the office of public health conducts large studies of the health of american veterans covert justice studies produce results that did not support the office of public health and written policy they don't release them. this applies to data recording adverse health consequences of environmental exposures such as burn pits in iraq and afghanistan and taught six exposures in the gulf war on the rare occasions when embarrassing study results are released are manipulated to make them unintelligible so there seems to be an ongoing struggle between the truth seekers and the government when it. sort of getting to the bottom of the exposure. health the fact that veterans are now experiencing. been a hopeful terrible experience for. the for the claim itself to the v.a. to. either compensated or to get medical treatment. is going to home. they. are not there no matter what the. most of their employees are angry and seriously nasty. i don't want to go in there i always thought that they would have the best care and the reality. down to me it depends on who you get is a provider but the bureaucracy

of health to come up first and give their presentation. thank you. >> my name is nae and i'm with the department of public health and office of planning. i want to provide you with an update on subacute healthcare an san francisco. so over all we know that given changing demographics health care financing trends, the high cost of doing business and the high cost of doing business that san francisco faces several challenges in meeting the needs for nursing care in the city. we have the number of seniors will increase from 14-21 percent of the population by 2030. we have a declining supply of skilled nursing facility beds and finally there are limited options for low and middle income residents who need long-term care and have behavioral health challenges. many skilled nursing facilities which are private for profit business limit add visions to -- patients due to low level of reimbursement. so optimally post acute care is provided in home and community base settings where possible and we know that aging adults prefer to age at home and several national, state, and local policies recognize the importance of this to maximize dependence an

budget and policy priorities from the department of public health, home -- human services agency, department of ageing and adult of thes and the office of early care and education. >> supervisor fewer: thank you. we are hearing presentations today from several department heads. let's begin with barbara garcia, director of the department of public health. >> good afternoon, supervisors. barbara garcia, director of health. wan wanted to give you just a quick overview of our 2018-19 budget. as you can see, zuckerberg is almost half of our budget, but i do want to highlight the behavioral health component which is a large component of our base budget, and then the rest of our services, as well. one of the important -- what's really important for the department is to leverage about $1.4 billion in revenue. much much this of this is matc when you heard about trying to reduce medicate dollars on the federal level, we use general fund to offset that. it's really important, in terms of medi-cal does have very strict rules about who can be billed for, so one of the areas -- and you'll see in our budget how we really focus on areas like zuckerb

presentations from the city services, auditor, department of homelessness, department of public health, the mayor's office of housing and service providers. while we're helping 50 per day to exit homelessness, an estimated 150 people are losing their homes and moving into the streets each day in san francisco. we heard that we need to focus on prevention, problem-solving and exits. we need medical attention and outreach for those suffering from mental health and addictions and we need to make sure transition aged youth. i am looking for resolution for adoption urging the mayor's office and the mayor to prioritize these issues in his budget. so let's be clear, what i'm specifically asking for. i'm asking for increased rapid housing subsidies. second, increased medical outreach teams. third, more beds for individuals with mental illness. fourth, funding for eviction defense legal service. and fifth, and finally, a navigation center for the tay population. workforce development with the nonprofits that support our street cleaning are essential in providing dignity, health and a path out of homelessness. i wa

office of national drug control policy. under the previous administration, the small office was made up of public health experts and law enforcementealing with this issue. here's what it's been like under trump. >> the office of national drug control policy, the entity charged with coordinating the federal government's counter-drug response still does not have a permanent director. >> the president is expected to slash the budget out of the office of national drug control policy. >> guess what? this administration, which talks a big game about opioids, just proposed cutting the agency's budget by 95%. >> seth: that's right. last year, the white house allocated about $368 million for the office. and for next year's budget they're only asking for about $17 million. the office trying to stop the opioid epidemic is getting less than mark wahlberg got for "daddy's home 2." [ laughter ] and just hearing that news, six more people started taking opioids. [ laughter ] but perhaps we should have seen this coming. the former deputy chief of staff at o.n.d.c.p. was taylor weyeneth who was only 24 years old. but it's not just him. according t

the department of public health director barbara garcia will be discussing with us about our behavioral health initiative. the mayor's office of housing, the lovely and talented kate hardly. and brian chiu. where is brian? not here yet. brian chiu, both of them will be discussing about -- discussing with us about our ladder. we have severin, who is representing the bla report and recommendation. that's an important function, because the analyst is an independent entity that helps us analyze the budget. so rising above politics. that's why her job is incredibly important. and of course, we're going to close out and hear from the on the ground, nonprofit workers that are tirelessly rolling up their sleeves and providing services, specifically the hesspa coalition and within that coalition, ma lia, colleen, rebecca and joe.lia, colleen, rebecca and joe. >> supervisor cohen: please call item one. cloix hearing on homelessness and housing in the city budget. >> supervisor cohen: i want to highlight the purpose of why we're approaching our budget process this way, it's an effort to bring more transparency, clarity and fairness in

for one exchange and it's important for us to understand from a public health perspective why that's the case. i'm the health officer of san francisco and i direct the population health division that does public health services for the city. ilene will follow me. we try to value equity and compassion. we work a lot with the department of public works. an example that happened not too long ago is we had an out break among the homeless. we had hepatitis out breaks among the homeless in other parts of california but not san francisco because we activated our emergency response system and vaccinated close to 6,000 people. one of the things i want to get to is the whole distribution of needles is an important part of our strategy with getting to zero and hiv. what i want to do is share with you an info graphic that just summarizes why a syringe access so so important. i'm going to walk you through it. when you have so many needles people become concerned about becoming infected when there's needle sticks because there's so many needles. you get complaints from the public, from workers, et cetera. you can think of it in thre

office. the doctor at the head of the us public health system says more americans need to carry a drug that canoin. surgeon generaljerome adams said 115 americans die from an overdose every day, and the drug epidemic is now killing more people that the hiv crisis did at its peak. well, joining me now for more on that story is drjeffrey singer, at the senior fellow at the cato institute. asa as a doctor, what is your response to this initiative? i couldn't agree more with the surgeon general. this is not a controversial decision in the medical community, it's been known to use that naloxone is a very effective antidote. it's been available in this country for years, since 1971 on for several years, it's been given to first responders in many states to rescue overdose victims in an emerged —— an emergency. the fda still schedules it as emergency. the fda still schedules itasa emergency. the fda still schedules it as a prescription drugs and it's only available by prescription. most states have come up with workarounds so states have come up with workarounds so what they've done in most cases, the

public health approach. explain how a public health approach will be different than a task force of 100 officers in london? ing. policing is of course important, it is important to get the right police response, but the public health approach looks at what the problem is so it has intelligence around that and looks at risk and protective factors, and looks at interventions that might be effective based on those risk and affective factors. if those are successful when you try them out, you scale them up and try and reach as many people as possible. the cressida dick said last week she thought social media revs up vulnerable people essentially, do you get any sense of that in glasgow. is that an element that went on? i don't think it helps, it doesn't cause violence, it isn't the root cause of violence, but it probably doesn't help the situation when things are starting to escalate. what it said in some cities, this is an event that gangs will use knives and then they move onto something else. you can see it changing, not quite generationally, but within a few years, there will be a different modus operandi.

i've been asked to provide a high level over view of mental health conservatorships in california and discuss the role of the office of the public conservator here in san francisco. first i wanted to thank president breed in her interest in assuring the most appropriate legal representation. our department fully appreciates and supports the intent of the proposed ordnance. the role of the public conservator is to oversee the psychiatric care of adults that are gravely disabled and not able to accept services on a voluntary basis due to this condition. grave disability is a legal basis that's used for determining the appropriateness of conservatorship. it refers to the inability of an adult to provide for their own basic needs, specifically their own food, clothing and shelter. the mental health conservatorship system in california is really complex. to start off my discussion i just wanted to quickly clarify a couple of terms that are often misunderstood. lps refers to the name of the bill that was passed in the late 1960s and it took full effect in california in 1972. lps conservatorships, mental health conservatorships are ess

office of housing which were approved by voters in 2014, 2015 and -- 2015. items four was approved in 2014. five and six were in 2015. is that right? >> i will go into that. >> item six is public health and safety was approved in 2016. >> what is your name? i am from the controller's office of public finance. thank you for hearing the items this afternoon, committee members. >> quick. i have charles and joe are going to be presenting. they are here ready to go. >> as you made illusion to two-thirds of the voters approved prop possession a with the response bond esr to issue $400 million in genobligation bonds to improve fire, earthquake and replace unsafe facilities. of that total authorization 210,265,000 is issued leaving $189,735,000 remaining from the 2014 funds. we intend to sell those in this upcoming transaction. these bonds are to be sold on a tax-exempt basis. on november 3, 2015 the city approved the proposition a the general obligation bond authorizing up to $310 million bonds to fund the projects for the affordable housing for vulnerable populations including seniors and disabled. it is through the proposed bond sale acquisition and preservation to prevent eviction. the p

so is the director of public health, chief bill scott, deputy chief of staff and chief of staff of the mayor's office and the d.p.w. director was there to talk about how on a regular basis we're coordinating our efforts to endeavor and to meet newly formed group and meeting at least once a month. and that concludes my report. i wanted to request your adjourning tonight's meeting from vice president nakajo for the passing of retired battalion chief mark rishan who was a very dedicated member of this department. had a firefightering family. his brother mike was in the department. his brother-in-law al jones is in the department and his son john is a firefighter-paramedic. mark retired after 30 year of service and about 12 years ago, but had a very sudden diagnosis of cancer just a few months ago, and passed away last week. and happened to be a very good, close personal friend of mine. so i was with him and his family when he passed away. so i would ask that you keep him in your prayers and the funeral will be next wednesday. thank you. >> thank you, chief. thank you very mucher. commissioners, at this

of unaffiliated public health professional . i was wondering if you could talk about the role of public-private partnerships and if your office has any resources to support the development of those partnerships. >> public-private partnerships are going to be huge. they already are increasing in prominence and prevalence but we need to begin think about how we can gauge those private entities. my report on health and the economy is not about me trying to tell businesses that they need to pick up my manual. it's about me going in and saying you engage in a healthy environment, is going to be easier to recruit you. you're going to have less absenteeism showing up at work and being less productive and have less workplace accidents. you're going to be more prosperous across the board. we've just got $6 million to respond to the opioid epidemic. it's more money than we've ever gotten to respond to opioids. you know the challenge is whatever we talk to folks they continue to tell us it's going to cost so much more than that to be able to do what we want to do . we also know that we've got congress and an american people who believe in a

a new toss force of one hundred officers will be brought into focus on violent crime and another six hundred offices are deployed to raise awareness in schools as part of a public health issue they've also launched a campaign which is worth one point nine million dollars at the moment as part of a serious violent strategy policy with a series of adverse to help tackle crime through social media and this is one of them it's called knife free it features true stories of teenagers who have been stabbed and are now steering away from using a knife its website includes various things like advice and support services and there's also a hash tag and various videos being used to raise awareness across various social media platforms and the mayor's office has also launched an online campaign dubbed london needs you alive pointing out that there are over six hundred thousand teenagers in london and every one of them is important listen. old school b.c. . i'm. not going to see you got a funny person or school my mom is going to die young. boys be around london leave me alive london needs new life london needs me alive so i don't carry a knife so i don't code. so what do you thin

office, and public health, as well. in just getting us through the process. i also want to acknowledge cac who has held most of the public community outreach, and i see mr. honeycutt is well, so i want to thank them, as well. with that, without giving too much of the presentation, i'm going to turn it over to sally who's going to lead the presentation this afternoon. thank you. >> commissioner mondejar: thank you. >> thank you, director, and good afternoon, commissioners. we're here today to seek your approval on a number of actions related to proposed changes to the candlestick point and hunters point shipyard two phase project. you heard about these proposed changes from the master developer at our last mission meeting and workshop on march 20, but now, ocii start will walk you through the details of the amendments that you will make to make in order to implement this readvisvised pr. the mouse doesn't work. fyi. okay. so our agenda for today is as follows: i am going to give you a quick overview of the approval actions before you and highlight some of the key existing project requirements that will continue

office, the mission of tents will be cleared out monday. teams from the city's department of public works, department of health and police department will be taking part. the tents and the people often return. as a member of the board of supervisors, mark ferrell offered a public referendum that was approved. proposition q. it gives city officials a power to confiscate tents if the city can provide housing. interim mayor, ferrell plans to enforce the rules and create a dedicated team to make sure the tents do not return. now the mayor says he considers these temnts a public safety hazard to the people whoi are living in them. he's planning a news conference on his plan tomorrow morning at 11:00. reporting live in san francisco, i'm sergio quintana, nbc bay area news. >>> a dramatic rescue in atherton after a crash that left two people trapped inside their car pinned to a tree. firefighters say it happened just after 3:30 this morning. not only was the car pinned but the crash sheered off part of a power pole leaving live electrical wires resting on the car. see there in those photos. firefighters say the two men inside the car were conscio

at youtube just the latest in a long string of workplace shootings across the country. 2015, 14 dead in a terror attack at a san bernardino public health office. over the years, dozens more killed at a naval facility. a beer distributor, post offices and many more. 96 workplace mass shootings, 94 carried out by male shooters. just a single shooter was female. the san bernardino attack carried out by a man and a woman. >> it as very rare that we see a woman shooter in a violence in the workplace scenario. it's usually the male that's acting out with a weapon or firearm like this. >> reporter: a study released by the secret service last week found nearly half of mass shooting suspects were motivated by a personal grievance, often retaliating for a perceived wrong. 64% of the shooting suspects have some sort of mental illness, with a quarter previously hospitalized for psychiatric treatment. >> but some people just want revenge. they're choking on a grudge. they want to get back at someone for somebody done them wrong. that's a lot of the motivation as well. >> workplace homicides occur almost every day in this country. in 2016, 500 people were

public office before. she is an emergency room dubt and public health advocate. both candidates are now making their final pitches to voters. president trump, of be watching this, this is now the eighth special election in his administration. the president is currently at the white house, though. he has been meeting with french president emmanuel macron and we're getting our look at the two of them in the oval office. he want to listen. >> mr. president, they're all saying what a great relationship we have and they're actually correct. it's not fake news. finally, it's not fake news. so it's a great honor, great honor that you're here. but we do have a very special relationship. in fact i'll get that little piece of dan druf off -- we have to make him perfect. he is perfect. so it is really -- it is really great to be with you and you're a special friend. thank you. >> thank you. >> thanks for being here. >> thank you. thank you very much, mr. president. i want to thank president trump and your country, your people for this very warm welcome, this wonderful surrounding. in deed both of us just reminded how great our common history is and that

officers say no one was hurt in this crash. >>> public health officials are investigating a case of tuberculosis in saloma county.parents received a letter yesterday informing them of the situation. officials found out about the case of tb last wednesday. administrators and health officials want to find out who had contact with the infected child. >> i wasn't shocked because they said there was an oughtbric in fairfield -- outbreak in fairfield. >> the child is receiving treatment and will return only after they are cleared. the school says there is no need to keep the students home from school. >>> the city of san francisco needs workers to clean up used needles off the street. the mayor announced he is looking for ten people whose sole job will be to pick up needles and syringes. he will announce a crackdown on tents in san francisco as well later this week. >>> protesters are taking to the streets upset about police inaction while a man was stabbed to death. anthony mely was eating when a homeless man allegedly stabbed him in the neck. 911 calls were made reporting a destructive man in the area. but instead of

office because what is terrifying here is a huge number of people are frightened of interactions with the state because whether it is enrolling your child at school or seeking treatment for a health problem and publicealth considerations are profound. it does not take a lot for their to be a public health crisis because somebody is not seeking treatment because they are frightened that doctors will pass on their details. i don't think people would argue that there needs to be a crackdown oi'i that there needs to be a crackdown on illegal emigration, the fact is the policy is put through so ham—fisted, you get people who should never be considered as illegal immigrants and theresa may was caught up in that. my point is that because the mood was hostile, there was no pressure on the government to do something about this potential problem and that was pa rt this potential problem and that was part of why we can see all of this right now? the government had this policy to reduce immigration to the tens of thousands, which cameron introduced as a commitment, as far back as 2008, without any capacity to deliver it. the problem is, the further we got from being able to deliver that modest target, the more

scotland the number of stabbings of young children and young adults is down in that city, how much is this to do with policing, a home office issue, rather than public health with public health. we have been looking at accident and emergency departments, have people come in with injuries that are not reported. we have done some pioneering work on that, as in scotla nd pioneering work on that, as in scotland and wales. the other thing we need to look at is how we deal with drugs policy, much of the violence now relates to drugs gangs, drugs being exchanged. we need to have a long look at our drugs policy. i produced a document this year which the home office have been full of praise for. we now need the resorts to see those things happen, to see some of the work to get this violence from the streets and stop the scourge of drugs and violence around in some many communities. when you talk about drugs policy, inevitably that is controversial, some argue decriminalising or legalising drugs is the way forward, others say we mustn't send that message harmful substances are ok. in the west midlands alone, the cost of heroin and crack cocaine to public services, p

officers say there's no threat to students or the public. >> developing now, we're watching the health of barbara bush this morning. after her family released a statement this weekend saying she's not doing well and will not seek further treatment. the wife of former president george h.w. bush and the mother of former president george w. bush dealt with a series of recent hospitalizations. she's 92 years old and said to be suffering from respiratory and heart problems. her granddaughter "today" show contributor jenna bush hager became emotional talking about her grandparents today on the "today" show. >> but i think the fact that they are together in this and he still says i love you barbie every night, it's pretty remarkable. >> the family says mrs. bush will spend her time focusing on comfort care after she and her loved ones consulted with doctors. >>> 6:07, starting today, anyone with a bike will board first at three of caltrains busiest station, mountain view, palo alto and redwood city stations. this is part of a pilot program to eliminate boarding delays. >>> it's 6:08. everything

office in a corruption scandal last year. prosecutors are seeking a 30—year prison term and a fine equivalent to more than $100 million. the doctor at the head of the us public healthtem says more americans need to carry a drug that can reverse opioid overdoses. surgeon generaljerome adams said 115 americans die from an overdose every day, and the drug epidemic is now killing more people than the hiv crisis did at its peak. the government's tax on sugary drinks comes into force today. the cost of some drinks goes up by as much as 24p a litre. but a number of companies have reduced the sugar content of their recipes to escape the new levy, as our health editor hugh pym explains. it's part of a government plan to tackle obesity, and supermarkets are already getting the message out there. some soft drinks prices will go up tomorrow, some won't, depending on how much sugar they contain. shoppers we spoke to were in favour. i look at every ingredient on anything i give my son, so sugar needs to be taxed, it needs to be out of our diets. i'll allow my kids not to have more sugar, to be honest, because it's spoiling them. and it's more about obesity. but even before the i

lit lit ale the first week in office is i healthy retreat center where we have the police department and public health department and homeless department and department of public works, working together to resolve the tent encampment areas and they are the once tasked with making sure they don't come back. i completely agree with you we can remove them but we have to make sure they don't come back to the sidewalk and then we move onto the next part of the san francisco. >> we'll see how that goes because the second step is the one where it's often stopped in san francisco i want to thank you okay. let's take a look maybe outside in the weather. >> all right. we are looking at sprinkles on high deaf doppler. scattered showers up north and actually over portions of the peninsula in the south bay as well. a closer look at where we're seeing the rain north of fort gragg right now, light scattered showers, a little rain snow mix on the highest peaks because we are on the cool side. heading toward mountain view san jose and certainly showers over the east foothills. not a lot of rain today. in fact, you will probably see plenty of blue sky today as well. a mi