monica gandi who is the director of ward 86 and one of the huge structural barriers that we're addressing is the homeless population and monica is going to talk about pop-up. [ applause ]. >> it's really an honor to be here. just to tell you a little bit about the history where you're standing right now. we opened ward 86 in january of 1983. so this is the oldest h.i.v. clinic in the country. then across the street simultaneously opened an inpatient ward 5 b and 5 a. and many innovations in h.i.v. care have come from this clinic. so a lot of the investigational therapies in the 1980s and 1990s were tested here starting way earlier than the rest of the country and the world. a rapid program, as diane mentioned, and a prep program. we know that many elements that are key to success for people living with h.i.v. are challenging if you don't have a place to live. that would be making and keeping appointments, particular set of appointment times, where do you store your medications and keep them safe, that they're not stolen, safe sex, healthy eating. all of these barriers are amplified 100-fo

monica gandi moved out of this ward, so i'm not happy about that. i'm happy you're still in san francisco. all of you who have gotten us to this milestone and going to get us to zero, thank you so much. [ applause ]. >> mayor breed: thank you, supervisor mandalman. now to talk a little bit about the report is the director of the department of public health, dr. grant cofax. >> thank you all, today. it's great to be back in ward 86. i worked here for over a decade and i'm looking forward to returning to the clinic to be a clinician as well. i experienced, as with many of you, the grief and the sadness and advances that we've made with h.i.v. i started as a medical student and we've seen the progression that we've made and the progress that's been accomplished. whether you're a community provider, a clinician, a researcher, a member of the press, i think the legacy teaches us that it takes a collective vision, a collective effort. priority-setting, and understanding what are the priorities in the system to help us do better. that's the san francisco h