kolfax just asked toss focus on questions dr. erlich has asked, in hospitals or what she talked about. i am trying to utilize her time because she has to go back to the hospital. so if anyone has questions specific to her. dr. green? >> thank you. first of all, you all look slightly haggerred. so thank you for all of the incredible work you've done and the dedication. evacuee talked about howe want d healthy. great gratitude. i know you've been there all weekend and beyond that. all of the doctors feel like this is the internship you did 20 years ago before they loosened the hours. so i'm working in a hospital, as you know, and one of the concerns i have and i would like more information about, the extent to which, really, things can be directed by our dph as opposed to collaborative. we had an interesting call from st. francis people had with china. there were experts from wuhan, beijing and it was most instructive. what came through, there was a hospital council that had leadership and directed the others what to do and they wo

grant kolfax, the department of public health. your first question from the san francisco chronicle. >> question: whatmetrics matter most when it comes to determining when to return to normally see in the bay area? >> there are a couple of metrics in san francisco regionally and they are metrics suggested by experts across the country, public health experts and scientists. one of the key metrics i mentioned was a sustained decline in the number of people hospitalized and i'm talking about significant reductions over a period of two weeks, because that's the two week period, the incubation period of the virus. we node to increase our testing rates and whether we have outbreaks and test a large number of people because of an outbreak, but in general, we need to increase our testing to two or three times what it currently is. so that's a key piece we nee. we need to ensure our hospitals across the system maintain surge capacity is that in event of an outbreak, we can rapidly respond. and then among the other metrics, the fourth key m

kolfax is not with us, but dr. philips from the department of public health will be providing an update. >> good afternoon, i'm dr. susan philips. thank you, mayor brisked. breed. today there are 1,497 san francisco residents with confirmed cases of covid-19. and a total of 23 people in san francisco have died. i send my condolences to their loved ones. mayor breed also begins her remarks with these numbers as a way to honor those who have become sick and those who have died. but also an and important reminder to us all. even though we have made tremendous progress as a community to slow the spread of the coronavirus, it is still here and can spread as easily as it did a month ago and will thrive if we let it. we announced when the stay-at-home order expires sunday night, a new one will take effect. that will last through the end of may, giving us time to build the systems we need to support or recovery. i know this is hard. i greatly appreciate the sacrifices everyone in san francisco and the greater bay area have

grant kolfax at the department of public health and they have been instrumental in helping us to do the scenario planning to get prepared for any scenario and, in fact, get prepared for the inedge abilitthetheinevit artge. we are happy to report that as far as we know, they are all doing well. we've done dozens of interviews that our contact tracers have done and we also have 41 staff people in self-isolation as a result of the potential exposure. so far, the good news is that of each of the covid positive cases we've had, none appears to have been transmitted from one sfmta employee to another. this is a much better position than the dire situation that our counterparts are experiencing from detroit to maryland to new york and others. so we will continue to work hard to follow the dph's guidance to the t in order to do the best that we can to protect our workforce, rooted in the latest available science. we'll also recognise that while on the one hand we need to follow the science in order to help protect the health of our workers, we also need to recogniserecognise this is a teg time

grant kolfax at the department of public health and they have been instrumental in helping us to do the scenario planning to get prepared for any scenario and, in fact, get prepared for the inedge abilitthetheinevit artge. we are happy to report that as far as we know, they are all doing well. we've done dozens of interviews that our contact tracers have done and we also have 41 staff people in self-isolation as a result of the potential exposure. so far, the good news is that of each of the covid positive cases we've had, none appears to have been transmitted from one sfmta employee to another. this is a much better position than the dire situation that our counterparts are experiencing from detroit to maryland to new york and others. so we will continue to work hard to follow the dph's guidance to the t in order to do the best that we can to protect our workforce, rooted in the latest available science. we'll also recognise that while on the one hand we need to follow the science in order to help protect the health of our workers, we also need to recogniserecognise this is a teg time

kolfax heard about and others from the department of public health is over 60 and people with certain and specific health conditions that makes them particularly susceptible to covid. and it's important to note that our definition of susceptiblability or the department of public health's definition of vulnerability doesn't perfectly align to fema is additionally, fema does not consider or recognise mental health as a behavioral health disorder as making you vulnerable to covid and so, they're not necessarily on the list unless they have some other existing condition that makes them vulnerable. additionally, people have to have the ability to self-care. so we talked about the vulnerability, and just like in shelter, people have to have the ability to self-care -- my light is going off. and sool so the ability to selfe in a site like a shelter-in-place hotel and we're grateful for the partnership with ihsf so people can be therf there. if you can't self-care in a hotel room, that doesn't mean you don't go to a hotel but it means we need to know what other resources need to be put in pla