big soda your comparing tobacco or big tobacco i'll call it their tactics how would you compare with big soda is doing with those types of policies with the tobacco i know we have the lobbyist sitting in the back of the room and representing big soda can you compare the tactics with big soda today. >> i'm a tobacco researcher so i'm not familiar with the tactics of the sugar sweetened beverages but i hope to learn more with the tobacco centers industries has done to resist they've come up when they directly influence the effected officials by funding and giving sponsoring they as argue about this this is the first step and

going down the hill you know the big treat to our right and bring up the freedom and consumers are already informed and in the face of tobacco they bring up the consumers choice smoking is is choice not an addiction it is a unique issue and they use third parties and there's a lot of things that show the tobacco companies fund the thirds groups they have to appear in organizations that support this so to oppose this legislation in the meantime their guided by the tobacco companies. >> i think we call them astro turf organizations. >> thank you very much quick competently question maybe you can show the key lessons learned from the research with the tobacco industry that we can

begin to apply to addressing kiemgs are there other things. >> in regards to labeling for example, besides l.n. to the diseases which is great this is what tobacco companies resisted using not only a single label the single labels people get tired of them and not notice them and graphic warning labels are more effective. >> you say graphic labs. >> yes. pictorial with the population using language and sometimes, people they're not going to read it or don't thinks

there's a lot of research are pictorial advisement is better and more effective. >> all right. supervisor wiener new questions nope thank you for your presentation. >> okay. so now at this time i think we'll open up for public comment i have a few public comment cards i'm going to call up the four names they'll speak first and any other member of the public may speak afterwards chris in the american health association and alcohol justice and from the medical society and andrea yip just as a reminder two minutes. >> thank you good afternoon. thank you inspires for allowing me to speak i want to start by

thanking supervisor mar and supervisor cohen and supervisor wiener as the chairman for the heart association for i stand here and say the heart association supports those two measures reducing the sugar sweetened beverages is a huge will have a huge impact only overall heartache and sugar sweetened beverages is the number one added sugar in the american diet when you look at the scientific studies a major cause of diabetes and obese it we've seen because of one fact americans consume 3 hundred more calories than years ago and 41 percent of those calories come from sugar sweetened beverages so when we wee when we talk about why target sugar sweetened beverages it is not because we're a cause they're the number

one cause of obesity and heart association has a recommendation when it comes to add sugar in the diet the recommendations are no more than 5 to 9 teaspoons and the range is on the size as supervisor wiener a 12 once came back has 10 teaspoons by itself that's an issue i'd like to conclude by saying those measures are a step in the right direction reducing the consumption of sugar sweetened beverage will help san franciscans and californians. >> thank you. next speaker (calling names). >> thank you, supervisors bruce

wolf alcohol justice for over 25 years everywhere been the watchdog monitoring targeting marketing by the alcohol and in the arms of young people we support the out right abandon of advertising on the sugar sweetened beverages in san francisco i have fact sheets for you regarding out of home advertising we've done around alcohol that's similar to the issue we have here we also familiar with the labeling issue we've tried to get labeling on alcoholic beverages that are targeted for kids and producing produced around kids that's hard with the commission alcohol was instrumental in the banning of advisements on bart

and in los angeles it is awful to advertise those products on public property it is like like to receive revenues from those advisements that cause harm to kids and turn around and spend it on unnecessary health costs like diabetes and other things that could be reduced bylaw plus the additional costs on the taxpayers with the electronic advertising it can have drastically effects out of alcohol advertising maybe high tech but not acceptable communities can hold the alcoholic straight and sugar industry accountable and strengthen and enforce the policies that is preventing the offer expose for those

thank you. >> thank you. >> thank you. next speaker, please. >> >> good afternoon. i'm john mime a i'm a member of the board of directors of the heart association when we have endorsed the sugar sweetened beverages bills given the projected and current severity of the obesity epidemic in adults and children the strategies is necessary to help the californians to maintain a healthy wealthy this is health concerns and economic costs prevention is acceptable two key facts type 2 diabetes is accounting for 90 percent of diabetes in america and second 90 percent of type 2 diabetes are either obese or overweight 80 percent of diabetics in america survivor from wealthy gain and sugar

sweetened beverage is a connection between soda it comes first if wealthy gain then leads to car policy resistance and diabetes second warning labels and policies restricting the use of public funds like public and alcoholic it is over accomodation of soda can have consequences thank you for supervisor mar and supervisor wiener and others for the land use to vote no for those proposals. >> followed by (calling names). >> supervisors in my nephew my sister son age 32 hundred and 50

millin dollar has saviors diabetes obesity because it went back to the consumption of soda highly sugary items but for me it is a case this individual differences are once the choice it is more like a choice in i mean, the lawsuit for restrain the affairs of related to this item see for me, i drink many sodas a day and feel okay for example, my blow-dry tests for my fingers and say oh, you have a high blood sugar i'm a person in a fit body it that measurement of the level will be different for a person with

worse condition of body form my father you you know he died of cancer he smoked for years and the last 10 years of his life he had bad lung cancer in 2008 no and a lot of people this is why 80 or 90 they so it is all exams back to a person's own body collaboration one as wisdom of a principle or precaution and body care so a reasonable persons body care effect of the systematic measurement thank you. >> thank you elizabeth followed by ryan brooks and others

(calling names). >> hello, i'm elizabeth felton a stat and national policy corridor for the public advocacy several legislation in the capital in california for sugar sweetened beverage labels on bottles of sugar sweetened beverages and soda foundations and vend machines that sorry supervisor wiener mentioned was killed this year by heavy lobbying that tactics sugar sweetened beverages a scarringly different than foods with sugar their constant calories they spike blood sugar in the pancreas they've argued the calories in and out the calories

is suburb he know it changes how our bodies digest the face those sugar sweetened beverages are constant calories there is a question about the consensus and question a letter signed by top experts including dr. stan that was mentioned enforcing warning labels very is the enforcement of the deterrific association and as tobacco in the past you'll probably hear if a dietician paid for by the bench industry we'll have the entire association in support keep in mind and 74 percent of san franciscans said they'll support warning laborious and democrats and renders this is about a right to know san francisco's residents deserve to know what the drinks are and the danger

and i appreciate our vote on this measure. >> thank you. next speaker, please. >> make madam chair and supervisor cohen i'm not sure i can corporate that i represent the out media billboard companies and the comments were 8 hundred millions on the targeted of communities of color those numbers are awe skew if you look at those problems one half of less than one percent of those dollars go to the trying to make ends meet and other amazes to print supervisor i mentioned you wanted to regulate the persecutes in san francisco we have at chronology but don't want to address the problem from

the media addresses it address the media we don't think that is fair to be singled out because we're a billboard company we think that also the comments by the experts we take offense we talk about the community of color i'm a community of color and those so-called experts are telling me they can raise my children better than i am and i act offense my wife and i live in supervisor mar's district we know how much video games any children play it is again parenting and not one size do not fit all regulate the

industry thank you. >> nancy pelosi. >> very much appreciate the opportunity to speak this is very compelling the facts that are provided by this group of experts public health department a something we focus on the public comment is closed. issues and go a great deal of with the industries and various supervisors districts to help advance those causes ucsf we invest 2 hundred and 50 millin dollar hundred and $50 million in infrastructure for muni that is close to you will have us and the presentation here today i'll have 0 echo mr. brooks comments my concerns about the way this is proposed it focuses on outdoor advertising and while we recognize that a one an important issue if you only talk

about the outdoor you ouch a portion we all see if the labeling is required by outdoor those advertising dollars go to another industry and undermine some of the support we help to provide as your patrons with the community and the city thank you very much. >> thank you very much. next speaker. after julian please line up quickly (calling names). >> hi i'm noah david the youth commissioner and i would like to say that in 2014 the commission newsom e unanimously approved the unanimously agreed to remedy the proposed prop d to the board of supervisors and for some of the

following reasons the financial and health problems by the low income communities as a sunlight i result of caused by the sugar sweetened beverages and the tax needs for the consumption of sugar sweetened beverages and side need to expand the healthy alternatives and the fact that the young people by the marketing sales companies you. >> thank you. >> thank you. next speaker, please. >> julian wu. >> hi, i'm julian thank you. i'm with the youth commission the youth commission is supportive of the board of supervisors efforts to push forward last year and earlier this year we got a presentation on the proposals of the legislation the commission voted to support this legislation so perp as someone that grew up

around soda i know that especially surrounded by this advisements and media i believe i had the access to buy i had other options we had a volunteer team of consuming sugar sweetened beverages and that having like the warnings on it is times is a green good way to rise awareness and a lot of you that are not aware the negative effects that the sugar sweetened beverages have on diabetes or liver disease so in all thank the supervisors fewer continued leadership and perseverance on this issue and our dictation to help san francisco make healthy choices thank you. >> thank you very much listing i can't. >> good afternoon. i appreciate being here i'm lisa a

registered dietician including in the policy i've interactions with the following and food and add companies and health professional organizations i think we can agree we've heard that obesity and related health promissory notes problems are complex issues but it is overly simplistic to single out sugar sweetened beverages as causing type 2 diabetes if you're goal to implement the diabetes solutions the committee must consider important facts that are missing from the discussion i've heard here today first of all, diabetes a serious health concern involves the lack of activities we not talked about that and calory intact not

caused b the - the government data shows that the average sodas and sports drinks and energy drinks and sweetened tea have decreased by 2003 and diabetes increased 3 folds in the adults during that time fireman why has not diabetes declined there's no evidence that having the labels routing u ruling out sugary drink beverages will improve the rates of diabetes in san francisco. >> thank you. >> thank you very much i'm sorry your question and i have a question for supervisor wiener. >> i'm sorry i missed our name listing i can't. >> i have a few questions are you a member of the diabetic

association. >> i'm a member the of diabetic not california i don't like in california i can be a member i'm a member of the national association saw so it is a statewide equivalent. >> yes. in my state of virginia. >> i think you heard that the california diabetic association supports those policy interventions so you our disagreeing with the professional organization for dieticians in california. >> it is rare that the california diabetic california speaks for all they really take positions on prevention so i know at the national level i can speak for not all dieticians but all dieticians speak and think

the way we do diet i can took a position. >> i mean, i can't dispute that i don't know that i can talk to leaders not association and like i said, it is rare they do that at the national level there are many dieticians they would say it is not one cause of obesity or disease we need to look at the whole picture. >> now here we and we've gone through this did you testify on the soda last year. >> i did. >> on that soda take it is follow-up legislation to the proposed sodas tax we've had the support i want to list a few california nurses association and the medical and the california dental association san francisco medical soeshlth

our come summer and could go on and on for the entire public community at the state and the american heart association and the american diabetes association and our local health care groups they're all supporting those kinds of interventions and they payroll don't believe this is somehow sirnl out they determined this is a prostitute between sugar sweetened beverages that or transcribing to type 2 diabetes do you drawing with that broad and deep cookies of health professionals you're saying their i don't know wrong. >> i think you need to look at data or important to look at data to show that there are many causes and i think any professional in any of the organizations that you listed will agree there are many causes

of obesity and diabetes it is not one thing that is the sole contributor to those problems. >> are cigarettes the only reason for lung cancer. >> no no are they're not so do you think that you drawing with cigarette tax labeling. >> my area is in height and nutrition we're looking apples and oranges and it is more to stick to food and ammunition we're were talking about tobacco sincerely people don't need to smoke we know that it is detrimental to the height it is different when we talk about food i know we all, that food people have to eat that are foods that are enjoyable and people that do that are healthy and live a balanced diet and balance with activities they

don't have health problems. >> do you think that we should require health warnings on cigarette adds even though there are other causes of lung cancer. >> i think you're asking me about cigarette issues i'm here as a health professional and as a dietician. >> and you're being paid by the american beverage association. >> the consultant for that the food and beverage adds i'm here on behalf of the american beverage association. >> thank you i'm going to have to cut off public comment you're welcome to come back. >> members of the public i see b is next and executed up any other folks please come to the podium and stand behind - >> good afternoon commission supervisors i'm here to ask for your support for those very important

initiatives and thank the office of the legislation i applaud your commitment and tenacity being part of the african-american and latino community i'm aware that the consumption of sugar sweetened beverage have had in our communities of color opposition has already began to walk the halls in office of school expressing their reasons why this initiative shouldn't be considered we've heard and experienced those acts but one statement that has had an impact with me any type of change rewarding sugar sweetened beverage p will be regressive what's more redwref to see our communities suffer from diabetes unfortunately, they have accommodated and trbltd to the

dissemination of our community for a few dollars in my own pockets so, please i hope this initiative is clear for this committee and the full board show we're the progressive city that cares for the health of our residents and i urge and perhaps demand that the administration support us does not sits on the sidelines let us leave a legacy we'll remember for years to come thank you very much thank you very much. >> thank you. next speaker, please. >> madam chair, honorable commission supervisors i represent today the tabernacle community corporation about 7 of the larger african-american churches in the city we extremely disturbed concerning this particular

legislation when i look at i want to thank you each one individually supervisor wiener the first of this proposal of this kind issue in the country the warning with the sugar sweetened beverages with added sugar tributed to obesity, diabetes and toothed decay supervisor cohen proposed abandoning soda advisements on city property and supervisor mar proposed banning the spending of city money and i see you this committee is a courageous committee i sit here and listen to the health expert i'm very, very disturbed the community of color regardless of the african-american latino, or whatever is seemed to be targeting for economic purposes where is justice in all of this?

we at the point in a sophisticated city where san francisco like money and profit is more important than your youth and young people this is the way i see what's happening with the companies i want to thank again you 3 courageous supervisors and $10 million spent for the legislation and you have not stomentd thank you very much. >> thank you. >> we support you very courageously. >> thank you members of the public that want to speak on this item seeing none, public comment is closed so colleagues there are amendments supervisor wiener i see your accused up. >> thank you. i see madam chair, i have additional questions for the dietician is