central. hillary ronan is from supervisor david campos' office. thank you very much, gracias, for being here. >> [speaking spanish] >> i have worked for over 20 years in the community. i think this legislation is very

important, especially for black teen mothers. i work with latino mothers and families to get home and are very tired and purchase fast food. >> [speaking spanish] >> as immigrant families with little time, we run to the first food that we can find, and often times, this food is fast food. we are finding our children are every day more and more obese. we support this legislation that is co-bonds of by supervisors

mar, chiu and campos so that our children have access to a healthier foods. >> gracias. supervisor mar: thank you. >> thank you. >> [speaking spanish]

>> i am a member of the women's collective. i want to thank supervisors mar, chiu, and campos for sponsoring the legislation. i am obese, and i do not want my children to come obese. i want our children to have access to salads instead of hamburgers, to fruit, to milk. we oftentimes have only access to fast foods, and especially foods that offer toys because these are the type of toys we are able to afford for our children, but we want these toys to come with healthy foods. supervisor mar: thank you. >> [speaking spanish]

>> hello, thank you. i urge you to support this legislation, especially for people like me, single mothers. we want options. we often have no choice but to

feed our children mcdonald's and burger king. we want there to be healthy food options at these places. we want more nutritious food. it is not that we do not want to cook in our homes, but oftentimes, we are working so hard and so late that we have no choice but to get fast food. we see that our children are getting fatter, and at the same time, they are also anemic, so we are hoping there is change, that we add more nutritious options. >> [speaking spanish]

>> thank you so much for taking and caring about our children. thank you also to mothers who are here advocating on behalf of the nutritional needs of their children. i volunteer in my child's school, and i m seeing that more and more nurses at lunch are supervising the diet for the children because there is so much diabetes in our schools. >> [speaking spanish]

>> i am here from the women's collective. i am a single mother, an immigrant single mother of low means, and for me, this legislation is very important because i take my children to these types of food establishments, and i wish they would offer healthy and nutritious foods, as a thank-you to those supervisors who support this legislation, and i urge those other supervisors to please join them. thank you. >> [speaking spanish]

>> i'm very supportive of this legislation. i thank those supervisors who are also supporting this legislation. as you know, our children are our future, and we need to make sure they are healthy, so thank you. >> [speaking spanish] >> i am a member of the women's collective, and i do not want my children to grow up with diabetes, and i do not want them

to be obese. it is a wonderful thing if our restaurants would provide healthier food options, and it is not important whether or not they offer toys. i support this legislation, and i asked for your vote. please support the three people who are thinking about our children. mar -- supervisor mar: gracias, thank you. >> [speaking spanish]

>> thank you. what i want is that they replace the french fries with slices of apple, and i want them to place more vegetables on the hamburger and use wheat bread so there are more options for our children. supervisor mar: thank you very much. i know we have about 50 speaker cards here, and i wanted to invite the deputy director to come up and just make remarks. thank you for being here. >> good afternoon, supervisors. i think we all know that physical activity and access to good attrition are the building blocks for healthy communities, and incentivizing good food and good choices for families is going to be essential, and i

think that is kind of the essence of your legislation. our health commission has tabled the discussion. the wanted to hear the outcomes of the hearing and also the outcomes of your conversations with mcdonald's. there are standards that the institute of medicine has developed that she has discussed with mcdonald's, regarding some of their goals for school lunches, which are to increase vegetables, manage the amount of calories, and to manage the amount of fat and sodium, and i think that as a health the conversation we will continue to have, and we look forward to the hearing today, and your future negotiations. thank you so much. >> good afternoon, supervisors.

i want to spend the time to clarify the origin of the standard that you passed in the healthy meals for kids. first, want to go one of the points that you are making -- i want to echo one of the points that you are making. there is a good point that links the frequency of fast-food consumption did diabetes in adulthood, and one of the longest that is with the children for over 50 years can confirm this finding, so there is a strong scientific basis for taking action. the institute of medicine was funded by the -- founded by the department of agriculture to develop nutrition standards for schools. those recommended it rational standards are the building blocks of this ordinance, the standards in this ordinance. you mentioned a number of them.

limits on calories, sodium, and that, as well as requirements for whole grains, vegetables, and fruits. the standards represent the best scientific thinking of what the average meal should look like. i think it is important to note that these standards are currently not implemented by the usda, but there has been a cyclic process with the institute of medicine development standards and the usda making those as regulations and schools complying. the current regulations with which schools comply are not too far off from the institute of medicine recommendations. i think it is important to note that schools in this country, the public schools, that the industry would be following the work of the schools. schools have already taken a great degree of leadership in implementing nutrition

standards for children. i think it shows that this is feasible and can be done. even with the tricky area of vegetables, if you go to an elementary school in san francisco, you will see how the school district with very little money has been able to encourage -- provide and encourage the consumption of vegetables by children, and maybe the industry can also look at the examples as sort of a source of research across the country. finally, i think that -- i do not believe that nutrition standards or standards associated with the incentive or toy are something prompted by the industry. i think parents do want healthy choices. i, as a parent of two children, what healthy choices for my kids. i did not think the industry has -- i do not think the

industry has an interest in making obese children. we're trying to understand what about the recommended standards are difficult and why. how long would it take. we want this to work. we want it to be feasible, and we are interested in learning how we can make this ordinance feasible, and we are proud to be part of this ground-breaking discussion. i'm happy to be part of this discussion. supervisor mar: i want to thank you for your innovative and enlightened work. it has helped in light and me and my staff tremendously. thank you. -- it has helped enlighten me and my staff tremendously. i wanted to invite karen wells from the mcdonald's corporation, their chief nutritionist, and scot robert from roderick foods, and james durant from the hispanic chamber of commerce to comment.

>> good afternoon. my name is karen wells, and one of my most treasured roles is that as a mother of two children, so i certainly take their well being very seriously, but i am also vice president of nutrition and many strategy, and i am here on behalf of mcdonald's in opposition to the proposed ordinance and respectfully ask you not recommend its passage because it undermines parental authority as well as responsibility and will not contribute to the improvement of children's health, new edition, and well being. i commend you on some of the amendments you have made, different than what we look earlier, but deny a child a toy is not the solution to the very important subject of children's well-being and child would obesity. we have not found support or science or nutrition guidance or consumer behavior that would

support that, and a fair and objective review of our menu shows that mcdonald's is committed to children's well- being and working to be part of the solution. many of the things we heard the parents say today about offering food like we do with our apple's efforts like we do with our caramel dipped and salads like we do with our side salads and premium chicken salads. many of the efforts we have done, just to name a few points to our commitment. we encourage and we continue to develop more choice and variety. we are currently testing a new happy meal option in several markets around the country that include a fruit in every happy meal. unfortunately, none of these have been nil bundles would meet the proposed ordinance and nutrition criteria because they did not contain the proposed 3/4 cup of vegetables. mcdonald's for your best piece chicken nugget happy meal and apple dippers and low-fat milk

would meet this standard, barring the vegetable criteria, and this is also a bill advertise to children. in conclusion, we are looking for ways -- we thank you for your support. supervisor mar: you can continue if there are other points. we would just like to have you elaborate on the points you were making. >> just to conclude, we believe in giving our customers a right to choose, and parents are telling us that it is their decision what they want to feed their children and not necessarily in the hands of legislators. those of the points we want to make, and if there's questions, we would be happy to answer them. supervisor maxwell: i do not know how you interpret the legislation that it is denying a toy. seems to me they are saying you could give a toy for a different option, as for salad. it is not denying a toy. a child could still even buy a

toy, so to say that is denying a toy does not seem to be exactly what this legislation is saying, so how do you are right at that? >> i arrive at it based on how much dollars for the last 25 years has served have been deals with a toy, so you proposed legislation would indicate certain criteria in order to get the toy with the happy meal, which currently does not exist, a parent today has the choice to come in and buy an entree and a fruit, as you have suggested, and milk, which we have heard from some of the parents, and the toy is included. the legislation will make it extremely difficult to execute at our restaurants for our customers, so that is how i see it as different for what we're doing today and what we have done for the last 25 years successfully. supervisor maxwell: ok. all right. i just find that just because it

is different does not necessarily make it difficult. mcdonald's is an amazing company. it has been around for many years, and it has been around for many years because it is able to change and adapt to new circumstances and new things people are eating, so i have a lot more confidence in mcdonald's, i guess, than you do. i think they can make changes. >> if i could respectfully -- supervisor maxwell: know, you cannot. thank you for your comments. next. >> good afternoon. i am the director of nutrition for mcdonald's usa. i am also a registered and licensed dieticians. i spent the majority of my career studying food science and nutrition. i am also here to oppose the proposed ordinance. thank you for your evidence that

you briefly suggested earlier. -- thank you for your amendments that you briefly suggested. i am concerned that this will create a false suggestion -- and realistic suggestion that children will not eat and will only confuse parents as to proper nutrition for their children. based on evidence from the national health and nutrition examination survey, based on analysis done by the center of health in university of washington seattle, we looked at 5600 meals consumed by children, and this is based on a 2001 through 2004 data set. we analyze this data set using the proposed nutrition criteria that has been all line, and of these 5600 meals, only six meals met the proposed nutrition standards set forth in this order is.

in other words, 99.9% of meals consumed by children ages 6 to 11 eaten at home, in school cafeterias, and restaurants do not meet the nutrition standards proposed in this ordinance. furthermore, no evidence suggests that children will consume 3/4 of vegetables and half a cup of fruit at meals without creating unnecessary waste. having said that, mcdonald's for-peace chicken nugget happy meal, apples, and milk fulfills less than 1/3 of daily requirements for fat, and sodium according to dietary guidelines. furthermore, how the mills provide things children need such as iron, vitamins, and calcium. thank you for the opportunity to comment. >> i am an adult franchise owner

in san francisco. i am also proud father of three children. i am here to ask you do not recommend passage of the ordinance as it was originally written. i have been a mcdonald's franchise owner for 20 years. i have 10 restaurants. i employ 400 people, and my restaurants continue nearly $200 to the city, county, and state. i am very active in my community. i have served on several local merchant associations. there are several other mcdonald's operators in the room, and they are as actively involved in the community, especially the ronald mcdonald houses in san francisco, as i am. i have a serious concern about this proposed ordinance. first, the city has already enacted numerous ordinances that have put a strain on local businesses. this would be an organizational nightmares in my restaurants, causing confusion among

unstaffed and confusion and anger amongst my customers. families traveling from outside the area will expect a toy with their kids happy meal. if the proposed ordinance is modified in a way that some children are eligible for a toy but not others, you can imagine the chaos ensued by families when one child receives a toy but not others. my customers have shared with me how unhappy they are with this order is. like me, they feel it minimizes the importance of childhood obesity by focusing on a toy when the board should be using its resources to educate parents instead. they are also concerned that the government is telling us how to raise our kids. as i said, i cannot support this ordinance as a local business owner, as a parent, and as a taxpayer. supervisor maxwell: there have been some points raised, and i think after public comment, i would like you to speak to

those, so if you could listen and write them down, and maybe, supervisor mar will have some questions. supervisor mar: i'm going to read some of the folks from the list and others that have signed up earlier. >> good afternoon. i work for a public-private partnership that focuses on chronic disease prevention, and

obesity is one of the greatest risk. we know that telling people to eat more healthfully or get more exercise just as, enough, and that is why we focus on creating environments that make the healthy choice the easy choice. but our efforts can hardly compete with the millions of ads behind unhealthy food promotion. this ordinance is in alignment with our work to decrease access to unhealthy food and ultimately create access to help the environment. the institute of medicine has urged local policymakers to limit public exposure to unhealthy food marketing as a key method of dealing with the healthy food crisis. san francisco's prevalence for unhealthy foods might be lower than the state, but disparities exist. studies show that across the u.s., low-income, african- american, and latino children have been suffering from higher rates of diet-related diseases. data from 2001 through 2003 of

our california health interview survey demonstrates that nearly 40% of san francisco adults reported being overweight or obese, and the white population was about the same, but the latino and african-american populations had much higher prevalence. employing the data from 2005 and 2007, those embers only continue to increase. why is this significant? studies that show that children obese after age 6 have a greater than 50% chance of being obese as adults. we need to create healthy habits when our children are young, and in order to do that, we need to create healthy environment. the communities affected are also those most targeted by marketing. studies show that lower income communities receive a disproportionate share of outdoor advertisements. supervisor mar: could you elaborate on your last point? >> this legislation is about supporting parents who want to provide their kids with healthier meals, shaping and

environment to prevent childhood obesity, and about making the healthy choice the norm. supervisor mar: thank you, and thank you for the great ymca's throughout our city. >> thank you very much. my name is charles collins. i'm the president and ceo of the ymca of san francisco. other than the san francisco public schools, the ymca touches the lives of more children than any other year outstanding is grounded in the fact that we are rooted in the communities. i would like to say categorically that the legislation that we are addressing today is both scientifically accurate and socially irresponsible. i think it takes a lot of courage to be able to stand up in the wake of so many pressures to raise children in our culture

and in our society today. our children in the bayview- hunters point, the mission, and throughout our city are facing almost insurmountable obstacles in facing a good, healthy environment. we deal in schools in san francisco. we are in 50 of the schools in san francisco. 40% of the schools in san francisco, our standing to speak on behalf of children is substantial. the development of early eating habits predict how wife will support itself through good evening and good attrition, and as kids understand that early in their lives and are educated to understand how food contributes to health, they are on their way to a better pathway for a stronger and more active life. kids to private school healthy and more nourished are more active and more ready for learning, and kids who eat well will promote good habits among their fams,