This document summarizes the findings and implications from two health impact assessments (HIAs) related to farm to school and school garden policies. Key findings include:
1. A farm to school reimbursement program and education grants could create hundreds of jobs and improve food security and student nutrition by increasing access to local foods in schools.
2. Farm to school programs positively influence students' diet and nutrition by increasing preferences for fruits and vegetables and consumption of healthy foods. This can lead to improved learning outcomes and a reduced risk of obesity.
3. Recommendations focus on prioritizing low-income schools and multi-component programs to maximize benefits related to employment, food security, and student health.
In Spring 2013, we are on the precipice of dramatic, disruptive change in the health field that offers an unprecedented opportunity and challenge to transform health care and population health.
We know that traditional public health approaches along with more and better health care are not enough to improve health outcomes, equity, and cost. We must also:
- implement sustainable, fundamental "upstream" changes that address the root causes of disease and disability; and
- transform the way we deliver health care to ensure access to quality, affordable health care for all.
Enjoy this Bright Spot presentation from Alison Negrin of John Muir Health, which was presented at the 2013 Annual Leadership Conference, co-sponsored by the Center for Health Leadership (CHL) and the California Pacific Public Health Training Center (CALPACT) at UC Berkeley's School of Public Health.
To learn more about this event, please visit:
http://calpact.org/index.php/en/events/leadership-conference
Learn more about CALPACT:
http://calpact.org/
Learn more about the CHL:
http://chl.berkeley.edu/
In Spring 2013, we are on the precipice of dramatic, disruptive change in the health field that offers an unprecedented opportunity and challenge to transform health care and population health.
We know that traditional public health approaches along with more and better health care are not enough to improve health outcomes, equity, and cost. We must also:
- implement sustainable, fundamental "upstream" changes that address the root causes of disease and disability; and
- transform the way we deliver health care to ensure access to quality, affordable health care for all.
Enjoy this Bright Spot presentation from Florence Simpson, Food Service Manager, Los Angeles Unified School District, and Ariana Oliva of the California Food Policy Advocates, which was presented at the 2013 Annual Leadership Conference, co-sponsored by the Center for Health Leadership (CHL) and the California Pacific Public Health Training Center (CALPACT) at UC Berkeley's School of Public Health.
To learn more about this event, please visit:
http://calpact.org/index.php/en/events/leadership-conference
Learn more about CALPACT:
http://calpact.org/
Learn more about the CHL:
http://chl.berkeley.edu/
Using a community-based early childhood development center as a platform to p...IFPRIMaSSP
Presented by Dr. Aulo Gelli, International Food Policy Research Institute (IFPRI) at IFPRI Malawi workshop and policy dialogue, 'Nutrition-sensitive social protection and integrated programs in Malawi: Evidence from a longitudinal study in Zomba spanning the 2016-17 food crises,' in Lilongwe, Malawi, May 17, 2018.
Year 1 Impact Results: Pre-school meals as a platform for behavior change at ...IFPRIMaSSP
Presented by Dr. Mangani Katundu, Associate Professor, Chancellor College, at IFPRI Malawi workshop and policy dialogue, 'Nutrition-sensitive social protection and integrated programs in Malawi: Evidence from a longitudinal study in Zomba spanning the 2016-17 food crises,' in Lilongwe, Malawi, May 17, 2018.
In Spring 2013, we are on the precipice of dramatic, disruptive change in the health field that offers an unprecedented opportunity and challenge to transform health care and population health.
We know that traditional public health approaches along with more and better health care are not enough to improve health outcomes, equity, and cost. We must also:
- implement sustainable, fundamental "upstream" changes that address the root causes of disease and disability; and
- transform the way we deliver health care to ensure access to quality, affordable health care for all.
Enjoy this Bright Spot presentation from Alison Negrin of John Muir Health, which was presented at the 2013 Annual Leadership Conference, co-sponsored by the Center for Health Leadership (CHL) and the California Pacific Public Health Training Center (CALPACT) at UC Berkeley's School of Public Health.
To learn more about this event, please visit:
http://calpact.org/index.php/en/events/leadership-conference
Learn more about CALPACT:
http://calpact.org/
Learn more about the CHL:
http://chl.berkeley.edu/
In Spring 2013, we are on the precipice of dramatic, disruptive change in the health field that offers an unprecedented opportunity and challenge to transform health care and population health.
We know that traditional public health approaches along with more and better health care are not enough to improve health outcomes, equity, and cost. We must also:
- implement sustainable, fundamental "upstream" changes that address the root causes of disease and disability; and
- transform the way we deliver health care to ensure access to quality, affordable health care for all.
Enjoy this Bright Spot presentation from Florence Simpson, Food Service Manager, Los Angeles Unified School District, and Ariana Oliva of the California Food Policy Advocates, which was presented at the 2013 Annual Leadership Conference, co-sponsored by the Center for Health Leadership (CHL) and the California Pacific Public Health Training Center (CALPACT) at UC Berkeley's School of Public Health.
To learn more about this event, please visit:
http://calpact.org/index.php/en/events/leadership-conference
Learn more about CALPACT:
http://calpact.org/
Learn more about the CHL:
http://chl.berkeley.edu/
Using a community-based early childhood development center as a platform to p...IFPRIMaSSP
Presented by Dr. Aulo Gelli, International Food Policy Research Institute (IFPRI) at IFPRI Malawi workshop and policy dialogue, 'Nutrition-sensitive social protection and integrated programs in Malawi: Evidence from a longitudinal study in Zomba spanning the 2016-17 food crises,' in Lilongwe, Malawi, May 17, 2018.
Year 1 Impact Results: Pre-school meals as a platform for behavior change at ...IFPRIMaSSP
Presented by Dr. Mangani Katundu, Associate Professor, Chancellor College, at IFPRI Malawi workshop and policy dialogue, 'Nutrition-sensitive social protection and integrated programs in Malawi: Evidence from a longitudinal study in Zomba spanning the 2016-17 food crises,' in Lilongwe, Malawi, May 17, 2018.
Power point presentation used during the Menu of Change: Healthy Food in Health Care workshop. Presentation given by Roberta Anderson (Food Alliance), Suzanne Briggs (Kaiser Permanente), Eecole Copen (Oregon Health and Science University Food and Nutrition Services) and Emma Sirois (Oregon Center for Environmental Health).
Partnering Farm to School with the USDA Fresh Fruit & Vegetable ProgramF2C 2009 Conference
Power Point presentation prepared by Joanne Burke, Director of UNH Dietetic Internship Program, University of New Hampshire and El Farrell, Office of Sustainability, University of New Hampshire for the Partnering Farm to School with the USDA Fresh Fruit and Vegetable Program.
June 2011 Board Meeting: Presentation from Student Nutrition on how the Healthy, Hunger-Free Kids Act of 2010 will impact the cost of meals and department operations. Also an nutrition update from the 2010-11 school year.
Prof Fergus Lowe - InsideGov Conference, London 2013fooddudes
The Behaviour Change Approach to Changing Children's Eating Habits and Physical Activity
Prof. Fergus Lowe, CEO Food Dudes, was the closing keynote speaker at the InsideGov Event - "Working in partnership to reduce childhood obesity"
Power point presentation used during the Menu of Change: Healthy Food in Health Care workshop. Presentation given by Roberta Anderson (Food Alliance), Suzanne Briggs (Kaiser Permanente), Eecole Copen (Oregon Health and Science University Food and Nutrition Services) and Emma Sirois (Oregon Center for Environmental Health).
Partnering Farm to School with the USDA Fresh Fruit & Vegetable ProgramF2C 2009 Conference
Power Point presentation prepared by Joanne Burke, Director of UNH Dietetic Internship Program, University of New Hampshire and El Farrell, Office of Sustainability, University of New Hampshire for the Partnering Farm to School with the USDA Fresh Fruit and Vegetable Program.
June 2011 Board Meeting: Presentation from Student Nutrition on how the Healthy, Hunger-Free Kids Act of 2010 will impact the cost of meals and department operations. Also an nutrition update from the 2010-11 school year.
Prof Fergus Lowe - InsideGov Conference, London 2013fooddudes
The Behaviour Change Approach to Changing Children's Eating Habits and Physical Activity
Prof. Fergus Lowe, CEO Food Dudes, was the closing keynote speaker at the InsideGov Event - "Working in partnership to reduce childhood obesity"
“Professional Development for an Ideal School Meal”
By Ann M. Evans, Principal, Evans & Brennan, Food Systems Consultants and coauthor of “Cooking with California Food in K-12 Schools” (2011, Center for Ecoliteracy)
This presentation offers an overview of business resources offered at the Free Library of Philadelphia Business, Science & Industry Department and in the Philadelphia Region.
Similar to Process, Findings and Implications from Two Health Impact Assessments: Informing Farm to School Policy, Programs and Research - presentation 1
A cooperative effort between the county commissioners and the live healthy live well team of OSU Extension. Several short educational sessions have been developed based on the needs assessment completed by the commissioners. This continues to be a work in progress as new topics, evaluation methods and deliver methods are considered.
Process, Findings and Implications from Two Health Impact Assessments: Informing Farm to School Policy, Programs and Research
Presenters were:
Dr. Tia Henderson, Upstream Public Health
Megan Lott, Kids' Safe and Healthful Foods Project, The Pew Charitable Trusts
Assignment 2-Health, Sport, Physical Activity in Australiaghanra02
A brief presentation on health in Australia, focusing on primary school children's health.
All animated and notes should be down in the slide notes section.
Service providers who receive high nutrition risk referrals, particularly Registered Dietitians, need to be knowledgeable about general and clinical pediatric nutrition as well as counselling skills for working with families and children.
This is the second of five self-directed training modules available in PowerPoint presentations that have been developed and evaluated to respond to this need
Presented at the European Obesity Forum which took place in Bucharest on October 16th, the presentation describes the concept "Healthy Living" and outcome of its first school-based pilot in ORT junior-high schools.
Health promotion and education in school By Sourabh Koseysopi_1234
public health, school health, nutrition, eye checkup, risk, food, technology, brain development, regular preventive checkup
Similar to Process, Findings and Implications from Two Health Impact Assessments: Informing Farm to School Policy, Programs and Research - presentation 1 (20)
Protein Puzzle Short Course - New England Beef-to-Institution Initiative
Chelsea Bardot Lewis
Senior Agricultural Development Coordinator
Vermont Agency of Agriculture
Farm to School and Healthy Hospitals Initiative: Change Agents in Food System Reform
Marydale DeBor JD,
Lecturer, Yale School of Medicine, Department of Psychiatry
Managing Director, Fresh Advantage™ LLC
New Haven, CT
A collaborative effort of the Farm to Preschool Subcommittee of the National Farm to School Network, the workshop was led by: Stacey Sobell, Ecotrust/National Farm to School Network; Zoe Phillips, Urban & Environmental Policy Institute, Occidental College; Emily Jackson, Appalachian Sustainable Agriculture Project/National Farm to School Network; Katy Pelissier, Ecotrust
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
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New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Process, Findings and Implications from Two Health Impact Assessments: Informing Farm to School Policy, Programs and Research - presentation 1
1. Process, Findings and
Implications
From Two
Health Impact Assessments
Dr. Tia Henderson
Upstream Public Health
Megan Lott
Kids’ Safe and Healthful Foods Project
1
2. What is a Health Impact Assessment?
A structured process
that uses scientific data, professional expertise, and
stakeholder input
to identify and evaluate public health consequences of
proposals
and suggests actions that could be taken to minimize
adverse health impacts and optimize beneficial ones.
Source: “Improving Health in the United States: The Role of Health Impact Assessments” by the
National Research Council, September 2011
Slide courtesy of Health Impact Project
2
3. HIA Addresses Social and Economic
Determinants of Health
How
might
the
proposed
affect
project,
plan,
policy
Housing
Noise
Safety
Air quality
Social networks
Transportation
Parks and natural space
Physical activity
Food environment
Diet & Nutrition
Public services
And
poten8ally
lead
to
Livelihood
Water quality
predicted health
Education outcomes?
Inequities
Slide courtesy of Human Impact Partners
4. What HIA is NOT…
• It’s not used to make the case for why a policy,
program or project should or should not be proposed.
• It’s not an assessment to understand the impacts of a
program or policy following implementation (that’s
program evaluation).
• It’s not a community assessments tool, but those can
be used during the assessment stage of HIA.
Slide courtesy of the Health Impact Project
4
5. What program evaluation does
• Used to determine how well a program is meeting its
goals and objectives
• “Evaluation” is a systematic collection and assessment
of information in order to provide useful feedback
about something
• Increases knowledge about what is working, and what
can be improved about a program or project
5
6. Focus: School Food Environment
SCHOOL CHILDREN
School Food Environment
Food and Drink Consumption at Body mass
• Wellness policies School index, obesity
• Characteristics of school
meal programs Food and Drink Consumption
Everywhere Else
• Competitive foods and
drinks availability
Other Influences
• Farm to School programs • Macro-level environments
• Nutrition education
• Physical settings
• Food promotion
• Social environment
• Price of healthy and
unhealthy foods/drinks • Individual factors
Adapted from: Story M, Kaphingst KM, Robinson-O’Brien R, Glanz K. Creating healthy food and eating environments: policy and
environmental approaches. Annu Rev Public Health. 2008;29:253–272. and Briefel RR, Crepinsek MK, Cabili C, Wilson A, Gleason
PM. School food environments and practices affect dietary behaviors of US public school children. J Am Diet Assoc. 2009 Feb;109(2
Suppl):S91–107.
7. 1 in 4 adolescents are overweight or obese in
Oregon
7 OR Health Teens Survey, 2009
9. What is Farm to School?
FIND OUT MORE:
www.ode.state.or.us/ R ECOMMENDED D AILY A MOUNTS OF F RUITS AND V EGETABLES
services/nutrition Kids - ages 5-12 Teens & Adults - age 13+
Males 2 ½ – 5 cups per day 4 ½ -6 ½ cups per day
Females 2 ½ – 5 cups per day 3 ½ – 5 cups per day
If you are active, eat the higher number of cups per day. Visit fruitsandveggiesmatter.gov to learn more.
More Tomato Fun Grown In Oregon
PROCURE PROMOTE
1
START
HERE 4
1 2 3
4 5 6 6 5
EDUCATE Healthy, Fit and INVOLVE
Ready to Learn
9
10. Why an HIA?
HIA Screening
HB 2800
¡ Considered in legislature in 2011
¡ Previous history = legislature familiar with
student health benefits via diet & nutrition
¡ Less obvious = potential economics stimulus
for rural communities, food security
HIA fill information gap for decision makers
10
11. How will HB 2800 affect Oregonians’ health?
Health is a state of complete physical, mental and social well-
being and not merely the absence of disease or infirmity.
World Health Organization
11
12. HIA Goals
1. Inform Oregon legislative decision process
2. Outline linkages & magnitude of interactions
between the policy and health outcomes
3. Inform agency work plans
4. Inform regional institutional procurement efforts
5. Create model F2SSG state-wide policy HIA
12
13. Decision: Farm to School Bill HB 2800
Introduced $22.6 million Amended $200,000
Reimbursement Program Competitive Grant Program
§ Lunch – 15 cents ¡ 2-3 Districts every 2 years
§ Breakfast – 7 cents ¡ $175,000 reimburse
§ NSLP & SBP Lunch - 15 cents
§ $19.6M ¡ $25,000 for food, garden,
agriculture activities
Competitive Agriculture,
Food Education Grants
§ ~150 gardens
§ $3M
14. Scope: Farm to School Bill and
Health Determinants
How does the proposed
policy affect health
determinants
Employment
Diet and Nutrition
F2SSG K12 Education
Environmental Health
Social Capital
and lead to
health outcomes?
14
15. HB 2800 Components & HIA Scope:
Health Determinant Pathways Summary
Policy Direct Impacts Intermediate Outcomes Health Outcomes
↑ School districts’ Employment Outcomes
purchase of Oregon
food
Reimburse Environmental Health
↑ School menu
School Outcomes
Districts options
Diet & Nutrition Outcomes
↑ School promotion of
Food, new local options
Garden & F2SSG K-12 Education
Agriculture ↑ Food activities in Program Outcomes
Education gardens, classroom &
Grant
cafeteria Social Capital Outcomes
Program
↑ Student gardening
15
16. Scope: Impacted Populations
n Students n Farmers
n Teachers n Processors
n Parents n Distributors
n Low-income youth; racial and n School nutrition service staff
ethnic specific youth n Food industry workers,
n Low-income families agriculture production labor
n Farming communities n Farmer/worker families
16
19. Current Conditions: Economics
Oregon: Seasonally Adjusted Unemployment Rates by Area
December 2010 (Preliminary Estimates)
Unemployment Rate
Less Than 10%
10% - 14%
Higher Than 14%
Source: OLMIS
19
20. Key Economic Findings
¡ $1.75 million = 24 jobs ¡ Effects urban and rural
¡ $19.6 million = 270 jobs ¡ Effects of policy distributed to
¡ Full and part time rural counties more than in
general economy
¡ “Inspired” purchases
Images courtesy of Truitt Brothers
and Happy Harvest Farm 20
21. Current Conditions: Food Insecurity
Source: US Census Bureau,
Small Area Income and
Percent of Population 5-17 Years of Age in Families
Poverty Estimates (SAIPE), 2008.
State of Oregon draft school
district boundaries.
Estimated number of relevant
in Poverty, 2008 by Oregon School Districts
children 5-17 years of age in
poverty who are related to the
householder. Data not
available/displayed for school ClatsopCounty
districts with less than 10 ColumbiaCounty
students. Color classification
based on natural breaks.
MultnomahCounty
Institute of Portland Metropolitan
Studies, Portland State UmatillaCounty WallowaCounty
University, 2010.
WashingtonCounty ShermanCounty
TillamookCounty
MorrowCounty
GilliamCounty
UnionCounty
Legend YamhillCounty
ClackamasCounty
WascoCounty
No data
PolkCounty
4.1-12.6% MarionCounty
12.7-18.9% WheelerCounty BakerCounty
LincolnCounty
JeffersonCounty
19.0-25.0%
BentonCounty LinnCounty GrantCounty
25.1-36.4%
Cities
Reservations CrookCounty
LaneCounty
Counties DeschutesCounty
DouglasCounty
CoosCounty MalheurCounty
HarneyCounty
LakeCounty
KlamathCounty
CurryCounty
21
JacksonCounty
JosephineCounty
22. Key Diet and Nutrition Findings
¡ ↑ Promotion and offerings of Oregon ¡ ↑ Meal participation from 1-16%
fruits and vegetables
¡ ↓ Food insecurity for families
with children
¡ ↑ Positive behavior, learning,
cognitive development and
educational attainment
Images courtesy of Megan Kemple 22
23. Farm to School and School Garden K-12
Education Findings
Child Learning Outcomes, HB 2800 IMPACT:
Physical Activity
¡ ↑ Child preferences for fruits
Child Self-Efficacy – Belief they and veggies
can accomplish their goals
Child Diet and Nutrition ¡ ↑ Child consumption of fruits
Overweight and Obesity and veggies
¡ ↑ Physical activity, positive
class behaviors
¡ ↓ Overweight and obesity risk
¡ ↑ Knowledge, learning,
academic achievement
Image from Samuel Mann 23
25. Policy Recommendations
To maximize positive job growth and food security impacts:
Ø Rec #1 -- Modify language of the bill so that only items “produced”
or “processed” in state are eligible for reimbursement
To maximize child nutrition, food security, and student learning benefits:
Ø Rec #2 -- For education grant recipients – prioritize schools serving:
§ Low income
§ Ethnically/culturally diverse student populations
§ Food insecure areas
Ø Rec #3 -- For education grant recipients – prioritize schools
developing multi-component programs (i.e.; procurement,
promotion, & education w/community support)
26. Policy Impact: Evaluation
¡ Relevance to legislator’s
constituents
§ Current employment and food
security conditions
§ Current chronic health conditions
§ Most Policy HIA
recommendations included in
amended version.
§ In June 2011, a pared-down
version of the bill unanimously
passed house/senate & was
signed into law by governor.
26
27. Key Assessment Findings You Can Use
School reimbursement funds of introduced bill could:
§ Create, maintain up to 800 jobs over 5-10 yrs
§ ↑ Student school meal participation
§ ↑ Food security for families with children
Food, garden and agricultural grants could:
§ Support child preferences for fruits and vegetables
§ Shape long-term (+) healthy diet choices affecting:
§ children’s learning
§ academic achievement
§ preventing obesity
28. Emphasize Linking Classroom and Cafeteria
FIND OUT MORE:
www.ode.state.or.us/ R ECOMMENDED D AILY A MOUNTS OF F RUITS AND V EGETABLES
services/nutrition Kids - ages 5-12 Teens & Adults - age 13+
Males 2 ½ – 5 cups per day 4 ½ -6 ½ cups per day
Females 2 ½ – 5 cups per day 3 ½ – 5 cups per day
If you are active, eat the higher number of cups per day. Visit fruitsandveggiesmatter.gov to learn more.
More Tomato Fun Grown In Oregon
1
START
HERE 4
1 2 3
4 5 6 6 5
Healthy, Fit and
Ready to Learn
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29. Use Messages About Other Benefits of
Farm to School
Influence other
institutions
Track and share
learning
Establish habit
Shape student
preferences
Model behavior
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30. Acknowledgments
All members of our advisory committees
Sodexo and Ecotrust for use of data
All community members who attended a forum or workshop
All stakeholders who gave input through interviews
All advisors who gave input on the data or report
The Northwest Health Foundation and the Human Impact Project
Research team members
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