I am greatly appreciative of the mayors leadership, partnership with the department of emergency management, with Mary Ellen Carol and the support of city agencies who work, clients and staff will be impacted by todays recommendations. After we learned yesterday of two coronavirus cases among San Francisco residents, we had proof that the virus is spreading in our community. We are taking swift action today. We are making strong recommendations for social distancing that are intended to reduce the spread of the virus and protect individual and community health. Here is the point. In order to decrease the impact of coronavirus on our community, we must reduce the times and places where people come together. We need to protect the people who are most vulnerable to getting sick or dying if they get coronavirus. In Public Health, we fight inif hifhefighfightdiseases all of t. Human viruses need people to carry them. They thrive in normal social circumstances. If we wait to take stronger action until we have multiple confirmed cases and deaths, the window of opportunity we have now will have closed. Looking at other places where there have been more cases and deaths, there are actions that we need to take before that happens. These actions are disruptive. It is meant to disrupt the spread of the virus. It is inconvenience. There will be hard ships and sacrifices for our residents and businesses. It is the best thing for Public Health to protect us from the worsens outbreak spreading across the country and our region. We are in good company. San mateo and santa clara counties have announced similar measures along with king county in washington including seattle. If this works in San Francisco, it may seem like over reaction because the virus spread will be reduced and fewer people will get sick. This is a lot to absorb. Let me review the key elements of the recommendations that the mayor announced earlier. We expect these measures to be in place for an initial period of two weeks, and we will continuously assess their impact to determine if they need to be adjusted. Now, i will go through the recommendations. Number one. Vulnerable populations. Limit outings. Vulnerable populations include people who are 60 years and older and people with Certain Health conditions such at heart disease, lung disease, diabetes, Kidney Disease and weekended immune systems. For these vulnerable populations dont go to gatherings of about 50 people or more unless it is essential. If you can tele commute, you should. Avoid being around people who are sick. Another recommendation number two. Workplace and businesses. Minimize exposure. Suspend nonessential employee travel. Minimize number of employees working with an arms length of one another including minimizing or canceling large in person meetings and conferences. Urge employees to stay home when sick and maximize flexibility and conferences. Do not require doctors note. Consider use of tele commuting options. Some people need to be at work to provide essential services of great benefit to the community. They can take steps in the workplace to minimize risk. Number three. Large gatherings. Cancel nonessential events. Remember postponing large gatherings such as concerts, sporting, events, conventions or Large Community events. Do not attend any events or gatherings if sick. For events that arent cancelled, we recommend having hand washing capabilities, hand sanitizers and tissues. Frequently cleaning hightouched areas like countertops and handrails. Find ways to create physical space t minimize close contact. Number four. Schools. Safety first. If there is a confirmed case of covid19 at the school, dph will work with the school and district to determine the best measures including potential school closure. Do not go to school if sick. If you have a child with Chronic Health conditions, consult with your Healthcare Provider about school attendance. Equip all schools and classrooms with sanitizers and tissues. Explore remote teaching and Online Options to continue learning. Schools should develop a plan for Countywide School closures and families should prepare for potential closures. Number five. Transit. Cleaning and projection. Increase cleaning of vehicles and high touched surface areas. Provide hand washing andtish anothers in station tissues in stations and in vehicles. Number 6. Avoid as possible to protect most vulnerable. Long Term Care Facilities must have acorhave a the coronavirus. Longterm care must screen staff and visitors and turn away those with illness. General public should afvote going to hospitals, Nursing Homes and longTerm Care Facilities. If you are ill call your Healthcare Provider ahead of time and you may be able to be served by phone. Do not visit the emergency room unless it is essential. Number 7. Everyone do your part. The best way for all those in San Francisco to get sick as always with seasonal colds or flu. Wash your hands with soap and water for 20 seconds, cover your cough or sneeze. Stay home if sick. Avoid touching your face. Try alternatives to shaking hands like an elbow bump or wave. If you have recently returned from a country, state or region with ongoing Coronavirus Infections monitor your health and follow the instructions of Public Health officials. There is no recommendation to wear a mask to prevent yourself from getting circumstance. Getting sick. Keep uptodate. Today is a new service to make that easier for those in San Francisco. Sign up for official updates by texting covid19 sf to 888777. That is 888777. You can also visit the Health Departments website at sf sfdph. Org. Thank you. I think we have time for a few questions. We will answer your questions about the cruise ship situation. Thank you. The status for us really hasnt changed since yesterday. The state is working with the cdc and the feds to continue to determine the most appropriate berth for the ship. Now we do not know what the time determination is. We assume San Francisco could potentially still be that location. We also are waiting information. We know about what you do. [ inaudible ] no, they are not. The people on the mexican cruise. How many are there . We have that information, and they have been contacted by the health department. How many . Over 100. I cant give you a number more specific than that. 100 people from San Francisco were on that cruise . Yes. Were they San Francisco residents . Okay. Can you tell us if they are showing symptoms . Or are they being tested . They are told to contact their Healthcare Provider and will follow the guidelines for testing. Are they in the hospital currently . I am not aware of any at this time. What about the situation has the student been tested. I can not speculate on individual testing at this time. What about the two from yesterday. There is no update on the condition of the patients. We wish them well. No one has tested positive since yesterday. As of this afternoon we know additional positive tests. What is your message . Are they to cancel concerts . I hope they will follow recommendations because that is for Public Health at this time. Our recommendation is to cancel large events. Music concerts . Our recommendation is to cancel large events. Is the city canceling large events . The city will certainly follow the guidelines for all city events. Will that include the st. Patricks day parade . The st. Patricks day would fall under these recommendations. Any update on the woman that has been to the campus . I am not going to speculate on individual cases for privacy reasons. I dont have information to share. Any other questions on the recommendations announced social distancing . We have time for two more questions. Are city workers told not to come to city hall . These recommendations will apply to city workers, and the city will add here to these recommendations. We will follow the recommendations as announced today. What about Public Transit . Is someone going to clean buses or trains . We are recommending increased cleaning in touch with our muni leadership to be sure this can be carried out. You mentioned the hardship this might create temporarily for San Francisco businesses. Can you go into that more . I understand this is a disruptive situation. There is a lot of people looking into the Economic Impact of this. Very concerned about it. Looking for potential sources of support with regard to the impact. Our focus is on the Public Health. We need to disrupt social engagement as much as we can to avoid transmission of coronavirus. These are based on the best Global Health information that we have at this time. They are informed by cdc guidelines and consistent with neighboring counties recommendations. Dont go out to dinner, stay out to eat for everybody . I would ask that these were detailed. We are making these available to everyone. Our recommendation is to follow these specific guidelines at this time. Have you compelled private businesses to not have concerts . These are recommendations. You cant force them . These are recommendations. Thank you. I dont think we have any more information about the ship than provided. The Vice President said it would go to a noncommercial port. We on wonder what that means . We only know what we have heard from the Vice President and the media. Thank you all so much for coming