Will you call the roll . Of course, commissioner chow . Present. Commissioner giraudo . Present. Commissioner chung . Present. Mr. Giraudo . Present. And commissioner green. Commissioner guillermo . Here. Commission commissioner guillermo will read the land acknowledgement. Thank you, commissioner green. The San FranciscoHealth Commission acknowledges that we are on the unceded ancestral homeland of the ramaytush rahmytoosh ohlone olonee who are the original inhabitants of the San Francisco peninsula. As the indigenous stewards of this land, and in accordance with their traditions, the Ramaytush Ohlone have never ceded, lost, nor forgotten their responsibilities as the caretakers of this place, as well as for all peoples who reside in their traditional territory. As guests, we recognize that we benefit from living and working on their traditional homeland. We wish to pay our respects by acknowledging the ancestors, elders, and relatives of the Ramaytush Ohlone community and by affirming their sovereign rights as first peoples. Thank you. Our first item is an employee recognition. Welldeserved for dr. Hali hammer and Roland Pickens who is the director of San FranciscoHealth Network and acting ceo will read the acknowledgement. Good afternoon, everyone. And thank you, commissioner green and commissioners for allowing me this opportunity to say a few words on behalf of someone i have known for many years and who is well deserving of this award and recognition. Dr. Hali hammer, what can i say . We met over 20 years ago at the Family Health center at then, San FranciscoGeneral Hospital, now zuckerberg San Francisco hospital, i think you were the associate medical director a few years out of residency and i was an associated administrator and your department was one of the departments i have responsibility for and so, its a pleasure working with you, both 20 years ago and the fact weve been able to Work Together ever since. And ive seen you progressing your career and all the while helping others along the way both your patients and trainees and colleagues at all levels. You are truly an inspiration for all of us at dph and you inspire you with your leadership and dedication and your diligence towards equity, excellence and achievement. So, its with a pleasure that we acknowledge your many contributions to dph and to the city and county of San Francisco. Thank you thank you so much. Is there any Public Comment on this item . Folks on the line, if you would like to make comment on item two, press star three. In general, a tip is if you would like to make Public Comment on an item when called, this is the best time to press star three and so this is plenty of time to get your hand up so again, star three for this item. I see no hands commissioners and i believe director colfax has something to say. I will, thank you, commissioner green and i just wanted to echo, mr. Pickens comments about dr. Hammer and dr. Hammer, i think we have known each other for also about two decades or longer since we were in training and the first time i heard about you was maybe i was a resident at this time and the work you were doing and the commitment you had and it has been an honor to intersect with you in many ways during your career and to see that commitment and that brilliance expand to a broader leadership work. I had a few comments from other people across the department about dr. Hammers leadership. Theres a lot here but im going to read a few bullets for the commissioners to hear. Dr. Hammer is a champion for new and innovative programs and advocate for Community Based programs, Behavior Health for our network patients, battling ten years as director at the Family Health center but deeply involved in the rebuilding and restructuring of our primarily care clinics including Southeast Center and castro center. And very importantly, a great mentor to so many rising leaders in the organization, and individual strengths and corks in all the areas that she works. Just the fact that dr. Hammer, hali from my own personal perspective, the contributions you make in an area that, in the public dont get the attention it deserves with regard to the incredibly powerful affect on creating the health and wellness in San Francisco and the way that you and your team continue to move ahead, not asking for or expecting recognition but really driving forward and improving health for the communities. With that improvement, it must be in the city and the fact that you and your team get it done and just to thank you also, most recently for the work you did during covid. Thats a good tremendous amount of organization and quite frankly strain on your team with regard to being the deployed to doing so much of the on the groundwork during covid. You also, i think, concurrently were holding so much of Behavior Health as we look to bring in, expand our Behavior Health leadership and that took some time so i really want to acknowledge your work in that. And the fact that you are brought in and pulled into many board hearings and policy questions and you just show up with exactly what is needed every time, so grateful for your leadership and thank you for your contributions to the department and to the health and wellbeing of those in San Francisco. Beautifully said. Are there any commissioner comments . Commissioner chow yes, i think everything has been said about dr. Hammer. I have followed her career. I know that she is passionate. Ive seen here directly in action when we were in china town Public Health, i think the last time we actually met and prior to that, we had many other actions on the finance committee and her work with the covid19 response. I had followed and thought that was just remarkable and the entire city should thank you for that. Dr. Pickens and hammer have said everything about a suburb position who is an accent to our department and to the entire city. Thank you, dr. Hammer. Thank you, dr. Chou. Commissioner giraudo . I, my comment is also to say thank you. And to add one more part of your description is, as a wonderful teacher. As a new commissioner just before our shutdown, both in person and virtually especially on our committee meetings, i happen to ask a lot of questions and dr. Hammer is always very gracious in answering my questions in a way that i dont feel totally incompetent and that i have learned so much from you, dr. Hammer and so, you well deserve this award but ill going to add teacher as well as mentor to your accolades so thank you and congratulations and i look forward to continuing to learn from you. Thank you commissioner chung . Youre muted. I think commissioner guillermo was before me . Oh, im sorry. Commissioner guillermo. Go ahead, commissioner young commissioner chung, ill follow up. I want to add i want to add adjectives. Not adjectives and you see you as an anchor on the entire team and i met you 20 years ago and i was working at gph, oh, boy, i feel old again and to see your presence, you always have this calmness regardless of what type of, like, stressful situation, so around you, it feels like anybody can concord the road if theyre working with you, so and of course, you know, for me, i appreciate that, you know and ive been fortunate with the Homeless Population and there are so many stressors, you know, in everybodys life and to have your presence to really so calmly, like, particularly, like situations and you provide advice that are phenomenal so i have the most respect for you and interesting that ive i guess you know 20 years so im still here working with you all. Thank you. Commissioner guillermo . Thank you. So i just wanted to add my comments and my congratulations and my thanks along with my fellow commissioners, to dr. Hammer. Anybody who has been able to contribute to the city and county of San Francisco in your capacity for two decades, plus in all of the things that San Francisco has gone through both in terms of its pioneering around Public Health and healthcare and its values for our residents really shows up, i think, in the kind of leadership that you have and leadership that you have brought through your career and so i want to thank you for that as a native san franciscan, you know, i have full appreciation. I may not have known you for 20 years but im sure i have benefited for your 20 years and hope to continue to do that in the future. Thank you. Well, im on the fouryear track but i have to say your service has been exceptional and not only have we watched you pivot the entire primarily Care Division during this very challenging time with covid but youve maintained that and that had to be unbelievably difficult trying to figure out how you can support the covid effort and keeping basic primary care for residents intact and accessible. All throughout that you were a great moral builder and that was the greatest challenges during this pandemic is maintain peoples spirit and morale in the face of these incredible and unanticipated challenges and you were critical in leading that and allowing us to get through the worse of the pandemic and intact and with wonderful results and good strategics in our materials of our response to covid so very much appreciate that. And i want to give you the floor to say awe few words, dr. Hammer. Im all speechless. Thank you so much. Mr. Pickens, director colfax and all the commissioners. I have to im speechless. I have to say working for the department of Public Health and serving the people of San Francisco for now over 28 years, so almost three decades has really been the greatest honors of my life. When i decided to become a family physician, i think i was in second grade. I could never have imagined that my career would take me on this path and i would have this great honor of serving with such incredible colleagues with leaders who share the mission to improve the health and wellbeing of everyone in San Francisco. It just has been an incredible honor to do that and like many of us who work in Public Health and especially in San Francisco these last now two and a half years have been incredibly challenging. We never could have imagined what we would be asking our colleagues and our friends to do to really dig deeper and do more and more and more and everybody throughout ambulatory care and through the Health Network and Public Health have gone above and beyond in terms of Public Service and i couldnt be happier to be a part of that team. Thank you for this recognition and im incredibly moved and i really appreciate that. Well, thank you so much. Were expecting another 20 years by the way. That goes with a recognition just to say. No doubt [laughter] thank you thank you . Very well. So, i guess the next item on the agenda is the approval of the minutes of the Health Commission meeting of august 2, 2022. Are there any additions or corrections to the minutes . Seeing none. Is that is your hand commissioner guillermo or is that before . Sorry, that was for before. All right. Hearing none, is there a motion to approve the minutes . Ill move. So moved. I second. All right. Is there any Public Comment . Ill check Public Comment. I want to give a shoutout to the sfgov and theres issues Live Streaming so please make sure youre checking on that. The webex seems to be working and folks on the line, if you would like to make Public Comment on item two which is the approval of the minutes of the august 2nd meeting, please press star three to raise your hand. Star three. And i see no hands, commissioners, so ill do a roll call. Commissioner green . Yes. Commissioner guillermo . Yes. Commissioner chung . Yes. Commissioner giraudo . Yes commissioner chow . Yes. Thank you, the item passes. Great. The next agenda item is the directors report. Director colfax. Thank you, commissioner green and good evening Health Commissioners and health director. Theres a lot in the directors report so ill go quickly through many things. The first is not actually written down but i just wanted to let the commission know and the public know that dhp is hosting back to School Vaccine clinics that are open to all San Francisco residents who are children. These clinics will provide all vaccines required for school entry or were loading were loading the first series of clinics august 22nd through the 26th from 5 00 to 7 00 p. M. In building 5 in the San Francisco hospital and then 10 00 a. M. To 2 00 august 20th, saturday august 20th and august 27th at south Region Health center. On bay view Hunters Point and people can find more information about the back too School Vaccine clinics on our website but just to emphasize that were making vaccines accessible to all children in preparation for back to school. This includes covid vaccines. In terms of monkeypox, just to let the commission know, we are now up to 563 cases of monkeypox in San Francisco. Over 95 of the cases continue to be among men who have sex with men and trans men. Our last vaccine was 10,700 vaccines and were still waiting the announcement about our next supply coming in. The good news is that we have expanded access at our zuckerberg San Francisco site. Our clinic is now double the hours, open 8 00 to 4. It has 600 to 7030 vaccines a day 700 vaccines a day. We have kaiser and usf are open to nonmembers of those Healthcare Center and sutter is providing vaccines to qualified members. In terms of additional doses, we are providing doses to those who are compromised and people at the zuckerberg clinic need to bring a note from their provider or if theyre a network patient, we can access their records to make sure they qualify for an additional dose after the cdc recommended period. And just to say from working at weissmanward 86 which is our hiv clinic, last week, its e siting to see while the treatment is still cumbersome because of the paperwork, theres better systems in place for people to access treatment and people are accessing treatment, qualifying for treatment onsite and were getting vaccines into arms in addition to diagnosing monkeypox cases in the urgent care clinic so a lot happening with monkeypox response across our system and across the city overall. And then we are reviewing, we are and will be reviewing upcoming guidance around inter der mall injections of monkeypox and the commissioners know, we will then be able to provide a smaller dose of vaccine which will allow what is currently indiscernible to be divided up into five doses so once we have the protocols in place and the go ahead, the final go ahead from the state and the cdc, well be implementing that as quickly as possible. Finally, just to acknowledge and thank speaker pelosis leadership in this issue and advocating for more monkeypox resources nationally and locally and i will be jumping off this Health Commission meeting for a brief period of time to join her at a San Francisco town hall where ill introduce our Health Officer dr. Suzanne. That will happen five minutes before the turn of the hour. In other news, exciting news on the, with regard to the opioid epidemic, San Francisco won a landmark opioids against walgreens. San francisco acting on behalf of the people and the state of california and one of the landmark trial against Walgreens Pharmacy where judge Charles Brier for the Northern District of california says walgreens is liable for contributing to the opioid. They did it without proper Due Diligence and this is the first bench trial that decided in favor and walgreens liable. So, City Attorney led this effort and many staff across dph served as experts in the testimony. The next stage of the trial will determine the amount walgreens must say San Francisco to abate the nuance they caused. Positive news in that regard. Next item that San Francisco has sued the federal government over indiscernible hospital closures. San francisco City Attorney david chew and former City Attorney louise announced they file a lawsuit to cut off federal government so the facility transfer all patients by september 13, 2022. Now, i do have some relatively late breaking news. Shortly after filing of this litigation against cms, they agreed to extend the availability of medicare and medicaid payments but lengthening the term of laguna hond