Our infection rate is higher than the summer. This is not just about San Francisco but the entire region, state, and country the dangerous winter has arrived. We will have to take more action. We are still working out the details we are working out the details in Santa Santa Clara county. They have limited gatherings. Theres are things you have consider as well as other ideas to stop the spread. No one would like to be here. We spoke about worrying about doing well but having everyone relax and the cases spike like they did during the spanish flu. Im not saying thats what happened but there have been a lot of challenges including lack of national leadership. A lot of people have done well and put Public Health first. We are in the most dangerous periods of the pandemic and we need to do everything we can to keep hospitals from being over run. This is about saving lives. Everything we asked is about that, solution. Today is World Aids Day, this is a day where which remember all of those we lost to the hiv aids epidemic and recommit ourselves to get to zero new hiv infections. Its important where we stair down the difficult months ahead and remember what we can do when we ban together. A lot has been said ability San Francisco building on the efforts to fight the covid19 pandemic and reaching back to our history when we have to confront the aids crisis without support. The trust we build then between residents and Public Health officials and neighbors coming together as so many people got sick and died. Those are hard memories. The spirit of the city and resiliency of the people that live here. Today, on World Aids Day we remember the history fighting hiv aids remember what we can do. I flow people are trying. I know people are tired. I know it wont be easy. I believe in the city and all of you. Finally, today, its been my goal to not layoff any city workers. We were able to do that in the two year budget but we have a long road ahead of us and tough choses to make. The mta is facing a deficit of 230 million in the next two years. Without more emergency federal funding closing the deficit may require laying off between 18 and 22 of the work force. The possibility of losing nearly a quarter of our work force is hard to image. This is the reallity we have to confront. We are facing the gutting of a basic city service that our residents rely on and economy needs to recover. As importantly this means bus drivers, mechanics, and other workers losing their job and ability to provide for their family. San francisco is not alone here. Cities a cross the country are facing the same crisis due to covid19. Just yesterday, washington d. C. Announced their Metro Service would have to layoff workers and eliminate Weekend Service and close stations. Federal cares act funding helped keep us stable through the first year. If we push for more funding transportation must be the top priority along with support for the Small Businesses suffering. A decimated Transportation System will hobble our economic recovery. I hope the Biden Administration will work with Speaker Pelosi and congress to provide support. There are some steps we can take locally to increase mtas revenue and costs in strategickic ways and do what we can in the city. We have to consider every possible way. We are in deep trouble and need to do everything we can to save it. Now, id like to turnover the rest of my time to dr. Grant to provide you clarity around the numbers. Where we have come from, where we are going. And what we need to do to get the city to a another place. Good afternoon and thank you mayor for your ongoing leadership during this unprecedented time. Thank you for recognizing World Aids Day. This is a virus that claimed the lives of so many of san franciscan residents. With the speed that could individual is spreading throughout the city region, and state we have little time to spare. We are in the middle of a major surge threatening to overwhelm our Healthcare System as well as the systems in the sure round surrounding states. Let me be frank. The actions you take or dont take can impact you gledges your friends. Its a that simple we are all at risk and must take precautions. Its uncomfortable to think about and we hope it doesnt happen consider this, if you are a loved ones we becomes ill will there be a hospital bed to treat you or your loved ones we are seeing communities across the country grappling with the issue right now ascoindividual continues to cause havoc on communities big and small and urban and sure bub barn. This past weekend never the less we saw tens of thousands of people fly, drive, and gather with extended family as it virus ran ramped throughout the country. As a result of holiday related activities we know the worse is likely yet to come. Together we will have to take appropriate measures to keep all San Francisco sis ans. Lets review the data that has us so concerned. Slide one please. This slide shows the number of cases of covid19 per 100,000 in San Francisco from the beginning of the pandemic until now. This slide shows how quickly our cases have multiplied in the last three weeks. In the last three weeks San Franciscos positive cases have tripled. And we do not expect this to stabilize any time soon. We have more virus circulating than ever before think about what this mines and how to act accordingly San Francisco has 1 1,600 person 100 resident. We had an average of 34 new cases per day. 34 new cases per day. Now, San Francisco has an average of 140 new cases per day. Thats four times more new cases than a month ago. Yet, we are still in a highly volatile position more than any other point in the year. We have yet to account for travel and gatherings from thanksgiving. Next slide, please. Unfortunately, we know a spike in cases results in a increase in hospitalizations. We are feeling the pressure of the rapidly accelerating cases across San Francisco. In fact, covid19 positive hospitalizations have doubled in ten days. Consider this, we went from 40 hospitalizations on november 18h to 87 on november 28. In addition to the 87 covid19 patients in San Francisco there have been four covid19 patients transferred to covid19 hospitals from other jurisdictions totals 91 patients with covid19 in our hospitals as of november 29th if we continue on this participant, we, as well as other counties will start to see a hospital bed shortage. the trend continues we will see a hospital bed shortage around christmas. Thats a sobering thought. There is a real possibility of no available beds at our hospitals. Of course, i hope, we hope this doesnt happen. Its an increasing likelihood as we see this virus spread locally like never before we have beaten back two surges. Simply put, we need to slow the spread of virus. We have taken a number of actions to slow the spread. We have holted Indoor Dining and closed indoor museums we had limited capacity indoors. We have asked you to abide by the stay at home order. We required all nonessential activities by 10 . None of these have slowed the rate of the spread of covid19 virus. In fact, infections have continued to increase. Therefore wll well implement additional roll backs. We will farther reduce the number of people that can gather especially from multiple households. We will analyze capacity restrictions for indoor shops. We are reviewing the county health order requiring those that travel 150 miles to corn teen we must slow the spread or well continue to see hospitalization numbers that will overwhelm the healthcare center. Well be a city that struggled to deal with the virus in ways we thankfully have not yet had to. We can slow the sprayed. It wont be easy and everyone has a part to play. Im the broken record and continue to be if it saves lives and keeps people from getting sick morningized, and die. Do not gather with anyone outside your immediate yacht household. Wash your hands, wear that face covering. As a gay man and i trained here during the aids epidemic. Everyday i think about the lives we couldnt save. So many lost family friends, neighbors and colleagues. We didnt have the tool but we came together. With this pandemic with this pandemic we have the knowledge. We know what it is to fight the virus. The current surge. We know what to do, what we need to do to protect lives, please, lets Work Together and come together to protect lives and our communities and protect our city. Thank you. Thank you, doctor. At this time well begin the q and a portion with mayor london. Thank you madam mayor. Your first set of questions comes from megan. How would you consider the mention of the kellies. We are still reviewing the allegations. These are serious charges. People are innocent until Proven Guilty the actions are deeply troubling. I have said from the beginning of the investigation we need to do everything we can to restore public trust. Well continue to consult with the City Attorneys Office about our steps forward and everyone should cooperate with any investigation. Thank you, madam mayor. Lastly from scott nbc. Do you have comments about reports that more San Francisco restaurants will have to shutdown or quote hibernate . I think what we tried to do from the beginning of the pandemic is provide faggots about every situation. As soon as there is information from the public we notify the public. As soon as we think there is the possibility of a closure we tried to reach out to people and the industry. We have been in touch with the association and many of them are naturally concerned as we see a spike and places like l. A. County close out dining entirely. Id like to be clear, we cant rule it out. As soon as which think its absolutely necessary based on what we see with the spike. Based on hospitalizations and direction our city is headed in. It could be a possibility. We cant say right now what that would mean in a timeline. Well do everything we can as soon as we know when or if it happens we will provide as much notification as we can and understanding we are not just talking about the owners of the restaurants and places for people to go. We are talking about the food they are ordering. The work force. The people that were on unemployment. It will take forever. We understand the challenges that people are facing. Our goal is to make sure whatever possible, we do what we can to provide as much information. It pains me every time i have to do a press conference where we have to talk about roll backs. There will be roll backs. There will be announcements this week because we expect the state of california to improse other restrictions on San Francisco. There might be farther roll backs we but into place ourselves to curve this virus, so, we know thats to be expected which is why we have to do our part. We must distance ourselves and limit our activities because we have done it before we are seeing a spike unlike anything we have seen since the beginning of the pandemic. We are in trouble and sounding the alarm like i said before. That will mean really challenging months ahead. Thank you, madam mayor. We will transition over to dr. Colfax for some Health Related questions. Doctor, the first set of questions come from erin from the chronical. What will trigger the new orders . Is it possible we will see another stay stay at home order like from march . As we mentioned we are reviewing a number of options including limiting outdoor gatherings. Looking at the santa clara travel order, quarantine order. Some could come out as early as tomorrow. Thank you, from julian with mission local, study after study and your own data show the latino population is seeing higher infection rates than the rest of the city. As we enthe a surge will we offer more widespread testing and resources to those getting sick. Yes, since the beginning we focused on the issues and the infection rates are disproportion nate among the latino populations. We have engaged the Latino Community from the beginning, invested in testing and isolation and quarantine rooms. We have invested into Contact Tracing and Health Department care. We will straighten our strategy and our testing work is increasingly translating. The city will test that site the Farmer Market site monday through friday. This is the southeastern part of the city. We continue to partner and Community Partners to ensure testing we will focus on engaging and working with those effected by the virus. The next question is from david baker. How do you intend people from gathering in groups when people have ignored gathering. We are working to continue to exercise outside of your household. Its dangerous and increasing the likelihood. As much as possible and ensure people understand and understand its against Health Orders to gather in ways that could promote the transmission of the virus. I think what we really need to do is focus on the educational aspect so people understand the virus can and will effect them and their family members and we need to dig deeper and really do the things we know prevents the spread of the virus as much as possible. Well continue to enforce city guidelines and rules if necessary to prevent a major spreader event as much as possible. Thank you, dan with kron 4. What is the timeline for the changes . With regard to one of the prior questions we are looking at seeing capacity of indoor activities and institutions and businesses. This is Group Gatherings and looking at the potential travel quarantine orders and some of the orders could be finished as early as tomorrow. Thank you, doctor and madam mayor. If you have any questions following this meeting send us an email. Thank you. Moving human errors in commissions, which could potentially save thousands of lives. In San Francisco, california and across the world. The only way were going to get there is ensure the Safety Standards are met. Were very interested. I think as director tumlin also noted, people biking and walking, southeastern southeasts and people with disabilities share the roadways with autonomous vehicles. As the permits are beginning to be issued, cruise is the first to receive a fabulous test permit. They certainly will not be the last. I want to encourage this continued dialogue and transparency among elected officials and decision may beers, members of the public and those of us who use San Francisco streets every day. And the companies themselves. Thank you for having this hearing. Continued conversations will emphasize safety and testing and deployment. Operator thank you, caller. There are no more callers. Chair peskin okay. Well close Public Comment. And i just really want to thank my colleagues and members of the public for your active engagement and interest. This will be im sure the first of many of these hearings. Hopefully they will be collaborate with the industry or not. With that, madam clerk, or colleagues, is there any introduction of new items . Commissioner preston. Commissioner preston thank you, chair peskin. I know the hour is late here. So i will forego the significantly longer remarks i was about to give. Im introducing an agenda item to authorize funding for the paid street neighborhood project, which includes six sidewalk extensions, buchanan, laguna and four rain gardens. And the first raised intersection in the city, at page and buchanan. And elements proposed within this project will slow traffic, including cars and bikes, and create more comfortable and safer walking environment on page and on the crossing atster, laguna and buchanan. The raising intersection provides safety improvements that connect john muir elementary school. This project focuses on pedestrian safety, its complementary to the bikeway and sfmtas the page slow streets pandemic response. And im also pleased to report that the market octavia c. A. C. Yesterday voted unanimously to support this item and im looking forward to the pull presentation, when this is on our agenda. Thank you very much. Chair peskin thank you. And commissioner haney, given the late hour of this hearing and the fact that the timma hearing has to be delayed, you may want to say few words. The floor is yours. Supervisor haney thank you, chair peskin. Thank you, director chang as well. We a number of members of the public waiting to give comment about the toll policy at timma. And i wanted to send my apologies to them and to let them know this will be rescheduled on the december 8th. They can give comments via the clerk or via director chang or my office courtney mcdonald. You can reach out to us and well make sure that we have a full discussion on the toll policy on december 8th. Thank you, chair peskin. Chair peskin thank you. Is there any general Public Comment for todays Transportation AuthorityCommission Meeting . Madam clerk. Operator there is one caller. Refight speaker, first speaker, please. Operator hello, caller. Your two minutes begins now. Caller apologies for the late hour. Id like to briefly follow up on what i said earlier with the authorities and the existing Program Management contract. You know about the central subway, you know about [indiscernible] ill leave it to you to decide whether you have to with the oversight. Also mention the signaling system and five years later. And over budget. But the final straw was last week when the [indiscer