conclude in the honor of buster posey's career. he brought us three world titles, and he will be missed. >> president koppel: i agree. we are adjourned. >> 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

>> in 201,755.7 million passengers traveled through san francisco international airport. we have on average 150,000 people traveling through the airport every day. flying can be stressful so we have introduced therapy dogs to make flying more enjoyable. the wag brigade is a partnership between the airport and the san francisco therapy animal assistant program to bring therapy animals into the airport, into the terminals to make passenger travel more enjoyable. i amgen fer casarian and i work here at san francisco

international airport. the idea for therapy dogs got started the day after 9/11. an employee brought his therapy dog to work after 9/11 and he was able to see how his dog was able to relieve passenger's jitter. when we first launched the program back in 2013, our main goal was to destress our passengers however what we quickly found is that our animals were helping us find a way to connect with our pang. passengers. we find there are a lot of people traveling through the airport who are missing their pets and who are on their road a lot and can't have pets and we have come in contact with a lot of people recently who have lost pet. >> i love the wag brigade. >> one of my favorite parts is

walking into the terminals and seeing everybody look up from their device, today everybody is interacting on their cell phone or laptop and we can walk into the terminal with a dog or a pig and people start to interact with each other again and it's on a different level. more of an emotional level. >> i just got off an 11.5 hour flight and nice to have this distraction in the middle of it. >> we look for wag brigade handlers who are comfortable in stressful situations. >> i like coming to airport it's a lot of fun and the people you talk to are generally people who are missing their dogs. >> they are required to compete a certification process. and they are also required to

complete a k9 good citizen test and we look for animals who have experienced working with other organizations such as hospitals and pediatric units and we want to be sure that the animals we are bringing into the airport are good with children and also good with some of our senior travelers. i think toby really likes meeting kids. that is his favorite thing. he likes to have them pet him and come up to him and he really loves the kids. >> our wag brigade animals can be spotted wearing custom vets and they have custom patches. >> there is never a day that repeats itself and there is never and encounter that repeats itself. we get to do maximum good in a

small stretch of time and i have met amazing people who have been thrilled to have the interaction. >> the dogs are here seven days a week, we have 20 dogs and they each come for a two hour shift. >> there is a lot of stress when people have traveling so to from these animals around to ease the stress and help people relax a little bit. i think it's great. >> one of our dogs has special need and that is tristine. he wears a wheel around. >> he has special shoes and a harness and we get it together in the parking lot and then we get on the air train. he loves it. little kids love him because he is a little lower to the ground so easy to reach and he has this

big furry head they get to pet and he loves that. >> he doesn't seem to mind at all. probably one of the happiest dogs in the world. >> many people are nervous when they travel but seeing the dogs is just a wonderful relief. >> what i absolutely love most about it is the look on people's faces, so whenever they are stressed and flying is stressful these days you get these wonderful smile. >> i am the mom of lilo the pig and she is san francisco's first therapy pig. >> lilo joined the wag brigade as our first pig. >> wag brigade invited us to

join the program here and we have done it about a year-and-a-half ago. our visits last 1.5 to 2 hours and it does take a little bit longer to get out of the terminal because we still get a lot of attention and a lot of people that want to interact with lilo. >> i feel honored to be part of the wag brigade. it's very special to meet so many people and make so many feel happy and people that work here. it's been a great experience for me and a great experience for to toby. >> it's been an extremely successful program, so the next time you are here, stop by and say hi.

>> good morning welcome to the november 4, 2021 committee. i am extending our thanks from sfgovtv for staffing this meeting. mr. clerk, do we have announcements? >> yes, the minutes will reflect committee minutes are participating through video conference. the board recognizes public

access is essential. invites public input. one moment. i have an echo. public comment is available on each item channel 26 or 99 and sfgovtv p.we will stream the call-in number on the screen. each speaker is allowed two minutes to speak. comments have available by dialing 415-655-0001. meeting id today 24922118986. following that you should dial pound twice to be connected to the meeting. when you are connected you will

hear discussions. your line will be muted. dial star followed by 3 to be added to the speaker list. call from quiet location. speak clearly and slowly and turn down your television or your streaming device. alternatively submit in writing. e-mailing them to me audit clerk. john.carroll at sfgovtv or sent through the post to our office in city hall. clerk's office room 244 at city

hall. i will add the comments to the file. finally, we are expecting to appear on november 16, 2021. >> thank you, please call item 1. resolution receiving and approving the annual report for the tourism improvement district and moscone expansion district for fiscal year 2019-2020 submitted as required by the property and business improvement district law. call 415-655-0001. after you enter the id dial pound twice.

press star followed by 3 to comment on this item. >> thank you, mr. clerk. i want to welcome chris from economic and work force development to present on this item along with paul, executive vice president for tourism improvement district and moscone expansion district. please go ahead. we will set the clock at 10 minutes for your presentation. >> thank you, supervisors. program director with the office of economic and work force development. today we are here to here from the tourism and moscone expansion. the fiscal year 2019-2020. there is a clerical error on page 4 from the memo it says 75%.

it should be 0.75%. i will send an amended memo to clerk carroll after this. i would like to thank supervisor chan's office for calling that to my attention. community benefits district are governed by the 1994 act found in streets and highways code in the 36600 section and article 15 of business and tax regulations. this covers the annual reports for 19-20 for the tid andmed. it ensures it covers the plan. we provide a summary memo. the san francisco tourism improvement district and moscone expansion district is two zones. with unis downtown and two is the outer neighborhoods of the

city. these are both business assessment districts differing from property assessments. they are based off percentage of room rate revenue. tid formed in 2009 to expire on december 31, 2023 t.moscone will expire in june 2045. for the tid andmed we reviewed two benchmarks. one is the variance between management plan budget and fiscal year. two. budget amount and actual expenses within the fiscal year. three. whether the tid andmed indicate the fund goes to be carried to the next fiscal year and projects to future fiscal years. the executive vice president is

paul. promotion and service and improvements to the convention center and add enough cost. formed expansion of convention center financing. moscone convention center incentive fund. sales and marketing. future capital improvements and add ministration and reserves. benchmark one comparing the management versus annual budget in the tid financial documents. they have met this benchmark. for benchmark two. med. annual budget included in the financial documents and annual reports. med met this benchmark as well. for the tid budget versus actual. this information was in the financial documents as well as annual reports. tid did meet this benchmark.

formed budget. this was in their annual report and financial documents and they did meet this. for the tid carry forward they did indicate in the annual report and did meet the benchmark. for the med they met in the annual report as well as if they removed funds from report. the findings. the tid andmed were severely impacted by covid-19 19. the assessment formula is based on revenue generated from hotel room purchases in san francisco. this reduction in assessment revenue forced to stabilization fund designed to be drawn upon in any year with lower than expectedmed collections which caused the contributions towards

debt service less than cash flow projections. pandemic caused this to exist. the tid assessments were lower due to pandemic. variance was covered by tid reserve fund. med took out $5 million line of credit comes in 20-21. they mustid ways of payment due to the covid-19 on the revenue. tid expires at the end of 2023. they took early renewal working on the process and receive technical support. in conclusion the tid met the benchmarks and themed melt. prior to the pandemic both districts were successful in meeting the primary purpose of attracting tourism and convention to san francisco and over seaing the debt service on

moscone center. the outlooks depend on the re-opening and will be greatly aided by return of conventions and hotel rooms in san francisco by tourists. i will turn this over to paul to talk about fiscal year 19-20 for both districts. >> thank you, chris and thank you everyone for the opportunity to be here today. the first section i will review the tourism improvement district. related to convention sales generated 355 meetings with $275 million in direct spending. i did want to make a note as i present these numbers the change from the previous year's

reports. this is down 83% from the previous fiscal year due to covid. also, related to sales bookings we had over 485,000 room nights booked. this is down 73% in bookings also due to covid. we also attended 20 virtual meetings. typically we would attend 200 live meetings during the year. this is down significantly as well. marketing and promotion. leisure visitors comprised 11% -- 91% of all visitors. typically that would be 60% because of the decrease in amount of business travel and meetings. visitor center saw 2000 people in first two months of 2020. that is down significantly.

closer to 250,000. we continue to have staff that speaks over 12 languages. related to marketing efforts. we had recorded 11.8 million visitors. typically it is 30 million. we were able to continue to get media reporting. that did not change significantly. it definitely was a drop. we do our website we have 2.9 million unique visitors. this was a drop of about 70%. typically travelers will use our website to find out about the city, things they can do. since no one was traveling and

planning was much lighter, this decreased significantly as well. in the economic impact of these visitors with 82 million. typically it is closer to 250 million. we did grow the media followings with the instagram, twitter and facebook. moscone expansion district. the end of 2019 we did see the finish early 2019 the finish of the moscone expansion project. it was on time and on budget. one significant thing we did host was pcma. it is for to 20 attracted 4800 meeting planners and attendees. this is key to promote meetings

at convention centers and hotels. we as the city only have an opportunity maybe once every 10 to 15 years to host this event. this was just before the pandemic. it was in january. it was a really successful event. this slide the moscone expansion incentive fund is down to 150,000. i think what is significant to note is that the previous period this was at 2.5 million. this is our incentive fund we use to help attract business. due to the lack of funding andmed due to low occupancy it was severely impacted. this fund is used to attract new clients and retain clients during any type of events going

on in the city. >> to interrupt you that was your 10 minutes. >> that is the end of my slides. >> perfect timing. thank you very much for your presentation. as we have said to others who have been presenting reports on their district. we recognize what a very challenging period this has been and just want to thank you for your work and leadership during what has been in many ways an impossible time especially for folks depending on the tourism industry, which is showing some signs of life but we have a long way to come back. i see supervisor chan on the

roster. >> thank you, chair preston. i, too, concur with chair preston has said. it is a challenging time for a lot of really industries and definitely tourism. i am curious given the challenges you face and unpredictability in terms of tourism. i think that. [indiscernable] by comparison to other major cities in terms of tourism recovery. what are the strategies? we look to you for tourism expertise and just seeing how you are over $2 million to $150,000 that is alarming.

the numbers point to a dire picture. trying to understand now what you have it is coming to terms. we have to make payments. what are your strategies? i know it is a big question. >> sure. i understand the question. i am happy to answer. the key strategies. look at the typical market mix of visitors that come to the city. typically leisure visitors make up 30% of the visitors coming in. with the november 8th change for international visitation opening up from europe that will help impact us.

also, if office workers start coming back we do hope in january that will see a pickup in business travel. it makes up about 22 to 25% of travel into the city. it has been virtually nonexistent. those are two key factors. meetings at moscone and in general that are held at hotels, we have a lot of demand. the sales team is quite busy answering a lot of calls related to future meetings at moscone center. we are starting to see some pick up in terms of bookings for late 22 and 23 that are more corporate groups that tend to book short term. your associations book five to six years out, same with medical conventions. we are starting to see pickup with those. we feel based on our forecast

that probably by mid-22, maybe earlier, maybe may, around there things will pick back up. it will take a couple years from our projections before we get back to 2019 level. we are still concerned. i think the mandates related to masks and things going on with covid are impacting the ability to host meetings. until those things change we will be challenged. >> i think it is a more specific question. knowing it the true we have international travel specifically from european countries. we know that asia is not open. asia and international travel. meanwhile that is more for tourism improvement district and

where my function is your strategy could change and depend on the events that we don't see asian travel opening up any time soon. it will be a different strategy for the tourism industry. my assumption for your moscone expansion district is more domestic travel. that is assumption. could you validate that? is moscone for conventions more domestic flights and corporations for the booking? >> moscone typically comprises 90% domestic attendance. probably 10% international. it depends on the event. medical events tend to see more

international travel. asia is a big part of it. for us when we -- if you were to break down travel between asia and the rest of the world, it is probably about 60% nonasian and 40% asian travel. you are correct that there would be less travel even though europe is opening back up for travel. that impacts the meeting business as well. 90% domestic. we do see that the numbers that are projected are still far below 2019, but they are starting to grow as things change with covid. >> thank you so much for all of your answers. thank you, chair preston. >> thank you, supervisor chan.

>> this is first one in the version of the tourism im provement district we have had since i joined this committee. i am trying to wrap my brain around the differences between the community district that we see and just wondering and maybe this is more for mr. corbin. i think you talked about the side size -- size of the tourism district from. the public side a lot of folks with a lot of community ambassador services, cleaning, public safety, escorts, that kind of thing. my understanding this is a more focused on promotion of travel slightly different flavor. i am curious on those things

more traditionally that we see around cleans is that at all part of these districts or is that done in partnership with anyone in the area? if you could address that, that would be great. >> i would be happy to. chair preston and the supervisors or 11 members much the board i am happy to provide information on the community benefit and business improvement district program at your leisure. main difference between community benefit which are property based and the business-based improvement goes to assessment. i will get a little wonky. articles 13c and b of the state constitution. you have to showcase that specific benefit. in the community-based district like japan town there is a formula to disseminate the

benefit to the service. 30,000-foot level larger property, more you pay into the district. on the business based district there is no engineer. you have to articulate specific benefit to the businesses. issue of cleaning and i have been exploring in business-based district. because they are city-wide special assessments have to focus on the benefits to those specific businesses. if you provide cleaning via tid assessment dollars. special benefits go to nontourism hotels and other folks that benefit. it is going to impact the 13c and b provisions the city attorney cares about when we review these for renewal information. >> thank you for that clarification. that is helpful.

appreciate it. seeing no other questions or comments from colleagues, let's go ahead and open this item for public comment. >> thank you, mr. chair. we are working with the department of technology checking for callers in the queue to comment on this agenda item 1. for those watch on sfgovtv or he wills where. if you -- elsewhere. call in by following instructions on the your screen. dial 415-655-0001. id24922118986. pound twice and star 3 to speak. do we have callers in the queue? >> we have no callers in the queue right now. >> thank you. with no callers in the queue

public comment on this item is now closed. colleagues can we have a motion to send this item with recommendation to the full board? >> supervisor mandelman. >> on the motion offered by member mandelman this resolution be recommended to the board of supervisors. vice chair chan. >> aye. >> member mandelman. >> aye. >> chair preston. >> aye. >> mr. chair, there are three ayes. >> thank you, mr. clerk. the motion passes. thank you, director, and mr. clerk next item. >> item 2. resolution receiving and approving an annual report for the japan town community district for the fiscal year 2019-2020, as required by the property and business improverment district law of

1994 and the district's management agreement with the city. call 415-655-0001. id24922118986. after you enter the meeting id dial pound twice if you wish to comment. dial star 3 now to enter the queue to speak. mr. chair. >> thank you, mr. clerk. welcome again to mr. corbin from oewd. he will present on this item along with the executive director for the japan town community benefit district. 10 minutes.

>> if you are speaking we do not hear you. >> we are here today to hear the fiscal year 2019-20 report for japan town community benefit districts. governed by article 15 of the tax regulations and the 1994 act. covers the annual report for fiscal year 19-20. we ensure they are meeting the management plan of the annual report and we provide the board of supervisors with a summary memo. the japan town is property based. formed in 2014. expires -- there are typos here. i apologize. i will update these slides. i will send the updated slide to the clerk.

the staff of the executive director is our service areas are environmental enhancements focused on cleaning services as discuss understand the previous presentation. economic marketing and engagement and advocacy and reserve. benchmarks are 1. whether the variance between the fiscal year budget within 10% of the management plan. 2. one in 5,600ths per are from sources other than the actuals. and 4. if it is indicating the funds carried from the current fiscal year and designating progress to be spent in the upcoming fiscal year. this is the second annual report. they have benchmark one over the

past two reporting periods. two. they met non assessment revenue in 19-20, 23% of the budget from non assessment revenue. three they did not meet this benchmark. 10% variance between budget and actual. i will explain. they did meet carry forward and met benchmark here. three out of four were met. they missed the three. the variance between the budget and actual. per management agreement with the city and county of san francisco if they are missed oewd has to review to determine if there is an impact for the special first general benefit. oewd reviewed the engineer report section e describing the special and general benefit.

environmental -- environmental. any general public benefit is incidental to providing the special benefits to the assessed parcels. due to that and the addition was on the administration side it is was in compliance with services related to the special benefits. upon fury view it was -- upon further review. the biggest how staff time was used. it should be separated by work performed by service not all administration. essentially, any work they did on economicken man'sments they -- enhancements was labeled as staff and add enough time and focused on administrative duties of the organization. when staff during that oewd did

not special benefits due to the combination of both factors. due to the pandemic they did respond well. they worked with the covid command center with information to the community. they began the heart of japan town fund to help small businesses. provided covid-19 safety kits and organized covid-19 testing in the community. recommendation for the japan town are to utilize time keeping software to keep track how staff spends work town to breakdown the work. incorporate these findings how they report on fiscal year actuals to ewd. they performed well. integrating to the broader community and forged critical partnerships. it is a well-run organization

and well positioned to successfully carryout the mission. i will turn this over. >> good morning, supervisors preston, chanand mandelman. i am executive director of the japan town community benefited district. thank you for giving me the opportunity to give you a big picture of the work of our cbd for fiscal year 19-20. next slide please. as you may or may not know. japan town cbd covers six city blocks. we have 163 small businesses and 10 non-profits. not only designation for visitors but community with deep-rooted history. there is a cbd formation. there is always surveys

conducted. the top two areas of concern of property owners and those living and working here was cleaning and safety. japan town we have two community ambassadors that keep our area clean, provide above baseline services. it includes graffiti removal and tree weeding and painting city properties. we receive a grant for four big placed in the district and worked with d.p.w. and the team on this. during fiscal year 19-20 we tried to organize community cleanup we were successful to do one. the pandemic hit and we had to stop that one for that fiscal

year. here are cleaning staffs. if you look the district is smaller compared to other benefit districts and improvement districts. we still have the same amount of trash that everyone else has seen. of course, during 1920, the biohazard human waste has increased. one of the things again that was a top priority for our stakeholders and property owners was keeping japan town safe. in 2018 we received a generous donation from chris larson to implement the safe camera program. at the end of 19-20 we have approximately 119 cameras throughout the japan town. we work closely with sfpd on this as well as the da's office.

so far it has provided valuable data to sfpd. we actually had public defender's office. we also receive 14 requests from the public. these cameras not only provide visuals at the time it happens but pieces together the crime where the perpetrator entered japantown and departed from japantown. it is really important tool that many other communities in our surrounding areas have been coming to the cbd to learn about it some more. part of keeping japan town safe is making sure we have good communication with northern district of sfpd. we had town hall meetings with

them and we participated in small business advisory forum. one of the things we are very proud of is the call for assistance which we started in japan town in japanese, english anchor rian. it was something that sfpd said we will implement to all merchant corridors. they improved on it. it is shared city-wide. we also keep small businesses alert on safety issues by sending out a safety alert. this goes toward our small businesses and nonprofits. keeping japan town informed with town halls and meetings with d.p.w. for small businesses and staying in touch with the various organizations that may being up japan town is really

important. people have come to depend on our newsletters that come out if not weekly, you know, at least monthly. next slide, please. helping to promote japan town. of course, before the pandemic hit we were fort natural to complete the sf japan town website which attracts many visitors so they can learn about types of businesses in japan town. we redid the streetlamp banners which we invited four community artists to participate. it became a street gallery of their work. we are proud of that. we are continuing to do holiday lighting in various holiday promotions. >> sorry to interrupt. to the chair to direct that was

the 10 minutes. >> okay. >> if you need a minute or two to wrap up, go ahead. >> of course, pandemic we were the boots on the ground to help small businesses. i have to thank my staff for all of their hard work. we launched a resiliency fund that raised close to half a million dollars and provided 5,000 grants to 80 businesses. that is it. thank you everyone. huge thanks to chris for always guiding us and to our district supervisor dean preston for his support in everything that we do, too. >> thank you. i just do want to thank you and really recognize all of the outreach work and support that

the districts have provided to japan town, particularly to small businesses during the pandemic. i got to say that as our office engaged with communities around the district in going out and walking neighborhood commercial districts and talking to businesses in many parts of the district, we were the only folks providing information to business owners. that was not the case in japan town. we would go talk with businesses, they all were receiving your newsletter, had the information about grant information, the latest on eviction protection for small businesses, knew about the resilient see fund. really i want to recognize the

director and your team and board members for just we all had to pivot during the pandemic. i think the cbd really rose to the occasion in providing critical services at a time when the survival of japan town has been and continues to be at stake. i think your support of small businesses in particular was really invaluable during this time. thank you. colleagues, any comments or questions? supervisor chan. >> thank you, chair preston. this is probably more of a question for mr. corbin. i am trying to confirm with the district map that it does include both the peace plaza and the garage, is that correct?

help me understand how has it been in coordination with rec and park in terms of partnership maintaining the space? what kind of support can we provide? trying to understand that. over time for the community that space while it is very valuable for the community to bather and do great things including the garage. there were challenges that required investment and repairs for the garage and for the peace plaza. how has it been with that partnership with the pd? >> i will speak for our relationship with rec and park it is very good. we had various events in japan town. we are always in communication with them, even cleaning and maintaining of the plaza area.

they are on speed call whenever i get a message from our community. the relationship there is very good with s.f.m.t.a., again, we have a good relationship with them. we are part of the small business working group. anything that comes to us we relay back to them at that time. >> years ago, a long time ago, it was identified there was a leak into the garage from peace plaza. has that been fixed? >> not yet. this past week they started to do some construction down in the garage. it is ongoing. >> do we know when that is going to finish? >> my assumption that repair is the responsibility of the city. >> correct. i don't know the end date of th

repair either. i think it is i have to check with the japan garage corporation. >> i would say and i am not trying to put words in your mouth. chair preston and i will be your advocates should you need support to henry move the repair of the leak forward to make sure it is completed. >> thank you. >> thank you, supervisor chan. seeing no other comments or questions, let's open up for public comment. >> thank you, mr. chair. we continue to work with the department of technology for public comment on item 2. if you are watching on channel 26 or through sfgovtv or he wills where, if you wish to speak on this item call in now. you will dial 415-655-0001.

enter id24922118986. press pound twice to be connected to the meeting. following that dial star followed by 3 if you wish to inbeter the queue -- enter the queue to speak. we are checking for callers. >> we have no callers in the queue. >> thank you. with no callers. public comment on this item is closed. unless there are questions, colleagues, not seeing anything. can we have a motion to send this item with positive recommendation to the full board? >> made by supervisor chan. mr. clerk. on the motion offered by vice

chair chan this be recommended to the board of supervisors. vice chair chan. >> aye. >> member mandelman. >> aye. >> chair preston. >> aye. >> mr. chair, they ayes. >> thank you that motion passes. thank you director. mr. clerk next item. >> 3. hearing on the de factor route abandonment and service restoration for muni buses, trains, and cable cars. if you wish to call, call in 415-655-0001. today's id24922118986. after you enter the id dial pound twice and press star followed by 3 if you wish to enter the queue to speak.

the prompt will indicate you have raised your hands. wait until you are unmuted. you may then begin to comment. mr. chair. >> thank you, mr. clerk. i want to make a comment before we get started. welcome back to m.t.a. leaders who are here with us. i appreciate your coming back to committee. item before us is the hearing on the de factor route abandonment of service restoration for muni buses, trains and cable cars. i want to thank vice chair chan for her cosponsorship and director mandelman for all of his work on crucial transit issues in particular as chair of transportation authority. as i said before, this is a

crucial issue of city policy and also personal for me as an every day muni rider for 28 years and public transit rider my life. i think when i hate it i love transportation. public transit is the lifeblood of our city. there is no recovery without robust public transit. i have been publicly critical of what i have viewed as an approach that has characterized s.f.m.t.a. service restoration to date as we lagged behind other cities restoring service despite federal investment in recovery. this hearing today is is

continuation of an extensive hearing in july. during that first hearing, i think there was some frustration on my part and from the advocates that m.t.a. had not at that time committed to releasing a plan to return 100% prepandemic service hours for all suspended muni lines. district 5 is the heart of this controversy with all lines targeted for possible elimination or at least lack of return commitment. all of the lines serving western edition and japan town and other neighborhoods. our office rejected this approach. worked tirelessly to advocate for service restoration and return of lines. there is a lot of updates here. i won't go through all of them. m.t.a. representatives will talk more about this. since our last hearing there

have been a lot of updates related to service restoration, including m.t.a. detailed response to the resolution that the board of supervisors passed requiring m.t.a. to present a plan to the board outlining plans for full muni service restoration and return of lines and hours. there has been a very positive development of the additional $29 million through the m.t.c. that was anticipated which should help in restoration. perhaps most significantly, equally significant m.t.a. release of draft proposed winter 2022 service restoration plan.

that plan outlines the proposal to restore many of the lines that advocate and my office and supervisor chan have been demanding over the last year. it is a major restoration that comes to fruition for japan town western edition and other parts of the city. i want to note some of the positive changes for district 5 included the brinking the two back as partial root to the presidio. that line was suspended for over a year and a half. the entire line of the parnassis along 21a of the partial route up to the civic center. also, expanding capacity on the

5 fulton, 5r and restoration of the full route. these have not been approved. these are proposed recommended changes from the m.t.a. i am sure m.t.a. will elaborate on the restoration plans impacting these lines and other districts throughout the city and let the public know how folks can see the details of this proposed restoration plan which we will not cover all details in today's hearing. hopefully they can inform the public where this information lives. i want to say as i have said publicly previously. the suspension of lines without commitment created what i would characterize as major rift

between transit riders and m.t.a. i believe the latest proposal offers hope to unify elected officials, operators and riders to restore and expand public transportation for the future. we have work to do. i want to be clear and you will hear more details from a 100% restoration. that is why we called the hearing to provide charity what is proposed now and what is process will be for the getting to 100%. there are when i say not 100%. latest proposal restores some lines. some lines are not returned, some lines shortened, some lines have lower frequency and also

return of cable cars not fully restored. i have communicated with fta. online the routes will be restored if not by february but in the next round of expansion. all of that said i want to reiterate the proposed february 2022 plan is a major step in the right direction bringing back declines and expanding others. i hope to accomplish three things in this follow up hearing. first, make sure we are all clear on what m.t.a. is proposing for service restoration recommendations that have come about since the last hearing. the process for that to be adopted or considered by the m.t.a. board. second, get clarity on plans for

further restoration beyond the february 22 restoration. either in the form of commitments or at least understanding the process for making further decisions beyond february 2022. third updates on any barriers to restoration such as funding issues or operator availability and status update on how to overcome those barriers. before we turn it over to m.t.a. and jump into this. i want to convey my gratitude and deep respect for those of you who are advocates for return of lines and support of public transportation. the list is long. i want to thank japan town for justice and task force and filmore neighborhood collaborative. the high school on the 21 line.

transit equity sf. san francisco riders bike coalition, walk sf, senior disability action and muni riders equity and green mobility transit operators and many other advocates who spoke loudly and clearly about the need to restore services. your voices are being heard. [please stand by] ms.

>> i'm happy so thank you for this hearing. i want you to know the board is committedto expanding provisions and dialogue. this is an iterative process . in this pandemic the fact we had pre-existing funding issues, staffing issues and other challenges prior to the pandemic which have only intensified as a process of the pandemic has made it an interesting exercise constantly going throughlooking at how we restore service , serving those we need, looking at equity issues and we're committed to that . at the end of the day you are in support of the restoration of service to the extent we can staff it and make sure it's reliable and that it's good. it's really hard seeing empty buses that are restoredwhen there are other areas that we

need help . so we are trying to take up a balanced approach in figuring out how we bring back the service knowing the city has not recovered at the level other major cities around the country i want you to know we are dedicated to providing access topublic transit service. i myself and the daily writer i take the bus , yesterday i was i took the 40th14 arc of the 22 and i'm always on the bus . i've always steve and julie feedback about the frequency, crowding i see that we're really engaged so we have major skin in the game that we have to also be responsible about making sure we have the funds that we need. the staff that we need so when people find their lines restored they can get there so thank you for your support. we look forward to your support on further funding so that we can continue to move down that wayand i'm happy to answer any questions after director kirschbaum . >> thank you chair and now we will turn it over for 15

minutes to director tomlin or and/or the director, welcome. >> thank you chair and thank you for all the welding of welcoming us here today. we're eager to share our plan for service restoration early 2022 and layout key issues before us. after a short update about immediate impact towards service related situations with regard to the city vaccination mandate trends director julie kirschbaum will develop into our plan service restoration. then shall also discusswhat it takes to get us to on percent or more . including our hiring and budget situation. transit director julie kirschbaum. >> good morning. going to take amoment to share my screen . can you see myslides ? >> yes. >> thank you for welcoming us to this hearing and for

acknowledging areas where we may have difference in the past but areas where we are starting to cometogether . we are eager to share our plans service restoration for early 2022 and layout the key issues before us. service is critical to meeting our shared goals forequity, economic recovery and fighting climate crisis . none of this work would be possible without the amazing sf mta staff that support the service. i want to acknowledge at this time that very same staff that has been carrying us over the last 20+ months through this pandemic are tired. they are fatigued. we are experiencing low morale and that's very much i think due to the kind of heightened state of being in this emergency for as long as wehave been . we are grateful to the thousands of sfmta employees

who got vaccinated against covid-19 and are doing their part to protect the health and safety of san francisco residents. 95 percent of employees are fully vaccinated and many more are partiallyvaccinated or working through thereasonable accommodation process . only 90 employees did not comply with the covid-19 mandate . and we currently have approximately 110 operators who are not available for service as a result of the vaccine requirements. however i want to report the majority of those are working their way through the reasonable accommodation process and should be returning to service in some form. the next thevaccine requirements , the reason we're talking about today is because it does create some challenges and uncertainties for us especially combined with some of our existing challenges

around service delivery. in october depending on the day of the week we missed between 70and 140 ships . so even relatively small number of people who are not vaccinated contributes to that number. we have to put a number of things in place to minimize gaps and crowding for our customers. some places we are still working upthe kinks . for example the one california early morning service we are still experiencing service gaps that we will be closing in the next couple of days. but we are really appreciative in particular of our union partners that helped us to develop and provide two new incentives including a vacation buyout and a daily premium for

operators willing to help staffing gaps that are the most acute and also i'm excited we are graduating a new class of operators friday and a second class will graduatethe first week of december so we do believe we will continue to improve our service . but this does createsome short-term impacts . we also i don't think you're going to know or the next maybe 4 to 6 weeks whether what are the long-termimpacts of the vaccine requirements . if we were to for example lose allhundred 10 operators that are currently not available for service , that would take months of additional hiring. if that number is much lower andwe expect it to be much lower , we may only lose the matter of weeks so we will continue to keep the board updated. we are targeting february for our winter service that could be march for later. i am really proud of these

continued service recovery. despite very low downtown activity. there currently approximately 50 percent of pre-pandemic ridership and our weekend ridership recovery is close to 60 percent. we have a weekend lines that have over 80 percent of their free public ridership so we are excited to see san franciscans in the san francisco visitors using ourtransit system to make such key recovery . during the pandemic we initially reduced service creating a minicore service network . since then we continuously restored service that previously existed and we've also added some busy corridors and created focusing improvements on the neighborhoods identified by the many service equity strategy. the high number of residents from lower level household and

people of color you ask supervisor preston indicated there are six routes that have not yet been restored and we want to walk you through today our staff recommendations on how we further expand such resources. the service expansion to essentially is about determining how we allocate th staff that's going to be hiring . we are then prepared to continue hiringwith the goal of more service expansion this fall . in order to ensure we are able to keep the new staff we hire we address some difficult funding decisions for the sfmta. while we are incredibly grateful for the funds and the recent recognition by mtc of how dire our financial structure is, we have already spent half of the recovery funds. they cannot carry us past 20 2324 if we do not identify new funding sources . we are currently hiring at all

levels of the organization with we graduated two classes and as iindicated we have two more coming this year . we've also hired mechanics and we're about to hire our largest class of overhead line workers in afive-year period . while we still face vacancies, we are seeing we're starting to see more progress and more people come and join our famil . you're all familiar with the three service options. we shared with the public. we also reviewed in september sfmta's board in the process is through dozens of community briefings, community meetings and the survey. what we heard kind of if we were to simplify all that input is a strong interest in restoring key pre-pandemic connections.

so for example getting people up to eighth street, hilton st. mary's, restoring service in critical areas of the tenderloin or at very high for example. we did hear that those , that coverage and connections were most important for people with disabilities . so overall i think there is concern about frequency and growing crowding, many of our recommendations dude focus on firstmeeting the needs of our most vulnerable customers . the best place to get information in detail about this proposal is that sf mta.com/network 2022. i have them up on the slide. supervisor preston highlighted some of the details. we also have them in the appendix . if you have more detailed

questions during the day. but we are recommending restoring the six street parnassus although at a lower frequency. when we first share these recommendations with the mta board, policy advisory group we did not have the recommendations to fully restore the eight accent vx bayshore in part because we got feedback very late in the process but we are able to incorporate thatinput . we're also recommending restoring the 28 bar, the 23 monitoring and 43 sonic. we are also recommending to restore the two, 10, 21 and 31 although not on their full routes. we are not recommending at the time restoring the three jackson extending the 12th specific to cover all portion of that route. and we are not recommending to restore the 47 primarily because we believe that our

there are better ways to serve the 47 corridor or so for example, rather than having a 47 and 49 on vanness have a more frequent 49 which also provides frequency all the way to city college. we are also recommending the 12 pacific, the full-length. operating every 7 and a half minutes. as well as strong north-south connection on seventh and eighth streetproviding access directly to thecourtyard . the , there are two places where we are bringing options to the board rather than recommendations. one is on the 48 lines. which have a much more direct route in post covid service but

goes on a street where we're hearing complaints from neighbors and then the jade church which i'm going to cover briefly. what we had heard from writers on the church is that they value having one seat ride and don't transfer can be challenging particularly for people with

>> beyond that we are very excited about the possibility of coal service restoration and we plan to continue hiring as we workthrough these funding challenges . there are a lot of places where we would like to addservice . i do want to point out that because we have added more service in many corridors and new routes in order to completely restore pre- covid service levels we would not only need 100 percent of our service hours, we would need to fund more than that to continue to meet all the evolving needs of san francisco. >> thisis my last slide . >> okay, good. >> to find stable long-term funding and continuing hiring are critical building blocks for any service restoration . if we continue at our current rate of hiring we could have

enough transit staff to provide free pandemic service levels in the fall of 2022 however without additional funding it could be difficult to continue to hire at that rate because we don't want to be in a situation where newly hiredstaff would have to be terminated because of a funding shortfall .we are currently working with the office to determine the timing duration and depth of our budget gap that we will face once we exhaust the federal funds aswell as our agencies reserves .we're developing several options for increasing the budget gap . but to be successful in closing the gap to continue to hire we will need the full support of the board of supervisors as well as ourother partners. thank you so much for your time . sorry to go a little bit long andwe appreciate the extra time to cover this topic . >> thank you director kirschbaum. and director tomlin as well for the intro.

i'm hoping to do all our presentations first and i'm very glad that our operators of the evening, i was glad to be here and my understanding is roger marenco , union president would like to give some brief remarks. we're also available to commission members for questions . welcome mister marenco. the board is yours and we do request up to five minutes. if you see fit to give us any updates and help us more fully understand the situation. thank you for making the time to be here.

>> thank you supervisor preston.i have to split up my time between our executive vice president peter wilson who is on call so thank you director kirschbaum for that presentation. we see things from a different perspective. wesee it from a transit operators perspective and we see it from a workforce perspective . the way we see things on the ground level is that we feel that the agency is playing squid games with the city and county of san francisco public transportation system . we are not in support of this service restoration in this manner because we cannot support not bringing back certain lines like the lines that you stated and or bringing back lines that are only coming back halfway. we are not in favor of that because we essentially like i stated we feel that the agencies playing squid games in

terms of putting neighborhoods into neighborhoods, fighting for whichlines should survive. we are not in support of that . we honestly believe we have enough transit operators to fill all of the runs in some way shape or form to a very goodlevel of pre-pandemic service . the way the agency has been tweaking the transit operators has been on par with using the word disrespect in terms of not meeting the very professionals, the experts that no the lines, the routes. and the agency or for public knowledge here as told us they do not need to meet and confer with them in terms of many of these issues relating to operator morale, service

implementing new roles, changes etc. because of that the city and county of san francisco is suffering delays, their suffering dirty buses. their suffering from canceled lines. reduction in service. even though we had a most significantfederal assistance . we believe that this is an austerity approach in termsof de facto route abandonment , it is putting forth. we have enough men and women ready willing and able to work. bring back the line of full-service restoration and we just feel that the agency is disrespecting its workforce. by being back in terms of telling us they do not need to have to confer with us in terms of service changes, adjustments, route cuts. sign ups, etc. if we are able to be at that table in terms of meeting and conferring we would be able to see how and why

these types of professionals men and women who know these past requests first and last. why we are not willing to put neighborhoods or communities against each other in terms of saying which lines should survive and which lines we should kill. i know that my time is short here but i do want everybody to know that we do have the ability and are ready willing andable to bring that full-service restoration . we support the resolution was implemented a couple months ago in terms of restoring everything but this year. i know my time is short and that the wilson had some comments so executive vice president wilson i'm going to call .>> i'm here roger, thank you. i'm trying to be brief. thank you. >> welcome mister wilson and committee. go ahead. i didn't realize both were presenting so if you need an

additional up to five minutes go right ahead. >> thank you supervisor. i appreciate your commitment to transit. supervisor preston and i met as i was signing the 21 haze which is ourneighborhood line that i ride . thank you for doing this. i want to knowledge the sfmta has had a challenge for covid when we talk about emergency contracts about that speaks about emergencies. i think most people thought about emergencies as the next big earthquake that is scheduled for sometime soon but that covid cut us off guard. i like to thank you lee kirschbaum for thework on these incentives . i look forward to getting back

today. she and iwere going to talk about section 15.1 in our contract . and while as mostother workers in the city and countyof san francisco get time that half, they work around holidays . not even 60 , they only get eight hours of the contract actually says. and i'm very excited about the week like nextweek starting this saturday people would be encouraged to come in and work on their days off .and make time and a half based on the contract and its section 15.1 for anybody like davidout there listening wants to add data . i do want to acknowledge the that have your employees studies show that happy employees come to work more often. get sick less often. do a better job and as mister marenco acknowledged or our understanding that california

state law which shows up in the mmba which is so important for all of us seeks to meeting and conferring and i had a good conversation with our director of hr yesterday and i look forward to speaking with her again next week but the agency seems to have a totally different understanding of california state law. we asked to meet and confer. wehave a bulletin , the sfmta has a bulletin coming up about our next general sign up. this general sign up as unilateral changes in our working conditions which the sfmta does not acknowledge our right to meet and confer. what they're doing is canceling one runs for people. there are people during this

pandemic while the sf mta has had challenges people whose daycare has been canceled. schools, other issues. people spouses, loved ones losing jobs. and the reaction has been let's cancel this run. somebody joke has a specific run at a specific time because of hisother obligations .the sfmta has not confirmed about these canceled runs and they are just giving people new ships without concerns for these people's livelihoods. so they're having they changed the way people are paid. the driver shows up to one location, ends up finishing work at another location and has just unilaterally changed and said we are no longer paying theoperator to get back to where they started work . there are other things that they are changing without discussingbut i'm not going to take everybody's time on that . i would appreciate going

forward that we realize these are employees of the city and county of san francisco not just members of our union and that the city and county have obligations to make sure their members are treated fairly. and happy employees make better employees. thank you. >> thank you mister wilson. thank you both for sharing some of theviews of our operators union . obviously we all greatly appreciate you and your members and all that you done forthe city through the pandemic . >>. [please stand by]

>> i want to recognize that. i want to get clarifications around some of the things not

proposed to be fully restored. not necessarily to challenge them in terms of recommendations for restoration in march for a better understanding what we are looking at beyond march, if we know. let me start with the lines that are restored at shorter routes. i want to thank you, director, for outlining the 43 and others restored to full routes. there are the other ones you listed. 31, 21, others not yet at their full route. i wanted to ask you if you can commit even if not on the timeline that those full routes will be restored. the fact that goal is to restore those full routes as operator

availability or funding issues are resolved. >> thank you. it depends on the route. if the 31 is not going downtown, it is doing something different than it did previously. extending along fifth street to pick up senior housing on folsom then extend to caltrain. 21 is going to civic center, but not on market street. there is something we would revisit in the future. the two clement on clement street. for all of these changes we said we are not treating the recommendations we are bringing to the board