commissioner loyce, were you next? commissioner bernal? >> sure. my question is regards to the stigma pillar of getting to zero and undetectible versus untransmittable efforts. i know the big aids conference, they're asking departments of public health, other organizations to sign on with a declaration or statement in support of the findings. have we done that, as well? >> we have. >> we have been more integrating it into our message when it comes to the stigma. >> yes. tracey is actually launching a campaign within the health department of u = u. it's a program that's being launched in part of the same way the prep part was being done, we have a campaign, and i think that's being launched later this year. >> okay. thank you. >> commissioner guillermo, did you have another question? >> i did, actually. this is a question for nicole. you had mentioned that in the slide that talked about the prep services that there were at least three contacts that somebody would make prior to actually starting the prep regiment. how do you track that there were thr

commissioner loyce? >> mr.agner, has the city attorney or anyone from that staff or the mayor's office spoken to what was articulated in the paper regarding the federal government's response to our efforts to have a safe injection drug site and the question about whether or not they would actually pursue legal action against the city and county of san francisco and what the implications of that are? >> yeah. we've been, commissioner loyce, in conversation with the city attorney's office and also other cities that are exploring this. there are a number of cities that are looking at this as one of the facets to their response to what we're seeing nationwide. there are still legal issues that we're working through, and the event last week was not really to address that aspect, but the purpose, and i think it serves really well to do so, was allow people to envision and experience what a program like that would be like. you can kind of see how it would work, how it would provide a positive environment for people to

commissioner loyce? >> well, in fact, the breast health, mammography, and others have moved already, we've lost our oversight already, and that's troublesome that we don't have the public oversight. whatever vote we take today, since they've already made the move, it doesn't matter what we say. that, to me, is a bill troubling. i have stronger language, but i'm troubled, i will say. so i'm not sure what to do with this. >> from the prop q, we are required to come to understand they have told us that they are moving services from a hospital, and many months ago, they actually told us, for example, they were moving the reasonab reasonable -- renal dying sis dialysis to another location. that's what prop q requires, certain hospitals report termination of services or changes of services. and then, these services then move to wherever they go, of course, and when there are issues that rise during the course of that movement, like, i believe has happened already in terms of, for example, the subacute care and

former president loyce enough to silva has been officially blocked from running in october a selection. of judges on the electoral court delivered a ruling banning his candidacy he is currently serving a twelve year prison sentence for corruption convicted of a crime cannot run for the presidency and brazil but party registered him anyway it says it will keep up the fight to ensure he can stand. where killers are being linked to flesh eating disease as among farmers and northern thailand the government is now reconsidering the use of three talks six one of them paraquat is already banned and more than thirty countries when he has a story. in parts of rural thailand red marks the spot it's an indicator that farmers used to show that sprayed paraquat a toxic weed killer banned in many countries and the european union its use is blamed on a number of illnesses including a flesh eating bacteria disease which is emerged in northern thailand some farmers have died others have lost limbs in the province of. where researchers say contamination from agric emma cools is severe. i really want to

i also want to acknowledge two of our health commissioners here: dan bernal and james loyce. thank you so much for being here and joining us on this special day. [applause] >> you know, it takes a village, and the city and county of san francisco, and especially the health department has been a really wonderful partner. and i want to acknowledge gary, who's here, the interim director, and i want to introduce to you dr. barry zevin who's a specialist for the san francisco department of public health. [applause] >> similmer down. thank you very much. the -- i'm a physician. i'm trained as an internal medicine specialist and an addiction medicine specialist. i reviewed the literature on things related to people who use substances. i've been involved in the harm reduction movement for 25 years. i've been treating patients who use drugs for 30 years. t the -- i have had numerous patients in the past 30 years die of overdose. i've had numerous patients die of substance use related disorders, preventible disorders. i have embraced the idea that we meet people where they're at, a ver

thank you very much, president chow, vice president loyce, acting director wagner. mickey callahan, acting resources director. as commissioner chow indicated, our department has been working with a number of departments for the last ten years or so such as yours to find top candidates for the positions. we have meet with the mayor and your officers to find out how to proceed, and we have come up with basically a framework. you will see before you kind of a graphic chart that talks about the steps, and what i'd like to do is kind of walk-through that a little bit and provide a little bit more detail if that's acceptable. >> yes, please. >> first of all, recruitment proposal, we are -- we haven't finished it because we need to get the high sign from this commission that we're going in the right direction. but we have definitely an outline of dates which cull minu -- culminate as early as december december would go to the mayor or potential sending us back to the drawing board, but if we do a good job, and i'm sure that we can, we would be able to identify top candidat