[indiscernible] >> thank you so much. >> we are very proud of the alumni association. [laughter] have to submit an article on you. >> president casciato: if there isn't anything else, good of the order. this meeting is adjourned. thank you very much for your attendance. >> we need public comment. >> clerk: do we have any callers

on the line? >> there are no callers on the line. >> president casciato: now the meeting is adjourned. >> thank you.

all right everyone. hi, i'm san francisco mayor london breed and i want to thank you all for joining us today. i want to give a shout out to the folks vax to max. i want to thank you for hanging out and trying to get people to vaccinate because i know you want to go back to school quickly. i don't know about you, but when i was a kid, i wasn't pushing to go back to school on any given day and clearly our children need to be back in school. and part of making sure they're back in school, making sure they're safe. making sure our communities are safe is important for us to do our part and this is how everyone can do their part is at least get vaccinated. in san francisco, about 84% of san franciscans have received at least their first dose of

the vaccine, but sadly, with the african american community, that's about 64%. with the latino community, it's at about 74%. and we need to make sure that those communities are getting the vaccine because what we're seeing with almost 100 people now in the hospital that most of those folks are african american and latino. and so it's important to us because also, the other issue is that most of the people who are in the hospital, i think dr. colfax has the specifics, but they've not been vaccinated. so even if, you know, i as a vaccinated person gets a vaccine, if i get the and the fact is that person can get sick and end up in the hospital and that person can potentially day. this really is a matter of life or death. i understand people have

concerns. and i understand that people are frustrated with the mask mandates and all the other requirements. i get it. this has been tough and it's been a long time, but as i have said time and time again just because we are tired of the vaccine -- i mean, just because we are tired of covid-19, just because we are tired of all the rules and regulations and being told what to do, just because we are sick of it, doesn't mean it's sick of us. it's not gone because we want it to be gone. so what this means is we have to do even more and as a result, we have decided to take our case to the public in a different way. if you have at least five to twelve people who want to be vaccinated, we will bring our doctors and nurses and equipment and other resources to you. all you have to do is go

sf.gov/vaxtoyou. so we'll provide you all with that information. it's important that we make it as easy as possible. there are a number of pop-up locations in the mission. we are trying to make this as easy as possible. and we know and vaccines specifically in the african american community. the fact is we're at a different time where we really need to focus on saving lives. we've not even had six hundred deaths even in one of the densest cities in the last 15

months because of this virus. if we go at the rate that we're going, we expect within a couple of weeks according to dr. colfax to lose at least 300 people. that's why we've had to put together the appropriate vaccine outreach team as well as mandatory mask indoors even for those who are vaccinated. the last thing we need that's the easiest thing you could do to support one another. we should be so proud. san francisco's a dense city and we had one of the lowest death rates. we all came together in the

beginning of this pandemic. we took care of our neighbors. we went we got that last hurdle l, that last stretch. it's like the nineth inning and we just need one more hit out the ball park. and if we all just roll up our sleeves and start to get vaccinated even though we have concerns, we're doing it for our fellow san franciscans. and, so with that, i want to turn it over to dr. grant colfax. >> good afternoon everybody and thank you, mayor breed for your ongoing leadership during this pandemic. i want to thank chiba piano lounge for sponsoring this.

and, of course, the amazing dph team, the mobile team led by dr. mary mercer. just remarkable work. we have 77% of eligible san franciscans now fully vaccinated in our city. so this is a remarkable achievement and, i think while the next few weeks will be very challenging and we're seeing covid-19 increase dramatically in our city, it's very important to remember that hundreds if not thousands of lives have been saved. we're in a much better place than during the fall and winter surge because people are vaccinated. because these vaccines work. because they keep you out of the hospital. because they are saving lives as we speak. if you are not vaccinated in san francisco. this is not a good time to be vaccinated. the delta variant is here. it accounts for more than 90% of our cases now.

and it is a highly transmissible and there's emerging evidence that it's more likely that you would end up in the hospital compared to the virus we were dealing with just a few months ago. this is covid on steroids. the difference now between being vaccinated and not getting vax if you do get covid-19, it could be -- if you're vaccinated versus not vaccinated, it could be the difference between spending a few days in your bed at home, versus spending a few weeks in an i.c.u. bed. very important that people get vaccinated. we know that the health officers across the region, recently instituted an indoormandate effective today. that is a temporary measure to decrease the spread of the virus. we were at just twelve cases of covid-19 just a few weeks ago

in late may and early june. now we're over 200 a day. we need to continue to slow the spread. do our part. we will bring the vaccine it to you. the mayor just announced this. we're doing everything we can. we will work with you. we will get the team there, let's max the vax across the city. 77% more to go. we're doing everything we can to get people vaccinated. the vaccines continue our way out. these next few weeks are going to be challenging. the best protection is the vaccine, the masking, and telling your friends, your family members, your community members get vaccinated today. thank you. >> any questions about the vaccine related stuff? >> if i had told me in my family, would you come to my house? >> yes. we can do that and we've already been doing that.

so people can sign up and we will be there. >> can people come up and say, hey, i live outside san francisco, it's going to take a long time for me to make an appointment. >> we're really focusing on san francisco's residents at this point to try to get those numbers up and we're coordinating with other counties. so i think if people have other questions, we can put them in touch with the local health department to make sure they get vaccinated as well. >> i'm wondering if you can talk about zuckerberg sf general and the decisions of the supplemental costs of those getting johnson and johnson shots. [inaudible] mrna pfizer. >> so i just want to make it really clear, we have not changed our policy as a health department and as a city with regard to following cdc guidelines for administering vaccines. if people have received a johnson and johnson and are

requesting a second shot, we will accommodate them, but our policy has not changed nor has it changed at zuckerberg general hospital. >> have there been studies on that? >> yes. so in consultation with infectious disease experts, the decision was made again. if people are requesting a second shot after johnson and johnson, we will accommodate that, be but we're not changing our policy at this point. >> any indication it does improve the efficacy of the johnson and johnson shot? >> i think the important thing is right now we don't have conclusive data on additional shots beyond what the cdc is recommending. but, again, in consultation with infectious disease experts, we do think this is safe and accommodate people if they so request. >> break through cases, are they mostly people who have been vaccinated with johnson and johnson or why johnson and johnson?

>> so i think really the key point is that break through cases remain relatively rare compared to people who are not vaccinated. that's really important. all these vaccines are incredibly effective in terms of reducing the risk of hospitalization. and, again, we're continuing to follow cdc guidelines whether they are the mrna or johnson and johnson vaccines. accommodating people and are requesting an additional shot. but the break through infections, i think really, i understand the focus on break through infections here, but i think it really misses the big picture. the key reason we did the indoor mask mandate and so forth is because we need to get more people quickly vaccinated as soon as possible. that includes the johnson and johnson mrna vaccine. we will follow cdc recommendations going forward. >> are you still administering the j&j?

>> absolutely. it's a good vaccine. and we will continue to administer it. we have lots of vaccines available. if people want the mrna vaccine, we will do that. we have the menu and it's available. >> what would you say to people who are tired of wearing masks and being [inaudible] ? >> well, i'm disappointed that the health office, i'm sorry that we had to go to indoor masking as well. it's the right thing to do in terms of where we are right now. especially, our projections are showing cases are going to continue to increase through this month and early september, so we really need to slow down the transmission. what i would say if you're tired of wearing a mask, if you're not vaccinated, for god's sake get vaccinated and get your family and friends vaccinated. >> had is there an now that this delta variant is surging and it is so much more contagious, a lot of those sites, they've shut down? >> so we're continuing to work

with our other health partners across the city to ensure there's adequate testing for people. d.p.h. has been doing over 40% of the tests that have been administered. so just to emphasize that piece working with kaiser and c.p.m.c. but we're exploring a number of possibles. we know that compared to where we were, there's a lot more home testing available. so we're encouraging people to use that and talking to our partners about expanding testing options in the future. and at the health department, our testing focus remains in our clinics for the skilled nursing facilities and shelters. those are really key areas where we're going to continue to support testing. >> a lot of people are excited to get an appointment online. what would you say in terms of wait times and is the city considering those mask mandates [inaudible] ? >> so, again, we're looking at

options to potentially expand testing and encouraging our other partners, kaiser to expand testing and we have drop-in testing as well. we have pop-up testing where covid-19 is most prevalent. so if those drop-in sites where people can literally walk in, you can still get tested on a drop-in basis. >> roughly 5,000 tests are being done a day. where do you expect to see that number -- where do you want to see that number? >> yeah. i think testing is obviously an ongoing key issue for us to support cross the city. i don't want testing to distract us from the need to get fully vaccinated. i'm hoping we can mitigate some of the wait times. i expect those to unfortunately continue to go up. you know, we're down to fewer than 2,000 tests a day, now we're at 5,000. if we expand up to 9,000 a day,

we're going to continue the need to expand. and/or to use those home testing kits and use the kaiser ucsf and other health care systems in addition to look at what the health department has available. >> the city is spending more resources on these mobile vaccination sites. >> well, the vaccine because it's more complex, we will have always spent more resources because testing is a little bit easier. we are going to continue to look at the ability to expand. we can do both things at the same time. but we're at a different stature now. so we need to do both things well at the same time. >> can you expect restrictions here in the city and if businesses were to require that you be vaccinated in order to enter that business, would the

city approve that? >> yeah. we're very supportive of businesses and other entities requiring proof of vaccination for people to enter the premises. >> and, now, new york city is doing that. they're talking about they want restaurants and venues and fitness centers proof of vaccination. at least is the city considering taking that step? >> we're exploring that. again, right now, we've seen that a number of bars and restaurants and other entities are doing that and we're very supportive of that and encouraging people to take advantage of that policy with regard to showing proof of vaccination at these entities. >> one more question. what goes into deciding if san francisco wants vaccine mandates like new york city. like why not yet? >> well, i just think we're exploring the pieces right now. again, i think that the good news is that san francisco

businesses were one of the first in the country as far as i know to adopt this voluntarily. and i think it's really trying to determine, you know, in working with various entities is there a need to implement policies similar to new york's or is this going to happen more on the basis of what's being driven in the community. i think we saw that in other situations with the pandemic as well is people, communities are adapting the practices that they know slow the transmission. so we're exploring that. the thank you. >> what do you say about the people that are afraid about the side effects of the vaccine and that's why they don't want to take it? >> yeah. we know and there have been millions of people in the united states these vaccines are incredible safe. look who's dying of covid-19 right now, it's people who are unvaccinated. these vaccines work, they're safe and effective. thank you.

so i want to thank ned and israel from chiba lounge for hosting us today. are there any other questions related to the vaccine? all right. any other questions in general? >> [inaudible] >> well, what i want to start by saying is the stipulation that i signed with the ethics commission after having numerous discussions, i feel is fair, we worked out an agreement with the staff to address some of the challenges that we are listed in the stipulation and in particular, there were mistakes made. i take full responsibility for those mistakes and i've learned a lot since becoming mayor and being in office and as i said in my statement, i made it

clear that at no time have any of the things related to this stipulation had any impact on the decisions that i've made as mayor. and, my hope is that over time, i've been able to prove that and overtime, moving forward, i'll be able to continue to approve that. >> [inaudible] >> well, i hope that the work that i've done and addressing one of the most challenging times in our city's history which is not directly related to the challenges that exist in the stipulation. i would hope that my record and what i've done over the past couple of years will make a difference as well as the work that i'm -- that i do moving forward. i mean, it's difficult because, you know, people may look at this, of course, and feel a certain kind of way. i can't completely control that. i can only make sure that i do exactly what a leader in this city should do. when you make a mistake. you step up, you take responsibility for your action. you put it all out there and

you hope that people will look at it and realize that, you know, you're human just like anybody else and the goal is to make sure that i completely make it clear to the public that at no time in any of these, you know, challenges that existed that, you know, i allowed any of this to impact the decisions that i've made in running the city and it's going to take some time to demonstrate and ensure the public that my goal is to lead this city, to continue to do my job and at no time have i ever allowed any of these issues to interfere with the decisions that i make in this office and i will continue to do that. >> did you believe you were doing anything wrong at the time [inaudible] the letter heads regarding the letter for your brother or [inaudible] and do you recognize that those

things --? >> at the time that i did them, no i did not. >> and now? >> and, now i do understand that they are a problem and i will be doing things differently. for example, the event, the pride parade in san francisco, i've always had a float during the pride parade, it's just the way that it was covered during this time period was different that how i had covered it before and so i realize that that was problematic even though this is -- the pride parade is not a campaign event, it's not -- it's a civic occasion. it's a way in which mayor and public elected officials all participate, but i've always had a float and in this particular case, there was a mistake made and so we're correcting that mistake. okay. any more questions? all right. thank you.

>> now, i know we think this is normal, to be out here on a parklet, to see some incredible musicians playing and some smooth jazz. watch folks enjoy wine and food. we think it's normal?

it's not. this hardly happened in san francisco before this pandemic because of our bureaucracy and the difficulty of allowing businesses businesses o to support so they can perform in front of their businesses so the reason we're here today is because is we were able to, as a result of the pandemic, allow things like this, this parklet, and other shared, well they're called shared spaces, right, soe of this pandemic, one good thing came out of it, that is the ability to allow businesses to pivot to outdoors and to build these parklets to allow folks to

continue business. so, thank goodness that we have this opportunity and thank goodness the board of supervisors supported making this shared spaces program permanent. [applause] so, over 2,000 shared spaces in san francisco and that is what is amazing and they are here to stay. and in fact, we have members of the board of supervisors joining us including supervisors safai, who was one of the original co-sponsors, as well as supervisor rafael mandelman and getting through the board and allowed teague shared spaces to be permanent in san francisco. mary ellen is here and as well as jaoquin torres, our economic and workforce development

director but actually he is now our assessor recorder and jeff tom lynn who is with us from m.t.a. it did take a village and will take these actions working together to get this program burning and i know there was some challenges in between where some businesses built these incredible spaces and they were told, well, you need an entry way and change this and make this change and that drove us nuts. at end of the day, here we are, with a permanent program that is really going to make a big difference for san francisco and not just in supporting the businesses, but look how much lively the city is become. look at what happens when we take businesses that are indoors and we bring them outdoors, when we're able to enjoy the city and enjoy these incredible spaces. this is how we recover. yes, we need to be mindful that the delta variant is real. yes, we need to be mindful that

they're going to be some changes as a result of some people who unfortunately have not gotten vaccinated, we got a lot of work to do. in the meantime, san francisco is open for business and this is part of the recovery and vibrancy of our city. thank you for being here at this signing ceremony to just really mutt my signature on this legislation so it can be implemented and we can move on and have add good time with these shared spaces. don't forget, go out and support one of these businesses. buy drinks, food, continue to support our local businesses as we begin to reopen our city and recover. with that, i will sign this legislation and make it official! [applause]

it is official! [applause] all right! a local

emergency. due to the covid emergency, the commission's regular meeting room is closed and meetings are being held remotely. you may watch remotely on sfgovtv.org. to participate in public comment, please dial 415-655-0001 and enter access code 146-300-9788. members of the public will have the opportunity to participate in public comment. the public is asked to wait until the item on the agenda is called before making public comment. when the moderator is announcing that the commission is taking