body can only stand salt levels of our own $600.00 parts per 1000000, according to the local department of public health, engineering. the impact of the increase in the thought of them of the day by water is already been filed by the local communities here in boca guns district, most now have to fetch fresh water from nearby treatment plans. they say they're held agriculture and their environment have all been seriously affected. many spend hours collecting fresh drinking water ones on the river. water contains too much salt, which is why we take water from here. nowadays, it's even much worse. so we have to totally rely on the water from here. environmental experts are worried about the long term effects of different protein, some of the summer food. and typically it's been observed that during the long summer period, the salt water level increases into surface of the rivers and kennels in south and south western regions. since we are now experiencing and prolong summer period, the salinity of the man whom su river has increased significantly compared to previous occasion and has effected 2 areas, main

parents have questions or concerns, talk with your child's health care provider, your local department of public health or local pharmacist. until teens are fully vaccinated, they should continue to wear masks and take precautions when around others who are not fully vaccinated to protect themselves, their friends, families, and community. dr. fauci: i would like to spend a minute or so updating you in the arena of selected covid-19 therapeutics. i don't know if you can see the slide, but the first slide that says selected therapeutics is broken up into three major components just to remind you that the work that has been done over the past many months has been three separate approaches. one is to target the virus itself. as you can see, the number of interventions are listed there. the other is to moderate a n inflammatory response, moderating the host. the others are therapies such as anticoagulants. if you can move to the next slide which has the red circle around the third bullet, that is what i want to bring to the attention of the audience. that is monoclonal antibodies, two of which, the regener

local department of health can be stricter than the state requirement. we'll continue to seek guidance from our local department of public health who's stricter standards are responsible why san francisco has lowest transmission rate. we understand the complexity and the psychological of fear. we need to deal with the health science and deal with people's fear. our emotions are how we make mobility choices. [please stand by] we mentioned we were going to make key decisions in the coming months on market street and we know that the f-line is going to be temporary rerouted and you've heard from some board members and some press outlets that we would like to come up with perhaps, if feasible, someway around that. have you thought of any thinking around -- have you started any thinking around that? >> yes. thank you for that question. we're looking at two things. one is to minimize the duration of any shut down and then the second is to work to bring the service from fisherman's wharf to the powell area. it will require a temporary cross over and we will use our double ended trains that we would have used along the e-line bu

comes the state of california who had much more conservative health and safety ordinance than even what we have locally because typically, d.p.h., our san francisco department of publica lot more conservative than the state. they came in and said okay, no more than 12 to 14 youth in a pod, maximum of two adults. so those staffings, and c.b.o.s having to meet the capacity was a constraint. it's a challenge, it's been rough, but it's been so fulfilling to see the smiles on the faces of our youth, seeing that the staff say we had to make this work no matter what. we were still able to launch successfully in september with, like, opening 42 hubs to start but now, like, we're at 80, and it's hopefully still increasing. i'm bringing on a couple more in a few weeks. >> that's great. now you just mentioned c.b.o.s, community-based organizations, and i understand that the city is partnering with nonprofits and c.b.o.s. do they provide space? how does it work? >> in partnership with rec and parks and the libraries, and that's where we get a lot of c.b.o.s brick and mortar spaces. we provide the staffing. we have rec and park who are standing up hubs. we have lifeguards and oth

comes the state of california who had much more conservative health and safety ordinance than even what we have locally because typically, d.p.h., our san francisco department of publicative than the state. they came in and said okay, no more than 12 to 14 youth in a pod, maximum of two adults. so those staffings, and c.b.o.s having to meet the capacity was a constraint. it's a challenge, it's been rough, but it's been so fulfilling to see the smiles on the faces of our youth, seeing that the staff say we had to make this work no matter what. we were still able to launch successfully in september with, like, opening 42 hubs to start but now, like, we're at 80, and it's hopefully still increasing. i'm bringing on a couple more in a few weeks. >> that's great. now you just mentioned c.b.o.s, community-based organizations, and i understand that the city is partnering with nonprofits and c.b.o.s. do they provide space? how does it work? >> in partnership with rec and parks and the libraries, and that's where we get a lot of c.b.o.s brick and mortar spaces. we provide the staffing. we have rec and park who are standing up hubs. we have lifeguards and other folks coming in

comes the state of california who had much more conservative health and safety ordinance than even what we have locally because typically, d.p.h., our san francisco department of publicative than the state. they came in and said okay, no more than 12 to 14 youth in a pod, maximum of two adults. so those staffings, and c.b.o.s having to meet the capacity was a constraint. it's a challenge, it's been rough, but it's been so fulfilling to see the smiles on the faces of our youth, seeing that the staff say we had to make this work no matter what. we were still able to launch successfully in september with, like, opening 42 hubs to start but now, like, we're at 80, and it's hopefully still increasing. i'm bringing on a couple more in a few weeks. >> that's great. now you just mentioned c.b.o.s, community-based organizations, and i understand that the city is partnering with nonprofits and c.b.o.s. do they provide space? how does it work? >> in partnership with rec and parks and the libraries, and that's where we get a lot of c.b.o.s brick and mortar spaces. we provide the staffing. we have rec and park who are standing up hubs. we have lifeguards and other folks coming in

for 45 days so imagine we are in the middle of the local pandemic and are on department of health and human services isn't permitted to speak with the public. it wasn't all a horror show and they were good people in there that you and i were publicly both working with who are trying to do the right thing but they were problem in large part because of the person i worked for. the book contains and the reason i wrote it is i share with him with jared kushner and anthony fauci and there were things that i felt needed to be told but i also tell you there are things we learned about our country above and beyond the oval office that i think were important to tell them things we need to look at. >> host: you worked in and out and governor and on both sides of the aisle with democrats and republicans and you've worked with them. when you are working for the president of the united states is the elected commander-in-chief and commander-in-chief implies just what it is and that is you are in charge. how hard is it? you mentioned in the look of whole slew of examples. how hard is it whether it's the a's are's or dernburg works in which you go into gr

in the heart of appalachia, practicing public health in virginia might look different from public health and other parts of the country but what all local health departments have in common is the shared goal of protecting and promoting the health of the community. the response to the pandemic has been the epitome of what the public health does for the community. we know the community as well including the barriers to care, distinct local culture, the living situations that might pose challenges as well as the community level partners and organizations that must be included to be successful. we live in our community and serve our neighbors. in the fall of 2020 prior to the authorization of the vaccines the region experienced a surge of hospitalizations and deaths. our area experiences disproportionately poor health outcomes due to chronic disease and elderly populations and limited healthcare access. in the winter, this strict caseload spiked [inaudible] contact tracing we advised schools to go virtual and local hospital capacity teetered on the brink of being overrun. at the peak of the burden, the vaccine became available and the ability to vaccinate tha

comes the state of california who had much more conservative health and safety ordinance than even what we have locally because typically, d.p.h., our san francisco department of publicity partners, the department of technology has been superstars in this whole hub initiative. they've gone out and done all the tech assessments on all these sites in addition to our comcast partners. everyone has been phenomenal. i've been in government for 13 years now, and to see how everyone was able to come together, the red tape was gone, all the barriers that we typically have just working in government, that all just, like, went away, and everyone was so focused on making sure that this could be successful, that it just turned out to a beautiful thing. and i think that opened up the door for even stronger partnerships and alignment even beyond this pandemic, so i'm super appreciative of everyone who's been involved in this project. >> finally, how long do you think the hubs will be operating? i know the session ended in february and a new one's already begun, but do you think they will be expanded during the summer to help kids who had trouble with distance learning during the p

here comes the state of california who had much more conservative health and safety ordinance than even what we have locally because typically d.p.h. our san francisco department of publict more conservative than the state. they came in and said okay no more than 12 to 14 youth in a pod, maximum of two adults. so those staffings, and c.b.o.s having to meet the capacity was a constraint. it's a challenge, it's been rough, but it's been so fulfilling to see the smiles on the faces of our youth seeing that the staff say we had to make this work no matter what. we were still able to launch successfully in september with like opening 42 hubs to start but now, like we're at 80, and it's hopefully still increasing. i'm bringing on a couple more in a few weeks. >> that's great. now you just mentioned c.b.o.s community-based organizations and i understand that the city is partnering with nonprofits and c.b.o.s. do they provide space? how does it work? >> in partnership with rec and parks and the libraries and that's where we get a lot of c.b.o.s brick and more tantar spaces. we provide the staffing. we have rec and park who are standing up hubs. we have lifeguards and other folk

public health jobs. about one quarter of our public health work orders is eligible -- workforce is eligible to retire. we need a data savvy, skilled workforce that works at state health departments, localdepartments, and in communities. community health workers to reach the people that they serve. we need to bolster our public health labs. when we started this administration, we were doing less than 3000 samples of genomic sequencing a week. we are up to 35,000 samples a week. we didn't have the infrastructure in the lab to bolster that. finally, as you note, the data modernization. you mentioned the personal data entry, the need to bolster our data across different health departments, states, and up to the cdc. rep. delauro: dr. schuchat, would you like to comment? dr. schuchat: thank you for your kind remarks. just to agree with dr. walensky about the priorities, i would just add that we live in a global world and covid has taught us a threat anywhere is a threat everywhere. we were not as prepared as we thought we were here and we know every nation needs the capacity to respond adequately and we need systems that can search -- surge rapidly and we need to work together on that. i re

of paramedics and staffing and oversight and regulation. we pushed hard for the oversight, working with the mayor's office for the local regulatory body to be shifted from the department of public health back to the department of public emergency management. that has been finalized, and that should help with the morale and the interface and the interaction and the oversight going forward. but it was in that process that we heard loud and clear from your department, from your staff that we were working with, from frontline paramedics, and just actually going out in the field and looking at the statistics that you provided us, that there has not been an increase in staffing to paramedics since 2015, and yet there has been a 16% increase in the calls. last year notwithstanding, and obviously that has to be taken into consideration. i heard you that you want to continue the analysis, but i just want to hear loud and clear from you that this staffing increase will be helpful for your department and will be helpful for the city overall. >> thank you, vice chair safai. yes, an increase in staffing on our ambulances, which is vate separate from our community paramedicine, will be helpful city

local health department, or your local pharmacist. now, i will turn things over to dr. murphy. >> it is good to be with all of you again today. our covid-19 vaccine public education efforts have continued . the spread of the delta variant is more transmissible and may be more dangerous. it served at -- as a stark reminder that if you are vaccinated, you are protect. if you are not, the threat of variants is real and growing. our efforts have generated hundreds of thousands of conversations in all 50 states. we have mobilized mayors and cities across america to push toward our 70% goal. we have focused our broader efforts on three key groups: parents, youth, and clinicians. we have held town halls with parents and focused on parenting. we have reached out to young people by launching our student community core yesterday, hosting town halls with organizations like the boys and girls club of america, and working with young influencers on youtube and other social media platforms. recognizing how essential doctors, nurses, and other health care professionals are as messengers, we have built partnerships with medical organizations across the country who have

of paramedics and staffing and oversight and regulation. we pushed hard for the oversight, working with the mayor's office for the local regulatory body to be shifted from the department of public health back to the department of public emergency management. that has been finalized, and that should help with the morale and the interface and the interaction and the oversight going forward. but it was in that process that we heard loud and clear from your department, from your staff that we were working with, from frontline paramedics, and just actually going out in the field and looking at the statistics that you provided us, that there has not been an increase in staffing to paramedics since 2015, and yet there has been a 16% increase in the calls. last year notwithstanding, and obviously that has to be taken into consideration. i heard you that you want to continue the analysis, but i just want to hear loud and clear from you that this staffing increase will be helpful for your department and will be helpful for the city overall. >> thank you, vice chair safai. yes, an increase in staffing on our ambulances, which is vate separate from our community paramedicine, will be helpful city

public health authorities to study, collect, and analyze epidemiological data. clear communication and coordination by federal, state, and local public health departments is necessary to the success and security of these efforts. so the bill before us, h.r. 3841, the tribal health data improvement act, equips tribal communities with enhanced resources to collect public health data and the data health programs to improve health outcomes. the bill clarifies the federal government's role in the collection and distribution of public health and disease data. it does this by creating information with the independent -- indian health services, tribal epidemiological centers. the legislation requires the secretary of health and human services to release all applicable public health data to tribal entities within 180 days of enactment. it also requires the c.d.c. to enshurj and enhance -- ensure and enhance collaborative efforts between tribal and states. the bill re-authorizes the national center of health statistics with an additional $185 million in funding to implement the programs established by the legislation. so i want to thank representatives mullin and o'halleran for their bipartisan efforts to

you know, it's still mandated reportable disease, so all of the tests that are done are reported to public health, so local health departmentsrates closely will be monitoring hospitalizations looking at new admissions. um and the other thing that we're continuing to do, i think, as people know is looking at kind of cross matching all the people who are immune assays and all the reported cases, making sure we're not seeing a breakthrough in the vaccine effectiveness, so we're and wondering also within the hospice nations, really looking to see? are there people who are getting hospitals that have been vaccinated? because, you know, of course, no vaccine. is 100% effective and what we're seeing. as far as the very rare cases that, um, have been fully vaccinated. they're often very mild, have no symptoms at all, and they're just, incidentally, tested things like that. but if we started seeing, um, you know, vaccine breakthrough in the sense that people were really ill, like hospitalized and vaccinated. that would be a concern. and again, that was dr eric upon the state epidemiologist. she says that two million people will recei

local public health department guidelines. >> new york state is celebrating a covid-19 milestone with more than 70% of adults receiving at leastne dose of the vaccine. fireworks lit up the sky across the state and overnight, a dozen landmarks were lit and blue and gold. in washington, plans for a fourth of july celebration including a return of the national mall fireworks show and at the white house, biden will host 1000 guests to honor first responders and servicemembers. >>> in the east bay, outdoor dining is staying in at least through january 3. the town council approved the extension that will work out the details next month. last december, some restaurants were defiant when contra costa county halted outdoor dining. >>> san francisco sheriff's visited chinatown. golden gate fortune cookie factory destination. he posed with shop owners and took photos. >> i think it is important to focus on two things, and what is not resiliency only but bringing business back. also because of the recent challenges we have had with a focus on aapi. >> chinatown businesses have asked for a stronger police presence because of anti-gaye inci

local public health department guidelines. >> meantime new york state is celebrating a covid milestone. more than 70% ofdults have received at least one dose. fireworks lit up the sky across the state and overnight more than a dozen landmarks were lit in blue and gold. in washington plans are underway for a fourth of july celebration, including the return of the national mall fireworks show. at the white house president biden will host more than 1000 guests to honor first responders and service members. >> thank you. >>> abc 7 news is continuing to monitor the covid vaccine numbers in california with our vaccine tracker. you can find it on our home page. >>> in the east bay outdoor dine willing remain through january 3rd. the town council just approved the extension and will work out details next month. in december some danville restaurants were defiant when contra costa county halted outdoor dining during the pandemic. >>> san francisco sheriff paid a visit to chinatown to celebrate the reopening. he posed for photos with tourists and talked with shop owners. his tour was about much more than a meet an

local health department or your local pharmacist. thank you. i now turn things over to dr. mercy. >> thank you. it's good to be with all of you again today. our covid-19 vaccine public education efforts have conned in earnest and in fact with even greater urgency given the spread of the delta variant, which is significantly more transmissable, may be more dangerous than prior variants and which serves as a stark reminder that if you are vaccinated you are protected. if your not, the threat of variants is real and growing. in the last two weeks alone, our door knocking and phone banking efforts have generated hundreds of thousands of conversations in all 50 states. our mayor's challenge has mobilized people in cities and towns across america to push toward our 70% goal. we focus our broader efforts on three key groups in particular. parents, youth and clinicians. we tell town halls ands precalls as parents and materials focused on parenting. we have reached out directly to young people by forming our student corps and by reaching out to organizations like boys and girls clubs and by working with influencers on youtube and other social media platforms. recognizing how

of thing. it's not yet on the menu though and a statement to nbc news the restaurant says they're working with the local health department to determine whether it's safe to eat it's a publicityderstand the ingredient." >>> developers unveiling the world's first amphibious drone at an expo in japan. it can fly through the air, land on the water, it can release a second drone which can then travel under the water the developers say people can use it to inspect seafood farms. this comes as the drone market is booming and according to a new report, it's set to double by 2025. cnbc's jane wells is in simi valley with a flying friend. hello, jane. >> reporter: hey there, shep i'm at aerovironment and that is a replica of ingenuity currently on mars and drones we're spending from the pentagon to farmers is increasing. the drone market is taking off, reaching new heights, including mars the global market for unmanned machines is predicted to double to $40 billion in four years, according to levitate capital. it's one area where most customers are increasing spending, says drone deploy, a drone software company >> we do 1.5 million flights a year, that would make us the second busies

of underinvestment. a recent report revealed state and local health departments have lost an estimated 66,000 jobs in's 2008. the cdc and publicpartments are receiving financial resources on an emergency basis. those investments must be sustained. long-term commitments to resources and animation are essential. the pandemic will not be the last major threat our nation will face." that column in today's new york times. "what i learned in 33 years at the cdc." james out of georgia, democrat. good morning. caller: hello? yes. my question is -- fox news and newsmax are always talking about the democrats. joe biden not doing this and this. they talk about this country needing unity. how was it going to happen with that attitude? host: when do you think was the last time we were united in this country? are you still with us? we will go to arlington, virginia. independent. caller: good morning. when are they going to do something specifically for black people? i'm talking about descendants of american slaves. they have done something for asian americans. they have done something for latino immigrants. they have done something for lgbt

within state and local health departments on the front lines of the response and wherever they weree needed eis showed u. they got to work. this dedication is why it's so clear, public healtho needs the fresh outlook and keen insights of you, our eis officers. thankfully more than 95% of eis officers choose to stay in the public health workforce when they leave the program. while manyny go on to keep positions as state epidemiologists and leaders of public health organizations around the country and indeed the world, we are fortunate that many off you decide to stay and serve right here at cdc.ry eis alumni provide more than 40% of the scientific leadership at cdc. instilling the core values of the program and the work we do every day. the eis program is a pillar of cdc's investigative and response workforce. the prowess and prestige of the agency grows with each new class of disease detectives and each class builds on the scientific and service legacy of those before them. in the wake ofn, our greatest public health threat since the program was created. the eis footprint is expanding to make an even bigger impression, thanks to the american rescue plan. the $7.4 bi

and the department of public health for the implementation of san francisco medical reimbursement accounts cash grant program payments authorized under the seventeenth supplement to the mayoral local emergency declaration for a total amount not to exceed $14.9 million for a term of 18 months from judge will 1,2020, through december 31, 2021. members of the public who wish to provide public comment on this item, call 1-(415)-655-0001. and meeting i.d., 146 105 4903. and then press pound 3 twice. and a system prompt will indicate that you have raised your hand. wait until you have been unmuted and you can begin your comment, mr. chair. >> chair haney: great, thank you. turn it back over to you, dr. colfax. >> great, and i will have our chief operating officer, greg wagner, to provide details on this, thank you. >> chair haney, greg wagner again. this resolution relates to a program that we implemented about -- beginning about a year ago. that was partnership with the san francisco health plan through our city option program where we -- it became clear that there were a number of people who are struggling to meet expenses during the early months of the pandemic. that some were medica

local agencies have collectively outlined key factors to take into consideration when we're planning over the course of the pandemic. the centers for disease control, the california department of public healthnd the san francisco department of public health guidance have focused on public health and safety practices put in place to combat covid-19. guidelines have these agencies has changed over time as our understanding of transmission has changed over time. the release of guidelines and guideline updates have not always been in timing with our planning and planning process. as we anticipate more things to open up beginning in june, we need our state officials to expedite the release of any guidelines that will have an impact on our planning for fall return. what we know right now is that the governor's proposed funding for public schools assumes the adult will be a return to full time public instruction for all students. the california department of public health has not yet released guidelines for school reopening, and with that given, where we are right now, we know that we need to move forward, planning for different possibilities, while we await these directions. next slide. we recogn