November 17 2010 Coalition Meeting

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  • 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
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  • 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
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  • 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.
  • November 17 2010 Coalition Meeting

    1. 1. DuPageCounty
    2. 2. FORWARD HistoryAugust , 2008- Planning Group AssemblesFebruary, 2009- FORWARD Begins WorkMay, 2009- Advisory Board is FormedSummer, 2009- 3 committees developed: Resource and Partnership Marketing and Communications Data and ResearchOctober, 2009- First Coalition MeetingMarch, 2010- FORWARD launched to publicJune, 2010- Grant Funding AwardedSummer , 2010- Community Assessments ConveneFall, 2010- BMI Surveillance System Launched and YMCA’s launch Core Leadership Teams
    3. 3. 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 PercentPercent of Student Population No. (%) of schools by Income Statusthat is Low Income DuPage Selected ParticipatingLow (<16%) 123 (46%) 59 (47%) 50 (52%)Mid (16-35%) 90 (34%) 43 (34%) 29 (30%)High (>35%) 55 (20%) 24 (19%) 17 (17%)
    4. 4. FORWARD Data Collection PhaseII: • Further analyze these data • Collect data from 90% of all DuPage County Schools in 2011-2012 school year • CHILI data collection in 32 municipalities
    5. 5. 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
    6. 6. 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
    7. 7. PHC GoalsDevelop community and statelevel policy & environmentalchange strategiesRaise awareness and strengthenthe framework for community-wide and national movementsto reverse the trends in physicalinactivity, poor nutrition, andchronic conditionsStrengthen community capacityto initiate and sustain promisingpractices for healthycommunities;
    8. 8. PHC GoalsUtilize mechanisms andstrategies to transformhealthy communityprinciples into practice;Identify cost-effective,practical, and sustainablesolutions and tools toeducate and mobilizecommunities andBuild complementarycommunity, state andnational efforts for physicalactivity and healthy eating
    9. 9. Core Leadership Teams Social North-East Service RegionNorth- West FaithRegion FORWARD Central- Edu- East Region cation /PHCSouth- West BusRegion South-East Region Health care
    10. 10. KaneCounty
    11. 11. Kane CountyChildhood obesity rates in Kane County1 out of every 6 or 16% of all Kane County children andadolescents are obese30% to 46% of our children and adolescents who arefrom low income families and are African-American andLatino are obese
    12. 12. 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
    13. 13. Fall 2008- Released request for proposalsSpring 2009 Fit for Kids grants fundedImplementation grant for Activate ElginPlanning grants awarded to: Aurora Healthy Living Council & Delnor Fit 4KaneJanuary 2010-RWJF FundingReceived funding from Robert Wood Johnson Foundationas part of Healthy Kids Healthy Communities Initiative.Working in partnership with Kane County DevelopmentDepartment.
    14. 14. February 2010- Fit for Kids Leadership SummitMarch 2010- 9 Sector Specific Workgroups Formed to determine policy level strategies and action stepsNovember 2010-Preview of Fits Kids 2020 ReleasedJanuary 2011-Fit Kids 2020 Plan presentedNovember 2011-Fit Kids 2020 Plan incorporated intoKane County 2040; Smart Growth is Healthy Living Plan
    15. 15. 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 EnvironmentOver 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
    16. 16. 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
    17. 17. Planning;Fit Kids 2020 PlanImplementation;Community GardensWalk to School Day
    18. 18. International Walk to School Day46 Kane County Schools representing8 of the 9 school districts participated
    19. 19. Gardening SummaryOver 1000 community plots for lease in thecountynew plots in Aurora, Geneva, BataviaGardens at 3 Public Housing ComplexesPrivate and public partnershipsIncrease in partners donating to the NIFB andlocal pantriesOver 50 directly engaged garden partners2 Hospitals 5 Churches 2 Schools26 Farmers
    20. 20. CookCounty
    21. 21. 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
    22. 22. 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
    23. 23. Alliance for Healthy & Active Communities• A collaborative led by CCDPH, formed in Summer 2009• Brings together a diverse group of partners
    24. 24. 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
    25. 25. 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
    26. 26. Policy Agenda to Transform Suburban Cook County
    27. 27. 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
    28. 28. 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
    29. 29. 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)
    30. 30. 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
    31. 31. Sustainable Impact
    32. 32. 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
    33. 33. Health in All PoliciesCo-benefits @ Federal, State, Local Policy Alignment Leadership for Healthy Communities
    34. 34. City of Chicago
    35. 35. Presentation Outline • What we know • What we are doing • What lies ahead
    36. 36. What we know
    37. 37. White House Task Force on Childhood Obesity
    38. 38. Obese children and adolescents are more likely todevelop chronic conditions when they are young, andare more likely to be obese as adultsObesity may reduce the life expectancy of today’sgeneration of children and diminish their overallquality of their lives
    39. 39. Illinois has the 27th highest rate of adult obesity in thenation, at 25.9 percent and the 10th highest ofoverweight youths (ages 10-17) at 34.9 percent, …Source: Trust for Americas 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
    40. 40. Three KeyFood DesertsIn Chicago Copyright and authorship: Sponsored by LaSalle Bank
    41. 41. Commute to Grocery
    42. 42. Fast/Fried Food > 4 Times a Week and Obese
    43. 43. Percent of Adults Who Are Obese
    44. 44. Percent of Children (2-12 yrs) Who Are Overweight and Obese
    45. 45. What we are doing
    46. 46. Local Government Actions to Prevent Childhood ObesityGoal 1: Improve access to and consumption ofhealthy, 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
    47. 47. Communities Putting Prevention to WorkImprove access to healthy food and safeopportunities for physical activityImplement policy and environmental changestrategiesConduct a public media campaignImplement point-of-purchase strategiesPromote breast-feedingPromote the use of public transportation
    48. 48. Inter-Departmental Task Force on Childhood Obesity1. Chicago Department of Public Health (lead agency)2. Chicago Department of Environment3. Chicago Department of Family and Support Services – Children Services Division, – Youth Services Division, and – Senior Services Area Agency on Aging4. Chicago Department of Transportation5. Chicago Department of Zoning and Land Use Planning6. Chicago Housing Authority7. Chicago Park District8. Chicago Police Department9. Chicago Public Schools10. Chicago Transit Authority11. Mayor’s Office for People with Disabilities
    49. 49. 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
    50. 50. 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 evaluatechanges Tier 3: Wellness Campus ActivitiesAbbott funding of 2 Park District Wellness CentersCLOCC evaluation found increased physical activity levels amongchildren in Wellness Center programBlue Cross/Blue Shield will fund 4 more
    51. 51. Chicago Park District Wellness Centers
    52. 52. What lies ahead
    53. 53. Where do we start?• "The first thing to do is to recognize that theres a problem, and to see that maybe it didnt start at age 4 or 5, or 6 or 7, but maybe before then,"• "The longer youre overweight, the more likely it is that youre 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 Childrens Hospital of The Kings Daughters
    54. 54. Bending the Curve
    55. 55. The success or failure of any government in the final analysis must be measured by the well-being of its citizens. Nothing canbe more important to a state than its publichealth; the states paramount concern should be the health of its people.Franklin Delanor Roosevelt 1932
    56. 56. LakeCounty
    57. 57. Lake County Health Department /Community Health CenterLake County At a GlanceLake County has 52 municipalities andapproximately 715,000 citizens. The vision of theLake County Health Department is to engage withthe entire county.
    58. 58. Lake County Health Department /Community Health CenterInitial Assessment of the ProblemSynthetic estimate for Lake County – Studentsfrom ages 12-19 years old: 21.2% are at or abovethe 85th percentile (Overweight or Obese). Thisstrongly contrasts with the Healthy People 2010standard of 5.0%.
    59. 59. Lake County Health Department / Community Health Center Connecting with our SchoolsLake County has approximately 48public school districts and 223public schools. There areapproximately 75 certified schoolnurses in the Lake County SchoolNurses Association. These arevalued and strategic alliances withwhom we are looking forward topartnering.
    60. 60. Lake County Health Department /Community Health CenterAssessing 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 wellwith fitness and PE?
    61. 61. Lake County Health Department /Community Health CenterAssessing 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 HealthEducation?•What programs/districts/schools are doing wellwith Nutrition and Health Ed?
    62. 62. Lake County Health Department /Community Health CenterPotential Community PartnersLake County School Nurse AssociationRegional Office of Education – Superintendent of SchoolsIllinois Association for Health, Physical Education, Recreation, and DanceWe Can! - 2 sites in Lake CountyIllinois Dietetic AssociationChildren’s Health Center – private pediatric medical practiceNorthwestern Lake Forest HospitalAdvocate Condell Medical CenterRosalind Franklin University / Nutrition programYMCA of Lake CountyChildServUnited WayNorthern Illinois Food BankLake County Forest PreserveCorporate PartnersFaith Communities
    63. 63. Lake County Health Department /Community Health CenterOur Strategic Approach
    64. 64. Lake County Health Department /Community Health Center Our first County-wide Community Forum Wednesday, January 19, 2011
    65. 65. Lake County Health Department / Community Health CenterWe’re grateful for all of these newpartnerships with all of you.And we are grateful for the teamthat we have at the Lake CountyHealth Department: Irene Pierce, Executive DirectorMark Pfister, Director of Population Health ServicesPat Donald, Associate Director of Population Health Services
    66. 66. Northern IllinoisRegional Forum
    67. 67. What is the Illinois Alliance to Prevent Obesity? The Illinois Alliance to Prevent Obesity (IAPO) is a statewidecoalition 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.
    68. 68. 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.
    69. 69. Illinois Alliance to Prevent Obesity April-December 2010Goal: To promote nutrition and physical activity policies andinterventions to reverse obesity trends in Illinois
    70. 70. IAPO Outcome Objectives April-December 20101. 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 Roadmap2. Build a visible movement to reduce obesity3. Raise obesity reduction/prevention to the top of the policy and public health agendas4. Disseminate and promote best practices and current information (developmental)
    71. 71. 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.
    72. 72. State Obesity Action Roadmap Categories1. 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.
    73. 73. IAPO Statewide Summit• Statewide Summit, December 3, 2010 to reach consensus on the State Obesity Action Roadmap• Advocate Christ Medical Center/Hope Childrens Hospital at the Nurse Conference Center in Oak Lawn, IL• Tyler Norris, Social Entrepreneur & Kevin Dedner, RWJ Center to Prevent Childhood Obesity
    74. 74. 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
    75. 75. What do we know…about the nature of our problems?
    76. 76. Healthy Cities and Communities
    77. 77. Current nutritional default $$$$$Source: Rudd Center for Food Policy - Yale
    78. 78. Current physical activity default
    79. 79. Places that have developed safe, activity-friendly environments with access to affordable fresh, healthy foods will have healthier people.
    80. 80. 健走社區—長榮社區 Community Experiences inWalkingTainan 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
    81. 81. 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!
    82. 82. POLICY CHANGE TARGET Entire Population Statewide PHC TargetPopulation Scale Multiple Sectors Single Sector Where many efforts are now Individual Neighborhood Community State National Geographic Scale
    83. 83. POLICY CHANGE• A law, regulation, guideline, procedure, ordinance, rule(both formal and informal) or course of action that isadopted on a collective basis•Guides the behavior of groups and/or individuals•Ideally there should be a plan and commitment byadministration to enforce the policy•This leads toward system/culture change
    84. 84. 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
    85. 85. 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 something107
    86. 86. ENGAGING THE COMMUNITY•Policy, Systems and EnvironmentalChange is too big for one group ororganization•Shared Leadership•Utilize the strengths and expertise ofeach partner•Create a decision-making process thatworks•Consider traditional and non-traditional partners
    87. 87. Work Group Activity1. Healthcare2. Infants3. Childcare-PA/PE4. Childcare-Nutrition5. Schools-PA/PE6. Schools Nutrition7. Workplace Wellness8. Neighborhood Nutrition9. Neighborhood PA/PE10.Restaurants/Food Service
    88. 88. Policy Workgroup ActivityStep 1: Select a Workgroup:Step 2: Discuss the Policy ideas presented by the facilitatorStep 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
    89. 89. Northern Illinois Regional Forum Policy Workgroup Report Out
    90. 90. The major public health problems ofour time will not be solved merely byindividual actions and health choices,but by individuals coming together tomake our society one in which healthychoices are easy, fun and popular.Communities that focus on the latterapproach will be healthier and moresatisfying places to live, work, andplay.”

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