years old and they seemed knowledgeable about this subject as well. everyone is doing it. it has the fuel a real cigarette, but safer and you can hide it easily and i smoked them for three months and i know a lot. you can tell how these are marketed and concentrated towards youth markets and because of how easily accessible and how widely seem they are. my group decided to advocate for this legislation. >> that was amazing. speaker: i'm jessica. i'm her coordinate at the vietnamese center and i want to reiterate what she was saying. in our group i work with ten amazing and they're seeing it all over instagram and there's millions of post. i have an instagram account, but i'm not as savvy as these guys, but not just

going through social media but all these of flavors. it's a problem, but sees these surveys done that these are responses from 12 to 14 years old. it's really happening at a young age. i'm moving onto go on. because of this big issue, it's a youth issue. we felt like we need to build a base to really address these harmful affects and the huge rising trend. so like derrick and omni mentioned, we engage various partners, community partners and usf researchers and those in the school boards and different

high schools in san francisco as well as supervisor mar and the small business commission and one of the activities that our group did with the dyc and the institute, we were able to do like an e-mail campaign and engage, you know, community partners that would normally not have been engaged prior and teach them about former e-mail writing, how you can't say what's up supervisor. you have to have a formal process and do a campaign and actually blast out the message that this is very important to various partners, and with very, very high response, so l accompanied me with a few other youth members to actually do some legislative visits before the board vote and i think engaging new partners and

engaging partners like us is a huge part of the coalition and apart of the health department and all of our work and i think it was very, very highly received because when we came into the legislative office at city hall, and different supervisors said we got your e-mail. i think it was a positive for the use and the partners. there has been other, like i said, we had engaged other partners in terms of the research and local research is helpful in not just, i guess, what's the word, influencing the board of supervisors when they're voting on the legislation, but to prove to the public and prove to those who are not sure that this is something that is valid, so one of the big messages he wanted to visit out that rather than helping people

quick, e-cigarettes are becoming that gateway product or drug that young people begin to use when smoking. one of the local research projects that we did was an e-cigarette purchasing project with the youth institution actually went out to local businesses and these are youth between ages 16 and 22 and went out to local businesses and tried to purchase these products and l, if you want to say what was found. >> after going out to these, one out of 11 stores asked for an id. >> that's a low percentage. so these stores are supposed to card any tobacco product if someone looks under 30 or 27, so

obviously l does not look 27 so they did not ask for id. so this was a very access ability is a big issue so the fact that this legislation make it's in black and white because with e-cigarettes people will say i'm confused. i didn't know it was tobacco. with this legislation, it makes it black and white and doesn't make it confusing. you must have a permit to sell e-cigarettes and moving on. other local research that was conducted by the development center group, so it was fun. our group broke into different pairs and they got to conduct their own research so one of the studies that was done, one of the research projects was involving two student and they conducted a survey of their big lecture hall classes, these are biology

classes and there's over three hundred people in this class and 32 percent of the students had used e-cigarette products and this proves there is this gateway device. this is something that people use first before or during trying to use these other tobacco services. this includes public transportation like muni and park and on the sf campus where there was a smoke free policy, but there was confusion of e-cigarettes had counted in that. many of these students smoked a combination of products including hukkah and e-cigarettes. another survey was a collaboration of the sf unified school district where they did a class survey of e-cigarette smoking and there

was over 1500 surveys collected and we analyzed 500 which is a lot of us. 60 percent -- 12 to 14 year old who are in middle school have heard of e-cigarettes and a vast majority that they were safe and harmless. and like omni and derrick said, the next step what developing a plan to work with our base and so the talking points were -- e-cigarette is this wild, wild west without regulation and a consistent message, working with our community partners and making sure we're using the same message that this isn't a ban. this is not a ban of e-cigarettes. you can use e-cigarettes where you can use cigarettes. we want that to be clear. dph

and coalition helped organize press briefing in early march where there was a lot of coverage with supervise mar and other staff. and dr. [inaudible] at usf and i believe that media coverage was on nbc and sf chronicle and news radio. as well as supervisor mar developed a chronicle off ed a few days later. and lastly, i think this was the very exciting part was the coalition and it was mostly derrick who helped coordinate speakers who cared about this issue. we're passionate about this and we want to make sure it was very clear that e-cigarettes are not as

safe. there were multiple community partners and over 50 speakers on this issue including youth and multiple other community partners. and usually two minutes is allowed for public comment but i don't know if l would like to talk about her experience. >> this is our first time making public comment. it was a great experience and we're allowed two minutes but this was shortened to 60 seconds due to how many speakers was at this meeting and it was exciting. >> they were better prepared and i was like we got it down to one minute. it was hard. the sheer numbers and all the work that was done, the rules committee approved -- recommended the

legislation and supervise lee was the co-sponsor and the rest is history. it went through the full board. the two meetings and then we got to go to the mayor's which was very exciting. the big question mou and the most important piece because regardless is the legislation is now in he can, but if the public needs to be aware with it. >> thank you. >> i'll pass out pamphlets that my research group made over the course of e-cigarettes. >> that's wonderful. there's so much passion. i have a great job and i'm lucky because i just don't get to look at data and work at the issues but i get to work with amazing people who activate. you can't make up the passion that young people have about issues like this in their world. just to let you know, now that this is an ordinance, we have intentions

for implementing. you'll be seeing the word get out where we're intending to fight out about the information about e-cigarettes. we're sending letters to he -- letters to sectors because they haven't have this operating. we're looking to do bart advertising and we're going to try to use it to reinforce this ordinance and where you can't smoke e-cigarette. we're trying to get a bang for our buck. as we learn about these new products and probably the youth will have these educational materials and we'll update themment we're working with other communities all across the state to be an example of san francisco always seems to be. we've

had a path that worked and that other communities could follow us. i want to point out, you folks have been early leaders s on health commissioners so we're thankful. you got the facts and said we've got to act on that and that was supportive in moving forward. i want to point your attention to this study because it was opinion in effect for 25 years and they're working and working to reduce tobacco addiction because we know it's the number one cause of of disability and death. 27 counties in the united states, so there's 3,000 california, so california has 58. it shows over the period of 1996 and 2012, san francisco was third out of 3,127 counties in

reducing the smoking rate. none of that is accidental. it's because these folks hit the pavement and they bring the research and bring their game face and they are so committed to this issue and they understand the impacts, therefore, we're saving lives and we're saving dollars. i don't know if you have questions for our team, but please feel free. >> thank you. here's a progress on a resolution that we had several years ago. i'm going through the city there and that's an alarming figure that seven percent of smokers who have used e-cigarettes were successful in quitting also. so the passion, thank you. commissioners, questions? >> if i can make a comment and

i want to acknowledge the young people in the room. our future health leaders are here. thank you for your work and it's important. you're saving lives is what you're doing. thank you. >> yes. >> commissioner sanchez. >> to the chair, i want -- this is a really excellent lesson for us since we listened to the dance of legislation and how you navigated and had hearings. and working with others on this key issue and then get data from university of washington and everybody involved, so really well donement -- well done. we thank you for the lesson today. >> commissioner. >> i have a question question and this is because this is news to me that people are not supposed to smoke in park and i've seen people

smoking in parks. is there a way to do education on that? >> we're not there yet but that's the intention. we're informing folks through letters particularly. since the ordinance just passed, we're working to get the word out, but hopefully over the summer, we should have a solid media campaign. speaker: the question was smoking in general and not specifically about e-cigarettes. i don't know if the public knows that they're not supposed to smoke in parks. >> possibly not. that's an ordinance that has been on the books for a long time. if we have signage, we can work with parks and recs. the big media cam mean that says you can't smoke cigarettes or e-cigarettes, if we tell people where they can smoke and there's a few places in san francisco where we don't encourage that,

but that's acceptable, it makes the lesson much easier so people don't ask, can i smoke here. we tell them here's the one spot you can smoke whether it's a cigarette or e-cigarette so it's not harming people. >> a wonderful presentation and thank you so much for basically helping our commission with a success story. we deal with some of the issues. thank you very much and i look forward to our future health leaders sitting here one day. >> commissioners, and presenters, commissioner singer had to deal with a family matter and he sends his apologies that he had to leave earlier. >> item 10 is other business. >> is there any other business before us? if not, next item. speaker: item 11 is a report back from the joint conference committee and interest was a san

francisco general hospital jcc. >> please, commissioner. >> when i read the thing, it said there was no jcc and i think singer and i must have abandoned -- anyway. the jcc met on may 13th. we heard excellent presentation pertaining to the security update including questions and comments and discussions and this will be presented before the full commission in june. it includes not only sfgc [inaudible] so we're doing it together. a report is a regular report which is accepted. we heard the administrative report. he gave excellent report and update on the nursing vacancy report. and there's an item here public

comment. we did have public comment regarding this. we had, i believe three or four speakers and nurses we heard here previously at the commission, but that was apart of the public comment. we noted that et cetera including exceptionally award for our nurses who received one. and again, our hospital administrator cited that. we approved the policies and procedures in the staff report and discusses the council report. we moved in closed session and approved the credential report. and at that we closed meeting. >> i was going to ask commissioner but he's not here. that's the report from the jcc speaker: any questions on that conference report and we look forward to the secured report. next item. >> item 12 is committee agenda setting. >> do you want to he -- do you

want to remind us about the planning session. >> august 19 is the health commission planning session and that will take the committee timeframe so it will be 2:00 to 6:00 and i'll remind everyone to put it in their calendar. >> what about the progress in terms of a neighborhood commission meeting. >> that is something that you and commissioner malar need to discuss, you the commission is what we're considering. logistics is still -- >> we have determined that the mission would be -- our neighborhood meeting cite. >> from the other commissioners, yes. >> any other comments in commission setting. speaker: just on committee process. you know one of the things mark, that i've been noticing is that

our presentations are getting longer. our slight presentations are getting alonger and a lot has been presented at committees and i wonder how people can come here and give us sort of like a summary presentation rather than a lengthy presentation which is the same presentation they probably gave at the committee level. >> yes, i will take that to heart. if you can only understand message to everyone. when folks come and present to you, they're excited to be here and -- >> i get it. it's just. a lot of the information is very basic and we can read it, so i'm asking that. >> commissioners, it's my responsibility to work with mark on that. with our staff, so i'll assist

with him and making sure we can pre-view the second presentation. i do want to say there's presentations that are worthy of more time when they're city wide. i'm trying to show the commission how important it is to work city wide. this is an example, e-cigarettes and vision zero was another, to show -- i know the commission has asked me in the past that we're working with other departments but we'll try to get those more timely. >> i think also that if it were possible -- in this case, this was a success story that we just had, so we understand that and we can celebrate that because there weren't task that we need to except to work on the public health side and make sure people understand the problems of the e-cigarettes and would hope to have a similar presentation on the soda tax.

otherwise, i think presentations at the commission level should look at what the commission or the department could be doing coming out of the presentations so that it can become potentially policy setting if necessary, not just updates. updates are important. we just talked about those, but within the importance of the commission who assist in this subject matter, so i think that's where we're looking for some time to be able to dialogue on that and so for those presentations, it really should try to get what is it that we can also do. does that make sense? >> yes. >> we're very appreciative of everybody who wants to make their presentations and we understand that enthusiasm and we like to be able to assist the city in its quest for better health for everybody.

>> i need to make one comment, commissioners. today because of the cancellation of the public health committee, the strategic plan was not discussed and the committee was going to give input. because of the timeline, the plan has to come before the full commission for a vote. there had been two meetings so this will come for the first time and the only time for you to consider and vote. >> we're asking for essentially that our committees be more effective as we learn how to use committees so that we could then tone down to the key issues that the commission should understand. certainly there's a balance between having to have enough. we ran into that with the care where we moved forward but without getting the

in depth information and i'm glad you pointed out the public health accreditation because we don't want to go into the same problem with care report. if staff can prepare that as we're doing that presentation, they can give us, again the guidance. it sounds like we need acceptance, but if there are resources like commissioner singer said that we're going to need to bring to make it come about, i think we want to address that as part of the presentation. the resources are there and we can carry it out. >> thank you commissioners. >> we're in adjournment. >> any other comments, otherwise, we're ready for a motion for adjournment. >> so moved. >> second. >> all in favor say aye. there's no opposition. we are adjourned.

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