i concern amongst public health workers? . ., , concern amongst public health workers?kers? i recognise the cause for concern and l _ workers? i recognise the cause for concern and i don't _ workers? i recognise the cause for concern and i don't necessarily - concern and i don't necessarily agree — concern and i don't necessarily agree with the content. why concern and i don't necessarily agree with the content. i agree with the content. why not? i m self agree with the content. why not? i myself have _ agree with the content. why not? i myself have been _ agree with the content. why not? i myself have been accused - agree with the content. why not? i myself have been accused of- agree with the content. why not? i myself have been accused of going j agree with the content. why not? i i myself have been accused of going to the dark— myself have been accused of going to the dark side, this is the standard thing. _ the dark side, this is the standard thing. it— the dark side, this is the standard thing. it is— the dark side, this is the standard thing, it is difficult beca

we're in a different place, end of public health emergency marked a transition for country and public health. we have the tools we need to protect people in the communities from severe infection, thanks to work of cdc,th our partners in state and local government, private sector and front line healthcare workers, more c than 676 million doses of vaccines have been administered across u.s. saving millions of lives. these vaccines built a wall of protection which decreased risk of severe disease and death from covid-19. when i started at cdc, one-third of school districts were offering daily in person instruction. with my three boys at home with me, getting schools open was a top priority for me. i like many of you recognized that critical role that schools play in supporting social, physical behaviorial, emotional and mental well being of our children, one of first documents released by cdc 23 days after i started was operational strategy for k-12 schools to phased mitigation on february 12, 2021. this road map to reopen schools and help them remain open was result of countless work ho

the end of the public health emergency marked a tremendous transition for our country and for public health. now we have the tools we need to protect people in our community from infections and thanks to the work of the cdc are partners in state and local government the private sector and front-line health care workers more than 676 million doses of vaccines have been administered across the u.s. saving millions of lives. these vaccines build wealth protection which dramatically decrease the risk of severe disease and death from covid 19. when i started the cdc is one third of school districts are offeringng daily in person instructions. with my three boys at home getting schools open was a top priority for me. i like many c of you recognize e criticalal role that schools ply in supporting social physical behavior and emotional and mental well-being of our children. in fact one of the first documents released by the cdc just 23 days after i started with the operational strategy to take k-12 schools through mitigation on february 12 to 2021. this roadmap to reopen schools and help them

they were intended to be strategic leaders for public health and health inequalities in local communities, private and voluntary sectors, and new proposed local statutory health and well—being boards. and in your view, damejenny, there has been a successful implementation? it dame jenny, there has been a successful implementation? it was a ainful successful implementation? it was a painful birth. — successful implementation? it was a painful birth. i _ successful implementation? it was a painful birth, i think, _ successful implementation? it was a painful birth, ithink, and _ successful implementation? it was a painful birth, i think, and i— successful implementation? it was a painful birth, ithink, and i say- painful birth, i think, and i say that— painful birth, i think, and i say that having taken my own team, when i was that having taken my own team, when i was a _ that having taken my own team, when i was a director of public health in norfolk_ i was a director of public health in norfolk and waveney over to the local _ norfolk and waveney over to the local authority and worked as c

for public health. now we have the tools we need to protect people in our communities from severe infection and death. thanks to the work of c.d.c., our partners in state and local government, the private sector and frontline health care workers, more than 676 million doses of vaccines have been administered across the u.s. saving millions of lives. these vaccines built a wall of protection which dramatically decreased the risk of severe disease and death from covid-19. when i started at c.d.c., just 1/3 of school districts were offering daily in-person instruction. with my three boys at home with me, getting schools opened was a top priority for me. i, like many of you, recognized the critical role that schools play in supporting social, physical, behavioral, emotional, and mental well-being of our children. in fact, one of the first guidance documents released by c.d.c. just 23 days after i started was the operational strategy for k-12 schools through phased mitigation on february 12, 2021. this road

public health _ involvement of directors of public health.2, those _ health. so, from that time, from 2012, those areas of public health were _ 2012, those areas of public health were no— 2012, those areas of public health were no longer funded through the department of health in the way that they had _ department of health in the way that they had been before. mr osborne also says— they had been before. mr osborne also says in— they had been before. mr osborne also says in paragraph 71 of his witness — also says in paragraph 71 of his witness statement, we don't need to put this— witness statement, we don't need to put this up. — witness statement, we don't need to put this up, that the department of health _ put this up, that the department of health 's _ put this up, that the department of health 's budget from 2011—2012, until 2014-15, health 's budget from 2011—2012, until 2014—15, was to increase in real terms— until 2014—15, was to increase in real terms in each financial year, and that— real terms in each financial year, and that that

to support future public health emergencies. the san francisco d. public healing focusing efforts in the development workforce through training and retention increasing communication to the community. retain and increasing engagement from the covid response and the data infrastructure to support the resource needed driven by the data this is for 5 years guess develop of 2022 through november of 27. and folks on the core functions of the capacity for community engagement, workforce development and response in [inaudible] prop. the covid response our department responded over public health emergencies [inaudible] the over dose, laguna honda accreditation and outages the commitment to support the development of the workforce in addition to community engage am will stream the department for future health responses and and in partnership with the community we ask move this to the board with positive recommendation. thank you for your time and happy to answer questions you miff. >> thank you. go to presentation 7. for item 7. i don't k

witnesses to help us better understand the serious threat that antimicrobial resistance causes to public health. it is not a new phenomena, it has been vexing scientists in congress for years, however, it has been increasing across the board and imposes health risks to the public. according to the center for disease control and prevention, more than two point eight americans have an infection in 2019 and one and 35,000 americans died from the infection in these numbers are expected to grow as more and more dangerous organisms develop resistance to the treatments available today. and that is deeply concerning tower public health. there is not seem to be one obvious solution to the issue and it cuts across the board to how we identify resistant threats to how we administer available drugs while also fostering the developments of new treatments. the challenging balance between withholding certain antibiotics for patients in order to avoid unintentionally promoting more resistant strains of bacteria and providing the patients the best treatment available. in terms of developing new treatments, the

jurisdiction to announce we would declare a public health emergency and have that signify how intensely we were going to respond and how we wanted to do everything we could to help keep people safe. there are many, many challenges for the public and for our team it's, we built on lessons and partnerships from covid-19 and really leveraged that, creating a public dashboard. within that, we saw a disproportionate cases along latinx and dr. bennett was instrumental in saying we don't need to wait. we need to anticipate there will be disparities and we need to look at the data and respond quickly. we had so many community partner expertise with lgbtq and sexual health that had it in a right space approach. we were able to incorporate m-pox work into community based infrastructure including into our organizations that hadn't worked in sexual health but knew how to reach latinx populations and others who could benefit and who really joined very quickly, understanding the data and doing everything that we could to reach out. next slide, please. so, oh. one back, please. great! thank you! the s

she will (indiscernible) at the dph and greater san francisco public health communities. ed, the san francisco health commission honoring drr bennett for outstanding service and leadership i wishes well in the new position as the washington dc director of health. [applause] >> do we have a motion to approve? >> so moved. >> second. >> okay. do we have any public comment within the chamber or on the phone line? >> any in the chamber? folks son the line if you like to comment, press star 3. we are on item 3. after the vote you will be called up dr. bennett. there are no raised hands for public comment. >> alright. commissioners, any comments or questions? commissioner christian. >> thank you president bernal. dr. bennett i'm so sorry to see you go. i didn't have a chance to really benefit from you know, all of your leadership and knowledge in the way that i would have if i had been here a little longer, but i thank you so much for what you have done for all of us on the commission, but also for what you've done for those who live in the city as well as people who come in day

overdose prevention in september , 2022 at your urging at our urging, you joined the department of public health in announcing the city's first overdose prevention plan. wellness hubs were described as the cornerstone of the plan and your administration committed in a public hearing last october. opening one of these hubs in the tenderloin no later than june. 30 2023. in december last year against the urging of this board , you closed the tenderloin center, the city's only safe consumption site without a replacement overdose deaths have skyrocketed in the months that followed, just as advocates warned at the time would happen . there is fortunately broad agreement that the city can and should open, a wellness hub following the new york model in which services other than on site consumption are funded by the city. however your administration has not moved this process for word in the tenderloin. even though there is undeniable need providers are ready to open sites and supervisors, including myself, are in full support. to date. the department of public health has not even issued an rfp to open a

capabilities at every level so we can protect our public health system from complace si -- complacency and hostage taking and drastic cuts. the saves plierves acts would make much needed invests at the cdc and crucially it would establish a grant program to support health departments all across our country. this funding would meet a wide variety of needs in communities across america. health departments could use it to make sure they do robust contact tracing, stop outbreaks in their tracks, have adequate lab capacity to address public health threats, and have a surge workforce available in an emergency to save lives. this funding would impoe wur other public health departments to make sure lifesaving information reaches everyone. people who don't speak english, people with disabilities, people who don't have access to the internet. it would help officials conduct public awareness campaigns and fight misinformation and get really basic but essential information out like when and where to find a vaccine clinic. public health departments could also use this funding as they update their i

i was asked about this recently is that the public health and the public health leaders fail. well, they were set up to fail. we came into a 21st century national pandemic with a system designed the 19th century, a at the time this pandemic hit us, we were set up to fail. so should we then blame those leaders for the failure. that seems somewhat unfair. as for president trump, anyone, this book will conclude, as we did, that he was at the least a a comorbidity a preexisting condition that increases the risk of death or serious illness. and no one reading this book would come away it believing that trump should be anywhere near the instruments government anytime soon. but if you think that the crisis and what happened in our country was all about president trump, he actually a lot of what actually in the crisis and a lot of the reasons we failed a crucial conclusion of the book is the polarization and toxic politics were fed by lack of preparedness. very quickly it became obvious a lot of people ready to take guidance on what to do. and we didn't have really good guidance to gi

uh i want to quickly flag and also want to thank the department of public health as well. colleagues i think i want to fly for you that you know, with all these public comments has also a lot to do with the trailing legislations that unlike years past difficulty there just fee schedules, but, um it's an unprecedented years with all these legislation coming before us, particularly does that are not easy to solve. um so do we have department of public health here? i don't blame them if they're not, but of course, dr colfax, you're right on time, and we appreciate you. thank you. should we start, please? good afternoon supervisors. thank you so much. um i'm grand kovacs, some of the director of health and we will get right into our budget. i do want to start by by thanking, um anna dunning. do you mean of the at the mayor's office for her work and support? um at the budget off as leader of the mayor's budget office, and then jenny louis, our budget director did an incredible amount of work . and just as you will see, in our in our presentation. that we have met our targets wit

jurisdiction to announce we would declare a public health emergency and have that signify how intensely we were going to respond and how we wanted to do everything we could to help keep people safe. there are many, many challenges for the public and for our team it's, we built on lessons and partnerships from covid-19 and really leveraged that, creating a public dashboard. within that, we saw a disproportionate cases along latinx and dr. bennett was instrumental in saying we don't need to wait. we need to anticipate there will be disparities and we need to look at the data and respond quickly. we had so many community partner expertise with lgbtq and sexual health that had it in a right space approach. we were able to incorporate m-pox work into community based infrastructure including into our organizations that hadn't worked in sexual health but knew how to reach latinx populations and others who could benefit and who really joined very quickly, understanding the data and doing everything that we could to reach out. next slide, please. so, oh. one back, please. great! thank you! the s

the rationale that public health - rationale that public health measures— rationale that public healthndemic are designed to reduce _ measures during a pandemic are designed to reduce the - measures during a pandemic are designed to reduce the spread . measures during a pandemic are | designed to reduce the spread of measures during a pandemic are - designed to reduce the spread of the pandemic— designed to reduce the spread of the pandemic virus— designed to reduce the spread of the pandemic virus and _ designed to reduce the spread of the pandemic virus and save _ designed to reduce the spread of the pandemic virus and save lives. - designed to reduce the spread of the pandemic virus and save lives. in - pandemic virus and save lives. in some _ pandemic virus and save lives. in some circumstances— pandemic virus and save lives. in some circumstances it _ pandemic virus and save lives. in some circumstances it may- pandemic virus and save lives. in some circumstances it may be i some circumstances it may be necessary _ some circumstances it may be necessary to _ some circumstances it

so i'm a public health nurse and. i was with the university health system when the started to make a tremendous. so thank you for mentioning it. but my question is over over my lifetime social movements have happened. you know, the civil rights movement many in i think it was 2017 when there was a movement to replace obamacare and there was seemed to be a movement where people did not want that. so wondering is going to take a social movement for us to really rethink and restructure health care, health and health that's a that's a really good that i i'm one of these people that hopes that it doesn't that we can like we just pound the pavement people like let people know that there's unity to large extent. you know, in people knowing that the health care system is broken, people knowing that they're paying too much for it people, recognizing that interests are above patient interests and that spreads across both parties. you know, now going to be like what's going to catalyze that? that's a great i hope that at the gras

preparedness, disaster response, and other major threats to our public health. population health provides a limited number of our city and countywide direct clinical services, like our adult immunization and travel clinic, city clinic, tv clinic, and the public health lab. the san francisco health network comprises of bulk of direct health services provided by the department of public health. each year the network serves more than 120,000 san franciscans throughout our clinics and hospitals and our other clinical programs, which i'll discuss today. i also want to note in acknowledgement in the request to look back on dph investments in omi, lakeview/omi in district 11, over the past ten years, we did have challenges gathering information. we really rely on our electronic health record, which we began to implement in 2019 and so, it's hard to look before 2019 and after 2019 and compare data to come up with things like unr -- like un-duplicated patients. health services is next to come, so we use different health records, which created some challenges in looking ov

i was asked about this recently is that the public health and the public health leaders fail. well, they were set up to fail. we came into a 21st century national pandemic with a system designed the 19th century, a at the time this pandemic hit us, we were set up to fail. so should we then blame those leaders for the failure. that seems somewhat unfair. as for president trump, anyone, this book will conclude, as we did, that he was at the least a a comorbidity a preexisting condition that increases the risk of death or serious illness. and no one reading this book would come away it believing that trump should be anywhere near the instruments government anytime soon. but if you think that the crisis and what happened in our country was all about president trump, he actually a lot of what actually in the crisis and a lot of the reasons we failed a crucial conclusion of the book is the polarization and toxic politics were fed by lack of preparedness. very quickly it became obvious a lot of people ready to take guidance on what to do. and we didn't have really good guidance to gi

clearly, the public health roblem now? clearly, the public health problem is _ now?ly, the public health problem is an immediate - now? clearly, the public health problem is an immediate and l now? clearly, the public health - problem is an immediate and medium to long—term problem that we are going to face. the flood has meant that sewage is mixed with the water. 0il, fuels, pesticides, because a lot of this is farm areas, all mixed up. the mind issues, the remnants of war issue. so, it is going to be a longer—term issue. unicef, another great partner of ours in the un system, is delivering water tablets to, water purification tablets to the authority so that they can try to ensure the purification. matthew, i'm so to ensure the purification. matthew, i'm so sorry — to ensure the purification. matthew, i'm so sorry to _ to ensure the purification. matthew, i'm so sorry to interrupt _ to ensure the purification. matthew, i'm so sorry to interrupt you. - to ensure the purification. matthew, i'm so sorry to interrupt you. we - i'm so sorry to interrupt you. we are adju

so i really want to defend public health and public health practice, and say that in the event of a novel airborne deadly pandemic, social distancing is one of the crude and also rudimentary public health measures to keep people safe. but what we want to do for the next airborne, deadly pandemic is that we want to create safe environments so that people can socialize, so that we do not have to close the schools so we don't have to do these things to keep students apart from each other. and i think that that is what we should be focusing on here today. we should be focusing, thinking ahead for that next airborne, deadly pandemic on how we can save lives, how can we lower transmission, and how can we keep kids safely in schools so we don't need to practice the social distancing that has shown to work -- the charge of the subcommittee is to understand the covid-19 pandemic. so we can prevention prepare for future public health crises. our mission is to get ahead, of a future deadly novel viruses with the potential to devastate her communities. so that none of us have to endure another pandem

it's the same thing for public health. ho we are, it is because of choices other people make. we spend more on health in the united states and almost every other industrialized democracy and we have these outcomes that are 40th in ranking, 50th in ranking for life expectancy. rev. barber: so gregg, desmond is on our team and we pull in all scholars because every movement has to have these footnotes. when you hear us as a movement, because we dig deep into data. i want to be clear on that, this is not a feel-good type movement , we dig into data because data, where your treasure is is where your heart is. you cannot talk about morality unless you show me the way you spend your money. and who is benefiting that and where you stand in relationship. but when you hear us say we need a third reconstruction to end poverty and low wealth and low wages, to end it, does that sound like some way outlandish dream we should not be pursuing, or is it rife, like with the special reppo tour for poverty said at the u.n. where he said we've

to support future public health emergencies. ocusing efforts in the development workforce through training and retention increasing communication to the community. retain and increasing engagement from the covid response and the data infrastructure to support the resource needed driven by the data this is for 5 years guess develop of 2022 through november of 27. and folks on the core functions of the capacity for community engagement, workforce development and response in [inaudible] prop. the covid response our department responded over public health emergencies [inaudible] the over dose, laguna honda accreditation and outages the commitment to support the development of the workforce in addition to community engage am will stream the department for future health responses and and in partnership with the community we ask move this to the board with positive recommendation. thank you for your time and happy to answer questions you miff. >> thank you. go to presentation 7. for item 7. i don't know if it it is defera pop pel. direc

the new belt as faced criticism from the opposition, which fears that they already overburden public health system will collapse shoes the n h you come to pass health services would collapse. does this day visit? baldwin has never made it clear which health services would be available on the n h i, and which would be out of pocket expenses for patients. v a n c seems to be laboring under the illusion itself. africans would happily fill out extra money for an already crumbling public health system to be further overburdened with nearly 9000000 individuals with medical aides will have to compete for services under universal health care. we spoke earlier to a medical doctor and the former president of the health professions council of south africa, who explained why this bill has caused such a stir. and i think the major problem with the bill is that it says raise more questions than answers is quite confusing when the same problem. it is coming up with another form of health insurance without repeating the existing for when the factory sorts. so people that are already insured are confused as

public health has suffered from funding, and more than $4.5 billion are needed to bring the public healthsay is a healthy level. the report cautions saying it's not just the national government responsible for finding a solution, but local and state governments need to step up, too. >> strengthening the public health system requires action on all levels, and what we call, number one, the need to increase and sustain public health funding and more flexible funding for help to strengthen the public health infrastructure. >> they say the field needs more health care workers. there was a new program announced earlier this week to increase the recruitment of health care workers. >>> and then scott mcgrew is joining us. this impeachment talk comes from time to time. >> yeah, all presidents face this at some time. in 2013, a congressman from texas wanted to impeach obama, because he said obama was not born here, and he, of course, was. and then the want to impeach bush almost had the vote. president trump was impeached twice. the house did censure california congressman, adam schiff. the decisio

preparedness, disaster response, and other major threats to our public health. population health provides a limited number of our city and countywide direct clinical services, like our adult immunization and travel clinic, city clinic, tv clinic, and the public health lab. the san francisco health network comprises of bulk of direct health services provided by the department of public health. each year the network serves more than 120,000 san franciscans throughout our clinics and hospitals and our other clinical programs, which i'll discuss today. i also want to note in acknowledgement in the request to look back on dph investments in omi, lakeview/omi in district 11, over the past ten years, we did have challenges gathering information. we really rely on our electronic health record, which we began to implement in 2019 and so, it's hard to look before 2019 and after 2019 and compare data to come up with things like unr -- like un-duplicated patients. health services is next to come, so we use different health records, which created some challenges in looking ov

has been hard communications 1st, we as an agency historically have communicated to health and public health providers. not necessarily. always to the american people with every single guidance. and then importantly, as there have been the various actors who are actively working to undermine our communication efforts. doctors after the various actors working against public health authorities. do you agree with her? and it is who are that a well, i and she brings up several points. first of all, the cdc i'm, i'm a big fan of the cdc. but the cdc was not very clear in his communications. it was not very consistent. it didn't often explain its policies and those nefarious actors, some of homework political, but we now have the amplification of social media where people get their news from 10 the old source. back in the day 2030 years ago. everything was filtered through person such as yourself, who were who, who made judgements about what to put on television and on radio. we don't have those filters anymore. looking for quality, looking for truth reinforcing the best science and making that co

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 debate. good. next, the problem with science is the fact that this is a branch of government. i interviewed economists sai sotloff. he was australian economist who resigned over the lockdowns. and i call this science in support of policy next, thomas sowell. thiss the greatest. if you remr, experts are called in not to provide factual information or dispassionate analysis to political cover fo decisions already made based on other conditions. now we, had micelichael levitt nobel prize winning stanford epidemiologist uninvited from scientific conferences, not for a scientific reason, but because he didn't support the lockdowns as a so

brag about in public health.t is 20 years old today and it pays for medication for people with hiv in more than 50 countries and it was passed during the presidency of president george w. bush. it is the largest investment by any nation to address a single disease in the world and has helped save over 25 million lives. [applause] dr. fauci, that was a bare-bones explanation of pepfar. anything you want to add? dr. fauci: you said it very well. it really involved from a concept that at the time that pepfar was conceived of and then actually developed, was in 2002, which was then made law. it was several years after the availability of truly lifesaving drugs. in 1996, that was a pivotal year where certain drugs completely transform the lives of people with hiv. in those countries and those societies in which drugs were available, it was completely lifesaving, to the point now, people who have these drugs available to them can lead almost a normal lifespan. the thought was over a period of time people in the develop

what we saw during corona virus as this public health can demick stripes, the population, the communications that we received were often at odds with each other. indeed, if we think back to those washington press conferences there, we had the political leadership of this country saying one thing, and 5 minutes later, the public health leadership in the same news conference were saying things that were diplomatically but a 180 degrees opposite. so the communication was very, very confused, and people really didn't understand what to believe. and much of the confusion is now, as we say, baked in and remains the. the centers for disease control was criticized a lot. during the pandemic conferences select, the subcommittee on the pen demik says that the cds, these policies contributed to public distrust in doctors and health officials. now this week, the outgoing head of the cdc, rochelle will lisky. she spoke before that committee take a listen to part of what she said. certainly communication has been hard communications 1st, we as an agency historically have communicated to health and public

what we saw during corona virus, as this public health pandemic struck the population. the communications that we received were often at odds with each other. indeed, if we think back to those washington press conferences there, we had the political leadership of this country saying one thing, and 5 minutes later, the public health leadership in the same news conference were saying things that were diplomatically but a 180 degrees opposite. so the communication was very, very confused, and people really didn't understand what to believe. and much of the confusion is now, as we say, baked in and remains the. the centers for disease control was criticized a lot. during the pandemic conferences select subcommittee on the pin demick says that the cds, these policies contributed to public distrust in doctors and health officials. now this week, the outgoing head of the cdc rachelle will lisky. she spoke before that committee take a listen to part of what she said. certainly communications has been hard communications 1st, we as an agency historically have communicated to hea

often we see public health officials talking about socio—economic factors, but one of the first womennating piece was working at a university, and she was struggling to be taken seriously, at the own university where she worked. tell us more about that. what we did was published a five—part series investigating essentially how from births to deaths black americans are much more likely and that has been generations in the making and the first story was about this very issue, we went to the seat of alabama where we met two sisters who both had very traumatic birthing experiences at the same hospital and as you mentioned one of the sisters, she worked at that very hospital as a public health instructor, so for me, throughout the course of the reporting and talking to a lot of advocates, this just reaffirms the fact that again, regardless of your background, this is something that can happen to you, and for that woman that we interviewed, it has had such a disastrous effect on her life to the point that she feels he does not trust the medical system any more, she no longer even works in t