environmental health branch
TRANSCRIPT
ENVIRONMENTAL
HEALTH BRANCHPatrick Fosdahl, MS, REHS
Acting Director – Environmental Health Branch
Department of Public Health
7/20/2021
Slide 2
Environmental Health Branch 3
922J.Weintraub
922C.Morgan
6139J. Piakis
6124B.Slattengren
6124M. Malhi
922(Vacant)
6124T.Hong
Director of Environmental Health
953 P.Fosdahl
5174 A.Brownell
6124(Vacant)
6124P. Stewart
Assistant Director932 (Vacant)
6124L.Kessler
6124J.Callewaert
6124M.Freschet
Water Quality:
6122 C.Chrisman
M.KanemotoE.Santiago
N.Thu
2802 M.Mohamma
di
Weights & Measures:
6222 C.Kern
6220 V.Gruber
A.IkutiminuD.Ipock
A.MartinezV.Rabinovich
B.Zoran(Vacant)
1820 Z.He
Agriculture3450
R.LinoA.Zuniga
6138 P.Calhoun
Pesticide Use:6138
P.Calhoun
Site Mitigation:
1406S. Nisha
5241R. Casey
6122 M.Awwad
J.Ossai(Vacant)
Solid Waste
Refuse Lien1630 Y.Hu
6108 L.AspirasV.Hoe
T.Louie
6122 M.Dela Cruz
LEA6120
S.Scott(Vacant)
6122 R.Cheng
Haz Waste (Work Order)
1822 L.Lee
6122 R.DemarrJ.Nalle
H.Quinonez
Children’s Health:
1402 S.Valdez
2593 H.Ahmad
2819 D. Lo
C.Melgoza
2830 M.HerreraA.Soliday
6108S.Saavedra
(Vacant)
6122 K.Hope
P103J.Lee
Procurement Healthy Housing:
1406 L.Garfil
1630 J.Shek
2930 M.Brown
6108 R.Arevalo
R.CardenasE.Coleman
T.Ruiz-Gonzalez
C.Fung-Autry S.Huie
L.MooneyI.Sanchez(Vacant)(Vacant)(Vacant)(Vacant)
6122 K.Eng
O.GranadoN.Shatara
A.Ude
Hazardous Materials:
1406 S.Lee
M.Menchavez
6108 A.Leon
6120 T.DinhV.Kaing
J. KoB.Puk
D.Elder-Gotta
6122 M.Anderson
S.BrewerT.Chan
P.JinS.Navarro
A.NeumannJ.Tang
6138 V.St Jean
9910 (Vacant)(Vacant)
Hunter’s Point Shipyard
5241R.Casey
Air Quality:6138
(Vacant)
HazMat Emergency Response:
6122 R.Demarr
H.Quinonez
6138(Vacant)
(Acting) 6139 J.Piakis
Massage, Tattoo, & Body Arts:
1406 M.Wong
6108 B.Chao
6120 R.Veloso
6122 A.Flores H.Phan
9910A.Abass
Tobacco:6122 U.Prado
J.Young
9910 A.Dang
B. LagmanM. Rodriguez
Radiation:6122 A.Duque
Emergency Planning:
6122 K.Hope
Food Safety District 5:
1406 M.Elias
6108A. Johnson
6120 W.Bajjalieh
J.DeolC.LamD. LeeP.OssaiP.WoodJ. Yang
6122 A.Castelli
K.DerA.Wong
Food Safety District 4:
1406 D.Quinones
6120 M.Barretto
F.KhanC.Lee
D.NguyenO.RomeroJ.Zapien(Vacant)
6122 K.ChanS.Khim
(Vacant)
Food Safety District 3:
1406 (Vacant)
6120 C.Barragan
L.BrownM.Cuevas
I.FloresJ.Huber
L.LwangaA.SanchezA.Simon
6122 R.NaserZ.Parsons(Vacant)
Food SafetyPlan Check,
Specialty
Programs:
2589 T.Yim
6122 S.Aguila-LeonardJ.CastelliM.Freitas(Vacant)
9924M.Huertas
Director of Public Health
G.Colfax Director of Population HealthS. Philip
I.T.
1052 A.DeguzmanP.Hernandez
SAN FRANCISCO DEPARTMENT OF PUBLIC HEALTHPOPULATION HEALTH DIVISIONENVIRONMENTAL HEALTH BRANCH
Last updated: 7/2021
ORGANIZATIONAL CHART
Noise:6138
(Vacant)
Cannabis:6122
J. Bernardo D.Obana
3450 (W&M,Vacant)
6220 (W&M,Vacant)
1823 M.Joe
6124M.Malhi
Administration
1408 W. Lancaster
1406 M. EliasL. GarfilS. Lee
M. Menchavez
S. NishaD.QuinonesR. RoceroC. TaboraS. Valdez
V. Van PattenM. Wong
Finance:
1822 L.Lee
1630J.Rivera(Vacant)
Fleet Management
M. Joe
Real Estate & Building Liaison(Acting)N. Thu
Asbestos6138
(Vacant)
Respiratory Protection
and Interim COVID-19
Safety6138
(Vacant)
HEALTH COMMISSION OUTLINE
▪ Environmental Health’s COVID Work
▪ Children’s Environmental Health Promotion Program▪ Lead Paint Settlement Program
Slide 4
Health Order Compliance▪ Prevention Tools
▪ Outreach Efforts▪ Community Education Response Team (CERT) and DPH▪ Email Blasts and Phone Calls – well over 50K▪ Guidance Documents▪ Staff Visits▪ Webinars
▪ Enforcement Tools▪ City Attorney’s Office and DPH▪ Notice of Violations▪ Notice to Close▪ Fines and Penalties ▪ Increased enforcement after-hours and on weekends▪ Other Agency Referrals – ABC, Entertainment, etc.
5
Enforcement Steps
▪ Step #1 - Notice of Violation▪ Violation Noted With 24 Hours To Correct
▪ Step #2 – Closure Notice Business▪ Up To Two Weeks
▪ Step #3 – Closure Notice Plus Fines▪ Up to Two Weeks & Up to $1,000
Slide 6
Health Order Enforcement Statistics▪DPH has performed over 8,200 compliance inspections
▪ Cited violations at 2,200 or about 27%
▪Most Common Violations▪ Complete and Posted Health and Safety Plan/Social Distancing
Protocols
▪ Inadequate Social Distancing
▪ Lack of Health Screening
▪ Inadequate Facial Coverings and PPE
▪ Inadequate Cleaning and Sanitizing
▪Historically closing about 0 to 3 businesses a week
7
Slide 8
CEHP Program
▪ Jonathan Piakis, MPH, CIH. Program Manager
▪ Haroon Ahmad, MPH. Program Coordinator
▪ Karen Yu, MPH, REHS. Sr. Environmental Inspector
MissionWe promote healthy home, child care, and school settings so that children can develop to their full potential. We help families by linking them to needed services or code enforcement. We provide information, education and training to community agencies, medical providers, and interested groups in support of these goals.
At the heart of our core values is our commitment to ensuring the health and well-being of the whole child. Our diverse partnerships are very valuable in staying true to our core values.
San Francisco Department of Public HealthEnvironmental Health Branch
Children's Environmental Health Promotion Program
LEAD SETTLEMENT PROJECT
COMPREHENSIVE HOME ENVIRONMENTAL ASSESSMENT SERVICES
ASTHMA HOME VISITING PROGRAM
FAMILY HOUSING INSECURITY WORK GROUP
CHILDHOOD LEAD PREVENTION PROGRAM
Collaboration
Asthma HV
6M Pediatric Asthma
clinic
Kaiser
Adult Asthma/
COPD Clinic
UCSFAsthma Clinics
Black Infant Health
Program
SFDPH’S Public Health Centers
Slide 11
Comprehensive Environmental
Home Inspection
Health Advocates
Child Care Centers
SF Housing
Authority
WIC
UCSF
Clinical Social
Workers
MCAH Housing Insecurity
MCAH
54 Reps.
from City programs and
CBOs
UCSF California
Preterm Birth Initiative
Fix Lead SF
Office of Economic
and Workforce
Development
Department of the
EnvironmentCEHP
Lead HV
Medical Providers
StateLabs
Public requests
Key Functions and Day-To-Day Activities
INTAKE Receive Cases from State, Providers, Laboratories. Requests from Public, Other Agencies
TRIAGE Route incoming cases and requests for appropriate follow-up
INVESTIGATE Conduct site visits to obtain information to inform public health response
MANAGEEnsure appropriate public health follow-up is implemented including medical case
management and environmental code enforcement
EDUCATE Provide information to cases, providers, property owners, public at large
COORDINATE Collaborate with state and local agencies, health care providers and community
ANALYZE & REPORTClean Data. Produce and submit timely reports to State. Answer interagency and public
inquiries
60
30
25
10
5
0
10
20
30
40
50
60
70
1960 1970 1985 1991 2012
Pb
leve
l in
ug/
dL
There is no safe level of lead in human body
In 2012 CDC eliminated the term “level of concern”
All levels need to be considered
History of Centers for Disease Control and Prevention (CDC) Blood Lead “Levels of Concern” in the US
Environmental Sources of Lead classified as violations FY2013-2016 Total Number of Violations = 1,425
Source: SFCLPP Nuisance Database
661
588
88 88
Damaged Paint - VisualInspection. SF Housing Code
Dust Wipe, CDPH Soil, CDPH *Paint (XRF), CDPH
Interior73%
Exterior27%
Paint Hazard Identified
Services continued during COVID-19
Lead Settlement Project
▪ Fix Lead SF
▪ 2020-2026 $21 million
▪ Background
▪ 2000—Santa Clara County on behalf of the People of CA vs. 3 former lead manufacturing companies
▪ 2014—Ruled liable
▪ 2017-2018—Appeals, upheld decision
▪ $35 million divided based on number of homes with lead paint
Slide 17
Fix lead SF Project Team
▪Multidisciplinary Collaboration
▪ City Departments Lead▪ DPH—Development, Outreach
▪ SFE—Development, Abatement
▪ OEWD—Workforce Development
Fix lead SF Project Plan
▪ Proactive▪ with or without poisoned child, current lead hazards, children present
▪ Prioritizing:▪ Homes built prior to 1950
▪ Units/homes with children under the age of 6 and expecting mothers
▪ Low-income families
▪ Section 8 housing providers
▪ Zip codes with historically higher number of lead-poisoned children, beginning with 94110 (Mission, Bernal), 94112 (Outer Mission, Excelsior), and 94124 (Bayview)
▪ Abatement vs Interim Controls