To present today. As well as severe injuries, thank you commissioner for your comments. Severe injuries are really critical focus of vision zero and we look forward to sharing our findings today. All of these analyses are possible because of our collaboration between the Health Department and the Zuckerberg San FranciscoGeneral Hospital. We work under the Vision Zero Research collaborative of backgrounds and expertise. With respect to emerging mobility, we have been working to create a standardized methodology to monitor injuries related to new modes of transportation through the trauma registry. Recently released our first sixmonth report looking particularly at escooter related collisions. These were shared as a part of the packet. I want to acknowledge our vision zero epidemiologist was critical in leading this work and is in our audience today. Because of the injury prevention Research Collaborative we had a Strong Foundation when escooter hit our streets last year to work with the hospital staff to develop methodology for tracking. We were the first in the country to do so who were eager to impairment something similar given the Public Safety concerns with respect to two new modes. There is a number of names that have advancer this including reporting the data including transparency and consistency with respect to definitions, and supporting Better Communications between our First Responders and clinicians and police. Including the transheaven who is critical in regulating. To develop the methodology we looked at first just what the universe of a new vehicle types which are depicted here on the slide. In addition to the methodology, created posters and distributed to First Responders, to help identify the vehicles. So we can compare findings across the different types of data collection. We also ask questions about whether it was a Mobility Service or sharing technology. Obviously there could be private ownership or sharing which is another factor that we really interested in and also whether an Autonomous Vehicle was involved in the crash anticipating increases on our street as well. We have a full report. I wanted to highlight some of our initial findings. So far we have been able to analyze the data from 2018, but we will be looking at a longer. Of time, the coming months, in support of trent 30s pilot scooter 12 month pilot evaluation. The green light looks at the registry data. The blue is our Police Department data, and the oranges selfreported from power Scooter Companies. One thing is interesting to know, the pecan may prior to our regulation, and then also, the parallels really between the blue and the green lines with respect to, you know, the trend line. We also just took a deeper dive at some general patterns with respect to power scooter injuries in 2018. More people were injured in crashes with Motor Vehicles but we had a number of people who were also injured falling or colliding with the stationary objects. Our concern was people being injured as pedestrians and all data we did find a small portion of people that were injured in a collision while walking with a powered scooter. We also looked at the age distribution of injuries noting that three children under age 17 and under were injured, we do not have the data on whether or not it was a shared program, but, the sharing program of course is for people 18 and over. Particularly with respect to injury. Two thirds of people with the most severe injuries sustained head injuries, 22 people were wearing helmets. Those wearing helmets have less severe injuries and patterns with respect to injured people injured while walking, helmet use and age were really similar when comparing with both scooters reported as well as police data. With respect to the next steps we are going to work to continue monitoring injuries in support of smts evaluation. Weve also been working nationally with research on Government Agencies to change how National Guidelines for medical records so we can look across the country and actually track these types of emergency mobility devices which are currently invisible with respect to standardized coding. And then also engaging in local and National Dialogues to really hope advance the practice with respect to injury prevention and also monitoring examples of opportunities for improved safety including bases like having Vehicle Safety standards for powered scooters that are similar to what exists for bike share, how easy Scooter Companies can help us maintain parking spaces, the importance of sharing data to inform Safety Improvements as well as safety. Also spoke about the importance of severe injuries. We did present on this briefly at a previous meeting. Given the significance, we wanted to reshare the data that has been analyzed so far, through 2017 where we saw, approximately, not approximately, 574 severe injuries in our Hospital Data. Of those 110 are our most critical injuries. A note on the slide is that the data methodology changed in that middle where you see the errors with respect to how patients were referred to the General Hospital. We feel like the most recent three years are most representative of trends, that is something we will continue to monitor. We are using again our Hospital Data to monitor trends. There are differences with respect to fatality monitoring. But because our hospitals are level i Trauma Center we feel confident and it capturing the most severe injuries we are seeing on our streets. I know we may be short on time, so i just want to conclude focusing on the distribution of injury with people comprising about 1 3 of injuries area with respect to trends, and overall we are seeing recent flattening out of severe injuries in recent years. We saw some helpful decrease with respect to critical injuries to pedestrians in 2017. Again, this is something that we will be analyzing this year. We are currently crunching the 2018 data and look forward to sharing it as soon as it is available. In addition to the 2018 trend analysis, we are going to be developing metrics for vision zero. We are working for that to be evidencebased with respect to what our targets are. That is something we will be releasing at the same time as our trend analysis. I also want to conclude with a slide. This is our fatality trends through may 2019. It does not capture the additional three fatalities that we know of that our vision zero report has not been processed or june. However, speaking as a cochair of vision zero we know our fatalities or something that we need much more on more significant decreases and know we are going in the direction we are going on. The legislative update is a critical piece of this work for our severe injuries as well as our fatalities with respect to making sure we are going in the right direction, making sure that we have the political will and support to really advance some of the transformative policies that we have identified in our Action Strategy that we know will make the larger impacts that we need to see on our streets with respect to lowering speeds. That concludes my presentation. I welcome any questions. I have an interesting stat rate i dont know if its true. In terms of injuries using scoot or skip, and the numbers i have is that skip had ready for injuries and scoot had none do you think that is accurate . I do. I believe that was in the detail report. We both believe that is accurate. And, i do know that there is a pretty significant differences between Deployment Services of scooters between scoot and skip. I think thats an important factor in understanding the differences in injuries. If someone had to choose one of them, which one is safer . I dont think the number of injuries is necessarily a reflection of safety or risk in the scooter. I think that is something that we havent necessarily evaluated in this report. The report is looking at is reported injuries. So, an extreme example would be if there were zero injuries. Have to step up to the mic if you want to speak. Tran21 issue we see with the injury data are the reported collision data from the Scooter Companies, is that selfreport of people using the app or someone calling in to say yes there is a collision. We have a reason to believe that is probably a severe undercount of the number of collisions that are happening and also maybe not the best measure of safety compared to our Hospital Data that captures the most severe injuries when you say there is 34, 44 injuries, whatever that number was for the Scooter Companies. Those are just collisions are not necessarily severe collisions. It could be a fall that is relatively minor. We think we get better quality data out of the police and Hospital Data. That is why we look to that first but we report all three sources in that report. The 34 injuries were users who reported a crash, not necessarily an injury and does not account for how many users were actually using that device overall. At the hospital, if they get to the hospital, do we have data on that in terms of what they were using . Which company . Unfortunately, that data is limited to what can be captured in the medical record. Clinicians have told us time and again their priority is the health of the patient. With these protocols that we have put in place, those pictures in the trauma bay, if a patient volunteers that it was a skip or a scoot scooter it might end up in the and we can abstract it. We are limited by what the patient offers. In a severe injury circumstance, people might not be talking when they arrived at the hospital. It also speaks to educating the First Responders while the user might be aware of a scooter or skip, understand that same nuance. Am wondering if we can figure out a way to capture i guess if, like you said, maybe the reported injuries doesnt indicate anything, but it such a drastic difference zero versus 34. Im wondering, just thinking out loud, and wondering if it is possible, if the companies themselves could report the damages of the scooters that might be an indication also if its truly that different, then we should find out what the differences are and actually push for companies to treat their scooters, i guess, the safest way they can. We agree. I would caution assuming because one company did not report any collisions that they didnt necessarily happen on their scooters. It could be a question of how easy it is to report to that particular app. Rather than a measure of safety. Fair enough. I think we would not also expect the two to be the same. The trauma data, the people that require hospitalization and trauma care where the scoot and skip report is any crash irrespective of any injury. Our doctors are also going to review emergency room visits this summer so we will have an additional source of data to better understand what the injury verdict may be for the less severe injuries. Thank you. Any Public Comment . Want to highlight that San FranciscoGeneral Hospital has a problem with people with mental disabilities and that is not being addressed. We have a shortage of mental beds that are used to treat people with severe disabilities pertaining to defects as far as the Mental Health is concerned. By the same response, San FranciscoGeneral Hospital report that they have a shortage of beds and this is the statistics that they have and how they are short on providing services to the population. We have a homeless population, in San Francisco alone, at 8011 people. The overall population of Homeless People in the San Francisco bay area is 28,200. As a result, this problem has got to be addressed and should be focused in more so and included in the studies and demonstrations along with your performance that you made before me. There has been numerous studies about professional people in the mental Treatment Centers that studies after studies after studies, have proven that the best way to provide Mental Services to people with mental disability is to provide stable housing. You have arrest rate record of homeless by police and bart of 1039 people in one month. As you can see people sleeping on the part yee throughout the system from one end of the line thank you. Next speaker. Before the next speaker comes up, i want to remind the audience, when you make Public Comments, this is a Vision Zero Committee talking about fatalities and injuries caused by transportation. Please keep your comments to those issues. There is other meetings that address other things. I am Howard Bloomberg i live in east somo. My comment really has to do with injuries which have been monitored in the past which are not fatalities, not trauma injuries, but injuries that are somewhat lower level. In a report, San Francisco 2,0122015 collision report, the estimate of these collisions injuries was 724. I suspect, but i dont know that the number of people who were injured, with lesser injuries and trauma is probably much more than this. Also with regard to scooters, scooters are starting to migrate, i am finding out onto the sidewalks, because often times it is dangerous to be on the streets. This poses a danger, i think to pedestrians who are then subject to collisions by the scooters which are also electric. They are on the sidewalks, there seems to be little control of this that these certainly might not cause traumatic injuries to pedestrians. They would require medical attention. I think this item should be looked out especially with regards to how scooters are now becoming very prevalent in our city. Thank you. Public comment is now closed. Mr. Clark, please call item number six. [reading items] i am the peanut gallery, per john. [laughter] good afternoon. The information that we were asked to present is the current numbers for citation. At this time, Traffic Company in your packet you have 2018 as well as 2019 year to date. Traffic company, at this point, is over 50 which was our goal. Many of the stations are in the 40 percentile. Richmond station is at 60 . Bayview is at 40 . I think the overall goal obviously is to have a good amount of citations for education, enforcement, but also to really hit home in the high injury corridors and try to actually reduce the amount of collisions in those areas. The number of personnel which is always the subject as well, right now we just had another class that was finished, it was one sergeant and five officers. Right now with people on disability as well as retirement, we are now at 50 officers, five sergeants. We have an acting capt. And a lieutenant. This morning, to back up a little bit i had a meeting with all of the captains to discuss vision zero and what their plans are. To come up with a solid plan on how they are going to move forward through the summer, northern station is actually doing a great job they have a great plan. All of them are identifying traffic officers. Obviously through the last year or so, the priorities for the stations has been as we build our numbers and the reduction of our officers at the station, those foot beads have been a priority. Traffic has taken a backseat, so to speak. But, what we are going to try to do we have these officers coming in from the academy. We are trying to have them trained up that is part of their training during Traffic Enforcement. What we are going to do is focus completely on vision zero citations. I think you might have a question for me . Okay. If you have any questions in regards to the data i am more than happy to answer them. I am sorry i need a helper. John . [laughter] i am sorry. Is that it . It is. I know you wanted to look at the data. I wasnt sure if you had any questions or regards to the numbers. I do not have a lot in addition. I will say that there was another collision last night and the individual has lifethreatening injuries. I am looking at did you put this on the screen, not sure i saw it on the screen . This one . This is for this year. Im just curious, in regards to the citations of course when we first started this vision zero, there was a push to give citations, to not only vehicles bicyclists and pedestrians, weve seen the numbers from a year ago the same, or 1. 5 years. Have there been more, less, in terms of percentage of citations given to pedestrians and bicyclists. There is less now. That is what i thought. Do you know how approximately how much less . Of course i left my glasses in my car. I do not have the numbers from last year. I do know that we have tried to focus on vehicles through the speed factors that have been going on. A lot of the fatalities are about speed and turning. We really try to focus on that, less on pedestrian behavior and cyclists even though that is absolutely a subject for us. As far as a priority, if were really going to go after behavior, it would be the vehicle first in my mind. I would say, for a while there, not recently, but some of the fatalities are collisions were in the middle of the street i havent heard of one for a while. Unfortunately, it appears that last nights was about crossing on the red. I do think, with a partnership with mta and all of