children and adults to be making informed decision you can't make an informed decision if it leads to poor health outcome so some of the information is coming through a again sugary drinks are making us sick and this misinformation nifld the major tactics to honestly study the purposes and third raise our voice begin a dialog are consumers and institutes supporting initiatives that will lead to policy changes so this is a snapshot from the website and again, if you go to the website you can click on each bubble to relieve devolve deeply

into how that disease is connected with sugary drinks and consumption and lastly i want to show you a snapshot of some of the media i've seen them and you guys have two but bart has so for media advertising next month month. >> so good afternoon, commissioners i'm sarah if at any point the co-decorator of the bigger picture you it's a partnership are the vulnerable population at san francisco general hospital to the you mean center we use here in the bay

area we looked at their youth followers on facebook they've gunning got 18 thousand partners around youth empowerment and how to apply social change those are the top ones you see coming to san francisco in february are actually a bigger picture a poet on the left he was the poet and on the right you have another poet they've helped 2, 3, 4 a workshop and they wrote their own oriental spoken word about how sugary drinks effect their life and he felt targeted like from soda through the chiropractor store in his neighborhood and a

mexican-american talked about how sugary drinks it was around the table it was considered discurious tuesday if you don't expect a drink so that's what i love peppering about the ads those are their voices and those ads are back to poems from the cal workshops and the mentor helped them to find their voices to get the messages across so this entire campaign is geared around young people's voices and that makes it special, in fact we were trying to reach the new population that are the most impacted and margaret to by the sugar drink industry young people and people

with color targeted audience when you have people that one or two young people of color gets diabetes and it is linked to the consumption of sugary drinks you have a 25 percent of getting diabetes in your lifetime it is important to target the young people at risk and make sure they have the information to make the decision at&t park their height you should eat better and exercise more a lot of young people how many of them like being told who what to do and similarly with tobacco and the way young people respond in our workshops they respond to a supported industry that profits you don't want to support that industry thee need the 0

information so through this campaign we're going to have launch community events youth poets will be performing and telling their stories about being margaret by the sugary drink industry and how that makdz makes them feel as folks of color they've supported in campaign and it reaches san francisco and we have active media and their incredibly powerful we've got a website and on operating.org so there's a lot of opportunity to reach an array of young people and impact them so we're going

to be doing in february launching the campaign on a wide media mr. taylor in the bayview at a time we'll consultation evaluations for the sugary pages campaign and education and outreach using our are partners such youth radio across the bay and organizations with strong partnership are the school district they're on board and want to see those messages get out. >> thank you very much for your presentation. >> commissioners questions. >> oh was there any public comment. >> i'm not. >> sounds like there is somebody. >> i didn't turn in a card. >> give one second to set up 3 minutes. >> good afternoon, commissioners my name is beatrice dunn kwan can i'm one the co-chairs the

san francisco coalition along with jeff collins the ymca san francisco i'm extremely proud to be here today and tell you how strongly we support in campaign as a grandmother of two high school teenagers 16 and 14 and also a member of the african-american and mexican component i know this mechanism is going to be a great hope for them to understand the results of the consumption of sugar drink sodas i think it is important they will be able to relying rally to the youth they're the ones that will educate them and bring them into the realm of this tragedy when we consume the sodas it's interesting listening to your previous discussion when they were talking about the oral hygiene and the funding for more

services to deal with the issue of the dentistry and the cavities and so on and so forth it is interesting in one of the part of the on truth campaign we are talking tooth decay and here we are today you as commissioners discussing the fact that the increase of tooth decats is astronomical and here inter as a volunteer organization of shareholders we raise this concern more and more when you, you talk about the evaluation that p.s. this campaign i can say a grandmother and at concerned citizen that i can come back and show you that the decrease of that tooth decases this awareness this

epidemic creates this industry continues to target the folks of color they talked about the regressive tax and another things this will have hurt their business and yet there's a sense of study bus let's forget about the ratification of this target let's target our generations the people are not going to be taken care of of us and the population of the youth continues to from because the epidemics of diabetes and tooth decay and other ills i have to say those diseases have been documented we have people researchers and ucsf and the department of public health with that i want to

thank you. i'm very, very hoping you continue to support united states shape up san francisco coalition is an organizations that all of you should be very proud of because i am thank you very much. >> thank you, ms. duncan we can all be proud of you as a co-chair of an enthusiastic coalition commissioners comments in regards to the presentation? commissioner pating and first of all, i want to comment on both presentations they were really excellent i was also expressed when you get a refined message it's community felt and based and implemented as well as i want to emphasize how professional both those approaches are

there's a lot of similarities and differences i actually think in terms of the dollars i find the dollars i didn't hear about the dollars in the second i'm less concerned about the outcomes i think that we should be also promoting you know good public health and what that is and it changes as health patterns change i have a question for the director how do we budget on an ongoing basis for the health prompts is it project by project it seems a hard way or do we have a big staff that perfumes professional products is there a way we look to get out health messages from outing our coalition >> as you've heard the different parts of dollars one of the questions to our staff the other day can we deliver

those together are is did media corporations bundle it up to get a return on investment we don't have a campaign budget and that is something, of course we can work with each has budget 90 but not a budget overall. >> is that because of the coalition or the budget. >> the funding that we have not had in the past i'm sure you're aware of this is the second year of having a balanced budget and the public health in terms of one of the issues how do we leverage our my campaigns we have hiv and we have tobacco is there a way to leverage all the tlvrz as a promote all fee as they come from different sources one thing we do well, we as we

get the funding we have the local entity and ask the question if the dollars are in the future for future commissioners, that motion passes. >> i like the media collective or cumulative impact where our hypertension of abdomen an sects can go together as well as the campaigns there is think opportunity to add to the value in terms of the okay starting get to the outcome in a population again from preservation i think we know what works assuming for young people you raise the sense of negative risk how to on behalf of for marijuana the more that marijuana is seen as negative versus positive and learn from the tobacco issue i know we've

implemented it professionally better getting it through so it is kind of into the prevention pipeline so, yeah. >> i have your comments and your approach being somewhat different for this particular campaign versus one we've just heard i think one of the reasons also ise population according to our research is about sugary drinks we're picky backing and the measures we're looking at here actually would reflect as you say a preservation how well will we do with the public koirgs how a we can take advantage of the

creating that campaign this is extremely important i wanted to 2340e9 that the shape up coalition their - i did ask for who is on the steering committee it is really wonderful that people from the american cancer society and american heart association so the mayor's office and rec and park were all part of this i got at least on little bottom in terms of if you get letters of support there are guidelines in how to function they want to, if you know clearly as a operational committee and not just try to look at the problem but come up with solutions and accountable items i know we've heard one of the co-chairs.

>> certainly premeditates 9 campaign. >> commissioner singer. >> those campaigns are certainly important so congratulations from the community support from all the different places i do think commissioner pating's comments raised an interesting question about campaigns like this which is the scientific facts are there in no campaigns brown the behaviors and health outcomes it is clear it education helps but what's not clear maybe clear to everyone but not me is whether or not the education impacts linear in terms of every dollar we spend you get a reduction in health outcomes those are how to measure or whether it's a staple function

it 2k50r7b9 until you spend x and it really doesn't matter x when you spend x to get a step function of results and i think those are really interesting public health questions i do think there's a spirit and we all so desperately want this to work if we get one dollar more it is going to do a dollar more those campaigns look for example, it could turnout to be effective they don't do anything for a population our size until we spend one million dollars rather than spend 5 hodz hundred thousand dollars sped up one million dollars we had a a lot better job of people trying to pep help the community or it my

turnout and on need to spend $100000 or my point that's a question that we need to know the answer to rationally spend the money to get at the objectives that you are trying to achieve which we're all completely supportive of in there's a question. >> i would be interested in a fire chief time not a long presentation but about social marketing about the lessons learned in the industry it's obviously you guys are professionals and know how to evaluate and i see the value in what our.org doing give us tools to again know not only how our candle stick park is effected

but the future campaign in the overall budget and success. >> how do we use the budget for the impacts together those issues are intervened and yet we're doing two separate campaigns. >> that impacts 5 areas. >> that's a question i have similar to commissioner singer. >> i also brown we get to our ronls 0 on the immediate question those are worthy and those are where i believe our community. >> public health community works on this and finally on how we look at finances and also what we are hoping to do in the future and mostly on the delivery system the community health begin to see this this is a

wonderful focus an another aspect of our department and i think those are vp questions how can we be effective in ways to take the knowledge from the different campaigns all the way down to begin to and we've talked about integrating into our homes now we're looking can we do a better 3g9 job overall. >> it's important for both initiatives we shall a member of a larger larger coalition. >> absolutely and this is a good deemsz of the 2014 years of san francisco it is so expressive as a coalition that's why one of the names of steering committee i understand what sort of organized are involved and what it repeating really by itself is just an amazing number of things

we did in 2014. >> commissioner president chow and commissioner singer that i'll offer nothing of itself is going to work we've been working on it this for years and this campaign is one piece of a whole love of other work on the issue of sugary drinks so i think it is hard to keep it out as a campaign we believe that the sugary campaign impacts the knowledge and awareness. >> why do you believe that. >> i guess that's what i'm trying to understand. >> two packs of sugar and 17 packs of sugar in an energy drink i don't think people got it. >> it was virtually stwrrg it

was a lot of sugar. >> how much my question is nothing to do with do merits you asserted this campaign you decided had a great effect and my questions how do you know that. >> it was the first public education campaign we accident with media radio and much of the work educating our sugary drinks and the partners we have not be able to purchase that space i think beyond our control the conversation around sugary drinks is growing. >> that's helpful but we would do a better job for the communities we're trying to serve if we kind of have a harder edge to that question

which is here's how we know because sugary drinks are being drunk less that's a much trickier so i think in our work as a department and it doesn't mean this is not important we're going to be better off if we demand of ourselves as a group a much hardly edge we're spending the citizens of san francisco money so we need to be able to justify and here's we're getting the most we can and here's how we know. >> so i do think all of those are worthy questions to building brought up together we're not hopefully at this program or others which is why our previous comments were also we're 4r50k a broader because of how we want

to be more effective too the limited i mean, we know the limitation of the money the limited money like director garcia we're having to campaigns maybe in 2016 we should have one united campaign and the tooth decay people we'll be targeting them and using the same efforts rather than duplicate active effort from three or four different campaigns we have an opportunity. >> we have lots of experts that sit here today and will continue to work at that kaiser has gone through a lot of - i see a lot of the campaigns there's science

out there thank you so much for all your work. >> thank you. >> do you want to make one more comment and i want to speak to commissioner singer's question how to best allocate the dollars and how do we know the message is being reached i want to speak to that is we've done 13 schools 9 were ucsf high schools with the on truth campaign we're doing the same messages and a assembly presentation you talk about advertising to young people of color for instance and we are give high school stickers and subcontract and add fire to the workshop how many of you said social factors as martin to young people or access

to healthy food or place inform exercise that impacts our health and sugary descriptions how many of you are more likely to drink them there's a short-term we need to be before the campaign i don't have the numbers but i'll be happen to get them 34 percent prior to seeing these understood that environmental factors played a role and by the end of the hourlong assembly presentation 3 percent understood that environmental effects we have the geography by age and have this evaluation so we know those are messages that reach 9 young people and the young people you've seen in the mark up adds what advertising times do you think your friends

will rack to we don't have the young people in the room we've been able to ask several young people this is a pier peer to peer model we have some kind of introduction how we impact. >> thank you. >> i'll take this up to the committee and we can look at this the public is one example there's a lot of similarities i think how much dollars does it take or the attitude how do you know when you change the attitudes you can get t a typical program and share, however. >> however the committee wishes to study the issue. >> the overall theme my point if there's an adversary if this they're playing chess and you

should play chess too so we've not as sophisticated which is hard; right? >> and the other side. >> okay. thank you we did want to note our farther commissioner jim miller is on the committee also so - i think this is obviously a higher priority doing great work and we're going to make it better we hope thank you very much for your work. >> thank you commissioners item 9 is other business and commissioners other business you'd like to bring to our attention next and i intended to report back on the

hydrohydromeeting. >> in addition to the administrators report we heard a a presentation on the employers satisfaction project that was completed i would to say it was very exciting to see the kind of positive work place that was highlighted in the responses from the employee satisfaction and how long people worked there was amazing we talked with the office of economic workforce development and linked to longevity of folks that work at laguna honda and recorded from the closed session. >> thank you questions to commissioner karshmer. >> no one okay. i guess we've need the human resources was updated yes.

>> yes. i sent out on meanwhile the final agenda does not include that item. >> just want to make sure i didn't skip anything. >> next item 9 committee agenda setting. >> so everybody is reminded that the calendar shows we'll do our planning committee meeting on the march 17th yes. >> st. patrick's day and i'll work with awe you and commissioner singer on the planning and finally located a school that will host you all for the community meeting for the mission there's update for you all this week and hopefully find one of three weeks. >> like to get in a meeting at the community sometime in the first half of the year.