Minutes of the Special Health Commission Meeting
Tuesday, January 27, 2004
at 4:00 p.m.
Ingleside Community Center
1345 Ocean Avenue (at Plymouth)
San Francisco, CA 94112
1) CALL TO ORDER
President Chow called the meeting to order at 4:20 p.m.
- Commissioner Edward A. Chow, M.D., President
- Commissioner Roma P. Guy, M.S.W., Vice President
- Commissioner Lee Ann Monfredini Ė left at 6:00 p.m.
- Commissioner Harrison Parker, Sr., D.D.S.
- Commissioner Michael Penn, M.D., Ph.D.
- Commissioner David J. Sanchez, Ph.D.
- Commissioner John I. Umekubo, M.D.
2) OVERVIEW OF DISTRICT DEMOGRAPHICS AND DEPARTMENT OF
PUBLIC HEALTH SERVICES TO THE OCEAN-MERCED-INGLESIDE (OMI) AND EXCELSIOR
Jim Soos, DPH Policy and Planning, gave an overview of the District
11 demographics and health data (Attachment A). This analysis is based
on data from the 94112 zip code, which encompasses the majority of
District 11. The presentation also included a summary of the DPH
programs that serve the OMI and Excelsior communities. Mr. Soos had two
corrections: the OMI Family Center is not a contact program; and the
AIDS Office does not have a contract with OMI Family Center. Mr. Soos,
other DPH staff and community members added other neighborhood serving
programs to this list:
- Hip Hop to Health Clinic
- AIDS Office funds prevention services at City College and the Balboa
- Silver Avenue Clinic (while not in District 11, it serves many
- Laguna Honda Hospital Adult Day Health Center outreaches to the OMI
and has vans that transport people from the neighborhood to the program
- African American Health Initiative encompasses OMI, and has a number
of programs in the area,
- The Nia Ujima OMI Wellness Center on Randolph Street, which is a
collaborative with the Ocean Park Health Center and the nurse-managed
clinic and focuses on diabetes and heart disease for people 18 years and
- Prostate Outreach and Breast Cancer Outreach
Community members at the meeting expressed concern and disappointment
that the other zip codes that are part of the OMI, specifically 94132
and 94127, were not included in the analysis. Commissioner Penn asked
that staff culminate the same demographics for these two zip codes.
3) PUBLIC TESTIMONY ON THE HEALTH NEEDS OF THE OMI AND EXCELSIOR
- Nyree Monroe, Executive Director, I.T. Bookman Community Center, said
the 94132 zip code has a large number of children. The Hip Hop to
Health Clinic is located between two schools and provides much-needed
services, including immunizations. The clinic is open one day a week.
She said the Hip Hop Clinic is never on the radar screen, and she and
others have to constantly fight to maintain the clinic. There are not
enough services in the OMI and when staff makes referrals, they are to
services outside of the district. In response to a question from
Commissioner Chow, Ms. Monroe said that they serve approximately 10
clients a day at the clinic. There is both a scheduled clinic and a
- Reverend Terry McGray Hill, Pastor, Wright Chapel AME Church, said
that a number of organizations in the OMI need places to refer people
to, and there are not enough services in the community. The OMI Family
Center only serves the most severe cases. There are no outpatient
services. AACHIE and the Seven Principles Project do work with the
community and faith-based organizations, but there are not enough
services. She also pointed out that if the 94132 zip code were included
in the District demographic analysis, the African American
representation would increase dramatically.
- Agnes Morton, OMI Community Action Organization and SNIG, said the
department needs to make sure that 94132 is included in any analysis of
the OMI community because community members work hard to make sure this
neighborhood is not considered an appendage. OMI has long been
underserved and in some instances downright neglected by city services.
It is the only community without a primary care clinic. DPH should not
expect OMI residents to travel to Ocean Park for their health care.
Further, the Ocean Park clinic is not culturally competent for African
Americans. There are many seniors in the neighborhood in need of health
services, chronic disease management and transportation. The Hip Hop
Clinic has a cardiovascular disease prevention program. Ms. Morton
thanked the Commission for the African American Health Initiative. The
community has never received funding from Community Substance Abuse
Services, even though there has been a problem for years. Also, there
needs to be evening hours for food pantries and clinics. Residents work
during the day.
- Farah Dews, AACHIEís Community Empowerment Center, said OMI has a lot
of violence, just as much as Bayview. He would like the Department to
fund violence prevention programs for the community. The OMI has no
programs. Other areas get a lot of funds, but OMI has no programs and
no funding for youth. The city leaders do not look at problems in OMI.
The community has some angry youngsters and there is a serious problem
with youth segregation, block by block. Violence is a health issue and
DPH must fund violence prevention. He also stated that youth need to be
involved in the Health Commissionís community meetings. Commissioner
Monfredini asked what specific programs youth are looking for. Mr. Dews
said he works at the Stepping into Manhood program at the community
empowerment center in Hunterís Point. The OMI needs a similar program.
He works with approximately 15 people at any one time for a couple of
months, providing job counseling and information, GED assistance and
help getting people to college. He said there is a problem with the
Probation Department that resulted in a youth getting killed.
- Margie Cherry, Faith Based Coordinator for AACHIE, said that a lot of
congregants are seniors who are afraid to go out and cannot get to
services. The community needs more funds. Children die from violence,
and low-income families are not eligible for programs because their
incomes are just above the limit. Cabs will not come to the
neighborhood and busses do not come, so people cannot get to their
appointments. She needs more help. She has contact with 23 churches.
The time for talking in meetings is past. What the community needs now
is more money and more programs. Donít just listenógive money.
- Ronnie Naiker, Ocean Avenue business owner, said successful small
businesses work with the community, for example donating health
supplies. So DPH should help small businesses and this, in turn, will
help the entire community.
- Cati Hawkins-Okori, Critical Incident Response Team (CIRT), said CIRT
provides services to families of homicide victims. Her program focuses
on the southeast sector of the city and there are not enough resources
to serve OMI. The newly unveiled poster of homicide victims included
two people from OMI whose families CIRT could not work with. They need
more money to expand and add staff, particularly male staff. The
Department is working with Family Mosaic to develop a model similar to
the fire response team, which will bring more resources together.
- Mary Harris, OMI Neighbors in Action, said she hopes this is not a
meeting where ideas are heard then put on a shelf. The community
desperately needs the OMI Family Center, which was on the chopping block
last year. Clients are not capable of going to SFGH. Her son has a
mental illness and was served by the OMI Family Center. After nine
months of services, he had a part time job and now he has a fulltime
job. If he had to go by bus or otherwise to SFGH, it would never have
worked. There must be community-based services in the community.
- Commissioner Monfredini asked what services could be provided to
prevent the domino effect of further violence that often happens with
homicides. Mr. Dews said the key is intervention through anger
management and talking to the individual. Revenge is often the
mentality and a person needs to open up, talk to someone and grieve.
But the people will not talk to just anyone. It needs to be with
someone they have a relationship with, so the programs must be staffed
with people from the community. Ms. Monroe said that the cycle must be
stopped much earlier. Get people jobs, off the streets, and into
programs. Ms. Morton suggested duplicating the AACHIE Community
Empowerment Center in OMI, and use existing services such as I.T.
Bookman and fill in the gaps with other programs. Ms. Hawkins-Okori
suggested Peacekeepers. Mr. Dews said services need to be youth
friendly. The youth need to like the activities; otherwise they will
get bored and leave. He recommended a recording and production studio
where youth can create public service announcements. One woman (name
not given) said when the city looks at funding, it needs to look at a
holistic picture. Also, the African American community is very
spiritual, and people who will not go to a psychiatrist will go to a
pastor, so must consider faith-based services. Commissioner Monfredini
thanked everyone for coming to the meeting. The Commission does not
often get the opportunity for this kind of dialogue.
- Commissioner Guy said it is hard to hear about the tragedies then put
them in the context of the tough budget times. We need to work together
to develop community priorities so that they can be funded. She asked
the neighborhood for ideas about traffic and pedestrian safety.
Reverend McCray Hill said the residents have been vocal about their
needs in this area with results such as traffic bulb outs. She also
said the City has talked about Paratransit services for the community
because of the neighborhood topography, but there is no money, so people
- Commissioner Sanchez said a number of years ago there were gang
prevention programs funded through Recreation and Park and community
foundations. But through years of cutbacks, these successful programs
have gone away. Mayor Brown brought all department heads together at a
community meeting to talk about violence in the Mission, and this had
successful outcomes. The Health Commission needs to share the issues
raised at this meeting with other departments and commissions, and
approach these problems cooperatively and comprehensively, because we
are losing ground.
- Commissioner Guy said it is important to the Commission to come out
to OMI. She has heard criticism that this is an underserved area and
she wanted to hear more from the residents.
- Commissioner Umekubo expressed appreciation at all the testimony.
The commissioners are concerned about health, and understand that there
are so many other factors that go into a healthy community.
- Commissioner Parker thanked the community for welcoming the
Commission. There always seems to be a lack of funding, a lack of
personnel, etc. Our greatest resource is our ability to change the
human spirit. If there is not a spirit of equality and respect, there
will never be enough resources to meet our goals.
- Commissioner Penn said the fact that the OMI was not encompassed by
the demographic analysis illuminates the need to be out in the
community. He said the Health Commission does more than just listen; it
is action-oriented. But resources are scarce, so we will have to work
together. He summarized the action items as he heard them expressed:
- OMI on the radar
- Increase funding for existing resources within the community
- Initiate new programs around violence prevention, increased access
and hours to food resources, etc.
- Programs such as the African American Health Initiative, AACHIE,
Seven Principles Project, Nia Ujima are under funded; lack of CSAS
- Senior transportation
- Youth mentorship, career guidance, conflict resolution services
- Comprehensive, multi-generational approach
- Health Commission playing an active role in bringing other
- Commissioner Chow asked Dr. Katz how the Commission and Department
could respond to the issues raised by the community. Dr. Katz said
violence is a public health problem, but the solution is much more
complex than medical services. He will take the offered solutions to
the District Attorney and other departments. He assured the Commission
and the community that the recent wave of violence has not gone
unnoticed. Commissioner Chow said the Commission is aware of the
community, aware of the needs, and work to address these needs. But
given the lack of resources, it will be an incremental approach
beginning with violence prevention. DPH will work with other
departments to develop a response.
4) PUBLIC COMMENT
The meeting was adjourned at 6:35 p.m.
Michele M. Olson, Executive Secretary to the Health Commission