4. FORWARD History
August , 2008- Planning Group Assembles
February, 2009- FORWARD Begins Work
May, 2009- Advisory Board is Formed
Summer, 2009- 3 committees developed:
Resource and Partnership
Marketing and Communications
Data and Research
October, 2009- First Coalition Meeting
March, 2010- FORWARD launched to public
June, 2010- Grant Funding Awarded
Summer , 2010- Community Assessments Convene
Fall, 2010- BMI Surveillance System Launched and
YMCA’s launch Core Leadership Teams
5.
6.
7.
8.
9.
10. Distribution of DuPage County schools by percent of low
income students
60
50
Number of schools
DuPage Selected Participated
40
30
20
10
0
0 5 10 15 20 25 30 35 40 45 50 55 60 65 70 75 80 85 90 95
Percent
Percent of Student Population No. (%) of schools by Income Status
that is Low Income
DuPage Selected Participating
Low (<16%) 123 (46%) 59 (47%) 50 (52%)
Mid (16-35%) 90 (34%) 43 (34%) 29 (30%)
High (>35%) 55 (20%) 24 (19%) 17 (17%)
11.
12.
13. FORWARD Data Collection Phase
II:
• Further analyze these data
• Collect data from 90% of all
DuPage County Schools in
2011-2012 school year
• CHILI data collection in 32
municipalities
14. FitTrac
• Created by Bill Casey, a
Physical Education Teacher
and Founder of YourLink
• Donated to FORWARD by the
Regional Office Of Education
• Adopted and Modified by
FORWARD with a grant from
JR Albert Foundation
15.
16.
17.
18. ACTIVATE AMERICA ®
Activate America® is the YMCA’s
response to the nation’s growing
health crisis. Our mission compels
us to transform the way we work,
both internally and externally, to
support all Health Seekers and
communities in their pursuit of
well-being in spirit, mind and
body.
18
19.
20.
21. PHC Goals
Develop community and state
level policy & environmental
change strategies
Raise awareness and strengthen
the framework for community-
wide and national movements
to reverse the trends in physical
inactivity, poor nutrition, and
chronic conditions
Strengthen community capacity
to initiate and sustain promising
practices for healthy
communities;
22. PHC Goals
Utilize mechanisms and
strategies to transform
healthy community
principles into practice;
Identify cost-effective,
practical, and sustainable
solutions and tools to
educate and mobilize
communities and
Build complementary
community, state and
national efforts for physical
activity and healthy eating
23.
24. Core
Leadership
Teams Social
North-East
Service
Region
North-
West Faith
Region
FORWARD Central-
Edu-
East Region
cation
/PHC
South-
West Bus
Region
South-East
Region
Health
care
27. Kane County
Childhood obesity rates in Kane County
1 out of every 6 or 16% of all Kane County children and
adolescents are obese
30% to 46% of our children and adolescents who are
from low income families and are African-American and
Latino are obese
28. Campaign to reverse the epidemic of childhood
obesity in Kane County
November 2007- Announced plans for campaign
Spring 2008- Held kick-off event
Summer 2008- Formed FFK Funder’s Consortium
Fall 2008- Released competitive request for
proposals
29. Fall 2008- Released request for proposals
Spring 2009 Fit for Kids grants funded
Implementation grant for Activate Elgin
Planning grants awarded to:
Aurora Healthy Living Council & Delnor Fit 4Kane
January 2010-RWJF Funding
Received funding from Robert Wood Johnson Foundation
as part of Healthy Kids Healthy Communities Initiative.
Working in partnership with Kane County Development
Department.
30. February 2010- Fit for Kids Leadership Summit
March 2010- 9 Sector Specific Workgroups Formed
to determine policy level strategies and action steps
November 2010-Preview of Fits Kids 2020 Released
January 2011-Fit Kids 2020 Plan presented
November 2011-Fit Kids 2020 Plan incorporated into
Kane County 2040; Smart Growth is Healthy Living Plan
31.
32. Sector Specific Workgroups
Healthcare and Medicine Mobility
Recreation and Lifestyle Food System
Family, Culture and Community Schools and Education
Faith Community Economic Strength
Built and Natural Environment
Over the next 10 years, how will your sector:
Increase physical activity & decrease sedentary habits
Increase access and consumption of fruits/vegetables & decrease
consumption of unhealthy foods
Determine policy level strategies & action steps
33. Local Effort
Local ability to address local needs
Engaging local stakeholders
Creating a base of committed community members and
partnerships to carry out Fit Kids 2020 Plan
Coordination of multiple efforts
Centralized technical support & sharing of ideas
Leveraging local resources to attract additional outside
funding to help Kane County residents
35. International
Walk to School
Day
46 Kane County Schools
representing
8 of the 9 school districts
participated
36. Gardening Summary
Over 1000 community plots for lease in the
county
new plots in Aurora, Geneva, Batavia
Gardens at 3 Public Housing Complexes
Private and public partnerships
Increase in partners donating to the NIFB and
local pantries
Over 50 directly engaged garden partners
2 Hospitals 5 Churches 2 Schools
26 Farmers
38. The Problem
• Rising rates of chronic diseases/
conditions, including obesity
• Actual causes of death
• Lack of prevention $
• Unequal socioeconomics,
leading to health inequities
• Geopolitical complexity of
suburban Cook County
39. The Solution:
Medical Care Alone Cannot Improve Health
• Not the primary determinant of health
• Treats one person at a time
• Often comes late; can’t always restore health
40. Alliance for Healthy & Active Communities
• A collaborative led by CCDPH,
formed in Summer 2009
• Brings together a diverse
group of partners
41. Turning the Tide on the Obesity Epidemic:
Communities Putting Prevention to Work
a partnership project of the
Cook County Department of Public Health and
the Public Health Institute of Metropolitan Chicago
42. Communities Putting Prevention to Work
• Nearly 16 million dollars was awarded for
obesity prevention
• Fiscal management through Public Health
Institute of Metropolitan Chicago
• Aimed at broad-based policy change that shapes
the nutrition, physical activity landscape
45. Policy Agenda
• Promotes broad-based policy changes at state,
county and local levels
• Focuses on promoting breastfeeding;
enhancing school environments; and building
healthier communities; addresses barriers to
obesity prevention
• Requires broad-based collaborations
46. State-Level Action
• Explore feasibility of increasing price of unhealthy
food/drink
• Support establishment of Illinois Fresh Food Fund
• Promote breastfeeding
- Illinois Hospital Report Card
- Referral systems that promote/support
breastfeeding
- Reimbursement of breastfeeding support
and promotion by health insurance payers
47. County-Level Action
• Establish a suburban Cook County Food Council
• Modify nutritional standards for vending machines
in Cook County Government buildings
• Advance implementation of Complete Streets (for
County Highway networks)
• Institutionalize non-motorized planning within Cook
County Government
• (Regional) Create/Update Sub-Regional Bike/Walking
Plans
• (Regional) Include healthy/PA impacts as a criteria in
at least 1 regionally administered transportation
funding program (e.g., CMAQ)
48. Local Action: Model Communities
• Aims to transform communities and school
environments that support health eating, active
living
– Supports “proven” strategies
– Key themes are policy, systems and
environmental change; reducing health
inequities; and creating collaborations/coalitions
– Provision of financial and technical resources
50. Long-term Results
A constituency base that can be engaged to
support advocacy efforts
On-going initiatives that continue to build local
capacity to advance change (e.g., continued
community access to on-line platform with
access to trainings, evidence-based info, etc.)
Systems of coordination & communication
51. Health in All Policies
Co-benefits @ Federal, State, Local
Policy Alignment
Leadership for Healthy Communities
56. Obese children and adolescents are more likely to
develop chronic conditions when they are young, and
are more likely to be obese as adults
Obesity may reduce the life expectancy of today’s
generation of children and diminish their overall
quality of their lives
57. Illinois has the 27th highest rate of adult obesity in the
nation, at 25.9 percent and the 10th highest of
overweight youths (ages 10-17) at 34.9 percent, …
Source: Trust for America's Health’s ‘F as in Fat 2009’ – July 2009
…and Chicago kindergarten-aged children are over
weight at more than twice the national rate
Source: 2003 CLOCC Annual Report
Child Overweight, 2003-2004
30%
25%
20%
15 %
10 %
5%
0%
National Chicago National Illinois Chicago
67. Local Government Actions to Prevent
Childhood Obesity
Goal 1: Improve access to and consumption of
healthy, safe, and affordable foods.
•Increase community access to healthy
•Promote efforts to provide fruits and vegetables
•Ensure that publicly-run entities implement
policies and practices to promote healthy foods
and beverages
•Encourage breastfeeding
68. Communities Putting
Prevention to Work
Improve access to healthy food and safe
opportunities for physical activity
Implement policy and environmental change
strategies
Conduct a public media campaign
Implement point-of-purchase strategies
Promote breast-feeding
Promote the use of public transportation
69. Inter-Departmental Task Force on
Childhood Obesity
1. Chicago Department of Public Health (lead agency)
2. Chicago Department of Environment
3. Chicago Department of Family and Support Services
– Children Services Division,
– Youth Services Division, and
– Senior Services Area Agency on Aging
4. Chicago Department of Transportation
5. Chicago Department of Zoning and Land Use Planning
6. Chicago Housing Authority
7. Chicago Park District
8. Chicago Police Department
9. Chicago Public Schools
10. Chicago Transit Authority
11. Mayor’s Office for People with Disabilities
70. IDTF Plan At A Glance:
A Phased and
Tiered Approach
Tier 1:
Primary Prevention Activities Tier 1: Primary Prevention
Activities
Tier 2:
Early Childhood
Focused Activities
Tier 3:
Wellness Campus Tier 2: Early Childhood
Activities for
10,000 Focused Activities
At-Risk
Preschoolers
130,000
Children Age 3-5 Tier 3: Wellness
Campus Activities
750,000
Chicago Children
71. IDTF Accomplishments
Tier 1: Primary Prevention Activities
October 2009 IDTF participates in citywide healthy lifestyle
campaign
oCTA – All buses and trains
oCDPH – 30 JCDecaux bus shelters
oCPS – Message mailed to 453,000 students
oCLOCC – 33 billboards
Tier 2: Early Childhood Focused Activities
Passage of resolution to change child care standards
CLOCC received $150,000 evaluation grant from RWJF to evaluate
changes
Tier 3: Wellness Campus Activities
Abbott funding of 2 Park District Wellness Centers
CLOCC evaluation found increased physical activity levels among
children in Wellness Center program
Blue Cross/Blue Shield will fund 4 more
74. Where do we start?
• "The first thing to do is to recognize that there's
a problem, and to see that maybe it didn't start
at age 4 or 5, or 6 or 7, but maybe before then,"
• "The longer you're overweight, the more likely
it is that you're going to be overweight as an
adult."
“HOW MUCH DID I WEIGH WHEN MY
WEIGHT PROBLEMS BEGAN? 7 LBS. 9 OZ.”
Dr. John Harrington, Associate Professor of Pediatrics at Eastern Virginia Medical
School and Children's Hospital of The King's Daughters
76. The success or failure of any government
in the final analysis must be measured by
the well-being of its citizens. Nothing can
be more important to a state than its public
health; the states paramount concern should
be the health of its people.
Franklin Delanor Roosevelt 1932
78. Lake County Health Department /
Community Health Center
Lake County At a Glance
Lake County has 52 municipalities and
approximately 715,000 citizens. The vision of the
Lake County Health Department is to engage with
the entire county.
79. Lake County Health Department /
Community Health Center
Initial Assessment of the Problem
Synthetic estimate for Lake County – Students
from ages 12-19 years old: 21.2% are at or above
the 85th percentile (Overweight or Obese). This
strongly contrasts with the Healthy People 2010
standard of 5.0%.
80. Lake County Health Department /
Community Health Center
Connecting with our Schools
Lake County has approximately 48
public school districts and 223
public schools. There are
approximately 75 certified school
nurses in the Lake County School
Nurses Association. These are
valued and strategic alliances with
whom we are looking forward to
partnering.
81. Lake County Health Department /
Community Health Center
Assessing Rules about Physical Education
in our Schools
•Do the rules vary from district to district?
•How many PE teachers are there in our County?
•What programs/districts/schools are doing well
with fitness and PE?
82. Lake County Health Department /
Community Health Center
Assessing Regulations/Standards
Regarding School Nutrition
•What kind of food is being served?
•How many vending machines are in our schools?
What types of foods/drinks are in them?
•What are the standards regarding Health
Education?
•What programs/districts/schools are doing well
with Nutrition and Health Ed?
83. Lake County Health Department /
Community Health Center
Potential Community Partners
Lake County School Nurse Association
Regional Office of Education – Superintendent of Schools
Illinois Association for Health, Physical Education, Recreation, and Dance
We Can! - 2 sites in Lake County
Illinois Dietetic Association
Children’s Health Center – private pediatric medical practice
Northwestern Lake Forest Hospital
Advocate Condell Medical Center
Rosalind Franklin University / Nutrition program
YMCA of Lake County
ChildServ
United Way
Northern Illinois Food Bank
Lake County Forest Preserve
Corporate Partners
Faith Communities
84. Lake County Health Department /
Community Health Center
Our Strategic Approach
85. Lake County Health Department /
Community Health Center
Our first County-wide
Community Forum
Wednesday, January 19, 2011
86. Lake County Health Department /
Community Health Center
We’re grateful for all of these new
partnerships with all of you.
And we are grateful for the team
that we have at the Lake County
Health Department:
Irene Pierce, Executive Director
Mark Pfister, Director
of Population Health Services
Pat Donald, Associate Director
of Population Health Services
88. What is the Illinois Alliance to
Prevent Obesity?
The Illinois Alliance to Prevent Obesity (IAPO) is a statewide
coalition comprised of a broad range of stakeholders working for
a state-level response to the obesity epidemic.
The IAPO works to shape and advance solutions to reverse
dangerous obesity trends.
IAPO supporters believe that Illinois must respond to the obesity
epidemic by developing coordinated systems, policy
improvements and investment on the scale of the problem.
This initiative was launched and is coordinated by the Illinois Public Health
Institute (IPHI). To learn more about the Illinois Alliance to Prevent Obesity,
please visit www.preventobesityil.org.
89. Statement of Support
Illinois is experiencing an epidemic of obesity, contributing to
increased rates of costly and debilitating chronic disease.
We need regular and reliable information about the state of
obesity in Illinois to understand where action is needed the
most.
Local, collaborative initiatives exist and are demonstrating
how to make an impact on the problem, but inadequate
funding means they are limited in scope, with limited capacity
for evaluation and expansion to scale.
There’s growing national consensus on effective strategies to
combat obesity which are not currently employed in Illinois.
A state-level response is needed. Development of
coordinated systems, changes in policy and investment on
the scale of the problem must be undertaken.
90. Illinois Alliance to Prevent Obesity
April-December 2010
Goal: To promote nutrition and
physical activity policies and
interventions to reverse obesity
trends in Illinois
91. IAPO Outcome Objectives
April-December 2010
1. Develop a State Obesity Action Roadmap
• Organize regional forums in Cook County, Northern, Central, Eastern,
and Southern Illinois to engage stakeholders in providing
feedback/input
• Synthesize ideas based on ten identified categories to improve
nutrition and increase physical activity
• Convene a statewide summit on December 3, 2010 to reach
consensus on the State Obesity Action Roadmap
2. Build a visible movement to reduce obesity
3. Raise obesity reduction/prevention to the top of the policy
and public health agendas
4. Disseminate and promote best practices and current
information (developmental)
92. State Obesity Action Roadmap
• Broad social changes in our environment and in the
way in which we work, play, live and eat are major
contributors to the obesity epidemic.
• No single agency can attack this problem alone.
• Build consensus for state-level policies and
environmental changes to reverse the obesity
trends.
• Identify local policies and environmental changes for
communities to pursue.
• Highlight areas for coordination and collaboration.
93. State Obesity Action Roadmap
Categories
1. Implement coordinated approaches to address the obesity epidemic that generates
and maximizes resources, and supports state and community-level coordination and
interventions.
2. Increase consumption of healthy food and beverages in relation to consumption of
unhealthy food and beverages.
3. Promote breastfeeding.
4. Increase opportunities for safe and affordable physical activity in communities.
5. Increase opportunities for safe and affordable physical activity in senior centers,
schools, childcare settings and after-school programs.
6. Promote safe and active transportation.
7. Promote healthy and active lifestyles in workplaces.
8. Promote healthy and affordable food consumption in senior centers, schools, parks,
child care centers and afterschool programs.
9. Increase access to food retailers who serve or sell healthy and affordable food
options.
10. Establish a statewide health surveillance system that includes obesity indicators.
11. Increase access to comprehensive health care services.
94. IAPO Statewide Summit
• Statewide Summit, December 3, 2010 to
reach consensus on the State Obesity Action
Roadmap
• Advocate Christ Medical Center/Hope
Children's Hospital at the Nurse Conference
Center in Oak Lawn, IL
• Tyler Norris, Social Entrepreneur & Kevin
Dedner, RWJ Center to Prevent Childhood
Obesity
95. Get Involved! More IAPO Activities
• Join the IAPO mailing list
• Like IAPO on Facebook
• Become a Supporting Organization
• Letters to the Editor: A letter to the editor is a free and
effective way to build visibility and bring attention to the
issue.
• Watch for Summit results/Obesity Action Roadmap, and sign
on.
www.preventobesityil.org
96.
97. What do we know…
about the nature of our problems?
101. Places that have developed safe, activity-friendly
environments with access to affordable fresh,
healthy foods will have healthier people.
102. 健走社區—長榮社區 Community Experiences in
Walking
Tainan Healthy City Research Centre 社區健走步道導覽圖—環繞社區中庭及公園全長 1000 公尺
103. WHY FOCUS ON POLICY?
WHY NOT JUST START NEW PROGRAMS?
• Private and
public impact
• Sustainability
• Population wide
impact
• A small amount
of money goes a
long way!
104. POLICY CHANGE TARGET
Entire Population Statewide PHC
Target
Population Scale
Multiple Sectors
Single
Sector
Where
many
efforts are
now
Individual
Neighborhood Community State National
Geographic Scale
105. POLICY CHANGE
• A law, regulation, guideline, procedure, ordinance, rule
(both formal and informal) or course of action that is
adopted on a collective basis
•Guides the behavior of groups and/or individuals
•Ideally there should be a plan and commitment by
administration to enforce the policy
•This leads toward system/culture change
106. ENVIRONMENTAL CHANGE
•A change to the environment
•Affecting an individual’s propensity to engage in
healthy behaviors
•People may be aware of healthier
choices but their environment
may be prohibitive
107. SYSTEMS CHANGE
•A change in the way people (culture) and
institutions (systems) think and behave
•This type of change modifies the way
“business is done” and becomes the
established norm or way
of doing something
107
108. ENGAGING THE COMMUNITY
•Policy, Systems and Environmental
Change is too big for one group or
organization
•Shared Leadership
•Utilize the strengths and expertise of
each partner
•Create a decision-making process that
works
•Consider traditional and non-
traditional partners
109.
110. Work Group Activity
1. Healthcare
2. Infants
3. Childcare-PA/PE
4. Childcare-Nutrition
5. Schools-PA/PE
6. Schools Nutrition
7. Workplace Wellness
8. Neighborhood Nutrition
9. Neighborhood PA/PE
10.Restaurants/Food Service
111. Policy Workgroup Activity
Step 1: Select a Workgroup:
Step 2: Discuss the Policy ideas presented by the
facilitator
Step 3: Determine the priorities for each policy:
•What is happening already that we can build on?
•What’s desirable that may be more winnable?
•What’s desirable that may be more challenging?
•What’s feasible in your community/region that
you’d like to see considered at the statewide
summit?
Step 4: Come to consensus for top two priorities
Report out to the group
113. The major public health problems of
our time will not be solved merely by
individual actions and health choices,
but by individuals coming together to
make our society one in which healthy
choices are easy, fun and popular.
Communities that focus on the latter
approach will be healthier and more
satisfying places to live, work, and
play.”
Notas do Editor
WELCOME: BILL WEIDNER, PUBLIC RELATIONS DIRECTOR DUPAGE FOREST PRESERVE On behalf of the Dupage County Forest Preserve it s my pleasure to welcome you to beautiful Mayslake. The Forest Preserve is delighted to have you enjoy one of the District’s five education centers dedicated to providing learning experiences for people of all ages. Wealthy coal magnate Francis Stuyvesant Peabody created the Mayslake Estate in 1919. It was later taken over by the Franciscan Order of Friars Minor in 1924, they build this beautiful chapel you are sitting in. Currently, the preserve contains several historic buildings; acres of lakes and ponds; a restored prairie; marsh; and a restored savanna. There are also beautiful flower and herb gardens surrounding the mansion and chapel. Mayslake Hall offers a wealth of knowledge about architecture in the early 1900s in addition to the historical past of the sprawling estate. We hope you will take some time to look around and enjoy this beautiful place. As an ambassador of healthy outdoor recreation that is free to all families in DuPage we also support the ideals and mission of the FORWARD initiative As a coalition partner and member, we applaud FORWARD for leading DuPage County, through this broad-based community coalition, in promoting effective and sustainable policy, system, and environmental strategies for children and families to achieve a healthy weight. I am here today as a supporter and on behalf of President Pierotti and the entire Forest Preserve we pledge to do what we can to continue to make education, pleasure and recreation for DuPage citizens possible. Presenter 2: MAUREEN MCHUGH Good afternoon and welcome, I’m Maureen McHugh, Director of the DuPage County Health Department. It is my pleasure to welcome you to the FORWARD’s 3 rd County-wide Coalition Meeting and first Northern Illinois Regional Forum to support the State Roadmap development for the Illinois Alliance to Prevent Obesity. As you know, Obesity across the Nation has reached epidemic proportions. Public health leaders across the country have been called to action to address this alarming epidemic. Besides DuPage, today we have representation from major public health institutions including Cook, Kane, Kendall, Lake, McHenry, and Will County Health Departments, the Chicago Department of Public Health, the and the US Department of Health and Human Services. You will be hearing shortly from a small panel of county leaders who have answered this call because we understand the impact of this chronic disease on the health and wellness of our entire community. For the first time, this current generation of children is expected to have shorter life expectancies than their parents. The DuPage County Health Department and The FORWARD Initiative along with our more than 250 partners and organizations are committed to finding ways to make the “healthy choice” the “easy choice”. We have been studying the issue very closely on two fronts---collecting data to help us make decisions about community readiness and need. You will hear from the FORWARD Data Committee the most recent results of our BMI data collection project using a one of a kind, data surveillance system. We know that healthy lifestyles reach beyond the walls of the Health Department; it extends to the entire community. This is why we are committed to working with FORWARD, the entire DuPage community and my colleagues across Illinois to influence policy and systems change. We need to make lasting and effective changes in order to reach the goal of reversing childhood obesity in a generation. I am thrilled to have you all here, not only as I serve on the FORWARD Advisory Board but to help assist us in shaping a healthier generation across Illinois. Now I would like to turn it over the Ann Marchetti, Director of FORWARD ANN-MODERATOR PANEL DISCUSSION,
Ann Marchetti:: set up panel discussion-- Thank you Maureen, speaking of partners... FORWARD would not be here if it were not for our anchor, DuPage County Health Department. I would like to Thank Maureen for her leadership and forethought and all of my Advisory Board members for their time, support and resources to support this effort--ask them to stand. As Maureen alluded, our nation faces a health crisis due to the increasing burden of chronic disease. Today, 7 of the 10 leading causes of death in the United States are chronic diseases, and almost 50% of Americans live with at least one chronic illness. People who suffer from chronic diseases such as heart disease, stroke, diabetes, cancer, obesity, and arthritis experience limitations in function, health, activity, and work, affecting the quality of their lives as well as the lives of their families. Underlying these diseases and conditions are significant health risk factors such as, physical inactivity, and poor nutrition. Engaging in healthy behaviors greatly reduces the risk for illness and death due to chronic diseases. Which is why we are here: To Educate you on the unique work that is taking place across Northern Illinois And to advise the IAPO about important and lasting changes that we feel should be a part of their Road Map. It is my honor to be apart of the individuals gathered her to work together to combat this complex and alarming issue. The folks gathered here are a unique group that has come together representing the Northern Illinois Public health Consortium Chronic Disease Committee Because obesity know no boundaries: So we are going to start with FORWARD, Fighting Obesity Reaching health Weight Among Residents of DuPage. I would like to invite Dr. David Dungan, founding advisory Board member, a Board certified pediatrician and internist with DuPage Medical Group and the co-Chair of FORWARD’s Data Committee.
Dr. Dungan- Timeline Slide FORWARD began as a small planning effort in August of 2008 when a group of concerned individuals from the healthcare, business, social services, and the education sectors came together because of their growing concerns about obesity in children. We met for over 8 months and created a multifaceted plan to address the issue In February, 2009, the DuPage County Health Department was approached to anchor this public/private partnership and serve as the fiduciary agent. In May of 2009 with initial seed money from the Health Department, staff was hired and the work began to identify a high level Advisory board (recognizes them/ask them to stand) and begin to implement the plan that was created. Over the summer of 2009, FORWARD created three committees: Marketing-to create an identity for the Initiative, launch our efforts publically (which we did in October of 2009 to our community partners, and again in April, 2010 to the general public at the Whole Foods in Wheaton) Resource and Partnerships-to recruit partners (now more than 250 strong) to work with us in the public/private partnership, identify obesity prevention programs and services in DuPage and create a database of resources on the FORWARD Website; We also used the expertise of this committee and its members to develop a proposal to respond to the federal funding opportunity-Communities Putting Prevention to Work. It was through this exercise that FORWARD identified our vehicle to implement change county-wide through 5 YMCA’s to serve as the FORWARD Regional Offices—you will hear more about this form Joan Bry a little later in the presentation. And finally, what I want to focus on for the next few minutes, The FORWARD Data and Research Committee-co-Chaired by myself and Deepa Handu of Benedictine University, was created to determine the obesity prevalence in DuPage and measure over time the impact of our work
Dr. Dungan- Slide of Data Snapshot/spring 2010 report Thousands of obesity intervention programs are under way across the country, yet very few datasets are available to evaluate their long-term effectiveness. While the founding members of FORWARD believed That Dupage County had an obesity issue, and regional and national data supported this supposition, there was no hard evidence at the local level to support this hunch. Since the summer of 2009, the FORWARD Data Committee has been gathering data about our population and our environment. Initially we looked at existing data sources- WIC data from the DuPage County Health Department, data from my medical practice and from a few schools. What we discovered with this initial snapshot was that DuPage in fact had an obesity issue which seemed to mirror the national average. At that time, the Committee also submitted a proposal to an IRB to allow research to be conducted later in the project. In late winter/early spring of 2010, FORWARD’s Data Committee learned of a resource that we could adapt with little expense called Citric— a web based database. You will hear in a few minutes more about this system and see brief a demonstration. In the spring of 2010, data was voluntarily collected from 44 schools across DuPage County as we tested the Fitrac system. While not conclusive due to the voluntary nature of the sample, the data did support earlier information in the Data Snapshot that DuPage County’s obesity rates mirror the national average. Today, we and are on the verge of putting important new information in the hands of leaders across the County to help communities take control of the obesity epidemic and make real improvements.
Dr. Dungan- County-wide prevalence of overweight and obesity With the assistance of school personnel, including school superintendents, principals, and school nurses across Dupage County, FORWARD randomly selected 50% of DuPage County public schools and collected data on 11,496 students in the kindergarten, 6 th and 9 th grades this fall. Using data from the school physical---height and weight measurements, data was entered into the Fitrac system. Our findings indicate that 31% of these students are overweight or obese and 15% obese. Our rates indicate that nearly 1 in 3 children in DuPage County are overweight or obese. In your folders today you have an initial report of the findings.
Dr. Dungan- prevalence of overweight and Obesity by sex In our sample, females were 3% lower in the category of overweight or obese and 4% lower in obesity than males, respectively.
Dr. Dungan- Prevalence of Overweight and Obesity by Grade Rates are highest among 6 th graders
Dr. Dungan- Prevalence of overweight and obesity by grade and sex Conclusion/observation:
Dr. Dungan- Social Economic Stratification graph and table The difference in the distribution of percent of low income students between schools in DuPage, schools selected and schools that participated, was not statistically significant. To conclude, this means that the data we collected is representative of the SES characteristics of our County.
Dr. Dungan- Prevalence of Overweight and Obese in each FORWARD Region As I mentioned earlier, FORWARD divided the County into five regions. They reflect the service area of the 5 YMCA’s in DuPage County. The materials that you have identify the 32 DuPage municipalities byregion.
Dr. D: Demographics by Region Our data indicates that FORWARD’s Central East Region had the highest rates of overweight and obese students, whereas the South East Region had the lowest rates. You will see that this correlates with the SES data by region as well.
Dr. Dungan- Future Goals This is just the beginning of our efforts. Our next steps will be to further analyze this data. We are developing hypothesis and will look more closely at other variables such as academic performance and environmental factors within our communities. We are also collecting data through the YMCA’s and using a tool called the CHILI-Community Healthy Living Index that you will hear about in a few minutes, but this will also assist us in our hypothesis. During the 2011-2012 school years FORWARD will expand this effort to include 90% of all DuPage County Schools and will identifying resources to understand the prevalence of overweight and obesity among adults. I would now like to invite, Chris Gilbertson, A FORWARD Advisory Board member and District 200 School Nurse who actually input data from her schools into the system to demonstrate the Fitrac system. We believe that this easy to use and practical tool can be valuable not only herein DuPage but across Illinois to track obesity
Chris Gilbertsen Thank you Dr. Dungan. Fitrac was created with a Kids PEP grant by PE Teacher, Bill Casey to measure physical fitness levels of students in PE classes—ask Bill to stand. It is currently being used by PE teachers all over the US to measure muscular strength, cardiovascular strength and endurance, flexibility and BMI. The Superintendent of the Regional Office of Education--Darlene Ruscitti and a FORWARD Advisory Board member offered this resource to FORWARD to collect BMI data using information from the Illinois School Physicals that children receive before entering grades K, 6, and 9 th grades—recognize Darlene With Bill and his colleague’s assistance, Tyrek Orabi, FORWARD adapted the tool, identified the CDC code for BMI percentile and started using it to track obesity rates in Dupage County. As a FORWARD Advisory Board member and school nurse in the district, I am well aware of the need to identify issues impacting student’s health. Unhealthy students have trouble learning. We were so excited to support FORWARD in reporting data that we have been collecting every year in the school physical into Fitrac for tracking to better inform the FORWARD Initiative and resource allocations to support change in Dupage County.
Chris Gilbertsen The system is pretty easy and self explanatory All you have to do is go to the website and enter your secure username and password.
Chris Gilbertsen If you are like me, and work at more than one school, the system has a drop down menu to select the school. There are also other items like your profile information, password information and help videos. Let’s get started by adding a class The information here is only for the user to see so you can name it anything you want. Once you input the class information and save it you can start adding student data. Personal information stays with the user but becomes encrypted by the FitTrac system to protect their data
Chris Gilbertsen In DuPage we collected the students name, gender, DOB-, and height and weight from the school physical. The system was designed for us to calculate the BMI percentile. Our plan is to continue using the FitTrac system, refine and develop the capabilities of the web-based tool and expand its use for all schools in DuPage. I would not like to introduce Joan Bry, Health and Fitness Director of the Northwest Dupage YMCA to tell us how we are going to put this all together to create change for DuPage
Pioneering Healthy Communities is the signature initiative within Activate America, the Y’s response to the nation’s health crisis, and focuses on engaging community leaders from multiple sectors to influence policy change. There are currently 164 Ys in the country participating in the PHC initiative and 9 in Illinois—do we have any PHC grantees here today?
Joan Bry: Slide 1 infographic In December, 2009, five YMCA’s in DuPage partnered with the FORWARD Coalition on a grant application to HHS. This grant requested funding to divide Dupage County into 5 regions. Each YMCA would lead a FORWARD Regional Office and focus our work on obesity prevention Northwest region (YMCA of Northwestern DuPage County) Northeast region (Elmhurst) Central region (Tri-Town YMCA) Southwest region (Heritage YMCA ) Southeast region (Indian Boundary)
Joan Bry: Slide CHILI The charge of these offices is to build a local coalition and conduct assessments (using the Community Healthy Living Index— a compilation of assessment tools that measure opportunities for physical activity and healthy eating in areas that impact an individual’s daily life created through the CDC, Stanford University, Harvard, St Louis University and the YUSA) for each municipality/township in each region in DuPage. The specific areas that the community assessment tools focus on are: afterschool child care sites, neighborhoods, schools, work sites, and finally the community at large. Once we have this data we can plan for policy and environmental change strategies, identify and remove barriers, and expand opportunities for healthy living. The ultimate aim of this work is to assess where these sites are today, and set a course for where they can go tomorrow and how they will build environments that support healthy living. This grant was not funded, however there was a strong commitment to proceed with this vision and in April, 2010, with some seed funding from the J R Albert Foundation the 5 Ys in DuPage County through FORWARD began our work. The Y’s have been collecting CHILI data this summer and will cross this data with the BMI data that has been discussed this afternoon in order to identify a clear picture of community readiness and identify system changes.
Simultaneous to this process, in May, FORWARD and the 5Y’s collectively asked the YMCA of Northwestern DuPage County to lead an application for a Pioneering Healthy Communities grant. The grant s goals: Develop community and state level policy & environmental change strategies that increase opportunities for physical activity & healthy eating; Raise awareness and strengthen the framework for community-wide and national movements among all sectors of society to reverse the trends in physical inactivity, poor nutrition, and chronic conditions (including obesity); Strengthen community capacity to initiate and sustain promising practices for healthy communities;
PHC goals: Utilize mechanisms and strategies to transform healthy community principles into practice; Identify cost-effective, practical, and sustainable solutions and tools that teams can replicate to educate and mobilize communities to make sustainable changes that support healthy living; and Build complementary community, state and national efforts by implementing policy and environmental change strategies for all sectors to increase opportunities for physical activity and healthy eating In September, 2010 we were awarded the grant through the YUSA and the Robert Wood Johnson Foundation. What this means is that we have been charged to focus on the same issues we will discuss as a region later this afternoon.
The strategies, which you will be discussing more fully later in the agenda later today, will collectively influence communities to be healthier through the planning and implementation of evidence based strategies that influence policy, system, and environmental changes such as: Increasing access to and use of attractive and safe locations for physical activity Influencing policies such as the requirement of sidewalks, countdown cross signals, and bike lanes in streets Providing all students adequate opportunities for physical activity before, during and after school through physical education, recess, and intramural activities Increasing healthy food choices in schools, worksites, grocery stores, and other community settings Encouraging school foods contracts to include more fruits, vegetables, and whole grains Increasing availability of fruits and vegetables, making community gardens more accessible, and increasing locations of farmers markets Influencing worksite policies and implementing worksite wellness programs
Joan Bry In order to accomplish our goals, with FORWARD, we have formed our County-wide Core Leadership Team, consisting of high-level community leaders which will be involved at every step, utilizing their positions, influence, and ability to make changes within DuPage County. State Representative Sandra Pihos, Regional Office of Education Superintendent, Darlene Ruscitti, Director of the DuPage County Health Department , Maureen McHugh, CEO for the YMCA of Northwestern DuPage County (and my boss), Walter Johnson, Marketing Director for Central Dupage Hospital, Tammy Pressley Pediatric and Internal Medicine Physician with DuPage Medical Group, Dr. David Dungan, Director of the West Chicago School District’s We Go Together for Kids Program, Marjory Lewe-Brady Executive Director of the DuPage Community Foundation, Dave McGowan, Coordinator of DuPage County Trail System at the DuPage Office of Economic Planning and Development, Deborah Jan Fagan, Former PE teacher and current Naperville Learning Readiness PR Coordinator and PE 4Life Consultant, Paul Zientarski, FORWARD Director, Ann Marchetti and myself Together as a team we will be traveling to Washington DC in February where we will learn how to mobilize our communities’ strengths and weaknesses based on the CHILI assessments and bring back lasting and sustainable changes for DuPage County. How will we do this? We have also identified a Core Leadership Teams for the first 5 of 32 municipalities in DuPage—Naperville, Elmhurst, Glen Ellyn, Downers Grove and Lombard. 50 leaders will be the direct recipients of the information gathered in DC by our County-wide Team, where we hope to impact change in the next 6 months. Thanks to a donation from Central DuPage Hospital, we plan to spread this model, creating Core Leadership teams in all additional municipalities and building an army of leaders helping to make lasting and sustainable changes across DuPage and Northern Illinois. And now a real life leader to share her story and here to give us an example of what can be done and why this is so important. I would like to introduce Mary Sue Montovan, Principal of GlennOaks Therapeutic Day School.
Mary Sue
PRESENTER #6: ANN MARCHETTI-INTRODUCE KANE COUNTY: Thanks Mary Sue. And although it isn’t simple or easy, with people like Mary Sue and committed groups like our Core Leaders and the FORWARD initiative and through the perseverance of our partners, together we will be able to reverse the epidemic of childhood obesity by the year 2020. We are very excited about the work that we will undertake in the next year with this group of thoughtful leaders from across DuPage County. Addressing childhood obesity requires action not only by parents and children themselves, but all sectors of a community. The places where children live, learn, and play influence the foods they eat and the amount of activity they receive. Therefore promoting policies and creating environments and systems that support healthy eating and improve physical activity patterns can have a profound impact. I would now like to have you hear from our other counties: I would like to introduce Jane Maxwell, Director of Kane Counties Fit Kids Initiative.
Jane Maxwell
Jane Maxwell
Jane Maxwell
Jane Maxwell
Jane Maxwell
Jane Maxwell
Jane Maxwell
Jane Maxwell
Jane Maxwell
Jane Maxwell
PRESENTER #6: Gina Mussada Cook County
Gina Massuda-Barnett
Gina Massuda-Barnett
Gina Massuda-Barnett
Gina Massuda-Barnett
Gina Massuda-Barnett
Gina Massuda-Barnett To facilitate, change and sustain a culture shift toward health living and health equity Key touchstones: Focuses on broad-based policy change because far reaching Addresses risk factors and social determinants contributing to chronic disease Integrates health equity (driving force) Health is a result of our behaviors, our genetic makeup, the environment and the community in which we live and the clinical care we receive and the policies and practices of our health care and our prevention systems. Changing the context in which people live, work and play to make healthy choices the easier choice
Gina Massuda-Barnett
Gina Massuda-Barnett
Gina Massuda-Barnett
Gina Massuda-Barnett
Gina Massuda-Barnett Promote breastfeeding Make healthy foods more available or unhealthy foods less available Create more safe and convenient places for walking, biking and other physical activities Increase opportunities for physical activity in schools Support children in walking, biking to/from school Increase access to services for adults at-risk or with chronic conditions
Gina Massuda-Barnett
Gina Massuda-Barnett
Gina Massuda-Barnett Convergence
Joseph M Harrington
Joseph M Harrington
Joseph M Harrington
Joseph M Harrington Obesity is defined as excess body fat. Because body fat is difficult to measure directly, obesity is often measured by body mass index (BMI), a common scientific way to screen for whether a person is underweight, normal weight, overweight, or obese. BMI adjusts weight for height,10 and while it is not a perfect indicator of obesity,11 it is a valuable tool for public health. Adults with a BMI between 25.0 and 29.9 are considered overweight, those with a BMI of 30 or more are considered obese, and those with a BMI of 40 or more are considered extremely obese. For children and adolescents, these BMI categories are further divided by sex and age because of the changes that occur during growth and development. While the rapid increase in childhood obesity in the 1980s and 1990s has slowed, there is still plenty of room for improvement
Joseph M Harrington In September 2009 the Institute of Medicine released a report entitled: “Local Government Actions to Prevent Childhood Obesity” The report indicated that: Obese children and adolescents are more likely to develop hypertension, high cholesterol, and type 2 diabetes when they are young, and are more likely to be obese as adults The prevalence of obesity is so high that it may reduce the life expectancy of today’s generation of children and diminish the overall quality of their lives
Joseph M Harrington
Joseph M Harrington Food deserts are areas that cluster that have no or distant grocery stores As you can see from this map by Mari Gallagher three are three key food deserts in Chicago
The Sinai Improving Community Health Survey Report 1, which was released in 2005, looked at the compared health status in six Chicago communities North Lawndale and Roseland, (which are predominantly African American), South Lawndale , (which is predominantly Latino) Humboldt Park and West Town (which are predominantly African American and Latino), Norwood Park (which is predominantly White Norwood Park also has the highest median income, highest number of high school graduates, and lowest number of persons in poverty The next few slides demonstrate issues relative to the access to healthy food and obesity
Let me show you just three few photos from The Hungry Planet, a book by photographer Peter Menzel and Faith D’Aluisio, who set out to see how globalization, migration, and rising affluence affect the diets of people around the world. Each photo shows a week’s supply of groceries for the family and will help demonstrate the kind of problem with have today Here is a week’s worth of groceries of a family in India, where only about 16% of adults are overweight.
This is China, where about 25-29% of adults are overweight or obese.
Here’s the US, where we know at least 60% of adults are overweight or obese. These photos say a lot, don’t they?
Earlier I mentioned the IOM report on Local Government Actions to Prevent Childhood Obesity. The report had three goals: IMPROVE ACCESS TO AND CONSUMPTION OF HEALTHY, SAFE, AND AFFORDABLE FOODS REDUCE ACCESS TO AND CONSUMPTION OF CALORIE-DENSE, NUTRIENT-POOR FOODS RAISE AWARENESS ABOUT THE IMPORTANCE OF HEALTHY EATING TO PREVENT CHILDHOOD OBESITY Let me briefly touch on some of the actions that CDPH is taking with respect to Goal 1 ‘Improving access to and consumption of healthy, safe, and affordable foods. Increase community access to healthy foods through supermarkets, grocery stores, and convenience/ corner stores – Commissioner Choucair has convened a series of meetings with the Departments of economic Development, Zoning and Land Use Planning and Family and Support Services to discuss and look at models to increase access to healthy foods Promote efforts to provide fruits and vegetables in a variety of settings, such as farmers’ markets, farm stands, mobile markets, community gardens, and youth-focused gardens. – CDPH has supported the expansion of farmers markets at the community level and is a strong proponent of community gardens Ensure that publicly-run entities such as after-school programs, child-care facilities, recreation centers, and local government worksites implement policies and practices to promote healthy foods and beverages and reduce or eliminate the availability of calorie-dense, nutrient-poor – the Chicago Public Schools has made significant improvements in its meal offerings and the Chicago Parks, Chicago Public Schools, and the Chicago Department of Public Health are all working on developing policies to increase the number and visibility of healthy options in vending machines Encourage breastfeeding and promote breastfeeding-friendly communities foods – CDPH is working with 3 area hospital to become Baby Friendly Hospitals. The Baby-Friendly Hospital Initiative is a global program sponsored by the World Health Organization and the UNICEF to encourage and recognize hospitals and birthing centers that offer an optimal level of care for infant feeding.
As many of you may have heard, the city of Chicago with CLOCC as its bona fide agent recently received $5.8 million from the U.S. Department of Health and Human Services for obesity prevention. This funding is a portion of $31 million awarded across the country to support public health efforts to reduce obesity and smoking, increase physical activity and improve nutrition. These awards, funded by the Prevention and Public Health Fund included in the Affordable Care Act, are part of the HHS Communities Putting Prevention to Work (CPPW) program Leadership from CDPH and CLOCC are attending training as I speak. The project will place an emphasis on Improving access to healthy food and safe opportunities for physical activity at the city and neighborhood level. Implementing policy and environmental change strategies to improve childcare environments, provide safer access to the city's parks, increase retail options available for healthy food purchasing, and help develop tools to integrate urban agriculture and other forms of food production into city and open-space planning across the city Conducting a public media campaign to encourage Chicago residents to make healthier choices in conjunction with the environmental changes that will facilitate such choices. Implementing point-of-purchase strategies in restaurants throughout the city to encourage healthy food choices among consumers. Promoting breast-feeding and Promoting the use of public transportation
Established in 2006 under the leadership of the Chicago Department of public Health the Inter-Departmental Task Force on Childhood Obesity has grown from 4 to eleven city agencies Our vision is that Chicago leads the country in childhood obesity prevention and our mission is to demonstrate that City government plays a leadership role in addressing childhood obesity through the strategic promotion of evidence-based programs and policies designed to improve nutrition and physical activity .
Major Elements of IDTF 3-tiered plan Tier 1 – Primary Prevention Activities ▫ All Chicago children (approximately 750,000) ▫ Public education ▫ Coordinated policy-making ▫ Data surveillance and environmental assessments ▫ Cross-agency professional development Tier 2 – Early Childhood Focused Activities ▫ Chicago children ages 3-5 (approximately 100,000) ▫ Physical activity and nutrition education for child care providers ▫ Conduct environmental assessment in child care institutions ▫ Modify child care regulations Tier 3 – Wellness Campus Concept ▫ Chicago children in high obesity communities (approximately 10,000) ▫ Establish 6 wellness campuses throughout the City ▫ Coordinate agency preventive services for families
As I mentioned previously and evaluation by CLOCC found a statistically significant difference in vigorous physical activity levels among children in Wellness Center program when compared to traditional Park District programming
According to the CDC's National Health and Nutrition Examination Survey, rates of obesity in youngsters ages 2 to 5 have more than doubled since 1980, from 5.0% to 12.4%. And once a child sets down the road to unhealthy weight, it becomes increasingly difficult for him to change course: according to one study, 80% of children who are overweight between ages 10 to 15 grow up to become obese 25-year-olds. In a recent study of more than 1,800 children, who were tracked from before birth to age 4, Harvard researchers identified several risk factors for obesity that began in pregnancy or early childhood. They included pre-pregnancy obesity; gestational diabetes; low birth weight and rapid weight gain in infancy; stopping breast-feeding early; introducing solid foods before 4 months; short sleep in infancy; TV in children's bedrooms; and higher consumption of fast food and sugary beverages in childhood. In many cases, these early risk factors were more common in black or Hispanic families than in white families, regardless of income. The findings, first published online March 1 by the journal Pediatrics. The authors emphasize that obesity prevention must not only begin early, but also address cultural issues and include education targeted to specific groups. The good news, says study author Dr. Elsie Taveras, an assistant professor of pediatrics and prevention at Harvard Medical School and a member of the IOM obesity committee, is that many risk factors involve behaviors than can be modified, and are not due only to socioeconomic inequalities
The White House Task Force report on Childhood Obesity clearly stated that our goal is to solve the problem of childhood obesity in a generation. Achieving that goal will mean returning to the expected levels in the population, before this epidemic began. That means returning to a childhood obesity rate of just 5% by 2030. Achieving this goal will require “bending the curve”, so that by 2015, there will be a 2.5% reduction in each of the current rates of overweight and obese children, and by 2020, a 5% reduction.
PRESENTER #8: Jon Ashworth
Jon Ashworth
Jon Ashworth
Jon Ashworth
Jon Ashworth
Jon Ashworth
Jon Ashworth
Jon Ashworth
Jon Ashworth
Jon Ashworth
Statewide groups came together b/c a state-level response to the obesity epidemic is needed, working towards solutions. Point out the website
Many of organizations across the state have signed this, if you haven’t please do it’s on the website. When the group came together in January of this year, this was the statement that aligned everyone.
Notes for objectives: These regional forums, through their multi-sector approach can help to inform the Roadmap in this is not a single sector problem nor single sector solution. Purpose of the regional forum: Engage multi-sector partners to expand the movement Identify policies and interventions for consideration in the state obesity action roadmap Generate buzz in the local media about IAPO Mobilize participants to participate in candidate outreach activities Provide opportunities for regional collaboration 2. Building the visual movement through the candidate questionnaire, letters to the editor, and local media buzz. 3. Again, the candidate questionnaires, and the set of questions IAPO is creating for people to bring to local candidate debates for the November 2010 state elections to raise the issue of obesity to the election agenda and make it part of candidates’ platforms. 4. IAPO to be a clearinghouse for state obesity news and best practices for more collaboration and information dissemination across various sectors.
We have begun this process. Hearings will inform this, LC meeting in June helped to identify ideas and also fine tune the process and structure. Through regional forums, stakeholders from across the state will have an opportunity to offer policy and environmental solutions from various sectors including, but not limited to, nutrition, physical activity, school environments, workplaces, health care settings, planning, transportation, agriculture and community organizations. IAPO has already identified possible state-level solutions at a recent meeting on June 24th. We are now looking to partners to hold similar discussions in their community to gain feedback and generate other ideas for consideration in a final State Obesity Action Roadmap that will be finalized at a statewide Obesity Prevention Summit on December 3, 2010. Broad social changes in our environment and in the way in which we work, play, live and eat are major contributors to the obesity epidemic . Obesity must therefore be treated as a public health crisis, not as a problem of individual will-power. Evidence of effective public policy, institutional policy and environmental strategies emerges daily, but no single agency can attack this problem alone. Build consensus for state-level policies and environmental changes to reverse the obesity trends. Identify local policies and environmental changes for communities to pursue.
These are being discussed by the IPAO steering committee and are coming together from input from the IAPO Leadership Council. The final roadmap will include some set of policies with state level consensus that as an Alliance we strategize around to move forward—short and long-term. These Roadmap categories are not finite, but will inform the discussion and formation of the set of policies that at a state-level are needed. A set of local policies that will contribute to the whole and support by state-level change.
Registration, content, generating media, engaging candidates that were elected.
As mentioned we’d like to use these forums to advance other activities…….
Illustrates the problem---don’t spend too much time on this, many have likely seen it. http://www.idph.state.il.us/HealthWellness/IL_Existing_State_Plan.pdf These numbers will come out again in the next year, as this report is released by the state every 5 years, and this was taken from the 2006 report. Light Pink = 47.7 - 58.5 % Pink = 58.66 – 64.9% Red = 65.0 – 77% Note: Overweight is BMI 25.0 – 29.0 and Obese is BMI 30.0+
Is this the norm in our society? Are we becoming more and more solely a culture of convenience, and if so, how do we change and reshape these norms?
WHO – maternal and child health: Generational view This slide provides a visual of the broader context of this as a health problem. We know there are individual choices we make that influences one’s health. We are working in the broader areas so that we’re changing the networks and conditions that impact our decisions on both a societal and individual level.
Current nutrition default -- I want to eat healthy foods, but… As one person said, it is the responsibility of public health to make the healthy choice an easy choice. This is not the current state of affairs for much of the population at large. The convenient choices are overwhelming unhealthy choices.
Current physical activity default - I want to move more, but… This illustrates the need for a multi-sector approach in that we need city planning and transportation sectors on board. Are the streets safe to walk and bike? Are their paths/sidewalks? Are there good and viable public transportation option? Problem of a cultural of sedentary lifestyle choices and screen-times issues…
The end goal: the places we live in and the way we live work in harmony for the better health of both.
Ann: Policy = plan or course of action intended to influence and determine decisions, actions, and other matters. Public policy = set of rules that the public must follow. They are established by organizations and political units (boards of supervisors, city councils, municipal districts, school boards, state legislature, etc). They can be documented and enacted thru a statute (law), regulation, executive order, court ruling, official letter, etc. Private policy = implemented to address problems within private sector organizations, such as hospitals, community organizations (SUCH AS THE Y), business groups, and faith-based organizations. TAKE a LOOK AT THE PICTURE: What types of policy might be in place here? walking school district (expand zones where kids have to walk and not get bused to school), bike helmet laws, policy on striping on the street, school policy to have a crossing guard, PTA policy to ensure that a volunteer is always at the cross walks.
The location of the axis is defined by the community The scale is defined by your community The target is as focused or as broad as you need it to be and define it to be The point is that this is not about programs (point to where that would be covered) RATHER, this is about population wide policy impact
Examples: Community: a charter stating that public housing developments will provide land for community gardens to all residents; a policy on serving healthy foods at faith-based programs; change zoning and land use requirements that encourages physical activity; a county resolution discouraging tobacco use in public parks. School: incorporating a module on asthma into existing curriculum required for all athletic coaches. Worksite: a statement included in the employee handbook which states that any food and beverage provided by the company will fall within certain healthy parameters. Providers: a written protocol stating that all nurses will ask patients if they smoke at every visit. If the patient is a smoker they will provide two minute cessation counseling and will refer them to services.
Each group determines and presents their priorities in the large group.
