nakajo. we graduated a class of 12 new ems and so they are already on the ambulances, this is day before thanksgiving. chief [indiscernible] did a good job providing background for apec activity. i want to note, there was a very huge lift on the part of ems and community paramedicine to prepare for this event. we started i think planning in about march and then as the days coming up there was a lot of ramp up in terms of just trying to address the staff issue and needs changing every day, every hour sometimes. chief choker, our ems section chief operations he was really on the task of trying to just get everybody in line. we had 3 ambulances to participate in the president motorcade. three per day for the vise prez sident. one for the first lady and then 3 ambulances for china. when you think of the number of ambulances and personnel required to staff all these units, we are talking about 24/7 coverage and getting our members to work off-duty on overtime to staff all the units. in the end we

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

nakajo. we graduated a class of 12 new ems and so they are already on the ambulances, this is day before thanksgiving. chief [indiscernible] did a good job providing background for apec activity. i want to note, there was a very huge lift on the part of ems and community paramedicine to prepare for this event. we started i think planning in about march and then as the days coming up there was a lot of ramp up in terms of just trying to address the staff issue and needs changing every day, every hour sometimes. chief choker, our ems section chief operations he was really on the task of trying to just get everybody in line. we had 3 ambulances to participate in the president motorcade. three per day for the vise prez sident. one for the first lady and then 3 ambulances for china. when you think of the number of ambulances and personnel required to staff all these units, we are talking about 24/7 coverage and getting our members to work off-duty on overtime to staff all the units. in the end we

good morning president nakajo, vice president morgans, commissioners. city attorney, maureen, command staff. deputy chief lairious luttropp and this is report for october and november of this year. my birthday present to you will be brevity i hope. i want to point out there are a couple chiefs excused in the next 15 minutes or so for a important meeting, so please do not take offense if they bound out of here. looking at the stats for october and november. no tremendous uptick in activity. some decrease in water and cliff response usual for the season and in this reporting period, we fiend ourselves in the situation we usually do with a high profile fired amly before the meeting not included in this report but i have a greater alarm to report out to you. before i report that fire, let's start with that fire. so, there was a box 5456 on 11-14 this year. the chief responsible for this fire, incident commander and create or of the report, chief baker is in the room. second alarm at 975 valencia street across liberty and 21. no injuries and cause of fire is

nakajo. we graduated a class of 12 new ems and so they are already on the ambulances, this is day before thanksgiving. chief [indiscernible] did a good job providing background for apec activity. i want to note, there was a very huge lift on the part of ems and community paramedicine to prepare for this event. we started i think planning in about march and then as the days coming up there was a lot of ramp up in terms of just trying to address the staff issue and needs changing every day, every hour sometimes. chief choker, our ems section chief operations he was really on the task of trying to just get everybody in line. we had 3 ambulances to participate in the president motorcade. three per day for the vise prez sident. one for the first lady and then 3 ambulances for china. when you think of the number of ambulances and personnel required to staff all these units, we are talking about 24/7 coverage and getting our members to work off-duty on overtime to staff all the units. in the end we