San Francisco City clinic provides a broad range of Sexual Health services from Stephanie Tran medical director at san Francisco City clinic. We are here to provide easy access to conference of lowcost culturally sensitive Sexual Health services and to everyone who walks through our door. So we providestd checkups, diagnosis and treatment. We also provide hiv screening we provide hiv treatment for People Living with hiv and are uninsured and then we hope them Health Benefits and rage into conference of primary care. We also provide both prend post exposure prophylactics for hiv prevention we also provide a range of womens reproductive Health Services including contraception, emergency contraception. Sometimes known as plan b. Pap smears and [inaudible]. We are was entirely [inaudible]people will come as soon as were open even a little before opening. Weight buries a lip it could be the first person here at your in and out within a few minutes. There are some days we do have a pretty considerable weight. In general, people can just walk right in and register with her front desk seen that day. My name is yvonne piper on the Nurse Practitioner here at sf city clinic. He was the first time i came to city clinic was a little intimidated. The first time i got treated for [inaudible]. I walked up to the redline and was greeted with a warm welcome im chad redden and anna client of city clinic even has had an std clinic since all the way back to 1911. At that time, the clinic was founded to provide std diagnosis treatment for sex workers. Theres been a big increase in std rates after the earthquake and the fire a lot of people were homeless and there were more sex work and were homeless sex workers. There were some Public Health experts who are pretty progressive for their time thought that by providing std diagnosis and treatmentsex workers that we might be able to get a handle on std rates in San Francisco. When youre at the clinic youre going to wait with whoever else is able to register at the front desk first. After you register your seat in the waiting room and wait to be seen. After you are called you come to the back and meet with a Healthcare Provider can we determine what kind of testing to do, what samples to collect what medication somebody might need. Plus prophylactics is an hiv prevention method highly effective it involves folks taking a daily pill to prevent hiv. Recommended both by the cdc, center for Disease Control and prevention, as well as fight sf dph, two individuals clients were elevated risk for hiv. I actually was in the project here when i first started here it was in trials. Im currently on prep. I do prep through city clinic. You know i get my tests read here regularly and i highly recommend prep a lot of patients inclined to think that theres no way they could afford to pay for prep. We really encourage people to come in and talk to one of our prep navigators. We find that we can help almost everyone find a way to access prep so its affordable for them. If you times we do have opponents would be on thursday morning. We have two different clinics going on at that time. When is womens Health Services. People can make an appointment either by calling them a dropping in or emailing us for that. We also have an hiv care clinic that happens on that morning as well also by appointment only. He was city clinic has been like home to me. I been coming here since 2011. My name iskim troy, client of city clinic. When i first learned i was hiv positive i do not know what it was. I felt my life would be just ending there but all the support they gave me and all the information i need to know was very helpful. So i [inaudible] hiv care with their health about a quarter of our patients are women. The rest, 75 are men and about half of the men who come here are gay men or other men who have sex with men. A small percent about 1 of our clients, identify as transgender. We ask at the front for 25 fee for services but we dont turn anyone away for funds. We also work with outside its going out so any amount people can pay we will be happy to accept. I get casted for a pap smear and i also informed the contraceptive method. Accessibility to the clinic was very easy. You can just walk in and talk to a registration staff. I feel im taken care of and im been supportive. All the information were collecting here is kept confidential. So this means we cant release your information without your explicit permission get a lot of folks are concerned especially come to a Sexual Health clinic unless you have signed a document that told us exactly who can receive your information, we can give it to anybody outside of our clinic. Trance men and women face really significant levels of discrimination and stigma in their daily lives. And in healthcare. Hiv and std rates in San Francisco are particularly and strikingly high were trans women. So we really try to make city clinic a place that strandsfriendly trance competent and transwelcoming everyone from the front desk to behind our amazement there are completely knowledgeable. They are friendly good for me being a sex worker, ive gone through a lot of difficult different different medical practice and sometimes they werent competent and were not friendly good they kind of made me feel like they slapped me on the hands but living the sex life that i do. I have been coming here for seven years. When i come here i know they my services are going to be met. To be confidential but i dont have to worry about anyone looking at me or making me feel less a visit with a clinician come take anywhere from 10 minutes if you have a straightforward concern, to over an hour if something goes on that needs a little bit more help. We have some testing with you on site. So all of our samples we collect here. Including blood draws. We sent to the lab from here so people will need to go elsewhere to get their specimens collect. Then we have a few test we do run on site. So those would be pregnancy test, hiv rapid test, and hepatitis b rapid test. People get those results the same day of their visit. I think its important for transgender, gender neutral people to understand this is the most confidence, the most comfortable and the most knowledgeable place that you can come to. Onsite we have condoms as well as depoprovera which is also known as [inaudible] shot. We can prescribe other forms of contraception. Pills, a patch and rain. We provide pap smears to women who are uninsured in San Francisco residents or, to women who are enrolled in a statefunded program called family pack. Pap smears are the recommendationrecommended Screening Test for monitoring for early signs of cervical cancer. We do have a fair amount of our own stuff the day of his we can try to get answers for folks while they are here. Whenever we have that as an option we like to do that obviously to get some diagnosed and treated on the same day as we can. In terms of how many people were able to see in a day, we say roughly 100 people. If people are very brief and straightforward visits, we can sternly see 100, maybe a little more. We might be understaffed that they would have a little complicated visits we might not see as many folks. So if we reach our target number of 100 patients early in the day we may close our doors early for droppings. To my best advice to be senior is get here early. We do have a website but its sf city clinic. Working theres a wealth of information on the website but our hours and our location. As well as a kind of kind of information about stds, hiv,theres a lot of information for providers on our list as well. Patients are always welcome to call the clinic for theres a lot of information for providers on our list as well. Patients are always welcome to call the clinic for 15, 40 75500. The phones answered during hours for clients to questions. They tend to come up here and drive right up to the vehicle and in and out of their car and into the victims vehicle, i would say from 1015 seconds is all it takes to break into a car and theyre gone. Yeah, we get a lot of breakins in the area. We try to i just want to say goodbye. Thank you. Sometimes thats all it takes. I never leave anything in my car. We let them know theres been a lot of vehicle breakins in this area specifically, they target this area, rental cars or vehicles with visible items. This is just warning about vehicle breakins. Take a look at it. If we can get them to take it with them, take it out of the cars, it helps. Hi today we have a special edition of building San Francisco, stay safe, what we are going to be talking about San Franciscos earth quakes, what you can do before an earthquake in your home, to be ready and after an earthquake to make sure that you are comfortable staying at home, while the city recovers. The next episode of stay safe, we have Alicia Johnson from San Franciscos department of emergency management. Hi, alicia thanks to coming it is a pleasure to be here with you. I wonder if you could tell us what you think people can do to get ready for what we know is a coming earthquake in San Francisco. Well, one of the most things that people can do is to make sure that you have a plan to communicate with people who live both in and out of state. Having an out of state contact, to call, text or post on your social network is really important and being able to know how you are going to communicate with your friends, and family who live near you, where you might meet them if your home is uninhab hitable. How long do you think that it will be before things are restored to normal in San Francisco. It depends on the severity of the earthquake, we say to provide for 72 hours tha, is three days, and it helps to know that you might be without services for up to a week or more, depending on how heavy the shaking is and how many after shocks we have. What kind of neighborhood and Community Involvement might you want to have before an earthquake to make sure that you are going to able to have the support that you need. It is important to have a Good Relationship with your neighbors and your community. Go to those community events, shop at local businesses, have a reciprocal relationship with them so that you know how to take care of yourself and who you can rely on and who can take care of you. It is important to have a batteryoperated radio in your home so that you can keep track of what is happening in the Community Around and how you can communicate with other people. One of the things that seems important is to have access to your important documents. Yes, it is important to have copies of those and also stored them remotely. So a title to a home, a passport, a drivers license, any type of medical records that you need need, back those up or put them on a remote drive or store them on the cloud, the same is true with any Vital Information on your computer. Back that up and have that on a cloud in case your hard drive does not work any more. In your home you should be prepared as well. Absolutely. Lets take a look at the kinds of things that you might want to have in your home. We have no water, what are we going to do about water . It is important for have extra water in your house, you want to have bottled water or a five gallon container of water able to use on a regular basis, both for bathing and cooking as well as for drinking. We have this big container and also in peoples homes they have a hot water heater. Absolutely, if you clean your hot water heater out regularly you can use that for showering, drinking and bathing as well what other things do people need to have arent their home. It is important to have extra every day items buy a couple extra cans of can food that you can eat without any preparation. Here is a giant can of green giant canned corn. And this, a manual can opener, your electric can opener will not be working not only to have one but to know where to find it in your kitchen. Yes. So in addition to canned goods, we are going to have fresh food and you have to preserve that and i know that we have an ice chest. Having an ice chest on hand is really important because your refrigerator will not be working right away. It is important to have somebody else that can store cold foods so something that you might be able to take with you if you have to leave your home. And here, this is my very own personal emergency supply box for my house. I hope that you have an alternative one at home. Oh, i forgot. And in this is really important, you should have flashlights that have batteries, fresh batteries or hand crank flashlight. I have them right here. Good. Excellent. That is great. Additionally, you are going to want to have candles a whistle, possibly a compass as well. Markers if you want to label things if you need to, to people that you are safe in your home or that you have left your home. I am okay and i will meet you at. Exactly. Exactly. Water proof matches are a great thing to have as well. We have matches here. And my spare glasses. And your spare glasses. If you have medication, you should keep it with you or have access to it. If it needs to be refrigerated make sure that it is in your ice box. Inside, just to point out for you, we have spare batteries. Very important. We have a little first aid kit. And lots of different kinds of batteries. And another spare flashlight. So, alicia what else can we do to prepare our homes for an earthquake so we dont have damage . One of the most important things that you can do is to secure your valuable and breakable items. Make sure that your tv is strapped down to your entertainment cabinet or wall so it does not move. Also important is to make sure that your book case is secure to the wall so that it does not fall over and your valuable and breakables do not break on the ground. Becoming prepared is not that difficult. Taking care of your home, making sure that you have a few extra everyday items on hand helps to make the difference. That contributes dramatically to the way that the city as a whole can recover. Absolutely. If you are able to control your own environment and house and recovery and your neighbors are doing the same the city as a whole will be a more resilient city. We are all proud of living in San Francisco and being prepared helps us stay here. So, thank you so much for joining us today, alicia, i appreciate it. Absolutely, it is my pleasure. And thank you for joining us on another edition of building San Francisco, the most beautiful city on the planet. Let me take a moment to introduce myself. My name is kimmy, and you listen to me every morning on the morning dream team. It is a pleasure to be here. There are events that i do, but theres events that mean a lot to me. Im born and raised in San FranciscoSan Francisco. Im a Bernal Heights baby, courtland kid, so when i hear that Galileo High School is not only the city champs but the state champ, it makes me extra excited. And when president london breed asked me to emcee this event, its clear theres no place i would rather be than right here right now. So we are here to honor you guys. The focus is on you. We are so proud of you, and on behalf of the city and county of San Francisco, can we just all say congratulations . Cha yes. Give these young men a standing ovation for all the times you were tired, you wanted to quit, they didnt you couldnt do it, they didnt believe in you. What are these guys from San Francisco going to do . Theyre going to bring home the ship. See, bring home the ship. So we have a lot of people here to celebrate all your success, and it is my pleasure, i would love to bring up our first speaker. We have the incredible Vice President of the school board, stevon cooke, please. It is such an honor to be here to represent the San FranciscoUnified School District at city hall, but i think because the walls are lit with purple, its somebody else today. Whose house . Whose house . We have the state champion ghouse to that because these incredible student athletes, as a previous speaker said, won the city championship, but took it all the way to win the 6 a championship state title. I would like to take a moment to recognize some leaders from the school district. We have president hydromendoza mcdonald today, our Athletic Director for the school district, don collins, is also here. And the principal of Galileo High School has joined us. Dr. Matthews, our superintendent, wanted to be here, but unfortunately, his father passed this weekend, so if we can keep his family in our hearts and our prayers as they go through this difficult time. This is a really incredible occasion. The first time in the history of our city we can gather in honor of a state football champion. So welcome to city hall, congratulations, Galileo High School. Lets do it again next year. [applause] now, as you know, you have a very famous alumni who went out of her way to put this together for you. Shes sitting here in the front row. Shes been here for all the right reasons, and we all trust her, and if it wasnt for her, i wouldnt be standing here. So ladies and gentlemen, please put your hands together for the one and only president london breed. [applause] the hon. L. Breed all right, all right. Its time for a real celebration, and let me start by saying that galileo is always making history. When i went to galileo, with tyrell and dari, and i dont have any glasses on, so i cant see anyone else back there, but it was the first time in the history of the city and county of