so my name is michelle kinn. an epidemiologist with the department of public health in the population health division. my presentation will focus primarily on the data collected as part of the assessment -- part of the chna. however, before i get into the data, i'm going to provide you a lick of background which was already partially covered. the chna identifies the health of san franciscans and the factors that influence health. we complete this assessment once every three years in collaboration of sfhip who you already heard from and informs the community health improvement plan. we also use this document to support our work internally and provide it to the community to use as well. data is collected through three means a. community health status assessment, which is traditional data analysis. a review of existing assessments which collects day the and viewpoints as well from other researchers, community groups and d.p.h. itself that put out a report so we can use lie that work and we also do direct community e