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welcome to the san francisco board of supervisors budget and finance committee meeting for wednesday december 11, 2013. my name is supervisor ferrel. i will be chairing the meeting joined by john avalos and scott wiener and supervisor malia cohen many i would like to thank sfgtv for covering this meeting. >> any announcements? >> the clerk: yes, please silence all cell phones and electronic devices. items for today will appear on the 2013 board of supervisors agenda unless otherwise stated. >> okay. we have a number of items 1-9 and a hearing which is scheduled as item no. 10. we

are taking that first. please call item no. 10. >> the clerk: item 130946: agenda[hearing - impact of sugar sweetened beverages to the san franciscans' health and health care sector]13094610.sponsors: mar; wiener and avaloshearing on the impacts that sugar sweetened beverages have on san franciscans' health and the health care sector. 9/24/13; received and assigned to the neighborhood services and safety committee.12/2/13; transferred to the budget >> the clerk: sf 101234 >> thank you very much. this hearing was sponsored by supervisor mar and wiener and avalos. i will turn it to supervisor mar. >> supervisor cohen as well. let me just say that we are here in chambers looking at anls analyst report. we have dr. richmond here today. over a year broad base community

coalition has been meeting with my office and supervisor cohen and avalos and supervisor has been meeting with a concerned group as well and concerned about sugar beverages and the health of our community. the risk of san francisco families worries us. this is a study we have done and what our budget analyst office has done is come forward and understand the impacts. i want to thank supervisors cohen and avalos and wiener . it's a very important issue. there is nothing more important than -- [inaudible]. to draft with supervisor wiener's office and all of our staff are working on one measure that would move

forward sometime in the future. it's not competing measures but one unified measure. this study helps us focus on different issues to unite the different groups working on this issue around the city. we are also looking on legislation out of this report that will help tax distributors of sugary drinks and allocate dedicated revenues to ensure the proceeds the revenues go to fight heart disease and liver damage. the purpose is to determine the cost of sugar drinks and by analyst and we have many community coalition folks and people from esteemed educational institutions. rates are increasing citywide. some

rates in health and obesity are hitting pretty hard and especially some parts special in the in the southeast. from 2003-2005. the san francisco adults among the latino from 14 percent to 27 percent, african americans from 28.5 percent to 32.4 percent. this is especially important for the african american and latino communities. it's been a great pleasure to work with amanda and other staff have been great to work with as well in coming up with this report. also christina gupta, a senior

health planner has been a great advisor on this issue as well and roberto vargas from the university of san francisco health policy program and dr. laura smith who is a professor of health policy at ucsf who have been visors on this study and advising us on the impact of sugar sweetened beverages. at public comment i just want to acknowledge beatrice cardenas duncan who is a community leader and active with groups like shape up sf and the labor movement as well is here. breks board of education board of education president is here. and corner store coalition and an organizer with t ndc and todd

davis who has been a great leader in our neighborhood as well. they will be speaking at public comment. we also have a number of other folks from different communities that will speak a little bit later. before i introduce the first speaker, i want to know if my colleagues have any opening remarks. >> supervisor wiener? >> thank you mr. chairman and thank you supervisor mar for your work and your partnership on this important issue. the coalition that has been forming in san francisco around the proposed sugary beverage tax is broad and deep. i will be honest that it is even broader and deeper than i thought it would be when we started this work. there are a lot of people in groups that i wasn't so sure if they would necessarily be supportive and i found that when you called them, there is not even a hesitation. there

are people who in fact i thought might be opposed who when i called and talked to them they said of course, that's a no brainer. i think there is a reason for that. i think we are at a tipping point certainly in this city but i think in the country in terms of people understanding the very dramatic and negative health consequences of this country's huge consumption of sugary beverages and consumption that has increased and increased as we've seen larger container sizes and more and more consumption. we have seen a steady stream of scientific studies directly linking consumption and over consumption to sugary beverages to contribute to diabetes and public awareness of the linkage

between the beverages is literally through the roof and higher than i thought it would be. i want to thank dr. richmond for being here. i know that richmond gets beaten up a lot for having the gull to go first and raising this issue and putting forth this proposal and fighting very hard to get a pass and i did not succeed in richmond but i think richmond deserves a lot of credit, dr. riter man deserves a lot of credit. sometimes when you go first, you don't always prevail but you lay down the groundwork for other people to come after and succeed which i think we will did here. we are seeing already as occurs everywhere that this proposal comes up, a strong reaction from the

beverage industry. we already see and have heard about paid operatives from the american beverages in san francisco and sometimes misinformation in our community. we know that you can have as many operatives as you want but in the end what we have to do is pretty straight forward is put out the facts and the science. the facts and the science around sugary beverages are straight forward and compelling. we know that we've had an explosion in diabetes, obesity and other health ailments related to sugary beverages. we know that in percentage of calories in our diet in terms of beverages has exploded just in terms of proportion of calories from sugar. the contribution to

sugary beverages is almost half. we used to call it onset adult diabetes but we don't because these beverages are given to our kids. we know through scientific studies this kind of tax will reduce consumption of beverages and will save lives. we know that we are facing huge massive cost to the point where there are hospitals who are concerned about the future financial viability given to the explosion of diabetes. despite the claims and argues about sugary beverage tax is a regressive tax, it's a much

higher tax that will affect these communities. this is a tax supported by scientific evidence by knowledge and i'm glad we have brought this forth with the board of supervisors. i look forward to hearing this. >> good afternoon, everyone, thank you for being here and thank you for caring enough about not only your health but there is health of san francisco. i want to get my thank yous out in case i'm not able to sit for the entire hearing today. but i want to thank you for your hard work and diligence on this report. it is incredible on what you have done and we've heard the facts on what will be part of this year. hopefully by the end of this initiative, we will, our children will be spewing

out facts and it is our goal to raise people's awareness and i want to acknowledge the unprecedented number of educators all the way down to the clergy and to the people that are adversely affected by sugary beverages. i'm excited because we have an opportunity to inspire other municipalities and other cities all across this nation to really take a hold of our health care. and policy of the affordable care act, and the other half paying attention to our diet and the third part being exercise. we will hear the statistics which are staggering when you know

diabetes is a preventable disease and the birth defects and what liquid sugar does to the body and it is preventable and it is our responsibility as policy makers and leaders and more important as people of san francisco to continue to provide healthy options for those folks that need them the most. it's no secret earlier supervisor mar laid out the statistics what we are dealing with the african american and latino and pacific islander community. it's not just this body taking up the cause but leaders within the ethnic communities that are also at the table. finally we have statistics, support and data. this is going to be a very very interesting year i predict for 2014. so, mr. chair, without

further a do, let's get into this. >> thank you. i want to thank -- from the american heart association that's been very helpful. margaret fisher from the department of public health and janet cord row and maryann. thank you. supervisor avalos did you want to make remarks? >> thank you, let's call our budget legislative analyst. thank you very much mr. bruce oh. >> today we'll be presenting a report on the study of impacts of high consumption of sugar sweets and beverages for the city and county of san francisco. we have some slides if we can. i'm just going to briefly introduce the report

and then amanda guma from our office will walk you through details and we have hammond smith who will also be available for questions. we were asked to prepare a scientific research on the health risks associated with the consumption of sugar sweet and beverages. that's largely pertaining to obesity and diabetes and taking a look at the financial risk for the san francisco residents. we have prepared analysis that identify cost that the city and county itself incurs and then the population of the city as a whole incurs that is separate from the city. finally we are asked to review and report on policies explored and implemented by other cities

either in terms of a tax on soda or other initiatives that have been under taken to address this issue. so that's the overview of the purpose of our report and now amanda guma will walk you through the details. >> thank you to hamilton smith for the work on this. >> thank you supervisors. as several of you have already noted there is extensive scientific evidence that we found in our research on the connection between consumption of sugary sweet beverages and chronic conditions particularly diabetes and obesity. as the american heart association found, maximum recommended consumption of sugars per day, added sugars per day for women is 6 teaspoons and 9 teaspoons

for men. the regular drink has 37 teaspoons. diabetes has increased and increase in rate of chronic conditions. the number of american adults of obesity has more than doubled and diabetes has doubled and the percentage for children has tripled over the past 30 years. we want to better understand what those impacts are here in san francisco. using data that we found from the centers for disease control on prevention from 2010, we found there were 180, 955 obese adults in san

francisco and 46, 999 diabetic adults in san francisco. those populations are not necessarily distinct. so there is likely overlap between them. according to the agency for health care research and quality, there is typically about a 54.8 percent prevalence of obesity in diagnosed diabetes. we applied that rate to our san francisco numbers to get a better sense of what those distinct populations likely are. doing that we found there are likely 83, 249 obese adults in san francisco and 46, 909 diabetic adults in san francisco. in order to measure the cost related to the consumption of sugar sweet and beverages and the health impact that causes