tv BOS Full Board of Supervisors SFGTV January 25, 2022 6:00pm-9:01pm PST
>> and that people who have previously tested positive or a contact to someone who has tested positive and so those are generally the protocols for which testing is recommended at this point. and for the masking protocols, you have it exactly right. right now the state has a general indoor masking requirement statewide and we also have had an ongoing indoor mask requirement, but outdoors, we recommend it in crowded settings, in large crowds where we can't distance from people but it's not an order or requirement or in our health orders to do it in outdoor
settings. but that's the general overview of how we are now thinking about testing and about masking. >> supervisor chan: that's good to know and i think another question just to the clarification point about traveling. right now it is true or it is accurate to say that the cdc is only requiring testing for international travel and i'm just trying to better understand the testing capacity for international travel in san francisco. i think it also has a lot to do with the fact that, you know, san francisco as we head into economic recovery, we definitely see that tourism is really key to that and just wanted to understand how do we as a city, you know, and partnering with sfo truly understand to boost that capacity for testing for
travelers. >> thank you, supervisor, for that reminder, i was thinking more of our day-to-day lives. but certainly if we're traveling outside of san francisco and particularly to an area that may have higher rates of covid, then we would want to consider testing after travel as well after three to five days of returning. the question is really an interesting one. we have talked with our state colleagues and they had done a voluntary system for international travelers to be tested upon arrival and the cdc has also been working to do something similar, but all of those programs have those challenges, it's not mandated, it's voluntary, and they are
able to test a small percentage of people who come through. i think for the most part, the federal government requirement for vaccination to enter the country and then our own local requirements for vaccination to go to large events or go into restaurants and those types of settings are probably, you know, what is more effective in trying to keep our case rates down, but i agree testing has a role and we'll continue to see what our state and federal colleagues find from their work at sfo and what they end up recommending. >> supervisor chan: thank you. i think i will have followup not today, but separately specifically about travel capacity or just the testing around travelers for sfo on a separate day. this question is the last question that i have. the first time i got stumbled
when i was asked this question actually by a school parent, a constituent in the richmond, i didn't realize because i thought i would justice dispose it. how do you dispose a home testing kit? is there a specific way to dispose it or is it just dump it in the trash? i just want to confront that? >> is it fine if i answer this, dr. colfax? >> please, dr. phillips. >> for the people taking it at home, these are waived tests meaning they are created specifically to be safe to be disposed in regular trash and does not require a special bio hazard bag or disposal. it's a different story when we talk about the rapid tests in a medical setting and those are disposed the way we do in a
medical setting and it poses no harm to anyone in the household or anyone collecting the trash and doing that type of work. >> supervisor chan: thank you. i have no more questions. thank you, president walton. >> president walton: thank you, supervisor chan. supervisor peskin. >> supervisor peskin: thank you, president walton. and i sincerely want to thank dr. colfax and our chief health officer and dr. baba and all of the staff at the department of public health. i have been particularly focused in a very dense area of the city where there's a lot of congregate settings of shared bathrooms and shared kitchens namely s.r.o.s and i know others of you have and thank you for your support over the last two years and i know that d.p.h. as well has taken that
very seriously and last week when my staff and i met with dr. baba and we were talking about the omicron surge, the good news of course is that you are much less likely to die and much less likely to get it if you are twice or thrice vaxed and have the entire series, but given that it is extremely more transmissive, if you end up with a much higher transmission rate, you end up with the same number of people in the hospital and in acute care as you did when there was a much more veer hasn't virus and less vaccinated population relative to the number of people who were showing up in acute care and in i.c.u. and the reason i bring that up is because as we seem to be
turning another page and that's the page we're coming in terms to live with the virus. i am hearing a lot from s.r.o. residents which is an extremely transmissive environment and there's no way without those resources that the virus doesn't run ram ped in these facilities and ibeen hearing that a lot from constituents and i mean and the cases are really emotionally very charged and at the same time, we are providing beds for our unhoused population which is a good thing, but it's a great thing, but it begs the question about
why we are not deploying those resources anymore in that particularly vulnerable environment. and i know that resources are you know is a constantly changing landscape as well as to what we get from the feds and whatever, but i wanted to respectfully pose that to dr. colfax and his team. >> thank you, supervisor. and i just wanted to emphasize that as we go into a stage where as we come down through this surge and that we hopefully will reach a state where there's a lower prevalence of covid and we mitigate the fact where we have a deep commitment of caring for those most vulnerable to covid including in the s.r.o.s and i know that you've talked to dr. baba about this and i'd
like to she had in regard to us going forward. >> yeah. thank you for that and thank you for the question, supervisor peskin. i fully agree this is a critical population to think about the barriers and the needs and we will continue to work with the task force to understand those needs and provide, you know, the adequate prevention and interventions that we can. in terms of the i.m.q., i do really want to clarify, our i.m.q. is meant for cases that are having moderate disease, but may not need hospitalization or if the hospital needs a place to discharge somebody that can't go home, we are not necessarily providing it to anybody that is unhoused or sheltered because what we've seen is many of those people are asymptomatic or have mild cases.
for s.r.o.s if there is a situation where somebody is positive and they're around somebody that's very vulnerable, for example, very advanced age and they're worried about it transmitting to that person, that could qualify for an i.n.q.. so definitely there is, are you know, casebility there and we can talk more about if those resources are not reaching the right people how to better assist. >> supervisor peskin: maybe we can take it offline with some of the community folks and see what we can do, but i really feel like we've kind of moved our resources out and maybe at the wrong time. anyway. let's continue this conversation. i am worried and with i think good reason. >> absolutely. >> president walton: thank you, supervisor peskin.
supervisor safai. >> supervisor safai: thank you. thank you, supervisor peskin, for highlighting that. i think we all might of seen the story published in the sf standard that highlighted some of the incidents that are happening now for s.r.o. residents. so just to build on that last point, isolation and quarantine hotels were an important part of how we helped and dealt with covid and moved people away from their homes when they needed to quarantine. particularly in districts in the city and neighborhoods in the city with overcrowded living conditions. so my question to dph is will you still be allotting beds for people residing in overcrowded conditions particularly like those living in sro housing and other forms of overcrowded
housing and how do you plan to deal with that dr. colfax and/or anyone on your team? >> yeah. and just to emphasize, i think the omicron variant is going to be around for the foreseeable future and the most important interventions we need to do is to ensure that everything in crowded conditions is up to date on their vaccinations and as dr. baba just emphasized is that people themselves are at high risk, or are exposed, if they are at high risk and exposed or if and vulnerable to the worst outcomes from covid that we will do everything we can to make beds available. i think during this latest surge, one of the key factors
was we need today make sure there was hospital capacity across the city and many of those isolation beds were being used for people we really didn't, we couldn't have stay in the hospital. they didn't need to be in the hospital from a medical perspective because there were other people who were very ill who needed ton careded for and could be discharged to a place where they were safe and secure in the isolation bed. so going forward, we are committed to doing as much as we can to ensure people who are most vulnerable due to bad outcomes are able to access some level of the isolation in
a new era and i think people who get covid will not have a poor outcome. we certainly want everybody to here we're committed to caring for those who need to care the most and focusing on the people who are really truly still at high risk of the worst outcomes with covid including those who may be boosted and, of course, those who for some reason may not have received vaccines. and, dr. baba, i don't know if you have more to add to that. >> no. i would agree with that. i do think, you know, again, if people have factors even if they're immunized and boosters, but have factors and put them at high risk, we definitely want to prioritize that population. >> supervisor safai: thanks. so my next question is one of the things that we've heard and some of my colleagues have
already mentioned and i know that you and i spoke about this last night, dr. colfax, the requests that we're getting for simple things like testing, access to testing, access to masks or properly fitted masks particularly for children throughout this covid crisis in our city is one of the reasons why we adjusted as a covid coordinated team. can you talk about that coordination and how it will play out. i understand and i think we all see the numbers that you presented that the surge is coming down but there's still going to be impacts felt in many communities over the coming months, particularly children that can't be vaccinated and families that don't have access to testing and so can you talk about how you see that play out and how a
coordination between multiple departments can be helpful in responding to this crisis right now? >> absolutely. and first of all within the covid task force at the health department, we have a number of people who are working on various teams to ensure that people have that were responding to community requests particularly and especially in the communities again where covid has had the biggest impact and the greatest health inequities. so we have our community teams that work closely with our community health that are led by as you know community based organizations. we have our neighborhood teams, we have our health equity teams to make sure we're doing everything we can to meet the
needs. whether it's a pop-up clinic for testing or boosters or distribution of ppe. we work very closely with the department of child, youth, and families, with regard to working with their stakeholders and providing technical assistance and also engaging around vaccines and testing as well. the department of emergency management which as you know led the response early on through the covid command center. we worked very closely with them and since our rapid tests that had been arriving, we have been working with them to distribute the tests to other city departments so that the city can keep functioning and across the variety of other city departments as well with our colleagues that the department of homelessness and supportive housing and h.s.a., the human services agency. so there's a whole level of coordination that's still going on both within our -- the
communities that we have focused on as well as within the city and then i would say we also work with our other health care system partners to a great degree, you know, ucsf and the health department have a special relationship. it's been going on for decades and that work has continued both with regard to ensuring we're using the best science and data to drive our decisions and of course, our staffing, the physician side at san francisco general hospital and with our other health care systems, we work with them including through the hospital council so that we're ensuring that everybody is doing their part and offering testing and ppe and other support to the people who pay for their coverage. i think you know that the vast majority of people in san francisco have health care coverage and we think it's encumbent upon people to get their money's worth in regard
to addressing this pandemic. so we have been collaborating with the other health care systems with regard to, of course, the vaccines,testing, and ppe. i think we've already gone over some of those challenges, but we are seeing progress to varying degrees verdict other large health care systems in the city. >> supervisor safai: so just to go back to the quarantine and isolation hotels because i don't think i got a straight answer on that just so i can understand it. if people need access to that and they need to isolate, do folks in overcrowded living situations i guess s.r.o.s and other housing in the city, do they have access to that type of housing? are you still making that available? >> dr. baba. >> yeah. so there is a specific line that people can call and talk about their situation and, again, if they qualify because
there's a vulnerable person in their household that potentially could have a severe consequence from getting covid that they do qualify. so all of those are taken into our team and then are reviewed in terms of qualifying at this point in time. >> supervisor safai: through the chair and dr. baba, i guess i'm talking about the in s.r.o. housing and having shared spaces either kitchen or bathrooms, if someone contracts covid and there might be other vulnerable people living in that building, in some situations like was referenced in the article, they then are asked not to use the bathroom or the kitchen and then the people that are sharing their room ended up with covid, they might not have a vulnerable person in their immediate room,
but there are other vulnerable people living in there and to go back to supervisor peskin's point i think for those living in overcrowded housing, i think we might of transitioned away too quickly the support. i'm aware of the rules that you set if you have someone in your house hold that's vulnerable then you become a priority, but all the other priorities that people fall into that may not have an immediate family member disqualifies them or doesn't qualify them. so can you talk about that for those living in overcrowded housing because that's playing out on the ground still. we're still seeing and hearing those problems. >> yeah. i do think, we can definitely talk more about this with s.r.o. task force and the providers on the ground and what they're seeing. in general, as dr. colfax
mentioned, with omicron what we're seeing is if you're vaccinated and boosted, it tends to be a milder illness. it goes through the population very quickly and with our resources that we had, really making sure that intervention prevents the most severe consequences with covid but as you point out, there might be wholistic factors that we might consider and we're definitely open to hearing that feedback. >> supervisor safai: yes. i think that overcrowded housing is another one we need to take a look at. it does happen quickly but it does impact peoples' earning ability and their ability to go to school and work and that has consequences based on the isolation and quarantine rules they have to follow from their work place and their school environment. so i want to overemphasize that and so we can talk more about it off line so i just wanted to underscore that here today.
my last question is about d.p.h. has talked about scaling up additional testing capacity and bringing on another vendor to support color. can you talk a little bit about that, dr. colfax, and who that vendor is. >> i can certainly say that i think with the challenges that we had with color, we are looking at other vendors and, supervisor, i just want to respect the city policies and i don't know rules. i'm not sure i am able to name the vendors that we're talking to. >> supervisor safai: it's not finalized yet. >> no. but we are d. looking to expand the number of vendors in the city that are offering testing and, again, i know that we've said this before, but we also are working to ensure that the health care systems have
greater capacity as well and then as you know with the rapid test kits coming in through multiple channels now, we are optimistic that for what we know now that there will be adequate testing in the city of course, if we get a major surge it will still be a challenge, but i think as we've reiterated, it had been better and better prepared for research that has come before us. i'm hoping we will be more prepared for the next one if and when it does come. >> supervisor safai: so how many tests were we initially doing and what does our initial capacity. in terms of testing kits in preparation if there were additional services in the future, do you have any plans to have additional testing kits available as things move
forward? >> again, i would go back to with regard to the amount of testing that we were at the in the late fall, we were doing about 3,500 tests a day across the entire city across all of our sites and at the peak of the surge, we reached 14, 500 a day and our sites were functioning at 500% to 900% capacity. we were taking as many people as possible and the staff were just heroic on their ability. 500% extension beyond what was planned for in terms of the d.p.h. contribution to those tests, we have been doing about 4,000 to 4,500 test its a day across our city sites and with other systems coming into place
and requiring of the other health care providers, we are working to maintain that level of capacity and, again, with these rapid tests coming in and the major health care systems in the city being held to the health order and penalties, there will be other capacities that is happening. of the large systems in the city. 60% of the testing was being done by then and dph was doing 60% of that. and i think entering our third year in the pandemic, we have to distribute that burden. it has major implications in terms of cost. and there's a shared responsibility for people who pay their health care provider that they get the care they need from that provider and d.p.h. will be there for people who don't have other options and make testing as convenient as possible for those populations and the people that we serve in our large clinical system as well. >> supervisor safai: and then,
my last piece of that question was about the kits? do we have any plans about the testing stock piles or to prepare for any future surges? >> yeah. i think we would want to have more rapid tests ready to go if and when there's another surge occurring. we would have been -- had those if there was a supply chain. so i think we would have some level of an ability to have test kits one thing is these test kits expire. so having a very large number of those if a surge does occur and obviously there may be some waste in the system. so we're working to balance that. i think hopefully everybody on this call has ordered their test kits from the federal government and we're waiting whether the federal government or state are able to strengthen those supply chains, i mean, it
did feel like march of 2020 with regard of not being able to get the raw materials that we needed and i think we also are hopeful with our testing providers and we're doing this in contract negotiations making it clear they need to have a better turn around time and demonstrate that and if they're not able to, there will be potential penalties in terms of providing reimbursement for their services if the testing turn around is so far out. and then, again, with our other health care providers ensuring and i know that some of us experience this, our health care provider, you try to make a test for -- an appointment for getting tested for covid and at one point, for some of us that was eight, nine, ten days out and really ensuring that they follow the health order to the degree to make sure that testing is accessible
and we have to have an elastic system that responds and i don't think we can prepare for every possible scenario but i also think we'd be better prepared for what are more likely scenarios going forward, i mean, my crystal ball is out of batteries and into this third year, it's hard to predict beyond what we know right now. >> supervisor safai: thank you, dr. colfax, and i think you and your team as i've said all along along with the people on the front lines have done a tremendous job. and we're all feeling fatigued and overwhelmed but we want to end on a note as soon as possible. i would just say my last closing comment is many of our community based organizations
when other child care providers when we were doing at the height of this, we were distributing hand sanitizer. we were distributing as many things to support their work on the front lines as possible and we've gotten and as you can imagine over the last month and a half, two months, a resurgence of requests for that type of like to respond to as we've done in the past, we were really good at providing that support on the ground and that's somewhat why i asked to have that have that covid coordination team we scaled back so quickly and it scaled up so quickly and the surge
happened so quickly that some of the types of organizations and community based folks that need us and rely on it came back again asking for that support. what are the strategies as we move past this phase to support our community based organizations with p.p. and testing support like our early childhood care providers? >> yes, i really appreciate the question, supervisor safai. and just to reiterate our support for addressing the needs of our organizations that continue to serve the most vulnerable and as you know, in your district and other districts we have the community hubs that are working very hard to ensure as many of those needs can be met as possible. i think the other thing supervisor, during this surge different from the last surges is not only do we need to redeploy people who had been in the emergency state for two
years we've had very large numbers of that was particularly a challenge in being able to staff some of these basic issues that you're bringing up and being able to have people available to help these struggling organizations. we literally had hundreds of staff out across the department and certainly across the other city departments as well. so i think we're over the most challenging in that regard and, again, our supply chains of the tests are strengthened. the ppe is coming in and we're able to supply those tests and the masks to our most vulnerable and i think we need to strengthen the coordination with our other departments to make sure if they have a point of contact or the correct point of contact in the other
departments or other points in the city like the c.b.o.s to make sure they get the supplies they need. >> thank you, dr. colfax. thank you, mr. president. >> president walton: thank you, supervisor safai. supervisor mar. >> supervisor mar: thank you, president walton. first, i want to thank d. colfax and baba for engaging in this discussion. colleagues, you've all asked i guess my first question is more around evaluating our city's preparedness for this latest omicron surge and, you know, unfortunately for me personally, i kind of experienced a lot of what you just described in your beginning presentation and what played out over the last month here in san francisco.
two thirds of my household got sick that first week in january which was the peak. it coincided with the return to school and there's just a lot of confusion and anxiety that and really most of this last month confusion around what the new protocols were on isolation and quarantine not being able to access testing and, yeah, so, you know, fortunately, for our family, we also like most people recovered really quickly and it was mild, but i guess it seemed like service just a chaotic situation when the omicron hit and there was a lot
of scrambling and anxiety and it seemed like we had dismantled a lot of the covid response infrastructure that we had built up for the first year or two, that was really so effective. almost like eye fine tuned machine and it really allowed san francisco to become a leader in the country in responding, but then when omicron hit. we were prepared to ask the question how would you assess our preparedness for this latest surge and is there anything, you know, out of our experience looking ahead that we could do in case there's another surge coming? >> thank you, supervisor. and i would go to the outcomes that we've had and i agree this
was a tremendous stress test on the city and we have really minimized i think the worst outcomes in terms of the deaths and that is because of the hard work that our team and many of you supported with regard to vaccines and boosters into arms, you know, i think that we were better prepared then almost in any other jurisdiction in the country as far as i'm concerned because of the fact we had such a strong coverage. these vaccines in boosters were the foundation and if you -- i reviewed in the data we are doing much better with regard to those outcomes and also our hospitals continue to take care of people who had other health care needs and that was different from 2020 where we were basically asking people to stay out of the hospital so i
think those have no consequences with people dealing with care. i think for the most part able to stay open. there was a lot of information that was developing. i think we were all under the shared education of what we knew and didn't know about omicron and that was changing rapidly depending on what the science showeded us. testing was a challenge, but i would also emphasize we did more testing during the omicron surge than we averaged in the last two years so just on the fact that we still weren't able to meet all the needs, i would respect that and i would go back to the fact we need our other providers to step up as well and the fact that the raw materials are simply not as
available. so i would certainly hope we'd have more test kits available and other health care systems are able to do their parts so we can there was so much traveling. communications were particularly difficult over the holiday season and just in terms of our public messaging, i was particularly challenged in a time where a lot of people just need it and were given a break and i certainly understand that as well. >> supervisor mar: yeah. thank you. thanks for that. and um, yeah, i'm just well,
and then so yeah, thanks, dr. colfax. i guess my other question is looking ahead. i understand the new approach now given the understanding of where we're at with the pandemic is to focus not so much on preventing every case which is what the approach was earlier on in the pandemic to reduce hospital stations and i.c.u. i have a question if that applies to seniors and other vulnerable populations and whether for them given the fact if they do contract the virus that they're more likely to require hospitalization and have serious health effects whether it's the same approach for them or whether there's some additional protocols and protective measures we have for even yours and vulnerable populations in this new phase.
>> i appreciate that, are supervisor, and, again, if somebody is 65 and above, it's key that people get those boosters again to the cdc data that came up last week. so that's just huge and and i think we at the health department as you know the largest health facility in the country we are continuing to layer those defenses and there will be a continued effort to layer those efforts probably to a larger degree than what will be in the public. in term of masking protocols and we will align with the state that requires people to be up to date on vaccinations. even with those vulnerable populations how we can go back to a less disruptive state when
we're not in the middle of the most disruptive surges and i'm optimistic we will be able to do that, but it is so key that the most vulnerable in these congregate residential settings have access to the vaccines and boosters which is why we do everything we can. we've had mobile teams go out. we've had lots of events to ensure we've had such a high coverage rate among 65 and over and we really do, i'm proud of that, but we need to continue to make sure that everybody in that age group is up to date on their vaccine series. >> supervisor mar: thank you, dr. colfax. and thank you supervisor chan. and thanks, president walton. >> president walton: thank you, supervisor mar. i'm sorry. i don't see anyone else in the roll and i know we have interpreters that are leaving. so if we could go to public
comment, madam clerk on this item specifically. >> clerk: yes, the board of supervisors will now hear board of testimony on the city's response to address the omicron surge. the telephone number is streaming on your screen. using a touch phone dial 1 (415) 655-0001. when you hear the prompt, enter the meeting id, 246884621722. you'll hear the discussion, but your line will be muted and once you're ready to get into the queue to provide it testimony, press star three. when it is your turn, listen carefully for the prompt that you have been unmuted and you may begin your comments. we appreciate as the president stated for the interpreters being with us. operations, let's hear from our first caller. we have eight who are listening and three in the queue.
welcome, caller. >> caller: hi, thank you. i want to very briefly thank the honorable supervisors and all the health professionals for keeping san francisco safe and listening to the science unlike other jurisdictions like idaho and sadly kasichet county washington where the meeting was canceled today. endanger in serious thoughtful discussion in how to defeat covid-19 like the brave souls you are. but i die aggress. i just wanted to call and give you moral support and as always praise supervisor stefani for standing up to crime. thank you for all you're doing, god bless you and be safe.
>> clerk: thank you for your comments. mr. atkins, let's hear from our next caller, please. >> caller: good evening board of supervisors, madam clerk, president walton. this is gilbert chriswall of district 8. i want to thank supervisor chan for having this hearing and supervisor preston for his questions and president walton for his concerns of covid. i know the city attorney is prosecutoring or suing these fake testing sites, but i mean there was a fake testing site yesterday in the castro. and over the weekend there was a fake testing site over in
delores park. what is going on? what harm is this causing to the community. i don't even know if i want to go get tested whether it's going to be a real site or a fake site. please address those concerns. thank you. >> clerk: mr. atkins, let's hear from our next caller, please. >> caller: good evening supervisors. my name is paul. i wanted to call tonight to emphasize that i agree with the by in large public health guidance from our city. but a specific piece needs more clarity and needs more specificity. as we've seen emphasized tonight. congregate settings are not
safe and this new plague proves that our mass incarceration system is fundamentally unscathed. when we examine the public health guidance from our city we see on april 24th of last year recommended to chasa boudine's office recommends that he should not hold more than 99 people. around why it was made. but the honest answer is that it was in response to medical guidance. as the majority of the epicenters of this plague in our country have been behind bars. so seeing these continued process and seeing this continued guidance, last year,
on october 14th, dr. so i have to ask tonight as associated with omicron and how many more prisons should we let go and how do we deal with a campaign surrounding these essential releases for our public health. they've been nationwide with even william barr from the ex-d.o.j.. we've had jerry nadler. >> clerk: thank you for your comments. mr. atkins, do we have another caller in the queue please. >> caller: hi, my name is jessica lamen and i'm with senior and disability action. i appreciate all the comments and questions of support
tonight. my biggest concern and we in san francisco and across the country have been deeply concerned about how often we've been ignored and many of us have really isolated ourselves and are so isolated and so people talk about kind of going back to normal. what does that mean for those who are at risk and recently the head of the cdc said it was quote unquote encouraging that people are dying of omicron with multiple health conditions. that was not okay. she apologized for that. but we can't assume that omicron is mild and we don't need to worry. there are also people who are immuno compromised so there's a number of questions that i hope we can talk about. what are the plans for people in skilled nursing facilities and other care facilities. what are we doing about unhoused facilities.
what about sick leave for people at risk of severe covid or have a high-risk person in their household. what about people who can't find or afford home test kits. people who can't afford to stay home from work. people who live in a household with more than four people because of all the u.s. government is sending to folks. what do we understand about long covid. i urge us not to be woven to a false sense of security, but to be very real about what we can do and who we are sacrificing. thank you. >> clerk: thank you for your comments. we understand there are seven individuals who are listening. if you would like to speak this evening, you should press star now. mr. atkins, can we hear from our next caller, please. >> madam clerk, there are no further callers in the queue. >> clerk: thank you, mr. atkins. mr. president. >> president walton: thank you. seeing no other speakers, public comment is now closed. colleagues, any other comments,
supervisor chan, what is your wish? my apologies. supervisor preston. >> supervisor preston: thank you, president walton. i just wanted to ask on just following up on some of the public comment iffed the department of public health had any guidance, i believe it was mr. chriswell raised the questions about feeling the lack of confidence at the testing sites because of some of the fake testing sites out there. so if there's any update or any information on what to look for in deciding whether to trust a testing site, i think that's an important thing to address. >> president walton: thank you, dr. colfax. >> i'm pleased to say we do have an update and our health officer, dr. susan phillips has been addressing this issue. >> thank you, dr. colfax and thank you, supervisor preston. yes. there are two ways in which we
are approaching this. we do feel this is a really important issue. we want the public to be able to trust the test sites that are in place in san francisco and we don't want unscrupulous and rogue site collections setting up so the city attorney's office as you all have seen is following up as well and looking into and pursuing action against some of these rogue collection sites. additionally today, we have released a health order that requires a certain standard for these collection sites that are operating in san francisco. right now there are gaps and statewide requirements and it sets the standards by which they should have for people who
potentially use the site as well as the city to make sure that everything is being followed. there will be requirements for this site. there will be informed consent requirements for people getting the testing and they'll have to have all the information for the lab that they're working with which has to have a documentation including license over the laboratory. that is being issued as of today. we'll put in an additional layer of protection and we will be looking into any sites that are reported to potentially being not legit mate sites serving the public in san francisco. >> supervisor preston: thank you. and just one other question that i think was elevated in public comment, but i was hoping that someone from d.p.h.
could address which was specifically the plans for people with disabilities. i think it really was unfortunate to be charitable the way this was framed and i do appreciate the apology at the national level. obviously that's not the message that should be sent or how our policy should be structured for people with disabilities. i just want to give d.p.h. an opportunity to send whatever the san francisco message is in how we're addressing the particular risks for the community in san francisco. >> yes, supervisor preston, i can answer that. we have continued to work with the mayor's disability office. not every population is going
to have the same needs as we go into this next phase and really again talking about the most vulnerable populations of this disease may require added layers such as ongoing masking can and really thinking through the benefits as people act with the society and so i'm really looking forward to having those conversations with the disabilities advocates to try to chart a path for it. >> supervisor preston: thank you, mr. president. >> president walton: thank you, supervisor preston. supervisor chan. >> supervisor chan: thank you, president walton. and thank you colleagues for your engaging conversation with the department of public work i mean public health and to make sure that we get our questions answered and really just for our constituents too and for this information that's much needed. i would suggest that we file
this hearing today and so i hope to have your support because i think that we should really continue to, one, continue to track the reports that we get weekly from the department of public health and thank you, president walton and his office for helping to provide that information and in the event that we feel like we see another surge which i hope not then we can come back and have another hearing. at this time, i urge for your support to file this. >> president walton: thank you so much. this hearing is now filed. thank you, dr. colfax, dr. baba and dr. phillips. madam clerk, do we have any imperative items. >> clerk: i have none to report, mr. president. >> president walton: thank you, and is there any other business for us today? >> clerk: the in memoriams
today's meeting will be adjourned on behalf of supervisor mar for the late mr. ronald kadero and mr. glenn foster. >> president walton: thank you, madam clerk, is there any other business for today. >> clerk: that concludes our business for today. >> president walton: blaming has no positive effect at all nor does trying to persuade reason and argument. that is my experience. no blame, no reasoning, no argument, just understanding. if you understand and you show that you understand, you can love in the situation will change. thick not hand. this meeting is adjourned.
family during the pandemic and too watch the news has been really helpful during this time where they are stuck inside and are not able to go outside. for families it is important to stay connected to go to school, to get connected so they can submit resumes to find jobs during the pandemic. [speaking foreign language] >> challenges that might seem for the fiber in chinatown is pretty congested. the fiber team found ways around that. they would have to do things such as overnight work in the manholes to get across through busy intersections, and i think
the last challenge is a lot of buildings we worked on were built in the early 1900s and they are not fitted with the typical infrastructure you would put in a new building. we overcame that with creative ideas, and we continue to connect more sites like this. >> high-speed internet has become a lifesaver in the modern era. i am delighted that we completed three buildings or in the process of completing two more. i want to thank our department of technology that has done this by themselves. it is not contracted out. it is done by city employees. i am proud and i want to take a moment to celebrate what we are doing.
>> right before the game starts, if i'm still on the field, i look around, and i just take a deep breath because it is so exciting and magical, not knowing what the season holds is very, very exciting. it was fast-paced, stressful, but the good kind of stressful, high energy. there was a crowd to entertain, it was overwhelming in a good way, and i really, really enjoyed it. i continued working for the grizzlies for the 2012-2013 season, and out of happenstance, the same job opened up for the san francisco giants.
i applied, not knowing if i would get it, but i would kick myself if i didn't apply. i was so nervous, i never lived anywhere outside of fridays fridays -- fresno, and i got an interview. and then, i got a second interview, and i got more nervous because know the thought of leaving fresno and my family and friends was scary, but this opportunity was on the other side. but i had to try, and lo and behold, i got the job, and my first day was january 14, 2014. every game day was a puzzle, and i have to figure out how to put the pieces together. i have two features that are 30 seconds long or a minute and a 30 feature. it's fun to put that al together and then lay that out in a way that is entertaining for the fans.
a lucky seat there and there, and then, some lucky games that include players. and then i'll talk to lucille, can you take the shirt gun to the bleachers. i just organize it from top to bottom, and it's just fun for me. something, we don't know how it's going to go, and it can be a huge hit, but you've got to try it. or if it fails, you just won't do it again. or you tweak it. when that all pans out, you go oh, we did that. we did that as a team. i have a great team. we all gel well together. it keeps the show going. the fans are here to see the teams, but also to be entertained, and that's our job. i have wonderful female role models that i look up to here at the giants, and they've been great mentors for me, so i
aspire to be like them one day. renelle is the best. she's all about women in the workforce, she's always in our corner. [applause] >> i enjoy how progressive the giants are. we have had the longer running until they secure day. we've been doing lgbt night longer than most teams. i enjoy that i work for an organization who supports that and is all inclusive. that means a lot to me, and i wouldn't have it any other way. i wasn't sure i was going to get this job, but i went for it, and i got it, and my first season, we won a world series even if we hadn't have won or
gone all the way, i still would have learned. i've grown more in the past four years professionally than i think i've grown in my entire adult life, so it's been eye opening and a wonderful learning - >> shop & dine in the 49 promotes local businesses and challenges resident to do their showing up and dining within the 49 square miles of san francisco by supporting local services within the neighborhood we help san francisco remain unique successful and vibrant so where will you shop & dine in the 49 san francisco owes must of the charm to the unique characterization of each corridor has a distinction permanent our neighbors are the economic engine of the city.
>> if we could a afford the lot by these we'll not to have the kind of store in the future the kids will eat from some restaurants chinatown has phobia one of the best the most unique neighborhood shopping areas of san francisco. >> chinatown is one of the oldest chinatown in the state we need to be able allergies the people and that's the reason chinatown is showing more of the people will the traditional thepg. >> north beach is i know one of the last little italian
community. >> one of the last neighborhood that hadn't changed a whole lot and san francisco community so strong and the sense of partnership with businesses as well and i just love north beach community old school italian comfort and love that is what italians are all about we need people to come here and shop here so we can keep this going not only us but, of course, everything else in the community i think local businesses the small ones and coffee shops are unique in their own way that is the characteristic of the neighborhood i peace officer prefer it is local character you have to support them. >> really notice the port this
community we really need to kind of really shop locally and support the communityly live in it is more economic for people to survive here. >> i came down to treasure island to look for a we've got a long ways to go. ring i just got married and didn't want something on line i've met artists and local business owners they need money to go out and shop this is important to short them i think you get better things. >> definitely supporting the local community always good is it interesting to find things i never knew existed or see that that way. >> i think that is really great that san francisco seize the vails of small business and creates the shop & dine in the
>> we are right now in outer richmond in the last business area of this city. this area of merchants is in the most western part of san francisco, continue blocks down the street they're going to fall into the pacific ocean. two blocks over you're going to have golden gate park. there is japanese, chinese, hamburgers, italian, you don't have to cook. you can just walk up and down the street and you can get your cheese. i love it. but the a very multicultural place with people from everywhere. it's just a wonderful environment. i love the richmond district. >> and my wife and i own a café
we have specialty coffee drinks, your typical lattes and mochas and cappuccinos, and for lunches, sandwiches and soup and salad. made fresh to order. we have something for everybody >> my shop is in a very cool part of the city but that's one of the reasons why we provide such warm and generous treats, both physically and emotionally (♪♪) >> it's an old-fashioned general store. they have coffee. other than that what we sell is fishing equipment. go out and have a good time. >> one of my customers that has been coming here for years has always said this is my favorite store. when i get married i'm coming in your store. and then he in his wedding
outfit and she in a beautiful dress came in here in between getting married at lands end and to the reception, unbelievable. (♪♪) >> the new public health order that we're announcing will require san franciscans to remain at home with exceptions only for essential outings. >> when the pandemic first hit we kind of saw the writing on the walls that potentially the city is going to shut all businesses down. >> it was scary because it was such an unknown of how things were going to pan out. i honestly thought that this
might be the end of our business. we're just a small business and we still need daily customers. >> i think that everybody was on edge. nobody was untouched. it was very silent. >> as a business owner, you know, things don't just stop, right? you've still got your rent, and all of the overhead, it's still there. >> there's this underlying constant sense of dread and anxiety. it doesn't prevent you from going to work and doing your job, it doesn't stop you from doing your normal routine. what it does is just make you feel extra exhausted. >> so we began to reopen one year later, and we will emerge stronger, we will emerge better as a city, because we are still
here and we stand in solidarity with one another. >> this place has definitely been an anchor for us, it's home for us, and, again, we are part of this community and the community is part of us. >> one of the things that we strived for is making everyone in the community feel welcome and we have a sign that says "you're welcome." no matter who you are, no matter what your political views are, you're welcome here. and it's sort of the classic san francisco thing is that you work with folks. >> it is your duty to help everybody in san francisco. a city like no other, san francisco has been a beacon of
hope, and an ally towards lgbtq equal rights. [♪♪] >> known as the gay capital of america, san francisco has been at the forefront fighting gay civil rights for decades becoming a bedrock for the historical firsts. the first city with the first openly gay bar. the first pride parade. the first city to legalize gay marriage. the first place of the iconic gay pride flag. established to help cancel policy, programses, and
initiatives to support trans and lgbtq communities in san francisco. >> we've created an opportunity to have a seat at the table. where trans can be part of city government and create more civic engagement through our trans advisory committee which advises our office and the mayor's office. we've also worked to really address where there's gaps across services to see where we can address things like housing and homelessness, low income, access to small businesses and employment and education. so we really worked across the board as well as meeting overall policies. >> among the priorities, the office of transgender initiatives also works locally
to track lgbtq across the country. >> especially our young trans kids and students. so we do a lot of work to make sure we're addressing and naming those anti-trans policies and doing what we can to combat them. >> trans communities often have not been included at the policy levels at really any level whether that's local government, state government. we've always had to fend for ourselves and figure out how to care for our own communities. so an office like this can really show and become a model for the country on how to really help make sure that our entire community is served by the city and that we all get opportunities to participate because, in the end, our entire community is stronger. >> the pandemic underscored many of the inequities they experienced on a daily basis. nonetheless, this health crisis
also highlighted the strength in the lgbtq and trans community. >> several of our team members were deployed as part of the work at the covid command center and they did incredit able work there both in terms of navigation and shelter-in-place hotels to other team members who led equity and lgbtq inclusion work to make sure we had pop-up testing and information sites across the city as well as making sure that data collection was happening. we had statewide legislation that required that we collected information on sexual orientation and our team worked so closely with d.p.h. to make sure those questions were included at testing site but also throughout the whole network of care. part of the work i've had a privilege to be apart of was to work with o.t.i. and a community organization to work together to create a coalition
that met monthly to make sure we worked together and coordinated as much as we could to lgbtq communities in the city. >> partnering with community organizations is key to the success of this office ensuring lgbtq and gender nonconforming people have access to a wide range of services and places to go where they will be respected. o.t.i.'s trans advisory committee is committed to being that voice. >> the transgender advisory counsel is a group of amazing community leaders here in san francisco. i think we all come from all walks of life, very diverse, different backgrounds, different expertises, and i think it's just an amazing group of people that have a vision to make san francisco a true liberated city for transgender folks. >> being apart of the grou
allows us to provide more information on the ground. we're allowed to get. and prior to the pandemic, there's always been an issue around language barriers and education access and workforce development. now, of course, the city has been more invested in to make sure our community is thriving and making sure we are mobilizing. >> all of the supervisors along with mayor london breed know that there's still a lot to be done and like i said before, i'm just so happy to live in a city where they see trans folks and recognize us of human beings and know that we deserve to live with dignity and respect just like everybody else. >> being part of the trans
initiative has been just a great privilege for me and i feel so lucky to have been able to serve for it for so far over three years. it's the only office of its kind and i think it's a big opportunity for us to show the country or the world about things we can do when we really put a focus on transgender issues and transgender communities. and when you put transgender people in leadership positions. >> thank you, claire. and i just want to say to claire farly who is the leader of the office of transgender initiatives, she has really taken that role to a whole other level and is currently a grand marshal for this year's s.f. prize. so congratulations, claire. >> my dream is to really look at where we want san francisco to be in the future. how can we have a place where we have transliberation, quality, and inclusion, and equity across san francisco? and so when i look five years
from now, ten years from now, i want us to make sure that we're continuing to lead the country in being the best that we can be. not only are we working to make sure we have jobs and equal opportunity and pathways to education, employment, and advancement, but we're making sure we're taking care of our most impacted communities, our trans communities of color, trans women of color, and black trans women. and we're making sure we're addressing the barriers of the access to health care and mental health services and we're supporting our seniors who've done the work and really be able to age in place and have access to the services and resources they deserve. so there's so much more work to do, but we're really proud of the work that we've done so far. [♪♪]
privately -- owned hotels. >> the community members say this is helpful for them especially for the seniors and families with kids from seniors being able to connect with the family during the pandemic and too watch the news has been really helpful during this time where they are stuck inside and are not able to go outside. for families it is important to stay connected to go to school, to get connected so they can submit resumes to find jobs during the pandemic. [speaking foreign language] >> challenges that might seem for the fiber in chinatown is
pretty congested. the fiber team found ways around that. they would have to do things such as overnight work in the manholes to get across through busy intersections, and i think the last challenge is a lot of buildings we worked on were built in the early 1900s and they are not fitted with the typical infrastructure you would put in a new building. we overcame that with creative ideas, and we continue to connect more sites like this. >> high-speed internet has become a lifesaver in the modern era. i am delighted that we completed three buildings or in the process of completing two more. i want to thank our department of technology that has done this by themselves. it is not contracted out. it is done by city employees. i am proud and i want to take a
moment to celebrate what we are doing. [♪♪♪] [♪♪♪] >> so i grew up in cambridge, massachusetts and i was very fortunate to meet my future wife, now my wife while we were both attending graduate school at m.i.t., studying urban planning. so this is her hometown. so, we fell in love and moved to her city. [♪♪♪] [♪♪♪] >> i was introduced to this part of town while working on a campaign for gavin, who is running for mayor. i was one of the organizers out
here and i met the people and i fell in love with them in the neighborhood. so it also was a place in the city that at the time that i could afford to buy a home and i wanted to own my own home. this is where we laid down our roots like many people in this neighborhood and we started our family and this is where we are going to be. i mean we are the part of san francisco. it's the two neighborhoods with the most children under the age of 18. everybody likes to talk about how san francisco is not family-friendly, there are not a lot of children and families. we have predominately single family homes. as i said, people move here to buy their first home, maybe with multiple family members or multiple families in the same home and they laid down their roots. [♪♪♪]
>> it's different because again, we have little small storefronts. we don't have light industrial space or space where you can build high-rises or large office buildings. so the tech boom will never hit our neighborhood in that way when it comes to jobs. >> turkey, cheddar, avocado, lettuce and mayo, and little bit of mustard. that's my usual. >> mike is the owner, born and bred in the neighborhood. he worked in the drugstore forever. he saved his money and opened up his own spot. we're always going to support home grown businesses and he spent generations living in this part of town, focusing on the
family, and the vibe is great and people feel at home. it's like a little community gathering spot. >> this is the part of the city with a small town feel. a lot of mom and pop businesses, a lot of family run businesses. there is a conversation on whether starbucks would come in. i think there are some people that would embrace that. i think there are others that would prefer that not to be. i think we moved beyond that conversation. i think where we are now, we really want to enhance and embrace and encourage the businesses and small businesses that we have here. in fact, it's more of a mom and pop style business. i think at the end of the day, what we're really trying to do is encourage and embrace the diversity and enhance that diversity of businesses we already have. we're the only supervisor in the
city that has a permanent district office. a lot of folks use cafes or use offices or different places, but i want out and was able to raise money and open up a spot that we could pay for. i'm very fortunate to have that. >> hi, good to see you. just wanted to say hi, hi to the owner, see how he's doing. everything okay? >> yeah. >> good. >> we spend the entire day in the district so we can talk to constituents and talk to small businesses. we put money in the budget so you guys could be out here. this is like a commercial corridor, so they focus on cleaning the streets and it made a significant impact as you can see. what an improvement it has made to have you guys out here.
>> (speaking foreign language.) >> i wanted to wish you a best wishes and congratulations the community has shifted a lot of when i was growing up in the 60s and 50's a good portion of chicano-american chinese-american lived in north beach a nob hill community. >> as part the immigrant family is some of the recreation centers are making people have the ability to get together and meet 0 other people if
communities in the 60s a 70s and 80s and 90s saw a move to the richmond the sunset district and more recently out to the excelsior the avenue community as well as the ensuring u bayview so chinese family living all over the city and when he grape it was in this area. >> we're united. >> and growing up in the area that was a big part of the my leave you know playing basketball and mycy took band lessons and grew up.
>> (speaking foreign language.) >> allergies welcome to the community fair it kicks off three weeks of celebrations for the year and let's keep everybody safe and celebrate the biggest parade outside of china on february 11th go best wishes and congratulations and 3, 2, 1 happy enough is enough. >> i grew up volley ball education and in media professional contrary as an educator he work with all skids whether or not caucasian hispanic and i african-american cumber a lot of
arrest binge kids my philosophy to work with all kids but being here and griping in the chinese community being a chinese-american is important going to american school during the day but went to chinese school that is community is important working with all the kids and having them exposed to all culture it is important to me. >> it is a mask evening. >> i'd like to thank you a you all to celebrate an installation of the days here in the asian art museum. >> one time has become so many things in the past two centuries because of the different did i licks the immigration officer didn't understand it became no
standard chinese marine or cantonese sproupgs it became so many different sounds this is convenient for the immigration officer this okay your family name so this tells the generations of immigrants where they come from and also many stories behind it too. >> and what a better way to celebrate the enough is enough nuru with the light nothing is more important at an the hope the energy we. >> (speaking foreign language.) >> relative to the current
administration it is, it is touching very worrisome for our immigrant frames you know and some of the stability in the country and i know how this new president is doing you know immigration as well as immigrants (fireworks) later than you think new year the largest holiday no asia and china those of us when my grandparents came over in the 19 hundreds and celebrated in the united states chinese nuru is traditional with a lot of meaning. >> good afternoon my name is carmen chu assessor-recorder i want to wish everything a happy
new year thank you for joining us i want to say. >> (speaking foreign language.) >> (speaking foreign language.) >> i'm proud to be a native san franciscan i grew up in the chinatown, north beach community port commission important to come back and work with those that live in the community that i grew up in and that that very, very important to give back to continue to work with the community and hope e help those who may not be as capable in under serving come back and give
>> hello every one. thank you so much for your patience. good morning i am san francisco mayor london breed with dr. colfax giving an update what is happening with omicron because we are anxious to know when is this going to start dying down? good things are starting to plateau. it doesn't mean we take our guard down. even though we are still seeing additional cases, even though our hospitalizations are very
high, we have the capacity to handle what is coming our way, we are starting to see just a number of plateaus and trends from other parts of the country afternoon world show the people ahead of us and the cases skyrocketing. we are paying very close attention. it seems like san francisco is behind all of that. we are following a very similar pattern to other cities across this country. if that is any indication plus with san francisco being 82% vaccinated it is really hopeful for the future and hopeful that we will continue to move forward. we will see some additional improvements as the days go on. i know it has been a very challenging couple of weeks over the holiday season. as we continue to say one of the most consistent things through
out the course of two year pandemic the light at the end of the tunnel is here. we may go through another tunnel but know there is hope and there is light. i am here just to also say because i know that many people are asking a lot of questions. what is going on with testing? what is going on with the tenderloin emergency plan? why are things not moving as quickly? many of us should understand the city and bureaucracy is challenging. keep in mind that we see these numbers of the omicron variant spike. we also see them spike with city employees. a lot of police officers, firefighters, muni drivers, department of public health workers and those at san francisco general are out with
omicron. we are going to continue to experience this challenge for some time. we ask for people to be very patient with us, to know we are doing our best, working to backfill those positions when they are out with over time and the number of other resources. these are the times we are living in. as a result we just have to adjust to our environment. to talk more specifically about where we are with omicron, what to expect for the future and you know the hopefulness when doctor colfax is smiling and excited and hopeful and giving an indication things are going to get better. i know that is what is going to happen. we get to come outside and play, right, dr. colfax? please welcome for an update on the covid-19 omicron variant and
what is happening in san francisco here is dr. grant colfax. >> good morning everybody. thank you, mayor breed for your leadership as we enter the third year of the pandemic. third year. we are seeing covid-19 cases drop relatively rapidly in the city. we can now say that we are on the beginning of the downward trajectory with regard to the surge. latest data showcases peaked on january 9 with seven day average of 2164 cases per day. it has steadily dropped each day since then to 1076 per day on january 12th. this is good news. it has been a rocky start to 2022. hang in there a little longer. the surge is not over yet. hospitalizations which trail the
peak in cases will still continue to go up. fortunately, for now we expect to meet capacity within the healthcare system to take care of people with covid and other healthcare needs in the hospitals. we are urging people to remain particularly vigilant for a little bit longer. cases are still very high. cases are still very high especially compared to prior surges. we all need to get well past this peak. look, i know that everybody is exhausted. let's give gratitude to front line staff who as the mayor said have been working over time to patch together coverage as colleagues become infected and have to stay home. many of them became infected, too. tonight bely, for the vast majority of our cases in the city, cases are mild because people were fully vaccinated
with the first series and for many people they were up-to-date on vaccinations with regard to boosters. at this point, it looks good with regard to making it through. we are likely to make it through the surge and come out in a much better place. it is important to emphasize with case rates so high what we see across the country, the state and locally we are in a far different place than a year ago with our prior surge. we are getting through omicron, the most transmissible yet. it is more transmissible than alpha and delta. we managed to keep hospitals, clinics and essential services open. most cases have been mild or asymptomatic especially for those up-to-date on vaccinations, especially for those who get the booster. we have proven covid doesn't
have to upend our lives even if we have to be vigilant, smart and flexible to adapt to what is needed when needed. as your public health department i want to stress that our goal is not to prevent every case of covid. omicron proved that is not possible. our goal is to prevent the worst outcomes, severe disease. hospitalizations and deaths. with regard to that, i want to ground ourselves in comparison to last year. last year we lost 165 san franciscans to covid in january of 2021. this month to date we have lost five. now we don't know what covid has in store for us, but we do have great defenses against this virus. vaccinations and boosters and i
expect in the relatively near future effective antiviral medication. we know how to layer defenses. during periods with high transmission when we must protect front line workers and vulnerable by masking, testing, improving ventilation. staying home when sick. omicron taught us we have vulnerabilities in the system of care. we need testing to be accessible, affordable and fast to truly use this tool together safely. we are working with our state and federal partners to make rapid over the counter tests easy to come by and requiring the healthcare system partners to step up and do their part with regard to testing as they have done with hospitalization. we anticipate new tools to become available soon such as retroviral medications to better
protect people who are especially vulnerable to severe disease. as we come out of onl omicron we will drop restrictions when and where they may being sense. we acknowledge that individuals have different level of comfort with the risk of covid and because of certain medical conditions. your risk assessment may vary. what you are willing to do with yourself and family may change depending on your risk assessment. individuals may want to adapt to their own risk and comfort level within the conditions stipulated under our health orders. we ask you to be tolerant and work together to make each other feel comfortable and supported. it is certainly possible we will deal with other variants in the future, hopefully, we will be
able to wait covid among the other infectious diseases we have to contend with by not letting them up end our lives. san francisco, thank you for all you have done and continue to do as a city and we will continue to get through this together. thank you. questions? >> i am confused. you are saying that the cases are beginning to fall rapidly downward. the surge is not over? >> well, the cases are still high. it depends if you depend surge as straight up. we are still in the surge. cases are higher than ever before. i just want to make sure that people understand that we are
not out of the woods yet. cases are still extremely high. they plateaued and are going down. they are at a high level. we are looking at data from other places where it had been ahead of us and it showed that cases could go up fast, come down fast. we are on the downward trend. they could go back up. we hope that is not the case. given where we have been for over two years now, i think the point is cases are starting to come down. hospitalizations are still going up. the rate of increase is starting to slow down. the important news is that hospital capacity still remains robust. we still have capacity to take care of people if they have covid or other medical conditions in the hospital system that is a key metric going forward. >> what type of restrictions are
you talking about? >> well, it will be combination of factors we are looking at. it is too premature to speculate the order they would be lifted. we would look at similar processes by which we have lifted restrictions after the prior surges. it is the layered defenses we required. you know we have had the indoor masking back into place. that is something we would look at in other similar restrictions. i don't want to jump too far ahead. we are still at high rates. hospitalizations are going up. they will level off we expect soon. important thing is after having been through the surges we want to be responsive in a way that reflects that we need to live with this virus. we don't want to hold onto restrictions waiting for omicron
or covid to go away. that is not going to happen any more. we will reach a place where covid is endemic. we will live with the virus. our lifting of restrictions will reflect that new reality. [indiscernable] >> the prior boosters is that going to help us? >> i refer you to the healthcare orders with regard to where people are required to have boosters. our point is that omicron has shown that people need to be up-to-date on vaccinations to be as protected as possible from omicron with regard to hospitalizations which is our goal here. getting people access to boosters is key. one of the reasons we have been so successful with the surge is
because we have a high booster rate. 61% of people vaccinated in the city have received a booster and are up-to-date on vaccinations. that is far higher than the national or state average. we want people to continue to get boosters. we will make them available in the healthcare systems including health department and pharmacy partners. [indiscernable] >> it is clearly important that
we have testing capabilities throughout san francisco that people can trust. unfortunately we have had challenges with bad operators. i really applaud the city attorney's office and the city attorney for taking action and paying close attention to challenges that could arise for people taking the situation for granted. >> it is not unchecked power for the police department. the fact is we want to address the challenges of crime in our city. in facts, you know, everyone is now carrying around all of these gadgets, phones, some someone's face in the public. anyone not law enforcement can see everything going on. people from all over the city and when you talk about a situation for example what happened in union square.
the fact that there was a lot of online chatter, our officers were aware and needed another resource through video to observe the behavior and because of our ordinance could not, there are a lot of things that could have been prevented based on information we get. we are not only asking to allow this to happen based on evidence. part of my ordinance is to say we have to also report this information like when this is accessed by the san francisco police department it will be made public, it will be provided to the board of supervisors. if there is a need to do an investigation or anything about why they chose to do it and it t wasn't necessary, that will be dealt with. the goal is to address public safety. the fact we need the tool. responsible use of this tool to
do so. [indiscernable] >> my response is that the voters will decide because we are talking about the fact that, you know, we have major challenges with public safety. when i say public safety not just about theft. it is about assault and the number of people who have been attacked on our streets, the number of people who have been robbed and as salted. we want to make sure that we are using every tool at our disposable responsibly to keep people from san francisco safe. i don't think what i propose in my ordinance is unreasonable in light of everything that has been happening in san francisco. >> the voters of san francisco support you. go forward with it. >> thank you very much. from the mouths of citizens.
>> mayor, could you address the businesses and restaurants in san francisco that have had a lousy christmas. >> everyone had a lousy christmas. >> what words do you have for them for some of the restrictions to be lifted? >> my hope is that yes, as dr. colfax said. we also have a responsibility to follow the state orders. mostly when we look at the data, hospitalization rates, number of people who sadly passed away, it makes it possible for us to potentially remove a significant number of restrictions. i think ultimately regardless of the restrictions that is not keeping people away from these places. it is really not wanting to contract omicron. that is really what people are focused on is keeping distance to not get it. it is highly infectious and
challenging, people are getting it. the good news is that people for the most part are not ending up in the hospitalizations and dying in numbers we experienced this last year before we had access to the vaccine. i am hopeful and optimistic for the future and sadly so many small businesses and restaurants and families and people not able to get together is very, very challenging. my hope is as we begin to reopen and see numbers decline we are careful and go out and support our restaurants. we order pick up from the restaurants and support our small businesses. it is going to take all of us to get through this. part of that is san franciscans doing more to support our businesses. my drycleaner i have been going to the same drycleaner since i
>> by the time the last show came, i was like whoa, whoa, whoa. i came in kicking and screaming and left out dancing. [♪♪♪] >> hello, friends. i'm the deputy superintendent of instruction at san francisco unified school district, but you can call me miss vickie. what you see over the next hour has been created and planned by our san francisco teachers for our students. >> our premise came about for san francisco families that didn't have access to technology, and that's primarily children preschool to second grade.
>> when we started doing this distance learning, everything was geared for third grade and up, and we work with the little once, and it's like how were they still processing the information? how were they supposed to keep learning? >> i thought about reaching the student who didn't have internet, who didn't have computers, and i wanted them to be able to see me on the t.v. and at least get some connection with my kids that way. >> thank you, friends. see you next time. >> hi, friend. >> today's tuesday, april 28, 2020. it's me, teacher sharon, and i'm back again. >> i got an e-mail saying that i had an opportunity to be on a show. i'm, like, what? >> i actually got an e-mail
from the early education department, saying they were saying of doing a t.v. show, and i was selected to be one of the people on it, if i was interested. i was scared, nervous. i don't like public speaking and all the above. but it worked out. >> talk into a camera, waiting for a response, pretending that oh, yeah, i hear you, it's so very weird. i'm used to having a classroom with 17 students sitting in front of me, where they're all moving around and having to have them, like, oh, sit down, oh, can you hear them? let's listen. >> hi guys. >> i kind of have stage flight when i'm on t.v. because i'm
normally quiet? >> she's never quiet. >> no, i'm not quiet. >> my sister was, like, i saw you on t.v. my teacher was, i saw you on youtube. it was exciting, how the community started watching. >> it was a lot of fun. it also pushed me outside of my comfort zone, having to make my own visuals and lesson plans so quickly that ended up being a lot of fun. >> i want to end today with a thank you. thank you for spending time with us. it was a great pleasure, and see you all in the fall. >> i'm so happy to see you today. today is the last day of the school year, yea! >> it really helped me in my teaching. i'm excited to go back teaching
my kids, yeah. >> we received a lot of amazing feedback from kiddos, who have seen their own personal teacher on television. >> when we would watch as a family, my younger son, kai, especially during the filipino episodes, like, wow, like, i'm proud to be a filipino. >> being able to connect with someone they know on television has been really, really powerful for them. and as a mom, i can tell you that's so important. the social confidence development of our early learners. [♪♪♪]