e.m.s. 6 program. >> president nakajo: madam secretary, i have item 4 for the director's report, after the memorandum of understanding. >> clerk: i have that as item number 4. i'm sorry. >> president nakajo: okay. we'll call item 4. >> may i interject for a moment? i have to go to a mayor's meeting, so i was wondering if i could give my report prior to item 4. >> president nakajo: we'll make that adjustment. >> clerk: director's report. report from jeanine nicholson. report on the activities of the fire department since october 23, 2019 including special activities, outreach and changes to other government policies and the public. >> good morning, commissioners, command staff and everyone else. thank you for being here. chief jeanine nicholson. this is my report since the last fire commission meeting -- and thank you for making an adjustment in today's calendar. i do have a department head meeting with the mayor at 9:30 downstairs. we've been continuing our visits. i visited station 52. i vi

so the e.m.s. 6 was a mechanism, dr. yates, introduced really early that i had to understand, as well as my colleagues, what is the purpose of this, to treat the frequent fliers in specific instances and modes and then continue to do their task? and only with the if phenomenof e.m.s. 6 do we have this two-hour discussion in terms of the information and detail of education that we have inherited. we serve the public, and we wouldn't have this kind of detained information and case studies if we didn't have e.m.s. 6 with these examples in terms of our effect. so to me, these case studies are very, very important. sure, they're very important in terms of the case studies and the numbers, but part of the department, our duty is, we save folks lives. we respond in terms of prevention, we respond in terms of fire suppression, but we know have a purpose -- now have a purpose, and you specifically talked in some of these examples about saving lives. so over the years, they have identified all of these multiple issues of how peopl

that brings us to e.m.s., our e.m.s. from assistant chief sandra tong. you got a very extensive report from e.m.s. 6. thank you dr. pang and yates and chief sloane. that was wonderful. i'll take us all the way because i'm going to respect our time today, but on page 18, we have the narcan administration. we added a new graph for you up on top, and that's the multiple doses graph. but starting on the bottom graph, you can see we had an 11% increase in the month of october from september. 64 of those -- 64% of those were from the nonidentifiable home address. i've got to work on another name for that because it's so hard to say. homeless. thank you. and if you look it the report above, you can see above six doses, from one to six doses. so of the 155 narcan doses, we had 13 with three doses, and so on, so you can see we added more doses, and that will have to do with, more than likely, the amount that they took or the strain of fentanyl that's out there right now, so we're working on that and trying to get as much information as possible. so thank you, chi

and then e.m.s. services through the fire department. in addition, we do a lot of work with ucla and we can talk a little bit about that. three prongs. what we need to accomplish by the end of december 2020 is how are we going to come together and think from an inter-agency perspective how to prioritize the over 17,000 people that between the health department and the homeless department touch who are adults experiencing homelessness. i am really excited to say we have achieved that. i am going to talk a little bit about how we got to that. once we establish what our priority is, now we need to agree how we are going to gather and address that population. the inter-agency shared priority launch today we will talk about as well as the whole person integrated care. those are two ways significantly -- different innovative ways we want to address the population. the first is a coordinated care management system that integrates data from 15 different datasets. we've had that from 2005 which -- all the data i'm going to share with you came fro

. -- fire sciences program at e.m.s. because all of us continue to talk about our need to grow and educate first responders here in san francisco. and to have these programs right here in our back yanrd, and to have future teachers and first responders coming from our area is exciting. especially this is a new program, i was wondering, is there a commitment from both sides to at least keep it running for at least four-plus years because in order for something to be successful, you need to make sure it is available, right? because if there's no confidence on the -- we have all the students, because it does take two years to go through, then you're already setting the program up for failure. so is there a commitment to create or have this on the schedule for the next at least four years or so? >> so there's obviously a commitment from sfusd to be able to provide this? i want to add one or two things. one, i forgot to add two costs. one is around fees for students because sometimes we have to bay for international students,

. >> we had other officers responding, that we also had the e.m.s. personnel coming in ambulances, and we had fire personnel coming with the fire trucks. >> reporter: dispatch put a call in to the local sheriff, ron bruce. >> we had gotten a report of a drowning up on cottonwood creek. and they said they'd keep me advised. >> reporter: by then, a group of medical responders made their way up to the creek to help. but still, no heartbeat, not a breath from leslie. and it was clear, she was gone. >> we were not going to be able to bring ms. mueller back. >> reporter: at the cabin, alex was wondering why his parents weren't back yet. their hike was only supposed to last an hour or so. but they'd been gone more than three hours. were you worried? >> not really worried, as in something happened to them. just more like, it's kind of weird that they would, you know, stay out past dark, if they're going for a hike. >> reporter: it was past 8:00 p.m. when his dad got home without his mom. >> it's my dad and the deputy, and, yeah, they come in. it's kind of a

the siren act provides funding to support rural fire and e.m.s. agencies with training an recruiting staff and purchasing equipment. everything from naloxone to power stretchers. i recently visited a county in illinois, navue illinois, which is where a man named mr. kennedy came forward, and told me about the need for new modern equipment in this area of hancock county. because of what he told me, the bill passed and we will make this available for the emergency analysts to have the right training and equipment when needed. this is important for rural health care, but we also have to maintain the structure of our key health programs. thankfully illinois has expanded the medicaid program through the affordable care act, which has provided a funding lifeline to keeple many of our rural hospitals from the brink of closure. it also expanded health insurance to one million people in illinois. ten years ago, when we passed obamacare, the affordable care act, too many americans did not have health insurance. if you have ever been at a moment in your life

so if you have military members or you have first responders and e.m.s.ou know where you are at. it's very unique. abby: what kind of responsibility do you feel as a service member in selling these watches to maybe active duty military? >> yeah, absolutely. being a brand ambassador for the company is really important. myself personally, i only like to work with companies that i have the utmost confidence and trust in. so i know that anybody that's going to use these watches, they're the highest quality. they serve their purpose. these watches have applicability by them. we get stories all the time from service members who come back from overseas and how these watches in particular have saved their lives. abby: we appreciate your guys' service and selling these to active duty military and civilians. guys, back to you. brian: back in a moment. two more hours coming your way. so did you get a new car? kind of. thanks to navy federal it only took 5 minutes. so vets can join? oh yeah. how do you kind of buy a new car? it's used. it's for mikey. you know he's g