colfax. [applause] >> well thank you city attorney too. i really want to thank you for giving you the perspective on what pharmaceutical distributors did to create this crisis. i trained during the period of time that you talked about including at zuckerberg san francisco hospital and i witnessed firsthand the pharmaceutical and distributor abuse of patients, the most vulnerable populations in fueling addiction, the consequences of which we are dealing with today. and i really want to thank you and your team for the leadership you showed in holding the distributors accountable and i also want to acknowledge and thank the dph team of experts who testified as well our other city partners. commit today preventing overdose deaths through aggressive interventions. our priority is to bring people with substance use disorders into care and to save lives. with the addition of these settlements, dollars the city will help many on their journey to wellness and recovery. the national fentanyl crisis has affected cities across the country including sa

grant colfax. dr. director colfax. good afternoon . thank you. president bernal. items on the director's report. i'll just quickly do an overview, but i think the first item important to highlight that the department of public health celebrates san francisco pride. this year's san francisco pride celebrations celebrate our quote looking back and moving forward and a df. we have a proud history serving the lgbtqia plus community. as you know, our department has been a leader in providing equitable, accessible , comprehensive and if i may say, groundbreaking health care to underserved and marginalized outcue aia plus people. and you will see some details in the written item just excited that we will df will have a parade contingent at the trans march on friday june 23rd and at the pride parade on sunday, june 25th. and we are encouraged all staff to participate. and another item i'd like to call the commission's attention to in the written report is under the item. second item sf ems award is recognized for excellence in emergency medical services. you will see in t

grant colfax. this message highlights the three feature articles in the report which includes the covid pandemic response, the mental health sf implementation, and update from the office of health equity and human resources. this message also discusses dph response to the overdose crisis as well as the laguna honda hospital recertification. next slide, please. the director message is fallowed by a message from commission president bernal, his message includes dph response to covid pandemic, laguna honda hospital recertification and renovation of maxine helths center. those these messages provide leadership introduction to department activities discussed in the report. next slide, please. the next set of sections provide overview of the functions and services across the department. the section starts by introducing the department two divisions and roles and protecting and promoting the health of san franciscans. the next section reviews dph true north and 6 true pillars which is then fallowed by the

some of it came to you in it came to director colfax. while we were in starting a process kind of a little bit more contained press we were going through research which is may be not the largest group process. at the same time, there was a conversation starting in community so that megablack was putting them in budget and had a health section the reparation committee had a health section about black health. we were concurrently asking questions while they delivered input now we are trying to bring it together. activelies not us. we are trying to tick when we were already doing we were read thanksgiving this was manage this was an issue andmented be will involved in with when people were telling usch is the best way we have the prior and trying to understand the background. urn the planning group section where you say contracted the national research row view of contributors to black lonefity and interventions. you have that review. we are it and share today and sent it to [inaudible] and the study the same thing a researcher who did a st

i don't blame them if they're not, but of course, dr colfax, you're right on time, and we appreciate you. thank you. should we start, please? good afternoon supervisors. thank you so much. um i'm grand kovacs, some of the director of health and we will get right into our budget. i do want to start by by thanking, um anna dunning. do you mean of the at the mayor's office for her work and support? um at the budget off as leader of the mayor's budget office, and then jenny louis, our budget director did an incredible amount of work . and just as you will see, in our in our presentation. that we have met our targets without any reduction in service levels despite this very challenging environment, with the exception of continued stepped down of our covid 19 efforts, which i think is appropriate given, thankfully , where we have come from in these last three years, and we've met our targets, primarily through revenue and focus limited growth in key areas. next slide, please. so our mission and vision in the department of public health our mission is to protect and promote the health and w

colfax for your support in doing that work. >> thank you, dr. philip. next item is community and public health committee update. >> are you providing that. >> i am with dr. chow. >> of course. >> i hope. >> so, we had a really wonderful presentation today. the tuberculosis update. we received this last year and we are hoping, a long with the presenters that this will become an annual presentation because it's so useful and interesting and necessary. so, first of all, san francisco has the comparatively and relatively high incident of active cases. it is three to four times the national rate. it's also much higher than in the rest of california. understanding the reasons for this is complicated by the fact we're a city and county. other people gets counted as a city verses county. i'm not sure how that all plays out, but we are an urban core and we are higher than los angeles as well as new york. again, and higher than imperial county as well, so it's interesting and concerning but there may be reasons for that that's not concerning, so you received the

deputy form in assistive gate i would have called you is actually attending the conference of gate up colfax. i much for finding a time to speak to us today. how not to thank you. thank you. now i just want to start off with your very recent comments. that's the most go consider as the french presence of mind, well, microns, a desire to attend the break summits and soft. i forget to be in appropriate. could you expand on that for us? i do believe the french farm instead of the dialogue would always be a good thing, wasn't not appropriate for me to be that. well, thank you mrs. scott. thank you for asking me this. in fact, i don't know whether present my criminal france has any desire to attend the vic sunroof. you do have this book south africa later this summer. we only saw an interesting piece in a very respected paper. media outlets old looking young, which speculated along these lines, our russian position is very clear though. we believe that no attendance of any leaders of any country that disuse advisory policy towards russia. and not these the forms actions that constitute the g too

for the opportunity to live in ukraine now and we believe in our victory the annual denver marathon colfaxin the framework which organizes races at various distances, gathered more than 30 thousand runners from all over america, in the team we will stand out from liberty , olga kuprider, who moved to denver 22 years ago from the city of kremenchug, came here to support our boys, was not impressed . what about when we ran with ukrainian flags and with symbols on t -shirts and hats, did the boys have ukrainian flags and a lot of people, and did they approach or run up to us and say, we support ukraine thanks to this event, give us your liberty many new volunteers and like-minded people have joined . in the near future, the foundation plans to bring another group of soldiers for prosthetics, says kelly roerich, co-founder of the organization . i see my role in working with americans. in my opinion , it is very important for americans to understand what is happening in ukraine in colorado. we are a very small organization, there are only three of us, but we are strongly supported, so we will h

colfax wants to say anything else. but it does seem like there is potentially some money here that we can think about. and you would rather we don't. whatever. whatever the whatever pleases the chair and the members of the committee. okay. all right. thank you. thank you. i don't see any other name on the roster. so we'll continue this conversation. yes yes. okay. thank you. thank you. okay. it means that we'll come back and see you again. but but. or that we would just have an ongoing conversation. yeah, we'll try to resolve it by wednesday. thank you. thank you. and my apologies to everyone. i'm going to back to my order. department of public health. yes, i did that. and then we did that. and then so it was human services agency. thank you, director. thank you, chair chan, members of the committee. so and thanks to the bla for working with my budget team over the last couple of weeks. the bla has 21 non policy recommendations in terms of reductions for us. we are in agreement with 15 of them totaling about $3.3 milli

some of it came to you in it came to director colfax. while we were in starting a process kind of a little bit more contained press we were going through research which is may be not the largest group process. at the same time, there was a conversation starting in community so that megablack was putting them in budget and had a health section the reparation committee had a health section about black health. we were concurrently asking questions while they delivered input now we are trying to bring it together. activelies not us. we are trying to tick when we were already doing we were read thanksgiving this was manage this was an issue andmented be will involved in with when people were telling usch is the best way we have the prior and trying to understand the background. urn the planning group section where you say contracted the national research row view of contributors to black lonefity and interventions. you have that review. we are it and share today and sent it to [inaudible] and the study the same thing a researcher who did a st

colfax. [applause] >> well thank you city attorney too. i really want to thank you for giving you the perspective on what pharmaceutical distributors did to create this crisis. i trained during the period of time that you talked about including at zuckerberg san francisco hospital and i witnessed firsthand the pharmaceutical and distributor abuse of

it is the colfax, louisiana massacre. we were slaughtered systematically. right now in 2023 we still have people who want to live about the racial terror and the slaughter. we are caught in a sick vortex. that is why martin luther king, junior said the country was sick with the disease of racism. to all of the white supremacists and racists and elected officials and church leaders wanted to kill and murder king when he told them that, he said he was only the physician diagnosing the disease. he did not cause the illness. i will say the same thing. we are a sick society. sing that does not mean the black people acknowledging the disease because the disease because we did not cause the disease. this is not our problem. i will turn around what w.e.b. dubois said in 1903. we are not the problem. black people are inherently not the problem. a nation that wants to commit crimes against black people and denies our god-given dignity and prevent us from accessing citizenship is the problem. host: lara is in spokane, washington. hi, laura. caller: the reason for my c

colfax wants to say anything else. but it does seem like there is potentially some money here that we can think about. and you would rather we don't. whatever. whatever the whatever pleases the chair and the members of the committee. okay. all right. thank you. thank you. i don't see any other name on the roster. so we'll continue this conversation. yes yes. okay. thank you. thank you. okay. it means that we'll come back and see you again. but but. or that we would just have an ongoing conversation. yeah, we'll try to resolve it by wednesday. thank you. thank you. and my apologies to everyone. i'm going to back to my order. department of public health. yes, i did that. and then we did that. and then so it was human services agency. thank you, director. thank you, chair chan, members of the committee. so and thanks to the bla for working with my budget team over the last couple of weeks. the bla has 21 non policy recommendations in terms of reductions for us. we are in agreement with 15 of them totaling about $3.3 milli

grant colfax. dr. director colfax. good afternoon . thank you. president bernal. few items on the director's report. i'll just quickly do an overview, but i think the first item important to highlight that the department of public health celebrates san francisco pride. this year's san francisco pride celebrations celebrate our quote looking back and moving forward and a df. we have a proud history serving the lgbtqia plus community. as you know, our department has been a leader in providing equitable, accessible , comprehensive and if i may say, groundbreaking health care to underserved and marginalized outcue aia plus people. and you will see some details in the written item just excited that we will df will have a parade contingent at the trans march on friday june 23rd and at the pride parade on sunday, june 25th. and we are encouraged all staff to participate. and another item i'd like to call the commission's attention to in the written report is under the item. second item sf ems award is recognized for excellence in emergency medical services. you will see

and as dr colfax described we have made real progress. in my view in some of the dual diagnosis capacity in our system in two ways. partnering with our colleagues in probation. we opened the mentor program, which has a total of 75 beds. these are not intended. ah for short term care there up to 24 months. they are supportive living environment for people, both seeking recovery in terms of substance use and taking recovery in terms of mental illness. they have wrapped around intensive clinical supports. we also opened an additional approximately 75 beds for what we have now termed in, um rehabilitative boarding care also longer term facilities also intended and caring for people with dual diagnoses. so that's 100 and 50. plus are locked sub acute another 20 or so plus or psychiatric sniff. i'm not so good at doing math on the fly about 1 80 of our 3 50, an additional 70 residential step down beds, which is again, uh, people coming out of a substance use disorder treatment, offering longer term stabilization up to 24 months, and that is a g

and as dr colfax described we have made real progress. in my view in some of the dual diagnosis capacity in our system in two ways. partnering with our colleagues in probation. we opened the mentor program, which has a total of 75 beds. these are not intended. ah for short term care there up to 24 months. they are supportive living environment for people, both seeking recovery in terms of substance use and taking recovery in terms of mental illness. they have wrapped around intensive clinical supports. we also opened an additional approximately 75 beds for what we have now termed in, um rehabilitative boarding care also longer term facilities also intended and caring for people with dual diagnoses. so that's 100 and 50. plus are locked sub acute another 20 or so plus or psychiatric sniff. i'm not so good at doing math on the fly about 1 80 of our 3 50, an additional 70 residential step down beds, which is again, uh, people coming out of a substance use disorder treatment, offering longer term stabilization up to 24 months, and that is a g

grant colfax is the dealer of death, the doctor of death. whatever i mean, he needs to stop this. ucsf promoted fentanyl. you guys need to do proclamations, ordinance and all this other stuff, and you need to get doctors out there. thank you for your comments, mr. shue. let's hear from our next caller. please, please, madam clerk, there are no more callers in the queue. thank you, mr. president. public comment is closed. madam clerk, could you please read the adoption without committee reference calendar items? 52 through 55 were introduced for adoption without reference to committee. a unanimous vote is required for resolutions on first reading today. alternatively any supervisor may require a resolution on first reading to go to committee. would any member or members like an item or item seven? seeing none on the adoption without committee reference calendar? mr. president. supervisor. supervisor. i just want to be at as a co-sponsored item number 54 5454. okay noted on the calendar. a roll call, please. on items. what have we got here on items 52 through 55. supervisor safire,

it is the colfax, louisiana massacre. we were slaughtered systematically.w in 2023 we still have people who want to live about the racial terror and the slaughter. we are caught in a sick vortex. that is why martin luther king, junior said the country was sick with the disease of racism. to all of the white supremacists and racists and elected officials and church leaders wanted to kill and murder king when he told them that, he said he was only the physician diagnosing the disease. he did not cause the illness. i will say the same thing. we are a sick society. sing that does not mean the black people acknowledging the disease because the disease because we did not cause the disease. this is not our problem. i will turn around what w.e.b. dubois said in 1903. we are not the problem. black people are inherently not the problem. a nation that wants to commit crimes against black people and denies our god-given dignity and prevent us from accessing citizenship is the problem. host: lara is in spokane, washington. hi, laura. caller: the reason for my call, and

grant colfax is the dealer of death, the doctor of death. whatever i mean, he needs to stop this. ucsf promoted fentanyl. you guys need to do proclamations, ordinance and all this other stuff, and you need to get doctors out there. thank you for your comments, mr. shue. let's hear from our next caller. please, please, madam clerk, there are no more callers in the queue. thank you, mr. president. public comment is closed. madam clerk, could you please read the adoption without committee reference calendar items? 52 through 55 were introduced for adoption without reference to committee. a unanimous vote is required for resolutions on first reading today. alternatively any supervisor may require a resolution on first reading to go to committee. would any member or members like an item or item seven? seeing none on the adoption without committee reference calendar? mr. president. supervisor. supervisor. i just want to be at as a co-sponsored item number 54 5454. okay noted on the calendar. a roll call, please. on items. what have we got here on items 52 through 55. supervisor safire,