gurly speaks. good afternoon commissioners. director of health. i've been with the health department since 1996 and after 211 it was our introduction to this world of disaster preparedness. we were focusing on terrorism and bio terrorism and in 2003 we deal with sars and in 2009 it was h1n1 pandemic. having been here this long, nothing has been like it's been the last couple of years. i'm going to share a couple of comments. a couple things that i've realls that we've learned is we prepare for the big events by practicing on the small events. and the small events are not just things that involve just a few people but it's just involved a small team of people working on things that are big. you are going to see that in a second with dr. gurly when she talks about climate change and extreme weather which is the other big thing happening now. and the third thing that goes along with extreme weather is really that we learn a lot about not just human physical'ology and physical infrastructure and how important it is to make sure the physical infrastruc

gurly has been a real champion across the department.i want to thank her and her team for that leadership and thank you in terms of how we have moved from a less frequent execution of these duties to a frequent one. ensuring the department and the commission is aware of these and that we prepare accordingly. thank you. >> thank you. >> next item, please. >> item 11 is other business and the counter is before you and it's just a reminder the august 20th meet be will be held at the chinatown ymca at 5:00. >> anything else? >> we can move on to item 1. the report back from the july 9th, 2019jcc meeting and i believe commissioner green attended. >> yes, the laguna honda hospital the committee discussed the following items. we heard the administrator's report discussion of the patient incidents and change of hospital leadership. we reiterated our sadness and our commitment to support current leadership to ensure the safety and quality of care of patients at laguna honda hospital and necessary changes are made. we heard the regulatory affairs