutter or is that something that will require in your larger distribution sites or even going directly to where people are to administer the vaccine? >> let me answer your question and let me know if i'm answering

it. if thousands of vaccine parachuted in today, we could very quickly get more vaccine out to people in our existing infrastructure and footprint. number two, i think the time frame here is in the days and weeks to come. i think these mass vaccination centers are going to be really the critical hubs. my personal opinion going to where people are. we should be relying on these mass vaccination centers. in terms of efficiency, when you get into really the turnaround time, i'm sure all the entities are looking at this. we are way in the weeds in terms of the workload, the efficiency. my belief is to get to the most number of people quickly. we need to have many vaccination centers to make sure we're hitting all the neighborhoods. but having those centers

themselves and really honing in and making those efficient places where we can get the throughput is our best bet. to go back to another part of your question that i alluded to, right now, at least for us and sutter health, we are limited by how much space do we have. that's where these mass vaccination centers are going to be key. >> supervisor haney: thank you. looking forward to our last healthcare provider. >> supervisor mar: i have a follow-up question about the planning to expand the location of where you're delivering the vaccine. sound like it's mostly happening at the van ness campus right now.

i'm interested in hearing more about how you're trying -- how you're prioritizing which location is based on the needs of your patients alone and how you're coordinating that planning with d.p.h. and the other healthcare providers? >> through the task force and communication with d.p.h., we're in close coordination with d.p.h., we're doing site visits today and friday. we're looking to collaborate with d.p.h. at one of those sites. we are looking at other sites oour own. the reason for that is a capacity question. we want to get to a certain capacity. we want to make sure we can follow through on that.

we are committed to working with d.p.h. and collaborating at the site. we're looking at other sites that we may be standing up to get that -- [indiscernible] >> supervisor mar: i don't have any other questions. supervisor haney? >> supervisor haney: thank you we appreciate you being here and your work for the close coordination with the county and meeting the demand here. with that, we're going to move to our last health provider before we hear from d.p.h. and

covid command. we have ceo of dignity health who's here, darren kumar. >> i'm ceo of st. francis hospital. good afternoon. thank you for granting us this opportunity for dignity health. i'm the new president and ceo of st. francis and st. mary hospital. i will tell you as a new resident of san francisco, very impressed with how the city has handled covid. as large as this city is and

contain covid as well as it is now, is a testament to the residents here and public health and county. nonetheless, less devastating. done much better job from other counties that i came from. i want to thank our staff and frontline workers who continue to care for residents in this uncertain times. this continues to being a monument and proud of our team effort. our hospital leadership has been in close communication with department of public health. all of our city hospitals are working together to meet the needs of its residents. we work together to share information, best practices, troubleshoot potential problems and work towards expanding our

ability to fight this virus. as you know, st. francis memorial hospital and st. mary, was founded here in san francisco. we are a little different than our counterparts. we have a smaller footprint. we received much smaller amount of vaccine due to our size. as of january 18th, we've received total 6125 total vaccines. this includes first and second doses. we did recently sequester 930 vaccines similar to everybody else through the moderna pause put on. which puts us at 5195 available doses. we administered 1000 existing 1t doses. we set aside doses for staff to get their doses.

we only offered vaccine to our face 1a employees including hospital and clinic, clinic staff and physicians. we reached out to private physician and nurse staff as more vaccines become available we'll sland 1b and work with the public. our only vaccine doses is available for physicians and our staff and their staff. as we continue to vaccinate

phase 1a staff, -- communication and structures will be done through our dignity website. we're looking at potential third party software for us to be able get the word out. along with the vaccinations, we provided in our clinics we're partnering with d.p.h. and other health systems to support the mass vaccination efforts. our process moving forward, we'll be coordinating of public health. also dignity health medical foundation. we'll expand those partnerships as necessary.

we know vaccines is limited and prepared to ramp up. last thing we want to have is waiting for vaccine. we're making sure we can distribute the vaccine when it comes out. i have heard support need for expanded vaccination loud and clear. we're working tirelessly with our healthcare partners and the city to make vaccines available. while at the same time, acute care to patients. we have very sick covid patients in the hospital. our staff is doing a tremendous job taking care of them. i can see the finish line, we need every resident to practice social distancing. we're committed to supporting the goal of 10,000 vaccines a day in the city. we stand with our city and healthcare partners to meet this challenge and serve the common good. thank you. i will open up for questions.

>> supervisor mar: i think you answered number of questions in term of commitment to share data which is really important to us. >> supervisor haney: thank you for the presentation. >> supervisor mar: just to clarify, the presence vaccine doses that you receive, you're focusing on healthcare workers right now? is it similar in the since that

as other providers have clarified that if somebody is a healthcare provider who is not normally worker or patient for you all, could they access the vaccine through dignity or through st. francis specifically? >> absolutely. that's our process, agnostic around that. we're sething up clinics to do that. >> supervisor mar: i will ask question of d.p.h. and our own officials i know st. francis hospital serves a number of individuals who are unhoused, who are vulnerable and -- have you begun to put together a plan as to how to ensure vaccine

access and distribution to people who may not have phones, may not have addresses? you need to find for second doses. how are you all as a hospital system, thinking about that and planning for that? >> was that question for me or d.p.h.? >> supervisor mar: it's for you. >> it's the partnership with department of public health. they have the access around that? we'll have the logistics to partner with them. that's part of that discussion as well as the hospital counsel to determine that approach and to your point, that's an important component. we'll be in partnership with department of public health with

that. >> supervisor mar: thank you. -- >> supervisor haney: i want to open it up. we ended up asking questions for the various providers as we went along. if there are questions now more broadly for any of the providers before we move on to d.p.h., now will be the right time. >> supervisor mar: that sounds good supervisor haney. thanks again to all the providers for your presentations. colleague, do you have any questions? >> supervisor haney: i want to thank all the providers for being here. i want to thank you for specifically for your work in providing access to these vaccines. again, reemphasizing the importance for us city and sharing that data, to track

which a is -- track what is out there. please continue to push for as many possible vaccine doses as you can get. it's important for us to emphasize that we need to step up to this moment and our residents are demanding it. i do think that providing clarity to your patients is hugely important so they know when it's their turn so they know where they stand and they are receiving regular updates. the participation and the mass distribution efforts partnering with d.p.h., partnering with the county, partnering with us is so critical. i want to appreciate the fact that all of you committed to all of those things. we really need to do this in partnership and together, all of our residents are counting on that. i want to appreciate that and

the critical importance of it. colleagues anything else for our healthcare providers before we let them go. i told them they'll be done by 1:30. looks like we'll be successful in meeting. in follow-up, we do want to know how many doses have been administered and how many vaccines have been received. lot of was stated on the record here. for those who didn't share that, that's something we very much want to have to be public for our constituents to be able to track closely. with that, chair mar, should we move on to second part of our hearing here? >> supervisor mar: that sounds like a good idea. thank you. >> supervisor haney: thank you again to dr. adler, vice president groper, dr. norgen, ceo of kumar.

we appreciate you being hear and share our gratitude with the healthcare staff. now we're going to move on to department of public health and covid command. we have the ceo of the san francisco health network, roland pickens, our covid-19 health services and director of covid command center. we appreciate you being here with us. >> good afternoon, thank you very much. supervisor haney and chair mar. i've met some of you but not all. i should take couple of questions. i'm roland pickens, director of the san francisco health

network. which is that part of d.p.h. which is the delivery system. just like uc, dignity, cpmc, chinese hospital, parts of the delivery system, d.p.h. has the same. that's what i direct everyday. it's our community clinics, public health clinics, mental health. that's my regular day job. shortly before christmas, i was asked by director of health to step away from that day job a bit and come and help lead the team here at covid command center during covid vax. i joined the team. initially on first surge and then on testing and have begun to ramp up for vaccine late last fall. they were working several months

before i joined the team. i want to thank them very much. as you said, supervisor haney, i'm joined by our colleagues, mary ellen carol, department head director department of emergency management and dr. mary mercer, she leads our covid team. also because we anticipate really being able to answer as many questions as we can, i got on the phone, dr. jim marks who is the branch lead in covid command for advance planning and data. he is our data guru. i will do most of the presentation and then director carol will also provide some basket in -- background in terms how the covid fits in the incident command. one of the things i quickly

learned, c3 doesn't only people covid command center it also means collaboration, challenges and communication with information. i don't see my slide. >> you can put your slides in presenter mode, thank you very much. >> just another question before i start, chair mar and supervisor haney, do i have a time limit so i can pace this presentation? should i just go through it all?

>> supervisor haney: [indiscerni ble] >> okay, thank you. today's presentation that will lead with the team, will be slightly different from what you heard from the other health systems. i'm trying to provide city wide level perspective. most of my slides will pertain what we're doing on city wide basis but through the collaboration with the other health systems. there will be a couple of slides that talk what are we doing specifically with the vaccines that d.p.h. gets. most of that d.p.h. vaccine has gone to the san francisco health network for vaccinating our d.p.h. city employees. the goal of presentation today is to number one, try and inform and demystify some of the vaccine distribution strategy. second, we like to try to clearly describe some of the roles and responsibilities as

they come down from the federal to the state to the local health department and then to the various health systems through the multidown entity. finally to provide the best available data that we have on vaccine distribution and allocation. as you heard from the previous presenters, we're living in unprecedented times. we begun one of the most ambitious vaccine distribution efforts in our city's history. we've spent the last three months working to be ready for this moment. but also as you heard so much is unfortunately out offer our -- t of our control. we accept that as a challenge. we need to put the san francisco touch on cleaning up some of the messiness coming down from those levels above us. as you heard that the chief

obstacle is not enough doses. that's something we've heard and we'll continue to hearing until the new administration can improve the flow of vaccine so it's stable and reliable. we can plan accordingly. we acknowledge that the process has been slow and frustrating for all of us. even those of yous who working here covid command center and throughout our systems, it's confusing for us. we're working with our team and communication and data professionals to try and make this process much more transparent and timely so people can prepare accordingly. in order to give some guide post and framing of how we are approaching covid vaccine at the city wide level, we developed

these guiding principle. we want to ensure capacity to fully utilize that limited vaccine supply. it has to be aligned with the cdc and the state guidelines for priority use. it's not a case that we get to decide here locally which populations will be vaccinated. that is set by the state guideline. we are obligated to follow those. the second guiding principle is one we want to ensure equitable vaccine allocation. we know that we have populations within our city that are underserved, underutilized service. we got to make sure that all the work we do, does not overlook them. we are targeted interventions to meet their needs. second guiding principle is to prioritize rapid vaccine access to those communities with the highest covid prevalent. that's where you heard about these community pop ups. that's going to be one of our primary modes to get to those

targeted areas that are most backed -- impacted by covid-19. the next strategy is having metrics and outcomes that can be transparent and visible to the public and the partners. as you heard about, this is an area we struggled in but quickly trying to catch up with the posting last week of our covid data tracker and then the posting this week, yesterday, with the new vaccine site where you can sign up to find out if you're in a tier that's eligible and if not, to be notified when it's time for your eligibility. in terms of these guiding principles, above all, what you should understand, while we're operating under the good guiding principles, the system for distributing vaccines has been mandated at the federal and state level. guidance continues to shift on a

daily basis as well, making this even more complicated. because we have as supervisor ronen highlighted, a highly fragmented system of care in this country. if we are to be successful, we need to have unprecedented level of collaboration. we really need to rely on the health systems that you heard from heavily and working partnership with the city and other city departments to end this pandemic swiftly. i have to say, through the san francisco hospital counsel, all of the hospitals and health systems have really stepped up and have been great partners in this effort. we're going to see the fruits of that labor. we'll see it on friday with the opening of the city college large volume site. i'm sharing this slide to show

you, what's our journey going to look like. it's obvious, it's not a straight line. it's curve and bumps that we've all seen, felt and heard. we're starting far left on yesterday january 19th. our goal at the far end, by june vaccinated 900,000 individual who live and or work in initiation. -- san francisco. it won't be easy. you'll see on this path way, in order to get to that 900,000 individuals vaccinated by the end of june, as a mayor announced, we're going to need to do about 10,000 vaccinations a day. that's really trying to increase where we are city wide at about 3000 to 4000 a day now.

wife got to -- we've got to get that up to 10,000. we're going to get there based on the collaborations and number we're putting together with our house hospital health system partners. we'll be able to meet that goal. in this slide, we want to share with you just recap what the phase rollout system is. as we talk about before, california department of public health has determined vaccines should be allocated in phases. that distribution will adjust as volume of vaccine increases. we've talked before that we are currently approved by the state to be in phase one through january 14th. on january 14th last wednesday as you know, the state did allow us to move on to individuals who

are 65 years and older and as you previously noted, yes, those individuals are not in phase 1a. they are in the first tier phase 1b. the state up until last week, said phase 1a only and shifted to 65. which is a good thing. when we follow the data, when you look at individuals in san francisco who are 65 and older, you look at the burden of death died from covid-19, those are the people who are most at risk. that was a good thing that the state did and opened up to 65. i will go into my c3 hat to healthcare network hat. we started putting shots in arms

for individuals 65 and older last ewednesday and continue to do that. we offer sits at zuckerberg san francisco general, we also offer vaccine at laguna hospital. we also offer vaccine services at maxine hall health center and southeast health center and looking at where we can begin to offer other sites within our network. this is one of those slides where we wanted to get into a little bit of the data. if we get into questions i may ask my colleague dr. jim marks to step in. these numbers are represented through yesterday. the number of vaccines

administered in san francisco based upon the state care system, which is where everyone is rared to enter what they've given, there are 45,206. the you see that, there's a an asterisk that's because currently care system does not report number for kaiser and sutter. kaiser, for the whole state of california, there's one number of vaccines given. that doesn't help us in san francisco county. we need to know what happened at kaiser san francisco. the good thing is, we've been in discussions with the state and the people who run the care system. they recognize what a hindrance this is, we're working to resolve that. that's not good enough. we came back to kaiser and all the other hospitals in san francisco and said, we cannot wait on the state.

we need you to be good partners and vaccine just like you been in testing and in surge. we need you to give us your data. they have all agreed to give us the data. first data sets were due from them yesterday. when we come back to you again in the future, we will be able to have that missing data. again, i'm stepping back out of the city wide perspective into vaccine provided by two d.p.h. and for use with d.p.h. most of this was provided to everyone who's in it approved state phase 1a category. our essential health workers, workers at laguna honda hospital and then the supporting staff.

also, you will see on the left hand side, those are the doses that have been administered. on the right hand side of the doses, that have been earmarked for people either to get their second dose or the ones who haven't had their first dose. roughly, this universe is about 30,000 doses that d.p.h. alone has received for our city and county employees who are in those first phases and tiers. slightly smaller amount to other institutions who we partnered with, for example, one medical who is helping us to vaccinate inhome support service workers and nems, northeast million services. most of that pie of vaccine is 30,000 doses, went to d.p.h. we've already put in arms about

half of that amount. moderna situation, we are affected in the same way. we're following the state and cdc guidelines where we have put that moderna lot over to the side and paused any use of it until either we get clarification that feel it is safe to administer or not, will be given instructions to discard it. we'll hopefully will be getting some replacement doses. the one key point i want to leave, for the doses received by d.p.h., we've administered about half of them and we're actually -- we're not where we want to be, we're a little bit better than the rest of california and the nation in terms of getting those shots in arms.

i believe many of the board of supervisors members have seen this slide before. it was part of the presentation that director colfax and his staff when they came to visit you a few weeks ago. what this slide tries to explain, supervisor ronen said cumbersome bureaucratic way that the federal government rolled out our operation warp speed. far right corner, we got the one and only source for covid-19 vaccine, which is the federal government. it's important to remember, none of us can do what we usually do, go out on the open market and buy our supplies and pharmaceutical. that's not an option here. you get it one way, free and from the federal government. three big buckets where the federal government distribute that vaccine. at the top, that's the biggest box. they distribute it to the states and the state has it going to

those multicounty entities with a small amount coming to the health department. the second next smallest bucket is that federal pharmacy partnership. that's the one you heard about with walgreens and cvs where they have grown into nursing homes throughout the country to vaccinate both residents and their employees. a third smaller box is the federal allocation that goes to federal facilities like the v.a. obviously federal government gave them their own special category. going back up to the top box, once the state allocates to the m.c. e.s, who are getting most

of that, we get that smaller part from department of public health. m.c.e.s get their allocation from the corporate mothership as we call them. it's very much out of their control for our local m.c. e.s. what that means is, our san francisco m.c.e.s, they are all in competition with their sister institutions throughout the state and in southern california.

we also want to review with you, we talkedded about what our guiding principles were. we want review the strategy that we're using right now. the strategy that's coming down to us and the one we're trying to push out on the local level.

obviously, covid vaccine strategies coming to us from the federal government and the state dictating who is eligible to get the vaccine and controlling how much vaccine we get here in san francisco. again, we're operating with unprecedented collaboration. particularly since most of the vaccine coming in san francisco will be going to the m.c.e.s we have active collaboration with the hospital counsel. it's called the health system vaccine collaborative, hsvc. that's where on a daily basis we meet with both on the ground team with each hospital health system and we have executive sponsors, myself from d.p.h., the coo and cmo from kaiser. we're in touch with everything

covid-19 and getting those set up. obviously, we're creating options for people to obtain the vaccine the most convenient way and comfortable for them. we know we have underserved populations in san francisco. that's where we draw upon our great collaboration with community-based organizations. they are the ones closest to those populations. they know how to reach them best and to support that. we have street teams. we have our street medicine team. they are also involved with covid-19. how are we going to implement the strategy we just talked about? we've adopted three prong strategy for vaccine distribution in san francisco at the c3 level and d.p.h. level. first form are those high volume

vaccination sites that were announced last week with the first one opening on friday. the one at city college. we'll talk more about that on the next slide. the next way we're implementing the strategy, community-based pod or point of distribution. it's not a coincident. it's in in the middle of this chart. we know that's where the rubber meets the road particularly for our vulnerable populations in san francisco. the next part is we're going to have hubs, just like we have community hubs for testing, we'll be replicating on the vaccine site. our desire is to jointly partner

with those testing providers to get them to quickly pivot to also add covid vaccine to part of what they are doing with us and uses with them. finally, we're going to be expanding the use of community-based clinics like our consortium of clinics. finally, we talked about the pharmacy partnership, that's both the federal pharmacy partnership where walgreens and cvs is going into long-term care and residential care facilities. but also, we've been working with our local pharmacies and at the state, the walgreens and cvs have submitted their applications to the state to be approved as vaccine entities. just like you can go to a walgreens or cvs and get your

flu shot, they are poised to be ready to do the same thing for covid-19 where you can go to one of them to get your shots. little bit more about those high volume sites. you know those were announced. the city college site at the main campus will open on friday. the plan is to do about 500 vaccines on friday.

with a goal of february 1st for having moscone and the produce market up and running as a mass vax site. this is based on the major health systems. i'm not going to go back to the slide, when we mentioned community sites we partnered with chinese hospital. they are community-based site in our strategy because they are doing some targeted work within chinatown. we are working with them to help supply them with vaccine. back to our strategy. just to talk more about our mobile site. we're developing a plan for both

community points of distribution. again, we're approaching all of those community-based organizations that are currently with us for testing. we're trying to see if they will flip some of our areas to provide vaccines. this slide tries to give you a simple pictorial of how we're rolling out our strategy. in terms of the high volume site, we got some that are actually going on right now. we talk about city colleges starting on friday, all of our health systems, we are already operating what we consider high volume sites. uc has a high volume site. cpmc has a high volume site. dignity the same.

we talkedded about our high volume site at zuckerberg, laguna honda. those are going on. the mass site at city college starts on friday. by february 1st, we expect to have a produce market in moscone. we already got some of those going. we got chinese community hospital. they got at site in chinatown. we've got maxine hall in southeast, those are doing smaller sites. the plan is to work with those community-based organizations to set up community covid vaccine sites just like we've done with community covid testing sites. i will turn it over to mary ellen to share some of

coordination through c3. >> thank you roland. thank you chair mar thank you supervisors. i wanted to thank everyone for your words of acknowledgement for covid command staff. i too want to take a couple of seconds here to acknowledge them. it will be -- we're one week away from the year anniversary of our activation of our city response. we never imagine an emergency response that would last this long. many of the folks have been working. mostly seven days a week to do this. as you're learning today and i think understood even before today, this phase of covid response is probably our most complicate the and challenging. often people say that the team works tirelessly, which i had to look up what that means. which means with great energy

and effort. which is true. it doesn't mean that they're not very tired. we acknowledge them and we see them. just to talk about covid command role, as it relates to all of the work that you heard about thus far, we really -- all of vaccine operations lives within covid command just to be clear. the operation within covid command, that's a shared command between the department of emergency management, department of public health and human services and homeless department. we've been working together since july in that structure. the vaccine branch that kind of rolls all this stuff out, lived within our operation section in the structure. the set up of the mass vaccine

stites or high throughput sites is all covid command. it really includes everything site selection, the assessment of the site all of logistics that are required including traffic and equipment and power and security and all those things and other support. the coordination with the partners that will be coming in and providing lot of the vaccines and the contracts and legal. all of that also happens within covid command. we really appreciate it. i want to particularly thank my deputy director who i think didn't sleep for about seven days and wanted to really get this in place so we were ready. we will be ready when the vaccine drops. the next area is within covid command that is critical to the

vaccine work is our equity and neighborhood group. th -- the equity and neighborhood district group was established way at the beginning of our response. lives within our covid command section. really brings the equity and community lens and it is integrated into planning and operations. we have -- we are leveraging the relationships that we have built throughout this process. we will continue to build on them. i should recognize the many community partners that have been incredible and also have worked tirelessly from the beginning of this. this is where those partnerships come together. we really try to ensure that we are leading with equity and

looking at the needs of neighborhoods and certainly supervisors, the partnership with all of you within your district is critical to this. finally, the joint information center, the j.i.c., it's been active state -- activated before, they have been working since last december on the overall communication, public information campaigns and the media component of this. which is incredibly important. the j.i.c creates content, produces collateral and does all the translation so we can get the information out to people in a way that they are able to receive it. those are really the areas that we and especially where you'll see the vaccine operation within

covid command. >> thank you, mary ellen. i got two final slides before we're able to open up for questions. this slide represents the vaccine notification website that went live yesterday. it is one method of communication. one of many that will need to come online very quickly. it's a place where anyone who lives or works in san francisco can enter their information to be notified once they are in one of those eligible phases from the state to be vaccinated. if they are not, the notification, once the state does loosen up the guidelines, they will be contacted. by being with the vaccine supply, hopefully that are steady than it is now, will be directly where they can go to get a vaccine.

this is a depiction of the public vaccine data tracker as part of c3 that went live last week. this is where we'll be adding the information from all of the hospitals and health systems in terms of how many vaccine dignity get and how many uc get. these are just websites for those communication portals that i just talked about. before i end, i want to leave you with what i think is a good representation of where we are in terms of vaccines in san francisco. through last friday, from all the entities in san francisco, we received about 103,000 doses.

as of yesterday, the total is we received 123,875 doses. everybody in phase 1a and then those people 65 years and older phase 1b, that's 200,000 people. with everyone needing two doses that means we need 400,000 doses to vaccinate all those people. so far through yesterday, we've only received 123,000 doses. we're about 277,000s doses behind. i will end that portion of the presentation. i will open up for questions.

>> supervisor haney: thank you so much for the presentation. ceo pickens and director carol for all your work on this monumental task according our vaccination strategy here. i have couple of questions, i know my colleagues have do as well. i have a question about coordination of the different, with the private healthcare providers on the mass vaccination sites in the community hubs and mobile sites. and communication to the public around that. i'm just trying to understand how this is going to work. for example, the first mass vaccination site that's opening

up at city college sound like a friday. really exciting. there are other who are affiliated with dignity and one medical and that indicates that the other two mass vaccination sites that open up, they'll be limited to people that are affiliated with the particular healthcare provider. that's working on that site. i have question about how that would work with the community sites and the mobile sites. there might be expectation for the public that anyone might be able to get a vaccination there. >> thank you supervisor mar,

great question. by design with our strategy, all of these sites are being developed to be health system, health plan, insured, uninsured agnostic. given that we are quickly setting up the city college site, we don't have all the infrastructure in place, u.c. is having to do the scheduling through their system. the goal is, we will be identifying a city wide scheduling system that anybody can go into and schedule. when that happens, when you go to one of these sites in the near future, you won't be going through the u.c. site. you will say, i want an appointment and you'll get directed to one of these sites and whoever is there, if it's sutter there, dignity or kaiser, they won't care. you got an appointment, you get in the line and you get your shot. that's where we're moving to.

we're not there for friday. that is the plan. you asked about community sites. that is the saying. one of the good things -- one of the few good things about the way the federal government set this up is, in the federal cares act, they made it a requirement anyone who receives vaccines, has to give it to people coming searching for it. even uninsured people. they've set it up so that people without insurance and thankfully in san francisco, because of health san francisco, even if you're uninsured, if you go get a vaccine, that vaccinating entity can bill the federal government and get paid for it. thankfullyso far we haven't use to big stick. they have stepped up. you heard kaiser say they are

vaccinating people who aren't their members. we're all running to quickly get our cumbersome system set up to accept this kind of nationalizing one payer system. we're trying to break down those barriers. i hope that answered your question. >> supervisor mar: it does. it sounds great and very reassuring to know that the plan is to have a truly comprehensive sort of system in our city where residents can schedule an appointment for a vaccine based on their priority and find the most convenient and accessible place to get vaccinated.

i had another question about the community and mobile sites. we'll provide more access beyond the three mass or high volume vaccination sites. that sounds very important to achieve that goal that ceo pickens you mentioned, on an accessibility and convenience level to make it easier for everybody to get vaccinated. ingty -- equity is a guiding principle around that. sound like we'll be using the site through the hubs that was created through testing that's been focused on the neighborhoods that had the highest impact and highest rates of covid. that sounds great. there's a lot of neighborhoods in the city that haven't had the

testing hubs. i think for vaccination strategy to be effective, we have to ensure we have complete coverage of the entire city even more so i think the testing strategy. >> we're able to track disease prevalence within the city by area, by zip code, by district. we will use that data to help guide us in terms of where we send those mobile teams to which communities we work with and which communities to locate those pods, those points of

distribution. our goal is to use the data to tell us where people most in need and then bring the service to them. it's important to note as you heard from my colleague josh adler from ucsf, this isn't as simple carrying around the flu vaccine. some of those testing sites have challenges for making sure we have the right refrigeration. the physical set up to administer the vaccines. those are some of the things we have to work through. >> supervisor mar: thank you. i agree that we need to focus on the neighborhood and those areas of the cities that have been impacted by covid. as we have in the testing strategy. for the vaccination strategy,

it's also important to ensure that there's convenient access for residents who live in other neighborhoods. they haven't been testing sites set up. just to ensure that we can -- quickly as possible, vaccinate everybody in the city. what's the plan around communities or mobile vaccination sites. >> thank you for having us today. we're working with advance planning team and the data team to help create maps of the city to track disease prevalence and etcetera and track vaccine access points. as director carol mentioned,

we're looking equity to use that data to inform the neighborhood these strategies and community-based strategies to deploy semipermanent as well as mobile vaccination hubs and sites in communities based on vaccination access and vaccination rates. thank you. >> supervisor mar: thank you. supervisor haney? >> supervisor haney: thank you chair mar and thank you all for this information. there's a lot of new information here. lot of information that we've been asking for and residents has been asking for. i want to thank you for your hard work in pulling this together and to your respective teams. there's a lot in here that i know all of us are really excite to see happen and support.

i have a few questions that i've been wanting to know for a long time. i'm grateful that you're here to answer. one is question about how we're going to use the notification system? it was really great that we were able to get over 70,000 signed up yesterday. how do you envision that communication system being used? would it be transitioned to utilize for people to sign up directly for appointments where people get additional information where we provide information that connects to people to other opportunities with other providers. yesterday lot of people got a text message that didn't provide a whole lot of information, based on their category. how do you envision utilizing this method of communication? lot of this is about the distribution and doing it

quickly. it's about also making sure we keep our residents informed, they don't feel like they're in it dark over the coming months. >> dr. mercer, would you like to answer? >> sure. thank you. we're glad to have the notification site up and also recognize that there's a lot of room to grow and improve on the notification process. we are planning and working with digital services as well as the vendors we're bringing on board to have a seemless as possible access point for people to be notified by their priority tier then as more vaccinating site come on, as well as the pharmacy networks to make those available and visible to people as their

time comes up. >> when you go to that site, to be will take you to here are all the available site. you go get yourself in a slot at walgreens on van ness. that's how we envision this working. >> supervisor haney: the alert system can tell people when -- we roll outmass distribution site and this is how they register. other counties that have sites like that are already in place you can go l.a. through fresno, san diego, you can go on and see the places that are providing the vaccines. you can sign up there directly. i envision that's what we're looking to and using the communication tool. the question grappling with here, how to get more vaccine

doses. we're all hopeful that the federal government is going to be much more helpful with that. if you may be can shed a little light how the decision is made to determine how many doses san francisco should get. if there's anything that we can do as a county to advocate for more doses to demonstrate that we're prepared to deploy more doses, one of the things that i heard, san francisco actually has the greater responsibility than other counties because we have so many healthcare workers who are here but don't live here. we are providing those doses to them and that is somewhat connected to why some of the counties may be moving forward with some population that we haven't been able to vaccinate yet. we have a broader responsibility. can you shed some light on that? is there anything we can do to advocate for more vaccines and

maybe demonstrate that we have a broader capacity to receive more vaccines? >> i can try to start and ask dr. mercer to clean up anything i don't answer completely. absolutely. we need everyone's help. we already -- mayor's office is actively engaged. san francisco, we need the full reach of our political power to do everything possible to get doses sent our way. we're grateful for all the support and advocacy that the mayor's office is doing. we welcome help from all commerce. look to partner with the board for your assistance and we're doing that assistance with our community-based organizations with our people living in

corporate america in san francisco. if you know anybody who can get us vaccines, get on the phone and send it our way. i will say, i mentioned this earlier, more vaccine is going to southern california. our hospitals in san francisco are competing with them. we are losing that battle. >> thank you. i can't say i have -- there's no clear state algorithm. we have been informed different things from the state at different times. we have objective through different channels, all channels that are available to us to the diminishing supply that we have received in recent weeks relative to other counties. what we have been told by the state is based on population of residents as well as workers and residents. as you all know, very well, san

francisco has a much larger daytime population than night time residents. if our allocations are based on healthcare workers and essential workers who work here, you can see this demonstrated on the data tracker, which is unlike the care data tracker from the state. dr. marks can speak to this. we are vaccinating more people who are outside the county who are providing essential worker services in our healthcare. we have not received sufficient vaccine to vaccinate phase 1a across all san francisco entirety. >> supervisor mar: it does look like the state is allocating to counties based on their healthcare workers numbers. if you look at santa clara, we

know how many doses santa clara received and how many doses san francisco received. as of yesterday, san francisco received 50% more vaccine doses. that tell us they're not just allocating. >> we all will do whatever we can to get more vaccine doses. >> supervisor haney: this is something that i struggled with, which is how are we communicating to people which tier they're in and providing clarity on that. what is the role in that? we get a ton of questions. i would love to go through each of these.

is it the county role to determine who falls in which tier. is the county role to determine when we can move on to the next priority? from the private providers they were looking to the county for guidance much more so than it was my understanding. for example, could the county say, we're going to vaccine, we're going to vaccine all our educators. even though they are in the next tier? is that something you're able to do? >> great question. i wish we were able to do it. no, we do not have the authority at the county level. we have to follow the state. just like the state made the decision to open up the first phase of 1b to 65 years and older, if they do the same thing for teachers, then we can start doing it. we need to give them the authorization.

we don't have the authority in san francisco or any other county to say, we're not going to do a phase or tier that hasn't been open by the government. i wish they would. >> supervisor haney: for group like our educators, it's so critical for other things to fall in line, are you working with the school district? are you preparing for the mass vaccination of all our school staff? >> there are discussions at the city level like our health service systems. they also provide health insurance for san francisco unified district. abby yant is working with the unified school district to identify who the teachers have insurance through city health services system. and try to make sure they are

aware when their tier opens, they can be directed on where to go. right now, they're not in a tier that's eligible for vaccines. they trying to get ahead of the game when it is time for them to be ready, the city has blue shield as a health option, it has kaiser and united health. they're trying to identify who are the teachers who has those insurances. when the time comes, they're insurance plan will push out a notice saying, today, the state just opened up the tier that allows teachers to get vaccinated. we know you have blue shield through ucsf. please log on and get your vaccine. >> supervisor haney: i think it's very important we are preparing for that particularly when a group like our educators.

there are categories of individuals or workers for whom when you read the actual requirements -- sorry, read the priority tiers or look on the website, it's not immediately obvious whether you fall into that or not. who is the arbiter of that? i've had people who reach out to me who are frontline service provider under city contracts with s.h.h. or d.p.h. where do these people get sort of any exact determination and from whom as to which priority they fall under? who decide that? >> i try to start. within the city leadership, we have a covid-19 city work group

that includes department of human resources and d.p.h. we look at those guidelines. for example, it says one of those categories is community health worker and public health field staff. most people don't have that exact title in their job. there's an umbrella position that are covered under that title. we have to work with, for example, the human services agency. we have to have the discussion with h.s.a. of the people that are city employees and cbos that contract for work. how many of them fit this definition and who are they. give us their name so they can be reached out to set up all

appointment. it is back and forth to make sure that we are following the guidelines from the state and trying to be as encompassing as we can and still within the guidelines. it's a discussion because the way they wrote those guidelines, doesn't -- it's not a one-to-one match employed by the city and county of san francisco. [please stand by]

-- pathways for them to become vaccinated there as well. and as well as bringing on more pharmacies and other areas for workers to self-certify in those categories. again, our supply is limited in terms of -- across all of the entities and all of the groups that have been prioritized by the state so far. >> so the challenge with that approach has been that a lot of people are not able to get any

answers, even to which priority tier they fall into, even if they're not in 1a. and that's creating a lot of anxiety, a lot of uncertainty. and i do think that it's important that we put out the guidance, sooner rather than later, as to what we actually consider to be tier 1b, 1c, etc., because these folks don't know yet. and i think that dealing with that sooner rather than later is a smart thing to do. and i will say this that other counties seem to have started in some cases to vaccinate teachers, so i don't know what the barrier there. and they are already vaccinating teachers and it sounds like you said that we have to wait for the state to be able to tell us to do it. are they under a different set of guidance? or did they move forward without permission? >> well, if -- if they are doing it, then they move forward

without permission because that's not open up by the state. >> i will ask one last question and i'll send the rest of my questions in writing. one thing, i do think that it's important for a way for people to get answers -- so if there's a way to make the notification system interactive in some way, and this also an opportunity for volunteers. i know that a lot of people want to help, and maybe it doesn't make sense for everyone to help with the vaccination senders, but maybe responding to people's questions with a set of facts they have in front of them would help people to feel better about the information they're getting. so i know that it's all an alert, but making that interactive or a hotline or something like that is really important. in terms of our ability to ramp up to 10,000 plus a day, can you speak to when you believe that we can get to 10,000 a day, is is that entirely based on

supply? if we got 100,000 in the next few weeks we'd be able to go to 10,000 a day? have you thought and many people have suggested this, extended hours and doing this and some people would get their vaccinations overnight. have you thought about transitioning the testing sites to vaccination sites? can you speak to that, what it looks like at that level and when. >> absolutely. and i'll let dr. mercer to answer that question and the reason is that she co-chairs the group with the hospital council for vaccine, so she's working directly with them. because with their vaccine leads at each of their hospitals, because that's how we're going to get to 10,000 a day, and she knows what that plan is. and i'll let her to answer that question. >> i would just say, you know, it is very much tied to supply. and everything is on the table. i'm very encouraged, the same hospital group of collaboration that helped us to address and to plan for surge, um, that was

back in march, and to come up with an equitable distribution plan. to make sure that no hospital became overloaded. it's the same group that is bringing it to the table. so everything is on the table for options. and we are also working very closely with all of the community partnerships to make sure that our pharmacies that are located in neighborhoods, um, are going to be able to come online to also to provide support there. so i think that as supply opens up, i'm very confident that we will get to that target together. >> thank you, and thank you all for your work and i have other comments and questions, and i do think that, of course, the mass distribution is so important, that is the overriding priority. and i do think that we have to put emphasis as well on providing a communication and transparency and information to people, even if they are a little bit further out and this is affecting everyone and it is

very anxiety producing and traumatic. and if we can there for folks and provide them with as much information as we have and clarity -- you know, if you're in a certain categories, we should be able to provide some level of answers for people as we prepare to get it done and to make it happen for them and i appreciate all of your work and for your presentation today. chair mar, i'll pass it back to you. >> chair mar: thank you, supervisor haney. president walton, you're up next. >> supervisor walton: thank you so much, chair mar, and thank you for the presentation. i do have a question though, because i'm somewhat confused a little bit because i know that part of the concern is the supply of the vaccine itself. but i believe that i heard dr. adler say early in his presentation that the department of public health of san francisco gave ucsf some vaccine? so i'm trying to understand how we have a supply issue but we're

also giving away vaccines. >> okay, dr. mercer can take that one. >> that was an emergency reallocation a couple of weeks ago. we had been bringing additional sites online, and there's a mutual aid system within county and also within the region to respond to -- usually to respond to disasters like earthquakes, fires, etc. and so that's part of the way that we escalate issues if there's supply -- if there are medical needs like bed shortages, etc. there happens to be an instance where a couple of sites that we thought that were going to come online to start vaccinating were not and that in that case that ucsf, and another hospital, i think that it was kaiser, had planned scheduled appointments. those is what they thought they were going to get for supply and sunday their m.c. did not come

through with the supply they had planned on. so we were able to allocate some emergency supplies that way. and we're not able to do that after that case. >> supervisor walton: what did that do with our system of care and making sure that we were able to vaccinate our medical professionals? >> in that instance we have to weigh it against what we have booked and scheduled out. so if we hadn't been able to give it, we wouldn't have given it. but at that instance in time we had a little bit of extra and we were able to dispense it. because we knew that it could get into arms immediately. >> supervisor walton: and just for my clarity, because i want to make sure that as we build the infrastructure for the mass vaccination sites and i know that we have a target for three that are, you know, supposed to come online pretty quickly, um, we have heard from a few

providers today. all of the providers who presented today 100% committed to providing and participating in those mass vaccination sites? >> yes, they are. we have strong commitments from all of them. u.c., southern, dignity, and kaiser. did i leave anybody out? yeah, yeah, they've all committed. >> supervisor walton: thank you. and can you define what that commitment looks like or means, did they sign a contract? >> thank you, that's a good question. so the city's commitment through director carroll and her department is to provide the venue, the space, to do the logistical set-up. the commitment from health systems is to bring in their -- to bring their vaccine and bring their vaccinators to people who actually do the vaccine. so it's a collaboration. and the city provides the site

and they provide the personnel. most of the medical personnel. >> supervisor walton: thank you so much for that. that's actually good to hear. and what does that do for individuals who don't have one of those providers as their insurer? so what is d.p.h.'s commitment to the vaccination process in terms of actually having the vaccine and providing folks who can administer? >> right. so, again, with the exception of this friday, because it's the first set-up, those sites will be health system agnostic. so it shouldn't matter if you're a u.c.r. kaiser or a southern patient, when you show up you should be able to get the vaccine. that requires us to have the city-wide website where anybody can go in and get the appointment and then you get told which site to go to. but for friday, just because we

need to test the systems getting up and running, because we don't have that centralized schedules we're going to use the u.c. scheduling system which is now limited to people within there. however, the good thing is that website that went up yesterday, the notification -- we talked to u.c. this morning and they said, well, if you have people that are eligible in phase 1a or 65 years or older that signed in there, next week, give us that information and we can plug them into our system until we get the city-wide system set up. so they're already opening up the door to people who aren't u.c. patients. >> supervisor walton: and there won't be any barriers there put up because of, you know, passing along information of patients? >> oh, like the hipa privacy barriers? >> supervisor walton: correct. >> no, the way that we're envisioning that city-wide system, it gets the basic information -- what's your name,

what qualifies -- you know, what are the characteristics that qualifies you for a tier. we're not asking medical history or anything like that. it's just the basic data that then gets pushed to the -- to the providers and they will then get more additional information that they need from a medical perspective in order to give you the vaccine. >> supervisor walton: thank you, that's all of my questions, chair mar, at this point. thank you. >> chair mar: thank you, president walton. supervisor safai, you're up next. >> supervisor safai: thank you, thank you, chair mar. just a follow-up on the end of that question. i just want charity from what president walton just asked you, mr. pickens. so as are friday it's just open to ucsf, because that's how the system is to register. how quickly after that will these mass testing sites be opened up to non-ucsf staff? you said next week? i wanted to reiterate that for the record. >> i'll ask dr. mercer to help

me to comment on that. >> yes. we are very hopeful that with this notification system that it would be sufficient information for this, and we're working on the web-based platform to unify the schedules across the site. >> supervisor safai: so one of the questions that i have, not to be a broken record, but a lot of my constituents are over the age of 60 and not internet savvy or monolingual immigrants and don't have the access to the internet because of the internet divide. now that the private providers are saying they're interested in capturing non--- members that are not up there, you know, that are not up there in their health care system, are we considering using the city's 311 system? i mean, that seems to be a mechanism that people are very familiar with. it's not internet based. even if it meant connecting it

with the online system somehow, they could actually register the person using the online system, the 311 call center could do that. and you have the capability and multiple languages and it's something that is very familiar that we prioritize and spread over the years for all types. so rather than just creating this alert online system that people are not familiar with, why not use the existing infrastructure that i believe that mary ellen oversees. and you also oversee the 311 system. and just -- sorry -- just the 911 system. okay. but the infrastructure is there. so it seems to be a good solution. what's the reaction from d.p.h. to that? >> chair, thank you -- go ahead. i was going to just say thank you, that is a very good suggestion and it hadn't come to my mind. but i'm not sure if it's been

discussed in other parts of the team. i'll see what dr. mercer has to say. >> yes, it's been on the plan since the early iterations of this is to work closely with our 311 partners. and the conversations have started about how that will work. we've run several call centers also with the covid response too and talking about how we utilize the teams from there, and to augment the 311 support. and as well as how the vendor that will provide the scheduling can integrate there. but, thank you. >> supervisor safai: so how long before you get that system up and running? if everyone thinks that it's going to be internet-based and it's going to be funnel into that system you won't get the widespread usage that we need. it would seem to me that you would want to make that a statement early and now instead of target date to get that up

and running. rather than just saying that it's in the planning phases and we'll get to it until we get to it. and you're leaving out a whole host of people who don't have the ability, or try to have the ability, to use -- and they're not able to use it. all of the categories of people -- seniors, mono-lingual immigrants, people without access, and people without functionality on the computer. i mean, there's so many different ways that we're leaving people out right now by just going on this alert system and just forcing people to use the internet. so what type of timeframe do you guys think that you have with that regard? >> yeah, i can step in, mary. yeah -- and i don't run 311, but 311 has been an incredible partner with us throughout the covid response. they have functioned during testing and also during this, and so one of the -- so we are in talks with 311 to assist with

this. and we need to have the internal system which we're working as rapidly as we can on, for the overall scheduling and technology. and we're getting fairly close to. so that is the other piece. but, supervisor, i think that that's a very good suggestion. and one of the tools that we always use to -- and that we have available to us, to the public, for folks that don't have internet access, have language needs -- 311 is an incredible partner. so, you know, the goal for us should be that that should be part of the overall rollout as we move forward here. probably within the next week. >> supervisor safai: so that would be great. i appreciate that, director carroll. second question is -- will d.p.h. be creating a wait list for people that might not necessarily have the ability to get in with one of these

reservations? or are you just going to go with the model of just once these mass sites open up and it will become come-one-come-all? how are you planning on doing that? >> so for -- for people within the san francisco health network that d.p.h. is their provider of care, our teams are already reaching out to the people who qualify. anyone in phase a, and our in particular 65 years old and older. so they are tracking. they are calling those patients, asking them, telling them, hey, you're eligible for vaccine and we'd like to you come in. most of them are saying yes. and some are saying, well, i'm not too sure that i want it right now. i want some other people to go ahead. so they are being put on a callback later list to check and see if they're ready to come in. from a city-wide perspective, in terms of a callback list, i don't know, dr. mercer, has that

come up? >> it has and we're looking at how we can convert the notification system into something more usable and useful for the general public. and in partnership with our hospital collaborative. >> supervisor safai: okay, so i'm going to hit on my last point that i have hit on a few times today regarding our community hubs and our community partners. we have invested money and we have invested the money for the infrastructure and they're up and running. they were not at the table in the beginning when we started the vaccination -- when we started the testing process and it's something that we didn't do well in the beginning, but we pivoted to that. and i think they've been wonderful in terms of the access to the crocker amazon parts of my district, 50 broad street in my district, all community-run and led in partnership with d.p.h. and the testing sites. i just want to implore you to have them at the table now when

it comes to vaccinations. they shouldn't be an afterthought, again, they've been such wonderful partners and such a major part of this. i know that i'm overemphasizing it but i really don't want to see them left out of the conversation. i understand that you have some community hospitals, but the reason that we have hubs in certain parts of the city is because they're hospital deserts. other parts of the city have hospital infrastructure that people can refer to, and other parts, like my district, we don't -- and so that's why the community testing sites and the community partners have been so important. and what is the strategy to incorporate them? i heard pop-ups and i heard that we're going to -- but it one great to just hear kind of affirmatively where they are ann some of the questions. >> yes, i'll start, so thank you for that question, supervisor safai. and you are absolutely right. we are dependent upon those

community-based organizations to help us with vaccine. our director of government affairs and communications, katie tafg, is the d.p.h. person tasked with coordinating our efforts on community engagement and i understand that she has started a process to reach out to those community-based organizations, particularly the ones who we partnership in testing to replicate that on the vaccine side. >> supervisor safai: okay, and this is my last question, thank you, chairman mar, and supervisor haney. so, dr. mercer, i know that you have all of the expertise and we have a weekly -- it's actually a call weekly with the members of the board of supervisors and providing updates and giving us the most information. it would be wonderful if you were able to be a part of that call so that we're able to get the most updated information to the public about the public/private collaboration on the vaccine.

>> i would welcome that. and i can't say that i hold all of the answers, but we have an excellent team that we're bringing to bear on this. so, happy to be part of that conversation. >> supervisor safai: thank you so much. thank you, chair mar. >> chair mar: thank you, supervisor safai. i did want to just note that supervisor stefani is going to have to leave the meeting for another appointment. so i would move that we excuse her. and then, supervisor ronen, you are up next. >> supervisor ronen: thank you. i just have one question. and i just really wanted to appreciate everyone. i think that it was such a great hearing. i have learned so much and i just really appreciate -- not only all of the presentations but my colleagues' incredible questions. this was a really good use of time and i just want to shout out to everyone and thanks, everyone. so my question is about educators and the vaccine. and just what is possible there.

i understand that the current plan that we have is to help educators to hook up with their health care providers and kind of take it upon themselves to get in line and to get the vaccine. i'm wondering if it's possible to do something more organized and proactive? given how long our kids have been out of school, and the health implications of that. i mean, as the day goes by, i hear new horror stories every single day that oh, my gosh, i just can't even get over what these kids are going through. personalities are changing of kids completely. their parents don't even recognize them. this isn't just happening -- we've got to get them back in school, especially the elementary-aged schoolchildren, and do it in a safe way. so i'm wondering if we could partner to do something

proactive, like, we are going to work harder this weekend and in one weekend we're going to get every sfsut elementary-school educator vaccinated and then that's one thing off the list to reopen the schools. something like that. because i really think that it deserve this is level of attention because it's a public health -- a secondary public health crisis for children outside of this pandemic. is that something that we can start working on and doing? >> okay, so thank you very much, supervisor ronen, for that question. and i am with you. i grew up in a teacher household, a teacher family. my mother -- all of my aunts are all educators. so i know that effect. the biggest and -- so we're ready to do it. we need the handcuffs taken off at the state to say vaccinate teachers. just like they quickly out of

nowhere last week -- last wednesday, said that you can do 65 and older -- that same day we started giving shots to people in our network who were 65 and older. we can do the same for teachers. the state has to say, just like they opened up the 65, we open it up to teachers. >> supervisor ronen: i get that completely, but i'm saying what we heard today is that our health services system is creating a plan of let educators know who their health care providers are. that's not what i'm talking about. i'm talking about san franciscans -- san francisco is partnering with sfsud to vaccinate all elementary school educators from the bus driver to the janitors, to the -- you know, the front office administrator to the principals and to the teachers. and we're going to do it at this spot and we're going to roll out the red carpet and we're going to hand hold and we're going to, you know, really just say this

is your special time to come and to do this. that gives it a different level of sort of importance and responsibility and the ease of access. and i'm wondering if we can start preparing for that now, knowing that that takes a logistical heavy lift. and then we're ready once that the state gives us the thumbs up. is that something -- >> oh, yeah, oh, absolutely. because that's really equivalent to like the vaccination sites. that was in response to them opening up. -- yes, we can plan that event now so that when we get that announcement in the governor's noon press conference, we can already have it set up. okay, teachers, come on in, and this is where you will be. so, yes, that we can partner on and do now. >> supervisor ronen: okay, fantastic. can i email you later today so we can start planning that?

>> absolutely. yeah, and with abby, and one of our leaders in working with the san francisco unified -- so she and i can take that on together. >> supervisor ronen: i'm so excited about that. thank you very much. i can't wait to make that happen. thank you. >> chair mar: thank you supervisor ronen. supervisor haney. >> supervisor haney: thank you. i did to have a couple of quick things that i want to follow up on. you had mentioned that we could set a goal to, you know, to vaccinate everyone before the end of june 2021. it would be amazing. how are you thinking about young people and children in that? is that included? do you imagine -- i know that it's my understanding that potentially that actual children under 16 have not yet been approved for the vaccine, is that correct? >> yeah, i'm going to let the medical doctors answer that

question. >> that's correct. i will say that, you know, what i'm really encouraged by is that we are setting up the operational capabilities across our city and across our health systems and in our communities to be able to do that. we need the vaccine and we need the approvals to move forward. >> supervisor haney: great. and i had supervisor mar, chair mar, ask questions about accessibility across the city. and, you know, one of the things that i've been wondering about is who represents the district that has a lot of s.r.o. facilities and has neighborhoods like the tenderloin that maybe have less access to health providers. and we also have treasure island. is there -- as part of this plan, is there any vision to actually do any of these vaccinations on-site, like in

the s.r.o. itself, or do you have that kind of vision or capacity? and just kind of how you envision reaching neighborhoods like the tenderloin or treasure island? >> so the answer to that is, yes, that's going to be one of the uses of our mobile vaccination teams and we have our street medicine teams. they will be involved in covid vaccines and dr. mercer can add more. >> yes, that is exactly the type of environment that would be conducive to having our mobile vaccines involved and the e.m.s. agency and the fire department have been big partners in preparing this piece. >> supervisor haney: great. and, you know, similarly, we obviously have a homeless population, and we have the

issue with testing and how you get to folks who might not have an address for a second dose and the follow-up and all of that. so i'm just going to flag that and assume that is something that you're thinking about and that it is on your radar. chair mar, i'll turn it back over to you. i'm sure that there's maybe some public comment and similarly i want to appreciate everything that everyone is doing. and what was presented today. >> chair mar: thanks, supervisor haney, and thank you c.e.o. pickens and dr. carroll and dr. murphy for the extremely important work that we're doing to get our vaccine strategy and plan rolled out. so, thank you. why don't we go to public comment, yeah. i know that there's been a number of folks following the hearing and waiting patiently for an opportunity to speak. so, mr. clerk, are there any callers still on the line? >> clerk: we can go to public

comment, yes. just before i do that real quick i did hear from you a motion to excuse now departed vice-chair stefani from the meeting. do you want to take a roll call on that right now? >> chair mar: yes, thank you. >> clerk: to have vice-chair stefani excused from the remainder of the meeting. [roll call vote] mr. chair, there is no opposition. >> chair mar: thank you, mr. clerk. >> clerk: and now the routine for going into public comment. operations is checking now to see if we have any callers in the queue. mr. koe, let us know if we have callers who are ready. if you have already connected via phone press star, followed by 3, to be added to the queue if you wish to speak for this item. for those already on hold in the queue, please continue to wait until you are prompted to begin. you will hear that your line is unmuted. for those who are watching our meeting on cable channel 26 or

through sfgov-tv.org, if you wish to speak, call in by following the instructions which should be display your screen at this time. that is by dialing 1-(415)-655-0001. following that you enter the meeting i.d. which is 146 286 5807. followed by pressing the pound symbol twice and press star, followed by 3, to be added to the queue to speak. mr. koe, please connect us to our first caller. >> caller: hi, my name is deena lawn and i'm the vice president for policy at the san francisco community clinic consortium. we represent the non-d.p.h. community clinics. we serve 112,000 of the most vulnerable patients, mainly medi-cal or uninsured. we have a heavy emphasis on immigrant and multilingual

populations and the homeless health care program in san francisco in partnership with d.p.h. who serve those on the streets and those marginally housed. you have heard from the partners at kaiser, but i fear that these are not focused on the community served by the community clinics. we know that some of the most impacted communities, for example, latino essential workers, native americans and older asian-americans and african americans, those are the people that we already serve. and just like people who have kaiser or ucsf, just like they understand how to get access through their system, our people know how to get access through our system. many of them do not have access or are not comfortable with or speak languages and dialects that are often not spoken or not translated on the computer. they need one-to-one contact by their trusted medical providers. these -- the most vulnerable people in san francisco are not

secondary to our members, they are our members. and while we really appreciate director pickens giving us a shout out and the coordination that we have gotten from the staff, we have not been fully engaged in the planning we asked way back, and i think that if san francisco leaders really want equitable access to vaccines, if you really want to make sure that we address the vaccine hesitancy that is due to historical injustices, please coordinate with us and supply us with vaccine and support us. thank you. >> clerk: thank you very much for sharing your comments. could we get the next caller, please. >> caller: hi, thank you for calling this important hearing today. i'm here on behalf of the san francisco family resource alliance. we appreciate all of the work that's happening so quickly and

efficiently to vaccinate our community and we recognize that there's challenges with any mass vaccination effort. we would like to advocate for the distribution to reduce the inequity and to prioritize those who are on the frontlines providing support to children and families. for example, family resource center staff, along with our colleagues in the early childhood community, and every day throughout this pandemic have been on the front lines providing essential services to the community. and they have remained and pivoted to adjust to essential services while remaining adherent to public health guidelines. this has served as a safety net, to provide basic needs, connecting the community to critical services and resources. supporting the development and the education of our children and giving caregivers back to work. further, they're becoming inundated with referrals and requests for assistance from families and community partners, including the city's covid command center for families in

quarantine. we urge that the city adjust their distribution plans and expand efforts in order to protect all of those that are providing critical and essential services to our children and families. thank you. >> clerk: thank you very much for sharing your comments. the next caller, please. >> caller: hi, i'm jack lipton in district 6. and i had someone in dallas that was vaccinated. she went to a county-run clinic. and my parents here in san francisco filled out the form yesterday. and they should contact their health care providers. they did. they got a recording told to not bother leave a message if they are calling about vaccines. the email and the city's website have no instructions or help of any kind. in contrast, seniors and health care workers in los angeles can now go to a county-run website

or caught a hot line if they don't have the internet access, and have vaccination locations, including seven county-run states open and running, each with the ability to have an appointment. and they need details on how to make appointments, and seniors in san francisco get a four-sentence email telling them to contact someone else, somehow, good luck with all of that. and with the utmost respect for the command center's hard work it feels that dallas and los angeles care more about their residents' lives than dismplet d.p.h. cares. and only for those who can negotiate the process is innerequitable. the system that we have now is one that privileges those with the resources to figure this out. and d.p.h. has said in this hearing what we'll get in the future with things that are already happening in other cities. the data released by d.p.h. and ucsf show that the

administration stopped over the christmas and new year's holidays despite the available supply. i emphasize with everyone who has been working grueling hours, so they do not have vaccination clinics during holidays. >> clerk: thank you for your comments. next caller, if there's anyone else on the line. >> that completes the queue. >> chair mar: thank you so much, operations. public comment is now closed. i should -- i did want to follow-up on a few points that were made in public comment. and that's around the opportunity and really the need to expand our vaccine distribution strategy by engaging with important networks, community networks, like the clinic the s.f. clinic consortium and also the family resource centers. so, yeah, could you -- could

someone respond to that, whether they really have been engaged and tapped as a way to reach, particularly the vulnerable communities who might face language or cultural barriers to accessing the website and the system that is set up. and also families with children. >> i can start. so in terms of the san francisco community clinic consortium, we've -- we were engaged with them very early on, particularly in terms of just figuring out where their employees would be able to get v vaccines. so we opened up both the san francisco health network, that's the delivery system within d.p.h. to help to vaccinate some of their employees. and also worked with the health right 360 and they agreed to vaccinate their employees. in terms of working with them and in terms of doing more covid vaccine for their patients, i know that dr. mercer has had

communication with their executive director and i believe that we're set to meet with them next week. is that correct, dr. mercer? >> that's correct. we acknowledge that they're an important partner in this, as are other community organizations. and we need to be part of the rollout plan. >> chair mar: great. thank you. well, i again, i want to thank all of you. and, actually all of the presenters from the health care providers and as well as, you know, the d.p.h. and the covid command center for your presentations. and this important discussion. yeah, i would echo supervisor ronen's comment that this is an incredibly useful hearing that we've had really just to provide

information. you know, to the supervisors, but also to the public, about our vaccine strategy and so thank you all, yeah, for this hearing and for all of your work. supervisor haney, do you have any closing remarks? >> supervisor haney: well, again, i want to echo the gratitude and i also, you know, as we have heard from our residents that this is our moment, this is the time that they've been waiting for, that we have been waiting for, and everyone stepping up is so, so critical and essential and to provide information and communication and coordination. i want to say that people really want to help. i don't know how exactly that fits into our plan and we didn't really talk a whole lot about it, but if there are ways to volunteer, to provide information or to volunteer at the sites, i mean, this is an all-in effort where we need -- that we shouldn't have any limitations that relate to space

or, you know, human power or anything like that. technology. we should be able to do all of that and we should have that all in place and the only limitation, of course, is the vaccines. and the doses. but we also want to know how to support and how to work with you all and how to fight for more doses as well. and how we can provide a bridge around that. you know, the board of supervisors is going to ask a lot of questions because we're getting questions from our constituents and you're going to continue to get that. but i did want to make it clear that we do want to help and we wanted to get this done with you. so call on us as well as this moves forward. and this is the most important thing that we possibly can be doing together right now and we appreciate you and your respective staff for being on the frontline and we know that we always can do better. so thanks again for being here. chair mar, i feel like we may want to keep this hearing open

to the call of the chair if that works for you. we may want to revisit this, you know, at some point. so i just would make that motion. >> chair mar: that sounds good to me. mr. clerk, can you call roll on the motion. >> clerk: on the motion offered by member haney that the hearing be continued to the call of the chair, noting that vice-chair stefani is excused. [roll call vote] mr. chair, there is no opposition. >> chair mar: okay. thank you. thanks again, everyone. mr. clerk, is there any further business? >> clerk: there is no further business. >> chair mar: we are adjourned. take care. divet.

>> it is now 1:13 p.m. sorry for the delay. my name is miguel bustos, and this is the regular meeting on committee on community investment and infrastructure, january 19,