>> health commission meeting. we'll start by calling to order and i also have the opportunity to be the first to read the land

acknowledgement. i think we first to the role call and go onto the acknowledgement. >> yes. (roll call). >> they have never seeded, lost,

or forgotten their responsibilities as care takers for this place. as guests, we recognize that we benefit from living and working on their traditional home land. we wish to pay our respects by acknowledging the relatives of the community and affirming their rights as sovereign people. >> there's no public comment. >> i guess we should take a role call vote to approve the minutes. >> just checking to make sure there were no revisions to the

amendments to the minutes. >> i'm sorry, i just have a question to the adjournments. is it correct to adjourn in honor or memory. i want to do it the correct way. i want to do that we're in memory honoring her. i don't know what is the correct phrase. >> i can go back and look at the tape and change it if it was memory. i'm happy to do that if you want, i'll go back and look at the video. i'll correct it. >> i would be fine with that. >> thank you. shall we do a roll call vote?

great. (roll call). thank you. the minutes are approved. >> the next items is the director's report. >> thank you. good afternoon commissioners. director of health. you have a director's report in front of you. just to highlight a few key issues beyond covid 19 because i'll give you the covid 19 update in the slide presentation that will come shortly after this. i just wanted to highlight that on july 30th, mayor breed announced the street overdose response team. along with multiple other overdose initiatives aims to lower the very serious number of

drug overdoses largely due to the influx of sentinel. just to emphasize, we'll respond city wide to overdose calls. when fully deployed, we expect it to operate 24/seven. this is focusing on people who have overdosed and who we then reach to offer overdose prevention, harm reduction supplies, treatment and social services and howsessing. housing. this is for people we know are at high risk and it's helping us prioritize our intervention on this very serious problem. again, more detail in the reports. i wanted to highlight that nor

the commissioners. i'm also excited to welcome a new environmental health director. patrick, he may be familiar to some of the commissioners. he joined the department in 1991 and was most recently the assistant director of the environmental health branch. they do an amazing job, very - they are very busy in terms of protecting the community in a environmental lens. very delighted that patrick will join us in this new role. just to also mention that china town public health center graduated in terms of the healthy eating and living program. that's a program that promotes he will think eating and living. we had an internship program

with 1500 interns. having them really be peer and community champions for healthy eating and active living. a great program that continues. supervisor peskin joined us at the health center to celebrate that event. a nice piece of work from the care team and want to thank nemm for all their support. there's a lot of press release announcements in the director's report as well. certainlily happy to take any questions on what i just remarked on with regard to the non covid related activities.

>> it looks like dr. -- [indiscernible]. >> i really appreciate the report. what i'm thinking of if it would be helpful to the commissioners, we have so many different programs now to help work with the street and homeless situations. we heard some of that last time. wondering if we could do a presentation that would focus on exactly which program somebody would go into if they were found on the street or what their circumstances were. i think that could help put together, all the different programs that we're starting, all of which hit a particular need within that.

all of them help divert off of the police actions but instead get them really into the type of care that they need. i think it would be a helpful display for both us and the public if we heard about all these programs together and come to go as, i guess a combined effort, right? to face the needs that we're facing. just wanted to let dr. colfax know that was a good idea. >> certainly, we'll work towards that. just to emphasize there are a number of programs out meeting people where they are. there are some possibilities in terms of overlap.

we'll be happy to return on what the specific focus on these programs are and how they are synergistic rather than complicting. conflicting. >> thank you very much. that sounds great. >> any other questions before we move onto the covid update. seeing mon. none.i should say we're going to delay item eight, development training plan because president bernal couldn't be at the meeting today. if anyone is on the meeting because of that agenda item, i just wanted to let you know at the outset. >> great.

thank you. commissioner's again, i'll provide a covid 19 update, this has a little more detail. i think it it's due given the amount of work the department is doing, given a response that we're still in our core surge. with regard to where we stand right now, there are over 44,000 diagnosed cases of covid 19 in the city. 7500 deaths. you can see cases per resident over time here. our case rate most recently was 32 point six. dropping to 29, we're waiting to see if this welcome downward

trend continues. as can see we saw surges go up to 33 point eight. watching this current surge very carefully and responding as best we can. next slide. so with this drop in cases, the estimate in reproductive rate has also dropped. it jumped up in one point seven five in july. it's just gone below one as of a few days ago. that's good news. these calculations were done just a few days ago. the reproductive rate is done and reflective of people in the

hospital. marketed rapid drop until the rate than we have seen before. the contact rate across the population seems to have gone down to a certain degree. the indoor masking mandate. i thought i would update the commissioners on the characteristics of the 44,000 cases. just to note the distribution bim race ethnicity has changed somewhat. latinos represent 37 percent of cases now. that's the percentage of representation has dropped somewhat, that is still a glaring health inequity.

among black and african american population. age distribution remains relatively consistent with people in the 25 to 40 year old range representing the largest number of cases. throughout the pandemic majority number of cases for males compared to females. due to our high vaccine rate hospitalization have not reached the capacity they did during our winter surge.

you can see that fully vaccinated count, their rate is almost about eight and a half fold, sorry, just less than eight fold lower than among people not fully vaccinated. these vaccines are remarkable in terms of their ability to prevent illness and hospitalization. because of this and we know the vaccines are away out. a health order requiring patrons who are congregating inside at the institutions that serve food and or drink, and at gyms and indoor events are equal to or greater than one thousand people that going forward people need

to show proof of vaccination status that will be effective august 20th. by fall, employees of those in south mission also need to be fully vaccinated. this is really commensurate with the amazing efficacy of these vaccines preventing illness and death. this is our modeling we've been using to help guide ourests. just to emphasize these models do not necessarily predict the future but can help us prepare for the future. they have not necessarily the crystal ball but can help us understand the plausible scenarios going forward.

based on the assumptions on the left side of the slide, they are very plausible assumptions based on what we know about the data. the grean line shows that the modeled cases peaking in -- i'm sorry, the scale is hard for me to read. peaking in august and hospitalizations shown on the blue line here, peaking shortly after that. those are what the models are predicting. the yellow shows the actual case rate and the red dots show the actual numbers of hospitalizations. our cases are following along the green line pretty well.

thankfully the hospitalization numbers are will her than the lean here. this model seems to be holding up fairly well. we're going to see if these numbers continue to decrease. by the model and currently happening as best as we can tell in term ses of cases. the decrease in hospitalizations would physical the decrease in keases by about two weeks because it takes that long for koptions to gooding down. i say that with a very important caveat. delta basically taking over and a steep decline.

you start to see a plateau and even an increase in cases again. we're watching this very carefully to see if we'll have a similar situation here. in terms of vaccine administration. we're administering five hundred seventy new doses a day. that's gone up just a little bit. by win hundred new injections a day over the last couple weeks. that's good. we stel have a way to go in terms of giving everybody who is eligible a vaccine, serious of vaccine. we're making slow put steadsy

progress mplet. receive eight percent of people steadyprogress. vaccinations by race and ethnicity. inequities that we've seen continue but we're making improvements. black african americans are at 64 percent. that number was just over 50 percent a number of weeks ago. new covid cases, covid continues to be concentrated in the city

where it's been in the last few surges as well. the higher rate of covid cases and again, we are focusing on our efforts in working with communities that are most impacted in these neighborhoods by covid 19. yesterday was the first day of sfusd reopening. that's great. we continue to support that. we understand and want to support in person learning for children that have huge societal behavioral health impact. we are continuing to support the schools and with other partner nz terms of providing information and guidance. we have staff report case response as needed.

a very exciting day yesterday for san francisco. in summary our case rate has decreased which is consistent with decreased active. our focus will toin be on high risk populations and shelter and dmawnities most impacted including cysts in school reopening. systems in school.thank you, co.

i'm happy to take questions now or after you hear jonathan's presentation. >> after public comment. any commission comments or questions on the covid 19 update? i don't see any hands. am i missing anyone? >> you also were on mute a little bit at the beginning of the statement. do you mind repeating. >> we'll entertain any questions on the covid 19 presentation. we'll do the vaccine presentation followed by public comment. i don't see any hands on the part of commissioners here. >> i don't either commissioner. would you lake to move onto the

vaccine update. >> onto the vaccine update then. >> i just gave you permission to share your screen. >> we certainly have a story to tell with our vaccination program. in today's presentation we'll talk a little about where we've -- our initial strategy and roll oit. out.our current state and wheree

are and where we are with future state planning. looking at our vaccine strategy. equity, speed, partnership. we developed a three prong vaccination strategy. you can see at the top visual here, with the principles of speed and partnership in mind, we partnered with health systems within the city to develop and launch high volume vaccination sites. all thee of those sites administered almost 480,000

doses. city college was a partner with uc sf. in addition to those high volume sites. the san francisco health network has also been a high volume partner. had launched the san francisco partner and launched two additional hubs. those were some of the core high volume vaccine sites within the city with total doses administered. for those.first prong of our vaccine strategy with the goal of spreed and partnership. our goal with our dph resources look to develop community access

strategy that looked to focus on equity and ensuring vaccine access to neighborhoods hardest hit by covid. and communities that face historical health disparities and barriers. focusing our efforts on those neighborhoods. a community access strategy which was clinics. a strong partnership with the clinic consortium. based in bay view, mission, tender loin and so forth n. these neighborhoods that have faced a disproportionate impact

during the pandemic. they administered just over 46,000 doses to date. still partnering with community based organizations. in addition to the first prong and the second prong, we also deployed call center and a strong community referral system. through our neighborhood partners such as cbo eases and task force trur k we were able to facilitate volumes. one another component of the community access strategy.

the third prong is honed in on partnering with pharmacies across the city to have vaccine access at their facilities and support through vaccine pop up s.that last one was ensuring tht access would not be a barrier. acknowledging that our high volume sites for clinic setting or pharmacy setting or even maybe hood sites establish in partnerships with community based organizations. that structure was not

definnively meet the needs of san francisco residents. we developed mobile vaccine program in connection with networks and help at home programs. the goal and purpose of our normal vaccine program was to support access and at that very low barrier access by bringing vaccine directly to commune pit members. elderly and senior living residents, home bound individuals and adults, people with disabilities, people served by behavioral health programs, people living in sros or incarcerated. many other highly vulnerable settings or pp laitions or face disproportionate.we've done weln

thousand vaccinations. it's hard to keep track at that point, over and close to 350 mobile events in the past eight months and still climbing. it has been a very strong partnership with rares to working with community based organizations to think through how to establish these events and develop straty together and equity.

this is just a brief listing of the many cbo's faith based coalitions in addition to city developmental partners who have haveguided on the collaboration throughout the city. i noted the curve has gone up

and started to slow. an intentional effort to engage people and meet them where they're at. have a hyper local and engagement process to support people in their vaccine decision. some of the additional strategies out side of creating a network of sites that empowers bem access or using access to get an appointment. low we supporting people with their disetion and thinking through how you we can iterate on our monthle to breng vk seen to additional members.

in working with our community partners and folks in general to ensure vaccine access for all residents. many different insentives either promoted by the state or owise otherwise but really meeting people where they are at. information they can empower in their vaccine decision. we launched an ask the expert site. we'll have a health provider available to answer questions and support their decision around vaccine.

a team of amazing student ambassador it work with our community partners who engaged folks around vaccine and linked them to appointments or vaccine sites as folks need to be. some of the collective mile stones. i know this is a heavy slide. it's encompassing of the work that has bb done. having eighty fav percent of the current eligible population have b received they are fers dose. we've real will he honed in on thousand create a ljistic system to provide support for other provider systems with a very

burdensome vaccine at times in terms of the storage and handling. we've growned our principles in equity, speed, and partnership. the ability to work with our community partners and let our strategy be community informed and community led. the collective strategy development with regards to the current view. some of the vaccine accomplishments and highlighting the big bar in purple that there is much more to do. this is ongoing work.

we've recently hit the mile stone of 85% of residents being vaccinated with at least one dose. sixty five and older 90% are vaccinated. we have a sixty four percent vaccination rate with native american indians in san francisco which is above the state wide rates.

looking at our current state, dr. colfax gave a great overview, our currently eligible population of 12 and older we're at 88 percent. our sixty five and older we continue to see an increase albeit slow. eighty seven percent completing the sear yises. series.in terms of our focus and looking at the history of the pandemic and disproportionate

neighborhoods across the city. par of our work was to prioritize vaccine access for specific neighborhoods in san francisco. we looked at the cumulative case rates. we looked at indexes with marginalized communities. vaccine access leak pop up events. one of the things to note is we're at or above 80% which is a massive accomplishment. there is ongoing work within these neighborhood it support

ongoing access and engagement and supporting folks in a vaccine decision. really the four major components of our strategy at this point in time working on continued commune i engagement and being community informed and led. looking to teak those opportunities with community par ners. link them toap other events occurring in the city. a very community forward vaccine atmosphere at times. letting our data guide our work. taking the opportunity to share the data with the community and

core strategy development. the operations encompasses our vaccine sites, our vaccine means of actually dea ploying mobile teams, pop up ses. juf the really crux of this is local planning. how we did he continue decreasing. just acknowledging del awe variant. delta variant. we're in the midst of surge. as we engage community members

around vaccine and meet people where they are at currently an continue to support them being safe within their community. just looking ahead, we're looking into some of these youth led initiatives, and how we continue some of our access strategies. one of the portions of our partnership with the health systems is the development of the health system vaccine collaborative. kaiser, dignity and thinking through how we do collective planning for pediatric expansion for under 12 year olds and

boosters which have been snrech the media recent will he. planning were sfusd around sates this upcoming fall. considering how this p current surge to have ape linkage it .one of our priorities is now

that we received the recommendation is to launch that program. partnering with provider as cross the city. pediatric health clinics so they can support primary care access for vaccines and a hospital clinic setting moving forward. next slide, please. thank you for taking the -- allowing me the tame to present. you have a lot of cool swag here. these are our buttons an stickers. there's some links. i want to thank everyone for their time.

i'm happy to take any questions. >> i want to thank you and the dph team for this incredible work. it's a remarkable testament to the outcomes you have here which is unlike any in the county. you can make us feel very confident that this pandemic will eventually end and we'll be able to go back to life the way we all wish we had it and knew it. thank you for you and the entire team for your leadership. the analysis you've done.

thank you. we'll ask for public comment. >> no one on the line. no public comment. >> we'll entertain questions or comments from commissioners. >> thank you. thank you so much, i want to add my cob congratulations for the very very clear presentation and the comprehensiveness as well as the representation, all of the work that's been tru dn through you the city and all of our par ners. i don't think it can be

overstated how san francisco posed such a different attitude to those who worked so hard to get us where we are. we can share that with our colleagues throughout the country looking to achieve the same. hopefully to serve as some sort of beacon for what's possible if folks work together. thank you s so much for that. because i know there's so much more work as you say. tree baiblgs of dot poans of cheer leading from this side.whn

provide for the work ahead, particularly as this gets more politicizedded and confused going forward across all of the different channels of news and information that gelt shared get shared withus. it's going to be even more important as we talk about boosters and peed attic vaccines. thank you so much. i really juf wanted to suppress thanks and our privilege being sea part of this.

>> i want to add my voice. you probably have some sense of how grateful the people in the city are, those of us who live here and are benefiting from your extraordinarily difficult hard work well over 'yer now. we still deal withing very.

please know that we are all deeply grateful and behind you and grateful to you and willing to do all the thing that's are in the next steps going forward. please share our thank with all of your colleagues. >> thank you so much. so beautifully said. commissioner chung. >> okay. i'm dping to sound like echo chamber here and real will he compress p tear team. he necessity this is in an ease

yes time. i can't imagine how -- i can't imagine that being easy at all. and so in addition i also curious that because of all these kn fusing information, including leak recommendations about those are are em meun oh compromised should get the fers hp but interest no definition. >> thank you for the question.

we've been looking for that written recommendation and guidance from cdc april the cd ph. they do have established eligibility cry ear ya beased off absurd legation. some of that is not implea ming a way that would be ben firnl beneficialfor folks. that is a feign line to balance with regards to this implementation. >> lastly, i wanted to let you know that i'm so em pressed for these comawnity par ner hp ses.

impressed.san francisco is leady again. >> it's certainly hard to follow everybody. the challenge is now of course as pointed out in which many went back to the departments and we're we are still trying to cope with the fourth surge. all of our dph staff continue to

feel that we and this city is very very grateful for it. as we're also looking at out side data and out side programs. either juf reading the nawz and publications. we have been so many other things. they are recommending or suggesting, that experience, i'm glad it looks like some of it is getting documented. our expensive out reach for the vaccine. if not already is well worth publication. the number of success certainly shows that the programs do wrk. b russy many of you are kreels

are real estating for new science. what new answer can we gef in term ses of p what we can give. if in fact there's 'baffer or their third sphrerms shall -- do we have atimeframe upon e able to let the public and providers know. certainly those questions are already coming out by the minds of your partners.

thanksagain, i realize that we can't be definitive. we're not going to hold you to that. if there's some idea of when we maight have more information might have an answer. >> thank you commission. i'll answer with 'very undefennive eansz. our goal in planning, we with

love to gef you are time life topt. that westbound jazz i think you're wrying rk we already have a necessity wrk in that search sphresms sphr sphel sitting with lodgestics. a week or two.

>> our goal is the implementation of the initial dose for immune compromised individuals. no official recommendations from cdc at this time t. may be lacking towards the early to late fall. looking like less weeks more months at this time. as you noted our goal is to maintain preparedness for knocker work and par sheriff step as we d. health seventy eight.

>> thank you, again. it's not only a midnight job but a 24 hour one. we really appreciate the dedication that you and so many people within our stity have given for public health here. thank you.

>> so that will give us an opportunity to modify our purchase scale when things are needed and hopefully address the incoming eligible population in a timely way. and i wanted to also acknowledge and thank jonathan for his greatpresentation and jonathan is one of the people that's mobilized for this response almost from the

beginning . maybe even from the beginning, jonathan . i don'tremember when you started at this point what remarkable . just has done anincredible job along with the team and we do so much of the work andjust to say in terms of the vaccine work ,jonathan is not only really done a remarkable job , with coordination , bureaucracy and unlocking things in the city to make things work but he's also on theground observing and getting a sense of what not working on the ground , seeing the hesitancy of the vaccine and talking to teams that aredoing the work which , i just want to thank him . >> thank you doctor colfax. >> thank you. i guess we will nowmove on to the next item on the agenda which is general public comment . >> commissioners, no one on the line so there's no general

public. >> the next is an action item, the laguna honda hospital and rehabilitation is the year 2122 hundred and billy will present at michael phillips the ceo is also here with us. and can alsohelp answer any questions you may have . >> hello commissioners. i thought my camerawould work when i turned it on . there we go. it's my settings so apologies for that. you all can hear me okay? that afternoon, my name is millie conover, she financial officer of laguna honda presenting the 2022 budget. i'll start by giving you a bit of background about the

program. the laguna honda fund is funded through public donations received either directly through our website or directly from donors or through our organization city bridge. the donations are spent exclusively on laguna honda residents on programming that supports general benefit and quality initiatives. the fund is managed by our laguna honda fund committee and the day-to-day administration of the funds are managed by our program coordinator. we manage them all under the guidelines from the city's office of the comptroller . that's just a bit of background. so on to the budget. you should have received in your packet the one pager that has the year end report from fiscal 21 and also the budget for fiscal 22 allowed just kind of walk you through that

document and i'll start with the fiscal 22 budget. a high level our request for approval is 449,000 for the year. the gift fund committee with the development of the budget and we came to thisamount by reviewing our programs , prior years andlooking at each of our potential initiatives . it includes a lot of the similar features from those who have reviewed the budget in the past, finding things like therapy programming and special events, on fact services like art and music and we had a couple annual programs, our holiday gift program and also our annual wish list program so those are outlined in the document. we also have included some placeholders andcontingency in the budget . just so that we don't have to

confuse throughoutthe year for additional funding if we go over . so i'd also like totouch on that document , the budget for last year, the fiscal 2021 report and ask you probably would have guessed or expected came in way underbudget last year . and due in large part to covid the reduction program that we had to do the lockdown. as we started to open it up, we have begun to increase our spend and we saw that in the latter half ofthe fiscal year . our contractors darted coming back on site. the arts studio open back up, things like thatwhich are great to see but we still overall came in under for the year . so try to takethis into

consideration when we were developing the budget . and unfortunately we develop it before the current search which i think may encumber it a bit more but we're still optimistic and hopeful that we can continue to ramp up that programming and find creative ways for this year so that's where welanded at the 449,000 . just high leveloverview of the budget and i welcome any questions you might have . >> any public comment? >> there's no one online. >> any questions? i don't see anyone. raising your hand, right? then i guess we will entertain a motion to approve the fiscal

year 2122 gift fundbudget . >> so moved. >> second. >> we will call a vote then. [roll call vote] >> thank you, the item passes. >> hopefully you will be up to utilize your entire budget and covidwon't destroy it . all right. so the next item on the agenda is our resolution honoring the importance of health commission hearings from diverse communit voices and codifying it to an annual meeting in the community . we have a resolution and i want to thank secretary morewitz for doing such a great job of

putting this all together and commissioners fortheir comments and i don't know if you want to read the resolution and then you can further discuss . >> thankscommissioners. there are a couple of comments. the resolution , the draft was written in response to the we plan action item 71.5 which says expandability for commission numbersin diverse voices .and also commissioner green made a amendment which i'm going to include as i read and we will start it out. whereas the san francisco health commission is the governing body of the san francisco department of public health and where is all commission rules and regulations state all commission meetings shall be open and public and all persons

shall be permitted to attend any meetings of the commission, numbers of the public are encouraged to attend the meeting and address the commission on items of consideration and whereas many individuals and community groups participate in health commission meetings providing public comment and whereas the san francisco department of public health regularly supports reports to the health commission and its partnerships with many diverse communities from san francisco to conduct risk assessments, planning efforts and activities and programs designed to address health disparities and whereas the contracts are $400 million annually with many organizations in a range of public health related substances such as medical care, behavioral services and treatment services as part of the contract approval process each organization serving many diverse amenities are invited to the health commission meetings to present their programs and answer questions from commissioners and whereas

the health commission has historically held as one meeting per year in a specific neighborhood to focus the meeting agenda on topics related to public health issues , and services for those commissions . and whereas the dbas provide in-depth analysis of public health data and programs for the neighborhood in which the missionshold its annual commute committee meetings, partners with local community organizations and groups to develop a presentation of community level activities which is presented as part of the health commission annual committee meeting .dph conducts outreach to invite local residents to participate in the health commission committee meeting .i will read this result to include commissioner greens description. therefore be it was all the health commission self quantify extradition to hold at least one person or virtual meeting each year focusing on public health needs of thediverse communitiesliving in one neighborhood and further resolved that the health

commission will rotate neighborhoods and locations annually and in an effort to ensure inclusion of all neighborhoods .if i may make one more comment , when the racial equity action plan template was presented citywide , we were happy that the health commission already conducts these annual meetings so it's not just that we were trying to respond to the itemitself. because we already have a very inclusive processwhere committees are involved in our meeting presentations people come to our meetings . i want to just note it wasn't something that we were trying to show . >> thank you so much secretary and we think about the meetings with on2, they had so informational and i think it's good to do things that otherwise might not have that kind of personal contact with us and they had valuable in doing it in the face of restrictions. i think it's very important are there anycommissioners , i guess are there any public comment ?

>> no publiccomments because there's no one online . >> what about the commissioners questions? commissioner chow. >> i just want to be supportive of your addition to allow us to see a video or visual. that would allow for circumstances to try to at least input so thank youvery much . >> any other comments or questions? i don't see any so perhaps we can have amotion to approve this resolution . >> commissioner, this isn't introduced and we have two weeks. but the agent may want to comment on your proposed amendment and i know resources are scarce right now so i want to be thoughtful about that too there's still two weeks toget

the public anddph folks to get comment . >> thanks for that correction . all right, i guess any comments orquestions , we can skip item 8 as we announced earlier and go to board discussion. and communityhealth updates . >> thank you commissioner gree . i will quickly ... what we had today is our committee requested a return to give us an update on particularly workforce development and graduate programs. that was our meeting this afternoon. just to kind of refresh all of our memories and the updates, may 2017 was the strategic plan for behavioral elements and

currently this is year 4. was highlighted today was workforce development and particularly recruitment. and we're focusing on grad school partnerships, pure partnerships programs as well as the support and power of current staff. these are the current schools that are also in process and in progress. we also had a review of the correct program which is the graduate programs. vocational and pathway developmentgrants . again, an update in revisiting what those programs are as they move forward. there has been a new hire which is wonderful who will also focus on graduate programs

which again, this is all part of the workforce development within dhs. so the one thing that i think is important and is going to be a great move forward is the staff is working on centralizing behavioral health internships because to have it in, it was one of our recommendations of the park committee previously to have a centralized intern place where people can apply for all of the dhs internships. so that is in progress for

updating the dph, it will be on the dph website and the timeline which justin was sharing with us is 6 to 8 months, of course we'd like it tomorrow but in light of the surge and how people are extremely overworked and busy at this presenttime , this is a goal but it's a definitive goal that our committee has asked for. so those were the highlights of the meeting previously today. i do know if commissioner chong or christian have any comments if they are with me as well? thank you. >> sounds promising. is there a public comment on this item? >> no publiccomment . >> anyquestions from commissioners ?

i don't see any so then we will move on to other business. is there any other business? >> there is no publiccomment on this item . >> then we will do the joint conference committee and we will nowhave the hospital, commissioner guillermo . >> thank you vice chair green and i also, thank you for providing for the committee meeting last week for the vast majority of it. please add any of your own comments after i complete the notes here. as usual, the committee received the executive team report that mister phillips

provides for the committee and we also enclosed session discussed the regulatory affairs report. in this case i think because schedules and logistics we had no report to review and it's double theamount of information on it .in the meantime, the committee listened to a presentation on the replacement pillar, that's an important part of the hvac system. when you think about the numbers of people that occupied the buildings that make up laguna honda and what happens when there is a weather event or even a regular day when

things aren't working properly, it becomes a very big deal and apparently the hvac system put into place when hospitals remodel unfortunately was not sufficient for the demands and needs and has unfortunately not performed to its specification . so we have had a number of macgyver like fixes over the year. they had to come a lot earlier than expected just because of the moisture and otherthings weatherwise in that area . so it's supposed to happen every 10 years. also, exciting presentation on theequity program . at laguna honda hospital and i'd encourage the hospital for

thatpresentation to be provided to all the commissioners . it's a slide presentation if it hasn't been yet. it's a robustprogram . there's so much work from everybody it seems that excited about the establishment of this program and a lot of enthusiasm even in the midst of responding tothe pandemic . folks wanting to be partof this program . the full rollout has not occurred again because ofthe pandemic , but lots of things have been planned and as soon as the full staffing returns to laguna honda from their deployment of other duties, we are really looking forward to seeing student equity get distributed. i think it's every month. so that's laguna honda and

committee members get a copy to share with the full commission. so are in fact, i think commissioner chow has additional notes about the supplement and thatis my report . >> that was a very thorough report and we are so enthusiastic with all the great work we continue to get from laguna honda including their covid-19 statistics although there have been cases compared to what might be possible it's remarkable how well they're doing and that happened this month as well.i think it was the occupational medicine team perhaps, but the team succeeds

in reverse proportion to the hvac failing. it was quite remarkable out every time we get good news from them. so any comments, commissioner chow? >> i think just perhaps to put into context not just hvac but the whole system. in fact the city did find the contractor asphalt and there was money put back in. so this is not just general fund money. it was put back in general fund but those funds, part of it as been allocated back to protecting what were our problems and contracting. this is one of those issues that laguna did have a number of challenges but it is building out of the new buildings , i think in general

all of us who remember the old buildings think this as well that worked it and i think it was probably due diligence on the part of the city to pursue the contractors and the evil basically to get enough of the money back so that we will be funding the corrections itself and staff has really been working hard on it . they then from what we cantell been doing a great job . thank you. >> we appreciated not only your historical knowledge also as a staff member of 28 years duration so it was helpful to understand the history of this all evolved and the fact that there has been at least some money returned to the hospital so we can make that emergency need. is there anypublic comment ? then the next item i believe is a motion to go into closed

session. >> so moved. >> second. >> we will do a roll call vote. [roll call vote] >> thank you all, those are not going to be joining the closed session and give me a few seconds. public, we will come back after the closed session. >>. [roll call vote] great. >> our next item isa move to

adjourn. and commissioner chong will make that motion . >> yes, i would like us to adjourn this meeting in memory of ambassador jim hornell who just passed away a few days ago and he was a big superstar and a champion for lgbt queue rights and he was the first gay ambassador to luxembourg germany. and he is also the cofounder of one of the largest lgbt queue organizations in the country, the human rights campaign and of course you know like many of you already know he also is, he stayed on philanthropy and he's been supporting so many organizations, especially those who were small and who just

started on the grassroots level. so his legacy will continue. but we lost this giant and so i just like us to have a moment of silence in memory of him as we adjourn. >> i'd like tosecond the motion .>>. [roll call vote] >> that ends the meeting. >> thank you all for your incredible input and really wonderful meeting .wishing you a goodevening .

>> thank you.

i just wanted to start by introducing myself. i'm san francisco mayor london breed. i'm here at this park in the community where i grew up in and this is where i wanted to come today especially in light of everything that's happening with covid-19. you know, i've gotten a lot of calls about people who have died and in particular yesterday, i talked to a frequent of mine who lost a very dear friend of his. that friend was 52 years old

and he said, "london, this man spent 26 years in jail. he's been shot. he's been beat up. he came out. he turned his life around and after everything he went through, he caught covid. he wasn't vaccinated and within less than a month's time he was dead." we have another member of our community that's joining us here today. ms. cassie cook who lost her son who was in his early 50s and was not vaccinated. and i understand the concerns that a lot of people have around vaccinations specifically in the african american community. we know the history of the alabama shear croppers through

the tuskeegee experiments. when those people were provided the opportunity to get the cure which at the time in 1977 which was penicillin, they were denied. they went on to infect their wives and others and, in fact, decades later, the government finally acknowledged the crime it committed against those african american sharecroppers. and many some of you know my grandmother who raised me in this community, her family were sharecroppers. were well aware we didn't have the devices and internet we had word of mouth where we were acutely aware of all that was going on in the injustices inflicted upon african

americans at that time. that is part of the reason i know why we are not seeing as many african americans in this city vaccinated as it should be. and the reason why i am becoming increasingly concerned, we as san francisco as a whole is doing great. we have 79% of those over the age of 12 that are fully vaccinated. we are seeing people, actually, the numbers are increasing about 203 new cases a day. 117 people right now in the hospital and an uptick in the number of african americans who are not only contracting covid, but who are dying from covid. disproportionately to a very small population of black people in this city and that should not be. this delta variant is covid on

steroids in a whole other way. and the vaccine could be the difference between having the sniffles, being at home sick a couple of days and not being able to breathe and suffocating, being on a ventilator and dying. so, yes, this is a matter of life or death and other people continue to bring up. i understand the concern and the hesitancy. i had to dig deep before i even committed to get the vaccine. i had to understand it because if i was going to be asking other people to do it, i had to do it myself. and i had to feel confident about why i was doing it. now more than ever, it is so important. you know, when ms. cook told me

that the last time she saw her son, she couldn't even hug him. and she lost him. i can't even imagine how she's feeling right now and i'm grateful to god she's standing strong here today. she's here to tell her story so you all can understand the importance. we've had so many challenging experiences in the black community and this city. challenging experience around violence, around poverty. and sadly now around covid. so when we come out of this pandemic eventually, i don't know when, i can't give a guaranteed date, when we come out of this pandemic, i don't want to be mourning the people lost because of this disease.

so, yes, we have a lot of work today and for those who are hesitant and want to ask questions, concerns want to get the vaccine, may not, who knows, but we want to be here. we want to be here to make sure people know it's possible if you want it and we want to encourage folks to get it because i'm tired of wearing masks. i'm tired of imposing all these public health guidelines. they're not meant to be a punishment. just remember, kids under the age of 12 cannot be vaccinated. they have not been approved for the vaccination. so when we have one case at a school, we may have to shut the whole school down and kids are back home suffering from mental health challenges because they're not able to be in school in the classroom with

other students. so, today, i'm reaching out to folks to do their part to get vaccinated. it's a simple message. and, with that, i want to introduce dr. grant colfax to talk a little bit more about specifically what's happening in san francisco and some of the data and then if ms. cook is up to it, i want her to come up here and say a few words because when we talked over the phone, she said she wants to make sure that she does everything she can to reach out to people to make sure they're vaccinated so this doesn't happen to someone else. so, with that, i want to introduce dr. grant col fax. >> thank you, mayor. and good morning everybody. thank you, mayor for your

outstanding leadership during this pandemic and i just also want to acknowledge the leaders behind me today with regard to ensuring that we do everything we can to get vaccinated. i want to thank reverend brown. i want to thank ms. cook for coming out today. we are in san francisco at almost 80% of people eligible being fully vaccinated. that is outstanding. we still have work to do. we still have work to do particularly among black african americans where our rate of vaccination is 64%. that's why we are here today, that's why we are here providing vaccine to people in the park. that's why we have our mobile teams out. that's why we have our vax to you program. you can call the number on our website. we will bring the vaccine to your home or any other place. if you have five or more people

ready to get vaccinated. there's a lot of conversation about [break] through infections. those are important, but let's stay on the key message here that these vaccines are saving lives every day. here in san francisco, the vast majority of people hospitalized are people who have not been vaccinated. the vast majority of people in this fourth surge that we're seeing who are sadly dying of covid-19, these deaths are overwhelmingly preventable with these vaccines. these vaccines are safe and effective and they are so important for us to get back to a new normal that we all take these vaccines. so just really encouraging people to do that. with regard to our fourth surge here in san francisco. we are currently just under 200 new infections per day.

that's down a bit. hospitalizations appear to have stabilize z in terms of that rapid increase. they have stabilize now. we do not know what's going to happen next. the more we are vaccinated, the better we'll be able to take care of people. the more likely our schools will continue to be able to stay open and we'll be able to protect people particularly vulnerable to covid-19 and we'll be better prepared and more ready for whatever this holds next for us. thank you very much. >> thank you, and i just want to thank reverend brown from the n.a.c.p. and other pastors who are joining us here today as well as sherman tillman from the black firefighters for his support and, at this time, i want to introduce reverend shaw from betho ame and floyd tramel

from first friendship. i want to introduce cathy cook to come forward and say a few words. >> good afternoon. can you hear me? okay. when i pulled up, i saw whole groups of young men across the street. that's why i'm here. when i look at you, we are preaching to the choir because we know what we need to do. i used to be a deputy executive director and i touched the lives of these young men that

you see on the street, but they're gone. i am hurting. i am burrying my son on tuesday i didn't get a chance to say good-bye. i begged him to be vaccinated, he wouldn't do it. so he had to leave my house because i wanted him to be safe. i saw him july 7th and i looked through the gate. i said have you been vaccined? vaccinated? and he just threw his hands up and all i saw was his back. it took them three days to find me. he was in kaiser in oakland. he was dying.

he had acute pneumonia and he had all of these bacterias in his body that was eating up every organ he had. and my message that i would like to get out today to the masses, if you're anywhere from 38 to sixty and i have a group of about twelve doctors that took their time with me and they said within the last six to eight months, the group 38 to 60, they come in, they don't make it out. they don't make it out because they have not been vaccinated. they die. my son is dead. my son. i have only one child.

i beg you. i beg you. i can't take no more. my son i'm going to bury. you don't know what it feels like. my son is dead. i've got to go. >> reverend brown. say something. >> thank you very much, madam mayor and to dr. colfax. reverend shaw of bethel african

american first friendship and other clergy persons who are here. i stand to say, we should applaud our mayor for taking the positive step to make sure that in the city and county of san francisco african americans will not be at the bottom of the barrel of the well when it comes to educating in a positive way. our entire community about the fact that all of us should be tested and vaccinated. ms. cassie cook is also a member of third baptist church and as a pastor and as one

representing jesus of nazurus. for that profit came and said that they may have life more abundantly. so we are pleading with and as i did with my own children who are this generation. i gave them some gentle yet direct indication, don't calls me to feel that i need to disown you. because james brown it not bare children who would not understand that you don't look alternate facebook. you don't look at those people who come up with some kind of conspiracy theories.

just to divide others to be in charge of something, but you look to scientists, doctors. you look to faith leaders who have gone the kay of the struggle and know what we are talking about. so today, we are just beginning. acp came and this gumbo ban will make some news throughout san francisco and bayview hunter's point to say to our children and to the young adults, come on, baby, god ordaned for you to have life and not to have death before the deadline. too many of us are dying.

two and one half percent are dying of this virus in the city and county of san francisco. but true hope treasure of god and christ, we have testing sites, we have vaccination sites and in addition to this site today, i say to all of you standing around here, if you've not been vaccinated come on together t. my mother-in-law is 103 years old and she's kicking and doing well with her whit. my wife is 78 years old and god has enabled me saying to everybody, god loves you and so

do i, let's be about life and not death. >> thank you, reverend brown. you know i'm going to tell jane on you for telling all these people her age out here. thank you reverend brown. thank you, cassie cook for your courage and everyone who's joining us here today and, as i said, you know, we don't know how long covid will be with us. but we want to make sure we do our part so we begin to open up everything we need to and finally i'll just say dr. colfax touched on it a little bit the people in the hospital are younger and we've

had about 1800 people who were hospitalized and 1600 people were vaccinated. if just shows you that if more people were. so we've got work to do. we're out here. we'll be out here another hour and a half. please come to the philmore mini park between turk and golden gate to get your vaccine today. thank you. any questions from the press? >> reporter: [inaudible] have you seen any uptick in vaccination rates? >> we have seen an uptick in the percentage of people who've been vaccinated and so that's been good. we've also even though we're

still seeing a lot more cases than we're comfortable with, we see the average numbers decline. so that's good news, but we're still not in a good place. >> reporter: marginalized communities are most of the time left behind. you have put them in the front of the line. our community members over here [inaudible] >> well, i think as a part of this community, i know that it's important that we do things differently. and how we communicate to the african american community. and so when this pandemic first hit, i didn't know all the answers to every question, but it was important to me that we embed an equity team that could answer those questions as soon as we have the information, the same with what we needed to do around this vaccination site. we started with a free site, no

questions asked or everyone ninety-two thousand two hundred forty-four and the one at 2401 keith in the bayview. you can come, you live in those zip codes. no questions asked, no insurance or what have you. so part of it was to make it easy and make sure people were available to help support and really just to encourage people to do it and we're going to keep on doing that. >> reporter: [inaudible] >> i think dr. colfax should talk more about that

specifically. >> so i think in response to our questions is how important these vaccines are. they're very key in preventing death from covid-19 and you can look at the data on our website. it's there. the rates of hospitalization for people with covid are over eight times higher if they've not been vaccinated versus fully vaccinated. so it's really important that people understand that these are incredible drugs and medicines that are literally saving lives every day. the break through infections. we continue to see break through infections. most of those, the vast majority of those break through infections caused mild to moderate symptoms. so what we really need to focus on is who's in the hospital and who unfortunately continues to die from covid-19. and ensure that we get people who have not been fully vaccinated as quickly as

possible. >> reporter: [inaudible] show your identification -- [inaudible] >> about what? i'm sorry, greg? >> vaccination cards. >> yeah. you can show a copy of it on your phone, your vaccination cards when you go into restaurants starting august 20th. you can show a copy of your card. you can show your card, you can register with the state and use that as a way. again, the goal is not to punish people. the whole point is education and to make sure that everyone does their part and we're not requiring it for people who are eating outside you can do that and it's really up to the restaurants. so what we ask and comply with

what the businesses are asking us to do. finally, if you need me to hold your hand while you get vaccinated, i'll hold your hand. i'll make sure you get through this. this community is very important to me and so i want to make sure that people know they can come here and get vaccinate. if not todays, we can answer any questions about concerns because this is the question i get a lot from from people so what does this virus consist of. what will it do and what does it actually mean? dr. colfax, if you can talk

about it. it's complicated, but it's not like we're taking the actual virus and infecting people and i want the folks to understand that. >> thank you, mayor. and, just to be very clear there is no virus in any of these vaccines. there is no virus in any of these vaccines. you cannot get the virus from these vaccines. what these vaccines do is they prime your body to be able to fight the virus. to be able to fight the virus. your immune system fighting the and it gets your body ready to fight the virus and god forbid you don't get the virus these vaccines are safe, they're

highly effective. they've been used in hundreds and millions of people. they're very important. talk to your care provider. talk to a relative who's gotten the vaccine. please, educate yourself about the vaccine. get the vaccine. it could save your life. it could save the life of someone you love. >> and, then, i'll just say that today we're going to be here for another hour and a half. if after work, you want to get vaccinated, you can go to maxine hall on golden gate and webster. you can drop in. there are people there that can answer your questions and provide you with any information and you can do your vaccine first shot, second shot at that location as well. we're trying to make it as convenient as possible. drop in. and in the meantime, thank you all so much for being here today and let's get vaccinated. [applause]

>> agenda item 2 is roll call. [ roll call ] >> clerk: we have quorum. >> chair: thank you very much. just a couple of housekeeping items before i move to item number 3. the first is that we have a new transcriptionist. so i'm going to ask all the health service board members if they will please identify themselves so the transcriptist can recogniz