Land acknowledgment. [reading of land acknowledgment] as well as all people who reside in traditional territory. As guest we recognize that we benefit from bobingering and living on their homeland. We wish to pay our respects by acknowledging the relative of the ramaytush ohlone. Thank you, the xhex item is approval of minutes from february 20, 2024 and there may be some corrections. Yes, first of all i apologize these are all clerical errors on my part, i usually cut and paste the Public Comment on page 11, under patrick last full line i added an l to make the hh make sense, so its llhh correction. Next page, under resolution honoring holly hammer commissioner guillermo comments, i added an e to make her here. Under that commissioner chung comments, the last line, the last word should be endeavors and that is the last im sorry, on page 3 under resolution honoring greg wagoner, third line, there is a w was missing from the word was, thank you for sending the corrections, my apologies. Thank you very much, if there are no more corrections, there a motion to approve the mibz. So moved. Second. Is there Public Comment . Is there anyone in the room that wants to make Public Comment. I see nobody in the room, let me make a statement, i also want to remind folks who are watching that only those that received accommodations from me from yesterday at noon can participate remotely and weve got three of those folks today. For each of the item, public will have an opportunity to make comment for up to three minutes. The process does not allow questions to be answered back and forth conversation. The commissioners do consider comments from members of the comment when making request to dph, please note that each isindividuals may not return more than once to read statement frz other individuals. Written Public Comment may be sent, the health Dot Commission dph. Org. If you wish to spell your name, you may do so in robo comments without allotted time. All right, please unmute the caller. Caller youve got three minutes, tell us youre there. I have testified declaration file in superior court case following thompson was damming indictment of the failure as governing body. Between 2 19 and 2024. I agree with dr. Palmer, shame shame on each who have credited to this problem. Four commissioners who served during the patient abuse sex khander including commissioner chow which remain commissioners to this day. Clerk thank you, thats the only Public Comment on this item. Lets go ahead to vote. Were all here. Old fashion. All in favor say aye. Aye. Aye. N. Any in opposition, great. We now go to the wonderful part of the agenda honoring medical director and is now going to retire. And for this dr. Suess an philips who is our Health Director, i believe will come forward. Should i read the resolution or make comments. You can make comments ux ill read the resolution. Happy and sad for dr. Brown. The resolution says, he has worked for dph since 1996 an incredible nearly 30 years of dedicated service to the people and county of San Francisco. As an emergency medicine physician, as an educator and as a trusted and so valued Public Health leader in San Francisco. On a personal level, john has always been so generous with me as i stepped into my role as a cph director and always willing to explain the complex and critical way in which the system inter acts and it works to serve the people throughout the city and county. And the which in they work on Continuous Improvement to incorporate equity into the work that happens before hospital transport, to assess people and to take care of them in the field. And hes been such a, such a dedicated Public Servant in advancing all of the goals that we share in those efforts. He has a really demanding job here as you can hear from my brief description of all the things that he does. But i will ask john what hes doing in his off time, the answer is that hes flying to help with Disaster Relief efforts there. So i think that tells you a little bit about what you need to know about dr. Brown in his heart and efforts. The other thing that is important to know that its been over a week long celebration of john, i can count three parties one of which he has to leave this meet to go go afterwards. From his dph and preparedness and the one today with ucsf and dcsg colleagues as well. I will stop is there and say thank you so much john for all of your did occasion and service and commitment and wicker you a wonderful retirement. Ill read the resolution, we thank dr. Merry merser who helped us draft this on her own time. Where as dr. Jack brown, yes, dr. Brown step up to the podium. Exceptional leader of leader of department of Public Health since 1996. Where as dr. Brown has sefbd over nearly 3 decades to ensure the delivery of high quality medical and trauma care for all san franciscans where as dr. Brown has lead local and local improvement efforts for specialty Emergency Care such as stroke and cardiac arrest which have been shown to improve patient outcomes. Where as dr. Brown has been a strong advocate for clinical innovations. And wer as dr. Brown served as a physical in volunteer educator for general raisesing of ucsf medical students fezes and fellows. Where he helped coordinator oar californians regional 2 and as a federal of the assistant team for the regional 9 and served in leading response and leading the response to many local regional and global disasters including the covid19 pandemic. Where he has contributed to medical malpractice and Population Health for emergency and trauma care and where dr. Is considered by his xlaoegz and respected mentor whos expertise and intelligence and integrity and empathy will continue to impact the well being of all residents to residents of San Francisco. Results that San FranciscoHealth Commission honors dr. John brown for his outstanding leadership and wish him well in his retirement. So we will entertain a motion to approve this resolution, commissioner chow. Yes, would i like to move the resolution in honoring dr. John brown. Second. All right, is there any Public Comment . Any Public Comment in the room . Is see none online and none in the room. All right, commissioner comments . Commissioner chung . Yeah, we appreciate all of these years that i get to see you coming to present and Population Health committee, you know about ems services. I really learn a lot from the way you present the materials and the way your energy showing, youre perfect for somebody emergency because you have that whole aora of all maniness. Thank you for all the work that you have done and glazesing on your retirement. Commissioner guraudo. Im fairly new but gratitude for your commitment and that youve really, youve made a difference. And i just want to say thank you very much. I know commissioner chow who has known you the longest to speak. I googled you and besides enjoying the presentations, i was so impressed by the article i found because it says you have an absolute level head and chaos that youre humble and understated that youve done some incredibly great work. And that somebody was singing your praises and along you came on a bicycle and dinged the bell on the bicycle which i think is so emblematic of somebody to humble. It sounds like retirement will be relative for you because there are a lost disasters in this world and somebody tells us youll be there giving your best where ever youre needed. Were so grateful to have you for so long and your legacy will be felt, including the app every time we think about at that i look at the wonderful work that our ems has done. Dr. Chow . Its been a great xhunt to work with dr. Brown, it is clear that during the course of these 30 years, he has been the steady hand in Emergency Services here in San Francisco in the city owes you a debt of gratitude. We would not have been as prepared even responding to covid with the integration of the systems without the help when we had the opportunity to practice and create the ems processes and emergency intergent commands that went through. Personally weve gone through a lot in working with the various hospitals and particularly a chinese. I was happy to hear that in the last few years, you have been able to work with chinese to bring them into a full ambulance basic ambulance system. Something i think that for many years, those of chinese were touring and that has brought a level of service to the community i know the community may not realize but should be endebted to. And your steadiliness has shown through the change through dph and paramedic and working with the Fire Department to say that the paramedics were properly i simulated and later, dph moving or the mayor moving the our deployment. Emergency room physician at San Francisco general, its amaze ing the handson that therefore youve had both as a skilled physicians and as a administrator for your department. Weve been working on that for many years. For the work that you have done for us. So thank you, john brown you deserve a fulfilling retirement. So again, im very pleased the commission has a resolution for you. Thank you. Dr. Brown, i want to reflect on the commissioners comment that the incredible work that you have done in the city at dph. One thing i want today lift up a little bit more was your legacy of of several generations in turns residents fellows are trained in medicine in emergency response. And just, you have a huge network of john brown alumns that are grateful for that. And having personally been able to work working with you as a intern in zuckerberg and then as a resident and reminded me we were in the emergency room on new years eve of 2,000 which was if we all recall that was quite a moment because we were all waiting for something to happen. Im glad that you were there for the city sake and for my sake. So, really appreciate everything that you have done and i also wanted to rei am force when i asked what comes next, you mentioned about 8 other things that youre going to be doing in your socalled retirement. Im not sure how i think the retirement is specifically signing something on a page and moving on to other work. Thank you for being such a leader for the Health Department for San Francisco and for global health. Thank you, dr. Brown. And before you talk about. Hi. All in favor of approving this resolution, say ayele. Aye. Thank you. Unanimous. Okay, thanks, thank you very much commissioners, dr. Colfax. I will spare you a long speech but i do want to say a three things. First i want to say i really appreciate the work that you do for the community and San Francisco. Some of it is quite obvious, makes news et cetera, thank you b u there is a lot more that doesnt. And because of the way that you do this work, the inclusivity the attempt to improve continuously a real legacy that people dont recognize is the things that have not happened. So director colfax talked about that night that we were on duty, the department of health that night spent over four Million Dollars in preparation for that event for contingencies and things that may not happen. Everybody came through that night in San Francisco but without having any bad occurrences that would have been a bad outcome for them. So i think this work happens more frequently than a big event like that, it happens daytoday and as a result of the work which i know sometimes is, you know, worrying and taxing and difficult. So i deeply appreciate that and your work in that. I would like to recommend or ask you humbly that you continue to think about the prehospital providers, the disaster providers that are in the field that are doing this work right now. Its is he very moment there are 20 or 30 missed calls going on and theyre providing essential patient care of all types. And they dont get that rossing on a daytoday basis. Its their work that actually touches the patients, right. I can help, i can do things, i can manage, its they that they are providing the cure. So i want to acknowledge that and ask you to continue to recognize them and to support them. And i think that director hulkon and agency staff are in a good place right now. I appreciate your continuing support for them and especially in the arena outside ofer ms. Skilled nursing facilities theyre for the hospital patients and you can bring a tremendous amount of help in that area that thetion itself cannot perform. So i appreciate your interest, your continuing and i invite to you hold us accountable. I have very much appreciated coming to the commission doing reporting, getting you data that used to be reports but please continue to hold us accountable because i think as Public Servant as i wrote an editorial, i think that is so crucial to our work as public stewarts. So please continue that accountability. And finally the last thing that i would ask of you is to replace, so one of the reasons that im here is 10. Plan at that came from the 19 80s, i believe and one of those 10 points improving ems and disaster care in San Francisco was having a medical director. I think its so critical that the direction of ems care be considered a practice of medical care and that it comes to the Health Direct and her that you evaluate and give your comments and suggestions and orders for improvement. I would hope and one of the reasons this is the timing for my leaving, we have a deep bunch, many many people that have coming through the Training System i know there is going to be tough decisions and continues ahead but i appreciate the consideration that this is really Important Role for the people of San Francisco and its been my pleasure and honor to serve them in the last 27 years. Thank you. Ill take an opportunity for a picture. Okay, as my family says, act like you like each other get a little bit closer. One, two, three. Another round of applause. The next on the agenda, and i believe you reinforced some fpt guest statements. I have another skipt, at this time members may address the commissioners within the subject jurisdiction of the commission but not on the Meeting Agenda and Everything Else i said in my past script still pertains. I know we got two people in the room, i know we got at least one but please raise your hand if you would like to make general public. Okay, well start with the person in the mask every ones got three minutes. When the buzzard goes off, you please know that is the time to end your statement. Speaker thank you, and you identified you me as the person in the mask. My name is imelda and im here on disability action, were tender that dph plans to remove for the masking of personnel and jail settings, currently our understanding is that dr. Philips plan to remove the order on april first. And we know the masking continues to be crucial for health. Ideally we know what we have now is not enough. We would like to require masks and provide those masks. But at a minimum, we hope that San Francisco can continue the protection that we have in place by requiring personnel and healthcare and jail settings to wear masks. The first rule of medicine, its a donoharm and nobody should have to expose themselves to covid. If health cares stop Wearing Masks many people will avoid healthcare potentially dying and many will get sick. 10 or more of hospital infections lead to death. And you know, there may be an argument that we have vaccine now but its not nearly enough. According to the march third report, only 29 of San Francisco are uptodate with the Covid Vaccine with the latest vaccine. And we know that rapid test have a high rate of false negatives, even if healthcare takers are testing, they may go to work sick. And also necessary part of our commitment to equity and diversity as our pandemic is affecting people of color and even people who may not consider themselves at highrisk, its becoming clear that long covid is a serious risk for all of us. 11 in 7 of people that got could vid had symptoms for at least three months with serious impacts on their participation and school and as were trying to recover pandemic. In addition, requiring healthcare personnel to wear masks protects patients who cant mask. People with severe opd and maybe some people that may go to er requiring the personnel in these location to see wear masks protects every one in the setting. So we are in conversation with dr. Philips who we just heard from and appreciate that and urge to you also speak to her and urge her to continue this mandate for the safety of our community. Thank you. Thank you. So dr. Colfax mentioned something about y2k and all the computer glitches. Over 1300 overdoses last year 66 in january. 19 98, less than 10,000, today about 110,000 overdoses. The fact of y2k everybody knew that all the systems were going to talk, they were trying to get a man in the middle attacks. And thats what ive been talking about the last couple of times that ive been here. So its the man in the middle access, they can alter outcomes. So i pass this around or this secretary pass this around. This is my c b. C. Freedom of information report. It says that im completely healthy, i have no reportable injuries, however i was given multiple misdiagnosed to influence me so. Its virtually illegal and unconstitutional. I have reached out to multiple not just Public Health but human services. On the next page, its basically, the compliance and acceptable usage. So all of the same guidelines, so regardle of