Physicians, epidemiologists, and scientists. Its looked at data from wuhan, china, and local data and looking at information thats coming in from new york to provide a number of scenarios to better understand plausible scenarios with regard to where we are headed in the next few weeks and the next few months. The model takes information, again, from all of these sources and then makes certain assumptions that we do not know to be true but are plausible based on other data to understand where we are and where we may be going. The model with regard to new york, thats really based on what new york is experiencing and their specific resource needs right now with regard to ventilators and hospital beds, so that is focused on if and its still plausible, its certainly plausible, San Francisco does not succeed in flattening the curve and gets to a place where new york is. We estimate at this point we would need at least we estimate at least 1500 ventilators in our system and an additional 5,000 medical surge beds. There are other estimates that if our shelter in place and other interventions are working, that we would not get to that point. But i want to stress that we are doing everything we can with the partners here today, with mayor breeds leadership, with the collaboration and cooperation of mary ellen carrolls department, to Work Together locally. But there are situations that could put us in a scenario like new york city is in, where our capacities are far exceeded and would require the help of state and federal health. Liz from abc 7. Are you on the line . Okay. Im going to move on. Wilson from kpix. Wilson, kpix, next question. I understand the scenarios are always changes. You mentioned see always changing. You mentioned seeing the surge in two weeks. As you understand that path now, can you tell us what it looks like in terms of, i guess, sharpness, for lack of a better word, and duration. If thats the start in less than two weeks, what kind of a timeline . I cannot give you a specific timeline at this point. Im basing the surge information if you look at the curves in new york right now, if you looked at what happened in wuhan, china, the curves are very steep. Trying to get as specific as youre asking for, we simply cannot do. Were tracking the data to see what the plausible scenarios are. In terms of what this may be, we really dont have an answer to that because were doing a shelter in place right now. Were hoping that thats effective. Were wanting everybody to stay at home to save lives. If that works, that will greatly did greatly deaccelerate the curve and flatten the curve. The other thing, following the sign and facts, you need to sustain that over time. You can flatten the curve initially, but then, if things go back to normal, the curve can easily go back up. Wilson, followup. Im all set. Thank you. Okay. Im going to go back to liz, kgo 7. Liz, kgo 7 . Okay. Im going to go to kate, kqed. Kate, kqed . Okay. Im going to go with mission local. Nope . Okay. Christian, ktvu. Christian, you there . Im here. Yeah [inaudible] okay. Okay. I have a question. Okay. Go ahead. Im wondering what is [inaudible] christian, youre cutting in and out, so im going to move on. [inaudible] okay. Christian, we didnt get that, so im going to move on. Why dont we go, goran, new york times. Goran, new york times. Julio, univision. Jackson, nbc bay area. Yeah, can you hear me . We can hear you. So dr. Colfax or whoever chooses to answer, we understand that some ucsf physicians are seeking the seeking the pulmonary and Critical Care facilities are seeking for everyone at ucsf are requiring everyone to wear masks to protect against the spread. Whats the current response to that . Were led to believe that at least s. F. General, the answers been not yet or no. This is mark lehrer from ucsf. Theres been a lot of science on the spread of covid19, and the predominant science belief is this is droplet spread, not aerosolized, so the approach has been to use droplet and air precautions rather than aerosol precautions. The ideal response would be to have lots of p. P. E. , personal protective equipment, for every employee. But the reality is were working under pretty intense shortages right now, so were making sure we give the appropriate p. P. E. To physicians, nurses, and other staff who are in circumstances where they actually need it, and confer and were trying to conserve our supplies for them. In the future, well try to expand the services in which those are utilized. Jackson, do you have a follow up . Yeah. Also, i think they were going to try to contain the issues of one sheriffs and cadet involved in screening at city hall. Are you guys concerned about people at city hall 1,000 people a day went into city hall until you guys closed it up. Im just wondering, if you done any research jackson, can you turn down your youtube feed . We cannot understand your question. Basically, i understand a screener at city hall has tested positive, a cadet at Sf Sheriff Department can you hear me now . We can hear you now. Okay. So a screener has tested positive, and we were just wondering whats been the fallout from that . Do you know the potential of those being exposed . Youll have to turn down your youtube screen. Youve got to mute it because youre coming in choppy. As i understand it, your question is what is being done for screening at city hall done regarding screening at city hall because some sheriffs deputies have tested positive for covid19. I didnt catch that. Im sorry. Can you repeat . Im going to repeat your question. Youre asking about sheriffs deputies that have tested positive for covid19 at city hall, and if theres anything different being done at city hall for screening. Well, and to notify screening, as well, yes. Dr. Colfax is here to answer your question. Just we are following all recommendations with regard to the c. D. C. And the exposures, whether they are in city hall, whether they are in any other institution. We are working with the Sheriffs Department and any other institution to make sure all appropriate precautions are being taken. People at risk for high risk exposure are given the materials they need, and again, people who tested positive are being given the proper guidelines for protecting themselves and protecting others. I want to emphasize, the most important thing in the community is that we continue to social distance, and only the most essential workers be at work. Our First Responders are on the frontlines, and it is our priority at the Health Department to ensure that they and their leadership get all the information they need, and in the case of exposures or positive tests, that the right Public Health procedures are being followed based on science, data, and facts. Okay. Im going to go ahead and read liz question from kgo. We know in some hospitals that they have banned partners during childbirth. Is that something thats being considered in San Francisco . So we issued an order severely restricting visitors to a health order restricting visitors to all hospitals, all but the most eventual visitors were allowed in. We think that this is based on Public Health, and we think that further restricting at this point is not not necessary. Thank you. So im also going to read kristin captains question. What is being done to crack down on hot spots, including 850 bryant, where there have been a number of cases, and laguna honda . So with regard to laguna honda, from the very beginning of the declaration of emergency, laguna honda has been a key focus of the Health Departments efforts. As you know, we focused on ensuring we do everything we can to protect vulnerable populations, and we have the best health experts, the best clinicians, the best people looking at hygiene. We have taken a number of steps, including screening staff, ensuring they are not exhibiting symptoms of illness. We have had major restrictions in visitors. We are issuing a health order to not allow patients to be leaving laguna hand onda. That order has been issued today. And were making sure that staff have the protection they need based on c. D. C. Guidelines for the care that they need. If a patient does test positive at laguna honda hospital, we will follow all the proper guidelines. I think that a number of people know that staff have tested positive for covid19 at laguna honda. The neighborhoods where they work, the units where they work are on quarantine, and all proper precautions are being taken at this time. And i will let with regard there was a followup question to that, i believe. 850 bryant. At 850 bryant, and chief scott will answer that part of the question. Thank you. So for 850 bryant, the San FranciscoPolice Department had two of our employees to test positive for covid19 at 850 bryant. We have quarantined 24 officers, 27 total employees from that unit, 25 sworn and two nonsworn employees. We have sanitized that work location, and we had already restricted some of our workforce from being in the office. Weve broken up our investigative units into details, so we are rotating them from telecommuting to working in the office to when its essential to working out in the field, we weve Aunited States noed which weve announced the other day. The courts have restricted their Court Activity to basically all essential Court Activity. I just got an email just as i was listening to the mayor about some jury trials have been postponed, so its the same concept that dr. Colfax and others have been preaching social distancing, limiting the amount of people in a confined space, and thats what were practicing, so we hope that that will have a difference and limit the exposure to our workforce. Thank you. Okay. Im going to read the next question from mission local. We keep hearing from our Hispanic Community that they are afraid of getting tested because of their current status. I think we should emphasize how important it is for latinos and everyone to get tested. Grant colfax, department of Public Health. So i just want to emphasize that the Health Department takes care of everybody regardless of immigration status. We are a city and a department of compassion, and that nobody will be discriminated against based on immigration status. San francisco is a sanctuary city, and people who need care should avail themselves of the care across this citys Health Department. If you meet criteria for being tested for covid19, you should be tested. We will test you, we will take care of you. Okay. Next question, alexander, San Francisco business times. Alexander, San Francisco business times. Hi. Can you hear me all right . We can hear you. Go ahead. All right. So i wanted to see if trent could maybe answer this. But i wanted to see if theres any update on the hotel situation in terms of the number of rooms being proposed in response to the r. F. P. Last week, and also, if trent could clarify, at the press conference on monday, there was it seemed it wasnt quite clear whether he was supporting hygiene stations for Homeless People on the streets or or putting them in hotel rooms, and i guess you could speak a little bit more about how the situations changed. Hi. Trent rhorer, executive director, Member Services agency. We have secured leases for 300 rooms. We have contracted with the department of Public Health to move others who cannot selfquarantine out of the hospital and into these isolation rooms. This is our number one preparation for individuals who are in the hospital who only need to be there because they cannot selfisolate. We have assessed certain hotels for their viability, and we will be entering into contracts as soon as we can come to agreements with the hotel owners. With respect to individuals that are on the streets, the priority must remain to keep the hospital beds open for the potential surge s. The second priority must be to thin out our existing homeless shelters, meaning creating social distancing within those shelters as part of that plan. We are targeting the vulnerable individuals in our homeless shelters. These are people who are aged 60 or older or with Underlying Health conditions. They will be prioritized if they can selfcare will be prioritized for some of our Smaller Hotel rooms. In addition, were bringing on an integrated shelter at moscone north for individuals that cannot selfcare, and that will be a medical shelter to provide the medical supports in a congregate way. For individuals on the street, we continue to promote social distancing with our Homeless Outreach teams. In addition, we are setting up hygiene stations for them, as well. When we encounter vulnerable populations on the street, once our incident greattegrated car activated, if they want to seek shelter, they can do that. They will be equipp if can be equipped with selfcare, they would be set up in one of our hotel rooms. Okay. Im going to read the question from kate at kqed. What is the number of rooms that will be able to be supported, and how many people will be treated . This is david cline from st. Francis. So we have the ability to take care of 40 medical surgical patients on the unit, and an additional eight in a Critical Care unit thats two floors above that. Our plan is to initially open up ten beds which will be available the first week of april, and then, we can grow very rapidly from there. So i would say the total capacity would be 48 patients. Okay. Next question is from goran, new york times. Have we reached the stage where every san franciscan can get tested as soon as they experience symptoms and not just higherrisk patients . Thats the first question. Again, the question is, have we reached the stage where every san franciscan can get tested as soon as they experience symptoms and not just higherrisk patients . So we know that theres a National Shortage of testing for covid19. We are rapidly accelerating our testing abilities here in San Francisco. Right now, among our partners at the Public Health labs, at ucsf, and the shenzuckerberg hub, we expanded our testing, and we are able to do tests, over 400 a day, and those are the rapid tests. I think one of the things in this discussion thats really key is turning tests around in a day or two days is really vital to better understanding how to care for patients and we are we are in the especially where we are in the epidemic. Some of these other tests, the results take six or seven days, and other areas around the world, what were seeing, that is just insufficient for us to respond to the epidemic. We are working so that those who have symptoms consistent with coronavirus can get tested and know their status. We have also issued a health order as of yesterday that required all testing agencies in the city to report the total number of tests that they are doing, the total number of positive tests, and then, the total number of negative tests. This is an unprecedented effort to better under the testing effort across the city and undering where we need to focus understanding where we need to focus our testing efforts. Okay. That was the last question. Thank you very much, everybody. This concludes our press conference. Chairman heinicke all right. Good morning good afternoon, ladies and gentlemen. I will call this meeting of the San Francisco m. T. A. To arrested. I will read some preliminary rules after the roll is called. Call the roll. [roll call]