the field is surrounded by the track and used by high school and college football and soccer. it is open for public use as well. ♪ >> it is unclenate's creativity time. welcome to uncle nate. we are are going to draw bubble letters. you need supplies. you need a pencil, markers, something to color with and a few pieces of paper.

gather up supplies and meet me back right here. all right. let's go. got all supplies out. draw your name lightly in the center of your page. give yourself room. give each letter a little room. all right. now, i want you to draw around each letter like you are driving a car around each letter. next, let's erase the center. take away the original outline and then we will be left just with the bubble letter. make sure you get the center part out of there. okay. we will touch it up. time for color. i chose yellow, orange, and red.

yellow at the top, then the orange in the center, and i am making a stripe right through the center all the way across. last, my red, which makes a cool fade. time for the outline. unclenate's creative time. figure it out. now we are going to do a drop shadow. a shadow underneath each letter and to the side. it is really going to give it a 3-d look. wow! great job. i bet you didn't think you could draw that. now you can draw bubble letters you can use it to draw things for your friends, cards. it is really useful.

i hope you had a good time. i will see you next time on uncle nate's creativity time. ♪ >> van ness avenue runs from market street to bay street in san francisco. south vanness runs from south of market to cesar chavez street. originally residential after the 1906 earthquake it was used as a fire break. many car dealerships and businesses exist on vanness today with expansion of bus

lanes. originally marlet street was named after james vanness, seventh mayor of san francisco from 1855 to 1856. vanness heavy are streets in santa cruz, los angeles and fresno in his honor. in 1915 streetcars started the opening of the expo. in 1950s it was removed and replaced by a tree-lined median. it was part of the central freeway from bayshore to hayes valley. it is part of uses 101. it was damaged during the 1989 earthquake. in 1992 the elevator part of the roadway was removed. it was developed into a surface boulevard. today the vanness bus rapid transit project is to have

designated bus lanes service from mission. it will display the history of the city. van ness avenue. >> good afternoon. on behalf of the san francisco

african american historical and cultural society, our sponsors, and our presenting partners, welcome to the society's 2021 black history month kickoff program. i am al williams, president of the society's board of directors. the society was founded in 1955 and merged with the association of the study of african american life, better nonas asaal. from the beginning, the society has always centered its always black history month activities around the themes established by asaala. this year's black history month theme is the black family, representation, identity, and

diversity. today's program and other society programs throughout the month of february will address this theme. we hope you will enjoy and be inspired by it. as is our custom and tradition, we'll begin with an invocation, which will be given by pastor kirk davis, who's affiliated with kiros fellowship. it will be followed by the singing of the negro national anthem. >> hello, everyone. this is amazing, this is a great time. i'm thankful for being a part of this. my name is pastor kirk davis. i am a part of kiros fellowship in bayview-hunters point, and i

want to say thank you for allowing me to be a part of this. let me start by saying one of my monikers, things that i say all the time, is life is a beautiful mess. come on, somebody say it with me. that life can be the most beautiful thing in the world, and sometimes maybe the most messiest, that life sometimes brings us the hard stuff. and some of us have been through hard things in the past year, and i just want to say that i am praying, we are praying, and we love you, and we are with you. so with that being said, we want to celebrate this beautiful, beautiful black history month with you. and so my job tonight is -- or this afternoon or this evening is to pray to just get us started on the right foot. so come with me, pray with me.

i know some of you might have different belief systems, different ways of thinking about god. i grew up in baptist church. just walk with me through this part, and i ask that you would pray with me. with that being said, heavenly father, most gracious god, we give you thanks, and we honor you, for you alone are worthy to be praised. god, we thank you. as we begin to celebrate this black history month, we remember our faithful ancestors. we hold fast to the fact that you were with them through it all. you have gone before us, and you have gone with us. we thank you for those beautiful ancestors who built

the pir -- i want to thank you for joining us for this very important conversation about covid-19 vaccine. i'm joined by san francisco's health officer and the deputy director of health to discuss in more detail san francisco's plan to distribute vaccines as quickly as possible. the doctors are medical experts helping to lead the city's response to covid. we're lucky to have them here to help answer the questions that many san franciscans are asking.

i know this is a topic on everybody's mind. we've never done anything like this before in this country, in this state or city. vaccinating this many people in the midst of a pandemic. it's a process with many moving pieces. while many things are out of our control, we're in good shape in san francisco with a plan in place to get people vaccinated quickly once we have the supply we need. to start off the conversation, i'll give a brief overview of the current situation in san francisco and then we can get right into the conversation. san francisco is moving full speed ahead on covid-19 vaccinations. we're creating a network of vaccination locations across the city. high-volume sites, partnerships with pharmacies, uzbekistaning -- using existing community

sites. to do all this, we're coordinating with the health care providers who are receiving a majority of the vaccine doses from the state, such as kaiser permanente and ucsf health. creating targeted efforts to make sure communities that have been hit the hardest by covid, have access to the vaccine. won friday, we opened the first of three high-volume vaccination sites in san francisco at city college on ocean avenue. they started with 500 doses per day, but will have the capacity to administer at least 3,000 doses per day once we have the supply and are fully ramped up. in addition to the sites opening at the muscone center and the san francisco market and the bayview, we're also working to bring vaccines to people in the

communities most impacted by covid through community clinics and mobile vaccination teams. this has been a collaborative effort and we're so thankful for our partners, the health care providers and the community organizations work with us. we have a plan and we're ready to distribute 10,000 doses at least bare minimum per day once we have enough supply of the vac. so far, the amount of vaccine we're receiving from the state and federal government is inconsistent and unpredictable. we need more vaccines and we'll continue to do everything we can to be ready when our supply of vaccine doses increase. but for now, vaccine supply remains our biggest constraint. so this is such a big piece of the puzzle. why don't we get started in the conversation? and let's ask the two incredible doctors that are joining us today, who are really leading this effort, thank you for

joining us and either one of you can answer this question. what is the current situation with vaccine supply in san francisco? and why are vaccine supplies so limited? >> thank you, mayor. and maybe i will start and then the doctor can fill in if there are pieces i missed. as you said mayor, the main thing, nationwide vaccine production is limited right now and that's the underlying issue. vaccine getting to us in san francisco and getting in the arms of people in san francisco is also very, very complex. so the federal government directly allocates a small portion of the doses that it has and then the rest of it gets divided up and allocated by the federal government to the 50 states. once our california share has arrived, then it gets allocated not just to our 58 counties, but

also large health care organizations. in fact, in san francisco, two-thirds of the vaccine that is coming into the county is going straight to our health care partners. that's important to realize. as you mentioned, not only are we not receiving all of the allocation, but just a minority, but it's very erratic and unpredictable because of the supply issues. that means we can't know from week to week how many spots we'll have available for people to get vaccinated. the state also determines what the priorities are for vaccination. again, as you said, very important to know. and right now, the priority groups are health care workers and they are people that are 65 and older. these are the people who are most likely to get covid-19 and the people who are most likely to die if they do become infected in the case of older adults. so as an example of that, in san francisco, people aged 65 and older make up 15% of the people who get covid-19 in our county, but they make up 85% of the

people who die. so that's why they're prioritized first, but it is that scarcity of vaccine right now that causes the biggest problems. then are logistical problems with the vaccines and being able to get them to people. >> mayor breed: so can you tell us a little more about how this works? how many doses have arrived in san francisco? and how many have been administered? and can you also explain, i think there is confusion around the second dose because there is, you know, a question about the timing of when the second dose should be administered and whether or not we can just administer all the first doses and hope we'll get enough second doses to administer those. can you explain the numbers and specifically explain the second dose so we can have a clear understanding of that? >> yes, thank you. so as of today, san francisco

has received 144,000 doses, but just to put that in perspective, if we talk again about the people who are currently eligible in san francisco, including health care workers and people 65 and over, that group in and of itself is 210,000. so if you think about two doses being required for these vaccines as you said, that requires 420,000 doses. so we don't have nearly that amount. each of these vaccines requires a two-dose course. they have to be repeated at either three or four weeks. the difficulty is you can't mix and match the doses. we have to make sure it's the same dose. of the 144,000 vaccines, we have administered 80,000 of them, 58 percent. and of the remaining doses, they're almost all allocated to ensure that the people who received their first dose are

able to get full protection from the vaccine by getting the second dose. when you account for that as well, there is 98% of the doses that have come to san francisco are going to the people of san francisco who need them. >> mayor breed: can you help understand -- i think some of the questions, too, that people have is, what happens if you don't get it within the third or fourth week? you don't get the second dose at that time, what happens? is it just not effective any longer? >> i can maybe take this one. so this has been study across the nation and right now, at the national level, they're saying that you could get the second dose up to six weeks later. the state is looking at this recommendation and they're finalizing how they want to approach it. so we're waiting for that. right now, we're trying to hit the marks of three to four weeks after, but if we get recommendations to adjust, we'll do so so we can get vaccine out

in the most efficient manner possible. >> mayor breed: that's a real interesting point that dr. phillip made earlier today, just that folks are not completely -- they don't completely understand why we are basically pretty much out of doses. and i think it's important -- and it's complicated, but it's important to talk specifically about the path. we're not just holding onto vaccines. we're getting them out the door as soon as we have them and we don't have control over all the ones that come to san francisco, but maybe you can talk about the path that a vaccine follows from when it is assigned to san francisco to when it is administered. and i know that you can probably only mostly speak to what happens with the department of public health, because we only have control over the vaccines that we receive. >> should i start? or would you? >> maybe i'll start with the

logistical part and then you can talk about the clinical implications. because these vaccines were processed in a very quick manner, they require a little bit more logistical effort than normal vaccines. so the pfizer vaccine needs ultra-cold freezing which is -60° and that's not normally how we distribute vaccines. so that temperature control is extremely important for the vaccines to remain effective. at every stage from when they are produced at the manufacturing and as well as transport across the country into the county, that temperature control has to be maintained. once it's in the county and it's put into a health care system or the department of public health, we have to ensure that that temperature control conditions until it's ready for use. -- continues until it's ready for use. it's required for the health care systems to have ultra-cold

freezer storage to do the pfizer vaccine and get it out. moderna is a little bit better in the fact that it requires freezers. and we can use our own freezers to do that. and the health care system has freezers. but i want to emphasize, the vaccines are fragile. you have to be not only temperature-controlled for storage, but as soon as they're ready for use, there is a lot of requirements around how that use happens. i'll turn it over to dr. phillips to talk about that. >> yes, these vaccines, these are not the type that you and i are used to in our homes. these are specialized equipment in medical centers. and what we know is that once we start the process of thawing the vaccine, that is another process, then it also has a

limited life within the refrigerator of several weeks. and once we take the vials, they actually contain multiple doses of vaccine, so you can get either up to six or 10 doses for individual people from each vial, but once you open the vial, you have six hours to use it for you have to discard the rest of the vial. the last thing anyone wants to happen is wasted vaccine. so the logistics, the planning and equipment for doing this is not parallel. so the idea that, you know, for flu vaccine we're all used to going into the local pharmacy or doctor office and getting it easily. that is a very different scenario than we have right now with covid vaccine. both because of the requirement of the specific vaccine and the scarcity of the vaccine. we're hoping in the future we get to a point that will be -- that it will be like the flu vaccine, but we're not there

yet. this is the limitations we're working with in the city to make sure people are vaccinated. >> mayor breed: the city has made a decision to set up massive sites that require their own logistics. we have city college which we opened with ucsf, the muscone center and the san francisco produce market in the bayview. those are the other two sites that will open. these sites are going to play a huge role in efficiently providing the vaccine to people who live and work in san francisco, but it's a huge logistical undertaking to establish and operate a site like this. tell me about how these sites will work. >> i can talk about that. you know, this site and this planning has been going on for months now. i really have to say that it's been a huge collaboration between city partners, between our health care system and between our community partners to really think about and plan and operate these sites.

and part of the planning is that we need to ensure these sites are high-volume sites. they're able to get to, as you were saying, mayor, up to that 10,000-marker across the city. we need the space requirements we need the infrastructure to store the vaccine. we need the proper electricity. and additionally, people after they get the vaccine, they have to wait 15 minutes after to make sure they don't have a reaction. you have to have the appropriate places for people to be monitored. so based on that, with all of our, you know, all of this collaboration, there have been three sites looked at and deemed really as the right places to get this up and running. and part of how this came to be is that we know the sector of the city has been most hardest hit by covid and covid cases. so really looking at that area to ensure that we have vaccine available for those populations,

so city college as you mentioned, the bayview, were some of the first sites. and then additionally, the muscone site. once they were identified, we worked to determine how is this going to work? as dr. phillips statemented, we're only getting a third of the vaccine coming into the county, so we need our partners to be part of the collaborative to administer the vaccine. for city college, they have 18 lanes available and it can do thousands of doses a day potentially in the future. it launched with ucsf last friday with 500 doses because that's the amount we have now, but as vaccine flows in at a more robust rate, we'll be able to increase the number of people that get vaccinated there. all these sites, we're looking at drive-thru as well as walk-in

so people can get to the sites. >> mayor breed: i'm understanding that the city college site basically, based on the number of doses that they have left, so that the appointments are through tomorrow, is that correct? >> that is correct. they are through tomorrow. and that's, again, based on the vaccine allocation. we will hopefully get more news about allocation in the next 24-48 hours and we can start planning ahead. >> mayor breed: so tell us about who can get vaccinated at these high-volume distribution sites? i think -- are they open to anyone regardless of who their insurer is? >> so, mayor, again, the limiting factor as you've both said, it is limited to health care workers and people that are 65 years of age and older. but as you pointed out, we really want to do all the complicated work on the back end and build these systems so it is

simple for the people who live and work in san francisco to know where they can go to get a vaccine. so, yes, the goal is, and the plan is, as vaccine supply increases, that anyone will be able to access vaccine at these sites, no matter who is operating the site, whether it's ucsf or kaiser permanente. i don't have to be a kaiser permanente member to go to that site. that is the goal. we're going to be shared resources, sharing accessibility across the city for the benefit of all of the residents and people that work in san francisco. >> just for clarity, we know in san francisco we're still in tier 1a and that includes people over the age of 65 and health care workers, in-home support service workers, emts and we anticipate that network is about 210,000 people. so we've heard a lot of folks

who have been a little, you know, bothered by the fact that san francisco has not gotten to teachers, bus drivers, police officers, and, in fact, ma written has gotten to other counties. can you explain that and why it's a lot different here in san francisco than it is in other counties? >> one important reason is that we have such a robust health care system. we have so many health care workers that are here in san francisco serving our residents every day. that is a strength. that is part of the reason why we have one of the lowest death rates of any major city. and that means that it's going to take us longer to vaccinate all those people that have been serving us throughout this entire year of the pandemic. so that is part of the reason why we have not yet been able to

move past the health care workers into -- into the other tier. that is actually a strength that we have this large health care workforce here. and so we acknowledge that and we also know that with the limited vaccine supply we're getting, we're moving through the group as best we can. with all of my health officer colleagues across the region, all of our goals in every county is to get every resident, every worker vaccinated as quickly as possible. it's a shared goal. some of us, like san francisco, have a larger share of the health care workforce than other counties do. >> mayor breed: i want to express my appreciation for the work you all did early on to get vaccinations to people who are in assisted-living facilities, both laguna honda and other places where some of the highest-risk patients have been. it was a huge undertaking and it was done very well. and although we've had our challenges when you think about

a place like laguna honda, with over 700 patients and all of those employees, the work that was done there with your partners, in this case, walgreen's, it was significant to be able to accomplish that. let's talk about eligibility for this vaccine. how does one go about getting one? >> so i can talk about that. operational side. there is a couple of different ways. if you're a health care worker, generally we recommend you start with your employer because a lot of them have been able to get vaccine through themselves or the big health care systems. if you are an independent person that is not associated and has not been able to through your employer get a vaccine, is it talk to the health care system. as dr. phillips remarked and stated earlier, the health care systems are now vaccinating all health care workers.

and have made this available to people outside of their network. so that is one way to access vaccine. the other way is, you know, we are working on trying to get networks up and running. not only through the health care system, but also through other partnerships like our pharmacy partnerships. and our community health care clinics. again, hopefully as the vaccine becomes more accessible to san francisco, some of these other partnerships can start to vaccinate our health care workers. for the over 65 population, again, this is a large population. we're, you know, saying that those that are in the higher age ranges should be the priority because they're at higher risk of death. so a lot of the health care systems are starting with 75 and over which is appropriate. but the goal is to get to as much as of this population as quickly as possible. it is dependent on the vaccine allocated.

we will get to you. i know there is frustration and anxiety around this, but we're getting it out as fast as we can. we hear your concerns. given the limited supply, we're having to prioritize. that does not mean if you're in the priority groups you will not get the vaccine. they will get this phase done hopefully in the next 2-3 weeks, but that depends on the allocation we receive. >> mayor breed: dr. bobba, i know some have questions about the safety of the vaccine. can you tell us about the safety record on both types of the vaccine and why they should take the vaccine when the opportunity presents itself? >> yeah. both of these vaccines have gone through extensive trials in terms of safety records. now they have been studied across a major part of the population. actually, recently, there was literature released by the cdc showing of the more than four million doses given, there were

only 10 anaphylaxis episodes across the entire country. so very minor amount. and all of those were reversed immediately. that's been in the media, that anaphylaxis the concern, but it's a very rare concern and that is why we monitor for 15 minutes afterwards. in terms of other side effects, the main side effect is probably after your second dose, you can get muscle aches, feel fatigued. you might get an injection site redness or soreness. all of that generally, you know, resolves within 24-48 hours. so the ability to have a 95% effective vaccine to covid for outweighs the concerns around the vaccine. especially in our communities that are really being devastated by the disease, where we're seeing hospitalizations and death, the benefits outweigh the risk. >> mayor breed: so basically you are strongly recommending the two doses.

can you tell us why -- and then tell us who is going to be keeping track of the first and second dose and how that works to ensure that the second doses are available for the person that receives the first dose? >> absolutely. so, yes, two doses are recommended and depending on the type of vaccine that you start with. remember, they're nearly identical in terms of high efficacy, 95% for both of them. whatever one you get that is available, that is the one you should take. doses are in short supply. but you need the same kind fort follow-up dose. that is going to be three weeks if you get pfizer and four weeks if you get moderna. we are keeping and we're tracking and there is very detailed documentation that is required, another one of the logistical challenges that has to go to the state. we know who has gotten the

vaccine and when they're due for the follow-up. that is part of the system that is being built across the city. health systems have ways of doing it and we're doing that in covid command as well, to know when to call people back and schedule them for the follow-up shot. the efficacy, that very high 95% protection, is really only shown when people get the two doses three or four weeks apart, depending on the vaccine. so after people get the first dose, they shouldn't feel i've gotten the vaccine and i'm in the clear. they really need to have the second dose. so as we were talking about, this is part of the thinking, when we get our allocations, we want to make sure we can for now schedule people at the 3-4 week interval, so we're planning accordingly. we want to be able to give people the second dose. that is part of the logistics and the thinking through how to do this well for the people who need the vaccination. >> mayor breed: one of the things that i wanted to just kind of touch upon, because you

know, i think there are concerns that the city should be completely responsible for this, right? like that we should take on the responsibility even though it's not necessarily within our control. we remember the beginning of this pandemic. we had to set up these testing sites from scratch. we didn't have enough needles. we didn't have enough p.p.e. there were challenges with setting up the sites and a lot of the testing fell on the hands of the city and county of san francisco. and there were challenges with the private health care providers who were also receiving test kits, but we were then, as a city, held responsible for administering all the testing and in many cases there are still people who are using the city system to test, even though they have private health care insurance. it's been one of the most challenging things that we've had to face. and part of, you know, of

course, my push as mayor to the state and the feds is to provide more supply to our public health care system so we're administering more faster, because of our lack of control over the private health care providers. luckily, at least, the private health care providers are working with us, even though we don't have the data completely. how is this system that we have set up now? how is this plan we have set up now to administer the vaccine, how is this going to be better than what we had to deal with with testing especially with our private health care providers? >> yeah, i think i can start and then dr. phillip can weigh in. one of the big things, a lot of the lessons we learned with testing, we're using them to plan for vaccine. what do these sites have to look like? how do we get a large number of people through them? how do we meet the demand?

one of the major differences here, is that testing potentially had an open market that you could go purchase test kits. that's not the same with vaccine, right? this is a very limited supply. it is being tightly controlled at the federal and state level. there are specific allocations coming in. we have to work in partnership because if we don't collaboratively work with our health care system, it will be decentralized and not well-run process. and so this is actually, you know, i will say, it's making -- we have to ensure that there is collaboration. in some ways, it's forcing collaboration because this cannot be successful if the health care system does it on their own and the city does it on their own, we have to come together to serve the residents of san francisco based on the allocations we're getting. so far, that collaboration is abundantly clear, the health care system is really being in partnership with us at these

mass vac sites. the mass vac sites are looking at one way to distribute the vaccine, but there needs to be a community focus here with community sites and community hubs that can give the vaccine with a much more personal level, with community providers that know the community, have trust with their residents. so we're looking at multiple ways to get the vaccine out. again, the health care system, whether they're large or smaller doctor offices, it will be part of this and working collaboratively. >> mayor breed: the last question i want to ask, because i think one of the biggest concerns i have is a lot of the misinformation and the criticism about san francisco and our rollout for the vaccine. the impression we just started planning for this yesterday. the impression that we're not prepared, that we're not getting the vaccines out fast enough. there is a lot of information and, sadly, it's causing a lot

of confusion out there. and it's really causing a lot of frustration amongst many san franciscans. and i just want, you know, either one of you or both of you to talk about the fact that we have prepared for this early on. we're getting the vaccines out as quickly as we can. and how well we're doing in san francisco, especially compared to other places, even though it might seem confusing, especially because of the second dose. tell us your perspective as the two leaders of this effort, you know, how you believe san francisco is doing? and how we can anticipate that we will do even better, especially once we get the supply? >> yeah, i'll start and dr. phillip, you can finish. so in terms of our planning, our planning started as soon as we heard that the vaccine trials were occurring and they were promising results. over the summer, we staed