About the anniversary of the 1906 earthquake. This weekend marks the 106th anniversary of the earthquake. When we all can look back on our history and remember during that time, not only did the earthquake hit and it really physically destroyed buildings and many parts of our city, there was a very devastating fire that occurred. And, in fact, over 3,000 people lost their lives. And during that time, san franciscans didnt throw up their hands. We took to our feet, we came together with businesses, with people from all over the city and we focused on rebuilding. We got through that because we came together. We got through the 1906 earthquake because we worked together. Because we didnt throw up our hands. We focused on recovery. And that really is the spirit of what it means to be a san franciscan. It really does represent who we are, because we focus on how do we get through this and how do we move forward and how do we become better than ever . This is a resilient city because of that. And just like after the 1906 earthquake, the work that went into rebuilding our city and making it stronger for future earthquakes that we knew were coming, we also really rebuilt this city and we have been through a number of challenges that have made us Even Stronger and better. This is a pandemic like no other. And this is a challenge that we will get through. And just like in the 1906 earthquake, we will rebuild and thrive. Today i want to talk a little bit about our new directive that dr. Colfax will provide more information about. And that is a new requirement to wear Face Coverings. We recommended Face Covering in the past and now as of midnight tonight, it will be a requirement. But i dont want you to be alarmed. I want to make sure that people know our goal isnt to enforce until april 22nd to give people who may not have access to Face Coverings the opportunity to get access to them. We are working to distribute some to many of our vulnerable populations, but we want to ask members of the public to do this now if you can. Whether its a mask and there is no need to wear an n95 mask. Those should be reserved for Health Care Workers, but any type of mask, facecovering, a scarf, something that covers your nose and mouth, this will be a requirement for people who are standing in line at Grocery Stores or any other places open for essential services. Its going to be required when youre inside of those locations. Any time youre indoors or within close proximity of others within an essential business or at work, like many of our City Employees who are essential workers on the front lines, you will be required to wear a mask. Now, if someone is out walking and theyre with other folks, someone is out and theyre with other people in their household, or youre running or exercising or doing something out in the open and youre social distancing yourself from others, that is not as problematic as when youre standing in line and in other locations where there are a lot of people. We want to be clear that the requirement to wear Face Coverings does not take the place of social distancing. Maintaining six feet regardless of this new requirement. And i also want to make it clear, if you are not a police officer, dont act like one. Were not expecting people to police one another, because the fact is, you cant control what other people do. You can only control what you do. And what we ask you to do is, if you can obey the order and have a Face Covering on and keep your distance at least six feet from anyone. I want to be clear, what we dont want is more confrontation, more stress and more drama in general as a result of this order. We dont expect anyone in this city to step up and Police Anyone other than the people who work for the San FranciscoPolice Department. So, please, do your part to follow the order and worry about what you need to do and not what someone else is doing. And well do our very best in order to manage this situation. And dr. Colfax will talk a little bit more about the Face Covering requirements, but this does not this does not change the need for us to social distance ourselves from one another, it does not change the existing rules, it does not make it better, its just an additional requirement, an additional allayer that is an additional layer that is necessary to help us flatten the curve. So far youve been doing an amazing job. So many people in the city doing an amazing job of keeping your distance, following the order, respecting one another and your space. And we want to continue is that and were just adding an additional requirement that will also help in this effort. Speaking of staying at home, i just want to remind people that during 420, we are going to be add Golden Gate Park. Were going to fence up Golden Gate Park. Well have Police Officers out in force. And we will not allow any large gatherings of any kind at Golden Gate Park. So i am asking you to stay at home for 420. It is not going to happen at Golden Gate Park. So, please, follow this order and not just as it relates to large gatherings for 420, but for any other large gathering. I just want to remind people, for example and i talked about the choir where they practice social distancing and they had rehearsal and 45 people were infected and two died. Situations where people and families have gotten together anyway and only to discover that they are now infected with the coronavirus. This is real. It can hit you at any time. And even if you dont care, if you get infected, please care about your family members and the other folks that you come in contact with. You know, i always bring this back to my grandmother who raised me. There is no way that if she was still alive today that i would want to be the reason why she was infected or i would want anyone to infect her because of being irresponsible in this effort. So just keep that in mind. So many people are counting on us to do the right thing. Stay home for 420. Dont come to San Francisco. We are not welcoming any large gatherings of any nature, not just during 420, but any other time as long as the stayathome order is in place. Thank you, all, so much for your understanding and your cooperation. I want to also take this moment to talk about a few expanded resources, because we know that our seniors and our disabled population, they are probably struggling in some instances. They have neighbors who are looking out for them or family members or folks volunteering to run errands and do grocery shopping, but the fact is they may need to take essential trips. For Health Reasons or what have you, they may need to go somewhere and theyre concerned about getting on the bus and theyre concerned that because theyre part of the vulnerable population about getting around the city and there are mobility challenges that exist that make it difficult to do so. The sfmta has created an essentialtrip card program which provides reduced cost taxi trips for older adults and people with disabilities. So while this is an important resource for people who may have limited mobility and who dont have other Transportation Options available, with this program, people can get a card that allows them to take 23 trips per month at 20 of the cost of a regular fare. So, for example, if the fare is 10, then the person only pays 2, which is really incredible for our senior population and those who have disabilities. We want to make sure that transportation for essential needs or things you may need to do, that its not a barrier during this time. Its important that we provide Creative Solutions for our vulnerable populations. And thats exactly what were doing with this program. If you want more information, please call 311, or you can visit the sfmta website. We are here for you and we are here to do all we can to take care of the residents of San Francisco. I want to, again, express my appreciation to each and every one of you. It is the people of San Francisco that are following the directives, cooperating and doing the best that you can youre the reason why San Francisco is a model for so many other cities to follow. Youre the reason, your cooperation. And i want to be clear that as difficult as i know it is for you, i know that we have parts of our communities that are not complying with the orders that we put forth, whether they are being defiant or they may not have the mental capacity to really understand and follow the directive, there are challenges we know that exist with people who arent able to follow the order. Again, we are going to do everything we can to get people to comply, but the fact is, what all of you are doing, how you have all participated by following the order, has put us in a great situation, but we cant let up. We cant let up because the fact is, sadly, 20 people have already lost their lives. We have over a thousand cases in our city and growing. And we cant let up because that could mean the possibility of other people getting infected and seeing the numbers surge completely out of control. That is the last thing we want. And that is why i want to remind you as the weekend comes, make sure that you are keeping your distance from people who are not a part of your household. Make sure youre not making this onetime exception of getting together for a dinner party or any other event. Make sure that you are using the telephone or other resources to call and check on family members to make sure that their Mental Health and wellbeing is okay. But we need you more than ever to continue down this path so that we cannot only flatten the curve, but make it nonexistent. Thank you, all, again for your cooperation. At this time i would like to introduce the director of the department of Public Health, dr. Grant colfax. Thank you, mayor. Thank you, mayor breed. Im grant colfax, director of health for the city and county of San Francisco. As we Work Together across the city to flatten the curve, and even as we all do our part and even as we see signs of progress, i want to acknowledge the grief, anxiety and perhaps for some even anger that we are experiencing during these unprecedented times. The department under the direction of the mayor with other city departments, with Key Community stakeholders, and from people like you, the department is doing all it can to address and mitigate the spread of the coronavirus. In doing so, the department of health will always listen, welcome feedback and strive to refine and improve our response. This is particularly important as it becomes increasingly clear that the coronavirus will exploit longstanding challenges and disparities as it spreads, whether this be related to other Health Issues such as Mental Health and Substance Use disorders, or broader inequities, such as homelessness, housing challenges, or income disparities. This is why we must continue together to be unified and vigilant to slow the spread of the virus. And to make difficult decisions and to prioritize our actions. We must continue to follow the science, data and facts as we move forward together. I would like to provide an update on the data, including citywide cases as well as at the jail, the msc south shelter and laguna honda hospital. Today as the mayor said there are 1058 San Francisco residents with confirmed cases of coronavirus. Out of a total of 10,077 tests reported. Sadly, 20 people have died and i send my condolences to their families, loved ones, community and friends. There are 91 patients with coronavirus hospitalized across the city and about 30 of these cases are in the intensive care unit. Our hospitalization numbers for covid19positive patients have been holding relatively steady for the past week, which is welcome news, but again, that could change at any time, especially as we expect to see continued outbreaks. Across San Franciscos Hospital System today, there are 1,048 acute care beds and 445 intensive care beds available across the city to meet the demands of a surge. Yesterday the city had its first positive case confirmed in our citys jail. The person showed no symptoms, but was tested and isolated as part of routine testing of all new bookings that are housed in the jail. A contact investigation is under way. As i reported last week, there was an outbreak of coronavirus at msc south, the citys largest homeless shelter. As of today, 95 guests and 10 staff there have tested positive for the coronavirus. And at laguna honda hospital, there are 19 confirmed cases of coronavirus. 15 of the confirmed cases are among staff and 4 are among residents. There have now been no new cases among residents since april 7th. All the residents are in good condition. And, again, we are doing everything we can to reduce the spread of the virus in our community, protect vulnerable population, Health Care Workers and First Responders. Now i would like to provide more details about the new action that san franciscans that we are taking to help san franciscans fight the spread of the coronavirus. Because even as we respond to outbreaks now in the Homeless Community and in longterm care facilities, we are also looking ahead. Today, as the mayor announced, we will residents and workers will be required to wear Face Coverings at essential businesses and public facilities and on transit. This requirement is a legal health order and takes effect at midnight tonight. It strengthens a recommendation we made on april 2nd and is informed by the centers for Disease Control and prevention guidelines. Like our shelter in place order and many of our approaches, this is a regional effort. The Face Covering requirements have already been announced by Sonoma County and several other bay area jurisdictions will announce similar orders today. By Wearing Masks or Face Coverings when interacting with other people in public, san franciscans will be less likely to transmit the coronavirus to one another. It is important to understand that todays order is part of a broader strategy to establish new ways of interacting and behaving. This will help us now and it will help us in the future as we hope to be able to relax the stayathome order. By then people will already be in the habit of wearing Face Coverings at the Grocery Store, in lines, while riding a bus, taxi, or uber. It is likely that we will need to continue to do this for some time, even after we start to emerge from our home. And, please and i cant emphasize this enough please know and please remember that wearing a Face Covering is not a substitute for staying at home, staying six feet apart, and frequent handwashing. The purpose of covering your nose and mouth is to protect other people. Face coverings help to stop droplets that may be infectious, even if the person wearing the mask has no or mild symptoms. In other words, my mask i want to assure you i was wearing a mask until approaching this podium my mask protects you and your mask protects me. Covering your face is a great way to show you care for your neighbors, your friends, your community. We are going to have to continue to Work Together to slow down the virus and reduce transmission. The virus is still out there, so we must continue to be vigilant. I want to emphasize that the Face Covering is just one part of an Effective Response infrastructure. Other components include aggressive outbreak investigation, expanded testing, contacttracing, and adherence to isolation and quarantine orders and continued prevention. All of these all of these will be critical in the future to maintaining any gains we are making due to our current efforts to flatten the curve. There are good signs that we are, indeed, making progress, but we still have a long way to go. Thank you for everything you are doing to protect the health of our community. Together, every day, we are saving lives. Thank you. Now id like to introduce the director of mta who will make a few remarks. Thank you, dr. Colfax. Once again, my name is jeffrey tumlin. Im the director of transportation at the sfmta. I have four key points to make. One is a reminder. Muni is for essential trips only. This means essential workers and people making essential trips like going to the Grocery Store, going to the pharmacy or going to seek social services. If you have another means of making your essential trip, please choose to do so. Its very important that we save seats for essential workers that have no other means of getting to work. The second point and this is again to emphasize what dr. Colfax and the mayor have said if youre riding muni, please wear a Face Covering. This is incredibly important and again, it is not about protecting your health, its about protecting the health of the other passengers and our operators. Please wear a face mask when riding muni. My third key point is something that the mayor mentioned, which is our new service offering. We know as muni cut back its service to the 17 most essential routes that serve the majority