and without the cable cars, yeah, we would lose something in san francisco. we would lose part of its heart and soul. it wouldn't be san francisco without cable cars. [bell ringing] >> hello everybody and happy anniversary to the cable cars! [applause] >> i'm rick recollect the president of non profit market street rail way. we advocate for the cable cars and historic street cars on market street. we work with sfmta to enhance their operation and do it without any government money. this year, we partnered with

numerous history and business groups and sfmta to celebrate 150 years of cable cars. [applause] one of the celebration partners union square alliance contributed wonderful banners behind us you see. melissa rodriguez, if you are here, stick your hand up. they are all here somewhere. she's the ceo. another partner, the flood building which is overlooked this turn table since 1904 is gifting you folks with these great flowers passed around here. they work with the alliance to decorate this cable car. will the flood sisters please put their hands up? [applause] we really miss jim flood. sorry he cant be here. he's here--that's right. china town

merchants, fisherman whafer, downtown san francisco parthnership all contributed to help us bring you cable car history. mike fips and don (indiscernible) cable car mew museum are here and should be inside the circle and if they are not, they should make their way up. when you say cable car you see temporary photos on the side windows. we did these to teach a little cable car history to everybody who sees the car and rides them this year. many of the photos come from the wonderful and i mean wonderful, sfmta archive and show the san francisco fast decades these cable cars operated in. jeremy (indiscernible) is the photographer. he is busy working. there he is. i knew you would be front and center. thank you jeremy. rather then run down cable car history, we summarized critical

things on handout cards that should be available over there. take a look, pick up a program next to the banners over there. thank you. thank you anton. turn up your hearing aid. that might help. tony subella, another san francisco family. pick up the program and you'll see there--somebody is giving us feedback. thank you. i have professional audio people here. so, there is all kinds of special cable car history on the website we put together. sfcablecars.org. you can type that in or scan your phone on any of these pictures and you will be taken right to it. now, let's get to the important speakers here, starting with someone i knew a huge cable car lover, working so hard for san francisco every single day, our mayor, the honorable london

breed. [applause] >> maybe this might work a little bit better. [applause] alright! alright, let's celebrate 150 years of cable cars in san francisco! [applause] let me tell you why that is important. because san francisco is a city of firsts. not only was the cable car invented here and other fallowed in other cities around the entire world, right now the cable car only exists in the city and county of san francisco. let me tell you why. because of women. [applause] yes! yes, a man invented the cable car and we named holiday plaza after him, so he is credited with that, but it was women who stepped up

to make sure that this amazing cable car continued to be a part of the fabric of san francisco for 150 years. i know that we acknowledge all the amazing flood women who are joining us here today. so great to see you. [applause] but it was freeda clauseman who saved the cable cars in 1947 when everyone wanted to start to automade san francisco and use san francisco. people love technology and love to get somewhere quick, she stepped up, fought hard, put a measure on the ballots and passed to not only save the cable cars in san francisco, but to allow them to continue. another woman who stepped up to help make sure that the cable cars continued was our former mayor, diane feinstein.

[applause] in the late 1970 needed a complete over-haul. we needed to make sure it continued to run and it was safe, so she raised money in the private sector to allow for an opportunity to make investments in the cable car to maintain and keep the system running. the other woman who was instrumental in the success of the cable cars, the conductors are pretty amazing. they do a lot of great work. they got to be strong. 25 years ago (indiscernible) barnes [applause] the first woman to lay hands on the equipment, to run the cable car system. to make it work and to make people feel welcome to san francisco. this woman was a trail-blazer and we are so glad to have you here. that's your mama!

[applause] her whole family is here, because we are honoring you and your legacy and are everything you did to make the cars so successful. thank you mrs. barnes, so great to have you here. women do it all. but we also know san francisco is a special place, and so many people again talk about the firsts. the first to invent the cable car. the first to invent television. did you all know that? and the first to invent the clap on here in san francisco which actually opened the door for all the technology advancements we are seeing today. it is no wonder people want to be here. it is no wonder many folks who left san francisco have decided to come back and start their business and open the door to new technology, new industries, because every time you think

about some of the amazing things that happen in the world, it all starts here and the cable car is a important tribute to san francisco's resilience, its history and its legacy. last but not least, today we are going to dedicate a cable car in honor of someone who symbolizes the love for san francisco. the person who talked about what it means to ride the cable car on our rolling hills and to all most touch the stars. a person who loved the city and county of san francisco, mr. tony bennett. [applause] that amazing tribute, i left my heart in san francisco. performed at the farmont hotel in the vunesia room for the first time. that has been a true ballot and contribution to san francisco that is like no other song that

exists. today as we recognize him and his legacy and his love for san francisco, we will honor him by dedicating a cable car named for tony bennett. [applause] thank you again for everyone who is joining, those who live here, those who work here, those who visit here. those who got dressed in outfits that represent san francisco's history early on, but also the movement. the first birthday in 1970 was here in san francisco in golden gate park and it set off a movement for environmental change, environmental justice and a number of things. i can go on and on about how great san francisco is, but i know you will experience it for yourself on this cable car, so thank you all so much for being here and i want to turn it back

over to rick. [applause] >> thank you madam mayor. do we have women leaders in this town or what? we always-we have even more now, and now we are going to have a very special leader. one who set a new standard in this country of dignity, of smarts, of resilience, and it is my as they used to say in washington, it is my high privilege and distinct honor of presenting to you the speaker emeritus of the u.s. house of representatives, the honorable nancy pelosi. [applause] >> thank you rick. thank you very much rick and-thank you madam mayor. honored

to be here with you always. let me just say to rick, thank you for your leadership. the private sector and non profit sector and public sector who have been a real champion for san francisco. thank you rick. honor to be with you. karen flood, oh my gosh-- family. what a special day this is. imagine-you want me to hold it higher? imagine it has been this many years. this many years. the market street railway has been something that has been a model to the country. has been a symbol of san francisco's spirit of invasion right from the start, and i want to recognize mayor london breed for her tremendous

tremendous leadership of our city. thank you very much madam mayor. honor to be with you. i know how important this occasion is to you, in terms of what it stands for historically, and what it means for the future. aaron peskin, thank you honor to be with you. bill ting, assemblyman with us here. we have representation of federal, state and local government. again, most importantly, woo we have each and every one of you representatives of the community. jeff tumlin thank you for your leadership and fanny may barnes, the first female cable car (indiscernible) >> one and only! >> the first and foremost. so,

here we are and again i want to mention senator feinstein. she was such an advocate for the cable cars. some times we would have our moments together because she would be praising some republicans in congress who had helped with the cable cars and some republicans did then and i said why are you are praising them, we are trying to defeat them, but she was always about san francisco and she was always about the cable cars, and she even-the cable cares that again started our city invasion and with tony bennett and are diane nighting with him on the cable cars, taking us to the stars. to a brilliant brilliant future. i won't sing. i won't sing, but not only tony bennett, but mia anglo 15 years old set

her sights working as a conductor aboard the street cars. think of all these incredible connections. it is my honor b to here with all of you. there is so much to be said about the families, about the sense of community, about the businesses, about the entrepreneurship, about the invasion of san francisco, but it is also a moment for us to take pride in our past. i say a third time, a past about invasion for the future. congratulations to all of us on this. madam may, i know you take great pride being mayor of san francisco every minute of every day, but isn't it exciting today? >> yes! [applause] >> very special, very special. now it is my privilege to yield back to rick. rick, thank you very much. [applause] >> thank you. thank

you for your leadership- >> (indiscernible) >> thank you for your leadership of our nation as well as our city. we owe you. [applause] tough act to follow, but the guy i will introduce is up to it. there are 11 members of the board of superrisers in san francisco, but only one president. there are 11 members of the board of supervisors but there is only one who has every cable car in his district. ladies and gentlemen, president aaron peskin. [applause] >> thank you rick and thank you to the market street railway for your stewardship. thank you to twu local 258 and fanny barnes and all her colleagues before, during and since. much is made of the symbol of

rezilancy, the phoenix rising from the ashes, but i suggest to all of us san franciscans that the real symbol of resiliency is our cable car. a cable car that survived not one, but two pandemics. that survived the city burning to the ground. that survived two great earthquakes. that survived mayors who wanted to rip them out. this is the symbol of the city that knows how knew how and continues to know how. god bless these cable cars. [applause] let's put this in a monetary context. i think mr. hal day raised $27 thousand to build the first 5300 feet of track along clay street. it took diane feinstein in her efforts 110 years later, $60

million to refurbish it. i are want to thank and acknowledge the sfmta that has kept it in a good state of repair every since. [applause] but these cable cars are linked to the economic success of san francisco. not only because they attract tourists from around the world, but because they continue to deliver our people to work each and every day before pandemics, during pandemics, after pandemics and i will leave you with this remaining thought, if you ever want to run for supervisor of district 3, i never revealed this until now, the best place tocome pain is the cable car in the morning when everybody who is commuting to work from district 3 to jobs in district 3 is available to receive your fliers even though i think technically you are not supposed to do that on the cable car. congratulations on 150 years! [applause]

rick >> thank you aaron. thank you. so glad telegraph hill is represented here. such a core part of the city. most people dont recognize how unusual our transportation agency is. besides transit they oversee taxies, bike infrastructure, parking street scapes and a lot more. leading that agency is a huge job and a tough one never tougher then the past three years through pandemic, fiscal threats and city recovery. so glad it has been in the very capable hands of director of transportation jeff tumlin. >> thank you rick! [applause] >> i'm jeff, san francisco director of transportation and there is a reason the phoenix rising from the flames is on the flag of the great city of san francisco. when andrew hal day and father

immigrated to california from scotland, they failed at mining gold but they reinvented themselves by reinventing a way of making wire rope and then having the completely crazy idea of taking mining ore car technology and applying it to san francisco's equally crazy topography. 4 a.m. on august 2, 1873, andrew had to be the one to trial the first run of the cable car, because no one else wanted to do it because they thought it was a crazy idea. it is here in san francisco that crazy technological ideas come to life, and every 10 to 15 years this city transitions from a bus to a boom economy by once again reinventing technology and figuring out what is next. but even thinking bet the future, san francisco

continues to hold on to its core, its heart. it holds to the core values, particularly civility and (indiscernible) nothing exlempifys both creativity and technology, but also civily and joy at the same time better then san francisco's cable cars and i am humbled to be here for my short-term being a steward of these incredible resources. we couldn't do this without strong support from our federal, our state, our local policy makers, even our own board of directors and lydia so our newest board member, the steward of the cable car system. the people who make the cable cars work are staff. alfred butler, earny hanson, (indiscernible) and we have folks

including (indiscernible) and derrick johnson who will be taking us on this inaugural run. we also remember our history here, including the incredible history of our staff. i like to now bring up the speaker and mayor to honor the fanny may barnes, the first (indiscernible) [cheering and applause] >> would you lake to say a few words? >> yes. so happy to be here, and very happy about being the first female on the cable car. growing up in a small town in georgia, my mom told me you can do exactly what you want to do, you just have to put in the work. that is exactly

what i did. that's what my mom told me to do. i put in the work and (indiscernible) i did it at age 52. absolutely unheard of. [applause] >> thank you so much. i'll bring back rick and offer equal thanks to phenomenal volunteers at market street railway. [bell] that's a bell for fanny may. >> a treasure for our city, and a real (indiscernible) we appreciate that. we must not leave out sacramento. we depend on our representatives in the state capital to fight fight fight for more transit funding, and more funding of other kinds the cities

needs to survive. we have a great team of legislators and one of them assembly member ting, matt haney and scott wiener with a resolution. we will present it to jeff. >> thank you rick. come on up jeff. you heard how important the cable cars, not just are to san franciscans but everything who thinks about san francisco. to me, this is city that is a beacon, a light where people come to san francisco. people want to be tourists here, people want to live here, people want to make their way here or find a better life here and there is no better symbol. there are two symbol the golden gate bridge and the cable car. a symbol of inclusion, welcoming. how important it is when you ride the cars. you heard from the supervisor talk about the san francisco residents getting to

work running their errands. everything that is part of their day and then you have our amazing tourists who come to line up at this turn around to enjoy it. to me this symbol is precious, we have to preserve it and make sure we are doing everything possible to make sure that we can maintain it. that's one reason why work very very hard at the state level to do more funding for transit this year. $5 billion across the state. part is to make sure that muni, bart, ac transit can keep operating. very very critical services, absolutely needed and making sure these cable cares keep running is at the top of the list. again, congratulations jeff on behalf of senator wiener, assembly member haney, just appreciate you and your staff for all the hard work. woo ehad a couple rough years with the pandemic and still getting through it but appreciate you, all the operators who showed up every

day, rain or shine no matter what happens, make sure the system and cars are running. making sure that we don't forget our amazing cable cars on market street railway so thank you. appreciate it. [applause] >> well, okay. cable cares can take you half way to the stars, we all know that. today they can take you 150 years into the past as well. at least that is true of the distinguished past san franciscans who have time traveled to be here with. edward norton is here. [applause] let me introduce you to someone who we wouldn't be here today without the inventor of the cable car, mr. andrew haliday. [applause] this is a microphone.

you talk into it and-- >> amazing. i want to thank professor brown for bringing many of us here on this delorian time machine. you know, that very first day we were going up the clay street hill and the man i hired panicked who he saw down below and he ran away, so i had to take the grip myself. i was sure the grip will stay on theer -car, right? it will, yes. so, today we are looking at cable car number one. looking just like the original cars on the powell street line, which began to operate in 1888. isn't she a beauty? i personally want to thank all the workers, the carpenters, the painters, the iron workers who lovingly restored and

rebuilt and refurbished these cars with skilled hands and dedicated hearts. i also want to thank the gripman and conductors and power plant operators who maintain this system that all sorts of weather, day and night. i think they are to be congratulated for their hard work. [applause] and i also want to thank the city for continuing to fund the cable cars, and i hope you will keep the fares at 5 cents. [laughter] i invite all of you, the residents, our dear residents and our dear visitors to ride the cable cars, enjoy the journey, enjoy the views, and know you are riding one of the treasures of san francisco where they continue to run for another 150 years. [applause] >> thank you so much mr. haliday, honor to have you here. turn up the delorian to 1873 when you go back.

i want to do a quick shout out to the crew on this cable car. they are all special, they are all hard workers. (indiscernible) also a noted cable car historian. (indiscernible) he is wonderful guy. we appreciate him very much. derrick johnson, our conductor today. he is a great conductor. he is also active in local 250a and i want to shout out to all organized labor represented in all the crafts of cable car. that shows you what union work can do. [applause] the quality is unbelievable and never been better then today. so, we had great support from the san francisco historical society and steve and his reenactors, steve johnson andrew

-done a great job rounding all the people up. we have people from every era here. dona hugens is here as a person of the 60's i guess. you never know. and all the folks from the art deco society and all the groups who have come. i know i will miss some people. we all know how valuable our cable cars are to san francisco, but i thought it was time to get a professional assessment, so who better to do that then our city and county assessor? i wanted to ask you professionally, how valuable do you think the cable cars are? >> we are lucky because there is no taxable value of the cars, the values are immeasurable in the benefit to the city and county of san francisco. the memories they make, the workers they

employ, experiences provided to san franciscans and visitors to enjoy the city. heading to union scare, swenson to the other side of the hill to see the bay. those are the memories in san francisco and that's the value. >> swenson (indiscernible) since 1948. locally owned business. the cable cars actually do provide economic value that you can assess through all these small businesses and other places that benefit from their value, is that right? >> the best part is you can just huv off the train and visit each neighborhood along the way filled with diverse vibrant small businesses that make our city shine. >> thank you joaquin. >> thank you so much rick. >> joaquin represents the next generation of city leadership and we are in really good hands with folks like joaquin. also i went to college with his father art. art owes

me now. that is not true, joaquin is a great leader of our town. our cable cars are still with us because of the work of thousands of san franciscans as said here who built operated and maintained them, and because of special cable car heroes who created them, saved them, rebuilt thement, senator feinstein we are thinking of you, and who celebrated them to the entire world. we lost one of those heroes 10 day ago, but the gift he gave to the cable cars will live on through the enduring populearity became his song that enticed millions from free mont, oakland and paris and china and all over the world. to feel the fog he sang about and to ride those little cable cars half way to

the stars. we have requested and so glad to hear the mayor say what she said today, a cable care dedicated to tony bennett. we will have a party when that happens and we'll be here for that, and let's remember him. is don nealy here? don nealy is a wonderful san franciscans and wave your hand don. musician, musician. there he is. don, can you play for us? you know what we need. don nealy. nope. we will have to sing it by ourselves. [singing i left my heart in san francisco]

[applause] >> thank you all! >> you are watching san francisco rising. today's special guest is jeff tomlin.

>> hi. you are watching san francisco rising. to show that is focused on restarting, rebuilding, and reimagining our city. our guest today is the director transportation of the sfmta and he's with us to talk about the agency's 23-24 budget with the muni equity strategy and new projects across the city. welcome to the show. >> thank you it is good to be here. >> i see the sfmta's budget for 2023 and 2024 has been approved. how will it help provide a strong recovery during the next few years for our riders, operators and staff? >> it has been a challenging couple of years. covid wiped out the basic finances. our agency is funded primarily from transit fares, parking fees and a fixed set aside for a general fund and covid has meant we have lost more than half of our parking and transit for revenue. we are not expected to recover

them until 2027. this budget takes a one-time federal release funding and spreads that out between now and 2025. and our task is to rebuild trust with the voters that sfmta can actually deliver on their goals and that includes things like making muni faster, more frequent, and more reliable. includes making our streets safer and making everyone feel safe riding the bus. it means taking advantage of the amount of change we're going to experience in order to advance equity so that we invents -- invest the most amount of money in communities that need our services the most. it also means supporting san francisco in its larger economic recovery. basically two years between now and 2024 in order to build trust with the voters and figure out how are we going to find muni

moving forward because it is in 2024 and 2025 when the one-time federal release fund went out. >> are you planning on starting up? >> as a result of covid, we have 1,000 vacancies in the organization. that is why muni service is not fully recovered. this budget allows us to fully staff through 2024, which means we can restore muni service, invest in safety, and invest in other programs in order to make the transportation system work better for everyone. >> can you talk about the mooney service equity strategies? as you move out of the pandemic, how has that plan been updated? i have heard there are elevator upgrades in progress. >> we have been working a lot on equity during muni's recovery. we have been basing our work on the muni equity strategy. this is the plan we update every two years that looks at the changing demographics of san

francisco and helps us direct our transit resources where people need it the most. that means people with low income, people of color, seniors, people with disability, children, all the folks who have the fewest choices. during covid, when we had to strip back the transit system, 13 quarters of the workforce were in quarantine, we directed all of the agency's resources to the equity neighborhoods. places like the bayview, chinatown, the mission, the valley, and even through our recovery, we have continued to deliver the best muni service's so -- to the neighborhoods that need it the most. right now we are still operating more frequent service in core lines in equity neighborhoods than we did precovid. and the result of that is extraordinarily high ridership. we are finding, for example, by

investing in the frequency and reliability on lines like the 22 fillmore, that we are getting 133% of precovid ridership, even when the overall system is only at about half of the ridership recovery. that is 133%. that is on weekends. we are at about 96% of precovid ridership on our main equity lines on weekdays. we're also investing a whole variety of infrastructure projects aimed at making transit work better, particularly for people with disabilities. on the market street corridor, our elevators to the subway station date back to the 1970s and need significant renovation. right now we are busy working on renovating the elevators at the station. we have completed the elevator upgrade for the eastbound platform. we are now working on the westbound platform. that will modernize the elevators and make them a lot

more reliable, and make sure that we can continue to prioritize people with the fewest mobility choices. >> that's great. changing topics slightly, i understand the improvement project is halfway completed. have shared spaces made the product -- project more complicated? >> yes. lots of things have made the terminal project more complicated, including things like covid and supply chain issues. we learned a lot on the first phase of the terra vale project, which rebuilt the street from sunset boulevard to the zoo, including rebuilding all the infrastructure of the streets, the underground utilities, to modernize all that infrastructure and make it more resilient, and make sure that we do not have to rebuild the street, hopefully in any of our lifetimes. we also learned about the importance of collaborating, particularly with neighborhood businesses and residents. we want to make sure that we are

constructing the city's infrastructure in a time that the city is suffering and we are not adding to suffering. we're doing things like partnering with the mayor's office of economic workforce development to support neighborhood businesses through programming during this time. we are also making sure that businesses that create shared spaces in the parking lane, some of those need to be moved out of the way while the utility work is done underneath them. we are making sure that we will either move those platforms and outdoor eating areas back as they were, or help local merchants rebuild them so that we are not adding to the burden of local businesses and that we help everyone recover in this challenging time. >> quite right. finally, many of the sfmta vision zero quick build projects have been well received. can you talk about the evans street project? >> one of the things we did during covid was dramatically expand the rate of what we call

quick build projects, which are fast-moving projects using simple and cheap materials in order to redesign streets and test out new ideas and see how they work, as well as get a lot of feedback from community before moving into a larger capital project that converts all of that plastic stuff into concrete and trees and, you know, curb extensions. what we have been finding is that our quick build safety projects are able to cut severe injury and fatalities between 25 and 75%, depending upon the location on the techniques that we use. so we are targeting streets that have the highest rate of traffic crashes, particularly injury crashes and fatalities. we focused on evans, which is really important connector for all modes of transportation between the bayview and the

central neighborhoods of san francisco. also a street with a terrible track record of severe crashes. on evans, what we are doing, again using paint and plastic posts for the time being, is taking the lanes that are out there right now, and converting them to one lane in each direction plus turn pockets. what we found on streets like valencia or south bend this, or -- south van nass, is a street with one lane in each direction plus a term pocket can move just as much traffic as a street with two lanes in each direction. left turning vehicles mean the two lanes of traffic are never really available for through traffic. these road diets that we do have been tremendously effective for improving safety outcomes for all road users, without exacerbating traffic. they do make all cars slow down

to the speed of the most prudent driver. this week we are getting started in partnership with the department of public works on work to restripe all of evans between third and cesar chavez, and as part of this work will be collecting a lot of data, talking to industrial users in the industrial district and talking to folks in the bayview commercial district and in the mission about how it is working. we will make some adjustments along the way and if it is successful, then we will start another project that is more capital-intensive to make it permanent. if it is not successful, we will turn it back the way that it was, having spent very little money. >> thank you so much. i really appreciate you coming on the show. thank you for the time you have given us today. >> it has been great being here. thank you so much. >> that is it for this episode. we will be back shortly. you have been watching san

francisco rising. thank you for watching. it. >> shop & dine in the 49 promotes local businesses and

challenges resident to do their shop & dine in the 49 within the 49 square miles of san francisco by supporting local services in the neighborhood we help san francisco remain unique successful and vibrant so we're will you shop & dine in the 49 chinatown has to be one the best unique shopping areas in san francisco that is color fulfill and safe each vegetation and seafood and find everything in chinatown the walk shop in chinatown welcome to jason dessert i'm the fifth generation of candy in san francisco still that serves 2000 district in the chinatown in the past it was the tradition and my family was the royal chef in the

pot pals that's why we learned this stuff and moved from here to have dragon candy i want people to know that is art we will explain a walk and they can't walk in and out it is different techniques from stir frying to smoking to steaming and they do show of. >> beer a royalty for the age berry up to now not people know that especially the toughest they think this is - i really appreciate they love this art. >> from the cantonese to the hypomania and we have hot pots we have all of the cuisines of china in our chinatown you don't have to go far. >> small business is important to our neighborhood because if

we really make a lot of people lives better more people get a job here not just a big firm. >> you don't have to go anywhere else we have pocketed of great neighborhoods haul have all have their own uniqueness. >> san francisco has to all >> >> (indiscernible) faces transformed san francisco street and sidewalks. local business communities are more resilient and our neighborhood centers on more vibrant ask lively. sidewalks and parking lanes can be used for outdoor seating, dining, merchandising and other community activities. we're counting on operators of shared spaces to ensure their sites are

accessible for all and safe. hello, san francisco. i love it when i can cross the street in our beauty city and not worry whether car can see me and i want me and my grandma to be safe when we do. we all want to be safe. that's why our city is making sure curb areas near street corners are clear of parked cars and any other structures, so that people driving vehicles, people walking, and people biking can all see each other at the intersection. if cars are parked which are too close to the crosswalk, drivers can't see who is about to cross the street. it's a proven way to prevent traffic crashes. which have way too much crashes and fatalities in our city. these updates to the shared spaces program will help to ensure safety and accessibility for everyone so we can all enjoy these public

spaces. more information is available at sf dot gov slash shared [music] >> san francisco city clinic provides a broad range of sexual health services from stephanie tran medical director at san francisco city clinic. we are here to provide easy access to conference of low-cost culturally sensitive sexual health services and to everyone who walks through our door. so we providestd

checkups, diagnosis and treatment. we also provide hiv screening we provide hiv treatment for people living with hiv and are uninsured and then we hope them health benefits and rage into conference of primary care. we also provide both pre-nd post exposure prophylactics for hiv prevention we also provide a range of women's reproductive health services including contraception, emergency contraception. sometimes known as plan b. pap smears and [inaudible]. we are was entirely [inaudible]people will come as soon as were open even a little before opening. weight buries a lip it could be the first person here at your in and out within a few minutes. there are some days we do have a pretty considerable weight. in general, people can just walk right in and register with her front desk seen that day. >> my name is yvonne piper on the nurse practitioner here at sf city clinic. he was the first time i came to city clinic was a little

intimidated. the first time i got treated for [inaudible]. i walked up to the redline and was greeted with a warm welcome i'm chad redden and anna client of city clinic >> even has had an std clinic since all the way back to 1911. at that time, the clinic was founded to provide std diagnosis treatment for sex workers. there's been a big increase in std rates after the earthquake and the fire a lot of people were homeless and there were more sex work and were homeless sex workers. there were some public health experts who are pretty progressive for their time thought that by providing std diagnosis and treatmentsex workers that we might be able to get a handle on std rates in san francisco. >> when you're at the clinic you're going to wait with whoever else is able to register at the front desk first. after you register your seat in the waiting room and wait to be seen. after you are called you come to the back and meet with a healthcare provider can we determine what kind of testing to do, what samples to

collect what medication somebody might need. plus prophylactics is an hiv prevention method highly effective it involves folks taking a daily pill to prevent hiv. recommended both by the cdc, center for disease control and prevention, as well as fight sf dph, two individuals clients were elevated risk for hiv. >> i actually was in the project here when i first started here it was in trials. i'm currently on prep. i do prep through city clinic. you know i get my tests read here regularly and i highly recommend prep >> a lot of patients inclined to think that there's no way they could afford to pay for prep. we really encourage people to come in and talk to one of our prep navigators. we find that we can help almost everyone find a way to access prep so it's affordable for them. >> if you times we do have opponents would be on thursday

morning. we have two different clinics going on at that time. when is women's health services. people can make an appointment either by calling them a dropping in or emailing us for that. we also have an hiv care clinic that happens on that morning as well also by appointment only. he was city clinic has been like home to me. i been coming here since 2011. my name iskim troy, client of city clinic. when i first learned i was hiv positive i do not know what it was. i felt my life would be just ending there but all the support they gave me and all the information i need to know was very helpful. so i [inaudible] hiv care with their health >> about a quarter of our patients are women. the rest, 75% are men and about half of

the men who come here are gay men or other men who have sex with men. a small percent about 1% of our clients, identify as transgender. >> we ask at the front for $25 fee for services but we don't turn anyone away for funds. we also work with outside it's going out so any amount people can pay we will be happy to accept. >> i get casted for a pap smear and i also informed the contraceptive method. accessibility to the clinic was very easy. you can just walk in and talk to a registration staff. i feel i'm taken care of and i'm been supportive. >> all the information were collecting here is kept confidential. so this means we can't release your information without your explicit permission get a lot of folks are concerned especially come to a sexual health clinic unless you have signed a document that told us exactly who can receive your information, we can give it to anybody outside of our clinic. >> trance men and women face

really significant levels of discrimination and stigma in their daily lives. and in healthcare. hiv and std rates in san francisco are particularly and strikingly high were trans women. so we really try to make city clinic a place that strands-friendly trance competent and trans-welcoming >> everyone from the front desk to behind our amazement there are completely knowledgeable. they are friendly good for me being a sex worker, i've gone through a lot of difficult different different medical practice and sometimes they weren't competent and were not friendly good they kind of made me feel like they slapped me on the hands but living the sex life that i do. i have been coming here for seven years. when i come here i know they my services are going to be met. to be confidential but i don't have to worry about anyone looking at me or making me feel

less >> a visit with a clinician come take anywhere from 10 minutes if you have a straightforward concern, to over an hour if something goes on that needs a little bit more help. we have some testing with you on site. so all of our samples we collect here. including blood draws. we sent to the lab from here so people will need to go elsewhere to get their specimens collect. then we have a few test we do run on site. so those would be pregnancy test, hiv rapid test, and hepatitis b rapid test. people get those results the same day of their visit. >> i think it's important for transgender, gender neutral people to understand this is the most confidence, the most comfortable and the most knowledgeable place that you can come to. >> on-site we have condoms as well as depo-provera which is also known as [inaudible] shot. we can prescribe other forms of contraception. pills, a patch and rain. we provide pap smears to women who are uninsured in

san francisco residents or, to women who are enrolled in a state-funded program called family pack. pap smears are the recommendation-recommended screening test for monitoring for early signs of cervical cancer. we do have a fair amount of our own stuff the day of his we can try to get answers for folks while they are here. whenever we have that as an option we like to do that obviously to get some diagnosed and treated on the same day as we can. >> in terms of how many people were able to see in a day, we say roughly 100 people.if people are very brief and straightforward visits, we can sternly see 100, maybe a little more. we might be understaffed that they would have a little complicated visits we might not see as many folks. so if we reach our target number of 100 patients early in the day we may close our doors early for droppings. to my best advice to be senior is get here early.we

do have a website but it's sf city clinic.working there's a wealth of information on the website but our hours and our location. as well as a kind of kind of information about stds, hiv,there's a lot of information for providers on our list as well. >> patients are always welcome to call the clinic for there's a lot of information for providers on our list as well. >> patients are always welcome to call the clinic for 15, 40 75500. the phones answered during hours for clients to questions. >> >>

>> good afternoon. i welcome you to the health service board. august 10, 2023 meeting. i like you all to please join me in saying the pledge of allegiance to the flag. >> i pledge allegiance to the flag of the united states of america, and to the republic, for which it stands, one nation, under god, indivisible, with liberty and justice for all. >> i guess to