cannabis patient as well. he he suffers from migraine headaches. can brigs has been shown to be the only effective treatment for him. when he feels a my drain coming on he needs to be able to get a quick delivery of medical cannabis into his system. it is only by smoking or vaporizing. indoor and outdoor areas in san franciscan biss ~ [speaker not understood] it will place a severe burden on him and his ability to get effective relief. the sponsor of this legislation have claimed cannabis doesn't affect cannabis patients by including a clause saying it doesn't affect any laws or regulations regarding medical cannabis. in fact, the proposal defines e-cigarettes and [speaker not understood] to include any vaporization device and there is no law or regulation currently protecting access to cannabis vaporizers. >> mr. goldman, you haven't

read the full item [speaker not understood] because it's talking about vaporizers that mimic smoking. so, they look like a cigarette. and you gave us some examples, but there are many other vaporizers, the vast majority, that do not mimic smoking sw. ~ as well. i've willing to meet with you. you met with my staff. i do feel this is an important issue impacting youth and hooking the new generation on harmful addicting substance. but i want to be sensitive to the medical marijuana users. so, we'll continue to communicate with you, but it's not intended to limit the use of medical marijuana. i don't want law enforcement arresting me saying that i'm smoking -- excuse me, vaporizing with a -- [multiple voices] >> thank you so much, mr. goldman. thank you. >> thank you. next speaker. i'm lawrence green, aes are department of west portal area,

but i'm here today as a member appointed by the governor to the california state tobacco education and research oversight committee commonly known as troc. we thank the supervisors for the opportunity to comment on the e-cigarette ordinance at hand. troc adopted last year an official position opposing the use of these cigarettes, i'm quoting, the use of e-cigarettes in all areas where other tobacco products are banned. we gave several reasons. one, smoke-free policies protect nonsmokers from exposure to toxins and encourage smoking cessation. two, introducing electronic cigarettes into clean air environments created by smoke-free policies reinforces the act of smoking and socially acceptable ~ as socially acceptable. it makes enforcing of existing laws that protect the public from secondhand smoke difficult

due to similarities with [inaudible]. >> thank you so much, dr. green. next speaker. and if there is any youth that are in the audience, please come forward to speak in the beginning. hello, cooper logan with the student advisory council. >> that's student advisory council from the san francisco unified school district? correct. >> yeah. many high school students don see e-cigarettes as a risk to their health [speaker not understood]. close friends have told me they see e-cigarettes more like candy or a harmless casual thing to do. from personal experience i'm comfortable saying the vast majority of teens who smoke these colorful flavorful e-cigarettes are not smoked cigarettes and have no interest in smoking. however, while it makes sense intuitively these e-cigarette

are healthier than cigarettes, the harmful effect are widely unknown. e-cigarettes are appealable to teens due to [speaker not understood]. while i'm not convinced of the toxicity or harmful effects of e-cigarette at this time, i do believe we should err on the side of caution so i endorse this legislation. >> great, thank you. next speaker. hello, my name is alison [speaker not understood] sip attend [speaker not understood] high school. i am also part of the student advisory council. i'm here to provide my support for the city ordinance [speaker not understood]. first i'd like to mention thats as a student i am exposed to e-cigarettes all the time almost every day. they are smoked everywhere by all ages and they are targeted to high school and middle school students because of their flavors. we have no idea what chemicals are in these e-cigarettes as they are so new. furthermore, we have no data of what people are smoking or if there is any secondhand smoke

effects. as a young person, i can tell you that e-cigarettes are extremely easy to get hold of as many placeses do not card students in san francisco. there are stores everywhere selling the e-cigarettes which makes people able to buy them with ease. and how friends get addicted to nicotine in them. i see students smoke them because they are hard to resist and are appealing. when you see these e-cigarettes, they want one because they look interesting, yet [speaker not understood] reaction of the youth wanting to smoke them from seeing them be smoked [inaudible]. >> thank you so much. thank you. next speaker. i'll call a few more names. cynthia [speaker not understood]. dee-dee [speaker not understood]. kenneth cohen. gwen [speaker not understood]. [speaker not understood] i what born in san francisco and i live in the richmond district my entire life. i'm a freshman attending san

francisco state university. this is what i'm witnessing at san francisco state. students are switching from cigarettes to cigars. [speaker not understood]. i believe students are using e-cigarettes as a way to get around the policy. with more campuses going smoke-free more and more are using e. cigarettes instead of cigars. this is a terrible problem. i've seen [speaker not understood]. it sends a mixed message about smoking. and third, i am concerned about the health of my closest peerses because i do not want them to fall into the misconception of e-cigarette being a safe alternative. >> great, thank you [speaker not understood]. next speaker. hi, my name is may how, i work with the sunset project and i'm a resident of outer mission district of san francisco. i am here today because i just want to tell you guys that i really love the taste of peanut butter cup. i also love the color green and

if i really believed all the many ads out there about e-cigarettes being harmless and cool, i would get myself a green colored peanut butter cup flavored one and i would not be here talking to you about how i feel the way e-cigarettes are advertised in the media today. what worries me while they claim they are marketing to people who are already smoking, most new users never smoked cigarettes and these include your high school and your middle school students. and they already told you about the cdc survey about how [speaker not understood]. but if you think about it with all the misleading advertising out there suggesting that it's safe and that it's harmless and with the wide variety of flavors and colorses e-cigarette companies use to attract consumers, who wouldn't want to try it? especially peanut butter cup flavored one. [speaker not understood] are creating a new generation [inaudible]. >> very good, thank you. thank you. i'm going to call several more

names. bob gordon, also from the san francisco tobacco free coalition. michelle aldrick and [speaker not understood]. i think they may all be outside in the spill over room. so, next speaker. i think you called my name. [speaker not understood]? >> yes. yeah, darryl with california normal. and i'm here to express the view that e-cigarettes are, in fact, not smoking. they are a harm reduction device that have no public health hazard to bystanders, but they are [speaker not understood] deviceses for the use of cannabis. i am very proud to have myself sponsored and published research showing how effective vaporization is in eliminating the harmful toxins from smoked cannabis. above you see what happens with smoke and you see hundreds and

hundreds of carcinogenic hydrocarbons. with a vaporizer there's was no [speaker not understood] at all. for that reason the center for [speaker not understood] on the advisory board i sit found vaporization to be a safe and effective delivery system for medical cannabis. [inaudible]. >> thank you, sir. [inaudible]. >> thank you, sir. thank you. next speaker. good afternoon, city supervisors. my name is salvador barnes and i am the coordinator for the student advisory council for the san francisco unified school district. >> thank you for supporting such great young leaders. thank you, sir. as my colleagues already stated earlier, i'm not going to get into the details of nicotine addiction and the health that it presents to the student

body. i'd like to bring this board's attention to the current ordinance that permits our students to smoke e-cigarettes in public forums and school yards. places like where they hang out every day with their friends and eat lunch and do their homework. due to my role with the school district it has been brought to my attention [speaker not understood]. in fact, they do it in the bathrooms, hallwayses and outside the school yards. other areas are coffee shops like starbucks where they can vape where they can have a latte or restaurants and the school yard as well. the use of e-cigarettes in a public forum is effectively geting rid of the free smoking free environment that we are are we are all so accustomed to. as an educator of this program i would like to strongly encourage this board to support the [inaudible]. >> thank you [speaker not understood]. next speaker. hi, i'm dr. lauren [speaker not understood], researcher at

the university of california san francisco and i'm here to say -- to talk to you about this paper which dr. same glance published this morning in journal of pediatrics. i'm also a resident of the inner richmond. i want to give you a run down of our main finding. we found that adolescents who used e-cigarettes were more likely to be nicotine -- i'm sorry, tobacco cigarette smokers, they were also more likely to experimenting with cigarettes to becoming regular cigarette smokers. more likely to want to quit, but [speaker not understood] and they were likely to be heavier smokers of tobacco cigarettes. by allowing the use of these devices indoors, we're telling youth that it's okay, they are harmless, and we are not working against all of advertisers attempts to target youth and essentially initiate nicotine addiction among them. thank you. >> thank you so much. next speaker.

good afternoon and thank you so much for your time. my name is olga [speaker not understood]. i am coming [speaker not understood] and i have been working with community [speaker not understood] immigrants in san francisco about the issue relating to tobacco almost for 20 years. immigrants from the soviet union, one of the highest smoking populations in the entire world, [speaker not understood]. [speaker not understood]. we have ~ we are free people in this country, but [speaker not understood]. thank you so much again. >> thank you. next speaker. good afternoon. thank you, my name is cynthia howard. i'm the executive director of americans for nonsmokers rights.

we are a national advocacy organization working to clear the air of secondhand smoke and also [speaker not understood] as well as preventing another generation addict today nicotine. we fully support the proposal that's before the committee today to regulate electronic cigarettes, particularly with respect to usage in smoke-free environments. we view this as a worker health and safety issue and believe that patrons deserve protections as well. we may not have as much science [speaker not understood] secondhand aerosol as we do less than secondhand smoke, but there is a cause concern. [speaker not understood] billions of dollars in profits [speaker not understood] consumers use the product anywhere and everywhere as they currently advertise [speaker not understood]. smoke anywhere. don't fall for the intimidation tactics or diversionary tactics to delay and/or weaken this measure. keep it strong. protect public health and join the other cities and states that have passed these types of regulations. thank you. >> thank you. next speaker.

good afternoon. i'm dr. gwen [speaker not understood], faculty at ucsf and reside in district 9 and parent of a middle school student here in public school in san francisco. i'm here in strong support of the proposed regulation. our research team investigateses tobacco use among adolescent males and we reese entitlesly conducted a survey in san francisco. the results of the data indicates that smoking of electronic cigarettes is very common with nearly one in five reporting having smoked electronic cigarettes. this level of use is much higher than reported in the national tobacco survey and [speaker not understood] having smoked electronic cigarettes. 10% have done so in the last 30 days. many were using them in combination with other products. i support this regulation very strongly and i thank you for taking steps to protect the health of san francisco. thank you. >> thank you. and before mr. gordon comes, let me call a few more name. [speaker not understood] from the youth leadership institute. linda boyer chiu from the we

willness center susfd. [speaker not understood]. john kreuger. keith perry. and [speaker not understood]. mr. gored an? good afternoon, supervisors, my name is bob gordon and i'm proud to have lived in san francisco 21 years, my smoke-free city ~. for many years i helped facilitate a free stop smoking program for the lgbt community here. my brothers and sisters, mostly in their 40s, 50s and 60s, this program is called the last drag. and time and time again we hear the same stories from those who attend the last drag, and that is that their first exposure to nicotine began at age 15, 16, and at some point they discovered that they were hooked for life. and this is why we really ought to call what we're talking about here an adolescent disease. so, any reasonable steps that we can take now to prevent as many young people as possible from a lifetime of addiction to nicotine would make for an intelligent measure to better

protect the health of the city. thank you very much. >> and thanks for your leadership for many years. thank you. >> ms. aldrich? good afternoon, supervisors. my name is michelle aldrich and i've been a resident of san francisco for almost 42 years. as you may remember, i got stage iii lung cancer in 2013 -- excuse me, 2012 and 3-1/2 months using cannabis oil. my doctors do not want me to smoke a joint, but i am allowed to vaporize. i used a vaporizer in chemo and in the hospital. this law would not let me do that even with my doctor's approval. the ordinance would make it illegal for medical marijuana patients to vaporize anywhere smoking is banned, including parks. i don't want to have an asthma attack in golden gate park and have a policeman come up and hassle me when i need to medicate. i don't do it often in public and i don't want to be hassled

if i really need to medicate. i agree with banning the cigarettes for minors. instead, ban the cigarettes -- instead of banning these cigarettes, ban flavored e-cigarettes. flavored e-cigarettes are not harm reduction strategy. ban them outright. [speaker not understood]. [speaker not understood]. >> thank you, ms. aldrich. ms. aldrich, thank you. so, the information you've given is not correct, but we definitely will meet with you to explain the coverage of vaporizers that simulate cigarettes, but it doesn't cover other vaporizers, many of them that you mentioned. mr. aldrich? michael aldrich, i'm one of the co-founders of spark, a

medical dispensary. i don't care whether you ban nicotine e-cigs. that's fine with me. i do care if you ban it for marijuana or cannabis oil. you would be really banning a really useful medical device. as my wife mentioned, she was allowed to use a vaporizer pen when she was undergoing chemotherapy and the ones who loved it the most were the nurses because everyone who knows san francisco knows about cannabis use with cancer treatment. and this was the only way that it could be allowed in a hospital. but if you ban them entirely -- so, my recommendation is simply make a distinction in the law that you pass, not afterwards explaining your intent. make a distinction between -- make a difference between e-cigarettes for cannabis and e-cigarettes for nicotine in the law. >> thank you, mr. aldrich.

next speaker. [speaker not understood]. good afternoon, everyone. my name is brittany [speaker not understood] and i'm the regional government relations director for the american heart association. i'm here to express the aha strong support for the draft ordinance to [speaker not understood] the definition of smoking to include e-cigarettes and other electronic smoking devices. the american heart association is committed to protecting the health and well-being of residents of san francisco and our reasons for supporting this ordinance [speaker not understood]. e-cigarettes contain unknown toxins. currently no restrictionses on what can be put in them and the health effects of e-cigarettes, especially the longer term effects are scientifically uncertain. the use of e-cigarettes has the potential to renormalize smoking. e-cigarettes use has the poe ~

potential to create new users [speaker not understood]. third, we support this ordinance because it poses a potential threat to enforcement. i grew up in the age of joe camel cigarettes [inaudible]. [speaker not understood]. >> thank you so much. next speaker. i'll call a few more name. alexandra [speaker not understood]. jessica estrada from [speaker not understood]. [speaker not understood]. good afternoon, supervisors. my name is kenneth cohen. i'm a homeowner who has lived in san francisco for over 43

years now. as medical cannabis patient who suffers from frequent migraine headaches, it's important to me that i have quick access to the use of a vapor pen when i need it. whenever i feel a migraine coming on, i need to vaporize at that time. i cannot go off and go to some other place and expect it to get better because it only gets worse. timing and access are critical for me and my health to control the onset of my migraines. please don't limit my access to a safe and effective medication in public spaces by passing this regulation. do not [speaker not understood] medical cannabis patients who need to vaporize under the bus. thank you so much. >> thank you, [speaker not understood]. next speaker, [speaker not understood].

good afternoon, supervisors yee he, tackverctiontion, mar. ~ tang, mar. [speaker not understood]. there are over a thousand tobacco permits here in san francisco with many, many of them selling e-cigarettes. this is really a health disparity issue. products are being marketed in our communities of color where youth reside, where there are low-income families, and this is really causing health disparities in our communities. these districts include district 3, 6, 10, 9, and this is really about the future of our youth. so, just really want to thank you for your initiative here and we wholeheartedly support this ordinance. >> thank you. next speaker. i'm [speaker not understood]. i live in nob hill, ucsf studying the toe he back owe industry and i'm also the president of the coalition of robbing the americans on smoking health. i'd like to put this in a

larger context. in 2006 the big tobacco companies were adjudicated, rack tiers for 50 years of lying to the public about the deadliness of tobacco. and one of the ways they did that was filters, low tarses, light, saying that they were healthful and they were not. and e-cigarettes is just the latest ploy to keep people addicted to nicotine. this is all about them undoing the wonderful effects of de-normalization which reduced our smoking prevalence from the 40% to down to 12%. i urge you to pass this. and then to address the issue of advertising if the city is able to do so. >> thank you. thank you. >> next speaker. my name is john kreuger.

including e-cigs in smoke-free laws is not banning them. no one is proposing banning them. this is a public health issue. e-cigs do not merely emit harmless water into the air. heavy metals and carcinogenses that are not safe at any level ~. industry is increasingly, the tobacco industry, [speaker not understood]. [speaker not understood]. don't let them. >> thank you. next speaker. i'm keith perry. [speaker not understood] weeks after california banned smoking in bars and restaurants. i am particularly vulnerable to inhaled nicotine. so much so when i breathe it a mechanism kicks in called fight

or flight. since 1999 i lost my fight with my employer who can and did you allow inhaled nicotine in the premises. i fled my job. i lost the fight with my landlord and the rent board over breathing my neighbor's secondhand nicotine cannabis and crystal meth. so, i fled my rent controlled home of eight years. and today i rarely can walk down the sidewalk, go to shops or socialize in the castro without inhaling the nicotine of someone routing local ordinances. i would much rather not fight my community, but my community is worth fighting for and i will not stop fighting until the tobacco industry, our neighbors and visitors stop poisoning us. thank you for listening. >> thank you. i'm sorry for poisoning the room with this thing earlier, too, but thank you. good afternoon. my name is serena chin. i'm with the american lung association of california and i was born addicted to nicotine because my father smoked around my mother throughout her entire pregnancy.

and i spent the first month of my life in colic because i could not breathe. we didn't know then, which is a long time ago, about secondhand smoke and now we do. and because we do, we have passed laws seeking to protect innocent victims from secondhand smoke. everything, a lot of the researchers pointing at secondhand e-cigarette emissionses is doing the same thing, coming close. i just want to say that as a member of the american lung association we have helped -- we have worked with 20 cities in the bay area adopt secondhand smoke laws that include e-cigarettes as well as three county unincorporated areas. so, i've passed out the list and by the way because i have asthma, this is the way i inhale my vapor. and no one around me gets secondhand vapor and i get my medication. thank you. >> thank you, am i chin. good to see you again, too. next speaker. my name is linda boyer chiu.

i'm a proud resident of san francisco and my 25th year as a school district nurse. i believe i speak for my 40 nurse colleagues who work in this district when i say that this bill needs to be passed and here is another compelling reason. there is a strong relationship between truancy and smoking. over the past 7 years at a high school, i have counseled nearly 100 teens who have been caught smoking and almost all of them are not engaged. meaning what? they don't come to school. they rarely get good grades and they drop out. so, why do we allow access to another product that might impact school attendance and school success? supervisors, this proposal would send a clear message that we care about those most vulnerable, especially teens and children, that smoking is not welcome in our public schools. thank you. >> thank you. i'm going to call a few more names. dr. randy long. elizabeth cox. lauren lampert.

gloria solis. [speaker not understood]. daniel [speaker not understood] who may have already smoke en. may how. and holga [speaker not understood] who i think already spoke as well. yes. >> next speaker, mr. wu. [speaker not understood] i am a former student for sensible policy drug member. i am a san francisco resident residing in the sunset district. [speaker not understood]. i agree with regulating the sale of e-cigarettes for use by minorses, however, [speaker not understood]. the harm is not nearly as comparable to the harm of regular cigarettes. might recommend a discretionary ban for businesses and building owner, but not complete ban where cigarettes are banned. i also recommend drafting [speaker not understood] to test for harmful [speaker not understood] to mitigate the stated risk of unregulated e-liquids. i use e-cigarettes and have not smoked regular cigarettes in over two years. i do not use nicotine because it's ahab it.

please reconsider revising this ordinance and not ban e-cigarettes where cigarettes are banned and make it a discretionary ban. thank you. >> thank you. next speaker. good afternoon, supervisors. my name is liz williams and i'm with americans for nonsmokers rights in berkeley. we are so pleased that you are considering this proposal to prohibit this in smoke-free spaceses. [speaker not understood]. there are at least 108 municipalities and three states that prohibit e-cigarette use in free spaceseses. including new york city and chicago. [speaker not understood] their law in april. tuesday los angeles city council voted unanimously to do the same. san francisco has an opportunity to join leader including many other bay area communities. often behalf of our san francisco members, we urge you to adopt this proposal to prohibit e-cigarette use in all places in order to ensure all workers and patron can breathe free [speaker not understood]. >> thank you very much.

next speaker, ms. estrada. good afternoon, supervisors. again, my name is jessica estrada and i work with vietnamese youth development [speaker not understood]. i'm just here to support this regulation of e-cigarettes, not ban. and to regulate e-cigarettes in the same way cigarettes are regulated. i first became aware of this issue when youth at the center i work at told me how crazy popular these e-cigarettes are in their high school and neighborhood. [speaker not understood] she had a lot of friends under 18 who smoke these things. research connected with the san francisco unified school district where they conducted a survey of 1500 youth ages -- seventh, eighth and ninth graders. the youth took a sample of 500 of these surveys and specifically looked at the question, what do you know about e-cigarettes? and again, these