The february 4, 2020 minutes. Commissioners, after review, does anyone have a motion to approve . Motion to approve. Second. All those in favor . Okay. Clerk thank you. There are no Public Comment requests for that item. Item 3 is the directors report. Good afternoon, commissioners. Gra grant colfax, director of health. You have the report in front of you. Just a couple of things. One is we are continuing our covid19 preparations and actions. Ive asked dr. Aragon to provide more details after my report, so he will be doing that in just a minute. We are continuing with our ongoing daily work, and that includes Behavioral Health options for people in the city as part of our Behavioral Health reform as part of health s. F. We are currently establishing a health center, to be established at 180 jones, with a particular focus on methamphetamine users. This will have a 15bed capacity, take care of many more than that over a 24hour period. This is really the beginning of a larger expansion if this initial phase is successful at providing more lowbarrier opportunities for people to have a place that is safe, that provides Harm Reduction approaches and also not only helps them but also mitigates the effects of Behavioral Health issues in the surrounding community. Im proud to announce an expansion of our hummingbird work. This is a pilot model that weve launched in the recent past, and were now looking at 36 valencia with 25 beds. A key issue in the city has been the issue around boarding care, and supporting boarding care. Weve had a number of boarding cares close in the city in the last few years, and we have a number of boarding cares going forward. So just a lot going on in terms of that, creating more beds, and more infrastructure. I also want to say that tonight is black history month, and a key focus across the department has been black African American patients in the community. We have a number of articles that you can read at your leisure. The Lunar New Year parade was particularly relevant this year because of concerns of covid19, and we know that with misunderstandings with regard to how covid19 is transmitted and the people that are at risk, theres an element of stigma and discrimination with this epidemic, and were concerned that were doing everything we can to mitigation that mitigate that, including having a very robust presence at this event. Another event was the hearts in San Francisco event, which is really celebrating the work thats being done at zuckerberg San Francisco general hospital. There was a discussion around Behavioral Health work and strengthening our behavioral work. A number of key faculty were highlighted and honored, including, im proud to say, the social medicine team, and the staff there. As you know, dr. Deb bourne and some of her team launching that across the department. So there are lots of news reports. The d. P. H. Was in the news quite a bit, particularly with regard to covid19 and the expansion of our health work. And i will just ask dr. Aragon to give a brief update on the everchanging dynamic situation with regard to covid19. Good afternoon. Thank you. The first thing i want to point out is the number of confirmed cases globally is over 75,000. Currently, there have been over 2,000 deaths. In the United States, we have a total of 29 cases. I want to explain what i mean by 29 cases. 15 cases the 15 cases i reported last week were people that were infected in wuhan, china. 13 of those, two were spouses. And then, 14 were infected near china. These were the Cruise Ship Passengers that just returned, so the total is 29, but there has not been any documented Community Transmission in the United States at this time. California continues to have six cases plus two of what are on military bases. San francisco continues to have zero cases. I want to point out that the virus has been named sars ii but its been officially named covid19. The virus that causes covid19 is sars cov ii. I also mentioned the repatriation of 14 passengers from the cruise ship in japan. We realize were not able to contact everybody, but were doing the best we can. And the other thing i want to mention is weve been doing site visits to hospitals, making sure theyre prepared there there be any transmission. In San Francisco, were preparing for the time when we would have Community Transmission in place. Were focusing on transmission, containment, and then, community education. If theres ongoing transmission, what would we do in that scenario . Thats what were doing. The last thing i want to mention is because there are no cases in San Francisco and because there has not been documented Community Transmission in the United States, we continue to have the same advice that we had before, so its business at usual. So thats the last thing thats it, unless theres any questions. Before we move on, i just want to take the opportunity to acknowledge you three. Because of your expertise and your preparedness. A lot has been asked of San Francisco by the c. D. C. And others. I know folks have been putting in very long hours, whether its doing outreach or addressing xenophobia in the community. You all deserve acknowledgement for this Additional Task that youve been doing in addition to everything else. So thank you to everyone in the department and for really helping to keep the public and the community informed and feeling safe, so thank you for that. Commissioner girado . I want to echo that. I have one question, and i need some words for you, okay . Sure. If i may. At our Child Development center where we do treat medically fragile kids who are on m. G. S or g. 2s, etc. , weve had a number of families cancel because they do not want to come in to a place where there are a lot of people in that area. And they specifically state flu or coronavirus. Do you have something we can state to families on the phone, in your best way versus mine, to be able to give one versus the other . Yeah. We dont have any confirmed cases, and thats really important. Were about one week away from being able to do diagnostic testing. Itll be another week before the state starts testing, and then, our own lab is going to be doing testing. Testing is really critical because well be able to test folks and to provide reassurance and then also to monitor the situation. So i think having a lot of negative tests as we Start Testing people is going to provide that reassurance that things are okay, so thatll be a real game changer when we have a diagnostic test. So at this point, i should state these two facts that you gave me. Yeah, state the fact. Its important it is important to do that because i know that people do worry, and its natural to worry, so we just keep emphasizing the facts, and tell them to work on sthings th sthi things that they can do, like the vaccine and education. Okay. Thank you. Commissioner chavez . Yes, thank you. I also wanted to add and thank president bernal for his comments, and commissioner b gerardo. As an emergency, and i would say that the press here seems to have been more responsible, also, probably at the fact that you were able to communicate with the press adequately and be able to have a level of credence with them that they were able to give that message out that in our community in chinatown to have the department of Public Health to have dr. Colfax, to have dr. Aragon, to have dr. Faba, be spokespersons. And it looks not only at the medical issues that might arise from this, but also the social issues that were involved, and that the city took a very positive position that was important to have all of us continue. But the other thing was to continue good sanitation at this point in time, and if anything was needed later, i think the credibility of this department is such that theyre going to follow this and listen. But i did want to thank the Department Also for the very swift outreach and meeting the community. I think its very different from where 13, 14 years ago, when we had the sars. We werent as well prepared, and there was a lot more concern and hysteria partly from ignorance. That still extends through much of the world, and particularly, of course, in the areas that are greatly affected, by i noted, but i was very pleased to see how San Francisco is handling the issue. I want to acknowledge victor lim at the department of emergency management. Hes been partnering with rachel kagan and her assistant, veroni veronica vane, and they have been instrumental in bringing us to gordon lau to speak to the students and bringing us to the parents. Can i just i just also want to acknowledge the department of emergency management, interagency, interdepartment response, so i want to acknowledge that. And i also think with regard to many people in the department who have been mobilized for this effort, you know, theres many people who are working literally 24 hours a day, in some cases, on this. And i think acknowledging Susan Phillips who were here just a couple of weeks ago, presenting on Communicable Diseases, as is dr. Julie schulte, who are a Communicable Disease specialist. Theyve been doing outreach at the federal level and also community level, as well. And finally, dr. Pak, who is our director of the Chinatown Health Clinic has just been a really key part of our Community Response as well as our medical response. Thank you, director colfax. Commissioners, other questions . Thank you. I will note for the record that there were no Public Comments. Item 4 is general Public Comment. Just for you all to know in case you dont know how we work here, i toldhold a timer. When the timer buzzes, your time is up. Great. Fix request is from first request is from ron weidel. Good afternoon, commissioners and president. My name is ron weidel. I complained to you on february 4. I stated that that article would render my ability to be ever employed, and if employed, it would reduce my ability to earn what i earned here. While my resume has impressed recruiters and employers, i still have no job offers. As one recruiter explained it to me last week, he was able to show the recruiter and the employer my impressive background and how im an impressive fit for the position. However, the employer had read the article prior to the interview and said it came across me looking at sketchy. I have a career that includes 12 years of military service, 18 years of service with city and county government. Every employer who has hired me has found me to be a valuable and valued memory mer of management. I have no reviews less than exceeds or meets expectations. I have no discipline actions. I also have no negative perceptions with the exception of that examiner article of october 7, 2019. While i have some ideas why the department would orchestrate such an article, i have no proof. But it is keeping me from being employed and putting the welfare of me and my family in jeopardy. When they asked Senior Management why the article was created, they were told it was a mistake. In closing, im asking that you pass a resolution requesting that the examiner have the article unpublished, which would have the effect of getting it offline. Im going to leave a copy of my remarks with mr. Moore, should you desire. Thank you. Thank you, mr. Weidel. And i think someone from the audience looked like he was going to good afternoon, commissioners. My name is barry pearl. Im a San Francisco homeowner, a resident of the ingleside and district 11. Im not sure if this issue has been raised with you, but we received a letter from recology dated january 17 of this year. The subject is adequate service requirements. I called recology in response to this letter which indicates that basically the property was not maintaining the Garbage Service properly, that the cans were overflowing. And when i contacted one of the Customer Service people at recology, i was told that they were completely unaware that this letter was going out, that it was sent to all residents of district 11. Its very accuseatory, without any basis in fact. It should never have gone out to district 11, and id like to know why this district was chosen essentially as this Pilot Project. So i think your relationship with recology needs to be reevaluated, and you need to look into this particular issue. Thank you. Okay. Those are the two Public Comment requests for item 4. Item 5 is a report back from the community and Public Health committee today. The community and Public Health committee met today, just before this meeting. We discussed sb 5 and sb 40, and the local efforts to implement the conservatorship program. We discussed the Eligibility Criteria and also what we might expect based on data from previous years. The goal is to provide conservatorship for somewhere between 50 and 100 individuals in San Francisco based on the criteria with an effort to directing them towards permanent and stable housing as well as addressing some of their Behavioral Health and Substance Abuse issues. After that, we received an update on the Methamphetamine Task force. The recommendations of the task force included the meth Sobering Center, which was addressed by director colfax in his report. The recommendations were grouped into four themes. I believe there were 17 recommendations and those included investing in models to improve health and wellness, to build capacity and training for staff and service providers, and to strengthen coordination among City Services and systems. All right. We can move onto item 6, which is an action item, commissioners. This is a d. P. H. Report, the budget for fiscal year 2021 and 2122. As usual, were having two budget hearings in the month of february. This is the second, however, our format is different than in previous years thanks to a ordinance passed by board of supervisors across all departments on how hearings on the budget should occur. So last year, we did an overview on the instructions and our target, the mayors fiveyear budget forecast, and some goals and themes for the budget submission, and today, were bringing you a package of budget initiatives that show specifically how we intend to propose to the commission that we meet those goals and targets. So you have a set of initiatives in front of you that were seeking your approval for today to submit to the Controllers Office at the end of this week and then to the Mayors Office following technical amendments or technical analysis. So this week, we are seeking that approval. The budget process, of course, doesnt end today. Once we submit our proposed budget from the departments to the Controllers Office and Mayors Office, the Mayors Office has really a space of about three months to deliberate what weve submitted, to have discussions with us and other policy makers in the city about what the mayor and the Mayors Office would like their budget submission to look like, and then, the mayor submits a budget to the board in june, and then the departments submit their budgets. Weve got a lot to do until june, and in previous years, we were going to use that time in collaboration with the Mayors Office and other interested stakeholders. The biggest piece, as we discussed last week, was the Mental Health s. F. Program, which, as you know, was legislated in 2019 with the active involvement of the defendan department. It was an ordinance passed by mayor breed and the board of supervisors, and it was a robust ambition that we could tackle budgets in San Francisco. Were not proposing exactly what that would look like. What were proposing to do is use that remaining three to four months to work with the Mayors Office and other stakeholders to come back then with a proposal for what that first twoyear budget cycle of Mental Health s. F. Would look like. The scope of the the real vision for that program is going to take time to really roll out, and its going to take money to roll out, and those are both things that are still under discussion is whats the sequencing of how we approach this, and what are the Funding Sources there . The funding measures could include budget measures or other sources of revenue. We want to build the infrastructure and start to launch on this as soon as possible. So in the Budget Proposal before you, we are meeting the instructions from the Mayors Office, so that means were covering the revenue projected in the fiveyear pl