anton nigusse bland, who is the director of mental health reform and dr. grant colfax, the director of public health. >> thank you, mayor breed, for leading the way. if we're going to reform our system of care for the nearly 4,000 san franciscans who are most in need, everyone will have to work together. that's why it's so important to be standing here with our partners at tipping point and ucsf talking about these common goals that we share and advancing our shared vision. i want that briefly highlight a couple of findings in this report that reinforce our own. first, behavioural health outcomes are health outcomes and they are far worse for people of color. this report points out that black men die as almost twice the rate of white men of liver cirrohsis even though they have lower rates of alcohol disorder. we also found of the people experiencing homelessness, substance abuse problems have a higher incidence. alcohol remains a persistent and enormous public health issue that impacts the lives and health of many san franciscans. our most recent communit