2012.

Miyamoto was Chief Deputy when he ran for sheriff to succeed Vicki Hennessy in 2019. He ran unopposed after his opponent Ron Terry dropped out of the race. He was sworn in on January 8, 2020, as the city's 37th sheriff.

In March 2020, at the beginning of the COVID-19 pandemic in San Francisco, Miyamoto suspended county jail visits and programs to preemptively stop the spread of COVID-19. Non-contact

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