Transcripts For SFGTV BOS Public Safety And Neighborhood Services Committeee 20240711

And supervisor walton, our clerk is john carroll and i, of course, want to thank the folks at sfg tv for staffing this meeting, as well as board of supervisors operations it for their hard work. Mr. Clerk, do you have any announcements . Yes, thank you very much, mr. Chair. In order to protect the public, Board Members and City Employees during the covid19 Health Emergency, the room is closed. This is taken pursuant to all various local and state federal orders, declarations and directives. Committee members will attend this meeting through Video Conference and participate in the meeting to the same extent as if they were physically present in our chamber. Public comment will be available for each item on this agenda, both San Francisco cable channel 26 and sf gov tv are scrolling a callin number across the screen. It will be available by phone by calling 14156550001, and once youve connected youll be prompted to enter the meeting id, 1462251223. Following that you will press the pound symbol twice to be connected to the meeting. When you are connected you will hear the meeting discussions but your line will be muted and in a listening mode only. When your item of interest comes up on our agenda, dial star followed by 3 to be added to the speaker line if you wish to speak to that item. The system prompt will indicate that you have raised your hand. Please wait until the system indicates you have been unmuted and you may then begin your comments. Call from a quiet location, turn down your television, radio or streaming device. Everyone must account for potential time delays and speaking discrepancieses that we may encounter between the live coverage and streaming. Alternatively, you may submit Public Comments in either of the following ways. You may email me, clerk of the committee. My email address is john. Ca rroll sfgov. Org. If you submit that comment by email, i will add the comment to the public file for each of the items you comment on. You can send them by u. S. Postal service. The Clerks Office is 1 dr. Carleton b. Goodlet place, room 244. This information is available on the front of the agenda as well for your reference. Items acted upon today will appear on the agenda of december 1, 2020, unless otherwise stated. Thank you, mr. Clerk. Please call our first item. Agenda item no. 1 is a hearing to discuss the San Francisco housing conservativeship preliminary evaluation report. Members of the public who wish to provide Public Comment on this hearing should call the Public Comment number, 14156550001. Enter todays meeting id, 1462251223. Press the pound symbol twice to connect to the meeting and then press the star key. The system prompt will indicate you have raised your hand. Please wait until the system indicates you have been unmuted and you may then begin your comments. Mr. Chair . The chair so, colleagues, this has been a very long hearing. We began it back in june, and to refresh everyones memory, in june i was concerned that the my office had heard concerns about the fact that the 1045 program which the city had opted into about a year prior at that point, or more than a year prior, had still not resulted in a single petition for an sb1045 conservatorship. We began this hearing in june to understand what the reasons for the delay were and received assurances from Public Health and the office of the public conservator had made progress, that they had been delayed by covid and other things, but they were on the cusp of, in fact, being able to bring a petition. We had them back in july and again heard that they were making progress but had not yet been able to identify a candidate or bring a petition. We skipped august. We decided to give them a little bit of time and had them back in september, and september again heard much the same, that they were making progress but still had not quite gotten around to bringing a petition. At that september meeting i decided again to give them, you know, a little more time until today, november. Its been basically two months since then, six months since we had our hearing because it had taken seemingly far too long, six months ago, to bring a single petition under sb1045. I said in september that if the petition had not been filed petition had not been filed by the date of this hearing that i would no longer be berating the staff in these departments and i would want to hear from the directors, from grant colfax and trent lohr, and in fact here we are november 12, not a single one has been filed, and so i do think it begs a deeper question about what we are even doing with this program if we intend to pursue it, if not why not, and what we are going to do about the population of folks that sb1045 was supposed to address. Unfortunately director colfax is not able to be here today, and so i do want to hear from him, and i will be making a motion to continue this hearing to our next regular meeting in december where we will be i hope hearing from directors colfax and lohr about sb1045 implementation and the issues that the citys difficulties in implementing this very Small Program raises. So ill make that motion. We will need to take Public Comment on the motion, or on the continuance. Is there no comments from colleagues, which i do not see, lets open this up to Public Comment. Thank you, mr. Chair. Do we have any callers in the queue for this agenda item one. For those already connected to our meeting via phone, please press star followed by 3 at this time if you wish to speak on agenda item no. 1. For those already on hold in the queue, please wait until you are prompted to begin. You will hear a prompt that informs you your line has been unmuted. For those watching our meeting on cable channel 26 or streaming item, please call in now if you wish to speak on this item. That would be by dialing 14156550001, enter the meeting id for todays meeting, which is 1462251223, press pound and then star three to speak. Could you connect us to our first caller . Operator there are no callers in the queue. I will not say a few more things about Public Comment and i will close Public Comment. I have made a motion. Mr. Clerk, please call the roll. On the motion offered by chair mandleman, that this hearing be continued to the date of december 10 meeting, that being the next committee meeting. Vice chair stephanie . Aye. Member walton . Aye. Supervisor mandelman . Aye. The motion passes. We can call our next item. Agenda item no. 2 is an ordinance amending the health code to prohibit smoking in all dwelling units in multihousing complexes containing three or more units and all common areas. To remove the exception for child care facilities located in private homes, to require the department of Public Health to initiate a Public Information campaign to raise awareness of the smoking prohibition, to require the department of Public Health to initiate the imposition of the suspend the provision of the health code by this ordinance which requires owners or managers of multiunit housing complexes to provide certain disclosures regarding whether smoking is authorized in certain units. And affirming the determination provided by the planning department. Members of the public who wish to provide public on this ordinance should call the Public Comment number. I will repeat it. 14156550001. After youve connected to that call, enter todays meeting id. Todays meeting id is 1462251225. Press pound twice and then star and then three to enter the queue to speak. A system prompt will indicate that you have raised your hand. Please wait until the system indicates that your line has been unmuted. That will be your opportunity to provide your Public Comment on this agenda item. Mr. Chair . The chair thank you, mr. Clerk. President ye, i believe you are here. Yes, i am. Thank you. Take it away. Thank you, chair maendelman. Thank you for hearing me on this item today. I am joining you all to discuss legislation to protect residents of multiunit housing from the Harmful Health impacts of Secondhand Smoke. I am proud to join my to be joined by my colleagues, supervisor walton and fur in sponsoring this legislation. Today we are discussing the right of our residents to breathe clean air. Many decades ago people did not have the right anywhere to breathe clean air, not restaurants, not bars, not Sports Events, not common areas and not on public transportation. Maybe some people are old enough to remember these things. When science proved there was a link between Secondhand Smoke and Health Impacts, when people breathing the Secondhand Smoke, things changed. Today we have laws prohibiting smoking in most of these situations. We can enjoy without having to breathe in smoke. We can participate in large crowd venues like concerts and Sports Events without worrying about the harmful effects of Secondhand Smoke. I was alerted and reminded that San Francisco has fallen behind many cities in enacting policies to protect our most vulnerable from Secondhand Smoke, a mother with an infant. She contacted my Office Asking for help because her infant who was subjected to Secondhand Smoke from her neighbors and Health Impact this would have on her infant. Our reply to her at the time was its the sad state for our residents, but thats the policy of the city, which is currently in San Francisco if you live in multiunit building you do not have the right to breathe clean air, unlike many cities throughout california. I would like to thank the Public Health experts and advocates who worked with our office to ensure that the policy will be effective, including San Francisco tobacco free coalition, researchers at the university of california San Francisco, the heart and wellness association, Bay Area Community resources, americans for nonsmokers rights, and the American Cancer Society. In january we held a hearing. That seems so long ago now, but it was in the middle of january, before the pandemic, at this committee on the Health Impacts of Secondhand Smoke. We heard from Public Health experts from Secondhand Smoke exposure was skyrocketing in recent years. We also heard residents from multiunit housing were particularly at risk from exposure. When my office was contacted by those suffering from Secondhand Smoke, including those with Chronic Health issues and families with small children, we looked into that, as i mentioned before. And here are the facts about smoking. Smoking is the single most preventable cause of disease and death in the united states. Its responsible for more than 480,000 deaths per year. Secondhand smoke alone is responsible for more than 41,000 deaths per year and causes cancer, lung disease and and heart functions. It also causes increased health risks to children, seniors and those with existing Health Issues. Secondhand smoke can cause permanent damage to childrens growing lungs, pneumonia, ear infections, sudden infant death syndrome, and can make asthma attacks more frequent and more severe. Unfortunately home is one of the most common places where we can be exposed to Secondhand Smoke. Residents of multiunit housing are more likely to be regularly expos exposed. Our health code prohibits smoking in common areas, as mentioned before. This legislation would amend the health code to prohibit smoking inside owneroccupied and rented units of multiunit housing complex complexes of three or more units. It would require that signage be posted in common areas and residents are notified as a policy by the Building Owner or manager. The department of Public Health conducting a Public Information campaign to raise awareness of the policy and to share information about available Smoking Cessation resources to support residents addicted to nicotine. Half of san franciscans live in multiunit housing. Residents of multiunit housing are likely to be people of color and will more likely be lowincome. Exposure to Secondhand Smoke in the homes Amplifies Health Inequities and disproportionately impacts our most Vulnerable Community members. By granting relief to residents living every day with Secondhand Smoke in their homes is more important than ever as we continue to battle covid19 pandemic and prepare for a flu season. We know that Secondhand Smoke exacerbates the impacts of many respiratory illnesses. During this time, we have asked San Francisco to stay at home to slow the spread of covid19 and asked children to go to school remotely, we know there are san franciscans who cant escape the smoke in their homes during the day and arent able to breathe clean air. If i am a parent of a child who suffers from asthma or a person recovering from covid19, right now i get no help at all if a neighbor is smoking every day right next door or downstairs. Its legal for everyone to smoke inside their own unit regardless of the serious and Dangerous Health consequences. We should not prioritize to smoke over the right to breathe smokefree air. This is simply unacceptable. I also want to say that we know there may be some concerns surrounding unintended impacts that a smokefree housing policy can have on tenants addicted to nicotine, specifically there are concerns around how this policy could be misused to evict tenants. That is why this ordinance specifically states that violation of the policy is not grounds for eviction. Over the past ten years, 63 cities and counties in california have adopted 100 smokefree multiunit housing policies. Im hopeful that these policies will increasingly become the norm. In San Francisco we have against tobacco and Secondhand Smoke to protect the health of our communities. We can and should continue to protect our most vulnerable communities from this devastating Health Impacts of smoking. There are a few nonsubstantive amendments i would like to propose today. My office has shared hes amendments with all the members of the my office has shared the amendments with all the members of the committee. First, the health code currently prohibits smoking in enclosed common areas of buildings that have two or more units. This ordinance we introduced would change the law about smoking in all buildings with three or more units. This will clarify that smoking will continue to be prohibited in common areas of twounit buildings. Second, we would like to add language that clarifies the intent of the legislation to prohibit smoking in all housing used to provide child care, including child care facilities that operate in singlehome families or duplexes. Third, we would like to include an exception that would allow for the use of medical marijuana in multiunit housing. And finally we would like to include clarifying language to speak that not only is violation of any part of this ordinance not grounds for eviction but existing tenancy to prohibit smoking in a tenants unit. So chair mandelman, i hope that the committee can adopt these amendments later, but before you take action, i would like to bring up a few presenters. Waynt to thank the department of Public Health i want to thank the department of Public Health, marina speegel from the tobacco project and jennifer colliver from the Environmental Health branch for joining us today. I believe that they are here and are prepared to share a brief presentation with us. I hope theyre here. I cant see them. Im here. This is jen and marina is here too. Shell probably be coming on in a second, and shell start the presentation. Good morning, supervisors and everyone. Let me see. We have prepared a presentation for you this morning. Can you see the screen, the presentation on screen . Yes. Fantastic. Well, good morning, supervisor mandelman, walton, stefani and others. I am the acting Community Engagement lead for the tobacco free project and our program is part of a Community Health equity and Promotion Branch within the department of Public Health. First we wanted to thank you for your leadership in addressing the leading cause of preventable deaths through tobacco prevention policies and programs, including policies such as prohibition of unauthorized ecigarettes, so sales and others in the past. Your support continues to be a leader in implementing laws that protect communities, especially people of color, youth and lowincome communities ft. Thank you for the opportunity to prevent to you about the outcomes based on Secondhand Smoke for san franciscans. Before i begin, i wanted to emphasize that we consider that smoke is smoke, and when we talk about Secondhand Smoke exposure to smoke, we will be talking about both traditional tobaccos, Secondhand Smoke, so such as from cigarettes or cigar smoke, as well as secondhand aerosol exposure from ecigarettes and cannabis smoke. First we wanted to share with you what proportion of san franciscans are smoking basing our use in cannabis. Our most recent data is from 2018, so these data show the smoking rates among adults and young people has not changed much over the years. So approximately 12 of adults currently smoke in San Francisco, and approximately six and a half percent of sfunh High School Students reported smoking, and thats despite the laws prohibiting sales of tobacco to anyone under 21. So those rates have not changed. On the other hand, more students than adults have ever tried an ecigarette, and this rate has been increasing over the years for both groups. Its unclear how many adults currently use ecigarettes. However, the portion of students who currently use reports using ecigarettes doubled over the last couple of years, so from 2017 to 2018. Lastly youll see that about six out of ten adults have ever tried cannabis and almost tlae out of ten sfusd students have ever used cannabis. The good news about the majority of san franciscan adults and youth who do not smoke or use ecigarettes. This means we have been doing a great job in San Francisco protecting and preventing adults and young people from using highly addictive product, especially traditional cigarettes. That said, we do still see some tobacco use disparities. So as youll see in our data in the graph on the left, these data are a little bit older than the previous slide, and the overall tobacco use rate does appear lower. Generally for this particular data we think its because the time period is different and the sample size is different. The 2018 data that you saw previously comes from a more recent oversampling of the California Health Information Survey data, so its probably a little bit more accurate than these older data. So despite the fact that these data are a little older, i wanted to share this chart to demonstrate the disparity in fwk use rates between the two socioeconomic groups in our cities. So the data showed that the lowerincome folks living at below 200 federal Poverty Level tend to smoke almost twice the rate than their more financially secure peers. Lowincome residents also have less access to health care and are more likely to suffer from conditions such as asthma that are worsened by Secondhand Smoke exposure. Data does point to racial and ethnic disparities in tobacco exists as well. As you see in the graph on the right, black women are significantly more likely to smoke before or during preg pregnancy in the city of San Francisco, and while the local data are not as easily available on specific tobacco use rates, we know that nationwide africanamericans and American Indians smoke at significantly higher rates than their peers. So tobacco use is also much more prevalent in the lgtb community, especially the trans gender unit, and among those suffering from Mental Illness and have a history of substance use. Currently we dont have recent population level data on Secondhand Smoke exposure specific to San Francisco, but we do have the following statewide data for adults and High School Students. More than half of california adults reported being exposed to Secondhand Smoke tobacco smoke in the last two weeks, and this figure has not changed over the years. So california High School Students, one in three reported being exposed to each type of Secondhand Smoke in the last 30 days. And that happens usually in the room or in the car. Notably there has been also an increase in recorded exposure to ecigarette aerosol and cannabis smoke among adults, and its likely that these statewide trends are similar in San Francisco. And Secondhand Smoke exposure also has documented disparities nationally and locally. Centers for Disease Control study show that about 40 of children nationwide are exposed to Secondhand Smoke from cigarettes however that number is much higher at black and African American children at seven out of ten. Children exposed to Secondhand Smoke are at an increased risk for sudden infant death syndrome, ear problems and more severe asthma symptoms. Black and African American children, filipino children are twice as likely to be diagnosed with asthma by middle school than their white peers. The home is the main place they are exposed to Secondhand Smoke. Among the children admitted to the zuckerberg San Francisco general hospitals pediatric and patient units in 2019, one in five were exposed to Secondhand Smoke in their homes. An additional 9 reported being exposed to secondhand cannabis smoke. Again as we dive into the specific harms and types of Secondhand Smoke, i want to stress that there is no riskfree level of Secondhand Smoke. All three types of Secondhand Smoke harm the user and others through shortterm and longterm exposure. The 50th anniversary Surgeon Generals report on smoking and health released in 2014 stated that smoking is the single most preventable cause of disease and death and that scientists indicate there is no riskfree level of exposure. Secondhand cigarette smoke contains hundreds of chemicals known to be toxic or carcinogenic including many different chemicals. Secondhand cigarette smoke is also a known cause of disease, so not just a contributor to worsening symptoms but an actual cause of disease, including lung cancer, coronary disease, stroke in healthy nonsmokers. Breathing Secondhand Smoke for a short amount of time can have immediate effects on the cardiovascular system. Concentrations of cancercausing and toxic chemicals in Secondhand Smoke and nicotine are the same in Secondhand Smoke as in the smoke inhaled by smokers themselves. Exposure to the Secondhand Smoke is also correlated with more er visits and more hospital stays among adults and cost billions of dollars per year in health care in the u. S. Nationwide. In 2010, the annual Health Care Cost attributable to Secondhand Smoke exposure at home were up to 1. 9 billion. So often people think that ecigarette vape is harmless, but we want to emphasize that it isnt. It is not water vapour, as advertised when ecigarettes first came on the markets. In most cases it is a solution which poses health risks similar to cigarette smoke. Ecigarette aerosol most commonly contains nicotine and nanoparticles of benzene and lead and are more easily and deeply breathed in due to their tiny, tiny size. Studies have shown that nonsmoerks exposed to ecigarette aerosols absorb similar levels of nicotine to those who are exposed to cigarette smoke. Breathing secondhand ecigarette aerosol can result in Actual Development of asthma in children and is damaging to the lung tissue and the blood vessels. Mostly we wanted to talk about the harms of Secondhand Smoke cannabis smoke. Secondhand cannabis smoke contains more than 33 other identified toxins. Similar to secondhand tobacco smoke, cannabis smoke contains chemical constituents that may have harmful cardiovascular effects and may lead to heart attack and stroke. Children exposed to secondhand cannabis smoke in one study had detectible levels of thc in their blood streams which can impair the developing brain and nervous system and impact iq and memory. While only limited studies exist on the effects of second habd cannabis smoke on children, a recent Study Suggests an association between secondhand cannabis smoke exposure and increased emergency room visits with the latest issues, diagnosis of an ear infection, asthma or eczema in children under 14. Lastly i wanted to share with you the impacts of thirdhand smoke. Thirdhand smoke refers to the leftover particles from tobacco smoke and ecigarette air sol which cling to indoor surfaces long after smoking has stopped in the space and then can be resorbed by others entering the same space. Thirdhand smoke is a potential health hazard. It contains carcinogenic materials that over time presenting a hazard far after that smoker is gone. Thirdhand smoke remains months after nonsmokers have moved into units where smokers previously lived. It potentially poses the greatest dangers to infants and toddlers that crawl on rugs and furnishings and put things in their mouth that they shouldnt. Nonsmoking people who are exposed to thirdhand smoke have significantly higher nicotine and levels than those who have not been exposed to thirdhand smoke, and some research has shown that thirdhand smoke can damage humans cellular d. N. A. In multiunit housing, we just wanted to share some of these things that might be relevant to today. We know that people of color, young adults, lowincome residents and smokers are more likely to live in multiunit housing. In San Francisco more than half of residents live in multiunit housing with two or more units, 53 . A study has shown that San Francisco residents who live in buildings with five or more units are three and a half times more likely to report and residents of districts three and six reported being exposed to drifting Secondhand Smoke at much higher levels than residents in other districts according to the healthy Neighborhood Survey conducted in 2013. We spend the majority of our time in our homes, and as i mentioned previously, approximately half of the San Francisco residents with multiunit housing that has more than two units, so that includes condos, Public Housing and apartment buildings and duplexes. Secondhand smoke from a neighbor can easily seep through windows, cracks through the hallways and walls into others homes. Thirdhand smoke is also a concern, and so it is important to emphasize that opening windows, air ventilation, air conditioning, fans, h vac systems, none of those current practices in the home can completely eliminate exposure to Secondhand Smoke and ecigarette aerosol. With that, those are the data that we have to share with you today. I wanted to thank you for an opportunity to present to you, and im happy to answer any questions. The chair i dont see any questions on the roster. I mean, i guess so i will perhaps oh, there you are. Im sorry, i was on mute. Was that the only presentation . Or was there another one . I wasnt sure. Thats it for the tobacco free project. And i think supervisor walton has a question or a comment. Okay. Thank you, chair mandelman. I dont have a question. I guess i do. If thats the end of the presentations, i just wanted to make a comment. Is that the end of the presentations . Yes, it looks like it. Thanks. I just wanted to thank president yee for bringing this ordinance forward. We know the dangers of Secondhand Smoke as discussed not only in your comments, president yee, in the data, but also in the presentations, and i just wanted to thank you for bringing this forward. As you know, a lot of our concern in the beginning was about making sure that tenants would not be evicted and people would not use this as a grounds for eviction, and i just want to thank you for being thoughtful and making sure that we included language that specifically states that individuals cant be evicted because of this. But also stressing the importance of making sure that we do everything we can to keep people from having to inhale Secondhand Smoke because of what it does to folks in our communities and our residents, and so thank you for bringing this forward. I was happy to cosponsor, and were going to continue to do what we can to let people know that smoke does not just affect them, and we need to avoid Secondhand Smoke and come up with the measures and policies to do that. So thank you so much. The chair thank you, supervisor walton. I guess i do have if thats the end of the presentations, i also have well, i do have some questions. And i appreciate that the legislation provides that smoking that the violations of the ordinance cant be the basis for an eviction. And i just want to be clear on what the enforcement mechanism is. It looks like the department of Public Health is tasked with issuing notices of violation. So if someone is, in fact, smoking in their department, dph and there were complaints, the dph would issue a notice of violation. If the person did not cure that, then there would be administrative penalties i think of up to 1,000 a day . Hmm. That is correct, if youd like me to answer. This is jen calowert with terminal health. That is how it is written. I think that its theres still room to kind of figure out what that would look like. To try to determine if someone is actually in violation is probably the biggest question that we have to start thinking about, yeah. The chair and the owner of the building, would the owner of the building be in violation if tenants were smoking in their units . I might ask it is my understanding that it doesnt read that way, but maybe, you know, following up with the other you know, supervisor yee and the city attorney, but its my understanding it doesnt read that way. Theres a lot of notification requirements and, you know, posting requirements, but the enforcement section speaks to the person in violation, so thats kind of every piece of the law. The chair okay. [indiscernible] this legislation trying to emphasize the education component of this rather than putting a lot of emphasis on enforcement. There is mechanism for enforcement but it is targeted towards the individual not so much the owner of the building. So again, you know, try to protect all the people here and go as far as we can. We were pretty sensitive to lobbyist issues, but at some point we have to figure out whether or not what we present is going to be impactful or not, and to the point where if you dont do this, dont do that, it means it becomes pretty much back to what it was, and i think what im presenting today is really those compromises that were made but still feel like it can be very impactful. People know when i get another email from the mother of the infant, i can say, no, they are not supposed to smoke. Sure, the landlord posted that this is against the law, the smoking in your unit, and thats more than three or more units. So thats a bit of the emphasis. The chair i guess then my other set of questions relate to cannabis, and i noticed the presentation did include information about the harmful effects of Secondhand Smoke from cannabis. I appreciate that the author has done an amendment to exempt out folks who have medical cannabis but i would say in the current environment, many people who are using cannabis for medical reason dont get the card because cannabis is now, in california at least, legal to consume in your own home. The concern i was about the legislation is that for folks who do not have a medical cannabis card, there are very few places outside your own home where you can consume cannabis. It is not in that way it is not parallel to cigarettes in that way. Cigarettes there are still places where smokers can go and smoke. Thats not so much the case for cannabis smokers, and so i do have some concerns. Im curious about the reasons for not having a blanket exemption for cannabis consumpti consumption. Well, we said it you heard the presentation. Its not any less harmful than tobacco, and for us to just have a blanket, we are then worsening once again to others is that youre going to breathe cleaner air. It gets trumped on other things being a priority. Im making the case that my priority is to provide clean air for people to breathe in their own homes, and im not trying to what this does is try to solve for that issue. That means that theres going to be other issues, and this is going to be people will find creative ways, in my mind, to be able to smoke a cannabis. I know not everybody has a car to sit in, but theres different ways you can do this. Were trying to fix something here and basically it gets in the way a little bit of what you heard putting out is really a state level, and that has to be fixed. So for us to not try to say, well, the overarching problem here because of state laws, i prefer to be more aggressive about this, and it feels okay for people again, you have People Living in a unit where whether they are infants or seniors, people who have asthma or what, its not a party for th them. We are just going to have to make a decision. So theres no clear answer or clean answer to that, but i guess i side on the health of san franciscans is more right than wrong. I just want to ask ms ms. Callewaert a little more about that presentation, because it did present cannabis cigarettes and nicotine cigarettes as being essentially parallel in their Health Impacts. And you know, i am not im not a im not urging people to use cannabis. I do not use cannabis myself, but i want to understand if that is, in fact, the position of the department of Public Health, that because because its my my impression is and has been that nicotine and nicotine addiction have been i know generally recognized to be a Serious Health problem. Is it the departments position that cannabis is every bit as much of a problem as nicotine . Thank you for the question, and ill also let maryna chime in as well, who gave the presentation. I dont know if we know exactly the level of comparison, but as maryna stated the chair we know nicotine and cigarettes kilotons and tons of people every year. Yeah, and i think we can say nicotine and tobacco smoke and cannabis smoke have Health Impacts secondhand and thirdhand smoke. Having impacts is but your presentation suggest that theyre the same. The diet coke that i drink has Health Impacts. Its bad for you. I shouldnt do it. Yeah, i dont have the answer of if its impactly the same level of impact, and maryna might want to answer as well, but i dont have that data. Im not sure i can say specifically that, you know, share a specific answer to that question, but we can jennifer and i can pass your questions specifically to our Health Officer to provide, you know, an official dph response. The chair i think that would be interesting. All right, thats the end of my questions. We i understand we do have Public Comment. President yee, did you want to say more before we go to Public Comment . No, lets go ahead and take Public Comment. The chair okay. Mr. Clerk . Thank you, mr. Chair. Operations is checking now to see if we have any callers in the queue. Please let us know if we have any callers who are ready. For those who have already connected to our meeting by phone please press star followed by three if you wish to speak on this item. For those in the queue, please wait until you are prompted to begin. You will hear a prompt that states your line tab unmuted. For those watching our meeting on cable 26 or sf tv gov. Org, please call in following the instructions by dialing 14156550001. Enter todays meeting id to connect to the call which is 1462251223. Press the pound symbol twice and then press star followed by three to enter the queue to speak. Mr. Chair, did you want to go over your the chair i will add that speakers will have two minutes. We ask that you state your first and last name clearly and speak directly into the phone. If you have prepared written a written statement, you are encouraged to send a copy to the Committee Clerk for inclusion in the official file, and in the interests of time, we do encourage speakers to avoid reputation of previous statements. Thank you. Could you connect us to the first caller . Good morning, supervisors. My name is bob gordon. Im cochair of the San Francisco tobacco free coalition. Supervisors, please listen to the science. Owners of multiunit housing who are detroit red wing business in our city have a responsibility to provide to us Living Spaces that are 100 free from toxic ecigarette tobacco and marijuana smoke. As you heard from the Health Department, people continue to suffer needlessly here in the city, and ill add think of the immigrant restaurant worker who comes home to his cramped apartment in the mission who needlessly suffers from one of his roommates lights up. Or the grandchild whos been taught that it would be rude in her culture to ask grandpa not to smoke inside the familys apartment. Some of us who live in San Francisco are lucky enough to have clean air to breathe, but it shouldnt be a matter of luck. Most who smoke dont want to harm the health of their neighbors. Most owners and tenants want clean air for themselves and their neighbors. We can Work Together and create smokefree air for everyone. Support is available by phone or by text message at 1800n 1800nobutts. Its available in different languages, people addicted to ecigarettes and those who chew tobacco. I want to applaud mr. Yee and my hope is that san franciscans can hold on to housing while holding on to health. Thank you. Thank you. Next speaker. Hello. My name is patrick haguan. Im here as a volunteer of the American Cancer Societys Cancer Action Network, and im also a biologist who specializes in cancer research. Im here to just add a little personal comment to what weve all been speaking about. Im happy to see the committees excitement about this movement. What i would just like to add as someone who studies cancer and biology is that we really need to acknowledge the Science Behind this and how harmful Secondhand Smoke is to our communities and that everyone should have the right to breathe clean air. Theres absolutely no safe level of Secondhand Smoke exposure, and smoking is the singlemost preventable cause of disease and death in the u. S. And more than 41,000 people are killed as a result of Secondhand Smoke exposure. In a time like today, i think San Francisco can set a precedent by understanding our commitment to science and underlining that by supporting this. Additionally, i would just like to add that i am a i live in a multiunit housing right now, and although i try my best to meet my neighbors, its honest that in San Francisco with the sections of diverse population and many People Living in these units, its unlikely for a lot of us to meet our neighbors, and its really unfortunate to think that one of my neighbors could be making every right Health Decision for their them and their family, and yet if someone else in the building isnt as cognizant of their risk and the families around us that they could be putting all of us at risk. Thank you for hearing my comments. Thank you. Next speaker. Good morning, thank you. My names antoinette, a resident of district eight and a proud voting native of San Francisco. Thank you for taking this important step to reduce exposure to Secondhand Smoke in homes like mine. I reside in a multiunit building currently and most of my life with people of all ages in this building. I know firsthand how smoking by parents at home can impact the health of family members, especially innocent children, which can cause lung damage and Health Issues. I do not support the proposed exemption for medical marijuana. I encourage you to pass a comprehensive smokefree policy that addresses all kinds of smoke and the health of our Community Needs it. Thank you so much. Thank you. Next speaker. Hi, im a resident of the Marina District and 29 weeks pregnant, living in multiunit housing and in support of the ordinance. This is necessary to protect children, adolescents and seniors with existing health conditions. Pregnant people exposed to Secondhand Smoke show greater risk of giving birth to low birthrate babies. I do not support the proposed exemptions for medical marijuana that may be prescribed for patients, that smoke is dangerous for the building and contain many of the same problems for tobacco smoke. Its known to have alternatives available to patients. I ask you to carefully consider whether the preference for secular medicine should be prioritized over the rights of all over neighbors, including children and pregnant women, like myself. Thank you. Thank you. Next speaker. Board of supervisors im speaking today in support of this ordinance. Thanks so much for calling me. I live here in San Francisco and work at an Investment Firm with an office here in the city where i cover the health care industry, and im on the associate board for the society here in the city. Until six months ago i shared walls with a family with three small children. I know firsthand all of the things that pass incidentally from their space to mine and vice versa, from water leaks to the sounds of piano practice, the smells of burnt cooking. I cant bear the idea that those kids would have had no choice to breathe in my Secondhand Smoke had i been a smoker. Unfortunately many children in this scenario today in San Francisco as discussed. I think back to the wildfires in our region as well. Just about everyone who could took protections. Its clear to all of us that this smoke represented a threat to our health. Why then would we be complicit with the free flow of cigarette smoke or cannabis smoke in our hoemz . I should add im reading from the cdc website, smoke cannabis has many of the same cancercausing substances as smoked tobacco due to the risks it poses to lung health, experts strongly caution against smoking cannabis and tobacco products. One final anecdote is about my grandmother who passed away in september from lung cancer. She was a smoker for years in the 60s and 70s, which almost certainly contributed to her death. She was ultimately a victim of the lack of Public Awareness and the lack of public action around smoking in her time. Today, on the other hand, we are privileged with the chance to learn from history. We have the chance to take public action and we have the chance to save lives. Everyone should have the right to breathe clean air. Please accept this ordinance and make San Francisco a leader in Secondhand Smoke policy. Thank you. Next speaker. Good morning, board of supervisors. My name is kate clifinger. Im a 12year district are the and an ambassador for the American Cancer Society cancer advocacy network. Two years ago i was diagnosed with oral cancer at age 33. The first question ever doctor asked me was the same, do you smoke . I didnt. I had no known risk factors and i had, quote, did everything right, but i still got cancer. To save my life i had part of my tongue cut out. I was in so much pain and couldnt eat properly for months. I lost eight pounds in the first month alone. I am if lucky one. My cancer was caught early. My odds in hitting the five year survival mark are really good. Good everyone the shot at health to protect clean air. Thank you for your time in public service. Thank you. Next speaker. Caller i am catherine and i live in district 8. I live in the 36 unit building. Unfortunately, the people in the apartment below me have four smokers. It is driving me crazy. I feel sick all of the time with headaches. They refuse to talk about it. The teenage daughters also smoke cannabis, including the teenage daughters. The people next door to me, we live on the third floor have a small infant. I tried to talk to them. I bought a 200 air filter to try to clear the air in my apartment. It helped. I cant keep my windows open. Miual donnie is my balcony is closed. The marijuana. I am 80 years old. I dont need brain fog from marijuana. I pray to god that you have a strong policy as possible. I would like to thank supervisor yee for introducing this. This is a miracle to me. There is a possible ban on all smoking in a multiunit apartment including marijuana. I thank you so much. Next speaker. Caller good morning, supervisors. I am bryan davis. I live in district five. I have asthma and lung disease. I have only left the apartment twice since midmarch. Several years ago a smoker lived in the unit below us. No matter how many times we asked, he refused to go outside to smoke. My breathing suffered. Unlike now at least i could leave the an matterment the apartment without fear of covid. The tenant on the other side of our bedroom wall started smoking marijuana in her apartment every day. Some nights i had a hard time breathing. I asked her her to smoke outsid. She didnt stop. We kept a record of every time she smoked. The landlord couldnt do anything. She moved out. Thank goodness. There is no guarantee another smoker wont be move in. We need a law to stop people from smoking or vaping anything in the units. I understand some people need medical marijuana. My medical condition matters, too. If edibles arent an option they can go to the curb. No one will allow them. Please send this to the board with no exception for marijuana. Thank you, next speaker. Caller ii am ted, a resident of district five. This is an issue i feel strongly about, as i have had asthma since childhood. I had strong reaction to smoke of any kind. I truly hope that you are able to pass this legislation without any exemptions. In the many years we lived in our apartment we were exposed to marijuana and smoke in the unit. It is used for ma medicinal pur. I take a daily medication which must be mixed to water as it would be unfair to mix the medication to the water supply for the building exposing everyone else to my meds, it is unfair to medicate in the way i am exposed and put my life and the lives of my family members at risk. I dont want to force anyone to take my medication and i dont want to take anyone elses medication. Please pass this with no exemptions to protect the health of all san franciscans in multiunit housing. Thank you. Thank you. Next speaker. Caller hello. I live in the sunset district. I recently retired as a professor of medicine from u. C. S. F. I would like to thank supervisor yee for introducing the ordinance it is the science as i would like to address the question supervisor mandelman raised about marijuana smoke. Marijuana smoke is not that different from tobacco smoke. In terms of many of the Adverse Health effects they are not due to the thc, ingredient in marijuana, just as they are not the nicotine in the tobacco. It is due to other things. Just two days ago a new study was published or two new studies showing marijuana smoke concerns are more likely to have complications after a stroke or angieio plaster or open clocked arteries and dont do as well after a heart attack. I think that the i want to support all of the people who think there should be clean ordinance passed with no exceptions for inhaled marijuana. Unlike tobacco, there are many widely used edible and other forms of cannabis to deliver to those who dont pollute the air. Those can use those noninhaled forms. I would strongly support removing that exception. My other suggestion in terms of enforcement is that it is unlikely the Health Department is going to catch someone actually smoking in an apartment. As you heard from the Health Department presentation, there is something called third hand smoke, which is the residue the tobacco and cannabis leave. Thank you for sharing your comments. Next caller, please. Good morning. I am a member of the San Francisco tobacco free coalition. The important first step to improving the Public Health in San Francisco. All residents will be protected from the second hand folks. It cannot be controlled. No level of exposure to tobacco smoke is safe. The only way to protect residentses is to eliminate smoking indoor areas. The city should not allow anything other than smoke free policies in multiunit housing. They are necessary to protect the most vulnerable including and not limited to seniors, people of color, existing health conditions. Secondhand smoke is dangerous to children and can cause permanent damage to the lungs. Asthma is triggered by Secondhand Smoke. People of color and low income individuals are more likely to live in multiunit housing which makes the seconded hand smoke exposure an issue. There are people with disabilities especially vulnerable. This ordinance will promote equity among these groups ensuring that all residents are healthy. Thank you. Next speaker. Caller i am lisa. I moved into the bmr unit in a multiunit building. I have experienced heavy cigarette and marijuana smoke since april 2019. It is 24 7 between the hours of 2 00 a. M. To 9 00 a. M. The tenant and guests are caught smoking numerous times. Management was unable to evict the tenant. I am medically disabled the conditions are exacerbated by smoke unfreeing lance. I fragrance. The Building Management i can only transfer to another bmr unit in the same building, which is unavailable. I have had to use two air purifiers, turn on kitchen and bathroom fans and wear a mask and leave windows open 24 seven. I have been been forced to leave the unit in the middle of the night. I could not sleep or breathe. Smoke was from everywhere, not just kitchen and bathroom fans. I have been living out of boxes since december 2019. I have paid 15,000 not to live in the unit and have my longings smell like smoke. Many tenants are in common units, corridors. Management is unable to enforce the no smoke policy. Once i am able to move to another apartment i may even counter the same problem again. It is dangerous to have tenants and guests smoking during the pandemic. Please pass this s so i and oths are not exposed to Secondhand Smoke and not put at risk in contracting the coronavirus. Thank you for your time. Thank you. Next speaker. Caller good morning, board of supervisors. I am leslie martinez, youth leader and 18 and live in district 11. I want to share how my little cousin has been suffering. The smoke from the neighboring units made it boars. He made it worse. He was gasping for air. He lived with a single parent it was difficult to afford inhalers. This issue is real. I have seen the effects and attacks myself. I believe this issue is definitely preventable. Thank you for your time. Thank you. Next speaker. Caller googood morning. I am with the San Francisco coalition. I am calling on behalf of my friend a low income asianamerican transgender woman who lives in San Francisco looking for housing in the city. She began the transition. I told her smoking is at risk. [ inaudible ] Secondhand Smoke delivers nicotine to increase cravings in those who want to quit. I dont want her to reach for cigarettes. She deserves to housing to breathe clean air and live a healthy life. Thank you. Thank you. Next speaker. Caller good morning. I am john, resident of district 5. Chair of American Heart Association supports board president yees proposed ordinance. In my career in surgery i have witnessed first hand the cost to society from wound infection and hospital readmission. It is associated with covid19 and the need for intu base and death. We should reduce the impact on the pandemic. It can cause serious disease and premature death among nonsmokers. Researchers documented in the air through heating, ventilation and airconditioning and connections between unit. There is no safe level exposure to second hand smoke. Longterm exposure is associated with an up to 30 increase risk for Heart Disease in adult nonsmokers. The proposed ordinance is an important strategy to protect vulnerable populations. We encourage you to join the American Heart Association in supporting this vital health policy. Thank you. Thank you. Next speaker. Caller good morning, supervisors. I am the manager of advocacy. We were wounde founded over a cy ago. This will help combat the fatal danger posed by Secondhand Smoke in the home. Homes should be a safe haven, sanctuary from what we pays outside of our front door. To many san franciscans there are homes that are a naming or source of second hand tobacco and marijuana smoke especially in the time of covid19. At the start of this pandemic offices and businesses closed and we were home. You asked children to learn from home. The data and consequences of inaction and urge us all by any means necessary to get on board for the greater good of our neighbors. In california 63 other cities and counties have already implemented 100 smoke free housing policies. Today we have the consequences of inaction and urge you to find away by any means to get on board for the greater good of the residence. San francisco uplifts the most vulnerable among us. Many of you are involved over the last year. I thank you for your leadership thus far. I hope you will continue to lead with a comprehensive expensive free evidence. Thank you. Next speaker. Caller hello. Good morning. I am carol, cochair of the africanamerican control leadership counsel. We are leaders to get tobacco out of the communities. I want to say i strongly support San Francisco joining our progressive cities and getting rid of multiunit smoking and housing with no exception for cannabis. I dont live in San Francisco. I grew up bayviewhunters point. My daughter lives in atlanta. I have had to endure cannabis smoke with a toddler there for years. It is awful. We need to do something about cannabis and i do recognize people who live in multiunit housing using cannabis dont have that many options. The option is not popoison everybody else with your cannabis smoke. It is so strong that walking down the street you can get a contact high by walking by somebody using it. Black babies have the highest exposure rate to Secondhand Smoke and as ma. We want to provide services to people so we are not lowering the boom but dealing with stress and other Health Issues that we have and to be comprehensive and supportive. To have backup and legal laws where people cannot poison themselves and their neighbors. Thank you. Thank you. Next speaker. Do we have next speaker . If you hear from the system that your line has been unmuted, it is your opportunity to begin your Public Comment. We are waiting for the next speaker. Caller good afternoon. I am the vice chair of the San Francisco tobacco free coalition. I would like to thank president yee, supervisor walton and other supervisors today. I would like to thank you for the wolf presentation and all of the callers with support. To some it seems as if smoke free housing aims to take away freedoms. I would assert the housing policy is perhaps the only way to about measures of Restorative Justice for the past tenant of the defunct geneva housing annex and potrero hill and the multiunit dwelling. There was no protection for tenants who understood then they were exposed to second and third hand smoke and the adverse impacts to their detriment. Right now San Francisco has an opportunity to speak to the voices of the unheard. To the tenants hebrew tested the smoking with the tenants who protested. San francisco has a unique opportunity to show it cares about the current tenants and their communities but also that it cares about restorative effort in speaking to multiunit dwelling communities of the past who wanted protection but did not receive it. I am just another caller urging the board of supervisors to listen to our calls and to heed the advice that you hear today and approve an ordinance for smoke free multiunit housing without exception. Thank you. Thank you. Next speaker. Caller good morning. I am Ruth Williams with nonspokekers right. We support the ordinance but do not support the proposed marijuana exception. That would expose residents to drifting smoke indoors. Secondhand smoke from marijuana contained particulate matters to breathe in the lung. If it is from vaping or any smoke is a health risk to call lung irritation and as maattacks and Health Problems for people with respiratory conditions. It should include multiunit housing and reduce exposure for residents in an partments and con apartnent apartments and. Over the years i have received calls from San Francisco residents they are suffering from breathing the smoke and how few options they have to improve the situation. Some residents tell us the neighbors fail to address it indoors. Complaints have increased this year as people shelter at home. They need support of the citywide law. We want all residents to have a healthy and Stable Living environment including right to breathe air free from Secondhand Smoke. It is time for the board of supervisors to take action to help residents have this Important Health protection. I want to emphasize this is not against people who smoke but not in smoking in ways to harm other people. Thank you for your consideration. Thank you. Next speaker. Caller greetings from north bay. Pamela, granger, cochair of tobacco free Sonoma County and Cancer Action Network volunteer in support of the smoke flee sme housing presented today without marijuana exemption. We in could bac in tobacco contn francisco who stood up to the tobacco bullies over the years when we could not. That being said, let us share what we learned about smoke free housing over the past 14 years because between sonoma and marin counties there are 22 policies passed which include Secondhand Smoke from cigarettes and cigars, Vape Products and marijuana. Science and citizens say smoke is smoke is smoke. As for the discussion of marijuana, the citizens comment the use of the smoke to provide relief from neighbors should not provide Deadly Health consequences to them. Vapors are the alternative. Covid 19 highlighted issues of racial and Health Equity and driven people indoors where air quality is more important than ever. New policy is flawless, laws have a significant effect on social norms. It is imperative it is not acceptable. That is not acceptable to smoke anything in multi unit housing. Today santa rosa with 175,000 People Holdings the record as the largest city in california with the smoke free multiunit housing policy. We are happy to yield that title to San Francisco. Thank you. Thank you. Next speaker. Caller good morning. I am with the bay area activism. I live in the east bay. I am here because i would like to comment on smoke free housing agenda item 2. I organized youth in the east bay to advocate for smoke free housing like what is discussed now. Everyone should have the right to breathe clean air and live in a safe homing. If San Francisco can pass this it will apply pressure to pass this. I work with youth health at risk because they are not protected from second hand smoke. I can only imagine how many youth and families breathe the Secondhand Smoke. Low income and children of color have more likely to have asthma. They suffer worst outcomes. Africanamerican children are twice as likely to be hospitalized and four times likely to die as white children. I support the ordinance to protect the families from Secondhand Smoke. Thank you. Next speaker. Caller hello everyone. I am an at owner in the district. First, i want to thank supervisor yee for sponsoring this multi housing smoking policy and i want to share my policy with Secondhand Smoke. I have been exposed to substantial Secondhand Smoke. I tried almost everything you can imagine. Air filters, i fill my walls and cracks. I have consultants to in my home for smoke transition and spent more than 10,000 to solve the problem. Nothing works. When the pandemic is over i am selling my apartment and moving to a Single Family house. This is the only way to guarantee my family and myself will not be exposed to second hand smoke. I i will not be exposed to cancer and lung disease. Today i will share my story. I want you to understand that not many people in San Francisco have the resourceses to do this. I strongly oppose cannabis because it is unfair to people to take the risk of harm. [ inaudible ] i want to comment about diet coke. This addiction. Secondhand smoke is involuntary. Thank you. Thank you. Next speaker. Caller good morning, supervisors. I am with the American Heart Association. We support protecting the residents in multi unit housing from all kinds of smoke. We support the Public Information campaign about Secondhand Smoke exposure in housing. We hope that increases the number of smokers connected to evidence based services. There is no safe level of exposure to Secondhand Smoke. It has immediate and longterm effects on nonanother nonsmokers. It is dangerous to others in the building and contains the same harms as tobacco smoke. We encourage you to pass the comprehensive policy to all kinds of smoke. Thank you. Thank you. Next speaker. Caller hi. I am a member of the San Francisco tobacco free coaliti coalition. Marijuana doesnt have to be smoke. It can eaten in other ways. It is possible to include the protections. To allow people who use it for medical reasons. Smoke free spaces in multiunit houses is necessary to protect seniors and children and people with existing health conditions. Children of color are more likely to have asthma. I have been living in multiunit housing for 20 years. It is disproportionately impacting communities like mine. I am five months pregnant. I am excited to have a pregnant with the kicks and all. It worries me to be exposed to Secondhand Smoke and greater risk for low weight babies. There are more things to worry about. Breathing deadly smoke in the home doesnt have to be one of them. Thank you board of supervisors and community for the leadership and time. Thank you. Next speaker. Caller hello. I am mya. I am a general internist and assistant professor in the department of medicine and i live in district 7. I offer support for the smoke free ordinance. Not only will this help people with Secondhand Smoke exposure but it may help people quit smoking. Our work has shown that smoke free policies has the potential to motivate people to quit smoking completely. We have a real opportunity with this policy to reduce tobacco related disparities among the most vulnerable in the communities by reducing exposure and helping people quit smoking while safeguarding housing for the most vulnerable. Thank you so much for putting this forward. Thank you. Next speaker. Caller good morning. I am chris show man. I want to speak to the cannabis issue. I appreciate the Public Health concerns and i know the Public Health issues are of utmost importance. I think it needs acknowledged and supervisor mandelman mentioned it appropriately. This will essentially ban cannabis smoking for anybody who lives in the multiunit building. It is not allowed outdoors. It essentially offers no option. I understand the issues with the medical marijuana exception, but i want to speak to the disabilities. They cannot go outside. My wife has a disability, multiple disabilities arthritis, she cannot go outside. She uses marijuana medically for relief. She does not prefer to use alternatives to smoking or vaping because she does not react well to edibles. She needs to smoke or vape. Without even considering the exemption which i appreciate that is proposed it will add versely impact her medically and her relief from her disabilities. Thank you for your consideration. He appreciate the overall ordinance and everything that everyone is doing. Thank you. Thank you. Next speaker. Caller hello. I am a resident of district 2. Thank you guys for taking the step to reduce exposure to Secondhand Smoke in homes like mine. I live in a multiunit complex and am the mother of twin driveways 10 months old twin boys crawling everywhere. I support the smoke free ordinance in San Francisco. It is important to protect vulnerable populations like children. Some dangerous second hand smoke exposure. I do not support the exception for medical marijuana. Pass a policy for all kids to live with clean air. Thank you for hearing my comments. Thank you. Next speaker. That completes the queue. Public comment is closed on this item. President yee, did you want to make final remarks . Thank you, chair mandleman and supervisors walton and stefani for allowing me to present this ordinance to you. I want to also thank ms. Siegel for her presentation of the facts to remind us why we are doing this. I want to thank the public for their comments. As you can see, there is going to be some that think this is not going far enough. There are some that think that it is going too far. I would be comfortable where we are at today with the amendments. And that in the future nothing is forever. Maybe in the future other supervisors will pick up this issue again and see if it can be improved. Passing this today to the full board is a big step for us, and for us to address the certain percentage of the Secondhand Smoke you are talking about today. As i was mentioning before, it is about priorities. What do we feel are more important . The rights of people to breathe clean safe air in their own homes above those to smoke in homes . Hopefully, my colleagues on the committee will agree that breathing clean air is very important and should be the priority. Considering what a health risk that people have whether they have disabilities. I have spoke about the amendments that i would like the committee to pass, and, hopefully, i have the support of the whole committee to pass this out of committee with positive recommendation to the full board. Thank you very much. Thank you, president yee. So i think this is an important piece of legislation, and i recognize the tremendous amount of work that president yee and his office have put into it. I do it has moved quite quickly, and i understand that president yee is interested in having us act on this before it leaves the board. I want to do everything i can to help make that happen. If that were not the case, i would probably move to continue this item for a week or until our next meeting to sort of get more feedback and input on this cannabis issue. I think there is a real point here, which is that cigarettes and cannabis and nicotine are in a different position. People cannot legally go outside their home and smoke or vape cannabis. That is not true of cigarettes. They are limited where they can go but there are placing place o smoke marijuana. Maybe medical cannabis is the right way to deal with this. It is the one piece of the legislation i have a little bit of concern about. What i would propose, if my colleagues are willing, we accept the amendment, forward to the full board without recommendation and give those who may have concerns about the cannabis issues a little time to try to think about that between now and when this comes before the full board. Supervisor walton. I was going to propose to accept the proposed amendment from president yee for the legislation first. I will take that as a motion. We will vote on it after vice chair stefani speaks. Thank you, chair mandleman, and thank you president yee for the legislation. As you know when you spoke to me about it, i let you know about the concerns from residents in my district. A lot of elderly residents about the concern. I want to thank those in Public Comment in district two who called in. I hear you loud and clear. I am very supportive of this legislation. Thank you, president yee. So we have a motion to accept the amendment. Mr. Clerk. Do you want to call the roll. The motion offered by member walton to accept all of the amendments offered by president yee. Vice chair stefani. Aye. Member walton. Aye. Chair mandleman. Aye. There are three ayes. The motion passes. The amendments are adopted. I will move that we forward this to the full board without recommendation. On the motions of the ordinance as amended be sent to the board without recommendation to Neighborhood Services vice chair stephanie. Aye. Member walton. Aye. Chair mandleman. Aye. Mr. Chair, there are three ayes. Great. The motion passes. Congratulations, president yee. Thank you very much for your time. I am looking forward to having your support at the full board when we vote on this. Thank you. Mr. Clerk. Do we have any more items today . There is no further business on todays agenda. Then we are adjourned. Thank you everyone. Good afternoon, and welcome to the land use and Transportation Committee of the San Francisco supervisors board today, on monday, november 16, 2020. I am the chair of the committee, aaron espeskin and joined by vicechair, supervisor safai and the committee member, dean preston. Miss major, do you have any announcements . Clerk due to the covid19 Health Emergency and to protect the Board Members and the City Employees and the public, the board of supervisors legislative chamber and Committee Room are closed. However, the members will be participating in the meeting remotely. This precaution is taken pursuant to the statewide stay at home order and declarations and directives. The Committee Members will attend through e