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tv   Government Access Programming  SFGTV  March 21, 2019 6:00am-7:00am PDT

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better understanding safety within the mobility modes and work more with our city family and seeing how safety can be advanced on our city fleets. d.p.h. is the lead on the data system. we were the first city to link and map our hospital data for prioritization on the high-injury network and 13% of city streets with 75% of severe injuries were concentrate. we'll be refreshing that network. doing more to highlight equity issues. focussing on work supporting integration of crash data ny warehouse to effective share the data across departments and also issuing our annual report on severe injuries. we established our research
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collaborative to bring epidemiologists, trauma surgeons and nurses an analysts that representative the -- represent the breadth of the people working this side of it and the funds help us have a great foundation so as for example, scooters were launched under our city streets we were well poised to develop tracking systems to help evaluate the impacts of these new mobilities. finally measure progress is critical for our strategy. we have a number of key metrics and we'll do work this year to make them more publicly transparent on our vision zero website. i work closely across agencies on the monitoring and i wanted to conclude to acknowledge that really an over arching theme is
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our vision zero core team cannot do this alone. it's an ambitious goal that requires city, community partner and working with our state and regional partner to advance the proven policies we know are required. i wanted to okay knowledge the staff across many divisions in the department i have the honor of coordinating with vision zero and i have on my co-chair and ryan reef -- reeves who recently had a little boy and is not here today. i'm happy to respond to questions. >> commissioner: we have one public speaker. cathly delucca. >> she had to leave. the bay area family for safe streets meets tonight and that meeting started.
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>> commissioner: thank you for your presentation. commissioners, questions. >> this is a good report. i appreciate you coming and giving it to us on an annual basis. i have a question and comment. comment has to do with i spend a lot of time in the fillmore and on mission street and valencia street. on fillmore street there's a couple spots where it goes first and then people can cross and they're able to get across the street. how does m.t.a. to determine where to put those because fillmore and pine is a raceway and doesn't have a delay nor community. how do you determine or make
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decisions on the timed lights. >> i'm so grateful to be able to co-lied an issue like this. >> i'm the traffic engineer with the sfmta. we tall -- call them leading pedestrian intervals. typically four sessions before we bring up the concurrent green. we have a large retiming project concentrated in the northeast quadrant of the city including the western addition, fillmore, knob hill, tenderloin touching approximately one-third of our signals city wide and they'll be getting l.p.i.s for the crossings. we started implementation and we're on track for another year, year and a half to retime all 400 traffic signals. our standard right now is to
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install an l.p.i. by default when we touch a traffic signal unless there's a compelling reason. we have to balance the need of tra transit versus pedestrian but on the whole we're installing city wide. >> work with james and i'm the pedestrian program manager. important to note is those are part of a toolbox proven to save lives and we use the high injury network as our baseline where we put most of our energy in funding. >> commissioner: thank you. commissioner green.
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>> do you have data on the extent where the accidents involve mobile devices and if drivers are looking at the phone in the middle of their dashboard figuring out which way to go and they're distracted though they're not conversing on the phone or texting per se. have these companies stepped up and volunteered to work collaboratively with you and how much would be regulation versus collaboration and what about data on the issue of texting and driving. >> the issue of texting and driving data i'll start with first is not easily kept. by law enforcement it's not easily captured and the only way to assess it is with a search
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warrant and it's a concern but not well studied. we worked on a campaign and despite lack of data it's been a focus of national and state education outreach initiatives. we worked with them to use the best available data to inform the work. >> we would love and welcome any collaboration we could have with the many drivers on the road for uber and lyft and any other transportation network company. we've been providing them with driver training videos for them to provide to drivers.
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we continue to work withing them -- with them go to other mobility services and bike share systems. we're hopeful they'll be partner at the table. that said, we can't regulate their vehicle so whether their vehicles are safe, we can't regulate whether the drivers have been provided with any training or regulate the drivers on the street in a given time. they're things we think are critical to safety and the ability they be interested in collaborating, we're available and otherwise we're looking for local regulatory authority. >> commissioner sanchez. >> i want to congratulate you on the efforts and positive changes. i want to mention a couple things. i suggested and there's concerns
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for a number of folks including many of us, we're talking about w.g.c. and the school of the art. you is the 48 this way and traffic and people crossing. and red light when you're going by laguna honda or y.g.c. you'll have the busses stopped. the kids will get off and some kids, not all kids will cross immediately behind the bus, in front of the bus and stop traffic. bikes will go through the kids whatever. and then have you even some of the lyft drivers letting passengers off right there in the crosswalk. you see people going where do we
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walk now. it's a real challenge. there were flashing lights and then it went back to normal and have you people not stopping and people going through and even seniors trying to run across the street in between to get to the other side because they know they'll have to wait a while. we go to laguna honda where we lost a reporter in the crosswalk where you walk from laguna honda to the muni lines laguna honda and then you have to cross over and that's where the cars come around and though it says you don't turn right on red, some do
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and many patients there and is there a way to say that's a real zone we need to take a look at? we brought it up before and if you put a walkway over, no. but something needs to be done whether it's enforcement and not by y.g.c. but there's real potential areas we need to be concerned about and i want to say i know you've been doing great parts but these are scary as we look at public safety and vision zero, etcetera.
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hopefully we continue to think creatively whatever it is to resolve that. >> you're hitting on to local tools that can address those issues and a lot of what you also described are congestion or issues with uber and lyft and speeding. as we're working to do what we can to look at the micro level these can help address the issues on a city wide scale. >> commissioner: commissioner bernal. >> thank you for the presentation. this is an area of great concern. most of us know somebody who's been killed cutting mr. carasco we lost earlier this year. are there traffic calming or
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other strategy could be put in place we're not considering or there are barriers to using them in san francisco or are we employing every possible strategy out there? >> with respect to traffic engineering engineering improvements there's certain ones that are dictated by certain street conditions. i think san francisco, i know san francisco is leading wing implementation of different traffic calming measures and innovative improvements. to the extent that's a response to your question and involved and there's transportation officials and our sfmta is
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leading and rethinking how urban streets can protect the most vulnerable. >> commissioner: i'm reminded we had a motion to support the automatic ticketing of the red lights that was a state issue to which we have no control. we're still fighting that, right? >> this year the state a zero deaths task force to advance the issues but it's not going as fast we'd hoped and looking at automated enforcement etcetera to be discussed and we hope to be back next year to have a resolution to move forward with the policy.
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>> commissioner: i was hoping commissioner bernal can help. >> commissioner: i do have a concern that's perplexing. the system in chinatown on stockton street i think has worked very well. i was watching it this week. people don't cross unless they get the opportunity for the most part. it used to be theri it was running -- it was running across the street because the traffic was all porch it's ironic, stockton street is almost empty because of construction and that could be a time people could cross and they're not. i think people have been trained to really wait for the slides.
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its also helps there's a traffic monitor on each corner being managed by the construction people on the subway. recently there's been new lights at pedestrian crossings sometimes at the middle of the street. one at the diamond heights shopping center. this is kind of confusing as a driver you don't know anybody's there. it may be something new. i'm wondering what the intent is because the lights flash and nobody's in the crosswalk which might lend people to ultimately ignore these. it is a new feature and i'm trying to figure out how it's
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functioning. >> it's called a hawk signal. it's a human activated sorry, a reg -- sorry, a rectangular flashing beacon and they're activated by a person there. traditionally in most the signals in san francisco especially in the downtown in chinatown we assume someone is there who wants to go and deserve the opportunity to go and we say go ahead. in other areas of the city there may not be a pedestrian there at every cycle. it's intended to tell cars there's somebody in the crosswalk and nay ned to stop. however, we've heard concerns about the beacons. i'm hearing new things on the street and we're constantly
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evolving our state of practice at m.t.a. if you prefer to the strategy -- refer the strategy. there's new videos about tools you're seeing on the street and we'll promote it through social media. i know that i last went to a d.m.v. for a driving test 20 years ago and i'm relatively young. i can only imagine how many people are there who haven't taken a test on the d.m.v. and we encourage anyone watching to check out our videos on driving in today's s.f. and we'll promote that gut in general, if you see red, stop. if it's yellow, it means proceed with caution. that's our typical rule of thumb. >> i want to add one thing.
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that's a legitimate concern we time the flashing light sequence for the slowest walker two and a half feet per second somebody with disabilities an elderly and a more able-bodied walker walking at a faster speed is long gone and we want to ensure they're active for vulnerable users who are crossing. >> i'm sure with good intent i'm concerned people driving might find since many times it's empty they may ignore them. >> it is nice to see the entire report. there are many things that you're in the process of doing and i think what you have shown
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is much of the work you're doing is showing results. we can only continue to encourage and support the vision zero program here. >> thank you. >> commissioner: it's thor for the safety of pedestrians and drivers. dr. chow. >> it's often hard to get within the department different groups working together and produce a positive outcome because of all the difference pieces. this is a remarkable example of different departments in the city working together with an equity-focussed outcome goal and i think this is not just inherently valuable in the work being done but an example of how departments across the city can work together in different and new ways in order to further the public health goals and other shared goals of our communities.
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i'm proud of the work that's being done here. in my short tenure this is an inspiring initiative and proud the department is a good partner in this work. >> commissioner: thank you. i think director colfax is right. there's many initiatives. you're one of the two we came up with including the one on the incarceration of the jails. we're going need that same type of collaboration across our departments and e.m.s. with that attitude and if we can get the city continue to work together collaboratively the city will benefit and our department will be able to continue to do the work it needs to do. thank you. thank you very much. we appreciate all the work you're doing and we'll remember you as we look at all the
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flashing yellow, red and once in a while a grown light. -- green light. >> item 10 is other business. >> commissioner: other business? >> clerk: you have the calendar before you. there's no surprises or anything to mention other than what's before you. >> commissioner: well, we have the calendar before us. does anybody wish to add anything to the calendar or any items before we go on to our next report? seeing none, we'll move on. >> clerk: item 11 is the report back from the march laguna honda meeting. >> our g.c.c. met march 12 at laguna honda. the first was the executive administrator's report in which we discussed a number of issues range from diversion to safety to c.m.s. responses.
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many have taken 18 months to respond because it was back and forth and it covered the whole number of issues that had been from different sections of the c.m.s. group. that was presented and discussed and reviewed. we also had an excellent presentation of the safety prevention program and injuries and workplace violence. we had further on the epic implementation and had discussions including the collaboration with faculty with sfgh and laguna honda and a great deal of discussion on what we'll be doing and approved the hospital-wide policies and procedures and updated which have taken three and a half year to what our standards should be
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based on the federal and state requirements. in closed session the committee approved the credentials report and additional matters were discussed but not voted upon. we adjourned in memory of our reporter, josé carasco who was killed and we heard it was a fatality there. it was last year our director was injured in a pedestrian crossing at golden gate park where three intersections crossing three stop lights and three stop signs and she was injured and fractured. the main thing is everybody again is part of a village and
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everybody there was supportive services in the director's report. thank you for including that because it shows how everyone within the department think about our staff when bad things happen especially a young family with three children. we adjourn on that and that completes my report unless any of our two colleagues who were there would like -- >> thank you for chairing an important committee meeting. >> clerk: a motion for adjournment is in order. >> commissioner: those in favor? opposed? this meeting is now adjourned.
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good morning. thank you all for being here and i'm happy to be join bid supervisor from district ten and our new director of the department of public health. also here are the people from my office working tirelessly to help protect another generation
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of san francisco youth from becoming addicted to ecigarettes. that has been lead my chief deputy and chief of strategic advocacy, sarah eeisneburg. in december, the u.s. surgeon general, jerome adams, issued a warning of the epidemic of ecigarette use and called this a cause of great concern. know the risks, take action, protect our kids. he was absolutely correct and we're heeding that warning. today we are taking action to protect our young people. the steps we are taking are necessary and all the more urgent because another arm of the federal government has failed to do its job. the food and drug administration is the entity responsible for revealing new tobacco products
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to determine whether they are appropriate for the protection of public health. by law, before a new tobacco product goes to market, the fda is supposed to conduct a review to evaluate risks and benefits of the product on the population as a whole. that's common sense. if the fda determines this poses a threat to public health, it should never hit the shelves. inexplicably, in the case of ecigarettes,s that has not happened. despite the fact in 2016, the fda deemed this a product subject to the jurisdiction. these products were on the street even though the premarket reviews have never been done. in fact, fda has given the ecigarette industry a pass. for no clear reason, they have given the nicotine companies until 2022 to apply for a premarket review. the result is that millions of
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children are already addicted to ecigarettes and millions more will follow if we don't act. until recently, we had made great strides in reducing youth tobacco use. the percentage of youth was an all-time low in 2017. there had been a generation of success, kid wer kids were gettf of nicotine. but last year, according to the centre for disease control and prevention, tobacco use among youth rose for the first time since the 1990s. this dramatic reversal is directly attributable to the nation-wide surge in ecigarette use by talents. adolescentses. the use in 2016 increased 14% and 4.9 million america students reported they were using tobacco products up from 3.6 million
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students in 2016. use of ecigarettes increased by 27% for high school students and 48% for middle school students. nearly five million american students were using tobacco products. that's a generation of kids, addicted kids facing lung cancer and heart disease and thousands will likely die of preventible diseases if we don't act and that's not high perso hyperbole. tobacco kills more than 480,000 people a year. that's more than aids, alcohol, car accidents, illegal drugs, murders and suicides combined. that is why we're acting now to reverse the tide of ecigarettes. let's be clear, they're product is addiction. they're in the business of getting people addicted or
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keeping them addicted. a relatively small number of adults may switch switc from ant useful to turn another generation of kids into addicts and it's up to a government like san francisco to protect our children and today we are announcing we're taking four concrete step. first, san francisco along with the city of chicago and the city of new york sent a letter to the fda that demands that the fda do it's job. we are jointly telling fda to immediately conduct the required public health review of ecigarettes that by law was supposed to happen before these products were on the market. a companion letter includes a rey for the fda to turn over records to my servic office so n francisco can determine if we need to take legal action if
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they don't take the public required health review. second, we can't wait on the fda to act. so in coordination and partnership with supervisor walton and i want to thank him for his leadership and vision on this issue, we are introducing today ground-breaking legislation at the board of supervisors to prohibit the sale in san francisco of any ecigarettes that has not undergone pre-fda market review. my ecigarette that has not received fda premarket review cannot be sold at a store in san francisco or bought online and shipped to a san francisco address. this is not an outright ban on ecigarettes. it's a prohibition against any ecigarettes. so far none have been through the review process required by
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law. this is a prudent step to know the health and safety implications of products sold here. if the fda has an not approved it and reviewed it, it shouldn't be sold in san francisco. third, on a more local level, we're introducing a separate piece of legislation today, again in card natio in coordinah supervisor walton. this would protect the sale and manufacture of all products including in sanfrancisco, including port property. fourth, my office as part of our review of juuls, operations sent notice to juul seeking an explanation for why juul holds a license when it maintains it does not engage in sale or
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cigarette products on the premises. san francisco has never been afraid to leave and we're not afraid to do so when the health and lives of our children are on the line. with that, i would like to turn it over to supervisor walton, who has been a fearless partner and visionary leader both on the school board and now on protecting our city's youth. >> first, i want to thank the city attorney for his fierce leadership on this. i am really sick and tired of the predatory practices for our young people where people are tryintrying to set them up for d habits for a lifetime. this has to stop and ecigarettes are contributing that. when we passed prop 10 in 19198, which wa1998go out and educate t preventing tobacco use, preventing nicotine addiction and we showed record numbers that we were able to do that and
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accomplish that. and now we have more predatory practices going after our young people and this, again, has to stop. so i want to thank the city attorney for his leadership on this. as you know we're going to be announcing legislation at this afternoon's meeting. you've heard a lot of the data in terms of the change and shifts from winning people off tobacco to having more and more young people using tobacco and nicotine products. i want to say this, that ecigarettes have been targeting our young people with their colours and their flavours and enticing adolescentses and this is pulling them forked nicotine addiction. we have people addicted to nicotine who would never have smoked a cigarette had it not been for the attractive products that target our young people. so we can see and understand why it's so important to make sure that if things are not approved by the fda, if products have not
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been given the stamp of approval by the government, then we know they're not safe and until the fda does that, we have to make sure that these products are not sold in our stores here in san francisco. the city has already enacted ordinance 140-117 prohibiting retail establishments from selling flavoured tobacco products. ecigarettes are flavoured nicotine products. nicotine is what addicts all of our young people and addicts everybody. it is the addictive chemical in tobacco and nicotine and the effect of nicotine is what we have to combat as well. until the fda rules on approval of ecigarettes, we need to prohibit all sales for anyone under the age of 21 and anyone here in the city and we need to make sure that we have a ban on selling products, vaping products on any city property here in san francisco.
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what juul is doing is irresponsible and claimed to not be a part of the tobacco industry. i meant with them and they swore up and down they were not connected to the tobacco industry and a week and a half later, they merged with a tobacco company. therefore, not only are they not truthful but irresponsibly focused and working to addict young people on nicotine products so they will be long-time users of nicotine products to make a profit and harm their health. we won't stand for that and that's why we'll fight har in san francisco to avoid predatory products to our young people. i want to thank you all for coming out and we will combat this towards our young people. thank you. >> thank you, supervisor walton. i would like to ask our new director of the department of public health, dr. grant kofax
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to say a few words, as well. >> well, thank you. i just want to reiterate this is a major step forward for public health in san francisco, continuing the leadership that san francisco has historically shown in addressing major public health issues. i want to offer my gratitude to city attorney herarra and we know this has been reiterated in the remarks today, that mechanic teethat nicotineaddiction is das damaging affecdamaging effects s brain and it's attracting a whole different generation the youth to nicotine. we know that tobacco is the greatest cause of preventible deaths in this country. ecigarettes are responsible for the increasing levels of tobacco use that we're seeing in youth.
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we know that we need to do better. we need to turn this epidemic around. ecigarettes are a gateway drug to tobacco use and that has been shown in numerous studies. so we're here not only addressing the numerous affects being addicted to a substance, the direct effects on nicotine but taking a major step in that gateway from ecigarettes addiction. this is going to save hundreds, if not thousands of lives in san francisco and is a major step forward in breaking this epidemic. again, i'm grateful from the health department's perspective. this is a move in the right direction and major policy advance and the health department is very supportive of that. thank you. >> thank you, dr. kolfax and with that, we're happy to take any questions anybody has.
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>> is won't happens to the establishments that has the products on the shelves? do they take them down? >> we have to go through the legislative process and i have every confidence that supervisor walton will sheppard this legislation through as quickly as possible. once that legislation passes and works with the final product, then, yeah, until such time as the fda gave its premarket review and approval, there would not be allowed in either a hard brick and mortar store the sale of distribution manufacturer of ecigarettes and you wouldn't send it online until one or the other products had received the premarket review by the fda.
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>> so would this be two months, six months? >> it will be introduced today and we'll be working hard with colleagues to make sure this becomes law. when it does become law, it will take affect 30 days after this is complete. with that said, we'll be working hard to move as fast as possible. i can give you a better answer and response in a couple of weeks. >> why do you all think that the federal government has given a pass to ecigarettes so far and what is the power in strength in numbers? san francisco and chicago all pleading with the ftda to crack down on this. >> i can't answer for the fda but it's pretty darn expoliticcable they have failed to act. the tobacco control act was passed in 2009 and in 2016, the fda said that these products were subject to fda jurisdiction. yet, they said that they didn't
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have to first file their premarket review until 2018. and then they extended that to 2022. in the meantime, we've known that ecigarettes, we're talking about 15 years with no premarket review for a product that we know is addicting our kids, a whole other generation of kids to a deleterious drug threatening public health and safety. it is inexplicable and inexcusable to me that the fda has failed to act. the fact that we got chicago and new york to sign this letter in no time should be a message to the federal government that municipalities and localities are not going to tolerate this and we're going to act as quickly as we can to protect our young people. i have no doubt that as a result
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of today as action, both that letter and legislation, you will see other jurisdictions step up to demand action from the federal government. if we can't expect that the fda will protect the health and safety of our young people, then i don't know what the function of the fda really is. so hopefully they'll get the message. >> in terms of targeting juuls, would this grandfather them in? will they continue do what they do there. >> good question. under the terms of their -- they have a sublease down at the port and they have said that they are not manufacturing, distributing, doing anything through that facility. at this point, we don't have any evidence that they are in violation of the terms of their lease agreement. but that's why i sent the
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insmith demantheinspection demae it's areas they havit's curioust doing any sale on property. if i find they're in violation, i would take action of breaking the terms of their lease. but the legislation that supervisor walton is championing with respect to what is occurring on port property will enshire we will never have a similar circumstance that we have a company like this operatinoperating on similar pr. >> this should be a message to juul or any other corporation that thinks they can come into san francisco and operate in accordance that is against our values here as a city and so, this legislation is going to be focused, of course, and making sure this never happens again on any city property but it's also a warning to juul. it's also a statement to juul that we don't want them here. we don't want them in our city
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and so we're going to be fighting to make sure that we figure out and learn if there's anything that they're doing that is not in accordance with san francisco laws and regulations. >> would you eventually want to see juul leave the city? >> i would like for them to have been gone yesterday. we have been clear about that and our neighbors have been clear about that and we definitely would like for them to conduct business somewhere else. >> so excuse me, when the city signed a contract with juul, did they not know what the company did or why did they enter into a contract with the company? >> the city didn't enter into a contract. there's a massive lease developer at pier 70 that had a lease with another tenant and as part of that, there was a sublease between juul and that tenant and under the terms of the agreement that we had with master developer, there were certain rights that were given up by the city unless there was
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certain milestones and square footage. so we didn't know about it and weren't aware about it but it has been a lesson learned about how it is that the city engages with massive developers. i can assure you and i'm supervisor walton will, as well, this is a circumstance that will not happen again. >> any other questions? >> thank you very much. [ ♪ ] we spoke with people regardless of what they are. that is when you see change.
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that is a lead vannin advantage. so law enforcement assistance diversion to work with individuals with nonviolent related of offenses to offer an alternative to an arrest and the county jail. >> we are seeing reduction in drug-related crimes in the pilot area. >> they have done the program for quite a while. they are successful in reducing the going to the county jail. >> this was a state grant that we applied for. the department is the main administrator. it requires we work with
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multiple agencies. we have a community that includes the da, rapid transit police and san francisco sheriff's department and law enforcement agencies, public defender's office and adult probation to work together to look at the population that ends up in criminal justice and how they will not end up in jail. >> having partners in the nonprofit world and the public defender are critical to the success. we are beginning to succeed because we have that cooperation. >> agencies with very little connection are brought together at the same table. >> collaboration is good for the department. it gets us all working in the same direction. these are complex issues we are
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dealing with. >> when you have systems as complicated as police and health and proation and jails and nonprofits it requires people to come to work together so everybody has to put their egos at the door. we have done it very, very well. >> the model of care where police, district attorney, public defenders are community-based organizations are all involved to worked towards the common goal. nobody wants to see drug users in jail. they want them to get the correct treatment they need. >> we are piloting lead in san francisco. close to civic center along market street, union plaza, powell street and in the mission, 16th and mission. >> our goal in san francisco and
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in seattle is to work with individuals who are cycling in and out of criminal justice and are falling through the cracks and using this as intervention to address that population and the racial disparity we see. we want to focus on the mission in tender loan district. >> it goes to the partners that hired case managers to deal directly with the clients. case managers with referrals from the police or city agencies connect with the person to determine what their needs are and how we can best meet those needs. >> i have nobody, no friends, no resources, i am flat-out on my own. i witnessed women getting beat, men getting beat.
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transgenders getting beat up. i saw people shot, stabbed. >> these are people that have had many visits to the county jail in san francisco or other institutions. we are trying to connect them with the resources they need in the community to break out of that cycle. >> all of the referrals are coming from the law enforcement agency. >> officers observe an offense. say you are using. it is found out you are in possession of drugs, that constituted a lead eligible defense. >> the officer would talk to the individual about participating in the program instead of being booked into the county jail. >> are you ever heard of the leads program. >> yes. >> are you part of the leads program? do you have a case worker? >> yes, i have a case manager. >> when they have a contact with a possible lead referral, they
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give us a call. ideally we can meet them at the scene where the ticket is being issued. >> primarily what you are talking to are people under the influence of drugs but they will all be nonviolent. if they were violent they wouldn't qualify for lead. >> you think i am going to get arrested or maybe i will go to jail for something i just did because of the substance abuse issues i am dealing with. >> they would contact with the outreach worker. >> then glide shows up, you are not going to jail. we can take you. let's meet you where you are without telling you exactly what that is going to look like, let us help you and help you help yourself. >> bring them to the community assessment and services center run by adult probation to have assessment with the department
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of public health staff to assess the treatment needs. it provides meals, groups, there are things happening that make it an open space they can access. they go through detailed assessment about their needs and how we can meet those needs. >> someone who would have entered the jail system or would have been arrested and book order the charge is diverted to social services. then from there instead of them going through that system, which hasn't shown itself to be an effective way to deal with people suffering from suable stance abuse issues they can be connected with case management. they can offer services based on their needs as individuals. >> one of the key things is our approach is client centered. hall reduction is based around
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helping the client and meeting them where they are at in terms of what steps are you ready to take? >> we are not asking individuals to do anything specific at any point in time. it is a program based on whatever it takes and wherever it takes. we are going to them and working with them where they feel most comfortable in the community. >> it opens doors and they get access they wouldn't have had otherwise. >> supports them on their goals. we are not assigning goals working to come up with a plan what success looks like to them. >> because i have been in the field a lot i can offer different choices and let them decide which one they want to go down and help them on that path. >> it is all on you. we are here to guide you. we are not trying to force you to do what you want to do or change your mind. it is you telling us how you want us to help you.
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>> it means a lot to the clients to know there is someone creative in the way we can assist them. >> they pick up the phone. it was a blessing to have them when i was on the streets. no matter what situation, what pay phone, cell phone, somebody else's phone by calling them they always answered. >> in office-based setting somebody at the reception desk and the clinician will not work for this population of drug users on the street. this has been helpful to see the outcome. >> we will pick you up, take you to the appointment, get you food on the way and make sure your needs are taken care of so you are not out in the cold. >> first to push me so i will not be afraid to ask for help with the lead team. >> can we get you to use less
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and less so you can function and have a normal life, job, place to stay, be a functioning part of the community. it is all part of the home reduction model. you are using less and you are allowed to be a viable member of the society. this is an important question where lead will go from here. looking at the data so far and seeing the successes and we can build on that and as the department based on that where the investments need to go. >> if it is for five months. >> hopefully as final we will come up with a model that may help with all of the communities in the california. >> i want to go back to school to start my ged and go to community clean. >> it can be somebody scaled out. that is the hope anyway. >> is a huge need in the city.
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depending on the need and the data we are getting we can definitely see an expansion. >> we all hope, obviously, the program is successful and we can implement it city wide. i think it will save the county millions of dollars in emergency services, police services, prosecuting services. more importantly, it will save lives.
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>> the renovation of balboa park, the oldest in the city of san francisco, and now it is the newest part in the city of san francisco. through our partnership, and because of public investment from the two thousand eight fund, we are celebrating a renewal and an awakening of this park. we have it safer, happier, more joyous. >> 3, 2, 1, [laughter] =--[applause]
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>> it is a great resource for families, to have fun in the city, recreation. >> this is an amazing park. we have not revitalized it without public and private investment. the critical piece of the process of this renovation was that it was all about the community. we reached out to everyone in this community. we love this park dearly and they all had thoughts and ideas and they wanted to bring their own creativity and their personality to bear on the design. what you see is what the community wanted. these ideas all came from the residents of this community. as a result, there is a sense of ownership, pride and responsibility that goes along
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with what is going to be an exciting park. >> ladies and gentleman, the chair has called the meeting to order. turn off your electronic devices. can you please rise for the pledge of allegiance. >> i pledge allegiance to the flag of the united states of america and to republic for which it stands. >> good evening, everybody, this is the march 202,019th meeting of the san francisco police commission. we have a heavy closed session so i'll limit public comme