And promotions staff within Population Health, and those folks are under this yellow block under operations, but that means that theyre also overseeing the Human Services, which is doing housing and feeding. [inaudible] within Population Health, and that modelling that theyre doing is both our normal work of taking in public results of Infectious Disease tests, but its also new work that i think is really an advancement of what we normally do in the department, working with outside assistance for modelling and making sure that we are able to project into the future. And that is led by jim marks, who is an anesthesiologist and many others in that structure. Go forward. Ill let you know that all of the guidance that comes out is part of the information and Guidance Group that is headed by reeta nguyen, dr. Rita nguyen, and she is part of Population Health and leads a team of doctors and physicians and they write all the research about what the current recommendations are. That group had been separate and part of the health bridge, and we had moved it over to the Public Information section to make sure that the Public Information that that group is meant to put out is informed by the medical and scientific information and information and guidance is gathering, and that the information and guidance that we want the community to have can be aided by the marketing and media knowledge that is in the joint information center, so were hoping that that increases the transparency and understanding of the publics about the issue that we have. Go forward. So briefly, these are our citywide priorities for this operations period . Our operations periods are a week long . This one started on saturday . We maintained similar objectives from week to week, and we have longerterm goals that we want to achieve, but the objectives for each week are really those of that week and what we want to complete by the end of that week. So these are our priorities that are the longer ones, and we can talk about what the priorities are. So we want to ensure the health and safety of vulnerable populations and essential workers . We want to reduce transmission of covid throughout San Francisco, and that is its own goal, and sometimes reducing transmission is different than some of the the actions that you do for that is different than the others. We used to say prepare for medical surge, but now, were in it, prioritize equity and represent Community Needs in response to planning and implementation. The fifth one is maintain strategic Public Education campaigns that data, response, and public expectations and requirements, coordinate with citywide reopening and recovery initiatives, and planning for and coordinate during multihazard events. The same people that are working are the same people that would respond to a fire emergency, earthquake, so we want to make sure that there are people available to respond to many other events happening in San Francisco. Go forward. So the way those have been transported as very specific objectives and things to complete, and we complete those under the direction of the policy heads. Some of the most recently have been the surge play books which gives Different Levels of responding to the number of cases and hospitalizations within the command center . So it is a way of us being sure what we know at what level our Contact Tracers need to be staffed for the number of cases that were having, but we also make sure we know that for our housing group, our Community Group around communication, so we want to make sure that were prepared for things to both get better and to get worse, because this is going to be a dynamic process. Community neighborhood strategies, and that is how do we partner with communities to engage in services that will help reduce transmission, and how do we partner with community to make sure that they can help achieve the culture change in their neighborhood that needs to happen . So are people wear masks . Are people social distancing . What is need inded in that neighborhood to change that setting . Weve begun assessing last week Face Covering and social distancing compliance in key neighborhoods, showing, really, that were not at 80 in almost any neighborhood and some neighborhoods are quite low, which is good information to have because as we look at where our transmission is high, we can look at changing compliance or mask requirements in those areas would something to do. We need to fill our coffers with people who can respond. We were expecting to have surge somewhat in the future, so we thought we had time to address those into the futures, and the last is the testing strategy team, and we are building it with other clinicians and operational staff to help determine what the citywide strategy will be and to monitor that. D. P. H. Is doing quite a lot of the testing, but the Decision Making around that and who participates is going to have to expand in order to be effective. So how do we do that . Who is doing what, and who is needing to be encouraged, and what the state of the art is . How do we move to the next thing, how do we improve our responsiveness, and how do we stay aware of what the technological limits and opportunities are . One more. Go ahead. So i want to be sure well speak about equity. Well speak about it more when we have the resolution, but the things were trying to make sure were achieving is community collaboration, make sure its more than informing, where Community Voices are impacting the decision we make, and that is not just an altruistic act, its achieving behavior change and things that we need to participate in if the community is leading them. The neighborhood change has to be built with the community. We need community to be part of that, and that needs to be equitable, where were listening to the voices of the people most impacted. We need behavior change, so because were told by an authority that something has to happen, it has to happen within the culture, and then, we need that infrastructure within. Just as we decided we need infrastructure within the department of Public Health, the city has decided it needs infrastructure, and we need infrastructure here, so we need someone in equity, someone who is really responsive when Community Feels we are not keeping our eye on it. Last one. I just want to be sure that everybody understands that geography. At the above, youre seeing tests per 1,000, which is quite high for San Francisco. It does vary, but its quite high for some groups and quite low for others. There are some groups on the high end that have a high number of positivity, and those are the neighborhoods that we need to focus on. When everybody was sheltering in place, that was not as much of a priority. We have a risk of neighborhoods based on the covid geography that need special attention . And that is because of crowded housing, low rates to health access, food insecurity, transportation access. Those are all things that either make you live in a house where transmission is more likely to occur. All of those things make you more likely to get covid, and the existence of one or more of those things makes it more likely that people will get covid. I just wanted to give a little bit about equity of d. P. H. Since i am not there. I just want to show you that the office of equity does still exist. So we are adding a manager of Workplace Equity that was already planned, and we were continuing the learning series. The equity learning plan is on video, and were hearing its a positive things. Weve designated area leads in various areas of the department and still convening the equity champions . Planning virtual versions of the equity fellows, which was going to be the purpose of eng witness training for management. Announcing the equity learning department for h. R. Were going to have four hours of training required, and going to designate trainings that can be used for that requirement, and its over the whole year. The area equity leads are still there. Theyve just started a program. They are having specific area goals, and theyre continuing to develop programs. Today was the launch of the 21day equity challenge, which was asking people to learn a little bit of history or practice a thought or activity that might help them in their development of an equity lens, and then, we have an Online Training thats specific to the background of Health Equity that we think Everybody Needs to have. That should begin in the next month. Yes, we are at the end. Thank you very much, everyone. I am perfectly open to questions about both what i did say in the structure or perhaps things that i did not outline, perhaps questions about how the command center is functioning. And commissioners, if i may, you all went right to questions without asking for Public Comment, so commissioner bernal, is it okay if i check for Public Comment. Araceli, do we have Public Comment . Yes, we do. Ill go ahead and pump in the first call. Thank you. And callers, you have two minutes, so once you start talking, ill start the timer. Are you on . Hi, yes. My name is juliana morris. Im a doctor at San Francisco general. Im calling to ask the Health Commission to take action to support the growing movement to remove the s. F. Sheriffs department from the department of Public Health and the hospital. Law enforcement is not the appropriate Security Service for health care spaces . In fact, Security Services didnt even enter hospitals until the 50s and 60s, coinciding with backlash during the Civil Rights Movement and hospital desegregation. The racist roots of this practice are clear. We want deescalation Response Teams that are skilled in traumainformed care and are able to help people in crisis and not in need, not just eliminating the threat. We want the 20 million in the d. P. H. Budget for the sheriffs to be redirected to building these teams and into things like housing and Mental Health care that will reduce the number of crises at the d. P. H. Sites. Of course we realize that the department is dealing with a lot right now and multiple pandemics. We cannot wait to address the pandemic of racism, and if covid has taught us anything, its that we can make changes when we have an urgent need. So im asking the Health Commission to cancel the m. O. U. Between the d. P. H. And the sheriff, create a committee that will provide oversight and help develop these alternative systems, remove the funding from the sheriff and invest in True Community safety. Thank you so much. Thank you. Araceli, is there anyone else . Yes, we have four more. [inaudible] oh, welcome. My name is glenda barrows. I work at San Francisco general. So im calling in support of making racism basically a health issue because i believe it is, so im in total support with Diana Bennett and what shes putting forward. But the other thing that i want to talk about is i also was listening on the employees, and i was a little bit upset they want to talk about at the same time praising all the work were doing, what a wonderful job were doing, were all putting our livies at risk, bu at the same time, they want to pick our pockets. I want to let you know, im a union person. Thats the part they didnt tell you. There is no Employee Group that i know of that is willing to come in and give up our wages. Now some people are willing to talk about other things, but ywe dont want to calmly give up our wages. Also, on the covid and the testing, they saw your new policy that weve been doing that weve been getting complaints about, is that people getting tested, theyre not getting sent home, theyre being told to go back to work. And particularly at San Francisco general, people were testing positive, and then, they were exposing other people. The workers have a problem with that policy. We really want you to look at that and see if something can be done about that because we dont feel like if somebody gets tested, even if its random testing, they have an accurate test that can be done in 24 hours, theres no reason that person cant be sent home for those 24 hours. All right. Your times up. Thank you. Okay. Ill get the next caller. Thank you. My name is andre johnson. I am a social worker with the San Francisco department of Public Health. Im calling to declare my support before the Commission Im sorry. I apologize, i know your comments are important. This item is not the resolution. The resolution is going to come in two items, so if thats not your Public Comment, could you please hold it . This is about the covid update. Okay. Thank you. Okay. Ill take the next caller. Hello, caller . Is there someone there . I can just come back after the next caller, then. Great. Thank you. So just to make clear, this is a covid19 Public Comment. Theres general Public Comment coming up, where you can talk about anything, and then, the resolution is the item after that. Do we have a caller . Okay. Caller, are you there . Thank you so much. Hi. My name is camille, and im calling from Mission District 9. I listened closely to your earlier presentation, and i really appreciate that there is such a strong focus on community and neighborhood strategy and that there is so much equity work thats going to be done. But i am calling because i recently learned about the amusing efforts about the latino task force. Im not with them, and i dont represent them in any way, but they requested 1,000 tests, and they were given 100, and eventually given only 200. We are the center of the covid outbreak in San Francisco. How short on tests are we . I know it was mentioned earlier in the presentation that there was a shortage, but if were one of the most vulnerable neighborhoods and were being underserved by almost 80, 90 , i want to know why that is so. I also know when i go online to get testing from covid sites, many sites are slowly disappearing. The fillmore sites has disappeared. I know that Public Health is an initiative, but im looking for those initiatives especially as a part of the mission community, so id appreciate it if someone could address that, as well, today. Thank you. Generally, just for all of you to know, in terms of Public Comment, Public Comment is always welcome, and the commissioners truly take it to heart and listen to you. They dont always respond, but they will address the issues that they feel are appropriate in discussion and asking the d. P. H. Or other staff to address the issue in a future meeting. Is there another caller . Okay. Ive gone and muted the caller before, so caller, if youre there, your turn. Caller, not able to hear you. They are having some issue. Okay. So in that case, that is the end of the queue. Thank you so much, araceli. Commissioner bernal . Yes, thank you. Dr. Bennett rngsi apologize fo giving you three titles in this meeting. I have a question. The first one is in terms of operations. Although i understand its a coordinated command center where coordination is really key, there are some different roles that the agencies still play, and my question is for those not in housing or unsheltered . How is that delineated. I know that some are for health care and frontline workers, and others is for homeless. So how is that prioritized for hotel space and then helping them get into hotel rooms or whatever shelter is available . So Human Services is the department designated for Emergency Services . So it is h. S. A. That is in charge of housing. They are also undertaking feeding and other things to serve people, but the housing does live there. The h. S. H. , they have services for people experiencing homelessness in particular, or a combination of h. S. A. Or h. S. H. , so the combination of those two agencies together collaborate make sure thats happening. Theres efforts happening on a larger city level. It is happening within the command center, and there are two balances to that. One is sheltering in place so they cant be outdoors, and the second is the vulnerability to covid so that is how that prioritization has been made. If youve been noticing, the c. D. C. Has changed their prioritization more than one time as the information about who is vulnerable to covid has changed over time as we learn more . And so the Health Departments role is to help the other Agency Social security understand whos at risk and how much risk, and the ways to do whatever theyre going to do as safely as they can. Were not the Decision Maker about how housing is done or who gets housed, but i think were a very important collaborator in making sure that it is done in a way that is promoting the overall goal of protecting people from