This is a question from maygan cassidy. How many officers or sworn staffers have tested positive and how many have been exposed or quarantined on your staff . We have had two officers test positive. We have had 53 quarantined. Some of those are back at work. We have been very fortunate working with the department of Public Health and the mayor and others who provided leadership early on. We hope we can continue to see this good fortune. We have not been severely impacted at this point. At this point only two. Follow up from sf gate. Do you have plans in plate for the a significant number of First Responders become ill. We do. We have seen other places around the country with this. We started with modifying our protocols, administrative units and officers that work those units were rotating in patrol to supplement. We modified the patrol schedule and have several models in the event we have significant short sage ages of personal. We have several models to go to. Depending on the shortages there are different models. We have modified deployment greatly included limited activity in terms of in Service Training is canceled. We shifted investigators to patrol duties, some supervisors that work investigative units are shifted to patrol duties to supplement patrol. We want to keep social distancing and not over crowd police stations. Yes we have models in event of shortages. Thank you. Good morning, everyone and thank you all for being here today. My name is london breed, the mayor of San Francisco and im joined by the president of board of supervisors, norman yee, as well as the department of Public Health, dr. Grant colfax and we are joined by police chief bill scott, the director of emergency management, Mary Ellen Carol and thank you to the press for accommodating this virtual rest conference in order to maintain social distancing during this very challenging time. I also want to take the opportunity to thank the people of San Francisco. This weekend, things looked like somewhat of a success in terms of social distancing for the most part and definitely an improvement from last weekend. The streets are pretty clear and there were some definite hot spot areas that well be focusing on, but the beaches and some of the parks and other places, people were practicing social distancing and we very much appreciate your cooperation. It will make a world of difference and, in fact, we already have made a difference in really saving lives. We may not realize the impacts this until this is all over, but eventually, we will learn, im sure, that because of what we have done and how we all have participated in complying with social distancing, it truly has saved lives. As of today, we have 374 confirmed cases with six deaths and that is six people who have passed away because of the coronavirus. And my heart goes out to the family members expect friends e have lost in San Francisco. One person is too much of a loss and as we have said before, this is a very deadly virus, as you are seeing, not just in San Francisco but throughout the country. And the reason we have taken significant steps has everything to do with saving lives and protecting Public Health. Because we know that there will be challenges on our Healthcare System and we know that people are anxious to know about the stayathome order and whether that will be extended. I know that our county Health Officers will be making an announcement tomorrow to talk about the specifics of extending the stayathome order until mar the sake of planning and everyone can begin to know this continue to have an impact, you should definitely plan to stay at home and this process and what were doing here will continue until at least may 1st. If anything changes, we will definitely notify the public. So i want to just talk a little bit about some of the challenges that we have having and will continue to have and what were doing to prepare for those challenges. Weve said from the very beginning we knew that our vulnerable populations, not only consisting of our ederly but those living in congregate settings and sadly those on our streets would be a part of that vulnerable population and so we would have to move quickly to make sure that in places where we have singleroom occupancy hotels, where our Shelter Systems are and places like ga laguna honda, we had a plan and would keep people safe. From the very beginning, we knew this would be a challenge. We have learn ed this nine employees at laguna honda hospital have tested positive, as well as two patients, and we are still testing people a at at laguna hospital and well have more information once that comes in. We knew the situation would be challenging and so immediately last week, i sent a letter to the federal department of Human Services asking for significant support so that we could not only focus on making sure we provide the resources and support to this hospital and we dont continue to drain other services, but we have the expertise and the testing on side and other things needed in order to prevent something from happening that we know has happened in other places throughout the country, including in washington, that house hav a significant populatn of ederly patients. Laguna ha honda is one of the largest hospitals of its kind in the country, housing over 750 very, very vulnerable residents who cannot take care of themselves. And this is basically their home and this is where they eat. This is where they live. This is where theyre cared for. And so we have been taken immediate steps in order to help support this hospital and support the people and the staff who are part of it. We were fortunate in that the cdc on friday, after sending that urgent request to the u. S. Department of health and Human Services, the cdc has sent two Infectious Disease doctors and two epidemiologists and the department of health has sent two prevention nurses to help assess the situation at laguna honda and make recommendations and we also have a dedicated staff member at the cdc in atlanta to help monitor and facilitate the situation specifically at l laguna honda because we know that, again, this is a very vulnerable population and more testing needs to be done and its going to be important that we have the resources and we have the support necessary to protect and save lives. Its just a start and im grateful for what weve received, but i want to be clear, its not nearly enough to get us to a better place specifically concentrating on la golaguna honda hospital. Well definitely be reaching out to federal and state partners to ask for Additional Support for the residents and the staff at laguna honda hospital. I also want to be clear that the situation will escalate at laguna honda and it will escalate here in San Francisco. The fact that we are taking such drastic steps to, in essence, pretty much shut down San Francisco has everything to do with how serious this is. I cant reiterate enough how important it is for all of us to continue to comply, for all of us to continue to be good citizens, to continue to cooperate. This weekend, i received a note from one of my neighbors. The note basically had the email address expect phone number of one of my neighbors on the block who said they were the block captain. So if i needed anything, whether its Grocery Shopping or pharmacy pickups or what have you, or even someone to take to, they were available. And i got really emotional when i received that note because it made me think about how amazing people are in this city and how ive heard so many stories about people reaching out to their neighbors, people identifying ederly people that they know need help and just dropping off groceries, folks just stepping up and being there for one another. Because we know that its not just about the physical health and what we need to do to combat the coronavirus. We also understand that as human beings, theres an emotional toll that this will take on so many of us. So its so important that we continue to uplift one another and be there for one another as much as we possibly can. My thoughts and prayers go out to the team at laguna honda. I want to thank them for all they continue to do to give dignity to so many elderly patients who may not have family visits or support and resources to do anything just to be there and to know the nurses and those doctors and those social workers continue to put a smile on the face of those patients. They show up everyday and they just really deserve our respect, our support and we will do everything we can to continue to do just that. So at this time, i would like to introduce dr. Grant colfax to provide us with more detail specifically whats happening at laguna honda, what were doing to prepare for the inevitable and how, together, we will do everything we can to save and change lives and get through this. So thank you all so much. And let me wipe this mic down. Good afternoon, im gra grant colfax, director of health. Thank you, mayor. Today im saddened to report to the San Francisco community that laguna honda hospital has a growing outbreak of coronavirus. Weve prepared for since the start of the pandemic and we will continue to do everything we can to protect laguna honda hospital and staff. I want the community and all of the families to know how much i care, we care about them and they are our top priority. We are intensely focused on doing everything we can to protect everyone at laguna honda from harm, but i also need to be realistic and forthright. As we look at the data and the patterns around the world and in our country, we know that longterm care facilities are at most risk for coronavirus outbreaks. Therefore, we expect the situation to, unfortunately, get worse. Across the United States, many longterm care facilities have been hit hard by the coronavirus, including in california, washington, colorado, minnesota, new york and many other states. No local community is equipped to manage this escalating crisis alone. And that is why we have asked for help from the state and federal government and, i am thankful that some of our requests are starting to be answered. As of today, Infection Control nurses from the California Department of health and Infectious Disease physicians and e epidemiologists from the c are on la go laguna honda exper. They will make decisions for management that is expected to escalate and will work with leaders at the department of Public Health to develop a prospective Response Plan for longterm care facilities in addition to l laguna honda. I am grateful for this help and we need more. From the beginning of the global outbreak, efforts by the city to prepare for the coronavirus have prepared the most vulnerable population. Residents who are over 60 years old and those with certain Underlying Health conditions and chronic diseases. The residents of laguna honda hospital are in the most vulnerable of these groups. Laguna honda has a total of 11 confirmed cases of coronavirus. Nine are amongst staff and two are among residents. All are in good condition. Since march 26th, 158 staff and 54 residents were tested for the virus. Among residents, two have tested positive and 51 negative and one result is still pending. Among staff, 156 have tested negative and 25 more tests are underway. And i expect more cases of coronavirus in the laguna Honda Community among both staff and residents because it is now spreading throughout the bay area. We are drawing on all of the resources we can muster at the local state and federal level to strengthen our response. Laguna honda has been and remains a top priority in the citys preparation and response to coronavirus. The first Health Officer order after declaring a local Health Emergency in early march was to restrict visitors from laguna honda to protect the institutions residents. Laguna honda leadership has worked actively and diligently to train staff on coronavirus including the use of personal protective equipment, ppe, for all cleaning of common spaces of resident rooms and other prevention technique. Here is what is happening on campus right now to respond to the outbreak. First, the hospital incident command system is activated to manage the crisis and the incident commander, troy williams, is here to answer further details about that process. The state Infection Control nurses are creating expanded protocols on environmental cleaning, ppe, and staff safety. Cleaning, ppe, and staff safety. Mayor breed today i am joined by the department of Public Health in place of doctor grant colfax. We have doctor Susan Phillips. We are also joined by the director of the Department Emergency management as well as our police chief bill scott and from the Homeless Services agency we have abigail stewart. Thank you for joining you today. I just want to start by saying that i know that the last few weeks have been very challenging for families, especially parents with children who are no longer in school, and also especially kids who have not been able to hang out with their friends and do the things that, of course, kids love to do. I know this has been very challenging for all of us, and especially for families as you juggle to work at home, home school your children, and deal with the difficulties that we know have happened over the past couple of weeks. More porely, what more importantly, what we are going to deal with over the next month to two months of staying at home and trying to abide by the order that has been issued. We know that it is important that while children are at home that they continue to access learning. For some, having access to a laptop and internet is a luxury that other kids may not have. We also know that the School District has been working really hard to implement policies around Distance Learning that they are interested in launching within a weeks time. What we have done in partnership with the School District and two nonprofit organizations, education superhighway and 1 million project foundation, we are working together with them to provide free wifi or superspots in the areas where we know that they are needed the most, including in our Public Housing sites, single room occupancy buildings, Community Centers and neighborhood locations where student lack connection to the internet. I want to also express my appreciation to the department of telecommunications that the department has been working with several Public Housing sites. We know at least in six Public Housing sites there is access to Free Internet including bayviewhunters point and western addition. In sunnydale and other locations where we have large populations of children who may not have access to the internet, this is going to be critical to ensure that they have the support they need. The School District has been able to purchase over 4,000 laptops, and we are currently working with can School District to secure an additional 4,000 or so laptops to support those students who may not have the devices they need at home for the plans to launch Distance Learning. We really want to thank the tamo bravo. A private equity firm which provided 2 million to the School District to help with this effort. This donation along with others will ensure real equity, and will make sure that every kid in our School System has access to highquality Internet Service as well as laptops that they need with the tools that they need so that everyone has access to learn during this very difficult time as we know it. It is really amazing to see the Community Come together, and so many people go out of the way to provide this level of resources that are instrumental to all children in San Francisco having access to tools to learn. If you are interested in continuing to help in that effort, please feel free to reach out to us. I want to talk a little bit about the Small Business and Economic Recovery Task force that was announced yesterday. I want to thank the president of the board of supervisors, norman yee, as well as the four cochairs of the Recovery Task force. The treasure, executive director of the San Francisco chamber of commerce and the director of the San Francisco labor council. We know that the challenges that we are facing now as it relates to Public Health, that our economy will be tremendously impacted. As we struggle to provide resources to our Small Businesses and people who have lost their jobs, we also know that after this is over because it will come a time where this will be over, that it is going to be necessary that we have a plan on how w