it is new positions and dph staffing as well as contracted services obviously. so i am going to -- i have been asked to present kind of on our preface and updates on the contracting portion of the budget to date. and the department is working hard to strike the balance of following fair contracting processes while also deploying funding as quickly as possible to serve residents in need. my few slides will briefly cover funds where contracts have been successfully deployed to date and the process by which dph has contract feasibility for remaining programs as well as the overview of contracting information resources for dph generally. at this time dph successfully completed or is in near completion for contracts for the following prop c funded programs. scrt and the street response team. and the behave clinicians and are funded contractually and the with the rez enial and the care and mental health fund, mental health beds are expanded by 20 beds with the addition of a new facility. and finally soma rise as the drug sobering center and with drug intoxication at t

so that is in progress for updating the dph, it will be on the dph website and the timeline which justin was sharing with us is 6 to 8 months, of course we'd like it tomorrow but in light of the surge and how people are extremely overworked and busy at this presenttime , this is a goal but it's a definitive goal that our committee has asked for. so those were the highlights of the meeting previously today. i do know if commissioner chong or christian have any comments if they are with me as well? thank you. >> sounds promising. is there a public comment on this item? >> no publiccomment . >> anyquestions from commissioners ? i don't see any so then we will move on to other business. is there any other business? >> there is no publiccomment on this item . >> then we will do the joint conference committee and we will nowhave the hospital, commissioner guillermo . >> thank you vice chair green and i also, thank you for providing for the committee meeting last week for the vast majority of it. please add any of your own comments after i complete the notes here. as usual, the committee receiv

a lynch pin of our dph system.ted to just reiterate for your information the presentation i asked for what the building needs are and what is within this project that is going forward. you can see the number of clinics and i wanted them to be listed. as you can see it's a broad spectrum of of clinics within this system. there's a short fall of $202,000. this is the next slide of what the goal is and what your questions were. >>> my name is doctor ellen moffett, i am an assistant medical examiner for the city and county of san francisco. i perform autopsy, review medical records and write reports. also integrate other sorts of testing data to determine cause and manner of death. i have been here at this facility since i moved here in november, and previous to that at the old facility. i was worried when we moved here that because this building is so much larger that i wouldn't see people every day. i would miss my personal interactions with the other employees, but that hasn't been the case. this building is very ni

another on-island program, dph's health network nurse clinic at the gymnasium is continuing to offer. [ inaudible ] from may through july. more than 80% of the clinic visits for public vaccinations. others included educational and information and medical general medical needs. on island covid testing is continuing through the end of august. as with all covid-related programs, potentially subject to extension and continuation as it appears the city is well into a second surge at this point. you may have also seen reports of a hit-and-run fatality on the island on july 29th. we are awaiting the final police department investigative report to assess fully that situation. on august 3rd, we held our annual national night out event on the island. sponsors include one treasure island, housing providers, residents, community, police department, fire department, treasure island advisers and job core was in attendance. backs were given to residents going back to school. roughly 200 residents participated. there is a music festival planned for fields on saturday september 15th. on the second wee

so that is in progress for updating the dph, it will be on the dph website and the timeline which justin was sharing with us is 6 to 8 months, of course we'd like it tomorrow but in light of the surge and how people are extremely overworked and busy at this presenttime , this is a goal but it's a definitive goal that our committee has asked for. so those were the highlights of the meeting previously today. i do know if commissioner chong or christian have any comments if they are with me as well? thank you. >> sounds promising. is there a public comment on this item? >> no publiccomment . >> anyquestions from commissioners ? i don't see any so then we will move on to other business. is there any other business? >> there is no publiccomment on this item . >> then we will do the joint conference committee and we will nowhave the hospital, commissioner guillermo . >> thank you vice chair green and i also, thank you for providing for the committee meeting last week for the vast majority of it. please add any of your own comments after i complete the notes here. as usual, the committee receiv

and, of course, the amazing dph team, the mobile team led by dr. mary mercer. just remarkable work. we have 77% of eligible san franciscans now fully vaccinated in our city. so this is a remarkable achievement and, i think while the next few weeks will be very challenging and we're seeing covid-19 increase dramatically in our city, it's very important to remember that hundreds if not thousands of lives have been saved. we're in a much better place than during the fall and winter surge because people are vaccinated. because these vaccines work. because they keep you out of the hospital. because they are saving lives as we speak. if you are not vaccinated in san francisco. this is not a good time to be vaccinated. the delta variant is here. it accounts for more than 90% of our cases now. and it is a highly transmissible and there's emerging evidence that it's more likely that you would end up in the hospital compared to the virus we were dealing with just a few months ago. this is covid on steroids. the difference now between being vaccinated and not getting vax if you do get covid-19

participants in the final phase will come from existing dph lead poisoningcases . next slide. the program will emphasize mitigation measures as part of reducing lead risk to children and these measures will focus on services that generate lead dust that present and ingestion hazards. these mitigation measures include windows, native wood, built in furniture and built in cabinets and wooden doors. the program will inspect outdoor areas that maycontain leadcontaminant soil . next slide . to guide an efficient implementation the fix lead sf team has developed the following structure. the overall program lead is the city and county of san francisco with dph, department of public health and department of theenvironment leading the program . we will be assisted by a third-party administrator is primary role will be handling administrative functions including contracting and payment to the lead service providers and relocation service providers shown on the diagram in red . these entities will be completing the inspections and lead remediation work as well as relocatingapplicants of

gandhi: now, and san francisco dph was very smart. they did not say that asymptomatic testing would change anything. i agree with that. we tried it for a long time. there is a lot of false positives. there is other anxiety if you have a false positive. it is about symptomatic testing and testing people if they have had an exposure. then it is about masking and ventilation. all the dispensing requirements were dropped by california in favor of the two best interventions, which are masking and ventilation. i totally agree. there have been great studies of three feet versus six feet versus zero feet. it is good masks and ventilation. you're working on that. kristen: challenge you a little bit on the no need for testing for asymptomatics. isn't it true that a lot of kids, if they have covid, they don't get a lot of symptoms. i know a kid who is now in college who would not have known. all he had was a loss of smell. he took a test and he was honest about it. sophie self-quarantined. a lot of kids may not know or they may not say anything.

it's not just dph testing but encouraging our other partners kaiser cp cn ucsf to expand testing. however, san francisco supervisor matt haney says that he would like to see a return of covid-19 mass testing sites in the city. >> our department of public health really believes that providers private providers and hospitals need to do more of the testing which is important and great and we need to know really call on them to do that. but we also need to restore some of these mass testing sites that were there previously. what is clear is that rely solely on private providers isn't going to be enough. hasn't met you in kron. 4 news. >> new at 6, a big fine for san francisco mayor london breed. she's agreed to pay almost $23,000 to the city for an ethics breach while in office. the city's ethics commission says the violations include asking former governor jerry brown to release or rather from prison back in 2018 and accepting a gift in 2019 from the former public works director mohammed nuru. you may recall new rule was arrested last year on public corruption charges. the commission

another on-island program, dph's health network nurse clinic at the gymnasium is continuing to offer.han 80% of the clinic visits for public vaccinations. others included educational and information and medical general medical needs. on island covid testing is continuing through the end of august. as with all covid-related programs, potentially subject to extension and continuation as it appears the city is well into a second surge at this point. you may have also seen reports of a hit-and-run fatality on the island on july 29th. we are awaiting the final police department investigative report to assess fully that situation. on august 3rd, we held our annual national night out event on the island. sponsors include one treasure island, housing providers, residents, community, police department, fire department, treasure island advisers and job core was in attendance. backs were given to residents going back to school. roughly 200 residents participated. there is a music festival planned for fields on saturday september 15th. on the second week in october the navy will host events in sa

from those people and, of course, there were tons of boring emails that i swifted through from the dph that you have to choose, the ones that tell the story even the story of your day, you're not going to sit down and tell everyone everything that happened. you will choose the highlights, so that's what i did. >> that's just good writing. and related to that was there anything fascinating that you learned during research that ended up so to speak in the cutting room floor, a story that you didn't tell? >> well, i think it was more some interesting science that i learned which i could not work in because it derailed the story but researchers at uc san francisco who were trying to see can we image opioid receptors when they are being activated and by accident they found out that the opioids we take -- the ones we take like fentanyl, those actually behave differently and go inside of neurons and they go into parts that regular opioids don't and i just thought that was fascinating because i always wondered, we already have opioids, why are these so different. well, maybe that's why. i just

and of course there were tons of boring emails i sifted through from the dph so you really have to choose the ones that tell the story, even the story of your day you're not going to sit down and tell everyone everything that happened . you're goingto choose the highlights so that's what i did . >> it's just good writing. and related to that, was there anything really fascinating you learned during your research that ended up so to speak on the cutting room floor west and mark stories you didn't tell? >> i think it was more some interesting science that i learned. i just could not work in because it's derailed the story but again, researchers that uv san francisco who were just trying to see the image opioid receptors when they're being activated by accident they found the opioids, we have our own endogenous opioids. the ones we take our exogenous opioids like fentanyl and those behave differently and go inside neurons. and they activate other receptors and go into parts of neurons that regular opioids don't so i thought that was fascinating because i always wondered , walready have opioi

. >> reporter: the deputy director of health at dph also spoke this afternoon and said they aligned with cdc guidance and have full confidence in all three vaccines but she acknowledged they are giving extra shots to people who got the j&j vaccine. >> at this time, we are accommodating special requests from individuals who have received the johnson & johnson file vector covid-19 vaccine and in many cases have consulted with their doctor. >> so despite all of this controversy, dr. coldwell who was chief of emergency medicine at sf general stands by his support for the extra vaccine dose for j&j recipients. he also received an email from the you new york city department of health that says new york has had similar discussions about boosters and would like to know more about how sf general came up to their decision. i'm kate larsen, >> raising a lot of interest for that decision. thanks, kate. >>> a quick look at the abc7 vaccine tracker says 62% of californians have received at least one dose. more than 21 point:21.3 million people are vaccinated. >> we have a lot to talk about. let's star

with an mrna vaccine such as pfizer or moderna this move does not represent a change in policy for sf dphtinue to align with the centers for disease control and prevention guidance and do not recommend a booster shot at this time. we'll continue to review any new data and adjust our guidance if necessary. kron four's maureen kelly is working on the story for us tonight. she'll have more coming up on kron 4 news at 5. intense forced the delayed start of a board of education meeting in danville today. police were called to the san ramon valley unified school district. to the board meeting there after advocates against mask mandates rallied for more control over whether or not their students should wear face coverings kron forcefully. chagall shares. what happens. good morning, everyone. >> this morning we're friday. >> the first san ramon valley unified school district board of education meeting of the new school year got off to a rocky start tuesday morning. i think that we're going to have to recess time eating until. parents who refuse to wear masks for the meeting were asked to leave an

nasdaq's down 1 1/2% we're back in a moment digging into discretionary, under armour, dph she said ppht lagers look at tesla down another 5%. 'rba ia mewee ckn mont icy hot. ice works fast. heat makes it last. feel the power of contrast therapy, so you can rise from pain. >>> welcome back shares of home builder etf are falling today after the nahb market index dropped five points kb homes and pulte are down about 5% diane oleic is here with more behind the decline diana? >> the issue is rising costs for materials which then means higher cost for the homes an sticker shock for home buyers. so builder sentiment drops to the lowest reading in over a year but it is telling. current sales conditions fell five points to 81. buyer traffic fell five points to 60. only sales expectations in the next six months was unchanged at 81 because builders know that demand is still high and hope that costs will level off. but the price of lumber has come down from the peak in may. but the price and availability of other building materials remains a challenge, including flooring, drywall and appliances an

from those people and, of course, there were tons of boring emails that i swifted through from the dph that you have to choose, the ones that tell the story even the story of your day, you're not going to sit down and tell everyone everything that happened. you will choose the highlights, so that's what i did. >> that's just good writing. and related to that was there anything fascinating that you learned during research that ended up so to speak in the cutting room floor, a story that you didn't tell? >> well, i think it was more some interesting science that i learned which i could not work in because it derailed the story but researchers at uc san francisco who were trying to see can we image opioid receptors when they are being activated and by accident they found out that the opioids we take -- the ones we take like fentanyl, those actually behave differently and go inside of neurons and they go into parts that regular opioids don't and i just thought that was fascinating because i always wondered, we already have opioids, why are these so different. well, maybe that's why. i just

the spring some of the acquisitions for the homelessness project and other project departments for dph and homelessness primarily so we will issue another such recovery bond in the spring and we're also expecting the next sale of bonds and depending on the bond market later on in the fiscal year we make issue refunding bonds we can achieve our target of three percent. those are the issuances we are expecting in fiscal year 2122. i'll behappy to take any questions . >> i don't see anyquestions. thank you anna . mark delarosa, any comments on the expenditureaudits or public integrity review ? >> good morning everyone. very quickly, on the expenditure audits we have completed10 to date . we do have one that's currently planned for the fiscal year currently fy 2122 which is the safety improvement. we hope to begin that in view of this fiscal year and the issuance tentatively set for either march or april. for the public integrity report we completed our sixth report that we issued earlier this month. which was the 12 month update on the status of recommendation so far. that report basicall