president nakajo vice president morgan. commissioners feinstein. frazier collins as chief secretary, conifer command staff am. simon pang, assistant deputy chief of community paramedicine the this data symposium, which will be on january 19th of next year, is an offshoot of the million dollar grant that we got from the national science foundation in collaboration with san jose state to work on moral injury and improving health equity and the idea is we started to see it in community paramedicine and realized that this is a problem that extends to all of ems, but at the most basic level is how do we define someone who is homeless? we all do it different ways. is it someone who's marginally housed? is it someone who's couch surfing? is it someone that's been homeless for one week for two weeks, for a month? other issues are how do we how do we get demographics of the patients that we're serving, the clients that we're serving? what are the person doesn't reveal to us what they think their their race or ethnicity is. do we make a guess? do some people

president nakajo will read the land acknowledgment. the san francisco fire commission acknowledges that we are on the unceded ancestral homeland of the ramaytush ohlone who are the original inhabitants of the san francisco peninsula. as the indigenous stewards of this land, and in accordance with their traditions, the ramaytush ohlone have never ceded, lost, nor forgotten their responsibilities as the caretakers of this place, as well as for all peoples who reside in their traditional territory. as guests, we recognize that we benefit from living and working on their traditional homeland. we wish to pay our respects by acknowledging the ancestors, elders, and relatives of the ramaytush ohlone community and by affirming their sovereign rights as first peoples. item 2. general public comment. members. public may address the commission up to 3 minutes within the commission's jurisdiction this does in the appear on the agenda. speakers address to the commission as a whole and not individual commissioners or personnelful commissioners not t