i would like to thank linda acosta from the communications department for helping with the design and layout of the report and thank dph staff who contributed their time and information which made this report possible. this year's report opens with a message from director garcia which highlights the two reorganized divisions. two foster collaboration between both divisions and also address significant disparities affecting the health status and outcomes of the african-american community this year dph launched the black african-american health initiative which will focus on health heart behavioral health, womens' health and sexual health and hospital. the marriage also recognizes central administration's role in providing support and facilitating the integration of our two divisions. the following message from director garcia is from our health commission president, dr. chow. dr. chow recognizes the development of the health net workure our city's system of care and important step in preparing for the affordable care act. the message highlights the health commission's partnership with