Good afternoon, welcome to the may 12, 2020 meeting to the board of supervisors. Madam clerk, will you please call the role. role call . Mr. President , all members of president. Please place your right hand over your heart. Will you join me in reciting the pledge of allegiance. I pledge allegiance to the flag of the United States of america and to the republic for which it stands, one makes under god, indivisible, with liberty and justice for all. Thank you. On behalf of the board, i would like to acknowledge the staff at sfg tv. The special order is the appearance with the honnable mayor, london breed. There being no questions submitted from supervisors one through four, the mayor may address the board up to five minutes. Ok. First of all, i want to welcome madam mayor breed and there were no topics submitted by supervisors today, but before you get started, i want to take the time to address the public on what we are preparing to announce next week. I want to acknowledge how we are collectively are reevaluating the structures we have in place with the Emergency Response. Communications between the board and Emergency Operations center has been a work in progress and it has been difficult for own or constituents to understand the status of the evolving emergency and what the future might hold. We have been in discussions with the Mayors Office on how to clarify this and make sure that all policy decisions moving forward can be clearly articulated to all members of the public. As elected supervisors, we are held accountable to our extents regardless of the social economic status or their vote. As the duly elected governing body of policy make es makers, e responsible for weighing and mitigating the policies for the greater good of the city and county. It has been challenging to respond to this crisis but we are working diligently with the executive branch to make sure there is an actual plan that we can share with it general public and restore the confidence that we are going to get through this together and wont be leaving anyone behind. In the coming weeks, the mayor and board are refining respective roles towards a more coequal collaboration. By bringing the policy makers closer to the polymakin policyg operations. Everything the city is doing is improving so we can optimize how we serve all of our constituents, the great people of San Francisco. I want to thank you, madam mayor, for taking this opportunity fire collaboration by work with the board and liaison stations at the Emergency Operations center and now working with us as we try to establish a deeper level of engagement so we can provide more accessibility is responsiveness for constituents, especially as we advance into the next phase of the Emergency Response and work towards the preventing and recovery. So i thought i started off with that, madam mayor and we welcome you to share your remarks. Thank you, president yee, and thank you so much for your willingness to collaborate and partner. As you know, this pandemic hit us hard. It hit the entire world hard and i think that San Francisco has been a leader in addressing this challenge as we have seen. Rather than the focus on being whats happening in our Hospital System and being overburdened with the number of cases that people are diagnosed with, we are, of course, at a point where we are having discussions about our economy, about recovery and we appreciate and welcome your partnership and feedback in those efforts. We are all in in together and i think its important to Work Together to try to resolve these very challenging issues during this time and so thank you for the opportunity to address the board. Today i really want to focus on our economic recovery and the bond for this upcoming election. Last november i asked the Capital Committee to replace this the parks bond with a Mental Health bond. We know this has presented challenges for our city. During this pandemic, we have seen this become more difficult for those on our streets and for many of or residents. We need serious investments in the better longterm care and more support for our neighbors in crisis. But now, with nearly 100,000 people in San Francisco filing for unemployment, we also need to support jobs, to build towards recovery and to support our communities, especially in their time of need. Today, im introducing legislation to start the process for a new recovery bond. First, this bond proposes serious investments in building, purchasing and the Mental Health facilities that our city and our most vulnerable so desperately need. And we cannot wait any longer to lay the foundation for a better system of care. The recovery bond includes significant investments in parks across our city and particularly in those neighborhoods that have seen reduced resources. These parks will disproportionately serve communities of color and directing resources to these projects, we not only build a safe space for our residents, but we can invest in jobs and putting San Francisco back to work because these projects are shovelready. Finally, ive carved out some bond capacity for basic infrastructure. Repaving or roads, laying our bike lanes and even building out curve ramps. These items arent flashingy, buflashy, butthey keep the cityd ensure to deliver basic services in every corner. Given the current state of emergency, i know it feels like todays bond deadline crept up on us and that there needs to be more discussion. I want to ensure all of you that im eager to hear and incorporate your feedback. Ive already heard from many of you that you want to see more and different parts reflected and i ive heard you dont think the urgency of our Mental Health crisis is reflected in this structure. I want to say that i hear you, im listening and i welcome your feedback and we do need more Mental Health support, more care for our neighbors and at the same time, during this pandemic, we have seen the incredible importance that outdoor space plays in our communities and everyone deserves a safe space to spend Time Outdoors and in their neighborhood and this bond isnt done. We have a month to get to we have a month to roll up our sleeves, speak with extents and weigh the completin the competef our city. This will be several hard choices in a very, very tough economy. After several years of strong Economic Growth and a growing budget, this year, we will have to make tough choices in our capital plan, in our budget and in how we Prioritize Services for our city and in the last year, we were community to champion together a 6 million Affordable Housing bond and over 6 million for Emergency Response and Public Safety and i want to thank all of you for your partnership and support of those efforts. Now to be clear, weve borrowed as much as we can from future bond plans and weve soaked up all of the extra debt capacity and we have to decide on what is most important. I want to hear from you. Im committed to having those policy conversations and taking your feedback and im hoping we can work collaboratively and quickly to create a bon measuree we can all support this november. Thank you all for the opportunity. Thank you, madam mayor, for joining us today. This concludes the special order. This item shall be filed. Thank you. Madam clerk, lets go back to our communications, and do you want to start it off. Do we have any communications . Yes, since the local emergency was declared, Board Members have been participating in board meetings remotely through Video Conference as if they were physically present in their chamber. Provisions have been made for members of the public to participate remotely in the following ways. For members of the public who do not have access to the internet, the u. S. Postal service will deliver written correspondence if you address to the board of supervisors and address it to city hall, room 244, San Francisco, california, 94012 and for those whose interest is just to listen to the meeting and not speak, you may do so by dialing 882045948. When prompted enter 3501008 and press pound twice and youll have joined and can listen to the meeting in progress. If you would like to provide Public Comment when item 12 is called, thats general Public Comment, there are some best practises and you can call from a quiet location, mute your television or radio, speak slowly, clearly and each speaker will be allowed two minutes to speak in the jurisdiction of the board. Election time is always around the corner. There is to be no election eeeingin this video environment. Address the supervisors as a whole and not individual members. If once you are listening to the meeting in progress and you wish to enter the cue to speak, dial 1 and then 0 and that will move you into the speaker line to speak and youll be prompted when it is your turn to provide comment. You can get in line early or you can wait until Public Comment is called. The key is to press 10 only one time. Otherwise, if you press it twice, youll be moved out of the speaker line and back into listening mode. Two last points. The director of the office of Civic Engagement has assigned three interpreters to be on stanstanby to assist speakers in language with their comment. I would like to have each of them introduce themselves and let the Community Know theyre here for them. Today lets start with fay. speaking Foreign Language . Agnes lye. speaking Foreign Language . If you do have the internet and would lic lick like to submn comments, submit them and you can watch it livestream and you can watch channel 26. Note it is cable cast and results in a 20second broadcasting delay and thank you, mr. President , and to all of the members of the board and the public for your patience wit length of this communication and we are being advised from the public on what type of guidance is actually helpful. So thank you to the public and keep your comments forthcoming. Thank you, mr. President. Thank you, madam clerk. Before we begin, just a friendly reminder to mute your microphones. Are there any changes to the Meeting Minutes . Seeing none, can i have a motion to approve the motion as amended . Motion to approve made by mandleman and seconded by supervisor stephanie. Madam clerk, will you please call the role. role call . There are 11 ayes. Ok, this will be approved as presented. So before we get started, i want to give updates and ask a few other of my colleagues to give some brief updates on some emergency situations and what were doing about it. So, as you know, the board of supervisors have been going down differento the emergency operatn center over the past two months and i want to thank everybody that has volunteered to do that. And i particularly want to thank supervisor fewer who actually stabilized it for about a month there. And supervisor mar was there for the last two weeks. So this week, we actually dont have anybody down there and part of this evaluation that i talked about earlier is to step back and to see what is the best usage of at least the boards time in regards to our role with policy making and also to keep the best communication we can with the operations down at the moscoli center. So this would give us a time to reflect and say, well, should we continue going down or not . Is it helpful or not helpful and then if we conclude that its helpful, then i would, again, ask my colleagues to step up and volunteer to go down there. So thats sort of the update, with by related to our emergency order that we have started between mayor breed and myself, we ask that a task force be created, called the economic recovery tax force and i asked supervisor mandleman, would you give a brief update. I know that you and supervisor peskin have been attending those meetings and so supervisor mandleman. Yes, happy to provide a brief update. Thank you, mr. President. So this Economic Recovery Task force was convened by yourself and the mayor and the cochairs for the task force are carmen chu, the recorder and the treasurer, rodney fong from the chamber and Rudy Gonzalez from the Labor Council and supervisor peskin and i are representing the board and folks representing different sectors of San Francisco from big business, Small Business, labor, Nonprofit Community and lots of folks and then with abled staffing from the city administrator and workforce develop, the office of resilience and capital planning, the human rights commission, the treasure Tax Collector and Melissa White housMelissa Whitee staffperson and i believe carmen reached out for feedback. We had a meeting on april 4th, a just Getting Started meeting and the staff then convened, i think nine different smaller groups to discuss what folks are hearing and what they would like to see prioritized. And those smaller subgroup meetings, i believe have now been finished, and the meeting of the larger group is this thursday, may 14th. Based on those initial conversations, i think as recorder chu an and thinking abt Going Forward in three buckets of areas. First is the developing of plan protocols and tackling issues related to safe reopening and that is through may and that would drive the task forces work in may and june thinking about what kind of ppe businesses well need and what processes need to be in place and what questions should the department of Public Health be asking and what questions will businesses theyre asking about pph. So trying to be fa sil facilatad helpful. So in july and august, the other two buckets are more about supporting Business Resiliency over months and even years as we continue to deal with covid19, thinking about some of the issues that have come up with outdoor spaces and use of the outdoor space and how to support workers and workers resilience. And then the a aspirational thinking, using the better resources we have, tackling the longerterm challenges and using this time to experiment and pilot new ideas and think about things like the greater challenges around environmental crises and how this period can inform that. So a lot of work to do and members of the board who are interested in engaging stakeholders in their districts, there is a website and folks are encouraged to fill that out and theres an email, i believe, that members can members can get in touch with melissa or carmen. And i think thats what i have. Thank you, mr. President. Thank you, supervisor mandlemm man. Mandleman. Theres a lot going on in the city, trying to address the future is the media and certainly the Economic Recovery Task force is just one of many, by do have our people on the board as representatives. And another body that has been some work, thats tryin trying h for more local relief is also represented by two of our colleagues on the board of supervisors and that would be supervisors researc ronen and sr stephanie. Supervisor ronen, can you give a brief report in whats going on with how to get started and ho. Supervisor ronen. Thank you, supervisor yee, for this opportunity. I have a few updates to give to sf and theyre all pretty exciting. I wanted to start out by saying that the givetosf program was started by the mayor at the beginning of the crisis as a way for donors throughout the city to support other people in San Francisco as the situation has become more and more grave. And since then, the Mayors Office developed a committee to serve as oversight of this fund and supervisors stephanie and i are sitting on that committee on behalf of the board of supervisors. The Oversight Committee makes decisions about how much to allocate to each need and when to do that. And in general, we have there are three different buck buckets where the money is allocated and 50 of the money goes to Food Security, which is an endless need that we have all over the city. For the first time, were seeing unhoused residents in the street citing hunger as one of the Biggest Challenges to surviving and we have food banks and lines at every food give away that extends for blocks and the donors run out of food way before everybody gets the food they need. And as the mayor mentioned earlier, we have a Record Number of unemployment in San Francisco reaching 108,000 today and so, the need for Food Security is greater than it than its ever. The committee is making sure that 50 of the funds go to this need that is urgent all around the city, especially with cities and unemployed families and the unhoused. An additional 35 goes to supporting Small Businesses and the lowwage workforce. The most two important programs finished exclusively by givetosf are the resiliency grants of 10,000 to Small Businesses with five or less employees, as well as the 50,000 zerointerest loans to Small Businesses with 2. 5 million in gross receipts and under and if we want to continue to increase those resiliency grants, which i know all of the my colleagues and i are desperate to do because we know so many Small Businesses facing closure if they dont get help, weve got to raise more funds through givetosf. And then finally an additional 50 of the funds and this is all rough and can change based on urgency. Go to the Mayors Office of Community Development for household assistance. But its broad, what that means. It can be anything from unpaid utilities, security deposits, basically needs to keep people housed and to keep them safe in their homes. The last thing i will mention is that we have launched a very Exciting Campaign today. I think youve all received emails from my office and i want to give a huge shoutout to jennifer lee of my office who spent all of last week citing 150 images and i would like to share my screen so you can see really what these look like. If you could share these images with your constituencies on social media, we think that people in San Francisco will be very inspired when they see who is giving to givetosf and who is receiving the funds. This is todays graphics that depict a donor who wanted to help Small Businesses because he was born and raised in San Francisco and his parents were former Small Business owners and then a Small Business that receivreceived those funds and t be able to make it through this crisis because of it. So if you could all i sent you the toolkit and if you can share that with your community of supporters, it will be very helpful. Were asking every elected official in San Francisco to do that, both on the local, state and federal levels. And were hoping that will greatly increase the funds to this program. I want to remind you that all of the programs that are serving and supporting undocumented community, Small Businesses, theyre exclusively fun funded y givetosf and saving money in the general fund. Those of us who are very scared of the next budget cycle, we were facing a 1. 5 billion budget deficit, but also are working so hard to meet the basic needs of the constituents, this is the way we can collectively raise the funds to do so. And thats all i have for you. Thank you, supervisor ronen. And i just wanted our listeners to know that these are just a few ways in which the board of supervisors and the City Administration are working together to bring whatever relief we can and improvements we can while were facing this emergency. Thank you very much to all of you. So madam clerk, i believe lets go right into our regular agenda. Well call item number one. Item number one, ordinance to levy special taxes within the city and county of San Francisco for 20201, for the mission rock facilities and services. Madam clerk, i dont see anybody on the role, so could you call the role on this. role call . There are 11 ay session. Aye. This passes unanimously. Item number 2. The administrative code to close county jail number 4 on the seventh floor of the hall of justice by november 1st, 2020, to require the Sentencing Commission to establish the safety and justice challenge subcommittee, the reduction of the citys daily jail population and closure and determinations to the California Environmental quality act. Madam clerk, please call the role. role call . There are ten ayes and one no with supervisor stephanie in the dissent. Madam clerk, item number 3. To amend the planning code to create the intermediate length occupancy, residential use characteristic and to affirm the seqa determination and make the appropriate findings. Please call the role. This is item number 3. role call . There are 11 ayes. Thank you. And this ordinance has passed unanimously. Madam clerk, the next item. Item 4 is a motion to approve the mayors nomination for the reappointment for christina ruki to the transportation agency, bad of directors, material termg march 1st, 2024. Supervisor ronen. Thank you, colleagues. I dont know how to get back to the screen. Can you see me . We can see your icon photo, but not you directly. Im sorry, i cant figure out how to get back to the screen, so im sorry you cant see me when i talk, but at least you can hear me. Here we go, thank you whoever did that for me. John and brent. And im back, thank you. Colleagues, i have had voted at the rules committee to support the nomination of christina rubki to the mta board because i have a ton of respect for her and appreciated her answers to many questions that i asked during committee. But something happen hasnt sat well with me over the past few weeks about this appointment and primarily, its the fact that we passed two unanimous resolutions at this board of supervisors and one was unanimous, which urged the mta to name the station and the second one was a 101 vote urging the mta vote not to raise fees on people in San Francisco during the worst health and economic crisis that this city has seen, perhaps, ever, certainly in decades. And both of those resolutions were basically ignored. By this mta board christina rubki sat on. Im thinking what we have coming up ahead of us in the next couple of years and the fact that mta is going to have to decide which services to cut with unprecedented holes in the budget and it just doesnt sit well with me, that this board of supervisors, that are closest to the constituents on the ground, that advocated based on what our constituents need for us, that that opinion, when its so overwhelming at the board of supervisors is just ignored by the mta board. It just doesnt sit well with me. And for the First Time Since ive been elected supervisor, ive changed my mind and ive decided that im going to vote no on this appointment. And i hope it sends a message to the mta board that when we speak and we speak overwhelmingly at this board of supervisors, we do not want to be ignored by that board which is appointed, by the way, exclusively by the mayor. And i just wanted you to understand why im changing my vote today. Thank you. Thank you, supervisor ronen. And supervisor peskin. Thank you, president yee. And i want to appreciate the comments of supervisor ronen. And as you know, i have a long history around charter reform as it relates to the sf mta and was the author in 2007 of proposition a that gave the sf mta more independence from the board of supervisors. And i note that it is very rare, although supervisor ronen outlined two of those rarities, that this elected legislative branch of the government signals by resolution to this appointed body what our policy desires are. And the only check and balance that we have really comes through the nomination and confirmation process. And i think that sending a message not only to the mta commission, which is, by the way, the only other body that has legislative authority in the city and county of San Francisco but to other commissions that legislative branch of this government comes up with a policy urgence, that it must be heated. We can do what supervisor peskin and i propose, which is to tinker wilt Charter Authority that we gave them and the voters gave them. But meanwhile, the best way to enforce that message and really fulfill our obligation to be a check and balance in this process is by sending that message and voting no on this nomination. Supervisor fewer. Yes, thank you, president ye. Yee. Thank you for your service on mta. I have gone before the entire board of the mta with specific questions about the budget and never once did i receive a response. And not only that, but the fact that i feel like there is a lack, in fact, theres is zero representation on the mta board and i want to say thank you for her service, but i will not be able to support her today. I had a conversation about this and so, i just wanted to say thank you for your service, and i will not be able to support this nomination today. Thank you. Ok, thank you. Anybodi dont see anybody eln roster and madam clerk, may we have a role call. Item 4 role call . Fewer no. Hainey no. Peskin no. Preston no. Ronen no. Walton no. There are fivas five ayes and s. So with a 56 vote, the motion to approve is defeated. Item 5. An ordinance to amend 17019, the annual salary ordinance for fiscal years 20192020 and 20202021 and to enacted military Service Related to the covid19 pandemic and to the enumerated events that qualify for expressio sumsupplementatio. This is allowing employees calling into duty for the covid19 response to receive the same pay other active response receive. This will pay for military leave difference between city salary and the military pay when they are called into active service for more than 30 days in response to terrorist attacks or acts of conflicts. These same individuals do not get the same benefits if called into active duty for covid19 response. In march, the president authorized california to deploy the National Guard to respond to covid19 and approximately 1,000 National Guard members have been deployed statewide. My office identified two individuals who were in this situation is the budget identified five possible additional individuals after surveying our city department. Base on the low number of individuals, the impact to the budget will be extremely small and absorbed by the departments within their current budgets as stated at the budget and finance committee. But the impact really is for the individual families is extreme and they will still have to meet the living expenses, of course, and that will be significant to them. Covid19 disaster response, i think, we can all agree is some of the most important work anyone is doing right now and why the city has deployed so many of our own employees as Disaster Service workers. I dont believe anyone should have to choose between this important work and supporting their families and i want to thank president yee for waiving the 30day rule and for his questions at the budget and finance committee, i understand they were answered and i want to thank chair fewer for scheduling this is walton and mandleman for sending this out. Thank you, and i would appreciate your support. Thank you, supervisor stephanie. And thank you for bringing alert to this issue and realizing that theres the laws that govern the reimbursement is somewhat shortsighted and not seen some of the emergencies that we were activating our troops. And one of the reasons i ask questions about what the impact might be to the budget is that not knowing how many people would be activated and so forth and so the reports are not 100 accurate but close enough in terms of some estimates of what it could cost the city. Madam clerk, role call, please. Thank you, mr. President. On item 5 role call . There are 11 ac 11ayes. In has passed unanimously in First Reading. Madam clerk, call item 6 and 7 together. Two resolutions that both authorize the director of Real Property, 5 and 6, to exercise two real lease amendments at 3119 and 3120 and both are on Mission Street for Service Spaces with klw investments for items 6 and for each lease fiveyear terms to commence juln june 20, 2020, for a base rent close to 2. 1 million with a 3 increase every year and specifically for item seven, authorizing the director of property to extend a Real Property lease located at 2 goth street for a fiveyear term commencing on july 1, 2020 and expiring june 30, 2025 for a base rent of 624,000 with a 3 increase annually. Supervisor peskin. Thank you, president yee, and i want to thank the chair of the budget committee, supervisor fewer, for holding this over and giving our folks at real estate the opportunity to renegotiate this lease. I would like to thank Andrico Pennick for the cost savings that was achieved in the twoweek period when the budget and finance committee did not hear the item as originally presented or did not vote on item as originally presen presed this is a model for the citys lease negotiations Going Forward, where there has been a significant price reduction from the original negotiated price. So thank you, mr. Pennick, and mr. Fewer. Role call, please. On item 6 and 7 role call . There are 11 ayes. This passes unanimously. Is supervisor fewer on the roster . I was going to comment on the last item. It is fine and thank you for checking. Thank you, supervisor fewer. Thank you for checking. No worries. The next item . Item 8, resolution to authorize the Treasure Island Development Authority to execute a standard agreement with the California Department of housing and Community Development, hcd, under the Affordable Housing and sustainable communitys program for a total award of 20 million, for a loan to the project sponsor for 100 of Affordable Housing and parcel c3. 1 and a grant dispersement for Public Transportation improvement on torrential island for the period ending june 30th, 2039 and authorizing the authority to except and expand a 600,247,000 grant for a Ferry Terminal and pay bridge improvements and other transit. Please call the role. On item 8 role call . Are 11 ayes. Thank you. And without objection, the resolution is adopted unanimously. Madam clerk, please go to our next item, number 9. Item 9 is an ordinance to amend the planning code to require conditional use authorization for applications to demolish a singlefamily residential building on a site zoned as h1, residential house district, one family or rh1d, residential house district, one family detached. When the building is demonstrably not affordable and to affirm the sequa determination and make the appropriate findings. please stand by . 6789 president yee have participated in National Elections since 1986. We need to ensure that young people build a habit of voting as early as possible and continue to participate in our democracy across their lifetime. Evidence from other cities and countries that have set voting at an early age of 16 shows that the lowering age increases voter turnout among Younger Voters and even encourages people to vote at higher rates. We know that the issues that we vote on as a city dont just impact everyone 18 and older. They impact our young people, too. 16 and 17yearolds go to school but dont have a say on in a decision we make about their education system. 16 and 17 year olds can be tried as adults several times, but dont have a say in our criminal justice system. And 16 and 17yearolds pay taxes but dont have a say in how we spend tax dollars. Ultimately, 16 and 17yearolds should have a say at the ballot box in economic impacts. Im sorry. In advance of civic and human rights address inequality and reform our gun vials, and confront climate change. I have seen this over many decades decades that i have had the opportunity to work with youth. Many years ago, i was able to work with an organization to organize a youth summit. Over 275 youth participated. Not only did they participate, they provided leadership and facilitated all the workshops. What it showed me is youth in San Francisco can and want to navigate complex issues. The question is not are San Francisco youth able to contribute to society for the better, its that they can. We have come a long ways but still have far to go to ensure that everyone has been afforded the right to vote in this country, is able to cast their ballot on election day, and we have a long way to go to ensure that groups that have not been afforded the opportunity to vote but so greatly deserve to do so are extended the right. That is what this fight is about. This is about moving us forward as a city and sending a message to our country at a time when we are confronted with division, gridlock, and so many seemingly intractable problems. It is about recognizing that our youth have always pushed our city and country forward, and it is about recognizing that our democracy has struggled when everyone is informed, engaged, and able to participate in decision making. Colleagues, i hope you will all support this historic effort to extend Voting Rights to 16 and 17yearolds here in San Francisco. The second item id like to introduce is today, i will be introducing a resolution urging congress to support 100 billion for relief funding for child care in the next covid relief package. A letter signed and sent to the house of representatives called for 50 million to a shortterm Stabilization Fund and longterm Recovery Fund for students, aide as, and providers. However, previous to the coronavirus incident, child care was under funded. The covid19 pandemic has significantly impacted the Early Education and child care industry. The National Association for the education of young children, a review that only 11 of the countrys child care providers would survive without government aid. This is unacceptable. Losing the providers would not only put a centerbased and Family Child Care providers out of work, but there is a ripple effect. Families without care for the children will also lose their jobs. My office has received letters from the hispanic Family Child Care network expressing exactly this, knowing that they will have no choice but to close without support. Early educators and child care providers are the backbone of our economy. As they face increasing economic impact, we must make sure that they are not left behind in a response to covid19. We must ensure that centers and Family Child Care continue to operate after the pandemic, and that we provide support in our early educators during and after this pandemic. Now, more than ever, we must private child care to families who rely on child care services. We must advocate and demand that the federal Government Support families and these essential workers. This is why im introducing this resolution in supporting the house of representatives call for the investment of early care and education. Thank you for my supervisors peskin and mandelman. I hope that others will join in this effort. And the last thing id like to introduce is a resolution called Asian American and Pacific Islander day against bullying and hate. Today, i am introducing a resolution to declare may 18, 2020, as Asian American and Pacific Islander day against bullying and hate. I want to thank supervisors ronen, peskin, mandelman, and stefani for cosponsoring, and even before current the current covid pandemic, the Asian Pacific american community, particularly the youth, were increasingly targetland for hate and bullying crime, where certain populations, including the south asian, our muslim, sikh, micronesian, English Proficient limited youth are at greater risk than others. This time often compounded by religious and linguistic barriers that prevent these communities from seeking help. Twothirds of the sikh American Students face bullying, and half of the muslim American Students report bullying. May 18 was chosen because it is the birthday of esru chen, who would have been 65, but in 1985, he was brutally murdered in a hate crime in detroit. Since may 18 is next monday, i am asking this item to be approved as part of the imperative agenda because it is purely commemorative in nature. The rest i submit. Clerk thank you, mr. President. Supervisor fewer . Supervisor fewer yes, thank you very much. Thank you very much, madam clerk. Today, i am introducing a resolution urging the mayor and city departments to prioritize public departments and transparency during the covid19 emergency. Since the covid emergency began, there was a state of emergency declared, and the mayor has introduced a series of proclamations given the unprecedented conditions initiated by the pandemic. These conditions and the related actions have also had an impact on Government Transparency and government access to information, including the suspension of Public Meetings and provisions of the brown act and sunshine ordinance. In addition, the seven economic recessions triggered by the covid19 emergency and following Public Health orders have had an immediate and Significant Impact on the city budget, forcing the mayors Budget Office and Controllers Office for the next two fiscal years and modify the fiscal calendar. We now have modified the schedule for the next two months, allowing the departments to revise proposed budgets, and mayor to revise her budget with relevant information. All of these are leading to questions about how to ensure public transparency within the budget process on such a short timeline, more than ever needed this year with the likelihood of cuts being considered. This allows the mayor to implement some recommendations regarding transparency from the league of women voters and urges the mayor and select city departments to put into place measures for transparency during this years trunkated but high stages budget process including a revision of departments budget proposals. Colleagues, i hope to have your support on this item. And today, i am proud to stand with supervisor yee in support of vote 16 and the expansion of Voting Rights for the youth and teens of San Francisco. I have long been a supporter of this. We have an Incredible Opportunity to engage young people in discussions about civics and social issues while they are in high school that can deepen their ownership of the democratic process. We know that the earlier that people are registered to vote, the more prolivic voters they become. Once a person votes, that person is likely to vote again. At the age of 16, a young person can drive or be sentenced as an adult for a crime. If we as a society are willing to grant such responsibility on 16yearolds, it makes no sense that we would deny them the right to vote and engage in the democratic process. If we are seriously invested in training the next generation to be socially and politically involved, this is how we start. Currently, the average age of a voter in the United States is 43 to 46 years old. If we truly want a democracy that recognizes the voices of all, it is time we add the future generation into that democracy, and we can do that by allowing them to vote. Thank you to the commission and norman yee for allowing this effort. Id like to be added to president yees legislation concerning a. P. A. S against bullying and hate. Clerk thank you, supervisor fewer. We will add you to that. Next up is supervisor haney. Supervisor haney thank you, madam clerk. Today, im urging the governor to invest in Small Businesses operating in c. R. V. Convenience zones and forgive the outstanding balances of Small Businesses who have been unable to pay fees for operating in these zones. Something ive heard in conversations with a number of Small Business owners in my district is the incredible burden that c. R. V. Fees can place on our cornerstone markets. These businesses are essential in serving our communities, especially in times like the current emergency. While many businesses are taking on the cost of implementing Safety Measures and supplying with social distance complying with social distancing measures, they are weighed down by these fees. Thats why im urging the government to waive the fees and to forgive the outstanding loans of the many Small Businesses unable to pay fees operating in these zones. I believe that relief from these fines relief from these fines at this time and for the duration of the emergency order is one important way we can support our small momandpop stores and say thank you for putting their lives on the sign as they continue to serve us during our time of need. The rest i submit. Clerk thank you, supervisor haney. Supervisor mandelman . Supervisor mandelman thank you, madam clerk. Today, colleagues, im asking that we adjourn our meeting in memory of courtney brousseau. Courtney was 24 years old. He was walking home from dolores park when he was struck by a bullet from a driveby shooting at 14th and guerrero. The follow monday he died from those injuries. Courtney was, by all accounts, an extraordinary human being and an extraordinary san franciscan. According to his friends, he would immediately reply when someone shared their adventures in their city with, i love this city so much. Courtney was an eagle scout, a Supreme Court justice in his local ymca youth and government program. He was the editor in chief of his Student Newspaper in newberry park, california. He and his fellow student journalists defended themselves in the freedom of the press from angry parents on the school board and never backed down. They won and never aired the apology that was demanded of them. He attended u. C. Berkeley where he somehow managed to get more involved in his school and community. Courtney worked on issues like Student Housing and improving the berkeley mobile Student Resources app. He was also a member of the cal berkeley democrats and Berkeley Forum during his time on campus. Following his graduation with a degree in economics and computer science, courtney moved to San Francisco in 2019 and got a job as an associate manager at twitter, focusing on projects to make them more inclusive and less prejudicial. He was active with the San Francisco Transit Riders Union and frequently spoke about the need to improve our Transportation System and make our streets safe. He cofounded the gay for meet up groups with his friend, janet lee, providing a place for people from all walks of life to celebrate Public Transit in a queer space. Courtney changed the world and the lives of many of those he came into contact with during his muchtooshort lifetime. I am honored to have had the opportunity to represent someone as invested in his community as courtney, and i want to express to his friends and family our deep sadness for their loss. I know that supervisor haney knew courtney, and i know he has some words he wants to share with us today and some frie words from his friends and neighbors. Clerk supervisor haney, did you want to go now . Supervisor haney yes. Courtney had a huge impact on so many people who were inspired by him, found hope and joy and his connections and his ability to connect people, and above all, his love for the city and his commitment to the people. I had the opportunity to know courtney. I had the opportunity to meet courtney for coffee just a few weeks ago, and i was able to learn from him. And i remember leaving that conversation just a bit more hopeful about our city and the people who care about it more deeply. I want to share just a few short things from some of his friends. From his friend sarah, when someone dies young, we often hear the phrase, they held so much promise, as if their life up to that point was a testing ground for their accomplishments to come. And certainly, while we learn later in learn in our life that things we do can set the stage for later, it is clear that courtneys life was certain to be full of joy, volunteerism, inclusivity, and yes, promise. In his short life, courtney already showed that leading a life full of promise isnt something we need to reserve for a eulogy. Its a call to live our life with a promise for a more just world. Courtney fulfilled this every day through his volunteerism, donation, friendships, sense of humor, and other worldly empathy. May courtneys memory be a blessing and his life a call to action for all of us to live up to his promise. From his roommate, kane, we heard about his love for the city. It had taken over him, and his purpose was to make it a better place. Being lucky to witness how deeply courtney loved San Francisco will remain one of the most sacred honors of my life. By love, i dont mean he simply loved his city, he demonstrated his devotion to San Francisco through his good works. Courtney made it a daily practice to lend his time, his resources, and his standing in the community to advocate for and help those less fortunate. He is a permanent part of the soul of San Francisco, and he he had something that he would say a lot, and chris, one of his closest friends, remembers the reply that he would immediately get when they shar shared photos of adventures in this city. He would say, i love this city so much. Courtney, we wont forget your impact on this city and what you held what was possible here. So to your family and friends, our condolences. Clerk thank you, supervisor haney. Supervisor mandelman, youd like to continue . Supervisor mandelman only that i received a text message from supervisor ronen, asking that this in memory memoriam be on behalf of the entire board. Clerk thank you, supervisor mandelman. Supervisor mar . Supervisor mar thank you, supervisor mandelman, for those touching words about courtney. I have one item. Id ask the supervisors to draft legislation while the city has extended the payment for the business licensing fees down the road, some of our businesses will not make it. The looming debt to the city makes it less likely that they will not survive. Many of our shuttered storefronts have not received a dime in local or federal support and they have no ability to generate revenue. As we slowly lift measures and allow businesses to operate, businesses will have to decide whether they open up or shutter permanently. This will allow our businesses to continue providing the goods and services we all need to thrive. Id like to thank the many shake holders who provided valuable input on this, including Small Business owners, the chamber of commerce, mayors and treasurers office, oewd, and the office of Small Business. Also as a parent of a teen with her own world view and political opinions, im proud to cosponsor the Charter Amendment read by supervisor fewer yesterdtoday. The rest i submit. Clerk thank you, supervisor mar. We will make you a cosponsor. Next is supervisor peskin. Supervisor peskin submit. Clerk thank you. Supervisor preston . Supervisor preston thank you, madam clerk, and first, id like to be added as a cospons cosponsor on president yees antibullying a. P. A. Resolution. And colleagues, today, i am introduci introducing legislation to allow Police Commission to resume their meetings during this ongoing state of emergency. The Police Commissions in charge of overseeing the police and ensuring accountability, and theyve not been allowed to meet even virtually since february 26, about 2. 5 months, and that is unacceptable and needs to change. The important of allowing the Police Commission to meet was made very clear by an incident that occurred about two weeks ago in response to a peaceful protest. Police officers were photographed with masks that depicted a black and White American flag with a blue line, a reference to blue lives matter. In addition to being insensitive, its altering a police uniform. The body involving Police Matters needs to respond. The fact that the commission hasnt been able to meet is unacceptable, and its necessary for the board of supervisors to step in to restore oversight and accountability. And let me be clear, colleagues, this is about more than one incident, troubling as that incident was. In a letter written by commissioner commissioner John Hamasaki and commissioner petra dejesus, they write that its one of many incidents, including officer involved shootings and a study on the adequacy of Police Patrol staffing. This motion to allow the Police Commission to meet is about restoring and ensuring when it come allowing Greater Transparency and oversight is more critical than ever. I want to specifically thank commissioners hamasaki and dejesus for their leadership on this for bringing it to my attention, and their commitment to making sure we have ongoing oversight, accountability, and transparency when it comes to Public Safety in Law Enforcement during these difficult times. I also want to thank public defender noah ajun for requesting that they resume meetings and for the content contained in that letter. Thank you to my sponsors peskin and haney, and thank you for allowing me to move this forward. We heard just before todays meeting that the mayor may be considering an order to allow one or more Police Commission meetings to be held. We look forward to hearing the mayors plan and looking to get this done as quickly as possible so the Police Commission can get back to work. Thank you. The rest i submit. Clerk thank you, supervisor preston. Supervisor ronen. Supervisor ronen today, im introducing several amendments. Today, the first inquiry is about deaths among unhoused residents in the city of San Francisco. Im asking for the department to report if there have been any deaths have coronavirus among people sleeping on the street since the stayathome order began until today. I want to know how many people have died on the street during the shelter in place order and how this compares with the number of deaths among unsheltered Homeless Individuals in the same time period as last year. And then finally, what the protocol is from the medical Examiners Office to discover whether people dieing on the streets are positive or were positive for coronavirus. The second inquiry that im submitting today is together with supervisor sandra lee fewer. This is regarding access to shower facilities for unhoused residents, which is becoming a crisis on the streets. I want to know how many public showering facilities there are in the city of San Francisco, where these facilities are located, which if any of these facilities are accessible to unhoused residents, and during previous pandemics where shower facilities were immediatneeded residents, where those facilities were located in the past, and the rest i submit. Clerk thank you, supervisor ronen. Supervisor safai . Supervisor safai yes, im here. Clerk yes. Present your new business. Supervisor safai yes. I have a few items on the agenda, one of which is a resolution in which im introducing in partnership with president yee, urging governor gavin newsom to release 350 million from the c. A. R. E. S. Act, to provide support for Early Childhood and care providers. As i said last week, we talked about having a support from the Mayors Office. I know supervisor ronen and others are working with gettosf. Were hoping that this will be a subset of support. But this is urgent support that we need to provide at the end of the day if people dont have a place to put their children in when they go back to work or as they start to go back to work, its going to be an additional barrier, particularly those in my district that have been affected the most, those in the Hospitality Industry who rely on child care. Per the s. F. Child care council, theres an estimated 77,000 children sheltering in place. Further, child care employment found that 63 of the programs would not survive another month of sheltering in place absent financial assistance. We have thousands of Early Childhood care providers, and almost 90 of them reside in south San Francisco. Colleagues, i ask for you to support urging Governor Newsom and the California Legislature to take immediate action to release this money of 350 million of c. A. R. E. S. Act so that we can provide that Early Childhood care support. I want to thank president yee for his years of leadership on this. President yee, if it wasnt clear, please add me a cosponsor of your resolution at the federal level, and thank you to the Child Care Council and the Court Coalition of family Early Childhood care providers that have been working with us, advocating for themselves and their families and working families in San Francisco. So id hope, colleagues, youd all support me on that. And then secondarily, i want to thank supervisor fewer for bringing forward the ability to vote for 16 and 17yearolds. I think its wonderful that we would be encouraging in a time and a place with so many barriers, even in the last election cycle, there were reports of barriers being created for voting in this day and age in 2020. We want to be doing everything we can to encourage the next generation of leaders and voters and those participating in our democracy, so im absolutely happy to support promoting an early agenda of early voters. Thank you, everyone, and the rest i submit. Clerk thank you, supervisor. Supervisor stefani . Supervisor stefani thank you, madam clerk. Colleagues, i just briefly want to report on you all out on the county Services Veterans Service Officer position was vacant, i introduced legislation to the Human Services director, asking for more information about the vacancy. We also heard from a number of members of the Veterans Affairs commission who were troubled by the length of the vacancy because this position is affecting veterans of our county and the benefits and services to which theyre entitled. I am pleased to report that the position was posted yesterday, and qualified applicants are encouraged to apply through may 25. Im looking forward to this item moving forward in a timely fashion, and the rest i submit. Clerk thank you, supervisor stefani. Supervisor walton . Supervisor walton submit. Did you catch that . Clerk yes, thank you, supervisor walton. Thank you. Supervisor walton thank you. Clerk are there any other members on the roster i might have missed . All right. Mr. President , seeing no new names on the roster, that concludes the items for new business. President yee okay. Thank you, and thank you to my colleagues who have cosponsored some of the items that were introduced today. Madam clerk, lets go to Public Comment. Clerk at this time, the board of supervisors will host remotely Via Teleconference Public Comment. Each speaker will have up to two minutes to provide Public Comment. At the beginning of the meeting, i provide the telephone number for those who may have just wanted to listen to the proceedings, and if anyone in that early group would like to speak, if you havent already, press one and then zero to get into the queue to provide your Public Comment. The key here is to press one and then zero only one time. If you press it twice, youll be moved out of line and back into listening mode, and once in the queue, please stand by, and the system will prompt you when you are next to speak. For those of you calling in now, the telephone number is displayed on our website and crawling on channel 26. Its 18882045984, and when prompted, enter the access code 3501008. Press pound, then press pound again to join the meeting. Then, youll be added to the queue. Youll then dial one and then zero. The system will prompt you when its your turn to speak, and while the speakers are queueing up, i will note the best practices for your location. Your location should be quiet. Speak slowly and clearly so we can understand your message. Each speaker has up to two minutes to deliver your comments. If youre using an interpreter, the interpreter will be timed for two minutes. Remember to keep your subject matter appearanto subject matt jurisdiction by the board. You may oppose an item on the agenda, but there is no electioneering at these meetings. Please do not ask for support of anyone or oneself on a ballot. If anyone has to continually be reminded, they will be moved out of the line and back into listening mode. Address the board as a whole. Do not address individual members. Once your two minutes have concluded, you can the system will just put you into listening modes. Two last points. Director of the office of Civic Engagement, adrian pond, has assigned two staffers to be on stand by for assistance with language in Public Comment. This is the opportunity for members of the public to speak. Well just start with the interpreters. [speaking Foreign Language] interpreter thank you. Thats it for me. Clerk thank you, miss lee or miss lacanalial. Now well go to miss lee. [speaking chinese language] interpreter thank you. Clerk thank you, miss lee. And mir. Cosenza. [speaking spanish language] interpreter thats it. Thank you. Clerk thank you, mr. Cosenza. For those of you that do not have access to the internet, you can use the usps to deliver your comments to the board. And if you do have the internet, you can submit your written correspondence via email, board. Of. Supervisors sfgov. Org. You can watch the meeting on sfgov. Org, and note that the online broadcast results in a 20second delay. Okay, mr. President. President yee okay. I guess, lets get started with Public Comments. Clerk operations, send the first speaker through, please. Operator you have 16 questions remaining. Clerk welcome, caller. Hi. Good afternoon, board of supervisors, everyone. Kelly torres, portola resident, San Francisco native with deep family roots in this neighborhood. Im calling today to add input on the idea introduced by supervisor ronen last week. I am in no way insensitive to the situation of the homeless, however, mclaren park is finally receiving some much needed attention. Please dont reverse the progress and efforts that your constituents have made to shed the negative memories of mclaren, and please dont use my taxpayer dollars to reverse the positive attention mclaren is finally receiving. As a steward of the natural world, more importantly and specifically my city, my place, i am online today to oppose this idea of using our city parks as homeless encampment areas. Our neighborhood is already plagued with excessive amounts of garbage, hypodermic needles, panhandlers and residents that spit on you if you dont give them money. It is time for San Francisco and her neighboring cities and counties to come together and solve this issue. It is not a one city, one county problem. Breakdown those silos. Work together. Put construction time and money into repufurbishing those big x empty structures. We voted for a board of supervisors we believe have vision. Please dont disappoint us and make this damaging decision. If this idea is allowed to move forward, our parks, and more importantly, the urban wildlife that depends on them will never recover. Thank you. Operator you have 15 questions remaining. Clerk welcome, speaker. [inaudible] former libbertarian party. A Face Covering should not be used by any person who has trouble breathing. I rise in support of people with asthma and copd. Under hipaa, i shouldnt have to disclose my medical condition, but ive had asthma my entire life. I have cpap, i have a nebulizer, i cant breathe. A Face Covering causes me to have an asthma attack. Ive already been to the e. R. Eric gardner didnt die of a chokehold, he died of an asthma attack. You probably dont know this, but his sister did, as well. The enforcement of this current Public Health order and the lack of communication is causing a racially disparate problem. The conditions of asthmatics is addressed in numerous articles [inaudible] even the California Air Resources Board says it is junk science, so people who take the time to study the science and take the time to understand that it is government, it is organized crime masqueraiding as government does exist, and supervisor fewer doesnt care. Supervisor stefani doesnt care. Ste supervisor peskin doesnt care. None of you care. [inaudible] clerk you have 14 questions remaining. My name is jayan dacosta. I think this would be the right time for some of you supervisors to pass a resolution and a commendation for our [inaudible] thats the right thing to do. Also because many of you all were not informed about the pandemic, and i still see that that youre not educated on issues when it comes to supplies and knowing what has to be in place in the pandemic. Its a learning curve, but i will ask you all to be educated on issues. Now, our nurses have a whole year that we decide to honor them. But the World Health Organization has gone even deeper, even further, and set aside the whole decade to honor our nurses, and i want each one of you all to read something about it, and take time to honor our nurses and craft a beautiful resolution and still better commendation for our nurses, our doctors, our janitors, our medical technicians. We need to respect those clerk thank you for your comment. Operator you have 13 questions remaining. Clerk welcome, caller. Linda chapman. Im going to follow up on my comments on the special hearing that was called by supervisor haney concerning the response to the supervisors resolution or ordinance, actually, to get people off the streets and into hotels or motels and so forth. I happened to see an article in the paper in which the officials that have done this disgraceful thing of spending millions of dollars for hotel room and holding them empty, and they respond by well, they thought First Responders would be coming from other areas, and they thought they would need them. I mean, just covering up what they actually did. They said that they wanted the local First Responders to use them because they wouldnt want to go home, and then, when they discovered they didnt want to use them, well, they just left them empty because the people who were living on the street were considered to be suitable to move in there. You know, i am appalled. Now were talking about putting people in tents in the park. The people in bayview who decided to set up an encampment did what they had to do because there was no government response. But you have the power, together with the city attorney, to get the people into rooms where they belong. When there are other disasters, it would usually be the job of the army or fema to get people housed, and normally, in those circumstances, there are not habitations available. Where my grandmother when the chimney fell through in her room, people went and lived in the parks because there were no habitations. But now, in the city, were swimming in thousands and thousands of empty rooms. Obviously, it would be a benefit to the hotels and their employees to have people housed in them. The federal government would never pay the rates that are being paid by the city here or in oakland. Clerk thank you, caller. Your time is up. Operator you have 12 questions remaining. Clerk welcome, caller. Hi. My name is dr. Teresa palmer. Im a geriatric doctor and i have a 102yearold mother who lives in a longterm care home. Im calling in support of item 16, which proposes financiacti all longterm care homes concerning Sexual Orientation and gender identity. L. A. County has a great website that lists all congregate living facilities, including jails, and other living facilities, including Nursing Homes. We need public data where Covid Infection deaths are occurring if we are to avoid more of a first wave and a second wave. And families need to know where the infections are occurring in order to make Intelligent Decisions about taking care of themselves and their loved ones. So please, board of supervisors, support the legislation for data collection. We need accountability so resources can be directed to the people who need to be taken care of. Thank you very much. Clerk thank you for your comments. Operator you have 11 questions remaining. Clerk welcome, caller. Yeah, hi. Im ray allen. Im a long time portola resident, and this is in regard to the legislation introduced by supervisor fewer last week, the use of public parks. I use our parks in the city about every day. I walk the dog, i volunteer, i play ball at the big rec down at Golden Gate Park for the last 40 years, and ive seen the homeless ebb and flow over those years, and ive cleaned up after them, and watch the drug abuse and alcohol abuse, and watched the wild rants, and had my car broken into. But ive also been friends with them. I dont have any illusions with the situation with the homeless. Id like to end with the proverb, the road to hell is paved with Good Intentions. And the board of supervisors, to use San Francisco parks for homeless tent cities has a really Good Intention but a really bad outcome. Operator you have ten questions remaining. Clerk welcome, caller. Peter warfield, director of users of libraries coalition. I wanted to use this as a means to clarify and repeat some of the points that i made last week. The minutes have left out some of the important aspects of my comments and actually completely misunderstood the major comment that i was making, and that is that theres over 100,000 people in the city who do not have access to the internet, and that those people are being left almost completely behind by the library, who has dropped almost all services to those people. What am i talking about . If you look at the San Francisco digital strategic equi equity plan to 2024, there are very disparate impacts to the usage of internet. For example, Household Income over 25,000, 59 have access to high speed home internet. Whereas 200,000, its 98 . Bloc blo blacks, 78 , latino, 72 . The library has dropped all access. Theres no curb side delivery, no mail delivery, which other libraries are doing. I said that Library Services and hours to accommodate those who do not have Internet Service and may never have it, and you put it as those who require Internet Services. I also commented on city colleges open government violations, which was completely left out. Thank you very much. I hope you can fix those things. Clerk thank you for your comments. Operator you have nine questions remaining. Clerk hello, caller. Welcome. Hello. My name is mckenzie tobin, and i just wanted to say thank you for everything youre doing during covid19. As A Santa Clara student and resident, i thank you so much. Clerk thank you for your comments. Operator you have eight questions remaining. Clerk hello, caller. Welcome. Good afternoon. My name is kevin rose. Im from the law firm reuben, junius, and rose in San Francisco, and speaking on item 19 concerning property taxes at 364 birch street, i would ask that you consider postponing the motion of the board of supervisors sitting as a committee of the whole to a future date 30 to 60 days in the future. My office has been working on behalf of the taxpayer to get this delinquency paid. Theres some questions with regard to the value of the property, and the taxpayer just received notice of this delinquency on march 4 of this year, which was about two years after the closing date in 2018. At that closing, a change of ownership report was filed with the assessors office, so theres some concern on the taxpayers part as to why it took two years to issue this delinquency notice and the associated penalties and interest. Given the timing of the notice, just weeks or days before the covid19 crisis, its been very difficult for the taxpayer to obtain equity or new financing to pay this debt, and as i mentioned, there are some factual issues that need to be resolved, and legal issues. So i do ask for an extension of this date, and i thank you for your time. Clerk thank you for your comments. Next speaker, please. Operator you have seven questions remaining. Clerk welcome, caller. Good afternoon, supervisors. My name is kylie, and im a member of the San Francisco youth organization. Thank you to everybody that has cosponsored, and thank you, board president yee, for introducing this. On a personal note, its my fouryear anniversary at San Francisco Youth Commission, and my first week on the job was when the supervisors held a joint meeting with the Youth Commission to vote it on the ballot. Its wonderful to see this coming to fruition four years later with young people that are passionate about this issue, and were going to win, so thank you for introducing this legislation. Thank you. Clerk thank you for your comments. Next speaker, please. Operator you have five questions remaining. Clerk hello, and welcome, caller. Hello. This is anastasia ionnapolous. Im asking you to deny senator wieners sb bill 2. It will threat 902. It overrides local plans and policy while imposing infrastructure costs, upzoning to allow ten units on city lots with no value recapture is simply a bonus to developers. Next, i support supervisor fewers resolution supporting ab 2058 for a Housing Preservation tax credit to provide a 50 credit against the state and Federal Capital gains otherwise owned by the seller if they sell to a nonprofit entity who will operate the property as an Affordable Housing for lowincome housing for 55 years. And finally, i support resolution opposing ab 1261, sponsored by peskin, safai, and mandelman, which would preempt San Franciscos precedent setting prohibition on government acquisition and use of facial Recognition Technology. Thanks. Um. Clerk thank you for your comments. Next speaker. Operator you have six questions remaining. Clerk welcome, speaker. Hello, board of supervisors. My names terry mckuhn. Got two things. One, the pandemic virus is obviously spreading in high density areas, and i thank miss wieners position on San Francisco and the state of california. Identity is not our friend anymore. I think the citys overbuilding anyhow, but regardless, identity is going to hurt us because this is where pandemics spread. Secondly, on the homeless issue, we all want to try to take care of issues before they spread. But ive spoken to the Police Officers down there, and theyre not treating the rooms down there as they should. Theres a lot of damage going on, and whos supervising that . The board of supervisors should know that this is an issue, if this is a correct statement or not. But we need to have a plan as to how youre going to when this is over, how were going to get the homeless back out of those rooms and back off the streets . And we know that theres been people coming from all over the place to come here. Thats been well documented in the newspapers, and its an issue that needs to be thought out right now. If it hasnt been, it should be, and put out to the citizens of the city what the plan is going to be and what the cost is for all those hotels and everything thats going on. If damage was done, what im sure the city is going to have to pay for that, so thats going to be an extra cost that we cant do and put into other things. So please discuss that, and i appreciate it. Thanks for your time. Byebye. Clerk thank you, mr. Mckuhn. Operator you have five questions remaining. Clerk hello, and welcome, caller. Thank you. This is randolph sloane. I was appointed by the San Francisco board of supervisors to the department of Building Inspections s. R. O. Task force as an s. R. O. Tenant representative back in 2019. I just want to share some good news today, and that is a new program called s. F. New deal. Theyve started delivering meals, three meals a day to s. R. O. Tenants in the city. And i express my thankfulness to the s. F. New deal people, and i just want to read this into the record. I just needed to thank you, Episcopal Community services San Francisco and the new community partnership, s. F. New deal, for the korean food delivery. As we know in past, people have had to routinely wait in line after line after line to participate in means testing, etc. , to get what they need. After waiting in line for applying or support, the next line awaits. After appealing another decision, more time goes by. They spent a lot of their hard time screening and waiting to be judged by institutions, local, state, and federal. We need local addition and primary supports immediately, not at some unpredictable time in the future. And after all of that waiting, there comes the annual renewal process. More forms, more scrutiny, more shame. I thank you for three meals while sheltering in place today. I wont soon forget the authentic kindness today clerk thank you, sir. Operator you have four questions remaining. Clerk welcome, caller. Hi. My name is cliff barton, and i live on potrero hill. Im calling to express my extreme disappointment for failing to reappoint director rubke to the transit board. [inaudible] clerk mr. President , could you please mute your microphone. President yee no, im sorry. Were pausing your time, mr. Speaker. Has this item been heard . Yes. President yee so madam clerk, could you remind speakers, that items that have been heard they are not to be speaking on. Clerk so speaker, if an item has been heard in a board committee, it has had its item satisfied. You are speaking about the rubke appointment . That item has already been called and is not before the board right now, so thank you for your comments. Thank you. Clerk thank you. Okay. Im very disappointed. Thank you. Clerk thank you, sir. Operator you have three questions remaining. Clerk hello, speaker. [inaudible] from senior and disability action, and im calling in support of item 16 which would greatly increase the tracking of covid cases and covid deaths. [inaudible] we all have seen the great and tremendous cases of deaths in Nursing Homes, and its been a tremendous struggle to get reporting and testing in those facilities, which is just now being [inaudible] doesnt have complete compliance, but item 16 would extend this demand for adjusting and reporting to other types of facilities that could be affected even worse than Nursing Homes, so please support it. Thank you. Operator you have two questions remaining. Clerk hello and welcome, caller. Hi there. My name is tim kingston. Im a representative of the San Francisco public defenders Racial Justice committee, and im calling in support of Aaron Peskins resolution approving ab 2261 which allows facial Recognition Technology to be used in the state of california. And it endangers people who are liable to be confronted by i. C. E. It allows the facial recognition to be used in Health Care Systems and other basic necessities by the use of this in private and government agencies, and it also seems to allow the use of clearview a. I. , which is a known reprobate company in the use of its facial resolution technology. I strongly support his resolution, and thats all i have to say. Thank you. Clerk thank you, mr. Kingston. Next speaker, please. Operator you have one question remaining. Clerk hello, and welcome, caller. Good afternoon, supervisors, and thank you for your time. Just to reintroduce myself, my name is ariana nisterie, and im the chair of the San Francisco Youth Commission. I had the privilege of seeing a few of your cases this afternoon at your covid19 press conference, and i just wanted to thank president yee and all the other sponsors for the sponsoring the legislation for the november 2020 bid. And should it come to pass, we look forward to implementing these youth franchises across the city. Thank you. Clerk thank you for your comments. Operator you have zero questions remaining. Clerk mr. President , if there are, in the next second, no other callers, i believe that would conclude Public Comment. President yee okay. Lets give it five seconds. Clerk okay. Operator madam chair, one caller. Clerk all right. Operator you have one question remaining. Clerk hello, and welcome, speaker. My name is leslie burke, and i live in the excelsior, which is called the excelsior heights at the moment. Ive had the privilege to work the excelsior in the past few weeks and gone up to mclaren, and was blown away at all the improvements that have been done to that facility. Its a very secretive park. Most people on the other side of town have no idea such a park exists, and theyve done a lot of work to create such a beautiful park. The condition in the tenderloin, it hasnt changed, its almost gotten worse. This has gone on for years, and i didnt walk the tenderloin, knowing that there were problems. Solutions, put up showers, put up bathrooms, you know, well move the centers. There seems to be a lot of ideas but no follow through because of the population, which is very, very hard to work with and accommodate and deal with Mental Health, etc. My concern is putting these individuals into parks within the city will not solve the problem, itll just move the problem. Because parks are more in an isolated area, and when you isolate people, they tend to mentor among themselves. When you dont isolate people, they tend to learn where they live. You all remember 1906, when there was a fire in San Francisco, it was almost to Golden Gate Park, almost the center of the city. You have them almost in the center of the city, and also, they have the security to make it a safe environment. The other suggestion i have is when you said today that you granted 20 million passed for Affordable Housing on Treasure Island, what a beautiful, large site that has the infrastructure built in and the building clerk thank you, maam. Your time has concluded. Operator thank you. You have one question remaining. Clerk thank you. Next speaker, please. My name is sarah chong, and i just want to say how thankful i am to president yee for introducing the legislation to vote at 16. Were excited to have it on the ballot in november and hopefully get it passed, and thank you to everyone whos cosponsoring and endorsing, and we thank you for this next step forward. Clerk okay. Thank you for your comment, speaker. Operator you have zero questions remaining. Clerk thank you, mr. President. There are no speakers in the queue. President yee okay. Then Public Comment is now closed. Madam clerk, lets go call the for adoption without committee reference, agenda items 13 through 20. Madam clerk, youre muted. Clerk thank you, madam deputy. Items 13 through 20 were introduced for adoption without reference to committee. A unanimous vote is required for those items on First Reading today. Alternatively, a member may require a resolution to go to committee. Mr. President , your mic might be muted. President yee sorry about that. Thank you, madam clerk. Would anybody like to sever any items . Supervisor stefani . Supervisor stefani yes. Items 13 and 18, please. President yee supervisor mar . Supervisor mar item 16, please . President yee any others . Okay. Seeing no others, then, for the remainder of the items, then, can we call the roll, madam clerk. Clerk yes, on items 14, 15, 17, 19, and 20, supervisor yee. President yee wait, wait, wait. Did you say 15 . Clerk yes. President yee supervisor mar, did you say you want to sever 15 or 16 . Supervisor mar 16. President yee thank you. Clerk okay. President yee okay. My handout doesnt have 16 on it at all. Clerk okay. Okay. So for the record, ill just restate. Items 14, 15, 17, 19, and 20. [roll call] clerk there are 11 ayes. President yee okay. So these resolutions are adopted unanimously. Madam clerk, lets go to item 13. Clerk item 13 is a resolution opposing California State Assembly bill 2261, authored by Assembly Member edwin chau, which would preempt San Franciscos precedent setting prohibition on government acquisition and use of facial Recognition Technology and there by imperil the Public Health and safety of San Francisco residents and visitors. President yee supervisor stefani . Supervisor stefani yes, i would simply like to ask for a roll call vote on this item, please. President yee okay. Madam clerk, roll call vote, please. Clerk on item 13 [roll call] clerk there are ten ayes and one no, with supervisor stefani in the dissent. President yee okay. This passes with a 101 vote. Lets go to item 16. Clerk item 16 is a resolution urging the inclusion of Additional Data sets in the San Francisco covid19 data tracker for Sexual Orientation and gender identity, and additional congregate residential facilities. President yee supervisor mar . Supervisor mar i introduced this resolution because we can and should do better. We can and should do more to inform the public on covid19 transmission rates for some of our most vulnerable populations. While the board already adopted a resolution authored by supervisor peskin that justly and rightfully pushed for the resolution of covid19 transmission data for s. R. O. S and shelters, residents in other kind of congregate residential facilities are also vulnerable and deserve better data. Just this past friday, the chronicle reported nearly half of covid19s deaths are from nursing home residents and staff, nearly half, and yet, San Francisco is not reporting on data from Nursing Homes and similar congregate facilities. In addition, the Lgbtq Community disproportionately experiences incarceration, homelessness, and housing insecurity, and where they have disparate Public Health outcomes. If anyone can and should lead on this, its San Francisco. With this resolution, we are saying loudly and clearly that Health Outcomes for lgbtq people matter. We are saying that Health Outcomes in jails and other congregate facilities matter. With everything going on today, people deserve data on this matter. Im grateful to terry palmer in my office for working on this resolution, and want to thank cosponsors supervisors walton, r ronen, and haney, and colleagues, i urge your support of this resolution. President yee okay. Madam clerk, go ahead and call the roll. Clerk on item 16 [roll call] kroez crozier clerk there are 11 ayes. President yee okay. So this resolution is adopted unanimously. Madam clerk, lets go to item 18. Clerk item 18, resolution to commend captain Brett Elliott kroezecrozier, united navy, for his courageous leadership as Commanding Officer of the u. S. S. Theodore roosevelt. President yee supervisor fewer, this is the second time ive missed you. Supervisor fewer oh, i just wanted to be added on as a cosponsor of supervisor mars resolution. President yee supervisor stefani . Supervisor stefani captain crozier is a bay area resident, and he had a long, decorated career, culminating as the Commanding Officer of the u. S. S. Theodore roosevelt. The captain identified a covid19 outbreak among his men. He was met with an inadequate response from navy leadership. He outlined a letter as we all know, detailing actions to limit the spread. He leaked the letter, and as you know, he was removed from his position because of the leak of the letter. Ultimately, acting secretary of the navy, thomas v. Modley was ultimately forced to resign in the wake of publicly berating capp captain crozier. I would like you to join me in recognizing him for his role. President yee okay. Lets call the roll. Clerk on item 18 [roll call] clerk there are 11 ayes. President yee okay. This resolution is adopted unanimously. Madam clerk, call the imp imperative item agenda. Clerk okay. The imperative item called by president yee is a resolution recommending asian and Pacific Islander day against bullying and hate in San Francisco. President yee colleagues, earlier today, i had introduced this item as an imperative item, and its an important item that i wish to have pass on time, and but, you know, we can make arguments one way or other that it may not be imperative. But as a supervisor, as the president of this yee, i feel i need to discipline myself as the president to to actually watch what im introducing in terms of what im calling imperative, and since this is sort of very borderline, whether it is imperative or not, ive decided that im going to withdraw it as an imperative item and remain disciplined so i wont get into the situation where people might question why did you approve one thing and not the other. So we will take this as a regular item and have a vote on this next week and hopefully well consider this retroactive. So given that, then, i think we are in memorial, i guess. Clerk thats right, mr. President. Todays meeting will be adjourned today in memory of the following beloved individuals, at the request of supervisor mandelman, on behalf of the entire board of supervisors, courtney brosseau. President yee okay. That brings us to the end of our agenda. Madam clerk, do we have any further items on the agenda today . Clerk that concludes the items on the agenda, mr. President. President yee okay. I will conclude the meeting, and colleagues, there was no call back from dr. Aragon or colfax to give us a high level briefing, and so well do that in give ourselves a fiveminute pause to do that. So regular meeting adjourned, and we will have our briefing in five minutes. President yee okay. Thank you, and welcome back, everybody else and colleagues that are listening. So we are going to be receiving a briefing from the chief Health Officer, dr. Tomas aragon, and the director of Public Health, dr. Grant colfax, at this moment, and this briefing is occurring under the authority of the governors executive order, which allows policy bodies to receive updates from local officials relevant to the declared emergency and to ask questions of such officials, provided that the members of the policy body do not take action or discuss amongst themselves any item of business that this is within the subject matter jurisdiction of the body. This will allow the body to be fully briefed on the Public Health, and to ask questions. So i just wanted to ask questions that i want to thank all of you for submitting questions that we could have the two doctors respond to today. In putting you all together, it was delayed a little bit more than i had hoped for, and i actually just provided these questions to dr. Aragon and dr. Colfax yesterday. I think it was around afternoon when they received it, and so and theres a lot of questions that were submitted. So when i talked to dr. Colfax, i said what id like you to do is if you cannot answer all the questions i think theres a lot of them, about 40 of them today, in the onehour limitation, then you need to come back next week to answer the rest fully. So thats how id like to handle this, is to give them a this hearing about an hour and see how much we can get through. So whod like to start . Dr. Aragon . This is grant colfax. Ill start, and dr. Aragon will continue. Good afternoon. Its a pleasure to present to you an update on the citys covid19 response. In talking with dr. Aragon yesterday, i thought it would be good to provide an overall overview to frame the discussion and also within the context of the presentation answer some of your questions. So a couple of key points to start with. Im really so proud of the supports of mayor breed, the support of the board with regard to the aggressive actions we took as a community to the covid19 response, and it is clear at this time that we have flattened the curve. And not only have we flattened the curve and slowed the spread of the virus in San Francisco, but we have literally quantitatively saved lives. And just to provide some data with regard to that, while any death from covid19 is one death too many, we are currently our mortality rate is four times less than the mortality rate in l. A. Just more than half the rate of california overall, and a striking 35 times lower than new york. And it was not too long ago that i was talking to many of you and the mayor about deep concerns about the situation unfolding in new york. And because of the early hotel citywide actions that we took, the curve has been flattened. So thats the good news. The challenges before us, though, are tremendous, and we are both in a response mode as we enter a modified recovery mode. We are going to be in this for the long haul, and the virus doesnt have a timeline. I think its really important to emphasize that because despite some of the overly optimistic scenarios that are being projected in some places, the virus is here. There is more virus in our community than there was in march, so we have to be very thoughtful and follow the science data and facts as we move forward. We are likely in the second ending of a long, long game here, and i just want to emphasize that because this is not about only what happens next week or even next month, but the best projections are that we will be managing the situation for probably 18 to 24 months if prior flu pandemics and prior knowledge fighting pandemics are applied to this situation. So can i have the slides up, please. So ill go right to the next slide, thank you. So this really emphasizes the actions that were taken with regards to Health Directives and orders. And just how the mayor announced a local emergency even before we had a covid case diagnosed in San Francisco, with this board approving the local Emergency Declaration following the mayors declaration, many of you are familiar with the other Health Orders, directives, and directive orders. But certainly the shelter in place is the most aggressive and wide reaching of those. And just to remind us that thats now been renewed three times, most recently on april 19, with some loosening of some restrictions. Next slide, please. This is where we are today. Weve had 1977 total cases of covid19 reported, with, unfortunately, 35 deaths, and you can see that as we increased our testing, we certainly diagnosed more cases. Next slide. In terms of the cases that have been diagnosed, we see what unfortunately is a longterm pattern with Infectious Disease and longterm disease in San Francisco, which is that covid19 is spreading in communities that already share a whole disproportionate burden of other diseases in San Francisco. You can see in particular that the tenderloin, the mission, the bayview areas have a higher prevalence of diagnosed covid19 than the rest of the city. The blue on the map in the zip code areas, the greater the presence of covid19. And they have a map of hiv and other sexually transmitted diseases, preterm births preterm birth is certainly a condition, not a disease. But you can see that historical patterns of disease inequity in San Francisco are being reflected by the covid19 epidemic, and unfortunately, we are seeing these play out in San Francisco and across the nation. This is the nature of the pandemic, and even before the first case, that we emphasize the need to focus on our vulnerable populations and to strengthen our work in Health Care Setting and in community to be as prepared as possible to address the pandemic in communities across San Francisco but especially in communities where there are already disproportionate or poorer Health Outcomes. Next slide. So this is a slide of our deaths. Weve had a total of 35 deaths in San Francisco. You can see that, by gender, the portion of people who identify as male is consistent, again, with national and international data, which show that people who identify as male have a higher death rate compared to people who identify as female. We have not had a transfemale or transmale deaths in San Francisco at this time. You can see that, again, consistent with the national and international data, deaths are concentrated in people who are 60 and older, and you can see also that by underlying condition, we know that people with underlying conditions are at greatest risk of dying, 34 of 35 deaths in San Francisco have been of people who have underlying conditions, including medical conditions such as auto immune disorders, cancers, cardiovascular disease, diabetes, and so forth. And then, i think looking at race and ethnicity, we see a striking difference in these numbers are small, so statistically, its difficult to draw any firm conclusions here, but i do think it needs to be pointed out that the number of deaths among asians is high, accounting for almost half of deaths. And when we dig a little deeper into those datas, cit appears o be very much correlated with age, that since 90 of the deaths among asian are among asians are among people who are over the age of 60, and 70 of deaths among asians are among people above 80. And also, the deaths in the asian population are more likely to occur among people who are residents of longterm care facilities, which we know are a highrisk setting. So overall in testing, the rates of covid19 diagnosis is lower than the general representation the asian population in San Francisco, but representation of the asian population in San Francisco, but those are correlated with a higher age rate, and also the longterm care facility residents. Next slide, please. So this is looking at our cases, so you will see that the distribution of diagnosed covid19 cases by race and ethnicity. What really stands out in this chart is a couple of things. One is the really high prevalence of diagnosis of covid19 in a population representing almost 41 of all cases diagnosed. Some of that is due to the recent Mission Study which tested a very large proportion of latinx residents in one zip code sorry, one census tract in the mission, but this is consistent with what weve been seeing since march. And this was actually first detected at our Public Hospitals, zuckerberg San Francisco General Hospital where a very high number of hospitalized latinx patients was noted as consistent. You can see there are a large number of unknown people being diagnosed people whose race and ethnicity are being put as unknown who are dying of covid19. President yee dr. Colfax, i realize youre going to be short on time, and i also realize that, so far, most of the things on the slides that youve shown, we already have received those. I dont know how many more slides you have, but its if we could get through those other slides quickly because, again, i dont think were seeing anything new. I think the okay. Yes, president , i can go more quickly. I just one of the questions i believe we were asked was why were there so many people of unknown ethnicity were on the test results . I ist i was trying to answer that here, that we werent getting that data from our testing partners. I can go faster here. I just do want to emphasize the factor of testing. Supervisor peskin mr. President . President yee yes . Whos speaking. Supervisor peskin supervisor peskin. With regards to dr. Colfaxs testimony, which was statistically quite significant, is there any reason why the chief medical officer has not ordered those organizations to produce that testing Demographic Data . So dr. Aragon can answer that specifically. I think we would encourage testing even if the person wouldnt report that, so ill let dr. Aragon report on that in just a few minutes. Supervisor peskin okay. Thank you. Ill go faster, supervisors. Let me get to some other slides that i think is helpful for folks. President yee mmhmm. Next slide, please. So this is the curve of hospitalizations across the time from april 8 all the way through to may 10. This is what i talk about when were talking about flattening the curve. You see that weve ranged from 94 to 70 over the past few months. Its really quite remarkable how flat that has been, but we will be watching that carefully Going Forward. Just again, people may have seen the sites in terms of the purple bars that show suspected covid19 patient counts. Just to emphasize, when you see some of those higher numbers, say, on the 14, 26, and 6, those are really receptive of our testing at laguna honda, because when we do widespread testing at that site, its in our Hospital System, so those numbers can spike if were doing an investigation or were starting to increase our testing there because of the routine testing of staff and residents. Next slide. So i believe this is a new slide, so i wanted to focus on this, and it does get to one of the questions several of the questions, i believe, that the board submitted. This is a slide on the y axis, shows the mobility index, so basically a measure of how many people are moving around in San Francisco as determined by cell phone data. And on the x axis, of the date, shows how much people are moving around on those dates. And then super imposed on this slide is the the reproductive number or the estimated reproductive number of covid19. These are estimates. I think its really important to emphasize these are based on models that we have been working with. Dr. Maya peterson at u. C. Berkeley and her team, so there is some level of error, but i think whats striking about this is the more we move around, the more virus is transmitted. So a reproductive rate of 3. 5, which you see in early march, before the shelter in place or any action is taken basically means for every person whos infected with covid19, they they transmit to 3. 5 more people, which is a very, very high rate of transmission. Youre going to see, then, that the reproductive rates decrease to about 2. 6 as we took more action, and then, to the best of our of dr. Petersons modelling estimations with the shelter in place, the reproductive rate was reduced to below one, and this is an incredibly important concept because if the reproductive rate goes just above one, the virus will continue to spread throughout our community. If its just below one, even. 94, the virus will slow, and you can and so this is very important. Its also encouraging and remarkable that we have pushed the virus to below one, to. 94, to the best of our knowledge, an estimate. So you can see here as the movement decreased, you can see on that blue line how Much Movement needed to decrease to get to just below one, of. 94. So just conceptually, these are data that were going to be watching very carefully as we gradually and cautiously determine how to best decrease the shelter in place restrictions, but you can see here everything applied. So these are data these are basically data from other pandemics, specifically the pandemics that researchers at the university of minnesota have post skbulated as possibl scenarios of covid19. Because of the asymptomatic spread and higher reproductive rate, covid19 is spread more easily than the flu. Based on patterns of flu pandemics, outbreaks will last likely last 18 to 24 months; and depending on cofactors, we may see different waves of different heights. So scenario one, with peaks and valleys, this would be a situation where we would have periodic large outbreaks of covid19, followed by a decrease, with increased controls. But as those controls get reduced again, that we would see additional increases. Scenario two is if there is a correlation with seasonality. We dont know yet for covid19 if there will be, but this is the for covid19 whether the transmission of covid19 will be accelerated by seasonal changes. Thats shown on the slide, but i think also needing to consider is the fact that eechbl even if we get to a covid19 base rate, if seasonal patterns of flu are sustained as they have been in a past. So a peak due not only to covid19 but super imposed on the condition of the flew. So scenario three is a slow burn, where we would have smaller but manageable outbreaks Going Forward. So this is really important for us to think about as a city response, as a community response, as a county response, thinking about how we manage potential outbreaks Going Forward and by keeping track of the data to see whether any of these three scenarios will come to fruition. Ill also say the differences in whats happening internationally and nationally, other states opening are quickly, in my view, recklessly, and also whats happening internationally, now in south korea, you may have read that they had a cluster of cases reported. Were talking to a reporter about those situations so we can be better prepared in our ongoing response. Next slide. So these are our scenarios, and i dont believe theyve been formally presented at the board, is that correct, president yee . I just wanted to make sure that these were shared with all the board in a consistent way. These are the indicators we will be watching particularly carefully with regard to those curves and the possible resurgence of covid19 beyond flattening the curve, so in terms of our surveillance supervisor walton just real quick, president supervisor yee, how long do we have with dr. Aragon, dr. Colfax . I think you were muted, president yee. President yee we have 45 minutes in total left. I have one more slide left after this. I can go through this really fast, just to emphasize that were looking at the hospitalization curve. Were needing to keep Hospital Capacity at a high level with some redundancy that we havent had historically in a hospital because we need to be able to care for people efficiently and effectively across our Hospital Systems. Our Testing Capacity needs to go to 1600 to 2,000 a day. Our contact tracing, to be increased, and you can see our goal is to reach 90 of cases and 90 of all patients will be i. D. Ed, so were scaling that up. The p. P. E. Struggle, youve seen that nationally and locally. Were making sure that we have a 30day supply so we can protect our Health Care Workers and First Responders. Next slide. And this is the slide for the iteration of the state of california reopening. I will just say, if our data continue to hold, we will be moving on may 18 to curbside pick up and manufacturing, and well move to phase 2, 2a, very early in the stage, with the assumption that were able to maintain the positive patterns that we have had to date. So that concludes my portion of the presentation. Thank you so much, and ill turn it over to dr. Aragon. President yee before anybody starts, if this is kind of a similar presentation, i can tell, even myself, you know, we were hoping that we could get into specific answers to questions. Even though you cant get to all of them, wed like to see some progress, if possible. Dr. Aragon, youre next. Okay. Thank you. I do not have any slides. First of all, can you hear me . President yee yes. Fantastic. So first of all, let me start by answering supervisor peskins question about the Racial Equity data. So the way that data comes to us is two ways. We have the offices and hospitals to send us data, or we get it directly from laboratory reporting. Oftentimes, hospitals do not provide the Racial Equity data, and laboratories almost never report that. When they do report, we contact if we do a case investigation, sometimes well contact the physician to collect that information, and we do that for high priority conditions like hiv, where we have a tremendous Surveillance System that goes out and collects all that information. And so now with covid, covid is now very different because with covid, its not just providers in laboratories, but now, we have all these popup providers that are spending thnot spendi collecting that information. This is an area that we do need to improve, because sometimes people do register online, and thats an area that we brought up to them, and we hope to improve. One of the things that the state did, youll notice the gap right now is about 18 . When it first started, it was over 30 , so it is improving, and through our case investigation, well get better at closing that gap. What i wanted to do now is just to go through the questions and give you some concise answers because i know i know theres theres a lot of questions, and i wont get through all of them. What ill try to do is group them into some themes that i recognize. So first question here. We understand that San Francisco has engaged in general agreements across the bay area counties, and the question here was what commitments, formal or informal, have you made on behalf of San Francisco with respect to Health Officer guidance for San Francisco and with the other counties . So in the bay area, we have whats called the Bay Area Association association of Bay Area Health officials or abaho. Its basically the Health Officers and the Health Directors of the region that have come together. This started years ago back in the hiv aids epidemic because they realize in order to fight hiv aids, we needed to act as a region, and this was critical for Infectious Diseases because Infectious Diseases across boundaries, were interconnected, were connected, were commuting back and forth. The other thing here is were hearing we have inconsistent policies across counties. Residents get very upset, and theyre wondering why are you doing things differently than someplace else . So the officers communicate and collaborate to shield the public from Public Health threats. Theres no formal agreements. From our perspective, its just good Public Health practice. Just to let you know, were organized across the whole state. Health officers are agents of the California Department of Public Health. Were part of the local Health Officers, part of the state Health Department. So we provide advice to the state Health Department on things like Communicable Diseases. The second question here is how often do you meet with your counterparts from the other five counties, including the city of berkeley, and what do you report to after those meetings . So abaho officially meets biep monthlbiep bimonthly. So since the pandemic, weve been able to meet once a week by phone, and were trying to align around orders, so we try to coordinate our decisions for the reasons that we mentioned above. I report to dr. Focolfax. I keep him and our d. P. H. Team apprised of all of our productions. During the initial phases of the covid19 pandemic, as part of the e. O. C. Regular briefings, i was providing briefings to the board of supervisors and staff three times a week, and the workload just increased dramatically that i have not been able to participate in those briefings, so thats an area that maybe we can improve as we move into the future. So the pandemic has really caused us on having a Strategic Alignment across the region, and most recently, this is where i really spend the vast majority of my time. Number 3 is that the role of the Health Officer to initiate draftings of the San Francisco of the Health Orders who has input and reviewed the Health Orders from city policy body before the Health Officer signs the document, creating formal policy for the city and county of San Francisco. Does this include any members of the board of supervisors . So just to let you know, so Health Officer Legal Authority and orders, weve been doing this forever. People dont normally notice were doing it because its just part of what we do. We do it around Communicable Diseases, varicela, measles, Communicable Diseases. Theyre really based on Public Health science and principles of Communicable Disease transmissions. For difficult scenarios, we difficult with the California Department of Public Health and or the c. D. C. , and this is definitely true for Communicable Diseases because they obviously cross boundaries. One of the challenges that we have is in doing orders, we we use a Public Health ethical framework to balance the rights of individual freedoms and then the rights of community protection, so were trying to do the least restrictive option that we believe will be effective. Just to give you an idea of the types, in general, the orders that you have been seeing primarily have been around restricting movement and freedom of choices. And the types of things that youve seen, this pandemic has has caused us to pool basically almost everything out of the play book, so isolation, quarantine, sheltering in place, social distancing, including prohibiting schools, mass gathering, whats called protective sequestration, where we started visitors from coming. We wanted to really protect the residents, and thats one of the reasons why, compared to other places, that weve done better. And then laboratory and disease reporting are major areas. I consult primarily with Public Health experts, taking direction and guidance and input from the experts that we have at the department of Public Health, including dr. Colfax. Were fortunate, in San Francisco, that we have really an amazing team of Communicable Disease specialists in all different areas, and so im fortunate because i get to pick their brain and sort of figure out what might be a best option. The question there was a question in terms of who was involved. Primarily, we work with the city attorney. In general, elected officials arent involved in drafting the Health Officer orders. However, keeping communication is really, really critical, and i get emails, and i get great ideas, and theres sometimes things that i cant see, and people point out, did you see this, and it gives me some great input and feedback onto whats happening. Dr. Colfax already covered around the increase in asian mortality. I just knew i want to mention to summarize the major takehome for message in San Francisco is that the asian population is getting infected at a much lower rate compared to, for example, the latinx population. However, when they are infected, theyre dying at a higher rate, and as dr. Colfax pointed out, thats primarily due to much older age and being in a longterm care facility where the risk is highest. And were going to continue to monitor that carefully. Theres a team at ucsf thats monitoring this, not just in San Francisco, but in california, where we have a large asian population to see if theres something happening that we need to take into account. President yee just one remark. I shouldnt be stopping you. No, thats fine. President yee i saw the data in terms of the asians versus the rest of the people that were dying, and the age categories for the asians and the other people that were dying were almost identical. So what you just said doesnt make any sense to me. Yeah. Well, its a combination of well, just in general, ill just this is just, if you just look at the demographics in San Francisco, the asian population has more Older Persons than, lets say the latinx population that has a lot younger and immigrant population. So the age distribution in both of those are just very different to start with, so youre going to have a bigger group youre going to have a bigger group thats at risk. What were seeing is what were seeing is the number of cases the number of cases, but theres a higher number of asians who are older. And of the oldest, they compared to other groups, they tended to be in longterm care facilities. So you have older age in the longterm care facilities. One of our epidemiologists told me today that theres a number that were also part of cruise ships, so they got exposed on cruise ships. So that taken together i think partially explains what were seeing. I think its still early. Weve only been in this pandemic for a few short months. I think as more data becomes available, we will learn more, and we do have ucsf researchers that are interested in understanding this better. President yee supervisor peskin, did you just raise your hand . Supervisor peskin i did. I appreciate dr. Aragon putting forth all the data to the board of supervisors and president yee, but i think it would be helpful to jump in on things. I just wanted to go back to an earlier contention that dr. Aragon brought up, which is how abaho and the individual Health Officers consult folks, and what we heard is it is entirely within a or almost entirely within a chain of command that is cal d. P. H. And the c. D. C. And not in consultation with the executive branch of San Francisco or the legislative branch of San Francisco and for the other counties. Did i get that right . Well, no i mean, we dont we dont operate independently, so as the the by law, every county has a physical Health Officer. The Physician Health a physician Health Officer. The physician Health Officer works at the city, with the exception of the city and county of San Francisco. The Health Officers are appointed by the board of supervisors, so they work very closely together, and they communicate frequently. In my case, because im part of the Health Department, all officers are part of Health Department. They usually run the Public Health component of the Health Departments. Our case, were actually a Health Agency because we have much we have our services are way beyond Public Health. Includes Public Health, substance abuse, and clinical services, so were a big agency, and Public Health is just one component of that. I run that component, which is called Population Health division, and im part of the Health Department, which the Health Agency, and i report to dr. Grant colfax, and im part of the executive branch. So most of my interaction is in direction. It comes from dr. Colfax, and most of my interactions working with the team here in terms of influencing Public Health policy. But i would never say that its never me alone. Its really im one of many people that come together to problem solve around the complex the complex problems. I would say the area that i tend to be more involved in is in Communicable Diseases because thats just one of the areas where Public Health has a big footprint in is Communicable Diseases. Supervisor peskin so through the president , dr. Aragon, i guess what im trying to determine is how you and your similarly situated counterparts in the city of berkeley come up with some of the these things. Look, were obviously all living through a very frustrating period, and it falls on the elected folks, the 11 members of the board and the mayor, to experience not only our personal experiences with the virus but that of our constituents. So what im trying to figure out is and obviously, all of this is evolving very quickly, but there are things that happen that we dont understand and are very hard to explain that, in my mind, go beyond the purview of straight ahead Health Decisions. So, for instance, when the Health Officers came up with the directive that construction could go forward in projects that had 10 Affordable Housing but not projects that had 0 or 50 or 100 Affordable Housing, that did not appear to this supervisor as a Health Decision per se. There was an element of nonhealth policy and politics in that. And what im trying to understand is did abaho collectively or did you individually how did you come up with that . Because the metric, how many people are in an elevator together, building that building or whether or not they can socially distance as they put up sheet rock . No, youre absolutely right. So basically, we came up with principles, and we tried to stick with the principles as much as possible. And things around Affordable Housing is we were ill just share with you the way that we are thinking about that. The shelter in place, we knew that it was going to have a big economic impact. People are going to lose jobs, people may actually become homeless, and were thinking boy, we just need to just knowing the epidemiology, dr. Colfax just presented to you, this is really a long haul, and were thinking boy, weve got to make sure that some of that pipeline of housing continues because were probably going to need it. And thats how we were thats how we were thinking about it. But i agree with you, we felt sort of we were in a we were outside of our comfort zone in making some of those decisions, and i think it some of those areas some of those areas were challenging, but i would say the major focus would be is what big intervention can we do not to become new york, not to become italy, and i would say that was 95 of our focus was on really avoiding new york city catastrophe. One of the things we learned is shutting down, opening up is much more difficult because it requires much more expertise than we have. Were shifting were shifting our focus on really focusing on the Health Issues and looking to outside guidance on how we move forward because we realize is that its going to take a bigger group of people to do this. Supervisor peskin okay. I have many more things, but i will leave you i will make space for other folks. So i was covering i was briefly covering about how often we meet, and i think i already mentioned i think i already mentioned most of those. So ill keep going, and just feel free to interrupt me if you want to just i think i covered i covered the Different Things of laboratory reporting, i covered asians. There was a question question number 6 was the Health Officer has been in conversations with at least one supervisor around issuing a health order requiring system wide health data sharing across all hospitals and Health Clinics providing testing and treatment of covid19. Why have you not issued a health order to mandate this type of anonymous data or disclosure . Is it because youre waiting for other counties to agree to do it . At the same time, is there medical rationale why were not mandating Public Hospitals and clinics to share this retroactively, and where is the data . So first, ill cover for a Health Care Emergency like this, i have access to all that data. I just dont have the band width to go and look at all that data. So we we have access to the Clinical Data around reportable Communicable Diseases, and thats true for all of them. And where we where we implement that in a in the most rigorous and comprehensive comprehensive way is through hiv. So we with hiv, we go into hospitals, we review medical records, we have access to everything we need, and thats just a General Authority that the Health Officer has, so we dont need to write Health Orders for that. We dont consult with other counties around that. What has been different with this one is that what is new is that all of a sudden we really need to get our hands on better metrics, so really because we knew of the issues of hospital surge, i. C. U. , shortages of leaders, we needed to figure out how we were going to get good Hospital Data across the region and across the state. And the way to do that has really been through the state Health Department. So rather than each county trying to go to each hospital and just figuring out how to do it, we really turned that responsibility over to the state. Basically, what the state is doing is the state is telling all the hospitals across the state, this is the information that you have to report to us every single day. That gets input into a database and sent to us locally, and then we map our hospitalization. So were getting the data we need, but we do it by working through the state so that the whole state has consistent, good data. Of course, theres always things that we can improve, but thats where it is at the moment. The hospitalization data is the most stable data we have in terms of monitoring the pandemic. The limitation of the Hospital Data is it tells us what happened two weeks ago. And so while its reassuring to see it creeping down, awesome, we also get a little nervous, realizing that its really something that tell is us whats that tells us something that happened two weeks ago. Number 7 is the reproductive number president yee that was answered. Okay. So i can leave that alone. Supervisor peskin but is that data going to be shared publicly . That data, that was the first time we ever saw that slide. Will that be shared publicly Going Forward . Yeah. So one of the so one of the challenges with measuring what we call the effective reproductive number on average, how many how many how many persons get infected by a case, that number changes over time as you implement interventions. Its not possible to measure that directly, so a lot of that is measured indirectly, and what happens is that you take what you can measure, which is incubation periods, hospitalizations, and then, you look at what other people have determined from research, like the basic reproductive number, which is its basic potential to spread in a population, and the modelers fit it into data, and they back calculate what the effective reproductive rate number is. So we do have we do have we have a model thats being calibrated for San Francisco, and dr. Colfax showed you that. You can go online right now, and you can find effective reproductive numbers for pretty much any part of the country. So you can go and compare San Francisco county to seattle, so there are modelers that have calculated it for the california and counties across the country, and it gives you an idea, but we actually feel we actually feel we want to have stuff thats more anchored to our local data. And were going to make the numbers available the program that were using is open source. Were actually making it available to everybody in the world because we think its a really good product, and we want other people to use it. Its been good in helping us extend our intuition in what can happen in different scenario projections. Number 8, given the importance of this number president yee you just answered that. Okay. So thats great. Number 9 here, i know that dr. Ph phil dr. Philip came and presented on testing, and i think its an incredibly important topic. The way that were doing testing is different than weve ever done with different Communicable Diseases. One of the things that weve done is the popup sites that weve created. Another innovation is people creating rapid types of tests. The other thing that we are required by law this is a Public Health order, is that we required all negative tests to be reported to us, and thats really critical because we want to know not just whos becoming a case, but we want to know the intensity of testing. That really helps you understand if a group or a geography is not getting enough testing, and it also gives us the proportion of tests that are positive, and that gives you an idea of what the probability as the tests become more common and more representative of the general population, it gives us the idea of whats the possibility of an average person in that population being infected with an agent, so its actually an important parameter, that it helps us understand how the epidemic is moving through our community. Currently, we have the capacity to do 2100 tests through our Public Health lab, our Clinical Health laboratory at zsfg, and then through city test s. F. The testing number right now in San Francisco is 5800. We had a goal as an indicator to be to be above 2 per 1,000. Were as a city, were clearly above that number, so weve reached that milestone, and now, were working on making it more more accessible to higher risk groups, so thats the area that were moving into. And theres other questions on testing, so ill cover some of them as i continue to move through. Number 10 was why was the Health Officer not issued a Public Health order requesting the information on testing resources and supplies on hand across the provider the Provider Network . So in general, we dont issue orders around information that we can just get by just by just partnering with folks. We did do it around testing because we felt that it was so critical, for example, for them to report negative to us. We felt that it was critical to our system, and we felt that we needed it. So d. P. H. Did hire a team to focus on improving Testing Capacity. And just so you know, San Francisco is doing more testing than any county in the bay area, and were just Getting Started. Were committing were committing to even doing more testing to make universal access a reality. The big challenge that you face with a pandemic thats different thats different from, lets say a wildfire or an earthquake, when you have a local disaster, you can you can seek mutual aid for what you need. When you have a pandemic, everybody in the world is asking for the same materials, and so thats why there was a big shortage of testing swabs, reagents, personal protective equipment, and this was really everyone knows this. This was a hue mmongous testint the federal level. It made it difficult for us, and something that impacts the whole world, these shortages. Things are getting better, and as resources improve, youre going to see us move towards universal testing. The next question was about collecting has a Health Officer considered taking steps to consolidate resources across the hospital Provider Network and to develop a prioritization and to develop those resources . So what happens is in general, we dont we dont control those resources. It would require a whole logistical infrastructure to do that. So in theory, it could happen, but it wouldnt be efficient. Its better to allow the Health Systems to use their resources and then to and then to help support them as they run out. So what would happen is is that as Hospital Systems needed more resources, they would make requests through the e. O. C. , and then we would make a request regionally, and it would go up to the state. And then, over time, as resources became available, those resources filtered down to the local level. We we dont try to take away the resources because it wouldnt make sense since its really better for them better for them to manage it. It says here, doctors across the country grapple this is number 12. Doctors across the country grapple with making decisions over who will get access to limits supply, such limited supply, such as ventilators and life making resources. Has the officer considered developing resources across the network in order to avoid having to make those types of decisions . So this is a really good a really good question, and yes, we this is like, this is our passion. Our passion is figuring out how can we whats whats the most effective, least restrictive, least intrusive strategy thats going to have the biggest impact . And so we were fortunate because we implemented shelter in place. We actually there was a series of interventions that dr. Colfax showed you on the slides. So we actually got involved really early, and what we know from data, first of all, we flattened the curve. We utilized less than 10 of our hospital surge capacity. Thats how successful we were. We had cpmc ready to help with 200 beds. None of that was required, so we were so successful in not having to not having to face of tough decisions how to ration ventilators. And so we really stuck from day one, we had three strategies, which was to mitigate community spread, protect Health Care Workers, protect vulnerable populations, and then later on, we expanded testing and then optimizing hospital surge. So weve been able to achieve on most of those. I would say the areas that were turning our attention to right now, weve achieved one, two the big areas right now is protecting vulnerable populations and expanding our testing, and i think thats one of the themes that i recognize that came through, and i think testing is really is really critical. Initially, when testing was limited, we had to prioritize, and we focused on people kwwho had symptoms and people that were hospitalized, so we had the highest percentage of positive tested. Weve moved to testing asymptomatic folks, and i would say thats really the area that theres a lot of movement a lot of movement that ill mention in a second. Then, we moved to testing all workers, anyone who works outside their home. So right now, were telling if you work outside the home in San Francisco, you have free Testing Available to you. So people can either go to their health care provider, or they can go to citytestsf, and they can get tested. Within our own free testing sites, in addition to the two s. F. Testing sites, we have testing at Southeast Health center in the bayview, maxine health center, and then at ucsf. And then, theres a site thats going into the bayview thats being supported by the state Health Department. We have a link that has all of our protocols. Every day, we spend time talking about we implement c. D. C. Protocols, state protocols, but then, they get customized to the situation that were facing here. I do want to announce a game changer that was Just Announced today by Governor Newsom that pharmacies are now going to be allowed to do testing. So the fact that pharmacies are going to allow to do testing is going to be a game changer because we want to get to the place where, during your lunchtime, you have no symptoms, youre a food handler and we want food handlers to get tested because they work in close quarters with other workers. We want them to go on their lunch, walk in a pharmacy they go into on a regular basis, and get tested. I think thats going to become a part of our future, is that testing is going to become more available. So i think the thing thats coming out of testing is the testing of asymptomatics. We know that the information that were seeing here in the city, for example, from the Mission Study, of everybody that tested positive, 53 of them did not have symptoms. Thats how the epidemiology of this virus is teaching us completely new lessons, so thats what we had was completely phenomenal, completely upside down. Supervisor walton thank you, dr. Aragon. While we know that were not testing every Single Person where we know that theres a high concentration of folks with covid19, not just essential orders, but every Single Person in those areas of communities where we know that there are high concentrations of folks who contracted the virus. Because you just said right, right, right, right, right, right, right. Supervisor walton because you just said you tested people without symptoms at 53 . Youre absolutely correct, and that relates to some of the other questions that have been brought up, and that is testing of high risk settings and also communities. Within the area of let me start off with congregate settings. Were prioritizing were prioritizing congregate settings because we know thats where the highest risk of transmission is, the highest risk of mortality, and so currently, were starting with our longterm care facilities that was mentioned earlier, that almost half the deaths in california come from persons in longterm care facilities, and so were going to start were already started. Were testing at laguna honda, residents, close to 800, and staff, which is 1500. Then, were going to move to the next biggest one. We anticipate were going to be able to test the jewish home in the next two weeks, and were going to work through the other longterm care facilities. Im sorry. Go ahead. Supervisor walton just out of curiosity, what are the longterm numbers of testing at laguna honda and testing at other longterm care facilities . What would you say is the number of people . So laguna honda is 800 residents and 1500 staff, so its a lot of people. Its over 2,000 people, and its very resource intensive for us to do the testing because it requires a team of people who have personal protective equipment, and so and and so we have currently, we have two mobile teams that are belong to d. P. H. , and were also bringing on board some private providers, private testers to help us with this. Yes, its a big one of the specific challenges with this specific virus is we have to retest. Our goal is to retest, every two to four weeks, everybody. So its a huge commitment, but thats how were going to be able to prevent infection and save lives in the near future. Supervisor walton so the answer to my question of why were not doing testing of asymptomatic testing in every area that we see communication of the virus is because we dont have Testing Capacity . So right now, the capacity the capacity is increasing, so right now, when i mentioned that ive prioritized right now, is so anybody who works outside the home can go to any site, even if you do not have symptoms right now, you do not have to have symptoms to get tested. Supervisor walton so but you have to be an eventual worker. Yeah. Anybody that works outside the home that works outside the home. Supervisor walton correct. What does that do to our unhoused population or people who live in those areas of high concentrations of people who have contracted virus that dont go to work . Yeah, and i agree with you. That provides a different strategy, and were working we are working on doing a better job of meeting the needs of both the Homeless Population and also the areas like the mission district, like bayview, where theres crowded housing and also where people are at risk, and so those are areas that were working onto do a better job. I absolutely agree with you, including in the Homeless Population. Supervisor walton so my last question, if were about 5800 capacity, im asking specific numbers. You havent hit 5800 yet, and i know were not doing that every day, so im a little confused as to why we havent tested everybody in your priority category, and thats focused in care, living in cares, and folks in laguna honda and other congregate settings. Those measures have been in place for a while. If my math is correct, we should have started testing of asymptomatic already. Yeah. Its been harder. Thats our capacity today, but its really taken a while to get up to this capacity. I can just tell you, as of a week ago, we were debating on the types of swabs that we had access to. All of that is improving, and really, thats what i can communicate right now. I agree with you. Believe me, i wish it can go faster. It just takes a long time. Supervisor president yee wait, wait, wait, wait, wait. I see two other people on the roster. Go ahead. President yee im sorry. Whos talking . Dr. Colfax was just president yee okay. Go ahead. So our goal is to have universal access for testing for covid19, and i share your vision. Okay. President yee okay. Dr. Colfax, go ahead. Our goal is to have universal access to testing for all. Our capacity is the machine that can run the test, and youre exactly right. We do not have the operational aspects, all of the solid supply chains, the staffing, the p. P. E. , the mechanisms all have to be worked out to reach that vision. So our goal is to get there not only through d. P. H. But our private partners, as well. So its not like we can turn on a switch and get to that number overnight. Thats why were starting with laguna honda first, so we can improve our ability to do things faster and then move onto the other s. N. F. S. Supervisor walton my apologies for jumping the roster, president yee. President yee no problem. Supervisor mandelman . Supervisor mandelman thank you, president yee. I guess i share my colleagues desire to understanding what capacity means. Im gleaning that this means a workforce problem, but you never said that. I am assuming that to have teams of d. P. H. Folks or folks under contract set up to go out to each nursing home in San Francisco every two weeks is a project that requires people, and im wondering if d. P. H. Has those people. And im wondering if layering on top of that. Maybe you can tell me if this is true. I imagine youd like to do a similar exercise for every vulnerable population in a congregate living situation, and that theres also a capacity problem which im also imagining is sort of a, like, bodies or people problem, but i dont have a great sense of that. It would be great to have a sense of when you say capacity, its not it doesnt sound like were hitting up against the lab number capacity problem, it sounds like the materials problems are, you know, may or may not be getting resolved. But it does occur to me that lodge sticks and number of people that you need to manage and this is also probably true of contact tracing, you know, that theres a lot of people that need to get put into these roles, and maybe im not completely understanding. Yeah. So let me just briefly summarize that, and let me do it in two phases. One, my colleagues remind me that its not just about testing because when you test, youre going to find staff and residents in longterm care facilities, some of whom are positive, and then, you have to figure out what to do with them. So theres this whole infectious control, training on how not to get infected, and then they have to go out to all of these facilities. So they have to mitigate whats happening in their site but also figure out a path forward how theyre going to continue to operate, so its a big challenge for them. Youre absolutely right, and thats really why, for us right now, this is a transition period as were trying to think about how do we begin to lift shelter in place because of the health Harms Associated with shelter in place and the disrupting of the economy, but then, how do we build how do we do what were currently doing . Some people because were activated right now, were using Disaster Service workers. Some of them are going to have to go back to do their regular operations. How do we backfill those positions . How do we expand in those areas that were going to have to expand, and each one of those is very different. So whats required for a longterm care facility is very different than whats required for shelters, very different than whats required for s. R. O. S, different than whats required for contact investigation and training, so theres work issues across all of those that have to be scaled up, and were going through were going through intensive planning right now, figuring out how were going to do that. And i dont know if dr. Colfax wants to add anything, but yes, what youre describing is absolutely is absolutely where were at right now. Supervisor mandelman and who is in charge of all that . Thats thats the way that right now, thats being done through the e. O. C. , and the e. O. C. , the d. O. C. , all that infrastructure exists, that we depend on all that infrastructure for everything that were doing. Supervisor mandelman so thats being governed by a committee . So our testing head on this is dr. Amy lockwood, as well as dr. Philip, who is leading the testing concept. President yee supervisor haney . Supervisor haney thank you, president yee. I have just a couple of things that have been hard for me to understand. One of them is a thing that a lot of people are focusing on, which is why we seem to have a different strategy that were stating compared to other counties like los angeles, who have been very open that theyre able to and willing to test anyone who wants to be tested . I have a district where we have many s. R. O. S where there were positive cases, and people who live in those buildings want to be tested, but they dont currently fit into the categories where theyre tested, so theyre not being tested. It seems like youre explaining a lot of what our plans are and what were doing, but we seem to be doing different and having a more limited approach than even places like San Joaquin County who has taken a similar stance as los angeles. Can you just quickly explain why arent we saying exactly what los angeles is saying right now on testing . Yeah. So im sorry, was someone going to Say Something . I so the way the way that were saying this, as dr. Colfax is saying, were moving in the direction of universal testing. And given the limitations that we nshlinitially had, we have prioritizing, and we started off in a prioritized way with the asymptomatics, focusing on outbreak detection, and so right now, for example, if we have in a shelter, if one person has developed symptoms thats positive, were treating that as an outbreak. And so and we and we absolutely need to move beyond that, and thats exactly the direction that were moving into, is going to be the universal access. And i completely agree with you. I dont know and i think what we need to do is because we because we received these questions last night, i think and i know dr. Phil dr. Phillips came last week. Its a complex problem, but i think we would be able to go more into these questions in detail by having the people in this work explaining whats been done. Supervisor haney any thing that im trying to understand is your approach at the department of Public Health to spechl people that are homelesare specifically people that are homeless, in shelters, and h. S. A. S. Weve heard presentations on that, etc. It seems to me that because of how vulnerable these individuals continue to be and i can tell you, from my experience, from what i can see, very little has changed with regards to the number of people who are on the streets in very vulnerable situations. There its basically the same as it was, if not worse than two months ago. So as we begin to go to these next set of phases around opening back up, and nothing has changed to put these people in any sort of greater level of protection, and nothing looks like its going to happen any time soon, considering the rate at which people are going into hotels, how can we be confident that there wont be spread, rapid spread among these populations as we start to open up for everyone else who has some protection while we have done very little to protect those that are most vulnerable . I just dont see how were going to drop the metrics when we havent helped people who havent had any change in their vulnerability . Yeah. We appreciate your comments, and we realize that that is one area that we need to build up our Early Warning systems, and thats one of the focus that we have, as youre exactly describing. I think one of the things that would be useful, at a future time, in addition to coming back and talking about testing, to have folks that do the community hub, that do the work on the ground and work with these community populations. You can learn about how theyre adapting testing to the population that have Mental Health and Substance Use challenges. So its a work in progress, and i think it would be useful for us to come back and report to you on how that is going. Its not an area that im spending im spending more of my time on a higher level, but i think it would be great for them to come back and speak to you. Supervisor haney yes. Weve heard from h. S. A. A number of times, but this is an issue of Public Health and how were meeting certain metrics and how were controlling the spread. Last question i want to ask, because i know that other people want to ask questions, its related to the vulnerable population and Homeless Population. So the plan, as i understand it, is for people who are positive to go into an isolation and quarantine, and once they are negative again, they are spent back to a shelter where they are in a congregate living environment. Ive asked h. S. A. Before, but again, i feel this is a Public Health question. What does it say to the people that are post covid . It seems to me that these people are still in danger because their immune systems are way compromised, having just survived a deadly virus, or from everything that ive read, i dont feel 100 confident that they cannot catch covid again, that we are putting them into a knowingly vulnerable environment, a congregate shelter environment, in some cases on a floor, having just survived this deadly virus. Can you please justify that from a Public Health perspective . Yeah, and again, we can have somebody come and tell you more details on how theyre setting up those sites. Youre absolutely right. Theres a lot we dont know. We know that persons who have for example, Health Care Workers that have recovered do go back to work, z and so as long as theyve recovered, they can go back to doing what theyve done in the past. But of course, youre right. We dont know in terms there are some people that may excrete the virus for a longer period of time, and people may get reinfected, and thats why we continue to practice distancing with Face Coverings because that is an unknown. So to the extent that people can recover, that they should be able to go back and deserve to go back to do what theyve done before, but we do have to be extra cautious and recognize that we dont know, and that people still need to practice social distancing, facial masking, washing hands, etc. Supervisor haney and if i could just add, the concerns that youve raised are obviously importan and if i could just add, the concerns that youve raised are legitimate, and are key in getting policies moving forward, so weve working in the Health Department and making sure that things are aligned with experts in Infectious Disease and people who have been in homeless medicine as much as possible. President yee so are you done, supervisor haney . Im sure you have many others. Supervisor haney no, i can ask another question, but i just want to say. I appreciate that, but i do want to be clear that i have not seen any Public Health guidance that says it makes sense to take somebody that has just survived this deadly virus and all its unknowns, and take them and put them back in a congregate living environment. President yee no. It doesnt seem that were going to get to all the questions, obviously, and were going to make sure that they come back. I know that youre about 20 minutes more than what i asked you to do, dr. Aragon, but i want to stay at least ten more minutes because theres three more people in the roster. So whoever comes first i will try to answer them, and then dr. Colfax will back me up if i cannot answer them. President yee so im going to go by this order. Supervisor ronen, then safai, and walton, i know that youre before safai, but i want to give them a chance first. Supervisor ronen. Supervisor ronen thank you, president yee, and director dr. Colfax, and dr. Aragon. I want to say thank you very much for your work. I know youve both been just working nonstop and have done a tremendous job at flattening the curve and not overwhelming the hospitals during this time, and im so appreciative to both of you. But i just want to follow up on some of the supervisor haneys question because as you know, the place that weve been having a really hard time understanding the strategy around