reports are also received from officers of the public health service stationed abroad. nternational health organizations such as the health section of the league of nations and the pan-american sanitary bureau. the information is compiled and published and is used by quarantine officers of the hub lick he public health service and by other governments throughout the world. ♪ ♪ the director general of the pan-american union addresses a recent conference. >> gentlemen of the conference, at this your closing session, i want to express to you individually and collectively the deep appreciation of the pan-american union, the privilege of having had you with us during the period of your deliberation. it is no exaggeration to say the third pan-american conference of directors of health marks a step forward in the struggles of the nations of the continent to eliminate the causes of disease and to augment the efficiency of the masses of the people. i wish therefore to congratulate you and at the same time to assure you that in the future as in the past, you may count upon the ern

under the provisions of the recently enacted social security act, the public health service are cooperatingith every state and territory in the development in the state and territories of a national health program. this cooperative work between the federal, state and local governments should provide new standards of health for the people. in addition, the manufacture of all serums and vaccines sold in the country is carefully supervised by the public health service, as well as monitoring drug addiction and mental hygiene. it conducts marine hospitals, in which are treated american sailors. in addition, the service keeps in constant touch with health physicians throughout the world for weekly reports from every consular officer. it encourages health education in various problems of disease prevention. you will see in much more detail the ways in which this organization operates for human service. ♪ narrator: for centuries, it has been well known that epidemic diseases follow the lines of commerce and travel. during colonial times in the early days of the republic, the introduction of yellow

first responsibility for public health represent desk -- rests upon the states and localities of our try, the federal government does much to prevent disease and improve the health of all the people. this is done in many ways. one. skilled group of men and women study disease and the means of preventing. they prevent the introduction of disease from abroad, to prevent the spread of infections within our own territory. physicians in the public health service are cooperating with every state and territory in the republic with a national health program. cooperative work between the federal, state and local governments should provide new standards of health for the people. the manufacture of all serums and vaccines sold in the country is closely supervised by the public health service, as well as drug addiction and mental hygiene. it conduct marine hospitals, in which are treated american sailors. in addition, the service keeps in constant touch with physicians throughout the world at the weekly report from every consular officer. it encourages health education in disease prevention. you

in response to the positive test the department of public health rapidly employed a physician and health workers to conduct system as and temperature screening beyond what was already in place. any guest with symptoms with covid-19 will be tested and relocated to staff quarantined rooms immediately. other guests will be moved to hotel rooms based on exposure and risk of disease. they will be provided medical support and space to self-isolate. they are considered healthcare workers in this situation. the city is deploying a professional cleaning crew in addition to the cleaning resources led by may or breed at the beginning of this epidemic and that is ongoing. staff will be on site to answer questions. they will guide social distancing and implement shelter health screening pro pocols. i am with that community. division circling is near my children's school. it is a favorite spot of mine. it is important to understand this is not a place those not staying there should visit. we bring our germs to people experiencing homelessness when we try to show up to help. you can help by going out t

our goal is to further promote the public health orders. our goal is not to write a bunch of citations and arrest a bunch of people. our goals are actually to keep our public healthy is safe. be patient, and understand the orders are there to keep us all healthy and safe and please don't mistake the fact that progresstive enforcement or progressive pathway to compliance equates to lack of engagement. we are engaging thousandsch people and will continue to do so because we want to get to voluntary compliance. in order to do that, it takes engagement. >> thank you, chief scott. the next set of questions are for mayor london breed madam mayor, the first question, the san francisco county committee chair, david compose switchewageswitch to all mail fs election and what is made to make this a reality? >> to be clear, as someone comes from a community who, unfortunately, has a history in thiscallinthis country of not hg access to the voting booth, we, of course, take the ability for people in san francisco and others to have access to voting very

grant colfax, to come up and provide us with a update from public health. dr. colfax. >> thank you, mayor. i am grant colfax, director of health. today, i want to thank everyone in san francisco and in the bay area region for their cooperation and everything they are doing to help fight the spread of the coronavirus. you are leading the way. when you stay home, when you keep six feet apart from people, when you wash your hands and when you cover your nose and your mouth with cloth, you are literally saving lives. i would like to update san franciscans today on a few developments in our ongoing work to respond to the coronavirus and protect our community. today, there are 583 san francisco residents with confirmed cases of coronavirus. 38 of them are -- 83 of them are in the hospitals across the city and nearly half of those 83 are in the intensive care units. we know that three of them are among people experiencing homelessness, including two at the m.s.c. south shelter and one who spent time at the division circle navigation center. this underscores the need fo

cdc is the premier public health agency in the world. actually, many countries have renamed their public health agencies cdc, including in china , were cdc does not mean anything, so this is highly uncharacteristic of this agency. it is one slice of the cdc. it does appear that something happened with the testing kits. for 47 days after the sequence was announced by china, that is how long it took them until we had testing up and running in the united states. but that was just this test. what we probably should have had it was widescale, commercial level testing starting almost immediately. i would say that the fact that we did not have widescale commercial testing up very quickly at the end of january like some countries has really defined this outbreak for us to this point, and continues to defined this outbreak for us, because widespread testing is really going to be necessary as we think about reopening america again. to thing we need to do reopen america is make sure we decrease transmission. the first thing we need is widescale tes

phillip kaufmann here from the department of public health. >> good morning. ese are a continuation of expansion on work we've been doing for years as a health department. we've been providing services of training providers and health departments and health plans around california state in how to train other providers in opioid stewardship and managing opioid use disorder and clinical practice. those efforts were supported by the cdc through the department of public health and the second project -- so that's the first project, a continuation of that -- of those efforts for another three years. and then the second project is expanding to provide technical assistance on these issues nationally. >> supervisor fewer: okay. >> and the -- yeah. i'll stop there. >> supervisor fewer: please continue. >> the reason for this delay is the usual reasons of the time it took to process the receipt of the award. >> supervisor fewer: okay. thank you very much. colleagues, any comments or questions for dr. kaufmann? seeing none, there is no -- on this, let's open the items up f

and now we have another chance, i think that is key to preserve the public health by having a public health emergency leave. some of these difficult moments that people are testing, too. but one thing that i do take away as a bit of hope is that folks are realising how much of our health is linked with others around us. we're only as healthy as our neighbor, as our neighbor's neighbor. afternoon some of the people have come together to take care of each other in this moment. and this public health emergency we're taking care of some of the most vulnerable workers who are actually serving the public every day. it is an important step. i hope you take that tomorrow. thanks. >> thank you so much. any other speakers? >> you have two questions remaining. >> next speaker, please. >> caller: this is emily abraham. from the san francisco chamber of commerce. on behalf of the san francisco chamber of commerce, i would like to note that we are proudly supportive of this resolution. we sincerely thank supervisor mar to work with his efforts to work with the san francisco chamber of commerce and

yesterday bay area health officers joined to recommend members of the public cover their mouthsanos when -- mouth and nose when they go outside. cloth face coverings combined with physical distance and hand washing may prevent additional transmission of the coronavirus. the state health department issued new guidance this week as well. key point is this. if you cover your face, you are protecting other people around you. we know people may be contagious before they have symptoms or people with coronavirus could get only mildly sick. it could be you or me. covering your mouth is a good way to be a good neighbor and community member. this is not a substitute for physical distancing, staying at home and washing our hands. these are the mainstays. it is an additional tool and one to use. i also want to stress medical masks such as isolation or n95 masks are in very short supply and must be reserve would for healthcare and first responders. face covering can be a towel, scarf, anything to absorb droplets is fine. this is new advice. there will be questions and frequently asked questions on sf

public health? what specifically? brian: so right now there is someone in, in every community, in local health departments and state departments who are working to understand where the virus is, where it's going, doing contact racing, following up with folks, trying to come up with the guidance. so our governors and our mayors didn't just decide to keep everybody at home on their own. they're working with their local health officials. and we need to give these folks as much funding as we can to ensure that they have the adequate workforce, that we're modernizing their health departments. and that they have the data systems that they need to keep us safe because that's their job. soledad: who needs to be in that conversation about public health? experts and then doctors and nurses and then the school systems. i mean, who are all the people who are stakeholders? brian: everyone's a stakeholder in public health. i mean, public health is like the foundation of your house. it's not something you ever really think about, but

student: [indiscernible] the police, would they enforce any form of maintaining public health? prof. tomes: yes. the laws had been on the books since the 1890's that in many cities, you could not spit in public, but they were not enforced. during the influenza pandemic, they do start enforcing the anti-spitting laws. that particular picture i think here, there were a lot of staged ones, where basically you take a picture of them all wearing their masks and five minutes later i think the masks probably came off and they went about their business. because they were just too hard to use. the people did -- i'm not saying nobody wore them, and it became a symbol of being a really sophisticated person as you were the mask. but i think for the majority of american men, the hanky was a more viable, easy to get, and you can launder it -- that was the thing, you were supposed to have enough of them where you could wash them and use them the next time. so, did any of this work? you may be surprised to find out that when historians have gone back and tried to correlate these social distanci

in light of yesterday's shelter in place order and the serious public health risk of covid-19 we reject to this hearing taking place without public participation as required by the ralph m. brown act. neither my clients nor attorneys or other concerned members of the public can violate the order and risk their health to attend this hearing. this hearing must be pro postponed. and including reacting the record in real-time and the statements by city staff and other members of the public. this is not an imminent matter. and this could be accomplished without the proposed new amendments contained within this ordinance. these amendments are not urgent and do not affect any government function as defined by the order. we respectfully request that this hearing be postponed until the shelter in place order is lifted and we reserve the right to have additional arguments and materials in advance of the final hearing on this matter. thank you, for your krrs, very truly yours. so that was the public comment. and is there any additional public comment here? seeing none. is there a motion on this it

the amendments that we're considering to the public health emergency leave ordinance applies to section 5 and it pertains to allowable uses of emergency leads and only applies to employees who are healthcare providers and this amendment was crafted to balance the need for healthcare providers and similarly are healthcare workers to be able to take time off when they're sick or need to quarantine and balance that need with the urgent need of maintaining our healthcare wor workforce. to thithis provides leave whose employers can opt out of the leave expansion. and it goes without saying that healthcare providers should gott go to work when sick or quarantined. this ordinance will give them expanded pay leave to use if they're sick or quarantined. we know that pfizer sent a letter asking for an exemption but we disagree that healthcare providers should be exempt. there's been discussion with the hospital council and northeast medical services, a major nonprofit healthcare clinic that has a significant place in my district. if healthcare employers are offering paid leave, it will count towa

public health circles -- in public health circles, they refer it -- refer to it as the big one. you may think that was a sad story. and lots of people died, but what is the point of studying an old pandemic? after all, science is so much better today. we can just find a cure and curate. how are we doing with curing the coronavirus? parte not doing so well in because this is mother nature issuing a major challenge to us. peoplew virus form that do not have immunity to. coronavirus, and in manyonse to it is ways revisiting a lot of the same issues that came up with the world war i pandemic. we are having trouble with coronavirus today are similar to the problems they encountered with this new influenza in 1918-1919. here is an even stranger fact. to methods we use today control coronavirus are drawn from the same public health tables that they used in 19 -- labels they used in 1918. the basics are the same. we have not evolved hugely beyond what was available in the world war i era. it is precisely because the methods are still the same that there has been a growing interest in th

grant colfax, to come up and provide us with a update from public health. dr. colfax. >> thank you, mayor. i am grant colfax, director of health. today, i want to thank everyone in san francisco and in the bay area region for their cooperation and everything they are doing to help fight the spread of the coronavirus. you are leading the way. when you stay home, when you keep six feet apart from people, when you wash your hands and when you cover your nose and your mouth with cloth, you are literally saving lives. i would like to update san franciscans today on a few developments in our ongoing work to respond to the coronavirus and protect our community. today, there are 583 san francisco residents with confirmed cases of coronavirus. 38 of them are -- 83 of them are in the hospitals across the city and nearly half of those 83 are in the intensive care units. we know that three of them are among people experiencing homelessness, including two at the m.s.c. south shelter and one who spent time at the division circle navigation center. this underscores the need fo

this work will be done by public health professionals who work either at the department public health, one of our local health departments, or with credentialed volunteers. [indiscernible] medicine, nursing, and schools of social work. this will identify their exposure and also give them guidance on what they can do to prevent spreading the infection to others around them. additionally, by leveraging this , in partnership with microsoft, we will be able to rapidly share information so if a person resides in one jurisdiction and test positive in another, that can be instantly shared. [indiscernible] letting us know about their symptoms, when they became sick, and who they may have exposed immediately before or while they were asymptomatic. -- toill help identify stop the spread of covid in the community. contract -- contact tracers were working with will be able to answer general questions about the disease as well as referring individuals to social services as needed, and also making sure we're handling information in a confidential and secure manner. next slide, please. i think it is

all of us that are working for public health, what we are saying is focus on public health capacity. to get that in place, make sure it is strong, and learn from what countries of east asia have done to ensure all people know about the disease and what they are going to do. publicre we expand our health capacity across the community. so that if there is an upsurge of cases, hospitals can respond without being overloaded, going on to make sure they can provide other forms of health care. because, from time to time, you will get outbreaks, that is the pattern of the future, make sure you can protect poor people that suffer as a result of lockdowns, and ensure they can get cash, food, and make sure their children can continue to be educated so that you prevent the effects of containment measures from themselves causing a lot of distress. you can't restart your economy unless you have this faith it -- basic health capacity in place, and that is what countries all over the world are doing, particularly i want to say in the poorer countries who realize they cannot afford to lockdown for to

the amendments that we're considering to the public health emergency leave ordinance applies to section 5 and it pertains to allowable uses of emergency leads and only applies to employees who are healthcare providers and this amendment was crafted to balance the need for healthcare providers and similarly are healthcare workers to be able to take time off when they're sick or need to quarantine and balance that need with the urgent need of maintaining our healthcare wor workforce. to thithis provides leave whose employers can opt out of the leave expansion. and it goes without saying that healthcare providers should gott go to work when sick or quarantined. this ordinance will give them expanded pay leave to use if they're sick or quarantined. we know that pfizer sent a letter asking for an exemption but we disagree that healthcare providers should be exempt. there's been discussion with the hospital council and northeast medical services, a major nonprofit healthcare clinic that has a significant place in my district. if healthcare employers are offering paid leave, it will count towa

faced and overcome enormous public health challenges before. smoking,educing finding treatments for hiv and polio andicating other vaccine-preventable diseases -- challenges that required changes in thinking, changes in public policy, and changes in behavior. we must approach covid-19 in the same way, by relying on the science and evidence to inform our decisions and our actions. , thereis new pandemic are many unknowns. it is critically important, to the, that we go back core knowledge we have relied on in the past. as evidence evolves, necessarily, our strategies, tactics, and behaviors should change accordingly. it is science, research, and evidence, and not wishful that gives ideology us hope as we face uncertainties around this pandemic. it is science that will bring about proven treatment for covid-19. it is science that will bring about a vaccine. nationerson in this shares accountability in allting this virus, and we have a responsibility to do our part. at times like these, we may feel a sense of helplessness or hopelessness, but we are

a public-health message of the day is to get vaccinated. the changes which is why we neee to do the vaccine every year but unpredictably all of a sudden you have no protection against. from 1918, 7.5 million americans would die. 2.5%. think about the number of body bags and how this would completely disrupt the society if we kill 7.5 million. if the diseases like mersa keeps me up at night. i've seen these health systems. they are getting better at the ability to respond. part of my job in nebraska was to help the hospitals get better, but they know the risk of these infections in the united states and its ally worry about this as another example. a third example and i will stop there and that is hiv-aids. another you think of it in terms of sexual behaviors or drug abuse and let's remember it was another one of those. it's spread from human to human so why worry about another like that that spread through some other mode is a long information period before you get really sick and by the time you discover it's already spread widely, so thos

covid, and the terrible distress and destruction it is causing, but we forget four months ago, the public health community around the world to know it at all. and really the first thing that was heard was a problem developing, with message received at the end of december in the world health organization. if we count between the end of december and now, it is just four months. what an extraordinary transformation or has been. start the beginning. a rathers causes unpleasant infection that starts in the chest and then if we are lucky, can affect the whole body . as far as we can tell out of every 100 people who are infected by the virus, only about 20 become really ill and unfortunately -- and fortunately only about 2% of those are likely to die. the trouble is that because this is a new virus, we have been having to learn about it all the time and in the beginning many thought it was like influenza. virus,ce is caused by a but it is one we know quite well. we have had pandemics of influenza at intervals. some of them have been serious, some less so. influenzat an pandemic. at the beginning it was

and now we have another chance, i think that is key to preserve the public health by having a public health emergency leave. some of these difficult moments that people are testing, too. but one thing that i do take away as a bit of hope is that folks are realising how much of our health is linked with others around us. we're only as healthy as our neighbor, as our neighbor's neighbor. afternoon some of the people have come together to take care of each other in this moment. and this public health emergency we're taking care of some of the most vulnerable workers who are actually serving the public every day. it is an important step. i hope you take that tomorrow. thanks. >> thank you so much. any other speakers? >> you have two questions remaining. >> next speaker, please. >> caller: this is emily abraham. from the san francisco chamber of commerce. on behalf of the san francisco chamber of commerce, i would like to note that we are proudly supportive of this resolution. we sincerely thank supervisor mar to work with his efforts to work with the san francisco chamber of commerce and

talk about like to how we are going to approach the details of this public health framework. moving forward my plan is to hold discussions with leaders across the state to discuss the plan further. we will gather input from health care professionals, public health experts, and from industries impacted by the stay-at-home order. we will take a look at specific sectors of the economy, restaurants and food service, retailers, childcare, and personal services like hair and nail salons. we want to bring together business owners and practitioners with professionals to discuss how reopening gradually might be accomplished. this might include additional guidelines for reconfiguring the delivery of services with additional is a co-barriers like plexiglass dividers or requirements for ppe. i also want to add california and i willwsom coordinate our efforts. this virus does not recognize state boundaries. we have to work together on a plan and we will be talking regularly and sharing best practices with our neighbors to the north and south. say weing, i want to have to be careful. we als

public health service, and the university of pittsburgh to produce "the silent invader." the film is from the u.s. national library of medicine's digital collections. carl: in the public interest, the westinghouse broadcasting company and the university of pittsburgh, one of the nation's major health centers, in cooperation with the american medical society and the united states public health service bring you "the silent invader," an up-to-the-minute report on asian influenza. how do you do? i'm carl ives. throughout history, mankind has been forced to wage many battles in order to protect his family or nation against misfortune, disaster, or even possible extinction. while sometimes these wars have been, well, they've been catastrophic. there was the catastrophe of 1918, when an influenza epidemic swept through our own nation as well as the entire world. unlike the battles of nation against nation, or humanity against the forces of nature when man has often had the opportunity to prepare himself, the battles against disease throughout the centuries have found men in the

georgia, partnered with the private sector and offer drive-through services, and recently empowered public healthepartments across georgia to offer testing for all symptomatic individuals and specific asymptomatic individuals. today we are taking that effort to a different level. by announcing an even broader partnership with the state dedicated health system, to double down on our testing capacity and meet the requirements necessary to move forward with the president's plan. as many of you know, august university health launched telemedicine app as part of their comprehensive plan to screen, test, and treat georgia patients through an algorithm designed medical experts at the medical college of georgia. this app has enhanced public health while reducing exposure to our doctors, nurses, and medical staff. we are encouraging symptomatic georgians and asymptomatic individuals on the front lines or in long-term care facilities to download this app this week and begin the screening process. georgians can access the app by visiting augustahealth.org or downloading auhealth express care on your smartph

the department of public health has worked tirelessly to integrate information for testing, hospitalizations and transmission to keep the public informed. we realize that the team we can provide a more unified user-friendly platform for georgians in every corner of the state. earlier today, we unveiled the new covid-19 dashboard. it offers interactive reports that track emerging indicators, gross, rates of growth and outcomes of the covid-19 interventions. geo mapping supporter efforts to address hotspots. the dashboard also allows decision-makers to evaluate to identifynarios vulnerable populations such as health care workers, the medically fragile, and communities with at risk populations. this data is prevented -- presented in multiple formats including an interactive maps consumers can- see key statistics such as the incident rate for 100 thousand people in a county's population. additionally charge and statistics display demographic information for individuals who have tested positive for covid-19. information will be updated hourly, but the total number of tests will continue to be upd

san francisco public health foundation is the public health foundation and heluna health is different and used to be public health foundation copolymer prizes. -- foundation copolym enterpri. >> the first one is the san francisco public health foundation. >> the public health foundation and started several years ago when dr. mitch cass was director. and so that is separate than the public health enterprise foundation which was something completely different. so we are on the public health foundation contract right now. >> commissioner: that is different from the public health foundation. >> yeah. >> commissioner: all right. >> any other questions? >> we can move on to the next. >> the next one is heluna health, formally public health foundation enterprises inc.. now it's doing business as heluna health. so contract is an amendment adding $1,027,708 and we are extending the current term by 18 months through june 30, 2024. you actually previously approved this contract on june 5, 2018. this contract provides -- i shouldn't gotten water. program administration and support services to the

how little of a public health system we have. you realize how our health system is a private effector system. we call them voluntary hospitals, but they are not perfect for its but private sector -- they are not-for-profit's but private sector hospitals and they run their own hospitals. in downstate new york, we had not sow, westchester, that whole metropolitan area, but we have about 13 public hospitals. the rest are all private hospitals. when i had to go there and basically asked these private hospitals, you know, we have to work as one because now this is a public health mandate, they are not public health hospitals. they are private health hospitals, and they have their own clientele, patience, marketing department, a market niche, and they do not coordinate with the others. they don't do it. capacity and equipment they had was with the market what -- was what the market would support. they did not create an extra bedding case of catastrophe. they only had the number they could sell to the market. there was no additional capa

for 22 years, i wore a public health uniform and on my public health uniform was an anchor. the public health uniform looks much like a navy uniform and the reason it look like a navy uniform, we started 200 years ago, one of the chores of the public health service which we still have right now with the quarantine flag when the ship came to port, somebody with yellow fever and smallpox. if it is going to take you 80 days govern .80 point be by the time you show up in the court of new york city, we knew if you had smallpox a yellow fever because the incubation period, the time it takes to get infected, manifest your symptoms was always shorter than the time to go from point a 2 point be. we turned that upside down. you could now go to your mother's funeral in liberia, you fly to liberia, go to your mother's funeral, engage in the usual acts you around a funeral, your distraught, your mother died, you're kissing her, you're hugging her in the next day you get on a plane to amsterdam to new york city. and incubation period, and in new york, all of a sudden you find out, i am no

grant colfax, to come up and provide us with a update from public health. dr. colfax. >> thank you, mayor. i am grant colfax, director of health. today, i want to thank everyone in san francisco and in the bay area region for their cooperation and everything they are doing to help fight the spread of the coronavirus. you are leading the way. when you stay home, when you keep six feet apart from people, when you wash your hands and when you cover your nose and your mouth with cloth, you are literally saving lives. i would like to update san franciscans today on a few developments in our ongoing work to respond to the coronavirus and protect our community. today, there are 583 san francisco residents with confirmed cases of coronavirus. 38 of them are -- 83 of them are in the hospitals across the city and nearly half of those 83 are in the intensive care units. we know that three of them are among people experiencing homelessness, including two at the m.s.c. south shelter and one who spent time at the division circle navigation center. this underscores the need fo

public health is in jeopardy. and because of your work and your compliance with this order, we have done a great job and maintaining even as we see the number of cases increase every day, even as we see the number of, sadly, deaths continue to increase. we're still in a better place and it has everything to do with the people of san francisco for the most part complying with the orders. now is not the time to let up and get comfortable. especially as we see the weather has gotten a lot better. everyone probably wants to go outside and hang out. they want to see friends, family. unfortunately, this is not the time to let up. and we're still in this. we still need to get through this. and we still need your cooperation to do just that. i want to express again my appreciation. of course, do what you can to get your fresh air and take your walks. make sure you're taking care of our mental health as well, because that is also a critical thing that we will need do in order to get through this together. so thank you agai

baker: we spent a lot of time talking about three things with the healthcare committee and the public health committee. one was doing everything we possibly could through orders and guidance and instructions and public commentary to stop the spread and to do what we could with regard to social distancing, essential businesses, and all the rest. stay at home advisories and the like. number two was to work with our colleagues in the healthcare committee and the public health world to figure out what we thought the timing would look like with respect to the surge here and what kind of capacity we would need to have in place to make sure we would be able to meet it. that led to a variety of things. we were one of the first states to cancel elective surgeries so that we could free up gear and people and space to manage covid-19 when we had the surge. we will also -- were also one of the first states in the country to put a series of orders in place with respect to making it possible for retired folks to come back, out-of-state folks to get licensed to practice in massachusetts, accelerate the gra

our goal is to further promote the public health orders. our goal is not to write a bunch of citations and arrest a bunch of people. our goals are actually to keep our public healthy is safe. be patient, and understand the orders are there to keep us all healthy and safe and please don't mistake the fact that progresstive enforcement or progressive pathway to compliance equates to lack of engagement. we are engaging thousandsch people and will continue to do so because we want to get to voluntary compliance. in order to do that, it takes engagement. >> thank you, chief scott. the next set of questions are for mayor london breed madam mayor, the first question, the san francisco county committee chair, david compose switchewageswitch to all mail fs election and what is made to make this a reality? >> to be clear, as someone comes from a community who, unfortunately, has a history in thiscallinthis country of not hg access to the voting booth, we, of course, take the ability for people in san francisco and others to have access to voting very

heal san francisco will provide free mental health services for public, private, nonprivate health care workers with the covid-19 counseling project. licensed clinicals are volunteering time to support front line healthcare workers. healthcare staff interested in heal san francisco should speak with their hr department. they can help you sign up for this program. i also would like to take this opportunity to just really encourage people to take a moment to make sure that you are taking care much yourselves, taking care of your families. we know that this is having a tremendous impact on people's public health but also just in general mental health plays an important role in that. we need to think about ways to be positive, to be supportive, we can be encouraging during this time because we all are going through this and we are in this together. on monday, dr. colfax spoke to our efforts to increase capacity in our hospitals. we have increased our capacity. in fact in our intensive care unit beds we have increased our beds by 91% in our i c .u.s to 530 beds. we started with two 00 city-w

funding in order to respond quickly and tight let me just say part of that leadership is funding the public health budget so as an example of what it's this it's this cycle of panic in the glick so in the u.s. what happened was after $911.00 there was panic about health threats a huge fund was set up for public health emergencies over the next few years that went down then there was bird flu in the mid 2000 so it went out then there was a financial crash it went down and over a 6 year period we lost 45000 public risk because we were underfunding the budget that was needed for public health and this isn't just the u.s. this is this is every country and let me say that after the financial crisis. the members of the world health organization we need to remember the world health organization is 192. it's their organization it is only as effective as those members will let it be and it was the members who passed the budgets that defunded some of those public health capacity going into a bola so the doctor gets leadership at all levels there who unfortunately we're out of time but we certainly appreciat

grant colfax, to come up and provide us with a update from public health. dr. olfax. >> thank you, mayor. i am grant colfax, director of health. today, i want to thank everyone in san francisco and in the bay area region for their cooperation and everything they are doing to help fight the spread of the coronavirus. you are leading the way. when you stay home, when you keep six feet apart from people, when you wash your hands and when you cover your nose and your mouth with cloth, you are literally saving lives. i would like to update san franciscans today on a few developments in our ongoing work to respond to the coronavirus and protect our community. today, there are 583 san francisco residents with confirmed cases of coronavirus. 38 of them are -- 83 of them are in the hospitals across the city and nearly half of those 83 are in the intensive care units. we know that three of them are among people experiencing homelessness, including two at the m.s.c. south shelter and one who spent time at the division circle navigation center. this underscores the need for