Tenderloin is unique neighborhood where geographically place in downtown San Francisco and on every Street Corner have liquor store in the corner it stores pretty much every single block has a liquor store but there are impoverishes Grocery Stores im the cocoordinated of the Healthy Corner store collaboration close to 35 hundred residents 4 thousand are children the medium is about 23,000 a year so a low Income Neighborhood many new immigrants and many people on fixed incomes residents have it travel outside of their neighborhood to assess fruits and vegetables it can be come senator for seniors and hard to travel get on a bus to get an apple or a pear or like tomatoes to fit into their meals my my name is ryan the cocoordinate for the tenderloin healthy store he coalition we work in the neighborhood trying to support Small Businesses and improving access to healthy produce in the tenderloin that is one of the most neighborhoods that didnt have access to a full Service Grocery store and we california together out of the meeting held in 2012 through the Major Development center the survey with the corners stores many stores do have access and some are bad quality and an overwhelming support from Community Members wanting to utilities the service spas we decided to work with the Small Businesses as their role within the community and bringing more Fresh Produce produce cerebrothe neighborhood their compassionate about creating a healthy environment when we get into the work they rise up to leadership. The Different Stores and assessment and trying to get them to understand the value of having Healthy Foods at a reasonable price you can offer people fruits and vegetables and healthy produce they cant afford it not going to be able to allow it so thats why i want to get involved and we just make sure that there are alternatives to people can come into a store and not just see cookies and candies and potting chips and that kind of thing hi, im cindy the director of the a preif you believe program it is so important about Healthy Retail in the low Income Community is how it brings that health and hope to the communities i worked in the tenderloin for 20 years the difference you walk out the door and there is a bright new list of fresh fruits and vegetables some place you know is safe and welcoming it makes. Huge difference to the whole environment of the community what so important about retail environments in those neighborhoods it that sense of dignity and Community Safe way. This is why it is important for the neighborhood we have families that needs healthy have a lot of families that live up here most of them fruits and vegetables so thats good as far been doing good. Now that i had this this is really great for me, i, go and get fresh fruits and vegetables it is healthy being a diabetic youre not supposed to get carbons but getting extra food a all carbons not eating a lot of vegetables was bringing up my whether or not pressure once i got on the program everybody o everything i lost weight and my Blood Pressure came down helped in so many different ways the most important piece to me when we start seeing the Business Owners engagement and their participation in the program but how proud to speak that is the most moving piece of this program yes economic and social benefits and so forth but the personal pride Business Owners talk about in the program is interesting and regarding starting to understand how theyre part of the larger fabric of the community and this is just not the corner store they have influence over their community. It is an owner of this in the department of interior i see the great impact usually that is like people having especially with a small family think liquor store sells alcohol traditional alcohol but when they see this their vision is changed it is a small Grocery Store for them so they more options not just beer and wine but Healthy Options good for the business and good for the community i wish to have more [applause] [applause] wow, i got to say, i am really honestly overwhelmed with gratitude to all of you. This has been a tough time for our city. We know that every single day when we are out there talking about the people who are really putting their lives on the line, those people are all of you. Showing up to this hospital, doing the important work, reassuring people that things are going to be okay, putting yourself and your families at jeopardy. Its hard to really put into words what you all have done to help save lives for people in this city. I think i am a little overwhelmed right now because i never expected when i became mayor to be dealing with the pandemic. Im sure that none of you ever thought we would ever see Something Like this happen, ever. We read about it in the history books. We know that San Francisco and with ucsf and the technology and everything that weve done to combat Infectious Diseases in the past, theres no way that Something Like this could have even been possible. Here we are and here you are showing up every single day, taking care of people that cant take care of themselves. I know that in some ways its been more difficult because there were a lot of things that we couldnt provide you with that you needed. We remember the early conversations around p. P. E. We remember the things that you asked for in order to take care of and support your patients. It was so difficult that fight to get you the resources you need in order to not only support and protect your patients, but to protect yourself. You still came to work everyday. You still showed up for the people of San Francisco. Im just again a little overwhelmed right now because when we talk about essential workers, there are a lot of folks that we have been thanking. You all are really the front line workers. You all are really the people that we are counting on to help guide us through this pandemic. In addition to what we see happening all over the country. You know, after George Floyds death, every time there is a death of an African American man at the hands of law enforcement, it keeps taking me back. It takes me back to my cousin who i lost. It takes me back to kids i helped raise in the community. It takes me back so on top of this global pandemic, we have this uprising like something again i never thought i would ever see as an African American woman. I never thought i would see the day when people could really understand the level of racism that we constantly deal with and i still deal with as mayor of this city. [applause] the fact is through all of this, through all of this stuff that is hard to deal with, i still have hope. I have hope. I have faith. I have hope and i have faith because you all show up to support people who need it the most. I have faith in people. I have faith that out of this talent, out of this struggle, the very best of us is emerging. Because of that, we are going to be a better city. Because of you, we are a better city. Because of your support, your love, your advocacy, everything that you bring, your heart and soul to the work that you do for people, we are a better city. So i know this is a tough time for all of us. I know this was more, suppose to be more of a pep rally as an expression of appreciation to all of you for what you have done to help this city get through this. I know that because of you we are in a good place. I know that we still have a ways to go. Im sure some of you see the numbers recently and the surge as we try to reopen and get back to the normal. Just yesterday, we seen an increase in the numbers by over 100 new patients. What that sadly means is that our plans for monday to reopen a number of businesses and places that we have committed to. Those plans will be put on pause because what we dont want to happen. What we dont want to happen is we dont want this hospital to get overwhelmed with patients. I know the last thing you all want to see is somebody walk up to that door and get turned away because you want to help. The last thing i want to make the last thing i want to happen is to put you in a situation where you cant help. So were going to have to dial it back. Were going to have to dial it back because of what we see with the data. Were going to have to dial it back because i want to make sure that if we have to help somebody, we can help somebody, that were prepared for that. I know that, that is the most important thing to every Single Person here. So with that, i want to again express my gratitude. Thank you for hanging in there for us. Thank you to the people who can retire, that have not retired because you want to help us. Thank you to so many of the African American employees who we know are dealing with challenges and struggles and as i said to you brenda, we are committed to making real change to support the African American community in this city. [applaus [applause] thank you to the doctors, the nurses, to the clinicians, to the people who are cleaning the halls of this place, to the people who are the social workers, to all the outreach workers, to the h. R. Folks, to the various supervisors, to the technicians, to those of you showing up everyday for the people of San Francisco. When we talk about gratitude, words are inadequate. They are all we have at this time. So i want to express my deep appreciation for the work that you have done and will continue to do because we are not out of the woods yet. We need you. So we need to do a better job as a city to up lift you and support you in the work that you do every single day. That is why im here. Im here to express my support. Im here to express things will be really hard for us both as we deal with this pandemic and other challenges that our city faces, but i appreciate you all being there. I appreciate your commitment. I appreciate your support. Were going to get through this together. So thank you, thank you, thank you, to all the essential workers. Thank you. [applause] i also think i had a certificate i did i have a certificate no . Good. Last but not least, let me just Say Something that is really important. Its important that you take care of yourself. We put in place a number of resources. Take care of your physical and your Mental Health because that is so critical. When i think about what you have to do everyday, sometimes you have to take a moment and pause, even if you need to go in a quiet place alone. I am doing the best i can to take care of myself. I get my sleep. I drink my water, i get my exercise. If im not in a good place, if im not healthy physically and mentally, then i cant take care of the people that im here to take care of. So i want you to take care of yourselves because this is not a sprint. This is a marathon. After we get through this, were going to look back and were going to tell some stories about what we experienced in the police myst of all this and how we came through. Some of you were around during the aid crisis. Some of you worked at a time where so many doors were closed to San Francisco. This became the epicenter of that crisis. Look at where we are. Look at how far we come. We have been a leader in getting to zero. We have seen the numbers decline to levels that we never anticipated possible. So if we can get through that, we can get through anything. Well get through this pandemic. Well get through thisening whi which this challenging time and as a result we will emerge stronger than we ever have been before. So again, thank you all so much. Enjoy your workday. Stay healthy, stay safe, and thank you, thank you, thank you. [applause] good afternoon. Thank you mayor breed. Im the director of health for the city and county of San Francisco. I wanted to thank the mayor for her leadership during these unprecedenteded times and for making San Francisco a leader in how we address the covid19 pandemic. Early on as we first saw the frightening and fast growing effects of this new virus, we immediately started making preparations for what we knew would need to be an enormous and Critical Response here in San Francisco. The s. F. G. Emptied beds to make room for a coming surge. The patients we knew, you knew would eventually come. I. C. U. S were readied, supplies ordered, staff prepared. This hospital, the s. F. G. Led other San Francisco hospitals in a coordinated an unified citywide effort. These preparations allowed us to meet the needs of our communit. , hospital beds in critical care, testing, guidance, and modeling safe behaviors. Im especially happy to see everyone with Face Coverings here. The s. F. G. Also gave us early and critically Important Information about the disproportionate impact that covid was and is having on the citys latinx patients. That has helped us focus all our efforts on Effective Community outreach and testing of those most vulnerable to the virus, not only here in the mission, but in other parts of the city, including the bay view and the tenderloin. We wont let this virus or any pandemic keep us from our mission to build healthcare equity in San Francisco. It is appropriate that we would be here during essential workers week. What happens everyday at zuckerberg is the very highest degree of essential work for our city. This is true not only during the covid19 pandemic, but as the mayor said, it was true during the h. I. V. Epidemic. It was true when i trained here with many of you in the e. R. , in 5a, building 5, 20 to 15 years ago. It was true when many of our families, including my family, when i was little, got care here at zuckerberg San Francisco general hospital. From the bottom of my heart, i thank each and every one of you. The s. F. G. Has cared for about a third, a third of all Covid Patients in the city. Patients from other counties in need as well. Not only caring for the sick, but caring for other essential workers too. While the clinicians do so much of the work here, there are many others on the front lines, keeping the hospital and the city functioning well. Environmental service workers, food and nutrition workers, engineers, information technology, patient financial services, nor is this just an effort at this hospital. There are many other department of Public Health, d. P. H. Essential workers at laguna hospital, our outpatient clinics, behavioral health, healthcare workers working everyday in hotels to keep people safe and off the streets and the case in contacting workers. The workers who are helping us find new cases and support people who are at risk for the disease. This is truly a comprehensive, a united and effective team. While today we have the news that we have some increase in cases, our case rate is increasing and were going to need to take a pause in our reopening, again, following the data, science, and facts. Together we will emerge from this challenging pandemic stronger and unified more than ever before. I would add my sincere appreciation for all of you who work here, absolutely essential everyone. Thank you, thank you so much. [applause] it is my pleasure to introduce dr. Susan, the c. E. O. Of the hospital. [applause] it is such an incredible privilege to be here with you a all, not just since the beginning of the pandemic but everyday that ive been at this hospital, its been such an honor. I have been so humbled to serve with you and to be in this very privileged position i am in. On behalf of the s. F. G. And all 6,000 people that work here, i want to thank you so much mayor and dr. Colfax for your support. The work we do here is incredibly hard and yet its so grad gratifying and its made more gratifying by the incredible support that we have by our leaders and i dont take that granted at all. Were privileged to have it. I cant tell you how much we appreciate your remarks and the steadfast and unwavering support for all of us in the work that we do. Our staff, us, i look around and i see people who have dedicated many years, entire careers, have paused their retirements to continue work for us and everything you do for this city and the people who live here just means an incredible amount. From the very beginning of this pandemic, our staff has been on the front lines everyday, no matter what you do, if its taking care of patients, keeping the hospitals clean and safe for patients, visitors and staff, fe feeding people, testing, opening new units. The creative ways you do them has been endless in the past three months. The importance of the work, the quality of the work, the amount of work, not to mention the pace has been nothing, nothing short of heroic. Its an amazing team and again im so proud to be a part of it. This team is sporting an incredibly beautiful recognition of the work you do and i just want to thank you mayor brooed breed for bringing this to us and recognizing you. Thank you everyone. [applause] well thank you again. We will move forward together. Please as the mayor said, take care of yourself. Were in the second inning of a long game here. While we all hope there will be more effective treatments and vaccine as soon as possible, it will take a while. So please, we all, as healthcare providers, youre wired to do everything you can for everyone else. Make sure you look inside. Make sure you take care of your mind, your heart, your loved ones. Stay safe, stay connected, stay socially distant. Thank you. Byebye. [applause] kids, night terrors. We see again, across youre watching coping with covid19 with chris manners. Hi. Im chris manners, and youre watching coping with covid19. Today, my guest is an infeshttious disease specialist and leading the covid disease tracing team for the San Francisco department of Public Health. Shes here to talk about the citys Contact Tracing program and how to slow the spread of the virus. Doctor, welcome to the show. Thank you so much for having me. Can we begin by talking about when the citys Contact TracingProgram Began and what are the services . Sure. So we began Contact Tracing on the first day that we had a case here in San Francisco, so that was march 5 of this year. The purpose of our program is to provide comprehensive services to people who are close to and diagnosed with covid. This includes anyone whos newly diagnosed gets a phone call from our Trained Health professionals in which we talk more about their diagnosis, make sure that they have accurate information. We then go into understanding a little bit more about their symptoms and trying to better understand when they first may have become infectious to others. As part of that, we will then talk about anyplaces they may have visited for an extended period of time and people they were in contact with. We then seek to better understand the individuals that they were in touch with by collecting names and phone numbers so that then we can reach out to these individuals and make sure that they have the information that they need in order to quarantine and get access to immediate testing for covid. How does the program work . How many people are actually acting as contact tracers, and what do they do . So we had over 100 people activated with the city to provide active Contact Tracing actions for san franciscans. So this team is highly trained in being able to provide everyone diagnosed with covid with information about what this means to them and make sure that they know the resources that are available to them so that they can safely isolate. This team then also has worked with several social workers as well as other city departments to make sure that this individual has Wraparound Services in order to complete their isolation in quarantine. In general, we have staff that represents all diverse backgrounds in San Francisco, and they are also able to provide linguistically appropriate services to make sure we are able to meet the needs of the people being diagnosed. Thats great. When we run a huge program in the mission district, what role did Contact Tracing play in that effort. Was there anything notable . So previous to this pandemic, San FranciscoPublic Health has been tracking communities disproportionately affected by covid19. We provided a large communitybased Testing Campaign in the mission. As part of this campaign, we found that while latinos made up 44 of the people who were tested, they made up 95 of people who ended up being diagnosed. We also found that 90 of the people who were diagnosed with covid19 could not work from home, suggesting that this disease is impacting communities that may be unable to work from home or have the resources to stay at home during their shelter in place order. So as part of these activities, its really a reflection of what were seeing citywide in that we need to make sure that people who are at the greatest risk for covid have the resources needed in order to take time off of work as necessary, as theyre diagnosed with covid. I think as weve seen in new york, density is a huge factor, so it makes sense that there would be quite a few cases in the mission district. Yeah. We did find that the median size of the household was greater than three, and the majority of people who had been diagnosed with covid, so this does go back to the fact that covid is really likely to transmit within households, and we need to make sure that households have the information that they need if somebody is diagnosed with covid, and that they can appropriately cleanup, clean their spaces, and they can selfisolate, and as necessary, they have access to city funded hotel rooms where they can safely isolate or quarantine for the required period of time and reduce their risk of spreading covid to others. Just to confirm, these tests are completely free, right . What kind of turnaround do we have . So fortunately, San Francisco offers free testing to san franciscans who have even one symptom consistent with covid19. What you need to know about this testing is that you have to schedule it online, but that you dont need any medical insurance, and you dont need a doctors note. In addition, testing is available to all san franciscans regardless of immigration status. Youll be able to get your test results in just one to five days after getting a test, and youll get follow up through the Health Department if youre found to have covid19, including access to all of our tracing activities that ive talked about today. So if you have an opportunity to test for covid, i recommend that you go for it because its important that we all really understand that testing is part of our new normal and a really Important Pillar for our fight against covid transmission here in San Francisco. Now, some communities have been responding differently to the virus. Some have been asking their citizens to keep a diary so they can remember who theyve seen, while others are encouraged to download an app to their phone so they can keep track of tracing. Have we considered any of these steps. So a major part of tracing is to talk to someone about where theyve been and who theyve been in contact with prior to developing symptoms or on the date of their test. This requires jogging somebodys memory, and as we all know, it can be hard to recall all of the things that one has participated in days in the past several days. So we recommend that everyone Pay Attention to what theyre doing as we lift our shelter in place orders, and we are carefully looking at the possibility of being able to support and being able to understand where someone may have been and who else may have been exposed to covid. But as part of that, were keeping careful caution and doing our Due Diligence to ensure that peoples privacy and confidentiality is maintained. This is the number one priority for us in the department of Public Health. We want anything that we offer through an app to be supplementing instead of replacing our currently Contact Tracing efforts. So it seems like any appbased program the city might offer would be on a strictly optin basis . Absolutely. We would want people to choose whether or not they want to participate in any of these appbased programs, and it would strictly be voluntarily if they were diagnosed with covid and they wanted to share information with the department of Public Health and others. We really want to make sure that any app that we recommend as a department is completely confidential and maintains the highest levels of privacy, and also is able to supplement our current offering of Contact Tracing and not become a distraction whereby people are getting notified that dont have contacts or information that they need in order to take the appropriate next steps. Yeah. I think it would address peoples concerns if its strictly voluntarily whether you use the app or not. So finally, what would you say to our residents is the best way to stay safe during this pandemic . Well, i like to boil is down to a short little phrase. Cover your face, test early, and trace. And what i mean by that, as well as our shelter in place restrictions, we really want people to continue into their new normal life wearing a mask. We know that this is a very protective way of preventing the spread of covid, and we want everyone to adopt this practice in their life as they move forward. We also want people to pay a lot of attention to their bodies as we begin to get back into the world as well as any symptoms that may be consistent with covid19. Fortunately, we have the tests here in San Francisco to make sure that every san franciscan can access a test if they have symptoms. So if somebody is experiencing any symptoms, we want them to seek out those Testing Services immediately and isolate and note their results. And finally, if somebody is diagnosed with covid19, we want to make sure that they have been paying attention to who theyve been spending time with in the days prior to their symptoms or the days prior to their tests. So that includes an element of tracing your foot steps, as i like to say, and being mindful of your actions, particularly any interactions where you may not have been masked or may have been spending time with people over ten minutes and less than 6 feet apart. By keeping track of people you may have been in contact with, itll be much easier to work with the Health Department and reach out to those individuals to make sure that they know that they were exposed to somebody with covid19 and they can get the appropriate testing and quarantine so we can ongoingly reduce the risk of transmission to others. Thats really fantastic information, doctor. I really appreciate the time youve given us today. I know youre really busy. Yeah, i appreciate the conversation. Thanks again. Thats it for this episode of coping with covid19. For sfgtv, im chris manners. Thanks for watching. Is our United States constitution requires every ten years that america counts every human being in the United States, which is incredibly important for many reasons. Its important for preliminary representation because if Political Representation because if we under count california, we get less representatives in congress. Its important for San Francisco because if we dont have all of the people in our city, if we dont have all of the folks in california, california and San Francisco stand to lose billions of dollars in funding. Its really important to the city of San Francisco that the federal government gets the count right, so weve created count sf to motivate all sf count to motivate all citizens to participate in the census. For the immigrant community, a lot of people arent sure whether they should take part, whether this is something for u. S. Citizens or whether its something for anybody whos in the yUnited States, and it is something for everybody. Census counts the entire population. Weve given out 2 million to over 30 communitybased organizations to help people do the census in the communities where they live and work. Weve also partnered with the Public Libraries here in the city and also the Public Schools to make sure there are informational materials to make sure the folks do the census at those sites, as well, and weve initiated a campaign to motivate the citizens and make sure they participate in census 2020. Because of the language issues that many Chinese Community and families experience, there is a lot of mistrust in the federal government and whether their private information will be kept private and confidential. So its really important that communities like bayviewhunters point participate because in the past, theyve been under counted, so what that means is that funding that should have gone to these communities, it wasnt enough. Were going to help educate people in the tenderloin, the multicultural residents of the tenderloin. You know, any one of our given blocks, theres 35 different languages spoken, so we are the original u. N. Of San Francisco. So its our job is to educate people and be able to familiarize themselves on doing this census. You go online and do the census. Its available in 13 languages, and you dont need anything. Its based on household. You put in your address and answer nine simple questions. How many people are in your household, do you rent, and your information. Your name, your age, your race, your gender. Everybody is 2,000 in funding for our child care, housing, food stamps, and medical care. All of the residents in the city and county of San Francisco need to be counted in census 2020. If youre not counted, then your community is underrepresented and will be underserved. Watching. Youre watching coping with covid19 with chris manners. Todays special guest is julie kirschbaum. Hi. Im chris manners. Youre watching coping with covid19. Today, im speaking with the executive director of the sfmta. Thank you and welcome to the show. Thank you for having me. Can we begin by talking about the services that have been suspended and there have been changes to the services that are still running . Absolutely. Weve had to make really significant changes to our services in response to covid19. Initially going down to as few as 17 routes. These are routes that people use to get to work or the hospital, Grocery Stores, really to make the most essential trips that are needed throughout this process. Weve been fortunate over the last, say, five or six weeks, that our Staffing Levels have gotten better, and as weve increased our cleaning capacity, that weve been able to add some Community Services back. Weve added a shuttle on pacific avenue, which is helping seniors get to Grocery Stores in chinatown. Weve added a community inline bus in ingleside, and weve been adding more service to our core network. Our corridors like Mission Street, potrero near s. F. General, and really needing increasingly more and more service in order to prevent spacing and keep spacing and prevent crowding on the bus. Thank you. What measures have you been taking to prevent passengers on the bus . Your safety has been our top priority and is guiding everything that we do. The most critical thing that were doing is the mask requirement, where were requiring people, if youre going to ride muni, to do it safely, protecting yourself and others from germs. Weve also implemented back door boarding, so except for our customers with disabilities that will need the support of the front door, the ramp, or the leader, were asking customers to enter from the back to give extra spacing to our operators. Weve provided operators with all of the protective equipment that they need to do the job safely, including gloves and masks, and were really fortunately that our bus fortunate that our buses are equipped with a plexi glass door that creates an operating space for our operators. And some of Services Like the cable car historic trolleys we dont have that same protection, we suspended early on in this process. We want our operators to have the physical separation that they need to stay safe on the road. Absolutely. So how have you been managing physical distancing on Public Transportation . What happens if a bus gets full . Great question. We have reduced the number of people that we consider a bus to be crowded, so heading into this, we might have had 70 or 80 people on the bus. Now, its closer to 20. We also are monitoring our passenger loads. Both our operators are monitoring them as well as were monitoring them remotely from our Transportation Management center. If the bus does get too crowded, the operators have a dropoff only sign, and they stop picking passengers up until enough exit the vehicle. It might be a little bit inconvenient if youre waiting for a bus and it doesnt stop to pick you up, but theres another one coming behind it so we can make sure that you have social distancing throughout this process. What other ways have you been letting passengers and residents know about these changes and new policies . Weve been using all methods to keep customers informed about all of these changes. Weve put up almost 2,000 signs and posters at our bus stops in multiple languages, letting people know when routes have been eliminated, when hours have changed, when service has changed. Weve also been putting it up through social media and neighborhood groups, and also really relying on the media and press to notify customers about changing. We want the public to know what to expect in this really unique and unusual time to make things as convenient as possible. Quite right, yes. Other than the operators themselves, i know you have a very large support staff. Have you made changes at your muni facilities, as well. Sfmta has 29 facilities, and enhancing safety at those facilities has really been a team effort. We have an amazing custodial crew thats been doing deep cleanings. We were able to take staff that had been cleaning the subway stations and dedicate them to our facilities. We have also seen staff at every level jump in and help with daily cleanings in places like common areas, desks, tools. Everyone is pitching in to wipe stuff down, which makes a big difference. We are proud of the fact that we havent had any clusters of staff who have had the virus or really any examples of staff catching it from each other, and we feel its because of the steps that were taking to keep people safe at work. Were also taking ideas from everywhere in the organization. That includes safety briefings, rather than doing them in a small room, doing them outside, in a parking lot. In order to get to job sites, staff had previously taken three or four people in a city truck. Now, were taking them in a bus so they can actually space out during the trip to the site. Oh, thats great stuff. When we look at the Transportation System as a whole, what additional steps have been taken to encourage people to consider alternative forms of transit. We have been looking at it as a system in part because the bus system is doing less than it has in the past because we have fewer routes and because we have fewer people riding. One example is our e. T. C. Program, which is a taxibased program that seniors and people with disabilities can sign up for and use a taxi for essential trips at a highly discounted rate. Were also looking at a Transit System that people can get out walking or biking. How are we planning on next steps as restrictions ease and we move into phase two and eventually phases three and four . I think probably our biggest thing that were getting ready for right now is the start of school in august, and make sure that were ready, not only to accommodate all of the general activities, like going to restaurants and recreation, but also getting kids to school safely. Were also looking at what are other cities doing around the world that we can learn from, and thats where we are forming our work, as well. We are really fortunate that we had an opportunity to skype with taipei, a city thats had a lot of success addressing the virus. The mayor actually joined the skype call, and one of the things that they shared with us, their biggest success has come with 100 compliance masks on mass transit. In other cases, monitoring for temperatures and really making sure that people were riding, that they were riding healthy, so were trying to model and apply those best practices to our system and learn as much as we can through this process. Well, thats fantastic information. I really appreciate you coming on the show, miss kirschbaum. Thank you for the time youve given us today. Thank you. Thanks again. Well, thats it for this episode. Well be back with more covid19 relates information shortly. Youve been watching coping with covid19. Im chris manners. Thanks for watching. Good afternoon, welcome to the stand lus and Transportation Committee for today, monday, july 6th, 2020. I am the chair of the committee joined by supervisor safai and member supervisor dean preston. Our clerk is ms. Erika major. Could you please do you have any inaudible . Clerk yes, due to the covid19 Health Emergency and to protect board members, City Employees and the public, supervisors legislative chamber and Committee Room are closed. However, members will be participating remotely. This precaution is taken inaudible state wide stay at home order and all local and state federal orders, declaration and directives. They will continued through participate in the meeting to the same extent if theyre physically present. Public comment will be available on each item on the addenda. Both channel 26 and sfgovtv. Org are streaming the number across the screen. Each speaker will be allowed two minutes to speak. Comments or opportunity to speak during the pluck comment periodd are by calling 408 4189388. That number is 408 4189388. The meeting i. D. Is 1467992222. Again, thats 1467992222. Press pound and pound again. When connected, you will hear the meeting discussions but you will be muted and listening mode only. When your item of interest comes up, dial star 3 to be added to the speaker line. Best practices are from a quiet location, speak clearly and slowly and tun down your television and radio. You may submit Public Comment. You can reach me at erica. Fmjor sfgov. Org. If you see a card a email it will be forwarded to the supervisors and part of the official file. Items acted upon today are expected to appear on the board of supervisors agenda of july 14th, unless otherwise stated. The planning code to allow the consolidation or merger of groundfloor storefronts in north beach special use district for r San FranciscoPolice Department functions or Space Associated with such use and appropriate members of the public who wish to revise Public Comment on this idea should call the number 408 4189388. Meeting i. D. Is 146799222, press pound and pound again. Press star 3 to lineup to speak. Supervisor peskin this is a drafted piece of legislation to allow the merger of two storefronts to merge two properties that both have been leased to Central Station to allow those twostore two storeo consolidate during the covid19 period to give a little bit of breathing room to the inspectors that habitat at that spot. This is part of a piece of property that has 34 singleresident occupancy hotel rooms above that the city has expressed center in purchasing that is by way of full disclosure and the Planning Commission waved its 90day period to review this pursuant to the charter i would like to open this up to Public Comment. Seeing no questions from members, are there any members of the public would who like to item on item number 1 . Clerk operations is checking to see if there are any callers in queue. There are no callers wishing to speak. Supervisor peskin this is been without controversy in district 3. Seeing no Public Comment, Public Comment is now closed. And colleagues, if theres no objection i would like to send this item to the full board with recommendations. Madam collect, could you please call the roll on that motion . Clerk on the motion as stated by supervisor peskin, supervisor preston. Aye. Clerk supervisor safai. Superivsor safai aye. Clerk supervisor peskin. Supervisor peskin aye. Could you read the second and final item. The reenacting of emergency ordinance number 620 to temporarily prohibit rent increases that would be permitted under the administrative code due to covid19 pandemic. Members of the public who wish to provide Public Comment on this item should call 408 4084189388. The meeting i. D. Is 1467992222 and press pound and pound again. Supervisor peskin this committee voted on this legislation, which is emergency legislation that lasts for 60 days and is expiring on june 23rd. It was approved unanimously by the board of supervisors this will extend the norent increase for 60 days during the covid19 period. Do you have any questions or comments colleagues . No. No, mr. Chair. Seeing none. Supervisor peskin. I just want to thank you for renewing this and asking to be add as a cosponsor as i was on the original legislation. Thank you. Thank you, supervisor preston. Supervisor safai. This is your opportunity to be a cosponsor. Superivsor safai yes, please add me. Members of the public would would like to comment on this item . Mr. Chair, operations is checking to see if there are any callers in cue. There are no callers wishing to speak. Thank you Public Comment is closed and i would like to make a motion to send this with recommendation as a Committee Report for hearing at full board of supervisors tomorrow, july 7th. On that motion a roll call, please. Clerk on the motion as stated supervisor preston. Supervisor preston aye. Clerk supervisor safai. Superivsor safai aye. Clerk supervisor press kin. Supervisor peskin aye. Clerk you have three ayes. We are adjourned. This is one place you can always count on to give you what you had before and remind you of what your San Francisco history used to be. We hear that all the time, people bring their kids here and their grandparents brought them here and down the line. Even though people move away, whenever they come back to the city, they make it here. And they tell us that. Youre going to get something made fresh, made by hand and made with quality products and something thats very, very good. The legacy bars and restaurants was something that was begun by San Francisco simply to recognize and draw attention to the establishments. It really provides for San Franciscos unique character. And that morphed into a request that we work with the city to develop a legacy business registration. Im Michael Cirocco and the owner of an area bakery. The bakery started in 191. My grandfather came over from italy and opened it up then. It is a small operation. Its not big. So everything is kind of quality that way. So i see every piece and cut every piece that comes in and out of that oven. Im leslie ciroccomitchell, a fourth generation baker here with my family. So we get up pretty early in the morning. I usually start baking around 5 00. And then you just start doing rounds of dough. Loaves. My mom and sister basically handle the front and then i have my nephew james helps and then my two daughters and my wife come in and we actually do the baking. After that, my mom and my sister stay and sell the product, retail it. You know, i dont really think about it. But then when i sometimes when i go places and i look and see places put up, oh this is our 50th anniversary and everything and weve been over 100 and that is when it kind of hits me. You know, that geez, weve been here a long time. [applause] a lot of people might ask why our legacy business is important. We all have our own stories to tell about our ancestry. Our lineage and ill use one example of tommys joint. Tommys joint is a place that my husband went to as a child and hes a fourth generation san franciscan. Its a place we can still go to today with our children or grandchildren and share the stories of what was San Francisco like back in the 1950s. Im the general manager at tommys joint. People mostly recognize tommys joint for its murals on the outside of the building. Very bright blue. You drive down and see what it is. They know the building. Tommys is a San Francisco hoffa, which is a germanstyle presenting food. We have five different carved meats and we carve it by hand at the station. You prefer it to be carved whether you like your brisket fatty or want it lean. You want your pastrami to be very lean. You can say i want that piece of corn beef and want it cut, you know, very thick and i want it with some sauerkraut. Tell the guys how you want to prepare it and they will do it right in front of you. San franciscos a place thats changing restaurants, except for tommys joint. Tommys joint has been the same since it opened and that is important. San francisco in general that we dont lose a grip of what San Franciscos came from. Tommys is a place that youll always recognize whenever you lock in the door. Youll see the same staff, the same bartender and have the same meal and that is great. Thats important. The service that San Francisco heritage offers to the legacy businesses is to help them with that application process, to make sure that they really recognize about them what it is that makes them so special here in San Francisco. So well help them with that application process if, in fact, the board of supervisors does recognize them as a legacy business, then that does entitle them to certain financial benefits from the city of San Francisco. But i say really, more importantly, it really brings them public recognition that this is a business in San Francisco that has history and that is unique to San Francisco. It started in june of 1953. And we make everything from scratch. Everything. We started a you we started a off with 12 flavors and mango fruits from the philippines and then started trying them one by one and the family had a whole new clientele. The business really boomed after that. I think that the flavors we make reflect the diversity of San Francisco. We were really surprised about the legacy project but we were thrilled to be a part of it. Businesses come and go in the city. Pretty tough for businesss to stay here because it is so expensive and theres so much competition. So for us who have been here all these years and still be popular and to be recognized by the city has been really a huge honor. We got a phone call from a woman who was 91 and she wanted to know if the mitchells still owned it and she was so happy that we were still involved, still the owners. She was our customer in 1953. And she still comes in. But she was just making sure that we were still around and it just makes us feel, you know, very proud that were carrying on our fathers legacy. And that we mean so much to so many people. It provides a perspective. And i think if you only looked at it in the here and now, youre missing the context. For me, legacy businesses, legacy bars and restaurants are really about setting the context for how we come to be where we are today. I just think its part of San Francisco. People like to see familiar stuff. At least i know i do. In the 1950s, you could see a picture of tommys joint and looks exactly the same. We havent change add thing. I remember one lady saying, you know, ive been eating this ice cream since before i was born. And i thought, wow we have, too. Announcer youre watching coping with covid19. Todays special guest is dr. Steven getnick. Hi, im chris man us and youre watching coping with covid19. Today my guest is the director of the Behavior Therapy Center of San Francisco and Professor Emeritus in counseling psychology at the university of San Francisco. Doctor, welcome to the show. Thank you. Lets talk about managing anxieties during this pandemic. What types of issues are people facing at the moment . There are a number of issues and i really want to point out that this is affecting everyone and has come on very quickly. So it is normal. If you are not experiencing some anxiety, something is a touch off because this affects us all. I think some of the main ones are our health and worried about getting the virus and our developing serious complications. I think for a lot of people who are single, living alone, in isolation, has been very difficult. I think being in close quarters with people who we normally have some space from now are together 24 7. Thats produced a lot of stress and anxiety. That loss of connection with others. We already addressed. And having kids home. For a lot of people. Yes, absolutely. What are the other problems that they might have . I think without that dynamic, the good things are not a problem. It is the difficulties we have. And when were together 24 7, again its like hooking everything up to an amplifier. So, what kind of problems could be created from working home from home, perhaps for the first time in your career . A lot of people are not used to working at home and a working at home just isnt the same. For one thing, there is a lack of social interaction. Some people find that that affects them greatly. Some people are actually finding theyre getting more work done at home without distractions from work. The lack of structure is probably the most common. We see it here with work at the office. People are kind of watching. We know that our schedule is, suddenly youre at home and you are on your own. Absolutely. If those are some of the issues people are facing, what are some of the techniques people can use to overcome their anxiety . Caller i think there are many. One of the first is how managing and keeping track of your thinking, we think and talk to ourselves a lot. Thats normal. We have a dialogue with ourselves often and we need to monitor that a bit. People tend to ruminate versus problemsolve. That is they tend to worry about all the things that might go wrong. And what i suggest is, look, there are things that can go wrong, but ruminating about the worstcase scenario is not going to be very productive. Sit down, figure out what the things are that you have to deal with and try to problemsolve. I think any of the selfcontrol techniques for anxiety can be helpful. And there are dozens of them. The common ones are meditation, relaxation techniques, yoga, for example and another is diaphragmattic breathing. If you google that, you can learn diaphragmattic breathing in about 10 minutes online. Its incredibly simple and it is a really nice way to reduce anxiety in the moment. Selfcontrol procedures, exercise. Whether if youre fortunate enough to have equipment at home, thats great. If youre not, get outside and go for a walk, keep your safe distance, of course. But you need to be active. Thats helpful. I think people marry be dealing with information overload at the moment. How do you suggest people manage that . I was just going to say that. I think it is really important to kind of limit the information you get. Not in terms of accuracy. I think in terms of accuracy, you want to identify a few sites where people are coming with evidencebased information and scientific information so you can form yourself well. Once youve informed yourself, you need to not be watching all day long. Ive talked to people who are mesmerized from the tv and a it keeps that anxiety going so you need to limit your viewing for sure. This can be stress for people who have economic concerns and worried about their family and friends and loved ones who are essential workers. What would you suggest they do to help manage anxiety and stress . There is a number of things. One of major ones for depression is behavioral activation. Simply, it really means that people will tend to not be depressed as a number of reinforcing activities to engage in. Whether it is hobbies, you read, you listen to music, you crochet, you whatever. These kinds of things are very important so you want to make sure that youre engaging in activities that literally make you feel better as opposed to sitting around ruminating, worrying about the worstcase scenarios that might happen. What about trying to do some selfdevelopment . Yeah. Its a very interesting time. Ive talked to a couple of my own clients who are finding, in a very positive way, that this isolation, while at first can generate a lot of anxiety, particularly if youre just not good at living alone. For a number of people, its giving them a chance to sit back and really think about what is important in their lives, what are the priorities. I think that maybe if there is any Silver Lining in this epidemic, its really forcing all of us to kind of rethink whats really important. Indeed. You know, though, at the same time, there are people who are feeling very lonely at home. How would you encourage them to overcome that . You get online. Facetime, skype, zoom, like what were doing right now. You can stay connected. Its very possible. Most connections are important. We are social critters and we need that connection. I think for people who dont have those options, pull up photos, take a look at pictures of family. You need to stay connected. And its very important. And finally, do you have any suggestions that are specifically for families . Yeah. Well, again, i think one of the interesting things thats come about from all of this, is i talked to families on video is theyre obviously spending more time together. While its a bit awkward, particularly for parents who are in the house working a lot. Its a chance to really deepen relationships and spend more good, quality time together. I think parents really need to step back and kind of plan their day a little bit. Not micro manage it, but have some ideas. Can the family play games together . A lot of people i talked to, theyre even together as a family for the first time. So i think there are a number of things that people can do. I think it is qulaouzful for the families to take five, 10 minutes and say how did the day go . I talked to someone in the phone book before we started who said they noticed what time of day all their anxiety kind of comes together and they start sniping at each other. Now theyre taking a few minutes at tend of the day to say, ok, how are we doing . I think they need modeling good behavior, something you can do within the family, too, to try to thats right. I think thats relevant. Very relevant to how children are going to do. Most of the research from crises, particularly things we cant control showed that children do as well as their parents do. So i think it is important for parents to think about how theyre react aing and they stay calm because whatever they do is modeling, coping for their children. So, that can be very useful. It can also be problematic. When we talked earlier, you mentioned that acknowledging that your kids are afraid is important. Yes. I think that ties to your last question. I think modeling you know, its not incompatible with saying, yeah, you know, mom or dad is a little nervous, too. It means a lot of stuff is going on, but were going to be ok. Were going to stay together. We have our time together. Were going to be safe. Well fill in the blank. So you can do both. You can reassure but in a realistic way that once the kids know its normal to be anxious in these times. Thank you for coming ton show, doctor. I really appreciate the time youve given us. Youre welcome. Thank you for having me. And that is it for this episode. Well be back with more covid19 related information shortly. You have been coping with covid19. Hello everyone. Welcome to the bayview bistro. It is just time to bring the Community Together by deliciou deliciousness. I am excited to be here today because nothing brings the Community Together like food. Having amazing food options for and by the people of this community is critical to the success, the longterm success and stability of the bayviewhunters point community. I am nima romney. This is a mobile cafe. We do soul food with a latin twist. I wanted to open a truck to son nor the soul food, my African Heritage as well as mylas continuas my latindescent. I have been at this for 15 years. I have been cooking all my life pretty much, you know. I like cooking ribs, chicken, links. My favorite is oysters on the grill. I am the owner. It all started with banana pudding, the mother of them all. Now what i do is take on traditional desserts and pair them with pudding so that is my ultimate goal of the business. Our goal with the bayview bristow is to bring in businesses so they can really use this as a launching off point to grow as a single business. We want to use this as the opportunity to support Business Owners of color and those who have contributed a lot to the community and are looking for opportunities to grow their business. These are the things that the San FranciscoPublic Utilities commission is doing. They are doing it because they feel they have a responsibility to san franciscans and to people in this community. I had a grandmother who lived in bayview. She never moved, never wavered. It was a house of security answer entity where we went for holidays. I was a part of bayview most of my life. I cant remember not being a part of bayview. I have been here for several years. This space used to be unoccupied. It was used as a dump. To repurpose it for Something Like this with the bistro to give an opportunity for the local vendors and food people to come out and showcase their work. That is a great way to give back to the community. This is a great example of a publicprivate Community Partnership. They have been supporting this including the San FranciscoPublic Utilities commission and Mayors Office of workforce department. Working with the joint Venture Partners we got resources for the space, that the businesses were able to thrive because of all of the opportunities on the way to this community. Bayview has changed. It is growing. A lot of things is different from when i was a kid. You have the t train. You have a lot of new business. I am looking forward to being a Business Owner in my neighborhood. I love my city. You know, i went to city college and fourth and mission in San Francisco under the chefs ria, marlene and betsy. They are proud of me. I dont want to leave them out of the journey. Everyone works hard. They are very supportive and passionate about what they do, and they all have one goal in mind for the bayview to survive. All right. It is time to eat, people. Please type your name and your question exactly as you would like it to be read. Submit before the last speaker is finished. We will read in the q a portion. Thank you for joining us. Today we have doctor grant colfax, the director of the office of economic and work force development. Cheryl davis, james executive director of collective impact. Member of the Latino Task Force and Stefani Garcia. With that i will turn it over to dr. Colfax. Good morning everybody. Thank you for joining us before this long weekend. I just have a brief statement to make with regard to where we are in the covid19 pandemic. It is a Public Health message that is really that we need to send across the city, across the region, across various neighborhoods and communities. This fourth of july, th the saft thing to do is stay home. In San Francisco we have had an alarming increase and significant increase in covid19 infections and hospitalizations of the over the past few weeks, our rates have soared. We are in a situation where we could we seeing early signs of a surge. Our increases reflect across the region as increases across the state. As people know, we have put a pause on reopening. It is vital that everyone take the steps that we know stop the spread of covid19. Slow the spread of covid19. This means wearing a Face Covering, social distancing, good hygiene measures, and really limiting outings and staying home as much as possible. We know this works. We saw this work in the spring with our response in San Francisco. As we hit pause, we need to ensure we are doing everything we can to slow the virus spread. This weekend stay at home if possible, celebrate with people in your household. Use as much as possible a way to socialize virtually, socially distance, wear Face Coverings, keep your family and your neighborhood and community as safe as possible. Thank you. Thank you, dr. Colfax. Now we have the director from the office of economic and work force development. Thank you so much, dr. Colfax. I want to make a few brief comments about the importance of moving to this weekend. Like many of the Small Businesses and Community Members who were very much looking forward to a more aggressive reopening. We are thankful for the leadership of the department of Public Health keeping our Health Interests real and grounded during this significant time we are in right now. I think we are excited about the long three day weekend and what benefit that may bring to our struggling Small Businesses doing everything they can to provide a healthy experience and safe experience for those who visit them and patronize them, which is very much needed right now. It is important to remember the virus doesnt take a holiday, it may force one upon us if we dont take responsibility as Business Owners and Community Members to ensure we are adhering to the Public Health guidelines. It is important the progress we worked so hard to create in phased reopening, through our office, mayor breeds leadership, we want to continue to see the progress being made. It is only possible if you, as the public and Business Owners, do your part to be responsible during this week end as we continue to mitigate the Public Health crisis we find ourselves in. We have been doing such an extraordinary job ensuring to get to this place of having many Small Businesses begin to see light at the end of a tunnel to enjoy a little activity and seeing liveliness come back to our neighborhoods and commercial corridors. It is only possible if we Work Together to take care of each other, practice social guidelines. It benefits our health and economic health. We need to keep an eye on that. We all have a part to play in that. Over 153,000 residents in San Francisco sought unemployment. We have a rate of well over 12 . Our job is to add here to these Public Health guidelines to continue to battle the economic crisis we want to successfully address. Together with all of you, we know that we can do that. When it comes to the additional work to be provided, we have signage to be provided. Make sure businesses know there is collateral to collect and gain access to to help them Work Together with their patronizers and those who come in and patronize their businesses retail or otherwise. We want to thank the public for being patient with Business Owners trying to do their part to be successful in this environment. With that, i will take questions later on. I am looking forward to a safe july 4th weekend in San Francisco an and across the bay area. For more information about resources or tools available to you, reach out to our web site. Oewd. Org. Also if you are curious about the phasing going on and what plans we have, please visit sfgov reopening and you will find the information there. Thank you for the opportunity today. We look forward to working with you towards continued success and reopening. Thank you, director. Our next speaker is cheryl davis, executive director of San Francisco human rights commission. Thank you. You know, the director talked about the virus does not take a vacation or holiday. Dr. Colfax and i have been having conversations it is not equal where it is impacting communities and neighborhoods. We have seen the map where the virus is impacts greater numbers matches maps for red lining to highlight disparities in terms of economic and Health Issues and challenges. We realize in some ways we are battling two issues at this point in time. One is the pandemic and one is racism. These two things are very much closely connected. We are seeing a surge within latin x communities. Most recently the Africanamerican Community and challenges with folks in sunnydale with younger pops. We are trying to make sure folks are staying healthy, working with communities. The role of human rights is to engage with community and raise community concerns. We have heard from young and old people. There is a concern folks will come out this weekend and think everything is fine. They will be worse off as we go into next week. We encourage people to talk to their family and encourage them to stay home, healthy and be aware of the idea someone could have contracted the virus and not know it and be spreading it to others. As the human rights commissioners we have been working with collective impact to distribute Face Coverings, pass out sanitizer and pass out collateral that says stay home, stay safe and remind people to get tested. I am grateful for the partners here today to share and encourage others. Grateful for the work of the Latino Task Force. We have to think about making the messagthe mess o the messag. Those with Health Issues are more likely to contract the virus and have a harder experience or be harder impacted by that. We are trying to work with messaging around that so folks realize they are not mandated, we are encouraging people to stay home for safety of themselves and their communities. Our next speaker is a member of the Latino Task Force. Good morning everybody. I am with the Latino Task Force. Since the beginning of this pandemic we are working vigorously to ensure the Latino Community continues to thrive in the city. As director davis just indicated, there are a lot of challenges the Latino Community faces in San Francisco that run parallel with covid. Covid in many ways makes i would worse and highlights. One of the big pieces of advice to anybody that is listening out there, that is writing this down, ensure if you have the ability to shelterinplace this weekend, do that. If you have a need to go out because there is an essential thing you have to do, wear a Face Covering and face mask. As we saw in a mission study, we found 53 of the people who tested positive had no symptoms. People could have covid19 and not understand that they do and be fine and not have symptoms. They could give it to somebody they love that could have an adverse effect. We are reminding our people in the community to ensure that you stay home if you can. If you have to go out, wear a face mask and ensure you are keeping social distance that is appropriate. If you are listening to this message, then you are an ambassador of this message to those that you love and you care about. It is important for all of us to take ownership of this. It is only with all of us participating we will get out of this. If you are absolutely have to go out because it is essential, please use social distancing space or face mask. Cover your face and enjoy this as safe as you possibly can. Thank you. Our next speaker is the executive director of collective impact. I am not sure if you can hear me. Yes, we can hear you. I am working at the community center. I want be the community to understand. I am in the community to tell everybody to come to my community and ask where is james, nobody would know who you comcome to. Uncle stink they know who i am. I knew from day one when this pandemic started that we were opening the doors to the community. The resources were going to be hard for the community to get ahold of. We want our community to have a place to go, ppe, face mask, sanitizer and we did hot lunches here. I want to make sure the community knew that the door is open, they didnt have to go look for anything, it was right here. I have been all over San Francisco and hunters point, the mission, we are supporting everybody with ppe. I know everybody is feeling a little cramped up with the fourth of july coming up. Keep your butts at home. Please stay home. This pandemic and this covid19 is for real. I dont want you to be the person that carries it home. I know a lot of us go home and we have family reunions to get together during the week and go do the fourth and do the fourth of july and you go home and you have a mom, grandparent at home. You know, you dont know you are carrying the disease. Really as young people, you are the carriers. It is like looking out for the people around you at the time. It is not about you. It is everybody else. It is bigger than me or you. It is protecting the elders and seniors and our family around us when we think about it as we go out. Basically if you do have to go out wear a face mask. Make sure you have sanitizer with you. I think about social distancing at all times. Make it a habit that people keep their distance from you. Make sure that you take it serious. This is serious. I am saying this because when you think about it is a lot we dont know about this virus. To be safe just make sure you are taking care of your loved ones and your community. Make sure that you actually let everybody know that i dont want to get sick, i dont want you to get sick. I will stay at home. I will not be part of that. We are going to recover from this. Stay at home and be safe for this weekend. Please stay home and be safe. The last thing we want to do is sacrifice your family. The last thing i want to do is go to another funeral. At the end of the day it is for us to look out for our community to make sure the community is safe at the end of the day. Please, please, please, keep your butts at home. Stay home, you all. Another fourth of july will come up. We will be there next year. This year, please stay at home. Thank you. Thank you. Up next we have Stefani Garcia who is our final speaker, please submit your questions. Good morning, everyone. I am here to talk to young people specifically. I have a message for young people in San Francisco and around the nation. We the young people are intel get anchor intelligence and we can lead by example. I urge you to continue to practice social distancing and only go out for essentials, wear facings and plastic good hygiene. Covid19 affects all of us, especially those we love. Our moms, dads, grandparents, great grandparents and others with underlying conditions in our community. We as young people have the responsibility to act responsible and to leave our pleasures and fun behind. Coronavirus is real. I have had relatives test positive and lose their life to covid. I know what testing positive does to the family financially. In some situations we live in multigenerational homes. We live with the elderly, parents and grandparents. As young people we must remember we are not spared from the virus. We have seen how serious it could be fou for our loved peop. I urge you all to take action and practice social distancing, practice good hand hygiene and continue to wear Face Coverings. We all have the power to flatten the curve and stop the spread. Thank you. Thank you, stefani. We will begin our q and a. First question with rebecca. What percentage of cases tell contact tracers close contacts . Has that changed over time. Do they say why . That question is for dr. Colfax. Could you read me the question again. I didnt hear all of that. The question is what percentage of cases tell contact tasers close contacts . Has that changed over time. When they dont tell the investigators close contacts do they say why . Contact tracing is one of our key interventions that we employ as a result of pandemic. We have 100 contact tasers in the field working with people diagnosed with covid19. Right now we are reaching 82 of cases. Of the people that the cases report, we are reaching 88 of their contacts. We are doing relatively well there for our indicator in yellow there. The goal is to reach 90 . With regard as to why people do not necessarily tell people about their contacts or perhaps refuse with regard to engaging with a contact taser, we have qualitative information. There is understandable concerns about providing information and how that will be used. That is why we have worked very much with multiple Community Partners to the train efforts by communitybased organizations to function as trusted contact tracers. It is about the information that is given. It is also about providing support for people diagnosed with their contacts. Across the city people are offered hotel rooms if they need to isolate and quarantine. Families are offered social support services, food and other key things that help people if they are diagnosed with covid19 if they are at risk and to help them get through the two week period that is most acute with people diagnosed. The other thing to emphasize is the information gathered is 100 confidential. It is only used to get people tested during covid19. The second question. How have moved to reopen San Francisco complicated Contract Tracing efforts. We are working in a cultural appropriate way to engage people who are diagnosed with covid19, to support them and their families, and to support the contacts they have had. It just emphasizes the need to continue to strengthen this work across the city. Next questions from ktsf for dr. Colfax. How do we celebrate the fourth of july with our families safely . I think as i said at the beginning of the call and my partners also emphasized. Best thing to do is stay home, celebrate with members of your household, and to be able to celebrate virtually with others. It is really a key right now we present the spread of covid19. If people go out to emphasize wearing Face Coverings, maintain social distancing which i know it is hard for me to do, but we need to emphasize that. As director about seized in the commenters, even if you feel okay that doesnt mean you dont have covid19. If someone looks like they are not sick, up to half of the cases can initially be a symptomatic. We have got to continue to prevent the spread, wear Face Coverings, social distance and good hygiene. Second question from angelina for dr. Colfax. Other counties allow social bubbles. What is your position on small gatherings of close family and friends . The safest thing to do is stay home with members of your immediate household. If there are times when people decide not to do that, it is very important for people to meet outside, wear Face Coverings, social distance, hygiene measures that i talked about. Be thoughtful how we engage outside of our immediate house old with people highest risk of dying from the disease, people older with chronic conditions. Given what we are seeing in San Francisco and across the state we are having increasing cases. San francisco knows how to do this. We did it and i am grateful for everyones contributions. We did it in march, april, may. We can do it for the fourth of july. Thank you. Next questions from cathy novak with k cbs for dr. Colfax. How willin how many patientsn quentin are treated in San Francisco hospitals . 18 patients transferred from san quentin to San Francisco hospitals. Second question for dr. Colfax. Are San Francisco hospitals preparing to receive more patients from san quintin . Is that going to affect Hospital Capacity. Right now it is good for indicators. People can find it on data sf website if you want more detail. Now the Hospital Capacity is green. We have a capacity to accept patients from other regions in the state. Obviously, we will balance the ability to accept with what is happening locally. We certainly want to support regions where there is an acute need and people are in dire need of care. We are in close contact with the state which is determining how patients from san quentin will be transferred to other counties. Next questions from christian with ktvu for dr. Colfax. Can you speculate about what is leading to the recent increase in coronavirus transmission rates in San Francisco . It is combination of factors. We dont have the precision to identify any one thing. This is not an outbreak in one specific facility or region. It is really what we know spreads the virus, which is people unfortunately in closer contact with people who may be a symptommic but can transmit. Covid19 the people who choose not to wear facial coverings which we know dramatically decreases spread of diseases. Then i think per the conversations and data from the past there are people who essential workers who need to work in settings. There is certainly a transmission risk in the workplaces even with proper precautions. The social distancing, stable coverings facial coverings, hygiene, access to testing, contact notification are all things to prevent further spread. We think over the last few weeks probably just a combination of more activity in the city. The more we move about and the more interaction there is socially in gatherings, the more likely the virus will transmit. Especially indoors if women dont if people dont take precautions we are talking about. Second question. Did we reopen too fast or too early. Are we likely to see restrictions reimposed . As we reopened in a very cautious and datadriven way. We followed the data and facts how to reopen gradually. We know the numbers would increase in our city and region. The goal is to slow the spread. We packed because the rate started to increase dramatically. We talked about flattening the code. It is really about the rate. Too early to tell whether we would need to potentially reverse any steps that have been taken with regard to reopening or taking a pause. We are looking at the data over the next few days and make a determination on next steps based on the data. Thank you. We have the time two questions from joshua at sf examiner. Question one. Please discuss the latest data raising concerns inlooking exact number of cases on wednesday. Most important data causing concern are around the increase in hospitalization rates. And in the rate of case diagnosis. Our goal for seven day average of new cases is 1. 8 per 100,000 residents. We are now at a rate of over 6 per 100,000. That pushed us into the red zone. That is one of the key indicators. The other key indicat indianadis are to keep hospitalizations in the green hospitalizations in the green zone. It is now at 61 increase. The key piece is our hospitalization rates overall for covid19 are low in the city. Thanks to the incredible efforts of san franciscans doing their best every day. The hospitalization remains relatively low, but that rate of increase means the curve is steep. We need to ensure we are doing everything we can to flatten the curve. As we saw this in china, italy and now in floridian arizona. Once this virus takes off at a high rate, it is very aggressive. We need to take this pause now and as much as possible stay at home for the fourth of july to get the curve flat in San Francisco and in our region. Question two from joshua. Can you provide any more specifics what trends you are seeing in terms why there is increase of cases and hospitalizations. Such as demographics location or other causes. I think it is a combination of factors. The data reinforce the continued and ongoing needed as others have spoken to on this call to focus in our approach to managing covid19 to supporting communities where covid19 is disproportionately affecting people, including latin and black african communities and we will do just that. Thank you. This concludes our press conference. Thank you to our speakers for joining us. A recording of this press conference will be available shortly. Thank you. Hi, im lawrence. We doing a special series about staying safe. Lets look at issues of water and sewer. We are here at the San Francisco urban center on Mission Street in San Francisco and im joined today by marrielen from puc and talk about water and sewer issues. What are things we should be concerned about water. You want to be prepared for that scenario and the recommendation is to have stored 1 gallon per person per day that you are out of water. We recommend that you have at least 35 days for each person and also keep in consideration storage needs for your pets and think about the size of your pets and how much water they consume. The storage which is using tap water which you are going to encourage. Right. Of course at the puc we recommend that you store our wonderful delicious tap water. Its free. It comes out of the tap and you can store it in any plastic container, a clean plastic container for up to 6 months. So find a container, fill it with water and label it and rotate it out. I use it to water my garden. Of course everyone has plastic bottles which we are not really promoting but it is a common way to store it. Yes. Its an easy way to pick up bottles to store it. Just make sure you check the label. This one says june 2013. So convenient you have an end date on it. And there are other places where people have water stored in their houses. Sure. If you have a water heater or access to the water heater to your house, you can drink that water and you can also drink the water that the in the tank of your toilet. ; not the bowl but in your tank. In any case if you are not totally sure about the age of your water or if you are not sure about it being totally clean, you can treat your water at home. There is two ways that you can treat your water at home and one is to use basic household bleach. The recommendation is 8 drops of bleach for ever gallon of water. You add 8 drops of bleach into the water and it needs to sit for 30 minutes. The other option is to boil water. You need to boil water for 510 minutes. After an earthquake that may not be an option as gas maybe turned off and we may not have power. The other thing is that puc will provide information as quickly as possible about recommendations about whether the water is okay to drink or need to treat it. We have a number of twice get information from the puc through twitter and facebook and our website sf water. Org. People should not drink water from pools or spas. But they could use it to flush their toilets if their source are not broken. Lets look at those issues. Sanitation is another issue and something people dont usually or like to think about it but its the reality. Very likely that without water you cant flush and the sewer system can be impeded or affected during an earthquake. You need to think about sanitation. The options are simple. We recommend a set up if you are able to stay in your building or house to make sure that you have heavy duty trash bags available. You can set this up within your existing toilet bowl and once its used. You take a little bit of our bleach. We talked about it earlier from the water. You seal the bag completely. You make sure you mark the bag as human waste and set it aside and wait for instruction about how to dispose of it. Be very aware of cleanliness and make sure you have wipes so folks are able to wash up when dealing with the sanitation issue. Thank you so much, meetings. The access street rules for teleconferencing. The governors executive order has suspended those rules. Members of the public may observe this teleconference meeting by sfgovtv and make Public Comment by the Public Comment phone number. I would like to welcome the members of the public and staff for watching us live on sfgovtv. Please call the roll. Thank you, madame chair. Forbes i know is having technical difficulties getting online. Director haney . I can read your lips. I know you s