on page 5, can you give us more detail under e.m.s. 6, it says filled upgrade of e.m.s. 6 management physician, which position was that? >> there was an h33 rescue captain assigned to e.m.s. 6, that was the program manager, however, that scope has increased dramatically as it's worked with not only city partner departments but at the state level and other agencies and it's expanded into a much larger program manager position. so in the budget process we had requested and approved for an upgrade to h43 section chief and that has been filled. >> vice president covington: h43 section chief? >> correct. >> vice president covington: was it the same person who had the person as rescue captain? >> yes. >> vice president covington: and who is that person? >> simon pang. >> vice president covington: thank you. we have our new safety chief which is always wonderful. just as an additional question, i think at this point it would be helpful for you and for the chief of the department to give us an updated orring chart. that has the title and that would be helpful for the new commissioners. we ke

on page 5, can you give us more detail under e.m.s. 6, it says filled upgrade of e.m.s. 6 management, which position was that? >> there was an h33 rescue captain assigned to e.m.s. 6, that was the program manager, however, that scope has increased dramatically as it's worked with not only city partner departments but at the state level and other agencies and it's expanded into a much larger program manager position. so in the budget process we had requested and approved for an upgrade to h43 section chief and that has been filled. >> vice president covington: h43 section chief? >> correct. >> vice president covington: was it the same person who had the person as rescue captain? >> yes. >> vice president covington: and who is that person? >> simon pang. >> vice president covington: thank you. we have our new safety chief which is always wonderful. just as an additional question, i think at this point it would be helpful for you and for the chief of the department to give us an updated orring chart. that has the title and that would be helpful for the new commissioners. we keep talking

they continue to meet with members of the e.m.s. leadership committee and the creation of various e.m.t. subcommittees. research committees are currently being formed. i have several pages of data. we can answer questions if you have to the e.m.s. 6 report. e.m.s. 6 report for november, there was a total number of unique individuals engaged was 82. in december, it was 109. then on page 26, the november top 20 call percent change was - 45%. in november, the top 20 call percent change was - 14%. plans are underway to conduct a six-week paramedic training course starting january 27. this will be for members selected to the e.m.s. 6 list. we're predicting ten people. to the nature crcan administra we went from 230 to 188. by the time a slight decrease from 147 to 122 with nonidentifiable home addresses, and then from 83 down to 66 in identifiable home addresses. in december, we saw a slight decrease from 188 to 186, and identifiable, we went from 66 to 72. next, fire prevention investigation, update, this is an extensive and detailed re

one of the things that came out is what i call a newer picture of the e.m.s. station. i guess we identified it as -- what is the label? is it 49 still? >> 49. station 49. >> president nakajo: okay. in terms of station 49, that brief picture, where are we at in terms of implementation of that program, utilization? >> so it's scheduled to open fall of next year, 2020, and we're still on schedule. there's things to every project, but we're still on track for that project. >> president nakajo: and then the reference in terms of what the vice president asked, rigs in terms of trucks or parking, you mentioned the availability of old station 49. just a point of clarification. is the old station 49 within our fire department jurisdiction still? >> yes. so the plans for that facility is to become the new b.o.a., and then, we can upgrade that and have some access to that, too. >> president nakajo: as we talk about not total replacement, but parts replacement, which would need to me if anyone in the department visits where the current bureau of equipments are, it's small and old.

so in e.m.s. or station 49 as we call it, we have been forced to rely on more overtime and per diem resources. and even those are not always available. on average, on a daily basis, we are unable to staff five ambulances. so that's -- that's pretty significant. and we've seen what's, you know, what's happened with that. it leads to burnout. it leads to longer response times and the like. now there is a shortage of e.m.s. personnel, e.m.t.s and paramedics, including in the bay area, but nationwide. but i think with the right recruiting strategy and some other programs, that we're going to put into place, including an e.m.s. core that i have spoken with supervisor walton about, i think that we can definitely attract people. but as you know the nature of the job has changed, with our opioid crisis, we've all seen the articles in the last couple of days that our overdoses went from 90 last year to 234 this year. and then additional threats, active shooter, we didn't have that a few years back. we have

they continue to meet with members of the e.m.s.eadership committee and the creation of various e.m.t. subcommittees. research committees are currently being formed. i have several pages of data. we can answer questions if you have to the e.m.s. 6 report. e.m.s. 6 report for november, there was a total number of unique individuals engaged was 82. in december, it was 109. then on page 26, the november top 20 call percent change was - 45%. in november, the top 20 call percent change was - 14%. plans are underway to conduct a six-week paramedic training course starting january 27. this will be for members selected to the e.m.s. 6 list. we're predicting ten people. to the nature crcan administra we went from 230 to 188. by the time a slight decrease from 147 to 122 with nonidentifiable home addresses, and then from 83 down to 66 in identifiable home addresses. in december, we saw a slight decrease from 188 to 186, and identifiable, we went from 66 to 72. next, fire prevention investigation, update, this is an extensive and detailed repo

so in e.m.s. or station 49 as we call it, we have been forced to rely on more overtime and per diem resources. and even those are not always available. on average, on a daily basis, we are unable to staff five ambulances. so that's -- that's pretty significant. and we've seen what's, you know, what's happened with that. it leads to burnout. it leads to longer response times and the like. now there is a shortage of e.m.s. personnel, e.m.t.s and paramedics, including in the bay area, but nationwide. but i think with the right recruiting strategy and some other programs, that we're going to put into place, including an e.m.s. core that i have spoken with supervisor walton about, i think that we can definitely attract people. but as you know the nature of the job has changed, with our opioid crisis, we've all seen the articles in the last couple of days that our overdoses went from 90 last year to 234 this year. and then additional threats, active shooter, we didn't have that a few years back. we have

so in e.m.s. or station 49 as we call it, we have been forced to rely on more overtime and per diem resources. and even those are not always available. on average, on a daily basis, we are unable to staff five ambulances. so that's -- that's pretty significant. and we've seen what's, you know, what's happened with that. it leads to burnout. it leads to longer response times and the like. now there is a shortage of e.m.s. personnel, e.m.t.s and paramedics, including in the bay area, but nationwide. but i think with the right recruiting strategy and some other programs, that we're going to put into place, including an e.m.s. core that i have spoken with supervisor walton about, i think that we can definitely attract people. but as you know the nature of the job has changed, with our opioid crisis, we've all seen the articles in the last couple of days that our overdoses went from 90 last year to 234 this year. and then additional threats, active shooter, we didn't have that a few years back. we have

team and the e.m.s. i know it feels like a lot of teams, but we fought to make sure that the language requires coordination amongst all of these teams. they really do have distinct roles. so the h.o.t. team is not supposed to be experts on behavioral health. their mandate is to outreach and engage with people who are experiencing homelessness. let's remember, not all people experiencing homelessness have mental health or addiction issues. so they are -- they have another role entirely. it's about -- well, that's a role that not all of us feel comfortable with now and we're always constantly battling out, but it is distinct and separate from the issue of behavioral health. the e.m.s. 6 team, the firefighter has to come when there is a physical risk to safety. so it's not just that someone -- let's say someone's passed out, for example, or someone's injured because they were in psychosis and they walked down the street and got hit by a car. that couldn't be this team. that has to be firefighters who have t

so in e.m.s.station 49 as we call it, we have been forced to rely on more overtime and per diem resources. and even those are not always available. on average, on a daily basis, we are unable to staff five ambulances. so that's -- that's pretty significant. and we've seen what's, you know, what's happened with that. it leads to burnout. it leads to longer response times and the like. now there is a shortage of e.m.s. personnel, e.m.t.s and paramedics, including in the bay area, but nationwide. but i think with the right recruiting strategy and some other programs, that we're going to put into place, including an e.m.s. core that i have spoken with supervisor walton about, i think that we can definitely attract people. but as you know the nature of the job has changed, with our opioid crisis, we've all seen the articles in the last couple of days that our overdoses went from 90 last year to 234 this year. and then additional threats, active shooter, we didn't have that a few years back. we have to

the e.m.s. people normally-- and especially in a jail-- should not move a dead body. r> brennan: what happened inside jeffrey epstein's jail cell? sharyn alfonsi investigates sunday night on "60 minutes." o next, meet a man who has the best of both worlds-- 40 winks and nine lives. wow! that's ensure max protein, with high protein and 1 gram sugar. it's a sit-up, banana! bend at the waist! i'm tryin'! keep it up. you'll get there. whoa-hoa-hoa! 30 grams of protein, and one gram of sugar. ensure max protein. mostly. you make time... when you can. but sometimes life gets in the way, and that stubborn fat just won't go away. coolsculpting takes you further. a non-surgical treatment that targets, freezes, and eliminates treated fat cells for good. discuss coolsculpting with your doctor. some common side-effects include temporary numbness, discomfort, and swelling. don't imagine results, see them. coolsculpting, take yourself further. save $100 on your coolsculpting treatment. text resolution to 651-

the e.m.s.eople normally, and especially in a jail, should not move a dead body. >> alfonsi: he's right. bureau of prison protocol mandates a suicide scene should be treated with the "same level of protection as any crime scene in which a death has occurred." "60 minutes" reviewed hundreds of graphic photographs from the autopsy of jeffrey epstein and inside his cell. therare two nooses, a bit of orange sheet tied to the grate of a window. on the top bunk, bottles and medicines stand upright. below it, another piece of fabric is tied through a hole on the bed about four feet from the ground. did epstein- who was nearly six feet tall and 185 pounds- somehow lean in and hang himself from the lower bunk? we don't know. these are the known facts: on july 6, jeffrey epstein was booked into the metropolitan correctional center, or m.c.c., in downtown manhattan. a federal, high security holding facility for inmates awaiting trial. suicides at the m.c.c. are rare. the last one was 14 years ago. the jail

another bill that we supported this year was a.b. 1544 which would have permanently authorized our local e.m.s. agency to transport patients to alternative setting such as a recovery centre. we expect this issue to come back again in 2020. and finally we supported a few prosals that are related to the integration of mental health and substance use funding for same-day billing when individuals are seen at a primary care setting and workforce development really had to introduce loan forgiveness for individuals are practising with the county mental health plan. other key issues this year were related to h.i.v. prevention. we supported s.b. 159 which is a bill that passed and allows for emphasis to dispense drugs. it also prevents insurance companies from requiring prior authorization. maternal childhood and analysing health. we supported the pregnancy in childhood -- and childbirth act which recognizes maternal morbidity and births are highest among african-american mothers across the state. this requires hospitals, primary care clinics and other centres to implement implicit bias trainings. i wi

with scenes like this, one e.m.s. official says it's like they're reliving the aftermath of hurricane maria. victor oquendo, abc news, puerto rico. >>> coming up, the exclusive interview with pat sajak and his daughter maggie. >> what maggie is now saying about the terrifying moment her dad collapsed and what it was like stepping into vanna white's shoes. s. when i have an asthma attack... i feel scared. sometimes my parents have to take me to the hospital. i feel like a fish with no water. you know how to react to their asthma attacks. here's how to prevent them. call... visit... or call your doctor. because... ♪ >>> if you caught "wheel of fortune" monday night you may have noticed someone new stepping into vanna white's shoes as she filled in for long-time host pat sajak. >> maggie sajak made her letter-turning debut. they sat down with paula faris opening up about the moment of his health scare. >> pat sajak and vanna white! >> reporter: for nearly four decades, fortune has been on pat sajak's side. never more so

another bill that we supported this year was a.b. 1544 which would have permanently authorized our local e.m.s. agency to transport patients to alternative setting such as a recovery centre. we expect this issue to come back again in 2020. and finally we supported a few proposals that are related to the integration of mental health and substance use funding for same-day billing when individuals are seen at a primary care setting and workforce development really had to introduce loan forgiveness for individuals are practising with the county mental health plan. other key issues this year were related to h.i.v. prevention. we supported s.b. 159 which is a bill that passed and allows for emphasis to dispense drugs. it also prevents insurance companies from requiring prior authorization. maternal childhood and analysing health. we supported the pregnancy in childhood -- and childbirth act which recognizes maternal morbidity and births are highest among african-american mothers across the state. this requires hospitals, primary care clinics and other centres to implement implicit bias trainings. i

another bill that we supported this year was a.b. 1544 which would have permanently authorized our local e.m.s. agency to transport patients to alternative setting such as a recovery centre. we expect this issue to come back again in 2020. and finally we supported a few proposals that are related to the integration of mental health and substance use funding for same-day billing when individuals are seen at a primary care setting and workforce development really had to introduce loan forgiveness for individuals are practising with the county mental health plan. other key issues this year were related to h.i.v. prevention. we supported s.b. 159 which is a bill that passed and allows for emphasis to dispense drugs. it also prevents insurance companies from requiring prior authorization. maternal childhood and analysing health. we supported the pregnancy in childhood -- and childbirth act which recognizes maternal morbidity and births are highest among african-american mothers across the state. this requires hospitals, primary care clinics and other centres to implement implicit bias trainings. i

another bill that we supported this year was a.b. 1544 which would have permanently authorized our local e.m.s. agency to transport patients to alternative setting such as a recovery centre. we expect this issue to come back again in 2020. and finally we supported a few proposals that are related to the integration of mental health and substance use funding for same-day billing when individuals are seen at a primary care setting and workforce development really had to introduce loan forgiveness for individuals are practising with the county mental health plan. other key issues this year were related to h.i.v. prevention. we supported s.b. 159 which is a bill that passed and allows for emphasis to dispense drugs. it also prevents insurance companies from requiring prior authorization. maternal childhood and analysing health. we supported the pregnancy in childhood -- and childbirth act which recognizes maternal morbidity and births are highest among african-american mothers across the state. this requires hospitals, primary care clinics and other centres to implement implicit bias trainings. i