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Well as the department of Public Health director, dr. Grant coal fashion. Colfax. We are joined by police chief scott as well as our sheriff and the director of homelessness and housing services, abigail kahn. Today we want to provide a few updates of where we are and and some very serious challenges that we face. So far as of today, we have confirmed 797 cases and sadly 13 people have lost their lives due to the virus. The covid19 virus. And we had said all along that this would be very challenging, and in fact, in the past week or so, dr. Colfax and i continued to make it clear that it is of course important to stay at home as much as possible. Because the fact is the worst is yet to come. And today, unfortunately, we have a situation that we knew could potentially happen in one of our congregate living settings. An outbreak occurred at msc south, one of our shelters. And the real challenging situation that we know could have been worse will be a little bit better because of the work that we were preparing to do in order to make sure that we were able to respond quickly. Today we want to announce that we have identified 70 people, 68 members of the shelter as well as two Staff Members who tested positive for covid19. This is one of the larger shelters in San Francisco with on any given night, over 340 people that are located in that shelter. Part of acquiring hotel rooms and vending out our shelters has truly helped in this particular case because there were only 100 residents in the shelter last night which provided us the flexibility to turn this from a shelter to a medical facility. So dr. Colfax will talk more about what that means but the fact is we were on top of it. We know that there are a number of people who tested positive. And we are going to reroute our medical Health Experts and people, our nurses and other Health Support to this facility to help manage and maintain and support the people who tested positive. The reason why we are able to act fast is number one, we had hotel rooms available. And we had plans to staff up hotel rooms as rapidly as we possibly can in case an outbreak occurs. But number two, because so many of you are staying at home, our hospitals are not as overwhelmed as they could be, giving us the flexibility to handle an outbreak of this nature. We know that from the very, very beginning, congregate living settings like our shelters, like laguna hospital, like our single room occupancy hotels, we knew those had the potential of being hot spots. And so we have been preparing for that. We have been preparing for that by acquiring a number of hotel rooms, making sure that we have the Supportive Service necessary, making sure that we can keep the people that we are asking to work at these hotels safe, making sure that we can see people, that we can clean the rooms, that we can do the laundry, that we can do all that it takes to manage the situation in any place that we acquire under the new orders that weve put forward to obtain as many hotel rooms as possible. So although the news of this outbreak was definitely very troubling, the fact is i am so grateful and proud of this hardworking city workforce, the department of Public Health to the department of Human Services to the department of housing and home homeless services, the folks who work for these departments who are showing up, putting their lives on the line and working every single day with the nonprofit providers who help to manage these hotel rooms, they are the ones who are on the front lines, trying to make sure that they not only protect themselves, but they want to make sure that they protect others. And so we were prepared for this. We are managing the situation. And dr. Colfax will provide more information as to what is happening at this particular facility and where we go from here. I want to also talk a little bit about another very troubling situation that we know exists and because so many people are being asked to shelter at home, we know that, sadly, some people who are sheltering at home may not be in safe environments. We know that Domestic Violence doesnt stop because of a pandemic. And it is important that we continue to provide support, we continue to provide services, so that we can help the people who we know need it the most. And i know that so many Domestic Violence survivors out there are probably thinking about what we are doing as a city to protect others who have not been able to escape those very challenging situations. And i am grateful to ending Domestic Abuse and so many of the folks who work tirelessly on helping to end Domestic Violence and the work they have continued to do. They have sadly seen an uptick in the calls that they receive for help, for assistance, for their shelters. And as a result, we teamed up with the District Attorney and veritas, a Property Owner in San Francisco, to provide 20 new units that are fully furnished so that when we need to get people out of a situation, we can move quickly. So i want to thank veritas, and i want to thank our District Attorney for working with us to recognize this very serious issue and reacting quickly to provide resources in addition to the shelters and the other support that we have been able to work with nonprofit providers to provide to families who are experiencing Domestic Violence. But we know its not just about making sure we have places for people to stay. If you are in a situation at home, and you cant pick up the phone and call 911, what do you do . Its hard enough feeling like you are trapped and you cant escape. And what we have been able to do here in San Francisco, and i am so, again, grateful to the department of Emergency Management and dedicated people who work for the city who have been able to have our system and our city so if you text 911 and say help or if you are able to say what the situation is and you are in trouble or what have you, you will receive a response. And i think this is an incredible tool, because, again, we know that if theres an attack or if there is something going on, and you cant necessarily talk out loud or what have you, it is definitely difficult in order to reach out for help. So to anyone who might be hearingimpaired or others in our communities who are struggling and may be attacked or may need 911, now here in San Francisco, the option to text 911 is available. And so especially at such a really challenging time for all of us, we know that having access to support to safety is critical to being able to survive this pandemic. And so, again, thank you so much to carol and the department of Emergency Management. I also want to say to those who are looking for help and support, we are here for you, you are not alone. And we will do everything we can to support and protect you during this pandemic. If you need help or you need assistance, please call or text 911. If you need someone to talk to or you are looking for resources, you can call 311 and we can direct you to some Services Including the national Domestic Violence hotline as well as la casa, amazing organizations that continue to uplift and help those who are not only in Domestic Violence situations but also survivors. So thank you so much for your work on helping those who are struggling during this pandemic. We also want to talk a little bit about whats happening with our restaurants here in the city. Some of you during, when we werent in the pandemic, many people, including myself, used a lot of apps to get food delivered. And after we had to unfortunately close restaurants, and basically not allow them to have inhouse dining, we still allowed pickup and delivery and some restaurants chose to close because sadly, it was too expensive to even have that level of service. And others who are struggling even now with their delivery and pickup service, theyre still in business, but the fees in some cases very outrageous fees that are charged to them, basically in some cases may not allow for them to continue with their Delivery Services because they are not even breaking even in some cases. And so unfortunately with the Delivery Services there is a fee thats assessed. Sometimes theres free delivery as you see on the apps but the restaurant is still charged a specific fee as it relates to the Delivery Service which usually happens with a third party. And we have seen those fees basically go up and down. The restaurants have experienced it. And it has been hard. They want to remain open for all of you. They want to be available for all of you but they are struggling because the delivery costs are making it unsustainable. So thats why after working with the Golden Gate Restaurant Association and carefully evaluating the situation, ive decided to execute an emergency ordinance to cap the amount of fees that a third party can charge to restaurants for Delivery Services at 15 . And what this will do is to make sure that our restaurants are protected, because we know during this pandemic, which we are not certain as to how long it will last, there are going to be a lot of restaurants who may not come back from this. And we want to make sure that when we identify a situation thats problematic, we address the situation and the goal here is to address the situation with putting a cap on the amount of the percentage of which the Third Party Delivery entities could charge restaurants for Delivery Service. And i want to thank the Golden Gate Restaurant Association, and i also want to thank supervisors ahsha safai and aaron peskin for working with my office oncoming up with something that would be fair and more helpful to our restaurant community. So i also want to take this opportunity to talk about just, again, the importance of staying at home. Now, i know, having these conversations here every time theres a press conference, it reminds me of my grandmother and oftentimes because, you know, sometimes i was a difficult kid to discipline, and my grandmother would say to me over and over again, no, you cant have that, no, you cant have that or no, you cant go outside, no, you cant go outside. And i would say please, mama, please can i go outside . And my grandmother would just say no, no, no, for whatever reason. And she had to tell me that over and over again sometimes. And eventually i gave up or she gave up, who knows. But the fact is youre hearing this beating drum from me, from so many other people. Were asking you to stay inside, to stay inside, to stay inside. And i know that its hard. I know that so many of you are getting restless and getting frustrated and wondering when it would come to an end. And really what difference it does make. And let me just go back to what i said earlier about our shelter system. The fact is because so many of you are social socially distancing yourself from one another, whats happening is you are not getting infected, you are not showing up at our hospitals. We have seen a slight reduction in the number of people who are occupying our beds. And even though we know the numbers will continue to go up, even though we know this outbreak at one of our shelters has been challenging, the fact is because of what you are doing, we are able to move quickly to address an outbreak. Because of what you are doing, we are able to redeploy medical Health Professionals to one of our Shelter Systems in order to provide the resources necessary to take care of those 70 people that have been infected, because you are staying at home, you are making a difference. And when you look at other places all over the world, im sure youve seen some of the videos of the hospitals in new york, youve seen the videos of some of the hospitals in italy. Youve seen some of the videos of people who cant bury their family members. To think about it. Because you are following the order, you are making a difference for others in this city. So i just want to ask you, again, because we know that the weather is going to be really nice this weekend. We know that its so tempting, especially because its also easter, today is good friday, its easter, its its a very spiritual time for so many people who are religious. And folks are probably thinking just this one time, i miss my friends, i miss my family members. I want to have dinner together. I just want to sit down and enjoy their company. And as hard as it is to be isolated in your home, im going to ask just one more time that you dont tempt yourself, you dont do it this one time. Because that one time could be problematic. I saw on the news this past week a family that got together for Birthday Party for one of their family members and now every one of them are infected. They dont know how, they dont know where it came from, but the fact is they are all infected. We all heard about the choir in washington state. They practiced social distancing at choir rehearsal. The order was already in place there, 45 members were infected and two died. And so as hard as it is to stay at home, to continue life in a world thats not normal for us, its necessary. It does make a difference. It does save lives. And some of the things that you can continue to do is call people, you can zoom call with folks if you have that level of technology. And you can just reach out and check on folks. I also talked about the note i got from a neighbor with their email and their phone number, asking if i needed any errands to be run or just someone to talk to. Thats going to be critical to getting through this is how and social distancing is probably not the best term developed to talk about this. Its really about physically distancing ourselves of my its important that we physically distance ourselves but we continue to engage with one another. We continue to reach out to one another for help, for support, or what have you. So as we go into the weekend, we are going to be watching closely and monitoring our parks. We are going to be monitoring various locations where we know large groups of people gather. And i hope that we wont be forced to close any parks or make any adjustments because people are not following the order. We want you to get fresh air, we want you to get outdoor exercise in whatever way you feel is appropriate. We want you to walk your dog. We want you to be able to do some of the basic things of Grocery Shopping and what have you. But as you do those errands, make sure that you keep your distance from others that are not a part of your household. Make sure that after you are done, you go home. Make sure that youre not driving to locations that arent near where you live because that creates a bigger problem than what we want to happen in our city. And then it forces us to make adjustments in order to keep you safe. And i want people to have the ability to just go outside and get some fresh air and because so many of you have cooperated with this order, we are here. And as i said, as we go into easter sunday, i want to again thank folks from the interfaith counsel, michael was here on wednesday, and i continue to be grateful for your prayers and your support during this difficult time. So many people who are spiritual are really not only struggling themselves but so many are reaching out and praying for others and this is definitely a time to just remind us of how challenging it has been with so many folks who are part of our community, but also the acts of kindness, the acts of love, the things that people in the city have continued to do to just really amaze me and others has been truly tremendous. And we want to thank you all again for just being good neighbors, being good citizens of the city, continuing to put out positive messages and hope and inspirations. We need it now more than ever. And yes, we are in this together. Which is why we will get through this together. And with that, i would like to take this opportunity to introduce the director of the department of Public Health, dr. Good afternoon. Im dr. Grant colfax, director of health for the city of San Francisco. Thank you, mayor breed. I would like to start by thanking everyone in San Francisco for your cooperation, your sacrifices, and your community spirit. As we join together, we are helping fight the spread of the coronavirus. When you stay home, when you keep 6 feet apart, when you wash your hands and when you cover your nose and mouth when you cough, you are literally saving lives every day. Today i would like to update san franciscans on a few developments in our ongoing work to respond to the coronavirus and to protect our community. Todays data tracker shows there are 797 San Francisco residents with confirmed cases of coronavirus. Sadly, 13 san franciscans have died of the disease. My condolences to their families and loved ones. There are 88 patients reported in the hospitals across San Francisco with coronavirus and approximately onethird of those are in the intensive care unit. Our hospitalization numbers had been holding relatively steady over the past few days, which is positive and good news. But, and i emphasize, but, that number could change at any time. Please stay at home and do your part to keep these numbers steady. At this time, our San Francisco Hospital System has enough beds to care for all of our current coronavirus patients as well as patients who are hospitalized for other reasons. We continue to make progress expanding hospital bed capacity for an expected surge of coronavirus patients. The worst is still yet to come. And sadly, as the mayor mentioned, we have troubling news to report with regard to an outbreak. Tomorrows case of coronavirus, case numbers of coronavirus, will be significantly higher once we factor in new test results from the msc south shelter. On sunday, we confirmed that two guests at msc south, San Franciscos largest homeless shelter, had tested positive for covid19 and were moved into Isolation Hotels where they are in Good Condition. Those first steps, my Department Took immediate action to contact investigations and test people who were close contacts showing symptoms or atrisk exposure. As the test results started to come back and we saw these t extent of the spread, we moved on wednesday to test all guests and staff at the shelter. On wednesday, there were five positive cases at msc south. Today, there are 70. There are currently 71 test results that are negative and 3 results are still pending. We have always known that from the data that this virus can take off quickly. And we are prepared to provide aggressive responses, especially in congress regatt settings in congregate settings. From the beginning, a prioritized population. Unfortunately, the moment is now upon us. I would like to assure san franciscans that this outbreak does not mean there is significantly greater risk to the general public. However, it is a very serious matter. Though not expected, we are very concerned about the health of the people at msc south. Many of them have Chronic Health conditions and are vulnerable to getting very sick or even dying from coronavirus. We are doing everything we can for them and to reduce the size of the outbreak. We have taken and will continue to take aggressive action to prevent health and safety. Every step of the way, the department of Public Health has been working closely with the department of homelessness and Supportive Housing and with the operator of msc south to follow our congress congregate setting protocols and identify the contacts of the people who tested positive. These efforts continue and are intensifying as the situation changes. Currently, my department is conducting a mass testing strategy at msc south, testing all guests and staff for covid19, whether they are showing symptoms or not. Again, as of this morning, dph tested 144 guests and staff. Of these, 68 guests and 2 staff have tested positive for covid19. At this point, none of these people are seriously ill. One former guest of the shelter is in the hospital. We are now converting msc south into a medical facility to care for people who are living with coronavirus. This new Recovery Center will be staffed by the department of Public Health, nurses and doctors, experts, who will provide care, monitor patients and arrange transport to hospitals if their conditions worsen. The solution has been part of our Emergency Planning scenarios from the beginning. And its the best one to preserve the health and safety of the shelter community. It will reduce transports and patients with a dedicated stuff of Healthcare Professionals staff of Healthcare Professionals who are attend their needs. Staff members who have tested positive are being offered places in Isolation Hotels if they do not have a safe alternative in their own homes. This offering of hotel rooms will continue for staff who test positive at this and other shelters across the city. Other guests are being moved out to hotels as well. On a case by case basis, depending on the guest condition and exposure, we are working with our Partner Agencies to place each person in an appropriate setting, whether its in isolation or quarantine site or a shelter in place hotel. This is a 24hour round the clock operation and the situation and numbers are changing. Department of homelessness and Supportive Housing and the Human Service agency are leading the effort to move guests out of msc south while the department of Public Health will continue to focus on providing excellence, experts, medical care, testing and Contact Tracing. Now i would like to take a few minutes to talk about equity, specifically Health Equity and how it relates to the coronavirus pandemic. As we prepare our hospitals and our City Healthcare system to care for former patients, we are closely examining neighborhoods and Community Members that may need more access to care in this rapidlychanging and evolving situation. That is one of the reasons why we opened our first field care clinic this week in the bayview. We have also opened screening and testing sites in the Castro Mission neighborhood and the zuckerberg General Hospital in the heart of the mission and potrero hill. We know we know that the Health Disparities and economic inequalities in our community are only made worse, unfortunately, only made worse by this pandemic. Global and National Data are already showing the disproportionate impact of the coronavirus on communities of color. In San Francisco, we are seeing and expect to continue to see these inequities as well. Although our current case data doesnt reflect major disparities yet, that data are also incomplete. We do not receive ethnic or race information for about a third of the test results that are reported to us. However, we have seen situations in the Latinx Community where people who live in multifamily or multigenerational homes are unable to self isolate. We have seen people in those households who must leave home to work and who have to make several trips a week for other essential supplies in small amounts due to their income stream. People in such circumstances are going to be more at risk. And we are being responsive to those needs to help mitigate those risks. We have been working with leaders in the Latinx Community to ensure that people have the information they need, that they are aware of the available resources that San Francisco is a sanctuary city where everyone will receive the best care possible regardless of immigration status. And that people continue to receive outreach in their own language in a culturallyappropriate way. Meeting our citys equity efforts, director davis of the San Francisco human rights commission, has established Community Roundtable weekly meetings. The roundtable is a Dynamic Group of Community Stakeholders who elevate concerns about the citys response and communication with communities of color, lowincome people and the lgbtqi community, specifically around covid19. We would like to thank director davis for her leadership. With this corroboration, we can and are taking action on issues based on Community Input and practices. Some of these issues include food insecurity, discrimination, appropriate culturallyfocused outreach, Financial Resources and improved communication and support. San francisco is also one of the few counties in the country that has an equity officer embedded in its Emergency Operations centerrer. The goal of this team is to mitigate inequity it is in the citywide response to coronavirus for our communities of concern including latinx, black africanamerican, asianpacific islander and lgbtqi communities. We will continue to listen to community partners, improve our response and continue to use data to guide decisions. We, i, am committed to the health and wellbeing of San Franciscos and doing everything we can to support health and full recovery for all communities in our city during and after this pandemic. Now i would like to provide a brief update on the outbreak at laguna honda hospital and the steps we are taking to protect the health of residents and staff. We have 17 confirmed cases of coronavirus at honda hospital, 13 of the confirmed cases are among staff and four are among residents. Of the staff, ten have been in patient care positions and three have not. All four positive resident cases are in the south five neighborhood. Testing of that neighborhood is currently complete. We have also completed testing for south residents, and im happy to say at this time we have not detected an additional case. Overall, to date, 301 honda hospital staff have been tested, either by the Health Department or by their own provider and 208 residents have been tested. As part of our ongoing response, we continue to test staff and patients throughout the hospital that had been identified as being exposed to contact investigation or have other risk factors, including showing symptoms of the virus. Unfortunately, we do expect more positive cases. But it is crucial that we know the facts so that we can continue to take evidencebased informed action to preserve the health and mitigate the spread of the virus in the institution. We continue to work with the cdc experts on the ground to reinforce and inform our aggressive response. As we continue to fight the coronavirus pandemic, i would like to remind you that our Top Priorities continue to be reducing the spread of the virus in the community, flattening the curve through the physical distancing that we are continuing to enforce and ask you to do, protecting vulnerable populations, healthcare workers and first responders, preparing our Healthcare System for the 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 actions and recommendations. We are working quickly to integrate new information all the time and adjust our recommendations accordingly so that we are providing the very best most up to date advice to you to the community that we can. Thank you. And director of homelessness and Supportive Housing will now provide remarks. Hello. The city and our nonprofit partners are battling two simultaneous health emergencies. The ongoing crisis with homelessness and the compounding issue of covid19 pandemic. This has taught us time and time again that everyones health is intertwined, the homeless and the housed. Protecting the health of people experiencing homelessness is essential to safeguard their health and all of our health. Therefore we must focus not only on improving the health and safety of our shelters and programs but also moving people to safety as quickly as possible. When people do not have homes to reside in and reside instead in Public Places and congress congregate shelters, they have less access to healthcare. People who are homeless and unsheltered are far more likely to have Underlying Health conditions. The city has taken many proactive steps to improve the health and safety of people experiencing homelessness. Today i want to focus as dr. Colfax did on msc south. Thank you to our staff at hsh provider st. Vincent depaul and all our City Partners who under the mayors leadership have wrapped their arms around this site its guests and its staff. For the last many days, we have been working on this, both preventively and since we had our first positive test. This is a large shelter, with 340bed capacity and a 70person dropin center. Due to our early and Rapid Actions to limit the spread of covid by pausing shelter intakes, we reduced the census to approximately 175 people. Before and since our first positive test at this site, we have moved over 70 people out and now have a census of approximately 100. Our partner staff are focused on the site 24 7. As you have heard it is now a medical shelter. We are also moving Vulnerable People from other sites rapidly and have been for the past several days and ahead of positive tests. We are deploying the plan we have created, and while this virus is dangerous, we are working urgently and taking all the necessary steps. I also want to provide you an update on our first covid positive test family shelter. This one is operated by hamilton families. The same plan that has been in place for Division Circle and for msc south is in effect with this site. The individual who has the positive test is in Good Condition and is off site already. Our thoughts are with Division Circle msc south and hamilton and our gratitude is with every san franciscan today. Thank you. Good afternoon. I want to start by first thanking mayor breed, her team, the team of our District Attorney bodine and Mary Ellen Carol and her team at the Department Department of Emergency Management for allowing us to have the resources to help our Domestic Violence victims. We think the text 911 will be a game changer and will enhance Public Safety in our city. So i want to thank and and applaud the mayor and director carol and our District Attorney for making that happen. To be able to provide the lifeline for those who are distressed but cant call 911. Often people who arent in a safe place cant call 911 so this resource is a game changer. Our citys Public Safety dispatcher at the department of Emergency Management do a fantastic job every day. And they do the dispatch of our Police Officers to particularly Domestic Violence calls are critical. Those situations can be time is of the essence. So we are very thankful for them and for the partnership. We also want to thank the people who made this come together, the text 911 service will provide an important way for people to reach out for help. And it will help us to effectively respond to those calls for help. So whether you use text 911 or call directly, we want you to know our city Emergency Responders will be there for you and be ready to respond. I want to emphasize, though, that calling 911 is always the best course of action if it is safe for you to do so. If you cant, you can use the new text 911 feature. Next i want to talk about enforcement over the easter weekend and resen forcement, let me resident enforcement. Let me frame that in the context of compliance. As the mayor and doctor said that by and large, san franciscans are complying with our Public Health orders and thats really good news but we need to keep going. We need to keep in. We are not out of the woods yet. Please listen to the Public Health officials. We need to keep this going. So what you can expect to see from the San Francisco police department, you will see us out. You will see us in the parks with park rangers. You will see us in the business corridors and your residential communities. And we are going to continue to spread the message of social distancing. And as i said in other conferences, news conferences, for those that have been warned, we are making a record so we will not warn you twice. Today we have had notifications and a number of those have been nonessential businesses that have been, we make sure those businesses stay closed when they are supposed to be closed. We have not had an issue with businesses reopening. We are still issuing citations we have not issued any citations since the first two. I want to reemphasize what mayor breed said, please, this is going to be an easter weekend where we are used to family gatherings, attending religious services, being around people, going to restaurants and really socializing. We know its hard. And this is a change for all of us, believe me. But we need to adhere to the Public Health orders. This is a matter of life and death. So please comply and lets all make San Francisco safe. As the mayor said a number of our religious organizations supported this effort. Michael pompas from the interfaith counsel is very supportive. I know this weekend is a holiday, and thats difficult for people, but again, the religious organizations are asking that everybody comply. Shelter in place throughout this weekend. We are still seeing a downward trend. We have had some burglaries and we are going to be in those areas to make sure that our Business Owners are safe. We ask you to all 911 if you see crimes occurring, particularly violent crimes. You can also call or utilize our website to file police reports. We are taking reports. We have a call center. Do not let people of this nature into your homes. Somebody asks to come into your home to inspect or give away masks, they are not legitimate, we are not doing residential inspections to peoples houses. You will see our Disaster Service workers passing out fliers and information pamphlets but they are not going to anybodys home so if you see that happen, please call 911 because it probably is a scam. Information is key and we want to make sure that the public is informed. That distribution of information does not include us asking to come into your home. If it sounds too good to be true, it probably is. So for those people that are offering something that sounds too good to be true, please get a second opinion, investigate it before you act. Dont carry large sums of money. We have seen a couple of Home Invasion robberies. Please dont have large sums of money in your house. We ask that you use your Financial Institutions for that. And dont open your doors to people that you dont know. Its as simple as that. Use simple, basic safety precautions to keep yourself safe. The last thing we need is for people with all the anxiety of this Public Health pandemic to be worried about their safety. So use good, sound Safety Practices and good common sense and lock your doors for people you dont know and keep your doors locked. With that i ask that you please help us this weekend, help yourselves, keep your family safe by complying with the stay at home orders and social distancing requirements and have a happy and great easter weekend. Thank you. Dr. Grant colfax. Good afternoon. The city considered closing some residential streets off to traffic in order to provide more safety and social distancing for residents who like to go out to walk, jog and bike. Its very important that we keep physically distancing from each other. And while we understand, and i wont encourage people to get out and exercise i will encourage people to get out and exercise and get fresh rare, we want to make sure that crowds do not congregate those areas. As the mayor said, over the weekend, its very important that people respect and have no plans but to stay in quarantine. Question from tan with nbc bay area. Can the bay area afford to send resources such as doctors to other areas such as new york to help . How quickly could we get resources back if we have a surge of cases . I cant speak for the institutions that are sending aid there. As a provider myself, i respect the need for them to do that. And i certainly would also respect if the situation worsens here that we would be able to respond to the cases we have here and keep the resources in San Francisco. We have an ongoing need for testing supplies in order to increase our testing capacity. We have a great need for personal protective equipment to protect our Health Workers and first responders. Those are dire shortages in San Francisco across the country. So we need to ensure that we are meeting our local needs as well as when we have the ability to help our colleagues who are struggling with the pandemic in certain regions across the country. Another question from nby bay area. N nbc bay area. Are the rest of the staff and guests there being [off mic] is the department of Public Health tracking the cases in hotels. The cases we know about are really through contract investigations. So that person either tested positive or we find a case that was tested as a result of a contact of another case. So we will be recording those data and ensuring the data if and when they are accurate. A followup to that, how is department of Public Health handling any positive cases at sros in terms of Contact Tracing and isolating vulnerable residents . We are aggressively Contact Tracing residents in sros and we are ensuring that if necessary they are providing with hotel rooms to self isolate and protect themselves and their families and the rest of the members in that sro. A question from janey at associated press. Are the 70 people who tested positive at msc south connected to the two people who tested positive on sunday . Tested positive on sunday i need a clarification, what two people . I believe what shes trying to ask is we announced at some point last week that the original two cases at msc south are these cases related . Yeah, i think its i really i certainly cant say affirmatively that those two cases are directly related to all the remaining cases that we detected. The point is from a Public Health perspective when we assess the situation, when we look at the patterns of engagement and interaction at the shelter, and as we tested more people, it became clear that the outbreak was widespread, and thats why we are testing everybody in the shelter and made the decision to test everybody in the shelter at the time as well as staff to ensure that the people knew their status, that we can monitor them appropriately, house them and ensure that they get the best medical care possible as well as taking aggressive steps to protect other people from potential infection. A followup to that question, which i hope im clarifying correctly. The two we previously talked about, we understand those folks were moved out of shelter. The remaining 68 guests, where are they now . So, again, its a rapidlyevolving situation and as we talked about, the msc shelter is now going to become a covid19 Recovery Center. So many of the people who are of the guests who tested positive at south will be in that shelter being taken care of by expert medical professionals, our excellent doctors, nurses, and social workers from the department of Public Health with support from the department of department of homelessness and Supportive Housing as well as the Human Service agency staff. Question from john king of the San Francisco chronicle. Will testing now be done on all of the residents in all shelters given the number s found at south . We are again looking at the evidence and Contact Tracing cases and shelters and will make a decision on how many people need to be tested depending specifically on the case and really using Christian Science monitor in terms of

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