>> president bernal: secretary morewitz please call the roll. [ roll call ] >> president bernal: i will yield to commissioner susan christian to read the ramaytush ohlone land acknowledgement. >> commissioner christian: thank you. the san francisco health commission acknowledges that we are on the unceded ancestral homeland of the ramaytush ohlone who are the original inhabitants of the san francisco peninsula. as the

indigenous stewards of this land, and in accordance with their traditions, the ramaytush ohlone have never ceded, lost, nor forgotten their responsibilities as the caretakers of this place, as well as for all peoples who reside in their traditional territory. as guests, we recognize that we benefit from living and working on their traditional homeland. we wish to pay our respects by acknowledging the ancestors, elders, and relatives of the ramaytush ohlone community and by affirming their sovereign rights as first peoples. >> president bernal: thank you. we'll move on to our next item for discussion. it's a great way to start off our meeting, d.p.h. employer recognition awards. thank you to secretary morewitz for all his work as well as the

d.p.h. staff who have put forward the teams for nomination. our first employer recognition award will be presented by commissioner chow. >> commissioner chow: okay. thank you. i'm really placed -- pleased to be able to acknowledge the k.p.o. team. k.p.o. is kaiser promotion office. sf d.p.h. responds to commitments. k.p.o. teams across sfdph were deployed february 2020 to support this work. they have led efforts in all areas of covid command and the

covid task force including the c3 leadership, vaccines, school prevention outcome outbreak, testing, information and guidance and case investigation and contact tracing. their understanding of performance improvement was essential to the success of the san francisco pandemic response. members of the team showed resilience, creativity, flexibility, service and leadership and focus on the commission to protect and promote the well-being of all san franciscans. their ability to quickly problem solve and coordinate their work across a number of internal and external key stakeholders

environment is truly admirable. their work has saved lives and changed the course of the pandemic in san francisco. i'm pleased to present dr. golden as director of the d.p.h. k.p.o. now read the names of the team members being recognized and make some comments. thank you. >> thank you commissioner chow. i would like to acknowledge jenna the health operations chief, danielle taylor, winnie fey deputy operations chief,

jonathan pierce, howard chen project lead outbreak management, and christopher ross with advance planning, monica gwell operations deputy, julia dysart. it has been a pleasure to work with such a committed group of coworkers who went above and beyond and really lived the d.p.h. mission to protect and promote the health of all san francisco can you demonstrated

the core lead. no matter the circumstances, you always try to treat others with respect. we see the fruits of your work supporting outbreaks in congregate settings and schools. whether in the halls the center or elsewhere in the city, i felt a sense of comradery of purpose and genuine support of each other. you truly represent some of the best the department has and an asset to the city of san francisco. it was a pleasure working with you. thank you. >> president bernal: let's give everyone round of applause. [ applause ] >> clerk: thank you to your entire team for bringing forward their excellent work.

we will have vice president green present her next employee recognition award. >> vice president green: thank you for those beautiful words that you said about your team. it's my privilege to commend the public health emergency preparedness and response branch. this team is is part of the d.p.h. covid-19 response since january 21, 2021. they have held key positions. they continue to be activated while maintaining the ability to assist responses to other public health emergencies. this team has provided the foundation for the d.p.h. response back beginning of 2020 and provided valuable resources throughout this lengthy process and response. they have worked long countless hours at great personal sacrifices this past year and a half. it is a small but mighty team that has done lot of good for the people of san francisco.

tiffany rivera the deputy director will read names of the branch members and make a few comments. >> thank you. i'm going to keep my camera off. i apologize. [reading of employee names]. the emergency preparedness response branch has been activated since january 21, 2021. they all had key roles and left fingerprint. they did everything to help the response run smoothly, providing

subject matter expertise on incident command system, doing site visits at each hospital in the city, conducting weekly calls, leading the set up for our care center, letting the management -- developing the algorithm for distribution of scarced resources that will be used. these are couple of long list of accomplishments, members of the team had over the past year. they worked endless hours and successful -- our team continue to play key role in the vaccination and the d.p.h. task force. the team sacrificed much of their lives the past few years coming in to work everyday as social workers. this team will remain committed. they are small but mighty. they played a huge role saving lives and keeping the community

of san francisco safe. [ applause ] >> clerk: thank you tiffany rivera for bringing forward your team and for expressing such admiration for their work. we share that. our last employee recognition award for the day will be presented by commissioner suzanne giraudo. >> commissioner giraudo: i'm honored to present this to the mental health services act and office of equity and workforce development team. this year, the mental health services act team worked to uphold the principles of racial equity and social justice by ensuring the programs to serve diverse communities during the covid pandemic.

each member of the team demonstrated resilience and diligence. the following is a partial list of this group. managing and implementing telehealth services for school-based programs. i want to say, particular thank you for that one. developing community health wellness webinars with the board of supervisors, providing virtual peer support programs, developing culturally congruent mental health intervention for black african-americans, partnering with the office of equity and workforce development to work with the s.f. human rights commission on reallocating law enforcement funding to mental health services. collaborating with the covid task force to provide covid testing, vaccination and contact

tracing. in close partnership with mental health services team, the office of equity workforce development has implemented policies and practices to advance racial and health equity initiatives throughout the behavioral health services. during the pandemic, the team members continued to provide cultural competency, workforce development and wellness initiatives in addition to maintaining b.h.s. training requirements for clinicians. the oewd worked towards high quality appropriate services. to serve the diverse needs of all san franciscans. the following is a partial list ever other incredible work the team contributed to during this year. developing a state mandated cultural competency plan.

implementation of the b.h.s. portion of the strategic racial equity action plan. providing equity training for the b.h.s. street crises response team and providing consultation to other counties regarding racial equity initiatives. jessica brown, the acting director of b.h.s. office of office of economic and workforce development will read the names of wonderful team member and make comments on these two fantastic teams. >> thank you, commissioner giraudo. thank you so much. i want to recognize juan rivera our vocational program manager, tracy teresa yu, hannah.

each member has been instrumental sharing mental health services aren't and continue to thrive despite a global pandemic. with that, it's to ensure that we're implementing programs -- [ indiscernible ] i am honored to be part of this team. i could have not made it through without the team members.

i thank them for stepping up for taking on additional roles. just being able to help us evolve and improve our services. and ensuring our workforce is able to be holistic and whole. i appreciate each member from our budget analyst to our budget director to our support, to all our program manager for supporting us and upholding the value of behavioral health systems services. >> president bernal: thank you. >> clerk: thank you for reminding us the importance of teamwork and supporting each other in our teams. i know lot has been asked of d.p.h. staff in the last two

years. it's really our privilege to be able to recognize your team and other teams for all of your great work. thank you. thank you also to lisa goldman and tiffany rivera for nominating as well. until our next meeting when we have employee recognition awards, do we have any public comment? >> clerk: if you like to make comment on item 2 of the agenda please press star 3 to raise your hand. while you have the floor for a second, folks who has been acknowledged, please feel free to stay and enjoy the meeting. we know you're very busy. >> president bernal: before they leave, i know that director greg colfax like to say something. >> i wanted to thank the commission for celebrating these teams and also thank the people

who nominated these teams. these teams really represent the best and demonstrate how we strive to take a collect aaron -- collective and holistic approach to covid-19. i want to appreciate and acknowledge that is something that we will continue to sustain going forward. the pandemic taught while we need to do our best to prevent and fight against infectious diseases that broader and more holistic approaches is important. the issues of equity, issues of broader socioeconomic factors the issues of institutional racism really drive health and equity. we continue to confront and to address. i want to thank each and every team member for their wronger.

i thank the commission for their acknowledgement of these outstanding d.p.h. team members. thank you. >> clerk: thank you director colfax. next item, item 3 on the agenda. resolution making findings to allow teleconference meetings under california government code section 54953e. as we said in the past, we must pass this resolution to give the commission and its subcommittee the authority to meet remotely for the next 30 days. commissioners, you do have the resolution. i believe it's identical to the previous one we passed. commissioners, do we have a motion to approve?

>> president bernal: secretary morewitz, do we have any public comment? >> clerk: if you like to make comment on item 3, press star 3 and raise your hand. no hands. >> president bernal: any comments or questions before we move to a vote? seeing none, secretary morewitz, please call the roll. >> clerk: [roll call vote] item passes. >> president bernal: thank you. next item, the approval of the minutes of the health commission meeting october 19, 2021. commissioners you have the minutes before you upon review.

do we have motion to approve? >> commissioner: i move to approve the minutes. >> commissioner: second. >> president bernal: do we have any public comment? >> clerk: you like to make comments on item 4, raise your hand by pressing star 3. i will give you two minutes. let me read something out loud. the commissioners do consider comments from members of the public when discussing an item

and making a request if the d.p.h. each individual allowed one opportunity to speak per agenda item. written public comment maybe sent to the health commission. person on the line u begin comment on the minute, item 4. can you hear me? >> caller: yes, i can. >> clerk: you got two minutes. >> caller: thank you very much. this is jordan davis. my pronouns are she and her. you made a mistake in the minutes. you mis-genders me. i spoke during general public comment. i was the first speaker. i use she and her pronouns. >> clerk: that is my mistake. i apologize. i will correct that.

that is the only comment. >> president bernal: thank you. apologies for the misgender pronouns again. do we have any comments or questions before we move to a vote? >> commissioner: i have a brief comment. we to acknowledge that the program in regards to led that we asked about, did demonstrate after passing over the years of improvement in our numbers of cases being found and that the department should be commended they are doing on the led prevention program. >> president bernal: thank you, commissioner. any other questions or comments before we move to a vote? seeing none, secretary morewitz, please call the roll.

>> clerk: [roll call vote] that passes. >> president bernal: thank you. thank you commissioners. we will now move to our next item. which is the director's report. director of health, grant colfax. >> good afternoon. i have the health commission director's report in front of you. to highlight few things,ly give the covid update after this. i wanted to highlight a couple of key issues here. one exciting thing is that

d.p.h. is sponsored with san francisco state university and the san francisco unified district to provide ten scholarships for residents ages 12 to 17 who received a covid-19 vaccine. at certain sites, people meeting eligibility requirements get the vaccine, they will be entered to a drawing for ten scholarships. very exciting. this is another step we're taking to encourage people, especially young people to get vaccinated. winners will be listed on november 22nd. i wanted to give you a heads up. on other key issues, i wanted to -- i'm pleased to announce, application -- completion d.p.h.

first equity fellowship. this was developed by the office of health equity. it included d.p.h. senior heres, behavioral health providers and other clinical staff and equity champions. sorry, i had a little bit of technical glitch here. my computer just closed my detector's report. 21 hours of training. in addition to significant independent study and personal reflections over a four month period. really big achievement and something that's been long time in the making. so excited about that. also really happen -- happy to

announce -- [ indiscernible ] this was given at the fast track cities 2021 conference in portugal. the award reflects efforts to end the hiv epidemic. other cities were bangkok, nairobi and san palos. the d.p.h. health commission received another award. goal well-being work award. this award was in recognition for well-being efforts coordinated in the fiscal years 2019-2021. really want to congratulate d.p.h. for being a positive force with regard to that. this was during the pandemic.

so much of our work focused on covid-19. finally, recognition for chief information officer. he's our chief information officer. he's been appointed to the data sharing agreement subcommittee at the california health and human services stakeholder advisory group. so congratulations. that completes my director's report. i'm happy to any questions from the commissioners. >> president bernal: thank you director colfax. before we go to commissioner questions or comments, do we have any public comment on this item? >> clerk: folks on the line, if you like to make comment on item

5 the director's report, please press star 3 to be acknowledged. do not see hands. >> president bernal: commissione r chow, i see a check marked next to your hand. >> commissioner chow: it turn edinto that symbol. may be you will mention this, i was quite interested with the multilingual townhalls athe f.d.a. announcement today, it has dates but how do people access that? have we put information out? it began tonight. i'm just curious how we're publicizing these. >> clerk: i will refer to the townhall in the covid update. we have been putting out a great

amount of information through information and guidance group. we had a very robust response to this and to give you a sense of it, we have over 1000 people signed up for the townhall tonight. >> commissioner chow: that's great. thank you. sounds like you're getting the word out and communication systems over these 19 months have gotten much better. >> clerk: the english version for the townhall tonight was e-mailed along with all the documents sent to the commissioners. i sent up updates of documents. >> commissioner chow: i can't get the check mark off of here. >> clerk: no problem. >> commissioner chow: thank you. >> president bernal: i'm happy to check in with you commissioner chow to see if you have a comment.

commissioner giraudo? i guess there's no more -- >> commissioner giraudo: sorry, technical issues. my question is will there be other townhalls held going forward? i think it's really the information is so vital. >> we don't have specific townhall plan b. i can get more information with the commission. we're going to see the level of interest. which has been great so far. we're pushing information through multiple other venues and encouraging people to talk to their pediatricians about getting the vaccine.

stay tuned and depending on demand and our ability, we'll take that under consideration. >> president bernal: thank you. seeing no other comments or questions, we can move to our next item, which is the covid-19 update. back to you director of health, grant colfax. >> thank you so much. we will bring up the slides. one moment. i will provide a brief overview

and jonathan sears will provide a more in-depth perspective on our vaccine efforts especially with regard to children 5 to 11-year-olds. you probably saw the breaking news just a few minutes before the commission convened to see what the advisory panel recommended vaccines going forward. we expect, depending how quickly we get the supply from the state, we'll be offering vaccines to 5 to 11-year-olds shortly. in terms of covid-19 cases per 100,000 residents our numbers were 6 per 100,000 residents. that number leveled off a little bit. we'll don't see if it goes down or up.

as you may know, across the state cases has increased some degree. we don't have all the indication of that increase. as we keep saying vaccines are key to keeping this pandemic under reasonable control. here u see the case rate by vaccine status are seven-day average 5.7. you see case rate among unvaccinated residents is nearly twice that among compared to residents who have received a vaccine. just to emphasize, this is only on case. we know people who are fully vaccinated, if they do get covid, they are much less likely to be hospitalized and much less

likely to die due to covid-19. this is our cumulative cases. we had a total of 52,372 cases of covid-19. reproductive rate is still under 1.81. it means covid cases are decreasing overtime through the community transmission is slowing. you may have seen the report that about san francisco going from the c.d.c. yellow to the c.d.c. orange tier. c.d.c. different creator than -- criteria in the case reporting. the data people are looking at

is best we can determine at the local level meaning san francisco city and county of san francisco, this is most likely due to variations when lab reports are getting to the state and the c.d.c. that's why you're not seeing an increase in these numbers which commensurate what's articulated by the c.d.c. now. right now, again, even though cases across the state appear to be increasing, we may see an increase consistent with that in the future. our case rate is relatively stable. with regard to hospitalizations, our hospitalization leveled off at between 45 and 40 for the last week or so. this number is far lower than our peak of this fourth surge.

we'll continue to monitor this carefully. in addition to the number of people hospitalized it indicates that our hospital system is in no danger of being overwhelmed at this time. in terms of vaccination administration, these numbers are increasing little bit. still compared to the rest of the state and the rest of the country, we're doing very well 76% of residents of all ages have been fully vaccinated among those eligible. certainly, good numbers with regard to vaccine administration. we're still encouraging everybody to get vaccinated who hasn't been vaccinated. i think the case rate and the hospitalization rates and death rate speak to the importance of

this. this is looking at vaccination rates by race and ethnicity. you can see from here, whites people identify as white, none-latino are least likely to completed a vaccine. with regard to our other population you see including black and african-americans at 67% and among latinos, 77% have been fully vaccinated. ram to continue to move here and make progress. which we are doing. overall the numbers are solid especially compared to other jurisdictions. schools, it's remarkable in terms of how successful schools

have been reopening safely. if you think about the concerns we had in august and we had data shows that inschool personal learning can happen in a safe way. our data certainly bearing that out. really, still very important to get 5 to 11-year-olds vaccinated. health commission knows we have four vaccine sites established

at san francisco unified district. jonathan will go into more detail about our approach in vaccinating 5 to 11-year-old including children at school. i believe that's my last slide. one more slide, i talked about this. just to emphasis, part of our community engagement answering questions. we are holding number of townhalls.

i will take any questions. your question about vaccine, it might be better to let mr. sears go first. we'll have more details there. i'll be happy to take any questions now or after. >> president bernal: without objection, i suggest we move forward to mr. sears for rest of the presentation before questions and comments.

>> good afternoon, i'm jonathan sears i'm director of vaccine branch. thank you for giving me the time and space to present the vaccine update. today i will focus less on the data which is covered in dr. colfax's presentation and more on the guidance updates we're seeing with pediatric vaccinations and boosters. i will discuss some scenarios that we're tracking as well as our ongoing work to ensure ongoing access for unvaccinated residents as well as low barrier access to boosters and for parents and families of 5 to 11-year-olds. as folks noted and seen, the f.d.a. last week authorized and

recommended the pfizer for 5 to 11-year-olds. as folks noted today and seen in the news that the c.d.c., acip convened today. they are recommending the pfizer vaccine type under emergency use authorization for 5 to 11-year-old. today is a very significant day in this timeline. looking at how we're ensuring access for 5 to 11-year-olds, we're estimating there's about 45,005 to 11-year-olds in san francisco. we've listen looking at our network of sites we built over the past months. since last november, december. really thinking about how we ensure the best fit with regards to vaccine sites and access point. really thinking about how we ensure access to resources

information and experts to answer folks questions. how we really ensure ongoing principle and partnerships, really informs how we're strategizing and planning to offer 5 to 11-year-olds the vaccine. just in summary, our strategy is really to tap into this network that we've established. then through health systems, such as kaiser, dignity and so forth as well as pediatric and primary care providers.

we've also thought through how our sites can be and have their

own resources. including the ask the expert program that we've been running that has experts on site to ensure that folks have a resource to ask questions and time and space to be heard around their concerns for vaccination. we've been recruiting across our school base sites as well as our neighborhood base sites and community-based partners to ensure that these vaccine sites will be offering pediatric vaccines have access to an expert as well as a pediatricians to answer folks questions they may have. our collaborative with the health systems vaccine collaborative has continued to convene twice weekly around

booster implementation. we had many special guest speakers to advise on our approach with regards to accessibility, vaccine rollout, allocation and so forth. finally, just to note that schools are great means of ensuring access to vaccines. we've launched four school based sites. we are planning with our partners at these sites to include fun events and activities. just to really ensure this is a comfortable space for parents and families as well as children to be vaccinated. we can actually probably add another symbol here noting that the c.d.c. on step two, with the

c.d.c. recommends acip did just issue their recommendation. the next step is for the western state safety review work group as well as cdph to review c.d.c.'s recommendation an offer their final guidance and issue it to the local health jurisdiction such as sfdph. which will enable us to offer pediatric vaccine of pfizer at our sites. when we're looking at capacity, this is probably of the slide at this point. this shows the three-prong vaccine strategy that we built since last december. really looking at health system sites in dark blue and our partner health system with

kaiser, you can see community vaccine access sites and points. in teal and orange, we have the pharmacy partners with local as well as the major retail based pharmacies. the little orange icon just notes which sites will be offering pediatric vaccines. we're working with all providers listed here as well as many others includes pediatric providers to increase their capacity to offer vaccines for their patients and also host weekend events as well as just expand broader access across the city. i will shift over to boosters. looking at the booster process and timeline, this does follow the same review authorization

recommendation process going from f.d.a. to c.d.c. to western states work group and then to cdph. recipients of moderna and johnson & johnson are now eligible for a booster. the booster guidelines, we've been working to ensure that our sites are able to meet this demand for boosters. it's a great sign of progress to ensure that not just pfizer recipients are eligible but we can offer boosters to moderna and johnson & johnson recipients. this is a great visual that captures the guidance. for mrna recipients, they are eligible six months after their second dose. it's split into two groups.

one group that should get any booster. when we say any booster, there is the guidance does outline the ability to mix and match. this should group for mrna recipients including 65 and older, 50 to 64 with underlying medical conditions. you have the group of any booster. which is folks 18 to 49 with underlying medical conditions. then 18 to 64 years increased risk of exposure or transmission. for johnson & johnson recipients, they are eligible two months after they received their dose. this is all folks who received johnson & johnson should get any of the three approved vaccine types. finally the last piece of guidance around boosters is just

noting for folks who are immunocompromised. they are eligible for a booster dose six months after they completed their third mrna dose. that was a lot of talking but i think this really captures complicated vaccine eligibility for boosters. noting what you receive for your primary series, when you may be eligible and that's based off of the underlying guidance for eligibility. this is a cdph chart that captures that wealth. this guidance is made visible and this information is available to folks more broadly.

looking forward, we're working on an ongoing basis with experts to model and forecast what the future is going to hold with regards to how boosters are going to impact the state of san francisco. there's unknown with this modeling and forecasting and many variables. it is of a complex modeling. that's really looking at how immunity wanes overtime. then how we ensure ongoing booster access and ongoing high rate of booster implementation. or high number of residents in san francisco who are eligible, receiving their booster dose. this is just noting the many unknowns and many variables this is something we're tracking

closely to ensure that the data we're seeing isn't forming how we adjust our operations. some other work that we're tracking, just looking at how closely we're matching our predicted model of achieving around 25,000 doses administered per week across all sites and all partners. really ensuring that we're maximizing our system and network that we built. that's inclusive working with established partners. we're working on ensuring that we have great booster data.

we're working with cdph to have more reliable data update and immunization registry so our booster data can inform how we adjust our operations. we're looking at how we ensure ongoing access to boosters for noke are -- folks who are highly vulnerable especially for 65 and older. residents of long-term care facilities as well. these are our ongoing modeling as many folks have done across this covid response. just tracking disease state relative to intervention and ongoing responses like we've been working through. just in short, our vaccine priority really do stand with regards to our principles. really thinking about how equity partnership, speed, transparency

and accountability and inform our operations, guide our operations and work on establishing our strategies. our top priorities for vaccination for san franciscans who not received their first and second dose, ensuring they are ongoing access for folks who remain unvaccinated. this includes maintaining a state of preparedness and rapid implementation for pediatric vaccine for 5 to 11 once available. our second priority is to ensure that the network that we have and the capacity that we have is ensuring boosters for the most highly vulnerable as well as folks who are eligible for the booster dose. think being how all our sites ss are culture and linguistically

accessible. we have the townhalls, first one starting tighten the next two are starting -- scheduled for tomorrow and arthur. part of this is to think through how we're giving the right information and where folks can receive the vaccines and how and providing information how our sites will look and what the experience will be for parents, families and children who will be receiving vaccine.

i'll stop there. just as a resource, it's part of this slide deck, we have the vaccine calendar event. i will stop there and happy to take a few questions and thank you again for letting me present today. >> president bernal: do we have any public comments on the covid-19 update? >> clerk: if you like to make a comment, this is item 6, please

press star 3 to raise your hand. not seeing hands. >> president bernal: vice president green? >> vice president green: thank you so much for this really detailed presentation. in the amount of work you done in a very short period of time. it's impressive how you and your team has thought through these contingencies. i have two questions. when do you think you'll have a sense of the uptick of vices in -- vaccines in the 5 to 11-year-old population and where you planning on gathering the data? will the uptick in our states be reflected in the community at large? i already heard that one private school i believe is the schools of sacred heart -- [ indiscernible ] when it comes to uptick, my gut

would say that there's a lot of encouragement when it's done in a school setting. i wonder whether we have any information on how many schools throughout san francisco might be offering this to their students and what that would mean? >> thank you for the question. just to answerth second question. we worked with sfusd, we launched four school-based sites in partnership with sfusd that are strategically placed in areas that have a large number of families. i think that is part of the theory here, to ensure that having on site access and

thinking through like a peer-based approach of like ensuring that folks are comfortable, folks can ask questions and be heard around their concerns is part of our approach. part of our work has been to link other school sites to vaccinating entities some of the local pharmacies as well to ensure they also on a broad scale schools are one of the main access point types. just because it is such a great model.

>> vice president green: do we know the portion of 5 to 11-year-old within san francisco unified district cerce success the private sector. do we have any idea how they are apportioned? >> thank you. you don't have that information offhand. that's something we can take and get that information back to the commission. >> vice president green: when you think -- there's so many prediction about how parents will make decisions about vaccinating their children. i'm wondering at what point you feel you'll have enough data to know where we're headed.

>> the data that we track goes through the california immunization registry. that's something covid task force data team has been working through. to ensure we have that data publicly available on the dashboard and how we adjust. we are adjusting to any potential gaps in coverage or little uptick in specific areas within specific communities.

>> commissioner: the other piece is because we're -- while it will be a compressed time period compared to the initial vaccine rollout, i think the patterns we saw will be similar here. we'll be getting an initial limited supply with probably large demand across the system not every system will be able to meet that demand initially. we'll see that supply increase to meet the demand. we'll probably have a situation where our supply basically outstrips the demand. the timing on that is yet to be determined. obviously this is a smaller population of people. we're also helpful in terms of high rates of uptick because of our high rates among adolescents and teenagers.

that give us some optimism. there's a lot of data around acceptability of parents willing to vaccinate their kids with these very safe products. >> president bernal: commissione r giraudo? >> commissioner giraudo: i don't have a question. i wanted to to go with commissioner green's question about the breakout of students. that was published in an article in the san francisco chronicle this morning. would have to do more research, where private schools and charter schools are one cohort and sfusd was another. it was in the article discussing the rollout of the vaccine. >> president bernal: commissione r giraudo, i think that data was in director colfax's report.

there are about approximately 52,000 students in sfusd -- [ indiscernible ] >> commissioner giraudo: yes, it was all together. >> president bernal: commissione r chow? >> commissioner chow: i can only come up with a check mark. ty.says the hand should be on the left hand side. we're going to have to figure that out. i can't eliminate the check mark now. i do appreciate and thank mr. chair for an expensive discussion on children's vaccination. i want to comment before i go on to question of adult vaccine uptick which i would like -- we don't get them, which we're

forgetting. i note that the posters and china were traditional chinese. in the younger group those who came over from mainland, starting to of uptick in the --i do note that our own resoure center. looks like about 10% to 15 per of uptick is on simplified. i'm understanding.

i really don't read chinese beyond where the restrooms are. in the area here, traditional remains. it's really a quandary what to do. i know that -- we should follow the official line.

my two concerns i have from the vaccine watching is in the older age group greater than 75. i don't have the exact numbers now. it same to me that you had something like 55,000 who received the first vaccine.

they seem to be lagging in the second vaccine. we have an uptick, may be 1% every week, may be. i don't think it's quite that. i think it's almost every two weeks to us.

that's two questions that i have. >> thank you for the comment on language use around outreach for kids. that's something we'll incorporate in our work. looking just at the 75 and older, that's something that we're tracking with regards to ensuring that older adults and folks who register 75 and older do complete the series when they have received their first dose. that's something we've been tracking and really thinking through how to do outreach base calls or thinking about when our

teams on the ground engage folks just ensuring that is one of the talking points. thinking through and identifying what barriers might come in the way of that. the first slow can be slower mobilization to get their second dose. in regards to asian residents, completion second doses, that's something we're tracking. the benefit of them receiving their first dose is that based

off of them scheduling and scheduling for appointments, we now have a contact that we can do outreach base calls, e-mails and texts just to make sure they are capture the in the net of vaccine access and do like point of reminders, >> thank you very much. i know you're doing great work. we still would like to get even better. appreciate your work very much.

>> president bernal: commissione r guillermo? >> commissioner guillermo: i didn't have my hand up. >> president bernal: sorry, i didn't have -- i seen a hand up. i do have question or two related to data either for dr. sears or director colfax. we're looking at new cases by vaccination status. our vaccinations are so high and it's difficult to find unvaccinated people in san francisco. it will be asymptomatic cases among vaccinated people that might not be captured among case of unvaccinated are captured. are we counting that in our data? >> i appreciate how i can answer that question.

this is based on test results. some people are getting tested and asymptomatic and tend to be positive. this is not a cohort study we're doing survey on testing to determine the true prevalence of covid among unvaccinated versus vaccinated. this is reported cases. >> president bernal: thank you, director colfax. my second question, with regard to data reporting on boosters, the conversation continues to shift to waning immunity and associated issues is there a time on the horizon, will we start reporting data on booster residents

>> president bernal: any other questions for dr. colfax and dr. thank you both for very good comprehensive presentations. our next item is general public comment. >> clerk: folks on the call please raise your hand by pressing star 3 to raise your hand. i see one hand. at this time, members of the

at this time, members of the public may address the commission on items of interest to the public that are within the subject matter jurisdiction of the commission that are not on this meeting agenda. with respect to agenda items, your opportunity to address the commission will be afforded when the item is reached in the meeting. each member of the public may address the commission for up to two minutes. the brown act forbids a commission from taking action or discussing any item not appearing on the posted agenda, including those items raised at public comment. >> caller: hello, i'm here. >> clerk: please begin.

>> caller: i'm a physician at laguna honda hospital. i'm grateful for the d.p.h.'s executive leadership in managing public healthcare needs and especially population to the laguna honda. i like to draw your attention to another matter. sharing personal health and demographic information without good contacts and permission is a crime. yes, we are in the midst of a pandemic, creative strategic strategies have been share the for public safety. in may of 2021 we raised

concerns of acceptable platforms like e-mail and voice mails. there has been no public or d.p.h. announcement or acknowledgement of this data breach. we met 6/17/21. which it seem oblivious to them like social security numbers, sensitive demographic information, such as phone numbers and private addresses and we ask questions. we definitely want to be vaccinated. we want to be tested while at work. we do want to be violated. to date, there are still no responses to the many original questions. we at sfdph need to own our privacy data breach policy.

thank you very much. >> clerk: thank you very much for your comments. >> caller: hi, i'm another physician at laguna honda hospital. i wanted to add to what she said. obviously, d.p.h. has an consultantal health department for a long time to take care of important matters such as making sure that employees have tuberculosis screening done. occupational health directors were kept on paper. when the covid crises arrived and it became necessary for d.p.h. to test the employees,

there was a decision to put these records into d.p.h. colleagues raised privacy concerns. it was not clear there were protections in place so our private data will be protected. these inquiries were rebuffed by leadership. last may, the seriousness of this problem became clear for number of us working at laguna honda and elsewhere. later it became clear that our demographic information such as home addresses and full social security numbers was accessible

through our epic charts. we have raised the alarm about these problems. we've been told that we need to -- [ indiscernible ] we've been told that some privacy walls will be up. the problem persist. our request to you guys to d.p.h. is to have occupational health, therefore separated from d.p.h. completely. we don't feel that our -- >> clerk: your time is up. thank you very much for your comment. that is all the hands that i see. >> president bernal: thank you secretary morewitz. thank you to the callers for your comments. they will be taken under advisement by the commission. moving on to our next item --

>> commissioner: i think this is a -- it sounds like this is a very important problem of privacy. we get an update at a forthcoming meeting on the progress being made? i understand it's very complicated problem. at least, if we can help understand and help move the issue. it does sound not so great that the privacy is being disclosed in this fashion. i'm pretty sure there are reasons that some of this has to be done. i know we can't discuss it today. i believe it will be appropriate to have update on it through our staff in the near future. >> president bernal: thank you commissioner chow and

commissioner christian. >> commissioner christian: i like to join commissioner chow's request. i hope that before our next meeting, that our leadership get a firm grasp on what is going on and does what is necessary to gain more information and control over the incident. i'm concern that will be the approach. i wanted to note that the update -- the leadership of the commission should have an update on this before our next meeting. >> president bernal: thank you. i like to add my agreement with commissioner christian and commissioner chow. vice president green? >> vice president green: i would also join in. since epic is used universally

across the country, we have it in our office. we have it at cpmc. they probably confronted this problem somewhere. hopefully, epic will be able to produce a fix sooner rather than later. i doubt that we're the only system that's had to figure out how to isolate the immunization tab and only share that information. hopefully, there will be a solution from the company itself that will be satisfactory and speedy for this issue. >> president bernal: thank you. commissioner giraudo? >> commissioner giraudo: i would like to second and third the information that the other commissioners. i am an epic user as a

clinician. it is rather complex system. it just have few bugs in it. i would very much appreciate based on previous information that our leadership is given some information as commissioner christian said, sooner rather than later. it's been shared with all of the commissioners prior to our next meeting. >> president bernal: thank you commissioner giraudo. thank you to commissioners particular with those with clinical backgrounds to bringing your own experience to the discussion. i offer agreements with all the comments that were made. i see no other hands, we can move on to the next item. which is an action time. resolution to recommend to the board of supervisors to authorize the department of public health to accept and

expend gift of face shield in the value of $10,127 from sergey brin. we have greg wong here to present to the commission. >> clerk: mr. wong is here. i see him unmuted. not sure if there's a problem. the resolution is before you commissioners. let me grab it quickly.

sergey brin provided distribution of face shields $10,127 to d.p.h. the goal of the department are to provide care to the public during the pandemic. the gift will be accepted and expended to the city and county of san francisco. >> president bernal: thank you sector morewitz.

commissioners, do we have a motion to approve this resolution? >> commissioner: i so move that we approve this resolution to the board of supervisors. >> president bernal: do we have any public comment? >> clerk: if you like to comment on item 8, please press star 3 so we can acknowledge you. i don't see any hands. may i do a roll call vote? >> president bernal: yes. there are no questions or comments. please proceed. >> clerk: noting that commissioner guillermo has left the meeting. [roll call vote] the item passes. thank you very much.

>> president bernal: thank you secretary morewitz. next item for discussion is the office of health equity update. with dr. ayanna bennett, chief health equity officer. >> hello, everyone. thank you. thank you for having me again. i appreciate you having equity important. i'm happy to talk about it. this is my last update of the year.

that's me on the first line. you can go forward. just again, to review, this what the office of health equity seeking to do. work on our equity culture through policy, communications, training and accountability. reports, planning, tracking all of those things. today i want to talk a bit about the goals we set at the beginning of the year. we are in an annual calendar year cycle for equity planning. all of the areas set their goals at the beginning of the year and report at the end. that is to match the racial equity action plan timeline. our equity goals and that will include some both for us and for

other parts of the department. then the racial equity action plan activity. our goals for this year for the office of health equity and there were many that came out racial equity action plan. these are the ones we are continuing through from the thread of the last several years. we are trying to work on capacity but really working on specific areas to bolster our responses to health disparities. we probably met this goal. things were -- it was stretched for i.t. and other resources. i don't have a great confidence

in how many people completed it. we have established that as a requirement. health equity competencies, we have an initial set of them. we do self-assessments for areas, employee engagement survey. we did see some increases in our poll survey. we were not able if get the next survey out this calendar year. our champions program relaunched. we have about 65 at the moment. little down from the 80 we had last time. things are quite a bit more stressed than we were in 2019 when we started that program. the website is up with at least a version of our score card. i'll talk about that in a little bit and our community survey tool plan is moving forward. those are the main goals for the

office of health equity. the hr related activities that we are doing -- i forgot -- health equity fellowship relaunch, that is not the end of their fellowship. we've come to a good finishing

place on that and then the dashboard and health equity report will happen next year. recently on the fellowship, it's training for all leaders at all levels. we did have people who were frontline workers, not that many. managers, executives, we had people at all levels who have either got equity as part of their standard job or made a commitment to do equity. we started the foundation of history key principles and moved on to best practices and tools. the end point is really about going to implementation. these are people who hopefully will will be taking their home areas from a place. talking about inequities or researching them or doing the data to creating programs or changing policy or changing practices in a way that will

impact that. we had about 34 of them. they are from every part of the department. 21 hours included examples of things that we did. we did policy analysis. how to do a racial equity base policy analysis, we did quality improvement for equity. how do we use our tools in ways that acknowledge gaps in quality and how do we do gap closure between racial groups as a key. various topic like that and that group we'll see how they impact their departments. we established our cycle. every team has this formation. the smaller admin area kind of shared resources but each area as an equity lead.

many of those are full time positions. symptom of them -- some of them are part-time positions. everybody has some version of inequity council. some are several years old and some are new. that is mixed levels of staff that are going to contribute to the building of the plan and oversight. each of them have an executive sponsor. i wanted to ensure that we had influence in those equity leads. so they have a direct line to the executive level. that team is responsible for getting some benchmarks and those have been put in place to be sure that everyone is still going forward. they're all at different developmental levels. keeping that momentum up for everyone is really important. we start in january with our equity plan that are in a3

format. they are very different. some people's goals are really around training. they have not done much. they are just getting started on their equity transformation. people are assessing themselves and reusing that to say you

should be further ahead. their competencies for organizations in that assessment. the racial equity equity action plan gets reported in march to the office of racial equity and board of supervisors. we have an annual report. we did do that this year. it came out a little later than april. we did do that this year. that includes our equity, self-assessments and what happened with the plans from last year. in the middle of the year in july, we did our first one this year. we'll continue to have mid-year reports as a live meeting. where each area presents what they have done in the last year and what they are currently working on. that wasn't a fully open meeting this year. everybody was doing it the first time.

that, i think will be a really key moment where we can show each other what we're doing. then celebrate people who are doing a good job. at the end of the year, we start the planning process. you had some areas of the racial equity action plan. only one that i'm not completed is review and revise of bylaws for inclusive language. you were talking about that today i believe and adopting a

racial equity assessment tool. i'm not giving you a resolution today. i'm not sure you need one. we have established what the tool looks like. we gotten it pretty far. i will show you where. we can talk about what format you want adopting to look like what that means for you. that health equity impact assessment. we piloted it in july with a program presentation and committee. piloted it in october with a contract. we did revisions and made some adjustments based on what we heard from people. lot of that was about how do new programs use this tool versus ongoing programs who may not have done all of the things they are asking them to do. we have online forms as prototypes. we have previewed format from you is the final step.

we will get back to you. future phase launch. we won't be launching this right away in january that has been our initial plan. there's not the staffing to do it in at way that -- in a way that's impactful for the department. we have training staff in place again.

you have a plan for mitigation.

that plan should include things like we are going to change the location or change the access to it in order to be sure that we're addressing the group that needs the service the most. then accountability and communication. there should be reporting back to the community. you ask them what they want and you should be reporting back to them what you did and what are the metrics. all these things should have metrics around the gap that they've seen. do you see it disparity and where do you think the disparity will go based on your program. there's one for contact and one for programs. we have established what we want on a health disparity dashboard. that's a list of ten metrics that we worked out between

department inputs, some input from the equity lead. we are planning to do a health equity data report next year. it is similar to what we did for

the black african-american health report.

these that we chose are part of healthy people 2030, health places index and then things that had been most heavily done in our own community health needs assessment. there's chronic disease there, asthma, diabetes. there's infectious disease which the health department has to be there. there's some social determinants not the same number we had before. but the important one, general health well-being is about mortality and wellness activity and cancer mental health are

special areas. the racial equity action plan is going very well. i won't go through the specific of every area. in general, we're at about 82% done. i expect we'll hit 90% just about by the end of the year. there's some that cannot be done for various reasons. for the most part, we've been able to make good inroads particular on the things around leadership, culture that we wanted to do in retention, yours will be at 100% by the end of the year. that will move things forward. discipline and mobility and hiring. all are hampered by the need for data to move those effectively. there has not yet been the data

analyst or i.t. support for that data yet. it is happening. we are working with d.h.r. to use the new system they are using to help track those things. there are lot of dependencies there. i'm really confident that will happen next year when have those things in place. things that still could get done this year. we are looking at recruiter hiring standards, that's one that theoretically people feel like they done. we can establish those more firmly. giving more people the chance to be acting in interim positions because those are ways in which people with advance. that policy is waiting to be finalized but it does exist.

inclusive speakers and tonics. we have not had a chance to do that kind of assessment about how we're bringing in outside people and we have diversity there. the last of the two elements that you are that are part of the racial equity action plan. the training all going to be about lot of that online, performance evaluation, needs a tracking system. many things are going to be able to be finished in the next year. all of those things will get addressed probably in 2022 but

within this racial equity action plan successful. that was a lot. you'll be getting the health equity impact assessment. i'll give you the forms. i think i'm going to hold them until -- i'll give them to you as part of the -- [ indiscernible ] we can talk about what format your adoption of them will look like. >> president bernal: thank you dr. bennett for sharing. we're looking forward to get 100% before end of year. we have a few comments and questions from commissioners before we do that. secretary morewitz, do we have any public comment? >> clerk: folks on the line, if you like to make comment on item 9, please press star 3 to raise your hand. no hands. >> president bernal: thank you.

commissioner giraudo? >> commissioner giraudo: thank you very much, dr. bennett for your excellent presentation. i also want to thank you for answering any question previously, showing again where can the health assessment, going through the process that you presented to our committee a number of months ago. thank you for that. i have one question. do you have an idea of the additional staff times that the implementation of the health assessment is adding for both program and contracts? >> it was a significant amount. they definitely spent at least

four or five hours on it. that taught us that we need to be a bit more clear about what we're looking for. that wasn't necessary. i think part of the problem is we're very high achievers and people like to do what you told them to. realistically, if there was no community process done, at the beginning of a contract that's now five years old, i'm not expecting people to go back and trito re-- reconstruct whatever they did do.

when you do it, it's basically trying to teach and instill a process where you had people look at your data and see if there's a disparity. should have a sense of why it's there. you should be talking to community to figure out that thing. you should have a plan for how what you're doing is going to help that. we don't always do that. we have done it quite a lot. i think we've done very good job in many ways of taking tobacco sensation and saying, let's look at that through an equity lens. it hasn't been organized. we haven't documented that already well. i don't think it's a huge change for every part of the department. i think people actually can comfortably do this. there's a little bit of nervous

and apprehension that's causing people to do too much. >> commissioner guillermo: any kind of information update on your next update on that, that would be appreciated. >> i'll add an estimate how much time you spent on it to the form. >> commissioner guillermo: i appreciate it. thank you so much. >> president bernal: thank you. commissioner chow? >> commissioner chow: thank you dr. bennett. very impressive review as to where we are. it is very impressive in the face of all the department is facing with covid to have people still involved. i had looked at the health disparity, priorities. i'm pleased with the fact that you chose very important topics. we have many very important

topics. these are items that you can identify with. i had one or two comments on adults obesity. i am hoping that your group would look faithfully at what how about the definition within the asian population. as we are looking at how to diagnose diabetes, we know that there is a difference. it was reflected in the numbers. we've had the same problem with looking at diabetes and obesity. government has a much higher b.m.i. number for example -- it

would appear from the work being done by the asian researchers. specific islanders have the opposite that the definition of obesity might be overused in that population. it's just a matter of being aware of that as we're looking at disaggregating data. i thought that might be helpful. lastly on number 8, you have picked up kindergarteners with untreated carries. that hits home very much. this is one of the health measures that the chinatown population faces. surprisingly -- [ indiscernible ] i really hope that you will be

able to help continue to work on that. i was wondering if we were going to be able to work on it with all the priorities within the department. i'm glad to see it here as part of the health disparity. thank you very much. >> i want to answer one thing. one of the things i wanted to have the fellship -- fellowship for is what you explained about obesity. some of those actual skills and knowledge, there are things you need to know if you are going to be doing this work. i don't think that knowledge is widely distributed. it's in both directions. we've taken some myths and prejudices about race and instilled them in our system and lots of other ways. we've pretenanted that -- pretended race doesn't exist when in times it does matter.

to have a body of knowledge is the point ever training and we're trying to get to that point of having much more concrete and specialized training. working on environmental justice now. what do people need to know. i really appreciate that you brought forward that there really are things that are people need to be aware of. >> commissioner chow: thank you for your work. looking forward to your progress. >> president bernal: we're impressed by using the applause symbol instead of the raised hand. any other comments? >> commissioner chow: that's the only set of symbols i get.

the check or applause or sadness. [ laughter ] >> president bernal: thank you, commissioner chow. i do not see any other comments or questions from commissioners. dr. bennett, thank you so much for your excellent presentation. it's our pleasure to have you here at the commission. we look forward to your next presentation and holding us accountable for completing our tasks. >> i will. i'll send mark the links. which is posted there's a video. if you have some curiosity with more details, feel free to go looking. we're trying to be transparent as possible.

>> president bernal: thank you. we can move on to our next item, which is for discussion and be possible action. the proposed revisions to the health commission rules and regulations. which is one of two remaining tasks in our equity assessment for the department. we have secretary morewitz to present. >> this was brought to you on december 7th. the basis of bringing it to you originally was to honor the racial equity action plan 7.111. i added in the land acknowledgement in that draft document. based on commissioner green's

request to add information about the meeting, we asked the city tyrannous office to assist. the added language is from him. that includes both the land acknowledgement as well as the remote meeting language. it's before you for your consideration today. >> president bernal: thank you. commissioners, you have before you the proposed revisions to the health commission rules and regulations which you had an opportunity to review. do commissioners have an amendment or is there a motion to approve? >> commissioner: i move that we approve the rules and

regulations for the health commission. >> president bernal: we have a second from commissioner chow. secretary morewitz, do we have any public comments on this item? >> clerk: no one on the line. there's no public comment. >> president bernal: thank you. see nothing other comments or question, thank you secretary morewitz for developing these changes. let go to a roll call vote. [roll call vote] thank you. the item passes. >> president bernal: thanks all. our next item is update on the finance and planning committee update. i believe commissioner chow will be stepping in for commissioner

chung in providing this update along with the following item. >> commissioner chow: thank you. i appreciate the opportunity to have served in place of commissioner chung. the contract report, which is the first item that we take up is with only a single contractor. two contracts. one contract is a contract for an annual amount without contingency about $4.9 million. this is an amendment. it increased from the current amount by about 761,000-dollar. more work has to be done. it would be moving from a one-year to two-year contract with la luna health.

it allows contact tracing and outbreak management group. their own administrative cost is 12.8% which is about $557,000 over the '21 '22 year. this contract was recommended by the committee for your consideration. the second one also part of the covid program. this one does the work on epidemiology and continuing management for applied research, community health epidemiology and surveillance. the reason for larger increase

of the dollars in this renewal from 1.08 eight year to 2.0 eight-year is continuation of need for services for covid. there's $325,000 increase in the second year. that staff has indicated is for seven lab technicians which are needed in order to do thee studies at the public health lab. which is covid related. of those two, are recommended to you on our consent calendar. there were then three new contracts all of which were very interesting to us. the first contract had to do with obtaining a contract for equipment needed for very

specialized orthopedic or neurosurgical spine services. we have been using this company at nuvasive. they will be able to access better pricing and the actual amount of the contract is about $5.5 million and there's contingency of about $669,000, which is our usual 12%. this contract will be for 60 months. these are specialized equipment being used by our specialists. we recommend that approval. the next contract is one with a

bl contract. it's only $267,000 a year. it does lot more in the sense for all of us in the department. this is relaid to bring i.t. up into the next level for the pier review process. this is a new module that also allows data to be connected with epic.

it will capture incidents and near misses and unsafe conditions. it will do even a better root cause analysis than now. because of the data that will be possible that the modules will allow. as i said, the modules will connect to epic. so it makes it much easier. rake now lot of the data is being done manually or with excel spreadsheets. this will actually make it much more valuable and useful. it was really a very exciting

next progress that everybody is looking at. they actually are used by many places i think this is clinically and for us risk management very important contract that will move the agenda for these topics. it will befor laguna honda and

primary care clinics. i think that is -- that includes also the behavioral health. that is one of those contracts. it can make their big impact on quality assurance. the last contract is with ucsf. in order to do program evaluation and technical assistance to ensure timely responses to the covid-19 pandemic. with a focus on the needs in our most vulnerable community.

another important contract for all of us. that one is a contract that includes a c.d.c. grant and then we actually will be proposing the contract $1.6 million. it's almost two years, from jul. these are the three contracts that we are recommending also to be approved along with our contract report. i will be very happy to take any questions. >> president bernal: thank you commissioner chow. we have nobody on the public comment line, we can move directly into item 12, which is the consent calendar that you described to us. if we do not have any questions

or comments from other commissioners, do we have a motion to approve the consent calendar? >> so moved. >> commissioner: second. >> president bernal: all right. secretary morewitz. roll call vote. >> clerk: [roll call vote]. it's pass. thank you very much. >> president bernal: we'll go to other business. do we have any other business? commissioner giraudo? >> commissioner giraudo: thank you. my other business, i am the commission representative to the san francisco general hospital foundation. they are looking forward in recruiting new members to the

foundation board. as all know, the foundation board, their job is and their focus is to raise money to support the programs of san francisco general hospital. if any of my fellow commissioners have any people they would like to be considered for the board, i think the easiest will be to forward the information me. i will send it on to the foundation. thank you. >> president bernal: thank you commissioner, giraudo. thank you for your service on the foundation board as well. seeing no other business, we can move to our next item. we go back to commissioner chow for the joint conference committee report from

october 26th meeting -- >> commissioner chow: we did review draft documents at the health commission annual meeting on november 16th. that includes environmental of care annual report. the annual report from the hospital itself, the provision of care policy and the performance improvement inpatient safety program policy. all in which would be very good to review ahead of time. it's a very comprehensive review of the work of the hospital which you will appreciate the report that they would gives at our meeting. the committee did its regular reporting on the regulatory report for which we're still doing quite well. almost in survey are highly

commended. with some minor needs to have corrective actions or programs. those we do review each month. we received the c.e.o. report and the hiring and vacancy report. we were pleased to hear that we are making headway on the nursing vacancies and quicker hiring process which allowed through the emergency declaration, to bring some nurses now on board that we are sadly missing. as an aside, some of our diversion on the emergency services is related actually not because we didn't have the space to take them. because don't have the nurses to really staff the services.

this can be a great help in reducing our diversion. we also then approved the sexual assault forensic service standard procedure of family community medicine privilege list. the provisions in the general privileged list. within our closed session, we reviewed and approved the credentials report and the minutes. that ends my report. i will be happy to answer any questions. >> president bernal: thank you commissioner chow. commissioners any questions on the sfgjcc report? seeing none, we'll move on to our next item. which is a closed session. secretary mother wit, --

morewitz do we have public comments to the closed session. we have no public attendees. >> clerk: correct. >> president bernal: we will accept the motion to go into closed session. >> commissioner: so moved. >> president bernal: is there a second? >> commissioner: second. ber >> clerk: [roll call vote] >> president bernal: for member of the public and staff on the next item after the closed session is adjournment. if we do not see you afterward, we hope you have a good night. remember it is cold and flu season. please do get rest, be healthy and take care of yourselves.

>> clerk: folks still here, i will move you up a session. thank you very much for attending. you can stay and wait until the closed session is over if you like. that will include the sfgov

>> by the time the last show came, i was like whoa, whoa, whoa. i came in kicking and screaming and left out dancing. [♪♪♪]

>> hello, friends. i'm the deputy superintendent of instruction at san francisco unified school district, but you can call me miss vickie. what you see over the next hour has been created and planned by our san francisco teachers for our students. >> our premise came about for san francisco families that didn't have access to technology, and that's primarily children preschool to second grade. >> when we started doing this distance learning, everything was geared for third grade and up, and we work with the little once, and it's like how were

they still processing the information? how were they supposed to keep learning? >> i thought about reaching the student who didn't have internet, who didn't have computers, and i wanted them to be able to see me on the t.v. and at least get some connection with my kids that way. >> thank you, friends. see you next time. >> hi, friend. >> today's tuesday, april 28, 2020. it's me, teacher sharon, and i'm back again. >> i got an e-mail saying that i had an opportunity to be on a show. i'm, like, what? >> i actually got an e-mail from the early education department, saying they were saying of doing a t.v. show, and i was selected to be one of the people on it, if i was

interested. i was scared, nervous. i don't like public speaking and all the above. but it worked out. >> talk into a camera, waiting for a response, pretending that oh, yeah, i hear you, it's so very weird. i'm used to having a classroom with 17 students sitting in front of me, where they're all moving around and having to have them, like, oh, sit down, oh, can you hear them? let's listen. >> hi guys. >> i kind of have stage flight when i'm on t.v. because i'm normally quiet? >> she's never quiet. >> no, i'm not quiet.

>> my sister was, like, i saw you on t.v. my teacher was, i saw you on youtube. it was exciting, how the community started watching. >> it was a lot of fun. it also pushed me outside of my comfort zone, having to make my own visuals and lesson plans so quickly that ended up being a lot of fun. >> i want to end today with a thank you. thank you for spending time with us. it was a great pleasure, and see you all in the fall. >> i'm so happy to see you today. today is the last day of the school year, yea! >> it really helped me in my teaching. i'm excited to go back teaching my kids, yeah. >> we received a lot of amazing feedback from kiddos, who have

seen their own personal teacher on television. >> when we would watch as a family, my younger son, kai, especially during the filipino episodes, like, wow, like, i'm proud to be a filipino. >> being able to connect with someone they know on television has been really, really powerful for them. and as a mom, i can tell you that's so important. the social confidence development of our early learners. [♪♪♪]