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November 17 2010 Coalition Meeting


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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
  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.
  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.”