Training Opportunities- October 31, 2014

Achieving Optimal Integration of Clinic and Community Interventions in Diabetes Care, November 12, 2:00pm (EST)
Please join us for a panel discussion about diabetes with nationally renowned experts, Drs. James Gavin, Ann Albright, and George Rust, who will lead the conversation about barriers to integrated clinical care and practice transformation, community engagement, community partnerships, and data collection and analysis. We will also examine ways health professionals are successfully working together to make a difference. RSVP.

Healthy Vending: Two Recent Studies Support Healthy Vending Efforts
November 6th, 2:00-3:00 pm ET
ASTHO, the Food Marketing Workgroup, and NPLAN Webinar
Many states and localities are working to improve the nutritional quality of foods and beverages sold through vending machines on their public property. This webinar will give an overview of two recent studies on vending machines on public places. One study looks at the nutritional quality of foods and beverages on state and local public property across the country and the other analyzes the Chicago Parks District 100% healthy vending policy showing that healthy options can be profitable and well accepted by consumers. Register here:

CDC Healthy Schools Webinar: 2014 School Health Index
November 6th, 1:00 ET
To Register:
Keeping track of your school wellness efforts can seem overwhelming with multiple programs and resources at your fingertips. Where should you begin?
Now, there is a unified tool, the School Health Index, which helps you assess your school’s health practices, create a customized action plan, track your progress from year to year, and get support to make healthy changes that align with federal requirements.

Join the Centers for Disease Control and Prevention (CDC) and the Alliance for a Healthier Generation on November 6. We’ll teach you how to use the new School Health Index so that your students stay healthy and ready to learn.
This webinar is perfect for those of you familiar with the School Health Index and for those of you who are brand new to it. This webinar will:

1)    Highlight key enhancements and changes to the 2014 version

2)    Review benefits to schools and districts in your state

3)    Give you the opportunity to ask questions

In Person Trainings for Walk With Ease
Please spread the word widely about two more in-person trainings for Walk With Ease leaders to be conducted in Portland, at the Food Innovation Center.  The dates are: Nov 10th and Dec 10th, 9am-2pm To register, please go to the newly created Walk With Ease website where you can also find a lot of good information about the program.
We’re trying to fill  up these two training groups so that we can get as many people trained before the end of this year: starting January 2015, we will not be able to offer any in-person trainings.
Note: the online training website for Walk With Ease leaders currently down as the Arthritis Foundation updates the training. We don’t expect it to be available again until December.

Oregon’s Coordinated Care Model Summit: Inspiring Health System Innovation
December 3-4, 2014;
The Oregon Health Authority Transformation Center invites you to experience first-hand Oregon’s groundbreaking health system transformation efforts. Throughout the summit, local and national health leaders will share concrete, innovative strategies for what health system transformation looks like on the ground.

Grantees – Please consult with your liaison regarding questions about the appropriateness of attending any training or conference using TPEP or Healthy Communities funds. This list of training opportunities is provided as a resource for grantees and partners but is not an endorsement of any training or conference hosted by an external organization

Tobacco- October 31, 2014

Reports and Articles


Tobacco tax hike could cut drinking
Washington Post
Excessive drinking leads to about 88,000 deaths each year in the United States. Cigarette smoking adds another 440,000 deaths to the tally, most due to long-term health problems such as cancer. A new study from the Washington University School of Medicine suggests the government could take a bite out of both figures with one simple policy change

Smoking in the U.S. has been on the decline since 2005, but there are still more than 46 million adults who smoke cigarettes, and tens of millions more who buy cigars, pipes and smokeless tobacco, according to the Centers for Disease Control and Prevention. The government agency tracks a host of state-by-state data to capture a detailed picture of tobacco use throughout the country. The database covers everything from cigarette prices to excise taxes to lung-cancer rates for each of the 50 states. It pulls the most recent data from each state as it becomes available.

New Case Study Examines Medicaid Tobacco Cessation Benefits
CDC’s Division of Population Health (DPH) has published a case study focusing on the success of the Massachusetts Medicaid Tobacco Cessation Benefit. The DPH is collaborating with a number of divisions within the National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP) to develop case studies that highlight the intersection of public health and health care. These examples provide best and/or promising strategies that promote preventive services, improve the quality of care and/or community-clinical linkages, and control health care costs (when available) to combat chronic diseases and improve population health. If you have any questions, please contact Karen Voetsch at To access the case study visit and look for the Coordination Spotlight.

Want to find stores that don’t sell tobacco products?
The RWJF-supported Campaign for Tobacco-Free Kids has launched a new mobile-friendly website,, challenging America’s retailers to help save lives and create a tobacco-free generation by ending the sale of tobacco products. Plug in your ZIP code, city or state, and you’ll get a handy interactive map showing where to find tobacco-free shops and stores in your area. Visit >

Reducing Tobacco Use in Young Adults, November 5, 2:00-3:30 PM EST, by National Network to Eliminate Disparities in Behavioral Health.

A newly released Legacy report titled, “Legacy Latino College Health Initiative: A Study of Tobacco-Related Health Disparities in Hispanic/Latino Subpopulations” showcases the findings of a 4-year initiative with the Hispanic Association of Colleges and Universities (HACU). The report a Legacy supported research project on tobacco use among Hispanic/Latino subpopulations of college students. This research project addressed a glaring gap in public health knowledge and is one of the first studies to look at tobacco use and trends among Hispanic/Latino subpopulations – specifically college students of Mexican-American, Puerto Rican, Dominican-American, and Cuban-American descent from four different universities.

Salem city councilor pushes for broad tobacco ban:

Healthy Communities- October 31, 2014

candySlick ways tobacco companies are targeting youth

The local newspaper just called me saying that the American Lung Association sent her a sample of candy flavored tobacco products to show how Big Tobacco is targeting kids. The reporter is going to do a newspaper article about Halloween safety with the caution to parents to check their kids’ Halloween candy to make sure flavored tobacco products don’t make their way in. This will also serve as a lead-in to our tobacco retail environment assessment and future policies for banning flavors.
Not sure if the ALA sent your local media outlets similar stuff, but you might make the Halloween connection too and contact your local media. Or if ALA didn’t send it, this is an opportune time to send out the “candy jar” from the Cookbook on HPCDP.
Just wanted to throw it out there
Jennifer Little, MPH
Program Manager, Health Promotion & Chronic Disease Prevention
Klamath County Public Health
3314 Vandenberg, Klamath Falls, OR 97603
541.882.8846 Extn 3507

Reports and Articles
U.S. Ebola czar to visit CDC headquarters Thursday: official
Reuters: October 29, 2014
U.S. Ebola czar Ron Klain will visit the Centers for Disease Control and Prevention (CDC) headquarters in Atlanta on Thursday for meetings with Director Tom Frieden and other officials, a White House official said.
“Mr. Klain has been in daily contact with Dr. Frieden and other CDC officials, but this will be his first opportunity to visit the headquarters of the men and women of the CDC, who have been a critical component of our international and domestic response since the onset of this outbreak,” the official said.

New Home Test Could Help in Colon Cancer Battle
Starting Monday, millions of people who have avoided colon cancer screening can get a new home test that’s noninvasive and doesn’t require the icky preparation most other methods do
The test is the first to look for cancer-related DNA in stool. But deciding whether to get it is a more complex choice than ads for “the breakthrough test … that’s as easy as going to the bathroom” make it seem.

U.S. trans-fat intake dips, but improvements still needed
Trans-fat intake has fallen by about one-third over the past three decades but still accounts for 1.9% of daily calories in men and about 1.7% in women, a study on the website of the Journal of the American Heart Association says. Saturated-fat intake also dropped, but omega-3 fat consumption held steady and is still below recommended levels, researchers said.

Junk foods, soda dominate options in checkout aisles
A report by the Center for Science in the Public Interest says 90% of food options in checkout aisles of stores in the Washington, D.C., area were sweets and junk food, while 60% of beverage options were soda and other sugar-laden drinks. Researchers said easy access to such foods contributes to the obesity epidemic in the U.S.

CDC National Health Report: Leading Causes of Morbidity and Mortality and Associated Behavioral Risk and Protective Factors—United States, 2005–2013
MMWR: October 31, 2014
The Centers for Disease Control and Prevention (CDC) today published CDC National Health Report: Leading Sources of Morbidity, Mortality, and Associated Behavioral Risk and Protective Factors—United States, 2005–2013 as a Supplement to its Morbidity and Mortality Weekly Report (MMWR).  Using multiple surveillance systems, this report provides a concise review of the health of the U.S. population, with indicators that give a quick assessment on how well the United States is succeeding in addressing high-priority health issues.
The report provides data on the 10 leading causes of death in the United States and discusses associated risk and protective factors. Information is derived from 17 CDC and three non- CDC data systems. Trend data are included from 2005 to the most recent data available.
Key findings include:

  • Since 2005, life expectancy at birth in the United States has increased by 1 year; however, the number of people who died prematurely was relatively consistent. The years of potential life lost declined for 8 of the 10 leading causes of death.
  • Age-adjusted rates declined among all leading causes except deaths attributable to Alzheimer’s disease and suicide, although the numbers of deaths increased for most causes.
  • Heart disease, stroke, and deaths attributed to motor-vehicle injuries all showed notable declines since 2005.
  • Current smoking among adults remained stable at approximately 25% while smoking among youth declined to a record low of 16%. Obesity rates remained level at 35% for adults and 17% for youth. Approximately 21% of adults met recommended levels of physical activity, consistent with results recorded in the 3 previous years.
  • During the 2012–13 influenza season, vaccination rates reached highs of 72% for health care personnel, 57% for children 17 years of age and younger, 51% for pregnant women, and 42% for people aged >18 years.


Livability Fact Sheets Make Land Use and Transportation Concepts Easy to Understand
The American Association of Retired Persons (AARP) partnered with the Walkable and Livable Communities Institute to create 11 Livability Fact Sheets.  Each fact sheet takes a concept – like density, road diets, traffic calming and several others – and explains what it is, how it works, what myths you hear about it, how to get it right, and where to look for success stories. References on the fact sheets list resources.
The package of comprehensive fact sheets can be used by community leaders, policy makers, activists, and other interested citizens to learn more about creating livable communities for all ages.


How School Lunch Became the Latest Political Battleground
The New York Times
The Healthy, Hunger-Free Kids Act became law in 2010, with overwhelming support in Congress. In 2011, the U.S. Department of Agriculture (USDA) released a revised meal pattern for school breakfasts and lunches that included mandates to reduce the average salt content of a high school lunch by roughly half over a decade. Schwan Food Company, which manufactures a reported 70% of all pizza sold in American schools, raised objections: “Many of the products made with tomato paste appeal to children and help sustain participation in the school-meal program,” the company warned, while also arguing that the sodium reductions would be “impossible to achieve without significant technological advances.” Moreover, if sodium were aggressively reduced in school lunches without corresponding changes in home and restaurant meals, Schwan suggested, students would find their school lunches bland and tasteless. However, the Academy of Nutrition and Dietetics, among others, agree with the USDA’s salt assessment.

Can Science Make Low-Sodium Foods Without Sacrificing Flavor?
Americans eat twice as much salt as recommended, according to CDC. Although the health risks associated with high sodium intake are widely known, many Americans will not sacrifice taste to eat healthily. What causes these cravings, and how can they be limited? Journalist Hari Sreenivasan attempts to address these questions as he covers some of the science behind taste perception and sodium. He discusses the latest research with Devin Peterson, director of the Flavor Research and Education Center at the University of Minnesota. Sreenivasan also takes a trip to the grocery store and calls for smarter sodium reformulation within the processed food industry. – PBS Newshour

The Many Hidden Sources of Salt
People watching their sodium intake often make the obvious choices, such as switching to unsalted nuts and chips, substituting herbs and spices for salt, and cutting back on processed items. However, many people are unaware of some surprising sources of sodium, such as cheese. For example, an ounce of blue cheese contains 395 milligrams of sodium, almost three times the amount found in the same weight of salted potato chips (136 milligrams per ounce). Condiments also provide more sodium than one might assume: Ketchup and mustard have about 150 milligrams per tablespoon, whereas soy sauce contains an average of 879 milligrams per tablespoon. Instead of using store-bought condiments, pair snack foods with homemade salsa, dips made with unsalted canned beans, or a sprinkling of fruity vinegar instead of mustard or soy sauce. – Southern Illinoisan

New Data Brief from Rhode Island: Dental Safety Net Report, 2013
This report provides baseline data on the dental safety net at the end of 2013, prior to the expanded Medicaid coverage and additional dental insurance options available through the Affordable Care Act beginning January 2014. Rhode Island’s decision to implement Medicaid expansion has played a valuable role in allowing more low-income Rhode Islanders to gain access to dental care. In addition, more than 9,000 individuals purchased dental coverage through HealthSource RI, the state health benefits exchange. Dental safety net providers will continue to play a critical role responding to a likely rising community demand for preventive and primary healthcare services, including oral health, in the era of the Affordable Care Act. The purpose of this report is to provide baseline measurements before the Affordable Care Act implementation and identify additional service needs in a new healthcare environment. The report is available at:

Obese children and teenagers already show hints of future cardiovascular problems, new research has found: New York Times:

Opinion piece regarding Cascades Elementary’s recent tighter restrictions on the types of foods sold to students on campus: Albany-Democrat-Herald:


Association Between Serious Psychological Distress and Health Care Use and Expenditures by Cancer History
Han X, Lin CC, Li C, de Moor JS, Rodriguez JL, Kent EE, Forsythe LP Cancer. 2014 Oct 23. doi: 10.1002/cncr.29102. [Epub ahead of print]
Click link to access:

Impact of Safe Routes to School Programs on Walking and Bicycling? A 31% Increase!
study published in this quarter’s Journal of the American Planning Association found that over time, SRTS programs produce significant increases in the share of children who walk or bike to school — an effect that grows more pronounced over time. The average increase in walking and biking rates attributable to SRTS programs over a five-year period was 31 percent, the researchers concluded.

The authors examined 801 schools in Florida, Oregon, Texas, and the District of Columbia, using data collected by the National Center for Safe Routes to School from 2007 to 2012 – yielding data from 378 schools with SRTS programs and 423 without. They say the study is the first SRTS research based on such a large geographic sample of schools, enabling them to isolate the effect of different types of Safe Routes to School strategies.

The effect of “education and encouragement” programs grew over time, with SRTS schools seeing progressively larger differences in each successive year. Over five years, the researchers found, this tactic led to a 25 percent increase in walking and biking to school, controlling for demographic differences, neighborhood characteristics, and other factors. Meanwhile, infrastructure investments like safer sidewalks or bike lanes led to a one-time 18 percent increase.

Funding Opportunities- October 17, 2014

Ladders of Opportunity Grant Program Connecting Seniors to Public Transportation
The National Center on Senior Transportation (NCST) is inviting applications for a new
Ladders of Opportunity Grant Program entitled, Connecting Seniors to Public Transportation.  This competitive grant program will provide funding to communities to develop and test interventions designed to encourage and facilitate increased access and usage of public transportation and mobility options by older adults to support successful aging.
Funded projects will be required to partner with one of several national initiatives that support aging in place and currently operate in numerous local communities nationwide, specifically: Care Transitions; Chronic Disease Self-Management Programs; Housing with Services Programs such as Section 202 Housing for the Elderly, Naturally Occurring Retirement Communities (NORCs) or Villages; Long Term Services and Supports Programs.  Information about these initiatives is included in the RFP.
Grants will be awarded to 5 communities at a maximum of $20,000 each for approximately 5 months (late December 2014-May 31, 2015).
For detailed information on this opportunity please review the RFP below.
All proposals must be submitted on-line or by email at no later than 11:59 pm on November 7, 2014 

Grant to support smoke and tobacco free community colleges:
Legacy, a national public health organization dedicated to reducing tobacco use, is now currently accepting applications for the Smoke-Free and Tobacco-Free Community College Grant Initiative.  Grants of up to $5,000 will be available to 100 public community colleges across the country to support their efforts to advocate for, adopt, and implement a 100% smoke-free or 100% tobacco-free policy. The deadline for applications is November 6, 2014 at 6:00pm EST.

  • Initial grants are for one year.
  • Upon invitation, awardees may apply for up to two additional years of funding at $5,000 per year.
  • Awardees will receive technical assistance throughout the grant award period.

For more information including the grant guidelines, frequently asked questions, and link to the online application, please visit our website at There are resources and tips for applying on our blog. In addition, please feel free to share or forward this information to anyone who may be interested.


Training Opportunities- October 17, 2014

Save the date for Office of Equity and Inclusions’ Annual Meeting!
Please RSVP here!
When: Thursday, December 4th Time: 4:30 p.m. – 6:30 p.m.
Location: Oregon Convention Center (Portland Ballroom)*
777 NE Martin Luther King Blvd Portland, OR 97232

 Appetizers and refreshments will be served
The Office of Equity and Inclusion has been advancing health equity and diversity initiatives, policy recommendations and capacity building within the Oregon Health Authority and in the community.  Join us to hear about our shared accomplishments and honor the people who have contributed significant time and talents to promote equity and inclusion. Come celebrate, share and help us build capacity to improve health outcomes and quality in Oregon.

October 30 Webinar: Designing and Planning for Healthy Cities 9:45-11 a.m. Pacific time Register
On Thursday, October 30, the Security & Sustainability Forum and the American Public Health Association will co-host a webinar featuring Tim Beatley of the University of Virginia and Richard Jackson of UCLA discussing creating cities that are compelling and healthy places to live, work, and play.
Background: The environment that we construct affects both humans and our natural world in myriad ways. There is a pressing need to create healthy places and to reduce the health threats inherent in places already built. However, there has been little awareness of the adverse effects of what we have constructed-or the positive benefits of well designed built environments. Join SSF on October 30th in a rare opportunity to listen in on a conversation between two of the thought leaders in public health and urban planning  and design —   UCLA Professor Richard Jackson co-author of Urban Sprawl and Public Health and co-editor of Making Healthy Places; and Tim Beatley of the University of Virginia and author of Biophilic Cities and Blue Urbanism  plus several other books on urban and environmental planning.

NACCHO Webinar – Million Hearts Lessons from the Field: Improving Quality and Accuracy in Blood Pressure Monitoring, October 28, 2:00pm (EST)
Million Hearts is a national Centers for Disease Control and Prevention initiative to prevent one million heart attacks and strokes by 2017. This webinar will provide an overview of evidenced-based hypertension protocols developed by and used in four local health departments in the United States as one of the key strategies for impacting cardiovascular disease prevention. APHN provides consultation on the role and contribution of the PHN, evidenced base resources as well as case studies of public health nurses impacting cardiovascular disease.

In Person Trainings for Walk With Ease
Please spread the word widely about two more in-person trainings for Walk With Ease leaders to be conducted in Portland, at the Food Innovation Center.  The dates are: Nov 10th and Dec 10th, 9am-2pm
To register, please go to the newly created Walk With Ease website where you can also find a lot of good information about the program.
We’re trying to fill  up these two training groups so that we can get as many people trained before the end of this year: starting January 2015, we will not be able to offer any in-person trainings.
Note: the online training website for Walk With Ease leaders currently down as the Arthritis Foundation updates the training. We don’t expect it to be available again until December.

Webinar: Health Impact Assessment and the Built Environment
October 21 from 10:30-12:00
The Oregon Public Health Division will hold a free webinar introducing the connections between health and the built environment, the basics of planning in Oregon, and the use of health impact assessment to support the consideration of health in built environment decisions in communities throughout Oregon.
Register for the webinar at:

 The Oregon Health Authority Transformation Center invites you to the 2014 Coordinated Care Model Summit!
Throughout the summit, local and national health leaders will share concrete, innovative strategies for what health system transformation looks like on the ground.

The summit will include:

  • Inspiring keynote presentations from:
    • Governor John Kitzhaber, M.D.
    • Don Berwick, M.D., (just added!) Former Administrator, Centers for Medicare and Medicaid Services and Founding CEO, Institute for Healthcare Improvement
    • Eric Coleman, M.D., M.P.H., Professor of Medicine and Head of the Division of Health Care Policy and Research at the University of Colorado, Anschutz Medical Campus
    • Kelly Hall, Senior Vice President of Catalyze at Health Leads
    • Marko Vujicic, Ph.D., Managing Vice President of the Health Policy Institute at the American Dental Association
  • 16 breakout session topics including alternative payment methods, behavioral health integration, health equity, health information technology, housing and health, oral health integration, patient engagement, traditional health workers and more
  • Opportunities to connect with and learn from clinical and community leaders from Oregon and across the country

This free conference is open to anyone working on health system transformation nationwide, including health leaders, policymakers, providers, funders and community stakeholders.Please share the word with anyone who might want to attend!
When: Wednesday, December 3, noon – Thursday, December 4, 5 p.m.
Where: Oregon Convention Center
777 NE Martin Luther King, Jr. Blvd., Portland, OR 97232
To register: An agenda and registration information are available at If you have questions, please contact Registration deadline November 14.

African American Health Coalition’s (AAHC) 19th Annual Wellness Village Luncheon – Diabetes Strategies for Success: a One on One Chat with the Expert
Saturday, October 25, 2014 11:00 am-1:00 pm
Ambridge Center, 1333 NE MLK JR.,Portland, OR 97232
Come to the Village and listen to diabetes health expert Roniece Weaver, M.S., R.D., L.D. Roniece Weaver, M.S.,R.D., L.D. is a founding partner and Executive Director of the Hebni Nutrition Consultants, Inc (the developer of the original Soul Food Pyramid™ – a culturally sensitive food guide pyramid and the New Soul Food Plate©. She is the co –host of the very popular cooking show Health and Fitness Now, currently shown on Vision Network in Orlando Florida. In her current role she is also the co-author with Fabiola Gaines on several wellness/cooking books for the American Diabetes Association. “The New Soul Food Cookbook for People With Diabetes”, “Slim Down Sister”, “Month of Meals,” Family Style Soul Food, Healthy Soul Food, and their newest book to be released in 2013-14 with the American Cancer Society.

Grantees – Please consult with your liaison regarding questions about the appropriateness of attending any training or conference using TPEP or Healthy Communities funds. This list of training opportunities is provided as a resource for grantees and partners but is not an endorsement of any training or conference hosted by an external organization 

Tobacco- October 17, 2014


How States Can Enforce Stronger Tobacco Control Legislation
Action on Smoking & Health released “The WHO Framework Convention on Tobacco Control: An Implementation Guide” which discusses how states can employ and enforce stronger tobacco control legislation based on the WHO Framework Convention on Tobacco Control, a global public health treaty. Although the United States has made great progress since the 1964 Surgeon General’s report linked smoking and disease, much more remains to be done. The United States has not ratified the treaty, but states may still benefit from the guide’s explanation of international best practices and its online database of sample tobacco control legislation.

Reports and Articles

School group cuts ties with R.J. Reynolds Tobacco
The Daily Astorian: October 14, 2014
RICHMOND, Va. (AP) — In a quick about-face, the National School Boards Association is cutting ties with the nation’s second-biggest cigarette maker, R.J. Reynolds Tobacco Co.
The organization announced late Tuesday that it is ending a recently announced partnership with the Camel and Pall Mall cigarette maker’s youth tobacco-prevention program called “Right Decisions, Right Now.”
The partnership first announced last Thursday was questioned by Connecticut U.S. Sen. Richard Blumenthal, who had earlier called the program ineffective and urged the association to end its partnership with the nation’s second-biggest tobacco company.

Liquid nicotine exposures up sharply among kids
The Daily Astorian: October 14, 2014
Poison control workers say liquid nicotine exposures up sharply among small children
SALT LAKE CITY (AP) — Poison control workers say that as the e-cigarette industry has boomed, the number of children exposed to the liquid nicotine that gives hand-held vaporizing gadgets their kick also has spiked.
More than 2,700 people have called poison control this year to report an exposure to liquid nicotine, over half of those cases in children younger than 6, according to national statistics. The number shows a sharp rise from only a few hundred total cases just three years ago.

The Cigarette That Charges for Every Puff
The Atlantic: October 10, 2014
Cigarettes might have one of the easiest-to-understand interfaces in the world.
Step one: Light it.
Step two: Inhale from the side that isn’t on fire.
A new patent from Philip Morris hints at how that basic interface could get a good deal more complicated when you add a computer. The patentpublished earlier this week, proposes an e-cigarette that could connect to a computer or phone via wifi or USB.
In other words, an Internet-enabled—a smart—e-cig.
Once smartened-up, the Internet-connected pipe can do many things. Not-so-usefully, it could let users initiate a puff from the computer—in case, I suppose, old-fashioned inhaling gets too hard. Slightly-more-usefully, it could automatically send doctors information about how much tobacco was burned and for how long. That feature could be especially handy if the cigarette’s user is participating in a clinical trial, or trying—with someone or something else’s help—to stop smoking.

Nearly $497 million could be saved every year if smoking were universally banned in subsidized and public housing, according to a new study by a team of researchers from the Centers for Disease Control and Prevention: The Washington Post:


Healthy Communities- October 17, 2014

October is Breast Cancer Awareness Month!

breast cancer

Today sees the publication of our new report on breast cancer survivors. Published as part of the Continuous Update Project – our ongoing programme to analyse global research on how diet, nutrition, physical activity and weight affect cancer risk and survival – the report is the most rigorous, systematic, global analysis of the scientific research currently available on breast cancer survivors, and how certain lifestyle factors affect how likely it is that a person will survive after developing the disease.

The report, which specifically focuses on female breast cancer survivors, concluded that because of limitations in either the design or execution of much of the research that exists, the evidence is not strong enough to make specific recommendations for breast cancer survivors. However, there are indications of links between better survival after breast cancer and:

  • a healthy body weight
  • being physically active
  • eating foods containing fibre
  • eating foods containing soy
  • a lower intake of total fat and, in particular, saturated fat.

But other factors may explain these links, so further research is needed to investigate the reason for the associations.
A more detailed overview of the findings is available in the Executive Summary of the report which can be found here.


Please join OPHI at the Oregon Healthiest State kickoff event on November 13th.
OPHI is committed to reducing inequities and disparities to create an Oregon where the places we live, learn, work and play support vibrant communities of health. Oregon Healthiest State will add more tools to our toolkit and provide an opportunity to learn how together we can make the healthy choice the easy choice for all Oregonians.
Here is a link to their information/registration page and we look forward to seeing you on November 13th. Bring a group from your community and see what ideas might percolate. And scholarships are available – contact Sarah Foster at


Congratulations to Sisters, Oregon for becoming America’s 50th “Walk Friendly Community”
The Pedestrian and Bicycle Information Center (PBIC) announced three new Walk Friendly Communities, bringing the total to 50.  Bellevue, WA received silver level and Portsmouth, VA and Sisters, OR received bronze level. The “Walk Friendly Communities” program recognizes and celebrates the successes of towns and cities working to improve a wide range of walking-related conditions such as safety, mobility, access, and comfort. the core of the WFC program is a comprehensive assessment tool that evaluates community walkability and pedestrian safety through questions related to engineering, education, encouragement, enforcement, evaluation and planning. The assessment tool questions are intended to both evaluate conditions for walking and provide communities with feedback and ideas for promoting pedestrian safety and activity.

Modeled after the League of American Bicyclists’ “Bicycle Friendly Communities,” WFC distinguishes cities and towns that are leading the way in walkability. WFC is the first program to highlight communities for their walkability initiatives and programs, while also offering feedback to assist communities in improving walkability.

This national program is led by the Pedestrian and Bicycle Information Center. Since its inception in 1999, PBIC’s mission has been to improve the quality of life in communities through the increase of safe walking and bicycling as a viable means of transportation and physical activity. The Pedestrian and Bicycle Information Center is maintained by the University of North Carolina Highway Safety Research Center with funding from the U.S. Department of Transportation Federal Highway Administration.


Sedentary Time and Obesity Findings
National guidelines recommend at least 60 minutes of moderate-to-vigorous physical activity every day for children and teens, but the majority of young people do not meet that goal. Spending excessive time engaging in sedentary behaviors, such as watching TV, playing video games, and other screen time activities, contributes to the problem. This infographic features evidence on trends in sedentary behaviors among youth and their impact on obesity. Findings presented in this infographic come from a related ALR research review.


ASTHO Launches Blog
ASTHO has launched a new blog to communicate credible, timely information on issues important to state and territorial health agencies and public health professionals. The blog went live on Oct. 7, and will be updated weekly with features, state stories, and public health news. The first post features an interview with ASTHO President Jewel Mullen (CT) on her motivation and vision for the 2015 ASTHO President’s Challenge on Healthy Aging. Please send any questions or feedback about to the ASTHO communications team.


New U.S. Department of Transportation Initiative Offers a Primer to Make Biking Safer
Safety is often referred to as the gateway to getting more Americans active through walking and biking for everyday trips. U.S. DOT has released a guide called “BikeSafe” that, while intended for planners, looks to be a great resource for public health professionals. According to a review on StreetsBlog, it “includes a primer on how land use decisions affect bicycling safety, how complete streets serve to improve safety, and other big-picture elements of sound bike planning. Another component is supposed to help agencies identify the proper intervention for specific safety problems they encountered.” The guide also refers to 46 recommended countermeasures – useful to know exactly what kind of infrastructure is most likely to improve safety and get more people moving.


Breast Cancer Social Media Toolkit
The GW Cancer Institute is pleased to announce the publication of a Breast Cancer Awareness Social Media Toolkit for October 2014. This toolkit is designed to help public health professionals understand the functions and benefits of social media, establish a Breast Cancer Awareness Month social media strategy, manage social media accounts, implement Facebook and Twitter best practices, disseminate Breast Cancer Awareness Month messaging and evaluate their social media efforts.

Reports and Articles
aaron motsoaledi He Fixed South Africa’s AIDS Policy, and Now He Is Out to Fight Salt
Aaron Motsoaledi became the South African minister of health in 2009, taking over a national health system attempting to tackle the worst HIV/AIDS epidemic in the world, with nearly 30 million cases. Motsoaledi says South Africa also is facing what he calls “exploding pandemics” of noncommunicable diseases, including high blood pressure, diabetes, cancer, and chronic lung disease. To cut rates of high blood pressure, Motsoaledi has been trying to force South African food companies to reduce the amount of salt in bread, soups, snacks, and other processed foods, but he has met fierce resistance from industry and the public. – NPR

Latino child

White children struggle most in southern Oregon, while Multnomah County is toughest place to grow up black or Latino, study says
The Oregonian: October 8, 2014
Black, Latino and Native American children face tougher circumstances growing up in Oregon than white children do, no matter what part of the state they live in.

But for white children, rural Southern Oregon, with its lack of preschools, high poverty rates and low levels of college education, is the toughest place to grow up, according to new statistics compiled by Children First for Oregon, while life in Washington and Multnomah counties is the sweetest.

For black and Latino children, however, Multnomah County is hands-down the roughest place to grow up, mostly due to poor schools and high dropout rates, the statistics show. Yet half the state’s black children live there.

Those are among the findings of the 18th annual Status of Oregon’s Children County Data Book, released Wednesday.


RWJF: Too poor to be covered In states that opted not to expand Medicaid under the Affordable Care Act, more than six million remain uninsured. Their incomes are too high to qualify for Medicaid—but too low to qualify for tax credits in the health insurance marketplaces. Who gets coverage? Who doesn’t? 

RWJF: The go-to source for health policy info Our health policy topic area provides expert research on key health policy issues including heath insurance and the uninsured, health care costs, public health and prevention, and childhood obesity. Get the inside view on health policy >

?????????????????????Salt Overload—It Is Time to Get Tough on the Food Industry
Although other nations have successfully reduced their sodium intake, Australians are still eating too much salt, according to Jacqui Webster, head of the WHO Collaborating Centre on Population Salt Reduction at the George Institute for Global Health. Reducing Australians’ daily salt intake by around 30% (from 9 grams to 6 grams) could save about 7,000 lives each year by reducing blood pressure levels and heart attacks. For countries where the majority of salt is in processed foods already, the most effective way to achieve reductions in salt intake is for the food industry to take salt out of processed foods gradually. But some controversy exists about whether this requires legislation (and penalties for companies that do not comply) or whether voluntary agreements are enough to get the food industry to act. – The Conversation


Low Sodium Meat Attracts Health Industry
In August 2014, Ada Valley Meat Company announced it had finalized a supplier agreement with Premier, Inc., a group-purchasing organization that buys for tens of thousands of commercial kitchen facilities in the United States, including about 3,000 health care facilities. Ada Valley says it perfected its low sodium cooking process for beef about 6 years ago. Products it provides to the health care industry include pot roast, roast beef, prime rib, corned beef, and raw meat items. Government regulations on the amount of sodium in meat products are “getting to be stiffer and stiffer,” said Ada Valley president Walter Rozeboom. – Grand Rapids Business Journal

Blacks with diabetes show higher leg amputation risk
A report by the Dartmouth Atlas Project revealed black Medicare beneficiaries were up to three times as likely as other patient populations to suffer leg amputation due to diabetes and peripheral arterial disease complications. Researchers also found the rate of leg amputation was up to seven times higher in black patients residing in the rural Southeast compared with other regions. U.S. News & World Report/Data Mine blog (10/14)

Could grapefruit juice curb the effects of a high-fat diet?
MNT: October 9, 2014
The research team, led by Joseph Napoli and Andreas Stahl, both of the Department of Nutritional Sciences and Toxicology at the university, publish their findings in the journal PLOS ONE.
Grapefruit has been hailed for its weight-loss effects since the 1930s, forming a part of the famous Hollywood Diet. Studies claimed that grapefruit consists of a fat-burning enzyme that promotes rapid weight loss.
But Napoli and Stahl say the validity of such studies can be questioned. “Relatively few human studies have examined the effects of grapefruit or grapefruit juice consumption per se on metabolism in well-controlled experiments, and these have produced intriguing but contradictory results,” they note.
In this study, the team set out to improve understanding of the metabolic effects of grapefruit juice consumption.

Healthy lifestyle may cut stroke risk in half for women
Science Daily:  October 8, 2014
Women with a healthy diet and lifestyle may be less likely to have a stroke by more than half, according to a study. The study looked at five factors that make up a healthy lifestyle: healthy diet; moderate alcohol consumption; never smoking; physically active; and healthy body mass index (BMI). Compared with women with none of the five healthy factors, women with all five factors had a 54-percent lower risk of stroke.

Bacterial protein implicated in eating disorders
MNT: October 9, 2014
Eating disorders (ED) such as anorexia nervosa, bulimia, and binge eating disorder affect approximately 5-10% of the general population, but the biological mechanisms involved are unknown.
Researchers at Inserm Unit 1073, “Nutrition, inflammation and dysfunction of the gut-brain axis” (Inserm/University of Rouen) have demonstrated the involvement of a protein produced by some intestinal bacteria that may be the source of these disorders. Antibodies produced by the body against this protein also react with the main satiety hormone, which is similar in structure. According to the researchers, it may ultimately be possible to correct this mechanism that causes variations in food intake.

Trust for America’s Health and the Robert Wood Johnson Foundation’s 11th Annual Report on Adult Obesity
Trust for America’s Health and the Robert Wood Johnson Foundation released the 11th annual report of annual rates and rankings of adult obesity, The State of Obesity: Better Policies for a Healthier America. New this year the report includes a study of racial and ethnic disparities in obesity rates. It also reviews existing policies and issues high-priority recommendations for making affordable health foods and safe places for physical activity available to all Americans.