>> supervisor mandelman: i have been troubled by those instances where we have passed ordinances requiring things to happen, and the executive responsible for implementing those things has not done them, either because it -- often, you know, telegraphing or saying to

us quite plainly we can't or it would be government malpractice for us to do. we're not going to do what you want us to, board of supervisors. that's a bad formula all-around. it's a bad formula for me as a legislator. when i pass things, i want the board to do them, and it puts us in a rough place of not following the law. you say you have a plan, you have a law requiring you to do these things within seven days. i want to understand, you know, before we vote on this as a full board, are the things in this ordinance that you can do? if there's not things, what are those things? is there anything that's problematic or is this, like, a reach but we agree that these

are things we ought to be monitoring, but we think we can comply on this, but even if we can't get it done within seven days, we're going to get it done, yes. can you talk about the applicability of this ordinance? >> yeah. i think i would say that the most part, we do want to, you know, follow the legislation in the ordinance. some of it will be time constraints specifically around the data, but i think even with that, if we're not able to do it within seven days, we want to be able to do it overall, and it is just trying to have the number of people that are working on this be able to prioritize all of these things, so i would say that is one of the only things that come to mind? you can see by all the data on

there the team has been working extremely hard to get all the data available to the public, and the vaccine data will get there, as well. it just might take more time than seven days. >> supervisor mandelman: well, i would encourage you, if you feel like there are parts of this mandate that need to change, that you work with the author to identify things where you may need additional time because i want us to move toward the point where we're actually getting our mandates consistent with what's feasible, so thank you. >> yeah, and director carroll, did you want to have anything to add about the ordinance? >> yeah. i think beyond the data, which i think is probably the most complicated, we are already doing most of what's in this ordinance, so i feel it's very comfortable with it. >> supervisor mandelman: great. thank you.

>> chair preston: thank you, supervisor mandelman. supervisor chan? >> commissioner chan: thank you, chair preston, and, i guess, good afternoon now. and i think my question is -- not too sure who can answer this question specifically. it is about capacity. i do understand the limitation of supplies that we've been facing, so it's kind of why we're in this pickle. i heard you. i know that the message is that we have the infrastructure there, it's ready to go, but it's really the supplies. so just in the spirits of trying to understand based on this legislation that we are trying to figure out, especially on page 7, lanes 15, talking about, you know, informations about the public that has been put forward and

expectant dates that each community can expect to be vaccinated. according to your dashboard, you're thinking about 753,000 people, roughly, right, to be vaccinated in san francisco, but to date, you know, 75,000 have received the first dose, and only about 25,000 have received the two doses. so the question would be if we -- if our -- if our -- if our goal is, by june, that all these people will be vaccinated, at which point -- and we're going to pace that as we currently exist, and i'm just showing what you currently list on the dashboard.

by june, if we're only vaccinating 75,000 people a month -- by june, if the situation with supplies don't change, because we're only going forward with what we receive. so if this pace consists throughout the coming months, that means by june, we'll only vaccinate about 300,000 people. so at which point will the city go, by june, we're not going to meet these goals to being have a seenate the entire city. we need to adjust -- i'm not talking about the entire -- to vaccinate the entire city. we need to adjust because we're not going to be able to vaccinate the entire population. you know, is it school, is it our health care facilities, just skilled nursing homes, be

it indoor dining or outdoor dining, so at which point will, you know, we're just not going to meet this goal, you know, in the coming months? >> yeah, and i will say, you know, those earlier comments around a june date will really about, you know, if we got enough vaccine such that we were getting to 10,000 to 12,000 a day, but we know that that's not changed in the last three weeks, and it's unlikely to change in the near future. so supervisor haney, you're absolutely right, and we have to say that we're only on this tier because we have to make a significant dent in the tier to ensure that the over 65 are well protected and then move onto this next tier, so we're going to have to do a tier by tier basis. it's very hard to do projections even among the

tiers right now, given the kind of variable supply that everybody is receiving. so, you know, the hope is even if we don't get more supplies, that the supplies just stabilize so that we can project out and project forth. but until that happens, it's very hard to even do a projection because if one week, we get a couple thousand, and the following week, we get that much more, and the next week, we don't get more, that is where the challenge will be. >> i think if we just know as a city, that all parts, you know, we know that at some point, we are going to make a determine in march or april, the city, in two months' time, just not going to meet that goal to vaccinate the entire city, here's the back up plan. here's the backup plan in terms of how do we make adjustments and how do we do this?

i would consider you to, you know, think about that because i just think that allowing our communities to prepare for, you know, health order from the city according to how -- i'm assuming that certain aspects of our health order will be adjusted according to the population -- how many people have been vaccinated in our city. i think it will be really helpful for us, all of us to plan our lives during the pandemic, to have some kind of understanding, when june comes, you know, this is how we're going to live our lives, you know? and it will be really helpful by springtime or that we have some ideas, so i urge you to work to have some kind of projection. and i think the -- the -- that this is the part where i'm trying to understand what kind of data exactly do we have

because i do believe -- i do believe you are making a data driven decision to provide these neighborhood sites, and as a supervisor in the richmond, i think chair preston's sort of touch on that of representing a district where, you know, fortunately our transmission rate is not high, but that doesn't mean we don't need testing or vaccination. we still do. so the question is if we're not quite tracking -- or we're trying to residency, we're trying to track race and all that information just now, so we need to make the determination for those neighborhood sites. because frankly, in district one, we're 40% chinese speaking, and in our residents,

and we have high percentage of senior, and i'm just trying to understand, you know, if we're really -- if we do know who's getting vaccinated, and we understand the transmission rates and all that, then there would be no priority for vaccination or even in the richard monday. and i know we have testing now at safeway. like, it filled up within hours. like, i cannot even share it with my constituents in the first few hours. citywide, it's far from our constituents who are seniors. any way, i just want today put out there my -- wanted to put out this my concern and that it's data driven and shots in arms, you know, referencing

that with our most vulnerable population, i'm concerned is that actually happening in my district -- or on the west side, you know? so -- so, like, how do we know that? how do we have that information and how that's happening if we have no distribution site in the richmond? >> yeah, and i think that's one of the things that we're working on, to understand vaccination rates based on neighborhoods and zip codes. i can't give you an estimated date of when that will happen, but we are going to be working closely with. in addition, we are trying to provide clinics in the west side that have asked for allocation of vaccine so that they can reach the chinese population that are elderly, absolutely.

>> great. and i think one more, like, question, like, chair preston's question about immigrants in the region. it's all due to this ordinance, and i think, like, thanks to supervisor haney due to championing this because if we're tracking some information, you know, age and race, because then it will also help you to make sure that you focus your resources in your outreach to be able to say, you know what? like, we have a large chinese population vaccinated because you've been doing that in chinatown, and so we need to focus on russian speaking, you know, you know, and this age and this population of seniors 65 and over. so i just, again, think why this time it's critical and just looking forward to seeing this plan realized and having

this data available and also having all of our supervisors in our own districts, seeing our constituents and being asked these questions, and seeing this dashboard and being able to point you to our neighborhoods. i know i'm preaching to the choir. you already know that, but i just thought that be it the timing in terms of projection whether we can really meet our goal as well as just this data, why it's actually critical sooner rather than later. it will help all of us moving forward as we moving into -- from a cold weather into warmer weather, and people are going to be a lot more active when they're out and about, so thank you. >> chair preston: thank you, vice chair chan, and supervisor haney? >> supervisor haney: thank you, and i appreciate all of the

comments and questions that were asked, and i did want to pick up just on that last point, which is so important in terms of how the data can be used. you know, if we are able to identify, for example, that we're not reaching certain targeted populations that are currently eligible for the vaccine, that allows us not just as supervisors but all our community organizations, networks, to be able to be mobilized to reach those folks. we obviously hope that, in the near future, when we get more supply, we will be able to focus not just on who can get those appointments but actually we're going to have to shift for that last, i imagine, you know, 30, 40% of the population, even among 65-plus that we need to really reach, and we need to go door to door, and we need to have in-language outreach, all of that, correct

any misinformation that may exist about the vaccine. so preparing to do that now is also really important because -- and this picks up on a point that supervisor preston made about the information that is out there. right now, on my elevator, in my hallway, there's a -- a flier that's there that's been there for months, and it has questions and answers. and, of course, one of the questions is, is there a vaccine, and it says no. all of that level of outreach needs to be updated, so having a centralized place that is going to be the same number, same site, that we can say right now is going to exist today all the way through the year and beyond, that we can begin to get out there and so everybody is signed up, and so we can be sure that if you do sign up, that is going to get you some information that is help and is key and put that all into a plan. so i appreciate all of the things to work on in the legislation, and i understand that some of it is planned, and

some of it may need to be prepared, but i think all of it will better help us understand how we can support and partner and ultimately deliver this more effectively with regards to our constituents. i hope this gives us an opportunity to sort of address that, and there are a number of things that you said that have happened since that plan has come about. one quick thing, our -- do our sites have a requirement that somebody lives in san francisco? are they for san francisco residents, or if you are 65 plus and not a san francisco resident, you can still access the sites here? that's not entirely clear on the website, as i'm looking at

them. >> so i can start on the mass vac sites, and dr. moss can answer on the d.p.h. side. what we know is there are many people who do not live in san francisco but get their health care here, so, you know, that was one of the things in the city college site, is we had people that were not san franciscans that are coming because they were called by ucsf, who is their primary health care provider. we are trying to address that where we have control of that situation, so here -- again, here at moscone, this is a kaiser site that is likely to almost draw some regional

participation just like at the site in el nida at the coliseum, or citizens that live in alameda county. we are definitely working with d.p.h. to funnel san francisco [inaudible]. >> so the community-based sites, we really do want them available for the community and to have that access for the community, so that's why there's really targeted outreach to either the patient population or the neighborhood as opposed to generating a mass e-mail that goes out to a lot of different people, so we're not saying that you have to have a san francisco address at some of the more community based sites, but i think definitely where there are clinics, there is some request

that it be, you know, based on a geographic zip code. i don't think anybody's checking, per se, but the outreach is being done in that way. >> supervisor haney: can i clarify, director, on the moscone site? so it is run by kaiser, but it's not only for kaiser patients, right? it's sort of insurance provider agnostic, is that correct, i would say? and then, if you live -- if you refer to it as a regional site, if you lived in san mateo, and you didn't get your health care via kaiser, could you go and make an appointment at the moscone site and receive your vaccine from the moscone site? i understand that some people receive their health care in san francisco, but my ubdsing

-- understanding is the moscone center is health care agnostic. >> yes, that's correct. so right now, in order to get a -- a -- an appointment here at moscone, you can go through the link that we provided or for the -- kaiser's putting out, and the requirement is only that you're 65 and over. there is not, at this point, to my knowledge -- unless this has changed in the hour and a half that i've been sitting here, it's not a residential -- it's not a san francisco required site to live in san francisco or get an appointment there. >> supervisor haney: and for that reason, i would just underscore this, that where we have a site, like, a website or a 311 or whatever it is, that a san franciscan can call and get information about all of the sites that may be available to

them, to get a vaccine, we not only not to include all of the ones in san francisco, we may need to include all the regional ones. because if the state or city is doing all the ones at the coliseum, and you can get there by b.a.r.t., we should let them know about that, and we have a responsibility to know about that. >> i agree with that, supervisor. >> i'm not saying -- i understand sort of the challenges, especially for kaiser, who's certainly people all over the bay area, they want to come to san francisco and get theirs here, and we're going to put a lot of energy and investment and time into that, we should also make sure that our folks have access to other opportunities around the region, as well. i really think it's important that people can see all of the sites around them as available

to as great extent as possible and make appointments around the site. we've begun to have something like that available for just these three sites, but that's obviously not the whole picture, still. so again, i -- i appreciate the progress that we are making, and i know this is very complicated, and there's federal and state and everything else, and limited supply. and i home that the data and all of this legislation can make us -- help empower us to be more supportive with the information, 'cause we're also on the frontlines of answering a lot of these questions from our constituents, and thank you again to the chair and to the committee and to both of you for being here. i know you have a lot going on, and i'm going to come down to moscone soon, so i'll see you soon maybe. thank you. >> chair preston: thank you, supervisor haney. let's move to public comment.

mr. clerk, do we have any public callers on the line? >> clerk: mr. tue, could you please let us know if there are any callers in the queue. for any callers on the line, press star, three to enter the queue to comment on the line. for those already in the queue, you will hear a prompt on the line that indicates your line has been unmuted. if you wish to call in, do so by following the instructions on your screen. dialing 455-655-0001. following that, you would enter the meeting i.d. for today's meeting, which is 146-469-4909. following that, you'd press the pound symbol twice and then press star, followed by three, to enter the queue to speak. mr. tue, could you please connect us to our first caller.

>> good afternoon, supervisors. my name is lashawn walker, and i'm a resident of district 10. i'm also on the megablack covid-19 task force as well as a board member for the san francisco aids foundation. i want to say thank you to supervisor haney for your in-depth analysis and questions of the legislation, particularly related to comorbidities and the fact that there are lots of people in our communities who don't fit into the frequent categories in terms of priorities, and it is imperative -- specific categories in terms of priorities, and it is imperative that we find their fit. supervisor preston, you are

right on talking about the plan. it just seems that we're waiting and watching and this and that. i'm pressing all of you supervisors, not just this subcommittee, but the entire board, with the leadership of our mayor, to not just be waiting for vaccines and waiting for this and waiting for that, but taking a much more advocate position in demanding the kinds of things that we need, so i just appreciate, chair preston, for asking that question. lastly, i will say that with the mass vaccination sites, i want to give a special shoutout to president walton. i hear this announcement about

moscone coming on-line today, and i'm concerned because the san francisco produce market site had been announced previously, but it's not up and running. >> clerk: your time has concluded. thank you, lashawn walker, for sharing your comments. mr. tue, could you bring up the next caller, please. >> so supervisors, i want to -- i want you all to pay attention to a few pointers i'm going to be making. number one, when somebody talks about data, as you know, how many people in san francisco are asymptomatic. if above 50% are asymptomatic, then we haven't done the testing. and i know we are last in the nation when it comes to

testing. i know that for a fact. and when it comes to logistics, we need to rely or we need to consult fema. fema stands for the federal emergency management agency, and fema knows how to do it. san francisco has failed us. more importantly, all those jackasses at moscone east, they have [inaudible] us. i know that for a fact. why would they take people from the navigation to moscone and then, you know, after a few days, realize fundamentally, they didn't even understand what the situation was? so we do not have data.

we have some data that we just tally up. it's not data that's been vetted. we don't have the ability to discern. we don't have the ability to do a needs assessment. we have people that talk in circles. i took my vaccine today. i went to a location, they were very kind to me, most probably because they knew me. i gave them my i.d. i met all the requirements, and in 45 minutes -- >> clerk: thank you, mr. dacosta, for your comments. mr. tue, could you bring us the next caller, please. >> good afternoon, supervisors. my name is angela jeng, and i'm calling influenced by the megablack's covid-19 task force. i'm urging the city to make the

vaccine equitable so that our community gets access without red tape. i'm an african american. i'm also call on behalf of our unhoused black americans and those with mental health issues not be left out, so thank you again for raising this important issues. >> clerk: thank you for sharing your comments. could we get the next caller, please. >> yes, good afternoon, supervisors, chair preston. john jacobo wearing two hats today. i'm calling on behalf of a small coalition, a small group here of affordable housing developers that have senior housing facilities. we sent a letter this morning to dr. colfax because we want

to understand better the strategy for the 90 buildings and the several thousand seniors that are in our facilities that need to be vaccinated. we want to know what the mobile vax unit will look like, how they will be taken care of, and how do we make sure we protect our seniors and most vulnerable, and so that letter will be forwarded to this committee, as well. separately, from the task force, seconding s.f. megablack comments. i want to make sure we have equitable distribution of this vaccine. we need it to come to the places that are hardest hit and make sure that we are prioritizing those that need the assistance and the most vulnerable. i thank you for calling this hearing, supervisor haney and the gang, and look forward to rolling out with you the vaccine. >> clerk: thank you for your

comments, mr. jacobo, and i look forward to you sending me the letter so i can include it in the file. mr. tue, next caller, please. >> operator: mr. chair, that completes the queue. >> chair preston: thank you, operations. thank you, mr. clerk. hearing no further callers, public comment is now closed. i did want to follow up specifically on one of the comments that was made as this was something that i had been meaning to ask, as well, on the comment mr. jacobo made around seniors and the plans for senior buildings in particular around mobile vaccination units. can either dr. baba or director carroll address that? >> yeah, so i am happy to address that. so we are working on a mobile

vaccination program that can go door to door. obviously, that's a huge lift. the vaccine is very fragile, so we have to make sure that everything is in place, but we are working to get that up and running and start working on that issue. >> chair preston: thank you very much, and just want to reiterate that that is a vulnerable population for whom going to sites is not an option for so many people, so looking forward to that plan being developed and prioritized as we start getting more supply. i see supervisor haney on the roster? >> supervisor haney: yes, and thank you for asking that question, as well. i just wanted to -- you know, we do have a lot of lack of clarity right now, and i know that some of this is being caused by the state. i mention that people with comorbidities, also essential

workers that are not in 1-b. i'm wondering whether -- how we are viewing that -- for example, people who are experiencing homelessness or living in more congregate situations, like s.r.o.s? what's your understanding of where they fall now or whether they would be the next group that we would prioritize after 65-plus? >> yeah, it's a great question, supervisor haney. after the workforce with the child care and the teachers and food, the next tranche was

going to be people experiencing homelessness and that population. that's not going to change, so they would be, you know, again, the following group after those essential workers, but as has been stated, things have been fluid? we do know it's an important nature because of the congregate nature of their situation to prioritize them and are working closely with our colleagues in the jail services and our hokelessness department to really have all those plans hammered out so that when they are up for vaccine, that there won't be any kind of delay in getting them vaccines. >> supervisor haney: great. and i know that the state announced that blue shield was going to take some sort of role in coordinating at the state

level. my understanding is they will directly distribute vaccines to smaller providers that potentially d.p.h. is currently now responsible for. is that something that would change the health departments role or how did that affect our responsibility in this process? >> yeah, it could definitely change our role. we are still waiting for details of what that's going to look like, with that third party administrator, but that is our understanding, that blue cross/blue shield would directly be receiving information from providers and responding? and part of it will also be based on the through-put at those sites, so i think there needs to be a balance because especially for our vulnerable communities, there might not be a hub, but we still want them

to get vaccines. we are still advocating that a certain amount comes to the local health departments. >> supervisor haney: okay. and last last question, director carroll, maybe you can answer this, if you're still there. for the moscone site, is kaiser providing the vaccine, and exactly what is our role at that site? >> yeah, i think that director carroll had to drop off. so it's my understanding that kaiser is getting the vaccine directly from the state, and so that is a state kind of kaiser -- a partnership. our role is really to work with kaiser to ensure that san franciscans have access to the

site and, you know, given that it's in our city, to make sure that, you know, all the safety recommendations, all the logistics are done in an appropriate manner. >> supervisor haney: all right. so they're getting the vaccine indirectly. we are helping to provide some of the logistics, the signage, the appointments, etc., but just so people are clear, that is a kaiser site essentially. >> correct. >> supervisor haney: okay. all right. thank you. i'm really done. >> chair preston: all right. thank you, supervisor haney, for bringing this to the board, and dr. baba, and even though she's gone, director carroll. i just want to say thank you for taking time out of your work for being here in

committee. i think in perhaps sharp contrasts to many jurisdictions around this country, we are all solidly working toward the same goal here. i think we are better for it when we push each other, and i think, supervisor haney, your leadership on this ordinance and pushing these issues has helped along with -- you know, with others, move things forward, and i just want to recognize, really, the professionalism of dr. bava and the team at d.p.h. as well as director carroll and the -- sorry. i think i just muted myself. recognize the professionalism in which you're carrying out this work and dealing with the board. my office is not alone. i know you hear from all of us and our colleagues daily with questions from our constituents

and are managing not just all the outreach to get the vaccine and the information out but also to answer questions, and we appreciate it very much. so thank you, again, for being here, and we will go ahead and -- i'd like to make a motion to refer -- sorry, just checking, making sure no further questions from my colleagues on the committee? great. seeing no further questions, i will go ahead and make a motion to refer this item to the full board with recommendation as a committee report for consideration on february 9. mr. clerk? >> clerk: on the motion offered by chair preston that this be recommended as a committee report -- [roll call] >> clerk: mr. chair, there are