all right, good afternoon. welcome to the health commission meeting of tuesday may 3. secretary, would you please call the roll? [roll call] i have a declaration based on the may. welcome to the health committee meeting. it's held in room 400 and also online. also available via webex.

that information is available on the website. this is the number for public comment 415-655-0003. access code 2455-112-0437. that information is listed on page four of the agenda posted online. before we begin i'd like to remind everyone present that all health and safety protocols must be adhered to at all times. that means wearing a mask. failure to adhere to the rules might result in your removal from the online. we appreciate your cooperation in the interest of everyone's health and safety. the hand sanitizer stations are available at the entrance. we welcome the public's participation during the public comment period. there will before a opportunity during general

public comments. you will be able to comment during each action item. public comment will be taken in person and call in to webex. they will take public comment first from the people in the meeting and then those attending the meeting remotely. if you are attending the meeting in person you should submit a public comment card. along with federal, state, and local law this is among city employees and others and will not be tolerated. public comment is per meanted within the jurisdiction of the health commission. the next meeting is on may 17th. thank you for joining us. >> it's my privilege to read the land acknowledgements. >> the san francisco health

acknowledgements of the original inhas inhabitant. they never forgot their responsibility as caretakers of the place and people residing in their territory. as gusts we recognize we benefit from working on their traditional homeland. we wish to pay respects by acknowledging the an assess n assess ancestors of te community. as we will have a resolution recognizing asian heritage month. we call this meeting to order with congressman and former transportation secretary that passed away today. i had the privilege to work

with him for many years during my time working with the congress. he's one of the only people for whom an airport was named while he was leaving and that speaks to his leadership. i'd like to ask if any of the commissioners have anything they would like to say about mr. manetta pon his upos passing. i'd like to say a few words in honor of congressman and secretary norm. he was an elected official for the san jose and silicon valley area. certainly, his impact and presence went far beyond san jose area to touch the lives of everyone in the united states as a representative of

congress as well as commerce secretary of president clinton and bush. jermaine to our work here at the health commission many people are not aware but should know the congressman was part of the disadvantage health minority improvement act that was the first time any legislation was geared towards directing the federal government to acknowledge and put resources in place of the disadvantaged and disparities

of all i'd like to say his legacy is unmatched and serve as a beckon of hope thank you. >> thank you commissioner. do we have comments from any other commissioners? we have approve val of april 19, 2022. commissioners you have minutes before you do we have amendments or motion to approve. motion to approve. >> i second. >> chair can you call the

role. >> first we'll go for public comment. press star three so we can recognize you. seeing no hands commissioners i'll move ahead with the roll call. [roll call]. >> i don't have a picture can you hear me? >> yes. [roll call]. >> the item passes, thank you. >> moving onto item number three the directors report. we have the director of health dr. grant colfax. >> good afternoon commissioners. thank you i'll give the covid-19 update subsequent to

the brief report. i wanted to highlight for the commissioners we spoke about this at the last health commission meeting we have made sure the hospitals are certified in the medicare/medicaid program and we obtained outside experts that will guide through the recertification process. the team we put together through the current challenge and hospital is stronger than ever. i wanted to highlight for the commissioners that on wednesday, april 28, that was the 100th day of the tenderloin linkage center known as the tenderloin center or thc. it's amazing the work that's

been say come accomplished there. it includes 35,000 visits and averaging 400 people per day. just amazing work with the team. i'd like to thank the behavior health team that scaled this up and with unprecedented speed. on another note, focusing on developing future scientist and hopefully future department of public health folks. the department of public health branch participated in the 2022 area science festival at oracle park. we worked with the department of homeland security to develop an online scavenger hunt competition.

there was a lot of focus on authenticating honey. that's athing. one key thing was for the participants to work between synthetic honey verse organic hundred, verses fake hundred. they are working hard to inspire young people to go into science and public health. it sounds like a fun and interesting way. thank you. >> thank you director colfax. director do you have any public comments on the item? >> if you would like to make any comments press star 3 now so we can recognize you i'm noting the folks in the room. >> all right, commissioners. any comments for director follow colfax.

commissioner i'd like to congratulate you for participating in that showed up. the oracle was very positive just want to say kudos to all that put it together and participated. >> thank you, commissioner. any other questions or comments from the directors report? >> commissioners, just for everyone to know. i'm the only person that can see hands up. i'll have to let you know if there is a hand up. i see no hands. >> okay, moving onto it next item which is the covid-19 update. back to dr. grant colfax. >> thank you, commissioners. we'll start with the slides and i'll go through them

fairly quickly you have seen these before so they are mainly updated. >> i can see it but others can't. can you stop sharing. sorry, we are still working out the kinks. perhaps i'll go through the

update verbally. as the slides come up we can go through them. commissioners with regard to san francisco covid-19 cases per 100,000 resident. we are seeing an increase in cases compared to where we were a few weeks ago they are currently at 28 cases per 100,000. significantly higher than our lower rates in early march which we got down to 8 per 100,000 cases. an increase and that's consistent with the subvariants that are more contagious than omicron and the increased activity we see across the region. san francisco is not alone in seeing the increases. we have seen increases across most of the rest of the country especially the east coast. what we are experiencing is

what we see in other counties in the bay area. in terms of covid-19 cases and deaths. we have 129,000 cases of covid-19 diagnosed in san francisco. this is clearly an under underestimate. people at home are not necessarily being counted. 862 deaths due to covid-19. those were mostly during the surges that you are very familiar with at this point. our covid-19 deaths by month remain relatively low for the month of march and april. of course, the deaths were higher during our winter omicron surge. more than the prior winter surge before vaccines and boosters are widely

available. in terms of case rate by vaccination status, again, these vaccines continue to show their effect in some level of protection. the case rate per 100,000 among people who received their initial vaccines is 26.1. people who are not vaccinated the case rate is very high at 56.0. in future presentations i'll start with the number of hospitalizations and intensive care unit because that's the metrics that's important more than the case overall given our high vaccine coverage and booster rate. despite the high rates i talked about the 28 per 1 hundred thousand we have a total of 47 individuals in san francisco hospitals with

covid-19. that includes people that are hospitalized for covid-19 complications as well as covid-19 was found incidentally on testing. we have, a total of six patients across san francisco hospitals in the intensive care unit. this reflects our relatively high immunity levels in the community as well as the fact that we have a high booster rate. in terms of vaccination at this time we are at 84%. having received their first series of vaccinations. we are at 71% of all residents boosted and among the 65 to avenue year-olds 85% have been boosted and 88% boosted. just to be clear, that's among

people, that booster is the first initial booster. we will provide data soon on the percentage of people who received the second booster. so, in summery, our case rate and number of hospitalizations have increased but the hospitalizations, specifically numbers have not deceased to the degree we are concerned about including i cu capacity. we are really focusing on everybody being covid-19 ready. stay up-to-date on boosters, now how to reach a medical professional. we want to make sure people are accessing the important retro virals. they are so important in preventing severe illness and hospitalization. we would like to encourage

people to keep a supply of rapid test kits on hand and use their healthcare povieder as provider as a so. of course the federal government they can be accede. masks we strongly recommend high quality masks like kn-95. also people should stay informed with trusted information including sf. gov covid-19 site. again, second boosters, we want to make sure people have access to boosters. they are widely available across the city. the cdc recommends second boosters for those 65 and older. over 50 with underline medical conditions, and immunocompromised individuals. sorry about the slide malfunction. i hope that provides enough data to keep you up-to-date

and dr. suzanne phillip, our health officer is at the meeting to provide additional information if i'm not able to answer any questions. thank you commissioners, that concludes my presentation. >> the slides will be on the website so folks can see the data that was just reviewed and get access to it. >> thank you director. >> folks on the line if you would like to make a comment about the covid-19 update press star 3 now. i see no hands commissioners. >> commissioners any comments or comments? >> commissioner chow has his hand up. i'm finally back seeing you all i wanted to get

clarification because i missed part of that, director colfax. of the 47 in the hospital were these all admitted for covid-19 or with other reasons. >> thank you, it's a combination of both. some people were admitted for covid-19 and others were admitted for other stuff. we didn't have the capacity to breakdown the numbers. we have watched the i icu numbers. again, i don't have specific breakdowns. it inbe cludes icu and overall hospitalizations. >> thank you, that's very helpful. it's also been helpful with dr. phillip and all of you emphasizing the importance of hospitalization.

today the l.a. times scared a number of people. i got calls about covid-19 going up 30%. i did write back to one of my professional colleagues that that percentages are not the answer today. we are at a low point and the real key was hospitalization. he wrote back and said gee, thank you. that's important. within our profession we have people who didn't understand what public health should be following. when they see that they are concerned you will put back in lockdowns and getting the same information. thank you. >> thank you commissioner chow. any other questions or comments? >> i see no other hands. we can move to the next item

which is general public comment. >> folks on the line this is the time to make comments about something not on the agenda. please press star 3. to make a comment about something not on the agenda today. we have a resolution honoring athan heritage month. we have toni rucker. >> good afternoon commissioners. it's a pleasure to be with you this afternoon. i'm dr. tony rucker. they are honored and excited

to recognize across the city and nation. we celebrate asian american month. there is no single story of the api experience but diversity of the contributions to san francisco's history and culture straightening the role as a national transformative leader. it's not the api culture but history across the state throughout the nation. this is a history that we recognize and we celebrate the contributions of the asian and pacific islanders in the marketplace, in the industry and in culture, art, law, science, technology, and of course the public sector. when you think about including asian pacific islanders throughout the pandemic they serve to continuously, they

are still there on the front line severing as physicians, nurses, first responders, healthcare workers, teachers. asian and pacific islanders in science and health and the office of health equity is excited and honored that we are here to honor them not only this month but throughout the year. we would like asian pacific islander heritage month. we would like to draw one of those straights they recognize in despite of the straight and contribution of the asian pacific icelanders the community continue to face barriers. these are barriers that impact economic equity. educational entertainment.

something is basic and guaranteed for everyone, pub person nal safety. there was an amazing and unfortunately ride and anti-asian harassment. in the office of health equity stand with strategying with and organizing asian pacific islanders in the health department in the county of san francisco. we'll organize with our colleagues and community. the office of health equity we will look for opportunities to heal together, learn together, and to fight together against the racism and xenophobia that still exists. we are working and improving on it in the city and nation. when we come together, that's what this is about. acknowledging, coming

together, and strategizing and organizing against systemic issues. the office is different sections across the department. we are working with the work force and express asian pacific islanders health and social equitities. they organize with our office to acknowledge the learning projects and learning activities across the work force. in collaboration for groups. this is acknowledgement. this is why we are so honored to celebrate. the city with the nation. we are recognizing and include and understand history. we can learn about the current state that we are living in

and develop collaborative opportunities and en enable us. we will document this at the office. we will keep the information and we will have that available for the work force. we will have this available for the community. we are able to show and demonstrate and learn together and include together. for the health equity and working and acknowledging present day that the asian and pacific islander are facing exclusion, racism, and xenophobia. they are able to come together and learn together. they will come together.

dpa is honored this is our opportunity to celebrate the month. this is something we make the hallmark and bedrock. it's excited and celebrating and honoring asian and pacific islander heritage month. we'll do that in honor of you. we acknowledge and celebrate the opportunity we have. thank you so much. >> thank you dr. ruker. now we'll go to some commissioners. >> thank you dr. ruker so much for your words and heartfelt efforts and support you are providing the asian pacific islander community. not just for this month but i

look forward to seeing the fruits of the office of health equity leadership in this regard. i'm honored to be reading the first part of the resolution of the health commission. it's resolution 22-42 to honor a asian, and pacific islander heritage month. celebrate the significant contribution of asian american and pacific islanders to the history of the united states. they celebrate each may it's

composed of many ethnicities. the asian american population than any other racial ethics groups for the past decade. this is between 2017. the asian pacific american month. japanese immigrants arrived on may seventh. first transcontinental railroad. there was contributions to chinese immigrants. where section 102 of title 36 united states code designates may as asian and pacific american heritage month. we ask the president to issue a proximation calling on the people of the united states to

observe the month with appropriate programs, ceremonies, and activities. 2022 marks specific milestones including the chinese exclusion act passed in 1882 which was the first united states law to prevent members of a specific national group from immigranting to the country to repeal the chinese exclusion passed in 1943. it occurred at the same time. they permitted a quo a qua of 105 chinese. the passage of the immigration act of 1965. this is for the integration act of 1990 of the most comprehensive sieve change. the act established flexible

worldwide caps. in 2011 through 2012 the house of representatives condemned the chinese exclusion act. the 467th anniversary of presidential proximation dated february 19, 1976, where president ford incidence incarcerated chinese. the house of representatives found the first asian american to congress. the 76th anniversary made by the act of july 2, 1946, known

as the lose seller act of 1946. they imgreated to the united states and became naturalized citizens. the 76th anniversary of appropriation recession act and the supplemental surplus decision of 1946 that stripped them from ability to serve in armed forces. 101st an anniversary of an american film futuring an asian american woman. also the 121st anniversary in the united states. now turn to commissioner

chow. >> thank you, it's my privilege to participate and introduce this important resolution. i will continue note of all by all means. we are on sight today. we are at asian american and pacific islanders and specifically contribution. in the united states armed forces including one daniel k. a metal of honor and presidential metal of freedom recipient. he was enlisted in the united states in 1962. he was the highest rank government official in the united states at that time. number two, the first asian

american member of congress elected in 1955. i think we mentioned him earlier. number three mink. the first woman of color and asian american woman that was elected to congress in 1965. number four senator fall, the first asian american senator elected in 1965. number 5 daniel k. the first senator of native hawaiian ancestry. norman was the first asian american of the president alcabinet severing under president george w. bush. number 7 is edwin lee, the mayor of san francisco. number 8 elane the first asian

american woman member of a president alcandidate. it's severing in the george w. bush and donald trump administration. number nine, harris, the first woman and first asian american to hold the office of the vice president elected in 2020. that should also represent the highest position now, for asian americans in the government. they earned california

license. they earned it in 1916. katherine m.d. had a breakthrough in functionally curing newborns of aids. the doctor is a philippine no american physician and pediatric immunologist that was named one of time magazine scenes most influent alpeople in the world. number four, darrell sioux a ph.d. for the contrick ambigous of ethnic minority psychology. dr. darrell is known for his work on multiculture alcounselling and racial microaggression. dr. stanley is best known for his work on culture al competency. number five, marjorie for the

first native hawaiians. from the american position. there is groundbreaking research among native hawaiians and pacific islanders in 1912. they have done wonderful work. dr. david a chinese american worked on the treatment of aids and proved that hiv replicates immediately when entering the bloodstream. a gynecologists and obstetrician helped refugees and advocated for justice. he also petaried cambodian journalist in the 1984 film

the killing field. number 8 abraham, an indian american physician for advocating for the importance of empathy in physician and patient relations. he worked with young aids patients at a time little could be done with them. number nine dr. paul was a chinese-american cardiologist and first asian president of the american heart association from 1972 and '73. a native of the bay area. the first asian american of the san francisco medical society and california medical association. number 11 dr. lee. he's a ph.d researcher at

chinese american. he discovered the human growth hormone consists of 256 256 ami 256 256 amino a. >> you are on auto. >> i unmuted you >> now i have to go back to the pdf. specific island heritage make 26.3% of the healthcare work

force in california. one in five across the united states i deputified as asian or pacific islander. 11 nurses across the country identify as asian and pacific islanders. january of 2020 the increase usage of anti-asian technology and red rick. this is related covid-19 as popetuated an anti-asian stigma in the increase of hate crimes. this is in pacific islander decent. the health commission approved the resolution 1-5 of individuals. they denounced racism and violence against the community in 2020. this remains much to be done

to ensure asian americans and pacific islanders have access to resources and continue to participate in advance in the political landscape of the united states. whereas celebrating the pacific american heritage month that the people of the united states with a opportunity to recognize the achievement, contribution, and history of and to understand the challenges faced by asian americans and pacific islanders. so, the san francisco health commission recognizes the sigg any of dance of asian and pacific heritage month as an important time to celebrate the contributions of asian american and pacific islanders to the state oficallical

california and city of san francisco. the health commission recognizes that asian american and pacific islander community enhance the rich diversity and straighten the city of san francisco. >> thank you commissioners for reading the resolution. before we move onto public comment and discussion among commissioners do we have a motion to approve the resolution. >> i move to approve. >> i second. >> we have a motion and second. secretary, any public comments. >> folks on the line to make public comment please race your hand. i'll read a statement before you speak.

>> members can make a comment up to 3 minutes. this is designed to invite feedback to insievials there the ials -- indivie meeting. you cannot engage back and forthwith the commissioners note, each individual is allowed one opportunity and read statements from others. person on the line, i'll unmute you and put three minutes on the clock. caller us let us know you are there? >> hello. good afternoon commissioners. i'm angelica. happy asian and pacific islander heritage month. i was trying to call in for

the public comment piece but my phone wasn't working. i hope it's okay i still make this comment. during this time. it's really great the commissioner acknowledge and highlighting the work of the asian and pacific islander community and contribution to health and well-being of the community. this leads to why i was calling. it was established in 2000 and it's a multistrategy organize. we work to improve lives on an individual level we engage in competent services. pacific engagement and advocate for the community. we created through the

community health assessment report and how chronic effects philippine no o behavior. other environment factors. the partnership with professors. he is a professor in health education. the jung versety we hope will be able to have a opportunity to present to you the finding or report and share with you the needs and what came out of the over 300 people we helped

across the city. thank you for having the resolution. it's ang important resolution. >> thank you for your comment. that's the only hand raised commissioners. >> all right, thank you secretary. do we have any comments on the resolution? secretary moore, let me know if someone has their hands raised. i do not see hands commissioners. >> i would like to take a moment. it's important we consider this resolution today to acknowledge the contribution of asian and pacific islanders to both our city and country. i'd like to acknowledge the community that dedicated themselves to protecting the

health of all san franciscans against irmeasurable press sure and challenges within the last few years. we couldn't have gotten to where we are as a city or community in protecting our neighbors against covid-19 thank you for reminding us that norm severed under bill clinton and george w. bush. if we could take that last part where he's mentioned in the resolution to end it with severing as commerce secretary of president bill clinton and transportation secretary under

george w. bush. if we could add that as well. i ask that both commissioners that made the motion and second it to accept that amendment. >> shall we get verification from the folks that gave a first and second on that. >> i accept it. i accept the amendment. >> okay, thank you. >> director of health dr. grant colfax. >> thank you commissioners. i would like to express appreciate for the commissioners passing the resolution. recognizing the incredible contribution of asian and pacific islanders in the city across the country and again, just to know the past two years the leadership across the asian and pacific islander

community as we address covid-19. i'd like to thank the dph team asian and pacific islanders and staff that worked so hard on the covid-19 issue. again, appreciate for the commission for passing the resolution. >> thank you. >> thank you director colfax. i believe secretary wanted to go to a vote. [roll call] >> the item passes. thank you. >> thanks to all. moving to the next item. it's the resolution making findings to make code section 54953e. this is the resolution we have

considered monthly to continue to conduct meetings either virtually or hybrid manor. i'll hand it other to sectorry morewitz. >> it just rolls off the tongue; we have done it a few times. >> i'll move it. >> i second it. >> item 7. press star 3. i'll give it 30 seconds. star 3. >> just to clarify, this resolution, you are giving authority to hold a hybrid meeting for the next month. all right, no public comment we can go to a vote. [roll call]

next item for discussion is the vision zero sf update. we have dr. sethpardo. >> could you hold for a second. could you pull-up the presentation. >> welcome dr. pardo. >> sorry for the pause. >> alyssa, can you share your screen, please. >> okay, i'll try to share my screen. give me one second commissioner.

so, sf. gov people, what's happening? >> you do have the slide presentation and members on the public that are watching this will be available online. >> give us 30 seconds please,

everybody. >> okay, this is not going to work. dr. pardo, i'll visually hold it up to the camera. i'll do my best. you change the amazing work. our techstuff is not working great today. >> i appreciate the effort, thank you so much. >> that mic isn't working. can you go to the mic and connect that.

>> dr. pardo. come sit where i am and hold the piece of paper up. that way we didn't lose time. is that okay, commissioners? >> that works. >> can you hair hear me? how about we switch. thank you for your patients. >> good afternoon. >> good afternoon. >> thank you for having me. i present the update for you all.

i'm dr. seth pardo. i'm with the department of public health. san francisco adopted vision zero in 2014 thank you. across the u.s. cities are seeing continued challenges and get to zero. like portland, new york city, and philadelphia. it abides birth

certificatetane core principals. can cochair are fmta. data science is a lead, the partners vision zero is a da driven approach. safety and preservation of human life is our highest priority. they prioritize safety investments in the community of the most disproportional impacted by death and injury. speed is a fundamental predictor of crash survivor as they age the fatal ability.

vision zero prioritizes the design to anticipator roars and have safer transportation on the city streets. next slide, please. the slide summarizes the big picture trends we see locally common sense the faster the car is going the more injury potential. about 20% of all severe and fatal injury crashes since 2014 are due to excessive speeds. a third of all severe and fatal crashes since 2014 are people not following the law if we look at the injury trend dating back to 2015 when the

city implemented triage guidelines to san francisco general hospital between 2015 and 2018 you will see they remain flat and dipped for critical injuries pretty flat. next slide, please. severe injury trend by mode between 2017 to 2019 compared to the year covid-19 started in 2020 we have a 5% decrease among pedestrians. going from 32% to 27% in

2020. we had a 3% decrease in car and vehicle related injuries and we saw slight up ticks in transportation related. up 5% for injuries and up 1% for milks. stay on this for a moment, please this shows san francisco traffic deaths. the box indicates when vision zero was adopted for the next few years it's pretty confident. there is a dip there. increase again in 2019 and dipped again in 2021. in 2020 didn't youring the pandemic despite less people driving on the roadways people were driving faster. they weren't experiencing

traffic. speeds could result in more severe crashes with a high likelihood of fatality. with other reports san francisco by 2040 the population is aging and they are more severe injury in the state. about 15th of the residents are seniors and by 2040 we expect that to forecast the growth of 137%. people experiencing homelessness have high exposure to risk factors. we saw a 15% increase combined with other limitations next

slide, please. what you ski on the slide, generally a description here. when we look at fatality trend by mode in the three years before covid-19 compared to 2020 and 2021 we saw a decrease in pedestrian fatalities by 21%. we saw a 22% increase in car related fatalities and 2% decrease in fiscal related fatalities. i'm aware the commissioners have an interest in escooters. i can share we have a information on a ffmta dashboard. fsmta/reports/shared mobility. i'll provide the link to you.

shows around 3.6 million trips. for shared mobility. we didn't have it for privately owned bikes and scooters biking has increased since 2005. approximately tripling sharing around 4%. it's pretty flat between 2017 and 2019. when we lookat the data we start tracking in 2018 we had seven severe injuries. two were critical. in 2020 we had five that were critical. we know from some reports we

are tracking people are not wearing helmets. half of the injuries, 22% of the 44% were not wearing helmets. okay, next slide, please. >> the image of current high injury network. we work closely with city and agency partners and compiling the data. we expect to have a a look at the update. what we see here is that high henri high injury cos are over represented in communities of color. 75% of all injuries occur on 13% of the street. despite 31%over the streets being in the community of concern. low income communities and

community of colure. people who rely on walking as transit. we find that 50% of the high injury network is in the same community. we are analyzing the latest trends to preform a high injury network. 48% of fatalities or pedestrians. 22% of crash fatalities are seniors age 65 plus. despite representing 18% of the city's demographic. cyclist and motorcyclist represent 7% of fatalities. we have a fatality report due later this month to the mayor's office. as i mention bed before the top vehicle factors to people walking include the driver failing to yield and unsafe speed. not abiding by the law.

next slide, please. majority of traffic deaths are high injury net york we find that black and african-american individuals are disproportionnally impacted. we aim to take ang equity focus in everything we do. in regard to vision zero this deepened our community engagement. the action item for that moment. this is along the high injury network. yeah, we are drafting and advocating for policies.

you center the policies to left them up more if they are disproportionally impacted. we take a data driven approach. it's a home for vision zero. we hope to leverage our injury surveillance system which i'll speak about it there a few slides. we will pull it together where data is available to ensure our information is as comprehensive as possible and improvements make a difference. next slide, please. okay, some of those highlights i mentioned are safe streets for seniors. this is an education program and in the current fiscal year we are funding six grantees. two are city wide. the grantees are walk san francisco foundation. senior and disability action. chinatown community

development center. curry senior center. as far as policy considerations, next slide, please. the percentage on the slide across the different prioritization. based on national data. if we adopt the san francisco return in terms of the national data. this is how they would breakdown locally and form by the national policy. it's clear getting to zero will require a major shift in policy and resources. major straight redesign is one part. we need authority for tools and current proposals are speed cameras and lowering

speed limits. this will give us a closer look at equity impacts. moving towards active shared transportation modes and using tools like pricing. if you have a question about pricing jamie is here with me and he can speak to that if a driver is not paying attention. some of the policy advocacy suggestions include housing density especially affordable housing for those unhoused to make sure they are not as rit be on the street these are no longer draft actions but our active actions. we have the policy focus for

these next couple of years. our safe streets, lowering vehicle speeds. safe people and making sure they follow the law and safe vehicles. ensure city fleet are safe and if they are autonomous they are safe. a note about autonomous vehicles. i have a note here we do have -- the san francisco police department has an interim crash database that collects information if the vehicle was conventional, auto pie let, an anonymous vehicle operating under control or operating in autonomous mode with a driver present. we do have some of data ta. we are exploring how to analyze the data. some examination has been put-on holds hold.

we have partners between dph cochairing this initiative. we are looking at the data. next slide, please. >> part of vision zero and data science in providing the data we must make sure we are evidence based. we ra responsible for transbased which is the public facing dashboard for all crash data. it linked the police department collision data with general hospital data as welcome as the hospital of medical examiners in addition, we collect both the police department, medical examiner, and collectively we put it in

a transportation related injury surveillance system tifs as i said before we expect to have that later this year. we have monthly reports and severe injury report that came out in september of 2021. this is current try 2024. we are envisioning how to go beyond the surveillance and really looking at how the leverage the data for providing deeper recommendations for turning the curve on fatalities and injuries in the city. thank you for your time. i really appreciate the opportunity to be here with

you. this is a brunch of our partners within the hospital and department of public health present and past. this wouldn't have been possible without assistance, thank you. >> thank you doctor for this presentation. before we go to commissioner comments or questions. do we have any public comments? >> if you would like to make a comment press star three. star three. i see no hands. >> any comments or questions. >> commissioner chow has his hand up. >> commissioner chow? commissioner chow you are on mute. >> okay, there we go. i'm impressed with the work the data center is doing.

also the strategies they are talking about. so, i'm wondering, you know, they said no one will be killed. as if we look across on your slide 7. when we adopted vision zero at 2014, i'm just wondering from a statistical standpoint, what is a you are looking at 2017. the other numbers are within one or two of each other. what is the significant of the work being done. when i look at the data

the regression analysis didn't show differences overtime but the trend showed decreasing floats overtime. there is a lot of work we need to do to find a sigg any of dance difference. overall by mode of transportation. it's not just about count. the interventions that were in actively pursuing and implementing on our streets do take time. i have data here, one moment. about how much has been done to date. if i can find it quickly, hold on. something like a 200% increase in the quick build project. they have been engaging in this. it's been an i think crease

commitment to the quick build progress. now it's on the entire high injury network. that's 20 projects per year. some are not funded. some of them are grant funded. they are time limited they move quickly as possible. similarly, we have an increasing -- let me see if i can find that. increasing influx overtime. 2010 and 2020, 150,000 new resident and 107 new jobs came to san francisco. there were over 630 miles of increased daily vehicle miles traveled. including those by transportation companies

including uber, lyft, and scoot. that accounts for 47% of the increase. we are working as quickly as possible to make sure the interventions keep up with the challenges happening every year in the city. we could intervene with our quick built projects. we might not see a change in the trend but keeping up with the trend so to speak. >> so, why didn't you talk about the population and changing. i know it might not show up with the numbers per 100,000 residents. would it show we have a trend and it might be a difference. then, my second question actually is related to in your slide on the major shift in policy politics and culture.

all of the items on here seems to me things we have been talking about. the shift was within the past year or ten years from the point that we start vision zero. maybe with vision zero we won't do street designs but increased housing. i wonder if you can explain how we come to the pacific percentages and what type of changes they are and we are not duplicating the same thing. i'm impressed you pointed out we had a huge increase in populations and the injuries per is thousand. they might in fact be on a significance. >> good afternoon, commissioners. i received the vision zero

policy program and implementation of many of the transportation safety projects across the city. with respect to the major shift in policy and politics that are included in the action strategy. the percentages are approximate and based on research that we found. i think there is a report called the road map to zero that looks at different policies that cities around the world have taken and what the impact on traffic safety has been. the mayor point we would like to make given the percentages are approximate. the things we control are the street redesign. it's a very important portion with vision zero. we need to improve state policy changes and safety cameras in particular we in the city have pushed very hard

of the state legislature. we push the bill for a few sessions and a new bill introduced this year that will allow safety cameras that we ra supportive of. then, i think, commissioner you mentioned a lot of these have been talked about for a while congestion pricing has been studying this for san francisco for close to a decade. we didn't have congestion pricing. if we talk about the number of vehicles on san francisco streets and if reducing the number of vehicles is a critical piece which i believe it is we feel congestion pricing is one of the best tools we have in the city as the city and regional population growth. that's a long-winded answer but it might have gotten to the questions you are having.

>> well, it does and, you know, we heard some of this in different iterations supporting i'm not sure we formally supported the speed cameras. this was by a statement made many of these in your report about the injury. people are not abiding by the law. if willower the limit as we are in the tenderloin -- do we really expect in terms that would normally speed any way. the fact that without speed cameras we won't catch them, right. >> dr. mentioned we are a data driven approach. one of the core pieces at the vision zero program is we have

an evaluation program that that that evaluates this. we are doing a fully valuation of what is happening in the tender lion tenderld what impact that had on speeding. we did no turn on red restrictions last year and without any additional enforcement we found compliance was over 90% and the number of vehicles coming into the crosswalk deceased by 70%. there are tools we can apply without increasing enforcement. we have improved behavior and the last point i'd mention our general approach to street design is be forgiving and we know people are fallible. we want it to encourage safe

behavior. that's why you see core components on the tool kit and removing excess travel lanes that improve visibility at crosswalks so people can see each other. we try to have a design that's safe and recognizing the enforcement can't be everywhere and people didn't make the best choices when traveling on streets. >> i have one last question that i thought of right now. it's a local question. prior to the pandemic i used to cross stockton street all of the time. having the crosswalk change did make a significant difference in terms of safety. people didn't make right turns or left turns while allowing people to cross diagonally. where is this because stockton street is the major street in

chinatown. it's being torn up for the subway. it's put together with new designs with the increase more of it safety and always following stockton street as a safety issue. we expanded that recently and had 15 to 20 in the tenderloin. we are looking at innovative tools whether it's no turn on red, sped scrambles. ways to slowdown or make a lift turn in traffic. you know, stockton

specifically are often the focus of those innovative tools. >> well, i thank you commissioners for your patients. this is a topic i have been following and interested in. i really encourage that we continue to do this and wanted to appreciate what both mta and now the department and the fact we'll have more robust database on this. so, i look forward to new reports on this. thank you for your work. >> thank you, commissioner. commissioner geraldo. >> thank you for excellent report. i'm curious about the autonomous vehicles we had crews autonomous cabs since

february in the late night. do you have any statistics on any fatalities or any kind of information on concerns with that? is that still in the process. >> i don't have that with me on hand. we have that summarized in the fatality report in review in the mayors office. >> can you forward the data to me when it's publicly available. >> absolutely. >> thank you vary much. >> thank you. >> secretary moore, any other comments? >> commissioner chung. >> you are on mute. >> my pets are not getting along these days. i'd like to know if there is

any data about when the fatalities occur. is it during the day or night? so, i think, you know, while the numbers might still be similar but might actually translate to different strategies. >> in the fatality report we talk about time of day. the data trends show between 6:00 p.m. and midnight they are more likely as opposed to did daylight hours. any other comments or questions? >> i do not see any other hands. >> all right, doctor. thank you for your presentation and we look forward to having you again. >> thank you for your flex

ability and patients. >> yes, thank you. >> lack of technology. >> our next item is the finance and planning committee update. for this we have the chair. >> the finance and planning committee met right before the commission meeting and we had a review three contracts on the contract report and one new contract and also had so, allow me to go from one to another. in the counsel contractt

the first one is the region of this is for the alliance health project. it is just an extension from 2022 to 2026. i think it's the one that really stood out. the second contract on the report for the asian pacific islander wellness center. if you look at the annual differences in both mon tarry terns and percentage. it's over 1200 percent increase. the mayors new tenderloin care

initiatives. so, also, you know, translate to really trying to build the capacity, you know, for the services in a timely manor. we raised the question what will happen after 2032 whining, you know, a new contracts is being drawn. would this be sustainable and if, there are discussions about other ways to continue the work in the tenderloin especially those houseless. so, for the second, the new contract with the deloris

community center. it's a very interesting contract because it is retroactive to last year. july 1 of last year. although, they did not actually submit a scope of work until february of this year. so, we were a bit confused because that means they cannot invoice there is no actual scope of work being defined. it's kind of created a gap in terms of, you know, how we fund the services. on paper, it's like two years but in actuality, eight months

out of the two years services being performed. so, hopefully, there will be better ways in the future to address these discrepancies. i appreciate, you know, the staff for recognizing that as well. we also have a presentation on, we have a presidenttation presentation on a new proposal of agreements and solicitation waved process. this will actually be coming to the full commission on may 1.

we have the chance to review the information. these are all contracts with nonprofit service organizes. you can say at least up to 6 months to a year of time for this contract to be approved and signed off on. that's the end of my report. >> thank you commissioner. before we go commissioner comments or questions.

do we have any public comments on this item. >> folks on the line if you would like to make a comment press star 3 now. item nine, star three. >> i see commissioner chow's hand. >> commissioner chow. >> thank you. i wasn't able to be at the finance committee meeting to make this point. we will look at it on may 17th 17th. this has been a real concern and interest of the, i would say our administration of services throughout different mayoral administrations and boards of supervisors. it comes in different forms and formats. one thing that i believe is

important is that the commission remains alert and aware and approves the contracts. certainly, it's impressive that we could decrease our workload time. that's been something we have been talking about for a long time. this makes sense. we give to our executive secretary the power to approve things. what i think could be helpful but allow the commission to have awareness of which ones are being given. we look at a new type of contracting then the sole source is not as you do now but a whole listing of who the sole source were.

now, we'll go to individual sole source and allow our secretary to help expedite the process. it should be a report in some sort ofification. i'll leave that to the department and chair of the committee and president to workout a process in which there could be a meaning report back to the commission onto be granted soul source on different services. it's similar to the annual report we go. it would come out to say they were following soul source. it's a very controversial issue with the board and mayor. i would like us to get back into that. >> sorry, we look forward to your comments at our next

meeting. >> thank you commissioner chow. any other comments or questions? all right, seeing none we can move to the next item that's a reaction item request for approve val to consent calendar, back to you commissioner chung. you are on mute. average i respectfully ask the commissioners to approve the consent calendar that consist of the contract reports as well as the new contracts for services for deloris community center. >> do we have a motion to

approve? >> any public comment >> seeing no hands. roll cal. [roll call] >> do we have any other business to raise during the meeting? all right, seeing none, and nothing to make comment on we'll move to the next item discussion item summery of item 26 general hospital jcc meeting. for this we'll go to the chair of the commissioner chow. >> it's commissioner green

this month. >> thanks for attending and making such useful comments. we reviewed the regulatory affairs report mondaying the success and notification of primary care physicians when patients were admitted to the hospital. it's a remarkable improvement and interpreter use documentation. we'll discuss the quality goals the beauty of unifying quality in patient settings. five key metrics lower level of patient care and 21 days for new patient visit and outpatient specialty care clinics. we reach goals and progress as been made in every area except

the clinic time wave. the achievement of the metrics should improve our cms far ratings. the ceo report gave us great news and the human rights campaign foundation honored the lgbtq ep forts at the county. identifying the county as an equity leader. we also discussed staffing shortage on bed availability, the challenges of discharging patients in the sack at trick beds and skilled nursing beds and other level of care beds. in the hiring report, nurses are in training to philly emergency -- fill emey vacancies. there is an adequate pool despite the number of individuals we hired to

complete the final openings. they approved new qualifications for allergy and immunology physicians to bring a full-time specialist on-site. in a closed session we approved the report and reviewed the achievements at the urgent care and equity work at the family health center. >> all right, thank you vice president green. do we have public comment on this item. >> if you would like to comment on item 12 press star 3. also i guess commissioners too. i see no hands. >> any commissioner comments. >> i do not see any hands at all. >> thank you vice president green. the next item is a closed session. do we have a motion to enter a closed session? >> so moved. >> second. >> i'll take public comment

really quickly. if you would like take public comment on item 13. no hands. i'll do a roll call vote. [roll call] thank you. give us a few minutes to get the room cleared and get us in closed session. thank you for your patients with the technological issues. folks on the line you won't be able to see or hear us if you would like to wait for the open session to come back. i'm not sure how long it will be. all right, we have a motion on the table from commissioner green to notice close the contents of the closed session. do we have a second? >> i second. >> all right, i'll do a roll

call vote. [roll call]. you will right, we are under consideration for adjournment. >> i'd like to take the privilege to move to adjourn in memory of former congressman norm and thank you commissioner for speaking so eloquently about contributions. is there a second. >> second. >> all right, i'll do a roll call vote. [roll call]. >> thank you the meeting is now adjourned.

there's so much involved with becoming a firefighter. and as a component of being a woman in the field, it takes a lot of perception. it takes belief in yourself. it takes asking the right questions of people who already have the job so that you have the confidence to build it and it takes someone telling you that this job is a possibility for you. my job has given me 25 years of

satisfaction. the primary thing is that i grew up here in san francisco and i'm serving in the city where i grew up. i transitioned to community training and i was able to build disaster resilient padre of volunteers and bringing us all the latest information so that we can be ready for a disaster. pride and loyalty are the heart of a firefighter. it's in the way we do our job from the very smallest thing from our everyday checks we do of our equipment. from the way that we treat each other and the community we come in contact with every day. and loyalty is to our own families is to the pride we have in this department. it's to the other members when we're out in a dangerous situation keeping each other safe. it goes throughout every aspect of being a firefighter. i'm really proud of the way our department approaches diversity, equity, and inclusion. i was hired in a class that had 45 people and 17 women. it was an accomplishment at the time, but there were many women

that came before me that laid the ground work and i had to see it to be it. someone had to recruit me into this job. i didn't know it was a possibility for myself. and so the importance of young women seeing what it takes to be a firefighter, seeing themselves when they look at me. it really brings myself a lot of pride and joy in this work.

dev mission's goal is aiming to train young adults, youth so we can be a wealth and disparity in underserved communities like where we are today. my name is leo sosa. i'm the founder and executive director for devmission.

we're sitting inside a computer lab where residents come and get support when they give help about how to set up an e-mail account. how to order prescriptions online. create a résumé. we are also now paying attention to provide tech support. we have collaborated with the san francisco mayor's office and the department of technology to implement a broad band network for the residents here so they can have free internet access. we have partnered with community technology networks to provide computer classes to the seniors and the residents. so this computer lab becomes a hub for the community to learn how to use technology, but that's the parents and the adults. we have been able to identify what we call a stem date. the acronym is science technology engineering and math.

kids should be exposed no matter what type of background or ethnicity or income status. that's where we actually create magic. >> something that the kids are really excited about is science and so the way that we execute that is through making slime. and as fun as it is, it's still a chemical reaction and you start to understand that with the materials that you need to make the slime. >> they love adding their little twists to everything. it's just a place for them to experiment and that's really what we want. >> i see. >> really what the excitement behind that is that you're making something. >> logs, legos, sumo box, art, drawing, computers, mine craft, and really it's just awaking opportunity. >> keeping their attention is like one of the biggest challenges that we do have because, you know, they're kids. they always want to be doing something, be helping with

something. so we just let them be themselves. we have our set of rules in place that we have that we want them to follow and live up to. and we also have our set of expectations that we want them to achieve. this is like my first year officially working with kids. and definitely i've had moments where they're not getting something. they don't really understand it and you're trying to just talk to them in a way that they can make it work teaching them in different ways how they can get the light bulb to go off and i've seen it first-hand and it makes me so happy when it does go off because it's like, wow, i helped them understand this concept. >> i love playing games and i love having fun with my friends playing dodge ball and a lot of things that i like. it's really cool. >> they don't give you a lot of cheese to put on there, do

they? you've got like a little bit left. >> we learn programming to make them work. we do computers and programming. at the bottom here, we talk to them and we press these buttons to make it go. and this is to turn it off. and this is to make it control on its own. if you press this twice, it can do any type of tricks. like you can move it like this and it moves. it actually can go like this. >> like, wow, they're just absorbing everything. so it definitely is a wholehearted moment that i love

experiencing. >> the realities right now, 5.3 latinos working in tech and about 6.7 african americans working in tech. and, of course, those tech companies are funders. so i continue to work really hard with them to close that gap and work with the san francisco unified school district so juniors and seniors come to our program, so kids come to our stem hub and be exposed to all those things. it's a big challenge. >> we have a couple of other providers here on site, but we've all just been trying to work together and let the kids move around from each department. some kids are comfortable with their admission, but if they want to jump in with city of dreams or hunter's point, we just try to collaborate to provide the best opportunity in

the community. >> devmission has provided services on westbrook. they teach you how to code. how to build their own mini robot to providing access for the youth to partnerships with adobe and sony and google and twitter. and so devmission has definitely brought access for our families to resources that our residents may or may not have been able to access in the past. >> the san francisco house and development corporation gave us the grant to implement this program. it hasn't been easy, but we have been able to see now some of the success stories of some of those kids that have been able to take the opportunity and continue to grow within their education and eventually become a very successful citizen. >> so the computer lab, they're doing the backpacks. i don't know if you're going to

be able to do the class. you still want to try? . yeah. go for it. >> we have a young man by the name of ivan mello. he came here two and a half years ago to be part of our digital arts music lab. graduating with natural, fruity loops, rhymes. all of our music lyrics are clean. he came as an intern, and now he's running the program. that just tells you, we are only creating opportunities and there's a young man by the name of eduardo ramirez. he tells the barber, what's that flyer? and he says it's a program that teaches you computers and art. and i still remember the day he walked in there with a baseball cap, full of tattoos. nice clean hair cut. i want to learn how to use

computers. graduated from the program and he wanted to work in i.t.. well, eduardo is a dreamer. right. so trying to find him a job in the tech industry was very challenging, but that didn't stop him. through the effort of the office of economic work force and the grant i reached out to a few folks i know. post mates decided to bring him on board regardless of his legal status. he ended his internship at post mates and now is at hudacity. that is the power of what technology does for young people that want to become part of the tech industry. what we've been doing, it's very innovative. helping kids k-12, transitional age youth, families, parents, communities, understand and to be exposed to stem subjects.

imagine if that mission one day can be in every affordable housing community. the opportunities that we would create and that's what i'm trying to do with this like

to call the order tuesday night april 6, 2022 the regular meeting. if i could have roll call at this time. >> commissioner alexander. >> here. >> commissioner vice president boggess. >> here >> commissioner sanchez. >> commissioner ward. >> here. >> student delegate lamb. >> here. >> and student delegate lange. >> thank you. thank you, so much to the public for joining us this evening. you will see we have fewer people than usual u