Actually have Accurate Information on the boards . We will have to come back to that. That would be great. You said you also communicated through social media. Can you tell me about that, please . We have customer Information Officers that are in our control center, so they are basically on the pulse of what is happening. They are the ones who send out alerts. We have the next best cyst next bus system for folks who have submitted emails, and as well as posting and responding to feedback on twitter. Is there actually an email address that people can use to communicate with the Operations Center . Yes. You can sign up for an alert on either multiple lines or the line that is specifically affecting you. When there is a service disruption, you get dinged with information. Right. And you said you communicate via twitter. Can you talk about that . What is your question . How do you put messages out on twitter . We put messages out through the email alerts on our website on the next best and on twitter. In order to communicate realtime with your operations when someone dials 311, they dont actually get the Operations Center, do they . No, but we are also in constant communication with 311. There are times, particularly if there is 311 operators do have direct access to the control center. Is that a new development or has it always been the case . It has always been the case. For example, we have had instances where a child get separated from a parent and they would call 311 and that is immediately connected to our control center. What if someone calls 311 and says i have been waiting for a bus for a half hour, can you tell me what is going on . They would look at the same alerts with that we are posting online. But they dont see what they see in the Operation Center , they just see the next bus, correct . Yes. If the next bus is not accurate, they would see dicken information . You said you are constantly monitoring data that is based on the realtime movement of the vehicles. I was talking i was not talking about realtime data. We do that, as well, what i was talking about looking at trends related for reliability, crowding, ontime performance. About 5 of runs are still missed due to driver shortages every day. What is the frequency with which it is always the same run . Is it spread out, and do you do something to make sure that if, you know, the 7 00 a. M. Bus doesnt run one day, they make sure you pick it up the next day not necessarily. For example, if a run is not signed on at a sign up, it might not be filled. That could repeat over multiple days . It could. We do drive buses to make sure we are not missing two runs in a row, again, to avoid a big service gap. Aside from phones or, you know, handheld devices, and i guess the boards and the shelters, that is kind of the only way that people can be made aware of disruptions or delays in the system, correct . Without calling 311, yeah,. Okay. Two questions. The first is, in what neighborhood do you have repeat days of delayed service due to operator shortage or other circumstances . We have operated delays daytoday. Youre talking where those are happening. Tell us about which neighborhoods are that the situation arises in. I dont understand the question. Every route in our system is currently impacted by some small amount of service. So our concern, as a Human Rights Commission, is to make sure there is lance of equity equity and inclusion that is applying to all kinds of city services. From munimobile, to other things we are concerned with making sure that there arent marginalized communities that continue to be marginalized with compounding problems. So it would be helpful to know, since you collect data on where these things are arising and it would be helpful for us to be able to assess whether this is continuing to negatively impact day after day. I would be happy when we come back in october to share what our statistics are by route and also which neighborhoods they go through. It might give you a better sense of what youre asking. The second question is, what percentage of your workforce will be retiring in the next five years . Ill be happy to provide that as well. Because we have been doing extensive hiring, our overall operator median age has reduced, but i would be happy to bring you that information. Similarly then, would be helpful to see information on the diversity of the workforce that is going through the pipelines, through the classroom training that you are bringing in, and how that relates to the aging part of the workforce, the other end of the line. Okay. So i dont think there is a San Francisco meeting take a her a life that has not experienced being stuck in a tunnel. And while we know what we know about getting kept in tunnels, it disproportionately impacts lowwage shift workers who may or may not have the ability to arrive late to their job. And often times there are penalties or loss of job. So im just curious to understand how you are thinking through increasing accessibility within the tunnels, and what is the plan for wifi and connectivity so that if you are stuck in a tunnel, you have the ability to notify your employer, your loved ones, because as we know, the most marginalized communities have the least amount of flexibility with their schedule. Bart is working on a cellular conductivity project that would go through the entire munimobile metro tunnel. It is a fairly extensive process i believe it has almost a two year timeframe, but i think that would get at the issue that you are speaking to. When did the two years start . It hasnt. Is the same true for wifi . We dont have current plans for wifi. Why not . I think because cellular is a more universally accessible system. Is there any provision in the new tunnel of wifi or cellular . I would have to find out. I dont know. The tunnel that you are building right now, the brandnew one . I dont know. Okay, i think the first thing i am concerned about is we really do still have a visible divide, and so this reliance upon a cell phone itself is inequitable. If you are only communicating that no bus is coming, more than likely, beyond half an hour, right, and you are only communicating that to people who have access to your website or to dial 311 or 511, or if they are lucky enough to actually have a next bus sign in the shelter. The bus stop that is near me doesnt have that and the number of the bus, it has been vandalized. It has been for a couple of years that it hasnt been fixed. What is the location . We will get it fixed. I can tell you that privately , right . It hasnt been for a couple of years. If i dont have a phone and i want to know when the bus is coming, and i dont know what the number is, how would i get that information . Im concerned about that. Im concerned about the driver shortage, and do you have supervisors and others who are filling in, is that possible . Have you brought back retirees, i mean theres a lot of things that can happen, and also in terms of outreach in the greater bay area for prospects, and what kind of training, in addition to these classes. You talked about the pipeline, what does that look like . And then finally, i am concerned about the cellular wifi, what is more accessible et cetera, and you relying upon the bart system to include Cellular Service in the munimobile metro tunnels. I dont know that thats really enough, and so in terms of budgeting and asking the city, and that sort of thing, this has to be on the agenda, and on the greater agenda because i dont think cellular is more accessible than wifi, and the city has provided Free Wifi Service in various locations, so i am concerned about that, as well. When you report back, i would like answers to those three areas of concern. Thank you. Before i recognize another commissioner, let me roll off of that a couple of thoughts. I am more fortunate than many in the city in terms of things that are accessible to me, but i have had, as has everyone, frustrations with munimobile. I can tell you that when you call 311, you dont get feedback from anyone who has any direct communication with the control center. What you get is someone looking at the same next bus advisory or next bus prediction that i look at my phone because i have a phone. I also do communicate with munimobile on twitter. I happen to have a twitter account. I happened to be okay with the whole world knowing what can occasions im having, where im getting on, where i am waiting for vehicle by myself, and maybe where i am waiting for a vehicle late at night, but one has to buy into that and be willing to do it to even have the direct interaction with the control center, as far as i understand. I dont think that is right. I dont know what the solution is. I understand that somewhere along the line someone had an idea that communicating with twitter would be cool and were here in San Francisco and theres a lot of people on twitter, but the people who are most reliant on your service arent, and the people who are most vulnerable in our community are probably not the most interested in logging into a Public Network and a public social Media Network to talk to munimobile in a way that doesnt ever go away, about where they were, where they were going, and what theyre waiting for, and what information they want. I dont know what the solution is. I dont know if anyone has ever said this to you, but i would hope that somewhere along the line, someone would have figured this out because my understanding is it has been a number of years and that has been the primary mode of direct communication. I see the tweets coming out. Thanks for letting us know, you are our eyes and ears out there. That is great, but the people with the eyes and ears are only on the certain routes where people have twitter accounts, and so that is not the communities that we are talking about here. Those people can also, you know, pay to park downtown, were getting uber, or work at home because they have wifi and they can work at home and their employer will say that is okay, so i dont know if i have misconstrued anything, if i have misunderstood the use of twitter , if i have misunderstood have the call center works, do you want to comment on any of that . I think it is good feedback. The twitter is the primary way we are doing realtime bottle away communications. We do rely on 3114 a lot of people that submits complaints or concerns and were able to follow up and track that, but that is not the realtime back and forth. Even the twitter people will tell you that if you want to make a complaint you have to fill out a form and you have to do that through 311. It is not an instant process. Im listening to all this and struck by the fact that we are one of the most innovative cities in the world. There is rarely a problem that we have not set ourselves to solve that we havent been able to solve four, and yet i am concerned that the same level of innovative thinking and creativity that is causing very grave problems that exist in sfmta and the level of creativity and m. T. A. And innovation isnt being applied. Without that application, im increasingly concerned that people are on the losing end of the stick and they are most desperately reliant on the sfmta so what i would also i would love to hear first of all, do you have an Innovation Committee or an Innovation Council that helps you think creatively on how to solve some of these really Serious Problems that disproportionately impact the marginalized and underrepresented, and if not, when you come back in october, i would love to hear thoughts on how you might go about doing that. Thank you. We are currently working with a committee that is cosponsored by the marriages office, supervisor peskin and supervisor mandelman, working with Industry Leaders to look at some of the hard munimobile problems that you are talking about. I think it does lend some innovation. One of the things that we didnt talk about is this Customer Experience among other challenges, organizationally, the Customer Experience that fits in many different spots within our organization. I dont think it is as holistically stitched together as it could be, so that is one of the things we have been getting input on. We do have a pretty incredible staff working through very tough problems, but we dont have anything called an Innovation Committee, per se,. Do we have other questions or comments . I suspect this isnt something you can answer now, but maybe you can bring this back when you bring back the other list. Is there a metric, like an overall of ontime operations . Do you have a score, like a number on any current date, or do you have to go by line or by area, or Something Like that . You say we are 87 today . We track our ontime performance systemwide and down to the threequarter mile segment of a route. Do you give yourself a daily score percentage or monthly for the month of august and what it was . I cant. Our ontime performance has been fairly consistent. I would say fairly low, but by low you mean not ontime . Not ontime. Do you know what that number is . I apologize, i dont. I would be happy to bring that back. I would be happy to know any specific date going back three years, because, again, as a new is a munimobile writer who has other alternatives, i am witnessing the degradation of a commute that used to take me 25 minutes now takes about 45 reliably, which is another 25 minutes, that is 50 . I wonder if that can be extrapolated over the entire system and if munimobile is 50 worse for 50 less ontime today than it was before the tunnel. I would be happy to share all that information. Thank you. Last one, i promise. Do you maintain Service Level agreements with your stakeholders at the city or Service Level agreements about average commitments to ontime rates or service rates, any standards that you hold yourself accountable for in order to hit certain metrics . We havent ontime performance and a Service Delivery targets that are established in the charter. We are not currently meeting them, but i will include those targets when i come back. What i have ive also been doing , because munimobile has its challenges, but we also need to break them off into bitesize pieces. We have been creating ninetyday plans that create an implementable achievement that stretches achievements through the system and targets incremental performance targets, as well. I will sure that when we meet, also. I would love to understand what is in your charter, and how you performed against that charter over the last 12 months. I want to acknowledge that you probably have one of the hardest jobs, and god bless you. I could never do this job. Thank you for your service, but i also want to acknowledge that it is staggering to me that you dont know off the top of your head what youre ontime rate was for the month that just ended. In my view, and i only have a very rudimentary understanding of transit, but it is perhaps one of the most important metrics that someone in your role could no. As i said, i am reviewing performance daily, i dont want to, in a public setting say it is 59 when it was 57. I dont want to give the impression that we are not running a very data oriented operation, because we absolutely are. That is fair. Thank you. Thank you. I will piggyback on what he just said, you are here and that says a lot and you are listening, and i have had other experiences with you and other contexts in the city, and i saw julies name on the agenda may said, we will have someone here who is actually listening and will process this, which we appreciate. Having said that, i think it is clear there is a lot to process. I thank you will hear now from the Community Something to learn from and something you can take back from want to thank you for doing your job and sticking with it. I was going to say, before we open it up to Public Comment, that i do think about ways when you do have such a hard job, and we do serve so many communities. How we actually solicit feedback from those communities who cant just come to city hall, as easy as it is for most of us to take munimobile, and it furthers the delay. I would love to know come october, and i understand you are coming, what m. T. A. Does reaching out to the Diverse Communities with regular outreach meetings, and what more can be done, and maybe see ways that the Human Rights Commission can also solicit feedback from communities that may be not as a gauge, though they depend on m. T. A. For so many for their daytoday services, that maybe we can find ways to engage and get the right feedback. Ill be curious to see what m. T. A. Does in terms of Public Outreach and engagement and what more we can discuss and do come october to reach those communities. I would be happy to. As a quick summary, we try to meet people where they are at. Sometimes that is a vehicle, sometimes that is an intercept in the sidewalk, sometimes it is partnering with Different Community groups that have built in relationships with stakeholders, but the Human Rights Commission is a tremendous resource and you all represent stakeholders and having your input and having a partnership would be tremendous, it would be fantastic. With that, we will lose a quorum in a minute. The meeting will and the meeting will end, the listening wont, but we appreciate you staying. I believe she will be here through the duration, and i have Public Comment cards now. I know there are some invited speakers here. Momentarily we will lose our a quorum, but we will continue the discussion. I wonder, can we move the tape on him so we continue to get a transcript . Even though we wont be in session . Thats great. With that, we have i have a bunch of cards, but the next item on the agenda is invited speakers. [please stand by] we hold meetings in the communities. We are happy to Work Together that way. We appreciate the openness of m. T. A. And the willingness to Work Together. We look forward to collaborating. You cant turnaround a strange Transit System overnight, but if there are things to do to help we would love to be a part of that. With that i will ask the Commission Secretary to read the first invited speakers. I seem 3c. Department of aging and Adult Services. Two, homeless prenatal program, three Mayors Office on disability. Four sf transit riders board and city college trustee. 5. Department of Public Health. I think is Diane Lawrence here . Come on up. Good evening. I am the president of the Advisory Council to the aging and Adult Services commission. I have been asked to make a few comments about the work of the council that we have bee have bg for seniors and adults with disabilities. I wanted to briefly state what the council does because we are probably not wellknown within the city. We advise the commission on all matters relating to the development, administration and operations of the area plan which comes out of the Older Americans act including needs assessments programs and budgets relating to the wellbeing of the population served within the scope and spirit of state and local regulations and laws and ordinances. We have 22 members, one from each district and 11 appointed by the commission atlarge. There are 22 of us on the council. What i was asked to do is provide demographics because i think this speaks to what you have been talking about. Older adults are the Fastest Growing age group. Nearly 30 of those in San Francisco will be a senior over age 60 by 2030. Currently one in four san franciscans are seniors. We have one of the most diverse senior populations within the country. About one in 10 san franciscans report a disability that is approximately 94,000 people, about half of those are under age 65. You can see the transit equity addresses a big population of those in San Francisco. Mobility and independent living are among the highest reported challenges and concerns. Over the past year or year and a half the council has had an ad hoc group made of Council Members discussing the issue of pedestrian safety. That is accessible and safe sidewalks, safe intersections, considerations when planning upgrades, vanness street project, geary street, holes, uneven sidewalks have all been discussed. Paratransit reliability are critical. We have had them speak to us. The ease of loading on to and off muni buses and streetcars are an issue. Often mentioned among the two groups are bus shelters, many have been taken away or dont exist. This becomes an issue with the populations where they are not protected from rain. They are not protected and they cant it is while waiting for their bus or streetcar. The accessible bus stops in front of nutrition sights and churches and stores are raised often as concerns. That speaks to the comments on the population and what our concerns are with transit issues. Thank you. Does anyone have any questions . I will say i am a muni rider. I got here on muni with my clipper cart today. Did you arrive on time. The bus signage did work. Great. Thank you. We appreciate your coming. I will move nicole up from the Mayors Office on disability. I will move her up next. Good evening. Okay. I am nicole, the director of the Mayors Office on disability. Thank you for inviting me here today. What i want to do is talk for a minute what our charge is and how we Work Together with s. F. M. T. A. There is a lot that we are focused on that is very positive and i dont want to move those thoughts but i want to take time to make you aware of some of the things we are also hearing and you will hear duplication from dianes comments. I think it is important that we are hearing from the same communities. I wanted to highlight some of those things. First of all, the charge of the Mayors Office on disability specifically is as the citys overall americans with disability act coordinator on behalf of the city. We work closely with our ada coordinators in the various city departments and s. F. M. T. A. Has a fairly robust team in s. F. M. T. A. Accessible services. We work closely with them on a number of initiatives. Many of the complaints and concerns that we hear from individuals with disabilities or older adults are channeled directly to or colleagues in the accessible services. As part of our charge in the Mayors Office on disability is to help to similarly with hic to make sure our concerns are responded to in a timely way. We do a fair amount of grievance monitoring as well so to the specific items that the Mayors Office on disability hears about frequently related to transit, our specific removal of bus stops, seating, type of seating used especially on our light rail vehicles, concerns about parking protected bike lanes and messaging around parking in general especially for folks who use accessible vehicles as their primary moneyed of transit mode of transit, crowding on bus lines and also some concern that has been happening recently as we think about transit equity and what does that mean that the concern is that our buses especially our transit lines becoming vehicles specifically for older adults and people with disabilities only. What does that mean . Those are some of the basic things. Another thing that we hear fairly frequently is that we really want to work with our colleagues in s. F. M. T. A. To figure out the best way to do Broader Community outreach on those issues that are impacting team with disabilities in particular. I think that sfmta does a good job using the tools we have the web and internet based tools are used very well, and also they do a good job of engaging with our Multimodal Accessibility Advisory Committee and also engaging on occasion with our Mayors Disability Council which has broad representation on disability. However, i am really wanting us to find ways that we can reach even more people and especially those folks who might not have immediate access to the internet. One of the things that i am working on with some of our colleagues in sfmta right now are accessibility improvement fact sheets for some of our transit improvement projects that help to highlight what is happening to the project, the enhancements that will result from the work and we are just starting this and finding that people are responding to those well, and i hope that we can utilize those on all of our transit projects. I think that those are the main things that i want to highlight. Again, we are doing a lot of work that i didnt mention today, and i want to encourage the commission and also anyone in the audience today that wants to learn more about what Mayors Office on disability is doing to definitely contact us because many m. T. A. Related issues that arent specifically related to bus line transit that i havent mentioned we are working on. I want folks to know we are a resource and to encourage the rrc commissioners to partner with the Mayors Disability Council. It is specifically also interested in issues of transit, housing and employment so to the degree that those issues little intersect with you, the Mayors Disability Council is interested in working with you and sharing thoughts on how to make improvements in those areas, too. That is where i will stop for now. Thank you. Can you tell me a little bit about what you hear from the communities you serve about how they would like to see improvements in transit in the city specifically . I think. Or shortcomings that are identified for you. What do people bring to your attention . Some of those i mentioned are most common which i will mention again which are specifically bus stop removal when we are changing our street plan and certain bus stops have been removed, we care about that quite frequently. Bus stop seating being available or not, shelters being available or not, broken or not. That is a very common one. Another very common one and i will mention it again is concern around wherewithal of our streets changes for folks that need access to accessible parking and especially van accessible parking, there is a lot of misunderstanding on that particular issue because sfmta does center as part of it they are not removing the blue zones, but because they move it seems they are not removing them. We spend a lot of time talking with folks about that, and also specifically around accessibility and the parking protected bike lanes. We hear about that quite frequently and there is a team working specifically on helping to make improvements there. And then crowding and access to buses being passed up on bus lines because of overcrowding, that kind of thing is also quite common. Thank you. Other questions from up here . Okay. Thank you for your time, thank you for your work. We look forward to partnering with you on this initiative and others. Great. That is perfect. From the homeless prenatal program. Good evening, i am the Deputy Director at the homeless prenatal programming. Our Center Serves approximately 3500 families each year. Of these we serve about 800 pregnant individuals each year. I want to highlight one of the main issues that came up recently. Supervisor stephanie sponsored a hearing on Food Insecurity one of the main things is accessible so people can get to the food opportunities including grocery shops and the accessibility issues around the bus stops. That is one of them and access to paratransit shuttles and taxi vouchers as well. The biggest ones that came up were some of the barriers and obstacles to Service Included reliability around on time. He appreciate the commissioners comments of all of you around the reliability and need for Reliable Transportation important people who rely on muni to get to work. That is a large part of our population. We also have people who experience real hardships when buses are not reliable or delayed for Court Appointments or child care is a big one because people are charged additional fees when they are late for picking up child care or can have family members called and cause drama in reunification. Thinking about those reimpacts on peoples lives when a bus is 30 minutes late and somebody doesnt know it just disappeared from the next bus. Then, also, looking at really accommodating strollers and grocery carts so being able to transport items and that accessibility, i think, is a similar theme from what we heard from seniors and disabled individuals. The ease of boarding on and off is huge. Reception by bus drivers is a big one. People not walking. They are in training might be pregnant carrying groceries may or may not have a stroller and the patience it takes so manage that. We hear a lot of feedback around that. We have a lot of clients reluctant to report that kind of behavior because they dont want to get the bus drivers in trouble or they dont want to be banned from the bus. Those are things to consider since we have the Wonderful Union kneecaptivated audi the m un i captivated audience. Then one of the consistent complaints from Family Resource centers mostly in the southeast and southwest part of the city are around the accessibility of bus stops. Hpp, for instance, is on 18th. It was right outside which is one of the main reasons we purchased the building was removed last year. It is a couple of blocks to walk up to 16th, it is still a trek when you are dealing with strollers and all of the other things i mentioned especially with multiple children. Considering those things when making those decisions would be fantastic. I am also a muni rider. My mom rides muni and she is a nanny and experienced these challenges. I appreciate the weekly bulletin now with the chase center. It does impact traffic getting to ucfs, all of that, kaiser appointments, all of those things. Any questions. I want to recognize former commissioner davis. Before i do, when you purchased the building next to a bus stop to serve your community and the bus stop moved. Were you aware if there was an entire process around signs removing the bus stop . The building was purchased. I should be clear 13 years ago now. We had the good fortune of being there for a while. One of the reasons that site was selected by not only our organization but board of directors is because of accessibility to major transit lines as well as proximity to general hospital. The building is still a wonderful location, but just having that removed last year has really impacted peoples ability to get to appointments on time and in some cases where moms or individuals are further along in the pregnancy it makes it harder to show up without paying a taxi. They dont want to walk the two blocks uphill. It is a hardship. It is my understanding before muni moves the bus stop there are community meetings, did that happen when they moved the bus stop . Yes, there were. We had opportunity to comment and we submitted letters and comments from the community. It was a very open process. At the end of the day we lost it. Okay. Thank you. Director davis. I wanted to i am trying to make sure we get to communities. Two things you mentioned that i wanted to drill down on, and also to think about how we address and partner with s. F. M. T. A. First the reception on the bus or at the bus stops, i did last year just a little bit later than this time with the mayor we did a visit to hilltop, the school for parents teens. One of the things they talked about were buses passing them up with the stroller and not letting them on the bus with the stroller. And people being upset to lower the ramp to get on the stromelers. Sometimes they are told to pick them up which is difficult to do. That was a theme w we heard. The mayor said work with young people around making suggestions and recommendations and addressing some of the challenges people who have stroaminglers and babies receive. I was on muni the other day and someone got on with the stromeler. The way they were treated on the bus they were making it inconvenience for everyone else and shifted in multiple spaces. There was no real support for them. With the bus stop removals are moving, i think that is another piece to think about how to do engagement and how we define equity. The issue is not necessarily about the majority wins in Something Like this, examined be more equal tran equitable and the challenges that those bus stops being moved become a Public Safety issue, they become a Public Health issue. Again, we have seen it and i think cheryl may speak to this. The persons ability to travel uphill, whether they are older or suffering with asthma or other ailments that might impact their ability to move. Those are things we tried to in the past to think about what it looks like to be equitable and not necessarily looking at the number of people who speak out and understanding the malars and things do mailers do not get to the folks living in the residence or that connection. I bring that up because those are two issues that hit the spectrum of age, abilities and really i think the most marginalized communities are most negatively impacted by it. Thank you, director davis. I will direct this to our director who is coming back in october with a further report. I would like to understand how the Community Feedback process works and specific to this process and in general. Based on the testimony we have heard there was an engaged community that spoke out. It did not result in any change of ultimate decision. I want a better understanding how that process works, how this decision was made and how it might impact other marginalized communities. One other thing for the Family Resource centers, there are 26 in the city. Often times people accessing them are not necessarily just from the neighborhood. We provide services from pregnant people. Maybe it is one address providing the feedback, it is impacting many lives. I wanted to highlight that. Thank you. Next we have San Francisco transit riders. Cat carter, is that right . Yes. Hello. I am cat carter, acting executive director with San Francisco transit riders. We are a nonprofit advocating for better transit around San Francisco. We are small but getting bigger. What we are focusing on is transit priority. As we have been hearing, too much of the muni system is too slow and reliable in communities in the equity strategy and outer neighborhoods. We also worked with muni with the s. F. M. T. A. To develop that in 2014. We have a basis in that. We have worked with they will well on transit improvement process in the equity neighborhood. As frequent and rapid and reliable transit means access. We need more transit improvements to bring priority on the streets. We have increasing Traffic Congestion slowing down buses. I hear muni has to put more buses and trains on the streets to keep up with service because they are slowed down so much. Our focus is more transit priority on the street. We have a campaign called 3030. We want rapid routes to connect all neighborhoods by 2013 in 30 minutes. We have a network that focuses on getting people downtown and not serving the outer neighborhoods. It works very well. We have seen increase in ridership 22 on the five r corridor. They found 15 of the riders were getting out of private cars to muni. That makes neighborhoods safer and reduces accidents and crashes. The challenge is to try to do these improvements there are years of community outreach. It is important and not to dismiss anything discussed. We are working on Rapid Bus Service on the 29 sunset serving the southern and western neighborhoods and on the t which has problems with service. Transit students can take these and riders are waiting for their vehicles. We want to recommend identifying a quick build process for muni like vision zero and bike lanes. We need to cut through the red tape. We need pilot projects to make that part of the outreach wherever that is possible. This would mean we could get crucial common sensory leaf much quicker. It would derm whatever modifications are needed. We need muni first. Iit is a safety issue. If we want Reliable Service for paul riders. Sfta needs to prioritize it on all streets. Thank you. Questions . Thank you for joining us and for joining this dialogue. I have i heard. Shelby from city college. That is who just spoke. Cat spoke for thia. Then i have cheryl thornton. Good morning. I work for the department of Public Health. I have worked in district 10 for the department of Public Health for 28 years. Now, i am at Southeast Health center. Transportation barriers are sited as barriers to healthcare access. They do lay care and miss or delay medication use. These may lead to poor management of chronic illness and that is poor health outcomes. Transportation is necessary for medication access particularly for those with chronic disease. Chronic disease can require a limb visit and medication and access. Change to evidence based care. Without transportation and intervention results, it may lead to lack of appropriate medical treatment or Unmet Health Care Needs which can accumulate and worsen the healthcare outcomes. Many studies identified transport barriers with lead to early death with those with chronic disease. In addition the prices have risen. They are up to 3 per ride. The rides provide a transfer good for 120 minutes. If they are out of the patients control the patient has to pay another 3. Their costing up to 12 round trip. The Alice Griffin housing complex is home to the patients. They have to take two to three buses to visit their provider and four buses to San Francisco general. Wait times for 10 to 25 minutes for the first bus then walk. A low income household is generally unable to pay 12 for bus care. It causes them to acquire fees and penalty. The vulnerable Sustainable Solutions to improve their health. We have pregnant women the newborn babies. They are on the bugs, late to ap they are on the bus and late to appointments and cant be seen. Many are black africanamericans. This is highest in the black africanamerican population. We do need change in district 10 for around equity on the line. I was part of the patrol hill lost 53 southern heights. It would go around the hill. It is a very hilly terrain. People who live in the Public Housing really need to take a bus to get to the to clinic. Bus lines were removed and people cannot get to the clinic. We have had people who probably have lost their life prematurely due to the fact there is not equity in the bus lines in district 10. That is what i wanted to say. Thank you. Thank you. Let me ask you this. Are there specific items that you think bring back bus stops . There are items that would help alleviate the issues you discussed. Many of our patients use paratransit. You have to make an appointment 48 hours prior to the appointment. If you get sick, diabetic, if your sugar goes awry you will not be able to use it if you have not
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