which highlights key achievements in our efforts to proat the time and promote the health of san franciscoans which is the theme of this year's report. this message describes the department's response to the ebola outbreak in west africa, our on going work to address health disparities between san francisco's african american residents and the historic donation of 75 million from mark zuckerberg and priscilla khapb. our population health division which provides core public health services for all residents. this letter also recognizes the many generous donations to san francisco general hospital, which is opening this week, and affirms the commission's commitment to providing a sustainable health care delivery system and public health services to meet the needs of san francisco residents. the next section of the report provides an yofr view of our two maipblg divisions that help the department fulfill under the circumstances mission, as well as an organizational chart to help orient the reader. this fiscal year our population health division moved closer to public health accreditation through

which highlights key achievements in our efforts to proat the time and promote the health of san franciscoans which is the theme of this year's report. this message describes the department's response to the ebola outbreak in west africa, our on going work to address health disparities between san francisco's african american residents and the historic donation of 75 million from mark zuckerberg and priscilla khapb. our population health division which provides core public health services for all residents. this letter also recognizes the many generous donations to san francisco general hospital, which is opening this week, and affirms the commission's commitment to providing a sustainable health care delivery system and public health services to meet the needs of san francisco residents. the next section of the report provides an yofr view of our two maipblg divisions that help the department fulfill under the circumstances mission, as well as an organizational chart to help orient the reader. this fiscal year our population health division moved closer to public health accreditation through

city's safety net and improvements she has made to access to high quality health care for all san franciscoans. i will stop there and any questions the commissioners may have regarding the report. >> commissioners, questions to the director? i could ask the first one, which is related to your report on the climate and health program of 2016 i'm wondering if we could have that reported also. >> absolutely, we can do that. >> i was wondering whether you can expand on the issues of sentinel? we have talked about it here at some length, it just seems like happening. >> absolutely. we have a whole group of individuals in our department working with all of the other providers to ensure that our provider network knows the issues. also this is a different community that could be using these, it looked like narcan, it looked like xanex or narcan. >> good afternoon, commissioners, so we have first of all i think what's interesting is that we often hear from our providers in the community first when these things are out and we have a great communication with our syringe access providers. we have a proces

one of them is a san franciscoan who just dropped off his kid at high school and he's with his brother from new york and they're visiting the building and they're visiting the building because they spent a lot of time there, they bought their motorcycles there. it's not just the thing, maybe we didn't make it clear but it's not where people just bought gear and left. they hang out. it's a social scene. it's a community and so it may not meet landmark status but we're trying to find a way so that this facade can be preserved and that people can still visit it and it can have a sense of permanence. that's what's really important to people. we don't want be to stop progress and we certainly, we need housing and there are certain things that should move forward and it should be an active space, but we also don't want to just obliterate the history that's there and that means something to this community. and so if there are any suggestions that the commission has on how we can move forward, any support that could be provided that bee would really be open to that and i think actually the bui

one of them is a san franciscoan who just dropped off his kid at high school and he's with his brothernew york and they're visiting the building and they're visiting the building because they spent a lot of time there, they bought their motorcycles there. it's not just the thing, maybe we didn't make it clear but it's not where people just bought gear and left. they hang out. it's a social scene. it's a community and so it may not meet landmark status but we're trying to find a way so that this facade can be preserved and that people can still visit it and it can have a sense of permanence. that's what's really important to people. we don't want be to stop progress and we certainly, we need housing and there are certain things that should move forward and it should be an active space, but we also don't want to just obliterate the history that's there and that means something to this community. and so if there are any suggestions that the commission has on how we can move forward, any support that could be provided that bee would really be open to that and i think actually the building