For staffing this meeting. Do you have any announcements . Due to the covid19 Health Emergency and to protect Board Members and the public the board of supervisors legislative Committee Room are closed. Members will participate remotely. Committee members will attend through Video Conference and participate to the same extent as if physically present. Public comment is available for each item. They are streaming the number on the screen. Each speaker is allowed two minutes. Comments are available via phone by calling 415 6550001. Access code for the meeting is 145 1435810. Press pound and pound again. When connecting you will hear the discussion but you will will be ibe in his senning need only. Dial star three. Call from quiet location and speak slowly and turndown your television or radioia. You may submit Public Comment via email the clerk at sfgovtv. Org. If you submit via email it will be included as part of the official file. Items acted upon today are to appear on the agenda on june 30 unless otherwise stated. Thank you so much. Mr. Clerk, please call item the out of order. Charter amendment to amend the charter of the city and county of San Francisco to create Public Works Commission to oversee the department of public works to create the sanitation and Streets Department to succeed specific duties currently performed by the department of public works to create a sanitation and streets commission and to oversee the sanitation and Streets Department affirming the planning departments determination under the California Environmental quality act. Supervisor haney. I am excited to be able to present this Charter Amendment and discuss it to you, but not today. I am here to ask for this to be continued to next week to save you time today. I am looking forward to sharing with you this needed Charter Amendment. I will be asking for a continuance today. Thank you so much. If my colleagues dont have comments we will open this up to Public Comment anticipating motion to continue. Do we have anybody on the line . Members of the public who wish to comment on this should call 415 6550001, meeting i id1451435810. If you would like to speak at this time press star 3 to be unmuted. Do we have anybody on the line . Madam chair, no callers in the queue. Public comment is closed. I would like to make a motion to continue this item to our next rules committee meeting. On that motion. Shall we continue it to the call of the chair just in case . I would like to revise my motion to continue this item to the call of the chair. On that motion. Supervisor stefani. Aye. Supervisor mar. Aye. Chair ronen. Aye. The motion passes without objection. Thank you very much. Could you please read item 1. Ordinance amending the administrative code to include as a mandatory element in the definition of the term responsible substantiation of a record of safe performance on Construction Projects by the bidder or proposer on a public works or Improvement Project and to expressly require construction contract an weareds for all specific project delivery methods to be made only to responsible construction contractors. Wonderful. We have bill barns here from the city administrators office. Any comments or presentation . We cant hear you. So this ordinance is based on work from president yee who had a hearing in 2018 about a dangerous situation in the tunnel where an individual was killed. One of the questions asked was how do we evaluate safety in public works contracts . For the benefit of the public chapter 6 governs all Public Works Department airport, m. T. A. , rec and park and public works. Every other definition of those responsible. Abidder you have to demonstratin bonding capacity. It doesnt require a Safety Record being included as the responsibility determination. This adds to the definition of responsible that you share your Safety Record. That includes both citations and promotions as well as those pending. In an earlier case there was a pending citation because it wasnt finalized it wasnt reported. It is previous work and department would review it. It applies responsible to all different method of contractors. Design build, elevator construction, hazard mitigation. Those were inclusive of the responsible language. Working with the City Attorney this was added. This has support of the chapter 6 contracting departments based on what the p. U. C. Has already done and i am happy too answer any questions. Any questions . Okay. Thank you so much. Mr. Clerk. Is there any Public Comment on this item . I would like to state that members of the public to participate should call 415 6550001. Meeting id1455r1435 81 0 and press pound. If you are on the line and would like to make Public Comment dial star 3 at this time. Mr. Speakers on the line . There are no callers in the queue. Then Public Comment is closed. I am happy to make a motion to move this item forward with positive recommendation. On that motion. Supervisor stefani. Aye. Supervisor mar. Aye. Chair ronen. Aye. The motion passes without objection. Thank you so much. Is there any other items on the agenda . That completes th the th ther today. Fastest rules meeting ever. Have a nice day ever everyone. Meeting is adjourned. Welcome to members of the public watching the meeting. We will call the meeting to order. Secretary morewitz, will you call the roll, please. [ roll call ] great. Thank you, secretary morewitz. Well move on to the second item, approval of the Health CommissionMeeting Minutes from the june which meeting . June 3rd meeting. Sorry. So commissioners, upon reviewing the minutes, does anyone have any amendments . If not, is there a motion to approve . I want to make sure theres no Public Commented. Before we do that, i want to provide information on the screen and verbally say the number. Thank you. If you want to call in, the in you can is 4084189388. Access code is 1463455741, and youll press pound twice in order to get on to the system. Then when you would like to actually make Public Comment, you dial star 3. All right. Do we have any Public Comment for this item . There is no Public Comment. Great. So commissioner, you can move forward with your comments. Thank you for that reminder, mark. All right, commissioners. Moving on to approval of the minutes from the tuesday, june 2nd, meeting of the Health Commission. Upon reviewing the minutes, does anyone have any amendments . If not, a motion to approve. So moved. Second. Ill do a roll call vote. [ roll call ] great. Thank you. The next item is the directors report. Good afternoon, commissioners. You have the directors report in front of you. It details much of the work regard to covid19 response. Im going to provide an update to you on that response. So many of the details will follow. I did want to point out that theres been a lot of press recently around our department and our response and especially wanted to highlight a really nice article about dr. Aragon, our Health Officer that was on the front page of the chronicle a couple days ago. I stand ready for questions. My update will go through our covid19 i believe thats the next agenda item. Actually, i apologize. Before we get to comments from you commissioners, i would like to see if there is any Public Comments. There is no Public Comments. Thank you. All right. We can move on to the covid19 update then. Great. Well, thank you, commissioners. So today i will provide an update of where we stand in terms of the data tracker that the data weve been tracking and that youve seen before. This is an exciting day in that we are we have presented our posting our indicator system, color coded system so sasan franciscans see where we stand with regard to our covid19 response and then our deputy Health Officer will be presenting our reasons and application for a variance as we move into our phases of reopening. But i did want to just acknowledge that San Francisco ans have done a terrific job of flattening the curve in our community. On behalf of the department, thank them for looking out for each other and thank you for stg home, covering your faces, and for frequent hand washing. The message today Going Forward until we have effective treatment or vaccine, dont stop. The virus is officia obviously l here. There is more than ever before. We have to practice safer behaviors, and still, the safest thing to do is to stay at home. But not everyone can do that. There are real negative consequences to our shelter in place. As you know, commissioners, in the past few months, our Testing Capacity has increased dramatically. Our personal protective equipment applies have improved, and we have dramatically expanded or Contract Tracing programs. Our behaviors are the most important tool to stop the spread of the virus, and we must remember that as a department, as community, as a city, we sustain the habits that have gotten us this far today. As the city reopens and as people move more, we expect increase in cases and hospitalizations. This is already the pattern in other places that have started to open up. Our goal is to keep morbidity and mortality as low as possible during this phase of the pandemic. We are still learning how risky certain activities are and how to reduce those risks. In this new environment, its important to know that the more you do and the more you move around, the greater your risk of contracting the virus. The virus spreads quickly and as we know, as weve seen, it can rapidly, overwhelm communities and the Health Care System. While we hope that wont happen, its certainly possible. Thats why we must be vigilant and flexible as we enter this new phase. This new phase will determine our ability as a community to manage our shared risk and determine if and how we can Work Together and apply safer behaviors that will slow the virus spread. So we will go into the indicator discussion and the reopening framework in a bit, but i did want to show you where we stand today with our covid19 response in summary. So please can we have the next slide. So today, we have 2971 cases of covid19 diagnosed in the city. Obviously there are more cases, but they have not everyone hasnt been tested. Everyone hasnt been diagnosed. We are nearing the 3,000 mark. Weve had 46 deaths over this period of time. Every death from covid19 is too many. Relative to other jurisdictions, our death rate has been thankfully low. You can see theres the rate of deaths has decreased pretty dramatically since about midmay here. Next slide. This slide should be familiar to you. Its been shown for the last few Health Commission meetings, this is updated data. At this time, were over 100,000 tests a day with an overall 4 positivity rate. We are running average over the last 7 days of over 2,000 tests a day. So we have more than met our target of 1800 tests a day in the city. That last bar gray bar on the tests done, the last gray bar on the right, that is lower because not all of the test results have been counted for that day. You can see overall weve had a dramatic increase in our testing certainly since april and may. Cases by race and ethnicity, the virus diagnoses continue to be disproportionally affecting certain communities, particularly in the latinx community. You can see half of our cases are diagnosed among the latinx community. There continues to be a disproportional impact on black africanamericans. Next slide. So this is our curve, our hospital curve going back now to midmay through june. So about 30 days worth of hospitalizations. The green bars. Youll recall when i showed you this a few weeks ago, we were starting to see a decrease, but there was another step down to about cases in the high 30s to low 40s. That is a significant drop from a few weeks ago when we were in the 50s. So two significant drops in the curve over these past few months. Youll recall that we peaked at about 100 cases in the hospital altogether. The light green bars are people in the icu, and the dark green bars are people in the medical surgical unit. We have at this time just 8 people in the intensive care unit across our Health Care System. Then the purple curve below are the people who are in the hospital who are tested for covid19, people under investigation, and you can see that over time, that number has decreased as well. So when we say we flattened the curve, weve actually decreased the curve significantly a couple times over the past few months. Again, this is an achievement that is to the actions of san franciscans. Were going to need their continued support and preventive actions so that this curve goes up as slowly as possible as we go to this next reopening phase. Next slide. So now i want to go to our indicators, to assess progress with regard to our monitoring of covid19 and give the commission an update on our metrics on this and, again, how we are choosing our specific color schemes so that people at a glance can tell where things stand. The Health Indicators includes the Hospital System which is really our key indicator right now. It gives us the best sense of what makes sense with regard to the virus. Confirmed cases, which obviously relates well, not obviously, but confirmed cases really relates to how many people we are testing, where we are testing, whether we are testing low or higher risk populations. Contact testing itself, our Testing Capacity, Contact Tracing, and then, of course, the all important personal protective equipment or ppe in the department. Right now, the indicators are overall favorable. So we do we are continuing a gradual reopening as of today. Next slide. These are colors that we will use to monitor these indicators. Again, so that people can see at a glance where we stand. Green means we are hitting our targets, that opening can continue taking into account other indicators and data. Of course, san franciscans should continue to take precaution. Yellow means evaluate the other indicators and Additional Data before loosening the stayathome order. Orange, consider pausing or dialing back reopening based on the status of other indicators and red is strongly consider increasing stay at home restrictions and possibly pause or dial back. So these are the colors moving forward. Next slide. This is a complex slide, but the goal of this is to provide you with the information about how we determine whether the colors of our indicators change. Im not going to go through it in detail, but it shows the cutoffs for proceeding to a new color based on data. Youll see that our categories are a healthy system. These are the rate of increasing hospitalizations, our capacity to treat severe cases, our capacity to treat severe cases in the icu, the disease situation with regard to cases and tests her day, and our Disease Control measures, our ability to perform Contact Tracing, and are we protecting health care workers. The key indicators on this are our Health Care System indicators, and no one indicator or color will determine our actions. Well have to take a look in the broad context of situation to determine whether we move forward, pause, or go backwards, but i do want to lead you through the top row here with regard to hospitalization. The indicator is the rate of increase in total covid hospitalizations. Its a rate because we want to ensure that if that we have an ability we hope that we have the ability to determine if there is a significant surge starting, that that will be best understood by a rate of hospitalizations. So triggers to raise to a higher level is increasing the threshold over a 7day period, trigger to a lower level would be decreasing over a 7day period. Green would be that the rate changes at less than 10 over that period of time. Yellow would be a rate going to 10 to 15 . Level three, a moderate would be 15 to 20 , and then a level four, high alert, would be more than 20 . Based on analysis by multiple analysts in the Health Department and in collaboration with the Controllers Office, these additional cutoffs that you see on this screen were made based on the best information that we have to monitor our Hospital System, our disease situation, and our ability to, as best we can, maintain Disease Control. Next slide. Now im going to talk a little bit about where things stand today. So the Hospital System measure shows us the degree of serious illness in the community, and as you can see, the indicator is green. Were currently hitting our targets. The rate of new covid hospitalizations is decreasing, and we have adequate icu and acute care bed capacity, 37 and 26 of acute care beds are available. Next slide. In terms of cases, we are yellow status. The number of cases is flat, which is good, although we would i