dr. grant colfax, the director of the department of public health. and dr. colfax was a public health leader during the h.i.v./aids crisis and has been leading us through this pandemic. so we appreciate his leadership. we're also joined by dr. susan philip, the director of the disease control and prevention branch in the department of public health. she's been leading our testing and contact tracing efforts in response to the coronavirus. so what we want to do today is to talk specifically about the criteria related to -- i'll start with the information related to where we are in terms of testing and hospitalizations and other information. and the criteria. where do we need to be to begin to open up safely. and then also an outline of those phases. phase one, phase two, a and b and so on and so forth as to what is possible if we continue to follow the social distancing requirements. it is possible that we can get things to a better place, sooner rather than later. so the goal is to also to go into depth with dr. susan phillips around testing and where we are

dr. grant colfax, the director of the department of public health. and dr. colfax was a public health leader during the h.i.v./aids crisis and has been leading us through this pandemic. so we appreciate his leadership. we're also joined by dr. susan philip, the director of the disease control and prevention branch in the department of public health. she's been leading our testing and contact tracing efforts in response to the coronavirus. so what we want to do today is to talk specifically about the criteria related to -- i'll start with the information related to where we are in terms of testing and hospitalizations and other information. and the criteria. where do we need to be to begin to open up safely. and then also an outline of those phases. phase one, phase two, a and b and so on and so forth as to what is possible if we continue to follow the social distancing requirements. it is possible that we can get things to a better place, sooner rather than later. so the goal is to also to go into depth with dr. susan phillips around testing and where we are

dr. colfax, and the director's report? >> yes, and, again, i apologize for my delayed participation in the meeting. we were having challenge with microsoft teams. and so good afternoon, commissioners, grant colfax, director of health. you have the director's report in front of you. and much of what i'm going to talk about in the covid-19 response is going to be covered in that discussion. so there are some details here that i would -- i would leave in the interest of time for you to ask any questions about. and then the covid-19 presentation to provide a high level perspective of where we stand and wh where we're headedn regards to the pandemic. i did want to highlight one piece of welcome news. in terms of a new key staff person on the team, a new member of our executive leadership is dr. clara horton. some of you know dr. horton already from her role at zuckerberg hospital. but she has been at zuckerberg, san francisco hospital, since 2008 as a faculty member. at the department of medicine. and over the past 12 years she

dr. colfax. commissioners, before you might have any questions. number one, can i ask everyone except -- actually everyone to mute themselves except for dr. colfax right now. i see a lot of microphones on and we're hearing someone typing. so everyone would please mute yourselves. and then the public comment line, any public comment for the director's report? let's give it one second. i'm going to share the public comment line info real quickly. okay. there are no questions from the public. i'm going to put this line up quickly for that in case number is watching. commissioners, if you have any questions for dr. colfax on the director's report, please raise your hand. >> commissioner chow: this is dr. chow. i can't raise your hand. i wanted to congratulate you on having dr. horton selected and in spite of everything that is going on that we haven't lost sight of keeping our eye on trying to get key administrative people to fit into our department. so thank you very much. and congratulations to dr.

dr. grant colfax, the director of the department of public health. and dr. lfax was a public health leader during the h.i.v./aids crisis and has been leading us through this pandemic. so we appreciate his leadership. we're also joined by dr. susan philip, the director of the disease control and prevention branch in the department of public health. she's been leading our testing and contact tracing efforts in response to the coronavirus. so what we want to do today is to talk specifically about the criteria related to -- i'll start with the information related to where we are in terms of testing and hospitalizations and other information. and the criteria. where do we need to be to begin to open up safely. and then also an outline of those phases. phase one, phase two, a and b and so on and so forth as to what is possible if we continue to follow the social distancing requirements. it is possible that we can get things to a better place, sooner rather than later. so the goal is to also to go into depth with dr. susan phillips around testing and where we are wi

dr. colfax. commissioners, before you might have any questions. number one, can i ask everyone except -- actually everyone to mute themselves except for dr. colfax right now. i see a lot of microphones on and we're hearing someone typing. so everyone would please mute yourselves. and then the public comment line, any public comment for the director's report? let's give it one second. i'm going to share the public comment line info real quickly. okay. there are no questions from the public. i'm going to put this line up quickly for that in case number is watching. commissioners, if you have any questions for dr. colfax on the director's report, please raise your hand. >> commissioner chow: this is dr. chow. i can't raise your hand. i wanted to congratulate you on having dr. horton selected and in spite of everything that is going on that we haven't lost sight of keeping our eye on trying to get key administrative people to fit into our department. so thank you very much. and congratulations to dr.

dr. grant colfax, the director of the department of public health. and dr. lfax was a public health leader during the h.i.v./aids crisis and has been leading us through this pandemic. so we appreciate his leadership. we're also joined by dr. susan philip, the director of the disease control and prevention branch in the department of public health. she's been leading our testing and contact tracing efforts in response to the coronavirus. so what we want to do today is to talk specifically about the criteria related to -- i'll start with the information related to where we are in terms of testing and hospitalizations and other information. and the criteria. where do we need to be to begin to open up safely. and then also an outline of those phases. phase one, phase two, a and b and so on and so forth as to what is possible if we continue to follow the social distancing requirements. it is possible that we can get things to a better place, sooner rather than later. so the goal is to also to go into depth with dr. susan phillips around testing and where we are wi

dr. colfax. >> yes.so, commissioners, as you can see in this presentation, i'm going to give you an overview of where we stand. dr. phillip will give you a review of our testing operations and then dr. arragon will talk to you about our exciting next phase of re-opening and detail about how we plan to move forward on that. so, to date, our response to covid-19 has produced significant -- and i think -- fairly dramatic effects and just to say that this work is being done not only through the department, but through multiple city departments. and, of course, with the leadership and support of our mayor. the emergency operations center at the mosconi convention center has been literally filled with hundreds of people every day, not only from the health department but from departments across the city, including human services agency, almost in support of housing and others who are working literally day and night to ensure that we maintain a robust response. this has literally saved lives and flattened the cu

dr. colfax. commissioners, we may move on to item 11 which is the action item and another item action, laguna honda hospital-wide policies and procedures. all so, distancing appropriate. >> good evening, commissioners. laguna honda hospital is the hospital-wide policies and procedures for approval. and included in the list are one new hospital-wide policy. one revised hospital-wide. two revised e.v.s. or environmental services. and one revised medical staff policy. and two revised nursing. one revised pharmacy. approval is requested unless there are any questions. >> clerk: so, lena, i forwarded some questions from commissioner green. i'm wondering if they got to you? i think that one was specifically around the environmental health -- the e.v.s. policy, a concern about bleach. i'm not sure that, commissioners, if you want to articulate anything else. >> and if i checked in and out of hospitals with temp checks and so forth, depending what you're cleaning the surfaces with, there's a duration tha

dr. grant colfax explain whad it means. >> when we're red, we have to take a hard look, consider pausing or reversing. >> reporter: so friday paused reopenings of salons, tattoo studios, outdoor bars, museums. >> don't know if another week, another month. >> reporter: when mayor breed announced that salons could open two weekser than scheduled, she scrambled to get staff and clients ready. >> hundreds of phone calls to get them rebooked. now i don't know what to tell clients or staff. >> reporter: salons across the city in same position. >> we just opened but cannot now. >> all the staff are ready to go back to work and all the customers call us for the week already. >> japantown, plexiglass barriers up, ready to open. frustrated that customers can travel to other counties for beauty services but mayor breed won't let them open. where are they going? >> other town. >> i don't know what the mayor wait for, if she think the numbers go down, she's wrong. >> with the percentage of positive test results more than doubling last week, dr. colfax said they'll be watching closely to see if it cor

dr. grant colfax, the director of the department of public health. and dr. public health leader during the h.i.v./aids crisis and has been leading us through this pandemic. so we appreciate his leadership. we're also joined by dr. susan philip, the director of the disease control and prevention branch in the department of public health. she's been leading our testing and contact tracing efforts in response to the coronavirus. so what we want to do today is to talk specifically about the criteria related to -- i'll start with the information related to where we are in terms of testing and hospitalizations and other information. and the criteria. where do we need to be to begin to open up safely. and then also an outline of those phases. phase one, phase two, a and b and so on and so forth as to what is possible if we continue to follow the social distancing requirements. it is possible that we can get things to a better place, sooner rather than later. so the goal is to also to go into depth with dr. susan phillips around testing and where we are with testing

dr. grant colfax explain whad it means. >> when we're red, we have to take a hard look, consider pausing or reversing. >> reporter: so friday paused reopenings of salons, tattoo studios, outdoor bars, museums. >> don't know if another week, another month. >> reporter: when mayor breed announced that salons could open two weeks earlier than scheduled, she scrambled to get staff and clients ready. >> hundreds of phone calls to get them rebooked. now i don't know what to tell clients or staff. >> reporter: salons across the city in same position. >> we just opened but cannot now. >> all the staff are ready to go back to work and all the customers call us for the week already. >> japantown, plexiglass barriers up, ready to open. frustrated that customers can travel to other counties for beauty services but mayor breed won't let them open. where are they going? >> other town. >> i don't know what the mayor wait for, if she think the numbers go down, she's wrong. >> with the percentage of positive test results more than doubling last week, dr. colfax said they'll be watching closely to see if

dr. colfax, for the explanation. i'm wondering, your display of the three or four metrics with the different colors were very clear, but the large metrics you showed earlier, does it have more measures and, therefore, it comes up into this scorecard that is simpler to read and easy to understand and that's the reason you're showing us what's behind it, or is it that the whole scorecard is really what's going to be used and this is merely a summary? because the summary was easy to understand. the other one was very complex, and i'm sure well thought out. i'm not sure if it means that 9 greens and 4 yellows equal what then? >> yeah. i appreciate the question, commissioner. the metrics, the table i showed is complicated. it translates -- yeah. the cutoff that i showed translates into the more -- the more generalized assessment that i showed you in the subsequent slides. so there's no one color. it's not an interpretation of the various metrics that add up to any one color. each metric is assigned a color based on the cr

dr. colfax, for the explanation.'m wondering, your display of the three or four metrics with the different colors were very clear, but the large metrics you showed earlier, does it have more measures and, therefore, it comes up into this scorecard that is simpler to read and easy to understand and that's the reason you're showing us what's behind it, or is it that the whole scorecard is really what's going to be used and this is merely a summary? because the summary was easy to understand. the other one was very complex, and i'm sure well thought out. i'm not sure if it means that 9 greens and 4 yellows equal what then? >> yeah. i appreciate the question, commissioner. the metrics, the table i showed is complicated. it translates -- yeah. the cutoff that i showed translates into the more -- the more generalized assessment that i showed you in the subsequent slides. so there's no one color. it's not an interpretation of the various metrics that add up to any one color. each metric is assigned a color based on the crit

dr. colfax has something to offer. dr. colfax still on? >> yes, commissioners. i just wanted to comment in memory of margo eddie. she was an amazing force of nature, a real treasure, for the city who was very focused on social justice, especially as it related to homelessness. and providing care and shelter. really put the focus on help. she was a long-term health department employee for many years. i had the pleasure of working with her in my earlier tenure at the department. she worked with many, many people in our department as well as our city. and, unfortunately, died last week. mark, i know you had a few comments, but i wanted to acknowledge her leadership, her incredible boldness in terms of the work that she not only did her herself, but asked us do every day. she was one of those people who lit up a room and inspired us all to do better. i will miss her and i know so many people across the city will miss her. including and especially the people that she interacted with and helped every day in the shelters, the navigation centers and on the street. >> th

dr. grant colfax. so joining us now, given that they're putting the brakes on the reopenings is patrick evan, owner of the patrick evan hair salon in san francisco, union square. i know you guys have until the later day but earlier this week, the mayor said let's accelerate it. making it monday if you wanted to, you were going to wait a few days after that but now getting the brakes put on things again. so what are you doing? how are you reacting to this? surprised, not surprised? does it present a problem for you or you ready for it? >> i think if there's one thing i know now, it's that i just don't know. i think it's pretty much the bracket braker, you know, decision and i have no way of judging anything anymore. so i'm in a loss for really understanding exactly when our reopen date is but i would say this. that if there's one thing that's coming out of this that's good is that kind of shows me that london breed is willing to put data and science before politics and finance and on a safety level, i r

dr. colfax said at the very beginning of this presentation. >> you're correct. you're absolutely right. i'm sorry. you are absolutely correct. >> supervisor ronen: i am so confused. we can go onto our other colleagues as we wait for someone from the mayor's office to actually answer our question. >> president yee: i actually don't see anybody else on the roster. >> supervisor ronen: well, i don't know that i can vote for someone when very basic information about the criteria, they can't answer really basic straightforward questions about. >> president yee: supervisor fewer just went on the line. supervisor fewer? >> supervisor fewer: i'm just wondering if this is an item that can be continued for next week? i just think that if there is specific questions and colleagues feel very strongly about getting answers to these questions, i think it's not right holding a vote when there are some colleagues that obviously want questions and -- questioned answered, and if the people aren't here to answer those questions, then perhaps the presentation would not -- [inaudible] >> president yee: is t

dr. colfax says they will be watching closely to see whether the percentage of positive cases corresponds to an increase in hospitalizations. two to three weeks from now. in the north bay, marin county put tomorrow's opening on hold for hotels, gyms and personal services including tattoo shops and nail salons have to wait some more time before they can reopen, however, indoor dining, hair salons and camp grounds can reopen. tomorrow, we're expected to learn if contra costa county will pause its reopening. officials are closely monitoring data and will announce a decision about the reopening timeline. santa clara county will decide this week if it will move forward with reopening. both are on the state's watch list. for a full interactive map of what is open and closed in a county where you live, you can head to our website. it will show you the date each county plans to have different sectors reopen. you can find that all on abc7news.com. >>> all right. a mcdonald's in oakland will remain closed after workers and family members tested positive for the coronavirus. 35 people including a 10

dr. colfax said at the very beginning of this presentation. >> you're correct. you're absolutely right. i'm sorry. you are absolutely correct. >> supervisor ronen: i am so confused. we can go onto our other colleagues as we wait for someone from the mayor's office to actually answer our question. >> president yee: i actually don't see anybody else on the roster. >> supervisor ronen: well, i don't know that i can vote for someone when very basic information about the criteria, they can't answer really basic straightforward questions about. >> president yee: supervisor fewer just went on the line. supervisor fewer? >> supervisor fewer: i'm just wondering if this is an item that can be continued for next week? i just think that if there is specific questions and colleagues feel very strongly about getting answers to these questions, i think it's not right holding a vote when there are some colleagues that obviously want questions and -- questioned answered, and if the people aren't here to answer those questions, then perhaps the presentation would not -- [inaudible] >> president yee: is t

dr. colfax will be closely watching to see whether the positive patients corresponds to an increase in hospitalizationsr a full map of what is open and closed in your county, head to abc7news.com, it will show you the date each county plans to have reopen. >>> 31 states are reporting anxious increaan increase in coronavirus cases and more cities are closing bars and beaches. jobina has more at the live desk. >> on sunday alone, states reported 42,000 new cases of covid-19. we're also learning this morning that seven states shattered case broward ande county, including are closing for the upcoming 4th of july weekend. and texas has had more than 5,000 new cases a day. bars are closed there. and with more than 125,000 deaths in the u.s., the white house is now sounding the alarm. >> the window is closing. we havehave to act and acrespon. we need to social distancing and wear face covering. >> and arizona has set back to back records for hospitalizations, only 13% of icu beds are available. cases in nevada are also rilals three weeks after las vegas opened their came casinos. >>> and a top u.s. official i

dr. colfax says they will be watching closely to see whether the percentage of positive cases corresponds to an increase in hospitalizations two to three weeks from now. >>> in the north bay, marin county also put tomorrow's reopening on hold for a few sectors. hotels, gyms, and personal services including tattoo shops and nail salons will have to wait some more. however, indoor dining, hair salons and campgrounds can reopen. >>> tomorrow we're expected to learn if contra costa county will pause its reopening amid a surge in cases there. officials are closely monitoring data and will announce a position on a reopening timeline. santa clara county will decide this week if it will move forward with reopening. both contra costa and santa clara counties are on the state's watch list. head to our website, abc7news.com. it will show you the date that each county plans to have certain sectors reopen. that's on our website, it's super helpful. >>> an mcdonald's will remain closed after workers and family members tested positive for the coronavirus. 35 people have been infected including a 10-mont

dr. colfax will be watching closely to see whether the percentage of positive cases corresponds to an increase hospitalizations two to three weeks now. in the north bay reopenings are on hold. gyms and personal services and more as well however indoor dining and hotels and motels and camp grounds can reopen. >>> we'll see if contra costa county will pause reopenings. they are closely monitoring data. santa clara county will also decide this week if it will move forward with reopening. contra costa and santa clara are on the watch list. for a full interactive map what is open and closed in the county you live, head to our website, it will show you the date each county panels to have every different sector reopen. it's super helpful. find it on abc7news.com. >>> a mcdonald's in oakland will remain closed after workers and family members tested 1 e restat mn until workers and the public are no longer at risk. workers held a protest in april. a lawsuit against mcdonald's claims management and owners discouraged employees from taking sick leave when they had symptoms. the restaurant has been closed

dr. grant colfax from the public health department described as an orange level for the city putting the brakes on some reopening. the plan to reopen a swath of higher risk businesses is on hold after sobering, new case numbers across san francisco. >> we have seen an increase in the numbers by over 100 new patients. >> reporter: everything that has already reopened can remain open, but places like museums, hair salons, nail salons, outdoor bars and even the zoo will not get a green light to open on monday. the variance to reopen from the state of california came thursday afternoon moving up salons reopening from mid-july to monday. >> it is frustrating, but i think we also need a little bit more time to prepare. i think it was a lot of -- it seemed like it was a lot of scrambling for the last couple of days. >> reporter: salon owners across the city are working on new sanitation and distancing procedures. >> basically, i have six chairs in the salon. ideally, i'd like six hairdressers working here. >> i have implemented touchless faucets as well as touchless sanitizer and soap dispenser

dr. colfax, the director of public health gave me a call and said hillary, i don't want to have to do this, but we're going to have to delay the push and implementation of mental health s.f. because we have a crisis. i said of course. this is the biggest crisis of our lifetime, and we need to get a handle on it with all our resources in the city, and that's what we did, and that's what we continue to do. that totally made sense. but i want to remind everyone that mental health s.f. is the blueprint for mental health reform in san francisco. it was passed unanimously by the board of supervisors with the cosponsorship of the mayor, and it is the way that you take hundreds of disconnected, disjoined, oftentimes really fabulous services, and you create a system out of them, where nobody falls through the cracks or very few people fall through the cracks, and you have a way to bring people back in when they fall off their treatment plan because they actually have for the first time because we don't have people on treatment plans right now. i want to say from the get-go so you can address this -

dr. grant colfax is urging caution restrictions. >> today the curve is flat, which is good. we would rather see it decline. that probably won't happen for a while as we expect to see more cases, as we open, and as we increase testing. >> he said when it comes to testing, the city is exceeding its goal of 1,800 per day. it is currently doing close to 500. today san mateo received permission for its reopen plans. only five of california's 58 counties are holding back still. four are in the bay area. al need, a marin, san francisco and santa clara. the fifth is imperial county on the state's southern border. >>> mask rules. face go up to the new realities of wearing masks the right and wrong way and what could happen if you don't wear one at all. the future of shopping. the future of shopping post covid-19. >>> and i'm meteorologist drew touma. we are tracking warmer weather about to move in and it will stick when you walk into an amazon fulfillment center, it's like walking into the chocolate factory and you won a golden ticket. all of these are face masks. this looks like a b

dr. colfax, the director of public health gave me a call and said hillary, i don't want to have to do this, but we're going to have to delay the push and implementation of mental health s.f. because we have a crisis. i said of course. this is the biggest crisis of our lifetime, and we need to get a handle on it with all our resources in the city, and that's what we did, and that's what we continue to do. that totally made sense. but i want to remind everyone that mental health s.f. is the blueprint for mental health reform in san francisco. it was passed unanimously by the board of supervisors with the cosponsorship of the mayor, and it is the way that you take hundreds of disconnected, disjoined, oftentimes really fabulous services, and you create a system out of them, where nobody falls through the cracks or very few people fall through the cracks, and you have a way to bring people back in when they fall off their treatment plan because they actually have for the first time because we don't have people on treatment plans right now. i want to say from the get-go so you can address this -

dr. colfax, the head of d.p.h. about this today, as well as the head of department of emergency management, mary ellen carroll, so we're all putting our heads together to work on that. we want to ensure that our members, because p.d. will not be responding to every single behavioral health call anymore, we are working diligently to ensure that we have the proper processes, protocols in place for our members' safety. and we're also working with the police department in terms of what they will respond to. and that concludes my report. and i do have a 6:00 p.m. meeting with the mayor. oh, it doesn't conclude my report. my apologies, president. you also wanted a report on the demographics -- the demographic breakdown of the last 126th academy class. so first of all, what i can tell you is that our former fire chief had selected over a dozen of the members for this class. so we had a very limited number of people we could choose from outside the department. so the final breakdown is 22 white, four african-american, eigh

dr. colfax, the director of public health gave me a call and said hillary, i don't want to have to do this, but we're going to have to delay the push and implementation of mental health s.f. because we have a crisis. i said of course. this is the biggest crisis of our lifetime, and we need to get a handle on it with all our resources in the city, and that's what we did, and that's what we continue to do. that totally made sense. but i want to remind everyone that mental health s.f. is the blueprint for mental health reform in san francisco. it was passed unanimously by the board of supervisors with the cosponsorship of the mayor, and it is the way that you take hundreds of disconnected, disjoined, oftentimes really fabulous services, and you create a system out of them, where nobody falls through the cracks or very few people fall through the cracks, and you have a way to bring people back in when they fall off their treatment plan because they actually have for the first time because we don't have people on treatment plans right now. i want to say from the get-go so you can address this -

dr. colfax for your support.work we do here is incredibly hard and yet it's so grad -- gratifying and it's made more gratifying by the incredible support that we have by our leaders and i don't take that granted at all. we're privileged to have it. i can't tell you how much we appreciate your remarks and the steadfast and unwavering support for all of us in the work that we do. our staff, us, i look around and i see people who have dedicated many years, entire careers, have paused their retirements to continue work for us and everything you do for this city and the people who live here just means an incredible amount. from the very beginning of this pandemic, our staff has been on the front lines everyday, no matter what you do, if it's taking care of patients, keeping the hospitals clean and safe for patients, visitors and staff, fe feeding people, testing, opening new units. the creative ways you do them has been endless in the past three months. the importance of the work, the quality of the work, the amount o

dr. colfax for your support.he work we do here is incredibly hard and yet it's so grad -- gratifying and it's made more gratifying by the incredible support that we have by our leaders and i don't take that granted at all. we're privileged to have it. i can't tell you how much we appreciate your remarks and the steadfast and unwavering support for all of us in the work that we do. our staff, us, i look around and i see people who have dedicated many years, entire careers, have paused their retirements to continue work for us and everything you do for this city and the people who live here just means an incredible amount. from the very beginning of this pandemic, our staff has been on the front lines everyday, no matter what you do, if it's taking care of patients, keeping the hospitals clean and safe for patients, visitors and staff, fe feeding people, testing, opening new units. the creative ways you do them has been endless in the past three months. the importance of the work, the quality of the work, the amoun