Decide not to do that, it is very important for people to meet outside, wear face coverings, social distance, hygiene measures that i talked about. Be thoughtful how we engage outside of our immediate house old with people highest risk of dying from the disease, people older with chronic conditions. Given what we are seeing in San Francisco and across the state we are having increasing cases. San francisco knows how to do this. We did it and i am grateful for everyones contributions. We did it in march, april, may. We can do it for the fourth of july. Thank you. Next questions from cathy novak with k cbs for dr. Colfax. How willin how many patientsn quentin are treated in San Francisco hospitals . 18 patients transferred from san quentin to San Francisco hospitals. Second question for dr. Colfax. Are San Francisco hospitals preparing to receive more patients from san quintin . Is that going to affect Hospital Capacity. Right now it is good for indicators. People can find it on data sf website if you want more detail. Now the Hospital Capacity is green. We have a capacity to accept patients from other regions in the state. Obviously, we will balance the ability to accept with what is happening locally. We certainly want to support regions where there is an acute need and people are in dire need of care. We are in close contact with the state which is determining how patients from san quentin will be transferred to other counties. Next questions from christian with ktvu for dr. Colfax. Can you speculate about what is leading to the recent increase in coronavirus transmission rates in San Francisco . It is combination of factors. We dont have the precision to identify any one thing. This is not an outbreak in one specific facility or region. It is really what we know spreads the virus, which is people unfortunately in closer contact with people who may be a symptommic but can transmit. Covid19 the people who choose not to wear facial coverings which we know dramatically decreases spread of diseases. Then i think per the conversations and data from the past there are people who essential workers who need to work in settings. There is certainly a transmission risk in the workplaces even with proper precautions. The social distancing, stable coverings facial coverings, hygiene, access to testing, contact notification are all things to prevent further spread. We think over the last few weeks probably just a combination of more activity in the city. The more we move about and the more interaction there is socially in gatherings, the more likely the virus will transmit. Especially indoors if women dont if people dont take precautions we are talking about. Second question. Did we reopen too fast or too early. Are we likely to see restrictions reimposed . As we reopened in a very cautious and datadriven way. We followed the data and facts how to reopen gradually. We know the numbers would increase in our city and region. The goal is to slow the spread. We packed because the rate started to increase dramatically. We talked about flattening the code. It is really about the rate. Too early to tell whether we would need to potentially reverse any steps that have been taken with regard to reopening or taking a pause. We are looking at the data over the next few days and make a determination on next steps based on the data. Thank you. We have the time two questions from joshua at sf examiner. Question one. Please discuss the latest data raising concerns inlooking exact number of cases on wednesday. Most important data causing concern are around the increase in hospitalization rates. And in the rate of case diagnosis. Our goal for seven day average of new cases is 1. 8 per 100,000 residents. We are now at a rate of over 6 per 100,000. That pushed us into the red zone. That is one of the key indicators. The other key indicat indianadis are to keep hospitalizations in the green hospitalizations in the green zone. It is now at 61 increase. The key piece is our hospitalization rates overall for covid19 are low in the city. Thanks to the incredible efforts of san franciscans doing their best every day. The hospitalization remains relatively low, but that rate of increase means the curve is steep. We need to ensure we are doing everything we can to flatten the curve. As we saw this in china, italy and now in floridian arizona. Once this virus takes off at a high rate, it is very aggressive. We need to take this pause now and as much as possible stay at home for the fourth of july to get the curve flat in San Francisco and in our region. Question two from joshua. Can you provide any more specifics what trends you are seeing in terms why there is increase of cases and hospitalizations. Such as demographics location or other causes. I think it is a combination of factors. The data reinforce the continued and ongoing needed as others have spoken to on this call to focus in our approach to managing covid19 to supporting communities where covid19 is disproportionately affecting people, including latin and black african communities and we will do just that. Thank you. This concludes our press conference. Thank you to our speakers for joining us. A recording of this press conference will be available shortly. Thank you. President breslin the San Francisco health board will now come to order. Madam secretary, roll call, please. Clerk agenda item 2, roll call. [roll call] clerk president breslin, we have a quorum. President breslin very good. At this time, i would like our secretary to explain some procedures about this virtual meeting. Clerk thank you. Yes, just a reminder, this meeting is being televised through sfgtv so there is about a minute, twominute lag time between what were seeing as the producers and members of the live t. V. As opposed to the live event. So please be mindful of that during the presentation. We are going to have Public Comment on almost every single item on the agenda, and so everyone who wants to give Public Comment needs to dial into the conference line listed on the screen. Everyone will have three minutes to speak unless the board president shortens that time at some minute during the meeting, and we will be giving about a 30second delay between the start of Public Comment when its called by the president. Please follow the directions on this screen as it will be shown before every Public Comment for your use at home. Thank you, and that is my guidance for Public Comment. President breslin thank you. Item number 3, please. Item 3 is the approval, with possible modifications, of the Meeting Minutes set below. The following minutes were set before the board for their approval and review. The finance and budget minutes from february 13, 2020, the governance Meeting Minutes from february 25, 2020, the regular Meeting Minutes from may 14, 2020, and the special Meeting Minutes from may 28, 2020. President breslin all right. Are there any corrections from the board to the minutes . Commissioner zvanski yes. This is clare speaking, commissioner breslin. Im just going to send in a few corrections from the minutes on may 14 and may 28. Theyre just small corrections on names and a couple of typos. President breslin anybody else . Vice president follansbee president breslin, this is commissioner follansbee. I submitted a few corrections to the Meeting Minutes of may 28. I dont know if you have them in front of you. I have my own original copy there it is, so those are the suggested modifications, one of which is just a typo, and the other is some a couple of them are just adding what i heard as recommendation from the kaiser representative and then some explanation for what i was saying under the on page 32, 33 of the kaiser presentation. President breslin okay. Thank you. So i will need a motion to to jutorey d. Sco this is commissioner scott. I move all four sets of minutes be approved with the edits and corrections that have been highlighted. Commissioner zvanski second. This is clare. President breslin very good. Any Public Comment on this item . Clerk we will now move into Public Comment. We will give the public about 30 seconds to catch up to the content thats being displayed. Once that contime is over, i will begin calling for them to begin comment. Operator your conference is now in questionandanswer mode. To summon each question, press one and then zero. Clerk all right. I want to make one more reminder. This is Public Comment, not questionandanswer, as the voice has declared. I know its a bit confusing for some people calling in. This is just Public Comment, not questionandanswer. Moderator, will you please open up the Public Comment line for the first caller . Operator you have zero questions remaining. Clerk that concludes Public Comment. President breslin all right. All right. The motion has been moved and seconded to approve the four different minutes. All those in favor, signify by saying aye. All opposed say nay. Its unanimous in favor of approving the minutes. All right. Item number 4, please. Clerk item 4 is general Public Comment on matters within the boards jurisdiction. President breslin this is a Public Comment item. Clerk again, were going to give about 30 seconds for those at home to catch up with the lag time, and then, well open this item up for general Public Comment. Clerk all right, moderator, will you please open up the line for the first caller . Operator you have zero questions remaining. Clerk president breslin, that concludes Public Comment. President breslin all right. Next item, please. Clerk item 5 is the president s report. This report is given by president breslin. President breslin all right. I just wanted to mention some sad news, that our secretary, natalie eckbert, this will be her last meeting, and i want you to join me in thanking her as she starts her next chapter in new york city. In front of me is a very artistic message that someone did a very good job on. Since february, miss eckbert has served as the secretary to the Health Services board and executive assistance to abbie yant. She is the pinnacle of diligence and grace. She is a great colleague, and we wish her all the best. Yes, thank you. I wish you all the best in your future endeavors, natalie. Thank you for all your service on the board. Clerk thank you, karen. I didnt know this was happening, so thank you. Vice president follansbee this is commissioner follansbee, and id like to add my sincere thanks. This has been a couple of years of transition, and natalie, you have been remarkable in not only adapting to the changes but troubleshooting and helping to facilitate the changes, keeping all the Board Members in the loop, working with each of us in our own weaknesses and some of the challenges that weve faced, so i want to thank you, too, for years of challenges, and you will be missed. Commissioner scott this is commissioner scott. Natalie, youve been an absolute star during the operational transitions that weve had to go through, and i wish you the best of luck in your future endeavors. Clerk thank you, both of you. Thank you. Commissioner zvanski it is commissioner zvanski, and natalie, i would not be here if this meeting it wasnt for you, and i just want to thank you for all your technical knowledge. Im sorry about dexter barking in the background. Ive monitored all of your work over the last couple of years, and as i have previous secretaries, and youre just outstanding. I cant believe youre leaving. Its just killing me, so i want to definitely agree with my fellow commissioners. Youve been wonderful, and i wish you the best in new york. But just know that you can always come back to San Francisco. Some of you will always need your technical expertise. Clerk thank you, clare. [inaudible] i just want to thank you for walking me through all the various details. I totally appreciate you, i appreciate your kindness and your knowledge, and i will really, really miss you. Clerk thank you, commissioner howe. I will miss you. Supervisor preston this is supervisor preston. Natalie, thank you for all of your work and helping me get up to speed as the newest member of this body. Appreciate all of your patience and help. I wonder what kind of motion we can pass to make you stay, but i know the attorney will tell us we cant do that. I wish you all the best in new york, and thank you, thank you so much for everything youve done. Clerk thank you so much, commissioner preston and whoever put this together. Thank you to that human. Its nice to have this moment with all of you but its also very hard with me because ive built relationships and kind of molded this job into something i dont see as a job. Its more of just who i am, so i am going to miss each of you in this position and my sfhss family. I truly became a better person because of all of you, and just guiding me with patience in the moments that i did not know what i now know. I did want to thank abbie, too, because she saw something specifically in me that i didnt know was here, and i think ive uncovered it over the past two years and really continue to develop it, so her guidance and leadership and just presence in my life has changed my life. So i am grateful for this experience, and i will miss every single one of you. Natalie, this is chris kent, and i will miss you. Natalie, we had a team behind you putting this together in secret, so that was fun. And i think it epitomizes who you are. Have fun in new york, and stay in touch, and well miss you so much. Wait for that new york winter to hit you. Youll be back in San Francisco. Looking forward to some snow, but seriously, thank you. Thank you, everyone. Also, im looking forward to when we can get back to i inperson meetings so our members can express themselves in person, and i also want to thank our First Responders who are doing so much in this challenging time. Lets move onto item 6. Clerk karen, we need Public Comment. President breslin oh, Public Comment. Clerk thank you. Im going to start the 30 seconds now. Clerk all right. Im going to ask the moderator to open up the phone lines in one moment. Im going to ask everyone whos dialed into the conference line, you must press onezero to be added into the queue. You are able to listen to the whole meeting on this conference line, however, to get in Public Comment, you must press onezero to get into the queue. Okay. Moderator, can you open up the lines for Public Comment. Operator you have one question remaining. This is maureen oshea, and i would like to address the Health Insurance board, the retirees. I hope im not out of line, but my time is limited. I would ask the board to consider establishing a provision that the retirees would be able to enroll in the plan one City Health Plan as we previously had the opportunity. I feel that retirees should have more than one option as we currently have with Medicare Advantage. I had, as a 30year employee, always been enrolled in the city plan one, and at the age of 80, i am beginning to have more Health Problems, and it would be beneficial to me, as im sure to many others, that we have access to the best health plan available, and thank you for your consideration. Clerk thank you very much. Moderator, will you open up the call line for the next caller. Operator you have zero questions remaining. Clerk president breslin, that concludes Public Comment. President breslin okay. Thank you. Item number 6, please. Clerk item 6 is the election of the Health Service board officers, both president and Vice President , for fiscal year 2020 through 2021. This presentation is done by president breslin. President breslin every year at this time, we have an election for our officers, our president and Vice President , and at this time, i would like to nominate dr. Stephen follansbee as president for the next year, from 2020 to 2021. Are there any other nominations from the board . Seeing none no . I wou no i would like to secondly nominate chris canning as Vice President to the board. Are there any other nominations . Commissioner scott this is commissioner scott. I move that we accept the recommendations for the new officers for fiscal year 2021 of dr. Commissioner Stephen Follansbee for president and commissioner chris canning for Vice President. This commissioner hao ts commissioner had commissioner hao. I second. President breslin okay. Public comment. Clerk Public Comment will begin in 30 seconds starting now. Clerk all right. People who are on the conference line, please press onezero to be put into the queue, and moderator, will you please open up the line for the first caller on the line . Operator you have zero questions remaining. Clerk president breslin, that concludes Public Comment. President breslin all right. The motion has been moved and seconded to approve the president as commissioner follansbee and the Vice President as chris canning. All those in favor, signify by saying aye. Any of those opposed, say nay. Its unanimous. All right. Item number 7, plea