Doing to keep all of our meetings running smoothly, which i know that is challenging in these times. And mr. Clerk do you have announcemented . Clerk due to the covid19 Health Emergency and to protect City Employees, the board of supervisors legislative chamber and the Committee Room are closed. The members are participating in the meeting remotely, the same extent as if they were physically present. Public comment is available for each item on the agenda, both cable channel 26 and sfggovtv. Org are streaming. And the ability to speak during the Comment Period are available by calling 8882045984. And you can utilize an access code. The code is, 3501008. Ill repeat those numbers, the calling number is 8882045984. And the access code is, 3501008. And once callers are connected they s3501008. And once callers are connected they should press the pound symbol. And then press the pound symbol again. And then after theyre connected if they wish to speak they should dial 1 and then dial 0, in order to be added to the queue to speak to that particular agenda item. They are lined up in the order which they dial 1 and 0. While waiting the system will be silent. The calling system will notify you when you are in line and waiting. All callers remain on mute until their line is opened for comment. Everyone must account for the time delays and speaking discrepancies between the live coverage and streaming. We have about a one or two second delay. And best practices are to call from a quiet location and speak clearly and slowly and turn down your television, radio or your streaming device. Alternatively you may submit your Public Comments in either of the following ways you can email me johncarol, and my email address is john. Carroll sfgov. Org. To repeat that, that is john. Carroll sfgov. Org. If you submit Public Comment by email its in the legislative files as part of the matters. Written comments may be sunday by u. S. Postal service to city hall room 244, San Francisco, california, 94102 and that address is available on the agenda for this meeting. And, mr. Chair, the items today are expected to appear on the. The agenda of april 21st agenda unless otherwise noted. Can you call our first item. Clerk agenda one is a hearing to consider the issuance of a type 21 offsale general beer, wine and distilled spirit Liquor License for the epicurian trader l. L. C. And located at 1 Ferry Building. And it will serve the public convenience or the necessity of the city and county. The members of the public who wish to provide Public Comment on this item call the number that i mentioned earlier and printed on your agenda and dial 1, 0 now to be added to the queue. I believe that we have the officer here to present on this item . Yes, good morning. Good morning. Okay. So you have before you a report for the epicurian trader and they have applied for a type 21, 41, 86 license and if approved this allows them to separate in offsale general to sell beer and wine anyplace and a tasting type license. There are zero letters of protest, zero letters of support. They are located at plot 216, which is considered a high crime area. And they are in a high saturation area and no opposition. And recommends approval on the following conditions number one, winetasting is conducted there should be signs in a conspicuous space, that the entrance and or the exits of the premise as depicted on 257 which state no alcoholic beverages beyond this point. Said times shall be no less than 7inch by 11inch in size and contain letters no less than one inch in sign. Two, signs posted that no minors are allowed in the tasting area as of april 1st, they have not agreed formally to the conditions. They have and they have not . They have not as of april 1st. Okay. And if we could ask the applicant about that. Thank you, officer. Do we have matt pawns on the line . Or another representative of the applicant . The applicant is matt pond and matt pond is on the callin line and our Operations Team could unmute mr. Ponds phone number so he can speak to our committee now. He is ready to speak. Clerk mr. Pond . Hi, guys. Everybody hear me . Clerk yes, we can. Okay. So first of all, thanks for the meeting and i know that its been difficult for everybody to try to push things forward and we appreciate everybody working hard to keep the process moving forward. Firstly, as it provides to the conditions, you know, i think that in the hustle and bustle of shelterinplace and trying to run a business that just was missed but were fully supportive of the conditions and we have no objection and were more than happy to put that on the record and anything that is required. And just everybody on the phone call knows, the epicurian trader and the suggestions hopefully that will clear that matter up. And, secondly, you know, as i sort of think about, you know, the essence of this topic which is whether its a public convenience and a necessity, i think about our other locations and in moments like this i think that its very paramount and clear that we are a necessity to these neighborhoods. If we were not currently opened, you know, the residents would have very limited or zero access to Fresh Produce and milk, eggs, fresh bread. And so i think that, you know, i think that its highlights how big a necessity that having a quality grocer, San Franciscorun, and locally owned and operated, you know, how critical it is for the residents of those neighborhoods. You know, and the financial district is in a similar pocket. Theres very limited access to quality grocers in that part of town. And, you know, we strive to offer a similar selection as we do in the neighborhoods and try to become a convenience for the people th that work in the aa or use the Ferry Building as a means of transportation. And so, you know, we hope that you guys recognize that what we do, we do things by the book. We definitely strive to try to adapt and to become part of the neighborhood and hopefully some of the board of supervisors who have had other locations in the neighborhoods have experienced that either firsthand or through, you know, comments from the constituents. Thank you, mr. Pond. I dont see any comments or questions from my colleagues. So we can open this up to members of the public if any have called in. Mr. Clerk, are there any callers on the line . Clerk mr. Chair, staff is checking to see if there are any callers in the queue. One second, please. Clerk thank you. A reminder for anyone who may have called in, if you want to speak on agenda item 1, you dial 1, and then 0, after you have connected to our public line and entered the access code. There appears to be one caller. Clerk great. I will say some things about Public Comment. We give our speakers two minutes and we ask that you state your first and last names clearly. Okay. Im going over Public Comments and the speakers will have two minutes and we have to hear your first and last name clearly and speak directly into the phone. If you have a written statement that you have prepared, you are encouraged to send a copy to the Committee Clerk for the official file. And in the interest of time we ask that speakers avoid repetition of previous statements, though we only have one Public Commenter, thats not going to be a problem. So, please, go ahead. You can begin now. Have we connected the first caller . Yes, we have. Hello, caller, can you hear us . That caller is not mr. Pond, right . Clerk it shows mr. Pond all right, well, we already heard from mr. Pond. So it sounds like we dont have any additional Public Comment on this item. And so im going to close Public Comments now. And bringing the imaginary gavel down. And so, again, no comments or questions i dont see any comments or questions from my colleagues. I understand that supervisor peskin is supportive of this item. Moving forward, i think that it is reasonable to expect that the applicant can meet the conditions and formally agreed to the conditions before this gets voted on with the board of supervisors. Im hoping that will happen. And ill probably ask to confirm our office will make sure that has happened before this is voted on, board of supervisors. But with all of that said, i think that we can direct our clerk to prepare resolution determining the issuance of the license to serve the public necessity and i will make a motion to send that forward to the full board with positive recommendation. And, mr. Clerk, can you call the roll. Clerk on the motion to recommend a resolution to the full board of supervisors, that finds that the service premise would meet the public convenience or necessity, vice chair stefani . Aye. I got it. Thank you. Clerk stefani, aye. Member walton. Supervisor walton aye. Clerk walton, aye. Chair mandelman . Supervisor mandelman great, the motion passes. Thank you, everyone. We got through one, one more to go. Clerk, call the next item. Clerk pardon me, just a moment. Agenda item 2, is a hearing to consider that the transfer of a type 20 offsale beer and wine Liquor License to d. P. And d. K. Investments incorporated doing business as kal neighborhood maisht at 19th avenue, will serve the public convenience or necessity of the city and county of the and the members of the public who wish to provide Public Comment on this item should call the Public Comment line and enter the access code and then queue up by pressing 1, and then 0. You should do so now. Mr. Chair. Supervisor mandelman great. Thank you. And, again, well start with officer samuelson from the a. L. U. All right, you have before you a report for d. P. And d. K. Investments inc, and applied for a type 20 license and this allows them to operate in an all ofsale beer and liquor premise. And zero letters of opposing and they are in a low crime area, they are in census track 32601, which is considered high saturation, and no opposition. A. L. U. Recommends approval with the following conditions. Number one, sales, service and consumption of alcoholic beverages shall be permitted only between the hours of 8 00 a. M. And 10 00 p. M. Each day of the week. Number two, the participants shall monitor the area under their control to prevent the loitering of persons on any property adjacent to the licensed premise as depicted on the most recently certified form. And number three, the petitioner shall be responsible for maintaining it free of litter area adjacent to the premise over which they have control as depict. And noted as of april 1st, the applicant had agreed to the above listed conditions. Supervisor mandelman thank you, officer samuelson. And then we will hear from the applicant. Is jodie knight or the applicant on the line . Clerk we have sabrina shaggy on the line. If you could unmute her mike so she can her mic so she can address the panel. Good morning, supervisors. We appreciate you hearing we appreciate you hearing this item today. Im sabrina shaggy and im speaking on behalf of the project sponsor. And the gas station has been operating at the site for decades and includes a building with an awtdo repair station and a small food mart. The owners propose to put the auto repair station to a more beneficial use by expanding this into the rest of the existing building. The Planning Commission unanimously approved the project on consent. Although this is a chevron gas station its a familyowned and operated franchise where the owners take great pride in being part of this community. Their goal is to provide a true neighborhood serving market in response to the needs of their customers. The expanded food mart will include the sale of general grocery items, fresh coffee, mademade food and personal items, as well as beer and wine. So that the local residents can conveniently pick up most of the items they need while stopping for gas. 37 neighbors and customers have signed a petition or written letters in support of the project and stating that this type of market would be beneficial to the neighborhood. Aside from providing a onestopshop for customers, the addition of beer and wine sales will provide a muchneeded increase in revenue which is crucial for the longterm viability of the gas station. In turn, this will help to preserve jobs for current employees and to provide new Employment Opportunities in the neighborhood. Given the current economic crisis, its imperative that the city support neighborhood serving and familyowned businesses. Aside from the conditions that the Police Department has imposed and the owners have agreed to, the owners are also taking a number of other safety precautions. Theyre not providing any beer or wine near the entrance, theyre requiring all employees to complete abcs Online Training course and the site will be monitored at all times for the insulation of 11 security cameras. And the owners have no tolerance for any loitering and they take the maintenance of the property seriously. And the addition of this type 20 license will ensure the continued viability of the gas station and most importantly it will look at the needs of those that live and work in the neighborhood. For these reasons we respectfully request that you forward this to the full board for positive recommendation. Thank you and im available for any questions. Supervisor mandelman thank you. I dont see any comments or questions from my colleagues. So i will open this up to Public Comment. Do we have any callers in the queue . Clerk mr. Chair, staff will check to see if theres callers in the queue. Mr. Chair, there are no callers wishing to speak. Supervisor mandelman great. I will close Public Comment. And, colleagues, i understand that supervisor mar is not in opposition to this license, he supports sending this item forward to the full board. Given that, i think we can direct our clerk to prepare a resolution to determine the issuance of the license for public convenience and subsidy and ill make a motion to send that resolution to the full board with positive recommendation. Clerk, please call the roll. Clerk on the motion to amend the resolution pending public convenience or necessity findings for the applicant, vice chair stefani. Supervisor stefani aye. Clerk stefani, aye. Supervisor walton. Supervisor walton aye. Clerk walton, aye. Is it chair mandelman . Supervisor mandelman aye. Clerk theres no further business. Supervisor mandelman then we are adjourned. Thank you, everyone. Clerk thank you. Thank you, chair mandelman. Mayor breed good morning, e. Thank you all so much for being here. I am San Francisco mayor london breed. I am joined today by the director of the department of Public Health, doctor grant colfax, department of department of Emergency Management. Mary ellen carol, director of department of Human Services, trent rhorer, Abigail Stewart conas well as director of the department of m. T. A. , jeff tumlin, police chief, bill scott, and we have a special guest today from the Interface Council who will be speaking directly after my comments. As of today, we have confirmed 676 cases of the coronavirus, sadly, 10 people have passed away as a result of this disease. This is clearly a challenging time for San Francisco. What we have done time and time again, especially during this press conference is to reiterate is importance of staying at home. We know that a couple weekends ago we had real challenges with that. Over the past two weekends people complied and have been wonderful. We also think that weather might have played a role in that because it was rain, it wasnt as nice as it will be this weekend. I want be to remind people. It is important to really maintain our physical distance when we are out in public. We may need to run errands and take walks and we are hearing about a lot of data that indicates the early signs that San Francisco is in a decent place. The fact is, we need to be mindful that this virus is out there. We cannot get comfortable. We cannot get complacent because as well as it may seem like we are doing, as you can see, those numbers are still going up. We anticipate that they would be even higher and the worst is yet to come. I just want us to be mindful of the need to continue to follow the stay at home order and place comply. It has been almost a month. I know people are anxious and frustrated and wondering when will we get back to normal as we know it . I just want to reiterate that unfortunately now is a time for sacrifice and the sacrifice is for all of us to follow the order so that when this is over we can look back and look at, you know, the number of lives we possibly were able to save as a result of following the order. I just want to reiterate and talk about a couple things that we have planned for the coming week as well as provide you with some important updates because we know that this is a very challenging time. Not only is it challenging for people physically because of our concerns about the virus, but it is also having an impact on the Mental Health of so many people. Our First Responders are folks that we want to make sure are welltaken care of. They are working long hours under an enormous amount of stress. What i reiterated to people especially out there on the front lines working for the city, it is important we are doing everything we can to take care of the public. We have to make sure we take care of ourselves and our Mental Health. One way we are supporting the health of First Responders and other front line workers is through efforts like city test sf, the new covid19 testing facility which opened this past monday. It is not just about physical health. We need to provide the necessary Mental Health support. Today we are announcing an expansion of Mental Health resources for First Responders and City Employees. We will now be providing 24 7 oneonone counseling for any First Responder or any City Employee who is in need. If employees require longterm Mental Health counseling, they will be connected to Mental Health professionals provided by their healthcare plan. Our firefighters, police, sheriffs and 911 operators will have access to customized app on their phone to easily connect to this program and other Mental Health resources. It is not just enough to provide that support to First Responders. Our healthcare workers are under an enormous amount of pressure during this global pandemic. We need to do everything we can to support them. Today we are launching a new program called heal San Francisco to support healthcare workers throughout San Francisco. Heal San Francisco will provide free Mental Health services for public, private, nonprivate Health Care Workers with the covid19 counseling project. Licensed clinicals are volunteering time to support front line healthcare workers. Healthcare staff interested in heal San Francisco should speak with their hr department. They can help you sign up for this program. I also would like to take this opportunity to just really encourage people to take a moment to make sure that you are taking care much yourselves, taking care of your families. We know that this is having a tremendous impact on peoples Public Health but also just in general Mental Health plays an Important Role in that. We need to think about ways to be positive, to be supportive, we can be encouraging during this time because we all are going through this and we are in this together. On monday, dr. Colfax spoke to our efforts to increase capacity in our hospitals. We have increased our capacity. In fact in our intensive care unit beds we have increased our beds by 91 in our i c. U. S to 530 beds. We started with two 00 citywide. Now we are a at 5 30. Acute beds increase to 1068 beds total. While we are preparing hospitals, we know that all of our communications and communities need to access care, including communities traditionally underserved. Because we know that we cant just neglect other healthcare needs that we know people are experiencing. Yesterday we opened our first field care clinic at the Southeast Center in the bayviewhunters point community. This location will serve the surrounding community. It can serve up to 100 patients per day providing primary care, urgent care and screening for covid19. I want to be clear screening, not necessarily testing. Screening can provide an opportunity for testing. Ultimately we want be to make sure if you are not feeling good to the point where you need to go to the hospital, this is an opportunity to go to the local clinic and get the help and support that you need. Depending on the urgent care needs and extent of the hospital surge, we can mobilize up to three additional field care clinic nears existing Healthcare Centers as stand alone site. We will not just stop at bayviewhunters point, we want clinics all over the city to reduce other services in our hospitals. Field care clinics will help reduce the number of patients needing to go to the hospital, urgent care and Emergency Rooms which will help keep our hospitals focused on covid19 patients that we all know need to be served. Another need we have in some of our communities are more public toilets. A lot of people are struggling on our streets. We have fewer places to use the bathroom especially since so many locations are now closed. Starting today, our Public Works Department will be deploying the first five of 15 portable bathrooms and hand washing stations in the city. Public works with the department of homeless necessary to identify the high needs area in the tenderloin, castro andnition neighborhoods. Mission neighborhoods. These will be open 24 7 so everyone has access to a bathroom to keep hands clean to prevent the spread of this disease. I want to thank urban who will staff these for continuing the work to support public spaces. It is an incredible program. They are the folks monitoring all of our public restrooms. They e extended capacity to help us. These bathrooms are critical for making sure people have a bathroom to access and helping keep streets clean. Public works street cleaners are out there ever every day. I want to thank them for cleaning the streets, emptying the trash, thanking them to continuing to respond to 311 calls where there is illegal dumping, Power Washing sidewalks and the work they are doing every day. The hardworking men of the Public Works Department are doing everything to keep our streets as clean as possible. Thank you for your service. Yesterday we launched a new covid19 data tracker that greatly expands the amount of information we are able to provide to the public. As we said from the beginning, the decisions we are making are based off the recommendations of Public Health data and science. It is important that we try to be as transparent as we can with the information we are using to make the decisions that we are making. And that the public can see the effects of those decisions. This information is hosted by data sf website. Find it by going to data sf. Org. Dr. Colfax will provide an overview of this information and we will continue to add to this platform so that we can provide as much information as possible. I do know that people want to know what is going on, who has been impacted . People want to see the data. They want to know what is happening. Many of you know the challenges we have the Public Health have a lot to do, the ability to provide information has a lot to do with privacy lots around someones personal healthcare. As much information as we are able to share we will share that information with you. In the meantime, there are a lot of tools created out there, and one of the tools i personally started using is how we feel. It is an app that i uploaded on my phone. It tracks data and i basically log in every day. It asks how i feel and asks about my activities and locks in my zip code. This could help. John Hopkins University is facilitating this tool. It helps potentially predict based on zip code the hotspots related to the coronavirus. The more people we track and we know what is going on the better we can identify locations and figure out where there might be challenges in the future. That is just something i think will be a great tool to help us track this. I also want to just say as i mentioned in the beginning of this press conference. We know the early data has been very encouraging so far, i want to just again reiterate we are not out of the woods. We are not in a place where we can get comfortable. San francisco is, as you know, receiving praise from all over the country. People, governors, mayors and other leaders throughout the country have reached out to me personally to ask a number of questions about some of the programs and things we are implementing because we were one of the first cities in the country to move forward with the stay at home order. While i am proud of what we have done, we cant let up. We cant get comfortable or complacent. We have a long way to go, and i want to reiterate how physical distancing ourselves from people as hard as it has been is necessary. It is necessary to deal with this pandemic, and i know that a lot of time has gone by, and i know that people are starting to feel again anxious and uncertain and frustrated. I just want to remind you that this will pay off, and this too shall pass. We also know this upcoming weekend is easter sunday. Tonight we celebrate passover. For people who are religious and spiritual like myself, every year since i was a kid, easter was the holiday i looked forward to the most. It signified the end of the rainy season and it also signified a new beginning, spring, sun was coming out. We would go outside to play, get new dresses for church, and so many great things. It brings back happy memories of Easter Basket fun and family and food and tradition. I know how hard it is for people who are religious, spiritual as they celebrate this very significant time, how hard it is going to be for many of you to basically stay at home and not go to church on sunday. It is hard for me not to do that as well. I want to impress upon you this is the first time this has ever happened to any of us during this time, and there are other weighs in which we can celebrate. Many services are doing online service. I know that many pastors and a number of priests and folks in the religious community are reaching out to congregations and connecting members with other members of the congregations who may not have access to social media so they can check on their members of their congregation to make sure they get the support and conversation and prayers tha tht they need. I want to reiterate how important it is as hard as it will be to stay at home on sunday, it is necessary. It is necessary for not only your own personal health but also the health of the people that you love. Especially when you think about many members of our elderly community, those who are the most vulnerable. We want to make sure we do everything we can to protect them. The way we protect the people we love and care about is to stay home and follow this order and to continue to uplift one another with our prayers, with our good thoughts, with our phone calls, with the things that can really help get us through this very, very challenging time. We are in this together, as i said. Part of being in this together means that we take the responsibility for one another to support and uplift and look out for one another. I am just really asking so many of the leaders of our religious community to continue to do your very best to communicate to your members how important this is. I also want to just go back to something that just happened a couple weeks ago that i read in the paper about a church in Washington State where 45 members of the choir came together, they had aquir a choir rehearsal and sadly not only did the 45 members get diagnosed with covid19, two people from the choir passed away. We want you to understand that this is really why it is important that you stay at home and that you look for religious services on television and reach out to your congregation and try to make sure people who would want to and would definitely be at church this sunday during this very holy time for so many of us that that is not the case. We are here to uplift you. We are here to continue to pray for you and to support you, and we just ask that you follow the stay at home order because this is going to be so critical to the Public Health of not only you and your family members but the rest of the city. Here to talk a little bit more about the religious community and someone who has been an incredible leader and who has brought together different faiths because regardless of what faith we are part of, we are still part of religious community that puts love and puts support ahead of everything else, and we come together to offer prayers and to offer support during this very difficult time for each and every one of us. I have heard so many pastors and priests say this is the most important time as we go through this pandemic, this is when we need each other and need prayers more than anything else. There is a way to continue to do that. The Inter Faith Council has played a vital role in reaching out and pushing for that message and to make sure that people get the help and support they need. Here to speak on behalf of the inner Faith Council is the executive director, michael poppus. Thank you very much, mayor breed, for this invitation to address San Francisco today. I want to thank the mayor on behalf of the 800 religious institutions for her leadership in very early on addressing and responding to this covid virus. There is no doubt that numerous lives have been saved. We are a model for the nation as a result. I have been thinking deep in the heart about services in each of our services it is an ageold tradition. We pray for our civil authorities and those who protect us. Those words have never had more meaning than they have now. I want to thank the mayor for her leadership and, you know, we are not only just praying, but since the declaration of emergency wasnt acted and the Community Branch was activated, the San Francisco inner Faith Council works arm and arm with the city to make sure that our leadership in all of our different houses of worship are appraised of uptodate information, aggressive recommendations and public orders from the department of Public Health on what needs to happen. I want to just commend the faith leaders of San Francisco for very quickly pivoting and closing their church doors, closing their mosques and synagogues and temples and using the best that technology has to Foster Community in the midst of isolation. In addition to this, they have been reaching out personally by telephone to their congregants. This is significant because they are some of the most vulnerable citizens in our city and county. We are ambassadors of the city to help in this emergency and this Public Health crisis. I would like to say, also, that and to reiterate the importance of staying home. We are entering into the most holy days for the christian and Jewish Community but also in short time the Muslim Community which will enter raum don. The importance of worshiping virtually is something that we need to stress. The San Francisco inner Faith Council has been harvesting, compiling and making available to our greater communities a particular link where all can access online worship. That would be at sf inner Faith Council. Org. We would encourage you to go there. We would encourage you to join your communities at worship during this season. We know that this season will always be remembered in the years to come, and i just want to express my gratitude to the many faith leaders on the front lines with some of our most vulnerable residents in San Francisco. Ministering in a way they never imagined. I want to make a small confession. Some weeks ago when i heard that people were encouraging people to go to worship on these holy days, i was troubled because i think that in doing so you put at risk the welfare and the health and safety of those who are entrusted to your care. I am so pleased here in San Francisco without exception to my knowledge that i have not heard of one community of faith who is encouraging that, and i want to wish you all a very, very blessed easter andsover and may god bless our world, our nation and our city. May god bless our mayor. At this point it is my distinct privilege to introduce the director of Public Health, doctor grant colfax. Good afternoon. I am doctor grant colfax, director of health. Thank you may or breed an and executive director for your support. Thank you for your sacrifice and community spirits. As we join together we are helping fight the spread of the coronavirus. When you stay home, when you stay six feet apart from people, wash your hands and when you cover your nose and mouth with cloth, you are literally saving lives. I would also like to update san franciscans on a few developments in our ongoing work to respond to the coronavirus and to protect our community. I usually begin updates by summarizing the number of cases in the city and key data points. Today i am glad to be able to share this information using a new tool that we have created for the public. The San Francisco covid19 data tracker went up yesterday. It is a new online resource that will provide daily updates of key data that describe the impact of the coronavirus in San Francisco. Data are an important tool to help san franciscans see the picture of the coronavirus in our community. This knowledge will help us all do our part and see over time how this situation is changing. Our data analysts have been working tirelessly to collect information from across the city and create accurate i want to stress accurate reliable reports to guide our decisions and inform the public. The department of Public Health collaborated with the controller and open data sf and Emergency Management and i want to thank all colleagues for hard work and support. The tracker features information about cases, demographics of patients, hospitalizations and testing. We will add more Data Elements and they will be updated as we gather more information and continue to improve the tracker. Lets review the tracker now and go to the first slide. As you can see, today there are 676 San Francisco residents with confirmed cases of coronavirus out of 5994 test results. We will get to the testing patterns. Sadly, 10 san franciscans died from the disease. I would like to send my condolences on behalf of the entire department to their families, loved ones and friends. Now, we will continue to walk through the tracker. The report shows clearly that cases have been rising steadily since our first two cases were confirmed on march 5th. From march 5th to the data we are presenting today we have had dramatic increases in cases. I expect these increases to continue as coronavirus continues to spread throughout the community and as we increase our testing capacity. The more we test for the disease, the more we will find the disease. We do not know yet when we will peak. I also note that San Francisco has had no cases from travelers, which was such an early focus of the global coronavirus outbreak in december and january. Instead, the clear majority of cases are from community contact. This tells us and reinforces vitally how important it is for us to continue to stay at home and to practice physical distancing. This is one of the most important Public Health interventions we have. This is a vital tool. Please continue to socially distance. Now, lets move to slide two with regard to testing. As you can see on this slide, we have tested nearly 6,000 people in the city to date. We started with our own Public Health lab at the departments on march 2nd and have steadily added capacity at the zuckerberg San Francisco general lab and other labs and other commercial labs. We have developed great partnerships to ensure city workers and First Responders are able to be tested quickly. What is interesting here is the jagged line showing the percentage of tests that turnout positive. So far we are averaging 13 . It is very important on thisgraph to look at the trend over time. One day of high or low positive result is not the information that is vitally important here. It is really looking at the trend over time. Lets move to slide three. This shows hospital data. This is Important Information that i study carefully. The number of cases in the hospital and the number of those in intensive care is the best indicator of how our Healthcare System is going to be strained. Here we see the number of patients with coronavirus in hospital beds across the city. This tracker includes data from nine Hospital Systems. The tracker shows that there are 83 people in the hospital with diagnosed coronavirus. Roughly half are in the intensive care unit. The reason this information is so important is that it shows us the sickest people, those who are most in need of care. It also helps us measure the expected surge of hospital patients. You can see that there has been an increase since the data has been assessed. Not perhaps as rapidly as some other jurisdictions, but still a steady increase in numbers of hospital patients. So far, the numbers continue to go up, but they havent been rising at a rate faster than we can handle. I encourage all san franciscans to cut the data tracker and see how we are doing as a city. Working together we can flatten the curve and slowdown the spread of the virus. It is still a rapidly changing situation and we must not, cannot become place sent. We must continue social distancing. We must continue to remain resolute in this work in order to not see a dramatic surge of cases in our community. This virus will take off otherwise. I mentioned hospital surge planning. Every day that we prepare is a good day. All of our San Francisco hospitals are making way. Yesterday we opened a field care clinic in the southeast part of the city. To ensure that residents there can continue to get urgent care while keeping hospitals Urgent Care Services from getting overwhelmed. This field care clinic is an extension of the Southeast Health center, one of our vital primary care clinics in the department of Public Health system. The clinic will be open to the neighborhood and over time may expand to treat people from throughout the city. It is part of our hospital surge planning, and we have plans to open up to three more clinics like this if they are needed. As we continue together to fight the coronavirus pandemic, i would like to remind all of you that our top priority as a community are reducing the spread and slowing the spread of the virus in the community, protecting vulnerable populations, healthcare workers and First Responders, preparing our Health System for an expected surge of hospital patients, and expanding testing capabilities. In all of this work, we seek to continually do better as we incorporate the latest science, data and facts into our actions and recommendations. We are working quickly, as quickly as possible to integrate new information all of the time and adjust our recommendations accordingly. We are providing you the very best and most uptodate data and advice that we can. Now, i would like to provide an update on laguna honda hospital and the steps we are taking to protect residents and staff. We now have 17 confirmed cases of coronavirus at laguna honda. 13 of the confirmed cases are among staff and four are among residents. Of the staff, 10 have been in patient care positions and three have not. All four positive resident cases are in the south five ward or neighborhood. We retested the residents of south five this past week end and received only one positive result, which brought our total to four. We also tested all residents in the south four neighborhood on monday and have not received any positive results yet. The sum of those results are still pending today. Staff retesting on both units is continuing today. Overall, to date 298 laguna hospital staff have been tested either by the department of Public Health or their own healthcare provider. 208 residents have been tested. As part of our ongoing outbreak response, we continue to test staff and patients throughout the hospital who have been identified as being exposed through contact investigation or show symptoms of the virus. Unfortunately, we do expect more positive cases, but it is crucial that we know the facts so we can take evidence and informed action to preserve the health and mitigate the spread of the virus in the institution. We are working hard to keep our residents, their families and staff as supported and updated as possible. This weekend we launched a daily update via phone torres dents and families. When they call they will access a prerecorded covid19 update. It will be updated every day seven days each week at noon in multiple languages. It will include the number of cases, the units unquarantining and other key operational changes we are making to limit the spread of the virus. I encourage families and loved ones to call for these updates. The number is 415 7592190. This is a very challenging time for our laguna honda staff and residents. We will provide extra resources to support staff and residents coping with the impact of the outbreak. For example the chaplain is available for Spiritual Services and guidance for staff and residents. We have opened a dedicated phone line. Staffed by clinicians to provide emotional support to residents in realtime. This support is in addition to the regular Clinical Behavioral Health services. We also have a Behavioral Health specialist on site dedicated to staff needs who is proactively reaching out to the staff on the two units that have been impacted to provide support and coping mechanisms. The Behavioral Health specialist is available to all staff and our clinicians will continue to reach out to provide services. We know, i know that caring for the most vulnerable is some of the most intense and selfless work in the city. I am grateful to the compassion of the laguna honda team. They are true heroes. With regard to Infection Prevention and control, laguna honda continues so receive support from the centers of Disease Control and prevention within affection nurses physicians and epidemiologists. The cdc continues to guide laguna honda in screening and retesting of staff from the two quarantined units. The experts with the staff is conducting thorough contact investigations to look for sources of infection and the potential pathway of further spread. This will inform our current actions and further development of outbreak prevention and response that takes the coronavirus situation fully into account. The cdc has also developed a web tracking system for every staff person identified as symptommic during screening or who calls in sick. This data will be instrumental to limit the spread of the virus by providing important data as Staffing Levels and duration of illness among staff for covid r covid19. They have selfscreening prior to arriving at work. Under cdc guidance, laguna honda improved the Infection Control Program Using the best practices from top experts to be integrated into daytoday operations. These include all aspects of operation from deep cleaning infected rooms, transfer of acute patients to screening of staff. We are taking the knowledge and the learning from the cdc and rapidly applying through establishing training, learning and realtime coaching to ensure laguna honda has the protocols in place regardless of the on site presence of the cdc. I am most grateful for the cdc support and expertise. This is an ever changing situation and the ability to develop and rapidly implement best practices will help slow the spread of the virus not only at laguna honda hospital but also at other residential nursing facilities in the city and region. Again, i want be to thank the staff of laguna honda, residents and families for their resilience and capacity to be part of our response to this pandemic. Thank you very much. Director trent rhorer from the Human Services agency will now make remarks. Good afternoon. I am trent rhorer, director of the Human Services agency of San Francisco. I want today to give everyone an update on our plan for hoteling as well as providing other housing and supports for individuals during this pandemic. As i said before, the Human Services agency is charged with providing care and shelter for the City Residents under this pandemic. On march 9th our agency activated the Emergency Operations center in the expectation we were going to need to respond in a massive way to provide rooms and other Housing Options for individuals under covid19. Under the mayors leadership we met early on with the hotel council, which is the group of hotel owners in San Francisco representing over 80 hotels in the city to ask for their assistance to provide hotel rooms for the most Vulnerable People in San Francisco. The response to our request for beds was overwhelming. We received responses from over 45 hotels representing more than 10,000 rooms. These rooms were listed in the rpp for the following population. First those covid covid positive or persons under investigation meaning they are tested and the results are not yet in. In addition these are individuals who cannot selfquarantine on their own. Their current housing does not allow them to quarantine on their own. That would be individuals in the sro or Single Room Occupancy Hotels where they share bathrooms or kitchens or eating facilities. There are about 19,000 individuals living in these situations in San Francisco. In addition, of course, our Homeless Population who live in homeless shelters, on the street are unable to selfquarantine. Second population for the hotel rooms to be provided for are vulnerable populations in homeless shelters and homeless on the streets. These are individuals that are age 60 and above or who have Underlying Health conditions for whom a covid positive would result in significant harm to them. Third category are of course the front line Health Responders. We want to make sure they remain healthy able to provide the essential services that they dont go home and infect families or get in effected from familiors communities. I want to give you an update on progress so far at bringing these hotels under contract. As of today we have 1977 hotel rooms under or near contract. 880 are for First Responders. 1097 are for the vulnerable populations i just listed a minute ago. The current numbers in hotels we have 184 individuals who are in the vulnerable class in hotel rooms and 67 First Responders. Of the 184 the vast majority of these individuals are homeless. As i say, every time i am describing the City Response this is a fluid situation. We arwe are responding daily to guidance from the cdc or state department of health and department of Public Health. The current plan based on the most recent evidence and data and information from those Health Authorities is that we need to bring on about 7,000 hotel rooms for the populations i described above. So our plan is to do that. We have begun our costing out of the plan, and i want to talk a little bit about those figures now. The current 1977 rooms we have under contract will cost the city about 35 million over the first three months of activation. The plan for the 7,000 hotel rooms will cost over 105 million over that same three month period. In a sense our total activation or plan of 7,000 rooms will cost approximately 105 million. This cost does include estimates for staff costs, it includes supplies for cleaning and the other essential elements that we need to bring on the hotel rooms. It is important to note that fema provided guidance to the state of california. They will reimburse states and localities up to 75 of the costs of these hotel rooms but only for specific populations. The populations fema will provide the 75 reimbursement for are those covid positive or those who have come in contact with someone covid positive, individuals with Underlying Health conditions that i described earlier, individuals age 65 and over an what will be covered at 75 by fema. Our plan in San Francisco we consider age 60 and above to be vulnerable. There will be a segment of the population we are bringing to hotel rooms not reimbursed by fema. In addition the state of california through the governor provided across the state 150 million to counties to help cover the cost of these hotel rooms. San francisco will receive a share of that 150 million to be applied toward the 105 million cost i mentioned a minute ago. Lastly, i want to mention the plans for sheltering. This is the one piece every response that is most fluid. Initially on march 9th the plans across the state were to open additional shelters to thin out our shelter populations. Subsequent to that, and i will say we had plans for 2500 shelter beds to do this. As an example, the city of los angeles is standing up 46 rec center for shelter beds. From the state department of health we received guidance those shelters are not appropriate. We experienced that in San Francisco. We have had covid outbreaks at two of our shelters. We immediately shifted gears and pivoted from using moscone north to reduce the population in existing shelters and moscone north will serve for medically cleared Homeless Individuals, as a step down from hotel rooms. They have been tested negative or they had acquired covid and have since recovered and been tested clear. If they choose to, they can receive a shot at the moscone west shelter with the appropriate physical distancing as well. The second shelter that we are setting up is at the palace of fine arts. It has room for 160 individuals. Because this response is so fluid, what we are doing is setting up this shelter to respond to whatever need that may emerge. We are currently not planning to move individuals into that shelter at this time, but we have that under agreement and it makes sense to have relief valve of 160 slots for individuals should that need arise. We are in constant conversation with the department of homelessness and Supportive Housing, City Department of Public Health regarding the potential use for this space. So i just want be to wrap up again by restating the populations we are providing hotel rooms to so we are clear. Covid positive and persons under investigation, they have had a test and need quarantined and they cant at home. Vulnerable individuals on the streets and shelters to provide a safe place to protect from the virus. First line responders. We are planning for 7,000 rooms for that purpose, and we have nearly 2000 rooms under contract now. Now, i will turn the podium over to San Francisco police chief william scott. Chief scott. Good afternoon everyone. I would like to begin with thanks and a show of appreciation to our mayor for her leadership during this crisis, particularly in the resources provided to our First Responders, Police Officers and members of the San Francisco Police Department, other First Responders and other City Employees. We have had many members that have had a lot of stress and anxiety related to this pandemic. The resources the mayor has described today will be extremely helpful in helping us to deal with this pandemic and the anxiety and stresses that go along with that. Also, in terms of increasing resiliency to do what we need to do to cope our Community Safe and healthy. I thank the may important and everybody that had apart in making this happen. By taking care of First Responders and City Employees we will have a safe and healthy San Francisco and be in a box to help the residents of our city. Thanks again for that work. I want to speak a little bit about our compliance in the city overall. We are seeing good compliance. That is mentioned by the mayor and others, including dr. Colfax. We still have challenges. The statistics i provided for you on monday as far as citations are still valid. We have two citations on individuals. I want to provide an update on the other statistics. I reported monday we had issued 26 warnings or add mommishments that is now 41. Ththe majority are to businesses deemed to be nonessential. We are tracking, taking reports and as i said we will not ask a second time. For those businesses that are operating we do understand and we are very empathetic to the fact that this is Uncharted Waters for all of us, and this impacted peoples livelihood and there is stress and anxiety. What w we are trying to do is to keep people alive. Please add here to the Public Health orders. Keep doing well as we have seen for the first three weeks of the order. As far as crime. We are still seeing downward trends in terms of rates of crime. I want to go in a little more detail than i did the other day in terms of Crime Statistics the past week. 24 decrease in Violent Crimes is a decrease in 19 crimes. 71 the week before and 58 this week. Property crimes we saw alarminger decrease. 146 fewer property crimes and that number went from 569 to 455. Our part one overall crimes we are down 165 over the prior week. We are seeing decreases, but we want to emphasize our officers are out in force. They are out patrolling the streets, and we would like to see that trend continue. Particularly we are focused on the businesses boarded up and closed. We know those businesses feel vulnerable and the owners feel the businesses are vulnerable. We pay extra attention to that. We have had burglaries and vandalisms of businesses. We have made arrests and we will control those areas to give a sense of comfort to those who closed businesses. We encourage all people to report crime when and if they see it, and there are some crimes as i mentioned that you can report online or call our call center. If it is a crime of violence or crime in progress, serious crime, please call 911. Continue to do that. We will respond, and one of the silvesilver linings is that trac is light. Our Response Time has gotten much, much better because of the light traffic. We will be there if you call us. For crimes that have already taken place annan violent property crimes calm 415 5530123. You can call 311 or utilize our San Francisco Police Website to file a Police Report or request an existing Police Report. I want to reemphasize some of the scams we have heard about. We have not had this particular one in our city but it is online. We hear people talk about it. We want to advise and warn the public so people can remain safe. We have had a number of online posts about people knocking on doors asking to come into residential communities and they are claiming to be center for Disease Control workers or San Francisco department of Public Health workers. I want to inform the Public Workers from the San Francisco department of Public Health or workers from the centers for Disease Control will not knock on your door and ask to come inside your house or residence. Dont let people in. If you get that it is not legitimate. Be aware and be informed and call 911 if that happens to you. We have our City Disaster Service Workers placing door hangers on businesses and doors. Be aware of that. Informational pamphlets to keep the public informed to help with the cause of staying at home and staying six feet apart in the social distancing requirement we have been asked to do. They will not ask to come inside your residence. Please make note of that. If you have somebody reporting to be a worker from any of those entities or any city worker do not let them into your home. If it sounds too good to be true, it probably is. Dont fall for things that sound too good to be true. Investigate and call somebody you trust. These particular individuals like to prey on the elderly and most vulnerable population. Be aware of that. If you know someone in those demographics please spread the word so we dont have anyone taken advantage of. Robocalls, emails, Online Sellers are also sources of scams. Please be careful and not fall prey to that. If you are asked to click a link you are unfamiliar with, be cautious about that and investigate the site to make sure you are not being scammed that way. If you are receiving online type of fraudulent or scam activity, you can call the federal trade commission at 877 3824357. As the mayor said, we expect that the weather will be nice this weekend, and we believe the weather has played a part in helping keep some of the people off the streets in the past few days. As weather increases, we ask again to please comply with the Public Health orders, social distancing requirement. If you have to go out for shopping like groceries stay six feet away from the person in front of you or behind you. It is really important. We ask the store managers and owners and leadership at these particular out lets help out with that cause as they are required to. The last thing i would like to say is for the Overall Health of the Police Department and wellness, nothing to update there. Again, i would like to thank our mayor london breed, director of Public Health, doctor grant coal fograntcolfax. Keep our foot on the pedal and do what we have been asked to do and stay safe and healthy. Thank you. Thank you. Our first questions are for doctor grant colfax. This question is from jamie at the associated press. Last week trent rhorer said 123 people, of whom 95 are homeless, had been moved from hospital beds to hotel rooms because they tested positive and needed to isolate or were awaiting test results. Why are these people not counted in the citys overall number of homeless who tested positive for covid19, which is three . Let me clarify on that number. Currently we have 167 people who have been moved out of the hospital who are either covid19 positive or under investigation. Those include people who have no other place to go that is safe. That would include a high proportion of Homeless Individuals. Also it includes people in crowded Living Conditions and other places where they cannot go and safely isolate. It is a combination of those populations. Again, that is very important intervention to keep our Hospital System as open as possible. With regard to the people, the three people mentioned, we have four cases now of people who have been diagnosed in a shelter or Navigation Center. The msp south is for three cases. We are working hard with data systems to provide an accurate number of people experiencing homelessness diagnosed with covid19. This testing is done throughout the city by different providers including private labs. Our understanding is that private labs do not assess the housing situation. Within our dph system we look to merge data sources on status of living status and covid19 positive cases. We hope to share that information. Thank you. Next question from trisha with the San Francisco chronicle. Will the city release specific data on how many covid cases are tied to Skilled Nursing facilities or longterm care facilities . If so how many cases have there been . We will release that data as it is available and we will ensure that they are accurate. Followup. Yesterday we learned one Skilled Nursing home campus for jewish living is preparing to accept covid parish aints patients. The state is working can longterm care facilities helping derm which facilities both across the state and within San Francisco could do that with regard to the need and ensuring the safety of staff and residents. I am not able to identify these facilities specifically in San Francisco out of respect for privacy. I will say that it is part of our surge planning assessing and determining where covid positive patients who require a Skilled Nursing type level of care has been part of our conversation with other Health Systems in the city. We are supporting the longterm care facilities in our collective response. We have regular communication with them. We are supporting them, and we also hope to apply the cdc recommendations from laguna honda to other partners in the city. Question from ron lynn of the los angeles times. Do you expect the shelterinplace order and forms of social distancing to last beyond the summer and into the fall or into next year . Well, unfortunately, i cannot predict the future. I am focused on what we know now. Looking at the data and science and facts. What we know now the physical distancing appears to have slowed the spread of the coronavirus in San Francisco. This is a very vulnerable time for us to ensure that that surge continues to be slow. As you can see from the data tracker, there is a steady increase in cases and hospitalizations. We must be resolute in continuing the social distancing through the shelterinplace during this time. Followup. Why are we seeing rising hospitalization cases eventhough the shelterinplace wasnt acted more than three weeks ago . Well, this virus is extremely transmissible. Despite multiple efforts early actions we knew there were going to be cases of covid19 in our city. And what we are focusing now is ensuring the Hospital Systems have capacity to provide the best care possible for people with covid19. Yes, there is an increase across the united states. Unfortunately, in our city we see a pattern. If you look across the nation, our increase has been slower so far, but again this could change any day when this virus takes off it can really take off. I would go back to Public Health intervention, social distancing, wash your hands, wear a Face Covering if you cannot keep at least six feet away from individuals, please do that and exercise restraint in your outings. Thank you. Final question for dr. Colfax from the San Francisco examer. Since the first cases were diagnosed has anyone recovered from covid19 and if so how many people . People recover from covid19, and i think we know from the data on both nationally and internationally that the majority of people and many have mild symptoms and recover well. It is really the focus on the vulnerable populations, the people who have to be hospitalized, the people in the i c. U. I think the focus needs to be on the Hospital System and the capacity there and the people who have not recovered are are e people who died. With our collective efforts of prevention and experts. I want to emphasize the expertise we have in the Health Department at zuckerberg, San Francisco general, u. C. S. F. And kaiser we have incredible leadership ensuring that as many people recover as possible. Is the department doing contact investigations for every positive case and notifying those who may have been in contact with the positive case . So we are continuing to expand our contact investigation efforts. We are ensuring that we are focusing on the most vulnerable communities with those contact investigations. Right now our capacity to do all of the Contact Tracing for every case has benumbedded, which is again why ha has been exceed. As we move forward we are ensuring that we have a robust number of contact investigators on board. Think of right now as a situation where we have as you can see from the dashboard a lot of Community Transmission. Over tight our hope, and i do not know if this will happen. Over time we hope due to social distancing that Community Transmission rate will be crease and we will go to a level where the Contact Tracing is particularly important. Think of it now as a situation where there is a steady, unfortunately, steady fire throughout the city with regard to transmission of cases. If we are successful in extinguishing this broader fire across the community, then we think about in the next stage if we get there sparks in the community. Sparks, outbreaks that are containable. Our goal is to have a robust team of Disease Control investigators to immediately respond to the sparks so we do not return to widespread Community Transmission like today. Thank you, dr. Colfax. The next questions are for mayor breed. Mayor breed, this question is from stefani at abc 7. Sf pride parade organizers have not cancelled for june. It may still happen. Do you have a response to that . Mayor breed i do. I want to start by saying pride is one of my favorite times of the year in San Francisco, and especially during this pandemic. The fact that the pride celebration potentially may not happen will be devastating to not only me personally but to so many people in our city, but we are in a different reality. I think it is important as dr. Colfax said we cant predict the future. We dont know what is going to happen in the city. We know when we start to get out of this that having large scale events will be very, very difficult. I am not certain that it will be possible at this time to say whether or not we can move forward with pride in the same capacity as we have done for many, many years. I think that once the shelter in order is lifted, there is going to be a gradual process to get the city back on track and back into some level of normalcy. I think it may not be possible to expect that we could launch a large scale event with millions of people in San Francisco. I am not sure if that is going to be realistic to expect that we will be able to host the kind of pride parade this city is known for. That is where we are at this time. John king of the San Francisco chronicle. What will mayor breed do if the emergency legislation proposed yesterday at the board is approved. Including Homeless People of all ages and Current Conditions and placing them in hotel rooms. Mayor breed i want to be clear. From the beginning we have focused on moving forward plans that are realistic, that allow us to use data, that are sustainable, that allow us to not only provide the resources necessary to make them work but to also sustain them. We have had to basically make magic happen over the past month as it relates to setting up the Emergency Operations center to focus on the Public Health crisis in staffing the hospitals, making sure the nurses and doctors have protective equipment, making sure the city work force has protective equipment, thinning out shelters to protect the people working in the shelter system. We know that it is a lot more complicated, as i said. The thing i would want to do more than anyone else is to be able to house every Single Person on the street to make sure they have a safe place to be. The fact is that comes with so much more than opening up the doors to give people a hotel room. Trent rhorer, the director of Human Services had provided an overview with a clear plan that has been changed based on what we know may work and may not work. Specifically, the change we made to moscone west, the changes we are making around the hotel rooms that we are fortunate enough to have access to and to provide the staffing for those particular locations. That will ensure safety. That will ensure that when we provide a room to someone that person is the only person who is in that rumor that person with their family members. That we are working with the hotels, that we are providing the 24 hour care and support, laundry service, food and all of the things needed. That takes a lot of people. It takes a lot of people who are part of our work force and the reality we are this is that some of those people are afraid. They are afraid to come to work. We want to make sure when we set these systems up we are not only providing places for people to be during this crisis but we are providing protection for those we are expecting to put their live on the line. We are expanding our capacity significantly quickly, and that takes a plan that is focused, that is developed, that is consistent, that is something we can actually deliver. That is really what is important for me as mayor of the city to focus on, what we know we can do and make sure we get it done and to focus our attention on elevating what we know we need in this crisis. I will really basically continue to do just that. Next questions for trent rhorer. Thank you, mayor. Trentrent rhorer, human serv. This is the San Francisco chronicle. The 7,000 hotel rooms do not include homeless not covid19 positive and not ranked as part of the vulnerable population. No ordinary homeless so to speak . Let me clarify. The 7,000 rooms we are bringing online are for covid positive, persons under investigation who cant selfquarantine and vulnerable Homeless Individuals who are living in shelter or on the streets. Vulnerable age 60 and above or Underlying Health conditions. That would make them more susceptible to the covid virus. 7,000 includes homeless on the street, shelter and covid positive and under investigation for covid. Next questions for chief bill scott. This is a question from the San Francisco chronicle. Has will been any change in calls related to Domestic Violence, increase as suggested by evidence . I can tell you what has been reported to the San Francisco Police Department. We have seen a decrease in reported Domestic Violence incidents. From the period of march 17 to march 31st is the latest reporting that i have. Compared to that time last year, we had 121 reported Domestic Violence incidents as opposed to 179 for the same period last year. We are hearing from the groups that they had an increase in calls and that might be a good thing in that people are seeking out help. We know from the science of Human Behavior that stress and anxiety and frustration can trigger violent behavior. My message is that the those things are happening seek out help. The mayor said it, public Health Professionals across the country said it. Seek out help. As far as reported we have seen a decrease for this shelterinplace stay at home period as of march 17th through march 31st. We will keep an eye on that. That is definitely something our Police Officers are watching. Some crimes are not reported. We realize that. It is another opportunity for me to encourage people to report crimes when they happen. We will be there and we will investigate. Thank you. The next questions for Abigail Stewart. These are the last two questions of the press conference from the San Francisco public press. Has the city run into challenge with hotel rooms with general trust issues. How are city agencies handling these challenges . That is a great question. From talking with you i know you feel that people experiencing homeless niece are just like you and me. We all have questions and worries now. We would all need support if we were asked to pick up and leave our communities and move to an unknown hotel room. As a social worker, i know the strength of every person is what we need to rely on now. I see it as the systems responsibility to set up that support so that we can rapidly meet people where they are. We have steps in place and staff from all over the city who are trained to evaluate an individuals ability to selfcare in these new environments before they move. The city is coming to help us. Our hotels are staffed with hsh heroes, nonprofits, first unite council and ecs of San Francisco and many more on the way as well as Disaster Service workers from City Partners. As we scale, we will be reaching out to the most vulnerable outside through the channels and with a careful and clear process in place. We are grateful to ihss which is part of the Human Services agency who have helped so people can selfcare. We are excited that we are exploring a volunteer program that would allow people at home to regularly check in on individuals living in hotels to reduce isolation and support on site staff. We believe in San Francisco and in our community to set this up so people can shelterinplace. It is going to take all of our creativity and strength, but we are built for this. Thank you. Is the city working with homelessness related outreach groups to transition people to hotel rooms. If so which groups and what role do they play . I think i understand the question. I will answer as best i can. As we move to as director rohr said we are working on sheltered and unsheltered 60 and over people with preexisting conditions. We will work with Homeless Outreach but we are not ready for that yet. We will provide more information in the coming days how to bring them inside and we are working with those with covid19 cases. We are getting to scale rapidly and look forward to providing further updates. Thank you. Thank you very much. That concludes our press conference. Good afternoon, everyone. Im San Francisco mayor london breed and i am joined here by a number of departments who will be talking later on during the press conference. We are joined by department of Emergency Management director Mary Ellen Carroll as well as department of Public Health director, dr. Grant colfax. The director of Human Services, trent rohr, the director of Homeless Services for the city, Abigail Stewart kahn and our police chief bill scott. We have a pretty lengthy press Conference Today because we have we have a lot of information to update the public with. So i want to first start with city test s. F. And we know that every single day there are people who are working, City Employees who are on the front lines. Our Police Officers, our firefighters, our muni drivers, our Health Care Workers. They are essential city workers who are showing up and who are interact aing with the public more so than most others and they have, we know, concerns about their own health. So they cant always n their capacity, practice social distancing. That ier are taking care of us so its important that we take care of them. And one of most basic things that we can do is to ensure that they have access to testing. Now last week, we announced a partnership that would allow our First Responders to get priority testing through a number of health care providers. And here in San Francisco, we know that it has been very frustrating because we have lacked the testing that we need in order to really put people at ease and ensure them that they are safe. This means that so many of our workers are have a lot of uncertainty. And uncertain that theyre exposed and that they have the virus and thats why its important that we do everything we can to ramp up locally, but to provide an option for them to be tested. Today we are proud to announce that we are opening city test s. F. , can which will serve as a drivethru testing site for our frontline city workers. It will be located at peers 30 and 32 and we will be able to ramp up to test hundreds of city workers each and every day and i really want to thank the color companies color and Carbon Health for partnering with us to undertake this incredibly important project. This has really been a team effort and i especially want to thank support of San Francisco, the director lane forbes as well as dr. Colfax in the department of Public Health for their work in making this happen. The initial focus will be on First Responders that i mentioned earlier and as we ramp up, we will begin to expand it for some of our shelter workers and nonprofit workers and those other essential workers that are also on the frontlines. Access to the expanded testing means that frontline staff who have become infected can be identified earlier and get the care that they need. It also means that frontline workers who are currently in quarantine, but not infected, can return to their families and keep doing the critical work that we need them to do. They are taking care of us, as i said. So, it is important that we do everything we can to take care of them. We also have been working to secure hotel rooms for our First Responders and today im proud to announce that, because a collaboration between our Emergency Operation center and hotel council, we secured our first Hotel Lease Agreement to provide rooms for our frontline workers with more rooms on the way. The First Hotel Property will provide 383 rooms for city frontline Health Care Workers, people who work at General Hospital or people who work at laguna honda. We anticipate finalizing a second Hotel Location this week for an additional 500 rooms. This weekend, 30 Health Care Workers moved into the first hotels. These hotel rooms allow people to do the incredible work they are doing to save lives without having to worry about going home to infect their families or folks in their community. They provide the relief for frontline personnel who are working long hours and commuting far distances and we will continue to add more hotel rooms to our frontline workers as well as for our other priorities. Which include covid19 patients who need to be isolated but dont need to be in the hospital. And our vulnerable seniors and people with Underlying Health conditions in our shelters and on our streets. Today we announced that we had two positive covid19 cases at one of the shelters and Abigail Stewart kahn from the department of homelessness and Supportive Housing will discuss that in more detail. These hotel rooms are essential in our work to proactively move Vulnerable People out of our shelters as well as to quickly get impacted people into isolation when cases do occur. And we will continue to add more rooms as we continue to prepare our city for a potential surge at our hospitals. We also learned today that two individuals that tested positive for covid19 at m. S. C. South have been in contact with 19 residents who had so far moved into the new location at musconi west. All 19 individuals at musconi west are moved into quarantine, into hotels as a precautionary measure. And we also realize that we as things move quickly, there are although that we set up musconi west initially to assist in thinning out many of our shelters throughout San Francisco to practice social distancing and, to be clear, musconi west does meet c. D. C. Guidelines for providing shelter to those who do not carry the virus. We also realize that we need to think about making changes to avoid having an outbreak or situation in places like musconi west or any place elsewhere we know there are large populations of people, regardless of our c. D. C. Guidelines being implemented. Moving forward, as a result, we have made some changes to musconi west. The musconi west facility will now be used to house people who have been in quarantine and recovered from covid19 or people who had been quarantined and test negative for covid19. This will allow us to free up hotel rooms. We dont have when people no longer need them. Just as the hotel rooms provide an exit for people from hospitals and shelters when someone needs to be quarantined, musconi west can free up a space in the hotel when they no longer need to be isolated and were also going to be making some changes at musconi west, including decreasing the capacity so we can allow people to spread out even more, adding partitions and a lot more. We already have 24hour bathroom attendants, we have shower facilities and outlooer locations in places for people to go outside and smoke cigarettes. Because we have people who live in our shelters who smoke cigarettes. We are thinking about food and where they eat and how we dont keep those places clean. A number of adjustments will be made and trent will talk a little bit more about that. In addition to more hotel rooms to create space in our system, we need more hospital beds. In places like new york and italy, we have seen what happens when we dont have enough of the facilities and equipment we need to handle the surge as we talked about. We have seen overcrowded hospitals and doctors making choices about who to treat. We never want to get there in San Francisco and we have to do everything we can to protect Public Health, but to make sure that when people need a doctor, when they need a hospital bed, that we dont turn them away. Today governor da Gavin Newsome will be leading an effort to open up 290 beds at the cpmc pacific campus on california street. We have been in close contact with the governors office, with sutter and cpmc over this issue over the past couple of weeks and were deeply appreciative of this effort to expand our Hospital Capacity and we look forward to working with the governor and cpmc and sutter to make sure that we have the capacity, that we are fully staffed with the equipment and the resources that we need to make sure that this hospital is able to support the people that we know need it the most. All along that we have said that no local jurisdiction can do this alone. We need support from the state and the federal government and im truly great to feel the governor for his leadership in getting this site up and running. And well continue to need the states support as we work together. As i said, to plan for staffing of the facility. Again i want to thank sutter and cpmc for their work in helping us expand our capacity. The site will need minor improvements before its operational. But we anticipate opening it within the next 10 days. Along with the 48 covid19 beds that opened at st. Francis hospital today, we are continuing to do the work to prepare our medical system for the surge we all know is coming. Our entire medical system is united and focused on doing what it takes to get through what is an incredibly challenging time. And we are truly showing that when we come together, we can really deliver for the people of the city. I also want to provide an update with muni and we have the director, jeff tumblin of sfmta to provide more details. We know that there are going to be some changes with muni and the bus service in the coming days and that is why it is critical we get this city test s. F. Site up and running. Once the site is fully implemented, well be able to provide tests for muni drivers so if they have questions about any illness they feel is covid19, they can get tested. If theyre not, they can help keep our critical Public Transportation system running. But right now one of the main reasons why we have had to reduce our service, has a lot to do with a lot of uncertainty around testing and around keeping our muni drivers safe and this is why its so critical and so important. These drivers work really hard for us. They are people out there every single day. They are essential workers to our workforce. And people who do not need to use muni, please dont. I know that director tumblin mentioned this before. This is the last thing we want to say. But we want to make sure that people who need muni the most, that they get it. Buses have been crowded when they shouldnt be and what that means they have to make some major changes to ensure public safety. If you see that a bus is crowded and you cant necessarily practice certainly distancing, do not get on the bus. If it gets too crowded, exit the bus. The fact is, we dont want to reduce service any further than we need to. We dont want a muni driver to stop moving its bus because it is too crowded to move because the people on the bus are not practicing social distancing. So we need to take steps to keep our drivers safe and keep the bhaoem rely on muni safe as well. I want to say a special thank you to all the drivers out there. More than ever, you are so essential to us and well do everything we can to keep you safe. And so busy times in our city. A lot of real challenges. And, again, this weekend i want to thank people here in San Francisco for continuing to practice social distancing, for just really taking the order seriously. Although we know we continue to face a number of challenges in particular areas throughout the city. We have been very active out there with our Police Department, with our Homeless Outreach team and others to try to continue to educate people but also hold them accountable because were all connected. We all need to make better decisions about how we continue to implement social distancing as time goes on. Its going to be harder and harder for us to stay at home and continue this practice, but were counting on all of you to participate and maintain social distancing and everyone here in the city to look out for one another as we continue to get through this very challenging time. So at this time, id like to ask the director of the department of Public Health, dr. Grant colfax, to come up and provide us with a update from Public Health. Dr. Colfax. Thank you, mayor. I am grant colfax, director of health. Today, i want to thank everyone in San Francisco and in the bay area region for their cooperation and everything they are doing to help fight the spread of the coronavirus. You are leading the way. When you stay home, when you keep six feet apart from people, when you wash your hands and when you cover your nose and your mouth with cloth, you are literally saving lives. I would like to update san franciscans today on a few developments in our ongoing work to respond to the coronavirus and protect our community. Today, there are 583 San Francisco residents with confirmed cases of coronavirus. 38 of them are 83 of them are in the hospitals across the city and nearly half of those 83 are in the intensive care units. We know that three of them are among people experiencing homelessness, including two at the m. S. C. South shelter and one who spent time at the Division Circle Navigation Center. This underscores the need for us to continue to focus on the most vulnerable populations. Including those in longterm care facilities, shelters, people over 60 and those with Underlying Health conditions. Sadly, nine san franciscans have died from the disease. Covid19. I would like to send condolences on behalf of the entire Health Department to their families, loved ones and friends. And as we continue to fight the coronavirus pandemic, i would like to remind you that our top priority is to continue to be slowing and reducing the spread of the virus in our community, protecting vulnerable populations, Health Care Workers and First Responders, preparing our Health Care System for an expected surge of hospital patients and expanding testing capacity. In all this work, we will continually seek to do better as we incorporate the latest science, data and facts into our action as and recommendations. We have all known from the start that this is a rapidly evolving situation and that will continue to be true. We will adapt our response accordingly. We are working quickly to integrate new information all the time and adjust our recommendations so that were providing the very best and most uptodate advice that we can give. As san franciscans know, we are working to prepare our hospitals and Health Care System for an expected surge of covid19 patients. We have seen this happen across the world and this country and we need to be as ready as we possibly can. We are making progress in surge preparation and i would like to share a few highlights today. As san franciscans know, our Surge Capacity to increase. And today we have reached a significant milestone. We have successfully expanded our bed Inventory System and exceeded the states ask that all jurisdictions expand their capacity by at least 40 . By working together since january, San Francisco hospitals have managed to increase the citys intensive care unit beds from 277 to 530. A 91 increase. A 91 increase. And our regular acute care beds, socalled medical surgery beds, have increased from 1055 to just over 1600. A 52 increase. We accomplished this by opening previously closed units and by repurposing areas normally used for other functions, such as outpatient surgery. These extra beds will make a big difference. However, there are still plausible scenarios that a large surge could overwhelm even those additional resources. And yet we have made progress by decompressing hospitals so they can be as empty as possible and ready for the surge and we have canceled, by health order, elective surgeries and routine procedures. I am happy to report that today, st. Francis memorial hospital, plans to open its newlydedicated unit for coronavirus patients. This unit will have a capacity eventually of 48 additional beds, including eight intensive care unit beds. Additionally, with partners across the city, we have moved 150 patients who have confirmed coronavirus or who are awaiting test results but who do not need hospital care into hotels where they can safely isolate. We have also sped up testing so that patients have a shorter wait time for their results. There are several other surge plans in progress, including expanding clinics throughout the city that we will be able to provide more information about soon. In addition, as the mayor mentioned and the governor announced today, the state has reached an agreement with cpmc to make its vacant pacific campus hospital available for our coronavirus surge work. These additional beds are not included in the totals i just covered. Every day that we can prepare is a good day. It is so important that people continue to stay at home and to practice physical distancing, hand washing and Face Covering. That is how we will slow down the virus as much as possible and ensure as much as possible that we have the beds we need in our Hospital System to care for those most in need. Now i would like to talk briefly about data. As i have said many times, San Franciscos response to the coronavirus emergency is grounded and will continue to be grounded in data, science and facts. We are able to use what we know from other parts of world and the country to guide our decisions and inform our interventions. Data is, and will always be, an important tool to help san franciscans see the whole picture of the coronavirus pandemic in our community. This knowledge can help us all do our part and see over time how the situation is changing. So today i am pleased to announce that we will be sharing more data about San Franciscos coronavirus pandemic. Our data analysts have been working hard to collect information from across the city, to create accurate, reliable and timely reports to help guide our decisions and inform you, the public. D. P. H. Has been working and will continue to work with the Controllers Office and the department of Emergency Management on a new data tracker that will be posted on our website very soon. The tracker will feature more information about cases, the demographics of patients, hospitalizations and testing. We will add more Data Elements as we gather more information and continue to improve. Now i would like the provide an update on the outbreak at laguna honda hospital and the steps we are taking to protect health of residents and staff. This weekend, we identified four new positive cases at laguna honda hospital, bringing the total number of cases up to 16. 12 of the informed of the confirmed cases are among staff and four are among residents. Of staff, nine have been in patient care positions and three have not. The four new cases are from an impacted unit. The south five neighborhood. Two are residents of the south five neighborhood and two are parent caregivers on the south side neighborhood. With regard to testing at laguna honda, to date, 290 staff have been tested, either directly by the departments of Public Health or their own provider. 98 patients at laguna honda hospital have been tested. This weekend, we completed retesting of all patients on south five on the south five neighborhood. Results are pending. The retesting of south five staff is happening today. We will also retest the staff and test all patients on south four. To date, south four has no residents who have tested positive for coronavirus, though of course that situation could change. As part of our ongoing outbreak response, we continue to test staff and patients throughout the hospital that have been identified as being exposed through contact investigation or who show symptoms of the virus. Unfortunately we do expect more positive cases, but it is crucial that we know the facts so that we can take evidenceinformed action to preserve health and mitigate the spread of the virus in that institution. We are continuinging to work very closely with the centers for Disease Control and prevention who have been at laguna honda for the past week. They are joining our team of some of the most foremost experts of San Francisco department of health to guide an informed response. I am thankful for the support and expertise of our federal, state and local partners and our response. And the c. D. C. Has recommended and we have rapidly adopted multiple Infection Prevention and control strategies to combat the coronavirus at the facility. These include limiting movement throughout the hospital to only essential movement. Restricting accesses to two entrances only where all staff is screened upon entering the hospital. There is mandatory masking for all staff and there is enhanced personal protective equipment or p. P. E. That is being provided for staff who are in quarantined or isolated areas or treating isolated patients. These are in addition to the steps that the department of Public Health with the support of mayor breed, has already taken to limit the spread, including placing the entire laguna Honda Community a prevent civ quarantine. This prevents Community Spread by having residents remain on campus and limits opportunities for the virus to be brought on campus. We have stopped the rotation of staff to various units and limited impacted areas to only the most essential personnel. We have made the very hard but necessary decision in early march to restrict visitors at the site. At our request, the c. D. C. And the state Health Department have provided additional clinical and epidemologic leadership and well dont test staff and residents based on these risk assessments going forward. The c. D. C. Is also providing expert knowledge to our clinical teams on improving the collection of data. This will not only inform prevention and Response Strategies for laguna honda hospital, but also for Skilled Nursing facilities throughout the bay area and perhaps even the nation. Laguna honda is, and continues to be a top priority for the Health Department and the city. We and i will continue to do everything we can to resfonlds the changing situation and i will keep the staff, residents, families and public updated. Now id like to move to First Responder testing and a brief mention of the hotels that director rohr will talk about. As we all know, Health Workers and First Responders are crucial to San Franciscos battle against coronavirus. I am grateful to mayor breed, the port, our d. P. H. Staff and our private sector partners for creating if new testing site for Health Care Workers and First Responders. These talented and dedicated professionals are courageously working on the frontlines every day. By providing them dedicated testing, we can assuage anxiety, answer uncertainty and speed the recovery so these First Responders can be with their families and continue to support the health of our city. Now director trent rohr of the Human Service agency will provide an update on another key aspect of supporting our Health Workers and First Responders. Temporary housing in hotels to keep them and their families safe. Thank you very much. Good afternoon. Im the director of the Human Services agency. Thank you, dr. Colfax, for teeing up my discussion about First Responder hotels. So, we knew from the be beginning of this that we were going to need to accommodate our Frontline Health responders, our Health Care Workers, our nurses, our doctors. Its critically important that they be able to remain here and not potentially infect their families or others going back home. Many of our Health Responders have long commutes after working long shifts. In addition, we dont want Health Responders going home and potentially being infected in their communities. So, to this end, we have secured two hotels, totaling 83 rooms for this purpose. The first 383room hotel is currently under contract and will receive Health Care Responders immediately. The second has already opened up 150 of their rooms of which 30 were occupied by the first group of Health Responders who took advantage of these hotels. Well continue to identify hotels for this population should the need grow. Again, right now it is 2883 rooms and we continue to assess both the numbers of Health Care Workers, nurses, doctors and others, plus other critical First Responders, me cal social workers, Law Enforcement to see what the numbers need to be. There are two other areas id like to address today. One is our shelters, particularly the shelter activation at musconi west and the sect as an update on the hotel rooms we have secured for individuals who needable to be quarantined, isolated or protected from other congregate areas. Last year we opened up the shelter west to thin out our existing shelter system. If you remember four weeks ago when we activated our operations center, we were using the best data and information at the time and continue to create and design our system using the best information available. We also said four weeks ago that this is a very fluid situation and will continue to be. The c. D. C. At the time recommended that shelters achieve thinning of three feet between beds, subsequent to that the state department of health increased that to six feet between beds and the latest from the state of california, as well as other counties, are now shifting gears away from congregate sites entirely and moving toward hotel rooms tom themed, we are now shifting gears at musconi west and rather than that being a shelter to achieve the reduced population in our homeless shelter system, that will instead serve as a shelter environment for individuals who have either tested negative for covid19 or who are considered post covid or have cleared the 14 days and are no longer covidpositive. This will be staffed by the appropriate medical and social work staff. The population will be reduced from a total of 394 down to 200. The shelter will be partitioned off into four areas of 50 patients each and each individual will have their own partition creating that necessary physical distance as well as a wall or partition pa create additional privacy. This will help us really provide a relief valve on the back end of our system, allowing individuals who were quarantined in hotel rooms to exit out after having been, again, tested and tested negative to allow for those rooms and to be activated for additional people who need to be quarantined. It will help our Hospital System for Homeless Individuals who may be in that system for a noncovidrelated illness. Those individuals will also have been cleared by the hospital and could choose to go to that shelter as well. We still have the imperative, however, of reducing the populations in our existing shelter system. The plan moving forward now is to adhao ef this reduction through placement into hotel rooms exclusively. We will continue to focus on the population in our shelters, individuals age 60 and above as well as individuals who have Underlying Health conditions that make them more vulnerable to covid. The current estimate of the number of rooms in order to achieve that reduction in shelter census is 500. Which brings me to the data on the hotel rooms that we brought forth to the present. We currently have 945 rooms in eight Hotels Across the city, to be able to receive individuals who either need to be quarantined or isolated or individuals who are going to be moved from the shelter system in order to reduce the population or moved from the street. The individuals moving from the street, again, per the c. D. C. Guidelines, per the fema reimbursement guidelines would be individuals who are over age 60 or individuals who have Underlying Health chance make them more vulnerable to the coronavirus virus. We continue to move individuals as we speak. So far we have admitted over 150 individuals into these rooms with another 40 vulnerable adults being moved from the shelter system today. We will continue to do two things. One is remove individuals from the shelter system and to the street in these rooms but we continue to work with hotel owners and negotiate further contracts to bring additional rooms online. Again, when we started this four weeks ago based on the best guidance from the c. D. C. And from our partners at the state department of health as well as the department of Public Health here in San Francisco, we our target was 3500 hotel rooms and 2500 shelter beds. Based on the best information, evidence and data we have now, were looking at more like 4500 hotel rooms and the shelters that we had planned to activate to create thinning are now no longer going to be used for that purpose. Moving forward, were working with our Public Health partners to identify potentially smaller congregate sites to serve as medicallybased shelters and this is for vims who are vulnerable or older and need extra support that cannot be provided within the confines of a hotel room. The lead on our movement out of the shelter system into hotels as well as the identification of vulnerable ij individuals on the street and moving into hotels is led by the departments of homelessness and Supportive Housing. The director of that department, Abigail Stewart khan, is here to talk about how were going to achieve that reductioner in our shelter and on the streets as well as to talk to you about our system response to the covid Navigation Center as well as at the m. S. C. Homeless shelter. Abigail stewart kahn. Thank you, director. Thank you, mayor breed, and to the guests, h. H. S. Staff, City Partners and owl of those in San Francisco who care so deeply about people experiencing homelessness during this crisis. H. H. S. And our nonprofits hear you. This reminds us day in and day out that housing is health care and relationships are the best form of treatment. Those without these suffer the most. Today, three shelter guests have tested positive for covid19. Protocols have been implemented in response to both sites. First, supplying the shelter with additional masks and that all shelter guests and staff wear masks at all times. This is advice being given to all of our shelter sites as we speak. The department of Public Health initiated Contact Tracing with these patients when they came into contact with them. This allow us to understand who at the shelter and in the rest of the community positive individuals have come into contact with. This is the same process that happens with housed and unhoused neighbors who test positive for covid. The department of Public Health is deploying a physician and Health Workers to the shelter site to conduct symptoms and temperature screening for all guests and staff. They will be relocated to staff isolation rooms if testing positive for covid19. Guests considered close contacts will also be relocated to Quarantine Hotel rooms. Guests over the age of 60 and those with preexisting conditions will be placed in hotel rooms to shelter in place. Staff at the shelter will also be provided medical support and First Responders. Were grateful to our system of care for viewing our nonprofit and city workers who work with the Homeless Population as First Responders. The city is deploying a professional cleaning crew on site to thoroughly disinfect the shelter and the domestic of Public Health will be on site to answer staff and guest questions. They will continue to implement Shelter Health and social distapsinging protocols. As more individual move off site, that social distancing will be accomplished. Director rhorer also spoke about social distancing now moving to be focused in hotels. Top priorities for the use of the hotel rooms are to provide quarantine and isolation rooms for cov irk dpositive people or people awaiting testing results living in crowded settings or rooms in highrisk populations such as people experiencing homelessness. H. S. H. Has opened a hotel to provide shelter in place for high risk people experiencing homelessness in our existing shelter system. This new capacity brought online very rapidly will allow for greater physical distancing at existing shelters and will protect the health of seniors and people with preexisting conditions in our shelter system. Now the challenge is scale. H. S. H. In partnership with h. S. A. Plans to continue to expand the use of hotel rooms for shelter in place for people experiencing homelessness. Excuse me. Homelessness, who are both sheltered and unsheltered. There are many factors that go into Opening Hotel rooms that include hotel staffing, meals, transportation, security, cleaning and i want to thank our departments at h. S. A. , the department of Public Health, the Emergency Operations center run by the department of Emergency Management and the Nonprofit Community for helping us move forward as rapidly as possible. Thank you. Im going to introduce jeff tamblin, the director of m. T. A. Hello, my name is jeffery tamblinful as a lifelong advocate of transit and as the director of the sfmta, i never thought i would say this. But please, if you have any other option for getting around, please do not ride muni. For the duration of the public Health Emergency, muni is only for delivering essential workers to work and allowing san franciscans to access essential services. If you need to get around for some other purpose, please find another way. If you have the ability to drive or walk or ride a bicycle, please choose those modes. In order to ensure that there is adequate Space Available on our muni buses for the people who need it the most. Many of our Bus Operators are in specific, vulnerable population categories. As a result, they are needing to shelter in place in accordance with the Public Health order. As a result, over the coming weeks, we are expecting about 30 to 40 of our Bus Operators to not be able to show up for work. As of last week, although our ridership is down by over 80 , were still carrying about 100,000 passengers a day. And as a result of that, were experiencing significant crowding on some of our key lines. Lines like the 14, the 38, the 8 and the 9. We have right now, during the Public Health crisis, two essential priorities at muni. One is protecting the health and safety of our operators and two is protecting the health and safety of our passengers who are essential workers keeping the city running. In order to meet those priorities and address the fact that service is in decline, it would be terrible for us to simply cut 30 of our Service Across the board that would result in extreme crowding on the most important lines. As a result of that, we have made the very painful choice to, instead of doing across the Board Service cuts, to streamline our service into an essential network. What this means is taking the 15 highest ridership lines and beefing up service on those lines in other words for our passengers to maintain essential distance. And as a result of that, cutting a ul of all of our low ridership lines. We did not do this work lightly. We looked carefully at all of the data of where our ridership is, segment by segment, and where were experiencing crowding. We also looked at locations of essential services all over San Francisco. Wh that is hospitals or important neighborhood commercial districts or supermarkets. We then applied the muni equity strategy, making sure that we were adding extra service to neighborhoods where there are people who have the fewest choices. The result is a map of 15 lines plus two rapid lines that serve every neighborhood and put all san franciscans within a mile of a bus stop and most san franciscans within half a mile of a bus stop. The cuts are painful in every single neighborhood. And if the response that weve goten from the public is any indication of success, weve made everyone equally unhappy. It is terribly painful for me to do this. And we are working quickly on ways in which we can provide additional taxi service to parts of the city where weve had to make the deepest cuts. These changes are going to be rolling out starting tomorrow, tuesday well be losing about half a dozen lines and then go full into effect on wednesday. We are making these changes up as we go along in response to the rapidly changing conditions as a result of the Health Emergency. So, i urge you to to be patient. I urge you especially to be patient with our operators. Please feel free to be upset at me for being late for work or a longer walk to your bus stop, but recognize that your Bus Operators are frontline workers. They are accepting some level of risk in order to keep this system running and in order to deliver essential workers to work. Please thank them. They are heroes here in San Francisco and i could not be more proud to work for them and be advocating on their behalf. As always, please keep up with the details on our website. They will be rapidly changing. Our website is sfmta. Com covid for all of the latest updates as we move along. Now id like to turn the stage over to the San Francisco Police Department, chief bill scott. Thank you. Good afternoon. Id like to start this afternoons message with an a update on what happened over the weekend by way of social distancing in our Public Health orders. Overall, we saw a lot of good social distancing over this weekend. The rain probably helped as many people were not outside who probably would have otherwise been outside. However, those that were, we saw very good cooperation with our Public Health orders and our social distancing. Our crowds were pretty light across the city. Places that normally are populated with people, they were not out this weekend. For the most part. There did not seem to be a lot of people downtown, areas of Mission District that weve had some challenges in. Areas in other parts of the city. It was just probably because of the rain but nonetheless, the news was good overall. We still have some challenges in certain parts of the city and in the tenderloin and other districts where we have unsheltered and unhoused people. Were still working with that population, particularly with the education piece and working with the departments of homelessness and Supportive Housing and the Human Services agency to try to rectify some of the challenges that we see there. That work is ongoing. Over the weekend, we have basically stepped up our patrols as we have talked about since this Public Health order started. So, hopefully you were seing as i have, many officers on the streets and on foot, particularly in the areas where were trying to spread the message and educate the people to social distance and stay six feet apart. Im going to give you the statistics and were in the process of updating what occurred over the weekend o. So, that easy statistics are actually good as of this past friday. We stills have two citations confirmed and i want to correct information that i put out last week or last friday that one of those citations was for business. That business was actually worn and admonished and closed so it was not cited. But to date, we have two citation of two individuals. There have been 26 total warnings or admonishments, 22 of those were with persons who were not found to be social distancing and four were with nonessential businesses. And as we have said over and over again, this is a matter of life and death. So, were asking that the public please comply with these Public Health orders. Stay at home, and if you have the go out for an essential item or essential shopping, please be smart about it. In terms of our Crime Statistics, we are still seeing decreases in crime when compared to the prior week. Last week we saw 24 decrease in violent crime. We saw a 32 decrease in property crime and overall part one decrease of 31 . And that was compared comparing the weeks of march 23rd through the 30th. Weve seen some burglaries and vandalisms of businesses so, again, our offices are out. Theyre going to be paying close attention to businesses that have closed to make sure that we can do what we can to not allow that to be a trend that our Business Owners have to deal with. Were focusing on portions of the citis to safeguard bored up businesses and so far the owners sheltering in place, we dont want them to worry about their businesses. So we will be out in full force for that. We are encouraging the public to continue to report crimes when thae see them. If its a violent crime, please call 911 and we will respond as we always do. If its a property crime or a crime of a nonviolent nature, particularly those crimes that have already occurred, please call our nonemergency number, 4155530123. You can also call 311 or utilize our website to file a Police Report or request an existing Police Report if you need a copy of it. We also want to alert the public to be aware of scams. Were seeing a lot on social media about people knocking on door in residential communities, pretending to be city workers or Public Health workers or the centers for Disease Control workers. Weve also heard information that some people are issuing masks. Those are not city workers. Those are not c. D. C. Workers nor are those folks Public Health workers. So, if someone knocks at your door in a residential area, please dont open it. Dont let them in. Do not accept a mask. Call 911. We dont want anybody to be taken advantage of and we know that even in times as unfortunate as what were facing right now, there are people out there that will take advantage of or who will take advantage of other people and we dont want that to happen to anybody. So please do not let anyone in your home t city is not sending workers to issue masks, nor are we sending workers to residential areas to inspect homes. So, if you do get a knock on your door regarding that, it is not a righteous person just doing that. So call 911. I also want to update on hate crimes. Theres been a lot of talk about whether or not hate crimes have gone up in our city, particularly hate crimes against members of our asian community. We have not seen that trend and what we ask is that if you are the victim of a hate crime, please call the police. Call us. Just to illustrate the trends that we are seeing. Im going to talk about the last four years of hate crimes yeartodate. 2017, we had a total of seven. 2018, a total of four. 2019, total of six and this year, yeartodate a total of five and this is specifically hate crimes against members of our asian community. So we have not seen an increase, but that is not to say that these things are not occurring. What we ask the public is to please report hate crimes if they are occurring. These type of crimes are unacceptable at any time and particularly during this Public Health crisis and this pandemic. So, please report that immediately if that has happened to you. Lastly, i will end on note of the same messaging as the mayor and the other city leaders that have spoken to you. We really need the publics support and help on social distancing, staying at home. Please do not go out if you dont have to. We know this will save lives. We know they will be in force to do our jobs and those that stated, those who have been warmed will be cited if we have to go back and warn them again and deal with that situation again. And with that, well open it up for questions. Reporter is San Francisco considering implementing a suerer curfew. If so, could you provide details . No. A sur few has not been discussed at this time. A curfew has not been discussed at this time. We are comfortable with the Public Health orders that the mayor and the director of Public Health has issued and we believe that if we have some success with that, there is no need for curfew. That is not on the table at this time. Reporter a followup. Exactly how many citations have been issued at this point to businesses or individuals and specifically to whom were they issued and for what exactly . Two citations, both to individuals. As i said, the information this past friday, while the business was incorrect, those two citations were both to individual. Dwrof their names. But they were both individuals and they were in violation of the Public Health order, social distancing type of issues. Reporter thank you. Question for you from Michael Barbara of the San Francisco examiner. What were the circumstances of the two shelter in place citations issued by sfpd so far, and to follow on that, do you believe the District Attorney should file charges stemming from the citations your officers have issued . Let me answer the second part first. Ive had conversations with our District Attorney about the Public Health orders and i will say that he has been extremely supportive. Weve talked specifically about the need to if the need arises, he is supportive. I dont have those cases in terms of the details to discuss the merits of either of those cases. So, i dont think thats appropriate for me to go into detail that i dont have. But i will say they were both of the Public Health order violation nature. And those eventually will make its way to the proper authorities and the prosecutor and well see what happens. Reporter thank you. The next questions are for dr. Grant colfax. Thank you. Reporter dr. Colfax, the first question is from kate wolfe. Is the San Francisco medical Examiners Office testing for covid19 in people who have died . So, the medical examiner is following c. D. C. Guidelines with regards to testing for covid19 in people who have died. That would include people who die suddenly who have a known contact with somebody whos covidpositive. Reporter thank you. Followup question have there been any fatalities involving people that were not tested while they were alive . Im aware of at least one case. The deceased was tested after unfortunatelies paing away and that person had a close contact with a covidpositive case. Reporter question from the San Francisco chronicle. Why has the department of Public Health decided to retest patients and staff in south five and four at laguna honda . As we have investigated the outbreak at laguna honda hospital, let me emphasize again that we have some of the very best people in the nation, if not in the world, helping us with this investigation. Physicians from the centers for Disease Control. And since they arrived here, starting a week ago last sunday, they have done an outstanding job and a very thoughtful and careful job of looking at the outbreak in 5s and 4s and they based on the people who have already tested positive, the staff, and the patients at 5s, they have made this recommendation and with regard to 4s, they have made the recommendation to expand our testing there. I also want to emphasize that, of the patients at laguna honda, the positive patients have been concentrated in the 5 south neighborhood. Reporter and a followup to that. What condition are the 16 infected people from laguna honda in and have any been transfered to San Francisco General Hospital . So, of the 16, 14 are in good condition. Two are in fair condition and have been transferred to motor acute hospitals. I will say that over the past few days there was one patient who was transferred to zuckerberg hospital, thankfully stabilized, and then was returned to quarantine at laguna honda hospital. Reporter question from the San Francisco examiner. Does the department of Public Health plan to move any patients from laguna honda hospital into hotel rooms or has that been placed on hold, given the outbreak . We are continuing to explore that and our r seeking the advice of our c. D. C. Colleagues with regard to moving that forward. I want to emphasize that from the beginning that was a small group of patients, numbering no more man between 20 and 30. Reporter and a followup from josh sabatini, do you have any details on how covid19 was introduced to laguna honda . K i think when we look at how covid19 has generally been introduced into Skilled Nursing facilities and other similar facilities across the country, despite multiple efforts to prevent and just slow the spread, unfortunately the one of the key factors is that people who work at the facility, despite their own efforts and others unintentionally appear to be the source in many of these cases, if not all of these cases. Again, right now we are working to ensure that staff are following all proper Disease Control procedures, including greatly reducing risk of transmission through masking, personal protective equipment wherever required and, again t c. D. C. Is working very hard to ensure not only are these recommendations being applied, but theyre also being adhered to. And i just really want to express my deep gratitude to the staff at laguna honda from the chief from the leadership, managers but especially the people on the frontlines who are taking care of patients every day. They are doing inced work. And i think that all of us owe them a huge debt of gratitude. This work is always challenging. Even without coronavirus. They are some of my personal heroes and more so than ever during this pandemic. Reporter thank you, dr. Colfax. The next questions are for Abigail Stewartkahn. A