kunin sirks and what she is trying to do. i can't help to notice all the presentations never mention the word recovery. recovery as a solution to this crisis that we are having on the streets. i used to be homeless. i was addicted to heroin and fentanyl living in the tenderloin. recovery got me out of that so we are talking about all these different things and the way we are talking about it is so ambiguous. we talk about wellness hubs. why don't we just call a safe consumpson site. we are doing the stuff in the shadows and breeding suspension among the public. not just lack of education but breeding suspension and maybe because it is against federal law or because the governor vetoed it. not sure. if we are going to move forward with these things we have to be honest and talk about what is really happening out here. we have 500 organized drug dealers on the streetd in the tenderloin and soma. they are not drug users mptd they are part of the car tell and need to be held accountable. they are selling kilos and kilos of fentan

kunins, thank you so much. you have made a huge difference in our behavioral health and i know you have really-you are making a difference and i know from working and integrating with some of your staff they are so appreciative of what you have done and you are continuing to do. you are tackling the issues we face in the city. i have just a couple questions and i know you went over the 250 beds that we have and some like victoria's house, and others are just ramping up. often times in the media we have x number of beds and they are still unfilled. do we have many unfilled and is there a active waiting list for the residential beds? >> thanks commissioner. thank yous for your comments. so, that is a great question. it is complicated answer so getting my thoughts. the answer is that there are wait lists for some bed types and not for others. we have on our website which we can get out to you a treatment sf web page and anyone member of the public yourselves can see where there are open beds and what part of the s

kunins just provided.entation is independent of the health department, but you'll see is many of the same kinds of things. when i think drug use and any health complications to drug use it takes me back to drug setting framework. this framework basically says look, that drug use and overdose is impacted by aspects of drug, which is the frequency of use, route of administration, potency of drugs, effect of the drug. the set which is really the mindset and characteristics of the people using the drugs, and then the setting is also really a important including social environmental a j structural influence on drug use and practices. and so, when i was thinking here about this hearing and about the kinds of things happening in san francisco and the types of harm reduction type of services, if you put me on the next slide, i really divided them into the drug set and setting and the first thing here is really the drug piece and that is what kinds of services and interventions do we have at disposal to try to inte

kunins just provided.entation is independent of the health department, but you'll see is many of the same kinds of things. when i think drug use and any health complications to drug use it takes me back to drug setting framework. this framework basically says look, that drug use and overdose is impacted by aspects of drug, which is the frequency of use, route of administration, potency of drugs, effect of the drug. the set which is really the mindset and characteristics of the people using the drugs, and then the setting is also really a important including social environmental a j structural influence on drug use and practices. and so, when i was thinking here about this hearing and about the kinds of things happening in san francisco and the types of harm reduction type of services, if you put me on the next slide, i really divided them into the drug set and setting and the first thing here is really the drug piece and that is what kinds of services and interventions do we have at disposal to try to inte

kunins are unacceptable. black residents are 5 times more likely to die of drug over dose in san francisco. this cannot continue and appreciate the plan contains concrete goals about tackling this and reducing the racial disparities in overdose. third thing is that a number of callers touched on this, that so called solutions that may poll well in some circles and play to people's worst instickts are not only unhelpful solving the crisis, they can often make the crisis worse. this isn't a opinion, it is fact and laid out by our presenters today as well as many members of the public. fourth is safe consumption sites work and are must be part of any serious effort to reduce overdose fatalities. there is fortunately a emerging consensus in city government i think there is already been a consensus among health experts. whatever we call them, they must be implemented to the greatest extent legally possible and i very much appreciate that the overdose plan dph released with approval from the mayor call s specifical

and just to give you a sense we heard a lot of this and steve kunin gave you some of these quotes uneneral is the best source for these kind of exaggerated claims very tells us the worlda is facing a great climate emergency every week brings climate devastation, heat, flood, super storms we hear all of this. and we are in a battle for our lives and climate change is the biggest threat to the economy. these claims are mostly false or they're not entirely wrong but they're mostly mostly false. i would like to show you why. again if i'm just going to do 35 minutes i'm going to be some of the tidbits but i'm sure we could take up some of the otherp ones i describe in my articles and so on. let me just take youso through a few of these. we cease all these super storms or hurricanes a lot of y people like to point out. if you look at that you and climate panel and see they tell us of their latest reports identifying past and tropical cyclones as of the call her remains a challenge. long-term trend. but with little tales will likely see more stronger hurricanes but will probably also seek f

kunins are unacceptable. black residents are 5 times more likely to die of drug over dose in san francisco. this cannot continue and appreciate the plan contains concrete goals about tackling this and reducing the racial disparities in overdose. third thing is that a number of callers touched on this, that so called solutions that may poll well in some circles and play to people's worst instickts are not only unhelpful solving the crisis, they can often make the crisis worse. this isn't a opinion, it is fact and laid out by our presenters today as well as many members of the public. fourth is safe consumption sites work and are must be part of any serious effort to reduce overdose fatalities. there is fortunately a emerging consensus in city government i think there is already been a consensus among health experts. whatever we call them, they must be implemented to the greatest extent legally possible and i very much appreciate that the overdose plan dph released with approval from the mayor call s specifical