Chair fewer this is the november 18, 2020 rescheduled budget and finance committee meeting. I am sandra lee fewer, chair of the budget and finance committee. I am joined by supervisors Shamann Walton and raphael mandelman. Madam clerk, do we have any announcements . Clerk yes. [agenda item read]. Chair fewer thank you very much. Madam clerk, can you please call item number one. Clerk yes. Item one, retroactive hearing on updates related to the economic landscape f [inaudible] on march 1, 2021 through february 28, 2022. Members of the public who wish to provide Public Comment should call 4154550001, enter meeting i. D. 1467347302. Press pound, and pound again, and press star, three to enter the queue. Chair fewer thank you very much. We have the department of Public Health. Colleagues, you may remember, we heard this item and continued it to today to get some more demographic information on our hiv and aids. These are the areas that we understood you were interested in hearing more abou
For you. Mark, can we back up to the slides on the reproduction number. One second. Oh no, its okay. Give me just one second to back up to that. Those are very concerning numbers. We see if we reduce the reproductive number by a third, we hold steady at the same number of hospitalizations, but wed still see as many as four times of deaths here in San Francisco. But if we continue on this same scale, we could see deaths up to 800, and number of hospitalizations, 1,000 to over 3,000. That could clearly overwhelm our Hospital Systems. I know weve seen footage of people gathering in dolores park this weekend, and the possible impact that could have. Could you just speak to what kind of effect that behavior could have, not just on our people, but our ability to serve the health care needs. Yes [inaudible] i thi. Dr. Colfax i think its really important that we stay vigilant and do what we know works to stop the spread of the virus. That includes not going to large gatherings, and on beautifu
They can maintain operations as best possible while also people going to the command center to do this operation. Well, very clearly, it is a really challenging, and as other commissioners have indicated, really grateful that people like yourself have really stepped up and continue to do, as you say, the work that has to be done, along with the very key work, and congratulations on being head of this program. One question which is more technical has to do with the testing strategies. And your chart was great and sexu certainly keynoted on some of the areas that were concerned. On the other hand, you also pointed out that you were interested in reaching other vulnerable populations which are kind of a potential tinderbox, and im glad that you mentioned chinatown right now. Its a very low number, and some other asian populations out in the sunset which arent being tested, but we dont know that. What is your testing strategy to figure out a priority, and that came from one of the question
And promotions staff within Population Health, and those folks are under this yellow block under operations, but that means that theyre also overseeing the Human Services, which is doing housing and feeding. [inaudible] within Population Health, and that modelling that theyre doing is both our normal work of taking in public results of Infectious Disease tests, but its also new work that i think is really an advancement of what we normally do in the department, working with outside assistance for modelling and making sure that we are able to project into the future. And that is led by jim marks, who is an anesthesiologist and many others in that structure. Go forward. Ill let you know that all of the guidance that comes out is part of the information and Guidance Group that is headed by reeta nguyen, dr. Rita nguyen, and she is part of Population Health and leads a team of doctors and physicians and they write all the research about what the current recommendations are. That group had
Something that is own the list of trying to expand our relationship so i mean that is great idea and think that we should move forward with trying to expand the relationship with the Fire Department and other first responders. Do clinics have these too or not . Clinics are disposal sites and that is listed on a flier for the clients, but we didnt put disposal boxes on that in particular. Do we know exactly why people dont use the Disposal Services and is there a reason maybe they need an incentive like we do with refundable cans or what not . That is a good question and one wree discussing internally a lot. In the next few weeks we will have focus groups with injection drug users and they are the questions well ask of what is not working and what can we do to help us come up with ideas that will be more effective. Anecdotally, i think it seems like people are getting moved around a lot so they leave their packs behind or drop stuff andbut you know, education about proper disposal is a