we have commissioner giraudo. >> commissioner giraudo: thank you. and thank you for your presentation: i'd like to just extend commissioner chung's questions a little bit further. i think it would be really helpful if as you are implementing and gave us a couple of examples, if you could rom back for an update of the implementation of akata with really specific examples in walking us through the start let's say when you had referenced mental health sf, you referenced a homeless client just from start to conclusion. what did this system do and how did it then benefit not only the client, but let's say the mental health sf program. i always like to see, you know, we've got theory to implementation and practicality with specific examples. so i would appreciate it if as you are rolling forward, if you would if commissioner bernal agrees and the commission to just come back with an update of examples of the excellent and wonderful work that i'd like to further understand the wonderful, you know, the challenge but the changes you're making as well. >> i'm

commissioner giraudo. >> commissioner giraudo: thank you. dr. colfax, in your report, you mentioned dr. phillips' concern that some of the health systems are not really doing their part for testing and are sending not only their employees but others who walk in the door, potential patients to be tested at the d.p.h. testing site. is there anything more that you can do or dr. phillips can do with this so-called concern to get the other health systems to do their part? is there any push or anything that can be done? >> yes. i'll let dr. phillips answer that. i will say we've been reaching out directly to other hospital system leaders to ensure that they have insight into the situation to work with them to collectively problem solve around this issue. this so we're working with them but we're going to see unprecedented demand and quite frankly d.p.h. is carrying a huge burden here. however, whenever we can, but we are really calling upon other health care systems to do their part different health care systems are a different change in that regard.

we have commissioner giraudo. >> commissioner giraudo: thank you very much. the excellent presentation today was food insecurity. very interesting facts. the rate for in california, particularly with families and children has risen to about 25%. which is even higher in the city and county of san francisco. another fact was the mental health issue of the increase of anxiety is increased more with food insecurity, more so than the loss of a job. the d.p.h. funded programs for purchasing of food. we were given the numbers for the e.s.f. vouchers of about 3000 families, 1500 families are pregnant people and w.i.c., qualified for w.i.c. with the market match, there's about 7000 people with 1500 using cal fresh. in particular the alameda farmers mark. last year, over 15,000 folks were counted in the match program. as director colfax noted, the feeding 5000 that was a partnership on december 11th of this year at city college, over 5700 households were served. in the presentation, food as medicine collaborative with the food pharmacies program over 2700 patients have

commissioner giraudo. >> commissioner giraudo: thank you. dr. colfax, in your report, you mentioned dr. phillips' concern that some of the health systems are not really doing their part for testing and are sending not only their employees but others who walk in the door, potential patients to be tested at the d.p.h. testing site. is there anything more that you can do or dr. phillips can do with this so-called concern to get the other health systems to do their part? is there any push or anything that can be done? >> yes. i'll let dr. phillips answer that. i will say we've been reaching out directly to other hospital system leaders to ensure that they have insight into the situation to work with them to collectively problem solve around this issue. this so we're working with them but we're going to see unprecedented demand and quite frankly d.p.h. is carrying a huge burden here. however, whenever we can, but we are really calling upon other health care systems to do their part different health care systems are a different change in that regard.

[roll call] >> clerk: commissioner giraudo will read the land acknowledgement commissioner the san franciscolth commission acknowledges that we are on the unceded ancestral