received a great update from chevon nestor who leads a small, but scrappy team in providing sexual health services in san francisco. learned about their achievement, their direction and the threat posed by the trump administration restrictions on title x which has an injunction against them. and office is working closely with the city attorney for future legal action. >> comments? thank you. >> commissioners, there was no public comment request. item 6 is second time hearing resolution in support of the 2019 community health needs assessment. i believe dr. -- actually, i loaded up the document that shows all the changes if you want to review them. i'm not sure how you want to address this. >> good afternoon, commissioners. we're back here to review the resolution regarding the community health needs assessment. i'm thomas aragon. i'm going to turn it over to michele kirian who will review all the changes made and we can make more if you need more. >> hi. good afternoon. i'm michele kirian. epidemiologist with the department of public health. since our meeting on the 7th, we made the follo