Consistently working on the front lines to help us deal with many of the challenges that exist as it relates to covid19 in San Francisco. As of today, we have 1,754 cases of covid19, and sadly we have had 31 people pass away as a result. Currently there are 84 people that are hospitalized, and for more information, please visit datasf. Org covid19 for details. I want to just start today on a little bit of a lighter note in recognition of so many of the First Responders and Health Care Workers that are on the front lines doing the incredible work to keep us all safe. Monday was International Firefighters day, and i had an opportunity to drop off lunch to our firefighters at station 6, and just express my appreciation for their work. The firefighters and the paramedics and the people who are called to so many very challenging scenes continue to work very hard for our city during this pandemic, and we appreciate the work that they do. And as we know, in the age of social distancing, they dont have the luxury to socially distance themselves when they are trying to save someones life, and they still put their lives on the line, so i want to express my appreciation to the firefighters and paramedics in San Francisco, and also today is the oneyear anniversary of our fire cheer janine scott. Janine nicholson. Got my police and fire chiefs fixed up. Janine nicholson has been on the job for about a year now. Today is her anniversary where she was sworn in. Shes been doing an amazing job, and again, i want to express my appreciation to the men and women of the San Francisco fire department. And today is also National Nurses day, and this is an incredible opportunity. I know so many of you have done really amazing things, whether its coming outside and clapping or singing songs or sending messages to our Health Care Providers as well as our nurses in particular who are doing the hard work, who are directly in contact with people who have the virus and those who are dealing with a number of other health challenges. I want to take this opportunity to especially send a heartfelt thank you to the nurses here in San Francisco and all over the country for the work that you have been doing to help us throughout this pandemic. Those are the real unsung heroes, the folks who have to put themselves on the line, the folks who are asking us to make sure they have ppe so that they can help support the patients that they care so deeply about. So i just wanted to take this opportunity to express our gratitude for your work. I want to talk a little bit about our Small Businesses. Governor newsom plans to announce the next phase in the statewide shelterinplace order tomorrow, and we are working to understand the exact details of what that would entail. And as i said on monday, its important that we work hand in hand with the state on guidelines to reopen, but we need to do so responsibly. And what that means is we the governor is providing the guidelines for the state as a whole, but the reason why our counties have control over whether or not we implement some of those suggestions has everything to do with whats happening with the facts, with the numbers, how many more cases, how many more deaths, whats happening on the ground in our cities so that we can make good decisions to continue to protect people. As much as i want to see so many Small Businesses reopening in San Francisco, i want people to get back to work, i want these places to thrive, i want people in San Francisco to have access to things that they know and love, the challenge we will continue to have in San Francisco in particular is making sure that and dr. Colfax will talk more about this, but the numbers are still going up. The number of deaths are still going up, and we have not lowered the curve, so we have to be mindful of that and we have to be responsible when we look at ways to bring various industries back, implementing the kinds of guidelines that are going to continue to limit direct contact with one other. Already we saw in a study that was done in the mission with the number of people who were infected, many of the folks primarily who were infected are people who have essential workers who have no choice but to go to work to make ends meet and also because they are essential workers. So we want to keep that in mind. The more that people have interactions with other people, the likelihood that other folks will continue to get infected. And so as difficult as i know this has been, we need to keep that in mind when making decisions about reopening. And so im really excited that weve allowed construction to occur in our city. Its not only important for the Job Opportunities for those who work in construction, but its also important for the desperately needed housing thats under construction in San Francisco. In time for mothers day, the flower shops are able to provide deliveries, just in time to send your mom or your loved one or someone you care about flowers, or just maybe order some for yourself. The things that we are doing to try and get these businesses open, we will continue to use facts, use data and get them back in business as quickly as possible. And i will tell you we are working very hard to come up with the kinds of guidelines that will continue to protect Public Health. This is really a longterm plan. The fact is, without a vaccine, we are going to be living with concerns around the covid19 for months to come, and so its time that we started getting creative and providing solutions and making sure that were working around that while still allowing people to open their businesses and to make sure that our economy is not even more damaged than we know it will be as a result of this. And so we will continue to work with the department of Public Health to make good decisions about how to get our city going again, and its going to take time. Its going to take patience. I know were asking a lot of all of you, and i just want to, again, express my appreciation to so many of you who have followed the order and done your part, and its definitely appreciated, and there is Additional Support in that arena needed as well. I also want to express my appreciation for what has been happening in dolores park in particular. We know that there were some challenges this past weekend, in sunday in particular, and as a result of the announcement that i made on monday, people are following the rules, and weve been monitoring the park, along with other parks and other areas in the city, and we want to really express our appreciation. Today is a beautiful day. Im not suggesting you go out and have a picnic and meet with your friends. Those things are prohibited, and we know this weekend is probably going to be nice, so when enjoying the park space and the fresh air, please, please, please make sure that you are only doing it with the people who are part of your household and you maintain six feet distance from all other parties, and you dont invite friends in to have a wine party or a picnic or anything of that nature. This is really about making sure that you have the benefits of our park, but also we have to be very, very careful, because the coronavirus is here in San Francisco, and people are impacted, and this is the last thing that we want to see happen as a result of our hard work and maintaining our distance for all this time. So please continue to follow the order. We will be monitoring dolores park and other hotspots very, very carefully, and if necessary, we will make a swift decision if we see that the park is overrun in a way that we cant necessarily control it. Its for your own safety, so thank you again for your cooperation so far and please continue to follow the order when enjoying our parks. Today i want to just announce a plan, and jeff kazinski who is here from the healthy streets Operation Team will talk more in detail about it, but they have been very, very hard at work. Many of you are familiar with the healthy streets Operation Center which is hsoc, and its part of a group that stands various city agencies where we work with the Homeless Outreach team, the hot team. We work with the San FranciscoPolice Department. We work with the department of Public Health and a number of other organizations in order to address the challenges with healthy streets in San Francisco. We know that continues to be a challenge, but the reason why weve been able to make gains before this pandemic had a lot to do with this team of people who are working collaboratively to address the challenges on our streets. And so the Human Rights Commission under the leadership of cheryl davis created a Tenderloin Community round table with stakeholders from the neighborhood, and they came up with a comprehensive plan. Part of what they wanted to do, like theyve done, as we said, we embedded in our Emergency Operations center here in muscony, a team that focuses on equity and underserved communities. And as a result, what these what the Human Rights Commission has done, along with a number of other Community Volunteers and folks, they would go out into neighborhoods, like the tenderloin, like the bayview, like the western edition, pass out food, pass out maps, educate the public about coronavirus and challenges, make sure people know how to get testing or other resources. Again, these are a group of people, a lot of volunteers, a lot of people from the community, who were putting their lives on the line to really support and serve the public and to make sure that no one is left out of the equation. And what they notice, the biggest challenge was, of course, sadly, the tenderloin. And so part of the work that came to be as a result of this round table, they distributed thousands of face coverings in this community. They partnered with code tenderloin and the boys and girls club to distribute computers to youth in the community and identify where we need to put internet hotspots so that kids are not they dont fall behind in school. They mobilized Community Resilience care vans with the Police Department to remind people about the importance of social distancing and to and they distributed face coverings, and they educated people on the fact that you dont need a mask. You can also have something thats a face covering, like a scarf or some other thing to cover your nose and your mouth. They distribute learning kits and books and activities to youth and their families. You know, in the tenderloin. So they have been hard at work, but we know the conditions remain particularly challenging. And we sadly have seen a significant increase in the number of Homeless People who are on the streets, which is concerning from both the health of those who are unsheltered and for the health of the residents who live in the community. So to address these challenges, weve developed a plan for responding to the issues of the tenderloin on a block by block basis. Now this plan was informed by ontheground assessments of the tenderloin and numerous meetings with members of the community, nonprofit organizations and businesses in the area. And to start, we identified 13 blocks that are our first priority, and as i said, jeff kazinski will talk a little bit more about that in detail, and i want to really recognize the hard work of everyone who participated. The conversations centered around the need to, of course, clean the sidewalks, clear the sidewalks, have sufficient trash, have access to resources, make sure that there are the streets and the community is a lot more safe, especially because there are a lot of children and elderly people who live in the tenderloin, and so this is a conversation that have been happening for a very long time, and before the pandemic and has gotten even worse since. I want to really recognize that this is going to be a targeted plan. Its going to be a challenging one, and we are set to be as aggressive as we can with implementing it so that the people of that community can notice and see a difference. Thanks to urban alchemy, we have some Community Ambassadors that were bringing on board on a parttime basis. Those are the people that you see who are oftentimes managing the restroom facilities. They are familiar with people in the community, and i want to thank them for their hard work and their dedication because they are showing up to work every single day in these very challenging communities, again, putting their lives on the line. I want to also thank the department of public works and what they do every single day. Cleaning up feces and needles and urine and trash, and i know on monday i expressed a lot of frustration because as much resources as we continue to invest in the tenderloin, and as much work as a lot of people are doing to keep that place clean and accessible to folks who live there, it still continues to be a challenge, and we need to hold everybody accountable. Everyone has to be held accountable. Its not just the citys responsibility. Its the people who are a part of that community, whether they are housed or not, we all play a role in protecting and serving and supporting this particular community, and that is our commitment in outlining a plan that specifically looks at three of the most challenging blocks and puts into place a system that will allow for regular cleaning, trash pickup, food service, trash cans, restroom facilities, wash stations, water, just some of the basic things, and well continue to also through the hotels we provide, ensure that they are available to some of our most vulnerable populations and just a reminder that before this pandemic we had thousands of people who were homeless who were in our system of care, and those will be the people that will be prioritized with any service that we make available because we want to make sure that the folks who have been waiting the longest in many instances, they are oftentimes the ones who are skipped over for services and support, and we need to do a better job at making sure we stick to this system and we prioritize the people who were in our city before this pandemic so they get the support and services that they need. So with that, i want to thank all of you again for your cooperation and continue to the best of my ability, because i got to tell you, this staying at home thing is rough for me too. So i at first i said it with a lot of enthusiasm, and now probably not as enthusiastic as ive asked in the past. Nevertheless, it is necessary. And i want to just remind everyone how important it is so that we can keep our Public Health in tact, we can keep people safe and we will continue to do all we can to provide resources and to make sure that as soon as we can we get our economy going and we provide an opportunity for our business community, especially our Small Businesses that are struggling, to open and operate. So thank you again for your patience and your cooperation, and now id like to ask dr. Grant colfax to come forward and provide us with an update. Dr. Grant colfax thank you, mayor breed. Good afternoon. Im dr. Grant colfax, director of health for the city and county of San Francisco. Before beginning my coronavirus update, i would like to thank the thousands of nurses in the department of Public Health and throughout the city for their dedication and courage as they continue to serve patients and our community during this unprecedented pandemic. This is National Nurses week, and it couldnt come at a better time. All of San Franciscos nurses are demonstrating the utmost professionalism, compassion, courage and heart, as they always do. I personally give thanks to the nurses in our Public Health system as zuckerberg San Francisco general hospital, as laguna honda hospital, our many Health Centers, Public HealthCenters Across the city, including maxine hall Health Center, chinatown Health Center, Castro MissionHealth Center and city clinic for their provision and care of services for communities across our great city. You provide medical care, but you do so much more. You provide comfort, emotional support, advocacy and, frankly, whatever it takes to help patients and their families. You get it done. I know this from my own personal experience, from working in the Emergency Rooms at zuckerberg San Francisco general hospital, the inpatient units at that hospital and across the city, including at the va and ucsf, to our clinics throughout the city. Nurses are the backbone of our system, a system that requires the skills and wisdom of the nursing profession now more than ever. All of us in San Francisco owe nurses a debt of gratitude, a debt of gratitude that grows every day. You are true heroes. We would not be where we are today, making th