one time state grant for public health care. and 9 penalty 4 million of one time behavioral health settlements. . >> diving in the details san francisco general this is where we see the significant revenue and our largest division. net patient ref nows 70 penalty 9 million the matching s map. medical 8.6 the net of the 38 opinion 5 the payment plan increase. we also of the 29.2 million prior year settle am the net impact is 8.6 million. quality and center program is expected to perform better boy 4.9 million and the educational program continues with 9 million. tation ref nows of 4.3 million and quality insurance was 7.4 million. minor negative variances of 600,000 on salaries. 900 jobs and nonpersonnel and approximate 1.2 on supplies as a result of covid-19. laguna honda hospital received 10 million in sniff rates includes some of the formula changes in our rates. but it is off set boy 6.1 million of cost we rely on other divisions to reflect the cost report. expenditure side 1.4 million savings and minor savings and materials a

you have to balance public health measures. public health is not just about coded. public health is about other diseases to that people's health start to suffer because there's an obsession with just covered. that's not a healthy public health policy. okay. i think there's a key word and what you just said, which is balance. and that's what this entire conversation i on many levels is going to be about. let's bring in another aspect that needs to be balanced and factored into all of this. lisa, what is 0 covered? what are vision? 0 po covey policies doing the chinese economy well as of 2022, we have estimated your corporate policies. i restrictions in mobility basically kind of locked down or other measures to have wiped out as much as 2.3 percentage points of growth. in other words, you've china in the year, which is likely around 3 percent you would be in. i all girls boss, if he hadn't in much closer to the official packet, it would have been $5.00 avenue, yet close to $5.00 plus the target. so in ways one could even say that because of the call me and jen has missed that growth tag, b

including under contract with department of public health. they are part of behavioral health. >> and you always mentioned in your initial remarks. there have been official challenges at baker for quite some time and d ph along with the controller's office and other city departments have been pret deeply engages with baker in working on these. right now the status is baker struggled they have informed the public health and city partners. number of programs they are under contract to provide. top prior is to ensure contnewt of care and cloinlt this is use the programs and to maintain our system of care through any transition. now we are working to remain work with baker and prc on their financial model. mro vieding support for technically and prescriptionally. as we go through this process and continue to do this over time. this slide you have seen before. but prc affiliated with baker. supervisor safai. than i are related through a management service agreement and board of sdreshth everdirectors that serves as the board and dual capacity for b

amy is yolo county's public health officer. she says wastewater surveillance can be especially helpful for tracking disease in communities that may have limited access to testing. >> now we have this additional tool in our toolbox to be able to look at what is happening in an entire community instead of relying on the people who are able to get tested. but i cannot make any individual level decisions. i cannot say it was this household, this household, that household. so that is the piece that we cannot tease out in terms of who needs toet treatnt, who needs to isolate. cat: back at stanford, she hopes wastewater testing will continue to expand around the country. >> i know in california that wastewater surveillance is probably here to stay. and i hope that there is enough funding through the state government and through the federal government to really make this part of our infrastructure for health monitoring across the u.s. cat: infrastructure, she says, that could one day help prepare us for the next pandemic. for "pbs news

you have to balance public-health measures. public-health is not just about covid.c-health is about other diseases, too. people's health starts to suffer because there is an obsession with covid. that is not a healthy public health policy. cyril: the key is balance, that's what this conversation is about. let's bring in another aspect, and an end 12 this. alicia, what is beijing zero covert pauses during two china's economy? alicia: as of 2022 we have estimated zero covid policies, restrictions and mobility for lockdown and other issues to have wiped out as much as 2.3% of growth. if china ends the year, is likely at around 3% would imagine in growth possibly having been much closer to the official target. it would have been 5.2, close to 5.5% that is the target. in the way one could say because of zero covid china has missed its growth target. i might understand that is less important than saving lives and everything else. i am just saying it is costly that is very clear. cyril: at the outset of this conversation we see there are competing factors that need to be b

>> here is the point of treating gun violence like a public health problem. mass shootings this week, last week, the week before, these are horrific tragedies that should never happen. they are also the tip of the iceberg. as an emergency physician, i can tell you we treat people every day more than 200 people are injured by guns every day across the united states. more than 100 die. each of those deaths is preventable. the more that we get a handle on this larger picture of gun death and injury across the u.s., the better we will be able to stop this most horrific type of gun death that we fear. laura: with new technology, could there be a way to store guns more safely? >> great question. there are wide variety of ways that we can reduce the risk of gun violence. certainly, safe storage is one of the biggest things. reducing the chance of misuse, getting guns out of the hands of people who are at highest risk of hurting themselves or somewhere else. people who are threatening suicide. temporarily separating them and their gun can make a big difference. then,

public health. i think that the fact we don't have immediate access to a safe place for someone in crisis or psychotic on the streets we are dumping people out of pes in emergency rooms well before they are red to be released. we do the first responders foind they want don't have accomplices to take people who are ready who have been revived after an over dose and are willing to go in treatment but don't have a place to take them. and the fact that we don't have enough accomplice for people completing 90 day treatment programs and need a safe place to go and the fact when people have a step down facility that we are so upon often returning people to sro's in the tenderloin their destination where i would note i did a memoryium for former sheriff's son the exact situation after 18 months of sobriety. returned to the tenderloin and dead within 2 days. so -- i have many things than i want from d ph and i would like further exploration of safe consumption facilities. thank you. why thank you supervisor

[gavel] >> madam clerk we have representatives from the department of public health that are now on team so we'll go back to item 27. >> yes just for the record for the public who entered later item 27 was called. it is before the board. it's the rate ret contract for the substance use disorder services. i believe mr. rocha is online with us. >> supervisor mandelman you had questions? . >> well, i guess i. do i mean we have -- we have this item that has come to us which is now -- which i guess is being justified in part with an expenditure to an entity that we're not sure is going to be around for a program we're not sure is going to be around, and so the request to my colleagues, supervisor safai is return this back to the budget committee so they can delve more into that and i guess i am wondering if dph can explain what is going on with that email that they sent to the members of the budget committee today? and spare them needing this to return to committee or maybe this should go back to committee. >> good afternoon supervisors. may i speak? >> yes. >> good afternoon. sorry i am late

i go by the public health principles.se are the recommendations i made then, and the recommendations i made now during the biden administration, so i would have to respectfully disagree with the former vice president. >> people who don't know your legacy, during the aids crisis, you were vilified by many then. and over time, people sort of understood what your role was and what it wasn't. how do you feel like history will treat your time? >> just very briefly, the so-called vilification with the aids activists was entirely different. apples and oranges. >> you've been the target before. >> of course, because i have found myself, just through circumstances being in the middle of a health crisis that had a great impact on americans and global impact. i would think if people look at history, what we did, how we became from adversaries to collaborators, and people who made things happen in a very positive way, i hope to be remembered for what i tried to do, just bring science and medicine, and public health principles to very

secondly, there's no public health emergency. okay.that's just false that there's a public health emergency at this point in time. so, why would you get an emergency use authorization. and lastly, the data -- determining the efficacy of this vaccine in children was based upon the antibody level response on a blood test. okay, that's not a clinical trial. a clinical trial by definition has a clinical end point. why didn't they use the clinical end points of severe disease or death. because no one in the trial, even the placebo end, was hospitalized or had deaths. so they couldn't use that. why didn't they use the efficacy against infections, clinical, symptomatic infection? because their data that they submitted to the f.d.a. shows that after 60 to 71 days, after two months, the efficacy against symptomatic infection is 31 to 50%. novak would be approved with that kind of data. so they didn't even use a clinical end point to approve this vaccine that has no significant benefits to the people we're mandating it for, children. that is an

then,here is community level intervention which is the basis of the public health approach.ssing the causes of violence and hatred before he gets to the point is someone picking up a gun. laura: where you are in providence, rhode isla, you were able to decrease gun violence for a bit. how did you do that? >> i am privileged to sit on the board of a local organization called the nonviolence institute whichs a community-based group started 20 yrs ago that works with community members to decrease the cycle of violence. they have street workers who show up in the er when i'm taking care of someone who is been shot or stabbed welps provide mental and physical support to them and to their family and who then go back out to the street to reduce the retaliatory cycle of violence. they also work upstream. they provide mentorship and training for youth to help keep them out of violence before it starts. we partner closely with the police as well as other community organizations and we are que successful in decreasing gun deaths. over the last two years during covid, providence like mo

now we know the public defender said today he plans to explore depape's mental health but stressed that's just one of the things he plans to look into. and we do know that, you know, the documents suggest this kind of mission was so directed and so clear as to find the purported statements by the defendant here, trying to claim that he didn't know what he was doing, which is the classic definition of legal insanity, could be quite difficult. >> the video we were showing you of that home, that's depape's last residence, living in that garage in richmond, a home that you were visiting yesterday. jaxon, thank you for the new information. very informative. >>> let's move on. another headline we're watching this evening, racist hate speech found in the bathroom of an elementary school in oakland. parents tell us it read "black lives don't matter. kill them all." and now they're demanding changes at the school. the graffiti was discovered last week at thornhill elementary in oakland's montclair neighborhood. in a rally today, parents are calling on the school and the district not only to invest

public health is a very i remember 40 years ago public health was a big issue then and krez it is still a big issue now. i mean we are in the richest country why don't we have universal health care. poor marginalized people don't get the right diagnose. they get pushed oust hospitals like my fellow peoples my fellow board of supervisors y'all said. candidates said. i'm a little nervous. but yea, i'm know the face of one of the people who got misdiagnosed for years. i know what it is like. i know what like i said earlier. it is people that, cities that do and the cities that don'ts. san francisco wake up. we know exactly what we have to do. we have to do. it is a shame they have not done it yet. i'm here for change. do we want a 12 more years of the same politics we just got, just left. do we want 12 years of the same nothing that was there before temperature is time for change. put me put machine like me from the other side of the track in city hall. you know let me bring up my game and show what you i can do. >> thank you. . that's how it feels up here. didn't it. >> weyy returning to

>> i think if if it a spare that will probably be a bad thing for democracy, public, health and public safety. i think that is the least likely outcome.

there's a pervasive sense, rightly so, public health institutions have failed the public and they weren'tquipped to tackle the challenges people have been facing. we shouldn't have had this shortage we had with formula. we should have responded more adequately to it than we did. cdc didn't advise families on what to do. require six feet of distancing is what kept schools shut into the spring of 2021. public institutions didn't work on behalf of families, slow for new integration. cdc is working to reform itself, but that's not usually the way it works. it's hard to self-organize around a new mission if you're an organization. i think if the administration was more aggressive addressing these deficits, people wouldn't feel so much angst. >> you need to hear that from the new congress, pressure to reform. emily, you also raised in your article the question of mandates for vaccines. are you arguing for flu and covid vaccine mandates? that's very controversial. >> in the article i discuss routine vaccinations, measles pertussis where we don't typically have mandates but the rates are very hig

public health messaging. now if you're medal researcher and you come up data, that's contrary, they're not welcoming it because it's against the narrative. they actually believe that it's more important to keep a consistent to the public and not allow any contrary. exact same thing for decades in the climate debate. that's y they got rid of the medieval warm period where right now they're trying to get rid of the 1930s record heat waves. they had to rid of it because it ruins the narrative. this is chilling because this is affecting everything. your doctor's recommendations to their medical research, all the peer reviewed journals, they know where money is. they know what they're allowed to say and what they're not. so it's the crushing of science next to who this gates like i just showed you what australia is. bill gates, who's the second largest funder of the world health organization behind the united states government, the gates foundation. if every country does what australia, we could prevent the next p

we're actually in a public health emergency right now.-19 for years but a lot of the things that people are asking for are able to be triggered by what we currently have. so i think the real question here is number one, do we need the symbolic nature, which i understand. i asked for this around monkeypox. we wanted people to be aware. some of this is messaging and say listen, take it seriously. an alternative, seriously, jose, go to cdc.gov say these are the viruses we're worried about to help raise awareness. number two, there are additional moneys and authorities to be triggered by a public health emergency. i think when i'm talking to colleagues in hospitals around the country, what they need are physical help. they do not have enough people to take care of all the children. some children are waiting days to get in the emergency room. i had a patient's son that said they had to fly from virginia to maine for that child with rsv phenomena. we need a collective action to these children and families. they're on a rope's end. imagine if yo

public health views it. et cetera, and so i think however we do it it does make sense to better integrate the work we do around substance use treatment with mental health treatment services and look at it as more of an integrated component than separate. >> can i get you to talk about when i almost a -- factual question butt like do we have treatment on demand in the 19 nic or 2008 sense or not? i mean are we -- the approximate suspicion of d ph seems to be we are pretty much there. there is a need to tinker and anecdotal things that go wrong. i will ask criminal yesterday to come up when i hear from that world is, no. but -- may be not. may be we'll hear today this things are peach and he you can access. >> i think purchase of this goes become to the measurement issue and the way we measure. won't don't know. the other thans it your question. will you ever laura pointed out this we are not measuring necessary low all of the people who are out there who want or are seeking ready for treatment. we are not hit

do you have 30 years public health? who are you to tell us? the experts have said it's necessary. next, he talks about how we must be alert to the danger that public policy becomes a captive of the scientific, technological elite. so the idea is a government grant equals what you're going to study. and if you study something contrary to what the politics want, you're not going to have a career. and i saw this in the climate debate long before the covid dete. good. next, the problem with science is the fact that this is a branch of government. i interviewed economists sanji sotloff. he was australian economist who resigned ovethe lockdowns. d i call this science in support of policy next, thomas sowell. thiss e greatest. if you rememr,xperts are ed in not to provide factual information or dispassionate analysis, bu to political cover fo disions already made based on other conditions. now we, had michaelicel lett nobel prize winning stanford epidemiologist uninvited from scientific conferences, not for a scientific reason, but because he didn't support the lockdowns as a solution. we

faces some tough questions on public health and public safety. >> americans are gathering for the holidayssome for the first time in years. but health officials are warning a pandemic-weary populous of the dangers posed by a triple threat of respiratory viruses. >> masking, vaccine, boosting, testing, all of that is part of the spectrum of protecting yourself and your family. >> we'll check in with president biden's chief medical adviser, dr. anthony fauci, as he prepares to step down next month. >>> then, after a string of deadly mass shootings, a new reckoning with a familiar question -- what can america's leaders do to stop them? >> the idea we still allow semi-automatic weapons to be purchased is sick. it's just sick. >> we'll ask a top democratic leader, south carolina congressman jim clyburn, whether capitol hill can deliver on president biden's push to ban assault weapons. and we'll speak to colorado governor jared polis about the challenge of enforcing existing gun laws. he'll share the latest on that shooting at an lgbtq nightclub. >>> plus, former homeland security secretaries ja

public health service commission cord.his is one of the eight uniform services in the united states government that consists of dedicated officers dedicated to improving public health in their day jobs. we deploy them during times of emergency, so we sent them when there are hurricanes and tornadoes that hit towns. we will send officers to provide basic care and routinely during covid-19, we deployed thousands of officers to help with everything from vaccinations to supporting health care systems. that is one of the jobs of the surgeon general. the other job though is to inform the public about critical public health issues that arise and this could be informing them about how to prevent yourself from getting sick, how to manage an illness when it arises. certainly with covid that has been an important part of our work. increasingly, my focus has been on the broader issues of mental health and well-being. which have taken a hard hit during the covid pandemic. and which are a real struggle for our country even before. david

public health commission core. this is one of eight uniform services in the united states government consisting of 6000 officers dedicated to improving public health each and every day in their day jobs. but we also deploy them during times of emergency. we send them when there are hurricanes or tornadoes that hit towns. we will send officers to help provide basic care. routinely drink covid-19, we deployed thousands of officers to help with everything from vaccinations to supporting health care systems. so that is one of the jobs of the surgeon general. the other job is to inform the public about vertical public health issues that arise, and this could be informing -- informing them about how to prevent yourself from getting sick, how to manage illness when it arises. with covid, that has been an important part of my work. increasingly, my focus has been on the wider inset -- well-being which were a real struggle for the country even before then. david: you were the surgeon general under president obama and you se

one time state grant for public health care. and 9 penalty 4 million of one time behavioral health settlements. . >> diving in the details san francisco general this is where we see the significant revenue and our largest division. net patient ref nows 70 penalty 9 million the matching s map. medical 8.6 the net of the 38 opinion 5 the payment plan increase. we also of the 29.2 million prior year settle am the net impact is 8.6 million. quality and center program is expected to perform better boy 4.9 million and the educational program continues with 9 million. tation ref nows of 4.3 million and quality insurance was 7.4 million. minor negative variances of 600,000 on salaries. 900 jobs and nonpersonnel and approximate 1.2 on supplies as a result of covid-19. laguna honda hospital received 10 million in sniff rates includes some of the formula changes in our rates. but it is off set boy 6.1 million of cost we rely on other divisions to reflect the cost report. expenditure side 1.4 million savings and minor savings and materials a

. >>> public health officials are bracing what could be another post thanksgiving surge of flu and covid cases. what dr. say you can do. >> reporter: public health officials stress testing after the first sign of feeling sick. there are different treatments that if taken early, can prevent serious illness. >> if you are eligible, if you are older, immune compromised, tamiflu can work for all of these groups. >> reporter: public health officials have warned head of the holidays, a perfect storm. covid, the flu, and rsp, which affects primarily children. the strain on the hospital systems was so great that healthcare workers set up emotional tents outside of the hospital as a precaution. >> if you look around the country, they are telling a similar story of them being at capacity for pediatric hospitals. >> reporter: if you manage to get to that thanksgiving holiday without being sick, doctors are urging the public to get a flu shot and a covid booster. there's no current vaccine available for rsv. parents have to remain vigilant. >> two warning systems for kids. difficulty breathing. that

.— of public health.to the front page of the - of public health. indeed, let's go to the front page of the scottish | to the front page of the scottish daily mail, the story we have been covering today here at the bbc, you can't trust the snp with our nhs, which feels like a slightly provocative headline, david, talk us through the details here. 50. provocative headline, david, talk us through the details here.— through the details here. so, this is all about _ through the details here. so, this is all about the _ through the details here. so, this is all about the discussions - through the details here. so, this is all about the discussions which | is all about the discussions which have _ is all about the discussions which have gone — is all about the discussions which have gone on in the scottish government at holyrood about perhaps allowing _ government at holyrood about perhaps allowing some patients to pay for private _ allowing some patients to pay for private care, rather thanjust rely on the _ pr

this has public health officials bracing for another surge of flu and covid cases.asked what people should do it they start to feel sick . bye public health officials , there are different treatments a safer covid and the flu. if they are taken early they can prevent serious illness. >> public health officials warned akkad of the holiday the potential perfect storm. covid the flu and rsv affects primarily children. the strain on the hospital system and pediatric boards in particular was so great that there was emergency tents outside the hospital. >> i think if you look all around the country they are telling a similar story. they are just at the limit of capacity for pediatric hospitals. >> even if you don't get sick, doctors are urging the public to get a flu shot and a covid booster. there is no vaccine currently available for rsv. >> watch for two warning symptoms for kids. number one is difficulty breathing. that might be wheezing or use of extra muscles to breathe. and then number two is dehydration and fatigue . >> there is still a long way to go. they haven'

the clinical director in public health _ care. the clinical director in public health at _ care.t on newsnight tonight at 10:30 on bbc two and iplayer. twitter says it will tell staff on friday whether they still have a job. the social media company says the cuts are intended to put it on a "healthy path". twitter was taken over last week by the billionaire businessman, elon musk. but there are concerns about what it might mean for regulating hate speech. here's washington post's technology reporter taylor lorenz on what she knows of the downsizing so far... lay—offs have already begun. people in the uk office had been notified of their redundancies and already even people here in los angeles have seen access to their work e—mail and slack cut off even though lay—offs were not supposed to begin until 9am tomorrow. the work culture within the firm has traditionally been pretty positive and collaborative, people who work at twitter really love the creativity and scrappiness, it has been a really good place to work. they famously have a lot of good perks that come with a lot of tech

and yet, it isn't treated as a public health emergency, which is undoubtedly evolution actually is the most home for it goes is mom been disease and it's already been war or you know, any kind of even smoking it's way up there as the more home pl. public health emergency and yet it is not given that attention by the government. all right, so one is the awareness part of it. what about other solutions? you're also go fond of an angel care for in your line of work. are you seeing enough solutions that people are working on? yes, there are people who are coming up with innovative solutions. but you know, you really need in a situation like this. you can't have a small number of people working in silos with innovative solutions. you really need the entire force of the government and the corporate sector. there is a lot of industrial usage. there is a lot of big europe a use and we have crops double bonding, which is completely avoidable. and which contributes almost 44 percent of winter air pollution to the north of parts of the country. and that is completely avoidable. you also have thin