Institute of Medicine Presentation September 30, 2014 by Cook County PLACE MATTERS

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"Alliances with community and labor organizing: Building people power to address fundamental causes of obesity" was presented by Jim Bloyd, Felipe Tendick-Matesanz and Bonnie Rateree at a workshop of the Roundtable on Obesity Solutions at the Auditorium of the National Academy of Sciences, 2101 Constitution Avenue, Washington DC on September 30, 2014. The presentation was webcast live, and will be available at http://www.iom.edu/Activities/Nutrition/ObesitySolutions/2014-SEP-30.aspx NOTE: Downloading the file may improve some graphics problems in slides 10-13.

Saúde e medicina

!Alliances!with!community!and!labor!
organizing:!Building!people!power!to!
address!fundamental!causes!of!
obesity!
Jim$Bloyd,$MPH$Cook!County,!Illinois,!Department!of!Public!Health!
Bonnie$Rateree,$Harvey,!Illinois,!Community!Leader,!Human!AcCon!
Community!OrganizaCon!
Felipe$Tendick9Matesanz,$Restaurant!Opportunity!Centers!United!

“…pinpoinCng!which!dietary!factors!are!!directly!
responsible!!for!!obesity!!has!proved!!difficult.!!
Food!paLerns!!are!!the!result!of!complex!
interacCons!between!!the!person!!and!!the!!
social!and!!economic!environment.!!Although!!
individual!!behavior!!is!!clearly!!involved,""diet""
quality""is""reliably"predicted""by"educa1on,""
occupa1on,""incomes""and""by"other,""o6en"
unobserved,""indices"of"social"class”[emphasis!added]!!
Adam$Drewnowski$(2012)$

Felipe!Tendick!Matesanz,!ROC!
United!High!Road!Coordinator!

Bonnie!Rateree:!School!Bd!MemberTMaster!GardenerT
Leader,!Human!AcCon!Community!OrganizaCon!

PLACE!MATTERS!Model!
Source:$G.$
Christopher,$
V.$LaFronza,$
N.$Burke$
(2010)$

RecogniCon!from!Cook!County,!Illinois,!
Board!President!Toni!Preckwinkle!
• “I!want!to!thank!the!
Cook!County!PLACE!
MATTERS!team!for!this!
report…It’s!shameful!
that!we!live!in!one!of!
the!wealthiest!countries!
in!the!world!and!that!a!
person’s!life!can!be!cut!
short!by!more!than!a!
decade!because!of!
factors!outside!her!or!
his!control.”!

Average Life Expectancy (2003-2007) by Median
Income of Census Tract/Municipality (2009),
13.8$
Years$
73.2!
9.2$
78.8!
Cook County
7.1$ 7.1$
79.9! 79.9!
87.0!
90
85
80
75
70
65
Less than 25k 25k - 35k 35k - 44k 44k - 53k Greater than
53k
April!26,!2012! Cook!County!Place!MaLers! 1!
Life expectancy at birth in years
Median$Income
Source: Life expectancy calculated by the VCU Center on Human Needs from 2003-2007 data provided by Cook County Health Department: Median
Income from 2009 Geolytics Premium Estimates.

Obesity!Rates:!North!and!South!
Suburban!Cook!County!(2010T2012)!
12.1$
14.9$ 15.9$
20.4$
26.9$
21.8$
30$
25$
20$
15$
10$
5$
0$
Kindergarten* 6th*Grade* 9th*Grade*
North$Suburban$Cook$
South$Suburban$Cook$
Source:!CCDPH!Brief,!September!
2013!

Metro!Chicago:!!Poverty!ComposiCon!of!Neighborhoods!
of!Poor!Children!By!Race!
Source:!!Diversitydata.org,!(2011,!from!2000!Census!Data)!
Neighborhood!poverty!level!

State$sponsored$segregaTon$through$
finance91930s$HOLC$Map$
“Geography$does$the$work$of$Jim$Crow$laws.”$
john$powell$

Restaurant!
Workers!
&!
!A!Human!
Rights!
Movement!

Strengthening!Voices!in!Policy!on!
EducaCon,!NutriCon,!and!
Neighborhood!CondiCons!

Thank!you!
• Bonnie!Rateree!!
!!!!!ExecuCve!Director!Human!AcCon!Community!OrganizaCon!!
!!!!!16028!S.!Halsted,!Harvey,!IL!60426!!
!!!!!bonnierateree@yahoo.com!(708)!825T1116!(708)!953T1071!
• Felipe!TendickTMatesanz!
!!!!!!Restaurant!Opportunity!Centers!United!!
!!!!!!felipe@rocunited.org!
• Jim!Bloyd!
!!!!!Cook!County!Department!of!Public!Health!!
!!!!!15900!S.!Cicero!Av.,!Oak!Forest!IL!60452!!
jbloyd@cookcountyhhs.org!(708)!633T8314!

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These are simplified slides discussing the regulation of cardiac output and venous return. Learning objectives: 1. Comprehend the determinants of cardiac output and factors affecting cardiac output 2. Comprehend the factors affecting stroke volume and heart rate and total peripheral resistance 3. Identify the factors regulating venous return 4. Discuss the causes of high and low output cardiac failure 5. Enlist the functions of veins and recognise the significance of venous reservoirs Study Resources: 1. Chapter 20, Guyton and Hall Textbook of Medical Physiology, 14th edition 2. Chapter 30 and 32, Ganong’s Review of Medical Physiology, 26th edition 3. Chapter 10, Human Physiology by Lauralee Sherwood, 9th edition 4. Physiology, Cardiac Output - StatPearls https://www.ncbi.nlm.nih.gov/books/NBK470455/

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Institute of Medicine Presentation September 30, 2014 by Cook County PLACE MATTERS

1. !Alliances!with!community!and!labor! organizing:!Building!people!power!to! address!fundamental!causes!of! obesity! Jim$Bloyd,$MPH$Cook!County,!Illinois,!Department!of!Public!Health! Bonnie$Rateree,$Harvey,!Illinois,!Community!Leader,!Human!AcCon! Community!OrganizaCon! Felipe$Tendick9Matesanz,$Restaurant!Opportunity!Centers!United!

2. “…pinpoinCng!which!dietary!factors!are!!directly! responsible!!for!!obesity!!has!proved!!difficult.!! Food!paLerns!!are!!the!result!of!complex! interacCons!between!!the!person!!and!!the!! social!and!!economic!environment.!!Although!! individual!!behavior!!is!!clearly!!involved,""diet"" quality""is""reliably"predicted""by"educa1on,"" occupa1on,""incomes""and""by"other,""o6en" unobserved,""indices"of"social"class”[emphasis!added]!! Adam$Drewnowski$(2012)$

3. Felipe!Tendick!Matesanz,!ROC! United!High!Road!Coordinator!

4. Bonnie!Rateree:!School!Bd!MemberTMaster!GardenerT Leader,!Human!AcCon!Community!OrganizaCon!

6. PLACE!MATTERS!Model! Source:$G.$ Christopher,$ V.$LaFronza,$ N.$Burke$ (2010)$

7. Cook!County!PLACE!MATTERS!

8. RecogniCon!from!Cook!County,!Illinois,! Board!President!Toni!Preckwinkle! • “I!want!to!thank!the! Cook!County!PLACE! MATTERS!team!for!this! report…It’s!shameful! that!we!live!in!one!of! the!wealthiest!countries! in!the!world!and!that!a! person’s!life!can!be!cut! short!by!more!than!a! decade!because!of! factors!outside!her!or! his!control.”!

9. Average Life Expectancy (2003-2007) by Median Income of Census Tract/Municipality (2009), 13.8$ Years$ 73.2! 9.2$ 78.8! Cook County 7.1$ 7.1$ 79.9! 79.9! 87.0! 90 85 80 75 70 65 Less than 25k 25k - 35k 35k - 44k 44k - 53k Greater than 53k April!26,!2012! Cook!County!Place!MaLers! 1! Life expectancy at birth in years Median$Income Source: Life expectancy calculated by the VCU Center on Human Needs from 2003-2007 data provided by Cook County Health Department: Median Income from 2009 Geolytics Premium Estimates.

10. Child!poverty!more!than!6!Cmes!greater!in! Harvey,!IL!vs.!North!Suburban!Cook!County! 7.1$ 20.4$ 45.4$ 5.5$ 13.8$ 31.9$ 16.6$ 30.3$ 56.4$ 60$ 50$ 40$ 30$ 20$ 10$ 0$ North$Suburban$ Cook$County$ South$Suburban$ Cook$County$ Harvey$ ChildPoverty$%$ %Poverty$100%$FPL$ %Poverty$200%$FPL$ Source:!CCDPH!Community! Profile!2006T2008!

11. Obesity!Rates:!North!and!South! Suburban!Cook!County!(2010T2012)! 12.1$ 14.9$ 15.9$ 20.4$ 26.9$ 21.8$ 30$ 25$ 20$ 15$ 10$ 5$ 0$ Kindergarten* 6th*Grade* 9th*Grade* North$Suburban$Cook$ South$Suburban$Cook$ Source:!CCDPH!Brief,!September! 2013!

12. Two!thirds!of!residents!of!south!suburban! Cook!County,!IL!are!people!of!color! South$Suburban$Cook$Percent$Racial$ 11.5$ 1.2$ Composi=on$2010$ 52.4$ 33.7$ %"La%no" %"White" %"Black" %"Asian/Pacific"Islander" Source:!CCDPH!Community! Profile!2006T2008!

13. Two!thirds!of!residents!of!north!suburban! Cook!County,!IL!are!white! North&Suburban&Cook&Percent&Racial& Composi7on&2010& 14.6% 13.3% 68.2% 2.5% %%La-no% %%White% %%Black% %%Asian/Pacific%Islander% Source:!CCDPH!Community! Profile!2006T2008!

14. Metro!Chicago:!!Poverty!ComposiCon!of!Neighborhoods! of!Poor!Children!By!Race! Source:!!Diversitydata.org,!(2011,!from!2000!Census!Data)! Neighborhood!poverty!level!

15. State$sponsored$segregaTon$through$ finance91930s$HOLC$Map$ “Geography$does$the$work$of$Jim$Crow$laws.”$ john$powell$

16.

17. Restaurant! Workers! &! !A!Human! Rights! Movement!

18.

19. Strengthening!Voices!in!Policy!on! EducaCon,!NutriCon,!and! Neighborhood!CondiCons!

20. Thank!you! • Bonnie!Rateree!! !!!!!ExecuCve!Director!Human!AcCon!Community!OrganizaCon!! !!!!!16028!S.!Halsted,!Harvey,!IL!60426!! !!!!!bonnierateree@yahoo.com!(708)!825T1116!(708)!953T1071! • Felipe!TendickTMatesanz! !!!!!!Restaurant!Opportunity!Centers!United!! !!!!!!felipe@rocunited.org! • Jim!Bloyd! !!!!!Cook!County!Department!of!Public!Health!! !!!!!15900!S.!Cicero!Av.,!Oak!Forest!IL!60452!! jbloyd@cookcountyhhs.org!(708)!633T8314!

21.

22. !

23. ! Daniel!Block,!PhD!! ChicagoStateUniversity Jim!Bloyd,!MPH!! CookCountyDepartmentofPublicHealth Sheila!CasCllo,!MUPP! MidwestLa1noHealth,Research,TrainingandPolicyCenter Sheelah!Muhammad,!DN! FoodJus1ceAc1vistandConsultant Johnnie!Owens,!Jr.! CentersForNewHorizons Kathryn!Saclarides!Bocanegra,! LCSW! ENLACEChicago ! Natalie!Chadwell,!MBA! AlphaKappaAlphaSorority Bonnie!Rateree! HumanAc1onCommunityOrganiza1on Agnes!Markos! Communica1onsSpecialist ! !

24. Christopher,!G.,!LaFronza,!V.,!Burke,!N.!(2010).!PlaceMaNers:Building! Partnerships!among!CommuniCes!and!Local!Health!Departments.!In! Hofrichter,!R.,!and!BhaCa,!R.!(Eds.),!!TacklingHealthInequi1esthrough PublicHealthPrac1ce:TheorytoAc1on(pp.!458T474).!Oxford:!New!York.! ! Drewnowski,!A.!(2012).!The!economics!of!food!choice!behavior:!!!Why! poverty!and!obesity!are!linked.!NestléNutri1onIns1tuteWorkshop Series,!73,!95T112.!doi:10.1159/00034130! ! Joint!Center!For!PoliCcal!and!Economic!Studies!(2012).!PLACE!MATTERS! FOR!HEALTH!IN!COOK!COUNTY:!Ensuring!OpportuniCes!for!Good!Health! for!All.!hLp://jointcenter.org/sites/default/files/Place%20MaLers%20for %20Health%20in%20Cook%20County.pdf!(Accessed!September!18,! 2014).!! !! REFERENCES$

Institute of Medicine Presentation September 30, 2014 by Cook County PLACE MATTERS

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Institute of Medicine Presentation September 30, 2014 by Cook County PLACE MATTERS