After a tumultuous year, SA Metro Health has a new director After a tumultuous year, SA Metro Health has a new director Claude Jacobs began on July 6, taking control of the health district amid a new rise in COVID-19 cases San Antonio Metro Health's new director begins position SAN ANTONIO – With more than 20 years in public health, including his most recent stretch at the head of the Cambridge Public Health Department, Claude Jacobs is well aware of the ins and outs of managing public health in a pandemic. “I’m battle-tested, but contrary to popular belief, I did not have a full head of hair before COVID,” the new director of the San Antonio Metropolitan Health District told reporters during a Wednesday morning meet-and-greet.