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 Authority Commission 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 [indiscernible] announced that the ipmt had recommended awarding the general contract to b. T. X. To the transportation group. It happens to be the same company that started the b. T. X. Back in 2005. Nat only that not only that, this is the same Company Responsible for the fiveyear delay on the signaling system, and that [indiscernible] in closing, id like to make this recommendation for your consideration. Terminate the t. A. The Program Oversight contract and create a new system. 20 seconds. And the new position would be to review the report, and technical, summarize the report and then come up with a set of recommendations. Thank you. Operator thank you, caller. Chair peskin any other members of the public for Public Comment . Operator there are no more callers. Chair peskin okay. Public comment is closed. And thank you all for sitting through a very long but important t. A. Meeting and we are adjourned. [taps gavel] my name is doctor ellen moffett, i am an assistant medical examiner for the city and county of San Francisco. I perform autopsy, review medical records and write reports. Also integrate other sorts of testing data to determine cause and manner of death. I have been here at this facility since i moved here in november, and previous to that at the old facility. I was worried when we moved here that because this building is so much larger that i wouldnt see people every day. I would miss my personal interactions with the other employees, but that hasnt been the case. This building is very nice. We have lovely autopsy tables and i do get to go upstairs and down stairs several times a day to see everyone else i work with. We have a bond like any other group of employees that work for a specific agency in San Francisco. We work closely on each case to determine the best cause of death, and we also interact with family members of the diseased. That brings us closer together also. I am an investigator two at the office of the chief until examiner in San Francisco. As an investigator here i investigate all manners of death that come through our jurisdiction. I go to the field Interview Police officers, detectives, family members, physicians, anyone who might be involved with the death. Additionally i take any property with the deceased individual and take care and custody of that. I maintain the chain and custody for court purposes if that becomes an issue later and notify next of kin and make any additional follow up phone callsness with that particular death. I am dealing with people at the worst possible time in their lives delivering the worst news they could get. I work with the family to help them through the grieving process. I am ricky moore, a clerk at the San Francisco medical examiners office. I assist the pathology and toxicology and Investigative Team around work close with the families, loved ones and funeral establishment. I started at the old facility. The building was old, vintage. We had issues with plumbing and things like that. I had a tiny desk. I feet very happy to be here in the new digs where i actually have room to do my work. I am sue pairing, the toxicologist supervisor. We test for alcohol, drugs and poisons and biological substances. I oversee all of the lab operations. The forensic operation here we perform the toxicology testing for the Human Performance and the case in the city of San Francisco. We collect evidence at the scene. A woman was killed after a robbery homicide, and the dna collected from the zip ties she was bound with ended up being a cold hit to the suspect. That was the only investigative link collecting the scene to the suspect. It is nice to get the feedback. We do a lot of work and you dont hear the result. Once in a while you heard it had an impact on somebody. You can bring justice to what happened. We are able to take what we due to the next level. Many of our counterparts in other states, cities or countries dont have the resources and dont have the beautiful building and the equipmentness to really advance what we are doing. Sometimes we go to court. Whoever is on call may be called out of the office to go to various portions of the city to investigate suspicious deaths. We do whatever we can to get our job done. When we think that a case has a natural cause of death and it turns out to be another natural cause of death. Unexpected findings are fun. I have a prior background in law enforcement. I was a Police Officer for 8 years. I handled homicides and suicides. I had been around Death Investigation type scenes. As a Police Officer we only handled minimal components then it was turned over to the coroner or the detective division. I am intrigued with those types of calls. I wondered why someone died. I have an extremely supportive family. Older children say, mom, how was your day. I can give minor details and i have an amazing spouse always willing to listen to any and all details of my day. Without that it would be really hard to deal with the negative components of this job. Being i am a native of San Francisco and grew up in the community. I come across that a lot where i may know a loved one coming from the back way or a loved one seeking answers for their deceased. There are a lot of cases where i may feel affected by it. If from is a child involved or things like that. I try to not bring it home and not let it affect me. When i tell people i work at the medical examiners office. Whawhat do you do . The autopsy . I deal with the a with the enou with the administrative and the families. Most of the time work here is very enjoyable. After i started working with dead people, i had just gotten married and one night i woke up in a cold sweat. I thought there was somebody dead . My bed. I rolled over and poked the body. Sure enough, it was my husband who grumbled and went back to sleep. This job does have lingering effects. In terms of why did you want to go into this . I loved science growing up but i didnt want to be a doctor and didnt want to be a pharmacist. The more i learned about forensics how interested i was of the perfect combination between Applied Science and criminal justice. If you are interested in finding out the facts and truth seeking to find out what happened, anybody interested in that has a place in this field. Being a woman we just need to go for it and dont let anyone fail you, you cant be. With regard to this position in comparison to crime dramas out there, i would say there might be some minor correlations. Lets face it, we arent hollywood, we are real world. Yes we collect evidence. We want to preserve that. We are not scanning fingerprints in the field like a Hollywood Television show. Families say thank you for what you do, for me that is extremely fulfilling. Somebody has to do my job. If i can make a situation that is really negative for someone more positive, then i feel like i am doing the right thing for the city of San Francisco. [ ] i just dont know that you can find a neighborhood in the city where you can hear music stands and take a ride on the low rider down the street. It is an experience that you cant have anywhere else in San Francisco. [ ] [ ] district nine is a in the southeast portion of the city. We have four neighborhoods that i represent. St. Marys park has a completely unique architecture. Very distinct feel, and it is a very close to holly park which is another beautiful park in San Francisco. The Bernal Heights district is unique in that we have the hell which has one of the best views in all of San Francisco. There is a swinging hanging from a tree at the top. It is as if you are swinging over the entire city. There are two unique aspects. It is considered the fourth chinatown in San Francisco. Sixty of the residents are of chinese ancestry. The second unique, and fun aspect about this area is it is the garden district. There is a lot of urban agriculture and it was where the city grew the majority of the flowers. Not only for San Francisco but for the region. And of course, it is the location in mclaren park which is the citys second biggest park after golden gate. Many people dont know the neighborhood in the first place if they havent been there. We call it the best neighborhood nobody has ever heard our. Every neighborhood in district nine has a very special aspect. Where we are right now is the Mission District. The Mission District is a very special part of our city. You smell the tacos at the [speaking spanish] and they have the best latin pastries. They have these shortbread cookies with caramel in the middle. And then you walk further down and you have sunrise cafe. It is a place that you come for the incredible food, but also to learn about what is happening in the neighborhood and how you can help and support your community. Twentyfourth street is the birthplace of the movement. We have over 620 murals. It is the largest outdoor Public Gallery in the country and possibly the world. You can find so much Political Engagement park next to so much incredible art. Its another reason why we think this is a cultural district that we must preserve. [ ] it was formed in 2014. We had been an organization that had been around for over 20 years. We worked a lot in the neighborhood around life issues. Most recently, in 2012, there were issues around gentrification in the neighborhood. So the idea of forming the cultural district was to help preserve the history and the culture that is in this neighborhood for the future of families and generations. In the past decade, 8,000 latino residents in the Mission District have been displaced from their community. We all know that the rising cost of living in San Francisco has led to many people being displaced. Lower and middle income all over the city. Because it there is richness in this neighborhood that i also mentioned the fact it is flat and so accessible by trip public transportation, has, has made it very popular. Its a struggle for us right now, you know, when you get a lot of development coming to an area, a lot of new people coming to the area with different sets of values and different culture. There is a lot of struggle between the existing community and the newness coming in. There are some things that we do to try to slow it down so it doesnt completely erase the communities. We try to have developments that is more in tune with the community and more Equitable Development in the area. You need to meet with and gain the support and find out the needs of the neighborhoods. The people on the businesses that came before you. You need to dialogue and show respect. And then figure out how to bring in the new, without displacing the old. [ ] i hope we can reset a lot of the mission that we have lost in the last 20 years. So we will be bringing in a lot of folks into the neighborhoods pick when we do that, there is a demand or, you know, certain types of services that pertain more to the local community and workingclass. Back in the day, we looked at mission street, and now it does not look and feel anything like mission street. This is the last stand of the latino concentrated arts, culture and cuisine and people. We created a cultural district to do our best to conserve that feeling. That is what makes our city so cosmopolitan and diverse and makes us the envy of the world. We have these unique neighborhoods with so much cultural presence and learnings, that we want to preserve. [ ]
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