. >> good afternoon, everyone this meeting will come to order. >> all right. the meeting will come to order and this is the regularly scheduled san francisco land use & transportation committee i'm commissioner grieco chair of that committee to my right is supervisor wiener and to my left is supervisor jane kim our clerk is andrea ashbury and recognize our talented people at sfgovtv that will be tics this jessie larson and jennifer lowe

noichltd >> yes. completed speaker cards and documents to be included should be submitted to the clerk. items acted upon today will appear on the june 9th board of supervisors agenda unless otherwise stated thank you so much item one. >> item one an ordinance ordering summer vacation of on easement important $6,000 at clown terrace. >> thank you for being here we have a presentation from the puc. >> good afternoon, supervisors i'm tony the assistant director at the puc the summer vacation of an unused agreement associated with the property on crown terrace in the twin peaks area of san francisco this easement was reversed in a quit claim deed by the city and county of san francisco in 1958 roughly two years ago the current owners of crown terrace that is part of the place

contacted the sf puc about vaithd this unused easement the probation officer policy of the commission to dispose of property the sfpuc was happy to gig the property was declared vacant and agreed to be sold at $16,000 typically surplus property is disposed of from through a process since the easement is over private property it is precipitate for the city to vacate the crown terrace san francisco public works or dph through a separate order spell your name for the record it is for the future needs of

the city and county of san francisco as a whole dpw provided the mandated nos for the easement all that remains to be done for the board of supervisors to approve the sale of the easement to the owners of crown terrace at $16,000 approval of that action didn't smifg that for the property owners to improve the property on crown terrace the future renovation is through a separate action any questions. >> nope not questions thank you very much let's go to open up for public comment on this item. >> good afternoon, supervisors supervisor jane kim and supervisor wiener virtue and money and power it is true

principles such people for the origin of people and human souls of humanity should be more meaningful than solely money and power not being moved by personal desire and be able to guide one self a life of not having conflicts with the holy truth it didn't deceive others and virtual doesn't deceive itself what would be more having those values in true objectives and virtues than the practices and having mercy and righteousness beyond money and power thank you. >> thank you. any other

members of the public that want to speak to the number one no one wants to speak that being said at this time. >> supervisor wiener. >> thank you very much i would like to you move to forward item one to the full board with a positive recommendation. >> all right. without objection this motion passes. >> m wall items 2, 3, 4 together. >> item 2 hundred and 50 millin dollar an ordinance for the health care for advisements of beverages and item 3 the administrative code for the sugar sweetened beverage on property city property and item number 4 an ordinance amending the administrative code barry the city codes for the sale or distribution of sugar sweetened

beverage. >> thank you for hearing this colleagues all 3 are responded by myself and supervisor wiener and supervisor mar to continue to advance our conversation will the health impacts 3 the sugar sweetened beverages have on our body as you recall 66 san franciscans san francisco must do more to address the sugar sweetened beverages in our community this package of legislation we're going to hear is continuing that effort to address the height disparities and make our communities healthier as well as better informed the city budget analyst office did on estimation of how much it costs for the city to provide health care particular paying attention to those who have diabetes and obese it it is overwhelming $50 million that is

a fact you may not know 1 in three children will develop diabetes in their lifetime and among african-american have of them diabetes i'd like to start with a brief food and drug administration introduction which will simply prohibit the advertising the sugar sweetened beverage on all city property this is clean it is modeled after a prohibition that applies to alcohol and others beverages i fundamentally building we should be adhering to the same standards as alcohol and tobacco and bringing sugar sweetened beverages and pursuits that are killing us on equal footing in 2013, the beverage about companies spent $866 million in advertising

those sugar sweetened beverages which is four times such as they advertise pure fruit juice and waters the low income communities are targeted and those are the community that have the highest risks twooebz there is no coins at all anchoring to the 2012 obesity african-american youth see 80 to 90 more adds than the white community that is unacceptable our youth are heavily targeted and sponsoring at youth and companies than companies in any other food category this prosecution on sugar sweetened

beverages advertising will help us move color to broing those are inequalities our communities particular your you youth deserve to grow up in community not quoted to harmful substances i'll have a few amendments i'd like to discuss or two amendments the result of ongoing collaboration with collaborative work with the city departments the first amendment simply rieths the prohibition only to sugar sweetened beverages not sellers or distributors on page 2 hundred and 50 millin dollar the second page amendment is an extension for all charitable events on city properties that includes the aids walk and liver and others similar events on rec and park property as well as is port property

this legislation sentence can be found i'd like to give supervisor wiener an opportunity to make opening remarks and supervisor wiener. >> thank you very much madam chair thank you madam chair for your leadership on this issue we have had a difference coalition in many respect i appreciate the opportunity to move us in a healthier direction i'd like to focus on the protective i'm supportive of all 30 pieces of legislation but the legislation to require health warnings on advertise times for swkd today requires that all advisements for the print billboard that advertises those

have a prominent health warning on it similar to the warnings that are required for decades on advisements for cigarette the purpose is to give people clear information when you're seeing an advisement shows happiness and rainbows and unicorns there's a down side those drinks are making our communities less healthy and helping to accelerate disease in our community type 2 diabetes the research is very, very clear about those health impacts the negative health impacts on sugar sweetened beverages a few facts accumulation of those doctrines

are linked to type 2 diabetes tooth decay and liver diseases it is the number one source of sugar what one single can of soda 10 teaspoons of sugar with two 10 ounce cans increases the type 2 diabetes by 25 percent as supervisor cohen mentioned one in three children born today will develop type 2 diabetes in sugar sweetened beverages accumulation didn't decline the cavity are the number one chronic diseases in children mr. larkin particular in chinatown in particular cavities are atal epidemic levels among children we need to absent o act and begin to see is changes in the sugar sweetened beverages as a society and in our public health

community berkley passed a soda test and we're seeing the benefits last week sf showed the leadership in an important area of public health department it will not serve sugar sweetened beverages in any of it's facilities and, of course last fall in san francisco 56 percent of san francisco voters voted in favor of creating a soda tax for to fund recreation programs and 56 percent of the voters voted yes spent the soda industry spending $10 million that made clear the san franciscans want us to take action during the campaign we were hearing from the supporters and on the we need to do more to

educate the public we absolutely do need to do more this health warning will give people more information about the health impacts of soda and other swkdz with this information people will be able to make educated choices about whether or not they will consume sugar sweetened beverages and what quantity we've seen and know that health warnings work we've seen that for sets back as a majority of smoking the health warnings were a key part of the campaign to reduce smoking this legislation requires the health warnings on all posted warnings on sugar sweetened beverages if they contain 25 or may the record show calories the warning quote warning drinking beverages

with added sugar contributors to tooth decay we've borrowed this language to require the health warning think cans containing sugar beverages the health warning killed it in committee and i hope the author binges are over and over again it is tied to billboard adds posted on any structure like the transit structure or arena or building or buses or pedestrian i didn't cabs or any wail or surpass it didn't include newspapers those are typically produced outside of city we don't have the power to enforce that it is 20 percent of the audio space this the the standard for the fta for tobacco

use warning and the department of tobacco and public health will could reinforcing enforce it for an important health message for people looking at adds the goal not to make money off the fines we don't want to cause on urban due burden on the retailers this provides no retailers will be subject to any fines without at least a thirty day warning if a the department of public health this not a got you so if an inspector sees a violation his or her w will ask the owners to put a sticker on the sign to comply and they'll have thirty days to do so colleagues two amendments i think so that neither one will need a continuance first the warnings don't apply to the

shelf that applies the bar codes or volume or drinks on market shelves so in a strsht you see the tag it will have a health warning and in addition the current legislation on this advisements after the effective date requires a health warning can say we have a sense the condominium conversion with the department of public health dph has informed use it will make that impossible to force enforce the legislation how can you distinguish between a sign that is posted before and after the legislation particular to address this we'll amended the legislation so with a few exceptions all advisements as of the effective date of the legislation one year after the prop a active date must display

those the soda companies and retailers have a full year to provide signs with health warnings and that is a new sign or a sticker placed on the sign and in making this expansion to include the existing signs we have exemptions to do particular related to very, very old signs that have been in and business signs and landmark signs those are exempted we'll eliminating the bulk of the grandfathering initiate to i'll be providing those amendments after public comment and madam chair thank you for hearing this today. >> thank you very much supervisor mar. >> would you like to say a couple words. >> particular i want to say this is round two vs. big soda

i'm pleased this try of legislation is moving forward today i wanted to thank the two health sf shape up sf coalition open electricity.org and others this year non-stop raising awareness of the harm that sugar sweetened beverages and energy drinks and other drinks in the community as a father of a teenager i wanted to say my daughters generation 1/3rd of them will become type 2 diabetes in their lifetime but if you're african-american or chicano or latino one half will develop diabetes in their lifetime that can't continue this is the justice that is led by many of how lower-income communities leaders i want to say that this issue really strikes me hard because i see so

many children with type 2 diabetes and we've heard the stories and how to take into consideration jars positive their lives and didn't allow them to fulfill their whole potential with those pieces of legislation in our growing cookies that helps to establish san francisco as a public health city and diabetes is a growingepidemic the piece of legislation i'm contributing to in addition to the ones that supervisor cohen and supervisor wiener mentioned the piece of legislation has substitute motion with language that is provided by the city attorney there's an exemption for that was created for

specific medical uses on page 6 under the section 101.5 wharfs and contusion 15 to 2 hundred and 50 millin dollar 2 hundred and 50 millin dollar exempting the limitation in cases wherewith patients it is necessary as medical professionals have determined that sugar sweetened beverage maybe needed administration of their medical advise so i think that is the amendment that is being made the legislation i'm introducing prohibits funds from purchasing sugar sweetened beverages that didn't prevent vendors from bringing them into city property but the spending city money or public money on

consumption of the sugar sweetened beverages we in glath know the harm that sugar sweetened beverage and allow them to be handed out and encouraging employees to drink them i'm following up also with other piece of legislation kind of for the future to help track the number of sugar sweetened beverage arrangements to provide the department of public health more information about the sale those harmful products and lastly two other this try moves forward to the strength for policies protecting our children in the spirit of the coalition i mentioned earlier fighting for a healthy sfr san francisco for all our communities thank you, madam chair. >> thank you very much now we will move to our presentation on

this item we have 3 presenters dr. dean the head of the center so for populations the second is from the benchmarking studies group and finally from lucy ucsf fellow at the center for tobacco control and education and then after the presentations we'll take public comment. >> thank you dr. >> thank you committee members and supervisor mar i'm a puc doctor at san francisco general and with the university of the san francisco also a resident of the richmond district that is lirtdz with corn liquor store with market the sugar sweetened beverage to children i'm here on behalf of those kids and the patient i

take care of at the san francisco general hospital on behalf of the city's needs with respect to the city health some of you may have heard me when i started out as a doctor in 1991 one out of two patient were men dying of aids and through a remark coalition of public figures and public health leaders and activists in less than a generation we've successfully tackled the aids epidemic but it took heroic and painstakingly efforts to do that especially the ward 5 a the famous aids ward men's were dying of aids no longer has patients with aids the bad news the wards as well as other wards

in san francisco general hospital are now busting with patients dying of the complication of type 2 diabetes again in less than a generation when i started out at san francisco general in the primary care clinic one of my 5 patient had twshz now 2 hundred and 50 millin dollar has type 2 diabetes that's an implosion of a which one illness in one generation as supervisor cohen this is proerpt effecting the south of market communities we see hospitalizations rates for type 2 diabetes ten times higher than in the north of market neighborhoods to give a sense the scale of that epidemic nationally i've

used the analogy of the iraq wars 15 hundred men and women lots of their limitations to the war in the same decade 1 points 5 million americans lots of limbs to diabetes we were facing a war that it is one thoughtless times stronger than the afghanistan war so this is critical for the war in california hospitals one in 3 patients has diabetes in public hospital it is about one in two. >> now we tend to think of type 2 diabetes as a disease of older people. but i think much of the legislation your introducing is targeted not only to adults who are well-informed but perhaps more so to young adults or youth

who's ideas are being formed as they decide what to purchase and commune u consume we know that type 2 diabetes is the prominent form of diabetes in young people that it would have been unheard of thirty or 40 years ago if a child in my classroom had type 1 now in san francisco schools over half of the kids are twubz as mentioned added sugar is a stape he will of teenagers deity 1 in 5 calories from sugar and one in that is sugar sweetened beverages i'm positive that given what we now know about the untoward effects of sugar

sweetened beverages the metabolic height of young people how it leads to fatty liver and insulin resistance and develops into tb's by and large we've been asleep at the wheel i recently implemented a term for the department of public health for the state of california and we we were asleep at the whole it was very difficult to move this issue in front of of the decision makers for a variety of reasons i think the measures you're putting forward represent the behold moves that took place in san francisco a lot of moves that were unpopularity but critical to get my head around it they're clearly health risks if

we don't act; right? the trajectory of diabetes is clear the health risks the acting, however are going to be positive as far as i know no negative health consequences of drinking less sugar sweetened beverage so i think we can feel safe we've noted cause harm i'll close with one set of thoughts the sugar sweetened beverage industry in trying to counter those types of measures tends to make the case that we are unfairly targeting their products why don't you tax ice cream or cupcakes or put warning labels on cake and it is the same argument the tobacco companies made thirty

and 40 years ago about cancer we never said that cancer was caused by one agent but a multi bacteria tobacco was a major contributors to lung cancer so we regulated it we put warning labels on the car tens in exactly the is that you tobacco and sugar sweetened beverages are not the sole reason for heart disease the evidence is they're a major contributor to those diseases and as such we owe it to ourselves and communities to regulate them i will just close by reminding us all in the thirty years since warning labels and other forms