dr. aragon, please take it away. >> good afternoon, commissioners. my name is dr. tomas aragon the [speaker not understood] at the san francisco department of public health. i want to just say that i was born and raised in san francisco, grew up in the mission. my family immigrated from nicaragua and i married a filipino woman of chinese descent and that will come in later when you talk about ethnic disparities. and i'm raising three children ages 13, 16 and 17. so, this issue matters to me. okay, i do have a slide presentation. i'm going to just move over to the first slide. i'm going to cover a little bit of background information and then i'm going to cover a little bit about sugar and then talk about some of the disease in san francisco and set up some summary slides. one thing i do want to point out here, if you look at the slide here, the evolution of man, as a community we are on the right side. part of the challenge we have with sugary drinks is that we did not evolve with sugary drinks. and a lot of what we see now is really, really the fact that the ball o

dr. aragon very elegantly outlined sort of in the body physiology for how sugar sweetened beverages affect health outcomes, specifically changes in the liver. also confusing our bodies into thinking we actually haven't consumed that many calories. but the other part of science that actually matters is not just what is sort of the theoretical impact, but rather when we take people who don't have disease and we expose them to sugar sweetened beverages and we have another similar group of people that we don't expose to that, do we see the health outcomes happen. and the answer is yes in a statistical way. we have several studies that have been done on that. the nurses health studth i is a great, what's called the cohort study that's following groups of people for decades and we see incidence of diabetes primarily in women there. several studies that are looking at diabetes and not just in the american population for the nurses health study. the framing ham studies, studies in singapore, in china, for several different studies basically you take similar people, people who do drink sodas and su

dr. tomas aragon says "coming back two weeks later and having that occurring is not good." he plans to meet with inspectors friday to determine the department's next course of action : the public health department says this safeway continues to score lower than all other safeways in san francisco. and in fact their rating has dropped year over year for the past 4 years. now the health department wants to know why. could it be bad management? could it be poor training? they don't know at this point but they say they are going to find out. in san francisco, dan kerman, kron 4 news. when confronted with this follow- up report. safeway sent us a new statement saying. quote - "a number of issues noted on 4/22/14 were addressed and corrected. as to issues raised yesterday. , additional steps have been taken with individual employees as appropriate, up to and including disciplinary action." safeway also says. ' some additional equipment has been taken out of service. and the store will begin monitoring hot and cold food units. on an hourly basis instead of twice daily. this mornin

dr. tomas aragon says "coming back two weeks later and having that occurring is not good." friday to determine the department's next course of action : the public health department says this safeway continues to score lower than all other safeways in san francisco. and in fact their rating has dropped year over year for the past 4 years. now the health department wants to know why. could it be bad management? could it be poor training? they don't know at this point but they say they are going to find out. in san francisco, dan kerman, kron 4 news. fifthwhen confronted with this follow- up report. safeway sent us a new statement saying. quote - "a number of issues noted on 4/22/14 were addressed and corrected. as to issues raised during wednesday's inspection, additional steps have been taken with individual employees as appropriate, up to and including disciplinary action." safeway also says. ' some additional equipment has been taken out of service. and the store will begin monitoring hot and cold food units. on an hourly basis instead of twice daily. yesterday morning, sa