margaret fisher from the department of public health and janet cord row and maryann. thank you. supervisor avalos did you want to make remarks? >> thank you, let's call our budget legislative analyst. thank you very much mr. bruce oh. >> today we'll be presenting a report on the study of impacts of high consumption of sugar sweets and beverages for the city and county of san francisco. we have some slides if we can. i'm just going to briefly introduce the report and then amanda guma from our office will walk you through details and we have hammond smith who will also be available for questions. we were asked to prepare a scientific research on the health risks associated with the consumption of sugar sweet and beverages. that's largely pertaining to obesity and diabetes and taking a look at the financial risk for the san francisco residents. we have prepared analysis that identify cost that the city and county itself incurs and then the population of the city as a whole incurs that is separate from the city. finally we are asked to review and report on policies explored and impl

. >> thank you, my name is margaret fisher with the department of public health. i came this morning in my scrubs because i came directly from a screening of our preschoolers in our state subjectssidized preschools. many children have experienced decay. some low income families are especially susceptible. so 39 percent of our state is subsidized children of preschool already have decay. soda consumption nearly doubles the risk and increases likelihood in adults. the cost of sugar based drinks, the cost of sugar and dental decay is a cost. the cost for 3-year-old is about $10,000. by seeing children earlier preventative dental services saves money. safety net dental clinics like the dph dental services provide critical preventative treatment. unfortunately access to a preventative dental treatment continue to be a major obstacle to having healthy teeth. i include nutritional guidance. clinics are under staffed and dental appointments will become harder. in 2007, we had 1263 emergency room visits due to dental problems. you know the cost of emergency room visits. ni