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Population Health Division highlights Project Invest $14M grant, DoxyPEP rollout and preparedness work

San Francisco Health Commission · December 3, 2024
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Summary

The commission received an update from Population Health Division Director Susan Phillip on emergency preparedness (Operation ENCORE), H5N1 monitoring, a $14 million CDC Project Invest grant, and DoxyPEP implementation (about 1,700 patients to date); commissioners asked for program details and community outreach plans, especially for Bayview Hunters Point.

The San Francisco Health Commission heard a broad update Dec. 3 from Susan Phillip, director of the Population Health Division, which covered emergency preparedness, climate and environmental health, workforce investments and program highlights.

Phillip described Operation ENCORE, a large multi‑agency mass‑casualty exercise staged in the spring to stress the city's readiness. She said the department is monitoring H5N1 detections in animals and preparing testing and surveillance resources. Environmental health teams are responding to consumer safety events such as a raw‑milk recall.

Phillip announced that San Francisco will receive $14,000,000 over five years through the CDC’s Project Invest grant to strengthen public‑health infrastructure and workforce capacity in the division. She said the funds will support roughly 19 positions across the division and backbone operational improvements, with an emphasis on equity‑focused leadership development and community health worker programs.

Phillip highlighted the DoxyPEP work at City Clinic, summarizing a multicenter trial that showed doxycycline post‑exposure prophylaxis reduced syphilis and chlamydia and reporting that City Clinic has provided DoxyPEP to about 1,700 patients to date. She said the department is preparing more detailed citywide data to share in a forthcoming briefing.

Commissioners pressed for specifics — for example, how $50 million in cumulative soda‑tax revenue has been deployed and the number and types of positions funded by Project Invest — and asked for more regular updates on Bayview Hunters Point cleanup and biomonitoring. Dr. Teresa Palmer of the public called for stronger advocacy and clearer action on contamination from the Hunters Point Naval Shipyard.

Phillip and Director Colfax committed to follow‑up briefings with more program‑level detail and to continue engagement with affected communities. Colfax noted staffing gains and the department's role connecting research, community and clinic services.