Public Health Director grant colfax as well as the police chief bill scott, department of Human Resources director trent rohr. Currenttor odirector of emergeny management. We will help guide you through this unique challenge. I want to thank the workers who are in the hospitals working with people every day, healthcare workers, nurses, doctors, support staff showing up every day. I have seen a outpouring of love and support from san franciscans who are social distancing outside and giving hand claps and love to our healthcare workers. We appreciate what you are doing every day to keep people safe. We also want to say thank you to First Responders, police and firefighters, bus drivers, Grocery Store clerks, so many people who are showing up to work to help provide help and support and assistance to others. What you are doing on the front lines means so much to us. We truly have a deep appreciation for your commitment to serving others during this pandemic. We all know that yesterday the county Health Officers in the bay area announced an extension until may 3rd of this stay at home order with new guidelines that definitely are as far as i am concerned adding but reiterating the importance. I wanted to justi to continue to stress the need to practice social distancing. I want to refer to it as physical distancing. We cannot be physically close to one another, it doesnt mean we cant pick up the phone and reach out to people and reach out to neighbors and continue to do everything we can to support one another during this very difficult time because the likelihood this may 3rd date will be extended is possible. We already know that the school year for kids has been impacted tremendously, and we know that from some of the early reports that it looks like even though there are real challenges in San Francisco, we are at 434 cases, and sadly, seven deaths, it could be a lot worse if all of you werent playing an Important Role by staying at home when at all possible. For clarity, we know that people may need to go outside and take a walk, walk their dog or jog with babies or go to the Grocery Store. What we ask people to do is get the fresh air, get the exercise you need walking, jogging or biking. Maintain your physical distance from people not in your household. I see friends all of the time, and i desperately want to go give them a hug, my neighbors. I cant do that. It is a natural thing to want to have that kind of connection with people, but i also realize the importance of not only protecting myself but protecting them. That is what this is all about as much as the natural reflection is to give love and support and extend a hand, it is just really critical that we not do that at this time. Once we are over this, that knows . We might be able to hug anybody we want. Who knows . I want to talk about my incredible experiences, as i mentioned earlier this week. I had a neighbor drop a slip in my mailbox to reach out to say they are my block captain and as a result of being the block captain they are there to provide grocery runs, pharmacy runs and also i can call or email them if i want somebody to talk to. It was very touching. It made me think about our vulnerable population. We have been thinking about this. People have been doing this all over the city informally. I heard about another resident in the sunset. Someone reached out and realized they were a senior and couldnt leave the house, dropped off groceries, asked if they needed support, first of all, asked if they spoke other languages besides english and provided a comprehensive outreach to support neighbors. I know there are so many people doing that. We are grateful for you. I want to take that to the next level. Today i want to announce an opportunity for san franciscans to get involved and volunteer. People have been great, but so many have said my neighbors, i dont have that vulnerable population, i want to get involved and be helpful. The program that we are announcing today provides you with an opportunity to do just that. To help those who are seniors and are part of the vulnerable population, especially People Living in isolation and cant run the basic errands in order to get groceries and support and resources that they need. The department of aging and Adult Services under be the direction of shreen with us here today. They have partnered with the office of transgender initiatives to develop a program where you can sign up and we will partner you with a senior. Basically, it is like you are going to be responsible for caring for and taking care of that senior for the duration of this issue or this pandemic. I think that what is gained from this is not only the ability to do something to help support others, but it could be the beginning of a long lasting friendship. We know so many seniors are living in isolation. They may not have family members who are there and available to them. Here is an opportunity for you to help someone who desperately needs help at this time. To get information about this program, you can look on our website at sfgov. Org or call 311 or 415 3556700. I also want to thank mona a. M. I. They have repurposed the app to help us connect people with seniors who are living in isolation, and this program is also important a combination of mona and open house and others have been great in taking the initiative and doing the work. Now we are going to expand upon the work that they are already doing in order to connect even more seniors to resources. That is really our goal. I think this is going to be an Incredible Opportunity for our city. If you are interested, please reach out to us. I also want to talk a little bit about some of our efforts and trent will talk more about hotel rooms, shelters and some of the things we have planned to help house our unsheltered population. I want to just start by saying that i know that we have thousands of hotel rooms here in San Francisco. I know that people are asking why dont we just open the doors and let everyone who is homeless get access to a hotel room . I wish it were that easy. I wish it were that easy to help people who unfortunately are struggling with addiction, sadly struggling with mental illness. I wish it were that easy to provide a place for them to be. I want folks to understand part of the challenge we have here we have secured over 400 hotel rooms. We hope to increase that number and again trent will talk in more detail about the priorities and purposes and how we are preparing, but i want to be clear that the capacity and the resources in general needed to provide the wraparound Supportive Services for many of these populations make it very difficult to just open the doors and allow anyone to walk in. In addition to that, we dont have the ability to force anyone to stay anywhere. That also becomes a challenge even with our shelter system. It is going to continue to be a challenge, but we have a plan to talk about exactly how we are going to do a couple things. Number one, deal with the challenges of our congregate living settings, places like shelters and Single Room Occupancy Hotels. We know that if someone gets the virus and they live in an sro where they share bathrooms with others, we dont want to send them back to a location where we know they could infect others. We want to isolate them and provide them with a hotel room so they can get better, and that is a real part of the goal of our program. We also know that there are proactive steps we can take, and with our shelter system we have identified a location to specifically help to spin out our shelter beds. Masconie west and south will be a place for room for 400 people. The goal is to thin out the shelter system so people arent as close to one another as they are in our shelters. We will start as early as tomorrow moving people from shelters allaround the city into masconie west with 24 Hour Services of support, food, resources and exactly the kinds of things that you need in order to manage a shelter system here in the city. This is something that trent will talk more in detail about. I also want to touch on something that came out yesterday about the budget impacts and the fact that, unfortunately, based on the controllers work and research around what is happening with the finances of the city, there is, of course, a huge hit to our general fund and huge hit to our economy as a whole. We can anticipate a budget deficit of anywhere between 1. 1 and 1. 7 billion over the next two fiscal years. That is going to mean really a hard blow to San Francisco, a hard blow to our services. As we are also spending money and dealing with this pandemic locally to keep people safe, we also have to be mind full about what will happen if we are not financially responsible now. If we are not making wise decisions about resources and how we allocate things and prioritize things, we are going to be in a lot of trouble financially in this city. We are going to need to make smart decisions. We are hopeful that the resources that we anticipate from the federal and State Government will be of help, but when you are talking about a 1. 1 to 1. 7 billion budget deficit, that is significant. Lets be mindful of that. We know there is a lot of need now and we are doing what we can to not only take existing resources as well as raise private sector dollars to help our Small Business community and others suffering. This is a tough road ahead of us, and be we are working every single day to put together the resources and the people. We will have more to announce, some more information tomorrow about our Recovery Plan and how we are going to start to develop the right task force that would allow for labor and Business Community and city departments and others to come together to begin to talk about the future of San Francisco, our Recovery Efforts and what do we do once this pendemic has been lifted. There will be a lot of people suffering financially and we need to get prepared for it. Not only now but in the future. The other thing i wanted to talk about is the census, and i actually did the online census. It didnt take very long. I was surprised that it was so quick. I think it took me maybe five minutes to go online and put in the number analog in. It was very simple. You can go to my 2020 census. Gov or call 18443302020. Anything that we talk about today you can also if you have questions, concerns 311 is a great tool to get information as well or the city website at sf sfgov. Org. Why is it important to be counted . We dont know if any decision to make changes to the census might occur in d. C. , but we do know that when we are counted, we count. When you think about 2 trilliondollar stimulus package that is being provided to the entire country, our state and possibly our city could have a tremendous percentage of that packet based on the number of people that are counted in previous census. People counted in the 2000 census, that is the data used to determine population and other things and resources and how we get our fair share of the pie. This is really important. Every person should be counted. Every person, meaning if you are a u. S. Citizen or not. If you are part of the immigrant community, you are part of the San Francisco community. This information will not be used against anyone based on immigration status. The census is protected in that way. We know this is a very challenging time. We want to impress upon people in the city how important it is for everyone to make sure that you complete your census information. You get that sent in as soon as possible. For those at home with access to the internet, you have no excuse. We need your help and support. Please make sure you are counted. To the nonprofit agencies that receive funding for outreach, this is a great opportunity to work from home to pick up the phone to call people and figure out ways in which people can be counted. This will make a difference in how we continue to get the kinds of resources necessary to make sure that we get our fair share. That is what it is about. Make sure you complete your census. It is critical to the future of our city and country. With that, thank you all so much for all of your work. Everyone who is out there doing what we need to do to keep san franciscans safe, we know that it is only two weeks. It feels like it has been several months, but hang in there. Take care of yourself, take care of your physical and mental health. Try not to snap at your kids too much. They cant help themselves. I am sure they are feeling as challenged as you are during this time. My heart goes out to a lot of the families with children especially. I know that this is a tough time. So many kids not able to stay in school and hang out with their friends and see their teachers. Just lets be mindful we are all going through this together, and for one reason or another are experiencing a number of probably emotional challenges as a result of this. Lets be patient with one another, lets comply with social distancing, lets try to set an example and continue to hold our heads up so we can get through this together. With that i want to introduce doctor grant colfax. Good afternoon. I am grant colfax, director of health. Thank you, mayor breed. Today in my update i want to thank everyone for their cooperation and everything they are doing to help fight the spread of the coronavirus. When you stay home, when you keep six feet apart from people during the times you must go out for essential reasons and when you wash your hands, you are saving lives. These efforts are important. They are not enough. We must redouble our commitment to slowing down the virus in our community to protect vulnerable populations and our Healthcare System and to make the best path forward for recovery. Some people have asked this week, is it working . Are we as a community in San Francisco and in the region flattening the curve in my message today for you is it is simply too early to tell. We know we are doing the right thing, and the data tells us that staying home is the very best defense. But at this stage of the game, there are still plausible scenarios that our Healthcare System could be brought to the brink and even overwhelmed. I dont want that to happen. None of us want that to happen. That is why we are here doing everything we can to follow the science, data and facts to drive our decisions. Yesterday, San Francisco joined with other bay area counties to extend the Stay Home Order to may 3rd. I know this is very challenging. There are roll zero o real serious economic and emotional impacts. These sacrifices are an investment in our future as a community and as a city. It is time to take a deep breath and get ready to stay home all month. The new order is much like the one that was put into place on march 16th. All san franciscans must stay home as much as possible abonly leave for essential activities like getting food and medicine. Even then stay at least six feet away from others if they are not part of our immediate households. Go outside to take care of a pet or exercise so long as you do not congregate in a group and you must maintain six feet of distance between you and other people not part of your immediate household. Essential workers are still needed to help our community during this time so that people can buy groceries, get gas, do laundry, get prescriptions, travel for essential reasons, get essential healthcare and other basic important and vital functions. I am grateful to our essential workers in the public and private sector for all they are continuing to do every day to keep everyone as healthy and safe as possible. The new Stay Home Order strengthens the previous one in some significant ways. Here are four examples. Social distancing, physical distances is now mandatory when people leave home. Use of playgrounds, outdoor gym equipment and picnic areas and barbecue areas is prohibited. This is to remove the temptation to gather. Number three. People who can work from home must do so. Number four. Essential businesses must put in place formal rules for physical distancing protocols to ensure proper sanitation that people stay a safe distance away from each other. These rules and many others are detailed in the order posted online along with updated frequently asked questions at sf. Gov. Now, i would like to give an update on laguna hospital. We are very concerned about a growing outbreak there and are continuing to do everything we can to protect the health of residents and staff. This week we received help from the California Department of Public Health, centers for Disease Control and prevention and other key federal partners. They are working closely with us on the current cases, contact investigations and recommendations for improved preparedness and response Going Forward. With regard to testing. As of today laguna honda has 12 confirmed cases of coronavirus. 10 are among staff and two are among residents. Of staff, seven have been in patient care positions and three are no not to date 89 patient he been tested. 218 Staff Members have tested through the Health Department or through their own provider. As we speak, the centers for Disease Control and prevention their experts are on site conducting thorough tracing and contact investigation, taking action now and providing us with an evidencebased datadriven road map for aggressive action in the future. They are identifying and testing staff and residents that they are concerned may have been exposed to the coronavirus. With regard to Behavioral Health needs this is a challenging time for staff and residents. We added extra resources. We have opened a dedicated phone line s