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 by 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 she still here or did they leave she's gone? >> chris would you mind seeing if she's in the hallway? >> can you please come up we have a few more questions for

you. >> thank you for city of chicago around i still have a couple of additional questions i don't know if you've seen the warning itself we're proposing the health warning and i'll read to you quote warning drinking beverages with added sugars electricities to diabetes and tooth decay do you agree with that statement. >> you know you really have to take a look at a person and what they're doing in their deity over a week or time clearly if someone is over consuming something fill of sugar objective where we get into warning collective audience of people you know it is in effect i think that people are getting tired of being told

where we can't do and can't have i council people on this is what we want you to include in our diet and is that an accurate statement do you green august or disdrawing. >> if the consumption has a lot of calories yes they tributed to obesity and now sure is what is recommended for americans. >> i don't know we have this specifically in the last round of the dietary round for americans they've talked about 10 grams of sugar. >> teaspoons. >> i'm not sure they went into teaspoons. >> so one can of soda has 10 teaspoons of sugar is that understood.

>> i've heard the range. >> is think outside the box an excessive amount of sugar for one can that is more than what is recommend. >> it depends on what someone is doing throughout their day and the activities. >> how about 25 teaspoons of sugar in a bowl is that 25 not grams but 25 teaspoons of sugar in one drink that a person or teenager is that a reasonable amount of sugar someone is consuming. >> i'll say it again as a dietician i'll look at someone and assess what their occurring going and obviously advise them according government daylight shows most of the added sugar coming from diets is from food we also know a lot of calories

that are contributing to obesity own data shows that is from pizza and burgers and sandwiches so i think we go down a really parishioner paths if we continue to keep singling out foods that are causing more problems who've had that pendulum swinging sins the 1970s it is not helping people first fat and cholesterol then sugars and fat and cholesterol and thought that was the cause and now swinging back to sugar wellness we keep on could go this we're not improving health it is important to as i keep saying someone's total diet and activity levels that's how nutrition work and dieticians operate. >> one last question do you think our society will be

healthier if people drank less sugar beverages and i can tell you you can take all the sugar beverages and not solve the problem. >> what percentage of sugar from sugary beverage. >> almost half. >> no 67 to 7 percent of calories. >> what percent of sugar in the american diet i thought 34. >> 67. >> all the sugar consumed. >> if you take all that what proposition i saw 33 percent. >> 67 percent sugar calories come from sugar sweetened beverages. >> i'm not going to argue with with you. >> it's in the government data. >> okay thank you very much you're welcome. >> madam chair, i wanted to is

that the in coming chair of the american heart association we consume more from the generation and the calories are coming from sugar sweetened beverage but i want to ask the dietician if she could clarify i know that supervisor wiener said what is your relatively with the american association when you were here last april what's our relationship. >> they're one of my clients i'm a xhoinlt for the food and beverage add industry. >> are you a rep for the american beverage. >> i'm not employed by the american beverage association i conciliatory with them and trade association and interface with government agencies and help professional organizations with all due