first responsibility for public health represent desk -- rests upon the states and localities of our try, the federal government does much to prevent disease and improve the health of all the people. this is done in many ways. one. skilled group of men and women study disease and the means of preventing. they prevent the introduction of disease from abroad, to prevent the spread of infections within our own territory. physicians in the public health service are cooperating with every state and territory in the republic with a national health program. cooperative work between the federal, state and local governments should provide new standards of health for the people. the manufacture of all serums and vaccines sold in the country is closely supervised by the public health service, as well as drug addiction and mental hygiene. it conduct marine hospitals, in which are treated american sailors. in addition, the service keeps in constant touch with physicians throughout the world at the weekly report from every consular officer. it encourages health education in disease prevention. you

reports are also received from officers of the public health service stationed abroad. nternational health organizations such as the health section of the league of nations and the pan-american sanitary bureau. the information is compiled and published and is used by quarantine officers of the hub lick he public health service and by other governments throughout the world. ♪ ♪ the director general of the pan-american union addresses a recent conference. >> gentlemen of the conference, at this your closing session, i want to express to you individually and collectively the deep appreciation of the pan-american union, the privilege of having had you with us during the period of your deliberation. it is no exaggeration to say the third pan-american conference of directors of health marks a step forward in the struggles of the nations of the continent to eliminate the causes of disease and to augment the efficiency of the masses of the people. i wish therefore to congratulate you and at the same time to assure you that in the future as in the past, you may count upon the ern

under the provisions of the recently enacted social security act, the public health service are cooperatingith every state and territory in the development in the state and territories of a national health program. this cooperative work between the federal, state and local governments should provide new standards of health for the people. in addition, the manufacture of all serums and vaccines sold in the country is carefully supervised by the public health service, as well as monitoring drug addiction and mental hygiene. it conducts marine hospitals, in which are treated american sailors. in addition, the service keeps in constant touch with health physicians throughout the world for weekly reports from every consular officer. it encourages health education in various problems of disease prevention. you will see in much more detail the ways in which this organization operates for human service. ♪ narrator: for centuries, it has been well known that epidemic diseases follow the lines of commerce and travel. during colonial times in the early days of the republic, the introduction of yellow

public health? what specifically? brian: so right now there is someone in, in every community, in local health departments and state departments who are working to understand where the virus is, where it's going, doing contact racing, following up with folks, trying to come up with the guidance. so our governors and our mayors didn't just decide to keep everybody at home on their own. they're working with their local health officials. and we need to give these folks as much funding as we can to ensure that they have the adequate workforce, that we're modernizing their health departments. and that they have the data systems that they need to keep us safe because that's their job. soledad: who needs to be in that conversation about public health? experts and then doctors and nurses and then the school systems. i mean, who are all the people who are stakeholders? brian: everyone's a stakeholder in public health. i mean, public health is like the foundation of your house. it's not something you ever really think about, but

student: [indiscernible] the police, would they enforce any form of maintaining public health? prof. tomes: yes. the laws had been on the books since the 1890's that in many cities, you could not spit in public, but they were not enforced. during the influenza pandemic, they do start enforcing the anti-spitting laws. that particular picture i think here, there were a lot of staged ones, where basically you take a picture of them all wearing their masks and five minutes later i think the masks probably came off and they went about their business. because they were just too hard to use. the people did -- i'm not saying nobody wore them, and it became a symbol of being a really sophisticated person as you were the mask. but i think for the majority of american men, the hanky was a more viable, easy to get, and you can launder it -- that was the thing, you were supposed to have enough of them where you could wash them and use them the next time. so, did any of this work? you may be surprised to find out that when historians have gone back and tried to correlate these social distanci

and now we have another chance, i think that is key to preserve the public health by having a public health emergency leave. some of these difficult moments that people are testing, too. but one thing that i do take away as a bit of hope is that folks are realising how much of our health is linked with others around us. we're only as healthy as our neighbor, as our neighbor's neighbor. afternoon some of the people have come together to take care of each other in this moment. and this public health emergency we're taking care of some of the most vulnerable workers who are actually serving the public every day. it is an important step. i hope you take that tomorrow. thanks. >> thank you so much. any other speakers? >> you have two questions remaining. >> next speaker, please. >> caller: this is emily abraham. from the san francisco chamber of commerce. on behalf of the san francisco chamber of commerce, i would like to note that we are proudly supportive of this resolution. we sincerely thank supervisor mar to work with his efforts to work with the san francisco chamber of commerce and

grant colfax, to come up and provide us with a update from public health. dr. colfax. >> thank you, mayor. i am grant colfax, director of health. today, i want to thank everyone in san francisco and in the bay area region for their cooperation and everything they are doing to help fight the spread of the coronavirus. you are leading the way. when you stay home, when you keep six feet apart from people, when you wash your hands and when you cover your nose and your mouth with cloth, you are literally saving lives. i would like to update san franciscans today on a few developments in our ongoing work to respond to the coronavirus and protect our community. today, there are 583 san francisco residents with confirmed cases of coronavirus. 38 of them are -- 83 of them are in the hospitals across the city and nearly half of those 83 are in the intensive care units. we know that three of them are among people experiencing homelessness, including two at the m.s.c. south shelter and one who spent time at the division circle navigation center. this underscores the need fo

public health circles -- in public health circles, they refer it -- refer to it as the big one. you may think that was a sad story. and lots of people died, but what is the point of studying an old pandemic? after all, science is so much better today. we can just find a cure and curate. how are we doing with curing the coronavirus? parte not doing so well in because this is mother nature issuing a major challenge to us. peoplew virus form that do not have immunity to. coronavirus, and in manyonse to it is ways revisiting a lot of the same issues that came up with the world war i pandemic. we are having trouble with coronavirus today are similar to the problems they encountered with this new influenza in 1918-1919. here is an even stranger fact. to methods we use today control coronavirus are drawn from the same public health tables that they used in 19 -- labels they used in 1918. the basics are the same. we have not evolved hugely beyond what was available in the world war i era. it is precisely because the methods are still the same that there has been a growing interest in th

all of us that are working for public health, what we are saying is focus on public health capacity. to get that in place, make sure it is strong, and learn from what countries of east asia have done to ensure all people know about the disease and what they are going to do. publicre we expand our health capacity across the community. so that if there is an upsurge of cases, hospitals can respond without being overloaded, going on to make sure they can provide other forms of health care. because, from time to time, you will get outbreaks, that is the pattern of the future, make sure you can protect poor people that suffer as a result of lockdowns, and ensure they can get cash, food, and make sure their children can continue to be educated so that you prevent the effects of containment measures from themselves causing a lot of distress. you can't restart your economy unless you have this faith it -- basic health capacity in place, and that is what countries all over the world are doing, particularly i want to say in the poorer countries who realize they cannot afford to lockdown for to

the amendments that we're considering to the public health emergency leave ordinance applies to section 5 and it pertains to allowable uses of emergency leads and only applies to employees who are healthcare providers and this amendment was crafted to balance the need for healthcare providers and similarly are healthcare workers to be able to take time off when they're sick or need to quarantine and balance that need with the urgent need of maintaining our healthcare wor workforce. to thithis provides leave whose employers can opt out of the leave expansion. and it goes without saying that healthcare providers should gott go to work when sick or quarantined. this ordinance will give them expanded pay leave to use if they're sick or quarantined. we know that pfizer sent a letter asking for an exemption but we disagree that healthcare providers should be exempt. there's been discussion with the hospital council and northeast medical services, a major nonprofit healthcare clinic that has a significant place in my district. if healthcare employers are offering paid leave, it will count towa

grant colfax, to come up and provide us with a update from public health. dr. colfax. >> thank you, mayor. i am grant colfax, director of health. today, i want to thank everyone in san francisco and in the bay area region for their cooperation and everything they are doing to help fight the spread of the coronavirus. you are leading the way. when you stay home, when you keep six feet apart from people, when you wash your hands and when you cover your nose and your mouth with cloth, you are literally saving lives. i would like to update san franciscans today on a few developments in our ongoing work to respond to the coronavirus and protect our community. today, there are 583 san francisco residents with confirmed cases of coronavirus. 38 of them are -- 83 of them are in the hospitals across the city and nearly half of those 83 are in the intensive care units. we know that three of them are among people experiencing homelessness, including two at the m.s.c. south shelter and one who spent time at the division circle navigation center. this underscores the need fo

yesterday bay area health officers joined to recommend members of the public cover their mouthsanos when -- mouth and nose when they go outside. cloth face coverings combined with physical distance and hand washing may prevent additional transmission of the coronavirus. the state health department issued new guidance this week as well. key point is this. if you cover your face, you are protecting other people around you. we know people may be contagious before they have symptoms or people with coronavirus could get only mildly sick. it could be you or me. covering your mouth is a good way to be a good neighbor and community member. this is not a substitute for physical distancing, staying at home and washing our hands. these are the mainstays. it is an additional tool and one to use. i also want to stress medical masks such as isolation or n95 masks are in very short supply and must be reserve would for healthcare and first responders. face covering can be a towel, scarf, anything to absorb droplets is fine. this is new advice. there will be questions and frequently asked questions on sf

how little of a public health system we have. you realize how our health system is a private effector system. we call them voluntary hospitals, but they are not perfect for its but private sector -- they are not-for-profit's but private sector hospitals and they run their own hospitals. in downstate new york, we had not sow, westchester, that whole metropolitan area, but we have about 13 public hospitals. the rest are all private hospitals. when i had to go there and basically asked these private hospitals, you know, we have to work as one because now this is a public health mandate, they are not public health hospitals. they are private health hospitals, and they have their own clientele, patience, marketing department, a market niche, and they do not coordinate with the others. they don't do it. capacity and equipment they had was with the market what -- was what the market would support. they did not create an extra bedding case of catastrophe. they only had the number they could sell to the market. there was no additional capa

for 22 years, i wore a public health uniform and on my public health uniform was an anchor. the public health uniform looks much like a navy uniform and the reason it look like a navy uniform, we started 200 years ago, one of the chores of the public health service which we still have right now with the quarantine flag when the ship came to port, somebody with yellow fever and smallpox. if it is going to take you 80 days govern .80 point be by the time you show up in the court of new york city, we knew if you had smallpox a yellow fever because the incubation period, the time it takes to get infected, manifest your symptoms was always shorter than the time to go from point a 2 point be. we turned that upside down. you could now go to your mother's funeral in liberia, you fly to liberia, go to your mother's funeral, engage in the usual acts you around a funeral, your distraught, your mother died, you're kissing her, you're hugging her in the next day you get on a plane to amsterdam to new york city. and incubation period, and in new york, all of a sudden you find out, i am no

covid, and the terrible distress and destruction it is causing, but we forget four months ago, the public health community around the world to know it at all. and really the first thing that was heard was a problem developing, with message received at the end of december in the world health organization. if we count between the end of december and now, it is just four months. what an extraordinary transformation or has been. start the beginning. a rathers causes unpleasant infection that starts in the chest and then if we are lucky, can affect the whole body . as far as we can tell out of every 100 people who are infected by the virus, only about 20 become really ill and unfortunately -- and fortunately only about 2% of those are likely to die. the trouble is that because this is a new virus, we have been having to learn about it all the time and in the beginning many thought it was like influenza. virus,ce is caused by a but it is one we know quite well. we have had pandemics of influenza at intervals. some of them have been serious, some less so. influenzat an pandemic. at the beginning it was

in response to the positive test the department of public health rapidly employed a physician and health workers to conduct system as and temperature screening beyond what was already in place. any guest with symptoms with covid-19 will be tested and relocated to staff quarantined rooms immediately. other guests will be moved to hotel rooms based on exposure and risk of disease. they will be provided medical support and space to self-isolate. they are considered healthcare workers in this situation. the city is deploying a professional cleaning crew in addition to the cleaning resources led by may or breed at the beginning of this epidemic and that is ongoing. staff will be on site to answer questions. they will guide social distancing and implement shelter health screening pro pocols. i am with that community. division circling is near my children's school. it is a favorite spot of mine. it is important to understand this is not a place those not staying there should visit. we bring our germs to people experiencing homelessness when we try to show up to help. you can help by going out t

talk about like to how we are going to approach the details of this public health framework. moving forward my plan is to hold discussions with leaders across the state to discuss the plan further. we will gather input from health care professionals, public health experts, and from industries impacted by the stay-at-home order. we will take a look at specific sectors of the economy, restaurants and food service, retailers, childcare, and personal services like hair and nail salons. we want to bring together business owners and practitioners with professionals to discuss how reopening gradually might be accomplished. this might include additional guidelines for reconfiguring the delivery of services with additional is a co-barriers like plexiglass dividers or requirements for ppe. i also want to add california and i willwsom coordinate our efforts. this virus does not recognize state boundaries. we have to work together on a plan and we will be talking regularly and sharing best practices with our neighbors to the north and south. say weing, i want to have to be careful. we als

san francisco public health foundation is the public health foundation and heluna health is different and used to be public health foundation copolymer prizes. -- foundation copolym enterpri. >> the first one is the san francisco public health foundation. >> the public health foundation and started several years ago when dr. mitch cass was director. and so that is separate than the public health enterprise foundation which was something completely different. so we are on the public health foundation contract right now. >> commissioner: that is different from the public health foundation. >> yeah. >> commissioner: all right. >> any other questions? >> we can move on to the next. >> the next one is heluna health, formally public health foundation enterprises inc.. now it's doing business as heluna health. so contract is an amendment adding $1,027,708 and we are extending the current term by 18 months through june 30, 2024. you actually previously approved this contract on june 5, 2018. this contract provides -- i shouldn't gotten water. program administration and support services to the

public health service, and the university of pittsburgh to produce "the silent invader." the film is from the u.s. national library of medicine's digital collections. carl: in the public interest, the westinghouse broadcasting company and the university of pittsburgh, one of the nation's major health centers, in cooperation with the american medical society and the united states public health service bring you "the silent invader," an up-to-the-minute report on asian influenza. how do you do? i'm carl ives. throughout history, mankind has been forced to wage many battles in order to protect his family or nation against misfortune, disaster, or even possible extinction. while sometimes these wars have been, well, they've been catastrophic. there was the catastrophe of 1918, when an influenza epidemic swept through our own nation as well as the entire world. unlike the battles of nation against nation, or humanity against the forces of nature when man has often had the opportunity to prepare himself, the battles against disease throughout the centuries have found men in the

and the department of public health has worked tirelessly with transmission to keep the public informed. we realized the team that can provide a more unified user-friendly platform for the georgians at every corner of the , earlier today we unveiled the covid-19 board, offering interactive reports that track emerging indicators, rates of geo-mapping tos and theyand address can identify multiple scenarios to look at vulnerable populations like health care workers, the medically fragile there is an interactive map hover over.can as far as demographic information, the individuals that have tested positive, most information will be updated hourly, but the total number of tests will continue to be updated twice per day. new dashboard is accessible through the same web address, but the formatting easier. is the key to the fight and they have worked closely with private labs and local health arpents to and we have well respected relationships with walgreens and walmart to open special collection sites and encourage the symptomatic to you tested the. and prepare them for screening and testing b

the department of public health has worked tirelessly to integrate information for testing, hospitalizations and transmission to keep the public informed. we realize that the team we can provide a more unified user-friendly platform for georgians in every corner of the state. earlier today, we unveiled the new covid-19 dashboard. it offers interactive reports that track emerging indicators, gross, rates of growth and outcomes of the covid-19 interventions. geo mapping supporter efforts to address hotspots. the dashboard also allows decision-makers to evaluate to identifynarios vulnerable populations such as health care workers, the medically fragile, and communities with at risk populations. this data is prevented -- presented in multiple formats including an interactive maps consumers can- see key statistics such as the incident rate for 100 thousand people in a county's population. additionally charge and statistics display demographic information for individuals who have tested positive for covid-19. information will be updated hourly, but the total number of tests will continue to be upd

our goal is to further promote the public health orders. our goal is not to write a bunch of citations and arrest a bunch of people. our goals are actually to keep our public healthy is safe. be patient, and understand the orders are there to keep us all healthy and safe and please don't mistake the fact that progresstive enforcement or progressive pathway to compliance equates to lack of engagement. we are engaging thousandsch people and will continue to do so because we want to get to voluntary compliance. in order to do that, it takes engagement. >> thank you, chief scott. the next set of questions are for mayor london breed madam mayor, the first question, the san francisco county committee chair, david compose switchewageswitch to all mail fs election and what is made to make this a reality? >> to be clear, as someone comes from a community who, unfortunately, has a history in thiscallinthis country of not hg access to the voting booth, we, of course, take the ability for people in san francisco and others to have access to voting very

have to be in the field of public health. for us to get 20 covid-19, we must be able to catch up with the curve. today there is exponential increase of cases. the rate is increasing. with the one, catch up curve, bend the curve and get to zero. that's why contact tracing is so important. johns hopkins was projecting over 100,000 people with 3.6 billion u.s. dollars to get the kind of contact tracing we need. it is very critical combined with all of the other things with isolation and the rest of the other interventions. host: if you are a contact -- whatwhat are information do you need to get from people to develop a database strong enough to help track and stop this? testing, hear about testing and testing. it's very critical. if you don't know what you are looking for, if you don't find it, you cannot trace the contact. number one is to test. you do the test and i agree with dr. fauci when he said we need to double the testing in the united states. that is very important. theer two, we need to know laboratory confirmed case

department of public health, dr. grant colfax, the director of the department of homelessness and housing, abigail khan, the police chief, bill scott. the director of department of emergency management, mary ellen carroll. the director of the department of human services, trent ror and we're here to provide an update on covid-19, where we are as it relates to the public health challenges and other resources that could be made available to the people of san francisco. first, i want to start by really thanking everyone for complying this weekend. i know especially with our religious community it was good friday, easter sunday, passover, the very, very holy celebration that takes place, involving bringing congregations and families together. i want to thank you so much for what you did to post your services online, to reach out to your congregations and comply with the stay-at-home order, it was noticeable and made a real difference. thank you very much for your continuous leadership. we know there are still people who

we don't have a functioning public health system in the united states. we have an emergency hospital response. we need to use the period of this lockdown, a few weeks, if it is successfully maintained, which will bring down the number of infections dramatically because most people who get infected will recover. most symptoms will be mild enough for a normal recovery as long as they don't pass the infection to others during this lockdown period. then you get dramatically fewer cases in eight or 10 weeks. then we have better have at that moment the kind of public health system we should have had in january, february, and march, so that the fewer cases are tracked. they are in isolation. there contacts are tracked. we are able to end the konta -- lockdown with the confidence that cases will be isolated and traced more quickly so we can go back to daily life. if we don't have the public health system, we are condemned -- please, let me finish, because it is not properly understood in this country -- if we don't have the public health system, we are condemned

public health is in jeopardy. and because of your work and your compliance with this order, we have done a great job and maintaining even as we see the number of cases increase every day, even as we see the number of, sadly, deaths continue to increase. we're still in a better place and it has everything to do with the people of san francisco for the most part complying with the orders. now is not the time to let up and get comfortable. especially as we see the weather has gotten a lot better. everyone probably wants to go outside and hang out. they want to see friends, family. unfortunately, this is not the time to let up. and we're still in this. we still need to get through this. and we still need your cooperation to do just that. i want to express again my appreciation. of course, do what you can to get your fresh air and take your walks. make sure you're taking care of our mental health as well, because that is also a critical thing that we will need do in order to get through this together. so thank you agai

our goal is to further promote the public health orders. our goal is not to write a bunch of citations and arrest a bunch of people. our goals are actually to keep our public healthy is safe. be patient, and understand the orders are there to keep us all healthy and safe and please don't mistake the fact that progresstive enforcement or progressive pathway to compliance equates to lack of engagement. we are engaging thousandsch people and will continue to do so because we want to get to voluntary compliance. in order to do that, it takes engagement. >> thank you, chief scott. the next set of questions are for mayor london breed madam mayor, the first question, the san francisco county committee chair, david compose switchewageswitch to all mail fs election and what is made to make this a reality? >> to be clear, as someone comes from a community who, unfortunately, has a history in thiscallinthis country of not hg access to the voting booth, we, of course, take the ability for people in san francisco and others to have access to voting very

and now we have another chance, i think that is key to preserve the public health by having a public health emergency leave. some of these difficult moments that people are testing, too. but one thing that i do take away as a bit of hope is that folks are realising how much of our health is linked with others around us. we're only as healthy as our neighbor, as our neighbor's neighbor. afternoon some of the people have come together to take care of each other in this moment. and this public health emergency we're taking care of some of the most vulnerable workers who are actually serving the public every day. it is an important step. i hope you take that tomorrow. thanks. >> thank you so much. any other speakers? >> you have two questions remaining. >> next speaker, please. >> caller: this is emily abraham. from the san francisco chamber of commerce. on behalf of the san francisco chamber of commerce, i would like to note that we are proudly supportive of this resolution. we sincerely thank supervisor mar to work with his efforts to work with the san francisco chamber of commerce and

grant colfax, to come up and provide us with a update from public health. dr. colfax. >> thank you, mayor. i am grant colfax, director of health. today, i want to thank everyone in san francisco and in the bay area region for their cooperation and everything they are doing to help fight the spread of the coronavirus. you are leading the way. when you stay home, when you keep six feet apart from people, when you wash your hands and when you cover your nose and your mouth with cloth, you are literally saving lives. i would like to update san franciscans today on a few developments in our ongoing work to respond to the coronavirus and protect our community. today, there are 583 san francisco residents with confirmed cases of coronavirus. 38 of them are -- 83 of them are in the hospitals across the city and nearly half of those 83 are in the intensive care units. we know that three of them are among people experiencing homelessness, including two at the m.s.c. south shelter and one who spent time at the division circle navigation center. this underscores the need fo

no public health uniform, was an anchor, i would get an estimate anchor on the public health uniform printed three mexican navy uniform. the reason it was like a navy uniform is because we started about 200 using of providing care for merchant marines. one of the chores of the public health service was to we still have right now is essentially the flag 14 flag when the ship came in. the takes you 80 days to go from pointing to toy be. by the time he shored up at to the port of new york city, we knew if you had it because the incubation period was always sort of first-order than the time it took to get from point a to toy point b. glowing turnips i don't know. so you can now go to your mother's funeral in liberia, you fly to library it, your mother's funeral, engage in the usual acts that you want around the funeral, your mother's side you're distraught you're kissing her and you're hugging and in the next day you get on the plane to amsterdam to new york city. okay, so we have 18 - 24 hours maybe 48 hours. incubation period of five - seven days. it is three days after you show backup

cdc is the premier public health agency in the world. actually, many countries have renamed their public health agencies cdc, including in china , were cdc does not mean anything, so this is highly uncharacteristic of this agency. it is one slice of the cdc. it does appear that something happened with the testing kits. for 47 days after the sequence was announced by china, that is how long it took them until we had testing up and running in the united states. but that was just this test. what we probably should have had it was widescale, commercial level testing starting almost immediately. i would say that the fact that we did not have widescale commercial testing up very quickly at the end of january like some countries has really defined this outbreak for us to this point, and continues to defined this outbreak for us, because widespread testing is really going to be necessary as we think about reopening america again. to thing we need to do reopen america is make sure we decrease transmission. the first thing we need is widescale tes

far as i'm concerned the responsibility of government is to protect us against threats including public health and health threats and how can we make sure , i'm old enough to realize you can't completely strip politics out of policy and it's not always about the science but maybe sometimes we need to be stripping more politics and thinking about what are the health needs of our population,thank you . >> that was fascinating and youseem so calm, what keeps alyou up at night ? >> i think on call because i decided 20 years ago that fear is not a public health aprivacy and i don't mix for great press. the sky is falling but it's about education and good science. now what keeps me up at night is what the next pandemic is ylikely going to be and zika is a pandemic needless to say but it's not causing hundreds of thousands of deaths. what's likely to cause hundreds of thousands of deaths, we know that from 1918 and we did a repeat of 1918 so we get flu every year and i'm going to tell you right now my public health message of the day is get vaccinated, we get free every year and it changes because th

yesterday bay area health officers joined to recommend members of the public cover their mouthsanos when -- mouth and nose when they go outside. cloth face coverings combined with physical distance and hand washing may prevent additional transmission of the coronavirus. the state health department issued new guidance this week as well. key point is this. if you cover your face, you are protecting other people around you. we know people may be contagious before they have symptoms or people with coronavirus could get only mildly sick. it could be you or me. covering your mouth is a good way to be a good neighbor and community member. this is not a substitute for physical distancing, staying at home and washing our hands. these are the mainstays. it is an additional tool and one to use. i also want to stress medical masks such as isolation or n95 masks are in very short supply and must be reserve would for healthcare and first responders. face covering can be a towel, scarf, anything to absorb droplets is fine. this is new advice. there will be questions and frequently asked questions on sf

the purpose of the public health order is not to arrest or cite, but it's about promoting the health and welfare of our communities and our cities by preventing the spread of the virus. as i've said before, we are here to help. we want to get through this situation in a way that does not make this situation worse for the people of our city. as the mayor said and i will reiterate it, we all have a personal responsibility to help stop the spread of this virus. the people we are working with is human rights commission under the leadership of executive director sheryl davis. the h.r.c. is providing community stakeholders with face coverings thanks to the mayor's gift to s.f. campaign. we are out with commissioner davis and community stakeholders issuing face coverings today as we speak. we were out in the bayview community yesterday. we want people to know we understand how difficult this is and there are people in our city who are having a very difficult time -- most people are having a difficult time through this. there are people who don't have access to face coverings. we want to do

heal san francisco will provide free mental health services for public, private, nonprivate health care workers with the covid-19 counseling project. licensed clinicals are volunteering time to support front line healthcare workers. healthcare staff interested in heal san francisco should speak with their hr department. they can help you sign up for this program. i also would like to take this opportunity to just really encourage people to take a moment to make sure that you are taking care much yourselves, taking care of your families. we know that this is having a tremendous impact on people's public health but also just in general mental health plays an important role in that. we need to think about ways to be positive, to be supportive, we can be encouraging during this time because we all are going through this and we are in this together. on monday, dr. colfax spoke to our efforts to increase capacity in our hospitals. we have increased our capacity. in fact in our intensive care unit beds we have increased our beds by 91% in our i c .u.s to 530 beds. we started with two 00 city-w

grant colfax, to come up and provide us with a update from public health. dr. am grant colfax, director of health. today, i want to thank everyone in san francisco and in the bay area region for their cooperation and everything they are doing to help fight the spread of the coronavirus. you are leading the way. when you stay home, when you keep six feet apart from people, when you wash your hands and when you cover your nose and your mouth with cloth, you are literally saving lives. i would like to update san franciscans today on a few developments in our ongoing work to respond to the coronavirus and protect our community. today, there are 583 san francisco residents with confirmed cases of coronavirus. 38 of them are -- 83 of them are in the hospitals across the city and nearly half of those 83 are in the intensive care units. we know that three of them are among people experiencing homelessness, including two at the m.s.c. south shelter and one who spent time at the division circle navigation center. this underscores the need for us to continue to focus on t

sooner, it means that at places of business across the country, we have the testing in place, public healthhave the contact tracing in place, we have syndromic surveillance in place. nudge of th none of that is in place talking to most city health directors. we're not ready to open up the economy. we have teams looking at the economic recovery but have failed to link it to public health recovery. this is kind of what donald mcneil was saying. i was overhearing him previously. unless we in parallel put a commensurate response to public health, to handle people coming back to work, we risk a rebound that will look like queens, new york, and multiple places across the united states. >> dr. patel, i want to know from you whether you think this has reached sort of a critical point where the information on the health side of things, there is such a cross-contamination message-wise with what the president sort of dabbles in, and it certainly sounded to anyone listening that he was suggesting that scientists look into the benefits of putting light in the body and injecting disinfectants in the body

the responsibility of the government is to protect us against threats and that includes public health and health threats and hack and we make sure. i'm old enough not to realize it's not always about the science but maybe sometimes we need to be the politics and thinking about the health needs of our population. thank you. [applause] >> that. was fascinating to do seems so calm. what keeps you up at night? [laughter] >> i think i'm calm because i decided 20 years ago that fear is not a public health strategy. i know it makes for great press that the sky is falling but really it's about education and good science. what keeps me up at night is what the next pandemic is likely going to be. the zika is a pandemic that say but it's not causing hundreds of thousands of deaths. what is likely to cause hundreds of thousands of deaths, we are to know that from 1918. wero did a repeat of 1918 so thy get the flu every year and i'm good to tight right now my public health message of the day is to get vaccinated. we get the flu every interchange is a little bit which is why we need to do a vaccine

guest: with excellent public health systems and support to public health, making sure we have a system that allows us to identify cases, quarantine contacts, make sure we have a health care system that can take care of any hotspots, make sure we are protecting our health care workers, make sure as we open up businesses and schools we have good preventive measures have an to make sure we engaged populace and communities. make sure we have a strategy as people come back into the u.s., that we make sure they don't bring infection with them. that is how it is going to end. eventually, we will have drugs and vaccines. if we don't get containment or eradication with public health, we will get it with vaccine or drugs. this will be the power of public health in the end. khan joining us from nebraska. thanks for being with us. guest: thank you very much for the opportunity. at the numbers around the world courtesy of johns hopkins university, the total confirmed cases, 2.3 million and deaths around the world, now in excess of 161,000 deaths in 185 countries. the daily briefing at the white hou

phillip kaufmann here from the department of public health. >> good morning. ese are a continuation of expansion on work we've been doing for years as a health department. we've been providing services of training providers and health departments and health plans around california state in how to train other providers in opioid stewardship and managing opioid use disorder and clinical practice. those efforts were supported by the cdc through the department of public health and the second project -- so that's the first project, a continuation of that -- of those efforts for another three years. and then the second project is expanding to provide technical assistance on these issues nationally. >> supervisor fewer: okay. >> and the -- yeah. i'll stop there. >> supervisor fewer: please continue. >> the reason for this delay is the usual reasons of the time it took to process the receipt of the award. >> supervisor fewer: okay. thank you very much. colleagues, any comments or questions for dr. kaufmann? seeing none, there is no -- on this, let's open the items up f