Ohlone acknowledgment. We are on then set roll only land of the Ramaytush Ohlone the original inharsh tans of the San Francisco peninsula. As the stewards of this land and accordance with traditions. The Ramaytush Ohlone have never seated, lost or forgot responsibilities as care take and all people who reside in their traditional territory. As guests we recognize we benefit from living and working on their Traditional Home lavenld we wish to pay respects by acknowledging then cestors, elders of the recommend Ram Community affirming their rights as first peoples. Thank you Vice President green. Secretary morewitz welcome to the august seconded Health Commission meeting held in hybrid format in person room 300 broadcast live on sfgov. Org and availabling via web ex. I like to remind all attends nothing person today all Health Protocols and building rules adhereed. Wearing a mask. Covercovering nose and mouth including when you speak. Failure may be removal from the room. We appreciate your cooperation with the requirements and interested anyones health. Note that the hand stan sanitize are stations are at the upon entrance of the room. We welcome public participation. There will be an opportunity of Public Comment in the beginning of the meeting and then on each discussion or action item on the upon agenda. Each comment is limited to 3 minutes. I encourage anyone to raise their hand at the beginning of each victim to make sure you have time to have your hand up and be seen there is a delay for you watching on sfgov. Org that is a way to ensure your hand will be seen by us in time comment taken in person and call in. For each item first from people attends nothing person then from people in the meeting remote. Submit a card to me and instructions for those remoat found on page 4 to which access closed caption hover overwhelm the live stream or on demand vo a pop up with the cc logo will show and you can click on cc. Tell be displayed under the video city policies and federal, state and local law prohibit harassing conduct against City Employees and will not be tolerated. Public comment permitod matters in the jurisdiction of the Health Commission. Our next meeting on august 16th of 2022. Thank you very much. All right. Second more wichlts approval of the meeting of july 19, 20 twoochl a note on the minutes for those of you who have been watching it is commission received updates on the situation of laguna honda hospital the second meeting. We are concerned. And we will do everything we can to support the excellent staff at laguna honda on to get everything back in compliance and are concerned about the passings we learned about from those period of time after they had been transfer friday laguna honda. We are pleased learn cms decided to pause transfers and discharges. At this time. So, we will be having another full sdpugz both in open and closed session at our next meeting. Commissioners do you have the minutes before you . Upon review, if there are no amendments do we have a motion to approve . I move to approve the minutes. Second. Second. And commissioners before we get to a vote there is a hand i will go to the caller i have a message to read before we get there. For each item members have an opportunity to comment for 2 mentes the process is designed to invite feedback from the community. The process does not allow questions to be answered in the meeting or to engage in conversation with the commissioners. The commissioners do consider comments when discussing an item and making requests to d ph. Each individual is allows an opportunity to speak. May not return more than kohns once. One other note if you are making a comment on an am item im going ensure the comments pertain and if they dont i will ask to you stop and comment on the correct item. For this item we are talking about the minutes, im sorry. So commissioners we have no comments. Commissioner chow. Yes. Commissioner giraudo. Yes commissioner jarmo. Yes commissioner green yes commissioner bernal. The item passes. Our next item honoring tracie packer will be moved to the next meeting when we have the opportunity to honor and thank her for her excellent work at the department of Public Health we look forward to seeing her at our next meeting the next item is the directors report. We have doctor grant colfax, director of health. Thank you, president bernal and good afternoon commissioners. Just to read through a few items here in the report and i gallon to the covid19 update. Looks like the slides are appearing on the screen. A couple of, key things to highlight just to share with the commission that i was able to attends along with breed and leadership at San Francisco public works, the opening of the new southeast Family Health center. Which is a beautiful, new 22,000 square foot neighborhood clinic that will continue to provide family primary chairman with Behavioral Health service tailored serve the needs of the Hunters Point community. And the center is important legacy of Community Healing advocacy and expands the original Southeast Health center opened as a stand alone clinic in 1979. The existing now the over building has been among the busiest in the San FranciscoHealth Network serving 4 thousand annualy. The older building remain next door and include office space for staff and dentsal services for patients the new clinic expands a Community Vision to support bay view residents providing Affordable Health care meeting the need for Health Services that approach health care from a whole person approach integrating health, Mental Health and others improving well being. I think that the new building i dont think the new building very much is in keeping with the research which indicates that the environment of care, the quality of the environment and things like the lights and spacing has an affect the over all environment as anning affect on health this. Clinic knocks it out of the park in terms of structure and reflecting that philosophy. I encourage the commissioners to visit when you have a chance. I want to ad ensure that we recognize that this 39. 5 Million Dollars fund bide the Public Health and safety bond passed by San Francisco voter in 2016. Acknowledge, this is a long project and want to thank public works and all the team d ph that worked on this and acknowledged the clinic staff. Who were very resilient in working with regard to through i haved i have while the new building was going up next door. Thank you to everyone for that regard. That highlighted with regard to the monkeypox epidemic in San Francisco. We continue to see increase in cases as of earlier today there was 310 reported cases of pox monkeypox in San Francisco. Commission need more vaccine. We continue to provide vaccine quickly as possible when we get it through the state. And an example of this was yesterday at San Francisco zuckerberg hospital a thousand vaccines were begin in the morning alone. We received 4, 200 vaccines last week that is exhausted across or 10 cites. We did receive good news from the state today that we expect to receive our next shipment will be 10, upon seven00 vaccines. We dont have a date for when they will arrive, that is we were told the next shipment. Improvements a doubling of supply. We need splich 35,000 to the highest risk group and now about 75,000 vaccines in total to protect those fully at risk. And doctor philip system here to update. They are having trouble hearing you, can you pause for a sect. Anything we can do . Commissioners can you hear me okay . Could i have a thumbs up if you hear me fine . Commissioner bernal, yes, mark, it is you are a bit muffled as well. We are. Not as bad as the doctor. I apologize i want to problem solve this. Can you hear me, well . Yes, no. Thumbs up or down . Okay. So i need yall im not sure but we need to work on this now we are in a meeting. [inaudible]. Might be grants microphone. President upon bernal sounded better than the doctor did. How about this mic commissioners, is this clear yoochlt this is okay. Yes. May be i dont want to make you is this better . Are this does not have a thingy on it. How about i apologize doctor coal fact when you comment can you speak here. So we do this and it sounds like you will be fine if you do. [inaudible] gentleman ahead. Director. Can you hear me now . You are still muffled. Still muffled, they are saying. I dont think it is that they have heard me before. Can you hear me. It is the audio. Yea. We are hearing the same thing. Muffled and garreled. Is the microphone okay. Yes, no. Led. Is the microphone okay. Yes, no. Led. Is the microphone okay. Yes, no. Bled. Is the microphone okay. Yes, no. Is is possible to recess so we can im not sure what to do. We will call a brief recess until we have audio issues sorted out thank you for your patience an we ends the resxesz start from the top with the directors report. Thank you. Doctor coal fax. Thank you. Secretary, good afternoon, can you hear me . Excellent. All right. So i will start from the beginning of the directors report. I didnt where added that people were not able to hear. So, i was really delighted attend the opening of the new Southeast Family Center opened to serve as a Health Care Hub for the bay view neighborhood residents. This is a 22,000 square foot neighborhood clinic providing family primary care with a Behavioral Health service tailored to the needs of the Hunters Point community. At the opening in addition to the Many Community leaders and members present, joined by the mayor and supervisor walton and leadership at the San Francisco public works department. And this Health Center is has been and will be an important part of the legacy of Community DrivenHealth Advocacy in the neighborhood and expands on the original center opened the doors as a stand alone clinic in 1979 after a long history in of community activism. The center now the older building has been the busiest clinics in the San FranciscoHealth Network serving 4,000 patients annualy. This older building will remain next door and support the service of the community including office space for staff and will continue on provide dental service. The new building expands a Community Vision to support the bay view residents providing Affordable Health care and meeting the need for Health Service this approach health care from an upon whole person approach fizzal. Mental health and other supports improving over all well being. We know that the physical environment of people receive health care is directly affects their health and well being. This new building embodies the value of providing health care and welcoming environments. I was encouraged the commissioner to visit. I want to really commends this out reach Health Center staff. They saw this building go up next door and some of them worked on over executive on making sure that this happened. And it was a project based [inaudible] on time and on budget and to that [inaudible] say that this project was nundzed throughout Public Health and safety bond, which was overwhelmingly passed by voters in 2016. Another key area now with regard to monkeypox epidemic. We continue to see increasing case in San Francisco. As early are today we had a total of 310 cases diagnosed in San Francisco primarily among men who have sex with men including gay men and trans men represent 95 of the case. San francisco has over half diagnosed cases in the state. You know, we continue to work with our Community Partners and ensuring aware ness and prevention are provided. We are continuing to vaccinate people. We just got good news that our next shipment of vaccines expect to receive over 10, 500 double the prior ship. This. Is good new its is still not enough. You recall, the 35,000 vaccines to vaccinate the highest risk and the 75,000 to vaccinate the groups that are nouchl so, some progress not enoughment ton get run out of vaccine the demand is high. San francisco hospital are vaccine clinic did a thousand alone yesterday. And there is increasing demand across the vaccinate and vaccine site catharsis giving Monkeypox Vaccine. That was after the chair i think you are aware that has our Public Health officers declare a state of emergency on thursday. To embody myself and the mayor declaring that emergency which will allow us to harass resources effectively at Health Department. Coordinate with key partners and increase awareness of the serious disease. This disease can have a severe consequence in terms of pain, blistering of wounds and disability. So, the doctor will provide updates further down in the presentation. In term it is of additional upon report, just to reenforce the president bernals comments with regard to laguna honda. The team there continues to focus on working toward successful recertification of the hospital as the commission heard the state have ordered us to pause discharge us from the hospital. We are responsive to that request and will recall that you will be forced to discharge patients per cms plan demanded we implement. Now we are on pause and working with families and residents and federal and state partners to continue to share updated information and ensure the patients and the patients the residents of laguna honda and the staff have all the information they need. And as a Health Department and laguna hospital leadership of [inaudible] that our residents need to come first. Residents of the hospital needs come first. Pleased as we closed the budget season to make sure that the commissionness what our 2223 and 2324 budget was approved and im looking and believe this is a typo. Our budget is a little more than the 2. 9 million that is 2. 997 billion. Make sure that was corrected. But really want to again acknowledge the work that jenny w you gos and her team did on this presentations you know how much time it takes and different moving parts. Just pleased to see this went forward and the we emerged with air budget that for the most part meets needs and add backs that you can see as that are put back initiatives you can finds that on the report. I wanted share in closing, one sad announcement that we had a passing of a highly valued employee on the [inaudible]. Who was a [inaudible] tech in Health Worker 3. Passed away last mont. Unfortunately. He was born and raised in San Francisco and graduated from [inaudible]. Worked for Public Health for 20 years. Prior to d ph a sxharn emt. And his first 13 years working with d ph at adult immuneeration travel clinic [inaudible]. And approximate the department of community has an investigator with the continued Disease Control team and the front desk Operations Manager n. Past 7 years a team member at [inaudible] [echo]. So on behalf of the department we extend condolences to his wife and family and friends and those in the community who are impacted. Thank you thats my directors report. Happy to take questions now. The commission would like to follow up i can provide the covid update and turn it over to doctor philip for additional monkeypox information if conscience [inaudible]. I think may be if we continue said through the full report and take comment and have commissioner questions since you have mentioned the vaccine on monkeypox. I will go to the covid update. Im sorriful commissioners and director. I did not realize what you said commissioner green the directors report is separate we need to check with Public Comment. Okay. Folk on the line if you like dmoent o item 4 the directors report. Press star 3 now. I see one hand. Give me a second to get the timer up. Each of you will have 3 minutes this comments should be related to the directors report information in the directors report. Okay. Let us know you are there . In. I wanted to comment on the next item number 5. So i will call back thank you. G. Ahead and leave your hand up it is okay. All right. So it looks like there is no Public Comment on this item. Thank you very much, commissioner green. No worries. Any commissioner questions or comments on this directors report . [inaudible] separate item i wanted to get a feeling as to [inaudible] will be at laguna do we have an idea is it where it is an indefinite pause. Because this will create [inaudible] if you dont understand how long the pause will be. And number 2, whether or not there is discussion with the tms continued discussion about the 120 beds we may lose if we are required to follow the new guidelines for facility placement . Thank you. Commissioner chow and i can see laguna honda was