the department of public health the state public health department the manner association and cancer society and so you can see many themed health organizations that are making strong recommendations to reduce the sugary drink consumption. we think there are strong parallels to the tobacco city - >> stepping back you made a statement that's an important one about you made it with respect to the metabolic syndrome in terms of sugary beverages increasing our risks of getting type two diabetes my understanding is drinking 1 to 2 sugary beverages a day increases your risks significantly.

it's not conditioned on you becoming obese i know that the sugary industry they don't like talking about diabetes and don't dispute that those drinks can give you diabetes but try to ignore diabetes and talk about obesity i'm sure it's very group tested there is so some causes of obesity and genetics and exercise and they try to make it when obesity but it's about diabetes. my understanding is that in terms of increasing ones risk for diabetes it's not contingent on being over weight and you can have sugary drink consumption have a increase in diabetes even

if you're not over weight arrest the asian population shows they get diabetes at a lower bmi it's not related to over weight. so taking accuses from the tobacco industry we know that the sugar lobby was work in the 50s to destroy or undermine the science that sugar is not about obesity. they continue to have influence and in 2000 they were able to keep the warning soft on the added sugar to limit sugar in instead of decrease and they've

also gotten funding of the world health organization so we know those tactics are out there we know also, they are particularly good and a at targeting and target marketing they look at latino and african-american teens as their source of growth. black children and latino are 40 percent higher drinking and the spanish children are having important ad targeting them and they're going really, really young to preschool kids and the preschoolers are seeing more adds than they're older siblings. so this is not helpful

particularly given that the diseases impact those populations more and they're targeted marketing t is working they're drinking more sugary drinks than the whites. they do great texting to their friends with sugary drinks and water is the enemy and you shouldn't drink water. and they, you know, work with the white house saying they support of the white houses effort and at the same time work to educate restaurant servers they should push the sugary drinks instead of tap water we want to increase the physical activity because it's not about diet but increasing physical

activity. so the state is also working on this it's important to note this is not a san francisco fringe idea the state has noted the health impacts of sugary drinks and has proposed health warning on sugary drinks and stating this drinking sugary drinks leads to tooth decan i and obesity and diabetes all the supervisors voted for this for the need for a health warning label. we've got phenomenal young adults who see the bigger picture have created videos we encourage you to take a look at

them we do this to educate the population and public about the impacts of sugary drinks and the impacts that the industry uses. that's one off the - >> we have about 75 or 80 cards of people that are going to be speaking i know those slides will be coming to us later but if you it could try to get to the main points i think. >> okay. i'll just quickly we're in the middle of a campaign kathy people about cringes whether their energy or cola that's ongoing and that's the end of my presentation so happy to answer questions >> any questions colleagues. thank you very much. we also have paula jones our director of the food systems and

another gentleman here. and afterwards is len in a brooke from the san francisco unified school district and bob from the superintendant of neighborhood serves for the rec and park department. i also wanted to acknowledge that school board commissioners joe and rancho norton are here i'll be ask them to come up as well >> good afternoon. supervisors sorry for the delay i have to load my preparations i'm paula

jones i'm with the public health department and staff our security task force i've been asked to speak about food access and also what the recommendation for improving food access are from the city level so let me see if i can get this. and i've given you all copies. thank you. thank you chair farrell and supervisor mar and supervisor

breed. this task force is a citywide task force that is concluding the human service agency and the department of aid and the wick office and the food system office the department of the environment and youth and families and it includes this school district and sf general a dr. from the vulnerable populations and other good times and st. anthony and community living campaign and the e california and meals on wheels. i'm going to go though how we define food activity and the health impact of security and the recommendations for improving food security. we look at food security existing when our residents don't have the ability to prepare nutritious food it's a

complex issue to look at we look at income level has been a proximity look at low 2 percent of the poverty and according to the one of san franciscans maybe at risk because their liquifying below 2 hundred percent of poverty. i want to get you to understand the presentation eave adapted looking at the security we've got our fraction from the food security sea it rests on food resources a resident that has the adequate resources to purchase enough nutritious food and the second is access to affordable culturally appropriate food through a food program in the neighborhood and consumption your residents will

have the ability to prepare healthy meals for safety and cooking. this is where the access to kitchen and education comes in. now food and security results in poor health and it's interesting christina talked about how low income is in the areas that are experiencing the low poor nutritional intact because there's a lower in take of the fruits and vegetables that have higher mick new translate we have part of food security is that people are buying unhealthier food because of the lack of resources and they have a higher intact of fats. the behaviors will gone for decades this is a preference for

high fat and high sugar food and binge eating and food rationing there's less abandon weight for keeping with the higher health care costs. nutrition is critical for aging and food compromises this. for children we see a decrease intellectual development and more hospitalization. we see sicker babies and for adults higher rates of obesity and important control and obesity levels and decreased capacity to main things with angling and people living with hiv and aids there's an inability to control environmental levels.

and those are passed into outlining all our city departments. i'm sure you're aware of another task force in tenderloin completed the access of the information and the rest of the subsequent work was based on on those data. i'll go through the pill arrests what the programs need to be expanded and lefrmd and the last right now is what programs were initiative that improves security so for the cal fresh premeditation and that's an exciting program and i'm go into a little bit more in another slide that would be leveraged to improve the food access and

security the next one is the nonprofit we have many nonprofits in the city that have general ideas to improve the nutrition intact and could be leveraged with more funding. this is after school meals and those programs could be leveraged and increased about additional you funding. the larger types we're actually focused on by the task force because no one else was working on them the other ones are working on p them and the cal fresh retail restaurants we felt that more of our healthy food vendors need to accept those benefits in order to have the healthier food for residenthe n

following row around initiative we feel the healthy supplement we felt the city would be giving more resources to our residents that are lacking in food access to be able to purchase healthier food and we're acknowledging all the education in the school district and as well as healthy retail it's a key program. and for our last area to initiative we wanted to increase the security. so under the recognition around cal fresh we have as many of 49 thousand individuals that maybe

eligible that are not enrolled but we need to get those folks enrolled. for the increases in the non service program for the seniors and the disabled folks looking at the wait list for home delivered meals there's currently over 2 hundred seniors waiting to be on the program and we felt that that was a program that needs to be boosted in order to meet accident nodes and their should be an analysis of the anticipated growth in the program and the funding required. a lot of this is based on the hearing that was held last week in the committee. we felt the task force felt there needs to be more fund for the home meals serving seniors

and the disabled those are the figures that are based on a survey they did with their predators showing you the annual costs the need on their survey would be over 10 thousand consumers would benefit from this and the cost is $3.17 million. and the lunch and after school meals those are organized by groups and the d cf presented they concurrently have 5 sites they have over one hundred and 47 community based organizations to be on the site they can't serve that many sites they're asking to promote the after

school programs and lunches because they can't increase the number of sites. for the last recommendation was around the healthy food purchasing supplement this are an idea that's been piloted in san francisco it is acknowledging that many of our residents don't have the financial resources to purchase healthy food so they're do bow the unheight food this will target residents that are not eligible for some of the other healthy programs this will support the funding in the protecting neighborhoods the task force sees the impact of the low impact dollars for every dollar of food benefits.

it will support of the vendor the retail vendors in the community to stop those perishable product like fruits and vegetables >> ms. jones i'm going to ask you to do your best to wrap up. >> in your document this has been piloted when it was piloted residence purchased overlooks and oranges and there's an estimated cost and that's the end of the presentation. >> great i see in questions but i see the thirty to $31 million per year this tax would generate it's been split up to the san francisco unified school district and 25 to the public health department for different programming and 25 to the rec and park department. so the next speaker is greg who's the policy and elective

manager from the trurgz office and as supervisor wiener mentioned the hard work for this gentleman to develop this soda tax is appreciated >> i'm greg today, i'm speaking open the implementation of the insuring sweeten tax we've made preliminary plans for collection of the tax but this will have to be as with all our tax collection efforts the staff will be included in the annual budget process. first, i just wanted to mention that we have planned those collection efforts based on the facts we understand in the current reverberation that the tax is operative and they'll

identify the best identification for the ordinance. we understand there is an ordinance that will make retails and it will further clarify the taxes on distributors upon the first distribution to the city and retailers will not have any filing requirements, of course, unless they're a distributor to the city. we plan to administer this tax that the tax will be filed on a monthly basis you're going an online tax form and the administration of this tax shall follow the administration

provisions in the tax regulations codes including autopsying all taxation and fees. upon passage we plan to use calendar 2015 to identify the forms and instruction this may include the retailing and working with every city agencies with respect to taxable beverages. we anticipate our office will needed technology issues to deputy the forms as well as to mail information to taxpayers. we anticipate the need for 3 distinct work functions for the city including accounting management if they have questions and investigations in order to identify taxpayers and then, of course, audit capacity

and to in order to audit those taxpayers on their remit. this is depending on what gets passed by the voters but in our current understanding of the draft we anticipate that each of the m t will be less than one for all 3 of those functions and, of course, this can change was we implement the tax and will be included. let's next speaker a len in a brooks from the san francisco unified school district >> supervisor wiener. >> going back thank you for your that i want to thank you and your office i think you're doing a great job in working with us and the city attorney's office. i think that it is important to stress that this tax will be paid by the drishth and we've

worked hard to try to minimize our burdens on our retailers. unfortunately, there's misinformation that's gone out to retailers by the beverage industry telling them they're responsible for the tax and so on and so forth and about the beverage they put out a list of 5 hundred and 8 hundred and one thousand small businesses their claiming is part of their coalition. we talked to businesses i know there are businesses that oppose those but in talking to a lot of small businesses we see their neutral on the tax or supportive some of them thought they were signing up for more information

and found them on another list and some were not provided with full information on what the tax will fund. so thank you very much for your work >> supervisor cowen did you have a comment. >> i did. the system you out laid how the tax will be collected internally is there a cost >> yes. >> what exactly is, i guess your department what is the cost so we can collect that particular tax. >> that cost will have to be worked in the future budget cost it will be less than 3 f t e for the audit and the investigations we anticipate that we'll have technology costs no right to implement and, of course, that's going to be based on what's

passed. >> and the cost i imagine will be spread anti among all functions not only for this correction. >> we're going to have to develop a form so, yes we'll have a cost. >> so, now len in a brooks from ucsf. >> so i'm len in a i'm a food systems advocate a pair of two students and as supervisor mar said a member of the food and fitness committee. thank you so much for letting me share information i want to take a few minutes and tell a story about the meals program in the describe. the school meals on the other hand, at u state of the art

students they quality for reduced meals this year but what happens as kids grow older especially around middle school and high school the stigma of eating city hall lunch we start seeing the most vulnerable kids come to school hunger and they skip breakfast. we know because there's food offered at school they stay hunger and only 57 percent of kids actually eat lunch at schools and oftentimes kids will go off campus to escape the long lunch lines and they're first

point of access is junk informed. in the background i background of this we also know about a few of the ucsf students are over weight and 10 percent of latino and african-american meet the fitness standards according to our data. so those kids that are is most vulnerable are the most stuffed by that junk food and starve. of course, hunger makes it hard for them to focus and learn and make the most out of school. one of the districts chief ideas to so close the gap and i believe in improving the aspects of our meals program taking the kids from being hunger will close that gap and the good news

is the district is in agreement with that and the district wants to radically change it's food program and takes a magnifying glass to tour nutritions program in january of 2013 they brought in a vendor offering higher quality of food in their program and most recently and most important they engaged in a scale that resulted in wonderful road map document and you guys have a subset of this in the handout that was distributed earlier. this contains essentially 10 core recommendations that could be implemented in the school

district. and those range from family style meals in elementary schools those transformations means that eating school lunches could be great. we have this far-reaching goal to serve 3 meals a day to kids. but implementing all those brilliant idea p are bedded in this vision and it takes additional funding we know those great ideas can't happen with the district current resources. so that's the kind of direct link to the sugary